Patrick McDonald
@Brainsurger
Followers
1,253
Following
858
Media
201
Statuses
9,800
Pediatric Neurosurgery, University of Manitoba,Neuroethics Canada,UBC-Dad,husband,frustrated musician. Past President- @SocCdnNSx - opinions my own
Winnipeg, MB and Vancouver, BC
Joined June 2009
Don't wanna be here?
Send us removal request.
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Interesting concept
@DFisman
President Biden: "I'm signing a presidential memorandum making it clear that we will protect our world-class scientists from political interference and ensure they can think, research, and speak freely and directly to me, the vice president, and the American people."
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If
@picardonhealth
has left twitter because of personal attacks, then it is a sad day for our profession and health care in general. Calling on all physicians to stand for civil discourse- it is even more important to support the right of those you may not agree with to a voice.
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Waited for this day for a very long time-
@NickMcdonald95
washing down his first dose of
#trikafta
with a big bowl of pho. While we are thrilled, also thinking of all those still fighting for access
#CFCantWait
@CFCanada
@CFgetloud
@CFAdvocacynow
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They taunted my (adult) daughter after she got her vaccine today but she strutted past them wearing her "vaccinated" sticker with pride!
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Here is a link to a list of when the flag has been lowered. Surely this must also be a time:
No flag at half staff for the 215 children who died in residential schools that Canada operated
@CanadianPM
Lower the flags and stop fighting First Nations kids and IRS survivors in court.
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Newest member of the neurosurgery team BC Children's- welcome to Fudge the Therapy Dog
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I'm a paediatric neurosurgeon and I'm
#ReadyToVaccinate
against
#COVID19
. Just tell me when and where and I'll be there with a smile under my mask.
I'm an MD and I'm
#ReadyToVaccinate
people against
#COVID19
. Just tell me when and where I'll be there. If you're a health professional and want to pitch in, tell us what you do and that you're ready and willing. Please RT TY.
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First day in the OR wearing my Dr. Fauci scrub cap
@BCChildrensHosp
. I feel smarter just wearing it
@NIH
@NIAIDNews
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Baseline testing does not "prepare" you for a concussion.
Make sure all athletes are prepared for concussion by offering baseline testing for all sports:
#NCAAConv
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About 25 years ago, our respirologist told me that he thought there would be an effective treatment for
#cysticfibrosis
in
@NickMcdonald95
's lifetime. I didn't believe him. So happy to have been wrong.
Health Canada has approved Trikafta! Doctors can now prescribe it for people 12yrs+ with at least one F508del mutation. Our fight continues. But today is a good day – we're one big step closer to access!
#CFcantwait
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As a Canadian pediatric neurosurgeon, I've struggled with whether to say anything about the gun violence, much of it involving children, that seems to be a daily event for our friends to the south.Thanks to
@JayWellons5
, all I need to say now is read this:
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BC Public Health Officer
@DrBonnieHenry
and the other rock stars of infectious diseases and public health at the
@CDCofBC
and across Canada are making me second guess my decision to be a neurosurgeon- they have done more good in a week than I will do in my career
@bonniehenryfans
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I am always amazed at the emotional impact a piece of music can have on me- thank you for sharing
@YoYo_Ma
In these days of anxiety, I wanted to find a way to continue to share some of the music that gives me comfort. The first of my
#SongsOfComfort
: Dvořák – "Going Home”
Stay safe.
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So honoured to be giving the 2022 Brain Awareness Week Neuroethics lecture.
Join us for the 2022 Brain Awareness Week Annual Neuroethics Distinguished Lecture on March 15, 4:00-5:30 PM PDT!
Dr. Patrick McDonald will present on the topic of equitable access to advances in brain health. For more information, kindly RSVP at .
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For those who've put up with my rants regarding access to
#trifkafta
in Canada and Manitoba, thank you. It has been a long, frustrating road we've dreamed about a day like this for 25 years. I'll return to random musings on ethics and neurosurgery.
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Such sad news. Todd was a talented neurosurgeon, researcher, teacher and leader but more important than any of that, a humble and kind man. I was lucky to call him a friend.
We are deeply saddened to share with you that Dr. Todd Mainprize, Division Head of Neurosurgery at Sunnybrook, died Tuesday. We would like to share our sincere condolences on behalf of the entire Sunnybrook team, to his family, friends, and colleagues.
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So far the best predatory publishing request I have received. If everything wasn't groovy before this email, it certainly is groovy now.
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Thanks to
@G17Esiason
for sharing your story with Canadians- inspirational to all patients with cystic fibrosis and their families. Hoping this therapy is available in Canada ASAP!
@CFCanada
:
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"How many paediatric neurosurgeons does it take to change a flat tire" is a surprisingly complex question. A lot of ifs, a lot of what have you's.
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Medicine is a lesser profession without a solid grounding in the humanities
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Today is global
#RareDiseaseDay
- 1 in 12 Canadians have a rare disease. I help take care of some of them as a pediatric neurosurgeon but my son Nicholas is also one of them
#CFCantWait
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I feel like mobile clinics that go to seniors should be a thing.
My mom who lives in BC had a good observation. During the recent BC election she received calls offering to drive her to the polls but no ride for seniors to get the vaccine.
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Wow- an honour just to be nominated. It's time to build a new Children's Hospital- the people who work there, from cleaning staff, to porters, to physios/OTs, to docs and nurses are amazing. The building is one of the oldest in Canada. Our patients deserve better.
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Great to have
@epilepsysurgeon
from
@westernu_nsx
@westernuEpilep
return home to
@UM_RadyFHS
as the Parkinson Lecturer. Two outstanding talks on epilepsy surgery in Peru and SEEG. He's a bit of an aviation nerd so happy to bring him to
@RoyalAviationMB
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I was a little disappointed with the
@DGlaucomflecken
first take on neurosurgery, but this makes up for it.
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Hey
@PMPRB_CEPMB
- I am not an "opponent"- I'm a Canadian with a son with
#cysticfibrosis
who wants him to live a long, healthier life. I can't believe this is your communications strategy :
You might want to apologize
#CFCantWait
@CFgetloud
@CFCanada
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Ontario, Quebec, Alberta and Saskatchewan now cover
#Trikafta
. Time for
#Manitoba
to step up. Access should not be dependent on what Province you live in
@AudreyGordonMB
@CFCanada
@CFAdvocacynow
@CFgetloud
A Manitoba family is advocating for the province to cover a potentially life-changing treatment option for people living with Cystic Fibrosis.
#cfcantwait
#trikaftatoday
#cfgetloud
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Amazing- problem identified, mistake admitted, problem fixed (well, maybe a small part of a much larger problem). A model example of leadership. Just when I was ready to give up on social media...
The CEO of
@UHN
, Dr. Charlie Chan, has sent a memo to staff about the grate outside Toronto General Hospital’s Emergency Department, saying it was a mistake. That's leadership!
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The Section of Neurosurgery at the University of Manitoba has just posted a position for a cerebrovascular neurosurgeon to join our group of 10 neurosurgeons
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Great story by
@Ali_Chiasson
! Although this story focuses on
@UofTNeuroSurge
, shout out to all the amazing female neurosurgeons and neurosurgery residents across Canada including the ones on
@twitter
@gpsforthebrain
@Operatingnheels
@gelarehzadeh
@mhodaie
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I'm from Winnipeg- we call that Monday.
@MountSinaiNYC
snowpocalypse.
#essentialworker
#pediatricneurosurgery
@PedsSection
@MountSinaiPeds
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Only three more sleeps until
@Royal_College
Vascular Surgery Oral Exams. Remember these rules! You got this!
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Residents fight for access to promising cystic fibrosis drug
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My
@NHLJets
scrub cap has arrived! Thanks to
@me_lipson
- we are the envy of all in the OR in both Calgary and Vancouver!
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I'm ashamed for
#Manitoba
. It is beyond cruel to make Manitoban's with
#cysticfibrosis
watch the rest of Canada celebrate access to
#trikafta
while their health deteriorates. Saying "stay tuned" while my son's health deteriorates is not enough
@AudreyGordonMB
- cover trikafta now!
While
@AudreyGordonMB
and the
@MBGov
dangle coverage for a life-saving drug
#trikaftanow
just out of reach of CF patients, I had to carry my son’s laundry up to his 3rd floor apartment because he was coughing too much and too out of breath. What is MB waiting for?
@CFCanada
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I will remember his technical mastery and attention to detail no matter how "simple" the case, but most of all, I will remember his kindness and compassion.
Canadian Neurosurgery lost a giant this past weekend. Master surgeon, teacher, mentor, husband, father and friend. His legacy lives on in his trainees across Canada and the world. Sincere condolences to Dr. Fred Gentili's family, friends and all whose lives he touched.
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Chapman’s ice cream boycott backfires, COVID-19 vaccine policy wins brand extra support /via
@globeandmail
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While working in Kenya, I took out a tuberculoma from the brain of a patient. Local surgeon said "bet you've never seen that before". Showed him my case log that night- had done a dozen TB related brain procedures in children- all from northern Manitoba or Nunavut.
We cannot end TB in the Inuit population without addressing the challenging social conditions- Natan Obed
@ITK_CanadaInuit
@McGill_TB
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The ball is squarely in your court
@AudreyGordonMB
- other provinces have committed to put
#trikafta
on their formulary - let's make Manitoba the first to actually do it
#CFCantWait
@CFCanada
@CFgetloud
The pCPA has announced they’ve reached a funding agreement for Trikafta. It’s critical that provinces list the drug on their public drug plans for all who can benefit, without delay, so Canadians can finally get access to the life-saving treatment they have waited too long for.
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I was in medical school at
@uoftmedicine
when Lap-Chee Tsui was part of the team that discovered the CF gene. Although I sensed it was a big deal, I had no idea the impact CF, and the gene discovery would have on my life. No CF gene discovery, no
#Trikafta
so thanks!
Leading the way for lifesaving drug discoveries, John Bergeron argues the discovery of the CF gene and drugs to treat the rare disease should receive a Nobel Prize nomination
@ConversationCA
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Tell that to the Vein of Galen
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If one more person asks me if I have seen this video, I'm going to quit neurosurgery and apply to an ophthalmology residency.
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Everyone I have spoken to who has visited
@CMHR_News
on a trip to
#Winnipeg
has raved about the museum. It is a wonderful addition to the city, province and country.
Just got my first ten dollar bill with Winnipeg’s Canadian Museum for Human Rights on it. It’s beautiful. Rare to see a piece of modern architecture on a national currency.
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1 of those 2,518 was my daughter, so thanks!
2,518 doses — historic holiday in first time city hall has been open in the pandemic.
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My dad passed away my PGY-2 year while I was on a heavy neurosurgery rotation- I was away for four days, back for call on a Saturday. A very senior resident doing a neuropathology rotation saw me and said, "go home and be with your family- I'll do your call". Will never forget
I didn’t let on that my dad had been diagnosed with cancer 6 wks into my PGY-1 year, until I was mortified to start crying during end-of-day scan review. Hadn’t dreamed senior would say, immediately: “Go home, book a flight, we’ll sort out your call.” Thanks again,
@westernu_nsx
.
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Imagine there was an effective treatment for
#COVID19
and your government refused to negotiate with the manufacturer. That is what our government has done with life saving treatments for Canadians with
#cysticfibrosis
. We deserve better than this
@PattyHajdu
@JustinTruedeau
For 50 years, Mark Tremblay, an adult living with
#cysticfibrosis
, and his family waited for a treatment like Trikafta. Today, Mark shares how CF has impacted his journey, and what Trikafta means to him.
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I am waiting with baited breath for the "Hanging out with the neurosurgeon episode".
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Humbling follow up to this- my paper has been accessed 5 times since it was published online last week.
@emilytmcdonald
's writing for
@Todaysparent
had over 20,000 hits... on Thursday.
#ProudDad
#AcademicTwitter
#MedTwitter
today I published an article about the new Paw Patrol movie trailer meanwhile my dad published this article on the ethics of using advanced neurotechnologies to treat kids with drug-resistant epilepsy... same thing right?
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An open letter from Cystic Fibrosis clinicians across Canada imploring elected officials to ensure immediate access to
#Trikafta
for Canadians with CF. Every lung transplant and death that could have been avoided is now on you
@PattyHajdu
@JustinTrudeau
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It's hard to put yourself out there like this-So proud of
@NickMcdonald95
for advocating for access to
#trikafta
for Manitobans. Other provinces have committed to this life saving medication-time for
#Manitoba
to commit
@AudreyGordonMB
@kelvin_goertzen
#CFCantWait
@CFCanada
Please read if you have a minute and share this with your provincial health minister. We are so close to having
#Trikafta
available to Canadians with
#cysticfibrosis
!
@AudreyGordonMB
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#Vancouver
is the LEAST friendly running city of any I’ve lived in. A wave, nod, or good morning (from a safe distance) can go a long way during this period of isolation. Let’s raise the curve on kindness while we flatten the
#COVID19
curve.
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Congratulations
@cf_ireland
- Yet another country where
#Trikafta
#Kaftrio
is available for those with
#cysticfibrosis
. Time for Canada to stop its dithering and provide access to the over 4000 Canadians with CF.
@JustinTrudeau
@PattyHajdu
The process of prescribing Kaftrio in Ireland has now officially commenced.
The logistical task of prescribing Kaftrio is significant as many of our members are potentially eligible for this new and innovative drug therapy.
Read the full update on
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Another publication resulting from an outstanding collaboration between
@NeuroethicsUBC
@BCChildrensHosp
@VUMC_Neurosurg
@SickKidsNews
and
@UCSFMedicine
thank you for being part of this team
@RobNaftel
@GMI_Canada
@JudyIlles
@WinstonChiong
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It has been such a game changer for
@NickMcdonald95
You read about the miraculous improvements,but when you actually see it happening live it is even more amazing. Thanks
@G17Esiason
for all your help advocating for
#Trikafta
access in Canada
@CFCanada
@CFAdvocacynow
@CFgetloud
Trikafta: “Real-world data from more than 16,000 U.S. patients, unveiled at JPM, which show the drug cut the risk of lung transplant by 87%, led to 77% fewer pulmonary exacerbations and slashed the risk of death by 74%”
I’ll take it!
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In Canada, outraged health researchers demand end to peer-review changes
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This is the best COVID related interview I've seen so far. Get ready for a run on Pickle Ball equipment.
This might be my favourite chat ever with Dr.
@BogochIsaac
because:
🩺 He answers your Covid19 questions
🥒We both learn about Pickle Ball
❤️His wife makes a surprise cameo
😊Dr. blushes
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Many times over the past year, I have contemplated leaving
@twitter
- following
@DrNadiaChaudhri
makes me glad I have not. Her courage and grace have been inspirational.
Now that I have 100K followers, I want to talk about
#OvarianCancer
. Specifically my gritty story. The goal is awareness. I hope you find this narrative informative.
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My colleague and
@BCChildrensHosp
@BCCHresearch
's own Mandeep Tamber is lead author on this important study:
Temporal trends in surgical procedures for pediatric hydrocephalus: an analysis of the Hydrocephalus Clinical Research Network Core Data Project
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So many Canadian with
#cysticfibrosis
are so close to being able to feel this. Time to make it happen Canada- Every province needs to put
#trikafta
on their formulary now!
#CFCantWait
@CFCanada
@CFgetloud
@jjhorgan
@BrianPallister
In the last week I’ve heard from several people with cystic fibrosis who have told me they are either applying to graduate school, taking a job they’ve never imagined, and working through family planning.
That’s what meaningful biomedical progress looks like for a rare disease.
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@Atul_Gawande
My son: 21 year old with CF. Thankful to live in Canada where we don't have to worry about this.
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Provinces must provide coverage of
#trikafta
to ALL who will benefit from it- Manitobans with
#cysticfibrosis
have waited long enough!
@BrianPallister
@MLAStefanson
you can be an example for the rest of Canada
#trikaftatoday
#CFCantWait
@CFgetloud
"In the 30 years I've been a CF doctor, I've never seen something like this [Trikafta]" Watch Liz Tullis, head of the Toronto Adult CF Clinic at University of Toronto, interviewed on
@CHCHTV
about the restrictive criteria of
@CADTH_ACMTS
's recommendation
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Impromptu
@SickKidsNews
@UofTNeuroSurge
pediatric neurosurgery fellows reunion in Deer Valley, Utah
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Wow- Thomas must have been advanced. I didn't finish residency till I was 34 but looked about the same age as Thomas.
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Congratulations
@Drmichaelellis
and
@CharlesTator
! Neurosurgeons need a strong voice in concussion care and you have ensured we do.
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A helmet has saved me a couple of times, once when I was doored, and the second getting caught in a street car track. I've operated on too many cyclists (adults and children) who likely wouldn't have needed an operation if they had been wearing helmets.
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Great to watch
@NHLJets
win over Canucks. Jets fans were louder!
#GoJetsGo
.Thanks for the tics
@RodMakeKidsBald
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When our son was diagnosed with
#cysticfibrosis
we dreamed of the day a life saving treatment would be found but didn't think it would come. That day is here but Canadians with CF cannot access it. Time for
@justintrudeau
and
@pattyhadju
to step up.
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I'm the youngest of 5- I'm pretty sure my mom had to do that daily.
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This JAMA paper, well summarized by
@picardonhealth
destroys the myth that Canada spends too much on both health care and social spending:
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The evidence of benefit to Canadians with CF is clear
@GovCanHealth
@PattyHajdu
@JustinTrudeau
@VertexPharma
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What an amazing gift!
On
#PurpleDay2022
, remembering Dr. Wilder Penfield 🇨🇦 who paved the way to helping those with epilepsy while discovering the mysteries of the brain.
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#Manitoba
?
#cysticfibrosis
patients in Manitoba deserve it just as much as those in Ontario, Saskatchewan and Alberta
@AudreyGordonMB
@kelvin_goertzen
The good news just keeps coming, Alberta and Saskatchewan have both announced they will start funding Trikafta for eligible patients!
AB press release here:
SK press release here:
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2 lbs of Rockets have arrived courtesy of
@drgigiosler
- I had to sample a few to make sure they were ok but the rest will go to the kids on our
@BCChildrensHosp
ward on
#Halloween2020
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This may be the most Manitoba tweet ever!
Fans tailgating around the stadium - please be cautious of a moose on campus. Conservation officers are on scene! 🤷♂️
#LooseMoose
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This is a very different CF Awareness Month for our family-
#trikafta
has had a life changing impact on
@NickMcdonald95
and returned him to normal lung function and a more normal life. Continuing to fight for all to have access to this incredible breakthrough.
During the month of May, CF Awareness Month, let’s go
#FurtherTogether
! Take five minutes to help change the lives of thousands of Canadians children and adults by sending a letter to your elected official using our quick and easy to use letter template.
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Can't wait to see this beautiful building, and it even more beautiful contents.
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Another great piece in the
@nytimes
by
@JayWellons5
- highlighting what a privilege it is to do what we do:
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I do not consider myself and my family to be pawns
@DonDavies
- we are struggling to understand why our government is not working with us to bring life saving medications for
#cysticfibrosis
to Canadians who need them. If 20 other countries can do it, why can't ours?
#CFCantWait
Brazen blackmail using patients as pawns. PMPRB changes will reduce drug prices and increase transparency. THAT’S why Big Pharma doesn’t like them. It’s time the fed’l govt stands up and defends patients. If Big Pharma won’t act on their patents, we will.
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The family of Ryan Saulnier has asked us to honour his memory by "getting loud" about lack of access to
#Trikafta
.
@JustinTrudeau
and
@PattyHajdu
bear some responsibility for for this death and every CF related death going forward by their inaction
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We all get that- I often get asked "are you neurosurgery?" to which I answer, "No, I'm Pat"
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Great talk by
@DrNirLipsman
on the intersections of neurosurgery and neuroethics.
Why neurosurgeons should care about ethics and why ethicists should care about neurosurgery
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I'm still not sure why the Medical Council of Canada even exists- we end up needing to pass specialty certification exams, either through
@Royal_College
or
@FamPhysCan
- may have played a role when you could get a license after internship but this hasn't been the case since 1993.
Why does the
@MedCouncilCan
seem to have an endless number of ridiculous rules? No menstrual products, no accommodations for people with disabilities, enforced silence *before* exams...It’s all so 1950s macho.
#ableism
#MedEd
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Thank you for making this an issue. It is baffling how those at high risk have been left out of many vaccine rollout plans.
Why aren't people with disabilities front of the line for the Covid-19 vaccine?
@KristaCarrNB
, Executive VP
@InclusionCA
, says people with disabilities represent 22% of the population, are more likely to get sick and die, but they are never a priority.
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Still not quite sure why we all just don't do what
#NovaScotia
does. I fear
#Manitoba
is going down the same road as Alberta. BC is already there.
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I remember operating on a case of brain TB in East Africa and the local neurosurgeon saying "Bet you've never seen that before". Alas, I had and continue to see it in Canada. We must do better! Thanks for the work you've done
@janephilpott
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@picardonhealth
@kellygrant1
@jackhauen
@globeandmail
Our most recent clinical fellow was from Saudi Arabia. Among the most technically gifted, hard working and compassionate people I have ever worked with. Will bring his skills as a paediatric neurosurgeon to an under serviced part of Saudi.
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Mixed feelings to see tweets like this-so happy for those with access to
#Trikafta
whose lives have been changed. Heartbreaking to watch Canadians with CF continue to suffer,deteriorate and die while our government does nothing
#CFCantWait
@JustinTrudeau
9 months ago I was learning to walk & function again then my CF took a drastic decline leaving me in a wheelchair & on continuous oxygen barely able to function. Now my body is capable of hiking/walking 12km. I owe it all to
#Kaftrio
#Trikafta
#mymiracle
#vertex
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Congratulations! We are trying to do the same here in Canada
#lifeunlimited
#CFCantWait
.
@JustinTrudeau
has said "where you live should not determine whether you live" and yet, a patient with CF in the UK if now far more likely to live a full life span than one in Canada.
Delighted the
@CFTrust
media team has won the
@mjauk
MJA Award for Excellence in PR. It's testament to the relentlessness, hardwork and passion my team has in fighting for a
#lifeunlimited
for those living with
#cysticfibrosis
#mjaawards
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Our paper "Novel Neurotechnological Interventions for Pediatric Drug-Resistant Epilepsy: Physician Perspectives" is out- a great collaboration between
@NeuroethicsUBC
@BCChildrensHosp
@GMI_Canada
@WinstonChiong
and Rob Naftel from
@VUMC_Neurosurg
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@Brainsurger
@JustinTrudeau
#Kaftrio
#Trikafta
could increase life expectancy & quality of life, improve lung function 10-15% & up to 40% in some cases so why isn't
@PattyHajdu
@GovCanHealth
doing anything about it 🤔
@CFCanada
doing lots of work on this 👇 Maybe something
@picardonhealth
could help with
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