Another Wednesday, another conference filled with misinformation.
@JasonCoppingAB says not all hospitals are overcapacity. Only some in #yyc and #yeg ... And okay, perhaps that true. But that should not be reassuring to anyone, and here's why.
#YYC and #YEG contain the main tertiary car centers for AB, where specialized surgeries, procedures and transplant medicine occurs. It's where resources such as telemetry beds, specialized equipment exists as single point access for all Albertans.
If those hospitals are overcapacity, they can no longer safely accept patients from the peripheral sites, the rural hospitals, the smaller centers that do not have all of the necessary medical tools and personnel to care for every patient.
So while small centers scattered throughout the province may not be over 100% capacity, the centers that need to ALWAYS have room for our neighbors to the south, east, west, north (including NWT) are OVERCAPACITY.
Misinformation and disingenuous reporting of current state is going to be the ruin of our system. Please, @JasonCoppingAB , stop and provide Albertans information with integrity.
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I just finished my 24th week of COVID unit over the last two years.
For context.... That's A. Lot. Of. COVID.
At this stage of the pandemic (yup, we are still in a pandemic), we have far more tools to manage severe COVID, we know more about the disease course, and I've been able to fine tune my clinical gestalt.
However... The fear that I had walking on to COVID units those first few months has been replaced with a mixture of numbness and dread.
Not only is our system collapsing, but so are the humans who are trying to hold it up.
I walked through the halls of the hospital today, and each physician I ran into had the same story to tell. "Neeja. I am done. I cannot continue like this. I am at my breaking point."
From every specialty, from every different but oh-so-similar lived experience-- the sorrow, exhaustion, and depression was the same.
I dread Sundays. It wasn't always like this. Sundays were family days, filled with connection and good food with the grandparents.
But now, every Sunday morning, I am forced to manually count the number of internal medicine patients at RAH, assess how many "off service" wards these patients are on.
(definition of off service -- beds not assigned to int med, that we are "borrowing"-- see also "this means cancelled surgeries.")
*We have patients on an EXTRA 9 off service units right now.*
Powerful read - thank you @AmyTanMD for this piece. As a cisgendered BIPOC physician, I am one of those 75% that has experienced racism from within the walls of our institutions, from our colleagues and leaders. /1
The recent publication highlighting just how racist the physician community in Alberta can be was sadly not eye opening, but rather a sad reminder of how far we need to go. A line from Dr. Tan's piece really hit this home:/2
"This also elucidates that if colleagues within the medical profession are subjected to ongoing racism, the racist harm our profession causes the patients and families we serve to suffer is immense."/3
I was born, raised, trained and worked as a physician in the US. I had lived private healthcare for over 30 years.
Were there advantages? Sure. You could get a CT scan the same week. Your knee replacement may happen in 1-2 months from assessment.
..... If you had health insurance. If you paid your massive premiums and deductibles first. If your preferred physician was in your network. If you had privilege.
As we see more Long COVID patients, we are adapting our intake to reflect common patterns we have been noticing.
One of the questions we had to add was : Are you able to work?
We added this because over 50% of patients I've seen so far have had to go on modified duties or short term disability due to severe brain fog, fatigue, or shortness of breath / chest pain.