Sunday House Call with Dr. Barry Dworkin
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Welcome to Sunday House Call. Each week we guarantee you will go away learning at least one new thing to keep you on the road to better health.

Ask Dr. Dworkin Your questions and they will be posted with an answer on this site.

Email Dr. Dworkin here.

Ask Dr. Dworkin
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Sunday House Call
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Older episodes are still available but will eventually become available only through iTunes.

Sunday, October 07, 2007
Sunday House Call - Dr. Jeff Kwong
Dr. Dworkin talks with Dr. Jeff Kwong, MD, MSc, CCFP, FRCPC, epidemiologist and public health/family physician (UHN) Toronto Western Hospital, ICES scientist and lead author of this study. The two discuss the recent study “Trends in influenza vaccination in Canada, 1996/1997 to 2005” which shows that although vaccination rates are increasing in Canada, those in most need of the vaccine do not seem to be following this trend..
mp3 (click here to download)


Sunday, October 07, 2007
Sunday House Call - Dr Peter Goldstraw
Dr. Dworkin is joined by Dr. Goldstraw, Consultant Thoracic Surgeon at Royal Brompton Hospital and Professor of Thoracic Surgery at Imperial College. They discuss a change to the classification system for those suffering from lung cancer now allows those considered inoperable or beyond treatment a new opportunity for treatment.
mp3 (click here to download)


Sunday, September 29, 2007
Sunday House Call - Dr. Philip Wyatt
Should pregnant women over the age of 35 have amniocentesis to check for birth defects and chromosomal abnormalities such as Down’s syndrome? In an opinion paper published in the Journal of Obstetrics and Gynaecology of Canada, the Society of Obstetricians and Gynaecologists of Canada recommends that maternal age should only factor into a decision about amniocentesis when a woman is over 40.

· Dr. Philip Wyatt, MD, PhD Chief of Genetics at North York General
mp3 (click here to download)


Sunday, September 29, 2007
Sunday House Call - Dr. Richard Neville
Although there is a tendency to associate cardiovascular disease with heart attacks and stroke, there is another serious condition that causes significant morbidity and poor quality of life. It is peripheral arterial disease or PAD. Although prevention is the best way to avert the complications of this disease, there remain many people in advanced stages that require treatment. New surgical techniques are being used to help restore circulation to oxygen deprived legs.

· Dr. Richard Neville, Chief of Vascular Surgery and Associate Professor, Department of Surgery Department at Georgetown University Medical Center
mp3 (click here to download)


Sunday, September 23, 2007
Sunday House Call - Dr. Ron Sigal
Exercise is recommended as part of a broad-based treatment program for people with diabetes. At issue is what type of exercise produces the greatest results, how many times per week the person should engage in this activity and for what length of time? A new study from the University of Calgary published in the September 18, 2007 issue of the Annals of Internal Medicine sought to answer these questions.

Researchers studied 251 people with Type 2 diabetes in a six-month randomized control trial in Ottawa.

·Dr. Ron Sigal, MD, MPH,FRCPC, associate Professor in the Departments of Medicine and Cardiac Sciences, Community Health Sciences & Kinesiology at the University of Calgary and Adjunct Professor in the Department of Medicine at the University of Ottawa. He is a researcher in exercise physiology and one of Canada’s leaders in the clinical component of diabetic research; he is looking for the most effective exercise prescription for people with type I and type II diabetes.
mp3 (click here to download)


Sunday, September 23, 2007
Sunday House Call - Dr. Malcolm R. Sears
It is important to have a discussion about asthma in children; its prevention, treatment strategies, new research and the complexity of managing asthma and allergies together. Every year during the back-to-school season, there is a significant spike in the number of hospital treatments required for children as a result of asthma attacks. The “September epidemic of asthma exacerbations” is an established phenomenon that happens across Canada every year. Approximately 20 per cent of annual hospital admissions for asthma of children in Canada occur in September. Remember the number 38!

·Dr. Malcolm R. Sears, MB, ChB, FRACP, FRCPC, respirologist Professor of Medicine, McMaster University Research Director, Firestone Institute for Respiratory Health St. Joseph's Healthcare
mp3 (click here to download)


Sunday, September 16, 2007
Sunday House Call - Dr. J. Louis Hinshaw
A study presented in early March at the Society of Interventional Radiology meeting held in Seattle asked a straight-forward question: For small tumours of the kidney detected at an early stage, what method works just as well or better at eliminating them? What patient would be best suited for such a procedure.

· Dr. J. Louis Hinshaw, assistant professor of radiology in the abdominal division of the University of Wisconsin School of Medicine and Public Health.
mp3 (click here to download)


Sunday, September 16, 2007
Sunday House Call - Dr. David Vorp
One of the consequences of the pathophysiology of cardiovascular disease is the damaging effect it has on smaller arteries in the legs and within organs such as the kidney and heart. Although coronary artery bypass grafts are common, it is the smaller sized arteries that can remain damaged and difficult to reach and repair. Further the replacement vessels can fail and suffer blockages over time.

Investigators at the University of Pittsburgh School of Medicine have engineered artificial blood vessels from muscle-derived stem cells that exhibit characteristics that allow then to remain free of blockages. This research was presented at the Tissue Engineering and Regenerative Medicine International Society (TERMIS) North America Chapter meeting held in Toronto in June.

· Dr. David Vorp, Ph.D. Associate Professor of Surgery and Bioengineering and Director, Center for Vascular Remodeling and Regeneration at the University of Pittsburgh and Director, Vascular Bioengineering Laboratory at McGowan Institute for Regenerative Medicine.

Part 1
Part 2


Sunday, September 09, 2007
Sunday House Call - Rob Wilson
We see them in action when we call 911. They can make the difference between survival and death. Yet many people are not aware of the degree of training and experience that goes into becoming a paramedic. Given my family’s recent experience with paramedics I thought it would be beneficial for listeners to Sunday House Call to learn more about them.

Rob Wilson, Advanced Care Paramedic and Director of Media Relations at the Professional Paramedic Association of Ottawa

For more information, visit www.ottawaparamedics.ca

Part 1
Part 2


Sunday, September 09, 2007
Sunday House Call - Dr. Merrilee Fullerton
A Statement of Claim has been filed by the Canadian Constitution Foundation against the Ontario Government over timely access to health care and the patient's right to access health care outside of Ontario's government-run health care system. The claim supports two Ontarians who had successful surgery to remove brain tumours who had to pay for MRI's and surgery in the US.

Dr. Merrilee Fullerton, Kanata family physician

Part 1
Part 2


Sunday, September 02, 2007
Sunday House Call - Dr. Brian Day
Health care reform especially as it applies to private and public provision is a topic that evokes strong sentiments, passionate discourse, arguments and unfortunately personal attacks, sometime quite vicious and malevolent.

No stranger to being on the receiving end of the vitriol, the new president of the CMA is clear, we must ensure that Canadians have universal access to our health care system and also reform the Canada Health Act.

· Dr. Brian Day, President of the CMA, consulting orthopedic surgeon, founder of the Cambie Surgical Centre and founder of the Canadian Independent Medical Clinics Association

Part 1
Part 2


Sunday, September 02, 2007
Sunday House Call - Dr. Ron Heslegrave
Does shift work affect a person’s physical and mental health? From a practice perspective, I am seeing more people burning out from work stress. They are depressed and unable to lead normal lives. Human resource department managers and insurance companies among seem to be skeptical about the effects of shift work on health which only makes matters worse.

· Dr. Ron Heslegrave, PhD., Chair, Research Ethics Board at the University Health Network in Toronto, Affiliate Scientist, Division of Behavioural Sciences & Health at the Toronto General Research Institute. Researcher for the Canadian Institute of Health Research Author Working the Shift: A Self-Health Guide
mp3 (click here to download)


 

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