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The community is our only hope – editorial

 

DR Bushel close up

Dr James Bushell

17 years obstetrics at the Millicent Hospital

and wants to continue.

by S Lowe 5 THE FM’s newsonline wattlerangenow

All Obstetric Services between Murray Bridge and Mt Gambier have been closed now with the recent announcement by Country Health SA, confirming the closure of Millicent obstetric services; a total of 341kms between services. The closure of Millicent Hospital Obstetric services affects people far beyond Millicent .

Mayor Evan Flint, Kingston Council said,” They (CHSA) cut down our services, our anesthetic machine was poor, the doctors weren’t qualified, so they shut down our Obstetrics. They have given no thought the people north of Millicent.”

“Our young mums want to go to Millicent Hospital to have their babies,” he said. “They (CHSA) have done this without any thought for our girls up here in Kingston and Robe.”

“When a town like Millicent, has a service like this cut, what hope have we got?”

Dr James Bushell, Medical Clinic Millicent, has been delivering babies at the Millicent hospital for 17 years, I asked him for his opinion on the closure of Obstetric Services at the Millicent Hospital.

He said, “I have not been told officially that Obstetrics have ceased in Millicent.”

“It was very sudden.”

 “During the Clinic’s contract negotiations with CHSA, I told them that I would be available to deliver at the Millicent Hospital with-out an on-call payment, so funding can’t be the issue.”

“Our difficulty is that CHSA will not pay for Obstetric or Anesthetic  on -call payments, so when we put only one doctor on the on-call roster instead of three, they say we don’t have enough doctors on to do Obstetrics.”

In the past, having an on-call Obstetric doctor meant that if they were not busy with a birth they could be called on to assist in an emergency or if there was more than one emergency at a time – a safer alternative than having only one on call doctor.

Dr Bushell has provided the Millicent Hospital with a roster to cover Obstetrics every day in August and will do this without the on-call payment.

“So, says the doctor with 17 years experience delivering almost two generations of babies in Millicent Hospital, “why close obstetric services?”

“Country Health SA say, Millicent doesn’t have enough doctors to safely and consistently offer obstetric services, but he said, “ I would argue that what we have been doing is safer than none at all. At least we are keeping the services going until we get more skilled doctors.”

I relate the following stories as they were told to me -names and details have been provided to me.

1)After going into labor at home mum-to-be rang the midwife at Millicent Hospital about midnight.  She was told to go back to bed for a while, but rang back shortly after.   The midwife didn’t want to call Dr Bushell. He was not on call. There was no one there who could deliver.

 The midwife told her by the time she was hooked up and monitored at the Millicent Hospital, she could probably be in Mt Gambier, so she was told to go straight to Mt Gambier. It was her second baby.

Her husband drove her to the Mt Gambier Hospital, Dr Charleton was on duty, there were 5 babies delivered that night, her baby was delivered by the midwife at 4-00 am after 2 hours labor.

At 7-00 am the cleaners came in and made her bed. She told the staff that she wanted to go back to Millicent Hospital for her post natal care. She was put in a room in the Mt Gambier Hospital,  no bed just a sofa, no pillow, no blanket and just 3 hours after delivering her baby and having numerous stitches. On occasions a nurse worked nearby at a desk.

“ I tried to ‘curl up’ on the sofa,”  she told me.

The nurse asked once, ‘how are you?’   

“I said, I think this is a real shame, especially as I am a private patient.”

 “I had no help with my baby’s first feed, it was difficult for me to walk because of so many stitches, I had no buzzer to call for help and there was no one to help me.”

Her husband arrived and rang Dr Bushell at the Millicent Clinic to get approval for his wife to return and be admitted to the Millicent Hospital for her recovery.

He drove her and new baby, less than 12 hours old, to the Millicent Hospital.

“ I just don’t know why we did it, it wasn’t safe,” she said, “but I thought I had no other option.”

“My mum said, WHAT, they didn’t even bring you by ambulance?”

 She spoke to us because she wanted people to know, she believes the Mt Gambier Hospital is feeling the pressure of  the additional births, that there are possible communication issues between the two hospitals and it is confusing for expectant women because there are so many variables when having a baby.

 2)A young Kingston Mum had her baby, she could be transferred by ambulance, but the ambulance was not equipped to carry the baby. The young father followed the ambulance with his 4 hour old baby in the car with him. The Ambulance staff from Robe and Kingston, are mostly, if not all, volunteers. The Kingston community is now fundraising for a humid-crib for the ambulance.

 3) A young Millicent mum was sent to the Mt Gambier Hospital to have her baby; had a caesarean section at 2-30 am. Six hours after her caesarean she was sent back to Millicent Hospital with her husband, by car, with her 6 hour old baby. This couple said that the stress they were under on the  trip back was terrible. When they arrived at the Millicent Hospital ‘we were a mess’ they said.

4) Two Millicent mums-to-be have been told they will have to live in Mt Gambier and Adelaide respectively for at least a month before delivering because of their very short labor with first babies, they would not have time to reach Mt Gambier.

 Dr Bushell said ‘ I would argue that what we have been doing is safer than not doing it at  all.”

CHSA have stated often that only 35 babies were born in the Millicent Hospital last year and this is not sufficient to maintain Obstetric Services. How many babies could have been born in the Millicent Hospital, had there been staff provided. This would be a more accurate number to base any decisions on before closing the Obstetrics Services in Millicent and perhaps many of the other obstetric services that have already been closed in regional SA. CHSA Peter Chapman was quoted on the ABC as saying that Millicent women had chosen to deliver in Mt Gambier. This has not been the case with women who contacted us.

A document published by the Rural Doctors Association of Australia said,

“Rural women have the right to choose birthing at hospitals in their own communities supported by their family and friends and continuity of care from their local maternity service. Robust evidence shows that small rural hospitals are safe places to give birth”

“Hospitals, health authorities and health departments may anticipate savings through closing rural maternity units but in broader terms this is not cost effective because among other things:-

Eg: closure (of maternity units)shifts the costs from the health budget to rural families and communities in the form of transport, accommodation, loss of income due to absence from farm or other employment, ambulance services face higher costs, workloads and responsibilities frequently without increased funds, staff or training needs to cover them.

They also said that planning should  be based on community need, rather than predominantly budgetary considerations and an evidence based framework developed in consultation with rural communities and rural healthcare providers is essential.

Dr Bushell said, “We, the GP’s, have not removed any of the services from the hospital but we have had a long difficult time negotiating the CHSA contract and it has been difficult replacing doctors during this time because of the on-going uncertainties. We want to keep Obstetric Services for our paatients in Millicent and would urge CHSA to reconsider.”

“We have exhausted every avenue – the community is our only hope,”   he said.

* A request from CHSA to confirm details of deliveries transferred to Mt Gambier was not available at the timeof posting this story.


MSENA Match Reports

Compiled by Colin Pye for 5 THE FM’s sportonline WattleRangeNow

MSE-Netball-logo-RGB

A GRADE MATCH REPORTS – SATURDAY (27th JULY)

Kalangadoo v Robe
Submitted by Leah Ousey for the Kalangadoo Netball Club

The Kalangadoo netball team held off a tenacious Robe to take the points at their home ground.  In what was always going to be a great tussle between the two teams, Robe hit the court with a full complement of players.  Kalangadoo, who have suffered a horror run of injuries were without the services of Jayde Peacock and Narelle Ryan.  With changes forced on the magpies they again call on their youngsters Jade Lythgo and Kara Martin who shared the WD position.  Tara Jefree’s was also promoted to A Grade to WA.

Both teams started well, converting their first centre passes.  Kalangadoo looked set to take the early lead turning the ball over several times but were unable to convert.  Robe made the most of the missed shots, rebounding strongly and delivering the ball safely into the hands of Keeley Mason and Chloe Dawson, who made the magpies pay.  Robe opened up an early lead and had the magpies on the back foot.  An intercept by Kirsty Egan and crucial rebound by Leah Ousey kept Kalangadoo in touch.  A penalty on the siren gave Ebony Cunningham the opportunity to close the gap to 4 but was unable to convert.

Kalangadoo found themselves in unfamiliar territory, starting the 2nd quarter in arrears.  Robe looked dangerous but the magpies stepped up their defence and got the 1st turnover which Jenna Pitt converted.  The pressure was having an impact on the roosters as they were having difficulties finding an avenue to goal and resulting in a held ball which Pitt again converted.  Mason began to have an impact on the game with some good defence and creating turnovers that she and Dawson converted with accuracy.

Pitt and Leanne Cameron were having a great tussle but Pitt had stepped up a gear and her strong driving and accurate shooting was beginning to have an impact.  Egan and Kim Ross were integral players for their teams, working overtime in defence and creating a safe avenue for their team in attack.  Robe went to the main break still holding a 2 goal lead.

Robe started the third quarter with the centre pass and converted.  Kalangadoo were able to maintain their composure and didn’t become rattled.  Ousey and Allen along with pressure around the ring created some wayward passes resulting in loose balls that Kalangadoo pounced on, clawing back the margin.  Ashlee Hunt took a strong intercept for Robe on the centre pass and Robe were again looking dangerous.  Allen then stepped up with a sensational intercept inspiring her team mates to lift.  Jeffree and Egan were developing a strong understanding, despite their limited time together, and where patient around the ring.  Cunningham and Pitt were creating space for each other and Pitt’s accuracy was becoming a big factor in the game.  Precision passing was also a feature of Hunt and Ross’s game.  Jeffree showed she was certainly worthy of her selection in A Grade making crucial turnovers and safe options in attack.  By the end of the quarter Robe had surrendered their lead 38-32.

Jeffree and Ousey took telling intercepts in the final quarter extending the magpies break.  Pitt was in sizzling form finishing the game with statistics of 34/40 to be the most accurate goalie for either team.  A highlight of the quarter was the passing between Ross and Mason, despite the close checking of Allen.  Kalangadoo showed their class and their depth, despite having a new line up each week and ran out victors by 10 goals.

Final score – Kalangadoo 51 Robe 41

Nangwarry v Tantanoola
Submitted by Cassie Dinnison for the Nangwarry Netball Club

Nangwarry                                                    Tantanoola
GS – Nicole Biszko                                        GS – Estella Serle
GA- Ebony McDiarmid                                 GA – Jamie Walker
WA – Teresa Stewart                                    WA – Casey Walker
C – Cassie Dinnison                                      C – Casey Arney
WD – Natasha Hutchesson                          WD – Talana Knaggs
GD – Tanya Lowe                                          GD – Kate Bromley
GK – Kayla Gray                                            GK – Jo Wilson
Int – Kelly Lockwood                                    Int – Alana Fensom

1st quarter – Nangwarry came out in full force, starting really strongly. Turning over many balls in defence and converting at the attack end. Nangwarry transition down court was great Tantanoola finding it hard to stop. Nangwarry goalers moved and positioned well providing their feeders Cassie Dinnison and Teresa Stewart with many options. Nangwarry 16 Tantanoola 7.

2nd quarter – Nangwarry continued their dominance this quarter, but Tantanoola defence made them work hard for it with Jo Wilson getting many hands to balls. Nangwarry defence made Tantanoola goalers work for every goal; Tanya Lowe (GD for Nangwarry) really increased her work rate with many interceptions and great drives out of defence. Tantanoola’s Talana Knaggs worked tirelessly, using her speed to turn over many balls. Nangwarry 29 Tantanoola 16.

3rd quarter – Tantanoola made a few changes bringing Alana Fensom onto WD and swapping Knaggs to WA. This proved beneficial for the Tantanoola team coming out strongly this quarter. Knaggs and Casey Arney starting to move the ball more around the ring finding Jamie Walker on the drive, but any misses at goal and Nangwarry GK (Kayla Gray) was onto it getting most rebounds. Nangwarry continued to work hard with Dinnison feeding her goalers Nicole Biszko and Ebony McDiarmid with pin point accuracy. Tantanoola defenders though never gave up both Kate Bromley and Wilson worked hard taking many nice interceptions to keep Tantanoola in the game and outscore Nangwarry this quarter, by 1. Nangwarry 37 Tantanoola 25

4th quarter – Nangwarry were not going to let this one slip, with some brilliant defence pressure through the mid court making Tantanoola have to pass back numerous times and Nangwarry WD, Natasha Hutchesson, getting plenty of turnovers for her team. Biszko and McDiarmid continued to position well in the ring making them easy to feed. Tantanoola continued to put pressure on Nangwarry intercepting many balls, but it seemed to come back at them through some hard work from Lowe and Gray. Best players for Nangwarry were Cassie Dinnison and Nicole Biszko and for Tantanoola were Talana Knaggs and Kate Bromley.

Final score – Nangwarry 50 Tantanoola 32

Port MacDonnell v Glencoe
Submitted by Port MacDonnell Netball Club

Round 15 action saw the Murphies travel to the bay to take on the young Port Mac side. Both teams where hungry for a win as each side chased every ball they could get their hands on. Port Mac’s Jordie Gower had an outstanding game as goalie using her height to her advantage and made feeding for their attack line easy.

The first break saw the home team up by 1 goal.  Going into the second quarter Glencoe started to use Sarah Kasparian’s height a lot more, but Ashley Heald and Kirby Wilson were making life tough for Glencoe.

Port Mac defence line continued to capture turnovers, Candice Merrett turning over many balls and couldn’t get hands to a lot of balls.

Half Time saw a change for Glencoe and saw the Demons take the lead into half time 35-28. Glencoe stepped it up in the third quarter, the Edwards sisters continued to push their side but it wasn’t enough as the Demons were too strong in the end taking the win by 14.

Final score – Port MacDonnell 64 Glencoe 50

Kongorong v Hatherleigh
Submitted by Natasha Bald for the Kongorong Netball Club

1st quarter – Hatherleigh got off to a flyer hitting the circle early, with a final score for the quarter of 24, 23 of which came from accurate shooting from Tara Fabris as GS. Hawks were powerless to stem the flow, having only half of their usual side, and could only manage to get 3 on the board.

2nd quarter – Hawks made a number of changes in the 2nd quarter, taking the opportunity to mix things up and see what they could do. A fantastic effort from Ellie Waters, filling in for the Hawks in WD, giving Kongorong every chance to slow the onslaught from Hatherleigh, who only managed to add 15 to their total in the quarter. Kaylah Earl, another fill in for the Hawks, came in at GK and did a fantastic job defending the circle. Lori Sandland C for Hatherleigh did a stellar job, moving the ball down the court quickly and efficiently.

3rd quarter – Kaitlyn Smith GD Hatherleigh kept up her defensive pressure this quarter, making it difficult for the Hawks to enter the circle for goal. It was a slow quarter with Hawks only managing to add 4 to their total. Hatherleigh were able to extend their lead this quarter, though accurate shooting again from Tara Fabris in GS who netted a nice 21 from 28 shots.

4th quarter – There was nothing the Hawks could do to impact Hatherleigh’s game in any way. Some great passages of play from the Kongorong girls, given that this team had never hit the court together before, but they were no match for the stand out performance from the Hatherleigh ladies.

Final Score – Hatherleigh 83 defeated Kongorong 19


MSEFL Table

MSEFL-banner

Round 15 (Saturday 27th July)

Compiled by Colin Pye for 5 THE FM’s sportonline WattleRangeNow

A GRADE

Pos

Team

P

W

L

D

B

FF

For

Agst

%

Pts

1

Hatherleigh

14

12

2

0

1

0

2038

766

72.68

48

2

Glencoe

14

10

4

0

1

0

1697

813

67.61

40

3

Pt MacDonnell

13

10

3

0

2

0

1657

795

67.58

40

4

Tantanoola

13

9

4

0

2

0

1483

1057

58.39

36

5

Mt Burr

13

9

4

0

2

0

1189

1315

47.48

36

6

Kongorong

13

6

7

0

2

0

1295

1391

48.21

24

7

Kalangadoo

14

3

11

0

1

0

842

1835

31.45

12

8

Robe

13

1

12

0

2

0

527

1717

23.48

4

9

Nangwarry

13

0

13

0

2

0

934

1973

32.13

0

Top 10 Goal Kickers

Name

Team

Goals

Dylan Bromley Pt MacDonnell

3  78

Michael McRae Glencoe

4  56

Jack Skeer Hatherleigh

0   45

Sam Telfer Hatherleigh

1   45

Brett Sneath Hatherleigh

3   44

Mitchell Reilly Tantanoola

5   37

Joshua Wright Kongorong

1   36

John Simkin Kongorong

3   34

Rob Versace Tantanoola

2   33

Alex Hentschke Glencoe

1   30

Dane Paproth Glencoe

0   30

B GRADE

Pos

Team

P

W

L

D

B

FF

For

Agst

%

Pts

1

Glencoe

14

12

2

0

1

0

1400

488

74.15

48

2

Hatherleigh

14

11

3

0

1

0

1383

577

70.56

44

3

Tantanoola

13

11

2

0

2

0

1411

606

69.96

44

4

Kongorong

13

9

4

0

2

0

1077

666

61.79

36

5

Pt MacDonnell

13

8

5

0

2

0

1052

450

70.04

32

6

Nangwarry

13

4

9

0

2

0

703

1095

39.10

16

7

Mt Burr

13

2

11

0

2

0

531

1322

28.66

8

8

Kalangadoo

14

2

12

0

1

0

508

1482

25.53

8

9

Robe

13

1

12

0

2

0

340

1719

16.51

4

Top 10 Goal Kickers

Name

Team

Goals

Mathew Cytrowski Tantanoola

6   48

Mick Evans Kongorong

1   36

Simon Beggs Hatherleigh

3   33

Wayne Attiwill Kongorong

1   33

Benjamin Curran Glencoe

1   32

Matthew Stark Pt MacDonnell

0   31

Scott Varcoe Tantanoola

4  30

Michael Gibson Hatherleigh

1   29

Anthony Cary Glencoe

1   27

Anthony Driessen Hatherleigh

1   27

SENIOR COLTS

Pos

Team

P

W

L

D

B

FF

For

Agst

%

Pts

1

Kalangadoo

14

12

2

0

1

0

1294

604

68.18

48

2

Pt   MacDonnell

13

12

1

0

2

0

1008

520

65.97

48

3

Mt   Burr

13

11

2

0

2

0

944

584

61.78

44

4

Kongorong

13

8

5

0

2

0

985

667

59.62

32

5

Tantanoola

13

7

6

0

2

0

842

799

51.31

28

6

Hatherleigh

14

5

9

0

1

0

726

968

42.86

20

7

Glencoe

14

3

11

0

1

0

717

1206

37.29

12

8

Nangwarry

13

1

12

0

2

0

653

1340

32.76

4

9

Robe

13

1

12

0

2

0

457

939

32.74

4

Top 10 Goal Kickers

Name

Team

Goals

Jack Mullan Kongorong

4   49

Tom Saunders Kalangadoo

2   42

Hayden Schultz Mt Burr

0  39

Reece Carlson Kalangadoo

0   34

Tyson McRostie Pt MacDonnell

4   28

Jake Blackwell Kongorong

4   26

Caleb Williams Tantanoola

1   24

Zac Dunn Kalangadoo

0   24

Tyler Jones Kalangadoo

1   22

Dylan Tincknell Tantanoola

4   21

Tim   Sullivan Pt MacDonnell

1   21

JUNIOR COLTS

Pos

Team

P

W

L

D

B

FF

For

Agst

%

Pts

1

Pt   MacDonnell

13

13

0

0

2

0

882

188

82.43

52

2

Hatherleigh

14

12

2

0

1

0

844

311

73.07

48

3

Mt   Burr

13

10

3

0

2

0

690

260

72.63

40

4

Tantanoola

13

9

4

0

2

0

660

401

62.21

36

5

Robe

13

5

8

0

2

0

401

558

41.81

20

6

Nangwarry

13

3

10

0

2

0

474

589

44.59

12

7

Kalangadoo

14

3

11

0

1

0

339

811

29.48

12

8

Kongorong

13

3

10

0

2

0

293

898

24.60

12

9

Glencoe

14

2

12

0

1

0

257

820

23.86

8

Top 10 Goal Kickers

Name

Team

Goals

Tom Tukia Mt Burr

0   33

Roy Osborne Tantanoola

6   25

Luke Macgregor Hatherleigh

4   23

Grady Hutchesson Pt MacDonnell

1   21

Jett Attard Pt MacDonnell

3   21

Ethan Glass Tantanoola

3   20

Sam McManus Kalangadoo

1   14

Jez Jones Hatherleigh

1   18

Darcy Hogan Mt Burr

0  17

Giancario Cooper Nangwarry

0   17