By Sept 15, Canada had more covid deaths in 2022 than ALL OF 2021.
With 3.5 months left to come this year.
By Thanksgiving, we will pass 2020's total.
So you can talk about "milder" & tell me "lower ICU" (and try to ignore collapsing hospitals)
Yet The Deaths Are Still Higher
I want to be clear:
@fordnation
is NOT telling the truth here.
"I want to be clear, Ontarians continue to have access to the care they need, when they need it," Ford said at an announcement in Stratford, Ont.
tl;dr "Of course masks work. And no, they have almost zero harms. If you still object to them, that is your right. But be aware that that objection is based on ideology or comfort, not on the scientific merits of masking."
Let me get this straight:
@OntarioPCParty
- had online balloting,
- converted each ballot to pdf,
- printed out each ballot
- then SCANNED each ballot to electronically record each vote?
Good luck with that "finding efficiencies" in govt, folks 😂🤣
#DumpsterFire
#onpoli
#pnpcbc
Can
@Twitter
explain why Amir Attaran saying PM should be "tarred and feathered" violated its rules against “targeted abuse,” so permanent ban, but E. Levant calling for a "bounty" on
@NaheedD
isn't targeted abuse?
Double standard suggests anti-vaccine / public health bias.
.
@TheTorontoSun
, this is full of debunked crap. I know it's a canned column but it is embarrassing for you that you've published it. Only suitable response is withdrawal and apology to your readers.
@OntariosDoctors
@CaulfieldTim
@_llebrun
Disrespecting Terry Fox and his family (who were there)?
There truly are no lows for some people.
And
@MichaelCooperMP
of the
@CPC_HQ
hangs out with them?
Imagine what he'd do if he's in government
This reminds me of Harper gagging scientists in the government.
Trying to prevent physicians from speaking up because their expert advice doesn't fit the Cons' ideology is dangerous
The federal Conservatives are calling for a London doctor's medical licence to be revoked and have accused her of lying about safer opioid supply.
@RandyRatLFPress
has more:
#ldnont
@glen_mcgregor
As an emergency doctor, I see many intoxicated people and have learned the following lesson: You've heard of 'releasing the inner child'?
Alcohol releases the inner asshole.
Not "creates" - Releases
@CanadasLifeline
This is more than disappointing.
Let me know when you decide to care about your donors again and I'll donate again. I will not put my health at risk at the whim of whoever else happens to be there
So a provincial directive to schools - telling them that they cannot, must not go above and beyond to protect their kids - doesn't apply to private schools? Aren't private schools under the authority of Ontario's ministry of education?
"There is no available pediatric ICU admission capacity anywhere in Ontario at the moment."
"We have a very strong health-care system in Ontario,”
@SylviaJonesMPP
said Aug 8 “.... to suggest that it is in crisis is completely inappropriate.”
I'll tell you who's inappropriate
My condolences to all my fellow emerg docs in Alberta, along with other docs, all healthcare workers, patients, anyone who believes in reality-based policymaking.
So if anyone tries to tell you that this wave is "mild" or that we shouldn't restore protective measures because there aren't "enough" patients in the hospital or in the ICU, remind them that the healthcare system is not what it used to be and cannot handle ANY f*&ing increase
Snapshot from the frontline:
I am covering for a colleague with covid. There are residents off with covid. We are admitting patients with covid. Have encountered many with long covid.
This virus continues to cause major disruption in our healthcare system.
#MaskUp
How many fucking EDs have to close to count as "severe strain"?
"Moore said there will be no orders for mandatory masking in indoor public spaces such as shopping malls this fall and winter unless COVID and other illness levels put the health-care system under severe strain."
Contrary to the evidence that they save lives.
Contrary to the evidence that they need to be where the drug use is happening.
Contrary to the Supreme Court decision.
He doesn't say he'll move them -
He'll close them.
And more people will die as a result
So
~10,500 hospitalizations This Week in 🇨🇦 FROM covid-19
- A system with minimal, if any surge capacity
- Vaccines weeks-to-months behind the US & behind when we need them
- Vaccination rates have collapsed because of poor comm'n from leadership
What could possibly go wrong?
@BattlingBeaver
Finally, there's not a province in this country that isn't struggling with ER closures and extreme hospital bed and family physician shortages, as
@alandrummond2
and other clinicians and hospital leaders can (and sometimes do) attest.
If provinces actually reported COVID-19 data
@deonandan
Two years ago, we implemented public health measures to avoid overwhelming general hospitals. Now, pediatric AND general hospitals are overrun. We have more tools (eg: vaccines) and know what works (eg: mask mandates). Why are the leaders refusing to use them this time?
Ottawa's Montfort Hospital says an "unprecedented shortage of nurses" has forced it to make the difficult decision of closing its emergency room overnight on Saturday and Sunday.
In Canada's capital and Ontario's second-largest city.
Scottish & Cdn experts questioned Ontario’s decision to expand alcohol convenience especially while its hospitals & emergency rooms are unable to meet current demand of 320,000 alcohol-related hospital visits /yr—a number bound to ⬆️ with ⬆️ retail access
@NightShiftMD
Completely false and easily proven to be false, which really makes it hard to listen to the "both sides are acting badly" arguments.
I remember when facts used to matter
Kieran Moore actually said:
"We MAY ASK Ontarians to wear masks as we go indoors INTO THE FALL and we MAY MANDATE IT IF our health system has too many people getting admitted, TOO MANY PEOPLE WAITING IN EMERGENCY DEPARTMENTS"
Has he fucking looked around? TODAY, not the fall
Some questions:
What is my legal liability if I'm convicted of using an expired tongue depressor?
What happens when a tongue depressor expires and "goes bad"?
Where are people inserting these things that they require a STERILE tongue depressor?
How much 💰 is being wasted here?
And let's be clear: these closures and reductions due to covid are a result of premature lifting of protective measures (eg: masks) and a result of mixed messaging from political and public health leaders which cause the public to think that the pandemic is over.
Grift 1 was needed to allow for Grift 2:
The Ford gov't amended the Barristers Act in 2021..to state that persons who have been attorney general can be called to the bar without having to comply with any of the Law Society’s rules for licensing, exams & payment of fees.
@FordNation
saying untruths: As hospital departments across Ontario have been forced to shut their doors and scale back hours in recent weeks, Premier Doug Ford said Wednesday that the province's health-care system is still meeting the needs of Ontarians.
Now more than ever, Ontarians need a little extra help. That’s why we’re extending the gas tax cut for another year — so you can keep more of your money. Extending the tax cut will save the average Ontario household an extra $195 per year.
@fordnation
@fordnation
is gaslighting Ontarians with this holiday message. He and
@SylviaJonesMPP
have been on holiday for weeks, instead of attending to the collapsing healthcare system.
Yes, please stay safe, because there are closed emergency departments & ICUs all across Ontario
If private delivery truly took pressure off the public system, Quebec should be the best-performing system in the country. The fact that it's among the worst, if not the very bottom, reveals the error in that logic
Surgery wait list so long this Montrealer's raising funds to have hips replaced in private system
Thousands of Quebecers waiting for orthopedic surgery
Pharmacists and doctors make great teammates - they do not replace each other
@OntariosDoctors
gets that, and that every Ontarian deserves a family doc
Pharmacist ≠ Physician. Full stop.
@ONgov
needs to address the root causes instead of applying band-aid solutions that benefit large corporations over patients.
Listen as Dr.
@DominikNowakMD
explains why everyone in Ontario should be demanding a family doctor.
#onhealth
.
@alandrummond2
And, without adequate testing, we're relying on laggng indicators like hospitalizations, so we will continually be 2-3 weeks behind the virus.
But Freedom!
Today is a good day.
It is and always has been disingenuous to claim that this was for the benefit of low and middle income Canadians.
@CMA_Docs
research made clear that a private parallel tier would not improve wait times overall.
Schools — and our kids, their teachers and staff — are all at the mercy of politicians who keep getting “careful planning” and “wishful thinking” mixed up.
“This government’s pandemic management style is to hope for the best and find someone else to blame when the best fails to materialize.”
Pellerin: Ontario's back-to-school plan seems to be no plan at all.
@placentadoc
I know a trucker whose assets were completely frozen.
They deliver live-saving covid vaccines.
Because decent humans help each other through pandemics and other crises.
So is
@JustinTrudeau
going to give his MPs the same smarmy answer he gave
@theJagmeetSingh
or, as usual, has he belatedly realized that the
@ndp
was correct andhe'll try to claim credit for being pushed, unwillingly, to do the right thing?
I'm very disappointed in the person elected Mayor of Ottawa who wants to blame everyone else for his squandering of our money on boondoggles like Lansdowne and making the city worse to live and work in by cutting transit. Truly keeping up the Watson legacy
I’m very disappointed to see
@PSACNCR
targeting small businesses in their dispute with the federal government. Downtown businesses are not responsible for decisions about back to work. They’ve suffered significantly as a result of the pandemic. Let’s keep them out of the line of
"an unplanned closure of an ER threatens the safety and well-being of thousands of Canadians and is unacceptable."
As usual,
@alandrummond2
tells it like it is
"The Ford government just made it all that much worse. It promised much & delivered little"
@NightShiftMD
Brian, how are you describing a system that is burning out people at an unsustainable rate, causing moral injury & increased stress on those who remain, delaying care with documented harms? Emerg is the safety net but I say "collapsing" because even that net is breaking
This is a result of hospitals being over-capacity and the emergency department stretchers being occupied by admitted patients who can't go up to an inpatient bed.
At times, the 40-bed emergency dept where I work has had >40 admitted patients, so no real beds to see new patients
The number of Canadians who visit the ER only to give up and leave - before they receive any care - has increased more than fivefold, according to new data collected by CTV News.
@CTVNews
@AlexandraMaeJ
#ERcrisis
@NightShiftMD
The collapse is being masked by a line of dedicated staff linking hands to hold things together.
Calling it a collapse is an attempt to get support before, one-by-one, those hands slip.
I will be on
@CTVNews
at 7AM Saturday to discuss the hospital crisis (crises?). Those who know me will understand how important this topic is for me to agree to this timing (usually I only see 7am when I sneak up on it from behind on an overnight shift)
Conditions are the worst that docs practicing for 40 years have seen.
Staff try to provide care within a shattered system, but it's painful to know you cannot give the care required and to see the unnecessary suffering.
Thanks
@Avis_Favaro
for shining a light on this disgrace.
#ERCrisis
update - info from an urban hospital in Ontario with an 18-hour wait in an emergency this Friday morning to be seen by a physician.
The wait time listed online by the hospital says it's
a 2.5 hour wait.
Many patients in ER halls waiting to be admitted is a key problem
Air purifiers in Finnish daycare reduced children's illnesses by 18% in a carefully controlled study. This implies huge potential for better public health and cost savings from sick leaves, with a simple intervention against airborne infections.
NEW: How Doug Ford's paper-bag order caught LCBO execs by surprise.
Emails obtained by
@etiennelaj
through freedom of information reveal how LCBO’s top staff scrambled after premier’s out-of-the-blue message on a Sunday night in April.
In 1990 Ontario had 33,000 acute care beds and today we have 22,000. If you want to understand why patients, families, nurses and doctors face a horror show in the ER and why our healthcare system is fundamentally broken - here is the reason.
“We have seen rolling closures (across Ontario), and this has just become part of the norm. I don’t want us to get used to that. It is not acceptable.”
Thank you
@maritstiles
And finally,
"Bring back the damn mask mandates for another month. Is that really so hard?" Hope
@OttawaCitizen
remembers all this mismanagement by
@fordnation
and
@celliottability
and lives unnecessarily lost on election day
Slightly surprised Gurney misses the symbolism and meaning behind the response to the booze map video. It's not that we literally want a map of available Family Docs. It's that we want a Premier who prioritizes fixing our healthcare system over prolonging a strike at LCBO.
We don’t have enough GPs or nurses or support staff. This is the problem we should remain focused on — let’s not get distracted by booze maps, writes
@mattgurney
#onpoli
AMO: "A recent study of supervised consumption sites in Toronto found that a city-wide reduction in overdose mortality rate of 42 per cent after the implementation of supervised consumption sites"
Ont. Minister of Health orders 10 of the 17 SCS's closed.
@alandrummond2
@TorontoStar
@fordnation
seems to think our healthcare system is being overrun with minor illnesses. No.
It's been starved of resources & is having difficulty providing needed services to Ontarians.
Gimmicks like this are not helping.
Healthcare isn't a "convenience." It's a public necessity
@NightShiftMD
No, it's not collapsing with dedicated nurses, docs, & staff "walking out en masse." It's those same dedicated people straining and overstretching to the point where they burn out and drop out. Collapse is the fact we're counting on them to give everything they have - then more
@OttawaHealth
As an emerg doc, this is so demoralizing to see, without any indication that it needs to be done safely, and particularly on top of the milquetoast mixed (or worse) messaging that has come from CMOH on down.
while COVID hospitalizations this year & last have proven less erratic, they have remained at significant levels. The virus was the number one illness-related cause of hospital admissions for all of last year. And the trend appears to be continuing in 2023
How many ICUs have to be max'd out before it's recognized as "severe strain"?
How many admitted patients have to languish in ED stretchers, assuming they even get a place to lie down?
How many HCWs have to leave their professions?
#onpoli
worsening
#onhealth
“With all the challenges that the people of Ontario are facing right now, we need a gov't that is focused on helping people, not themselves. Instead we have one hellbent on returning to an elite old boys club with a cash-for-access culture, focused on rewarding friends & insiders
The hospitals say their emergency departments have overflowed due to an extremely high number of patients with respiratory illnesses including COVID-19 and RSV, as well as other illnesses and injuries.
While the hospital normally operates at >100% of capacity (!), they hit 130%
Merry Christmas, y'all.
Particularly to my friends and colleagues working in the emergency departments, throughout the hospitals, and on the ambulances to keep the public safe.
His crass & cruel remarks about the homeless are even worse when you consider this lie he inserted:
"Bottom line: if you're unhealthy, I'll take care of you the rest of my life - your life."
We all know that this is not true for anyone who needs a doctor or LTC.
#onhealth
Emergency Docs in Toronto / Peel:
"Emergency departments in the GTA are bursting at the seams. The added responsibility of COVID-19 cases, in addition to an unprecedented number of admitted patients awaiting a hospital bed brings us to the brink of disaster."
1/x
As emergency physicians, we do not get nervous easily. We deal with crisis situations daily.
Yet, the storm looming in this province leaves us feeling helpless and terrified.
We had to speak out, this isn’t sustainable— it’s not too late.
An interesting analysis of "hybrid immunity better" : it misses those who died before they could even join the hybrid group.
I recall a similar bias that created the theory that electric shock treated snake bites. The person who gave the shocks lived on top of a mountain 1/2
Dead people can't die twice.
I decided to try to visually represent the concept of "hybrid immunity" to try to show why it's a misleading concept that has the overall effect of hiding the bodies and the magnitude of the damage covid infections leave behind. Here's what I mean🧵
If the patient believes their symptoms need to be seen in the emergency department, so do we.
If it's because of a lack of acceptable alternatives, that's not on the patient
Great to hear that at least one province is listening to physicians and protecting students
Spoiler alert, it's not
@fordnation
or
@Sflecce
But there's still time
your goal is to hold hospitalizations down so the health system doesn’t crumble. You’ll settle for many more folks getting sick if they’re likely to recover without burdening hospitals. Explain this clearly as you harp on about “living with COVID” and “returning to normal.”
This is all being done under the false, malicious, and spiteful myth that if you give the poor money they will squander it but if you give the rich money (tax break, etc), they will invest it for the better good
#onpoli
#basicincome
Patients coming in to the Emergency Department Are NOT the problem - they're our raison d'être.
The problem is that there are so many patients admitted but waiting for a proper bed that we can't see all those who need us in a timely manner
@CAEP_Docs
This is the clearest sign that the leaders have no plan and have abandoned us to chaos. If your closest emergency department is closed, you have to call around to see if any emergency departments around you are open. After you've done that, call
@SylviaJonesMPP
&
@fordnation
With this rural ER closed they encourage you to call the next closest hospital to make sure it’s not closed too.
The “plan” to stay open is not working.
@SherOnHealth
@ScottMillerCTV
Comparing
@fordnation
to Trump. I guess if the red hat fits: "bump up PCR testing and, hence, improve reporting of cases. (Let’s not be Donald Trump, who reasoned that if you don’t test, numbers decrease and the problem thus disappears. Is that really our behavioural model?)"
It’s the worst I have seen in my 14 years on staff. The extent of illness is severe. Multiple viral infections, often in the same child. Superimposed secondary bacterial infections with catastrophic implications and incredible morbidity. Please wear a damn mask!
A Premier who gets it!
"We're adding more beds to help reduce wait times in the emergency room and we'll work with health-care professionals every step of the way."
THANK YOU
@WabKinew
! This is the way to improve ED Crowding.
Please lead other premiers to hear
@CAEP_Docs
We know after years of cuts, patients are waiting longer than ever for care.
This expansion at St. B is part of a larger plan to add acute care beds and staffing to major hospitals in the province.
More investments targeted at stabilizing overstretched hospitals to be announced
A safe supply doctor effectively being threatened with jail; economists attacked. Under Pierre Poilievre, the Conservative Party's attacks on experts have accelerated: blunter, nastier, and more personal. Is this the future in Canadian governance?
@TRyanGregory
And because your government removed the protections in place, dismantled the infrastructure needed to provide you with the information for you to have any hope of "doing your own risk assessment", and gaslighted you about the extent of the pandemic
Non-urgent patients are NOT the cause of emergency overcrowding. Blaming them and discouraging them from coming is dangerous and distracts from real solutions. Thanks
@KenyonWallace
for getting the numbers that emphasize this point.
Pathetic that
@sciam
published this drive-by attack and worse that
@DrJenGunter
had to expend so much energy to get this fixed/removed. As Churchill said, "A lie gets halfway around the world before the truth has a chance to get its pants on." Happy belated Thanksgiving, Dr. G
The insinuation that I bullied
@sciam
into taking down that hit job is ridiculous. Hundreds of people here were shocked at the piece and many wrote threads detailing the deficiencies. Many emailed. I presented a detailed review of the lies and words that were out of context. 1.
@DrEleanore1
@DFisman
It's the same lack of awareness that gives rise to the anti-vaxxers, who haven't seen the devastations of polio, smallpox, measles, etc and so misunderstand the risks that they are assuming and imposing on others
How many more waiting-time records need to be shattered?
How many more emergency departments have to close?
The crisis you've been waiting for is here.
What are you waiting for?
The system cannot tolerate more dithering and inaction
Despite all those who keep saying that a private two-tier system would help shorten public waitlists, it remains a falsehood.
Quebec has gone furthest down that road in Canada, yet waitlists doubled.
This is not a solution - in fact, it makes things worse by ⬇️ public resources
Let's be clear. When
@alandrummond2
and
@raghu_venugopal
say that the hospital system has nothing left to give, they mean that the people who make the system work have given all of themselves and more, and cannot give more of themselves because it's all gone, and they're leaving
And that's the fact. The hospital has nothing left to give. On perilously shaky ground right now and with COVID 7.0 (or whatever it is) and Influenza we are screwed.
Dr. Raghu Venugopal, an emergency room physician in Toronto, says he believes the health system is not collapsing, but rather that it has “already collapsed.”
“So it’s really a dire situation. And we need policy leaders and political leaders to show they give a damn.”
@picardonhealth
@KatharineSmart
Doctors say health system has ‘collapsed’ as patient surges fuel ER closures