Reflections

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Sophie Soklaridis is an Independent Scientist and the Interim Director of Research in Education at The Centre for Addiction and Mental Health (CAMH)  in Toronto, Canada

 

Almost 23 years ago, I wrote a Master’s thesis that emerged from my experience with breastfeeding my son. After writing the cathartic 260-page thesis, I thought I was done with thinking about breastfeeding. Then I read about a woman with postpartum depression who died by suicide, with one of the main explanations she wrote in a note being that she was unable to exclusively breastfeed her baby. I also read on the link between breastfeeding difficulties and postpartum depression. When I recently started talking to new and expecting mothers, I realized that very little seems to have changed in the discourse around breastfeeding and the experience of being a “good” mother since I went through that lonely and painful time in my life. ...continue reading

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is Associate Professor in Radiology in The University of Ottawa and Radiology Quality Officer at The Ottawa Hospital.

Patient safety is taking its rightful place in the forefront of modern-day Canadian healthcare system that is committed to provide healthcare of the highest possible quality and value to its citizens. Medical care is not risk-free. Patients do experience complications, unintended outcomes and harm mostly related to risks inherent in healthcare but also at times due to negligence from the patient’s physicians, care team, hospital or the healthcare system as a whole. In most situations, these unfortunate situations provide opportunities for learning from mistakes and improve our healthcare system. Most if not all major accidents in medicine are preceded by a number of near misses and minor errors. ...continue reading

is an artist.  She’s also a physician. And she’s turning a promising career as a radiologist into a work of art.

The fifth year radiology resident sees art and beauty everywhere - in the scans she reads, in every encounter with patients and colleagues, in day-to-day life of London’s hospitals and the world of health care. In fact, she chose radiology as a specialty because it was a fit with her aesthetics as an artist, her love of anatomy and an affinity for seeing patterns and solving complex medical problems.

Now Kari is raising awareness of the intricacies, scope and importance of her chosen profession through art. In a unique project, she is creating a series of 12 oil paintings on canvass depicting various aspects of radiology and the role of radiologists as part of the health care team.

...continue reading

is the Executive Director of the (CHSL), and  publisher of magazine

 

The new Director General (DG) of the World Health Organization (WHO) will soon be elected. If the upcoming election does not effectively hold to account all candidates, especially the successful one, the WHO risks losing its influence as the leading global public health authority.

On May 23, 2017, for the first time in WHO’s history, all 194 Member States of its governing body, the World Health Assembly, will cast a vote for the new WHO DG at its annual meeting in Geneva. (Previously, the DG was selected by the WHO's 34-member Executive Board.)

But, public health challenges are too great to allow the vote to descend into geo-political horse-trading and unchallenged controversy-dodging in an environment where opportunities for public vetting are few.

The WHO DG is head of a global staff of 7,000 and chief global ambassador to national health ministries world-wide. The WHO’s prominence and the need for its leadership in global public health have long been greatest in low- and middle-income countries where national health systems suffer a relative lack of financial resources and specialized technical expertise.  But high-income countries draw on the WHO’s work, ranging from graded distillations of nutrition and alcohol research to annual advice about the best flu vaccine to administer globally.

The three candidates shortlisted for the position of DG have been persistently ambiguous about their stances on important governance issues. ...continue reading

is soon to graduate from Memorial University's medical school, and is headed to a Neurosurgery Residency program at the University of Calgary; he is a former Major Junior and University hockey player and a founding member of

 

On Monday May 1, 2017, the Pittsburgh Penguins entered their second-round playoff game against the Washington Capitals with a tight 2-0 grip on their best-of-7 playoff series. An important reason for this was the play of their star captain: Sidney Crosby.

Through 2 games in the series, Crosby had scored 2 goals and added 2 assists. He was, as he had been for much of the preceding year, playing at a level higher than anyone else in the sport of hockey. However, in the first period of game three, the fortunes of the Pengiuns and their superstar appeared to change when he was cross-checked in the face by the Washington Capitals’ Matt Niskanen.

Crosby lay on the ice for several minutes, and was eventually helped up by his teammates before skating off the ice under his own power. ...continue reading

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is President at Eminent Tech Corporation and an Adjunct Professor of Physics, School of Graduate Studies at York University

 

Growing evidence of of care across healthcare organizations, along with , has made the quality of health care . This has drawn significant government and regulatory attention to healthcare systems across the country. Health Quality Ontario (HQO) was established with the mandate to monitor and report on healthcare performance in Ontario and the mission to bring about meaningful improvement in health care. Besides reporting on the key performance indicators, HQO holds to share knowledge and best practices. Recently, I attended one of HQO’s quality rounds,  and I left with the impression that quality in health care is not considering the right measures, using the right experts or measuring the right data. ...continue reading

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Praveen Ganty is a Consultant in Pain Medicine & Anesthesia in Toronto

 

There is a new fashion in the world of Medicine, and in the world of primary care in particular. It is the reluctance to continue prescribing, or to prescribe, opioids. There are two sides to the situation. As medical professionals, we have realized the potential harm that opioids can cause to potentially any patient, especially if prescribed for chronic non-cancer pain. However, many of us have also decided to stop prescribing opioids to patients who have been on them for many years, which raises some concerns.  The first principle in the practice of Medicine is Primum non nocere-first do no harm - (modified to ‘first do no further harm’ by some authors).

Managing chronic pain is not easy and - let’s face it - most of us don’t have enough training in this area. A 2011 survey revealed that only an average of 19.5 hours are devoted to the management of pain in an average medical school curriculum. ...continue reading

Charlie Tan is a medical student at McMaster University

is Associate Medical Officer of Health at Peel Public Health

 

Too often, physicians forget that they might be just one of many sources of health advice that patients access. Behind every physician-patient encounter is a difference in how health and wellness are perceived and pursued. For many physicians, their views and advice are shaped by formal education and training, the Hippocratic Oath, and the insights of colleagues, researchers, and experts. Their patients, by contrast, have a different and often wider range of influences, be it personal beliefs, social networks, or cultural traditions.

Over the last three decades, physician practice has been transformed by two important movements ...continue reading

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Sarah Currie lives in Ottawa, Ontario

 

I changed jobs this week. On Monday, my first day, when I should have been primarily concerned with learning the office microwave-cleaning rota and orienting myself to a new Xerox print centre, I was a little preoccupied. At 8 pm on Sunday, I found out that my father had fallen, broken his hip, undergone emergency surgery, and was in isolation in a hospital in southwestern Ontario. Details were fuzzy. Hospital staff would not share much with my aunt, my father’s sister. He had managed to call her on Sunday morning, 24 hours after his fall, once he had come round after anaesthesia. He needed her to go to his house to make sure my mom was okay. My mom wasn’t answering the phone.

Unanswered phone calls are not uncommon at my parents’ house. My father is quite hard of hearing, after spending 37 years as an infantry officer. My mother tends not to answer the phone because she is self-conscious. She has a severe cognitive disability ...continue reading

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Trevor Hancock is a professor and senior scholar at the University of Victoria’s school of public health and social policy

 

The ’s Great Law is said to include the principle of making decisions taking into account impacts on the  seventh generation, which means thinking 140 – 175 years ahead. That is a far cry from our modern politicians, who can barely think past the next election, never mind our businesses and stock markets that are too often focused only on the next quarter’s bottom line.

As Canada celebrates its , it seems a particularly good time to think about the next 150 years. Of course we can’t predict that far ahead; imagine how much of today’s world we could have predicted in 1867. But there is no doubt that what we do today will have impacts at least 150 years into the future, and probably much further. ...continue reading