Just Medicine

Just Medicine

By Just Medicine PodcastMedicineHealth & Fitness
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Just Medicine episodes

  • 10. Reproductive Health Part 2 - Cervical Cancer: A Preventable Disease Rooted in Inequity with Dr. Lauren Adolph

    We are BACK with an exciting new conversation!! 


    Did you know that cervical cancer is a preventable disease? In this episode, Dr. Lauren Adolph and I discuss the importance of prevention and screening when it comes to cervical cancer, as well as why certain populations are disproportionately impacted by this condition. Tune in to learn more about this unique disease, the actionable barriers standing in the way of its eradication, and exciting new screening programs being implemented in Canada.


    If you have any questions, want to suggest a topic for us to cover, or know of any experts in a particular field, please email us at [email protected] 

    1 hr 5 min
  • 9. MAiD for Mental Health Series Part 2 - Exploring the Positive Outcomes

    In this final episode of a 2-part series on Medical Assistance in Dying (MAiD) for mental health, I had a conversation with Dr. Derryck Smith where we explored the positive outcomes anticipated from this legislation.

    Join us as Dr. Smith shares his personal encounters with MAiD and why he believes this reform is pivotal in restoring human rights and empowering individuals suffering from treatment refractory psychiatric conditions.

    For more information on MAiD in Canada, check out the link below: ⁠https://www.justice.gc.ca/eng/cj-jp/ad-am/bk-di.html⁠


    48 min
  • 7. Reproductive Health Part 1 - Access to Contraceptives with Dr. Yuyang Wang

    We're back again! As the first episode of a multi-part series on women's health, this month's episode addresses Access to Contraceptives in Canada.

    Listen in as expert guest speaker Dr. Yuyang Wang brings his enthusiasm, expertise and knowledge to the table. We've got a jam-packed episode ready for you, as we dive into topics including cost barriers, rural-specific factors, the importance of education, and other special considerations that can impact the accessibility of contraceptives.

    If you have any questions, want to suggest a topic for us to cover, or know of any experts in a particular field, please email us at [email protected]


    "Sex & U" - Resource for sexual and reproductive health (by the Society of Obstetricians and Gynaecologists of Canada):

    https://www.sexandu.ca/


    Global Contraception Policy Atlas (2023 version):

    https://www.srhrpolicyhub.org/region/?region=can









    56 min
  • 8. MAiD for Mental Health Series Part 1 - Exploring Equity Considerations

    In this first episode of a 2-part series on Medical Assistance in Dying (MAiD) for mental health, I chatted with Dr. Diane McIntosh on the equity considerations that follow the legalization of MAiD for psychiatric conditions.

    Listen in as Dr. McIntosh shares her expertise and perspective on this issue, discussing the disproportionate impact MAiD might have on vulnerable populations, how a lack of access to care might drive individuals to seek MAiD, and some of the health equity concerns that are raised by the law.


    For more information on MAiD in Canada, check out the link below: https://www.justice.gc.ca/eng/cj-jp/ad-am/bk-di.html


    43 min
  • 6. Taking a Good Substance Use History with Dr. Elise Jackson

    We're back with another episode and this month we're focusing on one of the most important skills we learn in medicine, history taking! Specifically in this episode we focus on taking a good substance use history while remaining sensitive and providing patient-centred care. Please see below for the terms we discussed in episodes. Enjoy!


    Terminology (Terms can change over time and they are usually regionally specific, so this list is most specific to the West Coast)

    Substance names

    1. Up = Stimulants (Usually cocaine, in powder or crack form)
    2. Down = Opioids (Not specific to a single opioid, but usually in BC refers to fentanyl)
    3. Side = crystal methamphetamine (or crystal)
    4. Combinations:
      • Speedball = cocaine and opioids
      • Goofball = Crystal meth and opioids


        • Quantity of substance

        • A Point = 0.1 gram
        • 8 ball/a ball = 1/8 of an ounce = 3.5 g


          • Route of Injection

          • Smashing = inject in any form (IV, IM, SC)
          • Muscling = intramuscular injections
          • Skin popping = subcutaneous injections
          • Jugging = injection directly into the jugular vein
            • 56 min
          • 5. Reframing Encounters and Partnering with Patients - Trauma Informed Care
            We are BACK! In this episode, I sat down with Dr. Maria Hubinette to chat about Trauma-Informed Care. Many of our patients have faced many forms of trauma and even had traumatic experiences in healthcare settings. It's important to recognize that health systems and healthcare workers can contribute to trauma and how we can alleviate some of the damage that can happen in health encounters through TIC.
            1 hr 20 min
          • 4. Gender Affirming Care Series Part 2 - What does "transitioning" mean?
            In this month's episode, we're continuing our panel discussion with our 3 special guests. We delve deeper into what transitioning means and what are the different components of it. All of the resources mentioned in the podcast are as always listed in the show notes below. We highly recommend looking through Trans Care BC for any extra information!
            If you have any questions, want to suggest a topic for us to cover, or know of any experts in a particular field, please email us at [email protected].
            Resources and References:
            Trans Care BC Primary Care Toolkit (Updated March 2023): http://www.phsa.ca/transcarebc/Documents/HealthProf/Primary-Care-Toolkit.pdf
            Trans Care BC Testosterone Consent: http://www.phsa.ca/transcarebc/Documents/HealthProf/pctoolkit-testosterone-consent.pdf
            Trans Care BC Estrogen/Testosterone Blocker Consent: http://www.phsa.ca/transcarebc/Documents/HealthProf/pctoolkit-estrogen-testosterone-blocker-consent.pdf
            55 min
          • 3. Gender Affirming Care Series Part 1 - Healthcare experiences of trans and gender diverse people

            In the first episode of this special multi-part series on Gender Affirming Care, I chatted with 3 special guests who are advocates for inclusive trans care. Rae, Lucas, and Dr. Thompson all bring their own experiences and perspectives in how medical trainees can engender (pun intended) change in medical education with respective to gender affirming care.

            If you have any questions, want to suggest a topic for us to cover, or know of any experts in a particular field, please email us at [email protected]. 



            Resources and References: 

            1. Trans activist leaving Canada https://www.cbc.ca/news/canada/london/sorrenti-trans-activist-leaving-canada-1.6559289
            2. WHO definition of Gender Affirming Care https://www.who.int/standards/classifications/frequently-asked-questions/gender-incongruence-and-transgender-health-in-the-icd
            3. Trevor Project Youth Mental Health Survey https://www.thetrevorproject.org/survey-2020/?section=Introduction
            4. Mental Health Disparities Among Canadian transgender youth https://pubmed.ncbi.nlm.nih.gov/28007056/
            5. Transgender Noninclusive Healthcare and Delaying Care Because of Fear: Connections to General Health and Mental Health Among Transgender Adults: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436369/
            6. Dr. Thompson’s article in Perspectives on Medical Education about teaching a Gender Affirming Care Framework https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8600495/
            7. Broken Arm Syndrome https://pubmed.ncbi.nlm.nih.gov/36736052/
            8. Injustice at Every Turn: A Report of the National Transgender Discrimination Survey https://transequality.org/sites/default/files/docs/resources/NTDS_Report.pdf
            9. Trans-misogyny https://www.juliaserano.com/av/TransmisogynyPrimer-Serano.pdf
            10. Racialized Equity Labor: https://academic.oup.com/socpro/article-abstract/67/2/286/5488730?redirectedFrom=fulltext


              11. Music by Lesfm from Pixabay.

              1 hr 2 min
            11. Bonus: The power of words in Gender Affirming Care

              Enjoy this bonus episode discussing some introductory terms and concepts to be familiar with as we kick off the Gender Affirming Care series! In the next few months, we will be exploring different facets of gender inclusive care with a variety guests from different backgrounds and lived experiences.

              Producer's note: the accompanying episode will be released on Thursday, Mar 9. 

              If you have any questions, want to suggest a topic for us to cover, or know of any experts in a particular field, please email us at [email protected].


              Music by Lesfm from Pixabay.

              7 min
            12. 2. BMI is not what you think it is: Health At Every Size

              Producer’s note: The audio for this episode is a bit unstable at times, so apologies for that in advance.

              In this episode, I chatted with Dr. Katarina Wind, a recent Family Medicine graduate and a weight-inclusive practitioner about weight and fatphobia in healthcare. We talked about the history and application of BMI to medicine, her personal journey with weight perception, and how to approach discussions around weight with patients. The sources from the introduction are included below.

              If you have any questions, want to suggest a topic for us to cover, or know of any experts in a particular field, please email us at [email protected]

              Sources

              References

              1. Rathbone, JA, Cruwys, T, Jetten, J, Barlow, FK. When stigma is the norm: How weight and social norms influence the healthcare we receive. J Appl Soc Psychol. 2020; 00: 1– 17. https://doi.org/10.1111/jasp.12689
              2. Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J. Medicare's search for effective obesity treatments: diets are not the answer. Am Psychol. 2007 Apr;62(3):220-33. doi: 10.1037/0003-066X.62.3.220. PMID: 17469900.
              3. Loveman E, Frampton GK, Shepherd J, Picot J, Cooper K, Bryant J, Welch K, Clegg A. The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review. Health Technol Assess. 2011 Jan;15(2):1-182. doi: 10.3310/hta15020. PMID: 21247515; PMCID: PMC4781196.
              4. Lee JA, Pausé CJ. Stigma in Practice: Barriers to Health for Fat Women. Front Psychol. 2016 Dec 30;7:2063. doi: 10.3389/fpsyg.2016.02063. PMID: 28090202; PMCID: PMC5201160.
              5. McPhail D, Orsini M. Fat acceptance as social justice. CMAJ. 2021 Sep 7;193(35):E1398-E1399. doi: 10.1503/cmaj.210772. PMID: 34493569; PMCID: PMC8443289.
              6. https://www.brown.edu/news/2016-12-12/famine
              7. https://www.huffingtonpost.co.uk/entry/south-asian-health-colonial-history_uk_620e74fee4b055057aac0e9f
              8. https://obesitycanada.ca/guidelines/weightbias/
              9. https://thischangedmypractice.com/why-i-no-longer-prescribe-weight-loss/
              10. https://www.nytimes.com/2013/06/19/business/ama-recognizes-obesity-as-a-disease.html

                11. Music by Lesfm from Pixabay.

                53 min

              About Just Medicine

              From the publisher's feed

              Just Medicine is a podcast on equity in healthcare, hosted by medical students in British Columbia. Each episode, we bring on a guest to chat about a range of social justice topics and how they relate to medicine and health care. The aim of the podcast is to equip medical trainees with the knowledge and skills to provide inclusive care to a growingly diverse population. The podcast is released every second Thursday of the month, starting on January 12, 2023.