Whats rural medicine like?
- There's a heat wave + boil water advisory at the same time.
- Hospital is almost up to 30, AC can't keep up.
- None of the typical equipment to treat heat stroke so we've started storing a IV fluids in a mini fridge.
- Internet in the clinic is down, staff can't access the records.
- Had to sedate (for an hour!) And treat a motorcycle crash as the only MD yst.
- Ice machine is broken in the hospital, can be a big deal with this heat.
- I've started wearing shorts and sandals to the ED.
- And of course there's a huge shortage of MDs, nurses, and all other hospital staff with surprisingly 0 relationship to summer vacay! #abhealth#ruralmedicine
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2/16
This decision was difficult and I contemplated both options since the potential agreement was announced. In speaking with colleagues it is clear this vote will be a difficult decision for all of us. It truly feels like a lose-lose situation.
3/16
So my reasoning:
- The agreement depends on good faith bargaining and trust between MDs and the government. They have demonstrated that they will not bargain in good faith and have spent a year shattering any trust.
We need to start talking about the real problem with #AlbertaHealthcare and why @shandro and @jkenney plans will not work, will harm patients, and will cost the system more while delivering less. MDs leaving (and they are) is not the primary problem. 1/x
The biggest issue, is that we started with too few.
I have worked all over this province, and from day one there has been a massive shortage of MDs. Where I work (rural and remote AB) the problem is most apparent. Large % of people unable to get a FM doc. 2/x
Many others driving upwards of 4 hours to see one. Those that are lucky enough to have one? Wait lists are up to 7 MONTHS. The incredible rural docs serving these communities work tirelessly. Routinely > 100 hours a week. But they are human, and can only do so much. 3/x