#AbElection note, personal.

Every doc I personally know (lots but not all obviously) think the Smith UCP will destroy Albertan healthcare.

The most “corporate” docs I know tend to be cardiologists and CV surgeons

…they organized an NDP fundraiser.
1/ Image
I’m in a social media group with 1000s of AB doctors discussing exit plans if there’s a Smith UCP win.

It’s terrible to hold the bag for a failing system you can’t fix.
Being undermined, disrespected and maligned is stressful.

Salary isn’t the main topic:
2/
Being able to provide good care and a good life for your family in a respectful, stable environment is the focus.

So many other health care workers feel the same- even many historically conservative ones.

These people care about Alberta and their patients
3/
It feels like people are not really picking up what so many healthcare workers see if there is a Smith UCP win.
Doctors see and value the potential to have a rational, evidence based conversation with the NDP.

Say you get a tax break. That’s nice.
Say you get appendicitis.
4/
Or chest pain.
The local hospital is closed.
The ambulance takes 2hours.
The emergency room has 4 h of more urgent patients ahead of you.
The doc was flown in to cover and doesn’t know the system.
Your 89 year old grandma is awaiting hip surgery in a hallway for 4 days.
5/
You have an app instead of a family doctor. The teledoc can’t examine you so refers you to a specialist with a 13 month wait list.
Your lab results are delayed by 10 h to 9 days depending on private lab transit times.
These things?
One of many possible futures.
Choose wisely.
Adding;
I was criticized for a closed to followers thread so we are experimenting.
Opened Sunday morning.

Let’s see what kind of people (and bots) come in and how civil, rational and balanced they seem, ok?

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More from @AntibioticDoc

May 28
I’ll never forget when a public health doc told me, a naive Infectious Diseases resident that vaccines don’t use the same cut off assessment as medicines or other interventions like procedures. They have to SAVE money for the system to be publicly funded.
Decisions to fund
1/
Treatments like medicine or procedures usually use a cut off based how much they cost to save a good quality of life for a year. shorturl.at/CGMX8
Depending on a countries wealth maybe $ 50,000 and lower is more justifiable. Vaccines? are expected to save money.
2/
This is bizarre. I mean why the higher bar? I think systems should value life saving things by the same measure. By any measure they are the most inexpensive and effective health interventions we have.
On the other hand, alternative products and supplements
2/
Read 4 tweets
May 27
Buckle up
#abpolitics
Personal but evidence based opinion incoming.

I’ve worked hard to untangle messy information in the pandemic and offer the clearest and current best interpretation of the facts that I can.

So let’s dissect some political messaging.
1/
From a message from the NDP:

“This election, we can go down one of two paths.
Danielle Smith and her gang of extremist supporters are pouring millions into a campaign to sway Alberta towards a future that stands in stark contrast to the principles we hold dear..."
2/
(NDP message continued
"Their vision for our province? A harsh landscape where compassion is scarce, safety is not a guarantee, and the divide between the rich and the poor only continues to widen.”
Assessment:

True.
Objective assessment matches the content here
3/
Read 27 tweets
May 25
Yikes.
Fungal meningitis outbreak- epidural anaesthesia - very dangerous. Going to other countries for “cheaper” healthcare including esthetic procedures can be risky: in for profit systems quality control, infection monitoring might not be a priority.
1/ emergency.cdc.gov/han/2023/han00…
This outbreak is an unknown fungus but I’ve seen people come back from the US and Mexico and South America with mycobacterial infections that require 4 drugs, some special access (not really available) , for a year to treat successfully.
I contacted the surgeon
2/
and esthetic surgery destination centre for one of them to alert them to look into the cause and assess for an outbreak by contact patients - and they never responded.
People think if surgery as very safe because our standards are high, but that takes work/resources.
3/
Read 4 tweets

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