Talking TIAs: Physician Assisted Death in Canada and a Transient Ischemic Attack Registry


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What is the risk of adverse events after a transient ischemic attack (TIA)? While older studies tell us that the risk of stroke or acute coronary syndrome after a TIA is high in the first 3 months, does this hold true today? An international TIA Registry tried to answer this question by characterizing TIA and minor stroke patients at specialized stroke centres, and found that prognosis after TIA is very good. The study also evaluated the value of the prognostic tool ABCD2 score. Amol wonders whether these findings are generalizable, and leaves some food for thought about the way we organize care for these patients.

We love to hear from you! Tweet us @roundstable! Let us know what you thought of the show, and on the physician assisted death special segment.

The Papers

1. TIA registry: http://www.nejm.org/doi/full/10.1056/NEJMoa1412981

2. Informed consent: http://www.nejm.org/doi/full/10.1056/NEJMsa031697?viewType=Print&viewClass=Print

Special Segment: Physician Assisted Death

1. http://www.thestar.com/news/canada/2016/04/14/ottawa-to-unveil-assisted-dying-legislation-for-canadians-only.html

2. http://www.cbc.ca/news/politics/canada-physician-assisted-death-law-1.3535193

3. http://globalnews.ca/news/2638393/canadian-government-unveils-long-awaited-assisted-dying-law/

4. http://www.huffingtonpost.ca/2016/04/14/five-things-to-know-about-the-liberal-government-s-new-assisted-dying-bill_n_9696198.html

5. http://www.metronews.ca/news/toronto/2016/03/17/canadas-assisted-suicide-debate-.html

6. http://www.dyingwithdignity.ca/assisted_dying_is_a_right

7. http://www.theglobeandmail.com/news/national/supreme-court-rules-on-doctor-assisted-suicide/article22828437/

8. https://www.cmpa-acpm.ca/web/guest/-/what-the-supreme-court-of-canada-decision-on-physician-assisted-dying-means-for-physicians

9. http://www.huffingtonpost.ca/2015/12/22/quebec-assisted-dying_n_8861360.html

Good Stuff

1. The case for CV of failures: http://www.nature.com/naturejobs/science/articles/10.1038/nj7322-467a

2. An example of a CV of failures: https://www.princeton.edu/~joha/Johannes_Haushofer_CV_of_Failures.pdf

Music Credits (Creative Commons)

In your Robotic Heart – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/in-your-robotic-heart

Drive – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/drive-fresh-upbeat-pop-background-music

Vintage Dream – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/vintage-dream-loungejazzy-background-music

All tracks have been modified for the purposes of this podcast.

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