Yesterday I had a high risk patient in my office tell me she was waiting for her 2nd dose of #CovidVaccine, BC she didn't want #Moderna. I brought her to our #vaccine fridge to show her.
Me:
"Here are the MMR vaccines for boosters. There are 2 brands. Do u know them?"
Pt: "No"
"here are the various types of Tetanus, all the same manufacturer, but different combinations with other vaccines. Do you trust when I tell you which booster is most appropriate for you?"
Patient: starts laughing and says "yes Doc"
Me: "what ABT when u pick up your meds. Do you know if it's Apo/Teva/Novo? Do you check each time? BC those are different brands that you're given for the very similar medication"
Pt: "ok Doc I get it. I'll try to go get #Moderna later today"
This isn't paternalism. This is knowing ur pts, and meeting them as individuals to allay their fears.
We didn't have to have this nonsense if we didn't have everyone and their grandmother talk abt brand names of #COVID19Vaccine.
But now, this is what we can do to help solve it
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2. Relying on hospitals to "save the day" wrt IPAC, staffing & resources is an impossible task if in a hot zone, when also trying to continue to provide acute & chronic care services. We already knew that #onhealth added 80+ wks to wait lists just from 1st few mos of lockdown 2/
And now, w #hospital beds overflowing what will the future waitlist #s be? 3. Then add multiple #LTCs in outbreak 4 each hospital & where is more hospital staff to come from? 4. Meanwhile, while this is being sorted out, the patients & residents wait, suffer. Some die 3/
Tonight is 3rd night of no sleep since I went into a #LTC in #onhealth with 100s of #COVID + residents, almost no staff. So far, my other LTCs have avoided outbreaks, but what I witnessed yesterday is needing words I don't have. My brain can't rest, and I think I'm in shock. 1
I'm not even tearful. I'm not afraid for myself tho yes the conditions were not good & xmas w elderly parents is cancelled for sure now. I am just ... Hypervigilant. I woke up after a couple hrs of sleep, having "dreamt" of another catastrophe. 2/
What I think my brain is ruminating on is how many levels have gone wrong here.
This isn't an individual's fault, this is just so damn systemic.
And with the right resources and ppl in charge, given some power to leverage things, we could prob stop some deaths. 3/