When Canadians go abroad for surgery, who should pay?

Wendy Wittenberg’s son, Ebel, completely changed after a brief illness. He went from being a confident 10-year-old who loved school, to having separation anxiety, mood swings, and OCD symptoms. Wendy is confident he has PANS/PANDAS. The challenge is that it’s a diagnosis that some doctors still don’t know about or believe in, says pediatrician Dr. Wendy Edwards.

​Ask any Islander and they'll likely tell you that heavy alcohol use on PEI is ingrained. "It's a reality of our culture and our socializing," says Chief Public Health Officer Dr. Heather Morrison. But she's determined to change that. Working with fellow Islanders like Brenda Simmons of MADD, whose son Jacob was killed on his bike by a driver who'd had 13 drinks, Dr. Morrison has released a sweeping provincial alcohol strategy that other parts of Canada may want to study.

Pope Leo XIV, who isn’t known to be a smoker, has been diagnosed with lung adenocarcinoma. In this episode, Toronto father Winhan Wong shares his journey with that same disease. He was diagnosed nine years ago and was also a non-smoker. In Canada, one in four cases of lung cancer now occur in people who have never smoked. Thoracic surgeon Dr. Christian Finley explains why these cases are rising, the stigma patients face, and efforts to develop a national plan.

Dr. Michael Antil left North Carolina in mid‑2023 with his wife and kids, driven out by an increasingly conservative political climate and COVID-era hostility toward doctors. He’s now a family physician to over 2,000 patients in Toronto. He was repeatedly denied permanent residency in Canada, lost in a maze of paperwork and immigration red tape. In this encore episode, we have an exciting update to Dr. Antil’s battle with bureaucracy.

For Black women in Nova Scotia, getting basic health care can be a real struggle – so the Nova Scotia Sisterhood, a primary care clinic in Dartmouth, takes a different approach. Detailed intakes lead to everything from cancer screening to mental health care, delivered by a Black female team that understands the community. And there are Pap parties, too.

Farley Yuras, 74, traveled to Poland to have both knees replaced after the wait in Edmonton became unbearable. He and his wife say that because of long delays, Alberta should reimburse people who leave the country for medically necessary surgery. Steven Lewis, an adjunct professor of health policy at UBC, says the wait for elective surgeries in many provinces is “chaos and anarchy,” and needs fixing.

Dr. Erin Norris used to hide her multiple sclerosis to preserve her career as a rheumatologist. She was following an unspoken rule in medicine: either you practice at 100%, or you can’t practice at all. Yet one in five Canadian MDs self-identifies as having a disability. Now, Dr. Norris has rebuilt a career that works for her – all while challenging an ableist medical culture that pushes doctors with disabilities out the door.

Minnesota nurse Shane Tyson was frustrated by patients going without care because they couldn’t afford medication, and shaken by an ICE arrest at his hospital. Meanwhile, Canada needs nurses – and when Tyson saw B.C. was recruiting, he made the move to Nanaimo. Local volunteers Tod and Jocelyn Maffin have built an online community helping health-care workers like Shane move to Canada.

Gurleen Kaur Chahal is one of the inaugural students at Toronto Metropolitan University’s new Peel Region medical school, designed to serve the area’s diverse population. In this encore episode, she shares her determination to be part of the solution for the kinds of struggles her multigenerational Punjabi household has faced accessing care.

After 25+ years as a family physician, Dr. Fan-Wah Mang closed her practice because she burned out. Now, she’s at Humber River Hospital in Toronto, teaching the next generation of family doctors how to avoid the pitfalls that made her leave. In this encore episode, two of her residents also share what they’ll need to be a family physician long term, and it may surprise you.