November

Diabetes is a chronic metabolic disease that is becoming more common in British Columbia, with predicted prevalence rates rising from 8.3% in 2013 to 10.3% in 2020.[1] The complications of diabetes contribute significantly to morbidity and mortality, and increase the cost burden to patients, our medical system, and society as a whole.[2,3] Primary care physicians manage the majority of people living with diabetes, and more than 20% of a typical physician’s caseload will likely involve caring for people with either diabetes or prediabetes

Dr Eric Cadesky

We don’t have an aging health care system as much as we have an outdated collection of silos where excellent work is done, but rarely connected or scaled.

References

Physicians in Nanaimo have recently completed a prolonged struggle with a difficult bureaucracy about a poorly designed hospital computer system. Our persistent and perceptive leaders have persuaded the government to remove the most dangerous aspects of this system, those which created real hazards for hospitalized patients. While we worked toward solving this problem, I was reminded of a previous fight against bureaucracy in Nanaimo, and offer this brief history.

hidden

British Columbia is one of Canada’s wealthiest provinces. So why do people with diabetes fare so poorly here?

hidden

References