1: The P2Y12 Podium: Prasugrel Takes Gold

A systematic review and meta-analysis of 15 RCTs looked at the efficacy and safety of prasugrel, ticagrelor, or clopidogrel after percutaneous coronary intervention (PCI). In ~49K patients, prasugrel emerged victorious against the other two P2Y12 inhibitors, with fewer major adverse cardiovascular events (e.g. myocardial infarction or stent thrombosis) and reduced bleeding events. Bottom line: compared with either ticagrelor or clopidogrel, prasugrel takes the prize for post-PCI efficacy and safety.

2: Why Medication Adherence Is Harder for Older Adults With Cognitive Impairment

A qualitative study of 116 adults aged 55+ uncovered some unique barriers to medication management in those with cognitive impairment who live alone. Participants described issues such as lacking medication reminders, fearing adverse effects when alone, and encountering logistical difficulties without advocates around to help. With these roadblocks identified, the focus can shift to identifying those with cognitive impairment and implementing strategies to mitigate medication management challenges.

3: A Metabolic Bonus to Gastroparesis Surgery?

A cohort study of 95K patients with diabetic gastroparesis found that surgical treatment, including gastric electrical stimulation or pyloroplasty, was associated with a long-term reduction in HbA1c levels, lower insulin utilization, and lower 5-year diabetes-related complications compared to non-surgical management. These findings highlight how surgeons may want to consider the metabolic outcomes alongside symptomatic burden when selecting diabetic patients for gastroparesis surgical intervention.

High income does not automatically equal financial security.

In fact, many physicians are surprised to find themselves feeling financially stressed despite earning more money than they ever imagined.

You spent years in school. You accumulated significant debt. Then one day, your income increases dramatically. From the outside, it looks like you've made it.

But behind the scenes, you are dealing with a different reality:

As a result, it's not uncommon for physicians to feel wealthy on paper, yet still feel uncertain about whether they're truly on track financially.

At RX Dental Wealth Management, we regularly speak with physicians across Canada who are asking the same question: "I'm earning a good income. Why does it still feel like I'm not getting ahead?"

Here are 3 common reasons why.

1. Lifestyle Inflation Happens Faster Than You Think

After years of sacrifice, it's natural to want to enjoy the rewards of your hard work.

None of these things are inherently bad. The challenge is that expenses tend to rise alongside income. Before long, the income that once felt life-changing becomes committed to a lifestyle that requires it.

The result? You earn more, but don't necessarily feel more financially secure. Without a long-term plan, it becomes difficult to determine whether your current spending supports your future goals.

2. Your Accountant and Advisor Are Not Talking to Each Other

This is one of the biggest issues we see.

Your accountant handles taxes. Your advisor manages investments. But often, they are not actually communicating with each other.

You ask your accountant about an investment strategy and are told to speak with your advisor. You ask your advisor about tax planning and are told to speak with your accountant. Meanwhile, you're stuck in the middle trying to coordinate everything yourself.

The result?

For incorporated physicians, all of these decisions are connected: salary versus dividends, corporate investing, personal investing, retirement planning, passive income, estate planning, and holding companies.

3. You Need More Than Tax Planning. You Need a Tax-Efficient Financial Strategy.

Physicians are among the highest-taxed professionals in Canada. Depending on your province and circumstances, you could lose more than 50% of each additional dollar earned to taxes.

That's why financial success isn't just about how much you earn. It's about how much you keep.

A tax-efficient financial strategy looks beyond this year's tax return and focuses on the bigger picture, like building wealth efficiently and reducing unnecessary taxes.

For example, many professionals tell us they would like a retirement income of $200,000–$300,000 per year. Let's use $250,000 as an example. A common rule of thumb suggests you may need approximately $6.25 million invested to generate that level of income over the long term.

The question becomes: do you have a plan to get there?

Most physicians don't need more information. They need a coordinated strategy that connects their taxes, investments, corporation, and retirement goals.

The good news? This can be fixed.

At RX Dental Wealth Management, we help physicians across Canada build coordinated financial strategies tailored to their financial situation. By integrating tax planning and wealth management, we help you make smarter decisions with what you already earn. Our clients save an average of $30,410 per year through proactive planning and tax-efficient strategies.

Because building wealth is not just about earning more money. It's about creating a clear path toward financial freedom.

1: 📑 Med tech keeps getting smarter... so why are Canadian doctors drowning in more paperwork? A new study found that not only are FPs seeing more patients — between 2011 and 2021, lab tests rose 68.5%, referrals jumped 80.2%, and prescriptions climbed 43.1%. Even per patient encounter, referrals rose 57% and lab tests 29%. Chronic disease rates don't appear to explain this growing source of burnout and overwork. The culprit may be progress: the extra homework that comes with better medicine.

2: 🩸 For decades, hepatitis B treatment has mostly meant control, not cure. But now a new drug is allowing about 1 out of 5 patients to stop treatment. The drug — bepirovirsen or "bepi" — suppresses viral replication and the hepatitis B surface ("S") protein, while also stimulating the immune system. Experts aren't sure how long the remission-like state lasts. But so far, this "functional cure" has proven to last at least up to 3 years.

3: 🛌 A bad night's sleep could affect more than just the immune system. It could be a previously overlooked risk factor for early-onset cancer. Analyses of over 18 million US adults aged 18–50 found that an insomnia diagnosis was associated with a higher 5-year risk of several early-onset cancers, including colorectal, breast, uterine/endometrial, and ovarian cancers. These findings could help researchers understand the global rise in cancer among younger adults. It's important to note the study suggests an association, though — not causality.

4: 🦟 Could anything make a bloodthirsty, disease-spreading, parasitic species even worse? Maybe an ability to learn. Researchers discovered that Aedes aegypti mosquitoes can learn to associate DEET with a blood meal, causing what's meant to be a repellent to become attractive. In the lab, 60% of mosquitoes that fed on warm blood while exposed to DEET later tried to bite when exposed to DEET alone. But, according to the authors, mosquito training isn't easy, and they're most likely to learn after the repellent starts to wear off. So don't ditch the spray this summer — just reapply it as directed.

From 16 second claim submissions to support finding the right codes, Dr.Bill helps physicians optimize their billing from day one. It combines easy-to-use billing software with expert billing guidance, so you aren’t left guessing your way through the process.

Trusted by over 13,000 Canadian physicians across 60+ specialties, Dr.Bill helps reduce admin time and missed revenue so you can focus on patient care.

Start your free trial today and see the difference.

2 years: roughly how long a comparable Ebola outbreak in eastern DRC took to resolve, and this one could take just as long. The Bundibugyo strain has no approved vaccine or treatment, active conflict is hampering containment, and cases have already crossed into Uganda. Canada's 21-day quarantine for returning travellers helps, but experts say the real play is getting resources to the source.

$22.5M: the amount a Toronto plastic surgeon was ordered to pay former patients after secretly filming them inside his clinic. A judge found that "Dr. 6ix" installed more than 2 dozen cameras, including in consultation rooms where patients undressed, "betrayed his vulnerable patients from whom he was profiting" — yet showed no remorse.

$3,000: the floor price for Canada's opening World Cup match against Bosnia and Herzegovina in Toronto on June 12, with dozens of seats still unsold less than 2 weeks out. Fans who'd happily pay a few hundred dollars are sitting it out, FIFA isn't budging, and the result is a standoff that could mean empty seats at the planet's biggest sporting event.

🍗 Make: this Jamaican jerk chicken. A spiced marinade with allspice, thyme, scotch bonnet, and browning sauce that you blitz, rub on bone-in thighs, and let sit overnight before cooking low and slow on the BBQ.

📖 Read: about researchers who may have found a way to stop pancreatic cancer before it starts. They were able to nearly double survival (compared to treating after diagnosis) with KRAS inhibitors in mice, targeting microscopic precancerous lesions — before any tumours formed.

🛒 Buy: something from PopSci's 2026 Father's Day gift guide — 30+ picks that skip the usual tie-and-beef-jerky fare, from a $60 pocket knife with a built-in tick remover to a $100 campsite lantern that looks good enough to leave on a nightstand.

💰 Save: on a lawn mower upgrade if you need one. This Greenworks 16" cordless model is on sale. No cords, no fuel, just a straightforward battery mower and shorter grass.

👀 Watch: this YouTube video with Doctor Mike calling out viral medical TikToks and separating fact from internet nonsense.

First clue: Pelvic bones

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.