As I reflect on AB's cases, I can't help but get angry at the privilege and selfishness of so many.

I am talking first hand w/ relatives in India, where oxygen is being rationed, saturations of 75% are all of a sudden "acceptable."/1
Families are pooling funds together to purchase their own high flow machines. I am talking to the doctors, walking them through COVID management as many of them are not at all critical care or hospital trained.

People are dying in the waiting area, in the entry ways, at home/2
Our per capita case load in AB is higher than that of India. But we are fortunate because we have resources. Privilege of being able to social distance and isolate. To attempt to save our healthcare system from triage and crumble./3
But instead, we choose to flaunt that privilege. Go to rodeos. Crowd patios. To end a "lockdown" that doesn't actually exist (spoiler alert: we've never been in a lockdown.)/4
I pray that none of us have to live the reality that is India. I hope that our current trajectory does not put us in a position to have to ration and choose. I hope our elected officials can, once and for all, stop this awful trajectory we are on./5
#COVID19AB

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More from @NeejaB

30 Apr
My kids wanted to send a note to @jkenney , so they dictated this to me. These are 8 year olds. Who have more sense than most adults I know. /1
Dear Premier Kenney:
If you want covid to go away, then you have to have a big lockdown. Australia barely has any covid. How come we can't be like them? Alberta is the worst in the country so how come we aren't doing anything about it? /2
Our mommy comes home too late when she works at the Royal Alex covid unit. They have a covid unit bc there are too many sick people. Lots of our friends & classrooms at school have covid cases. How come people aren't following the rules? What are you going to do about that?/3
Read 4 tweets
6 Apr
Young. Everytime I'm updating my team on the happenings and process changes in the COVID unit of late, I am having to tell them "and they're all young."/1
One patient didn't believe COVID was that bad. Now he's lying on his belly to avoid ICU.

One patient could not get sick time. But also lives with generations of family members. And now they all have COVID./2
One patient is a front-line worker, still not vaccinated. They now need oxygen and supplemental feeds.

One patient hasn't seen their family abroad in 16 months, and is pleading with me to make sure they will one day get to see them./3
Read 5 tweets
7 Feb
Thread: For the last 11 months, our GIM group has taken care of Covid patients. In Spring 2020, we had one dedicated team, and thanks to strict lockdown and Albertan support, we never had to open another team. By mid June, we were down to single digits covid patients. /1
We continued to look after (lower) numbers of COVID patients in the summer, and as more restrictions loosened and school started, late August and early September began to see steady rise, so we had to open our second COVID inpatient team. /2
And a quick note: each team that opens up requires myself as lead to revamp our work schedule, go into our back up pool, ensure safe night time coverage, and often asking my MD colleagues to work a 3rd or 4th week in a row without a day off /3
Read 10 tweets
5 Dec 20
A thread. Day in The Life of a COVID ward doctor.
Wake up, anxious of the unpredictability of the day. Start day, 7:30am. Survey ward, check how many new admissions, ward transfers, and deaths occurred overnight. Receive handover from overnight covering doc. Ensure PPE in check.
Start rounding. Get interuppted for more handovers of new admitted patients. Coordinate with other COVID teams as to who will become MRP (most responsible provider) for new patients as they come in. Continue rounding.
Get urgent call to see patient suddenly needing 60L of oxygen. Try to quickly but safely put on all appropriate PPE, including N95. While in room, someone yells in that patient across the hall is also desaturating. Ask nurse to call rapid response team to help.
Read 8 tweets

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