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FYI I am keeping this account open in case I need to monitor news/updates. I will no longer be tweeting/responding.

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@desertchase Seems to be a moving target in BC…

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@JRossfamilymed @GeriMedMD @adriandix @jjhorgan @DoctorsOfBC @BCFamilyDoctors @FDs4PCinBC @dr_rdosanjh @drpaulwinston @DrBrendaHardie @DrRitaMc @dockevinmcleod @DrRFernandez @Heartdocmom @DrSanatani @ChodyraAnna @DrKathleenRoss1 @awruddiman I am 100% done being engaged

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@DadDrummerDoc The bar in BC is so friggin high man. Took me 3 years and cost me over $100k outta my own pocket to get it off the ground, but hopefully it pays of for the next generation, who can build on what we’ve learned.

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@DadDrummerDoc I presently work in a proof of concept team-based APP environment with FPs/NP/SW/RN/Part-time Pharmacy. We share the panel, everyone knows the “deal” w/ each pt. But we try for a “quarterback” for each pt too. Each day one clinician does nothing but labs/urgent issues. Works ok

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@TuraEmanuela @desertchase @drstaceybutters @TracyMorton @nilikm @SarahGiles10 @FamPhysCan I will also comment though, I am one of a very few who do both CLFP and urban hospitalist. If you think urban hospitalists do family med inpt care the way they used to, you are mistaken. They do int med light. Can’t be done back and forth from the office. The game has changed.

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@desertchase @drstaceybutters @TracyMorton @nilikm @SarahGiles10 @FamPhysCan Where you put your money, that’s where the patients are going to go. Govt puts all its money in acute care, big surprise all the hospitals are over census. Then they scratch their heads ? Hmm what could we do?

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@dr_oona @cwimgather @DoctorsOfBC Been saying it for years

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@JRossfamilymed

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@JRossfamilymed

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@fuzzymittens @DGlaucomflecken better up your game

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@DrJLush @FDs4PCinBC @DoctorsOfBC Yeah, we’ve just been burned so many times before, and the pitfall is govt only does the quick fix and then things get just better enough that the public forgets about it, then we’re just kicking the can down the road to the next crisis.

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@DrJLush @FDs4PCinBC I get the impulse and by all means if there’s clear cut data that supports it, then so do I. But from a messaging perspective the time for quick fixes is over. System wide, down to studs reform. Now. Accept no substitutes. If we can find $800mil for museum, we can for this.

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@AmyTanMD I was once told by them that I couldn’t take a clearly non infectious person off c diff precautions because they hadn’t had the requisite amount of solid poops despite negative lab tests, at the same time they were telling us we could cohort CoVID + and CoVID - pts

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@j_mcelroy Another day I’m hoping people will realize that govt is an inter-subjective reality. It and its policies only exist because we collectively believe in them. There’s no law of nature preventing money from moving from cap to ops. It’s policy, policy can be changed.

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@JRossfamilymed @BirinderNarang @PennyDaflos @adriandix I consider teaching part of the job. I don’t mind not getting paid for teaching, and I’ll add I participate in the teaching of 3 NPs in our office who are licensed and practicing, owing to my expertise and experience. Another way the govt’s plan rests on our backs.

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@KatharineSmart If only a large organization that newly came into a $1billion fortune would use that money to try and make things better for us…🤔

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@portiaclarkcbc It’s a morning show, tell ‘em you’re putting on some Dead Prez because you want your audience to really wake up.

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@AmyTanMD Civility often = comfort in privilege. “Let’s be civil” often = “don’t threaten my privilege”

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@JRossfamilymed @DrRitaMc @LindsayKHedden The bottom line is in FFS it’s possible to lose money as a GP. That is NuTs. We need some provision of overhead by govt directly to offices. That would be model agnostic and therefore the quickest path forward to stabilize existing infrastructure IMO.

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@JRossfamilymed @DrRitaMc @LindsayKHedden That would be a complete paradigm shift, not unlike the move to contracts. I can’t get my head around the “just raise the fees argument” there’s no way that will do it. BUT…