News Archives - Primary Medicine Podcast: Recent Episodes

Dr. Kevin and Dr. Dimitre: Canadian Medical Educators

A medical podcast, for doctors by doctors.

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Dear Listeners,

In this episode of the Primary Medicine Podcast, we explore the rapidly growing and often misunderstood world of male enhancement procedures. Joined by Dr. Joel Pash — anaesthesiologist, Stanford faculty member, and co-founder of The Upsize Clinic — we dive into the latest techniques, the surge in patient demand, and the critical need for safe, evidence-based practices. Dr. Pash shares insights on what’s driving this trend, the risks of poorly performed procedures, and how clinicians can access proper training to better support their patients.

Please visit Dr. Pash US and Canadian websites as well as his Instagram, TikTok, Twitter and YouTube

Listen to the Podcast Episode here!

Cheers,

Dr. Dimitre

The post Episode 111: Novel Male Enhancement & Safety with Dr. Joel Pash appeared first on Primary Medicine Podcast.

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Dear Listeners,

On this episode of the Primary Medicine Podcast, we speak with Dr. Sarah Nasir, a dual board-certified family physician and addiction medicine specialist, about her innovative, holistic approach to treating addiction. From leading a methadone clinic to founding Zenara Care and Transcendant You, Dr. Nasir shares how blending evidence-based care with whole-person healing can transform recovery—especially in underserved communities.

Listen to the Podcast Episode here!

Cheers,

Dr. Dimitre

The post Episode 110: Healing the Whole Person Dr. Sarah Nasir on Holistic Approaches to Addiction Care appeared first on Primary Medicine Podcast.

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Dear Listeners,

In this episode of the Primary Medicine Podcast, Dr. Dimitre speaks with Dr. Jeffrey Gross, a board-certified neurological surgeon and founder of ReCELLebrate, about an exciting frontier in healthcare—natural killer (NK) cell-derived exosome therapy. Dr. Gross shares his journey from virology research to pioneering anti-aging treatments, and dives into how exosomes are being explored to boost traditional cancer therapies, prevent disease, and even slow aging. Tune in for a deep dive into this innovative blend of immunotherapy, cancer care, and regenerative medicine.

Listen to the Podcast Episode here!

Cheers,

Dr. Dimitre

The post Episode 109: Dr. Jeffrey Gross on NK Cell Exosome Therapy for Cancer Care and Longevity appeared first on Primary Medicine Podcast.

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Dear Listeners,

This week on the Primary Medicine Podcast, we’re joined by Todd Minerson, Country Director for Movember Canada and a global leader in men’s health advocacy. Since 2003, Movember has raised over $1.6 billion worldwide to support initiatives in men’s mental health, prostate and testicular cancer, and overall wellbeing. Todd brings a wealth of experience in community leadership and social change, including his past work with the White Ribbon Campaign and youth homelessness in Toronto.

In this episode, Todd shares how Movember’s Canadian initiatives are breaking down barriers and starting critical conversations around men’s health. We dive into creative engagement strategies, the newly released national Men’s Health report, and how data and partnerships are driving impactful change. Whether you’re new to the movement or a longtime supporter, this conversation offers valuable insights into how we can all help change the face of men’s health.

Listen to the Podcast Episode here!

Cheers,

Dr. Dimitre

The post Episode 108: Movember and the Mission for Men’s Health A Conversation with Todd Minerson appeared first on Primary Medicine Podcast.

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Dear Listeners,

In this episode of the Primary Medicine Podcast, we’re joined by Dr. John Oliffe, a renowned expert in men’s health promotion and Professor at the University of British Columbia. As the founder of UBC’s Men’s Health Research program and a Tier 1 Canada Research Chair, Dr. Oliffe has led groundbreaking studies on how masculinity impacts men’s health behaviours, illness management, and overall wellbeing. With over $44 million in funding and 450+ publications, his work spans prostate cancer, smoking cessation, mental health, and suicide prevention—helping shape policies and clinical practices across Canada.

We explore the newly released national report on men’s health in Canada, co-authored by Dr. Oliffe, to uncover why many men delay seeking medical care and the gendered barriers they face—particularly in marginalized communities. He shares insights on how a national men’s health strategy and initiatives like a Canada-wide Men’s Health Centre could radically improve outcomes. Whether you’re a healthcare provider, policymaker, or simply curious about men’s health, this episode offers timely, actionable perspectives.

Listen to the Podcast Episode here!

Cheers,

Dr. Dimitre

The post Episode 107: Rethinking Men’s Health Dr. John Oliffe on Barriers and Building a National Strategy appeared first on Primary Medicine Podcast.

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Dear Listeners,

In this episode of the Primary Medicine Podcast, we welcome back Dr. Sam Gharbi—clinician, educator, and health tech innovator—to discuss the rapid growth of Arya Health, one of Canada’s fastest-growing EMRs. Dr. Gharbi shares how Arya is transforming physician workflows with AI tools like AI Scribe, eFaxTriage and Co-Pilot, and we explore its recent milestones and its potential as a game-changer for physician sustainability and retention.

Listen to the Podcast Episode here!

Cheers,

Dr. Dimitre

The post Episode 106: Building the Future of EMRs with Dr. Sam Gharbi on Arya Health and AI Innovation appeared first on Primary Medicine Podcast.

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Dear Listeners,

Welcome back to the Primary Medicine Podcast! Today’s guest is Ron Richard, a true healthcare innovator with over 35 years of experience in respiratory, pulmonary, and sleep medicine. From launching over 40 medical products and holding 15 patents to working with industry leaders like ResMed and Qualcomm, Ron has helped shape the future of patient care. He’s also a creative force—an author, musician, and entrepreneur. In this episode, we dive into his journey, the hurdles clinicians face when innovating, and practical tips for bringing new medical ideas to market.

If you are interested in more Canadian Medical Podcast content check Feedspots Top 10 https://bit.ly/3E66Wst

Listen to the Podcast Episode here!

Cheers,

Dr. Dimitre

The post Episode 105: From Bedside to Breakthrough: Ron Richard on Innovation and Invention appeared first on Primary Medicine Podcast.

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Dear Listeners,

Welcome to the Primary Medicine Podcast! Today, we’re exploring a groundbreaking approach to chronic pain—one that challenges the idea that all persistent pain stems from injury or disease. Our guest, Dr. David Clarke, President of the Association for Treatment of Neuroplastic Symptoms (ATNS), specializes in stress-related, brain-generated conditions and helps patients overcome pain without drugs or surgery. We’ll discuss how stress and trauma can manifest as physical symptoms, the science behind neuroplastic pain, and evidence-based strategies for lasting relief.

Listen to the Podcast Episode here!

Hope you enjoy!

Cheers,

Dr. Dimitre

The post Episode 104: Rewiring Chronic Pain, The Science of Neuroplastic Healing with Dr. David Clarke appeared first on Primary Medicine Podcast.

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Dear Listeners,

Today, we’re diving into the critical topic of enhancing interoperability in Canadian health care with an exceptional guest, Dr. Rashaad Bhyat. Dr. Bhyat is a family physician, digital health expert, and Senior Clinician Leader at Canada Health Infoway, a federally funded, not-for-profit organization dedicated to advancing digital health solutions across Canada.

Canada Health Infoway is on a mission to create a more connected and efficient health care system by accelerating the adoption of innovative technologies like electronic health records and e-prescribing services. Interoperability—seamless and secure sharing of health information across the system—is a key component of this mission, helping to improve access to care and enhance the patient experience.

Dr. Bhyat brings over a decade of expertise in health informatics, health policy, and digital transformation. A respected voice in the field, he’s been featured in media outlets like the CBC and Toronto Star and has shared his insights at national and international conferences.

In this episode, we’ll explore the importance of interoperability in health care, how it’s being addressed across Canada, and what it means for patients, providers, and the future of digital health innovation.

Stay tuned for an inspiring conversation about how enhancing interoperability can make health care more connected, efficient, and patient-focused for all Canadians. Let’s get started!

Listen to the Podcast Episode here!

Hope you enjoy!

Cheers,

Dr. Dimitre

The post Episode 103: Dr. Rashaad Bhyat from Canada Health Infoway on tackling Health Care Interoperability appeared first on Primary Medicine Podcast.

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Dear Listeners,

Welcome back to the Primary Medicine Podcast! Today, we’re diving into the world of healthcare technology and innovation with a guest who has been a driving force in transforming digital health across Canada. Mike Checkley is the President of QHR Technologies, the company behind Accuro EMR—one of the leading electronic medical record systems used by healthcare providers nationwide. With over two decades of experience, Mike has a unique journey through technology and healthcare, from his early days in software programming to shaping QHR’s mission to improve patient care through innovative digital solutions.

In today’s episode, we’ll explore Mike’s career path, the evolution of QHR and Accuro, and his perspectives on the future of healthcare technology. We’ll also dig into the exciting, sometimes challenging role that artificial intelligence is starting to play in electronic medical records, and how AI could reshape the way we deliver and experience healthcare. Whether you’re a healthcare provider, a tech enthusiast, or simply curious about the future of medicine, there’s a lot to look forward to in today’s discussion. Let’s dive in!

Listen to the Podcast Episode here!

Hope you enjoy!

Cheers,

Dr. Dimitre

The post Episode 102: Mike Checkley, President of Accuro, on EMRs, AI, and the Future of Digital Health appeared first on Primary Medicine Podcast.

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Dear Listeners,

Welcome to the Primary Medicine Podcast. Today, we’re spotlighting Quilt In-Home Care, an innovative company founded by Blake Cheeseman and Peter Kotzeff, born from a personal experience with Peter’s grandmother and Blake’s mother during the pandemic. They faced the challenge many families do: finding high-quality, reliable in-home care. So they created Quilt to improve the in-home care experience for seniors and their families.

Quilt’s mission is simple yet profound—help people grow old wherever they want to. With a vision that puts technology and compassion at the forefront, Quilt aim is to make it easier than ever for families to connect with the right caregivers while empowering those caregivers with flexibility and support.

Listen to the Podcast Episode here!

Hope you enjoy!

Cheers,

Dr. Dimitre

The post Episode 101: Revolutionizing Home Care with Quilt appeared first on Primary Medicine Podcast.

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Dear Listeners,

Welcome to today’s podcast, where we have the pleasure of speaking with Rima Sehgal, a dedicated mental health professional with over three decades of experience. Rima’s journey in psychotherapy has been marked by her unwavering passion for empowering clients to regain control and confidence in their lives.
As the founder of TherapySupports, Rima has expanded her practice by bringing together a talented team of psychotherapists in Toronto, Ontario. This diverse and experienced team is dedicated to offering virtual psychotherapy services that are convenient, accessible, and tailored to meet each client’s unique needs.
Join us as we explore the world of virtual psychotherapy, the benefits of online sessions, and how TherapySupports is making mental health care more accessible to people across Ontario.

Listen to the Podcast Episode here!

Hope you enjoy!

Cheers,

Dr. Dimitre

The post Episode 100: Rima Sehgal(PhD, RP), founder of TherapySupports, on the benefits of virtual psychotherapy appeared first on Primary Medicine Podcast.

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Dear Listeners,

Join us on the Primary Medicine Podcast as we explore the dynamic world of healthcare technology with Dr. Jonathan Baktari, CEO of e7 Health, eNational Testing and US Drug Test Centers. Discover how his companies are revolutionising patient care through innovation and software, and why they are a recognized leader in the healthcare tech industry. Dive into a conversation with Dr. Baktari, a national business thought leader and opinion writer, as we discuss the digital future of health and wellness.

Listen to the Podcast Episode here!

Hope you enjoy!

Cheers,

Dr. Dimitre

The post Episode 99: Dr. Jonathan Baktari on medical innovation and digital health appeared first on Primary Medicine Podcast.

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Dear Listeners,

In this episode we will be again exploring the intersection of medicine and technology. Today, we’re introducing Dr. Amjed Kadhim-Saleh, or Dr AJ, a dedicated family physician and innovator from Toronto. Dr AJ, a University of Ottawa alumnus and University of Toronto-trained family doctor, manages a diverse patient base and strives for efficiency in practice. He’s also the brain behind Pippen, an AI-powered tool designed to enhance doctor-patient interactions and reduce administrative strain for physicians. Join us as we delve into Dr AJ’s journey and the transformative potential of Pippen in the healthcare industry.

Listen to the Podcast Episode here!

Hope you enjoy!

Cheers,

Dr. Dimitre

The post Episode 98: Dr. Kadhim-Saleh on Pippen a cutting-edge AI physician assistant appeared first on Primary Medicine Podcast.

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Dear Listeners,

On today’s episode we will be talking to Dr. Sasha High, an Internist and
Obesity Medicine Physician, who has leveraged her extensive medical training and board certification in Obesity Medicine to lead the High Metabolic Clinic in Ontario. She’s also the creator of Best Weight, a prominent medical weight loss coaching program for women, focusing on sustainable weight loss through cognitive behavioural coaching, nutrition counseling, and medical treatment. Additionally, Dr. High shares her expertise as an international speaker, social media educator, and host of the High on Life podcast.

Listen to the Podcast Episode here!

Hope you enjoy!

Cheers,

Dr. Dimitre

The post Episode 97: Dr. Sasha High on the importance of psychological care in Obesity Management appeared first on Primary Medicine Podcast.

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Dear Listeners,

Tune in for an informative conversation with Dr. Benjamin Caplan, expert on #CannabisMedicine, founder of #CEDClinic and author of The Doctor-Approved Cannabis Handbook. He shares his vast knowledge and experience on #CannabisScience.

Listen to the Podcast Episode here!

SPOTIFY: https://spoti.fi/3JUy5hi
APPLE PODCASTS: https://apple.co/3UC913y

Link to Dr. Caplan’s activities: https://benjamincaplan.com/links
And to the book: https://amzn.to/3WYxWkF

The post Episode 96: Dr. Benjamin Caplan on the Doctor Approved Cannabis Handbook appeared first on Primary Medicine Podcast.

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Dear Listeners,

Dr. Kevin Mailo is an emergency physician based out of Edmonton, Alberta. He is the founder of Physician Empowerment, an organisation dedicated to transforming the lives of Canadian physicians through education in finance, practice management, wellness, and leadership.

During the podcast, we have a chance to talk about his vision about the long-term wellness of the medical profession and his desire to see physicians and their families succeed personally and financially.

Hope you enjoy!

Cheers,

Dr. Dimitre

Listen to the podcast here

The post Podcast 95: Dr. Kevin Mailo on empowering physicians to be mentally, physically and financially healthy appeared first on Primary Medicine Podcast.

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Dear Listeners,

In this episode we are talking with Dr. Megha Poddar about evidence based approach in treatment of Obesity. Dr. is an Endocrinologist and Obesity medicine specialist in Toronto, Ontario. She is a diplomate of the American Board of Obesity Medicine and an Assistant Professor (Adjunct) in the Department of Medicine at McMaster University.

Dr. Poddar serves as the Medical Director of the Medical Weight Management Centre of Canada (MWMCC) and the Clinical Director of the LMC Weight Management Program. As a lead author and co-author, she has contributed to various resources on obesity education, including the McMaster textbook of internal medicine and the 2020 Canadian Adult Obesity Clinical Practice Guidelines. She is dedicated to mentoring healthcare providers in obesity management and clinical development, both nationally and globally, and is a passionate advocate for patients living with obesity.

Hope you enjoy!

Cheers,

Dr. Dimitre

Listen to the podcast here

The post Podcast 94: Dr. Megha Poddar on Obesity appeared first on Primary Medicine Podcast.

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Dear Listeners,

In this episode we are talking to Dr. Puneet Seth about his predictions about advancements on AI in primary care in 2024. These advancements will impact administrative staff, patients, clinicians, medical students and the entire novel medical ecosystem.

Dr. Seth is a medical doctor and technologist, recognized for pioneering digital health tools and advancing AI in healthcare. He led InputHealth as President and CMO, developing the Collaborative Health Record, and later contributed to AI integration at TELUS Health. Currently, he advises health AI startups, engages in teaching, conducts clinical research and writes about the intersection of AI and medicine.

Hope you enjoy!

Cheers,

Dr. Dimitre

Listen to the podcast here

The post Podcast 93: Dr. Puneet Seth on AI in Primary Care in 2024 appeared first on Primary Medicine Podcast.

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Dear Listeners,

On today’s podcast we talk to Marc-David Munk, a Canadian/American emergency physician and healthcare executive.

Over the past decade, he has held leadership roles at various nontraditional healthcare delivery organizations in the US and abroad. He began his career as a professor of emergency medicine and as the medical director for the Qatari national ambulance service.

He later became a senior executive at high-performing physician groups in the US and abroad. He is also the author the the upcoming book Urgent Calls From Distant Places about his experience as an air ambulance physician with the Flying Doctors.

Hope you enjoy!

Cheers,

Dr. Dimitre

Listen to the podcast here

The post Podcast 92: Dr. Munk and Urgent Calls From Distant Places appeared first on Primary Medicine Podcast.

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On today’s podcast, we will be talking to Dr. Stephen Sharpe, a fellow family physician and the Medical Director of Aroga Health, one of the fastest growing Lifestyle Medicine Clinics in Canada.

There is no longer any serious doubt that daily habits and actions profoundly affect health and quality of life. This concept is supported by literally thousands of research articles and incorporated in multiple evidence-based guidelines for the prevention and/or treatment of chronic metabolic diseases. The study of how habits and actions affect both prevention and treatment of diseases has coalesced around the concept of “lifestyle medicine.” Lifestyle medicine interventions include nutrition, physical activity, stress management, sleep hygiene, social support, and smoking cessation.

Given the current climate around health care, this outcome-driven approach is vital for the future of both patients and health caregivers.

Enjoy!

Dr. Dimitre

Access the podcast episode here!

The post Podcast 91: Dr. Stephen Sharpe of Aroga Health appeared first on Primary Medicine Podcast.

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Dear Listeners,

On today’s podcast we talk to Dr. Luke Napier, the founder of Virtual Hallway.

Virtual Hallway (virtualhallway.ca) is a platform that bridges the gap between primary care providers and specialists, making peer-to-peer phone call consultations swift and efficient via their innovative platform modelled after the traditional “hallway consult”.

This digital solution saves time for both physicians and patients while enhancing healthcare outcomes.

It is being used robustly in Nova Scotia and Prince Edward Island health authorities and is now available in Ontario.

Cheers,

Dr. Dimitre

Access the podcast episode here!

The post Podcast 90: What is Virtual Hallway? appeared first on Primary Medicine Podcast.

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Dear Listeners,

In this episode of the primary medicine podcast, we will talk about the benefits of intermittent fasting and the alternative fasting mimicking diet with the CEO of L-Nutra, Dr. Joseph Antoun. Fasting is a popular dietary strategy that involves alternating periods of eating and fasting. It has been shown to have various positive effects on the body, such as improving blood sugar levels, reducing inflammation, enhancing brain function, and promoting weight loss. We will discuss how it works, what are the different types of fasting protocols, and how to implement them safely and effectively including using a fasting mimicking strategy. Stay tuned for an informative and engaging conversation with Dr. Antoun, a leading authority on dietary and metabolic health.

Cheers,

Dr. Dimitre

Access the podcast episode here!

The post Podcast 89: Dr. Joseph Antoun on Benefits of Fasting appeared first on Primary Medicine Podcast.

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Dear Listeners,

Please join us for a fascinating, behind-the-scenes look at organ transplants and what it’s like to work as a lung transplant physician confronted with critical decisions on a daily basis. Our guest is transplant consultant Dr. David Weill, who is the former Director of the Center for Advanced Lung Disease and the Lung Transplant Program at Stanford. He’s also the author of a gripping memoir entitled, “Exhale: Hope, Healing and A Life in Transplant”. His website is https://davidweillmd.com/about/.

Cheers,

Dr. Dimitre

Access the podcast episode here!

The post Podcast 88: Dr. Weill on Organ Transplants appeared first on Primary Medicine Podcast.

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Dear Listeners, In today’s bonus episode we talk to Michael Dutra, the CEO of Michael Dutra Real Estate and Insurance, about Disability Insurance. This is perhaps the most important insurance policy for professionals during their working careers. During our discussion, we will go over the basics and we will cover the policy itself as well […]

The post Podcast 87: Michael Dutra a few words on Disability Insurance appeared first on Primary Medicine Podcast.

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Dear Listeners, On today’s podcast, we will explore the latest developments and applications of generative artificial intelligence in the field of medicine. In this episode, we will talk to the Chief Medical Director of Innovation at TELUS Health, Dr. Puneet Seth. Dr Seth is a leader and a practitioner of generative AI in improving healthcare […]

The post Podcast 86: Dr. Seth on Generative AI in Medicine appeared first on Primary Medicine Podcast.

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Dear Listeners,

Welcome back to the Primary Medicine Podcast. In this episode, we will talk about sublingual immunotherapy, or SLIT, for allergic rhinoconjunctivitis. SLIT is a form of allergy treatment that involves placing allergen extracts under the tongue to gradually desensitize the immune system.

We will discuss how SLIT works, what are its benefits and risks, and who can benefit from it. Stay tuned for an informative and engaging conversation with our guest expert, Dr. Mannan Shah, a board-certified allergist and immunologist and also co-creator on Wyndyl, an innovative company that offers personalized SLIT delivered directly to patients.

Enjoy!

Sincerely,

Dr. Dimitre

Listen to the podcast here!

The post Podcast 85: Dr. Mannan Shah on sublingual immunotherapy (SLIT) appeared first on Primary Medicine Podcast.

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Dear Listeners,

We are lucky to have Dr. Kevin back on the podcast.

Micro and macroscopic hematurea are common incidental findings in primary care. They are often of a bening nature, but it is important to have a thorough method  in investigating their differential so as not to miss rare but serious causes of bleeding in the urinary tract.

Dr. Kevin and Dr. Dimitre go over an updated approach to this condition.

Happy Learning,

Dr. Dimitre

Listen to the podcast here!

The post Podcast 84: Dr. Kevin on Micro and Macroscopic Hematurea appeared first on Primary Medicine Podcast.

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Dear Listeners,

Approximately 25% of all women diagnosed with breast cancer will require a mastectomy. Breast reconstruction is a currently underutilised (less than 50%) option for these patients that provides psychological, social, emotional, and functional improvements, including improved psychological health, self-esteem, sexuality, and body image.

To cover this topic, we are very lucky to have Dr. Jordan Frey as a guest on the podcast today. Dr. Frey is a plastic surgeon based in Buffalo, New York. He also runs the Prudent Plastic Surgeon blog where he shares his financial journey and helps full time physicians to achieve financial security.

Happy Learning,

Dr. Dimitre

Listen to the podcast here!

The post Podcast 83: Dr. Jordan Frey on Breast Reconstruction Surgery appeared first on Primary Medicine Podcast.

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Dear Listeners, Every day, more than 600 people in Canada are diagnosed with cancer and more than 200 die from it. It is very likely that everyone of you has in one way or another had experience with it. It is thus important that both healthcare professionals and the general population are informed about this […]

The post Podcast 82: Dr. David Stewart on Why Cancer Still Sucks appeared first on Primary Medicine Podcast.

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Dear Listeners, Having healthcare led by people with a deep understanding of the nature and challenges of clinical work is a key component of a resilient healthcare system. Yet leadership is a challenging skill that is rarely, if ever, nurtured and encouraged in physicians. We are thus fortunate today to have Dr. Malcolm Ogborn (https://www.optimisticdoc.com/) […]

The post Podcast 81: Dr. Malcom Ogborn on Physician Leadership appeared first on Primary Medicine Podcast.

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Dear Listeners, We’re very excited to share that our national conference on wealth creation for physicians resumes this year! Physician Empowerment is returning to Toronto June 3 to 5 with Canada’s top MD voices in the field: https://www.physempowerment.ca/live Beyond attending in person, we’ve got a great livestream option and all registrants enjoy unlimited access to […]

The post Podcast 80: Dr. Mailo on Falls in the Elderly appeared first on Primary Medicine Podcast.

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Dear Listeners, We are lucky to have Dr. Vu Kiet Tran back on the podcast. Dr. Tran is an Emergency, Family Medicine, and Long-term Care physician with over 20 years of clinical experience in Canada. He has vast clinical knowledge in elderly care and is currently running a facility with over 200 residents.   A 2020 […]

The post Dr. Tran on Cannabis in the Elderly appeared first on Primary Medicine Podcast.

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Dear Listeners, For our latest podcast, I was fortunate enough to talk to Dr. Sam Gharbi. Dr. Gharbi is an Internal Medicine Doctor currently practising in Vancouver, British Columbia. He is an accomplished clinician, author, educator, and most importantly, an innovator and problem solver. He is also Co-Founder of the Arya EHR, a system that […]

The post Podcast 78: Dr. Gharbi on the Future of Medicine appeared first on Primary Medicine Podcast.

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Dear Listeners, Metacognition is the process of being aware of one’s own thinking, learning, and diagnostic processes and how they can shape our decisions when it comes to patient care. This self-awareness is very important in avoiding medical error yet it is rarely developed during medical training. This podcast is meant to remedy this. Dr. […]

The post Dr. Tran on Metacognition and Minimizing Medical Error appeared first on Primary Medicine Podcast.

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Dear Listeners, We are very fortunate to have Dr. Vu Kiet Tran back this month to talk about Ageism. Ageism is discriminating or stereotyping someone based on their age. It is very much prevalent in Western medical culture. It presents in insidious ways, such as the observed tendency for doctors to dismiss patients and pathologies […]

The post Dr. Tran on Ageism in Western Medicine appeared first on Primary Medicine Podcast.

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Dear Listeners, We are very fortunate to have Dr. Vu Kiet Tran as a guest on our podcast this month. Dr. Tran is an emergency medicine doctor, a Life and Financial Coach to healthcare professionals, and the host of the excellent “How is my Financial Health, doc?” podcast. Dr. Tran talks about the importance of […]

The post Dr. Tran on caring for your Lifeforce and preventing burnout appeared first on Primary Medicine Podcast.

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Dear Listeners, We are lucky to have Dr. Yatin Chada, host of the excellent  beyond the MD podcast, join us for our latest episode. Dr. Chada is a radiologist who has practised in both Canada and the US. He is a devoted father and a lifelong learner. As host of beyond the MD podcast, Dr. […]

The post Dr. Chadha from the beyond MD podcast appeared first on Primary Medicine Podcast.

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Dear listeners, Colchicine has been used as an anti-inflammatory medication for centuries. The plant source of colchicine, the autumn crocus, was indeed used in Ancient Egypt as a treatment for rheumatism and swelling.  Currently, colchicine is indicated for treatment of inflammatory conditions such as gout, pericarditis, and Mediteranian fever. Based on a few recent studies, […]

The post Podcast 73: Colchicine in Cardiovascular Disease Prevention appeared first on Primary Medicine Podcast.

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Dear Listeners, This month, we are very excited to bring you a preview of our upcoming conference for Physician Empowerment. This year, our focus is on personal resilience and practice management. On today’s episode, Kevin shares a remarkably refreshing view on wellness within our profession. The event is being live-streamed from beautiful Banff, Alberta from […]

The post Physician Empowerment: You Are More than an Empty Vessel appeared first on Primary Medicine Podcast.

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Dear Listeners, We are very honoured to have Dr. John Crosby join us and share the wisdom he has gained during his lifetime as a Family Doctor in Canada. Dr. Crosby is an author, blogger, consultant, and mentor. He is a regular contributor to the Medical Post and a peer reviewer for the College of […]

The post Podcast 72: Dr. John Crosby on preventing physician burnout appeared first on Primary Medicine Podcast.

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Dear Listeners, It is estimated that about 40% of patients with type 1 or type 2 diabetes will have diabetic kidney disease. The suggested progression of this disorder is glomerular hyperfiltration due to a high-pressure state caused by elevated blood sugar, proteinuria due to glomerular damage, and chronic renal failure to renal hypoperfusion. Recent studies […]

The post Podcast 71: Diabetic Kidney Disease appeared first on Primary Medicine Podcast.

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Dear Listeners, An estimated 10% of school-aged children will have proteinuria. About 0.1% of them will have persistent hematuria requiring further investigation. Transient proteinuria can be caused by stress, exercise, cold exposure, dehydration, and orthostasis. Persistent proteinuria can be caused by Glomerular or Tubular Disease. Glomerular disease is most common with differential including infections (Strep […]

The post Podcast 70: Proteinuria in Children appeared first on Primary Medicine Podcast.

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Dear Listeners, The C-Reactive Protein and the Erythrocyte Sedimentation Rate are both lab tests used to measure inflammation in the body. They are usually elevated during infectious, inflammatory, and malignant diseases.  The CRP is produced by the liver shortly after the offending process so it is a direct measure of inflammation. The ESR is based […]

The post Podcast 69: C-Reactive Protein and Erythrocyte Sedimentation Rate appeared first on Primary Medicine Podcast.

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Dear Listeners, As a follow up to podcast 67, Eric Harvey, a 3rd year Mcgill medical student, is joining the Primary Medicine Podcast to go over the treatment approach for male hypogonadism.  It is important to consider both benefits and risks of testosterone therapy, before initiating treatment. The clearest benefit is to men with abnormally […]

The post Podcast 68: Treatment of Male Hypogonadism appeared first on Primary Medicine Podcast.

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In podcast 67, Dr. Dimitre will cover the diagnostic approach to late-onset hypogonadism also known as andropause. Late-onset hypogonadism (LOH),  causes a gradual yearly decrease in testosterone levels of 1 to 2% in men over the age of 40. While this condition is commonly known as Andropause there is no cessation of hormone production. However, […]

The post Episode 67: Late-onset hypogonadism appeared first on Primary Medicine Podcast.

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Dear Listeners, Constipation, or decrease in stool frequency and hardening in stool consistency, is a common issue in the elderly and can affect their quality of life significantly. Dr. Kevin has a 4 step approach to constipation in the elderly. Step one is making the diagnosis, remembering that constipation is a symptom with an underlying […]

The post Episode 66: Constipation in the Elderly with Dr. Kevin appeared first on Primary Medicine Podcast.

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Dear Listeners, A headache is considered secondary when it is related to an underlying medical condition. About 10% of patients presenting with headache are suffering from a secondary cause. Dr. Kevin’s approach to secondary headaches is anatomical in nature. Moving from the outside in, he suggests considering environmental causes (Carbon Monoxide Poisoning), hypertensive disorders, infections […]

The post Episode 65: Secondary Headaches with Dr. Kevin appeared first on Primary Medicine Podcast.

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Aphthous Ulcers, also known as canker sores, affect about 25% of the population. They are considered benign as long as they are small (less than 1 cm), self-limiting (resolve within 3-4 weeks), and not associated with any additional symptoms (such as fever). Consider the differential for mouth ulcers as being infectious or non-infectious. The most […]

The post Episode 64: Aphthous Ulcers appeared first on Primary Medicine Podcast.

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Endocrine Emergencies are rare but deadly conditions that can be hard to diagnose and manage. This can lead to long treatment delays and potentially life-threatening complications. In podcast 63, Dr Wahid and Dr. Dimitre will cover some of the most common emergencies relating to the thyroid (myxedema coma, thyroid storm, thyroiditis), adrenal glands (adrenal crisis, […]

The post Episode 63: Endocrine Emergencies with Dr. Pabani appeared first on Primary Medicine Podcast.

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Approximately 60% of women will experience a urinary tract infection if their lifetime. Up to twenty percent of them will experience multiple current episodes on a yearly basis. For the first time, the American Urological Association (AUA) has issued a guideline for the diagnosis and treatment of uncomplicated recurrent urinary tract infections (UTIs), which emphasizes […]

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For podcast 61, Dr. Wahid makes a comeback to talk about Familial Hypercholesterolemia (FH) while Dr. Dimitre bemoans the weather in Ottawa yet again. Familial Hypercholesterolemia (FH) is a condition that affects about 1 in 500 Canadians and is an important cause of early cardiovascular death yet it is relatively unknown by primary care physicians. […]

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Dear Listeners, After a bit of an unplanned hiatus, we are back with podcast number 60 and with Dr Pabani, rural doc extraordinaire. Aspirin is having a really tough time lately with three studies taking the shine off its role in primary prevention of cardiovascular disease. During the podcast, Dr. Dimitre and Dr. Wahid go […]

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Dear Listeners, For our last podcast of the year, Dr. Dimitre talks about Marfan syndrome. It is an autosomal dominant disorder of the connective tissue that affects three major systems: cardiovascular, muskuloskeletal, and ocular. Most individuals who have Marfan’s are asymptomatic until complications arise. Most commonly they will have aortic dilation, mitral valve prolapse, scoliosis […]

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Dr. Kevin is back for our 58th podcast to talk about his approach to diagnosing inconsolable infants. Unexplained irritability in the clinic setting needs to be assessed as an urgent medical presentation. Up to 5% of fussy children will have an organic cause to their distress. As Dr. Kevin explains, there are a lot of badnesses […]

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Dr. Dimitre is back with the 57th episode of the primary medicine podcast! Acquired long QTc syndrome is a disorder of the rhythm of the heart. It can lead to ventricular arrhythmias, such as Torsades de Pointe, and possibly ventricular fibrillation and death. It is caused by QTc prolonging medications which include antidepressants, antibiotics, antibiotics, […]

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Dr. Wahid Pabani, rural doctor extraordinaire, is back for our 56th podcast to talk about Nocturnal Leg Cramps! OUCH! This very common and distressing condition has many causes from the mundane (such as muscle fatigue) to the serious (such as peripheral vascular disease, or Parkinson Disease). Thankfully, a focused history and physical exam can help […]

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Dr. Kevin is back four our 55th podcast and he brought a surprise tiny guest. He will be talking about Intussusception. This is a life-threatening condition which mostly affects children below the age of three. It occurs when one part of the intestine slides into the adjacent part of the intestine. This causes bowel ischemia, […]

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After a short hiatus, Dr. Dimitre is back to talk about subclinical hypothyroidism. Sometimes referred to as mild thyroid failure, it is diagnosed when peripheral thyroid hormone (T3 and T4) levels are within the normal range, but thyroid stimulating hormone (TSH) is mildly elevated. It is common, occurring in 10% of the population, and carries […]

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Dr. Kevin is back for our 53rd podcast. This time we will be talking about Spondylolisthesis. Spondylolisthesis is anterior displacement of a vertebral body relative to the adjacent inferior vertebral body. It is a common condition of young athletes that can present with intermittent back pain.  Diagnosis is based on imaging with lumbar X-Ray being […]

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For our latest podcast, Dr. Dimitre is itching to talk about itching! Pruritus is a challenging presentation for two reasons. Firstly, the differential is broad encompassing conditions both benign and malignant. Secondly, the patient is often suffering and looking for a quick solution to his problem. It is thus important to have a clear and […]

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Its winter yet again in Canada. That means slippery ice, broken bones, and concussions! Rural Doc Extraordinaire Wahid is back to talk about concussions. It is a medical condition that has entered the entered the public consciousness with the recent NFL scandal and the aptly named Will Smith movie. It is most often caused by […]

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Dr. Dimitre and Dr. Kevin are back after a short holiday break! Our 50th podcast and now more than 5000 listeners monthly! What better way to celebrate than by bringing in someone much cleverer than ourselves to talk… Introducing Dr. Ken Milne – founder of the outstanding Skeptics Guide to Emergency Medicine. Visit SGEMS here at http://thesgem.com/  […]

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Episode 49 of our podcast showcases Dr. Kevin’s prowess with children as he presents his approach to syncope while taking care of his grouchy 12 mo! Syncope has many causes from the mundane to the deadly and requires a systematic detailed workup. Dr. Kevin takes the time to review the broad differential of this presentation. […]

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Dr. Wahid and Dr. Dimitre are back for podcast #48! Giardiasis, also known, as beaver fever is one of the most common parasitic human diseases globally. It usually presents with chronic diarrhea, abdominal pain, and weight loss. Symptoms may begin 2-4 weeks after initial exposure to the parasitic cyst and may last up to 4-6 […]

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Dr. Dimitre survived the plague that is hand foot and mouth disease and he is back to tell the tale. Hand foot and mouth disease is a summertime viral infection that presents with painful lesions on the palms, soles, and the oral cavity. It usually affects children under 10. Thankfully it rarely lasts more than […]

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Dr Mailo joins is back for our 46th podcast! The topic was inspired by one of our friends having a syncopal episode and breaking his noggin. The nasal bones are the most commonly fractured bony structures of the face. Patients with nasal fractures will often present to the emergency department with bleeding, swelling, and bruising. […]

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Dr Wahid joins us for our 45th podcast to talk about a challenging case he had at the start of his career. Viral Myocarditis, or inflammation of the heart muscle, can cause arrhythmias, heart failure, and even sudden death in healthy individuals. Patients will often present with dyspnea, chest pain, low endurance and irregular heartbeat. […]

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Ouch! For our latest podcast, Dr. Dimitre talks about the most common cause of heel pain. Plantar Fasciitis, is an easy clinical diagnosis to make but a rather challenging condition to treat. It tends to affect middle-aged persons, athletes, and individuals who stand for prolonged periods of time during the day. Treatment is often […]

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Dr Wahid is back! During our latest podcast, he and Dr. Dimitre converse about Sudden Sensorineural Hearing Loss. SSNHL presents with unexplained hearing loss, often unilateral, which tends to develop over a period of 3 days. Most cases are idiopathic and self-limiting, but some can be caused by serious and life-threatening conditions. Prompt diagnosis and […]

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During our latest podcast, Dr. Kevin segues masterfully from his daughter’s appendicitis scare to the management of airway foreign bodies in children. This is a potentially life-threatening that should be suspected on the basis of a witnessed choking episode. The presentation of unwitnessed foreign body aspiration is subtle and requires a very thorough history, physical […]

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In our latest podcast, Dr. Kevin is excited to talk about our upcoming conference and Dr. Dimitre is excited to talk about how to remove corneal foreign bodies in the office. Please visit our membership page to access the podcast. Posted on 02/03/2017 by Dr. Dimitre

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In part 2 of our podcast on Cardiac Risk Stratification, Dr Kevin takes us deeper into the rabbit hole! He talks about his approach to patients presenting with symptoms suggestive of Ischaemic Heart Disease. He finishes off by summarizing the limits of cardiac tests. None of them are 100% sensitive! Please visit our membership page […]

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Dr Kevin takes us deep into the rabbit hole this week! He talks to us about four different front line modalities available to physicians to preform cardiac risk stratification for ischemic heart disease. He goes over some of their advantages and disadvantages and stops short before getting into the raw numbers and math. We have […]

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During this week’s podcast, Dr. Pabani and Dr. Dimitre brave the harsh Canadian winter to talk about Frostbite! As the freezing month of February looms for Canadians, the good doctors go over how to manage this limb threatening condition in the office. Please visit our membership page to access the podcast. Posted on 29/01/2017 by Dr. […]

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For our first podcast of 2017, Dr. Dimitre talks about the different causes of a toothache. Dental pain is a relatively common presentation in the walk in clinic and its important to know that it is not always caused by a cavity and that there are certain things doctors can do to help patients before […]

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On this week’s podcast, Dr. Pabani makes his triumphant return to talk about broken teeth! Dental Avulsions are an emergency, so knowing how to manage them can make the difference between a nice smile and a horrid smirk. Remember that Time is Teeth! If you are interested about learning more our CFP exam perpetration app […]

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During this week’s podcast, Dr. Dimitre is itching to talk about Scabies after a harrowing near encounter with this horrid enteroparasitic disorder. Scabies is a highly infectious, highly pruritic condition that can be challenging to treat. Please visit our membership page to access the podcast. Posted on 30/11/2016 by Dr. Dimitre

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During this week’s podcast, Dr. Kevin trots in from the Western prairies to talk to namby pamby city slicker Dr. Dimitre about his approach to fever in the newborn. This is a fairly common presentation in the office that can be a great challenge for clinicians and caregivers. Please visit our membership page to access the […]

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