2018: No Better Time to be a General Internist in Canada

‘No Time to be Lost!’

Severe Traumatic Brain Injury (TBI) remains a major cause of death and disability afflicting mostly young adult males and elderly people, resulting in high economic costs to society. Therapeutic approaches focus on reducing the risk on secondary brain injury. Specific ethical issues pertaining in clinical testing of pharmacological neuroprotective agents in TBI include the emergency nature of t...

Genetics for the general internist.

The internist's goal is to determine a patient's disease risk and to implement preventative interventions. Genetic evaluation is a powerful risk assessment tool, and new interventions target previously untreatable genetic disorders. The purpose of this review is to educate the general internist about common genetic conditions affecting adult patients, with special emphasis on diagnoses with an ...

SPECIALIST’S PERSPECTIVE The General Internist

A1 has a significant impact on the practice of gener­ al internal medicine (Barnes et al. 1987; National Institute on Alcohol Abuse and Alcoholism [NIAAA] 1990; Institute of Medicine [IOM] 1990; Fleming and Barry 1992). In the advanced disease, which is most widely recognized by internists, alcoholism’s symptoms include such medical complications as cirrhosis, hepatitis, or hypertension. Per­ h...

It Won’t Be Easy: How to Make Universal Pharmacare Work in Canada

One of the glaring gaps in Canada’s universal healthcare system is the low level of public financing of prescription drugs - 42.7% of total spending in 2018. At the federal level there is renewed interest in moving towards universal coverage, supported by a recently commissioned report on how to achieve it. It will take superb political navigation to extract Canadian ph...

trigeminal neuralgia: a condition to be better understood