Shubham Shan is a medical student in the Class of 2019 at the University of Toronto
She arrived on an inclined stretcher, grasping her Venturi mask like a child holding on to her favourite toy. Flanked on both sides by paramedics, her eyes were splinted wide open by shock and her chest heaved up and down rapidly. She was a queer shade of purple — like spoilt red wine diluted with water — and her gaze flitted around the emergency department as if looking for someone familiar. The paramedics passed her off to the doctor then left, shaking their heads. I remember watching the doctor take the patient’s puffers. The patient swore loudly and snatched them from his hands; first the orange, then the blue. She cocked the puffers like guns, inserted them into her mouth, shot the mist deep, and inhaled. She coughed for what seemed like an eternity. She was what we called a “blue bloater.”
When I saw her again, she was lying on a tattered mattress with bright blue sheets in a freshly bleached acute care room in the emergency department. Her condition had gotten much worse. Her abdomen caved in paradoxically whenever she breathed in. Her eyes were bloodshot. Every time she exhaled, it sounded like an infant's rattle. ...continue reading →
Kim Perrotta is Executive Director of the Canadian Association of Physicians for the Environment ()
A month ago the Financial Post published entitled “They keep saying shutting down coal will make us healthier, so how come there’s no evidence of it?” written by Warren Kindzierski of the School of Public Health at the University of Alberta. It seems a sad statement of our times that this article, which muddies the waters with incomplete facts and misleading information about coal plants, air pollution and human health, was published in the middle of an important debate about policies aimed at supporting the phase-out coal plants Canada-wide by 2030. The Canadian Association of Physicians for the Environment feels strongly that publication of the article was irresponsible. ...continue reading →
is Deputy Editor at CMAJ; he recently returned from the American Thoracic Society 2015 in Denver, Colorado
Denver has always presented a striking contrast of natural beauty with urban realism. The two most prominent expressions I saw of the latter are an increased presence of homeless persons and the pungent and almost inescapable aroma of marijuana, both regularly encountered when walking down the pedestrian mall at the heart of the city’s downtown. The two and illustrate one of perhaps many unanticipated consequences of the recent legalization of marijuana in the state of Colorado.
I can’t decide if this made the choice of Denver as host city for the world’s largest lung diseases conference, the , particularly appropriate or particularly ironic. ...continue reading →