Post Archives

Drs. Kam Shojania and Neda Amiri
September 23, 2013

Effects of glucocorticoids on cardiovascular risks in patients with rheumatoid arthritis

Rheumatoid arthritis has been described to be associated with an increased risk of cardiovascular disease. This risk appears to be multifactorial in nature. However, there is emerging evidence that glucocorticoids play a role. read more...

Dr. Andrew Howard
September 10, 2013

Managing the complicated somatoform disorder patient

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. read more...

Kristin Turner, MSc, CGC, CCGC
August 27, 2013

Evaluation of familial cancer risk: it starts at

Identification of hereditary cancer families in BC is important to provide individuals at elevated cancer risk with appropriate screening and risk management recommendations. read more...

Dr. Teresa Liu-Ambrose
August 6, 2013

Reduce falls by improving cognitive function

Falls are a common geriatric syndrome and are the third leading cause of chronic disability worldwide. Improved cognitive function, in particular executive functions, is an important mechanism by which the exercise reduces falls and improves overall mobility. read more...

Dr. Alissa Wright
July 15, 2013

Traveller’s diarrhea

Traveller’s diarrhea can affect 20- 60% of travellers to tropical or developing areas, making it one of the most common illnesses to occur during travel. read more...

Dr. Linlea Armstrong
July 4, 2013

Use exams to guide, not drive, learning; the importance of intrinsic motivation

Telling our students that "it will be on the exam", may give us a sense that the students will learn it. This line tends to get used when there is an important topic that the teacher suspects students might otherwise not sufficiently attend to. Yet the strategy is unlikely to inspire deep and long-term learning, the kind of learning that students will later be able to retrieve and apply to patient care. read more...

Dr. Daniel Dodek
June 24, 2013

RACE Hotline

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). read more...

Dr. Rosemary Basson
June 10, 2013

Provoked vestibulodynia (PVD) needs holistic management and a chronic pain approach

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. read more...

Dr. William T. Gibson
May 27, 2013

Pharmacogenetics and pharmacogenomics: practice tips

Frequently asked questions I've noticed: Why isn’t that drug working? Why did that unusual side effect happen? read more...

Dr. Daniel Ngui
May 13, 2013

How a family physician can help patients with chronic pain: a guide to navigating patient internet resources in BC

2 websites have changed my practice: provides options beyond medications & People in Pain Network hosts a self-management awareness program. read more...

Dr. Natasha Press
April 29, 2013

Clostridium difficile infection (CDI)

In the past few years, a hypervirulent strain of C. difficile, called NAP-1, has caused hospital outbreaks that have been unusually severe and recurrent. read more...

Dr. Mustafa Toma
April 15, 2013

Aldosterone antagonists for the treatment of systolic heart failure

Spironolactone or eplerenone should be added to BB and ACEi/ARB in NYHA class II HF patients with EF < 30-35% in the absence of significant renal impairment or hyperkalemia. read more...

Dr. Michelle Withers
April 1, 2013

Barrier repair in atopic dermatitis

It is well recognized that AD patients have very dry skin as part of their clinical picture. As such, a very important part of discussing the treatment of AD includes the importance of moisturizing the skin on a regular basis to try to ameliorate dryness. read more...

Dr. Mary V. Seeman
March 18, 2013

Care gaps in schizophrenia: male/female differences

This week, we're publishing two articles on the topic of schizophrenia. Dr. Seeman's article addresses key differences in males and females afflicted by schizophrenia, while Ms. Iman's article focuses on how physicians can better support the parents of people with schizophrenia. read more...

Dr. Nigel Sykes
March 4, 2013

Appropriate use of sedation in palliative care

The keys to an ethically defensible use of sedation in palliative care are, firstly, careful assessment to determine whether the causes of the distressing symptoms can be reversed and, secondly, the use of sedative doses that are proportional to the severity of the distress. read more...

Dr. Jan Hajek
February 18, 2013

Never ignore an elevated eosinophil count – especially in travellers, immigrants and refugees

The world is increasingly connected and infectious diseases know no borders. We need to be pro-active in adequately screening our patients. read more...

Dr. Sandra Sirrs
February 4, 2013

Thyroid Nodules: Get more information from your ultrasound

Ultrasound can be a powerful tool in distinguishing thyroid nodules with malignant potential from benign ones. Thyroid nodules found on physical examination are common. Fewer than 5% of these nodules are malignant. read more...

Dr. Ran Goldman
January 21, 2013

Acute limping in children

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? read more...