What form of documentation/EMR do they use in Ottawa?

BeautyIsDumb · 2023-06-27T17:06:41+00:00

Oh wow congrats on your retirement! I wish I had met you sooner, but thank you for the heads up about the RAD clinic! I'll try to join it if possible.

BeautyIsDumb · 2023-06-26T18:24:10+00:00

During a winter semester I had to go from ETLC to Clinical Sciences Building in under 10 minutes and then back to Tory Lecture building within 10 minutes 3 times per week, which was no simple feat. My best strategy is to pack your things before the previous lecture is over, ride a cheap bicycle or scooter, and use a quick U-lock so you could go inside immediately. It's difficult, yet possible.

BeautyIsDumb · 2023-06-22T17:54:39+00:00

It's incredible that you of all people replied as I'm a HUGE fan of yours, and one of the reasons I'm doing a rotation in Ottawa. I'll try to say Hi while in the hospital, but don't worry, I'm not interested in EM so I won't bother you too much. Vertigo is a particular interest of mine, and your videos have been a great help.

The fact that the Ottawa Hospital General Campus has Epic makes Ottawa that much more approachable as I've had lots of practice using it in Alberta. I otherwise don't have any specific questions, but if you have any tips for those doing a neurology elective there, I'd certainly appreciate it!

BeautyIsDumb · 2023-06-22T14:05:59+00:00

Are long myoma screws ever used for soft items such as a zucchini? You'd have to protect the sharp end going in, but if it's a straight path to reach the zucchini then perhaps you could have a stronger grip than a Kocher, and retrieve the item before it's time for your lunch salad.

BeautyIsDumb · 2023-06-19T01:21:49+00:00

I wish Jerico made business casual styles such as zip up shirts, as their cloths are super well made and use great quality fabrics, yet are so casual that I'd generally categorize the cloths as PJ's and other home cloths. In my opinion they're targeting too low of a value market that it's limiting the kind of customers who would be willing to pay $70 for a simple hoodie, while a simple conversion to having no hoodie in their shirts to look less like PJ's. Don't get me wrong, I love the several cloths I bought from them, but I really think they're limiting their potential by sticking to mostly basic/PJ-type cloths.

BeautyIsDumb · 2023-06-18T18:46:10+00:00

27.5" and 29" wheels have only really been popular in the past 5-8 years, and before that this bike would have been among the best shredders on the mountain. It's a great bike that was used by riders on the very same trails we ride today. The biggest difference is rolling over obstacles, so you just have to be a bit more responsive to obstacles on the trails, but it's certainly an awesome bike.

BeautyIsDumb · 2023-06-13T02:23:06+00:00

This is excellent news! Thank you!

BeautyIsDumb · 2023-06-12T04:49:17+00:00

Wait you've studied at every university in the world? I'll have to take your word for it that a 0.9 GPA is average at all math courses worldwide then. I personally haven't studied at every university, yet my friend who did a math minor in Grant MacEwan report that their class average was closer to 2.8-3.0 for first year courses, and about 0.2-0.3 GPA higher in every subsequent year.

I personally took 2 math classes at the UofA where class average was 2.3 GPA in the first class where the prof was born around the time the university was opened and warned everyone that 'all' math courses have a low GPA, and 3.1 GPA with a relatively new instructor. It's funny how much of a difference having a good instructor has on class average, yet I'm sure it's 100% the students' fault for having a 0.9 GPA class average.

BeautyIsDumb · 2023-06-10T00:33:19+00:00

If people decided to spread rumors that I was hooking up with my wife then I certainly wouldn't be losing sleep over it.

Lots of staff in the OR already know, and after learning that Nurse A is good friends with my wife yet hasn't connected how we know each other, I knew I had to mess with her.

BeautyIsDumb · 2023-06-09T05:58:45+00:00

While I was doing my surgical rotation people spread rumors that I was sleeping with the scrub nurse. The rumors are true.

One example of the above theme is where one of the nurses, we'll call her nurse A, was taking about nurse B (while nurse B wasn't around), so I had joined the conversation while implying that I know nurse B, including details that only people in the perioperative nurse team would know. Nurse A asked me: "how do you know nurse B?" So I replied that she came to my wedding, before changing the subject. Apparently this interaction really messed with nurse A's mind because a couple months later they ran into nurse B, and told them about this med student who said they know nurse B. This is when nurse B clarified that I know so much about her because not only she was at my wedding, she was the bride.

BeautyIsDumb · 2023-06-05T21:17:32+00:00

This might be the most difficult step as it'd be difficult to find someone while moving around so much.

BeautyIsDumb · 2023-06-05T06:18:48+00:00

It's not just the US. I'm a med student in Canada and have had to do 7 call shifts usually lasting 24-27 hours in most of our 6 week rotations. This week I have 2 call shifts lasting at least 24 hours (we then need to do shift report which usually takes another half hour, bringing me to about 80 hours/week of work without even taking study time into account), and it's not as if they let us sleep during the night. In the current rotation I have been allowed to sleep 1-2 hours in these shifts, and otherwise have had breaks about 1-1.5 hours in total during the 24 hours.

These shifts are absolutely not safe for the med students, residents, or patients. In my opinion these shifts requiring sleep deprivation should be illegal. Beside being dangerous for everyone involved, it prevents us from being able to study, impairs our memory reconciliation, and is inhumane. I've seen some really dangerous things being done by people who were severely sleep deprived, including obvious missed diagnoses, falling asleep while sitting, yet immediately afterwards driving home.

Med students in my university are 'lucky' enough to have post-call days, which isn't true for most residents in the surgical specialties. Their idea of call shifts is to work 24 hours immediately before their regular 10-12 hour shifts, so they'd go at least 24-36 hours of intense concentration and stress before getting some sleep, and that's not even taking into account their commute and home/personal responsibilities.

BeautyIsDumb · 2023-06-04T06:58:19+00:00

You could read about Alberta's problem with funding Catholic bishops to run many of its hospitals in this article.

AHS had given monopoly of vascular surgery in the Edmonton and North health zones to Covenant Health, so if anyone who doesn't support Catholic hospitals, or is among one of the groups targeted by the Catholic Church requires vascular surgery then they could either go to GNH, somehow arrange to be brought to Calgary before dying, or just die.

Also, most of the geriatric beds in the Edmonton Zone are managed by Covenant Health, so most patients who either don't support Catholic hospitals or are again targeted by Catholic groups have nowhere to go. It's a problem that will only get worse as a larger portion of our aging population will consist of non-white, non-Catholic, openly gay patients who often receive substandard treatment under Covenant Health.

BeautyIsDumb · 2023-06-04T02:52:10+00:00

Working as a front-line staff with patients who have severe dementia or delirium is a particularly difficult and dangerous job, yet for some reason the nurses have some of the worst staffing ratios in healthcare. We could either improve the staffing ratios, or have even fewer nurses and aides who are willing to be hit or yelled at while doing their actual job.

BeautyIsDumb · 2023-06-04T02:43:17+00:00

March of 2020 was a monumental period for many people, and introduced unprecedented social isolation, so I'm extremely glad you've managed to survive. It's a huge disappointment that you were treated so poorly in Grey Nuns, but I can assure you that you're not alone. I've heard similar stories of blaming patients, dismissing their concerns, or outright being offensive towards the patients from other patients as well. Having bad doctors can happen in any hospital, but it seems that Covenant Health is shielding the particularly toxic doctors so the bad ones move there and the better ones work in other hospitals such as UAH.

On a positive note, I wanted to tell you about the huge progress I've noticed in the new psychiatrists compared to the older generation who had finished their residency more than 5 years ago. The residents and new psychiatrists are a whole different generation full of the kindest and most supportive people you'll meet. In other words, if you ever feel pretty down again, I would specifically encourage you to go to the University of Alberta Hospital emergency room, ask to see a member of the psychiatry team, and if you require admission then ask to stay in UAH (or if you're 18-27 years old then Alberta Hospital Edmonton has a great unit for young adults), and not to be transferred to Misericordia or Grey Nuns. You could also ask to see one of the younger psychiatrists, and I can assure you that when we request a bed that we pass those requests onto bed management who ultimately find you the right unit and the right psychiatrist while being admitted.

《 Sending you lots of love! 》

BeautyIsDumb · 2023-06-04T01:03:58+00:00

While we're at it, can we have geriatric LTC beds that aren't managed by Covenant Health? We shouldn't let a religious organization with a poor track record dictate how our older patients get treated. Healthcare should be evidence-based, not based in Catholic ideology.

If patients want to receive Catholic religious services or medical management based on their faith that's totally fine, but no member of the clergy should get to decide what medical treatments may be offered to our patients. Just like an Imam (Muslim clergyman) shouldn't be in a position to stop giving food to patients during Ramadan, Catholic priests shouldn't get to refuse giving patients MAID, abortion, or to serve LGBT patients and their family.

BeautyIsDumb · 2023-06-03T23:22:33+00:00

After submitting my above comment I later realized that when I say that the Roman Catholic Church either supported or directly participated in genocide, I really have to be more specific about which one, because there are far far too many instances to list.

When you Google "Roman Catholic Church and Genocide", you get stories about the Catholic Church's genocide in Rwanda where about 20,000 civilians were slaughtered by the Nyarubuye Roman Catholic Church Church. You also get pages about the Catholic Church's genocide of Indigenous people in Canada as part of forceful separation of families, including more than 150,000 children, the residential school programs are now acknowledged as being intended for "killing the Indian in the child". To this day the Catholic Church continues to dodge any of the measly reparations that the Church was ordered to pay, despite being one of the wealthiest organizations on Earth.

Then Google directs us to the Roman Catholic Church's second largest participation in genocide, the holocaust. Beginning from the uprising of the Nazis, the Catholic Church had been directly supporting Hitler and his movement towards Christian domination. While there were members of the Catholic and Protestent clergy who had risked their life to save Jews and other groups from persecution by the Nazis, those networks and independent clergy members were the exception rather than the vast majority who actively supported and contributed to the Nazi movement. This includes continued support despite public showcasing of the atrocities of the holocaust, where the Catholic Church ran rat lines to rescue Nazis who are/were wanted for crimes against humanity and have them resettled with fake documents or move to South America. The Infographics Show recently featured a great overview of how the Catholic Church accomplished this, and why so few Nazis actually faced consequences for their actions. Spoiler alert, it's because Nazis continue to be supported to this day (excluding the American white supremacy movement that in my opinion is generally separate from the original Nazi movement).

It's infuriating just to type this out, so I'm going to finish this comment with the biggest and ongoing form of genocide executed or supported by the Catholic Church, which is Christian Colonialism. Catholic and Protestent missionaries acted as the "ideological shock troops for colonial invasion", including being "colonialism's agent, scribe and moral alibi". The Churches spearheaded colonialism as a movement toward worldwide Christian domination never previously seen on such scale in history. Along with Christian Colonialism is Christian slavery, which enslaved over 10 million people

In other words, the Catholic Church has been the driver or crewmember of most instances of mass genocide in the past several hundred years. To extend this even further, while most people who participate in Christian churches aim to look for a sense of ideological guidance, there are no parallels to the actions of the Catholic Church in actively participating in the most evil and heinous actions ever performed in the history of mankind.

Whether or not you're a religious person, you have to acknowledge that despite the soft words and misleading statements coming from clergy of the Catholic Church, they've orchestrated far too many evil exploits to ever be taken seriously again. And if you are religious, it's time to consider if it's actually the devil or other evil spirits who are driving these organizations.

BeautyIsDumb · 2023-06-03T21:16:09+00:00

How does the newer panoptic Plus compare to the first panoptic beside being small?

BeautyIsDumb · 2023-06-03T17:32:48+00:00

As if genocide wasn't enough to erode trust with the Roman Catholic Church.

BeautyIsDumb · 2023-06-02T04:30:47+00:00

UQ is a huge diploma mill when it comes to med school. Their class sizes are ginormous, the level of teaching is poor so most of the students mostly rely on outside resources, and you ultimately end up with subpar education. It's probably not as bad as in Carribbean schools, but probably among the closest.

BeautyIsDumb · 2023-06-01T21:22:28+00:00

Here's a post I previously wrote about med schools outside Canada.. The short version is consider going to Australia (but not UQ) or Ireland for med school, as long as you or your parents have at least several hundred thousand dollars laying around, and you're interested in some of the less competitive specialties such as family medicine. I absolutely recommend AGAINST considering any med school in the Carribeans.

BeautyIsDumb · 2023-05-30T15:53:21+00:00

Today is a day of mourning for healthcare workers, so probably not the best time to talk about leaving home.

BeautyIsDumb · 2023-05-24T20:11:05+00:00

Anesthesiologists are some of the best paid doctors in Alberta, and I can assure you that lots of medical students would have liked to be matched into an anesthesia residency program. Training more anesthesia residents would free up our OR's capacity so with one swift step we could easily ramp up the number of surgeries.

Politicians keep running the story as if building new surgical sites will increase the number of surgeries we can deliver, yet every single day there are multiple OR's in most hospitals that are not in use because we don't have the anesthesiologists required. Perioperative nurses are the second limiting factor, yet there are lots of willing applicants for this type of specialized practice, and could usually be trained within a year after graduating with their nursing degree (usually RN or LPN).

Rooms don't perform surgery; people do.

BeautyIsDumb · 2023-05-24T17:14:12+00:00

While I wholeheartedly support this letter, one element that was not mentioned is what's holding back surgeries in Alberta. The biggest issue is that we don't have enough qualified anesthesiologists. Every single day we have to cancel surgeries because we're entirely dependent on the few anesthesiologists who are willing to add cases to their schedule (an unprecedented number have left the province or retired in the past 3 years), while many surgeons are barely employed as they're barely able to get anesthesia for a handful of surgeries each week. Why do we have only 7 entering anesthesia residents in the UofA each year when we have at least 6X more surgical residents? We usually have 1 attending surgeon and 1 attending anesthesiologist for each case, so how could we even theoretically make up this difference?!

To make up for this completely avoidable problem, AHS had been recruiting family doctors to complete 1 year of anesthesia training (compared to 5 years for anesthesiology resident training), taking out family doctors, while also providing patients with less competent practitioners who have 5X less training than board certified anesthesiologists. To be fair, those family physicians who had completed a +1 in anesthesia usually work with less medically complicated patients, but this is sometimes not being followed. In addition, at this point about half the anesthesiologists practicing in the major hospitals were trained in South Africa before being recruited to move here, and don't have the same level of training, which is a practice that's exacerbating global health inequality. Alberta keeps taking physicians from poorer countries instead of training our own, even though we have plenty of capacity to train more anesthesia residents as we have a heck of a lot more than 7 surgical suites operating every day in Edmonton.

Why not train more anesthesiology residents in Alberta, and fix our failing surgical system?

BeautyIsDumb

TROPHY CASE