Lynn Tougas, RKin

“To maintain the most optimal healthy ageing process — you must live life by the needle of a compass, not by the hands of a clock.” ~Lynn P Tougas, WholeHeartKin 🧭 #HealthIsWealth #RegisteredKinesiologist #ExercisePhysiologist #HealthNavigator #LiveLoveLaugh @Revelstoke_BC

I’ve been diagnosed for a very longtime yet continue to be rendered invisible across all #Ontario related #healthcare institutions. Thus, I feel you must direct such presentations to educate ALL healthcare stakeholdersand incl tech developers re creating better #EMR identifiers.

@CAMHnews I’ve been diagnosed for a very longtime yet continue to be rendered invisible across all Ontario related healthcare institutions. Thus, I feel you must direct such presentations to educate ALL healthcare stakeholdersand incl tech developers re creating better EMR identifiers.

What does it mean to be finally seen as a neurodivergent woman? Join us on May 7 for an evening of conversation, connection, and community, designed for and by neurodivergent women (+allies!) Register today! eventbrite.com/e/finally-seen…

If fairness is not considered EMR AI may lead to significant distress, loss of trust, & 👉‼️precipitation of aggressive incidents that would have otherwise NOT have occurred. All #healthcare related EMR AI applications MUST centre and promote equity. #onpoli #ontariohealth

Ontario is expanding its province-wide EMR system. Connectivity alone does NOT improve care. Poor usability + fragmented data + inconsistent flags = 👉 clinical error 👉 inefficiency 👉 information loss 👉 clinical overshadowing This will scale risk—not reduce it. Read more👇

👇 linkedin.com/posts/lynntoug… #PatientSafety #DigitalHealth #OnPoli #HealthPolicy

@drkeithsiau @awandr1 Surgeons may get excited with lower numbers, particularly in females with connective tissue disorders like Marfan syndrome.

@awandr1 5.5 - the magic number to excite a vascular surgeon! 👌

Recognising this appearance of the abdomen can be lifesaving. What’s the diagnosis?

@CanadianKayMD Yes, perhaps it’s similar to what I’m just reading about Newfoundland and the changeover to the electronic based systems. I have no words🫣😬🥹

@LTKnS People know there is a need. Sadly, our current government has decided to take an incredibly hostile approach with family doctors in the past couple years. An entire class of residents trained here have refused to sign contracts. It’s been a complete mess.

Single issue ‘simple’ ER visits are becoming highly complex with an alarming regularity due to the lack of primary care and it is skyrocketing waits. If we can’t get them family docs PLEASE give us a short term follow up clinic like I’ve asked for years. It would help so much.

@CanadianKayMD Oh my goodness. I’m so sorry. That is horrible to hear. I’m sure there are many new docs out there whom would love to practice on the famous Isl of Anne of Green Gables🤷‍♀️If they only knew there was the need….

@LTKnS Mine does not. I literally have no way to get these patients a family doctor. I work in rural PEI. I can name every family doctor in my hospital’s community off the top of my head and no one is taking patients. This is not a failure of referral, it’s a lack of resources.

Many of these hospitals have family healthcare teams. So let’s talk about this other problem. The fact that patients aren’t being referred to these family health teams within such hospitals when it is known that they don’t have a family doctor.

@DocKeiser 🥰✅

“Your tests are normal.” But he couldn’t finish a Zoom call without his HR hitting 140. The virus wasn’t the root—it was the tipping point. Old injuries + hidden dysfunction = system overload. #POTS #dysautonomia #LongCOVID

@Brady_H But not everyone has access to the best and most accurate numbers and our medical profession is hit and miss when you say something about what you saw on your smartwatch🤷‍♀️So where do we go from here? 👉back to simply educating everyone to engage in at least 30 min of 🫀🚴‍♀️🚶🏽‍♀️/day😁

VO₂ max is not just a number or a "score." It's a reflection of your body's ability to integrate cardiopulmonary + vascular + muscular/mitochondrial systems to produce energy. If you don't think that makes it a potent longevity biomarker, you're missing the point.

@UHN @PMunkCardiacCtr You’ve missed the fact that ER does not triage for women’s specific heart attack and related issues such as microvascular angina, SCAD/SCAT and mircrovascular vasospasm. We must acknowledge/bring awareness that women’s sx need improved ER triage.

Dr. Mali Worme, Cardiologist at UHN's @PMunkCardiacCtr debunks 3 myths about heart attacks. Understanding the facts supports earlier recognition and can help save a life. Learn more about these common misconceptions as Heart Month comes to a close: uhn.ca/corporate/news…

@CNN Heart disease kills more women🤓

Breast cancer is the most diagnosed cancer among women globally, and the number of cases worldwide is estimated to reach over 3.5 million by 2050, new research has found. cnn.it/4bvfjeZ

@CIHR_IRSC Maybe do a thread featuring each researcher🤷‍♀️

Today, on #InternationalWomansDay, we’re proud to highlight the leadership shaping health research in Canada. At CIHR, 11 of our 13 Scientific Directors are women. We celebrate their impact and the many women driving critical health research forward. cihr-irsc.gc.ca/e/2890.html?hs…

@CAMHnews @LoriSpadorcia 🫡💃🥰🤙

On International Women’s Day, and every day, we recognize that women’s mental + brain health remains under-researched & under-addressed. At CAMH, we're advancing equitable, evidence-based #mentalhealth research and care to close this gap. MORE: camh.ca/en/get-involve… #IWD26

Happy International Women’s Day Be Strong💪 Be Brave🎖️ Beautiful🫵 #RegisteredKinesiologist #AlliedHealthProfessionals #HealthNavigator #WholePersonHealth #WomenSupportingWomen

@joshuapliu Not to mention information that is not updated in the current system being used — I think we have a much more longer way to go with these tools.

Is Epic’s new "Emmy" AI the ChatGPT killer for healthcare? I watched the demo of their patient portal AI explaining lab results. My 6 thoughts on Epic’s patient AI experience and how it compares to ChatGPT for Health: First, a recap of the patient user experience in Epic’s demo video: → Patient types “my test results are abnormal - should I be worried?” → AI responds with a summary (e.g. mild anemia suggested by CBC outside the normal range) and that the patient’s provider suggests a F/U appointment for more blood tests (e.g. iron) and re-checking the CBC in 6-8 weeks → AI suggests eating more iron-rich foods and what symptoms to watch out for → Patient asks the difference between hemoglobin and hematocrit - which the AI then explains → Patient asks how to schedule the next appointment. AI provides a direct link to schedule in MyChart My 6 thoughts on Epic’s approach and how it compares to ChatGPT’s strategy: 1/ There’s low hanging fruit for Epic to fix. Their demo shows AI responses at the Grade 9 to 11 reading level. The default prompt should be to respond to patients at the Grade 6 level and incorporate best practices in health literacy. 2/ Epic’s AI automatically pulls in not just the test results, but broader context from the rest of the record - e.g. a note from the physician for the next step. It’s unclear to me if ChatGPT can ingest that detail from the patient record, and even if they could, how quickly/regularly that data exchange would occur. 3/ CMIOs/CIOs will love the ability to embed appointment scheduling links directly into the AI experience. I predict health systems will try to embed scheduling links as much as possible to drive up patient volumes - this won’t be great for the patient experience, but like online ads, some % will probably convert and this will be rationalized internally. 4/ It’s unclear what guardrails Epic will place on the AI output - we know that ChatGPT won’t have many. If a patient starts asking for medical advice, Epic’s AI will probably switch to “sorry, I can’t answer that - here’s a link to schedule an appointment with your doctor.” Whereas ChatGPT will probably just spit out medical advice while saying “btw I’m not a doctor!”. If this happens, some patients will continue the convo in ChatGPT. But health systems won’t care - because why take on additional liability (and not get paid for it?). 5/ In the near term, older, sicker patients are unlikely to use ChatGPT for Health - it’ll most likely be used by younger, tech-savvy, longevity type folks… BUT older, complex patients might use Epic’s patient AI because it’s right in the patient portal. That’s a big win. 6/ I don’t think these two products are ultimately “competing”. Every product will eventually have conversational AI features built into it as a standard user experience. You won’t need to go to ChatGPT for every conversational AI experience, nor should you want to or have to. The same goes for patient AI experiences in general.

@cliffreid This sounds like a great catch for this older woman but for younger women eg peri/menopause SCAD MINOCA MVAngina are being vehemently missed😬What do you suggest for these ER visits???

Referred to and accepted by cardiothoracics but not before we'd already arranged the transport and she'd left our hospital

Here's a reflection on how the management style of the emergency physician in charge (EPIC) can mean the difference between life and death (Long 🧵)