@drpaulwinston

Patient had rapid reolution of CRPS inflammation and stiffness with prednisone.

You could respect also my patients’ experience. We provided treatment and it improved rapidly. In acute cases patients tell me the worst is being blamed for not coping . Here is another case where the patient wasn’t “mindful”enough and had resolution. She had a treatable medical condition.

Our #cryoneurolysis joy of the week. Consent 80 year old with CP weeks of rapid decline due to severely worsening spasticity and pain in legs. Lost her ability to walk. See before video. My fellow did bilateral 2 quads 3 hamstrings and 3 right calf muscles. Ready immediately for discharge

We have examples all week long with early treatment of #CRPS . The trick is figuring out what is not resolved. Here it was a fluid filled nodule at the thumb. And edema around the nerves. Injected the thumb and later after this video the median nerve. The test scores were zero in January

Perhaps I was prophetic when I made this video of Canadian bald eagle this summer. Why is the world’s largest scientific community being destroyed? @ryanmarino.bsky.social

All we want for Xmas is a nurse. To give our complex patients the care they need. This is a systemic failure in BC. Patients deserve care teams. Bowel and bladder, wounds, medication reviews, procedural assists. Compassion. @garymasonglobe successive leaders failed

You know #CRPS limb can be cold. Please stop telling people they need to do brain changing exercise. A machine parked on the foot and broke it. I think it’s because women get it more that we tell them they need to change their brain.

Last #cryoneurolysis child before the holidays.
Bilateral triceps. He gets his arms stuck in doorways. Unbreakable tone. 10 years old, mom approved and thrilled.@CerebralPalsyBC
Propofol sedation. Watch for ultrasound images

It was pediatric #cryoneurolysis sedation day

Too be honest we Canadians are fantastically talented at importing and exporting it. In my Island region Covid will never approximate the devastation and loss of life and catastrophic illness it caused here since 2020.

My flight from Vancouver was canceled and ended up Uber and ferry with a pediatrician. We discussed AI transcription and images. I made her this

This is how we send 96-year-olds home from the hospital immediately. Knee pain prevents walking or transferring. We do bedside ultrasound-guided #cryoneurolysis or bring them down to the clinic. We used a 10 m walk test, but many had yet to do the ten-meter test before.

The video allowance on @bsky.app is just not good enough for my educational videos. Too short, and too small. Please improve this

Trying to figure out how to be in Sync on blue sky

This incredible American teen is reclaiming his life after a catastrophic stroke. He left being able to walk with no huge leg brace and a spaghetti arm. He sang Kacey Musgrave songs for 2 hours during the procedure

Cryoneurolysis for the awful annoying and debilitating spasticity toe claw.

If you have a desire to follow a dreamer, with an unrelenting mission to find ways to improve outcomes and improve quality of life. Evidenced based medicine with visual storytelling and dance thrown in.

Absolutely wild talking to PMR docs who trained in NY in 2020. I live in a parallel universe. Public health kept the mass death and hospital overrun from Vancouver Island. Robust public health is what we need. I treated or met no COVID patients for the first 18 months @thanhneville.bsky.social

Like this

What’s it like to travel a few thousand km per treatment and have a team of six Drs treat you together?

Another MS patient believed to have weak hip flexors. NO it is contraction of. Vastus intermedius rectus and hamstrings

All the neurologists told me nothing treats hereditary spastic, paraparesis tone. This man left marching and thrilled. We tell them and MS patients their hip flexors are too weak. Nope they are spastic and need to be taken out. Rectus and hamstrings and calves here.

Hi @mvgutierrezmd.bsky.social can you introduce me to your peeps for my Blue Sky arrival? This is what I do. One of this weeks #cryoneurolysis travellers.

Is Bluesky open to fun in medicine?

Spasticity no more.

Not sure if is worth being on @bsky.app if all we get is more USA buffoonery. You voted them in, have them the house and senate. You chose this future. We didn’t

Dr. Ghuman started her #cryoneurolysis journey @ Mount Sinai NY and now is at @Montefiore PMR With Dr. Mucha they were awesome and eager to start a second NY Service

Never stop dreaming. Our little city just raised $2.7 million for robotic surgery. 2nd hospital in BC. #YYJ

Just a gentle reminder that if you don’t fund rehabilitation, you don’t believe in health equity.

Our clinic could not function without local support from for our Research. Our ultrasound machines, research grants, donations. Tonight we gather at #VisionsGala2024 to support our hospitals

No, just acts as soft spacer. I did put ice on the back of her hand because we really stretched out and you could hear all the tissues breaking. It’s quite a gross loud sound.