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Trusted ER doctor Brian Goldman brings you honest and surprising stories that can change your health and your life. Expect deep conversations with patients, families and colleagues that show you what is and isn't working in Canadian healthcare. Guaranteed you’ll learn something new. Episodes drop every Friday.
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Dr. Paxton Bach has spent years trying to help people navigate a broken system. Inconsistent approaches to withdrawal management, long wait times for detox and recovery programs and a system that struggles to address the social determinants of health have caused too many of his patients to fall through the cracks. So he and a team at St. Paul’s Hospital in downtown Vancouver are trailblazing a new model of care that’s set to roll out across B.C. It’s called Road to Recovery, and it’s helping doctors like Bach answer the question: How can I keep you alive until tomorrow?
Like many of Canada’s rural and remote communities, Mackenzie, B.C.’s hospital struggles to staff the ER. But once a week, a doctor hundreds of kilometres away fills in virtually. Many provinces like B.C. are using virtual care in ERs in an attempt to keep the doors open. But critics are concerned about patient safety and the need to balance virtual with in-person care.
When care at a hospital or clinic falls short for you or a loved one, how do you raise concerns that get results? We asked listeners for stories about making complaints in health care and were flooded with them. Dr. Rob Robson, an ER physician, patient safety expert, and health-care mediator, helps us unpack what works and what doesn’t when you want your voice to be heard.
Until recently, Jeremy Auger’s diabetes was unstable. Then he met endocrinologist Dr. David Campbell and the team with the diabetes mobile clinic in Calgary. The roving clinic brings care directly to people who are homeless or have low incomes. For patients like Jeremy, it’s a lifeline that helps prevent devastating complications.
1Obesity has more than tripled in Canada since 1981. In their new book “Food Intelligence,” Canadian co-authors Julia Belluz and Kevin Hall - an award-winning health and science journalist, and a prominent researcher on metabolism in the U.S. - argue that it’s not because of a collective loss of willpower. Instead, they say the foods we buy and eat have become more calorie-dense, delicious and addictive over the last 40 years.
More with Kevin Hall! Until recently, Hall was the U.S. National Institutes of Health’s key researcher on the connection between ultra-processed foods and obesity. He took an early retirement due to increasing censorship of his work. He talks about his groundbreaking study with former “The Biggest Loser” contestants, the link between Big Tobacco and Big Food, and why Canadian scientist expats like him may soon be looking to return home.
When his wife died of endometrial cancer, Charles Kinch refused to accept that the care she received was the best she could get. His complaint, at first dismissed, has now sparked major changes in how cancer patients in British Columbia are treated and supported.
Like many Canadian small towns, Carberry, MB had become a healthcare desert. In 2023, the small ER closed and the last doctor left. Carberry embarked on the fight of its life to get healthcare back. Just days before the first of two new MDs starts work, Dr. Brian Goldman visits Carberry to learn about the Herculean efforts it takes for one town to reinstate healthcare, and make sure they don't lose it again.
For three decades, Dr. Brian Day has been at the centre of the debate around private health care in Canada. Despite losing his court battle to bring it to B.C., Day still wants to see more private, for-profit clinics. The orthopedic surgeon and owner of Vancouver's Cambie Surgery Centre says competition from the private sector could push the public system to deliver faster and better care.
Ottawa’s Montfort hospital sees twice the number of patients for mental health emergencies as the Ontario average. And as this number increased in recent years, the everyday environment of the ER waiting room – chaotic, loud and overstimulating – became an ever larger trigger, causing distressed patients to flee or harm themselves or others. In the new Mental Health Emergency Zone right off the main ER, everything has been designed for de-escalation, and staff and patients are seeing dramatic results.
Gurleen Kaur Chahal is one of the inaugural students at Toronto Metropolitan University’s new Peel Region medical school, designed to serve the area’s diverse population. She's determined to be part of the solution for the kinds of struggles her multigenerational Punjabi household has faced accessing care.
After a seemingly innocuous question about pi, Allan Brooks tumbled down a ChatGPT rabbit hole. Three weeks later, he emerged, after spending 300 hours in a spiralling 7,000-prompt exchange with the chatbot. Dr. Keith Sakata, the psychiatrist whose viral thread on X breaks down the phenomenon known as “AI psychosis,” says the built-in sycophancy of large language models like ChatGPT needs to change before more harm is done.
How much would you be willing (and able) to pay to get your knee or hip replaced? Calgarian Linda Slater's knee pain became unbearable during her two-year wait to see an orthopedic surgeon. She drained her retirement savings to pay $30,000 for a new knee at a private Toronto clinic. Dr. Rick Zarnett, an orthopedic surgeon who works out of both a private clinic and public hospital, says the system needs to improve so patients can get surgery sooner.
Companies are spending big bucks advertising weight-loss drugs like Rybelsus, seeing huge potential in capitalizing on the popularity of Ozempic. But in Canada, so-called "reminder ads" can give only the name of the medication, not what it's for, telling people to ask their doctor for details. Ad man Terry O’Reilly says it can result in bad ads that turn people off, and pharmaceutical policy expert Barbara Mintzes says reminder ads can lead to overtreatment and high costs, doing more harm than good.
As a rapper, Bishop Brigante was no stranger to on-stage battles. We met up with the then-45-year-old when he was battling Stage 4 colon cancer, which he said was caught too late. Bishop wanted Canadians to have easier access to colonoscopies and said advocacy had given him newfound purpose.
Many women report difficulties with orgasms, low libido or pain around intercourse. And given that many have never even learned much about their genitals, they don’t always know where to get help. A cadre of Canadian doctors specializing in women’s sexual health is trying to change that. They’re helping patients boost pleasure, while empowering them to get to know their sexual anatomy.
Attracting a family doctor to work in a community is challenging, with fewer physicians choosing family medicine. That's why Cheryl Gnyp, the recruiter for Castlegar, B.C., needs to stand out. She uses the board game Operation and specialized coffee as part of her 10-minute sales pitch to potential recruits at conferences. It can take years before a doctor starts working in the community, but she’s in it for the long haul.
Judith Morrison needs a kidney. While she's on dialysis, her sister Catherine is putting out a public plea for a living donor. But the search has been hard. And if they do find a donor, the sisters say that person will have to go through a long and opaque testing process. A process that experts say needs to be improved across Canada because the demand for kidney donations is high.
One morning as she arrived for her hospital shift, Winnipeg nurse Jennifer Noone was assaulted outside the staff entrance, leaving her with a bad concussion and PTSD. Rather than stay silent, she took the unusual step of having her assailant charged with assault. Manitoba Nurses Union President Darlene Jackson says there needs to be more and better security and violence should not be accepted as just part of the job.
At 28 years old, Dr. Soania Mathur was building her medical practice and expecting her first child. Then, she was diagnosed with Young-Onset Parkinson’s Disease. She tried to ignore her diagnosis for a decade, but as the symptoms progressed, she had to close her practice. Now, the self-described "Unshakeable MD" uses her experience as both a patient and a doctor to advocate for especially young people living with Parkinson's, as up to 10% of patients are under 40.
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The nurse interviewed mentions that people aren't getting vaccinat3d because there are very loud people spreading misinformation. Would love to know his thoughts on the doctors and nurses who ate part of that loud group? what do you feel, do or say when it is your own colleagues that are basically shooting you in the foot?
Excellent podcast! These two are amazing people!
He brought a knife to a gun fight...yet, he's still alive. This pro gun rhetoric has to stop...skip.
I never subscribed to this. wth?
We adopted two brothers when they were 5 & 6. Both had FASD which I diagnosed even though they had been in foster care for over 2 years. (I studied special education in masters program). I had educational experience and credentials needed to help my sons through school. Their teachers and schools didn't have the programs or even basic understanding of their disorder. Fortunately the social problems were minor. Both are on their own now doing relatively well. I don't know how parents without my background can raise their children.
My doctor has gone part-time and my care has improved. He is happier, rested and seems to be providing better care. I know his schedule so I can plan my appointments without any problems. If I need to come in when he isn't there, I know my records are complete and he can be reached if needed. (Often the "on call" doctor I get is one I've met before because my doctor always has a student doctor he is training.) I'm a retired college instructor. I have had a great career. My only regret is that I didn't spend more time with my kids when they were young. I'm glad my doctor is smarter than me!
some of CBC's best. can't imagine a Canada without the CBC
I continue to struggle and manage PTSD 5 years after having a stem cell transplant. It was a final intervention in a complicated 5 year ordeal with Myelofibrosis that had been caused by radiation exposure in my job as a radiation therapist several years prior. WSBC has finally placed me in an excellent rehab program in Vancouver. I am finally feeling a shift inside me that feels like happiness. It has been worth it all to still be here with my young family.
Fantastic episode! I think the point about "taking womens' pain seriously" is the key. In my experience too, complaints about abdominal pain related to menstruation are largely pooh-poohed even by otherwise excellent female physicians. Probably this is due to the systemic discrimination in medical training and research. The same is true of other female complaints, such as the impact hot flashes and other menopausal syptoms can have yet there appears to be virtually no research or awareness campaigning being done on the causes, prevention or possible treatments. I camnot imagine that if men suffered from issues which left them incapacitated by untreatable pain for 30 to 50 days per year, (like period pain can do), for decades of their lives, that it would be condidered anything short of an epidemiological crisis. Thank you for this podcast.
I was so surprised to hear the Dr. say this was the First M.A.I.D. he had attended. That is sad, but understandable, as this is such a private event for the family. How would it feel to have a journalist, a stranger, amongst you all at that time? There must have been a lot of discussion between all involved before this interview, this observance, could occur. I am So Proud of CBC for shining a warm & caring light on this subject, for it needs to be heard.