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John MD

@John1MD

Apr 28

Forgive me if the details are wrong, I'm only a family doc. And Alberta's penchant for screwing over doctors and patients is immense.

It has come to my awareness that patients being admitted to hospital with active opioid use disorder (what conservatives would call addicts)...2

2...will now be disallowed essentially anything to help them stay out of withdrawal. Regardless of why they are there, their only option will be opioid antagonists. Further, there will be a pathway established towards detainment?...3

3...(again, if I have the details wrong, please forgive). I think there is also rules put in place that if a doctor tries to help these patients stay out of withdrawal, they could immediately lose their privileges AND face a $100K fine?...4

Read 4 tweets

John MD

@John1MD

Apr 26

@ABDanielleSmith @AdrianaLaGrange @DShepYEG @Lorian_H

A number of my colleagues have reviewed the Nurse Practitioner Primary Care Program and have noted, in many ways that this is a Plan far superior to what family docs are getting in the province, and yet...2

2...and yet, many nurse practitioners are already rejecting the Program as not good enough for them. So Albertans, are you getting value for your money? Is the govt ACTUALLY trying to solve the family medicine crisis?...3

3...Or is @ABDanielleSmith's only plan to destroy family docs practices in order to pave the way for patient-directly-pays private primary care? Because, that "declining the offer" screenshot in post #2? This is what that NP clinic is going back to:...4

Read 10 tweets

John MD

@John1MD

Apr 19

The crisis in LTC/SL4 is deepening. More deaths from neglect this week. This information gets obscured by demands of patient confidentiality, and the patient group being unseen (how can you be seen when you can’t leave, can’t speak, can’t reason). Many don’t have families…2

2…they reside in facilities that are horribly under-staffed. The nurses there practicing war-zone care. The paramedics and doctors helping out have to try to be at 8 facilities at the same time. The crises start to stack on top of each other…3

3…falls go unwitnessed. Pressure sores drill to the bone. Dehydration becomes a common cause of death. What hellscape have we let our continuing care become???…4

Read 6 tweets

John MD

@John1MD

Feb 3

@CPSA_CA, I hear you are in trouble. I hear your days are numbered, and as such, the days of doctors being self-regulated in this province.

Whomever of you that may read this...I want you to think on this: the CPSA's official position on disallowing family doctors to partake...2

2...in job action is partially to blame for where we are now (that includes the precariousness of your future existence). By making it so dire for family doctors to take action to represent themselves, you have inadvertently allowed a corrupt govt to take us to...3

3...the gates of hell before we see reprimand from you as being less risky than staying quiet. But, you may counter that your concern is not with the health of doctors' practices, but with the viability of patient's access. This is naive and shallow reasoning...4

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John MD

@John1MD

Oct 21, 2023

I am a family doctor in Red Deer Alberta. Yesterday a wheelchair-bound patient of mine came to the clinic to have a cyst removed off his leg that was causing him lots of troubles. There was no plausible way to get him on a table...2

2...Referring him to a specialist at a hospital with support staff to get him on the table would have cost months if not years in time, many hundreds in specialist fees, maybe thousands in hospital fees...3

3...I created (as best as I could) a sterile field on his lower leg. Then I rigged my equipment tray to be at ankle level, and I crawled under my desk (cramped exam rooms b/c that's what FamDocs can afford) and I drained/excised his cyst...4

Read 8 tweets

John MD

@John1MD

May 23, 2023

Dear moderate Alberta conservatives that are uncomfortable with where the UCP has gone: realize the party won’t splinter while in power. You will not be able to eject the RWNJs until the UCP are ejected from power…2

2…But the moment they do get ejected they will indeed splinter apart. Every day that the moderates and the extremists remain “united” is another day the rest of the province/country sees you as indistinguishable from each other…3

3…The fastest way for you to regain control of your party, and not surrender more of it to TBA is to throw the election. Lend your vote to the NDP…4

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