This has weighed on me all day.
This is systemic racism upheld by an institution with power in society.

The continual harm that #BIPOC suffer by initial racist events, compounded by the ongoing trauma of having to PROVE or CONVINCE ppl in organizat'n that the harm is racist /1
must be addressed as part of dismantling #systemicracism

Who holds the power in this tribunal? Was there safety for the victim to speak/communicate with the tribunal of true harm?
At any point was it too personally costly for Dr. Onwuanyi because his safety was not assured?
/2
Why does the onus fall on Dr Onwuanyi to "prove" that racist harm was inflicted upon him?
Did others on the Tribunal have safety to speak up in support of Dr. Onwuanyi?
Why does the institution in power get to have the final say as to whether racial harm was inflicted or not?/3
Racism & anti-racism must be separated from Professionalism in medicine. This is not something that can be left to subjective interpretation- this is about Human Rights, plus the organization in power has more risk of blind spots & implicit bias simply by having power in Canada.
If this was "not racist", then there is very little hope that such power structures will ever be dismantled. And that should concern not only all physicians+ HCWs, but everyone, because this affects patient care in the end.
@carrie_kollias @AlikaMD
#EndRacism
Vent over, for now

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More from @AmyTanMD

22 Nov 20
I'm so sorry, Alberta. 1584 is the equivalent of >5000 cases in ONE day in ON when you take into account the population is 3.3x that of AB.

The lack of action by the govt to protect its people, protect the healthcare system & its healthcare workers is criminal. #COVID19AB
What scares me about this situation in AB and the great strain it's having on my friends & colleagues:
1) no mention of shutting things down = hospital beds will run out soon. People needed to staff beds.
2) breakdown of contact tracing = no control possible.
/2
3/ no prov mask mandate: rural cases ⬆️-don't rural AB'ns deserve layer of protection esp given rural healthcare resource limits?
4/ it's NOT just COVID overrunning system. AB roads are not kind in winter. There are traumas & other issues
5/ what will disability be w #LongCovid?
Read 5 tweets
22 Nov 20
I'm so sorry to my colleagues in Minnesota. I am so fearful of when (not if) these headlines will be in Canadian papers, likely MB and AB first.
Don't know what else to say or do.
#COVID19 #COVID19🇨🇦
This described the situation in #COVID19MB on Nov 17, 2020:
winnipeg.ctvnews.ca/our-capacity-i…
And this is the situation in AB today. The exact upper limit of beds total & for #COVID19 is apparently a moving target but Dr Hinshaw has always said there are 70 allocated ICU beds as ICU beds are needed for other things too (heart attacks, trauma etc). 56 ICU today.
@CBCFletch
Read 9 tweets
12 Nov 20
Having moved to BC last week, trying to understand and interpret #COVIDBC numbers after being immersed in AB numbers and metrics. Made chart of stats I look for to get a snapshot of current situation:
Data source: bccdc.ca/health-info/di… (Dashboard)
Nov 10/20 (no update today) /1
What to take from these numbers? There is a spectrum of tolerance for # cases/100K but this is a good colour framework from Brown & Harvard Schools of Public Health led by
@ashishkjha globalepidemics.org
Also how to interpret test percent positivity:
/2
The takeaway is that there are definitely two hot zones/health regions in BC, but the rest of the province has been increasing and is at risk of cases increasing.
A mask mandate for indoor spaces seems like low-hanging fruit to help contain things in areas w less in community
/3
Read 6 tweets
11 Nov 20
Reflecting & remembering all veterans I've had the privilege to care for in hospice & their sacrifices for our freedoms.
Last yr, I cared for a D-Day vet who fought as 18yo & was able to thank him on 75th anniv of D-Day in 2019. His humility re his sacrifices was striking.
/1
I think about him & all I learned from him ++. He always told me the allies did what they needed to do and banded together to fight the enemy & minimized his sacrifice despite being 18!! I wonder what he would think of the reactions to the need for sacrifices for #COVID19
RIP.
Thank you to all veterans for your sacrifices for our freedoms. We must never forget your sacrifices and must continue to learn & be inspired by your actions.
#RemembranceDay2020
Read 4 tweets
10 Nov 20
Doctors shouting from the rooftops for #COVID19 circuit breakers are NOT the enemy, as much as some govt's paint us as such. We don't want businesses to shut down, we wanted things to be done more SAFELY. We have been trying to prevent getting to this point in many provinces. /1
But with ICUs & hospital wards filling up, HCW getting sick or isolating, we are AT THIS POINT now where care MAY NOT be available to YOU if you need it for ANY reason. We are pained that businesses are suffering, but without a functioning healthcare system, no economy thrives /2
The only way we will get through this as Canadians will be to WORK TOGETHER against the coronavirus, not each other.
We are not the enemy here. We hope you never see pts dying in front of your eyes because there's no ICU bed available for someone under your care if they need it.
Read 4 tweets
8 Nov 20
One thought for a pan-Canadian approach:
A threshold for enacting short, sharp shutdowns for 2-4 weeks to break the circuit of out of control cases.
I don't want lockdowns, but letting things spiral out of control is not an option, either!!
#covid19Canada
A second one is one that #Masks4Canada has been calling on for weeks, especially with recent acknowledgement (finally!) of aerosol role in spread: national mask mandate for ALL INDOOR SPACES where you're with someone not in your household.

3rd thought: A NATIONAL scientific apolitical taskforce with multiple perspectives from science, medicine, law, business, engineers, public members, youth members that would commit to being led by SCIENCE to inform and recommend pan-Canadian benchmarks, thresholds for action etc.
Read 7 tweets

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