My friends and I think a lot about what language to use with seriously ill patients and how it impacts healing. Sometimes we write about it for @MayoProceedings ❤️🩹@ProfLenBerry@gfgrafton
Never-Words: What Not to Say to Patients With Serious Illness https://t.co/OGrkQFgtGA
Im always so moved when people take the time to read, share and reach out directly about my words.
I’ve been able to connect with really incredible people!
Thank you @JAMANetwork https://t.co/goEQygJiHF
Findings from a new study by @SchulichMedDent researchers show #ChatGPT is not ready to help with medical diagnoses but can play a role in medical education and improving communication between physicians and patients. #WesternU
https://t.co/c9SyWERglS
🚨SickKids Emergency Dept. (ED) is seeing a rise in serious injury from e-scooter/e-bike use.
Helmets were not worn in more than 50% of these ED-related visits.
Children below the age of 16 should not operate e-devices.
Important safety tips here ⬇ https://t.co/pQhewjVyfR
the nervous excited energy that comes when starting your first staff MD job. Any advice or good habits to establish from the beginning? #PedsICU@ellerytcc
@nickmmark Crucial learning during my ICU fellowship was recognizing it's ok to say "I don't know" and decoupling my self worth from not knowing the answer to a question w no great answers. I think encouraging trainees it's ok to not know is a key part of encouraging a safe enviro.
@LifeandPICU 😥No judgment! If my dog died there would be a mourning period. We'd have a mini celebration of life. I'd cry. A lot. He's a member of our family.
What it’s like to be in healthcare right now:
“We will pay you $2 for that pie”
“But it costs me $4 in pie ingredients and $2 in human labor to make a pie. We need $6 to break even”
“Sorry, we’ll only pay you $2 for that pie. We suggest you make many more pies that you also sell for $2/pie. New requirement is 6 pies/day”
“But then we are still losing $4 per pie. How does making more pies help us?”
“We just found out flour is on shortage so you’ll have to buy more expensive imported flour and will lose $5 per pie. Or you can consider making pies without flour.”
“But I can’t make pies if we keep losing money on pies. And I can’t make pies without flour”
“We suggest you ditch rolling pins and remove any fruit filling as a cost saving measure. And consider limiting how much time you bake the pie for to use less oven time”
“But then how can I even make a pie that resembles a pie?”
“We appreciate the question and have no response. We empower YOU to solve this problem. We have scheduled 4 meetings to discuss how you can make more pies with less ingredients and less oven time and less labor”
“But it seems the root of the problem here is actually that we don’t get reimbursed fairly for our pies…”
“Don’t say that out loud. Please get back to making pies with no filling and no flour and no rolling pins and be sure to attend the meetings.”
#medtwitter #Pediatrics #insurance
Time to say goodbye 🥲, excited to go back home 🇧🇷 and recognizing how lucky I was to live this experience ! I’m sure that I became a better doctor and that I made friends for life all around the 🌎! Thanks @SickKidsCCM 💙🩵
Have you ever wondered if #PedsICU career trajectory in the United States is gendered?
@kitmanwai, the @DCpicufellows program director, addressed this question by putting together a huge #PICU career trajectory database.
You can read her article in @PedCritCareMed now!
2/2 N McKinnon and many others. Couldn't be more excited to start as a Pediatric Intensivist and Faculty @LHSCCanada and Western this July and continue #QI and #caringsafely research
1/2 Reflecting on my past 2 years at @SickKidsCCM. It's hard to put into words how much I have learned from the RNs, RTs, pharmacists and the entire PICU team. Truly thankful for my mentors who have supported me along the way including AnnichGail , @memabriseida, C Parshuram,
Goodbyes are the hardest, but they are a testament to how privileged we are and have been to cross paths here from all around the globe…and around the globe we will meet again my friends! Best of luck to all 🥹🙌🏻🥇
Want to know what 🇬🇧 #PedsICU professionals think are @PICSociety#pccssg research priorities post-pandemic? Our article is now out in @yourICM PN: https://t.co/xTwOaKcdSw
Top areas: complex decision making, antimicrobial Rx and rapid Dx, IV fluid restr, Staffing, AI & Outcomes
Citrate versus heparin anticoagulation in paediatric continuous renal replacement therapy
⬇️blood product transfusions needed
⬆️filter life
No citrate toxicity recorded
Electrolytes similar
Single centre prospective cluster analysis 🇬🇧
@PicPod_Podcast
https://t.co/XAP7smgQf9