Health unions in pay talks with SA government speak out about ongoing healthcare challenges
Three-and-a-half years after Labor was elected on a promise to fix the ramping crisis, one of the state's key health unions had a message for the South Australian government.
"We are sick and tired of being placated and told that people are working on things," Ms Dabars said, flanked by a group of members in scrubs.
The union this week went public with concerns over what it calls "internal ramping" — the practice of caring for patients in makeshift areas because no bed is available.
Asked about what had prompted her to speak out about the issue, Ms Dabars said she had spent months trying to work with the government behind closed doors — to no avail.
"We have tried every single avenue humanly open to us to resolve this concern," she said.
Health Minister Chris Picton fired back, responding "we don't accept that terminology from the trade union" — while SA Health claimed it was standard practice to care for patients in alternative spaces while they wait for a bed.
The nurses are not the only health workers to have aired their concerns publicly in recent weeks.
The unions representing doctors and paramedics have also criticised the government over its handling of issues including ramping, hospital overcrowding and safety.
Ambulance Employees Association secretary Paul Ekkelboom this week raised issues of ramping and resourcing in the wake of the death of a man involved in a car crash at Sellicks Hill.
SA Salaried Medical Officers' Association (SASMOA) chief industrial officer, Bernadette Mulholland, has highlighted safety concerns over working conditions inside hospitals.
In most cases, a union boss calling out the government is hardly remarkable.
Yet, for much of Labor's term, health unions faced criticism for keeping too low a profile as ramping hours climbed and the system struggled to cope under enormous strain.
The relative silence was most stark in the case of the Ambulance Employees' Association, which had played a key role in helping to turf out the previous Liberal government and get Labor into office.
The union helped the then-opposition to humanise the ramping crisis — raising the cases of victims and speaking out about the toll ramping takes on paramedics.
"Ash the Ambo" became the face of the campaign, issuing a powerful warning to "vote Labor like your life depends on it".
Following the election, the union faced accusations it was failing to hold Labor to the same standard it had the Liberals.
Even as ramping continued to reach eye-watering levels, former secretary Leah Watkins showed a more sympathetic approach to the new government — insisting in interviews it would take time for Labor's funding boost to alleviate pressure on the system.
Mr Ekkelboom was installed last year as union secretary, thoroughly defeating Ms Watkins after promising to re-establish the AEA's "political independence" and take a "stronger stance" on ramping.
The increasing union loudness comes at a time where doctors, nurses and paramedics are all in the midst of pay negotiations, some of which are threatening to turn hostile.
The Australian Nursing and Midwifery Federation said discussions with the government are continuing, while the doctors have already held a stop-work meeting and are planning a strike later this month.
SASMOA wants 10 per cent annual pay increases over the next three years — a demand the government has called untenable.
Bosses have been quick to shut down any link between their recent criticism and the ongoing pay talks.
"Let me be very clear. This is nothing to do with that," Ms Dabars said on Wednesday.
Mr Ekkelboom said it would be disrespectful to make any comment on his union's wage negotiations while he was speaking out about the death of a patient.
But public commentary is one of the most powerful tools at the unions' disposal — and one some are using now more than at any other point in this term of government.
It's been a quieter couple of weeks for the Health Services Union, which earlier this month reached a deal with the government on their new enterprise agreement.
Eight months out from the next state election, Labor is widely considered by politicians and pundits to be overwhelming favourites to win another term in office.
With a popular premier and an opposition struggling to land punches, there seem to be only a small handful of issues with the potential to inflict real damage on Labor between now and March.
Whether the difficulty the government has faced to deliver on its promise to fix the ramping crisis is one of those potential banana skins remains to be seen.
Public concern around the state of the health system is not at the same level it was in 2022, when Labor was swept to power on the back of its ramping pledge.
But the state's health unions hold the power to change that — and, whatever their motivation, they're looking ready to use it.
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Wood heater pollution is a silent killer. Here's where the smoke is worst
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"That's 500,000 people and it still feels like no-one cares. How is that even possible?"
ABC News
an hour ago
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Woman says faecal transplant saved her and could help many more like her
As the blender blitzed and Jane Dudley prepared for a radical procedure, the concept of being at the forefront of a potentially revolutionary change in the treatment of bipolar disorder was far from her mind. Mostly, Jane was thinking about how revolted she was by what was about to happen. But months after her husband Alex, a park ranger with a lifelong interest in ecology, first proposed the "gross" idea to Jane as a way of managing her crippling bipolar, she decided it was worth a try. "I was at a point of desperation where I felt I can't continue living with this level of suffering," Jane tells Australian Story. "It was a desperate act." Eight years ago, Jane began a series of home-administered faecal microbiota transplants (FMT), or "poo transplants", with the hope it would "take the edge off" her mental illness, which had led to her being hospitalised multiple times. The couple took Alex's faeces, blended it with saline, passed it through a sieve, put the slurry into an enema bottle and "then head down, bum up, squeeze it in". To Jane's astonishment, as the months went on, she began "to feel joy for no reason". "I started to have self-esteem for no reason," she says. "I started to have motivation." Now, all those years on from that first tentative blending, and without a manic episode since September 2017, Jane feels confident in saying she has been cured of an illness psychiatry labels incurable. It was a world-first use of FMT to cure bipolar and experts were stunned. Jane's psychiatrist, Russell Hinton, monitored Jane's progress during the treatment. He describes the change in Jane as "bordering on miraculous". Gordon Parker of the University of NSW's psychiatry faculty said Jane's recovery through FMT was one of the most exciting developments in his 50 years of psychiatry. But Jane and specialists warn that the DIY method she had turned to carries significant risks — including death — if the faecal donor is not properly screened. There is a risk that serious disease, obesity or antibiotic resistance can be transferred from an unscreened donor to a recipient. It's why there is now a push to raise $10 million to enable the Food and Mood Centre at Deakin University to run a randomised control trial of faecal transplants for depression. "The fact that people are finding my story and doing DIY FMT … scares me because I'm worried that people are going to get even sicker, that it's not going to work, or they're going to end up with an autoimmune disease or have a severe reaction, which just speaks to the urgency of why we need clinical trials now," Jane says. "We need them funded now." It's a campaign that Jane believes could bring relief to millions of people living with depression and bipolar worldwide — and it all began with a frog. It was November 2013 when Jane popped her arm through her raincoat and, as her hand emerged, there sat "a very beautiful frog". Transfixed, she found the name of a frog expert and sent off a message and a photograph to him. His name was Alex Dudley. Alex quickly advised Jane that the emerald-dotted frog was not rare or endangered, as she imagined, but a Peron's tree frog. A very common frog. But to the couple, it was a magical frog because from the moment they started talking, their lives were destined to be forever intertwined. "It was bafflingly fast. Before I even laid eyes on her physical self, I was confident that Jane was the one. We just connected," Alex says. Within the first 20 minutes of a 10-hour chat, Jane told Alex she had bipolar 1 disorder. He had a loose understanding of the mental illness but no concept of the extreme highs and lows that Jane experienced. Over the ensuing months, Alex learned how Jane had been a bright, sporty kid with expectations of going to university and becoming a professional soccer player. But, by her teenage years, anxiety crept in. Then, at age 15, she was sexually abused by an uncle she didn't grow up with. "It broke me on a fundamental level and was definitely the trigger for me developing serious mental illness," Jane says. An extended bout of tonsillitis and glandular fever followed and the illness and her mental health conspired to keep her from school. Jane said she dropped out at year 11 and "lost myself for the next 18 years". For vast chunks of time, Jane's depression was so severe she could not get out of bed or tend to her basic needs, requiring family or friends to look after her. At times, she was suicidal. Jane would flip into mania, where she would travel to other planets and speak with aliens. "I would be talking to spirits … I would feel like I had godlike powers and that I was the chosen one," she says. Alex says it was only when Jane went into psychosis that he realised the severity of her mental illness. He still becomes emotional when he recalls the lows that Jane would reach. "She wasn't living … she wasn't living in a way that was sustainable," he says, choking back tears. Alex became desperate to help the woman he loved. "I never dreamed about running away from her or being frightened off by this. I was like, 'How can I help?'" he says. Alex knew that the gut biome — a range of bacteria, viruses, fungi and other microbes in the gut — influenced the production of serotonin and dopamine, neurotransmitters that were crucial for mood and motivation. He recalled Jane's stories of being given large amounts of antibiotics over almost two years to combat her tonsillitis. He figured that her gut biome could have been starved and diminished by the antibiotics. Alex delved into the scientific literature and came across a study in which the faeces of a depressed human were put into a rat. The rat developed depression. He wondered if that could be reversed. "Suddenly, everything just fell into place," Alex said. "This could work." Professor Parker said the fact that FMT — a procedure already approved to manage a severe gut infection — did cure Jane's bipolar could represent a paradigm shift in the way some mental illnesses were treated. "Jane's story knocked my socks off," he said. "It was a story that caused me to say 'wow' and keep on saying 'wow' for quite a long time." Professor Parker interrogated the details of Jane's recovery — speaking to her psychiatrist Dr Hinton, analysing her medication intake, consulting gut specialists — and it stood up to scrutiny. He has since written a book, A Gut Mood Solution, presenting five FMT case studies other than Jane's, including one of his own patients. Two of those people have experienced remission. "The concept of our gut microbiome and how that might be actually influencing our mood for the worst or for the better is the new paradigm and that has huge implications in terms of managing mood disorders," Professor Parker says. "We've now got strongly suggestive evidence that we have an intervention that will help people with intractable mood disorders, be it depression or bipolar. We now need the science to be put in place." It confounds Jane that the Food and Mood Centre has been unable to attract funding for a clinical trial despite being ready to launch after conducting a successful pilot study based on her case. "If we can show with clinical trials that faecal transplant could help a large proportion of people with serious mental illness, the social impact will be huge, but also the financial impact," she says. Jane says she believes the faecal transplant has saved the government at least $250,000. No longer is she on medication, no longer does she need the disability support pension, no longer is she being hospitalised every year. "By resolving my bipolar symptoms, we have saved the government potentially millions of dollars," Jane says. "And I'm one person." The way Jane sees it, this is an epic love story that "just happens to involve a bit of poo". "The reason I am alive and well and can feel joy for no reason and like myself is because of one man, Alex," she says. "He has saved me … in every way that another human being can be saved." The weight she gained from bipolar medication has fallen away and she is now focused on a healthy diet to "keep my gut bugs happy". The couple grow their own vegetables and cook predominantly plant-based food from scratch, eschewing processed food. "In a very real way, the number twos cured my blues," she says. Her university ambitions returned and, having completed high school at TAFE, she is now in the second year of an environmental science degree, with plans to become a field ecologist. Jane calls Alex the hero of her fairytale, a man whose unshakeable love for a broken woman led to a radical hypothesis that, in Jane's case, set her free. "Woman meets frog, frog leads woman to man, man and woman fall in love," she says. "Man cures woman's incurable illness with his magic poo, thus breaking the curse."
News.com.au
7 hours ago
- News.com.au
Why does everyone get sick so often in winter?
Welcome to Ask Doctor Zac, a weekly column from This week, Dr Zac Turner explores why so many people get sick in the winter. QUESTION: Hi Dr Zac, Every winter like clockwork, my sharehouse becomes a snotty, coughing mess. I always assumed it was just because me and my flatties are inside more, but I read something about viruses surviving longer in colder temperatures. Is that true? And does the lack of sun during winter actually mess with our immune systems? – Matt, 29, Ballarat VIC ANSWER: Thanks for the question, Matt – and condolences to your household's sinuses. Winter really does bring with it a revolving door of colds, flus and respiratory infections. It's not your imagination. And while yes, spending more time indoors definitely helps viruses spread, the science of why we get sicker in winter runs a bit deeper – and chillier – than that. Let's start with the temperature. Many common viruses, including rhinoviruses (the ones behind most colds) and influenza, actually survive longer and replicate more effectively in colder, drier conditions. One study from the Journal of Virology found that some viruses become more stable and infectious in lower temperatures because the cold preserves the viral envelope – essentially giving them a longer shelf life while they search for their next victim (you). Add in the fact that we're all breathing the same stale air indoors, and it's a perfect storm: less ventilation, more close contact, and viruses that are thriving in the cold. Now, let's talk about vitamin D. This isn't some wellness influencer's pet obsession – it's genuinely important for your immune function. Vitamin D helps regulate immune responses, and deficiency has been linked to increased susceptibility to infections, particularly respiratory ones. In winter, shorter daylight hours and less skin exposure to UVB rays means your body produces less vitamin D naturally. In fact, data from the Australian Bureau of Statistics shows nearly one in four Aussies have insufficient vitamin D during the colder months – especially in southern regions like Victoria and Tasmania. So yes, Matt: cold temperatures, indoor living, and low vitamin D levels all team up to make winter a bit of a microbial minefield. What can you do about it? • Maximise ventilation: Even cracking a window makes a difference. Let your house breathe. Get outside during daylight hours: A lunchtime walk could help top up your vitamin D – just 10–15 minutes of sun exposure to arms and face can help. • Eat immune-supporting foods: Fatty fish, eggs, mushrooms and fortified milks are great sources of vitamin D. And yes, supplements are helpful if you're deficient – but check with your GP before starting. • Practice good hygiene: Wash hands, cover coughs, and maybe don't share that water bottle with your sniffling housemate. A few smart habits can help make your winter less snotty – and keep your immune system in fighting form until the sun comes back. Stay warm, Dr Zac Dr Zac Turner is a medical practitioner specialising in preventative health and wellness. He has four health/medical degrees – Bachelor of Medicine/Bachelor of Surgery at the University of Sydney, Bachelor of Nursing at Central Queensland University, and Bachelor of Biomedical Science at the University of the Sunshine Coast. He is a registrar for the Australian College of Rural and Remote Medicine, and is completing a PhD in Biomedical Engineering (UNSW). Dr Zac is the medical director for his own holistic wellness medical clinics throughout Australia, Concierge Doctors.
