I will remember you (Musings on healthcare heroes during COVID-19 pandemic)

 Updated: 1 March 2021

February's blog is about healthcare workers who have been infected and died from COVID-19 worldwide, and who have made many sacrifices for us all.

INTRODUCTION
The idea for the blog was stimulated by  a series of news items posted in TraQ's Feb. newsletter (Further Reading). Also by the fact that so many healthcare professionals have put their duty to patients above the safety of themselves and their families. COVID has also highlighted invisible health professionals such as medical laboratory technologists/biomedical scientists who have shone with dedicated work to test for COVID-19 infection. Plus

Emergency Medical Services (EMS) emergency medical technicians Also those who work for low wages in long term care facilities, often immigrants who need several jobs to make a go of it, and  personal care workers. 

I could also focus on many non-healthcare heroic workers during the COVID-19 pandemic. If I've missed any, please send a comment. Examples (Some in Further Reading):

• Hospital cleaners and maintenance staff
• Daycare workers
• Teachers, teachers' aides, school janitors
• Apartment housekeeping & maintenance staff
• Meat plant workers (often immigrants) who are often housed in close contact with other workers
• Grocery and food retail workers
• Food delivery drivers
• NEW: Transit workers who transport essential workers to and from work (Thanks, Penny)

The blog's title derives from a 1995 Sarah McLachlan song.

THE EVIDENCE
Folks, there is overwhelming evidence that health professionals and many others have stepped up to the plate during the coronavirus pandemic. I do not need to belabour the point. The aim of this blog is to celebrate their contributions around the globe at great personal cost to themselves not just dying but also anxiety and depression.

• While the numbers of those dead due to COVID-19 are overwhelming, it's key to remember that each of these folks are individuals, someone's 'significant other', child, mother, father, brother, sister, aunt, uncle, cousin, friend. 
• As of 12:39 pm Central European Time, 1 March 2021, there have been 113,695,296 confirmed cases of COVID-19, including 2,526,007 deaths, reported to WHO. (Further Reading) 
• See stories of some folks who have died from COVID-19 (Further Reading). 
• Note that people of colour are more likely to get COVID-19. (Further Reading)  

I encourage you read the items in Further Reading to gain a perspective on what we owe these heroes. Also to see affected people as individuals.

As always, comments are most welcome and there are some below.

FOR FUN
Chose this song because I hope we will all remember the heroes who put their lives at risk during the COVID-19 pandemic. I certainly will, as my husband with a serious lung disease went to the Emergency Dept. by ambulance in Dec. 2020 & spent a week in hospital.

• I will remember you (by Canada's Sarah McLachlan)

FURTHER READING

• WHO Coronavirus Disease (COVID-19) Dashboard

• Remembering coronavirus victims (UK) 

• Sharing stories of people who’ve died from COVID-19 (USA)

• Why are people of color more at risk of coronavirus complications? 

• Black people 'twice as likely to catch coronavirus' (12 Nov. 2020)

• Salari N, Khazaie H, Hosseinian-Far A, et al. The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. Hum Resour Health. 2020 Dec 17;18(1):100.

• Bandyopadhyay S, Baticulon RE, Kadhum M, et al. Infection and mortality of healthcare workers worldwide from COVID-19: a systematic review. BMJ Glob Health. 2020 Dec;5(12):e003097.

• Nearly 300,000 healthcare workers have been infected with Covid-19 worldwide, threatening health systems (17 Nov. 2020) | Related:
• Erdem H, Lucey DR. Healthcare worker infections and deaths due to COVID-19: A survey from 37 nations and a call for WHO to post national data on their website. Int J Infect Dis. 2021 Jan;102:239-41. Epub 2020 Oct 29.

• In memoriam: Canada's health workers who have died of COVID-19 (19 Feb. 2021)

• ICN confirms 1,500 nurses have died from COVID-19 in 44 countries and estimates that healthcare worker COVID-19 fatalities worldwide could be more than 20,000 (28 Oct. 2020)

• Canada's medical lab staff working in the shadows to help defeat COVID-19 (6 July 2020)

• Are hospital cleaners forgotten heroes in this crisis? (20 Apr. 2020)

• Canada: Alberta slaughterhouse to close temporarily amid growing COVID-19 outbreak that has claimed one life (15 Feb. 2021) | Related:
• Labour leaders want action on COVID-19 outbreaks at Alberta meat plants (29 Apr. 2020)

• USA: About 20% of grocery store workers had Covid-19, and most didn't have symptoms, study found (29 Oct. 2020)

I will remember you (Musings on gender in transfusion medicine)

Updated: 2 Nov. 2019

October's blog is short. The idea was initially stimulated by two 'from the archives' papers in TraQ (Further Reading). The topic of the papers was perceived gender discrimination by healthcare professionals. The initial purpose of October's blog was to get readers to assess if they perceived gender discrimination exists in their disciplines and workplaces.

After reflection, I decided to change the focus to highlighting how many great female physicians there are in transfusion medicine, many of whom I've been privileged to know personally. And, sad to report, one recently died. 

The title derives from a ditty sung by Canada's Sara McLachlan.

BACKGROUND 
Historically, medicine has been male dominated, whereas both nursing and medical laboratory technology/science have been female dominated, at least in Canada. That's been my experience in transfusion medicine but it has changed significantly over the years, especially in transfusion medicine.

TIDBITS Since I moved to Edmonton in Nov. 1977 to teach in University of Alberta's Medical Laboratory Science to the present, Oct. 2019 (42 years), top jobs have been held by men: Medical Directors of UAH's Dept. Lab Medicine and Chairs of the Dept. of Lab Med and Pathol (Faculty of Medicine and Dentistry, University of Alberta).

Individual UAH lab specialties have been held by women, including I am especially pleased to say the transfusion service, which is currently headed by one of my Med Lab Sci 'kids', who also holds higher regional positions. Across Canada, many female physicians hold significant transfusion medicine positions.  

Nurses vs physicians remains an ongoing saga and perhaps sometimes it's just about power, not gender. Suspect it gets more dicey when scope of practice is involved, which also adds pharmacists to the mix.

Canada's blood suppliers are a mixed bag. CBS had had a male CEO from the get-go, though many female physicians are CBS medical directors across Canada. Héma-Québec began with a female CEO. Parts of CBS are male top-heavy. 

Over the years I've seen female transfusion Drs. bullied by what I perceived as pompous male colleagues in rounds and at conferences. As the cliché goes, women must be way better than male colleagues to succeed. Is it still true?

FEMALE TRANSFUSION MEDICINE PHYSICIANS
Transfusion medicine is blessed with many exemplary female physicians in top positions. Some examples of ones I've known personally and met F2F (alphabetical order):

• Dr. Gwen Clarke (via Med Lab Sci, Alberta Health Services, CBS)
• Francine Décary (at conferences when CEO of Héma-Québec) 
• Dr. Judith Hannon (via CBS)
• Dr. Heather Hume (when at CBS she directed me & Kathy Chambers to create CBS's first educational site, now defunct)
• Dr. Debra Lane (as resident at Alberta Health Services, at conferences when CBS medical director in Winnipeg)
• Dr. Susan Nahirniak (via Med Lab Sci, Alberta Health Services)
• Dr. Lucinda Whitman (via CBS, National Advisory Committee on Blood and Blood Products [NAC])

Interesting that so many of these Canadian female transfusion medicine docs have held major positions (as above) and won awards. To name a few: 

• CSTM Ortho award recipients:
• 2002, Francine Décary (CEO of H-Q, ISBT President 2004-6)
• 2007, Heather Hume (Executive medical director, CBS)
• 2010, Susan Nahirniak (Chair of NAC)
• 2013, Debra Lane, Medical  Director of CBS's only joint transfusion service/ blood supplier in Canada)
• 2014, Lucinda Whitman (Chair of NAC)

Of course, Canada has many outstanding female transfusion medicine Drs. I've never met F2F but know via social media like Twitter or via e-mail. Ex:

• Dr. Jeannie Callum (who kindly contributed to CSTM blog on Ana Lima )
• Dr. Yulia Lin: CSTM Ortho award recipient, 2016; 2019 AABB President's Award, 'In recognition of her role as a master educator in the field of transfusion medicine, particularly through her contributions to the education of junior doctors through the Transfusion Camp program.'
• Dr. Elianna Saidenberg who died far too young on Oct. 20, 2019 (Further Reading) 

Special note on Elianna Saidenberg, Never met her except via her tweets, and she kindly liked many of mine.Thought she was a wonderful human being as I suspect did all who knew her up close or from afar. Clearly, Dr. Saidenberg made a difference in her all too short time on planet earth. Twitter remembers Elianna. 

So...what do you think? Does your country have many fabulous female transfusion medicine physicians as Canada does. Is gender an issue in transfusion medicine, whether related to physicians, nurses, medical laboratory technologists?

FOR FUN 
I've chosen Canadian Sarah McLachlan's song for this blog, one I've used before:

I will remember you 
will remember you, will you remember me? 
Don't let your life pass you by 
Weep not for the memories.

• I will remember you (Sara McLachlan)

As always, comments are most welcome and there are several below you may enjoy. 

FURTHER READING 
In Memoriam: Dr Elianna Saidenberg (21 Oct. 2019)

• ‘Acts of kindness to repair the world’: CBS remembers Dr. Elianna Saidenberg (22 Oct. 2019)

Blau G, Tatum D. Correlates of perceived gender discrimination for female versus male medical technologists. Sex roles 2000 Jul;43(1):105-18. | Related:

Blau G, Tatum DS, Ward-Cook K, Dobria L, McCoy K. Testing for time-based correlates of perceived gender discrimination. J Allied Health. 2005 Fall;34(3):130-7.

Shannon G, Jansen M, Williams K, Cáceres C, Motta A, Odhiambo A, et al. Gender equality in science, medicine, and global health: where are we at and why does it matter? Lancet. 2019 Feb 9; 393(10171):560-9.