Want to hear what Aus Doctors who run our Covid wards are gagged from saying ?

ICU patients are spilling over into ED and onto the general wards. Patients accepted by ICU are being managed with CPAP initiation on the wards with a pH of 6.5 and pCO2 of 100 plus creatinine of 330.
Overnight had a COVID patient experience syncope in the waiting room due to a saddle embolus. Picked up another one with a creatinine of +600 just from vomiting/volume loss alone (baseline of 50 in September) causing hypovolaemic shock. But I guess death is "mild"
That was this morning
It is upsetting that people do not want to hear what is going on in some of our hospitals this weekend. An inconvenient truth that does not fit the spin narrative is nonetheless what happened.

The physician who directly relayed this to me deserves their colleagues support.
As a lawyer I understand the importance of contemporaneous notes as evidence. This event is now on public record & I am able to testify to what I was directly told. I can swear that the distress / moral injury of the physician was evident on recalling the event #RoyalCommission
Here is a good place for HCW to log their experiences. Time and date stamps matter. Fill in your details. Tick anonymous if you don’t want your details published. There is a ‘contact us’ link if you wish to chat first. Confidentiality assured.
healthcareworkersaustralia.com/share-your-sto…
Additionally I have spoken this morning to an experienced anaesthetist who assured me “based on experience and literature that a venous gas of 6.5 is possible in someone critically ill not able to obtain ICU treatment and deteriorating (but still alive)“
They also said “ while s/he receives little thanks and no job security while filling in during the crisis, it is particularly demoralizing for people to not believe a crisis is even occurring”
“Which s/he believes they will no doubt be repeating in the inevitable Royal Commission where they will be able to discuss this with immunity”

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More from @PMGPSC

Jan 16,
1/14 As a human being and the parent of a child who is clinically vulnerable, one of the many things I am unhappy about is the current and growing narrative about who dies with COVID.
2/14 Every time there is an announcement of deaths, there are several qualifiers as to how many “were unvaxed” or “were of a certain age” or “had a chronic disease”, perhaps intended to explain why it was so severe in that individual, or perhaps to reassure the punters that…
3/14 …this won’t happen to you if you’re young or vaxed or well.

Along beside this description runs an implicit subtext “of course, what would you expect”, perhaps a shrug of the shoulders “it’s bound to happen”.
Read 14 tweets
Jan 15,
Survey: I am completely cool with babies being hospitalised with Covid. I am down with Covid hospitalisation of babies being called mild. Unknown long term implications are fine for babies. Parents worry too much about babies. I never worry about babies. Car seats are dumb.
I want to know why a paediatrician would be more invested in convincing others that kids are physically ok, but not mentally ok, with just opinion pieces to support both concepts.
Read 4 tweets
Jan 4,
1/15 I am pretty sick of reading about Covid. I am pretty sick of advocating about Covid. I am a fu@ktonne of tired. But today is my daughters 13th birthday. So I have been up making her pancakes. Not out of solidarity, out of love.
2/15 She was going to see Hamilton for her birthday with her two closest friends. It has been planned for a year. I had to cancel it. She did not bat an eyelid. Did not whinge. She did not say it was unfair.
3/15 Her gorgeous girl friends all consoled her by saying it is so much better to not go. They are all downstairs watching it on Disney Chanel.
Read 16 tweets
Dec 31, 2021
Where in the fu@k are the Colleges?
Absent. That is where.
Weak.
Self interested.
Fiefdoms.
Leadership, courage and plain common sense has has come from ASA and @snouzin. Who else has constantly screamed for the protection of HCW ???
Read 7 tweets
Dec 30, 2021
1/93 Dismantling health resources and infrastructure is not a solution to the pandemic

OzSAGE calls for strengthened Public Health Measures and coordinated COVID-19 care in the community
30th December 2021
2/93 Background -
OzSAGE is deeply concerned about COVID-19 in NSW, which is already affecting all of Australia. We commend the NSW government for reinstating mask mandates and QR code check ins. The decision to remove restrictions just as Omicron surged has cost us dearly.
3/93 We now have over 11,000 cases a day in NSW, a testing system that cannot keep up with demand and a health system so burdened that citizens are being told they may not be able to access healthcare. All models to date assumed good testing capacity and adequate contact tracing.
Read 94 tweets

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