On today’s mini edition of #shiftpERspectives, I’m going to arm you with pro tips on how to navigate an ER visit 🧵
1. Most importantly, if you need the ER, we are here for you. We will do our best to see you as quickly as possible. Please be patient with us. /1
2. Write things down - if your BP has been high, write down the numbers. If your kid has a fever, write down the temp and when their last dose of meds was.
3. Remember times - how long was the seizure? How long was the person unconscious? What time did the chest pain start? /2
4. Take photos! This might sound gross, but photos of poop and vomit or whatever you’re coughing up are VERY helpful. Rashes/infections too!
5. Similarly, take videos! Seizure? Weird movements? They help!
6. Bring your med list with you if you have it handy. /3
7. If you have gastrointestinal symptoms (abdominal pain, vomiting, diarrhea), please try not to eat/drink anything. Some tests/treatments require an empty stomach.
8. Same goes if you think you’ve broken a bone. Sedating you to reposition the bone requires an empty stomach. /4
9. If your kid has a fever, PLEASE treat it (unless they’re under 1 month old). The wait might be long, and we want them to be comfortable.
10. Bring a book, podcast, snacks, water (unless you shouldn’t be drinking/eating) for the wait. /5
11. I know it can be frustrating to see people who have waited less time get in quicker. It’s almost certainly because they’re more sick than you. We have to treat the sickest first. Please try to be patient with us. We really are doing our best! /6
12. If you’re worried you or your family member is getting sicker - please come up to the triage desk to tell us.
13. If you can, call you family doc first to see if they can help before coming to the ER.
14. If you do experience long waits or concerns PLEASE share your story with you provincially elected representative and health minister. System change will only occur if elected officials make it a priority and feel the pressure. Remember, they are elected to represent YOU. /8
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HOT TAKE - rising healthcare costs can be reduced by investing in primary care. Everyone needs easy access to a family doctor.
Here are just a few ways that family doctors help save their patients and dollars… /1🧵
Treating your high blood pressure, diabetes, and/or high cholesterol and helping you quit smoking, so you don’t end up in the ER with a heart attack, stroke, or recurrent COPD flares. You also won’t need the prolonged treatment/rehab from these acute (preventable) diseases. /2
Being available when you need help with a non-urgent/emergent medical issue, so you don’t have to come to the ER to wait hours, and eventually be discharged home without the continuity of care and familiar face that your family doctor can better provide. /3
Another round of media questions during a rapidly evolving surge in #omicron cases. Thanks to @ab_vax for help.
1. Have there been any hospitalizations related to Omicron?
2. Last week you mentioned N95s could be harmful. Please explain how they could be considered so? /1
3. There have been mult. reports of false negative RATs even after waiting 48h with results not turning positive until day 4 of illness. Based on current guidance, one could have two false negatives and be off isolation even though they have COVID. How will this be addressed? /2
4. There has been a spike in pediatric admissions in South Africa and NY related to Omicron. With school starting in days, how will our children (especially those under 5 who aren’t vaccine eligible) be kept safe?
I’d like to take a moment to talk about how this pandemic has magnified inequity in our society and that enough still isn’t being done to address it. Today, I’m going to stay local, as I’ve touched on global inequity previously.
/1 🧵
Let’s start with something as “simple” as the ability to quarantine/isolate. Do you have:
- physical space to isolate?
- financial security to be away from work for 10+ days?
- a supportive employer?
- job security?
- paid sick leave?
/2
What about your kids? What if they have to stay home to isolate or due to school closures? Do you have a device for online schooling?
Most families don’t have the luxury of being able to work from home or the flexibility to take time off if their kids are home from school.
/3
I’m very disappointed to hear the unvaccinated adults are allowed to gather with people from up to 9 additional households. This is irresponsible. The unvaccinated still make up a huge majority of severe illness. /1
There was a clear disconnect between the changes in the rules and the cautions that @CMOH_Alberta stated. Indoor gatherings pose the largest threat to spread, yet we are allowing people from 10 different households to gather indoors (including the unvaccinated). /2
It was also stated that widespread transmission even with a mild form of Omicron has the potential to overwhelm the healthcare system. It seems these valid concerns are incongruent with the new rules. There is potential for large spread with mixing of multiple unvaxxed people. /3