Would you call an ambulance?

Yesterday we traveled with some friends for lunch at Angas Plains Winery, south of Adelaide. As we set off the weather was mild and quite a few children’s fluffy clouds drifted across the sky. We anticipated a warm, leisurely time under the open verandah at our destination, being plied with tapas-style food and rich red wine. Lovely.

Well, we did eventually enjoy our lunch, but were interrupted repeatedly by something rather bizarre and frankly scary!

As we started our first bottle of wine and ordered our food I saw a couple entering the verandah area, the woman apparently frail and leaning on her much larger companion’s arm. This wasn’t particularly alarming, but then suddenly the male companion was on the ground! I watched as several people rushed over to them and discovered the man must have either passed out for a second or had tripped and bumped his head on a deck chair. They seemed to have things under control, seating the man and woman and moving a table to them for their meal. Apparently the couple were from Berlin in Germany and had driven a hire car from Sydney, NSW over the past ten days, planning on leaving from Adelaide in four more days time.

We got to eating and enjoying ourselves again, suitably distracted from the upset and trying not to have an argument about climate change! Our food selection involved some fantastic sourdough bread, gleaming gold olive oil and a very tasty homemade dukkah. This was followed by a selection of prawn & spice dim sum, some chorizo, chicken & chili kebabs and spannakopita (spinach & ricotta in filo pastry triangles). We succumbed to dessert later, despite having vowed to avoid it as a health hazard!

However, our meal was interrupted again by the wobbly German couple attempting to depart. Sure enough, as soon as the guy stood up, he keeled over. He managed to collapse in a sitting position this time, but skinned both his arms, tore his finger tips and nails on the left and I soon noticed some blood seeping through the knee of his trousers. A crowd of helpers gathered around and managed to keep him seated against the big barn door there as I tried to get some info from the couple. First, I asked the woman if her husband’s medication had been changed recently. “No” she said, “not for years”. [!!] I asked if he was on medication for hypertension, his heart or his balance and I don’t think her English was up to it. She just told me “It’s his diabetes. He’s always falling over. That’s how he is”. So I just told her they ought to take him back to the doctor when they reached home, silently thinking I should really call an ambulance, as the guy looked deathly pale and didn’t seem able to speak.

After cleaning his wounds and staying with the couple a while, the guy wanted to stand up and get in their car, but it was parked about 100metres away in a gravel-covered carpark. This was hopeless, so I got the woman to give the car keys to Spotrick to bring the car right over near the door. After helping the guy sit in the car and recover [??] his faculties, we left them to it, sitting down again to resume our meal.

As soon as the hire car took off, we could all see (and hear) that the guy had left the handbrake on!! He slowed & stopped before attempting to turn left and out of the carpark and we all heaved a sigh of relief that he had discovered his oversight.

But ohs noez!! He roared off again, rear wheels stationary and dragging behind the car, gravel spitting everywhere from the front tyres! Suddenly I was off after them, breaking the world land speed record in my inadequate strappy sandals! I got abreast of the driver’s window, waving my arms and yelling “Stop! Stop!”. For what seemed like ages, he continued to force the car along, speeding up! I found a further burst of acceleration myself and managed to run a bit ahead of him, catching his attention with my flailing arms! 

Phew! He stopped and rolled down the window. I told him & made gestures with my hands to snap off the handbrake and he realised his mistake and drove off OK.

Should I have called an ambulance?

I really thought about calling the ambos as none of us thought that man was safe to drive, but he wasn’t drunk so the manager couldn’t take his car keys legally and I can imagine the fiery reaction! Probably the couple were dead scared that the guy would be hospitalised in Australia where he couldn’t speak the language and no one knew his medical history. His wife was not brave enough to attempt to drive here on the “wrong” side of the road though I think I would have been tempted in her position. Neither person seemed to have any idea that the guy was suffering multiple medical problems besides a bit of Type 2 diabetes and seemed never to have heard the words “hypertension” or “high blood pressure” in English anyway.

I hope they get safely back to Germany, without needing a stretcher and oxygen on the plane! Scary stuff.

Cutting the rave short to post!

Today some of my Twitter friends seemed to be getting very concerned about what has happened and what may be happening soon, to the Australian health system. I am a little worried about progress on mental health care, but not convinced that the government can force much privatisation on the populace.

First, several Tweeps were convinced that the article by Mark Metherell in The Age newspaper http://m.theage.com.au/national/health-group-lures-private-patients-from-public-system-20111104-1n04h.html
Health group lures private patients from public system, meant that the government was quietly divesting itself of publicly-funded healthcare and “forcing” people to buy into the private system. The article also implies that the private hospitals will “lure away” people who need particular types of care by demonstrating a better record on several health measures, eg. rates of hospital-acquired infections, higher recovery rates from some surgery etc. As I read it, there ARE some advantages to private hospital care for some conditions, but ONLY for younger, less complex cases. Public hospitals take the sickest people and are often willing to risk complications in the hope of saving a life that others might not see as worth the extra investment of time and effort.

On the other hand, hospitals already co-operate in the use of resources and specialists. For instance, when my partner needed an emergency operation to have his gall bladder removed, the health system did lots of juggling between different surgeons and hospitals so that he could be operated as soon as possible.The public hospital that gave him 24 hours of doctors, nurses, drugs & accommodation didn’t charge him a cent for this care! Meanwhile they rushed him by ambulance to a private hospital where the surgeon got theatre time, operated swiftly, and only had one extra day there.
If he had been able to stay in the public hospital and have the same surgeon operate under his “public hat”, then he wouldn’t have paid a cent for anything.

This sort of cooperation is the norm.

At a public training hospital...

NONE OF THIS WILL CHANGE for publicly funded patients under the health reform arrangements in Australia. If you need care, you will get it as quickly as possible and necessary. For people who HAVE PRIVATE EXTRA INSURANCE [only NECESSARY if your income is over $140 000 for a family, or you pay an extra 0.5% tax], the government will require them to USE it if hospitalised in the public system. Previously you only had to claim on it if you used extra private services while in the public hospital. Soon people will have to draw on it when it’s available. That’s all.

What I wrote in Wendy’s blog

Dear Wendy, your neighbour with no interests is profoundly depressed- been there, done that. :( . She needs a good, undemanding and REAL friend who will keep pushing her to get the right care. It sounds as though she could afford a good psychiatrist who can do some cognitive-emotional work with her. I used to be an absolute livewire, constantly doing multiple things, springing up and down and annoying everyone in front of TV (while sewing, knitting, reading, cooking, studying, listening to extra music). However, after too many stresses made my depression emerge I gradually got to the state where I couldn’t even FORCE myself to do the things I used to love doing. I was determined to get fixed, but many years of failed medications and trying activities like aquarobics to cheer me up I eventually got to the stage of having 3 alternate plans to kill myself about this time last year [I'm trained in psychology and couldn't fix myself, that's for sure; and I was still very practically contemplating suicide]. Somehow I persuaded myself that I should get a new GP and demand I be given a proper mental health plan (which we’re entitled to under the government Medicare scheme in Aust.) She nearly detained me to the public psych hospital but I agreed to sign that I would not commit suicide while waiting to return to her in a week, plus going on some new medication in a decent dose. To cut 12 months story short, I was referred to a lovely woman psychiatrist (whom I had known vaguely in past work) who fixed me within 3 months/5 sessions plus FOUR TIMES the amount of medication I had been given by the GP. I am now finally back to my multifarious hobbies- knitting, sewing, felting, dyeing, reading etc and studying for my MPH better than ever. My only hiccup is that I have no job or income, so I can’t buy new materials for my crafts- but I’m NOT depressed about it! Seriously- you or someone else should take on the community responsibility of getting that woman back in the land of the living!!!