White Coat, Black Art

In Quebec, family medicine is the latest troubling frontier in a two-tier system that's been quietly growing for years. Dr. Brian Goldman visits Clinique Santé Plus in Vaudreuil to learn why the clinic's youngest doctor turned away from the public system. Two patients - one languishing on a waitlist for a family doctor, and one who can never reach hers - explain why $150 is worth 15 minutes with a private family doctor.

For decades, Ian Stedman lived with severe rashes, constant joint pain, red eyes and debilitating migraines. He saw dozens of doctors, but no one knew what was wrong with him. So he gave up. But when his infant daughter started showing the same symptoms, he turned to the internet. After a lot of research, he successfully diagnosed himself with a disease so rare, only one in a million people have it.

Pete Pearson, 74, is not ready to die. He was diagnosed six years ago with idiopathic pulmonary fibrosis, which has an average survival rate of 2-3 years after diagnosis. He knows he's on borrowed time, and has been dealing with anxiety and depression. That’s why he's seeking approval from Health Canada to use psilocybin as part of a treatment called psychedelic-assisted psychotherapy. His son Blake, who is also a family doctor, believes it can help his dad live the rest of his life to the fullest.

They needed certainty. They got chaos. For over a decade, countless people from at least five different countries put their trust in a company offering prenatal paternity tests. It promised clients “99.9% accuracy” — but then routinely, for over a decade, identified the wrong biological fathers.

Investigative journalists Jorge Barrera and Rachel Houlihan track down the people whose lives were torn apart by these bad results, the shattered families and acrimonious court cases that followed, and the story behind the company that continues to stand by its testing and is still operating today.

More episodes of Uncover are available at: https://lnk.to/AiF3rdPo

Many women report sexual health difficulties and don’t always know where to go for help. A small cadre of Canadian doctors specializing in women’s sexual health is trying to change that. They’re helping patients boost pleasure, while empowering them to get to know their sexual anatomy.

When the last full-time doctor left the small town of Carberry, Manitoba in 2023, the responsibility of providing healthcare was left on the shoulders of nurses. In our second show from Carberry, Dr. Brian Goldman learns from a retired nurse just how robust rural healthcare once was. And when Brian witnesses a health emergency first hand, he sees the toll a town without doctors is taking on one nurse practitioner.

Like many Canadian small towns, Carberry, MB had become a healthcare desert. In 2023, the small ER closed and the last doctor left. Carberry embarked on the fight of its life to get healthcare back. And now, just days before the first of two new MDs starts work, Dr. Brian Goldman visits Carberry to learn about the Herculean efforts it takes for one town to reinstate healthcare, and make sure they don't lose it again. 

When Mary Jarratt's brother, Billy, had a debilitating stroke at the age of 58, she was thrown into the role of power of attorney. That meant making significant decisions on Billy's behalf, including his personal care, the care of his high school-aged son, and whether to sell the family home. It has taken a physical and emotional toll on her and she wants people to know what they’re getting into when they sign up to be a POA.

When he's not working in the ER, Dr. Nicholas Sparrow spends his spare time in a surprising way. He responds to critical threat-to-life calls as a volunteer through the Kootenay Emergency Response Physicians Association (KERPA), a charity he created. Dr. Brian Goldman rides along on one of Dr. Sparrow's shifts to learn how - and why - he does it.  

Companies are spending big bucks advertising weight-loss drugs like Rybelsus and Ozempic. But in Canada, "reminder ads" can give only the medication's name, not what it's for, telling people to ask their doctor for more. Special guest Terry O'Reilly, host of CBC's Under the Influence, says it can result in bad ads that turn people off, while pharmaceutical policy expert Barbara Mintzes says reminder ads can do more harm than good.

A first-of-its-kind medical school, part of Queen's University in Ontario, is recruiting and training students with the sole intention of graduating family doctors. But can it prepare them for the daily realities of the job?

Every two weeks, tenants of a Toronto Community Housing high-rise benefit from an on-site food bank. It's run by an embedded healthcare team, to build trust and get people the help they desperately need.

A behind-the-scenes chat about the making of the CBC collaboration "Overheated" where White Coat, Black Art, What on Earth, and Quirks and Quarks explore how heat is affecting our health, our communities and our ecosystems.

How far would you go to test your body in extreme heat? Ironworker apprentice Britnee Miazek travels hundreds of kilometres to Brock University in St. Catharines, Ontario for a gruelling experiment to see how her body deals with high temperatures. She wants to find out why she stopped getting her period while working in sweltering conditions on a coke oven. Researchers are hoping to find answers for Britnee, and understand more about the long-term health effects of working in an increasingly hot environment.

This episode is part of a CBC collaboration called "Overheated" where White Coat, Black Art, What on Earth, and Quirks and Quarks explore how heat is affecting our health, our cities and our ecosystems.

Pediatrician and vaccine scientist Dr. Peter Hotez warns the anti-vaccine movement has morphed into a dangerous anti-science force. In The Deadly Rise of Anti-Science: A Scientist's Warning, Hotez says failing to act now will threaten governments’ ability to fight serious infectious diseases.

The CBC’s Julianne Hazlewood takes us on a familiar journey that for her is filled with uncertainty and peril. Julianne is in the late stages of pregnancy. She also has epilepsy. For additional support, she joined a research program called The Lullaby Project. It paired her with a musician to help her write and record a song to soothe her baby, and her fears.

Childhood neglect and abuse can lead to serious health problems in adults. Toronto psychiatrists Dr. Bob Maunder and Dr. Jon Hunter are calling for radical change to deal with this national epidemic in their new book, "Damaged: Childhood Trauma, Adult Illness, and the Need for a Health Care Revolution."

Some doctors believe a minor gynecological procedure called an opportunistic salpingectomy can reduce dramatically the risk of ovarian cancer.

Scott Hedlund and David Broman design, build, fit and fix prosthetic appliances like artificial limbs. They talk about the challenges and joys of their jobs.

When cancer patients receive chemotherapy, they often lose their hair, and that can wreak havoc on physical and mental health. Cairo Gregory was just 15 when she got ovarian cancer. Chemotherapy meant she lost her long curly hair just when she started to love it. She struggled to find a suitable wig through the hospital. She says the healthcare system must do more to help women deal with hair loss, especially young Black women like her.

Esther Schreiber felt like the luckiest woman when she married her sweetheart Eddi. They enjoyed a busy life until he was diagnosed with young onset dementia a decade ago. Now he's almost completely non verbal. The caregiving demands are all-consuming but she draws inspiration and support from other spouses.

Primary care providers don’t always recognize menopause symptoms for what they are, focusing instead on whether they’re a sign of a more serious problem. Not all know that menopausal hormone therapy is a safe and effective treatment for many women. We explain why that’s the case, and the range of treatments that can help women.

When famed British neurosurgeon Henry Marsh was diagnosed with advanced prostate cancer, he was forced to confront aging and his own mortality. Marsh reflects on both in his book, And, finally: Matters of Life and Death. 

Canada’s nursing shortage is so dire that many provinces are stepping up efforts to recruit nurses from the Philippines. And as producer Stephanie Dubois discovered from Manila, that recruitment process is a well-oiled machine with a lot of players involved. From the Philippines government, to recruiters, to nursing schools, the message to nurses is clear: better opportunities only exist abroad.

Health-care workers are making sure they're ready for increasingly severe wildfire seasons. An EMS manager and hospital co-ordinator share how they evacuated high-needs patients from northern Alberta towns affected by wildfires in 2023. And how their best practices have already been tested this year.

Dr. Erin Sullivan worked a gruelling schedule as a family doc in rural Saskatchewan, struggling to balance ER shifts with a busy family practice–while lacking the system support she craved. She explains why she decided to retool her career when it had barely started.  

A single book can have the power to help us heal. A panel of celebrated physicians and nurses, along with members of the audience, weigh in on the books that inspired them at a live event recorded at Hamilton’s Central Library, hosted by Dr. Brian Goldman. 

Judith Morrison needs a kidney. While she's on dialysis, her sister Catherine is putting out a public plea for a living donor. But the search has been hard. And if they do find a donor, the sisters say that person will have to go through a long and opaque testing process - one that experts say needs to be improved across Canada.

Provinces are permitting pharmacists to prescribe for minor ailments, but in Alberta, pharmacists have been doing that and much more for 15 years. Because of their expanded powers, they’re filling gaps in health care. But it’s raising questions about the line between pharmacists and family doctors.

Sharon Chakkalackal was diagnosed with Young-Onset Parkinson’s at 38. Now, two years later, Sharon’s life is transformed – but not for the worse. Her days are filled with self-care, including exercise and community involvement, to treat and slow her symptoms. Dr. Brian Goldman joins Sharon on her volunteer gardening shift to learn how she's gleaning good from the not-so-good.

At 28 years old, Dr. Soania Mathur was building her medical practice and expecting her first child. Then, she was diagnosed with Young-Onset Parkinson’s Disease. She tried to ignore her diagnosis for a decade, but as the symptoms progressed, she had to close her practice. Now, the self-described "Unshakeable MD" uses her experience as both a patient and a doctor to advocate for especially young people living with Parkinson's, as up to 10% of patients are under 40.

Attracting a family doctor to work in a community is challenging, with fewer physicians choosing family medicine. That's why Cheryl Gnyp, the recruiter for Castlegar, B.C., needs to stand out. She uses the board game Operation and specialized coffee as part of her 10-minute sales pitch to potential recruits at conferences. It can take years before a doctor starts working in the community, but she’s in it for the long haul.

The climate is changing. So are we. On What On Earth, you’ll explore a world of solutions with host Laura Lynch and our team of journalists. In 1970, 20 million people showed up to fight for the environment on the first Earth Day. More than five decades later, is it time for this much tamer global event to return to its radical roots? 

OG organizer Denis Hayes recounts how – amidst other counterculture movements at the time – his team persuaded roughly one in ten Americans to take to the streets. As he approaches 80, Denis offers his singular piece of advice to the next generation of climate leaders. Then, environmental warriors Maria Blancas and Axcelle Campana share ideas on what a reinspired Earth Day could look like – including making it a public holiday.

More episodes of What On Earth are available at: https://link.chtbl.com/L2RFol4W

We love to hear from our listeners and regularly feature them on the show. Have a question or idea? Email Earth@cbc.ca

And if you’d like to learn more about the very special guest Dr. Goldman mentioned, please check out this classic episode of White Coat, Black Art.

Amie Archibald-Varley and Sara Fung are registered nurses who advocate for better healthcare on The Gritty Nurse podcast. Now they’ve published a book called The Wisdom of Nurses: Stories of Grit from the Front Lines. They join host Dr. Brian Goldman for a chat about why nurses make incredible leaders, and how healthcare can improve when we listen to nurses.

Newfoundland and Labrador leaders are ramping up virtual care for the thousands of residents without a family doctor. They’ve turned to private company Teladoc Health Canada to not only have doctors see patients virtually but also fill in on remote and rural ERs, for the next two years. But medical associations say it comes at the expense of recruiting and retaining healthcare workers long-term, and patients aren’t getting the care they need.

A restaurant in Muskoka, Ontario is doing its best to respond if necessary, after the slate of poisonings with a more dangerous form of fentanyl in Belleville. A manager and employee have taken training to accompany their new naloxone kit. But the deputy chief paramedic says the best hope to save people may be to teach bystanders to do CPR and rescue breathing and not flee the scene.

A unique medical team in the UK is able to treat hospitalized patients in their own homes. The team can make a diagnosis in the field, so they can offer treatment on the spot. The result? They're providing the same volume and complexity of care as a 20-bed ward, active 24/7. And it’s cheaper.

As a rapper, Bishop Brigante is no stranger to on-stage battles. Now, the 45-year-old is battling Stage 4 colon cancer, which he says was caught too late. Bishop wants Canadians to have easier access to colonoscopies and says advocacy has given him newfound purpose.

The burden of loneliness on seniors is real and well-documented. That’s why med students at McMaster University in Ontario are visiting a seniors’ home one Saturday a month… not with clipboards, but with emery boards. With manicures comes conversation – helping seniors feel less isolated, and helping med students “polish up” on their soft skills.

Receiving a cancer diagnosis and trying to weave through the health-care system can be confusing and frustrating. That’s where cancer patient navigators come in. They’re the person who takes your calls and listens when it seems like no one else will, and they’re the nurse who wants the best for their patients. They're not available to everyone in Canada — but both navigators and their patients think they should be.

Manitoba nurse Jennifer Noone was assaulted outside her hospital’s staff entrance, leaving her with a concussion and PTSD. She took the unusual step of having her assailant charged with assault. Now, she’s advocating for better protection against violence in hospitals, which nurses' unions say is on the rise. 

Dr. Kate Greenaway is devoted to providing gender-affirming care to the trans and nonbinary folks who desperately need it. But with ever-increasing wait times and a lack of funding, she’s done something she never thought she’d do: go private. And as this care falls increasingly under threat in Canada, Kit Sparrow explains how Dr. Greenaway’s clinic saved his life – even though he feels he should have never had to pay for it.

People with complex medical needs are welcome at Centretown Community Health Centre in Ottawa, one of about 120 CHCs across Canada. Teamwork by nurses, dietitians and others frees up family physicians to focus on patients, not paperwork.

Women are advocating for regular breast cancer screening to begin at age 40, pushing back against the Canadian Task Force on Preventive Health Care guidelines that recommend starting at age 50. They’re fighting for their voices to be heard, as the taskforce reviews its guidelines.