Carrie Kollias MD FRCSC FRACS
@carrie_kollias
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Bringer of soap & water. Fixer of limbs. 🇨🇦 🇦🇺🍁 🦘 Paediatric Orthopaedic Surgeon, mum, wife, award-winning kids author, persistent leader
Joined July 2017
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Unpopular opinion in medicine/surgery: when selecting future trainees and colleagues, if you want to know who the non-pathological candidates are, just ask the secretaries.
Yeah, they know.
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My FIL is dying of glioblastoma in hospice. My sister went for a visit and brought him this giant stuffed bunny. He hugged it and hugged it.
Because none of us are ever too old or too sick to hug a stuffed bunny.
#unexpectedBlessings
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An amazing thing just happened in Australia. Women, disturbed by the political loyalties required to survive in a 2-party federal system, ran as independents and now have the balance of power (minority government elected). Many of them are doctors. 💥 Canada, take note.
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This is what seeing ur surgeonmom for 2min looks like
@justintrudeau
- while working 72h call shift AFTER 60h workweek. Spot the loopholes?
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So let’s be clear. In the past 36 hours
@JustinTrudeau
has infuriated:
1. Canadian Veterans
2. Indigenous Canadians
3. Greek Canadians
4. Italian Canadians
5. Oil workers
6. Environmentalists
....
Town halls not working out so well. Your boy is looking tired,
@gmbutts
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People rolled the dice and gambled with the lives and goodwill of healthcare workers. There is a price to be paid for moral injury inflicted on them. Eventually the altruism runs out and they hit the wall.
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Sent my male orthopaedic registrar home at 8am to take care of his ill child:
1. there are few things that make us doctors more bitter than being stuck at work taking care of patients when our own family is sick.
2. Sick kids are a dad’s responsibility too!
#FacesofOrthopaedics
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Patient: U look pretty young to be a surgeon
Me: If 13 years training and 5+ years of practice is too “young” I can try and find an 85 year-old surgeon to fix your femur
Patient: I’ll take you then
#ilooklikeasurgeon
😜
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Please keep your children off of 🏍 motorbikes in 2021. They do not have the insight or motor control for these machines.
sincerely,
every orthopaedic and neurosurgeon
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My daughter’s school has a case of pertussis, a disease that kills babies. This should not be happening in 2017 in 🇨🇦. Vaccinate your kids - for the sake of the rest.
#isupporttheherd
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My husband stood in line for 4 hours in Melbourne today and managed to snag a Pfizer vaccine so we are having a cake to celebrate.
#yayScience
#melbournelockdown
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As a surgeon, I used to think that if you were a gravely ill patient in 🇨🇦, you would receive outstanding care.
After working 5 yrs overseas and then returning temporarily to work in 🇨🇦, this is sadly no longer my view
Even more distressing is that 🇨🇦 thinks this is normal.
Should patients whose care is being delayed also start demanding urgent care elsewhere?
We've had an amazing h/c system, one that many of us have been proud of.
But if this over capacity situation continues for weeks/month then something has to give. /end
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@CNN
My 5 year old daughter just watched this video of
@JeffFlake
.
“Mommy why is that man hanging his head?”
Me: “Because that is what someone looks like when they have the power to do the right thing but choose not to do it”
#historywillNotbeKind
#outOfthemouthsOfChildren
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Do you know what is even more terrifying than angry healthcare workers fighting for a better system?
Ones that don’t care anymore.
Think about that before you label people as “difficult”.
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PM
@JustinTrudeau
to 🇨🇦veteran who lost his leg in Afghanistan then suffered disparities and unfair treatment by Veterans Affairs:
“Canada is doing as much for veterans as it can.”
Meanwhile the feds spend 8.1 million $ for a temporary cracked ice rink on Parliament Hill.
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Check out my 'loopholes' at 117am
@Bill_Morneau
. Operating 19hrs straight taking care of 🇨🇦ians...
#TaxFairness
=not fair
@CDNMinHealth
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I am a 🚺 surgeon in a male-dominated specialty. I routinely buy my trainees (often 🚹) lunch and dinner when working and we talk about life and practice management. Nobody gets sexually harassed and everyone is ok. It’s not that complicated.
A new study from
@LeanInOrg
found 60% of male managers say they’re uncomfortable interacting with women at work, up 32% from 2018. Workplace interactions that men are nervous about include mentoring, socializing, and having 1-on-1 meetings.
Facebook's Sheryl Sandberg joins us.
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Today a brave medical student tried to insert an IV and almost fainted. He looked destroyed 😔
So I told him about the time in early med school when I fainted + pissed my pants while watching a knee aspiration - and was nicknamed “syncopeE” 😜
I became an orthopaedic surgeon
"One day you will tell your story of how you've overcome what you're going through now, and it will become part of someone else's survival guide" Brene Brown.
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This medal-wearing veteran who lost his leg in Afghanistan said he was prepared to get killed in action but what he was not prepared for was Canada turning its back on him. Mentioned Omar Khadhr payout.
@JustinTrudeau
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I am seeing stats in Alberta with 86% of new cases having no known source. Once you have overwhelmed contact tracing capabilities, the horse has bolted from the barn. To pretend that a different end awaits Alberta is naive and dangerous.
@JenLeeCBC
At our peak in Melbourne we had over 650 inpatients. Note this happened 5 weeks AFTER strict lockdown started. I can’t imagine what it would have been like with the pre-existing contact tracing systems if we hadn’t locked down. 3500+ healthcare workers were infected.
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Today I won a 6 month long battle to get a theatre locker for our FEMALE orthopaedic registrars. Trust me people, if you can get someone a locker in the female theatre change room, you can do anything. Power to the ladies!
#weAreAllOrtho
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Yesterday an Infectious Disease consultant emailed me to sincerely tell me he enjoyed the high quality of my weekend ortho consultant ward round notes.
Damn it, that email is getting framed and put in the Orthopaedic Hall of Fame.
#iLooklikeasurgeon
but
#writelikeanInternist
🤣
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Late night hip fracture surgery:
My 3 yr old son: Mommy I don’t want you to go to work.
Me: I have to go fix someone’s grandma. She has an owie in her hip
My son: Ok. Go fix her up!
Kids understand it is important to fix owies quickly, so why don’t politicians?
#CanadaWaits
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This cardiologist was systematically taken down by powerful men, who even lied under oath. She sued 10 years later to clear her name and got the largest award for damages to reputation in 🇨🇦 history. Time for an ombudsman in Canadian healthcare.
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AB has 1300+ new cases. We locked down in Melbourne (pop 4.9 mill) once we went over 100 cases/day but new daily cases didn’t peak until 4 wks later (750). Hospital inpatients didn’t peak until 5 wks later (652 patients).
Where is the stewardship of Alberta healthcare? 🏥
Another new high for Alberta COVID-19 cases today — 1,336 reported In last 24 hours:
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I have spent 12 years apologizing to 🇨🇦 patients/families for delays in getting their urgent surgeries. Trust me, we surgeons are just as frustrated.
Today, as a family member: I wait.
Tomorrow, as a treating surgeon: I wait.
#CanadaWaits
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A surgeon from my old hospital died in his 60’s from cancer this week. He gave decades of his life to serve the community. I can’t stop thinking about the toll of all those sleepless nights.
The hospital put the flags at half mast today in his honour. ❤️
#humanityinMedicine
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Repeat after me:
In 2020 when your colleague or trainee comes to you and says they are burning out, the correct response is not:
“suck it up, I did it for years”
Consider a more supportive approach.
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Do you know what is not a dumb joke
@justintrudeau
?
The hundreds of thousands of Canadians waiting for:
1. A hospital bed
2. Cancer surgery
3. Shoulder surgery so they can work
4. Hip and knee replacements
5. Cataract removal
#CanadaWaits
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We always knew Alberta Health and AHS had data problems but who knew it was this bad?
If I saw 13 patients per day when I worked In AB then my 12 month wait list for orthopaedic consultation would have been 4 years.
Who is running this twitter account??
Most family physicians see only an average of 22 patients per day. Specialists see on average 13 patients per day. We propose capping the number of patients a doctor sees in their office to ensure quality care. This mirrors what already happens in BC.
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My son has declared that he wants me to get a “different job than bones” because then he wouldn’t be deprived of a backyard trampoline.
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Now double vaccinated against COVID with Astrazeneca vaccine. Took the vaccine available to me. Looking forward to some clear goal posts for 🇦🇺 border opening,
@ScottMorrisonMP
@GregHuntMP
Signed, every expat healthcare worker serving the patients of Australia.
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Ok surgeons, what are your top tips for teaching timid, competent, trainees to shift to assertiveness in the operating room?
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Check in on your Emerg and ICU healthcare worker friends in Melbourne, folks. Drop off a meal; send them some love. They are really not ok right now.
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Remember that time when the Minister of Health
@shandro
ripped up the contract with doctors, took a wrecking ball to AB healthcare, and then started lecturing doctors who were advocating for patient care?
Yeah, that’s now.
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Hey
@JustinTrudeau
u officially broke the federal ethics act & got caught. Message from Canadian docs that you vilified in the House of Commons a few months ago: the only ‘loophole’ we see is a PM and ministers who live by a different set of rules.
This is what seeing ur surgeonmom for 2min looks like
@justintrudeau
- while working 72h call shift AFTER 60h workweek. Spot the loopholes?
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Sorry, but in December 2023, short staffing in 🇨🇦 healthcare should not be accepted as the current reality and inevitable future.
This cannot be accepted as normal.
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Here it comes. Let’s get it over with. Thank you, to the non-apologetic, incompetent, federal Australia 🇦🇺 political class. No doubt they are all Pfizered.
#letThemEatCake
#melbournelockdown
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Just in case the Vic opening up couldn’t get any better, a kid in my kid’s class has tested positive for COVID and now I am trying to figure out how to take care of 33 patients on Monday. 🤦🏻♀️
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We had a request today at
@RCHMelbourne
from a very special patient for a matching bear cast after surgery. Pictures shared with permission!
#Orthoteamwork
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@anitajkumarMD
@JetBlue
You are a patient on a
@JetBlue
flight who is non-responsive with no blood pressure. Who would you want taking care of you?
A. Female Internal Medicine Specialist
B. Male Radiologist
C. A flight attendant
The answer is A. Not B.
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When they start censoring the chief medical officer in a pandemic, this will not end well for you, Alberta.
This will not end well with you.
UCP members block Dr. Hinshaw from addressing special committee for second time | Edmonton Journal
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My 8 year old to her teacher today:
“the reason I eat my lunch so fast is that my mother is a surgeon”
Apparently I have not set the best example...
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Just heard about another orthopaedic surgeon suicide - reportedly someone that his colleagues depended on in tough times, yet he showed no warning signs. I cannot imagine something more professionally devastating than to lose a trainee or colleague to suicide.
#weAreallOrtho
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If your kid’s surgery is delayed because the health system is stretched and elective operating time is cut, don’t get angry at my team. You can re-direct your anger to a delayed 🇦🇺 federal vaxx rollout and to the people stomping up and down for their personal right to get COVID.
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So the govt of AB spends tax dollars advertising on google how to “reduce doctor burnout”
Meanwhile
@shandro
causing moral injury by the day to AB docs.
As an MD burnout researcher, can I say that it is clear that the kids running the show have zero understanding of
#MDburnout
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Another reason to hug anesthesiology. ❤️
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I got introduced today by a medical specialist as one of the “thinking orthopaedic surgeons”. 🤣
I think I deserve a badge.
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Yesterday I gave an academic talk on burnout and distress in orthopaedic surgeons.
Someone who missed the introduction asked me afterwards if I was a psychiatrist.
Busting the orthopaedic stereotype 💪🏽
#ohyeah
#weAreAllOrtho
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I am seeing heated discussions on social media feeds from well-meaning people re personal rights when it comes to vaccination.
I will be lining up to get vaccinated, because getting vaccinated means loving my neighbour, an act of care for the vulnerable.
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Today from a colleague in Melbourne - between staff furloughs/burnout/empty positions: “today’s reality is the same amount of work, using half the healthcare workers”.
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Many questions coming my way from docs about
#advocacy
: when to speak up? how to pick your hill to die on?
In Medicine the status quo is programmed into us from the beginning: abide by the hierarchy, keep your head down
That culture doesn’t lead to system transformation 1/
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'Cause if I was a man
Then I'd be the man
I'd be the man
I'd be the man
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Saw my GP today in Melbourne. She has had 5 family members die of COVID overseas
This week, a Vic healthcare worker asked her for vaccine exemption with no justifiable medical reason. You can imagine how well that went down…
And people wonder why doctors are grumpy these days
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@JustinTrudeau
Forget
#taxunfairness
- this goes beyond that. I want Canadians to see the personal sacrifice of 🇨🇦docs to serve; we have hidden this too long
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Hey
@shandro
if u can use your ministerial powers to look up docs’ private contact info and call them on their ☎️ at night, is it cool if the rest of my colleagues back in AB look u up on NetCare and give you a call on your home line?
No, not cool.
See how ridiculous this is?
Shandro called physicians after hours on personal, unlisted cellphone numbers
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Elective surgical bookings admin had the most rude phone encounter from a parent in over 20 years. It is not business as usual in Melbourne hospitals. The surgical backlog was a problem before, then a pandemic hit. Stop yelling at people in healthcare. Call the politicians.
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Strange things in orthopaedics: when you come outside at 11pm after operating 14 hours straight and it is still 30 degrees CELSIUS and you still have to bike home. 🥵 🥵
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Wrong title
@calgarysun
“Noose hung on door at Grande Prairie hospital directed at Black male DOCTOR prompts investigation.”
Please fix.
Noose hung on door at Grande Prairie hospital directed at Black man prompts investigation
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As a surgeon, your curiosity coupled with a farmer’s work ethic will get your patients a lot further than your book smarts and your multiple publications.
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@lilahfran
@WomenSurgeons
@physicianwomen
@UofAZSurgery
The idea and expectation that surgeons (male and female) have no time for their families or to be a parent is literally burning out our profession. Yes, surgery gives us women some really bad hair days but we can still be parents!
#BetheChangeUwant2see
#ILookLikeASurgeon
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It’s that time of year again in Australia. New trainees joining the team
@RCHMelbourne
Early impressions matter, especially in 2023.
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Today on mom’s day I think of those touched by infertility, loss of a child, who have complex relationships with their own mom, those abandoned. Also thinking of those who are a mom with kids far from them. U R still amazing. Let the unhelpful thoughts roll off your backs today💪
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As a surgeon, I am at that point in the pandemic recovery process where I am thanking nurses for actually showing up for work.
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Three female orthopaedic surgeons.
Yes, we definitely deserve this.
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My colleague in central Alberta says Orthopaedic surgeons have been asked by medical leadership to volunteer for ICU…it’s like a re-run of UK ortho teams in 2020 for proning patients, but in a vaccine era.
Let’s just hope they don’t have to spin those ventilator-dial-thingys
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Happening in Alberta as of April 1: Docs on fee for service (with no pension and no benefits) - taking a pay cut on every patient they see in hospital, in the middle of COVID-19.
You can’t make this stuff up.
@shandro
@JasonNixonAB
@jkenney
My dad’s an ER doctor. He just got off of a conference call. His hospital is cutting his salary - and everyone else’s that works on the front lines - because they’re losing money from non-COVID patients.
Cutting medical personnels’ salaries right now. I mean... what the fuck?
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Anyone who thinks the sheer volume of operating room garbage we make isn’t a big deal hasn’t ever searched through the day’s garbage from 14 operating rooms looking for a patient’s lost stuffed animal 🧸 🥴.
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Sometimes things come full circle and you remember your “why”. Last week I had a ortho trainee tell me that I sent them a text at the end of an elective 5ish years ago, saying that they would make a great surgeon and to not let anyone grind them down in the coming years 1/4
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38$ compensation for a Family Doctor visit is not a viable business model. Their operating costs are 40-50%+ of billings.
Do you know what is even more expensive? No Family Doctor. It may cost you your life.
Family and rural docs love what they do, but “it’s no longer viable.” Thanks Dr. Savoia for sharing your experience in crisis. Government committed a downpayment. We also need other supports so lights are on until a new model is ready.
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As a physician involved in this process since 2017, the responses of health authorities to this noose in Alberta remains the biggest disappointment of my 20-year career in Medicine to date. 1/
Surgeon handed four-month suspension for noose incident at Alberta hospital. Panel heard testimony noose tied by white doctor targeted Black doctor at Grande Prairie hospital, by
@charlesrusnell
@jennierussell_
via
@cbcnews
@DennisKendell
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@DrRFernandez
Or a 72 hour shift ....remember the docs like me
@JustinTrudeau
? Maybe after the self-inflicted all-nighter last night, u and ur caucus are feeling a little more sorry today for all those sleepless doctors you vilified last fall.
@MichelleRempel
This is what seeing ur surgeonmom for 2min looks like
@justintrudeau
- while working 72h call shift AFTER 60h workweek. Spot the loopholes?
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I have lost track of how many phone and zoom calls I have taken from unknown distressed doctors telling me about their experiences of terrible injustices experienced within the profession. There’s always a pattern: 1/
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@shandro
@CIHI_ICIS
Speaking of docs per 1,000 population:
Top performing healthcare systems in the OECD:
New Zealand 3.6
UK 2.8
Australia 3.7
Germany 4.2
Low performer:
🇨🇦 2.6
World average 1.6
Meanwhile someone thinks there are too many docs in AB at 2.0/1000? Huh?
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This is what happy surgeons look like when they can conference in real life.
#RACS21
@DrEricLevi
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Clearly u have never seen a 36-week pregnant orthopaedic surgeon nail an adult male femur. We get it done
We need more females and under-represented minorities in orthopaedics because the current surgeon distribution does not resemble the population of patients we serve.
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Surgeons: some of you have some serious PTSD from your training, even 20 years on. I heard about it this week. Some of you have shoved it down so far and have never dealt with it. It is a festering scar, and it affects you, whether you admit it or not.
Time to change your story
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Advice to those ‘kids’ who want to be doctors: grow your critical thinking and writing skills. The pen is a sword against the inefficiencies and injustices in our healthcare systems. 📝 📚 🗡
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My daughter got an invitation to a birthday party at a trampoline park.😳
Trampolines are limb destroying machines.
Disclaimer: I HATE trampolines
What to do?
#orthopodParentingDilemma
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Privilege, you see, is one of the great adversaries of the imagination; it spreads a thick layer of adipose tissue over our sensitivity.
-Chinua Achebe
To the leaders of
@AHS_media
and
@CPSA_CA
who stood by with inaction for years, you are complicit.
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Talked to an old friend today whose 11 year old kid spent 6 years waiting to see Peds ENT in Vancouver. Severe chronic sleep apnea from massive tonsils / adenoids potentially cause in epilepsy. Now waiting 6 months for surg. Access to a waitlist is not access to healthcare. 1/2
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Can I just say that attending a kid birthday party at an inflatables park is pretty orthopaedic surgeon torture?
#mySurgeonLife
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Fortunately, I remembered what hat to wear today thanks to
@DrEricLevi
It’s already
#MayTheFourth
here in Australia 🇦🇺
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@Bill_Morneau
My vision for Canada is leaders who actually ANSWER questions asked of them, rather than continuously insulting Canadians by avoidance.
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I am so thankful to the interventional cardiologists and hospital team in St. John, New Brunswick who are still working their tails off this Christmas Eve, putting cardiac stents in my dad and many other patients instead of being home with their families.
@nb_docs
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You know you have had to fix too many Aussie motorbike femur fracture kids during COVID when the new femur fractures come in asking for the “female Canadian surgeon” 🤦🏻♀️
#lockdown
Aussie style
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On this very first Canadian Woman Physicians' Day, I would like to recognize my badass friend, who today spontaneously put up a framed picture series of local female physicians in the doctors lounge - on the wall previously occupied by male docs since the 1990s 🤣
#update
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Too bad you didn’t see me at 36 weeks pregnant with a large hammer - nailing a broken femur on a 120kg man when I had to fill in for an unwell colleague
@DrEricLevi
🤣...
#notSoElegant
The Art of Medicine is the art of connecting with people and deciphering diseases.
The Art of Surgery is the artistry of graceful motion for the purpose of restoration and augmentation of health.
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So apparently medical and surgical residents in Victoria 🇦🇺 (not on training programs) are dictated when they will take annual leave and they can’t request edu course leave or any other specifically timed annual leave.
Can someone tell me how this is acceptable in 2022?
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From
@TheIHI
“Joy in Work Whitepaper”- 3 important questions in healthcare:
1. Am I treated with dignity and respect by everyone?
2. Do I have what I need so I can make a contribution that gives meaning to my life?
3. Am I recognized and thanked for what I do?
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A reminder to Alberta: our hospital peak in Melbourne (650 inpatients) did not come until 4-5 weeks AFTER we locked down (once we went over 100 new cases per day). Alberta has 1105 new cases today, and with a much higher test positivity rate.
Today's
#COVID19AB
update:
New cases: 1,105
In hospital: 284
In ICU: 61
Sadly, 8 new deaths are being reported, including a man in his 30s from the Edmonton Zone.
No data available on the number of tests done
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@Mon4Kooyong
You have been an amazing neurologist
@Mon4Kooyong
and faced much adversity on behalf of your patients. We will miss you dearly but we are stoked for the next chapter as you bring accountability to the misbehaved who have led the country without appropriate accountability
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I have had nurses, paramedics, medical students and even pharmacists step forward to help during many in-flight medical emergencies. In 14 years I have yet to see a naturopathic doctor “arriving” during chest pain and hypoxia over Greenland 😂.
@NaturoDiaries
@HealthWatch123
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Although Alberta may think that they can just “turn off the taps” and lockdown when the healthcare system is overwhelmed, in our experience in Melbourne, the cases kept building and the height of the COVID hospital inpatient wave occurred 4-5 weeks later.
I am seeing stats in Alberta with 86% of new cases having no known source. Once you have overwhelmed contact tracing capabilities, the horse has bolted from the barn. To pretend that a different end awaits Alberta is naive and dangerous.
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Today, I had a senior consultant (that I respect) from another specialty ask me how things were going. Not in a superficial way but in a sincere, curious, and caring manner.
Be that person who truly asks your colleagues and trainees how they are. The answer may surprise you.
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So I am going for a meal at my colleague’s house tomorrow with some other surgeons. He agrees that Epic EMR is the best part of his job.🤣
I told him I would bake dessert.
My husband (not in medicine) keeps asking me, “what’s so funny?”
@EPICEMRparody
@DrEricLevi
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@WBrettWilson
@Alberta_UCP
@calgaryherald
@shandro
When I left Alberta and moved internationally, the process took well over 12 months. I gave plenty of notice, well beyond the 3 required months - because that’s what you do when you care about your patients and colleagues.
Stick to your scope of cognitive competency.
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@FiedlerAmy
“If that is a problem, I can try and find an 85 year old man to do your cardiac surgery.”
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A reminder that 1/50 women in your fracture clinic got their injury from domestic violence. That pilon or distal radius # may not have been from a slip on ice or wet grass; it may have been more sinister. Likely higher in COVID times. Please ask.
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