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Javeed Sukhera MD PhD Profile picture
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16 Apr, 6 tweets, 2 min read
I’m sorry to say that in a Canadian context, #NACI has caused significant harm in relation to their shortsighted recommendations regarding #AstraZeneca in the context of dwindling supply AND the fact that AZ is approved by Health Canada.
This is an example of how effective communication is literally a matter of life and death. In the UK, rapid roll out of #AZ and lockdown restrictions helped them get out of their mess, yet in Canada we will be modeling acopalytic scenarios while the public remains misinformed.
google.ca/amp/s/www.theg…
For an organization that can back an acceptable risk of a 4 month delay between shots by extrapolating evidence because of limited supply, I cannot wrap my head around how an “abundance of caution” led them to flat out contradict Health Canada leading to confusion and hesitancy.
Serious critical reflection is needed on how health organizations communicate. We cannot remain in our ivory towers without considering the real world consequences of our messaging. There is an evidence base to scientific communication that should not be ignored.
Sorry apocalyptic!

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More from @javeedsukhera

Javeed Sukhera MD PhD Profile picture
17 Apr
This is my personal opinion and does not represent any organization I work with:

The measures introduced today by the Ontario government will cause active and irreparable harm for racialized communities in Ontario. They will harm the mental health of Ontario’s children. 1/2
We all know that workplace spread is the source of case counts increasing. Yet instead of protecting the lives of essential workers, the Ford Government has decided to continue to enact half measures while deflecting responsibility for their own dismal failures. 2/4
I join my fellow health workers to call for the following: (1) paid sick leave (2) doubling down on vaccinations in hot spots (3) expanding access to #AstraZeneca for all ages (4) transparently sharing the formula for how a hot spot is designated. 3/4
Read 4 tweets
Javeed Sukhera MD PhD Profile picture
15 Mar
I trust & respect my PH colleagues. I want what is best for the community. But, I can't sit back when people tout "real world evidence" justifying a 4 month interval between doses. THERE IS NO REAL WORLD EVIDENCE because no one in the real world has waiting 4 months before.
More shots for more people sounds like a great plan, but the elation at learning my 84 year old dad got his first shot has waned with fear and apprehension about what a longer dose interval means for his health.
Building trust requires transparency. Not political spin. We need to be clear with Canadians that we have decided that there is an acceptable risk of delaying the shot because officials believe risk is outweighed by the benefit of more first shot protection for more people.
Read 5 tweets
Javeed Sukhera MD PhD Profile picture
28 Feb
Anyone who wants to be an ally, please don’t call yourself one. Don’t put “ally” in your twitter bio. To be an ally is to accept that you don’t get to call yourself an ally. You don’t have that kind of power. Trying to maintain your power is the opposite of allyship.
Being an ally is more than tweeting hashtags and pronouns. It requires active dismantling of oppressive systems of power. It requires resisting censorship and silencing of dissent in the name of niceness and civility. /1
Being an ally is more than warm fuzzies or self congratulations. It requires persistent, enduring, constant struggle and endurance. /2
Read 7 tweets
Javeed Sukhera MD PhD Profile picture
27 Feb
Grateful to @WillBynumMD and @AcadMedJournal for the opportunity to contribute to this important piece. We explore how perfectionism and power drive mental illness stigma in #meded. Dismantling stigma will require courage and action.

journals.lww.com/academicmedici…
In a profession devoted to empathy, why has mental health stigma become enculturated and how is its presence maintained?

Like Dr. Brower shares, "if we cause and perpetuate stigma, then we control the solutions." journals.lww.com/academicmedici…
1) A culture of perfection - field by high stakes assessment paradigms, identity compartmentalization, and fear of help seeking.
Read 9 tweets
Javeed Sukhera MD PhD Profile picture
27 Feb
This is what structural stigma looks like: Hard hit #Peelregion explicitly excluding physicians working in psychiatry/addictions from vaccination despite the fact that many work in high risk congregate community settings with vulnerable populations. #onpoli @ROPpublichealth
There are many colleagues in #Peel who work in community settings like group homes, shelters, outreach, shared care, etc. Many who see complex and high risk patients in person. This kind of policy decision reflects biases baked into the system.
Provincial guidelines specify that ALL patient facing health workers should be prioritized. They also specify prioritizing non patient facing hospital workers. They don’t call for excluding all community docs working in addictions or psychiatry.
Read 8 tweets
Javeed Sukhera MD PhD Profile picture
24 Jan
Dear #MedTwitter

If you’re interested in hot topics like moral distress, advocacy, anti-racism, etc.,

Check out the work that your colleagues in #MedEd research have done for years. We study this stuff! Join us, let us help you take these ideas on, and help amplify our work.
If anyone has an idea for a research study or is looking for help to organize a project on an issue they are passionate about, feel free to contact me via DM or by emailing me. I’m more than happy to help! #meded #MedTwitter
Here are a few examples: My mentor @LingardLorelei has studied healthcare teams for years. Her work inspires me and countless others to consider how diverse groups manage conflict, tension, and collaborate effectively in healthcare and beyond. /1
Read 8 tweets

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