sumanyu

[sumanyu @Sumanyu77]

@JackDan110 @ABDanielleSmith Agreed!
It’s Canada wide- Sooner rather than later they need to come up with drastic changes!!

[sumanyu @Sumanyu77]

@yegwave Canadian healthcare system needs a change!!!!
@MarkJCarney

[YEGWAVE @yegwave]

A 44-year-old Edmonton man has died, leaving behind his wife and three children, after reportedly waiting more than eight hours at the Grey Nuns Hospital while experiencing persistent chest pain.

While waiting, he allegedly reported blurred vision and had a blood pressure reading of 210, and was reportedly given only Tylenol.

[Raghu Venugopal MD @raghu_venugopal]

ER doc here. The tragic death of 44-year old Prashant Sreekumar in Edmonton on Dec 24th at Grey Nuns Hospital must lead to significant system-wide change. Reporting by @SKomadinaGlobal 👇👇👇
https://t.co/YwfADcarFp
There is no more clear way to say it - his death based on the limited facts we know - is unacceptable. At the same time, I don't blame my peers on duty.

As an MD who examines ER cases that don't go well, there will be a serious analysis of Mr. Sreekumar's death. In prior fatal cases where I have been the doctor - fulsome hospital analysis with new resources added can lead to significant operational changes with disclosure to the family of changes that are made.

That still doesn't bring back Mr. Sreekumar.

Although we don't have all the facts and timestamps, there's no doubt 8 hours to see a physician with severe chest pain is not acceptable. It never has been acceptable.

In my experience, patients remain in the waiting room when there are zero ER beds available.

Had Mr. Sreekumar been placed in a medically monitored area with nursing care - in my experience - that can lead by nursing protocol - bloodwork to be drawn which may have been diagnostic (nurses have called me before to say a patient with chest pain has a positive cardiac troponin [drawn by nurses by protocol] - please go see them now - and I do).

Mr. Sreekumar could have had a CXR by nursing protocol which could have helped (perhaps suggesting a diagnosis like aortic dissection), repeat EKGs, further vital signs and clinical monitoring - all this may have helped if there was a place for the patient in the ER.

I don't blame the nurses. They can only skip so many breaks and they only have 2 hands.

The ER nurses are the eyes and ears of the ER but if they have their hands already full taking care of admitted patients with nowhere to go in a full hospital, and no beds to care for new patients - then patients who are decompensating are missed. The lack of ER beds is again because the hospital is full - and when the hospital is overcapacity - the ER becomes the hospital ward and patients get kept in the waiting room.

But can patients be seen in the waiting room?

Absolutely yes. I do it. That is the reality if you work in ER. However, if the number of physicians staffed cannot meet the needs of incoming patients, that patient will not be seen in the waiting room.

I have gone to the waiting room, been alarmed with a patient with chest pain, rushed them to the CT scanner, rushed them into a bed upon my insistence, the patient suffer cardiac arrest and we save them with a healthy return to home. It can be done.

We can see patients in the waiting room. But the ER has to be staffed with enough nurses and doctors to do that.

What must not happen is a blame game of one nurse or one doctor. That would be insane.

Those on duty were the proverbial only willing firefighters working with the tools they have. Blaming them would be destructive. These people were working on Christmas Eve when the rest of the healthcare system and society was relaxing at home or doing nothing. These people showed up, they did their best with the system they had. They just did not have the beds, the monitoring, and the staffing.

The Government of Alberta deserves heavy blame.

The Alberta government has been distracted with garbage health policy. They have forgotten the basics of supporting our publicly funded healthcare system. They are the ones to blame. They alone can fund more staffing. They alone can fund more staffed beds in the community to decant the hospital and the ER so we have the space to see new patients.

However, do we have unacceptable ER deaths in Ontario, NB, BC and the rest of Canada? Yes we do.

We need every provincial health minister to feel as heart-broken, disgusted and enraged like I do when I read about what happened to Mr. Sreekumar and his family. @JMeddings @PfParks @RajSherman @CAEP_Docs

[sumanyu @Sumanyu77]

@UtdFaithfuls Lost faith in him. Cannot lead the UTD to glory. His days are numbered!

[UF @UtdFaithfuls]

This is embarrassing.

The media agenda against Manchester United is real.

Love how Erik ten Hag absolutely cooked him. 😂

[kelvin gawley @byGawley]

A huge shoutout to the @Teamsters brothers who turned their cement trucks around at our picket lines today — and the solidarity from @cupenat @ILWUCanada @vancouverdlc @polyparty and many more.

Construction and all other work at SFU will have to wait until we get a fair deal.

[sumanyu @Sumanyu77]

@HouseofArts3 Hey is it still available ?

[The United Stand @UnitedStandMUFC]

Requested to speak to the media, took responsibility for the loss, and admitted that he hasn't started well enough at #mufc.

We're all behind you, @AndreyOnana. That's the mentality we need. ❤️

[United View @unitedviewtv]

🗣️ "That mistake cost us the victory. It's because of me we didn't win today."

Andre Onana speaks to Peter Schmeichel to discuss #MUFC’s #UCL loss against Bayern Munich.

🎥 @CBSSportsGolazo

[sumanyu @Sumanyu77]

@AFTVMedia None 😂😂😂

[UF @UtdFaithfuls]

• Old Trafford erupting
• Fergie with that little fist pump
• And Ten Hag's celebration...

The excitement just last season was immaculate.

Erik ten Hag will bring the good times back. Believe. 🇳🇱❤️
https://t.co/Qz40emYWKv

[Mark Goldbridge @markgoldbridge]

Now is not the time to turn on Ten Hag. Van Gaal, Jose, Ole all went the same way and we always end up back here. All that frustration has to be channelled towards the ownership now no matter how bad it gets on the pitch. Otherwise we'll be back here again in 3 years time.

[Paddy - Attacking Football @PaddyKeoghAF]

This is true. The players had revolted under Rangnick. There was turmoil and mutiny. Players ruled the dressing room.

Training was ran by airpods man who nobody respected. The staff at the club, including the analysis section all felt disrespected because he had his mate watch us on TV from Russia too, and trusted that opinion more than the United backroom staff.

Ole was a soft touch and cared more about vibes than about being a totalitarian. Ten Hag would be more akin to Mourinho when it comes to professional standards. Nothing he has said here is wrong.

[sumanyu @Sumanyu77]

@AnnemarieDray Couldn’t agree more!!!

[sumanyu @Sumanyu77]

@Clarenceamadeus @footballqueeen I think he isnt asking media for help. He just answered a question what was asked. The situation wouldn’t be as big it is if it wasn’t for posting on social media.

[sumanyu @Sumanyu77]

@footballqueeen I fully agree with you. Even last season Ten Hag let sancho leave to get his mindset in the right direction and not every manager allows that. But how has Sancho responded is just astonishing!!!

[sumanyu @Sumanyu77]

@UnitedRadar Fully Agreed!!

[sumanyu @Sumanyu77]

@TenHagBall_ Spoken like a true manager!!

[sumanyu @Sumanyu77]

@StretfordPaddck Answered like a true manager!!!