A pt. I cared for in ED:

I’m hungry & tired doc. I’ve got no home & eat only what I can find.

G - what about the shelters?

They’re not safe for an old guy like me. Can’t go there.

G - where do u sleep?

Anywhere. I ride the train until I get kicked out then I walk.

1/4
G - our winter is really cold, that’s so hard, I’m sorry

“Ha! You’re telling me. I find giant empty warm buildings all the time but can’t get in. I just need a warm place so I dont freeze. Nothing big. 400sq feet would be great.

I look for work but am told I’m too old.”
2/4
“I’ve got a skilled trade & >20yrs of exp but can’t get work cause they just throw us old guys away.

People think the #homeless are worthless but there’s kindness on the street. Everyone shares the little they have. Everyone just trying to survive.”

3/4
#homelessness
We see ever more in #hospital since the pandemic. Instead of improved #affordablehousing in our v. wealthy city, we’ll spend x2-x3 the cost for 1yr rent supplements for an avoidable hospitalization treating illness & starvation then send back to streets.
#housing = #health
4/4

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More from @gabefabreau

Jul 29, 2021
Despite my many concerns, I’m listening to @CMOH_Alberta on @CBCHomestretch and honestly appreciate her description of a surveillance plan and willingness to corrective actions if needed.

To be determined I suppose this grand experiment

#COVIDAB
To clarify. @CMOH_Alberta outlined “a” surveillance plan which is far better than the “zero” plan I understood from yesterday’s announcement. That said:

1. I am still incredibly concerned for the 660k unprotected children in #AB including mine

2. Not isolating + cases = lunacy
3. We will get to a “post-pandemic” world, but our current Vax rates are nowhere near enough. ~1.6M unvaxed now

4. #DeltaVariant is a different beast. New data shows increased breakthrough infections despite vax

5. Wastewater surveillance helps but has no accuracy
Read 4 tweets
Jul 29, 2021
Dr. ⁦@atrembla⁩ unfiltered: “if you’re not vaccinated, you need to be willing to suffer the price, &…can’t be vaccinated or if you can’t have a good response to vaccine due comorbidities or medication, well that’s too bad, you live in #Albertacalgaryherald.com/news/local-new…
Dr. Mithani @shazma:

“We’re now in a situation where we’re under-resourced, beds are being closed, the patient volumes are even higher and we’re continuing to be run off our feet,” she said. “We can’t just keep going like this.”
My piece:
Dr. Fabreau…said the province’s “irrational and unethical” decision to remove basic public health interventions…has real concerns about sending them back to school this fall.

“It’s an abdication of our responsibility as adults, as parents, to protect our children.”
Read 4 tweets
Feb 6, 2021
Just finished another >90h week on hospital #GIM service in a #COVID19 pandemic. A few thoughts:
1. Hospitals are still full, but there’s a sense of reprieve, less chaos, anxiety/stress not quite so bad.

Why?

2. Front line #healthcareworkers getting vaccinated

#COVID19AB
1/n
3. Less primary COVID infections = good, but x2 parallel #pandemics now
a. Like in Summer, the collective #Mentalhealth burden is fierce. Intentional overdoses, alcohol, stress, isolation, anxiety/depression, unemployment

b. #COVID related complications: affecting every organ...
5. #publichealth measures are working, but come w sig costs to population health in other forms. #vaccines are coming, but slower than we’d all like so we must double-down on what we have for now

6. We all agree that #COVID is hard, but it’s clearly harder for some in society
4/
Read 5 tweets
Dec 31, 2020
“I’m almost done w this garbage...we take all the risk and get zero help...good luck running this hospital w/o us...”

An emerg colleague last night re: our lack of vaccinations

#COVID19 #COVIDAB #AbLeg #abpoli

1/3
At the end of 96h in 8d on service and have been all over ED and multiple COVID units. Anger/frustration increasing daily from all MDs, nurses, staff in here at lack of vaccinations while watching others w no #COVID19 exposure/risk getting theirs.

#COVIDAB
We spent months in the Spring working w many Dept. of Med colleagues working on an #MD workforce expansion plan specifically b/c there are not enough #hospitalists and #internists to handle pt. volumes.

Each day of delay further demoralizes an already exhausted workforce.
Read 5 tweets

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