PATIENTS AND PRACTICE “Brutal” A1c targets: do, or die? Anticholinergics trump other bladder meds Topsy-turvy Crohn’s approach hailed New guidelines help you tackle chronic neck pain Cheap drug shields kidneys from CT dye damage: study ‘Cause of death’ flubs irk coroners New tools help MDs treat allergies Should you pay patients to lose weight? Is it ever OK to withhold bad news from patients? “All it took was an idea” PRACTICE MANAGEMENT POLICY AND POLITICS Couillard flip-flops on pro-private report MDs decry BC premier’s vague reforms Saskatoon FP nominated to be next CMA president Ontario Family Health Teams inspire envy ADVANCES IN MEDICINE Surgeons get a little help from robot friends Dal asthma test bests spirometry Gadget guide PHYSICIAN LIFE In the Realm of Hungry Ghosts Twinkle-toed doctors stage Dancing with the Stars event PHYSICIAN WELLNESS PERSONAL FINANCE DEPARTMENTS
Dr Sanjay Gupta, CNN's resident doctor, graces the cover of our March issue, which is now online. Dr Gupta, who's a brain surgeon in his spare time, talked to us about his thoughts on the US presidential candidates' health platforms, his near-death experience in Iraq, his opinion of Canadian medicare and the burning question: who's sexier, him or fellow CNN-er Anderson Cooper.
Also in this issue:
• Making sense of contradictory reports about aggressive glucose targets for type II diabetics
• Meet the Canadian Medical Association's new president-elect, Saskatchewan FP Dr Anne Doig. She talks about her hopes and gripes and why she sold the farm
• Does paying patients to lose weight work? (What do you think? Take our Poll, on the right side of this page)
Click read more to see our full table of contents
National Review of Medicine, March 2008, Vol 5 No 3
FULL TABLE OF CONTENTS
Hospital worst place to have a stroke
Inpatients die oftener than those in ED. Better training needed on wards
Too-low type II glucose kills. False, says rival trial
For women, urinary incontinence is underdiscussed and undertreated
Top-down infliximab beats step-up steroids, doubles remission rate
What to tell your patients
N-acetylcysteine beats other meds at fighting common scan side effect
Errors riddle 50% of death certs. Poor training blamed
New versions of old drugs fight rhinitis better
US doc’s program pays $1 a pound. Temporary fix, says Canadian expert
Open talk is key to allaying family fears, says MD. There is a middle way
Grassroots pain programs empower patients, ease family doctors’ burden
Saying sorry can solve a host of problems
New laws make apologizing to patients safe. What you need to know
Sanjay Gupta, behind the headlines
Q&A with the American neurosurgeon and CNN correspondent
QC docs cheer Castonguay ideas, but gov’t wavers on bold reforms
Grit plans rife with half-baked schemes, charge analysts
Dr Anne Doig talks to NRM about her election win, her plans and her six kids
Mixed-pay clinics still short on data, many MDs remain wary
HIFU prostate Tx burns tumours — and cash
Risks persist and longterm effects are unknown, warn experts
Montreal hospital latest to get $4 million assistant. Complications slashed
Sensitive device spots “twitchy” airways, easier on kids
Stick/non-stick, on/off gadgets are all about control
Addiction doc struggles with his demons
Dr Gabor Maté’s new book is a gritty glimpse of Vancouver’s mean streets
An excerpt from Dr Gabor Maté’s new book
Chatham, Ontario, docs waltz their way to new MRI. “It was a highlight of my life”
Family Day? Whose family?
February is finally over. Did you get a day off?
PLUS NRM Quiz: How family-friendly are you, doctor? Take the quiz online or click here for a printer-friendly PDF version
Car makers put brakes on pricing parity
Dealers slash stickers but costs still 20-30% higher than US
EDITORIAL: Castonguay throws Quebec docs a lifeline
OPINION: Discord on ACCORD
LETTERS: Wait times impatience, doctors’ decision-making autonomy, the Chalk River crisis, and more
EDITORIAL CARTOON: 2008 federal budget forgets healthcare
ACROSS CANADA: Was Calgary MD-politician a Russian spy? Plus, more news from coast to coast to coast
NEWS IN BRIEF
Check out our website: www.nationalreviewofmedicine.com
Wednesday, 12 March, 2008
National Review of Medicine's March issue is now online
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