Coming to a hospital near you: physician-assisted suicide.

In Featured, Opinion by Edmund Kwok2 Comments

Scenario 1: A 64 year old patient is suffering from advanced Lou Gehrig’s disease – she cannot perform her own activities of daily living, and can do nothing but watch her own body deteriorate until the slow release of death. She wishes to have the opportunity to control how she passes, with the aid of her healthcare providers. Sound reasonable? Scenario 2: A 64 year old patient is suffering from severe depression – …

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 …

Uphill both ways … in my dad’s pyjamas!

In Education & Quality Improvement by Nadim Lalani6 Comments

Imagine being at a conference where 1 in 3 attendees are depressed and 1 in 5 wish they were somewhere else …  fun conference? I was reflecting on my residency when I wished that an attending would have stuck up for me just once when I was getting abused – three particular nurses, two residents and one physician stand out. I made a promise never to let that happen in front of me. …

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” …

… — … LWBS …—… ER inpatients …—… EMS park …—… Overcapacity

In Commentary, Opinion by Nadim Lalani2 Comments

  We had our inaugural residency retreat last month! Our guest speaker was Dr Paul Parks – a humble affable family man and Emergency Physician who was unwittingly thrust into the public eye after Emails were leaked documenting failures in the Alberta Health Care system resulting in ER “suboptimal outcomes”. Dr Parks and colleagues documented what they felt were deleterious outcomes in patients in the waiting room of  the University of Alberta Hospital …

Terrific T6 Talks – CanWHA?

In Education & Quality Improvement by Nadim LalaniLeave a Comment

Thanks to Rob Woods for this: CanMEDS is a term unfamiliar for many current practicing physicians. The term stands for: Canadian Medical Education Directives for Specialists.  It was born out of a concept called ‘Outcome-Based Education‘.  The idea is that you should first decide what the product you want is, then design your assessment tools to measure those competencies and finally develop the curriculum and teaching methods to help trainees achieve those assessment …