Talk Diabetes 2018 – Part I

Talk Diabetes 2018 was an education event presented by The Diabetes Education and Management Centre of Kingston Health Sciences Centre – Hotel Dieu Site on May 11, 2018. It was a day packed with many valuable contents to be shared among health care professionals looking for an updates in diabetes, especially with the recent release of the 2018 Diabetes Canada Clinical Practice Guidelines.  Here are some notes I took:

Continue reading Talk Diabetes 2018 – Part I

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Falling Stars

November is Fall Prevention Month. I wrote a post last year that I think is still relevant today. Here are things to consider when doing a medication review for fall prevention. #fallprevention

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We pay a lot of attention to falls in the elderly population. When someone has sustained a fall, it usually signals a decline in clinical status. A fall often results in injuries, bone fractures, loss of mobility, independence, and eventually death.

While most people point to psychotropic drugs as the culprit of falls, there are many other factors to consider when completing a fall risk assessment pertaining to medications.

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Rotigotine – New Option for Advanced Parkinson’s Disease

I am excited to see that a new medication for Parkinson’s Disease is added to the Ontario Drug Benefits formulary. Neupro (rotigotine) is a dopamine agonist formulated as a transdermal patch and is indicated for both early and advanced stages of Parkinson’s disease as well as restless leg syndrome.

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Medscheck – Useless or Useful?

I recently read on Twitter from a physician who felt Medscheck was a waste of his time. After several comments from others who have shown support for the program, he backtracked his comment to say there may be value to others but he didn’t feel it has added value to his practice.

Continue reading Medscheck – Useless or Useful?

10 Warning Signs in Dementia

World Alzheimer’s Day is coming soon – Sept 21, 2017.  After spending several years in geriatrics, I can’t help but feel compelled to do something every year. Check here for a post I wrote last year on Dementia.

This year, I have decided to be a little more creative by sharing a video on the 10 warning signs in dementia as described in Alzheimer Society Canada. Often family members don’t see the signs early enough. When treatments are started early, there is usually a greater chance in slowing the disease progression.

If you like my video, please comment, like or share. Thank you for checking out my post!

Who is at risk of B12 Deficiency?

It isn’t uncommon that I see a patient admitted to nursing home with advanced dementia and a very low level of vitamin B12. I always wonder how much of vitamin B12 deficiency may be contributing to the progression of dementia, even though it isn’t the cause. I am not a big fan of any vitamin supplements but Vitamin B12 is one where I would advocate supplementation where indicated.

Continue reading Who is at risk of B12 Deficiency?

Shingles – to treat or to prevent?

I have seen few cases of Shingles recently – both confirmed and false ones which have prompted me to look closer at the current recommended approach – to treat or to prevent? Shingles or herpes zoster is caused by a varicella-zoster virus (VZV), also known as human herpes virus 3 (HHV3). It is the same virus that causes chicken pox in kids. But in Shingles, it is a result of latent reactivation within the sensory ganglia of the nervous system.

Continue reading Shingles – to treat or to prevent?