Led the CMA Apology Process. Former Prez
@cma_docs
@IPACIndigenous
. All good paths bring patients and providers together. Tech, med, culture and the future.
There are 3 truths about Canadian healthcare that the public will acknowledge in the next two years:
1. Healthcare is collapsing across Canada because of decisions to underfund it over the past two decades.
For folks who say it’s unsustainable, we’ve been saying that for 30
74% of Canadians say that health care in their province is in crisis. The CMA and its counterparts urge leaders to stabilize our
#CDNhealth
system for timely patient care and safe, well-resourced environments for health professionals.
There’s a reason a nurse needs to go to nursing school. Nurses are uniquely skilled, experienced and competent at what they do.
The idea that non-nurses can just pick up nursing work without training, mentorship and support is non-sensical.
Anyone who complains about their taxes paying for another persons healthcare doesn’t understand the actual cost of healthcare.
When we pool our resources we not only protect those most vulnerable, we protect ourselves and the people we care about.
#cndpoli
#health
If we replaced “health worker
#burnout
” with “workers practicing in unreasonable and unsafe conditions” we’d have a much more honest conversation about what in the health system needs to change.
#cdnpoli
#health
Even if you strip away the inhumane noise levels, constant vehicle exhaust and harm caused to local residents and businesses, ten days is an awfully long time for anyone to expect free parking in downtown Ottawa.
If a person who previously didn’t mask decided to start masking due to the surge of respiratory illnesses in kids going on right now, maybe we should pat them on the back and say “thank you” instead of “I told you so.”
Frustration shared by a non-MD friend who’s now masking.
When people write about this
#COVID19
pandemic years from now, I wonder if they’ll reflect on how much of the death, pain and suffering was unnecessary if we’d just done what we needed to do instead of what we wanted.
#MedTwitter
#FirebreakAB
I was labeled developmentally delayed. My principal told my parents and me that I'd never graduate high school. Afterward my mom held me and told me over and over again: "You are not broken." She refused to accept the principal's prognosis. Because of her, so did I.
To the armchair forensic investigators and amateur historians insisting that children buried in mass graves were victims of disease, please stop.
Society is past the tipping point of accepting a sanitized version of Canadian history.
#genocide
#History
#truthandreconciliation
Research over the last two years is clear. Masks are effective at slowing the spread of respiratory viruses like
#Covid_19
.
Political choices eliminating mask mandates are because wearing them is annoying, not because it’s ineffective.
If you ever questioned whether a free, independent press is important to democracy, you need to watch the Alberta Covid presser right now.
These reporters are on point.
#journalism
#COVID19AB
The most dangerous moment in a health catastrophe is when the persons managing the crisis think it’s over when it’s actually not.
#medtwitter
#OmicronVirus
#COVID19
It takes years of great decisions to build a world class health system.
It takes a handful of bad decisions to burn it to the ground.
Hope Canadians pay attention.
It won’t take too long for healthcare to slide from
good->tolerable
tolerable->bad and
bad->desolate
In between operating room cases at 1AM, I often wonder where the government gets the idea healthcare workers can work harder than we already are. 🤔
#MedTwitter
#oncall
Conversation with my daughter this morning.
12 yo: When can I get my Covid vaccine?
Me: Next week, but you know it’s not back to normal for a while right?
12 yo: Isn’t the fastest way back to normal getting vaccinated?
I always assume my kids aren’t listening...🥰
1/ Beginning of a long thread.
Yesterday a CBC report noted that myself and a surgical colleague reported the hanging of a noose in June 2016. Thank you to everyone who has sent me supportive messages and phone calls since the story was published. It means a lot.
Test if symptomatic.
Stay home if sick.
Come to hospital if you need support.
Wear the right mask in the appropriate situation.
Get vaccinated.
Boosters increase your protection.
Be kind to each other.
3/4
ICU and hospital capacity appear steady in this wave of the pandemic (which is great), but 1000s of surgeries have still been cancelled, primary care capacity has fallen precipitously and healthcare worker burnout is worse than ever.
Healthcare systems are still falling apart.
Thoughts with front-line healthcare workers and colleagues across Canada today, especially in Ontario.
Despite the hate projected onto us by a proportionally small group of Canadians, we will continue to be there for patients.
My 6 yo was fixated on getting rid of his favourite video game this week. We play it almost every weekend.
Today we cuddled and watched a movie. After, he confided to me that the game reminded him how afraid he was I’d die from covid at work.
Not what I was expecting.
I feel like I should have booked the day off. 🥰
Thank you. Thank you. Thank you.
We can change healthcare systems together.
Thank you for putting your faith in me to
#amplify
your voice.
Dr. Alika Lafontaine has been elected as 2021 CMA president-elect nominee. Congratulations to
@AlikaMD
, an award-winning physician who practises anesthesia in Grande Prairie, Alberta:
#CDNhealth
Am getting my children vaccinated for
#covid
as soon as the 5-11 becomes available, same way I’ve had them
#vaccinated
for preventable diseases all their lives.
Am also turning off most comments for this tweet as some people feel strongly about parenting my kids.
#MedTwitter
I have four kids, three btw 5-11. They’ve had lots of questions re:
#vaccination
. We’ve had many talks. They made the decision to get vaccinated for
#COVID19
together today.
Does this make me a better parent? I don’t think so.
Does this make for
#safer
children? Absolutely.
Just to be explicit, this doesn’t mean I’m calling for a lockdown. It means we should all remember the choices we make matter.
#COVIDisAirborne
#COVID19
2/4
Supply and demand continue to be macroeconomic facts that operate in parallel to inflation and taxes.
We’d love to welcome NHS docs to
#Canada
so we can increase our supply and meet patient demand.
@CMA_Docs
is working hard to make it easier for colleagues worldwide to join us!
@Conservatives
3️⃣ Today’s offer is final.
There will be no more talks on pay.
This country will not be bullied into higher taxes or higher borrowing to fund unrealistic pay demands, risking higher inflation.
It’s hard to process the
#COVID19
death of a 14 yo yesterday. Blaming comorbidities minimizes the role society has in protecting our kids.
Stop rationalizing. Grieve, then do everything we can to prevent it from happening again.
Our kids deserve better.
I often get asked the question, “why is everyone so sick on reserves?” I turn it around. I ask “why are people healthier in other areas?”
This shifts the conversation from “why are they broken” to “why is the system broken?”
The first step in addressing any crisis is to acknowledge that there’s a crisis. The second is to fully commit to confront it.
No life has ever been resuscitated and stabilized with a half-effort. Same applies to health systems.
We are in a crisis in
#healthcare
.
#cndpoli
What will it take for governments to act on the pediatric respiratory crisis unfolding across Canada right now?
The impacts of the crisis must be in the line of sight of political leaders. Share your stories. Call your politicians.
Make sure none of them can look away.
Just like individuals are the sum of their lived experiences, countries must reconcile that same fact.
The past is who we are today, but doesn’t need to be all we are tomorrow.
#CanadaDay
#CanadaDay2021
As a rural specialist who has been in Northern Alberta for the past 12 years, I can compare the state of healthcare today with rural healthcare when I first arrived here.
Capacity just wasn’t an issue in 2011. If an emergency came in, we handled it. There was no triaging of
Please look at this map of hosp service disruptions!
This is NOT:
"docs taking holidays at that same time"
and will NOT be fixed by:
"changing management"
the govt of AB funds/owns/controls these hospitals... FULL STOP.
When I was inducted as
@CMA_Docs
' first Indigenous President, my mom reminded me that I needed to “own my power” and embrace the belief that I could help make health systems better. I had a responsibility to the people who’d cleared the path before me to live up to their
It is impossible for Canadian health systems to return to how things functioned pre-pandemic.
Our foundation has cracked, our health workforce is past burnout and our patients need more support than ever before.
We have lost capacity we won’t get back without deep investment.
Still remember 1st year Med being the only
#Indigenous
student in our four years of medical classes. A lot has changed since then at
@usask
, but the loneliness I’ll always remember. Keep strong
@chikastacypoet
, it’s a unique and powerful experience. You’ll be better for it.
If you still believe covid concerns are overblown or conspiracies, put your digital device down and go walk around your local hospital.
The answers aren’t on the internet. They’re in the real world.
#covid19
#medtwitter
#vaccination
I wonder if the social determinants of health would make more sense to non-academics if they were relabelled “social policy and investment choices that create health or sickness.”
These aren’t random events, or circumstances we can’t control.
Kids are finally asleep, likely dreaming about what tomorrow will bring.
As a physician, I’ve missed a lot of Christmas eves away from them over the last 14 years. Feeling pretty grateful for physicians, nurses, and other health workers keeping the system going tonight.
Dr. Williams is the first (and only, I believe) Indigenous forensic pathologist in Canada.
I hope her voice is at the tables supporting Indigenous communities as they address the possible forensic requirements of residential school unmarked graves.
#ADayToListen
My thoughts on the Residential School grave sites, and the potential forensic work involved.
1. The work must be guided by the decisions and wishes of the families and communities
A friendly reminder to newly elected and recently reshuffled politicians.
MDs, nurses and
#hcw
are not your enemy in this battle against
#COVID19
. We’re your greatest ally and resource.
Treat us this way and we’ll come through for you over and over again.
#MedTwitter
#Elxn44
Some might be surprised at the emotion Alberta MDs are expressing on social right now. For those who think it’s just venting, it’s not.
You’re reading the fears and hopes of MDs who’ve sacrificed and invested deeply in AB’s healthcare system.
We want it to be successful.
Great chat with Dr. Theresa Tam
@CPHO_Canada
at the Coalition for Health workers meeting today. 😁
Public health physicians have shouldered an incredible burden over the past few years. Thank you for your continued service. 🙏🏼
Addressing healthcare provider burnout means making working environments safe again.
Safe staffing levels. Safe to report problems to decision makers. Safe access to equipment and consumables.
Transparency on where care is safe, is unsafe, and is at risk of becoming unsafe.
Triage and rationing in healthcare are very different.
If healthcare was dinner, triage means you'd wait in line for your turn to eat. You'd eat eventually.
Rationing means by your turn, there's no more food.
#hcw
are desperately trying to feed you.
#MedTwitter
#GetVaccinated
Today I was ratified as
@CMA_Docs
President-Elect, the beginning of three years supporting and leading the national organization that unifies Canadian physicians.
/1
There are three types of people in successful societal change.
The people who drive change, the people who support change, and the people who realize they need to get out of the way.
I was labelled developmentally delayed as a child and told I’d never amount to anything significant. My mother let go of her dreams of a career, replacing them with my dreams; she never gave up on me.
On
#InternatinalWomensDay
, thank you again Mom. I owe you my
#everything
.
We desperately need effective leaders in this
#healthcare
#collapse
.
Effective leaders are transparent about crises, educate about root causes and dialogue with patients and providers.
Ineffective leaders dismiss crises, conflate root causes and gaslight patients and providers.
Truth, covid is airborne.
Also truth, covid’s impact on healthcare peaks then falls (except long covid) in waves.
⬆️Admin burden, ⬇️mobility, crumbling primary care, climate inaction, no nat’l data and HHR plans, are examples of constant stresses.
Also, we’re in the ditch.
@AlikaMD
One super quick way to make it less likely we drive into the ditch is to finally recognize the science that
#COVIDisAirborne
and bring back strong mitigation. Otherwise disability will mount, more health professionals will get sick, and collapse is guaranteed.
Act now
@CMA_Docs
Managing health systems with a “work longer, work harder” approach no longer works.
People don’t have any more to give.
What’s the solution? Change the health system so we can open up more capacity.
- pan 🇨🇦 licensure
- a nat’l HHR plan
- make sure providers focus time on care
As a physician leader and tireless advocate for Indigenous health,
@AlikaMD
’s passion and dedication are inspirational.
Congratulations Dr. Alika Lafontaine on being named one of Canada’s Top 40 Under 40 👏👏👏
#can40under40
If you’re unhappy with,
- health system fragmentation,
- lack of integrated end-2-end care
- policy decisions that minimize costs above all else
you will REALLY dislike private healthcare.
In public systems these are parts of cycles. In private healthcare these are features.
There’s an ongoing MYTH that national physician licensure will lead to a mass exodus of physicians from rural and remote communities to cities. Let me take you through the logic to explain why this is VERY UNLIKELY to happen.
A thread 🧵
The most important improvement needed in Canadian
#health
systems right now is access to health services.
The most effective way to achieve that is to value the folks who do the work and keep the system running.
Value people -> solve patient access.
2. The only folks who can reverse this collapse are politicians who hold the purse strings and have the power to change policies and regulations to guide different activity in the health system towards something better.
Going it alone has never helped. Working together does.
“Canadians are right to look at all orders of government and say, ‘This is terrible. You guys really need to solve this,”’ Trudeau said.
The future of healthcare is replacing how we used to do things with ways that work better. We need action now.
I guess we still live in a Canada where you can’t show up in the capital with heavy machinery, stockpile gasoline, demand the undemocratic overthrowing of a government, then expect nothing will happen.
The
#KyleRittenhouseTrial
verdict reinforces to me my parental responsibility to teach my kids they do not live in a just world and that their
#privilege
remains temporary.
This doesn't mean that the world is not filled with good people. We just can't blindly trust the systems.
Tommy Douglas introduced Medicare, but
#MoniqueBegin
set the national standard - adopted unanimously in parliament too!
My favourite quote from her, “We take medicare for granted, and more often than not complain about it instead of defending it.”
#HealthcareLegend
I’d argue the most beautiful sound in the universe is a newborn crying immediately after delivery during a crash C-Section.
It’s like they’re saying thanks for getting me out of there. 👶👋🏽
#medtwitter
#callthoughts
The
#healthcare
system is the result of what we’re willing to accept, not the result of what we can afford.
We have cut too deeply into healthcare budgets. Budgetary goals must not override humane treatment of patients or patient safety.
#medtwitter
If we don’t refocus the conversation of 🇨🇦 health system sustainability back to the patients who use it and the professions who provide it, we’ll be forced into conversations about its survivability.
#health
#cdnpoli
It’s a very scary time we’re in right now with institutions that provide core services like healthcare, education, public safety, etc.
The solution is to remake them into what they should be, not to deregulate them and do free-for-all change.
What should they be? Role of
It's always inspiring to see the listening, learning, and reflection Canadians go through on
#NationalIndigenousPeoplesDay
.
This
#NIPD2021
, ask you to keep a bit of that space for issues affecting Indigenous Peoples the other 364 days too. 🙏🏼❤️
We can change what we remember.
I was just asked to be on The National to discuss Roe and abortion...and then I found out it would be a panel with a "pro-life/anti-abortion" voice. I am livid and sent this reply. I couldn't care less if this means I will not be asked back to the CBC. It needed to be said.
I've been reading around
#gaslighting
lately. For those new to the term, it's a type of manipulation where seeds of doubt are planted within a targeted individual or group, making them question their own memory, perception, or judgment.
1/17
Suggestion to journalists covering the health system collapse. “Does Canada need more private health care?” is probably the wrong question to be asking.
“Will private health care solve our current problems?” is closer to the right one.
#cndpoli
Last March,
#HCW
were terrified we’d get our families sick caring for patients. I made space in the garage to isolate myself during part of the first wave when PPE wasn’t readily available.
Go forward a year and together we can make sure our loved ones are safe.
#thisisourshot
!