Children's Mental Health: Is Poverty the Diagnosis?
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Telephone-based interpretation in October 2016; 58: 8 family physician offices in BC Pages 433–488 Electronic wound monitoring after breast cancer surgery Chikungunya: A disease risk for Canadians traveling in the tropics Children’s mental health: Is poverty the diagnosis? bcmj.org October 2016 Volume 58 • Number 8 contents Pages 433–488 A R T I C L E S 442 A pilot study of telephone-based interpretation in family physician offices in British Columbia Patricia Gabriel, MD, Adaora Ezeaputa, MD, Cristina Liciu, MD, Sarah Grant, MD, Sarah Grant, MD, Emma Preston, MD Established 1959 448 Electronic wound monitoring after ambulatory breast cancer surgery: Improving patient care and satisfaction using a smart phone app Hamish Hwang, MD 454 Children’s mental health: Is poverty the diagnosis? Ivana Jakovljevic, MD, Ashley P. Miller, MDCM, Barbara Fitzgerald, MD 461 Chikungunya: A disease risk for Canadians traveling in the tropics Derryck H. Smith, MD, John P. Wade, MD ON THE COVER: Children living in poverty have higher O P I N I O N S rates of mortality, hospital- ization, asthma, obesity, and Editorials psychiatric conditions. Phy- 436 sicians can give them a Not an all-access pass, David R. Richardson, MD (436) hand up by screening for Anonymity, Anne I. Clarke, MD (437) poverty and making treat- ment recommendations that address the family’s lack of 438 Personal View income and resources. Arti- I wash my hands of this: A plea for emotional hygiene cle begins on page 454. Justine Spencer, MD 439 President’s Comment Opioid prescribing: The profession and the patients we serve and support Alan Ruddiman, MBBCh, Dip PEMP, FRRMS 486 Back Page Proust Questionnaire: David Patrick, MD ECO-AUDIT: Environmental benefits of using recycled paper D E P A R T M E N T S Using recycled paper made with post- consumer waste and bleached without the use of chlorine or chlorine compounds results in 440 BC Centre for Disease Control measurable environmental benefits. We are pleased to report the following savings. Incidence of infectious syphilis continues to increase in BC • 1399 pounds of post-consumer waste used Christine Lukac, MPH, Troy Grennan, MD, Muhammad Morshed, PhD, instead of virgin fibre saves: • 8 trees Jason Wong, MD • 760 pounds of solid waste • 837 gallons of water • 1091 kilowatt hours of electricity (equivalent: WorkSafeBC 1.4 months of electric power required by the 465 average home) Canadian Chiropractic Guideline Initiative for effective knowledge • 1382 pounds of greenhouse gases (equivalent: Jeffrey A. Quon, FCCSC 1119 miles traveled in the average car) translation, • 6 pounds of HAPs, VOCs, and AOX combined • 2 cubic yards of landfill space College Library Environmental impact estimates were made 466 using the Environmental Paper Network Paper ClinicalKey is mobile Calculator Version 3.2. For more information visit www.papercalculator.org. Karen MacDonell, PhD 434 BC MEDICAL JOURNAL VOL. 58 NO. 8, OCTOBER 2016 bcmj.org #115–1665 West Broadway, Vancouver, BC, Canada V6J 5A4 Tel: 604 638-2815 or 604 638-2858 Fax: 604 638-2917 E-mail: [email protected] Web: www.bcmj.org contents D E P A R T M E N T S ( Continued) 467 Pulsimeter BCMJ survey: Thank you and congratulations (467); Order of Canada recipients (467); Congratulations to all 2016 CMA Honorary Membership Award winners (467); Two BC docs EDITOR recognized by their Alberta alma mater (467); Private wide-area David R. Richardson, MD network technical support available (467); STI testing and cervical EDITORIAL BOARD cancer screening: Need for continued STI screening among young David B. Chapman, MBChB people in the era of new cervical cancer screening guidelines, Dirk Anne I. Clarke, MD Brian Day, MB van Niekerk, MD, Troy Grennan, Gina Ogilvie, MD (468); BC at GC: Susan E. Haigh, MD Home sweet home, Eric Cadesky, MD (469); Seeking nominations Timothy C. Rowe, MB for Doctors of BC 2017 awards (469); Online resource simplifies Cynthia Verchere, MD Willem R. Vroom, MD billing codes (470); Transitioning patients to the Modernized (470); MANAGING EDITOR Reference Drug Program CareCard to be retired in February Jay Draper 2018 (470); Crohn disease discovery (472); A virtual scalpel for SENIOR EDITORIAL AND UBC medical students (472); Noninvasive technique to monitor PRODUCTION COORDINATOR migraines (472); Synthetic heart valves to help improve surgical Kashmira Suraliwalla skills (473) ASSOCIATE EDITOR Joanne Jablkowski Calendar COPY EDITOR 474 Barbara Tomlin Council on Health Promotion PROOFREADER 477 Ruth Wilson Driving stoned: Marijuana legalization and drug-impaired driving Chris Rumball, MD DESIGN AND PRODUCTION Scout Creative Classifieds COVER CONCEPT 479 & ART DIRECTION Jerry Wong In Memoriam Peaceful Warrior Arts 482 Dr D’Arcy D. Lawrence PRINTING Richard Mark, MD Mitchell Press ADVERTISING Billing Tips Kashmira Suraliwalla 484 604 638-2815 Advice about a patient in community care (fee item 13005) [email protected] Keith J. White, MD ISSN: 0007-0556 484 Advertiser Index 485 Club MD Advertisements and enclosures carry no endorsement of Doctors of BC or BCMJ. © British Columbia Medical Journal, 2016. All rights reserved. No part of this journal may be re- Subscriptions produced, stored in a retrieval system, or transmitted in any form or by any other means—electronic, Single issue ................................................................................................................................. $8.00 mechanical, photocopying, recording, or otherwise—without prior permission in writing from the Canada per year ......................................................................................................................... $60.00 British Columbia Medical Journal. 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Statements and opinions expressed in the BCMJ reflect the opinions of the authors and not neces- sarily those of Doctors of BC or the institutions they may be assoicated with. Doctors of BC does not assume responsibility or liability for damages arising from errors or omissions, or from the use of information or advice contained in the BCMJ. The BCMJ reserves the right to refuse advertising. BC MEDICAL JOURNAL VOL. 58 NO. 8, OCTOBER 2016 bcmj.org 435 editorials Not an all-access pass “ xcuse me, are you wearing one ing program in our province. SPARC snide comment, “Well, just wait until of those new Fitbits?” I asked isn’t a misspelling of a small fiery par- you get old, doctor.” Ea healthy looking woman in ticle thrown from a fire; it stands for Family members also request her 40s while shopping. Social Planning and Research Coun- parking passes for their disabled non- “Oh, yes, I am. Not only is it cil. I perused their website and a few driving relatives. They plan to use the stylish but it tracks my activity. I do rules jumped out at me. Specifically, pass when taking grandma out shop- between 5000 and 10 000 steps per only the permit holder is allowed to ping or on other errands. I frequently day,” she answered proudly. use the parking pass, and they can’t get the impression that the pass will “Wow, that’s really good, espe- use it unless they actually get out of become a well-used regular fixture in cially for someone with a physical the vehicle after parking. their vehicle. When asked why they disability,” I replied. I’m sure many of you get requests can’t drop grandma off at the door and “What are you talking about?” she to fill out the medical information then go park the car, more snide com- queried. on the SPARC application. The cri- ments drift my way. Again, the indi- “On the way in I noticed that you teria are quite strict, and I am often viduals making these requests often parked in a disabled parking spot,” I surprised by the patients who ask me have BMIs that would benefit from remarked, at which point our conver- to complete a request for a permit. I an increase in physical activity. sation came to an abrupt end. have patients who have been begging Now, the majority of the requests As I was driving up to the store all me for years to complete the form I receive are legitimate. And I am of the parking spaces were full except because walking is painful for them. I struck by the courage and fortitude of for the disabled one so I parked down have been called cruel and mean when the majority of my disabled patients the block. I was a little taken aback I decline, despite explaining that their and aging seniors who would only when this woman pulled in to the dis- obesity-related illnesses of diabetes apply for a permit as a last resort, abled spot and came into the store I was and mechanical back pain would be and often have to be coerced into tak- in. Perhaps I shouldn’t have said any- better served by parking as far away ing this necessary step. I hope to act thing, but I get tired of the way people as possible and walking. similarly if I am faced with new chal- misuse these parking passes.