TRexMD Profile picture
30 Aug, 12 tweets, 3 min read
I've heard lots of people, including the UCP Caucus Chair, say we just need to "let #COVID19AB run its course" and "learn to live with it"

What would that look like? Let me try to make some suggestions as an Albertan doc

Thread 👇🧵 1/x
1. We need field hospitals & field ICUs because currently our hospitals do not have capacity for a 4th wave. Also, we are Alberta, not California, so it needs to be field hospitals that can handle winter. This costs $$ but we know @jkenney hasn't used all his fed funds yet. 2/x
2. We need more nurses, doctors, RTs and other HCWs to staff these hospitals. We can no longer just rely on their good will, they are burnt out. So we are going to need to exponentially increase pay for everyone to work in field hospitals, with better benefits & paid leave 3/x
3. We need to incentivize vaccines to keep the above costs low. Lotteries clearly don't work. Mandating vaccines for access to goods & services will. Similar to banning smoking in public areas, unvaccinated individuals will also need to be prevented from spreading covid 4/x
4. We will need to step up our game to reach unvaccinated individuals who just can't access it. That means every rural politician will need to create local vaccination programs to improve access in their area. If they don't, they are removed from their position. 5/x
5. Schools will need to be upgraded significantly. Barriers between desks, better ventilation, mandatory masks, vaccine clinics on campus, mandatory vaccination for university students, mandatory vaccination for teachers and mandatory rapid testing for schools. 6/x
6. Paid sick leave will need to be provided by the province for all individuals who are sick OR if they are a caregiver for someone who is sick (e.g., parents). This responsibility will not be on the employers but the government in order to ensure people isolate properly 7/x
7. We will need to redirect resources towards creating long COVID clinics which will need staffing as well. These will need to be very dedicated staff as they will be caring for patients for months/years so expect this to be a permanent feature of our healthcare system 8/x
8. That superlab we cancelled and turned into a park? Rip it up and let's start again. To process all the labs that come with being sick with covid, we need to have more lab capacity than we do now

Oh. We need more staff for that too

9/x
9. We don't want to keep doing this forever so we will need to truly close all borders & start implementing rigorous screening & isolating for all travellers, international or otherwise. Sorry BC and Sask, it's not personal, we love you but it's too crazy in 'Berta right now 10/x
10. Fines for breaking isolation rules need to steeper and actually enforced. Jail time for egregious breaches. Police need ability to actually enforce this. Maybe it will help pay for all the above costs? 11/x
Does that sound too radical to you? It sounds pretty scary to me too. But that's the way you keep Alberta functional while allowing covid to spread unchecked. It will cost people's lives and a hell of a lot of $$.

@Alberta_UCP & @CMOH_Alberta are you ready to do that? 12/fin

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More from @TRexMD780

3 Sep
AHS email from Dr.Verna Yiu just laid out how dire things are in #Alberta right now with COVID. See the highlights of the email below.

#abhealth #abpoli #ableg #COVID19AB

🧵👇
"Effective immediately, AHS is postponing non-urgent surgeries and procedures across all zones...AHS will maintain urgent and emergent procedures, as well as prioritized cancer surgeries."

2/x
"In the North Zone, surgical postponements up to 60 per cent are expected next week"

3/x
Read 11 tweets
6 Aug
Hey Twitter of #Alberta. Doctors just finished a town hall with Dr.Hinshaw about the new policy changes. I tried my best to take notes on as much as I could. So here's what I have.

*Pls note: I am NOT endorsing anything, this is what was said from Dr.Hinshaw ONLY*

Thread🧵
She recognizes that communication last week was not sufficient or complete and they are going to try to send us more info. They are working on a document with cited evidence to explain their decisions that is coming end of this week or next. 2/x
Her bottom line that was said many times: We need to learn to live with COVID, we can not eradicate it and that is the basis of these decisions/policy changes. 3/x
Read 27 tweets
12 Jul
Everyone's talking about the closed beds at the Royal Alex & the multiple rural ER departments being unable to open due to lack of physician & nurse staffing.

Let me tell you a story, as a former rural Alberta doc who worked ER

Thread 🧵👇 #ableg #abpoli #abhealth 1/x
A few years ago, still within our recent memory, I worked in small town #Alberta. I did all the things a rural GP did - clinic, hospital work and ER shifts.

But working ER shifts solo was *really* stressful. People are very sick & to have no back up for kms was terrifying. 2/x
So at the time, I decided I would "buddy shift" with another doc in town. All this meant was that we had 2 doctors working ER at the same time.

The nurses & staff LOVED it. We were FAST. We were EFFICIENT. Our times for strokes & MIs were top notch.

3/x
Read 8 tweets
24 Apr 20
@JasonNixonAB Just read your statement to Mountain View Today. Let's dissect this: "The place to deal with this is around the table...now is not the time, from both a pandemic perspective as well as from a financial perspective ... Now is not the time for division..."1/6
"...Now is the time for all of us to work together to figure out how our province is going to get through this.”

1. @Albertadoctors were TRYING to get to the table for MONTHS. @Alberta_UCP REFUSED arbitration. We WANT to negotiate. You do not. Your party broke the table 2/6
2. Clinics are operating at 50%+ losses during the pandemic, with full knowledge we are expecting even more cuts when this is done. You are absolutely correct that now is not the time from a financial perspective. So why did @shandro allow all those cuts to happen on April 1? 3/6
Read 6 tweets
13 Mar 20
Good morning @shandro @jkenney I didn't sleep again last night, which has been a pattern for weeks now. So I have a favour to ask: Could you please delay the changes to physician billing a few months? For our mental health. This is why, read my thread: 1/5
I'm scared for my patients. I have a large panel of palliative & cancer patients and I'm worried for them. I have seniors in LTC homes. I don't sleep b/c my brain is constantly trying to process ways to protect them. I lay awake last night wondering if I should set up Skype 2/5
On top of all that, my parents snowbird in the US. They have additional health problems that put them at high risk of getting seriously ill. We are trying to rush them home. I'm scared for them too. My friends are scared too & they are texting me daily, asking for advice 3/5
Read 5 tweets

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