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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.

Blue Divider Line

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.

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

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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.

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Recalling of drugs
Kelowna Capital News - By John Sherman - January 19, 2010

Recently 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

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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.

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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.

Blue Divider Line

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.

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.pdf icon 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.
Picture of a tree near Armstrong BC that was infested with the Tussock Moth

 

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

 

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.
Picture of the Tussock Moth Coccon on the tree branch.

----------------------------------

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

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.pdf icon 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.

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.pdf icon April 27, 2009 Regional District of Central Okanagan Regular Board Meeting Minutes

d) 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.

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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)

Blue Divider Line

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.

Blue Divider Line

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.

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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

Blue Divider Line

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
Future expansion of existing VJH tower letters article. All that extra money was spent thinking of the future.
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.

Blue Divider Line

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.

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

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

Blue Divider Line

Doctors question emergency room upgrade
By Richard Rolke - Vernon Morning Star - Published: January 23, 2009

The 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.”

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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.”

Blue Divider Line

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.

Blue Divider Line

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.

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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.

Blue Divider Line

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

Blue Divider Line

Digging into a healthy future
By Richard Rolke - Vernon Morning Star - Published: November 18, 2008

The 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.”

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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!

Blue Divider Line

Care quality offices set up
Vernon Morning Star - News - Published: October 24, 2008

B.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.

Blue Divider Line

Patients provided chance to complain
Vernon Morning Star - News - Published: October 24, 2008

The 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

Blue Divider Line

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

Blue Divider Line

Keep health care in mind this election
Kelowna Capital News - Opinion - Published: October 07, 2008

Forget 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

Blue Divider Line

Rural doctors focus of plan
By Richard Rolke - Vernon Morning Star - Published: September 19, 2008

Armstrong’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.

Blue Divider Line

Authority website targets doctors for Interior towns
Vernon Morning Star - Published: August 29, 2008

A 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.”

Blue Divider Line

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.

Blue Divider Line

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, 2008

Sliced 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.

Blue Divider Line

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.

Blue Divider Line

Hospital jobs in jeopardy: union
By Roger Knox - Vernon Morning Star - Published: August 22, 2008

Plans 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.”

Blue Divider Line

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.

Blue Divider Line

Taxpayers seek MLA action
By Richard Rolke - Vernon Morning Star - Published: August 21, 2008

The 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.

Blue Divider Line

Public gives opinion on health care
Vernon Morning Star - Published: August 19, 2008

A 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.

Blue Divider Line

Health care is at risk
Vernon Morning Star Letters - Published: August 14, 2008

A 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

Blue Divider Line

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

Blue Divider Line

Meeting sought on hospital project
By Richard Rolke - Vernon Morning Star - Published: August 08, 2008

MLA 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.

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

IHA opts out of B.C. audits
By Jennifer Smith - Vernon Morning Star - Published: August 01, 2008

While 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.”

Blue Divider Line

Healthcare debate needs context
Vernon Morning Star - Letters - Published July 22, 2008

Your 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

Blue Divider Line

Scanner to cut hospital wait times
By Roger Knox - Vernon Morning Star - published July 17, 2008

George 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.

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

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

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

Doctors hopeful about tower
By Richard Rolke - Vernon Morning Star - June 20, 2008

Physicians 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.

Blue Divider Line

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

Blue Divider Line

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

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

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

Blue Divider Line

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

Blue Divider Line

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

Blue Divider Line

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

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

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

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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.

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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

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Westsiders still hanker for their own hospital
By Jason Luciw - Kelowna Capital News - Published: June 04, 2008

Efforts 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

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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.com

Paul 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.

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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.”

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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

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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.

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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.

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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.

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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.

Blue Divider Line

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

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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.

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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.

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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.

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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.

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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

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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

Blue Divider Line

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

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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.

Blue Divider Line

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 Director

pc: Honourable Gordon Campbell, Premier

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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

Blue Divider Line

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!

Blue Divider Line

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

Blue Divider Line

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.”

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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

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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.

Blue Divider Line

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.
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.

Blue Divider Line

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.

Blue Divider Line

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.
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.

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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

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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.

Blue Divider Line

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.

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

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.

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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.

Blue Divider Line

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.”

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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.

Blue Divider Line

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

Blue Divider Line

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.”

Blue Divider Line

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.

Blue Divider Line

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

Blue Divider Line

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.

Blue Divider Line

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.

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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.

Blue Divider Line

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.

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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.”

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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.

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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
Front page of the Armstrong Advertiser April 9, 2008 regarding doctor shortage in Armstrong BC
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.

Armstrong optimistic about healthcare after meeting with Health Minister George Abbott
click article to read larger print

Armstrong Realtors join to support Health Clinic in Armstrong BC (part 2)
Realtors support health clinic in Armstrong article April 9, 2008 from the Armstrong Advertiser.
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.

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

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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.

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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.

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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.

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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.

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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.”

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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.

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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.”

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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.

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Residents surveyed on doctors' shortage

click Vernon Morning Star April 2, 2008 article to read larger print

 

Initial survey returns support medical clinic.
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.

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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.

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

Article regarding Armstrong BC healthcare system and the doctor shortage they have.  Healthcare Auxillary pledges $75,000 for a medical clinic in Armstrong BC.
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.
Second part of article above regarding Armstrong BC healthcare system and the doctor shortage they have.
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.

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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.

Letters to the Editor articles from the Armstrong Advertiser March 26, 2008 regarding the doctor shortage in Armstrong BC
click article to read larger print

continuation of article above
This article about the Armstrong Doctor Shortage is a continuation from article above.
click article for larger print

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March 30, 2008 article from the Vernon Morning Star

Doctors plans questioned
Article from the Armstrong Advertiser regarding the doctor shortage from 7 doctors reduced down to 1 doctor.
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."

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Government won't disclose hospital's names
Government won't disclose hospitals names regarding rating list of hospitals.
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.

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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.

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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

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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.

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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

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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.

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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.

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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.

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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.

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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.”

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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.

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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.

Blue Divider Line

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