Healthcare in Hergom
Healthcare in Hergom describes the healthcare and medical system in Hergom.
Treatment Philosophy
The Wolgos have a unique treatment philosophy; they usually forgo treatment until it is necessary for most conditions, which can lead to poorer outcomes, but the Wolgos have the notion that the body, will and endurance are the way one should heal.
Wolgos notions of stoic endurance have shaped their pain management traditions; in fact, it is difficult to find analgesics and other pain management medications which can often only be prescribed by doctors who are unwilling to enable weakness. Even medicines like paracetamol are looked down on, and there is a sense of shame in using them for minor ailments; Wolgos generally will use a cold compress and close their eyes before trying medicines.
Paradoxically, there is a tradition of using herb teas and ointments for a myriad of conditions, most with dubious medical effects. Traditional Wolgos medicine relies on a variety of northern Anarian herbs, minerals, insect parts, bodily fluids, and animal products such as fats, haiter dung, sinew, and others. Blood and semen from other Wolgos and haiter are prominent medicinal ingredients due to their association with life, vitality, fertility, and purity.
Physical therapy is quite popular for a wide range of issues and is often prescribed for illnesses not usually treated with physiotherapy in human medical regimes. It's not uncommon for physiotherapy and exercise to be prescribed for recovering from pneumonia, gastroenteritis, and many other diseases. Stress and emotional issues are often treated with exercise and physical therapy as a first line of treatment.
The Wolgos have a notion of righteous ailments and sulling ailments. Righteous ailments are generally physical injuries while sulling ailments are congenital, intrinsic frailties caused by weakness of resolve or character. Ailments such as infections and cancer exist within a spectrum between both extremes.
For what might be seen as righteous ailments, the Wolgos will often apply aggressive treatment and expect patients to endure without complaint or much pain management. Wolgos's treatment is often far more aggressive than it seems in standard human medical practice. No attempt is spared when seeking a cure or healing; for example, cancer treatment can often be very intense and painful when prognoses are grim or seemingly terminal. Nevertheless, it's shameful for a Wolgos to seek out an escape from death, and they are often encouraged to undergo a death pilgrimage rather than die in a hospital or outside a death park.
Sulling illnesses such as those that are congenital are not treated; for example, a child with epilepsy is not treated at all and is either expected to endure it or go on a death pilgrimage, the same with most other congenital issues. Nevertheless, issues like a hare lip that can be fixed with minor surgeries are not shameful and are treated. Conditions such as infections from ungodly acts such as being intimate with humans, overindulging, abortion, and female infidelity are not eagerly treated by doctors or may have treatment refused outright.
Professional Training and Certification
Health Care Federations - Wolgos Healthcare
The Wolgos healthcare system is structured around tribal healthcare federations that provide comprehensive and advanced medical services to the Wolgos population. These federations are formed by pooling resources from multiple tribes, ensuring high-quality care across the board. The system is well-funded and equipped with top-of-the-line services and diagnostics, reflecting the advanced state of healthcare available to the Wolgos.
As the healthcare federations are funded directly from tribal profit and operational funding it is free to access for all Wolgos, though tribes may be billed by federations they are not members of if one of their tribe access care at a different federation. There are five major healthcare federations serving the Wolgos population: Wérus, Dhéghoviwos, Kúrogwenh1, Sowth2us, and Medhweid, the latter also serving the Sekwntos population. The function of these federations are purely administrative as they are tasked with the complete operation, procurement, funding and construction of facilities.
Wolgos individuals do not choose their healthcare federation; instead, they are linked to the federation of their tribe. This system ensures continuity of care and familiarity with patient histories. In emergencies, Wolgos can seek care from other federations, though their tribe will incur additional costs.
Primary Healthcare
Primary healthcare is delivered through well-equipped clinics within each federation. These clinics offer:
- General practitioner consultations with comprehensive check-ups, diagnosis, and treatment of a wide range of medical conditions.
- Preventive care such routine vaccinations, health screenings, and wellness programs.
- Prenatal, postnatal care and pediatric services, all which are services crucial for Hergom's pro-natal policies.
- Basic laboratory services like on-site blood tests, urine tests, and basic diagnostic imaging like x-rays and ultrasound.
- Immediate care for minor injuries, minor bone injuries and stabilization for more serious conditions before referral to secondary care facilities.
- Skin care and cancer prevention services, as albino skin is highly susceptible to sunlight injury.
Trauma Vans
Each federation operates trauma vans equipped to provide on-site emergency care. These vans are capable of handling:
- Basic trauma care like the treatment of broken bones, lacerations, and stitches.
- Minor surgery procedures for injuries such as broken noses.
- Initial treatment and stabilization of patients who require ambulance transport to hospitals.
- The trauma vans ensure that urgent care is accessible across cities and rural areas, significantly improving emergency response times while reducing the strain on cinics and hospitals. These vans are essential as the more violence prone Wolgos can incur injuries at a higher rate than humans.
Secondary Healthcare
Secondary healthcare facilities within each federation provide specialized and more advanced care, including:
- Specialist consultations with a wide range of specialists for complex health issues.
- Comprehensive trauma care services including surgery and intensive care.
- Obstetrics and gynecology with advanced maternal care including high-risk pregnancies and childbirth.
- A broad range of surgical services including elective and emergency surgeries.
- Intensive monitoring and rehabilitation services following surgery.
- Facilities for patients requiring extended medical care and treatment.
- Full-fledged diagnostic capabilities including X-rays, MRIs, CT scans, and laboratory tests.
Tertiary Healthcare
For the most complex and specialized medical needs, Wolgos healthcare federations provide tertiary care through state-of-the-art hospitals and specialized centres. These services include:
- Complex surgeries such as organ transplants, neurosurgery, and cardiac surgery.
- Comprehensive cancer care including chemotherapy, radiation therapy, and surgical oncology.
- Advanced heart care including interventional cardiology and cardiac surgery.
- Specialized care for neurological disorders and brain surgery.
- Advanced life support and intensive monitoring for critically ill patients.
- Comprehensive rehabilitation programs for recovery from severe injuries or surgeries.
Restrictions
The healthcare system in Hergom, operates within a framework of strict legal and social codes that significantly restrict certain medical practices. Among these, assisted suicide, contraceptives, and abortions are not only illegal but also criminalized, reflecting the deeply held societal and cultural norms of the Wolgos. Assisted suicide, a relatively recent prohibition, has been banned due to religious dogma that places high value on the sacred journey of the Mr̥tōdǵhem Deywōwelnos, or Death Pilgrimage. This pilgrimage is a revered tradition where Wolgos individuals nearing the end of their life undertake a spiritual journey along pilgrimage routes and ultimately die in these spiritually significant paths. Even those unable to move are taken to a shrine and allowed to wait for death surrounded by nature.
The use of contraceptives is strictly regulated, with a complete ban on birth control pills, and other forms of birth prevention. The distribution, prescription, or use of contraceptives is considered a criminal offense. This prohibition stems from the belief that Wolgos life is sacred and must be protected from conception onwards. By upholding these values, the society ensures that the creation of life is respected and nurtured. Abortions are also illegal and classified as a serious crime, this includes all forms of abortion, whether induced surgically or medically. The only exception is in cases where the foetus is not viable or a risk to the mothers survival; in such instances, the mother’s life is given precedence and must be preserved.
These healthcare practices are reflective of Hergom’s deeply rooted cultural and ethical values. The strict enforcement of these bans underscores a commitment to preserving life and maintaining traditional family structures. By aligning healthcare with these values, Hergom ensures that medical practices support and uphold its cultural and spiritual beliefs.
Challenges and differences
The healthcare system in Hergom is uniquely tailored to address the specific needs of the Wolgos population, taking into account their distinctive health challenges and lifestyle factors. This focus ensures that the medical services provided are both comprehensive and responsive to the unique circumstances faced by the Wolgos.
One of the critical areas of focus within the Wolgos healthcare system is vision care. The Wolgos generally have poorer eyesight compared to other populations, necessitating a robust vision care program. Regular eye examinations, corrective lenses, and specialized treatments for vision impairment are integral parts of the healthcare services. This emphasis on vision care helps maintain the quality of life for the Wolgos, ensuring they can engage fully in their daily activities.
In addition to vision care, skin care and cancer prevention are paramount. The Wolgos are an albino population, making them particularly susceptible to skin conditions and skin cancer due to their lack of melanin. The healthcare system places a strong emphasis on preventative measures, including regular skin examinations, education on sun protection, and the provision of high-SPF sunscreens. These measures are critical in preventing skin cancer and managing other skin-related health issues.
The Wolgos also live more violent lives, often resulting in higher rates of injury. Consequently, the healthcare system has developed extensive trauma care and recovery services. Emergency trauma care, surgical interventions, and comprehensive rehabilitation programs are readily available. Physiotherapy, in particular, is not merely an adjunct service but a frontline one. Extensive physiotherapy programs are designed to address the high incidence of injuries, ensuring effective recovery and rehabilitation for patients.
Furthermore, the Wolgos have only two blood groups, which are distinct from human blood groups. This unique aspect necessitates a specialized focus on blood collection and management. The healthcare system has developed efficient blood donation and storage protocols to ensure that blood supplies are adequate and safe for transfusion. Regular blood drives and a well-coordinated blood bank system are essential components of this effort.
Cultural norms of strict stoicism and the physically demanding Wolgos lifestyle contribute to generally poorer health outcomes compared to humans in other advanced economies. The Wolgos often delay seeking medical attention, exacerbating health issues and leading to more severe conditions that could have been managed with earlier intervention. Additionally, the consumption of Oere, a commonly used substance among the Wolgos, has resulted in higher incidences of oral cancers and significant oral health degradation.
GwoltH2us - Non-Wolgos Healthcare
GwoltH2us is a purely for-profit healthcare service established by a coalition of retired Wolgos doctors. The corporation employs primarily newly qualified doctors, most of whom are female, reflecting the customary practice in Hergom. To address labor shortages and reduce operational costs, GwoltH2us trains non-Wolgos nurses and assistants through its own nurse training program. This initiative is significantly supported by investments from thirteen Wolgos and Sekwntos tribes.
Non-Wolgos typically pay for medical services upon accessing the clinics, usually upfront. However, payment plans are available for emergency cases. Additionally, GwoltH2us offers prepaid packages where non-Wolgos pay a monthly fee to receive discounted healthcare when needed.
Primary Healthcare
Primary healthcare services are provided in small clinics located in neighbourhoods or small towns. Each clinic typically has one or two doctors assisted by nurses. The services offered include:
- Consultations: General health check-ups and diagnosis of common illnesses.
- Simple treatments: Basic treatments for infections and minor conditions.
- Wound care: First aid and suturing of minor cuts and lacerations.
- Emergency minor medical interventions: Basic stabilization and referral for serious cases.
- Dispensary services: Selling prescribed medicines directly to consumers.
Secondary Healthcare
Secondary care represents the most specialized level of care provided by GwoltH2us. Larger clinics offer access to:
- Specialist doctors: Consultations with specialists in various fields.
- Emergency trauma care: Immediate care for serious injuries.
- Obstetrics: Comprehensive maternity care including delivery services.
- Surgical interventions: Performing necessary surgeries.
- Post-operative care: Monitoring and care following surgical procedures.
- In-patient wards: Facilities for patients requiring longer-term care and treatment.
- Diagnostic services: Access to x-rays and laboratory tests.
Limitations and Advanced Care
Due to its consumer base, GwoltH2us is largely unable to provide the advanced medical care available to the Wolgos. Chronic conditions such as cancer generally receive only palliative care for the majority of patients. However, the GwoltH2us Prewstalis Hospital has significantly expanded over the last two years and now offers advanced medical services almost on par with Wolgos hospitals, catering to the wealthiest and elite non-Wolgos of Hergom.
Facilities and Infrastructure
- Primary clinics: Small, basic clinics for everyday healthcare needs, staffed by one or two doctors and nurses.
- Secondary clinics/hospitals: Larger facilities with specialist services, emergency care, surgical wards, and diagnostic capabilities.
- Prewstalis Hospital: A flagship facility providing advanced medical care for affluent non-Wolgos.
The establishment of GwoltH2us marks a significant leap forward in medical services for non-Wolgos, who, until the abolition of slavery and the founding of this corporation, had no formal access to healthcare. By offering a combination of basic primary care and more specialized services, GwoltH2us ensures that a broad segment of the population receives essential medical attention. The corporation's focus on cost-effective training and strategic investment has enabled it to extend its reach and provide critical healthcare services. The Prewstalis Hospital, in particular, stands out as a beacon of advanced care, bridging the gap for the wealthier non-Wolgos seeking high-quality medical treatment.
Mortality
Wolgos
When exploring Wolgos mortality in modern Hergom, it is beneficial to distinguish between factors that lead to death and causes of death as a large portion of Wolgos die from suicide once they become infirm, extremely old and unable to live a life they see worth living, they will undergo their death pilgrimage. Factors that lead to death are factors such as age and chronic disease or disability that lead a Wolgos to choose to commit suicide or suffer a sudden or unplanned death. Meanwhile, Causes of death are events such as suicide, accidents, violence, or unexpected illness or sudden death that cause immediate death.
Male Wolgos
| Cause Leading to Death | Percentage | Notes |
|---|---|---|
| Chronic Traumatic Encephalopathy (CTE) and Neurological Disorders | 13% | |
| Cardiomegaly and Cardiovascular Diseases | 12% | |
| Chronic Joint and Bone Degeneration | 12% | |
| Infections, Septicemia, and Delayed Treatment Complications | 12% | |
| Respiratory Conditions (Pollution and Occupational Hazards) | 10% | |
| Substance Use (Alcohol, Oere) | 10% | |
| Blood Clotting Issues | 8% | |
| Cancers (Including Albinism-Related Skin Cancers) | 8% | |
| Mental Health Decline | 5% | |
| Nutritional Decline Linked to Mental and Social Issues | 5% | |
| Other | 5% |
| Cause of Death | Percentage | Notes |
|---|---|---|
| Suicide (Ritualized or Voluntary Death, Death pilgimage) | 60-70% | |
| Sudden and progressive Organ Failure | 10-12% | |
| Infections and Septicemia | 8-10% | |
| Ignored and Untreated cancers | 5-8% | |
| Accidents and Trauma (Including Dueling Fatalities) | 3-5% | |
| Respiratory Failure | 2-3% | |
| Other | 1-2% |
Female Wolgos
| Cause Leading to Death | Percentage |
|---|---|
| Osteoporosis and Bone Density Loss | 15% |
| Complications from Childbirth and Reproductive Health | 15% |
| Neurological Disorders such as Dementia | 12% |
| Cardiovascular Diseases (Including Heart Disease) | 13% |
| Infections and Septicemia | 10% |
| Cancers (Including Reproductive Cancers and Skin Cancers from Albinism) | 9% |
| Autoimmune Disorders and Chronic Inflammatory Conditions | 8% |
| Mental Health Decline from Social and Emotional Factors | 7% |
| Violence (Including Domestic and Intra-Female Rivalry) | 4% |
| Substance Use (Alcohol, Oere) | 2% |
| Other | 5% |
| Cause of Death | Percentage | Notes |
|---|---|---|
| Suicide (Ritualized or Voluntary Death, Death pilgrimage) | 60-70% | |
| Complications from Reproductive Health and Organ Failure | 10-12% | |
| Infections and Septicemia | 8-10% | |
| Ignored and Untreated Cancers | 5-8% | |
| Accidents and Trauma (Including Domestic or Intra-Female Violence) | 3-5% | |
| Respiratory Failure | 2-3% | |
| Other | 1-2% |
| Wolgos Sub-species | |||||
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Physiology topics: Wolgos Psyche - Wolgos Development From Birth to Adulthood - Death for the Wolgos - Wolgos Sexuality - Wolgos Masculinity - Wolgos Womanhood | |||||
| Historic and current Nations of the Wolgos | |||||
| Dhonowlgos | The Bind | Hergom ep swekorwos | United New Kingdoms | ||
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| ~3000 CE - 7505 CE | 7508 CE - 7603 CE | 7608 CE - Present | |||
| History & Geography |
History of Dhonowlgos: History of Dhonowlgos - Stained Era - Era of Rising Lilies
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| Politics & Economy |
Dhonowlgos Politics: Politics - Foreign Relations
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| Society & Culture |
Dhonowlgos Society: Monuments - Society - Brochs of Dhonowlgos
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| History & Geography |
History of The Bind: History - Geography - Military - Science - Brochs of The Bind
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| Politics & Economy |
Politics of The Bind: Politics - Military - Administrative Divisions of the Bind
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| Society & Culture |
Society in The Bind: Brochs of The Bind - communication in The Bind - Demographics
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| History & Geography |
History of The United New Kingdoms: History
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| Politics & Economy |
Politics of The United New Kingdoms: Politics - Military
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| Society & Culture |
Society and Culture in The United New Kingdoms: Wolgos Culture in the UNK - Demographics - Humans of the UNK
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