Tag Archives: Iris Gorfinkel

Iris Gorfinkel is a General Practitioner, and Founder and Principal Investigator at PrimeHealth Clinical Research in Toronto, Ontario.

 

Medical documentation in primary care is a balancing act between promoting timely connection with patients and reducing clerical demands placed on physicians. Clinical notes contain increasingly less by way of narrative. They are often made up of time-saving digitized checklists of symptoms, physical findings, and treatments. Or the progress note may be a copy-and-pasted template. Both checklists and templates lessen the need for clinician typing and offer detailed notes within a few clicks.

Prior to the electronic medical record (EMR), hand-written or dictated notes would often relate a patient’s experience by quoting patients' descriptions of their symptoms. With the arrival of the EMR, doctors, most of whom had little typing experience, were abruptly confronted with having to type detailed patient encounters. The degree to which a clinician must type has since been correlated with physician burnout, which has risen sharply in conjunction with EMR utilization. ...continue reading

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Iris Gorfinkel is a General Practitioner, and Founder and Principal Investigator at PrimeHealth Clinical Research in Toronto, Ontario.

 

On July 10, 2018 Health Canada issued a recall of several products containing the blood pressure lowering drug, valsartan. This came in response to a disclosure from its Chinese manufacturer that the drug had been contaminated with a known carcinogen. A massive effort to contact patients to stop the affected drug lots, and to replace it with an alternative, ensued. Few clinicians had been even remotely aware that ...continue reading

irisIris Gorfinkel is a General Practitioner and Founder & Principal Investigator of PrimeHealth Clinical Research in Toronto, Ontario

 

I’d been attending this particular patient’s medical needs as her GP for the past five years.  Enid dressed impeccably, was a young 85 years of age and had the amenities that most elders dream about.   She had her health, financial security, education and a strong intellect.  What she was missing was companionship.

“If only I had someone to travel with,” she lamented.

Hardly 24 hours later, I was asked to see Fred who had been my patient for 7 years.  He was a robust 87 year old, financially secure, well educated, and possessed a marvelous sense of humor.  He had remained active despite having lost his partner to lung cancer the year before.

 “I miss having someone when I travel,” he told me.

...continue reading

irisIris Gorfinkel is a General Practitioner and Principal Investigator / Founder of PrimeHealth Clinical Research in Toronto, Ontario.

 

After 25 years of practising women’s health, I am continually taken aback by ongoing erroneous beliefs surrounding miscarriage. Despite improved access to information via the internet, many women continue to be under the false impression that the loss is self-generated.

In a survey of more than 1 000 men and women, respondents most commonly cited a stressful event (76%), longstanding stress (74%) and lifting a heavy object (64%) as causes of pregnancy loss. In addition, respondents inaccurately thought that miscarriage could be caused by sexually transmitted disease (41%), a previous abortion (31%) or use of implanted long-term birth control (28%). Nearly 23% of respondents erroneously believed a miscarriage could be caused solely by the woman not wanting the pregnancy.

Could the very word we choose to use — miscarriage — be partly to blame for these false impressions? ...continue reading