Adam MacLellan MD FRCPC

21 posts

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Adam MacLellan MD FRCPC

Adam MacLellan MD FRCPC

@bladammd

🧠Stroke Neurologist @UnityHealthTO | 🤓 Asst Prof @uoftmedicine @UofTNeurology | @Stanford_Neuro Stroke alum | Dad to 🐶🐱 | 👨🏼‍🤝‍👨🏻🏳️‍🌈 he/him.

Katılım Haziran 2021
99 Takip Edilen60 Takipçiler
Adam MacLellan MD FRCPC
Adam MacLellan MD FRCPC@bladammd·
@FawcettAdrian Interested in your perspective about this, as a stroke neurologist who always sticks around the angio suite - am I in the way? I like to be available for questions, discussion with anaesthesia, teaching, etc. Also just generally like to see what happens with our patient!
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Adrian Fawcett
Adrian Fawcett@FawcettAdrian·
#stroke #medtwitter Q1: Why do stroke neurologists hang out in the angio suite during EVT cases? Q2: Can you name another procedure where a medical specialist will ride shotgun to tell a proceduralist what to do?
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Adam MacLellan MD FRCPC retweetledi
Sarah Friedman, MD
Sarah Friedman, MD@sarah13friedman·
Finally having a paper accepted after 3 years of edits is 3% excitement about publication and 97% relief about never having to read it again.
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Adam MacLellan MD FRCPC
Adam MacLellan MD FRCPC@bladammd·
…sometimes everything just “clicks” - what was initially a trauma recognized as possible LVO by @BC_EHS - onset to reperfusion 1h45m with NIHSS 18➡️3 on the table post-EVT. @VanIslandHealth stroke care in action - proud to be part of this team!
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Adam MacLellan MD FRCPC
Adam MacLellan MD FRCPC@bladammd·
@MicieliA_MD Drip and ship arrived with no LVO 🤨 I suspect it was not the bumpy ride to Victoria, and rather the pre-transfer tPA 💉
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Andrew Micieli
Andrew Micieli@MicieliA_MD·
Gave a patient tPA this week and they got better.
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Adam MacLellan MD FRCPC
Adam MacLellan MD FRCPC@bladammd·
@FawcettAdrian @AlexMuccilli @THP_hospital That’s awesome, I will! We are 🤞rolling out telestroke soon to our referring sites, but I secretly want it at our 2nd local hospital (think TGH setup, with CCU/CVICU/complex ICU but no neurology/stroke), and then eventually our Neuro/NSx site. Congrats!
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Adrian Fawcett
Adrian Fawcett@FawcettAdrian·
@AlexMuccilli @bladammd @THP_hospital It works well. Reviews have been positive. Patients, neurologists and ED staff have all bought in. DM/email me if you want any advice on how to set it up. 😊
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Adam MacLellan MD FRCPC
Adam MacLellan MD FRCPC@bladammd·
Are there community sites that do telestroke in their own ED? We don’t have on-site stroke attendings/residents overnight…bet we’d be more likely to be 📞, and decisions/DTN would be faster if we could consult via telestroke #stroketwitter #neurotwitter ja.ma/3fZdVVa
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Adam MacLellan MD FRCPC
Adam MacLellan MD FRCPC@bladammd·
💯 - an idea of the eventual destination is great but clear guidance about how to safely get there when fully-vaccinated is necessary. Might also help with any residual pre-2nd (or 1st) dose hesitancy?
Isaac Bogoch@BogochIsaac

3/ Said another way...the vaccines are very effective (but of course not 100% perfect) & will help us return to doing things we once did. Practical & science-based individual-level guidance during this interim period where a growing # in 🇨🇦 are fully vaccinated would be helpful.

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