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Neeja Bakshi Profile picture
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2 Jan, 6 tweets, 1 min read
We are not lying about COVID.
We are not lying about the state of the healthcare system.
We have nothing to gain despite many saying we do.
Trust me. I would not wish my own experience as a frontline doc or physician leader on anyone.
Those who know what it's like to never be able to escape COVID and its ramifications would agree that it's enough to consider quitting.
And we probably won't, because it's in our constitution and core- to keep it going.
But that resolve to stick around is cracking... with every bad policy, inaction by government, and growing resentment/harassment against HCW.
We are not lying about COVID. We are just begging for help from an exhausted community because we’ve all been abandoned by those who are supposed to be in charge.
#ableg #Covid19AB

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More from @NeejaB

Neeja Bakshi Profile picture
31 Dec 21
Follow up to my tweet on AB hospitals bursting at the seams....

Staffing. Or lack there of.
I was supposed to be off hospital administrative duties this week, and as the week as has gone on, it has been increasingly evident that there's no such thing as a break.
Not when, in one fail swoop, we will likely have 5 critical medical staff off for COVID and isolation, with a skeleton back up plan that will barely cover this gap.
Read 8 tweets
Neeja Bakshi Profile picture
29 Dec 21
In less than 10 hours today, I've had to counsel and guide 10 people who are either positive or close contacts to positive people. All in healthcare.
As someone who has been intimate with all things COVID since 2020, I'm no longer surprised when people come to me asking "should I test? Should I isolate? When do I go back to work?" The problem is none of our rules make sense anymore.
Both instinct and experience tell me that a close contact of a HIGHLY transmissible virus should stay at home. As @CMOH_Alberta said today, 1 in 3 people in #yeg and #yyc getting tested have COVID, and with testing access cut off we have no idea how many others have COVID.
Read 9 tweets
Neeja Bakshi Profile picture
17 Dec 21
And so it begins. The request to start back-up COVID planning. Overcapacity planning. Surge planning. The question lingering in the back of our minds "will this be the wave where we triage?"
There are many unknowns still with omicron, but what is a fact is that our healthcare system in AB is in such a precarious position that even a blip of a wave will bring it all crashing down.
We have not recovered from the fourth wave, and in many hospitals, we are still into surge ICU and medicine ward spaces. With staffing shortages plaguing the ability to get back to "normal activity."
Read 7 tweets
Neeja Bakshi Profile picture
14 Dec 21
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
Read 13 tweets
Neeja Bakshi Profile picture
10 Dec 21
Physicians, the unknown, and Long COVID

One of the reasons COVID has affected physicians deeply (aside from the soul shattering moral injury, repeated trauma, and exhaustion-- since those aren't enough)- is because we are learning an entire pathogen and illness from scratch.
Only now are we starting to understand some of the inflammatory cascade that COVID causes and trying to target our therapies towards lessening this effect.
What we know even less about is long COVID. In early 2020, we thought we were going to see an incredible amount of pulmonary sequelae, lingering lung disease.
Read 11 tweets
Neeja Bakshi Profile picture
30 Nov 21
Long (but necessary) Thread on Hospitalizations: GIM (Internal Medicine) and ICU, and what it means to be "COVID Recovered"
We have gotten used to the slew of numbers thrown at us daily. Active cases. Deaths. ICU and hospitalizations. And over the last few weeks, we have seen a very slow decline in these numbers.
But I caution us all not to get excited or comfortable with these numbers. They do not tell the whole story.
Read 16 tweets

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