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Dr. Andrea Sereda Profile picture
Dr. Andrea Sereda
@andreasereda
Physician. Safer Supply prescriber. Eccentric. Mom to a badass daughter. More fun than I sound. Fun & un-fun views all my own
Sep 16, 2021 • 19 tweets • 9 min read
This is the 2nd in a series of threads where I talk about the reality of ppl living in homelessness on the streets of #ldnont

Today I will tell the story of a young man who is literally dying of starvation

1/ His story will show the impacts of living outside w a severe chronic illness & how hard it is to find shelter in #ldnont

First I will explain the landscape of emergency housing options in @cityoflondon. If you want to skip ahead to the story, scroll about 1/2-way through

2/
Sep 15, 2021 • 12 tweets • 5 min read
Today is the first in a series of threads where I will talk about the reality of ppl living in homelessness on the streets of #ldnont

These threads will share facts about the reality of homelessness & share ppl’s stories of housing success & housing deprivation

1/ All stories are shared w consent (enthusiastic consent actually! W/o exception, people want to share in order to help other people)

Stories have been edited and personal details blurred in order to protect everyone’s confidentiality

2/
Apr 14, 2021 • 9 tweets • 2 min read
Right now DULF (Drug User Liberation Front) is practicing civil disobedience in order to save lives

DULF is handing out clean heroin, cocaine & methamphetamine

Why? Bc the history of harm reduction is that all life saving harm reduction interventions have begun w drug users

1/ Drug users pioneered clean needle exchange while docs & govt tsk’ed tsk’ed about moral hazard (what if more ppl injected drugs??)

Drug users pioneered 1st safe injection site before Insite, while docs & govt tsk’ed tsk’ed (how can we allow them to KEEP injecting drugs??)

2/
Dec 16, 2020 • 5 tweets • 2 min read
Every morning I review my patients who were in Emerg or hospital in #ldnont the day before.

Today, I paused at a face sheet to a visit. Written in the diagnosis field (which should contain a diagnosis, not a judgement), it said:

“Here most days”

1/ I paused & reflected

“Here most days”. The tone behind those 3 words was palpable

This person faces many of the challenges common to my patients

Sleeping rough on a cold Dec night

Uses drugs to stay awake, warm, safe. MH exacerbated by the survival choice to use drugs

2/