Doctors – Ambulance Chasers – Get It Sorted JMDA

I have spoken of certain professionals who are ‘disgraceful hustlers’ ie ‘ambulance chasers’ so no surprise here. What is noteworthy to me is the good Doctor says no audit has been done.  Mr President I suggest you get that done and make an example of the ‘certified thieves’ if they can be identified.

What kind of inventory and record keeping is maintained for storage of supplies? Are we to believe that a Doctor can just walk in and take what they want without signing and stating purpose? As long as you have no system in place to force accountability then corruption is easily allowed to foster. If you steal you are corrupt.  So the well certified PhDs, who are ambulance chasers, can add ‘tief’ to their credentials.

Mr President while I can support your current dilemma with the state of health care in the public system, make no bones about it, I cannot pretty up your ‘tiefing’ colleagues behaviour and neither should you. Credibility is easily lost if you appear to give the perception that your colleagues are above approach.  The truth must be unearthed so get the audit done in short order.


 

Doctors could be stealing supplies from the public system for private use

 (Jamaica Gleaner, Monday May 4, 2015)

Dawes … denounces the practice of theft and says his association will not represent anyone who is guilty of the offence.

President of the Jamaica Medical Doctors Association (JMDA), Dr. Alfred Dawes has admitted that some members of the medical profession could be stealing supplies from the public health system for use in their private practices.

Last week the JMDA shocked the nation, when it outlined some of the glaring deficiencies in the public health system.

According to the association, doctors have had to wear garbage bags in operating rooms to protect themselves because of an absence of supplies.

These allegations have been countered with accusations of theft by doctors.

Dawes, who was speaking on Power 106FM’s Cliff Hughes Online, said the allegation has been made before.

However, he says no one knows the extent of the problem as no audit has been done.

The JMDA president is denouncing the practice of theft and says his association will not represent anyone who is guilty of the offence
 

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We Tore It Up! 2015 IAAF World Relays – Bahamas

Our female elite athletes dominated and reclaimed what was rightfully ours, gold in the 4×100 metres relay.  Awesome run, simply awesome!!!!!!

Not to be out done our lads gave us gold, 4×200 metres relay and from their pose on the podium you know the ‘big’ man’s presence is always felt and received.

 


 

Jamaica strikes gold in men’s 4X200, women’s 4X100 as World Relays end

(Jamaica Gleaner Sunday | May 3, 2015)
The victorious 4X200m relay team strike the ‘to the world’ pose as Usain Bolt would have, had he been on the team.
Jamaica’s winning 4X100m relay team Veronica Campbell Brown, Kerron Stewart, Schillonie Calvert, and Simone Facey
Rusheen Dwyer and Jason Livermore after collecting their gold medals
Warren Weir takes a bite at gold!
In a mad rush for gold, Jamaica’s men’s 4x200m and women’s 4x100m teams won gold at the IAAF World Relays in The Bahamas.

Warren Weir led the team of Nickel Ashmeade, Jason Livermore and Rasheed Dwyer to a time of 1:20.97 ahead of France 1:21.49 and Germany, 1:22.65 as Usain Bolt watched from the warm-up track.

Shelly-Ann Fraser-Pryce was also missing for the women’s 4x100m team but Veronica Campbell-Brown, Schillonie Calvert, Kerron Stewart and Simone Facey got the job done for the Jamaicans who won in a world leading 42.14 after some powerful running all around.

The USA was second in 42.32 with Great Britain and Northern Ireland third in 42.84.

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GOJ – You Are A Disgrace to Healthcare In This Country

We have had two (2) major political parties governing this country of ours and they have failed us miserably in the field of healthcare.  Since the Peoples National Party (PNP) has been in governance the longest my venom is spewed squarely at your feet.

I know what the public hospitals look like and I am not one of the privileged who can fly out of this country for medical care.  I recall some 15 years ago a surgeon who worked in the public healthcare system as well as having a private practice declared that Government had absolutely no interest in the healthcare system.  The challenges have been mounting from over 20 years ago, and now we are on the precipice.

The Doctors have every right to walk off the job and yes shut down the service and see what this government is going to do.  No more talks and empty promises, it is time for action.  This is out right war as no doctor should and must be allowed to work in conditions described in this report.  In war there are casualities and I am prepared to suffer the consequences.  We all have to die sometime and I would choose death rather than to end up in any hospital under those conditions.  Do you know how many people have been discharged from hospitals and continue to suffer due to their care?  Not even DOGS are treated in this manner.  Have you seen some of the facilities that take care of dogs recently?

I say to the JMDA shut this down.  Force the government to act now.  Take more photos and blast this on every news, social media and let the Diaspora see what healthcare is like in the country there are being ‘coaxed’ into investing in.  Every government Minister and Opposition sitting members should be ashamed of this debacle and you the Opposition are no better as your agenda has always been misplaced.  Again JMDA, ‘walk off the job’ for four (4) weeks.  The Government will find the money needed to purchase the basics and have all health care facilities on this Island fitted within 7 days if YOU take action and stop the talk.  You know they get things done when they are forced to.

For those who think such measures are cruel, read the article below and decide which is worse.


 

Medical madness!

Doctors complain of flies in operating theatre, single-use instruments being reused, lack of proper surgical equipment

 (Jamaica Observer, Sunday 3 May 2015)

 
DAWES … said he lost underwear when a patient’s blood soaked through his gown

THE Jamaica Medical Doctors Association (JMDA) on Friday painted a picture of a public health system that is on the brink of collapse with hospitals lacking equipment vital for surgeries and doctors working in sub-standard conditions that pose serious risk to patients and themselves.

“We have flies in the operating theatre. We have to reuse single-use instruments that aren’t disposed of but [are] washed and placed in antibacterial solution and used on another patient,” a member of the JMDA who works at May Pen Hospital in Clarendon told the Jamaica Observer.

Another member of the JMDA, who is assigned to Spanish Town Hospital and who opted for anonymity, said pads and pencilsnused with electrosurgical machines, which sends electrical current to blood vessels to stop bleeding, are also reused.

“The pencils are soaked in disinfectant and reused till they stop working,” the doctor said. However, he pointed out that the reused pencils run the risk of burning the patient and causing electrical fires.

Another doctor said they often practise what they term ‘socialist medicine’ as leftovers from an individual’s surgery are used on someone else.

“We have a mesh that is used to fix hernias. We ask patients to buy them as the hospital always runs out. When we don’t use all of the sterile mesh in the surgery for the patient who bought it, we soak it in disinfectant and use the leftover on a patient who couldn’t afford to buy their own,” he said.

The doctors’ claims were corroborated by JMDA President Dr Alfred Dawes during a news conference on Friday.

“We see where anaesthetic machines give inaccurate readings. There are no sutures, the air-conditioning breaks down and we have to end up using fans, which result in sweat dripping in wounds, plus there is a limited supply of antibiotics,” Dr Dawes told journalists.

Dr Dawes used a PowerPoint presentation to juxtapose what is required for surgery and what the doctors have to ‘make do’ with.

He said that proper antibacterial soap is not available.

“What we are supposed to scrub with for surgery is an antiseptic solution to ensure bacteria is dead, but what we use is antibacterial soap, which is cut in half to last,” Dr Dawes said.

The surgeon further pointed out that even the infrastructure presents a higher than normal risk of infection, which places people’s lives at risk.

“We are supposed to operate in a sterile unit in an operating theatre and we have to have buckets catching water,” Dr Dawes said. “There are operating theatres with mildew on the walls. To make matters worse, theatre doors should be closed to prevent bacteria from getting in and out and we’re operating in theatres where doors can’t be closed and are left open for the duration of the surgery.”

Dr Dawes also said that he and other surgeons are forced to operate without proper surgical gowns, which result in patients’ blood soaking through onto their skin.

“I lost underwear when I was operating on a trauma victim as a patient’s blood soaked through my surgical gown, because I was wearing a garbage bag [instead of a surgical apron], which signals a lack of supplies,” he said.

Dr Dawes cited poor resource management as another issue and said even the masks they wear for surgeries are not suitable.

“We are supposed to wear standard theatre masks and what we are using are N95 Ebola masks. The stockpiles of these masks are being used as regular masks in the operating theatre because we cannot get cheaper surgical masks. This is about inventory management and a dysfunctional supply chain that needs to be corrected,” he said.

The problem also extends to a lack of surgical equipment, for which the doctors, according to Dawes, often have to improvise.

“When we do not have a tube to drain blood from your chest, we have to take a tube for breathing and cut holes in it and that is what we insert in the patient’s chest to use in surgery. We have to be operating with one machine that is showing blood pressure and pulse and another machine showing the oxygen saturation because neither machine can give you both,” he said.

Dr Dawes argued that if any complications arise from the surgeries, the surgeon is liable as surgeries should not be conducted under such conditions and legal representation from the State is not guaranteed.

The Office of the Attorney General will not provide support for any doctor who uses substandard equipment. If a case comes up we are on our own and we only hope the patient will understand that we did what we had to do for them to get their surgery,” Dr Dawes said.

He also charged that there was a problem with lighting in the theatres, saying that they often have to “tie the lights with cloth” in order to prevent them from going out during surgeries.

One of his colleagues, who works at Spanish Town Hospital and who also preferred not to be named, said they have experienced sudden power cuts during surgeries.

He also said that he had found termite dust, which fell from the hospital ceiling, on the neck of a patient on a ward.

When the Sunday Observer contacted permanent secretary in the Ministry of Health, Dr Kevin Harvey, he said that while he does not wish to have a public fight with the JMDA he agrees that there are issues in the system and the ministry is taking steps to address them.

“We recognise that we have a limited budget and for this fiscal year the budget for maintenance moved from $80 million to over $500 million, while the budget for supplies also moved from $4 billion to over $8 billion. We cannot fix the system overnight, but we are making steps to fix it,” Dr Harvey said.

“We are only a month into the fiscal year and we are working to address the longstanding issues, which have been in existence for over 20 years. I know the frustration, but we have to take the steps and now more than ever we are closer to addressing the issues.”

He added that the ministry has asked all the regional health directors and health authorities to create a list of all the items they require and submit them promptly.

In addition to the working conditions, the JMDA used the news conference to speak about its objection to a shift system for doctors proposed by the health ministry.

“The JMDA has proposed a system in the health centres that would see extended opening hours, specialty clinics, screening clinics for cancers and other chronic diseases in health facilities closer and more accessible to the public. This would have the added advantage of decreasing the overcrowding of hospital emergency rooms,” Dr Dawes said.

Earlier last week, the JMDA had told the health ministry in a letter that it would withdraw from a task force to examine how best the shift system could work and that, if it is implemented, only emergency care will be guaranteed at public health facilities.

At the time the Sunday Observer contacted Dr Harvey, he said that while there have been conversations surrounding the possible implementation of a shift system, he could comment no further.

“I can’t comment on that. No shift system is being implemented. What we’re doing is exploring the possibility of it, but nothing is being implemented,” Dr Harvey insisted.

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Murder /Suicide in JA – Can We Get A Poll?

Trying to make sense out of nonsense seems to be the way of life for many on the Rock.  When you read this brief report, a host of questions comes to my mind.  To make matters worst, you are programmed to start making assumptions simply because it makes absolutely no sense.  I refuse to make any assumptions, but will continue to mull over the questions that amount in my mind.  However, in every tragedy there is a lesson to be learnt if we escape from the obvious emotion. Reflect on our own emotions and how we respond to situations that we may face daily.  Easier said than done, but the reasonable amongst us and I am hoping we are in the majority must have just cause to examine ourselves lest we face similar fate.

It is abundantly clear that there are those whose time on Earth is predicated by their own mortality. 

Two policemen killed in reported murder-suicide in St Ann

 (Jamaica Gleaner, Sunday 3 May 2015)

Two policemen attached to the St Ann Division were killed this morning in what investigators believe was a murder-suicide.

The identities of the two male cops have not yet been ascertained.

The Gleaner Online understands that about 3 o’clock this morning, the two were at a party in the parish when an argument developed.

Police sources say one of the cops pulled a gun and shot his colleague.

It is reported that while the injured cop was being rushed to hospital, the other policeman shot and killed himself.

The injured policeman died while undergoing treatment, one source revealed.

The Police High Command has ordered an investigation into the incident.

 

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NUTRITION AND EXERCISE by Dr Tony Vendryes

If exercise is king, then nutrition is the queen, and together they rule the kingdom of wellness. Unfortunately, many people only focus on one and do not have the full benefit that both can bring.

The belief exercise itself is what makes people healthy is only half true. Exercise simulates the body, but it is the adaptation and recovery after exercise that really benefits health. Your health does not improve during exercise, neither do you burn much fat while you are exercising. Almost all the health benefits of exercise are created during the recovery period after exercise when your body adapts and responds to the stress it has experienced. This recovery time can vary from a day to several weeks, depending on the intensity of your exercise.

 During that time, your body uses nutrients to strengthen and rebuild itself. If you do not give the cells of your body the right nutrients during that recovery period, your recovery will be compromised, and you won’t get the full benefits of all the effort you put into exercise.

For example, subjecting your bones to the stress of exercise causes your body to build stronger bones. But it takes days or even months to rebuild bones. During this period, your body remodels bone by depositing nutrients, particularly minerals into your skeleton. If you do not have enough nutrients available in your body at the time, then you are not going to build strong bones.

 Supplementation enhances exercise

When you exercise, your body uses up more nutrients than when you do not exercise. For example, just sweating, increases your loss of minerals like sodium, potassium and magnesium. In addition, exercise increases the body’s needs for antioxidants like vitamin C and E because of the increased production of free radicals caused by exercise. Nutritional supplementation is an extremely important part of any exercise programme, and people who exercise need to supplement more than those who do not exercise. Even if you only exercise a few days per week, you should supplement every day.

PROTEIN: Protein is very important, as it is the main food group that the body requires to repair, replace and heal itself. Your own protein requirements depends on your lean body mass and the intensity of your exercise programme. In general terms, the more intense your exercise and the more muscles you have, the more protein you need in your diet. On average, women need over 75gm and men more than 100gm of protein daily. Choose health forms of protein from plant sources like soy, nuts, beans, seeds and vegetables along with fish and organic poultry. To speed up your recovery it is important to have some protein within an hour after exercise. A post exercise soy protein shake is a convenient way to accomplish this.

ENERGY FOODS: Complex carbohydrates, particularly vegetables and fruit, along with healthy fats, should provide for your energy needs. Ideally have a carbohydrate, like a fruit or fruit juice, just before exercise. The more intensely you exercise the more high-energy foods you will need.

WATER: Water is the commonest component of the human body and accounts for more than two thirds of your body composition. Water is essential for healthy body function, and exercise increases your daily requirement for water. Water should be consumed before, during and after exercise to avoid dehydration. The more you sweat, the warmer the climate, the more water your body needs. Added electrolytes, as found in dilute fruit juices and coconut water, is also beneficial.

SUPPLEMENTS: It is important to supplement with various vitamins, including all the B vitamins plus vitamins C, E, A, D and K and minerals like magnesium, zinc, potassium and calcium. I recommend that you have a high-quality multivitamin and mineral supplement tablet with each meal, three times daily, to give the recovering cells in your body all they need throughout the day.

In addition, several phytonutrients, (which are nutrients that comes from plants) will enhance the benefits of exercise. There are thousands of these different substances found in foods and nutritional supplements. These can greatly enhance the benefits of exercise and the best multivitamins have some of these added to them. I also recommend extra antioxidants, the omega-3 fatty acids and energy-enhancing herbs like green tea, ginseng and guarana.

Through this superior supplementation (called cellular nutrition), your body can adapt optimally to the physical stresses placed upon it through exercise. If you exercise and do not supplement with good nutrition, you are wasting most of your exercise effort and you could multiple your results if you added some good supplementation on top of your physical exercise.

Remember when you exercise, you place a much higher nutritional demand on your body’s chemistry. With good cellular nutrition you can multiple the results of any exercise programme and experience greater fitness, stronger bones, better cardiovascular health, improved mood and emotional health, prevention of cancer and diabetes, reduction in body fat and many other benefits.

 

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WHO IS SHE

Sophistication, elegance, confidence, funny, strong, raw, rude, compassionate, loud……………………….

 

Can her soul be touched, what moves her beyond the package of external visibility……………to the part of utter warmth, that the sheer love within emanates……………..

 

Is it possible for her to allow within to radiate……………is it possible for damage goods to be unwrapped and become beautiful!!

 

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ONE OF THOSE DAYS

 Do this…………. do that, do this……………………..

  

No matter what I do, it seems it’s not good enough…………Giving it my all…………….hoping, praying it will be enough, but it is not.

  

The feeling will not go away……feeling of loss, despair, doom, gloom……………………..empty, hollow, deprived…………

 

RECLAIM!!!………..What??………..Yes………..RECLAIM the right to be You today…………..In this moment……………enjoy You……………..Tomorrow will take care of tomorrow.

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Beheading – Punishment in Saudi Arabia for Drug Smuggling

Would you risk your life by beheading with laws like these?

You are aware of the punishment yet you deliberately in pursuit of your personal gains take the risk. That is your choice, however, the country is maintaining their laws and ultimately you should pay the price for doing so.

We speak of repercussions to families and society in general when faced with drug addiction of our people which is rampant, yet somehow, blindly so believe that incarceration solves all. Drug addicts are in many prisons and get their supply there.

We all must face death at some point.  For those who choose to face their death by breaking laws of other countries land, somehow I fail to see how their punishment becomes the judgement of others. Deterrent must be the objective in rendering punishment. Those who rebuke aspects of the shaira law, I ask what are the statistics of said crimes in your own country? How successful is your rehabilitation of such? What is the percentage of repeat offenders in similar crimes? What is the population in Saudi Arabia and your own Land?

Our life on Planet Earth is but for a time, so choose wisely your pursuits.   I have no moral or spiritual struggles with the punishment that befits the crimes mentioned in this article.  We need those said laws on the Rock.


 

Saudi beheads Pakistani for drug trafficking

(Jamaica Observer, Friday, May 01 2015) 

RIYADH, Saudi Arabia (AFP) – Saudi Arabia beheaded a Pakistani convicted of drug smuggling on Friday, the 73rd execution in the kingdom so far this year.

Shirin Khan Abbas Khan was put to death in Riyadh province after being found guilty of smuggling heroin into the kingdom in swallowed balloons, the interior ministry said.

In the whole of 2014, Saudi Arabia carried out 87 executions, and Amnesty International has spoken of a “macabre spike” in the kingdom’s use of the death penalty this year.

The Gulf has become an increasingly important market for illicit drugs in recent years, the United Nations Office on Drugs and Crime says.

The Pakistani city of Karachi is a key transit point for heroin from Afghanistan and Saudi Arabia has carried out a spate of executions of Pakistani drugs mules.

Drug trafficking, rape, murder, apostasy and armed robbery are all punishable by death under the kingdom’s strict version of Islamic sharia law.

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