By Canadian Medical Association Journal
The podcast currently has 331 episodes available.
Pain is one of the most common complaints among patients visiting the ER, and pain management has become a quality of care indicator. But the options available for the treatment of acute pain that isn’t controlled by over-the-counter medications are limited.
With the opioid epidemic leading physicians to avoid prescribing narcotics, the anaesthetic drug, ketamine, is being reconsidered for the treatment of pain, as well as other indications.
A practice article in CMAJ argues that ketamine is an underutilized and effective analgesic and a safer alternative to opioids for the management of acute pain, with reported adverse effects at low doses occurring at the same frequency as placebo.
In this episode, Blair and Mojola speak to Dr. William Silverstein, a co-author of the practice article “Five things to know about the use of ketamine in the treatment of acute pain” about ketamine’s indications and contraindications, how to prescribe it in the ambulatory care setting, and practical steps physicians can take to add ketamine to their pain-busting arsenal.
They also speak with Dr. Marshall Ross, a physician who also uses ketamine as an emergency physician, but has also pioneered its use in patients with treatment-resistant depression, using cutting edge techniques.
One in four women physicians report a diagnosis of infertility. One reason for this is physicians tend to delay attempts to become pregnant until “the time is right” for their career. But, in the medical profession, it seems there is really no “good” time to have children. Parenthood, especially motherhood, is seen as an inconvenience during medical training and beyond.
In this episode, Dr. Sophia Park speaks with hosts Dr. Mojola Omole and Dr. Blair Bigham about her personal struggle with infertility. And, Dr. Andrea Simpson, the lead author of a commentary in the CMAJ titled, “The inconvenience of motherhood during a medical career” calls for systemic change in medicine to support parenthood.
Dr. Sophia Park is a medical biochemist at Royal Columbian Hospital and a Clinical Associate Professor at the UBC Department of Pathology and Laboratory Medicine.
Dr. Andrea Simpson is an obstetrician and minimally invasive gynaecologic surgeon at St. Michael’s Hospital. She is also an assistant professor at the University of Toronto.
She co-authored her commentary with Drs. Maria Cusimano and Nancy Baxter. It is published in CMAJ: https://www.cmaj.ca/content/193/37/E1465
Episode transcript: https://www.cmaj.ca/transcript-211255
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Dr. Malika Sharma and Dr. Rahel Zewude explain the tenets of critical race theory. They also share how it has helped them tackle racism in the practice of medicine and how they've applied it to their professional and personal lives as physicians in Canada.Dr. Malika Sharma is an HIV and infectious diseases specialist and assistant professor in the Department of Medicine at the University of Toronto. Dr. Rahel Zewude is an internal medicine resident at the University of British Columbia and president of Black Physicians of British Columbia.They co-authored a humanities article published in CMAJ.
Podcast transcript
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This podcast episode is brought to you by Shingrix. Learn more at shingrix.ca
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The podcast currently has 331 episodes available.