All articles

Dr. Steve Wong
November 2, 2010

Leaving warfarin for the rats? A new option in anticoagulation for atrial fibrillation

I now strongly consider using dabigatran instead of warfarin in patients with a CHADS score of 2 or higher. read more...

Dr. Hugh Anton
October 18, 2010

Minimizing radiation exposure – decision to order imaging?

A recent study of nearly one million adults in the US determined that more than 2/3 of the subjects had at least one imaging procedure during the three year study period. CT and nuclear imaging accounted for 75.4% of the cumulative radiation dose. read more...

Dr. Daniel Ngui
October 4, 2010

An Update: BPH Management for Family Physicians

Every family physician faces the challenge of very limited clinical interview time with patients for a multitude of problems. Thus, we need to have an efficient framework to deal with patients with Benign Prostatic Hypertrophy. read more...

Dr. Roey Malleson
September 20, 2010

The Intra-Uterine Device

IUDs provide long term reversible birth control, rivaling tubal sterilization in contraceptive efficacy. They are associated with few complications, have excellent adherence records and are very cost effective. read more...

Dr. Edmond Chan
September 7, 2010

Pediatric allergy

“There is no convincing evidence that delayed introduction of food proteins such as peanut beyond 4 to 6 months of life has any benefit in allergy prevention” read more...

Dr. Amanda Hill
August 23, 2010

The natural history of severe dementia

In providing care to frail and severely demented elderly we see many patients with aspiration pneumonia, swallowing problems and failing to eat. We also see many patients fail to get better even when we have adequately addressed their acute medical issues. read more...

Dr. Adeera Levin
August 9, 2010

Understanding eGFR in the clinical context: who does and does not need referral?

Identifying patients with eGFR<60ml/min remains important to avoid potential risks, but it is becoming clear that referring all those patients to nephrologists is neither appropriate nor efficient. read more...

Dr. Brian Bressler
July 26, 2010

Probiotic therapy has changed my approach to treating patients with irritable bowel syndrome

Recently there has been clinical evidence for using probiotics for various medical conditions, including treatment of acute gastroenteritis, prevention of antibiotic-associated diarrhea and IBS. read more...

Dr. Bob Bluman
July 11, 2010

New fee codes and treatment options have improved my care of patients with mental health problems

It was usually difficult to get my patients into appropriate resources and due to my lack of tools and time to help these patients, I would often prescribe medications. read more...

Dr. Barb Melosky
June 28, 2010

Evidence shows that chemotherapy holidays may not be in the best interest for patients with metastatic colorectal carcinoma

A 6 month survival difference was seen in those patients who did not receive a chemotherapy free interval. read more...

Dr. Monica Beaulieu
June 14, 2010

New study on the use of erythropoietin stimulating agents in chronic kidney disease has made us evaluate the risk-benefit of ESA’s in CKD patients not on dialysis.

The evidence strongly suggests that there is little to no benefit gained by raising the Hb over > 100g/L (and perhaps even lower) in diabetic patients with CKD not on dialysis. read more...

Dr. Steve Wong
April 20, 2010

Choosing antihypertensive combos: does it matter how you do it?

I generally started with thiazide diuretics (due to cost and proven effectiveness) then added either an ACE inhibitor (ACEi) or a calcium channel blocker (CCB), consistent with the Canadian Hypertension Society Guidelines. read more...