I think it's time we talk about how healthcare workers are managing the burden of this pandemic. A thread...
Your healthcare workers are tired. We have been fighting to keep you healthy for almost 1 year now, and we cannot handle a third wave. /1
This last 11 months has been terrible for everyone, but the last month brought a glimmer of hope. Hope with the decreasing cases, the arrival of vaccines, and the steadying of hospital numbers. That hope has now been directly challenged by the entry of variant cases of COVID. /2
The variants spread more easily, can be more deadly, and have started to spread in the community. The variants are threatening the hard work we all have done in recent weeks to get control of this virus. They are threatening a spike in cases that could lead to another wave... /3
...which could break both the healthcare system and healthcare workers.
We are absolutely exhausted. We have spent months in the trenches, treating those sick both with COVID-19 and with other medical conditions. We have been doing this in challenging conditions. /4
Conditions where we are constantly putting on and taking off PPE (always worried about a potential breach in protocol), worried about our own safety and that of our loved ones at home, and are trying our best to treat patients within a stressed healthcare system. /5
Our resilience and mental health is at an all-time low. We have taken on the responsibility of not only keeping our patients safe and healthy, but in ongoing public advocacy to keep society safe from this virus. Many will say that this is what we signed up for; but is it? /6
Of course, we signed up to help and care for our patients. But I don't think any of us signed up to do this in an extremely stressed system, during a global pandemic, where going to work puts both our physical and mental health at such extreme risk. /7
All this while often facing public backlash and dismissal of our concerns, and calls to "stay in your lane." This is our lane - protection of the health of the public and the preservation of our healthcare system IS our lane. /8
Personally, I have never been more burnt out. In 5 years of gruelling residency, and nearly 7 years as an attending ER doc, this has been the hardest year of my career. One of the benefits of being a shift-worker in a hectic job is that we are afforded days off between shifts. /9
In the past, this 1-2 day break between a string of shifts does wonders to rest and restore before another stretch of shifts. This is no longer the case. It's taking longer and longer to recover from shifts, which are getting more and more challenging. /10
Patients are sicker, cases hit home more, and I am no longer able to bounce back as easily as I have before. Despite this, my colleagues and I still come to work and give everything to our patients, ever at the expense of our mental health. /11
In the face of all of this, Alberta is proposing easing of restrictions and increasing the risk of a third wave. It's too soon - the variant is a wildcard that we need more information about. /12
The healthcare system is just as stressed as it was before the restrictions were put in place, and healthcare workers are as burnt out as ever.
We are so close to getting a handle on this virus. Please, just give us more time. /13
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I'm calling on @AHS_media to clarify potential misinformation being circulated about the 16,000 vaccine doses available to HCWs this past weekend.
1. When did these slots become available? Talking to those who booked early last week, the 1st available appts were late Jan. /1
This first question is important to clarify, since there is much chatter about HCWs not wanting to fill these slots, leading to a plea by @AHS_media and @CMOH_Alberta on Thursday to fill them. My understanding is that the slots opened the SAME DAY the plea went out. /2
The public needs details on this so that false information about HCWs not wanting to be vaccinated can be stopped immediately.
2. How many HCWs were eligible for vaccinations this past weekend?
3. Were there any issues with notification of these eligible HCWs? /3
A summary of frustrations I’ve heard from my colleagues who are eligible and eager to get the COVID-19 vaccine in AB.
Spoiler Alert: the new abundance of appointments this weekend is not because of lack of interest or desire on the part of HCWs to get the vaccine. /1
1. Those that booked appointments earlier this week were given appointments next week or later. The weekend availability is new.
2. Those eligible for Phase 1A (which is now) have yet to receive their emails/calls about booking their vaccine. /2
3. Those who are eligible for the vaccine who called the booking phone number earlier this week to book are denied appointments and asked to wait for their email (which they’re still waiting for). /3
That is what I feel today after the measures that Government introduced yesterday evening. I'm glad that the health of Albertans and our healthcare system is being made the priority. Now, as HCWs, we can finally focus solely on taking care of patients. /1
To be clear, this is not to dismiss the importance of our economy, but right now, our priority MUST be the preservation of a functioning healthcare system. The biggest threat to our economy would be continuing to allow COVID to spread unchecked. /2
I am thrilled to see a province-wide mandatory mask mandate. This is a simple and easy step to help stop the spread of COVID-19. I am also happy to see *most* services being closed. /3
After some much needed sleep, I've finally been able to wrap my head around yesterday's new measures. Aside from a couple of poorly chosen or meaningless closures, the recommendations have just essentially changed the previous recommendations into rules.
A thread.../1
No indoor gatherings, period. This is the only step that I feel is appropriate. These should have been stopped long ago. The problematic part here is that what is allowed to remain functioning still allows for unnecessary and dangerous gathering of the public. /2
Places of worship can continue to have 1/3 capacity (changed from a recommendation to a rule). As @ryanjespersen mentioned on his show this morning, this still means HUNDREDS of people indoors in some of the larger places of worship in AB. This should be virtual only! /3
Ok team, this is my first ever thread so please bear with me. I’m going to lay out for you all of my concerns with the new restrictions on group fitness, liquor sales, and bar/restaurant curfews today and why they aren’t enough 1/9
First, any restrictions made today have a 2 week lag time. When the healthcare system is already stretched (130% capacity as per @shandro and some ICUs already overcapacity), action needs to be taken NOW 2/9
If we wait until the system has collapsed, it is already too late. If we get to a state where we cannot cope before stronger restrictions are made, we still have to somehow keep afloat in dire circumstances and a lack of beds for at least another 2 weeks more 3/9