Hello there. It's a pleasure to meet you all. My name is Alykhan Abdulla, and I am the co-host of Med Talks: Beyond the White Coat. This is our very first podcast. I'm actually very excited to participate in it with you and also share our surprising guest. Well, let me tell you a little bit about what our intention is, and then it'll be a lot easier when I introduce our guest.
Please note that while the first episode is available to listen to without registration, accessing additional episodes will require you to subscribe and log in.
00;00;00;00 - 00;00;44;05 AA: Hello there. It's a pleasure to meet you all. My name is Alykhan Abdulla, and I am the co-host of Med Talks Beyond the White Coat. This is our very first podcast, and I am excited. I am beyond excited to participate in this with you and to share our surprising guest. But let me tell you a little bit about what the intention of Med Talks is, and it'll be a lot easier when I introduce our guest.
00;00;44;07 - 00;01;12;15 AA: Med Talks Beyond the White Coat is an opportunity to understand about leadership. And we're going to meet some incredible leaders and you will get to hear from them about their stories and what they've gone through to achieve their leadership role, their struggles, their challenges, their successes, and the things that they learned along the way to make sure that they were prepared and ready and confident to move forward in their leadership role.
00;01;12;17 - 00;01;41;26 AA: And more importantly, you're going to hear advice. Advice that they want to share. Advice to help others who are motivated to follow in their footsteps, to climb up on their shoulders and move forward to their next leadership challenge. So with that, I would like to introduce our very first podcast guest, Dr. Kathleen Ross. Dr. Kathleen Ross is the president of the Canadian Medical Association.
00;01;41;28 - 00;02;08;16 AA: She grew up in small town Port Coquitlam, British Columbia. She's a mother of two and she's been married for 35 years. In addition to doing clinical work in family medicine, comprehensive family medicine, she also has done work in obstetrics and surgical assisting during this entire time period. She was also previously the President of the Doctors of B.C., which is a feat upon itself.
00;02;08;19 - 00;02;38;20 AA: It's British Columbia's provincial Medical Association for its 15,000 doctors. And in addition to that, she's been involved in health care and health care policy and led many grassroots improvements. Those include the chair of the Fraser Northwest Division of Family Practice and the president of the medical staff of the Royal Columbian Hospital. She's a founding member of the Doctors of B.C. Diversity and Inclusion Advisory Group.
00;02;38;22 - 00;03;07;00 AA: She's had the opportunity to be the lead in regards to anti-racism and unconscious bias. She's helped elevate all kinds of leaders in all kinds of positions using her skill sets of diversity and thoughtfulness. She was involved in the physician quality improvement. She chairs the CMA administrative burden and working Group and participates in the McMaster National Fellows Program for Health Care Leadership.
00;03;07;02 - 00;03;28;26 AA: And this is the part that I'm hoping that we can get into today. I'm hoping we can talk about her volunteerism because it was her service in her past that has been the absolute cornerstone for the type of leadership that she brings, authentic and honest. She worked in the Andean regions of Peru, and she speaks some of their languages, believe it or not.
00;03;28;29 - 00;03;47;14 AA: She's also helped and spent time with the Girl Guides of Canada. And before that, she was honoured with the Terry Fox Wall of Fame in Coquitlam in 2019. With that, I'm excited to introduce you. Dr. Kathleen Ross. Dr. Ross, how are you?
00;03;38;16 - 00;03;38;23 KR: Very good. How are you?
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Alykhan Abdulla, BSC, MD, LMCC, CCFPC, DipSportMed CASEM, FCFCP, CTH (ISTM), CCPE, Masters Cert Phys Leader, ICD.D
is the Medical Director of The Kingsway Health Centre, The Kingsway Travel Clinic, and The Kingsway Cosmetic Clinic.
He is also the Assistant Professor at the University of Ottawa Faculty of Medicine and Academic Clinical Professor
at the University of Ottawa Faculty of Nursing. In addition he is the Director of UOttawa Undergraduate Medical
Education Leadership Development Curricula. Dr. Abdulla is the Editor in Chief Journal of Current Clinical Care
Sports Medicine section. He is the Board Director Bruyere Continuing Care, ESO-OHT Primary Care Table, Ontario
Medical Foundation, College of Family Physicians of Canada, 700 Sussex Drive Board (OCLCC 713), The Rideau Club
Finance & Audit and Past Chair Section of General and Family Practice Ontario Medical Association.
Moiz Lakhani, BHSc graduate from McMaster University and current medical student at the University of Ottawa,
co-hosts the Med Talks: Beyond the White Coat podcast. A 2021 Cansbridge fellow, Moiz has spoken at the UN HQ, Youth Assembly
Conferences, and WISE in Qatar. He's also a 2022 Diana Award recipient, the highest honor for youth in social action and
humanitarian work.
Welcome to 3P: Pills, Pearls, and Patients where we will discuss current events in medicine, stories from real patient-physician encounters, and gain insight into what it's like being a physician in today's society.
Please note that while the first episode is available to listen to without registration, accessing additional episodes will require you to subscribe and log in.
Hello and welcome to the next episode of 3P, Pills, Pearls and Patients. Today we're going to have a talk about basically back pain.
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Dr. Marina Malak is a family physician in Mississauga, Ontario and a lecturer and faculty member at the University of Toronto. She is actively involved in medical advocacy, and is a board member of the Mississauga Primary Care Network. She is also a member of the National Committee of Continuing Professional Development at the College of Family Physicians of Ontario, and a member of the Research Ethics Board at Trillium Health Partners.
She is passionate about patient care; medical education; and promoting mental, physical, and emotional wellness. She enjoys reading, writing, public speaking, puzzles, doodling in her bullet journal, and creating drawings on Procreate.
1 Faculty of Medicine, University of British Columbia. 2Department of Pediatrics, Department of Dermatology and Skin Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Abstract: Hyperhidrosis (HH) is a disorder of the eccrine sweat glands causing excessive sweating. It is caused by hyperactivity of the sympathetic nervous system resulting in excessive release of acetylcholine and activation of the sweat glands. Primary essential HH is thought to have a large genetic component, while secondary HH is the result of an underlying condition or medications. HH will often cause excessive sweating in areas with a high density of eccrine sweat glands that include the palms, soles, face, head, or axillae. Diagnosis is largely based on history and physical which can help differentiate between primary and secondary HH. Hyperhidrosis can have a significant impact on quality of life. Management includes identifying and avoiding triggers, the use of topical antiperspirants, and advanced therapies in recalcitrant cases (such as tap water iontophoresis, botulinum toxin injection and surgical options).
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Hyperhidrosis is common and affects about 5% of the population
A simple measure of the severity of hyperhidrosis can be done with the 4-question hyperhidrosis disease severity score
Secondary hyperhidrosis should be ruled out with a good history and physical exam
Patients who fail treatment with topical antiperspirants can be treated with tap-water iontophoresis, botulinum toxin injections, oral anticholinergics and surgical options.
Hyperhidrosis is excessive sweating that can be most commonly primary but can have secondary causes
Patients with hyperhidrosis can experience significant impairment on quality of life and this should be explored
First-line treatment consists of topical antiperspirants
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