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. I'm your host, Dr. Marina Malak. And today is part two of our series on Basically Back Pain.
...
0
No applauses yet
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.
RS: Hello and welcome to another episode of the Medical Narratives podcast. I'm Regina Starr and today we will delve into the topic of Frailty in the Elderly. Frailty among the elderly presents a multifaceted challenge to both society and society at large. As a medical condition, it signifies a state of vulnerability, often resulting from age related declines in physical and mental health. This condition places a significant burden on health care systems, increasing hospitalizations and health care costs.
Moreover, frail individuals may experience reduced quality of life and increased dependance on caregivers. Societally, addressing frailty necessitates reconfiguring health care systems to provide better support for older adults and promoting preventative measures through healthier lifestyles. The challenge of frailty underscores the pressing need for a comprehensive, age sensitive approach to elderly care. To discuss this topic, we sat down with Dr. Michael Gordon, a well-known geriatrician specialist and the host of the Medical Narratives podcast.
RS: Hi Michael.
MG: Hi. Good morning.
Please note, that to access this episode in full instead of the teaser available just below you would need to login.
Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.
Welcome to Inside Radiology: A Primary Care Perspective where we explore the world of radiology and its applications in primary care.
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.
Welcome back to another episode of Inside Radiology: A Primary Care Perspective podcast. I'm Dr. D'Arcy Little, your host, a community radiologist with a background in primary care. In today's episode, we are looking at abdominal pain imaging.
...
1
3 applauses
Welcome to Inside Radiology: A Primary Care Perspective podcast! I'm Dr. D'Arcy Little, your host. As a community radiologist and former family physician, I'm passionate about empowering primary care doctors with the knowledge and insights they need. With my unique perspective, I aim to bridge the gap between primary care and radiology, presenting the complexities of radiology in a way that resonates with you. My goal is to equip you with tools to enhance patient care and decision-making. Join me on this educational journey as we explore the world of radiology, tailored for primary care physicians like you. Together, let's elevate primary care radiology.
1 Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada. 2Department of Pediatrics, Department of Dermatology and Skin Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Abstract: Psoriasis is a chronic inflammatory skin disease that affects up to 1.4% of children (aged <18 years) with a strong genetic predisposition and is mediated by dysregulation in the crosstalk between the innate and adaptive immune responses. It can have significant impact on quality of life for many patients. There are various subtypes of psoriasis with plaque psoriasis being the most common presentation in both adults and children. Pediatric psoriasis is primarily a clinical diagnosis. With the advent of biologics, the treatment landscape for pediatric psoriasis has shifted and encompasses diverse modalities of therapeutics, including topical and systemic treatments, as well as phototherapy.
You can take quizzes without subscribing; however, your results will not be stored. Subscribers will have access to their quiz results for future reference.
Psoriasis affects the pediatric population and is associated with negative effects on quality of life and psychological impairments.
Lesions of pediatric plaque psoriasis may be thinner, smaller, more macerated than those classically in adult and present more commonly on the scalp, face, intertriginous areas, and extremities (flexural surfaces for younger children and extensor surfaces for older children).
Psoriasis is not an isolated condition and is correlated with higher rates of myocardial infarction, diabetes mellitus, hypertension, obesity, arthritis and liver disease.
In mild to moderate cases of psoriasis, topical therapies with a short course of corticosteroids and/or vitamin D analogue are first-line. In moderate to severe cases, narrowband UVB phototherapy, systemic agents, such as methotrexate, and biologics should be considered.
Pediatric patient should be assessed for risk factors for associated comorbidities.
A history of preceding streptococcal or viral infection can be suggestive of guttate psoriasis, which is more common in children than adults.
Approach to treatment should be guided by the extent and severity of disease, which can be quantified by BSA, the PASI score and quality of life index surveys.
To have access to full article that these tools were developed for, please subscribe. The cost to subscribe is $80 USD per year and you will gain full access to all the premium content on www.healthplexus.net, an educational portal, that hosts 1000s of clinical reviews, case studies, educational visual aids and more as well as within the mobile app.
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?
...
1
1 applause
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.
...
1
4 applauses
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).
You can take quizzes without subscribing; however, your results will not be stored. Subscribers will have access to their quiz results for future reference.
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
To have access to full article that these tools were developed for, please subscribe. The cost to subscribe is $80 USD per year and you will gain full access to all the premium content on www.healthplexus.net, an educational portal, that hosts 1000s of clinical reviews, case studies, educational visual aids and more as well as within the mobile app.
