And So it begins again.
Lockdown part 2. @MlMcNamaraTD @ciarakellydoc @SusanMitchell_ @MichealMartinTD @jenoconnell
1/ I feel a genuine fear that much of the fabric of society will come apart in various shapes and forms in the coming weeks.
2/ There is already such anger, much of which I worry will not simply settle as the days pass. Obviously there is the shock of the much leaked news of the level 5 announcement.
3/So many parts of society now live with real concern as to whether or not they will have a job or a business to go back to/open in 6 weeks time. I sense a lot of anger about what is considered essential to remain open during lockdown (GAA) vs non-essential.
4/The backlash is already happening, with equally forceful counter arguments. More division. We are all in this together, but that doesn’t seem to resonate this time. All day I have listened to peoples’ views on “who” is to blame for the rising cases.
5/It’s the young, its the schools, it’s those who travelled and didn’t quarantine, it’s those in the border counties travelling down south, it’s the lock ins following the GAA finals, its the teenagers hanging around in large groups without social distancing or masks,
6/ Its the play dates, it’s the house parties, it’s the restaurants, it’s the meat factories, it’s the direct provision centres, it’s the neighbours who had a party.
7/Personally I have no idea who is to blame, if anyone is to blame, or if we are all to blame. But that’s my sense in recent days. It’s anger. It’s a Covid exhaustion in all of us.
8/It’s a anger in many of us who have done all we can to follow the simple guidelines, it’s an anger amongst so many small businesses that spent months ensuring their premises were made exceptionally safe to reopen in June. Months of time and at huge cost.
9/And anger when we watch social media clips of small groups completely ignoring the guidelines. The next 6 weeks will be a real test of a nation. And what will happen when we reopen? A party of “relief” for Christmas, and then lockdown again towards the end of January??
10/ I continue to worry and genuinely believe that we are risking far greater losses due to non-Covid health issues. Many may disagree with me. And they are fully entitled to. But that just the way I see things at the mo.

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More from @ohanloncmr

22 Sep
We must look after all parts of the health needs despite COVID19 @HSELive @DonnellyStephen @SusanMitchell_ @ciarakellydoc

1/ It’s absolutely clear that we don’t have the ICU capacity we need in Ireland. This has been shown in multiple reports going back years.
2/ The numbers are less now than they were, and 20% of the current ICU beds in the public system remain closed. In the times of a pandemic, we have to ask why.
We have to also ask why in the last 7 months the capacity hasn’t been improved.
3/ Regardless of any opinion of pursuing a zero Covid island vs living with the virus, our stated objective from March was to flatten the curve and avoid overwhelming our public healthcare system
Read 13 tweets
8 Sep
1/ Sometimes I wonder are the debates on twitter a reflection on how the wider population feel. Is there such a degree of anger and divergent opinions regarding Covid and our response? It seems to be one camp or another.
2/ I usually try to see if there is merit/data/scientific fact in both sides of an argument. I start off by taking the approach that the opinion of the person is correct and then work back from there.
Read 19 tweets
2 Sep
Facts or fiction. Some thoughts as we enter the winter months @DonnellyStephen @HSELive @roinnslainte @paulreiddublin @SusanMitchell_ @ciarakellydoc
1/ Why do we look for a winter plan every year . We know what’s coming. It comes every year. More acute admissions, the seasonal influenza outbreak, worsening of community acquired infections.
2/ Trolleys and EDs are full, patients can’t be discharged to step down facilities or nursing homes owing to lack of availability, slow processing of fair deal packages, no home care packages etc. We know this. It’s been the same for years.
Read 21 tweets
19 Aug
Questions I have on our healthcare crisis @HSELive @roinnslainte @DonnellyStephen @SusanMitchell_

1/ Ill admit I have questions. Questions wondering how it can be that our health service isn’t what our patients deserve.
2/ It’s a given that there aren’t enough beds in the public system. But there is extra capacity in the system. There are wards closed around the country due to staff shortages and/or renovations.
3/ There have been modular units built on hospital grounds for “Covid surges” which now lie empty- why are these beds not being used to take patients off trolleys and out of emergency departments. Is it a shortage of staff ? Is it a rostering issue?
Read 24 tweets
16 Aug
It’s not about us vs them @HSELive @DonnellyStephen @SusanMitchell_ @roinnslainte

1/ Infighting, anger, frustration, fear, bun fighting. Isn’t life too short for all this. Are we not potentially going down a road of missing the point.
2/ First we must acknowledge one thing, which is key to all of what we do. Whether one is a full time public consultant, a public/private mix, or full time private, there is only one constant that we are all striving for- the best care for the patient sitting in front of us.
3/ We cannot lose sight of this.
Read 18 tweets
12 Aug
The new takeover plan by @HSELive @roinnslainte. Some thoughts @SusanMitchell_ @DonnellyStephen @ciarakellydoc

1. So once again it starts. The narrative from the DOH and HSE that the public system can’t cope. And it’s hard to dispute that fact. The public system is broken
2. Brilliant capable and hard working colleagues working hard in a system that doesn’t function. We pour billions into the public health system every year, a budget that is increasing most years.
3. But do we see the return of that investment as taxpayers? What metrics do we use to see the use of the billions, the value, the efficiency? Over 70% of the total budget is spent on salaries, yet 45% of those employed in the HSE are not doctors, nurses or healthcare assistants
Read 12 tweets

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