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DEPARTMENT OF MEDICINE UPDATE | MARCH 2, 2021
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The SHORT Report
Condolences
Recognition & Awards
Milestones
- Promising results in Fabry Disease pilot study - Dr. Michael West
- Mohs now in NS - Dr. Michael Stevens
Faculty of Medicine
- Reappointment of Dr. David Anderson as Dean of Medicine
QEII Times, February 2021
- Crunching the numbers - Drs. Parkash and Sapp
- Finding the right approach - Dr. Tennankore
- Living for tomorrow - Drs. Morrison and Chiasson
- Reducing the risk of dementia - Dr. Rockwood
- A message from QEII Experts - Dr. Rayson
Nova Scotia Health
- Job Opportunity - Senior Medical Director - QEII Redevelopment Project
- Job Opportunity - Senior Medical Director - Corporate Services and Clinical Services Networks
Medical Device Alert - iPhone 12 and MagSafe Accessories
Upcoming Events
- March 17: World Delirium Awareness Day
- March 29: Dalhousie University Cardiac Research Day
- April 26 – 30: DoM Research Week
COVID-19
Quick Reference / Recurring Content
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Hi everyone!
I hope this Short Report finds everyone well. Spring is almost here! ♥
We have been living our new normal in the COVID-19 world for almost a year now. I thank everyone for their efforts over the last year to maintain patient care, as well as our academic and research activities. As I write this report almost all of our physicians, residents and NPs in the department who participate in direct patient care should have at least had their first COVID vaccine.
I received my first dose on February 23rd. I have to say I have had many vaccines in my life and really thought little about them, but this one was monumental. We have been in pandemic mode for so long now it is hard to believe that there will be a day that we will be past this, but getting my first dose really made me optimistic that we will be. Having said this, although I breathe a small sigh of relief, vaccine is only a small part of the picture and to get out of this as soon as possible we need to continue with our excellent infection prevention practices and continue to model the highest standard of practice to those around us.
Public Health is still encouraging regular asymptomatic testing (even after vaccination). Sign up here, or attend one of Dr. Barrett and team’s amazing pop-up clinics and spread the word.
Congratulations to Dr. Anderson our Dean of Medicine and valued department member for his reappointment as the Dean of the Faculty of Medicine, Dalhousie University (see below for the full story).
In February, Dr. MacLullich, from the University of Edinburgh Department of Geriatric Medicine, gave an amazing Grand Rounds on delirium. Having just a bit more awareness on this common medical condition can have huge positive impacts on our health system, especially on inpatient care, flow and length of stays. March 17 th is World Delirium Awareness Day. See this link and check it out for activities throughout the month. Let’s all learn one thing about delirium that will help us take better care of our patients. You can also check out all of the great March health awareness days on the Health Canada website.
Don’t forget to see the important AWARDS deadlines below and take an opportunity to nominate a deserving colleague.
Keep well,
Christine
Christine Short, MD, FRCP(C), FACP
Associate Professor & Head/Chief, Department of Medicine
Dalhousie University / Central Zone, Nova Scotia Health
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Our condolences to the Division of Geriatric Medicine on the passing of Dr. John Gray. Dr. Gray passed away on February 16.
Dr. Gray was appointed to Dalhousie Medical School in 1982 to develop an interest in the area of Geriatric Medicine. He was established the Division of Geriatric Medicine and was co-founder of the Alzheimer's Society of Nova Scotia. He also served as vice-president with the Gerontology Association of Nova Scotia and the Canadian Geriatric Society.
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Recognition is a powerful yet often overlooked way of celebrating people and letting them know that they are appreciated and valued.
When individuals or teams are recognized, they tend to feel engaged, inspired, energized and confident. Let's build a better department, by recognizing and celebrating our people.
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- Department of Medicine Awards (due April 26)
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Promising results in Fabry Disease pilot study - Dr. Michael West
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A Canadian research team, including researchers in Halifax at the QEII Health Sciences Centre, was the first to use gene therapy in 2017 to treat patients with Fabry disease.
The five participating patients – located in Nova Scotia, Ontario, and Alberta – began producing the corrected version of the enzyme to near normal levels within a week of receiving treatment.
“This really was a ground-breaking study, given current therapies are not cures,” says Dr. Michael West, a nephrologist at Nova Scotia Health and director of the Nova Scotia Fabry Disease Clinic. “This is the next step in moving toward a better therapy and hopefully a cure for this disease, which can really cause patients a lot of pain and suffering. It’s promising that the participating patients are still seeing benefit from the treatment several years after the procedure was completed.”
Researchers collected a quantity of each patient’s own blood stem cells, then used a specially engineered virus to inject those virus cells with copies of the fully functional gene that is responsible for the enzyme. The modified stem cells were then transplanted back into each patient.
Read full story at Nova Scotia Health:
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People with Fabry disease have a gene called GLA that doesn't function correctly. As a result, their bodies are unable to produce the correct version of an enzyme that breaks down a fat. A buildup of fat can lead to problems in the kidneys, heart, and brain.
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Mohs now in NS - Dr. Michael Stevens
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For many years Nova Scotia patients have travelled to New Brunswick, or other locations for Mohs, but support from the Department of Health and Wellness, and a partnership with Dr. Michael Stevens; Nova Scotia’s only dermatologist with micrographic surgery training, now allows patients to access the life-changing and potentially life-saving care, closer to home.
“This has become the standard of care for certain types of skin cancers and we have had a very positive response from our patients so far,” said Dr. Stevens.
Nova Scotia has some of the highest rates of skin cancer in Canada, including basal cell carcinomas and squamous cell carcinomas, which are most common in Caucasian populations.
Read the full story:
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Mohs is a minimally-invasive surgery that allows health care providers to target cancerous tissues at and below the surface with precision, while saving as much healthy tissue as possible. This can be especially important for skin cancers on the head and neck, including the nose, ears, eyelids, lips and scalp.
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Reappointment of Dr. David Anderson
as Dean of Medicine
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Dr. David Anderson has been reappointed for a second five-year term as Dean of the Faculty of Medicine.
Dr. David Anderson’s first term as Dean of the Faculty of Medicine saw the development and implementation of the medical school’s strategic plan focused on the pillars of education, research, and serving and engaging society. Dr. Anderson has led the faculty through several successful accreditation processes, increased distributed educational opportunities, and worked concertedly to support wellness and engagement with undergraduate and graduate students and post-doctoral fellows. He has worked with the faculty to establish research priorities and supported the development of the medical school’s internationally leading research teams. He has collaborated with provincial governments and health authorities for increased education and research opportunities. Dr. Anderson has strengthened the faculty’s institutional priorities to enhance diversity and foster community outreach. Under his deanship, the role of an Assistant Dean for Serving and Engaging Society (Dr. Gaynor Watson Creed) was created. He also recruited Dr. OmiSoore Dryden as the James R. Johnston Chair in Black Canadian Studies.
Going forward, Dr. Anderson will review and refresh the Faculty’s strategic plan and research priorities. He will continue to foster team research and support research excellence. He has highlighted plans for continuous improvement in the areas of undergraduate and postgraduate medical education, graduate student engagement and support, and the provision of continuing professional development programs for physicians. As well, he will work to strengthen community engagement initiatives, paying specific attention to relationships with Mi’kmaq and African Nova Scotian communities. Second-term priorities also include continuing to identify and build successful collaborations and new avenues of partnership with provincial health authorities and supporting the continued growth and success of Dalhousie Medicine New Brunswick.
From
Frank Harvey
Provost and Vice-President Academic (Acting)
February 18, 2021
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Dr. Anderson started his first term as Dean, Faculty of Medicine, on July 1, 2015.
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Released on February 25, the QEII Times featured several DoM physicians and its subspecialties.
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Crunching the numbers
QEII study looks at impact of COVID-19 pandemic on cardiac health
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Dr. Ratika Parkash
Dr. John Sapp
Division of Cardiology
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Finding the right approach
Newly appointed QEII Foundation Endowed Chair in Transplantation Research aims to improve patient outcomes
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Dr. Karthik Tennankore
Division of Nephrology
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Living for tomorrow
QEII’s adult cystic fibrosis program uses multidisciplinary approach to ensure best possible care for patients
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Dr. Nancy Morrison
Dr. Meredith Chiasson
Division of Respirology
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Reducing the risk of dementia
QEII geriatrician’s research examines how healthy lifestyle habits play a significant role
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Dr. Kenneth Rockwood
Division of Geriatric Medicine
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A message from QEII Experts
Published February 1, 2021
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Dr. Daniel Rayson
Division of Medical Oncology
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Job Opportunity - Senior Medical Director -
QEII Redevelopment Project
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The redevelopment of the QEII Health Sciences Centre, is a once in a generation opportunity to rethink and rebuild the way we deliver health care. It is a massive, multi-year project that’s laying out how we’ll meet the health care needs of Nova Scotians for the next 50 years. It will also allow services to be moved out of the aging Centennial, Victoria and Dickson buildings on the Victoria General (VG) site of the QEII, to prepare for their eventual closure.
Apply here:
Seeking an innovative, energetic leader with exceptional communication and relationship skills.
Applications due: March 12, 2021
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Job Opportunity - Senior Medical Director -
Corporate Services and Clinical Services Networks
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Apply here:
Applications due: March 12, 2021
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iPhone12 and MagSafe Accessories
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A recent publication found that magnets within Apple iPhone 12 Models and MagSafe accessories may cause interference in pacemakers and implantable cardioverter defibrillators (ICDs) when the phone is in close proximity to the device.
Recommendations
- iPhone 12 Models, MagSafe accessories, other cell phones designed to work with MagSafe accessories, and any other similar magnets, should be kept at least 15 cm from pacemakers and ICDs.
- wireless chargers must be kept at least 30cm from pacemakers and ICDs.
Publication
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World Delirium Awareness Day
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The International Federation of Delirium Societies is celebrating World Delirium Awareness Day on March 17, 2021.
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Did you know:
- In 18.9% of frail hospitalised patients, delirium is the only clinical sign of COVID-19
- Upwards of 30% of frail patients with COVID-19 were delirious
- Delerium is not a word
- Delirium is grossly under reported
Recommended Recent Guidelines:
Scottish Intercollegiate Guidelines Network (2019)
Zazzara MB, Penfold RS, Roberts AL, Lee KA, Dooley H, Sudre CH, Welch C, Bowyer RCE, Visconti A, Mangino M, Freidin MB, El-Sayed Moustafa JS, Small KS, Murray B, Modat M, Graham MS, Wolf J, Ourselin S, Martin FC, Steves CJ, Lochlainn MN. Probable delirium is a presenting symptom of COVID-19 in frail, older adults: a cohort study of 322 hospitalised and 535 community-based older adults. Age Ageing. 2021 Jan 8;50(1):40-48.
We are also in the process of planning a 4AT (delirium screen) blitz for as much of if not the entire hospital on March 17th. We are speaking with NSH privacy as so far, NSH quality is fully behind us on this initiative.
My regards,
Sam Searle
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Daily Webinars: March 1 -17, 2021
36 hours straight of Delirium Programing: March 16-17, 2021
Tweet with #WDAD2021
Follow on Twitter:
The International Federation of Delirium Societies, works across borders to improve delirium for patients, family, staff and systems
Alasdair MacLullich
Prof Geriatric Med, Usher Institute, Edinburgh Uni. Chair, Scottish Hip Fracture Audit
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Marchathon (March 1-16)
Daily webinars
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36 hours straight of of Delirium Programing #WDAD2021
Starts on March 16 in Australia and ends on March 17 at 5pm EST
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Dalhousie University
Virtual Cardiac Research Day 2021
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Hosted by:
- Division of Cardiology
- Division of Cardiac Surgery
- Cardiovascular Research Group
Zoom meeting ID:
847 4011 6228
Passcode:
598437
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Monday, March 29
8 am – 10 am
Zoom
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DoM Research Week - April 26 - 30, 2021
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ORAL PRESENTATIONS
(via Zoom)
Tuesday, April 27
8 - 9:30am
AND
Thursday, April 29
12:30 - 3pm
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POSTER PRESENTATIONS & MORE
Website available: April 26-30
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2
currently in hospital due to COVID-19
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2
currently in ICU due to COVID-19
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343,263
total completed tests
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20,145
Rapid tests at pop-up locations
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33,471
Total vaccine doses administered
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12,891
People who have received second dose
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As of March 2, 2021
Nova Scotia Health staff and physicians experiencing COVID-19 symptoms, contact Occupational Health: 1-833-750-0632
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After getting a COVID-19 vaccine...
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You must continue to follow all public health guidelines (eg. wearing a mask/PPE, washing your hands and physical distancing).
If you are symptomatic (fever, cough, etc.), you must contact Occupational Health for testing. All COVID-related symptoms need to be reported to Occupational Health, even if you think it's a side effect of the vaccine.
After getting the vaccine, you could still be infectious to others, so it is important to report symptoms to Occupational Health.
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Newfoundland border tightened
Due to the recent spike in COVID-19 cases in Newfoundland and Labrador, Nova Scotia is tightening border controls.
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UK variant
Two additional cases of the UK variant of COVID-19 have been identified in NS. The cases were initially reported in January. Samples were sent to the National Microbiology Lab and on Feb 10 two cases were identified. The initial investigation did not determine a source for the infections. The two cases and their close contacts will be re-interviewed. https://novascotia.ca/news/release/?id=20210210005
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Community vaccine clinics open in March
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COVID-19 and the nervous system
Neurosurgery Resident, Dr. Mark MacLean, was featured on the Super Awesome Science Show. Listen to the podcast (28 mins)
OR
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Asymptomatic testing, particularly for individuals who have a large number of close contacts due to their work or social activities, is encouraged.
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Changes in visitor restrictions in Central Zone
Effective 8 a.m. on Saturday, February 27, hospital inpatients in Central Zone can continue to designate two support people. However, these support people may only change weekly and only one can visit at a time.
Patients coming to hospital for cancer care, emergency, or ambulatory care clinics, appointments or procedure are asked to come alone unless they need support to receive care due to physical, intellectual, cognitive or emotional conditions.
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Return to restrictions in HRM and neighboring municipalities from February 27 to March 26.
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QUICK REFERENCE /
RECURRING CONTENT
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Nova Scotia Health / Dr. Lynn Johnston
Uploaded: March 13, 2020
Video: 10 min
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Nova Scotia Health / Dr. Glenn Patriquin
Uploaded: April 3, 2020
Video: 3 min
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Canada.ca
Uploaded: June 15, 2020
Video: 1 min 25 seconds
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Canada.ca
Uploaded: July 20, 2020
PDF – 8.5" x 14" poster
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Legal Information Society of Nova Scotia
Complete online then download or email document. Once signed and witnessed, it is valid.
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Spectrum MD
(Antimicrobial Stewardship)
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Nova Scotia Health logo needs to be visible in the upper left corner of the home screen to ensure you are accessing local content.
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Nova Scotia Health staff and physicians experiencing COVID-19 symptoms, contact Occupational Health:
1-833-750-0632
https://www.nshealth.ca/coronavirustesting
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Potential COVID Exposures
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Helping Healthcare Heroes
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When you take care of yourself, you take care of others.
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