We polled family doctors from across the country, and they laid down the law on eight things they wish we'd do—or stop doing.
According to our panel of general practitioners, Canadians aren't always doing what they should to make the most of doctor visits—and skipping out on these crucial tactics could lead to a delay in diagnosing serious conditions. Here's what our experts say you should add to your patient checklist.
1. Stop feeling shy
Many of us hesitate to talk to our physicians about sensitive issues (think substance abuse or sexual health—or even gender identity). But honesty and openness are important, both for fostering a good doctor-patient relationship and for ensuring that you get the best care, says Dr. Laura Pripstein, medical director of the Sherbourne Health Centre in Toronto and a staff physician on the family health team. That's why it's OK to try out a doc before committing. Dr. Pripstein recommends booking an initial visit to see if your potential doctor is a good fit. "You want to see if this person seems like someone you can talk to, someone you feel comfortable with," she says. And if you don't think your doctor understands or respects your concerns, don't be afraid to find someone new. "If you feel you can't ask questions that might be embarrassing, you don't have the right provider," says Dr. Pripstein.
2. Don't come to your appointments unprepared
Get the most out of your time—and your doc's—by arriving at your appointment with a clear plan for what you want to discuss, says Dr. David Ross, an associate professor of family medicine at the University of Alberta in Edmonton. "It's good to have patients think about their problems from when the issue began, then look at it chronologically to the present," says Dr. Ross. Making a prioritized point-form list in advance helps ensure that you don't forget anything or mix up the order of events, he says. Then, work with your doctor to address the most serious issues first.
3. Choose your family doc over the walk-in clinic whenever you can
Yes, a clinic is convenient, but what we gain in easy access, we lose in familiarity. "I think it's really valuable if people can connect with a family physician who they'll be able to see long term, rather than just looking for the quickest way to access care," says Dr. Maurianne Reade, a physician with the Manitoulin Central Family Health Team in Mindemoya and M'Chigeeng First Nation, Ont. A family doctor will know your medical history and will keep it in mind when suggesting treatment—so, for example, if you've recently taken several courses of antibiotics for a UTI, your physician will likely look for a different course of action if you come in with another infection. According to the most recent statistics, about 4.5 million Canadians don't have a regular family doctor. If that's you, contact your provincial College of Physicians and Surgeons, or check to see if your region has an online registry (Ontario has Health Care Connect, while Quebec launched a web-based family doctor finder last year). "It's important to know that we doctors are privileged to share in your stories and to help you through difficult times," says Dr. Reade.
4. Share what's happening in your life
There's a reason your doctor wants to know where you're working, if you're dating and how the kids are—and it's not just because she likes you. (Though she does, we're sure.) Physicians need a picture of their patients' lives beyond their specific health symptoms and conditions, especially when they're first getting to know you, says Dr. Stephen Wetmore, the family medicine chair at the Schulich School of Medicine & Dentistry at Western University in London, Ont. "Doctors need to know these things to understand how your lifestyle and habits may be influencing your health," he says. So when you're talking about your exercise habits, your health history and whether you smoke, drink or use drugs, mention your employment status, family obligations and intimate relationships, too, says Dr. Wetmore.
5. Be a better googler
Doctors know you do it (hello, late-night web searches), but they would prefer you to ask about good sources of information, rather than going rogue online. They also want you to be honest about your fears if you've read something particularly upsetting. Physicians can't address your concerns or point you in the right direction if they don't know what your fingertips have been up to. "The thing we want our patients to do is ask us for the most reliable Canadian websites to go to as resources," says Dr. Heather Waters, an assistant professor of family medicine at McMaster University in Hamilton.
6. Don't think your symptoms are "no big deal"
If you've noticed you are having more headaches than usual or are sleeping more or are eating less, you might not think to tell your doctor—but you should. There's no set of rules for determining which symptoms are worthy of investigation or discussion, says Dr. Wetmore, but make a note to mention anything that is new or has changed since your last appointment. "You should bring up things like sudden weight loss or fatigue that seems excessive," he says. "It could be a sign of a larger problem, or the cause of a developing problem." Evenif it doesn't end up being serious, seeing your doctor will help ease any anxiety you might be feeling, and that's worth the visit, too.
7. Talk about what you're taking
Tell your physician about any herbal medications and alternative treatments you take, says Dr. Mel Borins, a University of Toronto associate professor and author of A Doctor's Guide to Alternative Medicine: What Works, What Doesn't, and Why. It's important for patients to share what's working for them and for doctors to be open-minded about therapies outside their own practice or traditions, he says. This is also a concern when it comes to conventional meds, especially if you're pregnant; there are only 23 medications specifically approved for use during pregnancy— yes, out of every available drug—which can leave women feeling anxious about taking prescription or over-the-counter drugs when they're expecting, says Dr. Robyn MacQuarrie, an obstetrician-gynecologist in Bridgewater, N.S. But don't stop taking your meds as soon as your pregnancy test comes back positive. "It's really important to talk to your doctor instead of stopping cold turkey," says Dr. MacQuarrie. Physicians can help you determine the risks and benefits of using different drugs, and they can let you know when the effects of not taking a medication while pregnant may be worse than taking it— which is the case with some antidepressants.
8. Avoid diagnosing yourself
You know doctors don't like it when you come in prepared with a diagnosis you've made thanks to the aforementioned Dr. Google. But do you know why? It's not because they think you're encroaching on their territory! Rather, they worry that a serious medical problem might get missed or you'll cause yourself unnecessary anxiety over something not serious. That's because not everyone has the most common symptoms of a particular condition. Plus, men, women and different ethnicities can have varying symptoms for the same problem. For instance, Dr. Reade's community has a large proportion of people with diabetes, which can affect the warning signs of cardiac disease, a major killer in Canada. Instead of the usual pain or pressure on the left side of the chest or arm, men and women with diabetes may instead have spells of profuse sweating with weakness. And, of course, women who don't have diabetes can have differing symptoms, too; sometimes, a heart attack can feel like acid reflux or come with sudden nausea, vomiting and lightheadedness. So always tell your physician if your symptoms are surprising or strange—like a headache that feels different than usual, for example. And if you're worried about a specific diagnosis, be sure to bring that up, too.
While every Canadian faces his or her own unique set of health hurdles, there are a number of ailments that have become pervasive in Canada. Though medicine has advanced over the years, our modern lifestyles have introduced a new set of health challenges. Here are some of the top health problems that Canadians face today.
Planning a picnic or family barbecue anytime soon? Give yourself one less thing to worry about and go for one of our easy pasta salad recipes. It's sure to be a hit!
Pasta salads are great to make ahead, and are absolute tops for large groups. They also take the cake for being an extremely versatile dish – with a host of added ingredients, toppings and dressings, simple pasta salads can go from humble side to star entrée in no time.
We asked Test Kitchen food specialist Amanda Barnier to share some top tips for preparing pasta salads, and why they're a crowd favourite. Here's what she had to share:
Pasta salads: the perfect make-ahead dish
"Pasta salads can easily be prepped in advance and can feed a crowd with little effort," Amanda says. "It can be made in advance and cooled immediately after cooking."
One important tip to remember, she adds, is to "add dressing the day it's being served, because it will quickly absorb the dressing."
Pasta salad favourites
"I like using cheese filled tortellini for a hearty salad. Soba and rice noodles are great with Asian dressings, whole grain and coloured pastas," Amanda says.
How to store pasta salads
"Keep salads well wrapped and refrigerated," she says. "Salad has the same storage life as its ingredients. Seafood is best eaten within 2 days, and chicken (within) 2 to 3 days. If traveling, be sure to store pasta salads in coolers packed with lots of ice."
"Proteins should not be within 4 C and 60 C for longer than a four hour period," she adds.
The long and short of it: best pasta shapes
"Short shapes are best with vinaigrettes and creamy dressings, and chunky ingredients such as chopped vegetables and beans," Amanda says.
"Long pasta shapes are better used with thinly sliced vegetables, proteins, herbs, spices and vinaigrettes."
Tips for making pasta salad
"If making a pasta salad in advance, rinse with cold water to stop the cooking process and drain well," she advises. "Add dressing just prior to serving. Pasta quickly absorbs liquids; if the dressing is added too soon, the pasta will absorb it."
So whether you prefer chunky pasta salads with a cool, creamy dressing perfect for summer picnics, or entrée-worthy pasta salads with long rice noodles and a tangy vinaigrette, you're sure to find a new favourite with from our collection.
Mediterranean Orzo Salad
This salad highlights many fresh flavours of the Mediterranean and is at its best when made with good-quality olive oil.
Photography by Jeff Coulson
The Best Macaroni Salad
This is a great keeper salad and perfect for a picnic or BBQ. Just make sure you pack it with plenty of ice packs to keep it nice and cold, both during transportation and at the table.
Photography by Annabelle Waugh
Chicken, Broccoli and Bocconcini Pasta Salad
Make this pasta salad for the whole family—the kids will love the mild dressing and round bocconcini cheese, while the adults will appreciate it as a light alternative to a sandwich.
Warm Roasted Red Pepper Pasta Salad
The dressing lends a taste of summer any time of year. The red peppers provide vitamins A and C and potassium. Quick and easy to make, this salad is perfect to take to a last-minute potluck or picnic.
Tuna Pasta Salad
Using tuna packed in both oil and broth means you'll need less oil in the dressing.
Salmon Pasta Salad
Start with melon wedges to whet your appetite for this quick and light dinner.
Grilled Vegetable Pasta Salad
Grilled market-fresh veggies meet marinated olives and artichokes in this healthy dish made with whole wheat rotini. So chock full with taste and texture, carnivores won't complain about this vegetarian dish.
To cook shrimp in a skillet, heat oil (or butter) over medium heat. Add your peeled shrimp, stirring occasionally, until the shrimp turns pink and opaque, which should take anywhere from 4 to 7 minutes depending on the size of your shrimp and the heat of your pan. As soon as the shrimp is pink and opaque on both sides, remove the shrimp from the heat or it will very quickly go from perfect to overdone.
Here are 7 things to avoid when cooking shrimp:
1. Using shrimp that’s past its prime: All protein tastes best when it’s super fresh, but that’s a real non-negotiable for shrimp. Fresh shrimp should be used within 24 hours, as should thawed shrimp. If you’re not sure when you’re going to consume the shrimp, it’s best to buy it frozen so you can take it out as needed.
2. Over seasoning: Shrimp is naturally quite salty, so make sure not to over season it. Taste as you go and err on the side of under seasoning. You can always add a little pinch of salt if needed, but it’s much harder to take one away!
3. Cooking shrimp that hasn’t been completely thawed: Shrimp must be completely thawed before cooking. If it isn’t, you’ll end up with a watery, unappetizing mess. Once your shrimp has completely thawed, you can pat it dry with a paper towel before cooking. This will remove excess water and give your shrimp the best possible texture.
4. Low heat: Make sure the shrimp starts searing away when it first hits the pan so it doesn’t simmer instead of searing. Medium heat is as low as you should go!
5. Keeping the tails: There is a time and a place for keeping shrimp tails attached (think shrimp cocktail) but when eaten as part of a dish, it’s easier and less messy to not have to deal with the shrimp tails at all.
6. Forgetting to properly peel and unvein the shrimp: Although most of us are well-aware of where our food comes from, finding a piece of shrimp shell or a black vein (which is basically the intestinal tract of the shrimp) is not incredibly appetizing — and it doesn’t taste good! Make sure to evenly peel the shrimp and devein it before using. Even when shrimp is labelled as deveined, it’s a good idea to quickly check each one just to make sure it’s been adequately cleaned. 7. Buying previously cooked frozen shrimp: Shrimp which has already been cooked and then frozen might seem like a great time-saver, but it really does not have the best texture. It’s more watery and usually doesn’t taste that great. Always opt for unpeeled, uncooked frozen shrimp if you're not buying it fresh from the fish counter.
Bold and beautiful browspiration (we’re coining it) from the stars.
After years of plucking them to obscurity, all-natural brows are back and they’re kind of a big deal. If eyes are the windows to your soul, then eyebrows are the framework to your face–structured, well-suited brows have the power to alter your entire look and make you look younger. Ranging from dark and bushy, to immaculately groomed we selected our favourite celebrity eyebrows that have us sprinting to our brow technician with some fresh brow inspiration.
Portman has had a strong brow game since she was a child actor, but what she does differently than most is that she opts for a straighter across brow. It’s not just about thickness and colour, which is of course on point, but it’s the length. To get a similar look rather than focusing on creating arches use your pencil to extend the brows towards the outer corners on each side.
If you have the right tools and the know-how, you can create almost any eyebrow shape. Benefit Cosmetics's Jared Bailey and Maddox Lu reveal their tips and tricks for mastering the most iconic eyebrow looks.