ER MD Author of four bestsellers including Nightshift, Power of Kindness and Power of Teamwork. My latest book is The Casino Shift. RTs are not endorsements.

Toronto
Joined July 2009
I'm thrilled to announce my new book, The Casino Shift, are now live! Sequel to The Night Shift, diving into today's ER chaos, tech advances, and healthcare challenges across Canada. Order here: thecasinoshift.com #EmergencyMedicine #MedTwitter
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๐Ÿšจ๐Ÿ‡ฎ๐Ÿ‡ฑVoter turnout in Israeli elections as of 6pm local time (12pm ET) reaches 66.7% - the highest since 1973
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Menopause-related changes may contribute to higher dementia rates in women, research shows. #TemertyMed's Jennifer Rabin and Madeline Wood Alexander talk about the findings in @globeandmail. bit.ly/4i7qldW
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Walter Koenig 1936~2026 We mourn the earthly loss of a dear senior member of our Star Trek family. Like my favorite uncle who always had me doubled over laughing . I can almost hear the angels laughing, too, as he tries out his new material on Heavenโ€™s stage. #RIP #WalterKoenig
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A Canada-first milestone: St. Michaelโ€™s has performed Canadaโ€™s first robotic hybrid ablation for atrial fibrillation, combining minimally invasive cardiac surgery, electrophysiology expertise & robotics to improve care for patients with persistent AF. unityhealth.to/2026/10/st-miโ€ฆ
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ื”ืื ื”ืขื•ืœื ื™ื’ื™ื“: ื”ื™ืฉืจืืœื™ื ื”ื ื”ืคืจื™ื™ืืจื™ื ื”ื›ื™ ื’ื“ื•ืœื™ื ื‘ืขื•ืœื? ื•ืื ื—ื ื• ืฆืจื™ื›ื™ื ืœื”ื™ื•ืช ืœื ืจืง ืคืจื™ื™ืืจื™ื, ืืœื ื’ื ืžื˜ื•ืจืคื™ื, ืžืฉื•ื’ืขื™ื ืœื’ืžืจื™, ืื ื ืฉืื™ืจ ืืช ื”ืงื•ืืœื™ืฆื™ื” ื”ื–ื• ื‘ืชืคืงื™ื“ื”. ื”ืขื•ืœื ืœื ื™ื‘ื™ืŸ, ื™ืœื“ื™ื ื• ืœื ื™ื‘ื™ื ื•, ื•ื”ื”ื™ืกื˜ื•ืจื™ื” ืชืœืขื’ ืœื ื•. ื”ื ื” ืžื” ืฉื ืชื ื™ื”ื• ื•ื”ืงื•ืืœื™ืฆื™ื” ืจืฆื” ืฉืชืฉื›ื—ื•: ืืช ื”-7 ื‘ืื•ืงื˜ื•ื‘ืจ. ืคืœื™ืฉื” ืืœ ืชื•ืš ื”ืžื“ื™ื ื”. ืืœืคื™ ืžื—ื‘ืœื™ื. ื™ืœื“ื™ื ืฉื ื—ื ืงื™ื ืžืขืฉืŸ ื‘ืžืž"ื“ื™ื ืชื—ืช ืืฉ, ืžื—ื›ื™ื ืœื”ืฆืœื” ืฉืœื ื”ื’ื™ืขื”. ืื™ืžื”ื•ืช ืฉืžื‘ื™ื˜ื•ืช ื‘ื™ืœื“ื™ื”ื ื‘ืคืขื ื”ืื—ืจื•ื ื”. ืจืฆื— ื’'ื ื•ืกื™ื™ื“ื™. ื—ื˜ื™ืคื•ืช ืื•ื ืก ื”ืžื•ื ื™. ืจืง ื‘ืขืœ ืชืคืงื™ื“ ืื—ื“ ื ื•ืชืจ ื‘ืชืคืงื™ื“ื•. ืจืง ืื—ื“. ื‘ื ื™ืžื™ืŸ ื ืชื ื™ื”ื•. ืžืชืงืคืช ื”ืคืชืข ืฉืœ ื”-7 ื‘ืื•ืงื˜ื•ื‘ืจ ืœื ืงืจืชื” ืœื•, ื›ืžื• ื”-11 ื‘ืกืคื˜ืžื‘ืจ ืœื’'ื•ืจื’' ื‘ื•ืฉ, ื›ืžื” ื—ื•ื“ืฉื™ื ืื—ืจื™ ืฉื ื›ื ืก ืœืชืคืงื™ื“ื•. ื”ื•ื ื”ื™ื” ื”ืื™ืฉ ื”ื›ื™ ืžื ื•ืกื” ื‘ื—ื“ืจ, ื‘ื›ืœ ื—ื“ืจ. ื•ื’ื ื”ื›ื™ ื™ื”ื™ืจ. ื”ื•ื ื”ืžื ื”ื™ื’ ืฉื”ื–ื”ื™ืจ ืžื˜ื ื“ืจื™ื ืœื‘ื ื™ื ืฉืœ ื—ืžืืก ื‘ื™ืฉืจืืœ. ื”ื•ื ืจืืฉ ื”ืžืžืฉืœื” ืฉืืžืจ ืฉื—ืžืืก ืžื•ืจืชืข. ื”ื•ื ื–ื” ืฉื™ืฆืจ ืœืžืขืฉื” ืืช "ื—ืžืืก ื”ื•ื ื ื›ืก", ืงื•ื ืกืคืฆื™ื” ืฉื”ื•ืคืฆื” ืขืœ ื™ื“ื™ ื”ืงื•ืžื™ืกืจื™ื ืฉืœื•. ื•ื‘ืขื™ืงืจ: ื ืชื ื™ื”ื• ื”ื‘ื˜ื™ื— ื‘-2009, ื›ืืฉืจ ืจื‘ื™ื ืžื”ื™ืฉืจืืœื™ื ื˜ืจื ื ื•ืœื“ื•, ืฉื™ืคื™ืœ ืืช ืฉืœื˜ื•ืŸ ื—ืžืืก. ื”ื•ื ื”ื‘ื˜ื™ื— ืฉื™ื–ื”ื” ืื™ื•ืžื™ื ื˜ื•ื‘ ืžื›ืœ ืื—ื“ ืื—ืจ, ืฉื”ืื—ืจื™ื•ืช ื”ื‘ื™ื˜ื—ื•ื ื™ืช ื›ื•ืœื” ืขืœื™ื•. ืขืœ ื–ื” ื ื‘ื—ืจ ืœืชืคืงื™ื“ื•. ื”ืžืขืจื›ืช ื”ืฆื‘ืื™ืช ื•ืฉื‘"ื› ื ื›ืฉืœื• ื‘ืื•ืจื— ืขืžื•ืง ื•ื ื•ืจื. ื”ื ื”ื›ื–ื™ื‘ื•, ืœืงื• ื‘ืขื™ื•ื•ืจื•ืŸ ื•ื‘ื™ื•ื”ืจื”. ืืš ื‘ืจืืฉ ื”ืžื“ื™ื ื” ืขืžื“ ื‘ื ื™ืžื™ืŸ ื ืชื ื™ื”ื•. ื”ื›ืกืฃ ืžืงื˜ืืจ, ื”ืžื“ื™ื ื™ื•ืช ื›ืœืคื™ ืขื–ื”, ืฉื—ืจื•ืจ ืกื™ื ื•ื•ืืจ ืžื›ืœืื• โ€“ ื–ื” ื”ื›ืœ ื‘ื™ื‘ื™. ื ืชื ื™ื”ื• ืœื ืคืชื— ืืช ื”ืฉืขืจื™ื ืœื—ืžืืก, ื•ื‘ื•ื•ื“ืื™ ืฉืœื ืจืฆื” ื‘ื˜ื‘ื— ื”ื ื•ืจื ื‘ื™ื•ืชืจ ืœื™ื”ื•ื“ื™ื ืžืื– ื”ืฉื•ืื”. ืื‘ืœ ื”ื•ื ื”ืชืจืฉืœ ืจืฉืœื ื•ืช ืคื•ืฉืขืช, ื•ื›ื•ืœื (ื’ื ืฉื•ืคืจื•ืชื™ื• ื”ื ืจืฆืขื™ื) ื™ื•ื“ืขื™ื ืฉื–ื” ื ื›ื•ืŸ. ื–ื• ื’ื ื”ืกื™ื‘ื” ืฉืฉืœื™ืฉ ืžื”ืœื™ื›ื•ื“ ื•ื™ื•ืชืจ ืขื–ื‘ ืืช ื ืชื ื™ื”ื•, ืœืคื™ ื›ืœ ื”ืกืงืจื™ื. ืœื™ื›ื•ื“ื ื™ืงื™ื ืฉืืžืจื•: ืขื“ ื›ืืŸ. ื“ื ืื—ื™ื•ืชื™ื ื• ื•ืื—ื™ื ื• ืฆื•ืขืง ืืœื™ื ื• ืžื”ืื“ืžื”: ืฉื ื”ื™ื” ืจืื•ื™ื™ื. ืฉื”ืื—ืจืื™ื ื™ืฉืœืžื• ืžื—ื™ืจ. ื”ืžื—ื™ืจ ื”ืžื™ื ื™ืžืœื™: ืžื™ ืฉืขืžื“ื• ื‘ืจืืฉ ื”ืžื“ื™ื ื” ื‘ืขืช ืคืœื™ืฉืช ื—ืžืืก ืœื ื™ื”ื™ื• ืขื•ื“ ื‘ืชืคืงื™ื“ื. ื–ื•ื›ืจื™ื ืืช ื”ืกื ื˜ื™ืžื ื˜ ื”ื–ื”? "ื›ื•ืœื ื”ื‘ื™ืชื”!". ื›ื•ืœื ื• ื—ืฉื‘ื ื• ื›ืš ืžื™ื“ ืื—ืจื™ ื”-7 ื‘ืื•ืงื˜ื•ื‘ืจ. ืจืืฉ ื”ืžืžืฉืœื”, ื•ื”ืจืžื˜ื›"ืœ, ืจืืฉ ืืž"ืŸ, ืืœื•ืฃ ืคื™ืงื•ื“ ื”ื“ืจื•ื, ืจืืฉ ื”ืฉื‘"ื›. ื•ื›ื•ืœื ื‘ืืžืช ื”ืœื›ื•. ื—ื•ืฅ ืžื‘ื™ื‘ื™. ืžืขืจื›ืช ื”ืคืจื•ืคื’ื ื“ื” ื•ื”ื’ื–ืœื™ื™ื˜ ื”ืžืชื•ื—ื›ืžืช ื‘ืขื•ืœื ื ื›ื ืกื” ืœืคืขื•ืœื”. ืœืฉืกืข ื‘ื™ื ื™ื ื•. ืœืคื–ืจ ืกืคืงื•ืช. ืœื”ืคื™ืฅ ืงื•ื ืกืคื™ืจืฆื™ื•ืช. ืœื“ืœืœ ืืช ื”ืืžืช ืขื“ ืฉื™ื™ื•ื•ืชืจ ืžืžื ื” ืจืง ืื•ื•ืฉื” ืฉื—ื•ืœืคืช ื‘ืฆืžืจื•ืช ื”ื—ืฉื•ื›ื•ืช ื‘ื‘ืชื™ ื”ืขืœืžื™ืŸ ืฉืœื ื•. ื‘ืชื™ ื”ืขืœืžื™ืŸ ืฉื ืžืœืื• ื‘ื˜ื•ื‘ื™ื ืฉื‘ื‘ื ื™ ื•ื‘ื ื•ืช ื”ืืจืฅ. ื”ื™ืฉืจืืœื™ื ื”ื•ืœื›ื™ื ืืœ ื”ืงืœืคื™ื•ืช ื”ื™ื•ื. ื”ืฉื™ื ื•ื™ ื—ื™ื™ื‘ ืœื”ื™ื•ืช ืžื”ื“ื”ื“, ื—ื“-ืžืฉืžืขื™. ื–ื• ื”ื–ื“ืžื ื•ืช ืื—ืจื•ื ื”, ืœืคื ื™ ืฉื–ื• ืชื”ืคื•ืš ืœืžื“ื™ื ืช ื’ื•ืœื“ืงื ื•ืคืฃ ืืช ื‘ืŸ ื’ื‘ื™ืจ, ืคื™ื ืช ืžื™ืจื™ ืจื’ื‘. ื”ื”ื™ืกื˜ื•ืจื™ื” ืžื‘ื™ื˜ื” ื‘ื ื•. ื”ืขืชื™ื“, ื•ื’ื ื”ืขื‘ืจ. ื”ืื•ืคื˜ื™ืžื™ื•ืช ืžืžืชื™ื ื” ืœืชื•ืฆืื•ืช; ื”ื”ื—ืœืžื” ื•ื”ืชื ื•ืคื” ื”ื™ืฉืจืืœื™ืช ื”ื’ื“ื•ืœื” ืžืขื‘ืจ ืœืคื™ื ื”. ืื‘ืœ ืœืคื ื™ ื”ื›ืœ: ืฉื™ื ื•ื™. ืฉื™ื ื•ื™ ื”ื™ื•ื. (ืงื˜ืข ืžืชื•ืš ื˜ื•ืจื™ ื”ื™ื•ื. ืชืžื•ื ื” ืฉืฆื™ืœืžืชื™ ื‘ืฉื“ืจื•ืช, ืื•ืงื˜ื•ื‘ืจ 2023).
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Storm Shadow missiles have been delivering impressive results for Ukraine in recent days. Imagine how russia would feel if Ukraine had ATACMS, Taurus, JASSM-ER and Tomahawks โ€” without restrictions.
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โ € STEVEN ROSENBERG: THE SURGEON WHO KEPT GOING AFTER 60 FAILURES In 1974, Steven Rosenberg, a Bronx kid whose immigrant parents ran a luncheonette, became chief of surgery at the National Cancer Institute. He was 33. He bet the immune system could kill cancer. He gave interleukin-2 to more than 60 patients with advanced cancer. None responded. All died. On Nov. 29, 1984, he tried the highest dose the body could take on Linda Taylor, a 33-year-old Navy officer with melanoma. She ended up on a ventilator overnight. Months later, every tumor was gone. She stayed cancer-free for decades. In 1992, the FDA approved IL-2 for kidney cancer. Melanoma followed in 1998. He could have quit at 60. He didn't.
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With the rise of digital technologies, such as AI, robotics, VR/AR, telemedicine, 3D-printing, portable diagnostics, or health sensors and wearables, the entire structure of healthcare, as well as the roles of patients and doctors, will fundamentally shift from the current status quo. In the infographics below, I summarized the cornerstones of the coming changes, comparing the current, traditional healthcare system, its structure, and its roles with the modern healthcare system characterized by digital health. My question is always the same: what have I missed?
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Fuck you from this immigrant
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Adios Kingston. Home to Perth and the GWM Hospital! The nursing staff here have been extremely helpful and the @KingstonHSC should give them a big fat raise!!!
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Do not look away--this is what the USA is doing to help Putin.
On Oct. 19, a Russian strike on a Kharkiv park killed five people, including a 1-year-old girl. @CBSNews obtained photos showing air-defense radars offline that day due to SpaceXโ€™s Starlink restrictions. Alina Spichak walked me through the last steps of her sister Yulia, who died there.
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CNNโ€™s Kaitlan Collins Prediction if the Democrats Take Back the House in November: โ€œI donโ€™t think that they will handle Congressional Oversight the way they did the first time, and I think that the president hated being impeached so much, even though he expects it and thinks itโ€™ll happen again this time. I think there will be way more pushback from the DOJ and from the White House, even than what we saw in the last time around.โ€ โ€œI think it will be a very different Washington, should the Democrats win and should they try to conduct these investigations, and I donโ€™t think itโ€™s totally clear that weโ€™ll actually see it the same way we saw the first time.โ€ Kara Swisher: โ€œSo dig in even more?โ€ Kaitlan Collins: โ€œYeah.โ€ Kara Swisher: โ€œOh, wow. Interesting because I think heโ€™s gonna roll right over. I think heโ€™s aโ€ฆIโ€™m not gonna say what I think he is, but I think heโ€™s a bully. He gets punched in the nose and heโ€™s gonna stop. I donโ€™t know. Maybe not.โ€ Republicans CANNOT afford to lose the House. We must win the midterms or Trumpโ€™s presidency will completely derail โ€” and it will be EXTREMELY difficult to get anything done except through executive order.
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USC producing class with the amazing Mary Livanos who produced the entire WandaVision trilogy. This was so fun. #VisionQuest #Marvel
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Amazing. Hungarian TV also did this after Orban was gone: went off the air, came back on, admitted theyโ€™d been telling the regimeโ€™s lies for a decade and a half. Will we see CBS do something similar in 2029? Will this platform someday have to do this?
This is quite something ! Serbian RTV channel starts yesterday's bulletin by apologizing to viewers๐Ÿ‘‡ "For years, we failed to fulfill our duty. We kept silent, turned a blind eye, reported events one-sidedly and failed to ask necessary questions. We owe our viewers an apologyโ€
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'If Coleโ€™s claims are accurate, Kushnerโ€™s political and financial relationship with the U.A.E.โ€™s president ... constitutes what must surely be the worst case of U.S. foreign policy being conducted outside the law and democratic oversight since the Iran-contra scandal ...'
Fintan O'Toole on Matthew Cole's exposรฉ of Jared Kushner's corruption: "The question that arises from the book is whether Cole has done enough to warrant a major congressional investigation into his allegations. The answer is an emphatic yes." nytimes.com/2026/10/26/booksโ€ฆ
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Also, Russia is now a failed state that requires economic and military assistance from China and other countries. Its only "product" of success beyond fossil fuels is propaganda.
Polish FM Radosล‚aw Sikorski: "There is a myth that has been successfully planted in the West that Russia always wins. But things don't always go their way. They lost the Crimean War. They lost the war against Japan. They emerged from World War I with their tails between their legs. They lost the invasion of Poland. They lost Afghanistan. And they lost the Cold War. So things can turn out very differently." - @sikorskiradek
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- Kyrylo Budanov ๐Ÿ‡บ๐Ÿ‡ฆ: " The Russians are beginning to understand that their army is not that strong, that their air defense systems are not that good, and that the Russian army is actually not capable of protecting the temporarily occupied Ukrainian territory. This is not at all the second army in the world, and not even the fourth. And the reckoning will come.โ€ โ€œThe understanding that there will be retribution comes to people when they personally begin to see and feel that the war is not somewhere in some part of the world, but on their own territory. Therefore, the turning point has already begun.โ€ .......... Russians are losing.... ๐Ÿซก
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Dr. Brian Goldman retweeted
The first excerpt of my upcoming memoir, Secrets, is out in print in the @NewYorker. It is about Richard G. Darman, who was one of my important secret sources in the Reagan and Bush administrationsโ€”and my best friend. I write about some of the painful consequences of getting too close to a source and how it changed my approach to reporting. Secrets is available for early preorder at the link or via @amazonbooks @BNBuzz @Target @Walmart @booksamillion simonandschuster.com/books/Sโ€ฆ
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Dr. Brian Goldman retweeted
Very cool. I was the first doctor in my family but not the last- my brother Rob who is an EP in Montreal, his daughter Katherine who post McGill is now an endocrinology resident in TO and his other daughter Lauren a McGill med student at Gatineau. Rarely stepped foot out of the beer can - the McIntyre
Replying to @alandrummond2
Btw @alandrummond2 on the McGill med topic this might give you a morning smile - My grad 2012 was exactly 60 yrs after my late GMa Dr. Margaret Johnston grad from McGill med - she started pediatric dermatology at bc childrenโ€™s / @UBC
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