Our hospital is so full that much of our emergency department has been displaced to our tent (aka temporary field hospital). We have admitted patients in the tent also.
It’s v. busy. Prudent would be to allow us some breathing room before the “Best Spring Ever!”
#abpoli
#UCP
privatized our hospital cafeteria. No food for those on weekend call. A disaster, just like the lab.
How are we supposed to recruit & retain
#healthcare
staff when we can’t even feed them as they work 24/7?
#abhealth
#abpoli
#ableg
#abelxn23
My MD colleague in hospital today:
“wailing about your freedom for the tiny inconvenience of wearing a mask so that others don’t get sick or die is the least Canadian thing I’ve ever heard of…put your flags away”
#COVID19
#abpoli
Me: “There’s a relatively high risk you may have permanent lung scarring from your severe
#COVID
infxn. <2 weeks ago you were proned, paralyzed & ventilated, but I’m glad you survived”
Pt. w tears welling: “I thought it wasn’t real. They said it was just a flu”
Me: “they lied”
1h into a 16h overnight
#COVID19
shift & things are not good:
7 new pts today alone
14/20 pts. on or near max O2
Almost all <60yrs old
Pts in their 20’s
Every pt.
#ICU
eligible
ICU ++ overflowed
Almost all B117
& Nowhere near peak hospitalization yet
#COVID19AB
#StayHome
Left my house at 0700 for weekend hospital call. Just got home 22:35. Caring for most patients I’ve ever had. Single rooms now triple, pts crammed everywhere, COVID spread through hospital. ED has x60 in wt. room daily.
#healthcare
#abhealth
After 12d of 🏥 and
#COVID
service caring for dozens of pts. The last thing I have to do is make this call
@AHS_media
, b/c my favorite, sweetest pt. just died from COVID.
I’d ask every anti-masker to make this call, but I’m too damn exhausted.
We’re not OK in
#AB
#COVIDAB
Took a pt. admitted for something else, but found to have
#COVID19
. They had symptoms for days prior to admission didn’t tell anyone in hospital.
They never wear a mask out & just exposed >20
#HealthcareWorkers
.
I asked why, they shrugged 🤷🏽♂️
Not cool!
#COVID19AB
#WearAMask
Our hospital is far over capacity. Many admitted pts. waiting in ED for beds which backs up & increases ED wait times dramatically.
#ICU
busy but not crisis
We all want
#publichealth
measures loosened, but should be led by data. Doing while hospitals ++full affects care 4 all.
Overheard from our nursing leaders today in hospital:
“What are we supposed to do? Where are we supposed to put these people? It’s never been this bad in the pandemic. It’s awful!”
#healthcare
#COVID19
#MedTwitter
The parents of infected kids to premier:
“When did the ability of businesses to continue running become the priority over the safety of the public, especially our children? Is this what we can expect as the UCP continues to ‘cut the red tape?’”
#abpoli
0456: 5th admission another young person in their 30s, using last optiflow machine in hospital trying to keep them off a ventilator. x2 more pts. Decompensating on
#COVID
ward.
I hate this virus
Good summary of the truth vs. fiction re: trans care
1. Upper/lower body surgery already nearly non-existent in
#AB
2. Puberty blockers are reversible & give time for kids to decide.
3. Parents always included unless abuse
4. Surgeries uncommon
#abpoli
No ambulances on road cause they’re waiting in emerge
ED wait times long b/c it’s full of inpatients
Full of inpatients b/c the hospital is packed
We send pts. home as fast as possible even if not quite ready
Increases risk of readmission
by ambulance if really sick
around we go
While the
#UCP
were on vacation, we
#HealthcareWorkers
were getting crushed in hospitals short-staffed, exhausted and frustrated b/c of staff exposures & infections.
NOT seeing family, parents, friends or enjoying our “traditions”
WITHOUT our
#vaccines
!!
#AbLeg
#COVIDAB
As a physician in
#Alberta
, I can confirm that we call the people we care for “patients” not “customers”.
It’s frankly insulting to
#healthcare
workers to declare the quality of care we deliver depends on whether pts. pay us directly or not.
#abpoli
#ableg
As a physician, I can confirm that
@ABDanielleSmith
is completely out of touch with the reality of healthcare
I want to focus on providing the best care for my patient, not worry whether they can afford to come see me
@LukaszukAB
@charlesadler
After 15 months of constantly fighting a virus and ourselves I am truly and utterly exhausted. All new B16.17 variant data feels like the exact situation we were in at end of 2nd wave.
How many more times and how many more lives?
#COVID19AB
#COVID19
#4thwave
That’s a wrap.
#vaccinerodeo
closing ceremonies. We’re barely standing but very happy.
2280 people
#vaccinated
~93.5 hospitalizations averted
~22 deaths prevented
Thank you eternally to the army of staff, volunteers, nurses & MDs...
& as always our patients...
#COVID19AB
On w/e hospital call:
The damage caused by anti-Vaxers obsession w terrifying good people w/o any empiric evidence cannot be overstated. Our hospitals are crushed by
#vaccine
preventable
#Influenza
, pneumonia etc. & good ppl suffer b/c now fear all
#vaccines
#healthcare
#ableg
Did an interview with national media about meat plant
#COVID19
outbreaks in
#AB
. Told myself to play it cool & stay scientific . . . .
Called
#Canada
structurally racist bc pandemic mostly affects essential low-income
#BIPOC
workers who die so we can eat
#COVID19AB
@ufcw401
At our hospital
#GIM
group’s weekly rounds we talked through the details of if/when the ICU
#triage
protocol is initiated.
We will provide palliative care to pts. who want to live & would otherwise be given a chance. These are wartime triage protocols.
This was preventable
This is Ferdi, only 7 months ago he was on a ventilator then under my care on
#COVID19
unit at PLC. I got to know him & his fam
I gave him 1st dose Apr 29, today his
#seconddose
.
Thankfully, he recovered fully & now he & co-workers are
#vaccinated
w permission
#COVID19AB
Not a single
#healthcareworker
I’ve encountered tonight thinks this will go well.
Most people likely don’t know that it’s not just
#COVID19
but all the neglected & postponed care for everything else that comes w each wave.
All care is compromised & that’s not fair to anyone
My latest about the state of
#healthcare
in
#Alberta
after 2.5yrs of
#COVID19
“Most Canadians may not realize our health-care system is sick. But the day they need care, they will.”
#abpoli
This is a massive E.coli outbreak from
#publichealth
perspective. These infections can cause HUS, a life-threatening complication, all MDs who work in hospitals fear. The majority of those infected here in
#YYC
are young children.
This is really, really terrible
#abhealth
An update on the E. coli outbreak that started in
#YYC
daycares, as of Sep. 11:
-231 lab-confirmed cases linked to outbreak
-26 patients in hospital: 25 kids & 1 adult. 11 patients have been discharged since outbreak started
-21 pts with HUS, a severe kidney complication
Got to speak with
@RosieBarton
@CBCNews
today along with
@Albertadoctors
President on the state of health care, medicine, and physicians in Alberta. It is almost guaranteed that if the UCP is elected again, many doctors will exit the province
#demoralized
The new plan for
#AB
’s
#healthcare
system?
~1 specialist appt gobbles up the entire $380 health spending account, or 1 ER visit, 1/10 of a surgery, 1 month of common meds I often prescribe, 1/100 of some chemotherapies, 1/8 a day in hospital, 1/20th of a day in ICU
#abpoli
🧵Once Albertans get accustomed to Health Spending Accounts, Premier Danielle Smith wants to eliminate coverage for general practitioners, forcing you to pay for each visit to your family doctor or walk-in clinic. /1
#ableg
Privatizing a previously well-functioning publicly funded Alberta Precision Labs by Dynalife was supposed to save
#AB
18M according to
#UCP
. Instead, it was an unmitigated disaster & now, we the taxpayers, have to buy it back.
How much $$ wasted?
@GoAHealth
#abpoli
#ableg
Finished handing over to day team. That was the worst 17h
#COVID19
shift in 15 months.
But the last pt. I checked sent me off w “Thank you, thank you, I don’t have enough thank you’s. There aren’t enough in the World for all of you...”
Which helps
#COVID19AB
Amen brother
@picardonhealth
“Refusing vaccination is a right. But working in a long-term care facility, attending a… concert & having a meal indoors at Boston Pizza are not…They are privileges for which vaccination should be a prerequisite”
Just finished 2nd admission at end of 16h shift. A v. Lovely pt. who did everything right & got their first
#vaccine
dose when it was offered but unfortunately, still developed severe
#COVID19
w all 4
#variants
circulating in
#AB
, we need 2nd doses in arms ASAP
#COVID19AB
How is this election even close at this point?
It’s beyond party and specific policy and is actually more about the fundamental importance of protecting our democracy.
Strict separations of power are fundamental, w/o them there is no democracy.
#ableg
#abpoli
#AbElection2023
Alberta’s ethics commissioner has determined that Danielle Smith contravened the Conficts of Interest Act regarding Artur Pawlowski.
Read the entire 17-page report here:
Talking to our amazing nurses yesterday while on call:
“I just wished people, the higher-ups & politicians knew what it was like in here for us. If they were actually here on the ground w us, they wouldn’t keep saying everything is fine…”
#healthcare
#nurses
#MedTwitter
Muddled thoughts about last night’s
#COVID19
shift:
majority of pts. racialized, newcomers,
#BIPOC
or refugees
most work-related infxns or home spread from
#EssentialWorkers
daycare &
#school
related
Now younger, pregnant & post-partum is scary
Sicker, faster
#COVID19AB
1/
On service in hospital during
#AB
4th wave near peak and still managed to coordinate scrubs w Dr Jason Weatherald
#COVID19
Research rockstar &
#LongCovid
clinic founder.
Final thought on last night’s
#COVID19
call. Of 16 pts. I cared for or interacted w last night only 2 were born in
#Canada
.
There’s no scenario where that isn’t evidence of structural health inequity. Upper NE
#YYC
highest /capita cases in
#AB
for entire pandemic
#COVID19AB
Picking the conclusions you want before you write your report is the opposite of how
#science
& the scientific method works.
Another $2M wasted in
#AB
. How many
#nurses
could we instead have hired?
#abpoli
3 Thoughts re:
#UCP
plans for
#LGBTQ2S
kids in
#AB
1. Can they not see the stunning hypocrisy of "my body my choice" re: vaccines, but not trans kids bodies?
2. This hurtful issue & fighting for straws are distractions...
#abpoli
1/3
@globeandmail
I wrote in June 2022 & attacked by UCP comms & folks. Unfortunately, every word & prediction is true today:
“Our universal health-care system is failing. Its death will not be a loud, dramatic collapse but a slow, progressive, agonizing one.”
#abpoli
It has been some time since
#HCWs
received this kind of gratitude and support. It costs nothing, but the acknowledgment and validation means a great deal to those of us who dedicate our lives to
#healthcare
and caring for our communities.
#abhealth
@nenshi
Going into the Easter weekend, I am deeply grateful for all the public servants who keep this province going.
A special shoutout to the frontline healthcare workers who are there for us everyday. A publicly funded and publicly delivered healthcare system is the cornerstone of
What more must
#healthcare
workers do to alert
#Alberta
how bad it is? The results of 4 yrs of terrible policy.
“Truthfully, we are having patients die in the waiting room again. And this is not something that happened in
#Calgary
…”
#abpoli
#abhealth
Insulting all of
#Alberta
’s “stunningly incurious doctors…[who] don’t think they have to learn anything anymore…”
b/c we didn’t endorse unproven, potentially dangerous snake oils during
#COVID
is partly why we’ve lost so many colleagues to other provinces.
#abpoli
#abhealth
As much as Smith is trying to walk it back now…
She made her contempt for physicians, the College of Physicians and Surgeons and evidence based medicine not long ago…
#abpoli
#ableg
#cdnpoli
Update from Village Square! Steady stream of people ~ they tell us that they love the “no appointment!” Dr. Fizza Ratiq is one of the vaccinators and she speaks her first language Hindu, Punjabi & Urdu.
#vaccinerodeo
#COVID19AB
💉
Attending, fellow & residents MDs on in-house call often work 24-26h q3-5d & 80-100h weeks on heavy rotations. The last thing people have energy for often is packing “lunches”.
Finally, I don’t care who provides it, I want HCWs to have access to good food so can focus on jobs.
Last point I'll make before leave the rage machine again. I've had multiple
#HCW
colleagues reach out to me in past 24h in really bad shape: completely burnt, in crisis, broken, F'd, w negative spill over into their families/homes.
I've been there and learned the hard way:
1/
On hospital
#COVID19
service this week & today it feels like a pandemic spiraling out of control.
Multiple sick pts. on Max O2, many new pts. last 48h, some crashing, others died/dying.
#ICU
full, ward full, trying to find space. Daily cases increasing.
#COVID19AB
#StayHome
#healthcare
& esp
#primarycare
in deep crisis, affecting ~4.8M ppl in
#AB
but
#UCP
decides to urgently impose sweeping laws impacting
#LGBTQ2S
community to save kids from evil
#MDs
2021 🇨🇦census ~0.33% of pop identify as transgender or non-binary.
So tired - “Good luck AB”
This is frankly stupid & overtly xenophobic.
I've learned from, studied with & helped train hundreds of "foreign students" & medical trainees. Many count among the best physicians in
#YYC
,
#AB
&
#Canada
.
Our
#healthcare
system collapses w/o them.
#abhealth
#abpoli
#abelxn23
Analysis of 10yrs of research grants
“There is simply no factual basis to suggest that federal agencies favour liberal or leftist research. If anything, social science disciplines often considered leftist by the right-wing are actually underfunded.”
“You did good son. I feel much better…Would your come speak to our congregation and tell them about
#COVID19
&
#vaccines
like you told me? They’ll listen…”
My pt. who is a minister in a rural church
“I’d be honoured”
How to heal our destructive urban/rural divide in
#AB
Glad to see case #’s dropping but on overnight
#COVID19
call again: unit & ICU full, whole families getting sick & hospitalized. Younger/sicker
Tragically while many scheduled for
#vaccination
but not yet received.
As per usual in NE
#YYC
,
#EssentialWorkers
,
#newcomers
#primarycare
For lack of a family doctor:
the
#diabetes
was poorly treated,
The feet went numb,
The ulcers formed,
The germs crawled in,
The infection began - slowly at first,
No fam dr. to ask for advice & didn’t want to go to ED,
But bacteria love the sugars & multiplied,
1/
Supplies arriving!! And we have the perfect selfie band-aids!
C’mon E/NE
#YYC
? Who needs a 1st jab and want to come to an amazing
#vaccinerodeo
?
#COVID19AB
Come on Calgary!!
#vaccinerodeo
current wait time is 30 seconds.
We can go twice as fast but need arms to put needles into. If you’ve had yours help your neighbours/friends/cousins etc. get to Village Square
@Crackmacs
@nenshi
#COVID19AB
This afternoon's presser saw a lot of dodging and spin...
Except from
@PfParks
.
Everyone should listen to what he had to say on vaccines.
#abpoli
#ableg
#cdnpoli
I’m trying to imagine what it will be like for our pts., their families, our nurses, hospital teams, trainees, us as attending physicians.
I’ve provided palliative end of life care hundreds of times, but never based on an algorithm b/c we ran out of ICU space.
Dark times…
My 3rd last
#vaccination
of the night & a 17h day. Meet Chrissy & her almost newly arrived
#Calgarian
baby
She shed a few tears she was so relieved.
#COVID19
in pregnancy is really scary
These
#vaccines
are completely safe and protect 2 for the price of 1
#vaccinerodeo
New experience today. Started receiving insults & threatening voice messages to my research office.
Called a “Nazi…that will burn in hell for spewing gov propaganda” for saying things supported by science to promote saving lives & preventing illness
Nice
@picardonhealth
ICU nurse: “I haven’t been able to wash my pts. for a whole week. It’s awful. I can’t care for my pts. like I want to or should. I’m so tired of this…”
At least someone reports state of our
#ICU
capacity in
#AB
. It should be the Chief Medical Officer of Health or new AHS leaders - where are they?
illogical this info is couched as important for Albertans “so they can make choices” as if any pt. ever plans to be in ICU
#abpoli
“the Edmonton zone had no ICU capacity left, so if people are sick, they have to stay in the emergency department or be shipped to the south zone or other zones”
#abpoli
#ableg
#cdnpoli
Precisely!! Where did the taxpayer money go? And who profited off of further degrading our already struggling
#healthcare
system?
Would be a wonderful FOIP request by some good journalists as I'm doubtful these details will be made public otherwise.
#abpoli
#abhealth
#ableg
Wow. I’d love to know how much this misadventure has cost the taxpayer. What were the contract break fees on the super lab? How much was Dynalife being paid under the sole-source (was it?) contract? What are the new break fees? Who are DynaLyfe’s lobbyists and their payment?
#COVID19
doctor here: Yelling at a virus w angry faces or blowing loud truck horns wildly does not scare it away into non-existence nor prevent it from spreading, mutating, lasting longer and generally screwing things up for everyone else.
Thanks
#vaccinerodeo
is soooo fast that current wait time is 0minutes!!!
We’re going so fast the wheels feel off a chuckwagon.
Come on
#YYC
! Let’s get
#vaccinerodeo
The playbook of communists, fascists & all dictatorships to control academic freedom
“Ms. Smith, and her soulmates in government, will now vet any research funding universities receive from the federal government for ideological bias.”
@garymasonglobe
Infuriated w
#AB
’s tepid mediocrity in this pandemic.
On the front line dozens of
#Emergency
MDs, nurses,
#hospitalists
and
#internists
who man the ED and
#COVID19AB
wards are not vaccinated and we are bathing in this virus, while only 7/29k are done. Many have been infected.
“After wasting millions of Albertans’ tax dollars to blow up the public lab, the
#UCP
gave the whole thing to a private company who now wants the taxpayer to buy it back from them…
Accurate summary by
@RachelNotley
#abhealth
#abpoli
Democracy sometimes demands more than voting once every 4 years. I am truly worried about the decisions being made and the potential risks to so many, especially our unvaccinated and unprotected children.
#stoptheucp
3. ICU packed full but no alarm bells going off this time
4. Influenzas, COVID, RSV, Pneumonia everywhere incl, nosocomial spread
5. Poverty worse so people get sick
6. Frontlines will eventually get sick, quit, just stop or go on strike.
7.
#healthcare
system affects everyone.
Again, agree 100%
I absolutely love our inpatient and clinic pharmacists. They improve our quality of care, patient safety, reduce errors and are all around amazing colleagues.
I do not expect them to do my job nor do I expect myself to do theirs. That’s not how teams work.
Dividing medical professionals is a diversionary political tactic to destroy single payer healthcare and harvest social capital for profit. A unified health system is a threat to tyranny and wealth disparity.
This is an absolute crisis
"In 2015, the ave life expectancy for a First Nation man was 67 – today…[it is] 60. For First Nations women, it’s gone from 73…to 66 years in 2021.
The life expectancy of a non-First Nations man is 79. For…women it is 84."
My
#nurse
colleague. One of our best. “I’ve worked the past 36/40 days. I don’t really get to see my son much these days. I’ve been thinking about leaving nursing. Maybe I should do something else. It’s much harder this time [in 4th wave].”
What I’ve learned about media/social media during pandemic:
1. Wrote science stuff for small group of other nerds/MDs/scientists - doesn’t go far
2. Write about hospital stuff - more people read as hospitals inaccessible esp now
3. Inadvertently cry on national TV - go viral
“I’m almost done w this garbage...we take all the risk and get zero help...good luck running this hospital w/o us...”
An emerg colleague last night re: our lack of vaccinations
#COVID19
#COVIDAB
#AbLeg
#abpoli
1/3
How much longer do we have to wait in
#AB
before we start bringing
#vaccines
directly to those who need them most????!!
Mass clinics, online & phone appts., kind-of extended hours don’t reach our most affected communities.
It's past 1030 on Saturday night. Lineup a good 500 deep triple looped outside. No "vaccine hesitancy" in these heavily impacted communities. Just vaccine inaccessibility & insecurity. Less barriers means more equity. It starts here.
#DosesAfterDark
I’m livid after a horrible night of
#COVID19
service. NE/E
#YYC
is burning & still no pop-up clinics, despite good science.
Each day wasted means more young people who may not see their kids again or be disabled after.
#COVID19AB
@CarrieTait
🇨🇦 Research Chair:
“To be singling out trans youth from accessing medical care – it is immoral, it is illegal, it is punitive…It is horrific. It will have immense life-altering consequences in the lives of these young people, including death.”
#abpoli