Post Archives

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...

Dr. Bob Bluman
July 11, 2010

New fee codes and treatment options have improved my care of patients with mental health problems

It was usually difficult to get my patients into appropriate resources and due to my lack of tools and time to help these patients, I would often prescribe medications. read more...

Dr. Barb Melosky
June 28, 2010

Evidence shows that chemotherapy holidays may not be in the best interest for patients with metastatic colorectal carcinoma

A 6 month survival difference was seen in those patients who did not receive a chemotherapy free interval. read more...

Dr. Monica Beaulieu
June 14, 2010

New study on the use of erythropoietin stimulating agents in chronic kidney disease has made us evaluate the risk-benefit of ESA’s in CKD patients not on dialysis.

The evidence strongly suggests that there is little to no benefit gained by raising the Hb over > 100g/L (and perhaps even lower) in diabetic patients with CKD not on dialysis. read more...

Dr. Steve Wong
April 20, 2010

Choosing antihypertensive combos: does it matter how you do it?

I generally started with thiazide diuretics (due to cost and proven effectiveness) then added either an ACE inhibitor (ACEi) or a calcium channel blocker (CCB), consistent with the Canadian Hypertension Society Guidelines. read more...

Dr. Natasha Press
April 16, 2010

MRSA skin and soft tissue infections

A 32 year old woman, otherwise healthy, presented with a “spider-bite”. On exam, she had a tender abscess on her buttock. It was associated with some surrounding cellulitis but no fever or other systemic features. read more...

Dr. Breay Paty
April 15, 2010

What are the CV risks of TZDs: have the safety questions been answered?

Since their introduction, certain contraindications and side effects have been well known, including worsening heart failure, edema (including macular edema) and weight gain. read more...