Sad observation: Some of the voices who were the loudest about the "moral imperative" of hustling unmasked kids into poorly ventilated, unmitigated classrooms are now the quietest about what is happening in pediatric emergency rooms.
There are more people who know they could get Hep A from a clamshell of strawberries sold 3000 miles away than people who know they are being exposed to a neuroinvasive virus by shopping unmasked in their own grocery store.
Nobody in BC is wearing a mask & there are signs everywhere saying HANDWASHING IS YOUR BEST DEFENSE but I want y'all to know that while a neuroinvasive virus is spreading unchecked...airport security stopped me from getting through with 1oz of forgotten cherry jam in my carry-on
Data suppression by Premiers. Silence from CMOHs. School boards saying we're no longer in "a pandemic situation." A public with no information to gauge community risk. Abandonment of the vulnerable. A wave you have to crowdsource to confirm.
That's our 2022 pandemic response.
My God this man is unfit for public service. So petty, so mean, so downright weird, so intent on fanning a culture that augments current national security threats.
Covid is causing diverse post-infectious long-term sequelae in adults. Important to ask why the possibility it's setting kids up for unusually severe illness is being treated as fringe theory. *We don't know*. But why downplay that important possibility til we DO know more?🧐
The Premier was excited to announce that 140+ RNs have completed a 2-wk course to become critical care nurses. I have no doubt they are wonderful. And I also have no doubt that a nurse with a 2-week course is not the same as one who has been working in the ICU for 10 years.
I'm worried about my colleagues right now. Doctors, nurses, residents, allied health staff, the ward clerks, everybody. There's nothing left in the tank and no clear strategy for how we're going to avoid crushing the same ppl into fine powder to get through the next Greek letter.
Two years of no covid. Now, just 10 days into "Infect Manitoba" we're one of the thousands of
#Mb
families with covid in the house. Gov is concealing data and have actively chosen mass infection.
Public health should be rebranded as private health. That's who they represent now.
One of the first times during the pandemic that I am too angry to speak. I am just so damn sick of how our society has to suck up the consequences of the incompetence of leaders who lack insight, empathy and humility, and the caution that is the hallmark of all those things.
Dr. Hinshaw and others catastrophically gambled on a decoupling of cases and hospitalisations but what we HAVE seen is a decoupling of leadership and accountability.
@jvipondmd
Tweeting this on its own, minus its original RT and thread: We have seen radical overconfidence that mild infection is inconsequential - especially in children. We don't know what we don't know. And most of our decision makers are not leading with humility.
Patients don't usually have a choice re: whether they need to be hospitalised or have tests and procedures. They shouldn't have to worry about whether they will acquire Covid-19 in the process. Expect many more stories like this in the coming months.
Here's the unpopular truth: in the absence of strong public health measures that reduce and slow the spread of covid, we won't have a functional healthcare system, because there will never be a post-traumatic phase when healthcare can regroup, rebuild, recover.
@picardonhealth
'What century is this?' Man in pain, scared and waiting 4 days in Ontario hospital hallway to fix broken leg. 'This is insane,' Ron Prickett, 76, says of a provincial health system in turmoil, by
@ColinButlerCBC
via
@cbcnews
#cdnhealth
#CanadaWAITS
@ianhanomansing
Don't know what you're referring to, but I'm far more offended by unnecessary death, total abandonment of the marginalised/ disabled, and our failure to mitigate this wave. What if that's the thing that's actually toxic?
@BrooksFallis
@DrNancyOlivieri
When I see an economist weigh in on the urgency of dropping public health measures, I wonder how they would respond if docs started writing op-eds schooling banks on the steps they need to take to control inflation?
How did it spread? The exact same way covid did. Because we didn't do enough to contain it when we still had the chance. And now we have exponential growth.
Canadian truck drivers demanding an end to COVID-19 vaccine mandates have caused gridlock in the capital Ottawa. Now, copycat protests have sprung up in Australia, New Zealand and France. How did the 'freedom convoy' spread?
Today my youngest son said the most amazing thing. He said, "Mom, it's ok to be sad, but if you keep only being sad, you don't have any space left to be happy."
My last article compared provincial leadership to pinworms and I just want to say on further reflection I'm sorry, that was harsh and inappropriate, and I want to issue an unconditional apology to pinworms.
Kids are actively dying from preventable illnesses they picked up in our schools, and health officials refuse—still—to do anything to protect them.
Instead, they're going out of their way to maintain the fiction that schools, as configured, are safe.
💯agree. Because
@jvipondmd
speaks the full truth, he doesn't get "most influential" trophies or acknowledgment by professional orgs. Subconsciously, I think he pisses some ppl off bc he inadvertently forces them to look at what principles they've abandoned bc of self-interest.
Just to say that
@jvipondmd
is an unsung hero of the pandemic. I don’t think his influence is fully appreciated, because he’s worked tirelessly behind the scenes, as well as in public.
What happened to
@BrooksFallis
is exactly why MORE doctors need to speak out. There's safety in numbers - can't fire everyone. Leave one colleague alone on the stage and it's easy for them to get the hook. Join them up there and you've change the calculus. Never too late.
Either hospital leaders lied to
@brooksfallis
about his firing, or a number of them were somehow misinformed. Otherwise, a star doctor was fired from a leadership position from a Covid hotspot hospital in the third wave in response to government pressure.
Poilievre said the majority of Canadians “already have...coverage through their workplace or through social services.”
Does he know about policy caps? Pharmacare deductibles that can be 10's of thousands of $?
"Coverage" often belongs in air quotes.
This one is going out especially to the leaders in
#Alberta
. Enough calling for
#kindness
when your failed policies are resulting in mass casualties. HCWs have had enough of it. Kindness is actions, not words.
@picardonhealth
@jvipondmd
@CBCFletch
Pause for a moment to think about the novelty of Premier
@wabkinew
delivering this message to HCWs: "...the idea of retribution in health care, for those who speak out from the front lines, is now over."
Psych safety from the very top. What a concept.🙏
@sarahbethmd14
@pinoykidsdoc
As healthcare workers - their actions are heroic but I don't think helpful to call them heroes.
Important to call them what they are: citizens who were failed by the actions of their government and by their society to protect them, who were put in harm's way by others.
"It appears the pandemic left some deep wounds in the economy – something few economists saw coming."
🤯Perhaps the few who DID see it coming understood that populations with higher burdens of chronic illness aren't a backbone of healthy economies?
I don't even know what to say about my province's gaslighting position on masks anymore. The idea that we're getting great "seals" with medical masks and only need N95s for AGMP - I don't even need to respond to it anymore. A layperson can pick it apart.
@CPita3
@kprather88
If you are eligible for a booster & don't have it yet, booking one should take precedence over everything else you do today.
If you're not vaxxed/ have one shot, this is the universe giving you last-call to do the right thing before our healthcare system - & HCWs - are crushed.
The worst crisis in generations is indeed happening in healthcare. The other "worst crisis" is the pervasive, malignant, strategic sociopathy of people like this in government.
@caruzycki
@DFisman
Last year was the universe throwing us a bone. Could have launched wartime effort to clean the air, kept masks in essential places, moved ++ life outside, synchronised science communication.
Instead, PH had a going-out-of-business sale & grifters got famous. Too sad for words.
I don't believe in the feasibility of "zero" covid. I also don't believe in "zero" mitigations. Tired of hearing ppl present these as binary.👎👎They know better & I think public does too. There's middle ground - heavy on cleaning air (should be apolitical!) but isn't clickbait.
We do not know what we do not know. Any experts stating that covid infection is of no consequence to kids need to examine that assumption as a potentially devastating cognitive error. We ignore the wisdom of
@PeterHotez
at our collective peril.
@lisa_iannattone
@KatharineSmart
We don’t want to face a situation a year from now in which all this happy talk today turns into a generation of kids with neurocognitive impairments, diabetes, or other chronic conditions. There’s still a lot we don’t know, and another reason we need to do better vaccinating kids
Curious why all the ppl/ politicians/ orgs who pretend to care about "freedom" aren't expressing horror and outrage at what happened to
@BrooksFallis
? Does it not fit their definition of censorship?🤔🤔🤔
@CTVW5
If a person has come out after several previous waves & said "It's over!" & made public assurances that were blatantly wrong and downright ignorant, why are news outlets still talking to them? I mean, a Google search can pony that up in 15 seconds. What's really going on there?
So grateful to the team at
@globeandmail
for space to tell my sister's story in this way...illuminated by decades of letters written by midnight oil & our mother's unrelenting love. Hardest thing I've ever written but worth it if now you know her name.
When Hinshaw and Kenney speak - I see no trace on their faces of the weight that a regular person would feel if their actions had killed *hundreds*. Most physicians go into a tailspin if their human error results in one unnecessary death.
@GermHunterMD
@jvipondmd
AB pulled back on contact tracing over the summer because the CMOH said we needed to refocus on syphilis and the opioid crisis. Today, 34 Albertans died of COVID, a third of new cases are in children, and we have no meaningful protection for students. These people are ghouls.
Colleagues, don't give up. I've heard so many ppl say they are done speaking out because it is pointless. It *isn't* pointless. Feeling that way is so understandable. But it matters now more than ever. Stick together. Don't back down. We will not let each other be broken by this.
There's a desperate need for an institution to establish itself as the national centre of excellence for defending citizens who counter harmful anti-science. No doc, scientist, civilian should have to face the $ and personal stress of going up against right-wing machinery alone.
If we'd pursued a COVID zero strategy starting months ago, how different our life would be now. No more ridiculous than treating an early stage cancer with chemo. You go aggressive bc you go for cure. We appear to have gone for chronic relapse w no clear end in sight.
This excellent article nails it.
#COVIDzero
is THE way to go! All countries should pursue a Covid-19 elimination strategy: here are 16 reasons why | New Zealand | The Guardian
What should we be doing right now?
-two-way masking in places where ppl must go - including schools
-enable work-from-home where possible to⬇️spread
-clean the damn air - a basic right esp for those who *can't* work from home
-relentless PH campaign re: covid is airborne
"We don't have crystal balls" as a statement is condescending and ignorant. That's literally why we have epidemiologists and Science Tables. They tell us - with amazing precision - what's coming next.
So since we have no science table, we (conveniently) have no crystal ball...🤔
You know what would have helped in our “fight against COVID”? Not letting things get to this point. That’s what so many of us were begging for and to everyone’s detriment, our Premier treated us like we were his most hated political adversaries.
Everybody should have access to rapid tests. The insistence in some quarters of provincial governments that they will be misused is missing the plot. Deployed in large numbers, they will still be a net positive. Deployed in a warehouse, they will be useless.
Today, two members of my staff, who used rapid antigen tests as a precaution, received a positive test result. They are self-isolating at home. I have not had direct contact with them. The rest of my staff in Ottawa have had negative antigen tests today.
Inquests will make it clear that
@MoriartyLab
was a hero, while many who were evasive or dishonest with public earned a shocking number of zeros.
@picardonhealth
The Oct 14
@COVID_19_Canada
COVID Hazard Index and associated data are now live.
SEVERE: AB, BC, PEI
VERY HIGH: CAN, NS, ON
HIGH: MB, NB, NL, North, QC
ELEVATED: SK
Start wearing N95-type masks again.
Get your 4th vaccine dose ASAP.
Disappointed to see Niagara the only Public Health Unit outside of GTA to remain in Grey.
I understand this decision is based on advice of our local medical officer of health, Dr. Hirji.
Hope to see us move to Red soon, based on positive trends here.
People who say the media is “overblowing” this - well, get your info from HC workers.
We see what’s coming down the pipe.
And we’re legitimately afraid that ppl laughing this off and socializing will cost us and our patients their lives.
#COVIDCanada
“I do not wish to remain in this uncomfortable position, where I must choose between placid relations with colleagues on the one hand, and the NECESSITY of speaking truth during a public health crisis on the other.”
👏👏👏👏👏👏👏👏🙏🙏🙏🙏🙏🙏
Too bad
@fordnation
and others don't understand - the exact person you want around you in a disaster is a doc like
@BrooksFallis
.
Many of our doctors have started to think like politicians when in reality what we need is for our politicians to think more like this doctor.
Either hospital leaders lied to
@brooksfallis
about his firing, or a number of them were somehow misinformed. Otherwise, a star doctor was fired from a leadership position from a Covid hotspot hospital in the third wave in response to government pressure.
Turns out the real way in which children are like "little vaccinated grandmas" is that society will also throw them under the bus in order to live like it's 2018.
👏I'd add one more thing that will help,
@BogochIsaac
- remembering covid is
#airborne
, & adjusting behaviour, expectations of employers (fix the air or they shouldn't be there), & ramping up efforts to emergently address air Q in public space.
@kprather88
@DFisman
@jvipondmd
7/ Things that will help:
1. Wearing masks indoors.
2. Rolling out vaccines, esp. 3rd doses. They are incredibly effective preventing severe infection.
3. Timely access to outpatient therapeutics. Room for improvement on this front. Helps keep people out of hospital.
-Fin
I woke up thinking about this story & this tweet. Once I saw a man gesticulating and screaming in his yard. I thought he was dangerous and unstable. Then I got closer & saw he was being stung by a cloud of bees. He was calling for help. And he was also warning me.
@BrooksFallis
Just read some astoundingly condescending tweets about doctors and scientists from people who appear to be doctors and scientists. This is once again a confusing time during this pandemic. I appreciate those who choose science over snark.
All three of my kids got Covid. Their hair is still falling out. Eldest has chest pain, exercise intolerance. Middle son has no hunger/thirst/taste & has lost weight; my youngest can’t feel his full bladder, & holds it until he sweats. No one knows what the future holds for kids.
What's to say? We f*** this up every single time. Universe throws us a bone and we say, no thanks, we prefer chewing on dynamite. Short-term corporate greed and arrogance prevail. Every. Single. Time.
An unvaccinated LTC employee saying she has been "put into a corner."
Well, our elders ended up being "put into" coroner's reports.
@DrVivianS
@NathanStall
@IrfanDhalla
It's a marker of how broken our system is that this message and its associated data come from a scientist volunteering off the side of her desk and not the highest levels of government & public health.
It's pretty clear that if 80% of Canadians return to masking indoors we could reduce average daily COVID deaths and hospitalizations to a level similar to an average flu year.
Even with Omicron.
Why?
🧵
For those whining about "doctors" or gov "moving the goalpost." This isn't a tricycle course, ppl. It's an evolving global battle to keep sick ppl alive from Covid while still keeping HC high functioning for all other probs ppl have. We are NOT doing the latter right now.
I try to buy local but I sure don't buy Friday's PH advice. Live your life & please also try not to get covid. I know our govs have not made it easy to avoid infection, but keep listening to top sources like
@EricTopol
@AbraarKaran
@DFisman
@meganranney
.
Most emotion we've seen from Premier is in today's presser -gets angry, snaps at a reporter about her financial disclosure forms before conference brought to a close.
Where's that level of indignation when it comes to rule breakers and dead citizens? 🤔
"Hey we're having a holiday party on the third floor of this cool place with no elevator, we know you're in a wheelchair and we understand if you don't feel comfortable trying to crawl up the stairs."
Parents in MB were able to take kids 5-11 for booster shots as of yesterday. Parents of kids 5-11 are mostly 18-49. Why didn't province open up fourth dose to all 18-49, and max the opportunity to give booster
#2
to parents at same visit? We're not making this easy for families.
Hug your family. Message your friends. Be the best version of yourself you can muster for today. Watch the sunrise. And as Rob said - let’s get busy - and do what must be done. ❤️
One of the top-ten most surreal things I've seen on the internet today:
"If Terry Fox were alive today he'd be part of this rally."
If you really believe this about a humble guy who ran across the country on one leg to raise $ for cancer research...that is 🦇💩 crazy.
Our
#Covid
strategy in most of
#Canada
amounts to freaking out when the horse is out of the barn instead of doing everything we can beforehand to reenforce the gate.
There are four possibilities for the province's decisions at this point:
A) Incompetence
B) Ideology
C) Indifference
D) All of the above
@DFisman
@JustinTrudeau
@roussin_brent
Uncomfortably truth: Society can't expect the same pool of people to keep "stepping up" for 2.5 years with no end in sight - without understanding that some of them are going to be forced to prioritise their health by "stepping out."
@picardonhealth
@CMA_Docs
@canadanurses
This arrived in the inbox of a Dr friend of mine today. Toronto Western Hospital is desperate for “extenders” to staff the ER this weekend because they can’t find enough nurses.
Our system is collapsing.
Where is our new Health Minister?
#onpoli
#onhealth
Our leaders have broken the social contract with so many. Our elders didn't sign up to be abandoned at the end of their lives. Our healthcare workers didn't sign up to be human shields. Our racialized fellow Canadians didn't sign up to be disposable cogs in a heartless economy.
I wish the crowd that claims they want lockdowns over because they cause too much stress and distress could really grasp the stress and distress they are inflicting on the rest of the population with their behaviour.
I felt vulnerable writing this, but
#reconciliation
requires vulnerability.
Deep gratitude to Esther Joyce Grant for blessing me to share, & to wise friends
@achakos
&
@AlikaMD
for generous pre-print reflections.
Retweeting bc of a surname error. 🙏
"...within 48 hours the science table says it received a letter from Public Health Ontario saying, essentially “thanks for your service, now get lost.”"
If those two things are related as
@picardonhealth
suggests...
#inquests
can't happen soon enough.
Listening to
@shandro
say govs "can't read future". Credible epidemiologists have been able to reliably tell prov govs what was coming since after wave 1. Govs don't like it, gaslight conscientious experts, cause death and may now be starting to think about their own liability.