1/ Last week there was a @UBCCPD Webinar "Addressing Anti-Indigenous Racism in the B.C. Health Care System"

I found it super insightful.

The summary will be available soon on the CPD website, but want to share a few highlights/takeaways.

Photo from Dr. James Liu.

#BCPoli
2/ Avoid Pathologizing Indigenous Peoples

This was a theme that came up a few times.

Dr. Evelyn Voyageur shared this thought:

“The lifestyle they have chosen is a defence mechanism to the trauma they experienced” as a reflection to residential school survivors.
3/ Pitfalls

One of the most enlightening pearls were pitfalls people who have seemingly good intentions may encounter while doing Anti-Racism Work and promoting Indigenous Cultural Safety & Humility

This was presented by @LenPierre2 - an Indigenous Cultural Safety Consultant
4/ A) Proximity to Indigenous Patient

Reminder that you don't need to have Indigenous Patients in your direct/inter-personal work to implement anti-indigenous racism policies into your practice

This is a form of systemic racism, which requires all of us to work on.
5/ B) "Focusing on good things only"

The fight is for Truth & Reconciliation.

If you are only focusing on the art/culture (ie drumming, singing, connection with elders).

While this is all positive, by only doing this you may not be addressing the "Truth" part.
6/ C) Indigenous Cultural Safety vs Cultural Safety

We should not try to generalize multicultural safety training with that of Indigenous populations

We must remember how much harm has been perpetuated by erasure of Indigenous people.

To do this we must be Indigenous specific.
7/ D) Beware of only looking through historical lens

It is not simply enough to be aware of atrocities, there are still "ghosts in the room" when the meaning is not uncovered.

Need awareness, along with examination of power imbalance and formulate anti-racism strategies.
8/ E) Role within EDI framework

Context is different, EDI work is also important, but Indigenous people can not be included in this space as they have been victims of state sponsored violence, must reconcile that.

Anti-Indigenous Racism work can be diluted in general models.
9/ Video
I only shared some highlights, but if anyone is interested in watching the link is:

learning.video.ubc.ca/media/2021-11-…

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More from @BirinderNarang

4 Nov
1/ Wishing everyone who celebrates a Happy Diwali & Bandi Chhor Divas.

To those who do not know the historical significance, I will briefly share what I have learned about it through the years.

As per @SikhRI, Bandi Chhor Divas represents "Emancipation Day" Image
2/ Sikh Gurus

Sikhi is guided by the teachings of 11 Gurus (leaders who guide us from darkness to light) from Guru Nanak Sahib to the Guru Granth Sahib (our scriptures in homes/Gurduaras).

Guru Hargobind Sahib was our 6th Guru; Bandi Chhor Divas remembers his imprisonment.
3/ What Happened?

Guru Sahib was imprisoned by Emperor Jahangir at the Gwalior Fort for months-years (uncertain how long exactly)

Alongside Guruji, were 52 imprisoned political prisoners, the Hindu Rajahs (Kings/Princes)
Read 10 tweets
2 Nov
1/ New Opportunities

For the new people here, a brief bio/background.

A Sikh Family Doc, grandson of a 2x refugee Physician.

To be a Sikh is not only an articulation of Faith, but also to me means one who is always learning/unlearning.

Same applies to medicine.

#BCPoli
2/ Training

I grew up in the UK, Halifax & BC.

Completed undergraduate at @SFU, Medicine at @Sydney_Uni in Australia.

Returned to Canada as an #IMG completing my residency in @umanitoba

Now work in Long Term Care & Longitudinal Family Medicine at @REACHCHC inc. Addictions.
3/ Academic

I am a Clinical Assistant Professor with @UBCFamPractice

This involves mainly teaching 1st year med students & precepting residents, OSCE evaluating, interviewing

With @UBCCPD I help summarize #COVID19 Webinars & have facilitated Cannabis Education Sessions
Read 10 tweets
31 Oct
1/ Booster Doses - 9/12 later

Worth it? Rationale?
With global vaccine inequity - should we feel guilty?
Why I chose to mix...

Also co-incidentally this is my Halloween costume:

"Government Agent"
"Big Pharma Shill"

Take your pick.

Some thoughts ahead.

#COVID19BC
#BCPoli Image
2/ Why Now?

First dose Dec 20 & second dose Jan 31st.
At the time we weren't sure what optimal dosing interval was & had ongoing supply issues, so many got 2 doses at varying shorter intervals.

Now we know ~12 weeks is a good interval, but also are seeing waning immunity.
3/ Waning Immunity

Data is showing our antibody levels to #COVID19 are decreasing, but that doesn't mean our overall immunity is, as we are seeing by our vaccine effectiveness data in BC.

But, in BC we still are losing too many ppl, almost 50 have passed in last week.
Read 14 tweets
10 Oct
1/ #COVID19BC - Vaccines in 5-11 year old - Thoughts

This morning it was announced (by media) that 5-11 yo can now be registered.

A friend asked me if I had a child in that age range, would I be getting them vaccinated?

I said probably, but that isn't good enough...

#BCPoli
2/ #COVID19BC - Questions

Before we get into whether it makes sense yet, why do we keep hearing this stuff from anywhere but Public Health?

Another "soft launch" of systems? Like vax bookings, card registration & now this kid vax reg system, @BCGovNews announces after launch.
3/ #COVID19BC - Questions

This may be done intentionally, but why do it on a long weekend, when people aren't available to answer questions about it officially?

Communication from PH has been my biggest issue throughout the entire pandemic & it seems to continue.
Read 14 tweets
28 Feb
1/ Vaccines in Canada:

We all heard that #AstraZenecaVaccine was approved for use in Canada on Friday.

We now have 3 #COVID19 vaccines, but with that there are discussions re: "Which one is the best vaccine for me?"

Docs say "the best vaccine, is the one in your arm".

Why?
2/ Some thoughts:

But AstraZeneca is only ~62% effective against COVID? That's not good enough, right?

We need to examine & reflect on where we were, and where we are going.

March 11, 2020 - @WHO declares global pandemic.

Within 1 year, we have 3 vaccines (in Canada).

WOW!
3/

1 year ago, we would NOT have thought we would be in this place now.

It's a testament to a concerted global commitment to scientific excellence, that we have these available to us now.

It has definitely been a struggle, but we are making tremendous progress.

Also... -->
Read 10 tweets

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