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When was the last time the famous blue book was
updated?

Looks like will be a Germany-Brazil final.


--- Poyap James Rooney <pojaroo@...> wrote:

> Hi People,
>
>   Maybe giving of Public Health talks over the
> radio, could be part of the MBBS, Public Health
> curriculum as part of their practicle work in
> addition to going on rural block.  Every student
> should present a Public health talk on a particular
> topic, this should be checked by the lecturer before
> they go to present it on the radio.  This provides a
> much needed services, and also instills further in
> students the importance of Public Health.  As an
> extension every resident, as part of their
> requirements (BLUE BOOK) should present at least 3-5
> talks on a Public Health issue.
>
>   While on the blue book topic, do you guys think it
> needs to be updated a bit to reflect our times, and
> maybe incoperate this and any other idea of
> improvement.  The blue book is a very important
> document, and one that every one who has been
> through the PNG system hold close to them, I just
> think that it should be updated.  You just have to
> look at it's current cover to feel like you are
> travelling back into time.  The RMO period is very
> tough and is a very steep learning curve,  we all
> went through it and each have our own tales to tell.
>  I feel more can be done to improve this area of
> teaching, regardless of funding situation.
>
>   Just a thought,
>
>   TenQ Badaheria MOMO Kani,
>   Cheers
>   Poyap
>
>   ARGENTINA TO WIN THE WORLD CUP!!!!!
>
> rodney itaki <londari2000@...> wrote:
>             Thanks. So thereyou go Gunzee, its free
> so why not the same in PNG. After all, NBC is the
> government`s so it can be utilised by all
> government deparments. Its up to the respective
> departments to budget for such programs, if NBC
> insists on payment for time on air.
>
>   Well, Germany and Argentina tonight..predicting
> Germany to win 2-1, but Argentina have been looking
> very sharp with their young players but the
> experience of Germany will see them through.
>
>   cheers all
>
>   rodney
>
>
>
> carol titiulu <caroltitiulu@...> wrote:
>         Rod, the radio programme here is free. The
> radio station does  it free, infact it was the radio
> station itself who asked us to give health talks,
> maybe to attract and increase  their
> listeners/customers.Anyway it has benefited those
> living in the remote areas alot. @ 6am the anouncer
> calls at home and straight away we are on air.not
> sure, it might not work for long once the station
> gets enough customers, ha.
>   carol
>
> Rodney Itaki <londari2000@...> wrote:
>   Carol, I like the radio program thing. Who
> sponsors the program? I am
> sure the same thing can be done in PNG to tackle
> other health issues
> in PNG.
>
> NBC is underutilised.
>
> ritaki
>
> --- In pngdoctors-general@yahoogroups.com, carol
> titiulu
> wrote:
> >
> > hi all,
> > thankyou Eric for the points you highlighted
> concerning patient's
> education.
> >
> > eric ungil wrote:
> > Gut nait tru olgeta.
> >
> > All of us can agree that big hospitals like PMGH
> are busy places
> and busy
> > doctors do not have time to educate patients. In
> western countries
> like
> > Australia, patient education is inevitable. One
> will have no choice
> but do
> > it because patients throw questions at you.
> Infact, some patients
> will have
> > researched their pathology, treatment, side
> effects, and
> alternative
> > medicine before they come to the doctor.
> Communicating and patient
> education
> > is an art to learn. The Australian Council Medical
> exam (AMC)
> examines in
> > part patient education in the clinicals. For those
> working in
> Australia or
> > overseas, wishing to sit the AMC or work there for
> lonegr periods,
> I suggest
> > the following;
> >
> > 1. Listen to the way some good doctors talk to
> their patients, and
> admire
> > them.
> > 2. Do not use medical jargon. talk in layman's
> terms.
> > 3. If you do not know, be honest and say I do not
> know.
> > 4. Feel free to use all references, books, even in
> front of
> patients.
> > 5. You may not be able to answer all questions.
> > 6. Before you proceed to your next point, ask for
> any questions.
> Listen to
> > what they have got to say.
> > 7. There is an art to breaking bad news. Think
> about how you will
> execute
> > it.
> > 8. I sat the AMC clinical exam last year. - One of
> the station was,
> on a
> > patient with advanced ca pancreas with 10/10 pain.
> She requested
> euthanasia.
> > can we just say no? What are the legal issues?
> > 9. Open disclosure and good communication with
> patients have shown
> a
> > substantiial decrease in litigation cases.
> >
> > I guess in PNG, most of our patients would not
> know much about
> their
> > problem, and will be too scared to ask anyway.
> >
> > Comming back to the post courier editorial, the
> poor fellow's son
> was
> > commenced on anti TB medication with out much
> explanation. The
> efffects of
> > the drugs, why it safer to start anti TB than not
> to start, and
> many others.
> > Can we blame the poor man for going to the media?
> >
> > This highlights one of our weakness. We do not
> educate patients. As
> the
> > population of PNG become more educated, they will
> ask more
> questions, and we
> > should know how best to answer patients questions.
> >
> > Open disclosure and patient
> education/communication should be some
> covered
> > in a couple of lectures, possibly in final year of
> medical school
> or junior
> > doctor tutorials.
> >
> > Gut nait tru.
> >
> > >From: carol titiulu
> > >Reply-To: pngdoctors-general@yahoogroups.com
> > >To: pngdoctors-general@yahoogroups.com
> > >Subject: Re: [pngdoctors-general] Patient
> education is more
> important than
> > >Rx.
> > >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> > >
> > >hellow from the solomons,
> > > It is interesting to read about the discussions
> that have been
> going on.
> > >Well, this might already out of topic,anyway i
> just want to
>
=== message truncated ===




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Thanks. So thereyou go Gunzee, its free so why not the same in PNG. After all, NBC is the government`s so it can be utilised by all  government deparments. Its up to the respective departments to budget for such programs, if NBC insists on payment for time on air.

 

Well, Germany and Argentina tonight..predicting Germany to win 2-1, but Argentina have been looking very sharp with their young players but the experience of Germany will see them through.

 

cheers all

 

rodney

 

carol titiulu <caroltitiulu@...> wrote:

Rod, the radio programme here is free. The radio station does  it free, infact it was the radio station itself who asked us to give health talks, maybe to attract and increase  their listeners/customers.Anyway it has benefited those living in the remote areas alot. @ 6am the anouncer calls at home and straight away we are on air.not sure, it might not work for long once the station gets enough customers, ha.

carol

Rodney Itaki <londari2000@...> wrote:

Carol, I like the radio program thing. Who sponsors the program? I am
sure the same thing can be done in PNG to tackle other health issues
in PNG.

NBC is underutilised.

ritaki

--- In pngdoctors-general@yahoogroups.com, carol titiulu
wrote:
>
> hi all,
> thankyou Eric for the points you highlighted concerning patient's
education.
>
> eric ungil wrote:
> Gut nait tru olgeta.
>
> All of us can agree that big hospitals like PMGH are busy places
and busy
> doctors do not have time to educate patients. In western countries
like
> Australia, patient education is inevitable. One will have no choice
but do
> it because patients throw questions at you. Infact, some patients
will have
> researched their pathology, treatment, side effects, and
alternative
> medicine before they come to the doctor. Communicating and patient
education
> is an art to learn. The Australian Council Medical exam (AMC)
examines in
> part patient education in the clinicals. For those working in
Australia or
> overseas, wishing to sit the AMC or work there for lonegr periods,
I suggest
> the following;
>
> 1. Listen to the way some good doctors talk to their patients, and
admire
> them.
> 2. Do not use medical jargon. talk in layman's terms.
> 3. If you do not know, be honest and say I do not know.
> 4. Feel free to use all references, books, even in front of
patients.
> 5. You may not be able to answer all questions.
> 6. Before you proceed to your next point, ask for any questions.
Listen to
> what they have got to say.
> 7. There is an art to breaking bad news. Think about how you will
execute
> it.
> 8. I sat the AMC clinical exam last year. - One of the station was,
on a
> patient with advanced ca pancreas with 10/10 pain. She requested
euthanasia.
> can we just say no? What are the legal issues?
> 9. Open disclosure and good communication with patients have shown
a
> substantiial decrease in litigation cases.
>
> I guess in PNG, most of our patients would not know much about
their
> problem, and will be too scared to ask anyway.
>
> Comming back to the post courier editorial, the poor fellow's son
was
> commenced on anti TB medication with out much explanation. The
efffects of
> the drugs, why it safer to start anti TB than not to start, and
many others.
> Can we blame the poor man for going to the media?
>
> This highlights one of our weakness. We do not educate patients. As
the
> population of PNG become more educated, they will ask more
questions, and we
> should know how best to answer patients questions.
>
> Open disclosure and patient education/communication should be some
covered
> in a couple of lectures, possibly in final year of medical school
or junior
> doctor tutorials.
>
> Gut nait tru.
>
> >From: carol titiulu
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: Re: [pngdoctors-general] Patient education is more
important than
> >Rx.
> >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> >
> >hellow from the solomons,
> > It is interesting to read about the discussions that have been
going on.
> >Well, this might already out of topic,anyway i just want to
comment on
> >patient's education.As clinicians we are to treat and as well as
educate
> >patients about common illnesses, especially communicable diseases
such as
> >TB, HIV and diarrhoea.However in a busy hospital such as PMGH,
often we do
> >not have a moment to thoroughly talk to our patients, eventhough
it is a
> >very effective idea.Apart from bedside education there are other
> >alternative and effective ways in which we can educate our
patients and at
> >the same time the public, including remote areas.Here in the
solomons, one
> >of our main radio AM stations has allocated us doctors working in
the NRH
> >10 mins each morning ( 6 am) to give health talks ecpecially on
common
> >health problems. Recently, on behalf of the paediatric department
i gave a
> >talk on breastfeeding. My aunt just returned from home told me
that she
> >heard me on the radio talking about
> > b/feeding. so my patients who had their radio on had some
education onb/f
> >so as the nation as a whole.make use of the media ,at the same
time educate
> >at the bedside. em tasol.-carol titiulu
> >
> >Poyap James Rooney
> wrote:
> > Hi ALL!
> >
> > I remember Dr. Dakulala making a point of educating TB in
patients at
> >every ward round. Everyone doing the round were required to give a
small
> >talk to educate the patients about TB, how it spread, how it can
kill,
> >resistance etc. The patients became very knowledgable and the idea
was
> >that they would go out and inturn educate their community. Very
simple and
> >affective idea, is it done elsewhere!?????
> >
> > EDUCATION, EDUCATION, EDUCATION!!!!
> >
> > Cheers
> >
> >Rodney Itaki wrote:
> > Hello Everybody,
> >
> >All you socceroos supporters must be delighted that the soceroos
are
> >into the 2nd round of the world cup after 34 years absence.
> >
> >World Cup soccer aside, my point for posting this to you all is
best
> >illustrated in this letter to the editor, Post Courier which
appeared
> >today. Read it below:
> >----------------------------------------------------
> >Doctors diagnosis of diseases need strict procedures
> >
> >I am writing to air my view on the standards and practices that is
> >currently used in the public health system. I was surprised that
> >professional doctors cannot do tests on a patient for diseases
before
> >admission or put on medication.
> >
> >It is alarming to learn that professionals of medicine could not
even
> >do the simplest TB test on a child, let alone predict the cause of
> >sick based on X-rays. And when you have seconds or third opinions
> >differing from each other, it is a case of neglect and
> >unprofessionalism.
> >
> >Mine was a case where my son was admitted to the Pediatric TB Ward,
> >just because he had a common cold and cough. Doctors required an X-
> >ray which was taken and based on that, he was admitted to the ward.
> >
> >Three doctors had a look at the X-ray and all had contradicting
> >theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 E
pneumonia.
> >Based on Doctor 1 theory, he was admitted without the simple tests
> >done and was put straight on medication for a disease he never
> >contracted and doesn`trun in our gene.
> >
> >It was a medication his body rejected by developing rash and
> >discolouration in his urination. I insisted my child go through a
> >test before he could be put on any form of medication. Test results
> >reviewed after procedural days (three days) proved that my child
was
> >negative and that he just had the cough.
> >
> >And it most certainly proved that the old fashionEtesting system
> >does really work and I hope the professionals can only take time to
> >follow procedures. E
> >
> >Sugar Ave, NCD
> >
> >source: Post Courier, 23-06-06.
> >---------------------------------------------------
> >
> >have a top weekend
> >
> >ritaki
> >
> >
> >
> >
> >
> >---------------------------------
> > Do you Yahoo!?
> >Yahoo! Personals: It's free to check out our great singles!
> >
> >
> >
> >---------------------------------
> >Do you Yahoo!?
> > Yahoo! Music: Check out the gig guide for live music in your area
>
>
>
>
>
>
> Yahoo! Groups Links
>
>
>
>
>
>
>
>
>
>
> ---------------------------------
> Do you Yahoo!?
> Yahoo! Music: Check out the gig guide for live music in your area
>







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Rod, the radio programme here is free. The radio station does  it free, infact it was the radio station itself who asked us to give health talks, maybe to attract and increase  their listeners/customers.Anyway it has benefited those living in the remote areas alot. @ 6am the anouncer calls at home and straight away we are on air.not sure, it might not work for long once the station gets enough customers, ha.

carol

Rodney Itaki <londari2000@...> wrote:

Carol, I like the radio program thing. Who sponsors the program? I am
sure the same thing can be done in PNG to tackle other health issues
in PNG.

NBC is underutilised.

ritaki

--- In pngdoctors-general@yahoogroups.com, carol titiulu
wrote:
>
> hi all,
> thankyou Eric for the points you highlighted concerning patient's
education.
>
> eric ungil wrote:
> Gut nait tru olgeta.
>
> All of us can agree that big hospitals like PMGH are busy places
and busy
> doctors do not have time to educate patients. In western countries
like
> Australia, patient education is inevitable. One will have no choice
but do
> it because patients throw questions at you. Infact, some patients
will have
> researched their pathology, treatment, side effects, and
alternative
> medicine before they come to the doctor. Communicating and patient
education
> is an art to learn. The Australian Council Medical exam (AMC)
examines in
> part patient education in the clinicals. For those working in
Australia or
> overseas, wishing to sit the AMC or work there for lonegr periods,
I suggest
> the following;
>
> 1. Listen to the way some good doctors talk to their patients, and
admire
> them.
> 2. Do not use medical jargon. talk in layman's terms.
> 3. If you do not know, be honest and say I do not know.
> 4. Feel free to use all references, books, even in front of
patients.
> 5. You may not be able to answer all questions.
> 6. Before you proceed to your next point, ask for any questions.
Listen to
> what they have got to say.
> 7. There is an art to breaking bad news. Think about how you will
execute
> it.
> 8. I sat the AMC clinical exam last year. - One of the station was,
on a
> patient with advanced ca pancreas with 10/10 pain. She requested
euthanasia.
> can we just say no? What are the legal issues?
> 9. Open disclosure and good communication with patients have shown
a
> substantiial decrease in litigation cases.
>
> I guess in PNG, most of our patients would not know much about
their
> problem, and will be too scared to ask anyway.
>
> Comming back to the post courier editorial, the poor fellow's son
was
> commenced on anti TB medication with out much explanation. The
efffects of
> the drugs, why it safer to start anti TB than not to start, and
many others.
> Can we blame the poor man for going to the media?
>
> This highlights one of our weakness. We do not educate patients. As
the
> population of PNG become more educated, they will ask more
questions, and we
> should know how best to answer patients questions.
>
> Open disclosure and patient education/communication should be some
covered
> in a couple of lectures, possibly in final year of medical school
or junior
> doctor tutorials.
>
> Gut nait tru.
>
> >From: carol titiulu
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: Re: [pngdoctors-general] Patient education is more
important than
> >Rx.
> >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> >
> >hellow from the solomons,
> > It is interesting to read about the discussions that have been
going on.
> >Well, this might already out of topic,anyway i just want to
comment on
> >patient's education.As clinicians we are to treat and as well as
educate
> >patients about common illnesses, especially communicable diseases
such as
> >TB, HIV and diarrhoea.However in a busy hospital such as PMGH,
often we do
> >not have a moment to thoroughly talk to our patients, eventhough
it is a
> >very effective idea.Apart from bedside education there are other
> >alternative and effective ways in which we can educate our
patients and at
> >the same time the public, including remote areas.Here in the
solomons, one
> >of our main radio AM stations has allocated us doctors working in
the NRH
> >10 mins each morning ( 6 am) to give health talks ecpecially on
common
> >health problems. Recently, on behalf of the paediatric department
i gave a
> >talk on breastfeeding. My aunt just returned from home told me
that she
> >heard me on the radio talking about
> > b/feeding. so my patients who had their radio on had some
education onb/f
> >so as the nation as a whole.make use of the media ,at the same
time educate
> >at the bedside. em tasol.-carol titiulu
> >
> >Poyap James Rooney
> wrote:
> > Hi ALL!
> >
> > I remember Dr. Dakulala making a point of educating TB in
patients at
> >every ward round. Everyone doing the round were required to give a
small
> >talk to educate the patients about TB, how it spread, how it can
kill,
> >resistance etc. The patients became very knowledgable and the idea
was
> >that they would go out and inturn educate their community. Very
simple and
> >affective idea, is it done elsewhere!?????
> >
> > EDUCATION, EDUCATION, EDUCATION!!!!
> >
> > Cheers
> >
> >Rodney Itaki wrote:
> > Hello Everybody,
> >
> >All you socceroos supporters must be delighted that the soceroos
are
> >into the 2nd round of the world cup after 34 years absence.
> >
> >World Cup soccer aside, my point for posting this to you all is
best
> >illustrated in this letter to the editor, Post Courier which
appeared
> >today. Read it below:
> >----------------------------------------------------
> >Doctors diagnosis of diseases need strict procedures
> >
> >I am writing to air my view on the standards and practices that is
> >currently used in the public health system. I was surprised that
> >professional doctors cannot do tests on a patient for diseases
before
> >admission or put on medication.
> >
> >It is alarming to learn that professionals of medicine could not
even
> >do the simplest TB test on a child, let alone predict the cause of
> >sick based on X-rays. And when you have seconds or third opinions
> >differing from each other, it is a case of neglect and
> >unprofessionalism.
> >
> >Mine was a case where my son was admitted to the Pediatric TB Ward,
> >just because he had a common cold and cough. Doctors required an X-
> >ray which was taken and based on that, he was admitted to the ward.
> >
> >Three doctors had a look at the X-ray and all had contradicting
> >theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 E
pneumonia.
> >Based on Doctor 1 theory, he was admitted without the simple tests
> >done and was put straight on medication for a disease he never
> >contracted and doesn`trun in our gene.
> >
> >It was a medication his body rejected by developing rash and
> >discolouration in his urination. I insisted my child go through a
> >test before he could be put on any form of medication. Test results
> >reviewed after procedural days (three days) proved that my child
was
> >negative and that he just had the cough.
> >
> >And it most certainly proved that the old fashionEtesting system
> >does really work and I hope the professionals can only take time to
> >follow procedures. E
> >
> >Sugar Ave, NCD
> >
> >source: Post Courier, 23-06-06.
> >---------------------------------------------------
> >
> >have a top weekend
> >
> >ritaki
> >
> >
> >
> >
> >
> >---------------------------------
> > Do you Yahoo!?
> >Yahoo! Personals: It's free to check out our great singles!
> >
> >
> >
> >---------------------------------
> >Do you Yahoo!?
> > Yahoo! Music: Check out the gig guide for live music in your area
>
>
>
>
>
>
> Yahoo! Groups Links
>
>
>
>
>
>
>
>
>
>
> ---------------------------------
> Do you Yahoo!?
> Yahoo! Music: Check out the gig guide for live music in your area
>







------------------------ Yahoo! Groups Sponsor --------------------~-->
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<*> To visit your group on the web, go to:
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<*> To unsubscribe from this group, send an email to:
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<*> Your use of Yahoo! Groups is subject to:
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---

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Yahoo! Music: Check out the gig guide for live music in your area

Carol, I like the radio program thing. Who sponsors the program? I am
sure the same thing can be done in PNG to tackle other health issues
in PNG.

NBC is underutilised.

ritaki

--- In pngdoctors-general@yahoogroups.com, carol titiulu
wrote:
>
> hi all,
> thankyou Eric for the points you highlighted concerning patient's
education.
>
> eric ungil wrote:
> Gut nait tru olgeta.
>
> All of us can agree that big hospitals like PMGH are busy places
and busy
> doctors do not have time to educate patients. In western countries
like
> Australia, patient education is inevitable. One will have no choice
but do
> it because patients throw questions at you. Infact, some patients
will have
> researched their pathology, treatment, side effects, and
alternative
> medicine before they come to the doctor. Communicating and patient
education
> is an art to learn. The Australian Council Medical exam (AMC)
examines in
> part patient education in the clinicals. For those working in
Australia or
> overseas, wishing to sit the AMC or work there for lonegr periods,
I suggest
> the following;
>
> 1. Listen to the way some good doctors talk to their patients, and
admire
> them.
> 2. Do not use medical jargon. talk in layman's terms.
> 3. If you do not know, be honest and say I do not know.
> 4. Feel free to use all references, books, even in front of
patients.
> 5. You may not be able to answer all questions.
> 6. Before you proceed to your next point, ask for any questions.
Listen to
> what they have got to say.
> 7. There is an art to breaking bad news. Think about how you will
execute
> it.
> 8. I sat the AMC clinical exam last year. - One of the station was,
on a
> patient with advanced ca pancreas with 10/10 pain. She requested
euthanasia.
> can we just say no? What are the legal issues?
> 9. Open disclosure and good communication with patients have shown
a
> substantiial decrease in litigation cases.
>
> I guess in PNG, most of our patients would not know much about
their
> problem, and will be too scared to ask anyway.
>
> Comming back to the post courier editorial, the poor fellow's son
was
> commenced on anti TB medication with out much explanation. The
efffects of
> the drugs, why it safer to start anti TB than not to start, and
many others.
> Can we blame the poor man for going to the media?
>
> This highlights one of our weakness. We do not educate patients. As
the
> population of PNG become more educated, they will ask more
questions, and we
> should know how best to answer patients questions.
>
> Open disclosure and patient education/communication should be some
covered
> in a couple of lectures, possibly in final year of medical school
or junior
> doctor tutorials.
>
> Gut nait tru.
>
> >From: carol titiulu
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: Re: [pngdoctors-general] Patient education is more
important than
> >Rx.
> >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> >
> >hellow from the solomons,
> > It is interesting to read about the discussions that have been
going on.
> >Well, this might already out of topic,anyway i just want to
comment on
> >patient's education.As clinicians we are to treat and as well as
educate
> >patients about common illnesses, especially communicable diseases
such as
> >TB, HIV and diarrhoea.However in a busy hospital such as PMGH,
often we do
> >not have a moment to thoroughly talk to our patients, eventhough
it is a
> >very effective idea.Apart from bedside education there are other
> >alternative and effective ways in which we can educate our
patients and at
> >the same time the public, including remote areas.Here in the
solomons, one
> >of our main radio AM stations has allocated us doctors working in
the NRH
> >10 mins each morning ( 6 am) to give health talks ecpecially on
common
> >health problems. Recently, on behalf of the paediatric department
i gave a
> >talk on breastfeeding. My aunt just returned from home told me
that she
> >heard me on the radio talking about
> > b/feeding. so my patients who had their radio on had some
education onb/f
> >so as the nation as a whole.make use of the media ,at the same
time educate
> >at the bedside. em tasol.-carol titiulu
> >
> >Poyap James Rooney
> wrote:
> > Hi ALL!
> >
> > I remember Dr. Dakulala making a point of educating TB in
patients at
> >every ward round. Everyone doing the round were required to give a
small
> >talk to educate the patients about TB, how it spread, how it can
kill,
> >resistance etc. The patients became very knowledgable and the idea
was
> >that they would go out and inturn educate their community. Very
simple and
> >affective idea, is it done elsewhere!?????
> >
> > EDUCATION, EDUCATION, EDUCATION!!!!
> >
> > Cheers
> >
> >Rodney Itaki wrote:
> > Hello Everybody,
> >
> >All you socceroos supporters must be delighted that the soceroos
are
> >into the 2nd round of the world cup after 34 years absence.
> >
> >World Cup soccer aside, my point for posting this to you all is
best
> >illustrated in this letter to the editor, Post Courier which
appeared
> >today. Read it below:
> >----------------------------------------------------
> >Doctors diagnosis of diseases need strict procedures
> >
> >I am writing to air my view on the standards and practices that is
> >currently used in the public health system. I was surprised that
> >professional doctors cannot do tests on a patient for diseases
before
> >admission or put on medication.
> >
> >It is alarming to learn that professionals of medicine could not
even
> >do the simplest TB test on a child, let alone predict the cause of
> >sick based on X-rays. And when you have seconds or third opinions
> >differing from each other, it is a case of neglect and
> >unprofessionalism.
> >
> >Mine was a case where my son was admitted to the Pediatric TB Ward,
> >just because he had a common cold and cough. Doctors required an X-
> >ray which was taken and based on that, he was admitted to the ward.
> >
> >Three doctors had a look at the X-ray and all had contradicting
> >theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 E
pneumonia.
> >Based on Doctor 1 theory, he was admitted without the simple tests
> >done and was put straight on medication for a disease he never
> >contracted and doesn`trun in our gene.
> >
> >It was a medication his body rejected by developing rash and
> >discolouration in his urination. I insisted my child go through a
> >test before he could be put on any form of medication. Test results
> >reviewed after procedural days (three days) proved that my child
was
> >negative and that he just had the cough.
> >
> >And it most certainly proved that the old fashionEtesting system
> >does really work and I hope the professionals can only take time to
> >follow procedures. E
> >
> >Sugar Ave, NCD
> >
> >source: Post Courier, 23-06-06.
> >---------------------------------------------------
> >
> >have a top weekend
> >
> >ritaki
> >
> >
> >
> >
> >
> >---------------------------------
> > Do you Yahoo!?
> >Yahoo! Personals: It's free to check out our great singles!
> >
> >
> >
> >---------------------------------
> >Do you Yahoo!?
> > Yahoo! Music: Check out the gig guide for live music in your area
>
>
>
>
>
>
> Yahoo! Groups Links
>
>
>
>
>
>
>
>
>
>
> ---------------------------------
> Do you Yahoo!?
> Yahoo! Music: Check out the gig guide for live music in your area
>







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Tenk iu long tok klia. Mi abrus liklik, atus loket.

Regards,

Gunzee.
--- In pngdoctors-general@yahoogroups.com, rodney itaki
<londari2000@...> wrote:
>
> Bro, I said UNDERuntilised, not NOT unitlised. I
> remeber that program too.
>
> Anyway, same old story of no funds.
>
> Shouldn`t this be part of NDOH community programs or
> some programs to disseminate information to the rest
> of PNG. I am sure this program that Dr Sapuri and Dr
> Danaya participated in was thought up by aid agencies,
> thus as we all are well are when programs are
> initiated by aid/donor agencies it is usually for a
> pre-determined period with no plans for
> SUSTAINABLITY!!!
>
> By the way, I just want to hear your views on this,
> `Do we have an alchohol problem in PNG?` If so what
> are the problems and how can we reduce them?
>
> cheers
>
> rodney
> --- gunzeegawin gawinsg@... wrote:
>
> >
> > Not true, Rod. NBC was utilised well until lack of
> > funding crippled it.
> >
> > I remember Dr Sapuri and Dr Danaya used to give
> > health talks on NBC
> > radio every 3.00 pm on Thursdays for an hour weekly
> > until the sponsor
> > pulled out. I last heard of this program in 2003.
> >
> > Securing a sponsor may resurrect the program again.
> >
> > Stap wantaim yup'la
> >
> > Gunzee.
> >
> >
> > --- In pngdoctors-general@yahoogroups.com, "Rodney
> > Itaki"
> > londari2000@ wrote:
> > >
> > > Carol, I like the radio program thing. Who
> > sponsors the program? I am
> > > sure the same thing can be done in PNG to tackle
> > other health issues
> > > in PNG.
> > >
> > > NBC is underutilised.
> > >
> > > ritaki
> > >
> > > --- In pngdoctors-general@yahoogroups.com, carol
> > titiulu
> > > caroltitiulu@ wrote:
> > > >
> > > > hi all,
> > > > thankyou Eric for the points you highlighted
> > concerning patient's
> > > education.
> > > >
> > > > eric ungil eungil2@ wrote:
> > > > Gut nait tru olgeta.
> > > >
> > > > All of us can agree that big hospitals like PMGH
> > are busy places
> > > and busy
> > > > doctors do not have time to educate patients. In
> > western countries
> > > like
> > > > Australia, patient education is inevitable. One
> > will have no choice
> > > but do
> > > > it because patients throw questions at you.
> > Infact, some patients
> > > will have
> > > > researched their pathology, treatment, side
> > effects, and
> > > alternative
> > > > medicine before they come to the doctor.
> > Communicating and patient
> > > education
> > > > is an art to learn. The Australian Council
> > Medical exam (AMC)
> > > examines in
> > > > part patient education in the clinicals. For
> > those working in
> > > Australia or
> > > > overseas, wishing to sit the AMC or work there
> > for lonegr periods,
> > > I suggest
> > > > the following;
> > > >
> > > > 1. Listen to the way some good doctors talk to
> > their patients, and
> > > admire
> > > > them.
> > > > 2. Do not use medical jargon. talk in layman's
> > terms.
> > > > 3. If you do not know, be honest and say I do
> > not know.
> > > > 4. Feel free to use all references, books, even
> > in front of
> > > patients.
> > > > 5. You may not be able to answer all questions.
> > > > 6. Before you proceed to your next point, ask
> > for any questions.
> > > Listen to
> > > > what they have got to say.
> > > > 7. There is an art to breaking bad news. Think
> > about how you will
> > > execute
> > > > it.
> > > > 8. I sat the AMC clinical exam last year. - One
> > of the station was,
> > > on a
> > > > patient with advanced ca pancreas with 10/10
> > pain. She requested
> > > euthanasia.
> > > > can we just say no? What are the legal issues?
> > > > 9. Open disclosure and good communication with
> > patients have shown
> > > a
> > > > substantiial decrease in litigation cases.
> > > >
> > > > I guess in PNG, most of our patients would not
> > know much about
> > > their
> > > > problem, and will be too scared to ask anyway.
> > > >
> > > > Comming back to the post courier editorial, the
> > poor fellow's son
> > > was
> > > > commenced on anti TB medication with out much
> > explanation. The
> > > efffects of
> > > > the drugs, why it safer to start anti TB than
> > not to start, and
> > > many others.
> > > > Can we blame the poor man for going to the
> > media?
> > > >
> > > > This highlights one of our weakness. We do not
> > educate patients. As
> > > the
> > > > population of PNG become more educated, they
> > will ask more
> > > questions, and we
> > > > should know how best to answer patients
> > questions.
> > > >
> > > > Open disclosure and patient
> > education/communication should be some
> > > covered
> > > > in a couple of lectures, possibly in final year
> > of medical school
> > > or junior
> > > > doctor tutorials.
> > > >
> > > > Gut nait tru.
> > > >
> > > > >From: carol titiulu
> > > > >Reply-To: pngdoctors-general@yahoogroups.com
> > > > >To: pngdoctors-general@yahoogroups.com
> > > > >Subject: Re: [pngdoctors-general] Patient
> > education is more
> > > important than
> > > > >Rx.
> > > > >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> > > > >
> > > > >hellow from the solomons,
> > > > > It is interesting to read about the
> > discussions that have been
> > > going on.
> > > > >Well, this might already out of topic,anyway i
> > just want to
> > > comment on
> > > > >patient's education.As clinicians we are to
> > treat and as well as
> > > educate
> > > > >patients about common illnesses, especially
> > communicable diseases
> > > such as
> > > > >TB, HIV and diarrhoea.However in a busy
> > hospital such as PMGH,
> > > often we do
> > > > >not have a moment to thoroughly talk to our
> > patients, eventhough
> > > it is a
> > > > >very effective idea.Apart from bedside
> > education there are other
> > > > >alternative and effective ways in which we can
> > educate our
> > > patients and at
> > > > >the same time the public, including remote
> > areas.Here in the
> > > solomons, one
> > > > >of our main radio AM stations has allocated us
> > doctors working in
> > > the NRH
> > > > >10 mins each morning ( 6 am) to give health
> > talks ecpecially on
> > > common
> > > > >health problems. Recently, on behalf of the
> > paediatric department
> > > i gave a
> > > > >talk on breastfeeding. My aunt just returned
> > from home told me
> > > that she
> > > > >heard me on the radio talking about
> > > > > b/feeding. so my patients who had their radio
> > on had some
> > > education onb/f
> > > > >so as the nation as a whole.make use of the
> > media ,at the same
> > > time educate
> > > > >at the bedside. em tasol.-carol titiulu
> > > > >
> > > > >Poyap James Rooney
> > > > wrote:
> > > > > Hi ALL!
> > > > >
> >
> === message truncated ===
>
>
>
>
> ___________________________________________________________
> Inbox full of spam? Get leading spam protection and 1GB storage with
All New Yahoo! Mail. http://uk.docs.yahoo.com/nowyoucan.html
>

Bro, I said UNDERuntilised, not NOT unitlised. I
remeber that program too.

Anyway, same old story of no funds.

Shouldn`t this be part of NDOH community programs or
some programs to disseminate information to the rest
of PNG. I am sure this program that Dr Sapuri and Dr
Danaya participated in was thought up by aid agencies,
thus as we all are well are when programs are
initiated by aid/donor agencies it is usually for a
pre-determined period with no plans for
SUSTAINABLITY!!!

By the way, I just want to hear your views on this,
`Do we have an alchohol problem in PNG?` If so what
are the problems and how can we reduce them?

cheers

rodney
--- gunzeegawin <gawinsg@...> wrote:

>
> Not true, Rod. NBC was utilised well until lack of
> funding crippled it.
>
> I remember Dr Sapuri and Dr Danaya used to give
> health talks on NBC
> radio every 3.00 pm on Thursdays for an hour weekly
> until the sponsor
> pulled out. I last heard of this program in 2003.
>
> Securing a sponsor may resurrect the program again.
>
> Stap wantaim yup'la
>
> Gunzee.
>
>
> --- In pngdoctors-general@yahoogroups.com, "Rodney
> Itaki"
> <londari2000@...> wrote:
> >
> > Carol, I like the radio program thing. Who
> sponsors the program? I am
> > sure the same thing can be done in PNG to tackle
> other health issues
> > in PNG.
> >
> > NBC is underutilised.
> >
> > ritaki
> >
> > --- In pngdoctors-general@yahoogroups.com, carol
> titiulu
> > caroltitiulu@ wrote:
> > >
> > > hi all,
> > > thankyou Eric for the points you highlighted
> concerning patient's
> > education.
> > >
> > > eric ungil eungil2@ wrote:
> > > Gut nait tru olgeta.
> > >
> > > All of us can agree that big hospitals like PMGH
> are busy places
> > and busy
> > > doctors do not have time to educate patients. In
> western countries
> > like
> > > Australia, patient education is inevitable. One
> will have no choice
> > but do
> > > it because patients throw questions at you.
> Infact, some patients
> > will have
> > > researched their pathology, treatment, side
> effects, and
> > alternative
> > > medicine before they come to the doctor.
> Communicating and patient
> > education
> > > is an art to learn. The Australian Council
> Medical exam (AMC)
> > examines in
> > > part patient education in the clinicals. For
> those working in
> > Australia or
> > > overseas, wishing to sit the AMC or work there
> for lonegr periods,
> > I suggest
> > > the following;
> > >
> > > 1. Listen to the way some good doctors talk to
> their patients, and
> > admire
> > > them.
> > > 2. Do not use medical jargon. talk in layman's
> terms.
> > > 3. If you do not know, be honest and say I do
> not know.
> > > 4. Feel free to use all references, books, even
> in front of
> > patients.
> > > 5. You may not be able to answer all questions.
> > > 6. Before you proceed to your next point, ask
> for any questions.
> > Listen to
> > > what they have got to say.
> > > 7. There is an art to breaking bad news. Think
> about how you will
> > execute
> > > it.
> > > 8. I sat the AMC clinical exam last year. - One
> of the station was,
> > on a
> > > patient with advanced ca pancreas with 10/10
> pain. She requested
> > euthanasia.
> > > can we just say no? What are the legal issues?
> > > 9. Open disclosure and good communication with
> patients have shown
> > a
> > > substantiial decrease in litigation cases.
> > >
> > > I guess in PNG, most of our patients would not
> know much about
> > their
> > > problem, and will be too scared to ask anyway.
> > >
> > > Comming back to the post courier editorial, the
> poor fellow's son
> > was
> > > commenced on anti TB medication with out much
> explanation. The
> > efffects of
> > > the drugs, why it safer to start anti TB than
> not to start, and
> > many others.
> > > Can we blame the poor man for going to the
> media?
> > >
> > > This highlights one of our weakness. We do not
> educate patients. As
> > the
> > > population of PNG become more educated, they
> will ask more
> > questions, and we
> > > should know how best to answer patients
> questions.
> > >
> > > Open disclosure and patient
> education/communication should be some
> > covered
> > > in a couple of lectures, possibly in final year
> of medical school
> > or junior
> > > doctor tutorials.
> > >
> > > Gut nait tru.
> > >
> > > >From: carol titiulu
> > > >Reply-To: pngdoctors-general@yahoogroups.com
> > > >To: pngdoctors-general@yahoogroups.com
> > > >Subject: Re: [pngdoctors-general] Patient
> education is more
> > important than
> > > >Rx.
> > > >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> > > >
> > > >hellow from the solomons,
> > > > It is interesting to read about the
> discussions that have been
> > going on.
> > > >Well, this might already out of topic,anyway i
> just want to
> > comment on
> > > >patient's education.As clinicians we are to
> treat and as well as
> > educate
> > > >patients about common illnesses, especially
> communicable diseases
> > such as
> > > >TB, HIV and diarrhoea.However in a busy
> hospital such as PMGH,
> > often we do
> > > >not have a moment to thoroughly talk to our
> patients, eventhough
> > it is a
> > > >very effective idea.Apart from bedside
> education there are other
> > > >alternative and effective ways in which we can
> educate our
> > patients and at
> > > >the same time the public, including remote
> areas.Here in the
> > solomons, one
> > > >of our main radio AM stations has allocated us
> doctors working in
> > the NRH
> > > >10 mins each morning ( 6 am) to give health
> talks ecpecially on
> > common
> > > >health problems. Recently, on behalf of the
> paediatric department
> > i gave a
> > > >talk on breastfeeding. My aunt just returned
> from home told me
> > that she
> > > >heard me on the radio talking about
> > > > b/feeding. so my patients who had their radio
> on had some
> > education onb/f
> > > >so as the nation as a whole.make use of the
> media ,at the same
> > time educate
> > > >at the bedside. em tasol.-carol titiulu
> > > >
> > > >Poyap James Rooney
> > > wrote:
> > > > Hi ALL!
> > > >
>
=== message truncated ===




___________________________________________________________
Inbox full of spam? Get leading spam protection and 1GB storage with All New
Yahoo! Mail. http://uk.docs.yahoo.com/nowyoucan.html

Not true, Rod. NBC was utilised well until lack of funding crippled it.

I remember Dr Sapuri and Dr Danaya used to give health talks on NBC radio every 3.00 pm on Thursdays for an hour weekly until the sponsor pulled out. I last heard of this program in 2003.

Securing a sponsor may resurrect the program again.

Stap wantaim yup'la

Gunzee.

--- In pngdoctors-general@yahoogroups.com, "Rodney Itaki" <londari2000@...> wrote:
>
> Carol, I like the radio program thing. Who sponsors the program? I am
> sure the same thing can be done in PNG to tackle other health issues
> in PNG.
>
> NBC is underutilised.
>
> ritaki
>
> --- In pngdoctors-general@yahoogroups.com, carol titiulu
> caroltitiulu@ wrote:
> >
> > hi all,
> > thankyou Eric for the points you highlighted concerning patient's
> education.
> >
> > eric ungil eungil2@ wrote:
> > Gut nait tru olgeta.
> >
> > All of us can agree that big hospitals like PMGH are busy places
> and busy
> > doctors do not have time to educate patients. In western countries
> like
> > Australia, patient education is inevitable. One will have no choice
> but do
> > it because patients throw questions at you. Infact, some patients
> will have
> > researched their pathology, treatment, side effects, and
> alternative
> > medicine before they come to the doctor. Communicating and patient
> education
> > is an art to learn. The Australian Council Medical exam (AMC)
> examines in
> > part patient education in the clinicals. For those working in
> Australia or
> > overseas, wishing to sit the AMC or work there for lonegr periods,
> I suggest
> > the following;
> >
> > 1. Listen to the way some good doctors talk to their patients, and
> admire
> > them.
> > 2. Do not use medical jargon. talk in layman's terms.
> > 3. If you do not know, be honest and say I do not know.
> > 4. Feel free to use all references, books, even in front of
> patients.
> > 5. You may not be able to answer all questions.
> > 6. Before you proceed to your next point, ask for any questions.
> Listen to
> > what they have got to say.
> > 7. There is an art to breaking bad news. Think about how you will
> execute
> > it.
> > 8. I sat the AMC clinical exam last year. - One of the station was,
> on a
> > patient with advanced ca pancreas with 10/10 pain. She requested
> euthanasia.
> > can we just say no? What are the legal issues?
> > 9. Open disclosure and good communication with patients have shown
> a
> > substantiial decrease in litigation cases.
> >
> > I guess in PNG, most of our patients would not know much about
> their
> > problem, and will be too scared to ask anyway.
> >
> > Comming back to the post courier editorial, the poor fellow's son
> was
> > commenced on anti TB medication with out much explanation. The
> efffects of
> > the drugs, why it safer to start anti TB than not to start, and
> many others.
> > Can we blame the poor man for going to the media?
> >
> > This highlights one of our weakness. We do not educate patients. As
> the
> > population of PNG become more educated, they will ask more
> questions, and we
> > should know how best to answer patients questions.
> >
> > Open disclosure and patient education/communication should be some
> covered
> > in a couple of lectures, possibly in final year of medical school
> or junior
> > doctor tutorials.
> >
> > Gut nait tru.
> >
> > >From: carol titiulu
> > >Reply-To: pngdoctors-general@yahoogroups.com
> > >To: pngdoctors-general@yahoogroups.com
> > >Subject: Re: [pngdoctors-general] Patient education is more
> important than
> > >Rx.
> > >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> > >
> > >hellow from the solomons,
> > > It is interesting to read about the discussions that have been
> going on.
> > >Well, this might already out of topic,anyway i just want to
> comment on
> > >patient's education.As clinicians we are to treat and as well as
> educate
> > >patients about common illnesses, especially communicable diseases
> such as
> > >TB, HIV and diarrhoea.However in a busy hospital such as PMGH,
> often we do
> > >not have a moment to thoroughly talk to our patients, eventhough
> it is a
> > >very effective idea.Apart from bedside education there are other
> > >alternative and effective ways in which we can educate our
> patients and at
> > >the same time the public, including remote areas.Here in the
> solomons, one
> > >of our main radio AM stations has allocated us doctors working in
> the NRH
> > >10 mins each morning ( 6 am) to give health talks ecpecially on
> common
> > >health problems. Recently, on behalf of the paediatric department
> i gave a
> > >talk on breastfeeding. My aunt just returned from home told me
> that she
> > >heard me on the radio talking about
> > > b/feeding. so my patients who had their radio on had some
> education onb/f
> > >so as the nation as a whole.make use of the media ,at the same
> time educate
> > >at the bedside. em tasol.-carol titiulu
> > >
> > >Poyap James Rooney
> > wrote:
> > > Hi ALL!
> > >
> > > I remember Dr. Dakulala making a point of educating TB in
> patients at
> > >every ward round. Everyone doing the round were required to give a
> small
> > >talk to educate the patients about TB, how it spread, how it can
> kill,
> > >resistance etc. The patients became very knowledgable and the idea
> was
> > >that they would go out and inturn educate their community. Very
> simple and
> > >affective idea, is it done elsewhere!?????
> > >
> > > EDUCATION, EDUCATION, EDUCATION!!!!
> > >
> > > Cheers
> > >
> > >Rodney Itaki wrote:
> > > Hello Everybody,
> > >
> > >All you socceroos supporters must be delighted that the soceroos
> are
> > >into the 2nd round of the world cup after 34 years absence.
> > >
> > >World Cup soccer aside, my point for posting this to you all is
> best
> > >illustrated in this letter to the editor, Post Courier which
> appeared
> > >today. Read it below:
> > >----------------------------------------------------
> > >Doctors diagnosis of diseases need strict procedures
> > >
> > >I am writing to air my view on the standards and practices that is
> > >currently used in the public health system. I was surprised that
> > >professional doctors cannot do tests on a patient for diseases
> before
> > >admission or put on medication.
> > >
> > >It is alarming to learn that professionals of medicine could not
> even
> > >do the simplest TB test on a child, let alone predict the cause of
> > >sick based on X-rays. And when you have seconds or third opinions
> > >differing from each other, it is a case of neglect and
> > >unprofessionalism.
> > >
> > >Mine was a case where my son was admitted to the Pediatric TB Ward,
> > >just because he had a common cold and cough. Doctors required an X-
> > >ray which was taken and based on that, he was admitted to the ward.
> > >
> > >Three doctors had a look at the X-ray and all had contradicting
> > >theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 E
> pneumonia.
> > >Based on Doctor 1 theory, he was admitted without the simple tests
> > >done and was put straight on medication for a disease he never
> > >contracted and doesn`trun in our gene.
> > >
> > >It was a medication his body rejected by developing rash and
> > >discolouration in his urination. I insisted my child go through a
> > >test before he could be put on any form of medication. Test results
> > >reviewed after procedural days (three days) proved that my child
> was
> > >negative and that he just had the cough.
> > >
> > >And it most certainly proved that the old fashionEtesting system
> > >does really work and I hope the professionals can only take time to
> > >follow procedures. E
> > >
> > >Sugar Ave, NCD
> > >
> > >source: Post Courier, 23-06-06.
> > >---------------------------------------------------
> > >
> > >have a top weekend
> > >
> > >ritaki
> > >
> > >
> > >
> > >
> > >
> > >---------------------------------
> > > Do you Yahoo!?
> > >Yahoo! Personals: It's free to check out our great singles!
> > >
> > >
> > >
> > >---------------------------------
> > >Do you Yahoo!?
> > > Yahoo! Music: Check out the gig guide for live music in your area
> >
> >
> >
> >
> >
> >
> > Yahoo! Groups Links
> >
> >
> >
> >
> >
> >
> >
> >
> >
> >
> > ---------------------------------
> > Do you Yahoo!?
> > Yahoo! Music: Check out the gig guide for live music in your area
> >
>

Thanks everyone,

for the continuous discussion and the good news about
availability of CT scan and appointment of Dr Siba as the
new director of NRI. This shows we are moving ahead.

Cheers!

William


--------------------------------------
Let's start Yahoo! Auction  -  Free Campaign Now!
http://pr.mail.yahoo.co.jp/auction/

Carol, I like the radio program thing. Who sponsors the program? I am
sure the same thing can be done in PNG to tackle other health issues
in PNG.

NBC is underutilised.

ritaki

--- In pngdoctors-general@yahoogroups.com, carol titiulu
<caroltitiulu@...> wrote:
>
> hi all,
>   thankyou Eric for the points you highlighted concerning patient's
education.
>
> eric ungil <eungil2@...> wrote:
>   Gut nait tru olgeta.
>
> All of us can agree that big hospitals like PMGH are busy places
and busy
> doctors do not have time to educate patients. In western countries
like
> Australia, patient education is inevitable. One will have no choice
but do
> it because patients throw questions at you. Infact, some patients
will have
> researched their pathology, treatment, side effects, and
alternative
> medicine before they come to the doctor. Communicating and patient
education
> is an art to learn. The Australian Council Medical exam (AMC)
examines in
> part patient education in the clinicals. For those working in
Australia or
> overseas, wishing to sit the AMC or work there for lonegr periods,
I suggest
> the following;
>
> 1. Listen to the way some good doctors talk to their patients, and
admire
> them.
> 2. Do not use medical jargon. talk in layman's terms.
> 3. If you do not know, be honest and say I do not know.
> 4. Feel free to use all references, books, even in front of
patients.
> 5. You may not be able to answer all questions.
> 6. Before you proceed to your next point, ask for any questions.
Listen to
> what they have got to say.
> 7. There is an art to breaking bad news. Think about how you will
execute
> it.
> 8. I sat the AMC clinical exam last year. - One of the station was,
on a
> patient with advanced ca pancreas with 10/10 pain. She requested
euthanasia.
> can we just say no? What are the legal issues?
> 9. Open disclosure and good communication with patients have shown
a
> substantiial decrease in litigation cases.
>
> I guess in PNG, most of our patients would not know much about
their
> problem, and will be too scared to ask anyway.
>
> Comming back to the post courier editorial, the poor fellow's son
was
> commenced on anti TB medication with out much explanation. The
efffects of
> the drugs, why it safer to start anti TB than not to start, and
many others.
> Can we blame the poor man for going to the media?
>
> This highlights one of our weakness. We do not educate patients. As
the
> population of PNG become more educated, they will ask more
questions, and we
> should know how best to answer patients questions.
>
> Open disclosure and patient education/communication should be some
covered
> in a couple of lectures, possibly in final year of medical school
or junior
> doctor tutorials.
>
> Gut nait tru.
>
> >From: carol titiulu
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: Re: [pngdoctors-general] Patient education is more
important than
> >Rx.
> >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> >
> >hellow from the solomons,
> > It is interesting to read about the discussions that have been
going on.
> >Well, this might already out of topic,anyway i just want to
comment on
> >patient's education.As clinicians we are to treat and as well as
educate
> >patients about common illnesses, especially communicable diseases
such as
> >TB, HIV and diarrhoea.However in a busy hospital such as PMGH,
often we do
> >not have a moment to thoroughly talk to our patients, eventhough
it is a
> >very effective idea.Apart from bedside education there are other
> >alternative and effective ways in which we can educate our
patients and at
> >the same time the public, including remote areas.Here in the
solomons, one
> >of our main radio AM stations has allocated us doctors working in
the NRH
> >10 mins each morning ( 6 am) to give health talks ecpecially on
common
> >health problems. Recently, on behalf of the paediatric department
i gave a
> >talk on breastfeeding. My aunt just returned from home told me
that she
> >heard me on the radio talking about
> > b/feeding. so my patients who had their radio on had some
education onb/f
> >so as the nation as a whole.make use of the media ,at the same
time educate
> >at the bedside. em tasol.-carol titiulu
> >
> >Poyap James Rooney
> wrote:
> > Hi ALL!
> >
> > I remember Dr. Dakulala making a point of educating TB in
patients at
> >every ward round. Everyone doing the round were required to give a
small
> >talk to educate the patients about TB, how it spread, how it can
kill,
> >resistance etc. The patients became very knowledgable and the idea
was
> >that they would go out and inturn educate their community. Very
simple and
> >affective idea, is it done elsewhere!?????
> >
> > EDUCATION, EDUCATION, EDUCATION!!!!
> >
> > Cheers
> >
> >Rodney Itaki wrote:
> > Hello Everybody,
> >
> >All you socceroos supporters must be delighted that the soceroos
are
> >into the 2nd round of the world cup after 34 years absence.
> >
> >World Cup soccer aside, my point for posting this to you all is
best
> >illustrated in this letter to the editor, Post Courier which
appeared
> >today. Read it below:
> >----------------------------------------------------
> >Doctors diagnosis of diseases need strict procedures
> >
> >I am writing to air my view on the standards and practices that is
> >currently used in the public health system. I was surprised that
> >professional doctors cannot do tests on a patient for diseases
before
> >admission or put on medication.
> >
> >It is alarming to learn that professionals of medicine could not
even
> >do the simplest TB test on a child, let alone predict the cause of
> >sick based on X-rays. And when you have seconds or third opinions
> >differing from each other, it is a case of neglect and
> >unprofessionalism.
> >
> >Mine was a case where my son was admitted to the Pediatric TB Ward,
> >just because he had a common cold and cough. Doctors required an X-
> >ray which was taken and based on that, he was admitted to the ward.
> >
> >Three doctors had a look at the X-ray and all had contradicting
> >theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 E
pneumonia.
> >Based on Doctor 1 theory, he was admitted without the simple tests
> >done and was put straight on medication for a disease he never
> >contracted and doesn`trun in our gene.
> >
> >It was a medication his body rejected by developing rash and
> >discolouration in his urination. I insisted my child go through a
> >test before he could be put on any form of medication. Test results
> >reviewed after procedural days (three days) proved that my child
was
> >negative and that he just had the cough.
> >
> >And it most certainly proved that the old fashionEtesting system
> >does really work and I hope the professionals can only take time to
> >follow procedures. E
> >
> >Sugar Ave, NCD
> >
> >source: Post Courier, 23-06-06.
> >---------------------------------------------------
> >
> >have a top weekend
> >
> >ritaki
> >
> >
> >
> >
> >
> >---------------------------------
> > Do you Yahoo!?
> >Yahoo! Personals: It's free to check out our great singles!
> >
> >
> >
> >---------------------------------
> >Do you Yahoo!?
> > Yahoo! Music: Check out the gig guide for live music in your area
>
>
>
>
>
>
> Yahoo! Groups Links
>
>
>
>
>
>
>
>
>
>
> ---------------------------------
> Do you Yahoo!?
>   Yahoo! Music: Check out the gig guide for live music in your area
>

Gut nait tru olgeta.

All of us can agree that big hospitals like PMGH are busy places and busy
doctors do not have time to educate patients. In western countries like
Australia, patient education is inevitable. One will have no choice but do
it because patients throw questions at you. Infact, some patients will have
researched their pathology, treatment, side effects, and alternative
medicine before they come to the doctor. Communicating and patient education
is an art to learn. The Australian Council Medical exam (AMC) examines in
part patient education in the clinicals. For those working in Australia or
overseas, wishing to sit the AMC or work there for lonegr periods, I suggest
the following;

1. Listen to the way some good doctors talk to their patients, and admire
them.
2. Do not use medical jargon. talk in layman's terms.
3. If you do not know, be honest and say I do not know.
4. Feel free to use all references, books, even in front of patients.
5. You may not be able to answer all questions.
6. Before you proceed to your next point, ask for any questions. Listen to
what they have got to say.
7. There is an art to breaking bad news. Think about how you will execute
it.
8. I sat the AMC clinical exam last year. - One of the station was, on a
patient with advanced ca pancreas with 10/10 pain. She requested euthanasia.
can we just say no? What are the legal issues?
9. Open disclosure and good communication with patients have shown a
substantiial decrease in litigation cases.

I guess in PNG, most of our patients would not know much about their
problem, and will be too scared to ask anyway.

Comming back to the post courier editorial, the poor fellow's son was
commenced on anti TB medication with out much explanation. The efffects of
the drugs, why it safer to start anti TB than not to start, and many others.
Can we blame the poor man for going to the media?

This highlights one of our weakness. We do not educate patients. As the
population of PNG become more educated, they will ask more questions, and we
should know how best to answer patients questions.

Open disclosure and patient education/communication should be some covered
in a couple of lectures, possibly in final year of medical school or junior
doctor tutorials.

Gut nait tru.

>From: carol titiulu
>Reply-To: pngdoctors-general@yahoogroups.com
>To: pngdoctors-general@yahoogroups.com
>Subject: Re: [pngdoctors-general] Patient education is more important than
>Rx.
>Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
>
>hellow from the solomons,
> It is interesting to read about the discussions that have been going on.
>Well, this might already out of topic,anyway i just want to comment on
>patient's education.As clinicians we are to treat and as well as educate
>patients about common illnesses, especially communicable diseases such as
>TB, HIV and diarrhoea.However in a busy hospital such as PMGH, often we do
>not have a moment to thoroughly talk to our patients, eventhough it is a
>very effective idea.Apart from bedside education there are other
>alternative and effective ways in which we can educate our patients and at
>the same time the public, including remote areas.Here in the solomons, one
>of our main radio AM stations has allocated us doctors working in the NRH
>10 mins each morning ( 6 am) to give health talks ecpecially on common
>health problems. Recently, on behalf of the paediatric department i gave a
>talk on breastfeeding. My aunt just returned from home told me that she
>heard me on the radio talking about
> b/feeding. so my patients who had their radio on had some education onb/f
>so as the nation as a whole.make use of the media ,at the same time educate
>at the bedside. em tasol.-carol titiulu
>
>Poyap James Rooney wrote:
> Hi ALL!
>
> I remember Dr. Dakulala making a point of educating TB in patients at
>every ward round. Everyone doing the round were required to give a small
>talk to educate the patients about TB, how it spread, how it can kill,
>resistance etc. The patients became very knowledgable and the idea was
>that they would go out and inturn educate their community. Very simple and
>affective idea, is it done elsewhere!?????
>
> EDUCATION, EDUCATION, EDUCATION!!!!
>
> Cheers
>
>Rodney Itaki wrote:
> Hello Everybody,
>
>All you socceroos supporters must be delighted that the soceroos are
>into the 2nd round of the world cup after 34 years absence.
>
>World Cup soccer aside, my point for posting this to you all is best
>illustrated in this letter to the editor, Post Courier which appeared
>today. Read it below:
>----------------------------------------------------
>Doctors diagnosis of diseases need strict procedures
>
>I am writing to air my view on the standards and practices that is
>currently used in the public health system. I was surprised that
>professional doctors cannot do tests on a patient for diseases before
>admission or put on medication.
>
>It is alarming to learn that professionals of medicine could not even
>do the simplest TB test on a child, let alone predict the cause of
>sick based on X-rays. And when you have seconds or third opinions
>differing from each other, it is a case of neglect and
>unprofessionalism.
>
>Mine was a case where my son was admitted to the Pediatric TB Ward,
>just because he had a common cold and cough. Doctors required an X-
>ray which was taken and based on that, he was admitted to the ward.
>
>Three doctors had a look at the X-ray and all had contradicting
>theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 Epneumonia.
>Based on Doctor 1 theory, he was admitted without the simple tests
>done and was put straight on medication for a disease he never
>contracted and doesn`trun in our gene.
>
>It was a medication his body rejected by developing rash and
>discolouration in his urination. I insisted my child go through a
>test before he could be put on any form of medication. Test results
>reviewed after procedural days (three days) proved that my child was
>negative and that he just had the cough.
>
>And it most certainly proved that the old fashionEtesting system
>does really work and I hope the professionals can only take time to
>follow procedures. E
>
>Sugar Ave, NCD
>
>source: Post Courier, 23-06-06.
>---------------------------------------------------
>
>have a top weekend
>
>ritaki
>
>
>
>
>
>---------------------------------
> Do you Yahoo!?
>Yahoo! Personals: It's free to check out our great singles!
>
>
>
>---------------------------------
>Do you Yahoo!?
> Yahoo! Music: Check out the gig guide for live music in your area




------------------------ Yahoo! Groups Sponsor --------------------~-->
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http://groups.yahoo.com/group/pngdoctors-general/

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<*> Your use of Yahoo! Groups is subject to:
http://docs.yahoo.com/info/terms/

Gut nait tru olgeta.

All of us can agree that big hospitals like PMGH are busy places and busy
doctors do not have time to educate patients. In western countries like
Australia, patient education is inevitable. One will have no choice but do
it because patients throw questions at you. Infact, some patients will have
researched their pathology, treatment, side effects, and alternative
medicine before they come to the doctor. Communicating and patient education
is an art to learn. The Australian Council Medical exam (AMC) examines in
part patient education in the clinicals. For those working in Australia or
overseas, wishing to sit the AMC or work there for lonegr periods, I suggest
the following;

1. Listen to the way some good doctors talk to their patients, and admire
them.
2. Do not use medical jargon. talk in layman's terms.
3. If you do not know, be honest and say I do not know.
4. Feel free to use all references, books, even in front of patients.
5. You may not be able to answer all questions.
6. Before you proceed to your next point, ask for any questions. Listen to
what they have got to say.
7. There is an art to breaking bad news. Think about how you will execute
it.
8. I sat the AMC clinical exam last year. - One of the station was, on a
patient with advanced ca pancreas with 10/10 pain. She requested euthanasia.
can we just say no? What are the legal issues?
9. Open disclosure and good communication with patients have shown a
substantiial decrease in litigation cases.

I guess in PNG, most of our patients would not know much about their
problem, and will be too scared to ask anyway.

Comming back to the post courier editorial, the poor fellow's son was
commenced on anti TB medication with out much explanation. The efffects of
the drugs, why it safer to start anti TB than not to start, and many others.
Can we blame the poor man for going to the media?

This highlights one of our weakness. We do not educate patients. As the
population of PNG become more educated, they will ask more questions, and we
should know how best to answer patients questions.

Open disclosure and patient education/communication should be some covered
in a couple of lectures, possibly in final year of medical school or junior
doctor tutorials.

Gut nait tru.

>From: carol titiulu
>Reply-To: pngdoctors-general@yahoogroups.com
>To: pngdoctors-general@yahoogroups.com
>Subject: Re: [pngdoctors-general] Patient education is more important than
>Rx.
>Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
>
>hellow from the solomons,
> It is interesting to read about the discussions that have been going on.
>Well, this might already out of topic,anyway i just want to comment on
>patient's education.As clinicians we are to treat and as well as educate
>patients about common illnesses, especially communicable diseases such as
>TB, HIV and diarrhoea.However in a busy hospital such as PMGH, often we do
>not have a moment to thoroughly talk to our patients, eventhough it is a
>very effective idea.Apart from bedside education there are other
>alternative and effective ways in which we can educate our patients and at
>the same time the public, including remote areas.Here in the solomons, one
>of our main radio AM stations has allocated us doctors working in the NRH
>10 mins each morning ( 6 am) to give health talks ecpecially on common
>health problems. Recently, on behalf of the paediatric department i gave a
>talk on breastfeeding. My aunt just returned from home told me that she
>heard me on the radio talking about
> b/feeding. so my patients who had their radio on had some education onb/f
>so as the nation as a whole.make use of the media ,at the same time educate
>at the bedside. em tasol.-carol titiulu
>
>Poyap James Rooney wrote:
> Hi ALL!
>
> I remember Dr. Dakulala making a point of educating TB in patients at
>every ward round. Everyone doing the round were required to give a small
>talk to educate the patients about TB, how it spread, how it can kill,
>resistance etc. The patients became very knowledgable and the idea was
>that they would go out and inturn educate their community. Very simple and
>affective idea, is it done elsewhere!?????
>
> EDUCATION, EDUCATION, EDUCATION!!!!
>
> Cheers
>
>Rodney Itaki wrote:
> Hello Everybody,
>
>All you socceroos supporters must be delighted that the soceroos are
>into the 2nd round of the world cup after 34 years absence.
>
>World Cup soccer aside, my point for posting this to you all is best
>illustrated in this letter to the editor, Post Courier which appeared
>today. Read it below:
>----------------------------------------------------
>Doctors diagnosis of diseases need strict procedures
>
>I am writing to air my view on the standards and practices that is
>currently used in the public health system. I was surprised that
>professional doctors cannot do tests on a patient for diseases before
>admission or put on medication.
>
>It is alarming to learn that professionals of medicine could not even
>do the simplest TB test on a child, let alone predict the cause of
>sick based on X-rays. And when you have seconds or third opinions
>differing from each other, it is a case of neglect and
>unprofessionalism.
>
>Mine was a case where my son was admitted to the Pediatric TB Ward,
>just because he had a common cold and cough. Doctors required an X-
>ray which was taken and based on that, he was admitted to the ward.
>
>Three doctors had a look at the X-ray and all had contradicting
>theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 Epneumonia.
>Based on Doctor 1 theory, he was admitted without the simple tests
>done and was put straight on medication for a disease he never
>contracted and doesn`trun in our gene.
>
>It was a medication his body rejected by developing rash and
>discolouration in his urination. I insisted my child go through a
>test before he could be put on any form of medication. Test results
>reviewed after procedural days (three days) proved that my child was
>negative and that he just had the cough.
>
>And it most certainly proved that the old fashionEtesting system
>does really work and I hope the professionals can only take time to
>follow procedures. E
>
>Sugar Ave, NCD
>
>source: Post Courier, 23-06-06.
>---------------------------------------------------
>
>have a top weekend
>
>ritaki
>
>
>
>
>
>---------------------------------
> Do you Yahoo!?
>Yahoo! Personals: It's free to check out our great singles!
>
>
>
>---------------------------------
>Do you Yahoo!?
> Yahoo! Music: Check out the gig guide for live music in your area




------------------------ Yahoo! Groups Sponsor --------------------~-->
Great things are happening at Yahoo! Groups. See the new email design.
http://us.click.yahoo.com/TISQkA/hOaOAA/yQLSAA/5uSolB/TM
--------------------------------------------------------------------~->


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http://groups.yahoo.com/group/pngdoctors-general/

<*> To unsubscribe from this group, send an email to:
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<*> Your use of Yahoo! Groups is subject to:
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Send instant messages to your online friends http://au.messenger.yahoo.com

Greetings everyone,

Patient education can not be emphasised enough. Well said Eric. This area is something we are not taught in medical school but are expected to grasp during our clinical rotation. However, in the rush of things in such a busy environment, we tend to neglect this and go on to finish our workload in time.

In 2004, I spent a month in Mt Hagen General Hospital because relatives threatened the only O&G service registrar (junior) and he left. I was asked by the DMS to investigate and identify any fault and report to the management. From my findings, I found that there was no mal-practice as mentioned by the relatives, rather poor communication between the doctor and the patient and relatives.  The relatives were genuinely concerned and asked the doctor the same questions couple of times but they did not get a satisfactory response. The doctor also beacem agitated when different people came to him and were asking the same questions. So when the patient had a poor outcome, they came running with their knives, axes and bows and arrows and the poor doctor had to do a Houdini and disappear. If he had taken atleast around 10 - 15 minutes and keeping his cool, explained top the relatives what was going on and made sure they understood what was going on, he would not have ran for his life.

We tend to see patients as objects or subjects and forget that they are human beings with integrity and dignity. They do lose their dignity when they come under your care but their integrity should be maintained.

While in Australia now, I had had first hand experience at what Eric had mentioned. For everything you do, you must explain in detail what you are going to do, why you are doing it, what you expect as the outcome, so on and so forth. You can not touch a patient without telling them what you want to do, even things like collecting blood and putting up IV lines. Patient has the right to refuse and you can not force them to have treatment.

And when the patient thanks you and says you are the best doctor, you will then know that your time spent was not in vain.

I do not want you to give me the rubbish that we can not do it in PMGH or in PNG. We can and we should and we must apply this pratice of patient education so that one does not leave in a hurry, running from danger.

Regards.

Gunzee.
--- In pngdoctors-general@yahoogroups.com, "eric ungil" <eungil2@...> wrote:
>
> Gut nait tru olgeta.
>
> All of us can agree that big hospitals like PMGH are busy places and busy
> doctors do not have time to educate patients. In western countries like
> Australia, patient education is inevitable. One will have no choice but do
> it because patients throw questions at you. Infact, some patients will have
> researched their pathology, treatment, side effects, and alternative
> medicine before they come to the doctor. Communicating and patient education
> is an art to learn. The Australian Council Medical exam (AMC) examines in
> part patient education in the clinicals. For those working in Australia or
> overseas, wishing to sit the AMC or work there for lonegr periods, I suggest
> the following;
>
> 1. Listen to the way some good doctors talk to their patients, and admire
> them.
> 2. Do not use medical jargon. talk in layman's terms.
> 3. If you do not know, be honest and say I do not know.
> 4. Feel free to use all references, books, even in front of patients.
> 5. You may not be able to answer all questions.
> 6. Before you proceed to your next point, ask for any questions. Listen to
> what they have got to say.
> 7. There is an art to breaking bad news. Think about how you will execute
> it.
> 8. I sat the AMC clinical exam last year. - One of the station was, on a
> patient with advanced ca pancreas with 10/10 pain. She requested euthanasia.
> can we just say no? What are the legal issues?
> 9. Open disclosure and good communication with patients have shown a
> substantiial decrease in litigation cases.
>
> I guess in PNG, most of our patients would not know much about their
> problem, and will be too scared to ask anyway.
>
> Comming back to the post courier editorial, the poor fellow's son was
> commenced on anti TB medication with out much explanation. The efffects of
> the drugs, why it safer to start anti TB than not to start, and many others.
> Can we blame the poor man for going to the media?
>
> This highlights one of our weakness. We do not educate patients. As the
> population of PNG become more educated, they will ask more questions, and we
> should know how best to answer patients questions.
>
> Open disclosure and patient education/communication should be some covered
> in a couple of lectures, possibly in final year of medical school or junior
> doctor tutorials.
>
> Gut nait tru.
>
> >From: carol titiulu caroltitiulu@...
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: Re: [pngdoctors-general] Patient education is more important than
> >Rx.
> >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> >
> >hellow from the solomons,
> > It is interesting to read about the discussions that have been going on.
> >Well, this might already out of topic,anyway i just want to comment on
> >patient's education.As clinicians we are to treat and as well as educate
> >patients about common illnesses, especially communicable diseases such as
> >TB, HIV and diarrhoea.However in a busy hospital such as PMGH, often we do
> >not have a moment to thoroughly talk to our patients, eventhough it is a
> >very effective idea.Apart from bedside education there are other
> >alternative and effective ways in which we can educate our patients and at
> >the same time the public, including remote areas.Here in the solomons, one
> >of our main radio AM stations has allocated us doctors working in the NRH
> >10 mins each morning ( 6 am) to give health talks ecpecially on common
> >health problems. Recently, on behalf of the paediatric department i gave a
> >talk on breastfeeding. My aunt just returned from home told me that she
> >heard me on the radio talking about
> > b/feeding. so my patients who had their radio on had some education onb/f
> >so as the nation as a whole.make use of the media ,at the same time educate
> >at the bedside. em tasol.-carol titiulu
> >
> >Poyap James Rooney pojaroo@... wrote:
> > Hi ALL!
> >
> > I remember Dr. Dakulala making a point of educating TB in patients at
> >every ward round. Everyone doing the round were required to give a small
> >talk to educate the patients about TB, how it spread, how it can kill,
> >resistance etc. The patients became very knowledgable and the idea was
> >that they would go out and inturn educate their community. Very simple and
> >affective idea, is it done elsewhere!?????
> >
> > EDUCATION, EDUCATION, EDUCATION!!!!
> >
> > Cheers
> >
> >Rodney Itaki londari2000@... wrote:
> > Hello Everybody,
> >
> >All you socceroos supporters must be delighted that the soceroos are
> >into the 2nd round of the world cup after 34 years absence.
> >
> >World Cup soccer aside, my point for posting this to you all is best
> >illustrated in this letter to the editor, Post Courier which appeared
> >today. Read it below:
> >----------------------------------------------------
> >Doctors diagnosis of diseases need strict procedures
> >
> >I am writing to air my view on the standards and practices that is
> >currently used in the public health system. I was surprised that
> >professional doctors cannot do tests on a patient for diseases before
> >admission or put on medication.
> >
> >It is alarming to learn that professionals of medicine could not even
> >do the simplest TB test on a child, let alone predict the cause of
> >sick based on X-rays. And when you have seconds or third opinions
> >differing from each other, it is a case of neglect and
> >unprofessionalism.
> >
> >Mine was a case where my son was admitted to the Pediatric TB Ward,
> >just because he had a common cold and cough. Doctors required an X-
> >ray which was taken and based on that, he was admitted to the ward.
> >
> >Three doctors had a look at the X-ray and all had contradicting
> >theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 Epneumonia.
> >Based on Doctor 1 theory, he was admitted without the simple tests
> >done and was put straight on medication for a disease he never
> >contracted and doesn`trun in our gene.
> >
> >It was a medication his body rejected by developing rash and
> >discolouration in his urination. I insisted my child go through a
> >test before he could be put on any form of medication. Test results
> >reviewed after procedural days (three days) proved that my child was
> >negative and that he just had the cough.
> >
> >And it most certainly proved that the old fashionEtesting system
> >does really work and I hope the professionals can only take time to
> >follow procedures. E
> >
> >Sugar Ave, NCD
> >
> >source: Post Courier, 23-06-06.
> >---------------------------------------------------
> >
> >have a top weekend
> >
> >ritaki
> >
> >
> >
> >
> >
> >---------------------------------
> > Do you Yahoo!?
> >Yahoo! Personals: It's free to check out our great singles!
> >
> >
> >
> >---------------------------------
> >Do you Yahoo!?
> > Yahoo! Music: Check out the gig guide for live music in your area
>

Greetings everyone,

Patient education can not be emphasised enough. Well said Eric. This area is something we are not taught in medical school but are expected to grasp during our clinical rotation. However, in the rush of things in such a busy environment, we tend to neglect this and go on to finish our workload in time.

In 2004, I spent a month in Mt Hagen General Hospital because relatives threatened the only O&G service registrar (junior) and he left. I was asked by the DMS to investigate and identify any fault and report to the management. From my findings, I found that there was no mal-practice as mentioned by the relatives, rather poor communication between the doctor and the patient and relatives.  The relatives were genuinely concerned and asked the doctor the same questions couple of times but they did not get a satisfactory response. The doctor also beacem agitated when different people came to him and were asking the same questions. So when the patient had a poor outcome, they came running with their knives, axes and bows and arrows and the poor doctor had to do a Houdini and disappear. If he had taken atleast around 10 - 15 minutes and keeping his cool, explained top the relatives what was going on and made sure they understood what was going on, he would not have ran for his life.

We tend to see patients as objects or subjects and forget that they are human beings with integrity and dignity. They do lose their dignity when they come under your care but their integrity should be maintained.

While in Australia now, I had had first hand experience at what Eric had mentioned. For everything you do, you must explain in detail what you are going to do, why you are doing it, what you expect as the outcome, so on and so forth. You can not touch a patient without telling them what you want to do, even things like collecting blood and putting up IV lines. Patient has the right to refuse and you can not force them to have treatment.

And when the patient thanks you and says you are the best doctor, you will then know that your time spent was not in vain.

I do not want you to give me the rubbish that we can not do it in PMGH or in PNG. We can and we should and we must apply this pratice of patient education so that one does not leave in a hurry, running from danger.

Regards.

Gunzee.
--- In pngdoctors-general@yahoogroups.com, "eric ungil" <eungil2@...> wrote:
>
> Gut nait tru olgeta.
>
> All of us can agree that big hospitals like PMGH are busy places and busy
> doctors do not have time to educate patients. In western countries like
> Australia, patient education is inevitable. One will have no choice but do
> it because patients throw questions at you. Infact, some patients will have
> researched their pathology, treatment, side effects, and alternative
> medicine before they come to the doctor. Communicating and patient education
> is an art to learn. The Australian Council Medical exam (AMC) examines in
> part patient education in the clinicals. For those working in Australia or
> overseas, wishing to sit the AMC or work there for lonegr periods, I suggest
> the following;
>
> 1. Listen to the way some good doctors talk to their patients, and admire
> them.
> 2. Do not use medical jargon. talk in layman's terms.
> 3. If you do not know, be honest and say I do not know.
> 4. Feel free to use all references, books, even in front of patients.
> 5. You may not be able to answer all questions.
> 6. Before you proceed to your next point, ask for any questions. Listen to
> what they have got to say.
> 7. There is an art to breaking bad news. Think about how you will execute
> it.
> 8. I sat the AMC clinical exam last year. - One of the station was, on a
> patient with advanced ca pancreas with 10/10 pain. She requested euthanasia.
> can we just say no? What are the legal issues?
> 9. Open disclosure and good communication with patients have shown a
> substantiial decrease in litigation cases.
>
> I guess in PNG, most of our patients would not know much about their
> problem, and will be too scared to ask anyway.
>
> Comming back to the post courier editorial, the poor fellow's son was
> commenced on anti TB medication with out much explanation. The efffects of
> the drugs, why it safer to start anti TB than not to start, and many others.
> Can we blame the poor man for going to the media?
>
> This highlights one of our weakness. We do not educate patients. As the
> population of PNG become more educated, they will ask more questions, and we
> should know how best to answer patients questions.
>
> Open disclosure and patient education/communication should be some covered
> in a couple of lectures, possibly in final year of medical school or junior
> doctor tutorials.
>
> Gut nait tru.
>
> >From: carol titiulu caroltitiulu@...
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: Re: [pngdoctors-general] Patient education is more important than
> >Rx.
> >Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
> >
> >hellow from the solomons,
> > It is interesting to read about the discussions that have been going on.
> >Well, this might already out of topic,anyway i just want to comment on
> >patient's education.As clinicians we are to treat and as well as educate
> >patients about common illnesses, especially communicable diseases such as
> >TB, HIV and diarrhoea.However in a busy hospital such as PMGH, often we do
> >not have a moment to thoroughly talk to our patients, eventhough it is a
> >very effective idea.Apart from bedside education there are other
> >alternative and effective ways in which we can educate our patients and at
> >the same time the public, including remote areas.Here in the solomons, one
> >of our main radio AM stations has allocated us doctors working in the NRH
> >10 mins each morning ( 6 am) to give health talks ecpecially on common
> >health problems. Recently, on behalf of the paediatric department i gave a
> >talk on breastfeeding. My aunt just returned from home told me that she
> >heard me on the radio talking about
> > b/feeding. so my patients who had their radio on had some education onb/f
> >so as the nation as a whole.make use of the media ,at the same time educate
> >at the bedside. em tasol.-carol titiulu
> >
> >Poyap James Rooney pojaroo@... wrote:
> > Hi ALL!
> >
> > I remember Dr. Dakulala making a point of educating TB in patients at
> >every ward round. Everyone doing the round were required to give a small
> >talk to educate the patients about TB, how it spread, how it can kill,
> >resistance etc. The patients became very knowledgable and the idea was
> >that they would go out and inturn educate their community. Very simple and
> >affective idea, is it done elsewhere!?????
> >
> > EDUCATION, EDUCATION, EDUCATION!!!!
> >
> > Cheers
> >
> >Rodney Itaki londari2000@... wrote:
> > Hello Everybody,
> >
> >All you socceroos supporters must be delighted that the soceroos are
> >into the 2nd round of the world cup after 34 years absence.
> >
> >World Cup soccer aside, my point for posting this to you all is best
> >illustrated in this letter to the editor, Post Courier which appeared
> >today. Read it below:
> >----------------------------------------------------
> >Doctors diagnosis of diseases need strict procedures
> >
> >I am writing to air my view on the standards and practices that is
> >currently used in the public health system. I was surprised that
> >professional doctors cannot do tests on a patient for diseases before
> >admission or put on medication.
> >
> >It is alarming to learn that professionals of medicine could not even
> >do the simplest TB test on a child, let alone predict the cause of
> >sick based on X-rays. And when you have seconds or third opinions
> >differing from each other, it is a case of neglect and
> >unprofessionalism.
> >
> >Mine was a case where my son was admitted to the Pediatric TB Ward,
> >just because he had a common cold and cough. Doctors required an X-
> >ray which was taken and based on that, he was admitted to the ward.
> >
> >Three doctors had a look at the X-ray and all had contradicting
> >theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 Epneumonia.
> >Based on Doctor 1 theory, he was admitted without the simple tests
> >done and was put straight on medication for a disease he never
> >contracted and doesn`trun in our gene.
> >
> >It was a medication his body rejected by developing rash and
> >discolouration in his urination. I insisted my child go through a
> >test before he could be put on any form of medication. Test results
> >reviewed after procedural days (three days) proved that my child was
> >negative and that he just had the cough.
> >
> >And it most certainly proved that the old fashionEtesting system
> >does really work and I hope the professionals can only take time to
> >follow procedures. E
> >
> >Sugar Ave, NCD
> >
> >source: Post Courier, 23-06-06.
> >---------------------------------------------------
> >
> >have a top weekend
> >
> >ritaki
> >
> >
> >
> >
> >
> >---------------------------------
> > Do you Yahoo!?
> >Yahoo! Personals: It's free to check out our great singles!
> >
> >
> >
> >---------------------------------
> >Do you Yahoo!?
> > Yahoo! Music: Check out the gig guide for live music in your area
>

Gut nait tru olgeta.

All of us can agree that big hospitals like PMGH are busy places and busy
doctors do not have time to educate patients. In western countries like
Australia, patient education is inevitable. One will have no choice but do
it because patients throw questions at you. Infact, some patients will have
researched their pathology, treatment, side effects, and alternative
medicine before they come to the doctor. Communicating and patient education
is an art to learn. The Australian Council Medical exam (AMC) examines in
part patient education in the clinicals. For those working in Australia or
overseas, wishing to sit the AMC or work there for lonegr periods, I suggest
the following;

1. Listen to the way some good doctors talk to their patients, and admire
them.
2. Do not use medical jargon. talk in layman's terms.
3. If you do not know, be honest and say I do not know.
4. Feel free to use all references, books, even in front of patients.
5. You may not be able to answer all questions.
6. Before you proceed to your next point, ask for any questions. Listen to
what they have got to say.
7. There is an art to breaking bad news. Think about how you will execute
it.
8. I sat the AMC clinical exam last year. - One of the station was, on a
patient with advanced ca pancreas with 10/10 pain. She requested euthanasia.
can we just say no? What are the legal issues?
9. Open disclosure and good communication with patients have shown a
substantiial decrease in litigation cases.

I guess in PNG, most of our patients would not know much about their
problem, and will be too scared to ask anyway.

Comming back to the post courier editorial, the poor fellow's son was
commenced on anti TB medication with out much explanation. The efffects of
the drugs, why it safer to start anti TB than not to start, and many others.
Can we blame the poor man for going to the media?

This highlights one of our weakness. We do not educate patients. As the
population of PNG become more educated, they will ask more questions, and we
should know how best to answer patients questions.

Open disclosure and patient education/communication should be some covered
in a couple of lectures, possibly in final year of medical school or junior
doctor tutorials.

Gut nait tru.

>From: carol titiulu <caroltitiulu@...>
>Reply-To: pngdoctors-general@yahoogroups.com
>To: pngdoctors-general@yahoogroups.com
>Subject: Re: [pngdoctors-general] Patient education is more important than
>Rx.
>Date: Tue, 27 Jun 2006 21:28:00 +1000 (EST)
>
>hellow from the solomons,
>   It is interesting to read about the discussions that have been going on.
>Well, this might already out of topic,anyway i just want to comment on
>patient's education.As clinicians we are to treat and as well as educate
>patients about common illnesses, especially communicable diseases such as
>TB, HIV and diarrhoea.However in a busy hospital such as PMGH, often we do
>not have a moment to thoroughly talk to our patients, eventhough it is a
>very effective idea.Apart from bedside education there are other
>alternative and effective ways in which we can educate our patients and at
>the same time the public, including remote areas.Here in the solomons, one
>of our main radio AM stations has allocated us doctors working in the NRH
>10 mins each morning ( 6 am) to give health talks ecpecially on common
>health problems. Recently, on behalf of the paediatric department i gave a
>talk on breastfeeding. My aunt just returned from home told me that she
>heard me on the radio talking about
>  b/feeding. so my patients who had their radio on had some education onb/f
>so as the nation as a whole.make use of the media ,at the same time educate
>at the bedside. em tasol.-carol titiulu
>
>Poyap James Rooney <pojaroo@...> wrote:
>     Hi ALL!
>
>   I remember Dr. Dakulala making a point of educating TB in patients at
>every ward round.  Everyone doing the round were required to give a small
>talk to educate the patients about TB, how it spread, how it can kill,
>resistance etc.  The patients became very knowledgable and the idea was
>that they would go out and inturn educate their community. Very simple and
>affective idea, is it done elsewhere!?????
>
>   EDUCATION, EDUCATION, EDUCATION!!!!
>
>   Cheers
>
>Rodney Itaki <londari2000@...> wrote:
>       Hello Everybody,
>
>All you socceroos supporters must be delighted that the soceroos are
>into the 2nd round of the world cup after 34 years absence.
>
>World Cup soccer aside, my point for posting this to you all is best
>illustrated in this letter to the editor, Post Courier which appeared
>today. Read it below:
>----------------------------------------------------
>Doctors diagnosis of diseases need strict procedures
>
>I am writing to air my view on the standards and practices that is
>currently used in the public health system. I was surprised that
>professional doctors cannot do tests on a patient for diseases before
>admission or put on medication.
>
>It is alarming to learn that professionals of medicine could not even
>do the simplest TB test on a child, let alone predict the cause of
>sick based on X-rays. And when you have seconds or third opinions
>differing from each other, it is a case of neglect and
>unprofessionalism.
>
>Mine was a case where my son was admitted to the Pediatric TB Ward,
>just because he had a common cold and cough. Doctors required an X-
>ray which was taken and based on that, he was admitted to the ward.
>
>Three doctors had a look at the X-ray and all had contradicting
>theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 Epneumonia.
>Based on Doctor 1 theory, he was admitted without the simple tests
>done and was put straight on medication for a disease he never
>contracted and doesn`trun in our gene.
>
>It was a medication his body rejected by developing rash and
>discolouration in his urination. I insisted my child go through a
>test before he could be put on any form of medication. Test results
>reviewed after procedural days (three days) proved that my child was
>negative and that he just had the cough.
>
>And it most certainly proved that the old fashionEtesting system
>does really work and I hope the professionals can only take time to
>follow procedures. E
>
>Sugar Ave, NCD
>
>source: Post Courier, 23-06-06.
>---------------------------------------------------
>
>have a top weekend
>
>ritaki
>
>
>
>
>
>---------------------------------
>   Do you Yahoo!?
>Yahoo! Personals: It's free to check out our great singles!
>
>
>
>---------------------------------
>Do you Yahoo!?
>   Yahoo! Music: Check out the gig guide for live music in your area

Hi ALL!

 

I remember Dr. Dakulala making a point of educating TB in patients at every ward round.  Everyone doing the round were required to give a small talk to educate the patients about TB, how it spread, how it can kill, resistance etc.  The patients became very knowledgable and the idea was that they would go out and inturn educate their community. Very simple and affective idea, is it done elsewhere!????? 

 

EDUCATION, EDUCATION, EDUCATION!!!!

 

Cheers 

Rodney Itaki <londari2000@...> wrote:

Hello Everybody,

All you socceroos supporters must be delighted that the soceroos are
into the 2nd round of the world cup after 34 years absence.

World Cup soccer aside, my point for posting this to you all is best
illustrated in this letter to the editor, Post Courier which appeared
today. Read it below:
----------------------------------------------------
Doctors diagnosis of diseases need strict procedures

I am writing to air my view on the standards and practices that is
currently used in the public health system. I was surprised that
professional doctors cannot do tests on a patient for diseases before
admission or put on medication.

It is alarming to learn that professionals of medicine could not even
do the simplest TB test on a child, let alone predict the cause of
sick based on X-rays. And when you have seconds or third opinions
differing from each other, it is a case of neglect and
unprofessionalism.

Mine was a case where my son was admitted to the Pediatric TB Ward,
just because he had a common cold and cough. Doctors required an X-
ray which was taken and based on that, he was admitted to the ward.

Three doctors had a look at the X-ray and all had contradicting
theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 Epneumonia.
Based on Doctor 1 theory, he was admitted without the simple tests
done and was put straight on medication for a disease he never
contracted and doesn`trun in our gene.

It was a medication his body rejected by developing rash and
discolouration in his urination. I insisted my child go through a
test before he could be put on any form of medication. Test results
reviewed after procedural days (three days) proved that my child was
negative and that he just had the cough.

And it most certainly proved that the old fashionEtesting system
does really work and I hope the professionals can only take time to
follow procedures. E

Sugar Ave, NCD

source: Post Courier, 23-06-06.
---------------------------------------------------

have a top weekend

ritaki

---

Do you Yahoo!?
Yahoo! Personals: It's free to check out our great singles!

Hi ALL!

 

I remember Dr. Dakulala making a point of educating TB in patients at every ward round.  Everyone doing the round were required to give a small talk to educate the patients about TB, how it spread, how it can kill, resistance etc.  The patients became very knowledgable and the idea was that they would go out and inturn educate their community. Very simple and affective idea, is it done elsewhere!????? 

 

EDUCATION, EDUCATION, EDUCATION!!!!

 

Cheers 

Rodney Itaki <londari2000@...> wrote:

Hello Everybody,

All you socceroos supporters must be delighted that the soceroos are
into the 2nd round of the world cup after 34 years absence.

World Cup soccer aside, my point for posting this to you all is best
illustrated in this letter to the editor, Post Courier which appeared
today. Read it below:
----------------------------------------------------
Doctors diagnosis of diseases need strict procedures

I am writing to air my view on the standards and practices that is
currently used in the public health system. I was surprised that
professional doctors cannot do tests on a patient for diseases before
admission or put on medication.

It is alarming to learn that professionals of medicine could not even
do the simplest TB test on a child, let alone predict the cause of
sick based on X-rays. And when you have seconds or third opinions
differing from each other, it is a case of neglect and
unprofessionalism.

Mine was a case where my son was admitted to the Pediatric TB Ward,
just because he had a common cold and cough. Doctors required an X-
ray which was taken and based on that, he was admitted to the ward.

Three doctors had a look at the X-ray and all had contradicting
theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 Epneumonia.
Based on Doctor 1 theory, he was admitted without the simple tests
done and was put straight on medication for a disease he never
contracted and doesn`trun in our gene.

It was a medication his body rejected by developing rash and
discolouration in his urination. I insisted my child go through a
test before he could be put on any form of medication. Test results
reviewed after procedural days (three days) proved that my child was
negative and that he just had the cough.

And it most certainly proved that the old fashionEtesting system
does really work and I hope the professionals can only take time to
follow procedures. E

Sugar Ave, NCD

source: Post Courier, 23-06-06.
---------------------------------------------------

have a top weekend

ritaki

---

Do you Yahoo!?
Yahoo! Personals: It's free to check out our great singles!

Just pasted some photos in Album, nothing to do with medicine.  Any
photos from you guys?

The old days photo are always funnty and interesting to look at.

Cheers.

Apinun ALL,

 

I think this line/question from Ganzee and the answer to it may sum it up!

 

"I do not know when we will come to appreciate and take diligent care of public properties as if they were our own".

 

The answer to WHEN, is when they BECOME OUR OWN.  When something is given free on a silver plater you do not appreciate it as much as you would if you worked, planned, budgetted and purchased it yourself.  But again there is no easy way, no ONE solution. 

 

My thoughts:

 

Maybe there could be a semiprivate kind of hospital set up where all expensive high tech medical stuff is used, this could incorperate the Ca Unit we were discussing earlier, the CT/MRI scan, and other highly specialised areas of medicine. The service provided would be comparable to the rich countries, but clients have to pay considerable higher fees then the public hospitals.  The revenue generated should be managed by an idependent management teams, accountants and auditing companies. (This is complicated)  But the basic principle or ideology call it whatever you want is that the the clients who have the money, will be paying for the service which in turn will pay for the retainment of specialist, the equipment and mainanence, scientific research.  The specialist liase with public health people who go out to the masses of the [people educating, preventing.  The Government should give more money to this Public Health group.  That way the hospital; is self sustaining, we retain the specialist who will be initially foreign and they can train local specialists, etc.  This gives a sense of ownership to the people providing the service and recieving the services and they will work with more dedication and drive. 

 

Medicine is expensive worldwide let us not kid ouself, let us not kid our people..  They must pay, we must pay, it then makes it ours and only then (going back to the first line) "we will come to appreciate and take diligent care of public properties as if they were our own".  because they will be our own.

 

The alternative,.... the situation we have always had, and will continue to have.  Our specialists leaving, our people having to go overseas for treatment, paying large cost for airfares, hotel, blah blah blah.

 

Great ideas from all, remember it is US who have the greatest chance of making these ideas reality,  sooner rather then later let us start making things happen, before we get too old, and it all starts slipping away.  We CAN MAKE THING HAPPEN!

 

GOOD LUCK ALL.

 

Regards

Poyap

 

Gunzee Gawin <gawinsg@...> wrote:

Hello olgeta,
 
I assume we are all pleased with the news of having CT scanners for PMGH to serve the public. And why shouldn't we be. It is one of the exciting news to us amidst the gloomy future of health in general in our country. We have doctors who are qualified for more than just plain x-ray diagnosis of pathological conditions (like Dr Danga , FRANZCR, and the UPNG graduates like Dr Umo MMEd Radiology, et.al.) and having such technologies will keep them in the country and their services will be of great value. The public will benefit immensely from this investigative technology, no doubt.
 
And while it is a welcome news for us, I would like to look at the 'other-side of the coin' of what these all mean in our context. We can be very excited about having a CT scan and what it can do to improve our practice; however, my question is "how long will our excitement last?". The department has a very terrible track record of maintaining/servicing its equipment and assets and having something like these CT scans are additional burden to the department who is always seeing red financially. The CT Scanners are very high-maintenance equipments (looking at almost half a million kina a year for maintenance and upkeep.) Besides, the x-ray machines throughout the country are constantly breaking down and it takes ages to fix them. The reason we all know well; "NO MONEY". PMGH is no exception. If the hospitals and the department can not maintain/service its current assets, what is the guarantee that the CT scanners will be maintained. Who is going to be responsible for the running cost of these state-of-the-art equipment?

We accept donations and/or make decisions out of our short-sightedness and do not pause to think of the long-term ramifications of our decisions. We do not factor in costs and benefits of our decisions. Take, for instance, the health centres. If I am not wrong, you go to almost every health centres or sub-health centres in the country, and you are 9 out of 10 times more likely to come across an ambulance (10-seater land-cruiser or a boat)  "donated by the local member of Parliament" (out of the peoples' money of course, not from their personal savings). It is good for the short term. A few months or years down the line these ambulances are laying idle, because there was no money to maintain them and keep them running.
 
One thing is for certain; to get the most out of the equipment we have, they must be maintained regularly (that is serviced), and not to wait until they had broken down. In my short stint as a/Director Medical Services in Wewak General Hospital, 2001, I had the privilege of involving in the hospital's annual budget (2002) submission to the NDoH. The maintenance/service cost of all the medical equipment and assets like the x-ray machine, fluoroscope, image intensifier (donated by Buddhist Monks in Australia during the tsunami), USS (donated via St Vincent de Paul's organisation in Sydney) and laboratory machines were included in the hospital's recurrent expenditures budget (estimated at almost K500,000.00) and sent to the NDoH. When the department of Health made its final submission to the Department of Finance for budgetary allocations during the national Government's Annual Budget, they had asked for only 1/5 the amount of what was initially budgeted for. I assumed than, that they only included the x-ray machines and other medical equipment which were not donations. But even with what they asked for, we ended up receiving a tenth of what we originally requested. The following year (2002), we struggled to keep those machines running for the whole year. It was very frustrating. I suppose the radiotherapy unit in Lae could have suffered the same fate, from no regular maintenance/service.
 
One other factor that contributes to all these is the fact that, of the annual budgetary allocation to the NDoH by the Government, more than 80% of the money goes to salaries and remunerations of health personal. Imagine looking after the health of the country with only less than 20% of the money. This is why we will always be indebted to the donor agencies and non-governmental organizations including the churches for their enormous contributions to the country in terms of health service delivery.
 
Furthermore, we are being known for our careless attitude when it comes to taking care of public properties. From buildings to vehicles, money to assets, even human lives. We do not tend to care for them, hence, we reap what we sow, if I may put it that way. This carelessness is from the top down to the least person on the street. I do not know when we will come to appreciate and take diligent care of public properties as if they were our own.

Finally, but not the least, I think the department of Health's approach to utilizing the White Monster (MVIL-built hospital) as the country's Women's Hospital is an excellent move however, the timing is not right. I say this because of the fact that the two big hospital's (PMGH and ANGAU) are in dire needs of maintaining decent services to the public and even the buildings themselves. Creating a women's hospital will be a very costly exercise both now, and for the years to come, unless the department/government can broker a deal with an organization such as the WHO, UNICEF, UNDP or AUSAID to start the hospital (that is, get it up and running) and eventually hand over the reigns to the department when the time is right. Now is not the time financially. If the government insists on taking the proposal on board, I think it must, first and foremost, settle the financial needs of all the hospitals, in particular PMGH and ANGAU before it can embark on the idea.
 
So how do we ensure that the generous donations of the CT scanners are well maintained and looked after properly? I suggest we should charge the public for the CT scanners, say half the price of private CT scanner. The money should be kept in a separate trust account for CT Scan maintenance and services alone.
 
These, folks, are my thoughts. You all are entitled to your own opinions. I welcome your comments and thoughts.
 
Regards, na go the Soccerooooos.
 
Gunzee
 
Ps. I can see Italy as our next victim. In Penalty shoot-out. Socceroooooooooooooooooooooos, ol da vei.

---

The LOST Ninja blog: Exclusive clues, clips and gossip.

Cheers

sioni sialis <ssialis56@...> wrote:

Hello Olgeta,

 

And my warm welcome to Dr. Eric. Good to hear that you are working in Australia - Keep our flag flying high, and for all our colleagues that are overseas - keep up the good work; we in PNG are always proud and happy to hear of your success stories. It shows that we are marketable internationally, once given the opportunity.

 

Just to put a twist to things and maybe I'm just a pessimist, but just a few comments and questions in regard to the CT scans.

 

It is a wonderful thing that the country has been donated 2 CT scans and thankyou for the organisation that have donated these machines. Maybe another organisation can donate a radiation therapy machine to Angau?

 

The first thought that came to my mind when I read the news is "wow PNG is moving forward in terms of medicine", and it should raise the standard of treating certain pathologies.

 

My questions are: was there thought into the maintenance of these scans? Who will be maintaining these scans? Are there trained personnel that can maintain these machines? What will be the cost of running these machines?

 

These are questions to ask. Often we read in the paper that there is no water at PMGH. PMGH has run out of drugs. Surgery is restricted to emergencies only and elective surgery is put on hold. Sometimes the anaesthetist run out of drugs to "put patient's to sleep". Even patient's are asked to buy their own cannula's from the local pharmacy, so that it can be used on them. Or buy your own IV flasks and bring it to the hospital, beacuse the hospital has run out.

 

It just makes one wonder if these 2 scans will be sustainable. Hence, I often say the government can not keep up with the advancement of it's human resources. When the CT scan comes in the level of understanding of different diseases with the presence of the scan will be exponential, but will the scans be sustainable?

 

A few years ago, laparoscopic surgery was commenced and then it died away. Now I hear it has been resurrected by the new Surgery Professor. When we were doing residency that imaging machine in the operating theatre was working. You would reduce the displaced fracture, take a shot and see if it is aligned or not. If it wasn't the pull again. The last time I was in PMGH, they said that it was not working anymore. Maybe we did not have the trained personnel to fix it.

 

I hope the CT scans do not end up the same way.

 

Do we have donations for our public health system?

 

I think it comes to a stage where one weighs out public health to a new echocardiogragh machine or now the CT scan. Just recently children were dying in the East Sepik Province from whooping cough.

 

Maybe the biggest question is: how does these CT scans improve the infant mortality rate and the maternal mortality rate?

 

You know what the next statement is? Is it how the Health Department is being run? But is it really the running of the health department or is it the running of the country and where the money is being spent?

 

Something to ponder over.

 

Sincerely

 

Sioni

eric ungil <eungil2@...> wrote:

Frank,

Where abouts are you now?

Cheers,

eric.

>From: dale frank <>
>Reply-To: pngdoctors-general@yahoogroups.com
>To: pngdoctors-general@yahoogroups.com
>Subject: RE: [pngdoctors-general] CT scanners for PMGH
>Date: Thu, 22 Jun 2006 20:24:43 -0700 (PDT)
>
>Agreed.
> Lae services Momase, Highlands and NGI. So there is a great need for the
>CT scan in Lae. POM serves about 500, 000 people. Costs to travel to POM is
>unaffordable for the majority of PNGeans.
>
>eric ungil <eungil2@hotmail.com> wrote:
> Great news.
>
>We needed a CT scanner urgently.
>
>The other one should go to Angau Memoriial.
>
>Cheers,
>
>eric.
>
> >From: "Rodney Itaki" <londari2000@yahoo.co.uk>
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: [pngdoctors-general] CT scanners for PMGH
> >Date: Wed, 21 Jun 2006 02:15:50 -0000
> >
> >Hi all, World Vision has donated 2 used CT scanners for PMGH.
> >
> >cheers
> >
> >ritaki
> >
> >
> >
> >
> >
> >
> >
> >Yahoo! Groups Links
> >
> >
> >
> >
> >
> >
>
>
>
>
>
>
>---------------------------------
>Do you Yahoo!?
> Next-gen email? Have it all with the all-new Yahoo! Mail Beta.

---

Sneak preview the all-new Yahoo.com. It's not radically different. Just radically better.

Send instant messages to your online friends http://au.messenger.yahoo.com

Hello olgeta,
 
I assume we are all pleased with the news of having CT scanners for PMGH to serve the public. And why shouldn't we be. It is one of the exciting news to us amidst the gloomy future of health in general in our country. We have doctors who are qualified for more than just plain x-ray diagnosis of pathological conditions (like Dr Danga , FRANZCR, and the UPNG graduates like Dr Umo MMEd Radiology, et.al.) and having such technologies will keep them in the country and their services will be of great value. The public will benefit immensely from this investigative technology, no doubt.
 
And while it is a welcome news for us, I would like to look at the 'other-side of the coin' of what these all mean in our context. We can be very excited about having a CT scan and what it can do to improve our practice; however, my question is "how long will our excitement last?". The department has a very terrible track record of maintaining/servicing its equipment and assets and having something like these CT scans are additional burden to the department who is always seeing red financially. The CT Scanners are very high-maintenance equipments (looking at almost half a million kina a year for maintenance and upkeep.) Besides, the x-ray machines throughout the country are constantly breaking down and it takes ages to fix them. The reason we all know well; "NO MONEY". PMGH is no exception. If the hospitals and the department can not maintain/service its current assets, what is the guarantee that the CT scanners will be maintained. Who is going to be responsible for the running cost of these state-of-the-art equipment?

We accept donations and/or make decisions out of our short-sightedness and do not pause to think of the long-term ramifications of our decisions. We do not factor in costs and benefits of our decisions. Take, for instance, the health centres. If I am not wrong, you go to almost every health centres or sub-health centres in the country, and you are 9 out of 10 times more likely to come across an ambulance (10-seater land-cruiser or a boat)  "donated by the local member of Parliament" (out of the peoples' money of course, not from their personal savings). It is good for the short term. A few months or years down the line these ambulances are laying idle, because there was no money to maintain them and keep them running.
 
One thing is for certain; to get the most out of the equipment we have, they must be maintained regularly (that is serviced), and not to wait until they had broken down. In my short stint as a/Director Medical Services in Wewak General Hospital, 2001, I had the privilege of involving in the hospital's annual budget (2002) submission to the NDoH. The maintenance/service cost of all the medical equipment and assets like the x-ray machine, fluoroscope, image intensifier (donated by Buddhist Monks in Australia during the tsunami), USS (donated via St Vincent de Paul's organisation in Sydney) and laboratory machines were included in the hospital's recurrent expenditures budget (estimated at almost K500,000.00) and sent to the NDoH. When the department of Health made its final submission to the Department of Finance for budgetary allocations during the national Government's Annual Budget, they had asked for only 1/5 the amount of what was initially budgeted for. I assumed than, that they only included the x-ray machines and other medical equipment which were not donations. But even with what they asked for, we ended up receiving a tenth of what we originally requested. The following year (2002), we struggled to keep those machines running for the whole year. It was very frustrating. I suppose the radiotherapy unit in Lae could have suffered the same fate, from no regular maintenance/service.
 
One other factor that contributes to all these is the fact that, of the annual budgetary allocation to the NDoH by the Government, more than 80% of the money goes to salaries and remunerations of health personal. Imagine looking after the health of the country with only less than 20% of the money. This is why we will always be indebted to the donor agencies and non-governmental organizations including the churches for their enormous contributions to the country in terms of health service delivery.
 
Furthermore, we are being known for our careless attitude when it comes to taking care of public properties. From buildings to vehicles, money to assets, even human lives. We do not tend to care for them, hence, we reap what we sow, if I may put it that way. This carelessness is from the top down to the least person on the street. I do not know when we will come to appreciate and take diligent care of public properties as if they were our own.

Finally, but not the least, I think the department of Health's approach to utilizing the White Monster (MVIL-built hospital) as the country's Women's Hospital is an excellent move however, the timing is not right. I say this because of the fact that the two big hospital's (PMGH and ANGAU) are in dire needs of maintaining decent services to the public and even the buildings themselves. Creating a women's hospital will be a very costly exercise both now, and for the years to come, unless the department/government can broker a deal with an organization such as the WHO, UNICEF, UNDP or AUSAID to start the hospital (that is, get it up and running) and eventually hand over the reigns to the department when the time is right. Now is not the time financially. If the government insists on taking the proposal on board, I think it must, first and foremost, settle the financial needs of all the hospitals, in particular PMGH and ANGAU before it can embark on the idea.
 
So how do we ensure that the generous donations of the CT scanners are well maintained and looked after properly? I suggest we should charge the public for the CT scanners, say half the price of private CT scanner. The money should be kept in a separate trust account for CT Scan maintenance and services alone.
 
These, folks, are my thoughts. You all are entitled to your own opinions. I welcome your comments and thoughts.
 
Regards, na go the Soccerooooos.
 
Gunzee
 
Ps. I can see Italy as our next victim. In Penalty shoot-out. Socceroooooooooooooooooooooos, ol da vei.

Hi olgetha

I totally welcome the donations of the CT scans to
PMGH. There was talk on upgrading the Diploma course
on Medica Imaging to a Bachelors degree course and
this 2 CT are timely as will greatly assist in
teaching and training of undergraduates as well as
post-graduates (MMED).

Gunzee`s idea of patient paying at least 50% the cost
of getting a CT scan at private hospitals is a good
one. That is one way of having a source of income for
the maintainance of the machines. However, I think the
Drs ordering the tests must also be very diligent and
maski lon kisim scan nating nating, have a policy
where only the SMOs order the scans.

Lack of funding is our main problem. I have always
maintained the view that institutions like
universities and hospitals MUST be allowed to have an
alternate source of regular income. And that means
having a bussiness arm or investments whereby a
regular income is coming in. We all know the
government will NEVER give the exact amount you ask
for, It will always be less. You NEED extra income
coming in to top up your budget allocation from the
government to reach the total yearly budget. I
strongly belive this can work.

I think the we should not be saying `WE CAN NOT AFFORD
IT' but rather `HOW CAN WE AFFORD IT'. This will set
our mindframes to work towards generating alternative
source of income and not waiting for manner from
heaven.

I am not sure how this can be done. Maybe change the
legislation governing hospitals and hospitals boards
as well as the financial act and other acts to give
them power to go into having bussiness arm or
investments for the hospitals to supplement their
income.

If the government can not provide enough funds, the
hospitals boards have to say, `give us the power to
generate our own income'. This mentality of always
looking towards the government for funds must stop. I
just think the hospitals boards and their CEOs are not
creative and inovative to solve problems like funding.


cheers

ritaki



--- Gunzee Gawin <gawinsg@...> wrote:

> Hello olgeta,
>
> I assume we are all pleased with the news of having
> CT scanners for PMGH to serve the public. And why
> shouldn't we be. It is one of the exciting news to
> us amidst the gloomy future of health in general in
> our country. We have doctors who are qualified for
> more than just plain x-ray diagnosis of pathological
> conditions (like Dr Danga , FRANZCR, and the UPNG
> graduates like Dr Umo MMEd Radiology, et.al.) and
> having such technologies will keep them in the
> country and their services will be of great value.
> The public will benefit immensely from this
> investigative technology, no doubt.
>
> And while it is a welcome news for us, I would like
> to look at the 'other-side of the coin' of what
> these all mean in our context. We can be very
> excited about having a CT scan and what it can do to
> improve our practice; however, my question is "how
> long will our excitement last?". The department has
> a very terrible track record of
> maintaining/servicing its equipment and assets and
> having something like these CT scans are additional
> burden to the department who is always seeing red
> financially. The CT Scanners are very
> high-maintenance equipments (looking at almost half
> a million kina a year for maintenance and upkeep.)
> Besides, the x-ray machines throughout the country
> are constantly breaking down and it takes ages to
> fix them. The reason we all know well; "NO MONEY".
> PMGH is no exception. If the hospitals and the
> department can not maintain/service its current
> assets, what is the guarantee that the CT scanners
> will be maintained. Who is going to be responsible
> for the running cost of these state-of-the-art
> equipment?
> We accept donations and/or make decisions out of our
> short-sightedness and do not pause to think of the
> long-term ramifications of our decisions. We do not
> factor in costs and benefits of our decisions. Take,
> for instance, the health centres. If I am not wrong,
> you go to almost every health centres or sub-health
> centres in the country, and you are 9 out of 10
> times more likely to come across an ambulance
> (10-seater land-cruiser or a boat)  "donated by the
> local member of Parliament" (out of the peoples'
> money of course, not from their personal savings).
> It is good for the short term. A few months or years
> down the line these ambulances are laying idle,
> because there was no money to maintain them and keep
> them running.
>
> One thing is for certain; to get the most out of the
> equipment we have, they must be maintained regularly
> (that is serviced), and not to wait until they had
> broken down. In my short stint as a/Director Medical
> Services in Wewak General Hospital, 2001, I had the
> privilege of involving in the hospital's annual
> budget (2002) submission to the NDoH. The
> maintenance/service cost of all the medical
> equipment and assets like the x-ray machine,
> fluoroscope, image intensifier (donated by Buddhist
> Monks in Australia during the tsunami), USS (donated
> via St Vincent de Paul's organisation in Sydney) and
> laboratory machines were included in the hospital's
> recurrent expenditures budget (estimated at almost
> K500,000.00) and sent to the NDoH. When the
> department of Health made its final submission to
> the Department of Finance for budgetary allocations
> during the national Government's Annual Budget, they
> had asked for only 1/5 the amount of what was
> initially budgeted for. I assumed than, that they
> only included the x-ray machines and other medical
> equipment which were not donations. But even with
> what they asked for, we ended up receiving a tenth
> of what we originally requested. The following year
> (2002), we struggled to keep those machines running
> for the whole year. It was very frustrating. I
> suppose the radiotherapy unit in Lae could have
> suffered the same fate, from no regular
> maintenance/service.
>
> One other factor that contributes to all these is
> the fact that, of the annual budgetary allocation to
> the NDoH by the Government, more than 80% of the
> money goes to salaries and remunerations of health
> personal. Imagine looking after the health of the
> country with only less than 20% of the money. This
> is why we will always be indebted to the donor
> agencies and non-governmental organizations
> including the churches for their enormous
> contributions to the country in terms of health
> service delivery.
>
> Furthermore, we are being known for our careless
> attitude when it comes to taking care of public
> properties. From buildings to vehicles, money to
> assets, even human lives. We do not tend to care for
> them, hence, we reap what we sow, if I may put it
> that way. This carelessness is from the top down to
> the least person on the street. I do not know when
> we will come to appreciate and take diligent care of
> public properties as if they were our own.
> Finally, but not the least, I think the department
> of Health's approach to utilizing the White Monster
> (MVIL-built hospital) as the country's Women's
> Hospital is an excellent move however, the timing is
> not right. I say this because of the fact that the
> two big hospital's (PMGH and ANGAU) are in dire
> needs of maintaining decent services to the public
> and even the buildings themselves. Creating a
> women's hospital will be a very costly exercise both
> now, and for the years to come, unless the
> department/government can broker a deal with an
> organization such as the WHO, UNICEF, UNDP or AUSAID
> to start the hospital (that is, get it up and
> running) and eventually hand over the reigns to the
> department when the time is right. Now is not the
> time financially. If the government insists on
> taking the proposal on board, I think it must, first
> and foremost, settle the financial needs of all the
> hospitals, in particular PMGH and ANGAU before it
> can embark on the idea.
>
> So how do we ensure that the generous donations of
> the CT scanners are well maintained and looked after
> properly? I suggest we should charge the public for
> the CT scanners, say half the price of private CT
> scanner. The money should be kept in a separate
> trust account for CT Scan maintenance and services
> alone.
>
> These, folks, are my thoughts. You all are entitled
> to your own opinions. I welcome your comments and
> thoughts.
>
> Regards, na go the Soccerooooos.
>
> Gunzee
>
> Ps. I can see Italy as our next victim. In Penalty
> shoot-out. Socceroooooooooooooooooooooos, ol da vei.






___________________________________________________________
All new Yahoo! Mail "The new Interface is stunning in its simplicity and ease of
use." - PC Magazine
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Well said, Sioni.

Equipment maintenance is the Big Question we all should be asking.

Ironically, after posting my thoughts on this topic, I realised you had posted yours half an hour early. I am glad you have the same doubts I have and that is healthy for our discussions.

When a donor group in Australia (Sydney) approached Prof Vince in 2004 to donate 2 neonatal cots (each one costing almost K200, 000.00) to be used in the SCN, Prof declined because of the cost of maintenance, and instead asked for the intravenous fluid pumps and other things. (I got this information from Prof Sapuri in 2004, incase Dale you look dazed). That was dealing with reality, although many will argue that the neonatal cots would have improved the infant mortality, at least Prof Sapuri thought. But I think Prof Vince was more realistic.

Keep thinking na toktok, boys and girls.

Regards ologeda,

Gunzee.
--- In pngdoctors-general@yahoogroups.com, sioni sialis <ssialis56@...> wrote:
>
> Hello Olgeta,
>
> And my warm welcome to Dr. Eric. Good to hear that you are working in Australia - Keep our flag flying high, and for all our colleagues that are overseas - keep up the good work; we in PNG are always proud and happy to hear of your success stories. It shows that we are marketable internationally, once given the opportunity.
>
> Just to put a twist to things and maybe I'm just a pessimist, but just a few comments and questions in regard to the CT scans.
>
> It is a wonderful thing that the country has been donated 2 CT scans and thankyou for the organisation that have donated these machines. Maybe another organisation can donate a radiation therapy machine to Angau?
>
> The first thought that came to my mind when I read the news is "wow PNG is moving forward in terms of medicine", and it should raise the standard of treating certain pathologies.
>
> My questions are: was there thought into the maintenance of these scans? Who will be maintaining these scans? Are there trained personnel that can maintain these machines? What will be the cost of running these machines?
>
> These are questions to ask. Often we read in the paper that there is no water at PMGH. PMGH has run out of drugs. Surgery is restricted to emergencies only and elective surgery is put on hold. Sometimes the anaesthetist run out of drugs to "put patient's to sleep". Even patient's are asked to buy their own cannula's from the local pharmacy, so that it can be used on them. Or buy your own IV flasks and bring it to the hospital, beacuse the hospital has run out.
>
> It just makes one wonder if these 2 scans will be sustainable. Hence, I often say the government can not keep up with the advancement of it's human resources. When the CT scan comes in the level of understanding of different diseases with the presence of the scan will be exponential, but will the scans be sustainable?
>
> A few years ago, laparoscopic surgery was commenced and then it died away. Now I hear it has been resurrected by the new Surgery Professor. When we were doing residency that imaging machine in the operating theatre was working. You would reduce the displaced fracture, take a shot and see if it is aligned or not. If it wasn't the pull again. The last time I was in PMGH, they said that it was not working anymore. Maybe we did not have the trained personnel to fix it.
>
> I hope the CT scans do not end up the same way.
>
> Do we have donations for our public health system?
>
> I think it comes to a stage where one weighs out public health to a new echocardiogragh machine or now the CT scan. Just recently children were dying in the East Sepik Province from whooping cough.
>
> Maybe the biggest question is: how does these CT scans improve the infant mortality rate and the maternal mortality rate?
>
> You know what the next statement is? Is it how the Health Department is being run? But is it really the running of the health department or is it the running of the country and where the money is being spent?
>
> Something to ponder over.
>
> Sincerely
>
> Sioni
>
> eric ungil eungil2@... wrote:
> Frank,
>
> Where abouts are you now?
>
> Cheers,
>
> eric.
>
> >From: dale frank <>
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: RE: [pngdoctors-general] CT scanners for PMGH
> >Date: Thu, 22 Jun 2006 20:24:43 -0700 (PDT)
> >
> >Agreed.
> > Lae services Momase, Highlands and NGI. So there is a great need for the
> >CT scan in Lae. POM serves about 500, 000 people. Costs to travel to POM is
> >unaffordable for the majority of PNGeans.
> >
> >eric ungil eungil2@... wrote:
> > Great news.
> >
> >We needed a CT scanner urgently.
> >
> >The other one should go to Angau Memoriial.
> >
> >Cheers,
> >
> >eric.
> >
> > >From: "Rodney Itaki" londari2000@...
> > >Reply-To: pngdoctors-general@yahoogroups.com
> > >To: pngdoctors-general@yahoogroups.com
> > >Subject: [pngdoctors-general] CT scanners for PMGH
> > >Date: Wed, 21 Jun 2006 02:15:50 -0000
> > >
> > >Hi all, World Vision has donated 2 used CT scanners for PMGH.
> > >
> > >cheers
> > >
> > >ritaki
> > >
> > >
> > >
> > >
> > >
> > >
> > >
> > >Yahoo! Groups Links
> > >
> > >
> > >
> > >
> > >
> > >
> >
> >
> >
> >
> >
> >
> >---------------------------------
> >Do you Yahoo!?
> > Next-gen email? Have it all with the all-new Yahoo! Mail Beta.
>
>
>
>
>
>
> ---------------------------------
> Sneak preview the all-new Yahoo.com. It's not radically different. Just radically better.
>

Thanks Sioni for your Kind remarks. Greetings from Tassie.

I guess, the last health minister had almost no idea in running the most
important department. There have been no constant supply of drugs, and no
forward planning. If there was such a good management team in place, we
would have bought a CT scanner a long time back. Being overseas, I see that
even a small hospital without a CT scanner will be a thing of the past in
Australia.

Since this is a donated scanner, we might just accept. If they break down,
bad luck.

Just for your information, an MRI scanner is even better to see soft tissue
masses and spinal lesions. But they are nore dearer and more sophisticated.
PNG will not be able to afford one in a very long while.

We mainly have a problem of infectiuos disease, but the ever emerging life
style diseases are on the rise. We must be careful in our planning.

Cheers,

eric.





>From: sioni sialis <ssialis56@...>
>Reply-To: pngdoctors-general@yahoogroups.com
>To: pngdoctors-general@yahoogroups.com
>Subject: RE: [pngdoctors-general] CT scanners for PMGH
>Date: Fri, 23 Jun 2006 20:56:36 -0700 (PDT)
>
>Hello Olgeta,
>
>   And my warm welcome to Dr. Eric. Good to hear that you are working in
>Australia - Keep our flag flying high, and for all our colleagues that are
>overseas - keep up the good work; we in PNG are always proud and happy to
>hear of your success stories. It shows that we are marketable
>internationally, once given the opportunity.
>
>   Just to put a twist to things and maybe I'm just a pessimist, but just a
>few comments and questions in regard to the CT scans.
>
>   It is a wonderful thing that the country has been donated 2 CT scans and
>thankyou for the organisation that have donated these machines. Maybe
>another organisation can donate a radiation therapy machine to Angau?
>
>   The first thought that came to my mind when I read the news is "wow PNG
>is moving forward in terms of medicine", and it should raise the standard
>of treating certain pathologies.
>
>   My questions are: was there thought into the maintenance of these scans?
>Who will be maintaining these scans? Are there trained personnel that can
>maintain these machines? What will be the cost of running these machines?
>
>   These are questions to ask. Often we read in the paper that there is no
>water at PMGH. PMGH has run out of drugs. Surgery is restricted to
>emergencies only and elective surgery is put on hold. Sometimes the
>anaesthetist run out of drugs to "put patient's to sleep". Even patient's
>are asked to buy their own cannula's from the local pharmacy, so that it
>can be used on them. Or buy your own IV flasks and bring it to the
>hospital, beacuse the hospital has run out.
>
>   It just makes one wonder if these 2 scans will be sustainable. Hence, I
>often say the government can not keep up with the advancement of it's human
>resources. When the CT scan comes in the level of understanding of
>different diseases with the presence of the scan will be exponential, but
>will the scans be sustainable?
>
>   A few years ago, laparoscopic surgery was commenced and then it died
>away. Now I hear it has been resurrected by the new Surgery Professor. When
>we were doing residency that imaging machine in the operating theatre was
>working. You would reduce the displaced fracture, take a shot and see if it
>is aligned or not. If it wasn't the pull again. The last time I was in
>PMGH, they said that it was not working anymore. Maybe we did not have the
>trained personnel to fix it.
>
>   I hope the CT scans do not end up the same way.
>
>   Do we have donations for our public health system?
>
>   I think it comes to a stage where one weighs out public health to a new
>echocardiogragh machine or now the CT scan. Just recently children were
>dying in the East Sepik Province from whooping cough.
>
>   Maybe the biggest question is: how does these CT scans improve the
>infant mortality rate and the maternal mortality rate?
>
>   You know what the next statement is? Is it how the Health Department is
>being run? But is it really the running of the health department or is it
>the running of the country and where the money is being spent?
>
>   Something to ponder over.
>
>   Sincerely
>
>   Sioni
>
>eric ungil <eungil2@...> wrote:
>           Frank,
>
>Where abouts are you now?
>
>Cheers,
>
>eric.
>
> >From: dale frank <>
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: RE: [pngdoctors-general] CT scanners for PMGH
> >Date: Thu, 22 Jun 2006 20:24:43 -0700 (PDT)
> >
> >Agreed.
> > Lae services Momase, Highlands and NGI. So there is a great need for the
> >CT scan in Lae. POM serves about 500, 000 people. Costs to travel to POM
>is
> >unaffordable for the majority of PNGeans.
> >
> >eric ungil <eungil2@...> wrote:
> > Great news.
> >
> >We needed a CT scanner urgently.
> >
> >The other one should go to Angau Memoriial.
> >
> >Cheers,
> >
> >eric.
> >
> > >From: "Rodney Itaki" <londari2000@...>
> > >Reply-To: pngdoctors-general@yahoogroups.com
> > >To: pngdoctors-general@yahoogroups.com
> > >Subject: [pngdoctors-general] CT scanners for PMGH
> > >Date: Wed, 21 Jun 2006 02:15:50 -0000
> > >
> > >Hi all, World Vision has donated 2 used CT scanners for PMGH.
> > >
> > >cheers
> > >
> > >ritaki
> > >
> > >
> > >
> > >
> > >
> > >
> > >
> > >Yahoo! Groups Links
> > >
> > >
> > >
> > >
> > >
> > >
> >
> >
> >
> >
> >
> >
> >---------------------------------
> >Do you Yahoo!?
> > Next-gen email? Have it all with the all-new Yahoo! Mail Beta.
>
>
>
>
>
>
>---------------------------------
>Sneak preview the  all-new Yahoo.com. It's not radically different. Just
>radically better.

Frank,

Where abouts are you now?

Cheers,

eric.

>From: dale frank <>
>Reply-To: pngdoctors-general@yahoogroups.com
>To: pngdoctors-general@yahoogroups.com
>Subject: RE: [pngdoctors-general] CT scanners for PMGH
>Date: Thu, 22 Jun 2006 20:24:43 -0700 (PDT)
>
>Agreed.
> Lae services Momase, Highlands and NGI. So there is a great need for the
>CT scan in Lae. POM serves about 500, 000 people. Costs to travel to POM is
>unaffordable for the majority of PNGeans.
>
>eric ungil <eungil2@hotmail.com> wrote:
> Great news.
>
>We needed a CT scanner urgently.
>
>The other one should go to Angau Memoriial.
>
>Cheers,
>
>eric.
>
> >From: "Rodney Itaki" <londari2000@yahoo.co.uk>
> >Reply-To: pngdoctors-general@yahoogroups.com
> >To: pngdoctors-general@yahoogroups.com
> >Subject: [pngdoctors-general] CT scanners for PMGH
> >Date: Wed, 21 Jun 2006 02:15:50 -0000
> >
> >Hi all, World Vision has donated 2 used CT scanners for PMGH.
> >
> >cheers
> >
> >ritaki
> >
> >
> >
> >
> >
> >
> >
> >Yahoo! Groups Links
> >
> >
> >
> >
> >
> >
>
>
>
>
>
>
>---------------------------------
>Do you Yahoo!?
> Next-gen email? Have it all with the all-new Yahoo! Mail Beta.

Hi Poyap,

Greetings.

Welcome to Tassie. Come around to Burnie, different from the South. There is
an extra room if you you want to bunk up with us. Spring is a good time. Is
your family with you?

Rodney, I am paeds reg now, going to ED end of next month.

Cheers,

eric.

>From: Poyap James Rooney <>
>Reply-To: To: pngdoctors-general@yahoogroups.com
>Subject: Re: [pngdoctors-general] welcome Dr Eric Ungil
>Date: Wed, 21 Jun 2006 16:24:35 +1000 (EST)
>
>Welcome, Eric. Great to have you join the party. I'll catch up with you
>guys in Burnie sometime. Yupla olrait ah?
>
>
>
>Rodney Itaki <> wrote:
> Hello collegues and friends,
>
>We welcome our newest member, Dr Erick Ungil to our internet group. Dr
>Ungil is currently in
>Tasmania doing Emergency Medicine (correct me Eric).
>
>cheers
>
>ritaki
>
>
>
>
>
>
>---------------------------------
>Do you Yahoo!?
> Yahoo! Music: Check out the gig guide for live music in your area

Hello Everybody,

All you socceroos supporters must be delighted that the soceroos are
into the 2nd round of the world cup after 34 years absence.

World Cup soccer aside, my point for posting this to you all is best
illustrated in this letter to the editor, Post Courier which appeared
today. Read it below:
----------------------------------------------------
Doctors diagnosis of diseases need strict procedures

I am writing to air my view on the standards and practices that is
currently used in the public health system. I was surprised that
professional doctors cannot do tests on a patient for diseases before
admission or put on medication.

It is alarming to learn that professionals of medicine could not even
do the simplest TB test on a child, let alone predict the cause of
sick based on X-rays. And when you have seconds or third opinions
differing from each other, it is a case of neglect and
unprofessionalism.

Mine was a case where my son was admitted to the Pediatric TB Ward,
just because he had a common cold and cough. Doctors required an X-
ray which was taken and based on that, he was admitted to the ward.

Three doctors had a look at the X-ray and all had contradicting
theories: Doctor 1 ETB; Doctor 2 Ebronchitis; Doctor 3 Epneumonia.
Based on Doctor 1 theory, he was admitted without the simple tests
done and was put straight on medication for a disease he never
contracted and doesn`trun in our gene.

It was a medication his body rejected by developing rash and
discolouration in his urination. I insisted my child go through a
test before he could be put on any form of medication. Test results
reviewed after procedural days (three days) proved that my child was
negative and that he just had the cough.

And it most certainly proved that the old fashionEtesting system
does really work and I hope the professionals can only take time to
follow procedures. E

Sugar Ave, NCD

source: Post Courier, 23-06-06.
---------------------------------------------------

have a top weekend

ritaki

Hi Poyap,

Greetings.

Welcome to Tassie. Come around to Burnie, different from the South. There is
an extra room if you you want to bunk up with us. Spring is a good time. Is
your family with you?

Rodney, I am paeds reg now, going to ED end of next month.

Cheers,

eric.


>From: Poyap James Rooney <>
>Reply-To: To: pngdoctors-general@yahoogroups.com
>Subject: Re: [pngdoctors-general] welcome Dr Eric Ungil
>Date: Wed, 21 Jun 2006 16:24:35 +1000 (EST)
>
>Welcome, Eric.  Great to have you join the party.  I'll catch up with you
>guys in Burnie sometime.  Yupla olrait ah?
>
>
>
>Rodney Itaki <> wrote:
>           Hello collegues and friends,
>
>We welcome our newest member, Dr Erick Ungil to our internet group. Dr
>Ungil is currently in
>Tasmania doing Emergency Medicine (correct me Eric).
>
>cheers
>
>ritaki
>
>
>
>
>
>
>---------------------------------
>Do you Yahoo!?
>   Yahoo! Music: Check out the gig guide for live music in your area

Great news.

We needed a CT scanner urgently.

The other one should go to Angau Memoriial.

Cheers,

eric.

>From: "Rodney Itaki" <londari2000@yahoo.co.uk>
>Reply-To: pngdoctors-general@yahoogroups.com
>To: pngdoctors-general@yahoogroups.com
>Subject: [pngdoctors-general] CT scanners for PMGH
>Date: Wed, 21 Jun 2006 02:15:50 -0000
>
>Hi all, World Vision has donated 2 used CT scanners for PMGH.
>
>cheers
>
>ritaki
>
>
>
>
>
>
>
>Yahoo! Groups Links
>
>
>
>
>
>