CMAJ Podcasts

Management of breathlessness (dyspnea) at the end of life

Dr. Michael Slawnych discusses how to manage dyspnea, or breathlessness, at the end of life. He says all physicians should be prepared to manage dyspnea, especially during the COVID-19 pandemic. He goes over details such as medications, swallowing difficulties and agitation.
Dr. Michael Slawnych is a cardiologist and a palliative care physician at Libin Cardiovascular Institute in Calgary, Alberta.
The practice article he wrote is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200488
Podcast transcript: https://www.cmaj.ca/transcript-200488
CMAJ COVID-19 resource page: www.cmaj.ca/covid-19
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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.

Ableism, mental illness and the medical profession

Dr. Shane Neilson discusses what it's like to navigate medical education and the medical profession with a mental illness. He discusses what has changed over the years, and what areas are still in need of improvement.
Dr. Shane Neilson is a disabled poet, physician, and critic. Shane completed his PhD in English and Cultural Studies at McMaster University in 2018. He recently received the Governor General’s Gold Medal for his dissertation in disability studies, and he received the Regional Dean’s Award of Excellence in Medical Education for his work on disability in McMaster’s medical faculty.
The humanities article he wrote is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191597
Also mentioned in the podcast:
Handcuffed: Rethinking physical restraints for mental health transfers in university settings
Shane Neilson, Andrea Chittle and Juveria Zaheer
https://www.cfp.ca/content/65/7/460
Podcast transcript: https://www.cmaj.ca/transcript-191597
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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.

Med Life with Dr. Horton — On good medicine and healing with Dr. Lisa Richardson

In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Lisa Richardson about the meaning of good medicine and traditional Indigenous healing.
Dr. Lisa Richardson is an internist of Anishinaabe descent and is a strategic advisor for Indigenous health in the Faculty of Medicine at the University of Toronto.
Dr. Horton and Dr. Richardson discuss the following:
- Indigenous models of health and healing
- integrating Indigenous health into medical education
- holistic self care
- academic medical systems
- and much more
Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.
For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlife
Podcast transcript: https://www.cmaj.ca/transcript-200491
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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.

Palliative care during a pandemic

Dr. James Downar and Dr. Amit Arya discuss how to optimise provision of palliative care during the COVID-19 pandemic.
Dr. James Downar is head of the division of palliative care at the University of Ottawa and is a critical care physician at The Ottawa Hospital.
Dr. Amit Arya is a palliative care physician at Brampton Civic Hospital in Brampton, Ontario and has faculty appointments at both McMaster University and the University of Toronto.
They co-authored an analysis article with Dr. Sandy Buchman and Dr. Bruno Gagnon. Their article is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.200465
Podcast transcript: https://www.cmaj.ca/transcript-200465
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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.

Soins palliatifs en temps de pandémie

Dr James Downar discute avec Dr Bruno Gagnon et ils partagent leurs conseils pour optimiser les soins palliatifs pendant la pandémie COVID-19.
Le Dr Bruno Gagnon est médecin spécialiste en soins palliatifs, professeur agrégé à l’Université Laval, et consultant en soins palliatifs au centre intégré universitaire de santé et services sociaux de la Capitale nationale, Québec.
Le Dr James Downar, médecin chef de la division des soins palliatifs à l’Université d’Ottawa et médecin en soins critiques à l’hopital d’Ottawa.
Ils ont collaboré avec Dr Sandy Buchman et Dr Amit Arya pour écrire un article qui est publié dans le Journal de l’Association médical Canadienne.
Article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.200465-f
Transcription de la conversation: https://www.cmaj.ca/transcript-200465-f

Recommendations on use of aspirin for prevention of vascular events

Dr. Theodore Wein and Dr. Jeff Habert discuss the recommendations of a new Heart & Stroke guideline on the use of acetylsalicylic acid (ASA), or Aspirin, for prevention of vascular events.
Dr. Theodore Wein is a neurologist at McGill University and chair of the Heart & Stroke writing group that developed the guideline. Dr. Jeff Habert is a family physician in Thornhill, Ontario and a member of the guideline writing group.
The Heart & Stroke guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191599
Heart & Stroke best practices site: www.strokebestpractices.ca/recommendations/ASA-for-prevention
Podcast transcript: https://www.cmaj.ca/transcript-191599
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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.

Quarantine versus isolation: What's the difference?

Dr. Wayne Gold and Dr. Eric Coomes discuss quarantine and how it differs from home isolation. They also chat about: social distancing, mental health during quarantine, lessons from SARS, preparing for COVID-19, and more.
Dr. Wayne Gold is an infectious diseases physician at University Health Network-Sinai Health Systems and residency program director for adult infectious diseases at the University of Toronto.
Dr. Eric Coomes is a resident training in infectious diseases at the University of Toronto.
The practice article they co-authored with Dr. Jerome Leis is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.200393
Podcast transcript: https://www.cmaj.ca/transcript-200393
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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.

Irritable bowel syndrome

Dr. Adam Farmer discusses irritable bowel syndrome, or IBS. He explains symptoms, diagnosis, treatments, drug therapies, diet, microbiome, genetics, and more.
Dr. Farmer is a gastroenterologist, senior lecturer and clinical director of specialised medicine at Royal Stoke University Hospital in Staffordshire, United Kingdom.
The review article he co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190716
Podcast transcript: https://www.cmaj.ca/transcript-190716
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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.

COVID-19 testing, self isolation and social distancing measures

Dr. Andreas Laupacis, editor-in-chief of CMAJ, speaks with two people on the front lines of the COVID-19 pandemic: Mike Nolan and Dr. Jerome Leis.
Dr. Jerome Leis is medical director, Infection Prevention and Control at Sunnybrook Health Sciences Centre in Toronto and Mike Nolan is chief paramedic and director of emergency services for Renfrew County in Renfrew, Ontario.
They discuss:
- the latest info on who should be tested for COVID-19
- where people should go to get tested
- how paramedics are involved in testing patients in their home
- what guidance we need from government
- the meaning of social distancing
- what social distancing measures we should put in place
- practical details about self isolation at home
- and more
Podcast transcript: https://www.cmaj.ca/transcript-12mar2020
CMAJ COVID-19 resource page: www.cmaj.ca/covid-19
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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.

Guideline for homeless and vulnerably housed populations

In this podcast, Dr. Andreas Laupacis, editor-in-chief for CMAJ discusses the clinical practice guideline for homeless and vulnerably housed people and people with lived homelessness experience.
He discusses with Dawnmarie Harriott, who shares her story of homelessness and how she got involved with the guideline group. He also chats with Dr. Kevin Pottie and Dr. Gary Bloch, who are two of the authors of the guideline.
Dawnmarie Harriott is a Voices from the Street Coordinator with the organization Working for Change in Toronto.
Dr. Gary Bloch is a family physician at St. Michael’s Hospital and Inner City Health Associates in Toronto.
Dr. Kevin Pottie is a family physician and clinical investigator at C.T. Lamont Primary Health Care Research Centre and at Bruyère Research Institute and professor of family medicine at University of Ottawa.
The guideline article they co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190777
The linked commentary by Prof. Jesse Thistle and Dr. Janet Smylie is published in CMAJ:
www.cmaj.ca/lookup/doi/10.1503/cmaj.200199
Podcast transcript: https://www.cmaj.ca/transcript-190777
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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.