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White Coat, Black Art on CBC Radio
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White Coat, Black Art on CBC Radio

Author: CBC Radio

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CBC Radio's Dr. Brian Goldman takes listeners through the swinging doors of hospitals and doctors' offices, behind the curtain where the gurney lies.
142 Episodes
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Indigenous Canadians are avoiding going to the doctor or seeking care in hospitals, says the president of The Indigenous Physicians Association. The COVID-19 pandemic has had an impact, but there's also another potentially deadly factor: racism. "People are fearing that they will be treated in a racist manner, or not receive the standard of care that a non-Indigenous person would," Dr. Cornelia (Nel) Wieman, tells Dr. Brian Goldman. Wieman, who is also a psychiatrist and senior medical officer at the First Nations Health Authority in Vancouver says the death of Joyce Echaquan has contributed to that fear. Echaquan, a 37-year old Atikamekw woman live-streamed her final moments at hospital Joliette, Quebec which revealed staff berating her. Dr. Wieman says the refusal of Quebec's premier to acknowledge systemic racism in the wake of that incident is a barrier to progress and she's concerned the inquiry into Echaquan's death will not probe the root causes of what happened to her. Despite that, and the racism she's faced in her own career, she's still hopeful progress can be made. She says one step forward would be to hold authorities at a higher level responsible for actions of healthcare workers who prove to be racist. She says Canada needs to increase the availability of cultural safety training for health-care workers, which was featured on a previous episode of White Coat, Black Art. We also speak to Gregory Buffalo, a Cree man from Fort McMurray who contacted White Coat, Black Art after listening to that program several times. He tells us why that show moved him, and shares his family's experiences dealing with racism in the healthcare system.
Dr Brian Goldman visits a mobile health clinic that treats migrant workers on Schuyler Farms in Simcoe, Ontario. The farm was recently the site of a COVID-19 outbreak. Brian takes a look at why seasonal farm workers are so vulnerable to the virus, and how this innovative clinic-on-wheels is an important step in providing much-needed health care for farm workers.
When you get sick and call an ambulance or you make your way to the local ER, the assumption is you're heading to a safe place. They'll greet you, treat you and heal you. But it's not something all Canadians can take for granted -- we were yet again reminded of that yet again in September, when Joyce Equachan, a 37-year old mother of five and member of the Atikamekw Nation, recorded and made public racist taunts she endured from staff at a hospital in Quebec. This week, White Coat Black Art revisits a show about the San'yas Indigenous Cultural Safety Program in BC, which aims to teach health-care workers to recognize and respect the history of Indigenous peoples, so they can access care without fear of being discriminated against. "It's the hardest conversation we can have as Canadians," says Cheryl Ward, who helped design the course. Dr. Marcia Anderson, a public health physician with the WInnipeg Regional Health Authority also speaks to the show about why she brought the course to Winnipeg, and her own family's experience with racism in the health-care system.
Manitoba surge

Manitoba surge

2020-11-0628:13

Dr Brian Goldman looks at the reasons behind a surge in cases of COVID19 in Manitoba and how it’s affecting indigenous communities.
Across the country Canadians have been scrambling to get their annual flu shot -- especially after being told by public health officials that it's vital we stay healthy during the pandemic to reduce the strain on ICUs and healthcare providers. But the high demand and lags in distributing the vaccine mean that many pharmacies and doctors are out of flu shots and are waiting for more to arrive. This week White Coat Black Art looks at why the flu shot is hard to come by this year and what that might mean for a possible roll out of a COVID- 19 vaccine. We hear from Dr. Iris Gorfinkel, a family doctor and vaccine researcher in Toronto, who says the wait for the flu shot can have ramifications for people who are at higher risk. She says inefficiencies in the system, including waste, could be addressed if Canada developed a national vaccine registry using barcodes that are already on most vaccines. Dr. Monika Dutt, the medical officer of health in Newfoundland, tells us how that province is managing an ambitious goal to vaccinate 85 percent of its population against the flu, compared to 30 percent in previous years. Sheli Dattani, the Director of Practice Development for the Canadian Pharmacist's Association says pharmacists are also having to turn patients away in some parts of the country because of high demand for the shot this year. While she's confident that Canadians will get the vaccine eventually, she says it's evidence that there's more work to be done to ensure a smooth rollout of any COVID-19 vaccine
A conversation with Dr. Deena Hinshaw – Alberta’s Chief Medical Health Officer – and Dr. Eileen de Villa – Toronto’s Medical Officer of Health.
Karla Van Kessel died of complications caused by cervical cancer on Feb. 17. Until the day she died, the London, Ont. mother of two fought for improved measures to prevent cervical cancer. She spoke to White Coat, Black Art about her missed diagnosis more than a year ago, after the cancer returned for a second time. Her husband and sister join Dr. Goldman to talk about her legacy and how her efforts are making a difference when it comes screening and how women are notified of test results.
COVID Confusion

COVID Confusion

2020-10-0928:18

For a lot of Canadians, the COVID-19 message is getting increasingly muddled. Dr. Caroline Quach and Dr. Prabhat Jha, both infectious disease experts, talk to Dr. Brian Goldman about cutting through our pandemic perplexity.
White Coat, Black Art explores the fear of the ER people with sickle cell disease face. The painful, hereditary blood disorder affects 5-6000 Canadians, mostly people of colour whose ancestors come from Africa, the Mediterranean and the Arabian Peninsula. Serena Thompson is one of them. She tells Dr. Goldman going to the ER is a 'last resort' for her because she's often stereotyped as a 'hospital hopper' who is seeking drugs. She says when she is unable to manage her pain at home, she forces herself to dress up and brush her hair before going to the ER in the hope that her appearance will ensure staff take her seriously. Now, COVID-19 has forced her to face her anxiety about the ER, because as a Black patient, she's at higher risk of getting the virus and sickle cell makes her even more vulnerable. She and other sickle cell patients hope the current reckoning over systemic racism will help to change how they are treated in the health-care system. Dr. Jennifer Bryan, who runs a sickle cell working group at University Health Network in Toronto says stories like Thompson's are far too common and 'heartbreaking.' She and her colleagues are working to improve care and break down racist barriers for sickle cell patients.
The Pull of the Stars tells the story of three women — a nurse, a doctor and an activist — in war-ravaged Ireland during the 1918 Spanish flu pandemic. Emma Donoghue spoke with Dr. Brian Goldman, host of White Coat Black Art, about the inspiration for the novel. The book was written well before the outbreak of the coronavirus, and Donoghue was surprised by the way it mirrors our current situation but relishes the opportunity to talk about the role of health-care workers in challenging times.
Running on Fumes

Running on Fumes

2020-09-1828:261

Dr. Brian Goldman talks to three health-care professionals about the toll the pandemic has taken on them emotionally and physically, and how they feel facing a new increase in cases. Our guests are Naheed Dosani, a palliative care doctor; Nathan Stall, a geriatrician and researcher; and Maureen Taylor, a physician assistant.
Introducing: Sickboy

Introducing: Sickboy

2020-09-1401:13:33

The Sickboy podcast is determined to break down the stigma associated with illness and disease. Hosts and best friends Jeremie, Bryan, and Taylor tackle health taboos with people who have experienced those challenges firsthand and take their lead from Jeremie's life long battle with Cystic Fibrosis. Together they help us understand that sometimes the best way to deal with illness, disease, and life is simply to laugh. More episodes are available at smarturl.it/sickboycbc
The pandemic has changed all of our lives. But it's also changed our health-care system in surprising, and even positive ways. This season, White Coat, Black Art will explore that idea, beginning with a story about how a rural community in Ontario re-imagined primary care as a result of the global pandemic. Dr. Brian Goldman visits Renfrew County to find out about their Virtual Triage Assessment Centre, which was set up to provide COVID-19 testing but which also promises same-day virtual access to family doctors in a place where 20 percent of the population doesn't have a family physician. They also get home visits from community paramedics who deliver basic primary care and act as the doctor's eyes and ears. Dr. Goldman rides along with a community paramedic as he visits an elderly cancer patient and he checks in with the architects of VTAC, who call it a 'silver lining' to the pandemic and make the case for it to become a permanent fixture in their community.
We’re making mention of the common yet often unmentionable problem: pelvic floor dysfunction. Close to 40% of older women are affected by pelvic floor disorders. This week, this program received a Gracie award from the Alliance for Women in Media Foundation.
Dr. Lynora Saxinger, an infectious diseases specialist and associate professor of microbiology and immunology at the University of Alberta in Edmonton answers how to return to work safely during the pandemic.
Dr. Nadia Khan, an internal medicine specialist and president of Hypertension Canada, joins host Dr. Brian Goldman to fact-check the information — and misinformation —people are seeing online and in the media about the relationship between blood pressure medications and Covid 19. She also answers the question "When should I worry about my blood pressure?" and offers advice on how to manage hypertension.
Dr Nisha Thampi, medical director of infection prevention and control at the Children’s Hospital of Eastern Ontario, answers the question: How can I send my kids back to school safely for them and for us?
As scientists race to develop a vaccine to combat the coronavirus epidemic, many Canadian adults aren't getting taking advantage of vaccinations that are already available to protect them against other serious illnesses, public health experts say.
Dr. Brian Goldman and infectious disease expert Dr. Susy Hota explain how masks work and how best to use them.
This week Dr. Goldman and Dr. Lynora Saxsinger, an infectious diseases expert from the University of Alberta weigh the risks of summer pass times, from camping and cottaging to swimming, backyard get-togethers, weddings and more.
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Comments (8)

That one Guy

I never subscribed to this. wth?

Sep 8th
Reply

Ron Smallwood

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.

Apr 1st
Reply

Ron Smallwood

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!

Feb 23rd
Reply (1)

Wyatt Murdoch

some of CBC's best. can't imagine a Canada without the CBC

Dec 19th
Reply

Laurie Landry

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.

Jul 23rd
Reply

F D

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.

Mar 25th
Reply

Kim Schellenberg

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.

Jan 26th
Reply
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