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President's Message
David Bradshaw
Presidents Notes - Rapport  14 June 2019
Members were welcomed by President David to our meeting at Ellerslie Conference Centre.
President David told members present that Circus Quirkus had been a success and thanked those who helped for their efforts.

President David noted that change over will be taking place at Sorrento on 25 June. Invitations have been sent out to members.

Our first meeting in July will take place at Remuera Golf Club when we will be hearing from Anthony Grant, who together with his wife Sandra Grant has developed the Sculptureum at Matakana.  This promises to be an interesting evening so make sure that you book.

Our hosting of a  young woman from Germany thorough Rotary Youth Exchange student has been confirmed, not without the odd hiccup. She will be attending St Cuthbert's school for the duration of her stay, which happily eliminates zoning issues that were problematic with EGGS. Three host families have been identified so we need one more family the duration of her stay.

Please contact Colin Lucas if you can assist.
Duties  - If you cannot undertake your rostered duty please arrange for some-one else to step in and do your duty.
Programme 18-Jun-2019 25-Jun-2019 2-Jul-2019
Venue Lunch @ Ellerslie Dinner @ Sorrentp Evening @ Remuera GC
Speaker Professor Steve Daikin   Anthony Grant
Lazy Eyes & Other Optical Projects Changeover The Sculptureum, Matakana
Introduction Lazy Eyes & Other Optical Projects   Richard Holden
Thanks Brian McMath   Colin Lucas
Rapport Colin Lucas   Martin McGahan
AV Duty Paul Monk   David Weikart
Cash Desk Colin Lucas   TBC
Registration of Visitors Ron McPherson   TBC
Host to Visitors John Meadowcroft   TBC
  Terry Mikkelsen   TBC
Attendance Register Joh Mitchell   TBC
Sunshine Boxes John Overall    
  Peter Ross    

Dr David Galler - Intensivist
Our Guest Speaker on Tuesday was Dr David Galler who spoke to members and guests about time he recently spent working in Samoa.

Dr David Galler is an intensive care specialist at Middlemore hospital.

With him at the meeting was Lelani Jackson a member of the Pacifica unit at Manukau. This unit provides health services in the Pacific under contract with the Ministry of foreign affairs.

David’s talk was entitled “Coming-of-age in Samoa” with a nod to Margaret Mead. The theme underlying Davids address was the coming of age of intensive care in Samoa.

David’s visit to Samoa came about as a consequence of the appointment of his partner District Court Judge Emma Aiken to the bench of the Samoan Supreme Court. Something that is a story in itself.  As an aside David commented that the most important item of household equipment he and Emma took to Samoa was a para-style pool because it does get rather hot in Samoa.

While in Samoa David took the opportunity to join the intensive care unit at Tupua Tamsese Meaole Hospital in Apia, Samoa's Capital.

Before telling us of his experiences in their hospital David gave us a quick rundown on Samoa, noting there is a population of 200,000 spread out over two main islands Upolu where the bulk of the population live, and Savai’i.

He noted that samoa was a German protectorate between 1919-14 and then from 1914 to independence 1962 a New Zealand protectorate. Sadly during that time New Zealand’s control of the Samoan island was less than optimal, something for which Helen Clark when she was Prime Minister apologised to the Samoan people for.

 David made the point that religion is huge in samoa. Churches are everywhere. Many are large and ornate. He made the comment that there is a degree of religious tolerance that to some may seem strange as various faiths and branches of those faiths happily rub along together. Problems only arise if you do not participate in church activities. On Sundays literally everyone attends church dressed in white.

David told us of his experience in the intensive care unit at Tupua Tamsese Meaole Hospital. He saw a lot of things in that unit that he wouldn’t ordinarily see in ICU at Middlemore. Particularly, issues arising from obesity, obesity-related diabetes (a modern day plague) and children presenting with acute infections and illness arising from drug resistant bacteria.

Children in Samoa are dying of diseases that are otherwise treatable New Zealand. David made the grim comment that the ICU is a place to die. Most children with treated in the paediatric section of the hospital and at the beginning of his stay in samoa 80% of those who were placed on a ventilator resuscitator died.

One of the roles that David found himself engaged in was reorganising operations in the ICU. When he arrived he found staff would cluster at one end of the unit and so thinks Phil between the cracks when patients did not receive the ongoing monitoring the required. Strategic plan was put in place which brought about a operational change in the unit. People started moving around the unit with the “bedside trolley” contained or carried everything staff needed for patients and contain patient charts and records that were maintained and updated regularly. 

The system changes brought about significant health gains as the ongoing monitoring of patients enabled staff to identify when a patient was progressing in care or not.

The effect of these changes in ICU led to a ripple effect to other areas in the hospital with improved response rates for patients.

As noted above a lot of the work seen in Samoa is not seen in New Zealand. For the uninitiated it was rather concerning. A lot of problems in New Zealand are resolved through early intervention structures that are available for community. Samoa doesn’t have these structures. Indeed Western medicine as a second thought in the villages as traditional healers are used at first instance. Sometimes these village interventions work and sometimes they don’t. It’s when they don’t problems arise.

David had great praise for the staff in the ICU who we felt were very smart worked hard and made working in the unit enjoyable. Because of the workload there were issues with staff burnout and retaining staff..

 David’s extensive address was well received by members and guests and led to a a vigourous question and answer session afterwards.



John Overall
At the beginning of the meeting Peter Ross presented John overall the coordinator of the District RYDA  committee with the district best committee award
What's Coming Up
                   WHAT’S UP @ Rotary Newmarket 
Fri - Sun     10-12 MayDistrict Conference @ Napier
Tue  14th May  12pmLunch @ EllerslieCommittee updates plus                       RN draft Strategic Plan presentationA must to attend to hear the now and the future and have your say.
Fri - Sun 17-19 MayMUNA @ Auckland Girls GrammarModel United Nations Assembly99 teams from Auckland Sec Schools debate a world issue
Tue  21st May  12pmLunch @ EllerslieAGM + New Board + Vocational 
Tue 28th May  12pmLunch @ EllerslieJon Lamb    - entrpreneur,            director AFT Pharmaceuticals 
Wed  30th May  12pmLunch at the End of the LineTrain journey from NewmarketBill Strand
Tue 4th JuneNo meeting - Queens B'day  
Sun  9th JuneCircus Quirkus Paul Monk 
Tue 11th JuneLunch @ Ellerslietba 
Update on the Summer Science School
At our meeting on Tuesday Jennifer Shin and Emily Hackett-Pain spoke to us about their experiences at the summer science school over the past summer holidays.
Jennifer and Emily were sponsored by our club to attend the event. From their report it is clear that they enjoyed and gained a great deal from the experience.