Wexford General Hospital Wexford, Ireland By: Michael O’Bryan
Objectives Objective #1: Alcohol in Ireland To identify the epidemiology of alcohol consumption in Ireland To identify the mortality related to alcohol in Ireland To examine the effect of alcohol on the Irish population in regards to diseases and injuries Objective #2: Access to and quality of healthcare in Ireland To identify the access of healthcare in Ireland To identify the system Ireland uses to provide healthcare To examine the quality of the healthcare in Ireland Objective #3: Obesity in Ireland To identify the epidemiology of obesity in Ireland To examine the impact of obesity on the Irish population To identify the impact of obesity on the Irish children
Alcohol Irish adult per capita consumption of alcohol iss 13.35L European average is 9.1L Global average of 4.9L In a 5 year period alcohol is estimated 4.4% (6,584) deaths 131,245 potential years of life lost, America only 4% of males and 1.5% of females had deaths attributed to alcohol.
Access to and quality of healthcare in Ireland Considered universal coverage with controlled access. Medium level of total health care expenditure with a high share of public funding Entitlement to healthcare from citizenship. Access to healthcare providers is strictly regulated by the state, with restrictions to access to specialists
Obesity Obesity rates: Boys 4.1-11.2% Girls 9.3-16.3%, 2-4x increase in 8-12 year olds from 1990 to 2005 Men 20%, Women 16% 2x increase in adult men from 1990 to 2002 Increase of 13-16% in women from 1990 to 2002
Clinical Experience 30 year old Male 2 day history worsening headache (+) Brudnizki sign (-) CT Head scan Patient requested I do the lumbar puncture, knowing it would be my first
Cultural Experience
Cultural Experience Murphy’s Ice Cream All home made ingredients Milk only from Dingle cows Sea salt from Dingle Sea water Offer 16 flavors, willing (and wanting) anyone to taste them all Best ice cream
Favorite Quote In a radiology report for a person with likely Takotsubo Cardiomyopathy: - “The patient experienced a stress of Icelandic volcanic eruption proportions”
Favorite Photo Location: Ring of Kerry