Blog Archives: February 2008 Archives
Thursday February 28, 2008
For the past few weeks, we've asked you to tell us about your experiences
in the stirrups. You told us about funny moments like the speculum
getting stuck or even being shot out like a projectile. You also told
us about moments of discomfort, embarassment, even shame. Thanks for
sharing your thoughts.
I wasn't surprised to hear your feedback. What may surprise you is
just how uncomfortable and stressed out some doctors are about this most intimate of physical exams. Surprising, since docs have had centuries to get over their embarassment.
Doctors have been doing pelvic exams since roughly 800 years before the
time of Hippocrates. This vaginal instrument, called a dioptra, that was found in the ruins at Pompei.
Throughout the centuries, the emphasis has been on doing the pelvic and getting it over with.
What I've learned from this show is that women and their doctors also need to talk about it.
If you've had pain or discomfort during a previous exam, tell your doctor, even if he or she doesn't ask. Same goes if you've had past traumas that make the pelvic a difficult experience to go through.
Nurses, midwives and doctors need to encourage and welcome these conversations. And this may be controversial, but I also think health professionals should also come clean with whatever makes them uncomfortable about pelvics.
You'll hear more of this on our show Monday. I'd love to hear what you think.
Categories: Blog Archives
Monday February 25, 2008
White Coat, Black Art is pre-empted on Monday, February 25 for Canada Reads. We'll be back on Friday, February 29 for our encore presentation at 8 pm.
If you want to hear the show before then, download the podcast as of midnight tonight. Or listen to it here:
Do you 'Google' your symptoms? You're not alone. But how good is 'Dr. Google' in helping figure out what ails you?
We've teamed up with Spark to test a couple of cyberchondriacs on their ability to self-diagnose. Last week on their show we gave Tammy and Ben a list of symptoms and sent them to the Internet in search of a diagnosis.
This week White Coat, Black Art, brings Tammy and Ben back to see if they're ready to graduate from the 'Google School of Medicine'.
Categories: Blog Archives
Wednesday February 20, 2008
Remember where you were when JFK was shot? How about when the Shuttle Challenger blew up? These are the kinds of shared moments that change everyone's life. Here's a little moment that you won't remember, but I do, because it changed my professional life.
I was working in emerg one evening when I saw a woman with asthma that she said had been getting progressively worse in the last few days. I thought her asthma was severe enough that she needed to take Prednisone. But when I handed her the prescription she said, " I thought Prednisone was a level C risk factor in pregnancy?"
That certainly got my attention. I asked if she was a physician. "No," she said. " I read about it on the Internet."
A bell clanged in my head. It was a little bit like discovering I could walk instead of crawl. Things would never be the same. And they haven't. Not a shift goes by in which someone doesn't challenge my usual medical spiel or second guess my decisions because of something they've looked up on the internet before coming in.
For family docs, the experience is more intense. Their appointments are scheduled. That gives you more time to assemble a sheaf of reports culled from cyberspace.
I think a lot of doctors don't like the fact that the internet levels the playing field just a bit. Just remember, there's knowledge that helps and knowledge that just gets in the way.
On this week's White Coat, Black Art, we've invited two cyberchondriacs to see if they can take the symptoms I gave them last week on another CBC show
Spark and make a diagnosis that a real doctor (aka CBC Health Columnist Dr. Peter Lin) would make. Do you always check out how you're feeling with Dr. Google before consulting your own doctor? Tell me about it.
In the meantime, if you're going to go to the internet to check out your aches and pains, here are some credible sites that doctors sometimes also rely on to make their diagnoses. Happy cyber-sleuthing!
Public Health Agency of Canada
emedicine This one is solid gold for physicians on the fly. If I'm in a hurry and in need of a quick fix of medical info, I Google the disease I'm checking out and (+) emedicine. This web site is written in medical technobabble, but it takes you to peer reviewed articles presented in an easy-to-read format and regularly updated.
Categories: Blog Archives, Past Episodes
- August 2012
- Thu., 2 – Health Coaches: New Health Team Member?
- January 2012
- December 2011
- Fri., 30 – Season Finale: Ask Dr. Brian Show
- Tue., 27 – Health Stories of 2011: My Take
- Tue., 20 – Not the ER Mailbag
- Thu., 15 – Park Your Frustration: Update
- Wed., 14 – Unfinished Business Mailbag
- Tue., 13 – Rescue on Hospital Grounds
- Thu., 8 – Generation Rx: Mailbag
- Tue., 6 – Your Next MD Will Be a Woman
- November 2011
- Tue., 29 – Generation Rx: Four Days to Go
- Mon., 28 – Park Your Frustration: Even More
- Thu., 24 – Generation Rx: Some Quick Thoughts
- Wed., 23 – Unpaid Caregiver Show Mailbag
- Thu., 17 – Emergency Rooms Must Deliver Palliative Care
- Tue., 15 – Park Your Frustration Mailbag
- Thu., 10 – Marketing Medicine Mailbag
- Wed., 9 – A Computer Teaches Doctors Some Empathy
- Tue., 1 – Should Boys Get the HPV Vaccine Too?
- October 2011
- September 2011
- Wed., 28 – Rural Medicine Mailbag
- Tue., 27 – The indebted medical student
- Fri., 23 – Dr. Brian at TEDx Toronto
- Wed., 21 – Nurse Bullying Mailbag
- Fri., 16 – We Want Your Stories About Hospital Parking
- Wed., 14 – Personal Support Worker Mailbag
- Mon., 12 – Dr. Brian on Canada Writes
- Thu., 8 – Live chat with Dr. Brian- Transcript
- August 2011
- Wed., 3 – Right to Die: This Time May Be Different
- July 2011
- June 2011
- Mon., 27 – Why We Get Fat!
- Wed., 22 – Sleepy Residents Mailbag
- Wed., 22 – Ask Dr. Brian Show: Books about Health Care
- Thu., 16 – Unifinished Business Show Mailbag
- Wed., 15 – Getting Past Vaccine Skepticism
- Mon., 13 – Medical Deans Who Plagiarize Should Resign
- Thu., 9 – Mental Health Show Mailbag
- Tue., 7 – For Whom the Patient Call Bell Tolls
- Wed., 1 – Diseases That Get No Respect Mailbag
- May 2011
- April 2011
- Wed., 27 – Getting Away From it All
- Wed., 20 – Election Show Mailbag
- Tue., 19 – NHL Concussions: Time to Act!
- Fri., 15 – MS Zamboni: Here We Go Again
- Fri., 15 – Bonus - Extended Political Panel
- Thu., 14 – Overdiagnosed Mailbag
- Wed., 13 – Beware of "Off-Label" Prescribing
- Tue., 12 – Older Doctors: Update
- Mon., 11 – Health Care Election Panel Recorded Today
- Wed., 6 – Doctor Brian in Winnipeg
- Mon., 4 – Will to Die Mailbag
- March 2011
- Thu., 31 – Older Doctors Mailbag
- Tue., 29 – Need Your Input for WCBA Election Show
- Tue., 29 – Taking Better Care of Seniors in the ER
- Wed., 23 – Dr. Brian in Halifax
- Mon., 21 – An ER For Seniors is Long Overdue
- Thu., 17 – Concierge Mailbag
- Wed., 16 – Does Your Doctor Check Your Medical Tests?
- Thu., 10 – Breaking Up Mailbag
- Tue., 8 – Not Your Grandmother's Marijuana
- Mon., 7 – Breaking Up: Reaction to Your Reaction
- Fri., 4 – Online Chat about Weight Loss
- Fri., 4 – A Leaky Medical Gadget?
- Wed., 2 – Good Samaritan Mailbag
- Tue., 1 – Rrrrroll Up the Rrrrrim to Live?
- February 2011
- Fri., 25 – Good Samaritan show
- Thu., 24 – Wandering (Dementia) Show Mailbag
- Tue., 22 – Dr. Brian on Fresh Air
- Thu., 17 – Listen to Me Mailbag
- Tue., 15 – Beware the Blood Test Not Checked
- Thu., 10 – Put Down that Scalpel: an update
- Wed., 9 – No Appointment Show Mailbag
- Mon., 7 – WCBA Pre-empted Monday February 7
- Mon., 7 – Reverse Medical Tourism?
- Wed., 2 – Mailbag on Euthanasia (Corridor) Show
- January 2011
- Fri., 28 – See Dr. Brian in Person Jan 29 in Toronto
- Thu., 27 – Hospital Fixer Mailbag
- Tue., 25 – Wanted: your stories on Walk In Clinics
- Mon., 24 – Why I Respect Eastern Health's CEO
- Thu., 20 – Goldman on 'Q' With Jian Ghomeshi
- Wed., 19 – Wednesday Mailbag
- Tue., 18 – Surgeons Need Some Understanding
- Thu., 13 – Thursday Mailbag
- Tue., 11 – Prepare for H3N2 Seasonal Flu!
- Mon., 10 – Patient Privacy: More to Come
- Wed., 5 – Wednesday Mailbag
- December 2010
- Fri., 24 – Show Pre-empted on December 25
- Wed., 22 – Sick or Lonely? Both Go to the ER
- Thu., 16 – Thursday Mailbag
- Tue., 14 – More on Haiti
- Mon., 13 – MS Zamboni Treatment: Dr. Goldman Interview
- Thu., 9 – Sneek Peek: Our "Lights and Sirens" show
- Wed., 8 – Public Health, Private Lives: Thank Yous
- Thu., 2 – Thursday Mailbag
- Thu., 2 – Sneak Peek: Public Health, Private Lives
- November 2010
- Thu., 25 – Sneak Peek of Our Unmentionables show
- Wed., 24 – Wednesday Mailbag
- Mon., 22 – MS Zamboni Treatment: Where are We Now?
- Thu., 18 – Thursday Mailbag
- Wed., 17 – Sneak Peek of our Home Care Show
- Tue., 16 – MS Zamboni Treatment: new developments
- Wed., 10 – Wednesday Mailbag
- Tue., 9 – Don't Label Patients Difficult
- Tue., 9 – Duty to Refuse Death-Delaying Treatment?
- Thu., 4 – Hospice Care for Patients with Dementia
- Wed., 3 – Fall Back to Standard Time? Maybe not
- October 2010
- Thu., 28 – Thursday Mailbag
- Tue., 26 – ER Wait: Shame on ERs!
- Fri., 22 – Au Revoir, Quade!
- Wed., 20 – Wednesday Mailbag
- Mon., 18 – More Excerpts from Our Townhall
- Fri., 15 – Friday Mailbag
- Tue., 12 – Town Hall Tonight
- Wed., 6 – Wednesday Mailbag
- Wed., 6 – Don't Call Me Fat!
- Mon., 4 – Want to Friend Your MD? Go Rural!
- Fri., 1 – Health Care Should Embrace Social Media
- September 2010
- August 2010
- July 2010
- December 2009
- Tue., 29 – Thanks for Listening and Stay in Touch
- Wed., 23 – Talkback: Our Final Show of the Season
- Wed., 23 – Medical Technology or Heart: Let's have both
- Fri., 18 – High Tech's Impact on Health Care
- Thu., 17 – Reaction to Our Show on Chronic Pain
- Mon., 14 – More About Chronic Pain
- Fri., 11 – Preview of Our Show on Chronic Pain
- Thu., 10 – Swine Flu Not Very Deadly
- Wed., 9 – Dutch Misgivings About Euthanasia Law
- Fri., 4 – Euthanasia: an idea whose time has come?
- Thu., 3 – H1N1: Cut the Panic, Please????
- Wed., 2 – Orphan Patients: where's the solution?
- November 2009
- Mon., 30 – Some things don't change
- Fri., 27 – Telling Tales About Patients
- Wed., 25 – WCBA Comes to La Belle Province
- Tue., 24 – 'Unmentionables' Show: Your Reaction
- Fri., 20 – Things You Don't Tell Your Doctor Can Kill
- Thu., 19 – Rush to Discharge? Don't Rush to Judge!
- Mon., 16 – Wasted H1N1 Vaccine = No Problem? Puhleese!
- Fri., 13 – Moral Distress: This Week on WCBA
- Thu., 12 – WHO Tamiflu Guidelines Already Outdated?
- Thu., 12 – H1N1: Finally Some Common Sense
- Wed., 11 – Reaction to Re-inventing Family Medicine
- Wed., 4 – Swine Flu Gets a Nickname
- Tue., 3 – H1N1: When to Go to the ER
- October 2009
- Fri., 30 – Medicine from the 'Real' Frontlines
- Wed., 28 – H1N1: Putting Sad Stories into Context
- Fri., 23 – Violence Against Canada's Paramedics    Old 19
- Wed., 21 – More Feedback on Airline Good Samaritans
- Tue., 20 – More Reaction to Good Samaritan Show
-     Old 14
- Wed., 14 – Reaction to Mental Health Show
-     Old 14
- Tue., 6 – Orphan Patients: Another Solution
- Fri., 2 – Can Orphan Patients Find a Home?    Old 40
- Thu., 1 – More Swinefeld: Handwashing Hogwash!
- September 2009
- Wed., 30 – Reaction to Obesity Show
- Wed., 23 – Calling All 'Do-It-Yourself' Quacks!
- Thu., 17 – Second Wave of Swine Flu? We Aren't Worried    Old 20
- Wed., 16 – Telling Tales About Sleep Deprivation
- Mon., 14 – Reaction to Modafinil for Sleep Deprivation
- Thu., 10 – Sleep Deprived Residents
- Thu., 10 – September 10 is World Suicide Prevention Day
- Tue., 8 – On With the Show!
- August 2009
- July 2009
- June 2009
- Tue., 30 – We're back!
- December 2008
- November 2008
- Fri., 28 – 'Ask Dr. Brian Show': Answer #2
- Thu., 27 – 'Ask Dr. Brian' Show: Answer #1
- Tue., 25 – Goldman Disclosure: Physicians and Pharma
- Mon., 24 – Is there a 'Doctor House' in the House?????
- Thu., 20 – More on Burnout + Your Stories    Old 10
- Wed., 12 – Independent Medical Examiners
- Mon., 10 – Lies and the Truth
- Wed., 5 – Author and Creator of 'ER' Dies
- Tue., 4 – Feedback from the 'Guy' Show
- October 2008
- Mon., 27 – Coming Soon: The 'Ask Dr. Brian" Show
- Tue., 21 – Second Opinions: Web Resources
- Mon., 20 – Holmes on Homes on White Coat, Black Art
- Tue., 14 – Your Thoughts on Hospital Infections
- Mon., 6 – Guess Who's At the Delivery?    Old 17
- Wed., 1 – Dr. Charles Smith and Three Little Words
- Wed., 1 – Tony Clement: no show
- September 2008
- August 2008
- July 2008
- June 2008
- May 2008
- April 2008
- March 2008
- February 2008
- January 2008
- December 2007
- Tue., 18 – We're back!
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