Pharmacists and MDs are reading from same page

Reading your editorial entitled “Primary care heading for a doctor-pharmacist turf war” makes me wonder how much of the medical and pharmacy press you read. With some legwork you would have realized that pharmacists and physicians have been developing an infrastructure to better co-ordinate the work they do on a daily basis in every community across Canada. Nowhere is this more evident than in the CMA – CPhA joint statement on “Approaches to enhancing the quality of drug therapy” for patients and the recently published Consumers Association of Canada leaflet “Be a wise consumer” done in collaboration with the Canadian Medical Association and the Canadian Pharmacists Association. Continue reading “Pharmacists and MDs are reading from same page”

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Health Alert for Back-to-School. Part 2

Some people carry the bacteria in their upper respiratory passages. The bacteria can invade their bodies to cause meningococcal disease or can spread to other people via infectious respiratory secretions.

There are different groups of these bacteria — called serogroups — that cause infection. For example, from 1994 to 1998, approximately two-thirds of cases of meningococcal disease in people ages 18 to 23 were caused by three serogroups: C, Y and W135. This is important because the meningococcal vaccine protects against these three serogroups plus one other — serogroup A.

Signs and symptoms of the types of meningococcal infection include:

Bacteremia — fever; malaise; muscle aches; headache

Meningococcemia — fever; rash; overwhelming infection with multiple organs affected

Meningitis — fever; headache; stiff neck; nausea; vomiting; photophobia (sensitivity to light); confusion; sleepiness; seizures
In newborns and infants, the classic symptoms of fever, headache and stiff neck may be absent or difficult to detect.

If your child has any of these symptoms, he or she should see a doctor immediately, since untreated meningococcal infections can rapidly worsen and lead to shock and death within hours.

For adolescents or college students who don t relish seeing doctors, you as a parent need to impress upon your son or daughter the importance of not ignoring these symptoms.

The diagnosis of meningococcal infection is made in a laboratory by growing the bacteria from the affected site — the blood in bacteremia and meningococcemia and the cerebrospinal fluid in meningitis.

Cerebrospinal fluid, the fluid that bathes the brain and spinal cord, is obtained through a procedure called a lumbar puncture, or spinal tap. This procedure is routinely done when meningitis is suspected. During a spinal tap, a special needle is inserted into an area in the lower back, where fluid in the spinal canal is readily accessible.

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Which Specialist Treats which Medical Problems?

By definition, specialists are doctors who have studied a specific area of expertise in their medical training, and who have completed residency in that specialty. Board-certified physicians have additional, rigorous training, and commit to continuing education to stay on the cutting edge of techniques and knowledge in their field of practice. Continue reading “Which Specialist Treats which Medical Problems?”

What are the Risk Factors Associated with Decompression Illness?

Apart from the depth and the time divers spend under water, other factors influence the absorption and elimination of Nitrogen that can contribute to a developing decompression illness. Although staying within the limits of the recreational dive planner tables minimizes this risk, the tables become less reliable and accurate in the presence of predisposing factors. Continue reading “What are the Risk Factors Associated with Decompression Illness?”