I spent the holiday weekend working in an Ontario ICU.

It was *completely* full and there was ZERO Covid.

The staffing problem is very real. Poor morale and high workloads form a vicious circle. Here's how I would fix it if I were a hospital CEO:

london.ctvnews.ca/14-hospitals-i…
1/ Apologize. Pick up the phone and call everyone you fired over unethical, ineffective, unscientific vaccine mandates. Ask them to come back. Then apologize to everyone who is still at work but felt coerced.
2/ End the mask mandates. It's been 2.5 years that HCW haven't seen each other smile or had a non-muffled conversation. This takes a psychological toll. Hard to measure, but it's real:

tandfonline.com/doi/abs/10.108…
3/ End the punitive, mean-spirited visitor policies. Nothing burns HCWs out more than telling families they can't see their loved ones, then getting yelled by said families. These policies protect no one.
4/ Welcome back the volunteers, gift shop workers etc. Hospital lobbies used to be bustling places where the community met and pitched in.
5/ Stop the silly screening protocols. There is no scientific basis for treating the hospital entrance like a militarized border crossing. Everyone knows to stay home if sick. I don't need someone to hand me a mask with salad tongs. Redeploy those workers to patient care.
6/ Lead from the front. Commit to working 2 shifts per month as a frontline health care worker in your background profession. If you aren't a former health care worker, resign. You don't know what you're talking about, I promise.
7/ Pay nurses more. I know this requires the province to play ball. Start lobbying. Doctors were paid ++extra during the pandemic and nurses had their pay frozen. It was horribly unfair.

cbc.ca/news/canada/to…
8/ Celebrate. The pandemic is over! Even Fauci said so. Summer is here and the window for a staff-appreciation barbecue is closing. 2.5 years of overtime, no vacations and childcare angst need to be acknowledged. Congratulations all around are in order.

washingtonpost.com/health/2022/04…

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More from @strauss_matt

Jul 16
This is misinformation from our Health Minister.

NACI did *not* recommend that infants get vaccinated. They recommended that vaccination "may be offered."

You can read their statement with your own eyes, here:

canada.ca/content/dam/ph…
Furthermore, the NACI statement points out that there is no great evidence that vaccinating under-5's "helps keep communities safe."

canada.ca/content/dam/ph…
If my infant daughter had any medical comorbidity putting her at risk of a severe Covid outcome, I would be in a great rush to get her vaccinated.

As it happens, she does not, so we are not in a rush.
Read 6 tweets
May 28
The pandemic is coming to its end.

As a frontline physician, I saw horrendous things: hopelessness and heartlessness wrought both by the virus but also by our, at times, counterproductive restrictions.

Today, I am grateful that these are (almost) all over.

(1/x)
I am especially grateful for my physician colleagues across Canada who had the courage and insight to speak forthrightly about all this even as the fearmongering media called for their heads.

Here are some. A thread. .

(2/x)
Ari Joffe is a pediatric ICU doctor and bioethicist in Edmonton. His paper in Front Public Health was one of the first and most comprehensive academic summaries of why not to pursue lockdowns.

pubmed.ncbi.nlm.nih.gov/33718322/

(3/x)
Read 38 tweets
Apr 3, 2021
I receive daily reports on ICU capacity in Ontario.

In April 2020, Mount Sinai reported to have 26 baseline ICU Beds with ability to go up to 44.

Today, I received a report that Mount Sinai has 33 ICU beds with zero ability to expand.
In April 2020, St Joe's had 23 beds, with ability to expand to 37.

Today, the report says 26 beds with zero ability to expand.
I hope I'm misreading. Am I to understand that after a year to spool up for this pandemic ICU capabilities in some Toronto hospitals went *down*?
Read 7 tweets

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