arthister
@arthister
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Retired doc, Zaydie, husband, dad, Canucks fan, Man U supporter (hope I'm still alive when they're back), ex-Montrealer with Habs' soft spot
Vancouver
Joined December 2008
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Personal note: Just ended 35 media yrs: CBC, BBC, CKNW, PAC Press, 25 at Global TV; huge tnx to all the great viewers,listeners,readers; special tnx to so many fab on-air hosts, techs, producers, editors who laughed at my jokes & made me seem smarter, look better than I really am
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When did it happen that so many public health types turned to believing that their main, maybe only, job is to ensure hospitals don't get over-whelmed? What happened to doing their best to have more people enjoy good health for longer without long-term damage from this infection?
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@GHMansfield
@IvaCheung
When my near-90-y.o. mom was in ER once, she was accosted by a med resident - “you must sign DNR” - with horribly vivid word-pictures of what happens in a resuscitation, this to a sick, anxious, already-scared woman; she demanded he leave presumably before I got to him
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Can someone in authority pls patiently explain how in this world it makes any sense to prepare for oncoming surge of illness by assuring enough emergency centres but not at the same time, doing everything possible to prevent the onslaught?
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Someone I know fell in BC city Sat eve, severe injury, unable to walk, move without +++ pain; lay on concrete waiting for amb 1 hr 45 min, none came; rolled into tarp by friends, carried to car for ER where 6+ hr wait for evaluation; BC healthcare beyond crisis level
#BCHC2022
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We’re told that the virus has changed and we now have to think of it as endemic, like the flu or a cold, so we will loosen the tactics we use to deal with it; has the flu or a cold ever caused 18 deaths in one day in BC? Something is seriously wrong
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What universe does this happen in? Minister of Health is faced with huge doctor shortage in his province, so he insults the doctors already working there; this is real? In BC, yes
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It is so disheartening, anger-provoking, distressing to know a tsunami is headed our way and to see that the ppl who cld help are unwilling to do anything to protect us
#bcpoli
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Refusing mask upgrades, armed guards at test centres. abysmal testing inadequacy, shared hospital rooms with COVID+, banning schools from informing parents: BC in 2022, more like subjects of rulers protecting fiefdoms & institutions, not individuals needing best possible care
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A doc with the guts to talk back to the powers-that-be, but this crisis really demands that many more docs to do same; silence on masking by docs and their orgs = taking a side
B.C. doctor blasts province's flu response | CTV News
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The awful BC C-19 death rate (which is likely seriously under-counted) this month is over 10 people a day, equivalent to more than 1 average commercial plane crash per week; how long can that go on before the govt and PHO admit that they need to rethink some of their strategies?
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Disgusting (at very least) that a premier, guy at whose desk the buck stops, admits that harmful virus is airborne, yet doesn’t counter-act incomprehensible decision by underling to dismiss mandatory masking in locations where virus circulates widely, except, that is, near him
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The benefits of mask-wearing are so clear by now, both to the wearer and the community, and we don’t need more studies to prove what everyone knows; what we need rather are leaders with the guts and morals to do what’s right, but we may have to wait a while for that
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Interstingly, too, if older BCer gets COVID but isn’t tested, if they die 14 days post-onset of illness, which for public health likely counts as cleared of virus, don’t even get listed as COVID death; terrific way for public health to show they stemmed death rate from COVID
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59 C-19 deaths over last 4 days; hard to describe how appalling those numbers are, sickening, really, and with no real predictable end; death rate just underlines that in BC, for some time now, given clear PH choices made, some lives have mattered way more than others
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At packed Langdale terminal, I and one other person I see wearing mask; not sure will go any differently on board; but with what’s happening globally, easy to foresee that masks will have to be re-introduced, probably soon; would have been much easier never to remove mandates
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Wld be really helpful - and more honest - if BC Prem came out and admitted “I may not have been quite right abt this virus. It’s eventually hit me harder than I thought originally. Not just a bit of sniffles”. It’s normal to change one’s mind. Wld earn respect, too
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Everyone near the Prem must mask so why not everyone near all cancer patients, immune compromised, high-risk; and since "they" are everywhere & incognito, wld work only if masks are in general public use; what works for the Prem shld work for all of us; otherwise it's Animal Farm
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Note to BC MoH; Pls restore mask mandates in schools, some public areas before predictable surge makes life totally uncomfortable here; not only will you be more highly thought of for acting before instead of just preparing for after but you'll also save lives of many vulnerables
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Imagine having a sick, cranky toddler, waiting in over-crowded ER for nearly 10 hours, and mostly being told this: no Covid testing by govt fiat, Rx is fluids and OTC meds, watch that there's no worsening, take care. And still no mask mandates in schools. Incredible
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6 mos post-3rd dose today but no invite for 4th dose, and can’t book my own shot; all my info in the system, pharmacist with vaccine cld easily access it, so why can’t I book my own shot? Why such heavy-handed total control? Makes absolutely no PH sense
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@realreporter
@Faussenurse
@PennyDaflos
Yes, it defies belief; if someone had predicted at the last election that an NDP govt wld deny seniors the right to be tested for a condition that kills them disproportionately or that they might have to share a hospital room with an infected person, no one wld have believed them
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In a killer, long-lasting pandemic, Canadian chief health officer has near zero power so all key health decisions are made locally by a small coterie of political appointees with no central control; does that make any sense? Is that how national crises shld be managed?
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@DFisman
Never thought we'd reach an era where PH was not fighting to protect people but rather fighting to re-define data (with vs from) so that PH wouldn't have to protect anyone
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If you ask people not to go out much, not to meet many people or linger, stay home if even worried may be sick, avoid gyms, avoid many other things usually taken for granted, just not decent to allow 9-10 thou to gather in arena to watch a game. I just don't understand that
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6 mos up on May 4; called to try to book 4th shot for May 5 for which I am totally eligible; not allowed cuz I haven't been "invited" yet; idiotic micro-managing; like kindergarten again without even being allowed to put your hand up
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How come a union-backed, social-democratic govt & its hires have stopped doing all they can to protect the most vulnerable to Covid negatives: poorest, working people, homeless, Indigenous, sickest, oldest, youngest? Where has the social safety net gone? Vaccines are not enough
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2021 national survey: 77% don't mind if business demands masks, 79% bothered when people don't wear masks in public, so BC removes mask mandate; what kind of majority needed, then, for DBH and govt to follow wishes of the majority? If this is not a political decision, what is it?
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Depressing to find out for sure that PHO believes more in boosters of kindness (whatever that even means) to issuing guidance and enforcing restrictions during a pandemic; feels as if PHO main job now is to be nothing but a public health cheer-leader
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Bizarre: PHO & govt let us make our own decision abt wearing a mask and where, a decision that affects the health of everyone we come in contact with, but they won't allow us to book our own vaccine dose (in line with most of Canada), a decision that affects mainly ourselves
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Must be a name for condition afffecting PH and govt people who see data from nearly everywhere about what happens when mask mandates are dropped - huge surge - and yet don’t reintroduce mask mandates when they might still do much good before same surge hits us; it’s beyond cruel
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For BC intrepid reporters: Can u find anyone in BC who got a 10% raise recently? Or ever? Not including BC cabinet members, of course
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BC authorities have been so convinced that our approach to pandemic was so much better than anyone’s that they’ve delayed responding, and now we’re gonna play catch-up from further behind than we should’ve been
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Number of deaths this month is already nearly same as number of people who die in typical commercial plane crash, and February is only 1 week old; pretty sad commentary on this govt’s “have to live with it” strategy
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A friend went to Israel on a visit, saw a back pain specialist within 3 days of arrival and had treatment started; he’s on a BC waiting list for 9 mos just to see a specialist for consult; we just have to do better
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Other new normals: getting infected with Covid in hospital, having no family doc, unacceptably long waits for referrals, surgery, diagnostics, even script renewals
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When did PH docs decide masks mandates to lower rate of RSV, other respiratory viruses, all of which nearly disappeared last 2 years, is too great a burden for us to pay? ERs, hospitals, ICUs full of sick kids is better than forcing reluctants to wear mask in public? Why?
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Lies, damn lies, BC stats
B.C.'s COVID-19 data doesn't count reinfections | CTV News
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@SoniaFurstenau
@bcndp
What they don't get is that the more we actually know, the more likely that we believe in & follow what they ask of us but when they hide data or obscure it, we become distrustful; a fully-informed citizenry is best bet for civic responsibility; trust us, we can handle it
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6 kids' deaths in BC from viral infections so far and crisis still gaining strength, pediatric ERs still SRO and likely to stay that way for a long time; why aren't pediatricians of BC and Canada loudly agitating for more protections from health authorities?
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More ferries cancelled today due to staff shortages; so BC media, govt assuring us that all's well b/c hosp beds aren't full: why all those cancell'ns? Biz closed? HCWs off sick? ERs jammed? Too-high no of elderly dead? Reality feels a lot different from the rosy claims
#bcpoli
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Good news for whom? Not for the economy if absences sky-rocket, not for those who get sick and can’t work or care for themselves or others, not for HCWs, not for those who get complications, not for those who end up with long Covid, not for those who die; stupid thing to say
Dr. Henry just told us that the increased transmissibility of the new variant is "good news" because it will lead to increased cases "and compete with other viruses, other strains, other such variants as well."
This is staggeringly wrong.
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@richardzussman
@GreaterfoolVan
Someone who admits to no regrets after 2 years on a job is not ever likely admit to an error or things they could have done better, a chilling attitude for someone whose job it is to try to protect the health of everyone under her auspices, not just of some
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Note to DBH: This is how doctors shld present themselves to the public as examples at gatherings at this time; you either believe enough in your own advice to follow it or you don’t
Thank you to the dedicated
@OntariosDoctors
who joined us today at Queen's Park to advocate for our 3 solutions to increase patient's access to care.
#Onhealth
#OMAatQP
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Horgan: “pandemic is waning . . . becoming endemic”; Shameless lies like this from authority figures mis-lead ppl to bad prevention choices & make things worse; pandemic not waning; every low regularly followed by wave; this one likely too; disgusting for Prem to mis-lead so
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Aug in La La Land: Reg ferry cancel'ns, ER closures & high drug deaths, BCGEU strike, limited liquor sales, no change in fall Covid plan, no PCP $ changes so more docs leaving soon, ppl dying b/c no ambulance service, MLAs resting, Horgan huffing, Eby on pre-victory tour
#bcpoli
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Removing mask mandates on transit had nothing to do with “the science”; reason mask mandate removed was - is - entirely political pandering to a loud minority
#bcpoli
@adriandix
@jjhorgan
There is not a single good reason for removing the mask mandate on public transit....
#bcpoli
@TransLink
Even Doug Ford's Ontario still has it...
@adriandix
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Focusing only on hospital and ICU admissions as a measure of Covid harm is akin to counting only ER visits by people with fractures or black eyes or visible bruising as the best measure of abuse
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Assuming DBH brings back masks in HCCs tomorrow, wouldn’t it have been much easier to get widespread agreement if mask policies had just remained rather than get re-introduced after just a few mos? Every parent knows it’s much easier to stick with a plan rather than bring it back
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Hard to believe with fast-growing wave that no province yet re-instituted mask mandates; did all Canadian PH leaders ingest same Ostrich Oats? How much disease is needed for at least one of them to say to the rest, “Hey, guys, maybe it’s time we tried to stop this again”?
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@DrBrendaHardie
So how many ERs and hospital units have to shut before someone in authority says "This is not acceptable", and does something to shake things up? Bloody unbelievable how much tolerance public health and govt have for the pain in the populace
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If 10 Covid deaths/day doesn’t elicit govt member or opposition anger and hardly any media notice, where is next goalpost? Will 20 deaths/day get attention? More? Why’ve we been trained to expect & accept this huge toll? Learned to live with it? Why no demands to do more?
#bcpoli
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Horgan leaving quite a record: Record waits in ER & for cancer referrals & ambulances, record OD deaths & ppl without PCP & ER closures, Canada worst in affordable housing & seniors’ support; but good news: with huge budget surplus, shld be short wait for govt goody rollouts
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Didn’t have to get to this (soon worse); warnings wks ago deaths will rise but BC agenda is not to act til forced to; what are just 3 saved lives worth for 2 wks’ smiles?
COVID-19: B.C. hospitalizations up 58% in two weeks as infections and deaths spike
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Another 13 admitted Covid deaths today; 10 yesterday, and as much media focus on lower hospital numbers as on death count; so is muted public and media response to huge no. of deaths just because most of the dead were old and frail so those deaths don’t matter as much?
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Mind-boggling: Covid raging in UK, Isr, US, etc but Prem insists it's waning; no idea abt long-term effect on kids yet we do nothing to protect em except promote vaxx; workers off in droves, lots of elderly dead, yet much BC media claims all's fine; hard to fathom
#bcpoli
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"Hallway medicine, dying patients, muzzled doctors: The Crisis at Surrey Memorial Hospital" (CTV News)
"B.C.'s health minister pushes back on Surrey Memorial Hospital ER 'crisis'" (CityNews)
So whom to believe: Front line docs? Or govt appointee in Victoria? Hard one
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Burnaby Beacon, Capital Daily deserve huge thanks for major scoop but clearly, too many BC MSM reporters, many with more resources, have been too reluctant to vigorously question Dix and DBH abt their standard rosy proclamations and denials
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“maintaining proper "respiratory etiquette" is the chicken-shit way of saying “wear a mask”; why don’t they have the guts to say it in plain language?
B.C. COVID-19 hospitalizations reach highest point of 2023 | CTV News
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So how exactly did removing mask mandates for 5-6 mos help the health care system?
Continuous' masking returning to B.C. hospitals, clinics, care homes | CTV News
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On day that BA.2 became dominant BC strain, major govt announcment was about giving us back some of our over-paid ICBC money, but not a word about doing more to protect kids, seniors, IC, everyone from this dangerous virus; govt priorities to remember
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For all wanting SARS-COV-2 to become endemic, words from wise Michael Ryan, WHO's emergencies director
Endemic in itself does not mean good—endemic just means it's here forever
Endemic malaria kills hundreds of thousands of people; endemic HIV; endemic violence in inner cities
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Clear BC majority supports masking policies so only reason no mask mandates is govts, PHO fear minority outcry; if govts were always so fearful, we'd still allow spitting on busses, no seatbelts, indoor smoking, no speed limits, etc; our kids need stronger leadership
Sick kids are overwhelming hospitals: why aren’t we masking? | The Star
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Why is there no great public outcry particularly from govt supporters about this huge number of deaths? Why is this acceptable? Because it wasn’t inevitable
Staggering: 18 people died in last day from Covid in BC, one of them in their 50’s. May we never become numb to these numbers. 988 in hospital, 136 ICU
@anitahuberman
@dockevinmcleod
@DrRaymondMc
@BirinderNarang
@back2thebedroom
@JasJohalBC
@CraigCameronWV
@TerryLake19
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Hmmm. 2 negative tests/day after exposure, turns positive on 5th day. Wonder how many people including many working with high-risk individuals turn positive on 6th or 7th day post-exposure, after already returned to work?
The prime minister of Canada 🇨🇦 has now tested positive for COVID.
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@chrisgailus
So basically now, older BCers like me who’re at highest risk for hospitalization and poor outcome (quelle euphemism) are to fend for ourselves: can’t get tested if we get sick to maybe get life-saving treatment in time, so we just sit at home and wait and hope, right?
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Just weeks ago health minister said that despite worries raised by many that omicron had arrived in BC, delta was a bigger concern in BC than omicron; we’ve had heap of errors, mis-judgments, obfuscations from ostrich-like self-assurance; when facts change, tactics should change
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When yrs away, finally assess some of the long-term damage, I think worst charge at BC COVID response will be that thru ignorance & resistance to be more pro-active, those in charge did only bare minimum to control community spread; today’s kids may pay that price; time will tell
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Do the math: flu season 2-3 wks old, blitz’ll take at least 1 wk (wink, wink), vaxx needs 1-2 wks for max effect but flu season peaks at 8 wks; how can blitz make big diff? OTOH mask policy with kids still in school wld have quick impact; insanity reigns
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With cases quickly rising and toll climbing, seems that Dix and Henry still deliberating abt masks and when and how to roll out vaccines; if this team had been in charge at Normandy, troops wld still be in England
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Worst false belief of 2020 COVID virus: young people are safe cuz only hurts old people. Probable worst of 2022 omicron: mild infections won't hurt kids; we've just not learned to be humble enough to say don’t know what'll happen next so gonna do all we can to stop the virus now
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Is there a lack of leadership in BC to deal with this crisis? Or is this the best we are going to do?
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DBH mentioned at least 3 times today that we should avoid “large gatherings” by which she means more than 10 friends or family over for dinner or a party, but large gatherings that involve hundred or thousands of total strangers mixing e.g. hockey games are still OKed by PHO
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Mandatory public space masking is so low cost for govt (zero $ in fact) with tiny downside compared with terrific upside including public thankful govt is actually trying to help them, yet govt got rid of masks just as potential storm brewing; makes absolutely no sense
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Why doesn’t BC govt hire some public health experts who believe they can actually cut Covid infxns and transmissions and help high-risk people avoid illness instead of just directing latter to help themselves? Surely, there must be some out there albeit none in Canada, it seems
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How strange it seems to me for a govt dealing with a crisis to disappear for a few days without word to the public about what's happening
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Feds right for once: $ transfers need tighter control b/c BC shldn’t need nearly so many expensive administrators, managers, appointees, committees, structures to run efficient HC system in which only goals shld be to take care of sick ppl and prevent illness
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If BC news media had applied same vigorous questioning to public health that they applied to museum mess, we’d have had lots of improved PH changes by now
A recent Angus Reid Institute poll found 69 per cent of British Columbians oppose the costly rebuild. Tune in at 12:30 p.m. for the livestreamed announcement.
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Hello, BC
Scotland reverses decision to drop mask mandate in certain public places due to rise in COVID cases
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With ERs over-flowing, docs quitting, huge nurse shortage, ambulances unavailable so ppl inc a baby die, ferries cancelled, limited ventilation in schools and way, way more, govt shldn’t tout huge surplus; better for all to have spent those $
#bcpoli
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Was a very bad turn when PH shifted message from “Help flatten the curve” to “You do you”
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What’d fix much of health care woes quickly is if Trudeau or Horgan or Dix (and fam members) couldn’t get appts with a family doc and had to wait in line at ER or UCC every time something came up; just have no idea cuz will never be affected
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We need to learn from others; surely BC is not best at everything:
How soon after 3rd dose for 4th doses for seniors:
Ont - 5 mos
Que - 4 mos
Sask - 4 mos
Alta - 5 mos
BC - 6 mos
What sense does it make for BC to wait 4-6 extra weeks to boost with a wave building?
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Govt hired Ballem (several crowns), Henshaw, Larder within last wk, none with direct patient contact ; does BC really need more HC administrators right now rather than clinicians or other HCWs; and is there any upper limit on HCA's in BC?
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This week’s BC SARS2 deaths now 12+/day (to be adjusted upwards soon); yet still hardly any comment from govt, MLAs, media probably b/c getting “back to normal” (which is impossible anyway given level of community infxn) matters more than lives of the dying who are mostly 60+
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Absolutely ableist (“No mask for me just to protect you”) and classist (the privileged can much more afford getting sick than poorer ppl)
UBC professor says not masking is racist, ableist and classist | Vancouver Sun
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So “let it rip” is bad for kids, their parents, seniors, the sick, and high absenteeism bad for economy & wage-earners; so besides the privileged, who benefits from laissez-faire PH policies?
BC schools: high absenteeism due to illness | CityNews Vancouver
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Has DBH taken a vow of silence? And Dix also shtum apart from PR OPs at new branches of Clinics Without Doctors; odd during a health crisis
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Admission of airborne virus would require admission of other errors and misjudgments (e.g. KN 95 masks), most of which are still going on, so it's never gonna happen with this govt or PHO; gonna get a lot of too-late mea culpas from this gang when final accounting is in
Today I asked Premier
@jjhorgan
and Minister
@AdrianDix
if they acknowledge that
#COVID19
is an airborne virus. The Premier did not stand to answer.
Minister Dix said this gov’t follows the “science” but not once said the words “COVID-19 is airborne”. 1/
#bcpoli
#COVID19BC
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Why is BC so rigid limiting use of Paxlovid? Saving supply for next pandemic? Paxlovid saves lives, and maybe lowers risk of long Covid; overdue to loosen control chains
Important new preprint just posted from
@zalaly
and colleagues;
Paxlovid treatment for Covid associated with ~25% reduction of
#LongCovid
, beyond less death and hospitalization reduction
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@DrEricDing
Only 2 options (as nearly always): 1) Do nothing, stay the course, hope for best (while burying those who don’t make it) 2) try to change the course, slow the spread, fight back; govts and PH leaders have chosen 1; the question history will answer unkindly is why
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BC Finance Min had near-instant reaction to story abt threat to US women’s health (kudos for response) but not a word ever from her abt immediate Covid threat to BCers’ health, especially poor, Indigenous, elderly, IC, kids; why are BC MLAs scared (and of whom) to talk abt Covid?
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In a sane world, until hep cases clearly not linked to rampant airborne virus, authorities wld instantly impose mask mandates in schools; but the adults in charge in this world just don’t care enough abt protecting kids; BC Prem brags abt jobs, not kids’ protection
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So if uninfected person is put in same hosp room as Covid+ person without special infxn precautions, greatly raises risk of infecting the former; how is this ethical, allowable? Esp when most in hosp already quite sick (so many elderly), more likely to get complications
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Can Eby, Dix, anyone in ministry please clearly explain why, when QC, ON allow pharmacists to dispense Paxlovid, BC has North America's strictest criteria for use? Are other provinces following bad science? What unexplained, unshared reasons are there for our own rules?
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Maybe someone knows: Why doesn’t PHO work as hard at persuading public to accept it’s urgent to mask in crowded situations (instead being so lukewarm about it) as she does at pushing boosters? Even WHO now urges the latter so surely PHO shld be doing same, often and stridently
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So how wld ordinary BCer know we're no longer at "good point"? Just by trusting that govt wld tell us? What if it doesn't want to? Maybe instead govt shld trust us with good data so we cld judge for ourselves
CBC: "Horgan says B.C. at 'good point' in COVID-19 pandemic"
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If I wanted truly independent objective review of govt’s HC actions and decisions, I’d get panel of ppl from outside BC with medical expertise and none with prev BC govt ties; I’d also not release their report late Fri PM; but then I’ve clearly never been in govt
#bcpoli
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If someone in BC dies of a heart attack 1 wk or 3 wks after COVID “recovery”, is that counted as COVID death for daily stats? Or is COVID incidental for stats as soon as someone “recovers”?
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