Dr. Justine Spencer – BC Medical Journal
Dr. Spencer had her letter “I wash my hands of this: A plea for emotional hygiene” published in the October edition (Vol. 58, No 8) of the BCMJ.
Her letter urges colleagues to consider the emotional transference between patients and cautions them to greet each patient and end each day without the emotional burdens of previous interactions.
Drs. Mitchell, Shuster and Shahidi – Canadian Journal of Gastroenterology and Hepatology
Drs. Mitchell, Shuster and Shahidi with a number of colleagues were published in the Canadian Journal of Gastroenterology and Hepatology for their research article: The Utility of Infliximab Therapeutic Drug Monitoring among patients with Inflammatory Bowel Disease and Concerns for Loss of Response: A Retrospective Analysis of a Real-World Experience.
They find that despite the low adherence to recommended clinical decisions after Infliximab therapeutic drug monitoring results, there was a positive yet not statistically significant trend towards improved remission rates in those with appropriate TDM-based decisions. Further the emergence of other novel inflammatory bowel disease therapeutics provides an opportunity to better understand how to treat patients with a suspected loss of response. They recommend further education on appropriate use of this valuable laboratory information to ensure ideal management to control disease and maximize remission rates, thereby improving patient care while maximizing resource utilization.