Winston Bharat Profile picture
hospitalist physician. amateur 📷. toronto sports. coffee in all forms. 🇨🇦🇹🇹 Interested in innovation in health(care).
Oct 23, 2020 18 tweets 6 min read
It seems Air Canada has managed to convince the federal government to employ rapid testing as an opt out of quarantine on the basis of preliminary results from a massively flawed study.

Seems like a bad idea. @BillBlair @marcomendicino @celliottability @IrfanDhalla

1/n
First, Australia and New Zealand remain the gold standards for the “Western world” in regards to COVID response. Both had mandatory hotel (not home w/relatives) quarantine at port of arrival, before going anywhere, mandatory testing AND drastically reduced int’l flights. 2/n
Oct 22, 2020 8 tweets 3 min read
Cannot emphasize this enough. Our wait times were often terrible before the pandemic, anyone can review the data here:

hqontario.ca/System-Perform…

The wave 1 shutdown was an added burden in a system with heavily rationed OR availability to surgeons. #covidontario #waittimes 1/n As noted in the editorial, “elective” is often a misnomer. I saw a neighbour go from walking dogs kilometres at when referred to ortho for a joint replacement to essentially immobile by the time of surgery nearly 2 years later. This is in the GTA. Haven’t seen him out since. 2/n
Sep 25, 2020 5 tweets 2 min read
Somehow nobody is talking about acute bed capacity.

Unlike the first wave, Ottaw public health is now reporting 100% of acute beds occupied despite only 14 COVID admissions. Image Peel public health is reporting 92% acute beds full and 82% of ICU beds full Image
Sep 11, 2020 17 tweets 5 min read
Anybody trumpeting their Cambie decision as some sort of victory needs to read this.

“ I have also found...provisions have the effect of limiting the right to security of the person individuals who are suffering from degenerative/deteriorating conditions and waiting for... Image ...elective surgery in the public system beyond their wait time benchmarks associated with their diagnostic priority codes, even though the patients are available for surgery...
Jul 13, 2020 4 tweets 4 min read
Disappointed to see the continued racist depictions of BIPOC victims of crime in the mainstream Canadian media after @CTVToronto @CP24 and @CBCNews used a mugshot in stories of a murder victim in Toronto meanwhile this is how white suspects of murder were depicted last year. ImageImage Yet this is how someone who killed a cyclist while driving impaired is depicted after allegedly violating parole while speeding up a major highway impaired again. Has anyone seen Marco Muzzo’s mugshot? ImageImage
Jul 11, 2020 6 tweets 3 min read
While Canada continues to import cases via the dozens of international arrivals daily, perhaps if we’re lucky by October the CBSA will catch onto the whole asymptomatic/presymptomatic thing.

Take the UP express, subway then 3 buses, what could go wrong? The CBSA website and actions in relation to travellers arriving from out of Canada by air is a joke compared to what can be found in New Zealand.

Canada: “Please answer these honestly then be on your way”

NZ: mandatory direct managed isolation/quarantine AND COVID test 4 all.
Jul 6, 2020 4 tweets 1 min read
This might be the single most asinine thing I’ve seen written by an individual with *some* subject matter expertise in the last 3 months. It’s in relation to the #sickkids report on school opening precautions. Image It’s comically hypocritical as the author of this statement appears to have absolutely no background in child health or education whatsoever, but claims to be able to weigh the impact of months on end better than report authors who are ID docs AND paediatricians.
Jun 9, 2020 4 tweets 2 min read
So Toronto and the Golden Horseshoe remain in #Phase1 while this is the arrivals schedule at Pearson for today:
- New Dehli
- Addis Ababa via Dublin
- Santiago
- Seoul
- Chicago
- Detroit
- Chicago
- Lahore/Karachi
- Shanghai
- LA
- London
- Bogotá
- Charlotte
- Beijing
- London - Frankfurt
- Amsterdam
- NY
- Dallas
- Mexico City
- Kingston
- Washington
- Chicago
- Boston
- NY
- Shanghai
- Hong Kong
- Detroit
- Charlotte
Jun 2, 2020 5 tweets 3 min read
This was Sharon Roberts. She was a PSW in a Long-Term Care facility in Toronto. She died of COVID. #BlackLivesMatter Image This was Arlene Reid. She was a PSW in a LTC facility in Toronto. She died of COVID. #BlackLivesMatter Image
Aug 10, 2018 11 tweets 4 min read
Where to start with this load of nonsense? First, on the issue of citizenship, the foreign visa trainees are admitted to programs with an explicit requirement to NOT remain in Canada after their training. So it actually has no impact on the supply of independently practicing docs We're they to be granted citizenship suddenly as @AdamKassamMD calls for, this would not only violate the terms of the visa program, it would subvert workforce and specialty requirement projections: if we needed this #/type of doc, spots should have gone to Canadians via CaRMS.
Aug 5, 2018 4 tweets 3 min read
Will be watching for the @City_of_Vaughan & @mbmayor to produce a cogent explanation for the abrupt cancellation of two Caribbean events, which had permits in place, that somehow doesn't violate @OntHumanRights. Clock is ticking. #carnivalkingdom #onpoli Just a reminder folks, you're allowed to have an amplified music event at the base of condos in the @City_of_Vaughan but something tells me the attendees might have been different than those at #carnivalkingdom



@OntHumanRights @socaprince
@DesmondCole
Apr 22, 2018 6 tweets 2 min read
The average Canadian could care less if total drug expenditures is lower with national pharmacare. The truth is taxpayers will pick up, assuming huge discounts in prescription drug costs, $10 billion a year in costs currently paid by the private sector, or $275/Canadian. For reference, the Pharmacare Now report cites a current per capita drug cost of $1012. That's a pretty big bump in costs before gobbledygook accounting and huge assumptions here and in Pharmacare 2020 leads to "savings". Image
Nov 23, 2017 6 tweets 7 min read
This is now a 67 min call to @Rogers, including connections to two people WHO CAN'T CANCEL services, after I pushed 4 to cancel internet. Again, after going into a retail LOCATION for same. @CRTCeng @RogersHelps Image @Rogers @CRTCeng @RogersHelps And it continues. Now starting to risk losing my cable tv business. Image
Mar 4, 2017 5 tweets 4 min read
@cbyrne2014 @HeatherMallick @alandrummond2 @theresaboyle it doesn't. Ad hominem attack on profession to further Star's yrs long narrative. @cbyrne2014 @HeatherMallick @alandrummond2 @theresaboyle The Star is to the Liberal Party of Ont what Breitbart is to Trump at this point...