Anthony Lau, Katherine Daley, Hans Haag, Dr. Martha Ignaszewski
Jul 22, 2024
Therapeutic considerations of gabapentin versus pregabalin in treating chronic neuropathic pain
I now advocate for deprescribing gabapentin when patients do not achieve adequate pain relief for chronic neuropathic pain at a cumulative daily dose of 1800 mg. Instead, I consider pregabalin as a substitute for gabapentin in patients with inadequate pain control rather than further dose escalations. read more...
Dr. Kelvin Lou
Jul 12, 2024
Teaching Serious Illness Conversations using the Elephant and Rider Model
How can we approach serious illness conversations? How can we expand and deepen our understanding of existing tools so that we may apply them to situations we don't anticipate? read more...
Dr. Sarah McCorquodale
Jun 17, 2024
Lifestyle interventions in type 2 diabetes
Having evidence that remission of type 2 diabetes is possible through weight loss in select people, I have changed my approach to prevention and management of type 2 diabetes. read more...
Dr. Rohit Vijh
May 21, 2024
PCR swabs: a useful diagnostic tool for identifying syphilis
Given the increasing rates of syphilis and changing epidemiology of syphilis with increasing incidence in heterosexual populations, my clinical suspicion for syphilis testing has increased. If a patient presents with primary or secondary lesions that are amenable to PCR swabbing, I now collect a PCR swab specimen, in addition to sending the patient for serology. read more...
Dr. Omesh Syal
Apr 15, 2024
Using data for practice quality improvement to address blood sugar challenges for complex care patient
I highly recommend registering with the Health Data Coalition and becoming more familiar with your measures within the HDC Discover application to recognize your contribution. We, as a collective profession, can make a positive impact on our own practices and larger communities. read more...
Dr. Steve Wong
Mar 20, 2024
CPSBC Library closure
We were saddened to hear of the closure of the BC College Library on March 15. The College Library has been an important partner for TCMP since our beginning and we sincerely appreciate everything they have done for our readership. read more...
Dr. Paxton Bach
Mar 12, 2024
New guidance on alcohol and health from the Canadian Centre on Substance Use and Addiction
The new Canadian guideline situates alcohol-related harms along a continuum, recognizing that negative health and social consequences of alcohol can arise even at rates previously consistent with low risk. read more...
Rohit Singla PhD, Dr. Daniel Raff, Dr. Hester Vivier, and Dr. Andre Van Wyk
Feb 14, 2024
Talking smart: conversational AI streamlines clinical practice
Conversational AI has become a valuable tool for family physicians in Canada. It helps us provide better patient care, eases the burden of documentation, and reduces burnout. Incorporating digital scribe technology brings marked efficiency, especially given the high patient volumes. With AI managing real-time transcription and summarization, physicians can give undivided attention to patients, deepening rapport and focus on prescriptions and referrals. read more...
Drs. Carson Chin, Nathan Hitchman, and Jordan Friedmann
Jan 24, 2024
Gouty pitfalls
Guidelines recommend that ULT be directed by SUA, but interpretation of such differs in acute and chronic phases of gout. Therapies require renal dose adjustment and can lead to serious and even fatal adverse events. Preventable adverse events continue to occur in BC due to underutilization of testing. read more...
Drs. Kevin Liang and Philip Hui
Jan 10, 2024
Asthma and COPD as-needed inhalers (SABD): where refills matter!
New asthma and COPD guidelines are changing the way we provide respiratory care; SABDs, such as salbutamol and ipratropium, are no longer the mainstay treatment for both conditions. Importantly, SABD overuse is a measure of poor disease control and suggests a need for treatment escalation. read more...
Dr. Steve Wong
Dec 20, 2023
Letter from the editor
In the demanding landscape of modern healthcare, physicians bear the weight of both clinical responsibilities and the intricate challenges that come with navigating an evolving health-care system. Physician burdens are a leading cause of practitioner stress and a key factor in early practice exits. Finally, this is being more openly discussed and we are even seeing regulatory and funding bodies starting to acknowledge, and sometimes start to address, this critical issue. read more...
Dr. Shirley Samuel-Haynes
Nov 21, 2023
Palliative approach to care and serious illness conversations
I learned that a palliative approach to care and serious illness conversations address and manage patients' and families' psychological, practical, social, loss/grief, spiritual, and physical issues like pain and symptom management in line with their goals of care and help prepare for eventual life closure. Here are practical tips on how to implement this in your practice. read more...
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