James Maskalyk

Emerg doc, meditator, author, recovering medical editor.

[James Maskalyk @jamesmaskalyk]

@raghu_venugopal sames. anything less than being fully open to handovers encourages physicians to be aggressive in discharge, the worst position in a potentially evolving emergency, in order to avoid conflict. i’m even okay with “it’s hard for me to decide, can you engage/observe/reexamine? ”

[James Maskalyk @jamesmaskalyk]

@NightShiftMD distraction. reads like AI, and you get the sense that there is no passion behind the idea, only the strategy to enrage people into arguing with the hope of getting 51% of the vote and save the work of actually leading. that healthcare is hard doesn’t mean its broken.

[James Maskalyk @jamesmaskalyk]

@raghu_venugopal alas. if only he wrote (or read) his own tweets, but some other tool (literally and figuratively) does, embodying modern politics of rage + its arithmetic that 51% of the vote can carry the day instead of actually leading us to better days. ashamed to be an albertan. sorry canada

[James Maskalyk @jamesmaskalyk]

@NightShiftMD @cbcwhitecoat what is the street visibility of open-air drug use and trafficking? any sense of whether that is met with a different suite of mental-health/addiction/housing
resources?

[James Maskalyk @jamesmaskalyk]

@raghu_venugopal thanks brother. alberta will always be my home. it is where i learned medicine, was taught the ER is for everyone, and that what connects Canadians is a love for this wild land and the opportunity to care for every person who steps on it. glad to be here with you, doing our best.

[James Maskalyk @jamesmaskalyk]

@dstaples he’s often looking for the stretch or to jam it past the defender and get in alone instead of making the inertial, less exciting play. playoff hockey is more a war of attrition. small plays lead to big ones. draistal knows it. oilers have better players and a poorer team.

[James Maskalyk @jamesmaskalyk]

been advocating for this change for years. both healthcare workers and hospitals deserve better.

[JAMA @JAMA_current]

💬 Viewpoint: Mandatory annual training modules consume millions of physician‑hours each year, yet their largely passive formats may offer limited educational value while contributing to administrative burden and clinician burnout.

https://t.co/mJ4oi68waA

[James Maskalyk @jamesmaskalyk]

@Kapur_AK @raghu_venugopal police lay off open-air drug use/trafficking small amounts in the area, which of course increases trade, particularly after hours. it has led to consistent decline in surrounding businesses from safety concerns (kensington was already fragile, and a poor choice…better TWH? Or?)

[James Maskalyk @jamesmaskalyk]

@Kapur_AK @raghu_venugopal even with the heroin data, mostly prior to 2018, more than 95% of use was outside SCS’s. my guess is its less now. i live down the street from one, and it closes at 2 pm (and is rarely used before). it doesn’t get busy outside until 4.

[James Maskalyk @jamesmaskalyk]

@Kapur_AK @raghu_venugopal i’ve devoted my clinical career to this population of people, in fact is what has kept me in toronto these past 22 years. i feel we haven’t changed with the times, and becuase of this, may be making it worse while hoping to make it better.

[James Maskalyk @jamesmaskalyk]

@Kapur_AK @raghu_venugopal i wouldn’t say less important, but poss less effective on pop’n level than previous because of inc exposure to otherwise unexposed. wouldn’t close any, intead fund them for ventilation + inside smoking, 24 h security + med detox, maybe integrate to hospitals? what about you?

[James Maskalyk @jamesmaskalyk]

@TorontoStar @reggcohn it is popular for people who don’t live downtown. those of us are don’t want de-icing runoff in the water, or more ultrafine particles to breathe. can it be a park? name it after himself or his brother and improve the city much more? there are other profits.

[James Maskalyk @jamesmaskalyk]

@raghu_venugopal x is the worst. and deliberately so. i’m trying to use substack more, both for scrolling and the destination for my own content. it’s nice to see your voice though, however i can!

[James Maskalyk @jamesmaskalyk]

@fordnation It also means more ultra-fine particles for people to breathe , de-icing run off into our main water supply, and disrupted sleep-wake cycles from the noise. ie inc all cause mortality.

give me convenience AND give me death. bad idea. turn it into a park. make Toronto healthy.

[James Maskalyk @jamesmaskalyk]

@DrBrianDay @davidcarr333 an american friend told me when she refers a patient to a dermatologist from her ER, they see the patient not in month, but…in an hour, in the ER.

most of the cases we see don’t need emergent tx, but they do need care. it would great to have someone pick up the thread.

[James Maskalyk @jamesmaskalyk]

@EricTopol i’ve been seeing kidney stones for 20+ years and i’ve never advised hydration (nor did my teachers). glad evidence proves the same.

[James Maskalyk @jamesmaskalyk]

@22_Minutes referral patterns are constant across ER’s + internationally. 10-15% admitted, rest discharged. canada has the best emergency training in the world (though system ++ strained). poor timing for a weary workforce. whoever wrote this only knows ERs from unnecessary visits. for now.

[James Maskalyk @jamesmaskalyk]

@DNVR_Avalanche contrast what he said vs. “Sorry a player got hurt. That is never good to see someone leave the ice. We lost by a goal, and that’s what we are going to work on. Next question.” What a poor sport.

[James Maskalyk @jamesmaskalyk]

@wyshynski @Avalanche @EdmontonOilers colorado was buzzing the goalies before and after. it’s a coaches plan (panthers do the same) . “angling your skate blade” is not innocence…look at the trajectory. he was going for contact. knock a person out, possibly end their season? more than 2 mins, nurse or not.