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White Coat, Black Art

White Coat, Black Art
Author: CBC
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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.
194 Episodes
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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.
How far would you go to test your body in extreme heat? Ironworker apprentice Britnee Miazek travels hundreds of kilometres to Brock University in St. Catharines, Ontario for a gruelling experiment to see how her body deals with high temperatures. She wants to find out why she stopped getting her period while working in sweltering conditions on a coke oven. Researchers are hoping to find answers for Britnee, and understand more about the long-term health effects of working in an increasingly hot environment.This episode is part of a CBC collaboration called "Overheated" where White Coat, Black Art, What on Earth, and Quirks and Quarks explore how heat is affecting our health, our cities and our ecosystems.
When Kalpit Sharma started smoking high-THC weed several times a day, he thought he was just “living his life” as a university student. But then, he started hearing voices. Researcher Dr. Daniel Myran shares the science behind stories like Kalpit’s – and why young men are particularly at risk for concerning mental health outcomes.
We're replaying this episode in honour of National Indigenous History Month. Former senator and chair of the Truth and Reconciliation Commission Murray Sinclair spent the last months of his life at St. Boniface Hospital in Winnipeg. He found comfort in the music of Quinton Poitras, a Métis musician with Artists in Healthcare Manitoba who played his favourite songs. Niigaan Sinclair says that even though his father was in a lot of pain, the music helped him feel joy in the moment.
Dr. Theresa Tam steps down this week after eight years as Canada’s chief public health officer. Best known for leading the COVID-19 public health response, Tam tells Dr. Brian Goldman in a sit-down interview that Canada urgently needs a national vaccine registry to better manage outbreaks like measles, and must do more to support science and fight misinformation.
Cardiologist, scientist and bestselling author Dr. Eric Topol's new book "Super Agers" distills decades of research on how to make us healthier for longer. Topol says that humanity is on the cusp of developing treatments to help tame cancer, dementia and other chronic diseases… just as political forces in the U.S. are shutting down that research.
Alberta is dealing with almost 800 cases of measles, the most in nearly forty years. Dr. Mark Joffe is an infectious disease physician who recently served as Alberta's chief medical officer of health (CMOH). He says there’s a huge need to get the message out that the vaccine is safe and will protect people. Dr. James Talbot, an adjunct professor at the University of Alberta and a former CMOH for Alberta, is concerned provincial leaders aren't taking this measles outbreak urgently enough.
After 25+ years as a family physician, Dr. Fan-Wah Mang closed her practice because she burned out. Now, she’s at Humber River Hospital in Toronto, teaching the next generation of family doctors how to avoid the pitfalls that made her leave. Two of the residents know what they’ll need to be a family physician long term, and it may surprise you.
Thousands of Canadians are in line for a joint replacement surgery. Tracey Knowlton is one of them, waiting over 84 weeks for a knee replacement. Orthopedic surgeon Dr. Stephen Kwan says long waits are an ongoing, system-wide problem. Health-care policy experts like Tom McIntosh say we know how to make it better and faster for patients, but provincial health leaders need to step up.
A crowd lines up every weekday at a unique walk-in dermatology clinic in Toronto. People have conditions ranging from severe rashes to potentially cancerous moles, and can’t wait months for an appointment with a skin doctor. Dr. Davindra Singh, who runs the clinic, calls it a dermatology crisis.
At the Bruce Oake Recovery Centre for men in Winnipeg, over 90% of the staff are in recovery from substance abuse themselves. Staffers like Terrence Morrin use "lived expertise" to create a circle of recovery. He first came to the centre as a participant two years ago, after detoxing on the floor of a prison cell. Today, he's helping other guys like him walk the walk.
When sportscaster Scott Oake isn't rinkside at NHL games, he's often hanging out at a substance abuse treatment centre in Winnipeg. He's there to be close to his late son. An urn with Bruce's ashes greets everyone who walks through the doors of Bruce Oake Recovery Centre. In the first of a two-part series, Dr. Brian Goldman visits the centre to meet Scott and learn about the centre's approach to substance-abuse treatment — one that came too late for Bruce.
With election day just around the corner, we know Canadians have questions about health care and how the next federal government can help make it better. That's why we asked candidates from the five major parties about three priority issues: how they would ensure every Canadian has a family doctor or nurse practitioner, what they would do to make it easier for doctors to work across the country, and how they would address the creep in private-pay primary care.
Much of the federal election campaign’s focus has been on the U.S. But health care is always on the minds of Canadians. So what are the federal government’s responsibilities when it comes to health care—especially when six and a half million Canadians don't have a primary care provider? Amélie Quesnel-Vallée, a McGill professor and Canada Research Chair in Policies and Health Inequalities, explains.
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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.