Nothing here tries to kill you through its bite or sting. And nothing tries
to eat you.
It is easy to tell whether a snake in Tasmania is poisonous or not -They all
are!
I am surprised though that anyone stays in the UK in emergency medicine.
Australia and New Zealand are superior when it comes to working in emergency
medicine and the lifestyle!
Derek
----- Original Message -----
From: "Fiona Wallace" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, November 19, 2008 11:18 PM
Subject: getting out
> Hey - don't go there - come over here instead!
>
> 4 day working week...Mediterranean climate...5 bedroom houses for STG150
> 000...advertising shortly for consultants and staff grades...
>
> Our summer is better than their summer, too.
>
> Fiona.
>
>
> Dr Fiona Wallace MB BS MA
> Director ED
> Mersey Community Hospital
> Latrobe
> Tasmania
> Australia
>
> [log in to unmask]
> [log in to unmask]
>
>
>
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Derek Sage
> Sent: Wednesday, 22 October 2008 11:09 PM
> To: [log in to unmask]
> Subject: Re: 3hr stretch target v 4hr target
>
> Treating a backlog in the emergency department by having a time target
> only
> replaces one problem with another and destroys the specialty of emergency
> medicine.
> A patient's temperature is a marker of something being wrong and we accept
> that treating a figure (temperature/fever or time) is not the same as
> fixing
>
> the underlying problem. In fact it can be dangerous to assume that fixing
> the target is a 'healthy outcome'. It is an indicator and politicians and
> some clinicians have lost sight of this fact. If the temperature is raised
> or the time in ED is excessive look for the cause and fix it/them and do
> not
>
> assume fixing the time equates to fixing the cause.
>
> Yes it has given the ED more resources and 'power' but at what cost. The
> dumping of 'out of hours' work by GPs and the 4 hour target will suck the
> UK
>
> tax payers money up for no real health gains- only political ones. And now
> that the UK taxes are bailing out banks, the UK can ill afford it!
>
> In New Zealand we are not neurotic and it is so much better a place to
> live
> and work. All you guys in the UK should try it. Being from the UK and
> having
>
> 'jumped ships' I can say as a matter of fact.
>
> If you are interested in coming to NZ I will be happy to assist (anywhere
> here is better than damp, grey, overcrowded, violent, drunken Britain)
>
> Enjoy your winter in the UK (-Our winter was better than your summer)
>
> -Derek Sage
> 'Specialist' in Emergency Medicine
> Tauranga Hospital
> Tauranga, Bay of Plenty
> NZ
>
> ----- Original Message -----
> From: "Adrian Kerner" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, October 22, 2008 11:52 PM
> Subject: Re: 3hr stretch target v 4hr target
>
>
> I am so pleased I do not have to deal with all this political [small p]
> stuff any
> more! I can now sort patients out; investigate and manage appropriately
> without worring about a clock!!
>
> I'm in New Zealand [3/12] and the care is pretty good. Yes, targets have
> been great to focus on what is done, but what has become of the Emergency
> Care doctor? You have become sign posts and sold out to a little 'p'.
>
> Best wishes from down under....enjoying the warmth and cosy life
> style....feel
> the air......
>
> Adrian Kerner
> 'Specialist' in Emergency Medicine
> North Shore Hospital
> Auckland
> NZ
|