I am currently on my rural placement in the Kimberley and I visited a remote aborigional community today. There is a young boy there who is an above knee amputee after an accident involving a lawnmower. Currently he is ambulating on crutches as he refused to wear the initial prosthesis as it had a white foot. Now having grown out of that prosthesis and needing a new one he has an appointment in two weeks at PMH in Perth.
This is where the logistics of organising his trip to Perth gets complicated! He has a very disfunctional family who do noy have a car and will have to take the bus 250km to the closest airport the day before their flight. He is going with his aunt and they do not have accommodation in this town for the night so that has to be organised along with someone to pick them up and drop them at the airport the next morning. Once they get to Perth, they then need to find their way to their organised accommodation. They need to then find their way to PMH in time for their appointment (which by the way is a very rare thing up here!) Once their commitments in Perth are over they have to then do the same to get back home. This has been organised by myself and my supervisor and I never realised the logistics involved. PMH has all the staff booked and appointments scheduled so the patient must get there... he is also in great need of a new prosthesis and intensive rehab. Although this isn't a clinical example it is an experience I've had that had taken many hours of organisation and many phonecalls. The dominoes have been put in place and I'm hoping they all fall!!! If it doesn't fall into place then I realise a lot of people are going to be put out. Has anyone else had to organise something like this, did it work out in the end?!
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Wow, that does seem like such a mission for something that seems so simple to us. On many of my placements in tertiary hospitals in Perth I had patients from rural communities and even interstate. It was an absolute mission just to get them home, and that was one way so I can just imagine how difficult your trip would have been to organise. I hope all your dominoes fell correctly.
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