I speak to Dr. Larry Willms about a very fundamental topic that doesn't get much discussion in medical learning - Food and Nutrition. We discuss the things that are well-established consensus in the field, why we get so confounded by nutrition research and fads, how to communicate the information to patients as well as some thoughts and ideas we have on the subject!
I am joined by Dr. Josh Smith, an EM registrar in Dunedin, New Zealand, who discusses with me a basic approach to patients in the ER.
We talk about key principles including that patients often require early treatment before we have much information, that a disposition is often more important than a definitive diagnosis and that we should be considering life threatening diagnoses early in our assessment. We also touch on identifying sick patients, how patient scenarios can evolve, and ways to deal with uncertainty in medicine.
We are joined by local family and ER physician Jesse Zroback to discuss his passion and excitement for Space! We talk about his recent work with Canadian Space Agency, becoming one of the final candidates to become Canada's 4th generation of astronaut, as well as more generally the concept of Space Medicine - medical considerations in space, application to life on Earth, and a bit on the current climate around Space travel!
I had the opportunity to talk to Tonya Caylor, a family physician from Anchorage, Alaska with an inspiring interest in physician health. We talk about the important topic of Burnout as well as her interest in Coaching to help physicians in both their personal and professional lives. For more information on her, check out her site! https://www.joyinfamilymedicine.com/.
Necrotizing Fasciitis/Necrotizing Fasciitis/So much pain/ React or be slain/ Necrotizing Fasciitis
Necrotizing Fasciitis/Dissolving don’t delight us/Pain out of proportion
I need a limb abortion/All from a sore shin!
I’m on the lookout when I see soft tissue/Is it going fast? Are you sick? I asked.
It feels like’s it’s a shark beneath the surface/The fascia elevator is at their service!
Oh no doc, is it do or die!?Why yes, TBH, lucky I’m your guy
Piptazo, Vanco, Clinda after cultures/ toxins swarming like in, like mini super vultures
What kinda mean bug got me through this wound?/First type’s a party cracking bubbly; stay tuned
Type two a hitman - strep pyogenes on your knees/ Or maybe Vibrio from the ocean seas!
<<What to do!>>
Call the surgeon in the middle of the night/Hey good sir could you join the fight?
What is the meaning of disturbing my slumber?/To Save a life. Glad you had my number!
When the surgeon arrives patient has less pain (of course)/ Is it effects of sepsis to the brain?
When I push he jumps not off the stretcher/Cutaneous anaesthesia is a late sign, I conjecture!
Youre a genius, hah, to the OR tomorrow!/Uhh good sir, but that could end in sorrow
Perhaps you could deign to operate stat/Steel and faciotimy would save him like that (snap)
We wheel him quickly down the hall/A little levofed makes his pressure not stall
Cut the leg theres necrotic goo/ compartments are relieved two by two
Thank you docs for saving my life/Everyone lauds you cept the ex-wife
No problem, mr patient, thats what we do/Watch for nec fash with soft tissue!
Ohhhh you got to save the day save the day save the day
Ohhh do serial exams you ll save the save the day
Ohhhh mr doctor got to save the day save the day save the day
Ohhhh give good discharge instructions for red flagsssssss and you will save the day
Let's talk about Necrotizing Soft Tissue Infections, including primarily the really scary one - Necrotizing Fasciitis! This is a topic to constantly keep in the back of your head... to really save some lives.
Update Sept 7th: Made some modifications to the surgical segment thanks to Dr. Matt Strickland
A conversation with Dr. Adam Moir, a generalist physician in Dryden, Ontario and a personal mentor about Teaching in medicine. We have an off the cuff conversation on our experience in teaching, the reciprocity of teaching, some pearls, and what can be learned and gained doing it!
Discussion with our local GP Anaesthetist Dr. Cory McFarlane around the Covid situation in Northern Ontario, oxygen delivery in Covid, Airway considerations, approaches to various critical scenarios and a bit on treatment
An unscripted, zany conversation with rural legend Mike Kirlew about airway and breathing ; ideas around who and how to intubate, who can be managed with Non-Invasive or High Flow, and about Ventilators
We talk to rural family medicine resident Dr. Tiffany Desruisseaux about the new IDSA 2019 guidelines on community acquired pneumonia, atypical pneumonias, some great pharmacology and a brief tidbit on VAPI (vaping-associated pulmonary injury)
Let's talk about AKI and what it means, how it is diagnosed, some key points and pitfalls, and also some focus on key diagnoses.
Also: check out www.worrykit.com for our new Mental Health App. We are always looking for feedback and ways to improve it -- email me at email@example.com
Fast Facts about Procedures Including:
Fast Facts about Sick Kids including:
Mike Kirlew returns to have an energetic conversation about some clinical considerations in Atrial Fibrillation.
Dr. Justin Bell gives the basics of LGBT2SQ definitions and what our role is as health care providers for this diverse population.
Dr. Schreiber is an Infectious Disease specialist based in Sioux Lookout Ontario to shed some light on pneumonia. The focus is community acquired pneumonia (CAP) in adults.
Learn about the ins-and-outs of adapting to various rural medical environments.
A discussion on the in vogue topic of meditation.
We get to have a discussion about some of the evidence for care around a healthy delivery. Much of the discussion is taken from the SOGC (Society of Obstetricians and Gynaecologists of Canada) guidelines.