Tim Jen MD MHSc FRCPC

@amit_pawa I agree! I think that is what I will do as well. The speed of information on Twitter is excellent, but LinkedIn consistently gives me more useful information as I scroll.

@DrTimJen It’s a shame- as I think there are still folks hanging out on here. I am not sure how much appetite there is to rejuvenate discussions on this platform. I am still hovering between the two!

I’ve been wondering where everyone went because academic Twitter is so dead. It seems like everyone migrated to LinkedIn. That was unexpected but thank God I can see the new and exciting things my colleagues are doing again.

#CASAM2026 is less than one month away! On June 5, join the Expert Insights session with @DrTimJen on navigating the difficult spinal anesthetic. Learn a systematic approach to spinal anesthesia in patients with challenging anatomy— scoliosis, instrumented spines, and more.

A big tax refund is not a good thing. It means that you paid more in tax during the year than you needed to. CRA is now giving you that money back without interest. If you had less tax deducted from your paycheque and invested it, you would have earned more money. There is a way to have less tax deducted from your paycheque. You can file a form called T1213.

We’re investing $5.3M in B.C. companies through @innovate_bc’s Integrated Marketplace to test made-in-B.C. health technologies in real clinical settings. This means stronger patient care, less pressure on our healthcare system, and good #BCjobs, right here at home. 1/2

🔓Funding opportunity now open! The #NFRF 2026 Exploration competition is here – funding bold, high-risk, high-reward and interdisciplinary research projects. Learn more and apply: sshrc-crsh.canada.ca/funding-financ…

Sciatic nerve blockade in the supine position is highly effective for trauma patients and others unable to tolerate leg repositioning. This video reviews lateral and anteromedial approaches to expand your regional anesthesia toolbox 💉🛠️ youtu.be/3pKka0aQKKo?si…

Exciting

Join us for our next webinar, Best Practices in the Prevention and Clinical Management of Peripheral Nerve Injuries, on Tuesday, May 12, 2026, from 4 pm - 5 pm ET. Learn more and register now: ow.ly/rBqZ50YV07v

🔥Canadian Reg Anes Research: ekja.org/m/journal/view… Khalid et al. investigated probability of successful surgical anesthesia with HYPObaric bupiv use for spinal at L5-S1 level, traditionally associated w inadequate block height. @KiJinnChin @OttAnesthesia @UofTanesthesia

@DrRobbieErskine It's JUST published! ekja.org/journal/view.p…

@DrTimJen Aha now..Ki Jinn Chin would agree with you there..he has a recipe Personally I have used L5S1 many times over the years and have never had an issue with lack of cranial spread when using stock iso/hyperbaric drugs

Has anyone tried hypobaric bupivacaine previous for spinal anesthesia? If so, what were the circumstances and how did it go?

@DrRobbieErskine I am intrigued by the possibility of hypobaric bupiv increasing the probability of achieving successful surgical anesthesia when performing spinal at L5/S1! clinicaltrials.gov/study/NCT06526… Hoping to gain some insights from people's experiences with this technique

@DrTimJen What would be the reason??

Issue 4 of #TheDailyDose2026 highlights collaboration, innovation and problem-solving at #IARS2026 #SOCCA2026 #ScholarsDay2026. Catch all highlights from the meeting by reading each issue. @Iars360 buff.ly/S4OrTe5

@KalagaraHari @Ropivacaine @Steve_Coppens @MKwesiKwofie @Sivakumar_RKS @sites_brian @KristopherSchr6 @NarouzeMD @rakesh6282 Someone famous once said: “Science is our super power!” Innovation and rigorous data need to go hand in hand to advance medicine!

#regionalanesthesia Is this something 👇🏿 that we see now in this new era of innovative blocks 🤔 ?? @Ropivacaine @Steve_Coppens @MKwesiKwofie @Sivakumar_RKS @sites_brian @KristopherSchr6 @DrTimJen

Revisit the February 2026 Images in #Anesthesiology - Choosing Nerve Blocks by Hip Fracture Subtype 📷 ow.ly/BYOb50XWj1F

@KalagaraHari @Ropivacaine To be honest that has been my personal experience as well (despite theory), but I wondered if I am just not cephalad enough (ie. issue w/ technique)!

@DrTimJen Don’t believe the QLB spread from Lumbar to Thoracic 😜😜 @Ropivacaine

Great learning regional anesthesia at the IARS!! 1) QLB (spread up to T7 via thoracolumbar fascia near QLM insertion) 2) lateral femoral cutaneous n. (just lateral to sartorius near ing canal) 3) DPIP 4) Stellate ganglion (avoiding vagus nerve) 5) Posterior femoral cut nerve

When people perform the STELLATE GANGLION block, do you try to avoid phrenic nerve injury, if your needle courses superficial to C5 or penetrates prevertebral fascia via ant. scalene? Is Horner's reliable in detecting Stellate Ganglion block? (Not just sympathetic trunk block)?

@KalagaraHari @MKwesiKwofie @helpstpauls @ubc_anes @ubcanesthesia @ASRA_Society Hi Dr Kalagara! Thanks for asking, main indications at St Paul’s Hospital: 1) Rib fracture pathway 2) Minimally-invasive cardiac sx 3) Bilateral TKA 4) Palliative care

@DrTimJen @MKwesiKwofie @helpstpauls @ubc_anes @ubcanesthesia Tim… what areas and how are you guys using cryo specifically in regional and acute pain arena ? @ASRA_Society Thx

Congratulations! Our cryoneurolysis program led by Dr. Mike Jew is truly (and I mean this in the most literal sense) transforming postoperative analgesia for at-risk patients at St. Paul’s Hospital, Vancouver. @helpstpauls @ubc_anes @ubcanesthesia