“Cured yesterday of my disease, I died last night of my physician” – Matthew Prior, The Remedy Worse Than the Disease (1714).

Buongiorno from Italy!

After finishing the hard slog of 5th-year exams, and the relief that came with passing, I was ready to throw myself into learning the culture and health system of Italy whilst improving my radio diagnostic skills. Italy is known to have one of the best healthcare systems in the world. The World Health Organisation (WHO) ranked it second in the world behind France for overall efficiency in a report published in 2000. In contrastPeru (my second elective placement) is ranked 129th. (For interest New Zealand is 41st, unfortunately losing to Australia by 9 places). I was curious to experience first-hand the efficiency of an Italian hospital. › Continue reading…

Tom and Meagaidh from Search & Rescue

Before I arrived at the Belford it had been joked that in summer the hospital was full of mountain bikers and in winter skiers and snowboarders. This was to prove very true. Although there was still snow on the mountain tops the summer sports were well underway. Mountain bike accidents were right up there with the top admissions and broken vertebrae seemed to be a favourite. I saw neck, back and pelvis injuries as well as very impressive bruising covering one patients entire back. The worst cases were stabilised and sent to the bigger hospitals in Inverness or Glasgow. Most patients were tourists to the area and often transfers could be arranged back to local hospitals or spinal units closer to home in other parts of the UK.

Welcome to Main Street, Fort William!

After a quick flight, which served to remind me just how quick and easy travelling in Europe is, I had landed in Scotland. My next placement was at the Belford Hospital in Fort William and getting there was a delight. I passed a scenic afternoon on the train traveling through golden hill ranges and past tiny stations seemingly used only by hikers stepping out to the trails, before arriving at the small but charming town that was to be my home for the next placement. Fort William has a population of around 10,000 but brings in many more visitors through its well-deserved title of ‘’Outdoor Capital of the UK”. The town nestles at the base of the Ben Nevis, the highest mountain in the UK. At 1350m it’s on the smaller side by NZ standards but is known to be covered in snow on the tops for most of the year and thus can be a technical climb. In the summer months the area is inundated by walkers and mountain bikers then the winter sees an influx of people for various snow sports. The popular West-Highland Way trail from Glasgow ends here and the mountain biking downhill world champs are held in the area.

The huge Mater Dei Hospital

Having gotten my feet wet in the small rural hospital of Santo, Vanuatu it was time to turn to the opposite end of the spectrum. Mater Dei is a huge 900 bed Hospital located in the main city of Malta, Msida. I applied here because I wanted to contrast what I was seeing in my two rural hospital placements and see a large range of patient presentations in the time I had available. And what an experience it was!