Diabetes physician/researcher & Mum. Values lived experience & diverse perspectives. Believes in compassion, inclusion & that language matters. She/her/hers.
Nov 19, 2023 • 17 tweets • 3 min read
This is a must read article on why #healthcare is failing.
At the heart of all of this, is a failure to design/evolve a system that addresses/responds to clinical & social complexity.
Alberta, you really need hear this: 🧵 1/ pressreader.com/canada/toronto…1. Health is a result of a number of social/structural determinants.
Wealthy, housed, emotionally supported ppl are healthier than those that are not.
#COVID illustrated this powerfully. If you were racialized & poor, it was devastating. If wealthy, you were inconvenienced. 2/
Aug 21, 2023 • 5 tweets • 1 min read
The association b/w COVID-#diabetes- #heartdisease is real and worrisome.
I am a diabetes care MD & I am booking in MAY 2024 with no capacity for new referrals & booking 3x as many patients I am contracted to. Same for my colleagues. 1/5
3 years ago we could see this unfolding.
#Diabetes has + structural/systemic determinants. Communities w/ the highest #COVID rates were at the greatest risk for diabetes. They were also the most likely to lose employment & health benefits when sick. @NaheedD @CampbellLab_yyc 2/
Jul 9, 2022 • 9 tweets • 4 min read
Oh my, sit tight & let's unpack how this case illustrates how medicine is an incredibly unsafe training environment for ppl with intersectional vulnerability. 1/9 #metoo#equity#psychologicalsafety#cardiology#MedEd
1) The power gradient creates no ability for learners to speak up against a preceptor. Trainees in specialty programs want to get hired & can't risk pushing back, esp if you are equity deserving. 2/9
In #medicine, we need to re-think "leadership".
On this Jan 1, 2022 I find myself 3 yrs in to a 5 yr leadership position & reflecting on what I have learned about "leadership".
Some thoughts (🧵): 1/81. "Leadership" is a terrible brand & misunderstood. Often equated w/ lots of work & big decisions, "leadership" over-emphasizes the actions of the "leaders" & devalues the contributions of the team. That concept will get you the wrong leaders & terrible results. 2/8
Jan 1, 2022 • 8 tweets • 2 min read
In Alberta, we have had lots of experience w/ moving too fast too soon on lifting restricitons wrt to COVID.
On the 5-day iso recommendation:
The evidence says viral shedding peaks at 5-days, but ppl are still infectious until ~9 days. 1/8 thelancet.com/journals/lanmi…
I get that w/ high infectivity, workforce management is a nightmare. Decreasing iso time for folx w/ lower viral loads d/t vaccination may be a reasonable BUT saying that essential workers can work in those first 5 days is ++problematic. 2/8
Oct 18, 2021 • 11 tweets • 3 min read
CS:Suicide.
I have planned my death, twice. 1) CO poisoning while kids were away w/ their dad. 2) Insulin OD in secure med closet (I am alone in clinic after hrs all time, it would have been easy & effective).
I had explicit plans, even dates. 1/11 cmaj.ca/content/193/41…
I have a history of disordered eating, anxiety & depression, all very stable & well treated but work is a major trigger for my suidical ideation. I have used the @Albertadoctors PFSP program, but lets be clear- that is a BANDAID, not a solution. 2/11
Jan 31, 2021 • 6 tweets • 4 min read
TY @NightShiftMD for sharing this important conversation w? @jkwan_md & @NathanStall. As a fledgling advocate, I want to amplify & expand on some important points re: MD advocacy. Short thread 1/6
Advocacy as a professional competency is both required & ill-defined. The @Royal_College has an important role in empowering trainees to "flood the freeway". There needs to be more emphasis on healthy policy & how we can influence in #MedEd & beyond. @JillianHortonMD 2/6
Jan 3, 2019 • 11 tweets • 4 min read
Dear friends & colleagues- the support you have shown in a vulnerable moment has been overwhelming. I will try to highlight some of the advice and reflections I have received on #burnout that were helpful & thought provoking:
1) Celebrate your numerator. We focus to much on the denominator (those things not yet done), but the wins we have delivered get forgotten too quickly.
