Fighting systemic rot in healthcare. Independent and unapologetic generalist, writer, philosopher, entrepreneur. Not a doctor. Recovering technology/UX geek.

Joined March 2008
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๐Ÿ“ข BC NDP opened the first Urgent and Primary Care Centre (UPCC) 8yrs ago. We now have 48. Govt has given us only cherry-picked good news. No detailed accounting of performance. I reviewed their own data obtained via FOI. It's bad. Strap in. ๐Ÿงต1/11 healthdatabc.ca/upcc/
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Mark Roseman retweeted
Replying to @markroseman
Anxiety and frustration? How about suffering and death? Waiting lists/waiting rooms are how our government controls costs, and where patients linger and sometimes die. Weโ€™ve allowed this for decades. Accountability now. @cindyeharnett @Josie_Osborne @DrDMPetersMD @dockevinmcleod
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Pizza and โ€œwellnessโ€ programs are no match for proper ER staffing and beds. ER doctors can afford their own pizza and find meaningful rest outside work but canโ€™t pull more staff and beds out of their pockets. The solution to ER attrition is fixing the root problem.
Emergency physicians lead the league in burnoutโ€”but when they quit, itโ€™s often for another reason healthexec.com/topics/healthโ€ฆ
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Of course, in #BeautifulBC nothing bad is real, itโ€™s just your *bad feelings*, which are your own fault and the only problem. ๐Ÿ™ƒ
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It can actually be a detriment too. HCW's can be combative and gross/ableist unfortunately. I can't count how many times I clearly have grated on people despite stating my diagnoses pre-emptively and why I come across the way I do. I actually get infantilized quite a bit too.
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Mark Roseman retweeted
Public Health mgmt in BC (from govt ministers, down to the 70 Health Association vice presidents who have the lowest "salary to actual value contributed" ratio in Canada) is absolute trash. So detached from reality, and they've lowered the "new normal" for Public Health #bcpoli
Read this story, particularly VIHA's response. "We acknowledge waiting for tests like these is frustrating and can lead to increased anxiety and concern for patients and their loved onesโ€ Anxiety and frustration? What about actual negative health outcomes of waiting?!?
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If only advocating for yourself, being specific about your diagnoses & using the proper terms for everything, accurately conveying the level of symptom severity, and asking for accommodations for your diagnoses actually got you anywhere. Especially without a family Dr.๐Ÿ™ƒ
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BC has a problem. There is no party here thatโ€™s electable or competent. The Cons are nutjobs and BCNDP are fiscally irresponsible, as well as authoritarians. Theyโ€™ve created a disaster in this province. We need an electable, centre right, third partyโ€ฆ
The British Columbia Premier David Eby is in trouble and the only other party available is led by the racist and MAGA adjacent Kerry-Lynne Findlay British Columbians have a choice. Help Eby succeed (heโ€™s not a great leader), or descend into dark days
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Mark Roseman retweeted
We really need detailed data on this. The reports show "90% of exams done within XX days." Many reasons why some exams may not be done quickly, not all of them fault of hospitals. A simple number doesn't tell the story. The full distribution of wait times would.
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Mark Roseman retweeted
There's a reason for benchmark times, and it doesn't have to do with anxiety. The response also talks about increased volumes of scans. Not the fucking point! There is NO PLAN to meet benchmark wait times. Hasn't been for years. "We're trying hard" is not good management.
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Read this story, particularly VIHA's response. "We acknowledge waiting for tests like these is frustrating and can lead to increased anxiety and concern for patients and their loved onesโ€ Anxiety and frustration? What about actual negative health outcomes of waiting?!?
People on Vancouver Island who are referred for a CT scan that is marked with "ASAP" urgency could be waiting up to 106 days, according to data shared by an MLA. cheknews.ca/wait-times-for-aโ€ฆ
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Ha and if your breasts are dense, cancer is missed, then you go through 14 months of treatment which almost brings you to death and follow up is guess what, mammogram. Then you have to fight your oncologist for better screening because I actually matter to my kids.
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Replying to @markroseman
"Anxiety and frustration"? This is just more minimizing & gaslighting by my very own health authority. This reeks of unaccountability, Dr. #fireRika Gustafson.
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Mark Roseman retweeted
If you are worried that HC won't be there in a safe and timely manner for you or your loved ones, demand better from the govt - they work for you. Thanks to all those who came out. Thanks to Friends of Medicare for hosting. 3/4
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Alberta Urgent Conversations Provincial Tour is complete! 25 Communities, 1 virtual, 1000's of Albertans engaged, 10,750Km driven! Consensus exists that HC is NOT going in the right direction. 1/4
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Replying to @markroseman
Happy to make public what Iโ€™ve been through since 2016 โ€ฆ itโ€™s difficult to comprehend the extent โ€œthe systemโ€ will go to silence a physician and why you donโ€™t hear a peep from @DoctorsOfBC
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My last 4 or so years in a nutshell. ๐Ÿ™ƒ There are zero repercussions for the ethics breaches that leave seriously ill patients without any medical care.
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Replying to @markroseman
As usual, @bcndp Comms is on itโ€ฆ๐Ÿคฆโ€โ™€๏ธ
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Mark Roseman retweeted
Replying to @markroseman
The word โ€œanxietyโ€ is certainly being kicked around a lotโ€ฆPeople are going to die waiting for appropriate testing. Unless, of course, youโ€™re a politician or bureaucrat. They seem to all go to the front of the lineโ€ฆ ctvnews.ca/vancouver/articleโ€ฆ
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To get the most effective treatment in today's health system, you must advocate for yourself. In mental health, most get offered what's available (if anything). Not what you need. Too many basics get missed. People suffer for years. How to avoid that? Join us, we'll show you.
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