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HLTA02H3 (60)

study guide

5 Pages
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Department
Health Studies
Course Code
HLTA02H3
Professor
Dan Silver

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Lecture 10 HLTB03
Most patients are getting priority procedures on time within medically recommended
wait times
oWait times are shorter in the larger provinces e.g. BC, ONT, and Quebec
o98% of all Cdns who needed cancer radiation treatment received it in a
clinically recommended time frame
98% in Nova Scotia and 100% in Manitoba
oCataract surgery 83% ppl received it on time
48% in Alberta and 98% in New Brunswick
oBetter wait times reported for hip replacement than knees (hip>knee)
Best place for hip replacement? PEI 90%
Best place for knee replacement? Quebec 83%
oBypass surgery
98% of patients receive within clinically recommended time
regardless of where they live
oLonger wait time for MRI than CT scans
Time: MRI<CTI
In Ontario, there is increasing access to certain cancer drugs
oPolicy change in Ontario comes after 35 year old woman fighting to get a
certain drug Herceptin
Insurance only paid for the drug when tumour for breast cancer was
only 1 cm whereas hers was ½ cm. Now one can access drug coverage
even if tumour is smaller than 0.5 cm
Jill Anzerut
Federal govt has created MS monitoring system in response to Paolo Zambonis
controversial treatment which targets blood flow in the brain and cardiovascular
problems
www.notesolution.com
oZamboni suggests its not an autoimmune disease, but rather some kind of
vascular disease. Fed government does not want to sponsor the trial until
scientific evidence is provided
Zambonis treatment includes liberating the veins in the neck,
CCSVI
CCSVI: Chronic Cerebral-Spinal Venous Insufficiency
22,000 signed up for trial in Hamilton
oMS Monitoring System: track MS disease prevalence in the country and
keep tabs of which treatment most effective
in order to improve MS treatment cause current treatment is
ineffective
Dr. Robert MaCintyre
oInsulin plays a role in triggering mood disorders and metabolic changes
in the brain
oProzak no longer effective for depression
oMt. Sinai gave a bipolar patient insulin through inhaler
Great improvements
oCorrelation between obesity, diabetes, and depression
50-75% of patients with diabetes and depression are overweight
Singulair (Montelukast Sodium)
oLeutokriene receptor antagonist
oPrescribed for asthma in patients 2 years of age and older
Also for seasonal allergies in patients 15 and older
oAdverse reaction to improper use
Was made available to 12 month old babies
Risk of depression and suicide
www.notesolution.com

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Description
Lecture 10 HLTB03 Most patients are getting priority procedures on time within medically recommended wait times o Wait times are shorter in the larger provinces e.g. BC, ONT, and Quebec o 98% of all Cdns who needed cancer radiation treatment received it in a clinically recommended time frame 98% in Nova Scotia and 100% in Manitoba o Cataract surgery 83% ppl received it on time 48% in Alberta and 98% in New Brunswick o Better wait times reported for hip replacement than knees (hip>knee) Best place for hip replacement? PEI 90% Best place for knee replacement? Quebec 83% o Bypass surgery 98% of patients receive within clinically recommended time regardless of where they live o Longer wait time for MRI than CT scans Time: MRI
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