Brooke Saunders @brkster

ER doctor, bookworm, traveler | Do no harm, but take no shit. Toronto, Ontario Joined September 2015

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Andrew Petrosoniak @petrosoniak

3 years ago

This week almost every patient I saw in the ED waited >6hrs. I told each patient I'm sorry they had to wait. Not because I felt responsible but because I felt bad for them. A "system" delivering "emergent" care regularly >6-12hrs is no long a system but rather a failure.

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Esther Choo, MD MPH @choo_ek

3 years ago

“‘Idaho calls itself a quote ‘pro-life state,’ but the Idaho Legislature doesn’t care about the death of moms’” — the dilemma of ob/gyns in abortion restrictive states, and how general women’s health erodes when abortion access is threatened nytimes.com/2023/09/06/us/…

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Dr. Trevon D Logan @TrevonDLogan

3 years ago

I’ve said it before and I’ll say it again: “We have very successful class-based Affirmative Action admissions policies at elite colleges and universities. It's been working quite well for rich and powerful families for generations. Maybe we should talk about that…”

Dr. Trevon D Logan @TrevonDLogan

3 years ago

A word on college admissions: Do not be fooled. We have very successful class-based Affirmative Action admissions policies at elite colleges and universities. It's been working quite well for rich and powerful families for generations. Maybe we should talk about that...

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Qasim Rashid, Esq. @QasimRashid

3 years ago

The only Democracy in the middle east just limited the Supreme Court's ability to exercise judicial oversight over government corruption...led by a Prime Minister indicted for government corruption. Where is the accountability? Where is the justice?

The Washington Post @washingtonpost

3 years ago

Breaking news: Israeli parliament votes to limit Supreme Court oversight on government actions, delivering long-sought goal to far-right lawmakers. washingtonpost.com/world/2023/07/…

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Josh Matlow @JoshMatlow

3 years ago

If we don't change how things are done at City Hall, our services simply won't improve. Vote for a city that works: votematlow.ca/platform

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Jennifer Keesmaat @jen_keesmaat

3 years ago

We need affordable housing options for every income level and every stage of life - in every neighbourhood. We can get there, this is doable.

Klem Kaddidilhoffer @SDonlose

3 years ago

@jen_keesmaat Great cities have pockets of affordability for the various different communities that seek to live in that great city. Housing affordability is tethered to 30% of income for rent, about 5x income to buy a home. Options need to be make available for every level of income

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Brooke Saunders @brkster

3 years ago

@DocMCohen For a while they offered to keep FOBT if every doc did an annual certification course in performing and interpreting it 🧐 you can imagine how well that landed.

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Brooke Saunders @brkster

3 years ago

@DocMCohen All point of care testing has been removed from our ED over the years - no urine preg dip, even FOBT. I kid you not, the explanation was “docs and nurses are not qualified to perform or interpret point of care tests so all must be done at the lab”.

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Brooke Saunders @brkster

3 years ago

@DrJenGunter @DrJenAdjacent Congratulations!!

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Brooke Saunders @brkster

3 years ago

@proserv @drmwarner Not get paid and care for them for free.

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Brooke Saunders @brkster

3 years ago

So you mean like the men in every cabinet? Oh sorry did you think male dominated cabinets were created based on merit rather than gender discrimination? Don’t be silly.

Sarah Fischer @SarahFischer__

3 years ago

@lisakirbie Imagine being a woman in Trudeau’s cabinet and not knowing if it was merit or gender that got you there.

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Dr. Amit Arya @AmitAryaMD

3 years ago

The evidence tells us that for-profit surgical delivery didn't improve wait times in Western Canada.…so why is the Ontario government telling us that for-profit surgical delivery will work here? A new op-ed by @a_longhurst, @drlesleybarron & I in @IRPP. policyoptions.irpp.org/magazines/marc…

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Raghu Venugopal MD @raghu_venugopal

3 years ago

“Can you go to a warming center?” “No, they are all full.” If you think John Tory and City Council did a good job then go sleep outside tonight and reconsider. Not good enough, Toronto.

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Brooke Saunders @brkster

3 years ago

@RogersHistory Counterpoint: so what? School isn’t meant to be jail. Let your students go to the bathroom, even if they have another reason to leave the classroom not immediately obvious to you.

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Jonathan's translucent form @jmcrookston

3 years ago

RCTs were used to avoid relying on anecdote for medical treatments. I.e. does this drug work? Let's try in x group not in y group and see if there is a difference. It is not used for seatbelts because you can use science and engineering to DIRECTLY ANSWER that they work.

Dr Satoshi Akima FRACP 『秋間聰』 @ToshiAkima

3 years ago

The biggest shortcoming of RCTs of respirators is this: where direct mechanistic evidence retains predictive validity, this is the preferred form of scientific evidence. The invalidity of direct mechanistic modelling needs to be proven before falling back on RCTs.

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Brooke Saunders @brkster

3 years ago

@_celia_bedelia_ Pretty sure it was the medical staff and CPR that saved his life… 🤔

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alan drummond @alandrummond2

3 years ago

Ontario physicians college failed to properly investigate gender discrimination, improper billing complaints, court rules /via @globeandmail theglobeandmail.com/canada/article…

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C Pita 🇺🇦🌻 @CPita3

5 years ago

ID proponents of surgical masking on COVID wards, often site a handful of systematic reviews to defend their position. Spurred by @AntibioticDoc's thread and @McDevonMD's tweet below - I did some digging. Was MacIntyre 2013 covered in these reviews, and if so, how? 🧵1/17

Devon McDonald @McDevonMD

5 years ago

@CPita3 Funny how no one ever cites this paper:

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Babak Jahromi MD PhD FRCSC @babaksjahromi

3 years ago

What do Santa Claus, the Easter Bunny, and Contrast-Induced Nephropathy have in common?👉They're all largely imaginary. In an emergency, *please* just order the CTA. (credit emcrit.org/ibcc/contrast/, see selected refs below, many more on pubmed)

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CAMH @CAMHnews

3 years ago

🧵 Tomorrow, Toronto City Council will vote on whether to increase access to warming centres this winter. CAMH physicians and healthcare providers across the city have written a letter urging @JohnTory and all City Councillors to vote in favour of this move. Here’s why. (1/7)