21 months ago, I had no idea what to expect. I entered the battlefield, ready to fight, respond, create plans of action. No template. Just adrenaline, moral obligation, duty. /1
18 months ago, past the first wave, naively thinking that the "fall might be slightly busier."/2
13 months ago, I couldn't believe the death and devastation I was deep into. A record number of death certificates signed amongst our medicine COVID units in one day. And then breaking that record the next day. /3
12 months ago, heavily advocating for frontlines to get vaccinated, putting all of my faith into the vaccine.. surely this was it. We would be over this hurdle in 6 months. /4
8 months ago, realizing how much vaccine misinformation there was (is), seeing droves of young patients with severe COVID during the third wave. A window into the abuse healthcare workers would face in the months to come from anti-vax sentiment. /5
5 months ago, continuing on the heaviest advocacy of the pandemic with @PopAlberta, pushing back against government and public health timelines when they declared "Best Summer Ever."/6
4 months ago, being in the fourth wave, a year after what I thought was the worst of it... Only to see death and devastation, with a side of vitriol and hatred aimed directly at us. /7
3 months ago, discussing critical care capacity and triage protocols. The moral injury around how many people were triaged out of their procedures due to ICU overcapacity, while sending my ineligible kids to school, hoping for the best. /8
1 month ago, receiving racist taunts, items thrown at me, all while trying to care for COVID patients. While trying to dig so deep for the last little drops of empathy I could muster. /9
Today. Reconciling that this disease and its effect on our healthcare system are not going anywhere, and I magically need to find more physicians (who aren't burnt out) to help keep the battle going. /10
Realizing that my 2022-2023 vision for my hospital division will still need to plan for COVID, plan to pivot on a dime, and plan for more burn out. /11
As we head into our second COVID holiday season, I am not naive to think this will be our last. Those of us deep in this battle are weary and tired. We desparately want to hand over the reins./12
And so, I hope that our leaders, both in government and healthcare, can take 21 months of failed plans and lessons, and guide us safely to the other side of this pandemic. /fin. #ableg#COVID19AB
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As we continue to see the decimation of healthcare in AB, we should anticipate more and more physicians needing to take leaves due to stress and burn out.
Every week, we hear about family physicians closing their practice, due to burn out, unsustainability of keeping up with the cost of practice, and the moral injury that we all feel of "failing our patients."
Making the decision to close or take a break is not an easy one. Physicians know how much the public relies on them for their care- be it acute care, prevention, mental health, and navigation of social stressors.
For the first time in my own career as an internal med doc, I've seen the day where my colleagues can no longer safely admit patients from the ER.
We've talked about healthcare collapse a number of times over the years and I think it's important that collapse looks and feels different depending on where in the puzzle your piece fits.
For the patient, it's not getting timely testing, timely results or having a family physician. It means waiting in the ED waiting room for 36 hours before being seen. It means being subjected to procedures and patient care in the middle of the hallway with no privacy or dignity.
I've been pretty quiet on here for many reasons - self-preservation, trying to regain control in areas of my life, and simply put - healthcare still is in crisis and posting about it felt a bit like Groundhog's Day.
But I think it's time to speak up again as the hospital system has hit a tipping point. As we head into a long weekend in the middle of a respiratory virus surge after 3 years of absolutely no meaningful help from our leaders, brace for a collapse of epic proportions.
Am I being hyperbolic? No. I wish I could bring you all along inside the hospital, inside the discussions and panicked calls about how we will manage these volumes. There are zero solutions. Just the same pleas "please take more. Please admit. Please just figure it out."
It's been a minute since I've posted and I'm not entirely sure if I'll fully be back. But something happened today that restored faith in humanity.
I was at the grocery store, last minute shopping before school starts, and when it comes time to pay, I realize my wallet isn't in my purse. The worst feeling ever, especially with a big line forming.
An incredibly kind human behind me says "I'll pay for you."
I'm dumbfounded. She proceeds to say she follows me on social media and wanted to thank me.
Incredible piece by my colleague, @gabefabreau on the healthcare crisis. The frustration we feel knowing there is no hope or solution on the horizon, when we are told to do more, provide more. In my career, I've never felt so ready to move on from a profession I love.
Like so many of my colleagues, the "need to fix" part of my soul won't allow me to quit just yet, but the grit and grind that was once there is merely dust, held together by the collective strength of my fellow GIM colleagues.
It's been a week since we heard the healthcare crisis is under control in Alberta.
In that week, we have SIGNIFICANTLY surpassed our capacity each day, with no space on our wards to admit patients to.
We continue to have significant EIPs (admitted patients stuck in ED since no beds upstairs), patients in over capacity spaces (read: hallways, extra "beds" in the corners of already crowded rooms) with no plan to reabsorb into funded spaces.
And our docs... Our docs... Being asked to admit and care for patients well beyond safe numbers. WELL BEYOND.
With no plan on how to support us. To provide us the resources we need to care for our patients in a way that is both effective and SAFE.