Salpy Kelian

Once a front end developer, now internist. My views do not reflect that of my employer etc etc. Same handle

[Salpy Kelian @geranyl]

Hey @Providence_Hlth Your print CSS is broken and prevents docs from being able to print handouts for patients. Not all our patients have access to tech. There's no website feedback link on your site so I'm posting here.

[Consultant Specialists of BC @SpecialistsBc]

With continued underinvestment in BC's Specialist Care system, waitlists continue to grow and we don't have the Specialist workforce we need to serve BC patients.

🔗Read More: https://t.co/NdZCFf3efP

#InteriorHealth #SpecialistCare #HealthcareAccess #bcpoli #Kamloops

[Consultant Specialists of BC @SpecialistsBc]

In 2022, 1 million British Columbians were waiting to see a Specialist, and as of late 2024, that number grew to 1.2 million. Specialist wait times represent a vital sign of any healthcare system and we can’t fix the healthcare crisis until we fix access to Specialists.

[Salpy Kelian @geranyl]

Diet advice in clinic to my patient: “No specific diet has been effective. All the studies come to the conclusion that a whole foods, balanced diet is best.”

Me on a night shift: “The three Cs of call: caffeine, cookies, and candy!”

[Siyab Panhwar, MD @DrSiyabMD]

This belief is literally why tech has failed at medicine. People are not pieces of code that can be simply optimized.

Every doctor learns within a few months of practice that patients and medicine are not alway neat little algorithms and decision trees. Wild unpredictable shit happens that doesn’t make sense, *all the time*.

[Salpy Kelian @geranyl]

Best dictation error yet “her memory is not sigmoidoscopy impaired” - by a GI doc.

[Salpy Kelian @geranyl]

The EMR claims: “software solutions to deliver the best patient and provider experiences” … “pioneer innovative digital solutions for better outcomes”. The actual product: a 1990s nightmare maze of endless popup forms. Why are we ok with this garbage?

[Salpy Kelian @geranyl]

Love how @AirCanada priority still means nothing for luggage in Terrace even though they finally have an indoor carousel. Random order and endless waiting as always.

[Anton Helman @EMCases]

Need CME points & an EM knowledge explosion?
Video Streaming Packages of EM Cases Summit 2024, 2023, 2021 now available:
https://t.co/5560KnS6B8
#CME #emergencymedicine #meducation

[Medplum @Medplum1]

A laugh/cry moment from the community: Josh Kelly (@flexpa CTO) describes the experience of being a developer in healthcare. Developers in healthcare encounter "rats nest of brochureware websites" that don't solve our problems. https://t.co/oZcbmpe4qD

[Salpy Kelian @geranyl]

This. Additionally in rural areas it is often very difficult to find staffing and if there’s a leading employer in a small town (eg the mill, the port, the xyz factory) it is quite difficult to match salary and benefits they offer.

[Matt Walker @sleepdiplomat]

😴 Sleep’s Key Role in Memory Formation
During NREM and REM sleep, your brain strengthens important memories and integrates them into existing knowledge. Sleep is essential for turning short-term events into lasting understanding. Missing sleep disrupts this critical process. #SleepTips #MemoryBoost #Neuroscience

https://t.co/D1cJTCoBbx

[Benjamin Hibbert @benhibbertMDPhD]

I have few hills I will die on - but system based rounding is brutal. It doesn’t prioritize, it contributes to note bloat and it it’s a terrible way to communicate (you would never tell a story and lead with useless points). Especially in cardiac icu problem based rounding/notes is the only way to go esp as patients have multiple “cardiac” problems.

[Salpy Kelian @geranyl]

Accurate - no systemic approach, just reactionary measures, shuffling things around, and my favourite - hiring more unaccountable bureaucracy to “solve” the problem.

[André Picard @picardonhealth]

'Very much in a free fall' -- B.C. doctors sound the alarm as drop-in medical clinics disappear. Shortage of doctors and incentives to work in family practice has cut walk-in clinics by a third to a half in B.C., by @LazenbyAlec https://t.co/aOuuIr5prd via @VancouverSun

[Vanessa Young @Vanessa58386340]

@BC_GP_Shortage Josie Osborne, here’s a tip: 90% of health care funding needs to go to front line professionals, and 10% to admin. Here’s another: double the family medicine residency spots, #everyonehasafamilydoctorin4years and you’ll get elected again. You’re welcome. @markroseman @dr_voon

[Salpy Kelian @geranyl]

Friendly reminder to ED docs referring patients without a GP: general internal medicine does so much more than cardiology. No need to have a patient seen by rheumatology, nephrology, and IM for issues that could have all been managed by IM. IM - “not just for atrial fibrillation”

[Salpy Kelian @geranyl]

Neat summary for how lactulose works for hepatic encephalopathy!

https://t.co/Soen1voGOz

[Salpy Kelian @geranyl]

A lot of hateful responses about taxpayer $ here. Reminder that optimal management of chronic conditions before complications develop saves $ for everyone.

[Jagmeet Singh @theJagmeetSingh]

BREAKING

Despite Conservative attempts to block it — the NDP Pharmacare Plan has just passed through the Senate!

That means free birth control, diabetes medications and devices.

It means relief for people and less power for Big Pharma.

This is why we keep fighting.

[Salpy Kelian @geranyl]

Pet peeve: Consult letters for a patient you've never heard of with a buried line near the end "oh and this should be considered a referral to you". Just send a brief note in the cover letter the fax tacks on ...yes fax... how is this 2024. #healthcareBC

[Salpy Kelian @geranyl]

Wow. This really highlights the lack of compassion and respect for elders by Doug Ford. https://t.co/iAfaEZk0O1