00:00:00.000class is in session hey everybody and welcome to unlearn 16 class is in session um today i want to
00:00:11.840talk about a little bit of an extension of a tick tock that i just did uh surrounding ontario and
00:00:18.720probably canada at the very least if not the united states health care industry um first and
00:00:27.000foremost, I grew up in hospitals. Why? Because my mom was a nurse. And I took my first steps to my
00:00:34.420mom's, you know, head nurse, Mrs. Lachez. And I'm very comfortable in hospitals. I feel very safe
00:00:44.060there. I feel I've always felt as though I know where to go to get help. I've always thought that
00:00:51.820It's a place where you go and people know what they're supposed to know, give what they need to give, and it's this beautiful sort of symbiotic place of intelligence, of empathy, of caring, and of, obviously, health.
00:01:08.620Now, over COVID, as many of you know, my mom got sick.
00:01:14.180So my mom, we found out, or she found out that she had bladder cancer.
00:01:18.740and when we found that out i mean it just threw us into a bit of a tailspin so we found out
00:01:26.960oh i don't know in october of 2020 so right before covid 2019 right before covid covid
00:01:40.180happened in that march and we found out and she had to go through a line of
00:01:45.460chemo and then she had to get her bladder removed and a hysterectomy
00:01:52.420and all of that was freaking terrifying okay and during covid i couldn't go in
00:02:01.020so and i understand before people are like oh it was so horrible listen
00:02:05.940covid was a horrible horrible time in which people were terrified hospitals were doing
00:02:14.180their best to mitigate the health of their patients. And my mom had to go in there without
00:02:19.820me. So I couldn't go there and spend time with her. When she had this surgery, she stayed there
00:02:24.580until she eventually came out and then she had to go back in. But I couldn't be there. One time I
00:02:31.120was allowed to go in, I think, and I could take her a little bit of food. I was only allowed to
00:02:35.980a limited time, and then I left. And my mom, this was the point that I started seeing
00:02:44.220serious cracks in our healthcare system. It's not to say that they didn't exist before,
00:02:51.220guys. My mom was a nurse for almost 50 years. She was the head of the union at St. Mike's
00:02:58.360hospital. She saw the gradual deterioration of healthcare in Ontario. She wasn't there when
00:03:08.780Doug Ford got into power in Ontario. She wasn't there for this right-wing kind of shift.
00:03:14.880But she lived through Mike Harris. And for anybody who knows Mike Harris,
00:03:18.620his nickname was Mike the Knife in Ontario. He cut social programs and amalgamated hospitals
00:03:23.680And really, in my opinion, started this trend and this train of gutting the public health care system, crippling it so that they could sell the need and the essential reality of private health care coming in, swooping in and saving us all.
00:03:49.260I think it was always very much a plan.
00:03:51.540I think health care is incredibly expensive. I think the way that we do it in North America and the West is ridiculous. We are all about reactive health care. We spend next to no money on preventative health care, preventative regulation or any of those.0.97
00:04:09.940it's all extra money that you have to pay in order to get your health on track. Even in high
00:04:16.480schools, I see it all the time where you take grade nine phys ed and that's it. You never have
00:04:21.680to take it again. You never have to be educated or aware or trained about what your health looks
00:04:29.060like, what food health looks like, what bodily health looks like. It all gets chucked out the
00:04:34.060window because it's not as important as learning Shakespeare. Not that Shakespeare is not important.
00:04:38.500i'm just saying we probably should have a balance but it was during covid that i started seeing
00:04:43.940cracks because it was my experience that's it that's it people are like it's fine it was fine
00:04:51.140until no no you just weren't in it and if you were in it that slowed gradual deterioration
00:04:58.180just felt like a heavier heavier weight you couldn't necessarily point to it and go that
00:05:02.980That was the moment. I don't think there was a moment. I think it's kind of like, you know,
00:05:09.860the frog in cold water and you just gradually turn up the temperature and he never knows enough
00:05:15.920to get the hell out of the pot before he's boiled. I feel like that's our healthcare and our
00:05:22.140education system. But today I'm just going to talk about healthcare. So my mom came back after
00:05:27.960having you got to remember like she's in her mid-70s she had her bladder out she had her
00:05:34.840a hysterectomy and she was in there not even for a week less than a week and they're like you're
00:05:42.840fine go home and we went and got her and brought her home and my uncle ray and i were were taking
00:05:49.160care of her anna was here too like but i remember ray my grandma was there ray and i she couldn't
00:05:55.640get up she was in so much pain she was still bleeding there was a moment ray and i were
00:06:00.520trying to help her up and i looked at ray and i've never been so scared in my entire life because i
00:06:06.600thought this i can't i can't do this right i took time ray took time but i can't do this 24 7 and
00:06:15.400if they think she was healthy enough to leave the hospital is this where like i had no idea
00:06:22.120where she was at. And within two days, we had to take her back down to the hospital. And we had0.99
00:06:27.580this beautiful guy who was an EMT, accidentally kind of, I drove my mom, and again, I can't go
00:06:34.440in, right? I drove my mom and I needed to get her from the car and to emerge so she could get
00:06:38.100readmitted. And this EMT came out and he helped her. And I'll never forget this as long as I live,
00:06:47.020because you got to know my mom at this point, who's been a nurse forever, it feels so horrible
00:06:53.180and so ignored by our healthcare system when she was in there. And she felt that they pushed her
00:06:58.980out way too early and they didn't give her the care that she needed. And she was like, just
00:07:05.180demoralized. This place where she put her whole life, she now couldn't even get enough care for
00:07:14.020them to recognize whether or not she was healthy enough to go home and they didn't listen to her
00:07:18.300and all of these things. And so she was outside of being sick and outside of going through all
00:07:25.200of this stuff and knowing that, you know, the cancer could have spread and we still need to
00:07:29.820deal with that. She just felt like there was nowhere she could get actually actual help. And
00:07:36.600as I was trying to get her out of the seat in the car, I couldn't do it. I wasn't strong. Like
00:07:41.340I couldn't lift her. I couldn't. And I had to figure it was just me. And this EMT came up to
00:07:46.880her and I'll never forget. He knelt beside the car. He got real low and he looked in her eyes
00:07:53.020because he knew that she was in a lot of pain. And he also must have known she was scared and
00:07:58.220must have known that she was, that she just didn't trust it. And he looked in her eyes
00:08:04.480and he said, Angela, we are going to do this as fast or slowly as you want to do it.
00:08:13.440I am going to make sure you get to exactly where you want to go and where you need to go in this
00:08:18.940hospital. I am going to make sure you get the care. I am going to make sure that people take
00:08:25.340everything seriously in this hospital, I will stay with you. And my mom started to tear.
00:08:35.700Not because, just because there was this person who took a minute and recognized her physical
00:08:45.060ailments, the physicality of being sick is one thing.
00:08:51.140but equally important if not in my opinion more important
00:08:57.320was what her heart and her head were at in that very moment and the soft skills he used because
00:09:07.780I'm going to differentiate between two things right in the medical world there's hard skills
00:09:11.460and soft skills hard skills where you're like doing the stuff medication IVs turning patients
00:09:15.960making them walk right getting them on a plan hard skills and soft skills are those where
00:09:23.320you talk to patients you explain you educate you connect you show empathy you show care
00:09:32.280you make them or you help them trust you to go through this journey and i don't think until
00:09:39.480that very moment she'd experienced any soft skills and there's a reason for that i am not in any i
00:09:47.240need you guys to understand i'm not blaming at all the nursing profession or in any way shape or form
00:09:55.480because there's a reason that they're not they're not engaging with these as much
00:10:02.520so right then i felt a little bit safer and she goes back in the back into the hospital and they
00:10:06.760realize she picked up, as you do in some surgical floor, she picked up a stomach bug that was pretty
00:10:14.060bad, actually. C. diff can make you feel really sick for a very long time. And at that point,
00:10:22.380she went back onto the floor in the hospital in which she was staying. And she said, I'm going
00:10:30.040to stay here. That's it. I'm staying here. I'm going to stay here until I feel good enough to go
00:10:35.520home well not too long after that they wanted to discharge her again and I got angry because my
00:10:44.200mom said she wasn't my mom's like I'm not ready I can't stand up on my own I can't do this I can't
00:10:49.100do that I don't understand and what we realized very soon after that was number one hospitals
00:10:58.180have like a time associated you have surgery a you're out by the x amount of days and they have
00:11:04.760to follow it because their job is to follow it. Otherwise they don't get proper funding or blah,
00:11:09.500blah, blah. Right. Or they reduce funding that they need to use for many other situations. And
00:11:16.840my mom at that point said she, she wasn't leaving. And so I said, okay, you know,
00:11:23.840they want to discharge you, but you're not capable. Okay. Talk to the nurse in charge,
00:11:28.860the manager on the floor. She talked to the manager and the manager said, well,
00:11:33.360you're gonna have to leave here and I said to the manager because now now I'm involved I said1.00
00:11:38.880you're gonna have to drag her out you're gonna have to drag her out to another floor she says1.00
00:11:45.920she's not healthy she says she's not capable she is afraid and you want her out of this hospital
00:11:52.320yet she can't even stay she can't take care of herself in any way shape or form yet and I said
00:12:00.160go ahead. I go, but understand that I am going to publicize everything I can possibly publicize
00:12:08.600about this because you're ignoring those basic needs, right? And as I'm fighting with this
00:12:15.100manager, I realize, you know, one of the lovely little caveats into how healthcare has been
00:12:23.340changed is that a manager on a floor is a business manager not necessarily a nursing manager and
00:12:32.540those are two very very very different people right her job was to make sure you have x amount
00:12:39.740of money it's going to go here if you can't handle it then and this is what she said to me well then
00:12:44.940she's going to have to go to a rehab facility i said okay how do we do that my mom said well i'm
00:12:48.780I'm going to go there. And she tried to contact the rehab facility. The rehab facility, get this,0.97
00:12:54.660the rehab facility came in and assessed my mom. And the rehab facility said, she's not ready yet.
00:13:05.520i'm sorry so our health care system is pushing patients out to go back home
00:13:16.160without care without without medical staff without help
00:13:21.440push them back home so their families can try to take care of and by the way i don't have the
00:13:27.020skill set to do that i also have a full-time job um and you're ready on day three to do that but
00:13:34.760you're not ready to go to rehab because rehab says you're still too sick to do rehab what so
00:13:41.460at that moment my mom and i said fine you're going to rehab she was never going to rehab
00:13:45.120my mom was never going to go to rehab i said mom when you're ready for rehab you can come home0.70
00:13:50.020because we'll handle it you tell them you're going to rehab this is kind of bullcrap lies that you
00:13:56.320have to so she said to them okay i'll wait for a bed in rehab i'll wait till i'm healthy enough
00:14:01.720So she was there almost twice as long because she wasn't ready for rehab until a certain point.0.85
00:14:11.260And as soon as they said, as soon as rehab said, she's okay for rehab, we can take her to a rehab facility.0.99
00:14:15.680I called the manager and I said, don't worry, I'm going to bring her home.
00:14:19.160I hope she got the tone of my voice.0.97
00:14:24.200Um, and she had, listen, there was some amazing people along the way, but my mom never once felt
00:14:36.040safe, never once felt educated, never once felt that somebody was trying to make her understand
00:14:44.480and have serious conversations where she could trust them. All of that was broken, shattered
00:14:50.680into thousands of pieces. And those soft skills just didn't exist. And the reason those soft
00:14:59.300skills don't exist is because we have allowed the government, different governments at different
00:15:05.140times, to slowly gut the system to the point where nurses are expected to have more patients1.00
00:15:14.780perform hard skills to the detriment, to the negation of all of the sit down, discuss,
00:15:23.720have a conversation, make sure they trust you, make sure they understand it, make sure they
00:15:27.640understand the doctor's orders, make sure they understand their illness. It's all freaking gone.
00:15:34.620And the problem during COVID, the big problem during COVID was that somebody who is ill,
00:15:41.140I don't know, you guys are listening, how many times you had to go to the doctor where you're really scared and you're really sick.
00:15:48.400Your brain doesn't sit down and understand and process everything that's being spewed, even if you understand the medical language that they're speaking to you in.
00:16:00.080My mom was a nurse for almost 50 years.
00:16:01.900She understood the medical language, but she still didn't have the capacity to put it all
00:16:09.040together, to understand, to have a list of questions, to really, because it's all on
00:16:13.520her at that point, because there was no other person allowed in the room because of COVID