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Speaker 1: You might recall just a couple of weeks ago we'd

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Speaker 1: actually caught up with doctor Robert Parker, the head of

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Speaker 1: the AMA here in the Northern Territory, and had had

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Speaker 1: a bit of a discussion about the IV fluid shortage

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Speaker 1: now patients it's being reported nationally having to stay in

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Speaker 1: hospital care units after surgery for longer as doctors are

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Speaker 1: forced to ration IV fluids amid a worldwide shortage now nationally.

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Speaker 1: On the ABC this morning, they're reporting well that an

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Speaker 1: internal email was sent out to one major Sydney hospital

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Speaker 1: on Wednesday night telling staff that there'd been instances of

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Speaker 1: patients who had little or no IV fluid administered during

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Speaker 1: an operation having to stay in the recovery unit for

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Speaker 1: longer because of well dehydration, amongst other things. Now joining

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Speaker 1: us on the line right now is doctor Robert Parker,

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Speaker 1: the head of the Australian Medical Association's Northern Territory branch.

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Speaker 2: Good morning, doctor.

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Speaker 3: Parker, Good morning Cadie.

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Speaker 2: Now plenty going.

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Speaker 1: On this morning, but I do want to ask doctor Parker.

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Speaker 1: I mean, in terms of this nowtional shortage, where are

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Speaker 1: things at in the Northern Territory.

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Speaker 3: Well, look, the IMA has been in regular discussion with

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Speaker 3: the Health Department. I understand that the Health Department do

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Speaker 3: keep because of the supply chain issues in the distance

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Speaker 3: from major cities. The territory does have a good supply

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Speaker 3: of ivy fluids regularly, they keep stocks up exactly for

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Speaker 3: that reason. But the IMA has been in contact with

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Speaker 3: them about an education campaign to make sure that the

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Speaker 3: available stocks within the public system. I'm not sure what's

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Speaker 3: going in the private system at the moment that the

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Speaker 3: public system are carefully managed, so we've been in a

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Speaker 3: regular discussion with them to make sure that ivy fluids

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Speaker 3: aren't wasted.

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Speaker 1: It seems so bizarre to me that we're in a

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Speaker 1: situation in Australia where we don't have enough of it.

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Speaker 1: I'm surprised that we don't actually manufacture it ourselves. Well.

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Speaker 3: Unfortunately, again it comes down the filthy LUCA follow the

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Speaker 3: money and it appears that the ivy fluid manufactured overseas

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Speaker 3: are much cheaper, so people buy them, you know, buy

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Speaker 3: them in stock from overseas, and then there will be

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Speaker 3: significant issues to those supply chains at times such as

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Speaker 3: the perfect current conflicts in Gaza and in the ukrain

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Speaker 3: which are probably impacted on the availability of some stocks

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Speaker 3: and other manufacturing issues. So and unfortunately governments, I understand

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Speaker 3: governments have been aware of this issue of supply chain

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Speaker 3: for some time now, but again did nothing about until

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Speaker 3: suddenly the crisis hit. I mean Mark Butler, Federal Minister.

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Speaker 3: Mark Butler's is credit. There's now established national committee to

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Speaker 3: actually look at the issue and to make sure that

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Speaker 3: I suppose all Australians have equitable access to available arifords

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Speaker 3: and so one area is not particularly disadvantage compared to another,

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Speaker 3: but it is a while they try and develop some

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Speaker 3: sort of local manufacturing stocks, but it is a significant problem.

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Speaker 1: So doctor Parker, from what you know here in the

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Speaker 1: Northern Territory, we're not having to delay elected surgeries or

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Speaker 1: anything like that as the result of this nationwide shortage

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Speaker 1: at this point.

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Speaker 3: Not at the moment, and sorry to get noise in

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Speaker 3: the background, that's right, but the yeah, it's not at

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Speaker 3: the moment. But however, there obviously will be a used

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Speaker 3: by state, used by for available stocks, and if there's

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Speaker 3: no replate, no ready replacements, then you know, we see

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Speaker 3: they may need to look at rationing for more origin cases, and.

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Speaker 1: That I suppose could mean like what they've spoken about

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Speaker 1: in Sydney where they've got some instances of patients well

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Speaker 1: reportedly having to stay in recovery for longer.

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Speaker 3: That's right. Or they may have to delay again delay

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Speaker 3: elective surgery which require IV fluids again to conserve stocks

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Speaker 3: for more origin cases.

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Speaker 1: Well, definitely sounds like something that will all be keeping

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Speaker 1: a close eye on because it would have a huge impact,

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Speaker 1: you would think in the end if we were low

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Speaker 1: on stock in the sense that you know, we probably

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Speaker 1: I'm guessing we may not have the same volume of

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Speaker 1: beds to be able to have people stay in there

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Speaker 1: for longer.

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Speaker 2: It might mean sort of delays to surgeries.

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Speaker 3: That's right. And again I suppose that it's part of

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Speaker 3: the conservation thing that they may have to start rationing

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Speaker 3: fluids you know, obviously for more urgent cases, which is

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Speaker 3: what will lay the surgical lists.

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Speaker 1: Yeah, now, doctor Parker, I know that you'd had some

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Speaker 1: concerns recently as well about some of that jet noise

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Speaker 1: being incredibly loud at this point in time, but also

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Speaker 1: when actually being measured louder than maybe what it should be.

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Speaker 3: Yeah, I mean we've had i may say, contact with

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Speaker 3: a concerned citizen who measured the noise on one day

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Speaker 3: I think at the start of pitch black from two

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Speaker 3: point five kilometers away from Darwin Airport and and the

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Speaker 3: low decibel noise levels were all quite markedly above national state,

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Speaker 3: international state safe standards for hearing. And again that we

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Speaker 3: had further information from a guy that apparently runs a

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Speaker 3: counseling service which is under the jet path and he's

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Speaker 3: again all those noise, all those indicators of quatter and

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Speaker 3: the poor guy had to keep on counseling, canceling his

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Speaker 3: counseling because of the jets going back and forth. And

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Speaker 3: of course the issue is that those levels were recorded

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Speaker 3: two point five the issues the levels recorded by the

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Speaker 3: concerned citizens were two point five kilometers away from dan Airport.

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Speaker 3: People under the flight paths are just people in bagatt

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Speaker 3: who've got very high rates of hearing. Lots already the

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Speaker 3: disease were right under the jet path, so they would

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Speaker 3: have been any subject of much higher rates of noise

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Speaker 3: than two point five kilometers away.

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Speaker 1: So it's a concern that's been raised with the AMA.

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Speaker 1: So is it, I mean, is what happens now? Is

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Speaker 1: it something that you'll be following up with defense or

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Speaker 1: where do you go from here?

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Speaker 3: Well, again, AMA recognizes the need to have this defense exercise,

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Speaker 3: and you recognize the vital role of defense forces play

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Speaker 3: in the protection of Australia. And I mean we have

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Speaker 3: approached the Air Force and the past who have not

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Speaker 3: you know, basically not really redisponded particularly well. I mean,

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Speaker 3: I suppose there's ways of dealing with it, and again

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Speaker 3: we will approach the Air Force again about it. Maybe

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Speaker 3: you could interview and one of the senior Air Force

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Speaker 3: people up here about it. For example, I don't know

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Speaker 3: why they potentially couldn't move the really noisy aircraft to

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Speaker 3: Tindall or some of them, so you know, when they

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Speaker 3: take off from tinder I presume they're over training areas

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Speaker 3: almost as quickly as they are taking off from Darwin Airport.

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Speaker 3: So they might consider our reduction of noise by increased

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Speaker 3: use of Tindall for some of these jets. I mean,

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Speaker 3: that might be one solution rather than you know, obviously

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Speaker 3: we're not going to be canceling pitch blacks. And I

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Speaker 3: think it's important to keep you know, an idea about

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Speaker 3: this noise, that people are aware of it and the

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Speaker 3: potential you know, particularly for vulnerable territory inst to those

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Speaker 3: we're already impaired hearing loss who are being subject to

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Speaker 3: these very I mean, this very high noise was right

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Speaker 3: through the day, you know, during day planes for taking

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Speaker 3: off and landing. So you know, we've got already vulnerable

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Speaker 3: population that's obviously being exposed to into much high rates

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Speaker 3: of a hearing lots and noise and should be allowed. Yeah.

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Speaker 1: I think it's a fair point and something that I

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Speaker 1: hadn't really thought of, to be honest with you, unless

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Speaker 1: you unless you're kind of nearby, I mean, when you're outside,

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Speaker 1: you do most.

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Speaker 2: Certainly hear it.

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Speaker 1: But if you're trying to run a business like a

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Speaker 1: counseling service and you're under that flight path, it would

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Speaker 1: have a massive impact too.

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Speaker 3: That's right, counselors.

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Speaker 1: That's right, Hey, doctor Parker, Before I let you go,

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Speaker 1: someone's just message through a Palmeston residence. Just message, message

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Speaker 1: through and said Katie is Royaldo in hospital back in

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Speaker 1: a code yellow. My daughter was told, despite her condition,

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Speaker 1: that they must clear the beds, even tried forcing her

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Speaker 1: to transit.

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Speaker 2: Somewhere else until she could be picked up.

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Speaker 1: Do you know if they're back you reckon we're probably

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Speaker 1: back in code yellow.

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Speaker 3: You reckon, I think it's moorings. When we're not in

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Speaker 3: the code yellow we are.

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Speaker 2: It's not great, is it. I mean we've sort of

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Speaker 2: gotten quite used to that being the case.

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Speaker 3: Well again, it gets back to the issue in twenty

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Speaker 3: ninety in the row to the ministers saying we were

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Speaker 3: the busiest hospitals in Australia. Things haven't got better. I

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Speaker 3: mean there was some good news and the on the

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Speaker 3: horizon they John's Aubus, the AA Vice president, had a

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Speaker 3: meeting with Marco the other day, the CEO, and apparently

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Speaker 3: there is now going to be increased Commonwealth funding for

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Speaker 3: health and the territory over the next few years, so

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Speaker 3: that will possibly alleviate the issues. So we were very

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Speaker 3: happy to hear that. Hadn't good on Marco for negotiating

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Speaker 3: that for the new health funding your green.

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Speaker 1: Yeah, well let's hope it makes a makes a difference.

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Speaker 1: Doctor Robert Parker, always appreciate your time. Thanks so much

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Speaker 1: for having a chat with me this morning.

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Speaker 3: Thanks Katie, thank you