Dear Listeners, On today’s podcast we talk to Marc-David Munk, a Canadian/American emergency physician and healthcare executive. Over the past decade, he has held leadership roles at various nontraditional healthcare delivery organizations in the US and abroad. He began his career as a professor of emergency medicine and as the medical director for the Qatari […] The post Podcast 92: Dr. Munk and Urgent Calls From Distant Places appeared first on Primary Medicine Podcast.

On today’s podcast, we will be talking to Dr. Stephen Sharpe, a fellow family physician and the Medical Director of Aroga Health, one of the fastest growing Lifestyle Medicine Clinics in Canada. There is no longer any serious doubt that daily habits and actions profoundly affect health and quality of life. This concept is supported […] The post Podcast 91: Dr. Stephen Sharpe of Aroga Health appeared first on Primary Medicine Podcast.

Dear Listeners, On today’s podcast we talk to Dr. Luke Napier, the founder of Virtual Hallway. Virtual Hallway (virtualhallway.ca) is a platform that bridges the gap between primary care providers and specialists, making peer-to-peer phone call consultations swift and efficient via their innovative platform modelled after the traditional “hallway consult”. This digital solution saves time […] The post Podcast 90: What is Virtual Hallway? appeared first on Primary Medicine Podcast.

Dear Listeners, In this episode of the primary medicine podcast, we will talk about the benefits of intermittent fasting and the alternative fasting mimicking diet with the CEO of L-Nutra, Dr. Joseph Antoun. Fasting is a popular dietary strategy that involves alternating periods of eating and fasting. It has been shown to have various positive […] The post Podcast 89: Dr. Joseph Antoun on Benefits of Fasting appeared first on Primary Medicine Podcast.

Dear Listeners, Please join us for a fascinating, behind-the-scenes look at organ transplants and what it’s like to work as a lung transplant physician confronted with critical decisions on a daily basis.  Our guest is transplant consultant Dr. David Weill, who is the former Director of the Center for Advanced Lung Disease and the Lung […] The post Podcast 88: Dr. Weill on Organ Transplants appeared first on Primary Medicine Podcast.

Dear Listeners, In today’s bonus episode we talk to Michael Dutra, the CEO of Michael Dutra Real Estate Planning and Insurance, about Disability Insurance. This is perhaps the most important insurance policy for professionals during their working careers. During our discussion, we will go over the basics and we will cover the policy itself as […] The post Podcast 87: Michael Dutra a few words on Disability Insurance appeared first on Primary Medicine Podcast.

Dear Listeners, On today’s podcast, we will explore the latest developments and applications of generative artificial intelligence in the field of medicine. In this episode, we will talk to the Chief Medical Director of Innovation at TELUS Health, Dr. Puneet Seth. Dr Seth is a leader and a practitioner of generative AI in improving healthcare […] The post Podcast 86: Dr. Seth on Generative AI in Medicine appeared first on Primary Medicine Podcast.

Dear Listeners, Welcome back to the Primary Medicine Podcast. In this episode, we will talk about sublingual immunotherapy, or SLIT, for allergic rhinoconjunctivitis. SLIT is a form of allergy treatment that involves placing allergen extracts under the tongue to gradually desensitize the immune system. We will discuss how SLIT works, what are its benefits and […] The post Podcast 85: Dr. Mannan Shah on sublingual immunotherapy (SLIT) appeared first on Primary Medicine Podcast.

Dear Listeners, We are lucky to have Dr. Kevin back on the podcast. Micro and macroscopic hematurea are common incidental findings in primary care. They are often of a bening nature, but it is important to have a thorough method  in investigating their differential so as not to miss rare but serious causes of bleeding […] The post Podcast 84: Dr. Kevin on Micro and Macroscopic Hematurea appeared first on Primary Medicine Podcast.

Dear Listeners, Approximately 25% of all women diagnosed with breast cancer will require a mastectomy. Breast reconstruction is a currently underutilised (less than 50%) option for these patients that provides psychological, social, emotional, and functional improvements, including improved psychological health, self-esteem, sexuality, and body image. To cover this topic, we are very lucky to have […] The post Podcast 83: Dr. Jordan Frey on Breast Reconstruction Surgery appeared first on Primary Medicine Podcast.

Dear Listeners, Every day, more than 600 people in Canada are diagnosed with cancer and more than 200 die from it. It is very likely that everyone of you has in one way or another had experience with it. It is thus important that both healthcare professionals and the general population are informed about this […] The post Podcast 82: Dr. David Stewart on Why Cancer Still Sucks appeared first on Primary Medicine Podcast.

Dear Listeners, Having healthcare led by people with a deep understanding of the nature and challenges of clinical work is a key component of a resilient healthcare system. Yet leadership is a challenging skill that is rarely, if ever, nurtured and encouraged in physicians. We are thus fortunate today to have Dr. Malcolm Ogborn (https://www.optimisticdoc.com/) […] The post Podcast 81: Dr. Malcom Ogborn on Physician Leadership appeared first on Primary Medicine Podcast.

Dear Listeners, We’re very excited to share that our national conference on wealth creation for physicians resumes this year! Physician Empowerment is returning to Toronto June 3 to 5 with Canada’s top MD voices in the field: https://www.physempowerment.ca/live Beyond attending in person, we’ve got a great livestream option and all registrants enjoy unlimited access to […] The post Podcast 80: Dr. Mailo on Falls in the Elderly appeared first on Primary Medicine Podcast.

Dear Listeners, We are lucky to have Dr. Vu Kiet Tran back on the podcast. Dr. Tran is an Emergency, Family Medicine, and Long-term Care physician with over 20 years of clinical experience in Canada. He has vast clinical knowledge in elderly care and is currently running a facility with over 200 residents.   A 2020 […] The post Dr. Tran on Cannabis in the Elderly appeared first on Primary Medicine Podcast.

Dear Listeners, For our latest podcast, I was fortunate enough to talk to Dr. Sam Gharbi. Dr. Gharbi is an Internal Medicine Doctor currently practising in Vancouver, British Columbia. He is an accomplished clinician, author, educator, and most importantly, an innovator and problem solver. He is also Co-Founder of the Arya EHR, a system that […] The post Podcast 78: Dr. Gharbi on the Future of Medicine appeared first on Primary Medicine Podcast.

Dear Listeners, Metacognition is the process of being aware of one’s own thinking, learning, and diagnostic processes and how they can shape our decisions when it comes to patient care. This self-awareness is very important in avoiding medical error yet it is rarely developed during medical training. This podcast is meant to remedy this. Dr. […] The post Dr. Tran on Metacognition and Minimizing Medical Error appeared first on Primary Medicine Podcast.

Dear Listeners, We are very fortunate to have Dr. Vu Kiet Tran back this month to talk about Ageism. Ageism is discriminating or stereotyping someone based on their age. It is very much prevalent in Western medical culture. It presents in insidious ways, such as the observed tendency for doctors to dismiss patients and pathologies […] The post Dr. Tran on Ageism in Western Medicine appeared first on Primary Medicine Podcast.

Dear Listeners, We are very fortunate to have Dr. Vu Kiet Tran as a guest on our podcast this month. Dr. Tran is an emergency medicine doctor, a Life and Financial Coach to healthcare professionals, and the host of the excellent “How is my Financial Health, doc?” podcast. Dr. Tran talks about the importance of […] The post Dr. Tran on caring for your Lifeforce and preventing burnout appeared first on Primary Medicine Podcast.

Dear Listeners, We are lucky to have Dr. Yatin Chada, host of the excellent  beyond the MD podcast, join us for our latest episode. Dr. Chada is a radiologist who has practised in both Canada and the US. He is a devoted father and a lifelong learner. As host of beyond the MD podcast, Dr. […] The post Dr. Chadha from the beyond MD podcast appeared first on Primary Medicine Podcast.

Dear listeners, Colchicine has been used as an anti-inflammatory medication for centuries. The plant source of colchicine, the autumn crocus, was indeed used in Ancient Egypt as a treatment for rheumatism and swelling.  Currently, colchicine is indicated for treatment of inflammatory conditions such as gout, pericarditis, and Mediteranian fever. Based on a few recent studies, […] The post Podcast 73: Colchicine in Cardiovascular Disease Prevention appeared first on Primary Medicine Podcast.

Dear Listeners, This month, we are very excited to bring you a preview of our upcoming conference for Physician Empowerment. This year, our focus is on personal resilience and practice management. On today’s episode, Kevin shares a remarkably refreshing view on wellness within our profession. The event is being live-streamed from beautiful Banff, Alberta from […] The post Physician Empowerment: You Are More than an Empty Vessel appeared first on Primary Medicine Podcast.

Dear Listeners, We are very honoured to have Dr. John Crosby join us and share the wisdom he has gained during his lifetime as a Family Doctor in Canada. Dr. Crosby is an author, blogger, consultant, and mentor. He is a regular contributor to the Medical Post and a peer reviewer for the College of […] The post Podcast 72: Dr. John Crosby on preventing physician burnout appeared first on Primary Medicine Podcast.

Dear Listeners, It is estimated that about 40% of patients with type 1 or type 2 diabetes will have diabetic kidney disease. The suggested progression of this disorder is glomerular hyperfiltration due to a high-pressure state caused by elevated blood sugar, proteinuria due to glomerular damage, and chronic renal failure to renal hypoperfusion. Recent studies […] The post Podcast 71: Diabetic Kidney Disease appeared first on Primary Medicine Podcast.

Dear Listeners, An estimated 10% of school-aged children will have proteinuria. About 0.1% of them will have persistent hematuria requiring further investigation. Transient proteinuria can be caused by stress, exercise, cold exposure, dehydration, and orthostasis. Persistent proteinuria can be caused by Glomerular or Tubular Disease. Glomerular disease is most common with differential including infections (Strep […] The post Podcast 70: Proteinuria in Children appeared first on Primary Medicine Podcast.

Dear Listeners, The C-Reactive Protein and the Erythrocyte Sedimentation Rate are both lab tests used to measure inflammation in the body. They are usually elevated during infectious, inflammatory, and malignant diseases.  The CRP is produced by the liver shortly after the offending process so it is a direct measure of inflammation. The ESR is based […] The post Podcast 69: C-Reactive Protein and Erythrocyte Sedimentation Rate appeared first on Primary Medicine Podcast.

Dear Listeners, As a follow up to podcast 67, Eric Harvey, a 3rd year Mcgill medical student, is joining the Primary Medicine Podcast to go over the treatment approach for male hypogonadism.  It is important to consider both benefits and risks of testosterone therapy, before initiating treatment. The clearest benefit is to men with abnormally […] The post Podcast 68: Treatment of Male Hypogonadism appeared first on Primary Medicine Podcast.

In podcast 67, Dr. Dimitre will cover the diagnostic approach to late-onset hypogonadism also known as andropause. Late-onset hypogonadism (LOH),  causes a gradual yearly decrease in testosterone levels of 1 to 2% in men over the age of 40. While this condition is commonly known as Andropause there is no cessation of hormone production. However, […] The post Episode 67: Late-onset hypogonadism appeared first on Primary Medicine Podcast.

Dear Listeners, Constipation, or decrease in stool frequency and hardening in stool consistency, is a common issue in the elderly and can affect their quality of life significantly. Dr. Kevin has a 4 step approach to constipation in the elderly. Step one is making the diagnosis, remembering that constipation is a symptom with an underlying […] The post Episode 66: Constipation in the Elderly with Dr. Kevin appeared first on Primary Medicine Podcast.

Dear Listeners, A headache is considered secondary when it is related to an underlying medical condition. About 10% of patients presenting with headache are suffering from a secondary cause. Dr. Kevin’s approach to secondary headaches is anatomical in nature. Moving from the outside in, he suggests considering environmental causes (Carbon Monoxide Poisoning), hypertensive disorders, infections […] The post Episode 65: Secondary Headaches with Dr. Kevin appeared first on Primary Medicine Podcast.

Aphthous Ulcers, also known as canker sores, affect about 25% of the population. They are considered benign as long as they are small (less than 1 cm), self-limiting (resolve within 3-4 weeks), and not associated with any additional symptoms (such as fever). Consider the differential for mouth ulcers as being infectious or non-infectious. The most […] The post Episode 64: Aphthous Ulcers appeared first on Primary Medicine Podcast.

Endocrine Emergencies are rare but deadly conditions that can be hard to diagnose and manage. This can lead to long treatment delays and potentially life-threatening complications. In podcast 63, Dr Wahid and Dr. Dimitre will cover some of the most common emergencies relating to the thyroid (myxedema coma, thyroid storm, thyroiditis), adrenal glands (adrenal crisis, […] The post Episode 63: Endocrine Emergencies with Dr. Pabani appeared first on Primary Medicine Podcast.

Approximately 60% of women will experience a urinary tract infection if their lifetime. Up to twenty percent of them will experience multiple current episodes on a yearly basis. For the first time, the American Urological Association (AUA) has issued a guideline for the diagnosis and treatment of uncomplicated recurrent urinary tract infections (UTIs), which emphasizes […] The post Episode 62: New Urinary Tract Infection Guidelines appeared first on Primary Medicine Podcast.

For podcast 61, Dr. Wahid makes a comeback to talk about Familial Hypercholesterolemia (FH) while Dr. Dimitre bemoans the weather in Ottawa yet again. Familial Hypercholesterolemia (FH) is a condition that affects about 1 in 500 Canadians and is an important cause of early cardiovascular death yet it is relatively unknown by primary care physicians. […] The post Episode 61: Familial hypercholesterolemia with Dr. Pabani appeared first on Primary Medicine Podcast.

Dear Listeners, After a bit of an unplanned hiatus, we are back with podcast number 60 and with Dr Pabani, rural doc extraordinaire. Aspirin is having a really tough time lately with three studies taking the shine off its role in primary prevention of cardiovascular disease. During the podcast, Dr. Dimitre and Dr. Wahid go […] The post Podcast 60: Aspirin in Primary Prevention for Cardiovascular Disease appeared first on Primary Medicine Podcast.

Dear Listeners, For our last podcast of the year, Dr. Dimitre talks about Marfan syndrome. It is an autosomal dominant disorder of the connective tissue that affects three major systems: cardiovascular, muskuloskeletal, and ocular. Most individuals who have Marfan’s are asymptomatic until complications arise. Most commonly they will have aortic dilation, mitral valve prolapse, scoliosis […] The post Podcast 59: Marfan Syndrome appeared first on Primary Medicine Podcast.

Dr. Kevin is back for our 58th podcast to talk about his approach to diagnosing inconsolable infants. Unexplained irritability in the clinic setting needs to be assessed as an urgent medical presentation. Up to 5% of fussy children will have an organic cause to their distress. As Dr. Kevin explains, there are a lot of badnesses […] The post Podcast 58: Irritable Child with Dr. Kevin appeared first on Primary Medicine Podcast.

Dr. Dimitre is back with the 57th episode of the primary medicine podcast! Acquired long QTc syndrome is a disorder of the rhythm of the heart. It can lead to ventricular arrhythmias, such as Torsades de Pointe, and possibly ventricular fibrillation and death. It is caused by QTc prolonging medications which include antidepressants, antibiotics, antibiotics, […] The post Podcast 57: Acquired Long QTc Syndrome appeared first on Primary Medicine Podcast.

Dr. Wahid Pabani, rural doctor extraordinaire, is back for our 56th podcast to talk about Nocturnal Leg Cramps! OUCH! This very common and distressing condition has many causes from the mundane (such as muscle fatigue) to the serious (such as peripheral vascular disease, or Parkinson Disease). Thankfully, a focused history and physical exam can help […] The post Podcast 56: Nocturnal Leg Cramps with Dr. Pabani appeared first on Primary Medicine Podcast.

Dr. Kevin is back four our 55th podcast and he brought a surprise tiny guest. He will be talking about Intussusception. This is a life-threatening condition which mostly affects children below the age of three. It occurs when one part of the intestine slides into the adjacent part of the intestine. This causes bowel ischemia, […] The post Podcast 55: Intussuception with Dr. Kevin appeared first on Primary Medicine Podcast.

After a short hiatus, Dr. Dimitre is back to talk about subclinical hypothyroidism. Sometimes referred to as mild thyroid failure, it is diagnosed when peripheral thyroid hormone (T3 and T4) levels are within the normal range, but thyroid stimulating hormone (TSH) is mildly elevated. It is common, occurring in 10% of the population, and carries […] The post Podcast 54: Subclinical Hypothyroidism appeared first on Primary Medicine Podcast.

Dr. Kevin is back for our 53rd podcast. This time we will be talking about Spondylolisthesis. Spondylolisthesis is anterior displacement of a vertebral body relative to the adjacent inferior vertebral body. It is a common condition of young athletes that can present with intermittent back pain.  Diagnosis is based on imaging with lumbar X-Ray being […] The post Podcast 53: Spondylolisthesis with Dr. Kevin appeared first on Primary Medicine Podcast.

For our latest podcast, Dr. Dimitre is itching to talk about itching! Pruritus is a challenging presentation for two reasons. Firstly, the differential is broad encompassing conditions both benign and malignant. Secondly, the patient is often suffering and looking for a quick solution to his problem. It is thus important to have a clear and […] The post Podcast 52: Pruritis with Dr. Dimitre appeared first on Primary Medicine Podcast.

Its winter yet again in Canada. That means slippery ice, broken bones, and concussions! Rural Doc Extraordinaire Wahid is back to talk about concussions. It is a medical condition that has entered the entered the public consciousness with the recent NFL scandal and the aptly named Will Smith movie. It is most often caused by […] The post Podcast 51: Concussion with Dr. Pabani appeared first on Primary Medicine Podcast.

Dr. Dimitre and Dr. Kevin are back after a short holiday break! Our 50th podcast and now more than 5000 listeners monthly! What better way to celebrate than by bringing in someone much cleverer than ourselves to talk… Introducing Dr. Ken Milne – founder of the outstanding Skeptics Guide to Emergency Medicine. Visit SGEMS here at http://thesgem.com/  […] The post Podcast 50: Evidence Based Medicine with Dr. Ken Milne appeared first on Primary Medicine Podcast.

Episode 49 of our podcast showcases Dr. Kevin’s prowess with children as he presents his approach to syncope while taking care of his grouchy 12 mo! Syncope has many causes from the mundane to the deadly and requires a systematic detailed workup. Dr. Kevin takes the time to review the broad differential of this presentation. […] The post Episode 49: Syncope with Dr. Kevin appeared first on Primary Medicine Podcast.

Dr. Wahid and Dr. Dimitre are back for podcast #48! Giardiasis, also known, as beaver fever is one of the most common parasitic human diseases globally. It usually presents with chronic diarrhea, abdominal pain, and weight loss. Symptoms may begin 2-4 weeks after initial exposure to the parasitic cyst and may last up to 4-6 […] The post Episode 48: Beaver Fever with Dr. Pabani! appeared first on Primary Medicine Podcast.

Dr. Dimitre survived the plague that is hand foot and mouth disease and he is back to tell the tale. Hand foot and mouth disease is a summertime viral infection that presents with painful lesions on the palms, soles, and the oral cavity. It usually affects children under 10. Thankfully it rarely lasts more than […] The post Episode 47: Hand Foot and Mouth Disease! appeared first on Primary Medicine Podcast.

Dr Mailo joins is back for our 46th podcast! The topic was inspired by one of our friends having a syncopal episode and breaking his noggin. The nasal bones are the most commonly fractured bony structures of the face. Patients with nasal fractures will often present to the emergency department with bleeding, swelling, and bruising. […] The post Episode 46: Nasal Fractures with Dr. Kevin! appeared first on Primary Medicine Podcast.

Dr Wahid joins us for our 45th podcast to talk about a challenging case he had at the start of his career. Viral Myocarditis, or inflammation of the heart muscle, can cause arrhythmias, heart failure, and even sudden death in healthy individuals. Patients will often present with dyspnea, chest pain, low endurance and irregular heartbeat. […] The post Episode 45: Viral Myocarditis with Dr. Pabani appeared first on Primary Medicine Podcast.

  Ouch! For our latest podcast, Dr. Dimitre talks about the most common cause of heel pain. Plantar Fasciitis, is an easy clinical diagnosis to make but a rather challenging condition to treat. It tends to affect middle-aged persons, athletes, and individuals who stand for prolonged periods of time during the day. Treatment is often […] The post Episode 44: Plantar Fasciitis! appeared first on Primary Medicine Podcast.

Dr Wahid is back! During our latest podcast, he and Dr. Dimitre converse about Sudden Sensorineural Hearing Loss. SSNHL presents with unexplained hearing loss, often unilateral, which tends to develop over a period of 3 days. Most cases are idiopathic and self-limiting, but some can be caused by serious and life-threatening conditions. Prompt diagnosis and […] The post Episode 43: Sudden Sensorineural Hearing Loss with Dr. Pabani appeared first on Primary Medicine Podcast.

During our latest podcast, Dr. Kevin segues masterfully from his daughter’s appendicitis scare to the management of airway foreign bodies in children. This is a potentially life-threatening that should be suspected on the basis of a witnessed choking episode. The presentation of unwitnessed foreign body aspiration is subtle and requires a very thorough history, physical […] The post Episode 42: Foreign Body of the Airway in Children with Dr. Kevin! appeared first on Primary Medicine Podcast.

In our latest podcast, Dr. Kevin is excited to talk about our upcoming conference and Dr. Dimitre is excited to talk about how to remove corneal foreign bodies in the office. Please visit our membership page to access the podcast. Posted on 02/03/2017 by Dr. Dimitre The post Episode 41: Corneal Foreign Body appeared first on Primary Medicine Podcast.

In part 2 of our podcast on Cardiac Risk Stratification, Dr Kevin takes us deeper into the rabbit hole! He talks about his approach to patients presenting with symptoms suggestive of Ischaemic Heart Disease. He finishes off by summarizing the limits of cardiac tests. None of them are 100% sensitive! Please visit our membership page […] The post Episode 40 Cardiac Risk Stratification Part 2 with Dr. Kevin! appeared first on Primary Medicine Podcast.

Dr Kevin takes us deep into the rabbit hole this week! He talks to us about four different front line modalities available to physicians to preform cardiac risk stratification for ischemic heart disease. He goes over some of their advantages and disadvantages and stops short before getting into the raw numbers and math. We have […] The post Episode 39: Cardiac Risk Stratification Part 1 with Dr. Kevin appeared first on Primary Medicine Podcast.

During this week’s podcast, Dr. Pabani and Dr. Dimitre brave the harsh Canadian winter to talk about Frostbite! As the freezing month of February looms for Canadians, the good doctors go over how to manage this limb threatening condition in the office. Please visit our membership page to access the podcast. Posted on 29/01/2017 by Dr. […] The post Episode 38: Frostbite with Dr. Pabani appeared first on Primary Medicine Podcast.

For our first podcast of 2017, Dr. Dimitre talks about the different causes of a toothache. Dental pain is a relatively common presentation in the walk in clinic and its important to know that it is not always caused by a cavity and that there are certain things doctors can do to help patients before […] The post Episode 37: Dental Pain appeared first on Primary Medicine Podcast.

On this week’s podcast, Dr. Pabani makes his triumphant return to talk about broken teeth! Dental Avulsions are an emergency, so knowing how to manage them can make the difference between a nice smile and a horrid smirk. Remember that Time is Teeth! If you are interested about learning more our CFP exam perpetration app […] The post Episode 36: Dental Avulsions with Dr. Pabani appeared first on Primary Medicine Podcast.