TRexMD Profile picture
29 Dec, 10 tweets, 4 min read
@CMOH_Alberta: I didn't think I could reach a point where I would be more angry with you but here we are. By telling everyone to report their positive RATs to their Family Doctor, you have thrown us under the bus medicolegally. I have confirmed with CRA today. Read on

🧵1/10
I just had a patient test positive for COVID on a home RAT. She contacted fed EI and she is eligible for the Covid illness benefit but only if she gets a "medical note from her doctor verifying she has COVID"

So, Dr. Hinshaw & @jkenney, how do I legally prove this? 2/10
Anyone could download a picture of a positive RAT. They are practically memes right now. A photo means nothing. And yet, I'm legally responsible to verify this? If I verify they have covid simply by their self report over the phone, & they are lying, that is fraud

3/10
With no other medical illness would we just accept the patient's self report as valid evidence for insurance of tax benefit purposes. We would always include imaging/lab workup verification.

So how the hell did you think we were going to do this with home RATs?

4/10
Dr. Hinshaw, you have failed Family Docs over and over in this pandemic. I. Am. So. Sick. Of. This. Do you need a refresher in what it's like to be a community doc? Come see what it's like to deal with your new make work project you gave us, on top of everything else we do 5/10
For patients: The docs at my clinic brainstormed at 7am today how to do this and here is our suggestion on how to verify your RAT for CRA and private insurance purpose. If any insurance or lawyers can verify for me if this is legit or not, we would appreciate it 👇

6/10
If you get a positive RAT, please write your name, date and time on the test cartridge. Then take a photo with it either beside a piece of photo ID or as a selfie if you don't have ID/if this is a child.

7/10
Then, if you need it for insurance, employment or CRA purposes, you can take this photo to your family doctor, email it or sent it by patient portal so we can write you a letter of verification

8/10
Please also notify your doctor's office if you have caught covid so we can document it in your chart that we were informed. This would help immensely if an insurance company debates your claim

9/10
And then, when you're done all this bullshit because @GoAHealth couldn't bother to actually have a plan after 2 yrs in a pandemic, please feel free to lose your mind and scream into the void with me.

🤬🤦🏼‍♀️🙄

#abhealth #ableg #abpoli #covid19AB

10/10

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More from @TRexMD780

15 Oct
The very public mistake that @CMOH_Alberta made with the 14yr old who passed of cancer, not COVID, earlier this week is not a minor event that she can simply apologize for.

This was a really stupid error, and as someone who works in palliative care, I'll tell you why

🧵👇 1/11
First & foremost: What a horribly public way to disrupt a family's grieving process. I hope they find a way to forgive Dr.Hinshaw & public health, because holding resentment can be toxic to healing, but I wouldn't blame them if they were angry for a long time.

2/11
I have filled many death certificates. They are not easy. But in this pandemic, all MDs in this area of work know how important it is to distinguish causes of death from COVID. See @noelgibney 's excellent examples of how in this article:

3/11

cbc.ca/news/canada/ed…
Read 11 tweets
14 Oct
Hey Twitter, today was particularly hard with angry, rude & demanding patients with strong anti-vaxx views. I didn't hold it together very well today and snapped at one. I feel very bad but I am giving myself space b/c I know I'm being pushed to my limits everyday.

#COVID19AB
Please be kind to your doc. We really want the best for you. If we are showing that we are upset, realize you might be pushing us too far. We are human too. Please leave when we say the visit is over, don't keep pushing. It's better to end the convo and come back to it later.
Feel free to post photos of fuzzy animals/pets below. I need a smile after that day. I am going to need to have some serious introspection & self-reflection later about the encounter, but right now, I just need to cool down for the evening so I can think clearly later

🙏❤️😢
Read 5 tweets
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
30 Aug
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
Read 12 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

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