Prasham Dave is a medical student in the Class of 2018 at the University of Ottawa

 

 

 

Sunken eyes my burden and a blazing smile my shield,
My patient burned under baleful fluorescence—purified en blanc.
My breaths were shallow. His shallower still.
I was haggard and he was in shambles,
I was shuffling and he was frozen,
I was ash and he was a husk. ...continue reading

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Sondos Zayed is a medical student in the Class of 2018 at McGill University

 

Time and time again residents tend to give us, medical students, the same piece of invaluable advice: stay humble.

On one occasion, a resident said: “When you’re on the wards, seeing one case after the next and making diagnoses, you’ll feel like a god. That’s dangerous. So stay humble.”

I failed to understand how it was even possible, as a first-year medical student who knows so little of the vast ocean that constitutes the art and science of medicine, for me to become arrogant. I simply couldn’t make any sense of it. How could I, in so little time, accumulate enough knowledge to be not only confident — but to exceed this and reach a stage of arrogance? It took time and much ...continue reading

Nicole Le Saux is Associate Professor in the Division of Infectious Diseases at the University of Ottawa *

 

As physicians we should be concerned about the inappropriate use of antibiotics. Have you ever had a patient with an extended spectrum beta-lactamase (ESBL), E. coli or Klebsiella urinary tract infection, a Clostridium difficile infection (CDI) or a drug-resistant N. gonorrhoeae?

Whereas resistant bacteria and CDI were rare a decade ago, these clinical situations are now commonplace in hospitals, long term care facilities and emergency departments. According to the Canadian Antimicrobial Resistance Surveillance System Report 2016 the rate of CDI in hospitalized patients is 3.4 cases per 1000 patient admissions (approximately one in every 300 patients admitted). As of 2014, 18.2% of isolates of Neisseria gonorrhoeae were resistant to penicillin with worrisome decreased susceptibility to cefixime, ceftriaxone and azithromycin. ...continue reading

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Barbara Zelek is Associate Professor and Co-Chair for the Section of Family Medicine at the Northern Ontario School of Medicine

 

Marathon, a rural community on the North shore of Lake Superior, made CMAJ headlines in 1997 because it boasted a stable workforce of seven physicians for the first time in over a decade. 2017 marks the 20th anniversary of that CMAJ article and of the arrival of Dr. Sarah Newbery and Dr. Eliseo Orrantia in Marathon.

The article described “a medical renaissance” taking place in Marathon and an end to “the revolving door that has affected rural medicine across the country”. That door has stopped revolving in Marathon since 1997 thanks, in many ways, to the leadership of Eli and Sarah.

Let me put this important milestone in context. ...continue reading

Larry W. Chambers is Research Director at McMaster University's Niagara Regional Campus, School of Medicine

 

Eric Larson committed his career to researching how to delay and prevent Alzheimer’s disease, other forms of dementia, as well as declining memory and thinking. He led the “Adult Changes in Thought study”, which began following a large general population cohort in 1986. It has one of the largest research populations that included individuals aged 85 years and older.

Larson’s new book, “Enlightened Aging: Building Resilience for a Long, Active Life,” coauthored with professional writer and journalist Joan DeClaire, is based on information from hundreds of research papers Larson has authored and co-authored. The reader benefits from his profound understanding of health and aging research and his clinical experience as a practicing physician. Evidence is presented alongside useful patient stories to aid comprehension, engagement and to pique ...continue reading

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Catherine Whicher is a graduate student of Global Health Policy at the London School of Hygiene and Tropical Medicine

Varoon Mathur is a Software Engineering/Data Science student at the University of British Columbia

 

Last week Universities Allied for Essential Medicines (UAEM) published the 2017 University Report Card for Global Equity in Biomedical Research, evaluating fifteen of Canada's universities (U15) for their contributions to neglected health needs including biomedical research, equitable licensing, global health education, and transparency. This is the 5th iteration of the report card, but the first time UAEM focused exclusively on public research schools (and exclusively on Canada, for that matter). While there were some promising highlights of what our universities can do when they set themselves to it, overall it is clear that Canadian schools are failing to use their considerable power to address many neglected aspects of global health. ...continue reading

5 Comments

Daniel Miller is a Physiatrist (Physical Medicine and Rehabilitation) in Lethbridge, Alberta

 

Income splitting has come under attack by the current Federal Liberal Government as an unfair tax advantage for certain individuals and several proposals put forward to eliminate certain “tax loop holes” may have a further reaching impact that revenue generation and impact our charter rights. We shouldn’t be discussing tax loop holes, but rather the effects of income splitting being a charter right for all Canadians. While I use the term marriage specifically, I would also include civil union and common-law partners to whom the same legal rights apply.

I recently met with my accountant to review the financial details of my medical practice. He told me and my wife that we would no longer be able to income split due to the proposed changes in Federal taxation legislation. ...continue reading

3 Comments

Kirsten Patrick is Deputy Editor at CMAJ

 

This post really needs no introduction. First came #WomenBoycottTwitter when Twitter straightjacketed Rose McGowan and women reacted angrily to what they felt was unfair ‘victim silencing’. But many pointed out the irony and probable ineffectiveness of self-imposed silence to protest enforced silence. Then yesterday my social media feeds were full of the hashtag #MeToo along with story after story after story from women friends, of sexual harassment, abuse and unwanted physical attention. Women I look up to; tough women…the sort about whom you might think, “It would never happen to them.” Lawyers, a chemistry professor, a neuroscientist, respected colleagues in medical research.

Last week, writer Anne Donahue tweeted, “When did you meet YOUR Harvey Weinstein? I’ll go first…,” which has tens of thousands of replies and ‘quote’ retweets and prompted Trevor Noah to tweet "The number of replies to this tweet is insane. As men we have to do better to stop this."

One reply came through my Twitter feed,

Regularly in the Operating Room when surgeons would approach from behind while I was 'scrubbing' at the sink, hence unable to move.

...continue reading

3 Comments

Doctor Mom is a physician who lives in Ontario

 

Earlier this year I took my 13 year old son out to lunch to talk about mental health. It just happened that Son #2 and my husband were out for the day and I had a rare opportunity to be alone with Son #1. I didn’t say ‘I’m going to take you out to lunch so that we can talk about mental health.’ I just reckoned that the odds of him listening to me would be higher if a) we were somewhere removed from the all-consuming ‘call of the PS4’, and b) there was a favorite food to both fill his mouth and free his hands from electronic device. So out to eat we went.

I had no idea how to have the conversation I wanted to have. I can tell you that figuring out how to talk him through the gaps left by school sex ed was easy by comparison.

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In this interview, Dr. Thara Kumar and Dr. Hans Rosenberg tell us about take-home naloxone kits used for opioid overdose. They discuss how to use them, where to get them, how they work, and more. They offer practical guidance to physicians in Canada and also include tips for the general public.

Dr. Thara Kumar is an emergency medicine resident in her fifth and final year of training at the University of Ottawa, with a Global Health Certificate from Johns Hopkins University. Dr. Hans Rosenberg an emergency physician at the Ottawa Hospital and an assistant professor in the Faculty of Medicine at the University of Ottawa. Together, they co-authored a practice article published in CMAJ called "Five things to know about...Take-home naloxone."

Listen to the author interview:

...continue reading