Amy Nakajima Profile
Amy Nakajima

@SocialObGyne

2,562
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2,493
Following
1,526
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47,256
Statuses

An obstetrician-gynecologist aiming to address social inequities. MSc Human Factors & Systems Safety, Lund Univ. Currently in the DrPH program, Univ of Toronto

Ottawa, Ontario, Canada
Joined February 2022
Don't wanna be here? Send us removal request.
@SocialObGyne
Amy Nakajima
1 year
Nah, an N95 doesn’t keep me from doing stuff. (Such a lame excuse and, yes, I have been pregnant twice)
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@ChioneNgozi
Ngozi Chione
1 year
Surgeon (end of consult) Sorry I wasn’t wearing a 😷 when you came in, I find them really hard to wear, 365 … I’m pregnant (very early - flat stomach). Us: Oh congratulations! Hubs:Oh you should try the @flo_mask (indicating to his face)..I don’t feel the need to take it off⬇️
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@SocialObGyne
Amy Nakajima
10 months
@ConsumerSOS It’s hard enough just being a frontline healthcare provider. Patients not masking. Colleagues not masking. In fact, I’ve been pressured to drop masking. But we need to continue fighting the good fight. Masking. And trying to convince others to put their masks back on.
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@SocialObGyne
Amy Nakajima
1 year
@CTVVancouver Thanks for potentially making those who mask even more stigmatized. It’s insulting for me who is both a physician working with vulnerable patients and a patient, to be lumped in with those with criminal intent @Limbictweets @TheSheepcat @LGSentinel
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@SocialObGyne
Amy Nakajima
4 months
@nenshi I want to say, that if Naheed Nenshi becomes the premier…it would persuade me to start looking for a job in Alberta. (Alberta buddies, you have been warned.) @integritycdn @drdagly @kasza_leslie @FionaMattatall
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@SocialObGyne
Amy Nakajima
11 months
@DrZedZha I’m going to suggest an open ended question here, as opposed to a close ended one. And I weigh in with over a decade of working with patients with trauma histories. Maybe: what supports do you think you will have at home after your surgery? @AndrewCicchett1 @DrEmmaKatz
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@SocialObGyne
Amy Nakajima
9 months
@Yash25571056 @JennaLuche I’m curious how babies born to moms infected with COVID are doing now…at 1-2 years old.
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@SocialObGyne
Amy Nakajima
3 months
@1goodtern Why does ANY patient ask for their provider to mask up? (Providers should already BE masked)
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@SocialObGyne
Amy Nakajima
1 year
@MoreauGabarain @wecarryon2 @AirCanada This was on board. It’s not stocked like an ER. And the doctor is a humanitarian. He put himself & his family at risk b/c of his professional ethical values. If the sick passenger had ethical values, he shouldn’t have boarded. And Air Canada should still have masking mandates
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@SocialObGyne
Amy Nakajima
1 year
@WilliamsKona Thank you for sharing. My heart broke when I read your thread. (I am a gynecologist who has a clinic in an Indigenous health centre.) Please consider submitting to the CMAJ or other journal. To bring awareness to other HC providers the realities of being Indigenous.
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@SocialObGyne
Amy Nakajima
1 year
@jonathanstea @HislopMD Please add Shingrix to your list. I just got the second one on Friday. I mounted quite a response! (At least, I said to myself, it seems to be working)
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@SocialObGyne
Amy Nakajima
11 months
@drquinngyn Well…we really don’t want him in our specialty do we? And frankly, I think the psychiatrists were so nice as they treated him like a patient.
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@SocialObGyne
Amy Nakajima
2 years
@SharkawyMD @crwequine @DFisman @IshatReza Reinstating mask mandates is far overdue. It is shameful that leadership at all levels are not being honest about the COVID rates in the community and the strain being placed on hospitals.
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@SocialObGyne
Amy Nakajima
1 year
@jonathanstea Please also do NOT follow sex ed advice written in Sharpie on the backs of stall doors in public bathrooms.
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@SocialObGyne
Amy Nakajima
5 months
@MLS_Dave I rarely take selfies. This is me at the gym, post workout. I’d be wearing the same N95, if you saw me in clinic or when I teach. Or at the grocery store. You two rock!
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@SocialObGyne
Amy Nakajima
4 months
@integritycdn Totally possible with my trusty N95
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@SocialObGyne
Amy Nakajima
9 months
@i_petersen @Embyeye @GeorgeMonbiot Wow. You’re definitely not promoting public health and informatics. How about: “hey, it’s great that you’re continuing to mask and are up to date with your vaccinations”?
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@SocialObGyne
Amy Nakajima
1 year
@drdagly I feel like I’m a broken record: privatization won’t improve access or quality of care. It’s just going to cost more. And those costs are shouldered by tax payers
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@SocialObGyne
Amy Nakajima
1 year
@frozen I would respectfully disagree with Dr. Gustafson. I think one of biggest threats to our healthcare system are medical officers of health who spread misinformation, falsely inform the public that COVID is not a threat & shame us into abandoning safe practices like masking @DFisman
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@SocialObGyne
Amy Nakajima
1 year
@Yash25571056 How about encouraging people to start wearing masks again? Mask wearing is socially acceptable in Japan (and other Asian countries) so I can’t understand the pressure to lift masking recommendations there
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@SocialObGyne
Amy Nakajima
4 months
@lovewins11011 Leave as soon as you can. Give yourself permission to uncouple yourself from your parent(s). Give yourself permission to jettison what isn’t healthy. Give yourself permission to never go back.
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@SocialObGyne
Amy Nakajima
6 months
@amykaufman84 In Canada, a woman is killed by an intimate partner every 6 days. Almost 1/3 of women worldwide have been physically/sexually abused by a "partner". Yet, HC providers underestimate the frequency of IPV. In a study, Canadian ortho surgeons estimated the prevalence of IPV as <1%
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@SocialObGyne
Amy Nakajima
11 months
@amandalhu @AirCanada WOW. I flew Air Canada, returning from Frankfurt to Montreal and had a Philip's GoPure air purifier on board and running for the entire flight. (It's very discreet, shaped like a travel mug.) I guess I won't be flying AC any more.
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@SocialObGyne
Amy Nakajima
6 months
@AndieYEG “Alberta Health Services appointed head & neck surgeon Dr. Daniel O’Connell to a senior administrative position…AHS knew 5 of the surgeon’s Edmonton colleagues had accused him of using his position to benefit a private clinic, of which he is part owner.” @drdagly @kasza_leslie
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@SocialObGyne
Amy Nakajima
10 months
@BrennanSurgeon Peter, how many of your female colleagues would be shocked by this? None. Because we’ve been in the receiving end of this since med school. The only people who are shocked are the decent men.
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@SocialObGyne
Amy Nakajima
2 years
@FinchTH Well…I walk my talk and wear an N95 in clinic…when I teach…when I go grocery shopping…when I go to gym…even when I am presenting at a national conference
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@SocialObGyne
Amy Nakajima
5 months
@elizavetaka 🙌🙌🙌 to a fellow masked traveller! Glad you didn’t catch anything!
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@SocialObGyne
Amy Nakajima
13 days
@HootMouna Yup, I’m masking. #YallMasking
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@SocialObGyne
Amy Nakajima
10 months
@wendyisacsson 1) yes, still masking; 2) Ottawa; 3) for us, for you, for me-that’s why I mask
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@SocialObGyne
Amy Nakajima
8 months
@DebHolloway I’m so not surprised. I had a bout of mycoplasma as a med student and I believe that it predisposed me to…another 4 bouts of mycoplasma over the following 6 years. So I completely believe that COVID would similarly make people susceptible to mycoplasma
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@SocialObGyne
Amy Nakajima
4 months
@EruditeElf I talk about the plans for after the delivery…which include breast/bottle feeding, supports AND plans for contraception. Starting the conversation about birth control in the latter part of pregnancy allows the patient the opportunity to reflect on their choices & ask questions
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@SocialObGyne
Amy Nakajima
10 months
@ironbow I know you don’t share these stories to be thanked. You share them to make us aware of how colonialism and racism have impacted Indigenous peoples. But I want to say thank you, Debbie.
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@SocialObGyne
Amy Nakajima
10 months
@drdagly @crwequine We never should have dropped them in the first place.
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@SocialObGyne
Amy Nakajima
2 years
I admit I didn’t listen. Based on past experience, I’m going to get better quality advice from researchers like Ryan Imgrund & David Fisman, journalists like you & Andre Picard, & my colleagues like @nilikm . @imgrund @DFisman @StutterLoudly @LLynneIrwin @DrKarenWalker @KarynRN4
@GeoffyPJohnston
Geoffrey P. Johnston😎😷🇺🇦🏳️‍🌈🇨🇦💉
2 years
Terrible messaging by Dr. Moore. He has effectively discouraged people from getting a fourth dose now even though many had their last dose at the end of 2021. Could be Nov. before a new vaccine formulation is available, which means it could be almost 11 months between doses!!!
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@SocialObGyne
Amy Nakajima
10 months
@drdagly @slav_metalurges Never, never, never. I NEVER want to see privatized healthcare in Canada. It's bad enough already w/ privatization of LTC. Privatization will simply poach from the pubic side, costing us more in the end. I will quit medicine the day ICU is privatized. @DrVivianS @kasza_leslie
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@SocialObGyne
Amy Nakajima
1 year
@MaryFernando_ @PeterHotez I think you’ve hit the nail on the head. People who, in Dr. Hotez’ position would have made billions, don’t understand him and are resentful and jealous. And go after him.
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@SocialObGyne
Amy Nakajima
10 months
@drdagly I’m sorry about your week. I imagined that your relative silence was b/c you were biking in the wilderness. The irony is that we are doctors. Only doctors. We need policymakers in housing and education in three levels of government, to do their jobs. So that we can do ours.
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@SocialObGyne
Amy Nakajima
10 months
@jenniferhulme @KimDerstine @PublicHealthON Let’s start with a return to masking!
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@SocialObGyne
Amy Nakajima
5 months
@DrZedZha And the expectation of volunteer work is 1) gendered (who organizes birthday cakes at the office?) & 2) often racialized (oh, can’t you give the EDI presentation?) And yet women & members of faculty from equity deserving groups are less often thought of for leadership positions
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@SocialObGyne
Amy Nakajima
2 years
I’m just a gynecologist. I know a bit of medico-legal matters because I need to and I should as a physician. I am wondering if this level of coercion can be considered a human rights violation? @GeoffyPJohnston @Billius27
@DrVivianS
Dr.VivianS
2 years
I AM HONESTLY DISGUSTED BY THIS GOVERNMENT. (I'M TALKING TO YOU @PaulCalandra @SylviaJonesMPP @fordnation ). DO YOU FEEL GOOD ABOUT YOURSELVES DOING THIS TO PEOPLE?
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@SocialObGyne
Amy Nakajima
2 years
@DFisman @beansprouts_mom David, I regret it already
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@SocialObGyne
Amy Nakajima
4 months
@kristatee My heart is breaking for this patient. How can she go back to work on the same unit? I completely understand the dark humour we have in healthcare as we deal with situations that are heartbreaking & heartbreakingly hard, that is our story & I would never share it so cavalierly
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@SocialObGyne
Amy Nakajima
1 year
@DrZedZha Wontons are adorable and delicious. Chaos is neither. But a great example of: 1) do your homework; and 2) what happens when you appropriate another culture without consultation
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@SocialObGyne
Amy Nakajima
11 months
@matpVI @SrsAdvocateBC What an impossible situation. I don’t understand why basic precautions can’t be reinstated, especially given how hard LTCs were hit in the early phase of COVID. Your wife must be frustrated and wary that she’s at risk.
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@SocialObGyne
Amy Nakajima
12 days
@beemariestanley I did not include my air purifier in this shot! But it’s there!
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@SocialObGyne
Amy Nakajima
1 year
@DrZedZha That’s an amazing story! Thank you for sharing! Warrior mom!
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@SocialObGyne
Amy Nakajima
2 years
@Sonjalovesbikes 😱I’m assuming you’re safe now? Completely inadequate response by security. I hope you’ll complain in writing.
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@SocialObGyne
Amy Nakajima
10 months
@acweyand Cause you to bring a change of clothes to work. To put down a diaper changing pad on your mattress.
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@SocialObGyne
Amy Nakajima
1 year
@pxnzischemes I hate it when people whine that they can’t wear a mask because it’s too hot.
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@SocialObGyne
Amy Nakajima
1 year
@YoniFreedhoff Ugh. A medical conference should not be a superspreader event. Me, at the recent I-CAM conference in Quebec City. I did unmask to eat and drink. And I’ve been vaccinated x 6.
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@SocialObGyne
Amy Nakajima
1 year
@ScholerinED I'm glad you're continuing to wear an N95 when seeing patients. I, am, too. But I find it sad that we're getting THANKED for masking! I think masking should be the default position. And It's rough when there are colleagues spouting misinformation. We are NOT POST-pandemic.
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@SocialObGyne
Amy Nakajima
1 year
@AlanPlotzker @BadMedicalTakes The Twitter handle is creeping me out.
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@SocialObGyne
Amy Nakajima
1 year
@keetmuise I wear an N95 because we’re still in the middle of a pandemic. And just in case someone thinks wearing a N95 holds me back, I can assure them it does not
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@SocialObGyne
Amy Nakajima
11 months
@RougeMatisse @SpaScandinave It’s your individual right to take your business elsewhere
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@SocialObGyne
Amy Nakajima
11 days
@ScholerinED I haven’t stopped masking. Me, today, in clinic.
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@SocialObGyne
Amy Nakajima
3 months
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@SocialObGyne
Amy Nakajima
11 months
@TheJenRollins I think those are the reasons why he’s your ex.
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@SocialObGyne
Amy Nakajima
1 year
@quality_nguyen And…being accused of being hysterical (you know, because I own a uterus) & being offered hygiene products because it must be a certain time of the month because I’m being extra emotional. All of which is tongue-in-cheek. I’m sorry you’ve been on the receiving end of abuse.
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@SocialObGyne
Amy Nakajima
1 year
@DrSuneelDhand Disagree on all counts. I find my professional life meaningful when I can help a patient, teach a student, collaborate with a colleague. While wearing an N95, if I’m doing any of these in person. I also think it’s not professional to be insulting people.
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@SocialObGyne
Amy Nakajima
1 year
@CanadianKayMD @ask_aubry Kay, you are a hero. Thank you for intervening and thank you for sharing that story.
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@SocialObGyne
Amy Nakajima
1 year
@dereknason Hi, I’m Amy. I’m attending the I-CAM conference in Quebec City and doing my best to keep friends and strangers safe. And to do my best to ensure that I’m bringing only good memories home to Ottawa. (I thought balloons were fun…)
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@SocialObGyne
Amy Nakajima
1 year
@jonathanstea And having had a couple of these people in my personal life, it amazes me how they can shovel out “their opinion” in gallons and expect somehow that you should accept their feedback, but will cry when you give them a teaspoon.
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@SocialObGyne
Amy Nakajima
6 months
@LauraMiers @DrMarjorieRobe1 @RedCross Yes! It seems oxymoronic to NOT have masking in place for people who are civic minded and donating their TIME and blood for others' benefit. @RedCross should be trying their best to keep these volunteers safe.
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@SocialObGyne
Amy Nakajima
2 years
@ElleSteinhagen Because my husband works at a children’s hospital. Because I see patients who are medically fragile (I would kill them if I gave them COVID). Because I don’t want to get COVID and give it to another person, whether loved one or stranger.
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@SocialObGyne
Amy Nakajima
10 months
@PhillyPhile215 Oh, sure, cuz you have one of those machines at home in your basement…😭
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@SocialObGyne
Amy Nakajima
6 months
@Yash25571056 I’m sorry to hear that your colleague contracted COVID and passed. It’s a tragedy, to lose people because our governments haven’t continued with effective public health measures against airborne pathogens.
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@SocialObGyne
Amy Nakajima
2 years
@DrDoyleSays Scary—trauma recovery is a complete 180 from day-to-day survival in an abusive chaotic environment. It takes huge courage to choose recovery. Kudos to everyone who does.
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@SocialObGyne
Amy Nakajima
6 months
@Kidsdoc1Rick To parents with a sick child: keep your kids home. To employers: please excuse your employees when they are sick or looking after sick kids at home. To the government: how about ensuring some sick leave policy?
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@SocialObGyne
Amy Nakajima
2 years
It’s odd…I read the announcement and thought immediately that it was the wrong thing to do, drop masking at Canadian Blood Services. They better start listening to their donors. What are they going to do with a shortage of O neg? Donors please call and express your concerns
@MoriartyLab
Tara Moriarty
2 years
Blood donors, If you can no longer give blood in an environment that does not require masks, email or call @CanadasLifeline to tell them. They are listening. Cc @DFisman
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@SocialObGyne
Amy Nakajima
9 months
@FionaMattatall @Yash25571056 @JennaLuche “This cohort study of 18 355 infants delivered after February 2020 found that male but not female offspring born to mothers w/ a positive SARS-CoV-2 PCR test result during pregnancy were more likely to receive a neurodevelopmental diagnosis in the first 12 months after delivery”
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@SocialObGyne
Amy Nakajima
10 months
@hemeoncABnorth Thank goodness for wives.
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@SocialObGyne
Amy Nakajima
10 months
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@SocialObGyne
Amy Nakajima
11 months
@MLS_Dave @billiebuttons64 I don’t understand how an oncologist can be so dismissive of COVID. Glad you’re not one of his patients! But feeling hopeless for those who are.
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@SocialObGyne
Amy Nakajima
9 months
@yeet_the_ute @BassoonYsu Thanks for commenting, otherwise I wouldn't have seen the original post, which suggests that obstetrical ultrasounds are unnecessary & somehow invading a pregnancy's privacy (?). Placenta previa & placent accreta are life threatening conditions for mom: they're diagnosed by u/s
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@SocialObGyne
Amy Nakajima
3 months
@IrishEcocritic I hear you! Too polite to say it to my face, but I can feel the commentary on my continued mask wearing
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@SocialObGyne
Amy Nakajima
7 months
Sending my thoughts to folks affected by the quake in Japan. Parts of Japan have been asked to evacuate
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@SocialObGyne
Amy Nakajima
2 years
@canmorefolk I hope if any suppliers drop out because of your support and allyship of the Pride event, I hope local businesses will step up and pitch in to make your event the success it deserves to be
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@SocialObGyne
Amy Nakajima
2 years
@nilikm Wow. There is no need for rudeness! @Twitter I’m sorry @nilikm that you’re on the receiving end of so much disrespect. And, yes, I wear a mask at work, when I teach, when I work out and when I go grocery shopping. In short, I wear a N95 when I will be with other people
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@SocialObGyne
Amy Nakajima
3 months
@Yash25571056 Do we all become vegan? (I’m actually seriously asking)
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@SocialObGyne
Amy Nakajima
1 year
@jonathanstea Jonathan, thanks for sharing. And I want to just remind us of the effects of vicarious trauma upon healthcare providers who work with trauma survivors. These stories are so heavy, please take good care of yourselves. An empty vessel cannot pour
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@SocialObGyne
Amy Nakajima
2 years
Maggie, Canadians doctors got a notice that the situation is complicated. In short, a Canadian doctor performing an abortion IN CANADA on a patient from a US state which bans abortion may get arrested if they enter the US. This is how the US Supreme Court is tying our arms.
@MaggieM00021130
Maggie M
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@SocialObGyne
Amy Nakajima
4 months
@kasza_leslie @healingfromlc This gynecologist wears an N95 and has a portable air purifier in the consulting room. I thank my patients for wearing a mask.
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@SocialObGyne
Amy Nakajima
1 year
@drdagly How about we start with being tough on poverty? And ensure that people live with dignity?? So that they live in safe homes with food on the table? That they can access healthcare easily? Where they can access transportation??
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@SocialObGyne
Amy Nakajima
1 year
@MoreauGabarain @wecarryon2 @AirCanada I would not be asking other passengers to “donate” their medications for this person. That’s not fair to others, and there is no lab on board. What equipment on board is minimal compared to an ER. I know because my daughter is a flight attendant.
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@SocialObGyne
Amy Nakajima
1 year
@ESL_fairy I want to say that while her heart and yours are breaking, you are giving her a tremendous gift. You allow her to feel hard, painful feelings; you don't insist that she swallow them b/c they make you, the parent feel uncomfortable. It is an unimaginable, immeasurable gift.
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@SocialObGyne
Amy Nakajima
1 year
Ugh. At the Montreal airport: have not seen ANYONE else with a mask. 0% masking rate. (Not counting me.)
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@SocialObGyne
Amy Nakajima
2 years
@ahmedhankir @writershealth Yes, and as physicians we need to recognize that our patients may not be able to follow our advice because they: are housing insecure, food insecure, have few supports, have had adverse childhood experiences, have difficulties in accessing other services.
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@SocialObGyne
Amy Nakajima
2 years
The proposal to privatize healthcare in Canada is like a proposal to jump off the observation platform of the CN tower or over Niagara Falls. I don’t need to try either to know that it’s a bad idea with poor outcomes. @drDavidKeegan @GeoffyPJohnston @nilikm @DFisman #MedTwitter
@AlikaMD
Dr. Alika Lafontaine MD
2 years
If you’re unhappy with, - health system fragmentation, - lack of integrated end-2-end care - policy decisions that minimize costs above all else you will REALLY dislike private healthcare. In public systems these are parts of cycles. In private healthcare these are features.
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@SocialObGyne
Amy Nakajima
8 months
@WriteNThrive Your love is visible, palpable. And your love is a welcome gift now and as she undergoes her transition. Sending my very best to you both
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@SocialObGyne
Amy Nakajima
11 months
@RealGayArbys @StutterLoudly If an event organizer is serious about being COVID careful, they insist on masking, have a refund policy for those who are sick & can’t attend, offer masks & RAT, have a designated person to be the contact person for cases of illness, have a contingency plan for speakers.
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@SocialObGyne
Amy Nakajima
2 years
Thank you, Virpi, for an eye opening thread summarizing Sweden’s COVID response. Absolutely unacceptable that a handful of people with a lot of power made very bad decisions. They couldn’t admit they were wrong and continued with their policies. They should be held accountable
@VirpiFlyg
Virpi Flyg
2 years
In spring 2020, when other countries closed all schools, Sweden kept primary schools open, with mandatory in-person attendance and without protective measures such as testing or quarantines. Sweden then told the world COVID didn't spread in schools. It wasn't true. 🧵
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@SocialObGyne
Amy Nakajima
10 months
@HighwayOfTearz "In July, The Associated Press reported on the case of an Inuit woman in Yellowknife who had surgery in 2019 aimed at relieving her abdominal pain. Dr. Andrew Kotaska, did not have the woman’s consent to sterilize her, and he did so over the objections of other medical personnel"
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@SocialObGyne
Amy Nakajima
1 year
@JFCnotagain This is beautiful. This is my Canada
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@SocialObGyne
Amy Nakajima
2 years
@lisa_iannattone No, we never should have taken our masks off…oh, I didn’t
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@SocialObGyne
Amy Nakajima
9 months
@RRR0BYN @jonathanstea now, I truly appreciate your pain.
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@SocialObGyne
Amy Nakajima
11 days
@UpolEhsan It does feel lonely IRL. But seeing all these wonderful masked people here is so encouraging! #YallMasking
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@SocialObGyne
Amy Nakajima
1 year
@CdnPercy @MoreauGabarain @wecarryon2 @AirCanada My daughter is an FA. Trust me, Good Samaritan “rules” aren’t ironclad. And talking about what an FA or a happen-to-be-onboard HCW can do or not do shifts the attention away from the real issue: don’t board the plane if you’re sick—you’re putting other passengers & staff at risk
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@SocialObGyne
Amy Nakajima
1 year
@SueAnnLevy @JohnLorinc And you would know because YOU are HER doctor??
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@SocialObGyne
Amy Nakajima
1 year
@theblondenp At 36 weeks, you are at risk of developing a deep vein thrombosis during a long car ride. Hope your pregnancy is going otherwise well
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@SocialObGyne
Amy Nakajima
11 months
@DefectiveBecca @DontInhaleVirus City of Hope in Duarte, California, has maintained masking requirements, and this has prevented hospital-acquired COVID-19 there entirely, according to Vijay Trisal, chief medical officer. “Our policies enabled us to achieve zero nosocomial infections, zero outbreaks.”
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@SocialObGyne
Amy Nakajima
9 months
@babybel420 It sounds like you tried and tried. I think you might benefit from giving yourself permission to let go.
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