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* News / Oyo State College of Nursing and Midwifery, Eleyele Holds Convocation by katty: April 10, 2019, 02:13:26 PM
Nine years after its last graduation, the Oyo State College of Nursing and Midwifery, Eleyele, Ibadan, held its convocation on Saturday, with a total of 900 students graduating from 2010 till 2019.

The ceremony which climaxed the weeklong 70 years anniversary of the college, also witnessed presentation of certificates to the graduates by the school’s registrar, Mr Abiodun Oni.

The provost of the school, Mrs Gbonjubola Owolabi, described the ceremony as a watershed, going by the timing and mass graduation of students from 2010 to 2019.

She said, “This college is faced with challenges of expanding the scope of training, injecting vitality into academic programmes and increasing human resources.”

Owolabi, flanked by the Deputy Provost, Mrs Iyabode Adeleke; the Head of Department, Midwifery, Mrs Abiodun Ogunniran, and the HOD, Nursing, Mrs Medinat Adeniran, hinted that streamlining the courses in the college in line with what is obtainable in other polytechnics and colleges of nursing and midwifery in Nigeria, was the preoccupation of the management of the school.

While thanking the Oyo State government for the support the college had received, Owolabi also called for better funding of the college for all its objectives and plans to be accomplished.

An alumnus of the school, Chief Gaphar Ojetola, said the school’s 70 years anniversary afforded the alumni the opportunity of coming together for a reunion, with the belief that they would rally round to restore the glory of the college.

Source : Punch Newspaper
* News / Canada: Doctors Kick As Government Removes Hurdles Before Nurse Practitioners by katty: April 09, 2019, 04:31:07 PM
Nova Scotia: A single change in a government bill that's otherwise received universal support has created a disagreement between doctors and nurses.

The Nursing Act is intended to create a merger of the College of Licensed Practical Nurses of Nova Scotia and College of Registered Nurses of Nova Scotia.

Among other things, the bill creates a single regulatory body for the profession and allows for more prompt flexibility in dealing with changes to scopes of practice.



But it's what's not in the bill that caught the attention of Doctors Nova Scotia. The new act removes the requirement for nurse practitioners to have a formal relationship with a doctor before they are allowed to practise.

Appearing at the legislature's law amendments committee on Monday on behalf of Doctors Nova Scotia, Dr. Mike Wadden said the organization supports the merger of the colleges and nurse practitioners working to their full scope, but the organization is concerned the change creates a safety risk.

"We are not advocating for physician oversight on nurse practitioners or limitation on their scope of practice," he said.

Wadden said removing the legislated requirement for formal collaboration raises concerns about potential problems when transition of care is needed. He said it removes what had been a clear path for everyone to follow when they had questions about a patient.

"I'm not quite sure how that pathway happens [with the new act]," Wadden told reporters after his appearance.

"How does the NP contact a family physician? What family physician does that NP contact?"

'There's no need of it'

But Janet Hazelton, the president of the Nova Scotia Nurses' Union, said collaboration is required for all health-care workers, yet it's only nurse practitioners who have had the requirement of a formal agreement with a doctor before they could work.

Hazelton believes it was a check put in place when the profession was first introduced in the province. But in recent years, the number of nurse practitioners has grown from 30 to 200 and they've become an important part of the system, she said.

If anything, said Hazelton, the requirement has been a barrier to providing care, particularly in remote and rural areas where it's sometimes difficult to attract or keep doctors.

"If the physician leaves, then what happens to our nurse practitioner? There's no need of it, there's absolutely no need of that in the legislation," she said.

"Nurse practitioners are educated and they know when and if they should collaborate."

Hazelton said the provision implied nurse practitioners don't collaborate and that's not the case.
Source : CBC News
* News / Nursing Shortage: Philippines Nurses Highly Demanded in UK But Can't Pass IELTS by katty: April 09, 2019, 04:10:33 PM
Bracing for life after Brexit, U.K. hospitals badly need more nurses like Filipino Jobie Escalona. But she twice flunked the English language test that is required to get there, in which she was asked to write about topics such as the merits of immigration and computer education in school.

With three years experience in a private hospital in Manila, 23-year-old Escalona lost almost 3 months’ salary paying nearly $600 to sit the International English Language Test System (IELTS) tests.

Fed up, she was ready to give up on the U.K. and try Canada — one of several other countries short of nurses — until her father persuaded her to take the test a third time.

“I was already losing hope,” she said. Finally, in January last year, she passed, having at last got a subject she felt comfortable writing about in the tough written section of the test.

Asked to compare team and individual sports, Escalona had little trouble: “I was able to relate to it because I am a swimmer.”

But, her tortuous experience doesn’t bode well for the U.K.’s chances of adequately filling the alarming staffing gaps in its health care services.

With Brexit looming, the supply of nurses from European Union countries has almost dried up, with lots going home. And of the many foreign nationalities employed in the U.K., Filipinos make up a significant number.

As of June last year, 16 percent of nursing jobs in hospitals and community health services were held by foreigners — nearly a quarter of whom were Filipinos.

The U.K. is already facing a shortage of 40,000 nurses, and once it leaves the EU, if that ever happens, the gap could widen to 50,000 — enough to staff more than 40 small to medium-sized hospitals — according to a report commissioned by the Cavendish Coalition, a group of health and social care organizations.

The staffing crisis is increasing the U.K.’s dependency on hiring from low-cost countries like India and the Philippines, where English is widely spoken, yet the language test has proved to be a major obstacle.

Philippine recruitment firm Louis International Manpower Services has received 1,000 job orders for nurses since 2015.

It has filled only a quarter of them.

“It is not because of the lack of applications, but the English test,” said Lilibeth Villas, documentation officer at the firm. “We have applicants who were interviewed in 2015, but they have not passed the test yet.”

Run by the British Council, IDP Education and Cambridge Assessment, the IELTS test gauges applicants’ ability to speak, listen, read and write, and is used by employers around the world.

Questions in the academic written section asks candidates to write short essays on diverse subjects. Examples given on the IELTS website included interpreting graphs on changes in radio and television audiences, and gender variations between full and part-time students, and discussing the pros and cons of nuclear technology or of regulating car ownership.

Many candidates clearly find the weighty topics too daunting.

Febin Cyriac, a business development manager at Envertiz Consultancy, a U.K. health care recruitment firm that specializes in bringing in nurses from overseas, started a petition on Change.org in 2014 that asked U.K. regulators to relax their IELTS scores.

Working as a nurse himself, Cyriac said there are a good number of Indian or Filipino nurses with many years of experience working in the U.K., but who are only working as assistant nurses in the National Health Service (NHS) and nursing homes.

“IELTS is the only barrier for them to practice as a nurse in the UK,” said Cyriac, himself a nurse working in the U.K.

Still, the number of Filipinos in the NHS has risen by almost a third in the last two years, according to government figures.

Late last year, the pass mark for the writing section was lowered, but there are no immediate plans to make further changes to the test standards, said Andrea Sutcliffe, Nursing and Midwifery Council (NMC) Chief Executive and Registrar.

“We will continue to carefully monitor the impact of the recent changes. This change is part of a wider review of our overseas registration processes aimed at making it more straightforward and user-friendly for people with the right skills and knowledge to join our register in a timely way,” Sutcliffe said.

There is an Occupational English Test (OET), more suited to medical professionals, that foreign nurses can take. If they pass that test they would still have to sit the IELTS, but they would be eligible for a lower pass mark. The OET is more expensive, however, making it unattractive for low paid nurses.

A London-based recruitment agency visited Manila recently to find nurses for Cambridge University, East Surrey and Royal Cornwall Hospitals, while there have also been recent hiring drives for hospital trusts in Oxford, Hull and Dudley.

Germany, Japan, the United Arab Emirates and Saudi Arabia are the other countries hiring Filipino nurses, said Bernard Olalia, head of the government’s Philippine Overseas Employment Administration.

In January alone, Olalia’s office received 1,000 job orders for nurses from Saudi Arabia.

“There are a lot of markets for our Filipino nurses,” Olalia said, adding that it was understandable if they took jobs in places where the requirements were easier to fulfill.

Filipino nurses who were recruited in the 1990s did not have to take the language tests, yet they are still in the NHS and providing good service, said Reydeluz Conferido, who was until recently the labor attache to the Philippine Embassy in London.

While there, Conferido called on U.K. officials to review the requirements placed on overseas nurses to see whether they were serving the correct purpose or creating an artificial barrier.

“If you really want these nurses, you would do something about your standards,” he said.
Source : The Japan Times
* News / Kinsmen Ask Police to Disclose Suspected Assassins of Enugu Psychiatric Nurse by katty: April 08, 2019, 07:55:23 PM
AKU General Assembly has urged the police in Enugu state to make public the suspected killers of the Deputy Director of School of Nursing at the Federal Nuropsychiatric Hospital Enugu, FNHE, Dr. Maria Amadi who was assassinated in front of her house on March 21 2019.

The town union in its meeting, where the group addressed a press conference on the matter, accused the police of handling the matter with kid gloves since two prime suspects on the matter were arrested by the police.

The police are yet to make any pronouncement on the progress of investigation into the gruesome murder even when it was already a public knowledge that two key suspects were arrested and allegedly being kept behind counter at the state police headquarters.

President General of Aku General Assembly, Chief Fidelis Ezeoyili said “We are worried that the police are yet to unveil the suspected persons and we are going to pursue this matter to a logical conclusion because within two years, four persons from Aku have been assassinated in Enugu. Some arrests have been made and they are chatting with the police and that’s why we are asking the police to do the needful and very fast.”

The union who are kinsmen of the deceased commended Governor Ifeanyi Ugwuanyi of Enugu state for placing N5 million rewards for anyone with useful information on lead to the suspected killers. It also commended the National Association on Nigerian Nurses and Midwives, as well as the Joint Health Sector Union and the Association of Resident Doctors for protesting to the Government House Enugu to seek for government intervention in unveiling the killers and their collaborators.

“We are urgently demanding for quick actions by the Nigerian police and other relevant security agencies not to leave any stone unturned in their quest to urgently and professionally uncover the circumstances surrounding the heinous plot and bring masterminds to book.

“We are not relenting in our quest for justice in this matter and will not accept anything less. We are more than ready and determined to see that the perpetrators of this heinous act are punished in accordance with laws of the land so as to serve as deterrent to others,” the town union stated.
Source : Vanguard Newspaper
* News / UK Nursing Shortage: NMC Makes CBT Easier to Pass, Scraps Critical Questions by katty: April 08, 2019, 05:19:25 PM
UK NMC has made changes with CBT Overall passing score and exam retake format scrapping the need to pass critical questions thus making CBT easier to pass than before. CBT is the Part 1 test of competence for the overseas nurses seeking registration in the UK.

From 5th April 2019, the decision as to whether a candidate passes or fails the CBT will be governed by an overall pass mark. Previously the decision, a candidate passes or fails the CBT was determined by both critical questions and final pass mark. A candidate had to answer 90 percent of critical questions correctly and also the overall pass score was set as 60 percent. Now, the candidate has to achieve just the overall passing mark that is 68% for adult nursing and 63%for midwifery.

Proficient study unveils that passing CBT will be much easier than before as a result of this new NMC change and also will bring immense possibilities for the nurses from overseas to the UK.

From now onwards candidates can also sit the CBT up to three times as part of one application, with a minimum of 10 days between each sitting. If you are unsuccessful after your permitted attempts, your application will close. You’ll be required to submit a new application and will not be able to sit the CBT again for a minimum of six months. NMC initially allowed only two attempts and also the applicant had to wait for a minimum of 28 days between the first and second attempt of the examination.
* News / Surgeons Perform First Brain Surgery in Ghana Without Cutting Skull by katty: April 08, 2019, 03:46:23 PM
A seven-member team of Ghanaian doctors has performed the first-ever brain surgery in the country, without cutting the skull.

The minimally invasive brain surgery is the technique by which health workers safely remove brain and skull-base tumours through smaller and more precise openings that minimise collateral damage; that is, injury or other damage inflicted on an unintended target such as blood vessels and nerves.



Technically known as ‘Endovascular brain aneurysm coiling’ (because there is no need to cut into the skull to do the surgery), the technique passes a tube (catheter) through the groin (junctional area between the abdomen and the thigh on either side of the pubic bone) up into the artery containing the brain aneurysm, a process known as endovascular coiling or coil embolisation.

The two-hour surgery was performed with modern equipment and computer software at the Euracare Advanced Diagnostic and Heart Centre, a private health facility in Accra.

An interventional radiologist, Dr Benjamin Dabo Sarkodie, who is also the Head of Radiology at Euracare, led the team.

The other doctors were from the Stroke Unit of the Korle Bu Teaching Hospital and Euracare.

Supported by a visiting interventional radiologist, Dr Itsvan Lazar from Hungary, the team performed an emergency minimally invasive surgery in the brain to stop bleeding, a condition medically known as ‘Subarachnoid Hemorrhage’.

That procedure deployed minimises surgical cuts to reduce trauma to the body.

In an interview with the Daily Graphic in Accra nearly three weeks after the successful surgery, Dr Sarkodie said the patient, who suffered a condition known as ruptured brain aneurysm, had been discharged days earlier and was currently recuperating.

The condition, which is fatal, affects men and women of all ages.

What is brain aneurysm?


Brain aneurysm, also known as cerebral aneurysm, is a weak spot in the wall of a blood vessel inside the brain. It is a bulging, weakened area in the wall of an artery in the brain, resulting in an abnormal widening, ballooning or blistering.

That area of the blood vessel gets worn out from constant flow of blood and bulges out, almost like a bubble.

Dr Sarkodie explained that because there was a weakened spot in the aneurysmal wall, there was the risk of a sudden burst (rupture) of the aneurysm, a life-threatening situation.

He said the condition could lead to reduced blood flow to the brain, too much spinal fluid in the brain, coma, permanent brain damage and death.

Most cases of the condition (about 90 per cent), he said, presented without any symptoms, as the blood vessels that caused it were very small in size (less than 10 millimetres or less than four-tenths of an inch in diameter), adding that smaller aneurysms might have a lower risk of rupture (sudden burst).

The surgery


The team performed an endovascular coiling or coil embolisation, which meant that there was no need to cut into the skull to do the surgery.

Rather, a catheter was advanced from a blood vessel in the groin up into the blood vessels in the brain, and a fluoroscopy, that is, a live X-ray, was used to assist in advancing the catheter into the head and the weakened area.

Once the catheter was in place, very tiny platinum coils were advanced through it into the aneurysm.

The tiny, soft, platinum coils, which are visible on X-ray, conform to the shape of the aneurysm.

The coiled aneurysm becomes clotted off (known as embolisation), thereby preventing rupture.

Symptoms


Dr Sarkodie said although a cerebral aneurysm might be present without symptoms, the most common initial symptom was a sudden headache from a subarachnoid haemorrhage (SAH), which is a life-threatening type of stroke caused by bleeding into the space surrounding the brain.

He explained that a severe sudden headache associated with SAH was a medical emergency.

The interventional radiologist mentioned the symptoms of an unruptured cerebral aneurysm to include headaches (rare, if unruptured), eye pain, vision deficits and eye movement deficits.

Causes of cerebral aneurysm


He said currently the cause of cerebral aneurysm was not clearly understood, but he was emphatic that it was associated with many factors, including smoking, hypertension and family history; that is, genetic.

He said the ultimate cause of a brain aneurysm was an abnormal degenerative change in the wall of an artery and the effects of pressure from the pulsations of blood being pumped forward through the arteries in the brain.

Risk factors


Dr Sarkodie mentioned some risk factors associated with aneurysm formation to include advancing age, alcohol consumption (especially binge drinking), atherosclerosis, that is, a disease of the arteries characterised by the deposition of fatty materials such as cholesterol, cellular waste products, calcium and fibrin on the inner walls.

Others, he said, were cigarette smoking, the use of illicit drugs such as cocaine or amphetamine, hypertension (high blood pressure) and trauma or injury to the head.

He, however, emphasised that although those risk factors increased a person’s risk, they did not necessarily cause the disease.

He said some people with one or more risk factors never developed the disease, while others who developed it had no known risk factors.

He advised that “knowing your risk factors to any disease can help guide you into the appropriate actions, including changing behaviours and being clinically monitored for the disease”.

Diagnosis?


Dr Sarkodie said cerebral aneurysm was often discovered after it had ruptured or by chance during diagnostic examinations, such as a computed tomography (CT) scan, magnetic resonance imaging (MRI) or angiography that was being done for other reasons.

He said in addition to a complete medical history and physical examination, diagnostic procedures for cerebral aneurysm might include digital subtraction angiography (DSA); that is, a fluoroscopy technique used in interventional radiology to clearly visualise blood vessels in a bony or dense soft tissue environment.

Team


The doctors who performed the breakthrough surgery were Dr Benjamin Dabo Sarkodie, interventional radiologist; Dr Itsvan Lazar, an interventional radiologist (Europe); Dr Albert Akpaloo, a neurologist and Head of the Stroke Unit, Korle Bu; Dr Emmanuel Voado, a neurosurgeon; Dr Owusu Darkwa, an anaesthetist; Dr David Brodie-Mends and Dr Fiifi Duodo.



Source: Graphic Online
* News / ICPC Shuts Down Nursing College for Offering Bsc in Advanced Auxiliary Nursing by katty: April 06, 2019, 06:34:35 PM
-The school which has only 4 lecturers offers degree programmes in basic and advanced auxiliary nursing, medicine and surgery.
-Students pay over N45, 000 per semester. While final year students pay as much as N250, 000 as graduation fees.

A fake medical and nursing college called the International College of Professions, located in Nsukka, Enugu State, has been shut down by the Independent Corrupt Practices and Other Related Offences Commission (ICPC).



The school, located in a decrepit and run-down one-storey building in Eha Alumona, an outskirt of Nsukka, has faculty of applied and natural sciences, with degree programmes in basic and advanced auxiliary nursing, medicine and surgery, as well as Public Relations and Mass Communication.

The Rector of the fake college, Rev. Dr. Nnamdi Obiukwu, claimed before operatives of the Commission that the school is affiliated to California University FCE, with accreditation from the National Universities Commission (NUC) and the Ministry of Education, Enugu State.

But checks by officers of ICPC indicate that such accreditation does not exist, as the fake college was only given approval by the Enugu State Ministry of Education to run vocational programmes.

On staff strength, Obiukwu admitted that the school had just four staff on its payroll. One staff is the Registrar and doubles as a lecturer, while there are two full-time lecturers and a part-time one. None of the lecturers has the requisite qualifications.

The college has over 20 students from first year to final year, paying over N45, 000 per semester. While final year students have been made to pay as much as N250, 000 as graduation fees.

It is estimated that the students of the college, which is also called Revo International College, have been defrauded of over N2.6 million since it began its illegal programmes in 2016.

For a purported medical and nursing institution, it was rather strange that its notice board displayed that it was offering courses in Mass Communication but the Rector revealed on interrogation that no student had yet been enrolled for the course.

ICPC is committed to ensuring that all illegal schools operating in the country are closed down and the owners made to face the wrath of the law in line with its collaboration with NUC.
* News / Sokoto State Assembly Passes Bill to Establish College of Nursing by katty: April 06, 2019, 05:23:59 PM
The Sokoto State House of Assembly, on Thursday, passed a bill to establish a College of Nursing Science in Tambuwal Local Government Area of the state.

The News Agency of Nigeria (NAN) reports that the passage followed a motion moved by the Assembly majority leader, Alhaji Garba Bello (PDP- Yabo) and the adoption of the House Committee on Education report to that effect.

Alhaji Aminu Bala, (PDP- Bodinga South), the chairman of the committee, who presented the recommendations of the committee, said the bill sought to establish a new college of nursing science in the state.

“The reason is not far from the fact that there is the need to bridge the gap that exists as a result of the shortage of the required manpower in the state hospitals, especially in nursing related fields.
“It is pertinent to note that the College of Nursing Science, Sokoto, cannot provide the needed manpower required in the state.

“This was largely due to the limited number of students allocated to every college in a year by the regulatory council,” he said.

Bala further said that the committee discussed extensively on the content of the bill at a stakeholders’ meeting.

“This is to recommend that the title of the bill be amended to reflect ‘College of Nursing Science’, instead of ‘Midwifery Science’.

“This is to enable broader concept that covers all Nursing Science, including Midwifery rather than limiting it to the provision of training and research in Midwifery.

“That the minimum qualification of the Provost, should be a Master’s Degree in Nursing Science instead of Degree in Nursing; as provided in the bill.

“This was also the new standard adopted by the Nursing and Midwifery Council of Nigeria (NMCN) in order not to just upgrade the standard, but equally encourage people to go for higher degrees,” he added.

The Deputy Speaker, Alhaji Abubakar Magaji, who presided over the sitting said, “the bill is accordingly read for the third term and passed,” as the members unanimously accepted it in a voice vote. (NAN)


* News / Minister Says Unprofessional Behaviors of Ugandan Nurses Link to Poor Parenting by katty: April 02, 2019, 01:34:03 PM
The State minister for Primary Health Care, Dr Joyce Moriku Kaducu, has attributed the unprofessionalism among the nurses and midwives to poor parenting.

Dr Moriku said there have been complaints among the patients that some nurses and midwives are rude, adding that all this is as a result of domestic violence in their homes.



She said nurses need to be equipped with good morals in order to be responsible citizens.

“My dear parents, these nurses and midwives, who have graduated today (Saturday) are your sons and daughters, and tomorrow, you are the very people who will complain about them, so it is your responsibility to show true love and care at your homes so that they can portray that love to mothers and patients,” Dr Moriku said while presiding over the first graduation ceremony of Rwenzori School of Nursing and Midwifery in Kasese Town.

Ethics of Nursing

The minister, who represented the Minister for Education and Sports, Ms Janet Museveni, cautioned the 378 graduates, who attained certificates in Nursing and Midwifery on professional code of conduct and ethics. She condemned abortion and administering contraceptives to children.

Abortion and administering contraceptives to young children is illegal in Uganda but some midwives and nurses have been doing it but I want to caution you now. When you go out to work, please ensure good morals and uphold the professional standards,” she said.
She said the graduates are the future of the nation in provision of primary health care.

Higher education

Dr Moriku urged them to upgrade to higher levels in their field adding that health care services in the country are still lacking due to lack of professionals.

The minister said the directors and leadership of the nursing school should strive to maintain the standards of academic excellence adding that the numbers should be limited for proper management.

The executive director for Rwenzori School of Nursing and Midwifery, Mr Erifaz Muhindi Bukombi, said the school that started in 2014 with 120 students has now a total enrolment of 410 with the highest number of females.

Source : https://www.monitor.co.ug/News/National/Poor-parenting-affecting-nurses-government/688334-5052158-btc2wn/index.html
* News / South Africa: Gauteng Health Servic Hit By Shortage of Nurses, Doctors by katty: April 02, 2019, 01:21:57 PM
Gauteng hospitals have a critical shortage of nurses and doctors, the head of the provincial health department has admitted.

Prof Mkhululi Lukhele was being questioned by the SA Human Rights Commission.

As part of the commission's investigation into the state of health care in the province, it visited five large Gauteng hospitals in 2018 to investigate waiting lists for cancer radiation, long waiting times, and baby deaths.

While Lukhele was in the hot seat on Tuesday, health MEC Gwen Ramakgopha invited journalists to visit clinics with her.

Lukhele was asked about the commission's investigations that exposed the severe shortage of nurses and doctors. Lukhele responded: "You have hit the nail on the head."

He said the number of people living in Gauteng had increased without a corresponding  increase in health staff.

"Ten years ago it had 7-million people, now it has 14.5m. The system is jamming."

He said that staffing and budgets had not kept up with demand for health services in the province. Nor did the health budget allocation from treasury keep up with public servants' wage increases each year.

The result was that "as a CEO you need 10 people but you have money for nine".

President Cyril Ramaphosa announced in December that there would be more money to hire critical medical staff. Lukhele said the stimulus had helped "but it is still a drop in the ocean".

"The health system is going uphill, but the good thing is that it is still going."

Senior legal officer Jackson Mzila told him that the commission had discovered that nursing shortages were systemic. Many wards that were supposed to have 10 nurses had  only one, said Mzila.

A Gauteng department of health letter was sent to all hospital CEOs in 2018, telling them not to hire staff to replace those who resigned or retired.

Legal officer Zamakhize Mkhize asked Lukhele about this "moratorium on staff".

He denied there was moratorium on staff, describing it instead as "CEOs having to manage the purse".
He said it was a "misinterpretation" of the word moratorium but explained that not hiring people was simply working within budgetary limits. "It’s not a moratorium ... It is just managing the situation as it is with what you have."

He understood doctors and nurses were frustrated when they did not have enough colleagues. "We cannot underplay the suffering it brings to CEOs and health workers."

He also said nurses could become irritable after working long hours "due to the environment and pressure”.

He touched on the fact that shortages of money, ventilators and other equipment could lead to doctors making hard decisions that did not benefit individual patients.

"Sometimes you have to make difficult calls. You are looking at doing good for the majority instead of good for the one," he said.

Source : Times News
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