Are we taking good care of our doctors, nurses and other healthcare professionals?

"Without a sense of caring, there can be no sense of community." Anthony J. D'Angelo
"Without a sense of caring, there can be no sense of community." Anthony J. D'Angelo

Dr. Scott Malmberg, a physician in Medicine Hat, Alberta recently posted a blog about his experience in COVID-19 ward at the local regional hospital. He was on duty for 48 hours. He had 16 admissions, two ICU transfers, four discharges and four deaths. He didn’t get much sleep.

Ninety per cent of these patients were not vaccinated. Most of these patients did not expect to be very sick with COVID-19. But many of these patients rapidly went into pulmonary failure requiring ventilators. You wonder, “Why would eligible individuals refuse to have lifesaving vaccines?”

Malmberg says hospitals are clogged up by unvaccinated sick people requiring life saving measures like ICU beds and use of high flow oxygen units. These patients use up all lifesaving drugs and services of demoralised over stretched doctors, nurses and other hospital staff. This leads to cancellation of urgent surgeries. It is hard to find beds for patients who come with stroke, heart attack and severe trauma. Cancer patients have to wait longer for surgery.

Another blog was brought to my attention recently. This was written by Dr. Peter Brindley, Department of Critical Care Medicine, Department of Anesthesiology and Pain Medicine, and the Dosseter Ethics Centre, University of Alberta, Edmonton.

He wrote an open letter to the unvaccinated individuals. It was published in The BMJ Opinion (September 3, 2021). In part he says, “Many healthcare professionals are at a loss for words. Not only because we are exhausted, but because we simply cannot understand why so many of our fellow citizens refuse to get a simple vaccine.”

President of the Alberta Medical Association recently wrote, “Recent anti-vaccine protests that have blocked access to hospitals, along with bullying and threats, have added to the distress many of us are feeling. Alberta health care workers have experienced harassment and intimidation, both online and while going about the business of caring for patients.” He called this unacceptable behaviour.

Now we are into the fourth wave of COVID-19 pandemic. According to the World Health Organisation, so far 221 million people worldwide have contracted the disease and 4.5 million people have died from the illness. In Alberta and rest of Canada the number of people with COVID-19 are increasing. And majority of the people are unvaccinated individuals. Many of these patients die.

Alberta Government has provided general guidance to help Albertans and businesses follow “best practices” to prevent the spread of COVID-19.

Alberta Health website says, “COVID-19 transmission is increasing and hospital admissions are rising, largely in unvaccinated Albertans. Alberta is taking temporary measured steps to reduce transmission and prevent the health care system from being overwhelmed. These temporary measures came into effect September 4 at 8 am.”

Few days ago, the premier of Alberta acknowledged the ongoing risk of exposure. He advised people to “use common sense and exercise personal responsibility” when enjoying their new freedom.

The premier is reported to have said, “People will get infected. Some people will get sick. Regrettably, a few people likely will pass away, as has been the case forever with influenza, but we don’t shut down society to deal with that kind of limited and controllable risk. We manage the risk. The vaccines give us a superpower to manage it. Let’s embrace that.” Is this the right approach?

The fourth wave is hitting us hard. The numbers are rising every day. One way to take care of our doctors, nurses, hospital staff, our seniors, our brothers, sisters and children is to get vaccinated, wear a mask and maintain safe distance from others.

This is not over yet. Our health care professionals need our help.

Take care.

Start reading the preview of my book A Doctor's Journey for free on Amazon. Available on Kindle for $2.99!

Should Canada offer a booster (third) shot of COVID-19 vaccine to general public?

The Golden Gate Bridge in San Francisco, California. (Dr. Noorali Bharwani)
The Golden Gate Bridge in San Francisco, California. (Dr. Noorali Bharwani)

Majority of the Canadians have had one or two shots of COVID-19 vaccine.

As we know vaccination protects us from getting seriously ill and dying from COVID-19.

For two-dose vaccines, both doses are needed to achieve the highest level of immunity. This high level of protection is achieved two weeks after the second dose.

Common question is – Can we stop taking precautions after receiving two doses of vaccine?

No, you cannot. No vaccine is 100 per cent effective and breakthrough infections are expected.

Evidence shows COVID-19 vaccine will protect you from serious illness and death but there are exceptions to the rule. You cannot lower your guard. Public health officials are calling for more mask-wearing. There is clear evidence that breakthrough COVID-19 infections can occur in people who are fully vaccinated. This is particularly true with various kinds of emerging variants.

COVID-19 booster shots

Recently, U.S. has announced it will offer third shot of COVID-19 vaccine in September to boost up protection against more transmissible variants.

Americans will be eligible to receive a third shot of the Pfizer or Moderna vaccines eight months after receiving their second dose. Why? They noted that COVID-19 vaccines are still highly effective, but their protection against infection appears to be waning as time goes by. According to President Joe Biden, this is the best way to protect ourselves from new variants that could arise.

As of August 15, Israel reported 31 per cent rise in severe or critical COVID-19 cases. Nearly three in five of those patients were fully vaccinated. That country is now offering booster shots to people over age 50. Germany and France recently authorized booster shots for the elderly and vulnerable. Health officials in Canada, meanwhile, have yet to authorize a third dose for the immunocompromised.

A study in Israel has shown third dose of Pfizer’s COVID-19 vaccine has significantly improved protection from infection and serious illness among people aged 60 and older.

One study published in the Centers for Diseases Control and Prevention weekly report (August 27, 2021) found the protection against infection offered by the Pfizer and Moderna vaccines dropped from 74 per cent in the spring to 53 per cent this summer.

A New York study showed people who received the Johnson & Johnson vaccine likewise reported a drop in protection against lab-confirmed infection from 92 per cent in early May to 80 per cent in late July.

Where does Canada stand on booster shots?

Health Canada has not authorized a three-dose regimen for any of the COVID-19 vaccines.

Canada’s National Advisory Committee on Immunization has not yet made a formal recommendation on COVID-19 booster shots.

Ontario is going to offer third dose of vaccine to individuals whose immune systems are compromised and for individuals in high-risk retirement homes.

Many experts feel third dose should be offered to venerable people only. Not to the general public. In Canada, it would be premature to offer third shot to the general population. The aim should be to improve overall vaccine uptake. That would offer greater community protection than giving third booster shots to vaccinated healthy people.

I am sure vaccine experts and people helping governments make vaccine decisions are struggling with this question: Is it ethical for rich countries to offer third dose of vaccine to their citizens while the poor countries are waiting to get vaccines for their people? What do you think?

Take care. Be safe. Besides being fully vaccinated, wearing a mask and washing your hands regularly continues to be important.

Start reading the preview of my book A Doctor's Journey for free on Amazon. Available on Kindle for $2.99!

Is this the time to lower our guard against the threat of COVID-19 and its variants?

The Lady - a gift from a friend. (Dr. Noorali Bharwani)
The Lady - a gift from a friend. (Dr. Noorali Bharwani)

The head of the Alberta Medical Association (AMA), Dr. Paul Boucher, in an open letter says he has significant concerns with the province’s decision to suspend almost all of its COVID-19 public health protocols.

He is not alone in expressing this sentiment. Some experts believe fourth wave is inevitable, primarily among young and healthy individuals. What about the threat of variants to people who are vaccinated and those who are not? Do we have a plan for them? The majority of the Delta cases in Canada are in those who are unvaccinated, or are partially vaccinated. It is mostly those who are unvaccinated who are dying after contracting COVID-19.

We have been warned of an incoming Delta variant-driven fourth wave. Experts say that is likely to be very different than Canada’s previous waves. We know the Delta variant is highly contagious. It is predicted the unvaccinated individuals will thrust the country into fourth wave of the disease. Some experts believe fourth wave is already here.

In spite of all this the Alberta Government recently announced Stage 3 of Alberta’s Open for Summer plan. All other public health measures have been lifted. This includes all restrictions on:

  • social gatherings – there are no longer capacity limits on either indoor or outdoor gatherings
  • recreation, performance and entertainment activities
  • business closures and capacity restrictions
  • large events, including concerts, sporting events, exhibitions and festivals

What about wearing a mask?

Individuals may choose to continue to wear masks in certain settings. Mask use in public indoor settings is no longer required except when working in or visiting any continuing care facility, as well as any facility operated by AHS, Covenant or their contracted service providers.

Are we on the right track?

Many experts believe we are rushing too fast. Reopening now is risky. Alberta’s reopening plan was drafted before the arrival of the Delta variant and fails to account for the potential impact of the highly contagious strain.

Pediatricians in Alberta have urged Premier Kenney to delay the removal of monitoring measures until 85 per cent of Albertans have been immunized, or until the COVID-19 pandemic has reached the less volatile endemic stage.

Rapid spread of the Delta variant in the U.K. should serve as a warning to Albertans. Some experts have predicted the Delta variant will become Alberta’s dominant strain and will contribute to a surge of cases in September.

Is Alberta’s premier concerned about the fourth wave?

Few days ago, the premier acknowledged the ongoing risk of exposure. He advised people to “use common sense and exercise personal responsibility” when enjoying their new freedoms.

The premier is reported to have said, “People will get infected. Some people will get sick. Regrettably, a few people likely will pass away, as has been the case forever with influenza, but we don’t shut down society to deal with that kind of limited and controllable risk. We manage the risk. The vaccines give us a superpower to manage it. Let’s embrace that.”

Canada’s Chief Medical Officer of Health, Dr. Theresa Tam, has warned against opening too quickly. Protests have been staged at government buildings in Calgary and Edmonton. Many Alberta doctors are reacting with surprise and disappointment to the province’s plan to relax its COVID-19 surveillance and management system.

Canada’s aim is to see as many eligible Canadians vaccinated this summer as possible. As of August 6, 80 per cent of those eligible have received a first dose, while 65 per cent of those eligible are now fully vaccinated. As of August 10, 76 per cent of Albertans 12+ have received one dose of the vaccine and 67 per cent of Albertans 12+ are fully vaccinated. Hope is to get 90 per cent of Canadians fully vaccinated.

I think people should continue to be careful as they increase their social and sporting activates. There are many adults and children who are not vaccinated. Hopefully, by next month we will have 90 per cent of Albertans and Canadians in the rest of the country will be fully vaccinated.

Better be safe than sorry!

Start reading the preview of my book A Doctor's Journey for free on Amazon. Available on Kindle for $2.99!

Uncontrolled high blood pressure is a serious risk factor for COVID-19 complications

Life is a journey, not a destination! (Dr. Noorali Bharwani)
Life is a journey, not a destination! (Dr. Noorali Bharwani)

We know high blood pressure is a serious condition. If not treated, it can lead to many complications like heart failure, stroke and dementia. There is evidence to show hypertensive patients are more at risk of complications from COVID-19 than those whose high blood pressure is managed with medication.

A combination of medications and lifestyle changes can bring your blood pressure under control and reduce the risk of heart failure, stroke, dementia and COVID-19.

You should buy a blood pressure monitor and learn to take your own blood pressure at home.

An article in the Canadian Medical Association Journal (Monitoring blood pressure at home: guidance for Canadian Patients – CMAJ July 12, 2021) says it is important to buy home blood pressure monitor approved by Hypertension Canada.

The article says, “Most home blood pressure monitors sold commercially (> 85 per cent worldwide) do not measure blood pressure accurately. Hypertension Canada has a list of recommended devices that have been tested, are known to give valid readings and can be recognized in stores by their Recommended by Hypertension Canada logo (https://hypertension.ca/bpdevices).”

The article recommends measuring blood pressure twice in the morning and twice in the evening for seven consecutive days (28 readings total). If your blood pressure is stable then you can monitor your blood pressure every three months. Best thing would be to check with your doctor and follow the recommendations.

What would be considered high blood pressure?

If your blood pressure readings at home average 135/85 or over then you have high blood pressure. You should discuss this with your doctor.

If you have symptoms of a heart attack or stroke then you should call 911.

What can you do to get your blood pressure under control?

First step is to make lifestyle changes. Eat a healthy diet and exercise 30 to 60 minutes daily. If this does not reduce your blood pressure then you need medications. Medications are needed for systolic blood pressure of 160 or higher and diastolic readings of 100 or higher. If this is not taken care of then your risk of heart attack and stoke are high.

This risk is reduced with medications prescribed by your family doctor, combined with home monitoring and lifestyle changes.

What is meant by lifestyle changes?

  1. Eat heart-healthy foods: fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods.
  2. Eat low salt diet: Aim to limit sodium in your diet.
  3. Lose weight: Losing even a little weight can reduce your blood pressure.
  4. Increase physical activity: This reduces blood pressure and helps with stress and weight loss.
  5. Manage stress: Try deep breathing and meditation.
  6. Avoid or limit alcohol: Alcohol can raise blood pressure.
  7. Do not smoke: Tobacco causes blood pressure to rise and plaque to build up quickly in your arteries.

Start reading the preview of my book A Doctor's Journey for free on Amazon. Available on Kindle for $2.99!