1/ Yesterday was demoralizing.

Some of the best years of my life (2004-2013) were med school, internal medicine residency and ICU fellowship at Western. I still bleed purple.

This mandate will hurt people and threatens to ruin a very special place.

news.westernu.ca/2022/08/wester…
2/ Western claims to be enacting their three dose mandate after consultation with their experts.

Which "experts" are these who do not seem to know that third dose effectiveness is roughly zero (0.6-6.5%) at 4 months?

nature.com/articles/s4146…
3/ Why would you kick someone out of school because they didn't take a booster 8 months ago that is currently providing ~0% protection against transmission?

Pretension? Malice? Callus disregard for people who think differently than you? I'm struggling to understand.
4/ What sort of "expert" doubles down on the failed measures that spectacularly failed to contain Omicron just last Fall?

jamanetwork.com/journals/jaman…

"Cornell’s experience shows that traditional public health interventions were not a match for Omicron."
5/ It seems to me that a clique of preening zealots who understand very little about the whole of human health have taken over my alma mater.

They congratulate each other in an echo chamber and distribute dubious credentials in a daisy chain of obeisance
6/ Unencumbered by actual clinical experience, regard for the scientific evidence, or fealty to our standard ethics, they claim a mantle of unearned "expertise."
7/ If you have never had to tell someone "sorry the hospital didn't let you visit your husband for the last ten days because you traveled out of country. . he has died," you are not an expert in the harms of these policies.
8/ If you have never intubated someone who got Covid from their vaccinated and masked caregiver who "did everything right," you are not an expert in the the failures of these policies.
9/ I spoke to the actual medical experts at Western today, my friends and former colleagues. They were, oddly, not consulted about this policy.
10/ These kids about to start first year, whose futures you would casually foreclose upon (with two weeks notice!), were 15 when this madness started.
11/ They didn't have dances. They didn't have sports. They didn't have theatre.

They deserve to have college. With smiles. Next week. #EnoughIsEnough

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More from @strauss_matt

Aug 3
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…
Read 9 tweets
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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