Greg Bryson

Our local enthusiasm for phenylephrine could use a gentle re-think. www.ovid.com/10.1097/ALN....

Municipal elections are underway. Polls are open from 10 a.m. to 8 p.m. today. Are you biking to the polls? No issue with parking that way. See you at the polls. #BikeToVote #VoteToBike #ottpoli #VoteForBetterCycling #bitetooter

Untitled (Goose in Flight) Benjamin Chee Chee ~ Ojibwe 1977

If London can …

All politics is local. Get out tomorrow and take part.

Bedford Basin, N.S., Looking toward Dartmouth Shore Arthur Lismer 1918

As the Sky Begins to Fall Lee Munn 2023

This is exactly what the Major Projects Office was created for.

Presented at #ANES26: Among high-risk patients undergoing elective major abdominal surgery, individualized #CardiacIndex-guided hemodynamic therapy did not reduce postoperative organ injury, severe infection, cardiac arrest, or death. ja.ma/4BycLrN

Here's the application pressure for the past 4 CIHR Project Grants as denoted by Pillar (1-4). Similar growth in each with somewhat more proporionately in pillars 2 and 3. Data from CIHR Decisions web page.

The media abhors a vacuum more than nature does

I’m giving Bluesky another crack I think - I just couldn’t quite get into it the first time I’ll start with a sustainable healthcare celebration - since the nitrous oxide consensus statement came out in June 2024, we’ve saved the equivalent of 370 return trips to the moon in CO2 in manifold nitrous

Hayao Miyazaki's sketch of Laurent Fignon, for Le Monde newspaper in 2009

Happy World Anaesthesia Day from the teams at BJA Jounals!

Her reporting during COVID was exceptional. She’ll be greatly missed.

Every Right Wing Goverment ever.

It’s a lot to expect from a few minutes- hours of exposure to a single anesthetic Ketamine administration and postoperative mortality after major cancer surgery: a propensity-matched population-based study - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...

In the Northland Tom Thomson 1915

Flash floods hit northern Nepal on Sunday, sweeping away buildings and at least one bridge along the Budhi Gandaki River. The torrent comes just weeks after a devastating flood on the border with Tibet that killed more than a thousand people.

Autumn Foliage Tom Thomson 1916

Some excellent advice for authors of medical research. Be sure to pick off relevant reporting guidance as you go (CONSORT, STROBE, etc)

“Information governance and experiential learning should be complementary aims rather than competing priorities.”

We are pleased to endorse Clinical Guideline for Perioperative Care of People with Parkinson’s Disease, a multidisciplinary pathway guideline developed by the Centre for Perioperative Care with people living with Parkinson’s, carers and multidisciplinary clinical experts. buff.ly/fGIqpbx

Preserves Mary Pratt 1978

Charles Darwin, the Victorian Morrissey?

Put another way, Ford wants to spend more on removing bike lanes in Toronto ($48M) than he's spent protecting all of Ontario's businesses from an international trade war. Ontario deserves serious leadership, that follows through on promises, and actually puts people before profits.

Doctors for Safe Cycling is back! "A coalition of Ontario health-care workers gathered in downtown Toronto on Tuesday to denounce the provincial government’s plan to remove bike lanes on three major roadways across the city."

Happy International Coffee Day!

2026 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery CCR Journal Watch https://criticalcarereviews.com/latest-evidence/journal-watch

And with gas so cheap!

USTR is carrying some heavy buckets of water these days. Recall (per USTR), only 2 countries retaliated against Trump tariffs: 1) China; 2) Canada. This presser suggests USD$30B in forthcoming tariff relief for imports from China. On Tuesday, ~$1B in booze from Canada will banned from import by US

Being there. A skill set that I haven’t (thankfully) had to put to a lot of use. But know I’ll need to get better at.

They tried their best to make the idea of having more things we want nearby, more options and choices in our cities and neighborhoods, seem like a conspiracy. But never forget what the REAL urban conspiracy has been — moving everything further away and making us car dependent. #1HourCityConspiracy

"It is good to have an end to journey towards; but it is the journey that matters, in the end." Ursula K Le Guin. The Left Hand of Darkness

"The overall response rate for the 2026 Census of population reached 98.4% nationally." - Statistics Canada. I honestly couldn't be prouder of my fellow Canadians.

I recently heard someone describe NIN as inverse Rick Astley. I will give you up I will let you down I will run around and desert you I will make you cry I will say goodbye I will tell a lie and hurt you

Pears on a Green Glass Plate Mary Pratt 1998

Planned sub-study of the #PADDI trial by Bach et al showing that #dexamethasone injection in patients with diabetes mellitus mildly increases perioperative #blood glucose but not #surgical site infection. https://www.bjanaesthesia.org.uk/article/S0007-0912(26)00362-4/fulltext

“The incidence (95%CI) of pulmonary aspiration and/or regurgitation in the non-GLP-1 RA cohort was 57/45,691 (0.12% (0.09–0.16%)) and in the GLP-1 RA cohort was 19/1348 (1.41% (0.85–2.19%)); odds ratio (95%CI) 11.39 (6.47–20.05), p < 0.001.”

This is a great followup to the Enshittificator ad. Our family now says the word shitty with a slight Norwegian accent.

Amber Pass Ivan Eyre 1992

I was working in the OR on 9/11. Today I’m doing a similar list with a surgeon who was chief resident and that OR 25 years ago. Funny how much and how little has changed.

Strong thread. Read and learn.