Dr. James Bergman
Mar 05, 2012
Paradigm shift in treatment of hemangiomas
At present, for hemangiomas patients who I feel need systemic therapy I personally use oral Propanolol instead of systemic steroids, as I believe that the benefit risk analysis presently favours Propanolol. read more...
Dr. Karen Gelmon
Feb 20, 2012
Understanding breast cancer responsiveness
There has been an explosion of information about the genetics and molecular makeup of breast cancers with a heightened understanding that this is not one disease. Using newer sequencing technology, researchers have suggested 9 distinctive types of the disease. read more...
Dr. Michael Clifford Fabian
Feb 06, 2012
Something as basic as wax cleaning!
Cerumen build-up is a common problem for patients and doctors alike. According to McCarter et al cerumen impaction is present in approximately 10 percent of children, 5 percent of normal healthy adults and up to 57 percent of older patients in nursing homes. read more...
Dr. Breay Paty
Jan 23, 2012
Tailoring therapy for type 2 diabetes: the role of incretins
These oral agents, administered once daily, augment endogenous GLP-1, resulting in an A1C reduction of 0.5 – 0.9%. Since GLP-1 does not directly stimulate insulin, they have the advantage of not promoting hypoglycemia or weight gain. read more...
Dr. Steve Wong
Jan 09, 2012
This app changed my practice: CCS lipid guidelines
This app allows a very rapid entry of relevant parameters to perform risk assessments using the Framingham Risk Score but also the Reynolds Risk Score. read more...
Dr. Steve Wong
Dec 19, 2011
Letter from the editor
As 2011 draws to a close, I’d like to take an opportunity to thank all of our readers for their support, suggestions, and encouragement. It’s been a very gratifying experience for all of us involved at This Changed My Practice. read more...
Dr. Kenneth Madden
Dec 06, 2011
What is the correct dosing for Vitamin D?
Every year, one-third of older adults (age greater than 65) experience one or more falls. One therapy with the potential to reduce both falling and fractures is vitamin D supplementation, possibly due to a direct stimulation of vitamin D receptors on muscle tissue. read more...
Dr. Paul Thiessen
Nov 22, 2011
Vapor rub for treatment of nocturnal cough and cold symptoms in children
Upper respiratory infections are the most common illnesses seen in childhood, and the symptoms are often disruptive for both the child and the whole family. read more...
Dr. Shirley Sze
Nov 07, 2011
Non-suicidal self-injury: reducing future risk
I now recognize the inherent high risk of successful suicide (10%) in this population and the need to address non-suicidal self injury with the seriousness that it deserves. read more...
Dr. Judy Allen
Oct 24, 2011
The most important question never asked about sleep
Prior to working at a Sleep Clinic had failed to ask the most important question when assessing insomnia concerns in patients with or without a primary psychiatric disorder. Before resorting to sedative hypnotic, antidepressant and/or antipsychotic polypharmacy... read more...
Dr. Sharlene Gill
Oct 11, 2011
Improving end-of-life care for patients with advanced cancer
In a recent randomized trial patients with advanced lung cancer who received both chemotherapy and also received care and support from a palliative care team immediately after their diagnosis lived almost three months longer than those who received chemotherapy alone. read more...
Dr. George Luciuk
Sep 25, 2011
It’s just a runny nose!
Nasal woes can cause lots of complications. Most of them start insidiously but can progress steadily. Awareness by the family physician of what “can happen” is very important. read more...
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