I have been fortunate to explore numerous corners of the western world. Early on I was advised to pay close attention to the people. No further guidance than that. I started looking through the lens of a physician. I saw history & geography determined the habits of the people...2 2...Europeans weren't nearly as obese, but they lived on 1000s yr old infrastructure. They were not a frontier. North America continues to be a frontier, and it shows in our houses, living rooms, pantries, fridges. Stock up, gun up, hunker down...3

1...This is coming to your hospitals Alberta. With the faith-based ideology, Covenant Care will be looking to impose these doctrines:

"In vitro fertilization (IVF) is not permitted because it separates procreation from the personal, sexual act of love of the couple."...2 2..."Catholic health care organizations are not permitted to engage in immediate material cooperation in actions that are intrinsically immoral, such as abortion, euthanasia, assisted suicide, and direct sterilization."...3

Dr Parks @PFParks, you have done great service in raising public awareness as to the plight of family medicine in Alberta. I salute you. This ad is an example of the value the UCP places in famdocs, and the games they are willing to play...2

https://twitter.com/PfParks/status/1821372278573015303

2...@ABDanielleSmith @AdrianaLaGrange, if I am elected prez SFM (Section Family Medicine) on August 23rd...you are going to realize what its like to deal with a real SOB. I'm bringing new tactics, I am assuming you will be unreasonable, and the stakes are going to be raised...3

There is an all-time high amount of moral injury/burn out in the public health services. My family medicine colleagues are leaving. But of those that are not yet committed to leaving, they are all saying...in the clinics, in the symposiums, in the chatboxes...2 2...they are saying "what's the point? Why die on the sword of public health when purse holders insist on starving the system, us, our families, to death?"

You know what that leads to? Further obstructions of care. Family doctors are now trying to salvage their...3

Do we need to collectively meditate on what it is to be a corrupt government? In a nutshell, it is embezzlement, against the public benefit, as directed by personal ambition....2

https://twitter.com/TheBreakdownAB/status/1815806877550494112

2...embezzlement being the misappropriation of public funds placed in your trust, and put to unintended uses. In case of governments trying to opacify the paper trail, this misappropriation is seldom in the form of direct self-enrichment...3

Forgive me if the details are wrong, I'm only a family doc. And Alberta's penchant for screwing over doctors and patients is immense.

It has come to my awareness that patients being admitted to hospital with active opioid use disorder (what conservatives would call addicts)...2 2...will now be disallowed essentially anything to help them stay out of withdrawal. Regardless of why they are there, their only option will be opioid antagonists. Further, there will be a pathway established towards detainment?...3

@ABDanielleSmith @AdrianaLaGrange @DShepYEG @Lorian_H

A number of my colleagues have reviewed the Nurse Practitioner Primary Care Program and have noted, in many ways that this is a Plan far superior to what family docs are getting in the province, and yet...2 2...and yet, many nurse practitioners are already rejecting the Program as not good enough for them. So Albertans, are you getting value for your money? Is the govt ACTUALLY trying to solve the family medicine crisis?...3

The crisis in LTC/SL4 is deepening. More deaths from neglect this week. This information gets obscured by demands of patient confidentiality, and the patient group being unseen (how can you be seen when you can’t leave, can’t speak, can’t reason). Many don’t have families…2 2…they reside in facilities that are horribly under-staffed. The nurses there practicing war-zone care. The paramedics and doctors helping out have to try to be at 8 facilities at the same time. The crises start to stack on top of each other…3

@CPSA_CA, I hear you are in trouble. I hear your days are numbered, and as such, the days of doctors being self-regulated in this province.

Whomever of you that may read this...I want you to think on this: the CPSA's official position on disallowing family doctors to partake...2 2...in job action is partially to blame for where we are now (that includes the precariousness of your future existence). By making it so dire for family doctors to take action to represent themselves, you have inadvertently allowed a corrupt govt to take us to...3

I am a family doctor in Red Deer Alberta. Yesterday a wheelchair-bound patient of mine came to the clinic to have a cyst removed off his leg that was causing him lots of troubles. There was no plausible way to get him on a table...2 2...Referring him to a specialist at a hospital with support staff to get him on the table would have cost months if not years in time, many hundreds in specialist fees, maybe thousands in hospital fees...3

Dear moderate Alberta conservatives that are uncomfortable with where the UCP has gone: realize the party won’t splinter while in power. You will not be able to eject the RWNJs until the UCP are ejected from power…2 2…But the moment they do get ejected they will indeed splinter apart. Every day that the moderates and the extremists remain “united” is another day the rest of the province/country sees you as indistinguishable from each other…3

A vote for the @Alberta_UCP is a vote for not being involved in selecting the next premier…2 2…a vote for @ABDanielleSmith is a vote for letting @takebackalberta install anyone they damn-well please after the election…3

Today the contract between @YourAlberta and @Albertadoctors is either ratified or not. Within this contract is formal structures to allow the govt to set up "relationships" with large corporate shareholder-beholden companies entering into healthcare delivery...2 2...It creates a situation where "docs", where-ever they are in the world, can be employed by these corps, but can only gain employee representation if they can track each other down and get 50%+1 to agree to cooperate on seeking representation (without knowing what 50%+1 is)...3

Alta docs, contemplating the upcoming contract negotiations with the UCP: As I do my Sunday labs, it occurs to me how HUGE of a backlog we have in getting our standard of care back to where it was pre-2019…2 2… And it is likely being made worse, not better, day by day as more docs leave and fewer docs come to Alberta. Despite me drastically extending my hours of work, the care needs outpace my abilities to deliver…3

1..To all those supporting “the convoy” for it’s attempt to give you back your freedoms. Well, you had your rally, what did you accomplish? Get your freedoms back? Probably not, b/c Ottawa hadn’t taken any to have to give back..2 2.. If a govt is going to take a freedom from you, the first one they will take is the right to public protest and free association. Isn’t it ironic how the freedom convoy was able to make it to Ottawa without being arrested?..3

1...I think Albertans of “both sides” can come together on this.

First, lets be clear. @AHS_media = @dryiu_verna = @CMOH_Alberta = @JasonCoppingAB = @Shandro = @GoAHealth = @YourAlberta = @UCPCaucus = @Jkenney*. One entity, one strategy.
...2 2...We have been a victim of an offensive perversion of “our democracy”.

Regardless if you side with/against vaccines, with/against social distancing/restrictions, schools open/closed etc etc
One thing holds true.
...3

1/ With the recent attempted soft stance on Nazism being pushed by @Jkenney's @UCPCaucus @YourAlberta w/ @AdrianaLaGrange, does anyone one find this particularly disturbing. Disturbing when you think this is a long game /2 2/ A long game in that you don't indoctrinate grade schoolers to win votes in 2 year's time. This is an attempt to soften fascist trends for decades to come. What govt ever plans out past the next election?!? Clearly this isn't in @Alberta_UCP's best interest /3

1…I’ve had a choice number of people reach out to me to sincerely ask me to stay in Alberta. I didn’t realize so many of my actual patients followed me on Twitter. Many who know me personally know I’m just an average joe who managed to transition from…2 2…from construction work (and academia) into medicine. I am not stoic. I am not always ‘proper’. To my patients: please realize that was a really really low couple of days for me. But, I did not mean to turn this into an “I’m leaving!” dramatic publicity stunt…3

1…Tonight my dog died. Metastatic Cancer. Not the only case of cancer currently brewing in my family. Had to put her down. As I held her and felt her last breath, I realized how hellish my work-life balance had become this last year…2 2…Don’t get me wrong, medicine has always been tough to find work-life balance. Notoriously. But, we had been making inroads as a profession to attain that balance. But, when UCP came along that all halted. Then COVID came along and that was shattered into a million…3

1…In the lead up to WWII, Hitler engaged in a campaign of “re-uniting the Germanic Peoples”, and Lebensraum (“living space”). Despite the rest of the world watching him (esp France, England, USA, Russia), he was able to hostiley annex (though without a single shot fired)…2 2…He was able to annex Austria, and approx 80% of Czechoslovakia’s industry and resources.

Through:
A) a slick PR campaign
B) “Divide and conquer” politics
C) unwavering ideology

He gained the power and righteous delusion to take the world to the brink of destruction
…3

1…Discussed with an immunologist: new variants are appearing with mutations in the human tissue receptor portion of COVID, which is also the portion of the spike protein that the vaccine-induced antibodies (AKA your immune system)…2 2…while this does not increase the infectivity or virulence (disease severity) or the virus, it could lead to significant decrease in vaccine effectiveness…3