Monthly Archives: May 2018

Beatrice Preti is an Internal Medicine Resident (R1) at Queen's University

 

 

 

It was the strangest of days when I met him first
Everything jumping from awful to worse
People were shouting and crying and seizing
Coughing and choking and retching and wheezing
It was nearly twelve hours before I could go home
But the attending doc called direct on my phone
And asked me, please, could I see one patient more?
Well, I couldn’t say no, so I went back to the floor
And met him there, though, then, he was alive,
But looking so dead I knew he hadn’t long to survive
Yet I took the history, and wrote everything thing down
Signed the orders, made the calls, and finished my rounds
Tucked him in for the night, and was just about to leave
When he said to me, “Doc? How much time do I have, please?” ...continue reading

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is Deputy Editor at CMAJ

 

A week ago, André Picard published entitled “How many people actually suffer from mental illness?” and later to readers for making that column the publication’s most-read story of the day. The column may have been well-read - it certainly sparked controversy on social media - but it wasn't because Picard had anything very profound to say. In fact the piece was based on an epidemiological faux pas, which is why .

Commenting on the findings of a poll commissioned by Sun Life Financial Canada, which found that 49% of Canadians have “experienced a mental health issue” at some point in their lives, ...continue reading

Maggie Hulbert is a medical student in the Class of 2020 at Queen's University

 

(HarperOne/HarperCollins Publishers, 2018)

I remember learning about “atypical” presentations of heart attacks during a cardiology lecture in my second year of medical school. Jaw pain, shoulder pain, and fatigue replace the archetypal central chest pain and diaphoresis, making the diagnosis much more subtle and easy to miss. Only later, as a footnote, was it mentioned that these presentations usually occurred in women. I thought it was odd that something that occurs in half the population was said to be “atypical,” but as is so often the case in medical school, I didn’t have time to dwell on it for long; the lecturer had already moved on to angina and I missed what he had said about beta-blockers. ...continue reading

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Arjun Sharma is a medical student in the Class of 2019 at the University of Toronto

 

Picture a physician on a hospital ward at the day’s peak.

He jumps from one task to the next: patients being careened off for tests, colleagues who wish to discuss care plans, progress notes that need documenting, and piles of orders that need filling. Add to that the tune of beeping pagers, ringing telephones, and clattering keyboards, and not a single minute is spared of its full economy.

I’m watching all this during my first stint on a hospital ward. As a newly minted clinical clerk caught in the professional purgatory between classroom-cocooned medical student and ward-flying physician, I’m asked to do much of the work of the latter. But having only two years of study under my belt means much of medicine still remains beyond my intellectual reach. ...continue reading

Betel Yibrehu is a medical student in the Class of 2020 at The George Washington University School of Medicine and Health Sciences in Washington, DC. She is interested in medical education, diversity in medicine, and global surgery.

 

Canadian medical students at home and abroad reflect on the record numbers of unmatched applicants in the Canadian Resident Matching Service.

For many, acceptance into medical school marks the culmination of years of hard work and the start of a secure path towards a career in a rigorous yet rewarding field. In reality, acceptance into and completion of medical school means nothing without securing a residency position. And unfortunately, obtaining a residency spot in Canada has become an increasingly difficult endeavour. ...continue reading

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Imaan Javeed is a medical student at the University of Toronto

 

On Monday, April 23, while driving on Yonge Street near Finch Avenue in Toronto, it's alleged that Alek Minassian whipped the steering wheel of his rented white Ryder van sideways and killed ten innocent, unsuspecting people; physically injured sixteen more; and emotionally scarred hundreds of others. At the time of my writing, a clear motive for these actions has yet to be publicized. Minassian is alive and certainly under investigation, , but there still isn't much we know about the lead-up to the event.

Indeed, much to the dismay of some members of the media, the 'default' assumption quickly turned out to be untrue — there was not a single known link to "" terrorist groups or foreign radicalization to be found. ...continue reading

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is a General Surgery Resident (R3) at the University of Calgary who completed his Master of Public Health at the Harvard T. H. Chan School of Public Health in the Global Health track. He is interested in global surgery, implementation science, and trying to keep up with his two children.

Alastair Fung is a Pediatrics Resident (R3) at the University of Manitoba who completed his Master of Public Health at the Harvard T. H. Chan School of Public Health in the Global Health track. He is interested in early childhood development and pediatric infectious diseases in low-resource countries, as well as Canadian indigenous child health.

 

A child is admitted to the PICU for hemiplegia and diagnosed with a brain abscess. The culture of the abscess fluid grows dental flora; clearly, poor education and access to dental hygiene are the root cause. ...continue reading

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Jessica Dunkley is a PGY-4 in dermatology at UBC. She completed her family medicine residency at the University of Alberta

 

Every year, Match Day for CaRMS brings back heart wrenching memories for me.  It is a terrifying day for medical students who do not match to residency.  For many years medical students have placed all of their eggs in one basket - to get that one spot in residency.  Their entire lives of dreaming to become a doctor depend on that day. I matched to a competitive specialty only to be told that my disability – hearing loss - would not be supported in residency because it was different from medical school.  ...continue reading

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 is a medical student in the Class of 2018 at the University of Alberta

 

In healthcare, we sometimes hear the saying, “I went home thinking about that patient.” I thought I knew what this meant until I met Winnie.

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It was a foggy Tuesday and the humidity hung thick in the air. On my first day as an elective student in Palliative Care, I was apprehensive as I exited the elevator onto the hospital unit where I would be spending the next two weeks. Soon after my orientation, I was asked to go meet my first patient. Winnie came to us with pain and shortness of breath due to an advanced lung cancer. We worried that Winnie’s hospital bed would become her death bed. ...continue reading

is Chief of Dentistry at Sunnybrook Health Sciences Centre and President of the Canadian Association of Hospital Dentists

 

 

Dentists in community practices usually work in isolation from our physician colleagues. Often, dentists  prescribe an antibiotic to patients in advance of minor dental procedures like root canal therapy. Evidence shows us that the prophylactic antibiotic use for most patients is not necessary in these cases. And, if the patient develops a C. difficile infection several weeks after the unnecessary antibiotic, the dentist is usually not informed of this until the patient is seen at their next checkup – if at all. Not only do dentists not usually get feedback about the adverse event caused by inappropriate antibiotic use, they are also unaware of their role in the emergence of antimicrobial resistance.

For reasons such as this, the Canadian Association of Hospital Dentists has recently . ...continue reading