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.
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
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).
Interview with Dr. Camilla Zimmermann, head of the palliative care program at UHN in Toronto, associate professor and Rose family Chair in the Department of Medicine at the University of Toronto, as well as senior scientist at Princess Margaret Cancer Centre.
In a research article (open access) she co-authored, Dr. Zimmermann conducted interviews with patients and their caregivers in an effort to understand attitude and perceptions about palliative care. Early palliative care improves quality of life, symptom management and satisfaction with care in patients with advanced cancer. However, stigma associated with the term palliative care may be a barrier to timely referral.