I had two interesting conversations today. Please feel welcome to read along! One with a physician I’d never met before and one with one of my oldest friends who happens to be a teacher in another province. First, the Dr. He kindly asked me why I was masked. /1
He seemed curious and it was a respectful and honest conversation, so while the words might be upsetting, our conversation was collegial.
So, he asked why I was masked. At first I didn’t know who he was, so I took my time in thinking through a reply. /2
I went with “I don’t want to get sick.” To which he said okay, he just always saw me in my mask and didn’t know if there was something going on 😅 I said, well nothing apart from the usual. I mentioned working with a lot of folks from SARS-1 and aerosol transmission. /3
Talked briefly about ventilation and offered him a respirator. He seemed pretty surprised by that and declined, saying he didn’t want to ”waste resources” - I reassured him I had bought the respirators. So hmm, maybe HCW still think there’s an N95 shortage. /4
Anyway, he pulled out a crumpled surgical mask from his pocket and said he would use a respirator when it was necessary. We chatted a few more minutes about other things and it really was a warm conversation.
It’s going to be a big job, leading docs to understand…/5
People don’t know what they don’t know. The sight of my actual N95 led him to think there was something *else* going on beyond the hellscape we’re already living and working in. Is he still operating under the non-evidence-based 2m/15 min exposure info? /6
Has he forgotten about asymptomatic transmission; about the fact that most people aren’t boosting or testing; many people around us every day are obviously sick and maskless and coughing everywhere at work? /7
Anyway. This whole thing won’t be a single conversation. We’ll talk again. I hope he remains curious and willing to listen to why a colleague would wear an N95 at this point in time. /8
Tonight I got a message from a dear and longtime friend. Friend is a classroom teacher in another province. She has never been so sick in her life as this winter. Repeated infections; chest infections; describes her immune system as trashed. Catching everything going. /9
One of the illnesses put a family member in the hospital. Just incredibly stressful stuff. Constant illness, trying to balance recovery and being at work. We talked about her classroom ventilation and some resources she could use. How the union should care. /10
I have the benefit of having grown into this. Of the dawning horrible realization that our institutions did not want to actually know; did not want accurate information; did not want to have to upgrade indoor air quality for all occupants. /11
It’s tough but at least I have been following the horrors and where we are today comes as no surprise. I can’t imagine being sick over and over and stressed about your family and now trying to add advocacy on top of that, starting from such a vulnerable point. /12
The Dr asks me why I’m wearing a mask.
The classroom teacher whose health is being sacrificed for fake normal and for politicians’ popularity asks about long-term effects of infection.
💔
/13
I’ll answer both of their questions. Gladly.
The vast majority of people I interact with every day are caring people who want to do good things.
/14
They want to come home safe and healthy at the end of their shifts so that they can enjoy all the rest of what life has to offer.
How do we get there? To safe and healthy workplaces and public places for all of us? Safe healthcare? How do we get there from here.
15/15
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I was leaving work late the other night. My work has amazing ventilation. CO2 everywhere I go is under 600ppm. I have a solo office. I shut my door and unmask to eat and do zoom calls (but if anyone drops by I mask and stay masked after). I also often end up just chilling 😷 /1
In my mask because who cares, it‘s comfy and I can wear a mask alone in my office if I want to. Anyway. I will admit that as I was getting ready to leave I had a fleeting moment of desire to just walk out through the hallways maskless. I didn’t do that! But my brain went there /2
I put my awesome mask on for the walk out of my office and down the halls and out. About 50m from the exit I ran into a friend I’ve known for 25 years! /3
I’ve been involved in medical education for 15 years. Important points:
- medical schools must be accredited for anyone to actually want to attend them (you won’t be getting into residency if your undergrad med school is not accredited)
/1
- I worked at Dal Med when their accreditation was put on probation. WOW. The whole operation turned on a dime to pass the follow up visit. @RyanMcNutt was there too. ;) People worked extremely hard. Problems identified included lack of student lockers at the VG, an ancient hosp
- The entire curriculum was overhauled on a very tight timeline. Not just the content but the whole structure of how it was delivered. It was an exceptional project.
- You need medical faculty members to be able to teach students. To become faculty you need your CCFP.
I saw a 🇨🇦 MD accuse the new CCS of “monetizing COVID” and I have some things to say. 1. It’s unserious to pretend there hasn’t been remarkable wrongdoing in 🇨🇦 - ongoing - re: SARS-CoV-2. Ongoing denial of airborne transmission; access to PPE; and see my pinned 🐦re LC.
As for the intentions of the people involved. Over the past 2 years I have spent countless hours in virtual meetings with many of the people working on @CanCovSoc. My kids recognize Dr. Vipond, Nancy, Cheryl. Why? We do most of this work in the evenings.
People squeeze in meetings between meal time, family time, other volunteer commitments, work shifts. Never once have I heard someone say “step 4: profit” or express any desire to make any money off of anything we do. Why do orgs need to raise money? To pay someone to work.
I attended a meeting last night - not a COVID focused one - and one of the topics was the labour force. I mentioned how long COVID is affecting this particular labour force and how we need safe work environments. It felt awkward and the person who spoke after me seemed … /1
Confused or perhaps even upset about what I had said. It was a good reminder that it‘s really important for us on here who see what’s happening to take some time to bring this knowledge to the non-twitter world. It‘s NOT on their radar. /2
It can be awkward and unpopular but it needs to be said, because @Gov_NB @pcnbca and public health are NOT doing their jobs. If we want a safer future we have to do this work. And it takes time - my god it takes a lot of time. Once is not enough. We end up having to repeat. /3
I want to talk for a minute about medical offices as businesses and places of employment.
Thread. 🪡
A common refrain among med students is that they either didn’t go to school to become business owners, or that it’s the part of the job that least interests them.
For some, it’s a stressful part. Certainly it would be common for “business” side of being a Dr to get least attn.
Oddly enough - my MLIS degree is from a faculty of management. Not business exactly. But we had to take management courses. Had the management lens to a lot of courses.
I don’t think anyone ever told the med students about their future duties as employers. In terms of OSHA etc.
I’ve been live tweeting Day 1 of the @LongCOVIDWebCA Canadian Long COVID symposium the best I can today - not getting even 10% of what has been said but I enjoy trying. New thread for the keynote by @VirusesImmunity 😊
Getting right into it with the NY Times image showing all the organ systems involved. Next, showing the other post-acute diseases. What are the triggers? What is the impact on the immune system?