Adam MacLellan MD FRCPC

🧠Stroke Neurologist @UnityHealthTO | 🤓 Asst Prof @uoftmedicine @UofTNeurology | @Stanford_Neuro Stroke alum | Dad to 🐶🐱 | 👨🏼‍🤝‍👨🏻🏳️‍🌈 he/him.

[Adam MacLellan MD FRCPC @bladammd]

@FawcettAdrian Interested in your perspective about this, as a stroke neurologist who always sticks around the angio suite - am I in the way? I like to be available for questions, discussion with anaesthesia, teaching, etc. Also just generally like to see what happens with our patient!

[Adam MacLellan MD FRCPC @bladammd]

I’m generally a bit conservative/not a betting person, but once again, my prior tweet seems to be aging well @CBCOlympics @CBC @CBCNews @Devin_Heroux @swimswamnews @Braden_Keith #swammer #swimmingnerd

[Adam MacLellan MD FRCPC @bladammd]

…CAN, US (Wave II), and AUS swimming trials next week…thank you, strategic week off work. Also, don’t forget the name “Summer McIntosh” - you heard it here first, Canada 🇨🇦 @CBCOlympics

[Adam MacLellan MD FRCPC @bladammd]

I don’t tweet much, but this tweet definitely aged well. Lessons: 1) Summer McIntosh is a generational talent, and 2) I’m a huge swimming nerd. #cbcsports #cbcolympics #swimswam @swimswamnews #swimmingcanada

[Adam MacLellan MD FRCPC @bladammd]

…CAN, US (Wave II), and AUS swimming trials next week…thank you, strategic week off work. Also, don’t forget the name “Summer McIntosh” - you heard it here first, Canada 🇨🇦 @CBCOlympics

[Jim Siegler (@jimsieglermd.bsky.social) @JimSiegler]

Apixaban vs rivaroxaban vs aspirin

😳

[Sarah Friedman, MD @sarah13friedman]

Finally having a paper accepted after 3 years of edits is 3% excitement about publication and 97% relief about never having to read it again.

[Adam MacLellan MD FRCPC @bladammd]

🙌🙌🙌

[Stroke AHA/ASA @StrokeAHA_ASA]

The ACT trial results are out. TNK is not inferior to rtPA at achieving excellent functional outcomes without significant safety issues. #ESOC2022 @SVINJournal @StrokeAHA_ASA

[Adam MacLellan MD FRCPC @bladammd]

…sometimes everything just “clicks” - what was initially a trauma recognized as possible LVO by @BC_EHS - onset to reperfusion 1h45m with NIHSS 18➡️3 on the table post-EVT. @VanIslandHealth stroke care in action - proud to be part of this team!

[Stephan A Mayer @stephanamayer]

I teach that whenever you hear a colleague refer to a stroke as a "CVA" -- you can be certain that they know nothing about stroke!

Well done @sashkind @kevinmd !

A PSA from a neurologist to the medical community https://t.co/xJbxVHzzcn via @kevinmd

[Adam MacLellan MD FRCPC @bladammd]

Proud and thankful to see this work from my fellowship at @Stanford_Neuro published in @JSCVD2 - HIR is but one piece of the puzzle, but part of the growing armamentarium to help guide patient selection/transfer. #stroketwitter https://t.co/ERybhv29MV

[Adam MacLellan MD FRCPC @bladammd]

Proud to have been a part of this excellent work 👍

[Stanford Neurology & Neurological Sciences @Stanford_Neuro]

A study conducted by the Stanford Stroke Center shows patients with hand & arm weakness after stroke can benefit from using a virtual reality gaming device. https://t.co/DePXtrlUq3 #stroke #neurology #virtualreality

[Adam MacLellan MD FRCPC @bladammd]

…there will always be false +/-…but, I see a lot of young stroke patients, and they are particularly prone to this bias - just last week a young stroke survivor cried in my clinic telling me how she was passed off as drunk and in fact she was d/c’d 2x with a cerebellar stroke.

[Ben Zonatate @dRxuggist]

Neuro: “He’s inside the window!”
Entire ED: “He’s drunk!”

[Canadian Stroke Consortium @CSC_Stroke]

CSC's accredited webinar: “PFO Closure for Secondary Stroke Prevention” tomorrow June 16 @ 7 pm ET. Remember to register!
Link: https://t.co/Dx8eI99vIN

[Adam MacLellan MD FRCPC @bladammd]

…week off work and it’s CAN, USA, AUS trials this week - I can’t be the only one streaming on multiple devices and annoying their significant other with swim commentary? #swammer #SwimTrials21 @swimswamnews @SwimmingCanada

[Adam MacLellan MD FRCPC @bladammd]

…CAN, US (Wave II), and AUS swimming trials next week…thank you, strategic week off work. Also, don’t forget the name “Summer McIntosh” - you heard it here first, Canada 🇨🇦 @CBCOlympics

[SwimSwam @swimswamnews]

Canadian Trials Psych Sheets: Oleksiak Drops 100 Fly, No McIntosh In 400 Free https://t.co/dUdGUbDJ6w

[Adam MacLellan MD FRCPC @bladammd]

@MicieliA_MD Drip and ship arrived with no LVO 🤨 I suspect it was not the bumpy ride to Victoria, and rather the pre-transfer tPA 💉

[Adam MacLellan MD FRCPC @bladammd]

Amazing trainee work presented today 🙌 truly impressed with the quality of research - thanks @ubcneuro!

[Vancouver Stroke Program @VancouverStroke]

Congratulations to our trainees who did an awesome job presenting at today’s Neurology Resident Research Day! @ubcneuro @SinaMarzoughi @aajonesy

[Adam MacLellan MD FRCPC @bladammd]

@FawcettAdrian @AlexMuccilli @THP_hospital That’s awesome, I will! We are 🤞rolling out telestroke soon to our referring sites, but I secretly want it at our 2nd local hospital (think TGH setup, with CCU/CVICU/complex ICU but no neurology/stroke), and then eventually our Neuro/NSx site. Congrats!

[Adam MacLellan MD FRCPC @bladammd]

Are there community sites that do telestroke in their own ED? We don’t have on-site stroke attendings/residents overnight…bet we’d be more likely to be 📞, and decisions/DTN would be faster if we could consult via telestroke #stroketwitter #neurotwitter https://t.co/Siw5Xg4ntI

[Adam MacLellan MD FRCPC @bladammd]

💯 - an idea of the eventual destination is great but clear guidance about how to safely get there when fully-vaccinated is necessary. Might also help with any residual pre-2nd (or 1st) dose hesitancy?

[Isaac Bogoch @BogochIsaac]

3/ Said another way...the vaccines are very effective (but of course not 100% perfect) & will help us return to doing things we once did.

Practical & science-based individual-level guidance during this interim period where a growing # in 🇨🇦 are fully vaccinated would be helpful.