Was reading the sad story of the shock of a US-based doctor coming to Guyana to find three relatives dying from sepsis - an preventable condition if sufficient care is taken- Good grief, 'they' discovered ways of prevention since the 18th Century.
http://www.kaieteurnewsonline.com/2015/06/24/overseas-based-doctor-worried-about-sepsis-related-deaths-at-gphc/
So this is the bind the hospital administration/government is in... to criticise the staff would be adding to the demoralisation and knocking those who genuinely care and make huge efforts w ith whatever resources they have... however to ignore the problem-- such as basic hygiene due to laziness-- such as inserting a needle without cleaning the site and not ensuring cross-infection is setting yourself up for further slackness. I know GPHC have a quality-control department but wonder if it is allowed to function-- we hear so many of these stories. I also hear of the older nurses complaining of the attitude of the younger ones and poor training. At the end of the day, no matter how well the docs have performed..poor nursing care will result in speeding up the ultimate end.
The concept of targeting the causal organism also seems beyond the reach of common medicine here and woe betide you if you have something uncommon! It sounds like a given that the machine would be broken-- would the way ahead be some form of cost-recovery for tests needed to be carried out? I am sure people would not mind a lower fee rather than the hassle of having to get a private Lab at an exorbitant rate or not at all--- there must be a middle ground between all or nothing!
http://www.kaieteurnewsonline.com/2015/06/24/overseas-based-doctor-worried-about-sepsis-related-deaths-at-gphc/
So this is the bind the hospital administration/government is in... to criticise the staff would be adding to the demoralisation and knocking those who genuinely care and make huge efforts w ith whatever resources they have... however to ignore the problem-- such as basic hygiene due to laziness-- such as inserting a needle without cleaning the site and not ensuring cross-infection is setting yourself up for further slackness. I know GPHC have a quality-control department but wonder if it is allowed to function-- we hear so many of these stories. I also hear of the older nurses complaining of the attitude of the younger ones and poor training. At the end of the day, no matter how well the docs have performed..poor nursing care will result in speeding up the ultimate end.
The concept of targeting the causal organism also seems beyond the reach of common medicine here and woe betide you if you have something uncommon! It sounds like a given that the machine would be broken-- would the way ahead be some form of cost-recovery for tests needed to be carried out? I am sure people would not mind a lower fee rather than the hassle of having to get a private Lab at an exorbitant rate or not at all--- there must be a middle ground between all or nothing!
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