How to maintain your sanity in the 4th wave. A work in progress from an non expert.
First. Go outside. It’s fall. The leaves are changing. Find some trees. Don’t just look at them, take a deep breath. That earthy smell is an anchor. If you are lucky enough to find just the right light the petrichor and the autumnal palette will elevate your spirits instantly.
Next, find a good mycologist. If that fails find a trusted friend who owes you a favour to show you their secret spot to find morel mushrooms. It’s been a perfect year for mushrooms, and those who know will probably not tell you their secret, but it’s worth a try.
Now find the biggest cast iron pot you can. Add shallots and enough garlic to keep the hospital administrators at bay 😉 and cook those treasures up. Add more cream than a sane health care advocate should and do it all outside with a beer in one hand.
Now, boil up a little angel hair pasta, combine with some Parmesan and a little black truffle oil, and enjoy with a cheap yet boisterous Barolo. Don’t overcook the pasta. Especially if you respect the mushrooms.
Take a moment to look up at the night sky. Realize the millions of souls are looking at that same star. Accept that despite being small and battered by the waves, there are moments of pure joy. Savour them. Keep them private, or share them. That is the control you have. 🙏
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Today my HVAC guy taught me how to be a better physician. As you know, it’s stinking hot in Edmonton right now, and though the heat doesn’t bother me much, we are a family of Vikings and it’s my job to help my ginger spawn survive. Cue the ominous silence from our AC unit.
I perform my due diligence. Thermostat, on batteries fresh, settings correct. Furnace blower fan, operational. Condenser coil, clean and intact. Exterior unit, not blocked by dead porcupine. Breakers reset and on. Still nothing. Now I’m faced with call the poor HVAC guy.
I’ve used the same guy for years. He’s just an honest good guy. I know he’s gonna be insanely busy, but Mr Hobbes is already in the basement and panting so I make the call. It rings forever and goes to voice mail. Dammit. I am considering dropping the dog off @slav_metalurges.
I get asked a lot about how to fix medicine. There are many people out there who are far better equipped to answer that question, but I think we need to acknowledge some fundamental truths.
Medicine evolved out of our capacity to care for those outside of our immediate family.
It required compassion but also an inherent understanding that collective well being is beneficial for us all. In that sense it is indelibly connected with social structure. Disparities in wealth & justice distribution are huge social determinants & drive heath care consumption.
TLDR: Education, taxation, reconciliation, and justice reform are crucial players in improving health. All longterm things. What are short term solutions? Risk reduction through guaranteed income and housing.
So here’s what you need to know about E. coli, in an easily digestible thread.
It a common bacteria, that resides in our guts and those of most animals. We live in harmony with it, but it’s always looking for an advantage. It wants to travel beyond the colon, but fortunately a combination of physical and immunological barriers keep the pickle in the jar.
As an ICU doc I see what happens when bacteria escapes the colon. Pop an appendix, perforate a diverticulum, or get sucker punched in the belly and leak. Stool in the abdomen leads to abdominal sepsis and without surgery it can be lethal . But that’s not what happening here.
I get the call from the emergency department.
“He’s was near death, but we stabilized him.”
They start reciting the story. It’s a well worn script we both know all to well.
“Unhoused,
Addictions,
Lost to follow up”
I feel it. That blend of anger & frustration I must control.
“He’s pretty unkempt, but his beard is immaculate.”
And at that point my heart softens.
“We don’t have a name yet. We think he had a seizure.”
“Does he have a tattoo over his heart?”
Pause
“Yes”
“Is it a church bell.”
“Y-yes”
Sigh.
“I’ll be right down.”
It’s Ted*
I’ve known him for at least a decade.
“He needs dialysis.”
I remember the scarred inscription from when I put his line in 4 years ago.
“Don’t fuck with my salvation!”
“I promise you, I won’t go near it.”
“It’s a god damned masterpiece.”
“It’s the Mona Lisa’s smile.”
Some difficult truths when looking at our struggling medical system. We are failing because we are the safety net before the brick wall. When social systems like education, mental health supports, disability services and fair taxation are purposely dismantled this is the fallout.
Our hospitals are full of patients with complex medical issues who no longer have the social supports to survive anywhere outside of the hospital environment. Many are homeless, frail or suffering from complications of addiction. These issues have not occurred overnight.
COVID has been a major player. Many of our frailest patients have become so directly as a result of the damage this virus can do. It was as if we “promoted” a significant fraction of our population into dependency over the past three years.
This graph I think is incredibly important. That it shows progressive increases in hospitalization reflects multiple simultaneous stressors. Worsening mental health, addictions, toxic opioids are part of this, but I have been seeing something more concerning.
I’m seeing people get sick, usually from Covid, but never get well enough to leave the hospital. They suffer cognitive issues, protracted delirium bordering on early dementia, strokes, heart attacks and pulmonary emboli. They have one set back after another.