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Harindra Wijeysundera
@hwijeysundera
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Chief Schulich ❤️ Program @sunnybrook 🇨🇦; Canada Research Chair #TAVR policy; Professor @uoftmedicine @ihpmeuoft @ICESOntario; struggling runner, climber & 🎷
Ontario, Canada
Joined August 2017
Paper by @ihpmeuoft phd candidate Rafael Miranda on variation in SAVR vs TAVR in Ontario 🇨🇦. High TaVR ratio have improved outcomes. @mmamas1973 @SandraLauck @derrickytam @ICESOntario @Sunnybrook
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RT @denniskomd: Please join @Sunnybrook Cardiology GR by Prof Jan Steffel @SteffelJ on #DOAC guidelines with focus on frail and elderly Tue…
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#Omicron narrative seems to be 1 of opposite extremes - ie it is mild OR the system is on the verge of collapse. Neither is true & IMO such facile reports are not helpful. Once again, we are stretched, but coping & adjusting to an ever changing reality on the ground @Sunnybrook
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the everyday reality I see on the frontline @Sunnybrook: #1 issue is fully vac’ed staff in isolation b/c of exposures while asym/sniffles. We are battling a new variant using outdated rules - in a fight with 1 arm tied - closing beds due to staffing etc. We need to pivot & quick
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@WinterKristen @Sunnybrook @RuTaggar @DoctorAndySmith So proud of the CICU team - we have asked an incredible Amt of them over the last 20 months & they have always risen up. So deserving. Congratulations & my sincere thanks.
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Insightful work by @derrickytam in collaboration with @SCC_CCS on #covid impacts on cardiac care in Ontario 🇨🇦. @Sunnybrook @ICESOntario . A concerning care deficit with significant impacts on mortality .
On #WorldHeartDay2021, @CJCJournals reports that critically ill #COVID19 patients created a reduction in #cardiac procedures across Ontario's health system. Data showed a significant decline in referrals & procedures: #research
@ELS_Cardiology @SCC_CCS
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@SBWilton @approach_org Thanks to the entire @approach_org for the invite. My thoughts are with my colleagues, friends and family in Alberta as you deal with this crushing #covid 4th wave.
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Déjà vu - watching Covid rates raising in the UK, US & Israel. In Ontario 🇨🇦, our thoughts are all on reopening & recovery. As a cardiologist, I am passionate about the need for recovery; but, are we using this time wisely to avert a repeat wave? @Dr_ChrisSimpson @Sunnybrook
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@UofTCVsurgery @derrickytam @Sunnybrook @UofTSurgery Congratulations @derrickytam ! Well deserved. A true triple threat - surgeon, scientist and teacher. Has been a wonderful pleasure watching your progress over the years and look forward to more great things.
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As TAVR has expanded, less use of the heart team, in particular in mature programs. Do we need to rethink this concept as tavr becomes standard of care? Ie use in borderline cases only? Is that more efficient? @CorHealthON @Sunnybrook
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@LawwsonKate @picardonhealth effort & resources spent in safe bikes routes would be most welcome. The leadership & will needs to come from city planners & politicians. I ride to work in toronto 🇨🇦, always with a helmet - it is not relaxing & almost everyday a car has come much too close for comfort…
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@cpgale3 @dataevan @narodmit @mmamas1973 @TheLancet Good pts - As we deal with our 🇨🇦❤️backlogs, my concern is that inequity will be most pronounced for upstream access - ie to a GP, for screening etc. Simply increasing surgical/procedural capacity may actually worsen ses/racial inequities. Reassuring that it is front of mind.
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As we shift our focus on the immense & complex care deficit & backlog- some principles 1. It will require the same degree of resources & commitment as #covid 2. Load sharing/single entry waitlist needs to be on the table 3. All solutions via lens of Equity @Sunnybrook
MRIs, cataract surgeries, joint replacements and coronary bypass surgery are among the most backlogged procedures during the pandemic, according to the Ontario Medical Association.
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RT @ShrillaB: @SarahFairley7 Still prefer culotte… but thank you…. That is a lovely visual summary
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@taimhuynh @theresaboyle @bruce_arthur @SteiniBrown We are indeed fortunate that @SteiniBrown has been the province’s guide . A trusted, honest and humble bridge btw scientists & policy makers - and making all the rest of us feel confident. A wonderful article.
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@mmamas1973 @DrAhmadShoaib @hvanspall @foziaahmedMD @cpgale3 @TheresaMcDonag3 @GiuseppeGalati_ @DrNasrien @JJheart_doc @ShelleyZieroth @iamritu @AnastasiaSMihai @FaiezZANNAD @tristonsmithmd @MinnowWalsh @avolgman @DrLaxmiMehta @DrMarthaGulati @escardio @ESC_Lavinia Very concerning & I suspect true across other conditions & jurisdictions. We have shown the same in Canada re admissions on @SCC_CCS .
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