Author Archives: John Sloan

NB: this note was posted and updated March 20-26 2020. Big changes will no doubt occur to make much of what I’m saying simply wrong in the near future. Sounds like the title of ER doctor Dan Kalla’s thriller published … Continue reading →

About four years ago I had a meeting with a dear and trusted colleague and a bunch of Vancouver Coastal Health administrators. The chief executive officer and her group said “We have a culture of admission here”. Too many elderly … Continue reading →

For over 10 years my wife and I have lived in two places. We’ve travelled back and forth each week between our home in Roberts Creek on BC’s Sunshine Coast and an apartment in Vancouver, where I’ve conducted my part-time practice looking after homebound frail old people … Continue reading →

A couple of very good friends in Vancouver somehow convinced the Canadian College of Family Physicians and Canadian Geriatrics Society to give me an award for innovation in geriatrics. I don’t deserve it. Here is my acceptance speech at the … Continue reading →

I post this here having already put it in my “Reviews” website because I think it’s well worth reading and I take a slightly different message than most reviewers from it. Kalanithi, Paul. When Breath Becomes Air. Random House, New … Continue reading →

April 2017 I’ve been working in Canadian primary health care now for almost 40 years, and it seems to me that while in many ways we’re making progress, in others we keep making the same mistakes. At the moment our … Continue reading →

I work with a multidisciplinary emergency room team that tries to stop unnecessary hospital admission of frail old people. Again and again at the busy Vancouver General emerg family doctors who go on holiday without replacement, won’t make house calls, or … Continue reading →