Philippe Rola

Last few days for early bird! Join us in Montreal next september! #HR26 Nothing quite like it... thinkingcriticalcare.com/2026/01/16/fou…

I understand the sentiment for sure. But sometimes a pendulum swings a bit far. I’m afraid that currently trainees are so catered too that they are not developing resilience or that much experience, while having increasing opinions of their abilities, which are not always reflective of reality. This does seem to fit the societal pendulum.

Surgery remains one of the most demanding disciplines in medicine. The professional identity of surgeons has long been intertwined with notions of self-sacrifice, continuous availability, and prioritization of patient needs above all else.

The reason this video of a family being murdered in their own living room exists is because Palestinians used the victims’ phones to live stream their deaths to their families and friends. I saw an original video a day or two after October 7, when the swathe of video evidences was being poured online and the platforms hadn’t yet caught up with flagging and blocking them for violence and gore violations. I think it was this family’s video. The daughter is shot in the head as she sits next to her little brother, who completely loses it. As the mother struggles to calm her son, fearful they will tire of his screaming and kill him too, the captors start negotiating with the father to kill him out of sight of his family, in a macabre gesture of mercy. Told that they will shoot him now, in front of his wife and son, ultimately he yields. He is taken outside and shot. That video and the 12 year old girl paraded through cheering Palestinian crowds as blood soaks the crotch of her shorts from her repeated rapes…those are seared into my brain. Fvck the Islamic regime and anytime who supports their mass-murdering cult.

@nacroix Je crois qu’ils sont tout a fait au courant de ceci mais pour cette elite, c’est un prix acceptable (que qq’un d’autre doit payer bien sur) pour qu’ils gardent les rennes du pouvoir. Le pire c’est les supporteurs qui ne voient pas l’hypocrisie.

Je remets ce tableau -extrêmement important- avec un commentaire explicite. Ces chiffres, tout simples, nous indiquent que: 1) certains CSS étaient à majorité immigrante dès 2004. L'immigration de masse a non seulement continué quand même depuis, elle a accéléré. 2) tous les plus importants CSS sont maintenant à majorité immigrante au Québec. A Québec, c'est déjà le cas aux Découvreurs et probablement à la Capitale en 2026. Dans de très nombreuses écoles, les Québécois non issus de l'immigration sont une espèce en voie de disparition. Ils comptent pour moins de 10% des effectifs un peu partout dans la RMR de Montréal. Cette dynamique se déploie dans l'ensemble de la "province". Ce que ces chiffres indiquent, c'est que la minorisation des Québécois est non seulement en cours, elle est terminée dans les jeunes classes d'âge sur des parties importantes du territoire. L'intégration des immigrants à la majorité francophone ne peut plus se faire sur des parties majeures du territoire, c'est devenu une impossibilité mathématique. On ne peut s'intégrer à ce qui n'existe plus. Ma conclusion est que le tissu social qui a autrefois fait la force et la fierté du Québec est en train de voler en éclats et à partir du bas, dans les jeunes classes d'âge. C'est la raison première pour la montée de "l'incivilité" et de la violence dans les écoles (sans parler de l'homophobie et de plein d'autres choses). La cohésion sociale est à la racine de la "qualité de vie" en société. La perdre, c'est perdre l'essentiel qui fait que vivre en société est tolérable, voire agréable. C'est transformer la Cité en zone de conflits permanents. Tout ça pour quelques fractions de point de % de PIB. Face à cela, notre élite politique, économique et journalistique, responsable de se désastre absolu, fait comme si de rien n'était et continue à discuter doctement de la "capacité d'intégration" alors que celle-ci n'existe plus. Cette élite, totalement déconnectée de la réalité, navigue avec un modèle mental obsolète qui nous mène collectivement dans le mur.

I would say that it very much is at risk. Look at the UK, look at what is happening to Canada. Entrepreneurship is being driven out. I think in the US it is still a bit more entrenched so there is time. But there is a tipping point beyond which when government ideologies are simply grossly misplaced. When the government itself is morbidly obese, and the culture is only to continue to grow it, this is a death sentence for economic strength. In the last decade, there’s been over 40% growth of federal government in Canada. It is so insanely clear that increase bureaucracy results in decreased efficiency, we see this in the healthcare system as well. As far as I’m concerned, we need a more reasonable DOGE approach and 100% transparency for public funds use. Some of the programs that were cut in the US were completely ridiculous, unfortunately some good programs also got cut because of ideologies. In Canada, there was one not that long ago. That was several millions of dollars sent to I think of Vietnam for supporting gender equity rice paddies development. I don’t think much of that trickled down to the farmers lol.

@ThinkingCC @MarkRuffalo @elonmusk Yes, much polarization, & most do not benefit. But capitalism is not at risk. The OP doesn’t contain a call to communism, it’s an appeal to the empathy that Musk and modern capitalism are incapable of. The child at his table is dying waiting for it to finally trickle down to him.

Hello @ElonMusk. This is how you are perceived. Not too late to course correct but it’s getting pretty late. You certainly have the extra money on hand to really help the people of the world instead of the hellbent road of chaos and destruction you are ludicrously barreling down. Put down the Ket straw. 🤪

100% agree, but the world is so currently polarized and the alliances aren’t for the benefit of most. We need a return to centrism and no one is pulling in that direction unfortunately… socialism/communism is what is currently being sold as a solution to the “masses” while vilifying capitalism…

@ThinkingCC @MarkRuffalo @elonmusk Too many political straw men in this argument to really respond in good faith, but suffice to say that capitalism and charitable giving are not incompatible, and that aid is not communism.

What actually does save lives is capitalism and a strong economy. Completely agree that DOGE was over the top, just like ICE. But it doesn’t mean that they are not correct in principle and that some correction of the course was necessary. The estimated impact of DOGE on lives is vastly overstated for political purposes. The impact of socialism/communism which again is for simple, political power purposes will be far greater and result in far more loss of overall improvements in the human condition. Has has been time-tested over and over again these systems, inevitably fail and plunge countries into poverty and infrastructure disasters. There’s only so much of other people’s money that you can spend when you don’t create it inherently. So when people start on a pedestal, whether from academic institutions or very rich people who are not inherently industry building, criticize from their ivory Towers, I think that is a net negative for the human condition at large, so well worth criticizing by any logical human, including physicians.

@ThinkingCC @MarkRuffalo @elonmusk Strange to me for a physician to put so much effort into criticizing an actor with an opinion, rather than the only trillionaire (several levels more rich), who has real political influence, who employs ~180k ppl but whose DOGE efforts will likely kill millions (per Lancet).

Undoubtedly. But for really rich people to point that way to next level rich is fairly hypocritical to me, and the political pseudo-populism by the elite left is the worst of it as far as I’m concerned. Enjoy your success, try to help others, but hopping on the Anti-Elon bandwagon while you enjoy the benefits of a career built in a western nation due to capitalism and you preach socialism-communism is such BS.

@ThinkingCC @MarkRuffalo @elonmusk There are better measuring sticks

@alexgauthier92 Non monsieur le Premier ministre, nous, au Québec, on a décidé démocratiquement et majoritairement, que notre façon de vivre ensemble était la laïcité et qu'elle primait sur les religions.

« Parce qu’au Canada, chacun devrait pouvoir être soi-même et pratiquer sa religion comme il l’entend. » Non, M. le premier ministre. La liberté de religion n’est pas un droit absolu. Elle s’exerce dans le respect des lois.

@EYakoby Politically inconvenient so the social justice warriors are passing on it.

@nirmalregency I think of the bedside EEG as the opposite of the EKG, if it kind of looks like a decent EKG, your patient’s in trouble. If it looks like vf, you’re probably OK!

① of ⑧ 🧵 ~60♂. Known CKD. Acute onset encephalopathy. Unarousable. 🧠 CT + MRI, CSF normal. #EEG was ordered. We got this⤵️continuous pattern.

Mariam Yahia Ibrahim, a Sudanese Christian and medical doctor, was sentenced to 100 lashes and death by hanging after refusing to renounce her Christian faith. Because Sudan considered her Muslim through her absent father, the court convicted her of apostasy despite her lifelong confession of Christ. According to them, she could not be a Christian, married to a Christian, in this Muslim majority country. She was given three days to recant. She refused. At the time (in 2014), Meriam was eight months pregnant and already caring for her young son in prison. She spent months chained to a prison floor with her 1-year-old son by her side. While shackled, she gave birth to her daughter, Maya, inside the prison. Her execution was delayed because of the pregnancy, but she remained imprisoned until an international outcry led an appeals court to overturn her conviction and order her release. Looking back on her ordeal, Meriam said she was not afraid. "Being in prison strengthened my faith even more," she told CBN News.

BREAKING: It has been revealed that over 350 Christians, including up to 60 children, were massacred and burned alive by Islamists in Nigeria between July 5th through 6th. Communities were slaughtered, and churches destroyed.

@orlaminihane @NicoleBenard Because she represents only one vote. They will provide 22,000 and that of all their communities. Her fate is acceptable in exchange for political power. Progressives claim to protect the ‘oppressed’ but its just a slogan to make their supporters feel good and virtuous. Theater.

WHY is this 54 year old British woman on the streets when there are currently 22,000 illegal migrant MEN in HOTELS? With approximately a further 70,000 in HMOs. An absolute bloody disgrace! NO British citizen should be sleeping on the streets of their homeland while illegal invaders are being housed in taxpayer funded accommodation!! @UKLabour @NatalieFleetMP @RestoreBritain

À propos de la loi Bergé. « Vers le bannissement juridique de l’opposition » lefigaro.fr/vox/societe/ma…

EMCrit RACC-Lit Review for July 2026 This month: • Does prehospital whole blood actually improve outcomes? • Can DSD damage your defibrillator? • Go big or go home for adenosine & SVT? and so much more... emcrit.org/cpyu

Canada just passed six bills that when stacked together hand the government control over what you say online, who you talk to, and whether you can access the internet at all. Constitutional lawyer @johncarpay (Justice Centre for Constitutional Freedoms @JCCFCanada ) breaks down exactly what Bills C-11, C-18, C-8, C-9, C-22, and C-34 actually do — and why "protecting children" is the cover story for building a surveillance state. No one, left or right, should be supporting this kind of gross government overreach. Anyone who supports these bills has either not read them, failed to learn from history, or does not grasp the severity of where structures like these can ultimately lead us. You can watch here or please see the links in the comments where you can help me grow this show by sharing and subscribing for free.

@louiesanoudakis 😳

After seeing all the reviews, I'm definitely stoked to watch "The Odyssey"

@E_Duhaime Les pub politiques devraient venir de la poche des politiciens, pas des fonds publics. Pourquoi est’ce qu’on paie pour se faire convaincre?

DANGER ⚠️ ‼️ AVERTISSEMENT ⛔️ Pendant que de plus en plus de Québécois peinent à payer l’épicerie, un faussaire attaque encore votre portefeuille. Le Parti Christine Fréchette (anciennement connu sous le nom de la CAQ) annonce des milliards $ en nouvelles dépenses dans le cadre de sa pré-campagne électorale. Ne vendez pas votre vote à un parti qui veut l’acheter avec votre argent!!!