David Carr @davidcarr333 Twitter profile

Last Seen Profiles

@SSINative

@Rup83977280

@ibubohay2

@TheFMLibrary

@maya11_j

@Pasutri13solok

@Mohamad4205

@hondigubuluc

@Jemnni

@yaseminbahadir0

@TanKaan34

@idunno_guy

@MuratGuler0707

@JGS0b7rJHU5l6ab

@RR_research

@bokeplokalmalam

@OIEAHC

@HazFound

@GhodyeMasters

@4Juncotton

@take1official

@UgurNL41

@Leerose1985

@Osman34K1

@stwmaniax

@sadsuntzu

@isghaida

@ibubohay2

@iipocrr

@stwmaniax

@meihakase

@gary_watso82442

@KAANNAMALAI4

@leekysznn_

@sarisakal_emine

@Mfog

David Carr

@davidcarr333

3 years

Don’t even know what to say. But I am wearing my scrubs proudly.

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David Carr

@davidcarr333

3 years

Police escort to work. This is nuts. Speechless.

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David Carr

@davidcarr333

3 years

I tweeted about strep today. It seems like the feeling of “I have strep” seems to be a common presentation of Omicron. Minimized is the loss of smell and taste from the prior variants. Take a scratchy throat seriously. This is likely your initial presentation of covid

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David Carr

@davidcarr333

3 years

If you are offered Pfizer for you booster, take it. If you are offered Moderna for your booster, take it. Win win. I am hearing from people who are bothered by this and are thinking of delaying. Don’t delay.

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David Carr

@davidcarr333

2 years

The way I look at it is actually quite simple. Pay nurses whatever it takes to stop them from going part time, moving provinces or countries or going agency. Repeal 124. Create a new pay equilibrium. Magically our ED’s and floors will have the nurses to take care of patients.

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David Carr

@davidcarr333

2 years

There is a major problem right now in hospitals. They are full. Covid is not directly driving this bus. General medicine floors are full with backlog from covid delayed care and an aging population that needs further care. Long road ahead. Creative solutions needed.

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David Carr

@davidcarr333

2 years

I have become a pediatrician. It’s crazy the disproportion of children I see at an adult based emergent department. What’s even crazier is the fact that none of these parents have access to liquid Tylenol or Advil for their kids fever.

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David Carr

@davidcarr333

3 years

How come it is common courtesy for parents to send kids to school without peanut butter on their sandwiches but the same people don’t have the courtesy to get themselves or their kids vaccinated and send them to school?

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David Carr

@davidcarr333

3 years

When a 55 year old promptly signs in at 810 this am to get a booster and gets an appointment January 21st. This is not happening soon enough.

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David Carr

@davidcarr333

3 years

A fundamental problem in health care right now is that patients no longer respect health care workers or their knowledge. Covid is severing the HCW-patient dynamic. This will be harmful to all the parties involved. We will need to revisit boundaries and tolerance for abuse.

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David Carr

@davidcarr333

3 years

When I call high risk patients with COVID, I am so relieved when I hear they had a prior vaccine. If it is one dose or two, Pfizer or moderna, time and time again, their symptoms seem milder. In some cases, it likely saved their life. Get vaccinated when you have the chance.

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David Carr

@davidcarr333

2 years

Is it just me or do others feel like Ontario just wiped out virtual care and replaced it with allowing pharmacists to prescribe medications for “13 common ailments”?

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David Carr

@davidcarr333

2 years

I keep seeing VIRTUAL CARE patients receiving Z-PACKS for covid pharyngitis. They are coming in droves. Please stop this insanity. This is bad care. This is bad medicine.

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David Carr

@davidcarr333

3 years

It is kinda comical that a few strip clubs are mandating vaccinations for their clients and employees yet hospitals are not.

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David Carr

@davidcarr333

3 years

Needing help of 5 officers at 5 different check points. What a state we are in. A hospital more guarded than parliament hill?

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David Carr

@davidcarr333

3 years

It’s incredible to see the vaccination uptake in 40 somethings getting AZ. This will be a game changer here and it’s starting to rub off on the 50-74 group as well. People want what they can’t have and want their life back. It could not be coming at a more crucial time in On.

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David Carr

@davidcarr333

3 years

We are nearing 500 K vaccines per day in Canada. What an incredible feat. Canada 🇨🇦 going for🥇 @VaxHuntersCan @BogochIsaac

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David Carr

@davidcarr333

2 years

Yesterday was hallway medicine. Today is waiting room medicine. What will tomorrow bring?

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David Carr

@davidcarr333

3 years

You don’t have strep throat. You likely have covid. Repeat.

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David Carr

@davidcarr333

2 years

The mask shaming by docs of docs is too much.

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David Carr

@davidcarr333

4 months

I find myself wondering why as an ED physician, I am often the one clarifying code status on cancer patients towards the end of their journey. These are important discussions and considerations that should occur upstream by their longstanding trusted treatment team.

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David Carr

@davidcarr333

4 years

@jkwan_md No vaccinations on the weekend or holidays. No need to update your vaccine data till the 30th. Early closures of vaccine clinics on Dec 24th with reopening on the 29th? Not sure now is the time to take 4.5 days off. Covid is not on holiday.

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David Carr

@davidcarr333

3 years

It is getting emotionally more challenging to look after covid positive patients at this point in the pandemic in 🇨🇦. This is a vaccine preventable illness. Kinda like patients with measles. Trying to balance my countertransference. Any other HCWs feeling this way?

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David Carr

@davidcarr333

2 months

Yesterday we were looking for an allergy med for our daughter and asked the pharmacist. She asked if she could do a consult & she started taking a history. She told us she could Rx medications. All we wanted to know was where is the Claritin. We did not want to be upsold.

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David Carr

@davidcarr333

3 years

I don’t care which political party you love or hate. We are administering vaccines at an inspired pace. Picked up tons of momentum and truly are world leaders as a society. Lots to be proud and Thankful for 🇨🇦

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David Carr

@davidcarr333

3 years

Medical, nursing, pharmacy, PA, paramedic students etc. How would you feel if the government erased/eased your student debt & you committed to mass vaccinations over the next month? We need to look for less costly vaccinators & free up valuable established docs & nurses.

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David Carr

@davidcarr333

4 years

We can run MRI’s 24/7. Why can’t we do the same for vaccination clinics? At least until supplies last and while the pandemic is burning. Patient’s and HCWs are willing and able.

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David Carr

@davidcarr333

5 years

To quote one of my most respected ED colleagues “Continuing to bring Covid cases to hospitals for screening is like inviting a propane truck to a forest fire”. Time is now.

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David Carr

@davidcarr333

3 years

When every patient you refer for admission from the ED has covid as their admitting diagnosis, clearly we have a problem. I never thought one diagnosis would take up all my work. Unfortunately the variants came faster than the vaccines in 🇨🇦

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David Carr

@davidcarr333

3 years

Two points I want to make: 1. I would gladly take moderna or pfizer after AZ. 2. I would gladly take a 2nd dose of pfizer or moderna regardless of if my 1st dose was the opposite mRNA vaccine. No one knows who made your flu shot. One day we wont care who made our covid shot

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David Carr

@davidcarr333

4 years

If you want a shot of positivity.. .This is the best graph anyone in Ontario should be reading.

Rod Lim

@rodlim00

4 years

Icu Ontario predictions vs actual Good news! #covid19Canada #COVID ー19

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David Carr

@davidcarr333

3 years

Great to have @TorontoPolice doing their job so professionally. Made the way home much more peaceful.

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David Carr

@davidcarr333

3 years

December 18th positive advent covid content. Hat trick today - Ontario Edition. 1) Rapid Antigen Tests work for omicron, so find ‘em and use em’ 2) 169K jabs in Ontario yesterday and climbing 3) 154 ICU patients stable for NOW. Excited to find the golden nugget in the calendar

David Carr

@davidcarr333

3 years

I am going to tweet a daily advent calendar of POSITIVE covid content for the final 2 weeks of 2021. December 16th: 1870 + is totally doable for a shift I know, weak start. Hopefully tomorrow will be better

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David Carr

@davidcarr333

4 years

Ontario, it is time to tighten back the leash on yours and your children’s playdates with friends. Summer relaxation mode is now over. Cases are quickly doubling. Now is the time to get serious again about covid. Bars need a timeout. @fordnation @celliottability @TOPublicHealth

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David Carr

@davidcarr333

6 years

So much influenza this past week. Every single case of the flu I saw occurred in an unvaccinated patient. Please get your shots. You are putting your life, your kids, your parents and grandparents lives at risk. #NotTooLateForTheFluShot @picardonhealth @theresaboyle @UHN

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David Carr

@davidcarr333

4 years

Best day in a very long time.

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David Carr

@davidcarr333

3 years

I am super proud of the vaccination uptake of Canadians. The new heroes of the pandemic are the people of 🇨🇦 . With 🇨🇦 excelling globally in the uptake of first dose vaccinations, it is time to be rewarded. We need to recognize the contributions of those who have done their part.

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David Carr

@davidcarr333

3 years

How many of your eligible patients today were unvaccinated? I had 3. I wish I could have offered vaccines to all of them when they left. 2/3 asked if I could. Talk delta with your patients. Have a discussion. Have an impact. Make it simple for them.

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David Carr

@davidcarr333

1 year

I am happy to share that I have been promoted to Full Professor at the University of Toronto as an Academic Emergency Physician. I would not have been able to achieve this recognition w/o the most incredible mentors & learners who pushed me to aim higher and strive to be better.

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David Carr

@davidcarr333

4 years

Tell your children to bring home their belongings from school tomorrow. Unfortunately it is time. Please be safe over the Easter break. @Sflecce @fordnation @celliottability

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David Carr

@davidcarr333

4 years

Difficult to hear of 30 and 40 year old healthy non-HCW’s being vaccinated in the US and all over the world, while our front line and non-front line HCW’s wait their turn. When will our healthy 70 and 80 year olds outside of LTC get their jab? Asking for a friend.

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David Carr

@davidcarr333

2 years

When a quarter of your patients present to an ED with their only concern being to ask for help with finding a shelter, you know we have a problem.

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David Carr

@davidcarr333

3 years

25% of adults in Ontario have not had a dose of the vaccine. This is starting to become more of a demand than supply issue a this stage. We need the messaging to be clear with delta. HCW's... Ask every patient you see if they have been vaccinated. Have the discussion.

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David Carr

@davidcarr333

3 years

Parents, if you are on the fence, the time to get your kids vaccinated is now.

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David Carr

@davidcarr333

3 years

Is there anyone out there who does not know someone with covid?

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David Carr

@davidcarr333

4 years

If it hasn’t happened already, someone you know will test covid + They are not a doctor, nurse or live in LTC. They may be poor or they may be rich. They look just like you. Covid is everywhere now. Time to live your life like you have covid again. Please take this seriously.

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David Carr

@davidcarr333

18 days

@DallasDuncanMD Are you comparing the hospital tunnels from UHN to MSH to the tunnels in Gaza were hostages have been held? Please tell me your account been hacked? This is not OK Dr. Duncan.

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David Carr

@davidcarr333

4 years

If certain hospitals silence physician leaders and frown upon advocacy, how are they going to attract talent? How are they gonna grow as organizations? Maybe they need to rethink this from the top down. @BrooksFallis @DFisman @OntHospitalAssn @OntariosDoctors @CMA_Docs

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David Carr

@davidcarr333

2 months

The elimination of RAT for Covid has led to an increase in the number of chest X-rays performed and more importantly, way too many Rx of antibiotics for viral pneumonias.

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David Carr

@davidcarr333

3 years

If we are truly attempting to target essential workers, we have to realize the weekends are a golden opportunity to vaccinate those who work Mon-Fri. Why are our weekend numbers historically our lowest?

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David Carr

@davidcarr333

2 years

If you pay them, they will stay. It’s that simple.

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David Carr

@davidcarr333

3 years

Is it just me or does everyone have “higher than normal call volumes” ?

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David Carr

@davidcarr333

3 years

Our metrics have shifted from case counts to hospitalizations and icu #’s. I suggest something new to follow. Trend health care worker absenteeism. Take a look at organizations. NHS is estimating 25% of staff down. You may have beds, but you may not have hcw to provide care.

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David Carr

@davidcarr333

2 years

In a twitter world of fakes, @alandrummond2 ⁩ has remained real. Not a virtual a signaller. Not motivated by political gain/aspirations. Not paying for a blue check. Not selling items on a website. Not in a uninvolved speciality. Thank you for being U

State of Emergency: Inside Canada’s ER Crisis - Macleans.ca

I’ve been an urgent-care doctor for 39 years, and my department has never been closer to collapse. We’re not alone.

macleans.ca

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David Carr

@davidcarr333

3 years

EM docs know that kids are not little adults. Problem is the internists, adult intensivists and nurses have not learned about children since med and nursing school. We don’t have enough paediatric icu beds to care for children. Scary to think about who will care for your kid.

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David Carr

@davidcarr333

3 years

Can we just stop reporting case counts in Ontario. Not sure what the point is. Way too many inaccuracies with a cap and restrictions on testing requirements. Yet I still hear everyday “cases didn’t go up too much today” 🤷‍♂️

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David Carr

@davidcarr333

3 years

If we want to decant the ED and hospitals, I have 3 suggestions. 1) Supply Fam docs with ample PPE/RAT's for their patients. 2) Set up Physician/NP/PA driven assessment centres for on site assessment of flu like illnesses. 3) Pay nurses/RT's etc what they deserve. STAT

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David Carr

@davidcarr333

3 years

Time to expand the hours of your Covid assessment centre. It is full on Covid time

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David Carr

@davidcarr333

4 years

7-10 Days from now... we will be over 500 cases per day It is painful to see pics of Trinity Bellwoods today. One can only foreshadow that park to look like my ED waiting room

Abdu Sharkawy

@SharkawyMD

4 years

This isn’t right. Respect and compassion is a 2 way street.

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David Carr

@davidcarr333

1 year

@DaniellekPenney I had my gallbladder out during my general surgery rotation as a 3rd year clerk. Ended up sharing a room with a patient I had admitted 2 days earlier. Feel your pain. Get well soon.

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David Carr

@davidcarr333

3 years

For so long, I felt like an imposter discussing Covid experiences with my European and American ED colleagues. It was hard to imagine their lens. I am no longer an imposter in Ontario. April will be our worst month. Stay home and safe. Lockdowns suck but Covid is much worse.

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David Carr

@davidcarr333

2 years

All I wanted for National Physician Day was ED beds to examine patients and enough nurses to care for them.

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David Carr

@davidcarr333

4 years

Not every fever is Covid. All those other diagnoses still exist. Take a history. Dust off your stethoscopes. Multiple negative Covid tests, Missed Endocarditis.

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David Carr

@davidcarr333

4 years

148 in Ontario today. Numbers heating up everyday this week. Hospitalizations on the rise. We are slowly and surely limping into the second wave. It is happening.

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David Carr

@davidcarr333

3 years

We are lacking Covid drugs. It is frightening and a major problem. It is probably worse than no beds. For the first time in my 20 + years of medicine, I feel like I can relate to the challenges of the developing world. Key difference, we have vaccines that people don't want.

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David Carr

@davidcarr333

2 years

We need to stop shaming people for wearing masks. We need to stop criticizing people for not wearing masks provided they are following local guidelines. We are moving to risk mitigation strategies that are individualized. I wear masks in public spaces. Most don’t. I don’t judge.

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David Carr

@davidcarr333

4 years

If you are a PUI and your covid test is pending...please isolate. It is irrelevant if you really don’t think it’s covid. You will be wrong. You will harm others. I keep seeing this. It’s heartbreaking.

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David Carr

@davidcarr333

4 years

With outbreaks raging in hospitals in the GTA, we are afraid of getting covid from patients. However, to me the underrated concern is the perceived safety of interacting with colleagues. Eat alone and socialize less. Outbreaks start in lounges and communal spaces. Be safe.

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David Carr

@davidcarr333

2 years

GTA Twitter peeps. Be on the lookout of a food borne toxic ingestion in the Markham area that appears to have GI, neuro and cardio toxic effects. In some cases requiring critical care and VT arrest. Na channel blocking like. Role for bicarbonate? Role for intralipid.

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David Carr

@davidcarr333

3 years

Redeployment is on. To anyone who comes to help out in our ED you are a hero.

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David Carr

@davidcarr333

3 years

How do we account for those Canadians who received their vaccines abroad in our metrics? Lots of vaccine tourism amongst our snowbirds and vaccine border shoppers. Mild undercount @EdTubb @Billius27 @BogochIsaac

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David Carr

@davidcarr333

3 years

Omicron quite possibly will lead to the unvaccinated losing their benefit of safely existing within a highly vaccinated population. The free rider gain appears to be shutting down. For those still doing their own research, now may be a time for a serious reconsideration

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David Carr

@davidcarr333

2 years

ER staff shortages in Ontario | CTV News. Happy to echo ⁦ @CAEP_Docs ⁩ position. Overcrowding and boarding harms patients. Need to advocate for our nurses. @Billius27 ⁩

ER staff shortages in Ontario

Guest, Dr. David Carr

www.ctvnews.ca

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David Carr

@davidcarr333

4 years

Would love to see our front line paramedic colleagues getting the jab in Ontario. It is an honour to work alongside these heroes in the trenches. Like Bryan Rusk or Mike Larsen or Stephen Callisti. Let’s get it done. @TorontoEMS_live @celliottability @fordnation

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David Carr

@davidcarr333

2 months

The key principle with pharmacists providing care in ONT is that they have to be a complement not a substitute. It seems like the government is looking for an inexpensive fix to the problem that 2.5 million ONT residents don’t have a fam doc. I have seen the harm of this strategy

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David Carr

@davidcarr333

9 months

It’s horrible to be a patient in an Ontario ED right now. We are sorry. We feel your pain.

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David Carr

@davidcarr333

7 months

Very saddened to see the large numbers of unmatched family medicine spots. Pretty much coast to coast (few exceptions). Time to take this seriously. The problem is compounding. We need to start recognizing and prioritizing family med economically. Do you have a family doc?

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David Carr

@davidcarr333

3 years

Seeing a lot of late covid. Patients coming in with classic covid but of course no prior test. For some, no problem. For others, the delay of more than a week of symptoms may impact their treatment options. If we don’t test, we need to communicate who needs medical care & when.

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David Carr

@davidcarr333

3 years

Thoughts on offering boosters to 12-17 year olds who live with HCW’s? One hospital in the GTA is doing it. Colleagues are getting covid from their kids. @BogochIsaac @zchagla @TorontoIDDoc @janinemccready @LisaBarrettID @SharkawyMD @ASPphysician @IDdocSSM @DrToddLee @boulware_dr

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David Carr

@davidcarr333

6 months

Conscripting medical students to become family doctors is not the answer. Why don’t we make it that the conditions support medical students to want to become family doctors. The first step will be to pay family doctors what they deserve. Not $40 -40% overhead per patient.

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David Carr

@davidcarr333

2 years

If you are a specialist in a hospital and send a pt to the ED. Notify your specialist colleague on call that you are sending a patient down requiring care. Make it direct to your service if relevant. This helps us a lot. You will make friends with ED staff quickly

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David Carr

@davidcarr333

3 years

Fully vaccinated and want to watch @VladGuerrero27 belt homers in Buffalo. Happy to get tested pre and post. When is this 14 days quarantine gonna end for those vaccinated? Asking for a friend. @BlueJays

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David Carr

@davidcarr333

4 years

Why are we waiting till next week before requiring a negative Covid test prior to entering to Canada? Why not now? We won’t capture all those returning during the busy holiday period. We have had a lot of time to think about this.

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David Carr

@davidcarr333

3 years

I have many medical colleagues with differing views on the varying degrees of lockdowns and school closures. What needs to be abundantly clear, is that the overwhelming majority of physicians are pro vaccine and pro masking. Let’s not confuse these issues.

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David Carr

@davidcarr333

1 year

1/2. Simple fix: Family docs working in health teams are penalized financially if their patients go to walk in clinics. As a result, they tell their pts to absolutely never go to WIC’s. If you are sick GO TO THE ER instead. This has to change. Why penalize them? Why tax the ED’s?

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David Carr

@davidcarr333

2 years

Never have I been so appreciative of the skills and importance of the pharmacists in the ED & hospital. Prescribing paxlovid needs a team. Pharmacy needs to be the quarterback. Shout out to @MattChowPharm and all the other pharmacists at @UHN @MackenzieHealth

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David Carr

@davidcarr333

3 years

It is great to see a hospital prioritize the safety of their patients and staff. Thanks for sharing what I hope will be a glimpse into the future of the Canadian health care landscape. Patients need to feel safe when they go to the hospital. Way too much avoidance already.

uché blackstock, md

@uche_blackstock

3 years

Houston Methodist Hospital has mandated employees be vaccinated by Monday. If they didn't meet the Monday deadline, they'd be placed on a 2-week unpaid suspension. If not vaccinated by June 21, the hospital will “initiate the employee termination process.”

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David Carr

@davidcarr333

3 years

Urology pearl: Instead of a trial of void when removing a foley in the ED (and wait for them to drink lots of water) Fill bladder w/300 cc NS through foley then remove and see if they can urinate. If so, very quick d/c @HumanFact0rz @EMCases @petrosoniak @First10EM @EMManchester

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David Carr

@davidcarr333

4 years

I am so excited to start hearing of my colleagues worldwide getting vaccinated. I am actually looking forward to seeing HCW vaccine selfies.

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David Carr

@davidcarr333

3 years

When you ask a patient if they smoke, if there is a pause as a clinician you just know the answer. Seeing the same thing with asking about Covid vaccination status. This is not shame. We are on the same team. We are here to help. If you won’t trust us, who do you want to trust?

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David Carr

@davidcarr333

1 year

If you call an ambulance and are taken to a hospital, you will not be seen quicker based on your mode of transport. Please call an ambulance only if you need one. Wait times are dangerously long in Toronto and other parts of the province.

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David Carr

@davidcarr333

1 year

Disappointing news that we all saw coming. The most impactful hit will be a significant reduction in the interest in residency training spots in family medicine. This will also lead to the devaluing of the CCFP emergency medicine stream. Terrible decision.

An extra year of training is coming for Canada's family doctors — but do they need it? | CBC News

The College of Family Physicians of Canada wants to increase the length of a family medicine residency from two years to three, as a way of preparing doctors for more complex patients. But the plan...

www.cbc.ca

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David Carr

@davidcarr333

2 years

Proud to work at an organization that will continue to protect their patients and HCW’s ⁦. Waiting for other hospitals to follow suit. @UHN ⁩ ⁦ @KevinSmithUHN ⁩

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David Carr

@davidcarr333

2 years

ED wait times and the current situation is at a crisis level. Solutions are complex w/no simple fix. Macro issue not micro! The scariest part is that if EDs were given 2X the funding to double the staffing of nurses, docs, APPs etc..it still would not cut it. We have no reserves.

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David Carr

@davidcarr333

9 months

They need to place service Ontario terminals in hospitals, so that Ontario residents can get valid updated health cards.

11 ServiceOntario locations to close as Staples gets sole-sourced deal for kiosks

The government also confirmed that Staples Canada got a sole-sourced deal to open ServiceOntario locations inside some of its Ontario office supply stores.

toronto.citynews.ca

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David Carr

@davidcarr333

5 years

Need to have other options for testing of mildly symptomatic people apart from Energency departments. @BogochIsaac @TorontoIDDoc @DrToddLee

ian bremmer

@ianbremmer

5 years

Drive-thru coronavirus testing clinic in South Korea. Innovation drives resilience.

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David Carr

@davidcarr333

4 years

My take on the current situation revolves around two key principles. 1. Hospital capacity is the key metric. We need our ICUs, EDs and hospital beds to have space to look after patients of all ailments 2. We need to do what we need to do as a society to keep our kids in school

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David Carr

@davidcarr333

3 years

I am yet to refer for admission a single vaccinated Covid patient.

BNO News

@BNOFeed

3 years

None of the county-operated hospitals in Los Angeles County have admitted a single COVID-19 patient who was fully vaccinated. "At this point this really is a preventable illness, a preventable infection," a county health official said, according to NBC LA

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David Carr

@davidcarr333

4 years

65K backlog and rising. Funding needs to be allocated to get the backlog cleared. The virus and second wave are here. But if we don’t clear the backlog , we can’t effectively contact trace. Big problem. @celliottability @fordnation @TOPublicHealth @PublicHealthON

Dr. Jennifer Kwan

@jkwan_md

4 years

#COVID19 testing in #Ontario 🦠🧪 - % positive 1.2% - (orange) - Testing: 42509 today (green) - Backlog: 65061 pending today (red) #covidontario #CovidTesting #onpoli

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David Carr

@davidcarr333

4 years

Is it just me .... Or are all of us super happy with each single week of school our children complete live in the classroom?

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