@RyanHessMD Scribes are used by a minority of MDs. Nothing stopping u from using live scribe. I will be starting AI scribe trial soon. Many colleagues already trialing. We never were going to use live scribes. Time saver and improves pt contact & workflow. I think on balance is a good thing.
@drpaulwinston @TuraEmanuela I don’t reject based on method of visit. Mostly based on lack of evidence of pathology I can treat.
I’m not here to sort out pain for you, so if lack of evidence of surgical pathology and vague pain, not getting seen. And don’t get mri. I don’t c based on mri reports.
@markroseman The one in Surrey is staffed by ER physicians and is treated as an extension of SMH ER. They get all their X-rays at WCMI. I wonder how much they r paying to make all this happen?
@HarmanBhanguBC I agree. It is very sad and my heart also breaks for all those people. It is ‘compassionate’ and ‘human rights’ to maintain 1000’s in this horrible squalor!? Harm reduction without the other pillars is just harm. U can’t convince me this is good or right.
You told me to check out Pandora Avenue in Victoria before leaving Vancouver Island — I did.
It’s absolute chaos. People are in deep crisis with mental health and addiction, and it’s heartbreaking.
This is not compassion. This is failure.
David Eby and the NDP's policies have made this worse. We need real solutions that restore dignity, safety, and hope — for everyone.
@TuraEmanuela @dockevinmcleod It is so undeniable that choice is better. But many delude themselves into a belief in an idealistic & utopic single payer system. It doesn’t work well anywhere. It’s fantasy & believing in it is like believing in a Disney fairytale. It makes u feel good but will never come true
@markroseman @TuraEmanuela We knew this was the gov we were getting when we voted them back. Great u want to hold them accountable, but election is yrs away and appears voters prefer this. I have lost some of my empathy for those who keep complaining. Then vote differently. We r stuck fed/prov for yrs now
@KenSimCity One more reason, of many, I would never ever again be a landlord in BC. Maybe best for everyone? Being a multi-dwelling landlord might still be ok, but the anti-landlord laws make renting out part of ur home or a second home/condo prohibitive. For me at least.
@hjluks As a doc I am somewhat torn. I do believe that many meds help many people survive and live longer, better lives. But I also believe that we overmedicate and that poly pharmacy is likely harming many. With the myriad of interactions we can’t know all the harms of polyRx.
@SeanDreyer Right Knee pain with decreased ROM, mod OA on XRay. Injection and fu in 3 months.
Really bad note and some of middle I can’t decipher. But this is the gist I think.
@DGlaucomflecken Radiologists go into radiology because they don’t want to act as clinicians. Interestingly they get paid better than most clinicians where I work. I need to see patient to go over mri if I order. If rad comments on important non ortho finding. I don’t refer. Pt goes to gp or WIC
@mark_slapinski I work in a heavily immigrant populated area. We can’t keep up. We r overwhelmed. They r usually wonderful & appreciative people and I really enjoy treating them. But we can’t be everything to everyone & our infrastructure is breaking under the load. Can’t hide from reality
@markroseman@cpsbc_ca The college has no jurisdiction over anyone but health professionals so we r the only ones they can bully. HAs and gov can screw around with pt. care to their hearts content. But college can force mds to provide antiquated 24/7 coverage in big city with multiple ERs available.
@WendyHartley Yes. Large line at Kerrisdale. Great to see. Was happy to wait to do my civic duty. Flabbergasted by middle aged couple complaining of those with canes and walkers having the ‘entitlement’ to skip the line. My wife then helped a few with aids get to the front😁