Matthew Rowe retweetledi
'What the hell are we doing here?' Inside Canada's shockingly violent hospitals
flip.it/8Sdmue
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Matthew Rowe
517 posts
Matthew Rowe
@Row3zie
EM-Here to learn and connect; opinions are my own.
Katılım Kasım 2016
152 Takip Edilen89 Takipçiler
Matthew Rowe retweetledi
Let physicians own hospitals. Put ownership of healthcare back in the hands of people actually doing health care.
Chris Murphy 🟧@ChrisMurphyCT
I’m in a hearing on the consequences of allowing profit-obsessed private equity companies to own hospitals. A nurse at one of these hospitals is telling us horror stories. Dead babies in cardboard boxes. Nurses paying for basic supplies with their own money. Macabre.
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Matthew Rowe retweetledi
I find myself wondering why as an ED physician, I am often the one clarifying code status on cancer patients towards the end of their journey. These are important discussions and considerations that should occur upstream by their longstanding trusted treatment team.
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Matthew Rowe retweetledi
The ultimate policy contempt for Ontarians is the early opening of 8500 alcohol retailers using $225M of taxpayer's money while ER doctors like me every single day treat Ontarians who want to access detox or rehab - but there are no options. @MaritStiles
Marit Stiles@MaritStiles
ERs are closing, millions of Ontarians are without a doctor, shelters are at capacity, yet the gov’t is choosing to spend a quarter of a billion to fast-track beer sales. This is Ford’s priority… #ONpoli thestar.com/politics/provi…
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Matthew Rowe retweetledi
The 11 ER tasks of post-partum hemorrhage. Thanks to @EMSwami @emrap_tweets
Consider: Tone, Trauma, Tissue, Thrombin
The 11 ER tasks:
1. Uterine massage, external and internal bimanual
2. Oxytocin 10 IU IM after placenta delivery
3. Oxytocin 20-40 IU in 500ml NaCL titrated to sustain contractions
4. Manual sweep of uterus if placental pieces missing - if cannot be removed placental remnant may be invasive
5. Misoprostol 600-1000ug PO, SL or PR
6. TXA 1000mg IV, can repeat 1X. Yes, worked based on WOMAN trial (Lancet, 2017)
7. Carboprostol (hemabate) if refractory, 250ug IM - can repeat Q15min up to 2000ug
8. Methylergonovine (Methergine) 0.2 mg IV or IM Q2-4 hours PRN, maximum of 5 doses
9. MTP with 1:1:1 ratio of PRBC: FFP: platelets.
10. Intra-uterine balloon tamponade (500cc NS maximum) - Bakri Balloon
11. Consultants: ob-gyn, interventional radiology, ICU and if no other option general surgery
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Matthew Rowe retweetledi
@CanadianKayMD @pat_health **October 25** why did it take nearly 6mo for @CFPC_e to notify its members 🤔
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Matthew Rowe retweetledi
Sorely needed, not complicated to do and would have a huge impact - doctors should dictate when some needs a referral. We should not need to find out - who, when, how and chase the entire process to make sure it happens. That’s a system function that must exist.
Raghu Venugopal MD@raghu_venugopal
Ontario needs an online centralized referral network. "Due to the high volume of consultation requests that we receive, please notify your patient that there can be a wait time of 6-12 months for the initial assessment". @OntariosDoctors @cathy_faulds
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Matthew Rowe retweetledi
And that would be a shitload of ER nurses. Just saying.
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Matthew Rowe retweetledi
Canadian medical residency spots have remained stagnant for a decade, a @cbcnews analysis shows. There are only 167 more spots than a decade a go; the population has increased by 5 million in that time, by @JPTasker youtu.be/tTAyMh6fSe8?si… via @CBCTheNational #MedEd
YouTube
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Matthew Rowe retweetledi
But they aren't the cause of prolonged waits for emergency care.
OCFP@OntarioCollege
1 in 5 patients who visit overcrowded EDs are there because they don’t have access to a family doctor. “We are in a state of dire consequence if we don’t do something, particularly around primary care.” Cc: @OntarioDoctors globalnews.ca/news/10229099/…
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Matthew Rowe retweetledi
The obscenities continue. Ontarians access to care where and when they need it is at an abysmally low level and the decline into patient care hell seems to have started in earnest when Ms. Jones became Health Minister. Just sayin’.
Sylvia Jones@SylviaJonesMPP
Since our government made changes to allow pharmacists to treat and prescribe for common ailments, assessments have been done at over 4,600 pharmacies – that’s 94% of the pharmacies in Ontario! Our government is connecting more people to care where and when they need it.
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Matthew Rowe retweetledi
I cannot speak for adult medicine but I can tell you actual current wait times for some of my pediatric patients;
📍hypospadius repair >24 mos
📍hernia repairs >24 mos
📍G/tube insertions >12 mos
📍adenoidectomy >12 mos
Hard to tell my parents that’s progress.
Sylvia Jones@SylviaJonesMPP
For a decade, the NDP propped up the Liberals as they created the longest health care wait times in Ontario’s history. Last year, Ontario had the shortest surgical wait times of any province in Canada. That’s real progress.
Oakville, Ontario 🇨🇦 English
Matthew Rowe retweetledi
How does this make sense in a single payer system? Hospitals are worsening their financial situations by having to take out loans yet have little to no recourse in making up this ground in a not for profit environment. 🤦♂️
I don’t understand this.
Patients lose in this scenario.
André Picard@picardonhealth
Some Ontario hospitals forced to take out high-interest loans from banks to continue operating. Most Ontario hospitals are facing deficits, some have reached their financial limit, @OntHospitalAssn warns, by @egpayne ottawacitizen.com/news/local-new… via @ottawacitizen
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Matthew Rowe retweetledi
How can provinces allow patients to wait 20 hours in ER - or days in the hallways to be admitted for care? It’s a violation of the commitment to citizens under the Canada Health act @CTVNews @AlexandraMaeJ ctvnews.ca/health/20-hour…
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Matthew Rowe retweetledi
Doug Ford is spending $650 million of your tax dollars on a private luxury spa - while my community in Fort Erie is facing a shortage of care at the urgent care centre.
Share if you agree - taxpayers shouldn't be paying a dime to a spa when people don't have 24/7 health care.
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Matthew Rowe retweetledi
It’s funny. There will be a bunch of anger over a movie being filmed on an empty floor at a hospital. That’s a non issue. Truly. Just easy politics.
What should be the issue? Why are we not training enough nurses, technologists, allied health staff? Even if the beds were open and fully funded we aren’t training enough people to fill the jobs in a province that is growing and aging.
The public has no idea how many jobs that would improve care and shorten waiting times are FULLY budgeted and funded but are sitting empty. If you are waiting for a surgery or scan it’s in large part because we haven’t planned the human resource properly. Instead we put more and more money in to a limited resource.
Does paying me more improve your access to care? Does training more of me improve it? Option 2. Pick option 2.
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Matthew Rowe retweetledi
@alandrummond2 @CBCTheNational Great piece. I think the tragic misunderstanding is that it’s not just waiting room deaths that show the cracks. Patients have their outcomes dramatically worsened by their excess time spent in the waiting room. Every shift we pick up charts of sick patients who waited too long.
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Matthew Rowe retweetledi
This right here. I’m less interested in assigning blame and more interested in working cooperatively towards solutions. @CanadianKayMD @snewbery1 @NightShiftMD @Kapur_AK
Deonandan@deonandan
Canada had 6.8 hospital beds per 1,000 people in 1984, but just 2.5 per 1,000 people by 2018. Both Conservative and Liberal governments contributed to this decline, so finger-pointing not useful. We need to reinvest in hospital surge capacity via more staffed beds.
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Matthew Rowe retweetledi
Premier Doug Ford's government gives a for-profit clinic more funding to perform certain OHIP-covered surgeries than it gives Ontario's public hospitals to perform the same operations, CBC News has learned. cbc.ca/news/canada/to… .
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Matthew Rowe retweetledi
While she was Health Minister, Don Mills Surgical, a private for-profit hospital, got a 278% increase in funding. She didn't run again in the 2022 election, and now Christine Elliott @celliottability has become a lobbyist for Don Mills Surgical.
It should be illegal.
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