Harindra Wijeysundera
@hwijeysundera
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Chief Schulich ❤️ Program @sunnybrook 🇨🇦; Canada Research Chair #TAVR policy; Professor @uoftmedicine @ihpmeuoft @ICESOntario; struggling runner, climber & 🎷
Ontario, Canada
Joined August 2017
Paper by @ihpmeuoft phd candidate Rafael Miranda on variation in SAVR vs TAVR in Ontario 🇨🇦. High TaVR ratio have improved outcomes. @mmamas1973 @SandraLauck @derrickytam @ICESOntario @Sunnybrook
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RT @denniskomd: Please join @Sunnybrook Cardiology GR by Prof Jan Steffel @SteffelJ on #DOAC guidelines with focus on frail and elderly.Tue….
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Very proud!.
Noorin a NP in the Schulich Heart Centre, is warm, and kind to each patient. She brings a calm and reassuring presence to her patients and is committed to educating patients about their procedures. Thank you Noorin!. Congratulations on your 2021 Schulich Award.
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#Omicron narrative seems to be 1 of opposite extremes - ie it is mild OR the system is on the verge of collapse. Neither is true & IMO such facile reports are not helpful. Once again, we are stretched, but coping & adjusting to an ever changing reality on the ground @Sunnybrook.
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the everyday reality I see on the frontline @Sunnybrook: #1 issue is fully vac’ed staff in isolation b/c of exposures while asym/sniffles. We are battling a new variant using outdated rules - in a fight with 1 arm tied - closing beds due to staffing etc. We need to pivot & quick.
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Insightful work by @derrickytam in collaboration with @SCC_CCS on #covid impacts on cardiac care in Ontario 🇨🇦. @Sunnybrook @ICESOntario . A concerning care deficit with significant impacts on mortality .
On #WorldHeartDay2021, @CJCJournals reports that critically ill #COVID19 patients created a reduction in #cardiac procedures across Ontario's health system. Data showed a significant decline in referrals & procedures: #research. @ELS_Cardiology @SCC_CCS
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Déjà vu - watching Covid rates raising in the UK, US & Israel. In Ontario 🇨🇦, our thoughts are all on reopening & recovery. As a cardiologist, I am passionate about the need for recovery; but, are we using this time wisely to avert a repeat wave? @Dr_ChrisSimpson @Sunnybrook.
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As TAVR has expanded, less use of the heart team, in particular in mature programs. Do we need to rethink this concept as tavr becomes standard of care? Ie use in borderline cases only? Is that more efficient? @CorHealthON @Sunnybrook
ahajournals.org
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As we shift our focus on the immense & complex care deficit & backlog- some principles.1. It will require the same degree of resources & commitment as #covid.2. Load sharing/single entry waitlist needs to be on the table.3. All solutions via lens of Equity .@Sunnybrook.
MRIs, cataract surgeries, joint replacements and coronary bypass surgery are among the most backlogged procedures during the pandemic, according to the Ontario Medical Association.
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RT @ShrillaB: @SarahFairley7 Still prefer culotte… but thank you…. That is a lovely visual summary.
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RT @SCC_CCS: Don’t ignore the signs. Help us spread the message that patients with heart conditions should still seek medical attention i….
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‘avoiding overly dogmatic language about science-based policies – we can moderate public frustration (and the concomitant loss in trust) ‘. Below should be required reading for scientists/MD involved in policy.
My hope is that one of the legacies of the #pandemic is a greater appreciation of: 1) the value of a trustworthy research process; 2) the need for good science communication; and 3) that science is a process. My take: via @HealthyDebate cc @fdnPETF.
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Important work and highlights that the need for the same urgency in dealing with all of the deferred care as we had with the acute phase of the pandemic.
4. This work highlights how #COVID has impacted on our ability to deliver CV care in structural heart space and will need better working relations between surgeons / cardiologists re how to increase throughput of AS pts and minimise impact @RodrigoBagur @gonzaeperez @perc_surgeon
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It is my hope that we apply the same sense of urgency and system wide leadership to dealing with deferred care as we have to covid care - I am confident we will. @Sunnybrook.
Postponing "elective" procedures has effectively resulted in the triaging of who does—and doesn't—get life-saving care. “Patients have died because we’ve had to make decisions about who is the person we have to treat first," says @hwijeysundera. Read more:
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A key part of our #tavr & Cath lab team at @Sunnybrook.
“It begins with a passion to help others. And then sooner or later, you find yourself having a career doing it.". Meet Sunnybrook nurse Paolo Galvez: #NursingWeek #ThankYouNurses
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Very powerful - retweeted for my wife, family & friends in toronto, Alberta & Vancouver 🇨🇦. This will bring strong emotions. @SWijeysundera @denniskomd.
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Totally agree. If you have a heart attack - need your cardiologist. If you have to communicate a difficult topic to a large audience - need your communications advisors. Our ‘behind the scenes rock star’ @katrnaz @Sunnybrook.
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Meet Cindi Wheeler, nurse practitioner in Sunnybrook's Schulich Heart Centre. Described as consistently going above and beyond, Cindi cares for patients with initiative, innovation and outstanding compassion: #NationalNursingWeek
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This thread nails it!.
If unfiltered musings from experts in different specialities debating the AstraZeneca vaccine are making you anxious, here are some tips—a short thread.
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As ‘non-expert’, I am surprised by the amateur communications & lack of consistent messaging by experts in official & advisory roles with regards to vaccine safety & effectiveness. Building public trust is step 1. Should be mandatory to have formal media training in these roles.
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