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'Pollution
kills... no surprise: 'Traffic
exhaust causes ischemic heart disease, a huge new study
of 300,000 concludes. When it comes to lung cancer,
though, the link is less obvious
'Help
for disturbed kids:
'Youth with mental health
troubles under are woefully under-serviced, says U of
T's Dr Barankan, She designs -- and executes -- programs
to train GP/FPs to treat these children.
'CMA
prez gives terse warning:
'"Third-party payers"
call the tune and account for most of the health care
system's ills -- they also threaten to permanently destroy
the doctor-patient relationship, according to CMA president
Dr Sunil Patel.
.What's
got his goat?
'No tickee, no problem:
'Put crowded waiting rooms and crammed appointment books
behind you by converting to "same day service."
'A
healing hand down east:' Can
Nova Scotia's new Health Minister, Angus MacIsaac, anchor
his minority government on health policy?
'Kids
don't spill the beans about sex:
'Dealing with
under-age patients who present with serious STD symptoms
can be tricky -- especially if they're unwilling to
tell the truth about their sex lives.
'Framingham
flawed? 'Framingham
overestimates the risk of British heart attacks by 50%,
suggests new research.
'Canada
behind with hypertension: 'Hypertension
is scarcely under control in Europe; Canada does better
with 17% of hypertensives taking control, but lags behind
the US.
'Baby
boomers pay the price: 'Knee
and hip replacements have surged in popularity among
active baby boomers. The surgery is up 90% in the 45-54
age group and shows no signs of peaking.
'Studies
say: Adjuvent therapy for breast cancer key: 'Yet
more breast cancer studies underline the benefits of
adding other therapies to tamoxifen. The evidence is
striking but it can be confusing to apply.
'Pain
is pain --period: 'It's
definitive -- physical and emotional pain originate
in the same part of the brain. Researchers speculate
on the close association of chronic pain and depression.
'Guys
didn't do it: 'Men
have little to do with yeast infections in women. Researchers
find no link with intercourse but single out saliva
as a culprit.
'No
sun required: 'A
new implant called Melanotan that darkens the skin just
like a real tan and lasts a year is now in Phase II
trials in Australia.
'Cash
only, please: 'Only
about 100 physicians have opted out of medicare and
most are plastic surgeons. This Quebec GP is glad she
did but it hasn't been easy
'Gov't
funding for HIV-free AIDS?: 'InterPares
receives $5 million a year from the federal government
even though some suggest it denies the link between
HIV and AIDS.
'The
trees will thank us:
'Quebec is adopting electronic prescribing, but is Canada
ready to follow suit?
'No
tuberculosis, no fear of spiders: 'A
TB drug -- D-cycloserine -- appears to help patients
conquer their phobias from post-traumatic stress disorder
to vertigo.
'Stimulus
in a can:'
Young people are knocking back energy drinks like there's
no tomorrow, but there's more than meets the taste buds
-- especially after they add the vodka.
'Still
no breakthrough for IBS: 'A cure for irritable bowel
syndrome (IBS) has proven particularly elusive. The
latest hope -- cognitive behaviour therapy (CBT) --
works no better than anything else.
'It's
not my fault I'm fat: 'Underweight babies run a
greater risk of obesity and the diseases associated
with it. It turns out that maternal smoking plays a
big part and so does social class.
'Ethics,
schmethics: 'A new UK code of ethics -- put out
by the BMA -- runs nearly 900 pages. The Canadian code
takes all of three and half. There are those who like
it that way.
'Why
breach when we can cut? 'Vaginal breech deliveries
have all but stopped and the caesarean rate has climbed
to 22% -- which is fine with most practitioners. It's
outcome that counts, says Term Beech Trial author Dr
Mary Hannah.
'Restroom
easy: 'A combination of alpha-blockers and dual
5-alpha-reductase inhibitors looks to be the next great
hope for men suffering from benign prostatic hyperplasia.
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'Zen
& Medicine: 'Physicians, more than most, suffer
from a need to control external events; free yourself
by embracing the inner world, advises Dr Carolyn Thiedke,
Dr Dean Ornish and others.
'Fear
of flying: 'The risk of deep vein thrombosis to
airline passengers is significant -- and aspirin, legroom
and compression stockings don't seem to help a bit.
'Low
blood pressure no guarantee: 'Elevated levels of
C-reactive protein point to future hypertension even
in women who currently have low blood pressure.
'Public
defibrillators a bust: 'Making more defibrillators
available through police and fire departments and installing
them in public places does little to reduce heart attack
deaths.
'Electronic
health revolution: 'Alberta's new Electronic Health
Record which will allow physicians anywhere in the province
to access key pieces of any patient's record is off
to a cautious start -- but the vital signs are strong.
'Checking
their pulse -- and their religion: 'Should you take
a "spiritual" history as part of physical exams? Some
doctors argue it's just as important -- others beg to
differ.
'I
want my PDA: 'Some researchers conduct clinical
trials by supplying PDAs to enter data. Advantages include
speedy results and reduced entry errors. But what's
lost when you take away pen and paper?
'My
darling, forgive me -- suicide is in the genes:
'Suicide has terrible consequences on surviving family
members. It's increasingly clear that this damage lasts
for generations. The Hemingway family is a case in point.
'Iron
women may be lacking: 'Active women who find their
performance has plateaued could be iron deficient even
if the tests don't immediately show it.
'Little
progress for knees: 'Osteoarthritis of the knee
remains difficult to treat -- even symptomatic relief
can be hard to find, confirm the new European guidelines.
What To Tell Your Patient
'The
virtual pain of a virtual world: 'What do you say
to a patient who wants a much-publicized virtual colonoscopy
instead of the regular procedure? '
Editorial
Welcome
'Out of patience:' It's
time to re-focus on the doctor-patient relationship
'Two words -- Clinical Judgement:' Health reforms are getting in the way of a basic tenet
of medical practice. '
Practice Management
See
your patient when you both want:
Moving to same-day service could save your diary - and
your receptionist - a lot of abuse.
Me,
myself & I: 'Solo practice seemed the only alternative
for this rheumatologist when relationships at his group
went sour. The shift was expensive but two years later
he's glad he's on his own. '
Pursuits
'Take
a tumbler:' Fine wine deserves elegant yet reasonably
priced glasses, because they break. To find the glass
that's perfect for you, order it online.
'Honey,
I lost the kitchen:' Kitchens are undergoing a decorating
revolution. Stainless steel and acres of granite are
out. "Invisible" appliances and mahogany cabinetry are
in.
Classics
Books
'The
Alexandria Quartet:' Four classics for the price
of one in Lawrence Durrell's 1962 masterpiece.
Film
'Dark
Victory:' Transport yourself to the
days when men were Humphrey Bogart and women had Bette
Davis eyes.
Jazz
'In
a Silent Way:'
Miles Davis' 1969 classic gets a re-listen.
Opera
'The
Magic Flute:' A new production of Mozart's
best-loved opera from the Royal Opera House in London
captured on DVD.
Classical
'Sibelius'
Violin Concerto:' A reissue of the famed recording
from 1959 by Jascha Heifetz. |