H Siden

Pediatric Palliative Care MD. Medical Director, Canuck Place Children's Hospice & BC Children's Hospice. Clinician-Scientist, Child & Family Research Institute

[H Siden @DocHalMD]

@lornafraser10 @ij_higginson @RHardingCSI @kesleeman @CatherineJanee1 @MTMaddocks @ingridjohanna66 Congratulations Lorna. Congratulations. Can't wait till I return to the UK and see you in London.

[H Siden @DocHalMD]

@PedPalASCNet Elisa's commentary describes how qualitative research informs the quantitative results, and in how we can all be impacted by the personal stories of the children and families we work with. I highly recommend this commentary and a read of the articles in the issue

[Pediatric Palliative @PedPalASCNet]

Issue 8 of the Trends in Pediatric Palliative Care Research (TPPCR) newsletter is out, featuring a commentary by researcher Elisa Castro-Noriega - https://t.co/hNDHawOTi0

[H Siden @DocHalMD]

@laesafaith Please join Laesa for this event. It’s an opportunity to review recent publications and to share your insights with our readers. This project is an outgrowth of @PedPalASCNet and @ChildBrightNet

[H Siden @DocHalMD]

Happy Birthday Big O! Tell then you need a lollipop after the vaccine to activate the antibodies

[Dr. Marie-Claude Grégoire @DrMCGregoire]

Today is my son’s birthday. Best gift? Invitation for his 2nd dose of Covid19 vaccine!! Thanks @VanIslandHealth for being on time (8w tomorrow). Ok, my son might argue that the @LEGO_Group & @LEGOIdeas were the best gifts! #VaccinesSaveLives

[Terry Fox Foundation @TerryFoxCanada]

The Terry Fox Foundation is proud to continue Terry’s mission of funding cancer research. Terry believed in science and gave his life to help others. Thank you to all of our supporters who help us work toward realizing Terry���s dream of a world without cancer. 🇨🇦

[H Siden @DocHalMD]

Congrats Drs. Betty Davies, Rose Steele, Jenni Baird publishing Pediatric Palliative Care: A Model for Exemplary Practice. @routledgebooks Important research on what matters in communication in all healthcare, not just pedpallcare. @CanuckPlace @BCCHresearch @BCWomensHosp

[Laesa Faith Kim @laesafaith]

My daughter has “at least 4 comorbidities.” Does she look unwell to you?

Stop the eugenics.

Her life is beautiful, and she deserves to live it.

[H Siden @DocHalMD]

Could 2 followers please copy and re-post this tweet? Demonstrate that someone is always there, especially at this time of year. Call 833-456-4566 (National Suicide Prevention Helpline CDA). Just 2. Any 2. Copy, not retweet. Let’s all look out for each other. Thanks @DebbieButt

[H Siden @DocHalMD]

Even within the 122 studies the results were disappointing. Little evidence for pharm or physio, a bit for psych as being effective. Nevertheless, these are still the base of recommendations. Good work by @emmafisher1, @Chris_Eccleston and colleagues

[H Siden @DocHalMD]

Efficacy and safety of pharmacological, physical, and... : PAIN Really important sys review / meta-analysis on Tx chronic pain in children. Found NO studies on children with cancer or intellectual disability. Huge problem https://t.co/dQnKfjgmK3

[H Siden @DocHalMD]

@CanuckPlace @kbieksa3 @Sportsnet @hockeynight @Canucks From the front lines I can tell you what a difference your support makes. Thank you Reese, @kbieksa3 and your family.

[H Siden @DocHalMD]

@picardonhealth @GlobeDebate Frustrated with the unvaccinated health care workers. Furious about the spineless politicians. This isn’t the Good Government that we expect and deserve

[H Siden @DocHalMD]

Canuck Place has gift for families: time. Whether it is too short, or never long enough, we try to make each moment count. We also have a gift for donors: you can know that you have direct impact on a child and family. Have a wonderful night tonight! #CanuckPlace #GOTGala

[Dr. Lynora Saxinger MD FRCPC Infectious Diseases @AntibioticDoc]

I am always amazed at how much faith people have that higher filtration of particles WILL reduce risk of infection.
Like …no one even questions that.
But there’s a LOT of data pre COVID where N95 masks weren’t clearly better. Why? “As used”…
1/

[Dr. Lynora Saxinger MD FRCPC Infectious Diseases @AntibioticDoc]

in real life is not a lab particle study. Why…? could be fit, touching and adjusting bc uncomfortable, doffing…
So although intuitively attractive we can’t assume that “better” filtration translates directly to protection. We still do need good outcomes based studies.
2/

[H Siden @DocHalMD]

@HealthCanada needs a separate medical cannabis stream for children, distinct from adult med-cann and recreational. Advocacy via @ChildHealthCan, @CanPaedSociety, and research @C4T_Canada

[H Siden @DocHalMD]

All of these can be addressed with good research. 93% want to enroll patients in med-cann clinical trials. And good clinical research depends upon a standard, pharmaceutical grade product for testing.

[H Siden @DocHalMD]

Barriers include uncertainty of benefit (90%); dosing safety (81%); uncertain side effects (76%).

[H Siden @DocHalMD]

Perspectives of pediatric oncologists and palliative care physicians on the therapeutic use of cannabis in children with cancer https://t.co/w1L9X1kzEu 1/

[H Siden @DocHalMD]

92% of Peds Onc or PPC MD cared for >= 1 child using medical cannabis in last 6 months. 96% saw a potential role for med-cann in Peds Onc: targets include N&V, chronic pain, cachexia. Less so for anxiety/depression or insomnia. Only 1 MD saw it helpful for anti-cancer.