All articles

Dr. Rosemary Basson
Jun 10, 2013

Provoked vestibulodynia (PVD) needs holistic management and a chronic pain approach

How to manage PVD is an extremely common question. PVD affects 12 -15 % women most of whom are relatively young. The common co-morbidity of PVD strongly supports a chronic pain approach. read more...

Dr. William T. Gibson
May 27, 2013

Pharmacogenetics and pharmacogenomics: practice tips

Frequently asked questions I've noticed: Why isn’t that drug working? Why did that unusual side effect happen? read more...

Dr. Daniel Ngui
May 13, 2013

How a family physician can help patients with chronic pain: a guide to navigating patient internet resources in BC

2 websites have changed my practice: PainBC.ca provides options beyond medications & piPain.com People in Pain Network hosts a self-management awareness program. read more...

Dr. Natasha Press
Apr 29, 2013

Clostridium difficile infection (CDI)

In the past few years, a hypervirulent strain of C. difficile, called NAP-1, has caused hospital outbreaks that have been unusually severe and recurrent. read more...

Drs. Mustafa Toma and Neda Amiri
Apr 15, 2013

Aldosterone antagonists for the treatment of systolic heart failure

Spironolactone or eplerenone should be added to BB and ACEi/ARB in NYHA class II HF patients with EF < 30-35% in the absence of significant renal impairment or hyperkalemia. read more...

Dr. Michelle Withers
Apr 01, 2013

Barrier repair in atopic dermatitis

It is well recognized that AD patients have very dry skin as part of their clinical picture. As such, a very important part of discussing the treatment of AD includes the importance of moisturizing the skin on a regular basis to try to ameliorate dryness. read more...

Dr. Mary V. Seeman
Mar 18, 2013

Care gaps in schizophrenia: male/female differences

This week, we're publishing two articles on the topic of schizophrenia. Dr. Seeman's article addresses key differences in males and females afflicted by schizophrenia, while Ms. Iman's article focuses on how physicians can better support the parents of people with schizophrenia. read more...

Dr. Nigel Sykes
Mar 04, 2013

Appropriate use of sedation in palliative care

The keys to an ethically defensible use of sedation in palliative care are, firstly, careful assessment to determine whether the causes of the distressing symptoms can be reversed and, secondly, the use of sedative doses that are proportional to the severity of the distress. read more...

Dr. Jan Hajek
Feb 18, 2013

Never ignore an elevated eosinophil count – especially in travellers, immigrants and refugees

The world is increasingly connected and infectious diseases know no borders. We need to be pro-active in adequately screening our patients. read more...

Drs. Sandra Sirrs and Neda Amiri
Feb 04, 2013

Thyroid Nodules: Get more information from your ultrasound

Ultrasound can be a powerful tool in distinguishing thyroid nodules with malignant potential from benign ones. Thyroid nodules found on physical examination are common. Fewer than 5% of these nodules are malignant. read more...

Dr. Ran Goldman
Jan 21, 2013

Acute limping in children

Acute limping is a very common chief complaint among children visiting a clinic. When children with a limp present to you, always consider the possibility of septic arthritis. How can one differentiate between transient synovitis and septic arthritis? read more...

Dr. Richard Cohen
Jan 17, 2013

Stuck in Transmission: Time to Change Gears

In the past I followed a tried and tested format for classroom lecturing ‘Tell them what you are going to tell them’ (a set of well-written educational objectives), ‘tell them what you want to tell them’ (no shortage of instructional papers on how to develop a good PowerPoint presentation) and finally ‘tell them what you have told them’ (a concise summary). read more...