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Robert Shepherd, MD

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Letters / June 2017

In training we learned about pathophysiology, empathetic interviewing, choosing tests, making a differential diagnosis, recommending a treatment, and always supporting the patient to improve quality of life and to... Read More

Letters / December 2013

I am writing in regard to the Council on Health Promotion article in the October issue of the BCMJ [The senior driver in BC: Reaching the 80-year milestone BCMJ 2013;55:380]. A driver’s licence is... Read More

Letters / November 2013

Dr Richardson asked if one would order cortisol levels because a patient told her that her naturopath said she needed them checked, order hormones for someone who wants to start bioidentical hormones, order X-rays of... Read More

Letters / November 2012

Dr Richardson is right that Harley Davidson motorcycles are too loud [“Summer rant,” BCMJ 2012;54:321]. Movie theatres present another noise issue. I wear earplugs when I go to a movie because the intensity of... Read More

Letters / December 2011

Jeremy Smith wrote that the acceptance of EMR is much lower than 90% among solo or small practices[1] and he reviewed the experience of four doctors who graduated from medical school in or prior to 1983 or who have been... Read More

Letters / December 2010

One ophthalmologist sent me a consultation letter saying that she was go­ing to do HRT on a patient. Another ophthalmologist wrote that our patient has CME. In my dialect, HRT is hormone replacement therapy, and CME is... Read More

Letters / October 2010

A doctor who never examines his or her patients is doing a poor job. The Office of the Superintendent of Motor Vehicles (OSMV) tests young drivers repeatedly. The OSMV does not test older drivers. Dr Jensen wrote, “The... Read More

Letters / May 2010

This letter is an appeal for active clarity in letters between doctors. More than once a month I get a letter from a colleague that contains a variant on the following sentence: “The patient will require [an action].”... Read More

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