Sarah Fraser, MD
Is this your author page?
Make it work for you. Your KevinMD author page is one of the highest-ranking results for your name. An enhanced author page turns this page into a premium profile with your photo, biography, affiliations, publications, and links, publishes your accepted articles in 1 to 3 days, includes a listing in Experts by KevinMD, and comes with a guaranteed interview on The Podcast by KevinMD. See an example · See the enhanced author page → Cancel anytime.
Latest articles
Conditions and diseases
I recently returned from Northwest Territories, where I’d been working as a physician for six months. Now, back in Nova Scotia, I’m reflecting on what it’s been like to have worked in areas of Canada with relatively few cases of…
I recently returned from Northwest Territories, where I’d been working as a physician for six months. Now, back in Nova Scotia, I’m reflecting on what it’s been like to have worked in areas of Canada with relatively few cases of COVID-19.
A large part of my work is hospital medicine. As the name implies, a hospitalist is a doctor who cares for patients admitted to the hospital. Often, we work
…
Read more…
These 2 Canadian provinces are getting it right in the COVID-19 pandemic
Health policy
During the final presidential debate, Joe Biden said that “no one should be going to jail for a drug problem, they should be going to rehabilitation,” effectively suggesting that substance use be decriminalized in the US. The war on drugs…
During the final presidential debate, Joe Biden said that “no one should be going to jail for a drug problem, they should be going to rehabilitation,” effectively suggesting that substance use be decriminalized in the US.
The war on drugs
Since President Nixon declared the “war on drugs” nearly half a century ago, the general global response to drug use has been focused on enforcement. Zero tolerance. Since the Nixon years, drug-related …
Read more…
Should drug use be decriminalized?
Physician voices
This week, I opened my planner and came across a list of my goals for Spring that I’d written back in early January: attend a Latin dance festival; get my blue belt in Brazilian Jiu-Jitsu; travel. These sorts of activities…
This week, I opened my planner and came across a list of my goals for Spring that I’d written back in early January: attend a Latin dance festival; get my blue belt in Brazilian Jiu-Jitsu; travel. These sorts of activities open my mind, allowing me to make progress in areas of my life outside of medicine. Maybe that list was a tad ambitious at the concept stage, for my plans …
Read more…
The bittersweet post-COVID life for this physician
Conditions and diseases
The number of COVID-19 cases now exceeds 378,000 worldwide. This new coronavirus, also known as SARS-CoV-2, is having unprecedented global effects. The number of deaths in Italy surpasses 6,000, and there is a lock-down in many countries. The number of…
The number of COVID-19 cases now exceeds 378,000 worldwide. This new coronavirus, also known as SARS-CoV-2, is having unprecedented global effects. The number of deaths in Italy surpasses 6,000, and there is a lock-down in many countries. The number of worldwide cases of COVID-19 increases each day, and it is important we do everything we can to prevent the spread of disease. To achieve this, we need …
Read more…
How long does coronavirus stay on surfaces?
Conditions and diseases
We are in an unprecedented time. With the amount of information available, it is easy to feel overwhelmed. Sometimes the information we consume is confusing. For example, at a March 16th press briefing, President Donald Trump addressed the public about…
We are in an unprecedented time. With the amount of information available, it is easy to feel overwhelmed. Sometimes the information we consume is confusing.
For example, at a March 16th press briefing, President Donald Trump addressed the public about COVID-19. He stood next to Vice President Mike Pence and other top officials. A reporter asked him whether he should be taking greater precautions for social distancing between himself and Pence …
Read more…
A negative COVID-19 test doesn’t mean you’re in the clear
Physician voices
The theme of the conference is the medical humanities. After Lawrence Hill's keynote speech, the lineup of people waiting to speak with him is long. At the end of the day, I'm inspired by the lectures I attended, but disappointed…
The theme of the conference is the medical humanities. After Lawrence Hill’s keynote speech, the lineup of people waiting to speak with him is long. At the end of the day, I’m inspired by the lectures I attended, but disappointed that I didn’t get the chance to speak with Dr. Hill. I should have just stood in line. While waiting on my Uber outside in Hamilton, Ontario, Dr. Hill emerges from the …
Read more…
Medicine needs to buy into the idea of storytelling
Drugs and prescribing
At the age of three months, Charlotte Figi had her first seizure. She was later diagnosed with Dravet Syndrome, a rare form of epilepsy. Her seizures continued, increasing in both frequency and severity. In a CNN interview, Charlotte’s mother Paige…
At the age of three months, Charlotte Figi had her first seizure. She was later diagnosed with Dravet Syndrome, a rare form of epilepsy. Her seizures continued, increasing in both frequency and severity. In a CNN interview, Charlotte’s mother Paige said that at the age of three, Charlotte was having up to 300 seizures per week. They could last for up to four hours.
After all other medical treatments had failed, …
Read more…
CBD oil: Natural does not mean it is safe
Physician voices
In journalism, the lede is the first part of a news story. A good lede will entice the reader to read more. It contains the key points and gives the general idea of the article. Ledes are also crucial in…
In journalism, the lede is the first part of a news story. A good lede will entice the reader to read more. It contains the key points and gives the general idea of the article. Ledes are also crucial in the field of medicine. As a graduate student in journalism and a general practitioner, I can appreciate the value of ledes in both fields.
When health care professionals communicate with each …
Read more…
In medicine, use a strong lede
Physician voices
Several weeks ago, I began my studies for a master’s degree in journalism. I’m continuing to work as a physician, but for the next two years, I’ll also be gaining knowledge in an important field: health communication. I recall being…
Several weeks ago, I began my studies for a master’s degree in journalism. I’m continuing to work as a physician, but for the next two years, I’ll also be gaining knowledge in an important field: health communication.
I recall being a medical student and observing the different ways in which my supervising doctors spoke with their patients. Some doctors communicated clearly and were easily understood. Others used words that I had …
Read more…
The language of medicine can be complicated. Does it need to be this way?
Physician voices
When a patient goes to the doctor, they usually have a specific health problem in mind. Sometimes, the treatment is straightforward; a urinary tract infection warrants antibiotics. A laceration can be sutured. Other issues, however, are more complex. For example,…
When a patient goes to the doctor, they usually have a specific health problem in mind. Sometimes, the treatment is straightforward; a urinary tract infection warrants antibiotics. A laceration can be sutured. Other issues, however, are more complex. For example, communicating a terminal diagnosis to a patient. Consoling his grieving widow two months later. In circumstances like these, even if there is no cure, there is still space for healing.
Central …
Read more…
Become more than a clinician. Be a healer.
Physician voices
The last few passengers filter in and buckle themselves up before takeoff. The emergency exit row is occupied by an elderly couple, and I am seated behind them. The flight attendant asks whether they are comfortable in those seats, given…
The last few passengers filter in and buckle themselves up before takeoff. The emergency exit row is occupied by an elderly couple, and I am seated behind them. The flight attendant asks whether they are comfortable in those seats, given that they’d have to respond in the case of an emergency.
“Not that I expect anything bad to happen,” the flight attendant adds with a smile.
I, too, am familiar with discussing …
Read more…
The worst-case scenario question you must ask patients: even healthy ones
Physician voices
This year, I stood on the curb at the 2017 Halifax Pride Parade and watched high-energy floats pass by. Leading the parade was the indigenous float. The vibrant trans youth float warmed my heart. The prime minister waved and called…
This year, I stood on the curb at the 2017 Halifax Pride Parade and watched high-energy floats pass by. Leading the parade was the indigenous float. The vibrant trans youth float warmed my heart. The prime minister waved and called out “Happy Pride!” to the spectators. It was a stream of enthusiastic faces, song, dance, and brightly colored banners.
I love pride. It’s is a special time for a lot of …
Read more…
How to improve primary care for trans patients
Physician voices
On our first night in Dublin, my mother and I head straight to a pub. We sit at a table across the room from a cheerful woman who looks to be in her eighties. It doesn’t take her long to…
On our first night in Dublin, my mother and I head straight to a pub. We sit at a table across the room from a cheerful woman who looks to be in her eighties. It doesn’t take her long to walk across the room and join us. She grasps her pint of beer and takes a long gulp. We learn that her name is Mary and she welcomes us with …
Read more…
A way to stop social isolation? Beer.
Physician voices
“Dr. Fraser, the pharmacy is on the phone for you. Line one.” I answer the call, pressing the gray, rectangular button with one hand while writing in a patient’s chart with the other. “Sarah Fraser speaking.” “Oh, hi, Doctor, we…
“Dr. Fraser, the pharmacy is on the phone for you. Line one.”
I answer the call, pressing the gray, rectangular button with one hand while writing in a patient’s chart with the other.
“Sarah Fraser speaking.”
“Oh, hi, Doctor, we just got in a prescription of yours, but we are not quite sure what it says.” The pharmacist is gentle in her words.
It was the first time this had happened. I’d promised myself …
Read more…
Doctor, we can’t read your writing
Physician voices
Be honest. What’s the first thing you think of when you hear the words "plastic surgery?" Breast implants? Nose jobs? Or maybe you’ll think about one of the numerous television programs out there that have featured the discipline: "Nip/Tuck?" "Botched?"…
Be honest. What’s the first thing you think of when you hear the words “plastic surgery?” Breast implants? Nose jobs? Or maybe you’ll think about one of the numerous television programs out there that have featured the discipline: “Nip/Tuck?” “Botched?” “Grey’s Anatomy?”
If so, you aren’t alone. Plastic surgery as a discipline is poorly understood by many, including primary care physicians, nurses, medical students and the public. Plastic surgeons perform many …
Read more…
The real reason we think plastic surgery is just boob jobs and tummy tucks
Physician voices
"Do no harm." This is a key phrase in the Hippocratic Oath; one that I announced with conviction at my medical school graduation. I swear to do no harm. What would Hippocrates, the Father of Modern Medicine, think about the…
“Do no harm.”
This is a key phrase in the Hippocratic Oath; one that I announced with conviction at my medical school graduation. I swear to do no harm. What would Hippocrates, the Father of Modern Medicine, think about the concept of harm reduction?
Canada has a drug problem. We are one of the world’s largest per-capita opioid consumers. The country is facing what has become known in the media as the …
Read more…
Doing no harm to addicts might be doing a lot of harm
Physician voices
Doctors and nurses like facts. After all, we're evidence-based thinkers — rational scientists. Yet, we can be surprisingly superstitious. Many of us believe in a thing called "call karma," which is when certain doctors attract sick patients while working on…
Doctors and nurses like facts. After all, we’re evidence-based thinkers — rational scientists. Yet, we can be surprisingly superstitious.
Many of us believe in a thing called “call karma,” which is when certain doctors attract sick patients while working on call (these people are said to have bad call karma). Other doctors attract less sick patients, meaning they have good call karma.
As a medical student, I quickly learned that I fell …
Read more…
It’s bad luck to say that in a hospital
Real physician voices, twice a week
Free, and one click to unsubscribe.
