Kerri Johannson MD MPH
@KerriBerriKerri
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7,221
Physician. Interstitial Lung Disease. Environmental Health. Feminism. Human Rights. She/Her. May All Beings Be Happy.
Calgary, Alberta
Joined July 2011
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Pinned Tweet
So you got major revisions - congratulations!
Below is a step-by-step guide to submitting a revised manuscript to a clinical journal
There are nuances but it's a relatively standard formula for most journals
I hope you find this 🧵 helpful!
#MedEd
#tweetorial
#MedTwitter
1/20
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BREAKING: Family of four goes nowhere for 2 years. Doesn’t get stuck in another country. Has no fights with airlines or travel agencies.
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Someone small & dear to me had acute appendicitis.
Emerg visit
Ultrasound
Bloodwork
IV Abx
Pain meds
Surgery + Anesthesia MDs
Surgical team care
Two nights in hospital
7 amazing nurses
My only bill is for parking.
This is universal healthcare. This is worth fighting for. 🇨🇦
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I stand in solidarity with the women of Texas. I will not travel to Texas for academic conferences, or contribute to its economy in any way until this misogynistic ruling is overturned.
Abortion is healthcare.
#BoycottTexas
#TexasAbortionLaw
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I'm a lung doctor now.
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Dear
@jkenney
@JasonCoppingAB
and
@CMOH_Alberta
The hospital is FULL of covid right now. Covid pneumonia, covid asthma, covid copd, covid heart failure, covid falls, covid delirium, covid blood clots, covid gumbo.
Letting it run wild was a bad plan.
#COVID19AB
#AbLeg
#abpoli
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When someone is hemorrhaging, you don’t run for more mops to clean the floor. You apply pressure and stop the bleeding.
Stop the
#COVID19AB
hemorrhage!
#FirebreakAB
#abpoli
#ableg
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If you paid Family Physicians 300k a year to care for 900 patients, without overhead, and valued their essential skills within the health care system, we wouldn’t have the primary care crisis we currently have
#abpoli
#ableg
#PrimaryCareMatters
@AdrianaLaGrange
@ABDanielleSmith
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This was not at all intended to be hurtful or to minimize the pain of those separated from loved ones by borders. I am sorry for those who have gone through this.
Merely a snarky comment, clearly felt by many, who have had to/chosen to stay put, while media highlights the few.
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Hey
@shandro
- remember yelling at me at a town hall in January? You’re an incompetent bully, unfit for office.
#shadyshandro
ya that’s mine
#ABdocs4patients
@AB_MD_WarRoom
Alberta health minister used confidential information to call protesting doctors
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I have been promoted to Clinical Associate Professor, Departments of Medicine & Community Health Sciences at the University of Calgary.
And I'm so damn proud.
#thanksmom
#firstgen
#WomenInMedicine
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When my 5 year old draws people, they always have lungs. Sometimes he colours the lungs black because 'the guy was smoking'.
#teachthemyoung
#NoSmokingDay2019
#RespIsBest
#SonofaPulmonologist
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Not as sexy as cancelled surgeries but FYI lung disease clinics all back to virtual. No bronchoscopies unless emergent (massive bleeding/airway block from cancer). Back to guessing whether patients are ok or not. This is substandard crisis care in Canada.
#COVID19AB
#FirebreakAB
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My 1st and likely only book chapter 🎉What an honour to contribute to this legendary textbook ☺️
#murrayandnadel
📖
#hypersensitivitypneumonitis
🦜
#howispentsummer2019
🧑💻
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@atscommunity
I attended ATS pregnant twice, both times as early career, and the opportunity to present my work and network was critical.
I would not attend in states that violate human rights and obstruct access to health care.
I will not attend ATS meetings in such states now either.
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In two breaths
@jkenney
empathizes how O&G workers might need to bond over drinks after work (oops!) to spread
#COVID19AB
while First Nations' 'vaccine hesitancy' is contributing to high numbers up North.
#headsmackemoji
#anotherdaymorealbertasatire
#Ableg
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Vaccine passports are an easy decision. It is difficult only for politicians who will lose their base of support while protecting the health of their citizens. Kudos to all
#alberta
journalists today! 👊
#theywereallgoodquestions
@shandro
#COVIDAB
#abpoli
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This is 🌟ESSENTIAL🌟 reading for all Pulmonary and Critical Care trainees and anyone interpreting chest imaging 🫁
New Fleischner Society Glossary of Terms for Thoracic Imaging in
@radiology_rsna
#OpenAccess
#MedEd
Kudos Dr. Alex Bankier & Team! 👏
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September is Pulmonary Fibrosis Month! 🫁
If you're wondering 'What is Pulmonary Fibrosis?' then this🧵is for you!
Target audience: general public
Objective: increase
#PF
awareness
#PFMonth
#CurePF
#CureIPF
@atscommunity
@EuroRespSoc
@accpchest
@CTS_SCT
@ALATIntersticio
1/15
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Gratitude to the teams at South Health Campus and Alberta Children’s Hospital for outstanding & compassionate care.
@CdnDrs4Medicare
@CanadianPM
@AHS_media
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MD Billings do not reflect overhead & staffing costs. MD billings provide jobs & support the economy. 17 years of post-secondary training w/ 150K student debt, no pension/benefits. And I help people, unlike
@shandro
#nothingtohide
#resignshandro
@Albertadoctors
#abdocs4patients
In tough economic times, it's even more important that Albertans know where their tax dollars are being spent.
Today, I directed my department to immediately begin consultations with the Alberta Medical Association on a sunshine list. 1/3
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Most reassuring factor throughout
#COVID19AB
is knowing that
@AHS_media
leadership is at the table, with patient care first and foremost. They are the reason we remain afloat. Thank you Dr. Yiu and the outstanding clinician-leaders of AHS.
#ThankYiu
#ThankYiu
#ThankYiu
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A beloved patient just passed. I was arranging an urgent CT for him yesterday, and his last words to me were ‘Thank you doctor, love you. Bye.’ and I said ‘You too.’ And I will cherish that forever. ❤️
#CureIPF
#thisblessedprofession
#gonenotforgotten
#shareyourlove
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They've privatized orthopaedic surgery in Alberta
We are heading down a very bad path
Step 1: Break the system
Step 2: Sell it for parts
#abpoli
#AbLeg
@albertaNDP
@CdnDrs4Medicare
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I am thrilled to share that I was chosen for absolutely nothing today but more thankless peer review, had a(nother) paper rejected, no grants submitted or funded, and nothing new for the CV.
And you know what?
Was a pretty good day ☺️
#KeepItReal
#MedTwitter
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Ever wondered what exactly IS combined pulmonary fibrosis and emphysema?
Have all your questions answered with The ATS/ERS/JRS/ALAT Task Force on CPFE!
Kudos to
@OrphaLung
for driving fwd this MONUMENTAL effort! 👏👏👏
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Sometimes at night I email myself my goals for tomorrow. But the weird part is I always sign my name to be polite.
#amitheweirdo
#AcademicChatter
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"Treatment of Fibrotic Interstitial Lung Disease: Current Approaches and Future Directions"
Thanks to co-authors
@NorthWestILDIPF
@drdayjee
& Dr. Paul Wolters &
@TheLancet
for highlighting
#ILD
in this series
Link for free d/load until Oct 26/21
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@RachelNotley
Only modification - these are cases THAT WE KNOW OF. With 12% test positivity, every known case could represent twice that many cases in the community. Considering testing delays, public reluctance for testing, mixed messaging from current failed leadership, not unlikely.
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Vaccinated. Thank you Science.
#COVID19
#VaccineSelfie
#middeagescrappyandhungry
#notthrowingawaymyshot
#meandRBG
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Updated
#IPF
and Progressive Pulmonary Fibrosis clinical practice guideline is out in
@ATSBlueEditor
!
Looking forward to lots of discussion on this collaborative effort from
@atscommunity
@EuroRespSoc
@ALATorax
JRS
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I’ve weathered the pandemic better than anticipated. Suspect it’s because I’ve always known 5-10% of the population are absolute morons.
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@WBrettWilson
@financialpost
You’re not very informed. Get an advanced degree in infectious disease epidemiology then start tweeting about this kind of information.
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Suggestion: If you invite someone to give a presentation on a certain date, but expect them to send the presentation slides 3-4 weeks in advance - INCLUDE THAT INFO IN YOUR INVITATION. Makes it easier to decline.
#worklifebalance
#medtwitter
#whofinishestalks3weeksearly
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It's here! It's here! Diagnosis of Hypersensitivity Pneumonitis in Adults: An Official ATS/JRS/ALAT Clinical Practice Guideline
@atscommunity
@ALATorax
#ILD
#CurePF
#AdvancesinILD
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This is HUGE!! 📣
Dr. Chad Newton at
#ICLAF2022
@cnewto
🚩 Use of MMF or AZA is associated with worse transplant-free survival in non-IPF fibrotic ILD patients with short telomeres. In a subset, these drugs may be causing harm 🚩
#PrimumNonNocere
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Imposter syndrome is equivalent to resiliency, where you’re told the problem is within you and is yours to address. The real problem is that no one in the room looks like you or shares your background or experiences. The problem is homogeneity and the syndrome is meritocracy.
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Best. ATS. Ever.
#ATS2022
Thank you
@atscommunity
for bringing
#ATSTogetherAgain
for science, learning, and friends.
See you in DC for
#ATS2023
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TRAIL1 preprint out! Summary 🧵 below
Phase 2 double-blind RCT of
#pirfenidone
vs placebo in patients with
#RAILD
Primary outcome=composite FVC decline >10% or death/52 weeks
Key secondary endpoints = change in abs and FVC%/52 weeks
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NEW Position Paper: HRCT phenotypes in Pulmonary
#Sarcoidosis
: a multinational Delphi consensus study
@LancetRespirMed
✅Consensus that distinct CT phenotypes exist
✅7 CT phenotypes fibrotic & non-fibrotic
Free download (for 50 days) with this link👇
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Free open-access link to a nice little primer on Occupational Interstitial Lung Diseases 🫁
Spagnolo et al. in
@JInternMed
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🌟 RECITAL TRIAL 🌟
Rituximab vs CYC in CTD-ILD
At 24 weeks both drugs improved FVC
Ritux not superior to CYC
FVC improvement sustained to week 48, and improved QoL
Fewer AEs wirh Ritux
RITUXIMAB is a viable alternative to CYC in advanced CTD-ILD
👏👏
@TobyMMaher
et al.
If you are attending
#ATS2022
then come and hear results from the RECITAL trial in the Clinical Trials in Chronic Lung Disease session in rooms 11 - 12 South Moscone building.
#scleroderma
#cureILD
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Friday shoutout to our stalwart and skilled
#Calgary
hospitalist MDs who have cared for the majority of hospitalized
#COVID19AB
patients in this city. 👏👏
#ABdocs4patients
@UCalgaryFamMed
@UCalgaryMed
@mistywatsonMD
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#ERS2023
off to strong start! 🫁
@IPFdoc
☎️ Mendelian Randomisation data showing direction of causality
IPF causes RA ✅
RA does not cause IPF ❌
@EuroRespSoc
@ers_ild
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What
#HRCT
features define UIP vs fHP and how do these align with MDD-diagnoses in
#ILD
?
Dr. Daniel Marinescu (rising ⭐️) et al. address this in
@journal_CHEST
using data from
@CARE_PF
Free access for next 50 days using link 👇
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And FYI to those who made mention, no one thinks that health care here is 'free'. Canada's health system is funded through taxation b/c a society should build capacity to care for its members, with equitable access and high quality care for all. And that is a worthy goal. 🙏
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TRAIL1 is published!
#openaccess
@LancetRespirMed
Pirfenidone to treat RA-ILD
A 🧵
Key Take-Aways:
📣Terminated early (slow recruitment/pandemic)
📣Didn't meet primary endpoint
📣Pirfenidone slowed FVC decline vs placebo
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There are 363 anesthesiologists in Alberta
Who will protect all these airways (& so much more!) during 23 hours/day private ORs?
@shandro
@jkenney
you just don't think things through
Let the experts do the hard thinking for you
#ABdocs4patients
#IAmAMA
#backtothetable
#ableg
Alberta in discussions re: large private orthopedic facility. Some thoughts...
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If people with co-morbidities are expendable, all of internal medicine would literally cease to exist.
We work to support and optimize the lives of our patients, preventing the preventable, co-morbidities and all. 💙
#COVID19AB
#MedTwitter
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This guy.
I laughed. I cried. I was inspired.
Brilliant Amberson lecture from
@KaminskiMed
on life lessons learned, motivations, and of course pulmonary fibrosis.
#ATS2022
@atscommunity
@YalePCCSM
#CurePF
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The Clinical Frailty Score is associated with risk of mortality and lung function decline in fibrotic ILD
👏Dr. Sabina Guler et al.
@CARE_PF
@journal_CHEST
Link to free d/load here👇
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Suddenly once again drowning in projects, papers, deadlines and talks. So I did what any sane person would do. Signed up for an adult tap class!
#womeninmedicine
#tapdancetakemeaway
#worklifebalance
#medtwitter
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🌟 Just out in
@ATSBlueEditor
🌟
@iain_INKLUDE
Residual lung abnormalities >10% of 🫁 found in up to 11% of adults requiring hospitalization for
#COVID19
Key risk factors: AbN CXR, DLCO<80%, severe disease
Potential health system implications are huge
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I cry for my patients who have
-died of
#COVID19AB
-lost jobs
-not seen children/grandchildren
-been afraid to grocery shop
-missed school
-died alone in hospital b/c of restrictions
Failure to control this pandemic has failed my patients
#PhysiciansDay
#abpoli
@shandro
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SO I BEG FOR FUNDING TO DO THE WORK THEN DO IT THEN OTHER PEOPLE REVIEW IT FOR FREE THEN I PAY TO PUBLISH IT IN A FOR-PROFIT JOURNAL WHERE NO ONE CAN READ IT UNLESS THEY PAY AND I DON’T EVEN OWN THE RIGHTS TO IT
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Good morning
@GoAHealth
@shandro
and
@jkenney
You need to clarify the statement below. You are telling us that physicians cannot bill for a consult or follow-up (ie. ALL PATIENT CARE) in a hospital.
Have you thought ANY of this through?
#patientsfirst
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Dear Sensible World,
The Alberta government just told their 4.5 million citizens that they do not need to isolate from others if they test positive for
#COVID19AB
We hope you will study this abject leadership failure for years to come.
Send help. And an election.
#AbLeg
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Paper just rejected.
10 yo suggests printing it off and handing it out around the neighborhood & at school since all that matters is that people read it.
Realized she’s describing pre-prints.
@biorxivpreprint
#AcademicChatter
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Flight attendant: Is there a doctor on the plane?
Me: Well, I’m pretty sub-specialized…
Flight attendant: The pilots can’t wean themselves off of prednisone even though there was no indication for it.
Me: *STANDS UP*
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On
#WorldLungDay
🫁 I ran the
#ATSLungRun2020
5K in honour of all my patients living with lung disease, and in memory of those we have lost. 💙
#CurePF
Thanks
@jhorowitzMD
for the inspiration!
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Audience taking photos of your slides during a talk 📸
is the academic equivalent of…
Audience snapping their fingers during your poetry slam 🫰
#AcademicChatter
#MedTwitter
❤️
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When charge nurse catches you sneaking arrowroots and ginger ale from the ward pantry.
#MedTwitter
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Trying to figure out who we’ll litigate if a 4, 5 or 6 year old falls asleep wearing an N95
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We were invited to a Xmas party. Vaccines encouraged, not required. No
#RATS
. Unknown number of people. We are not going. As much as my
@Anthropologie
dress needs weartime, not worth the risk. We can mitigate what happens Jan 2022; we create the outcome
#OmicronVariant
#COVID19AB
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I will remind
@jkenney
&
@shandro
that beds do not care for
#COVID19AB
patients. Highly trained
#ABdocs4patients
#nurses
@_AUPE_
staff (and more) care for hospitalized patients. The threat of system overwhelm is already here.
#AbLeg
Follow up with question from
@CBCRaffy
re "fundamental threat"
-Kenney says early in pandemic 2400 hosp beds set aside for worst case scenario and 650 icu beds
-says we are not near that now with 225 in hosp (w/51 icu)
-says these are small numbers compared to that capacity
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Everything you want to know (and more!) about...
📢Home Monitoring in Interstitial Lung Diseases
@LancetRespirMed
#ILD
#CurePF
#CureIPF
Link to free d/load 👇👇👇
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@DGlaucomflecken
I once assumed my attending was buying dinner since it was 8pm and we were still reviewing consults. He bought his dinner and walked away, leaving me at the till with no money/credit card. The cashier let me go without paying, since we were both awkwardly mortified.
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Supporters of publicly funded health care and education showed up in
#yyc
today! We need to get
#backtothetable
for
#patientcentred
agreements with
@Alberta_UCP
@shandro
@jkenney
#shandrolegacy
#ABdocs4patients
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Speaking of ACTIONABLE determinants of health
👉66% of people in high income countries are fully vaccinated
👉2.5% of people in low income countries are fully vaccinated
Global vaccine access and equity is the only way for this to end
#COVID19
#VaccineEquity
VAX THE WORLD!
is our wish/plea on
#Thanksgiving
day
Read our editorial in
@ScienceMagazine
by
@yodifiji
and me
Grateful to Lisa Chong,
@hholdenthorp
&
@MeaganPhelan
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