A number of events in recent months have caused me to recall the old saying, “Nostalgia ain’t what it used to be.” Perhaps more accurately, they have caused me to feel myself getting old. In this regard, the writing has been on the wall for a few years now—as I mentioned 2 years ago in my editorial on retirement (BCMJ 2012;54:118-119). Since then the hair has thinned and grayed even more, the middle has expanded even more, and the vim and vigor have become a little less exuberant.
As you go about your daily routines many of you are, sadly, unaware of your recent missed opportunity. I am writing this editorial while lying in bed looking out at the beautiful grounds of the Intercontinental Resort in Tahiti. Sure, it’s raining, but that doesn’t detract from the joy I feel at rubbing this in your collective face. Also, rain doesn’t really bother me as I have spent most of my life dwelling in the rainforest that is Vancouver.
Obesity is a major risk factor for hypertension, stroke, heart disease, type 2 diabetes, and some cancers. Unhealthy behaviors that promote weight gain begin during childhood. Most children do not outgrow their obesity and it is imperative that those departing from a healthy weight trajectory be discovered early and that evidence-based intervention be initiated.
With the support of the Patterns of Practice Committee (POPC), a regular column will appear in the BC Medical Journal that provides information on the most common billing errors discovered during practice reviews and audits. The POPC is committed to providing ongoing education and information to Doctors of BC members.
A 23-year-old male presents to student health services with a mononucleosis-like syndrome. A 42-year-old previously healthy, married woman presents to her long-time family physician with a 3-month history of easy bruising and weight loss. A 57-year-old man presents to the emergency department with fever and shortness of breath. A 60-year-old man, at his first visit with a new family physician, is screened for type 2 diabetes. Would you include an HIV test in the blood work ordered for these patients?
