Post Archives

Dr. Ran Goldman
June 18, 2012

Active video games and child's physical activity

With advances in computer based gaming, safety concerns and sedentary life style of today’s families, children have been significantly less active. read more...

Sue Murphy
June 1, 2012

Going Experiential

An ongoing problem with student supervision in the clinical setting is managing the expectations of Clinical supervisors. Frequently, clinical supervisors are clinicians with many years of experience in their specialty, who have not been practicing at “entry level” for some time. read more...

Dr. Steve Wong
May 28, 2012

This app changed my practice: Dropbox

Like many physicians, for many years now, I’ve been using electronic-only copies of journal articles (pdf files) for my own continuing education, reference and teaching purposes. Now, I have an easy way to organize and access documents. read more...

Dr. Andrew Farquhar
May 14, 2012

Diabetes and exercise

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. read more...

Dr. Julian Marsden
April 30, 2012

Role of inhaled steroids in acute asthma exacerbations

Given their effectiveness, safety, and ability to prevent relapses inhaled corticosteroids are now part of my discharge prescription for asthma exacerbations. read more...

Dr. Karen Buhler
April 16, 2012

Screening for depression in pregnancy using the Edinburgh Depression Scale

The EDS is a highly sensitive screening tool administered in less than 10 minutes and can be distributed before the encounter. read more...

Dr. Daniel Ngui
April 2, 2012

Apps, websites and guidelines for osteoporosis management in primary care in 2012

Given our aging population, more and more family physicians are being asked for advice about diagnosis and treatment on osteoporosis. read more...

Dr. Catherine Clelland
March 20, 2012

Advance care plan (ACP) for patients with multiple co-morbidities

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. read more...

Dr. James Bergman
March 5, 2012

Paradigm shift in treatment of hemangiomas

At present, for hemangiomas patients who I feel need systemic therapy I personally use oral Propanolol instead of systemic steroids, as I believe that the benefit risk analysis presently favours Propanolol. read more...

Dr. Karen Gelmon
February 20, 2012

Understanding breast cancer responsiveness

There has been an explosion of information about the genetics and molecular makeup of breast cancers with a heightened understanding that this is not one disease. Using newer sequencing technology, researchers have suggested 9 distinctive types of the disease. read more...

Dr. Michael Clifford Fabian
February 6, 2012

Something as basic as wax cleaning!

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. read more...

Dr. Breay Paty
January 23, 2012

Tailoring therapy for type 2 diabetes: the role of incretins

These oral agents, administered once daily, augment endogenous GLP-1, resulting in an A1C reduction of 0.5 – 0.9%. Since GLP-1 does not directly stimulate insulin, they have the advantage of not promoting hypoglycemia or weight gain. read more...

Dr. Steve Wong
January 9, 2012

This app changed my practice: CCS lipid guidelines

This app allows a very rapid entry of relevant parameters to perform risk assessments using the Framingham Risk Score but also the Reynolds Risk Score. read more...

Dr. Steve Wong
December 19, 2011

Letter from the editor

As 2011 draws to a close, I’d like to take an opportunity to thank all of our readers for their support, suggestions, and encouragement. It’s been a very gratifying experience for all of us involved at This Changed My Practice. read more...

Dr. Kenneth Madden
December 6, 2011

What is the correct dosing for Vitamin D?

Every year, one-third of older adults (age greater than 65) experience one or more falls. One therapy with the potential to reduce both falling and fractures is vitamin D supplementation, possibly due to a direct stimulation of vitamin D receptors on muscle tissue. read more...

Dr. Paul Thiessen
November 22, 2011

Vapor rub for treatment of nocturnal cough and cold symptoms in children

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. read more...

Dr. Shirley Sze
November 7, 2011

Non-suicidal self-injury: reducing future risk

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. read more...

Dr. Judy Allen
October 24, 2011

The most important question never asked about sleep

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... read more...