Tag Archives: substance abuse

Noémie La Haye-Caty is a medical student in the Class of 2019 at McGill University

 

Katy is sleeping on the exam table. She came in looking tired, talking with a weak voice, and walking with small steps. I tried to ask a few questions, but her lack of sleep was evidently preventing her from answering.

She is here today for a follow-up appointment. She was admitted two weeks ago because she wanted to end her life.

I try to gently wake her up. “How are you doing, Katy?”

“Better.”

“Great! What’s better?”

“I was confused, before.”

“Why were you confused?”

Katy is 24 years old and has three young children. She is now a few weeks pregnant. Two of her children were recently taken by the Director of Youth Protection (DYP), while the youngest lives with Katy and Katy’s own mother. Katy tells me that the father of her kids used to be violent with her and has been in prison for the past week. ...continue reading

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Ariane Litalien is a medical student in the Class of 2020 at McGill University

 

I was about halfway through my second year as a medical student at McGill University when—for a variety of health-related reasons—life decided I needed to take a break from my studies. I packed up my short white coat, Littmann stethoscope, and practice suturing tools in a square box, wrote “transition to clerkship” in tidy Sharpie letters on the top flap, and started looking for a full-time job.

Like Vancouver and a handful of European countries, Montreal’s public health agency (CIUSSS du Centre-Sud-de-l'Île-de-Montréal) was on the verge of opening four supervised injection sites for intravenous drug users across the city. Given my professional experience related to social work and HIV, I decided to apply for a position as an outreach worker. ...continue reading

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The new Canadian guideline presents evidence-based recommendations for prescribing of opioids for chronic non-cancer pain, including maximum dose recommendations, avoiding opioids in high-risk populations, and guidance for tapering.

Jason Busse, Associate Professor in the Department of Anesthesia at McMaster University and researcher with the Michael G. DeGroote National Pain Centre in Hamilton, Ontario, co-authored the guideline (open access). In this podcast, he speaks with Dr. Diane Kelsall, interim editor-in-chief, CMAJ, and explains the recommendations.

Listen to the author interview:

...continue reading