Showing posts with label Alberta Health Services. Show all posts
Showing posts with label Alberta Health Services. Show all posts

Saturday, February 02, 2019

I've been everywhere (MLS grads in the Klein era)

Updated: Feb. 2019 (Major re-write)

Folks, the article below by a University of Alberta graduate in Medical Laboratory Science (MLS) was written 22 years ago. I have her permission to include it in a blog. I think it's timely because it documents -using one example- what happened to Alberta's health professionals under Ralph Klein in the 1990s, now touted as a fiscal hero by UCP's Jason Kenney.

IMPORTANT: I alone am responsible for the blog. The MLS grad agreed I could use her article in a blog, whose content was unspecified.

Although somewhat political, I decided to include it in the 'Musings on Transfusion Medicine' blog series as it relates to one of several students who got work in New Zealand's Blood Service and to education for medical laboratory technologists/scientists.

BACKGROUND
The student in question was lucky in her decision to get a university degree in MLS because it gave her international mobility. So many  of Alberta's excellent medical laboratory technologists with diplomas did not have that option.

As someone who was asked by many with diplomas what their options were when jobs in Alberta all but disappeared under Klein, it was hard to tell them the reality. Many were experienced and talented but it mattered not. Unlike MLS grads, the USA wasn't possible because of NAFTA requiring a BSc in jobs the USA needed. To work as a technologist you also needed to be certified by ASCP or similar. In contrast, most MLS grads had opted to obtain ASCP certification upon graduating so had no USA barriers to employment for what they were educated and trained to do.

Getting MLS grads accredited to work in NZ and qualified for work visas was difficult. First, I sent the entire MLS curriculum to the NZ certification body to prove the program was equivalent to NZ's, which had adopted a university entry level and called graduates medical laboratory scientists or biomedical scientists. Getting MLS's program accredited was the easy part.

Second, the job had to be on a skill shortage list, plus candidates needed a job offer from a recognized employer, in this case the NZ Blood Service. Other criteria were age, health and character requirements. Much more was required, including booking plane flights before acceptance by the NZ Canadian embassy was guaranteed. I well recall the incredible bureaucratic nightmare the MLS students endured to go Down Under.

These MLS grads, my 'kids' as I call them,were brave pioneers, undertaking a grand adventure. Thanks to PC Premier Klein, dozens of other grads uprooted them selves from their homes and families and moved to the USA where they were treasured as fabulous health professionals.

For example, out of the blue I was contacted by a maker of blood bank software (Wyndgate, now part of Haemonetics) who explained they'd done a software demo for the NZBS and were so impressed by the Canadian MLS grads, they hoped other grads would be willing to travel to California to work for them. As it turned out two MLS grads did, including this graduate, a grad of the post-diploma BSc program.

LEARNING POINTS
1. Having experienced Klein's health care cuts in Alberta, which we still are recovering from, I'm no fan of politicians like UCP Kenny who bow down to the god of decreasing a deficit. Especially when they put that above the welfare of health professionals and diss them for being pampered public service workers.

2. Seeing the fossil fuel energy sector whine about lost jobs and decreased profits, after so many good years of mega-profits, makes me chuckle at the irony. Yes, I have empathy for those who have lost their jobs. In the good years many folks, regardless of education level, earned $100K+ in the oil patch, worked hard, long hours and lived the good life.

Medical lab technologists spent much effort, time and big-$ to get an education. Oil-patch dudes, who portray themselves as pull-themselves-up-by-the-bootstraps macho-men and now whine, are portrayed as victims of the governing Alberta NDP of all things by the opposition UCP, not victims of the glut of oil and falling prices.

Meanwhile, in the 1990s public sector workers like my young MLS grads just got on with making the best of a bad situation at great personal trauma and expense. Yet the conservative UCP refers to health care professionals and others in the public sector as pampered, spoiled elites. Really?

3. To me, the most important lesson is please get the most education you can. Because it not only opens your eyes and mind, it gives you the opportunity to be the best you can, to contribute the most you can, and to be prepared when disaster strikes. As it did in Alberta in the Klein years.

REFLECTIONS ON A DEGREE-COMPLETION PROGRAM

My name is Kathy Swainston. I graduated from the Medical Laboratory Technology program at NAIT in June of 1989. Over the next three years I worked in both a small hospital setting in Jasper and in a larger centre, the Red Deer Regional Hospital. It was while I was sharing the Student Supervisors position in Histology at RDRH that I decided that I needed to return to school. I had attended university for two years before going to NAIT and I felt that I needed to complete my university degree.

At first I explored the post-diploma degree that UBC offers, before I realized that [Med Lab Sci at] the University of Alberta could offer me the same option much closer to home. I had already made the decision to leave my job, even though the future of health care in Alberta was very much up in the air at the time. In September of 1992, I was once again enrolled in university. The next two years involved a lot of hard work, but it was worth it.

The first year was tough, but not as tough as for the four year university student. Because of my training at NAIT, I was given credit for the labs that accompanied most of the courses that I took that first year. That first year got me back up to speed in all of the five disciplines of laboratory work. It also introduced me to a first year biochemistry class, which I thoroughly enjoyed and an introductory statistics class, which I endured.

As part of the degree you are required to complete a 3-or-6 credit research project. I found the experience extremely valuable. I chose to do a 6 credit pro- ject titled 'Characterization of the gene(s) that allow avirulent phase Ill Bordetella pertussus to grow on nutrient agar.' I enjoyed my time in the laboratory working on my own and learning to troubleshoot the problems that arose. I was able to experience first hand what it would be like should I decide to pursue graduate studies.

We were also required to take a course called 'Communication and Analysis of Biomedical Information.' It was set up in two stages; one part involved the research and presentation of a medical case-study to my peers. This gave me the opportunity to present my findings as a lecture to classmates and instructors. It was a great way to practice speaking in front of a group of people, which is harder than it appears.

The second part of the course involved doing a literature review of a selected topic relevant to laboratory medicine and writing a review paper in a format suitable for publishing in a scientific journal. This entailed lots of time in the library looking through journals and using on-line services such as Medline to search for articles. l chose to review 'Extraction, Amplification, and Study of Mitochondrial DNA from Ancient Remains.'

In the second year you could take advanced courses in the disciplines you most enjoyed. Some courses gave an in-depth look at instrumentation and troubleshooting, very valuable in today's laboratory. We had the opportunity to examine the management side of things, which was an eye-opener. We were exposed to the latest techniques in genetic testing and other technologies, such as flow cytometry. All in all received a very well rounded education.

l graduated in the Spring of 1994 with a BSc in Medical Laboratory Science. In the end pursuing a post- diploma degree has given me more knowledge and confidence in my work. l am more confident in conveying my ideas and knowledge to others and am a better technologist because of my experience.

Having a BSc in Medical Laboratory Science has allowed me the opportunity to explore the job market in the United States, Saudi Arabia, and other Commonwealth countries. Because of the degree and the generous help of the staff in Medical Laboratory Science at the U of A, l am now living and working in New Zealand along with five other MLS graduates.

The instructors in Medical Laboratory Science not only teach, but provide valuable help when searching for a job post-graduate. l would like to take this opportunity to praise their effort and thank them all.

For technologists looking to further their education, l would definitely recommend the post-diploma degree at the University of Alberta.

l would like to thank Pat Letendre for her help in editing this article.

Kathy Swainston, RT, BSc (MLS) Hamilton, New Zealand
Published in the ASMLT Spectrum, Jan. 1997

FOR FUN
Decided to use very old ditty by Canadian legend Hank Snow. What happens to health professionals when politicians value money above people. Tragedy is a career killer for those without international mobility. For those with mobility it's still traumatic.
As always comments are welcome. See those below.

Thursday, September 12, 2013

I will remember you (Musings on realities for nurses and residents)

Updated: 13 Oct. 2013

September's blog was stimulated by recent personal experiences in a local inner city hospital with ~700 beds, treating ~ 450,000 patients/year. I spent much time in the hospital over 5 days and came away impressed with frontline health care staff. 

In contrast, I happened upon a news item about a lawsuit that did not impress: 
  • SmithKline Beecham vs Abbott Laboratories: Abbott removes juror because he's gay in suit over hiking HIV drug price
The blog's title derives from an iconic song by Canada's Sarah McLachlin.

First the good news. Being naturally curious and a people observer, during the recent encounter with our health system, I learned many tidbits about work realities for Drs (surgeons and residents), RNs, LPNs, pharmacists, occupational therapists, respiratory technologists, nursing aides, cleaners, and more.

In brief, I have an enhanced appreciation of colleagues in the front lines of the interdisciplinary health care team. They work under incredible pressure, yet those I observed invariably put the patient first and were caring professionals. 


As background, as a medical laboratory technologist who worked in a transfusion service lab for many years, I've encountered many nurses, those I call 'pitbulls', because they aggressively challenge 'rules' the blood bank has related to identity that are designed to ensure patient safety. That makes my new found appreciation all the more sweet.

Thank you surgeons, residents, RNs, and all staff at Royal Alexandra Hospital (Nursing Station 31), Edmonton, Alberta, Canada.

Some things I observed:

  • RAH entrance: 2 security officers holding what could be a homeless man with a beaten face, him screaming, 'I f*ckin' did nothing, you bastards.'
  • Signs say 'No smoking on RAH property' but 'patio' outside main entrance always full of patients smoking. Not similar at University Hospital. Perhaps a losing battle in inner city?
  • Most memorable image of RAH: Emaciated male exits nursing station 31 with fag in mouth, going for a smoke.  Frankly, despite being one of those ex-smokers who is now fanatically anti-smoking, I don't begrudge him his smoke. 
  • Exiting RAH elevator on 3rd floor: Mother angrily screams at ~12 yr old girl that she needs to say something when asked a question. Mom walks towards the ward area and screams, 'Where the f*ck are we?' Then mutters, 'Wrong floor', and stomps away leaving child to follow. My heart ached for child. Mother obviously stressed but no excuse to abuse child. Miracle if kid survives a mom like that. 
  • Respiratory technologist attaches a BiPap to patient in respiratory distress in ward's special 'observation room' (2 RNs for 4 post-op patients), all the while training a student. As a longtime blood bank clinical instructor, I was impressed by his expertise and patience. Later one of the RNs asked the respiratory tech if respiratory could give an in-service on use of the BiPap. Good stuff. 
  • Patient in observation ward for those who need observing carefully post-surgery, and who are attached to many monitoring instruments (and where every few minutes machines beep loudly  - sleep is impossible in the  hubbub of activity) screams, 'Shut up! I'm trying to sleep.' Another patient comments, 'Stuff him in the closet' and he replies, 'Yes, please.'
  • Elderly gent on observation ward, post-surgery, keeps screaming, 'Let me outta here. They've kidnapped me. I've got to go home' and tries to rip off his monitoring equipment. His elderly wife patiently says, 'No dear. You've got to stay.' 
  • Several times a day a patient leaves the observation room for a regular hospital room and a new patient comes in. This is when two staff members enter and strip the bed, then wipe down (disinfect) every part of the bed, tables, and any surface the patient may have touched. It's a frenzy of cleaning, hard grunge work, but it's got to be done and quickly, to prepare for the new patient. 
You get the idea. Every day is total chaos but residents, nurses and all staff maintain their cool and keep caring for all their patients no matter how difficult they and the environment may be.

INDUSTRY
Now the bad news. Watching nurses and docs perform under trying situations makes me all the more disturbed to see how industry colleagues continue to put their interests ahead of patients and seemingly use every tactic to maximize profits and win lawsuits.

Indeed, I could recite many cases that definitively show that Big Pharma routinely behaves badly but I'll limit it to a current case.

Smithkline Beecham (SKB) v. Abbott Laboratories (USA)

SKB v Abbott is about whether it is permissible for a lawyer to 'strike' (remove) would-be jurors from a case because of sexual orientation.  In this antitrust lawsuit involving HIV medications, an attorney for one of the companies exercised a so-called peremptory strike, effectively removing a possible juror because he was or appears to be, could be, homosexual.

The case involves Abbott challenging the only known gay juror during voir dire
for a trial in which SKB challenged Abbott's controversial 400% price increase for an HIV medication.

In other words, Abbott wanted to get rid of a gay juror presumably because it believed he would be biased against them for their exorbitant price for HIV meds.

How did Abbott know he was gay?
When the judge asked how they knew he was gay, Abbott pointed to his mannerisms, his residence in West Hollywood and his previous work as a freelance screenwriter.

What to say? Jesus wept? Oh, give me an effing break? Geez, if you're 'straight' what cases does that preclude you from?

Be aware that SKB is no better than Abbott. Name any Big Pharma company and it's easy to discover how they routinely behave badly. For example,

BOTTOM LINE
Frontline health professionals work under incredibly stressful conditions and yet put patients first and remain cheerful and helpful. 


As someone who has worked in a transfusion laboratory and taught all my working life, I have new respect for the nurses. They carry the burden of dealing with patients who often are close to impossible to handle and may go into a life-threatening crisis at any time. To say nothing of the many bodily fluids they have to clean up with a smile and kind word.

As to Big Pharma, it seems the bottom line is all that matters. Frankly, drug and diagnostic reps are often fine 
colleagues. But they're at the mercy of their employers. 

For Fun
To all the nurses, residents, and other health professionals at RAH, Nursing Stn 31, in Edmonton, rest assured,
Further Reading
As always the views are mine alone and comments are most welcome.