Not sure if room-rating is still a thing these days, but here is my submission. (Alt text provided.) #roomrater #cfms

Perfectly said. No, I cannot do another daily task. Unless I want to skip one of my two meals. And no, I cannot go to any more appointments or physical therapy or anything. I need to rest more. I can't remember the last time I had *any* energy at all. I have to move and I have no idea how.

David Keegan@drdavidkeegan.bsky.social · 13h ago

One of the things a patient with complex chronic disease dreads to hear from any doc is, “Add this new thing to your routine. It will only take 5 minutes each day.” The “only” is doing *such* heavy lifting. When you add in all the other bits and pieces, tracking medications, handling the 1/3

One of the things a patient with complex chronic disease dreads to hear from any doc is, “Add this new thing to your routine. It will only take 5 minutes each day.” The “only” is doing *such* heavy lifting. When you add in all the other bits and pieces, tracking medications, handling the 1/3

Henceforth, anytime you’re ranting to fellow covid-conscious folks about the impact of society just pretending the covid-19 pandemic is over, it’s not “preaching to the choir.” It’s now called “venting to the HVAC system.” 😁 #covidisnotover #covidisairborne #covid #longcovid #long-covid

Ways to ⬆️ federal tax revenue & protect key programs like public health, Status of Women, the CBC, and more: - eliminate family trusts for inheritance - reform professional incorporation so that it’s not a tax loophole - restrict corporate welfare to climate- and health-positive ventures. #canpoli

This is terrible. The authors admit that their intervention failed to provide the correct Clean Air Delivery Rate. I mean, if you know the intervention you’re testing is inadequate, why test at all?? And why demand they REMOVE existing HEPA fitration units (which might have had the right CADR)?

Mark Ungrin@mark-ungrin.bsky.social · 7d ago

Not much to say here. The same vibes-based medicine that has been driving anti-PPE misinformation since long before COVID hit. Imagine a drug manufacturer testing its competitor's product at a subclinical dose (but "we feel like that's good enough") and then claiming it doesn't work. Unserious.

This does NOT show "Air filters don't stop you catching infectious respiratory diseases". It shows 👉even half-assed implementation of HEPA filters by people who don't understand fundamentals like the size of a pathogen👈 yields results consistent with benefit, but without statistical significance.

I don’t understand how this got published. It would be akin to saying “seatbelts don’t save lives” because of a study when people who didn’t use them properly had just as bad injuries as people who didn’t use them at all.

Mark Ungrin@mark-ungrin.bsky.social · 7d ago

Not only did only ~12% of participants get in-room HEPA (sharing common areas with the other 1,570 who didn't, with "up to 5" shared HEPAs), in-room HEPAs were only (reportedly) "usually" (which is...not a scientific unit of measure! 🙄) turned on. For "pragmatic" read "sloppy"

Not only did only ~12% of participants get in-room HEPA (sharing common areas with the other 1,570 who didn't, with "up to 5" shared HEPAs), in-room HEPAs were only (reportedly) "usually" (which is...not a scientific unit of measure! 🙄) turned on. For "pragmatic" read "sloppy"

All the study did was *fail to demonstrate a statistically significant benefit* of a specific, half-measures combination of filter units - which is unsurprising when you actually read it! Of 1778 residents in "intervention" care homes, only 208 (~1 in 8) got an in-room HEPA (on the lowest setting).

"Canada ranks near the bottom of OECD countries—28 out of 35—for its relatively low share of public health care spending compared to the private share of total health care spending Private health care spending grew nearly twice as fast as public spending in Canada, per person, from 2021 to 2023.."

CCPA — Canadian Centre for Policy Alternatives@policyalternatives.ca · last wk.

Canada already sees a higher portion of private health care spending than a lot of countries, and it needs to change. New report by @alonghurst.bsky.social , senior researcher with @policyalternatives.ca. www.policyalternatives.ca/news-researc...

This is Mike's partner Sylvia Fuller - I am so sorry to say that Mike was found unresponsive while mountain biking yesterday and died despite the best efforts of other riders and Squamish EMS. Thank you to Squamish Search and Rescue for carrying him out and taking care of our dog. We are shattered

And hopefully this will help other places figure out how to follow along

David Keegan@drdavidkeegan.bsky.social · last wk.

ospe.on.ca/advocacy/a-m... This is how it’s done. Listening to, and being guided by, science.

With ⬆️ shingles (herpes zoster), my case report may be relevant to ⬆️ people as a way to ⬇️ the pain & sensitivity, leading to a less painful overall journey and better sleep. (No COI.) link.springer.com/article/10.1... [In memory of my sister, Anne Colleen Butler.] @picardonhealth.bsky.social

Reducing pain in acute herpes zoster with plain occlusive dressings: a case report - Journal of Medical Case Reports

Introduction The pain of acute herpes zoster (shingles) is severe and difficult to control. The medications used to control pain have a variety of important and potentially serious side effects. To th...

link.springer.com

André Picard @picardonhealth @picardonhealth.bsky.social · last wk.

‘It was like something was crawling over me’ – The worrying rise of shingles among millennial women. Stress, long working hours, lack of chickenpox vaccine, blamed for rise in illness among women in their 30s and 40s, by Emily Retter www.theguardian.com/society/2026... via @theguardian.com

ospe.on.ca/advocacy/a-m... This is how it’s done. Listening to, and being guided by, science.

A Major Win for Indoor Air Quality: Toronto's Board of Health Moves to Adopt Stronger Ventilation Standards

The Ontario Society of Professional Engineers celebrates a major win for indoor air quality with stronger ventilation standards in Toronto.

ospe.on.ca

This is how you use your privilege to stand your ground for women and against fascism: www.huffpost.com/entry/donald...

WATCH: Wolf Blitzer Delivers Scathing Award Presentation For Epstein Reporting In Front Of Trump

Trump shrugged and smiled when Blitzer mentioned his two $10 billion lawsuits against The Wall Street Journal for its Epstein birthday letter story.

huffpost.com

For people with kids, some great info about COVID and masking.

David Keegan@drdavidkeegan.bsky.social · last mo.

I hand out respirator/breatheteq masks to my patients to help them reduce their risk of getting COVID and Long COVID. Here's the letter I've put together about this for parents about children masking. @longcovidresource.bsky.social @longcovidadvoc.com @longcovidkids.bsky.social #longcovid

I also hand them out to help people protect themselves from wild fire smoke. Gave out a bunch today. Air quality in Calgary right now is 10+, the worst level in the scale. Going to the FolkFest? Wear a mask. — We need clean air and a stable climate, not more pipelines. #canpoli #abpoli #ableg

David Keegan@drdavidkeegan.bsky.social · last mo.

I hand out respirator/breatheteq masks to my patients to help them reduce their risk of getting COVID and Long COVID. Here's the letter I've put together about this for parents about children masking. @longcovidresource.bsky.social @longcovidadvoc.com @longcovidkids.bsky.social #longcovid

2. The council’s conclusions were universally positive for gender-affirming care: it endorsed the treatments as careful, lawful, and effective, framed quick access as a matter of the right to health, warned that “doing nothing” is harmful, cast aside the Cass Review as not applicable to Dutch care.

Advies Transgenderzorg voor jongeren | Gezondheidsraad

gezondheidsraad.nl

1. In an incredible new landmark review, the Health Council of the Netherlands has declared that gender-affirming care for trans youth works, reducing wait times is "morally urgent," and regret is rare. It is the latest of many Euro countries to advance care. Subscribe to support our journalism.

Landmark Official Dutch Review Recommends Trans Youth Care, Call For Expanding Treatment

The review finds that wait times must be shortened, that few people detransition, and that trans youth care has enormous benefits.

erininthemorning.com

This is a great way to understand why private medicine is atrociously bad for almost everyone and simply doesn’t belong in Canada. #canpoli #abpoli youtu.be/m3wf6ThHG4g?...

Why does private health care lengthen public wait times? (HD)

YouTube video by HealthCoalition

youtu.be

There's never been a more important time for the #SaferParks: #StandUpAgainstStreetHarassment campaign to help make parks safer for everyone 🌳💚 @ccjsleeds.bsky.social @lsjleeds.bsky.social @vp-centre.bsky.social Find out how you can get involved 👇

Anna Barker@annabarker.bsky.social · 10mo ago

🌳 While the official #SaferParks: #StandUpAgainstStreetHarassment campaign comes to a close today, our work continues because everyone deserves to feel safe, welcome and respected in our parks. 💚

New poem (TW, this poem shares an encounter of a woman being threatened by a man) Vigil-ance She appeared suddenly Across from me Leaning against the stand-up ledge in the train car Alarmed Looking to her left “A man has just attacked me”

Incredible shot.

Steve Russell@steverussell.bsky.social · 3w ago

The view of the Northern Ontario forest fire haze engulfing the Toronto Skyline from Humber Bay Park West. #ForestFire #TorontoHaze #TheBigSmoke #Toronto

Modelling shows universal masking by healthcare workers leads to huge reduction in healthcare worker illness, even when people unmask in breakrooms www.cambridge.org/core/journal...

This is the most confounding aspect of this era

One more time. Enjoy your swims but keep an eye.

Trish Greenhalgh@trishgreenhalgh.bsky.social · 2mo ago

Every summer I repost this article on how to spot drowning. Please read it and pass on. In the last few years I’ve had SIX messages from people who saved a kid’s life after clicking on the link from my feed. slate.com/technology/2...

'The Swimmer', wooden sculpture by contemporary New York based sculptor Stefanie Rocknak #womensart

Never forget that when Seoul, Korea removed the Cheonggyecheon expressway in 2003 and replaced it with a restored stream, 1000 acre park and improved public transit, not only did it TRANSFORM the city’s public life and economic success, but the car traffic got better. The car traffic got BETTER.