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BC Health Care
Comment Form
LAST UPDATE
January 21, 2010
Click on your refresh button in the top menu, to
be sure you see any updates.

Can you believe that in this day and age in Canada that we have a health care
problem? We though that was only a problem in poor countries. Canada
is one of the richest countries, so why is health care funding a problem here?
It really is hard to fathom in this day and age!
Make a comment using our "BC
healthcare system" comment form below.
OkanaganLakeBC.com suggests that everyone who uses Vernon Jubilee Hospital and
Armstrong doctors withhold 3 months worth of Medical Services premiums from the
BC government and
instead pay it towards VJH beds and an Armstrong doctors clinic.
After all the
BC government does has $10 million to dredge Burnaby Lake!
You know where their priorities are don't you!! Lets dredge the lake and
leave these poor people in the hospital hallway. Wake up people, we all
need to change in order for this genocide to end.

All I have to do is look at my pocketbook to see
government mismanagement of funds.

Health Canada Exposed
MEDICARE SCHMEDICARE from Knowledge Network
Is one tier Medicare a myth? As the country languishes in the debate
whether to move to a parallel private health care system, Medicare Schmedicare
takes the unorthodox stance that two tier health care is already here.
Next Show on Jun 27, 2008 11:00 PM
The wait list for surgery is long. If you sign a waiver saying that your
surgery is not necessary, you have the option to pay for your surgery yourself
and get your healthcare sooner. The False Creek clinic in Vancouver is one
place you can buy your healthcare sooner. You have the option to pay for
your surgery yourself in the U.S. as well.

Recalling of drugs
Kelowna Capital News - By John Sherman -
January 19, 2010Recently Johnson & Johnson
recalled some over the counter drugs that are common place
in many people’s medicine cabinets.
This is the second time the company has done so in less than
a month, this time because of a mouldy smell that has made
people taking the medication sick.
These drugs were actually contaminated by a chemical used to
treat wood on the pallets used to transport the raw
ingredients of the drugs to the manufacturing plant.
The recall applies to some batches of Tylenol caplets and
gel tabs.
Some Tylenol arthritis treatments, both rapid release and
extended relief. Motrin IB, chewable extra-strength Rolaids,
Benadryl allergy tablets and St. Joseph aspirin.
The symptoms that led to an investigation of the poisonings
were very common symptoms for other ailments, such as
vomiting, diarrhea and cramping.
Many patients showed up at the emergency room only to be
told it was nothing to worry about.
Some people told me about their experience, where the
tainted products they took ultimately resulted in a ride in
the ambulance to the hospital.
Yes, pharmaceuticals do have there place in the medical
world, but pills do have a tendency to be over-prescribed.
And dealing in the volumes that pharmaceutical companies
manufacture of different products, it seems at least once a
year recall notices are publicized.
Sometimes the potential for a recall is known about before
the drug leaves the manufacturing facility, but it still
leaves the plant because the cost of recalling or stopping
production on a particular medication is more than what any
lawsuit potentially might cost the company.
I don’t suggest you forego any prescriptions or over the
counter medications that you choose to take, just realize
that their are other alternatives out there.
Homeopathic remedies, for example, can offer many effective
alternatives to drugs commonly used everyday whether
prescription or OTC.
There is a Health Canada website—
www.hc-sc.gc.ca/dhp-mps/compli-conform/recall-retrait/_list/index-eng.php
or
http://www.hc-sc.gc.ca/ahc-asc/media/advisories-avis/alpha-eng.php—
where you can view a list of recalled drugs and medical
devices.
It may be a month or so behind, but it does offer some eye
opening information.
It is interesting to note that there are literally thousands
of products that have been recalled because of safety
concerns for the user.
This also includes herbal products and imported foods that
have been contaminated with heavy metals and pesticides at
their countries of origin, such as China and India.
It is absolutely impossible to inspect every piece of cargo,
food or drug that comes in or goes out of our country. For
that reason alone, drug recalls will occur.
As I always say, educate yourself and keep on top of these
things yourself. Go to the websites I listed above and start
searching.
John Sherman is a professional homeopath in Kelowna.
250-764-2487
Cedarlake "at" telus.net
http://www.hc-sc.gc.ca/ahc-asc/media/advisories-avis/_fpa-ape_2009/2009-213-eng.php |

Health centre still a concern
Vernon Morning Star - By Richard Rolke -
January 16, 2010
Enderby residents remain anxious over the future of health
care services.
The Interior Health Authority is trying to hammer out a new
funding contract with doctors who work at the Enderby
Community Health Centre, and that has residents speculating
the facility will close.
“People in the community are quite concerned about it,” said
Mayor Dee Wejr.
“Rumours can start going around and they can become fact.”
However, IHA denies closure is an option.
“There are no substances to the rumours,” said Pat Furey,
community administrator.
“Our intent is to keep the facility open. Our full intent is
to work with the doctors to get a solution.”
The agreement with the doctors ends in March.
“We are continuing to work with the physicians and
negotiations have continued,” said Furey, adding that a
temporary extension to the contract could occur until a deal
is inked.
But even if the contract with the doctors ends, Furey
insists other services at the centre will continue.
Among the services are counselling, diabetic education, help
to stop smoking, immunization clinics, Meals on Wheels, new
baby visits, ambulatory care and a laboratory.
Wejr hopes IHA’s interpretation of events is accurate.
“We’ve been disappointed with IHA before but there are
promising signs,” she said.
“They are continuing with negotiations and it looks hopeful.
But if negotiations for the funding model don’t work out,
they can’t continue with the service level.”
Enderby council has written MLA George Abbott on the matter,
and Wejr wants assurances that the public’s needs are
paramount.
“We want to make sure our voice is out there and things work
out in a beneficial way for our community,” she said. |

N.B. couple separates to lower nursing-care costs
CBC News - Friday, December 11, 2009
A New Brunswick
woman says she has no choice but to legally separate from
her husband because she can't afford to pay for his nursing
home care.
Judy MacKenzie, 66, says leaving her husband, Alton, just so
he can qualify for lower care costs is not what she
envisioned after 45 years of marriage.
'I think it's devastating that I have to, but there's no
other way.'
—Judy MacKenzieBut the Department of Social Development
decides how much clients pay for care based on their
combined family income. And for MacKenzie, the cost is
simply too high.
"I think it's devastating that I have to, but there's no
other way," she said about separating from her husband,
Alton.
In 2003, he had at least two strokes and has had to be cared
for in a Miramichi nursing home ever since.
Judy MacKenzie, who now lives in Fredericton, says the bill
for his care is about $2,500 a month and the government
wants her to pay about $700 of that.
"It's just not realistic," she said. "It's just too much. I
couldn't live the way I am living now, which is just
ordinary living. I don't do anything special or anything."
After paying her rent, car payment and power bill, MacKenzie
said she's left with less than $500 a month to cover
groceries, prescriptions, gas and insurance.
The only way to pay less for her husband's care is to get a
legal separation, she said.
So on Friday, he signed the papers to begin the process.
Once it goes through, the cost of his care will be based
solely on his income.
MacKenzie says it's not the best solution, but believes it's
the only one now that she's living paycheque to paycheque.
"Alton's good about it," she says. "He knows it's not going
to change anything about me visiting him or anything like
that — I'm not that type of person.
"But you know it is quite a sad thing…. The lawyer even
thought it was. She even teared up, you know, to think."
The Department of Social Development won't comment on
individual cases, but a spokesperson said the government
offers financial assistance to clients who struggle to pay
for care. |

VJH operational services review
Castanet.net - by Contributed - Story: 51096
Nov 26, 2009 / 3:00 pm
Interior Health has received the report of Medical Management
Consulting which conducted a review of the operational services
of Vernon Jubilee Hospital and the services offered in the
communities of the North Okanagan.
“The review is very timely as Interior Health, physicians and
staff plan for opening Vernon Jubilee Hospital’s new patient
care tower in 2011,” says Pat Furey, Health Services
Administrator for the North Okanagan.
The scope of work included identifying resources and utilization
rates (community, acute and residential care) within North
Okanagan communities including Revelstoke and Salmon Arm, and
comparing these with the other five large sites in Interior
Health (Kamloops, Kelowna, Penticton, Trail and Cranbrook) and
with two other external comparison sites Langley Memorial
Hospital and Peace Arch Hospital in White Rock.
The report has identified a number of different areas where
administration, staff and physicians can focus to build for the
future:
•Review bed supply and requirement projections
•Examine whether more inpatient cases can safely be converted to day
procedures
•Establish an OR Management Committee with physicians, administration,
nursing and support staff
•Create an OR Utilization Committee with OR access based upon set
criteria including surgeons’ wait times
•Establish a task group to examine emergency surgery volumes
•Strengthen and develop medical leadership.
“We recognize there are challenges,” says Dr. Doug Hardy, Chair
of the Medical Advisory Committee. “The North Okanagan is a
large and growing area, with a high number of people over age
65. Vernon Jubilee consistently manages high occupancy rates and
we know this places a strain on the physicians and staff.
However, we intend this to be a collaborative process and we
will address the report’s recommendations together with Interior
Health so we are on the best possible footing when the new tower
opens.”
An Implementation Committee has been established to oversee
progress over the coming months the Implementation Committee has
representation from VJH physicians and Interior Health
administration.
A project manager has also been appointed and will begin work
with the Implementation Committee immediately.
The report is available on the Interior Health website. |

September 10, 2009 Governance & Services Committee Meeting Minutes
4. Regional Parks Services
4.1 Douglas Fir Tussock Moth Update - Forested Crown & Private
Lands in the Central Okanagan
In follow-up to the August 13th Governance and Services Committee
meeting staff were asked to report back whether there is a role for
the Regional District to work with the Ministry of Forests on local
infestation of the moth as well as whether there
is an issue with regional properties that need to be addressed.
Staff reviewed the areas of concern within the Regional District and
the role of the District including talking to Interior Health.
Staff report dated August 25th outlined the areas of known
infestation in the region.
Ministry of Forest mapping has not yet been completed and the
severity level is currently unknown. Based upon the results of
further survey, staff anticipate seeking Board approval to partner
with the Ministry in any future Ministry sponsored aerial spraying
application for the Trepanier Valley and Coldham Regional Park.
Appropriate funding levels will need to be determined for the 2010
Regional Parks budget.
#GS76/09 SHEPHERD/EDGSON
THAT the August 25, 2009 staff report on the Douglas Fire Tussock
Moth update be received;
AND FURTHER THAT staff be directed to
contact Interior Health (medical staff) and municipal staff to
provide information regarding the affect of the Moth on public
health;
AND FURTHER THAT staff continue to update the Board on issues
related to the Moth and infestation within the Central Okanagan.
CARRIED
-------------------------
FYI - The
Tussock Moth is a serious health hazard and can cause reactions in
people. It is also very devastating to trees,
including some decorator trees that could be growing in your own
yard.
This tree is located near the Spallumcheen
Industrial Park near Armstrong BC and was already attacked by the
Tussock Moth. The woman whom lived in the house next to the
trees had itchy legs from a reaction to the Tussock Moth during the
active season. She did not know why she had itchy legs and
went to the doctor for cream to put on her legs. It wasn't
until a pest control company stopped in to notify the owner of what
was wrong his trees that it was found out about how the Tussock Moth
can cause reactions in people.

This is a photo is of a left over of the Tussock
Moth.

This is a photo of the Tussock Moth Cocoon on a
branch. The cocoons are found on the underside of the branches
on this tree.

----------------------------------
August 13, 2009 - Governance & Services Committee Meeting Minutes
3. Delegations 3.1 Lorraine Maclauchlan, Ph.D. Forest
Entomologist, Ministry of Forests and Range - Southern Interior
Region, Stewardship Section - re: Pest management in Crown forests
L. Maclauchlan addressed the committee and provided a review of the
Province's pest management in Crown forests and in particular pests
around your home. Information on the Douglas-Fir
Tussock moth, treatment and control, as well as recognizing the
Western Spruce budworm was highlighted.
-
Outbreak of the
Douglas-Fir and Tussock moth was reviewed.
It was
noted the Tussock moth may cause allergic reactions to humans,
horses and dogs.
-
Mapping is being done
in Kamloops, South Okanagan, Similkameen and Rock Creek to
Christina Lake. Outbreak is bad in areas of Trepanier, Glenmore
Road, and the Kelowna airport area. Outbreaks often start on
private lands. Outbreaks last for a period of approximately four
years.
-
The outbreak in the
Okanagan is at approximately year one. By year two or three the
outbreak is often rampant. If the Ministry can treat early, the
outbreak would cause less damage. It was noted that trees do not
necessarily die in the first year but only defoliate.
-
Management options
were reviewed. When, why or where would you spray. It was noted
that this is a naturally occurring pest.
-
Ministry policy at
the present time is to use virus (NPV).
-
Cost estimates were
reviewed using B.t.k. and NPV.
-
Is there a role the
Regional District can play to inform the public? Communicating
the potential problem is important in order to inform the public
ie: Trepanier is a new area of outbreak.
-
If spraying were to
occur in rural areas, all communities would have to agree as you
can't spray a 'stop, gap' method. Ministry gets signed position
from homeowners and in an area all homeowners would have to
agree before spraying would occur.
-
The Thompson Nicola
Regional District has contributed funds to spray on private
lands assisting the Ministry with the spray program in the area.
Their criteria was 'land had to sit next to Crown lands'.
-
The spray is only available from the Province or
Federal governments, It's a biological agent and does require
special handling methods. Forest services decides when it might
be appropriate and how to use it.
#GS63/09 HODGE/BAKER
THAT the presentation by Lorraine Maclauchlan, Ph.D. Forest
Entomologist, Ministry of Forests and Range - Southern Interior
Region, Stewardship Section regarding Pest management in Crown
forests be received.
CARRIED
The Committee discussed:
Whether residents can contact the Ministry directly if there is an
issue in their area. Yes, they can and should.
Should an education campaign be communicated by the
Regional District? There is time to review as it is too late for
spraying this year. Information from staff is needed on what the
risks are within the Regional District first before expectations are
created. It may be helpful if there were some well timed articles on
the moth directly to the medical profession as well as the public.
The medical profession needs to be aware that over the next few
years reactions may occur to some sections of the population and be
educated in order to treat properly.
#GS64/09 EDGSON/BAKER
THAT staff be directed to report back to the Governance and Services
Committee if there is a role for local government working with the
Ministry of Forests on local infestation of the Douglas-Fir and
Tussock moth; as well as whether there is an issue with regional
properties that needs to be addressed in the future.
CARRIED |

June 22, 2009 Highlights of the Regional Board Meeting
Regional Hospital District
The Board of the Central Okanagan Regional Hospital
District has received the 2008 Financial Statements and
Reports. The Regional Hospital District had total revenues
of $11.1million and expenditures of $10.1 million during the
fiscal year.
The Regional Hospital District ended the 2008 fiscal year
with an
operating surplus of
$5.3 million.
The Regional Hospital District Board has
approved nine
expenditure bylaws providing 40 per cent of the funding or
just over $2.6 million towards for capital projects and
equipment requested by Interior Health for the Central
Okanagan. Among the projects approved:
-
expansion of the
TeleHomeCare Monitoring program,
-
a Cardiology Picture
Archiving System,
-
a Chemistry Analyzer and a
- Single Photon Emission Computed Tomography CT.
|

April
27, 2009 Regional District of Central Okanagan Regular Board
Meeting Minutesd) BC Ambulance
The question was raised regarding correspondence which
has been circulating to local governments regarding working
conditions and contractual issues for the BC Ambulance
attendants.
It was noted that they will be addressing West Kelowna
Council later this week.
By consensus staff were requested to circulate
information to the Board on BC Ambulance operations. |

Bill C-51
Allow laws to be created in Canada, behind closed doors,
with the assistance of foreign governments,
industrial and trade organizations (Section 30.7)

CBC News on Bill C-51
May 9, 2008
Critics feel the bill will outlaw up to 60 per cent of natural health products
currently sold in Canada, making many natural health products that have been
sold in Canada for decades unavailable for purchase and penalizing parents who
give herbs or supplements to their children.
They also argue that the government could designate any natural health product a
prescription drug, making it available by prescription only. They say these
types of provisions will force small companies out of the market.

How one smoker remembers health care.
The government told smokers they were raising the tobacco tax significantly to
cover health care costs. Supposedly smokers cost the health care system a
lot more than the average Joe, even though some smokers die early.

In B.C., premiums are payable for
MSP coverage
and are based on family size and income.
The monthly rates are:
$54 for one
person
$96 for a family of two
$108 for a family of three or more
Regular premium assistance offers subsidies ranging from 20 to 100 per cent,
based on an individual's net income (or a couple's combined net income) for
the preceding tax year, less deductions for age, family size and disability. If
the resulting amount referred to as "adjusted net income" is $28,000 or below, a
subsidy is available.
------------------------------------------------
One
single pack a day smoker can pay more than $108.59 tax on cigarettes in one
month! That's just tax!
$35.80 tax per carton divided by 10 packs in a carton = $3.58
tax per per package of cigarettes.
$3.58 per pack times 7 days a week = $25.06 per week tax
$25.06 per week tax x 52 weeks in a year = $1,303.12 tax per year
$1,303.12 divided by 12 months =
$108.59 a
smoker pays in tax per month
if they smoke one pack a day.
There is still G.S.T. to add to the $108.59 tax per month yet, and
that is just tax and does not include the cost of the cigarettes.
Tobacco addicts are already down and out and broke because of their
addiction, and then the government has to go and make these addicts feel
even worse by tossing these addicts to the freezing cold, and on top of
that steal their money! The government is a thief and has no
heart, honestly! Cake, cookies, potato chips, beer, vehicle
emissions, just about everything is bad for us. Does that give
government an excuse to mismanage our taxes and steal money?
The shortage of healthcare money could be more attributed to
things like this:
Taxpayers get
shafted by government

TAXPAYERS GET SHAFTED BY
GOVERNMENT
Go Up
article regarding the existing Vernon Jubilee Hospital
tower expansion planned years ago.
as published in the Vernon Morning Star April 30, 2008

click letter to read larger print
Snippets from letters article published in the Vernon Morning Star:
The entire mechanical systems are all double what was necessary and that tower
was designed for three more floors.
All that extra money was spent thinking of the future.

Some latex examination gloves being used by dentists and doctors across
Canada contain flies, larvae and unidentified black matter, a Global B.C.
investigation has revealed.
The news reported on June 6, 2008 6:00 PM newscast that the U.S. knew about the
embedded bugs in surgical gloves and discontinued using them in 2006. The
news also said that Health Canada didn't know about the bugs imbedded in the
surgical gloves until the media reported on it this year 2008.

A technician in Dr. Victor Hasson's Vancouver hair replacement clinic first
noticed something strange about one of the gloves imported by Calgary-based
distributor, Hedy Canada.
A look through a high-powered microscope not only revealed flies with their
wings still attached embedded in the gloves, but also metallic black matter.
Independent lab tests confirmed the presence of flies, matter consistent with
larvae, unidentified black material and also showed there were holes in most of
the nine gloves inspected.
Source
Canada.com

IHA ‘bungling’ alarms eye care society
By Roger Knox - Vernon Morning Star -
Published: February 27, 2009
The Interior Eye Care Society believes Interior Health
Authority’s (IHA) financial eyes are closed when it comes to
funding the Lions Vision Centre in Armstrong.
Thus, executive members are recommending the society’s
imminent dissolution, citing what society president John
Trainor calls “bureaucratic bungling” as the main reason.
“We always seem to be having to kick open the door in order
to throw money into the centre,” said Trainor.
In a two-page release issued to North Okanagan media, and to
IHA, which pays for the nursing staff at the vision centre,
Trainor said the final straw came in late 2007.
A request was put forward by Vernon eye physician Dr.
Mathias Fellenz, who Trainor said has performed numerous
surgeries at the Lions Vision Centre, for a $150,000
state-of-the-art machine used in the diagnosis and treatment
of retinal disease, and diagnosing glaucoma.
The Eye Care Society states it committed $90,000 to the
purchase price, and felt it could raise another significant
amount before payment was required.
A financial plan was submitted to Interior Health, showing
that the machine would provide revenue and pay for itself
within five years, a plan the society said was supported by
Peter DuToit, then North Okanagan administrator for IHA, and
Assunta Shepherd, health services director.
According to the society, the head of the IHA’s finance
department, based in Kelowna, questioned whether the
Okanagan needed this machine, and the society’s request was
turned down.
“There’s probably a feeling at Interior Health that Kelowna
is the centre of the universe, and if something’s not in
Kelowna, they can’t control and keep an eye on it, then they
don’t want it,” said Trainor.
Shepherd, now acting community administrator for North
Okanagan after DuToit transferred to other IHA duties, said
there’s a process everyone in Interior Health is required to
follow when it comes to capital purchases.
“When we were requested to look at capital projects, the
dollars for that year had already been assigned, and the
wish list already decided upon,” said Shepherd.
“Their number one choice on the list was their laser
machine, which did get purchased. The laser was the number
one choice as it was the only piece of equipment that had
outlived its life expectancy.”
Dr. Fellenz, according to Trainor, purchased the $150,000
machine for his practice in Vernon after IHA turned down the
request to have the machine bought for the vision centre.
The society states it has a “very real fear” that IHA is
doing a behind-the-doors closure of the Lions Vision Centre.
“As the numbers drop, and fewer and fewer procedures are
done, they’ll probably find some reason to close it down,”
said Trainor.
“That’s our real concern here.”
Shepherd emphatically denied the society’s claim.
“That’s never been discussed,” said Shepherd about a
possible closure.
IHA would like to sit down and talk with the society before
they put a dissolution motion forward to its members.
“Hopefully we can get them convinced, but I’d rather them
not dissolve,” said Shepherd.
“They’ve been a great support since we put the Lions Vision
Centre in Armstrong. They have made major contributions to
the equipment out there.”
Founded in May 2002 to enhance eye care in the North
Okanagan-Shuswap, the society’s specific purpose was to
provide financial help to the Lions Vision Centre, located
in the Pleasant Valley Health Centre in Armstrong.
“Our idea was to have a centre of excellence for eye care in
the Interior of B.C.,” said Trainor. “We have patients
coming from Salmon Arm and Kamloops, some from Vernon and
Kelowna, lots from Revelstoke and the Kootenays. I don’t
have the exact numbers but thousands of procedures have been
performed there.”
The society, which has 38 members, has contribute more than
$194,000 to the Lions Vision Centre, including the
completion of the eye examination room, purchase of a new
surgical chair, creation of a $20,000 endowment fund with
the Community Foundation of the North Okanagan, and a
commitment of $95,000 toward purchase of a new laser.
Trainor said the society’s members will be presented with
the dissolution recommendation at the group’s annual general
meeting in April. |

Canadian family stricken with Lyme Disease give $500,000
Keremeos Review - February 17, 2009
West Kelowna, BC – An Ontario family recently donated
$500,000 to the Canadian Lyme Disease Foundation (CanLyme.com)
towards funding an independent research facility in Canada
after two members of the family fell seriously ill with Lyme
disease.
The family members, who wish to remain anonymous, became ill
and were left with no answers after extensive Canadian
testing. The pair subsequently went to the United States
where with more aggressive investigation doctors promptly
diagnosed them with Lyme disease and began treatment. They
continue to improve.
CanLyme president Jim Wilson said, “This family struggled
within the Canadian health care system, as are thousands of
Canadians, and were let down by poor testing and a false
confidence within the medical community that Lyme disease is
rare in Canada. The medical leadership in Canada, including
the federal and provincial governments are letting us down.
Doctors and patients are not told of the serious limitations
of the tests used - limitations acknowledged by the global
science community.”
Lyme disease is a bacterial infection carried by ticks.
Ticks are brought into Canada in the hundreds of millions
each season on migratory birds and are spread randomly
across Canada following migratory bird flyways. You do not
need to live in or have visited a known endemic area to
become infected as some government agencies and medical
organizations suggest.
Inadequate testing, inconsistent reporting criteria, limited
surveillance and poor clinical diagnostic knowledge have
resulted in less than 50 cases of Lyme disease being
reported yearly in Canada. On the other hand, the United
States reports over 25,000 cases of Lyme disease annually –
mainly in states adjacent to the Canadian border. Due to
under-reporting the US Center for Disease Control estimates
that annual cases in the US could actually be 200,000. The
European Union confirms in excess of 85,000 cases annually.
Lyme disease, the fastest growing infectious disease in the
northern hemisphere, is known as the “Great Imitator.” It is
a multi-system, multi-organ infection and can cause numerous
symptoms including extreme fatigue, arthritis, heart
abnormalities, bowel and digestive problems, abnormal skin
sensations, muscle weakness or jerking, eyesight or hearing
abnormalities, cognitive and memory difficulties, dementia,
and in some cases paralysis.
Lyme disease is commonly misdiagnosed as rheumatoid
arthritis, Multiple Sclerosis, Lupus, Parkinson’s disease,
irritable bowel, fibromyalgia, and chronic fatigue. CanLyme
says research, including post-mortem study, is required
utilizing all of today’s technology to determine how
frequently these other diagnoses are in fact caused by Lyme
disease. We know a percentage are in fact Lyme disease, what
we don’t know is what that percentage is.
-------------------------------------------------------------------------------------
5 Comments
by blaze24
Dr. Becker even mentions Lyme in either 'The Body Electric'
or 'Cross Currents'...
'The Body Electric' by Robert O. Becker, M.D. - (pages
276-278)
Subliminal Stress
"After Howard Friedman, Charlie Bachman, and I had found
evidence that "abnormal natural" fields from solar magnetic
storms were effecting the human mind as reflected in
psychiatric hospital admissions, we decided the time had
come for direct experiments with people. We exposed
volunteers to magnetic fields placed so the lines of force
passed through the brain from ear to ear, cutting across the
brainstem-frontal current. The fields were 5 to 11 gauss,
not much compared with the 3,000 gauss needed to put a
salamander to sleep, but ten to twenty times earth's
background and well above the level of most magnetic storms.
We measured their influence on a standard test of reaction
time - having subjects press a button as fast as possible in
response to a red light. Steady fields produced no effect,
but when we modulated the field with a slow pulse of a cycle
every 5 seconds (one of the delta wave frequencies we'd
observed in salamander brains during a change from one level
of consciousness to another), people's reactions slowed
down. We found no changes in the EEG or the front-to-back
voltage from fields up to 100 gauss, but these indicators
reflect major alterations in awareness, so we didn't expect
them to shift.
We were excited, eagerly planning experiments that would
tell us more, when we came upon a frightening Russian
report. Yuri Kholodov had administered steady magnetic
fields of 100 and 200 gauss to rabbits and found areas of
cell death in their brains during autopsy. Although his
fields were ten times as strong as ours, we stopped all
human experiments immediately.
Friedman decided to duplicate Kholodov's experiment with a
more detailed analysis of the brain tissue. He made the
slides and sent them to an expert on rabbit brain diseases,
but coded them so no one knew which were which until later.
The report showed that all the animals had been infected
with a brain parasite that was peculiar to rabbits and
common throughout the world. However, in half the animals
the protozoa had been under control by the immune system,
whereas the other half they'd routed the defenders and
destroyed parts of their brain. The expert suggested that we
must have done something to undermine resistance of the
rabbits in the experimental group. The code confirmed that
most of the brain damage had occurred in animals subjected
to the magnetic fields. Later, Friedman did biochemical
tests on another series of rabbits and found that the fields
were causing a generalized stress reactions marked by large
amounts of cortisone in the bloodstream. This is the
response called forth by a prolonged stress, like a disease,
that isn't an immediate threat to life, as opposed to the
fight-or-flight response generated by adrenaline.
Soon thereafter, Friedman measured cortisone levels in
monkeys exposed to 200-gauss magnetic fields for four hours
a day. They showed the stress response for six days, but it
then subsided, suggesting adaptation to the field. Such
seeming tolerance of continued stress is illusory, however.
In his pioneering lifework on stress, Dr. Hans Selye has
clearly drawn the invariable pattern: Initially, the stress
activates the hormonal and/or immune systems to a
higher-than-normal level, enabling the animal to escape
danger or combat disease. If the stress continues, hormone
levels and immune activity gradually decline to normal. If
you stop your experiment at this point, you're apparently
justified in saying, "The animal has adapted; the stress is
doing it no harm." Nevertheless, if the stressful condition
persists, hormone and immune levels decline further, well
below normal. In medical terms, stress decompensation has
set in, and the animal is now more susceptible to other
stressors, including malignant growth and infectious
disease.
In the mid-1970's, two Russian groups found stress hormones
released in rats exposed to microwaves, even if they were
irradiated only briefly by minute amounts of energy. Other
Eastern European work found the same reaction to 50-hertz
electric fields. Several Russian and Polish groups have
since established that after prolonged exposure the
activation of the stress system changes to a depression of
it in the familiar pattern, indicating exhaustion of the
adrenal cortex. There has even been one report of hemorrhage
and cell damage in the adrenal cortex from a month's
exposure to a 50-hertz, 130-gauss magnetic field.
Soviet biophysicist N. A. Udintsev has systematically
studied the effects of one ELF magnetic field (200 gauss at
50hz) on the endocrine system. In addition to the "slow"
stress response we've been discussing, he found activation
of the "fast" fight-or-flight hormones centering on
adrenaline from the adrenal medulla. This response was
triggered in rats by just one day in Udinstev's field, and
hormone levels didn't return to normal for one or two weeks.
Udinstev also documented an insulin insufficiency and rise
in blood sugar from the same field.
One aspect of the syndrome was very puzzling. When
undergoing these hormonal changes, an animal would normally
be aware that its body was under attack, yet, as far as we
could tell, the rabbits were not. They showed no outward
signs of fear, agitation, or illness. Most humans certainly
wouldn't be able to detect a 100-gauss magnetic field, at
least not consciously. Only several years after Friedman's
work did anyone find out how this was happening.
In 1976 a group under J. J. Noval at the Naval Aerospace
Medical Research Laboratory at Pensacola, Florida, found the
slow stress response in rats from very weak electric fields,
as low as five thousandths of a volt per centimeter. They
discovered that when such fields vibrated in the ELF range,
they increased levels of the neurotransmitter acetylcholine
in the brainstem, apparently in a way that activated a
distress signal subliminally, without the animal's becoming
aware of it. The scariest part was that the fields Noval
used were well within the background levels of a typical
office, with its overhead lighting, typewriters, computers,
and other equipment. Workers in such an environment are
exposed to electric fields between a hundredth and a tenth
of a volt per centimeter and magnetic fields between a
hundredth and a tenth of a gauss."
reply edit record video comment reblog flag
blaze24
by blaze24
Mobile Phone Emissions Increase Worm Fertility:
http://www.newscientist.com/article/dn1889-mobile-phone-emissions-increase-worm-fertility.html
Notice how the Lyme epidemic parallels the cell phone boom?
'Cross Currents' by Robert O. Becker M.D. – page 72.
"In 1975, Professor Richard Blakemore, also of Woods Hole
Marine Biological Laboratory, became intrigued by the
strange behavior of some bacteria he was studying. Blakemore
noticed that the bacteria always clustered at the north side
of their culture dish. Even if he turned the dish so that
they were at the south end and left it overnight, the next
morning the bacteria were back at the north side. While such
“magnetotrophic” bacteria had been described before, no one
had ever done what Blakemore did next: he looked at them
under the electron microscope. What he found was
astonishing. Each bacterium contained a chain of tiny
magnets! The magnets were actually crystals of the naturally
magnetic mineral magnetite, the original lodestone of
preliterate peoples. Somehow, the bacteria absorbed the
soluble components from the water and put them together in
their bodies as the insoluble crystalline chain.
Later studies showed that this arrangement was of value to
these bacteria, which lived in the mud on the bottom of
shallow bays and marshes. If they were moved by the tide or
by storm waves, their magnetic chains were large enough (in
comparison to their body size) to physically turn their
bodies so that they pointed down at an angle corresponding
to the direction of magnetic north. All the bacteria had to
do was swim in that direction, and sooner or later they
would be back in the mud. This was an interesting mechanism,
but it did not contain any sophisticated information
transfer. The bacteria did not “know” that north was the way
to swim; they just did so. However, these observations
opened up a much more interesting series of investigations."
blaze24
by scubamom
As a Lyme Disease sufferer from the Okanagan it is critical
to the people of this country that better testing, clinical
diagnosis, and treatment (long-term) be available. We are
sick individuals who have lost everything while our
governments continue to turn a blind eye. The medical
profession should be ashamed of their actions and held
accountable for their misdiagnosis over and over again. This
has caused severe suffering amongst those who are innocent
victims. The band-aid approach to this disease in this
country should appall every single citizen. It is real and
most of us are banished from society and left to die. With
appropriate treatment (long-term) our lives could be
restored. Telling us it is in our heads or passing the buck
doesn't solve anything. I'm so angry and never had any idea
the devastation this disease could cause. Please wake up
Canada and work together on this.
scubamom
by opiekitty
Gifts like these will ultimately help the thousands of
people struggling to get a proper diagnosis treatment in a
timely manner. Thank you to the donors. I don't understand
why mainstream medicine and our government agencies (United
States included) turn such a blind eye to this terrible
illness and fight to oppose and put out of business those
MD's who recognize Lyme's severity and are willing to treat
us with longterm antibiotics. Without those few brave Drs, I
would most certainly have been dead by now.
opiekitty |

Doctors question emergency room upgrade
By Richard Rolke - Vernon Morning Star -
Published: January 23, 2009The latest in
technology will help streamline Vernon Jubilee Hospital’s
emergency department, but some doctors insist it’s not
enough.
An electronic patient tracking system is being installed in
the emergency department at a cost of $164,000. It will
provide all of the details needed to assess and treat a
patient.
“As there is always grid lock and code purples and complete
congestion, this board will be of little value. We need more
funded beds,” said Dr. Chris Cunningham, former VJH medical
staff president.
“Without more funded beds at VJH, this board and anything
else introduced will be of little help to patients and
health care workers. We have had more code purples and a
greater amount of over capacities with patients having no
proper beds since all our previous cries for help several
months ago.”
Dr. Ed Hardy, current medical staff president, has mixed
views about the new tracking system.
“The ER docs should be able to see and evaluate patients
more efficiently and move them through the department more
quickly, but if they end up admitted, they might still end
up stuck in ER if there are no beds elsewhere An electronic
board of any colour won’t fix that problem,” said Hardy.
Installation of the tracking system comes at the same time
that construction has been launched on the new $160 million
patient care tower.
“The new tower does nothing to address the critical bed
shortage we have had yesterday, we have today, and we will
have tomorrow and even well past the day the new tower
opens,” said Cunningham.
“We need the government to commit to funding more beds
immediately and commit to funding beds in the two extra
floors shelled into the new tower.”
George Abbott, health minister, anticipates beds could be
developed in the one shelled-in floor after the tower opens
in 2011, and the second one some time after that.
“The beds will come as needed and clearly they are needed,”
he said, adding that the tower project is an indication of
the government taking the doctors’ concerns seriously.
“All of that is needed to relieve pressure on a really good
hospital. It’s one of the biggest projects in B.C.”
With the tracking system, doctors and nurses will have
access to information like triage level, bed number,
symptoms and updates on lab orders. It will eliminate the
need to manually track down these details.
“It won’t alleviate code purple but it will allow us to use
the space more effectively,” said Dr. Manish Bhatt,
emergency department head.
“The white board will allow us to continue to see patients
effectively and quickly. We want to take care of our
patients and community and this will help.” |

New clinic serves community’s needs
By Natalie Appleton - Vernon Morning Star
- Published: January 27, 2009
At lunch just eight days after opening its doors, the Haugen
Community Healthcare Centre has all the looks of a new
medical office — wet paint signs, empty chairs, soon to be
filled by waiting patients reading magazines; and sticky
notes on the lab cupboards so the doctors know where to find
things over the first few weeks.
It’s a sight Dr. Richard Sherwin didn’t think he’d see a
year ago.
“This is what I thought had to happen...but I didn’t really
believe it could happen without government support.”
Last February, when Sherwin left a packed town hall meeting,
held to address an impending doctor shortage that could have
left Armstrong with only one doctor by June, he wasn’t
feeling optimistic. Sherwin, who had announced he would soon
be leaving after the doctor he shared a practice with did
the same, had suggested a subsidized and staffed group
clinic could attract four physicians by fall.
The public, in the form of 120 people at Oddfellows Hall and
later 1,000 signatures; along with Sherwin, made a plea to
the Interior Health Authority to help make the multi-doctor
facility a reality. They were told the money just wasn’t
there.
But that was hardly the end of it. In fact, it was the
beginning of a push by the public and the Haugen Community
Healthcare Society to raise enough money for and find an
office space.
Sherwin said he’d stay. So did his wife, Dr. Maureen
Clement. So did Dr. Kira McClellan and Dr. Reta Kutsche, who
had both worked temporarily with Sherwin.
“We hadn’t anything to promise them. They had to trust us,”
said society spokesman Nick Watkins. The community took a
leap of faith, too, setting aside questions of why they
should donate to a doctors’ facility for the promise they
were made.
If they didn’t do it, Watkins told doubters, there would be
no doctors in Armstrong. Residents would have to go to
Enderby or Vernon for that, and they’d start getting their
prescriptions there, too, maybe do some shopping while
they’re there.
“Inexorably, the town would die, little by little,” said
Watkins. And no one wanted that.
By July, the society announced it had secured enough money
for a 3,700-square-foot space in Pharmacy Plaza, above the
Century 21 offices. The doctors bought computers from a
local store, hung an Armstrong artist’s painting on a wall.
A handful of residents brought their hammers and helped
build.
When government walked away, the community stepped up.
“People started coming out of the woodwork with abilities to
add,” said Sherwin.
“It’s a great community success story because it will be
here in the future and it will attract doctors for years to
come.”
On Jan. 12, the Haugen Centre, named after Armstrong’s
revered Dr. Ragnnvald Haugen, opened.
Sitting in one of the doctors’ offices (there are two, in
addition to eight examining rooms and one for visiting
nurses or specialists) with a window overlooking Highway 97
and a few unpacked boxes on the floor, McClellan said the
Haugen Centre already feels like home.
“I think it feels great. Everything was so temporary until
now. We were looking for a place to settle in and this feels
right,” said McClellan, who, like her peers, will handle
nearly 1,100 patients in the office.
“It’s the legacy for the future. This is what this town
needs for its primary care. Without it, its primary care
would have been in jeopardy,” she said.
That’s the message the society’s campaign team is sending as
it continues to ask for support so it can raise $750,000
over three years to pay for the renovations and equipment
and later, to buy the office space.
“Our pitch to the community is let’s buy the place, and then
it’s here in perpetuity,” said Watkins, preparing for the
centre’s ribbon cutting Saturday.
Public viewing of the facility will be at 10 a.m., with
official ceremonies at 11 a.m.
Sherwin believes the Haugen Centre will become a house for
doctors for decades to come.
“It’s at the leading edge of the way practices are being set
up and what’s available in Canada,” he said. |

Patients receive e-mail greetings
Vernon Morning Star - Community -
Published: December 18, 2008
This Christmas, stay connected with loved ones in the
hospital or in residential care homes through a new program
called EWishes.
The Interior Health Authority’s volunteer services
department has launched EWishes – a program that provides
family and friends an opportunity to e-mail loved ones in
the hospital or in residential care homes. Volunteer
Services monitor the e-mails daily, and volunteers deliver
the messages to patients and residents after 4 p.m.
“We’ve had very positive feedback on this program so far,”
said Debbie Weir, manager of volunteer services.
“Not only does it provide an opportunity for friends and
loved ones to keep in touch, but it also creates an
opportunity for our volunteers to have more personal
interaction and contact with patients and residents.”
EWishes is currently available for patients at Vernon
Jubilee Hospital and residents of Noric House, Gateby and
Parkview Place. Plans are currently underway to extend the
program to include Polson Extended Care.
To e-mail a patient at Vernon Jubilee Hospital: patient.vjh
[at] interiorhealth.ca.
To e-mail a resident of Noric House: resident.noric [at]
interiorhealth.ca.
To e-mail a resident of Gateby: resident.gateby [at]
interiorhealth.ca.
To e-mail a resident at Parkview Place Residential Home:
resident.pvp [at] interiorhealth.ca. |

Tuberculosis makes a comeback in the Central Okanagan
By Adrian Nieoczym - Kelowna Capital News
- Published: December 16, 2008
Since May, Interior Health has identified six active cases
of tuberculosis in the Central Okanagan.
“There is little or no risk to the general population, as TB
transmission requires significant close exposure to a person
with active TB who displays symptoms such as coughing,” said
IH medical health officer, Dr. Paul Hasselback.
The TB cases have cropped up among people living what IH
calls a street-orientated lifestyle. And while the TB strain
in the Central Okanagan is the same as the one at the centre
of a TB outbreak among the street-orientated population in
Vancouver’s Downtown Eastside, that does not mean the people
in the Central Okanagan got it from there.
“Most of the cases have contracted it here in the Central
Okanagan,” said Dr, Hasselback.
These cases are unusual however, as IH does not normally see
any locally acquired cases of TB.
“Our most common tuberculosis (is among people)who have
either been exposed to it a long time ago, and what we have
is reactivation,” said Dr. Hasselback, “or who have been
travelling to places that have commonly identified
tuberculosis,” such as Latin America, Africa, Asia and
Eastern Europe.
However, he added that there has been a resurgence of TB
among people living on the street.
“That is because of the living conditions that they get
exposed to,” Hasselback said. “Certainly living in shelters
is fairly tight quarters, not necessarily the level of
accommodation that most people are accustomed to. It is a
sort of concentrated environment where we would more likely
see transmission of tuberculosis occurring, in a population
that also may not be as well nourished.”
Doctors and health workers have been asked by IH to be alert
for people at risk for TB.
So far, 125 at-risk people in the Central Okanagan have had
a skin test which identifies infected people who have not
fallen ill. A handful of additional people have been
identified who have been exposed at some point in their life
to TB and they are now being offered treatment or ongoing
testing.
Treatment of active TB is usually provided for a period of
nine to 12 months.
The people most at risk for contracting TB are:
• People who have close contact with someone who has active
TB, such as living in the same house as someone who is
infected with TB
• People who travel to or were born in places where
untreated TB is common, such as Latin America, Africa, Asia
and Eastern Europe
• Caregivers of a patient who has active TB, such as doctors
or nurses
• People who live or work in crowded places such as prisons,
nursing homes, or homeless shelters, where other people may
have active TB
• People who have poor access to health care, such as
homeless people and migrant farm workers
• People who abuse drugs or alcohol
• People who have HIV or another illness that weakens their
immune system.
If you need more information on TB, visit HealthLinkBC at
www.healthlinkbc.ca, and view the TB information page,
or contact your local public health unit or family doctor. |

More doctors recruited
Vernon Morning Star - News - Published:
December 05, 2008
More doctors are practicing in the North Okanagan.
Since September 2007, the Interior Health Authority has
helped recruit 10 new physicians for Armstrong and Vernon.
“As a health authority, as communities, and as physician
practices, we need to determine what we can individually and
collectively bring to the table to entice candidates,” said
Cathy Stashyn, IHA’s leader of physician recruitment.
“Given recruitment challenges in today’s market, Interior
Health is using a comprehensive marketing strategy to get
candidates to the door, while physician groups and
communities are providing the reasons to stay.”
In Armstrong, three physicians, including one long-term
locum, have been recruited.
In Vernon, there are five new family doctors, an orthopedic
surgeon and a psychiatrist.
The health authority tracks physician interest in
employment, counting contacts generated via its website and
marketing strategies, along with those generated by the
Health Match B.C. referral system and direct contact with
communities.
Since September 2007, 440 physicians have enquired about
positions within the Southern Interior. Of those, 70
physicians have accepted positions.
“This is a very successful hire rate, considering the
competitive labour market, and that the majority of
candidates are international medical graduates who must
demonstrate eligibility to practice in the province,” said
Stashyn.
“We are very pleased that one in every six physicians is
choosing an Interior Health community.” |

VJH visitor parking relocated
Vernon Morning Star - News - Published:
December 04, 2008
Construction of the new patient care tower is leading to
more changes to parking at Vernon Jubilee Hospital.
Visitor parking will be relocated to the current staff
parking lot just across the entrance to the hospital in the
southwest corner of the main VJH site (corner of 32nd Street
and 21st Avenue).
Visitor parking will also be available in the new parking
lot south of 21st Avenue.
Staff and volunteer parking will also be available in the
new parking lots south of 21st Avenue.
Staff and volunteer parking will continue to be available on
the northwest side of the current hospital. The physician
parking on the west side of the hospital remains unchanged
Staff parking will also be available in the upper (east)
portion of the Polson extended care parking lot.
In addition to parking changes, there will also be changes
to traffic patterns in some areas of the VJH site. Watch for
signage and flagpersons. |

More beds needed at VJH
Vernon Morning Star - Opinion - Published:
November 18, 2008
There were a lot of smiles and pats on the back as Premier
Gordon Campbell sunk a shovel into the ground Monday to kick
off construction of a $178 million patient tower at Vernon
Jubilee Hospital.
And that's no surprise as the project is extremely good
news. Once open in May 2011, the seven-storey building will
significantly enhance health care in the North Okanagan.
Whether you are a senior, an expectant mother or someone
requiring surgery, the modern, expanded facilities will
prove beneficial.
But as much as this new tower project is welcome news, it
should only be considered the first step in improving health
care locally.
The next step should come immediately and that is to
complete the two shelled-in floors that will be built in the
tower for future patient care beds.
Because even with the new intensive care unit, operating
rooms and maternal/child department, there could still be
overcrowding if there aren't sufficient beds for a growing
population.
It's a message that was sent loud and clear to Campbell.
"Perhaps then we can lift the all too common purple haze
that hangs over VJH," said Wayne Steward, the hospital's
chief of medical staff, of the need for more beds.
With work on the tower set to begin early in the new year,
the provincial government and the Interior Health Authority
must set clear timelines for opening the two floors
dedicated for beds, and put the funding in place.
It will only be then that the long-term health care needs of
the North Okanagan will truly be met.
---------------------------------
Comment
The government doesn't have enough money for healthcare but
they sure have enough money to get older vehicles off the
road. This only leaves the poorer people that need to buy
these old cars, forced to buy a newer vehicle instead and
whatever happened to the 3 R's; reduce, re-use, and then
recycle? What happens if the big 3 automakers go under in
this economic climate... the big 3 did ask the governments
to bail them out because they are broke. If this were my
house I surely wouldn't be giving $15 million for a Scrap It
program like this when that money is so desperately needed
elsewhere.
RDCO Governance & Services Committee Meeting Minutes -
October 9, 2008 (Pg. 4)
The region's Cash for Clunkers program is finished and will
now become a BC Scrap It Program with $15 mil in provincial
funding. The new program will start next month in the
Central Okanagan. The main goal of the program is to get old
vehicles off the road.
http://www.regionaldistrict.com/docs/boards_committees/gov/mins/2008/GS_08_10_09Minutes.pdf
Don't forget this new tower won't be ready for two years
yet, and we have endured code purple for many years already. |

Improvements are needed
Vernon Morning Star - Letters - Published:
November 18, 2008
As many of you have read letters concerning VJH, I would
like to add my recent experience with our health system.
First of all, I required an ambulance to come to my
residence on Thursday evening as I was unable to walk. A
non-emergency call was made and within what seemed like only
minutes, a medic emergency team from the fire hall arrived
just before the ambulance showed up.
The care that I received in emergency was exceptional. As I
was moved to a ward on Friday, the care continued in a
courteous, professional and dedicated manner. As Saturday
approached, I had my surgery and again the doctors and staff
were excellent. I was in the hospital for three more days.
However, the downside of my stay was this: I was moved from
a private room after one night as someone else coming out of
OR needed my room. I was then moved to a semi-private room
for one night and then moved again as my condition improved.
Here is the clincher — on my third night after surgery I was
moved to what is sometimes referred to as the "Gordon
Campbell Wing" — the hallway, where you get absolutely no
rest.
There were at least three or four other people in the
hallway as well as on the second floor.
Why are we paying medicare and where are our dollars going?
Should you not have a room until you are ready to be
discharged? I feel for the staff for sure who are so loyal
to their patients under such circumstances. They are the
last ones who want to move anyone to a hallway with maybe
just a curtain for privacy. They are so short of beds that
they have to keep people moving continually to free up
space.
I would like to say: What is going on with our health care
system?
The new facility for VJH cannot happen soon enough. The
shortage of beds is critical and I feel should have been
dealt with before now and not within two years while we wait
for our new facility/expansion.
Vernon and area has grown so much but they have forgotten
about our hospital and the desperate need for more space.
Until you are in this situation, you do not realize how
critical the issue really is, it was an eye-opener for me.
I think we should all write a letter to our MLA and
emphasize our concerns if you feel that this affects you or
someone in your family.
Thanks again to the ambulance attendants, ER team, VJH
surgical staff and to 2 West for the exceptional care and
attention I received during my stay.
The hospital staff are doing so much in such a crowded
situation.
I feel that it is amazing they can keep it together to give
the professional and expert care that I received.
Erwin Ruf |

Digging into a healthy future
By Richard Rolke - Vernon Morning Star -
Published: November 18, 2008The biggest health
care investment in the North Okanagan’s history has gone
from the planning stages to reality.
On Monday, Premier Gordon Campbell and other dignitaries
held the ceremonial ground breaking to launch construction
of a $178 million patient care tower at Vernon Jubilee
Hospital.
“It will make a big difference to the people of the North
Okanagan and Vernon,” said Campbell.
It’s anticipated construction of the seven-storey,
181,500-square-foot facility will begin in February, and be
completed in May 2011. It will be built on the current site
of the Alexander wing.
“It represents a milestone in building patient care in the
North Okanagan,” said MLA Tom Christensen.
“It enhances the strong care we already receive from the
doctors and nurses.”
The tower will include a new intensive care unit, operating
rooms, maternal/child department and two additional
shelled-in floors for future patient care beds.
“This space has been designed to meet needs,” said Campbell
of the growing population in the region.
“In the next 11 years, there will be a 25 per cent increase
in the number of people using it (VJH).”
There will also be a new ambulance garage, an expanded
outpatient program and central sterilization services.
The project comes at a time when the existing hospital —
with some parts dating back to the 1940s — struggles with
patient load and new medical technologies.
Wayne Steward, chief of medical staff, is pleased to see the
two shelled-in floors set aside for future beds.
“Perhaps then we can lift the all too common purple haze
that hangs over VJH,” he said of code purple capacity
issues.
There is no firm funding or timeline for the two shelled-in
floors to be completed.
About 40 per cent of the tower project costs will come from
the North Okanagan-Columbia-Shuswap Regional Hospital
District, and the tower is a public/private partnership
between the Interior Health Authority and Infusion Health, a
consortium.
Infusion Health will be responsible for the design,
construction, financing and maintenance for 30 years at VJH.
Campbell stands behind the public/private partnership.
“The overall savings over the life of the project is $25
million. That’s $25 million that can go to patient care,” he
said.
Maintenance at the hospital will transfer from IHA to
Infusion Health, and existing employees have been concerned
they may lose their jobs.
But Damian Joy, an Infusion Health director, says there have
been discussions with the workers’ union.
“A number of those will continue to be employed,” he said.
Joy added that Infusion Health has considered the needs of
the community while developing the design.
“We are committed to building a flexible and adaptable
space.”
The Vernon Jubilee Hospital Foundation recently launched a
$7 million fundraising campaign to acquire medical equipment
for the tower.
“It’s an important and complementary part of ensuring the
hospital can be everything it can be,” said Christensen of
the campaign.
“The contributions of the community have been critical to
help the hospital serve the community.”
---------------------------------- Comment by Cyberlots
It’s anticipated construction to be completed in May 2011
which is after the 2010 Olympics and after how many more
code purples ... meaning purple bodies! |

Care quality offices set up
Vernon Morning Star - News - Published:
October 24, 2008B.C.’s health ministry has set
up a website and toll-free phone line for people to report
problems with care at provincial health care facilities.
Complaints will be directed to six newly established patient
care quality offices, one for each regional health
authorities.
Issues that can’t be resolved there will be referred to one
of six review boards, whose appointees are independent of
the health authorities.
B.C. Nurses’ Union president Debra McPherson supported the
establishment of independent boards, but wondered if their
findings will translate into more resources to solve
problems related to over-stretched nursing staff.
“While the boards are getting the power to follow up on
complaints made against the various health authorities,
those health authorities have been forced to sacrifice many
good ideas to improve care, because they must follow strict
budgetary mandates set by Victoria,” McPherson said.
More information on the boards can be found on the website
at
www.patientcarequalityreviewboard.ca or by
phone toll-free at 1-866-952-2448. |

Patients provided chance to complain
Vernon Morning Star - News - Published:
October 24, 2008The provincial government has
announced a new system for registering patient complaints
about their experiences in the public health care system.
Each of B.C.’s six health authorities, including Interior
Health, has a new patient care quality review board and has
set up a patient care quality office.
“We all want a quality health system—a system that provides
us with appropriate, consistent and timely care; a system
that is transparent and accountable; and a system that
treats every patient with respect and dignity,” Health
Minister George Abbott said in a statement.
Patients in the Okanagan, or their family members, who
cannot resolve their complaints directly with their health
care provider can contact IH’s patient care quality office,
which is supposed to register and track all the complaints
as they make their way through the health authority’s review
process.
If a patient is still not satisfied, they will be able to
contact the review board, whose five members have been
appointed by the province. The boards can make
recommendations to their respective health authorities and
the minister of health, and are required to provide annual
reports on the number and types of complaints received,
timeliness of service, recommendations made, and other
related information.
“In the event that there is a health-care concern that is of
a nature that is complex, that cannot be handled at the
local or health authority level, it will be sent on to the
boards,” said Dr. Jack Chritchley, chairman of the
Provincial Health Services board.
“The other aspect of it is, that the boards will be
tabulating and collating all of the complaints regarding
health care throughout the province. We’ll be looking at
those and hopefully be able to identify system problems that
the health ministry perhaps could do something about
alleviating.”
However, Joyce Jones, co-chair of the B.C. Health Coalition,
which advocates for the protection and expansion of a
universal public health care system, said this new
complaints process appears to simply add more bureaucratic
hoops for patients and their families to jump through.
“How come the patients and the families have to move through
so many levels in order to find anything before any
solutions can be done? That’s making the families and the
patients do all the work,” she said.
“It’s the government’s responsibility to provide quality
care, so let’s find ways to do it, instead of finding more
bureaucratic levels for people to get lost in.”
She added that money spent on the new offices and boards
would be better used finding ways to deal with problems in
the health care system |

IHA responds
Vernon Morning Star - Letters - Published:
October 21, 2008
This letter is to provide readers clarification regarding
MRSA, in response to the Oct. 3rd article in The Morning
Star entitled Superbug strain on rise at VJH.
While there were seven health-care associated MRSA-cases
recorded at Vernon Jubilee Hospital in 2006/07 and 24 in
2007/08, this does not mean the “superbug is on the rise” at
the hospital.
The numbers simply tell us how many patients arrived at
Vernon Jubilee Hospital with MRSA; an increase does not mean
the bacteria were spread from one patient to another while
in the hospital.
By screening for MRSA in a target patient population group
(those who have been hospitalized anywhere in the preceding
three months), Vernon Jubilee Hospital is able to put
precautions in place, such as isolation, to prevent the
spread of this resistant bacteria.
And while these precautions are put in place recognizing the
bacteria is resistant to more commonly-used antibiotics,
MRSA infections are still treatable.
The public should be concerned about MRSA, and there is a
vital role we all have to play in its prevention – the most
basic of these, as the article indicated, is appropriate
hand hygiene.
It’s a message that Interior Health delivers to staff as
part of our ongoing education and commitment to quality
patient care, and also extends to the general public who
visit our hospitals and health centres every day.
Janice de Heer
Infection Prevention and Control
Interior Health |

Keep health care in mind this election
Kelowna Capital News - Opinion -
Published: October 07, 2008Forget the economy,
what about alternative health?
There was a lot of hype during the last election campaign;
the one we had in 2006, about how the health care system in
Canada would suddenly improve.
Wait times for procedures were to be reduced and it would be
a sunny day for everyone.
Of course, it never happened, it never will unless the
burden is eased and the government starts funding
alternative or complimentary medicine.
Alternative health care is often referred to as
complementary and alternative health care.
The terms “alternative” and “complementary” refer to using a
same therapy differently. That is, alternative refers to
using a particular therapy instead of conventional
treatment; and complementary is used along with conventional
medicine.
I am not writing this column to tell you who to vote for, or
who not to vote for, I am just recommending that you ask
questions to all the party’s about where they stand on
alternative health; namely will they offer a plan similar to
the one that keeps big pharmaceutical companies in business.
Why not come up with a program that allows Canadians a
choice, a program that has a preset limit or similar
structure that allows the user to use it toward any
alternative medicine of their choice.
Pharmaceutical drugs are covered under existing plans. The
irony, however, is that these drugs will end up making most
people sicker, in turn requiring them to need more.
The Fraser Institute published a report on the use of
complementary/alternative medicine by Canadians and found
that during the 1997 calendar year, Canadians spent
approximately $1.8 billion out of pocket on visits to
complementary and/or alternative health care providers and
an additional $2 billion on herbs, vitamins, diet programs
and books. Can you imagine what the dollar figure is now?
According to that same study done by the Fraser Institute,
some types of alternative health care are more commonly used
than others in Canada. In their study, The Fraser Institute
identified the following practices as most commonly used:
chiropractic (36 per cent), relaxation techniques (23 per
cent), massage (23 per cent), prayer (21 per cent), herbal
therapies (17 per cent), special diet (12 per cent), folk
remedies (12 per cent), acupuncture (12 per cent), yoga (10
per cent), self-help group (8 per cent), lifestyle diet (8
per cent), and homeopathy (8 per cent).
The national parties should see that Canadians are taking
their own health into their own hands and instead of trying
to control Canadians; they should encourage us to use
alternative health thereby, helping the economy.
We can be easily led down the garden path; I do not know if
this path is lined with medicinal herbs, in any case, the
Canadian economy is not the problem here.
The economy is just the result of how the money is allocated
and in this case, maybe free up some of that conventional
medical funding and invest in the areas that will really
help people get well, that being, natural medicine.
The money they save can be invested into the environment.
On Oct. 14, vote for the party that has the bigger picture
in mind, not just a four year guaranteed paycheque for the
leader.
Check out the political party websites; ask the local
candidates where their party stands on these issues, not
just the issues they decided were important.
Have a good week and stay well.
John Sherman is a professional classical homeopath
practicing in Kelowna. He operates the Okanagan Centre for
Homeopathy, 764-2487.
homeopath"at"okanaganhomeopathy.ca |

Rural doctors focus of plan
By Richard Rolke - Vernon Morning Star -
Published: September 19, 2008Armstrong’s mayor
believes a new initiative will not only attract, but help
retain doctors in the community.
The Ministry of Health announced changes to the rural doctor
coverage program Friday.
“This is really good news,” said Jerry Oglow, who has been
pushing to keep physicians in Armstrong-Spallumcheen.
“This initiative will go a long way towards helping build
the rural health model.”
Starting Oct. 1, the following changes will be made to the
rural locum programs:
Physicians providing general practitioner locum services
will be compensated at rates ranging from $750 - $900,
depending on the degree of isolation of the host community.
n General practitioner locums will receive between $50 and
$100 on top of the daily rate if they provide specific, core
services needed by rural hospitals. These include: general
surgery, anaesthesia, emergency medicine and obstetrics.
n Rural physicians will receive up to 43 days of potential
general practitioner locum support, depending on the level
of isolation of the community in which they practice.
n The rate paid to specialists providing locum services to
18 rural communities will increase to $1,200 per day.
n The potential number of days of locum relief for
specialists in rural communities will increase to 35 days to
recognize the time spent in professional development
activities.
By making locums available, Oglow believes that will allow
full-time physicians to have reasonable work schedules.
“They need time for themselves and anything we can do to
assist them with that, will help,” he said.
But while he is pleased, Oglow admits that other issues must
also be addressed if doctors are to remain in small
communities, including providing training and professional
development.
Besides Armstrong-Spallumcheen, the changes to the rural
doctor coverage program will also benefit Enderby.
“This program will alleviate some of the burden carried by
rural doctors, provide them well deserved relief and added
care to residents,” said George Abbott, Shuswap MLA and
health minister, in a release. |

Authority website targets doctors for Interior towns
Vernon Morning Star - Published: August
29, 2008A new website has been launched to
show physicians around the world why life is better living
and working in the Interior.
“Neither B.C., nor any individual health authority, is alone
in its challenge to recruit and retain the number of
physicians required to meet the growing demand for medical
care over the coming decades,” said Cathy Stashyn, leader of
physician recruitment for the Interior Health Authority.
In the past, IHA has had a limited role in the recruitment
of physicians. Because most physicians serving communities
are private business people and do not work for IHA,
recruitment was the responsibility of site-level physicians
alone. However, given recruitment challenges in today’s
market, IHA has developed a comprehensive approach to
support communities in attracting physicians.
The
www.betterhere.ca
site is created specifically for physician recruitment.
Research shows that more than 50 per cent of physicians
would use the web to begin searching for new practice
opportunities.
The new website ensures that the health authority is able to
maximize web-based marketing strategies in its efforts to
address current physician supply challenges for communities
throughout IHA.
The website emphasizes lifestyle benefits in the Interior,
while also providing details of all permanent and locum
practice opportunities available in communities.
“Research shows us the primary reason for physician
relocation is lifestyle – not only a work-life balance, but
also family involvement in community,” said Stashyn.
“This website reflects our recruitment strategy to not only
promote the practice opportunities available within Interior
Health, but also present opportunities for communities to
play an active role in attracting new doctors.” |

IHA’s surgical services draw criticism
Vernon Morning Star News - Published:
September 02, 2008
Interior Health has work to do to improve surgical
service, according to a new report by B.C.’s auditor
general, John Doyle.
“Overall we concluded that the Interior Health Authority
does not have all the necessary systems in place to optimize
the use of resources to provide efficient and effective
surgical services,” the reports says.
“There is a lack of clear direction, integrated human
resource planning and defined roles, responsibilities and
accountabilities.”
However, the report also notes that IH has taken significant
steps to better manage surgical services.
A surgical council was set up in 2004, with physician,
nursing and administrative representatives on it, to
standardize surgical services across IH.
Prior to the establishment of the province’s current five
regional health authorities in 2001, the 11 surgical sites
within IH’s region were independent of one another and their
services were uncoordinated, said Andy Hamilton, an
anesthesiologist and co-chairman of IH’s surgical council.
“We’ve come a long way now. We’ve built a lot of the
foundations, we’ve got some standardized data collection
systems, so we’re able to report what’s happening, identify
issues and then deal with them,” he said.
“For the first time now we’re able to have accurate data
about surgery.”
The council has been successful in implementing pre-surgical
screening and a standardized operating room booking system,
according to the report.
“All of these initiative are important means of improving
surgical service delivery,” said Doyle in a statement.
IH has also done a good job of monitoring and reporting on
the performance of its surgical services, said Doyle, but
while performance reports are available to IH and the
Ministry of Health, there is no public reporting.
The auditor general made 12 recommendations to improve IH’s
surgical services. Key among them is the need to standardize
equipment and surgical policies and practices across sites,
the need for a clear role for the surgical council in
managing surgical services and the need for public reporting
of performance.
“We agree with the recommendations, we’re working in that
direction,” said Hamilton.
“This is all about providing timely, safe, effective care
for patients.”
IH’s surgical services was the only health authority to be
audited by Doyle’s office. IH was selected because of its
mix of rural and urban populations and because it offers a
wide range of surgical services.
The audit was conducted in the fall of 2007. The analysis
was done during the winter and the report was written during
the spring and summer.
The full report can be found at the auditor general’s
website,
www.bcauditor.com. |

Maple Leaf meat from the Ontario plant where listeria has been found to be
linked, has "EST97B" stamped on the package.
IHA on the lookout for listeria
Vernon Morning Star - Published: August
26, 2008Sliced meats confirmed to have
listeria contamination have been served in Interior Heath
Authority facilities. And now one case of listeriosis has
been reported in IHA.
Listeriosis, which is caused by eating the contaminated
food, was identified in a Cranbrook woman Monday.
The woman, who has an underlying health condition, may have
consumed the product while in hospital.
She contracted the disease prior to the Canada-wide recall
of certain Maple Leaf products.
A second case of Listeria in a Cranbrook resident from May
has shown not to be a match to the current outbreak Listeria
strain.
Recalled product was produced in bulk and purchased and
served by institutions across the country, including the
majority of healthcare facilities across Interior Health.
But IHA is taking precautions to prevent further outbreaks.
“We have now pulled all recalled product from our facilities
and are working with care providers and physicians to ensure
they are aware of the potential for Listeriosis cases and
can appropriately diagnose symptoms” said Dr. Rob Parker,
medical health officer with IHA.
This is the only known case in the IHA yet, but two B.C.
patients – one in Fort St. John and another in Prince George
– were treated for the same strain of the bacterial
infection identified in the nationwide recall of Maple Leaf
Foods meat products.
Parker said the IHA notified all food-service directors last
Wednesday and, since then, has been checking with hospitals
and IHA-owned and -operated care facilities to make sure
they are aware of the recall and have pulled all existing
products.
“Our main thing is making sure we contact everybody. Which
facility did or didn’t get the meat, I don’t know.”
IHA public-health inspectors are also contacting private
senior-care facilities in the area to make sure they are
aware of the recall, since this type of infection can
greatly affect seniors.
And, with an incubation period of 21 to 90 days, Parker
expects the health authority will see listeria cases in the
next few weeks.
“It’s hard to know how many cases in B.C. or whether we’ll
get IH residents affected because we really don’t know how
much contaminated food is out there . . . or how much got
consumed before the recall.
“So we’ll have to wait and see, unfortunately.”
On average, Parker said the IHA sees one or two cases of
listeria a year.
The bacteria can be routinely found in certain products,
like unpasteurized cheeses.
Food contaminated by listeriosis may not look or smell
spoiled.
If eaten, the food-borne illness can cause high fever,
severe headache, neck stiffness and nausea.
However, if a person thinks they have eaten the recalled
product, there are no preliminary tests to determine if
they’ve been infected and there are no preventive or
prophylactic medication.
According to the Public Health Agency of Canada, there are
17 cases of this listeria monocytogenes strain nationwide:
13 in Ontario, including the death of three people, one in
Saskatchewan, one in Quebec and the two in B.C.
Another 16 probable cases of the same strain are being
investigated in Ontario.
After discovering the bacteria that causes listeriosis in
Sure Slice roast beef and corned beef produced at a Toronto
plant last week, Maple Leaf has expanded the voluntary
recall to include 23 deli meat products, including turkey,
smoked meats and beef products.
The Canadian Food Inspection Agency is also warning the
public not to eat McDonald’s sliced turkey breast and a
variety of Schneiders meats, including bavarian and cheddar
smokies and smoked ham and turkey.
The complete list of nearly 200 products is available at
http://www.inspection.gc.ca/english/corpaffr/recarapp/2008/list97be.shtml.
Tim Horton’s roast beef is also on the list, but Vernon
franchise owner Dan Currie says the local stores haven’t
been serving the beef since June.
Canadian health officials advise consumers to throw out all
deli meats if they don’t know where they came from.
These products have been distributed nationally to retail
stores and food service institutions such as restaurants,
hospitals, nursing homes, and other institutional cafeterias
or kitchens.
These products may also be sold at deli counters. |

Province announces more VJH expansion plans
By Roger Knox - Vernon Morning Star -
Published: August 22, 2008
The blueprints are changing for Vernon Jubilee Hospital’s
planned tower expansion.
B.C. Minister of Health Services George Abbott announced
Thursday that the new patient care tower at VJH will expand
further, from five storeys to seven, and modernize services
for patients.
Kelowna General Hospital will also receive a major
expansion, with construction contracts for both projects
being awarded to Infusion Health, an international
consortium that, according to its website, is “experienced
at developing and delivering complex public-private
partnerships in Canada and around the world.”
“A tremendous milestone was reached today, a milestone that
shows our commitment to building patient care in the
Okanagan,” said Abbott. “These hospital expansions are the
largest single investment on record in the health system for
the Interior. They are a critical part of our government’s
plan to renew public health care and improve patient care in
communities around the province.”
The new VJH tower, which is being built adjacent to the
existing hospital, will include new operating rooms, a new
emergency room, new intensive care unit, new maternity and
pediatrics ward, an expanded and consolidated outpatient
department, and two new shelled-in floors for inpatient
beds.
A new ambulance garage will also be built, and new and more
efficient central sterilization services will be added.
Joanne Konnert, chief operating officer for the Interior
Health Authority, said priming is under way for when the two
new shelled-in floors will be ready to house patients.
“The province and Interior health are looking at the future
needs for acute care beds, so we’re looking at our existing
population and the age of the population, that sort of
thing,” said Konnert.
“Once we know where we will need more beds, and I’m quite
sure the Okanagan will be one area that needs more beds, we
can begin to plan for what kind of services would go in
there, and have a conversation with government around the
operating dollars.”
Vernon’s expansion plans jump from the original estimated
135,000 square feet to 181,500 square feet, or a 34 per cent
increase. It would make the new patient care tower more than
twice the size of the Wesbild Centre.
Okanagan-Vernon MLA Tom Christensen said the government has
listened to the people of the Okanagan, health care
professionals, community leaders and patients.
“Today, we are going above and beyond our original
commitment and providing even more health care for our
communities today and for decades to come,” said
Christensen.
According to Abbott, this final contract includes a number
of significant enhancements to the original project plans
announced in May 2007, and brings the value of the
construction project to $432.5 million.
Infusion will assume all construction (cost and schedule),
design, long-term maintenance and operational risks, as well
as other costs related to the project. They will also be
responsible for “preserving the integrity of the structures
over the next 30 years,” and will manage plant maintenance
across both sites.
All clinical health services will be funded by the province
and provided by Interior Health.
Expansion at Kelowna General Hospital will include a new
consolidated outpatient department, new emergency
department, new operating rooms, a rooftop heli-pad, two
shelled-in floors for inpatients and a new renal dialysis
department.
A clinical academic campus for UBC’s faculty of medicine
will also be built.
A total of $15.5 will also be spent on new equipment for the
hospitals.
The project’s completion date has now been adjusted to be
finished in 2011, one year later than the originally
projected 2010 completion date, given the amendments to the
project. Konnert believes the time frame can, and will, be
met.
“These folks have timetables and face financial penalties if
they don’t meet those timetables,” she said.
Construction of the new facilities will take place
concurrently with normal day-to-day operations at both
Vernon and Kelowna. |

Hospital jobs in jeopardy: union
By Roger Knox - Vernon Morning Star -
Published: August 22, 2008Plans to contract
out Vernon Jubilee and Kelowna General hospital maintenance
services to a private contractor could result in more than
50 workers losing their jobs.
B.C. Minister of Health Services, George Abbott, announced
Thursday, that further expansion plans for new towers at
Vernon Jubilee and Kelowna General hospitals will include
the contracting out of services to Infusion Health, an
international consortium awarded the construction contract
on both projects.
Hospital Employees’ Union secretary-business manager Judy
Darcy said, in a press release, the move will see more than
53 experienced trade and maintenance workers losing their
jobs.
The impacted workers include electricians, plumbers, power
engineers, electronic technicians and other maintenance
workers who make sure hospital systems and equipment are
well maintained and quickly repaired with little disruption
to patients and other hospital staff.
Jeet Dukhia, the chief engineer at VJH, who has been
employed at the hospital for nearly 30 years, said workers
were shocked, disppointed and pretty well unhappy with the
whole situation.
“Interior Health couldn’t give us a reason why they are
doing this,” said Dukhia. “It has nothing to do with monies.
We have, in the past, developed some systems that have saved
Interior Health millions of dollars here and in Kelowna.”
Dukhia said being at VJH is “more than a job.”
“It’s our hospital, we think of it as our facility, like we
own it personally,” said Dukhia. “We don’t understand. It’s
not about money, it’s not about performance. They tell us
we’re doing an excellent job, that they’re proud of us. Why
are they doing this? We can’t get any answers.”
Joanne Konnert, chief operating officer for Interior Health,
said the decision to contract out services was based on
safety and efficiency.
“We had a couple of choices, one was the proponent could do
the whole site or we could split it with Interior Health
doing the old building and the proponent doing the new
building,” said Konnert. “At the end of the day, there were
probably two or three things that led us to go with the
proponent. They’re going to want their own plant services
people to maintain the new building. They’re responsible for
30 years for the building so they’ll make sure they maintain
it the way they want it maintained.”
Konnert said having an old and new building also means
integrating crucial systems, such as security, fire and
nurse call.
“It made more sense, from a safety perspective, to have one
person, one company, one group doing it,” she said. “I
recognize that’s disappointing news for the plant services
workers.”
Asked if Interior Health employees could bid on jobs with
Infusion Health, Konnert said the new group “has a good
transition plan.”
“I’m sure they’ll be talking with our staff, as will we,
we’ll talk with them and the union to make this as smooth a
transition as possible,” she said.
Dukhia said contracting out services will cost Interior
Health three times as much, rather than using existing
workers, and that those funds could have been diverted
towards patient care. Konnert disputes those numbers.
“A number of facilities in other parts of the province have
contracted out food services, housekeeping and those types
of things, and I don’t believe it’s costing them three times
as much,” she said. “I don’t have specific details from the
new group on how they plan to provide the services, but we
have standards they have to meet and we expect them to meet
those standards.” |

Province announces more VJH expansion plans
By Roger Knox - Vernon Morning Star -
Published: August 22, 2008The blueprints are
changing for Vernon Jubilee Hospital’s planned tower
expansion.
B.C. Minister of Health Services George Abbott announced
Thursday that the new patient care tower at VJH will expand
further, from five storeys to seven, and modernize services
for patients.
Kelowna General Hospital will also receive a major
expansion, with construction contracts for both projects
being awarded to Infusion Health, an international
consortium that, according to its website, is “experienced
at developing and delivering complex public-private
partnerships in Canada and around the world.”
“A tremendous milestone was reached today, a milestone that
shows our commitment to building patient care in the
Okanagan,” said Abbott. “These hospital expansions are the
largest single investment on record in the health system for
the Interior. They are a critical part of our government’s
plan to renew public health care and improve patient care in
communities around the province.”
The new VJH tower, which is being built adjacent to the
existing hospital, will include new operating rooms, a new
emergency room, new intensive care unit, new maternity and
pediatrics ward, an expanded and consolidated outpatient
department, and two new shelled-in floors for inpatient
beds.
A new ambulance garage will also be built, and new and more
efficient central sterilization services will be added.
Joanne Konnert, chief operating officer for the Interior
Health Authority, said priming is under way for when the two
new shelled-in floors will be ready to house patients.
“The province and Interior health are looking at the future
needs for acute care beds, so we’re looking at our existing
population and the age of the population, that sort of
thing,” said Konnert.
“Once we know where we will need more beds, and I’m quite
sure the Okanagan will be one area that needs more beds, we
can begin to plan for what kind of services would go in
there, and have a conversation with government around the
operating dollars.”
Vernon’s expansion plans jump from the original estimated
135,000 square feet to 181,500 square feet, or a 34 per cent
increase. It would make the new patient care tower more than
twice the size of the Wesbild Centre.
Okanagan-Vernon MLA Tom Christensen said the government has
listened to the people of the Okanagan, health care
professionals, community leaders and patients.
“Today, we are going above and beyond our original
commitment and providing even more health care for our
communities today and for decades to come,” said
Christensen.
According to Abbott, this final contract includes a number
of significant enhancements to the original project plans
announced in May 2007, and brings the value of the
construction project to $432.5 million.
Infusion will assume all construction (cost and schedule),
design, long-term maintenance and operational risks, as well
as other costs related to the project. They will also be
responsible for “preserving the integrity of the structures
over the next 30 years,” and will manage plant maintenance
across both sites.
All clinical health services will be funded by the province
and provided by Interior Health.
Expansion at Kelowna General Hospital will include a new
consolidated outpatient department, new emergency
department, new operating rooms, a rooftop heli-pad, two
shelled-in floors for inpatients and a new renal dialysis
department.
A clinical academic campus for UBC’s faculty of medicine
will also be built.
A total of $15.5 will also be spent on new equipment for the
hospitals.
The project’s completion date has now been adjusted to be
finished in 2011, one year later than the originally
projected 2010 completion date, given the amendments to the
project. Konnert believes the time frame can, and will, be
met.
“These folks have timetables and face financial penalties if
they don’t meet those timetables,” she said.
Construction of the new facilities will take place
concurrently with normal day-to-day operations at both
Vernon and Kelowna. |

Taxpayers seek MLA action
By Richard Rolke - Vernon Morning Star
- Published: August 21, 2008The North
Okanagan’s MLAs insist they aren’t ignoring public concerns
about Vernon Jubilee Hospital.
The Vernon Taxpayers Association claims Health Minister
George Abbott hasn’t acted on an 18,000-name petition about
health care, and Okanagan Vernon MLA Tom Christensen hasn’t
provided information on the private sector’s role in a new
diagnostic and treatment tower.
“There is plenty of action going on,” said George Abbott,
who is Shuswap MLA.
“We are working very hard to finalize the contract terms for
the medical services tower. We hope to be in a position
within a few days to make an announcement.”
Tony Stamboulieh, association spokesman, questions why
Abbott hasn’t acknowledged the petition, which demanded more
acute care beds, operating rooms, nurses and an MRI machine.
“The minister has not spoken to us once,” said Stamboulieh.
“We have to inform people that their signatures count for
nothing as far these politicians are concerned.”
The association sought information from Christensen July 6
on Infusion Health, a private consortium that may be
involved in the planning, constructing, financing and
operating the tower.
“There’s no information and they (government) carry on like
it’s a good idea,” said Stamboulieh.
“No one seems to get any information that we are entitled to
know.”
Christensen insists the association’s questions may be
premature.
“The Interior Health Authority continues to work towards
finalizing the project and it went through the tender
process. I don’t want to say anything that may jeopardize
negotiations,” he said.
Christensen believes the public wants a major expansion of
VJH.
“That’s what I’ve been working towards with George Abbott
and IHA.”
In terms of new acute care beds, Abbott says there will be
additional capacity through two shelled-in floors in the
tower, and the ministry is looking at the issue of nurses.
“Nurses are a precious commodity and we are working hard to
add nursing spaces in B.C.,” he said of the post-secondary
education system.
Stamboulieh vows that the association will continue to push
for improvements at VJH, and he is putting together a fact
file.
“The association invites all citizens who have been
victimized by these shortages and who have had to sleep in
corridors or worse to share their story with the
association,” he said. |

Public gives opinion on health care
Vernon Morning Star - Published: August
19, 2008A health policy researcher at UBC
Okanagan says the provincial government’s recent
“conversation on health” was an attempt by the government to
get the public onside with its agenda of expanding the role
of private health care.
British Columbians however, refused to go along.
In the latest issue of the journal, Healthcare Policy,
associate professor in health studies at UBCO, Alan Davidson
says that from the outset, the government saw the problem as
“excessive and rising public expenditure on healthcare.”
What’s more, it had already decided what the best solution
was, “privately financed care supplementing or replacing
publicly funded services.”
Davidson says in his article Sweet Nothings? The BC
Conversation on Health, that the government’s goal was to
co-opt a public which has repeatedly resisted the erosion of
a single-tier public health care system.
“Essentially, co-optation boils down to using the
Conversation as a cloaking and legitimating device for
predetermined outcomes,” he writes.
The government provided the facilitators of the 16 regional
forums held across the province with conversation starters
that Davidson calls “deliberatively one-sided and
provocative.”
He highlights one that said, “Did you know in Sweden and
France, patient cost-sharing and co-payments are required
for many services?”
Another coupled projections of growth in the number of
seniors with the statement, “studies show that people in
their 90s use approximately $22,000 in health services each
year – 10 times what people use on average in their 50s.”
Davidson notes however, that forum facilitators did not
always use the starters and he credits the government for
creating a forum format which, “left participants free to
suggest areas of discussion and to choose their own focus
groups and topics.”
The outcome of the conversation was “strong support for
existing public programs,” writes Davidson, “along with
recommendations for their expansion into more effective home
care and drug programs.”
The government, to Davidson’s surprise, did not attempt to
suppress these findings. “The government made good on
reporting honestly the feedback it received through the
Conversation,” he writes.
A spokesperson for Health Minister George Abbott said Abbott
was on vacation and not available for comment about
Davidson’s article. However, the spokesperson was able to
provide a statement written by Abbott, but it did not
address Davidson’s claim that the point of the conversation
on health was to co-opt the public.
“Our government’s Conversation on Health was an
unprecedented public consultation that saw more than 6,400
people participate in regional forums, 12,000 submissions,
78 forums and millions of hits on the Conversation on Health
website,” it said.
“The government was clear from the beginning that the
Conversation on Health was about engaging as many British
Columbians as possible in a discussion about health care.”
The statement went on to say the conversation informed the
government’s legislative agenda which includes increasing
the scope of practice for health professionals such as
nurses and pharmacists, streamlining the process of getting
credentials for doctors from other parts of Canada as well
as from outside the country; introducing E-Health
initiatives; and establishing Patient Care Quality Review
Boards. |

Health care is at risk
Vernon Morning Star Letters - Published:
August 14, 2008A few weeks ago, the Vernon Tax
Payers Association presented a petition containing 18,000
names to our elected officials asking for adequate funding
for Vernon Jubilee Hospital. As I listened to Tony
Stamboulieh read the petition I asked myself how it could be
that Canada, a rich country, currently ranks among the
lowest of 30 OECD (Organization for Economic Cooperation and
Development) countries in the ratio of doctors and acute
care beds per thousand people? It is not the lack of funding
for billions of dollars are injected in the system every
year.
I believe there are three major reasons. The first is
increasing illness due to environmental toxins. Almost half
of Canadians contract cancer. Over 20 per cent of children
have asthma. There is an epidemic of obesity in adults and
children. And before you rush to add that this is due to
living longer, let me point out that this is not true.
Children are contracting cancers and children are born with
increasing problems. We are the first generation whose life
expectancy is longer than that of our children. Hundreds of
chemicals used in our everyday life carry risks of increased
cancer, infertility, learning disabilities and other
intellectual impairment, and damage to the immune system.
There are less toxic substitutes for these products, but
industry lobbies to maintain their registration and legal
use drowns out the voices of concerned health professionals
and families concerned about health.
The second problem is that doctors treat symptoms rather
than the cause of illness and often do so in a way that
worsens the problems. Over-prescription of drugs is causing
far more deaths than street drugs and is responsible for
millions of hospitalization per year. Skyrocketing
PharmaCare costs have now eclipsed all other health care
expenditures.
The third problem is the lack of adapted programs and
systems. There are not enough home support and home care
programs and assisted-living services for people with
chronic care needs, including many seniors who wish to stay
in their own homes and communities. We need to create
centralized wait lists, move from a paper system to
electronic technology to share information, address the
staffing shortage and in some cases, the facility and
equipment shortages. The longer people wait for treatment,
the sicker they become and the longer they suffer.
This situation is far more dangerous than we may think. The
threat of a NAFTA challenge from the American for-profit
health care industry cannot be over-estimated. Allowing
for-profit health care would be the “thin end of the wedge”
that jeopardizes our entire health system. Based on the
rules for “national treatment,” if Canada allows increasing
numbers of for-profit facilities, we run the risk of losing
our entire universal single payer system in a NAFTA
challenge. We cannot take that risk. Fixing our health care
system means protecting the core elements of universal
single-payer health care. I am thankful to the Vernon
Taxpayers' Association for highlighting this issue for it
might motivate us to treat the causes rather than the
symptoms, and in doing so, protect our national health care
system.
Huguette Allen,
Green Party MP Candidate |

Poor Response
Vernon Morning Star - Letters - Published:
August 08, 2008
I'm sure we are all tired of hearing about the situation at
the Vernon Jubilee Hospital, but after hearing Mr. Abbott's
reply to the opposition party NDP, who told of the frequent
overcrowding at the hospital, I have to say something.
Mr. Abbott spoke of millions that are to be spent at the VJH.
Very well and good, but what about the meantime? I think the
proposed opening of the new tower is 2010. Add a couple of
years to that for delays of one kind or another. Where the
tower is to be built isn't even torn down, which is to
happen this summer.
Interior Health speaks of the new campus of care beds that
are coming on stream. The new Creekside facility I
understand will have about 20 unassigned beds after the
patients at the Alexander wing were moved. Other assisted
living complexes in the area are full and have waiting
lists.
Also, some of their guests require more care than they are
receiving.
Recently at a thank-you social, I had the opportunity to
speak to the head of the Interior Health about this problem.
Having been in administration at the hospital some years
ago, I said, "Why can't the former patient care beds that
are closed and used for storage or leased as office be
re-instated for patient care." I understand his reply to be
something like, "They would be more comfortable than being
in the hall." Why not as a temporary measure spend some
money to make them usable, instead of expecting the doctors
and nurses to get ground down, working in overcrowded unsafe
conditions. I use to do surveying of hospitals for the
granting of accreditation for the Canadian Hospital
Association. Currently, I would have difficulty recommending
accreditation at the VJH.
Kay Nash |

Meeting sought on hospital project
By Richard Rolke - Vernon Morning Star -
Published: August 08, 2008MLA Tom Christensen
is being pressured to launch a public discussion over the
expansion of Vernon Jubilee Hospital.
Jeet Dukhia and Vic Schrauwen, both engineers at VJH, are
concerned about the new diagnostic and treatment tower being
constructed through a private/public partnership.
“He (Christensen) should have a forum to tell the public the
government is building the hospital with P3 money and not
the government’s money,” said Dukhia.
“He’s our representative and he should address the concerns
of the public.”
Dukhia says it costs more for private companies to borrow
money than government, so that drives expenditures up.
He is also concerned that lease payments from the government
will divert money away from health care.
“They should ask the public whether we want it done by P3 or
public,” he said, adding that B.C. has a budget surplus and
that could help finance new health care facilities.
Dukhia and Schrauwen are also concerned that the public will
have little say in how the tower is run, and that services
will be cut to meet the needs of shareholders.
The Interior Health Authority is currently in discussions
with Infusion Health, an international consortium, to
design, construct, finance and operate the tower.
It could also include maintenance of the existing hospital.
But Schrauwen is convinced this will lead to privatization
of health care.
“Once they have control of the hospital for 30 years, they
will get into other things,” he said.
Christensen is unwilling to have a public meeting on P3s.
“I’ve met with them and they have expressed their concerns,”
he said of Dukhia and Schrauwen.
Christensen insists that public/private partnerships are an
efficient way of providing facilities and they are common in
B.C.
“What I am interested in is ensuring a top quality project
in a way that’s cost-effective for taxpayers,” he said.
Christensen denies services are at risk through
private/public partnerships.
“It’s unfortunate that people who don’t like P3s point to
some concept of inferiority. But when services are audited,
they do as well as those done in-house. P3s have saved
millions of dollars,” he said. |

Privatization a concern
Vernon Morning Star - Published: August
07, 2008
Your article in the July 11 edition entitled: "VJH
process raises concern," and specifically the comments of
MLA Tom Christensen and Spalumcheen director Lorna Bissell,
demands a response.
In respect to Ms. Bissell's comment to the effect that
without P3s a new hospital wouldn't have been built in her
former town, perhaps she can explain why government couldn't
finance the hospital and yet a private contractor can —
albeit at a higher rate of interest and thus cost passed on
to the taxpaying public?
In respect to MLA Christensen's remarks to the effect that
"The experience with P3s in the province has resulted in
significant savings of taxpayer dollars," I would point out
that in the absence of factual information his remarks
remain simply assertions.
And, as most people know, asserting something as true does
in no way make it true.
The fact of the matter is that the taxpaying public has no
way of really knowing whether or not they are receiving
value for money given that not only the negotiations for P3s
are done in secret but that when completed, the agreements
are protected by proprietary privilege accorded to the
contractor as a private entity and thus not available for
public scrutiny.
Witness what happened with the new P3 hospital in
Abbotsford.
What the politicians are saying, in effect, is "trust us;
you have our word that you are getting value for money."
In other jurisdictions, such as the United Kingdom and
Australia the use of P3s by government has resulted in
substantial cost overruns as well reductions in both the
quality and extent of services provided, with the end result
that governments in those jurisdictions had to step back in
to the picture and rescue those facilities and services they
provided.
At additional costs to the taxpaying public, it must be
noted.
The bottom line, born out by numerous peer reviewed studies,
is that publicly funded and administered, universal health
care services and facilities are both cheaper to construct
and operate and provide better results; that is have better
outcomes in that less people get sick and die than do those
privately funded and operated.
Perhaps that is what the vast majority of British Columbians
were saying in the provincially sponsored Conversations on
Health Care, where they stated clearly their preference for
such a system of health care.
Mr. Christensen's comments demonstrate clearly that he and
his government colleagues continue to ignore the wishes of
the majority of British Columbians and instead cater to a
minority of well-placed advocates of privatized health care.
And, contrary to Mr. Christensen's assertions, P3s are
another step in the ongoing, incremental privatization of
our otherwise public health care system.
Bob Hagman |

Ministry seeks increased funds
Vernon Morning Star - Published: August
05, 2008
The Ministry of Health services is anticipating a major
cash infusion.
The provincial government will seek legislative approval for
an extra $120 million for the public health care system this
year.
“In balanced budget 2008, government dedicated 68 per cent
of every incremental dollar of new spending to the public
health system for the next three years to support increased
services to British Columbians across the province,” said
George Abbott, Shuswap MLA and health minister.
“As a result of stronger than expected revenues from the oil
and gas sector, government has sought $120 million for
health authorities to meet increased demands and pressures
across the system, including for surgeries and diagnostic
procedures.”
The additional $120 million is more than a 25 per cent
increase above the additional $465.7 million provided to
health authorities in February this year. Total provincial
health spending including the Ministry of Health Services,
health authorities and health services delivered by other
ministries will now rise to a record $14.95 billion this
year, up from $9.3 billion in 2001. Health spending is
expected to reach $16.5 billion in 2010/11.
A portion of one-time funding will ensure the province
continues to build upon record levels of surgeries and
diagnostic procedures. This year, the province expects that
an estimated 12,102 hip and knee replacement surgeries will
be completed. That will represent a 152 per cent increase in
knee replacement and 68 per cent increase in hip replacement
surgeries over 2001. Median wait times for hip replacement
surgery have decreased by 42 per cent and knee joint
replacement surgery by 33 per cent since 2001. The province
also expects to add to its record level of diagnostic
procedures, which includes 75 per cent more CT exams and 145
per cent more MRI exams, between 2001/02 and 2007/08.
“With a growing and aging population, increased use of new
and expensive technologies and pharmaceuticals, we are
seeing incredible demands placed on our public health care
system,” said Abbott. |

IHA opts out of B.C. audits
By Jennifer Smith - Vernon Morning Star -
Published: August 01, 2008While the rest of
province’s health authorities have received a final grade on
housekeeping, the Interior Health Authority has excluded
itself from the report card.
Results from the most recent independent provincial
housekeeping audit show British Columbia hospitals and
health authority-run long-term care facilities meet the
prescribed benchmark for cleanliness. For the second year in
a row, all participating health authorities scored above the
benchmark rate of 85 per cent in the audits carried out by
Westech Systems, Inc.
But the one authority missing from the mix is IHA.
IHA performs its own housekeeping audits, and has done so
since excluding itself in 2007.
“The internal audits give me much more information than the
external audits,” said Alan Davies, head of the Okanagan
food services and housekeeping.
Doing its own audits also allows IHA the ability for more
frequent attention. Unlike the annual provincial audits,
IHA’s are done quarterly and on a complaint basis.
“There’s some places we audit every week,” said Davies.
While IHA auditors are internal, Davies says there isn’t
room for personal opinions or bias in the audits.
“There’s no grey area, you either pass or fail,” he said,
adding the auditors are actually trained by Westech Systems.
For example, if dust is found on a window sill, it’s an
automatic fail in that category. Because of in-house laundry
services, Davies says high dust accumulation is one area IHA
struggles with.
“Dust seems to be one our biggest challenges.”
Another reasoning for doing independent audits is IHA was
finding the results were quite similar across the board and
similar to its internal audits.
But doing its own audits allows IHA to link results to
particular areas with more ease.
IHA’s most recent audit, for the quarter ending March 2008,
shows all facilities are meeting the grade and surpassing
the 85 per cent benchmark.
In the North Okanagan, Gateby received its highest score yet
at 92.89, Noric House scored 93.95, Enderby’s Parkview Place
scored 92.56, Pleasant Valley Health Centre in Armstrong
scored 90.15 and Vernon Jubilee Hospital just passed the
mark this time at 86.89. The average score for the entire
IHA was 89.49.
That number is higher than almost all of the other
authorities provincial scores: Fraser Health – 87.44, North
Health – 87.2, Provincial Health Services Authority – 89.41,
Vancouver Coastal Health – 87.47 and Vancouver Island Health
Authority – 87.24.
When IHA participated in the provincial audits previously it
scored just over 90 per cent for both 2005 and 2006.
While IHA didn’t participate in this year’s provincial
third-party audit, it will have a grade beside its name next
year.
B.C.’s quality and cleanliness standards apply to all
hospitals and health authority-managed facilities.
“We are pleased that all health authorities met this high
benchmark for housekeeping services,” said Minister of
Health Services George Abbott. “Housekeeping provides an
important function in our health facilities, helping prevent
the spread of infection as well as ensuring the safety and
comfort of patients and staff. These audits are another
example of our accountability and transparency to residents
of British Columbia.”
The provincial audits were done between August 2007 and
March 2008 in five health authorities, as Westech moves
towards a continual auditing of facilities throughout the
year.
All audits are done by a third party, are independent, and
are unannounced. Westech audits approximately 10 per cent of
rooms in a facility, placing a higher priority on higher
risk areas such as operating rooms and emergency
departments. These audits are in addition to internal audits
done by health authorities, based on the same provincial
criteria set out by the Westech audits.
“It is important to recognize that if an individual facility
scores below 85 per cent, it does not mean it is unsafe,”
said Dean Waisman of Westech. “It does mean there is room to
improve, and gives facilities an idea of where improvements
need to be made.”
All facilities that scored below the benchmark level were
subsequently re-audited by Westech, and all showed
significant improvements, with most reaching the benchmark
level.
Prior to the establishment of health authorities, external
housekeeping audits were not done in B.C. hospitals. The
first housekeeping audits done in Vancouver Coastal Health
in 2003, prior to contracting out of housekeeping services,
showed an average result of 75 per cent.
“These reports show that it is more challenging to maintain
our high standards of cleanliness in older facilities and
busier facilities,” said Abbott. “That is why we are
investing $2.7 billion into new hospitals and facilities
over the next three years to replace or remediate outdated
facilities and to expand space in other facilities for
better patient care.” |

Healthcare debate needs context
Vernon Morning Star - Letters - Published
July 22, 2008Your article titled 'Is there a
doctor in the house' is well argued and thus makes a
valuable contribution to informing public debate and
discussion. However, like any discussion on health care
services, some sort of context vis-a-vis how Canada compares
with other countries is also critical to informed debate.
And, in the context of physicians per 100,000 people, for
the years 1990 to 2004, Canada stood well down the list of
all countries in 54th place, with only 214 doctors per
100,000. Well below Cuba with 591, the U.S.A. with 549,
Belgium 449, Estonia 448, Greece 438, Russia 425, Italy 420
- the list goes on.
Contrast this with the ratio of physicians to population in
the 1970's where Canada had the second highest ratio among
developed countries.
As you point out in your article, this abrupt change took
place in the early 1990's following the Bare-Stoddart
Report, which stated that there was a surplus of physicians
in Canada and recommended a 10 per cent reduction in the
number of medical students. What followed has been
accurately described as one of the most serious public
policy failings by both the federal and provincial
governments of the day as they took steps to reduce the
number of seats and necessary funding available in medical
schools across Canada. Compounding this reduction was the
federal government cutbacks in transfers of funds to the
provinces in the order of 10's of billions of dollars in the
early 1990's.
It is my view that there is simply no excuse that Canada's
physician to population ratio should lag far behind not only
countries that are equally wealthy but shockingly, those
countries that are classed as 'developing' or Third World.
It is arguable - convincingly, I believe - that in no small
measure this situation can be attributed to the success of
the relentless attack by the self-styled experts, corporate
funded think tanks and media 'chattering class' that our
Canadian health care system costs too much; is out of
control; and the only solution(s) are to be found in and
through a larger measure of private, for profit health care.
All of this despite Canada having already a larger
proportion of private delivery of health care services than
other less costly systems such as Norway, Sweden, Finland,
etc., where those countries also enjoy higher physician to
people ratios than Canada.
And, this 'battle' of 'private delivery' versus 'public
delivery' continues today. But, it is important to note, the
debate is only in the minds and actions of the advocates of
private delivery. It is instructive to note that the vast
majority of Canadians, as evidenced over decades of public
opinion polls, have resoundingly stated their continuing
strong preference for a public health care system that is
universal in scope, and is publicly funded and administered.
All of this despite relentless propaganda by the private
health care advocates.
This strong public opinion reflects an issue that resonates
deeply with most Canadians.
The real question to be asked is why, in view of this strong
preference by Canadians, our politicians seem determined to
ever increase the amount of privatization of our public
health care system?
After all, it can't be the economics of the matter given the
numerable peer reviewed studies showing conclusively that a
public system of health care is not only cheaper than
private but has - some would say most importantly - better
outcomes; that is, fewer people get sick or die.
What could be simpler?
Perhaps our political decision-makers should try to escape
their ideological blinkers and myths in respect to holding
that the 'market should be the final arbiter of all things'
and start listening to what the general public has been
saying for so long and, more importantly, actually doing
what the public has been saying unequivocally for decades.
Let the debate begin.
Bob Hagman |

Scanner to cut hospital wait times
By Roger Knox - Vernon Morning Star -
published July 17, 2008George Abbott hopes
his math skills sum up the new addition to Vernon Jubilee
Hospital.
The provincial Minister of Health Services was at VJH
Thursday morning to officially unveil the hospital’s new
64-slice CT Scanner, which replaces an old four-slice model.
“I hope this is 16 times better than the old one, if my math
is correct,” laughed Abbott, who was joined by other
dignitaries and hospital staff for the unveiling of the $2
million state-of-the-art piece of technology that provides
faster, more detailed scans that will allow doctors to
accurately detect life-threatening illnesses at early stages
and determine effective treatment options.
“With early diagnosis, many patients are able to receive
less invasive treatments with better outcomes possible than
with later diagnosis.”
The new scanner, 60 per cent of which was paid for by the
Ministry of Health Services through Interior Health, and 40
per cent by the North Okanagan Columbia Shuswap Regional
Hospital District, will allow radiologists and technologists
to scan cancer, pediatric, elderly, trauma and
respiratory-compromised patients more efficiently and
quickly.
It’s a machine that has 64 individual sets of x-ray emitters
and detectors that work at the same time.
“With increasing demand for CT services, the new scanner
will help keep wait times down,” said Abbott.
VJH performs 30 to 40 CT scans per day.
The new piece of equipment allows for more complex scans,
meaning patients requiring more detailed scans, such as for
neurological tumours, will not have to travel to Kelowna
General Hospital for enhanced scanning.
“The new scanner allows us to increase our diagnostic
capabilities, and allows us to go to areas we couldn’t go
before,” said Dr. Glenn Scheske, medical director of imaging
for VJH.
It’s also been a recruiting tool for the hospital as well,
as Interior Health has hired three radiologists and a CT
technologist for the imaging department.
“We’re very proud of this installation, it’s world-class,”
said Zeno Cescon, Interior Health’s program administrator
for diagnostic imaging. “These new additions ensure that we
now have the human resources at VJH to sustain the CT
department, as well as enhance the CT department to provide
the necessary service for the emergency room, surgery and
the intensive care unit.”
Okanagan-Vernon MLA Tom Christensen, who was the first to
have a CT scan in 2008 on the old four-slice machine, thanks
to an emergency room stay at New Year’s, said the new
equipment is a critical part of the ongoing investment being
made in the provincial health care system to ensure there is
health care in the community.
“The number of CT scans in B.C. has increased dramatically,”
said Christensen, who, along with his three kids, was born
at VJH. “We’re doing the best job possible.”
The scanner will help radiologists and technicians to better
perform CT angiograms, visualize small abnormalities in the
chest and perform guided biopsies in all part of the body in
the diagnosis of suspicious-looking growths that can
potentially be the early stages of cancer.
Two VJH technologists were sent to Japan for advanced
training on the Toshiba-made scanner.
Since 2001-02, B.C. has acquired 17 new CT scanners for
hospitals.
Abbott said Shuswap Lake General Hospital in Salmon Arm will
also be receiving a new 64-slice model. |

Changes needed
Vernon Morning Star - published July 15,
2008 I read with great interest the
letter by the group of doctors and then the letter from the
economics professor. Dr. Craig Mitton PhD from Okanagan
University. The professor’s letter put the picture into a
proper perspective.
I don’t blame the doctors for wanting a better facility that
provides for the future as well as the present.
My wife worked for years in Vernon Jubilee and put in many
hours of unpaid overtime because of the shortage of
available resources.
I know that doctors do the same. There is a need not only to
make informed decisions about the allocation of the limited
funding available but more to the point to revamp our health
care delivery system.
The following quote from an article in the Fraser
Institute’s recent publication “A Sad State of Affairs”
written by Nadeem Esmail has this to say:
"Canada’s health care program is one of the most expensive
in the developed world but it delivers relatively poor
access to physicians, technology, and care.
"However, the rhetoric extolling the greatness of Canada’s
Medicare program and Canada’s approach to health care policy
continues to stifle discussion and debate.
"The reality is that Canada’s approach to Medicare is the
problem; changing the policies that many politicians and
pundits defend would markedly improve the performance of
Canada’s health care system."
It is time for all of us to review the way we think about
our health care system and demand that our government revise
the way it delivers it so that we are in tune with the
modern reality.
R.J. Reid |

IHA clarifies wait times for cancer surgery
July 10, 2008 - Vernon Morning Star
KELOWNA - The wait time for breast cancer surgery at Kelowna
General Hospital is two to four weeks, according to Interior
Health Authority officials.
The figure represents the time it takes between the
confirmation of cancer to surgery, said IHA spokeswoman
Karen Cairns.
“Either a needle biopsy or a surgical biopsy or whatever is
done to confirm cancer cells to actually being in the
operating room for surgery.”
The figures differ slightly in a study the Cancer Centre for
the Southern Interior did in 2006, involving 346 patients,
she added.
That study showed the median time from confirmation of
cancer to surgery was just shy of five weeks.
The same study also showed the median time from the
discovery of a lump to a diagnostic mammography was six
days.
And, the median time from first indication of a lump to
surgery is 78 days, said Cairns.
“First indication is the screening mammogram that shows a
lump that needs to be further examined, patient discovers a
lump or a doctor discovers a lump.”
By comparison, Peachland resident Patricia Guest said she
waited two weeks for her mammography.
She said she will have waited 17 days between the
confirmation of her cancer and her scheduled surgery on July
9.
From the first indication of a lump to surgery, Guest will
have waited 64 days.
Guest’s wait times line up with what is typical at KGH and
the local cancer centre.
However, she said the waits are too long and she wants times
for all breast cancer-related procedures to be reduced by
half. |

VJH process raises concern
By Richard Rolke - Vernon Morning Star -
July 10, 2008
Vernon Jubilee Hospital maintenance workers are raising
alarm bells about what they see as privatization.
Jeet Dukhia and Vic Schrauwen, both engineers, told the
North Okanagan Regional District board Wednesday that a
public-private partnership for the new diagnostic and
treatment tower will lead to higher costs and poor service.
“P3s are very dangerous,” said Dukhia, a longtime employee
at VJH.
Following provincial guidelines, the Interior Health
Authority is in discussions with Infusion Health to design,
construct, finance and operate the tower.
Infusion Health is a consortium made up of Bilfinger Berger,
John Laing Infrastructure, Black and McDonald, Graham
Construction and Stantec.
Dukhia claims that P3s have been a “disaster” in other
places where it’s been tried, and the need for corporations
to satisfy shareholders leads to reduced maintenance levels.
“Samuel Polson donated that land (for VJH). That land is not
for-profit,” he said, adding that an agreement would have a
private firm operating the tower for 30 years.
“We are mortgaging ourselves for the next 30 years.”
Schrauwen says it costs more for private businesses to
borrow funds than government so that will impact the price
tag of the tower.
“The financing of this new facility is beyond
comprehension,” he said.
“It’s high time that we started asking questions. What is
this going to cost if we do this through public? What is
this going to cost if we do this through private?”
Jerry Oglow, NORD chairman, recently went on a tour of VJH
with Dukhia and Schrauwen.
“It’s interesting to see it from their perspective, from
their environment,” he said.
But Spallumcheen director Lorna Bissell isn’t convinced P3s
are negative.
Bissell said a public-private partnership led to a new
hospital being constructed in her former hometown of
Brampton, Ont.
“It wouldn’t be there today if it wasn’t P3,” she said of
the financing needed.
Tom Christensen, Okanagan Vernon MLA, refutes the claims
from Dukhia and Schrauwen.
“The experience with P3s in the province has resulted in
significant savings of taxpayers’ dollars in construction
and operating,” he said, adding that allows more money to be
directed towards health care.
“The government’s interest is to ensure we get quality
facilities at good value.”
Christensen denies that P3s are privatization of health
care.
“At the end of the day, the public owns the facility and the
health care and maintenance services are paid for by the
public,” he said. |

Blowing smoke
By Richard Rolke - Vernon Morning Star -
July 08, 2008
It was interesting to learn last week that the Interior
Health Authority is looking at standardizing how all
hospitals handle overcapacity conditions.
While all facilities are jampacked, apparently simple
wording makes it challenging to compare them. Vernon Jubilee
Hospital classifies over-capacity as code purple, while just
down the highway, Kelowna General Hospital describes it as
something else.
One has to hope that standardization ensures that
overcrowded conditions are treated the same no matter which
hospital you find yourself in.
But the conspiracy theorist in me wonders if this is just an
attempt by IHA to avoid the issue of why patients are
constantly finding themselves in hallways or places other
than proper rooms.
Is the thinking that if the public no longer hears the term
code purple, they will think there is no longer a problem?
The reality, though, is that despite the colour or
bureaucratic lingo being used, there aren't sufficient acute
care beds, operating time or nursing staff to address the
needs of a growing region.
And while the $81 million diagnostic and treatment tower is
a good start, there is no guaranteed funding yet for
additional beds. Until that happens, code purple alerts will
continue.
Let's hope that the thrust behind standardization is
ultimately to improve the health care system at VJH, and not
just an IHA smoke screen to try and confuse the public.
Cunningham doesn't run and hide
Generally politicians try to avoid controversial issues, but
not Juliette Cunningham.
The Vernon councillor has gained a reputation for speaking
out on difficult subjects, even when she knows it may not be
popular with some constituents or others at the council
table.
Case in point was last Friday when the Vernon Native Housing
Society held a ground-breaking ceremony for a 40-unit
affordable housing complex on 19th Avenue. The speeches were
filled with excitement and optimism, that is until
Cunningham brought a dose of reality to the podium and
raised the concerns of adjacent residents about the project.
"It wasn't an issue of not-in-my-backyard but legitimate
concerns about the loss of green space and the crime that
already exists," she said.
Cunningham credited the society for making some changes to
the plans, but indicated that work must continue if the
neighbours are to be satisfied.
"All of us are committed to ensuring these concerns are
addressed," she said.
It would have been easy for Cunningham to ignore the issue
altogether, to forget that residents are worried about
losing part of a park, or that the drug trade is prevalent
in the area adjacent to the sewer treatment plant.
But that would have been doing a disservice not only to the
neighbours, but also to the Vernon Native Housing Society.
The non-profit organization has shown substantial leadership
when it comes to pursing affordable housing and allowing
families to blossom.
But while the society's track record of operating housing
complexes is extremely positive, there is always room for
improvement and there is a need for both it, the city, and
the RCMP to set the bar even higher when it comes to the
19th Avenue neighbourhood.
It is not good enough to say that the ground has been
broken, and the project is moving ahead as is.
And I suspect that Cunningham's blunt honesty will continue
if she believes the neighbourhood's concerns are being
forgotten. |

Dispute erupts over health care
By Richard Rolke - Vernon Morning Star -
July 04, 2008
The war of words continues over Vernon Jubilee Hospital.
The Vernon Taxpayers Association is upset with a letter
Okanagan Vernon MLA Tom Christensen sent out June 6 about
previous correspondence from the group.
“It was off-handed and rude,” said Tony Stamboulieh,
association spokesman, of the letter from Christensen.
“He tells us we are wrong and that’s not so. All of our
facts are based on government figures.”
In his letter, Christensen states, “The statements regarding
current funding and services that you have expressed in your
letter are in most cases inaccurate.
“I must correct your statement that only 125 acute care beds
are currently funded as the number of beds currently funded
at VJH is 138.”
Christensen also indicates that pressure will be taken off
VJH through the opening of six more palliative care beds at
Hospice House, as well as 106 new seniors care beds.
“Nevertheless, I will be closely monitoring these
developments and having ongoing discussions with both the
Interior Health Authority and the Ministry of Health,” he
wrote.
On Friday, the association issued a press release
challenging Christensen’s comments.
“One-hundred-and-thirty-eight acute care beds refers to the
125 funded beds plus 13 temporarily funded beds on 2E. Are
you suggesting that these temporary beds are now permanently
funded?” states the release.
“You say that your government is providing 106 new
residential beds. However, with the closure of the Alexander
wing, we are losing 49 residential beds according to the
admitting department, so that should be taken into account
when there is talk about opening other residential beds.
Also, one residential bed does not equal one acute care bed.
You are equating a residential bed with an acute care bed.”
Christensen told The Morning Star Friday that he is willing
to set up a meeting between the association and IHA.
“Mr. Stamboulieh chooses to communicate with me by news
releases. But I am more than happy to get information any
resident wants on health care,” he said.
But Stamboulieh believes it is Christensen that needs to
look at the situation more closely.
“It’s time that Mr. Christensen reflected our concerns and
accepted the facts,” he said. |

A REVIEW
July 4, 2008 - Vernon Morning Star -
Letters
I read with great interest the letter by the group of
doctors and then the letter from the economics professor.
Dr. Craig Mitton PhD from Okanagan University. The
professor’s letter put the picture into a proper
perspective.
I don’t blame the doctors for wanting a better facility that
provides for the future as well as the present. My wife
worked for years in Vernon Jubilee and put in many hours of
unpaid overtime because of the shortage of available
resources. I know that doctors do the same. There is a need
not only to make informed decisions about the allocation of
the limited funding available but more to the point to
revamp our health care delivery system.
The following quote from an article in the Fraser
Institute’s recent publication “A Sad State of Affairs”
written by Nadeem Esmail has this to say:
"Canada’s health care program is one of the most expensive
in the developed world but it delivers relatively poor
access to physicians, technology, and care. However, the
rhetoric extolling the greatness of Canada’s Medicare
program and Canada’s approach to health care policy
continues to stifle discussion and debate. The reality is
that Canada’s approach to Medicare is the problem; changing
the policies that many politicians and pundits defend would
markedly improve the performance of Canada’s health care
system."
It is time for all of us to review the way we think about
our health care system and demand that our government revise
the way it delivers it so that we are in tune with the
modern reality.
R.J. Reid |

Location found for medical clinic
By Tyler Olsen - Vernon Morning Star -
July 03, 2008
Armstrong is one step closer to a multi-doctor family
practice after the announcement that the Haugen Community
Healthcare Society has secured space for a new clinic.
Renovations will begin this weekend on a 3,700-square-foot
space in Pharmacy Plaza above the Century 21 offices. When
the makeover is complete, likely in October, the space will
host four doctors.
A contract for a renewable five-year lease is in the works,
although the society hopes to exercise an option to buy the
space at fair market value as soon as possible.
Haugen spokesman Nick Watkins said that while the society
had received offers from builders and others in town, the
size of the office needed, and the fact that the society
will be able to purchase the space, made the Pharmacy
building the best choice.
“As a committee, we spent a lot of time looking for the most
appropriate space,” said Watkins.
The society will provide the building, renovations,
furnishings and some basic equipment, while the doctors will
pay rent to cover building-related operating expenses.
The doctors will also look after overhead costs.
Already, work is slated to start on the space, with
renovations beginning July 5 with the help of Pleasant
Valley secondary school students.
Renovations are expected to take around three months,
leaving the clinic to open sometime in October.
Watkins said the community group and the doctors are excited
about the rate of progress made during the recent months.
In January Dr. Rick Sherwin served notice that if he could
not find fellow doctors for Armstrong, he would be forced to
close his practice.
And the Haugen Community Healthcare Society has only been
around since March.
“The speed of this has been phenomenal, we’re only talking
from March until now and here we are, knocking down walls on
Saturday,” said Watkins.
The society has already taken in more than $100,000 and
plans to continue raising funds in order to purchase the
property.
Organizers are also encouraging residents donate the
recently distributed $100 carbon credit cheques towards the
doctor’s clinic.
“We suggested to the community that (donating the money) is
one way to green their carbon cash because if they don’t
have to drive to Vernon or Enderby (to visit a doctor) they
wouldn’t be creating the emissions and they’d also be
keeping the money in Armstrong,” said Watkins. |

Health care woes
June 29, 2008 - Vernon Morning Star -
Letters - Page A9
A response to Craig Mitton's letter in the June 8, 2008
edition.
He asked "what are you willing to give up" for more beds in
the Vernon Jubilee Hospital?
I am sorry but I feel I (and the surrounding community) have
already given up our Enderby hospital years ago and are just
now watching it be knocked down, violently reminding us of
our government's priorities in health care.
I would hope they have enough money to build the tower at
the Vernon Jubilee Hospital since they have cut back funding
time and time again even going back on their words on
nurse's contracts, cutting welfare, closing schools, and
shutting down hospitals.
My hope is that they would have a little spare change for
that but I fear that none of us here in the Interior are
seeing it unless it is being put into making our roads down
to the Olympics look more cosmetic.
Meta Attlesey |

Health minister responds
June 29, 2008 - Vernon Morning Star -
Letters page A9
I wish to respond to your May 23rd editorial “Acute care
beds needed,” regarding Vernon Jubilee Hospital.
As I’ve written previously in your paper, I recognize Vernon
Jubilee has struggled with recent surges in ER patient
demand, and I commend the staff at the hospital for their
exceptional efforts to provide the excellent care they give
each and every day.
The B.C. government is making a significant investment in
Vernon Jubilee Hospital, with close to $100 million for
capital improvements, which includes the new diagnostic and
treatment tower.
Your editorial says that Vernon Jubilee needs new acute care
beds, and I agree that this may well be part of the solution
for the congestion the hospital experiences. But the
ministry cannot act alone on major decisions like these.
Because of this, we are in discussions with the regional
hospital district, which would of course be an important
funding partner in any expanded plans for the project.
Until those discussions are complete, it would be imprudent
to make any commitments at this time.
But I would say once again – as your editorial suggests I am
inclined to do – that increasing the number of acute care
spaces is not the only solution.
There are patients currently in acute care spaces that would
be more appropriately cared for in other types of
facilities.
Within a matter of months, we will have opened 108 new
residential care beds and 24 assisted living units in the
North Okanagan.
This will include 66 new beds at Vernon’s Creekside Villas,
opening within weeks.
These new beds will provide some relief for the congestion
at Vernon Jubilee.
The needs of the Vernon and North Okanagan communities are
very important to our government, and the ministry will
continue our discussions on Vernon Jubilee’s acute care bed
capacity with the regional board, Interior Health and local
hospital staff.
George Abbott,
Minister of health |

Doctor shortage must be tackled
June 27, 2008 - Vernon Morning Star -
Opinion
Countless North Okanagan residents are without a family
physician, so when they need medical attention, they either
wait in line at a walk-in clinic or they head to the
emergency department at the hospital.
And, unfortunately, this isn't a situation unique to the
North Okanagan. It is a scene repeated across the country,
especially in small, rural communities where the departure
of a physician can place considerable pressure on their
remaining colleagues, as well as patients.
The reasons for the growing shortage of physicians are
diverse – from many Baby Boom-era doctors retiring to newer
professionals not wanting the long hours and demands that go
with family practice. There is also the fact that many
doctors have also decided to specialize their practice.
And if the reasons for the shortage are diverse, then the
solutions are extremely complex.
But that said, it is vital that North Okanagan communities –
big and small – tackle the issue because the negative
implications are significant.
First off, it is essential that all residents have access to
the health care system, especially when the North Okanagan's
population is not only increasing, but aging. Secondly, a
chronic lack of doctors could eventually lead to some people
and businesses not moving here, and that would take its toll
on economic development.
Efforts have been launched in Armstrong, and to some limited
extent in Greater Vernon, to recruit physicians, but those
activities must be escalated.
The doctor shortage must become a priority for politicians
at all levels, the health authority, business leaders and
rank-and file residents. |

Doctors hopeful about tower
By Richard Rolke - Vernon Morning Star -
June 20, 2008Physicians are cautiously
optimistic that upgrades at Vernon Jubilee Hospital will
address long-term care health care needs.
In a statement issued to The Morning Star, medical staff
state that they are now aware of attempts by the Interior
Health Authority to have two shelled-in floors added on to
the diagnostic and treatment tower.
“This would allow us the physical space to address this
need,” said Dr. Chris Cunningham, medical staff president.
Doctors have suggested in the past that current plans for
the tower will do little to address the needs of a growing
region, including the lack of new acute care beds and an MRI
machine.
Currently, IHA is negotiating with the Ministry of Health
and the regional hospital district to fund the two extra
floors. If that occurs, only the rough outline of floors
would be done, with completion only proceeding when dollars
exist.
“With support from the government, we are optimistic that we
could fill this space operationally,” said Cunningham in the
statement.
“We need to continue to work towards acquiring this support
from this government, however. We owe this to our patients
and this North Okanagan population. With the news of this
additional space, we are optimistic and support the planning
process of this new patient care tower at VJH to be opened
in 2010.”
IHA officials welcome the physicians’ stance on the tower.
“We’ve always had the sense that the physicians support the
services going into the tower and their concern was about
additional in-patient resources,” said Joanne Konnert, chief
operating officer.
It’s hoped that IHA will have a commitment from the ministry
and the hospital district this fall on possibly funding two
additional shelled-in floors.
As for the dollars needed to complete those floors and open
new acute care beds, Konnert says that issue is a few years
away from being resolved.
“If they are shelled in, it doesn’t take much to finish the
floors,” said Konnert.
Recently, the Vernon Taxpayers Association launched a
petition campaign demanding improved resources at VJH. It
collected more than 18,000 names.
“The taxpayers association has been instrumental to us, in
allowing the North Okanagan population to voice their
concerns regarding the need to have the government
adequately support acute care services and beds at VJH,”
said Cunningham. |

Vernon hospital
June 20, 2008 - Vernon Morning Star -
Letters
Mr. Abbott: By now you are well aware of the petition that
circulated in the Vernon Jubilee Hospital district. Mr
Christensen has basically said, petitions really have no
value, but they do add to government studies.
The value of the petition is that we are no longer going to
put up with studies (every time there is a problem brought
up by the media, the answer usually is, "We will study it"),
overpaid multi-level bureaucrats and promises of things, to
come way in the future,
Our problems are here and now, deal with them.
Since the Liberals have been in absolute power, they have
done nothing but close or shut down facilities with promises
to build new ones.
If you were really sincere about our needs, you could show
good faith by opening up existing beds, that are currently
being used as storage.
People having their beds in hallways, I suppose should be
grateful, but having to use bathroom facilities with their
gowns flapping open, is not really desirable. You know that
we have available beds, you choose not to fund them. Where
is all our money going?
The Olympic perhaps? Building a $13 million-plus pavilion in
China to promote trade? Have you checked the quality of
goods, coming from China lately? I have a 2010 Olympic pin
made in China, on my purse. After three weeks, the back fell
off.
The premier says "British Columbia, the best place to live."
He can now add, "and the best place to die."
Rose Pollock |

Hospital blues
June 19, 2008 - Vernon Morning Star -
Letters
The Interior Health Authority states that the information
put forward by the physicians at Vernon Jubilee Hospital is
misleading (Joanne Konnert, Morning Star, May 5).
Do any of us really believe that doctors would become so
vocal on a subject with no basis in fact? I think not.
Doctors, for the most part, stay well out of politics and
publicity, because they are just too busy taking care of
those who need them most — injured and sick people.
For doctors to hold a public meeting is most unusual and the
support they received from the public and their colleagues
was outstanding.
The doctors are not asking for more money for themselves.
They are asking for more money for your treatment, involving
more beds, more staff and more diagnostic machines.
They don’t want to attract more patients.
They just want to be able to offer proper care to the
overwhelming number of patients they have to serve right
now.
If you have read the responses from Mr. Christensen, MLA,
and Mr. Abbott, health minister, then you must now wonder
just why you voted for them in the first place?
Those in the front lines who take care of us must, by simple
logic, be more aware of the shortfalls they are now having
to face on an ongoing daily basis. We owe them our support,
so call your government representatives and let them know
just how disgusted you are with their response.
After all, you are paying their huge salaries, which by the
way, you did not have any input on as to the dollar figure
they seem to think they are worth.
J. Dalgarno |

Long memories
June 19, 2008 - Vernon Morning Star -
Letters
It
is with a certain amount of dismay that I have followed the
antics of the provincial government's minister of health,
George Abbott.
Global Television and the Sun newspaper reported at the
Royal Columbian Hospital, “Operating slates are cancelled on
a daily basis, operating rooms are closed, and patients are
waiting in hallways for nursing care," Dr. Rob Granger wrote
in a March 6 letter to Fraser Health Authority CEO Dr. Nigel
Murray. Granger said cancer surgeries and other urgent
elective surgeries are frequently cancelled for lack of
resources. Granger added in the letter, which was also sent
to Abbott and the New Democratic Party, “At present, we are
truly in a crisis”
But Abbott said it’s not that bad, and the government was
considering “strategic investments” to improve conditions at
the hospital. Abbott acknowledged Royal Columbian is facing
pressures, but called Granger alarmist for referring to it
as a crisis. "This is not a hospital in crisis, this is a
hospital that has some pressures," said Abbott, challenging
some of Granger’s assertions.
One must really wonder sometimes, when you hear remarks like
Abbott’s, is he for real or just a bad dream.
Since then, the B.C. Ambulance Service has confirmed there
is a crisis at some hospitals. On television, there is a
fundraising drive for B.C. Children’s Hospital, which is
severely under-funded and overcrowded. Vernon and Kelowna
hospitals have reached code purple.
It has become common that maternity patients are transferred
out of province, even out of country, and on a daily basis,
surgeries are being cancelled. People have died before care
can be administered.
Surgeon Hamish Hwang, of Vernon Jubilee Hospital, states,
“The facilities at VJH are no longer able to provide safe
and timely medical and surgical care to the citizens.”
Doctors, nurses and hospital employees work hard to
safeguard the health of citizens. They have warned the
general public and their employers that the system is
failing and putting people at risk.
The politicians, provincial and federal are reminiscent of
Nero. They are fiddling around while the health system is in
crisis. Then again, maybe I am wrong and a two-week party at
Whistler in 2010 is more important, with projected costs
approaching $two billion.
I
hope that people remember this at election time.
Jim Benyon |

Rhetoric doesn't benefit hospital
June 19, 2008 - Vernon Morning Star -
Opinion
It shouldn't really come as a surprise, but the growing
political rhetoric over Vernon Jubilee Hospital is
unfortunate.
NDP brass made a stop in Vernon Wednesday to raise concerns
about conditions at the hospital. And while their comments
were likely genuine, one can't forget that the NDP want to
undermine the Liberals' credibility in an attempt to regain
power in Victoria.
It should also be pointed out that during its 10 years in
government, the NDP did little to improve conditions at VJH.
In fact, the only focus seemed to be on scrapping the
hospital board which was ideologically opposed to the NDP's
stance on abortion.
But for the Liberals to dodge current responsibilities by
bringing up the failings of the NDP is pathetic. The present
and the future are what counts, and there is no question of
significant problems at VJH. Code purple has become an
almost daily occurrence, and patients are left sitting in
halls. The new diagnostic and treatment tower is a positive
start, but it will do nothing to address shortages with
acute care beds and nurses.
The Liberals have been in power since 2001 and they've
dropped the ball since then.
Speaking to the media Wednesday, Vernon Taxpayers
Association spokesman Tony Stamboulieh stated that VJH is
"an issue that crosses all political borders."
And Stamboulieh couldn't have been more right as hospitals
serve the needs of everyone no matter their age, gender,
colour, cultural background or political allegiance.
It's time for the Liberals and the NDP to recognize that
reality and work towards improving health care, instead of
waging a childish war of politics. |

NDP targets hospital ‘crisis’
By Richard Rolke - Vernon Morning Star - June
19, 2008
OPPOSITION HEALTH CRITIC Adrian Dix speaks to reporters
outside Vernon Jubilee Hospital Wednesday, with NDP leader
Carole James at his side.
The provincial government is accused of ignoring “crisis”
conditions at Vernon Jubilee Hospital.
Carole James, NDP leader, and Adrian Dix, the party’s health
critic, made a stop Wednesday to express concern about what
they see as a lack of resources at VJH.
“There is a crisis in Vernon and in this region,” said
James, adding that there have been
50
code purple alerts so far this year because
the facility was at capacity.
“It’s the worst in B.C. and yet the government says there is
no problem.”
Recently, 18,000 people signed a petition demanding
increased acute care beds, operating rooms and nursing staff
at the hospital.
“It should be a sign to the government that there’s a
problem. People are speaking out,” said James, who in a
subsequent press release, described VJH’s emergency room as
“almost constant chaos.”
Much of the focus from doctors has been on the need for more
acute care beds, and James agrees.
“Acute care beds are a large part of the problem,” she said,
adding that previous cuts to health care are responsible.
James believes the Liberals are too focused on Vancouver.
“Anything that’s outside of the Lower Mainland is ignored by
this government. But the resources that
support all of us in the province come from the north, the
Okanagan and the Interior,” she said.
Members of the Vernon Taxpayers Association met with James
and Dix.
Tony Stamboulieh, association spokesman, is concerned about
the development of the new $81 million diagnostic and
treatment tower and the fact that a large company will not
only finance and build it, but operate the tower.
“We want to know the details of the contract before it has
been signed. What are they getting out of our public health
assets?” he said.
Health Minister George Abbott insists the NDP is
misinterpreting the situation at the hospital.
“We haven’t suggested there aren’t challenges. There’s a
good reason why we are investing close to $100 million in
the next few years,” said Abbott.
“I don’t recall the NDP at any point during their 10 years
in government investing any significant dollars at VJH. They
talk and we act.”
Tom Christensen, Okanagan Vernon MLA, is quick to refute the
claims of the NDP.
“We are working hard to be responsive to what we’ve heard
from health care workers,” he said, adding that he and
family members have been patients at VJH.
“I would never describe it as chaotic and that is an insult
to health care workers who are doing a tremendous job.”
Christensen says the government expanded VJH’s emergency
room last year, is moving ahead with the diagnostic and
treatment tower and has increased nurse training.
“People need to look at what the NDP did to health care over
their 10 years and the investment we’ve made since 2001,” he
said. |

A better place
June 17, 2008 - Vernon Morning Star -
Letters
Four weeks ago, my husband, Mike Stephenson, passed away at
Hospice House, having been a resident for just a few days
over three months.
As I was with him for twelve hours every day, I got to know
all the nurses, care aides, administrative staff and the
army of volunteers, all of whom devoted so much time, energy
and compassion to both of us.
I cannot name names, for fear of leaving someone out, but
all of the wonderful and caring people with whom we came
into contact deserve special praise and my and our family’s
eternal gratitude.
For an end-of-days care facility, I cannot imagine a better
place than your Hospice House.
In addition to praising the workers at Hospice House, I also
want to congratulate and say a huge thank you to the people
of Vernon and district who have devoted so much talent,
time, and treasure to the construction, maintenance, and
expansion of the building and grounds.
The way the people have come forward to achieve the new
addition to this beautiful facility is amazing and must fill
the city with pride, for you have now what must be
considered the hospice-care jewel of the entire Okanagan
Valley.
If you are wondering how someone from outside the area, for
Christina Lake is hardly in the Okanagan, became a resident
of Hospice House, we have family in Vernon who were very
anxious to see dad get the best possible care.
The level of care available at Hospice House is just not
possible in our part of rural B.C., so again, thank you from
the bottom of our hearts.
Tanis Stephenson and Family |

NDP highlight health care today
By Richard Rolke - Vernon Morning Star -
June 17, 2008
B.C.’s official opposition is taking up the cause of Vernon
Jubilee Hospital.
NDP leader Carole James and health critic Adrian Dix will
meet with health care workers, residents and patients today,
including a press conference outside VJH at 9:30 a.m.
“We want to highlight the issues of importance in the
Okanagan and the crisis in health care has hit the
Okanagan,” said James.
According to James, she is concerned about the number of
code purple (capacity) alerts that have been called at VJH.
“We want to continue to put pressure on the government,” she
said.
A recent petition collected 18,000 names, demanding that the
provincial government provide more resources at VJH for
acute care beds, operating rooms, an MRI machine and nurses.
“We have heard nothing back from the health minister,” said
Tony Stamboulieh, spokesman for the Vernon Taxpayers
Association, which organized the petition campaign. “There’s
not the slightest indication that he has anything to say so
it’s commendable that Carole James is coming here to see
what’s going on.”
Since the petition was handed over to the government,
another 600 names have been received.
“People keep sending their petitions in,” said Stamboulieh. |

Health care concerns
June 17, 2008 - Vernon Morning Star -
Letters
As a recent patient of Vernon Jubilee Hospital, I was very
surprised at the things I saw and the conditions of our
hospital.
Mr. Tom Christensen please rethink what you are saying about
our hospital not being short changed.
Hospitals in surrounding areas may have the same problems,
but our hospital is in the most critical state.
The staff, doctors and nurses are so run off their feet,
they don’t even have time to breath.
While the government needs to take another look at the money
and use it to pay more nurses and open up those floors and
beds that are so desperately needed, patients are being put
out in hallways to accommodate other patients that are in
need of a room more.
I happened to have had that same experience while I was
there.
Patients should not have to go through that experience at
anytime while being in the hospital to get well.
While the beds and more nurses is an issue, the whole health
care system is in bad need of attention and changes must be
made.
Please think about
the people, not your pockets.
Stop making the patients suffer and the nurses work their
fingers to the bone.
Help stop code
purple!
The government should step up to the plate and do their job.
I sure hope I won’t need hospital care anytime soon.
V.M. Cox |

Not good enough
June 14, 2008 - Vernon Morning Star -
Letters
Dear Mr Abbott,
First of all I don’t like calling you “dear”, as I don’t
feel you have our best interests at heart.
I hope you have read the marvelous letter written by
Dr.Hamish Hwang in The Morning Star recently. It’s very
informative for one who’s been there and that!
I hope you never have to use our hospital facility any time
soon but I suspect you would have a priority as most
politicians do.
I was lucky to be a breast cancer survivor when Dr. Hamish
Hwang’s father Ghee operated on me in 2004. I was lucky! I
had a bed to recover in!
My husband has gone through 36 radiation treatments in
Kelowna, many thanks to the masons for the shuttle bus to
take patients from Enderby, Armstrong and Vernon for
treatment. Our government doesn’t seem to see the need for
this service.
Mr. Abbott, it would be great if you would stop bobbing your
head during question period and look directly at your
questioner. It always seems as if you’re hiding something.
So much for this marvellous tower being built at VJH with
our tax dollars. Where will the beds be to facilitate its
use?
My husband and myself are in our 70’s and have used the
emergency department at VJH in the past three months. The
service we received was great, but we both saw how taxed
they were to lack of staffing.
We feel you and the IHA need to meet our needs - especially
for Armstrong and Spallumcheen as we add to the overload at
VJH.
In addition, I would hope that you and IHA would seriously
rethink the practical use of our Pleasant Valley Health
Centre. It has an x-ray and lab in use on site.
Phyllis M. Scott |

Voting does count in the end
June 13, 2008 - Vernon Morning Star -
Letters
It is so true that if you live outside of the Lower Mainland
that healthcare is tougher to get to....Shortages of
everything....doctors, acute care beds, long lists for
diagnostics.....and the travelling at your own cost to
wherever there is help.
The Liberals have their own agenda and vision not shared
with the British Columbians who pay for it...Wouldn't it be
nice to know before the election just what we are in for
before we vote instead of the "trust me" attitude we now
receive. And gone would be the self-serving legislation
passed by the government who don't care how hard it is to
live with. Let's face it the Liberal government is not very
concerned about the poor or middle class except maybe in
considering how to get rid of them and their right to
vote..believe me this is the ultimate for Campbell...to be
king and no votes to worry about.
I agree that we really don't have enough political choices
when we go to the polls to vote.....but not voting is not
going to fix our woes....health sector or any other sector.
If all BCer's take this attitude all that will happen is
that those that do vote will have a greater say and the
percentage won by the winning party will be bigger.
For example: if 10 people out of 100 eligible voters show up
and vote, the other 90 people have to live with the opinion
of the 10 people who showed up. This is exactly what the
Liberals are counting on.
And it works for them, after all look at how long he (Gordon
Campbell) has been in control as more and more BCer's give
up in frustration and are a no show on Election Day.
While we need a governing body to look after B.C. it sure is
hard to vote when there is very few choices, but, every one
needs to show up at the polls to vote.
Maybe we could have a couple extra choices on the ballot:
1. None of the above
2. Not the Liberals
That way there would be a clearer picture of what BCer's
really think. More and more people are choosing not to vote
because the choices are not reflecting what is really
wanted. But, the government really doesn't want to know what
we want...they just want to win....any way they can.
We are treated like two-year-olds who you give two choices
to....the one you know they hate (discipline) or the one you
want them to choose (eat their veggies).
That is B.C.'s choices.
I might not like the choices but, I am not giving in to the
Liberals, I will be showing up to vote because I don't
believe the few who show up to vote know what I want to say.
Candis Hansen |

Unhealthy approach
June 11, 2008 - Vernon Morning Star -
Letters
I’m writing with regard to the article, “Government won’t
disclose hospitals’ names,” in the The Morning Star. George
Abbott is my MLA as well as health minister, and I’m
concerned that he’s taking an unhealthy approach to hospital
regulation.
By asking our hospitals to compete with each other for
patients, the B.C. government is trying to create a
situation that won’t work for many rural residents. People
who live in towns or small communities in the Interior,
myself and Mr. Abbott included - usually have one local
hospital, or perhaps two within an hour’s drive. A hospital
which has a better safety record or services might be
several hours’ drive away. Only those of us with private
vehicles can even take part in this “competition,” cutting
out some lower-income rural residents. Sick or injured
people who live alone in remote areas might not be able to
drive safely the two or three hours to a more desirable
hospital, and winter road conditions could further
complicate the journey and increase the risk of accidents.
All this extra driving in search of better hospitals will
also increase air pollution and greenhouse gas emissions.
This policy of competition could actually lead to more
sickness.
However, I also object to the government’s attempt to push
the hospitals’ performance rankings under the rug by
refusing to disclose how each hospital ranked. We pay for
the system through taxes – we have a right to know. I also
think it’s “richly ironic” for Abbott to complain about lack
of “transparency” under the 1990s NDP government because no
food or cleanliness audits were performed. I’d suggest that
these audits were begun in the early 2000s because
complaints and dissatisfaction had mounted as the new
Liberal government cut funding and privatized services.
So what’s the cure? I believe that in our publicity-owned
and funded health-care system, everyone has a right to the
best possible quality of care in their local hospital –
which might be the closest one in a hundred kilometres. Make
the statistics public, find out what’s wrong with each
low-performing hospital and develop a concrete plan to fix
it. If the Health Ministry can’t provide consistent
high-quality services in hospitals around the province,
perhaps some major political surgery is required.
David J.A. Foster |

In search of a solution
June 08, 2008 - Vernon Morning Star -
Opinion
There has been much debate in recent months about the acute
bed pressures at the Vernon Jubilee Hospital. In particular,
a vocal group of physicians has been very clearly advocating
for more hospital beds, noting an all too regular state of
over-crowding and over-capacity.
It also seems that the physicians recognize that while a
major capital expansion is in the works, the pressures are
much more immediate, and even once the new tower is built,
without further increased capacity, seemingly unlimited
demand will continue to cause serious problems for patients
and staff. The solution offered by the physicians? More
resources funneled to VJH, resulting in more beds, thereby
alleviating the gridlock and overcrowding. In response,
officials at the Interior Health Authority come back to the
new tower (i.e., "expansion is coming") and the need to look
at opportunities to increase efficiency. Here we have a
stalemate. As is so often the case in the public sector,
more discussion is planned.
Let me offer a slightly different perspective. My area of
study is health economics. I am not a clinician nor do I
work for IHA. My employer is the University of B.C. and I am
based at the Okanagan campus in Kelowna. Health economics is
about looking at how limited resources should be best
allocated within health care. Working in this field
necessarily involves collaboration with physicians, nurses,
other clinicians, health authority decision makers,
government policy makers, and still others such as those
with expertise in bioethics, management science and
organizational behavior. The basic tenet of health economics
is that resources are scarce, and as such, choices have to
be made about what services to fund and what services not to
fund (or how much of one service to fund vis-à-vis a given
set of alternatives). In this respect, health care
decision-making is no different then any other sector: when
there are not enough resources to meet all the competing
claims, difficult choices have to be made.
If someone was to poll 100 people on the street in Vernon
and they were asked — "would you want better access to
general practitioners (GPs) in the North Okanagan?" or "do
you want to see shorter wait times for surgical procedures?"
or, in relation to the current debate ‘would you like more
beds to be opened at VJH?" — most people would respond with
an unequivocal yes in all three cases. Unfortunately, the
almost never asked question is also, in my view, the most
important: "If you were to get more beds what would you be
willing to give up?" Or, put another way, if it could be
argued that every service currently offered is absolutely
necessary to its current level of funding, would citizens be
willing to have an increase in taxes, either in the form of
a progressive tax like income tax, or as a regressive tax
like health care premiums. Now of course this latter issue
raises questions about how well government spends our tax
dollars, thus many would object on that basis alone. But the
fundamental point still stands: if more beds are to come
into VJH, where will the resources come from?
In order to respond to this question, all of the
stakeholders need to roll up their sleeves and get involved.
While the issue of beds at VJH is important — critically
important for those who need access to an essential service
— this is only one issue of many faced by decision makers
and clinicians across the Okanagan. In order to move forward
practically, at the outset members of the public need to be
provided a forum in which they can clearly articulate their
values for the health system and be afforded an opportunity
to express health care wants in terms of trade-offs.
That requires asking questions that most politicians don’t
like to ask, such as, "if we are to get more beds at VJH,
would you be willing to see, for example, a reduction in
levels of home care services or other community programs?"
There are excellent models for this type of citizen
engagement in other countries that could be readily used
here.
The next step is to tap into local knowledge, by engaging
physicians and other clinicians to provide the ‘evidence
base’ for making difficult trade-off decisions.
Every community in B.C. has a long list of areas for capital
expansion in health care, and an even longer list of wants
when it comes to operating dollars. Stating that VJH is
under-resourced relative to other hospitals its size, in my
view, is not enough. What is needed is sound evidence on
patient outcomes; benchmarking is only part of this. Having
worked for many years with different groups across the
province and elsewhere, every community tends to have its
"woe is me" story. One approach is to make enough noise that
the policy makers and politicians can’t ignore the problem.
But this is not always helpful for an organization like IHA
which has as its legislated mandate, to meet the needs of
the Southern Interior as a whole. From their perspective,
challenges at VJH need to be balanced with those in places
like Princeton, Salmon Arm, Trail and Cranbrook.
So the last piece of the puzzle is for IHA, and indeed the
Ministry of Health, to have better systems in place to make
these trade-off decisions. Believe it or not, there is a
rather large literature on health care priority setting. At
present, one division in IHA is piloting a particular
framework that has been used in other BC health authorities
and in many health organizations around the world. As
outlined above, the starting place is to get at values from
the public, and then engage clinicians to bring forward an
evidence-base for strategic decision making. Establishing
transparent decision making criteria, having time for
appropriate consultation with key stakeholders, and looking
explicitly at how resources can be moved or shifted within a
given pot of resources, constitute key aspects of the
process. There is nothing sexy about this solution. It takes
dedicated time and resources.
Bridges have to be built between stakeholders and results
have to be evaluated.
One thing most can agree on is that health care is
incredibly complex. Sometimes the seemingly obvious
solutions will bring us back to the same place in a few
short years.
The way to address systemic issues is to introduce better
policy tools that can foster a way of thinking that enables
clinicians and decision makers to work together to determine
how much of one service should be offered and, critically,
to identify where the resources will come from in order to
make those changes.
Craig Mitton, PhD,
Assistant Professor, UBC-O |

The public has spoken
June 08, 2008 - Vernon Morning Star -
Opinion
North Okanagan residents have made it known loud and clear
that they are fed up with conditions at Vernon Jubilee
Hospital.
A total of almost 18,000 people from across the region took
pen to paper and signed a petition demanding that the
provincial government take the situation at VJH, including,
it seems like, almost daily code purples, seriously.
It is not good enough for the Interior Health
Authority and the provincial government to say that the
matter of acute care beds is being looked at — that
discussions are underway to possibly fund shelled-in space
in the new diagnostic and treatment tower that could be used
for beds sometime in the future.
There is a critical need for beds now, and that situation
will only get worse as the region's population grows and
more pressure is placed on VJH.
With construction of the tower expected to begin later this
year, it is time for Victoria to financially commit to
additional beds and to provide operational funds for nurses
and other support staff. Whether the beds are in the new
tower or in vacant space within the existing hospital, is
irrelevant. All that matters is that a severe shortage of
acute care beds be addressed.
Health Minister George Abbott likes to brag about the $81
million investment in the new tower, and while it will have
a significant impact on health care, it, quite frankly, is
not enough.
Now is the time for Abbott, Okanagan Vernon MLA Tom
Christensen and IHA to acknowledge the problem and to
actually do something about it.
If they don't, they will continue to endure the wrath of the
public. |

VJH situation remains acute
June 06, 2008 - Vernon Morning Star -
Opinion
The Interior Health Authority shared a bit of good news at a
hastily arrranged press conference at Vernon Jubilee
Hospital Thursday afternoon.
Officials say they're aware of the need for acute care beds,
as demanded by physicians in a letter to Health Minister
George Abbott May 23 and received by North Okanagan
municipalities this week.
"Government is looking at the needs and they are clear about
the needs for acute care beds" confirmed Joanne Konnert,
chief operating officer.
That's heartening but 'government' includes not only the IHA
but the provincial government and the North
Okanagan-Columbia-Shuswap Regional Hospital District, all of
whom will need to be involved in the capital funding for
shelved-in floors.
Which will take time to get approved, if at all, not to
mention the operating funding.
However, it's still a good sign that IHA is aware that acute
care beds are needed beyond the $81 million tower at VJH
that is soon to be constructed.
That they are 'working on it as fast as they can' is also a
good thing and the tower itself is, of course, welcome and
cause for excitement.
What the IHA fails to understand, however, is why it took an
unprecedented stance by VJH physicians and a petition
campaign from the public to help authorities come to these
conclusions.
Why weren't these 'realizations' available to the
authorities in the first place to incorporate into the
initial tower plan?
Meanwhile, while authorities continue to defend themselves
in the midst of controversy, the code purples continue at an
alarming rate at our hospital.
The clock continues to tick |

Doctors won’t endorse tower
By Richard Rolke - Vernon Morning Star -
June 04, 2008
Seven senior physicians are unwilling to sanction an
expansion at Vernon Jubilee Hospital.
In a May 23 letter to Health Minister George Abbott, the
doctors criticize the construction of a diagnostic and
treatment tower.
“As physicians, we can only endorse a facility that will
allow us to provide the safest and highest quality of care
for our patients,” state Chris Cunningham, Jeff Demetrick,
Hamish Hwang, Steven Friesen, Harold Yacyshyn, Jon Friesen
and Ken Perrier.
“Therefore, we cannot in good conscience endorse the current
plans for the tower without modifications as the needs of
the community will not be met with future growth and aging.”
The physicians challenge the designs, and claim that along
with no new acute care beds being added, the number of
operating rooms will not be sufficient.
The physicians warn that they have the support of the
public.
“If the current plans are followed, 10 years from now, the
B.C. Liberals’ legacy in the North Okanagan and Shuswap will
be the government who ignored the concerns of physicians and
the community, ignored their own statistics and projections
and built a multi-million dollar hospital facility that was
overcapacity the day it opened and only provided expansion
potential for five to 10 years,” they state.
“This is not our desire and we want to work together with
you to find a solution to this serious problem.”
Cunningham defends the tone of the letter.
“We have concerns that health care services be adequate for
a growing region,” he told The Morning Star.
“We are pleased with the tower going through, but it must be
adequate.”
The Interior Health Authority met with doctors a few days
after the letter was written.
“We have talked to them about their concerns and we have
told them we are talking to the regional district about
shelved-in space for beds,” said Joanne Konnert, chief
operating officer.
As departments move into the new tower, vacant space in the
existing hospital could also possibly be used for acute care
beds.
Konnert says she was pleased with the meeting with
physicians.
“I felt that people were pleased with the tower. They want a
firm commitment (on beds) but we can’t do that. That’s three
or four years out,” she said of the planning process.
Konnert stands behind the data IHA has used to determine the
scope of the tower, and she insists the project must
proceed.
“We are talking an intensive care unit, an emergency
department and maternal/child. We have to move forward.”
The physicians’ letter was sent to all North Okanagan
municipalities, and was discussed by Lumby council Monday.
“It’s a regional hospital and we all use it. We’ve all heard
the stories of people being admitted and sitting in
hallways,” said Mayor Eric Foster.
Abbott could not be reached for comment. |

Bravo
June 4, 2008 - Vernon Morning Star -
Letters
After reading several articles and an editorial in the April
9, 2008 edition of The Morning Star, and the April 16, 2008
edition of The Armstrong Advertiser, regarding the rally
behind finding a solution to the doctor shortage in
Armstrong/ Spallumcheen, we are heartened by news that
politicians have come to realize how important doctors’ care
is to this community.
We commend Health Minister, George Abbott, for taking
another look at the problem, and meeting with Mayors Oglow
and Hansma, joining forces to review options in order to
enable a workable and viable proposition be found.
However, our applause goes to the residents who have made
their voices heard, and to people like Tom Nordstrom, to the
Realtors, to Kindale.
Without these powerful voices, heard all the way to
Victoria, we doubt anything would have been done and the
loss of our existing doctors would be irreversible.
So give yourselves a standing ovation!
In closing, we would like to say how proud we are of our
part.
Armstrong/Spallumcheen Health Care Auxiliary, i.e. The
Bargain Bin |

Westsiders still hanker for their own hospital
By Jason Luciw - Kelowna Capital News -
Published: June 04, 2008Efforts to bring a
hospital to Westside have reached new heights.
A petition has been circulating in the community for less
than a month and already 5,000 people have signed their
names to it, according to organizer John Burke.
He pulled out binders full of signatures as proof of the
headway he and fellow volunteers have made by knocking on
doors, leaving sheets on countertops at major retailers and
from setting up info booths at malls since the beginning of
May.
Burke said a
hospital in Westside would provide better access to health
care to 45,000 people from Fintry to Peachland, and possibly
another 12,000 residents as far south as Summerland.
Therefore, a Westside hospital would relieve pressures on
the Okanagan’s three existing major health facilities in
Vernon, Kelowna and Penticton, he added.
“I am going for a full blown hospital because of the
overcrowding in the other three hospitals.”
Petition supporter Ron Green said, he hoped Interior Health
would soon start to come around to the fact that Westside
needs a hospital because of its burgeoning population.
Another supporter of the petition is former Tahsis mayor
Sylvia McNeil, who now lives in Westside.
McNeil said her tiny Vancouver Island community of 700 had
better health care than Westside, which has more than 60
times the population of Tahsis.
“The emergency care was better (there) than it is here,”
said McNeil. “You wouldn’t die waiting for someone to take
care of you if you had a heart attack.”
Green added that Interior Health planned poorly when it
decided to proceed first with a major expansion at Kelowna
General Hospital before considering some sort of hospital in
Westside.
McNeil stated that
Westside taxpayers should be angry that they must foot part
of the bill for a major expansion at KGH when their own
community needs its own acute care facility.
“We’ve got young families, we’ve got a busy, busy highway
that goes through the centre of this community that’s
dangerous, we’ve got more and more seniors living here,” she
said.
And there are staff at Kelowna General Hospital, who live in
Westside, who would love to work in their home town, added
McNeil.
“We’ve got staff, now all we need is a building.”
Minutes after the statement was made, McNeil’s comment was
confirmed. A woman who works at KGH signed the petition,
saying she would love to work at a Westside facility.
The petition calls on Interior Health to nix its notion that
a health centre, which is little more than a clinic, is all
Westside needs.
Petition organizers
have tentatively called themselves the Okanagan Westside
Hospital Association, and formed a six-member executive now
seeking society status from the provincial government.
However, Victoria has been unwilling to grant the group
nonprofit status. The province doesn’t want the organization
to use the word healthcare or hospital in its title, said
Burke.
jluciw "at" kelownacapnews.com |

Clinical research growing and remains necessary
By Paul Latimer - Kelowna Capital News -
May 30, 2008
Recently published reports in the U.S. say drug research
increased by $2.7 billion in 2007 and pharmaceutical
companies spent a total of $58.8 billion on research and
development during the year.
Right now in the U.S. there are about 2,700 medicines under
development compared with only 2,000 five years ago.
Although I don’t have any numbers specific to Canada, it
probably doesn’t surprise you to learn the pharmaceutical
research industry is a huge and growing enterprise here and
around the world.
I wonder if you are aware of the number of studies happening
right here in our own community?
Right now there are 157 studies listed as current in the
Kelowna area on www.clinicaltrials.gov— a website run by the
U.S. government, which lists ongoing or recently completed
clinical studies.
Of the studies currently ongoing or recently completed in
our area, there are 68 dealing with treatments for a wide
range of cancers,17 for psychiatric disorders, several
dealing with chronic pain conditions, treatments for
Alzheimer’s disease and diabetes.
In addition to these, there are ongoing studies in a huge
variety of conditions from asthma and allergies to insomnia,
pulmonary embolism and many more.
These studies are carried out at several different clinics
and locations throughout the city including the Kelowna
General Hospital, our cancer centre and other medical
clinics as well as dedicated research centres such as
Okanagan Clinical Trials.
All medical studies require volunteers from the community to
participate—and there are many opportunities regardless of
gender or age.
Chances are, if you have an illness and aren’t satisfied
with conventional treatment options, there could be an
ongoing study for which you are qualified.
In past articles I have discussed the benefits of
participating in clinical research.
By taking part in a study, the patient has the opportunity
to play a role in helping the medical community understand
disorders and new treatments.
Not only do study volunteers assist in advancing medical
knowledge, but during drug studies there is also a chance
the patient will be able to try a new treatment that may be
very effective and all treatment costs are covered by the
company sponsoring the study.
In my opinion, one of the best advantages to taking part in
a clinical trial is the extra time and attention that is
taken with patients.
For every trial there is a dedicated team of medical
professionals who work with participants, there are usually
more visits to the doctor than in a regular medical setting
and more time spent at each visit.
Doctors conducting clinical research get exposure to new
therapies and learn in detail how the treatments work and
whether they are effective.
This experience gives them a broader knowledge base from
which to treat patients in their regular practice.
Clinical studies are crucial for all areas of medicine.
All medications given by prescription have gone through this
process in order to gain approval.
Without clinical trials, there would be no new approved
medications or treatments for any medical conditions.
Unfortunately, there is always a shortage of suitable
volunteers for studies.
This is partly because many people who volunteer do not meet
the usually very strict criteria for study participation.
These shortages very often lead to long delays and mean new
medications are not available as quickly as they could be.
I encourage anyone with a medical condition requiring
treatment to ask about research opportunities.
Not only will you receive the benefits listed above, but you
will be doing a service to the community and all those
experiencing the same health problem now and in the future.
Dr. Paul Latimer, president of Okanagan Clinical Trials and
local psychiatrist, can be reached at 862-8141.
dr at okanaganclinicaltrials.comPaul Latimer is
president of Okanagan Clinical Trials and operates his own
psychiatry practice. His column focus is on mental health,
helping us understand various treatments, both prescription
and alternative, that can help control the symptoms. |

Petition results released Friday
By Richard Rolke - Vernon Morning Star -
June 01, 2008
The outcome of a North Okanagan petition campaign will soon
be known.
The results of the petition demanding more resources for
Vernon Jubilee Hospital will be announced Friday at 10 a.m.
at Vernon city hall.
Tony Stamboulieh, with the Vernon Taxpayers Association,
won’t speculate on the number of signatures, but he is
confident that it will be significant.
“We are expecting a very good statement from the electorate
on the issue,” he said.
“There is a lot of
concern and a lot of anger about the hospital. People are
determined that this will become a provincial issue.”
The public is urged to attend the announcement.
“We also invite our local MLAs — Tom Christensen and George
Abbott — and all of the mayors and councillors in the region
to attend,” said Stamboulieh.
The petition has been available throughout the North
Okanagan.
“We remind people to turn in their petitions,” said
Stamboulieh.
“There is an address on the form they can mail it to or they
can deliver them to Vernon Radiology Clinic.” |

Government need not interlope over our freedoms
May 30, 2008 - Kelowna Capital News - Letters
To the editor:
In a recent issue of the Capital News (May 25), I was
interested reading the column by Dr. Markus Thiel.
Like Dr. Thiel, I seldom get involved in political
discussions verbally or written. In fact I have made it a
policy not to sign partitions, send chain mail or even write
letters to the editor of the various papers.
But I have had my interest aroused by the Bill C-51
proposal.
My wife and I have had the services of the same medical
doctor for about 12 years and have received many
prescriptions in that time.
From time to time our doctor has suggested the use of
natural remedies from the health stores, always advising us
to be careful on what we purchase, suggesting that we check
with our pharmacist as to the possibility of interaction
with our prescribed medications.
I believe using the existing system in this manner gives a
very effective safety check and leaves our safety where it
belongs, that is in our own hands.
I believe we have a working system now and if it isn’t
broke, don’t fix it.
Politically I haven’t been too unhappy with the existing
party, but if this is an example of their thinking, I hate
to think where we are going if they should get a majority in
the next election.
I do not want the government or their agents having freedom
to enter my home on any whim that they think is just cause.
I suppose that any of the products that are put on the
prescription list would also be covered by the B.C. medical
system. In fact, half of the ones now on the list aren’t
covered.
Ron Parks,
Kelowna |

Vernon man suing doctors
By Roger Knox - Vernon Morning Star - May
30, 2008
A Vernon man who underwent two liver transplants is suing a
team of doctors, nurses and the Vancouver Coastal Health
Authority after being set on fire during the first
transplant at Vancouver General Hospital.
Robbin Reeves, 54, unemployed and living on disability,
filed a writ through his lawyer, Violet Allard of Vancouver,
in B.C. Supreme Court.
The former pipefitter and dock builder, along with Allard,
declined to comment on the matter to The Morning Star.
Court records obtained by The Morning Star show Reeves went
in to Vancouver General Hospital for a liver transplant in
February, 2006, performed by defendants Dr. Andrej
Buczkowski, a transplant surgeon, and Dr. Urs P.
Steinbrecher, a gastroenterologist.
During surgery, Reeves underwent cardiac arrest right after
the transplant, requiring cardiac massage, for which the
doctors sought the assistance of defendants Dr. Richard Cook
and Dr. Michael Janusz, both cardiac surgeons. Cardiac
massage was performed on Reeves while he was still under
anesthesia.
It’s alleged in the court document that while having cardiac
massage performed, Reeves’ right ventricle, or heart
chamber, was lacerated. The ventricle was repaired with a
procedure called a sternotomy.
During the preparation for the sternotomy, Reeves’ left neck
and shoulder area caught fire and he suffered serious burns.
In June, 2006, Reeves complained of chest pains, and had a
broken sternal wire removed in August ‘06. Reeves had to be
admitted to hospital again in March 2007 with chest pain
secondary to the sternal wires, and is still experiencing
pain because of them.
In July, 2006, it was discovered that Reeves’ liver
transplant had failed, and he underwent a second transplant
in March 2007.
Reeves is seeking damages for negligence and breach of
contract.
As of Tuesday, the defendants had not filed a statement of
defence. |

News Briefs
May 28, 2008 - Vernon Morning Star - News
Just a few more days to sign hospital petition
The deadline to sign a health care petition is drawing near.
Saturday is the last day for the petition campaign which is
demanding more provincial resources for Vernon Jubilee
Hospital, including acute care beds.
One last push for the campaign came at Vernon council
Monday.
“I would encourage all to sign the petition,” said Coun.
Barry Beardsell.
The petition — which was launched by the Vernon Taxpayers
Association — is available throughout the North Okanagan.
Vernon air show grounded for this year
The popular Father’s Day Air Show won’t be taking flight
this year.
Mayor Wayne Lippert announced Monday that a non-profit
society has not been formed yet, and that means nothing has
been organized for the event.
“Hopefully someone will step up and we will have a real good
show next year,” he said.
Airport staff previously organized the show, but council
decided earlier this year that the duties should become the
responsibility of a new non-profit organization.
Environmental management strategy endorsed
More legislation is in place to protect Vernon’s
environment.
Council has given its support to a new environmental
management areas strategy.
“This is quite a dramatic change,” said Coun. Juliette
Cunningham of the strategy.
“I’m so excited about this.”
The environmental management priorities include air and
water quality, the protection of natural areas and wildlife
habitat, alternative energy and alternative transportation.
Applicants sought for college board
Interest is being sought from individuals who may want to
serve on the Okanagan College board of governors.
There are two anticipated vacancies that will open in June
2008.
The appointments are generally for a one-year term and may
be followed by subsequent two-year appointments.
Knowledge of a learning environment as well as First Nations
communities would be an asset.
The closing deadline for applications is June 12. For more
information, go to www.lcs.gov.bc.ca/BRDO/apply.asp.
Information can also be obtained by calling 762-5445 local
4712. |

Abbott to pursue another term
By Richard Rolke - Vernon Morning Star -
May 28, 2008
With just a few days left to determine his political future,
Shuswap MLA George Abbott has an answer for Premier Gordon
Campbell and his constituents.
Abbott has decided that he will seek another term during the
May 2009 provincial election.
“I’ve been involved in political life since 1979 and I enjoy
the life. I enjoy the challenges and I find it interesting,”
he said.
Campbell wants to know the election plans of all Liberal
MLAs by Saturday.
Abbott was first elected to the Legislature in 1996, and he
is currently health minister.
“There are still things that I want to do, particularly in
the Ministry of Health,” he said.
“There is more that I can do and the B.C. Liberals can do
for the province.”
Family played a role in his decision, but a main
consideration in determining his political future was
whether he wanted to resume his previous career as a college
instructor.
“It’s something that attracts me but the political world is
an exciting one,” said Abbott.
Prior to becoming an MLA, he was a director with the
Columbia-Shuswap Regional District.
Abbott is not the only local MLA hoping to be re-elected
next year. Okanagan Vernon’s Tom Christensen has informed
Campbell that he will let his name stand during the
election. |

Petition handled very poorly
May 25, 2008 - Vernon Morning Star -
Opinion
It’s unfortunate that freedom of speech has been added to
the list of problems at Vernon Jubilee Hospital. And the
removal of a petition from the emergency department waiting
room comes as a surprise as the petition’s entire focus is
to try and get the resources VJH so desperately requires.
It’s hard to believe that anyone with the Interior Health
Authority would be opposed to that.But administrator
Peter Du Toit has suggested that the hospital and staff
should not be involved in anything political. And he
certainly has a case as the petition has residents and most
North Okanagan municipal councils lobbying the provincial
government for more funding.
But politics plays a minor role in the entire issue. The
bottom line, ultimately, is the well-being of North Okanagan
residents and their health care. It’s about the patients who
get shoved into a hall because there is no room for them, or
have surgery cancelled because of the waitlist.
Funding for VJH does come from the provincial government,
and the IHA’s board is appointed by Victoria, but it is
supposed to operate as as stand-alone jurisdiction. If it is
truly interested in the public it serves, IHA would take a
firm stand instead of worrying about upsetting its political
masters.
In terms of the petition taking time away from staff who
have to answer public questions, that is fair comment. But
that could be easily resolved by instructing staff to make
the petition available but to only answer questions when
they don’t interfere with patient care.
In the end, IHA and the public are on the same team. We
all want what’s best for the hospital. But administration
needs to acknowledge that its case for improved resources
can be bolstered if they embrace the public’s willingness to
get involved. |

Health care woes
May 25, 2008 - Vernon Morning Star -
Letters
I am writing to express my concerns about what is going on
in our health care system. My concerns are both local and
about the Interior of B.C. generally. I am semi-retired and
health care becomes a bigger issue each year for our family.
First of all, I want to make it clear that I am not opposed
to the concept of specialized health care facilities. It
makes sense to specialize hospitals and not try to be
everything to all patients at each location.
What I am opposed to is the reduction of facilities in the
Interior of the province while more and more is invested in
medical infrastructure in the Lower Mainland and Fraser
Valley region.
We do not have equal access to health care in B.C. The
Interior population continues to grow, and age, and more and
more people are required to travel to the Lower Mainland
area at their own cost to get medical treatment.
Just answer these questions for yourself. When was the last
time someone had to travel from the Lower Mainland to the
Interior for medical treatment?
It’s the Heartland strategy. Take the resource revenues and
taxes from the industries in the Heartland and spend them on
transportation and medical infrastructure in the Lower
Mainland.
It seems to me that the only difference between the Liberal
government and the NDP is that the NDP works at shutting
down the resource industries and then borrows money to spend
on transportation and medical infrastructure in the Lower
Mainland.
What we are getting is promises and the odd bit of pavement
and patches on roads that were built when W.A.C. Bennett was
premier.
While I am at it, I want to raise the issue of health care
premiums. This is one tax that I truly resent.
I get angry every time I pay this tax and realize that no
one in any of the so-called have not provinces has to pay
any direct cost for health care, while B.C. tax dollars
create transfer payments to pay for health care elsewhere.
I realize that for many British Columbians, this is not an
issue because their employers pay for their health care
premiums, or their pension plans. For me it is and issue and
the health care premiums need to go away. Now.
On a more personal note, I am now in my ninth week of
waiting for a CT scan at Vernon Jubilee Hospital.
After four or five weeks, this process gets old — fast. You
can’t even find out where you are in the line-up. It’s all
very secret. The people that work in health care appear to
be more interested in protecting their jobs and the system
than in providing customer service.
Can you imagine a business where you won’t tell the customer
when he can expect his service? In the real world, a company
that did that would be out of business in about two months.
After this amount of time, I don’t need any reasons or
excuses. .
In a while, the Liberals will be asking for the support of
my family and me to return them to Victoria for another
term.
If the vote were today, I wouldn't’t vote. I can’t vote for
the NDP and at this time, the Liberals don’t deserve our
votes.
Doug Edwards |

VJH administration comes under fire
By Richard Rolke - Vernon Morning Star -
May 25, 2008
A Vernon Jubilee Hospital official is accused of hindering a
petition demanding improved health care.
The Vernon Taxpayers Association is upset that
VJH
administrator Peter Du Toit ordered a petition organized by
the group removed from the emergency department’s waiting
room.
“He has no right to deny people access to the petition,
especially when it deals with the hospital,” said Tony
Stamboulieh, association spokesman.
“He is interfering in the process and the free flow of
information.”
The petition calls on the provincial government to provide
more resources for acute care beds as well as nurses and
operating rooms.
Stamboulieh points out that
Du Toit is a public servant and
VJH is a taxpayer-funded facility.
“He has no right to interfere with the process,” said
Stamboulieh.
Du Toit acknowledges that he asked staff to remove the
petition from the emergency waiting room.
“We don’t think the hospital or staff should be involved in
political issues,” he said.
Du Toit also believes the presence of the petition could
take away from staff duties.
“What happens is people ask questions and engage staff to
answer questions, that could take away from time to provide
care,” he said.
The petition campaign will wrap up Saturday, and Stamboulieh
says the number of names grows daily.
“We are seeing strong support throughout the region,” he
said.
Stamboulieh would not speculate on how many names have been
collected to date, but he says the final figure will be
revealed after the deadline.
However, he is confident that the petition will send a
strong message to the provincial government and Interior
Health Authority.
“There is a disconnection between the people entrusted to
run the government and the people who pay the money — the
taxpayers,” he said,
VJH is regularly at code purple (full) status, and
Stamboulieh insists that is impacting patient care.
“The stories we hear are hair-raising,” he said.
“The people who sign the petition know what the facts are
personally or through family members.”
The petition is available at Armstrong Bakery, Armstrong
city hall, the Ashton Creek Store, Askew’s in Armstrong,
Butcher Boys, the Coldstream municipal office, Hungry Jack’s
in Enderby, the Enderby Credit Union, Enderby IDA Pharmacy,
the Falkland Store, the Halina Centre, the Lumby Pharmacy,
North Valley Echo in Enderby, Pleasant Valley Quilting in
Armstrong, Serenity Tanning, Shepherd’s Hardware in
Armstrong, Spallumcheen municipal office, Towne Cinema,
Vernon city hall, the downtown Safeway pharmacy, Okanagan
Sausage on 30th Avenue and at doctor’s offices.
Volunteers will also have petition-signing tables at the
Swan Lake Nurseryland, the Vernon Farmers’ Market, and
Buy-Low Foods.
Anyone wishing to download the
petition can find it at vernonblog.blogspot.com. |

Find a facility, and Armstrong doctors will stay
By Tyler Olsen - Vernon Morning Star - May
23, 2008
Armstrong doctors and a group of residents may have found a
cure for Armstrong’s doctor shortage.
Three doctors have told the Haugen Community Health Care
Society that they will stay in Armstrong if the group can
provide a facility.
Long-time Armstrong doctor Rick Sherwin had previously said
that he would be forced to stop practicing in Armstrong if a
joint-practice could not be established – something he said
would require the underwriting of overhead costs.
But now that two physicians practicing in the community on a
temporary basis have agreed to stay if a facility can be
found, Sherwin is excited at the opportunity. He said the
doctors will cover overhead costs and will take it upon
themselves to recruit a fourth member for the clinic,
something sure to be easier with a group practice.
“The attraction for the fourth now is a group practice with
good colleagues and the building and I’m hoping that will be
enough to make that attractive,” said Sherwin.
The community group, meanwhile, will take responsibility for
raising the funds needed to purchase a facility for the
doctors.
Spokesman Nick Watkins said events are moving at a rapid
pace and the society is already looking at making a decision
on a possible building.
“I would hope by next week that we could have an
announcement of that facility for you – it’s that close,”
said Watkins.
He said the group is looking at needing more than $500,000
to purchase and renovate a facility to meet the necessary
specifications for a four-doctor medical practice.
Watkins credited the doctors for trusting that the community
will be able to provide a facility for them to practice.
“If the doctors wouldn’t take this leap of faith, we’re not
going anywhere,” he said.
Plans for a community block party next week are in full
swing to kick off fundraising efforts. The block party,
details for which are still in the works, is slated to take
place May 31 in the VantageOne parking lot.
Fundraiser efforts already have a launching point, though.
A survey conducted by the group turned up 61 per cent of
respondents who indicated they would consider donating to
the cause and, in March, the Armstrong/Spallumcheen Health
Care Auxiliary pledged $75,000 towards a new clinic.
Watkins said he realizes there are residents who believe the
government should provide all health care financing. But, he
added: “The government has not shown an inclination so far
to help us with this, therefore we’re filling the vacuum.
Both Armstrong Mayor Jerry Oglow and Spallumcheen Mayor Will
Hansma have expressed their enthusiasm for the agreement
between the doctors and health care group. |

Legislature debates VJH
By Richard Rolke - Vernon Morning Star -
May 23, 2008
There appears to be no guaranteed plans for more beds at
Vernon Jubilee Hospital, despite comments from a local MLA
suggesting that is the case.
Conditions at VJH dominated debate in the Legislature
Tuesday, and George Abbott, Shuswap MLA and health minister,
defended the government’s actions.
“We are going to deliver a new ambulatory tower, new acute
care beds and close to a $100 million investment in VJH,” he
said in the House.
Those comments led some to wonder if an announcement on beds
had been made because acute care beds are currently not part
of plans for a new tower.
Abbott, though, clarified the situation Wednesday.
“We are in discussions with the North Okanagan-Columbia-Shuswap
Regional Hospital District, discussing with them the
possibility of adding a floor to the ambulatory tower at
Vernon for future development as acute care space,” he said
during a media scrum.
“Those discussions have not been completed, but they are
underway. So there is a good possibility that that will
happen.”
The Interior Health Authority confirms there are discussions
with IHA and the company that may build the tower.
“There is nothing definite right now,” said Joanne Konnert,
chief operating officer.
Adrian Dix, NDP health critic, believes Abbott’s comments in
the House were a slip of the tongue.
“It indicates the government is feeling the pressure,” he
told The Morning Star.
On Tuesday, Abbott and Dix sparred over VJH in the
Legislature.
“From Jan. 1 of this year, the first four months of this
year, there were 41 code purples called at that hospital —
41 calls to rapidly discharge patients because the
overcrowding of the ER was at a dangerous point,” said Dix
during the discussion.
Abbott responded by saying, “What’s becoming a daily
occurrence is an opposition desperate for headlines, so
desperate they call their own code oranges now.”
In an interview with The Morning Star, Abbott would not
second guess over-capacity protocols at VJH, but believes
the Interior Health Authority is handling the situation
responsibly.
Abbott also pointed out that new residential care beds will
free up space within VJH, as will the new ambulatory tower.
“We would not be investing close to $100 million if it (VJH)
was not an important part of our health delivery system.”
But Dix doesn’t believe the new tower is a sufficient
response to the needs of local residents.
“They need more acute care beds for starters and there is a
funding issue that needs to be addressed,” he said. |

Acute care beds needed
May 23, 2008 - Vernon Morning Star -
Opinion
Health Minister George Abbott likely got some hopes up when
he told the Legislature Tuesday that the government is going
to “deliver a new ambulatory tower, new acute care beds and
close to a $100 million investment in VJH.”
Doctors, nurses and residents already knew about the tower
so word of the acute care beds came as a surprise because
they previously hadn’t been part of the expansion plans.
But the prospect of more acute care beds, unfortunately, was
too good to be true.
Instead, Abbott is now saying there are discussions between
his ministry and the regional hospital district that could
possibly lead to a new floor with acute care beds.
But while the clarification is welcome, it’s not good
enough.
It’s increasingly obvious that there is a severe shortage of
acute care beds at VJH and that is having a significant
impact on patients. It’s not acceptable to have patients
laying in hallways or diverted to other facilities in the
valley because VJH is full.
Abbott likes to focus on residential care beds, and while
they play a role in freeing up space at VJH, they are only
one part of the equation. There has to be a major focus on
ensuring there are sufficient hospital beds to meet the
needs of a growing region.
With construction of the tower set to begin this summer, now
is the time for the government to financially commit to
additional beds. And if they can’t be placed there, then a
commitment is needed to place them in the existing hospital
when several departments make the move over to the tower.
Abbott may have misspoke when he talked about investing in
acute care beds, but the reality is, that’s what the region
needs. |

Doctor shortage
May 16, 2008 - Vernon Morning Star -
Letters
I think that the Armstrong city council has made unfair
comments in response to Dr. Sherwin’s request for support
for a multi doctor clinic. There is an inference that Dr.
Sherwin is being greedy in requesting subsidization of the
clinic’s overhead. With the shortage of family doctors
across the country, some form of incentive will be necessary
in order for Armstrong to compete. Some communities have
offered to pay off the newly qualified doctor’s debt (often
more than $100,000) in exchange for a guarantee of an
extended period of practice in the community.
I can sympathize with Dr. Sherwin as I left a family
practice in Saskatchewan primarily because of overwork and
the fact that we were unable to attract new doctors. I did
not leave because of inadequate payment and I am sure that
Dr. Sherwin’s recommendation is not due to a desire to
increase his income, but rather to attract new doctors so
that he can have a reasonable private family life.
The Armstrong council is being shortsighted and may soon be
looking for four new doctors rather than three. In the
meantime, the citizens of Armstrong may have to rely on the
walk-in clinics in Vernon.
This country’s current doctor shortage is due to the
short-sighted economists in government who recommended the
medical school cutback in the early 90’s.
J. S. Graham, MD, FRCS |

Funding formula is flawed
May 14, 2008 -Vernon Morning Star -
Letters
I learned a lot from the excellent presentation made by Drs.
Cunningham and Hwang at the Schubert Centre on April 9.
Their facts outlined clearly that Vernon Jubilee Hospital
serves not only the North Okanagan but also most of the
Shuswap.
I agree with them completely about the need for an
additional operating room and more acute care beds. The
statistics are clear that VJH is not getting its fair share
of hospital funding from the Interior Health Authority. The
problem stems from how IHA has cut up the funding pie.
The hospital funding for most of the Shuswap…Salmon Arm,
Sicamous, Revelstoke, and so on is allocated to the hospital
at Kamloops. The problem is that people from these areas are
going to VJH. This creates an inherent injustice in the
funding formula since Vernon receives no funding for
providing the hospital services it does for these people.
This skews the IHA data and means the basic inequity does
not show up until the data is broken down differently to
make clear where the hospital users are coming from. When
Drs. Cunningham and Hamish did that the figures leap off the
page. They show beyond any doubt that people from Salmon
Arm, Revelstoke and other parts of the Shuswap come to
Vernon for most of their hospital needs.
Thus our MLA Tom Christensen is correct when he states that
VJH is being treated fairly according to IHA data.
Unfortunately, that data does not reflect reality and does
not give VJH the credit it should for the Shuswap clientele
that come to its operating rooms and acute care beds. Thus,
Tom is both right and wrong at the same time.
I urge him to confirm this with Drs. Cunningham and Hamish
and then to speak with his neighbouring colleague, the
Health Minister George Abbott. It is fortunate that Mr.
Abbott is the MLA for Shuswap and the northernmost parts of
the Okanagan and; hopefully, he will be as keen as Mr.
Christensen to correct this fundamental funding formula
injustice. No extra funds are needed. All that needs doing
is to correctly reallocate the existing funds between the
Kamloops and Vernon hospitals to reflect fairly the
populations they actually serve.
Governments being governments, this probably will not happen
as quickly as it should so we all should make sure we sign
the petition being prepared by the Vernon Taxpayers
Association. As well, we should contact anyone we know on
the IHA board and make them aware of the funding
misallocation between these two hospitals.
Some point out that Vernon has not been overlooked and is
getting a new $81 million dollar diagnostic tower.
The point is, though, that tower is being built on false
premises. The IHA data has been proven to be flawed and not
to reflect properly the true need for another operating room
and extra acute care beds at VJH. This needs to be rectified
before the shovels start digging.
Our scarce hospital dollars need to be spent to get us the
best bang for the buck. For that to happen, they need to be
based on data more reflective of what is really the case as
opposed to what the skewed IHA data base assumes is but
isn’t.
Now is the time to put things right and not waste time
pointing fingers or laying blame. Hospitals are a
fundamental need and when something is shown about them to
be off the rails everyone needs to hop on board and do
whatever they can to make things right. Letters help,
signing a petition helps, even better is if you know a MLA
or IHA board director personally and make sure they are up
to speed on what the problem is and what needs doing.
It is crucial that our MLA be educated. He still believes
and has been quoted as saying “Its’ a simplistic view to
look at one hospital without looking at the system as a
whole.” That is not what Drs. Cunningham and Hamish have
done and it is unfortunate that our MLA would accuse,
unwittingly or not, the president of VJH medical staff of
being so naïve without bothering to confirm the true facts.
Shame on you sir!
We need you to get on top of this and stand up for our
hospital.
You are a cabinet minister and we need your political clout
to correct this flawed hospital funding injustice.
Jim Bodkin |

Petition protesting VJH conditions gathers steam
By Richard Rolke - Vernon Morning Star -
May 11, 2008
North Okanagan residents continue to put pen to paper to
protest conditions at Vernon Jubilee Hospital.
While it’s not known how many people have signed a petition
demanding increased resources for VJH, organizers say the
number grows daily.
“Things have been going very well. There’s going to be a
very good petition result,” said Tony Stamboulieh, spokesman
for the Vernon Taxpayers Association.
The petition was launched as a result of VJH regularly being
at code purple (full).
It calls on the provincial government to provide more
resources for acute care beds as well as nurses and
operating rooms.
“People are mad and it will become an election issue,” said
Stamboulieh of patients being placed in hallways.
“People are hopping mad at being treated like cattle.”
The names on the petition aren’t just from Vernon.
“From right across the region we are getting support,” said
Stamboulieh.
The petition is available at Armstrong Bakery, Armstrong
city hall, the Ashton Creek Store, Askew’s in Armstrong,
Butcher Boys, the Coldstream municipal office, Hungry Jack’s
in Enderby, the Enderby Credit Union, Enderby IDA Pharmacy,
the Falkland Store, the Halina Centre, the Lumby Pharmacy,
North Valley Echo in Enderby, Pleasant Valley Quilting in
Armstrong, Serenity Tanning, Shepherd’s Hardware in
Armstrong, Spallumcheen municipal office, Towne Cinema,
Vernon city hall, local doctor’s offices and medical
clinics.
Volunteers will also have petition signing tables at the
Swan Lake Nurseryland, the Vernon Farmers’ Market, Buy-Low
Foods and the Schubert Centre.
Anyone wishing to download the petition can find it at
vernonblog.blogspot.com.
If anyone can volunteer to circulate the petition, call
260-1082.
The petition campaign will wrap up May 31.
“We will release the results at that time,” said Stamboulieh |

Concerns abound over VJH plan
May 11, 2008 - Vernon Morning Star -
Opinion
It’s no surprise that the provincial government continues to
white-wash a planned expansion at Vernon Jubilee Hospital.
A preferred private consortium has been selected for
negotiations that could lead to it designing, building,
financing and maintaining the diagnostic and treatment
tower. As part of the announcement, MLA Tom Christensen said
a new facility, “will bring together existing programs in a
more efficient facility that will enhance patient care now,
as well as allow for future expansion.”
And yet there is no guarantee that the new tower will meet
the future needs of a growing region.
There is no firm commitment on additional acute care beds or
guaranteed funding for extra operating rooms and surgical
theatres. No where is there space allotted for equipment
such as an MRI.
And despite the government’s rhetoric, there are other
unanswered questions that come to mind. Will maintenance
staff at VJH be privatized and, if they are, what will that
mean in terms of providing a safe, healthy environment for
patients? There’s also been no debate on public/private
partnerships and whether turning the tower over to a
corporation is the best thing for health care or taxpayers.
One gets the impression that while negotiations must still
be completed, that a deal with Infusion Health is a foregone
conclusion — that the province and the Interior Health
Authority got on the P3 highway and nothing will force them
off course.
But as the process continues, let’s hope that it’s patient
care that remains the priority and not free-enterprise
ideology. |

Thank you for your email of April 2, 2008, regarding the
physician shortage in Armstrong. Minister Abbott has asked
me to respond to you on his behalf.
The Government is committed to long-term health human
resources planning. In partnership with the health
authorities, we are providing more education opportunities
and developing strategies to create a positive and
progressive labour and regulatory environment. The
Government recognizes rural communities and remote regions
of the province are faced with service delivery challenges
that differ from those in urban areas. The Ministry of
Health is working closely with physicians and the health
authorities to implement a number of strategies to recruit
physicians to rural communities.
The Government recently announced that more than $40 million
of provincial funding has been allocated to expand the
academic mandate at key teaching hospitals throughout the
province in support of the medical school expansion. This
has doubled the number of undergraduate first-year medical
student spaces at the University of British Columbia from
128 in 2003, to 256 in September 2007, through
collaborations at the University of Victoria and the
University of Northern British Columbia.
The Ministry is working to improve the rural recruitment of
physicians and has implemented the Rural Recruitment
Incentive for communities with seven or less physicians.
Physicians who are recruited to fill current or pending
vacancies in eligible rural communities receive a $10,000
incentive if they stay with the community for one year. In
addition, a contingency fund has been established to assist
eligible communities with recruiting expenses, in the event
of difficulty filling a vacancy. Grants from the contingency
fund may be used to increase the $10,000 incentive benefit
for a new physician or for recruiting expenses.
In addition, some communities have been identified as
‘communities of need’ through a new program called the
Family Physicians for British Columbia (FPs4BC) program. The
FPs4BC program is an agreement between the Ministry and the
British Columbia Medical Association and is intended to
attract and retain recently qualified physicians to provide
full service family practices in communities of the province
where there is a demonstrated need. Participants in the
FPs4BC program may apply for maximum funding of $100,000.
With respect to Armstrong, I can assure you that Interior
Health Authority staff are actively working to recruit
physicians to this area.
Thank you for taking the time to write. I appreciate the
opportunity to respond.
Sincerely,
Ann Marr
Executive Directorpc: Honourable Gordon Campbell, Premier |

Hospital crisis
May 7, 2008 - Vernon Morning Star -
Letters
I have read with interest the remarks made by our MLA Tom
Christensen in reply to the concerns expressed by our local
doctors as to the lack of beds and operating rooms in Vernon
Jubilee Hospital.
Is Mr. Christensen a regular visitor to our hospital to
observe the overcrowding - does he think patients are in the
hallways by preference so they can be the centre of
attraction and viewed by everyone coming to that ward?
How degrading for these patients to have to be on display to
all and sundry to see. Mr. Christensen needs to stick to his
own profession and keep out of the health and medical
situation of which he has no expertise.
Neither him nor MLA George Abbott should be making decisions
on something that is verging on disaster and of which they
have no knowledge.
Surely these two gentlemen do not think that our doctors
have nothing to do with their time but to call town hall
meetings to address the crisis in our hospital, and same for
the 200 citizens that attended the meeting. How can we
expect doctors and nurses to stay here when they are
expected to work in these extreme conditions - and then to
have to have our government representatives state "things
are fine in Vernon Jubilee Hospital." How degrading for the
doctors that are trying to get the government’s attention to
this crisis situation and then to be disputed by our
government representatives who have no medical credentials
at all.
Yes, we are getting the $81 million diagnostic and
treatment tower but they aren’t getting the message that we
need more beds and operating rooms - that’s like putting the
horse before the cart is it not?
I would like to suggest that both of these gentlemen spend a
day in our hospital and observe what the doctors and nurses
and patients have to put up with. Better still, bring an
inflatable bed and put it in the hallway on one of the busy
wards, climb into it and see how you feel being on display
for all to see.
And maybe get them to hook up the oxygen to each of you
because it is obvious that both of you are lacking oxygen to
your brains.
Kudos to the Morning Star for their editorial, April 11, on
criticism of Mr. Christensen's' remarks.
Beryl Nerling |

Plagued by Government
by OkanaganLakeBC.com
Regarding the shortage of six doctors in Armstrong and the
underfunded code purple Vernon Jubilee Hospital on its way
to turning blue. Both hospitals that were in Armstrong and
Enderby 25 years ago are no longer being used, and its not
like hardly anyone lives in these towns .
Look at all the carbon created driving back and forth
from Armstrong and Enderby to Salmon Arm and Vernon. The
sustainable government says cut down on your driving and the
health government says do more driving. I think government
is crazy to be honest, but I guess we have to be crazy too,
for allowing things to get this way.
As I have been reading the Vernon Morning Star and other
newspapers this past few months, Vernon and Armstrong are
not the only ones feeling the effects of health care
problems. Government keeps telling us they have doubled
spending on health care, well everything has doubled in
price and the population has been aging and government knew
that the population would aging! How did we get to this
point in the first place if government is not mismanaging
health care period?
Its obvious we have problems that government doesn't seem
to be able to repair. Are we not running out of money
because government decisions fund unnecessary water meters,
power house theatre, flag poles, etc. I don't need a water
meter, a theatre, or a flag pole when I am laying in the
hospital, how about you? I will need nothing if I am dead,
and this is only one reason why I feel health care should
come first!
For all the meetings about health care with the
government, and the government still having their blinders
on, don't you think its time that we as the people took back
some control. I would like to take the govern out of the
word government and replace govern with "direct" the public,
and the public govern instead. Obviously we are not happy
with politicians decisions over health care, are we?
Wouldn't you like to tell that Health Minister off??
What about the waste of money spent on the hospital
expansion plan of three floors that were planned for atop
VJH which extra steam pipes, duct work, electrical and
plumbing were all installed for as stated (April 30 Vernon
Morning Star Letters "Go UP" by Rob Friesen) a sheet metal
worker that helped build the hospital back in 1982 to 1984?
Its no wonder we have no money in our pockets.
If you feel that health care comes first before
theatre's, water meters, and flag poles, I would suggest
everyone take their tax dollars and pay it directly to the
doctors and nurses who will know what to do with it. I am
sure the doctors and nurses will not think to purchase a
water meter or theatre before a hospital or an MRI machine!
We got into this problem because of government in the
first place and they don't seem to want to fix it, or it
would be getting fixed, they just want to argue about it.
For years now we have been plagued with problems at VJH
and not just this year. I have read about code purple at VJH
years ago already. I wouldn't be reading about code purple
in the newspapers for so long, if the government wasn't into
arguing more so than fixing! I want the doctors and nurses
to help decide where my money gets spent and not Health
Minister George Abbott or IHA.
One thing is for sure, and that is we desperately need
change in the way government is permitted to govern because
they don't seem to be able to do their job. Like the doctors
said, what happens if there is a disease outbreak or
something more serious?
The health care problems plaguing us is a serious
problem, and not something to sneeze at! |

Physicians speak out
May 04, 2008 - Vernon Morning Star -
Letters
Over the past several weeks, considerable press attention
has been directed toward the continuous code purple status
at Vernon Jubilee Hospital.
Despite the hospital running at constant overcapacity,
Interior Health Authority insists that patient care is not
suffering and that treatment is business as usual in
Vernon. Recent problems of overcapacity at VJH have been
attributed to a local “flu outbreak” by IHA management.
IHA statements to the contrary, we the
VJH emergency
physicians’ group would like to go on record voicing our
grave concerns with the current situation at our hospital.
We believe there is a clear misrepresentation of the dire
state of our local hospital by IHA. On a daily basis, we
are faced with the potential for harm to patients as a
direct result of our local shortage of acute care beds.
When a code purple or gridlock situation is called in the
hospital, our department is so full of admitted patients
that it can no longer function effectively. Due to a lack
of acute care beds, admitted patients who cannot be
transferred from the emergency department end up as admitted
patients in the emergency department. In recent weeks, we
have held as many as 19 admitted patients in our emergency
department stretchers. The result of so many admitted
patients occupying emergency department beds is that
treatment cubicles are unavailable for newly arrived
patients.
Patients instead are forced to sit in the waiting room or on
an ambulance gurney while they wait for ever scarcer
emergency department treatment cubicles to open up. We are
forced to examine patients in hallways and on ambulance
stretchers to try to initiate care. Our trauma room is
filled with ill medical patients and not immediately
available to take in critically injured trauma patients. It
is difficult to get anyone who is not critically ill into
the department at all. Continuous hospital overcapacity is
without a doubt unfavourably impacting patient care.
April is traditionally one of our slowest months in the
emergency department, yet despite this fact, code purple was
called 14 times between March 27 and April 15. As we
approach our summer season with its surging tourist
population, we have serious concerns about our hospital’s
ability to cope with its expected up-tick in visits.
Current lack of capacity makes us shudder at the thought of
a significant infectious disease outbreak or disaster in our
community. Indeed, we have little room to accommodate any
unforeseen large-scale events, as we are struggling to cope
with the present number of emergency room visits.
What we need to lead us out of our completely preventable
local health care crisis are more acute care beds.
We need additional permanently funded acute care beds now
and planned additional acute care beds for the future. We
propose two solutions: 1. that acute care beds should
immediately be added throughout the hospital and 2. that an
acute care floor be added into the future diagnostic and
treatment tower project.
Only then can we move forward to providing safer patient
care.
As
your local emergency physicians, we feel compelled to share
our concerns with you. We ask concerned local citizens to
contact their local MLA, Tom Christensen, and their health
minister, George Abbott, by telephone and letter to insist
on increased numbers of acute care beds at VJH.
Vernon Jubilee Hospital
Emergency Department Physicians |

Officials dispute physician’s claims
By Richard Rolke - Vernon Morning Star -
May 04, 2008
The Interior Health Authority denies charges that a lack of
surgical funding is putting patients at risk.
Dr. Hamish Hwang, a surgeon, wrote a letter to Vernon
Jubilee Hospital officials Tuesday claiming a $2 million
shortfall in funding for surgical supplies affects the
quality of care for patients.
However, IHA refutes that suggestion.
“This number is misrepresented. He was told the shortfall is
about $1 million and operating rooms across IH have
operating shortfalls because of increased costs,” said
Joanne Konnert, chief operating officer.
“We don’t refuse anyone the care that they need.”
Konnert points out that VJH has done 200 to 300 more
surgical cases in the past year, and the waitlist has been
reduced by 340 cases.
“We have cared for more patients than previous years.”
Konnert says IHA always looks at ways to increase resources
for surgical services, but those needs must be balanced off
with the financial demands of other departments.
A major challenge has been the increased cost of supplies,
as well as the introduction of more technology.
“As we become more sophisticated in technology, the supplies
related to that are expensive,” said Konnert.
In his letter, Hwang says the surgical budget has not
increased since 2001.
“The people of the North Okanagan and Shuswap deserve access
to modern surgical care, including shoulder surgery and
laparoscopic surgery, but by not funding our surgical
program adequately, it seems that this is not a priority,”
he said.
“For example our hospital is the only regional hospital
without its own laparoscopic ultrasonic dissector, a
mandatory instrument to perform laparoscopic colon and other
surgeries safely. We have been borrowing a generator, flown
in from Ontario for every case.”
Hwang goes on to say that physicians have a duty to provide
the best possible care for patients, including using modern
techniques.
“Failing to fund equipment like this (ultrasonic dissector)
decreases the safety and quality of patient care and this is
only one example.” |

Armstrong still striving for funds to fix doctor shortage
By Tyler Olsen - Vernon Morning Star - May
04, 2008
A rural retention bonus aimed at luring doctors to small
communities is still putting Armstrong at a competitive
disadvantage according to Mayor Jerry Oglow.
While the Ministry of Health has maintained that a contract
that sees Armstrong fall one kilometre short of qualifying
for the bonus cannot be renegotiated soon, Oglow told his
council Monday that the city shouldn’t stop lobbying to have
the situation resolved.
“I still believe that if we were able to resolve the
anomalies in that program that affect us, it would go a long
way to resolve the problem,” said Oglow.
The problem he refers to is a shortage of doctors that has
raised emotions in the community.
Oglow said that the city should continue lobbying both the
province and the B.C. Medical Association to fix the bonus
so it applies to doctors practising in Armstrong.
“I really think there could be a longer-term solution to our
problem here on the financial side if we could affect some
change,” he said.
Meanwhile, Health Minister George Abbott has clarified a
“collaborative primary care model” being considered as a
solution to Armstrong’s problem.
“It involves not just physicians but also nurses, nurse
educators, nurse practitioners, physicians and often these
collaboratives are aimed particularly at addressing the
needs of chronic illnesses like type-two diabetes or chronic
conditions,” Abbott told The Morning Star.
“The object of these collaborative models is to take some of
the pressure off physicians,” he said. “Physicians don’t
have to be diabetes educators for example.”
Abbott has told Oglow that the province is looking at trying
such an integrated model, which is already in place in
several medium-sized cities, in a smaller community and that
Armstrong could be a destination. |

Victoria fuels funding crisis
May 02, 2008 Vernon Morning Star
Okanagan College and the Vernon School District are two
separate institutions, but inadequate provincial funding has
placed them in a common situation.
Both the district and the college have had to dip into
precious reserves or surpluses just to balance their 2008/09
budgets. But while financial trouble has been avoided this
time, it’s just around the corner and tough decisions will
be required in subsequent years.
In the case of the school district, those reserve funds will
have to be replenished and the reasons for a
$1.8 million shortfall this year will likely
still exist, if not be worse, in 2009/10 and beyond.
And the primary reason for the financial woes is provincial
mismanagement. Because enrolment has dropped, the Ministry
of Education is providing less cash to the district, but the
cost of business climbs. And many of those expenses are
provincially mandated, whether it is contracts with staff or
the new carbon tax which will make it more expensive to fuel
up a bus.
At Okanagan College, a $900,000 shortfall arose after the
Ministry of Advanced Education changed its funding formula
mid-stream. The college had developed a budget based on what
it had expected, and the new guidelines forced them back to
the drawing board at the 11th hour.
As with the school district, Okanagan College is also seeing
costs rise because of provincial policy but not getting any
monetary assistance in return.
With surpluses and reserves gone, neither agency is able to
plan for the future and provide expanded services for
students and that is unfortunate.
It
is time for the provincial government to realize that it is
creating a crisis in education. |

Don’t let public hospital fall into private hands
April 27, 2008 - Kelowna Capital News -
Letters
To the editor:
I found it interesting that Interior Health Authority was
quick to cancel off-site patient surgeries when the rates
for the next year rose 20 per cent (Interior Health Cancels
Contract With Private Clinic, April 9 Capital News), yet is
quite comfortable to sign away control of Kelowna General
Hospital’s trades and maintenance services—and not just the
new public-private partnership (P3) ambulatory care
building.
The IHA will do this knowing that if plant and maintenance
services are contracted out, it will be 30 years before the
health authority can regain control over them—and
long-serving, experienced and dedicated staff will be lost.
In the meantime, the risk of uncontrolled maintenance costs
is a reality for the next three decades. That’s quite a
legacy to leave our children and grandchildren.
Looking at the larger picture, the IHA can learn about P3s
from the Fraser Health Authority’s experience with its new
P3 hospital. The project had exceeded the original budget
before the first spade of dirt was turned and now they’re
locked into payments to the private sector consortium for 30
years.
And consider this: The Abbotsford project has been bought
and sold twice already, going from the original consortium
financial partner, Dutch bank ABN-Amro to Australia-based
Macquarie to Britain’s John Laing PLC, where its currently
remains.
KGH is Kelowna’s hospital, owned by British Columbians as
part of our public health care system.
The IHA should expand it so that it stays in the hands of
citizens. Do you wish to be met at the door of Emergency by
a greeter asking if you will be paying the building
surcharge with VISA or Master card today before they allow
the health team to access your condition?
My message to the health authority is: Build the building
and serve the public interest; don’t pay costs, with
interest, to private corporations for generations to come.
J Delray,
Kelowna
Reference:
http://www.health.gov.bc.ca/library/publications/year/2007/
Kelowna_Vernon_Hospitals_Capital_Project_Plan_April_2007.pdf |

Regional District of Central Okanagan
Central Okanagan Hospital District Budget
Highlights of the Special Regional Board
Meeting– March 28, 2008
The Regional Hospital District Board is comprised of the
members of the Regional District Board. It meets as required
for decisions on tax requisitions and funding of major
health-related capital projects and equipment.
The Regional Hospital District contributes 40% towards these
approved projects. At the March 28th special
meeting, the Regional Hospital District Board approved the
Five Year Financial Plan, including the 2008 Budget of $15.7
million. For a home assessed at $456,000 ($316,000 in 2007)
the contribution to the Regional Hospital District is
$110.96, up $5.23 from 2007. |


click letter to read larger print
Snippet:
George Abbott should try being a patient in our emergency department any night
of the week. We have stretchers in the halls, and overflowing waiting
room, with some patients waiting on the floor or standing, a a two or three-hour
wait list, just be sure your problem isn't life threatening.
I am appalled by the lack of concern and compassion by the health ministry.

City rallies behind petition to heal health care
By Richard Rolke - Vernon Morning Star -
April 30, 2008
The City of Vernon is officially lending its support to a
petition targeting improved health care in the region.
Council unanimously voted Monday to make space available at
city hall for a petition demanding increased provincial
resources for Vernon Jubilee Hospital.
“It shows the health minister and the Interior Health
Authority that there’s lots of support for the hospital in
the community,” said Mayor Wayne Lippert. “It’s an issue
everyone in the North Okanagan takes seriously.”
The petition, which was started by the Vernon Taxpayers
Association, asks the provincial government to increase
funding for acute care beds, operating rooms and permanent
nursing staff at VJH.
While there was some initial hesitation about setting a
precedent for future petitions being displayed at city hall,
that issue didn’t arise during the council discussion
Monday.
“It’s a public space and if it works as a location, I don’t
have a problem with that,” said Coun. Pat Cochrane.
It was pointed out, though, that VJH serves not only Vernon,
but the entire North Okanagan.
“We should encourage our fellow communities to do likewise,”
said Coun. Barry Beardsell.
It was decided by council to write other local communities
and ask them to make the petition available in their
municipal offices.
The petition has been available at Coldstream’s municipal
office for almost a week.
“Spallumcheen and Armstrong are also on board,” said Tony
Stamboulieh, association spokesman.
The petition is also available at doctors’ offices, Butcher
Boys, the Halina Centre, Towne Cinema, the Falkland General
Store, the Lumby Pharmacy, Askew’s in Armstrong, the Enderby
Credit Union, North Valley Echo, the Enderby IDA Pharmacy,
the Ashton Creek Store, Shepherd's Hardware in Armstrong,
the Armstrong Bakery and Pleasant Valley Quilting in
Armstrong.
It is also available outside of Buy-Low Foods and the
Schubert Centre weather-permitting, and it can be downloaded
from vernonblog.blogspot.com. |


click article to read larger print
RE: Eye exam billing
Isn't it nice, they are going to have my $40.00 up front and be reimbursed by
B.C. Medical. Something is wrong.

Health minister responds
April 27, 2008 - Vernon Morning Star
Letters
I wish to respond to a number of recent articles regarding
hospital services in Vernon.
Government is making a significant investment in Vernon
Jubilee Hospital, with plans for a
more than $80-million diagnostic tower well underway.
About the old
tower and taxpayers money being wasted according to one
letter to the editor of the Vernon Morning Star who worked
on the old tower years ago
The emergency department underwent a recent $1-million
upgrade to help bridge the needs until the new project is
completed.
I recognize Vernon Jubilee has struggled with recent surges
in ER patient demand, and I commend the staff at the
hospital for their exceptional efforts to provide the
excellent care they do each and every day.
I have had a number of discussions with MLA Tom Christensen
regarding the hospital, and he has been a strong advocate in
ensuring the needs of the community are appropriately met as
we move forward with the hospital upgrade.
We are working with Interior Health to address the issues
that have been raised through a number of strategies,
recognizing that
the solution is not limited to simply more acute care spaces.
In fact, there are
patients currently in acute care spaces that would be more
appropriately cared for in other types of facilities.
That is why
42
new residential care beds will open this summer in nearby
Armstrong, and why
66
residential and 24 assisted living units with Kaigo
Retirement at Creekside Villa in Vernon will
also be opening just a few months from now.
And later this summer, the
Vernon Hospice
expansion will open six new beds,
providing compassionate and specialized care for patients
and their families.
I understand that
Interior Health and the regional hospital district are
exploring options to allow for additional capacity in the
future as the region continues to grow.
As is the case in every community, local hospital staff, the
health authority and the ministry will continue to review
the needs of the community, to address those of today and to
plan for the future.
George Abbott,
Minister of health |

Council debates petition
By Richard Rolke - Vernon Morning Star -
April 27, 2008
Residents could soon be signing a petition on health care at
Vernon city hall.
It’s anticipated council will decide Monday whether to use
city hall as a venue for a petition demanding more resources
for Vernon Jubilee Hospital.
“The city should really get involved because the community
is in terrible straits in regards to the hospital,” said
Coun. Barry Beardsell.
The petition, which was started by the Vernon Taxpayers
Association, asks the provincial government to increase
funding for acute care beds, operating rooms and permanent
nursing staff at VJH.
“I fully support residents signing the petition because it
puts weight behind us when we talk to the government and the
health board about these matters,” said Mayor Wayne Lippert.
However, Lippert admits there is some reluctance about city
hall playing host to petition campaigns.
“Are we setting a precedent where we open up the door for
petitions that aren’t appropriate?” he said.
The petition is currently available at the Coldstream
municipal office, and Mayor Gary Corner says there was
little debate about it there.
“People agree that it would be nice to have better
facilities and we are a growing community,” he said.
The petition is also available at doctors’ offices, Butcher
Boys, the Halina Centre, Towne Cinema, the Falkland General
Store, the Lumby Pharmacy, Askew’s in Armstrong, the Enderby
Credit Union, the North Valley Echo, the Enderby IDA
Pharmacy and the Ashton Creek Store.
It is also available outside of Buy-Low Foods and the
Schubert Centre weather-permitting, and it can be downloaded
from vernonblog.blogspot.com.
“The petition seems to have taken on a life of its own,”
said Kay Stamboulieh, with the Vernon Taxpayers Association. |

Petition requires council support
April 27, 2008 - Vernon Morning Star
Opinion
It’s hard to understand why there has to be much debate at
Vernon city hall over a petition about conditions at Vernon
Jubilee Hospital, Making it available to the public is a no
brainer.
Especially when you consider that city officials have shown
significant leadership in lobbying the provincial government
for increased resources at VJH. Getting behind a grassroots
petition is just the next step in the evolution process.
There appears to be some concern that permitting this
petition to sit on the counter at city hall will set a
precedent for future petitions, and particularly those
issues that council doesn’t endorse. There is always a
chance of that, but if those issues are as significant as
conditions at VJH, then they should find a place at city
hall.
While Vernon is debating whether to assist the petition
organizers, there was little talk in Coldstream. It was
deemed to be important to the community there and counter
space was found in the municipal office.
But not all of the pressure should be on Vernon because VJH
serves the entire North Okanagan. City halls in Lumby,
Armstrong, Enderby and Spallumcheen, as well as the regional
district, should be getting directly involved and ensuring
their residents not only know of the petition, but take
action.
Without proper health care facilities, North Okanagan
communities will find it challenging to attract new
residents or businesses, and tourism marketing might as well
be shelved. So much rides on our hospital being the best it
can be.
In the end, now is the time for all municipal councils to do
the right thing and not be left sitting on the sidelines. |

Expansion plan inadequate
April 25, 2008 - Vernon Morning Star -
Letters
The recent public forum conducted at the Schubert Centre,
which was led by Dr. Hamish Hwang, presented physician’s
concerns regarding the planned Vernon Jubilee Hospital
expansion. I am writing to reiterate those concerns.
Expansion of Vernon Jubilee Hospital is great news for the
patients as well as the hospital staff. As a physician
working at VJH, I am looking forward to the day the wing
opens — when we have access to the increased outpatient
space and new operating rooms. However, the current proposed
expansion is inadequate.
Vernon Jubilee Hospital currently has four operating rooms
which cannot provide adequate facility for timely patient
elective and emergency care. The current official number of
in-hospital beds is 125. There are an additional 16 beds
that are not funded and have been opened since last summer,
raising the total count to 137. Even with these unfunded
beds, the hospital remains over census almost daily and code
purple (meaning the hospital is in gridlock and diversions
are necessary) is a daily scenario at Vernon Jubilee
Hospital. Between March 27 and April 16, code purple was
called 15 times (15 days of gridlock).
Why is it that the new building that will be erected at VJH
will not potentially improve the current situation? The
presentation by Dr. Hwang explained many of the potential
reasons. The bottom line is simple.
We need additional in-patient hospital beds and an increased
number of functioning operating rooms to address the current
patient demands let alone plan for the future. While more
chronic care beds (non-acute beds) are required and will be
made available by the initiatives undertaken by Interior
Health Authority (IHA), these alone will not address the
daily shortage of acute-care beds encountered. Currently no
increase in inpatients beds has been guaranteed. Similarly,
the current plan is to open only four operating rooms and
one more limited outpatient operating room in the new tower.
Physicians are asking for five operating rooms to be opened
immediately and provision for further operating room
expansion made.
When the Liberal government came into power in B.C.,
administrative structure of health care distribution in this
province was changed.
Small health care regions were amalgamated to form large
regional health authorities. In the Interior, multiple
health regions were amalgamated under the new structure of
IHA. IHA provides health care across a vast geographic area
servicing 750,000 people. It manages 34 acute-care hospitals
and triple that number of residential care facilities and
public health care units.
When IHA region was created, an external consulting firm was
hired (Sullivan Consulting) to conduct an operational review
of health care service provision. This took place in 2003.
As a result of that review, IHA developed a strategic plan
to improve health care access across the health region. This
included structural review of the facilities as well as
functional management of the facilities and, in some cases,
centralization or expansion of services.
A waiting list registry was developed and implemented to
allow for improved tracking and management of patients
waiting for surgery. Neurosurgical program expansion took
place at Kelowna and Kamloops hospitals. At VJH, spinal
surgery program was funded while at all major hospitals the
rate of total joint replacement surgery doubled.
Vascular and thoracic surgery program was created at KGH and
in the near future heart surgery will be done in Kelowna as
well. These are great accomplishments.
At the same time, it became apparent that many hospitals
required expansion of physical space, as well as services. A
plan was put forward and carried out in a logical sequence
to address these needs.
At Vernon Jubilee Hospital, physician input was sought and
group meetings took place between the IHA, consulting
architect firms, physicians and other health care workers to
come up with a plan for hospital expansion.
This was done in response to structural review of the
current physical plant.
A plan was put forth to build a new building which would
include additional operating rooms, increased size of
emergency room, new outpatient clinics and new
paediatric/obstetric hospital ward.
However, the North Okanagan area continued to grow at an
unprecedented rate. The planned expansion of the hospital
did not account for the increasing volume of aging
population.
While the strategic steps for the proposed hospital
expansion were taken years ago and will bear fruit in the
near future, VJH’s acute-care bed shortage may remain
unresolved. IHA has an opportunity to respond to this
challenge (as it has to many others since its inception) by
increasing the number of acute-care beds and operating rooms
as required today.
It can add an additional floor on top of the tower, to be
built where the new inpatient hospital ward can be placed.
It can open up acute-care beds in the old hospital wing.
Immediate opening of five operating rooms can be planned.
But above all, it must acknowledge the current acute-care
bed crisis and commit required resources to address it now.
I hope IHA intervenes quickly and incorporates the required
changes before the new hospital wing is built. This would
insure an immediate improvement of patients’ access to
medical care in our community and ensure the future access
as well.
It would be a great shame if the $81 million dollar VJH
expansion took place only to have patients seen and admitted
into hallways and scheduled surgical cases cancelled because
of ongoing shortage of acute-care beds and OR space.
Jan B. Splawinski,
Ortho and spinal
surgeon,
IHA Surgical Council member |

Doctors fear patients will be turned away
By Richard Rolke - Vernon Morning Star -
April 25, 2008
Doctors fear patient access to Vernon Jubilee Hospital will
be restricted if the facility remains over-capacity.
Physicians met with Interior Health Authority officials
Tuesday to discuss the fact that there’s been 41 days of
code purple (full) at the hospital since Jan. 1.
“The crisis is clearly impacting patient care,” said Dr.
Chris Cunningham, president of medical staff.
The goal of the meeting was to find some common ground, but
doctors claim IHA is looking at extreme options, including
restricting access to VJH by patients transferred from
nearby hospitals in Salmon Arm and Revelstoke.
“That endangers the health of the patient,” said Dr. Jeff
Demetrick, chief of surgery.
One other alternative is to cancel elective surgeries when
beds are full at VJH.
However, Demetrick says that would have a devastating impact
on patients waiting for surgery, such as hip replacement,
and it could force some surgeons to leave town.
“It would decimate the department,” he said.
IHA officials categorically deny any drastic action will be
taken.
“The option was offered up but the decision was made not to
cancel elective surgeries,” said Cathy Renkas, with IHA
communications.
Renkas describes Tuesday’s meeting as a brainstorming
session.
“The intent was there be discussion and further discussion
about how to alleviate pressures up there,” she said, adding
that IHA is doing everything it can to address concerns at
VJH.
Doctors have suggested that code purple alerts could be
avoided if more acute-care beds were opened up at the
hospital.
VJH has 125 funded acute care beds, but there are times
where there are 160 patients on site, leading to hallways
being used. However, those hallway beds are also often full.
“It became clear that they won’t fund more beds so they want
to look at increased efficiencies, but that’s been done to
death,” said Demetrick of Tuesday’s talks with IHA.
The apparent reason for not opening more beds, according to
Demetrick, is a lack of funding.
“They are dealing with deficit budgets,” he said.
The high number of code purples come at the same time that
IHA is planning for a new diagnostic and treatment tower at
VJH.
IHA has stated in the past that there is the possibility for
shelled-in floor space as part of the tower and it could
ultimately be used for beds.
But there has been no commitment of funding from the
provincial government, something the physicians insists must
happen before construction of the tower begins this year.
“They suggest cancelling more surgeries to alleviate our bed
shortage. Is this appropriate for our community?” said Dr.
Hamish Hwang, a surgeon who was not at the meeting but who
co-authored a report on funding at VJH
The tower won’t open until 2010, and that has physicians
demanding action to help with immediate challenges.
“The Ministry of Health needs to step in and provide
short-term measures. They need to address funding for
staffing and beds,” said Cunningham.
“We need to find answers and we’re open to working with them
to find answers.”
On that front, there appears to be agreement with IHA.
“We prefer to work with the physicians to find solutions,”
said Renkas. |

No funding for doctor’s
clinic
By Tyler Olsen - Vernon Morning Star - April
23, 2008
The province will not provide financial support for a
doctor’s clinic in Armstrong/Spallumcheen although help with
“support services” may be available, the mayors of the two
municipalities learned in a meeting with senior Ministry of
Health officials Monday.
Armstrong Mayor Jerry Oglow and Spallumcheen Mayor Will
Hansma were told that
the community may be eligible to host a pilot project for an
integrated primary care model, the details of which are
clear to neither mayor.
The initiative, pilot projects for which are underway in
Prince George, Abbotsford and White Rock, co-ordinates a
practice that, in addition to a physician, would offer
support services such as nurse practitioners and other
health professionals.
“They also indicated a willingness to do it in a small
community and of course, Armstrong is a logical one (in
which) to do that,” said Oglow.
“It is essentially support services done on a more regional
basis.” The aim is for the services to increase the
effectiveness of physicians on the ground.
However, any integrated model would need to benefit the
entire North Okanagan, not only Armstrong/Spallumcheen, for
the province to be interested, according to Hansma.
Health officials will meet to discuss Armstrong’s potential
as a pilot project site further, but it was also made clear
to the mayors that Armstrong/Spallumcheen is hardly alone in
dealing with a shortage of physicians.
The mayors were told that the province would risk setting a
dangerous precedent by subsidizing the overhead costs for a
community doctor’s clinic, as local physician Dr. Rick
Sherwin had been hoping.
Hansma told his council Monday that the province thinks the
business prospects for a private practice in the community
remains good and seven physicians have been referred to the
area.
“They were quite mystified actually, to say the least, as to
why those opportunities were not taken up by those doctors
it was presented to,” said Hansma.
He said the province believes that the ongoing emotional
debate within the community may have turned off some of the
potential physicians.
The province, however, did offer hope that a deadline of
April 30 for a potential local physician to accept a
$100,000 incentive bonus for setting up practice in
Armstrong may not be written in stone, said Hansma. |

Locations established for hospital petition
Vernon Morning Star - April 20, 2008
“The association urges people to sign and circulate the
petition.”
— Stamboulieh
Locations have been announced for residents wanting to sign
a petition about Vernon Jubilee Hospital.
A petition demanding increased resources at the hospital can
be signed at medical clinics, doctors’ offices, Butcher
Boys, the Falkland General Store and the Coldstream
municipal office.
“More locations throughout the North Okanagan-Shuswap are to
come,” said Tony Stamboulieh, spokesman for the Vernon
Taxpayers Association, which has spearheaded the campaign.
“The association urges people to sign and circulate the
petition to Gordon Campbell’s government to increase funding
for acute care beds, operating rooms and permanent nursing
staff.”
The association is concerned about the number of code purple
incidents at VJH.
“It means there are too many patients who need the 125 acute
care beds and that means not only the beds, but all the
staff that care for the patients in those beds,” said
Stamboulieh.
“At VJH, code purple is a more than frequent state with the
average patients in acute care beds per day being 132.”
Individuals and businesses are currently being sought to
circulate the petition throughout the North Okanagan.
For more information about the petition, call 260-1082 or
e-mail antonystam "at" shaw.ca. |

Mayors meeting with minister
By Tyler Olsen - Vernon Morning Star -
April 18, 2008
The mayors of Armstrong and Spallumcheen will meet with
provincial Health Minister George Abbott and a senior deputy
minister Monday to review possible solutions to the
community’s doctor shortage.
Armstrong Mayor Jerry Oglow says he hopes the ministry can
come up with a long-term solution that will be able to
attract and, vitally, retain physicians.
“Whatever solution we arrive at has to be sustainable and
has to be for the long-term,” he told his council Monday.
“The issue is really complicated. There is no quick
solution, nor should we be looking for a quick solution, in
my opinion.”
Oglow said it has become apparent the community needs a
made-in-Armstrong solution, albeit one that does not
conflict with the Canada Health Act or the ministry’s other
policies.
After a recent meeting with Abbott, both Oglow and
Spallumcheen Mayor Will Hansma said the ministry has become
more receptive to the idea of establishing a primary health
care model in Armstrong, possibly in the form of a clinic.
Hansma hopes the meeting will clarify the ministry’s
intentions.
“I’m kind of hoping that we’re going to be able to determine
what type of a clinic we’re going to get,” said Hansma. “I’m
pleased the meeting was called so quickly and Abbott
understands the deadlines.
“Now it’s just a matter of seeing what George has come up
with and seeing if we can make it work in Armstrong and
Spallumcheen.” |

Group applying for non-profit status
By Tyler Olsen - Vernon Morning Star -
April 18, 2008
A group of concerned Armstrong and Spallumcheen residents is
hoping official status as a non-profit organization will
help efforts to resolve the community’s doctor shortage.
The group, which is supporting a multi-physician clinic
for the communities, has decided to seek charitable status
and to call itself the Haugen Community Healthcare Society
in honour of Dr. Ragnvald (Roy) Haugen, a physician who
served the Armstrong area from 1939 to 1971.
The society is hoping to promote timely access to primary
care services, promote health and wellness and continue
Haugen’s legacy of health care leadership.
“We are bound and determined to ensure Armstrong and
Spallumcheen is not left like other communities in B.C. that
have been left without doctors,” said spokesperson Nick
Watkins.
The group hopes a meeting between the mayors of Armstrong
and Spallumcheen and Minister of Health officials Monday
will result in funding for a clinic in the community. If it
does not, Watkins said status as a non-profit will enable
the group to raise money to try and support such a clinic
within the community.
Anybody with donations or other support to offer can call
Nick at 546-3731. |

ER capacity forces patient out
By Richard Rolke - Vernon Morning Star -
April 18, 2008
Doctors argue that unsafe conditions at Vernon Jubilee
Hospital are escalating.
Physicians claim there is a severe shortage of acute care
beds and as an example, they point to a situation where a
patient with acute appendicitis had to be transferred to
Salmon Arm’s hospital because VJH was over-capacity.
“I was told that if I operated on that patient, after
already operating on three other emergencies that night,
that there would be absolutely no space in the hospital to
deal with any other serious emergencies,” said Dr. Hamish
Hwang, a surgeon, in a letter to officials.
“For a regional hospital serving over 130,000 people not to
be able to deal with a patient with acute appendicitis, a
common and basic disease, this is a terrible state of
affairs.”
Hwang goes on to write that by Tuesday morning, VJH was at
code purple status and 30 per cent over-capacity at 161
patients.
“The facilities at VJH are no longer able to provide safe
and timely medical and surgical care to the citizens of the
North Okanagan and Shuswap,” he said.
Dr. Jeff Demetrick, chief of surgery, isn’t surprised by
what happened Monday.
“We are seeing these situations more often,” he said, adding
that it becomes a question of what is less dangerous
patients — being put in a hall or sent to another facility.
“It happens more often where we need to balance these things
out.”
The Interior Health Authority admits there has been
significant pressure on VJH over the last three weeks, with
part of it the result of the flu and other ailments.
Peter Du Toit, administrator, makes no apologies for
patients being sent to other hospitals.
“IHA has a network of hospitals to ensure that if a patient
has to be moved to get care, they can,” he said.
“If we are full and a procedure can be done safely at Salmon
Arm, we have the ability to do that.”
Du Toit also insists that actions are being taken to improve
the number of acute care beds at VJH, including through the
opening of residential care beds in the community.
“We are dealing with it but the capacity is above capacity
at this time,” he said. |

Notices handed to VJH employees
By Richard Rolke - Vernon Morning Star -
April 18, 2008
Upgrades at Vernon Jubilee Hospital have created uncertainty
for some employees.
Forty-four workers in the Alexander residential care wing
have been handed displacement notices because the structure
will be demolished to make way for a new $81 million
diagnostic and treatment tower.
“There are options for the employees to act upon. It’s
different than a layoff notice,” said Donna Lommer, with the
Interior Health Authority’s residential services program.
Alexander wing has played home to 49 seniors as a new
66-unit facility was being built in Vernon.
“The folks hired knew it was a temporary facility,” said
Lommer.
The impacted workers include 38 members of the Hospital
Employees Union, three from the B.C. Nurses Union and three
from the Health Sciences Association of B.C.
Six months notice has been given and options for employment
will be investigated.
Lommer is confident that most of 44 staff will stay within
IHA.
“Our experience at other sites is there aren’t people
without jobs at the end of the day,” she said.
“With an organization of our size, there is attrition or
people may decide to retire.”
The new Creekside Landing facility will open in May and
Alexander wing will close its doors at the end of June.
Discussions have also been held with the residents of
Alexander wing and their families as to where they will
move.
In many cases they may be relocated to Creekside Landing, or
they may go to other existing facilities when space becomes
available.
“We give people a choice of where they want to live,” said
Lommer.
Construction of the diagnostic and treatment tower is
expected to begin by early summer, with the facility open in
2010. |

Hospital petition support spreading
By Jennifer Smith - Vernon Morning Star -
April 16, 2008
More pressure is being added to mend wounds in the form of a
bed shortage at Vernon Jubilee Hospital.
Coldstream council is jumping on board and is encouraging
its residents to sign the public petition, which will be
available at the municipal office.
The support follows a public health care forum put on by
local doctors last week.
Doctors Hamish Hwang and Chris Cunningham say funding levels
at VJH aren’t where they should be for a hospital that is
consistently over capacity.
“We are the only hospital over capacity every single day,”
said Hwang at the forum.
Therefore more beds are being sought in the new diagnostic
and treatment tower, which construction begins on this year.
“If they were able to change some of the building and
planning now to encourage more beds in the long term we’d
probably save money and do a better job,” said Coun. Mary
Malerby. “But they only have a small little window before
the building is confirmed, before the planning is
confirmed.”
To add pressure to the provincial government demanding
funding equity at VJH, a petition has been started by the
Vernon Taxpayers Association. Anyone interested in helping
distribute the petition is asked to call 260-1082 or e-mail
antonystam@shaw.ca.
The District of Coldstream is encouraging its residents to
sign on with their support at the municipal office, where
the petition will be available. |

Walk-in clinics restricted
April 16, 2008 - Vernon Morning Star
Several years ago walk-in clinics appeared in various
communities throughout B.C. This disturbed many family
physicians as they were concerned about the impact this
might have on their practices.
They pressured the Section of General Practice of the BC
Medical Association to address this issue. Consequently,
the association decided to limit the number of patients seen
per day by general practitioners in private practice or
walk-in clinics.
The limitation number chosen was designed to not affect most
family doctors in regular office practice.
Visits made outside the office such as the hospital or care
facilities were not included in this limitation.
Northern and isolated communities were also exempt. However,
because of our local shortage of doctors we have been
functionally under serviced.
If a family physician moves or retires and closes their
office, the ‘orphaned’ patients have no alternative, at this
time, but to use the services of a walk-in clinic.
Because of these
limitations,
our walk-in clinic frequently surpasses the number of
patients we are allowed to see.
We
receive no income for these extra patients yet we still
incur the expenses of keeping the clinic open.
It’s becoming increasingly difficult to find physicians to
assist with the hours we provide.
Therefore, at our clinic, we are being forced to reduce our
hours of operations at a time when Vernon’s growth is
evident and the shortage of family physicians is becoming a
distressing reality.
We would urge the public who feel strongly about this
important issue to write letters asking those limitations be
removed.
Write to:
Mr. Tom Christensen (Local MLA)
206-3334-30 Ave
Vernon, B.C.
VIT 2C8
Mr. George Abbott (Provincial Minister of Health)
202 -371 St. NE
Box 607
Salmon Arm, B.C.
V1E 4N7
Section of General Practice to the BCMA
115-1665 West Broadway
Vancouver, B.C.
V6J 5A4
Dr. David Powter, Dr. William Fair,
Dr. David Edwards, Dr. Robert Sawatzky |

| This is one sure fire way to cut
down on hospital stays and government not spend as much
money...smokers will be checking out of hospitals before
they are ready to go home and some may not check in all
together if they can help it. Where is revenue
going to come from when taxes on cigarette and tobacco sales
start to decline??
What will government have to do when all the smokers
quit smoking and live longer requiring more healthcare and
more hospital visits? |
Smoking ban nears for hospital patients
By Richard Rolke - Vernon Morning Star -
April 13, 2008
SMOKING WILL soon be banned at Vernon Jubilee Hospital.
Vernon Jubilee Hospital patients and staff will soon have to
trudge across the road if they want to light up.
As of May 31, all Interior Health Authority hospitals and
facilities will become smoke-free.
“Smoking is the leading cause of preventable death. For the
health authority, it’s the right thing to do,” said Les
Baas, director of population health.
If patients or staff insist on smoking, they will have to
leave the property.
“All patients will be told of the smoking policy and any
patient will have access to free nicotine therapy and
intervention therapy,” said Baas.
Baas admits there is a concern about patient safety if they
leave the property in various states of medical condition.
“Ultimately it’s their decision, and as it is now, we have
patients leaving the property for various reasons.”
There are a few things patients can do now to prepare for
the May 31 policy.
They include calling 1-877-455-2233 for information on how
to stop using tobacco, and visiting www.actnowbc.gov.bc.ca
for tip sheets on smoking cessation.
Patients should also talk to their doctor about medications
and supports available to help quit smoking.
There will be exemptions to the IHA policy for three
specific groups — mental health patients, palliative care
and residential care.
Individuals in those three areas can apply for permission to
smoke outdoors.
However, Baas says there is no guarantee that anyone in
those three categories will be allowed to smoke.
“It’s a rigorous process and the goal is not to have
smoking.” |

Vernon woman to sit on IHA board
April 13, 2008 - Vernon Morning Star
A Vernon resident has been appointed to the Interior Health
Authority’s board of directors.
Virginia Goodings has recently retired from the Canadian
public service after more than 30 years.
She worked in a variety of departments in the field of human
resource management, including the prime minister’s office,
the treasury board and Environment Canada.
Goodings was also head of human resources with the
Commonwealth Secretariat in Britain.
Also recently appointed to the IHA board is David Gillespie
of Kamloops. He is a retired lawyer and past chairman of the
B.C. Automobile Association.
He is currently a director of the B.C. Lottery Corporation. |

Throughout the years, I have been asked if I volunteer as
the executive director for the PIN Crisis Intervention
Society.
April 13, 2008 - Vernon Morning Star
Who Does Pay?
Throughout the years, I have been asked if I volunteer as
the executive director for the PIN Crisis Intervention
Society.
This always brings a smile to my face, while at the same
time, it is probably accompanied by a look of dread. That
look comes from the knowledge of what it takes to keep a
not-for-profit organization functioning.
Of course one of the “biggies” is funding, and through
talking with people I have come to realize that many people
are not aware of how our programs are funded.
This comes to mind when someone inquiring about the Good
Morning Program call us, they will often ask what it costs
to receive the daily calls and are surprised when we tell
them that there is no charge.
The Good Morning Program is funded by our local United Way
providing 31 per cent of the total revenue, while the
remaining funds are provided through gaming.
Clearly without that
support the program would be in jeopardy, as would the
Suicide Prevention Program which receives 24 per cent of its
funding from the United Way. Therefore, the support of
donations to the United Way is gratefully appreciated by
agencies such as ours. Another significant source of funding
is the Interior Health Authority (Mental Health) who
generously contributes 80 per cent to the operation of the
Crisis Line.
Gaming dollars are responsible for the majority of our
volunteer training program and through its trained
volunteers that our program runs so efficiently; there are
people who care about those they serve.
The results are those in need of the services benefit from
direct and timely service. In a nutshell, that is the
essence of how social service agencies are able to exist;
through the support of stakeholders (such as government) and
throughout the heart of the community - those who see a need
and are able to donate their hard earned cash to the United
Way or an organization - or their precious time.
Sharon Durrant |

VJH petition hits the streets
By Richard Rolke - Vernon Morning Star -
April 13, 2008
The public fight over Vernon Jubilee Hospital has been
launched.
The Vernon Taxpayers Association is calling on North
Okanagan residents and groups to volunteer their time to
circulate a petition demanding funding equity at VJH.
“VJH is the only regional hospital that is over capacity
every day and it’s the only hospital without an MRI
machine,” said Tony Stamboulieh, spokesman.
Anyone interested in helping distribute the petition is
asked to call 260-1082 or e-mail antonystam@shaw.ca.
Details on where petitions can be signed will be announced
next week.
Stamboulieh believes it makes sense for his organization to
get directly involved in the issue of funding and resources
at VJH.
“We are all potential clients of the hospital and as good
Canadians, health care is at the top of the agenda for us,”
he said.
“It seems like nothing is happening so we need to get
together as citizens.”
Stamboulieh is confident that municipal councils throughout
the North Okanagan-Shuswap will get directly involved in the
petition and pushing for changes at VJH.
“The day may come where they (councillors) may find
themselves in a closest because there’s no room in the
hospital for them,” he said.
Wayne Lippert, Vernon mayor, is pleased to see the petition.
“It will let the minister know our residents are deeply
concerned about this,” he said.
During a recent interview, Okanagan Vernon MLA Tom
Christensen denied VJH is being treated differently than
other hospitals.
Christensen also pointed out that considerable money has
been invested at VJH, including $81 million for a treatment
and diagnostic tower.
“It’s a simplistic view to look at one hospital without
looking at the system as a whole,” he said.
However, Stamboulieh believes Christensen is not
representing the interests of local residents.
“It’s very simplistic of Mr. Christensen to ignore the very
real concerns of citizens about their health care,” he said. |

Hospital requires team approach
April 13, 2008 - Vernon Morning Star
Politics make for strange bedfellows, and no other situation
may highlight that more than Vernon Jubilee Hospital.
The Vernon Taxpayers Association has launched a petition
demanding more operating funds for VJH, and that move has
the support of City of Vernon officials, traditionally the
primary target of association members.
But this odd pairing demonstrates the reality that is VJH.
No matter your religion, age, colour, education or financial
status, the hospital accepts us all. Whether you call
Vernon, Cherryville, Armstrong, Salmon Arm, Grindrod or
another community home, it is our hospital.
In fact, it is partly because of the wide population base
that VJH serves, that it’s facing significant challenges.
While most Shuswap and Revelstoke residents are referred to
VJH, the province directs funding for them to Kamloops’
hospital, not Vernon.
It is inequities like this, and others such as a lack of
acute care beds, that must be addressed.
But conditions will only improve if rank-and-file citizens
challenge the provincial government and its funding formula.
We would encourage all North Okanagan-Shuswap residents to
get directly involved in the campaign launched by the Vernon
Taxpayers Association.
Volunteer to canvas petitions door-to-door, write letters to
MLAs George Abbott and Tom Christensen and, most
importantly, sign your name to the petition.
Provincial officials have ignored doctors and local
municipalities to date, so now is the time for residents to
make some noise.
And if you are reluctant to get involved, remember that VJH
is always there for you. |

Doctor campaign expands
By Richard Rolke - Vernon Morning Star -
April 11, 2008
The fight to find more doctors is going regional.
The North Okanagan Regional District board agreed Wednesday
to work with the Interior Health Authority in trying to
recruit physicians and other health care professionals.
“It’s a very legitimate request to partner to promote our
region,” said Jerry Oglow, NORD chairman and Armstrong
mayor.
That decision came after a presentation from IHA officials.
“Canada ranks dead last in physician supply,” said Cathy
Stashyn, leader of physician recruitment.
“The time has come to address the crisis.”
With other provinces and regions also vying for doctors,
Stashyn is convinced that the North Okanagan must work
together to address its current and long-term needs.
“We really want to sell the Interior and the opportunities
here,” she said.
And she insists that the North Okanagan’s lifestyle will
help draw some doctors here.
“The community sells the community. They look for the
advantages we have.”
Stashyn pushed NORD to establish a single Web site portal
for physicians and other health care professionals and to
work with IHA on recruiting efforts.
“We want to make sure the sales message is the right one,”
she said.
Other issues that will be looked at is developing a brochure
that sells the north Okanagan to doctors, as well as a
candidate mail-out package.
“Be the welcoming committee to health professionals who
knock on your door,” said Stashyn.
There was unanimous support among NORD members to get
involved in trying to bring more doctors to the region.
“We’ve been struggling in Lumby and Cherryville (to recruit
physicians) so let’s make sure it’s regional,” said Eric
Foster, a director and Lumby mayor. |

Residents rally to relieve cramped conditions
By Richard Rolke - Vernon Morning Star -
April 11, 2008
North Okanagan residents will take pen to paper to fight for
their hospital.
A petition campaign will be launched to demand that the
provincial government increase resources at Vernon Jubilee
Hospital, including acute care beds and nursing staff.
“It will be a regional effort,” said Kay Stamboulieh, with
the Vernon Taxpayers Association, which will spearhead the
effort.
“We can get everyone behind this,” she said.
Details of the campaign are still being worked out, but it’s
anticipated the petition will be available soon.
And based on the 200 people crammed into a public meeting on
health care Tuesday, the petition may have widespread
support.
“Get to our MLA. He’s the man we have to go after,” said
Hazel Stinson, one of many residents who spoke about the
need for improved conditions at VJH.
Barry Beardsell, a Vernon councillor, endorses the public
rallying behind the petition.
“The city has tried to get the attention of the health
minister but it has not produced any indication of new
beds,” he said.
Beardsell believes the city should help promote the petition
because of the importance of VJH.
“This is a vital service to our community,” he said.
Coun. Juliette Cunningham was pleased to see the large
turnout at the forum.
“It shows that people are concerned,” she said.
Information on how to contact George Abbott, Shuswap MLA and
health minister, was made available during the forum.
“We need to pressure the government,” said Dr. Chris
Cunningham, president of VJH medical staff and one of the
organizers of the meeting.
“If we have the support of you (public) here, we might be
able to enlighten the government of the needs.”
Tom Christensen, Okanagan Vernon MLA, was not at the
meeting, but he is aware of the petition campaign.
“They are welcome to do that. But I hope anyone interested
in health care will look at the broader picture and not
think that the single issue of beds is the only answer,” he
said, adding that the government has invested millions in
health care facilities and training new nurses. |

Doctors prescribe additional hospital beds
By Richard Rolke - Vernon Morning Star -
April 11, 2008
Physicians warn that
Vernon Jubilee Hospital is headed for crisis unless
immediate action is taken.
In an unprecedented move, medical staff hosted a forum about
health care Tuesday at the Schubert Centre, with the event
attracting about 200 people.
“I’ve never worked at a hospital where there’s more patients
than beds every day,”
said Dr. Hamish Hwang, a surgeon and
co-author of a report looking at funding levels and service
at VJH compared to other similar facilities.
VJH has 125 funded
acute care beds, but Hwang says there are times where there
are 160 patients on site, leading to code purple — capacity
— situations.
“When they don’t have a bed, we make due and put them in
hallways. Without these beds in halls and several other
places, the hospital wouldn’t be able to run.”
Using IHA figures,
the report by Hwang and Dr. Chris Cunningham looked at VJH
compared to regional hospitals in Penticton, Trail and
Cranbrook.
“We are the only hospital over capacity every single day,”
said Hwang.
He went on to say that elective surgeries are cancelled if
beds are full.
“Family doctors and specialists are constantly under
pressure to discharge patients (to free up space).”
Another concern is that VJH has four operating rooms.
“Trail has five ORs and the volume of in-patient surgeries
is far less,” said Hwang, adding that four ORs cannot keep
pace with demand and wait times grow.
“Without more ORs, more specialists cannot be hired.”
Hwang believes that one of the problems is that the Ministry
of Health funds Kamloops’ hospital for patients from Salmon
Arm and Revelstoke, while most referrals from those areas
are directed to VJH.
“It boils down to practicality and the fact that Vernon is
closer,” he said.
Construction will begin this year on a diagnostic and
treatment tower but Hwang insists it should include
increased acute care beds or operating rooms.
“On opening day in 2010, the $81 million facility will
already be obsolete,” he said.
The physicians are calling for the new tower to be amended
to take into account current and future needs of the
community.
They would like 140 to 160 acute care beds now, and an
immediate increase in operating rooms to five now and seven
by 2022.
Interior Health Authority officials say there is the
possibility for shelled-in floor space as part of the tower
that could ultimately be used for beds and those discussions
are being held with the provincial government.
“There will be continual lobbying,” said Dr. Tom Ward,
medical director for the Okanagan.
He went on to say that there’s a lack of acute care beds
across the country and catch-up is underway.
“The pressures the doctors are speaking about are absolutely
true,” he said, adding that action has been taken to open
residential care beds in the community as a way of freeing
up acute care spaces at VJH.
Tom Christensen,
Okanagan Vernon MLA, denies VJH is being shortchanged.
“The health authority tells us that’s not the case and that
VJH is bring treated equitably,” he said.
Christensen added that considerable money has been invested
in health care at VJH, as well as at other facilities used
by local residents.
“It’s a simplistic view to look at one hospital without
looking at the system as a whole.” |

MLA must get with program
April 11, 2008 - Vernon Morning Star
One has to wonder when was the last time Okanagan Vernon MLA
Tom Christensen was at Vernon Jubilee Hospital for something
other than photo-ops?
If he or a loved one had been admitted for a serious health
issue and then parked in a hallway, perhaps he would be a
little more sympathetic about conditions at the primary
health centre for the North Okanagan-Shuswap.
Instead, Christensen toes the party line and refers to the
$81 million being spent on a new diagnostic and treatment
tower.
And certainly that investment is appreciated, but keep in
mind that 40 per cent of that $81 million is actually coming
from local residents through property taxes. It’s not all of
Victoria’s cash Christensen is taking credit for.
It is increasingly evident that VJH is inadequately funded
compared to other hospitals and can’t keep pace with
population growth.
Government officials like to challenge the doctors who have
put figures out indicating a crisis at VJH. But keep in mind
that the statistics used are from the Interior Health
Authority itself, and who should the public believe —
doctors who are on the frontlines every day or bureaucrats
far removed from the situation?
Instead of just listening to IHA and the Ministry of Health,
Christensen needs to place more credence on the information
coming from doctors, nurses and other health care
professionals. And he should also pay attention to the 200
people who crowded into a forum Tuesday.
The fact that so many people gave up their own time to
attend a meeting should speak volumes.
It is time for Christensen to take the situation at VJH
seriously. |

Three headlines regarding a shortage of healthcare in Armstrong BC in the
Armstrong Advertiser April 9, 2008
Spallumcheen Mayor Will Hansma is optimistic after meeting with Health
Minister George Abbott
&
Armstrong Realtors join to support health clinic in Armstrong BC
&
Activity Centre supports clinic

click page to read larger print
Front page of the Armstrong Advertiser April 9, 2008.
The following article is the second part to this first article and so on.
pool
project in limbo continued....
Meeting with Abbott optimistic
article page 7 of the Armstrong Advertiser April 9, 2008
continued from front page above.
&
photo of the Armstrong Healthcare Auxillary members who volunteer operation of
the loans cupboard at Hassen arena along with information on dates and times the
medical loans cupboard is open.

click article to read larger print
Armstrong Realtors join to support Health Clinic in Armstrong BC (part 2)

click article to read larger print
this is page 5 continued from front page of the Armstrong Advertiser April 9,
2008 above. Realtors support health clinic in Armstrong above.


Dr Simon Lewin is a new doctor starting up private practice in Armstrong March
2008.

Region recruiting for more doctors
By Richard Rolke - Vernon Morning Star -
April 09, 2008
North Okanagan communities are being asked to get directly
involved in luring new physicians to the region.
Interior Health Authority officials will ask the North
Okanagan Regional District board today to partner when it
comes to marketing the area for doctor recruitment.
“We are looking for opportunities to market the entire North
Okanagan,” said Peter Du Toit, IHA’s local administrator.
Du Toit says there are no specific requests being made of
NORD, and IHA has no specific expectations.
“It’s merely exploratory. We have nothing in mind yet,” he
said.
But Du Toit points out that IHA has launched campaigns to
market the North Okanagan in an attempt to attract more
physicians, while most communities have economic development
initiatives to promote themselves.
“We go to conferences they aren’t at, and they go to
conferences we aren’t at,” he said.
Du Toit is hopeful North Okanagan politicians will want to
get involved.
“We are all part of the same community,” he said.
Jerry Oglow, Armstrong mayor and NORD chairman, is extremely
familiar with the issue being raised by IHA.
“We are in trying times with low physician levels across the
country,” he said, adding that Armstrong-Spallumcheen is
currently facing a shortage of doctors.
As a result, Oglow does see a role for jurisdictions to
become more active in recruitment.
“Whatever we can do to attract physicians here, it is
important to work towards that end,” he said. |

People power pushes forward
April 09, 2008 - Vernon Morning Star
In February, Health Minister – and Shuswap MLA – George
Abbott swore by the incentive packages his government had
laid out to entice doctors to communities feeling the
physician pinch.
Two months later and Abbott seems to have realized that
incentives alone won’t solve the underlying problems
discouraging doctors from setting up shop in cities like
Armstrong.
The ministry is now promising to look at the available
options and return to local officials with potential
solutions. One option that, at this point, seems to be on
the table is that of a multi-physician clinic.
Abbott is late in recognizing that there are no easy fixes
to the doctor’s shortage. But after having tried to wash
himself of the situation, he deserves credit for wading back
into the fray to try to solve Armstrong and Spallumcheen’s
problem.
The mayors of the two municipalities have also been
proactive in pushing for a solution and deserve kudos as
well.
But it’s the residents of what is really one community who
deserve most of the credit. Rather than sit on the
sidelines, Armstrong/Spallumcheen residents offered up
ideas, time, voices and cold hard cash to try and resolve
the situation.
Their work – which needs to continue – was impossible to
ignore and demonstrated just how important this issue is to
local residents.
The residents raised a racket loud enough to be heard in
Victoria.
A solution may, or may not, be on the way. But the effect of
thousands of voices and tens of thousands of dollars all
pushing for a clinic, should give hope to those who
sometimes doubt the power of the people. |

Hospital over capacity - Video
From CHBC News - Web posted on Tuesday, 08
April 2008
Surgeries have been cancelled because the Vernon hospital is
too full. |

Code purple cancels surgeries at VJH
By Richard Rolke - Vernon Morning Star -
April 06, 2008
Extreme measures have been taken as Vernon Jubilee Hospital
has reached capacity several times.
VJH has been at code purple – essentially full – four times
in two weeks, with the latest case being Tuesday.
“It was the busiest day for us so far this year,” said Peter
Du Toit, administrator, adding that code purple status is
traditionally only issued about five to 10 times a year.
“It’s happened reasonably frequently in the last few weeks.”
The inability to handle more activity resulted in two or
three surgeries being cancelled Tuesday.
Shawna Whiting got a call a few minutes before she left home
saying her hysterectomy surgery had been cancelled.
“I was told there was an emergency situation — that all beds
were closed and they were turning patients away from the
emergency room,” she said.
“People need to be aware that this is a really bad
situation.”
While it wasn’t in her case, Whiting believes a cancellation
Tuesday could have been devastating for other patients.
“I can’t imagine someone being in pain and 15 minutes before
being told you can’t have surgery,” she said.
Du Toit says cancelling surgeries is the last resort, and he
is not aware of anyone being transferred to other hospitals.
“Nobody is ever turned away. If it’s something serious, it’s
looked at immediately,” he said of people walking into the
emergency room.
“I appreciate what the staff and doctors did Tuesday. They
did an incredible job but it was tough.”
Du Toit blames the busy conditions at VJH on
gastrointestinal illnesses and other seasonal disorders, and
acute care beds being taken up by people waiting to get into
residential care.
Full beds come as no surprise to physicians.
“We are consistently over census and overcapacity,” said Dr.
Chris Cunningham, medical staff president.
“VJH is the only hospital consistently overcapacity.”
Additional residential care beds are expected to open in
both Vernon and Armstrong this spring and summer.
“That will bring us up to the required number of residential
care beds for the area and that will help the hospital,”
said Du Toit.
He added that a new diagnostic and treatment tower will be
constructed at VJH in 2010, and it could be expanded to
include an extra floor of acute care beds.
However, doctors continue to have their doubts.
“We need to be confident that new additional beds will be
provided now, and for this new building,” said Cunningham.
“New assisted living and residential care beds have helped.
But, these have not
VJH medical staff will hold a public forum on health care at
the Schubert Centre Tuesday at 7 p.m. |

Realtors rally for doctors
By Tyler Olsen - Vernon Morning Star - April
06, 2008
Century 21’s Mike Beck (second from left) explains concerns
he and his fellow Armstrong realtors have over a looming
community doctor shortage with Mary Beth Beck, RN (left),
Miriam Scott and Beth Brandon at a noon-hour rally Friday.
PICTURE NOT SHOWN
Armstrong realtors have added their voice to the calls for
action over the community’s looming doctor shortage.
Nearly two dozens realtors – every one in town according to
Century 21 realtor Sharon Dahl – gathered downtown Friday to
let the public and politicians know something must be done.
“As residents of the community it’s an obvious concern to us
as well. Many of us are without a local doctor and we’re
having to go to outside communities,” said Dahl.
In February Dr. Rick Sherwin announced that he would close
his Armstrong practice if Interior Health or the community
didn’t subsidize a multi-doctor clinic that would enable
overworked physicians to share the load. Sherwin’s departure
would leave the community with one full-time physician and
one part-time doctor.
But Armstrong city council has so far expressed a reluctance
to fund a clinic, noting health care is traditionally a
provincial responsibility.
But for Dahl and her colleagues, a solution must be found –
and one that includes physicians in Armstrong.
“As realtors, we work with a lot of people moving into this
area. We can offer great things. Our location, our schools,
our community support are great. However, the one thing we
cannot offer is health care in this community,” said Dahl.
She said the realtors want to impress on politicians of all
stripes the importance of local physicians and the need for
a medical clinic.
“We had a meeting on this and we all decided we have to do
something. We’ve got to put it out there and keep it out
there,” said Dahl.
“Enough is enough. We need action today.”
Residents can find most everything they need in Armstrong
except health care, she said. And the presence of a large
seniors population increases the importance of local
doctors.
“For the local population here, our senior citizens, it’s
terrible. A lot of them don’t drive.”
Royal LePage broker and realtor Paulette Webb said the lack
of physicians may discourage potential residents from moving
to the area.
“It really does affect their mind-set,” she said. “when
people are moving to the community they want to know what
medical services they have.” |

Action required soon at hospital
Vernon Morning Star - April 06, 2008
There are more indications of serious challenges within our
health care system.
Over the last two weeks, code purple has been initiated four
times at Vernon Jubilee Hospital because the facility was at
capacity. Surgeries were cancelled and while there are no
reports of patients being diverted to other hospitals, that
is always possible under these circumstances.
And the apparent reason for most of this is gastrointestinal
illness. And while seasonal disorders may add to the patient
load, one must wonder how VJH would handle a true emergency
like a large natural disaster or a pandemic? If the flu can
force code purple, what colours will be used for more
serious situations?
The bottom line appears to be a lack of acute care beds at
VJH, and while the Interior Health Authority is trying to
free up space by creating residential care beds in the
community, it’s not enough. There must be a clear focus on
expanding the number of acute care beds at VJH so it can
handle the demands of a growing region.
The provincial government must also ensure there is
sufficient funds so nurses and other support staff are in
place.
One way to address this situation would be for the
government to amend plans for a new diagnostic and treatment
tower. It currently doesn’t include beds but it should. And
with the tower supposed to be open in 2010, a financial
commitment is required now.
There is no question that the care provided by doctors,
nurses and support staff is top-notch, and given current
conditions, their actions are extremely impressive.
With that in mind, it is time for the provincial government
to stop ignoring the situation and to take direct action. |

Doctors take hospital concerns to public
Vernon Morning Star - April 04, 2008
Concerns about Vernon Jubilee Hospital will be front and
centre during a public forum.
The VJH medical staff will host a forum on health care at
the Schubert Centre Tuesday at 7 p.m.
“This presentation is the result of several groups coming
forward requesting further information on the paper Dr.
Hamish Hwang and I prepared showing that VJH is underfunded
in relation to other sites within IHA,” said Dr. Chris
Cunningham, president of medical staff.
“We used IHA's and the ministry's own numbers to show that
in fact VJH has been underfunded compared to its peers. The
medical staff decided to turn to the public to relay this
information and answer questions.”
Cunningham says medical staff are pleased that government
has committed to funding a new diagnostic and treatment
tower at VJH, but other issues must be addressed.
“This is not an expansion.
“There are no plans for the remaining existing parts of the
old hospital, in fact most is deemed unsuitable right now.”
The forum will also look at the issue of beds.
“We are so short of beds right now. We need to be confident
that new additional beds will be provided now, and for this
new building,” said Cunningham.
“New assisted living and residential care beds have helped.
Cunningham hopes residents will attend the forum.
“We hope to continue to bring awareness to the local
population regarding health care issues, and how this
impacts care for all North Okanagan and Columbia-Shuswap
patients,” he said.
“We need to continue to pressure the government and the
Ministry of Health, as they hold the purse strings to
funding for these desperately needed additional acute care
beds.” |

|
Central Okanagan Hospital District Budget The
Regional Hospital District Board is comprised of the members
of the Regional District Board. It meets as required for
decisions on tax requisitions and funding of major
health-related capital projects and equipment. The Regional
Hospital District contributes 40% towards these approved
projects. At the March 28th special meeting, the Regional
Hospital District Board approved the Five Year Financial
Plan, including the 2008 Budget of $15.7 million. For a home
assessed at $456,000 ($316,000 in 2007) the contribution to
the Regional Hospital District is $110.96, up $5.23 from
2007. |

|
Residents surveyed on doctors' shortage

click Vernon Morning Star April 2, 2008 article to read
larger print
Initial survey returns support medical clinic.

click article from Armstrong Advertiser
April 9, 2008 to read larger print
Initial survey mailed out says there is an overwhelming
desire to have a health care clinic in Armstrong. |

|
Armstrong Gets a Loan
Medical Equipment Loan Cupboard opens for Armstrong and Spallumcheen.

click article to read larger print
Snippets
"It was really hard for everyone. The Red Cross took the
equipment that had been donated so we had to start again.
Everything we have here has been donated," said secretary
treasurer Doreen Couldwell. The cupboard space, in the old
Hassen Arena, was built with donated materials and labour
from community service groups.
"Everyone was very supportive. Armstrong is a good community
in that we will take on anything that is needed," said Huge
Sharkey, vice president. President Alberta Foster was
smiling as she cut the ribbon to officially open the
cupboard. The Armstrong/Spallumcheen Medical Equipment Loan
Cupboard is open Monday, Wednesday and Friday from 10:00 am
to noon. For more information call 546-4991. |

Healthcare Auxillary pledges $75,000 for medical clinic
City and township challenged to meet or beat this 1st pledge.

click article to read larger print
Article from March 26, 2008 front page of the Armstrong Advertiser.
Article regarding Armstrong BC healthcare system and the doctor shortage they
have. The Hospital Auxillary pledges $75,000 for a medical clinic in Armstrong
BC.
this is the second part (page 3) of the article above.

click article to read larger print
Article from March 26, 2008 Armstrong Advertiser.
Snippets from article above:
Dr. Sherwin proposed a medical clinic model.
"Armstrong is a rural area where people have helped people when no other funding
was available," said Mrs. Nilsen. "It's time to get back to our roots."
She said if Interior Health isn't coming forward with support through the
cutbacks it has done and little or no help from the community's civic leaders,
they would set the tone to start local fund raising.

Letters to the Editor articles in the Armstrong Advertiser March 26,
2008 regarding Armstrong BC health care and the doctor shortage decreasing from
7 doctors down to 1 doctor remaining.

click article to read larger print
continuation of article above

click article for larger print

March 30, 2008 article from the Vernon Morning Star
Doctors plans questioned

click article to read larger print
Snippets from above article:
And Coun. Pat Hudson added that health care is a Provincial responsibility that
municipalities cannot afford to fund.
Sherwin said that the city has discretionary funds at its disposal and that
Interior Health is paying a similar amount for a downtown Vernon homeless clinic
that serves fewer patients.
"We're in a thing here that's far larger than a shortage of doctors in
Armstrong, in Princeton, in Chase. It's right across the country."

Government won't disclose hospital's names

click article to read larger print
One low-ranked hospital had a heart attack rate more than four times as high as
the top-rated facility.

Health care problems never end
Kelowna Capital News - Opinion Section -
March 21, 2008
Hardly a month goes by where our health care system isn’t
under attack for being inefficient, under-funded or just
generally failing to meet the demands of taxpayers. Our
health care system is a easy target for everyone to
criticize without fear of retribution.
Years go by, governments change, but nothing really happens
to address these health care issues, whether they be real or
imagined for political expediency.
B.C.’s health minister George Abbott is currently being
roasted on the legislative spit in Victoria of late for a
Surrey hospital’s overcrowding in its emergency department
due to a lack of beds, which in turn forced the cancellation
of surgeries.
But what is the solution to our never-ending health care
woes? More funding for more beds? More funding for more
doctors? More funding for greater access to alternative care
options? Greater awareness of how to we all should live
healthier lifestyles to avoid getting sick? All of the above
is probably the answer, but when the various special
interest lobby groups start carving up the health allocation
funding pie, the bigger picture gets decidedly blurred.
Back in 2002, Roy Romanow headed a commission that presented
a massive report on how to upgrade our health care system on
a national scale.
Whatever happened to that report’s findings?
Technology and health knowledge have radically changed
health care.
It should be creating greater efficiencies in health care
spending, but that doesn’t appear to be happening and we
need to be asking why.
But it seems there are many status quo service providers in
our health care system now who would prefer we didn’t figure
out those answers. |

Need is there
Vernon Morning Star - March 21, 2008
I wish to express how very concerned I am regarding the need
of a medical clinic for Armstrong and Spallumcheen. I cannot
begin to thank Dr. Sherwin, Dr. Rutherford and Dr. McLellend
enough for taking time to attend our meeting on the 28th.
Their contributions to our concerns were most vital. I was
most disappointed when at the second meeting, Dr. Sherwin
was told by the city and Interior Health that there was no
money for a clinic.
Recently, there has been a third meeting on the doctor
shortage - medical clinic issues.
I read that Mayor Will Hansma was not invited. What happened
there?
I
would hope that our city mayor and council would represent
the voice of the taxpayers, agree on something, pull
together and do something positive about this grave
situation we are in.
Kay Buchanan |

Funds promised for clinic
By Tyler Olsen - Vernon Morning Star - March 21,
2008
An Armstrong organization has stepped up to try and address the
community’s looming doctor shortage.
The Armstrong/Spallumcheen
Health Care Auxiliary has pledged $75,000 towards a new clinic
following a presentation Monday from Dr. Rick Sherwin.
Sherwin has been pushing for a health clinic that would be home
to four doctors, with its overhead costs subsidized. Without
such a clinic, Sherwin has indicated working conditions and an
overwhelming workload will force him to close his practice,
leaving the area with just two physicians.
“The community needs a clinic to attract doctors,” said
auxiliary president Shirley Nilsen.
“They’re not getting any help from IHA and they’re not getting
any help from the politicians.”
Nilsen said the pledge
is likely the largest ever made by the group, which recently
donated $64,000 to Vernon Jubilee Hospital’s Light A Bulb
campaign.
The auxiliary raises money by running the Bargain Bin store in
Armstrong.
“We feel this is a big enough community to have this sort of
establishment here,” said Nilsen, who noted more money could be
on the way in the future.
And she is encouraging the community to rally behind a clinic.
Sherwin for his part is pleased with the pledge from the
auxiliary and hopes it will boost others to rally around a
community clinic.
“It’s wonderful. They’ve been supporters of health care in
Armstrong for a long, long time and I think it’s great they’re
stepping up to be leaders,” he said.
The auxillary’s donation comes as another community group is
meeting to consider various clinic options, including, possibly
the establishment of a local foundation. |

Who to turn to?
Vernon Morning Star Letters - March 16, 2008
I am mentally ill. I have had warrants issued under the Mental
Health Act for me to be taken to the hospital either by police or
ambulance, without my consent, and placed in the psychiatric
department.
By the time I was hospitalized, I was considered either a threat to
myself or possibly a threat to the community. I was usually
suicidal.
I have recently been made aware of the treatment of a fellow
mentally ill young man who was served such a warrant.
The outcome of that bungled and tragic event was the sad death of
the young man.
From what I have understood, seven police officers were sent to the
apartment of the young victim.
He, as I understand it, had a paring knife in his hand.
Now, I ask myself, seven police officers?
Perhaps three or four officers were at his door breaking in, while
the others were outside.
Try putting yourself in the young man’s position. He is unwell.
There are three or four police officers (the police usually seem
very big and threatening when I am sick) in winter parkas, demanding
that the paring knife he held be dropped.
On a good day when I am rational and not severely depressed or
suicidal, having three or four police officers on my doorstep would
scare the daylights out of me. If this happened to me, I would be
frightened and afraid.
Now, supposing I was suicidal, depressed, anxious, hysterical,
paranoid, or whatever label might be put on me that day, and my door
broken down.
Would I be listening to what everyone said to me?
I would be horrified and stressed beyond belief and very agitated. I
would feel totally intimidated.
Would I be able to understand what the police wanted?
Would I be able to comply with any request because after all, I am
mentally ill and they are not in my home for a tea party?
I used to trust the police.
I used to call the Crisis Line when I needed help.
I used to call the Community Response Team.
I always felt that there was someone out there who could possibly
relate to my distress and that I would be helped.
Now, I do not trust the Crisis Line, The Community Response Team, my
family doctor, my therapist.
If I need help to overcome my severe depression/thoughts of suicide,
I know that a warrant under the Mental Health Act can potentially be
issued in my name.
I live in fear that my call will be traced and the police will
arrive at my home ready to knock down my door should I be too scared
to answer their demands.
Will there be guns drawn when it is my turn for another warrant
issued?
I realize that all of this might sound unrealistic and highly
preposterous to the healthy and mentally stable people in the
community. I am not one of you.
I do not always have control of my mind. The chemistry becomes
unbalanced.
And, fellow Vernonites, I am not the only mentally ill person here
in town. There are many who are just as ill and now terrified as I
am or can become when I am unwell.
I for one dread the day that the next bout of severe depression hits
me.
I have no one to trust.
How can I ask for help knowing that I might be the next victim of a
rescue mission?
Where does that leave the mentally ill people in Vernon?
Name withheld |

Towns sweeten doctors’ pot
By Tyler Olsen - Vernon Morning Star - March 16,
2008
While Armstrong and Spallumcheen politicians, physicians and
residents try to come up with a plan to attract physicians, two
other communities in similar situations are making offers of
money and goods to attract doctors.
In Clearwater, the district council committed to using $10,000
to help attract doctors and pay for housing for temporary
physicians. The money will come from the profits of an ICBC
office run by the district. Mayor John Harwood had initially
asked to commit $39,000.
“We asked them to set some of that aside to work on the lobbying
issues and renting an apartment for the doctors,” said Harwood,
who met Thursday with provincial Minister of Health George
Abbott.
Unlike Armstrong, residents have much further to go to find a
doctor in another community.
Harwood told The Morning Star that the two physicians left in
his community are planning to leave in June. With the nearest
major hospital 120 kilometres away in Kamloops, they have been
alternating 24/7 on-call duty, a situation that proved untenable
without more help.
And with Kamloops also stretched for physicians, that has left
residents worried.
“They’re scared. The old, the chronic sick are very much
afraid.”
Harwood said all stakeholders, from the Ministry of Health to
UBC to community leaders and Interior Health need to sit down
and come to an agreement on action that can be taken instead of
competing against one another.
“We need to say, OK, these are the issues, how do we solve them
and not keep passing the buck.
“This is becoming a huge problem for B.C. and Canada and we have
to find our own solution,” said Harwood. “My biggest fear is we
have towns like yours and mine trying to outbid one another.”
The Similkameen town of Princeton, meanwhile, will soon see the
departure of two physicians, bringing their number of doctors to
just one.
There, area businesses have cobbled together a welcoming gift
bag for any new doctor and the town council is considering large
incentives.
Princeton council is considering offering doctors an apartment,
a car and even a $100,000 signing bonus if a physician signs a
three-year contract.
Those incentives reflect the concern in the community, which is
an hour and a half drive from Penticton.
“No other issue is as important as that,” said Princeton Mayor
Randy McLean.
To address the problem in the long-term, McLean said officials
may need to look at how much rural doctors are paid and what can
be done to encourage more students to enter medicine.
He added: “I think the other thing is, they have to review the
entry qualifications they have for doctors from other
countries.”
That option – ensuring immigrant doctors can practice here – is
one that came up in discussions between Harwood and Abbott and
one that has been raised by Armstrong Mayor Jerry Oglow.
The City of Armstrong, however, has expressed no desire to
subsidize a doctor, although a community group is floating the
possibility of establishing a community foundation that would
provide incentives for physicians.
Oglow said that while houses and cars may be needed to attract
doctors to remote communities like Princeton and Clearwater, the
situation in Armstrong is different.
“Every community has to look at it from a perspective that is
appropriate for them.”
He noted that working conditions have been identified as the
major concern and that a community clinic has been raised as a
possible solution.
“The city council has not discussed the notion of putting
taxpayers money into this, preferring to see if IHA or the
community group is able to raise the necessary funds to create
this clinic.”
Indeed, many Armstrong residents visit doctors in Vernon and may
not be receptive to subsidizing local physicians they would not
use, according to Tom Nordstrom, a member of the community group
that hopes to find a solution to the shortage. |

Citizens seek out cure for shortage of doctors
By Tyler Olsen - Vernon Morning Star - March 14, 2008
With the departure of two Armstrong doctors looming, a group of
concerned citizens is hoping to seize the initiative and find a
solution.
The group, led by Village Cheese owner Dwight Johnson, has been
speaking to local doctor Rick Sherwin, who says increased workload
will force him to close his practice, about how to retain and
attract physicians.
“One of
the things we’re trying to address right now is to put together a
formal business plan,” said group member Tom Nordstrom.
Working with Sherwin, Nordstrom said
the group is running through various
options, including a general
tax levy,
a charitable organization
in the mold of the Lumby Health Services Society, or a private
clinic model where patients buy into a
type of club.
“We are trying to review all these sorts of options,” said
Nordstrom, who said a public meeting may be held in April.
“There is a community effort going on and we’re twitchy because time
is of the essence here,” said Nordstrom. “We’re going to have to
have a decision here – a committed decision – by the end of April.”
As a senior, Nordstrom said he is quite concerned about the
situation, as are many other people in town.
But others, he said, are less urgent, whether because they are
content with visiting walk-in clinics in Vernon or for other
reasons.
“Some of them are really concerned, some are saying ‘I’m managing to
make do.’”
And because of that mix in opinion,
a tax levy
may not be supported by the community at large, he said.
But Nordstrom himself wants an alternative to having to visit a
walk-in clinic.
“A (walk-in) clinic doesn’t really turn me on from a continuity
perspective.”
Sherwin,
for his part, is pleased the group is stepping up, saying they’ve
been more pro-active than other groups with whom he’s met, including
Interior Health, the Ministry of Health and local governments.
“I’m
really encouraged by the group. I met with them the other day and
they seem to like the idea of a community health centre,” said
Sherwin.
Sherwin has been pushing for a health clinic that would be home to
four doctors, with overhead costs subsidized.
Interior
Health and the City of Armstrong have said they would not be able to
fund such a centre, which has disappointed Sherwin. |

Doctor shortage continues
Kelowna Capital News - March 05, 2008
Armstrong’s doctor shortage remains unresolved after a meeting
between doctors and health officials, although Mayor Jerry Oglow
says important progress has been made.
Along with Oglow, Interior Health Authority officials met
Thursday with two local doctors, one with a proposed solution to
the shortage and another considering practicing in the city.
“We had a very good discussion,” said Oglow, adding: “I don’t
know that we resolved anything definitely.”
In January, the announcement that Dr. Rick Sherwin would close
his practice if he couldn’t find help threatened to leave
Armstrong with just one physician.
While the recent announcement of a new doctor planning to
practise in the community has been welcomed, at least four or
five doctors are needed, according to Oglow.
Sherwin had been asking IHA to consider subsidizing a clinic in
Armstrong that would include four doctors.
Peter du Toit, North Okanagan Health Services administrator with
IHA, attended the meeting and was pleased with the ideas that
came out of it.
The doctors were informed that IHA could not provide a subsidy
to cover operating costs for a clinic in Armstrong.
At a meeting in January, doctors told residents that the high
workload in the community combined with the proximity to easier
jobs in Vernon make it near impossible to attract other doctors.
Du Toit said that IHA is working with Sherwin to explore other
options, including the possibility of providing nursing
services. |

Meeting fails to find cure
By Tyler Olsen - Vernon Morning Star - March 02,
2008
Armstrong’s doctor shortage remains unresolved after a meeting
between doctors and health officials, although Mayor Jerry Oglow
says important progress has been made.
Along with Oglow, Interior Health Authority officials met
Thursday with two local doctors, one with a proposed solution to
the shortage and another considering practicing in the city.
“We had a very good discussion,” said Oglow, adding: “I don’t
know that we resolved anything definitely.”
In January, the announcement that Dr. Rick Sherwin would close
his practice if he couldn’t find help threatened to leave
Armstrong with just one physician. While the recent announcement
of a new doctor planning to practise in the community has been
welcomed,
at
least four or five doctors are needed according to Oglow.
Sherwin had been asking IHA to consider subsidizing a clinic in
Armstrong that would include four doctors.
Peter du Toit, North Okanagan Health Services administrator with
IHA, attended the meeting and was pleased with the ideas that
came out of it.
The
doctors were informed that IHA could not provide a subsidy to
cover operating costs for a clinic in Armstrong.
At a meeting in January, doctors told residents that the high
workload in the community combined with the proximity to easier
jobs in Vernon make it near impossible to attract other doctors.
Du Toit said that IHA is working with Sherwin to explore other
options, including the possibility of providing nursing
services.
The doctors were also
informed that they bear some responsibility for attracting new
doctors.
“The family physicians do have some of their own work to do
because they are private practices,” said du Toit. The role of
Interior Health is to help the doctors, in that respect, he
added.
“We’re just working, trying to help them get as far down that
road as possible.”
Sherwin, for his part, said he was disappointed by the meeting
and the fact no money could be found from
either the city or IHA to help fund a clinic.
A subsidized practice was not the only option discussed.
The four-hour meeting also included talks on the
possibility of a local
charitable foundation that would help fund
local physicians, and Sherwin will meet with community members
this week.
The groups will reconvene April 7 for another meeting to discuss
any progress. |

Mayor, doctors ready to meet with IHA officials
By Tyler Olsen - Vernon Morning Star - February
08, 2008
Armstrong Mayor Jerry Oglow and two area doctors will meet with
the Interior Health Authority later this month to discuss ways
the city can attract new physicians.
As it stands, the departure of two doctors by the end of June
will mean Armstrong will only have one family physician
practicing.
Oglow said the parties will meet Feb. 28 to discuss a proposal
by a local doctor for a group practice in the city.
Dr. Rick Sherwin told a town hall meeting last week that such a
practice could attract four physicians by the fall but that it
would need to be subsidized, whether by the province or the
community.
The possibility was also raised of housing a practice in the
vacant wing of the former Pleasant Valley Health Centre, now an
adult care facility.
“The real challenge for us in dealing with this is not the
bricks and mortar element,” said Oglow.
“What is more difficult to resolve is the operating costs and
the annual subsidy that would need to be made for a health
centre in Armstrong.” |

Program fails to attract doctors
By Tyler Olsen - Vernon Morning Star - February
03, 2008
An incentive program launched last year to attract physicians to
communities suffering doctor shortages has largely fizzled.
Last June, the province announced an incentive program that
would see a $100,000 package given to doctors setting up shop in
90 communities around the province.
But while Interior Health has 18 incentive packages to hand out,
none have yet been accepted in the region and Randy Forsyth,
Interior Health manager of primary care services for the North
Okanagan, is aware of only one offer made to a doctor.
“Amongst the people I work with there was certainly the hope
that it would help it along,” said Forsyth. “I’m not sure why,
but it doesn’t seem to be quite the incentive it was thought to
be.”
The issue of incentives arose at a public meeting in Armstrong
Wednesday where citizens, politicians, doctors and officials
tried to come up with solutions to an impending doctor shortage.
As it stands, by the end of June, Armstrong and Spallumcheen
will be down to one physician serving a combined population of
more than 9,000 people.
Forsyth said the meeting was helpful and productive and will
hopefully lead to a solution to Armstrong’s problem.
“I think there was enough optimism among the group that I think
we should be able to work together in the short term to get
something going and in the long-term to attract and retain
physicians in Armstrong,” he said.
George Abbott, health minister and Shuswap MLA, who was unable
to attend Wednesday’s meeting, said incentive packages already
in place will hopefully resolve the situation in Armstrong.
“We’ve put in place a number of programs that are specifically
aimed at portions of the province of British Columbia that have
traditionally had recruitment retention problems,” Abbott told
The Morning Star.
The minister said he believes the Armstrong situation will be
solved in the long-term through the recruitment policies that
target physicians on an individual basis.
“It’s difficult to have three (doctors) until you have two and
it’s difficult to have four doctors until you have three,” said
Abbott.
Abbott
said there are no specific plans to deal with the Armstrong
situation individually and that his ministry has not entered any
discussions to help set up a group practice or clinic as
proposed at Wednesday’s meeting, although he was aware of
discussions between Interior Health and Armstrong physician Rick
Sherwin. |

There is a possible solution
Vernon Morning Star - February 01, 2008
There are no easy solutions to the doctor shortage already being
felt in Armstrong and Spallumcheen but make no mistake, there
are solutions.
The province could set up a facility for a group practice.
According to Rick Sherwin, such a facility could immediately
draw three doctors and, after that, easily a fourth. There is
even space ready to go in the old Pleasant Valley Health Centre.
Or, alternatively, money could be thrown at doctors to attract
them to areas experiencing extreme shortages. Policies can be
rewritten and no, it won’t be cheap, but no solution will be.
Armstrong has good reason to feel shunned by local health
authorities, having lost first its hospital and then its
diagnosis, emergency and treatment facility.
One can say Vernon is just around the corner, and its true that
many residents see doctors in the city. But primary care is
intended to prevent illness and disease before it occurs.
Anything that discourages residents to see their doctor will
inevitably cost more money down the road.
As people age in Armstrong and Spallumcheen, making the drive to
Vernon becomes more of an ordeal just when they should be making
more visits to their family physician.
Clearly something must be done and clearly options exist.
Interior Health officials have promised to look at the problem
and the provincial ministry of health must do the same.
And short notice or not, Minister of Health, and Armstrong’s MLA
George Abbott should have been at Wednesday’s meeting. He
wasn’t.
Armstrong needs to know the province cares about it, and now
that can only be proven through quick, decisive action. |

Community aims to cure doctor shortage
By Tyler Olsen - Vernon Morning Star - February
01, 2008
Interior Health Chief Operating Officer Joanne Konnert speaks to
Armstrong and Spallumcheen residents Wednesday at a town hall
meeting to address an impending doctor shortage.
Facing the loss of two more doctors, Armstrong and Spallumcheen
residents made an impassioned plea Wednesday to Interior Health
officials for a new medical clinic or subsidized group practice.
More than 120 people packed into the Oddfellows Hall for a
hastily called town hall meeting on the impending doctor
shortage. By the end of June, the numbers of family physicians
in the community – once at five – will stand at one.
All of which had residents, doctors, politicians and health
officials desperately seeking solutions in a civil meeting that
functioned more as a public forum than debate.
Over and over, residents came back to the need for a group
practice or clinic in town. The discussion was sparked when Dr.
Rick Sherwin, who is planning to close his practice in June,
said a subsidized and staffed group clinic would attract four
physicians by fall.
Sherwin is leaving months after Dr. Phillip Rutherford, with
whom he shares a practice, departs for family reasons. Unwilling
to shoulder the load of a practice alone at a stage in his life
where he would be looking to work less not more, he said a group
practice, aided by IHA, would resolve the crisis.
“That’s our presentation, our offer of a solution, but so far it
hasn’t been taken up by Interior Health,” he said. Sherwin also
raised the possibility of a health centre similar to that in
Enderby, an option also bandied about by Armstrong Mayor Jerry
Oglow.
“They brag about the Enderby set-up and they’re very keen but
they’re not interested in providing that in Armstrong,” said
Sherwin.
At the end of the meeting a petition with excess of 1,000
signatures asking for a group clinic for Armstrong was delivered
to Oglow, who promised to pass it on to Health Minister and
local MLA George Abbott, who was in Victoria and unable to
attend.
But Interior Health Chief Operating Officer Joanne Konnert said
the Enderby model has fallen out of favour with the province.
“The government is not funding that in the same way they used
to. They’ve moved the money to different areas,” she said.
Spallumcheen Mayor Will
Hansma pointed to a vacant wing of Pleasant Valley Health Centre
as a possible location for a group clinic. The wing used to host
emergency services in the city. Konnert committed to discussing
the possibility of the facility with her staff.
Dr. Craig Jackson, who will be the one remaining physician left
in the community, said incentives were the most viable long-term
solution to Armstrong’s problem.
He pointed to a
program that had previously paid doctors in the community an
annual incentive but was cut off in 2002. At the
time Armstrong had five physicians but not long thereafter the
first left.
Despite being the lone doctor in town, Jackson says he will
soldier on for the foreseeable future, although it will not be
easy.
“As a solo practitioner in this town, it’s going to be difficult
to carry that load for a long period of time,” he said.
Indeed, quality of life for doctors was one of the main issues
raised, with all accepting that fewer physicians mean a higher
workload for those that remain – a situation that makes it very
difficult to attract and retain new doctors.
Dr. Kira McClennon, a young physician who has been filling in
for Sherwin on a temporary basis, said that she would not be
able to set up permanent shop in the community given the current
situation.
“We all want to work with other people so we’re supported both
(as colleagues) and professionally as well,”
she said. “It’s not just about the money. We have to be happy in
the practice and the practice has to be sustainable in the
long-term.”
While
the one-time $100,000 incentive for physicians
settling in outlying communities announced last year by
the province was enough to get McClennon to seriously look at
Armstrong, it couldn’t entice her to settle in
the community, given the high-stress situation she’d be
entering.
And with opportunities in group practices down the road in
Vernon for the same pay but less headaches, previous recruitment
efforts had seen a targeted doctor find employment in Vernon.
Meanwhile, the possibility of nurse practitioners was said to be
just as hard to attract as doctor | |