White Coat, Black Art

Ottawa’s Montfort hospital sees twice the number of patients for mental health emergencies as the Ontario average. And as this number increased in recent years, the everyday environment of the ER waiting room – chaotic, loud and overstimulating – became an ever larger trigger, causing distressed patients to flee or harm themselves or others. In the new Mental Health Emergency Zone right off the main ER, everything has been designed for de-escalation, and staff and patients are seeing dramatic results.

Gurleen Kaur Chahal is one of the inaugural students at Toronto Metropolitan University’s new Peel Region medical school, designed to serve the area’s diverse population. She's determined to be part of the solution for the kinds of struggles her multigenerational Punjabi household has faced accessing care.

After a seemingly innocuous question about pi, Allan Brooks tumbled down a ChatGPT rabbit hole. Three weeks later, he emerged, after spending 300 hours in a spiralling 7,000-prompt exchange with the chatbot. Dr. Keith Sakata, the psychiatrist whose viral thread on X breaks down the phenomenon known as “AI psychosis,” says the built-in sycophancy of large language models like ChatGPT needs to change before more harm is done.

How much would you be willing (and able) to pay to get your knee or hip replaced? Calgarian Linda Slater's knee pain became unbearable during her two-year wait to see an orthopedic surgeon. She drained her retirement savings to pay $30,000 for a new knee at a private Toronto clinic. Dr. Rick Zarnett, an orthopedic surgeon who works out of both a private clinic and public hospital, says the system needs to improve so patients can get surgery sooner.

Companies are spending big bucks advertising weight-loss drugs like Rybelsus, seeing huge potential in capitalizing on the popularity of Ozempic. But in Canada, so-called "reminder ads" can give only the name of the medication, not what it's for, telling people to ask their doctor for details. Ad man Terry O’Reilly says it can result in bad ads that turn people off, and pharmaceutical policy expert Barbara Mintzes says reminder ads can lead to overtreatment and high costs, doing more harm than good.

As a rapper, Bishop Brigante was no stranger to on-stage battles. We met up with the then-45-year-old when he was battling Stage 4 colon cancer, which he said was caught too late. Bishop wanted Canadians to have easier access to colonoscopies and said advocacy had given him newfound purpose.

 Many women report difficulties with orgasms, low libido or pain around intercourse. And given that many have never even learned much about their genitals, they don’t always know where to get help. A cadre of Canadian doctors specializing in women’s sexual health is trying to change that. They’re helping patients boost pleasure, while empowering them to get to know their sexual anatomy.

Attracting a family doctor to work in a community is challenging, with fewer physicians choosing family medicine. That's why Cheryl Gnyp, the recruiter for Castlegar, B.C., needs to stand out. She uses the board game Operation and specialized coffee as part of her 10-minute sales pitch to potential recruits at conferences. It can take years before a doctor starts working in the community, but she’s in it for the long haul.

Judith Morrison needs a kidney. While she's on dialysis, her sister Catherine is putting out a public plea for a living donor. But the search has been hard. And if they do find a donor, the sisters say that person will have to go through a long and opaque testing process. A process that experts say needs to be improved across Canada because the demand for kidney donations is high.

One morning as she arrived for her hospital shift, Winnipeg nurse Jennifer Noone was assaulted outside the staff entrance, leaving her with a bad concussion and PTSD. Rather than stay silent, she took the unusual step of having her assailant charged with assault. Manitoba Nurses Union President Darlene Jackson says there needs to be more and better security and violence should not be accepted as just part of the job.