UroOncologist, Durham Regional Cancer Centre. Views are my own.

Toronto, Canada
Joined June 2010
Arthur Grabowski retweeted
🚨 New data on #ProstateCancer RT toxicity 🚨 ✍️@EurUrolOncol Curious with how these data align w/ current counseling? @AnthonyNguyenMD @AmarUKishan @DrSpratticus @Soum_Roy_RadOnc 🇮🇹 IRRADIaTE registry (>1,200 pts): 👉43% of men presenting w/ late GU complications had grade 3–5 toxicity 👉Hospitalization-free survival: 42% at 5 yrs 👉RT complication-related Surgery-free survival: 60% at 5 yrs 👉Primary RT > adjuvant/salvage RT for severe events 🔗shorturl.at/eGbKZ @PCFnews @urotoday @UrologyTimes
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Martin, with precisely zero provocation, Trump said a year ago that he intended to “annex Canada” and make it the 51st state by applying “economic pressure;” - He imposed lifted, increased, decreased, re-imposed and repeatedly threatened tariffs on everything imported from Canada, in gross violation of the CUSMA agreement that he signed, calling it “the greatest trade agreement in history;” - He initially did so on the entirely specious grounds that Canada was a major source of fentanyl imports and illegal migration to the US, both claims completely contradicted by data, and US law enforcement agencies. The claims were so ridiculous - even for Trump - that he has not repeated them for the past ten months; - He has repeatedly said the US needs “nothing” from Canada, specifically mentioning our energy - He continues to maintain crippling sectoral tariffs on Canadian steel, aluminum and certain auto components in violation of CUSMA, tariffs that are costing the Canadian economy billions of dollars and thousands of jobs; - Senior Administration officials (Greer, Lutnick et al) have been intimating for months that CUSMA will not be renewed; - Trump has repeatedly referred to the Canada-US border as “imaginary” and “fake.” - His insults and provocations are too many to list, but just in the last week he has said that Canada has been “completely taken over by China” because of a discrete tariff agreement requested by western provinces and initially *endorsed by Trump*; and insulted the honour and memory of our troops, claiming that they “stayed a little back from the front lines” in Afghanistan. Given all of that and more, you blame the Prime Minister of Canada for CUSMA being in jeopardy? WTH? After a year of this, how can we still have some Canadians blaming Canada for Trump taking a wrecking ball to the relationship? Under these circumstances, Prime Minister Carney has exercised remarkable restraint. What would satisfy you? Grovelling subservience? Giving the US total control over our trade relations with the rest of the world? We Canadians can and should debate the most prudent way to deal with the completely unpredictable and destabilizing threat from Trump. (I, for one, don’t support the recent deal with China.) But surely no reasonable person can conclude that Canada provoked or is any meaningful way to blame for this crisis.
USMCA is toast this June. Carney just pissed off our largest trading partner ahead of negotiations. Let’s hope he gets his majority soon so he can back off.
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Arthur Grabowski retweeted
Persons who had received two doses of the #COVID19 vaccine had serum that poorly neutralized omicron. Those who had recovered from infection and then vaccinated, or who had been vaccinated and had breakthrough, had high levels of neutralizing activity. nej.md/3G2pxBs
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Arthur Grabowski retweeted
The effectiveness of the BNT162B2 vaccine in adolescents was assessed. Among 445 case patients and 777 controls, of the 180 patients admitted to an ICU, only 2 had been fully vaccinated; all 7 deaths occurred in unvaccinated patients. #COVID19Vaccines nej.md/3t7rGID
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Arthur Grabowski retweeted
Remarkably low rate of myocarditis among children mRNA (Pfizer) vaccinated age 5-11 Total of 12 cases among 8.7 million doses given cdc.gov/vaccines/acip/meetin… Rate of 4/million in boys is <1/10th the rate in teens
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Arthur Grabowski retweeted
A good omen for Omicron from its 1st epicenter in Gauteng, South Africa papers.ssrn.com/sol3/papers.… The reduced clinical severity compared with the 1st 3 waves, and vs Beta and Delta variants
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Arthur Grabowski retweeted
And this one @PNASNews today on countering indoor airborne transmission pnas.org/content/118/17/e201… ventilation masks nose-breathing whispering and quiet speech "inadequacy of the Six-Foot Rule"
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Arthur Grabowski retweeted
Airborne it is. 🦠 The 10 streams of overwhelming evidence thelancet.com/journals/lance… @TheLancet by @trishgreenhalgh @kprather88 @Rschooley @zeynep @jljcolorado @dfisman a 5-★ succinct summary
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Arthur Grabowski retweeted
strong possibility he knew of infection at 09.26.20
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Arthur Grabowski retweeted
The patient had a whopping (8g) dose of a #SARSCoV2 neutralizing IgG antibody cocktail. Then they detected antibodies. You must be kidding me, Dr. Conley?
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Arthur Grabowski retweeted
“In our ICU... just about every patient we’re caring for right now has COVID-19,” said @drmwarner. “We’re used to having families there to update in person and now we can only speak to people on the phone...it’s really an impossible situation for families.”
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Arthur Grabowski retweeted
This headline is misleading and completely ignores the fact that Trudeau dropped the ball. He is not recalling Parliament to pass new measures. He is recalling Parliament to fix his mistake. Canadians need a Prime Minister who gets it right the first time. ctvnews.ca/health/coronaviru…
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Arthur Grabowski retweeted
My sister returned from Portugal on Monday night. No one asked her anything about her health, and her temperature was not taken. Where is the screening that the Trudeau Government says is in place? Breathtakingly inept, dangerous and inexcusable.
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Arthur Grabowski retweeted
Then why did your gov’t refuse to restrict international travel in the early days of this crisis? In February Minister Hajdu said that closing borders was “not effective at all” and in March that “border measures are highly ineffective.” Canadians deserve clarity and leadership.
“If we all stopped moving for two weeks and nobody talked to anybody for two weeks and we just stayed put, in fact we would see this virus die. That is the reality” – Health Minister Patty Hajdu, on the importance of physical distancing #covid19 #cdnpoli ctv.news/M2Il20Z
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Arthur Grabowski retweeted
Last night I certified far more deaths than I can ever remember doing in a single shift. The little things hit you: a book with a bookmark in, a watch still ticking, an unread text message from family. Pandemic medicine is hard.
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1/1 The question of whether the PUBLIC should be wearing masks is the elephant in the room.... Let's assume that we FIRST GET MASKS TO THE HEALTH CARE WORKERS FIRST. That is obvious.
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Arthur Grabowski retweeted
...So, what can we do? Here are the recommendations: 1. Maintain indoor humidity at 40–60% 2. Ventilate indoor air 3. Wear a face mask to keep airways moist 4. Take Vitamin D 5. Sleep >7 hrs 6. And, of course, wash hands 😉👍 Refs: tinyurl.com/tpqa3yx #COVID19 #coronavirus
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Arthur Grabowski retweeted
Animal & human studies show that 50% relative humidity (RH) is optimal to maintain our airways & protect from viruses. Low humidity (20–35%) greatly increases rates of infection. In winter, homes & workplaces sampled in NY & Midwest were ~24 RH. Not ideal... #CoronavirusNewYork
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Arthur Grabowski retweeted
The humidity of our homes & workplaces is a major factor that determines our susceptibility to viral infections. Dry air destroys the mucus lining of our airways so viruses can gain access. The thread below has facts, ways to protect yourself, and links to research... 👍 #COVID19
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From a well respected friend and intensivist/A&E consultant who is currently in northern Italy: 1/ ‘I feel the pressure to give you a quick personal update about what is happening in Italy, and also give some quick direct advice about what you should do.
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