Diagnostic delay of central nervous system tumours in children has serious implications for the children and their families. Dr. Ran Goldman, Pediatrician at BC Children's Hospital, Professor of Pediatrics at the University of British Columbia and Chief Medical Officer for the website medschoolforparents.com, discusses how practitioners can maintain a high index of suspicion for these rare tumours, yet not overinvestigate benign conditions.
Dr. Goldman co-authored a review article (subscription required) on pediatric central nervous system tumours published in CMAJ.
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Barbara Sibbald, News and Humanities editor for the Canadian Medical Association Journal, reads the CMAJ Humanities Encounters article "First, do no harm" (subscription required). The article is written by Dr. Sarah Tulk, a family medicine resident at McMaster University.
In the article, Dr. Tulk reflects on the time she treated a terminally ill patient in the emergency department.
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Barbara Sibbald, News and Humanities editor for the Canadian Medical Association Journal, reads the CMAJ Humanities Encounters article "Words, deeds and interpretations". The article is written by Dr. Mary Seeman, professor emerita, in the Department of Psychiatry at the University of Toronto.
In the article, Dr. Seeman, an older psychiatrist, recounts how acting instead of talking can net rather dire results. The events are true but happened decades ago.
Dr. Jennifer Hutcheon, researcher at BC Children's Hospital and assistant professor in the Faculty of Medicine at the University of British Columbia, discusses a CMAJ research article (open access) she co-authored. Dr. Hutcheon and her colleagues examined whether the closure of obstetric services in smaller communities in BC affected rates of adverse events for mothers or newborns.
Stuart Kinmond reads the CMAJ Humanities Encounters article "He was a boy with a name". The article is written by Dr. Nicholas Batley, associate professor in the Department of Family Medicine at the American University of Beirut Medical Centre in Lebanon.
The article tells the true story of Dr. Batley’s encounter with a young Syrian refugee on the streets of Beirut. The patient’s name and personal details have been changed to protect his identity.
Full article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.160530
Supraventricular tachycardias represent a range of tachyarrhythmias originating from a circuit or focus involving the atria or the atrioventricular node. Prompt recognition of the specific type of arrhythmia is essential to determine therapeutic management. Dr. Lior Bibas, cardiology fellow at McGill University in Montréal, Québec, discusses various approaches to treatment. He co-authored a review article (subscription required) published in the CMAJ.
People who smoke tobacco may be interested in quitting, reducing their smoking or neither. Physicians can offer interventions for all of these groups. In this podcast interview, Dr. Robert Reid and Dr. Andrew Pipe – experts on smoking cessation from the University of Ottawa Heart Institute’s Division of Prevention and Rehabilitation – offer practical advice to guide physicians in helping their patients. They, and co-authors, have reviewed evidence on smoking cessation initiatives in an article published in CMAJ.
Full review article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.151510
Stuart Kinmond reads the CMAJ Humanities Encounters article "Cutting through the shame". The article is written by Stephen P. Lewis, associate professor in psychology at the University of Guelph in Guelph, Ontario. In the article, the author reflects on a period of self-injury and what he learned from it.
Article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.160119
Physicians from many specialties may care for inpatients with opioid use disorder. An acute hospital admission is an opportunity to engage with patients who have this common, chronic disorder, discuss addiction treatment and possibly affect the course of their illness. In this podcast, Dr. Joseph Donroe, Assistant Professor of Medicine at the Yale School of Medicine, discusses the best approach to specific problems that may arise when a patient with chronic opioid use disorder is hospitalized for another reason. Potential problems include withdrawal symptoms and managing acute pain.
Dr. Donroe co-authored a review article published in the CMAJ (subscription required).
Although physicians generally recognize that social determinants influence the health of their patients, many are unsure how they can intervene. Dr. Anne Andermann, Associate Professor in the Department of Family Medicine at McGill University in Montreal and founding director of the CLEAR Collaboration, discusses how physicians and allied health care workers can address social determinants in their day-to-day practice. She wrote a review article (subscription required) published in the CMAJ.