Manoj Lalu

Keyboard with drawing pins on Ctrl, C, and V

My new plan for encouraging resident colleagues to document in the electronic patient record appropriately...

The next notification I received was that the paper was accepted.

Given @bmj.com’s commitment to open peer review and post-publication scrutiny (which I admire), I have no doubt we will hear about a formal editorial investigation soon. /fin

…and sample size inconsistencies in the protocol versus the report (and within the report).

The data seemed impressive. Too good to be true I guess?

I never saw the paper again in peer review after that initial review. 2/n

This is disappointing, but I’m not surprised. I was one of the reviewers for the initial version. You can see by my review (it’s all open) that I flagged primary outcome switching, a complete lack of any data on the cells themselves 1/n

Start naming mass shootings after politicians who take money from the NRA.

RFK Jr clearly hasn't read this paper he cited. But I have. At last week’s press conference, RFK Jr and his buddies announced that Tylenol causes autism, citing 3 studies as proof. Let's talk about one of them.

Today I review the second study RFK Jr cited in his autism & Tylenol press conference: acetaminophen in pregnancy from the Nurses' Health Study.

You're gonna wanna read this for yourself.
open.substack.com/pub/epiellie...

Unbelievable. I won’t be setting foot in your country for any conferences, family visits, vacations… what a dystopian nightmare.

This story should shock and offend all Americans. It is a violation of our shared values.

It is possible to enforce our immigration laws, without ripping away people’s basic dignity and rights.

Unbelievable what’s happening in the US. I used to be jealous of my American cousins when I was growing up. Not anymore - what a farce of a democracy they have become.

I would love to be part of the conversation on MSNBC related to the Kimmel story and it's chilling effects on first amendment, but unfortunately I was terminated by MSNBC for stating that "hateful thoughts lead to hateful words which lead to hateful actions".

Looks like he hits the bottle hard

I was the same. Now I actually use the Microsoft to-do app. When you check off a task it gives a super satisfying “bing” noise!

Top FDA official demands removal of YouTube videos in which he criticized Covid vaccines Channel was an attempt to ‘preserve’ what Trump officials in current Trump administration said during the pandemic

Vinay Prasad of the FDA demanded that @joho.bsky.social’s YouTube channel be removed, and it was.

Dr. Howard regularly pointed out the numerous flaws in Prasad’s statements about COVID19 vaccines and other topics.

You can read about it here.

My approach too. First intubation with a trainee I’ve never worked with before is VL and they describe what we are looking at. If they are anesthesia residents I’ll let them do DL if they insist.
Off service residents and med students - 💯 VL - I won’t supervise anything else.

Grid of 41 PxP 2025 speakers

🤩We are so grateful to these incredible people who will be speaking during the virtual conference in September (9th-12th). Check out their speaker biographies here: pxphub.org/event/speake...

#PxP25 #PatientEngagement #PPI #ConsumerInvolvement

YouTube video by CIHR IRSC Tri-agency CV webinar

New CV - more inclusive and easier to use from CIHR:

Tri-agency CV webinar - YouTube www.youtube.com/watch?v=xeAk...

Domestically made, updated Moderna vaccines

Let’s Go Canada 🇨🇦 !

Far fewer Canadians are visiting the U.S. this year, new numbers show Canadian residents made just 1.7 million return trips by motor vehicle back into their country from the U.S. in July, a nearly 37% decline over the same month in 2024, according to Statistics Canada.

Canadians are really sending a message

www.npr.org/2025/08/21/n...

Why hands only for outpt procedures? Ask because I just put a small iv in the ac for my patients coming for an outpt procedure. Usually dead simple to cannulate even if you can’t see it, less propfol injection pain, and the iv comes out in a couple of hours when they head home.

Patriotic Canadians resigned to consuming Pizza Pizza BARRIE – In the face of the Trump administration’s trade war, everyday Canadians have been taking drastic measures to support the Canadian economy – such as purchasing and pretending to genuinely enjo...

Patriotic Canadians resigned to consuming Pizza Pizza

www.thebeaverton.com/2025/08/patr...

For anyone still saying that a Canadian like me should “mind my own business,” there’s literally nothing that’s more my business — more EVERYONE’s business — than the most powerful nation in the world right next door turning itself into a lawless, fact-less, corrupt dictatorship.

Nothing. #ElbowsUp

Total number of complications (virtual care or not) doesn’t seem to change, however, they are caught earlier and are less severe as a result. 2/2

We have a fairly mature post surgical discharge virtual recovery program (established as part of the pvc-ram trial BMJ 2021). ENCOMPASS data is exactly in line with my clinical observation that virtual care acts as an early warning system. 1/2

Not sure if some shared this already in this thread… patient using CGPT develops bromine based on advice he received.

bsky.app/profile/iwas...

I used Des in the vast majority of cases when I was training. We can still get it, but need to go find it. As you can, imagine, use has plummeted in our institute. I agree, no single strong indication to use it.

I do that with Des in our centre every once in a while. Most (all?) staff in our centre still use Sevo regularly though.

I guess Margaret Atwood spot on re: her predictions for the future.

Choosing my new work shoes based on which colour will best hide blood stains. #Anesthesia

I use it to ask quick questions (not very frequently). But not much else clinically.