Orthopedic Surgeon/Trauma, proud volunteer 🦴 👩🏼⚕️“some of us are saints, and some of us are surgeons” she/her
Corner Brook, Newfoundland and Labrador
Joined September 2017
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Alanna Husch retweeted
Links to Metformin Long Covid studies:
thelancet.com/journals/lanin…
pubmed.ncbi.nlm.nih.gov/4224…
Alanna Husch retweeted
Post-COVID-19 Femoral Head Osteonecrosis Exhibits Mast Cell Clusters, Fibrosis, and Vascular Thrombosis: Key Pathological Mechanisms in Long COVID-19 Bone Degeneration
🔥For many a new #LC presentation needing THR(Total Hip Replacement)😲
➡️'Оsteonecrosis of the femoral head (ONFH) is a common condition in hip surgery, which is characterized by the death of bone cells due to disruption of the blood supply and ultimately irreversible destruction of the hip joint.'
➡️'As a result of the COVID-19 pandemic, a significant INCREASE in the incidence of ONFH has been identified.'
➡️'Data suggest that the key morphological biomarkers that trigger the main molecular and cellular mechanisms in the development of post-COVID-19 ONFH are clusters of mast cells, extensive areas of fibrosis, numerous arterial and venous thrombi, and giant cell granulomas.'
➡️'At the same time, the leading players are probably mast cells, which, when interacting with the COVID-19 virus, undergo excessive hyperplasia, activation and degranulation.'
➡️'The factors released by mast cells, in turn, increase inflammation, affect bone and cartilage metabolism, cause blood vessel dysfunction and thrombosis, and contribute to the development of fibrosis, thereby stimulating and facilitating the development of osteonecrosis of the femur.'
➡️'Our results demonstrate that the accumulation and activation of mast cells is a feature of the pathogenesis of post-COVID-19 osteonecrosis and can be considered as a diagnostic sign of this disease.
‼️Anybody needing a THR today, should be screened! It may only be the tip of a far broader #LC problem!
mdpi.com/1873-149X/32/3/36
Alanna Husch retweeted
Canadian COVID Forecast: Nov 9-22, 2024
SEVERE: CAN, AB, BC, MB, NB, North, NS, ON, PEI, QC, SK
VERY HIGH: NL
HIGH: none
MODERATE: none
About 1 in 31 people in Canada are CURRENTLY infected.
ALT This image shows a series of gauges with the Nov 9-22, 2024 COVID Forecast scores for Canada, the provinces, and territories. Read from left to right: Canada: 24.1 - SEVERE Alberta: 22.3 - SEVERE British Columbia: 20.3- SEVERE Manitoba: 33.1 - SEVERE New Brunswick: 27.1 - SEVERE Newfoundland and Labrador: 13.3 - VERY HIGH North: 24.9 - SEVERE Nova Scotia: 25.6 - SEVERE Ontario: 19.9 - SEVERE Prince Edward Island: 16.4 - SEVERE Quebec: 29.3 - SEVERE Saskatchewan: 29.9 - SEVERE All COVID Forecast input data and sources are available here: (https://covid19resources.ca/covid-hazard-index/) Forecast scores are grouped into 4 ranges: MODERATE (1 to <5, white), HIGH (6 to <10, yellow), VERY HIGH (10 to <15, orange), SEVERE (>15 red)." To access the past scores table, please visit https://covid19resources.ca/covid-hazard-index
Alanna Husch retweeted
"Long-term effects of COVID-19 infection on BONE MINERAL DENSITY"
jogh.org/2024/jogh-14-05029/
Alanna Husch retweeted
I have started counting all the times I have seen health service senior leaders/CEOs/Health Ministers make great fanfare about seeking frontline worker input on how to improve the system. 1/
Alanna Husch retweeted
Do you know what is even more terrifying than angry healthcare workers fighting for a better system?
Ones that don’t care anymore.
Think about that before you label people as “difficult”.
Alanna Husch retweeted
🚨New recommendation on Metformin 💊 out from @CochraneCanada #CANPCC guideline on Long COVID Post -COVID condition.
⚖️ Conditional recommendation in favour of using Metformin for people with COVID-19 infection to prevent Post-COVID Condition. It could prevent 41/1,000 cases of PCC. Very important for primary care practice.
Read the full recommendation here: can-pcc.recmap.org/recommend…
Alanna Husch retweeted
While other provinces make moves to stabilize FM, @GovNL is going to arbitration with its MD's. Has GovNL just decided that a phone call from a doctor anywhere but NL is the best we can do to provide primary care to our citizens? They have lost the plot.
P.E.I. announces five-year deal with doctors that it hopes will help attract, retain physicians. Contract lessens administrative burden and increases pay. by @DveStewart saltwire.com/prince-edward-i… via @PEIguardian @DennisKendel
Alanna Husch retweeted
This is how to invest in primary care- stabilize family medicine by valuing the work of family physicians. @PremierofNL @johnjhogan @HCS_GovNL Time to show the same leadership.
Alanna Husch retweeted
But doesn't this also mean that doctors doing bone surgeries are risking exposure to Covid?
The same way bone dust is a cancer risk.
Alanna Husch retweeted
A new gold standard review of 100 studies finds:
- masks are effective in reducing transmission of respiratory diseases
- N95 respirators are significantly more effective than medical or cloth masks
- mask mandates are effective in reducing community transmission
ALT Clinical Microbiology Reviews: Masks and respirators for prevention of respiratory infections: a state of the science review
Alanna Husch retweeted
HIP FRACTURE DEADLIER THAN CANCER for elderly. A new 🇨🇦 study finds only 1/3 of men & 1/2 of women age>=65 still alive 5 years after a hip fracture. In contrast, 5 year cancer survival higher. But we don’t focus on fracture prevention & nutrition enough.
theglobeandmail.com/opinion/…
Alanna Husch retweeted
If you had to have an operation for a hip fracture, how much do you think your risk of dying would increase if you caught Covid while you were in hospital?
A global study of over 7,000 hip fracture patients across 14 countries sought to answer this question…
Alanna Husch retweeted
Way to go Manitoba. Longitudinal family medicine is the critical backbone of our system. Look forward to reading the details of what MB is doing.
PS @_nlma this is way better branding and promotion than what we are doing with our model
Alanna Husch retweeted
Our commitment on this upcoming Canadian Orthopaedic Care Day (tomorrow!) is to the 150,000 Canadians waiting for orthopaedic procedures. Your mobility and your health are our priorities.
#CdnOrthoAssoc #OrthoCareCanada #MSKUnited #MobilityMatters
En cette prochaine Journée canadienne des soins orthopédiques (demain!) nous nous engageons auprès des 150 000 Canadiens qui attendent une intervention orthopédique. Votre mobilité et votre santé sont nos priorités.
#JournéeOrthoCan #UnisPourLesSoinsOrtho
#MobilitéEssentielle #SoinsOrthoCan
Alanna Husch retweeted
NLBudget2024 has funding for more medical school seats. Hope there is a plan to increase training capacity at rural sites. If we do not have rural docs to train our students and we do not support those already doing the training, this won’t help! #nlpoli cbc.ca/news/canada/newfoundl…
Alanna Husch retweeted
Sad day. 17 unmatched family medicine residency spots at MUN and all rural spots. Until we find a way to fix family medicine, we are headed in a bad direction – at St. John's, Newfoundland and Labrador
Alanna Husch retweeted
After a long wait, our longitudinal long COVID study is finally published in @NatureComms: nature.com/articles/s41467-0…. We find a skeletal muscle alterations in patients with #longcovid, which worsen with exercise. 1/n
