1: A Little Stitch Goes a Long Way

A multicentre RCT assessed the outcomes of small-bites vs large-bites for closure of elective abdominal midline laparotomies. After 13 years of follow-up, the cumulative incidence of incisional hernia was 34% in the small-bites group compared to 49% in the large-bites group. Hernias arising after small-bites were also smaller, meaning small-bites fascial closure could be considered standard practice for abdominal midline incisions.

2: Supporting Students With ADHD Starts Early

A cohort study of 580K individuals found that an earlier age at ADHD diagnosis is associated with better GPA at age 16 years, as well as a higher probability of completing an academic upper secondary degree. Additionally, those who received a diagnosis later on (closer to age 16) were at a higher risk of school dropout. These results support early screening for ADHD in primary and secondary school, as well as establishing robust support for those who receive a late diagnosis in order to improve educational outcomes for all children with ADHD.  

3: Does Tonsillectomy Technique Matter for Postoperative Outcomes? 

A 3-arm RCT of 179 patients looked at recovery time from intracapsular tonsillectomy compared to extracapsular tonsillectomy in 16- to 65-year-olds with recurrent or chronic tonsillitis. Intracapsular methods remove most tonsil tissue and leave the thin fibrous capsule intact, while extracapsular surgeries involve total removal. While there was no significant difference in recovery time among the treatment groups, swallowing pain intensity and daily activity impairment due to pain were lower in those who had an intracapsular tonsillectomy.

You’ve likely had this experience in your practice… 

A patient comes in for something routine, but as the conversation unfolds, something else surfaces: anxiety, burnout, low mood, stress. The symptoms have seemed to worsen over time, and you might start to think about therapy as a treatment option or a complement to their care. 

So you recommend it, and then they leave your office. What happens next is often unclear. Long waitlists, little guidance on where to start, and endless searching often delays patients in finding therapy. 

The gap between referral and care is where treatment is often delayed, and when symptoms can continue to worsen.

This is where Layla Care can make the biggest difference for patients in your practice. Layla guides patients from referral to care by supporting them in finding the right therapist for their needs and preferences. 

Layla’s data from over 6,000 physician referrals and 25,000+ people seeking therapy tells us that physician referrals support patients earlier in their journey, and guides more diverse populations to therapy.  

When primary care providers refer to Layla, they can trust that their patients are supported with a high standard of care that truly fits their needs.

On average, Layla matches each individual with 2–3 therapists from a curated community of 500+ vetted providers on our roster. These matches are personalized based on clinical needs, patient preferences and goals; so patients aren’t left to navigate the search on their own.

Our Care Coordinators work directly with each patient to guide them through the process, and most are able to begin therapy within 1–2 weeks.

To date, Layla has supported over 25,000 people across Canada, delivering more than 250,000 therapy sessions, with a 9.5/10 patient-rated quality of care average.

For physicians, referring to Layla helps close the gap between clinical recommendation and first therapy session. If you think your patients would benefit from therapy, Layla provides a clear, supported path forward.

GLP-1 therapy in 2026 is evolving fast, and clinical success is no longer just about weight loss. Join Dr. Sean Wharton on April 30 at 7:00 PM EDT for a free 1-hour update on where obesity management is heading next.

This session goes beyond the scale to look at the expanding role of incretin therapies, the biology behind weight regain, and how a rapidly diversifying treatment landscape is changing real-world patient access. Expect a practical, systems-focused discussion on how GLP-1s are reshaping long-term metabolic care.

1: 💉Health Canada is sounding the alarm on black-market peptide injections being pitched as quick fixes for weight loss and anti-ageing. Sold online without oversight, these unauthorized products have been linked to serious harms, including liver and kidney damage, blood clots, and even tumour growth. The key reminder for patients: if it doesn’t have an 8-digit Drug Identification Number (DIN), it’s not approved in Canada.

2: 🇨🇦 The Liberals have officially secured a majority government following a clean sweep of Monday’s 3 federal by-elections in Ontario. By winning all 3 contested seats, Prime Minister Mark Carney’s party, bolstered by recent floor-crossings, now holds 174 seats, surpassing the 172-seat threshold. This marks a historic shift in Canadian politics, as it is the first time a government has moved from a minority to a majority mandate between general elections, giving the Liberals a clear path to pass legislation without opposition support.

3:📱 A new Canadian-developed AI tool is aiming to speed up the diagnosis of endometriosis. The app, DANA, works as a chatbot that conducts structured, interview-style conversations with patients about their symptoms. It then analyzes responses using AI to identify patterns linked to endometriosis and other causes of chronic pelvic pain, helping flag higher-risk cases and guide earlier referrals to the right specialist. It’s not replacing clinicians, but it may finally help connect the dots a lot sooner.

4: 💸 As tensions in the Middle East continue to push oil prices around, Canadians may start to see fuel-related surcharges creeping back into travel and transport costs, with some airlines already introducing temporary fees to offset rising and volatile gas prices. These charges are typically adjusted during periods of fuel instability and built into overall pricing at checkout rather than shown as standalone costs. Outside of airlines, services like UPS, FedEx, DoorDash, Via Rail, and ride-share platforms such as Lyft could also see higher prices as fuel costs ripple through logistics and transportation networks, depending on how oil markets move in the coming weeks.

1 year: the new length of Ontario’s teachers’ college program after the Ford government moved to cut training from 2 years to 1. The aim is to get new teachers into classrooms faster amid shortages in French and tech education.

US$4,105: the price of FIFA’s new top-tier World Cup tickets for 2026 matches, with premium seating now pushing select seats into 4-figure territory as pricing tiers expand across venues.

25%: the reduction in dementia risk linked to simple lifestyle habits like regular exercise, good sleep, and breaking up long periods of sitting. New data suggests that even modest changes in midlife, like walking more or improving sleep, may meaningfully lower long-term risk.

2×: the jump in midnight cortisol levels seen in nurses working double shifts compared to single shifts, in a new study looking at how longer work hours can disrupt normal stress rhythms. Researchers found stress hormones stayed significantly higher overnight, when they’re usually supposed to drop.

🍳 Make: 1-pan lemon butter shrimp orzo. A single-skillet dinner that lands somewhere between comfort food and restaurant meal: shrimp cooked in garlic butter, then folded into creamy orzo with lemon and herbs.

🗼Buy: a piece of the Eiffel Tower… if you’ve got deep pockets. A section of the original staircase is heading to auction in Paris, with past fragments fetching 6 figures.

📖 Read: the “strategic romance” of Justin Trudeau and Katy Perry. The article explores whether it’s real chemistry or carefully curated optics. And yes, even doctors deserve their celebrity gossip rounds.

🎧 Listen: to this podcast on why the best investors are wrong half the time.

😂 Laugh: at the realities of trying to unwind after a long call while your partner has very different plans for the remote.

First clue: Diastasis recti splits these muscles, for short

Need a rematch? We’ve got you covered. Check out our Crossword Archive to find every puzzle we’ve ever made, all in one place.

Think you crushed it? Challenge your physician friends to beat your time.

Want to reach thousands of Canadian physicians every week? Email [email protected] to learn more.