CMAJ Podcasts

Peanut allergy in infants: early introduction to reduce risk

In this interview, Dr. George du Toit and Dr. Amitha Kalaichandran discuss how to safely reduce an infant’s risk of peanut allergy with early introduction of peanut protein. They talk about the evidence behind why this works to reduce risk and they explain the recommended timing, frequency, and amount of peanut that should be given to infants.
Dr. George du Toit is a pediatric allergy physician at Evelina London Children's Hospital in London, UK. He is also one of the lead researchers for the LEAP (Learning Early About Peanut Allergy) study. Dr. Amitha Kalaichandran is a pediatrics resident physician and epidemiologist based in Ottawa.
They co-authored a practice article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181613
Additional resources:
Canadian Paediatric Society Practice Point — Timing of introduction of allergenic solids for infants at high risk
https://www.cps.ca/en/documents/position/allergenic-solids
NEJM LEAP Study
https://www.nejm.org/doi/full/10.1056/NEJMoa1414850
NEJM EAT Study
https://www.nejm.org/doi/full/10.1056/NEJMoa1514210
NEJM LEAP-ON Study
https://www.nejm.org/doi/full/10.1056/NEJMoa1514209
Review — Early introduction of foods to prevent food allergy
https://aacijournal.biomedcentral.com/articles/10.1186/s13223-018-0286-1
Canadian Society of Allergy and Clinical Immunology
https://csaci.ca
Food Allergy Canada patient support group
https://foodallergycanada.ca/our-impact-advocacy-and-services/programs-and-services/support-groups/
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This podcast episode is brought to you by Audi Canada.
The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Encounters — A medical student reflects on his father's illness

In this narrative, Kacper Niburski remembers when, for a short while, his father was unrecognizable to him.
Mr. Niburski is a medical student at McGill University in Montréal, Québec, and editor of the CMAJ student humanities blog.
He wrote a Humanities Encounters article published in CMAJ called "Cough."
To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190314
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Music: Impromptu in Quarter, YouTube audio library
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For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Testicular torsion

In this interview, Dr. Hans Rosenberg and Dr. Melise Keays discuss testicular torsion, a condition in which the spermatic vessels twist and cut off circulation to the testis. They explain the symptoms, how to diagnose it and how to treat it. They also explain how this condition can happen and why it's important to diagnose it in a timely manner.
Dr. Hans Rosenberg is an emergency physician at The Ottawa Hospital and Dr. Melise Keays is a pediatric urologist at the Children’s Hospital of Eastern Ontario in Ottawa.
They co-authored a practice article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190158
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Measles outbreaks: systems-level and global issue

In this interview, Dr. Natasha Crowcroft comments on the measles outbreaks in Canada and globally, what many roots of the problem are, and what she thinks needs to happen to address the outbreaks.
Dr. Natasha Crowcroft is chief science officer for Public Health Ontario in Toronto and an expert consultant for the World Health Organization.
She co-authored a commentary article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190559
Podcast transcript: https://www.cmaj.ca/transcript-190559
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This podcast episode is brought to you by Audi Canada.
The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.
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Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Encounters — An emergency doc learns a life lesson from his loyal companion

In this narrative, Dr. Brian Deady reflects back on a time when a four-legged friend entered his life and instilled in him a sense of empathy he didn’t know he lacked. The story is read by Troy Acres.
Dr. Deady is an emergency physician in Vancouver, British Columbia.
He wrote a Humanities Encounters article published in CMAJ called "The unbearable rightness of two-ball fetch."
To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190213
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Music: Evening Fall Harp by Kevin MacLeod, YouTube audio library
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For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Cost-effectiveness analysis and the science of value

In this interview, Dr. Murray Krahn discusses cost-effectiveness and optimal use of resources in health care. He talks about how it has evolved over the last decade and he dispels some misconceptions and explains why it's important for policy makers to embrace the science of cost-effectiveness analysis.
Dr. Murray Krahn is a general internist at the University Health Network in Toronto, and a Canada Research Chair in Health Technology Assessment. He leads THETA, a research group devoted to health economics and technology assessment.
He co-authored an analysis article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181606
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This podcast episode is brought to you by Audi Canada.
The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

From polio to cancer vaccines

In this interview, Dr. Robin Scheffler talks about the history of childhood cancer vaccine research. He explores the turn from polio vaccine research to cancer vaccine research and the power of children in marketing campaigns, especially in the context of raising funds for children’s hospitals or finding cures for childhood diseases.
CMAJ is partnering with New Books Network for this episode. NBN connects scholars to book authors and publishes modern book reviews in the form of a podcast. https://newbooksnetwork.com/category/science-technology/medicine/
Dr. Robin Scheffler is a historian of biological and biomedical sciences and associate professor in the science, technology, and society program at the Massachusetts Institute of Technology (MIT) in Cambridge, Massachusetts.
Dr. Scheffler just published a book called “A Contagious Cause: The American Hunt for Cancer Viruses and the Rise of Molecular Medicine.”
His Medicine and Society article is titled “Protecting children: the American turn from polio to cancer vaccines.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.181630
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Encounters — A physician undergoes MAiD

In this narrative, Dr. Lori-Ann Linkins shares how her dear friend and fellow physician, Dr. Shelly Sarwal, chose Medical Assistance in Dying (MAiD). But before undergoing MAiD she forged a path to rewrite policies and ensure her organs would be donated.
Dr. Linkins is a hematologist and associate professor at McMaster University in Hamilton, Ontario.
She wrote a Humanities Encounters article published in CMAJ called "Shelly, MAiD and the purple parade."
To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190082
To read Dr. Shelly Sarwal's obituary: https://www.dignitymemorial.com/en-ca/obituaries/halifax-ns/shailini-sarwal-7977443
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Music: Heartbreaking, YouTube audio library
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For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Assessing suicide risk for insurance

In this interview, Dr. Dorian Deshauer chats about the history of suicide risk assessment for insurance companies. In the past, the process included a group of physicians but over time physicians got replaced by a more cost-effective process called automated underwriting. He also explains how the first Diagnostic and Statistical Manual of Mental Disorders (DSM) influenced risk assessment.
Dr. Dorian Deshauer is a psychiatrist and assistant professor at the University of Toronto. He is also an associate editor for CMAJ but was not involved in the decision-making process for this article.
His Medicine and Society article is titled “Suicide risk: automated underwriting versus medical experts.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.181058
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Marijuana and fertility

In this interview, Dr. Sara Ilnitsky talks about the latest evidence around how smoking marijuana affects fertility. She discusses the pharmacology and physiology behind it, how edibles are different, how the effect is different in men versus women and more.
Dr. Ilnitsky is a reproductive endocrinology and infertility fellow at Western University in London, Ontario. She will be starting her practice at the Pacific Centre for Reproductive Medicine in Edmonton, Alberta.
She co-authored a practice article with Dr. Stan Van Uum published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181577
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This podcast episode is brought to you by Audi Canada.
The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.
-----------------------------------
Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.