Health & Health System Impacts of Smoke & 🔥 (Fig 1)
A
#PlanetaryHealth
nest, with
#ecological
foundation supporting societal layers, health & health systems.
Smoke & trauma impacts are at the top, from acute to long-term.
Bottom line: 🔥 is bad for you.
I was only person I saw wearing an N 95 in the hospital today. I have two previously healthy friends who haven’t been able to work in over two years because of
#longCovid
. We’re in the middle of a healthcare worker shortage. How exactly do we think that this is going to end?
The thing about
@ElizabethMay
is that when she says she has read the full report, we know that she has read the full report.
Respect and thanks for the work this woman continues to put in on all of our behalf.
WATCH: Green Party leader
@ElizabethMay
:
"Having read the full, unredacted National Security Intelligence Committee Of Parliamentarians report, for myself, I can say, I have no worries about anyone in the House of Commons. There is no list of MPs who have shown disloyalty to
Congratulations to the next leader of
@CanadianGreens
,
@AnnamiePaul
.
Incredible race by an intelligent, strong woman.
The first black woman to lead a political party in
#Canada
.
I am proud.
#cdnpoli
Big day today--feels like a life turning point.
Got up this AM & announced that I'm running to be the next leader of
@CanadianGreens
.
Check out the embedded video in our website—looking forward to shaping a
#HealthyFuture
with you!
#PlanetaryHealth
People...I just realized that I have no ER shifts & only one paper to finish, & no political job...SO I CAN FINALLY WRITE A BOOK!!!
It's the one thing on my bucket list I haven't done yet.
For a title I'm thinking...I'm thinking....A Healthy Future 😉
HUGE 🙏for the good vibes 💚
@EM_RESUS
As Canadian
#ER
residents
@mcgillu
we actually went to
@shocktrauma
to practice treating gun shot wounds because it was felt we wouldn't see enough in Canada to achieve competency in treating them. I finished in 2008--have yet to see something like this in 🇨🇦.
13 hour train trip London-Glasgow yesterday.
Irony of severe weather causing 🌲s to fall on your train’s electrical line on the way to
#COP26
.
Bonus—good friend
@jvipondmd
came by looking for food-& found me!
☺️to making good trouble in great company
@CAPE_ACME
Saw this after interviews discussing mental & physical health impacts of evacuating my home—
#Yellowknife
’s 100 bed hospital & 20,000 person town.
This is cowardly & weak.
Safety requires ⬇️ fossil fuels.
Real Canadians take care of one another & set kids up for a healthy future
A post to mark the passing of legendary
#Yellowknife
nurse Martha Codner.
She held the name and medical history of half of the territory in her head, and the community in her ❤️.
When people come to the
#ER
they are vulnerable; Martha wrapped them in humour, skill and care.
RIP
Multiple times last year I didn't ask about a speaker's fee--thinking the pandemic was tough on finances--& later found out the other keynote, a man, was paid well.
@Melissa_Lem
& I talked afterwards & decided to ask for equal treatment.
Good work, Dr Lem.
World, get better.
To make a long story short, they offered to cover my registration fees only, but extended my international (white, male) fellow keynote speakers the same, plus travel and accommodation expenses—which I only discovered when I reached out to the others directly.
/7
Dr. Elana Fric was a well-respected family doctor & mother. Her children survive her & have to cope with the loss of their mother & of their family life.
This story on surgical wait times risks harming instead of helping.
@nationalpost
@FMWCanada
@DrJenGunter
@sharon_kirkey
In case you ever wondered what a PM2.5 of about 600 looks like.
Smoke from
#wildfires
:
⬆️asthma
⬆️COPD
⬆️Acute ❤️events.
Long term impacts unknown. Won’t be good.
🙏 to everyone working to keep people safe from 🔥 & to decrease
#FossilFuels
.
#Yellowknife
🇨🇦
#ClimateWeek
#UNGA78
Imagine spending a year learning economics, philosophy & political science from global leaders in a multidisciplinary cohort of 144 incredible people from 52 countries.
A ♥️-filling privilege.
Here’s to a world better led, served & governed.
#graduation
#MPP
@UniofOxford
Supposed to snow— last day of T-shirt weather :)
As we head towards Thanksgiving let’s give thanks for the fact that
#Canada
is a country where we have been offered precious vaccines.
Let’s gratefully accept, & improve access for others.
#Vaccines
Cause Adults—truer than ever.
I won’t be sharing images, but defacing the statue of Terry Fox, a courageous builder of community who fought so hard to live—as part of a privileged rejection of an opportunity for health & a refusal to do one’s part to get 🇨🇦 through a generational challenge—turns my stomach.
I have never worked in a war zone, but I have had tiny babies die under my care for lack of a ventilator 💔
@JustinTrudeau
@cafreeland
@melaniejoly
@markhollandlib
Please call for a ceasefire to prevent further loss of innocent lives & allow hospitals to get back to saving them.
Doctors Without Borders / Médecins Sans Frontières
At Al-Shifa hospital
#Gaza
:
We have around 600 inpatients
We have around 37 premature babies
We have around 17 patients in the ICU
We have around 600 postoperative patients
They all need medical care.
We need an immediate ceasefire.
Wow. So many viruses in the
#ER
. And an entire cohort of people who became parents during
#covid19
and mostly haven’t had snurfly, feverish, ear achy, coughing kids before.
We need a cohort of on-call grandmas stat.
Great to finally meet
@AnnamiePaul
in person.
A joy to witness her family cheer her on—her Sis 💯 rocked the house & her son is so beautifully proud of his Mom.
Congrats, Happy Family.
With 2 of my very close friends unable to work due to
#longCovid
, it hurts me to see healthcare workers not in a respirator mask.
So many beautiful people with so much to contribute.
If we want healthcare to continue to function, we need to protect healthcare workers.
#Covid19
"HCWs should be provided with respirator masks to protect from airborne disease. They are significantly more effective. All those in healthcare settings, including pts should be provided with respirators to truly curb infectns to the best of our ability. "
Maybe we should ask why Indigenous languages are not official languages in Canada, and why our previous Governors General couldn’t speak them.
NWT has 11 official languages.
#cdnpoli
#reconciliation
NEW: The official announcement is tomorrow, but I've learned masking will be reinstated in BC hospitals & clinics
The word "mandate" is not in the advance notice being sent to some healthcare workers
@CTVVancouver
#bcpoli
"I really am sorry, from the bottom of my heart. But if the price we pay is 590 deaths a day then this is unacceptable."
German Chancellor Angela Merkel pleads with the public to follow
#COVID19
restrictions ahead of Christmas.
🙏🏽 to all who have encouraged me to run for the leadership of
@CanadianGreens
.
I view political involvement as humanitarian work that is key to a
#healthyfuture
. However, my 8yo tells me I'm not allowed in that arena for a good few years :) Best wishes to all the contestants.
Just laughed so loud at this that the person behind me on the plane tapped me on the shoulder & said, “I’ll have what you’re having.”
At the risk of outing every medical learner ever I passed the phone back :)
“Why does Daddy have to work so late?”
“Well, he’s pretty much in charge of a pandemic response at our hospital.”
& then I looked up from grating the carrots & went, Huh.
Sending props & 🙏 to all of you who are redrawing entire health systems in a matter of weeks.
Proud of you.
I honestly don’t understand why this has been permitted to continue. If these protesters were not white this would have been shut down days ago.
🇨🇦 leaders are allowing our country to be bullied. It’s important to stand up to bullies. If we don’t, what’s next?
#cdnpoli
A wee tear listening to beloved voices who have worked so hard to take
#climatehealth
from an unattended intersection to an official day at
#COP28
🙏 Friends. Your courage & inspiration has meant the world to me, & given me hope on behalf of my patients & children.
@GCHAlliance
Responded to two medical calls during my flight to North America. Appreciate this note & card from
@AirCanada
—much more organized than last time I helped out. Thank you!
#EmergencyMedicine
Just when I thought 2020 couldn't surprise me any more, here I am agreeing with Brian Mulroney that
#Canada
can beat
#COVID
-19 and build back better via:
-
#UniversalBasicIncome
-
#Indigenous
justice & elimination of systemic racism
-⬆️ immigration
💪
#Unity
Voting selfie!
Submitted my ranked ballot for
@CanadianGreens
Leadership Contest with my Lifetime
#1
Fan, m’Dad, cheering me on 😊
The race is close—please check your inbox for your ballot & send it in before Oct 3.
#cdnpoli
#HealthyFuture
I’m thinking it’s normal to have bittersweet feelings around back-to-school after almost 6 months in the near-constant company of one’s children🙃
Sending energy to all the families harnessing love, masks, unmatched socks & giggles for this next stage in the Time of
#COVID
❤️
Back in
#Yellowknife
after about ten days exploring
#SpectacularNWT
.
Ran into so many friends & neighbours as we all vacationed close to home. All are floored by the almost otherworldly beauty of this land.
Here in Deh Cho Territory, at Little Doctor Lake.
#HealthyByNature
❤️
I was thinking yesterday—there is a beauty in knowing that in the
#ER
we care for whoever comes through the door needing help. Makes life real simple.
You’re not on your own with
#Omicron
.
Thanks for the reminder
@alandrummond2
🩺💪🏼
@CAEP_Docs
I am distressed by all this talk of people being on their own during this next (and last) phase of the pandemic.
Let me be clear. You are not alone. Canada's emergency physicians are staffing the department 24/7 and will do our very best to help you navigate the next chapter.
I’m feeling pretty angry that one of my Med school classmates is on evacuation alert due to
#wildfires
in the Okanagan & today’s Med students still aren’t learning about
#climatechange
& fires in official curricula
How about I can’t tweet this in 2022?
@CFMSFEMC
@picardonhealth
"We have a much better chance of getting people to change behavior, accept different changes, if we can make it clear to them how it impacts their day-to-
day life." —
@courtghoward
, president of
@CAPE_Doctors
, tonight on The Agenda with
@spaikin
| Producer:
@GreggThurlbeck
As truckers roll through Ottawa & good people send me anti-vaccine messages re "Big Pharma," the medical community needs to own the role it has played in a loss of trust.
I never want to see pharmaceutical sponsorship of a medical event again.
#NoFreeLunch
@FamPhysCan
@CMAJ
That moment when you realize that whoever wins the
@CanadianGreens
leadership race has to speak after a woman who has been nominated by her colleagues as being one of the best orators in the Canadian Parliament :)
Couldn’t ask for a better kind of pressure. 💚
Had a chance to say thanks to
@DrTedros
as he was leaving the first ever ministerial on
#climatehealth
at
#COP28
.
It was something to hear so many health ministers speak about baselining health sector emissions, & pathways to net zero.
My learning? Leadership matters.
So many healthcare providers who are ++ disheartened by the
#antivax
protests.
1-Active praise for the providers in your life would be appreciated right now. People are exhausted & hurt.
2-How about we hold those internet giants accountable for their algorithms? 🤨
#Infodemic
One of my best friends, a former pro dancer who had a 6-pack when we were 30, is a year into
#LongCovid
& is struggling to walk distances longer than her driveway.
Never unwell enough to be hospitalized, she is entirely unable to function.
Get those vaccines. Stay home.
#COVID19
I suspect many are feeling like
@jvipondmd
💚
We feel individual responsibility.
We need to express it through collective action.
What:
Institutions do we need to create & fund?
Incentives do we need to change?
Training programs do we require?
Sending ❤️+ strategizing energy.
I am so sad about the world and where it is going.
I tried so hard. It was never enough.
Please forgive me, children, animals, plants, ecosystems.
This is all so tragic.
I had a set of board peer reviews that said my leadership style was “coercive.” When more women joined the board, most reviews said I was “authoritative.”
Meanwhile, I was told I was “too nice” at least once a week during
#ER
residency.
The struggle is real. Sending energy!
Proud to launch our platform,"Healthy People, Healthy Planet," a vision of a Wellbeing-oriented Economy to guide us through
#COVID19
& the
#Climate
crisis.
Made nerdy by my
#PlanetaryHealth
buddies & I
Made beautiful by
@wgagnon
& Co🙌
Thread 1/
#cdnpoli
Well, I've spent the entire day in the library reading about
#planetaryhealth
solutions and
#wellbeing
economies and here's the bottom line:
More of us are going to have to go into politics.
I know, I know.
#ThingsILearnedAtOxford
"Learning to treat the climate emergency together: social tipping interventions by the health community" is out!
Our multidisciplinary, gender-balanced group from 6 continents proposes a framework to maximize health sector influence on decarbonisation🧵1/8
Drove from Oliver to Golden today. It looked like this the whole way.
Wildfire smoke is increasingly thought to ⬆️overall mortality.
1-Get
#Climatechange
+ air pollution into curricula stat.
2-End Fossil fuel subsidies. Subsidizing death & disease is unconscionable.
#cdnpoli
When your parents are an
#ER
doc & a paediatrician who have worked overseas & with critically ill & dying children—you get vaccinated.
Vaccines have been robustly safety-tested & save lives.
Let’s keep one another safe.
#GetVax
#communityimmunity
@CMA_Docs
Last shift done! 1500km north of our referral center, locums from across Canada are keeping us going 🙏
Our healthcare system needs a
#WellbeingSociety
to help us out of emergency mode.
Heading to
@BlavatnikSchool
MPP
@UniofOxford
to polish my policy toolkit💪🏼🩺🌎
My best friend of 40 years just texted to say she's thinking of me--waking me to the fact that today is June 10th, the anniversary of my mom's death.
I am so grateful for all of the women who help take care of me❤️
And glad I spent part my day writing this:
Huge congratulations to
@Melissa_Lem
, the new president of
@CAPE_ACME
!
Whip-smart, graceful, an incredible messenger, this woman channels her love of children & nature into work in service of
#planetaryhealth
in the most beautiful way.
So proud of you, my Friend.
“I just got back from an elders meeting & I told everyone to get rid of whatever you harvested. Throw it out,” said Adam, adding the community was waiting on test results of its water supply to determine if it is contaminated."
#EnvironmentalRacism
The damage & devastation in Atlantic Canada caused by Hurricane Fiona this morning is gut-wrenching.
Most importantly, we pray for everyone's continued safety - please follow the advice of local public safety officials & first responders on the ground.
Not good. This is the toxicologist who knows the most about
#TMX
. He participated dutifully in every stage of the process. Health Impact Assessment was never done well. Now he tree sits, today he was arrested.
@jyduclos
@s_guilbeault
@CanadianPM
🙏 Dr Takaro.
#cdnpoli
"It would be best to outfit all public buildings with really strong air filtration systems. There are 2 reasons to do that—one is
#wildfire
smoke & the other is
#COVID19
. It’s airborne & it hasn’t gone away..especially.. heading into virus season"
🙏🏻
@katieunderwrite
!
@CAPE_ACME
Breathable air is becoming a precious resource in Canada. Here, Courtney Howard (
@courtghoward
), an ER doctor and wildfire researcher, explains how clean-air shelters can help—and what it'll take to get them off the ground across the country.
#CdnHealth
Heat-related deaths & wildfires are leading people to reevaluate climate change & what it means for those they ❤️.
Here's my
@TEDx
briefing on why tackling
#climatechange
is the greatest health opportunity of our time.
@CAPE_ACME
#cdnpoli
@CMA_Docs
Nothing like your hospital being evacuated due to 🔥to get you focused on Climate-resilient care.
“It is time to produce a serious plan with near-term targets that lay out what net-zero healthcare in 🇨🇦 looks like, & to resource it appropriately.”
@markhollandlib
@s_guilbeault
Stonehenge! I’ve wanted to come here since whatever grade that was when the only other thing we wanted to talk about was dinosaurs.
Gorgeous afternoon wandering amongst fields & stones,
wondering at the engineering skills & spirituality of long-ago humans.
@joonghee_emdoc
I appreciate this apology. This is a systems issue. I have edited work by medical authors from different backgrounds: it is an editor's job to help avoid phrasing pitfalls. You were working with an all-male editorial board-- in 2019.
#WomenInMedicine
#ER
Feeling sad that this day has come:
After 12 years, the $34-billion Trans Mountain pipeline - "the most expensive infrastructure project in Canadian history" - is finally finished...
George Michael’s “Freedom!” has been in my head as I’ve daydreamed about where to go 1st after 17 days of self-isolation.🥞?🍜? ☕️?
Then a locum couldn’t get on the plane bc of fever/cough—so the
#ER
it was.
So good, after a lot of Virtual Big Picture, to get back to the Bedside.
It’s been a quick ramp up to PPE-for-all-patients, but when you’re 1500 km from the nearest big center & locum replacements are tough to find we decided we’d better do all we can.
Sending thanks to everyone working on supply chains to get PPE to where it needs to be.
#COVID
-19
“Three and a half million Canadians have long COVID symptoms, but you hardly hear from them or about them, mainly because they work from home, if they work at all.”
@HeatherMallick
#LongCovid
"Every long-hauler is different, their body attacked by the virus from different angles and to various degrees. It’s a game of Snakes and Ladders. We get better, we worsen. It’s wrong to say we get “tired” and “sleep.” We crash and disappear"
Was delighted to meet colleague
@DiarmidCL
before he left, by 🚴♂️, to 🇬🇧 to take part in
@COP26
. I was glad to add my name to the millions who have signed the Healthy Climate letter calling for action to address the climate & health crises. Such commitment makes me
#ProudToBeWHO
.
What a role model. "I hope in return I leave behind a belief that you can be kind but strong, empathetic but decisive, optimistic but focused, that you can be your own kind of leader, one that knows when it's time to go."
Came on shift yesterday into a high-acuity, extra-staff kind of
#ER
.
Realized an hour in that all ER MDs, RNs, & RT— were women.
Female ERPs were few when I trained.
Honoured to hold down the fort in the North alongside these skilled, compassionate women.
#progress
@CMA_Docs
A real bright spot in a strained
#Emergency
summer: sharing an
#ER
with home-grown Métis doc
@tdhont
in his first shift as an attending after having worked with him in his 1st shift as a 4th yr Med student.
I’d say I didn’t coo & get a bit teary but…
#Proud
#LifeInMedicine
😊☀️
My last
#ER
shift before the
@CanadianGreens
leadership vote is newly in the rearview mirror.
6 days of crisis-management, teamwork, & being present at 2am at the bedside with 🇨🇦s in need of help. I’m proud of that work.
Now-focus on
#PlanetaryHealth
crises.
Onwards! 💪
5 yrs ago I squeaked into the 🇨🇦reception at
#COP21
& gave
@cathmckenna
an open letter from > 100 MDs asking that climate be treated as a health crisis.
😊today at the title of the new 🇨🇦climate plan
"A Healthy Environment & A Healthy Economy"🙌
#cdnpoli
"We are privileged to bear responsibility for health at a moment when action taken to leave fossil fuels in the ground can play a definitive role in improving health..now (&) for all future generations."
@Richard56
@ojistohhorn
@CemShweta
@MMamdouhEissa
When your trailer’s stove conks out within driving distance of Grande Prairie &
@AlikaMD
& family welcome you for dinner ☺️
What a pleasure to connect & watch our kids play.
Can’t wait to see this big-❤️’d super smart doc installed as
@CMA_Docs
President Elect🙌
As our lives are taken over by
#COVID19
, huge decisions are being made about $ for economic stimulus.
We have a generational opportunity to bring to life a stable, low-carbon vision of
#planetaryhealth
.
The alternative is more crisis.
@CAPE_Doctors
HUGE.
#Climatechange
& health has been added to the test for graduating MDs in 🇨🇦.
🙏to all who made this happen, esp next gen MDs.
Many docs don’t know what they don’t know.
Expect:
✅ ecoanxiety
✅”what should I do?”
Provide:
✅support
✅opportunities for agency
#cdnpoli
Les changements climatiques et la santé sont maintenant reconnus comme un objectif de l’examen général que passent tous les étudiant(e)s en médecine du pays à la fin de leur parcours doctoral. Enfin!
#meded
@courtghoward
@CAPE_ACME
@CFMS_HEART
Source:
You know you’ve been a shift worker for a long time when heading to the emergency room somehow makes it feel like the holidays :-)
So much influenza, peeps. Wear your masks, wash your hands!
@CAEP_Docs
Celebrating a great day with some of my favourite peeps!
1-The 1st woman of colour as VP-Elect of the US.
2-Darcy Scott has handed over as Medical Director of Stanton Hospital.
3-I’ve made it to 42 w faculties intact!
🙏 for so much, including NWT Covid-control & its bubbles :)