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Climate change

Climate change CMAJ Letters The inverse groups? Fear of statins? goal is – and should always be – patient care. When I was a student, I was told Lee and colleagues (Improving the Congratulations CMAJ on adding to by a more senior trainee: “Remember, quality of care for infants: a cluster ran- the fear of myopathy with statin ther- at the end of the day, you are ultimately domized controlled trial, Aug. 10 apy based on the article by Mohaupt et responsible for your own education.” I online) have presented an intriguing al (July 7). Nowhere is it mentioned took this advice to heart and I would evaluation of 2 QI interventions in their how frequent statin myopathy might strongly advise current trainees to do NICUs. The pulmonary group imple- be. And in the groups with statin the same. mented only 23% of their own selected myopathy, most were concurrently tak- Raj S. Padwa potentially useful practices, but with ing drugs known either to cause University of Alberta good effect. The infection group myopathy or increase the risk with showed no pulmonary change. Collec- statin therapy. So, what comes out in For the full letter go to: www.cmaj.ca/cgi/eletters tion and presentation of the NI group's the popular press: “Cholesterol pills /180/12/1272#163379 pulmonary practices would have can be a pain”; “Cholesterol drugs DOI:10.1503/cmaj.109-2012 enhanced the reader's ability to judge linked to long-lasting muscle injury”. which of the implemented practices Why didn’t the reviewers and editors were associated with change. I would of CMAJ ask to see more results on encourage the investigators to make patients with myopathy just on statins? Climate change these data available. For now, patients will be stopping medications without physician supervi- Dr. Mehta’s article (Salon, May 26) David D. Wirtschafter, MD sion or questioning their physicians’ opens with the statement: “Most people, Valley Village, Calif. USA judgment and recommendations. except perhaps a few diehard oil execu- tives, have accepted that climate change For the full letter go to: www.cmaj.ca/cgi/eletters David Miller MD FRCPC Cert Endo is largely due to human activities.” Four /cmaj.081727v1 Vancouver Island Health Authority hundred years ago, “most people” Victoria, BC DOI:10.1503/cmaj.109-2016 accepted that the earth was flat and that the sun revolved around it. I am no For the full letter go to: www.cmaj.ca/cgi/eletters Dying for knowledge authority on climate change but I do /181/1-2/E11#140400 believe that the question is by no means DOI:10.1503/cmaj. 109-2013 Re: Defining knowledge translation, as settled as the author assumes. I would Aug. 4 strongly urge anyone who has doubts to At every stage in the knowledge read Lawrence Solomon’s book The cycle, there are barriers and chal- Is the tail wagging the dog? Deniers. Solomon presents opposing lenges that are consistently greater in views of various important scientists. developing countries. This means that Re: The 10 000-hour rule and residency Martin Gough MB BCh FRCS(C) people in developing countries are training, Salon, June 9 Victoria, BC dying for lack of knowledge. To As a relatively recent graduate, I would explore these issues in depth, I would respectfully disagree with this article. For the full letter go to: www.cmaj.ca/cgi/eletters like to invite the authors and CMAJ Dr. Omahen presumes that the primary /180/11/1176#137237 readers to join Healthcare Information objective of health care delivery is resi- DOI:10.1503/cmaj.109-2001 For All by 2015 (HIFA2015), more dent education. In fact, the primary than 2500 health professionals, researchers and publishers, supported LifeScan Canada Ltd. by the British Medical Association, WHO and others. OneTouch Dr Neil Pakenham-Walsh MB BS Charlbury, UK 4 clr. bootlug For the full letter go to: www.cmaj.ca/cgi/eletters /181/3-4/165#150685 Repeat of Sept. 1, 2009 DOI:10.1503/cmaj.109-2011 CMAJ � SEPTEMBER 15, 2009 � 181(6-7) © 2009 Canadian Medical Association or its licensors http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Canadian Medical Association Journal Unpaywall

Climate change

Canadian Medical Association JournalSep 14, 2009

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Publisher
Unpaywall
ISSN
0820-3946
DOI
10.1503/cmaj.109-2001
Publisher site
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Abstract

CMAJ Letters The inverse groups? Fear of statins? goal is – and should always be – patient care. When I was a student, I was told Lee and colleagues (Improving the Congratulations CMAJ on adding to by a more senior trainee: “Remember, quality of care for infants: a cluster ran- the fear of myopathy with statin ther- at the end of the day, you are ultimately domized controlled trial, Aug. 10 apy based on the article by Mohaupt et responsible for your own education.” I online) have presented an intriguing al (July 7). Nowhere is it mentioned took this advice to heart and I would evaluation of 2 QI interventions in their how frequent statin myopathy might strongly advise current trainees to do NICUs. The pulmonary group imple- be. And in the groups with statin the same. mented only 23% of their own selected myopathy, most were concurrently tak- Raj S. Padwa potentially useful practices, but with ing drugs known either to cause University of Alberta good effect. The infection group myopathy or increase the risk with showed no pulmonary change. Collec- statin therapy. So, what comes out in For the full letter go to: www.cmaj.ca/cgi/eletters tion and presentation of the NI group's the popular press: “Cholesterol pills /180/12/1272#163379 pulmonary practices would have can be a pain”; “Cholesterol drugs DOI:10.1503/cmaj.109-2012 enhanced the reader's ability to judge linked to long-lasting muscle injury”. which of the implemented practices Why didn’t the reviewers and editors were associated with change. I would of CMAJ ask to see more results on encourage the investigators to make patients with myopathy just on statins? Climate change these data available. For now, patients will be stopping medications without physician supervi- Dr. Mehta’s article (Salon, May 26) David D. Wirtschafter, MD sion or questioning their physicians’ opens with the statement: “Most people, Valley Village, Calif. USA judgment and recommendations. except perhaps a few diehard oil execu- tives, have accepted that climate change For the full letter go to: www.cmaj.ca/cgi/eletters David Miller MD FRCPC Cert Endo is largely due to human activities.” Four /cmaj.081727v1 Vancouver Island Health Authority hundred years ago, “most people” Victoria, BC DOI:10.1503/cmaj.109-2016 accepted that the earth was flat and that the sun revolved around it. I am no For the full letter go to: www.cmaj.ca/cgi/eletters Dying for knowledge authority on climate change but I do /181/1-2/E11#140400 believe that the question is by no means DOI:10.1503/cmaj. 109-2013 Re: Defining knowledge translation, as settled as the author assumes. I would Aug. 4 strongly urge anyone who has doubts to At every stage in the knowledge read Lawrence Solomon’s book The cycle, there are barriers and chal- Is the tail wagging the dog? Deniers. Solomon presents opposing lenges that are consistently greater in views of various important scientists. developing countries. This means that Re: The 10 000-hour rule and residency Martin Gough MB BCh FRCS(C) people in developing countries are training, Salon, June 9 Victoria, BC dying for lack of knowledge. To As a relatively recent graduate, I would explore these issues in depth, I would respectfully disagree with this article. For the full letter go to: www.cmaj.ca/cgi/eletters like to invite the authors and CMAJ Dr. Omahen presumes that the primary /180/11/1176#137237 readers to join Healthcare Information objective of health care delivery is resi- DOI:10.1503/cmaj.109-2001 For All by 2015 (HIFA2015), more dent education. In fact, the primary than 2500 health professionals, researchers and publishers, supported LifeScan Canada Ltd. by the British Medical Association, WHO and others. OneTouch Dr Neil Pakenham-Walsh MB BS Charlbury, UK 4 clr. bootlug For the full letter go to: www.cmaj.ca/cgi/eletters /181/3-4/165#150685 Repeat of Sept. 1, 2009 DOI:10.1503/cmaj.109-2011 CMAJ � SEPTEMBER 15, 2009 � 181(6-7) © 2009 Canadian Medical Association or its licensors

Journal

Canadian Medical Association JournalUnpaywall

Published: Sep 14, 2009

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