Between 2009 and 2020, 20 546 people in Canada were reported to have tuberculosis.[1] However, multidrug-resistant (defined as resistance to isoniazid and rifampin) and pre-extensively drug-resistant/extensively drug-resistant tuberculosis were detected only 206 and 6 times, respectively.[1] In 2022, a World Health Organization report led to an update to the Canadian Tuberculosis Standards to revise the definitions of different categories of resistance [

Background

A young female-identifying patient presented to an emergency department in British Columbia with several years of debilitating abdominal pain. She described severe, cramping pain in her lower abdomen that increased with menstruation. She had previously seen several physicians in the United States, including two hospital admissions, during which extensive investigations were completed. No source of her symptoms had been identified and she was relying on opioid medications to control her pain. On further history, it became apparent she had never previously been offered a pelvic examination.

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References

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Where do you live?
I’m a family physician in Vancouver and have worked in community practice for many years. My practice is focused on sexual and reproductive health. I’ve been the medical director of an abortion clinic for 20 years.

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Finding literature about physician wellness has always been surprisingly challenging. To assist, the Library has created the physician wellness reading list, available at www.cpsbc.ca/files/pdf/Library-Physician-Wellness-Resources.pdf. As with all reading lists, there is an emphasis on material with a practical focus.

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