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The other side of the speculum

Medical Journal Club article for November 2009:

The other side of the speculum | Canadian Family Physician Journal -

“Unfortunately for me, I just can’t say “Now I’m going to insert the speculum into your vagina” in that tone—no matter how many times I practise in front of the mirror.”

Contemplating a career in ophthalmology?

Water-based lubricant for Pap smear

Medical Journal Club article for April 2009:

Does a water-based lubricant affect Pap smear and cervical microbiology results? | Canadian Family Physician Journal -

“The effect of water-based gel lubricant on tests for sexually transmitted infection, in particular Chlamydia trachomatis, does not appear to be of concern. The effect of water-based lubricant on Neisseria gonorrhea testing was not answered by this study; this testing needs to be undertaken in a population with a higher incident rate for the infection.”

Application to clinical practice?

Disrespect, harassment, and abuse of Family Physicians

Medical Journal Club article for March 2009:

Disrespect, harassment, and abuse of Family Physicians | Canadian Family Physician Journal -

“Abusive encounters might push family physicians to leave clinical practice prematurely or refuse to work in higher-risk environments, such as emergency departments or rural areas.”

All in a day’s work for family physicians ?

Cutaneous larva migrans

Medical Journal Club article for May 2009:

Cutaneous larva migrans | Canadian Family Physician Journal -

“Cutaneous larva migrans (CLM) is a serpiginous eruption usually occurring on the skin of the feet, abdomen, buttocks, hands, and genitals.”

Can you identify this condition?

Laughter prescription

Medical Journal Club article for October 2009:

Laughter prescription | Canadian Family Physician Journal -

“Although proponents of laughter and humour can be traced back to the Bible (“A merry heart doeth good like a medicine, but a broken spirit drieth the bones” [Proverbs 17:22]), and a variety of medical benefits of laughter have been supported through research, the scales seem to remain tipped markedly in the direction of caution.”

What is funny?

Canadian Family Physician Journal – May 2008

The Canadian Family Physician Journal (Le Médecin de Famille Canadien).

It is one of my favorite medical journals and it is bilingual (English-French).

Time for a quick look at the May 2008 issue…
On the cover…

Blown away Advances in COPD management.

-I hope it is not another consensus.

Editorial. Building more resilient doctors.

Can we be rebuilt, just like Steve Austin?

Debates. Rebuttal: Should Canadians be offered systematic screening for colorectal cancer?

There is a Butt in Rebuttal and a Rectal in colorectal. I don’t find these debates very helpful. I just end up being very confused. Why can’t we just flip a coin? Can we at least pretend to know it all ?

Dermacase. Can you identify this condition?

As a family physician, I only need to choose between two answers.

  1. Refer to dermatologist
  2. Don’t refer to dermatologist.

Far-infrared saunas for cardiovascular health

Far-infrared saunas for treatment of cardiovascular risk factors ; Medical Journal Club article for July 2009:

Far-infrared saunas for treatment of cardiovascular risk factors | Canadian Family Physician Journal -

“Because infrared heat penetrates more deeply than warmed air, users of far-infrared saunas (FIRSs) develop a more vigorous sweat at a lower temperature than users of traditional saunas. The cardiovascular demand imparted by thermoregulatory homeostasis is similar to that achieved by walking at a moderate pace.”

Is the absence of blinded placebo-control groups a limitation of the studies reviewed?

Irritable bowel syndrome: complementary and alternative medicine treatments

Irritable bowel syndrome ; Medical Journal Club article for February 2009:

Irritable bowel syndrome | Canadian Family Physician Journal -

“Irritable bowel syndrome (IBS) is a complex multi-factorial disorder resulting from brain-gut dysregulation.”

Are complementary and alternative medicine treatments useful?