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Unsure if you’re eligible for cancer testing? These virtual clinics in B.C. are here to help

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White Coat Black Art26:30Virtual Cancer Screening Service

 

A handful of new virtual cancer screening programs in British Columbia are connecting people who don’t have a family doctor with potentially life-saving treatment they may otherwise be missing out on.

“We wanted to start a preventative health system where we could hopefully catch things before they developed,” Dr. Stuart Bax, co-founder of CanScreenBC, told White Coat, Black Art‘s Dr. Brian Goldman.

Patients without a family doctor, he said, often seek treatment at a hospital emergency department or urgent care centre, or at a walk-in clinic for what may turn out to be life-threatening cancers.

The people behind such services as CanScreenBC and CancerScreening.ca — which both launched in early 2023 — hope they can help inform the public about cancer screening available to them that they might not otherwise know about in the face of an increasingly overstressed health-care system.

British Columbians can contact these virtual clinics via a video call. There, doctors can provide a client with a referral for tests like mammograms for breast cancer or CT scans for lung cancer, if they’re eligible. Clients can also book a consultation session so they can learn which screening services they’re eligible for in the first place.

Dr. J. Charles Lamb, co-founder of CancerScreening.ca, said people living near the Greater Victoria area can make an in-person clinic visit, though the service is still primarily virtual.

Ontario changed how it screened for colon cancer in 2019, when it introduced the fecal immunochemical test (FIT) for home screening to catch the disease in its early stages. All provinces and territories offer some form of the entry-level test. (Thunder Bay Regional Health Sciences Centre)

Lamb said he remembers a stark example of a woman who arrived at a hospital emergency department with diarrhea, only for him to find “a rigid mass in her abdomen” that turned out to be metastatic colon cancer.

“I asked her, ‘Have you ever had a FIT test, which is where you test the stool for blood to screen for cancer? Have you ever had a colonoscopy?’ And she said, ‘No, I’ve never been offered one, never knew about it,'” he said.

“It’s totally tragic, because that’s what colon cancer screening is intended to catch as soon as possible.”

Filling need for those without family doctor

According to an April 2023 study by the Canadian Medical Association Journal, an estimated one in five Canadians, or about 6.5 million people, don’t have a family doctor or nurse practitioner they regularly visit.

And a paper published in the journal Preventive Medicine last July found that Ontarians who visited a walk-in clinic because they didn’t have a primary care provider were far less likely to be screened for breast, colorectal and cervical cancer.

Dr. Stuart Bax co-founded CanScreenBC, a virtual cancer screening service to help people who don’t have a family doctor get checked for cancer and connected to treatment. (Edward Marsh)

CanScreenBC and CancerScreening.ca currently offer screening services for breast, colon and lung cancer. CanScreenBC’s website says it hopes to offer screening for prostate and cervical cancer “in the near future.”

If testing brings up a positive cancer diagnosis, Bax said, his team will continue to support them through the health-care system much in the same way a family doctor would — helping to schedule and co-ordinate future visits with specialists, or sending automated test results, for example.

“We want to be that quarterback. I think the biggest issue facing unattached patients is that lack of accountability and that lack of continuity of care,” Bax said.

‘Simple and straightforward’

Allison Uessman, an English teacher in Vernon, B.C., was connected to breast cancer screening and testing with the help of CanScreenBC, after the two walk-in clinics near her home closed in the past two years.

“I just made an appointment at the clinic and had the mammogram. It was very simple and straightforward. The results were negative in both cases,” she said.

Uessman said she wanted to get checked once she turned 40 and became eligible for breast cancer screening, as her father had colon cancer. She said she felt confident using CanScreenBC because the people running it are doctors themselves.

“[Their website] has their education, where they went to school, their past history. The details like that made me feel confident that they were providing a service that was, you know, covered by B.C. health care,” she said.

Patients’ visits are covered by B.C.’s Medical Services Plan. Bax said he and co-founder Dr. Cal Shapiro are in early discussions with the province about possible longer-term funding for CanScreenBC’s operations.

In a statement to White Coat, Black Art, B.C.’s Health Ministry noted that the government’s 10-year cancer action plan includes improving access to cancer screening. When asked about CanScreenBC’s work, the ministry said: “Any time people can get access to screening quicker is a good thing.”

Primary care provider shortages

B.C. isn’t the only province with programs with the same or similar objectives. In Ontario, the Champlain Regional Cancer Program hired a nurse practitioner to provide and co-ordinate cancer screening for people without family doctors in Ottawa and nearby counties.

Its outreach even included visiting an Amazon warehouse to offer screenings and information to workers there, according to a report in the Globe and Mail.

Dr. Kim Nguyen Chi is a medical oncologist at the Vancouver Cancer Centre and executive vice-president and chief medical officer of B.C. Cancer. (Golnaz Sadjadi/Submitted by Kim Nguyen Chi)

“We know there is a shortage of primary care providers in British Columbia,” said Dr. Kim Nguyen Chi, executive vice-president and chief medical officer of B.C. Cancer and a medical oncologist at the Vancouver Cancer Centre.

While the B.C. government has “taken steps” to bring in more primary care physicians and nurse practitioners, he said, many people in the province still don’t have a primary care provider or access to one.

“Basically we just need more people … and [the system] really needs those investments to be made.”

Bax said he hopes CanScreenBC and other services like it can help work toward broader, more long-term improvements in the health-care system.

Lamb said he sees a future where virtual cancer screening could be applied nationally, connecting people to tests regardless of which province or territory they live in. That kind of co-ordination could even provide insights by comparing the wait times for tests in different parts of the country.

“We can’t just keep putting Band-Aids on the same old system,” Bax said. “We need to be actually building a whole new system as well — and keeping the current system afloat until that new system comes into place.”

 

B.C. moves to at-home self screening for cervical cancer

 

In a Canadian first, the B.C. government has unveiled a new self-screening program for the Human Papillomavirus (HPV), the leading cause of cervical cancer. That will mean many women in the province will be able to avoid uncomfortable Pap smear exams.

 

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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