The person responsible will face consequences; if not from the employer, from unseen forces. Prayers for all involved❤️

I am no longer shocked by the way Indigenous women are treated by colonial systems. This is wild…

I realize this is not possible in many circumstances. Do you have a unhoused relative? Would you consider housing them?

Couches with big cushions to sink into, a home with heat at the push of a button, my health….

I am still figuring out this app but I am a woman in medicine:) that is a fact

I don’t know, I don’t have many doctors in my circle. I would never leave medicine, it’s about practicing medicine in a way that serves everyone well. There is a path forward and we need the creative minds to help navigate those who have lost their way back to the light.

This always seemed so common sense to me, then again, I do it so often I am losing my medical jargon.

9) there is so much change that needs to happen to lower the rate of lower limb amputations in Ontario both on provider and patient sides. This thread focused on provider info. Thanks

8) some surgeons will even Coerce patients to amputation out of a biased belief that the patient is never going to heal which is not actually based on physical evidence. A covert act of racism.

7) if your diabetic foot ulcer patients are people of colour or from oppressed communities, all of this is amplified due to racism and they are much more likely to progress to amputation whether they need it or not

6)I even suggest encouraging direct communication between the nurses and yourself (although agencies have policies to prevent this from happening)

5) it’s best if you get wound care training and with each referral to OHAH attach an extra document with very specific details and I mean step by step details and specific dressing you want for an untrained nurse to be able to follow like an instruction manual, as well as a list of supplies.

4/ You need to have eyes on these wounds minimum weekly even if home care is in place. If you yourself have no extra wound care training, get it, or send all of your patients to a wound care specialist.

3/ the ET nurse or NSWOC might not see your patient for weeks after referral and even then, they could be fresh out of training and not have the confidence they need to sharp debride appropriately.

2/They will quickly change a dressing. That’s all.
Sometimes they won’t even wash the surrounding tissue. Due to pressures not to waste supplies, they might not use enough tape to keep a dressing in place for 20 minutes after they have left.

1/Most of the nursing staff that will be doing dressing changes do not know anything about wounds, they will not communicate with you when a wound is deteriorating or changing. Even when a wound becomes necrotic, no one will tell you.