James Heilman, MD 🇺🇦
@WikiDocJames
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ER Doc, he/him, #Wikipedian #MasksWork #GetVaccinated , Ship Health Content To Those Without Internet, with #WikiProjectMed , Former Trustee #WMF , Views My Own
British Columbia
Joined October 2012
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Pinned Tweet
Put together a bit of a timeline regarding our knowledge of
#COVID19
, masks, and schools. Happy for suggestions or others to directly edit.
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Just got news that a friend and fellow ER doc in his 40s died from COVID... We worked together at our first jobs in the ER. He was amazingly fit. Some days this pandemic hits a little close to home.
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Not sure who needs to hear this, but most of the HCWers at my hospital who have caught COVID got it from their kids who got it from school... Yup school. While we can and do wear N95s at work, it is hard to expect people to wear them at home.
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ICU at 120% and every single pt COVID positive... Multiple other pts waiting for ICU beds in ER. Sorry not mild.
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ICU at 100% and every bed has the same diagnosis COVID. Get vaccinated, wear a mask. This is NOT a casedemic...
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1x Critical news that needs to get out. It takes 3 to 4 days of symptoms for your rapid test to test positive...
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I am on day 6 of
#COVID
. Still sick, still getting fevers and sweat. Missed ie had to switch around a few days of work. Seriously it sucks and I am fully vaccinated and otherwise healthy. COVID is NOT mild.
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About half of humanity is not willing to wear a mask to save the person beside them... what hope do we have convincing this generation to save a habitable planet for the next?
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Am still admitting people with COVID. People now though are unsure why they need admission cause they have been convinced it is no big deal. Sigh.
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After 3 years of wearing an N95 continuously at work, it sort of boggles the mind that we used to walk up to and examine people with respiratory infections without wearing one. But I guess we used to also drink water contaminated by sewage without a second thought.
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I don't get the people shouting "We can't stay like this forever!" Ah excuse me, all we are asking is that you wear a mask and get vaccinated to enter certain spaces... Yah we can stay like this forever. It is LITERALLY NO BIG DEAL.
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When shopping today before work, as wife is sick. No one, not customers, not staff wearing a mask. Just me in my N95 and goggles as always. Unfortunate I will likely see some of these folks later in the ER.
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1x Well COVID got me. 4 to 5 days after my wife developed symptoms, so did I. This disease sucks.
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Should docs swab all query shingles / chickenpox lesions for viral testing? I'm on the side of "yes". The cost is low. Chickenpox is rare. Harm of missing monkeypox is high.
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Have managed to avoid COVID by continually wearing an N95 and googles at work plus being triple vaxxed. It has worked so far despite being with people with COVID ever day.
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If the powers that be have decided that we are "living with this" than we need to significantly increase both hospital beds and hospital staff. This is going to require increased numbers of nurses, RTs, and docs trained.
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Ah removing COVID prevention measures, such as mask requirements, does not make COVID go away, returning us to "normal". It actually does the exact opposite. Please forward to those who misunderstand this.
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Emergency departments are at the brink of collapse. Nights are the worst. No unit clerks on, no cleaning staff. No to mention no social workers among others.
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Kids and COVID. Most of my department who got COVID got it from their kids who got it from school... Every doc in my department who has young kids got COVID. I am sure things are similar elsewhere. High quality masks work. Vaccines help when the above fail.
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Saw a case of COVID pneumonia presenting in a young male with simply low O2 sats and trouble walking up stairs as so short of breath. No fever no cough. CT looked horrible... Get vaccinated wear a mask.
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"Today the provincial health officer announced that, effective March 24, 2022, regulated health professionals must be vaccinated as a condition of licence." Wow. No concerns here.
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Tonight I played badminton for the first time in nearly 3 years. Played for two hours wearing an N95. If the Canadian women's hockey team can play in masks so can we.
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Some ERs in Ontario switching to all N95s all the time for staff...
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1x After more than two years I am ready to transition onto the new normal. My family and I will be wearing N95s when around others inside. And we will be get as many vaccinations as the evidence supports.
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2x Have had too many cases that go as follows:
Pt: Sorry doc for coming to the ER at 8 pm, just getting off work. Had this "cold" for 3 days. But don't worry my first two rapids were negative.
ER doc: Tests pt with another rapid test in the ER. Test is pos. Well you have COVID.
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3x Don't employers send their staff home when sick? These are people who work in bakeries, box stores, and coffee shops...
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The dropping of masks on planes in Canada is a BIG mistake. Rescinding the rest of the protections. Meh whatever.
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Can a virus be BOTH airborne and contact? Sure, a bunch are. Look at "varicella zoster virus", the one behind shingles and chickenpox. As shingles it is contact, as chickenpox it is airborne.
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I have never seen so many admitted pts in the ER. And I have been here more than a decade.
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Rates of COVID exploding in my community. Admitting folks with the disease again. We need more hospital beds. We need more nursing staff.
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Being double vaccinated, well great, is not enough. We have had a number of vaccinated staff off recently due to COVID. We need N95s, better ventilation, and boosters. What is holding this up?
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We are full... I mean REALLY full! We cannot handle any further surge.
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And of course this is going to require significant increases in taxes to pay for it all...
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Antimaskers do not want others to wear them because it scares them... Seriously antimaskers need to work on their fear.
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1x I am tired... Just finished another night shift as co-worker down with COVID and no one else able to pick up. This was to be my first weekend off in two months. Next weekend off not till march.
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Were did the myth that viral diseases mutate to being less severe over a couple of years come from? Is there even one credible example of this previously happening? Don't remember learning about it in medical school... With influenza years some years are better, others worse.
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Those claiming we have good treatments for long COVID are playing into the "do nothing" / "pro COVID" crowds hand... We do not have good treatments. We should really try to prevent this disease with measures such as high quality masks, vaccination, and improved ventilation.
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Our education of the public regarding COVID has failed. I see so many folks coming in with the disease feeling miserable. They are surprised at how bad it is... and think their must be something more, sigh!
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Lots of COVID positive people again. Would be useful to have rapid COVID tests in the ER back as would save on the sepsis work ups and treatments…
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I am going to be taking some holidays shortly. Heading to spend a couple of weeks on the ocean in my kayak. My willingness to work double time to support COVID efforts is decreasing. Cannot manage this pandemic for my community alone.
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The best treatment for long COVID is the prevention of COVID itself... All efforts after that are simply symptomatic. Wear a N95 or equivalent, get vaccinated, and social distance.
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2x This just goes to show how amazingly well N95s work. I have spent hundreds of hours with people who have COVID well wearing an 95.
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If everyone was doing all they could, for sure, count me in. But seriously we have few to no COVID protections left in place.
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Watching the news is depressing. We see pediatric healthcare on the verge of collapse. Ideas are mentioned, vaccination, opening up to IMGs, getting meds from Turkey... But masks, ventilation? Nah that is a step to far!
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When the ER has become a ward, you no longer have an ER.
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Wear the same grocery shopping... Haven't eaten out in more than 6 months, and no indoor sports for last 2 yrs. Still planning not to get COVID despite all those who claim it is inevitable.
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Long distance airborne spread of COVID-19... What many of us have been saying for ages... Will the media pick it up?
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Emergency medicine in Canada is in crisis. Here are 11 reasons from someone in the trenches.
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**BREAKING** Jan 5 BC CDC has accepted airborne / aerosol transmission of
#COVID19
"Smaller droplets come out of the mouth and nose at the same time as larger droplets. These smaller droplets are light, and they can float in the air for a longer time."
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@Dr_FarrisD
@epi_twit_watch
Were do we get us some of these robots? I need a few for the hospital...
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3x Another colleague also came down with COVID today, also caught from his wife... Department scrabbling to cover the ER.
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Of course if you didn't need o2 to get your sats over 90 you would go home...
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1x When cases spike, the "mild COVID" folks shouted "only hospitalizations" matter...
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We now have confirmation that BC keeps two set of COVID hospitalization numbers. A massaged version for public consumption and a more accurate representation which is keep exceedingly close...
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Physicians are not going to leave Canada because of capital gains. We make our money by primarily working, not from investing.
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Asymptomatic testing works for airplanes, hockey players, and movie crews... But NOT for schools or LTC homes. Seriously how naïve do they think we are?
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The only explanation I can think of for calling this "endemic" is opinion polling discovered people react less negatively to that term... Our dystopian future has arrived.
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Those who are fighting to remove the few protective measures we have left are attempting to harm my fellow citizens. Shame on you.
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@_nursewretched_
I had police show up while I was seeing the pt and simply take them away. Pt was never discharged but rather abducted.
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So of the 2,692 HCWers in BC who refused vaccination, ONLY 30 were full time! In Interior Health, only two full time ER nurses lost their job. Somehow I do not think allowing these folks back will solve our staffing crises.
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Renewed my membership for
@DoctorsofBC
today. Did not renew my
@CMA_Docs
membership due to them giving an award to an individual who actively works to prevent the use of facemasks to prevent COVID... Nearly $200 saved.
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Likely a good time for a reminder... Our provincial hospitalization stats ONLY include COVID cases within at most 10 days of testing positive. Once you hit 10 days you no longer count as a COVID admit despite potentially needing to spend many months more in hospital.
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Got another booster. This one the bivalent Pfizer active against BA4/5. Thank you Walgreens USA.
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We should have COVID vaccine to give from the ER. I would be happy to give it. Like come on this is an emergency.
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Have booked a COVID booster. Next available dose is Oct 12th. I need to drive to another town to get it. Still not sure why the town I live in doesn't get any doses. Meh. Still road tripping for COVID vaccines in 2023.
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Remains unclear what long term effects will be left with... May need to switch around more shifts yet.
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Might need to get ahead of this... But Monkeypox may be airborne per the CDC.
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For folks who don't recognize the importance of proper masks for an
#airborne
virus. Maybe PH is not the "right profession" for you.
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"Chanting “death to Putin,” a crowd of Iranians defied their government, an ally of Russia, by protesting outside the Ukrainian Embassy in Tehran on Saturday night, according to videos posted on social media." Many Iranians also dislike their own gov...
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When did not wanting to spread a deadly disease become politics...
Choosing to wear a mask despite lifting guidelines may be seen as a political statement, experts say
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Basically if you are not vaccinated you will lose your medical or nursing license in this province...
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The powers that be claim that:
1) This disease is so contagious COVIDZero is impossible
AND
2) Surface cleaning is all that is required to stop its spread
What! Sorry this makes my head spin...
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Why do "allergies" to the vaccine correlate nearly perfectly with an inability to wear a mask?
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With respect to wearing a mask again, some of us never stopped.
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I hear lots of people are being asked to remove N95s in hospitals in BC to replace with inferior surgical masks. I had them ask me to do the same a couple weeks ago. My advice is simply give them a firm but polite "no thank you".
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Prescribed 10 courses of paxlovid today. We are getting this med out to those who need it most in BC.
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4x With deaths spiking, what will they say next? Unfortunately, I doubt it will be an apology...
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Switched another shift... to give myself one more day to recover before I have to go back to work. Wonderful to have amazing colleagues in the ER.
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@richardzussman
@davemccr
Yes but very few of us are able to get into one of these lower risk areas like Japan, Taiwan, or New Zealand. Instead we find ourselves in BC.
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Plus we are asking governments to put in place requirements to improve ventilation in indoor spaces. With these requirements should come public funding. This will LITERALLY boost our economy / increase employment. Win win.
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More doctors sick with COVID... This is getting down to the wire.
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Well COVID has come a little closer personally. Wife came down with "cold-like" symptoms three days ago. First two days the rapid antigen tests were negative. Today there are two lines...
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Excellent piece by
@PennyDaflos
Emergency physicians are burnt out post COVID. Many of us, myself included, took on extra work for 3 years. We cannot do it any longer.
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I simple do not get folks pushing back against this... And why is the media giving this small fringe so much air time. Plus how did so many of these folks get into our governments and PH systems? Meh.
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@crwequine
The strange thing is these are the folks who stopped wearing their masks as soon as the power that be told them too... I wonder if that fact every occurs to them?
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So supposedly some cannot physically be vaccinated. Who are these folks? For the mRNA vaccine, a PEG allergy is a concern but I have never seen one in 20 years in the ED. And there are other vaccines that have no PEG...
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3x We did not ask much of our communities... Just that people wear masks and take an incredibly safe vaccine which remains very effective in keeping folks out of hospital.
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COVID does not have to be inevitable... But choices do have consequences.
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Another day of taking care of people with COVID…
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5x Now I still have no intention of eating indoors at a restaurant or playing indoor sports... But the occasional gathering with a couple of friends who take this disease equally seriously will resume.
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P.S. What hospital I work at and the bed numbers ect are all easy to find online...
@wikipedia
/
@google
can help!
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We are going to end up with a large permanently disabled population. Those not dead but permanently requiring oxygen. Some on home O2 but other requiring so much O2 they cannot leave the hospital.
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Oh and this gentleman was also super fit, normal weight, with no underlying health problems... Not that the case would be any less unfortunate if these were not the case...
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Taking evidence based actions to protect your health and that of your family ie N95 masks and COVID boosters... is NOT anxiety it is simply being smart. Yes haters are going to hate. Ignore them.
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@PublicHealthON
Have reported this tweet as it is spreading misinformation which is likely to harm people. The disease is airborne. Best prevention is a well fitting mask and ventilation when avoiding people all together is not possible.
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This is an incredible story... Basically politicians and those close to them are using rapid tests to make their Xmas parties safer but denying access to keep school safer or for general folks.
@PennyDaflos
once again doing amazing work.
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I do not care about the price of gas. We have arranged our life so that we drive less than 5,000 km per year and could easily not drive at all. Have studded tires on the fat bike. Have bike trailers for groceries and the kayaks.
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Prescribed paxlovid to nearly 20 people today. Most were fully vaccinated but at high risk due to other health problems. We are getting this medication out to those who need it most in BC.
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One of my favorite sayings is "extraordinary claims require extraordinary proof". The claim that kids do not spread
#COVID19
is such a claim... And not even lukewarm proof has been provided to support it. We need to demand better.
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