Siraj Mithoowani

Hematologist/"thrombo"logist/not an oncologist @STJOESHAMILTON. Asst Professor @MacDeptMed. Tweets my own.

[CMAJ @CMAJ]

Investigating and managing neutropenia:
Low neutrophil count may be normal for some people, or caused by infection, medications, poor nutrition or autoimmune conditions ➡️ https://t.co/xS4dNw2gHy
@crowthrm @SMithoowani @MacDeptMed @machealthsci

[Siraj Mithoowani @SMithoowani]

@BenChinYee @CMAJ @LHSCCanada @CMAJ_Open @AlejandroLazo2 @ZiadSolh @tsengeric @westernuPaLM @SchulichMedDent Fantastic work @BenChinYee et al. I look forward to disseminating this widely!

[McMaster University, PGME @McMasterPGME]

1/7 In a short period of time, the PGME community has sadly experienced the tragic loss of 3 of our learners. The positive impact they had, & contributions made during their residency at McMaster will continue to inspire many. They will be missed but always remembered.

[CanVECTOR Network @canvector]

"Direct oral anticoagulants after bariatric surgery-What is the evidence?" Read the summarize of evidence in this analysis supporting the use of #DOACs after #bariatric surgery - @SMithoowani

https://t.co/ZAFT6TIU7M

#Research #Thrombosis #Evidence

[Siraj Mithoowani @SMithoowani]

@Mike_Rad_Heme Having multiple professional identities to maximize discounts is a huge perk!

[Siraj Mithoowani @SMithoowani]

@CaptainAV Congratulations Kevin!!!

[CanVECTOR Network @canvector]

NEWS: Announcing the next CanVECTOR Co-Lead of the Training, Mentoring, and Early Career Development platform -

We are thrilled to announce that Dr. Miriam Kimpton has been elected as the incoming platform Co-Lead!

Learn more: https://t.co/z8fQXIk0K4

[Siraj Mithoowani @SMithoowani]

Our perspective on prescribing DOACs after bariatric surgery, led by the indefatigable Russell Leong (@MacBHSc undergrad student!) @MacDeptMed @McMasterSurgery @machealthsci @maria_mtiboni

[JTH @JTHjournal]

Do DOACs have preserved safety/efficacy after bariatric sx? In #JTHiC article, we systematically review data & propose management algorithm incorporating measurement peak drug levels. @SMithoowani @crowthrm @dkchu @MacDeptMed @machealthsci @STJOESHAMILTON https://t.co/BwpnXTQbSC

[Siraj Mithoowani @SMithoowani]

@MiddeldorpS Thank you for endorsing this practice @MiddeldorpS. Agree that we need to move beyond VKAs here!

[Siraj Mithoowani @SMithoowani]

@Karen__Moffat @MacDeptMed @McMasterU @csmls Exceedingly well deserved. Congratulations!! 🥳

[Michael Makris @ProfMakris]

Barbara Gunka described the use of DOACs after bariatric surgery. Dabigatran is problematic but Rivaroxaban and Apixaban can be used. No patients needed to go onto warfarin. #ISTH2022

[Tzu-Fei Wang @TzufeiWang]

Dr. Gunka presented the largest cohort to-date of 45 patients on DOACs after bariatric surgery with peak levels, dabigatran should be cautioned and more data would be welcome! #ISTH2022

[Siraj Mithoowani @SMithoowani]

@GBarnesMD Just be cautious that LMWH anti-Xa assays differ considerably in this respect, like comparing apples to oranges (@Ritaselby1's words - not mine). Our experience at McMaster: https://t.co/B1bpRjZ71u

LMWH anti-Xa thresholds varied WIDELY for this purpose

@Karen__Moffat

[Siraj Mithoowani @SMithoowani]

@staceymarj @MickeyPZ1 @mcmasterchse @POGO4kids @COGorg Thank you for generously sharing your knowledge and expertise!!

[Siraj Mithoowani @SMithoowani]

@djmccoola UTI appears to be one of the most multisystem diseases in all of medicine. Like the amyloidosis of ID.

[Siraj Mithoowani @SMithoowani]

@KateGerster Wow!!! I look forward to reading it! 👏🏼

[Siraj Mithoowani @SMithoowani]

@BloodClotDoc @DebSiegal @MacDeptMed Not necessary. I think everyone across North America who treats TMAs has your contact information by now!!

[Siraj Mithoowani @SMithoowani]

@DebSiegal I think you can relate. "I am not Thrombosis. I am a person." 😂

[Emily Methangkool MD, MPH @dremilym]

Dear world,

Please do not call us “anesthesia”. We are not a medication.

Acceptable alternatives would be:
Are you the anesthesiologist?
Are you the part of the anesthesia team?
What is your role?
I’m Dr. X and you are?

Thank you for your attention to this PSA.

#medtwitter

[Siraj Mithoowani @SMithoowani]

@BloodClotDoc @DebSiegal Not to brag, but we have not one, not two but FOUR thrombosis physicians on call every day/night @MacDeptMed (one for each hospital site!) 😅

[Eric Tseng @tsengeric]

Some (very) positive news:

My amazing colleague Tina Trinkaus will be Faculty Lead, Valuing the Clinician Teacher for Dept of Medicine

1. Go hematology
2. Great choice
3. Wonderful that we are recognizing Clinician Teachers

@UofTDoMChair @sholzberg @GloriaLimMD @LisaHicksMD