Greg R. @greg_ramp
Emergency Physician working in the GTA. My tweets are my own. Joined March 2010-
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Disturbing reports of corporate pressures on pharmacists for profit: cbc.ca/amp/1.7126811 When diagnosis (dx) leads to Rx which leads to profit for corporation, unlikely for pharmacist to be allowed to dx viral illness and no Rx sold. Dx and Rx sale shouldn't be in same hands
AI to cutdown on paperwork for family physicians? But still no centralized referral system for specialists? Correct And we still fax everything? Correct And we repeat 1000s of tests because they’re not available across all clinics/hospitals? Yup 🤦♂️ cbc.ca/news/canada/to…
How does this make sense in a single payer system? Hospitals are worsening their financial situations by having to take out loans yet have little to no recourse in making up this ground in a not for profit environment. 🤦♂️ I don’t understand this. Patients lose in this scenario.
How does this make sense in a single payer system? Hospitals are worsening their financial situations by having to take out loans yet have little to no recourse in making up this ground in a not for profit environment. 🤦♂️ I don’t understand this. Patients lose in this scenario.
Ozempic hyperemesis syndrome is starting to rival cannabinoid. Ozempic seems to have a major supply issue in 🇨🇦 & many who actually need it are scrambling & unable to find it. Not sure how this will play out in the coming years. Ask your vommitting pts do u use pot or Ozempic?
So... Our emergency dept had >90 patients admitted, waiting for hospital beds, 40 of which were housed in a care area with 30 official beds and countless other hallway beds. Barely room to see patients. Then, by the evening >60 patients were waiting to be seen. And so you wait.
It’s horrible to be a patient in an Ontario ED right now. We are sorry. We feel your pain.
Premier Doug Ford's government gives a for-profit clinic more funding to perform certain OHIP-covered surgeries than it gives Ontario's public hospitals to perform the same operations, CBC News has learned. cbc.ca/news/canada/to… .
EM: One of the least happy specialties OUTSIDE of work. Why? I think this is a simple case of we-know-too-much. I can name a million ways to die, many ways I’d rather not live, but only a handful of ways I want to live. An aneurysm that decided today was the day, that…
1/2 Given that ED's are funded for a set number of hours per day of coverage, who's responsibility is it to deal with surge and inefficiencies? Often this falls on the physician group to subsidize for the cracks in the system. This is wearing and burning out docs. Thoughts?
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.
One dark morning in May of 2020, I wrecked my body giving 10 minutes of CPR. My 34-year-old husband, Will, had been lying peacefully next to me, both of us fast asleep. Check out the link below to read the rest of this story. glaucomflecken.com/the-quiet-place
So ... If in Ontario, we are empowering pharmacists to prescribe medications in certain circumstances, can we not empower them to properly administer LU codes?? One of the most extraneous tasks I am forced to deal with on shift is a fax back from a pharmacy for LU code request...
As true in 🇨🇦 as it is in 🇬🇧.
If you come to the ER and you wait a long time (1-10+ hours) and you are wondering if we’re sorry, we are. Also none of the people one might complain to, from the registration clerk, the tech taking vital signs, the nurses, the docs or APPs, can solve the delay…
How UBC filled all its family medicine training spots, and hopes to reduce the shortage of family docs, by @loriculbert via @VancouverSun #MedEd vancouversun.com/health/bc-trai…
@picardonhealth @loriculbert @VancouverSun What it really took was paying family doctors what they are worth. If anyone is listening in other provinces it’s an easy fix. Family docs have the hardest and most important jobs. Treat them with respect @SylviaJonesMPP @OntarioCollege @CFPC_e @allan_k_grillMD @OntariosDoctors
friendly reminder that leaving your sharps behind for a nurse to clean up is unsafe and also just kind of mean
Haven’t seen this many anchormen drop since Channel 4 News took on the Evening News Team in a San Diego alley.
My nicest patient today obviously has new metastatic cancer. Why is this so consistent?

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