@drpaulwinston
@drpaulwinston.bsky.social
PMR physician. Dance in my bones. Dedicated to better patient care outcomes. #spasticity #cryoneurolysis UBC and Island Health. www.arcryo.ca https://youtube.com/shorts/oZFd-oOjyQU?si=XubZtoL7pPzSX3BJ
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
April 19, 2025 at 4:22 AM
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
April 19, 2025 at 4:18 AM
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
January 28, 2025 at 2:38 PM
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
December 16, 2024 at 2:10 AM
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.
December 15, 2024 at 4:00 AM
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
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
December 11, 2024 at 2:21 PM
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
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
November 27, 2024 at 12:51 AM
It was pediatric #cryoneurolysis sedation day
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
November 25, 2024 at 5:48 PM
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.
November 24, 2024 at 2:57 PM
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.
Trying to figure out how to be in Sync on blue sky
November 23, 2024 at 6:04 AM
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
November 23, 2024 at 2:20 AM
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.
November 23, 2024 at 1:49 AM
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.
@dr-amit-pawa.bsky.social Okay here to learn, maybe, let us see how this plays out.
www.youtube.com/watch?v=RXfX...
www.youtube.com/watch?v=RXfX...
Free(z)ing Cynthia - A journey to free and reclaim movement
YouTube video by Paul Winston
www.youtube.com
November 22, 2024 at 3:19 PM
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
November 22, 2024 at 2:33 PM
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
What’s it like to travel a few thousand km per treatment and have a team of six Drs treat you together?
November 22, 2024 at 4:40 AM
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
November 21, 2024 at 2:00 PM
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.
November 21, 2024 at 1:59 PM
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.
November 21, 2024 at 1:56 PM
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.
Reposted by @drpaulwinston
Is Bluesky open to fun in medicine?
November 14, 2024 at 4:49 AM
Is Bluesky open to fun in medicine?
Spasticity no more.
November 21, 2024 at 2:39 AM
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
November 20, 2024 at 5:41 AM
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
November 20, 2024 at 3:39 AM
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
Just a gentle reminder that if you don’t fund rehabilitation, you don’t believe in health equity.
November 17, 2024 at 6:21 PM
Just a gentle reminder that if you don’t fund rehabilitation, you don’t believe in health equity.