Reflections

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Denis Daneman is Professor and Chair Emeritus in the Department of Paediatrics at the University of Toronto, and Paediatrician-in-Chief Emeritus at the Hospital for Sick Children in Toronto

 

Here’s a strong recommendation for all paediatricians and paediatricians-in-training: if you are going to read only one book in 2018, seriously consider Ghost Boy: The miraculous escape of a misdiagnosed boy trapped inside his own body, the autobiography of Martin Pistorius, co-written with Megan Lloyd Davies. The book was given to me by a colleague aware of my bibliophilia, my South African roots and my advocacy for child health: “Read this!” she said, simply and forcefully. I obeyed, picking it up a couple of days later. I could not put it down until I’d read it cover to cover.

The story is pretty simple: a 12 year old, previously well boy in South Africa, develops an undiagnosed neurological illness, which leaves him mute and quadriplegic ...continue reading →

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Kirsten Patrick is Deputy Editor at CMAJ

 

A week ago, André Picard published a column in the Globe and Mail entitled “How many people actually suffer from mental illness?” and later he tweeted his thanks to readers for making that column the publication’s most-read story of the day. The column may have been well-read - it certainly sparked controversy on social media - but it wasn't because Picard had anything very profound to say. In fact the piece was based on an epidemiological faux pas, which is why I called it a nothingburger.

Commenting on the findings of a poll commissioned by Sun Life Financial Canada, which found that 49% of Canadians have “experienced a mental health issue” at some point in their lives, ...continue reading →

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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 →

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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 →

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Natasha Sarah Crowcroft is Chief of Applied Immunization Research at Public Health Ontario and a Professor at the University of Toronto in Laboratory Medicine and Pathobiology and the Dalla Lana School of Public Health. Her work aims to maximize the public health benefits of immunization.

 

It is good to celebrate anniversaries of major achievements in public health. The bicentenary anniversary of the publication of Dr. Edward Jenner’s paper on vaccination against smallpox, published in 1796, was celebrated on the cover of the 1996 edition of the United Kingdom’s (UK)’s immunization guide, marking one of the greatest achievements of humankind. Recently however we reached the anniversary of a publication that we might all rather forget.  Twenty years ago in February 1998, two years after the celebration of Jenner’s legacy, The Lancet medical journal published a paper describing a small case series of “ileal-lymphoid-nodular hyperplasia, non-specific colitis and pervasive developmental disorder in children”. The story has been described ...continue reading →

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Magbule Doko is a family physician in Windsor, Ontario, and an adjunct professor at The University of Western Ontario

 

 

Our decision, firm and dedicated
To become doctors: a noble profession
Long years of heads in our books
Clinical years of emotional turmoil
Oh yes you did not know
Their stories touched us, imprinted on our minds
We wept ...continue reading →

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Howard Abrams is the Director of Openlab, a design and innovation shop located at the University Health Network (UHN) in Toronto

 

Andre Picard recently proposed in the Globe and Mail: “if we want a healthier Canada, we should spend less on healthcare.” This may, at first, seem counterintuitive, but it has been long recognized that the social determinants of health are at least as, if not more, important in the health of a population. This is where food intersects with public health in a pivotal way. If we look at the evidence, we know that food insecurity and poor housing are two major risk factors for chronic disease and adverse health outcomes. Patients we serve don’t show up out of thin air, but come out of a community environment rich with factors that impact their health ...continue reading →

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Paul G. Thomas is Professor Emeritus of Political Studies at the University of Manitoba. From 2004 to 2007 he served as the founding board chair for the Manitoba Institute for Patient Safety.

 

My introduction to the complex and emotional world of adverse events in healthcare occurred in 2001 when I chaired a committee to review an inquest report into the tragic deaths of twelve infants in a paediatric surgery program in Manitoba. Justice Murray Sinclair who conducted the inquest had concluded that at least five of the deaths were preventable.

Back then there was no apology law in Manitoba.  Neither the Sinclair report (2000) nor the Thomas report (2001) recommended the adoption of such a law.   ...continue reading →

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Lawrence Loh is an Adjunct Professor at the Dalla Lana School of Public Health at the University of Toronto

 

I took up run-commuting following the birth of my first child because leisure time physical activity just wasn’t going to happen. My office had a shower, and what better way to counter the drudgery of the commute? I soon discovered mental calisthenics were also part of the running deal—not only in planning logistics, like ensuring you have enough toiletries, underwear, and the right accessories at the office—but also in the opportunity to sharpen one’s sense of observation.

The routine of run commuting leads one to notice patterns over time. If you leave at the same time most days, ...continue reading →

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Adam Kassam  is the chief resident in the Department of Physical Medicine & Rehabilitation at Western University

Jeremy Wasserlauf is a fellow in cardiovascular disease at Northwestern University Feinberg School of Medicine

 

The meteoric rise of bitcoin has fueled worldwide interest in cryptocurrencies and, more broadly, blockchain technology. The once obscure brainchild of Satoshi Nakamoto has evolved into a speculator’s paradise, rivaling the dot-com bubble of the early 2000s. While bitcoin’s future as a digital currency is a topic of debate, its underlying blockchain software has become the foundation for a technological revolution that began in finance, but is quickly transforming other industries. The application of blockchain to the world of healthcare may prove to be its most humanitarian of functions.

Acclaimed as one of the biggest innovations since the internet itself, blockchain eliminates trusted third parties such as banks from online transactions and replaces them with a decentralized database, or a ledger, of transactions. The ledger is stored across a network of computers that is visible to everybody, and a combination of cryptographic keys is used to create a secure reference of identity. ...continue reading →