Menaka Pai, MSc MD FRCPC

Many gratifying years on Twitter: knowledge exchange, advocacy, collegiality! But X has devolved into an angry place, full of misinformation and abuse. More 😱 than 🙂. I'm closing shop on X, but find me in a happier place on 🦋 (same name & handle).

We *tried* to do a meta-analysis on menstrual bleeding in FXI inhibitor studies - not only is it not a tracked outcome, but hardly any patients were even capable of menstruation. Read our call to action for improving capture of HMB in anticoagulant trials. authors.elsevier.com/a/1k6ci5TuFxIu…

@AnticoagPharmD @guardian I just figured out starter packs and feeds! So brilliant!

@MPaiMD @guardian Great to see you there! I am still learning too. Sarah Mederois MD put together some great starter packs to help find women in medicine.

Food for thought from the @guardian, which (like many trusted accounts) is leaving X. Not sure how a jump to another microblogging platform will impact my ability to share #hematology education broadly... but it will probably improve my peace of mind! theguardian.com/media/2024/nov…

Excited to speak with old friends and new at @QueensuDOM next week! Lots on the agenda, including online safety & civility. On that note: I'm gradually moving house to bluesky (same name and handle!). Come find me there to talk #heme #med #life. 🦋

@rafidhaidar1 @guardian Rafid, thank you for your kind words! You've convinced me to make the jump. Come find me at mpaimd.bsky.social. .

@DrSamiraJeimy @guardian On Bluesky. Come on over!

@MPaiMD @guardian I will never regret being here because you guys are my silver lining. IG remains my more safe home (for now)

@AnticoagPharmD @guardian Oh gosh. I'm there now and I don't know what to do. Peak social anxiety 😄

@MPaiMD @guardian Come to Bluesky. Good science & nice people ☺️

Sharing in honour of someone who changed so many lives for the better. Please donate in tribute! And if you knew Elianna, you knew she was indeed a hematologist, a mentor, an advocate... and a total badass. Thinking of her today - and her lessons of resolve and resilience. ❤️

Thinking about family and friends in the U.S. today! 🇺🇸 Bon courage!

@JohnsonNeilG I have told them that caffeine is poisonous for anyone under age 18, and so far they have not questioned this...

@MPaiMD A nice light snack

Happy Diwali! Happy Halloween! Happy Day I get to appropriate all my kids' coffee crisp bars! 🪔🎃🍫

You saw the video, now I’d like you to READ it. Then pls share. Trump at yesterday’s “townhall.” Question: My question is, what's your plan to help bring common sense back and help small businesses? Trump: The fact is that, you know, they want to get away from gas, and I have friends, they're into the cooking world. I'm not. I just like to eat, but they're into the cooking. And I don't know how you feel. It sounds like you they feel that you really gas is much better than the electric for cooking, right? And they have this thing about, you know, they want to put gas out of business, right? No gas. You know, the amazing thing, we don't have electric in this country, but we have all the gas you can use. We have all the we have oil and gas. That's what we have. And even the cars, if you look, they want to go with all electric cars. California is having blackouts every week, bracket brownouts, blackouts, and then they come up with rules and regulation to go to all electric but they can't even supply what they have. It's so nuts. We're going to get number one, your utility course. You heard me said before, your course will be down, and we're getting rid of all the elect if you want electric rate and if you want gas, great. The only thing you can have is a hydrogen car, right? You heard me say that, right? Because you know what happens? They have a new car. They say it's great, but it's got one problem. You know what the problem is? Every once in a while, one will blow up. And if it does blow up, and you happen to be inside of it, you're in bad luck, because you're not recognizable. You know that it's the new thing, hydrogen. I said, No, thank you. I don't want to. I don't want they call the wife. That's not my husband. Oh yes, it is.

@NathanStall @SinaiGeriatrics @UHN @SinaiHealth @DrSamirSinha Nathan, congratulations! So well deserved, so good for your patients and colleagues.

I'm honoured and excited to lead the @SinaiGeriatrics program alongside Dr. Richard Norman @UHN. We're committed to advancing clinical care, education, and research for older adults across @SinaiHealth and @UHN—thank you to @DrSamirSinha for his 14 years of visionary leadership.

@OntariosDoctors @DrSamiraJeimy @DocMCohen @ReenaPattani @PintoPearls Tagging @WomenOMA - the powerhouse group behind this. Excited for the next webinar (on boundary setting).

Fantastic webinar from @OntariosDoctors Women on Microaggression in the Workplace. Actionable suggestions & discussion of real harm that inequity causes in our profession. My little bedtime avoiding buddy enjoyed it too! 🙏🏾 @DrSamiraJeimy @DocMCohen @ReenaPattani @PintoPearls

@ASH_hematology's draft guidelines on ALL in adolescents and young adults is out for public comment. If you manage pediatric ALL - and if your life has been touched by it in any way - please review and comment! hematology.org/education/clin…

Healthcare worker friends in Ontario! Jump on it! (Also: thank you to Ontario pharmacists and family physicians, for taking on this additional work to keep us healthy ❤️)

@drandrewb @UHN @UWGreaterTO @FredVictorTO @drandrewb, congratulations to you and your team. Do you know of similar programs in other parts of our province?

Welcome to Dunn House — a prescription for change that has been years in the making. Housing is health. And this is the power of partnership. 51 UHN patients with no fixed address comprised over 4,000 emergency department visits in the past year. This is driven by the pathologies of poverty. For the 51 individuals moving in, this is more than housing—it's good health care. With primary care, Indigenous-led support, harm reduction and addiction treatment services, we’re redefining compassionate care for people experiencing homelessness. The work isn't done until tenants are settled in—and won’t feel real until I’m seeing patients in the clinic room right onsite. While a month in hospital costs over $30,000, supportive housing costs just $4,000, promoting human dignity and sound health economics. Grateful to our entire team, all partners and the advocacy of the Parkdale community for making this possible. This is just the beginning of showing the world that housing is healthcare.

Have not had time to watch the entire episode, but this clip of @MsMacrophage from @MacDeptMed is fab. A clearly articulated, sensible, and kind take on #masking to prevent #Covid and other respiratory infections. And Dr. Bowdish, TY for the work and your colleagues at FIRH do.