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Casebook of a Community Internist

Blogs

  • 6/20/2022

    Time is muscle

    A new approach to myocardial infarction and stroke—all in Dr. Hector Baillie’s lifetime.
  • 6/2/2022

    An enlightening first day in the office

    Back to in-person consults, a concerning patient keeps Dr. Hector Baillie ruminating into the wee hours of the morning.
  • 5/23/2022

    Atrial fibrillation: the beat of a different drum

    Even in allaying patient fears, Dr. Hector Baillie discovers no one is immune to this cardiac condition.
  • 5/18/2022

    Why are we still smoking?

    Dr. Hector Baillie recounts the long history of the smoker whose vice continues to plague too many of us today.
  • 5/9/2022

    Is misinformation the social disease of our times?

    Dr. Hector Baillie argues that social media is eroding patient trust and unravelling society as we know it.
  • 4/29/2022

    Handling fear—carefully

    Dr. Hector Baillie was well into residency when it happened. A patient with liver failure. Gastroenterologist unavailable but said, 'you’ll have to put down a Sengstaken-Blakemore tube, and call me back.'
  • 4/22/2022

    Scottish patter

    Dr. Hector Baillie reminisces about amusing times when his Scottish vocabulary and accent bemused Canadians.
  • 1/23/2022

    Trust me, I'm a doctor

    You don't have to look too far to see the erosion of trust. The most frightening example is the COVID anti-vaxxer. I have spoken to a few: I try not to argue, just engage in respectful conversation. . . and find myself biting my tongue.
  • 12/31/2021

    All in the family

    My daughter had spent some time in Central America. The day she came home, she wasn’t her usual buoyant self. “I’m not hungry," she said, "and I have a sore tummy.” I learned that no parent should be in the position of being father and doctor to his adolescent child.
  • 12/20/2021

    It's a dog's life

    At the end of my career, I gravitated towards heart failure work and spent 11 years running a heart-function clinic. And jings crivens, would you believe it? My dog, Cassie, gets a check-up and the chest X-ray shows a huge cardiac silhouette.
  • 11/25/2021

    My experiences of dying

    The death of one of our patients is often considered a failure to maintain longevity. It’s not a topic for discussion at the dinner table, or in the office. But, sometimes we need to go to difficult places.
  • 11/5/2021

    Thoughts on the Triple Aim

    We think we are doing a great job, but quite honestly, we should be investing in the root causes of ill-health and focusing on population as well as individual health.
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