mimikcampbell

[mimikcampbell @friulichick]

@sphcme hey we are offline!

[becksy @CALEBSM0MMA]

@PassportCan We have travel plans in 2 weeks. We still don't have my child's passport. We've been trying to call to which no one picks up. I've also submitted an online request for a status. What else can we do???

[mimikcampbell @friulichick]

@PassportCan We are waiting for a passport since March 10. We fly May14! Please help!

[mimikcampbell @friulichick]

Dr. Victoria Lee and the Hon. Adrian Dix: Hospice Organizations Must NOT be forced to do Euthanasia - Sign: https://t.co/NGiAJhPwNN

[mimikcampbell @friulichick]

Last day at #SPHCME2019 and a beautiful day. Daily emollients 0-6 months and early introduction of allergens such as peanut at 4-6 months prevents food allergy development in high risk infants.

[mimikcampbell @friulichick]

Really enjoyed Jessica Holmes who spoke and sang and made us laugh until we cried at our St. Paul’s CME luncheon.

[mimikcampbell @friulichick]

Women with dense breasts C or D can have a screening ultrasound covered by MSP but it is not readily available. Only two places in Vancouver do this and they are overwhelmed.

[mimikcampbell @friulichick]

Don’t order insulin levels for insulin resistance.

[mimikcampbell @friulichick]

Only 30% of eligible people in BC are participating in the FIT program. ¾ of all colorectal cancers occur in people who were not screened

[mimikcampbell @friulichick]

Tuberculosis is present in one quarter of the world’s population

[mimikcampbell @friulichick]

CREDENCE study shows renal protection from SGLT2i in diabetes. To protect the kidney is to protect the heart. GLP1i may do so.

[mimikcampbell @friulichick]

Vitamin E has been shown to reduce NAFLD withOUT diabetes.

[mimikcampbell @friulichick]

Statin therapy 21% reduction in major vascular events per 1.0 molecules/L reduction in LDL-C but depends on primary vs secondary prevention. Over 75 primary prevention no benefit. Stopping statin in primary prevention can increase events (French study).

[mimikcampbell @friulichick]

Reconsider ordering ECHO and ECG if asymptomatic and low risk.

[mimikcampbell @friulichick]

Pioglitazone improves NAFLD best in T2DM but not only. Weight loss may improve. NAFLD to become top cause of liver transplants. Don’t use in osteoporosis or in CHF

[mimikcampbell @friulichick]

Long acting GLP1s decrease risk of stroke. SGLT2is don’t.

[mimikcampbell @friulichick]

SPRINT shows intensive SBP treatment to <=120 benefits frail elderly. SPRINT MIND study shows improvement in dementia and MCI with more intense SBP lowering

[mimikcampbell @friulichick]

SGLT2i can reduce ESCKD

[mimikcampbell @friulichick]

SLTG2 inhibitors may prevent CHF worsening in absence of diabetes. DAPS HF study

[mimikcampbell @friulichick]

Hypertension promotes atrial fibrillation by increasing LV mass and wall thickness impaired diastolic filling left atrial enlargement