Ian Mitchell, MD
@drivmitch.bsky.social
Emerg doc with interests in addiction, cannabis, ketamine and naloxone
Reposted by Ian Mitchell, MD
Canada Lives Because…
January 23, 2026 at 11:18 PM
Canada Lives Because…
Reposted by Ian Mitchell, MD
Seems to be the most dramatic breakthrough in preventing/slowing dementia & alzheimer's ever. But it's a vaccine, so it doesn't get headlines.
Wish you could get the shingles vaccine before age 50. You don't have to be 50 to get shingles—I can attest as I had it last summer (not recommended).
Wish you could get the shingles vaccine before age 50. You don't have to be 50 to get shingles—I can attest as I had it last summer (not recommended).
The Shingles vaccine and reduction of dementia: a new natural experiment from Canada replicated 3 others and adds to this week's link to slowing of biological aging.
erictopol.substack.com/p/spotlight-...
erictopol.substack.com/p/spotlight-...
Spotlight on the Shingles Vaccine—Again!
Two new studies add to a remarkable body of evidence for benefit
erictopol.substack.com
January 22, 2026 at 12:09 PM
Seems to be the most dramatic breakthrough in preventing/slowing dementia & alzheimer's ever. But it's a vaccine, so it doesn't get headlines.
Wish you could get the shingles vaccine before age 50. You don't have to be 50 to get shingles—I can attest as I had it last summer (not recommended).
Wish you could get the shingles vaccine before age 50. You don't have to be 50 to get shingles—I can attest as I had it last summer (not recommended).
Reposted by Ian Mitchell, MD
Bluesky fires shots at Twitter (X)’s Grok
“Sad Epstein isn’t alive to use Grok. He would have loved it”
“Sad Epstein isn’t alive to use Grok. He would have loved it”
January 19, 2026 at 10:49 PM
Bluesky fires shots at Twitter (X)’s Grok
“Sad Epstein isn’t alive to use Grok. He would have loved it”
“Sad Epstein isn’t alive to use Grok. He would have loved it”
Reposted by Ian Mitchell, MD
This awful story about a dying woman forced to endure a painful transfer to obtain MAID has a kernel of hope within it.
This may *finally* be the beginning of the end of Catholic hospital impunity in Canada, which legally stands on very thin ice but hasn't been forcefully challenged. Yet.
1/3
This may *finally* be the beginning of the end of Catholic hospital impunity in Canada, which legally stands on very thin ice but hasn't been forcefully challenged. Yet.
1/3
Family of woman forced to transfer facilities for medical assistance in dying takes case to court | CBC News
Proceedings got underway in B.C. Supreme Court Monday in a case that will determine whether faith-based health-care organizations can continue to prohibit medical assistance in dying (MAID) within the...
www.cbc.ca
January 14, 2026 at 4:29 PM
This awful story about a dying woman forced to endure a painful transfer to obtain MAID has a kernel of hope within it.
This may *finally* be the beginning of the end of Catholic hospital impunity in Canada, which legally stands on very thin ice but hasn't been forcefully challenged. Yet.
1/3
This may *finally* be the beginning of the end of Catholic hospital impunity in Canada, which legally stands on very thin ice but hasn't been forcefully challenged. Yet.
1/3
Soylent Green - now with added Venezuelan seasoning
January 12, 2026 at 5:49 PM
Soylent Green - now with added Venezuelan seasoning
Reposted by Ian Mitchell, MD
One of the few positives about the last decade or so is people are starting to get hip to the fact that the Luddites were right all along.
January 11, 2026 at 12:08 AM
One of the few positives about the last decade or so is people are starting to get hip to the fact that the Luddites were right all along.
Reposted by Ian Mitchell, MD
Re-upping this column because the idea seems to be gaining traction. But I think I didn't go far enough in this: the government should obviously be deleting its accounts so as to not have their tweets appear next to CSAM. But it should also be pursuing charges against X and banning it in Canada.
It's well past time for Canadian government officials to get off of X, @jameswsthomson.com writes. This latest — disgusting — incident is just one more reason.
Canadian government officials, what are you still doing on X in 2026?
The platform's own chatbot started posting sexualized material of children and other people who couldn't consent. With no moral bottom in sight, it's well past time our officials found other ways to c...
www.nationalobserver.com
January 8, 2026 at 1:10 AM
Re-upping this column because the idea seems to be gaining traction. But I think I didn't go far enough in this: the government should obviously be deleting its accounts so as to not have their tweets appear next to CSAM. But it should also be pursuing charges against X and banning it in Canada.
Was bitten by a flying squirrel that got into my dorm room when i tried to stuff it in a bag. Went to Emerg on Grey Cup night to make sure I wouldn’t get rabies. (PSA: Squirrels rarely carry rabies) #medsky
What's the most ridiculous way you ever hurt yourself? I got out of the tub, skidded in water and tripped over the toilet. Ankle sprain.
😅
😅
January 6, 2026 at 5:31 AM
Was bitten by a flying squirrel that got into my dorm room when i tried to stuff it in a bag. Went to Emerg on Grey Cup night to make sure I wouldn’t get rabies. (PSA: Squirrels rarely carry rabies) #medsky
Reposted by Ian Mitchell, MD
2023 study—>63 million Americans, from 2003-2017—no statistically significant difference in rates of psychosis-related diagnoses or prescribed antipsychotics in states with medical or recreational cannabis policies compared with states with no such policy.
#Legalise jamanetwork.com/journals/jam...
#Legalise jamanetwork.com/journals/jam...
State Cannabis Legalization and Psychosis-Related Health Care Utilization
This cohort study investigates whether state cannabis legalization is associated with psychosis-related healthcare utilization.
jamanetwork.com
January 2, 2026 at 12:09 AM
2023 study—>63 million Americans, from 2003-2017—no statistically significant difference in rates of psychosis-related diagnoses or prescribed antipsychotics in states with medical or recreational cannabis policies compared with states with no such policy.
#Legalise jamanetwork.com/journals/jam...
#Legalise jamanetwork.com/journals/jam...
My brother brought home a girl for Xmas one year. She regaled the table with off colour conversation
Later my British mother mentioned
“She’s a bit…common.”
🔥 🔥 🔥
Later my British mother mentioned
“She’s a bit…common.”
🔥 🔥 🔥
What's an insult you'll never forget?
December 26, 2025 at 6:15 PM
My brother brought home a girl for Xmas one year. She regaled the table with off colour conversation
Later my British mother mentioned
“She’s a bit…common.”
🔥 🔥 🔥
Later my British mother mentioned
“She’s a bit…common.”
🔥 🔥 🔥
Reposted by Ian Mitchell, MD
ICYMI @tyolsen.bsky.social & @michellegamage.bsky.social rolled out a three-part series this week on hospital crowding in B.C. for @thetyee.ca — where we're at, why, and how it's affecting patients & staff.
1) thetyee.ca/News/2025/12...
2) thetyee.ca/News/2025/12...
3) thetyee.ca/News/2025/12...
1) thetyee.ca/News/2025/12...
2) thetyee.ca/News/2025/12...
3) thetyee.ca/News/2025/12...
How Crowded Emergency Departments Impact Patients and Staff | The Tyee
Overfull hospitals are worsening delirium, causing bedsores and leading to patient care in hospital bays and bathrooms.
thetyee.ca
December 19, 2025 at 9:42 PM
ICYMI @tyolsen.bsky.social & @michellegamage.bsky.social rolled out a three-part series this week on hospital crowding in B.C. for @thetyee.ca — where we're at, why, and how it's affecting patients & staff.
1) thetyee.ca/News/2025/12...
2) thetyee.ca/News/2025/12...
3) thetyee.ca/News/2025/12...
1) thetyee.ca/News/2025/12...
2) thetyee.ca/News/2025/12...
3) thetyee.ca/News/2025/12...
Reposted by Ian Mitchell, MD
There are many reasons oppose BC’s plan to expand involuntary drug treatment. Not everything could be covered in a single statement.
Today, let’s talk about some of the evidence + ethical implications of co-opting caring professionals + requiring them to violate their professional ethics.
#bcpoli
Today, let’s talk about some of the evidence + ethical implications of co-opting caring professionals + requiring them to violate their professional ethics.
#bcpoli
We Refuse: Health Workers Against Involuntary Care is now public.
@hrna.bsky.social and DSDP are circulating a joint statement opposing BC’s plan to expand involuntary drug treatment. This approach is ineffective, increases overdose risk, violates autonomy, and harms marginalized communities.
@hrna.bsky.social and DSDP are circulating a joint statement opposing BC’s plan to expand involuntary drug treatment. This approach is ineffective, increases overdose risk, violates autonomy, and harms marginalized communities.
November 28, 2025 at 5:51 PM
There are many reasons oppose BC’s plan to expand involuntary drug treatment. Not everything could be covered in a single statement.
Today, let’s talk about some of the evidence + ethical implications of co-opting caring professionals + requiring them to violate their professional ethics.
#bcpoli
Today, let’s talk about some of the evidence + ethical implications of co-opting caring professionals + requiring them to violate their professional ethics.
#bcpoli
1. In a recent @jama.com review article on the harms of cannabis, the authors propose that 32% of those who use cannabis more than 20 days/month will develop #CHS cannabis hyperemesis syndrome.
This equates to about 2.75 million Americans, or 1% of the population each year suffering #medsky
This equates to about 2.75 million Americans, or 1% of the population each year suffering #medsky
December 17, 2025 at 6:17 PM
Reposted by Ian Mitchell, MD
Man injured by houseboat propeller while on trip in Shuswap praises RIH teams for saving his life #Kamloops
Man injured by houseboat propeller while on trip in Shuswap praises RIH teams for saving his life - Kamloops News
A 30-year-old man who suffered severe wounds while on a trip in the Shuswap is thanking the medical teams at Royal Inland Hospital for saving his life.
www.castanetkamloops.net
December 14, 2025 at 8:00 PM
Man injured by houseboat propeller while on trip in Shuswap praises RIH teams for saving his life #Kamloops
Reposted by Ian Mitchell, MD
The holiday spirit must have filled the heart of Tamara Lich’s probation officer given her attendance at what appears to be a Rebel Media staff Christmas party despite her 12-month house arrest sentence:
December 13, 2025 at 1:56 PM
The holiday spirit must have filled the heart of Tamara Lich’s probation officer given her attendance at what appears to be a Rebel Media staff Christmas party despite her 12-month house arrest sentence:
Reposted by Ian Mitchell, MD
A brief mention of an abusive relationship between a Vancouver police officer and a teen he met at school in a recent watchdog report shows a need for more transparency around the identities of officers who commit misconduct, says a civil liberties advocate.
@kehyslop.bsky.social reports. #vanpoli
@kehyslop.bsky.social reports. #vanpoli
VPD Officer Was Quietly Investigated over an Abusive Relationship with Teen | The Tyee
A police watchdog report does not reveal the officer’s name or the school where he met the teenage girl.
thetyee.ca
December 12, 2025 at 3:29 PM
A brief mention of an abusive relationship between a Vancouver police officer and a teen he met at school in a recent watchdog report shows a need for more transparency around the identities of officers who commit misconduct, says a civil liberties advocate.
@kehyslop.bsky.social reports. #vanpoli
@kehyslop.bsky.social reports. #vanpoli
Reposted by Ian Mitchell, MD
Physicians must notify parents if child shows up with overlapping mental health, drug use issues: B.C. https://www.cbc.ca/news/canada/british-columbia/bc-new-guidance-involuntary-care-youth-drugs-mental-health-9.7005188
𝗚𝗲𝘁 𝘄𝗲𝗲𝗸𝗹𝘆 𝘂𝗽𝗱𝗮𝘁𝗲𝘀 ⇢ CanadaHealthwatch.ca/newsletter
𝗚𝗲𝘁 𝘄𝗲𝗲𝗸𝗹𝘆 𝘂𝗽𝗱𝗮𝘁𝗲𝘀 ⇢ CanadaHealthwatch.ca/newsletter
December 6, 2025 at 1:44 PM
Physicians must notify parents if child shows up with overlapping mental health, drug use issues: B.C. https://www.cbc.ca/news/canada/british-columbia/bc-new-guidance-involuntary-care-youth-drugs-mental-health-9.7005188
𝗚𝗲𝘁 𝘄𝗲𝗲𝗸𝗹𝘆 𝘂𝗽𝗱𝗮𝘁𝗲𝘀 ⇢ CanadaHealthwatch.ca/newsletter
𝗚𝗲𝘁 𝘄𝗲𝗲𝗸𝗹𝘆 𝘂𝗽𝗱𝗮𝘁𝗲𝘀 ⇢ CanadaHealthwatch.ca/newsletter
Reposted by Ian Mitchell, MD
Hey, can my deleted BlueSky post get re-posted?
December 3, 2025 at 12:45 AM
Hey, can my deleted BlueSky post get re-posted?
Season 3 of #TheWhiteLotus was associated with increased interest in searching and acquisition activity for #lorazepam #medsky
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Internet Searches for Lorazepam Following the Release of The White Lotus
This cross-sectional study examines whether there was an uptick in online searches about lorazepam after the release of the third season of The White Lotus.
jamanetwork.com
November 30, 2025 at 6:51 PM
Season 3 of #TheWhiteLotus was associated with increased interest in searching and acquisition activity for #lorazepam #medsky
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
A horrendous story of an American suffering from alternative health treatment in Canada. Usually it is Canadians going down to access quacks in the US
www.cbc.ca/news/canada/...
#medsky #als
www.cbc.ca/news/canada/...
#medsky #als
American ALS patient died alone after paying $84K US in pursuit of healing at controversial Sask. facility | CBC News
A 70-year-old American ALS patient came to Saskatchewan chasing the promise of healing offered by the Dr. Goodenowe Restorative Health Center in Moose Jaw, Sask. But former Goodenowe employees say tha...
www.cbc.ca
November 30, 2025 at 6:41 PM
A horrendous story of an American suffering from alternative health treatment in Canada. Usually it is Canadians going down to access quacks in the US
www.cbc.ca/news/canada/...
#medsky #als
www.cbc.ca/news/canada/...
#medsky #als
A reminder that #EVALI , the US based outbreak of lung disease in 2019, had nothing to do with e-cigarettes
It was caused by poor regulatory oversight and contamination of vape fluids (typically THC based) #medsky
www.qeios.com/read/ZGVHM7.3
It was caused by poor regulatory oversight and contamination of vape fluids (typically THC based) #medsky
www.qeios.com/read/ZGVHM7.3
The outbreak of lung injuries often known as "EVALI" was nothing to do with nicotine vaping
INTRODUCTION. Many commentators, activists, academics and public health agencies continue to assert or imply that an outbreak of severe and fatal lung injuries that occurred primarily in the United St...
www.qeios.com
November 30, 2025 at 6:29 PM
A reminder that #EVALI , the US based outbreak of lung disease in 2019, had nothing to do with e-cigarettes
It was caused by poor regulatory oversight and contamination of vape fluids (typically THC based) #medsky
www.qeios.com/read/ZGVHM7.3
It was caused by poor regulatory oversight and contamination of vape fluids (typically THC based) #medsky
www.qeios.com/read/ZGVHM7.3
I’m often surprised when people post articles that they haven’t read or didn’t understand.
It says popcorn lung can be caused by diacetyl
It says diacetyl is part of vape juice and a POTENTIAL risk
It does not contain any evidence or cases of vape related BOOP #medsky
It says popcorn lung can be caused by diacetyl
It says diacetyl is part of vape juice and a POTENTIAL risk
It does not contain any evidence or cases of vape related BOOP #medsky
That's not the source. You posted a doctored article from a pro-vaping website. Vaping is is a risk. www.lung.org/blog/popcorn...
Popcorn Lung: A Dangerous Risk of Flavored E-Cigarettes
Over a decade ago major popcorn manufacturers removed diacetyl from their products because of deaths and hundreds of cases of bronchiolitis obliterans, a serious and irreversible lung disease. But som
www.lung.org
November 30, 2025 at 4:57 PM
I’m often surprised when people post articles that they haven’t read or didn’t understand.
It says popcorn lung can be caused by diacetyl
It says diacetyl is part of vape juice and a POTENTIAL risk
It does not contain any evidence or cases of vape related BOOP #medsky
It says popcorn lung can be caused by diacetyl
It says diacetyl is part of vape juice and a POTENTIAL risk
It does not contain any evidence or cases of vape related BOOP #medsky
Our mayor is a waste of a meat bag. Shows up a day late and a dollar short with a wildly impractical and much more expensive plan
Kamloops mayor's 11th-hour pitch to move $211M arts centre not feasible, city director says #Kamloops
Kamloops mayor's 11th-hour pitch to move $211M arts centre not feasible, city director says - Kamloops News
www.castanetkamloops.net
November 26, 2025 at 4:41 PM
Our mayor is a waste of a meat bag. Shows up a day late and a dollar short with a wildly impractical and much more expensive plan
I just got a different model of Rad Power e-bike, but looks like the company will likely go out of business over this refusal to recall. #radpower #ebike
www.cpsc.gov/Warnings/202...
www.cpsc.gov/Warnings/202...
CPSC Warns Consumers to Immediately Stop Using Batteries for E-Bikes from Rad Power Bikes Due to Fire Hazard; Risk of Serious Injury or Death
www.cpsc.gov
November 24, 2025 at 8:07 PM
I just got a different model of Rad Power e-bike, but looks like the company will likely go out of business over this refusal to recall. #radpower #ebike
www.cpsc.gov/Warnings/202...
www.cpsc.gov/Warnings/202...