I need to be clear what is happening in Ontario ERs. I need to be clear I do not believe the Ford administration has faithfully served the public. I don't care how you vote. I just want you to know the reality ER patients know only too well. - 1/5
In Ontario ERs we do not have beds. This has real implications. It makes the expert and dignified care of patients difficult and at times impossible. I leverage this against this Premier's pledge to make hallway medicine obsolete in 2018. - 2/5
Heart attacks in chairs rushed to the cath lab. Patients with bleeding in their brain with no bed to receive them seen on a paramedic stretcher. There are many such cases as these. This is not hallway medicine. It is far worse. And it is far more dangerous. - 3/5
I do not ultimately care if Premier Ford is elected or if any other party is elected. If Premier Ford does the right thing I will thank him as I have done before and if other parties do the wrong thing MDs like me will criticize them. This is about patients, not power. - 4/5
What I am saying as an experienced ER doctor is we are failing ourselves. We are failing our neighbours. We are failing our families and our communities. Make this election about healthcare. This is my ask from the bedside. - 5/5
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When Trade Towers fell, Canadian MDs like me went there - to Ground Zero - to offer assistance. I don't ever talk about this - it's painful. But I'd do it again. Canada has always been an American ally and friend. - 1/5 @StCollinson cnn.com/2024/12/18/pol…
When Trade Towers fell, your President-Elect was bragging about the comparative height of towers. He now offends our sense of nationhood, absurdly insulting our democratically elected leader and our independence. You are not acting like a friend but an enemy. -2/5
Our friendship and economic connection makes the statements of President-Elect Trump truly eviscerating to us. I appeal to Americans to recognize how deeply offensive it is to us proud Canadians. - 3/5
ER doc here. This is a tragic death. Based on the information available, a 6 hour wait for MD evaluation is unacceptable. We know those who leave ER without being seen by an MD are a high-risk group - and we do not blame them. - 1/9
@tophlambie nationalpost.com/news/canada/mo…
When a patient comes with chest pain - young or old - myocardial infarction, pulmonary embolism, aortic pathology, myocarditis and pneumothorax are key diagnoses we consider or rule out. These 5 diagnoses and more cross our minds every time. - 2/9
Each case is unique and aortic pathology we evaluate based on factors like:
-troponin and d-dimer
-EKG
-VS including bilateral BPs
-Patient risk factors
-Patient habitus
-Patient physical exam
-Bedside US
-CXR
-CT chest - 3/9