December 09, 2018
Wherever we work in resource poor healthcare settings a priority remains to focus on education initiatives in an attempt to leave behind expertise on the ground. The work needs to continue and the patients needs to be cared for whether or not I or my colleagues are on the ground. In Malawi we have had modest success in teaching some basic urological procedures to clinical officers. Ultimately though we need to have locally trained urologic surgeons work in Zomba to continue the care day to day. The College of Surgeons of East, Central and Southern Africa (COSECSA) provides an opportunity. I have written about COSECSA in previous blogs. Dr Chisenga is the first to benefit from the fund we have established at the University of Toronto as we invest in specialty surgical training. I am very excited to see him graduate at the end of 2019 and come back to build on what we have started in Zomba, Malawi. Please view this video to see what the support means to Dr Chisenga. More information about COSECSA can be found at: http://www.cosecsa.org/
December 28, 2016
I was invited again in May 2016 to speak to the PCCN Toronto Support group. With so many things changing in prostate cancer and guest speakers describing new therapies and findings I thought I would use the opportunity to reflect on my career in caring for men with prostate cancer. it is as much about what I have learned from patients and their families. I was recovering from a bout of laryngitis so please forgive the strained voice!!
June 26, 2016
The prevalence of HIV in Malawi is staggering. The work of Dignitas International has led to a significant improvement in the lives of many. Watch here as I interview Brave Nyierenda as he describes the particular importance of looking after both the physical and emotional health of kids age 10-19 infected with HIV
December 03, 2015
On Dec 2 The Toronto East General Hospital, an important institution in the delivery of healthcare in Toronto received and extraordinary gift of $50 million dollars from Berna and Myron Garron in memory of their son Michael Read my thoughts on the day from the same day on my blog page.
November 01, 2015
Movember is an international campaign that promotes awareness for and advocates for Men's health issues. This creative video sets a nice tone for the 2015 campaign. Enjoy!
November 10, 2014
The trend in surgery over the last 25 years has been to progressively complete tasks through smaller incisions- a 'minimally invasive way' The goal is to improve recovery and hopefully lessen side effects. This video describes a typical robotic prostatectomy as performed by colleague Dr Declan Murphy from Melbourne Australia
November 08, 2014
There is much controversy about the use of the PSA test in prostate cancer detection. A simple blood test it clearly has improved our ability to detect prostate cancer early and mortality rates have been reduced. The controversy stems from the fact the many prostate cancers are slow-growing and do not require treatment. Furthermore treatments is often overprescribed and associated with the potential for significant side-effects. This piece by Dr Evans provides a nice perspective
August 17, 2014
Please have a look at this talk that i h=gave on behalf of Prostate Cancer Canada to a patient group on May 30, 2012. Many nuances remain to prostate cancer detection. It is important to have a conversation with your primary care physician to better assess your risk
August 12, 2014
As part of the TEGH innovation fair a panel on the use of social media in healthcare was convened on June 19, 2014. The three panel members include a patient and PR perspective as well as myself. Comments welcome