Dr. Nadia Zalunardo
Sep 15, 2014
What blood pressure should I target in my patients with chronic kidney disease?
The most common cause of death among individuals with chronic kidney disease is cardiovascular disease. For most people with CKD, the risk of cardiovascular death exceeds the risk of developing end stage kidney disease. read more...
Dr. Keyvan Hadad
Sep 02, 2014
Routine neonatal oximetry screening for critical congenital heart defects in British Columbia: It’s time!
Congenital heart defects account for more newborn deaths than any other type of congenital defect, representing up to 40% of all deaths from congenital defects and 3–7·5% of all infant deaths. read more...
Dr. Stan Lubin
Aug 02, 2014
Meniscectomy
In the 1970’s if you had a suggestive history, physical exam, and no osteoarthritis you would probably have a complete meniscectomy. Often the knee pain persisted postoperatively. Then complete meniscectomy was shown to be associated with a significantly increased risk of osteoarthritis. read more...
Dr. Dean Elbe
Jul 01, 2014
DrugCocktails.ca resource
DrugCocktails.ca website now covers almost 200 prescription and over-the-counter medications, and 10 substance categories. It has been developed as a resource for youth and staff within Children’s & Women’s Health Centre of British Columbia Branch (C&W) for Provincial Health Services Authority and its branch agencies. read more...
Dr. Pam Squire
Jun 09, 2014
Managing opioid withdrawal
Many people mistake the pain of withdrawal as their usual pain and assume their pain improved because the opioid was relieving their pain, when it was more often just relieving the pain associated with the induced withdrawal. read more...
Dr. Rosemary Basson
May 21, 2014
Minimal evidence of benefit from medications to increase sexual desire
Aside from testosterone replacement to younger men with proven testosterone deficiency, evidence of benefit from hormonal or pharmacological therapy to increase sexual desire is minimal. read more...
Dr. Tara Sedlak
Apr 14, 2014
Myocardial infarction in women without obstructive coronary artery disease
Women with myocardial infarction (MI) have a two fold higher rate of no obstructive coronary artery disease (CAD), defined as <50% stenosis in any epicardial coronary artery on angiogram, than men. Despite this, outcomes including death during hospitalization following an MI are higher among women (particularly women <55 years) as compared to men. read more...
Compassion Fatigue What you don’t know will hurt you
When you started your medical training, were you told that you could potentially be permanently psychologically damaged by your job? Did your medical school instructors provide you with a toolkit to prevent compassion fatigue and vicarious trauma? read more...
Dr. Natasha Press
Mar 05, 2014
Update on the guidelines for Subacute Bacterial Endocarditis (SBE) prophylaxis
The most recent AHA guidelines (2007) have limited antibiotic prophylaxis to those patients at highest-risk for developing endocarditis and who are undergoing high-risk invasive procedures. read more...
Dr. Kara Jansen
Feb 18, 2014
Using domperidone to enhance lactation
In 2009 I spent a year studying Breastfeeding Medicine in Melbourne, Australia. I now understood more about the physiology of lactation and the role we think domperidone plays in supporting lactation. read more...
Dr. David Sheps
Feb 04, 2014
Midshaft Clavicle Fractures
When a patient with a displaced mid-shaft clavicle fracture presents to you, is there a need to consider a referral for surgical management, or can you treat these patients non-operatively? read more...
Drs. Kam Shojania and Neda Amiri
Jan 21, 2014
Five clinical points on Rheumatoid Arthritis in Family Practice
The Canadian Rheumatology Association (CRA), American College of Rheumatology (ACR), and European League against Rheumatism (EULAR)7 have put forward revised guidelines in the recent years in their treatment approaches for rheumatoid arthritis. More than ever there is an emphasis on early diagnosis and appropriate treatment with disease-modifying anti-rheumatic drugs (DMARDs). read more...
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