Feeling a bit "done" today. Comes in waves (no pun intended), but this particular COVID wave has been extraordinarily challenging, personally and professionally.
When we entered March 2020, there was apprehension, uncertainty and a incredible sense of duty - to respond, suit up, assemble. (couldn't resist an Avengers reference 🙂)
But two years in, the same zeal, passion and creativity is gone. And in its place: exhaustion, ongoing moral injury (witnessing the state of healthcare), and if I'm honest- profound disappointment.
Disappointment that our leaders spend energy on antivax truckers but ignore a crumbling healthcare infrastructure.
Disappointment that we are forced to adopt alternate care models due to shortages, which will undoubtedly take a large physical and emotional toll on HCW, patients and families alike.
Disappointment that we are expected to continue to be running on empty, expected to do more on less resource, while the rest of the world moves on with life.
When you're so deep into pandemic response, it takes over every aspect of your life. The sacrifices my kids and partner have had to make to accomodate the 24-7 job this has become. We don't "get to be tired" of COVID.
I am looking forward to the day when this pandemic is behind us, as all of us are. The healing, restoration, and reformation required by the medical system will be incredibly necessary for the future generation of leaders, for our current model is not sustainable.
Until then, I am grateful for a group of colleagues who get it, the only ones who truly know what this last two years has been like. We will make it through to the other side. #YEGGIM@BisonGIM
• • •
Missing some Tweet in this thread? You can try to
force a refresh
Today, I heard strangely high number of folks tell me that "it's just time to get back to normal. COVID is done. We need to get back to our lives."
When they say comments like this- it's as though the 2.9million Canadians that have had COVID in LESS THAN TWO YEARS means nothing. (And we know it's likely more than that given our current lack-of-testing strategy.)
When they minimize the effect of COVID, it's as though the 32,413 Canadians that lost their lives to COVID is insignificant. And the numerous families who couldn't say good bye or grieve is just "unfortunate."
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.
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.
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."
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