All articles

Dr. Deborah Altow
Apr 01, 2015

Why Am I Talking?

Dr. Deborah Altow (biography and disclosures) What I did before Like many teachers, I was seduced by the imperative to make sure my students gained the benefit of my experience, and thus I talked too much. I had always told my students that the two 4-letter words they needed most were KIND and WAIT. One […] read more...

Drs. Kam Shojania and Neda Amiri
Mar 31, 2015

Part 1: Diagnosing Gout in Primary Care Settings: Do we have to tap?

Gout is one of the most common forms of arthritis, affecting 1.4% of the population. Primary care physicians diagnose and manage most patients with gout. While the gold standard for diagnosing gout is visualization of monosodium urate crystals (MSU) in joint fluid under polarization microscopy, this is not always the case. read more...

Dr. Daniel Dodek
Mar 18, 2015

This app changed my practice: Mindshift App

Mental health problems including anxiety, depression and stress make up a large proportion of a typical day in primary care medicine. They also contribute a huge comorbid burden in specialty care. These conditions all require an intense amount of time to help and manage patients. read more...

Dr. Amin Kanani
Mar 02, 2015

Does my patient have a food allergy?

Patients are often referred to determine if they have a food allergy. The prevalence of food allergy in Canada is 6.7%, however more than 20% on the population modifies their diet because of perceived food allergy. Approximately 85% of all food allergies are to peanut, tree nut, cow’s milk, egg, wheat, soy, sesame and seafood. read more...

Dr. Breay Paty
Feb 18, 2015

Incretin Safety: What is the Evidence?

Nausea can be a common side effect of GLP-1 receptor agonist, which can sometimes be dose limiting. However, this usually improves with time. As a new class of agents, evidence for the long-term safety of incretins is still emerging. Most of the safety questions involve cardiovascular (CV) risk, as well as pancreatitis and pancreatic cancer. read more...

Dr. Suren Sanmugasunderam
Feb 03, 2015

Age-Related Macular Degeneration: New treatments that changed my practice

There are 2 major forms of Age-Related Macular Degeneration (ARMD). The dry form is characterized by drusen, pigmentary mottling and retinal and retinal pigment epithelial atrophy. The wet form is characterized by choroidal neovascular membranes (CNVM). read more...

Dr. Richard Kendall
Jan 20, 2015

Knee arthroscopy for conditions of the degenerative knee

Arthroscopy is often thought of as an effective, low morbidity procedure for the treatment of arthritis, symptomatic meniscus tears, or possible intra-articular loose bodies. The question is however, “Is arthroscopy effective in the treatment of arthritis or degenerative meniscus tears?” read more...

Dr. Alexander Chapman
Jan 06, 2015

Non-suicidal self-injury

Often, self-injury is managed and treated in the context of therapy work with a psychologist or psychiatrist. Family physicians, however, are in an excellent position to be first responders, to offer helpful suggestions, and to help refer the patient to appropriate care. read more...

Dr. Steve Wong
Dec 23, 2014

Letter from the editor

Thanks again to all of our readers, authors, editors and support team. On behalf of all of us at This Changed My Practice, I’d like to wish everyone a safe, happy and healthy holiday season! See you in 2015. read more...

Dr. Greg Rosenfeld
Dec 10, 2014

Fecal biomarkers in the diagnosis and management of inflammatory bowel disease

Fecal Calprotectin is a simple laboratory investigation performed on a first-morning stool sample which is widely available in BC. read more...

Dr. Chris Stewart-Patterson
Nov 25, 2014

Can my patient safely drive on long-term daily opioid medication?

A significant number on patients on daily opioid medications may not be safe to drive a motor vehicle and that particular clinical issue can be problematic to assess within a primary care clinic visit. read more...

Dr. Anna Tinker
Nov 12, 2014

Ovarian cancer and hereditary predisposition

I refer all women diagnosed with a HGSC of the ovary, fallopian tube or the peritoneum, irrespective of age, to the Hereditary Cancer Program for genetic counseling and for BRCA mutation testing. read more...