Saturday, May 15, 2021

Saturday Stories: Vaccinating Kids, Hatred And COVID


Gideon M-K, in Medium, on whether or not we should be vaccinating kids against the coronavirus (tl;dr - yes) 

Bernie Farber and David Fisman, in The Globe and Mail, on the overlap between racism, hate, and COVID denialists. 

Photo byAnthony Crider; cropped by Beyond My Ken (talk) 20:37, 9 April 2018 (UTC) - Charlottesville "Unite the Right" Rally, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=68193094


Saturday, May 08, 2021

Saturday Stories: Blood Clots, NNTs, And Incentives


Kai Kupferschmidt and Gretchen Vogel, in Science, explore the future of vaccines with rare risks of blood clots.

Andrew Althouse, in Medscape, on vaccines and the failure of NNTs.

John Michael McGrath, in TVO, makes the case for paying people to get vaccinated



Saturday, April 17, 2021

Saturday, April 10, 2021

Saturday, March 27, 2021

Saturday, March 13, 2021

Saturday Stories: Vaccines For Longhaulers, EMT Reflections, And Societal Reopening


Akiko Iwasaki, in Medium, on how vaccination might help COVID longhaulers.

Jennifer Murphy, in The New York Times, reflects on her experiences as a NYC EMT during the worst of their pandemic.

Jane Philpott and David Walker, in The Ottawa Citizen, discuss the equitable reopening of society.


Saturday, March 06, 2021

Saturday, February 20, 2021

Saturday Stories: Which Vaccine Should You Get, And Summertime


Gideon Meyerowitz-Katz, in The Guardian, discusses which vaccine you should get.

James Hamblin, in The Atlantic, on what summer might look like (in the US mind you, here in Canada, given our exceedingly slow pace of vaccination, this might not apply)



Saturday, February 13, 2021

Saturday Stories: No Herd Immunity Without Vaccines, Hygiene Theatre, And Sleepwalking Into Disaster


Michaeleen Doucleff, in NPR, explains how a small town in Brazil has tragically shown us that without vaccines, herd immunity is impossible.

Derek Thompson, in The Atlantic, on the waste of resources and the disinformation that is hygiene theatre

Brooks Fallis, in The Globe and Mail, on how Canada is sleepwalking into our next disastrous surge.

Photo by By Jesus Solana from Madrid, Spain - Black sheep . Do u also feel different? // la Oveja negra. Tambien te sientes diferente?, CC BY 2.0 https://commons.wikimedia.org/w/index.php?curid=5050231



Saturday, January 30, 2021

Saturday Stories: Vaccines Alone Aren't Enough, Women And Vaccines, Why Every Country Should Be Aiming At #COVIDZero, J&J And Novavax


Angela Rasmussen, in Slate, on how we can't rely on vaccines alone to end this pandemic (this is especially true right now in Canada where our vaccination program is barely off the ground)

Alice Lu-Culligan and Akiko Iwasaki, in the New York Times, on the safety of COVID vaccines for women of all ages

Michael Baker and Martin McKee, in The Guardian, on the 16 reasons why every country should be aiming for #COVIDZero.

Derek Lowe, in Science and Translational Medicine, on the new vaccines on the block - Novavax and J&J


Saturday, January 09, 2021

Saturday, December 05, 2020

Tuesday, November 24, 2020

My #Movember Alex Trebek Tribute Moustache And Why I Almost Didn't Bother


Plainly, 2020 has been an awful year.

And I know that I haven't been blogging, but it just feels wrong to be writing about nutrition, medicine, or weight management in the face of our tragic new realities.

I do hope this post finds you and yours healthy and spared from the pandemic's impact, but I don't know that any of us have been spared, and for some of you I'm sadly sure, the costs have been beyond horrible.

Consequently I debated whether or not I was going to do Movember this year or send out this post. I'm still not convinced it's the right thing to do as people have given up so much, many have seen their incomes drop dramatically, and if an option, charity can certainly be metered out more locally and urgently (for instance we chose back in March to have a standing monthly donation set up with Ottawa's Food Bank). 

With that said, no doubt charities are hurting too, and the causes they fund haven't gone away which is why in the end I decided to throw my moustache in the ring. Contrary to what some believe, Movember is not simply a prostate cancer charity, and though some of its funds do go to prostate cancer research and treatment, Movember funds multiple men's health initiatives including those involving mental health, suicide, body image, eating disorders, substance use disorders, testicular cancer, and more. 

As a show of respect for Alex Trebek, I've done my best to shape my moustache accordingly, and as a thank you for donating, I'll send the top 3 donors a bottle of my homemade, home-grown, 6 week fermented, mesquite smoked red habanero and carolina reaper hot sauce (pictured below at the start of the ferment and ready to be bottled next weekend).


If you'd like to donate to my Movember efforts, simply click here and it'll take you to my donation page, and of course donations are all tax deductible, can be made anonymously, and every dollar counts.

Thank you and stay safe out there.

Yoni



Saturday, November 21, 2020

Saturday Stories: Antarctically Cold Vaccines, Cancelling Thanksgiving, And How Vermont Succeeded


Selinia Simmons-Duffin, in NPR Shots, on why Pfizer's vaccine needs to be kept at temperatures lower than an Antarctic winter.

James Hamblin, in The Atlantic, on honouring the meaning of the Thanksgiving holiday by cancelling it this year.

Julia Belluz, in Vox, on how prioritizing supporting the vulnerable has led to Vermont's standout success in controlling COVID.

Photo By TUBS - Own work This W3C-unspecified vector image was created with Adobe Illustrator. This file was uploaded with Commonist. This vector image includes elements that have been taken or adapted from this file: Usa edcp location map.svg (by Uwe Dedering). This vector image includes elements that have been taken or adapted from this file: USA Hawaii location map.svg (by NordNordWest). This vector image includes elements that have been taken or adapted from this file: Canada location map.svg (by Yug)., CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=15949669



Saturday, November 07, 2020

Saturday, October 31, 2020

Saturday Stories: The Election, The World Series, And The Expectations


Ed Yong, in The Atlantic, predicts what the future of COVID in America will look like following a Biden or a Trump election win.

Jeff Passan, in ESPN, discusses how this year's World Series was a metaphor for 2020 America.

Helen Branswell, in STAT, on how now might be the time for us to reset our expectations of when vaccines will pull us out of this mess.

Photo By TonyTheTiger - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=62897879



Saturday, October 24, 2020

Saturday Stories: Respecting Uncertainty, Rapid Home Testing, And Herd Immunity


George Davey Smith, Michael Blastland, and Marcus Munafò, in the BMJ, on how when it comes to COVID, certainty is a red flag.

Amy McDermott, in PNAS, on how it'll likely be rapid home COVID testing that brings back some sense of normalcy - it can't come soon enough

Christie Aschwanden, in Nature, on the false promise of herd immunity.

Photo by By Tkarcher - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=56760604



Thursday, October 22, 2020

RDs! We're Hiring! Looking To Fill A Full-Time Permanent Position With My New Venture Constant Health (Telecommuters Welcome!)


Since 2004, Constant Health’s expert team has been at the forefront behavioural weight management, and now, by leveraging the best that technology has to offer, the goal is to share that expertise while eliminating geographic boundaries. Our headquarters are in Ottawa, but our team stretches across Canada from Halifax to Vancouver.

We believe that there is no one best way to lose weight, but rather that every individual has a healthiest life that they can enjoy and Constant Health is there to try to help people cultivate theirs and in so doing, help them to find their best weights.

Using the latest research into weight management, behavioural psychology, and nutrition, Constant Health’s data driven approach provides the regular feedback required both for clients to improve their weights, but also for our team to continually improve our technology.

In addition to our strong clinical team, we have a team of experienced professionals with deep expertise in mobile design, development, integration, and project delivery for iPhone, iPad and Android platforms.

If you have a passion for health, fitness, and technology we'd love to hear from you.

Job description

Constant Health, a dietitian delivered chronic disease management company that utilizes its own proprietary behavioural intervention technology tools is looking for a permanent full time dietitian to join our professional and unique team.

We are looking for an individual who loves working with people and technology, is great at multi-tasking, is a team player, thrives off of challenges and responsibility, and wants to utilize his or her skills in making a dramatic positive difference in people’s lives.

Responsibilities will include:

  • Collaboration with interprofessional team members.
  • One-on-one virtual counselling sessions via Constant Health’s proprietary platform to motivate and help patients live the healthiest lives they can with an emphasis on diabetes and/or weight management
  • Design individualized nutrition plans based on each individuals’ unique lifestyles, and dietary likes and dislikes.
  • Write for Constant Health’s different social media outlets: Website, blog, vlog, and monthly newsletter.

The skills you’ll need:

  • Exceptionally strong motivational counselling skills.
  • Must have excellent listening skills, empathetic and sensitive to patient’s needs. We do not ever utilize negative reinforcement in our counselling.
  • Able to adapt nutrition advice to recent scientific research with thoughtful critical appraisal and for a wide variety of diets – from keto and intermittent fasting, to balanced deficits, to plant-based whole foods, to everything in between, because at Constant Health we recognize that the key to long term success is actually enjoying your chosen diet.
  • Must be innovative and give patients realistic and helpful nutrition advice.
  • Positive and non-restrictive approach to weight management.
  • Comfortable giving presentations.
  • Possess sound professional judgment, initiative and enthusiasm.
  • Good time management skills and ability to organize.
  • Excellent computer skills, and comfort with social media
  • Strong cooking skills.

The requirements we’re looking for:

  • Minimum one year of clinical experience
  • Registered Dietitian
  • Member of the College of Dietitians of Ontario and in good standing (or willingness and ability to join).
  • Master level clinicians and/or Certified Diabetes Educators are preferred, although not required.
  • Previous experience working in weight management and diabetes care is an asset.

Because we are looking for the best candidate our wages are highly competitive with those in the community ($59K - 70K/year depending on qualifications) and after the 3 month probation period, medical and dental benefits are part of our package.

Interested candidates can send along their CV to careers @ constanthealth.ca

We look forward to hearing from and meeting with you.



Saturday, October 17, 2020

Saturday Stories: The Scamedemic, The "Great" Barrington Declaration, Sweden, And The John Snow Memorandum

 


Tony Scott, in SFGate, on how he used to call it the 'scamedemic'. He doesn't anymore. 

Marc Lipsitch, Gregg Gonsalves, Carlos del Rio, and Rochelle P. Walensky, in The Washington Post, on the why the so-called Great Barrington Declaration is far from well named.

Kelly Bjorklund and Andrew Ewing, in Time, cover the disastrous truths of COVID in Sweden.

And as a response to renewed interest in herd immunity and that Great Barrington Declaration comes a competing declaration, the John Snow Memorandum, which explains why herd immunity strategies are dangerous and why, and unlike the Barrington document, does not include the signatures of Dr. Person Fakename, Professor Notaf Uckingclu, Dr. Johnny Fartpants, Dr. Very Dodgy Doctor, Dr. Brian Blessed Doctor in Winged Flight (truly, they are actual Barrington signatories)



Saturday, October 10, 2020

Saturday, October 03, 2020

Saturday Stories: Vaccine Chaos And What Did You Expect?


Sarah Zhang, in The Atlantic, on why vaccine chaos may be looming

David Frum, also in The Atlantic, asks, what did you expect?



Saturday, September 19, 2020

Saturday Stories: Considering Risk and Great Fences


Aaron E. Carroll, in The New York Times, with a useful read on how most of us have been considering and responding to risk backwards.

Tomás Pueyo, also in The New York Times, on the need for great fences.

Photo: Ongayo / CC BY-SA (https://creativecommons.org/licenses/by-sa/4.0)


Saturday, September 12, 2020

Saturday Stories: COVID Winter, Circular Errors, Mutations, And Obesity

Irfan Dhalla, in The Globe and Mail, on COVID and the rapidly approaching Canadian winter.

Ed Yong, in The Atlantic, on the recurrent errors being made that hamper progress on COVID.

Edward Holmes, in The New York Times, covers the mutating SARS-CoV2 virus and why we needn't be worried (yet).

And in case you missed it, I had the chance to chat with some friends from McGill's Science in Society division about COVID, obesity, moral panics, and more:



Saturday, September 05, 2020

Mark Earnest, in The New England Journal of Medicine, on becoming a plague doctor.

James Hamblin, in The Atlantic, on why herd immunity isn't a strategy.

Jesmyn Ward, in Vanity Fair, on losing her husband to COVID. 

Jon Cohen, in Science, interviews Moncef Slaoui, the head of operation Warp Speed who says he'll quit if politics trump science on vaccine safety and distribution.

Saturday, August 15, 2020

Tuesday, August 04, 2020

Canada's Obesity In Adults: A Clinical Practice Guideline, Released Today, A Huge Step Forward

I'm proud to have played a small part in the release of today's Obesity In Adults: A Clinical Practice Guideline as it is the first (I think, though I'm biased) to truly take a patient-centred approach while simultaneously treating obesity like a chronic disease

Not a small endeavour, this years long effort includes chapters never before seen in any other obesity treatment guideline including those on weight bias and stigma, virtual medicine, commercial weight loss programs, living with obesity, as well as issues specific to indigenous peoples.

It explicitly steers away from diet culture (but does speak to the need for individualized medical nutrition therapy), teaches readers that neither BMI nor weight measures the presence or absence of health and introduces them to the concept that obesity should be considered a chronic disease only when excess adiposity impairs health, and it recognizes that obesity is anything but a choice.

While going through the entirety of the guideline isn't doable in a short blog post, here are the guideline's overarching summary points:
  • Obesity is a prevalent, complex, progressive and relapsing chronic disease, characterized by abnormal or excessive body fat (adiposity), that impairs health.
  • People living with obesity face substantial bias and stigma, which contribute to increased morbidity and mortality independent of weight or body mass index.
  • This guideline update reflects substantial advances in the epidemiology, determinants, pathophysiology, assessment, prevention and treatment of obesity, and shifts the focus of obesity management toward improving patient-centred health outcomes, rather than weight loss alone.
  • Obesity care should be based on evidence-based principles of chronic disease management, must validate patients’ lived experiences, move beyond simplistic approaches of “eat less, move more,” and address the root drivers of obesity.
  • People living with obesity should have access to evidence-informed interventions, including medical nutrition therapy, physical activity, psychological interventions, pharmacotherapy and surgery.
Kudos to all of my fellow authors and especially to Dr. Sean Wharton the project's chief cat wrangler.

To have a peek at the CMAJ's published guideline summary, click here.

To access the guideline in its 19 chapter entirety, click here.

Saturday, August 01, 2020

Saturday, July 04, 2020

Saturday Stories: No Heroes In Science, Selflessness, School Reopening, And Vaccine Developments

Stuart Richie, in Unherd, reminds us why there should be no such thing as science heroes.

Wency Leung, in The Globe and Mail, discusses her decision to donate one of her kidneys to a stranger and reflects on selflessness in the time of COVID

Carl Zimmer, in The New York Times, on the phenomenon of COVID19 super spreaders.

Hilda Bastian, in her blog Absolutely Maybe, brings us up to date on all the developments in the race to the first COVID19 vaccine.

Sarah Cohodes, on Twitter (and you don't need an account to read), with a terrific thread on considerations around school reopening.