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...
Alison Hoens and Dr. Alex Scott
Jan 07, 2014
Lateral Epicondyle Tendinopathy (Tennis Elbow) Toolkit
Tendinopathy of the lateral epicondyle can be a difficult problem to resolve. The Lateral Epicondyle Tendinopathy Toolkit is an excellent resource for physicians looking to quickly advise patients on interventions to manage both acute and chronic tennis elbow. read more...
Dr. Steve Wong
Dec 23, 2013
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 2014. read more...
Dr. Rosemary Basson
Dec 03, 2013
When vulvovaginal atrophy involves loss of genital sexual sensitivity: local (vaginal) dehydroepiandrosterone (DHEA) shows promise
Recent studies have shown that the local delivery of the main precursor hormone of testosterone and estrogen, dehydroepiandrosterone (DHEA) effectively treats dyspareunia and dryness from VVA and does not increase serum levels of estrogen and testosterone. read more...
Dr. Keyvan Hadad
Nov 18, 2013
Swaddling and developmental dysplasia of the hips
Hip dysplasia can lead to degenerative hip disease and is a leading cause of early arthritis of the hip. Risk factors for this condition include female gender, breech delivery and positive family history. Some recent data has shown a significant increase in the prevalence of this condition. read more...
Dr. Glen Burgoyne
Nov 04, 2013
B.C. Cancer Agency Colon Cancer Program
In 2009 the BC Cancer agency initiated a pilot population-based approach to colon cancer screening. I was fortunate to be located in Penticton, the first site of the pilot program. A provincial colon cancer screening program is now being implemented province-wide. read more...
Dr. Craig Goldie
Oct 21, 2013
Choosing Wisely – A resource to help reduce unnecessary or harmful tests and interventions
www.choosingwisely.org is a resource provided by the ABIM Foundation (Advancing Medical Professionalism to Improve Health Care) and is focused on encouraging physicians and patients to think and talk about medical tests and procedures that may be unnecessary or could cause harm. read more...
Dr. Sarah Stone
Oct 07, 2013
HIV in Family Practice: testing & diagnosis
As a family physician practicing at St Paul’s Immunodeficiency clinic in Vancouver, I have cared for patients living with HIV for over 10 years. Many patients are referred to the clinic at a stage of disease where treatment would have been beneficial if started earlier. read more...
Drs. Kam Shojania and Neda Amiri
Sep 23, 2013
Effects of glucocorticoids on cardiovascular risks in patients with rheumatoid arthritis
Rheumatoid arthritis has been described to be associated with an increased risk of cardiovascular disease. This risk appears to be multifactorial in nature. However, there is emerging evidence that glucocorticoids play a role. read more...
Dr. Andrew Howard
Sep 10, 2013
Managing the complicated somatoform disorder patient
Somatoform and conversion disorders are common psychiatric presentations in general practice. When chronic, like most psychiatric conditions, they commonly cause leave from work, poor quality of life for patients and supports, and heavy burden on medical practices. read more...
Kristin Turner, MSc, CGC, CCGC
Aug 27, 2013
Evaluation of familial cancer risk: it starts at www.screeningbc.ca
Identification of hereditary cancer families in BC is important to provide individuals at elevated cancer risk with appropriate screening and risk management recommendations. read more...
Dr. Teresa Liu-Ambrose
Aug 06, 2013
Reduce falls by improving cognitive function
Falls are a common geriatric syndrome and are the third leading cause of chronic disability worldwide. Improved cognitive function, in particular executive functions, is an important mechanism by which the exercise reduces falls and improves overall mobility. read more...
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