White Coat, Black Art

One stretcher. More than 80 patients waiting. Paramedics arriving with patients while admitted patients await transfer. That was the reality for registered nurse Jayme Hack during a recent shift at Edmonton’s Royal Alexandra Hospital. Along with colleague Valerie Evanishen, she offers a frontline view of the relentless pressure inside one of Alberta’s busiest emergency rooms. ER physician and former politician Dr. Raj Sherman puts it bluntly: ERs are the canary in the coal mine and “the canary is dead.” He says we can, and should, do better when it comes to emergency medicine.

This is an extended version of the radio broadcast.

Dr. Michael Antil left North Carolina in 2023 with his wife and kids, driven out by an increasingly conservative political climate and COVID-era hostility toward doctors. Now a family physician to over 2,000 patients in Toronto, he’s repeatedly been denied permanent residency, lost in a maze of paperwork and immigration red tape. Canada needs doctors—so why is this so hard?

You may think you're burned out at work, or with life in general. But what does burnout actually mean? Christina Maslach, Professor Emerita of psychology at UC Berkeley, was one of the first researchers in the world to study burnout, and co-created the Maslach Burnout Inventory over 40 years ago, a diagnostic tool that's still widely used today. She explains the distinct phases of burnout, why it's so pervasive in healthcare, and why a spa weekend isn't the cure.

Cardiologist, scientist and bestselling author Dr. Eric Topol's latest book "Super Agers" distills decades of research on how to make us healthier for longer. Topol says that humanity is on the cusp of developing treatments to help tame cancer, dementia and other chronic diseases… just as political forces in the U.S. are shutting down that research.

This holiday season, many of us will be taking to the skies to visit family or escape to warmer climes. So we’re sharing a recent episode of our sister podcast, The Dose, which asks: “What do I need to know about in-flight medical emergencies?” Dr. Vincent Poirier, associate professor of emergency and aviation medicine at McGill University, senior medical advisor for Air Canada and medical consultant for Air Transat, explains what happens when a medical emergency occurs on board and how passengers can help prevent them.