Hello from windy Quebec City. Have a healthy, happy weekend, friends and colleagues. Shabbat shalom.

Very proud of Noam - way to go, son! University of New Brunswick grad! Next year, off to law school…

Road trip, Ottawa to Fredericton, for son’s graduation. Love the scenic route along the Saint Lawrence River, shoreline and farms.

Perfect way to spend a cool May 24 afternoon: Husband and I spent a few hours setting up a watering system and bird net on our cottage garden. With any luck this year that will help the veggies to succeed when we are in the city working…

Back in the Twitter days, I made a point of following women, as men had much larger followings. Gander is the new Canadian platform. I have some invites and I’m reaching out to prominent Canadian women artists, writers, politicians, health advocates, other leaders to join us over there. 🇨🇦🪿

Fantastic initiative. As a family doc who provides gender-affirming care to many adults, it is crucial to support trans refugees to Canada.🇨🇦🏳️‍⚧️ www.theglobeandmail.com/politics/art...

Happiness is seeing the first hummingbirds and dozens of painted turtles at our quiet lake on a warm spring evening. Canadian friends and colleagues, you can now also find me on #Gander (nilikm.gander.social) 🇨🇦 Have a peaceful, healthy weekend. Shabbat shalom.

Feeling sentimental: Our last ever pediatrician appointment. All grown up. Thankful for the wonderful health care our children have received.

Saddest thing seen on my way to a retirement home patient visit: Piano out for garbage.

Mother’s Day breakfast being prepared by two of my three lovely children. Motherhood has been the most wonderful journey and, at times, a thoroughly exhausting and heartwrenching challenge.

Have a wonderful weekend, friends and colleagues. Shabbat shalom

Tulips are blooming in Ottawa!

The man behind the gluten-free challah. (He was tickled that so many people appreciated his baking). Love is listening to my husband practice his clawhammer banjo and seeing how happy music makes him.

Love is my husband baking gluten-free challah (again). Happy end to the week. Shabbat shalom, have a peaceful weekend, friends and colleagues.

Have a peaceful, healthy weekend., friends and colleagues. Shabbat shalom from Canada 🇨🇦

Monday reminder to get your spring Covid-19 vaccine. Available from your family physician or pharmacy. Seniors, Indigenous populations, LTC or other congregated living, and anyone who is immunocompromised should get their booster (six months since last dose), and first doses for infants 6m+

I’ve heard from so many patients that it has been a long and difficult winter. Indeed it has, globally. This morning the sun is finally shining and there are signs of spring. Wishing everyone a peaceful, healthy weekend. Shabbat shalom.

On Yom HaShoah we remember 6 million Jewish victims of the Holocaust. My grandfather’s four sisters and parents were murdered in concentration camps. As a Jewish Canadian, I was threatened 2021-2025. The Crown just decided to drop this court case. Nothing done. What use are hate laws? @cbcnews.ca

Somewhere east of Kaladar, Ontario, a moose just walked out onto highway 7, stood next to the car in front of us, then sauntered back down to a roadside bog. Majestic. Dangerous. We’ve only ever seen moose from a distance (while canoeing in Algonquin Park). I love Canada 🇨🇦🫎 Have a peaceful weekend.

Yesterday Trump threatened to wipe out an entire civilization. How is it that life goes on as usual for anyone in the United States? The man is unfit to lead and ruinous for us all.

This is the only US president whose Easter message merits repeating. Imagine if instead of anyone quoting that other message—yes, we all know how rude and violent and unintelligent it was, no surprise there—we all opted instead to amplify decency.

Meanwhile in Canada… Too soon to start gardening this weekend.

Family doc here: Patients are testing positive again for Covid-19. These are sick children, adults, and seniors because someone else went out and infected them. If you have any plans over the long weekend, please test, isolate, and mask if you must go out. Your friends and family will thank you.

Tonight is different from any other night: Passover begins. More than a seder, 4 glasses of wine, matzah, Miriam, Moses, the exodus of Jewish slaves from Egypt, for many of us it is time to consider modern plagues and suffering, to reaffirm commitment to tikkun olam, healing the world. Chag sameach.

We are in need, globally, of all the light we can add. Have a peaceful, healthy weekend. Shabbat shalom.

Had a swim with Hector’s dolphins in Akaroa this morning (world’s smallest dolphins, only found in New Zealand). Saying goodbye to New Zealand and heading back to Canada now. 🇳🇿🇨🇦

Night spent on Doubtful Sound, New Zealand

Finished the incredible Milford Track: 53 km hike in Fiordland National Park, from Lake Te Anau to Milford Sound. These beautiful jouvenile kea (endangered New Zealand alpine parrots) were playing on a rock as we descended from McKinnon pass.

About to leave for our four day trek across the Milford Track, New Zealand…

Mount Cook, Tasman glacial lake and glacier — our adventure in New Zealand begins!

Happy Women’s Day. May the entire world be a safe place for our cis and trans daughters.

I've heard that less than 5% of Ontario doctors voted in the first week of the @ontariosdoctors.bsky.social elections. You've got a few more days to vote (until March 10). Please participate in this process so that whomever you choose has a proper mandate from colleagues. Have a peaceful weekend

On the holiday of Purim, it is customary to bring friends gift baskets of sweets and hamantaschen (delivering mishloach manot). A patient brought me a basket today. Very thoughtful. We baked last night and will hopefully share with our friends, unless our children ate them all…

Someone commented they’ve never heard of Purim. A story of the ancient Persian empire, 4th century BCE. A virulent Jew hater, Haman, advises the king to have all Jews killed. The king is married to a woman, Esther, who reveals her Judaism and thwarts Haman. We tell the story and eat hamantashen…

Chag sameach. Happy Purim, friends! (Photo circa 2006, middle child often in costume. Possibly to go to a Purim spiel, but just as likely nothing to do with the holiday.)

Sharing a health care moment that warmed my heart this week: Call with an RN, after patient was admitted to hospital. Me: Thanks for reaching to to primary care, and thank you for taking such good care of my patient in hospital. RN: Thanks for the care that the patient received in the community.

In preparation for tonight’s state of the union address for our American neighbours, here’s my best Canadian advice: POTUS banks his presidency on a population that is susceptible to his indifference to truth, morality, ethics, decency. The rest of us can Immunize ourselves against indifference. 🇨🇦

Mammogram done! As a family doctor, I encourage every woman 40 and over to get routine breast cancer screening. Early detection saves lives. If you don’t have a family doctor, you can now self-refer to the Ontario Breast Screening Program.

Dearest MD colleagues in Ontario, OMA voting opens today, Monday Feb 23 (until March 10). Please participate in the @ontariosdoctors.bsky.social elections. If you haven’t already done so, you can read the President-Elect and Board of Director candidate statements here: www.oma.org/about-the-om...

Nevertheless, proud of Team Canada, from coast to coast to coast. 🇨🇦

Across the country, we are awake and ready to cheer on Team Canada. 🇨🇦

Meanwhile in Canada, for those of us who (dare I say it??) don’t watch hockey (but of course wish Team Canada well)… Have a peaceful, healthy weekend. Shabbat shalom 🇨🇦

In last night’s @ontariosdoctors.bsky.social town hall, the question of the gender pay gap was raised (you’ll be able to watch the recording next week). As a candidate for OMA President, I can tell you that we have decades of research (see below). We need more action. www.cmaj.ca/content/196/...

Looking forward to tonight’s @ontariosdoctors.bsky.social town hall. It is an honour to join fellow candidates for OMA President as we introduce ourselves and respond to questions from our medical colleagues across Ontario.

Happy Valentine’s Day With love from Canada❤️🇨🇦

As a candidate for OMA President in the 2026 @ontariosdoctors.bsky.social elections, I am delighted to share my official statement: vimeo.com/1164716475/5... Voting for Ontario physicians runs from Feb 23-March 10.

Love is my husband giving me a heated vest to wear in clinic on extremely cold days. For osteoarthritic hands, the heated pockets are divine.

I am excited to announce that I am a candidate for President of the @ontariosdoctors.bsky.social My statement is here: linkedin.com/in/nilikm OMA voting opens Feb 23, 2026. If you are a physician in Ontario, I would appeciate your support. More information to follow.

I set the table early this morning in preparation for the end of a busy day. Husband will have our dinner ready including fresh GF challah. Simple, grounding routines when the world is unpredictable, times are difficult. Wishing others a calm, healthy weekend. Shabbat shalom.

At a fabulous women’s health conference today in Ottawa with keynote speaker @drjengunter.bsky.social — she’s awesome, pushing back against all the misinformation on perimenopause and menopause. Women being marketed so much garbage about our health isn’t new, but social media sure makes it worse.