White Coat, Black Art

It may seem counterintuitive, but hospital emergency rooms can be hazardous to the health of elderly patients. An innovative geriatric multidisciplinary ER team at St. Mary's Hospital in Montreal is getting elderly patients discharged quickly and safely, saving them from preventable harms and the hospital millions in preventable admissions.

A growing number of young people in Canada are being diagnosed with colorectal cancer, and their needs often differ from older patients. Melissa Grof​f was diagnosed at age 34, with three small kids, in the prime of her career.​​ ​She​ says she would have benefitted from more age-appropriate care. Sunnybrook's Young Adult Colorectal Cancer Clinic offers this care including support for mental health, sexual health, body image issues and family planning.

Palliative physician Dr. Samantha Winemaker says her line of work has a branding problem. Instead of thinking of it as "the Grim Reaper service" to be called in at the 11th hour, she says patients benefit from a palliative approach as soon as they're faced with a life-limiting illness. "Dr. Sammy" meets a new patient and his family for the first time - showing how her person-centered care treads the fine line between honesty and hope.

Dr. Tara Kiran knows primary care in Canada can be better. That's why the Toronto-based family physician and researcher went to the Netherlands, a world leader in health, to see what we can take away. What she found is a system that provides around-the-clock care and primary care teams who can see patients when they need it most.

Patients don't like asking for them, doctors hate writing them, and yet, some employers continue to demand notes when a worker calls in sick for a minor illness like the flu or a cold. More and more doctors and other health-care providers says that sick notes shouldn't be required for minor illnesses, tying up an already overloaded system. Some provinces have now updated their sick note policies.

We know there are problems with our country’s health-care system, with millions of Canadians going without a family doctor or nurse practitioner. But Denmark, a country where more than 98 percent of its population is attached to a primary care provider, could have some lessons for us. We travelled to the Scandinavian country to see how the Danish system works for patients and doctors. The differences are startling.

[Encore Presentation]: Attention-deficit hyperactivity disorder – or ADHD – is a common diagnosis in children. But more and more adults are also being diagnosed with ADHD. Psychiatrist Dr. Ainslie Gray explains some of the tell-tale signs you might be living with undiagnosed ADHD, as well as some of the ways you might be unknowingly coping with the condition.

CBC producer Adam Killick has spent his whole life believing something was wrong with him. It’s only now, in his 50s, that he’s wondering if he has attention-deficit hyperactivity disorder. About four to six per cent of adult Canadians have ADHD. If Adam is diagnosed, it would help him make sense of his life. If not, he's not sure what he'll do. We follow along on his quest.

Faced with a life-limiting illness, most Canadians would like to die at home. But only 13% are offered the palliative support to do so, which Dr. Sammy Winemaker wants to change. The palliative home care physician introduces us to the family of patient Shelley McCarthy two years after her death at home from thyroid cancer. They say a palliative approach should be offered early and include everyone.

Colorectal cancer is the fourth most common cancer in Canada, but screening doesn’t begin until age 50. Seeing younger people getting diagnosed, Dr. Shady Ashamalla helped launch Sunnybrook's Young Adult Colorectal Cancer Centre in Toronto. It offers minimally invasive care to patients like Catherine Mifsud, diagnosed with three kids at home in the prime of her career.

Like many of Canada’s rural and remote communities, Mackenzie, B.C.’s hospital struggles to staff the ER. But once a week, a doctor hundreds of kilometres away fills in virtually. Many provinces like B.C. are using virtual care in ERs in an attempt to keep the doors open. But critics are concerned about patient safety and the need to balance virtual with in-person care.

When Ned Bell’s wife was recovering from cancer surgery at Vancouver General Hospital, the unappetizing food she was served left a bad taste in his mouth. So the five-star chef teamed up with his wife’s surgeon to revamp patient meals. Dr. Brian Goldman visits Chef Bell in the hospital’s test kitchen to see how the new “Planetary Health Menu” helps boost patient health and reduce the carbon footprint of traditional hospital food.

In this season of bearing gifts, it’s been said the highest form of giving is the anonymous kind. Heather Badenoch knows that very well. She donated part of her liver to a child she never met in Toronto. Now she uses her communications skills to recruit donors for people in need of an organ.

Former senator and chair of the Truth and Reconciliation Commission Murray Sinclair spent the last four months of his life at St. Boniface Hospital in Winnipeg. He found comfort in the music of Quinton Poitras, a Métis musician with Artists in Healthcare Manitoba who played his favourites, especially the blues. Niigaan Sinclair says that even though his father was in a lot of pain, the music helped him feel joy in the moment.

Josh Booth has a pitch for Canada: Bring in nurse anesthetists to help deal with Canada’s shortage of anesthesiologists, the doctors who manage sedation before and during surgery. Booth, a Canadian certified registered nurse anesthetist working in the U.S., says health professionals like him can help handle the demand for anesthesia. B.C. has tried twice to bring in the nursing role but it has yet to happen. Dr. Giuseppe Fuda, president of the Canadian Anesthesiologists’ Society, says there are concerns about bringing in nurse anesthetists to our healthcare system.

Ian Stedman Googled his rash and self-diagnosed a rare genetic condition called Muckle-Wells syndrome. It took him 32 years and almost 200 inconclusive doctor visits. A decade later, he's on a mission to get AI into the Canadian healthcare system to help diagnose and treat rare diseases faster.

More Quebeckers are paying to see a family doc for services that should be covered publicly. Dr. Martin Potter explains why he founded Clinique Santé Plus after 20 years in the public system. But Dr. Bernard Ho of Canadian Doctors for Medicare says Quebec may be a bellwether for the rest of Canada, and private-pay family medicine puts the public system, and individual patients, at risk.

In Quebec, family medicine is the latest troubling frontier in a two-tier system that's been quietly growing for years. Dr. Brian Goldman visits Clinique Santé Plus in Vaudreuil to learn why the clinic's youngest doctor turned away from the public system. Two patients - one languishing on a waitlist for a family doctor, and one who can never reach hers - explain why $150 is worth 15 minutes with a private family doctor.

For decades, Ian Stedman lived with severe rashes, constant joint pain, red eyes and debilitating migraines. He saw dozens of doctors, but no one knew what was wrong with him. So he gave up. But when his infant daughter started showing the same symptoms, he turned to the internet. After a lot of research, he successfully diagnosed himself with a disease so rare, only one in a million people have it.

Pete Pearson, 74, is not ready to die. He was diagnosed six years ago with idiopathic pulmonary fibrosis, which has an average survival rate of 2-3 years after diagnosis. He knows he's on borrowed time, and has been dealing with anxiety and depression. That’s why he's seeking approval from Health Canada to use psilocybin as part of a treatment called psychedelic-assisted psychotherapy. His son Blake, who is also a family doctor, believes it can help his dad live the rest of his life to the fullest.