October

I had been in practice for a few years, and had been involved in the management of quite a number of women with ovarian cancer, when "It's Over, Debbie" appeared in JAMA in early 1988. In that anonymous essay, a gynecology resident described how, after being woken during a night on call to attend a distressed 20-year-old woman with terminal ovarian cancer, he (or she--it was never specified which) had administered an excessive dose of morphine. The woman died within minutes.

"And what do you do?"

Electronic cigarettes (e-cigarettes) are products that deliver an aerosol by heating a solution typically containing nicotine in propylene glycol or glycerol with flavoring agents. Controversy and debate continue around the potential benefits and harms of these devices.

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References

You have had the opportunity to read several audit and billing articles in the BCMJ over the past several months. In addition to providing this information, the Patterns of Practice Committee provides a range of support, including:

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Carbapenemase-producing organisms (CPOs) are bacteria with an acquired genetic resistance to broad-spectrum antibiotics, including the carbapenem family of drugs. Provincial data from as early as 2008 indicate that CPO-harboring bacteria were initially introduced into BC's health care system by travelers returning from endemic regions who often had exposures to invasive health care procedures. To date, the most frequently identified CPO genes in BC include the New-Delhi Metallobetalactamase (NDM), Klebsiella pneumoniae carbapenemase (KPC), and OXA-48 genes.

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References