CMAJ Podcasts
397 episodes - English - Latest episode: 5 days ago -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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Episodes
Suicidality crisis among transgender adolescents
June 20, 2022 09:00 - 31 minutes - 21.9 MBThe author of a new study in CMAJ says the risk of suicidality among transgender youth, “is really a crisis.” Mila Kingsbury and her co-authors found that trans and non-binary teens were as much as 7 times more likely than cishet peers to have thought about or tried suicide. More than half of the trans 15-17 year olds in a nationally-representative Canadian survey said they’d thought about suicide, and about 40% had attempted suicide in their lifetime. The research entitled Suicidality a...
Preventing overdose harms with a safe supply of drugs
June 06, 2022 09:00 - 31 minutes - 21.9 MBPeople who use drugs are at elevated risk of death due to the toxic illicit drug supply. Providing easy access to a supply of safe, clean substances may reduce overdose deaths, decrease harms associated with substance use, and improve users’ trust in addiction care. Safer Alternatives for Emergency Response (SAFER) is a low-barrier, flexible safe supply program that provides several replacement options for people who use illicit drugs, including fentanyl, and is integrated with other healt...
What medical conditions and social factors increase the risk of drowning?
May 23, 2022 09:00 - 25 minutes - 17.9 MBDrowning accounts for hundreds of deaths in Canada every year. A study published in CMAJ examines how pre-existing medical conditions contribute to drowning deaths. Drs Mojola Omole and Blair Bigham speak with the study’s lead author Dr. Cody Boone about what the study’s findings mean for physicians and patients. They then speak with Audrey Giles, a professor of human kinetics at the University of Ottawa, about the high rates of drownings experienced by Northern Indigenous communities in Ca...
Is it time to re-think the quality improvement enterprise?
May 09, 2022 09:00 - 31 minutes - 21.7 MBIn this episode, Dr. Kaveh Shonjania argues that despite the billions of dollars spent on clinical and quality improvement research, most of the interventions that are studied are shown not to work and those that do work produce only marginal benefits for some patients. Dr. Shojania is the Vice Chair of Quality and Innovation for the Department of Medicine at the University of Toronto and past Editor-in-Chief of BMJ Quality and Safety. He joins Drs. Blair Bigham and Mojola Omole to discuss ...
Is it time to re-think the quality improvement enterprise?
May 09, 2022 09:00 - 31 minutes - 21.7 MBIn this episode, Dr. Kaveh Shonjania argues that despite the billions of dollars spent on clinical and quality improvement research, most of the interventions that are studied are shown not to work and those that do work produce only marginal benefits for some patients. Dr. Shojania is the Vice Chair of Quality and Innovation for the Department of Medicine at the University of Toronto and past Editor-in-Chief of BMJ Quality and Safety. He joins Drs. Blair Bigham and Mojola Omole to discuss ...
Lack of diversity in healthcare leadership
April 25, 2022 09:00 - 31 minutes - 21.4 MBA study of more than 3000 health care leaders in Canada found that while gender parity was present, racialized executives were substantially under-represented. Diversity among health care leaders in Canada: a cross-sectional study of perceived gender and race was published in CMAJ. It found that at the ministry level fewer than 7 percent of health care leaders were racialized. The representation gap between racialized executives in healthcare and the racial demographics of the population i...
Is it time to replace high-stakes exams with graduated licensure?
April 11, 2022 09:00 - 33 minutes - 22.9 MBCOVID-19 disrupted the medical licensing examination system in Canada. During the pandemic, exams delivered by The College of Family Physicians of Canada (CFPC) and the Royal College of Physicians and Surgeons of Canada (RCPSC) were delayed, canceled or adapted, disrupting the lives of hundreds of physicians. However, those challenges prompted many to rethink the historical approach to medical licensure in Canada. In this episode, Drs. Brent Thoma and Teresa Chan discuss their proposa...
Recognizing and treating POTS
March 28, 2022 07:00 - 26 minutes - 18.4 MBPostural orthostatic tachycardia syndrome (POTS) is a disorder that can profoundly affect patients' quality of life. Its main characteristic is tachycardia on standing without a drop in blood pressure. Patients complain of lightheadedness and palpitations when upright, which sometimes leads to syncope. This can cause substantial functional disability, which may be economically devastating. Despite these serious consequences for patients, diagnosis can be delayed up to 6 years. In this epis...
Tackling carbon emissions in healthcare: from low-hanging fruit to systems change
March 09, 2022 20:00 - 30 minutes - 20.8 MBPhysicians working in hospitals see the mountains of medical waste generated each day. Meanwhile, the climate crisis challenges the medical system to reduce its contribution to greenhouse gas emissions. Globally, healthcare systems contribute as much carbon dioxide as the airline industry. In Canada, healthcare accounts for 4.6% of our total emissions. The problem is urgent, but potential solutions are both easier and more complex than many might think. Guests on this episode are advocates...
Redesigning the CTU and reimagining medical education
February 28, 2022 08:00 - 35 minutes - 24.4 MBThe clinical teaching unit is a widely-used clinical training model that requires reform to prepare physicians for practice in the 21st century. In a systematic review in CMAJ, Dr. Brandon Tang and co-authors identified practices in internal medicine clinical teaching units that contribute to improved clinical education and health care delivery. Dr. Tang, a PGY4 in general internal medicine at the University of Toronto, speaks with Drs. Blair Bigham and Mojola Omole about the findings of t...
Disseminated gonorrhea and rising rates of STIs
February 14, 2022 08:00 - 36 minutes - 25.4 MBReported gonorrhea cases have more than doubled in recent years. Untreated gonorrhea may occasionally cause potentially fatal conditions, such as infective endocarditis. In this episode, Dr. Carl Boodman, infectious disease and medical microbiology fellow at the University of Manitoba, discusses a case of disseminated gonococcal infection in a 54- year old man who presented to ER with a new heart murmur. The case was described in a recent CMAJ article, which explains that the patient had d...
What’s driving Canada’s high rate of maternal trauma from operative vaginal delivery?
January 31, 2022 08:00 - 36 minutes - 25.5 MBOperative vaginal delivery (OVD) is considered safe if carried out by trained personnel; however, the rate of maternal trauma following OVD in Canada greatly exceeds that of any other OECD country. In Canada, maternal trauma occurred in more than one-quarter of deliveries with forceps, whereas in the UK, the rate is 8%-12%, and in Australia, it sits at 9.3%-14.1%. A research study published in CMAJ found that rates of trauma following OVD in Canada are higher than previously reported, irr...
Should remote residents be prioritized for kidney transplants?
January 17, 2022 08:00 - 31 minutes - 21.4 MBPeople with kidney failure who live in rural and remote areas of Canada do not have the same access to the full suite of dialysis modalities as urban dwellers. Many need to relocate for life-sustaining renal replacement therapy. Often this means moving hours away from their home communities for months, sometimes years, at a time. In this episode, hosts Drs. Mojola Omole and Blair Bigham speak with Dr. Aaron Trachtenberg, a nephrologist at the University of Manitoba about his commentary in C...
Special Episode: Quick look ahead
January 03, 2022 14:00 - 3 minutes - 2.72 MBThe CMAJ podcast is taking a break for one episode as everyone enjoys their holidays and gets prepared for the year ahead. In this brief chat, Mojola and Blair preview some of the upcoming episodes and wish all our listeners a happy and safe holiday. Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast. You can find ...
How social interventions can be powerful medicine
December 20, 2021 08:00 - 33 minutes - 23 MBOne simple question can offer clinicians a powerful insight into the lives of their vulnerable patients. Asking, “Do you ever have trouble making ends meet at the end of the month” can help physicians identify significant barriers to restoring the health of their patients. The link between the social conditions in which we live and health outcomes is well-known. However, health provider action to address the social determinants of health is an emerging area of practice innovation and resear...
Special Episode: 13 practical ways to address inequities worsened by COVID-19
December 13, 2021 08:00 - 21 minutes - 15 MBThe pandemic recovery period presents an opportunity to address health inequities that have led to an unfair distribution of the burden and harms of COVID-19. New guidance for policy published in CMAJ proposes 13 practical ways to address inequities exposed and worsened by COVID-19 in the pandemic recovery period, based on evidence that was accumulating before the pandemic. In this special episode of the podcast, CMAJ interim editor-in-chief Dr. Kirsten Patrick talks to Dr. Nav Persaud, ...
The Rise Of Ketamine
December 06, 2021 08:00 - 28 minutes - 19.7 MBPain is one of the most common complaints among patients visiting the ER, and pain management has become a quality of care indicator. But the options available for the treatment of acute pain that isn’t controlled by over-the-counter medications are limited. With the opioid epidemic leading physicians to avoid prescribing narcotics, the anaesthetic drug, ketamine, is being reconsidered for the treatment of pain, as well as other indications. A practice article in CMAJ argues that ketami...
The inconvenience of motherhood to a medical career
November 22, 2021 04:00 - 32 minutes - 22.4 MBOne in four women physicians report a diagnosis of infertility. One reason for this is physicians tend to delay attempts to become pregnant until “the time is right” for their career. But, in the medical profession, it seems there is really no “good” time to have children. Parenthood, especially motherhood, is seen as an inconvenience during medical training and beyond. In this episode, Dr. Sophia Park speaks with hosts Dr. Mojola Omole and Dr. Blair Bigham about her personal struggle wit...
Button battery ingestion in children
September 27, 2021 05:00 - 17 minutes - 11.9 MBButton batteries, sometimes called coin batteries, are small round batteries that power various electronic devices such as watches, remote controls or small kid toys. They are small and shiny, which is why young children will sometimes grab them and put them in their mouths. But they can cause severe injury in a child if the button battery becomes lodged in the digestive tract. In this episode, Dr. Savithiri Ratnapalan talks about the dangers of swallowing button batteries, what parents ca...
Artificial intelligence in medicine
August 30, 2021 05:00 - 39 minutes - 26.9 MBArtificial intelligence (AI) and machine learning (ML) have transformed our lives. The adoption of AI in medicine has perhaps lagged its adoption in other areas, and machine learning in healthcare has had mixed results. In this episode, Drs. Muhammad Mamdani and Amol Verma discuss a series of three CMAJ articles on the development, use, misuse, and evaluation of machine-learned models in medicine. Dr. Muhammad Mamdani is vice-president of data science and advanced analytics at Unity Health To...
Adolescent contraception
August 09, 2021 05:00 - 20 minutes - 14.3 MBMany options exist nowadays for teenagers choosing to be on hormonal contraceptives. They are generally categorized into SARCs (short-acting reversible contraceptives) and LARCs (long-acting reversible contraceptives). LARC methods are recommended as first-line contraceptives. These include intrauterine devices and a new option that gets implanted into the arm and lasts up to three years.In this episode, Dr. Margot Rosenthal, a fifth-year obstetrics and gynaecology resident, explains the diff...
Involving patients at CMAJ
July 12, 2021 05:00 - 42 minutes - 29 MBIn this episode, Dr. Kirsten Patrick, interim editor-in-chief, chats with Francine Buchanan about her experience as a patient partner. Francine is in a unique position at the intersection of caregiver for her medically fragile son, PhD candidate in health services research, and a patient and family advisor at The Hospital for Sick Children. She wrote a Humanities article published in CMAJ called "How are we going to do this?" https://www.cmaj.ca/lookup/doi/10.1503/cmaj.210457Dr. Kirsten Patr...
Long-distance travel for birth for Indigenous people
June 21, 2021 05:00 - 34 minutes - 23.4 MBNew research shows that Indigenous People living in rural Canada are 16 times more likely to have to travel long distances to give birth compared to non-Indigenous people living in rural areas. In this podcast, Dr. Janet Smylie and Evelyn George explain these striking findings.Dr. Janet Smylie is Métis-Cree, a family practitioner and professor of public health at the University of Toronto. Evelyn George is a Nbissing registered midwife living in Syilx territory of British Columbia.They were t...
Critical race theory in medicine
May 17, 2021 05:00 - 29 minutes - 20.5 MBDr. Malika Sharma and Dr. Rahel Zewude explain the tenets of critical race theory. They also share how it has helped them tackle racism in the practice of medicine and how they've applied it to their professional and personal lives as physicians in Canada.Dr. Malika Sharma is an HIV and infectious diseases specialist and assistant professor in the Department of Medicine at the University of Toronto. Dr. Rahel Zewude is an internal medicine resident at the University of British Columbia and p...
Alcohol use disorder & anticraving medication
May 10, 2021 05:00 - 32 minutes - 22.2 MBAnticraving medications are a lesser-known therapy for patients with moderate to severe alcohol use disorder. In this podcast, Dr. Jon Mong and Dr. Paxton Bach explain how to recognize and diagnose moderate to severe alcohol use disorder and how to talk to patients about treatment options.Dr. Jon Mong is a general internist working at The Ottawa Hospital, with a clinical focus in addiction medicine. He is currently completing his Masters in Quality Improvement and Patient Safety through the U...
Painful periods in adolescents
April 19, 2021 10:47 - 10 minutes - 7.36 MBDr. Olga Kciuk and Dr. Sari Kives talk about painful periods (dysmenorrhea) in teens – what causes it, how to diagnose it, how to rule out secondary causes, and how best to treat. Dr. Olga Kciuk is a fourth year resident in obstetrics and gynecology at the University of Toronto. Dr. Sari Kives is a gynecologist in Toronto, both at the Hospital for Sick Children and St. Michael's Hospital.They co-authored a practice article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.201972Podcast tr...
Dépistage de la chlamydia et de la gonorrhée asymptomatiques en médecine de soins primaires
April 19, 2021 05:00 - 18 minutes - 12.5 MBDre Guylène Thériault explique les recommandations clé des nouvelles lignes directrices sur dépistage de la chlamydia et de la gonorrhée en médecine de soins primaires chez les personnes non connues comme appartenant à un groupe à risque.Dre Guylène Thériault est médecin de famille et membre du Groupe d’étude canadien sur les soins de santé préventifs. Dre Thériault enseigne aussi la médecine fondée sur les données probantes et la prise de décision partagée.Le Groupe d’étude canadien sur les ...
Screening for asymptomatic chlamydia and gonorrhea in primary care
April 19, 2021 05:00 - 23 minutes - 16.1 MBDr. Ainsley Moore discusses a new guideline by the Canadian Task Force on Preventive Health Care. The guideline recommends opportunistic screening for chlamydia and gonorrhea in primary care for individuals not known to be at high risk. Ainsley unpacks the recommendation and talks about what it means for clinical practice.Dr. Ainsley Moore is a family physician and an associate clinical professor in medicine at McMaster University.She is one of the authors of the CTFPHC guideline published in...
Antivaccine sentiment as power: the Montréal vaccine riots of 1885
April 06, 2021 05:00 - 26 minutes - 18.1 MBProf. Jonathan Berman discusses what drives antivaccine and anti-mask protests, such as the Montréal vaccine protest of 1885 which turned violent. He talks about vaccine hesitancy in history and how it relates to our current COVID-19 pandemic.Jonathan Berman is a physiologist at the New York Institute of Technology medical school and a science educator.He wrote an humanities article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.202820Podcast transcript: https://www.cmaj.ca/transcript-...
Gender equity at the senior leadership level
February 16, 2021 09:00 - 26 minutes - 18.5 MBProf. Andrea Tricco and Dr. Ainsley Moore discuss gender inequity in medicine at the senior leadership level and how it's intertwined with race. They also outline practical ways of advancing gender equity in medicine.Dr. Ainsley Moore is a family physician and an associate clinical professor in medicine at McMaster University. Prof. Andrea Tricco is a scientist at St. Michael's Hospital at Unity Health Toronto and an associate professor at the Dalla Lana School of Public Health in Toronto.The...
Diagnosis and treatment of adenomyosis
February 16, 2021 09:00 - 12 minutes - 8.83 MBDrs Shirin Dason and Mara Sobel discuss how to diagnose and treat adenomyosis, a common cause of heavy and painful menstrual periods. Dr. Shirin Dason is a resident and soon-to-be infertility fellow at Mount Sinai Fertility in Toronto. Dr. Mara Sobel is a gynaecologist at Mount Sinai Hospital and Women's College Hospital in Toronto.To read the practice article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201607Podcast transcript: https://www.cmaj.ca/transcript-201607----------------...
Prescribing cascades
February 08, 2021 09:00 - 21 minutes - 14.5 MBA prescribing cascade happens when the side effects of a prescribed drug are misinterpreted as a new medical condition for which an additional drug is prescribed. Some prescribing cascades can become complicated to untangle and hard to catch. In this podcast, Dr. Paula Rochon outlines some of the common prescribing cascades that occur in older adults.Dr. Paula Rochon is a geriatrician at Women’s College Hospital in Toronto and the RTO chair in geriatric medicine at the University of Toronto.T...
COVID-19 in patients on long-term dialysis
February 04, 2021 14:00 - 26 minutes - 18.1 MBIn this podcast, Dr. Andreas Laupacis, editor-in-chief of CMAJ, interviews two authors of a research article published in CMAJ. The research looked at SARS-CoV-2 infection among patients undergoing long-term dialysis in Ontario during the first wave of the pandemic.Rebecca Cooper is the director of clinical programs at the Ontario Renal Network, and Peter Blake is a nephrologist and the provincial medical director of the Ontario Renal Network, which is part of Ontario Health.To read the resea...
Mandatory vaccination for health care workers
January 19, 2021 14:42 - 22 minutes - 15.7 MBProf. Colleen Flood discusses the legalities around requiring health care workers to be vaccinated against the virus that causes COVID-19, both at the employer or hospital level and at the provincial government level.Colleen Flood is a professor in the faculty of law and the inaugural director of the Centre for Health Law Policy & Ethics, both at the University of Ottawa.She co-authored, with Prof. Bryan Thomas and Dr. Kumanan Wilson, an analysis article published in CMAJ. It's titled "Mandat...
Relaxing hospital no-visitor policies
December 18, 2020 13:56 - 34 minutes - 23.5 MBAt the start of the COVID-19 pandemic, most hospitals in Canada adopted no-visitor policies because of concern that visitors would spread the virus. It was also a way of preserving personal protective equipment, which was in short supply at the time. Now, almost one year later, the authors of a commentary published in the Canadian Medical Association Journal argue that it’s time to reconsider such a strict policy. In this podcast, Dr. Andreas Laupacis, editor-in-chief of CMAJ, interviews one...
Trench fever from body lice in Manitoba
December 07, 2020 09:00 - 38 minutes - 26.7 MBDr. Carl Boodman discusses four cases of trench fever from Bartonella quintana which is transmitted by body lice. Trench fever was common during the First World War and killed millions of people. In modern times, it is rare, but outbreaks tend to be associated with homelessness, poor living conditions or a history of severe alcohol use disorder or IV drug use. Dr. Boodman first talks about a patient who presented to the emergency department with endocarditis from B. quintana. He then discusse...
Amyotrophic lateral sclerosis (ALS) management: clinical practice guideline
November 16, 2020 09:00 - 35 minutes - 24.4 MBDr. Christen Shoesmith and Dr. Colleen O’Connell discuss the first Canadian guideline on the care and management of patients with amyotrophic lateral sclerosis (ALS). Dr. Shoesmith and Dr. O'Connell are two of the authors of the guideline, which is intended for ALS clinicians, allied health professionals and primary care providers and includes a patient-focused approach to care, with attention to holistic and emotional aspects of well-being.Dr. Christen Shoesmith is a neurologist and medical ...
Prone positioning (chest down) for COVID-19
November 11, 2020 14:01 - 29 minutes - 20 MBProne positioning has been widely adopted and is considered standard of care for patients with acute respiratory distress syndrome (ARDS). But how beneficial is prone positioning for patients with COVID-19 who are awake and not intubated? In this podcast, Dr. Kevin Venus talks about evidence, lung physiology and observational studies regarding prone positioning.Dr. Kevin Venus is general internist at University Health Network in Toronto. He co-authored a review article published in CMAJ: www....
Priority groups for early COVID-19 immunization
November 03, 2020 19:00 - 29 minutes - 20 MBDr. Caroline Quach and Dr. Shainoor Ismail discuss guidance on identifying priority populations for COVID-19 immunization. It's likely that when Canada does get a vaccine, it will not be possible to immunize all Canadians at once. We therefore need to have a plan in place for prioritization within our population.Dr. Quach and Dr. Ismail are two of the authors of an evidence-based guideline publishing in CMAJ outlining which key populations need to be prioritized for early COVID-19 immunizatio...
Healing with music in the COVID-19 pandemic
November 02, 2020 09:00 - 8 minutes - 5.72 MBIn this narrative, a musician, a nurse and a doctor come together to provide a virtual bedside music concert for some of their sickest patients with COVID-19.The article is read by its authors. First, Melanie Ambler, the musician and aspiring physician, then Laura Wodecki, nurse manager at Rhode Island Hospital, and ending with Dr. Timothy Amass, intensive care physician in Denver, Colorado.They wrote a Humanities Encounters article published in CMAJ called "Virtual bedside concerts for patie...
Misinformation in medicine during the COVID-19 pandemic
October 26, 2020 08:00 - 29 minutes - 20.6 MBThe spread of misinformation during epidemics is not a new phenomenon. But the COVID-19 pandemic is certainly the largest epidemic in recent times and its intersection with the internet and social media have amplified a modern infodemic of misinformation. In this podcast, history professor Nancy Tomes unpacks this modern infodemic and shares her thoughts on the role of health care providers in managing misinformation.Dr. Nancy Tomes is a professor of history at Stony Brook University in Ston...
Emergency procedural sedation in children
October 05, 2020 08:00 - 34 minutes - 23.8 MBDr. Maxim Ben-Yakov and Dr. Maala Bhatt discuss emergency procedural sedation in children. They cover safety, protocol, sedative agents, recommendations around fasting for this emergency procedure and more.Dr. Maala Bhatt is an emergency physician and the director of emergency research at the Children’s Hospital of Eastern Ontario in Ottawa and also associate professor at the University of Ottawa. Dr. Maxim Ben-Yakov is assistant professor of pediatrics and medicine at the University of Toro...
Working in a bubble during the pandemic
September 30, 2020 12:00 - 28 minutes - 19.7 MBMany workplaces are essential for our health care, our supply chains, or the economy and are under immense pressure to stay open. The work bubble is one strategy that can be used to open businesses while limiting the risk of COVID-19 outbreaks.In this podcast, Dr. Jeffrey Shaw and Ms. Hayley Wickenheiser explain the work bubble concept. They also describe how a large Canadian company, Bombardier, applied the principles with much success.Dr. Jeffrey Shaw is a cardiologist and ICU physician in ...
Misdiagnosis during the COVID-19 pandemic
September 28, 2020 08:00 - 20 minutes - 14.5 MBWith so much talk about COVID-19 and frequent updates to protocols and guidelines, is COVID-19 affecting the way physicians diagnose? In this podcast, two physicians describe how they misdiagnosed a patient back in April of this year. The patient presented with classic COVID-19 symptoms, but her diagnosis turned out to be something entirely different. And it took the physicians quite a lot of time to get to the correct diagnosis.Dr. Alex Kobza and Dr. Brandon Budhram are both second year inte...
COVID-19 and pediatric inflammatory multisystem syndrome (PIMS)
September 09, 2020 15:21 - 33 minutes - 46.4 MBIn this podcast, Dr. Rae Yeung talks about a 10-year-old boy who was diagnosed with pediatric inflammatory multisystem syndrome (PIMS) temporally associated with COVID-19. This syndrome, which goes by many names, has a wide spectrum that can include prolonged fever, classic features of Kawasaki disease, cardiac dysfunction, and gastrointestinal, neurologic, and/or renal involvement. Dr. Yeung discusses how she and her team treated the boy, what the ongoing management strategies are and what i...
The gender pay gap in medicine
August 31, 2020 08:00 - 30 minutes - 20.8 MBDr. Tara Kiran and Dr. Michelle Cohen share their analysis of the gender pay gap as it relates specifically to physicians. They discuss their personal experiences as well as current data showing that, in many medical specialties, men are still getting paid more than women for roughly equivalent work.Dr. Michelle Cohen is a family doctor in Brighton, Ontario and is assistant professor in the department of family medicine at Queen's University in Kingston, Ontario. Dr. Tara Kiran is a family do...
Preserving fertility in young women with breast cancer
August 31, 2020 08:00 - 45 minutes - 31.4 MBDr. Ellen Warner and Dr. Karen Glass discuss different options for fertility preservation for young women who must undergo breast cancer treatment. They also discuss the importance of early referral to fertility preservation counselling, an option that is often not presented to women until it's too late.Dr. Ellen Warner is a medical oncologist and director of PYNK: Breast Cancer Program for Young Women at the Sunnybrook Odette Cancer Centre in Toronto. Dr. Karen Glass is the director of ferti...
L’obésité chez l’adulte : ligne directrice de pratique clinique
August 24, 2020 08:00 - 31 minutes - 21.7 MBLa gestion du poids doit valider le vécu des patients, aller au-delà des approches simplistes qui consistent à leur conseiller de « manger moins et de bouger plus » et s’attaquer aux racines profondes de l’obésité.Les Dres Marie-France Langlois et Angela Alberga expliquent les recommandations clé des nouvelles lignes directrices sur l'obésité chez l'adulte. Elles sont interviewées par Dre Jo-Anne Gilbert, spécialiste en gestion du poids.Dre Marie-France Langlois est professeure titulaire à la...
Coagulopathy, thrombosis and COVID-19
August 17, 2020 08:00 - 19 minutes - 13.4 MBIn this podcast, Dr. Patrick Lawler and Dr. Lucas Godoy discuss the evidence around endothelial injury related to SARS-CoV-2 cellular invasion. In some cases, thrombosis is a prominent clinical feature of COVID-19 that may lead to organ failure, multi system injury or death.Dr. Lawler is a cardiologist at the Peter Munk Cardiac Centre in Toronto and a clinician-scientist at the Toronto General Hospital Research Institute. Dr. Godoy is a cardiologist and research fellow at the Peter Munk Cardi...
Obesity: shifting to a patient-centred approach to management
August 04, 2020 08:00 - 48 minutes - 33 MBDr. Sean Wharton and Dr. David Lau discuss a newly published clinical practice guideline on obesity management. They are joined by Lisa Schaffer, who talks about her experience as a Canadian living with obesity. They discuss the complex interplay of factors that can lead to obesity, such as genetics, metabolic, behavioural, psychological and environmental factors. They also talk about stigma and its negative impact on health independent of other factors. Dr. Sean Wharton is an internist, as...