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šŸ©ŗ It's a Bloody Revolution

PLUS: gender identities studied, frontline tales, & berry blues

Happy Saturday and happy birthday to the Oshawa baby who was born on the day of the total solar eclipse! His mother says it was a surprise, as the newborn was expected a full week later. The family says they plan to tell their son Jenisen-Scott all about the day he was born ā€” the next total eclipse isnā€™t til 2144!

Hereā€™s the chill weekend roundup hot off our laptops! (6 minute read)

Frontline Tales ā›ŗļø 

I was observing a neurosurgery for a teenager. After the procedure was done and the patient recovering from anesthesia, the anesthesiologist saw acne on the patient's face and starting popping the pimples as she just watched Dr. Pimple Popper the day before. She finally stopped when the patient was going to be wheeled into PACU. 

I guess the patient got a free acne extraction with the surgery.

Anonymous

Had a guy that was mid-50s, but older than stated age a few months back come in for a cough and abd pain. It's cold out and he looks like he's had a rough life, so nurses are just assuming he's trying to get out of the cold. Turns out he's got widely metastatic disease; primary probably lung. Go tell the poor bloke that what he thought was just "walking pneumonia" was actually a death sentence. I forget what his admitting dx was, but i let him know he'd be spending the next couple days in hospital; i explain his dx, prognosis, and next steps to best of my knowledge, and then asked him if he wanted anything else.

Guy tells me he hasn't had a decent meal in a few days and would like one of our shitty turkey sandwiches. I tell him i can DoorDash him some food, if he'd like. He didn't ask for anything special, just a burger, fries, and a coke (it was also midnight, so options were limited). Anyway, got him is food and buggered off so he could have some peace.

Guy calls me over right before he goes upstairs. Figured he had a question or something. Nope, just wanted to say thanks.

Anonymous - ED Attending

I work in healthcare now but back in my earlier 20s I worked at a fast food joint where I deep fried my upper legs by accident. It was a bad burn.

Coworker called the paramedics while my boss stood there shouting at me to get back to work, and I honestly thought I was overreacting (ya know, despite being in indescribable pain and possibly experiencing early stages of shock.)

Paramedics show up, and they're these two badass women not much older than I was. They completely took control of the situation, basically told my boss to get fucked, and loaded me up with morphine to transport. They stayed with me at the hospital until a member of my family arrived, just reassuring me that I wasn't wasting their time and that everything was going to be okay.

They are my heroes and I think about them often. The level of care I received that day was astounding to me and I'm forever grateful for their support.

Anonymous

These stories are sourced from Postcall readers as well as across the internet. Next week weā€™ll be back with ā€œGuess What I Saw Today.ā€ Have a riveting tale of your own? Send us your best story from the OR, ED, or clinic (anonymized, obviously).

Speed Reads šŸš¤ 

1:šŸ¤°šŸ»Canadian researchers have developed a natural supplement that helps prevent postpartum blues and reduce symptoms of postpartum depression. The blueberry extract in the supplement replenishes essential neuro-chemicals in the brain to support a healthy mood. 66% of patients who received 4 doses experienced either no symptoms or minor symptoms of postpartum blues. The product hasnā€™t been approved in Canada yet but is said to hit the shelves in the US next week.

2: ā™€ļø ā™‚ļø The NHS in England has started restricted gender-affirming treatments for minors, following a review by Dr. Hilary Cass which cites that evidence for treatments has been ā€œbuilt on shaky foundations.ā€. This policy aligns with northern European countries like Finland and Sweden, which have also imposed stricter regulations due to rising demand and complex mental health considerations. Many advocacy groups have criticized the changes as harmful to transgender rights.

3:šŸ’° The advocacy group ā€œOntario Place for Allā€ say more than $650 million in taxpayer dollars will be going towards the Therme Canada mega spa. The group is calling for the revamp to be cancelled, as they believe Doug Fordā€™s government didnā€™t consult with the community before making their decision. But donā€™t just take our word for it: people on X have shared their own thoughts, including this user who pointed out the lack of funding going towards medical schools:

4: šŸ’ø Are you a med student, resident, or newly practising physician? The tax accountants at MMT CPA are offering a special rate for all Postcall readers ā€” get in touch to find out more at http://www.mmtcpa.ca or email [email protected]. **

5:šŸ¦ Canada is adopting similar measures as the US to test and treat humans for the bird flu. Although humans contacting the bird flu in Canada is low, health officials say Canadians should still avoid contact with any live or dead wildlife. Farm workers, veterinarians, hunters, and wildfire workers are most at risk for infection.

6: šŸ—žļø Two new studies on the effects of British Columbia's safer supply program have contrasting findings. One study suggests the program ā€œsignificantly reduced all-cause mortality,ā€ while another links it to increased opioid overdose hospitalizations. Authors of both studies clarify that their findings donā€™t contradict; instead, they reflect different aspects of the policy's impact. Nonetheless, federal Opposition leader Pierre Poilievre has pledged to shut it down if he becomes prime minister.

** this is sponsored content

2024ā€™s Bloody Revolution šŸ©ø 

We all love our basic metabolic panels, but changes are happening that are growing the market. Today, weā€™ve got the update on two major trends that are revamping the blood testing scene, and you donā€™t need to complete your hematology residency to get a look at whatā€™s happening.

  1. DIY tests are coming

Thanks to the pandemic, at-home test kits are booming. In the UK, some pharmacies are offering on-site cholesterol testing via the PocDoc app, prescribing as needed. And some health practitioners are monitoring a patientā€™s real-time blood pressure with pharmacy or Amazon-bought gadgets. 

Though kits are especially useful when it comes to long waitlists and those with limited healthcare access, doctors caution against DIY-ing your health without expert approval. Last year, UKā€™s Royal College of GPs warned against unaccredited blood tests claiming to detect genetic abnormalities and predict remaining "healthy years."

  1. AI/Software

While current tests measure only a few proteins at a time, companies like Nautilus and SomaLogic aim to decode the entire proteome for faster, more precise diagnoses.

AI and blood testingā€™s 2024 achievements include:

  • An AI model trained to predict septic shock likelihood based on molecular signatures.

  • UCLHā€™s new lung cancer diagnostic method: achieving 96% accuracy in detecting various cancers and pinpointing tissue of origin through blood sample analysis.

Accuracy isnā€™t guaranteed, as users can mishandle DIY kits, and AIā€™s ā€œblack box natureā€ complicates understanding their decisions. And we all remember the last time a tech person tried to run blood tests without the proper scientific background (Theranos lost $600M of investorsā€™ funds). But in the next few years, if science is done properly, we could be in for some bloody brilliant discoveries.

Laugh of the Day

Thatā€™s DIY.

šŸ•¹ļø Game ā›³ļø

Welcome to this weekā€™s crossword!

First question: What happens when a patient presents you with acute confusion and known decompensated liver disease?

Enjoyed our puzzle? Send it along and flex on em.

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šŸ¤˜ P.S. If youā€™re reading this, you know that our readers are Canada's best and brightest physicians, medical learners, and other smart, ambitious people. Learn about partnering with Postcall if youā€™d like to reach them.