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- 1/23/2026
A real head case
‘I’m worried Dr. Perle,’ my patient said gravely. This was unlike her; she was usually a very tough and stoic customer. ‘What’s wrong?’ I asked. - 1/9/2026
Locker-room talk
After 40 years of giving advice professionally it has become something that I cannot turn off.
- 1/23/2026
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- 1/20/2026
The coming of age
The intersection of retirement and ageing can be dangerous to your health. They are often coincidental, conjoined phases of life. - 12/3/2025
The ‘walkout clinic’
With primary care sometimes difficult to access and ER wait times high, the number of patients leaving without treatment has spiked.
- 1/20/2026
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- 2/13/2026
Can a heart be broken?
Valentine’s Day blues: A physician’s look at the physiology of a broken heart. - 2/5/2026
Confessions of an addict: From a Canadian MD who should know better
Olympians are just physicians with amazing speed, strength, cardio—and very short shelf lives.
- 2/13/2026
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- 1/22/2026
What my dog taught me (about medicine)
It was Cassie—our two-year-old chocolate Lab—who taught me how to live long and live well. - 12/15/2025
Healthcare 2.0: Can we do better?
What do I want in a healthcare system? I think everyone has different priorities, based on age, lifestyle and expectations. My list might include the following.
- 1/22/2026
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- 2/20/2026
Beginnings and endings
Lessons on letting go of the past, investing in the present, and why I’m signing up for hip-hop classes while I still can. - 2/2/2026
The power of half-assing it
Dr. Melissa Yuan-Innes discusses how she learned to give herself grace when the circumstances call for cutting corners.
- 2/20/2026
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- 2/13/2026
My predictions for 2026
Dr. John Crosby outlines his predictions in medicine for 2026, from two-tiered healthcare to ER wait times. - 1/30/2026
Tales of emergency rooms past
I remember driving into Kitchener from Cambridge on the fourth night, wishing I was a dermatologist.
- 2/13/2026
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- 8/26/2025
The perimenopause predicament
Perimenopause can be tricky, with some symptoms more easily eased than others. But there is plenty of help to offer our patients. - 5/20/2025
What every patient needs to know to act as their own navigator
When patients have help with navigating the health system, it can be hugely beneficial. But that extra help isn’t always available, so here’s my advice to patients so they can help themselves.
- 8/26/2025
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- 1/21/2026
Sex and gender differences in pain have clinical and biological implications for medical practice
Sex differences in pain prevalence, perception and response to treatment are among the most consistent findings in pain epidemiology and experimental pain research. - 10/24/2025
The other side of the fence: Referrals from a specialist's point of view
My pain clinic has done a lot over the years to streamline the referral process. Our project of an internal audit became so thorough it actually turned into a study published in the Canadian Journal of Pain. But nothing is perfect—and primary care docs and specialists can always do better.
- 1/21/2026
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- 2/18/2026
Pain without a lesion
Normal imaging can close the door on disease yet open another on dysregulation, argues Dr. Ginevra Mills. - 2/3/2026
When the zebra is real
Dr. Ginevra Mills argues we need to reclaim clinical curiosity in a system designed for closure.
- 2/18/2026