Imaan Javeed is a medical student at the University of Toronto

 

On Monday, April 23, while driving on Yonge Street near Finch Avenue in Toronto, Alek Minassian whipped the steering wheel of his rented white Ryder van sideways, killing ten innocent, unsuspecting people; physically injuring sixteen more; and emotionally scarring hundreds of others. At the time of my writing, a clear motive for his actions has yet to be publicized. He is alive and certainly under investigation, as much as he may have desired otherwise, but there still isn't much we know about the lead-up to the event.

Indeed, much to the dismay of some members of the media, the 'default' assumption quickly turned out to be untrue — there was not a single known link to "jihadist" terrorist groups or foreign radicalization to be found. ...continue reading

1 Comment

Ameer Farooq is a General Surgery Resident (R3) at the University of Calgary who completed his Master of Public Health at the Harvard T. H. Chan School of Public Health in the Global Health track. He is interested in global surgery, implementation science, and trying to keep up with his two children.

Alastair Fung is a Pediatrics Resident (R3) at the University of Manitoba who completed his Master of Public Health at the Harvard T. H. Chan School of Public Health in the Global Health track. He is interested in early childhood development and pediatric infectious diseases in low-resource countries, as well as Canadian indigenous child health.

 

A child is admitted to the PICU for hemiplegia and diagnosed with a brain abscess. The culture of the abscess fluid grows dental flora; clearly, poor education and access to dental hygiene are the root cause. ...continue reading

1 Comment

Jessica Dunkley is a PGY-4 in dermatology at UBC. She completed her family medicine residency at the University of Alberta

 

Every year, Match Day for CaRMS brings back heart wrenching memories for me.  It is a terrifying day for medical students who do not match to residency.  For many years medical students have placed all of their eggs in one basket - to get that one spot in residency.  Their entire lives of dreaming to become a doctor depend on that day. I matched to a competitive specialty only to be told that my disability – hearing loss - would not be supported in residency because it was different from medical school.  ...continue reading

1 Comment

Sarah Hanafi is a medical student in the Class of 2018 at the University of Alberta

 

In healthcare, we sometimes hear the saying, “I went home thinking about that patient.” I thought I knew what this meant until I met Winnie.

*

It was a foggy Tuesday and the humidity hung thick in the air. On my first day as an elective student in Palliative Care, I was apprehensive as I exited the elevator onto the hospital unit where I would be spending the next two weeks. Soon after my orientation, I was asked to go meet my first patient. Winnie came to us with pain and shortness of breath due to an advanced lung cancer. We worried that Winnie’s hospital bed would become her death bed. ...continue reading

Dr. Susan Sutherland is Chief of Dentistry at Sunnybrook Health Sciences Centre and President of the Canadian Association of Hospital Dentists

 

 

Dentists in community practices usually work in isolation from our physician colleagues. Often, dentists  prescribe an antibiotic to patients in advance of minor dental procedures like root canal therapy. Evidence shows us that the prophylactic antibiotic use for most patients is not necessary in these cases. And, if the patient develops a C. difficile infection several weeks after the unnecessary antibiotic, the dentist is usually not informed of this until the patient is seen at their next checkup – if at all. Not only do dentists not usually get feedback about the adverse event caused by inappropriate antibiotic use, they are also unaware of their role in the emergence of antimicrobial resistance.

For reasons such as this, the Canadian Association of Hospital Dentists has recently joined the Choosing Wisely Canada campaign. ...continue reading

Jonathan Oore is a medical student in the Class of 2019 at Dalhousie University

 

Artist’s Statement for Milgwija'sit Puoin An'stawe'g Wuguntew or Apprehensive about the future of the spirit-healer's fragile stone

This artist’s statement accompanies my artwork featured on the CFMS Annual Review 2018 cover. Broadly, it is a comment on indigenous health.

Mi’kmaq art and craft is laden with straight lines, sometimes by necessity of the tools or materials used to produce them. The rays of the sun in the branching of a tree; the geodesics of a turtle’s shell within the modal phenomena of the ocean or tessellated through the moon; recursive, tortuous animal-in-animals; cross-hatched petroglyphs on (cylindrical) trees. A stark contrast between curved and straight is pitted and married over and over. The confluence and absence of the straightness, curvedness, and “curvilinearity” is the point—a point—the top of a wigwam, the poles of a canoe, the countless barbed tips of quillwork. ...continue reading

Barbara Sibbald is associate editor, Humanities, at CMAJ

 

After ten years, eight annual meetings and countless, long discussions the new Canadian Association of Health Humanities (CAHH) is up and running. According to its constitution, the CAHH aims to “add significant value to the interdisciplinary cultures of medicine, health care and the field of health humanities locally, nationally and internationally.”

On April 27, some 120 registrants at Creating Space VIII, the annual health humanities conference ...continue reading

Maggie Hulbert is a medical student in the Class of 2020 at Queen's University

 

Life on the Ground Floor
(Doubleday Canada, 2017)

Dr. James Maskalyk describes emergencies “as a sign of life taking care of itself” in his most recent memoir, Life on the Ground Floor. Throughout his book, the reader is left to wonder what exactly Maskalyk means by this. It is an ominous phrase that, at first glance, reads more like a repackaged “survival of the fittest” for emergency departments. However, through deft and emotional storytelling, Maskalyk urges us to look beyond this stark message of Darwinism and see that emergencies are the purest form of life helping life, or “life taking care of itself”. ...continue reading

1 Comment

Jaya Tanwani is a medical student in the Class of 2020 at the University of Toronto

 

An interesting experience I had with cultural safety was when I volunteered at medical camps in rural Pakistan at age sixteen. My parents had taken my brother and me back to Pakistan—a country that we belonged to but had never resonated with—to visit our extended family and “get in touch with our roots.” As part of my parents’ efforts to help us become more aware of the privileged North American lives we lived, they insisted that I work with some doctors in running a medical camp. Having been attracted to medicine since I was a child, I leapt at the opportunity… only to shy away from the idea five minutes later when they told me that the medical camps were in rural Pakistan. I was scared. I didn’t want to desert the comforts of urban Pakistan, where McDonald’s and Pizza Hut were a block away and where I could still wear my Canadian attire. I was certainly not comfortable with the idea of working with a group of people so different from myself and so different from the modern, chic Pakistani society that my relatives lived in. ...continue reading

Mark Soth is a mid-career academic intensivist in Ontario, Canada. He blogs as the Loonie Doctor about physicians' personal finance

 

We really have come a long way as a society in that "the talk" is not so much of a big thing anymore. We speak more openly about sex - the benefits, the pitfalls, and the repercussions both within our families and in our public institutions. It is no longer a major taboo. That was not always the case.

Historically, the taboo of sex has contributed to much misery. For example, when syphilis ran rampant around the world in the 16th century, many were denied care because it was considered “the wages of sin”. Of course, they treated syphilis with mercury back then, so that may have been worse. The advent of penicillin as an effective cure for syphilis in the 1940s was revolutionary, but it still did not eradicate the disease. With penicillin, education, and condoms - syphilis is much less common now, except on internal medicine exams.

Did all that talk about sex make you uncomfortable? Probably not. In fact, some medical nerds are probably chomping at the bit to correct me on some fact about syphilis.

"Let's talk about money." ...continue reading