Tag Archives: medicine

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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

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Emily Harris is the Business Manager for the Heart and Vascular Program at Unity Health Toronto – St. Michael's Hospital

 

Healthcare is a varied and multidisciplinary world. From clinical medicine to social work to data collection, expertise from many diverse specialties is required to ensure that hospitals run successfully and that patients receive the very best care.

The value of a collaborative environment in healthcare is ...continue reading

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Courtney Bercan is community health nurse at a clinic in the Downtown Eastside of Vancouver

 

Years later, I still don’t want to think about it, let alone type it out. Three children, babies practically, dead before me. Their parents, dead beside them.

It has now been two years since I was on a Doctors Without Borders search and rescue vessel in the Mediterranean and it’s been a slow path, at times, to finding healing and peace for the things I saw and experienced there. As my life settled into a predictable rhythm, the memories started coming out of the blue and with intensity. They demanded attention. Normally, in Canada, the process of finding closure for a patient’s death, while not always easy, is not usually this difficult. There are mitigating thoughts and phrases to help you along the way:

“They were elderly and had had a good life.”

“We did everything we could.”

“At least now they are out of pain.”

...continue reading

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Sarah Tulk is a family physician in Hamilton, Ontario

 

Despite earnestly advocating for physician mental health, my own story has remained cloaked in secrecy. As a medical student, I felt far too junior to risk such a revelation. I watched as stigma, perpetuated by the hidden curriculum, kept my peers from seeking mental health care. Still, I kept my head tucked safely in the sand, and swore to break my silence in residency. However, as a resident the fear of jeopardizing job prospects maintained my mutism. I vowed to speak up when I was staff. Unfortunately, early in my staff career my advocacy efforts were smothered by fierce judgment and harsh consequences. I wholeheartedly renewed my vows with the ostrich approach and reconciled to start talking about mental health when I was protected by more seniority. I hated the secrecy and hypocrisy, but at least I was safe. Then I heard of another resident suicide. Then a medical student. Another resident. A staff physician. ...continue reading

Sarina Lalla is a medical student in the Class of 2020 at McMaster University

 

When McMaster medical students learn about medical conditions in a problem-based setting, we frequently use the mnemonic “DEEPICT” (Definition, Epidemiology, Etiology, Prognosis, Investigations, Clinical presentations, Treatment) to approach them. Medical schools focus on teaching students about these important aspects of diseases; with time and practice, this information can be retained and applied by students to make them better clinicians.

However, there is also value in understanding a disease through the eyes of patients. More specifically, it is critical to recognize how facing an illness and navigating the healthcare system impacts their lives. Patients are the experts on their own experiences, and the knowledge they can present in the form of stories can teach us a lot. While we learn how to interpret information in the form of bloodwork and imaging, patients present first and foremost with a story. ...continue reading

Prasham Dave is a medical student in the Class of 2018 at the University of Ottawa

 

 

 

Sunken eyes my burden and a blazing smile my shield,
My patient burned under baleful fluorescence—purified en blanc.
My breaths were shallow. His shallower still.
I was haggard and he was in shambles,
I was shuffling and he was frozen,
I was ash and he was a husk. ...continue reading

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author-pictureJeremy Zung

University of Toronto

Class of 2016


Taut sheets as cotton fetters

In curtained cloister bare

Enshroud the shrivelled limbs

Whose fingers flex in fetal curl

'Round liquid sleep.

---

Masked messenger in priestly white,

Hath divined th'encircling doom?

My fallen airways, Medusa's veins spell

Agonies untold.

 

Lips pursed, throat tight, and orbits sunk,

You scrabble to set me free

Of serpent tubes and catheter lines

Ensnaring, strangling me.

 

But stenotic hours, austerities

Have hemmed you in too far.

I fault you not, dear Hermes, but quick--

Prescribe your closing mercy:

 

The noose which crowns your chiselled neck can't

Auscultate mute screams.

I pray: release these sesame pupils to

Spelunk Elysian dreams.

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Daniel (Yiqiao) Wang

University of Ottawa

Class of 2019

“Medical professionals concentrate on repair of health, not sustenance of the soul”.

Atul Gawande’s recently published book, Being Mortal, discusses the treatment of our elderly population and the various flaws of our health care system. One important point from the book is that health care providers such as physicians and nurses are too focused on physical well-being while forgetting about the less tangible necessities of life.

When an elderly individual is sent to a nursing home, safety is the highest priority. Residents are provided with call bells, ramps, elevators, nurses, and physicians who come directly to their rooms. This seems beneficial, as physical health is maintained. With 24 hour nursing surveillance and living in single rooms, residents are less prone to injuring themselves. It is a situation that seems optimal for both the caregivers and seniors. Why, then, is the rate of depression and sadness so high among the elderly population in nursing homes?

...continue reading

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Anonymous


It’s 1:15 am as I write this.

I’m tired. I’ve worked just under 17 hours today, but I can’t sleep.

Too bad. I will start at 8 am again tomorrow for another 8 to 9 hour day.

I can’t sleep because I’m thinking about my patient with the declining oxygen saturation. I worry that I may have missed something in the history, in the investigations… did the on call physician and I make the right decision?

...continue reading

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KAYLAKayla Simms
University of Ottawa
Class of 2016

Upon being accepted to medical school in 2012, I received a special edition of “Oh, the Places You’ll Go” from a personal mentor; reminding me to not just look ahead, but to remember and cherish the distant memories that shape who we are. I recently stumbled upon this memorabilia when I returned home over the March Break, and sat down to write this poem.

This poem is a testament to the physician’s inner-child and the ‘art’ of medicine. ...continue reading