The True Value of Universal Healthcare

In Commentary, Opinion by Michael O'BrienLeave a Comment

Recently, Toronto doctor Danielle Martin achieved YouTube fame by appearing in front of a United States senate hearing where she was asked to defend Canada’s single payer healthcare system to a largely partisan audience. The video shows a composed Dr. Martin outlining the benefits of Canada’s universal healthcare structure and contrasting it with the American one, while noting the strong public support in Canada for access to care that shouldn’t depend on one’s …

The Rising Cost of Canadian Healthcare

In Commentary, Opinion by Brandon Ritcey1 Comment

Let’s just imagine, for a second, a hypothetical patient scenario we’re faced with almost every day in the emergency department. An elderly gentleman is brought into the emergency department by his family with an exacerbation of a chronic medical condition. He’s not critically ill, but clearly isn’t thriving at home. Unfortunately he usually goes to the hospital across town, so none of his old records are accessible to you, the emergency physician. He’s …

What is High Quality Healthcare? The need for quality improvement

In Commentary, Opinion by Sebastian Dewhurst1 Comment

What is high quality healthccare? And how do I not know how to answer this question after seven years of medical education? The easy answer to my second question is that I was never taught; however, I think the issue is a little more troubling than that. If asked, I think many physicians, myself included, would come up with a list of factors that play into quality of care: it should be accessible, guided by best …

Waiting in the emergency department

In Commentary, Opinion by Tamara McColl1 Comment

I entered the field of Emergency Medicine because of its fast-paced, adrenaline-inducing environment where I’d be able see a wide array of medical problems and still make a tremendous impact on patient care. As an Emergency Physician I would become an expert in resuscitating the critically ill and managing acute undifferentiated patients. I quickly learned that this actually encompassed a small segment of the patient population served in our tertiary care Emergency Department …

Acknowledging Death in the ER

In Commentary, Opinion by Nadim Lalani6 Comments

Picture the following: A resuscitation is in progress for an elderly gentleman. Health care providers try frantically to restore signs of life. Chest compressions are ongoing, a breathing tube is placed, large intravenous line inserted, electrical shocks and medications given. Eventually the team realizes that they have exhausted all possibilities. To do more would be futile. The team leader “calls the code”.  People mill away … one resident chides another about stealing her …

This Just in! BIBEMS suppositorium stat! [LOL]

In Commentary, Opinion by Nadim LalaniLeave a Comment

My good friend and colleague Mark Wahba [read his brilliant ideas here]gave a talk at half day … he referred to a patient as a “BIBEM“. … I am thinking ” what’s a BIBEM? [as in Justin Bieber]” – NO!  … turns out that this stands for Brought In By EMS. Later that night I was charting “No ROS; Note S/S Infxn and RTER; Scar teaching √” These are what we call “Acronyms” …