All articles

Glynnis Tidball, MSc (Aud, SLP), RAUD
Oct 28, 2014

Tinnitus – The Essentials of Patient Care in BC

Tinnitus – the perception of sound generated in the head – is a common complaint, with about 10-15% of the general population reporting tinnitus at least once a week. read more...

Dr. Mustafa Toma and Dr. Christopher Cheung
Oct 15, 2014

Diuretic strategies in patients with acute decompensated heart failure

In patients presenting with acute decompensated heart failure and previously on oral loop diuretics at home, there is no difference between low-dose and high-dose furosemide, or bolus and continuous infusions, on the patient’s global assessment of symptoms and changes in serum creatinine at 72 hours. read more...

Dr. Alisa Lipson
Sep 30, 2014

Early diagnosis of autism

Autism rare? Not so now. The current prevalence is a staggering 1 in 68, about four times as common as type 1 diabetes, with a male to female ratio of 5:1. read more...

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


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 resource 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...

Francoise Mathieu
Mar 26, 2014

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...