Salpy Kelian

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Salpy Kelian

Salpy Kelian

@geranyl

Once a front end developer, now internist. My views do not reflect that of my employer etc etc. Same handle https://t.co/N9ZaL2am4H

British Columbia, Canada Katılım Mart 2009
119 Takip Edilen212 Takipçiler
Salpy Kelian
Salpy Kelian@geranyl·
Hey @Providence_Hlth Your print CSS is broken and prevents docs from being able to print handouts for patients. Not all our patients have access to tech. There's no website feedback link on your site so I'm posting here.
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Consultant Specialists of BC
Consultant Specialists of BC@SpecialistsBc·
In 2022, 1 million British Columbians were waiting to see a Specialist, and as of late 2024, that number grew to 1.2 million. Specialist wait times represent a vital sign of any healthcare system and we can’t fix the healthcare crisis until we fix access to Specialists.
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Salpy Kelian
Salpy Kelian@geranyl·
Diet advice in clinic to my patient: “No specific diet has been effective. All the studies come to the conclusion that a whole foods, balanced diet is best.” Me on a night shift: “The three Cs of call: caffeine, cookies, and candy!”
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Siyab Panhwar, MD
Siyab Panhwar, MD@DrSiyabMD·
This belief is literally why tech has failed at medicine. People are not pieces of code that can be simply optimized. Every doctor learns within a few months of practice that patients and medicine are not alway neat little algorithms and decision trees. Wild unpredictable shit happens that doesn’t make sense, *all the time*.
ily⚡️@0xIlyy

Doctors are basically algorithms. Decision trees. I can’t believe these people are so highly praised.

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Salpy Kelian
Salpy Kelian@geranyl·
Best dictation error yet “her memory is not sigmoidoscopy impaired” - by a GI doc.
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Salpy Kelian
Salpy Kelian@geranyl·
The EMR claims: “software solutions to deliver the best patient and provider experiences” … “pioneer innovative digital solutions for better outcomes”. The actual product: a 1990s nightmare maze of endless popup forms. Why are we ok with this garbage?
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Salpy Kelian
Salpy Kelian@geranyl·
Love how @AirCanada priority still means nothing for luggage in Terrace even though they finally have an indoor carousel. Random order and endless waiting as always.
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Medplum
Medplum@Medplum1·
A laugh/cry moment from the community: Josh Kelly (@flexpa CTO) describes the experience of being a developer in healthcare. Developers in healthcare encounter "rats nest of brochureware websites" that don't solve our problems. youtube.com/watch?v=fEEKy3…
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Salpy Kelian
Salpy Kelian@geranyl·
This. Additionally in rural areas it is often very difficult to find staffing and if there’s a leading employer in a small town (eg the mill, the port, the xyz factory) it is quite difficult to match salary and benefits they offer.
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Benjamin Hibbert
Benjamin Hibbert@benhibbertMDPhD·
I have few hills I will die on - but system based rounding is brutal. It doesn’t prioritize, it contributes to note bloat and it it’s a terrible way to communicate (you would never tell a story and lead with useless points). Especially in cardiac icu problem based rounding/notes is the only way to go esp as patients have multiple “cardiac” problems.
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Salpy Kelian
Salpy Kelian@geranyl·
Friendly reminder to ED docs referring patients without a GP: general internal medicine does so much more than cardiology. No need to have a patient seen by rheumatology, nephrology, and IM for issues that could have all been managed by IM. IM - “not just for atrial fibrillation”
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Salpy Kelian
Salpy Kelian@geranyl·
Pet peeve: Consult letters for a patient you've never heard of with a buried line near the end "oh and this should be considered a referral to you". Just send a brief note in the cover letter the fax tacks on ...yes fax... how is this 2024. #healthcareBC
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