Thread time again - my thoughts on the current state of affairs in #ab

1. Elective surgeries being delayed to make capacity - remember that elective doesn't mean not needed. This includes CANCER surgeries and other serious surgeries that are scheduled (hence, "elective"). /1
2. It's been almost 1 week since the $100 vaccine incentive - the dial has barely moved. I don't think anyone is surprised.

3. Vaccines won't save us now (they'll hopefully save us later). If someone gets vaxxed today, it's a minimum of 6 wks until they are fully protected. /2
4. Hospital capacity affects every single Albertan who needs care. This is NOT a "pandemic of the unvaxxed," because when beds are tight, anyone needing acute care (for any reason) is affected. As above, it means cancelled surgeries for those who need them. /3
5. We need contact tracing back. School just started this week and we are already seeing reports of several cases (and outbreaks). Kids AND adults will have negative outcomes from school spread.

6. We need basic protective measures to stop the spread now (not weeks from now). /4
7. We need leadership to LISTEN to what frontline HCWs are experiencing. When we tell you it's the worst it's even been, we aren't fear mongering. It's getting worse. Leaders need to step up and make hard choices to do the right thing. Every severe outcome is preventable. /5
8. In the meantime, PLEASE keep yourselves safe. Just because you don't have to mask or avoid indoors, please do so. Mask, keep your bubbles small, get vaccinated. We need to keep our hospitals available for every Albertan who needs them. /6

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More from @shazmamithani

15 Sep
Another presser, another list of question suggestions (with lots of help). Here we go!

1. If proof of vaccination is the only measure you are introducing, what do you pan to do to drastically and rapidly expand access to vaccines in rural areas with the lowest vacs rates? /1
2. What do you plan to do to immediately get the situation under control in the 6 weeks until a proof of vaccination mandate shows any effect on hospitalizations?

3. How will the measures be enforced in areas where people believe it's their right to refuse to comply? /2
4. Why is the so called "vaccine passport" still voluntary (assuming @CTVCalgary's reporting on this is accurate)?

5. Why are only restaurants included in the proof of vaccination requirement?

6. Why are only restaurants included in the proof of vaccination requirement? /3
Read 9 tweets
30 Aug
Thread time. I’m going to lay out all of the major concerns I have with the current state of affairs.

1. Well, we are in wave 4. The wave of delta. A more transmissible and virulent virus. We are seeing a rapid rise in cases and people getting sicker, especially the unvaxxed. /1
2. Not enough people are vaxxed. Our kids aren’t even eligible. Some parts of AB have barely 20% double vaxxed. Those same places have very high case numbers and high percent positivity (ex. 20% in the north zone). There is no new effort to increase vaxx rates. /2
3. Many unvaxxed pts I speak with are not anti-vaxxers. They are facing multiple social barriers to access vaccines. The province is not adjusting or ramping up its PH response to address this vaccination disparity, yet have stated that vaccines are what they are counting on. /3
Read 8 tweets
29 Jul
Waking up to multiple media requests after a long shift last night. Almost happy that I was sleeping and couldn’t respond, because I really just don’t know what to say anymore.

It’s clear that this government has decided they just don’t care about any of us. /1
They don’t care that our children will get sick. They don’t care that they’re gambling with the lives/livelihoods of Albertans. All they are focused on is “the economy.” Well, there is no economy without PEOPLE who are functional and alive. There’s no future without our KIDS. /2
They don’t care that HCWs haven’t recovered after over a year of hell. That the patients just keep coming and the resources keep shrinking. That’s without more COVID cases - what will we even do if those start rising again? We are dispensable to them. All of us. /3
Read 4 tweets
14 Jul
Let's take a deeper dive into bed closures in AB and the implications. @AHS_media confirmed that over 100 beds are being temporarily closed across AB as a direct result of staff shortages. As you've seen in my previous tweets, this is from both nurse and doctor shortages. /1
Over the last several wks, several rural communities have had ERs closed due to MD shortages. Lacombe and Royal Alexandra Hospita ERs have faced significant bed closures due to nursing shortages. RAH (where I work) will have at least 6 ER beds closed for the ENTIRE summer. /2
Why do these bed closures matter? The bottom line is that Albertans will suffer. Fewer beds means longer wait times during a time of year where patient volumes skyrocket. Longer wait times means sicker patients and potential bad outcomes. It also means more burnout for HCWs. /3
Read 8 tweets
28 May
Today marks the last day of rural health week in AB. 
 
First, a shoutout to all of my colleagues in rural AB, doing an amazing job working in an under-resourced setting. 
 
Here are just a few examples of how rural health is being attacked and undermined in AB.
 
A thread… /1
Multiple rural hospitals have had to pause, reduce, and even close services due to MD shortages (hmmm, wonder why?) - this includes the closure of multiple ERs

Elk Point:
albertahealthservices.ca/news/releases/…

Rocky Mountain House
albertahealthservices.ca/news/releases/…

Fairview:
albertahealthservices.ca/news/releases/…

/2
Additional services include pauses of C-sections in Westlock and all surgical services in St. Paul.

albertahealthservices.ca/news/releases/…

albertahealthservices.ca/news/releases/…

/3
Read 6 tweets
26 May
Well...here we go again. Another reopening plan based on politics and not science or logic.

In short, what I would have liked to see is something closer to the measured approach Ontario is using:

news.ontario.ca/en/backgrounde…

My thoughts in more detail... /1
1. Reopening plan relies on just ONE vaccination dose, with no mention of the second dose. We know that first doses are not as effective, and this plan gives no incentive to getting fully vaccinated. /2
2. Reliance on LAGGING indicators again. We've done this 2 times before and failed. Every single time, the leading indicators have increased dramatically, and led to another increase in restrictions. When will we learn? /3
Read 6 tweets

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