user_id
stringclasses 269
values | chunk_id
stringlengths 12
15
| platform
stringclasses 1
value | content
listlengths 2
5
| timestamp
stringdate 2009-03-11 02:08:23
2023-04-19 22:13:58
|
|---|---|---|---|---|
HeatherM211
|
conv_5045#1000
|
twitter
|
[
{
"speaker": "SELF",
"text": "Best thing on twitter this morning"
},
{
"speaker": "OTHER",
"text": "Looks like this might be really useful. Unfortunately there is a paywall."
},
{
"speaker": "OTHER",
"text": "@MDaware @DrJenGunter All are welcome!! (Kingston is a lovely place to live and work if you’re interested in trying out Canadian Snickers bars)"
},
{
"speaker": "OTHER",
"text": "@murray_deem Omg I’m on my way over.... look at those!"
}
] |
2020-10-31T12:20:32+00:00
|
HeatherM211
|
conv_7226#1001
|
twitter
|
[
{
"speaker": "SELF",
"text": "Great to see this and to see the work we’ve done at Queen’s showcased. Congrats to @LaurenMaggio on this! @queensu @Queens_UGME"
},
{
"speaker": "SELF",
"text": "@JillianHortonMD - would you be willing to send a short message or record a short video to mark the occasion of our 3rd year medical students at Queen's starting their clinical learning? This \"white coat\" ceremony will happen in mid-January. Send me a DM if interested. Thx"
},
{
"speaker": "OTHER",
"text": "@picardonhealth - would you be willing to send a short message or record a short video to mark the occasion of our 3rd year medical students at Queen's starting their clinical learning? This \"white coat\" ceremony will happen in mid-January. Send me a DM if interested. Thx."
},
{
"speaker": "OTHER",
"text": "@guygavrielkay Currently working through it - she is mesmerizing!"
}
] |
2020-10-28T00:55:04+00:00
|
HeatherM211
|
conv_7919#1002
|
twitter
|
[
{
"speaker": "OTHER",
"text": "I like this exercise: “what is a reasonable range of views?”"
},
{
"speaker": "SELF",
"text": "@drpmacpherson @angiesalomon Here’s my opinion: the ED is no place for costumes. Period. If you feel the urge to celebrate Hallowe’en, feel free to wear some festive socks or a black and orange T-shirt underneath your scrubs."
}
] |
2020-10-21T20:04:38+00:00
|
HeatherM211
|
conv_5952#1003
|
twitter
|
[
{
"speaker": "SELF",
"text": "@alandrummond2 Oh Al. Good luck, and take care of yourself. Sad to hear this."
},
{
"speaker": "OTHER",
"text": "Oh this is a very nice thread. #CARL"
},
{
"speaker": "SELF",
"text": "'Psychological PPE' is what Britain's health professionals urgently need now https://t.co/gYU42MsIbA"
}
] |
2020-10-16T10:45:33+00:00
|
HeatherM211
|
conv_7035#1004
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Response from their publicity fail. Nice to see an acknowledgement and apology with concrete steps moving forward. Hoping they can move forward and earn the trust back (as they say)."
},
{
"speaker": "OTHER",
"text": "No. This is not and should not be a thing. Writing reference letters is part of the job of an academic."
},
{
"speaker": "SELF",
"text": "@shainadrummond @wearfigs @thestyleclique Was going to say exactly the same thing. Thank you."
}
] |
2020-10-13T15:14:09+00:00
|
HeatherM211
|
conv_6248#1005
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@FrannyCrawford1 ❤️"
},
{
"speaker": "SELF",
"text": "@Mimiblanc73 Oh - Thanks for that."
},
{
"speaker": "OTHER",
"text": "@RobsonJulia Yes - dying in covid times means the loss of rituals and gatherings. Amplifies the sadness, somehow. Thanks Julia."
},
{
"speaker": "OTHER",
"text": "@TabathaSouthey @uofg Thanks for that much needed smile, Tabatha. XO"
},
{
"speaker": "OTHER",
"text": "My Dad was a kind and lovely man. And so many other things. I will miss him forever. https://t.co/qAbn4ksN4V"
}
] |
2020-10-11T12:48:02+00:00
|
HeatherM211
|
conv_6522#1006
|
twitter
|
[
{
"speaker": "SELF",
"text": "@AnnetteHay1 @MattCheungMD @CDNCancerTrials @CIHR_IRSC congratulations, Annette!! Awesome news."
},
{
"speaker": "OTHER",
"text": "@BlairBigham @united @flySFO Congratulations!!"
},
{
"speaker": "OTHER",
"text": "@rojasfec @SciencePharmer We had a discussion in the classroom about pros/cons of guidelines. Main con = financial COI. To be clear - Did not endorse “shooting from the hip”!"
}
] |
2020-10-01T16:58:13+00:00
|
HeatherM211
|
conv_7358#1007
|
twitter
|
[
{
"speaker": "SELF",
"text": "@SciencePharmer Agreed. Hope you found our discussion interesting."
},
{
"speaker": "OTHER",
"text": "Loved reading this. Poignant and well written."
},
{
"speaker": "SELF",
"text": "Nice thread on a brand new RCT on intermittent fasting (“time restricted eating”) - worth a look"
}
] |
2020-09-28T15:55:41+00:00
|
HeatherM211
|
conv_5660#1008
|
twitter
|
[
{
"speaker": "SELF",
"text": "Nice blog summary of evidence around exercise and falls prevention for older patients. @MCG_MedEd @ChrisFrankCOE #Qmed"
},
{
"speaker": "SELF",
"text": "Love this one."
}
] |
2020-09-22T22:14:58+00:00
|
HeatherM211
|
conv_7662#1009
|
twitter
|
[
{
"speaker": "SELF",
"text": "Buckle up everyone...\nCOVID-19 outbreak hits Western University as five students test positive https://t.co/lDP6UsIpgv"
},
{
"speaker": "OTHER",
"text": "Tbh I have never wondered this. But regardless, an interesting tweetorial."
},
{
"speaker": "SELF",
"text": "@MDaware @FutureDocs https://t.co/tYX3VCemu5"
},
{
"speaker": "OTHER",
"text": "@MDaware @FutureDocs I’m just going to go ahead and start calling you Associate. Seems like a slam dunk tbh."
},
{
"speaker": "OTHER",
"text": "A lovely start to the day - watching paediatricians talk about their job.\n@bob_connelly check it out!"
}
] |
2020-09-09T12:43:48+00:00
|
HeatherM211
|
conv_2162#1010
|
twitter
|
[
{
"speaker": "SELF",
"text": "Chest tube drainage box thread - useful"
},
{
"speaker": "OTHER",
"text": "Read the article last week and these letters are also moving. Worth a few minutes. \n'You've given me new perspective': readers on Elliot Dallen's terminal illness articles https://t.co/bbkQX09qrD"
},
{
"speaker": "SELF",
"text": "@Jeffmasuda @queensu @cityofkingston @MOHKFLA Thanks for writing this. Exactly echoes my feelings."
},
{
"speaker": "OTHER",
"text": "“In the past week, students have descended en masse to the city. They have shut down our beach and they have treated our neighbourhood like a giant outdoor bar. They have... turned the entire University district into some kind of pandemic outbreak incubator.”"
}
] |
2020-09-08T21:48:21+00:00
|
HeatherM211
|
conv_1144#1011
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Another senseless tragedy from our roads, which continue to not be safe for cyclists."
},
{
"speaker": "OTHER",
"text": "Hey @mjbeyak I think this is what you we’re getting at. Interesting take!\n https://t.co/0fnCHqjh0O"
},
{
"speaker": "SELF",
"text": "@mjbeyak As for me... my middle aged indignation expands to adapt to any occasion. If you need more, let me know! lol"
},
{
"speaker": "SELF",
"text": "@mjbeyak Not sure, Mike. I know there was a brief attempt to enforce distancing that failed. I'm devastated as a neighbourhood user of an amazing resource now unavailable to me. Don't want to undermine public health + FTR was taken aback by the crowds at the pier the last few days."
}
] |
2020-09-05T21:12:30+00:00
|
HeatherM211
|
conv_3400#1012
|
twitter
|
[
{
"speaker": "SELF",
"text": "This is devastating. Understand the rationale but at the same time heartbroken. We’ve been loving the swimming in the morning and evening when there aren’t crowds."
},
{
"speaker": "SELF",
"text": "Our public health heroes are suddenly under attack. And it’s wrong https://t.co/YNffH8Kifd"
},
{
"speaker": "OTHER",
"text": "@MaggieHulbert I think it has to do with organization. And no, my inbox doesn’t have 8000 emails living free of files and labels, why do you ask?!"
},
{
"speaker": "OTHER",
"text": "On a meeting where we are discussing \"email hygiene\" and sadly this is me: https://t.co/NBBeXWL1B8"
},
{
"speaker": "OTHER",
"text": "Clearing Ontario’s surgery backlog could take over a year and a half, study shows https://t.co/kO4QxIZiEY"
}
] |
2020-09-02T02:18:35+00:00
|
HeatherM211
|
conv_4231#1013
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Sad news. If you haven’t seen his TED talk (discussed in this obituary) it’s well worth your time.\n\nhttps://t.co/jQ91GyCRwt"
},
{
"speaker": "OTHER",
"text": "As first female chair of neurosurgery, Gelareh Zadeh will steer training of the next generation of neurosurgeons https://t.co/ufzGPsZj3M"
},
{
"speaker": "SELF",
"text": "Endorse this plan. Twice a year hospital have tremendous disruption with time stamps, screwed up shifts and record keeping... for what purpose, exactly?"
},
{
"speaker": "SELF",
"text": "Most of you (smarter people than me) probably know this. But here's a PSA, just in case. \n\n*if you are screen sharing a document on zoom and someone texts you, and you open the window, everyone on your meeting can watch your text conversation*\n#awkward"
}
] |
2020-08-21T15:12:59+00:00
|
HeatherM211
|
conv_8885#1014
|
twitter
|
[
{
"speaker": "OTHER",
"text": "this is 100% truth"
},
{
"speaker": "OTHER",
"text": "@inkib Oh Ben - I don't know you but your tweet was on the top of my feed. I can't \"like\" it - feels too flippant for something this raw and profound. I so hope that you and your loved people can squeeze meaning and maybe even some joy into the time you have left."
}
] |
2020-08-19T17:38:03+00:00
|
HeatherM211
|
conv_8158#1015
|
twitter
|
[
{
"speaker": "SELF",
"text": "☎️ Hello, cardiology? Paging \n@adribaran"
},
{
"speaker": "OTHER",
"text": "@adribaran @Damonjdd1 @EAEisenhauer @RangLouise @drgigiosler @jacindaardern @DrAnnieHuang @helenbevan @GalaBaranchuk @AcostaRaimondi @clara_clarais @lucreciamburgos @Lukazelian @Misosaliprandi @DrAnneEllis @DrGDigby @DrMalaJoneja @DrMarthaGulati @purviparwani @aracelilm @EstelaRolon1 @LuzCabral3 @ClaudiaAlmont17 @Mdelsueldo @MujerSIAC @james_paulad @QueensuDOM @paomorejon @ValeriaRoman @Marian_Carbajal Thank you Adrian! 🙏"
}
] |
2020-08-19T10:09:44+00:00
|
HeatherM211
|
conv_6128#1016
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@DrGDigby Good luck! I’m serious, let me know if you need anything. Happy to help."
},
{
"speaker": "OTHER",
"text": "@andrewjtagg one for the (growing) LEGO file"
},
{
"speaker": "SELF",
"text": "I felt this way too. It made me cringe. But there aren’t enough female full professors, so...\nI was supported and encouraged by many colleagues inside and outside my department and I’d like to pay it forward. Please reach out if you are thinking about applying or have questions."
},
{
"speaker": "OTHER",
"text": "I was Obama’s Ebola tsar. US healthcare workers are dying at a shameful rate https://t.co/Jxlz6vEkd5"
},
{
"speaker": "SELF",
"text": "Decolonising dermatology: why black and brown skin need better treatment https://t.co/JmquFHjVnj"
}
] |
2020-08-13T10:21:03+00:00
|
HeatherM211
|
conv_2390#1017
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@bleep_boop1 @alandrummond2 congratulations, good luck and hang in there!!"
},
{
"speaker": "OTHER",
"text": "Repeat after me: This is an emergency https://t.co/bssgpMOcZM"
}
] |
2020-08-08T17:44:44+00:00
|
HeatherM211
|
conv_5673#1018
|
twitter
|
[
{
"speaker": "SELF",
"text": "This is a really interesting convo if you’re interested in research and medical students."
},
{
"speaker": "OTHER",
"text": "Wow. Just read this new structured review on PE from @bmj_latest - this is an excellent summary."
}
] |
2020-08-05T13:32:46+00:00
|
HeatherM211
|
conv_4505#1019
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Oh, this is a must read. Thanks @hosaysaid for digging deep for the rest of us."
},
{
"speaker": "SELF",
"text": "@YoniFreedhoff Ha I was wondering the same thing..."
}
] |
2020-08-03T11:04:34+00:00
|
HeatherM211
|
conv_4283#1020
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@kieranlquinn @AmolAVerma I wondered the same thing!"
},
{
"speaker": "SELF",
"text": "This is so sad. And frightening."
},
{
"speaker": "SELF",
"text": "I love this so much. Thanks for sharing!"
},
{
"speaker": "OTHER",
"text": "@TamaraMcColl @SSHorg @AKHallMD @chaplintim @Brent_Thoma @petrosoniak @c_forristal @georgemastoras @drcaners @jameslhuffman @Adam_Szulewski @christadakin @UManitoba_Emerg @UManitobaCPD @um_research @UM_RadyFHS It looks great - congratulations!!!"
},
{
"speaker": "OTHER",
"text": "I wonder if COVID-19 has caused people to refrain from providing bystander cpr - delays in chain of survival due to fear of close contact. Part of the equation?"
}
] |
2020-07-21T16:18:21+00:00
|
HeatherM211
|
conv_7755#1021
|
twitter
|
[
{
"speaker": "SELF",
"text": "A study about Canadian surgical training - and the ED was identified as a common location for gender- based harassment for trainees."
},
{
"speaker": "OTHER",
"text": "@lysalomax Everyone needs a “kind thoughts for hard days at work” jar. How lovely!!"
},
{
"speaker": "SELF",
"text": "Very nice work!\nDiagnosing acute aortic syndrome: a Canadian clinical practice guideline | CMAJ https://t.co/yUsf05IAlF"
},
{
"speaker": "SELF",
"text": "@charlesweijer @Andrew_McRae_EM @UCalgaryEM @westernuepibio @SchulichMedDent @CAEP_Docs Congratulations, Andrew!!"
},
{
"speaker": "OTHER",
"text": "@DFisman @EAEisenhauer @janephilpott @QueensUHealth @hockings Omg - your mom is Sandra Fisman? She was one if my favourite profs at Western. I did a child psych rotation with her and loved every second of it. A good teacher can transform a rotation for a medical student."
}
] |
2020-07-19T23:53:23+00:00
|
HeatherM211
|
conv_9774#1022
|
twitter
|
[
{
"speaker": "SELF",
"text": "@robertohle @ScienceNorth @Northern_Heroes @CTVNews @CBCNews @cbcmarkus @CBCSudbury @SudburyStar @GreaterSudbury @Katie_s_allan @NickelBelt @HeartandStroke @Ilcor_org Love this!!"
},
{
"speaker": "SELF",
"text": "@drsaminaali I get you, Hercules Mulligan. I get you."
}
] |
2020-07-17T00:04:55+00:00
|
HeatherM211
|
conv_7548#1023
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@drsaminaali Is he on your Zoom call? Amazing."
},
{
"speaker": "OTHER",
"text": "@drsaminaali Huh. Is the *snake* um.... affectionate?!?"
},
{
"speaker": "SELF",
"text": "@AlexandraMazur1 I’m really sorry to see this (and even sadder that you have to read emails like that). I’ve really appreciated your coverage of the Covid19 pandemic in Kingston and wanted to send you some online thanks for your hard work. Hang in there!"
},
{
"speaker": "OTHER",
"text": "This is a great animation."
}
] |
2020-07-14T14:04:51+00:00
|
HeatherM211
|
conv_9434#1024
|
twitter
|
[
{
"speaker": "SELF",
"text": "@robertohle @sarah_mcisaac @HSN_Sudbury Congratulations!!! What a great award - keep on inspiring us!"
},
{
"speaker": "SELF",
"text": "@trishgreenhalgh I’m sorry you’re receiving these messages. Thanks for your efforts in researching + disseminating findings. Super useful."
},
{
"speaker": "OTHER",
"text": "@AnnaBatchelor Shadow."
}
] |
2020-07-13T19:43:07+00:00
|
HeatherM211
|
conv_8842#1025
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@JonathanRose 😬😊"
},
{
"speaker": "SELF",
"text": "Same tbh"
},
{
"speaker": "OTHER",
"text": "@ChrisFrankCOE @queensu Does it need revitalizing? I love it as it is. Happy to think about it though..."
}
] |
2020-07-07T01:07:20+00:00
|
HeatherM211
|
conv_5458#1026
|
twitter
|
[
{
"speaker": "SELF",
"text": "@kerstindewit Winston! 😍"
},
{
"speaker": "OTHER",
"text": "@KariSampsel @emergmedottawa yay - congratulations!!!"
},
{
"speaker": "OTHER",
"text": "@OHSUEmergency @choo_ek @OHSU_CPREM Congratulations, Professor!!"
}
] |
2020-07-02T11:02:45+00:00
|
HeatherM211
|
conv_5378#1027
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Hey #Qmed - step 3! A critical part of the critique which is often overlooked."
},
{
"speaker": "OTHER",
"text": "your time wasting thread for today... I'm sure theres a lesson in here about cognitive bias but not quite sure how"
},
{
"speaker": "SELF",
"text": "Awesome - I was just thinking that we needed a *new* virus to stop us from getting too complacent... 🦠 😬"
}
] |
2020-06-30T16:58:47+00:00
|
HeatherM211
|
conv_4473#1028
|
twitter
|
[
{
"speaker": "SELF",
"text": "yes - this this exactly this."
},
{
"speaker": "OTHER",
"text": "@NeelaJan @Aidan_Baron I add dehydrated fruit sauce (applesauce, apple blueberry, whatever) then rehydrate with water and mix into oatmeal instead of milk. Applesauce dehydrates into practically weightless flakes!"
},
{
"speaker": "SELF",
"text": "@AlisonKabaroff Look at you all fancy with your “science” and “measurements.”"
},
{
"speaker": "OTHER",
"text": "@lizrenzetti @NightShiftMD I’m sorry you’re receiving this kind of vile messaging. I love your column and think you’re amazing if that’s any help."
}
] |
2020-06-28T16:12:12+00:00
|
HeatherM211
|
conv_2159#1029
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@TeamUrology @siemensr @CanUrolAssoc Such great news - congratulations!!"
},
{
"speaker": "SELF",
"text": "Buckle up. And wash hands / wear your mask!!"
},
{
"speaker": "OTHER",
"text": "@lysalomax @CMAJBlogs Actually as of yesterday, our own attending ED physician, Dr Eve Purdy!!! 🎉🥂👍\n@purdy_eve"
}
] |
2020-06-24T16:45:00+00:00
|
HeatherM211
|
conv_1511#1030
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@docsibley @j_thePA Taken at a lawn ornament factory. Almost 26 years ago... https://t.co/LcF8GkSueT"
},
{
"speaker": "SELF",
"text": "@mccusimano @AKatyukha @uoftobgyn @QueensUGME Ohhhh thanks!! What a lovely thing to read today. 🙏"
},
{
"speaker": "OTHER",
"text": "@TamaraMcColl @Qemerg @purdy_eve Yes!!! (not a surprise of course)"
},
{
"speaker": "SELF",
"text": "And a resident valedictory address from @Qemerg's own @purdy_eve - one of two residents selected for this huge honour! (she rocked it of course - with @Qemerg cheering on the sidelines)"
}
] |
2020-06-16T19:32:08+00:00
|
HeatherM211
|
conv_4727#1031
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Every word of this:\nIn the stay-at-home era, why have we so sorely neglected home care? https://t.co/mpltIJcGgj"
},
{
"speaker": "OTHER",
"text": "8pm EST - very exciting!!!"
},
{
"speaker": "OTHER",
"text": "@MDaware @LandoAware I grew up with a miniature daschund named Heidi. Here she is (on my lap) with me and my brother and sister sometime in the 1970s. Loved that dog so much - I'm glad that you and your family have Lando. https://t.co/0DsYWT2YAh"
},
{
"speaker": "OTHER",
"text": "@MDaware @LandoAware tbh I'm really only here now for #Landotwitter"
},
{
"speaker": "OTHER",
"text": "@dr_lisa_lcalder Congratulations!!! We are in good hands."
}
] |
2020-06-15T16:47:12+00:00
|
HeatherM211
|
conv_4472#1032
|
twitter
|
[
{
"speaker": "SELF",
"text": "The most exciting news!"
},
{
"speaker": "SELF",
"text": "Totally support this."
},
{
"speaker": "SELF",
"text": "Please don’t leave out the generalists who test and identify these cases. Emergency physicians and family doctors are frequently left out of these discussions. To the peril of the system, frankly."
}
] |
2020-06-06T17:28:32+00:00
|
HeatherM211
|
conv_7324#1033
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Queen's EM @Qemerg + @KingstonHSC nurses + support staff wanted to thank our #YGK community for your support. We raised $35K for the Lionheart COVID-19 Street Project, now matched by the Springer family! If you're financially secure, pls consider donating.\nhttps://t.co/JcSRXdPkLe"
},
{
"speaker": "SELF",
"text": "@alandrummond2 Last night at #CAEPgrandrounds @RicharLisa said that it starts with formal antiracism training in organizations. She also recommended this book.\nhttps://t.co/o1B4bBnyzl"
},
{
"speaker": "SELF",
"text": "Ugh and of course I mean advocating for others who are on the receiving end of racist acts. (I’m not advocating FOR racist acts obvi)\nBeen a long day!"
},
{
"speaker": "SELF",
"text": "@takhliqamir @CAEP_Docs @RicharLisa Finally there are clearly many things we can do as learners and as established physicians to work against structures that maintain or cause systematic discrimination. But I think the first step is to identify them. Again I defer to @RicharLisa for her thoughts"
},
{
"speaker": "SELF",
"text": "@takhliqamir @CAEP_Docs In terms of advocating for witnessed acts against others that is harder to answer in a blanket fashion. I’m going to tag @RicharLisa for her thoughts."
}
] |
2020-06-04T02:44:12+00:00
|
HeatherM211
|
conv_3442#1034
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@takhliqamir @CAEP_Docs Student harassment reporting is confidential and protected and allows for debriefing at the very least."
},
{
"speaker": "SELF",
"text": "@takhliqamir @CAEP_Docs Hi - thanks for asking. I think that it’s often hard for students because they can feel (and sometimes sadly are) at risk of affecting evals (+ careers) if they speak out. First, all med schools have reporting structures for any kind of harassment, including racism."
},
{
"speaker": "OTHER",
"text": "Also features @leifsok"
},
{
"speaker": "OTHER",
"text": "@DungeyPaul @dwmessenger @JanetvanVlymen Yay!! Such great news. So glad to hear this."
}
] |
2020-06-02T01:40:51+00:00
|
HeatherM211
|
conv_2649#1035
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Super excited to talk with these thoughtful people about advocacy next week - CAEP’s first National EM Grand Rounds."
},
{
"speaker": "OTHER",
"text": "@MaddyLemke Adjust your post call expectations for yourself. You’re unlikely to write your NEJM paper or even organize your closets. Some sleep, some food, some exercise (a walk outside qualifies)... and you’re good! Groceries or laundry? You’re a post call hero now."
}
] |
2020-05-28T17:25:04+00:00
|
HeatherM211
|
conv_6978#1036
|
twitter
|
[
{
"speaker": "SELF",
"text": "@drsaminaali @yoga_junkie_ Yeah. Let’s go with that."
},
{
"speaker": "OTHER",
"text": "“We have a province larger than France, but we have this dysfunctional messaging that’s treating Algoma the same way it’s treating Toronto the same way it’s treating Kingston”\nFavourite quote from this interview."
},
{
"speaker": "SELF",
"text": "@AngelaVarrin @ChrisFrankCOE @queensu Thank you! 🙏"
}
] |
2020-05-25T00:44:07+00:00
|
HeatherM211
|
conv_6324#1037
|
twitter
|
[
{
"speaker": "SELF",
"text": "@AnnetteHay1 @EAEisenhauer This is my fave so far!"
},
{
"speaker": "OTHER",
"text": "@yao_gordon Congratulations Dr. Yao!!!"
},
{
"speaker": "SELF",
"text": "@Alison_Somer @QueensUGME Congratulations Dr. Bell!!!! Huge milestone."
},
{
"speaker": "SELF",
"text": "@MaddyLemke And hahaha thank you! I definitely enjoy the memes but glad to see that I’m more than just a meme..."
}
] |
2020-05-21T20:31:01+00:00
|
HeatherM211
|
conv_2726#1038
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@MaddyLemke Thanks very much for your lovely thoughts - so appreciated!!"
},
{
"speaker": "OTHER",
"text": "@JennS_625 @queensu Least I could do to try to properly acknowledge a massive milestone. Congratulations to the class of 2020!!"
},
{
"speaker": "SELF",
"text": "Hey #qmed @queensu - I’m here in front of Grant Hall for zoom graduation - celebrating Queens Medicine class of 2020!!! https://t.co/IgXuC8Sgxp"
},
{
"speaker": "SELF",
"text": "@MaggieHulbert It makes me laugh now but I remember it spinning me into a bit of a crisis of self doubt. The judgement hung over me for months."
},
{
"speaker": "OTHER",
"text": "@MaggieHulbert I also had a very bad anesthesia rotation as a clerk... hated every second, was grilled mercilessly about anesthetic drugs (about which I knew nothing)and then at the end I was told that I “lacked intellectual curiosity!”"
}
] |
2020-05-21T13:34:56+00:00
|
HeatherM211
|
conv_7450#1039
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@eccucourse Oh. My. Goodness."
},
{
"speaker": "OTHER",
"text": "@LGlaucomflecken I’m linking you with @drsaminaali - you and she are both husband lifesavers with middle of the night CPR. \nIf anyone knows how to navigate next steps (like how to sleep again), she does. \nAlso she’s worth knowing regardless!! An all round excellent human."
}
] |
2020-05-15T17:35:16+00:00
|
HeatherM211
|
conv_1586#1040
|
twitter
|
[
{
"speaker": "SELF",
"text": "@itsaeuphemism This is amazing"
},
{
"speaker": "OTHER",
"text": "@DrMalaJoneja I’m sorry to hear this Mala. Hope you are ok."
}
] |
2020-05-15T16:16:57+00:00
|
HeatherM211
|
conv_1298#1041
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@rachieks Same. Awful."
},
{
"speaker": "OTHER",
"text": "@OpenResLeeds @wikimediauk Happy to send you a version. DM me."
},
{
"speaker": "OTHER",
"text": "Ok 2020. That is ENOUGH. Seriously. \nThank goodness you’re alright"
},
{
"speaker": "OTHER",
"text": "Hey #Qmed @Qemerg - any thoughts for @AcadMedJournal?"
}
] |
2020-05-13T00:55:31+00:00
|
HeatherM211
|
conv_6943#1042
|
twitter
|
[
{
"speaker": "OTHER",
"text": "(it doesn't really make up for everything - but it might help after today's thunder-snowsquall)"
},
{
"speaker": "OTHER",
"text": "@AudreyGruneberg Oh that’s so nice - Thanks!! Best of luck at Western. I loved it there."
},
{
"speaker": "OTHER",
"text": "@ChuckWendig Oriented, not orientated. Petty and pedantic but I cannot, will not, let this go."
},
{
"speaker": "SELF",
"text": "@AudreyGruneberg @SchulichMedDent Congratulations!!! Super exciting. (I was in UWO, class of 1992). #purpleandproud"
},
{
"speaker": "SELF",
"text": "@Dr_ChrisSimpson @adribaran my favourite is the \"scar mediated V tach\" one with junctional rhythm a close second"
}
] |
2020-05-12T13:43:26+00:00
|
HeatherM211
|
conv_1965#1043
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@iDuchaine I’m sensing a theme"
},
{
"speaker": "OTHER",
"text": "@sarahleonard22 @alexsummers4 @JamieCSummers Also support"
},
{
"speaker": "SELF",
"text": "@FrannyCrawford1 Me too!"
},
{
"speaker": "SELF",
"text": "Um... I think @Dr_ChrisSimpson and @adribaran might enjoy this!"
},
{
"speaker": "SELF",
"text": "@emlitofnote Wow that’s amazing! I worked in New Zealand for a year and loved it. Many ex-pat Americans working in EDs there. Congratulations!!"
}
] |
2020-05-12T12:03:49+00:00
|
HeatherM211
|
conv_9261#1044
|
twitter
|
[
{
"speaker": "SELF",
"text": "A Mass Casualty In Slow Motion: Emergency Medicine During the COVID-19 Surge in New York City – emupdates https://t.co/k4G02ReHrt"
},
{
"speaker": "SELF",
"text": "Reflections on “hallway medicine” from @purdy_eve @CMAJ\nNormalizing deviance – CMAJ Blogs https://t.co/StbQ71kTgd"
},
{
"speaker": "SELF",
"text": "Letter to @TorontoStar from 19 ID doctors - COVID19 is droplet spread.\nhttps://t.co/1oF7jkSAbn"
},
{
"speaker": "OTHER",
"text": "@AnneLougheed this is indeed amazing"
},
{
"speaker": "SELF",
"text": "@EricMTrautmann @sbarolo @shrewshrew Oh oh oh can we do corporate speak words next?!? “Learnings” (noun) is my personal fave. Next to “blue sky” (verb)."
}
] |
2020-05-09T18:52:15+00:00
|
HeatherM211
|
conv_1426#1045
|
twitter
|
[
{
"speaker": "SELF",
"text": "John was a lovely, gentle and supportive colleague and a friend. My heart is breaking for his family. He will be so missed."
},
{
"speaker": "SELF",
"text": "@TabathaSouthey @FCanuckistan Yup"
},
{
"speaker": "OTHER",
"text": "Excellent."
},
{
"speaker": "OTHER",
"text": "\"excited\" is not exactly how I spell \"horrified\""
},
{
"speaker": "SELF",
"text": "@ellkaydee It’s mostly just a horrific picture of school in the age of covid."
}
] |
2020-05-05T13:38:20+00:00
|
HeatherM211
|
conv_3759#1046
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@ellkaydee I’m sure that argument has be made - whether it’s a legitimate risk? Unknown. I always thought instruments were more a risk to the player if not cleaned. Not an area in which I have expertise"
},
{
"speaker": "OTHER",
"text": "More news about Quebec school reopening plans from this article: “...typical teaching strategies, such as group work, hands-on learning and guided reading, would not meet safety guidelines.” \nJust... wow."
},
{
"speaker": "OTHER",
"text": "Music and art are critical and not known to have physical contact. I feel sure there are creative ways to teach distanced Phys Ed and drama also. This sounds completely horrible (other than the class sizes)."
},
{
"speaker": "OTHER",
"text": "“The way to avoid congregations of people in parks and on streets is not to punish them for being out-and-about, it’s to create more space.”"
},
{
"speaker": "OTHER",
"text": "@AudreyGruneberg @somegoodnews @queensu Right?!"
}
] |
2020-05-04T23:14:46+00:00
|
HeatherM211
|
conv_7205#1047
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@ddale8 Oh I *loved* that album! Thanks for the reminder... will load it up on the playlist."
},
{
"speaker": "OTHER",
"text": "One of the sad things about 2020 was not being able to celebrate graduations of all kinds. Losing that ritual was hard - this @somegoodnews episode was really lovely as a result. And so happy and surprised to see some @queensu grads at the end! https://t.co/Q9NZ4RBsEj"
},
{
"speaker": "SELF",
"text": "@caycedomarula @QueensGenSurg @queensu @KingstonHSC @QueensUHealth @DeanOnCampus @epipatelmd Welcome! And nice to meet you at the security photo booth..."
},
{
"speaker": "OTHER",
"text": "@CampusSecurity @queensu Ok thanks. Phew. \nMight be good to have different language on the ticket: “is this bike abandoned” instead of “you are in violation of our policy.” Especially bc policy site you are told to check does not mention anything about annual cleanup."
}
] |
2020-05-03T11:51:24+00:00
|
HeatherM211
|
conv_9359#1048
|
twitter
|
[
{
"speaker": "SELF",
"text": "@rubyella1984 @queensu @CampusSecurity One of many ticketed on Friday I’m told. Not sure what’s up?"
},
{
"speaker": "OTHER",
"text": "@gordhunter @queensu I’ve heard the same from a few ppl now. Wondering if it’s some sort of spring clear out of abandoned bikes and we all just got hit with warnings? But surely there would be different language to communicate that?"
},
{
"speaker": "OTHER",
"text": "Thank you!!!"
},
{
"speaker": "SELF",
"text": "@NurseStrider @queensu It was attached to my bike with a twist tie. Legitimately unclear what I did to violate the policy. According to the parking website they ticket and then impound your bike so would like to sort this out before my bike goes on an unplanned trip."
},
{
"speaker": "OTHER",
"text": "Hey @queensu - got a ticket yesterday telling me I’m violating the university’s bike parking policy. Was parked here outside the new medical building. Totally unclear how I’m in violation?!? https://t.co/QS80L4ruMy"
}
] |
2020-05-02T16:41:22+00:00
|
HeatherM211
|
conv_2860#1049
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@DavidJuurlink Yeah I get that. But we won’t be shaking hands with patients if/when we stop doing it societally as a cultural greeting habit. Was mostly just musing on how everything has changed. I miss my pre-covid life (medical and otherwise)."
},
{
"speaker": "SELF",
"text": "@DavidJuurlink I used to shake hands with many patients when I met them. Always did with elderly patients. Felt like a warm gesture in the ED and a way to connect. Always washed hands before and after patient contact so did not seem as crazy as it does now in covid19 land. I miss it, actually."
},
{
"speaker": "SELF",
"text": "This is a great one pager. Great job!!"
},
{
"speaker": "SELF",
"text": "Love this group so very much. Great great people."
}
] |
2020-05-01T21:54:27+00:00
|
HeatherM211
|
conv_2213#1050
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@kerstindewit 🤔"
},
{
"speaker": "SELF",
"text": "@jddneary @ericpaulimd Underrated tweet."
},
{
"speaker": "SELF",
"text": "@sbarolo @c_mckinley @AnnyckBC @AllostEricSite @CataPhD @teresamarx It has special meaning for Canadians...\nhttps://t.co/9oS7xWcQNg"
},
{
"speaker": "OTHER",
"text": "@sbarolo @c_mckinley @AnnyckBC @AllostEricSite @CataPhD @teresamarx MOIST (shudders)"
},
{
"speaker": "OTHER",
"text": "@AKHallMD @AcadMedJournal @Qemerg @elainevanmelle @drjfrank @Damonjdd1 @Jessica_V_Rich @sherbino @kweersin @GlenBandiera Nice job Andrew!!"
}
] |
2020-04-30T12:34:15+00:00
|
HeatherM211
|
conv_4623#1051
|
twitter
|
[
{
"speaker": "SELF",
"text": "Best thing on twitter today! HT @purdy_eve"
},
{
"speaker": "OTHER",
"text": "Pleased to report that I have joined the editorial team @CMAJ. Super excited to support knowledge dissemination in Canada and beyond, and looking forward to working with @AndreasLaupacis and team!"
},
{
"speaker": "OTHER",
"text": "Well now that you put it like that..."
},
{
"speaker": "SELF",
"text": "Yes yes yes"
}
] |
2020-04-25T19:42:12+00:00
|
HeatherM211
|
conv_4214#1052
|
twitter
|
[
{
"speaker": "SELF",
"text": "A fun collaboration from #Qmed students. Talented and unstoppable even when 2020 happens. \n\nStand (6ft) By Me - A Virtual Collab by Queen's Med Students and Friends - YouTube https://t.co/FMwEOpXgL3"
},
{
"speaker": "SELF",
"text": "@scottwakeham @Woodenheads @QueensUGME Socially distant graduation. The wooden heads stove is the best part of this masterpiece..."
},
{
"speaker": "SELF",
"text": "A worthy champion! Also enjoyed the other medalists. Thanks for an enjoyable distraction."
},
{
"speaker": "OTHER",
"text": "From a collection of publicly available details on health worker deaths in UK (caution low quality data) - Highlights the disproportionate death rates in Black, Asian and minority ethnic (BAME) HCWs that has been reported elsewhere."
},
{
"speaker": "SELF",
"text": "@GowerMD Ah I thought it was me because we took off our snow tires..."
}
] |
2020-04-21T17:43:01+00:00
|
HeatherM211
|
conv_6852#1053
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Cathal Kelly is reliably excellent - and this piece particularly so."
},
{
"speaker": "SELF",
"text": "@jgordonboyd Saw this on the weekend: your pandemic alcoholic name = your first name plus your last name...."
}
] |
2020-04-20T20:32:22+00:00
|
HeatherM211
|
conv_9277#1054
|
twitter
|
[
{
"speaker": "SELF",
"text": "@purdy_eve @TheSGEM @alandrummond2 @bob_connelly @KFLAPH @MOHKFLA Agreed decision being made by thoughtful people in possession of community-based data. Not my call nor would I presume to second guess it."
},
{
"speaker": "SELF",
"text": "Love this idea @KingstonHSC"
},
{
"speaker": "SELF",
"text": "@davidcarr333 @srrezaie @EMSwami @EMManchester @Rick_Pescatore @embouncebacks @amalmattu @emupdates @EmICUcanada @HedayatiMD @MDaware @richardbody @rob_cosentini @katplenk @jeremyfaust @LWestafer Worked 9/10ths of a shift the other day without realizing I’d forgotten to take it out"
}
] |
2020-04-19T16:20:41+00:00
|
HeatherM211
|
conv_8566#1055
|
twitter
|
[
{
"speaker": "SELF",
"text": "@cliffreid Ghostbusters - originals and the remake"
},
{
"speaker": "OTHER",
"text": "@itsaeuphemism @smjoyceindy Rob. Did you vote zenith?"
},
{
"speaker": "SELF",
"text": "@smjoyceindy It’s dilemmas like this that keep me going."
}
] |
2020-04-17T18:49:10+00:00
|
HeatherM211
|
conv_1336#1056
|
twitter
|
[
{
"speaker": "SELF",
"text": "@smjoyceindy Right? Also who in their right mind would vote for zenith when labyrinth is available!"
},
{
"speaker": "SELF",
"text": "I have to say that voting on the #wordbracket match-ups is rapidly becoming the day's highlight. Highly recommend."
},
{
"speaker": "OTHER",
"text": "@jesstrier @MCG_MedEd @Damonjdd1 Glass of wine is a nice touch"
},
{
"speaker": "OTHER",
"text": "@DoctorFitz And finally - anything by Atul Gawande: Being Mortal, the Checklist Manifesto. Complications... all excellent and thought provoking. He wrote a magazine piece about coaching that changed the way I think:\nhttps://t.co/s6puRZF7Ak"
},
{
"speaker": "OTHER",
"text": "@DoctorFitz Why? First one is amazing “biography of cancer”\nNext one an eloquent account of illness + grief but also love and grace in the face of a life cut short.\nCutting for Stone is outstanding (medical) fiction.\nThe last 2 are insightful/wry reflections on medical training."
}
] |
2020-04-11T11:57:59+00:00
|
HeatherM211
|
conv_2689#1057
|
twitter
|
[
{
"speaker": "SELF",
"text": "@DoctorFitz Emperor of All Maladies by Siddartha Mukerjee. \nWhen Breath Becomes Air by Paul Kalanithi \nCutting for Stone by Abraham Verghese\nAnd a couple of training memoirs by women: \nA Not Entirely Benign Procedure by Perri Klass and\nThis Won’t Hurt a Bit by Michelle Au"
},
{
"speaker": "SELF",
"text": "@caycedomarula @QueensGenSurg @queensu Congratulations to both of you and looking forward to being your colleague!"
},
{
"speaker": "SELF",
"text": "@TheSGEM @hotSahs @SarabSodhi @SAEMEBM @ffolliet @EMSwami @srrezaie @EMManchester @EMNerd_ @reverendofdoubt @PulmCrit @meganranney @AliRaja_MD @Rick_Pescatore Link to observational data -> decreased number of hair washes post cap wearing. Unpublished data; personal communication.\nLol"
},
{
"speaker": "OTHER",
"text": "@hotSahs @TheSGEM @SarabSodhi @SAEMEBM @ffolliet @EMSwami @srrezaie @EMManchester @EMNerd_ @reverendofdoubt @PulmCrit @meganranney @AliRaja_MD @Rick_Pescatore Same - and also to reduce hairwashing burden.\nObservational level of evidence."
}
] |
2020-04-09T16:25:39+00:00
|
HeatherM211
|
conv_2032#1058
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@Eleytherius Same!! \nhttps://t.co/qpTqf60jls"
},
{
"speaker": "OTHER",
"text": "Having irrational envy of people with laptop processor capability that can change their zoom backdrop. Pandemic day who knows - this is what my life has become."
},
{
"speaker": "OTHER",
"text": "@bob_connelly https://t.co/2E4jIhR0mb"
},
{
"speaker": "SELF",
"text": "Hey @verified @Twitter please consider @bob_connelly - a neonatologist who disseminates information about neonatology, Pediatrics, child health and medical education."
}
] |
2020-04-09T00:06:04+00:00
|
HeatherM211
|
conv_1811#1059
|
twitter
|
[
{
"speaker": "SELF",
"text": "@verified @twitter please consider verifying @DrAnneEllis who is a tremendous source of high quality information on allergies and asthma"
},
{
"speaker": "OTHER",
"text": "@verified @Twitter please consider verifying Dr Kieran Moore @MOHKFLA - he is our Kingston Ontario chief of public health and full of useful / helpful information."
},
{
"speaker": "OTHER",
"text": "@hclindsMD @QueensUGME Heather! ❤️\nStay safe."
}
] |
2020-04-08T22:42:38+00:00
|
HeatherM211
|
conv_5157#1060
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Really proud and moved by the class of 2020 who created the most lovely “last class” today. You guys have handled this covid situation with grace and resilience. I know you will be great doctors and the world will be better for it. #Qmed"
},
{
"speaker": "SELF",
"text": "@AAMorra13 @bob_connelly Accepted with gratitude."
},
{
"speaker": "SELF",
"text": "@AAMorra13 @bob_connelly Forgiven. I shall expect my apologetic CARL salute poem shortly ..."
}
] |
2020-04-08T18:01:35+00:00
|
HeatherM211
|
conv_1016#1061
|
twitter
|
[
{
"speaker": "SELF",
"text": "@TheSGEM @EMNPKat @meganranney @AliRaja_MD @jeremyfaust @MDaware @thenntgroup @EddyLang1 I think we need the NNZ (number needed to zoom)"
},
{
"speaker": "SELF",
"text": "@bob_connelly What about the gratuitous CARL slander?! Ouch. https://t.co/D5Ne0KqpjJ"
},
{
"speaker": "SELF",
"text": "💯this"
},
{
"speaker": "SELF",
"text": "@DrJenGunter Checks out"
}
] |
2020-04-07T12:17:13+00:00
|
HeatherM211
|
conv_8137#1062
|
twitter
|
[
{
"speaker": "SELF",
"text": "US blocks millions of N95 face masks headed for Canada https://t.co/AhQms1enag"
},
{
"speaker": "SELF",
"text": "@AnneLougheed @jbaliamier @alecross1 @twusan @CathySantyr @FlyingVirg @JonathanRose Lol. Don’t usually pick up but needed something non covid related on my feed!"
},
{
"speaker": "SELF",
"text": "@AnnetteHay1 @jpater45 @Limapda @james_paulad @DrGDigby @Scottyboy1976 I have 2 matches on your list Annette..."
},
{
"speaker": "SELF",
"text": "@AnnetteHay1 @jpater45 @Limapda @james_paulad @DrGDigby @Scottyboy1976 Hahaha ok.\nBrooklyn 99\nScrubs\nThe West Wing\nGreat British Baking Show\nDr. Who\nThe Crown\n\n6 shows 6 friends\nTagging @purdy_eve @bob_connelly @AnneLougheed @dwmessenger @sikitula @lkd"
},
{
"speaker": "SELF",
"text": "@leifsok Eddie Gizzard is my fave"
}
] |
2020-04-05T00:20:38+00:00
|
HeatherM211
|
conv_6436#1063
|
twitter
|
[
{
"speaker": "SELF",
"text": "@EMCases Asked this am but no responses - has anyone tried this with other N95 types?"
},
{
"speaker": "SELF",
"text": "@purdy_eve @dwmessenger @drjfrank ❤️"
},
{
"speaker": "SELF",
"text": "@mmurr27 @MurraysWhoTweet Not soon enough. Long time to ensure that’s it’s safe and works. Wash your hands and stay home."
}
] |
2020-04-02T15:55:53+00:00
|
HeatherM211
|
conv_3712#1064
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@MurraysWhoTweet Pedantic Murray of the day says “Epiglottis” with 2 Ts lol"
},
{
"speaker": "OTHER",
"text": "@MurraysWhoTweet Ah man! I’m on a zoom meeting so only dipping in and out of twitter. Go Murray’s, go!!"
},
{
"speaker": "SELF",
"text": "@MurraysWhoTweet Wowww a question made for me but saw it too late lol"
}
] |
2020-04-02T15:40:15+00:00
|
HeatherM211
|
conv_3380#1065
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Same tbh"
},
{
"speaker": "OTHER",
"text": "This is great for this type of N95 - anyone tried it with others?"
},
{
"speaker": "SELF",
"text": "@jddneary I was just thinking the same thing!"
},
{
"speaker": "OTHER",
"text": "@MaddyLemke @halletjulie @ZuhaibMir This is amazing. If only I could have seen that instead of my slides!!!"
}
] |
2020-04-01T22:48:31+00:00
|
HeatherM211
|
conv_7097#1066
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Medical education right now. https://t.co/mKA3W9OYIC"
},
{
"speaker": "SELF",
"text": "@itsaeuphemism @bob_connelly I expect nothing less"
},
{
"speaker": "OTHER",
"text": "Love it.\n@itsaeuphemism @bob_connelly"
},
{
"speaker": "OTHER",
"text": "@963bigfm Ah that sucks. I’ve had a locked bike stolen and a locked bike stripped while parked at @KingstonHSC - it’s a slap in the face at the best of times and now... just brutal. Grrrrr"
}
] |
2020-04-01T02:02:02+00:00
|
HeatherM211
|
conv_8216#1067
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@MaddyLemke @halletjulie @scottwakeham @erin_landau Wait wait wait you can play Catan online?!?"
},
{
"speaker": "SELF",
"text": "@ellkaydee"
},
{
"speaker": "OTHER",
"text": "@bob_connelly @saraconns @luke_connelly @EGruenwoldt Yes yes yes this is the content we need rt now"
}
] |
2020-03-31T11:51:34+00:00
|
HeatherM211
|
conv_4386#1068
|
twitter
|
[
{
"speaker": "SELF",
"text": "@Stella_Yiu @MDaware hey i wasn't saying i disagreed with the direction the account is taking!\n#loveitSeth"
},
{
"speaker": "SELF",
"text": "@MDaware Are you an all penguin account now Seth"
}
] |
2020-03-30T18:17:21+00:00
|
HeatherM211
|
conv_3895#1069
|
twitter
|
[
{
"speaker": "SELF",
"text": "@DrAprilBoyd1 Congratulations!!"
},
{
"speaker": "SELF",
"text": "“The doubling time for studies rivals any coronavirus.”\n@RichardLehman1 returns with his (much welcomed) weekly blog focused on covid 19 and evidence updates."
},
{
"speaker": "SELF",
"text": "@HumanFact0rz @docpgb @petrosoniak @KariLynWhite @EmICUcanada @EMSwami @jbeckesmay @emupdates seems like there is lots of heterogeneity but CAS webinar panel yesterday said yes, absolutely. @drlauraduggan @doctimcook"
},
{
"speaker": "SELF",
"text": "@doctimcook @drlauraduggan @georgemastoras Thanks for reviewing - much appreciated!"
}
] |
2020-03-30T12:11:45+00:00
|
HeatherM211
|
conv_5924#1070
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@travellator2 Yes - there was disagreement about the role of front of neck access from panel. No disagreement that it creates lots of aerosol."
},
{
"speaker": "OTHER",
"text": "CAS covid intubation panel not in agreement about anatomically difficult airway, see below about cric infection issues"
},
{
"speaker": "SELF",
"text": "Some nice pearls here - including a question about using HFNC and covering or face with with NRB mask - instead of oxygen tubing, connect NRB to suction, removing aerosol. Love the outside the box thinking!"
}
] |
2020-03-30T00:41:03+00:00
|
HeatherM211
|
conv_3614#1071
|
twitter
|
[
{
"speaker": "SELF",
"text": "@drrandywax Haha we should have a naming contest."
},
{
"speaker": "OTHER",
"text": "@purdy_eve Also ogling your towers of equipment with envy/desire/covetousness"
}
] |
2020-03-29T18:44:55+00:00
|
HeatherM211
|
conv_1706#1072
|
twitter
|
[
{
"speaker": "SELF",
"text": "4) Many sample approaches and guidance from groups who have thought a lot about this and have lived experience. Use their work which is shared ++ on many platforms (including this webinar which will also be shared)."
},
{
"speaker": "SELF",
"text": "OK we are wrapping up. Here are my key takeaways. 1) develop shared mental model with team. 2) practice (SIMULATION) and use aids to relieve cognitive load checklists etc 3) Standardized approach across institution for drugs and technique"
},
{
"speaker": "SELF",
"text": "Some variation of opinion on panel about black and white nature of awake intubation being contraindicated. This is a difficult situation and decision."
},
{
"speaker": "OTHER",
"text": "If anticipated very difficult airway may mean different decisions (i.e. front of neck access as initial attempt). First priority is to protect staff."
},
{
"speaker": "SELF",
"text": "Summary comments. These are physiologically difficult airways but not *usually* anatomically difficult airways. However - remember that awake techniques are contraindicated here. Anything that makes patients cough is BAD."
}
] |
2020-03-29T18:32:37+00:00
|
HeatherM211
|
conv_3580#1073
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@georgemastoras stressing need for open lines of communication and cross-disciplinary collaboration. Ottawa does not yet have dedicated intubation team but discussions ongoing."
},
{
"speaker": "SELF",
"text": "Comment from Vancouver - also has a dedicated team for intubation within hospital led by anesthesia. Vancouver has a tent outside the ED for crash intubations with no time to call anesthesia led team and ED does the crash tubes there"
},
{
"speaker": "SELF",
"text": "Panel wrapping up. Now answering questions - Q who is intubating in your hospitals? Is there an intubation team?\nA - UK and Italy have convened institutional mobile intubation teams. All intubations done by dedicated team"
},
{
"speaker": "OTHER",
"text": "Airway collaboration is collecting anonymous data to try to ascertain hcw transmission information and learn more about PPE. https://t.co/fSeG8NQRLd"
}
] |
2020-03-29T18:26:30+00:00
|
HeatherM211
|
conv_4512#1074
|
twitter
|
[
{
"speaker": "SELF",
"text": "apply mask over patients face, use a filter are the recommended extubation steps then some individual variability. (I don't do this routinely so may have missed some content here)"
},
{
"speaker": "OTHER",
"text": "Q about extubation. Panel suggesting avoid coughing during extubation. Nuanced individual practice for this (IV lidocaine mentioned). Deep extubation? This is not the time to start doing this. Extubate deep and replace with supraglottic? maybe if its your routine practice."
},
{
"speaker": "OTHER",
"text": "Code blue in hospital - who is airway manager? SOme centres have modified on call so that in hospital airways have staff anesthesiologist (principle - standardized approach with staff protection and best airway manager to perform procedure)"
}
] |
2020-03-29T18:20:43+00:00
|
HeatherM211
|
conv_2911#1075
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Cardiac arrest? First responders must have airborne precautions prior to initiation of BCLS/ACLS. Should be routine in centres with community spread."
},
{
"speaker": "OTHER",
"text": "Another case - need to intubate a trauma. Approach as covid positive? Panel says yes - most centres have community spread. You may be able to scale down if good evidence that self isolated x 2 weeks and no symptoms."
},
{
"speaker": "SELF",
"text": "some ppl have recommended doff looking in a mirror. PANEL DISAGREES. Using a spotter is evidence-based method to reduce errors and contamination."
},
{
"speaker": "SELF",
"text": "Doff slowly with a spotter. Point again that doffing is the most risky part of this entire procedure."
}
] |
2020-03-29T18:15:23+00:00
|
HeatherM211
|
conv_4777#1076
|
twitter
|
[
{
"speaker": "SELF",
"text": "O2 sats will sink like a stone. BMV 2-person technique with careful gentle ventilation is most people's recommended step 2. Rescue supraglottic airway - use a later generation device with good seal. And PRACTICE it."
},
{
"speaker": "OTHER",
"text": "retweeting bc out of thread. Failed 1st pass intubation? Here is recommended plan. https://t.co/t1IijOVTDt"
},
{
"speaker": "OTHER",
"text": "Failure to intubate on first attempt. Here is the recommended plan. https://t.co/DqUcArasc5"
}
] |
2020-03-29T18:10:47+00:00
|
HeatherM211
|
conv_1247#1077
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Flat capnograph = ETT is esophageal."
},
{
"speaker": "SELF",
"text": "Standardized drug protocol reduces cognitive load and allows a shared mental model for your team. (personal note - this is not the time to insist on your own personal signature cocktail for intubation)"
}
] |
2020-03-29T18:07:38+00:00
|
HeatherM211
|
conv_9879#1078
|
twitter
|
[
{
"speaker": "SELF",
"text": "Intubate by protocol: here is recommended cocktail: https://t.co/9xYA5ngEra"
},
{
"speaker": "OTHER",
"text": "Recommend cognitive aids like checklists. STRONGLY recommend development or adoption of institutional checklist and then PRACTICE with them. Very helpful in reducing cognitive load."
}
] |
2020-03-29T18:05:12+00:00
|
HeatherM211
|
conv_8203#1079
|
twitter
|
[
{
"speaker": "SELF",
"text": "Recommend against cricoid pressure. Comment from anesthesiologist about risk of airway distortion. (note - I think ER MDs have mostly abandoned cricoid pressure for full stomach intubations for this reasons and others)"
},
{
"speaker": "SELF",
"text": "Might have de-linked tweet about stripping down the tower - if you have a video laryngoscopy tower strip it down or the stuff on it will get contaminated. (Marie Kondo your tower)"
}
] |
2020-03-29T18:01:49+00:00
|
HeatherM211
|
conv_2695#1080
|
twitter
|
[
{
"speaker": "SELF",
"text": "Check your video laryngoscope tower - strip it down so that components not contaminated. Nothing on it that is not part of covid intubation plan A"
},
{
"speaker": "SELF",
"text": "Recommend large screen (left photo) instead of small screen (right photo) video laryngoscope tower. https://t.co/bXrl8embc8"
},
{
"speaker": "SELF",
"text": "In-situ sim must be done to train everyone on team. I'm going to stop tweeting it but it is being constantly stressed by everyone on panel."
},
{
"speaker": "OTHER",
"text": "The standardized approach may be modified as the pandemic progresses in Canada. (personal comment - we are used to individual recipes and approaches to a/w management - we need to change that for this to protect the team and optimize success)"
}
] |
2020-03-29T17:56:42+00:00
|
HeatherM211
|
conv_4866#1081
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Another mention of CRITICAL IMPORTANCE of standardized process with tight control. Decide on your approach and practice it."
},
{
"speaker": "OTHER",
"text": "Recommended set-up in room from @doctimcook https://t.co/2P6QxRbBjH"
}
] |
2020-03-29T17:54:15+00:00
|
HeatherM211
|
conv_8135#1082
|
twitter
|
[
{
"speaker": "OTHER",
"text": "This is not the time to try new things on the fly. Predictability of your actions and your team essential for this - again the importance of simulation to create shared mental model."
},
{
"speaker": "OTHER",
"text": "Point made that this is a great thing to start practicing now. Drill this during sims and with other intubated patients - CLAMP when you disconnect (i.e. switch from BMV to ventilator)"
},
{
"speaker": "OTHER",
"text": "Point about the circuit set-up - should be closed (\"un-disconnected\") as much as possible. Hepa filter next to patient. If disconnected then use a clamp and stop ventilation while circuit opened. Clamp beside every intubated patient? (I'm going to say YES!)"
}
] |
2020-03-29T17:50:54+00:00
|
HeatherM211
|
conv_2444#1083
|
twitter
|
[
{
"speaker": "SELF",
"text": "Standardization and predictability = fundamental principles. Here is the set-up in England for Tim Cook. https://t.co/rIDcaOTFOR"
},
{
"speaker": "SELF",
"text": "Standardized identical bins (A,B and C) shown - Ottawa. Recommend this approach to institutional standard setup. https://t.co/r6Mn5PE4YG"
}
] |
2020-03-29T17:47:28+00:00
|
HeatherM211
|
conv_2380#1084
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Outside the room preparation. Standardized equipment and set-up and simulation *strongly recommended* by panel. (personal note - we have certainly benefitted from sim @Qemerg and @KingstonHSC )"
},
{
"speaker": "OTHER",
"text": "Principles of PPE especially during shortages - neck protection (as example) may look different. Might be a shower if no neck covers available. Will evolve as shortages change https://t.co/MZGw2BgC12"
},
{
"speaker": "SELF",
"text": "High risk procedure. @drlauraduggan recommends optimal PPE - improved first pass success with providers who feel protected during procedure"
},
{
"speaker": "SELF",
"text": "Now talking about drugs. Full paralysis using doses that are higher than what we are used to - optimize 1st pass success."
},
{
"speaker": "SELF",
"text": "Filter must go closest to patient to protect hcw in room"
}
] |
2020-03-29T17:40:20+00:00
|
HeatherM211
|
conv_9942#1085
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Shout out to airway expert @kovacsgj as they mention the importance of Hepa filter attached to BMV in reducing risk of droplet spread"
},
{
"speaker": "SELF",
"text": "@drlauraduggan says growing body of evidence about types of droplets from these oxygenation methods differing - stay tuned for evolving estimates"
},
{
"speaker": "SELF",
"text": "@georgemastoras agrees that throwing out NIV and high flow O2 for all COVID pts is not a great idea. But should we use these devices to preoxygenate? Limited number of devices. Not sure thats a good way to pre-ox - thinks BMW with good seal better option"
},
{
"speaker": "OTHER",
"text": "If this pt decompensates do not start NIV but if already in place maintain - providers are wearing airborne PPE!"
}
] |
2020-03-29T17:36:26+00:00
|
HeatherM211
|
conv_9563#1086
|
twitter
|
[
{
"speaker": "SELF",
"text": "Moving away from the idea that NIV and high flow O2 are dangerous. Agrees with intubation before decompensation. But also do not throw away other methods for maintaining oxygen support."
},
{
"speaker": "OTHER",
"text": "Q to Tim Cook about optimal preoxygenation - how and what? https://t.co/pJIKHaxobv"
},
{
"speaker": "OTHER",
"text": "Q to panel - WHERE should this patient be intubated? (resp distress needing intubation). A: negative pressure room? Yes if available = optimal. Reality is rarely available for majority of patients. Should be done where providers can don PPE and where optimal preparation possible"
},
{
"speaker": "OTHER",
"text": "Need to find balance between intubation before it becomes crash and avoiding unnecessary intubation. Early airway management prior to decompensation is the underlying principle. May differ from site to site."
},
{
"speaker": "SELF",
"text": "No clear consensus out there. Varying FiO2 requirements wth intubation recommendations. Emerging literature suggesting that some pts do well without intubation even when ++ hypoxic"
}
] |
2020-03-29T17:30:21+00:00
|
HeatherM211
|
conv_5795#1087
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Now moving on to case studies:\n1st one is Covid patient in resp distress. When to intubate? Q to panel."
},
{
"speaker": "OTHER",
"text": "COVID pneumonic to remember steps. Importance of team members looking out for each other for PPE donning and DOFFING - most hazardous procedure and you must have a spotter. https://t.co/8fQkfBxFwg"
}
] |
2020-03-29T17:28:35+00:00
|
HeatherM211
|
conv_2342#1088
|
twitter
|
[
{
"speaker": "SELF",
"text": "Video laryngoscopy has better 1st pass success rate. Note that video scopes have 2 kinds of blades - mac blade with hyperangulated. Recommended for intubation of COVID patient"
},
{
"speaker": "SELF",
"text": "New techniques with airway management now since SARSv1. First point: 2 hand 2 operator BMV achieves better seal with less pressure."
},
{
"speaker": "SELF",
"text": "@drlauraduggan referencing this paper to talk about risk of AGMP and comparing different procedures. Level/quality of evdience in this syst review poor and includes observational studies. Note this is pre-Covid19 https://t.co/jvgjMKypvp"
},
{
"speaker": "OTHER",
"text": "Cannot talk about airway management without talking about PPE. Critical piece of the puzzle."
},
{
"speaker": "OTHER",
"text": "This slide covering papers looking at intubation which seems reassuring that PPE works to protect airway managers. https://t.co/FR3U4YWisw"
}
] |
2020-03-29T17:20:40+00:00
|
HeatherM211
|
conv_1548#1089
|
twitter
|
[
{
"speaker": "SELF",
"text": "Quite a few key papers quickly reviewed at start of webinar. This is an alarming stat but apparently early in outbreak - infective load may be increased in HCW and thus increased severity and mortality. Very worrying. https://t.co/41W01u7Jig"
},
{
"speaker": "SELF",
"text": "First bit is a review of the worldwide stats and COVID19 epidemiology."
},
{
"speaker": "SELF",
"text": "@purdy_eve @georgemastoras Same!!! Thanks for taking time to do this."
},
{
"speaker": "OTHER",
"text": "thanks @drlauraduggan for acknowledging information overload plus anxiety during preparation period. Goal today = slow down and focus on priorities for COVID a/w management"
},
{
"speaker": "OTHER",
"text": "\"doing things safely\" is the title of the webinar and focus of the conversation."
}
] |
2020-03-29T17:01:44+00:00
|
HeatherM211
|
conv_6098#1090
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Will be live tweeting this multi-disciplinary webinar on COVID intubation from Canadian Anesthesia Society. Featuring expertise from Canadian anesthesiologists, critical care and emergency medicine. Will thread tweets below."
},
{
"speaker": "SELF",
"text": "@drsaminaali @drhali85 @ELMorrisonMD @AlisonKabaroff @AishaMD_ @KathyReid5 I shall need a full report next BEEM course!!"
},
{
"speaker": "SELF",
"text": "@drsaminaali @drhali85 @ELMorrisonMD @AlisonKabaroff @AishaMD_ @KathyReid5 I must hear more about “DJ!!”"
},
{
"speaker": "OTHER",
"text": "@meganranney @Twitter Yayyyyy!"
},
{
"speaker": "OTHER",
"text": "@WAMcCauley @drzzzombie @WesternUEmerg @western_ccfpem @SchulichMedDent Perry Cox is the *second* best doctor of all time. Bill - if you haven’t watched Scrubs your crown is a tiny bit tarnished..."
}
] |
2020-03-27T13:19:28+00:00
|
HeatherM211
|
conv_4109#1091
|
twitter
|
[
{
"speaker": "OTHER",
"text": "Oh I love this. And honestly - the team in the ED is the best. “As resilient as Gumby..” I hope so!"
},
{
"speaker": "OTHER",
"text": "Actually bought it at the sick kids peds conference. Cost about $5..."
}
] |
2020-03-26T22:07:05+00:00
|
HeatherM211
|
conv_1893#1092
|
twitter
|
[
{
"speaker": "OTHER",
"text": "NOPE NOPE NOPE"
},
{
"speaker": "OTHER",
"text": "All I have to say is that I accept apologies from all you people who mocked my waist level stethoscope holster!"
}
] |
2020-03-26T16:24:18+00:00
|
HeatherM211
|
conv_2740#1093
|
twitter
|
[
{
"speaker": "SELF",
"text": "@MeganAS24 @haileyahobbs @3dLimestone @ZuhaibMir This is outstanding. Thank you! The PPE worries keeps everyone up at night and this is a huge help."
},
{
"speaker": "OTHER",
"text": "@CindyBolton4 it's missing \"person talking while on mute while others on call uselessly shout YOU'RE MUTED\" haha\n(Have been guilty of both these sins tbh)"
},
{
"speaker": "SELF",
"text": "We wrote about our COVID19 preparation using translational simulation @KingstonHSC @Qemerg. Made possible by amazing shared resources around the world across many platforms. Unprecendented connection/cooperation within + btwn organizations to do this."
}
] |
2020-03-25T13:22:15+00:00
|
HeatherM211
|
conv_2529#1094
|
twitter
|
[
{
"speaker": "SELF",
"text": "\"Work with.\" Honestly twitter - an edit button. Would it be so hard?"
},
{
"speaker": "OTHER",
"text": "❤️ All these people. Honestly so lucky to worth with the @Qemerg group. Grateful every day."
}
] |
2020-03-24T23:35:05+00:00
|
HeatherM211
|
conv_7248#1095
|
twitter
|
[
{
"speaker": "SELF",
"text": "@MaggieHulbert @scottwakeham @MCG_MedEd @QueensUGME Aw. You guys are awesome. I'm so sad honestly about C3 - its one of my favourite times to teach. Will do my best to connect virtually. My kids tell me I should be able to do virtual Kahoot... so thats something! We can still crown the CARL king/queen on Friday. (Huge news)"
},
{
"speaker": "SELF",
"text": "@scottwakeham @MCG_MedEd @QueensUGME Thanks all. Full credit to @MCG_MedEd - honestly I’ve been totally focused on ED response. Grateful to have the infrastructure to do some online shouting into the void."
}
] |
2020-03-24T23:12:21+00:00
|
HeatherM211
|
conv_3922#1096
|
twitter
|
[
{
"speaker": "SELF",
"text": "@HumanFact0rz @precordialthump @HawkmoonHEMS @symon_ben That is awesome... but did they add in weird non-Canadian vowels where they don't belong? If I see \"apnoea\" I won't know what to do!!"
},
{
"speaker": "SELF",
"text": "@KingstonHSC 3D printed face shields"
},
{
"speaker": "OTHER",
"text": "March 23 version"
}
] |
2020-03-24T21:08:34+00:00
|
HeatherM211
|
conv_9547#1097
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@DrCarolynSnider Welcome back!! The world needs you out of quarantine."
},
{
"speaker": "SELF",
"text": "@RichardLehman1 Not a GP but very interested in understanding factors associated with hcw infection. Inadequate PPE vs improper doffing technique vs inadvertent exposure to unrecognized covid pt? Informs our workplace decisions re: PPE focus."
},
{
"speaker": "SELF",
"text": "@WhistlingDixie4 @nhsuhcw Congratulations!!!"
},
{
"speaker": "SELF",
"text": "The only good thing to come from covid19 is the return of @RichardLehman1's bmj blog. Thank you for coming out of retirement to guide us through the science!"
},
{
"speaker": "OTHER",
"text": "@dwayne_doctor Again - not my opinion, discussion in the webinar. Concern is delay to resus while all staff don PPE. Risk of infection >> chance of success was the point of discussion."
}
] |
2020-03-22T23:22:39+00:00
|
HeatherM211
|
conv_1521#1098
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@Bellevillain We’ve talked a lot about this. Most people in our group with healthy families are staying put but have in or out of house isolation plans if they get sick. Everyone has changed their on shift clothing and post shift decontamination procedure though."
},
{
"speaker": "SELF",
"text": "@CanEMDoc Tweet specifies in hospital. Delays to get PPE on providers will decrease chance of salvage and BMV known to be aerosol generating so risk increased. Opinion of webinar faculty not policy."
},
{
"speaker": "OTHER",
"text": "Just watched this - great technology!"
},
{
"speaker": "SELF",
"text": "To be clear - no official policy and acknowledgement that this will be different from centre to centre. Concern for risk to staff outweighing chance of recovery. This is new territory."
},
{
"speaker": "OTHER",
"text": "@ZuhaibMir @epipatelmd @BZevin @QueensPeriopMed @KingstonHSC Point is that aerosol generated in intubation persists. There were many Qs I think on this topic. CAS website will post webinar later today/tomorrow for ppl to listen"
}
] |
2020-03-22T19:09:51+00:00
|
HeatherM211
|
conv_7136#1099
|
twitter
|
[
{
"speaker": "OTHER",
"text": "@ZuhaibMir @epipatelmd @BZevin @QueensPeriopMed @KingstonHSC N95 mask recommended in webinar for anyone entering a room up to 1 hr post intubation. That's for a standard neg pressure room - some newer rooms (ORs?) have more air exchanges/hr so institutional guidelines may vary."
},
{
"speaker": "OTHER",
"text": "#CASPPE here is a link to @shannonlockhart protocl referenced during CAS webinar"
},
{
"speaker": "OTHER",
"text": "@brkster no but going to ask - tanks for reminder"
},
{
"speaker": "SELF",
"text": "@garblisa This was not covered - they mostly talked about in hospital code blues. Take homes for applying to OOH arrest = shock low risk, passive oxygenation low risk and everything else (CPR, ventilation) increases risk to providers"
}
] |
2020-03-22T18:31:01+00:00
|
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