Adonis Diaries

Daydream project: Restructuring medical  profession and health care providers systems

My daydreaming started by recollecting that nurses are the ones who took care of me, smiled to me, and had compassion to my predicament after each surgery: Surgeons spent less than a minute after their job was done, if they ever found it necessary or had time to visit their patients.

The entire health care system is fundamentally run by nurses, carried on the shoulders of nurses…

For example, Philippinas  (from the Philippine) in the US constitute the vast majority of nurses (at least a decade ago).

Eduardo Galeano wrote this story:

“It is 1984, in the prison of Lurigancho at Lima (Chili).  Luis Nino is inspecting the prison for the count of a human rights organization.  Luis is crossing sick prisoners, vomiting blood, agonizing, open wounds, with fever…

Luis meets the chief medical staff and ask why the physicians are not making any routine health rounds…The physician replies: “We, physicians, intervene at the calls of nurses…”

And where are the nurses? The chief retorts: “The budget for the prison didn’t allocate funds for nurses…”

I got into thinking:

“If I ever come into big money, or get in a position of power, I will take care of the nurses, improve their standard of living,  extend material values and dignity to their hard work, get engaged with Occupy Health Care protests…

I will rent buildings close to hospitals and rent affordable rooms to nurses, and let the nurses run the building…

And install a modern facility in the building for continuing education and provide vans and affordable transport system for the nurses who can barely make ends meet…”

My daydreaming ideas went wild and I got into thinking:

“The entire medical system and health care providers need restructuring in order for nurses to receive their fair share in the gratitude of patients and return on the huge profit and…”

I saved the post as a draft, with the intention to publish it as my daydreaming project is complete, and then I said: “This project is hardly ever going to be complete. Publish whatever you have and let readers be inspired and finish it for you…”

The project is not meant to abolish current health institutions, medical schools and health services, but to establish an alternative system, funded by States until the new alternative institutions start generating followers and fund-raisers and…

The idea is that students in all medical fields (nurse, dietetics, massage provider, biologist, veterinarian, dentist, Red Cross volunteer, hospital administration, hospital manager, pharmacist, psychologist, psychiatrist, medical students, Ergonomics designers, medical equipment designers and operators…) share nursing practices in the first couple of years, get paid from year one, and are of practical service to the communities, particularly in rural areas, poorer districts, and in time of catastrophic events.

The University program and curriculum are reviewed so that practical initiations with patients and health institutions are offered in tandem with theoretical and general knowledge are focused on.

All students enrolled in one of the medical fields mentioned above have to learn and work as nurses for the first two years, and earn their living.

Year One:

Medical students, in all fields mentioned above, work in hospital and learn to deliver first aides services (like Red Cross volunteer courses), how to communicate with patients, get initiated with hospital administration and procedures…

Practical initiation: trauma cases, drug cases, vaccination procedures, types of contagious diseases, curable diseases

Formal courses: Physiology, musculoskeletal disorders, introduction to Human Factors issues, health and safety in hospital and workplaces, experimental design, statistical analysis…

Year Two:

Medical students learn to be exposed to surgery room practices and procedures, anesthesiology room, pharmacy section, and hospital administration…

Practical initiation: blood testing procedures, urine testing procedures, tropical diseases diagnostics, injection, administering medication,

Formal courses in Anatomy, designing surveys and collecting data, analysing and interpreting peer-reviewed scientific research and sorting out valid experiments, introduction to pharmacology,…

Year Three:

Students targeting fields in (medical equipment design and operation, hospital management and administration, dietetics, massage provider, biologist, and psychology) part from the other students into specialized universities and sections.

The remaining students get skills in small skin surgery, dialysis procedures, intensive care units, hard to cure diseases…

Formal course in neurology, in-depth reading of peer-review scientific research articles, designing and performing controlled experiments,…

Year Four:

The students in the medical fields part ways.

Except for the general physician practitioners, dentists, pharmacists, psychoanalysts, the other students should be ready to graduate in their preferred subject of interest.

At worse, a couple of courses might be needed to achieve their requirements.

Rationales for this alternative system:

1. The “psychological” divide between physicians and nurses is “physically and mentally” reduced

2. Physicians will be readier to empathize with patients

3. Physicians will be initiated with the “physical understanding” of the job of nurses, and will feel readier to support nurses demands and syndicates for continuing education and resume the study to becoming full-fledged physicians…

4. Communities will enjoy a much larger pool of health providers in the events of catastrophes, war, economic downturn…

5. Earning a living from year one and feeling confident as a valued citizen

6. Efficient interactions and interrelations among health institutions

7. Nurses playing vaster roles as communicators and transmitters links among patients and specialized physicians, particularly for remote patients, neglected patients in residences, uncovered patients with any health insurance…

8.  How about you forward me with all your rationales, suggestions, and developed comments?

Note: It is becoming evident that modern schooling system is principally a big detention center for the youth in order to keep them “away from the streets”.

Kids do Not need 13 years of formal schooling before going to universities or learning practical skills and talents to earn a living by the age of 15. It is not knowledge that they are learning, but regurgitation of consensus information.

Reflective learning and self-learning are not appreciated on the ground that kids are not “ready to discuss, ponder and ask the right questions…”

Kids have to earn a living from skilled maintenance professions before considering higher education in fields of their interests…

In general, in almost every society, you have about 15% of the population deemed unnecessary for producing and contributing to the development of the” system”: They are confined in ghetto quarters to fend for their survival and are basically the ones incarcerated in order to show “statistically” that the police force is doing its job…