Shiela Appavoo MD
shielaappavoo.bsky.social
Shiela Appavoo MD
@shielaappavoo.bsky.social
🇨🇦#radiologist, Breast Imager. #radvocacy #MedSky Content experts should be fully involved in guidelines.
You might like one of my favourite quotes, which is from Middlemarch, by George Eliot (Mary Ann Evans).

“People talk about evidence as if it could really be weighed in scales by a blind Justice. No man can judge what is good evidence on any particular subject, unless he knows that subject well.”
November 17, 2025 at 2:01 AM
Actually, this isn’t X! Just seemed like it for a moment!
November 12, 2025 at 1:33 AM
Wow! Sorry you had to deal with that. I’ve been off X for a while, popped on, saw this, and…
a baby is standing on a wooden floor in a room .
ALT: a baby is standing on a wooden floor in a room .
media.tenor.com
November 12, 2025 at 1:31 AM
I’m not crying, you’re crying! 😭
March 28, 2025 at 3:49 AM
Anyone who actively wants to be a Canuck has, by definition, the right attitude to be a Canuck.
March 16, 2025 at 2:09 AM
Poutine rapée for extra points and a little Acadian flair!
March 16, 2025 at 2:08 AM
Again, I believe you have missed the point. Have a good day.
March 12, 2025 at 4:32 PM
Perhaps you have missed the point.
March 12, 2025 at 3:22 PM
So you feel a complete lack of mention of an external review when discussing being put on pause is “full disclosure”?

Would you use that logic with a patient consent?
March 12, 2025 at 11:22 AM
Did you read the minister’s statement? It is clear the meeting with the chair of the EER was part of the decision.

And I ask you to answer my question if you will.

Do you feel there is full disclosure in the petition? Enough to ask for a signature?
March 12, 2025 at 11:12 AM
I do not know the final EER report and that is not the point. If you read my article, it is about the lack of transparency that is exhibited by the task force.

Again, would you consider it to be full disclosure without the mention of an external review? Enough to get a signature?
March 11, 2025 at 11:56 PM
Read minister Holland’s statement. The point is not about the content of the EER. The point is that while Holland stated that it was a cause for the pause, it was completely ignored in the petition. Would you consider this full disclosure to a patient before asking them sign a consent?
March 11, 2025 at 6:41 PM
It’s a good query.

We are a grassroots group of leaders in various specialties, family medicine, epidemiology and even patients. It is completely voluntary and there is no financial support. Let me know if you have any questions.
March 11, 2025 at 6:33 PM
I’ve also never seen a formal equation weighing recalls against avoidable late stage cancers (and the attendant heavier treatments and higher mortality). It’s ultimately just a judgment call by the person writing the guideline, no matter how much the analysis is framed as “rigorous”.
March 9, 2025 at 5:49 PM