Patients at sea – catch me if you can!

An aspirin a day keeps the doctor away
August 23, 2016
Fit for purpose?
August 23, 2016

Patients at sea – catch me if you can!

“DOCTOR AT SEA” a monthly Column in The Islander Magazine

Patients at sea – catch me if you can!

This time around Easter is a busy time for us with yachts coming back from the Caribbean and everyone preparing for the summer Mediterranean season of owner trips and charter guests. It makes for a lot of excitement catching up with people but also helping them sort medical queries which may have been on the back burner for a few months. It does beg the question as to how modern-day yachties achieve any continuity of care by one doctor who is familiar with the individual and their medical history.

Fortunately, one happy aspect of modern-day yachting is the relative ease of long-haul flights home – we have patients from Oz and New Zealand who get home at least once a year from the Med and the Caribbean. Some, on the other hand, prefer not to spend their holidays at dentists and doctors and there is no doubt that regular medical or dental check-ups can be squeezed out or missed completely.

At the ENG1 medical, I encourage an annual dental check to keep teeth in good condition and to avoid toothache at sea. Obviously it is better to have the same dentist each time but there are decent dentists in most ports and better not to sacrifice the check-up – some countries gain a reputation for cheap but good quality dentistry and this could be one perk of the itinerant lifestyle. If you are unfortunate and get toothache or lose a filling or break a tooth then a good quality on-board medical kit should contain a dental first aid kit with dental anaesthetic, dental cement or temporary filler to help out.

Well person medical check-ups, including pap smears and gynae checks, can be more complex and continuity of care with the same physician is ideal – second best is for the patient to keep a file of all correspondence and results. This is even more important when individuals have actually developed some symptoms of underlying illness but are obliged to move on. Efficient telecommunications mean that we have patients with medical problems who can still be advised whilst on the move and can then make better use of local facilities when next in a port. It is worth making sure you have enough stock of any medication for the next part of the voyage and a few weeks more. We are also aware of professional counsellors continuing to support their yachting patients to good effect whilst at sea.

The yachting population is generally positive and healthy and would probably rarely consult if they were living on-shore but there are still lifestyle patterns to be encouraged which will promote continuing good health. These include the predictable appeal to regular exercise, sensible diet, no smoking and moderate alcohol! Most boats have someone who can check blood pressure and urine once in a while and who have taken a Medical Care Onboard Ship Course ( Ship Captain’s Medical Course ) so that they can make some sense of unexpected symptoms of illness. Radiomedical advice is now increasingly supported by gadgetry to provide real time information to the 24/7 backup service and also can be loaded with modules for in-house crew refresher training.

Palma de Mallorca is a yachting hub and each day our patients are drawn from all over the world but good hand-held records and easy telecommunications combined with some on-board self help and medical support can overcome a lot of the short-comings for folk who never get home to be looked after.


Dr Ken Prudhoe, MCA Approved Doctor, can be contacted at Club de Mar Medical Centre, Palma de Mallorca.

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  100. Se me estropea la lavadora que compre hace 10 años y llamo al servicio técnico oficial de la marca para repararla. Ante mi sorpresa, me ofrecen un seguro por un año con un coste de 15,99 euros al mes (1,88 euros/año) que me incluía la reparación inicial. Acepto la propuesta y me envían el técnico en 24 h. El técnico decide que hay que cambiar el motor completo de la lavadora y llama a la aseguradora en ese momento, para que autoricen la reparación. Me temía lo peor ya que el coste de la reparación era de más de 200 euros (incluyendo desplazamiento, mano de obra y piezas). Resumen: lavadora reparada en 24 horas sin abonar nada al técnico, todo con una sola llamada al servicio técnico de Bosch.

  101. Entrevista con Raquel Tenias, detenidas el 22M en Madrid tras la manifestación de las Marchas por la Dignidad. ECO Climatización es una empresa que busca diferenciarse por su estructura y normativa técnica eficiente y por ello pensamos, ejecutamos y competimos con memorias de cálculo, software de cálculos térmicos reglamentados. Instaladores profesionales cualificados en instalaciones de aire acondicionado, unidades split, bombas de calor, zonificación, cortinas de aire tratamiento del aire en tu provincia. Bilunker es una empresa afincada en Madrid dedicada al sector del frío industrial y comercial desde el año 2.000.

  102. Dedicados a ofrecer soluciones rápidas con garantía ante los problemas de sus electrodomésticos, ya sean frigoríficos, hornos, estufas, lavavajillas, aires acondicionados, congeladores, lavadoras y secadoras. Nuestros especialistas disponen de las herramientas necesarias, conocimientos y experiencia, con formación continua sobre las últimas tecnologías en reparaciones de electrodomésticos de hogar. Es por esto que en Madrid ofrecemos un servicio técnico Liebherr para cubrir todas sus necesidades.

  103. Pero además, lo importante es que el Servicio Siemens ofrece al usuario la seguridad de que el técnico que le atiende está perfectamente cualificado, que los repuestos son originales y que tanto éstos como la reparación están garantizados. Hoy en día, en las grandes capitales proliferan las organizaciones piratas”, que buscan captar usuarios a los que, en primer lugar, se les hace un presupuesto que siempre es muy superior al del servicio técnico oficial y, además, se les exige pagar hasta un 50 por adelantado. No olvidemos tampoco que el técnico oficial Siemens es la cara” de la marca en casa del cliente.

  104. Importante empresa, solicita TELEMERCADERISTA, con experiencia minima un año en telemercadeo; estudiante de carreras administrativas comerciales, Tecnico on Tecnologo en Administracion, Comercio, Mercadeo Afines. Importante empresa del sector Salud requiere Técnico en carreras Administrativas y / Contable con experiencia mínima de 1 año en solicitud y trámite de autorizaciones de servicios hospitalarios de los pacientes, diligenciar e informar a los usuarios los valores a cancelar y realizar censo de asignación de camas. Se requieren Ingeniero de Sistemas con experiencia certificada en desarrollo de software de más de 4 años.

  105. Respecto al split que me hablas, es una pena haber comprado un aparato sin marca conocida porque ni su calidad ni su Servicio Técnico quedan garantizados. Durante unos años mi empresa llevó la asistencia técnica no solo de los electrodomésticos de esta marca, sino también del aire acondicionado. Mira a ver si se puede aprovechar la instalación antigua (si es del mismo tipo de gas refrigerante), pues te ahorrarías dinero en el montaje. Segun tengo entendido Haier es un electrodomestico que se monta en china, pero es de Liebherr.

  106. Nuestras reparaciones en Madrid Centro están garantizadas por escrito en los materiales empleados como en la mano de obra. Vendemos maquinaria de jardinería y recambios y accesorios de lo que reparamos y de gama blanca (lavadoras, lavavajillas, frigoríficos, cocinas, etc…) según marcas. Nuestra empresa lleva dedicada al mundo de la reparación de electrodomésticos Aspes desde hace mas de 15 años, tiempo en el que nos hemos podido especializar en esta marca de electrodomésticos, calderas y aparatos de aire acondicionado en Madrid. Para localizar los artículos directamente relacionados con éste, clica aquí debajo, en el recuadro azul y podrás ver toda la serie.

  107. Delante del ministerio me volvió a preguntar cómo funcionaba, y después de la reunión me devolvió el reloj diciendo que tenía que llevarlo al técnico y ahí se hicieron los CD con esta conversación”. Grabar a tu primer ministro es grave, pero en el caso de Juncker, peor porque la ley luxemburguesa establece que, además, es el responsable de la tutela del servicio secreto. Cuando Juncker se enteró que había sido grabado mantuvo al director en su puesto y no le expedientó para proteger la credibilidad del SREL ante los servicios extranjeros”, según ha explicado al primer ministro en su comparecencia ante la comisión de investigación.

  108. Si buscas profesionales en la reparación de frigoríficos, lavadoras, lavavajillas, secadoras, cocinas, hornos, microondas y vitrocerámicas de la marca Bosch en cualquier punto de España, ponte en contacto con nuestro Servicio de Asistencia Técnica Bosch a través del teléfono: 929 883. Nuestros técnicos están especializados en la reparación de termos BOSCH de todo tipo.

  109. Hola, Javier, en este enlace puedes encontrar nuestros Servicios Técnicos Oficiales disponibles en Valladolid. Hola, Carles, en nuestra página web dispones de un buscador de Servicios Técnicos Oficiales Basta con que introduzcas la ciudad que te interesa y ya te aparecen las direcciones disponibles. Fuí al servicio post-venta de la calle Riera de Tena y siguen sin darme una solución, aún siendo un punto oficial no conocían el modelo y sigo sin poder usar la cafetera.

  110. Espero que siga pensando la gente como lo haces tu. Más que nada, porque habrá un vehículo en el mundo que se verá poco en las carreteras, siendo el mejor en cuanto a comodidad y estética, y que la marquitis siga instaurada en el pensamiento general de la gente. Las cabezas cuadradas parece que estaban en Alemania, pero en España hay que empezar a hacer recuento.

  111. NDS says:

    My brother suggested I may like this web site. He used to be totally right. This post actually made my day. You can not believe just how a lot time I had spent for this info! Thank you!

  112. Nuestra empresa de mecanizados de Barcelona conoce siempre las últimas tecnologías, por eso sabemos que aunque en un principio era indispensable la utilización de tornos automáticos para el decoletaje mediante arranque de virutas, la tecnología actual nos permite tener diferentes técnicas para el mecanizado de las piezas en los talleres de mecanizado, aunque sigue siendo la mecanización a través de decoletaje la principal.

  113. Almost all the quantity-related pricing variation has to do with how many copies of a particular part number can be fit into a standard block of raw material. Se encargará del mecanizado de grandes piezas en nuestra planta de Lekunberri utilizando una fresadora de 25 metros y doble cabezal con control Heidenhain iTN530 que debe poder programar.

  114. Indistintamente de si hablamos de máquinas controladas por levas CNC, podemos encontrarnos con tornos de cabezal móvil (el desplazamiento axial lo realiza el cabezal y cuentan con una luneta cañón de guiado), de cabezal fijo (el desplazamiento axial lo realizan las herramientas) multihusillos (cuentan con varios husillos , generalmente 6 u 8, que mecanizan varias piezas simultáneamente, dividiendo el tiempo de mecanizado).

  115. Las máquinas desarrolladas por Mecanizados de Espada, se caracterizan por su capacidad de adaptación a cada necesidad específica, así como por su versatilidad frente a la fuerte evolución que experimenta el sector de envase y embalaje, debido a las exigencias de los departamentos de marketing de las empresas.

  116. click aquí| says:

    En nuestro afán por ofrecer un servicio de la más alta calidad, contamos con tornos de control numérico, que nos permiten hacer realidad cualquier pieza que desee, con el diseño, materiales y medidas que prefiera. Todas las máquinas CNC comparten una característica en común: tienen dos más direcciones programables de movimiento llamadas ejes.

  117. La información del Ranking que ocupa Mecanizado De Precision Y Diseño Industrial Sl procede de la base de datos de información financiera de INFORMA D&B S.A.U. (S.M.E.). Más información sobre el Ranking de Empresas. Rectificadora de exteriores de 700 mm. entre puntos con volteo de Ø350 mm. con gran precisión óptima para piezas unitarias y medianas séries que requieran de toleráncias ajustadas y niveles de rugosidad Ra 0.2.

  118. Somos una empresa joven ubicada en Almazora, donde nacimos con afán de innovación en cuestiones de calidad y servicios hacia los clientes. Estos dos factores nos ofrecen la oportunidad de mecanizar piezas de alto nivel de complejidad y exigencia, obteniendo una gran calidad en nuestros productos, rapidez en el servicio y precios muy competitivos.

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