Editor's Note, Volume 3 Issue 7
D’Arcy Little, MD, CCFP, FRCPC
Medical Director, JCCC and HealthPlexus.NET
I am pleased to introduce the last edition for 2013 of the Journal of Current Clinical Care. In this edition, we offer some new topics as well as articles expanding on themes from recent issues.
In his article Beyond Rasouli: What has the Supreme Court said about Late-Stage Dementia and Continued Life-maintaining Treatment, Dr. Michael Gordon, from the Baycrest Centre of Geriatric Care in Toronto, offers our readers a discussion on the result of the Supreme Court Ruling on the Rasouli case and the potential implications for the rapidly increasing number of individuals living with dementia in Canada and the United States.
Dr. Francesca Cheung from the Lynde Centre for Dermatology describes Discolouration of the Tongue. Hairy tongue is a result of hypertrophy, elongation, and defective desquamation of the filiform papillae of the tongue and may present in a variety of colors depending on the specific etiology that may include poor oral hygiene, lack of mechanical stimulation, use of medications and therapeutic radiation of the head and neck.
Dr. Ian Pun, et al., examines Treatment of a Patient with HBeAg-negative Chronic Hepatitis B. Chronic hepatitis B is mostly an asymptomatic disease, therefore, serological and imaging tests should be used to identify, follow, and treat those considered high risk. Over the past decade effective anti-viral treatments have become available.
We have a Clinico-Pathological Quiz by Drs. Pradeep Shenoy and Lyew Warren from the Cambellton Regional Hospital in New Brunswick. A case of a fleshy, granular, pedunculated growth from the oral cavity is presented. A differential diagnosis of similar growths from the oral cavity and the treatment options are discussed.
I hope you enjoy adding this edition of the Journal to your end of the year reading list. As always, your comments are welcomed.
Looking forward to an exciting 2014 at Health Plexus and the Journal of Current Clinical Care! Happy Holidays!