CV and mad panic behaviour

[bratblue]

Very sad Video on yahoo news of a son transporting his dead mother(CoVid) on a motor bike wedged in between himself and the son in law, no ambulance or other transport available. I didnt post the video as it might distress some but it just shows the state of the country and how bad things have got in terms of resources.

I think it also shows a resilience that is incomprehendable to those in developed countries except, perhaps, in extreme wartime. My experience of third world countries is that ambulances are the exception rather than the rule.

[ElwoodBlues1]

I think it also shows a resilience that is incomprehendable to those in developed countries except, perhaps, in extreme wartime. My experience of third world countries is that ambulances are the exception rather than the rule.

India's private health system is very modern but the public system is a shambles and as you suggest Ambulances are in short supply although I did see a few in the major cities.
Ambulance system here isnt going that great either...no code yellow anymore and if you are deemed fit enough to travel by car etc after a medical episode they attend they will also refuse to take you to the ER and ask your family and friends to do the job.

[LP]

Ambulance system here isnt going that great either...no code yellow anymore and if you are deemed fit enough to travel by car etc after a medical episode they attend they will also refuse to take you to the ER and ask your family and friends to do the job.

It's not the Ambulance system that is the problem, it's the hospitals.

The Ambos take you in and get stuck there waiting for a handover. A mate's missus got taken to Monash Medical Centre the other day from a GP office due to dizziness, the GP was worried she might be having a stroke, but when she got to Monash the hospital kept her on the stretcher for 11hrs with the Ambos staying there for 3hrs before the hospital took over. The hospital ward she ended up in was half empty! They gave her a CT san the 2nd day, then she spent another week in there waiting for an MRI and was discharged 24hrs after!

[Gointocarlton]

It's not the Ambulance system that is the problem, it's the hospitals.

The Ambos take you in and get stuck there waiting for a handover. A mate's missus got taken to Monash Medical Centre the other day from a GP office due to dizziness, the GP was worried she might be having a stroke, but when she got to Monash the hospital kept her on the stretcher for 11hrs with the Ambos staying there for 3hrs before the hospital took over. The hospital ward she ended up in was half empty! They gave her a CT san the 2nd day, then she spent another week in there waiting for an MRI and was discharged 24hrs after!

I have had to visit an ER a few times early this year. What I have seen is too many DH's there with silly, non urgent illness that could be dealt with by a GP or a medical clinic. I think the hospitals (at least the one I visited) were very poor at screening these people at the door and moving them on to better prioritise and cater for genuine ER patients.

[LP]

I have had to visit an ER a few times early this year. What I have seen is too many DH's there with silly, non urgent illness that could dealt with by a GP or a medical clinic. I think the hospitals (at least the one I visited) were very poor at screening these people at the door and moving them on to better prioritise and cater for genuine ER patients.

In Vic a problem is Kennett closed too many mental health facilities, so every weekend the hospitals are over-loaded with people who have no real physical problem but need Psychiatric help.

Between that Kennett action and the left wing call for more pill testing the hospitals are overloaded with party drug ODs! Pill testing is nothing more than a "Smoking Doesn't Kill" Ad campaign for Es.

[Gointocarlton]

In Vic a problem is Kennett closed too many mental health facilities, so every weekend the hospitals are over-loaded with people who have no real physical problem but need Psychiatric help.

Between that Kennett action and the left wing call for more pill testing the hospitals are overloaded with party drug ODs! Pill testing is nothing more than a "Smoking Doesn't Kill" Ad campaign for Es.

For what its worth, on the occasions I went, the "ER cloggers" I saw didn't appear to be needing psych help, just normal people need to see a GP.

[northernblue]

For what its worth, on the occasions I went, the "ER cloggers" I saw didn't appear to be needing psych help, just normal people need to see a GP.

Don’t wanna be $35 out of pocket now…

[Thryleon]

This is not a simple discussion as it sounds.

There is a spectrum of behaviour that goes on.  Some of the ambulance drivers stick around, faffing about on their devices when they could be out the door.

Some of the emergency departments (rightly or wrongly) are not staffed enough to be filled, which means they have to remain until its possible to go.

Sometimes there is a queue of ambulances that have arrived (perhaps this is a point that could be better considered with a short handover, and that means freeing up 2 ambulances, but that is a difficult discussion and not as simple as it sounds).

Some of the times, the hospitals themselves are on bypass and are not accepting ambulances, which is why they end up going here there and everywhere.

In terms of filtering at the door, that is a tough ask.  The triage clerks and nurses aren't there to necessarily determine if they should be there, but rather what category of patient we are dealing with.

GP's are very hard to get into at the moment.  A few weeks ago, I was unwell on a Friday.  Couldnt get an appointment with a GP on the same day I was calling around, and the weekends are even harder because they dont all operate.  I ended up making an appointment for monday (which I cancelled) because my symptoms were flu like, I went and got a covid test (negative) and ended up cancelling my monday appointment because I wasn't feeling up to it.

Im not saying I would have gone to the hospital on Friday, but I can understand why unwell people might take themselves to hospital int he event of not being able to see a GP.

The current climate is making things very difficult for a lot of people.

Its a tough gig.  Our community has grown by a significant amount over the last 20 years.  I would wager our hospitals are not growing at the same rate, and that we are seeing more people needing to attend because the bugs are getting harder to get over which is why they dont give out antibiotics so much these days.

Health care is tricky.  Most of the reasons why things dont move has more to do with liability, than anything to do with best practise, and litigation has made things a bit more difficult than it needs to be.

[ElwoodBlues1]

Code Yellow is for bypass on Hospitals, my new info is that it has been scrapped and that the ambulance officers will take you to the closest ER regardless of how many patients are waiting there.
If you have private insurance dont muck around with the public ER's...If In Melbourne go the the Cabrini, Knox Private ER' s and the like...yep it will cost you around $300 to be seen but you will get immediate attention and access to a specialist if required much quicker.
We are now little America healthcare wise and you need Private Insurance, if you are forced into the public system  then go to the Royal Womens if you are female,  or the Austin in Heidelberg ....If I lived in the West I would avoid Sunshine Hospital and try an inner Hospital like Royal Melbourne or John Fawkner which is private.

[LP]

If you have private insurance dont muck around with the public ER's...If In Melbourne go the the Cabrini, Knox Private ER' s and the like...yep it will cost you around $300 to be seen but you will get immediate attention and access to a specialist if required much quicker.

Just be careful if you have recently renewed or moved insurer. Coming out of COVID Insurers have been under the pump not to increase premiums as much as they would like to, so they have been very quietly revising the terms of policies so that many procedures that were previously covered in Private Hospital are now only covered in Public Hospitals(Cheaper). It's devious as hell because people think they are still paying for the same product, Scotty from Marketing is letting them get away with murder so they don't close up shop smashing the public health system!