Links

The following links are ones I often share with patients I see in the Emergency Department. They represent some of the more common issues that people see a doctor for. Find curated, meaningful, reliable information below.



General Websites

FamilyDoctor.org

From the Academy of Family Practitioners in the US. Although some specifics are American, much of the patient information is generalizable and easy to read and understand with excellent illustrations.


Pathways BC

Access information on programs and services in the Victoria community as well as BC wide.


Vancouver Coastal Health

I love the multilingual discharge information and searchable online resource catalogue.

Lots of Patient Health Education materials


Patient.info

Searchable multilingual online resource catalogue from the UK

Bad Science Watch

An independent non-profit consumer protection watchdog and science advocacy organization dedicated to improving the lives of Canadians by countering bad science


Pain and Opiods

Cannabinoid Hyperemesis Syndrome (CHS)

A growing problem and cause of cyclic vomiting, often improved with a hot bath or shower


myHealth.Alberta.ca

PainBC

Empowering people living with pain. Coaching, telephone support, and wellness support groups.


PainBC.ca

Chronic Pain Resources

Statistics from the Canadian Pain Coalition indicate that 13 to 30% of Canadians suffer from chronic pain, which can impact all areas of a person’s life, mind, body and spirit.


IslandHealth


Mental Health

AnxietyCanada

Plenty of helpful and practical tips for mood, sleep, phobias, calm breathing, progressive muscle relaxtion, OCD, and more.

AnxietyCanada.com

BCALM

Evidence-based information, Mindulness apps for smartphone listing, and free downloadable or playable meditations from their Art of Living Mindfully CD

BCalm.ca

Depression

Basic information from a reliable source

FamilyDoctor.org

This video describes the Catch-22‘s of depression

How Can I Help?

A podcast about mental health issues from a psychiatrist. Easy to understand and listen to

Dr Gail Saltz


Wellness and Evidence-Based Happiness

Greater Good Science Centre

Researched and tested, neuroscience and neurobiology based tips and techniques to promote long-lasting happiness. I love their Keys to Well Being, and their monthly action calendars.


University of California, Berkeley greatergood.berkeley.edu


The Science of Well-Being

I really enjoyed this free online program from Dr Laurie Santos out of Yale. Her undergrad course “Psychology and the Good Life” broke registration records and teaches so many gems. Terms you’ll learn include “miswanting”–that stuff we think will make us happy actually doesn’t–and why we put less importance on what actually makes us happier. I was just as guilty as the next person.

Coursera

Listen to her podcast “The Happiness Lab”


Head and Neck and Neurology

Benign Positional Vertigo

BPPV is a treatable and common cause of attacks of spinning, especially with head movements

Dizziness-and-Balance.com

Concussion

Minor head injury can lead to physical symptoms that last days, weeks, or months.

FamilyDoctor.org

Concussion Guidelines

Step-wise Return to Activity, with versions for athletes, coaches, parents, and teachers

Parachute.ca


Heart and Lungs

Asthma

Important things to know are the differences between “Relievers” and “Preventers” for inhalers, and to use a spacer so the medication gets to your lungs instead of wasted on your tongue and throat.

CHEO

Brief Resolved Unexplained Event (BRUE)

A scary thing for parents when parents witness an apparent life-threatening event (ALTE was the older acronym)

American Academy of Pediatrics

Bronchiolitis

Often the cause of first episode wheezing in kids, especially when they look well and happy

FamilyDoctor.org

Cough & Honey

I don’t reccommend cough syrups to patients, family, or friends. Here’s something that you’re likely to have that actually has evidence behind it

CBC

Croup

Parents get alarmed when their child develops a barking “seal-like” cough that is often worse in the evenings

FamilyDoctor.org

Heart Attack Warning Signs

These are the classic symptoms, but beware: women, diabetics, and the elderly are likely to present atypically

https://familydoctor.org/condition/heart-attack/FamilyDoctor


Gastroenterology a.k.a. “The Guts”

Constipation

It sometimes surprises me how many people come to the Emergency Department because they haven’t had a bowel movement for several days. There are so many treatments to try at home that are easily available.

FamilyDoctor.org

Diarrhea in Kids

Parents often worry about their children when vomiting and diarrhea strike. Learn what to do and don’t forget to wash your hands so you don’t spread it around!

Canadian Pediatric Society

Diverticular Disease

There’s a big difference between “Diverticul-osis” and “Diverticul-itis.” Learn about this common cause of left lower quadrant abdominal pain and rectal bleeding.

FamilyDoctor.org

Gallstones

A common cause of right upper quadrant abdominal pain. Learn the differences between biliary colic and more serious forms of biliary tract disease.

FamilyDoctor.org

Heartburn

We check everyone out for heart disease when they come into the Emergency Department for heartburn. Those that have heart attack ruled out can find many ways to prevent or minimize discomfort.

FamilyDoctor.org

Hemorrhoids

Still think Emergency Medicine is sexy and heroic? Many people worry when they see bright red blood in the toilet bowl. Usually it’s a non-serious cause such as this or diverticular bleeding.

FamilyDoctor.org

This is a very common cause of abdominal pain that causes patients to present to Emergency Departments and clinics every day! Unfortunately there is no test currently available to prove that someone suffers from this condition. However, it can fit a pattern and there are treatments available to try:

  • Keep a log of when you suffer pain and the foods you’ve eaten
  • Try a low FODMAP diet
  • Peppermint oil has been found to be an anti-spasmodic and may have antimicrobial, anti-inflammatory, antioxidant, immunomodulating, and anaesthetic activities
  • Consider probiotics–but know that much of the research is company-funded and heavily prone to bias.


Genitourinary

Kidney Stones

I describe these to patients as a “golf ball scraping it’s way down a garden hose.” Did you know there are things you can do to prevent getting them?

FamilyDoctor.org

Kidney Infections

Also known as “pyelonephritis,” these can either start from the bloodstream or from a bladder infection that travels upwards.

FamilyDoctor.org

Sexually Transmitted Infections (STI)

Everything you wanted to know but were afraid to ask?

SOGC

Abnormal Uterine Bleeding

There are many causes for heavy periods and there can be pain or risk of anemia and other complications.

FamilyDoctor.org

Emergency Contraception

Note that the sooner medication is initiated the greater the efficacy

HealthLink

Miscarriage

Early pregnancy loss can be a stressful time. It is common to have feelings of uncertainty, worry, and guilt. Here are some helpful sites:

MotHERS program

RCOG


Muscles & Joints

AC Sprain a.k.a. “Separated Shoulder”

There are many causes for heavy periods and there can be pain or risk of anemia and other complications.

UpToDate

Back Pain

A common and stubborn cause of pain and functional problems. Sometimes people end up in the Emergency because they don’t know what else to do.

This is a broad topic but a good place to start would be the following:

American Family Physician

Choosing Wisely

Cochrane reviews of evidence

Gout

Most commonly this can show up as pain at the part where you biggest toe meets the rest of your foot.

FamilyDoctor.org

Home Exercises

This is a gem of a resource built by a physician that has videos, images, and printable versions.

SheikhMedical


Shoulder Exercises

After any shoulder injury or pain it can be important to do range of motion exercises to prevent a “frozen shoulder.”

ReBalanceMD

Strains & Sprains

You’ll commonly hear the mnemonic RICE used (Rest, Ice, Compression, and Elevation).

However, newer theories about how this may actually delay healing have prompted a trend towards early, gentle, range-of-motion exercises for better recovery:

Excluding fractures, cord, or catastrophic injuries, I get patients moving post injury and doing range of motion exercises as soon as possible.”

Dr. J. Robinson, Sports Medicine Physician

  • For foot and ankle injuries [she] recommend[s] drawing the alphabet with the toes.
  • For knees: stationary biking with low tension.
  • For shoulder injuries: pendulums, pole walking, and Nordic ski.
  • For neck pain: rows and ellipse.
  • For back pain: walking, swimming, and yoga.
  • For lower limb fractures: water running and seated weights.
  • For upper limb fractures: walking and the recumbent bike.

ThisChangedMyPractice


These are external links that I do not verify in their entirety

I do not receive any funding for any links or referrals from these sites