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May 30, 2020 25 tweets 85 min read Read on X

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More from @John1MD

Aug 8
Dr Parks @PFParks, you have done great service in raising public awareness as to the plight of family medicine in Alberta. I salute you. This ad is an example of the value the UCP places in famdocs, and the games they are willing to play...2
2...@ABDanielleSmith @AdrianaLaGrange, if I am elected prez SFM (Section Family Medicine) on August 23rd...you are going to realize what its like to deal with a real SOB. I'm bringing new tactics, I am assuming you will be unreasonable, and the stakes are going to be raised...3
3...Board of the AMA (@Albertadoctors), I look forward to working with you. @ShellyDuggan, if I am so fortunate to work with you, lets bring hell to this uncooperative bunch. @gilmcgowan I hope to gain wisdom from you, Heather Smith (@UnitedNurses), Preston Quintin et al...4
Read 8 tweets
Jul 26
There is an all-time high amount of moral injury/burn out in the public health services. My family medicine colleagues are leaving. But of those that are not yet committed to leaving, they are all saying...in the clinics, in the symposiums, in the chatboxes...2
2...they are saying "what's the point? Why die on the sword of public health when purse holders insist on starving the system, us, our families, to death?"

You know what that leads to? Further obstructions of care. Family doctors are now trying to salvage their...3
3...Salvage their personal relationships with their friends, spouses, kids. Relationships that fell apart when those same docs took it seriously when they were asked to stand on the line when "we were all in this together". Not for a moment do I blame them...4
Read 14 tweets
Jul 23
Do we need to collectively meditate on what it is to be a corrupt government? In a nutshell, it is embezzlement, against the public benefit, as directed by personal ambition....2
2...embezzlement being the misappropriation of public funds placed in your trust, and put to unintended uses. In case of governments trying to opacify the paper trail, this misappropriation is seldom in the form of direct self-enrichment...3
3...Instead it is laundered through "favours" to cronies. If I offer my crony a $1B contract, they may later, in an "unrelated gesture" offer me what seems to be a legitimate benefit. Maybe in the form of a position on their executive board, making $1M a year...4
Read 7 tweets
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
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 Image
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 Image
Read 10 tweets
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

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