Niagara Pulmonary Medicine & Diagnostics
Suite 10, 4728 Dorchester Rd Niagara Falls, ON, Canada

Listen to @NeilMaha comment on #NewJersey 's plan to #vaccinate smokers. Should #Ontario do that? Also covered, strategies for #immunocompromised patients that have been vaccinated. Thank you @am640 @StaffordShow for having me on He starts at 17:17... https://omny.fm//todays-show-ontario-pauses-evictions-duri @heatherpurdon

Very helpful resource on common FAQs with regards to the Moderna and Pfizer/BioNTech vaccines. While this has US references, much of it applies to Canada https://www.nejm.org/covid-vaccine/faq NEJM Group @NEJM written by @PaulSaxMD

This is a great #COVID19 vaccine information resource for Ontario. Clear, easy to read and informative. Worth the time to review. http://ow.ly/8WIQ50D2RV8

The currently approved #vaccines in Canada (Pfizer/BioNTech & Moderna) have made headlines. There are MANY more candidates that will also make their way. This nice infographic outlines the different manufacturers & platforms that are coming.

A pragmatic approach for conducting pulmonary function in the #Covid19 era. A wonderful collaboration with Respirology, ID and Infection Control. http://ow.ly/6ZtK50Cu0mA

Part 1 (of 3 yet to come) of the @IDSAInfo guideline on the mgmt and treatment of #Covid19. Seven sensible recommendations most of which advocate for further clinical trial evaluation. Rec #4 recommends against the use of steroids however. http://ow.ly/mgKC50zbR0B

Really thorough medical illustration of the #pulmonary effects of #covid19 Credit: @azuravesta www.azuravesta.com

We've compiled some useful resources with regards to #COVID19 here for you to use in one location. We've included, as best possible, international and Canadian data sources. Please feel free to share widely. 1. Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). This dashboard is updated in real time http://ow.ly/WAUh50yLZYs... 2. The http://ow.ly/xEd550yLZYv dashboard updated in real time designed by Avi Schiffmann, a 17 yr old high school student http://ow.ly/uYIA50yLZYu 3. The W.H.O. guideline on the Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected http://ow.ly/Jx6R50yLZYq 4. Updated IPAC Recommendations for Use of Personal Protective Equipment for Care of Individuals with Suspect or Confirmed COVID-19 compiled by Public Health Ontario http://ow.ly/P7JS50yLZYm 5. Updated COVID 19 testing data in the province of Ontario, Canada http://ow.ly/ATd650yLZYt 6. Updated COVID 19 testing data in the province of Alberta, Canada http://ow.ly/UAmQ50yLZYp 7. British Columbia Center for Disease Control Case counts and updated testing data http://ow.ly/D5TA50yLZYn 8. Global Testing data compilation from the University of Oxford http://ow.ly/baPb50yLZYr 9. Coronavirus Disease (COVID-19) Research and Statistics University of Oxford http://ow.ly/bjr350yLZYo 10. Worldometer global COVID19 data by country and other parameters https://www.worldometers.info/coronavirus/ 11. Coronavirus ( COVID19) data from Australia https://www.covid19data.com.au/ 12. Integrated surveillance COVID-19: the main national data - Italy https://www.epicentro.iss.it/c/sars-cov-2-sorveglianza-dati 13. The Korean Center for Disease Control. https://www.cdc.go.kr/board/board.es 14. Taiwan Center for Disease control press releases https://www.cdc.gov.tw//Bullet/List/7tUXjTBf6paRvrhEl-mrPg 15. Ministry of Health Singapore https://www.moh.gov.sg/covid-19 16. CDC- US Data https://www.cdc.gov//2019/cases-updates/testing-in-us.html 17. MRC Center for Global Infectious Disease Analysis + Imperial College London https://www.imperial.ac.uk/mrc-global-infectious-disease// 18. World Health Organization Situation reports - Updated daily https://www.who.int//novel-coronavirus-2/situation-reports 19. Canadian dashboard of Coronavirus cases - U of T. https://art-bd.shinyapps.io/covid19canada/ 20. OMA updated geographic distribution of cases in the province of Ontario https://public.tableau.com/profile/oma.era 21. The GIS Hub by Esri Canada-Canadian Data in real time. https://resources-covid19canada.hub.arcgis.com/

Today, May 1, 2020 is #DoctorsDay. Tonight, at 9:00pm Shine a light in appreciation for all the incredible work they do. Thank you to the many Doctors that risk it all for us. #ShineALightForThem... https://youtu.be/zeYcTjjwMJw

Part 1 (of 3 yet to come) of the @IDSAInfo guideline on the mgmt and treatment of #Covid19. Seven sensible recommendations most of which advocate for further clinical trial evaluation. Rec #4 recommends against the use of steroids however. http://ow.ly/mgKC50zbR0B

Check out this piece today in The Medical Post. Co-authored by our own Dr Neil Maharaj alongside Dr. Adam Kassam http://www.canadianhealthcarenetwork.ca//mitigating-the-ri

Really thorough medical illustration of the #pulmonary effects of #covid19 Credit: @azuravesta www.azuravesta.com

Right now, the world is battling #covid19. Today, let's not forget another important #respiratory disease, #TB Today is #worldTBday... Let's #endTB by 2030 together. https://twitter.com/WHO/status/1242349251872673792?s=20

Practical and useful review on strategies to protect healthcare workers in caring for patients with #covid19 http://ow.ly/FNON30qwPQJ @EuroRespSoc @ERSpublications

A view of the article on Mitigating Risks to Healthcare workers from Drs. Neil Maharaj and Adam Kassam can be accessed here.

Check out this piece today in The Medical Post. Co-authored by our own Dr Neil Maharaj alongside Dr. Adam Kassam http://www.canadianhealthcarenetwork.ca//mitigating-the-ri

Right now, the world is battling #covid19. Today, let's not forget another important #respiratory disease, #TB Today is #worldTBday... Let's #endTB by 2030 together. https://twitter.com/WHO/status/1242349251872673792?s=20

An important document for health care providers. A guidance document outlining which protective droplet precautions should be employed and when to use them when caring for patients. https://www.publichealthontario.ca//updated-ipac-measures-

#covid19 #socialdistancing

Please note the changes in our procedures that we have put in place for the safety of our patients and community given #covid-19. Details can be found at www.npmd.ca or below. To maintain continuity of care and public safety, we have instituted the measures outlined below. As demands are exceedingly high, we ask for your patience and understanding as meet the need. If you have questions, please contact us at (289) 296-3157. 1. Please do NOT visit our office as we are N...OT having patients come to our office IN-PERSON for their visit. 2. Instead, we will conduct visits over the phone or by videoconferencing. If you have had recent international travel AND NEW symptoms of at least ANY ONE of: a. Cough b. Fever c. Shortness of Breath Please Contact Telehealth Ontario at 1-866-797-0000 or visit the Public Health Ontario website at https://www.ontario.ca/page/2019-novel-coronavirus As demands are exceedingly high, we ask for your patience and understanding as we meet that need.

Very sobering data on the #COVID19 experience in #Italy 8% of cases were healthcare workers. Higher rates of infection and mortality than reported elsewhere.... At least a quarter of cases were 'severe' or 'critical' This tells me that we in Canada have to take this very seriously. We must act swiftly and immediately. Measures like hand washing, avoid touching your face, stopping unnecessary travel and social distancing are vital. Everyone has got to do this. Extensive and rapid testing identifying cases and transmission sources are also a necessary part of slowing this down.

South Korea has done an impressive job with containment of #covid19 . Canada should learn from their excellent response here. https://croakey.org/covid-19-lessons-from-south-koreas-qui/

A really well written article that hits on a lot of the right notes as to what we should be (or should have been) doing written by a thoughtful epidemiologist. Take the time to read it. It's quick and easy to understand. http://ow.ly/rUNy30qqfTD

For those caring for patients with #covid19 , the WHO had put out a very good and comprehensive guideline covering all aspects of care for these patients. https://www.who.int//clinical-management-of-severe-acute-r @WHO @OntariosDoctors

An important document for health care providers. A guidance document outlining which protective droplet precautions should be employed and when to use them when caring for patients. https://www.publichealthontario.ca//updated-ipac-measures-

"Taiwan is an example of how a society can respond quickly to a crisis and protect the interests of its citizens." Mobile phone tracking. Rapid increases of production of masks, PPE and neg-pressure isolation rooms.... Widespread public education. http://ow.ly/tHPI50yJvyw

Very sobering data on the #COVID19 experience in #Italy 8% of cases were healthcare workers. Higher rates of infection and mortality than reported elsewhere.... At least a quarter of cases were 'severe' or 'critical' This tells me that we in Canada have to take this very seriously. We must act swiftly and immediately. Measures like hand washing, avoid touching your face, stopping unnecessary travel and social distancing are vital. Everyone has got to do this. Extensive and rapid testing identifying cases and transmission sources are also a necessary part of slowing this down.

South Korea has done an impressive job with containment of #covid19 . Canada should learn from their excellent response here. https://croakey.org/covid-19-lessons-from-south-koreas-qui/

Thrilled to have Dr. Neil Maharaj share the real truth behind #vaping. Thank you Heart and Stroke and Dr. Adam Kassan for the opportunity #heartandstrokeyoungleaders

A great interactive and updated resource on the current available data on #covid19 https://gisanddata.maps.arcgis.com//opsdashboa/index.html

@CDCgov criteria for who to investigate for #COVID19. As the increase in cases grow here in Canada, it is worth knowing to protect patients, the public & one another. @PublicHealthON @GovCanHealth @niagarahealth @NRPublicHealth

How healthcare providers should approach dealing with #coronovirus (2019-nCoV). Worth the time to read https://www.ersnet.org//novel-coronavirus-outbreak--update

This has the potential to be game changing. #BCG was once thought not to offer protection against #tuberculosis. Now years later, by changing how it's given, it holds great promise. Incredible.... https://www.nature.com/articles/s41586-019-1817-8

A powerful study on the epidemic of tobacco and associated inhalation agents used among youth. https://www.cdc.gov/mmwr/volumes/68/ss/ss6812a1.htm

From our family to yours, Merry Christmas and Happy holidays everyone. A special thanks to those that are providing care over the season. Thank you for all that you do.

An important read on the claims that e-cigarettes represent a path towards harm reduction when it comes to smoking. Spoiler alert:. They DON'T. There are real harms associated with them that we are only now beginning to understand.... https://erj.ersjournals.com/content/54/6/1902009

To the incredible respiratory therapists that care for our sickest patients. We are humbled and thankful for the opportunity to learn, work and care for others alongside you. #RTweek #respiratorytherapist #RTweek2019

https://twitter.com/WebMD/status/1185949016925835264?s=09

An interesting case on reversible bilateral phrenic nerve paralysis demonstrating normalization of lung volumes over time. The resolution of findings on follow up imaging is worth looking at. http://ow.ly/St4d50wPnH4

Nice little synopsis on how to review a classic; the CXR. With AI, this may be a dying art form so learn it while you can #radiology #cxr https://twitter.com/radiologist/status/1184855705884516352

A really important update: The 2019 standardization of spirometry ATS/ERS guidelines are out. Worthy reading given its importance in the diagnosis of pulmonary disease. http://ow.ly/yQNV30pJ7iK

New #cough guidelines now available in the #ERJ. It offers a more pragmatic approach to managing this burdensome symptom. http://ow.ly/UNAQ30pE0Qr

Fascinating work on #AI and #machinelearning at #ERS2019 #Madrid. Telling infographic on #FDA approved AI algorithms in medicine. Respiratory disease is ripe to make significant gains.

Excited to learn and engage with the world's best in respiratory medicine #madrid #ers2019

Stay informed. A brief summary on vaping associated pulmonary illness ( VAPI) https://t.co/tVDGuGotHG?amp=1 @ATSBlueEditor @CTS_SCT @OntariosDoctors #VAPI

Stay informed. A brief summary on vaping associated pulmonary illness ( VAPI) @ATSBlueEditor @CTS_SCT @OntariosDoctors #VAPI

More than 74,000 wildfires have been detected in the #Amazon, destroying the world's largest rainforest. The #Amazon is often described as the planet's lungs producing 20% of the world's #oxygen.

Great speaking with Dr. Jason Lee on asthma misconceptions! https://m.soundcloud.com//podcast-s3e4-common-asthma-misco

Congratulations to the Toronto Raptors for making history! #WetheChampions

Tetanus: Remember to vaccinate. Read this very interesting case to learn why it's important. @TheLancet #tetanus http://ow.ly/jwfD30oTXrE