Episode 74 – Video Laryngoscopy for Intubation and Blood Pressure Management post-Endovascular Thrombectomy

There is no quick fix for chronic pain but there is a path forward

Patients need to be at the centre of their own care, and they need to manage their pain for what it is, a chronic disease. The time to reimagine chronic pain care is now – we can’t afford not to and the millions of suffering Canadians can’t afford to wait.

‘I unapologetically choose love’: A queer Ethiopian-Jewish woman’s view of the Israeli-Gaza conflict

The Israeli-Palestinian conflict is undoubtedly complex, but the path forward is not as convoluted as it may seem. The solution is simple (perhaps too simple for those in power who aim to confuse us): Stop killing children and lead with love for children while upholding their rights under international law.

Canada’s diverse caregiving community in dire need of federal strategy

Canada is a nation of caregivers. But caregivers and care recipients alike are at risk for burnout. We need a concerted policy response that meets caregivers where they are.

Episode 73 – Oral Semaglutide in Obesity and Enoxaparin for Prevention of Deep Vein Thrombosis

Prostate-cancer screening: Guideline reflects lack of knowledgeable expert input

The last guideline on prostate-cancer screening was published in 2014. At the time, the task force approached the Canadian Urologic Association (CUA) and asked that it provide an expert panel of “stakeholders” to provide input....We found that the task force guideline utilized only data from a small number of randomized trials and ignored scores of other relevant studies. The analysis of the studies that were reviewed was superficial and the guideline was flawed.

Vision screening in primary care: Flawed methodology, dangerous recommendations

The Canadian Ophthalmological Society, which represents all ophthalmologists in Canada, recognizes the importance of guidelines but also appreciates the challenges around them. For guidelines to be effective, they need to involve a variety of stakeholders with varying expertise from the beginning to ensure inclusion of all the evidence and consideration of issues where there may not be published data.

Breast-cancer screening: Balancing harm vs. risks

One would expect that the priority of the Canadian Task Force on Preventive Health Care on breast-cancer screening would be to recommend practices that would maximally reduce mortality and morbidity from disease. In the case of breast cancer, this suggests focusing on effective guidelines for those who are at increased probability of developing disease or increased risk of late diagnosis and the consequent higher likelihood of premature death or morbidity associated with treating advanced disease.

Excluding experts doesn’t make sense

Most assume that the Canadian task force guidelines are led by content expert specialist clinicians. But this is not the case. The task force says it excludes content experts from genuine involvement in guideline development to avoid conflicts of interest. However, in the Canadian health-care context, this is not a valid argument.

We have a tool to help prevent suicide during pregnancy and postpartum. Why does the task force recommend against using it?

In 2022, the Canadian Task Force on Preventive Health Care released recommendations against using a tool (the Edinburgh Postnatal Depression Scale – EPDS) to screen for depression during pregnancy and the postpartum. These recommendations do not agree with those made by experts in B.C. and Ontario; and around the world in Australia, the United States, England and Scotland. It is important that we look closely at these recommendations and try to understand why they differ.

‘This place keeps me fed’: Langars coping with surge in users

Much like food banks, across Canada Sikh gurdwaras have been feeding an ever-growing number of people in recent years.

Gummies for pain relief? Using cannabis while on prescription drugs risky for seniors

Despite their widespread use, you may want to think twice before giving grandma cannabis gummies for her knee pain.

TBT – Agitation in Dementia and Antiplatelet Therapy after Intracerebral Hemorrhage

‘I want to finally start living my life’: Added residency year for family practice draws criticism

A three-year family practice program will almost certainly exacerbate the current primary care crisis. For Canadians, this will result in fewer family doctors practicing community care and less access to preventative care, cancer screenings and treatment of chronic diseases.

Do doctors know enough about the commercial determinants of health?

Private sector activities have a real impact on people's health. We need to promote healthy cross-industry regulation and scrutinize the role that private interests play in the health-policy arena to help safeguard the health of patients.

It’s not all pretty in pink: To prevent breast cancer, let’s stop missing the forest for the trees

Breast cancer rates, even among young people, are on the rise. For this Breast Cancer Awareness month, there's more we could be doing to prevent the disease before it starts.

Untapped potential: Young leaders have the tools to help address health-care challenges

Global health solutions require creativity, innovation and novel thinking. It is imperative for governments and educators to recognize young leaders and their ideas.

Episode 72 – Early Metformin for Gestational Diabetes and Tirzepatide versus Insulin in Type II Diabetes

We must change our mindset about our health-care system

No system, public or private, can cover all the health needs and wants of every person all the time. It's time for difficult conversations about our health-care system.

Beyond birth control: The benefits of universal contraception don’t end at pregnancy prevention

Contraceptives are a key part of health care for half of Canada's population and their benefits extend beyond family planning alone. It is time to expand universal contraception to the entire country.