Indonesia Oct-Dec 2011
My first post with InternationalSOS was at Inco Hospital Soroako Sulawesi in November 2010. I treated the ex-pat community for Vale’s Inco Nickel mine. I was also the clinical advisor as the hospital and clinic that serves local people and the mine’s insured workers. Most of the locals could not afford further care. The hospital had full services with an ITU, emergency department, theatres, full obstetric care and incubators. I led ward rounds across these specialties and taught the trainees. This gave me a useful insight into developing country medicine; it refreshed my skills and knowledge in delivery suite medicine and general surgery. This time enhanced my tropical disease experience (TB, typhoid, filiaris, dengue and more). I also gained an understanding of the risks associated with mining, processing and hydroelectric dam construction, and reforestation projects.
Borroloola Northern Territories Feb-April 2011
I worked as sole GP in the community of Borroloola. It is located on the McArthur River in the Gulf of Carpentaria, approximately 850 kilometres south east of Darwin and 670 kilometres from Katherine. Population 1200 plus outstations. The work included weekly visits by chartered aircraft to Robinson River, located 120km south east of Borroloola - with monthly visit to Kiana outstation. The clinics were staffed by Aboriginal Health Workers, Remote Area Nurses Clinical support was also provided by the Aerial Medical Service telephone consultations and medical retrievals from Darwin. This work included the very ill, acute medicine, trauma as well and chronic disease management (rheumatic and diabetic)
Tristan Da Cunha. November 2011- March 2012 Chief Medical Officer.
Here the doctor is the only qualified medical professional this Island, this being the most remote medical post in the world, in the middle of the South Atlantic. There is no airfield on this volcanic island; it can be two months before the next ship arrives. The doctor has to be prepared to do anything required including GA and surgical procedures. It has a small hospital and offers emergency services to passing ships in this part of the South Atlantic.
April-August 2012 Working back in Cairns Australia at The Doctors in general practice with medical student attachment teaching.
September 2012 February 2013 Australian Antarctic Division Kingston Tasmania.
Guinea Conakry West Africa March-May 2013
Site Medical Officer at Feranah and Foreceriah, part of the Simandou Project
I was called in at three days notice to work with InternationalSOS. providing medical support to ex-pat and local workers and medivacs. Much of the work there was associated with the risks of helicopter slinging work. There was cholera outbreak at another other village, so prepared an isolation ward, otherwise working on malaria in treatment and prevention in workers. Limited kit but was aided by an excellent paramedic.
The Doctors GP practice Cairns (Nichol Holdings) July-September 2011
This work is at my Australian base and returns to work here between other posts as a GP in this large polyclinic.
Antarctica October 2013 – December 2014
I was sent in on the first possible flight of the season via New Zealand and then McMurdo (US base) where I was stuck for a few days. Arriving early at Casey for the medical evacuation of a patient with the doctor from the Station. In effect I was acting as a winter doctor for three weeks before summer teams started to come in. Also prepared the Wilkins Airfield mass casualty facility.Gulf of Mexico to Gabon January-February 2014 Oil Rig Ship’s Doctor
I was able to take up the post for a month as ship’s doctor (InternationalSOS) on the Ultra Deep Water Oil Drilling Rig Titanium Explorer while she sailed at 10 Knots to Gabon waters. Much of the time was preparing Vantage Oil Drilling for remote and African conditions. 138 crew.
Back at work at my Australian base February 2014 - In April I moved south to help open the new GP Superclinic in Townsville Queensland, part of the same team. This superclinic is to become a large one stop centre with all facilities of a hospital except for beds.
I return to our central London apartment each year for a few weeks, and while there I do a few days work as locum at Gossom’s End surgery in Hertfordshire, and some out of hours sessions. I also attend UK post graduate courses. This together with use of internet and email groups keeps up me UK experience. This work helps keeps me keep on a local list of GPs needed for NHS appraisal, revalidation and continued full UK GMC registration and license.
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