SamirS_H Profile picture
1 Jan, 22 tweets, 16 min read
I got home this morning after an overnight shift in the pediatric emergency department.

I rarely share personal reflections based on my clinical work as a #pediatrician via @twitter, but I'm allowing myself this exception.

#omicron #COVID19Qc #N95sForAll

A thread 🧵 1/21...
2/ I started my winter holiday stretch of shifts by working on #Christmas evening and finished it by ringing in the #NewYear last night while taking care of sick & injured children with a phenomenal (but overworked & somewhat demoralized team) at the children's hospital.
3/ Let me re-iterate at the outset that I've always been opposed to @francoislegault @coalitionavenir's imposition of the #curfew because of its harmful impacts on many of the most marginalized people in society.…
4/ The curfew is a draconian & authoritarian move by the @coalitionavenir gvmt who time and time again chooses its electoral interests over #publichealth.

Relying on police repression to manage a #pandemic is a flagrant failure of public health policy.…
5/ I was surprised by how busy the overnight shift was.

Families came despite the #curfew. Many were scared and needed reassurance.

Reassurance families is an integral part of what we do as #HealthCareWorkers
6/ On the overnight shift, there's only one licensed MD who is expected to see all the kids coming through the #ER doors: from the adolescent with a twisted ankle to the baby in septic shock.

It's demanding, but it provides us with a better sense of what's happening "out there"
7/ Since the beginning of the #pandemic up until barely a month ago, it was kind of exceptional for us to see more than one child with #COVID19 during an entire day. When it happened, you definitely got word about it (including contact tracing) b/c it felt like a major breach.
8/ Yet, last night, I saw several kids with #COVID19 over the span of a few hours. Even if the child didn't have #COVID19 (yet!), one of the parents or caregivers did. It's basically normalized now. This is very telling about how wide-spread the #omicronvariant has likely become.
9/ The @coalitionavenir gvmt must be praying (despite its claims to being secular!) that #omicron is less virulent than previous strains. But, until we know that for certain, #HealthCareWorkers must be protected, including by being universally offered the option to use #N95 masks
10/ The science was there from as early as March 2020 to suggest that #SARSCoV2 spread not only by droplet transmission but also by #aerosol.…
11/ If it wasn't accepted by elected officials for purely political reasons when consensus was developing around it months later, so be it.

But it is a travesty that @ArrudaHoracio's #publichealth team in #Quebec didn't recognize aerosol spread early on.…
12/ Meanwhile, as @rkhamsi has explained multiple times, it is particularly harrowing that @ArrudaHoracio still seems to deny the benefit of #N95 masks (versus surgical masks) on the preposterous claim that no studies yet prove their superiority.
13/ No one's ever conducted a study proving that parachutes prevent deaths for people ejected from a plane, but no one would deny themselves of a parachute if ever in that situation...
14/ I've been wearing an #N95 mask for every single clinical encounter pretty much since #omicron made its entry to #Quebec.

I have a bruise on my nose to prove it (#HealthCareWorkers unfortunately know what I'm talking about).
15/ At some point and despite my best efforts, I may get contaminated by #SARSCoV2 like many of my colleagues have in recent weeks. However, that doesn't mean that we shouldn't be wearing #N95 masks.
17/ Since last week, @CNESST has called for the expanded the use of #N95 masks for #HealthCareWorkers in #Quebec…
18/ Until this wave starts showing signs of calming, #healthcare providers need every chance we can get to limit our risk of getting infected, esp when the #healthcare system is already on the brink of collapsing - a consequence of successive #neoliberal gvmts in this province.
19/ Lastly, I'd like to send a special shout-out to all my #pediatric emergency colleagues (nurses, MDs, orderlies, unit coordinators, janitors) both at the @HopitalChildren & at @urgencehsj who work so hard to ensure that children can receive emergency medical care 24/7/365.
20/ And, to my colleagues on the frontlines of healthcare in the "adult world", I suspect that the next few weeks are going to be rougher on you than they will be on us in the "pediatric world"...
21/ We should always prepare for the worst, but hope for the best.

Despite the predictable, avoidable and demoralizing situation we now find ourselves in (here & across the world), I hope that we get through this.

Together. In #Solidarity.

I should have mentioned at the top of this thread that it was originally written while sleep-deprived post-overnight shift, and then posted on twitter in French.

Pour les francophones, voici la v.o. de cette enfilade twitter, en français:

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More from @SamirS_H

1 Jan
Je suis rentré à la maison plus tôt ce matin après un quart de nuit au service des urgences pédiatriques.

Je partage rarement mes réflexions nourries de mon travail clinique comme #pédiatre via @twitter, mais je me permets cette exception.

#omicron #COVID19Qc #N95

🧵 ... 1/21
2/ J'ai commencé ma série de quarts du temps des fêtes en travaillant le soir de #Noël et je l'ai terminée en sonnant le #NouvelAn la nuit dernière tout en m'occupant d'enfants malades et blesséEs avec une équipe formidable (quoique surchargée et parfois démoralisée) à l'hôpital.
3/ Permettez-moi de réitérer d'emblée que je suis opposé à l'imposition du #CouvreFeu par @francoislegault @coalitionavenir en raison de ses effets néfastes sur bon nombre de personnes les plus marginalisées de notre société.

Voir @PivotQc:
Read 22 tweets

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