Hernan Franco

Endocrinologist @WesternU • MHPE @MaastrichtU • Former @McMasterIntMed & @uOttawaMed • Refugee Health Advocate • #Endocrine, #MedEd & #Equity • He/Him

[Kaitlin Stockton @mdmama_]

It’s not a doctor shortage. It’s a retention crisis.

When a job comes with crushing unpaid admin work and inadequate supports, people leave.

“Administrative burden has one in four family doctors considering leaving the profession or retiring early.” https://t.co/0zjtfpwGtK

[Anand Vaidya @AnandVaidya17]

New Primary Aldosteronism Guidelines - simpler, streamlined, and hopefully more pragmatic.

https://t.co/eMfP6fO1mF

[Anand Vaidya @AnandVaidya17]

Primary Aldosteronism is very common

This interactive case reviews how to recognize it, avoid pitfalls, and effectively help your patients @NEJM

https://t.co/OEQVZKYBcG

(free access with login)

[Dr. AK 🇮🇳 @docakx]

American Heart Association proposes to omit the following terminologies in it's latest scientific statement (May 2014)

❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙪𝙧𝙜𝙚𝙣𝙘𝙮

❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙘𝙧𝙞𝙨𝙞𝙨

Use of subjective emotive language such as 𝙘𝙧𝙞𝙨𝙞𝙨 and 𝙪𝙧𝙜𝙚𝙣𝙘𝙮 fail to acknowledge the nuances of treatment decisions and may encourage unnecessary antihypertensive treatment.

Therefore in a statement paper from AHA in May 2024, it is proposed the following objective terminology:

✅️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙚𝙢𝙚𝙧𝙜𝙚𝙣𝙘𝙮
🔸️SBP/DBP >180/110–120 mm Hg with evidence of new or worsening target-organ damage

✅️ 𝘼𝙨𝙮𝙢𝙥𝙩𝙤𝙢𝙖𝙩𝙞𝙘 𝙢𝙖𝙧𝙠𝙚𝙙𝙡𝙮 𝙚𝙡𝙚𝙫𝙖𝙩𝙚𝙙 𝙞𝙣𝙥𝙖𝙩𝙞𝙚𝙣𝙩 𝘽𝙋
🔸️SBP/ DBP >180/110–120 mm Hg without evidence of new or worsening target-organ damage

✅️ 𝘼𝙨𝙮𝙢𝙥𝙩𝙤𝙢𝙖𝙩𝙞𝙘 𝙚𝙡𝙚𝙫𝙖𝙩𝙚𝙙 𝙞𝙣𝙥𝙖𝙩𝙞𝙚𝙣𝙩 𝘽𝙋
🔸️SBP/DBP ≥130/80 mm Hg without evidence of new or worsening target-organ damage.

Source : The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association

https://t.co/LCXjHA2nE6

[ICES @ICESOntario]

Congratulations to ICES Western Site Director Dr. Kristin Clemens (@ICESWesternSD) who been appointed as the Diabetes Canada Chair in Diabetes Management at the @SchulichMedDent, @WesternU, effective March 1, 2024 - February 28, 2029. Learn more: https://t.co/59J7QjBNIe

[Schulich WesternU @SchulichMedDent]

Congratulations to Dr. Kristin Clemens (@KristinKClemens) on being appointed as the Diabetes Canada Chair in Diabetes Management at the Schulich School of Medicine & Dentistry, #WesternU @DiabetesCanada https://t.co/8dfV2Kb8nA

[Aisha Shaikh @aishaikh]

Interesting case. That pH!
Your thoughts?

[Zahra.Merali @MeraliZahra]

So excited to share our published work in @medsciedu!
➡️How can we teach our residents to teach?⬅️
@alisonlaiMD @KallirroiLaiya @InternAtWork

[Guillaume Marquis-Gravel @G_MarquisGravel]

It’s out! Delighted to introduce the new @SCC_CCS guidelines on #antiplatelet therapy, chaired by @BaineyKevin and I, with a group of 21 primary 🇨🇦 panelists.

https://t.co/CYwbfnlyBy

@ShamirMehta @ebelleycote @Ricky_Turgeon @Mtl_PlateletLab @brianpotter11 @Cardio_Girl

[Hernan Franco @hfranco85]

@Mariafbabyy @nyjets ❤️

[Jimmy Turner, MD @TPP_MD]

I’ll be happy when I become a resident, it’ll make all this studying worth it

I’ll be happy when I am an attending… that will solve my burnout

It’ll be happy when I buy a house… or car… or…

This is called an arrival fallacy, and it’s a big problem for a lot of doctors

1/

[Lady Glaucomflecken (she/her) @LGlaucomflecken]

It's time to play "Name! That! Defibrillator!" with Dr. Siobhan Deshauer!

[André Picard @picardonhealth]

There is growing evidence suggests more people are developing #diabetes after #COVID19 infection, but the mechanisms are still unclear, by @wencyleung
https://t.co/VPkgEtrB3g via @globeandmail

[Gurleen Kaur, MD @Gurleen_Kaur96]

1/ Strategies for medical management of obesity, presentation by @BevTchangMD #ASPC2023

Currently 5 meds FDA-approved for long term management of obesity ⤵️

[Dean Blundell🇨🇦 @ItsDeanBlundell]

All angry white racists who believe anything Pierre Poilievre says.

[Ben Thomson 🇵🇸 (He/Him) @BenNephrology]

In 2018, @pmofa health authorities in West Bank identified a critical shortage of diabetes specialists (endocrinologists). Thanks to the generous donors @IRCanada , the keys of health fellowship facilitated Dr Rjoob training to be a board certified endocrinologist. 1/2

[Irina Bancos @IrinaBancos]

Recovery from #Cushing surgery is difficult due to glucocorticoid withdrawal syndrome (GWS): muscle and joint aches, fatigue, weakness, mood and sleep changes. Longitudinal study @MayoClinicEndo
https://t.co/J2hFmM65ZQ

[DH @d0j0h]

I have never heard a more coherent, clear-eyed, unequivocal, honest, or compelling speech by PM Trudeau than this. This is what all of us should expect from every Canadian politician and public servant. It gets better and better the longer he speaks.

[Itamar Levinger @ItamarLevinger]

A comprehensive review focused on #BTM and their potential use in clinical settings "Bone Turnover Markers: Basic Biology to Clinical Applications" @EndocrineReviews
@TheEndoSociety
https://t.co/RGtqLzu18b