Sore Throats & Sore Legs! Dexamethasone for Adult Pharyngitis and the Benefits of an Active Commute

by Emily Hughes @ The Rounds Table

Fri Jun 02 03:00:28 PDT 2017

It’s a special episode of The Rounds Table this week with guest hosts Dr. Fraser Pollard and Dr. Ashley Minuk. Fraser and Ashley are family physicians in Trenton, Ontario. Sore throat is a very common presentation in family practice. Many patients who seek care expect a prescription to offer some kind of relief. For adults,…

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Summer Replay: Keeping a Cool Head – Reducing Hair Loss During Chemotherapy & Challenging Asthma Diagnoses

by Emily Hughes @ The Rounds Table

Fri Jul 14 03:00:44 PDT 2017

What if you could tell a woman about to undergo chemotherapy for breast cancer that you had an intervention that would significantly reduce her risk of hair loss during therapy? Or, tell an adult patient with physician diagnosed asthma that they could safely stop their asthma medications? This week on The Rounds Table we welcome…

The post Summer Replay: Keeping a Cool Head – Reducing Hair Loss During Chemotherapy & Challenging Asthma Diagnoses appeared first on Healthy Debate.

Getting “Travis-y”: Stroke and AFib, Naloxegol for Opioid Constipation

by The Rounds Table @ The Rounds Table

Thu Feb 12 23:00:07 PST 2015

Originally aired July 2, 2014: Cryptogenic Stroke and Atrial Fibrillation, Naloxegol for Opioid-Induced Constipation Fahad and Amol want you to: 1. Appreciate the importance of subclinical atrial fibrillation in cryptogenic stroke and consider longer monitoring to detect it. 2. Recognize Naloxegol as a targeted therapy for opioid-induced constipation that is more effective than placebo but its effectiveness has not been compared directly…

The post Getting “Travis-y”: Stroke and AFib, Naloxegol for Opioid Constipation appeared first on Healthy Debate.

The 10-Second Abs Move That Can Flatten Your Belly

by Alyssa Ball @ Best Health Magazine Canada

Wed Feb 07 14:47:48 PST 2018

Warning: It’s harder than it looks!

The post The 10-Second Abs Move That Can Flatten Your Belly appeared first on Best Health Magazine Canada.

Dazed and Confused – Dexmedetomidine for the Prevention of Delirium and the Safety of LABAs in Asthma

by Kieran Quinn @ The Rounds Table

Fri Sep 16 05:00:16 PDT 2016

This week Kieran and Dr. Fraser Pollard, a Family Physician in Trenton, Ontario, discuss two studies: Using long acting beta agonists (LABAs) safely and appropriately in the management of asthma is widely debated, with evidence suggesting a potential risk of serious asthma-related events associated with the use of LABAs. But is the potential risk warranted?…

The post Dazed and Confused – Dexmedetomidine for the Prevention of Delirium and the Safety of LABAs in Asthma appeared first on Healthy Debate.

Old Questions, New Options: Spironolactone for Resistant Hypertension and Polymer-Free Stents

by The Rounds Table @ The Rounds Table

Fri Jan 22 11:44:44 PST 2016

This week, we debut our new “Two Truths, One Lie” segment! Join us and put your knowledge to the test. As always, Amol, general internal medicine resident at the University of Toronto, and Reena, staff physician at St. Michael’s hospital, discuss 2 recent papers: A multi-centred cross over trial conducted in the UK tried to…

The post Old Questions, New Options: Spironolactone for Resistant Hypertension and Polymer-Free Stents appeared first on Healthy Debate.

Diabetes Week: Mortality in Diabetes and DPP-4 Inhibitors Compared to Sulfonylureas

by The Rounds Table @ The Rounds Table

Fri Nov 20 05:58:15 PST 2015

This week, Amol, general internal resident at the University of Toronto, and Reena, General Internist at St. Michael’s Hospital in Toronto, discuss two papers: Reena shares a large registry-based study that found adult patients with Type 2 Diabetes in Sweden had a 15% higher mortality rate than the general population. Amol and Reena wonder why this…

The post Diabetes Week: Mortality in Diabetes and DPP-4 Inhibitors Compared to Sulfonylureas appeared first on Healthy Debate.

Decadent Orange Brownies

by Well and Tight @ Genuine Health

Wed Feb 07 09:09:40 PST 2018

No one can turn down a good brownie, especially when they’re full of whole foods that nourish your whole body! […]

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REPLAY: To Treat or Not To Treat? Immigrant Status and End-of-Life & Delirium Treatment in Palliative Care

by Emily Hughes @ The Rounds Table

Fri Dec 29 02:00:52 PST 2017

This week on The Rounds Table we’re covering important studies in palliative care: treatment of delirium at end-of-life, and examining populations who may be more likely than others to receive aggressive end-of-life care. Kieran and Chris Yarnell break it down for listeners. Sheliza and Emily round out the episode with a special segment on qualitative…

The post REPLAY: To Treat or Not To Treat? Immigrant Status and End-of-Life & Delirium Treatment in Palliative Care appeared first on Healthy Debate.

Sepsis, Pepsis, and Happiness: New Sepsis Definition and Effect of Happiness on Mortality

by The Rounds Table @ The Rounds Table

Fri Mar 04 13:22:24 PST 2016

This week, Amol, general internal medicine resident at University of Toronto, and Reena, general internist at St. Michael’s hospital in Toronto, discuss two recent papers: What exactly defines sepsis and how should sepsis be assessed? The Third International Consensus Definitions Task Force worked to define sepsis as “life-threatening organ dysfunction due to a dysregulated host…

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Summer Replay: We Need to Talk About It – Physician Burnout and Sex Differences in Salary

by Emily Hughes @ The Rounds Table

Fri Aug 11 03:00:02 PDT 2017

Physician burnout is a work related syndrome involving emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. The prevalence of burnout has reached a shocking 50% in both staff and resident physicians! Something needs to be done. Ariel Lefkowitz, Chief Medical Resident at Mount Sinai Hospital in Toronto, takes listeners through a systematic review…

The post Summer Replay: We Need to Talk About It – Physician Burnout and Sex Differences in Salary appeared first on Healthy Debate.

Keep Calm and Get Your Analgesic On: Acupuncture for Migraine Prophylaxis and Pregabalin for Sciatica

by Emily Hughes @ The Rounds Table

Fri Apr 28 03:00:33 PDT 2017

Migraine is a common presentation to primary care clinics. Current pharmacologic treatments offered by physicians have notable side effects and may be a financial burden. Understandably, patients are looking to alternative therapies. However, primary care providers may not be able to provide an educated opinion about whether these therapies are reasonable to pursue. Fraser provides…

The post Keep Calm and Get Your Analgesic On: Acupuncture for Migraine Prophylaxis and Pregabalin for Sciatica appeared first on Healthy Debate.

Palliative care access still lacking

by Vanessa Milne, Joshua Tepper & Maureen Taylor @ Healthy Debate

Thu May 04 07:30:32 PDT 2017

Palliative care improvements still in their infancy.

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Home dialysis is the future. Here’s why.

by Vanessa Milne, Jeremy Petch & Mike Tierney @ Healthy Debate

Thu Apr 06 04:30:32 PDT 2017

The post Home dialysis is the future. Here’s why. appeared first on Healthy Debate.

We’re Back (pain)!: Perioperative Atrial Fibrillation, Paracetamol and back pain

by The Rounds Table @ The Rounds Table

Wed Sep 03 04:00:24 PDT 2014

Perioperative AFib and Long-Term Risk of Ischemic Stroke; Paracetamol not more effective than placebo in acute low back pain Nathan and Amol want you to: 1. Understand that perioperative atrial fibrillation is associated with increased long-term risk of ischemic stroke. 2. Recognize that a high quality Randomized Controlled Trial demonstrates that paracetamol is not more effective than placebo…

The post We’re Back (pain)!: Perioperative Atrial Fibrillation, Paracetamol and back pain appeared first on Healthy Debate.

Talking TIAs: Physician Assisted Death in Canada and a Transient Ischemic Attack Registry

by The Rounds Table @ The Rounds Table

Fri Apr 29 14:51:42 PDT 2016

What is the risk of adverse events after a transient ischemic attack (TIA)? While older studies tell us that the risk of stroke or acute coronary syndrome after a TIA is high in the first 3 months, does this hold true today? An international TIA Registry tried to answer this question by characterizing TIA and…

The post Talking TIAs: Physician Assisted Death in Canada and a Transient Ischemic Attack Registry appeared first on Healthy Debate.

Lifelong Learning: Variations in Care of Pre-term Infants and Electronic Alerts for Acute Kidney Injury

by The Rounds Table @ The Rounds Table

Fri May 29 09:44:27 PDT 2015

Amol and Fahad want you to understand the following: 1. There are dramatic hospital-level variations in the care of extremely pre-term infants. 2. A randomized trial showed that an electronic alert to identify hospital patients with acute kidney injury was not effective in improving patient outcomes. Continuing Medical Education Internists can receive 0.5 hours of Continuing Medical…

The post Lifelong Learning: Variations in Care of Pre-term Infants and Electronic Alerts for Acute Kidney Injury appeared first on Healthy Debate.

Replay-The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia

by Amol Verma @ The Rounds Table

Fri Apr 24 07:24:33 PDT 2015

Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical…

The post Replay-The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.

Headlines and Highlights: A Review of the Latest Edition of Four Journals

by The Rounds Table @ The Rounds Table

Fri Mar 25 07:52:59 PDT 2016

This week, we debut a new format at the Rounds Table. Amol reviews articles published from the latest edition of four journals: Journal of the American Medical Association (JAMA), the Lancet, Annals of Internal Medicine and the New England Journal of Medicine (NEJM). Tune in to hear the latest medical findings, including mindfulness for back…

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All About Bleeding: Transfusion targets after cardiac surgery and intracranial bleeding on warfarin

by The Rounds Table @ The Rounds Table

Fri Mar 27 09:14:17 PDT 2015

This week: The TITRE2 trial about hemoglobin transfusion strategies after cardiac surgery and the RETRACE study about intracranial bleeding in patients on warfarin. Nathan and Amol want you to understand the following: 1. In cardiac surgery patients, a restrictive transfusion strategy was no different than liberal transfusion in terms of combined clinical outcomes of infectious and vascular events…

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The SPRINT to lower blood pressure

by The Rounds Table @ The Rounds Table

Fri Dec 04 13:17:06 PST 2015

This week, Amol, resident in General Internal Medicine at University of Toronto, and Mike Fralick, chief medical resident at St. Michael’s Hospital in Toronto, talk about 2 blood pressure studies: A meta-analysis and systematic review found that more intensive blood pressure lowering was associated with improved cardiovascular outcomes and albuminuria. Amol discusses the trade-offs of…

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Spousal Input: New Antithrombotic Therapy Guidelines and Low Calorie Diet for Diabetes Remission

by The Rounds Table @ The Rounds Table

Fri Jun 03 05:24:15 PDT 2016

This week, Amol talks about new antithrombotic therapy guidelines and using low calorie diet for diabetes remission. The American College of Chest Physicians issued new antithrombotic guidelines for the treatment of venous thromboembolism in February 2016. Amol highlights five updates in the guidelines, and discusses the evidence behind each recommendation. Diabetes has long been described…

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Season Finale: All ‘Good Stuff’ Must Come to an End

by The Rounds Table @ The Rounds Table

Mon Jul 04 06:02:55 PDT 2016

This is our final episode of the year! We want to thank everyone who has hosted or contributed to the podcast, and of course you – our dear listeners – for tuning in every week. We will be re-playing some of our favourite past episodes, and bringing you brand new content in the fall. Good…

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Summer Replay: All Things Must End – Gradual Versus Abrupt Smoking Cessation and Palliative Care Effectiveness

by Emily Hughes @ The Rounds Table

Fri Jul 21 03:00:25 PDT 2017

Is quitting cold turkey the best way to stop smoking? When should you transfuse a patient? How effective are current models of palliative care? We’re answering relevant and thought-provoking questions this week on The Rounds Table! Ashley, like many family physicians, makes a point of advising and supporting smoking cessation at most visits she has…

The post Summer Replay: All Things Must End – Gradual Versus Abrupt Smoking Cessation and Palliative Care Effectiveness appeared first on Healthy Debate.

Patient engagement a new frontier for drug makers

by Karen Palmer & Joshua Tepper @ Healthy Debate

Thu Apr 27 05:00:09 PDT 2017

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Eating This One Surprising Food Could Finally Cure Your Cough

by Alyssa Ball @ Best Health Magazine Canada

Wed Feb 07 11:23:35 PST 2018

Got a chronic cough that just won’t go away? Forget honey and lemon. Here’s one natural cough remedy that even your three-year-old can get behind.

The post Eating This One Surprising Food Could Finally Cure Your Cough appeared first on Best Health Magazine Canada.

Getting “Travis-y”: Stroke and AFib, Naloxegol for Opioid Constipation

by The Rounds Table @ The Rounds Table

Wed Jul 02 04:00:27 PDT 2014

This week: Cryptogenic Stroke and Atrial Fibrillation, Naloxegol for Opioid-Induced Constipation Fahad and Amol want you to: 1. Appreciate the importance of subclinical atrial fibrillation in cryptogenic stroke and consider longer monitoring to detect it. 2. Recognize Naloxegol as a targeted therapy for opioid-induced constipation that is more effective than placebo but its effectiveness has not been compared directly with existing laxative therapies.…

The post Getting “Travis-y”: Stroke and AFib, Naloxegol for Opioid Constipation appeared first on Healthy Debate.

CDQAP Ruminations: Antibiotic Resistance – New Laws & Opportunities

by mullinax @ California Dairy Research Foundation

Tue Jan 30 12:18:04 PST 2018

        New state and federal laws seek to prevent antibiotic resistance in both humans and animals. A review of herd health and treatment programs may reveal opportunities to decrease medication costs. Highlights: What You Need to Know About Antibiotic … Continue reading →

REPLAY: Bugs & Drugs – Duration of Antibiotic Therapy in Community-Acquired Pneumonia and Early Antiretroviral Treatment for HIV

by Emily Hughes @ The Rounds Table

Fri Dec 30 03:00:04 PST 2016

Bugs, drugs, and optimal duration for antibiotic therapy? New frontiers in HIV treatment? Listen this week as Kieran and Jay Spiegel, a resident in General Internal Medicine in Toronto, discuss two studies: It’s hard to remember what the right drug is to treat a certain bug, let alone the correct duration of therapy. Further, for…

The post REPLAY: Bugs & Drugs – Duration of Antibiotic Therapy in Community-Acquired Pneumonia and Early Antiretroviral Treatment for HIV appeared first on Healthy Debate.

Testing and Treatment in Diabetes – Taken with a Grain of Sugar!

by Emily Hughes @ The Rounds Table

Fri Oct 28 05:00:56 PDT 2016

We’re back this week with Kieran and Ashley to take another look at diabetes and sweet treats. Should current practice guidelines be taken with a grain of salt – or should I say – sugar? Listen to find out! New drugs have popped up on the market for diabetes management, necessitating an update to practice…

The post Testing and Treatment in Diabetes – Taken with a Grain of Sugar! appeared first on Healthy Debate.

We’re off to an EPIC Start! Cancer Screening Cessation and Coffee Drinking & Mortality

by Emily Hughes @ The Rounds Table

Fri Sep 15 03:00:59 PDT 2017

Grab a cup of coffee and get ready to listen – we’re back with a brand new episode to kick off the fourth season of The Rounds Table. How do older adults prefer to discuss cancer screening cessation with their clinicians? Does regular coffee consumption impact mortality? Kieran Quinn and Emily Hughes cover two thought…

The post We’re off to an EPIC Start! Cancer Screening Cessation and Coffee Drinking & Mortality appeared first on Healthy Debate.

Kyowa Hakko USA Announces GRAS Self-Affirmation for Setria Glutathione

by WholeFoods Magazine Staff @ Whole Foods Magazine

Mon Feb 12 09:40:21 PST 2018

New York, NY — Kyowa Hakko USA, a wholly owned subsidiary of Kyowa Hakko Bio Co., Ltd., has obtained Generally Regarded as Safe (GRAS) self-affirmation on Setria Glutathione. This well-studied form of glutathione, which plays an essential role in protein synthesis, is a tri-peptide manufactured through a unique, patented process that can help replenish the body’s […]

The post Kyowa Hakko USA Announces GRAS Self-Affirmation for Setria Glutathione appeared first on Whole Foods Magazine.

Can Endgame Tobacco radically reduce cigarette smoking?

by Karen Palmer, Sachin Pendharkar & Francine Buchanan @ Healthy Debate

Thu May 11 04:00:32 PDT 2017

The post Can Endgame Tobacco radically reduce cigarette smoking? appeared first on Healthy Debate.

Long wait times defy quick fixes

by Vanessa Milne, Joshua Tepper & Maureen Taylor @ Healthy Debate

Thu Mar 09 04:00:53 PST 2017

The post Long wait times defy quick fixes appeared first on Healthy Debate.

Health System Failures 1: Ebola Basics

by The Rounds Table @ The Rounds Table

Fri Oct 24 04:00:48 PDT 2014

This Week: Reena and Amol want you to: 1. Understand the basics of the Ebola outbreak in West Africa. Continuing Medical Education Internists can receive 0.5 hours of Continuing Medical Education credit for each podcast they listen to through the Canadian Society of Internal Medicine (MOC Category 1) and the American Medical Association (PRA Category 1). To receive CME credit for listening…

The post Health System Failures 1: Ebola Basics appeared first on Healthy Debate.

So clear

by Food in Canada @ Food In Canada

Tue Feb 06 09:53:32 PST 2018

Watson Inc.'s BetaClear is for clients who want to add beta-carotene to a food but who don’t want the orange colour

Filling Buckets: Septic Shock and Asthma

by The Rounds Table @ The Rounds Table

Wed Jun 04 04:00:59 PDT 2014

This week: Protocol-based care for septic shock and a new treatment for allergen-induced asthma Janice and Amol want you to: 1. Recognize the role of protocol-based care in the early recognition and management of septic shock. 2. Recognize that TSLP is a promising new treatment target in allergy-induced asthma. Continuing Medical Education Internists can receive 0.5 hours of Continuing…

The post Filling Buckets: Septic Shock and Asthma appeared first on Healthy Debate.

Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon Sex on Post-Operative Outcomes

by Emily Hughes @ The Rounds Table

Fri Dec 22 02:00:31 PST 2017

This week on The Rounds Table we are covering two important research articles: prevention of contrast induced nephropathy, and comparing post-operative outcomes between patients treated by male and female surgeons. Contrast induced nephropathy (CIN) is a potentially severe complication of angiographic procedures, especially for people with poor renal function at the outset. Prevention of CIN…

The post Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon Sex on Post-Operative Outcomes appeared first on Healthy Debate.

Replay: Resident Call Schedules in the ICU and Thyroid Nodules

by The Rounds Table @ The Rounds Table

Thu Oct 22 20:29:51 PDT 2015

This week we are replaying one of our favourite old episodes, due to many of our team members being away at the Canadian Society of Internal Medicine Conference. Originally aired on April 17, 2015, Nathan and Amol want you to understand the following: 1. There was no significant difference between three different call schedules in…

The post Replay: Resident Call Schedules in the ICU and Thyroid Nodules appeared first on Healthy Debate.

DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhythmias

by Emily Hughes @ The Rounds Table

Fri Dec 02 03:00:50 PST 2016

It’s arrhythmia week on The Rounds Table! Should heart failure patients give up a caffeine jolt in the morning? How can we better identify appropriate patients for ICDs? Paxton Bach, fellow in General Internal Medicine at UBC, joins Kieran to discuss two exciting studies: Studies that inform practice toward the best medical treatments are of…

The post DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhythmias appeared first on Healthy Debate.

Quiz: How Much Do You Know About Antioxidants?

by Alyssa Ball @ Best Health Magazine Canada

Thu Feb 08 08:13:56 PST 2018

A diet packed with antioxidants can help you fend off disease. Take this quiz to find out how much you know about antioxidants and get the facts about how they keep you healthy.

The post Quiz: How Much Do You Know About Antioxidants? appeared first on Best Health Magazine Canada.

Exam Prep: Caregivers in the ICU and Symptoms in Smokers

by The Rounds Table @ The Rounds Table

Sat Jun 11 04:53:21 PDT 2016

This week Amol and Nathan discuss two studies: A multi-centre, prospective study evaluated the physical and mental health status of caregivers for patients discharged from the intensive care unit (ICU). Using hospital data and self-administered questionnaires, the study found most caregivers of critically ill patients are at high risk for depression, anxiety and poor mental health.…

The post Exam Prep: Caregivers in the ICU and Symptoms in Smokers appeared first on Healthy Debate.

REPLAY: Testing and Treatment in Diabetes – Taken with a Grain of Sugar!

by Emily Hughes @ The Rounds Table

Fri Dec 23 03:00:00 PST 2016

We’re back this week with Kieran and Ashley to take another look at diabetes and sweet treats. Should current practice guidelines be taken with a grain of salt – or should I say – sugar? Listen to find out! New drugs have popped up on the market for diabetes management, necessitating an update to practice…

The post REPLAY: Testing and Treatment in Diabetes – Taken with a Grain of Sugar! appeared first on Healthy Debate.

Grief a lonely place in the health care system

by Karen Palmer, Maureen Taylor & Francine Buchanan @ Healthy Debate

Thu Jun 08 04:00:56 PDT 2017

The post Grief a lonely place in the health care system appeared first on Healthy Debate.

At the Crack of Dawn: Resident Working Hours and Improving Antibiotic Prescribing

by The Rounds Table @ The Rounds Table

Fri Feb 19 09:25:48 PST 2016

This week, Amol, general internal medicine resident at the University of Toronto, and Nathan, general surgery resident also at the University of Toronto, discuss two recent papers: Resident duty hours have been a hotly debated topic for some time. A randomized control trial of United States residency programs compared conventional American duty hour regulations that…

The post At the Crack of Dawn: Resident Working Hours and Improving Antibiotic Prescribing appeared first on Healthy Debate.

REPLAY: Emergent Realizations – Contrast-Induced Nephropathy & Opioid Prescribing Patterns

by Emily Hughes @ The Rounds Table

Fri Jun 09 03:00:38 PDT 2017

Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed causal…

The post REPLAY: Emergent Realizations – Contrast-Induced Nephropathy & Opioid Prescribing Patterns appeared first on Healthy Debate.

Keeping a Pulse on Drug Reactions: Emergency Visits for Adverse Drug Events and Thresholds for AAA Repair

by Emily Hughes @ The Rounds Table

Fri Jan 20 03:00:15 PST 2017

Kieran and Fraser are back this week to take listeners through two exciting new studies. What percentage of people that present to the Emergency Department have an adverse drug event (ADE)? How big does an abdominal aortic aneurysm (AAA) have to be to warrant surgical repair? Listen to find out! Emergency Department visits for ADEs…

The post Keeping a Pulse on Drug Reactions: Emergency Visits for Adverse Drug Events and Thresholds for AAA Repair appeared first on Healthy Debate.

Is Canada Ready for National Pharmacare?

by Emily Hughes @ The Rounds Table

Fri Feb 10 03:00:07 PST 2017

“There is no comparable healthcare system in the world that does not ensure universal coverage of [at least] essential medicines.” – Dr. Steve Morgan on the need for Pharmacare in Canada What would a Canadian National Pharmacare Program look like? We break it down for you this week on a special episode of The Rounds…

The post Is Canada Ready for National Pharmacare? appeared first on Healthy Debate.

Changing the Tune: Post-operative Readmission and Music as Perioperative Therapy

by The Rounds Table @ The Rounds Table

Fri Nov 27 13:45:14 PST 2015

Amol, general internal medicine resident at the University of Toronto, and Nathan, general surgery resident at the University of Toronto, discuss 2 recent studies: Does it matter which hospital patients return to after surgery? A large retrospective cohort study showed that when post-operative patients are re-admitted to the same hospital where they had their surgery,…

The post Changing the Tune: Post-operative Readmission and Music as Perioperative Therapy appeared first on Healthy Debate.

Dropping Names and Dropping Weight: The obesity paradox and new cholesterol guidelines

by The Rounds Table @ The Rounds Table

Tue May 06 04:00:17 PDT 2014

This week: Cardiovascular Disease and Population Health Fahad and Amol want you to: 1. Understand that high quality evidence now demonstrates that obesity does not confer a survival benefit in Type 2 Diabetes, and patients should aim to achieve a normal body weight. 2. Recognize that the new cholesterol guidelines move away from specific lipid targets and recommend statin therapy…

The post Dropping Names and Dropping Weight: The obesity paradox and new cholesterol guidelines appeared first on Healthy Debate.

A Tasty Beans, Greens and Butter Side Dish

by Andrea Karr @ Best Health Magazine Canada

Fri Feb 09 06:58:49 PST 2018

Make this aromatic and satisfying beans and greens side dish and impress your guests with your pro kitchen skills.

The post A Tasty Beans, Greens and Butter Side Dish appeared first on Best Health Magazine Canada.

Does eating more probiotic bacteria really make us healthier?

by Karen Palmer, Sachin Pendharkar & Timothy Caulfield @ Healthy Debate

Thu Jul 20 04:00:35 PDT 2017

The post Does eating more probiotic bacteria really make us healthier? appeared first on Healthy Debate.

REPLAY – Is Canada Ready for National Pharmacare?

by Emily Hughes @ The Rounds Table

Fri Mar 03 03:00:41 PST 2017

“There is no comparable healthcare system in the world that does not ensure universal coverage of [at least] essential medicines.” – Dr. Steve Morgan on the need for Pharmacare in Canada What would a Canadian National Pharmacare Program look like? We break it down for you this week on a special episode of The Rounds…

The post REPLAY – Is Canada Ready for National Pharmacare? appeared first on Healthy Debate.

Summer Replay – Pondering Preventability: Readmissions and Catheter-Associated UTI

by Kieran Quinn @ The Rounds Table

Fri Aug 12 06:38:12 PDT 2016

This week, Amol and Kieran discuss two studies: How can we prevent readmission? An observational study of 1000 general internal medicine patients from 12 United States academic medical centres found that 26.9% of readmissions were potentially preventable. Key factors associated with potential preventability included decision making in the emergency department, lack of information to outpatient…

The post Summer Replay – Pondering Preventability: Readmissions and Catheter-Associated UTI appeared first on Healthy Debate.

Replay: How Physicians Die and Frozen Fecal Transplant for C. difficile

by The Rounds Table @ The Rounds Table

Fri May 06 06:18:58 PDT 2016

This week, we are replaying one of our favourite past episodes. Originally aired on February 12, 2016, Amol, general internal medicine resident at the University of Toronto, and Fahad, staff internist at St. Michael’s hospital in Toronto, discuss 3 papers: Where do physicians die? What is the intensity of the care they receive at the…

The post Replay: How Physicians Die and Frozen Fecal Transplant for C. difficile appeared first on Healthy Debate.

3 Easy Ways to Get Beautiful, Lustrous Hair

by Andrea Karr @ Best Health Magazine Canada

Thu Feb 08 10:50:20 PST 2018

These simple switches to your diet and routine could hold the key to your best hair ever!

The post 3 Easy Ways to Get Beautiful, Lustrous Hair appeared first on Best Health Magazine Canada.

Celebrating 50 Years of NOW Value

by WholeFoods Magazine Staff @ Whole Foods Magazine

Fri Feb 09 09:26:15 PST 2018

Paid for and provided by NOW Foods.

The post Celebrating 50 Years of NOW Value appeared first on Whole Foods Magazine.

Can healthcare do better for people with multiple chemical sensitivities?

by Karen Palmer, Mike Tierney & Christopher Doig @ Healthy Debate

Fri Feb 03 05:00:45 PST 2017

The post Can healthcare do better for people with multiple chemical sensitivities? appeared first on Healthy Debate.

Can an essential medicines list fix drug coverage gaps?

by Karen Palmer, Mike Tierney & Joshua Tepper @ Healthy Debate

Thu Apr 13 04:00:20 PDT 2017

The post Can an essential medicines list fix drug coverage gaps? appeared first on Healthy Debate.

Fahad’s Work and Fahad Gets Worked Up: Prevalence of severely underweight women and peripheral arterial disease

by The Rounds Table @ The Rounds Table

Fri Dec 18 13:50:16 PST 2015

This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, general internist at St. Michael’s hospital in Toronto, discuss two recent papers: Fahad and colleagues recently published a study in JAMA that looks at severe adult undernutrition in low and middle income countries. Using 20-year health survey data collected by USAID,…

The post Fahad’s Work and Fahad Gets Worked Up: Prevalence of severely underweight women and peripheral arterial disease appeared first on Healthy Debate.

How I Met Your D-dimer: Weight loss, pulmonary embolism, and HIV

by The Rounds Table @ The Rounds Table

Wed Apr 02 04:00:20 PDT 2014

  This week: Weight loss in colorectal cancer screening, D-dimers in Pulmonary Embolism, and Gene Editing in HIV Nathan, Amol and Travis want you to: 1. Recognize that modifiable lifestyle factors such as inactivity, weight, diet, and alcohol consumption are under-appreciated risk factors for colorectal cancer. 2. Understand how a weight loss and lifestyle improvement…

The post How I Met Your D-dimer: Weight loss, pulmonary embolism, and HIV appeared first on Healthy Debate.

Smoke & Mirrors? Tai Chi vs. Physiotherapy for Knee Osteoarthritis & Symptoms in Smokers with Preserved Pulmonary Function

by Emily Hughes @ The Rounds Table

Fri Nov 25 03:00:19 PST 2016

Dr. Fraser Pollard, Family Physician in Trenton ON, discusses his frustration with the lack of effective treatments for osteoarthritis for long-term pain and disability in his patients. But there is hope! Fraser dips his toes into critically examining alternative medicine in leading listeners through a single blinded comparative effectiveness trial of Tai Chi versus physiotherapy…

The post Smoke & Mirrors? Tai Chi vs. Physiotherapy for Knee Osteoarthritis & Symptoms in Smokers with Preserved Pulmonary Function appeared first on Healthy Debate.

Health Systems Failures 2: Unplanned Readmissions and Malpractice Reform

by The Rounds Table @ The Rounds Table

Fri Oct 31 04:00:09 PDT 2014

This Week: Reena and Amol want you to: 1. Appreciate the challenges in reducing unplanned readmissions to hospital and concerns about that metric as a quality indicator. 2. Recognize that malpractice reform in three US states did not reduce the intensity of physician practice or resource utilization, suggesting that “defensive medicine” may not be a large…

The post Health Systems Failures 2: Unplanned Readmissions and Malpractice Reform appeared first on Healthy Debate.

Pure GOLD: Updated 2016 COPD Management Guidelines

by The Rounds Table @ The Rounds Table

Fri Feb 05 08:57:33 PST 2016

This week, Amol, general internal medicine resident at the University of Toronto, discusses the GOLD 2016 COPD management guidelines, and compares it to the new Star Wars movie! While many clinicians will have a well-practiced approach to managing COPD exacerbations, Amol examines the evidence for why we do what we do. He talks about the…

The post Pure GOLD: Updated 2016 COPD Management Guidelines appeared first on Healthy Debate.

All Things Must End (Including Life and Smoking!): Gradual Versus Abrupt Smoking Cessation and Palliative Care Effectiveness

by Emily Hughes @ The Rounds Table

Fri Jan 13 03:00:33 PST 2017

Is quitting cold turkey the best way to stop smoking? When should you transfuse a patient? How effective are current models of palliative care? We’re answering relevant and thought-provoking questions this week on The Rounds Table! Ashley, like many family physicians, makes a point of advising and supporting smoking cessation at most visits she has…

The post All Things Must End (Including Life and Smoking!): Gradual Versus Abrupt Smoking Cessation and Palliative Care Effectiveness appeared first on Healthy Debate.

Fall Detoxification: Therapeutic Recommendations to Support and Maintain a Health Immune System

by Marija Pevac-Djukic @ Toronto Naturopathic Doctor

Mon Aug 05 13:38:58 PDT 2013

Teleconference Presented by Marija Pevac-Djukic MD(Europe) ND Wednesday, September 11, 2013 5 PM – 6:30 PM PST | 8:00 PM – 9:30 PM EST **For practitioners only** An ounce of prevention is worth a pound of cure.  While the emunctories…

The post Fall Detoxification: Therapeutic Recommendations to Support and Maintain a Health Immune System appeared first on Toronto Naturopathic Doctor.

Double Down: Liraglutide for the Prevention of Diabetes and Bariatric Surgery for the Treatment of Diabetes

by Emily Hughes @ The Rounds Table

Fri Apr 07 03:00:48 PDT 2017

Kieran has officially finished half of his Royal College Exam to qualify as a General Internist; which means, we are back to new episodes every week to keep listeners up to date with the most recent and important medical research. This week, Kieran and Ashley Minuk delve into two studies examining therapies in people with…

The post Double Down: Liraglutide for the Prevention of Diabetes and Bariatric Surgery for the Treatment of Diabetes appeared first on Healthy Debate.

The Best Gifts To Treat Yourself With This Valentine’s Day

by Alyssa Ball @ Best Health Magazine Canada

Mon Feb 12 08:57:15 PST 2018

Why not show yourself a little self-love this Valentine’s Day? From sweet teas to rose cream to a cozy blanket, you are sure to find your perfect gift!

The post The Best Gifts To Treat Yourself With This Valentine’s Day appeared first on Best Health Magazine Canada.

Great Expectations: International Medical Graduates & MD Estimates of Benefits and Harms

by Emily Hughes @ The Rounds Table

Fri Apr 21 03:00:46 PDT 2017

Foreign medical graduates are an important resource, and data on their proficiency is important to the public. Jay guides listeners through a study that answers the following: do patient outcomes differ between general internists who graduated from a medical school outside of the United States and those who graduated from a US medical school? Each…

The post Great Expectations: International Medical Graduates & MD Estimates of Benefits and Harms appeared first on Healthy Debate.

Wellmune May Help Protect Against Intestinal Barrier Function: Study

by WholeFoods Magazine Staff @ Whole Foods Magazine

Thu Feb 08 19:31:57 PST 2018

Beloit, WI – A natural immune health ingredient available in food, beverages and supplements may help protect against intestinal barrier function in adults when faced with stress. A newly published pre-clinical study with human donors led by researchers at the University of Örebro in Sweden and published in Inflammatory Bowel Diseases, an Oxford academic journal, demonstrated […]

The post Wellmune May Help Protect Against Intestinal Barrier Function: Study appeared first on Whole Foods Magazine.

Summer Replay 3: Transcatheter Aortic Valve Replacements and Sugar Industry Influence on Research Priorities

by Amol Verma @ The Rounds Table

Fri Aug 07 08:51:47 PDT 2015

Originally aired May 22, 2015. Amol and Janice want you to understand the following: 1. Several RCTs and observational studies suggest that Transcatheter Aortic Valve Replacement reduces mortality and improves symptoms in frail, elderly patients. 2. A historical analysis demonstrates that the sugar industry had heavy influence in setting national dental research priorities in the 1970s, which…

The post Summer Replay 3: Transcatheter Aortic Valve Replacements and Sugar Industry Influence on Research Priorities appeared first on Healthy Debate.

Peanut Placebo, Nocebo, PCSK9: Lipid lowering and peanut allergy

by The Rounds Table @ The Rounds Table

Sat Mar 21 14:20:50 PDT 2015

This week: New studies of PCSK9 inhibitors for lipid lowering and a randomized controlled trial of early peanut exposure to prevent allergy Fahad and Amol want you to understand the following: 1. PCSK9 inhibitors are new cholesterol-lowering monoclonal antibodies that have been shown to reduce LDL beyond standard therapy with statins and have been associated with reduced…

The post Peanut Placebo, Nocebo, PCSK9: Lipid lowering and peanut allergy appeared first on Healthy Debate.

On Our Soapbox: Antibiotics in intraabdominal sepsis and lipid therapy in the elderly

by Amol Verma @ The Rounds Table

Fri Jun 05 06:50:32 PDT 2015

Amol and Nathan want you to understand the following: 1. A short duration (4 days) of antibiotics for intra-abdominal sepsis was equivalent to a longer duration (approx. 8 days) of antibiotics for intra-abdominal sepsis after an appropriate source control procedure. 2. A population-based cohort study of elderly patients showed that lipid lowering therapy for primary prevention was…

The post On Our Soapbox: Antibiotics in intraabdominal sepsis and lipid therapy in the elderly appeared first on Healthy Debate.

True or False: Should Adults Drink Milk?

by @ [BCDairy] News or Article

Tue May 16 13:10:39 PDT 2017

We’ve all heard the milk myth that adults shouldn’t be drinking milk and wondered, is drinking milk in adulthood actually good for you?

Let us help YOU answer these questions.  

History of Milk

It is estimated that humans have consumed dairy products from cows, sheep and goats for at least 10,000 years. 

Archaeological evidence from as far back as the Neolithic revolution (8000 BCE), points to the use of milk in Europe, the Middle East, Africa and Asia.

Humans are a successful species because we’ve learned how to use, create and invent from what we find around us. We still use milk to this day because it has proved to be positive for both our nutrition and our longevity. It’s interesting—and somewhat remarkable—that scientists have already discovered four separate instances of human’s genetic evolution to digest milk.

 Science of Milk 

The rapid rise of these genes attests to the value milk brings to the people who drink it, or in the words of geneticists, “strong selective pressure”. It’s a dominant gene, and the ability to digest lactose continues to spread with globalization. If you are able to drink milk—and most of us are—the truth about milk is that drinking it provides a big advantage. And it’s healthy.  

Not only is milk loaded with nutrients from protein to vitamins and minerals, but exciting new research continues to point to its many health benefits. 

• Drinking milk is associated with reducing risk for chronic diseases such as diabetes and cardiovascular disease

• Heated milk can play a role as a prebiotic to feed healthy gut bacteria to help reduce the risk for chronic diseases. 

 So to answer your question, should adults drink milk? YES. 

Drinking milk made sense 10,000 years ago and it still makes sense today. 

Have more questions about milk? Click on the links below for more info. 

Is Cows Milk Really Only for Calves?

Lactose Introlerance Summary

What is the Different Between Lactose Maldigestion and Milk Allergy

Can Lactose Maldigesters Eventually Adapt to Enjoy Milk or Dairy Foods?

Medical research: One size doesn’t fit all

by Vanessa Milne, Jeremy Petch & Mike Tierney @ Healthy Debate

Thu Jun 01 04:22:20 PDT 2017

The post Medical research: One size doesn’t fit all appeared first on Healthy Debate.

Go with the (Blood) Flow: Antithrombotic Therapy After PCI and De-Escalation of Antiplatelet Therapy After PCI

by Emily Hughes @ The Rounds Table

Fri Dec 01 02:00:03 PST 2017

This week’s episode of The Rounds Table is all about anticoagulation. Kieran Quinn and Mike Fralick cover two important studies: the latest evidence on antithrombotic therapy after percutaneous coronary intervention (PCI) and de-escalation of antiplatelet treatment in patients with acute coronary syndrome undergoing PCI. In patients with acute coronary syndrome undergoing PCI, can platelet function…

The post Go with the (Blood) Flow: Antithrombotic Therapy After PCI and De-Escalation of Antiplatelet Therapy After PCI appeared first on Healthy Debate.

Re-Play: Gastroenterology Edition with Dr. Samir Grover, Gastro-naut

by Amol Verma @ The Rounds Table

Fri May 15 08:02:25 PDT 2015

Originally Aired Jan 30: Eosinophilic esophagitis, outbreaks associated with duodenoscopy, and the rise of private endoscopy clinics Samir and Amol want you to understand the following: 1. Eosinophilic esophagitis is an important and under-recognized clinical condition that causes significant symptoms and is very treatable. 2. Endoscopy, and particularly duodenoscopy, is an important potential source of infection transmission.…

The post Re-Play: Gastroenterology Edition with Dr. Samir Grover, Gastro-naut appeared first on Healthy Debate.

They’re coming for Fahad: Air pollution and heart failure, renal denervation

by The Rounds Table @ The Rounds Table

Wed Jul 30 04:00:27 PDT 2014

Originally aired April 25, 2014: Air pollution and heart failure, renal denervation for hypertension. Fahad and Amol want you to: 1. Understand the relationship between air pollution and cardiovascular health, and its broader policy implications. 2. Recognize that renal denervation was not an effective treatment for hypertension when studied in a randomized, blinded, sham-controlled trial.…

The post They’re coming for Fahad: Air pollution and heart failure, renal denervation appeared first on Healthy Debate.

Do drug funding decisions need PR?

by Vanessa Milne, Joshua Tepper & Maureen Taylor @ Healthy Debate

Mon Nov 13 06:22:57 PST 2017

The post Do drug funding decisions need PR? appeared first on Healthy Debate.

To a T: Testosterone Supplementation and Reducing Treatment Time in Stroke

by The Rounds Table @ The Rounds Table

Wed Apr 30 04:00:51 PDT 2014

This week: Cardiovascular risk and testosterone supplementation, reducing time to treatment in acute ischemic stroke. Fahad and Amol want you to: 1. Recognize that observational evidence suggests that testosterone supplementation is significantly associated with cardiovascular events and mortality. 2. Understand that a national quality improvement initiative was associated with reduced treatment times for stroke and improved clinical outcomes. Continuing…

The post To a T: Testosterone Supplementation and Reducing Treatment Time in Stroke appeared first on Healthy Debate.

A Tale of Two Studies: Medical Male Circumcision, Ischaemic Heart Disease

by The Rounds Table @ The Rounds Table

Wed Jul 23 04:00:31 PDT 2014

This week: Economic Incentives for Voluntary Medical Male Circumcision, and Lifestyle Counselling for Ischaemic Heart Disease Reena and Amol want you to: 1. Understand that medical male circumcision is effective in reducing transmission of HIV and other sexually-transmitted infections. 2. Recognize that an economic incentive designed to compensate people for ancillary costs and lost wages is modestly…

The post A Tale of Two Studies: Medical Male Circumcision, Ischaemic Heart Disease appeared first on Healthy Debate.

Meet BC Dairy Farmers: The Gourlay Family

by @ [BCDairy] News or Article

Thu Jun 22 09:10:46 PDT 2017

Meet Raymond Gourlay and his family, located in Parksville, BC. Raymond and his family are local dairy farmers and cheese-makers dedicated to producing high quality dairy products.

How old were you when you knew you wanted to be a dairy farmer?

Choosing this path was quite a process for me  - as a kid I was pretty sure I didn’t want to farm. I went to university to study Christian Ministry but while I was there I worked on a dairy farm and started reconnecting with the industry. In my early 20s I began realizing my passion for agriculture, the local food industry and all the values of living on a farm, working in a family business, etc. My young family and I recently moved back onto the family farm and it’s a dream come true!

What do you love most about being a dairy farmer? Why?

Especially now that I have a son of my own, it doesn’t get any better than working on a family farm and being nearby for him all day. I love contributing to an industry I really believe in and working with family and a great team of employees. In our business, Little Qualicum Cheeseworks, we have the privilege of not only producing milk but turning it into cheese. Having so many different aspects to our operation definitely keeps the work exciting. Artisan cheese is really something that brings people together – our customers buy it for special occasions and to share with loved ones. I count it a privilege to create a product that not only sustains people but fosters those kinds of social connections.

What is the biggest challenge in dairy farming today?

The challenge that comes to mind immediately is the general public’s increased concern and the level of scrutiny applied to the dairy industry today. We feel it acutely as a farm that is open to the public, for free, on a daily basis. People want to know where their food comes from and how it is produced. That challenge is also our biggest opportunity though – we go to great lengths to create a farm that is a welcoming atmosphere to the public and is a genuine and transparent demonstration of modern dairy practices. We’re proud of our farm and our industry and thankful for the ongoing opportunity to show it off.

What’s one thing you wish you could tell consumers about dairy farming?

Happy cows make great milk. For all kinds of reasons, dairy farmers are always looking for ways to make their cows healthier, happier, and to reduce stress in the whole herd. We take animal welfare and milk quality seriously. We believe in our product and our industry and we’re proud of its contribution to our country as a whole.

How many hired staff do you have (part/full time)?

Given that we have a complex cheese-making operation and a tourism destination we have about 15 year-round staff with an additional 8 during the high season.

What family members are involved with your operation, and what are their responsibilities?

My grandparents are great brand advocates in grocery stores and at farmers markets; my Dad is our general manager; my Mom is our cheese plant manager (and president); my brother John is a herdsman, and brother Kevin is in university but working hard on the farm all summer; my wife just graduated from university and goes to markets periodically; and I work in cheese-making, marketing, and sales. It’s a family affair!

What is your primary breed? If it is other than Holstein, why did you choose this breed?

Most of our cows are Holstein but we’ve cross-bred to breeds like Brown Swiss, Guernsey, and Canadienne over the years, so there’s quite a bit of colour in our herd. I’d say there was a grand strategy but the cross-breeding is mostly just for fun!

Are you primarily dairy focused? Do you have any other animals, or are you involved in any other type of agriculture?

We first and foremost are a dairy farm, but my Mom has a thing for horses and our visitors love to see other animals so we keep a collection of animals like miniature donkeys, sheep, goats, rabbits, guinea hens, and more… all “lawn ornaments” as we call them!

What’s your favourite dairy product?

It’s got to be cheese. I always gravitate to the firm alpine-style cheeses made with raw milk – the kinds that have that thick rind and strong smell. We make two Swiss inspired cheeses: Raclette and Rathtrevor (Gruyere) and I could pretty much stick with them for life. I’m also crazy about this super rare Central-Asian beverage called Ayran; it’s a thin yogurt drink but instead of being sweetened it’s flavoured with salt. It sounds odd to our palette but it’s the most refreshing drink I’ve tasted!

Are your kids interested in continuing the family business? If not, what do they “want to be when they grow up”?

We’re at that point now where we’re the kids! We’re excited to continue taking on more responsibility on our farm and ultimately, continue to grow it into a business and a lifestyle that is attractive to our own kids when they grow up. 

Sick and tired: How can hospitals help patients get the sleep they need?

by Karen Palmer & Sachin Pendharkar @ Healthy Debate

Thu Jan 05 04:00:35 PST 2017

The post Sick and tired: How can hospitals help patients get the sleep they need? appeared first on Healthy Debate.

Summer Replay: Community Acquired Pneumonia and Skin Infections

by Amol Verma @ The Rounds Table

Sat Jul 18 09:15:55 PDT 2015

Aired April 23: Empiric antibiotic choices for community acquired pnuemonia and clindamycin versus trimethoprim-sulfamethoxazole for skin and soft tissue infections. Fahad and Amol want you to understand the following: 1. A large, high quality RCT showed that there was no significant difference between an empiric treatment strategy of beta-lactam vs beta-lactam plus macrolide vs respiratory fluoroquinolone for…

The post Summer Replay: Community Acquired Pneumonia and Skin Infections appeared first on Healthy Debate.

We Need to Talk About It: Physician Burnout and Sex Differences in Salary

by Emily Hughes @ The Rounds Table

Fri Nov 11 03:00:55 PST 2016

Physician burnout is a work related syndrome involving emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. The prevalence of burnout has reached a shocking 50% in both staff and resident physicians! Something needs to be done. Ariel Lefkowitz, Chief Medical Resident at Mount Sinai Hospital in Toronto, takes listeners through a systematic review…

The post We Need to Talk About It: Physician Burnout and Sex Differences in Salary appeared first on Healthy Debate.

Colorectal cancer screening can save lives – so why don’t more Canadians do it?

by Karen Palmer, Mike Tierney & Debra Bournes @ Healthy Debate

Thu Jun 22 04:00:46 PDT 2017

The post Colorectal cancer screening can save lives – so why don’t more Canadians do it? appeared first on Healthy Debate.

Wishes and Pills: Fulfilling Wishes for Dying Patients and Medications for Back Pain

by The Rounds Table @ The Rounds Table

Fri Oct 30 04:48:35 PDT 2015

Amol, general internal resident at the University of Toronto, and Janice, general internist at the Mount Sinai Hospital in Toronto, discuss 2 recent studies: Dying with dignity is not easy, especially in a highly charged environment like the Intensive Care Unit. Janice talks about a mixed methods study that examined the impact of soliciting and fulfilling…

The post Wishes and Pills: Fulfilling Wishes for Dying Patients and Medications for Back Pain appeared first on Healthy Debate.

Activist-Targeted Hain Celestial May Divest Pure Protein, Expand E-Commerce

by WholeFoods Magazine Staff @ Whole Foods Magazine

Wed Feb 07 07:25:48 PST 2018

Lake Success, NY – Hain Celestial, an organic and natural products company, announced second quarter fiscal year 2018 earnings today that dipped in the U.S., and missed estimates.  The company also stated it may divest itself of its Pure Protein brand, and significantly expand into e-commerce. According to the earnings report: Net sales increased 5% to […]

The post Activist-Targeted Hain Celestial May Divest Pure Protein, Expand E-Commerce appeared first on Whole Foods Magazine.

Too Much to Ask? Wait Times for Hip Fracture Surgery and Clinician Denials of Patient Requests

by Emily Hughes @ The Rounds Table

Fri Feb 02 02:00:06 PST 2018

This week on The Rounds Table we are examining two important studies: the first looking at an association between wait times for hip fracture surgery and mortality, and the second examining clinician denials of patient requests. Hip fractures are a relatively common injury among our aging population. As our elderly population increases, hip fractures are…

The post Too Much to Ask? Wait Times for Hip Fracture Surgery and Clinician Denials of Patient Requests appeared first on Healthy Debate.

Summer Replay: C the Difference – Adverse Events in Short Term Steroid Use & Prevention of Recurrence of C. difficile

by Emily Hughes @ The Rounds Table

Fri Sep 01 03:00:58 PDT 2017

Steroids are important and ubiquitous medications, and the side effects of long term use are well known and often reviewed. But what should clinicians know about short term use: are these medications benign? Jay takes listeners through a retrospective cohort study examining adverse events (sepsis, venous thromboembolism, fractures) associated with short term use of oral…

The post Summer Replay: C the Difference – Adverse Events in Short Term Steroid Use & Prevention of Recurrence of C. difficile appeared first on Healthy Debate.

The Bigger Picture: Industry Sponsored Research and Negative Trials

by Emily Hughes @ The Rounds Table

Fri Oct 14 05:00:15 PDT 2016

  This week’s Rounds Table is all about studying studies, emphasizing the importance of understanding a body of evidence within the context of existing literature. A refreshing reminder that the “big picture” in medical research can be easy to lose sight of when keeping up to date with individual trials! Dr. Ashley Minuk, Family Physician…

The post The Bigger Picture: Industry Sponsored Research and Negative Trials appeared first on Healthy Debate.

Everyone agrees: Pulmonary rehab helps people who have COPD. So why do so few access it?

by Dafna Izenberg & Seema Marwaha @ Healthy Debate

Thu Jan 25 04:00:07 PST 2018

Pulmonary rehabilitation is the standard of care in the treatment of COPD. And yet less than one percent of Canadians who have COPD are enrolled.

The post Everyone agrees: Pulmonary rehab helps people who have COPD. So why do so few access it? appeared first on Healthy Debate.

Best of Hospital Medicine 2013 Part II

by The Rounds Table @ The Rounds Table

Fri Jan 16 04:00:55 PST 2015

Originally Aired October 1, 2014: Blood Transfusions in Upper GI Bleeding, Aspirin in DVT prophylaxis, Vasopression and Steroids in Cardiac Arrest, MRSA Decolonization, Fluid and Sodium Restriction in Heart Failure Fahad and Amol want you to gain familiarity with a number of major new studies in hospital medicine published in 2013. Continuing Medical Education Internists can…

The post Best of Hospital Medicine 2013 Part II appeared first on Healthy Debate.

How to Get the Best Blowout Ever

by Andrea Karr @ Best Health Magazine Canada

Fri Feb 09 10:18:19 PST 2018

Make a date with your hair dryer and use these expert tips to take your blowout to the next level.

The post How to Get the Best Blowout Ever appeared first on Best Health Magazine Canada.

Arithmetic Operations: Breast Cancer Screening Choices and Anticoagulation Bridging

by The Rounds Table @ The Rounds Table

Thu Sep 24 22:29:38 PDT 2015

Nathan discusses a randomized trial about breast cancer screening that found that sending women information about both the risks and the benefits of breast cancer screening resulted in more women making an “informed choice” and fewer wanting to undergo screening mammography. Amol discusses the BRIDGE trial, which found that not bridging patients’ anticoagulation around the…

The post Arithmetic Operations: Breast Cancer Screening Choices and Anticoagulation Bridging appeared first on Healthy Debate.

Dara Howell Opens Up About Her Fear Of Failure, And How She Keeps Skiing #LikeAGirl

by Alyssa Ball @ Best Health Magazine Canada

Mon Feb 12 14:26:56 PST 2018

Olympic skier Dara Howell may have won gold at Sochi 2014, but the pressure of being at the forefront of her sport took her on a journey she’ll never forget.

The post Dara Howell Opens Up About Her Fear Of Failure, And How She Keeps Skiing #LikeAGirl appeared first on Best Health Magazine Canada.

What we loved at SGIM 2015: Medication Safety, Super-Utilizers, and Community Health Workers

by The Rounds Table @ The Rounds Table

Thu Apr 30 22:00:23 PDT 2015

This week: The MARQUIS study of interventions to reduce medication errors in hospital, super-utilizer patients, and the potential of community health workers for population health and medical education. Amol and Shail want you to understand the following: 1. Medication errors are an important problem in hospital and a multi-faceted intervention can be effective in addressing this issue. 2.…

The post What we loved at SGIM 2015: Medication Safety, Super-Utilizers, and Community Health Workers appeared first on Healthy Debate.

Post-ICU syndrome signals need for better transition between life-saving care and return to life

by Karen Palmer, Christopher Doig & Mike Tierney @ Healthy Debate

Thu Oct 05 05:30:27 PDT 2017

The post Post-ICU syndrome signals need for better transition between life-saving care and return to life appeared first on Healthy Debate.

Orange-Ginger Chocolate Bark

by The Planted One @ Genuine Health

Wed Dec 20 09:48:03 PST 2017

Looking for the perfect festive treat for your next event? This Orange-Ginger Chocolate Bark will not only catch people’s eyes, […]

The post Orange-Ginger Chocolate Bark appeared first on Genuine Health.

Should fear of Zika virus keep Canadians from travelling this winter?

by Karen Palmer, Maureen Taylor & Jill Konkin @ Healthy Debate

Thu Nov 24 04:00:02 PST 2016

The post Should fear of Zika virus keep Canadians from travelling this winter? appeared first on Healthy Debate.

Summer Replay 2: Reducing c-sections and prednisolone vs. pentoxifylline for alcoholic hepatitis

by The Rounds Table @ The Rounds Table

Sun Jul 26 10:05:06 PDT 2015

Amol and Nathan want you to understand the following: 1. A large randomized evaulation of a quality improvement intervention demonstrated a modest but significant reduction in rates of cesarean-section in Quebec. 2. A large double-blind randomized-controlled-trial of over 1100 patients showed that pentoxifylline is not beneficial in the treatment of alcoholic hepatitis and prednisolone may have mild…

The post Summer Replay 2: Reducing c-sections and prednisolone vs. pentoxifylline for alcoholic hepatitis appeared first on Healthy Debate.

Is marijuana and seniors a bad combination?

by Vanessa Milne, Maureen Taylor & Michael Nolan @ Healthy Debate

Thu Jun 29 04:54:15 PDT 2017

The post Is marijuana and seniors a bad combination? appeared first on Healthy Debate.

Bugs & Drugs – Duration of Antibiotic Therapy in Community-Acquired Pneumonia and Early Antiretroviral Treatment for HIV

by Emily Hughes @ The Rounds Table

Fri Sep 23 03:00:17 PDT 2016

  Bugs, drugs, and optimal duration for antibiotic therapy? New frontiers in HIV treatment? Listen this week as Kieran and Jay Spiegel, a resident in General Internal Medicine in Toronto, discuss two studies: It’s hard to remember what the right drug is to treat a certain bug, let alone the correct duration of therapy. Further,…

The post Bugs & Drugs – Duration of Antibiotic Therapy in Community-Acquired Pneumonia and Early Antiretroviral Treatment for HIV appeared first on Healthy Debate.

The suicide gap: Why men are more likely to kill themselves

by Vanessa Milne, Joshua Tepper & Jeremy Petch @ Healthy Debate

Thu Aug 10 04:00:23 PDT 2017

The post The suicide gap: Why men are more likely to kill themselves appeared first on Healthy Debate.

Debatable Landmarks: Ezetimibe and clinical outcomes, BP lowering in diabetes and kidney disease

by Amol Verma @ The Rounds Table

Fri Jun 12 09:14:23 PDT 2015

Amol and Reena want you to understand the following: 1. When added to moderate dose statin, the IMPROVE-IT randomized trial showed that ezetimibe improved clinical outcomes in patients after acute coronary syndrome. 2. A network meta-analysis showed that no blood pressure lowering therapy improved mortality in patients with diabetes and chronic kidney disease. The combination of ACE-inhibitors and…

The post Debatable Landmarks: Ezetimibe and clinical outcomes, BP lowering in diabetes and kidney disease appeared first on Healthy Debate.

Special Gastroenterology Edition with Dr. Samir Grover, Gastro-naut

by The Rounds Table @ The Rounds Table

Fri Jan 30 04:00:53 PST 2015

Eosinophilic esophagitis Samir and Amol want you to understand the following: 1. Eosinophilic esophagitis is an important and under-recognized clinical condition that causes significant symptoms and is very treatable. 2. Endoscopy, and particularly duodenoscopy, is an important potential source of infection transmission. 3. The rise of outpatient endoscopy clinics requires the development of an appropriate remuneration, regulatory,…

The post Special Gastroenterology Edition with Dr. Samir Grover, Gastro-naut appeared first on Healthy Debate.

Bloody Brilliant! Diagnostic Management of Pulmonary Embolism and Frequency of Blood Donation

by Emily Hughes @ The Rounds Table

Fri Nov 24 02:00:14 PST 2017

This week on The Rounds Table we are covering two important studies: diagnostic management of pulmonary embolism and safety of varying the frequency of whole blood donation. Kieran Quinn and Lauren Lacroix break it down for listeners. Pulmonary embolism represents a diagnostic challenge in the Emergency Department for patients presenting with a variety of symptoms…

The post Bloody Brilliant! Diagnostic Management of Pulmonary Embolism and Frequency of Blood Donation appeared first on Healthy Debate.

Drug shortages ‘the new normal,’ and hard to fix

by Vanessa Milne, Joshua Tepper & Francine Buchanan @ Healthy Debate

Thu Jul 13 08:04:47 PDT 2017

The post Drug shortages ‘the new normal,’ and hard to fix appeared first on Healthy Debate.

Changing Gears Completely: How Physicians Die and Frozen Fecal Transplant for C. difficile

by The Rounds Table @ The Rounds Table

Fri Feb 12 06:58:22 PST 2016

This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, staff internist at St. Michael’s hospital in Toronto, discuss 3 papers: Where do physicians die? What is the intensity of the care they receive at the end of life? Fahad discusses 2 papers that attempted to answer these questions. The first…

The post Changing Gears Completely: How Physicians Die and Frozen Fecal Transplant for C. difficile appeared first on Healthy Debate.

For Beauty from the Inside Out, Try Silica

by Andrea Karr @ Best Health Magazine Canada

Thu Feb 08 10:59:33 PST 2018

Your inner health is reflected in the condition of your hair, skin and nails.

The post For Beauty from the Inside Out, Try Silica appeared first on Best Health Magazine Canada.

Summer Replay – Valued Care: End of Life Care and Early Trends from “Choosing Wisely”

by Kieran Quinn @ The Rounds Table

Fri Sep 02 10:06:12 PDT 2016

This week, Amol and Dr. Kieran Quinn, both general internal medicine residents at the University of Toronto, discuss two studies: Where do people die? What types of care do they utilize at the end of life? A retrospective cohort study of people who died with cancer in seven developed countries evaluated the number of deaths…

The post Summer Replay – Valued Care: End of Life Care and Early Trends from “Choosing Wisely” appeared first on Healthy Debate.

Milk Run BC 2018

by @ [BCDairy] News or Article

Thu Jan 11 14:43:18 PST 2018

Run, walk, wheel, or skate to promote school spirit, healthy lifestyles, and community involvement!

Milk Run is a 3 km run, walk, wheel, or skate promoting school spirit, healthy lifestyles, and community involvement. Schools are encouraged to use Milk Run as a fundraising opportunity for the school or a local charity. This year, Milk Run will be held Wednesday 25th April 2018.

Milk Run is organized by BC School Sports and supported by BC Dairy Association. BC Dairy Association supports Milk Run coordinators by providing a variety of prizes that are available at the time of asking (first come, first served). These items can be awarded to students and volunteers.

School registration will open on Thursday January 11 20167 until Wednesday 8th March 2018. Please use the online registration form to register your school for Milk Run 2018.

Questioning Convention: Acetaminophen for Fever and Calcium for Fractures

by The Rounds Table @ The Rounds Table

Fri Oct 16 06:50:37 PDT 2015

Amol and Janice, general internal medicine residents at the University of Toronto, discuss 2 recent studies that challenge 2 widely accepted medical practices. Does using acetaminophen to treat fever improve outcomes? A randomized control trial found that giving acetaminophen to critically ill patients did lower their fever, but did not affect the number of ICU…

The post Questioning Convention: Acetaminophen for Fever and Calcium for Fractures appeared first on Healthy Debate.

An Exercise in Contrasts: Contrast Induced Nephropathy and Exercise in Cancer

by The Rounds Table @ The Rounds Table

Fri Mar 18 10:57:47 PDT 2016

This week, Amol discusses contrast induced nephropathy. At an overall reported incidence of 10%, contrast induced nephropathy leads to worse clinical outcomes and double the rate of mortality. A systematic review and meta-analysis on the effectiveness of prevention strategies found that there is no strong evidence for any intervention beyond volume expansion with saline. N-acetyl…

The post An Exercise in Contrasts: Contrast Induced Nephropathy and Exercise in Cancer appeared first on Healthy Debate.

Like A Surgeon: Surgical skill variation, new oral anticoagulants

by The Rounds Table @ The Rounds Table

Wed Apr 09 04:00:56 PDT 2014

  This week: Surgical skill in bariatric surgery and new oral anticoagulants for atrial fibrillation Nathan and Amol want you to: 1. Understand how peer assessed technical skill was found to be associated with complication rates at the individual surgeon level. 2. Recognize that peer rating of technical skill may provide opportunities for targeted coaching,…

The post Like A Surgeon: Surgical skill variation, new oral anticoagulants appeared first on Healthy Debate.

Summer Replay: Breaking the Status Quo – Antimicrobial Stewardship in Diverticulitis & Casting vs. Surgery for Ankle Fractures

by Emily Hughes @ The Rounds Table

Fri Sep 08 03:00:27 PDT 2017

This week on The Rounds Table we are breaking the dogmas in clinical practice to find out if less is more. Does diverticulitis even require antibiotics in the age of antimicrobial stewardship? Next, how does casting compare to surgery for ankle fractures in older adults? Kieran and Lauren Lacroix discuss two thought-provoking new studies: Diverticulitis…

The post Summer Replay: Breaking the Status Quo – Antimicrobial Stewardship in Diverticulitis & Casting vs. Surgery for Ankle Fractures appeared first on Healthy Debate.

Top 5 Papers (Part 1): PFO Closure or Antiplatelet Therapy for Stroke and Quantifying PE in Syncope

by Emily Hughes @ The Rounds Table

Fri Nov 10 02:00:05 PST 2017

Each year, the Canadian Society for Internal Medicine (CSIM) Annual Meeting features a presentation of the “Top 5 Papers” in internal medicine. From the papers that had been discussed on The Rounds Table between November 2016 and October 2017, we selected 5 that we felt were particularly influential and presented them as the “Top 5…

The post Top 5 Papers (Part 1): PFO Closure or Antiplatelet Therapy for Stroke and Quantifying PE in Syncope appeared first on Healthy Debate.

Choosing the Right Drug: Non-Opioids for Acute Pain & Edoxaban for Venous Thromboembolism

by Emily Hughes @ The Rounds Table

Fri Jan 26 02:00:18 PST 2018

This week on The Rounds Table we are covering two important articles: the first examining combination opioids versus non-opiods for acute pain, and the second examining the use of edoxaban to treat cancer-associated venous thromboembolism (VTE). Kieran Quinn and Paxton Bach break it down for listeners. Opioid addiction is arguably the biggest epidemic of our…

The post Choosing the Right Drug: Non-Opioids for Acute Pain & Edoxaban for Venous Thromboembolism appeared first on Healthy Debate.

Value Judgments: Whole exome sequencing and left atrial appendage closure devices

by The Rounds Table @ The Rounds Table

Fri Dec 05 04:00:18 PST 2014

This week, Travis and Amol want you to recognize that: 1. Recognize whole exome sequencing is an important new method of identifying genetic mutations associated with disease. 2. Understand that the 4-year follow-up of the PROTECT AF study showed that left atrial appendage closure devices may be superior to warfarin in preventing strokes in patients with atrial…

The post Value Judgments: Whole exome sequencing and left atrial appendage closure devices appeared first on Healthy Debate.

Mars, Venus and the Microbiome

by Genuine Health @ Genuine Health

Tue Jan 16 13:50:08 PST 2018

Genuine Health recognizes and supports that gender identity is not limited to the man/woman binary: in this particular instance, we […]

The post Mars, Venus and the Microbiome appeared first on Genuine Health.

Summer Replay: Calling Home – Accuracy of The Surprise Question, Medical Assistance in Dying, and SGLT2 Inhibitors & DKA

by Emily Hughes @ The Rounds Table

Fri Aug 25 03:00:41 PDT 2017

This week on The Rounds Table we are focusing on papers that highlight talent at home – here in Toronto! Kieran hosts Dr. James Downar and Dr. Mike Fralick to discuss their recent publications, and Emily and Sheliza bring listeners the final special segment of the year. The surprise question – Would I be surprised…

The post Summer Replay: Calling Home – Accuracy of The Surprise Question, Medical Assistance in Dying, and SGLT2 Inhibitors & DKA appeared first on Healthy Debate.

Four for four: Candidates for CMA president on parents who don’t want to immunize their children

by Healthydebate @ Healthy Debate

Mon Feb 05 04:00:27 PST 2018

In the first installment of Healthy Debate's exclusive "Four for four" series, candidates for CMA president share their perspectives on the issue of parents who don't want to have their children immunized.

The post Four for four: Candidates for CMA president on parents who don’t want to immunize their children appeared first on Healthy Debate.

REPLAY – Clearing Confusion in Palliative Care: Goals of Care Interventions for Dementia and Antipsychotics for Delirium

by Emily Hughes @ The Rounds Table

Fri Mar 17 03:00:21 PDT 2017

It’s palliative care week on The Rounds Table! Kieran and Ariel guide listeners through two noteworthy new studies: interventions to clarify goals of care for individuals with advanced dementia; and a randomized trial of treatment for delirium in palliative care. Goals of care discussions are critical in ensuring treatments are aligned with patients expressed wishes.…

The post REPLAY – Clearing Confusion in Palliative Care: Goals of Care Interventions for Dementia and Antipsychotics for Delirium appeared first on Healthy Debate.

Fire Away! Choosing the Right NOAC & How Physician Training Affects Patient Outcomes

by Emily Hughes @ The Rounds Table

Fri Jan 19 02:00:35 PST 2018

This week on The Rounds Table we are trying something different as our first new episode of 2018: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Mike and Kieran break it down for listeners. Novel oral anticoagulants (NOACs) are everywhere, and they can put patients at…

The post Fire Away! Choosing the Right NOAC & How Physician Training Affects Patient Outcomes appeared first on Healthy Debate.

Depression Session: Cardiovascular Outcomes with Antidepressants and Preventing Depression in Primary Care

by The Rounds Table @ The Rounds Table

Fri Apr 08 09:51:39 PDT 2016

This week, Amol and his co-host Reena, general internist at St. Michael’s Hospital in Toronto, discuss two recent papers on depression: What is the risk of cardiovascular outcomes in patients using antidepressants? A cohort study of patients age 20 to 64 found no evidence that selective serotonin reuptake inhibitors (SSRIs) are associated with increased cardiovascular…

The post Depression Session: Cardiovascular Outcomes with Antidepressants and Preventing Depression in Primary Care appeared first on Healthy Debate.

Best of Hospital Medicine 2013 Part I

by The Rounds Table @ The Rounds Table

Fri Jan 09 14:00:56 PST 2015

Originally Aired September 24, 2014: Fecal Transplantation & Probiotics for C. difficile; Prone Positioning in ARDS; Steroids in COPD; Hospital Management of Diabetes. Fahad and Amol want you to gain familiarity with a number of major studies in hospital medicine published in 2013. 1. Fecal transplantation is effective for recurrent C. difficile infection. 2. Probiotics are…

The post Best of Hospital Medicine 2013 Part I appeared first on Healthy Debate.

Rapid Fire to Keep the Blood Pumping – BP Management, Lung Cancer Screening, and Intubation During Cardiac Arrest

by Emily Hughes @ The Rounds Table

Fri Mar 24 03:00:37 PDT 2017

This week on The Rounds Table we are trying something a little different: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Dr. Michael Fralick, general internist at St. Michael’s Hospital, takes the lead on this rapid fire approach. Even in the post-SPRINT era optimal BP targets…

The post Rapid Fire to Keep the Blood Pumping – BP Management, Lung Cancer Screening, and Intubation During Cardiac Arrest appeared first on Healthy Debate.

Does more education for health professionals equal better patient care?

by Karen Palmer, Christopher Doig & Jill Konkin @ Healthy Debate

Thu Jul 06 04:00:29 PDT 2017

The post Does more education for health professionals equal better patient care? appeared first on Healthy Debate.

Repeat: Value Judgments – Whole exome sequencing and left atrial appendage closure devices

by The Rounds Table @ The Rounds Table

Fri Jun 19 07:38:07 PDT 2015

Originally Published December 5, 2014: Travis and Amol want you to recognize that: 1. Recognize whole exome sequencing is an important new method of identifying genetic mutations associated with disease. 2. Understand that the 4-year follow-up of the PROTECT AF study showed that left atrial appendage closure devices may be superior to warfarin in preventing strokes in patients…

The post Repeat: Value Judgments – Whole exome sequencing and left atrial appendage closure devices appeared first on Healthy Debate.

Best of Hospital Medicine 2013 Part 1

by The Rounds Table @ The Rounds Table

Wed Sep 24 04:00:42 PDT 2014

This week: Fecal Transplantation & Probiotics for C. difficile; Prone Positioning in ARDS; Steroids in COPD; Hospital Management of Diabetes. Fahad and Amol want you to Gain familiarity with a number of major new studies in hospital medicine published in 2013. 1. Fecal transplantation is effective for recurrent C. difficile infection. 2. Probiotics are not effective in…

The post Best of Hospital Medicine 2013 Part 1 appeared first on Healthy Debate.

Unintended Puns: Predicting Steroid Response in Asthma and Patient Perceptions of PCI

by The Rounds Table @ The Rounds Table

Fri Nov 07 04:00:01 PST 2014

This Week: Travis and Amol want you to: 1. Recognize IL-25 levels are good predictors of steroid-responsiveness in asthma. 2. Understand that the majority of patients who undergo elective percutaneous coronary intervention for stable angina are misinformed about its benefits. Continuing Medical Education Internists can receive 0.5 hours of Continuing Medical Education credit for each podcast…

The post Unintended Puns: Predicting Steroid Response in Asthma and Patient Perceptions of PCI appeared first on Healthy Debate.

Organic Fresh Produce Sales Reach Nearly $5 Billion in 2017

by WholeFoods Magazine Staff @ Whole Foods Magazine

Thu Feb 08 12:21:35 PST 2018

Monterey, CA – Consumers bought nearly $5 billion worth of organic fresh produce items in 2017,  according to data released by the Organic Produce Network (OPN) and Nielsen. That’s an 8% increase from the previous year. The data, taken from retail stores across the U.S., showed that fresh vegetables topped sales at $2.4 billion, followed by […]

The post Organic Fresh Produce Sales Reach Nearly $5 Billion in 2017 appeared first on Whole Foods Magazine.

4 Things You Need to Know About Calcium

by Alyssa Ball @ Best Health Magazine Canada

Fri Feb 09 11:51:08 PST 2018

Think drinking a glass of milk is the only way to add more calcium to your diet? Think again!

The post 4 Things You Need to Know About Calcium appeared first on Best Health Magazine Canada.

Four ways Canada can shorten wait times for specialists

by Vanessa Milne, Joshua Tepper & Sachin Pendharkar @ Healthy Debate

Thu Feb 23 07:00:57 PST 2017

The post Four ways Canada can shorten wait times for specialists appeared first on Healthy Debate.

Big Data: Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frailty with Post-Operative Mortality

by Emily Hughes @ The Rounds Table

Fri Dec 16 02:00:16 PST 2016

It’s big data week on The Rounds Table! When initiating pharmacotherapy for atrial fibrillation, which drug is best? How does frailty influence surgical outcomes? Kieran and Michael Fralick, General Internist at St. Michael’s Hospital, take listeners through two noteworthy studies: When a new medication is developed it is generally compared against standard of care or…

The post Big Data: Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frailty with Post-Operative Mortality appeared first on Healthy Debate.

Skin Savers: The Most Effective Skin Treatments

by Lisa Hannam @ Best Health Magazine Canada

Wed Feb 07 12:55:01 PST 2018

Skin care is always evolving, but find out if the latest beauty launch is worth your hard-earned money. Read our reviews as we test out the newest products.

The post Skin Savers: The Most Effective Skin Treatments appeared first on Best Health Magazine Canada.

Replay: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle

by The Rounds Table @ The Rounds Table

Thu Nov 12 15:36:03 PST 2015

This week we are replaying one of our favourite episodes from earlier this season: Originally aired on October 3, 2015, Amol, general internal resident at the University of Toronto, and Fahad, Staff Internist at St. Michael’s Hospital in Toronto, discuss two papers. It’s phototherapy without the need for electricity. Fahad discusses how filtered sunlight is found to…

The post Replay: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle appeared first on Healthy Debate.

What it’s really like to practice medicine in the U.S.

by Karen Palmer, Jeremy Petch & Debra Bournes @ Healthy Debate

Thu Oct 19 07:24:21 PDT 2017

The post What it’s really like to practice medicine in the U.S. appeared first on Healthy Debate.

100% Bullish: Simvastatin in MS, Communicating Risk

by The Rounds Table @ The Rounds Table

Fri Nov 14 04:00:07 PST 2014

Originally Aired September 10, 2014: Simvastatin in Secondary Progressive Multiple Sclerosis and Communicating With Patients About Risk Rebecca and Amol want you to: 1. Recognize that simvastatin reduces the rate of whole brain atrophy in secondary progressive MS, which may be a promising new use for statins. 2. Understand that effective strategies to communicate risk include: Using…

The post 100% Bullish: Simvastatin in MS, Communicating Risk appeared first on Healthy Debate.

Anatomy of a referral: Why wait times for specialists are still too long

by Vanessa Milne, Joshua Tepper & Maureen Taylor @ Healthy Debate

Thu Feb 09 06:00:28 PST 2017

The post Anatomy of a referral: Why wait times for specialists are still too long appeared first on Healthy Debate.

Best of Hospital Medicine 2013 Part II

by The Rounds Table @ The Rounds Table

Wed Oct 01 04:00:35 PDT 2014

This week: Blood Transfusions in Upper GI Bleeding, Aspirin in DVT prophylaxis, Vasopression and Steroids in Cardiac Arrest, MRSA Decolonization, Fluid and Sodium Restriction in Heart Failure Fahad and Amol want you to gain familiarity with a number of major new studies in hospital medicine published in 2013. Continuing Medical Education Internists can receive 0.5 hours…

The post Best of Hospital Medicine 2013 Part II appeared first on Healthy Debate.

One year later: Are Syrian refugees finding the PTSD support they need?

by Vanessa Milne, Debra Bournes & Michael Nolan @ Healthy Debate

Thu Dec 15 05:00:03 PST 2016

The post One year later: Are Syrian refugees finding the PTSD support they need? appeared first on Healthy Debate.

The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia

by The Rounds Table @ The Rounds Table

Fri Feb 20 04:04:16 PST 2015

Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical…

The post The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.

5 Ways to Make Resolutions That Actually Stick

by Dr. Katherine Kremblewski ND @ Genuine Health

Wed Dec 27 01:00:16 PST 2017

“I’ll start tomorrow.” Sound familiar? Whether you’re talking about a new year’s resolution, a new workout routine, a new diet […]

The post 5 Ways to Make Resolutions That Actually Stick appeared first on Genuine Health.

The Upbeat Episode: Opioid Prescription and High Sensitivity Troponin Assay

by The Rounds Table @ The Rounds Table

Fri Jan 15 13:16:59 PST 2016

Amol, general internal medicine resident at the University of Toronto, and Reena, staff physician in internal medicine at St. Michael’s hospital, discuss 2 recent papers: Opioid prescription is an increasing public health crisis. A retrospective cohort study found that patients who experience non-fatal opioid overdose almost always get re-prescribed opioids at large doses a month…

The post The Upbeat Episode: Opioid Prescription and High Sensitivity Troponin Assay appeared first on Healthy Debate.

House calls on the rise in Ontario

by Karen Palmer, Jill Konkin & Michael Nolan @ Healthy Debate

Thu Aug 03 07:00:09 PDT 2017

The post House calls on the rise in Ontario appeared first on Healthy Debate.

SARAH’s VOICE: Pre-exposure prophylaxis in HIV and exercise for the rheumatoid hand

by The Rounds Table @ The Rounds Table

Thu Mar 05 21:30:36 PST 2015

VOICE: Tenofovir and Emtricitabine for HIV pre-exposure prophylaxis in African women and SARAH: Hand exercises in Rheumatoid Arthritis Fahad and Amol want you to understand the following: 1. Pre-exposure prophylaxis was not effective in a population of African women. Medication adherence was apparently excellent based on self-report and pill counting, however serum drug levels demonstrated that it…

The post SARAH’s VOICE: Pre-exposure prophylaxis in HIV and exercise for the rheumatoid hand appeared first on Healthy Debate.

Amazon Kicks Off Two-Hour Delivery in 4 Cities

by WholeFoods Magazine Staff @ Whole Foods Magazine

Fri Feb 09 11:03:55 PST 2018

Amazon is now offering its Prime members in four cities free, two-hour delivery from Whole Foods stores.  And customers could get rewards for their participation as well. This week, Stephenie Landry, vice president of Prime Now, Amazon Fresh and Amazon Restaurants, announced that customers of the $99-a-year Amazon Prime delivery service who live in Austin (where […]

The post Amazon Kicks Off Two-Hour Delivery in 4 Cities appeared first on Whole Foods Magazine.

They’re coming for Fahad: Air pollution and heart failure, renal denervation

by The Rounds Table @ The Rounds Table

Fri Apr 25 04:00:52 PDT 2014

This week: Air pollution and heart failure, renal denervation for hypertension. Fahad and Amol want you to: 1. Understand the relationship between air pollution and cardiovascular health, and its broader policy implications. 2. Recognize that renal denervation was not an effective treatment for hypertension when studied in a randomized, blinded, sham-controlled trial. Continuing Medical Education…

The post They’re coming for Fahad: Air pollution and heart failure, renal denervation appeared first on Healthy Debate.

Happy Canada Day!

by thrive360 @ thrive360

Fri Jun 30 03:22:57 PDT 2017

By Zannat Reza, MHSc RD Happy Canada Day!!! Have an amazingly delicious long weekend featuring red and white-themed recipes. With local strawberries in season, how about these Strawberry Cardamom Scones? I created this recipe for Canadian Lentils, so yes, there are lentils in these scones...

The post Happy Canada Day! appeared first on thrive360.

All About Diabetes: Bariatric Surgery and Physical Activity

by The Rounds Table @ The Rounds Table

Wed May 28 04:00:11 PDT 2014

This week: A Randomized Trial of Bariatric Surgery vs. Medical Management; Physical Activity and the Risk of Type II Diabetes in patients with Gestational Diabetes Nathan and Amol want you to: 1. Recognize that bariatric surgery led to superior diabetes control compared to intensive medical management in a single centre randomized controlled trial over a 3 year follow up…

The post All About Diabetes: Bariatric Surgery and Physical Activity appeared first on Healthy Debate.

Emergent Realizations: Contrast-Induced Nephropathy & Opioid Prescribing Patterns

by Emily Hughes @ The Rounds Table

Fri Apr 14 03:00:36 PDT 2017

Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed causal…

The post Emergent Realizations: Contrast-Induced Nephropathy & Opioid Prescribing Patterns appeared first on Healthy Debate.

Take My Breath Away: Challenging Asthma Diagnoses & Home Non-Invasive Ventilation in COPD

by Emily Hughes @ The Rounds Table

Fri Oct 27 02:00:57 PDT 2017

What if you could tell an adult with physician diagnosed asthma that they could safely stop their asthma medications? Or, tell an adult living with chronic obstructive pulmonary disease (COPD) that the addition of home non-invasive ventilation could significantly prolong their lifespan? This week on The Rounds Table Kieran and Ariel discuss two thought provoking…

The post Take My Breath Away: Challenging Asthma Diagnoses & Home Non-Invasive Ventilation in COPD appeared first on Healthy Debate.

All About Diabetes: Bariatric Surgery and Physical Activity

by The Rounds Table @ The Rounds Table

Fri Aug 29 04:00:57 PDT 2014

Originally aired May 28, 2014: A Randomized Trial of Bariatric Surgery vs. Medical Management; Physical Activity and the Risk of Type II Diabetes in patients with Gestational Diabetes Nathan and Amol want you to: 1. Recognize that bariatric surgery led to superior diabetes control compared to intensive medical management in a single centre randomized controlled trial over a 3…

The post All About Diabetes: Bariatric Surgery and Physical Activity appeared first on Healthy Debate.

Orange Ginger Overnight Oats

by Kale and Krunches @ Genuine Health

Fri Jan 05 07:43:08 PST 2018

Overnight oats are so easy and delicious, they’re often called a breakfast “game changer.” You soak rolled oats in nut […]

The post Orange Ginger Overnight Oats appeared first on Genuine Health.

Cognition Edition: Post-Operative Delirium and Healthcare Costs in Dementia

by The Rounds Table @ The Rounds Table

Fri Jan 29 08:04:02 PST 2016

January is Alzheimer Awareness Month in Canada! To bring this to light, Amol and Nathan discuss three recent papers: The first is a systematic review and meta-analysis of risk factors for post-operative delirium. Among other findings, the study identified two nutritional-related variables, low BMI and low albumin, as delirium risk factors. Nathan relates this study to a…

The post Cognition Edition: Post-Operative Delirium and Healthcare Costs in Dementia appeared first on Healthy Debate.

Wait time targets miss the mark with patients

by Karen Palmer, Mike Tierney & Michael Nolan @ Healthy Debate

Thu Nov 10 04:00:36 PST 2016

The post Wait time targets miss the mark with patients appeared first on Healthy Debate.

A New HOPE: Statins and Anti-hypertensives in intermediate cardiovascular risk

by The Rounds Table @ The Rounds Table

Fri Apr 15 15:26:52 PDT 2016

This week, Amol and Reena, internist at St. Michael’s hospital in Toronto, discuss the HOPE-3 trial. HOPE-3 is a 2-by-2 double blind randomized placebo controlled trial, which found that statins were effective in preventing cardiovascular events in intermediate risk patients but anti-hypertensives were not. While candesartan and hydrochlorothiazide were not superior to placebo, rosuvastatin resulted…

The post A New HOPE: Statins and Anti-hypertensives in intermediate cardiovascular risk appeared first on Healthy Debate.

Replay: Amol’s 10 Favourite Papers of 2015

by The Rounds Table @ The Rounds Table

Thu Mar 10 17:04:33 PST 2016

This week we are replaying our first episode of the season. Originally aired on January 11, 2016, Amol, general internal medicine resident at the University of Toronto, talk about his 10 favourite papers of 2015. Rate us on iTunes! Follow us on Twitter @roundstable. The Papers 1. Teixobactin, a new antibiotic:  http://www.nature.com/nature/journal/v517/n7535/full/nature14098.html 2. Modified Valsalva…

The post Replay: Amol’s 10 Favourite Papers of 2015 appeared first on Healthy Debate.

These are not real stock tips: Post-op DVT Prophylaxis and Intra-arterial Treatment of Stroke

by The Rounds Table @ The Rounds Table

Fri Feb 06 04:00:50 PST 2015

Factor XI Antisense Oligonucleotides for Post-operative VTE and Intra-arterial Treatment for Stroke Nathan and Amol want you to understand the following: 1. Factor XI is a promising treatment target for preventing VTE, with a recent study showing that an antisense oligonucleotide was more effective in reducing VTE and had less associated bleeding than enoxaparin. 2. Intra-arterial…

The post These are not real stock tips: Post-op DVT Prophylaxis and Intra-arterial Treatment of Stroke appeared first on Healthy Debate.

SPLASH!® milk science update: February 2018

by Kimberly Yarris @ California Dairy Research Foundation

Fri Feb 09 12:28:13 PST 2018

SPLASH!® milk science update: February 2018 Issue This month’s issue features milk reducing the risk of hip fractures, milk cortisol’s influence on social behavior, vitamin K2 and bone health, and an alternative solution to the French Paradox. Share this Page

What’s in Season? Plentiful Summer Season!

by @ [BCDairy] News or Article

Sat Jul 01 08:20:24 PDT 2017

July & August produce such a large variety of foods in BC, check out a few here!

What's in Season this Summer - July & August

The best time of the year for fresh fruits and vegetables are Summer months: July & August! Not only are there plentiful selections in the summer, but buying local always produces the freshest fruits and vegetables any time of the year. Visit our friends at WeHeartLocalBC.ca on their their in-season guide page!

JULY

AUGUST

Summer is perfect for BBQ's and dining el fresco! Try our Tandoori Chicken and Fresh Confetti Quinoa Salad recipes during the hot summer months.

CANVASsing for Healthy Hearts: Canakinumab for Atherosclerosis and Canaglifozin for Cardiovascular Risk Reduction

by Emily Hughes @ The Rounds Table

Fri Sep 22 02:00:20 PDT 2017

This week on The Rounds Table we’re deepening our understanding of cardiovascular disease management through covering two exciting new articles. Kieran and Paxton break it down for listeners. Last season we covered FOURIER/evolocumab and the reduction of cardiovascular events through aggressive lipid lowering with PCSK-9 inhibitors. Do treatments that target inflammation without affecting lipid levels…

The post CANVASsing for Healthy Hearts: Canakinumab for Atherosclerosis and Canaglifozin for Cardiovascular Risk Reduction appeared first on Healthy Debate.

Trump: 'Canada does not treat us right'

by @ CTVNews.ca - Top Stories - Public RSS

Mon Feb 12 11:55:00 PST 2018

U.S. President Donald Trump is complaining about Canadian trade practices while threatening a tax on international imports, indicating Monday that the idea of some form of border fee remains alive.

Understanding Stress Inside and Out

by Andrea Karr @ Best Health Magazine Canada

Thu Feb 08 08:15:59 PST 2018

It's possible to minimize the impact of stress with these key tools.

The post Understanding Stress Inside and Out appeared first on Best Health Magazine Canada.

Too rich for my blood: obesity, palliative care, hepatitis c

by The Rounds Table @ The Rounds Table

Tue Mar 11 04:01:13 PDT 2014

This week: obesity, palliative care, hepatitis c Learning objectives – Amol, Fahad, and Travis discuss: 1. Understand trends in obesity prevalence in adults and children. 2. Appreciate the effect of early palliative care on quality of life in patients with advanced cancer. 3. Recognize new therapeutic options in chronic Hepatitis C infection and their associated cost implications. Continuing…

The post Too rich for my blood: obesity, palliative care, hepatitis c appeared first on Healthy Debate.

15 Signs Your Body Is Aging Faster Than You Are

by Andrea Karr @ Best Health Magazine Canada

Fri Feb 09 13:26:17 PST 2018

Have you stopped eating pickles because you can't get the jar open? Are your pants tight in the waist but loose on your legs? We've got news for you...

The post 15 Signs Your Body Is Aging Faster Than You Are appeared first on Best Health Magazine Canada.

Physi-Oh My! Physiotherapy for Hip Osteoarthritis and Whiplash

by The Rounds Table @ The Rounds Table

Wed Jul 16 04:00:49 PDT 2014

This week: Physiotherapy in Chronic Hip Osteoarthritis and Whiplash Sara Guilcher and Amol want you to: 1. Recognize that 2 high quality randomized controlled trials showed that a comprehensive physiotherapy intervention did not reduce pain or improve function in chronic hip osteoarthritis or whiplash. 2. Appreciate that although the role of physiotherapy in acute pain…

The post Physi-Oh My! Physiotherapy for Hip Osteoarthritis and Whiplash appeared first on Healthy Debate.

PM says time to recognize anti-black racism exists

by @ CTVNews.ca - Top Stories - Public RSS

Mon Feb 12 17:48:00 PST 2018

At a reception marking Black History Month, Justin Trudeau says it's time Canadians acknowledged that racism and unconscious bias against black people exist in this country.

Room for improvement on patient surveys

by Karen Palmer, Debra Bournes & Maureen Taylor @ Healthy Debate

Thu Sep 07 04:00:04 PDT 2017

The post Room for improvement on patient surveys appeared first on Healthy Debate.

Vitamania: Vitamin D and Mortality, Vitamin C and Smoking in Pregnancy

by The Rounds Table @ The Rounds Table

Wed Jun 25 06:59:58 PDT 2014

This week: Vitamin D Levels and All-Cause Mortality, Vitamin C and Infant Lung Outcomes in Pregnant Smokers Reena and Amol want you to: 1. Recognize the potential association between Vitamin D levels and overall mortality. 2. Recognize that Vitamin C supplementation in pregnant women who smoke can improve infant lung outcomes (though it has not been shown to improve…

The post Vitamania: Vitamin D and Mortality, Vitamin C and Smoking in Pregnancy appeared first on Healthy Debate.

Season Finale: Dabigatran Reversal and Digoxin Mortality

by The Rounds Table @ The Rounds Table

Fri Jul 03 08:52:47 PDT 2015

Fahad and Amol want you to recognize that: 1. Idarucizumab as an agent that specifically reverses the hemostatic effects of dabigatran.  2. A post-hoc analysis of the ROCKET-AF study showed that digoxin is associated with increased mortality in patients with atrial fibrillation. The papers Idaracizumab for Dabigatran reversal. Digoxin use and mortality in ROCKET-AF. Good stuff http://www.smacc.net.au/about-us/welcome/ http://emupdates.com/wp-content/uploads/2015/06/Strayer-Opioid-Misuse-SMACC-Slideset.pdf…

The post Season Finale: Dabigatran Reversal and Digoxin Mortality appeared first on Healthy Debate.

Like A Surgeon: Surgical skill variation, new oral anticoagulants

by The Rounds Table @ The Rounds Table

Wed Aug 06 04:00:19 PDT 2014

Originally aired April 9, 2014: Surgical skill in bariatric surgery and new oral anticoagulants for atrial fibrillation Nathan and Amol want you to: 1. Understand how peer assessed technical skill was found to be associated with complication rates at the individual surgeon level. 2. Recognize that peer rating of technical skill may provide opportunities for…

The post Like A Surgeon: Surgical skill variation, new oral anticoagulants appeared first on Healthy Debate.

IgG tests promise to reveal food sensitivities. But are they science or science-ish?

by Vanessa Milne, Timothy Caulfield & Jill Konkin @ Healthy Debate

Thu Jan 26 06:00:30 PST 2017

The post IgG tests promise to reveal food sensitivities. But are they science or science-ish? appeared first on Healthy Debate.

Abiasa begins branding of probiotics

by phadmin @ Biena

Sat Aug 05 10:15:58 PDT 2006

Just look at us now: Vagal nerve block for weight loss and stopping inhaled steroids in COPD

by The Rounds Table @ The Rounds Table

Wed Oct 15 06:00:14 PDT 2014

This Week: Vagal nerve blockade for weight loss; stopping inhaled steroids in COPD Nathan and Amol want you to: 1. Learn about vagal nerve blockade as a potential new weight loss intervention 2. Understand that we may be able to safely taper and stop inhaled glucocorticoids in patients with stable severe COPD who are already on two inhaled bronchodilators. Continuing…

The post Just look at us now: Vagal nerve block for weight loss and stopping inhaled steroids in COPD appeared first on Healthy Debate.

If you build it, they will come! – ICU beds, dementia and quality of care in MI outcomes

by Emily Hughes @ The Rounds Table

Fri Nov 04 03:00:34 PDT 2016

Ever wondered about when to mechanically ventilate patients with dementia in the ICU? Or how hospital quality predicts survival post MI? Tune in this week as Dr. Laura Walker, Chief Medical Resident at St. Michael’s Hospital, and Kieran discuss two intriguing studies!  The prevalence of dementia is steadily rising across North America. Among hospitalized nursing…

The post If you build it, they will come! – ICU beds, dementia and quality of care in MI outcomes appeared first on Healthy Debate.

Clearing Confusion in Palliative Care: Antipsychotics for Delirium and Goals of Care Interventions

by Emily Hughes @ The Rounds Table

Fri Jan 27 03:00:45 PST 2017

It’s palliative care week on The Rounds Table! Kieran and Ariel guide listeners through two noteworthy new studies: interventions to clarify goals of care for individuals with advanced dementia; and a randomized trial of treatment for delirium in palliative care. Goals of care discussions are critical in ensuring treatments are aligned with patients expressed wishes.…

The post Clearing Confusion in Palliative Care: Antipsychotics for Delirium and Goals of Care Interventions appeared first on Healthy Debate.

Canadian who was detained by al Qaeda affiliate in Syria describes harrowing ordeal

by @ CTVNews.ca - Top Stories - Public RSS

Mon Feb 12 17:40:51 PST 2018

Chatham, Ont., man Sean Moore is speaking out for the first time about the torture he experienced at the hands of an al Qaeda affiliate in Syria.

To a T: Testosterone Supplementation and Reducing Treatment Time in Stroke

by The Rounds Table @ The Rounds Table

Wed Oct 08 04:00:50 PDT 2014

Originally aired April 30, 2014: Cardiovascular risk and testosterone supplementation, reducing time to treatment in acute ischemic stroke. Fahad and Amol want you to: 1. Recognize that observational evidence suggests that testosterone supplementation is significantly associated with cardiovascular events and mortality. 2. Understand that a national quality improvement initiative was associated with reduced treatment times for stroke and improved…

The post To a T: Testosterone Supplementation and Reducing Treatment Time in Stroke appeared first on Healthy Debate.

These Are The 10 Most Trusted Brands We Always Have In Our Gym Bags

by Lisa Hannam @ Best Health Magazine Canada

Wed Feb 07 11:11:35 PST 2018

What's in our gym bag? Oh, you know, just Canada's most trusted brands. It's true! Canadians voted that these are the best!

The post These Are The 10 Most Trusted Brands We Always Have In Our Gym Bags appeared first on Best Health Magazine Canada.

Indigenous health services often hampered by legislative confusion

by Karen Palmer, Joshua Tepper & Michael Nolan @ Healthy Debate

Thu Sep 21 07:25:07 PDT 2017

The post Indigenous health services often hampered by legislative confusion appeared first on Healthy Debate.

New Beginnings: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents

by The Rounds Table @ The Rounds Table

Thu Sep 17 22:21:56 PDT 2015

Amol and Fahad discuss: 1. A randomized controlled trial shows that a new approach to vagal maneuvers for supraventricular tachyarrhythmia was shown to be significantly more effective than traditional maneuvers. 2. A survey in California adolescents shows that there is an association between eCigarette use and subsequent tobacco use, raising concerns about a ‘gateway’ effect. The…

The post New Beginnings: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents appeared first on Healthy Debate.

Obtains an operation licensefrom Health Canada

by phadmin @ Biena

Wed Aug 05 10:16:41 PDT 2009

How to love apples with a savoury twist

by thrive360 @ thrive360

Wed Sep 13 13:19:11 PDT 2017

by Zannat Reza, MHSc RD When cooking with apples we often think sweet desserts, but getting creative with this Canadian staple can lend an unexpected twist to savoury recipes as well. My colleague, Anna Richardson, developed a series of delicious recipes. Dig into an apple...

The post How to love apples with a savoury twist appeared first on thrive360.

My Joyous Self-Care Routine

by Joy McCarthy @ Genuine Health

Fri Jan 26 09:03:39 PST 2018

My self-care routine has definitely evolved over the years. When I was in my 20’s it was all about fitness […]

The post My Joyous Self-Care Routine appeared first on Genuine Health.

Season 2 Promo: “Good Stuff” from our great new team

by The Rounds Table @ The Rounds Table

Fri Sep 11 07:21:47 PDT 2015

Season 2 of The Rounds Table kicks off next week. To get things started, here’s a short episode with ‘good stuff’ recommendations from our excellent new team: Jennifer Peng, Anthony Maher, and Annie Wang. Good Stuff Jennifer: http://www.theatlantic.com/health/archive/2014/11/the-dutch-village-where-everyone-has-dementia/382195/  Anthony: http://blogs.plos.org/globalhealth/2013/11/jojewell2/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+plos%2Fblogs%2Fblogosphere+%28Blogs+-+Blogosphere%29 Annie: http://freakonomics.com/2015/08/27/are-you-ready-for-a-glorious-sunset-a-new-freakonomics-radio-episode/  Music Credits (Creative Commons): In your Robotic Heart – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/in-your-robotic-heart Drive – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/drive-fresh-upbeat-pop-background-music Piano…

The post Season 2 Promo: “Good Stuff” from our great new team appeared first on Healthy Debate.

Listen: Food and Chemical Hypersensitivities

by Steve Lankford, host of HealthQuestPodcast.com @ Whole Foods Magazine

Thu Feb 08 09:28:19 PST 2018

Click to Hear Podcast   How to discover over 500 hidden or delayed allergies. One of the biggest and sometimes most mysterious health issue is caused by unknown food and chemical hypersensitivity. We live in an environment that is filled with chemical compounds that never existed until the 20th century. This includes industrial chemicals, pharmaceutical drugs, […]

The post Listen: Food and Chemical Hypersensitivities appeared first on Whole Foods Magazine.

Together Again: Aromatase Inhibitor for DCIS and New Colorectal Cancer Screening Recommendations

by The Rounds Table @ The Rounds Table

Fri Apr 01 09:58:49 PDT 2016

This week, Amol and Nathan discuss breast cancer and colorectal cancer: Two randomized control trials compared the aromatase inhibitor anastrozole to tamoxifen as adjuvant hormone therapy for postmenopausal women with ductal carcinoma in situ. Both trials were double blind and multi-centred, with one trial (NSABP B-35) enrolling North American patients and the other (IBIS-II DCIS)…

The post Together Again: Aromatase Inhibitor for DCIS and New Colorectal Cancer Screening Recommendations appeared first on Healthy Debate.

Great Minds Think Alike: Nurse Staffing and Appropriateness of Coronary Angiography

by The Rounds Table @ The Rounds Table

Wed May 21 04:00:37 PDT 2014

This week: Nurse Staffing and Education and Hospital Mortality; Appropriate Use of Coronary Angiography   Nathan and Amol want you to: 1. Understand that this study demonstrated relationships between nurse to patient ratio and average nurse education level to post-operative mortality among a large cohort of European patients. 2. Recognize different approaches to studying appropriateness and that variability in…

The post Great Minds Think Alike: Nurse Staffing and Appropriateness of Coronary Angiography appeared first on Healthy Debate.

Are you a Kindergarten/Grade 1 teacher in Vancouver or Surrey interested in healthy eating?

by @ [BCDairy] News or Article

Thu Aug 10 09:15:44 PDT 2017

If you teach in Vancouver or Surrey, you have the opportunity to take part in an exciting study! Researchers at UBC are studying the impact of the Food Explorers program on children’s willingness to try new foods.

Are you a Kindergarten/Grade 1 teacher interested in healthy eating? We have an exciting study to share with you. Researchers at the University of British Columbia are studying the impact of the Food Explorers program on children’s willingness to try new foods. If you take part in the study, you will receive a $100 mini food grant to teach the program, with no need to apply for a grant. 

What's required from the teacher

• Be willing to start the Food Explorers program in the Fall 2017 (shortly after receiving the mini food grant
• Complete online questionnaires at the beginning (Fall 2017) and end (Spring 2018) of the Food Explorers program on your experience teaching the program
• Help us send and collect consent forms and questionnaires for parents to complete at the beginning and end of the program
• Help coordinate two in-school assessments of diet in children in your class (~1 hour each time). Assessments will be conducted by researchers with minimal disruption to classroom activities.

To participate or for more information, please contact the research team at 604-822-1397 or email Gaya Murthy at food.explorers@ubc.ca

If you have taught the program in the past and choose not to in the 2017-2018 school year, you could participate as a control group. Control group teachers will receive $100 to be used for classroom resources.

Health Canada wants to see front-of-package symbols

by Food in Canada @ Food In Canada

Mon Feb 12 11:49:05 PST 2018

In an effort to help Canadians make healthier food choices, Health Canada has launched consultations with consumers and industry on creating a new front-of-package symbol

REPLAY: PURE at HEART – Fats vs. Carbohydrates as Risk Factors for Mortality and Stratifying Chest Pain in the Emergency Department

by Emily Hughes @ The Rounds Table

Fri Jan 12 02:00:23 PST 2018

What’s healthier, a diet high in fat or high in carbohydrates? How can the HEART score be used to stratify patients who present to the Emergency Department with chest pain? Kieran Quinn and Ashley Minuk cover the answers from the findings of two exciting new articles. With the growing burden of cardiovascular and diet related…

The post REPLAY: PURE at HEART – Fats vs. Carbohydrates as Risk Factors for Mortality and Stratifying Chest Pain in the Emergency Department appeared first on Healthy Debate.

The Rise and Fall of National Food Brands – commentary

by Food in Canada @ Food In Canada

Wed Jan 31 05:14:49 PST 2018

Dr. Oetker in Grand Falls and Campbell’s in Toronto: two closures, almost 600 jobs. The bloodbath in food manufacturing in Canada continues. But despite appearances, the future in food processing has never looked brighter

Don’t Go Breaking My Heart: Romosozumab for Osteoporosis and Early Palliative Care in Heart Failure

by Emily Hughes @ The Rounds Table

Fri Oct 20 02:00:46 PDT 2017

This week on The Rounds Table we’re covering important studies on two very common diseases: osteoporosis and heart failure. Kieran and Laura break it down for listeners. Osteoporosis affects women worldwide, and will become more common because of our aging population. Although several pharmacologic treatments exist to treat the disease, few head to head studies…

The post Don’t Go Breaking My Heart: Romosozumab for Osteoporosis and Early Palliative Care in Heart Failure appeared first on Healthy Debate.

What are the health impacts of forest fires?

by Vanessa Milne, Michael Nolan & Christopher Doig @ Healthy Debate

Thu Sep 14 04:00:11 PDT 2017

The post What are the health impacts of forest fires? appeared first on Healthy Debate.

How patient stories are re-shaping health care

by Vanessa Milne, Francine Buchanan, Joshua Tepper & Jeremy Petch @ Healthy Debate

Thu Sep 28 08:45:37 PDT 2017

The post How patient stories are re-shaping health care appeared first on Healthy Debate.

Valued Care: End of Life Care and Early Trends from “Choosing Wisely”

by The Rounds Table @ The Rounds Table

Fri May 20 11:09:28 PDT 2016

This week, Amol and Dr. Kieran Quinn, both general internal medicine residents at the University of Toronto, discuss two studies: Where do people die? What types of care do they utilize at the end of life? A retrospective cohort study of people who died with cancer in seven developed countries evaluated the number of deaths…

The post Valued Care: End of Life Care and Early Trends from “Choosing Wisely” appeared first on Healthy Debate.

Belize: The Best Caribbean Hotspots for Active Travel

by Lisa Hannam @ Best Health Magazine Canada

Wed Feb 07 11:19:03 PST 2018

Stay active and indulge in the balmy weather of Belize with these scenic hikes, snorkeling adventures and tours—plus, your best hotel and tasty treat.

The post Belize: The Best Caribbean Hotspots for Active Travel appeared first on Best Health Magazine Canada.

Jessica Biel Opens Up About Teaching Her Toddler About Sex

by Andrea Karr @ Best Health Magazine Canada

Fri Feb 09 12:18:16 PST 2018

Actress and mom Jessica Biel promotes sex positivity in many ways — including the sex education of her own young son.

The post Jessica Biel Opens Up About Teaching Her Toddler About Sex appeared first on Best Health Magazine Canada.

Proud to be Here: Declining Rates of Dementia and EPO-Agents for Anemia in Kidney Disease

by The Rounds Table @ The Rounds Table

Fri Feb 26 10:29:03 PST 2016

This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, staff internist at St. Michael’s Hospital in Toronto, discuss 2 recent papers: Is dementia in decline? A study using the well-characterized Framingham cohort found that dementia rates in the last four decades have declined by 20%. Fahad evaluate the quality of…

The post Proud to be Here: Declining Rates of Dementia and EPO-Agents for Anemia in Kidney Disease appeared first on Healthy Debate.

Boushie's family meets federal ministers after acquittal in murder trial

by @ CTVNews.ca - Top Stories - Public RSS

Mon Feb 12 13:14:00 PST 2018

The grieving relatives of a First Nations man whose accused killer was acquitted by a Saskatchewan jury are meeting with federal ministers to take what they call a first step in the long road to reforming Canada's justice system.

Mental health: moving beyond just medication

by Vanessa Milne, Maureen Taylor & Michael Nolan @ Healthy Debate

Thu Apr 20 04:30:15 PDT 2017

We deserve universal access to psychotherapy as part of Canada's mental-health coverage. Here's how to make it happen.

The post Mental health: moving beyond just medication appeared first on Healthy Debate.

Yin and Yang 2.0: Revisiting Aspirin and Blood Transfusions

by The Rounds Table @ The Rounds Table

Wed Jun 11 04:00:10 PDT 2014

This week: Perioperative Aspirin and Blood Transfusions and Hospital-acquired Infections Nathan and Amol want you to: 1. Understand that the use of perioperative ASA did not reduce the rate of postoperative MI or death, but was found to increase the rate of major bleeding. 2. Recognize that it may be difficult to generalize the findings of the POISE-2…

The post Yin and Yang 2.0: Revisiting Aspirin and Blood Transfusions appeared first on Healthy Debate.

Seven ways to talk to anti-vaxxers (that might actually change their minds)

by Vanessa Milne, Timothy Caulfield & Joshua Tepper @ Healthy Debate

Thu Aug 31 06:07:45 PDT 2017

The post Seven ways to talk to anti-vaxxers (that might actually change their minds) appeared first on Healthy Debate.

A VISION of Stability: Effects of Body Weight Fluctuation on Coronary Outcomes and Post-Operative Troponins on Mortality

by Emily Hughes @ The Rounds Table

Fri May 12 03:00:03 PDT 2017

Overweight and obese patients are routinely counselled about weight loss since it is thought to improve numerous outcomes. However, as many of us know, achieving stable weight loss is easier said than done! In patients with existing coronary disease, is the weight fluctuation that is often associated with weight loss attempts harmful? Fahad takes listeners…

The post A VISION of Stability: Effects of Body Weight Fluctuation on Coronary Outcomes and Post-Operative Troponins on Mortality appeared first on Healthy Debate.

The Best Makeup To Wake-Up Your Tired Skin

by Alyssa Ball @ Best Health Magazine Canada

Wed Feb 07 11:14:18 PST 2018

When sleep isn't a priority, make makeup your first. Here are the products that will help you look rested, even on the most tired of days.

The post The Best Makeup To Wake-Up Your Tired Skin appeared first on Best Health Magazine Canada.

Replay: We’re Back (pain)! Perioperative Atrial Fibrillation, Paracetamol and back pain

by The Rounds Table @ The Rounds Table

Fri Apr 03 07:37:19 PDT 2015

Originally aired September 3, 2014: Perioperative AFib and Long-Term Risk of Ischemic Stroke; Paracetamol not more effective than placebo in acute low back pain Nathan and Amol want you to: 1. Understand that perioperative atrial fibrillation is associated with increased long-term risk of ischemic stroke. 2. Recognize that a high quality Randomized Controlled Trial demonstrates that paracetamol is…

The post Replay: We’re Back (pain)! Perioperative Atrial Fibrillation, Paracetamol and back pain appeared first on Healthy Debate.

Combining organ donation and medical assistance in death: considering the ethical questions

by Vanessa Milne, Christopher Doig & Maureen Taylor @ Healthy Debate

Thu May 18 04:00:32 PDT 2017

Donating organs after medical assistance in dying (MAID) is “very complex, ethically": some worry that having the option of organ donation might make people feel pressured to die.

The post Combining organ donation and medical assistance in death: considering the ethical questions appeared first on Healthy Debate.

REPLAY – New Year, New Medicine: Alternatives to Hospitalization & Association of PPIs with Pneumonia

by Emily Hughes @ The Rounds Table

Fri Feb 03 03:00:37 PST 2017

It’s a new year, which means new theme music for The Rounds Table! This week, Kieran and Jay take listeners through alternatives to inpatient hospitalization and the effects of PPIs on community acquired pneumonia. Hospitals often operate at over 100% capacity, and inpatient care is expensive – it accounts for 32% of US healthcare dollars!…

The post REPLAY – New Year, New Medicine: Alternatives to Hospitalization & Association of PPIs with Pneumonia appeared first on Healthy Debate.

Orange Ginger Prebiotic Breakfast Jars

by ashleysauve @ Genuine Health

Thu Dec 21 12:55:36 PST 2017

These make-ahead breakfast jars are the perfect recipe to add to your meal prep list for those busy mornings. Fibre-rich […]

The post Orange Ginger Prebiotic Breakfast Jars appeared first on Genuine Health.

Super Cool Stuff: A Bionic Pancreas and Weekly Antibiotics

by The Rounds Table @ The Rounds Table

Wed Aug 13 04:00:28 PDT 2014

Originally aired June 20, 2014: Bionic Pancreas in Type 1 Diabetes and Weekly Dalbavancin for Skin Infections Travis and Amol want you to: 1. Understand the potential role of a novel bionic pancreas in glycemic control in type 1 diabetes. 2. Recognize that dalbavancin is non-inferior to vancomycin/linezolid in treating skin infections and represents a potentially revolutionary once…

The post Super Cool Stuff: A Bionic Pancreas and Weekly Antibiotics appeared first on Healthy Debate.

Are there antibiotics and growth hormones in Canadian milk?

by @ [BCDairy] News or Article

Tue May 16 14:29:05 PDT 2017

No. 100% No. Canadian milk does not contain artificial growth hormones or antibiotics.

Maybe you’re hedging your bets and substituting alternative beverages on occasion. Well, you might be relieved to know that

• Canadian dairy farmers do not use growth hormones and

• They always ensure their milk is free of antibiotics.

While the administration of growth hormones (known as rBST or rBGH) is allowed in US dairy livestock, it is illegal in Canada and therefore not permitted for use with any dairy cows.

Antibiotics

As for antibiotics, BC has some of the highest standards for milk production in the world with zero tolerance for antibiotic residue in both organic and conventionally produced milk. Farmers continually monitor their cows’ health in order to ensure their well-being. Cows need to be healthy and content in order to produce optimal amounts of high quality milk. When cows are sick and require antibiotic treatment, the milk they produce is discarded for a regulated period of time to ensure the milk collected at the farm is free of antibiotic residue.  

Antibiotic Testing

Every, and we mean every, truckload of milk is tested before being unloaded at the processing plant. Milk samples are taken at every farm. If the sample contains antibiotics (because let’s face it no one is 100% perfect all the time), then the entire load is discarded and the farmer who contaminated the load is heavily penalized. 

So, what kind of growth hormones and antibiotics are in milk?

NONE. Canadian milk has no artificial growth hormones and antibiotics. It is also nutritious—and chock-full of vitamins and minerals.

Extensive quality checks and testing ensure that BC—and Canadian—consumers purchase high quality, safe and nutritious dairy products.  For more details about milk production standards, check out the brochure “The Importance of Quality Milk”.

 In Short, Canadian Milk is Pure. Have more questions about milk? Click on the links below for more info. 

Top 5 Facts about Canada's Dairy Industry

Does Pasteurization Destroy Nutrients in Milk

Where Can I Buy Raw Milk?

Why is Raw Milk Unsafe?

Probiotics and Gastrointestinal Health

by Marija Pevac-Djukic @ Toronto Naturopathic Doctor

Fri Jan 15 07:04:49 PST 2010

Co-Authored by: Sue Plummer, PhD Iveta Garaiova, PhD Marija Pevac-Djukic, MD(Serbia), ND(Canada) Published in The Naturopathic Doctor News and Review   For centuries living microorganisms, particularly lactic acid bacteria (producers of lactic acid from sugar), have been used in food…

The post Probiotics and Gastrointestinal Health appeared first on Toronto Naturopathic Doctor.

5 Tips To Meal Prep Like A Pro

by Mandy King, CNP, Holistic Nutritionist @ Genuine Health

Tue Jan 02 08:44:09 PST 2018

With the New Year in full swing, it’s the perfect time to implement some new, healthy habits. Rather than jump […]

The post 5 Tips To Meal Prep Like A Pro appeared first on Genuine Health.

Moody & unSAVEd – CPAP for Prevention of Cardiovascular Endpoints in OSA and SSRI Treatment of Depression in Heart Failure

by Emily Hughes @ The Rounds Table

Fri Oct 07 05:00:28 PDT 2016

  Is October making you overtired and moody? Tune in this week as Dr. Paxton Bach, resident in General Internal Medicine at UBC, and Kieran discuss two tantalizing studies! The SAVE Clinical Trial is the largest ever to study the effect of CPAP on prevention of cardiovascular outcomes and death in patients with obstructive sleep…

The post Moody & unSAVEd – CPAP for Prevention of Cardiovascular Endpoints in OSA and SSRI Treatment of Depression in Heart Failure appeared first on Healthy Debate.

Should markups on high-cost drugs be capped?

by Vanessa Milne, Mike Tierney & Irfan Dhalla @ Healthy Debate

Fri Dec 02 04:00:46 PST 2016

The post Should markups on high-cost drugs be capped? appeared first on Healthy Debate.

Firing on All Cylinders! Hypothyroidism in Pregnancy, (Virtually) Managing Diabetes, and Anticoagulation Post Stroke

by Emily Hughes @ The Rounds Table

Fri May 19 03:00:07 PDT 2017

This week on The Rounds Table we’re back by popular demand with another rapid fire episode: just the salient points from FOUR articles instead of two. Same time spent listening, twice the take-home! Kieran Quinn and Mike Fralick tease out the bottom line for listeners. Both hyperglycemia and hypoglycemia are prevalent, real, concerns for patients…

The post Firing on All Cylinders! Hypothyroidism in Pregnancy, (Virtually) Managing Diabetes, and Anticoagulation Post Stroke appeared first on Healthy Debate.

Summer Replay: Aging Gracefully – SPRINTing to the right blood pressure target!

by Emily Hughes @ The Rounds Table

Fri Aug 18 03:00:39 PDT 2017

A recurring question: in the management of BP, how low should we go? This week, Paxton and Kieran discuss two studies that aim to refine the answer. The appropriate treatment target for systolic blood pressure in elderly patients with hypertension is uncertain, particularly for the frail elderly. Kieran leads the discussion on the SPRINT 75…

The post Summer Replay: Aging Gracefully – SPRINTing to the right blood pressure target! appeared first on Healthy Debate.

From SES to Soil: Neighbourhood Disadvantage and A Groundbreaking New Antibiotic

by The Rounds Table @ The Rounds Table

Fri Jan 23 04:00:41 PST 2015

Neighbourhood Disadvantage and 30-day Rehospitalization; Teixobactin – a Novel Antibiotic Reena and Amol want you to understand the following: 1. Neighbourhood disadvantage was associated with an increased risk of readmission similar to the presence of chronic diseases like COPD. 2. Teixobactin is a new antibiotic with activity against gram positive organisms that was discovered using…

The post From SES to Soil: Neighbourhood Disadvantage and A Groundbreaking New Antibiotic appeared first on Healthy Debate.

Drugs on the Brain: Opining on Opioid-Induced Death and Ticagrelor for TIA or Stroke

by Kieran Quinn @ The Rounds Table

Sat Sep 10 07:15:46 PDT 2016

We’re back and better than ever with a NEW host! This season, Kieran Quinn takes the reigns and is excited to bring you the latest and greatest in the world of emerging clinical evidence. Along outgoing host Amol Verma, the two hosts discuss two studies: Just how dangerous are opioids in the treatment of chronic pain…

The post Drugs on the Brain: Opining on Opioid-Induced Death and Ticagrelor for TIA or Stroke appeared first on Healthy Debate.

Close to My Heart: Aspirin for Preterm Preeclampsia and Natriuretic Guided Therapy for Heart Failure

by Emily Hughes @ The Rounds Table

Fri Sep 29 02:00:18 PDT 2017

This week on The Rounds Table Kieran Quinn and Fraser Pollard cover two new studies; the first investigates medical treatment to reduce the risk of preterm pre-eclampsia, and the second examines natriuretic peptide guided therapy for management of heart failure with reduced ejection fraction. Sheliza Halani and Emily Hughes round out the episode with a…

The post Close to My Heart: Aspirin for Preterm Preeclampsia and Natriuretic Guided Therapy for Heart Failure appeared first on Healthy Debate.

Top Ten: Best Papers of the Year

by Emily Hughes @ The Rounds Table

Fri Jun 30 03:00:19 PDT 2017

All good things must come to an end. As the final episode of the season, Kieran, Emily, and Emilio look back at their top ten favorite papers from The Rounds Table 2016-2017 year. It’s a rapid fire episode like you’ve never heard before! See the links to the papers below. We want to thank everyone…

The post Top Ten: Best Papers of the Year appeared first on Healthy Debate.

Too Much Tamiflu! Medicaid Expansion and Anti-influenza Medications

by The Rounds Table @ The Rounds Table

Wed Apr 16 04:00:28 PDT 2014

This week: Oregon Medicaid Expansion and a systematic review of anti-influenza medications. Janice and Amol want you to: 1. Understand the effect of health care coverage expansion on health care utilization. 2. Understand the utility of randomized control trials in the formulation of causal inferences. 3. Recognize that anti-influenza antiviral medications appear to cause only…

The post Too Much Tamiflu! Medicaid Expansion and Anti-influenza Medications appeared first on Healthy Debate.

Amol’s 10 Favourite Papers of 2015

by The Rounds Table @ The Rounds Table

Sun Jan 10 22:07:59 PST 2016

Happy new year! In our first episode of 2016, Amol, general internal medicine resident at the University of Toronto, talk about his 10 favourite papers of 2015. Rate us on iTunes! Follow us on Twitter @roundstable. The Papers 1. Teixobactin, a new antibiotic:  http://www.nature.com/nature/journal/v517/n7535/full/nature14098.html 2. Modified Valsalva manoeuvre: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2961485-4/abstract 3. Prednisolone or pentoxifylline for alcoholic…

The post Amol’s 10 Favourite Papers of 2015 appeared first on Healthy Debate.

Keeping a Cool Head – Reducing Hair Loss During Chemotherapy & Challenging Asthma Diagnoses

by Emily Hughes @ The Rounds Table

Fri Mar 31 03:00:31 PDT 2017

What if you could tell a woman about to undergo chemotherapy for breast cancer that you had an intervention that would significantly reduce her risk of hair loss during therapy? Or, tell an adult patient with physician diagnosed asthma that they could safely stop their asthma medications? This week on The Rounds Table we welcome…

The post Keeping a Cool Head – Reducing Hair Loss During Chemotherapy & Challenging Asthma Diagnoses appeared first on Healthy Debate.

To Treat or Not To Treat? Immigrant Status and End-of-Life & Delirium Treatment in Palliative Care

by Emily Hughes @ The Rounds Table

Fri Nov 03 02:00:23 PDT 2017

This week on The Rounds Table we’re covering important studies in palliative care: treatment of delirium at end-of-life, and examining populations who may be more likely than others to receive aggressive end-of-life care. Kieran and Chris Yarnell break it down for listeners. Sheliza and Emily round out the episode with a special segment on qualitative…

The post To Treat or Not To Treat? Immigrant Status and End-of-Life & Delirium Treatment in Palliative Care appeared first on Healthy Debate.

Justin Trudeau calls for acknowledgement of anti-black racism in Canada

by @

Mon Feb 12 19:01:00 PST 2018

Justin Trudeau says it's time Canadians acknowledged that racism and unconscious bias against black people exist in this country.

Prostatectomy, pharmacare, and protein mutations

by The Rounds Table @ The Rounds Table

Wed Mar 19 02:28:36 PDT 2014

This week: prostatectomy, prescription drug costs, exome sequencing for rare mutations Learning objectives – Amol, Nathan, and Travis discuss: 1. Understand that radical prostatectomy improved overall and disease free survival and decreased metastasis compared with watchful waiting in men with localized prostate cancer of intermediate grade. 2. Understand how the cost of prescription drugs is regulated…

The post Prostatectomy, pharmacare, and protein mutations appeared first on Healthy Debate.

3 Fun and Flirty Cocktails for Galentine’s Day

by Andrea Karr @ Best Health Magazine Canada

Wed Feb 07 12:25:28 PST 2018

Forget date night! Blend up these pretty pink-and-red bevies with your girlfriends.

The post 3 Fun and Flirty Cocktails for Galentine’s Day appeared first on Best Health Magazine Canada.

Summer Replay: Big Data – Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frailty with Post-Operative Mortality

by Emily Hughes @ The Rounds Table

Fri Jul 28 03:00:09 PDT 2017

It’s big data week on The Rounds Table! When initiating pharmacotherapy for atrial fibrillation, which drug is best? How does frailty influence surgical outcomes? Kieran and Michael Fralick, General Internist at St. Michael’s Hospital, take listeners through two noteworthy studies: When a new medication is developed it is generally compared against standard of care or…

The post Summer Replay: Big Data – Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frailty with Post-Operative Mortality appeared first on Healthy Debate.

Fathers and grandfathers of science: checklists, statin myalgia and breast cancer

by The Rounds Table @ The Rounds Table

Wed Mar 26 05:05:44 PDT 2014

This week: surgical checklists, statin myalgia and breast cancer radiotherapy Janice, Nathan, and Amol want you to: 1. Understand the effect of surgical safety checklist implementation on surgical complication rates. 2. Understand the use of n-of-1 trials in evaluating the association between statin use and myalgia. 3. Recognize that intraoperative radiotherapy for breast cancer may be…

The post Fathers and grandfathers of science: checklists, statin myalgia and breast cancer appeared first on Healthy Debate.

Yin and Yang: Aspirin and Surgical Risk and Blood Transfusions and Risk of Infection

by The Rounds Table @ The Rounds Table

Wed May 14 04:00:13 PDT 2014

This week: Perioperative Aspirin and Blood Transfusions and Hospital-acquired Infections Nathan and Amol want you to: 1. Understand that the use of perioperative ASA did not reduce the rate of postoperative MI or death, but was found to increase the rate of major bleeding. 2. Recognize that it may be difficult to generalize the findings of the POISE-2…

The post Yin and Yang: Aspirin and Surgical Risk and Blood Transfusions and Risk of Infection appeared first on Healthy Debate.

Summer Replay: DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhythmias

by Emily Hughes @ The Rounds Table

Fri Aug 04 03:00:00 PDT 2017

It’s arrhythmia week on The Rounds Table! Should heart failure patients give up a caffeine jolt in the morning? How can we better identify appropriate patients for ICDs? Paxton Bach, fellow in General Internal Medicine at UBC, joins Kieran to discuss two exciting studies: Studies that inform practice toward the best medical treatments are of…

The post Summer Replay: DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhythmias appeared first on Healthy Debate.

A Hippocratic Dilemma: Reducing rates of c-sections and prednisolone vs. pentoxifylline for alcoholic hepatitis.

by The Rounds Table @ The Rounds Table

Fri May 08 13:00:34 PDT 2015

Amol and Nathan want you to understand the following: 1. A large randomized evaulation of a quality improvement intervention demonstrated a modest but significant reduction in rates of cesarean-section in Quebec. 2. A large double-blind randomized-controlled-trial of over 1100 patients showed that pentoxifylline is not beneficial in the treatment of alcoholic hepatitis and prednisolone may have mild…

The post A Hippocratic Dilemma: Reducing rates of c-sections and prednisolone vs. pentoxifylline for alcoholic hepatitis. appeared first on Healthy Debate.

Pondering Preventability: Readmissions and Catheter-Associated UTI

by The Rounds Table @ The Rounds Table

Sun Jun 19 08:12:29 PDT 2016

This week, Amol and Kieran discuss two studies: How can we prevent readmission? An observational study of 1000 general internal medicine patients from 12 United States academic medical centres found that 26.9% of readmissions were potentially preventable. Key factors associated with potential preventability included decision making in the emergency department, lack of information to outpatient…

The post Pondering Preventability: Readmissions and Catheter-Associated UTI appeared first on Healthy Debate.

Motherhood Statements: Cardiovascular Effect of Liraglutide and Syphilis Screening

by The Rounds Table @ The Rounds Table

Fri Jun 24 08:41:14 PDT 2016

This week, Amol and Rebecca discuss a recent study and an updated recommendation: A multi-centre, randomized control trial (the LEADER trial) examined the cardiovascular effect of liraglutide, a glucagon-like peptide-1 (GLP-1) analogue. Patients with type 2 diabetes and high cardiovascular risk were randomly assigned to receive either standard of care plus liraglutide or standard of…

The post Motherhood Statements: Cardiovascular Effect of Liraglutide and Syphilis Screening appeared first on Healthy Debate.

Is Canadian research falling prey to predatory journals?

by Karen Palmer, Timothy Caulfield & Maureen Taylor @ Healthy Debate

Thu Jan 19 05:00:08 PST 2017

The post Is Canadian research falling prey to predatory journals? appeared first on Healthy Debate.

The Sweet Truth: Transcatheter Aortic Valve Replacements and Sugar Industry Influence on Research Priorities

by The Rounds Table @ The Rounds Table

Fri May 22 06:00:59 PDT 2015

Amol and Janice want you to understand the following: 1. Several RCTs and observational studies suggest that Transcatheter Aortic Valve Replacement reduces mortality and improves symptoms in frail, elderly patients. 2. A historical analysis demonstrates that the sugar industry had heavy influence in setting national dental research priorities in the 1970s, which is relevant for industry relations…

The post The Sweet Truth: Transcatheter Aortic Valve Replacements and Sugar Industry Influence on Research Priorities appeared first on Healthy Debate.

Selena Gomez Says She’ll Never Be Able to Fix Her Mental Health

by Andrea Karr @ Best Health Magazine Canada

Thu Feb 08 13:47:34 PST 2018

The singer and actress spoke to Harper's Bazaar all about her struggles with anxiety and depression — and her outlook on mental health.

The post Selena Gomez Says She’ll Never Be Able to Fix Her Mental Health appeared first on Best Health Magazine Canada.

Sorry Sports Analogies: Statins in ARDS and COPD, Rotavirus Vaccine

by The Rounds Table @ The Rounds Table

Thu Aug 14 03:00:35 PDT 2014

Originally aired July 9, 2014: Statins for COPD, ARDS and human-bovine Rotavirus vaccine Fahad and Amol want you to: 1. Understand that 2 high quality RCTs demonstrate that statins are not effective in improving clinical outcomes in either COPD or Acute Respiratory Distress Syndrome (ARDS). 2. Recognize that a novel Rotavirus vaccine was developed through an international public-private…

The post Sorry Sports Analogies: Statins in ARDS and COPD, Rotavirus Vaccine appeared first on Healthy Debate.

U.K. can now ship manufacturing beef to Canada

by Food in Canada @ Food In Canada

Fri Feb 09 09:40:53 PST 2018

The U.K. says shipping manufacturing beef from the U.K. to Canada creates opportunities for farmers at home

REPLAY – Drugs on the Brain: Opining on Opioid-Induced Death and Ticagrelor for TIA or Stroke

by Kieran Quinn @ The Rounds Table

Fri Sep 30 03:00:42 PDT 2016

We’re back and better than ever with a NEW host! This season, Kieran Quinn takes the reigns and is excited to bring you the latest and greatest in the world of emerging clinical evidence. Along outgoing host Amol Verma, the two hosts discuss two studies: Just how dangerous are opioids in the treatment of chronic pain…

The post REPLAY – Drugs on the Brain: Opining on Opioid-Induced Death and Ticagrelor for TIA or Stroke appeared first on Healthy Debate.

REPLAY – Keeping a Pulse on Drug Reactions: Emergency Visits for Adverse Drug Events and Thresholds for AAA Repair

by Emily Hughes @ The Rounds Table

Fri Feb 17 03:00:07 PST 2017

Kieran and Fraser are back this week to take listeners through two exciting new studies. What percentage of people that present to the Emergency Department have an adverse drug event (ADE)? How big does an abdominal aortic aneurysm (AAA) have to be to warrant surgical repair? Listen to find out! Emergency Department visits for ADEs…

The post REPLAY – Keeping a Pulse on Drug Reactions: Emergency Visits for Adverse Drug Events and Thresholds for AAA Repair appeared first on Healthy Debate.

Why antioxidants aren’t as healthy as you think

by Vanessa Milne, Debra Bournes & Jeremy Petch @ Healthy Debate

Thu Mar 23 04:00:23 PDT 2017

Antioxidants have been researched for 20 years - with lackluster results. Is it time for us to give up on the idea that they're good for you?

The post Why antioxidants aren’t as healthy as you think appeared first on Healthy Debate.

Getting Cardiovascular: Baseline Risk and Hypertension Treatment and Dual Antiplatelet Therapy in Coronary Stents

by The Rounds Table @ The Rounds Table

Fri Nov 28 04:00:27 PST 2014

This Week: Baseline cardiovascular risk calculators and hypertension treatment, and dual antiplatelet treatment after coronary stenting This week, Fahad and Amol want you to understand that: 1. A cardiovascular risk calculator can predict the degree of treatment benefit that patients may derive  from blood pressure treatment. 2. There is limited evidence to recommend continuing dual antiplatelet therapy beyond…

The post Getting Cardiovascular: Baseline Risk and Hypertension Treatment and Dual Antiplatelet Therapy in Coronary Stents appeared first on Healthy Debate.

Nestle Buys Majority Stake in Plant-Based Foods Company

by WholeFoods Magazine Staff @ Whole Foods Magazine

Mon Feb 12 13:00:09 PST 2018

Vevey, Switzerland — Nestle has bought a majority stake in Terrafertil, a company selling natural and organic plant-based foods, the company announced on Friday. Price was not disclosed. Terrafertil is an Ecuadorian company, founded in 2005, which has expanded through South America and Britain and into the U.S. It grows and produces goldenberries—a fruit packed […]

The post Nestle Buys Majority Stake in Plant-Based Foods Company appeared first on Whole Foods Magazine.

The Hurry for FOURIER & What’s New From HERDOO2 – Decision Making in VTE and Evolocumab for CVD Risk Reduction

by Emily Hughes @ The Rounds Table

Fri May 05 03:00:57 PDT 2017

It is widely accepted that statin drugs reduce cardiovascular risk. However, how much of this risk reduction is attributable to LDL cholesterol reduction as opposed to something intrinsic in the statin drug has been a matter of debate. Paxton takes listeners through a randomized controlled trial that evaluated the efficacy of evolocumab (a biologic PCSK9…

The post The Hurry for FOURIER & What’s New From HERDOO2 – Decision Making in VTE and Evolocumab for CVD Risk Reduction appeared first on Healthy Debate.

REPLAY: Don’t Go Breaking My Heart – Romosozumab for Osteoporosis and Early Palliative Care in Heart Failure

by Emily Hughes @ The Rounds Table

Fri Jan 05 02:00:17 PST 2018

This week on The Rounds Table we’re covering important studies on two very common diseases: osteoporosis and heart failure. Kieran and Laura break it down for listeners. Osteoporosis affects women worldwide, and will become more common because of our aging population. Although several pharmacologic treatments exist to treat the disease, few head to head studies…

The post REPLAY: Don’t Go Breaking My Heart – Romosozumab for Osteoporosis and Early Palliative Care in Heart Failure appeared first on Healthy Debate.

9 Vitamins and Herbs That Can Boost Your Sex Drive

by Alyssa Ball @ Best Health Magazine Canada

Mon Feb 12 14:14:32 PST 2018

Could the answer to heating things up in the bedroom be in the vitamin aisle? Here's what experts suggest to help you boost your passion.

The post 9 Vitamins and Herbs That Can Boost Your Sex Drive appeared first on Best Health Magazine Canada.

Mending a Broken Heart: Genetics & Lifestyle in Coronary Disease and Anticoagulation in Afib & Recent PCI

by Emily Hughes @ The Rounds Table

Fri Feb 24 03:00:39 PST 2017

Here at The Rounds Table we aren’t quite over Valentine’s Day; it’s cardiac week! Kieran and Paxton take listeners through two exciting studies on the influence of genetic and lifestyle factors in coronary disease and “Triple Therapy” in patients with atrial fibrillation and recent percutaneous coronary intervention. It’s easy to feel helpless as a physician…

The post Mending a Broken Heart: Genetics & Lifestyle in Coronary Disease and Anticoagulation in Afib & Recent PCI appeared first on Healthy Debate.

Vanilla Ginger Orange Pumpkin Bars

by Maria Koutsogiannis @ Genuine Health

Thu Dec 21 12:54:56 PST 2017

Plant-based, creamy and easy to make, these Vanilla Ginger Orange Pumpkin Bars will be a hit with the whole family— […]

The post Vanilla Ginger Orange Pumpkin Bars appeared first on Genuine Health.

Aiming for zero: a new approach to suicide prevention

by Vanessa Milne, Joshua Tepper & Christopher Doig @ Healthy Debate

Thu Nov 17 04:00:54 PST 2016

The post Aiming for zero: a new approach to suicide prevention appeared first on Healthy Debate.

Sorry Sports Analogies: Statins in ARDS and COPD, Rotavirus Vaccine

by The Rounds Table @ The Rounds Table

Wed Jul 09 04:00:19 PDT 2014

This week: Statins for COPD, ARDS and human-bovine Rotavirus vaccine Fahad and Amol want you to: 1. Understand that 2 high quality RCTs demonstrate that statins are not effective in improving clinical outcomes in either COPD or Acute Respiratory Distress Syndrome (ARDS). 2. Recognize that a novel Rotavirus vaccine was developed through an international public-private partnership that is…

The post Sorry Sports Analogies: Statins in ARDS and COPD, Rotavirus Vaccine appeared first on Healthy Debate.

Are patient engagement groups missing minority voices?

by Vanessa Milne, Debra Bournes & Joshua Tepper @ Healthy Debate

Thu Jan 12 05:30:26 PST 2017

The post Are patient engagement groups missing minority voices? appeared first on Healthy Debate.

Dollar Dreams: Bedspacing, Mortality, and Epic Healthcare Costs

by Emily Hughes @ The Rounds Table

Fri Dec 15 02:00:33 PST 2017

This week on The Rounds Table we’re looking at the big picture: the effect of bedspacing on mortality and factors associated with increased healthcare spending. Laura and Kieran cover two new articles. Bedspacing is something that everyone in Internal Medicine encounters at some point. The concept is really this: when General Internal Medicine wards become…

The post Dollar Dreams: Bedspacing, Mortality, and Epic Healthcare Costs appeared first on Healthy Debate.

New Year, New Medicine: Alternatives to Hospitalization & Association of PPIs with Pneumonia

by Emily Hughes @ The Rounds Table

Fri Jan 06 03:00:37 PST 2017

It’s a new year, which means new theme music for The Rounds Table! This week, Kieran and Jay take listeners through alternatives to inpatient hospitalization and the effects of PPIs on community acquired pneumonia. Hospitals often operate at over 100% capacity, and inpatient care is expensive – it accounts for 32% of US healthcare dollars!…

The post New Year, New Medicine: Alternatives to Hospitalization & Association of PPIs with Pneumonia appeared first on Healthy Debate.

Chef Confessions: What It’s Really Like To Be A Celebrity Personal Chef

by Lisa Hannam @ Best Health Magazine Canada

Wed Feb 07 11:18:57 PST 2018

Richard Ingraham is a popular chef – among celebrities. And he lets us know what it is really like to feed A-listers, pop stars and professional athletes.

The post Chef Confessions: What It’s Really Like To Be A Celebrity Personal Chef appeared first on Best Health Magazine Canada.

New Territories: Apple Juice for Gastroenteritis in Children and Rheumatoid Arthritis Long Term Outcomes

by The Rounds Table @ The Rounds Table

Fri May 27 10:09:57 PDT 2016

This week, Amol and Janice, staff internist at Mount Sinai Hospital, discuss two studies: A randomized trial asked whether diluted apple juice works just as well as oral rehydration therapy in treating minimal dehydration in children with gastroenteritis. Children 6 to 60 months presenting to the emergency department were randomized to half-strength apple juice or…

The post New Territories: Apple Juice for Gastroenteritis in Children and Rheumatoid Arthritis Long Term Outcomes appeared first on Healthy Debate.

Super Cool Stuff: A Bionic Pancreas and Weekly Antibiotics

by The Rounds Table @ The Rounds Table

Wed Jun 18 04:00:44 PDT 2014

This week: Bionic Pancreas in Type 1 Diabetes and Weekly Dalbavancin for Skin Infections Travis and Amol want you to: 1. Understand the potential role of a novel bionic pancreas in glycemic control in type 1 diabetes. 2. Recognize that dalbavancin is non-inferior to vancomycin/linezolid in treating skin infections and represents a potentially revolutionary once weekly approach to…

The post Super Cool Stuff: A Bionic Pancreas and Weekly Antibiotics appeared first on Healthy Debate.

Superfood Chocolate Orange Ginger Truffles

by Nutritionist In The Kitch @ Genuine Health

Thu Dec 21 12:56:51 PST 2017

On the outside these might look like your regular truffles, but on the inside they have a healthy hint of […]

The post Superfood Chocolate Orange Ginger Truffles appeared first on Genuine Health.

How To Wear Red Eyeshadow Like A Boss

by Lisa Hannam @ Best Health Magazine Canada

Wed Feb 07 11:22:19 PST 2018

Red eyeshadow isn’t as scary of a shadow colour as you might think. It’s gorgeous, actually –especially if you apply it wear it this way.

The post How To Wear Red Eyeshadow Like A Boss appeared first on Best Health Magazine Canada.

Get Pumped: Perioperative Blood Pressure Targets & When to Stent Coronary Artery Disease

by Emily Hughes @ The Rounds Table

Fri Dec 08 02:00:50 PST 2017

On this week’s episode of The Rounds Table we’re honing in on important advances in cardiovascular disease management. Kieran Quinn and Paxton Bach guide listeners through the ORBITA and INPRESS trials. It’s one of those deceptively simple sounding questions in cardiology: who should we stent? Although PCI has been around for 40 years, we are…

The post Get Pumped: Perioperative Blood Pressure Targets & When to Stent Coronary Artery Disease appeared first on Healthy Debate.

Let’s Keep Talking

by @ [BCDairy] News or Article

Mon Jan 29 11:07:28 PST 2018

Tractors leaking oil, broken alley scrapers, and seized vacuum motors are easily diagnosed and will be fixed in due time—but what if it is the farmer that is feeling broken? Join us in the conversation around mental health in honour of Bell Let's Talk Day.

A farmer is not born, a farmer is built. As a jack of all trades, the farmer develops many skills: a fighter, a politician, a pastor, and a mechanic. They fight for their work, they dialogue with their neighbours, they pray for good harvests, and they tire to fix broken machinery.

Tractors leaking oil, broken alley scrapers, and seized vacuum motors are easily diagnosed and will be fixed in due time—but what if it is the farmer that is feeling broken?

The farm and mental health

In 2016, a study by the University of Guelph was conducted on more than 1100 agricultural producers across Canada. The results indicated that a staggering 35% of farmers met the definition for depression and nearly 60% felt high levels of anxiety. This is no wonder considering the array of possible pressures: changes in the weather, political upheaval, portrayal in the media, etc.

The stoic bravado of the farmer centres on the idea that one should be able to bear one’s own struggles. The philosophy of the occupation has long been “suck it up and move on”. The desire to achieve and the failure to reach goals could also lead to these depressive states. Success is often limited to factors beyond human control; so a farmer might overcorrect in order to repair, and in the end, find themselves burnt-out and depressed.

They might even hear the phrase, “You’re crying over spilled milk.”

Reaching out for help isn’t always a simple matter. This stigma can affect your brand: if you are not doing well, then it is assumed that your business is not doing well either.  The survey also indicated that 40% of respondents felt uncomfortable getting professional help because of what “people might think”.

If you do not know or are unsure of the signs or symptoms of depression, it can manifest in many ways including trouble concentrating and remembering details, fatigue, irritability, loss of interest in activities, and insomnia, as well as physical aches and pains.

Community and well-being

A farmer’s heavy workload combined with a small community and isolated work can be factors contributing to depression and anxiety. When you are alone, the stress of the day can continuously brew and accumulate pressure. Alone in the barn, you are your own boss:  you are accountable to you and only you.  The loneliness can be hard.

In Australia, a study was completed by 417 respondents who suffered depression, two-thirds of whom identified that they sought care from their friends as a social or emotional support. They often cited that they felt more comfortable investing in these relationships because they felt compassion and empathy. As a farmer, you become accustomed to being alone, but interacting with your neighbours and friends is more compatible with mental wellness.

Resolve

When machinery is broken, it takes money, parts, and time to fix. When a cow is sick, it takes medicine, time, and care to restore its health. Similarly, when the heavy cloud of mental illness sets in to you or others, there is a need to invest.

If you are a farmer, you can look to those around you. If you think that you are the only one struggling, think again. A Farm Stress Hotline in Saskatchewan reported in 2011, a total of 330 calls made to the hotline, a number just shy of one call per day. Just last year, the hotline peaked at 59 calls for the month of July. As neighbours we are all in the same boat, no matter the industry.  Shane Koyczan observes that “Silence left to its own devices breeds silence.”

Tommorow, January 31 is Bell “Let’s Talk Day”; if your friends and neighbours are not talking, start the conversation. The more open you are with your friends and neighbours, the more willing they will be to share with you.

There may also be time to talk, to be upset, or get some rest, because sometimes “spilled milk” is more than that: it’s your livelihood or your job, and why you wake up every day. It doesn’t matter what it is. You don’t need permission to be upset over spilled milk.

References

Zimmer, Becky. “An isolating illness: talking about mental health” (2017) Retrieved from: Western Producer. https://www.producer.com/2017/08/an-isolating-illness-talking-about-mental-health/

“Farmers Need, Want Mental Health Help: Survey” (2016) Retrieved from: University of Guelph. https://news.uoguelph.ca/2016/06/farmers-need-want-mental-health-help-survey/

Griffiths, Kathleen M., et al. “Seeking help for depression from family and friends: A qualitative analysis of perceived advantages and disadvantages” (2011) Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271042/

“New operators to take Sask. farm crisis line 24/7” (2012) Retrieved from: AgCanada. https://www.agcanada.com/daily/new-operators-to-take-sask-farm-crisis-line-247

A new food and agriculture coworking space opens in Alberta

by Food in Canada @ Food In Canada

Tue Feb 06 12:17:04 PST 2018

The Food Central Cowork is Western Canada's first food and agriculture coworking space intentionally designed for innovators

Brain Week: Early Rehab for Stroke and Drug Interaction Increases Bleeding in Brain

by The Rounds Table @ The Rounds Table

Fri Nov 06 05:45:30 PST 2015

Amol, general internal resident at the University of Toronto, and Raed Joundi, neurology resident at the University of Toronto, discuss 2 recent studies: Is early mobilization helpful for stroke patients? A randomized control trial showed that early aggressive rehabilitation for acute stroke patients resulted in worse outcomes. Amol and Raed speculate reasons behind this counter-intuitive…

The post Brain Week: Early Rehab for Stroke and Drug Interaction Increases Bleeding in Brain appeared first on Healthy Debate.

Blockbusters: Zika virus on birth defects and income on life expectancy

by The Rounds Table @ The Rounds Table

Fri Apr 22 17:45:35 PDT 2016

This week, Amol and Nathan discuss two high profile papers: Authors from the Centres for Disease Control and Prevention (CDC) recently published a report concluding that there is a causal relationship between Zika virus infection and a syndrome of birth defects, notably microcephaly. Nathan and Amol review the evidence the authors presented for this causality,…

The post Blockbusters: Zika virus on birth defects and income on life expectancy appeared first on Healthy Debate.

REPLAY: Double Down – Liraglutide for the Prevention of Diabetes and Bariatric Surgery for the Treatment of Diabetes

by Emily Hughes @ The Rounds Table

Fri May 26 03:00:20 PDT 2017

Kieran has officially finished his Royal College Exam to qualify as a General Internist; which means, this week is the first of two weeks of replay episodes while he takes a much deserved break! This replay episode features Kieran and Ashley Minuk in discussion on two studies examining therapies in people with diabetes. Diabetes research is…

The post REPLAY: Double Down – Liraglutide for the Prevention of Diabetes and Bariatric Surgery for the Treatment of Diabetes appeared first on Healthy Debate.

Replay: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents

by The Rounds Table @ The Rounds Table

Fri Dec 11 04:45:28 PST 2015

This week we are replaying our first episode of the season. Originally aired on September 18, 2015, Amol and Fahad discuss: 1. A randomized controlled trial shows that a new approach to vagal maneuvers for supraventricular tachyarrhythmia was shown to be significantly more effective than traditional maneuvers. 2. A survey in California adolescents shows that there is…

The post Replay: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents appeared first on Healthy Debate.

Produce Show 2017

by Nancy Trent @ Whole Foods Magazine

Mon Feb 05 13:37:40 PST 2018

It’s not just locavores that are driving the interest in localized fresh produce. Weather and transportation regulations are playing a part in keeping food eaten within miles of where it’s grown. At least that was the sentiment at the NY Produce Show late last year where I got to meet up with growers from my hometown. […]

The post Produce Show 2017 appeared first on Whole Foods Magazine.

A Stroke of Insight: PFO Closure or Antiplatelet Therapy for Stroke and Anticoagulation Education in Atrial Fibrillation

by Emily Hughes @ The Rounds Table

Fri Oct 13 02:00:26 PDT 2017

A stroke of insight this week on The Rounds Table; Kieran and Mike share the findings of two exciting new studies. Should a patent foramen ovale (PFO) be closed in the context of cryptogenic stroke? What is the impact of educational intervention surrounding anticoagulation in patients with atrial fibrillation? Listen as Kieran and Mike cover…

The post A Stroke of Insight: PFO Closure or Antiplatelet Therapy for Stroke and Anticoagulation Education in Atrial Fibrillation appeared first on Healthy Debate.

Evidence that Probiotics can Improve Cholesterol Levels

by mes @ California Dairy Research Foundation

Wed Feb 07 08:32:46 PST 2018

Probiotics have been studied as a means of improving serum lipid patterns. If effective, probiotics could be a tool for dietary modification to promote heart health. It turns out that the gut, and the microbes it contains, plays an important … Continue reading →

Pressure injuries the ‘scarlet letter’ of patient care

by Karen Palmer, Maureen Taylor & Joshua Tepper @ Healthy Debate

Thu Dec 08 04:00:50 PST 2016

The post Pressure injuries the ‘scarlet letter’ of patient care appeared first on Healthy Debate.

Obstetrical Medicine Special: Hypertension and Thrombophilia in Pregnancy

by The Rounds Table @ The Rounds Table

Thu Feb 26 22:06:32 PST 2015

The CHIPS trial of Hypertension in Pregnancy and TIPPS trial of Thrombophilia in Pregnancy Janice and Amol want you to understand the following: 1. Tight blood pressure control in pregnancy does not affect fetal outcomes in pregnancy compared with loose blood pressure control. The only difference in maternal outcomes is a reduced risk of severe hypertension…

The post Obstetrical Medicine Special: Hypertension and Thrombophilia in Pregnancy appeared first on Healthy Debate.

Summer Replay – Caregivers in the ICU and Symptoms in Smokers

by Kieran Quinn @ The Rounds Table

Fri Aug 19 13:22:44 PDT 2016

This week Amol and Nathan discuss two studies: A multi-centre, prospective study evaluated the physical and mental health status of caregivers for patients discharged from the intensive care unit (ICU). Using hospital data and self-administered questionnaires, the study found most caregivers of critically ill patients are at high risk for depression, anxiety and poor mental health.…

The post Summer Replay – Caregivers in the ICU and Symptoms in Smokers appeared first on Healthy Debate.

When Care is Critical: Conservative vs Conventional Oxygen Treatment in the ICU and the Effect of Hydrocortisone on the Development of Septic Shock

by Emily Hughes @ The Rounds Table

Fri Dec 09 03:00:17 PST 2016

This week’s episode is jam-packed with critical care medicine. What is the effect of conservative versus conventional oxygen therapy on mortality in patients in the ICU? Hydrocortisone on development of septic shock? Kieran and Laura take listeners through two important studies examining these questions. Prior research suggested excessive oxygenation in patients admitted to the ICU…

The post When Care is Critical: Conservative vs Conventional Oxygen Treatment in the ICU and the Effect of Hydrocortisone on the Development of Septic Shock appeared first on Healthy Debate.

The Antibiotics Jam: Community Acquired Pneumonia and Skin Infections

by The Rounds Table @ The Rounds Table

Thu Apr 23 06:00:31 PDT 2015

This week: Empiric antibiotic choices for community acquired pnuemonia and clindamycin versus trimethoprim-sulfamethoxazole for skin and soft tissue infections. Fahad and Amol want you to understand the following: 1. A large, high quality RCT showed that there was no significant difference between an empiric treatment strategy of beta-lactam vs beta-lactam plus macrolide vs respiratory fluoroquinolone for the…

The post The Antibiotics Jam: Community Acquired Pneumonia and Skin Infections appeared first on Healthy Debate.

PESIT and PATCH it! – Plugging ICH with platelets and quantifying the prevalence of PE in syncope

by Emily Hughes @ The Rounds Table

Fri Nov 18 03:00:26 PST 2016

It’s so hot you can barely touch it – the PESIT study! So what’s the buzz all about? Pulmonary embolism is one of those dreaded diagnoses – it can be life-threatening, but often elusive in its diagnosis since so many other conditions cause similar symptoms. Kieran takes listeners through the multi-centre cross sectional PESIT study…

The post PESIT and PATCH it! – Plugging ICH with platelets and quantifying the prevalence of PE in syncope appeared first on Healthy Debate.

More or Less: Sepsis, Shock, Stroke, and Staying Dry in Heart Failure

by Emily Hughes @ The Rounds Table

Fri Feb 09 02:00:09 PST 2018

This week on The Rounds Table Kieran and Mike are back with another rapid fire episode: just the salient points from four articles instead of two. Guidelines recommend the use of hydrocortisone in patients with septic shock if adequate fluid resuscitation and treatment with vasopressors does not restore hemodynamic stability; however, current guidelines classify this…

The post More or Less: Sepsis, Shock, Stroke, and Staying Dry in Heart Failure appeared first on Healthy Debate.

How safe are vaginal breech births?

by Vanessa Milne, Maureen Taylor & Sachin Penharkar @ Healthy Debate

Wed Oct 11 04:44:00 PDT 2017

The post How safe are vaginal breech births? appeared first on Healthy Debate.

Top 5 Papers (Part 2): Challenging Asthma Diagnoses, Natriuretic Guided Therapy for Heart Failure, and Opioid Prescribing Patterns

by Emily Hughes @ The Rounds Table

Fri Nov 17 02:00:09 PST 2017

Each year, the Canadian Society for Internal Medicine (CSIM) Annual Meeting features a presentation of the “Top 5 Papers” in internal medicine. From the papers that had been discussed on The Rounds Table between November 2016 and October 2017, we selected 5 that we felt were particularly influential and presented them as the “Top 5…

The post Top 5 Papers (Part 2): Challenging Asthma Diagnoses, Natriuretic Guided Therapy for Heart Failure, and Opioid Prescribing Patterns appeared first on Healthy Debate.

Four for four: Candidates for CMA president on physician burnout

by Healthydebate @ Healthy Debate

Tue Feb 06 04:00:28 PST 2018

In the second installment of Healthy Debate's exclusive "Four for four" series, candidates for CMA president explain how they would try to help the physician community manage workload demands and avoid burnout.

The post Four for four: Candidates for CMA president on physician burnout appeared first on Healthy Debate.

Is family medicine residency too short and too urban?

by Karen Palmer, Sachin Pendharkar & Jill Konkin @ Healthy Debate

Fri Mar 31 04:00:27 PDT 2017

The post Is family medicine residency too short and too urban? appeared first on Healthy Debate.

Heart Success! Bilateral mastectomies in breast cancer, the PARADIGM-HF Heart Failure Trial

by The Rounds Table @ The Rounds Table

Wed Sep 17 04:00:53 PDT 2014

This week: Changes in incidence and mortality associated with bilateral mastectomy for breast cancer and Neprilysin-inhibition for heart failure Nathan and Amol want you to: 1. Recognize that bilateral mastectomies for breast cancer are increasing in incidence, perhaps because of increased use of MRI, and they are not associated with a reduction in mortality. 2. Understand that…

The post Heart Success! Bilateral mastectomies in breast cancer, the PARADIGM-HF Heart Failure Trial appeared first on Healthy Debate.

Summer Replay – The SPRINT to lower blood pressure

by Kieran Quinn @ The Rounds Table

Fri Aug 26 09:12:56 PDT 2016

This week, Amol, resident in General Internal Medicine at University of Toronto, and Mike Fralick, chief medical resident at St. Michael’s Hospital in Toronto, talk about 2 blood pressure studies: A meta-analysis and systematic review found that more intensive blood pressure lowering was associated with improved cardiovascular outcomes and albuminuria. Amol discusses the trade-offs of…

The post Summer Replay – The SPRINT to lower blood pressure appeared first on Healthy Debate.

100% Bullish: Simvastatin in MS, Communicating Risk

by The Rounds Table @ The Rounds Table

Wed Sep 10 04:00:58 PDT 2014

This week: Simvastatin in Secondary Progressive Multiple Sclerosis and Communicating With Patients About Risk Rebecca and Amol want you to: 1. Recognize that simvastatin reduces the rate of whole brain atrophy in secondary progressive MS, which may be a promising new use for statins. 2. Understand that effective strategies to communicate risk include: Using visual aids, speaking…

The post 100% Bullish: Simvastatin in MS, Communicating Risk appeared first on Healthy Debate.

C the Difference: Adverse Events in Short Term Steroid Use & Prevention of Recurrence of C. difficile

by Emily Hughes @ The Rounds Table

Fri Jun 16 03:00:35 PDT 2017

Steroids are important and ubiquitous medications, and the side effects of long term use are well known and often reviewed. But what should clinicians know about short term use: are these medications benign? Jay takes listeners through a retrospective cohort study examining adverse events (sepsis, venous thromboembolism, fractures) associated with short term use of oral…

The post C the Difference: Adverse Events in Short Term Steroid Use & Prevention of Recurrence of C. difficile appeared first on Healthy Debate.

The CoQ10 Connection

by WholeFoods Magazine Staff @ Whole Foods Magazine

Tue Feb 06 12:10:20 PST 2018

Sponsored by the CoQ10 Association, “The CoQ10 Connection: The Secret Nutrient for Optimal Health” written by Stephen Sinatra MD, FACC, aims to reinforce our awareness and update us about the many benefits of one of the most popular and important dietary supplements on the market. Click on the image below to access the ebook.

The post The CoQ10 Connection appeared first on Whole Foods Magazine.

Are home care complaints being heard?

by Karen Palmer, Francine Buchanan & Mike Tierney @ Healthy Debate

Thu Mar 16 04:00:53 PDT 2017

The post Are home care complaints being heard? appeared first on Healthy Debate.

Aging gracefully – SPRINTing to the right blood pressure target!

by Emily Hughes @ The Rounds Table

Fri Oct 21 05:00:59 PDT 2016

  A recurring question: in the management of BP, how low should we go? This week, Paxton and Kieran discuss two studies that aim to refine the answer. The appropriate treatment target for systolic blood pressure in elderly patients with hypertension is uncertain, particularly for the frail elderly. Kieran leads the discussion on the SPRINT…

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PURE at HEART: Fats vs. Carbohydrates as Risk Factors for Mortality and Stratifying Chest Pain in the Emergency Department

by Emily Hughes @ The Rounds Table

Fri Oct 06 02:00:57 PDT 2017

What’s healthier, a diet high in fat or high in carbohydrates? How can the HEART score be used to stratify patients who present to the Emergency Department with chest pain? Kieran Quinn and Ashley Minuk cover the answers from the findings of two exciting new articles. With the growing burden of cardiovascular and diet related…

The post PURE at HEART: Fats vs. Carbohydrates as Risk Factors for Mortality and Stratifying Chest Pain in the Emergency Department appeared first on Healthy Debate.

You Already Walk 10,000 Steps A Day, Now What?!

by Lisa Hannam @ Best Health Magazine Canada

Wed Feb 07 11:20:47 PST 2018

Congratulations! You're walking 10,000 steps a day. What do you now? A celebrity trainer has some next-level goals for you.

The post You Already Walk 10,000 Steps A Day, Now What?! appeared first on Best Health Magazine Canada.

Flying Solo: Warfarin vs. New Oral Anticoagulants, what does the evidence say?

by The Rounds Table @ The Rounds Table

Sat Jun 27 23:47:20 PDT 2015

Amol wants you to: 1. Consider how the evidence helps us decide whether to prescribe a patient warfarin or a novel oral anticoagulant for stroke prevention in atrial fibrillation. Continuing Medical Education Internists can receive 0.5 hours of Continuing Medical Education credit for each podcast they listen to through the Canadian Society of Internal Medicine (MOC Category 1)…

The post Flying Solo: Warfarin vs. New Oral Anticoagulants, what does the evidence say? appeared first on Healthy Debate.

Breaking the Status Quo: Antimicrobial Stewardship in Diverticulitis & Casting vs. Surgery for Ankle Fractures

by Emily Hughes @ The Rounds Table

Fri Mar 10 03:00:12 PST 2017

This week on The Rounds Table we are breaking the dogmas in clinical practice to find out if less is more. Does diverticulitis even require antibiotics in the age of antimicrobial stewardship? Next, how does casting compare to surgery for ankle fractures in older adults? Kieran and Lauren Lacroix discuss two thought-provoking new studies: Diverticulitis…

The post Breaking the Status Quo: Antimicrobial Stewardship in Diverticulitis & Casting vs. Surgery for Ankle Fractures appeared first on Healthy Debate.

Preparing for Pot: Unanswered questions remain around legalizing marijuana

by Karen Palmer, Michael Nolan & Jeremy Petch @ Healthy Debate

Thu Feb 16 04:00:40 PST 2017

The post Preparing for Pot: Unanswered questions remain around legalizing marijuana appeared first on Healthy Debate.

Spread the Mustard

by thrive360 @ thrive360

Thu Jul 20 13:30:29 PDT 2017

by Zannat Reza, MHSc RD Did you know that two-thirds of all the mustard traded in the world is grown in Canada? And that farmers in Saskatchewan grow about 75% of Canada’s mustard crop. Who knew Canada was such a power in the spice world?...

The post Spread the Mustard appeared first on thrive360.

Four for four: Candidates for CMA president on the move toward patient-centred health care

by Healthydebate @ Healthy Debate

Wed Feb 07 04:00:04 PST 2018

In the third installment of Healthy Debate's exclusive "Four for four" series, candidates for CMA president discuss the upsides and downsides of the increasing emphasis on patient-centredness.

The post Four for four: Candidates for CMA president on the move toward patient-centred health care appeared first on Healthy Debate.

Calling Home: Accuracy of The Surprise Question, Medical Assistance in Dying, and SGLT2 Inhibitors & DKA

by Emily Hughes @ The Rounds Table

Fri Jun 23 03:00:35 PDT 2017

This week on The Rounds Table we are focusing on papers that highlight talent at home – here in Toronto! Kieran hosts Dr. James Downar and Dr. Mike Fralick to discuss their recent publications, and Emily and Sheliza bring listeners the final special segment of the year. The surprise question – Would I be surprised…

The post Calling Home: Accuracy of The Surprise Question, Medical Assistance in Dying, and SGLT2 Inhibitors & DKA appeared first on Healthy Debate.

AAFC approves 500 dairy producers for funding

by Food in Canada @ Food In Canada

Thu Feb 08 08:29:29 PST 2018

Agriculture and Agri-Food Canada has approved funding for 500 dairy producers in Canada through the Dairy Farm Investment Program

What the Heart Wants: Takotsubo Cardiomyopathy and Cardiovascular Benefits of Empagliflozen

by The Rounds Table @ The Rounds Table

Fri Oct 09 05:44:51 PDT 2015

The “broken heart syndrome” – not always caused by a broken heart? A multi-national, multi-centered observational study on takotsubo cardiomyopathy found that physical triggers are more common than emotional triggers, patients present predominantly with chest pain, ECG changes, and troponin elevation. The study also generated surprising hypotheses about what medications have long-term benefit for these…

The post What the Heart Wants: Takotsubo Cardiomyopathy and Cardiovascular Benefits of Empagliflozen appeared first on Healthy Debate.

Take me to the Bank: Resident call schedules in the ICU and Thyroid Nodules

by The Rounds Table @ The Rounds Table

Thu Apr 16 23:25:14 PDT 2015

This week: A Randomized Controlled Trial of Resident Call Schedules in the ICU and The Natural History of Benign Thyroid Nodules. Nathan and Amol want you to understand the following: 1. There was no significant difference between three different call schedules in the ICU in terms of resident sleepiness or patient outcomes. 2. Benign thyroid nodules are…

The post Take me to the Bank: Resident call schedules in the ICU and Thyroid Nodules appeared first on Healthy Debate.

Emergency room overcrowding: causes and cures

by Vanessa Milne, Joshua Tepper & Jeremy Petch @ Healthy Debate

Thu Jun 15 04:00:35 PDT 2017

The post Emergency room overcrowding: causes and cures appeared first on Healthy Debate.

Brave New World: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle

by The Rounds Table @ The Rounds Table

Sat Oct 03 10:28:40 PDT 2015

It’s phototherapy without the need for electricity. Fahad discusses how filtered sunlight is found to be equivalent to conventional phototherapy in treating infants with elevated bilirubin levels. The film that filters the sunlight is low cost and low-tech, yet has the potential for global impact. Amol discusses using text messages to battle cardiovascular disease. Semi-personalized motivational…

The post Brave New World: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle appeared first on Healthy Debate.

Summer Replay: New Antithrombotic Therapy Guidelines and Low Calorie Diet for Diabetes Remission

by Amol Verma @ The Rounds Table

Wed Aug 03 13:56:59 PDT 2016

This week, Amol talks about new antithrombotic therapy guidelines and using low calorie diet for diabetes remission. The American College of Chest Physicians issued new antithrombotic guidelines for the treatment of venous thromboembolism in February 2016. Amol highlights five updates in the guidelines, and discusses the evidence behind each recommendation. Diabetes has long been described…

The post Summer Replay: New Antithrombotic Therapy Guidelines and Low Calorie Diet for Diabetes Remission appeared first on Healthy Debate.

Could a Gluten-Free Diet Improve Your Sex Life?

by Alyssa Ball @ Best Health Magazine Canada

Thu Feb 08 07:43:10 PST 2018

There's a link between undiagnosed celiac disease and low sexual satisfaction. Here's what you need to know about gluten and your sex life.

The post Could a Gluten-Free Diet Improve Your Sex Life? appeared first on Best Health Magazine Canada.

Summer Replay 4: Ezetimibe and clinical outcomes, BP lowering in diabetes and kidney disease

by The Rounds Table @ The Rounds Table

Mon Aug 24 07:29:55 PDT 2015

Amol and Reena want you to understand the following: 1. When added to moderate dose statin, the IMPROVE-IT randomized trial showed that ezetimibe improved clinical outcomes in patients after acute coronary syndrome. 2. A network meta-analysis showed that no blood pressure lowering therapy improved mortality in patients with diabetes and chronic kidney disease. The combination of ACE-inhibitors and…

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We turned one! “Too rich for my blood: Obesity, palliative care, hepatitis c”

by The Rounds Table @ The Rounds Table

Fri Mar 13 01:22:36 PDT 2015

Originally aired March 11, 2014: obesity, palliative care, hepatitis c Amol, Fahad, and Travis want you to: 1. Understand trends in obesity prevalence in adults and children. 2. Appreciate the effect of early palliative care on quality of life in patients with advanced cancer. 3. Recognize new therapeutic options in chronic Hepatitis C infection and their associated cost…

The post We turned one! “Too rich for my blood: Obesity, palliative care, hepatitis c” appeared first on Healthy Debate.

Dubious Acronyms: Handoff Quality and Treating Depression in Cancer Patients

by The Rounds Table @ The Rounds Table

Fri Nov 21 04:00:47 PST 2014

Implementation of a Handoff Program in Pediatric Hospitals and Treating Depression in Cancer Patients Nathan and Amol want you to: 1.Recognize that a standardized handoff program reduced medical errors in academic pediatric hospitals. 2. Appreciate that a targeted program to treat depression in cancer patients was more effective than usual care. Continuing Medical Education Internists can…

The post Dubious Acronyms: Handoff Quality and Treating Depression in Cancer Patients appeared first on Healthy Debate.

Medical residency mismatch: number of unmatched Canadian medical graduates reaches all-time high

by Karen Palmer, Joshua Tepper & Jill Konkin @ Healthy Debate

Thu May 25 04:30:08 PDT 2017

The post Medical residency mismatch: number of unmatched Canadian medical graduates reaches all-time high appeared first on Healthy Debate.

11 Cooking Mistakes That Can Make Your Food Toxic

by Andrea Karr @ Best Health Magazine Canada

Thu Feb 08 12:05:15 PST 2018

Some of the biggest health risks are hiding in plain sight—in your own kitchen. Here are the cooking habits to change before you make dinner tonight.

The post 11 Cooking Mistakes That Can Make Your Food Toxic appeared first on Best Health Magazine Canada.

Four for four: Candidates for CMA president on responding to the feds’ proposed tax changes

by Healthydebate @ Healthy Debate

Thu Feb 08 04:00:33 PST 2018

In the final installment of Healthy Debate's exclusive "Four for four" series, candidates for CMA president discuss the federal government's proposed tax changes on incorporated businesses.

The post Four for four: Candidates for CMA president on responding to the feds’ proposed tax changes appeared first on Healthy Debate.