The Care of the Older PersonAn Invaluable Resource for Care Providers
“….the aging of the population is an unprecedented phenomenon in human history….it is in fact a triumph of humankind over the adversities of the environment.”
LEARNING TO WORK WITH AN INCREASINGLY AGED SOCIETY
Society, as a whole is getting older. Thanks to the extraordinary advances in technology and medicine, humans are now living longer than ever before, and are shifting the demographic make-up on a worldwide scale.
As a result, more and more of us are living and engaging with an aging population in both our personal and professional lives, and there’s a heightened demand for concrete research and advice for how to effectively provide care for this growing demographic.
The Care of the Older Person brings together some of today’s most experienced professionals to provide concrete answers for care providers of all kinds—doctors, nurses, therapists, pharmacists—those who build, run, and staff the facilities and housing for all of the aging population, as well as spouses and children of the elderly. Most importantly, this information is for seniors themselves, who want to feel empowered in their stage of life.
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WRITTEN BY INTERNATIONALLY RECOGNIZED DOCTORS AND OTHER PROFESSIONALS.
A Respected Resource
Important New Topics in the Field
Held in Over 120 Prestigous Libraries Worldwide
Exploring a Broad Array of Issues
“Individuals are complex systems with a biopsychosocial nexus within which multiple functions are interconnected and socially embedded.”
The Care of the Older Person is broken up into chapters written by an esteemed group of doctors and other professionals, each covering a different aspect of elder care:
Overview of the Field (by Jose Morais, MD) presents an in-depth overview of the current state of geriatric medicine, including the unique challenges and opportunities characterizing this growing field today.
Caring for the Older Person (by Abraham Fuks, MD) focuses “attention to chronic illnesses and the needs of the older person whose ailments need a more deliberate, longer-term horizon with different goals and aspirations.”
Frailty (by Sathya Karunananthan, PhD and Howard Bergman, MD) explores the increasing vulnerability of our bodies and organs as we age and what care providers can do to diagnose and treat individuals.
Physical Activity as a Countermeasure to Frailty (by Guy Hajj Boutros, MSc and Antony D. Karelis, Phd) makes a compelling case for avoiding the sedentary state when possible, and demonstrates interventions that can potentially reverse frailty.
“Doctor, My Wife is Getting Forgetful” (by Serge Gauthier, MD) explores the natural decline in memory, and how to diagnose and address dementia in your patients, clients, or family.
Update on Alzheimer’s Disease Diagnosis and Management (by Serge Gauthier, MD) is a synopsis of the diagnosis and management of AD, as well as its natural history and progression, by one of the acknowledged leaders in the field.
Navigating the Journey of Dementia as a Caregiver (by Claire Webster, CPCA) identifies who caregivers are, their demanding roles, and the toll the caregiving may take on them.
How to Diagnose and Manage Delirium (by Haibin Yin, MD). Among elderly patients who come into the ER, 15% suffer from delirium or “acute brain failure.” This chapter explores the signs and treatments.
Why Does My Patient Have Gait & Balance Disorders? (by Olivier Beauchet, MD, PhD) explores the main causes and best treatments for the broad category of walking and balance problems.
Could My Patient Be Malnourished? (by Jose Morais, MD) explores the prevalence of malnutrition in older populations, how to diagnose it, and how to treat it.
Are the Immunizations of My Patient Up to Date? (by Dominique Tessier, MD) stresses the importance of immunizations in our vulnerable older population, with details of the various immunizations that may be necessary.
Management of Older Patients in the Emergency Department (By Cyrille Launay, MD, PhD) provides an overview of the unique challenges facing ER staff in diagnosing and working with older patients.
Critical Care of the Older Person (by Astrid F. Pilgrim, MD, and Michael R. Pinsky, MD) is a comprehensive look at the important differences seen in the critically ill older person, and how to efficiently respond to these issues and counteract them.
COVID19 in Long-Term Care (by Julia Chabot, MD, Philippe Desmarais, MD, and Michael Stiffel, MD) addresses the particularly onerous effects of the global pandemic on older persons, particularly those in long-term care facilities.
Stroke Prevention in the Elderly (by Liam Durcan, MD) emphasizes the need to identify predisposing causes of this major cause of death and disability, and to modify those risks before serious harm occurs.
Advances in Cardiac Care for Older Persons (by P. David Myerowitz, MD) is a detailed chronicle of medical problems encountered with the aging heart, and state of the art measures to deal with each of those problems.
How to Manage Type 2 Diabetes in Frail Elderly Patients (by Young-Sang Kim, MD, PhD, and Jose A. Morais, MD) explores this important disease condition that is highly prevalent in older adults, and stresses the differences in treatment and approach that are necessary in the older population.
Cancer in Older Adults (by Doreen Wan-Chow-Wah, MD) brings the relatively young subspecialty of Geriatric Oncology to the forefront. Particularities of older persons with cancer are noted, including fitness for treatment. Life expectancy is factored in.
Cancer Screening in the Older Adult (by Catalina Hernandez-Torres, MD, and Tina Hsu, MD) discusses the sometimes controversial role of cancer screening in older adults. Screening recommendations are covered in the light of treatment options and patient preference.
Psycho oncology: Living with the Fear of Death (by Norman Straker, MD) is a discussion of the emotional and psychiatric care of cancer patients and their families by one of the originators of the subspecialty. The relationship between various psychiatric disorders and cancer is examined.
Incontinence in Older Adults (by Samer Shamout MD and Lysanne Campeau, MD) explores the risks, diagnosis, and treatment of urinary incontinence.
Polypharmacy and Deprescribing in the Elderly (by Louise Mallet, Pharm.D). Polypharmacy is taking multiple medicines for chronic issues at the same time and is common among the elderly. This chapter explores the risks of polypharmacy and how to “deprescribe” unnecessary medications.
After the Menopause (by Ronald M. Caplan, MD) brings to the fore the fact that, with dramatically increasing lifespan, the postmenopausal years represent a very significant proportion of a woman’s productive life. Physiologic changes, screening for possible problems, prevention and possible treatments are discussed.
Skin Care of the Older Person: The Skin and its Associated Changes (by Hao Feng, MD, and Aziz Khan, MD) comprehensively details disorders of the skin in older persons and the management of those conditions.
Elder Abuse (by Mark J. Yaffe, MD). Unfortunately, elder abuse is far too common in our society, and takes on many forms. This chapter helps care providers to identify elder abuse and learn how to address it.
Late-Life Anxiety (by Jess Friedland, MD, Paulina Bajsarowicz, MD, and Philippe Desmarais, MD) describes the risk and predisposing factors for the development of anxiety disorders in older persons and the treatments of those disorders.
An Overview of Late-Life Depression (By Artin Mahdanian, MD, and Silvia Monti De Flores, MD) explores the importance of understanding late-life depression for care professionals, including tools for diagnosis and treatment.
Assessment of Decision-Making Capacity (By Catherine Ferrier, MD) provides an important analysis of how to determine a patient’s ability to make key decisions about their medical treatment, living situation, finances, and more.
How Do I Protect My Patient? (By Randy S. Perskin, Esq., JD) explores the important legal issues facing elderly patients and how care providers can best support them.
Financial Guidance for Seniors (by Karen C. Altfest, PhD, CFP) recognizes that, among the paramount concerns of older persons is financial stability. Financial concerns can affect mental and physical health, wellbeing, and even lifespan. Advice is offered to caregivers, including family, and to the older individual on how to anticipate and overcome these problems.
The Role of Religious Belief in the End-of-Life Care of Older Persons (by A. Mark Clarfield, MD,) compassionately shows that we cannot treat older persons near the end of life, and their families, without an understanding of their religious beliefs, and appropriately responding to their needs and concerns in ways that respect those beliefs.
Medical Glossary (by Ronald M. Caplan, MD). A highly researched glossary of medical definitions that will help you to understand what you’re reading and navigate the often-confusing world of scientific terminology. Includes forward-looking research that gives you a sense of where the advances in medicine are going in the future.
A TEAM OF EXPERTS
The contributors to The Care for the Older Person are literally an all-star team of researchers, doctors, and clinical and other professionals. Their research-based advice is informed by decades of experience working in the fields that they write about.
Olivier Beauchet, MD, PhD
MD, PhD, Professor of Geriatrics, Dr. Joseph Kaufmann Chair in Geriatric Medicine, Director of centre of excellence on aging and chronic diseases, McGill University
Dr. Beauchet holds a MD degree from the University of St-Etienne University (1999) and completed a specialty in Neurology and Internal Medicine and Geriatrics at St-Etienne University (France). In parallel, he holds a master of science in neuropsychology and a PhD in Human Motricity and handicap at St-Etienne University (France). Read More
Ronald M. Caplan, MD
MD, CM, FACS, FACOG, FRCS(C), Clinical Associate Professor Emeritus Obstetrics and Gynecology, Weill Medical College of Cornell University
Ronald M. Caplan MD is an Obstetrician Gynecologist and medical author.
He did his medical and postgraduate training at McGill University, where his interest in renal disease in pregnancy and homotransplantation culminated in the very first delivery of a baby from a mother who had received a deceased donor kidney transplant. Read More
Serge Gauthier, MD
CM, CQ, MD, FRCP(C), Director, Alzheimer Disease Research Unit, McGill Center for Studies in Aging , Professor, Departments of Neurology & Neurosurgery, Psychiatry, Medicine, McGill University
Medical studies at Université de Montréal, Neurology training at McGill University, Research Fellowship at Prof. Theodore L. Sourkes laboratory, Allen Memorial Institute, Montreal. Clinical investigator and staff neurologist at the Montreal Neurological Hospital and Institute (1976-1986), Director of the McGill Centre for Studies in Aging (1986-1996), Senior Scientist of the CIHR-Rx&D program (1997-2007). Read More
José A. Morais, MD
MD, FRCP(C), Professor, Faculty of Medicine, Director, Division of Geriatric Medicine, Lead, Dementia Education Program, McGill University, Co-Director, Quebec Network for Research on Aging
Dr. Morais holds a MD degree from the University of Montreal (1987) and completed a specialty in Internal Medicine and Geriatrics at McGill University, Canada. He went on to complete a 3-year Research Fellowship in Nutrition and Metabolism at McGill Nutrition Centre. Since 1996, he is an independent clinician-investigator based at the Research Institute of the McGill University Health Centre (MUHC) – Crabtree Nutrition Laboratory, Montreal, Canada. He is Professor of Medicine, McGill University. Read More
Howard Bergman, MD
MD, FCFP, FRCP(C), Chair, Department of Family Medicine, Professor, Departments of Family Medicine, Medicine, and Oncology, McGill University
Professor Bergman is Chair of the Department of Family Medicine and Professor of Family Medicine, Medicine, and Oncology at McGill University where he was the first Dr. Joseph Kaufmann Professor of Geriatric Medicine from 2001-2015. He is Special Advisor (International) to the Dean of the Faculty of Medicine. He is a Fellow of the Canadian Academy of Health Sciences (CAHS). Read More
Abraham Fuks, MD
MD, CM, FRCP(C), Professor, Department of Medicine, McGill University
Dr. Abraham Fuks is a graduate of the Faculty of Medicine at McGill University where he obtained his M.D.,C.M. in 1970 and where he is currently a Professor in the Departments of Medicine, Pathology and Oncology.His research interests have included the immunogenetics of diabetes, the biology of tumor-associated antigens and cell adhesion molecules, and ethical aspects of the design of trials involving human subjects. Read More
Phil Gold, MD, PhD
CC, OQ, MD, PhD, FRSC, DSc (Hon), MACP, FRCP(C), Douglas G. Cameron Professor of Medicine, Professor of Physiology and Oncology, McGill University, Executive Director Clinical Research Center (MGH) McGill University Health Centre
Phil Gold is the Douglas G. Cameron Professor of Medicine, and Professor of Physiology and Oncology, at McGill University. He has served as the Inaugural Director of the McGill (now Goodman) Cancer Centre, Chairman of the Department of Medicine at McGill and Physician-in-Chief at the Montreal General Hospital. He is presently the Executive Director of the Clinical Research Centre of the McGill University Health Centre at The Montreal General Hospital. Read More
Karen C. Altfest, PhD, CFP
Phd, CFP®, Principal Advisor and Executive Vice President, Altfest Personal Wealth Management
Karen C. Altfest, PhD, CFP® is a Principal Advisor and Executive Vice President Altfest Personal Wealth Management, a 36-year-old fee-only wealth management firm in New York City. She helps many of the firm’s clients on a variety of investment and financial planning issues, and specializes in helping retired clients, women clients and widows. Read More
Paulina Bajsarowicz, MD
MD, FRCPC, Assistant Professor McGill University, Geriatric Psychiatrist, Douglas Mental Health University Institute
Dr. Paulina Bajsarowicz is a psychiatrist practicing at the Douglas Mental Health University Institute. Read More
Guy Hajj Boutros, MSc
MSc, Research Assistant, Research Institute, McGill University Health Center, Crabtree Nutrition Laboratories
Guy Hajj Boutros holds a Masters in Exercise Physiology from the University of Quebec in Montreal. Over the last few years, he has been involved in several research programs on exercise and obesity and has published several papers on defining and assessing the usefulness of exercise as a clinical tool in older healthy adults and with frailty. Read More
Lysanne Campeau, MD, PhD
MDCM, PhD, FRCS(C), Assistant Professor of Surgery, Division of Urology, McGill University
Dr. Lysanne Campeau completed her medical degree in 2005 and her urology residency in 2010 at McGill University, when she became a Fellow of the Royal College of Surgeons of Canada in Urology. She then went on to pursue her clinical and research interest in voiding dysfunction at Wake Forest Institute for Regenerative Medicine in North Carolina, where she obtained a Doctorate of Philosophy in the Department of Physiology and Pharmacology in 2013. Read More
Julia Chabot, MDCM
MDCM, FRCPC, MSc, Assistant Professor, Faculty of Medicine, McGill University
Dr. Chabot is a geriatrician at St. Mary’s Hospital Center in Montreal. She completed her Geriatric Medicine training at McGill University and a master’s degree in research psychology at University of Montreal under the supervision of Dr. Olivier Beauchet and Dr. Isabelle Peretz. Read More
A. Mark Clarfield, MD
MD, FRCPC, Professor Emeritus, Geriatrics, Ben-Gurion University, Israel
Dr. Clarfield received his MD from the University of Toronto in 1975 going on to specialize in Family Medicine, Community Medicine and Public Health and finally in Geriatrics. He was with the Faculty of Medicine at McGill University in Montreal from 1978-1992 during which time he was head of the University Division of Geriatric Medicine and Assistant Dean of Students. Read More
Philippe Desmarias, MD
MD, FRCPC, MHSc, Assistant Clinical Professor, Faculty of Medicine, Universite de Montreal
Dr. Desmarais completed his training in Internal Medicine and in Geriatric Medicine at the University of Montreal in 2016. Read More
Liam Durcan, MD
MD, FRCPC, Assistant Professor, Department of Neurology and Neurosurgery, McGill University, Consultant Neurologist, Stroke Service, McGill University Health Centre
Liam Durcan works at the McGill University Health Centre in both the Acute Stroke Service and the Stroke Prevention Clinic. Read More
Hao Feng, MD
MD, MHS, Assistant Professor of Dermatology, Director of Laser Surgery and Cosmetic Dermatology, University of Connecticut Health Center
Dr. Feng graduated summa cum laude with departmental honors from UC Berkeley and was awarded numerous prizes including the Regents’ and Chancellor’s Scholarship, Alumni Leadership Award, Outstanding Student Leader Award, and Winged Helmet Award. Read More
Catherine Ferrier, MD
MD, Assistant Professor, Department of Family Medicine, Faculty of Medicine, McGill University
Dr. Ferrier is Assistant Professor, Department of Family Medicine at McGill University and holds a Certificate of Special Competence in Care of the Elderly from the College of Family Physicians of Canada. She works as a consultant in Geriatric Medicine, as well as in primary care Family Medicine. Read More
Jess Friedland, MD
MD, FRCPC, Geriatric Psychiatrist, Douglas Mental Health University Institute
Dr. Jess Friedland is the Program Director of the Geriatric Psychiatry Subspecialty Residency Program at McGill University and Medical Director of the Geriatric Psychiatry Outpatient Clinic at the Douglas Mental Health University Institute in Montreal. Read More
Catalina Hernandez-Torres, MD
MD, FRCP(C) Medical Oncologist, Northwest Permanente
Dr. Hernandez-Torres is a medical oncologist. She obtained her medical degree at McGill University followed by Internal Medicine and Medical Oncology residency at the University of Ottawa. She completed a fellowship in Geriatric Oncology working with Dr. Tina Hsu at The Ottawa Hospital Cancer Center. Read More
Tina Hsu, MD
MD, FRCPC, Assistant Professor, Division of Medical Oncology, University of Ottawa
Tina Hsu is a medical oncologist at the Ottawa Hospital Cancer Centre. She completed a CAMO/CIHR-funded research fellowship in geriatric oncology under the mentorship of Dr. Arti Hurria at City of Hope where she studied caregivers of older adults with cancer admitted to hospital. Read More
Antony Karelis, PhD
PhD, Professor, Department of Exercise Science, Universite du Quebec, Montreal; Researcher, Centre du recherche de l’Institut universitaire de geriatre de Montreal
Dr. Karelis received a PhD in Sciences de l’activité physique from the Department of Kinesiology, University of Montreal. His specialization was in muscle fatigue. He did a Post Doctoral Fellowship at the Faculty of Medicine, Department of Nutrition, University of Montreal, specializing in the characterization of subgroups of obesity. Read More
Sathya Karunananthan, PhD
PhD, Postdoctoral Fellow, Ottawa Hospital Research Institute
Sathya Karunananthan holds a PhD in epidemiology from McGill University. Over the last decade, she has been involved in several international research programs on frailty and has co-authored a number peer-reviewed papers on defining and assessing the usefulness of frailty as a clinical tool. Read More
Aziz Khan, MD
MD, Assistant Professor of Internal Medicine, University of Connecticut Health Center
Dr. Aziz Khan received his M.B.B.S degree from Aga Khan Medical College in Karachi, Pakistan with numerous honors and academic scholarships. He completed his Internal Medicine Residency at the University of Connecticut Health Center. He then joined UConn Health as Assistant Professor of Internal Medicine. He is involved in various research projects, resident education, quality improvement and curriculum development. Read More
Young-Sang Kim, MD, PhD
MD, PhD, Associate Professor, Department of Family Medicine, CHA Bundang Medical Center, CHA University in Korea
Young-Sang Kim, MD, PhD, is Associate Professor, Department of Family Medicine, CHA Bundang Medical Center, CHA University in Korea. He is currently a Visiting Professor, McGill University, working in the laboratory of Dr. Jose Morais, the Director of the Division of Geriatric Medicine. Read More
Cyrille Launay, MD, PhD
MD, PhD, Department of Medicine, Division of Geriatrics, University Hospital of Lausanne, Switzerland
Dr. Launay was a geriatrician at the University Hospital of Angers, France until 2015, when he joined the division of geriatrics, University of Lausanne. His PhD thesis described the Brief Geriatric Assessment, a tool to predict prolonged length of hospital stay. Read More
Artin A. Mahdanian, MD
Board Certified Psychiatrist, Consultation-Liaison Psychiatry Clinical Fellow, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, School of Medicine
Dr. Artin Mahdanian is a psychiatrist certified by the Royal College of Physicians of Canada (FRCPC) and the American Board of Psychiatry and Neurology (ABPN). He is currently a consultation-liaison psychiatry fellow in Johns Hopkins University. He also does psychiatric consultations in other multidisciplinary settings. Read More
Louise Mallet, Pharm.D
B.Sc. Pharm., Pharm.D., BCGP, FESCP, FOPQ, Professor in Clinical Pharmacy, Faculty of Pharmacy, University of Montreal, Pharmacist in Geriatrics, McGill University Health Center
Louise Mallet is currently a full Professor of Pharmacy at the Faculty of Pharmacy at the University of Montreal. She is also a clinical pharmacist with the interdisciplinary team in geriatrics in the emergency room at McGill University Health Center. Read More
Silvia Monti De Flores, MD
FRCPC, DFAPA, Staff Psychiatrist, McGill University Health Centre, McGill University Lecturer
Dr. Silvia Monti De Flores is a McGill Psychiatry graduate and Attending Staff Psychiatrist in Psychogeriatrics, attached to the Mood Disorders Program at McGill University Health Centre, psychiatry outpatient. She is a consultant to the Geriatric Medicine Clinic at the Montreal General Hospital. Read More
P. David Myerowitz, MD
MD, FACS, FACC, Former Karl P. Klassen Professor and Chairman Thoracic and Cardiovascular Surgery The Ohio State University, Columbus, Ohio
P. David Myerowitz, MD graduated with High Honors from the University of Maryland, where he went on to get his MD degree. Read More
Randy S. Perskin, Esq., JD
BA, JD, Elder Law Attorney, New York
Randy Perskin received her BA degree from Barnard College (Columbia University), and her JD from Fordham Law School. She is a long experienced and well-recognized Elder Law Attorney. Read More
Astrid F. Pilgrim, MD
MD, MS, Fellow, Critical Care Medicine, University of Pittsburgh
Dr. Pilgrim received her MD from Eastern Virginia Medical School in Norfolk, VA in 2014. Read More
Michael R. Pinsky, MD
MD, CM, Dr hc, FCCP, MCCM, FAPS, Professor of Critical Care Medicine, Bioengineering, Cardiovascular Diseases, Clinical & Translational Sciences, and Anesthesiology, University of Pittsburgh.
Dr. Pinsky is Docteur Honoris Causa at the Universite Rene Descartes Paris V, School of Medicine in Paris, France. Read More
Samer Shamout, MD
MD, MSc, Fellow, Division of Urology, McGill University
Dr. Samer Shamout earned his M.B.B.S in medical studies in 2005 at Jordan University of Science and Technology and completed his clinical MSc. training in Urology in 2010 at the Alexandria University of Egypt. Dr. Shamout has been practicing since 2010, the first 5 years in United Arab Emirates, at the Ministry of Health Hospital. Selected as one of the top hospitals in the United Arab Emirates. Read More
Michael Stiffel, MD
MD, FRCPC, Assistant Clinical Professor, Faculty of Medicine, Université de Sherbrooke
Dr. Stiffel completed his medical training in Internal Medicine and Geriatric Medicine at the Université de Sherbrooke in 2019. Read More
Norman Straker, MD
MD, DLFPAPA, Clinical Professor of Psychiatry, Weill Cornell University College of Medicine; Consultant, Sloan Kettering Cancer Center; member of the faculty, New York Psychoanalytic Institute
Dr. Straker is a distinguished life fellow of the APA. He graduated from medical school at McGill University in1966 and completed a rotating internship at The Royal Victoria Hospital in 1967, before moving to New York for residency training in Adult and Child Psychiatry at Mt Sinai Hospital. He did a postgraduate research fellowship in psychosomatic medicine at Mount Sinai Hospital and pursued psychoanalytic training at the New York Psychoanalytic Institute. Read More
Dominique Tessier, MD
MD, Clinical Instructor, Family Medicine Department, University of Montreal; Medical Director, Travel Health Group, Montreal, Canada
Dr. Tessier is a Family Doctor with over thirty years of experience. She is well known in the field of Travel Medicine and Immunizations and HIV care. Her practice has always focused on immunizations and the prevention of infectious diseases, including HIV/AIDS and STI. She is actively involved in clinical research. Read More
Doreen Wan-Chow-Wah, MD
MD, FRCPC, Assistant Professor, Division of Geriatric Medicine, Department of Medicine, McGill University; Associate member, Department of Oncology, McGill University
Dr. Wan-Chow-Wah is a geriatrician-internist practicing mainly at the Royal Victoria Hospital (Glen site). In 2007, she pioneered the field of Geriatric Oncology in Canada by co-founding the first Geriatric Oncology Clinic at the Segal Cancer Center of the Jewish Hospital. As the Medical Director since its inception, her expertise serves to improve the care of older cancer patients through multidimensional comprehensive assessments and personalized interventions. Read More
Claire Webster, PAC, CPCA
Mark Yaffe, MD
MDCM, Professor of Family Medicine, Department of Family Medicine, St Mary’s Hospital Center
Mark Yaffe is a tenured Full Professor in the McGill University Department of Family Medicine and at St. Mary’s Hospital Center in Montreal, Canada. In 2007 he was awarded the Inaugural Prix d’Excellence for Advancement of Teaching of Family Medicine by the Quebec College of Family Physicians. Read More
Haibin Yin, MD
MD, CCFP (COE) Assistant Professor, Director of Undergraduate Medical Education, Division of Geriatric Medicine, McGill University
Dr. Haibin Yin is an attending staff member in the Division of Geriatric Medicine at Jewish General Hospital since 2014. He is an Assistant Professor in the Faculty of Medicine at McGill University. He is actively involved in clinical teaching of medical students and residents. Read More
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