Post Archives

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...

Dr. Randall White
January 17, 2011

Monitoring of cardiovascular disease risk in people with chronic mental illness

The evidence has become impossible to ignore that people with chronic mental illness are dying from heart attacks and strokes at a higher rate than the general population. read more...

Dr. Shirley Sze
January 3, 2011

Smoking Cessation

Tobacco kills twice as many people in BC as motor vehicle crashes, alcohol, suicide and homicide combined. Providing a brief intervention of 3 minutes will double the chance of patients quitting. read more...

Dr. Devin Harris
December 13, 2010

Transient Ischemic Attacks: High Risk and Treatable

Transient ischemic attacks are a major risk factor for stroke. The management of TIA has changed significantly in the last 10 years. Any patient who presents TIA symptoms is now treated with the same urgency as a patient who presents with unstable angina. read more...

Dr. Julio Montaner
November 29, 2010

Use of HAART as a strategy to stop HIV and AIDS

Remarkable advances in HIV/AIDS treatment have been achieved over the past two decades. Most significant among these advances is the development of highly active antiretroviral therapy, a combination of antiretroviral drugs that suppress HIV replication. read more...

Dr. Ken Seethram
November 15, 2010

Early prenatal screening

The European experience shows that multiple ultrasound markers, serum, and anatomical survey of the fetus could be conducted in the period around 12 weeks, and that this information is much stronger in detecting genetic syndromes than 2nd trimester markers. read more...

Dr. Steve Wong
November 2, 2010

Leaving warfarin for the rats? A new option in anticoagulation for atrial fibrillation

I now strongly consider using dabigatran instead of warfarin in patients with a CHADS score of 2 or higher. read more...

Dr. Hugh Anton
October 18, 2010

Minimizing radiation exposure – decision to order imaging?

A recent study of nearly one million adults in the US determined that more than 2/3 of the subjects had at least one imaging procedure during the three year study period. CT and nuclear imaging accounted for 75.4% of the cumulative radiation dose. read more...

Dr. Daniel Ngui
October 4, 2010

An Update: BPH Management for Family Physicians

Every family physician faces the challenge of very limited clinical interview time with patients for a multitude of problems. Thus, we need to have an efficient framework to deal with patients with Benign Prostatic Hypertrophy. read more...

Dr. Roey Malleson
September 20, 2010

The Intra-Uterine Device

IUDs provide long term reversible birth control, rivaling tubal sterilization in contraceptive efficacy. They are associated with few complications, have excellent adherence records and are very cost effective. read more...

Dr. Edmond Chan
September 7, 2010

Pediatric allergy

“There is no convincing evidence that delayed introduction of food proteins such as peanut beyond 4 to 6 months of life has any benefit in allergy prevention” read more...

Dr. Amanda Hill
August 23, 2010

The natural history of severe dementia

In providing care to frail and severely demented elderly we see many patients with aspiration pneumonia, swallowing problems and failing to eat. We also see many patients fail to get better even when we have adequately addressed their acute medical issues. read more...

Dr. Adeera Levin
August 9, 2010

Understanding eGFR in the clinical context: who does and does not need referral?

Identifying patients with eGFR<60ml/min remains important to avoid potential risks, but it is becoming clear that referring all those patients to nephrologists is neither appropriate nor efficient. read more...

Dr. Brian Bressler
July 26, 2010

Probiotic therapy has changed my approach to treating patients with irritable bowel syndrome

Recently there has been clinical evidence for using probiotics for various medical conditions, including treatment of acute gastroenteritis, prevention of antibiotic-associated diarrhea and IBS. read more...