Neil Hamilton

emerg doc via @EMUofT/@MUNMed/@mcgillu. maritimer. i like outside.

[Neil Hamilton @neilh_]

@HumeralO 1000 year old Latin speaker in the comments: b-but you should just know that angina comes from “angere” which means “to choke or throttle” it’s really super intuitive

[Neil Hamilton @neilh_]

@davidcarr333 @petrosoniak Completing an annual attestation that i won’t attach my password to the computer monitor on a sticky note. As someone who uses a computer every day, it feels the same as saying I won’t stick my hand on a hot stove or eat yellow snow

[Neil Hamilton @neilh_]

@anish_koka Or you can send the chest pain patient to the cath lab and they die of an aortic dissection. This is a tragic story. I am curious where you heard that it was a missed MI? I am very doubtful that this was a failure of an established occlusion MI pathway.

[Neil Hamilton @neilh_]

@Rick_Pescatore Interested in this.
What were the case outcomes?
What evidence did you rely on when providing your support as the defence expert?
The patient died because they didn't receive potassium binders or the remainder of tx also wasn't adequate? How much of a delay to definitive care?

[Neil Hamilton @neilh_]

@garvs_72 Late to this. Is this from the phase 3 open-label or other? The patients with a higher K also receive more intensive "standard of care" treatment up front which coincidentally works in the first hour. Hypothesis generating yes. Medlegal standard of care tho? As you said non-sig

[Neil Hamilton @neilh_]

@ryancookeNL Ryan I don’t see this mentioned in your investigative article, but why were residents removed from the hospital? This is typically not a minor decision.

[Andrew Petrosoniak @petrosoniak]

On the backdrop of increasing ED wait times we have completely inept decisions by MOH @fordnation & @SylviaJonesMPP cutting MD hrs at St. Michael's Hospital @UnityHealthTO & other hospitals

Let's dig in 🧵
1/

@HumanFact0rz @davidcarr333 @raghu_venugopal
https://t.co/XBgVUsxyGo

[Neil Hamilton @neilh_]

@nickmmark The kind of written feedback you see next to “pass” likert score

[Neil Hamilton @neilh_]

Reasons pt leave ED:to feed pets, eat, use substances, sleep better
Hospital: no pets, EMR alarm after > 20mg of morphine, bright hallway bed. No food??
So many (sick) pt wouldn’t come let alone stay if no food. Decision makers have clearly never experienced food insecurity

[Parksy @PfParks]

What are we doing here Alberta?
We already barely have any food left in our EDs for those in need - EDs left with some toast and juice at the best of times
Where's the "care" in Health Care in AB?
What's next? Save on electrical bills and turn off the blanket warmers?
🧵

[Neil Hamilton @neilh_]

@petrosoniak But there was no evidence (based on two human observational studies totaling less than 100 patients) (and some animal studies with titles like “Effects of terbutaline and isoproterenol on hyperkalemia in nephrectomized rabbits” ,very applicable)

[Neil Hamilton @neilh_]

@davidcarr333 though idk that med needs any more "feel good save the world" greys anatomy. ppl should have an honest look at the challenges of EM so they don't come in blindsided. tough convos, systemic issues are on display. and we still choose it. camaraderie in the trenches.

[Neil Hamilton @neilh_]

Program communications: “we are one big happy family. You will have so much fun here!”
CaRMS communications: “you have made an unbreakable blood oath. There is no escape.”

[Neil Hamilton @neilh_]

@davidcarr333 @EmICUcanada @HumanFact0rz @emilyaustin @arunsayal1 @CVarnerEmerg @EMCases @RogueClaire @BogochIsaac @CREEurope @srrezaie @petrosoniak @EMUofT @MeganLandes @dremoc @eUSMD what a lineup!

[Neil Hamilton @neilh_]

Folks, more ramifications of using brand instead of generic names

[Shams Charania @ShamsCharania]

Mark Bartelstein of @PrioritySports to ESPN on client Bobby Portis' 25-game suspension, detailing what took place:

[Neil Hamilton @neilh_]

Good idea. To expand on this, we could have a tournament every 4 years that any country could qualify for. Different countries could bid to host it, and we could do the same for other winter sports at the same time.

[HEISENSBERG @heisensberg_]

Wouldn’t a 6 Nations Face-Off be better?

Add Team Russia and a Team “Rest of Europe” that includes players from Germany, Czechia, Switzerland etc.

Teams:
- Canada
- USA
- Sweden
- Finland
- Russia
- Europe

Make it so all of the world’s best players are represented.

#4Nations

[sean @_sn_n]

big day for whoever makes these things

[Neil Hamilton @neilh_]

unfortunately this is what happens when you expect to make money on real estate. housing should not be a retirement strategy, and if we treated this the same as the stock market you shouldn’t *expect* to make a profit on an investment. especially an unlivable shoebox condo.

[Shazi @ShaziGoalie]

Toronto man slashes $135K off condo price but still can’t sell

"My retirement nest egg is gone."

The grim reality of Toronto's condo market 🧵

[Neil Hamilton @neilh_]

@joshwangmd backing down from an anti NMDAR diagnosis bc the patient is only ++ delirium or coma

[Neil Hamilton @neilh_]

Types of helmets that don’t work:
Helmet strap hanging way below the chin
Helmet with strap undone
Helmet too big
Helmet too small
No helmet

[Neil Hamilton @neilh_]

@AlexMuccilli @petrosoniak I think “no coffee breaks” is the only thing that could get doctors to organize

[Neil Hamilton @neilh_]

Sometimes I wonder how doctors allowed all this to happen