When it’s a zebra: Does Canada need a rare disease strategy?

rare diseases

Ian Stedman always wore long sleeves and pants to hide his rash. As a child, he didn’t go swimming with other kids. He’d miss a few days of school each month because of severe joint pain and headaches. He spent his childhood and early adult life “bouncing around from doctor to doctor.” No one knew

Ontario should focus on preventing infertility instead of treating it

Early last month, the Ontario government announced its intention to go forward with an expanded plan to fund in vitro fertilization (IVF) in the province. While Ontario has long funded three cycles of IVF for women with double blocked fallopian tubes, the new program, set to begin in December 2015, will enable all women in

Canada’s dirty air: how pollution is hurting our health

This summer, record numbers of forest fires in Western Canada made air pollution impossible to ignore. Eerie photos of the smoky skies of Vancouver made the news – then disappeared after the air cleared. But the threat remains. Air pollution contributes to asthma, COPD and cardiovascular disease. And high background levels are often more harmful than

Empowering the elderly in Japan: lessons for home care in Canada

It’s a question that’s been weighing on the minds of health care managers in Canada and many countries around the world: how will society meet the home and community care needs of an aging population? In trying to answer this question, it can be instructive to look at models around the world, and one that’s received

What’s in a name – defining hospitalists in Canada

Vandad Yousefi

Over the past two decades, delivery of inpatient care at acute care institutions has changed dramatically in Canada, with fewer family doctors following their patients in hospitals and the emergence of a growing number of hospitalists. Despite this growth, there is no uniform understanding of who hospitalists are, what they do and what types of

Is wisdom teeth removal really warranted?

In her 20s, Nancy Fornasiero’s dentist told her that her wisdom teeth should come out. They were impacted, which means they were stuck below the gums because they didn’t have enough room. She was warned that the teeth were more prone to decay and infection than other teeth, and that they should be removed before

Sedation at the end of life: a legal grey zone

As questions mount regarding what legislation the federal government will enact around doctor-assisted suicide, one end-of-life medical practice receives little public attention. It’s called Continuous Palliative Sedation Therapy (CPST). Formerly known as “terminal sedation,” the therapy is used when all other attempts to relieve a patient’s excessive suffering have failed, and the only option is to

It’s not just about you – screw the flu!

Seema Marwaha

The Ontario Nurses Association (ONA) recently won an arbitration against Sault Area Hospital striking down their ‘vaccinate-or-mask’ policy. The arbitrator Jim Hayes found the policy was unreasonable, and a “coercive” tool to force heath-care workers to get a flu shot.  While this decision is only binding to Sault Area Hospital, many hospitals across Ontario will

Confused about the mixed messages on GMO foods? Here’s what the evidence says

Genetically modified foods have been met with consumer backlash since they were first introduced in the 1990s. Recently, however, calls for non-genetically engineered options have gotten even louder. In April, Major North American fast food chain Chipotle announced it would endeavor to provide non-genetically engineered menu options (which is, albeit, not 100% possible). This past