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Complex Chronic Disease

The CCDP at BCWH is a leader in providing inter-professional care to patients with from complex and chronic diseases.  This includes being a provincial resource for providers seeking information on best practice and evidence-informed care.
Journal Articles


JAMA FM Review

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Chronic Lyme Disease 

CLD Review

CLD MIsconceptions and Challenges

Lab Diagnosis of CLD

Post-treatment Lyme Syndrome and Central Sensitivity Syndromes

Lyme Disease Diagnosed by Alternative Methods-A Phenotype Similar to that of Chronic Fatigue Syndrome

Multiple Chemical Sensitivities


Opioid Taper/Discontinuation 

Related Central Sensitivity Syndromes

Irritable Bowel Syndrome (IBS) 

IBS BMJ Review

IBS Cochrane Review

Interstitial Cystitis/Bladder Pain Syndrome (IC)

When to Suspect IC

IC Review

IC Guideline


Irritable Laryxn Syndrome (ILS)
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