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Sick of this country

11415161820

Comments

  • Registered Users, Registered Users 2 Posts: 3,450 ✭✭✭NSAman


    Missing files from last week? One example from my mother personally. Prescriptions not sent over, mass confusion between doctor hospital and pharmacy. Have spent the past week chasing, administrators (who I have to say in the ward was excellent) but infrastructure that doesn’t work. I actually feel so sorry for many staff in the hospitals who have to work in a system that is broken completely.

    another example? Waiting in A&E for 18 hours only to find the admittance file was lost, then when I complained, security threw me out. Security also threw out a family waiting beside for 18 hours when their sons leg was broken for the same reason….being told (and I quote) “you’ll be seen when you are **** seen”, really gives one confidence in our system!



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    This is not evidence of an overabundance of administrative staff?

    Not sure what point you are trying to make. I agree the digital infrastructure is outdated and needs investment. That requires a huge investment in "non frontline" staff and services. The kind of thing people rail against.





  • Actually a large part of A&E queues are due in part to lack of available GP services, or GPs referring people to A&E for some stuff they should be able to deal with themselves.

    An example (some time ago mind) was a work colleague’s daughter who developed severe diarrhoea after eating some coleslaw, she was caring for her young children along with her husband. A very healthy young woman too, just got a dose of food poisoning, no bleeding or anything. Called out of hours doctor, he told her to go to A&E. Chemist was closed at this time, and I don’t think she had dioralyte or equivalent in medicine cupboard, so it seems doctor told her to go to A&E. she was left for hours and her mother, my colleague was furious that she wasn’t attended to quickly. By the time she saw a doctor the symptoms had stopped, as typical with a short sharp staph food poisoning. That was a completely silly referral imo, GP should have advised to use light dilute soup or something in the kitchen cupboard to replace lost salts.



  • Registered Users, Registered Users 2 Posts: 4,779 ✭✭✭jackboy


    The missing files thing is absolutely widespread and no improvements in recent years. When something so basic and obvious is not being fixed that is strong evidence that those in charge have zero motivation to improve things.



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    This is a chronic problem and the issue is not "motivation". The idea that if some senior people just cared more it would be fixed is ridiculous. It requires massive investment of time, energy and resources.

    HSE data management is an absolutely collosal system.



  • Registered Users, Registered Users 2 Posts: 4,779 ✭✭✭jackboy


    Maybe your right. It's just staggering how files can be lost and misplaced all the time in this day and age.



  • Registered Users Posts: 2 Hypnotic86


    Anyone wants to hang out ? This is a boring country with cold distant people





  • A good time back I opened a thread on medical records, and basically what a lot of posters indicated was that GDPR is one big fly in the ointment such that trying to reconcile a lot of the data into an amalgamated system is problematic.

    At the MS seminar in September I queried medical consultants about the entire scenario and how I try to gather all my medical records and put them into my cloud storage etc. Consultant said that was a very good idea. I have had big problems regarding transferring records between hospitals private-public, as have consultants I have attended. They were very glad when I sent them digital copies of reports. I also try and keep CD records of radiology/imaging.

    At the seminar I also queried with a lovely radiologist who is doing AI diagnostic research for his PhD in relation to precisely mapping MS lesions, asking him why some very obvious errors are apparent in the records I have obtained, eg “normal diameter colon” when I don’t actually have a colon!! He have me an honest answer, one reason he is doing his project is that radiologists don’t have enough time to focus sufficiently on the scans they are reporting on and tend to see what they are expecting to see rather Han what is in actually evident in front of them. AI, he determines, hugely assists radiology reporting but isn’t welcomed by some old school types.

    That wasn’t the only example in my case. Two reports by the very same radiologist in a short space of time pointed out an incidental abnormality in one report and “no abnormality” in a slightly earlier report. The second report prompted a surgical investigation as the observed abnormality suggested early cancer. It wasn’t, but accounted for by adhesions from a previous surgery.



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    Who regards the level in the NHS as excessive? There is a constant issue with the level of managerial and administrative staff in the NHS that results in frontline staff doing far too much administrative work.

    for example

    I feel like this is one of those tropes - we have had the same in regards policing. It is an easy political showpiece to say we are investing in frontline and not admin, but all it does is leave the frontline to spend a chunk of their time on admin.

    The very fact people are here bemoaning the admin cost of the heath service is part of the problem anyone faces in trying to fix it as it will invariably involve a shitload of non-frontline investment.



  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators Posts: 14,500 Mod ✭✭✭✭marno21


    Ah. That explains all the empty champagne bottles I saw outside the Western Australia Dept of Health headquarters this morning.



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  • Registered Users, Registered Users 2 Posts: 1,555 ✭✭✭crusd


    You confuse the words "compare favourably" with "perfect". We compare favourably with lots of countries on GP numbers. That doesn't mean it couldn't be better. It means there are lots of places where it is far worse. Developed countries. Even Austrailia and New Zealand, which everyone seems to think are perfect places relative to here, have the same problems we do and virtually the same number of doctors per capita




  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    I've never experienced anything worse than the GP situation in Ireland .....and it's shocking to see how badly it's gone downhill over the last 20 years not only for me but for my elderly parents who desperately needed to see them but nobody available ....always a sad search for some to find something worse to compare to save face .


    Healthcare system in Ireland is poor to very poor by many metrics, accessibility , cost of primary care, huge waiting lists for consultations , crazy A and E waiting times and complete lack of a national digital health system. They don't even provide weekend services in hospitals .

    Enough of the compare favourably waffle already we don't need to see a silly list (CEO world? ) to see know and experience the issues first hand in Ireland.



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    Yeah. Who needs people methodically researching health systems across dozens of countries to try and analyse who is doing what well and how we compare when we can just rely on vibes.

    The health system has significant problems. Many of them are similar to problems faced in other western countries globally. A lot of it has to do with increasingly older populations. This is not unique to Ireland.



  • Registered Users, Registered Users 2 Posts: 4,352 ✭✭✭arctictree


    This is what I dont get. We are proposing to pay another state to train doctors for us. Why cant we just do it ourselves? And then the politicians present this as some sort of win?



  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    It's absolutely ridiculous yet I didn't see the 'journalists' even question the government why is this ?


    Half of the medical students in Ireland are foreign nationals who almost all just head straight home after graduation . Much of the other half (Irish students subsidised up to 50k a year for education fees) head straight to Australia after graduation .What a mess.


    Bet you that list above doesn't take that into account !



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    No one is subsidising students 50k a year for their studies. Which is a large part or why universities rely on non EU students paying exorbitant fees to top up their funding.



  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    Yes they are.

    I've checked the estimated cost for medical student education in Ireland and it's up to 50k per person.thst it would cost if the government didn't cover it. Educating and training medical students needs a lot more resources than other courses.


    And foreign students pay up to 57k a year for courses in Ireland.


    Stop allowing our HIGHLY subsidised graduates to jet off to another country immediately upon graduation.so easily. The current situation is a travesty.



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    And the government don't pay 50k per person, which is why they rely on foreign students to make up the shortfall.

    Any other courses you suggest should result in being blocked from leaving Ireland? This isn't something other countries seem to need to resort to.



  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    Other countries aren't as fucked up as Ireland.


    Our problem isn't the money, we need doctors to stay in Ireland and work in Ireland for a few years.


    You seem to think that is unreasonable which I why I believe you have skin in the game yourself.



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  • Registered Users, Registered Users 2 Posts: 3,090 ✭✭✭Peter Flynt


    Students being forced to "commit" to work for the state after they graduate is outrageous. Does this happen with accountants destined for KPMG or PWC? Somehow I think not.



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    Other countries aren't as fucked up as Ireland

    A common refrain not backed up by much.


    If we want doctors to stay in Ireland I suspect asking why they are leaving is a better approach than forcing them to stay.



  • Registered Users, Registered Users 2 Posts: 3,090 ✭✭✭Peter Flynt


    We need doctors to stay but they leave?

    Then find out why they leave and rectify the situation thereafter. It's very simple.

    Instead Paddy wants to rob the third world of their doctors whilst giving out tax breaks to MNCs.



  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    For the health service yeah I would say many things are fucked in Ireland. Don't know a better way to describe the shitshow how badly it is all put together .


    'Forcing' them to stay after grad for 2 to 3 years is no big deal i.e. you enjoyed a very cheap education (but very expensive for taxpayers) , , if you want to leave without contributing you'll need to pay some of it back.

    Hardly a big ask. Make it a financial choice.


    We are doing the same now up North.

    No complaints for those students eh ???



  • Registered Users, Registered Users 2 Posts: 5,459 ✭✭✭Padre_Pio


    All you would do is discourage people from studying medicine.

    It's bloody hard enough work without being handcuffed by the state for two years after you graduate.

    If the government wants more Irish to train as doctors then increase pay and improve condition.

    Why on earth anyone would want to study for 5 or 6 years to make barely liveable wage working 12 (or more likely 24) hours a day for the dysfunctional HSE is beyond me.

    No wonder they pack their bags once they graduate.

    "Oh but they'll be on big money when they're consultants."

    Who cares, you'd make more money for less time and hassle by getting a software or engineering degree.



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    I do not believe there is any massive shortage of interns and junior SHOs in the health service.

    Generally it takes a few years for the irish junior doctors to get disillusioned with the HSE.

    The setup in the North is obviously different as they are providing funding not otherwise available to everyone else.



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  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    There is a shortage of doctors in Ireland. We need our grads to stick around for a few years before taking their expensive education overseas. You don't want to contribute then you shouldn't get fully subsidised education . Newsflash - jobs are hard work..


    There's also NO shortage of people who would like to study medicine.

    People would tell you black is white to your face here.


    If there wasn't a shortage of docs why would they subsidise students in northern Ireland to then go to work in the Republic ?


    Eh????



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    There is a shortage of specialists, consultants and GPs not interns.



  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    Yeah so then we should ask them to stay for 5 years after grad or not receive fully subsidised education. Make sense now?


    Why is the government subsidising medical students in the North to then work in the Republic ? Answer me that.

    I think some of you have skin in the game and not the best interest of Irish citizens nd taxpayers at heart here.



  • Registered Users, Registered Users 2 Posts: 949 ✭✭✭Emblematic


    @Padre_Pio wrote "All you would do is discourage people from studying medicine".

    Medicine is massively oversubscribed as a university course. I doubt very much you would have a problem recruiting students to do medicine even if there was a period of paying back the tax payer for their subsidy like there is in other countries. Some might be put off but there would be plenty more to take their place.



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    And I think you have no idea how the medical training system works and how little difference this would make. Forcing them to stay 5 years after university would mean they leave just as they become a qualified GP



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  • Registered Users, Registered Users 2 Posts: 3,090 ✭✭✭Peter Flynt


    Same then should go for everyone who graduates from through third level. Perhaps anyone graduating should spend three years working for the state as some sort of "payback"?

    It would be a unique experiment to run communism alongside uber capitalist neo-liberalism. . . but hey only the Irish would try that?



  • Registered Users, Registered Users 2 Posts: 5,459 ✭✭✭Padre_Pio


    Because there are so few places, and most entrants are non EU because they pay astronomical fees.

    Can anyone shed some light on why RCSI has 75 EU places and 225 non EU?



  • Registered Users, Registered Users 2 Posts: 1,327 ✭✭✭Packrat


    “The Party told you to reject the evidence of your eyes and ears. It was their final, most essential command”



  • Registered Users Posts: 900 ✭✭✭sameoldname


    If people put as much time coming up with good ideas as they waste typing out stupid ones we could fix this country fairly quick, but alas...



  • Registered Users, Registered Users 2 Posts: 949 ✭✭✭Emblematic


    Presumably because it maintains the exclusivity and prestige of medicine as a profession in Ireland. Keep the number of Paddies qualifying to a small number.



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    The issue for junior doctors in ireland is overwhelmingly conditions rather than pay. They're absolutely not barely making a liveable wage. Let's be realistic here.



  • Registered Users, Registered Users 2 Posts: 3,090 ✭✭✭Peter Flynt


    Sorry. . . . The state does not get to control the lives of one set of graduates following graduation.



  • Registered Users Posts: 900 ✭✭✭sameoldname


    I was agreeing with you. It's a preposterous idea that's quite possibly unconstitutional among many other problems. Apologies if I didn't make that clear.



  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    I know well how it works.

    Somebody who starts their career here is likely to stick around longer. They are in the system .


    Nobody answered me why the government is paying for students to study in NI if they don't need the doctors . And how come it's okay to ask them to work but not docs that we fully subsidised education in Ireland to work.


    Bit of a joke the whole thing. Up to 70% of Irish medical grads are leaving to Australia shortly after graduation, so we are looking to setup students in NI instead. Brilliant minds in the government.

    Post edited by maninasia on


  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    It's not preposterous at all.


    You just reduce the amount of funding the state covers.


    You want the state to cover ALL the funding of your study (300k to 400k Euro), then you should sign up to work in the system for a few years or else pay it back.



    Preposterous well I say!

    I want the state to give me a luxury free education I say they can't control my life !

    It's quite possibly against the constitution I say !


    There's nothing in the constitution about funding third level.

    Post edited by maninasia on


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  • Registered Users, Registered Users 2 Posts: 4,623 ✭✭✭maninasia


    We shouldn't be sponsoring MOST IRISH MEDICAL STUDENTS for 7 years free education to them so they immediately take off to another country. That is a huge waste of resources. It is contributing very little to the well being of patients in our country .


    It's nothing about controlling but putting the right policies in place.


    Financial incentives are used all the time....everywhere.


    As you all know VERY well the numbers that are leaving immediately upon graduation but consistently failing to mention here. Funny that.


    ""A measure of the extent of emigration of young Irish doctors is that 62 of 77 medical students from University College Cork who graduated in 2021 are currently practising in Australia. In a recent post on Twitter, one of them, Rory Holohan (@rory_holohan), said, “A sign of the times is that a lot of my friends were talking about Perth/Melbourne even from fourth year (in medical school)”

    A 2020 medical graduate from University College Galway told The BMJ that about 70% of recently qualified doctors from the college were now working in Australia. UCG graduates work mainly in Perth, Western Australia, while most Cork""



  • Registered Users, Registered Users 2 Posts: 5,833 ✭✭✭This is it


    You must have a whopper hangover today...



  • Registered Users, Registered Users 2 Posts: 15,843 ✭✭✭✭elperello


    It's not really outrageous and as I said it's not the full answer to our problems.

    The course spaces are there just up the road, we have students who will fill them and we have the money.

    Perfect is the enemy of good and until we get an increased number of doctors in our system it won't function properly.

    As for accountants, your accountant might save you money but your doctor could save your life.



  • Registered Users, Registered Users 2 Posts: 30,279 ✭✭✭✭Wanderer78


    id say most of late night posters do, in fairness, couldnt never see the point of reading late night posts, more drivel than daytime id imagine.....



  • Registered Users, Registered Users 2 Posts: 2,049 ✭✭✭pureza


    Junior doctors are paid peanuts in Ireland

    Little wonder they go abroad if that's how Little they're valued

    My take is who are the eejits who block giving them decent pay?

    Also a toe up the ass needs to be given to other public servants who think because doctors and nurses get a pay rise up to what's reasonable for their life saving work is an excuse for them to ask the same, they should be told in no uncertain terms to féck off

    Such reciprocal demands are the reason there's push back against paying health service workers enough

    The same greedy unions representing other sectors then are among the top of the loud voices mentioning the health service as badly resourced


    These things are easily fixed,involve the state cheque book and a dose of reality medicine to the nay sayers



  • Registered Users, Registered Users 2 Posts: 5,459 ✭✭✭Padre_Pio


    You don't have to be just scraping by to have a pay issue.

    Besides a good 30-40% of pay could be overtime.

    If conditions improve then overtime is gone, then JDs are back to being paid peanuts.

    Imagine being on 50k a year after 6 years in college and 5 years on the job, when. Other countries would easily offer you an extra 20-40k to do the same work.



  • Registered Users, Registered Users 2 Posts: 3,090 ✭✭✭Peter Flynt


    Politicians do not get to own people's lives because they won't invest properly in healthcare staff and their conditions.



  • Moderators, Sports Moderators Posts: 27,721 Mod ✭✭✭✭Podge_irl


    All valid points. They are not "barely making a living wage" though. I don't see the use of such obvious hyperbole.

    They are paid significantly better than their counterparts in the NHS though that's hardly a beacon of good governance. I don't know why or how Australia is able to offer such competitive salaries.



  • Registered Users, Registered Users 2 Posts: 3,090 ✭✭✭Peter Flynt


    NHS staff do not pay the public sector pension levy (an approximate 10% pay cut) as public sector workers in Ireland do. The Irish are cute at raising the level of the gross wage when the net wage is not nearly as close.



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  • Registered Users, Registered Users 2 Posts: 15,843 ✭✭✭✭elperello


    Nobody will have their lives owned.

    Entry to the scheme will be voluntary.

    Participants will gain qualifications which will start them out on a career where they can do a lot of good for society.

    I agree we need more investment in healthcare staff and their conditions but this scheme does not preclude that.



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