==============================
Certainly having renovated the Tercentenary School of Nursing to the tune of $2.5 last year, the roof ought not to be leaking so badly so that the top floor is destroyed.

Certainly Estwick should launch a special forensic audit into this matter and also the emergency ambulance service.

But should not a special forensic audit be launched into the matter of his non performamce since being appointed as MINISTER OF HEALTH ? Honestly!

I personally believe that the present MOH will not help himself if he continues to be aggressive and use fighting language directed to the doctors. As I have said before, if he continues so to do, he will sow to the wind and reap the whirlwind.

I believe that the MOH can be successful as I have said along, if he can develop plans which demonstrate that he is on top of things. I believe that this will earn him respect even from the doctors. Then he will have an easy ride.

Going on what I personally experienced in 1993, when I read the Minister’s statement about Brian Charles, I can tell you the ugly, envious bastard in the ministry who is leading the Minister astray on this score. Working in the prisons and the Defence Force is working for peanuts, and it is working for the State, in jobs that few care to do. The MOH has to be cautious of these jokers in the ministry. What moonlighting what?

I don’t think that all is lost. Just as I can present what I think are useful ideas, I believe (and hope) that there others who are capable of giving other practical ideas.

My attitude, as I have stated all along is to try to fix the issues related to the Emergency Room at QEH, and to expand Emergency coverage out to the periphery and continue working to improve this. This will renew confidence in the minds of the populace.

Health care given to folk who can pay is OK.

Once the MOH can get the emergency room issues to function properly, he can breathe a sigh of relief, and quietly get on to fixing the other issues at QEH and health in general gradually.

The more he accomplishes, the more the general public will breathe a sigh of relief, and the PM will be one up on the opposition as far as health is concerned.

Actually I respected the sisters except these two morons. Man I wished you had met those particular sisters. They used to chat cha chat and chat BS!

Also that was almost 30 years ago when I was a youth.I didn’t fight nor did I stay long enough to be a senior doctor. I am just an older washed up doctor now shooting hot air OK?

The MOH is now overlooking my opinion, but you dont see me complaining. I am having fun on BU giving my ideas. But truly if the MOH were to go to a trainee doctor for information that would show that the MOH was not too smart- really! LOL And perhaps the youngster might have the answer. Some of the youngsters are indeed sharp.

I honestly dont blame them.

When I was an intern there were two particularly stupid nursing sisters ; they were definitely not like the big maguffy ones whom you had to respect because of thier efficiency.

When these sisters would come on my rounds I would totally ignore them. I would even address my comments and instructions to the student nurse on the round.

Similarly the doctors are dealing with Collymore, so too do the elected GOB with my silly sugestions posted in BU, and so should the MOH do with any stupid senior civil servants.

It is easy to see how the patients of Private Physicians could benefit from the clinics in the respective catchment areas, and how it might be possible for them to even participate in their activities and services.

It is obvious that in each catchment area there are other services that are needed- such as satellite ambulance stations. These might be close to Fire Stations or Police stations or Anglican Churches. Why? The wise first Bishop of Barbados had chapel of eases built in each parish close to the points of the compass for each parish. This is not a hard and fast rule here.

Ideally each catchment area should have 2-3 ambulances for that catchment area. Such an ambulance will GENERALLY travel from station to pick up point and to the closest polyclinic only for triaging. Roving ambulances will travel to the polyclinic to pick up patients who need to be transported, so that the ambulance coverage of the catchment area should not be compromised at any time. .

FYI & BTW I sent these ideas to the power that be in early January. I got no response.

I am not very smart. I am not the exalted and elevated MOH. I am actually one of the least of the apostles. Don’t you think that if I could come up with these stupid ideas. That the more brilliant fellows could do better?

Don’t you think that if the exalted and elevated MOH has made plans like this in his IMMEDIATE period in January, that six months later in what I would call the EARLY period, some of these things could have been implemented?

For example the MP’s/Ministers/representatives/would be representatives for each catchment area should have held some fetes, done some begging from businesses to raise funds for ambulances for their region? And if they couldn’t get the latest top of the line appliance at least get vans and fit them with basic equipment. Could not more have been done as we advance to wards Jan 13 2009, when we would have reached LONG TERM? At which time we would start again IMMEDIATE LONG TERM, EARLY LONGTERM etc

If we on BU can preseht reasonable plans to the people, where is the GOB that we elected?

We can understand that the opposition cant comment on the above because they didnt have a clue in the 14 years they were in power.

As for Mia SHE nearly took me on lol

A day I was walking by and that woman dropped a comment at me that I thought was DISGUSTING!

she really wanted to take me on. lol

Have you ever took on Mia Owen or Liz?

Come back home WE LOVE REBELS!

Dont we Bajans still believe that THERE IS MORE THAN ONE WAY TO SKIN A CAT?

Re :UNDER FIRE
Published on: 7/13/08.

The Queen Elizabeth Hospital’s chief executive officer Winston Collymore.

by SANKA PRICE

Now I will help you whip my colleagues when they err, because to err is human.

However, according to the details in the post from the public announcement in the newspaper by BAMP, I am forced to side with BAMP.

If the guys want these few things sorted out to make them happy. compromise with them and do it. WHAT WILL THEY BE ABLE TO COMPLAI ABOUT AFTERWARDS? They requests as mentioned are reasonable.

@ JC
Thanks for your kind remarks I would dearly like to be home amongst my own more than you know. But we don’t like rebels in Bim.
I don’t think I could work with Estwick , cause he keeps too much noise. I wont be able to think.

@ boredickey
You seem to think that “The current CEO Winston Collymore was recruited under the former hospital board, from London where he was involved in hospital administration there…… The current board are well qualified men.”

It seems that the doctors don’t agree with you sir.
All of BAMP cant be wrong on this one.
If he must go in the interest of the health of the people as BAMP thinks, seems to me there should be a compromise here. CEO Winston Collymore must go. He cant run the board and he cant doctor either. Bye.

If we give the board and Dr.Estwick a five year chance, things will be worse at the rate it is going. The DLP comes and goes; BAMP will remain whether you vote for them or not.
What suggestions of consequence you can have to send the minister what? What s “Kick Butt man!”, change must come what?.

Note this Bible story and see if you can find sense in it.
Wicked Pharisees brought a woman alleged to be an adulteress.
They seem to have the Master on the horns of a dilemma, because they have the correct charge under the Law and she is indeed guilty..

If he say don’t stone the woman; they will say “you don’t keep the law.”
If he says stone the woman; they will say “ You don’t exhibit the grace and mercy you profess to have.”

These guys are like some of you. You commit the fallacy of the unexcluded middle. You think its EITHER/ OR. Its this or that. Its not to be the old way; it has to be Estwick’s way. I’m saying that there might just be an alternative way. They might be other ways.

What did Jesus do? He quickly get into position, and played a master shot that eventually caused the case to be thrown out for lack of witnesses, and didn’t condemn the woman because he knew he was going to the cross to take her condemnation.

What must Estwick do. Quickly get into position, and QUIELY play a series of master shots like Chanderpaul. And he will get the job done.

You guys must leave out the emotion.

When the Ministry asks you to respond, then you must respond.

You get worked up about the hospital, but do you dump irresponsibly in our beautiful gullies, and affect our water courses?

You get worked up about the hospital casualty, but dont you clutter it up when you can often go to the polyclinics for the same service.

If the Ministry should ask you to put out your garbage in different colured plastic bags or containers on different days so that we can help the recyclers help Sanitation reduce the garbage that goes to Mount Stinkerro, will you obey, heed and cooperate?

Do you comply with the request of our Public Health Inspectors? Do you parents/ mothers cooperate with the instructions of the midwives and visiting public health nurses? Are you aware of the great job they do in child health care and obstetric health care?

Will our school teachers help the MINISTRY OF HEALTH brain wash our people from tender ages in what are the nation’s goals for health care.

These are just a few of the ways that the public at large can help the MINISTRY OF HEALTH and the Minister, instead of inciting a foolish sounding man to do foolishness.

The Queen Elizabeth Hospital’s chief executive officer Winston Collymore.

by SANKA PRICE

BAD MANAGEMENT is one of the major causes for the decay of patient care facilities at the Queen Elizabeth Hospital (QEH), say doctors.

But they contend this rot can be stopped if the QEH’s chief executive officer Winston Collymore is removed.

The Barbados Association of Medical Practitioners (BAMP) stated this yesterday in a Press release issued to set the record straight on the continuing industrial unrest at the QEH over the last two weeks.

In the release, the doctors said they were committed to ensuring the well-being of the public and pledged they would redouble their efforts to remedy the QEH’s ills and restore confidence in the institution. But to achieve this, Collymore must go, they say.

They stated that despite BAMP’s executive holding several meetings with Collymore there had been “no real measurable success in outcomes or noticeable improvement in the day-to-day function of the hospital”.

“It remains our opinion that the CEO has been ineffective in his capacity to manage the affairs of the Queen Elizabeth Hospital and once more ask for his replacement,” said the statement which was signed by BAMP’s public relations officer Dr Abdon DaSilva.

Unanimous opinion

The release said this was the unanimous opinion of the BAMP meeting held at the Martindale’s Road institution on Friday, July 4, where “members expressed overwhelming dissatisfaction at the performance of the CEO of QEH”.

BAMP also took issue with the “unilateral” manner in which the hospital’s management switched insurance coverage from the Medical Protection Society (MPS), the leading provider of comprehensive professional protection, indemnity insurance and expert advice to doctors, dentists and health professionals around the world.

The association said it did not support the notion that doctors at the QEH or any other individual should, or must agree to the terms of an insurance policy because they consent to having their employer select their insurance coverage.

“Furthermore, the exclusion of insurance coverage as it relates to HIV/AIDS regardless of the reason is particularly worrisome and bodes of institutional discrimination and stigmatisation of people living with HIV/AIDS, and individuals infected with non-Hepatitis A.

“BAMP is not convinced that the board’s interest in containing costs justifies the compromise in insurance coverage for doctors such as the loss of help with ethical problems that arise from professional practice, complaints, medical council enquiries, legal and ethical dilemmas, disciplinary procedures, inquests and fatal accident enquiries.

“These issues are particularly challenging given the continuing “stock-outs”, a persistent and long-standing depleted (X-ray) radiology department, a recent shortage of diagnostic equipment in the respiratory unit, and the excessive delays in the Accident & Emergency Department,” the release said.