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...
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