Archive for August, 2015

Teaching at Oregon Health & Science University (OHSU)

Posted by on Aug 11 2015 | Facial Pain/Trigeminal Neuralgia , Health Care , In Hospital , MS , MS Webinars & Videos , Presentations, Workshops. Media , Public Speaking , Videos & Webinars worth watching

OHSU

I was invited to speak in Portland at OHSU on August 3, 2015 about my experience in the health care system and the difficulties I encountered along the way. This was an enrichment week for 2nd year medical students at OHSU and attendance was voluntary.

The tech people at OHSU provided me with a link to my talk — it’s about an hour. Perhaps there will be an opportunity for me to do this in Vancouver. I’m not sure how long it will be available online. I hope there is a way to get a digital copy of the talk.

At the very end I talk about the lack of a swallowing assessment by swallowing experts in Vancouver but I do not name the hospital. I also go into a fair bit of detail about the errors that Dr. E. made in the initial consult report that coloured my whole stay in that hospital, although a senior internal medicine doctor had the opportunity to be a bit more inquisitive and wasn’t. I think Dr. E. demonstrated “anchoring bias”, “premature closure” and “confirmation bias”. In other words, he didn’t think when he evaluated me. (For more discussion on diagnostic errors, there is a great post here .) And it was likely compounded by the the neglect of the neurologist who failed to take my complaints seriously in the fall of 2011.

Marc Gosselin (radiologist) introduces me at about 3:00. I start at about 5:00 and go to 1:07:00.

The link below takes you to where you can see two screens — one of my powerpoint slides and the other of me in the classroom while I speak.

https://echo360ess.ohsu.edu:8443/ess/echo/presentation/accc0447-e32f-473c-bd66-d9149ac4f027?ec=true

This next link just shows you the powerpoint slides and you hear my voice only.

One of the concepts Dr. Gosselin wanted them to really understand was “diagnosis momentum” in my long journey to diagnosis. And he could not believe that we have a practising neurologist in Vancouver at VGH who cannot diagnose MS with an MRI!

I received great feedback from the students. One came up afterwards and told her own story of not being listened to before being diagnosed with a serious medical condition. And another female student wrote to me:

I am one of the second year medical students that came to your lecture today at OHSU. I just wanted to say thank you for coming to speak with us. I was so moved by your story–it is one that I will carry with me throughout my career.

We had a bit of fun while in Portland . . . for a future post!

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Why does the MS Society of Canada help promote unhealthy food?

Posted by on Aug 10 2015 | MS

poutineMS

This past year, the MS Society of Canada has embarked on a new fundraising strategy to appeal to “Canadians.” At first I thought it wasn’t a bad idea since the rate of multiple sclerosis is higher in Canada than anywhere else in the world.

The intent was to challenge us to raise money to help research and to find a cure. Yet, the search for a cause seems to have taken a back seat to the search for a cure, much like the idea of conquering cancer.

Coming soon is a day across the country where people are encouraged to eat fast food and one dollar for one type of burger sold will be donated to the MS Society. I didn’t support it last year and thought it was easy enough to ignore and suggest that people donate a dollar or more directly to the MS Society and spare the assault on their health.

But this year, the promotion is even a bigger deal, along with a sadly-misguided long video showing people in wheelchairs and MSers in tears at A&W.

Yes, a cure would be wonderful and would mean so much to all of us affected with the horrible disease.

But all I could think when I saw this video was how sad and distressing it was that many of the very things that are implicated in poor health are promoted in this video by encouraging poor nutrition and eating junk food.

As a die-hard supporter of Dr. Terry Wahls , the doctor who got herself out of a wheelchair by eating for nutrient density, I don’t understand why the MS Society thinks it’s all right to enter into this type of fundraising partnership.

Instead of eating an unhealthy meal on August 27, please use your money to buy some organic food for yourself and your family and take steps to stop this epidemic of disease in Canada.

If you want to fund research, please donate to organizations who are funding nutritional research. In Canada, try Direct-MS . Or you can donate directly to The Wahls Foundation in the US.

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