Post Archives

Dr. Sharlene Gill
October 11, 2011

Improving end-of-life care for patients with advanced cancer

In a recent randomized trial patients with advanced lung cancer who received both chemotherapy and also received care and support from a palliative care team immediately after their diagnosis lived almost three months longer than those who received chemotherapy alone. read more...

Dr. George Luciuk
September 25, 2011

It’s just a runny nose!

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. read more...

Dr. Launette Rieb
September 12, 2011

Spreading pain with neuropathic features may be induced by opioid medications

It is worth considering OIPS in the differential diagnosis when pain appears to be spreading, especially when features of allodynia and hyperalgesia are present. read more...

Dr. Yazdan Mirzanejad
August 29, 2011

Community acquired pneumonia

By going through guidelines derived over 10 years, there are 5 major evidences that changed my way of managing community acquired pneumonia. read more...

Dr. Rosemary Basson
August 15, 2011

Don’t request testosterone levels for women’s low sexual desire

Although men with repeatedly low serum testosterone levels typically have low sexual desire, no such link has been identified in women. read more...

Dr. Steve Wong
July 20, 2011

This app changed my practice: Pocket A1C

In response to reader requests and the increasing interest in mobile apps, we are launching a series of articles highlighting useful iPhone apps. These will appear approximately once every three months. read more...

Dr. Eric Yoshida
July 18, 2011

Treating Hepatitis C – the future is now!

This year, based on the phase III studies published in the New England Journal of Medicine, the FDA approved the new protease inhibitors, telapravir and boceprevir in combination with pegIFN and ribavirin for patients with HCV G1 infections. read more...

Dr. Ted Steiner
July 4, 2011

Proton pump inhibitors and Clostridium difficile infection

Based on recent literature, my current practice is to carefully consider whether PPIs or H2 blockers are truly indicated in inpatients, and to stop them if they are not. read more...

Dr. Breay Paty
June 20, 2011

New targets for Diabetes (A1C): Why we are aiming at 'only' 7 percent

Recent studies suggest that the relationship between glucose control (A1C) and cardiovascular disease is more complex than we may have realized. read more...

Dr. Sarah Finlayson
June 5, 2011

Advocating Fallopian Tube removal at the time of hysterectomy to prevent ovarian cancer

A growing body of knowledge reveals that the majority of cases of high grade serous “ovarian” cancer actually are fallopian tube cancers. read more...

Dr. Carol-Ann Saari
May 24, 2011

Weed is not just an herb

I watched as a functioning youth became more and more psychotic as he smoked large amounts of marijuana every day, and I saw how difficult it was to treat his psychosis even after the marijuana stopped. read more...

Dr. Peter Black
May 9, 2011

Prostate Specific Antigen – Does the new data support its utility for prostate cancer screening?

Most of the data on which we base our prostate cancer screening practices is indirect and not definitively linked to the decrease in mortality that has been observed. read more...

Dr. Devin Harris
April 26, 2011

Acute Ischemic Stroke: Thombolysis is an Effective Therapy

Thombolysis for acute ischemic stroke is a small component of comprehensive acute stroke therapy. However, there now should be no debate into its effectiveness and the widespread adoption of its use in carefully selected patients should be supported. read more...

Dr. Dan Bilsker
April 11, 2011

Self-management of mood problems

Innovative forms of service delivery have the potential to greatly expand the scope of depression intervention. Series of self-management workbooks designed to teach depressed individuals evidence-based skills for mood management, available for free download from http://www.comh.ca/selfcare/. read more...

Dr. Brian Bressler
March 28, 2011

New therapies and new end points in the treatment of Crohn’s Disease

Effectively treating the inflammation in patients with Crohn’s disease has now allowed us to treat not just the symptoms associated with Crohn’s disease, but the disease itself. read more...

Dr. Graeme Wilkins
March 14, 2011

Management of maternal thyroid disease in pregnancy

Overt hypothyroidism is seen in 0.3 to 0.5% of the general population and subclinical hypothyroidism (high TSH and normal free T4) is seen in 2-3%. Thyroid antibodies are identified in 5-15% of women. read more...

Dr. Brian Kunimoto
February 28, 2011

Chronic ulcers and biofilms

The concept of biofilm in chronic wounds is in its infancy at the present time. It is just now being proposed that they play an important role in the pathogenesis of non-healing. read more...

Dr. Anne Antrim
January 31, 2011

The outcomes of prematurity

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. read more...