Digital Storytelling and Dialogue to Support Culturally Safe Health Care for Indigenous Patients
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April 2020: 62:3 Pages 81– 120 Digital storytelling and dialogue to support culturally safe health care for Indigenous patients IN THIS ISSUE COVID-19 pandemic information and resources Assessing the impact of a nursing model of care on rheumatology practice patterns and patient satisfaction Changing drug policies: Ending the crisis Group medical practice is the natural evolution of medicine bcmj.org BC MEDICAL JOURNAL VOL. 62 NO. 3 | APRIL 2020 81 Doctors of BC Links and resources for COVID-19 Doctors of BC is taking active steps to support members with respect to coronavirus (COVID-19). Work includes advocacy on behalf of physicians with government, the provincial health officer, and health authorities, as well as ensuring members have access to appropriate benefits and insurance. An information resource from Doctors of BC, updated regularly: www.doctorsofbc.ca/covid-19 This page has information on: • COVID-19 changes to billing • Virtual care support • President’s Letters • Insurance updates • Support for physicians feeling stress during COVID-19 For questions or concerns about COVID-19, contact us directly at [email protected]. 82 BC MedicaL JOURNAL VOL. 62 NO. 3 | APRIL 2020 April 2020 Volume 62 | No. 3 Pages 81–120 Group medical practice, believes Dr Mark Elliott, is the natural evolution of medicine. His article begins on page 106. 85 Editorials 89 BCCDC CLINICAL Whatever is popular is wrong and COVID-19: Responding to an 92 Guest Editorial: In search other pandemic reflections, David emerging respiratory pathogen, Esler, MD Alexis Crabtree, MD, Alexandra of collaboration between Using our position to spread kindness Choi, MD, Althea Hayden, MDCM, Indigenous traditional practices and acceptance, David Richardson, Réka Gustafson, MD, Bonnie and Western medicine, Kendall MD Henry, MD Ho, MD, Gerry Oleman 87 President’s Comment 90 College Library 94 Digital storytelling and Physician wellness, Kathleen Ross, MD Rural medicine and the College dialogue to support culturally Library, Paula Osachoff safe health care for Indigenous 88 Letters patients in British Columbia, E-cigarettes and youth health, 91 COHP Antonia Hyman, MSc, Elizabeth Aki Nilanga Bandara, Mehara Changing drug policies: What do we Stacy, MA, Kaitlin Atkinson, Seneviratne, Senara Wanniarachchi, need to end this heartbreaking crisis? BSc, Vahid Mehrnoush, MD Dereck Chang, MD MPaH, Helen Novak Lauscher, HLA-B*58:01 screening prior to the PhD, Jon Rabeneck, Gerry Oleman, prescription of allopurinol, Marisa Penny Cooper, MALT, Wendy Ponzo, MD-PhD, Jan Dutz, MD Young, PhD, Carol Kellman, BScN, Kendall Ho, MD Contents continued on page 84 Environmental impact Postage paid at Vancouver, BC. Canadian Publications Mail, Product Sales Agreement #40841036. Return undeliverable copies The BCMJ seeks to minimize its negative impact on the to BC Medical Journal, 115–1665 West Broadway, Vancouver, BC V6J 5A4; tel: 604 638-2815; email: [email protected]. environment by: Advertisements and enclosures carry no endorsement of Doctors of BC or BCMJ. • Supporting members who wish to read online with an e-subscription to bcmj.org © British Columbia Medical Journal, 2020. All rights reserved. No part of this journal may be reproduced, stored in a retrieval system, or trans- • Avoiding bag use, and using certified-compostable plant-based mitted in any form or by any other means—electronic, mechanical, photocopying, recording, or otherwise—without prior permission in bags when needed writing from the British Columbia Medical Journal. To seek permission to use BCMJ material in any form for any purpose, send an email to • Working with Mitchell Press, ranked third in North America for [email protected] or call 604 638-2815. sustainability by canopy.org Statements and opinions expressed in the BCMJ reflect the opinions of the authors and not necessarily those of Doctors of BC or the • Printing with vegetable-based inks institutions they may be associated with. Doctors of BC does not assume responsibility or liability for damages arising from errors or omis- • Using FSC-certified paper sions, or from the use of information or advice contained in the BCMJ. • Printing locally in British Columbia The BCMJ reserves the right to refuse advertising. BC MEDICAL JOURNAL VOL. 62 NO. 3 | APRIL 2020 83 ON THE coveR Digital storytelling and dialogue to support culturally safe health care for Indigenous patients The integration of Indigenous healing practices in the province’s health care system is being facilitated by a video that features traditional practitioners and Western medical professionals. See pages 92 to 97. The BCMJ is published by Doctors of BC. The journal provides peer-reviewed clinical and review articles written primarily by BC physicians, for BC physicians, along with debate on medicine and medical politics in editorials, letters, and Dr David Obert took additional training in prehospital and transport medicine with BC Emergency Health Services; essays; BC medical news; career and CME listings; his article about his experiences begins on page 103. Pictured: Sergeant Ashley Barker and Sergeant Scott Hoadley, physician profiles; and regular columns. both members of 442 Transport and Rescue Squadron, participating in a medical exercise at HMCS Quadra in Print: The BCMJ is distributed monthly, Comox in the spring of 2019. other than in January and August. Web: Each issue is available at www.bcmj.org. Contents continued from page 83 Subscribe to print: Email [email protected]. Single issue: $8.00 98 Assessing the impact of a 108 News Canada per year: $60.00 n Foreign (surface mail): $75.00 nursing model of care on Register now for Business Cost Subscribe to notifications: rheumatology practice Premium To receive the table of contents by email, visit n www.bcmj.org and click on “Free e-subscription.” patterns and patient Benefits of accelerated surgery with Prospective authors: Consult the satisfaction in British Columbia, hip fracture n “Guidelines for Authors” at www.bcmj.org Physical activity for prostate cancer for submission requirements. J. Connell, BSc, J. Kur, MD, patients and its effect on tumors J.H. Gurmin, LPhil n Doctors of BC governance and 103 Special Feature committee reporting structure n What patients lie to their doctors “That Others May Live”: Two weeks Editor Web and social media about, and why David R. Richardson, MD coordinator with the Joint Rescue Coordination Amy Haagsma Editorial Board Centre, David A. Obert, MD 111 Obituaries Jeevyn Chahal, MD Cover concept and David B. Chapman, MBChB art direction, Jerry Wong, 106 Premise Dr Hans Albert Witt Brian Day, MB Peaceful Warrior Arts Dr Barry King Cutler Caitlin Dunne, MD Group medical practice is the natural Design and production David J. Esler, MD Laura Redmond, Scout evolution of medicine, Mark Elliott, Yvonne Sin, MD 112 CME Calendar Creative Cynthia Verchere, MD MD Printing Managing editor Mitchell Press 114 Billing Tips Jay Draper Advertising Why become a medical inspector? Associate editor Kashmira Suraliwalla Joanne Jablkowski Nick Szpakowicz, MD 604 638-2815 Senior editorial and or [email protected] production coordinator 115 Guidelines for Authors ISSN: 0007-0556 Kashmira Suraliwalla Established 1959 Copy editor 116 Classifieds Barbara Tomlin Proofreader Ruth Wilson 84 BC MEDICAL JOURNAL VOL. 62 NO. 3 | APRIL 2020 EDITORIALS Defying understanding, COVID-19 has to Whatever is popular is wrong date essentially spared Africa, South America, Russia, and India; none of these population centres have reported 100 deaths. Also puzzling and other pandemic reflections and inexplicable has been the staggeringly di- vergent mortality of COVID-19 in neighboring 24 March 2020 countries. Italy’s eastern neighbor, Slovenia, has announced 4 deaths, while Austria has had 28. In short, this current pandemic, in keeping edical practice is challenging, never transmission apparently occurs before symp- with its predecessors, is proving to be fickle, more than during a pandemic. In toms peak. While the mortality of both patho- capricious, and utterly unpredictable. such times we turn to Sir William gens is likely 2.5% (this will never be known Much more predictable has been the MOsler for wisdom and perspective. with any certainty), they target different age medico-political response. In Canada and the In 1896, Osler observed that “Humanity groups. Spanish flu had a tragic predilection US, initial complacency has given way to a cry has but three great enemies: fever, famine, and for healthy young adults, while COVID-19 for total war against the virus. Measures that war; of these by far the greatest, by far the most preferentially targets frail elderly people. would have been inconceivable 2 months ago— terrible, is fever.” Before his death at the age of The most striking feature of pandemics is border closures, the shuttering of business and 70 in 1919, Osler had lived through the potato their unpredictability and inexplicability. The public institutions, and banning of all public famine, which dispatched some 1 million souls Spanish flu peaked abruptly in November 1918 gatherings, have been universally championed in Ireland; World War I, which claimed 10 at the end of World War I by the medical establish- million soldiers (including his only son, Revere then died out after a brief In short, this current ment, with politicians and Osler) and an equal number of civilians; and the peak in the spring of 1919. pandemic, in keeping the public joining enthu- Spanish flu, which is purported to have killed The SARS (novel corona- siastically in a deafen- with its predecessors, 17 to 100 million worldwide. virus) epidemic lasted only ing chorus: “We must do An expert in all facets of medicine, Osler 6 months, peaking in the is proving to be fickle, more!” regarded pneumonia as the “old man’s friend.” spring of 2013 then dis- capricious, and utterly This unprecedented “Pneumonia may well be called the friend of the appearing, claiming 774 unpredictable. response cannot help but aged. Taken off by it in an acute, short, not often lives worldwide.