John MD Profile picture
Jun 16, 2020 4 tweets 2 min read Read on X
@shandro, @SteveBuick2 1..I must say that my life took a step towards the more civilized. With all of Shandro’s destructive changes to healthcare, it was the straw that broke the camel’s back. His policies pushed a colleague over the edge and he quit his hospital privileges..2
2...That took our call group down from 7 to 6, and this was no longer sustainable. So the call-group folded on Friday. It was the last family medicine group that was looking after their own patients in hospital, in Red Deer...3
3...now no Red Deer residents can any longer expect that continuity of care. That’s how bad policy ruins functional systems. But, on the bright side, I will no longer have to take phone calls in the middle of the night. All 100,000 Red Deerians thank you @shandro...4
4...now, to top this off all we need is a response by #IdentifyYourself Steve saying “that was those doctors’ choice, and it had nothing to do with us. We are saints!”

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More from @John1MD

Sep 10
I have been fortunate to explore numerous corners of the western world. Early on I was advised to pay close attention to the people. No further guidance than that. I started looking through the lens of a physician. I saw history & geography determined the habits of the people...2
2...Europeans weren't nearly as obese, but they lived on 1000s yr old infrastructure. They were not a frontier. North America continues to be a frontier, and it shows in our houses, living rooms, pantries, fridges. Stock up, gun up, hunker down...3
3...There is no need for a neighborhood grocery store, so reject 15 min cities! You need a vehicle w 500km range so reject tech that works w a social grid. Be an individual, don't live in your community! Isolate yourself self-sufficiently, and soon there will be no community...4
Read 19 tweets
Aug 29
1...This is coming to your hospitals Alberta. With the faith-based ideology, Covenant Care will be looking to impose these doctrines:

"In vitro fertilization (IVF) is not permitted because it separates procreation from the personal, sexual act of love of the couple."...2
2..."Catholic health care organizations are not permitted to engage in immediate material cooperation in actions that are intrinsically immoral, such as abortion, euthanasia, assisted suicide, and direct sterilization."...3
3..."A female ...If, after appropriate testing, there is no evidence that conception has occurred already, those treatments that would prevent ovulation, sperm capacitation or fertilization are permitted." So, you can only prevent a rape pregnancy, not end one...4
Read 8 tweets
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

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