Aaron Derfel Profile picture
Mar 7 10 tweets 3 min read
1) Yes, I'm belaboring the point, but this needs attention. For three days in a row, Lakeshore General Hospital's emergency room has been the most overcrowded of any hospital in the city. This, despite the publication of my series on rising deaths there. Image
2) The Lakeshore ER was filled to 203 per cent capacity Tuesday morning, with 16 patients languishing in its corridors for at least 48 hours. As I've written before, such conditions are far from safe for patients, despite the best efforts of medical staff. montrealgazette.com/news/local-new…
3) This morning, I received a text from an internal medicine and intensive care specialist. This is what she wrote: "I don't think people realize how much we have been pushing the limits of what is acceptable for the past 3 years."
4) Some of my ER sources are so stressed that they have taken to "self-medicating" with wine and Clonazepam, an anti-anxiety drug. This is the cumulative impact of three years of daily ER stress in the #pandemic.
5) In late October, Health Minister Christian Dubé created a "crisis cell" to address ER overcrowding in Montreal. Judging from Tuesday morning's ER stats, it appears little progress has been achieved, despite Dubé's best efforts.
lapresse.ca/actualites/san…
6) The crisis cell did succeed in reducing ER overcrowding slightly at Maisonneuve-Rosemont Hospital, where nearly 100 staff threatened to resign en masse in January, and where politicians held revolving news conferences outside its entrance. Image
7) But at 109% capacity, Maisonneuve-Rosemont was still overcrowded Tuesday morning. The government target is 85% capacity, and rarely do city ERs fall below that percentage. Jewish General Hospital's ER was filled to 164% capacity Tuesday, Royal Victoria Hospital's ER to 152%.
8) ER minimizers like to point out things have always been this way. Yes, I know. When I started on the health beat in 1998, ERs were congested. But there's a difference now: patients are older and much sicker, and ER staff are much more stressed after 3 years of the #pandemic.
9) In this sense, the ER crisis in Quebec and the rest of Canada is unprecedented. ERs are also overburdened in other countries like England. But it's not by engaging in whataboutism and saying that things have always been this way that the problem will go away. It won't.
10) "We also achieve small miracles every day but with fewer resources," my ICU and internal medicine specialist texted me. Still, just because that's true should not make it acceptable for the authorities. End of thread.

montrealgazette.com/_preview/news/…

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More from @Aaron_Derfel

Mar 8
1) Pour des raisons que je n'arrive pas à expliquer ou à comprendre, au moins deux commentatrices se sont plaints récemment que Montréal, la ville que j'aime, est « laide » et « sale » . En voici quelques extraits :
2) Selon @MFBazzo, pour qui j'ai beaucoup de respect, la ville de Montréal « est sale, elle perd nombre de ses forces vives ». Voir sa chronique ci-dessous dans La Presse d'aujourd'hui.
lapresse.ca/debats/chroniq…
3) Et il y a deux jours, @DeniseBombardi3 écrivait dans Le Journal de Montréal que la ville est « laide même sous la neige ». Aïe !
journaldemontreal.com/2023/03/06/mon…
Read 6 tweets
Mar 7
1) Depuis que ma série sur la hausse des décès à l'urgence du Lakeshore a été publiée la semaine passé dans la @mtlgazette, j'ai eu le temps de réfléchir à la question de savoir si les urgences du Québec sont devenues plus risquées ces dernières années. Voici ce que j'ai trouvé.
2) En juillet 2022, les infirmières de Joliette ont averti qu'elles manquaient de bras au point de risquer la sécurité de leurs patients. Voir le lien vers un article de La Presse ci-dessous.
lapresse.ca/actualites/san…
3) Puis, en octobre 2022, il y a eu ce texte publié par Radio-Canada : « Plusieurs salles d'urgence au Québec sont tellement débordées que les médecins et les infirmières ont peur de faire des erreurs médicales. »
ici.radio-canada.ca/nouvelle/19254…
Read 13 tweets
Mar 5
1) Excess deaths in the #pandemic dropped below Quebec's baseline to a negative 3% at the end of January after surging by more than 23% early last December. In this thread, I will examine what the latest mortality statistics may augur.
2) First, though, it's worth defining excess mortality. It's "a more comprehensive measure of the total impact of the pandemic on deaths than the confirmed COVID-19 death count alone," according to our World in Data, which has been tracking this international crisis reliably.
3) On Jan. 22 last year, in the midst of the first #Omicron wave, excess deaths in Quebec soared by 26.2%. You will recall that intensive-care units were overflowing at the time, and this compelled Premier François Legault to declare a months-long curfew across the province.
Read 9 tweets
Feb 23
1) Breaking: Quebec may be on the verge of a new wave of #COVID infections, driven by the ultra-contagious Kraken subvariant that is now predominant in the province, according to the latest data by public health authorities. In this thread, I will examine what this could mean.
2) Quebec on Wednesday reported a surge of 33 hospitalizations with and for #COVID, a day after posting a modest increase of only two such hospitalizations. Obviously, a two-day rise does not a trend make, but it's worth examining this situation in a larger context. Image
3) As my La Presse colleague @PaNormandin pointed out this afternoon, hospitalizations directly for #COVID have increased by 12% in a week. Please take a look at the La Presse chart below showing the salmon-colored section beginning to rise. Image
Read 11 tweets
Feb 18
1) As a lark and also out of fear of AI, I asked #ChatGPT this question: How do you fix health care in Quebec? In less than 30 seconds, this was its verbatim answer. You be the judge.👇
2) “Fixing healthcare in Quebec, or any other place, is a complex and multi-faceted challenge that requires a systemic approach.”
3) “However, there are a few key strategies that can help improve the quality of healthcare services and ensure better health outcomes for patients in Quebec:
Read 28 tweets
Feb 17
1) Conséquences de la pandémie : au moins 46 000 patients ont été ajoutés à l'arriéré des chirurgies dites non urgentes au Québec. Mais cela ne dit pas tout.
montrealgazette.com/news/quebec/pa…
2) Selon le texte ci-dessous, un total de 162 000 Québécois étaient sur des listes d'attente pour une chirurgie élective à la fin du mois dernier. Mais il y avait aussi 4 160 autres patients sur des listes d'attente pour une chirurgie urgente du cancer.
montrealgazette.com/news/quebec/pa…
3) Et parmi les personnes inscrites sur les listes d'attente pour une chirurgie du cancer, près de 750 patients languissaient depuis plus de 57 jours - le délai médicalement acceptable. Et comme nous le savons tous, la pandémie n'est toujours pas terminée.
Read 5 tweets

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