Sheliza Halani


Articles and Opinion Pieces by this author

The Grand Finale of The Rounds Table

This week we bring you a very special episode, the final episode of The Rounds Table podcast. This episode is dedicated to honouring the show and its development over the past five seasons. The show has had an incredibly successful past five years – the podcast has reached an international audience and has been downloaded…

Slow Motion: Magnesium in Afib and Fall-Related Injuries with Sleep Aids

Christopher Giuliano, clinical pharmacist, is hosting this week’s episode of The Rounds Table alongside Insaf Mohamad, ambulatory care clinical pharmacist in Internal Medicine.  Together they are covering treatment of atrial fibrillation with rapid ventricular response with magnesium and falls risk with trazadone and benzodiazepines in patients with insomnia. Atrial fibrillation is the most common cardiac…

A Shock to The Heart: Risk Factors and Cardiovascular Events in T2DM and Cardioversion in AFib

Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside his wife, Emily Wilson, family physician in London and adjunct professor at Western University. Together they are covering risk factors, death, and cardiovascular events in patients with type 2 diabetes mellitus (T2DM) and early or delayed…

A Total Eclipse: Treatment of Status Epilepticus and Aclidinium Bromide in COPD

Freddy Frost, research fellow in cystic fibrosis in Liverpool, and Alex Pickard, trainee in acute and emergency medicine in South London, are back on The Rounds Table this week. They are covering treatment of paediatric convulsive status epilepticus and the effect of aclidinium bromide on cardiovascular events and exacerbations in patients with chronic obstructive pulmonary disease…

Infectious Love: Coronary Angiography in Out-of-Hospital Cardiac Arrest and Risk of HIV Transmission in Serodifferent Gay Couples

Jonathan Gravel, family medicine resident at the University of Toronto and soon-to-be emergency medicine resident, is joined by Max Deschner, a resident in Internal Medicine at Western University.  Together they are covering coronary angiography after cardiac arrest without ST-elevation (COACT trial) and the risk of HIV transmission through condomless sex in serodifferent gay couples. Ischemic…

Sugar and Spice: Canagliflozin and Renal Outcomes and Quality of Life in Atrial Fibrillation

Kieran Quinn, general internist and palliative care physician in Toronto, is joined by Emily Hughes, the producer of the show and soon-to-be Internal Medicine resident at the University of Toronto on this week’s episode of The Rounds Table! Together they are covering canagliflozin and renal outcomes, and quality of life among patients with atrial fibrillation receiving…

Left my Heart in CABANA: TAVRs, Atrial Fibrillation, and Acute Coronary Syndrome

Michael Fralick and John Fralick, both general internists in Toronto, are on The Rounds Table this week. In classic fashion, they are covering four articles in a rapid-fire style. They discuss transcatheter aortic valve replacement (TAVR) in low surgical risk patients, antiplatelet and anticoagulants in atrial fibrillation (AF) and acute coronary syndrome (ACS) with percutaneous…

Pregnancy & Prescription Pads: Maternal Ondansetron Use, Renal Function in Pregnancy and Assessing Prescribing and Deprescribing Patterns

Kieran Quinn is back on the Rounds Table this week with Michael Fralick, general internist at the University of Toronto. This week they are covering four articles in rapid-fire style on maternal first trimester ondansetron and fetal outcomes, assessment of outpatient antibiotic prescribing patterns, creatinine in the peri-partum period, and a pharmacist-led intervention for deprescribing. The…

Superbugs Going Superbad: Ceftazidime-Avibactam Salvage Therapy for Klebsiella pneumoniae and Transcatheter Mitral-Valve Repair in Heart Failure

Andre Madison, General Internal Medicine (GIM) fellow at Western University, is back on The Rounds Table with Michael Juba, clinical pharmacist at London Health Sciences Centre in Infectious Disease and Anti-Microbial Stewardship.  Together they are covering the efficacy of ceftazidime-avibactam salvage therapy for Klebsialla pneumoniae carbapenemase (KPC)-producing Klebsiella pneumoniae and transcatheter mitral-valve repair in heart…

An Ounce of Prevention: Pantoprazole in the Intensive Care Unit and Aspirin for Primary Prevention in Diabetes

Christopher Giuliano, clinical pharmacist, is hosting this week’s episode of The Rounds Table with Claudia Hanni, an Internal Medicine clinical pharmacist.  Together they are covering pantoprazole for gastrointestinal bleeding in the intensive care unit and aspirin for primary prevention in patients with diabetes. In the intensive care unit, many patients receive pantoprazole for prevention of…

Mind Over Matter: Antipsychotics for Intensive Care Unit-Associated Delirium and Fluoxetine after Acute Stroke

Jonathan Gravel, family medicine resident at the University of Toronto, is joined by Matthew Jefkins, internal medicine resident at Queen’s University, on this week’s episode of The Rounds Table. Together they are covering the use of haloperidol and ziprasidone for delirium in critical illness and fluoxetine on functional outcomes after acute stroke (FOCUS trial). Delirium affects…

Quit Buggin’ Me: Antibiotic Prophylaxis for Infective Endocarditis and Baloxavir Marboxil for Uncomplicated Influenza

Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside Mike Nicholson, clinical fellow in cystic fibrosis at the University of Toronto. Together they are covering antibiotic prophylaxis and incidence of infective endocarditis and baloxavir marboxil for uncomplicated influenza. Influenza viruses are emerging resistance to…

TRED-ing on Thin Ice: Withdrawal of Therapy in Recovered Cardiomyopathy and Icosapent Ethyl for Hypertriglyceridemia

Paxton Bach and Samantha Young, both general internists in Vancouver are back on The Rounds Table!  Together they are covering the withdrawal of heart failure treatments in patients with recovered dilated cardiomyopathy and icosapent ethyl for cardiovascular risk reduction in patients with hypertriglyceridemia. There is good evidence behind our guidelines for the management of heart…

Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease

Katie Wiskar, fellow in General Internal Medicine at the University of British Columbia, and Kate Shoults, general internist in the Greater Vancouver Area, are joining us on The Rounds Table this week!  They are covering the association between cardiorespiratory fitness and long-term mortality, and vitamin D and omega-3 fatty acids and the prevention of cancer…

Salty or Sweet: ARNIs, Reduced Salt Intake in HF, and Cardiovascular Safety of Diabetes Medications

Michael Fralick and John Fralick, both general internists in Toronto, kick off The Rounds Table for the New Year.  They cover four articles in a rapid-fire style, including: angiotensin receptor-neprilysin inhibitors (ARNIs) in decompensated heart failure (HF), linagliptin and major cardiovascular events, reduced dietary salt intake in heart failure, and dapagliflozin and cardiovascular outcomes. Sacubitril/valsartan…

REPLAY: Bugs & Guts – Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary Artery Disease

Kieran Quinn is joined by Kevin Venus, fellow in General Internal Medicine at the University of Toronto, on this week’s episode of The Rounds Table.  Together they cover the use of a carbapenem versus a carbapenem-sparing agent in resistant bacteremias and the efficacy of proton-pump inhibitors (PPIs) in preventing gastrointestinal bleeding when using anti-thrombotic therapy…

This Stat In: Statins in the Elderly and Prevalence of Nosocomial Infections in the U.S.

Paxton Bach is back on The Rounds Table with Tristen Gilchrist, general internist in Vancouver.  Together they cover statins for primary prevention of cardiovascular events and the prevalence of hospital-acquired infections in the United States. Most elderly patients have a high Framingham coronary heart disease risk score on the basis of age.  However, there are…

Sunsets & Heartbeats: Therapy De-Escalation in COPD and Post-Operative Atrial Fibrillation

Kieran Quinn is back with Daniel Marinescu, fellow in Respirology at the University of Toronto.  Together they cover the SUNSET trial on long-term triple therapy de-escalation in patients with chronic obstructive pulmonary disease (COPD) and the risk of thromboembolism associated with post-operative atrial fibrillation. The new Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines…

Apps & Aspirin: Medication Reminder Applications & Aspirin for Primary Prevention

Katie Wiskar, GIM fellow at the University of British Columbia, is back this week on The Rounds Table. She is joined by Stephane Voyer, practicing general internist at the University of British Columbia. Today they review medication application reminders and aspirin for primary prevention. Forty percent of patients or more are non-adherent to medications that…

POIATEic Insight: Oral versus Intravenous Treatment for Infective Endocarditis & Bariatric Surgery in Diabetes

Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside Erin Spicer, faculty member in GIM also at Western University.  This week they cover partial oral versus intravenous antibiotic treatment of infective endocarditis (POIATE trial) and microvascular outcomes in patients with type 2 diabetes mellitus…

Cut & Dried: Malignant Pleural Effusions and Tranexamic Acid in Intracerebral Haemorrhage

Freddy Frost, research fellow in cystic fibrosis in Liverpool, hosts this week’s episode of The Rounds Table with Alex Pickard, trainee in acute and emergency medicine in South London.  Together they cover new research on draining malignant pleural effusions and tranexamic acid in intracerebral haemorrhage. To start, Freddy walks listeners through a multicenter study looking…

Primum Non Nocere: Complementary Medicine for Curable Cancers and Epinephrine in Out-of-Hospital Cardiac Arrest

Katie Wiskar and Samanatha Young, both GIM fellows at the University of British Columbia, host this week’s episode of The Rounds Table!  Together they review survival among patients with curable cancers receiving complementary medicine and epinephrine in out-of-hospital cardiac arrest. Complementary and alternative medicine are frequently used by patients in conjunction or as an alternative…