By Dr. Rosemary Basson on December 3, 2013
Recent studies have shown that the local delivery of the main precursor hormone of testosterone and estrogen, dehydroepiandrosterone (DHEA) effectively treats dyspareunia and dryness from VVA and does not increase serum levels of estrogen and testosterone.
By Dr. Keyvan Hadad on November 18, 2013
Hip dysplasia can lead to degenerative hip disease and is a leading cause of early arthritis of the hip. Risk factors for this condition include female gender, breech delivery and positive family history. Some recent data has shown a significant increase in the prevalence of this condition.
By Dr. Glen Burgoyne on November 4, 2013
In 2009 the BC Cancer agency initiated a pilot population-based approach to colon cancer screening. I was fortunate to be located in Penticton, the first site of the pilot program. A provincial colon cancer screening program is now being implemented province-wide.
By Dr. Craig Goldie on October 21, 2013
www.choosingwisely.org is a resource provided by the ABIM Foundation (Advancing Medical Professionalism to Improve Health Care) and is focused on encouraging physicians and patients to think and talk about medical tests and procedures that may be unnecessary or could cause harm.
By Dr. Sarah Stone on October 7, 2013
As a family physician practicing at St Paul’s Immunodeficiency clinic in Vancouver, I have cared for patients living with HIV for over 10 years. Many patients are referred to the clinic at a stage of disease where treatment would have been beneficial if started earlier.
By Dr. Andrew Howard on September 10, 2013
Somatoform and conversion disorders are common psychiatric presentations in general practice. When chronic, like most psychiatric conditions, they commonly cause leave from work, poor quality of life for patients and supports, and heavy burden on medical practices.
By Kristin Turner, MSc, CGC, CCGC on August 27, 2013
Identification of hereditary cancer families in BC is important to provide individuals at elevated cancer risk with appropriate screening and risk management recommendations.
By Dr. Daniel Dodek on June 24, 2013
There is a single telephone advice number that connects family doctors with specialists from a vast array of disciplines, often within an hour. The initiative is called RACE (Rapid Access to Consultative Expertise).
By Dr. Rosemary Basson on June 10, 2013
How to manage PVD is an extremely common question. PVD affects 12 -15 % women most of whom are relatively young. The common co-morbidity of PVD strongly supports a chronic pain approach.
By Dr. William T. Gibson on May 27, 2013
Frequently asked questions I’ve noticed: Why isn’t that drug working? Why did that unusual side effect happen?
By Dr. Daniel Ngui on May 13, 2013
2 websites have changed my practice: PainBC.ca provides options beyond medications & piPain.com People in Pain Network hosts a self-management awareness program.
By Dr. Ran Goldman on January 21, 2013
Acute limping is a very common chief complaint among children visiting a clinic. When children with a limp present to you, always consider the possibility of septic arthritis. How can one differentiate between transient synovitis and septic arthritis?
By Dr. Marisa Collins on January 8, 2013
Achieving and maintaining a healthy body weight is an important objective for patients and physicians alike. Just in time for New Year’s resolutions, here’s an app to recommend to your patients and, perhaps, to make use of yourself.
By Dr. William T. Gibson on December 3, 2012
From a medical perspective, I advise people who are thinking about DTC genetic testing to think of it like the over-the-counter (OTC) medical tests available in many pharmacies.
By Dr. Dan Ezekiel on October 10, 2012
I underwent the assessment in the spring of 2011 and, like most practices, I discovered that there were some things I was doing well and some other things that could do with some improvement.
By Dr. Marisa Collins on July 31, 2012
Routine HIV testing for all adults is now recommended by Vancouver Coastal Health, Providence Health and the BC Centre for Excellence in HIV/AIDS.
By Dr. Ran Goldman on June 18, 2012
With advances in computer based gaming, safety concerns and sedentary life style of today’s families, children have been significantly less active.
By Dr. Andrew Farquhar on May 14, 2012
I direct more effort to encouraging physical activity as a critical tool in the management of T2D. I emphasize a healthy diet but stress that weight loss is not the primary goal, exercise is.
By Dr. Karen Buhler on April 16, 2012
The EDS is a highly sensitive screening tool administered in less than 10 minutes and can be distributed before the encounter.
By Dr. Daniel Ngui on April 2, 2012
Given our aging population, more and more family physicians are being asked for advice about diagnosis and treatment on osteoporosis.
By Dr. Catherine Clelland on March 20, 2012
The GP Services Committee developed the Complex Care Planning fee (14033) to encourage Family Physicians to spend time with patients with multiple co-morbidities and develop a plan for their management.
By Dr. Michael Clifford Fabian on February 6, 2012
Cerumen build-up is a common problem for patients and doctors alike. According to McCarter et al cerumen impaction is present in approximately 10 percent of children, 5 percent of normal healthy adults and up to 57 percent of older patients in nursing homes.
By Dr. Paul Thiessen on November 22, 2011
Upper respiratory infections are the most common illnesses seen in childhood, and the symptoms are often disruptive for both the child and the whole family.
By Dr. Shirley Sze on November 7, 2011
I now recognize the inherent high risk of successful suicide (10%) in this population and the need to address non-suicidal self injury with the seriousness that it deserves.
By Dr. Judy Allen on October 24, 2011
Prior to working at a Sleep Clinic had failed to ask the most important question when assessing insomnia concerns in patients with or without a primary psychiatric disorder. Before resorting to sedative hypnotic, antidepressant and/or antipsychotic polypharmacy…
By Dr. George Luciuk on September 25, 2011
Nasal woes can cause lots of complications. Most of them start insidiously but can progress steadily. Awareness by the family physician of what “can happen” is very important.
By Dr. Launette Rieb on September 12, 2011
It is worth considering OIPS in the differential diagnosis when pain appears to be spreading, especially when features of allodynia and hyperalgesia are present.
By Dr. Yazdan Mirzanejad on August 29, 2011
By going through guidelines derived over 10 years, there are 5 major evidences that changed my way of managing community acquired pneumonia.
By Dr. Rosemary Basson on August 15, 2011
Although men with repeatedly low serum testosterone levels typically have low sexual desire, no such link has been identified in women.
By Dr. Anne Antrim on January 31, 2011
NICU experience has a profound effect on children and their families. As caregivers, we need to specifically ask about potential issues and offer advocacy for these families in the community and in the schools.
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