@katpigs

Geriatrician/GIM. QI/patient safety, postacute models of care, aging with dignity. Sunnybrooker, AstProf UofT. Lover of hikes, bikes and chocolate.Tweets my own

 Toronto, Ontario
Joined February 2013
  • Tweets617
  • Following433
  • Followers470
103Media
"quality without equity is a hollow victory" The number of times I'm overcome with relief when I realized my pt's RN/PT/OT/SLP/SW/literally anyone in their care spoke their language.. Finally some evidence for what we have known in our hearts all along. cmaj.ca/content/194/26/E899

Patient–physician language concordance and quality and safety outcomes among frail home care...

Background:When patients and physicians speak the same language, it may improve the quality and safety of care delivered. We sought to determine whether patient–physician language concordance is...

cmaj.ca
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MAID is a complex and sensitive issue. Health Canada (not personally affiliated) is hosting a questionnaire (closes Feb 14). People in Canada hold a broad range of perspectives, including on advance requests - a unique opportunity to share your views. canada.ca/en/health-canada/p…
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Kevin Mcleod
@dockevinmcleod6 Jun 2024
I am having to add “lack of access to primary care” as a medical problem on discharge for more and more complex patients. This worsens patient outcomes and ends up costing you a lot more in tax dollars in the long run.
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Brad Langford@BRxAD23 Nov 2023
Time to "ditch the dipstick" for diagnosis of UTI in older adults doi.org/10.1136/bmj.p2660 @katpigs via @bmj_latest
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Michelle Rheault@rheault_m4 Nov 2023
Yesterday was a really good day. Maybe even a career high. I should be popping the 🍾. But with every high has to come a low, right? That’s how this works. Have you been getting your mammograms like you’re supposed to? I haven’t. 🧵 #KidneyWk #WomenInMedicine
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THIS.
Josh Farkas MD 💊
@PulmCrit6 Nov 2023
in med school I was taught that scheduling opioids was clever, to "get ahead" of the pain but... continuous opioid exposure *rapidly* causes tolerance & dependence (in as little as 3 days) a PRN bolus strategy may allow opioids to maintain efficacy for longer (less = more)
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Eric Wong@EricWong_MD30 Oct 2023
A worthwhile read on the topic of new amyloid drugs for Alzheimer's disease by my colleague @JennAnnWatt in this week's @CMAJ cmaj.ca/content/195/42/E1446

Disease-modifying drugs for Alzheimer disease: implications for people in Canada

cmaj.ca
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Still learning on the regular from this guy @DavidJuurlink
David Juurlink@DavidJuurlink21 Oct 2023
Sometimes, "unexplained liver injury" is nothing more than 4 grams of acetaminophen per day
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Dear Rob, I was once your medical student, and your message absolutely made my day. All my best!
Rob Lam@RobLamMD31 Aug 2023
Replying to @katpigs @AGardhouse
Hi Katrina, going to show all the staff in my nursing home this fantastic new article and improve our clinical care. Thank you, Rob
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Thrilled to see this in print while on parental leave! Tremendous thank you to Jerome, Wendy and Johanna. #IYKYK
Choosing Wisely Canada@ChooseWiselyCA14 Aug 2023
New practice pointer in @bmj_latest - Reducing unnecessary urine culture testing in residents of LTC facilities by recent #ChoosingWisely/@CQuIPS fellow @katpigs & Johanna Trimble, Dr. Leis: bmj.com/content/382/bmj-2023…
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"Never again should patients with delirium be isolated from their family caregivers" Delirium, and use of antipsychotics and benzos increased during the pandemic @JAMANetworkOpen. Read more in our @globeandmail Op-Ed with @NathanStall and @RochonPaula: theglobeandmail.com/opinion/…

Opinion: COVID-19 unleashed a crisis of delirium in our hospitals

The pandemic provided a perfect storm for a surge in delirium: social isolation from family, increased use of powerful sedatives, and under-resourced medical staff

theglobeandmail.com
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André Picard@picardonhealth28 Jul 2023
Human beings don't need to be sober or drug-free to deserve housing, food, and dignity. linkedin.com/posts/andrew-bo… via @drandrewb #sdoh
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Ken Covinsky@geri_doc22 Aug 2023
An elegant well done RCT with a disappointing outcome. A diet tailored to prevent cognitive decline in older persons had no impact on cognitive outcomes or brain markers. There are still no dietary interventions or supplements known to prevent dementia nejm.org/doi/full/10.1056/NE…

Trial of the MIND Diet for Prevention of Cognitive Decline in Older Persons | NEJM

Findings from observational studies suggest that dietary patterns may offer protective benefits against cognitive decline, but data from clinical trials are limited. The Mediterranean–DASH Interven...

nejm.org
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Ash Paul
@pash2210 Aug 2023
Reducing unnecessary urine culture testing in residents of long term care facilities bmj.com/content/382/bmj-2023… via @katpigs et al
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Do not overlook the importance of getting a good night's sleep! 😴Check out this helpful infographic from @JohnsHopkins to learn more about #sleep 🧠💡
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Thrilled to be hearing about the future of LTC care and resource stewardship from the incomparable @SidFeldman1 and @docmoser at #choosingwisely2023 @ChooseWiselyCA
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Prof. Feynman
@ProfFeynman11 May 2023
Your intelligence cannot be measured by a number. It is defined by your willingness to learn, solve problems and try new things. You are more than just a number. Develop your skills. Share your brilliant ideas. Your skills are more valuable than your grades. 🧠
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Did a shoutout to your amazing work in Manitoba @MarciaJAnderson. 👏🏽👏🏽👏🏽
Centre for Effective Practice@CEPhealth11 May 2023
We were thrilled to be at the @ChoosingWiselyCA conference and hear @AlikaMD speak on overuse and health care equity. Thank you for our expanding our understanding of why we need race based data to support evidence based decisions, balancing data inputs and patient experience.
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Check out this primer on how to help patients have safe and restful sleep in hospital #hospitalist
Katrina Piggott@katpigs6 Mar 2023
Trouble sleeping? Have you ever tried to sleep in the hospital? 🤦‍♀️ Thanks to the fantastic @ChristineSoong for collaborating and to @AnnalsofIM for putting it out there. acpjournals.org/doi/10.7326/…

Annals for Hospitalists Inpatient Notes - How to Treat Poor Sleep in the Hospital | Annals of...

acpjournals.org
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Trouble sleeping? Have you ever tried to sleep in the hospital? 🤦‍♀️ Thanks to the fantastic @ChristineSoong for collaborating and to @AnnalsofIM for putting it out there. acpjournals.org/doi/10.7326/…

Annals for Hospitalists Inpatient Notes - How to Treat Poor Sleep in the Hospital | Annals of...

acpjournals.org
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Excellent infographic on strategies to prevent #delirium in older adults from @ElderLifeProg @RGPToronto 🧠
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