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Distributed for Purich Publishing

Upstream Medicine

Doctors for a Healthy Society

Distributed for Purich Publishing

Upstream Medicine

Doctors for a Healthy Society

When patients visit a clinic or hospital, they bring stories of the everyday life conditions that made them sick in the first place – stories about where they work, live, and play; stories about income, food security, and housing. Doctors today are listening. Personal stories and patient encounters illuminate the social determinants of health, that is, the upstream source of what too often become complex, painful, and expensive downstream problems. Upstream Medicine features interviews by medical students and residents with leading physicians whose practices bring evidence-based, upstream ideas to life. They show how we can change the practice of medicine to build a healthier society.

256 pages


Table of Contents

Foreword / Dr Vincent Lam

Preface / Andrew Bresnahan, Mahli Brindamour, Christopher Charles, Ryan Meili

1 Healthy Peoples and Healthy Discourse: Talking Indigenous Health / Evan Adams (First Nations Health Authority), Ryan Giroux

2 Being First Nations in Canada: The Rigged Game / Marcia Anderson DeCoteau (Indigenous Physicians Association of Canada), Scott Hodgson

3 From the Clinic to the Capital: Advocating for Systemic Change / Gary Bloch (Health Providers Against Poverty), Justin Neves

4 Shared Decision-Making: An Alternative to Physician-Centred Care / Vanessa Brcic (Basics for Health),  Irfan Kherani

5 What’s a Life Worth? / Naheed Dosani (Palliative Education and Care for the Homeless),  Jesse Kancir

6 A System That Puts Health as Its Ultimate Goal: Stories and Ideas for Change / Monika Dutt (Canadian Doctors for Medicare), Koray Demir

7 A Profound Sense of Responsibility: Thinking Large and Small in the Inner City / Ritika Goel (Advocate for Refugees and the Uninsured), Zachery Hynes

8 Every Clinical Story Has a Social Story / Brian Goldman (CBC’s White Coat, Black Art ), Andrew Bresnahan

9 A New Vision for Our Planet and Our Health / Courtney Howard (Canadian Association of Physicians for the Environment), Kelly Lau

10 Recharged: The Energy of a Politically Engaged Physician / Simon-Pierre Landry (Regroupement des médecins omnipraticiens pour une médecine engagée), Claudel Pétrin-Desrosiers

11 Habitat: Considering the Bigger Picture of Our Patients’ Lives / Murray Lee (Family Doctor), Kimberly Williams

12 Rejecting Indifference in the Face of Death / Joanne Liu (Médecins Sans Frontières/Doctors Without Borders), Claudel Pétrin-Desrosiers

13 On Motivation, Mentors, and Medicare / Danielle Martin (Canadian Docto

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