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Doctors and hospital board
clash over equipment purchases
BY JOANNE BUCHANAN
Goderich doctors say they are concerned by the
Alexandra Marine and General Hospital Board's
attitude towards recent requests for medical
equipment.
In a letter read to the board at a recent meeting by
Dr. Mario Cauchi, vice-president of the medical staff,
It was stated: "The medical staff wishes to remind
the board that the board of a hospital has two main
functions. The first is to ensure the provision of good
quality health care to the community. The second
function is the proper administration of funds
towards this end. This board's management of the
financial aspects of this hospital has been com-
mendable. However, if they do this and show less
concern about the quality of health care in our
hospital, then the board is failing in its main man-
date."
br. Cauchi went on to say that the hospital budget is
secondary to good patient care and that sometimes
what makes sense on paper, doesn't make sense to
the care of patients.
Hospital administrator Elmer Taylor said he felt
the board's job was to provide the best level of care
for people within the funding provided and board
chairman Bruce Potter explained, "We can't get
ourselves into the same (financial) position as we
were in four years ago."
The board is presently delaying the purchase of
several. pjeces of equipment until final budget ad-
justments are made. One such piece of equipment is
an arthroscope which Ls used for knee surgery. The
doctors argue that with an arthroscope, knee surgery
could be performed in Goderich rather than sending
patients to London.
"We keep sending things away and we'll beturning
this hospital into a chronic care home," said Cauchi.
Potter said he took exception to that remark and
explained, "This board has not refused one piece of
equipment in the four years I have sat on it.
Sometimes it is delayed but eventually you always
get it."
He went on to say that if it is more economical to
share pieces of equipment with other hospitals such
as -Clinton -Public or those in ondon; a-decisioirwould--
be made to that end.
Board member Don Wheeler agreed and told
Cauchi, "This hospital can't be all things to all
people."
Cauchi replied, "Please, all I'm saying is when
you're considering the delay of equipments purchases,
consider the effect on patient care as well as on the
btid'get."
The letter which Cauchi read to the board stated:
"Medicine is a high, technology field and un-
fortunately this means continued and expensive
equipment changes and innovations. In order to
provide good quality care, this hospital must keep up
• in technology..In modern medicine technology is not a
luxury but is a basic tool. This may be somewhat
difficult for the layperson to fully appreciate..."
The letter went on to talk about the arthroscope,
saying, "The absence of an arthroscope in our.
hospital has made it virtually unethical for us to
perform knee surgery in our hospital, even though we
have two surgeons that are fully capable of doing It.
This is a definite erosion of quality health care and I
am sure this would concern our community if they
knew about it."
The board stated that it is still waiting to hear if
both surgeons would make use of an arthroscope and
so far only one has given an indication that he would.
Cauchi explained that it wasn't just the arthroscope
that he was worried about. He, said the next time it
would be something else and the hospital would just
keep falling further behind in equipment technology.
He said the board should consider the effect on the
doctors' morale too.
"We have the expertise to do certain things but
can't do them because of lack of equipment," he
explained.
The letter to the board went onto state: "The board
has an obligation to the public to listen to the
equipment recommendations of the medical staff and
to treat them as a top priority item. If because of
budget restraints there does not seem to be enough
money for this purpose, then it must be obtained at
the sacrifice of less important expenditures. Items
that directly affect the quality of medical and nursing
care must receive top priority to other spending. If in
spite of this there are still inadequate funds, the
board has an obligation to make this known to the
Ministry of Health instead of treating it as an ac-
ceptable situation. Paying the same premiums, the
ciL•.�ells-of-our community -deserve tl;e-sar:e-sta:sdar-d._._
of health care as in larger communities."
Dr. Michael Conlon, chief of the medical staff, told
the board that Canada has the lowest expenditure for
health care compared to that of other equivalent
western civilizations.
ICU contract goes for $423,000
Tonda Construction of, London will be awarded the
contract to build the new Intensive Care Unit at
Alexandra Marine and General Hospital subject to •
inspection by architect Bill Ruth.
Eleven tenders for the construction job were
opened at a special hospital board meeting last
Friday afternoon. They ranged from a high of
$493,850 to Tonda's low bid of $423,000. The hospital
board . had originally estimated that it would cost
$450,000 for the construction project. This does not
include equipment.
The contract could be awarded within the month
and Tonda Construction says the unit will be 'sub-
stantially completed' within three months of the
awarding of this contract.
Motel room damaged by vandals
Approximately$3,000 to $4,000 damage was done to
a room at the Bedford Arms Motel on Bayfield Road
here after two people checked in early Sunday
morning. The incident isstill under investigation by
local police.
The Goderich Public Library was broken into last
Friday and $165 was stolen. An attempted break-in at
an apartment was also reported to police.
4.
Five thefts were reported during the week. Most of
these involved bicycles but police were also called to
investigate the theft of more than $350 aboard a
Greek ship docked at the Goderich harbor.
Police investigated one minor motor vehicle ac-
cident, made three arrests, laid six criminal charges
and sixHighway Traffic Act charges and issued 33
warnings. .
GDCI bands take honors
On Monday the G.D.C.I.
concert and intermediate
bands tavelled to Stratford to
take part in the Kiwanis
Music Festival and came
back with all the awards.
The concert band was
entered in the senior com-
petition and performed the
test piece "Overture in E
flat" by Charles Carter and
the optional piece "Spanish
Fever", scoring 89 on the
first and 85 on the second.
The adjudicator, Brian
Strachan, commented on the
secure opening and excellent
articulation at the opening of
the "Overture" as well as
the nice balance between
solo lines and ensemble
playing. He found the
creseendoes appropriately_
dramatic with all effects
being transmitted to the
audience. The woodwinds
were praised in the latter
section and an excellent and
majestic conclusion was
achieved Overall, he noted,
"American pizzaz was
captured well."
In "Spanish Fever" the
congas immediately drew
his attention and praise and
throughout he felt a good
sense of ensemble playing.
The French horn solo was
called "lovely" and the
percussion was lauded
several times. He concluded,
"You like this piece and you
show it. The fWs are well
handled as are the spirit and
drama of the piece. The
particular Spanish flavour
was exhibited. Well done!"
The intermediate band
played the test piece "Suite
in Minor Mode" by Dmitri
Kabalevsky and the optional
The "Suite" was awarded an
89 and the "Gettysburg" an
88. "Gettysburg" started
well with good tempo set by
the percussion and a "good
statement by the wood-
winds". Again the ensemble
sound was praised with fine
use of contrasts. A
glockenspiel"solo drew fur-
ther commendation. The
sense of a march was "well
sustained in a pleasant man-
ner".
Of "Suite in Minor Mode"
the adjudicator commented,
"secure full band sound and
good phrasing with some
lovely sounds." The lower
melody line drew special
attention for its clarity and
tone. Once: again the con-
clusion as properly
dramatic and the dance tune
given an "Eastern feeling".
This double triumph is
particularly fitting this week
The
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Weekends & Evenings Only
jean mckee
for orders & directions
524-9801
GODERICH SIGNAL -STAR, WEDNESDAY, MAY 5,1992—PAGE 3
as the G.D_C.T,. music
department and music
boosters are presenting a
concert on Wednesday
evening at 8 in the G.D.C.I.
auditorium. The concert and
intermediate bands will be
joined by the stage band,
Music 100 band, the concert
choir and the jazz choir. In
the past few weeks, these
groups have won three
separate competitions -
music is growing quickly at
the high school and even
more encouraging, the
quality of it is achieving
fame outside our own town.
38 HAMILTON ST.
THIS WEEK'S
SPECIAL
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$1 7.00
A V4.•
sz4-71sn
COMPARISON SHOPPING SAVES YOU MONEY AT...
FREE DELIVERY ON WEDNESDAY WITH ORDERS
$25.00 AND OVER
SUPER SAVE
SUPERMARKET
524-9411
104 SHOPPERS SQUARE GODERICH
We rotar.o the right to lInUt
quantities Prices In °Nott till
ont.nn Sot tsar P 07 .,
quanti tlos leer
TENIZE
GLASS PLUS
WINDOWCLEANER $
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REFILL 7201. •
SCHNEIDER'S SOFT
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CORN ON THE C0851994
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0
STARTS THURSDAY, MAY 6th
PRICEa SLASHED ON ALL STOCK
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ALL SALES FINAL
waya-ta tefllu a�ie m
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524-753