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Mary Fernando MD

@MaryFernando_

29 Apr 21

@drmwarner

🧵Canada's rollout of #COVID19Vaccine

Partial truths (aka half lies):

Fallacy: Ignoring vaccine safety protocols by waiting 4 months is ‘covering everyone with one shot'

Fact: You could end up in the ICU

Plan: @drmwarner - we need to communicate that to keep people safe

https://twitter.com/drmwarner/status/1387420736202149889

2/ Fallacy: Canada is waiting 4 months because of supply issues.

Fact: Canada has given the same # as many countries and has CHOSEN to delay shots longer than any other country in the world. This is a choice. Period.

Plan: if too many get sick, we need to change

3/ Fallacy: Delaying doses is safe

Fact: We aren’t even collecting patient data.

Plan: People half vaccinated should be identified in testing, hospital and ICU - and data must be collected. Tagging our data powerhouses.

If this is dangerous - change. Or just change now

Read 5 tweets

Mary Fernando MD

@MaryFernando_

13 Apr 21

🧵Why the 4 month delay for our 2nd #CovidVaccine🇨🇦?

The NACI document that this is all based on: "studies have not yet collected four months of data on vaccine effectiveness after the first dose" canada.ca/en/public-heal…

Translation: It's an experiment.
nytimes.com/2021/04/09/hea…

2/ So this delay in doses - let me list the ways this can bite us:

While rushing to cover as many people as we can with 1 dose, will we leave many partially immunized and just get more ICU admissions?

Yes, because THAT we have data for: bbc.com/future/article…

And then...

3/ Then 👇🏽
"it will leave the country vulnerable to variants — those already circulating, as well as new ones that could evolve inside the bodies of partially vaccinated people who are not able to swiftly fight off an infection."

Read 7 tweets

Mary Fernando MD

@MaryFernando_

3 Jan 21

Spin: hospitals are over capacity ONLY because of #COVID19

Reality: We were overcapacity before #COVID19 but now it's worse.

Fact: 🇨🇦 has cut hospital beds for decades and ranks near the bottom of the OECD theglobeandmail.com/canada/article…

2/What does this mean?

First and foremost - patients have been in hospital hallways for years, or in broom closets as I wrote way back in 2007 😬thestar.com/news/2007/01/2…
🇨🇦 pay taxes for good healthcare - governments should not be cutting Canadians out of good hospital care.

3/ Governments are promising with #COVID19 - as they have for years- to increase beds.

1. Specifics this time, not just promises -how many beds and what staffing?

2. Will these beds be permanent?

We need this- with long covid and surgical backlogs

#PleaseMakeALittleNoise

Read 5 tweets

Mary Fernando MD

@MaryFernando_

1 Oct 20

@MedicalPost

1/ My @MedicalPost article "a new clinical reality...: some survivors of the virus have long-term and serious morbidities. People don’t just die or survive and that clear cut dichotomy should be put to rest."
#COVID19
bit.ly/2Gqfyw
ungated - bit.ly/3n9LPIo

@DrRickSwartz

2/ @DrRickSwartz “the capacity is so thin in the stroke system, as in many specialties, that it will overwhelm the system...Canada, with a population of more than 37 million people, has a total of 1,080 practicing neurologists as of 2019. That number is worrisome." #COVID19

@nilikm

3/ @nilikm "if she gets ill with COVID-19 and is unable to work, the overhead of her practice would bankrupt her because, like all other physicians in Canada, she has no benefits: no sick leave, no pension. If she closes her practice, her 1,400 patients have no care."

#COVID19

Read 7 tweets

Mary Fernando MD

@MaryFernando_

30 Sep 20

Meanwhile, in Canada, the children are all here, we’ve eaten a fab Thai dinner and we are all a tad nervous. #Debates2020

He cannot shut up. He is running off at the mouth.

Why isn’t the moderator doing his job??? Why is trump’s microphone shut OFF.

Read 5 tweets

Mary Fernando MD

@MaryFernando_

26 Aug 20

The kindest, most loyal dog I’ve had: Kai #NationalDogDay

Our 15 year old matriarch: Sasha. #NationalDogDay

One of our most challenging but also most interesting dogs, who has finally stopped eating walls. This is her response when I asked her to sit😂because she marched to own drummer. Tiffy #NationalDogDay

Read 4 tweets

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