Jellybean Podcast with Doug Lynch
About This Show
Jellybeans with Dr Doug Lynch, poorly differentiated doctor and pathological polymath.
Emergency Medicine. Critical Care. Aeromedical Retrieval. Remote Area Medicine. Resource Poor Medicine. Disaster Medicine. Conflict Medicine. Ethics. Politics. Life. Death.
These podcasts are atypical interviews with persons of interest.
Critical conversations with Critical Carers. Carers like you.
The people that listen to this podcast are insiders, movers, shakers and, I suspect, every listener is potentially a future interviewee.
Each conversation is a story shared that has at least one hidden lesson.
This is not straight forward #FOAMed (Free Open Access Medical Education.
This is about the people behind #FOAMed, their ideals, their victories, their failures, their thoughts.
What we do in our working lives is, on the good days, the best job in the world.
What we do in our working lives is, on the bad days, one of the worst jobs in the world.
I am just a human and so are you. I need to be reminded of why I put myself through all this, why I tolerate the damage to me, my life, my health, my family. I need to be inspired and re-inspired almost everyday.
The Jellybeans exist because the people I talk to are inspiring, they are fascinating and they are funny.
The Jellybean Podcast is has been around since before the first SMACC conference. We have been at every one. We have been a lot of places. We talk with interesting people in the Critical Care Medical World or on the fringes of it. We do this everywhere and anywhere. We speak to world leaders and front liners, we speak to paramedics, nurses, academics, researchers, students, the quiet achievers and the rock stars.
Its about the quality of the conversation not the quality of the audio.
Please visit www.TheTopEnd.org
Contact via Twitter @TheTopEnd
Jellybeans are available on www.Lifeinthefastlane.com and www.IntensiveCareNetwork.com
Jellybean Jelly Bean Jellybeans Jellybeanz Beanboozled TopEnd TheTopEnd DougLynch
With a bizarre side interest in Baggage or more accurately an interest in Less Baggage.
Twitter and Instagram @LessBaggage
Most Recent Episode
Jellybean 83; Pre-hospital Medicine Slovenian Style with @GregorProsen
ED people doing house visits?
Medical retrieval teams having a cup of tea and taking a detailed social history?
Emergency doctors going to someone's home before they come to the ED and recommending treatment at home?
Including End of Life treatment?
Ever been to Maribor? Slovenia?
I spoke with Slovenian Emergency Physician and Pre-Hospital Gregor Prosen at dasSMACC. He talks like an emergency physician. He curses like an emergency physician. Gregor just exudes a type of ultra-competent critical care cool. He can do some fantastic shit and he does do it. He also goes on home visits. He gets in a car or 4wd and heads out into the country to see little old ladies, big old men, kids and strudel-makers. That part represents fantastic shit too. Listen to what Gregor considers
So here I am in Australia, in western emergency medicine. We are struggling with this and that. We are struggling with end of life care. We are struggling with the filter, or lack of a filter, between primary care and the so-called critical care service that emergency personality types all signed up for. We wanted to be intubating vomiting people, with no blood pressure, while upside down in a straitjacket and wrapped in chains and underwater. In a crater lake. Over an active volcano. Using an expensive machine. Any expensive machine really. That’s what we call rewarding. It’s just not fair. Whinge. Whinge.
So you go and try a bit of retrieval medicine. It looks very cool. Especially in the promo videos. (To quote Alex Psirides; “Helicopters!!!”) However, when you are getting around in one of those helicopters or some other platform there is a certain pressure on your use of that platform. How many times have aeromedical retrieval teams gotten out to the “scene” and decided to NOT bring that patient back to the hospital? Maybe that's the best thing to do? And if it is the best thing to do then will your service get paid as much? Will your service get paid at all? How much does it cost to run an aeromedical retrieval helicopter anyway? (Clue; shit-loads.)
So at the end of the day it’s hard to use your judgement for some of the most important decisions. It’s hard not to get into the “You Call we Haul” trap. We actually use “Time on Scene” as a KPI.
The pilot, the crew, the co-ordinator and even the helicopter itself seems to want you to get back to base ASAP. It might be whirring overhead or if it has landed just sits there a