CMAJ Podcasts: Exploring the latest in Canadian medicine from coast to coast to coast with your hosts, Drs. Mojola Omole and Blair Bigham. CMAJ Podcasts delves into the scientific and social health advances on the cutting edge of Canadian health care. Episodes include real stories of patients, clinicians, and others who are impacted by our health care system.
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ENCORE: Confronting the high stakes of incivility in health care
37:55
37:55
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37:55
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Eve Purdy makes it clear what’s at stake when it comes to incivility in medicine. "It's very simple. Incivility kills patients, and that needs to be the single line of every healthcare leader responsible for managing and leading teams.” Dr. Purdy joins Dr. Sarah Kim and hosts, Drs. Bl…
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Managing the serious risks of vaping among youth
28:11
28:11
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28:11
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole address the increasingly urgent issue of adolescent vaping. Rates of use of e-cigarettes containing nicotine by youth in Canada continue to be among the highest in the world. They speak with Dr. Madelynn Hannah, a clinical pharmacist, and Dr. Trisha T…
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Innovative solutions to a vexing issue: “social admissions”
36:15
36:15
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36:15
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole tackle the complex issue of "socially admitted" patients, sometimes uncharitably referred to as "granny dumping." They explore the factors leading to these non-acute medical admissions, the challenges faced by healthcare providers and innovative solut…
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Groundbreaking advancements in HIV treatment and prevention
44:54
44:54
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44:54
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole explore groundbreaking advancements in HIV treatment and prevention. They examine various innovative approaches that are transforming the landscape of HIV care. Dr. Darrell Tan, a clinician scientist at St. Michael's Hospital and associate professor a…
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Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss the latest concerns surrounding the H5N1 virus. They explore the current state of its transmission, symptoms and treatments. They also assess our pandemic preparedness and whether we are applying the lessons learned from COVID-19 to this new p…
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Integrating exercise into depression care
33:10
33:10
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33:10
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss the evidence supporting exercise as an effective treatment option for mild to moderate depression. They explore how exercise might be used effectively and the challenges involved in implementing it for patients. Dr. Nicholas Fabiano, a second-…
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Responding to rising measles rates in Canada
31:38
31:38
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31:38
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole tackle an unexpected yet urgent topic: the resurgence of measles. With rising cases globally and in Canada, they discuss the implications and necessary actions for healthcare professionals. Dr. Sarah Wilson, a public health physician at Public Health …
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Constructive conversations on CanMEDS revisions
43:32
43:32
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43:32
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss the heated debate over proposed updates to the CanMEDS framework. The controversy ignited when an interim report placed principles of equity, social justice, and anti-racism at the heart of the framework, rather than medical expertise. Dr. Kan…
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Navigating the complex relationship between palliative care and MAiD
34:55
34:55
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34:55
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole explore the intricate relationship between medical assistance in dying (MAiD) and palliative care in Canada. They focus on a qualitative study titled "Perspectives of Canadian healthcare leaders on the relationship between medical assistance in dying …
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1
Confronting the high stakes of incivility in health care
37:19
37:19
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37:19
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Eve Purdy makes it clear what’s at stake when it comes to incivility in medicine. "It's very simple. Incivility kills patients, and that needs to be the single line of every healthcare leader responsible for managing and leading teams.” Dr. Purdy joins Dr. Sarah Kim and hosts, Drs. Bl…
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1
Diagnosis and treatment of anorexia nervosa in adolescent males
38:10
38:10
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38:10
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole closely examine anorexia nervosa in male adolescents, a topic that frequently escapes notice. Their discussion highlights the disorder's prevalence, especially among high-risk groups like LGBTQ+ individuals and those from varied racial and ethnic back…
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Diagnosing rare and common infections in returning travellers
30:33
30:33
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30:33
Send us a Text Message. On this episode, Dr. Blair Bigham and Dr. Mojola Omole explore a clinical case involving a rare infection in a returned traveler, highlighting the critical role of travel history in diagnosing unusual diseases. They discuss the case of a woman in her 60s who presented with fever and ankle pain after returning from India. Ini…
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Send us a Text Message. On this episode, Dr. Blair Bigham and Dr. Mojola Omole explore two articles in CMAJ focused on the critical importance of trust in the health care system. They speak with Louis Lochhead, who shares his experiences navigating the health care landscape as a caregiver after his wife's serious accident, which resulted in a coma …
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Opioid poisonings: shortfalls in treatment and new threats
38:22
38:22
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38:22
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Catherine Varner, deputy editor of CMAJ, sits in for Dr. Blair Bigham and joins Dr. Mojola Omole to explore two articles published in the journal that highlight troubling findings concerning the treatment of opioid use disorder. They begin with a study that revealed significant gaps i…
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Exclusion of people with disabilities in medicine
38:03
38:03
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38:03
Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole examine an article published in CMAJ titled, 'Tackling barriers to Canadian medical school admissions for students with disabilities.' The analysis highlights how medical education has historically devalued or excluded trainees with disabilities and e…
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Send us a Text Message. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss the practice article in the journal entitled, “Five things to know about…Novel obesity treatments". They discuss the impact of new medications like semaglutide and tirzepatide in treating obesity with Dr. Shohinee Sarma, the lead author. Dr. S…
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ASA: a simple, effective and underused treatment for preeclampsia
36:47
36:47
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36:47
Send us a Text Message. On this episode, Dr. Emmanuel Bujold addresses the gross underutilization of acetylsalicylic acid (ASA) in Canada during pregnancy, a treatment highly effective in preventing preterm preeclampsia among those at risk. Dr. Bujold is an OB-GYN in Quebec City and a professor of Obstetrics & Gynecology at Laval University's Schoo…
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ENCORE: Smartphones, social media and poor mental health
35:21
35:21
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35:21
Send us a Text Message. On this episode, we revisit and update one of the most-read articles on the CMAJ website. The article is titled, “Smartphones, social media use, and youth mental health.” It reviews the extensive literature linking poor mental health in adolescents with smartphone and social media use. The article details a variety of studie…
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Pharmacogenomic testing: billion-dollar savings in depression treatment
26:55
26:55
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26:55
Send us a Text Message. On this episode, Drs. Blair Bigham and Mojola Omole discuss the CMAJ paper "Cost-effectiveness of pharmacogenomic-guided treatment for major depression". The paper examines the potential of pharmacogenomic testing in the treatment of major depression and its implications for health care costs. The study suggests that impleme…
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The rapid evolution and enhanced capabilities of virtual urgent care
36:11
36:11
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36:11
Send us a Text Message. On this episode, Drs. Blair Bigham and Mojola Omole delve into the evolution and advancements in virtual urgent care since the COVID-19 pandemic. The discussion centers around the study published in CMAJ entitled "Healthcare utilization and outcomes of patients seen by virtual urgent care versus in-person emergency departmen…
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Recommendations on SARS-CoV-2, influenza and RSV vaccinations
32:04
32:04
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32:04
Send us a Text Message. On this episode, Drs. Mojola Omole and Blair Bigham speak with two vaccine experts about the necessity, timing and availability of vaccines as we move into the season when influenza, RSV and COVID-19 are on the rise. Dr. Scott Halperin, co-author of a CMAJ practice paper on SARS-CoV-2 vaccination in pregnancy, emphasizes the…
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Send us a Text Message. In this episode, Drs. Blair Bigham and Mojola Omole delve into the pressing issue of alcohol use disorder (AUD) in Canada with Dr. Evan Wood, the lead author of the “Canadian guideline for the clinical management of high risk drinking and alcohol use disorder” published in CMAJ. They explore the concerning prevalence of AUD …
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Send us a Text Message. In this episode, Dr. Blair Bigham and Dr. Mojola Omole speak with two co-authors of a new guideline published in CMAJ entitled "Preventive care recommendations to promote health equity". Dr. Nav Persaud and Dr. Aisha Lofters explain the importance of embedding health equity into healthcare and discuss specific ways public po…
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Tick-borne illnesses: an evolving health concern
32:58
32:58
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32:58
Send us a Text Message. In this episode, Drs. Blair Bigham and Mojola Omole speak with two leading experts: Dr. Samira Jeimy, an allergist, and Dr. Isaac Bogoch, a specialist in infectious diseases, about the increasing prevalence of allergies and infections in Canada attributed to insects. Dr. Jeimy authored the article in the CMAJ titled “Five th…
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Send us a Text Message. Canada’s emergency departments are in crisis: hospital occupancy rates exceed 90% for many days in a row, and many Canadian hospitals have been exceeding 100% occupancy for months on end. As a result, quality of care has decreased, staff retention has become problematic and overcrowding of emergency departments, a symptom of…
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1
Smartphones, social media and poor mental health
36:33
36:33
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36:33
Send us a Text Message. On this encore episode, we revisit and update one of the most-read articles on the CMAJ website. The article is titled, “Smartphones, social media use, and youth mental health.” It reviews the extensive literature linking poor mental health in adolescents with smartphone and social media use. The article details a variety of…
…
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1
Encore: Diagnosing, treating and living with migraine
36:38
36:38
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36:38
Send us a Text Message. == This is an encore presentation of an episode originally published on Jan 30, 2023 == Migraine is a common condition that affects around 12% of adults, with a higher prevalence in women (18%) than men (6%). Global burden of disease estimates in 2019 found migraine to be the leading cause of disability in women aged 15-49 y…
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Send us a Text Message. The award-winning essay in the CMAJ, "Sometimes, often," beautifully showcases the power of narrative to forge a deep connection between physicians and patients. The article clearly resonated with our readers, as it was the most-read humanities piece this year. On this episode, the author, Dr. Simran Sandhu, delivers a power…
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Radon and lung cancer: A call to action for physicians and policymakers
35:15
35:15
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35:15
Send us a Text Message. Radon gas exposure is the leading cause of lung cancer in non-smokers, accounting for approximately 3,000 cases annually in Canada. A “Five things to know about…” paper in CMAJ entitled “Radon and lung cancer risk" encourages physicians to ask patients to test their home and workplace for the invisible gas. Dr. Silvina Mema …
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Optimizing nonsurgical management of major hemorrhage
29:16
29:16
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29:16
Send us a Text Message. Major hemorrhage is life-threatening and can occur in a variety of clinical settings. A review paper in CMAJ, entitled "Nonsurgical management of major hemorrhage," advocates for the implementation of massive hemorrhage protocols across all types of hospitals to optimize patient care. Dr. Jeannie Callum, the article's lead a…
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Time for a reset: menopause and hormone replacement therapy
32:26
32:26
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32:26
Send us a Text Message. Many women complain that physicians are reluctant to treat menopause with the full range of available therapies, often dismissing symptoms as 'natural' and something to be endured. A review article in CMAJ finds that physician fears around menopausal hormone therapy and lack of knowledge regarding treatment options often imp…
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Expanding screening of hypertension patients for primary aldosteronism
21:45
21:45
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21:45
Send us a Text Message. On this episode, Dr. Greg Hundemar, co-author of the practice paper in CMAJ “Screening for primary aldosteronism in primary care” discusses primary aldosteronism, its implications and the need to expand screening guidelines. Primary aldosteronism, also known as primary hyperaldosteronism or Conn's syndrome, is an endocrine d…
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Genetic Perils: Allopurinol Hypersensitivity Syndrome and Personalized Medicine
33:22
33:22
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33:22
Send us a Text Message. Allopurinol hypersensitivity syndrome (AHS) affects approximately 1 in 1,000 patients prescribed allopurinol, with reported mortality rates between 20% and 25%. The risk of AHS is nearly 100 times higher in carriers of the HLA-B*58:01 allele than in noncarriers. Populations with a high allele frequency include Han Chinese (6…
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How to Prevent Fragility Fractures: A Guideline for Family Doctors
23:12
23:12
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23:12
Send us a Text Message. Fragility fractures are a major health concern for older adults and can result in disability, admission to hospital and long-term care, and reduced quality of life. The Canadian Task Force on Preventive Health Care guideline published in CMAJ provides evidence-based recommendations on screening for primary prevention of frag…
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Rethinking preoperative anemia: Challenging WHO guidelines and targeting hemoglobin levels in major elective surgery
35:29
35:29
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35:29
Send us a Text Message. An estimated 23%-45% of patients undergoing major surgery have anemia, with the most common causes being iron deficiency anemia and anemia of inflammation or chronic disease. In this episode, Drs. Mojola Omole and Blair Bigham speak with Dr. Clarissa Skorupski and Dr. Yulia Lin, two authors of the practice paper in CMAJ, "Fi…
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Diagnosing, treating and living with endometriosis
38:02
38:02
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38:02
Send us a Text Message. Many patients report their symptoms of endometriosis are often dismissed by healthcare providers as “normal” dysmenorrhea. This worldwide trend results in delays to diagnosis that are estimated to range from 6 to 11 years from symptom onset. On this episode, Drs. Bigham and Omole speak with Dr. Catharine Allaire, a clinical …
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How to diagnose and manage polyneuropathy
25:50
25:50
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25:50
Send us a Text Message. Clinicians may find diagnosing polyneuropathy challenging due to the vague and insidious onset of symptoms. Identifying signs consistent with polyneuropathy and determining which investigations to conduct and when to be concerned can be daunting. Polyneuropathy involves simultaneous dysfunction of multiple peripheral nerves,…
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Redesigning streets to make them safe for bikes, e-scooters, and pedestrians
34:47
34:47
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34:47
Send us a Text Message. The use of electric scooters (e-scooters) has witnessed a substantial surge globally. However, the presence of these motorized vehicles on sidewalks poses a significant risk to pedestrians. A recent practice paper published in CMAJ describes the case of a 68-year-old woman who suffered serious injuries while walking on a cit…
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Understanding parents’ concerns about vaccinating their children against SARS-CoV-2
32:39
32:39
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32:39
Send us a Text Message. Uptake of the SARS-CoV-2 vaccine for children aged 5–11 years has been lower than anticipated in Canada. Although research has explored parental intentions toward SARS-CoV-2 vaccination for children, the drivers of parents’ decisions to seek vaccination for their children - or not - have not been studied in-depth. A research…
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Virtual versus in-person consultation: getting the mix right
34:50
34:50
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34:50
Send us a Text Message. Early in the COVID-19 pandemic, Ontario saw a 5600% increase in virtual visits to health care practitioners, while in-office visits decreased by 79% from the previous year. In 2018, only 4% of family physicians in Canada were offering video visits while, at the peak of the pandemic, about 80% of primary care visits were bein…
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1
Diagnosing, treating and living with migraine
36:33
36:33
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36:33
Send us a Text Message. Migraine is a common condition that affects around 12% of adults, with a higher prevalence in women (18%) than men (6%). Global burden of disease estimates in 2019 found migraine to be the leading cause of disability in women aged 15-49 years and the second leading cause of disability overall. On this episode, Drs. Mojole an…
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Diagnosing, assessing and treating long COVID
33:27
33:27
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33:27
Send us a Text Message. Diagnosing long COVID, or post-acute sequelae of SARS-CoV-2 infection (PASC), is challenging for clinicians. With up to 200 possible symptoms, heterogeneous presentations and no definitive diagnostic test, the diagnosis is a clinical one. In this episode, Dr. Kieran Quinn, a general internist and palliative care physician at…
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Looking back, looking forward with CMAJ editors
29:23
29:23
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29:23
Send us a Text Message. On this special episode, Drs. Blair Bigham and Mojola Omole interview CMAJ editor-in-chief, Dr. Kirsten Patrick, and executive editor, Dr. James Maskalyk. They talk about the journal's accomplishments over the past year and some of the challenges related to its increased focus on social determinants of health and equity. In …
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Canada’s primary care crisis: addressing the causes and finding solutions
37:01
37:01
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37:01
Send us a Text Message. A popular theory to explain the crisis in primary care in Canada is that newly graduating physicians simply do not see as many patients as previous generations. But recently published research has thoroughly debunked that myth. David Rudoler is the lead author of research published in CMAJ entitled Changes over time in patie…
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Managing epistaxis and identifying who may have a bleeding disorder
40:39
40:39
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40:39
Send us a Text Message. An “old wives’ tale” has persisted in the treatment of anterior epistaxis. A practice article in CMAJ entitled, "Five things to know about anterior epistaxis" discusses what many are doing wrong and the proper way to treat anterior epistaxis. On this episode, co-author and rhinologist Dr. Leigh Sowerby elaborates on the caus…
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Recognizing and addressing human monkeypox in Canada
28:09
28:09
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28:09
Send us a Text Message. A practice article in CMAJ presents 8 images of monkeypox mucocutaneous lesions presenting in Canadian patients from May to July 2022. The images show a spectrum of common lesions seen in patients with human monkeypox during the 2022 outbreak in non-endemic countries. On this episode, Dr. Sharon Sukhdeo and Dr. Darrell Tan, …
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Send us a Text Message. Artificial intelligence, such as computer-aided detection and computer-aided diagnosis or differentiation uses complex algorithms to identify and characterize polyps in situ during screening for colorectal cancer. Emergent evidence suggests that the performance of AI models is superior to current standards of practice. On th…
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Special Episode: Tackling anti-Black racism in medicine
58:26
58:26
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58:26
Send us a Text Message. Efforts to combat anti-Black racism in Canadian healthcare are underway but much remains to be done to dismantle the ideas, systems and implicit biases that underpin this specific form of discrimination. On this special one-hour episode, Drs Omole and Bigham explore the history of anti-Black racism in Canada’s medical school…
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Ensuring equitable access to cancer care for Black populations
39:51
39:51
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39:51
Send us a Text Message. Black and immigrant populations are disproportionately underrepresented in regular screening for cancer. Race-based data from Canada are minimally-available, but research from the United States and Europe has shown that the lifetime risk of developing prostate cancer is much higher among Black people compared to white people…
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Optimizing care for patients experiencing sickle cell crises.
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41:37
Send us a Text Message. Several hospitals are known for providing particularly excellent care to people experiencing a sickle cell crisis. For example, the ER at UHN meets a key recommendation from the 2017 Ontario Clinical Handbook that patients receive analgesia within 30 minutes of triage. The handbook also recommends that centres support patien…
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