The right-wing think tank The Kiwiblog Initiative has called on the government to radically overhaul the way it trains its doctors.
Hard on the heels of the success of the teacher training scheme Teach First, which puts university graduates through a four-day online course before placing them in a South Auckland school, The Kiwiblog Initiative is calling on the government to set up a new training program for kiwi doctors.
Called Doct First, the programme would take high performing graduates out of the private sector and put them through a three-week intensive, after which they would be given a white coat, a stethoscope and a bag full of shiny new cutty things and be sent off to the provinces to hack away at the bunions of NZ First voters.
“We have been waiting too long for this kind of innovation,” says Kiwiblog Initiative chief thinker Carrick Farrer, “New Zealand is falling short in a range of OECD health statistics. Doct First would give this government an opportunity to change those statistics.”
When it was pointed out that perhaps having a heart surgeon train on the job might not the best idea for improving those statistics, Carrick said people were looking for “change” and “choice” in their health service and this change was “pretty choice.”
When asked about this proposal the Medical Council referred us to this Gif:
This is the transcript of a speech given to the Tauranga Rotary Club earlier this week by Michael Woodhouse, Minister in Charge of Workplace Safety.
Good afternoon everyone. Thank you for coming.
You know, recently I’ve been doing a lot of thinking. I’ve been wondering how hard it can be for some people to be safe out there at work. Sadly some workers leave home in the morning never to return. It is this tragic scenario that has got this National government moving.
Recently I was talking to Brian Donald, an employee at a Motueka worm farm. He said to me, “Michael… it’s beyond a joke. Every say I turn up to work and every day I’m savaged by my employer’s killer worms. I’ve had several severe slimings and one time I even touched worm poo. If I hadn’t sterilised my hands I could have had dirty hands.”
Luckily we have never had, or are ever likely to have, any deaths, severe injuries or even minor abrasions on any New Zealand worm farm. Ever. But that doesn’t mean it won’t happen.
I’m pleased to announce new legislation that will bring an end to such potentially deadly activities cat breeding. The health and safety of voters is incredibly important to people like me.
You know, people may mock me and say things like, “what the hell sort of danger is a butterfly farmer going to face?”
Well… I’ve seen The Butterfly Effect with Ashton Kutcher and if the safety of workers farming those animals is anywhere near as terrible as that film then God help us.
You know, I’m sure there are a lot of you sitting there in the audience applauding this move. It’s a wonderful thing to come down hard on all those people engaged in those high risk activities of forestry, oil rig diving or mini-golf operations.
What this means is workers in low-risk industries such as farming, or sitting on a couch doing shit-all, can rest easy in the fact that the general workplace environment will be much, much safer because the government had issued them a fluoro vest with H&S Officer written on it.
Thank you all for coming and thank you all for listening.
As a kind of post-script I thought it was important to point out dairy, sheep and beef farming were deemed Very Low Risk after the parliamentary Health and Safety Officer pointed out how unsafe it would be for the government to label these activities unsafe.
Anyone reading my outbursts over the last few months may realise that there’s more on my mind that George W. Bush these days. Indeed… earlier this year Richard “The Dick” Cheney accused Obama of dithering in Afghanistan during a speech where he bragged that they reviewed their war machine there in the fall of 2008 – just as the Bush juggernaut rolled into ‘thank God they’re almost finished’ station (7 whole years after they started their lamewad attempts to control international foreign policy) – I’ve really had no time to focus on that kind of nonsense.
My mind and my energies have been elsewhere.
Friday October 23rd, 2009
After being on hormones to bring a halt to her cycle Mrs. Boon and I head for a wee scan up at the clinic. They need to see if the correct things are happening in her ovaries to warrant taking what’s called the ‘trigger injection’. Before you ask, this is not as violent as it sounds. The trigger injection is taken to release the eggs.
If we go back a step, what the hormones do is to stop the natural cycle of the body. Once the IVF people have control it is that time they need to tell the body to release the eggs. Once the eggs are released into the ovary follicles the harvesting can take place. Phew! It all sounds very pagan.
So, when you head into the clinic to have your follicles checked, you end up getting a picture like the one here. Inside the folicle there might be an egg hiding…
At that Friday appointment we were told that things were going along nicely and that the trigger injection would be needed shortly. It’s a very fluid situation based on hormones being at appropriate levels – not too high, not too low. Results of the morning blood test came back and another scan and blood test would be needed the next day.
Saturday October 24, 2009
The blood test and ultrasound confirmed that it was time to pull the trigger. Technically, I suppose, an injection involved some kind of pushing motion. Anyway, it was to be done in preparation for the harvesting ceremony to be held on Monday – quite ironically this was Labour Day here in New Zealand.
Monday October 26, 2009
So the harvesting went well with six of the little ‘half-bubbies’ (as the wife called them) found and put into tubes. As an aside – did you know that the human egg is the biggest cell in our bodies. See, look, it’s huge!
After that it was my turn to deliver. A sample was duly produced and washed in the lab so the testicular Michael Phelps’s were separated from the silver and bronze winners.
Then our DNA was mixed together in a sterile environment and voila!
Tuesday October 27, 2009
Emily the scientist reported back from the lab. We had one definite, two maybes and the rest were unclear as to whether they had fertilised or not. This bit is quite hard. On the one hand you could have one egg removed, totally fertilised and put back in. On the other you might have 16 eggs removed and none of them fertilise so you have no mini-bubs to put back in. Which is harder? I do not know.
Thursday October 29, 2009
D-day… well not really, it’s E-day. Mrs. Boon gets our little one put back inside and the more natural part of the process begins as miniBoon affixes to the endometrium and begins to grow into a baby. It’s a great little process. The small one is placed in a looooong needle in a bit of solution, bookended by 2 pockets of air. You sit there and watch the ultrasound screen, the needle goes in and pretty soon you see a flash of light as the embryo is deposited. It’s the air bubbles doing it but it looks like a flash of light you see when there’s a star being formed at the edge of a space cloud. It’s all very beautiful. In about 10 minutes it’s all over and you’re sent on your way.
And now we wait. November the 10th is the day we find out whether we are having a baby through a simple blood test.
Sunday November 8, 2009
After doing a wee test on Saturday (and failing), we were both convinced it was all over. That was that – no baby for us, not this time anyway. Well, after going online to her discussion forums my wife discovered that the test she had bought from the chemist may have been about as useful as a Republican at an anti-chastity meeting. So out she went and purchased a different, more robust test.
That was during my school fair day. I got a text asking when I’d be home. I thought that was a bit strange, but thought nothing more of it until I walked up the stairs of our house to see the wife with a goofy yet triumphant grin on her face. She told me she was pregnant then she showed me the wee test she had done. Very cool. That was the first time in my life that I thought, “Wow, I’m going to be a dad!”
After all the dramas of the previous 2-3 years, or however long it’s been, neither of us could believe what the stick of joy was telling us… I suppose you set yourself up to deal with failure so often that when something positive happens your brain can’t process it!
Tuesday November 10, 2009
Today the blood test confirmed the wee test above. More amazement, goofy smiles and whooping for joy. I’m sure this caused some consternation to the people walking past our car in the supermarket car park where we were situated.
If you’re interested, just before our little one was replanted, a quick picture was taken. 7 cells of magic. Thank you scientists, doctors and nurses who made our baby happen.
Suddenly, after all these years of trying, it’s happening! It’s quite surreal really. You go through so long of thinking it ain’t gonna happen and then it’s all go.
Thursday December 3, 2009
Today was the day of our 7-week scan. Today was the day we saw our baby’s heartbeat for the first time. Today was one of the greatest days of my life.
We both looked up on the ultrasound screen and there, in the centre, a embryological lighthouse shining through the fog of infertility was our baby. Our tiny baby, no bigger than a thumbnail, heart racing at 180 bpm.
Double wow (wowow).
Wednesday December 16, 2009
Our miniBoon is now 9 weeks old. We are out of the IVF system and in with the ‘normals’ hunting for a midwife and wondering what the hell to do next. Thankfully all our friends who’ve had babies over the last few years know what to expect and will be tapped handsomely for their information.
IVF is the single most harrowing thing I have been through. So many ups and downs, but the ultimate up when it comes is so sweet. To all others out there reading this and perhaps going through the same situation I wish you well in your endeavours. You will try to be positive throughout but that may not work sometimes, so do embrace the grumpy bums when they come, because you sometimes need to yell and scream and curse to get it out.
Kind regards and best of Christmas wishes to you all.
This week the government – led by the benevolent National Party of New Zealand and their little shoulder parrot the ACT Party – sponsored the delivery of a report on how the country can bridge the ever-increasing wage/salary gap with Australia.
Having read the above you must be thinking, “How very benevolent indeed. Imagine thinking of the worker in this scenario.”
The point I have to make at this juncture is – Bollocks.
To understand by point let us why the report exists in the first place… About a year ago in little old New Zealand there was an election. This election was won by the National Party after they created coalition agreements with ACT and the Maori Party. Traditionally National are a right / centre right party – this means they are like the Republicans in the US – except for the extreme nonsensical gibberish about Money, Jesus and 9/11.
In terms of coalition partners, ACT are slightly more right of National and therefore obvious drinking partners. ACT stands for the Association of Consumers and Taxpayers. Ironically enough, the leaders of this party probably don’t pay any tax thanks to creative accounting. I’m not implying they are breaking the law, I’m implying that they are creative with their accounting. Things like trust funds for family homes, cars and putting things in the wife’s name. This creativity means a reduction in taxation imposed upon them by the Inland Revenue people. As part of their coalition deal with National, ACT demanded a review of things led by Dr. Don Brash, a former head of the National Party himself and a notable proponent of the low tax, low spend government that ACT so lovingly puts forward.
New Zealand has had a long history of low productivity compared to Australia. Over the years our wage gap has remained for years and this sees many New Zealanders eyeing up the sandy Ozzy shores to make a new live. And being just 3 hours away on the plane it’s very easy to return to see the family now and again. In recent years escaping the financial talons of a student loan has also been a great motivator.
Having done some backgrounding of the issue we can now move on to Dr. Brash’s report recommendations. If you can remember back to the 80s when hair was big and shoulder pads even bigger, many policies adopted by governments around the world were very much focused on cutting government spending in a variety of ways including rationalisation of health, education and welfare spending, selling off of state assets to the private sector and lowering personal income tax while lifting the level of consumption tax. Dr. Brash’s report brings us back to those heady days. He called for, among other things, cuts in government spending, cuts in income tax, lifting consumption tax, selling of assets, and cuts to the minimum wage – the argument being that the private sector is able to offer far more efficiencies to the taxpayer than the government-run organisations, and over time these changes will increase productivity and close the wage gap between New Zealand and Australia.
Again, I make my point – Bollocks.
I’m not an economist or a statistician. I don’t pretend to know everything there is to know about GDP or tax law. I am not a world leader in the sale of assets. I am, however, a wage/salary earner. If you want to increase my productivity, if you want to make me more efficient than I have ever been, then you reward me for my efforts. This seems, on the face of it, a very, very, extremely, very simple solution.
The minimum hourly wage in Australia is $A14.31 ($NZ18.32), whereas here in New Zealand it is a mere $12.50 – and Brash says this should be cut. I must be an idiot because I would have thought that if you cut the minimum wage and I can earn 50% more for doing the same job in Australia, then I’m going to move there… aren’t I???
Cutting health and education spending is not going to work either. Having a sicker, stupider workforce is unlikely to lift production or wages. I admit that this is flippancy at its extreme, but there is some foundation there. Brash and his report buddies are asking for more private sector involvement in the provisioning of health and education. The idea is that competition will cut government spending levels. This is good I suppose… but the private sector is not the great liberator of spending Brash thinks it is, and they don’t always run things better than the government. Just look at the state of ridiculousness at the end of last year where companies like AIG, Lehmann Bros and so on couldn’t do their jobs properly because they didn’t know how the system they operated in worked.
Who’s to say the same collapse wouldn’t happen if the education or health system were privatised? Once you get money involved in things then maximising profit and returning dividends to shareholders becomes the motivation, not delivering a public service and ultimately those services, and the consumers of those services, suffer.
Brash and his rich little cronies should get their wallets out of their arses and try and live on $12.5o an hour with 6 kids to feed. He never will though and therefore he will never really understand what it’s like in the real world. It’s all numbers to them. Numbers can be made smaller. Unfortunately, and this is the case for all economic arguments, people aren’t numbers.
So again I say: Bollocks. You can’t build a bridge between two things if you begin by cutting away at the coastline on one side.
Brash, you’re a dick, and you always will be (this is slightly inflammatory so I must qualify the word ‘dick’ by adding the word ‘alleged’ to it. So, Brash you are an alleged dick, you nerd).
I was thinking about a few subjects to meander through this time…
Should I talk about the New Zealand Geographic Board recommending the city of Wanganui be spelt the same way as the river running through it: with a small ‘h’ following the capital W. That is, the area called Whanganui by the people who’ve lived there for the last few centuries could be spelt as such in the future. An important side note to this is that the city’s residents have voted against that move in a referendum AND that all (not just some, but all) of the people I’ve seen on the news objecting to this, including the his esteemed worshit the mayor Michael Laws, have been white. The objectioning has been so ardent also. Why object to spelling something in the traditional way? Unless of course you need an excuse to be racist…
That dabbling of the toe of opinion into the icy lagoon of racism brings me to the current “campaign” against Obama’s health plan. A lot of the placards seem to be saying President Obama’s plans to let every US citizen (except the illegals – anywhere up to 20 million inhabitants) have access to some kind of healthcare is communist or fascist. Communism is where the state controls everything on behalf of the people. Sounds like a good idea but generally it gets hijacked by the likes of Stalin or Mao who end up killing loads of people who disagree with their version of it. Of course, this is completely different to a capitalist democracy seen in the US where people are elected to the Senate or the House of Representatives so that they can make change completely independently of any company willing to “donate” thousands of dollars to trusts run by their families.
This is, as usual, a generalisation. I’m sure there are loads of capitalists in Washington D.C. who don’t take any money from people working on behalf of companies. Also, since when was capitalism a better model than socialism, communism or fascism? At least with socialism the government is trying to look after the people rather than letting the markets decide (remember when Lehmann Bros “decided” to pay Richard Fuld $300 million in the years leading up to the collapse for his strong leadership and excellent decision making). Comparing Obama to Hitler is not going to make your point very well. It’s like trying to get Christians to convert to Islam by telling them Jesus was a lesbian. Pretending to believe in the 2nd amendment by walking around these protests with an Ak-47 strapped to your dick isn’t going to win you any friends either you idiot.
Anyway, those two small issues aside…
This week the process has begun. We are now officially going through IVF. When I say ‘officially’ I mean the procedures have started and when I say ‘we’ I mean Mrs. Boon. As I’ve said previously during my other two blogs on the subject, my part in this process is important but is about as invasive as scratching the tip of your nose gently when it’s slightly itchy. I’ve also talked about the guilt factor that can develop from this and the fact I wish I could be doing more – and by doing more I mean having things done to me. But in IVF it seems not to be the way for the man to endure these moments associated with artificial insemination. Helping and supporting is our job.
The very first procedure Mrs. Boon went through in our – hopefully not too long – IVF journey involved her joining a research project looking into the effects of a uterus wash of lipiodol on increasing the chances of pregnancy. For those unversed… Lipiodol is a poppyseed oil that is used as a contrast medium. A contrast medium is one that, when pumped into veins or tubes shows up on x-rays allowing physicians to see blockages and the like. In women it is used to see if there is anything holding things up in the fallopian tubes. As with previous accidental breakthroughs like penicillin or coca-cola, it’s been discovered this flushing may actually enhance the prospectss of a successful pregnancy. So Mrs. Boon offered to go into a New Zealand study investigating this phenomenon.
When she said yes to taking part she had a 50/50 chance of either being in the control group, who would not have had the flushing, or being in the group who did. When the researcher opened the envelope last week she was pleased (although this may be a bit of an understatement) to hear she was not in the control group and was going to receive the lipiodol. Once again, as if I needed any more proof of how amazing my wife is, she selflessly puts her body forward so researchers can develop better and more successful methods of IVF for other couples.
I must also mention at this point that yesterday, the day of the lipiodol wash, was our 5th wedding anniversary.
So next week we head into the hospital to learn how to inject her with hormones that bring on a menopausal state. I am fast running out of superlatives to describe the overwhelming sense of awe I have for my wife and her willingness to undertake such a vast range of actions to bring our baby into the world. I only hope that one day I can return the love.