FM-trained rural emerg doc. Mom of 4 amazing kids, owned by way too many pets, total nerd.
Epekwitk (PEI)
Joined April 2019
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Kay M. Dingwell🍁🩺🏳️🌈 retweeted
As of November 1, we're updating how we protect newborns from RSV.
Instead of relying on parental vaccination during pregnancy, babies will be offered a monoclonal antibody after birth for direct protection.
immunize.ca/sites/default/fi…
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
They are long wait times in rural communities when the ER is closed for hours, day or the every weekend. Will this initiative address this problem?
@alandrummond2 @NightShiftMD @raghu_venugopal
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
YOU LOVE TO SEE IT
Life expectancy for people with cystic fibrosis going up and up and up and uo
That's what REAL science does.
😍
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
This is true across Canada - big hospitals and small.
With over 20% of our hospital beds occupied by the so-called ALC patient, it is no wonder we are forced to board patients in our ERs.
Each boarded patient denies at least three to four non-urgent patients per hour access to treatment in the ER.
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
Let me be clear: we know from evidence in countries around the world that physician dual practice drains resources away from the public system and, in many cases, increases wait times for public patients.
This goes directly against the spirit of the Canada Health Act.
1/3
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
Women physicians get 25 percent more patient portal messages than men in the exact same practice, and 26 percent more from their own support staff. That is Dawn Sears's figure, and it is one of the quieter reasons she thinks women leave medicine.
Sears, a gastroenterologist for 25 years, has seen it from both sides. She trained with no duty hours and no maternity leave, raised three kids, and served as program director and chief while working 0.8.
Her starting point: "the system was designed for someone who is a male, who is married to a female, who is at home taking care of everything." Seventy to 85 percent of women physicians are moms, and many carry the elder care too. An article she read in May put the average age at which women physicians leave at 45.
She takes on the obvious objection, that someone who plans to leave early should not apply at all. She had classmates who never practiced, and it bothered her. But "we thought we could do it all, and we were sold a pile of lies." She points to April 2020, when visits went from almost all in person to 80 percent virtual within four weeks. Health care can move fast when it has to.
What she says works:
Staff the inbox. If women get 25 percent more messages, give them 25 percent more MAs to sort the real medical questions from the venting.
Ease the return. Three colleagues of hers asked in the past month for 50 percent of call and 50 percent of weekends for the first six months after a baby, and they got it.
Add five days. Women need more screenings, and their children need well visits.
Do the math. Losing her costs half a million to a million dollars, far more than the time she is asking for.
And when a partner says it isn't fair, she asks whether they like their call schedule as it is, because if she quits in two months, their call is going to double.
Listen to the full conversation on The Podcast by KevinMD. Link in the replies.
Search "The Podcast by KevinMD" wherever you listen to podcasts
What is one change your practice made that kept a physician from leaving? #ThePodcastbyKevinMD #WomenInMedicine
ALT Dark brown card with white text: She had a miscarriage at work. Her husband didn't feel any cramps that day, but they both lost a baby. The system was designed for a man with a wife at home. The Podcast by KevinMD.
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
On this day in 1986, Canadian author Robert Munsch released his book Love You Forever.
It is a book that originated from tragedy but from that tragedy came something wonderful and beloved around the world.
This is the story of one of Canada's most acclaimed books.
🧵1/10
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
On March 26, 2000, the song Blame Canada from South Park: Bigger, Longer & Uncut was nominated for Best Original Song at the Oscars.
But that night something also debuted that became an immediate hit.
The I Am Canadian Rant.
This is the story.
🧵 1/10
ALT Joe Canada standing center stage, singing into a microphone with mouth open and arms slightly outstretched before a large red maple leaf on a white backdrop.
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
Don’t punch your doctor (apparently, this needs to be said).
flip.it/xVY7Bi
@CAEP_Docs @raghu_venugopal @alandrummond2 @ACEPNation
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
Thank you. It takes courage to stand with me at a time like this.
I stand in solidarity with Dr. Goldman. I have reported extensively on the links between the anti-vaccine movement & Antisemitism.
I’m Christian, but I sometimes receive threats of violence & death. The threats often use antisemitic slurs.
Please stand with @NightShiftMD!!!
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
This is huge. Hopefully individual blood components will save lives without shame or guilt. jw.org/finder?wtlocale=E&doc…
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
You do absolutely none of these, because physically cooling someone with a fever will make them feel WORSE
Physiologically their hypothalamus already thinks they are cold and is warming them up
Antipyretics can switch this off, but physical cooling is WRONG
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
After years of family doctor shortages, the North Shore has room for 20,000 new patients
Provincial changes, local efforts have helped build capacity in what was an overstretched system
cbc.ca/news/canada/british-c…
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
Ernie Coombs is a beloved symbol of kindness for generations of Canadians.
As Mr. Dressup, he was a fixture of Canadian television for decades. Even 24 years after his death, people love Mr. Dressup.
This is his story.
📸 CBC
🧵 1/16
ALT This 1970s black-and-white photo features Ernie Coombs as Mr. Dressup, smiling with crossed arms in a colorful patchwork jacket, plaid bow tie, and striped pants. Beside him, on a wooden treehouse set with a blue door and yellow banners, are the puppets Casey (a red-haired child in brown) and Finnegan (a gray dog with a red collar), from the Canadian children's show *Mr. Dressup*.
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
Homelessness is not just an urban issue.
youtube.com/watch?v=RDjC3M2L…
Proud of our daughter for bringing attention to this problem while working at @GatewayRuralH
@raghu_venugopal
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
In high school: Why do I need biology, chemistry, and physics? I'll never use this stuff in real life.
Twenty years later: Vaccines are a conspiracy. GMOs are poison. I've done my research.
Science isn't about memorizing facts.
It's about learning to tell facts from nonsense.
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
On this day in 2001, 38 civilian and four military flights bound for the United States were diverted to land at Gander, NL.
The community of 11,000 welcomed and housed 6,600 arrivals.
The new Gander 9/11 Heritage Minute 👇️
youtube.com/watch?v=wCjsUk7P…
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
“It's impossible to fear diversity and to enter the future at the same time.”
@NightShiftMD @WilliamShatner @inglorioustrek @CanadianKayMD
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
Permit me a brief moment. These are my parents. They brought me to Canada when I was nine. They gave up everything to come here and to give their kids a better life and it was. I am so very proud to be Canadian and I simply refuse to the countenance the MAGA North apologists!
Kay M. Dingwell🍁🩺🏳️🌈 retweeted
Nailed it. The ER IS the surge capacity of healthcare itself. Allowing it to not function is like letting the gas in the emergency generator to run dry. The politicians who run provincial healthcare don't seem to get this. Patients and ER healthcare providers are suffering as a result.
