Thread: have an out of country test that is essential for dosing meds for my rare disease patient. The MOH in Ont no longer funding it and says hospital must now pay. No consultation. Hospital lab refuses to pay. Ask me can my rare disease patient pay out of pocket? Um, nope.
I've sent ++ emails trying to resolve this on top of my regular work. It will be resolved eventually because I'm pretty sure it's illegal to ask patients to pay for these lab services. #OHIP But in the meantime my patient is on a med with no monitoring and I'm sad and stressed.
Ask me why I'm burnt out- it's not because I didn't have time to work out and not because I didn't have dinner with my kids. It's because I can't do my damn job properly and ultimately our patients and our healthcare teams pay the price for this. Fin.
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Genetic testing: there are so many tests to choose from! Karyotype, Microarray, Whole exome sequencing, they all sound the same. What's the difference? Read on and hopefully things will become clear... 🧵 #meded#tweetorial#medgen
First, let's remember that our DNA is found in really nice organized packages called chromosomes. Humans have 23 pair of chromosomes = 46 in total. Each chromosome has a short arm (p=petit) and a long arm (q=comes after p).
Genes are segments of DNA where each codes for a specific protein.
Genes are found along chromosomes in a predictable location and order. For example, the CFTR gene is found on the long arm of chromosome 7 in all humans.
RE: Race descriptors- While there is a place for them (like when discussing social determinants), it is not useful when stratifying cohorts as it is not binary nor a great surrogate for ancestry. We can do better!
ALSO: We need to stop using the term Caucasian.
I'm surprised that many ppl are not aware that the term Caucasian has supremacist roots. The term originated in the 1700s by a bunch of bros who believed the ppl in the "Caucus region" were the most beautiful ppl in the world, made in "God's image". sjsu.edu/people/carol.m…
Here is an excerpt that I hope will convince you to retire the term Caucasian from your lexicon.
Out of curiosity I attempted to book a COVID-19 test in Toronto today using the screening tool and followed ALL the links to the assessment centre sites at 7 pm. Shall we see what happened? Get your popcorn and Kleenex ready. covid19toronto.ca
Women's college. Alarm set for tomorrow at 5:45 am. If I'm not successful, at least I will see the sunrise.
University Health Network. Thoughts and prayers until I log on at 7:59 tomorrow, I guess?
In my job as a doctor I handle risk assessment regularly. I am also a parent to two kids. My daughter has been sent home to quarantine due to a confirmed case of COVID-19 in her class. I have some concerns as it pertains to Covid containment in schools. 1/ @tdsb@TOPublicHealth
High risk ppl (confirmed close contact w covid19) are in the SAME lineups as low risk ppl (runny nose).These lineups are LONG rn.If you don't believe me check out covidwaits.com. Social distancing is not always maintained. Glad these lines are mostly outdoors for now. 2/
Turnaround times are the SAME for high risk people vs. those with a runny nose, sometimes up to a week now. While I'd like to think everyone is self-isolating while they are waiting for results, in reality we know that there are a lot of people who will not, or cannot. 3/
As we may be headed into a long few months and bummed about everything-here is a thread of easy trails and gardens you can visit with kids around Toronto and vicinity for some nature therapy. We visited all of these:
Williamson park ravine. Entrance on Gerrard east of Coxwell. Short half km walk but sweet. Smalls creek runs through it.
Glen Stuart ravine. Off of Kingston rd, in upper beach area. Boardwalk and stairs is about 1.5 km. Easy. Very pretty.
Review on sickle cell trait and covid outcomes in Black popl’n by @UofT resident Dr.Osundiji. So important for us to study genetics in non-whites to better understand health outcomes in these populations. There is a caveat tho. ncbi.nlm.nih.gov/pmc/articles/P…
It is not a pass for the genetics community to ignore the well established non-genetic determinants of health outcomes in Black people. I’ll call this, “the other things”. blackhealthalliance.ca/home/social-de…
Genetics professionals need to be v. aware that our genetics enthusiasm is gobbled up by the laypublic and risks drowning out a commitment to fixing “the other things”. Genetic code cannot be fixed.