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The GenerEhlist - CCFP Exam Prep, Low Risk Obstetrics & Canadian Primary Care Medicine
The GenerEhlist Team
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A PodCast by Canadian GPs for Canadian GPs. CCFP Exam Topic review, Low Risk Obstetrics, and Primary Care and Family Medicine in Canada. www.thegenerehlist.ca
Available episodes
Newest first
Oldest first
Nov 20, 2022
CCFP 105 Topics: Insomnia
* Written By: Shaila Gunn - PGY , Calgary AB * Expert Review: Dr Darby Ewashina, ER Psychiatrist, Calgary AB @doc.darbs It is important that as family physicians, we learn to not only diagnose insomnia but learn to counsel patients in the management, both behavioral and pharmacological. Insomnia is a common problem, impacting 35-50% of adults. However, only 12-20% of patient with symptoms of insomnia meet the criteria for insomnia disorder. Many other factors including other sleep related conditions, mental health concerns, and organic health problems may present with symptoms of insomnia. Knowing what is causing the insomnia is an important step, as this will guide the most effective treatment strategies. Common, non-modifiable risk factors for insomnia include female gender and middle aged to older adults. However, most patients with insomnia will have another treatable condition. It is important to note that the MOST COMMON CAUSE OF SLEEPINESS IS INADEQUATE SLEEP WITH LACK OF TIME SPENT IN BED AND POOR SLEEP QUALITY Regardless of the cause of insomnia, there are some important, non-pharmacologic treatments that we will talk about that can be beneficial for all patients struggling (or not!) with sleep. The two main treatments are sleep hygiene techniques and Cognitive Behavioral therapy for insomnia (or CBT-I for short). We will get into this later in the episode.
33 min
Oct 30, 2022
CCFP 105 Topics: Red Eye
Written by: third-year medical student, Kim Papp, and Expert Review By: Dr. Meghan Smith, PGY-5 in Ophthalmology, University of Alberta
23 min
Oct 23, 2022
Low Risk Obstetrics: Dystocia
* Episode Written By : Kyla Freeman, FM-PGY3 * Episode Reviewed By : Jillian Gilroy, OBGYN-PGY3 * Hosts : Kyla Freeman PGY3, Patricia Massel MD-CCFP, Caitlen Blewett PGY1 * Art : Aikansha Chawla * In today's episode we sloooow it right down and go back to basics to review "what is labour" and when is labour prolonged or arrested? We will review the stages of labour as well as how to recognize and manage prolonged or obstructed labour in the first or second stage. We will also very briefly talk about cesarean sections and assisted vaginal deliveries. We hope you enjoy!
41 min
Oct 9, 2022
CCFP 105 Topics: Infertility
* Written By: Sonja Poole, PGY2 FM - Yellowknife NWT * Reviewed By: Dr Andrew Kotaska OBGYN, - Yellowknife NWT Some definitions: * Infertility = inability to conceive or carry to term after 1 year of regular, unprotected intercourse * Primary infertility = infertility in the context of no prior pregnancies * Secondary infertility = infertility in the context of a prior conception As a disclaimer, we are going to be heteronormative with our language to simplify referring to the person providing the sperm as the male partner and the person providing the ovum as the female partner, and using cis-gendered pronouns. This is because those are the two essential ingredients for producing an embryo and they both have specific health considerations. People who are non-binary, trans, or in queer relationships may also struggle with infertility. Referring to people by their preferred pronouns is extremely important and separating our ideas of sex and gender identity is crucial to providing excellent care. Keep this in mind as you listen to this episode.
28 min
Oct 2, 2022
Low Risk Obstetrics: Pelvic Floor Physiotherapy
Today's episode is a little unique - Dr. Patricia Massel interviews Nicole Schmitt, a pelvic floor physio to get a whole bunch of tips and pearls about how to support your patient in pregnancy and post-partum with their pelvic floor concerns. They said they'd be 30 minutes, but you know of course it's longer to hopefully enhance your knowledge in this important, yet under-discussed area of pregnancy care! We hope you enjoy.
1 hr 6 min
Sep 11, 2022
CCFP 105 Topics: Infections
* Written By: Karkirat Singh, FM PGY1 - Vancouver BC * Review By: Dr Hermeen Dhillon * Hosted By: Braedon Paul and Caleb Dusdal
16 min
Aug 28, 2022
CCFP 105 Topics: Ischemic Disease
* Written By: Christopher Clarke - FM Resident, Victoria BC * Review By: Dr Ajay Bains - IM PGY4 - UBC * Sound Editing By: Braedon Paul * Hosted By: Christopher Clarke & Caleb Dusdal As a brief review, ischemic heart disease or coronary artery disease can be thought of as a spectrum that ranges from stable angina to unstable angina which may progress to myocardial infarction and sudden cardiac death. As we know, stable angina is caused by luminal narrowing of coronary arteries whereas unstable angina is caused by plaque rupture and thrombus formation leading to stenosis. Myocardial infarction results when you have occlusion of the coronary artery leading to ischemia and then infarction of the myocardium. And within that, a STEMI is generallycaused by complete occlusion and a NSTEMI is typically caused by a partial occlusion.
23 min
Aug 21, 2022
CCFP 105 Topics: Exam Tips - With Dr Paul Dhillon & Dr Simon Moore
* Hosts: Eleanor Crawford and Caleb Dusdal * Guests: Drs Paul Dhillon and Simon Moore CCFP Exam and Medical Education Gurus and the Duo behind the Nation-Wide 'The Review Course'. Rather than specific key topic review today, we are very pleased to be able to bring you the gurus of the CCFP Exam and medical education in general, as well as the duo behind the nation-wide 'The Review Course'. Drink in the knowledge that these two gents have gathered over many years of teaching, examining and reviewing the CCFP Exam, both SOOs and SAMPs. We discuss: * is oxygen considered a medication or a treatment? * what should the structure of my SOO approach be? * best ways to study? * exam accommodation tips? * plenty of dad jokes, and more https://www.thereviewcourse.com/
27 min
Aug 14, 2022
CCFP 105 Topics: In Children
While the title of this key topic makes me uncomfortable, the excellent and succinct script is wonderful. * Written By: Dr Nova Zhao - Family Physician - Halifax Nova Scotia * Reviewed By: Dr Tania Wong - Paediatrician & Assistant Professor of Community Paediatrics at Dalhousie
14 min
Aug 7, 2022
CCFP 105 Topics: Heart Failure
Caleb Dusdal and Dr Kristin Dawson discuss the CCFP Objectives for Heart Failure. Lots of crazy sounds, and tons of laughter as ever. Enjoy.
27 min
Jul 31, 2022
CCFP 105 Topics: Dizziness - An Update with Dr Peter Johns
Join us as we update the Dizziness episode with the expertise of vertigo guru, Dr Peter Johns. When he isn't trying to update the medical internet community into more clinically useful vertigo management, he is working as an ER Physician in Ottawa, as well as in the Rapid Access Dizziness(RAD) clinic helping dizzy patients. Here we update the prior episode with clinical pearls like: * do not bother with HINTS unless there is persistent nystagmus * how to bring out an otherwise hidden nystagmus * commonest features of BPPV, and when you might miss a less obvious BPPV * please do not focus on the ubiquitous central v peripheral vertigo table we all have been taught * and much more
33 min
Jul 17, 2022
CCFP 105 Topics: Hyperlipidemia
* Written By: Dr. Khash Farzam * Peer Review By: Dr Kristin Dawson
26 min
Jul 3, 2022
Low Risk Obstetrics: Induction of Labour
* Episode Written by : Kyla Freema, PGY2 Family Medicine * Episode Reviewed by : Elaine Godwin, Family Practice Low Risk Obstetrics * Hosts : Kyla Freeman, Patricia Massel, Caitlin Blewett * Image Art : Aikansha Chawla
35 min
Jun 12, 2022
CCFP 105 Topics: Headache
* Written By: Josh Piemontesi, FM PGY1 - Black Diamond AB * Peer Review By: Caleb Dusdal Join Caleb Dusdal and Josh Piemontesi in reviewing all of the CCFP Exam Objectives for the ubiquitous Headache.
28 min
May 22, 2022
CCFP 105 Topics: Hypertension
* Written By Dr Jessica Dawson * Expert Review: Dr Jennifer Ringrose, Internist in Edmonton, AB Hypertension is one of those issues that we encounter every day in family practice, whether in the office or acute settings. Roughly one in four to one in five Canadian has hypertension. It is a top modifiable risk factor for cardiovascular disease and the number one cause of death and disability worldwide. In[JR1] fact, a 2018 systematic review in Canadian Family Physician found that globally, across both developed and developing nations, hypertension was essentially tied with upper respiratory tract infections for being the most common reason for a visit (at least according to the doctors). Which is why it is typically the first disease that comes to my mind when I think about the preventative side of primary care. All that to say, this episode is a big one. We focused primarily on the Hypertension Canada guidelines when researching this episode, since that's what will be most rele…
34 min
May 8, 2022
Low Risk Obstetrics: Newborn Exam Part 2
Today's episode is a continuation of Episode 9, where we delve into the details of the newborn exam, reviewing both the subtle and the serious findings you may come across. In Part 2, we cover the chest and down. We will review upper-limb birth traumas, approach to murmurs, the differential for increased work of breathing, emergent management of abdominal wall defects, the approach to the infant who has failed to void and/or pass meconium, and so much more. Enjoy!
39 min
May 1, 2022
CCFP 105 Topics: Grief
* Written By: Eleanor Crawford * Review By: Sonja Poole Join Caleb Dusdal and Eleanor Crawford in review the CCFP objectives for the Key Topic 'Grief', with splashes of interesting stories and clinical pearls.
16 min
Apr 18, 2022
CCFP 105 Topics: Gastrointestinal Bleeds
* Written By: Braedon Paul * Expert Review By: Dr Jordan Iannuzzi - GI Fellow, Calgary AB
30 min
Apr 3, 2022
Low Risk Obstetrics: The Newborn Exam - Part 1
The newborn exam can be completed quickly, but careful attention needs to be paid for any abnormalities. * Episode Written By : Kyla Freeman PGY2 Rural Family Medicine * Episode Reviewed By : Dr. Ram Venkata, Paediatrician * Hosts : Kyla Freeman & Patricia Massel * Episode Art : Aikansha Chawla With these episodes we hope to highlight common and critical abnormalities, the differentials for abnormal findings, and at times touch on workup and management. Part 1 is all about the head and face. We will talk about head shape and size, fontanelles, sutures, eyes, ears, and mouth. Part 2 tackles common birth trauma injuries, cardiac, respiratory, abdominal, genitourinary, and dermatologic conditions. Resource wise there will be one hand-out for both episodes.
38 min
Mar 27, 2022
CCFP 105 Topics: Gender Specific Issues
* Written By: Kyla Freeman * Peer Review: Caleb Dusdal Kyla has continued to amaze with this episode covering the CCFP Objective for Gender Specific Issues in Primary Care. We discuss domestic violence, medical conditions that present differently depending on the patient's sex, gaps in research, trauma informed care, and caring for your patients from the LGBTQ2 community.
21 min
Mar 20, 2022
CCFP 105 Topics: Fractures
Join Caleb Dusdal and Braedon Paul in discussing the CCFP objectives for the Key Topic of Fractures. In true Braedon Paul fashion, this is done in the form of cases. * Written By: Braedon Paul - PGY1 FM - UBC Victoria * Expert Review By: Dr Babak Salamati - Sports Medicine Physician - Regina, SK * Artwork by: Aikansha Chawla
35 min
Mar 13, 2022
CCFP 105 Topics: Fever
Written by Karkirat Singh - MS-4 UofA, join Caleb Dusdal and Sarah Donnelly as we go through all you should need to know around fever for the CCFP Board exam, and clinical life.
25 min
Mar 6, 2022
Low Risk Obstetrics: Emergency Contraception
15 min
Feb 27, 2022
Patient Perspectives - Disability
Join Shaila Gunn in a wonderful discussion on the patient perspective of living with disability and experiences with Primary Care. A massive thank you to this episode's guest Lynda Bennett
49 min
Feb 20, 2022
CCFP 105 Topics: Palliative Care
* Written By: Caleb Dusdal * Expert Review By: GP Palliative Care specialists at Foothills Hospital in Calgary Alberta * Dr Amir Surmawala @AmirSurmawala and * Dr. Katherine Liu * Episode Art By: Aikansha Chawla Because of our unique circumstance as Family Doctors, Often we are going to be the ones uncovering and sharing life-threatening and life-limiting diagnoses with our patients. Alongside this, we are their longitudinal link to the services they may need and are best able to have these difficult conversations EARLY, to avoid last minute decisions and emotionally difficult visits to the ER or Intensive care. Today we are going to discuss: * what is Palliative Care, * the multidisciplinary needs for good Palliative Care, * Serious Illness Conversations and identifying patients goals of care, * principles of pain management, * and longitudinal follow up on patient's wishes at end-of-life.
26 min
Feb 13, 2022
CCFP 105 Topics: Family Issues
* Written By Sonja Poole - PGY1 FM Yellowknife, NWT * Reviewed by: Eleanor Crawford
4 min
Feb 6, 2022
Low Risk Obstetrics: Placental Abnormalities
* Episode Written By : Patricia Massel, Rural Family Medicine PGY2 * Episode Reviewed By : Charley Boyd, GP in Camrose, AB * Hosts : Kyla Freeman (FM-PGY2), Patricia Massel (FM-PGY2), & Caitlin Blewett (MS4) * Episode Art : Aikansha Chawla s episode we explore the world of placental abnormalities. We will review placenta previa, acreta spectrum disorders, and cord anomalies including velamentous cords and the single umbilical artery. In this review we hope to share which one's are interesting, which one's need extra workup or monitoring, and which one's are downright dangerous requiring specialist care?
23 min
Jan 30, 2022
CCFP 105 Topics: Epistaxis
* Written & Researched By: Thomsen D'hont * Peer Review By: Shaila Gunn (MS4 UBC) * Episode Art By: Aikansha Chawla Join Thomsen and Caleb as we cover the seven key CCFP topic objectives for Epistaxis. Learn how to teach your patients to correctly squeeze the nose, an approach to epistaxis even if recurrent, when to refer, and workup and differential.
22 min
Jan 23, 2022
CCFP 105 Topics: Disability
Written By: Shaila Gunn, MS4 UBC Expert Reviewed By: Dr. Bonita Sawatzky, an orthopaedics biomechanics researcher at iCORD spinal cord injury research center in BC
30 min
Jan 16, 2022
CCFP 105 Topics: Earache
* Written By: Kajsa Heyes * Peer Review By: Thomsen D'hont A review of acute otitis externa, otitis media with effusion, acute otitis media and the broad differential to consider. We also review worrying complications and the CPS approach to management.
19 min
Jan 9, 2022
Low Risk Obstetrics: Diet, Exercise, and Weight Gain
* Episode Written by : Kyla Freeman, Rural Family Medicine PGY2 * Episode Reviewed by : Virginia Clark, FP practicing rural and urban obstetrics * Hosts : Kyla Freeman (FM-PGY2), Patricia Massel (FM-PGY2), Caitlin Blewett (MS4) * Episode Art : Aikansha Chawla In today's episode we explore weight, diet, and exercise. We review the complications of BMIs outside of the normal range, the weight gain recommendations by BMI class, and considerations regarding supplements to reduce the risk of adverse outcomes. When discussing diet we cover everything from "how much should our patient's be eating anyway" to which supplements to be advising and which foods to recommend avoiding. We finish off with a review of the exercise recommendations in pregnancy - what are they and how do we get people to engage safely?
31 min
Jan 2, 2022
CCFP 105 Topics: Fatigue
* Written By: Jessica Dawson * Peer Review By: Caleb Dusdal The GenerEhlist team continues the journey through the 105 CCFP Key Topics, with Fatigue, the first episode written by Dr Jessica Dawson from Edmonton, AB.
20 min
Dec 19, 2021
CCFP 105 Topics: Elderly
* Written/Researched By: Caleb Dusdal * Peer Review By: Chris Cochrane Join Caleb Dusdal and Chris Cochrane as we review the CCFP Exam Key Topic of Elderly. This includes a discussion of polypharmacy, medications to avoid or stop in the elderly, assessing for frailty, what screening is reasonable in Primary Care, and some conditions that can present atypically in this group of humans.
22 min
Nov 28, 2021
Low Risk Obstetrics: ID Screening in Pregnancy - Part 2
* Episode Written by : Patricia Massel Rural Family Medicine PGY2 * Episode Reviewed by : Dr. Maggie Watt (GP) & Dr. Milena Semproni (ID) * Hosts : Kyla Freeman, Patricia Massel, & Caitlin Blewett * Episode Art : Aikansha Chawla In episode one we covered urine cultures, rubella, varicella, chlamydia, and gonorrhoea. Today we tackle HIV, Hepatitis B, and Syphilis - how to screen, how to proceed with a positive screen, and the implications for newborn care. We wrap up our infectious disease discussions with a review of what to order and how to manage the patient who presents in labour without any infectious disease screening whatsoever.
18 min
Nov 21, 2021
CCFP 105 Topics: Dyspepsia
* Written By: Chris Cochrane * Peer Review By: Sarah Donnelly Chris and Caleb discuss the ins and outs of Dyspepsia. The broad differential to consider, red flag signs and symptoms, and your overall approach to working these patients up.
15 min
Nov 7, 2021
CCFP 105 Topics: Domestic Violence
* Written By: Kajsa Heyes * Peer Review: Sarah Donnelly Join Kajsa and Caleb in quickly reviewing the Key Objectives for another CCFP CFPC Key Topic. Also, the GenerEhlist is one year old!
18 min
Oct 31, 2021
Low Risk Obstetrics: Infections in Pregnancy
* Episode Written By : Patricia Massel, Rural Family Medicine PGY2 * Episode Reviewed By : Dr. Maggie Watt (GP) & Dr. Milena Semproni (ID) * Hosts : Kyla Freeman, Patricia Massel, Caitlin Blewett * Episode Art : Aikansha Chawla In the first of this two-part episode we will review some of the basic infectious disease screening tests in pregnancy. In part one we review the key tests to perform during the first prenatal visit that the family doctor should be able to manage themselves (urine cultures, rubella, varicella, chlamydia and gonorrhoea). We will also discuss GBS screening. Then come on back for part two when we review HIV, syphilis, hepatitis B and the patient who presents in labour without any antenatal care including early ID screening.
17 min
Oct 17, 2021
CCFP 105 Topics: Dizziness
* Written By: Caleb Dusdal * Peer Review By: Hermeen Dhillon Join Chris Cochrane and Caleb to review the massive and sometimes convoluted CCFP Key Topic of Dizziness. We will discuss some definitions, approach to dizziness, differential for orthostatic hypotension, presyncope, vertigo, symptomatic treatments for vertigo, what scary stuff to rule out, HINTS exam and so much more.
26 min
Oct 10, 2021
CCFP 105 Topics: Eating Disorders
* Script by: Eleanor Crawford & Sonja Poole * Expert Reviewer: Clare Whitehead Eleanor Crawford, new PGY1 in Yellowknife NWT, and Caleb Dusdal review the fundamentals of Eating Disorders with a Thanksgiving humour and a sprinkling of clinical pearls along the way.
21 min
Oct 3, 2021
Low Risk Obstetrics: MFM Lite
* Written By : Kyla Freeman, Rural Family Medicine PGY2 * Expert Reviewed By : Dr. Megan Cuthbertson * Hosts : Kyla Freeman, Patricia Massel, Catilin Blewett * Episode Art : Aikansha Chawla In this episode we provide a brief overview of a few topics to consider in pre-conception and first pregnancy appointment counselling to help optimize your patients prenatal care. Topics we will explore include which antihypertensives are safe in pregnancy, who to consider starting on ASA early in pregnancy, how long to delay pregnancy post-C-section in patient's wishing to have a TOLAC, interventions to help reduce the risk of preterm birth, and considerations when managing a pregnant patient with a past history of thyroid
24 min
Sep 19, 2021
CCFP 105 Topics: Dysuria
Written By: Caitlin Blewett Peer Review By: Chris Cochrane Episode Art By: Aikansha Chawla We cover the five CCFP objectives for the Key Topic of Dysuria.
17 min
Sep 12, 2021
CCFP 105 Topics: Diabetes - Part 2
Written By: Dr Samantha Pomroy Expert Review By: Dr Karin Winston (Paeds Endo) Chris Cochrane and Caleb Dusdal review CCFP CFPC Objectives 3-7 for the Key Topic of Diabetes. Lots and lots of info, with much spaced repition.
33 min
Sep 5, 2021
CCFP 105 Topics: Diabetes - Part 1
* Written By: Dr. Samantha Pomroy * Expert Review By: Dr Karin Winston - Paediatric Endocrinologist Chris Cochrane and Caleb Dusdal review the first two objective of the CCFP Key Topic of Diabetes. Lots of definitions, screening guidelines, numbers, and a review of the lifestyle and pharmacologic options available to you to help your patient.
20 min
Aug 29, 2021
Low Risk Obstetrics: Newborn Sleep
* Episode written by : Caitlin Blewett (MSI 4), with input from Helen van der Kooy (senior MSI) * Episode reviewed by: Dr. Breagh Phipps (Paediatrician) * Hosts: Kyla Freeman, Patricia Massel, Caitlin Blewett In this episode we review some of the common questions around newborn sleep, safe sleep, and sleep training. An area mired with opinions, we have tried to present a balanced approach, with some interesting trivia points too! This episode draws on guiding statements from the Canadian Paediatric Society (CPS) and we also discuss some of the common deviations parents and caregivers may take from these guidelines and how to optimize safety in these situations.
19 min
Aug 22, 2021
CCFP 105 Topics: Difficult Patient
Written By: Braedon Paul Peer Review By: Sarah Donnelly Join Caleb Dusdal and Braedon Paul to cover the CCFP Key Topic of Difficult patient via two compelling patient cases. https://thegenerehlist.ca/2021/08/22/episode-thirty-two-difficult-patient/
25 min
Aug 15, 2021
CCFP 105 Topics: Dementia Part 2
Written By: Chris Cochrane Peer Review By: Caleb Dusdal Join Chris Cochrane and Caleb Dusdal as we review the rest of the CCFP Objectives for Dementia. As usual with loads of resources available on the shownotes at the GenerEhlist website Episode Art and Infographic by MS-2 Aikansha Chawla of McMaster University!
13 min
Aug 8, 2021
CCFP 105 Topics: Dementia Part 1
* written by: Chris Cochrane * peer review: Caleb Dusdal Caleb and Chris discuss the key topic of Dementia including the first three CCFP Board Exam topics.
23 min
Aug 1, 2021
Low Risk Obstetrics: Post Partum Hemorrhage
Kyla Freeman, Patricia Massel and Caitlin Blewett review some of the key principles of postpartum hemorrhage, with an emphasis on medical management options. This episode was expert reviewed by Dr. Nicole Ebert, an OSS trained family physician. Join us to review your 4 T's : Tone, Tissue, Trauma, and Thrombin
41 min
Jul 25, 2021
CCFP 105 Topics: Diarrhea
Braedon Paul and Caleb Dusdal tackle the CCFP Key Topic Diarrhea Written by Braedon Paul, the topics are covered in the form of three cases.
29 min
Jul 18, 2021
Low Risk Obstetrics: Introduction
Caleb Dusdal introduces some new team members and a whole new podcast to the Generehlist line up! The GenerEhlist: Low risk obstetrics with: * Kyla Freeman, * Patricia Massel, and * Caitlin Blewett
8 min
Jul 11, 2021
CCFP 105 Topics: Deep Vein Thrombosis
Written By: Caleb Dusdal Peer Review By: Sarah Donnelly https://thegenerehlist.ca/ccfp-exam-105-topics-podcast/ Objective One: In patients complaining of leg pain and/or swelling, evaluate the likelihood of deep venous thrombosis (DVT) as investigation and treatment should differ according to the risk. Objective Two: In patients with high probability for thrombotic disease (e.g., extensive leg clot, suspected pulmonary embolism) start anticoagulant therapy if tests will be delayed. Objective Three: Identify patients likely to benefit from DVT prophylaxis. Objective Four: Utilize investigations for DVT allowing for their limitations (e.g., Ultrasound and D-dimer). Objective Five: In patients with established DVT, use oral anticoagulation appropriately, (e.g., start promptly, watch for drug interactions, monitor lab values and adjust dose when appropriate, stop warfarin when appropriate, provide patient teaching). Objective Six: Consider the possibility of an underlying coa…
21 min
Jun 27, 2021
CCFP 105 Topics: Depression
Written By: Dr. Vishalini Sivarajah Expert Review By: Dr. Darby Ewashina https://thegenerehlist.ca/ccfp-exam-105-topics-podcast/ Objective One: In a patient with a diagnosis of depression: Assess the patient for the risk of suicide. Decide on appropriate management (i.e., hospitalization or close follow-up, which will depend, for example, on severity of symptoms, psychotic features, and suicide risk) Objective Two: Identify patients who may be at a higher risk for depression (e.g., certain socio-economic groups, those who suffer from substance abuse, postpartum women, people with chronic pain) and assess appropriately. Objective Three: In patients who have medically unexplained symptoms consider and assess for depression. Objective Four: After a diagnosis of depression is made look for and diagnose other comorbid psychiatric conditions (e.g., anxiety, bipolar disorder, personality disorder). Objective Five: In a patient diagnosed with depression: Manage appropriately (e.g.,…
26 min
Jun 20, 2021
CCFP 105 Topics: Dehydration
* Written By: Darrell Vandenbrink * Peer Review By: Chris Cochrane * Expert Review By: Dr. Adrienne Stedford Objective One: When assessing the acutely ill patient, look for signs and symptoms of dehydration. (e.g., look for dehydration in the patient with a debilitating pneumonia). Objective Two: In the dehydrated patient, assess the degree of dehydration using reliable indicators (e.g., vital signs) as some patients' hydration status may be more difficult to assess (e.g., elderly, very young, pregnant). Objective Three: In a dehydrated patient, Determine the appropriate volume of fluid for replacement of deficiency and ongoing needs Use the appropriate route (oral if the patient is able; IV when necessary). Objective Four: When treating severe dehydration, use objective measures (e.g., lab values) to direct ongoing management. Objective Five: In a dehydrated patient Identify the precipitating illness or cause, especially looking for non-gastro-intestinal, including dr…
22 min
Jun 6, 2021
CCFP 105 Topics: Croup
Written By: Chris Cochrane Expert Review By: Dr. Nabeela Waja (Paediatrician) https://thegenerehlist.ca/2021/06/06/ccfp-key-topic-croup/ Objective 1: In patients with croup, Identify the need for respiratory assistance (e.g., assess ABCs, fatigue, somnolence, paradoxical breathing, in drawing) and provide that assistance when indicated. Objective 2: Before attributing stridor to croup, consider other possible causes (e.g., anaphylaxis, foreign body (airway or esophagus), retropharyngeal abscess, epiglottitis). Objective 3: In any patient presenting with respiratory symptoms, look specifically for the signs and symptoms that differentiate upper from lower respiratory disease (e.g., stridor vs. wheeze vs. whoop). Objective 4: In a child presenting with a clear history and physical examination compatible with mild to moderate croup, make the clinical diagnosis without further testing (e.g., do not routinely X-ray). Objective 5: In patients with a diagnosis of croup, use steroid…
15 min
May 30, 2021
CCFP 105 Topics: Crisis
Written/Researched By: Braedon Paul Peer Review By: Caleb Dusdal STEP 1. [Objectives 1a/b/c, 8a] Provide reassurance and develop rapport through validation of the problem and use of active listening skills. STEP 2. [Objective 3a] Evaluate the severity of the crisis and assess the patient's mental, psychiatric, suicidal or homicidal, and medical statuses. STEP 3. [Objective 3a/b/c, 6] Ensure the safety of the patient and others through voluntary hospitalization, involuntary commitment, securing close monitoring by family and friends, or helping to remove the patient from a dangerous situation. STEP 4. [Objective 2a/b/ , 4, 5] Stabilize the patient's emotional status, explore options for dealing with the crisis, develop a specific action plan, and obtain commitment from the patient to follow through. STEP 5. [Objectives 2c/d] Follow up with the patient to provide ongoing support and to reinforce appropriate action.
19 min
May 23, 2021
CCFP 105 Topics: Chronic Disease
Objective One: In a patient with a diagnosed chronic disease who presents with acute symptoms, diagnose: acute complications of the chronic disease acute exacerbations of the disease Objective Two: Regularly reassess adherence (compliance) to the treatment plan (including medications) Objective Three: In patients with chronic disease a) Actively inquire about pain. b) Treat appropriately by: titrating medication to the patient's pain, taking into account other treatments and conditions, considering non-pharmacologic treatment and adjuvant therapies Objective Four: Patients with chronic disease, actively inquire about: the psychological impact of diagnosis and treatment, functional impairment, underlying depression or risk of suicide or underlying substance abuse. Objective Five: Given a non-compliant patient, explore the reasons why, with a view to improving future adherence to the treatment plan.
28 min
May 16, 2021
CCFP 105 Topics: Chronic Pain
Written & Researched By: Caleb Dusdal and Thomsen D'hont The first of the new 105 CCFP Topics https://thegenerehlist.ca/2021/05/16/ccfp-key-topic-chronic-pain/ Objective One: In a patient with chronic pain: Establish the etiology, Reassess and periodically review the etiology and Periodically look for potential comorbidities or complications, particularly mental illness and addictions. Objective Two: In a patient with chronic pain who complains of significantly increased pain, search for an alternative etiology as you cannot assume that the original cause of the pain is the reason for the exacerbation. Objective Three: In a patient in whom you did not make the initial diagnosis of chronic pain: Establish an effective relationship, Verify the diagnosis, and clarify goals of treatment and plans for management Objective Four: In managing a patient with chronic pain: Use shared decision-making, and engage other professionals in this care when appropriate Objective Five: In a pat…
27 min
Apr 25, 2021
CCFP 105 Topics: Seizure
Written By: Chris Cochrane, FM Resident in Medicine Hat Peer Review By: Kevin Duncan, EM Resident in Kelowna Objective One: a) In a patient having a seizure: Ensure proper airway control (e.g., oropharyngeal airway or nasal trumpet, lateral decubitus to prevent aspiration). b) Use drugs (e.g., benzodiazepines, phenytoin) promptly to stop the seizure, even before the etiology is confirmed. c) Rule out reversible metabolic causes in a timely fashion (e.g., hypoglycemia, hypoxia, heat stroke, electrolytes abnormalities). Objective Two: In a patient presenting with an ill-defined episode (e.g., fits, spells, turns), take a history to distinguish a seizure from other events. Objective Three: In a patient presenting with a seizure, take an appropriate history to direct the investigation (e.g., do not over investigate; a stable known disorder may require only a drug-level measurement, while new or changing seizures may require an extensive work-up). Objective Four: In all patients…
17 min
Apr 18, 2021
CCFP 105 Topics: Counseling
Researched By: Caleb Dusdal Expert Review By: Dr Todd Hill Objective One: When counselling a patient: - Set clear therapeutic goals with the patient, - Allow adequate time, - Evaluate your own skills, - Recognize when you are approaching or exceeding boundaries, - Recognize when your beliefs or biases may interfere with counselling. - Remain aware of the risks of offering advice versus providing options and - Pay close attention to the quality of the therapeutic relationship and alliance. Objective Two: For a patient who is considering or requesting referral for counselling/psychotherapy, clarify concerns and provide realistic information about the process and available resources (e.g., expectations, timing, frequency, costs, duration, homework, starting/ending the relationship if ineffective). Plus some bonus counseling tools, resources and a review of motivational interviewing!
16 min
Apr 11, 2021
CCFP 105 Topics: Cough
CCFP 105 Key Topic: Cough Written & Researched By: Kajsa Heyes Peer Review By: Hermeen Dhillon Objective One: In patients presenting with an acute cough: a) Include serious causes in the differential diagnosis. b) Diagnose a viral infection clinically, principally by taking an appropriate history. c) Do not treat viral infections with ant Objective Two: In pediatric patients with a persistent (or recurrent) cough, generate a broad differential diagnosis Objective Three: In patients with a persistent (e.g., for weeks) cough: a) Consider non-pulmonary causes, as well as other serious causes in the differential diagnosis. b) Investigate appropriately. Objective Four: Do not ascribe a persistent cough to an adverse drug effect without first considering other causes. Objective Five: In smokers with persistent cough, assess for chronic bronchitis and make a positive diagnosis when it is present.
23 min
Mar 21, 2021
CCFP 105 Topics: Chronic Obstructive Pulmonary Disease (COPD)
Written/Researched By: Khash Farzam Peer Review By: Caleb Dusdal Objective One: In all patients presenting with symptoms of prolonged or recurrent cough, dyspnea, or decreased exercise tolerance, especially those who also have a significant smoking history, suspect the diagnosis of chronic obstructive pulmonary disease (COPD). Objective Two: When the diagnosis of COPD is suspected, seek confirmation with pulmonary function studies (e.g., FEV1). Objective Three: In patients with COPD, use pulmonary function tests periodically to document disease progression. Objective Four: Encourage smoking cessation in all patients diagnosed with COPD. Objective Five: Offer appropriate vaccinations to patients diagnosed with COPD (e.g., influenza/pneumococcal vaccination). Objective Six: In an apparently stable patient with COPD, offer appropriate inhaled medication for treatment (e.g., anticholinergics/bronchodilators if condition is reversible, steroid trial). Objective Seven: Refer a…
22 min
Mar 14, 2021
CCFP 105 Topics: Contraception - Part 2
20 min
Mar 7, 2021
CCFP 105 Topics: Contraception - Part I
Written By: Kyla Freeman Peer Review By: Thomsen D'hont Expert Review By: Dr. Vanessa Rogers Objective One: With all patients, especially adolescents, young men, postpartum women, and perimenopausal women, advise about adequate contraception when opportunities arise. Objective Two: In patients using specific contraceptives, advise of specific factors that may reduce efficacy (e.g. delayed initiation of method, illness, medications, specific lubricants) Objective Three: In aiding decision-making to ensure adequate contraception: - Look for and identify risks (relative and absolute contraindications) - Assess (look for) STI exposure - Identify barriers to specific methods (e.g. cost, cultural concerns) - Advise of efficacy and side effects, especially short-term side effects that may result in discontinuation Objective Four: In patients using hormonal contraceptives, manage side effects appropriately (i.e. recommend an appropriate length of trial, discuss estrogens in medro…
26 min
Feb 21, 2021
CCFP 105 Topics: Chest Pain - Part 2
Written By: Caleb Dusdal - PGY-1 FM Calgary Reviewed By: Chris Cochrane - PGY-1 FM Medicine Hat Objective Four: Given an appropriate history of chest pain suggestive of herpes zoster infection, hiatal hernia, reflux, esophageal spasm, infections, or peptic ulcer disease: a) Propose the diagnosis. b) Do an appropriate work-up/follow-up to confirm the suspected diagnosis. Objective Five: Given a suspected diagnosis of pulmonary embolism: a) Do not rule out the diagnosis solely on the basis of a test with low sensitivity and specificity
14 min
Feb 14, 2021
CCFP 105 Topics: Chest Pain - Part I
Written and Researched By: Caleb Dusdal Peer Review By: Chris Cochrane https://thegenerehlist.ca/ccfp-exam-105-topics-podcast/ Objective One Given a patient with undefined chest pain, take an adequate history to make a specific diagnosis (e.g., determine risk factors, whether the pain is pleuritic or sharp, pressure, etc.). Objective Two Given a clinical scenario suggestive of life-threatening conditions (e.g., pulmonary embolism, tamponade, dissection, pneumothorax), begin timely treatment (before the diagnosis is confirmed, while doing an appropriate work-up). Objective Three In a patient with unexplained chest pain, rule out ischemic heart disease
18 min
Feb 7, 2021
CCFP 105 Topics: Cancer
CCFP Key Topic "Cancer" https://thegenerehlist.ca/ccfp-exam-105-topics-podcast/ Written & Researched By: Sarah Donnelly IM PGY-1 University of Alberta Objective One In all patients, be opportunistic in giving cancer prevention advice even when it is not the primary reason for the encounter. Objective Two In all patients, provide the indicated evidence-based screening (according to age group, risk factors, etc.) to detect cancer at an early stage (e.g., with Pap tests, mammography, colonoscopy, digital rectal examinations, prostate-specific antigen testing). Objective Three In patients diagnosed with cancer, offer ongoing follow-up and support and remain involved in the treatment plan, in collaboration with the specialist cancer treatment system. (Don't lose track of your patient during cancer care.) Objective Four In a patient diagnosed with cancer, actively inquire, with compassion and empathy, about the personal and social consequences of the illness (e.g., family issues,…
19 min
Jan 31, 2021
CCFP 105 Topics: Breast Lump
https://thegenerehlist.ca/ccfp-exam-105-topics-podcast/ 1 Given a well woman with concerns about breast disease, during a clinical encounter (annual or not): a) Identify high-risk patients by assessing modifiable and non- modifiable risk factors b) Advise regarding screening (mammography, breast self- examination) and its limitations. c) Advise concerning the woman's role in preventing or detecting breast disease (breast self-examination, lifestyle changes). 2 Given a woman presenting with a breast lump: a) Use the history, features of the lump, and the patient's age to determine if aggressive work-up or watchful waiting is indicated. b) Ensure adequate support throughout investigation of the breast lump by availability of a contact resource. c) Use diagnostic tools (e.g., needle aspiration, imaging, core biopsy , referral) in an appropriate manner (i.e., avoid over- or under-investigation, misuse) for managing the breast lump. 3 In a woman who presents with a malignant b…
26 min
Jan 17, 2021
CCFP 105 Topics: Behavioural Problems
CCFP Key Topic 11 - Behavioural Problems https://thegenerehlist.ca/2021/01/17/ccfp-exam-key-topic-eleven-behavioural-problems/(opens in a new tab) Written By: Chris Cochrane Reviewed By: Kajsa Heyes Objective One: In all patients, when working up a behavioural problem: a) Ensure a thorough assessment of medical and mental health conditions and psychosocial factors before offering a diagnosis or definitive advice b) Use a validated assessment tool if available c) Use multiple sources of information (e.g., workplace, family, school) with consent d) Explore the patient's own perspective, not just that of the caregiver Objective Two: In assessing behavioural problems in adolescents specifically look for substance use, peer issues, abuse, and other stressors. Objective Three: While assessing behavioural problems in a patient, a) Evaluate the impact of the behaviour b) Explore any underlying emotional distress with the patient c) Destigmatize embarrassing behaviours Objective Fo…
15 min
Jan 10, 2021
CCFP 105 Topics: Bad News
Written and Researched: Kajsa Heyes Reviewed by: Chris Cochrane https://thegenerehlist.ca/ccfp-topics-page/ Step 1: "S" for Setting up the interview Step 2: "P" is for Perception of patient Step 3: "I" is for Invitation from the patient Step 4: "K" is for Knowledge and information for the patient Step 5: "E" is for Empathy and responding to patient emotions Step 6:"S" is for Strategy and Summary
13 min
Jan 3, 2021
CCFP 105 Topics: Anxiety
Written/Researched: Caleb Dusdal Peer Review: Sophia Park https://thegenerehlist.ca/ccfp-topics-page/episode-nine-anxiety Objective One For a patient with multiple unexplained symptoms or behaviours, look for anxiety as a primary or contributing cause. Objective Two When a patient presents with symptoms of anxiety, clearly distinguish between distress (e.g. fear, nervousness, worry) and an anxiety disorder. Objective Three In a patient presenting with acute symptoms of panic (e.g., shortness of breath, palpitations, hyperventilation), do not attribute the symptoms to anxiety without first excluding serious medical pathology (e.g., pulmonary embolism, myocardial infarction) from the differential diagnosis, especially in patients with established anxiety disorder. Objective Four When working up a patient with symptoms of anxiety, and before making the diagnosis of an anxiety disorder, a) Exclude serious medical pathology b) Identify - other co-morbid psychiatric conditio…
22 min
Dec 20, 2020
CCFP 105 Topics: Asthma
Written By: Hermeen Dhillon Reviewed By: Dr. Brandie Walker Objective 1: In patients of all ages with respiratory symptoms (acute, chronic, recurrent): - Include asthma in the differential diagnosis. - Confirm the diagnosis of asthma by appropriate use of: - History - Physical examination - Spirometry Objective 2: In a child with acute respiratory distress, distinguish asthma or bronchiolitis from croup and foreign body aspiration by taking an appropriate history and doing a physical examination. Objective 3: In a known asthmatic, presenting either because of an acute exacerbation or for ongoing care, objectively determine the severity of the condition physical examination, spirometry. Do not underestimate severity. Objective Four: In a known asthmatic with an acute exacerbation: - Treat the acute episode - Rule out co-morbid disease - Determine the need for hospitalization or discharge Objective Five: For the ongoing (chronic) treatment of an asthmatic, propose a stepw…
23 min
Dec 13, 2020
CCFP 105 Topics: Atrial Fibrillation
Written By: Caleb Dusdal, FM PGY1 Calgary Reviewed By: Kirstin Dawson, IM PGY1 - Ottawa https://thegenerehlist.ca/2020/12/13/episode-seven-atrial-fibrillation/ Objective One: In a patient who presents with new onset atrial fibrillation, look for an underlying cause Objective Two: In a patient presenting with atrial fibrillation, look for haemodynamic instability, and intervene rapidly and appropriately to stabilize the patient. Objective Three: In an individual presenting with chronic or paroxysmal atrial fibrillation, a. Explore the need for anticoagulation based on the risk of stroke with the patient and b. Periodically reassess the need for anticoagulation. Objective Four: In patients with atrial fibrillation, when the decision has been made to use anticoagulation, institute the appropriate therapy and patient education, with a comprehensive follow-up plan. Objective Five: In a stable patient with atrial fibrillation, identify the need for rate control. Objective Six…
23 min
Dec 6, 2020
CCFP 105 Topics: Antibiotics
Written and Researched by: Chris Cochrane Reviewed by: Sarah Donnelly Objective 1a. In patients requiring antibiotic therapy, make rational choices first-line therapies for common bacterial infections: - Simple Cystitis - Complicated Cystitis/Pyelonephritis - STI: Gonorrhea/Chlamydia - Cellulitis and Erysipelas (non-purulent skin infections) - Abscess (purulent skin infection) - Impetigo - Bacterial Community Acquired - Pneumonia - Sinusitis - Acute Otitis Media - Acute Conjunctivitis - Hyper-Acute Conjunctivitis Objective 1b. Make rational choices regarding knowledge of local resistance patterns: Objective 1c. Make rational choices with respect to patient's medical and drug history: Objective 1d. Make rational choices regarding patient's context: Objective 2. In patients with a clinical presentation suggestive of a viral infection, avoid prescribing antibiotics. Objective 3. In a patient with a purported antibiotic allergy, rule out other causes (e.g., into…
31 min
Nov 29, 2020
CCFP 105 Topics: Anaemia
The GenerEhlist CCFP Exam 105 Topics Podcast Episode Written By: Sarah Donnelly - IM UofA, and Hermeen Dhillon FM UBC Episode Reviewed by: Chris Cochrane - FM UofC Medicine Hat * Objective One: Assess the risk of decompensation of anemic patients to decide if prompt transfusion or volume replacement is necessary. * Objective Two: In a patient with anemia, classify the anemia as microcytic, normocytic, or macrocytic by using the MCV or smear test result, to direct further assessment and treatment. * Objective Three In all patients with anemia, determine the iron status before initiating treatment. * Objective Four In a patient with iron deficiency, investigate further to find the cause. * Objective Five Consider and look for anemia in appropriate patients. Such as those at risk for blood loss or in patients with hemolysis whether they are symptomatic or not, and in those with new or worsening symptoms of angina or CHF. * Objective Six Look for other manifestations o…
19 min
Nov 15, 2020
CCFP 105 Topics: Allergy and Anaphylaxis
Script By: Thomsen D'hont Peer-Review By: Hermeen Dhillon Hosts: Caleb Dusdal, Thomsen D'hont, AND Christ Cochrane! https://thegenerehlist.ca/2020/11/15/episode-four-allergy-anaphylaxis/https://thegenerehlist.ca/ccfp-topics-page/ Objective One: In all patients, always inquire about any allergy and clearly document it in the chart. Re-evaluate this periodically. Objective Two: Clarify the manifestations of a reaction in order to try to diagnose a true allergic reaction Objective Three: In a patient reporting allergy, ensure that the patient has the appropriate medication to control symptoms Objective Four: Prescribe an EpiPen to every patient who has a history of, or is at risk for, anaphylaxis. Objective Five: Educate appropriate patients with allergy and their families about the symptoms of anaphylaxis and the self-administration of the EpiPen, and advise them to return for immediate reassessment and treatment if those symptoms develop or if the EpiPen has been used. Ob…
20 min
Nov 7, 2020
CCFP 105 Topics: ACLS Part II
Script By: Caleb Dusdal Peer Review By: Thomsen D'hont https://thegenerehlist.ca/2020/11/08/episode-three-acls-part-ii/ * Objective Four: Suspect and promptly treat some specific reversible causes of arrhythmias even before confirmation of the diagnosis. * Objective Five: Ensure adequate ventilation and secure the airway in a timely manner. Know how and when to ensure adequate ventilation, and secure the airway in a timely manner * Objective Six: In patients requiring resuscitation, assess their circumstances to help you decide when to stop * Objective Seven: In patients with serious medical problems or end-stage disease, discuss code status and end-of-life decisions and readdress these issues periodically. * Objective Eight: Attend to family members during and after resuscitating a patient. * Objective Nine: In paediatric resuscitation, use appropriate resources to determine the correct drug doses and tube sizes. In paediatric resuscitation, know what resources y…
23 min
Nov 1, 2020
CCFP 105 Topics: ACLS - Part I
Written By: Caleb Dusdal Peer Review: Thomsen D'hont https://thegenerehlist.ca/2020/11/01/episode-two-acls-part-i/www.thegenerehlist.ca 1. Keep up to date with ACLS recommendations 2. Know how to recognize and defibrillate a patient with Ventricular Fibrillation, or ventricular tachycardia that is either pulseless or symptomatic. 3. Be able to diagnose worrysome arrhythmias such as: a. Ventricular tachycardia b. Ventricular fibrillation c. Supraventricular tachycardia d. Atrial fibrillation e. Second and third-degree heart block 4. Know when to suspect a few specific causes of arrhythmias, even before confirmatory testing. a. Hyperkalemia b. Digoxin toxicity c. Cocaine intoxication 5. Know how and when to ensure adequate ventilation and secure the airway in a timely manner 6. In patients who do require resuscitation, you want to be able to assess the context to help decide when stopping resuscitation is the most appropriate decision. 7. Patients who arrest or are at ri…
17 min
Oct 24, 2020
CCFP 105 Topics: Abdominal Pain
Written by: Kajsa Heyes, PGY-1 Yellowknife https://thegenerehlist.ca/2020/10/11/abdo-pain/ There are eight objectives for the exam, via which we are going to cover: * localization and the massive differential for abdominal pain, * investigations depending on suspicions, * management of a few specific conditions, * abdo pain in young women, * what is a surgical abdomen, * how your differential should shift based on age of the patient, * immediate management of life-threatening causes, and * extraintestinal signs of IBD. Reach out to us at email@example.com
28 min
Oct 1, 2020
CCFP 105 Topics - Meet the Team
https://thegenerehlist.ca/2020/07/13/episode-zero-meet-the-team/ A quick introduction to what this project is all about, and a chance for the incredible team members to introduce themselves.
6 min


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Are the days of America's retail giants numbered? According to reports by MySA.com, Business Insider, and Credit Suisse, they are, and we're facing what's been termed as a retail apocalypse. Malls which were once thriving hubs of business and retail have since been left abandoned across the country. Some have been repurposed as mixed-use complexes, if they get a second life at all. Others are simply shuttered, having little foot-traffic for so long, it no longer made sense for their owners to even leave the lights on. Such was the case with the Valley View Mall here in Texas. This once highly successful 1970s shopping mall found itself floundering in the early 2000s.
By 2012, Dallas city officials and developers had launched a proposal to replace Valley View Mall with a mixed-use development that came with a $4 billion price tag. It would have become what was known as Dallas Midtown. However, following years of redevelopment and more planning, in 2017 the project stalled. This left it looking like one of those creepy abandoned malls you now see listed online, with a partially demolished portion and eerie vacancies throughout. Finally, in early 2019, demolition resumed on the project, leaving behind only a small section which is home to a movie theater. In the meantime, plans for an office building as well as an apartment complex with minor retail supports are in the works for the property. This is just one of many such abandoned malls across the U.S. that faced closure and planning/redevelopment issues.

subset: commoncrawl


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Accountability ✓ Privacy ✓ Addressability ✓ Accessibility ✓
The Land of Plenty in The Digital Ecosystem
As I recently pondered the future of the internet, images from the eighties flashed through my mind. For those who were not yet inhabiting this great planet, I'll clue you in. The bigger the better was the driving ideology. Big hair, greed, consumption, and a pervasive obsession with materialism dominated the eighties. Landfills were piling high, AquaNet depleted the ozone layer, and little thought was given to the future of our planet.
Fast forward to the twenty first century, and sustainability is all the buzz. We've observed a seismic shift in attitude, accountability and, by all appearances, an understanding of the consequences of our habits and lifestyle.
Yet, we had just arrived in a new land of plenty. Suddenly, the world was literally at our fingertips. Instant gratification delivered by means of the information super–highway, next day shipping and on-demand digital entertainment. Everything we need today. But what about tomorrow?
As an Industry, We Need to Create a Sustainable Model for The Open Internet
After years of enjoying the benefits of a "free internet," consumers have become wary of advertisers and the methods they employ to keep the digital world turning. We didn't need a crystal ball to see this coming, yet we are an industry largely unprepared for the meteor that is coming straight for the world wide web.
We know well that if online advertising were to implode, the web and its "free services" would become accessible only to those who could afford them. Which begs the question, "How can we create a sustainable model for the digital system which continues to provide the benefits we have grown accustomed to – content rich information, education, entertainment, and consumer goods with equitable access?"
Big Village Passes Inspection – IAB Invites Stakeholders to Weigh In
At EMX by Big Village, we've been ahead of the game in talking about how to change the trajectory of that ominous meteor, reconfiguring a sustainable digital ecosystem guided by principles which honor consumer privacy, a free market, and equality. Our Open RTB specifications are transformational and already surpass the IAB's Project Rearc expectations for standards. The EMX platform allows for competition and distribution of market share, while addressing privacy concerns, and in doing so, protects our most valuable assets – our partners, and your customers.
Join Us and Make Your Voice Heard!
Now, it's your turn to weigh in. IAB has set forth principles to guide us into the future with "Project Rearc," and has asked the industry for feedback by the end of this week.
Please take a moment to provide your input on the critical issues impacting the future of our industry. To review the proposed standard and provide feedback, please go to: https://iabtechlab.com/rearc.
Written by Joy Cavanagh Ross, SVP, Global Strategy and Partnerships at EMX by Big Village.


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Word of The Day – Apprehensive
Updated On
Apprehensive – WORD OF THE DAY (for Speaking and Writing Task 2)
(adjective) /ˌæprɪˈhensɪv/
Worried or frightened that something unpleasant may happen
I was a little apprehensive about the effects of what I had said.
You have no reason to be apprehensive of the future.
She was deeply apprehensive that something might go wrong.
Writing Task 2:
The government were at this time apprehensive of an approaching scarcity of food which can result in a considerable increase in the number of hungry people.


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Spencer Harvey listed a two bedroom, ground floor apartment to the market on Tuesday with a guide price of £115,000. This would make a perfect buy to let and even benefits from a private garden.
Located close by to Davenport train station and also the A6 this apartment is situated in a great location. It would be suitable for a pair of young professionals or even a small family.
I would value this property at £625 pcm which would give you a yield of 6.52% if purchased for the guide price. Have a look at the Rightmove advert here and give me a call if you'd like to talk further; 0161 474 8668.


text:
The financing will be used to preserve long-term financial flexibility and guarantees the Cicor Group's continuing growth. The credit, arranged by a banking consortium under the guidance of the Commerzbank AG, has a term of four years with two options for extension by an additional year each time, thus making a maximum term of six years.
With the new financing arrangement, the credit agreement of 65 million Swiss francs signed in December 2014 and due to expire at the end of 2017 is replaced early. In addition to the longer term and higher volume of the new syndicated loan, Cicor may also benefit from more advantageous conditions.
Heinrich J. Essing
Chairman of the Board of Directors
Tel. +41 71 913 73 00
Email: email@example.com
Alexander Hagemann
Tel. +41 71 913 73 00
Email: email@example.com


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Hard drives utility diagnostic tools to test the physical media.
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This MULTI-PLATFORM Firewall is the easy, multi-purpose security application you have been looking for. It utilizes next-generation IDS technology to deliver enterprise-class Deep Packet Inspection, Application Layer vulnerability protection, and intelligent Intrusion Prevention.
Forget about run-of-the-mill commercial firewalls and expensive hardware devices. InJoy Firewall is what the name implies; a powerful "feel-good" product - easy for the average user, and a MUST-HAVE for advanced users. Install it and become an INSTANT SECURITY PROFESSIONAL with complete authority over your Internet connection and real-time transparent insight into almost any network activity.
InJoy Firewall is the ONLY Firewall in the security market that offers a total end-to-end multi-platform software solution. It solves the overwhelming problems related to managing multi-vendor security devices, now making it easier than ever to build enterprise-wide IPSec VPNs and set up identical cross-platform end-point security.
The intuitive user interface is highly customizable, allowing you to efficiently control and manage Firewall Servers - locally or remotely, and even across OS Platforms. In addition, A HOT NEW TOOLBAR application enables you to casually keep an eye on the "intrusion score", while preserving desktop space for other work.
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ShareMail can expand ONE email account to several internal mailbox . It acts also as a local email server for intranet. Very suitable for small business. No domain needed.
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Generates a listing of all URLs which are currently in WinGates cache. The listing also contains the name of the cache file associated with the URL, so you can remove unwanted or old content from the cache by simply deleting the cache file.
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Password protection for Windows. Sentry prevents unauthorized users from accessing Windows 95/98. Think of Sentry as a personal guard or gatekeeper standing beside your PC, asking users for a password before they are allowed access to Windows 95/98.
Using over a dozen government and industry-proven shredding methods, Shred XP returns control to you by securely deleting current files, previously 'deleted' files, the recycle bin, drive free space, file tips, names, dates, sizes...
This password recovery tool designed for viewing and cleaning the secret data stored by Internet Explorer. This includes managing passwords for protected sites, user passwords on forms, Content Advisor password and autocomplete strings.


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Aditi Sharma
Aditi Sharma is very gorgeous and good looking personality now a days. I think she is the queen of many hearts. Although many people loved her. She started her career as a model . Here you know about the Aditi's age, birthdate, career and her early life.
Don't forget to like and comment for your loved ones.
Early life
Aditi was born on 4 September ,1996.when she was a small child she was lived in New Delhi but now she lived in Mumbai . Aditi's mother name is meenu Sharma and her father name is Neeraj Sharma.Aditi's brother name is Saksham Sharma.she attained her secondary education from Hansraj model school which is situated in New Delhi.when she was in college she got her degree in journalism from vivekanandha institution.
She started her career in 2017. In the beginning of her career she was a model. She worked as a model worked for Amazon fashion week of India. She usually worked brand like titan rag, white ponds BB plus , Amazon etc. She debut in pollywood music video named Taare with Guru Randhawa in 2017. Later she appeared another Punjabi music video named naan and Bekadra. After the Punjabi music video then she appeared in haryanvi song named Tu raja ki Raj dulari. From 2018 she appeared in a serial which was showed on a very popular channel named zee TV kalleerein . In this serial she played the lead actress role as mirror dhingra.
From 2019 she saw as a cameo appearance in naagin 3. In this she appeared as shivlu Singh. In 2019 she appeared in yeh jadu hai Jin ka . In this she played the lead actress role as Roshani.


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It all started at conception. My Mom's tubes were tied when I was conceived, she and I also flatlined when she was giving birth to me. Lastly, a little over 6 years ago, I was in a severe car accident. I broke my neck, back, shoulder blade, the majority of my ribs, my femur, my pelvis, my jaw, fractured my skull, lacerated my spleen and my liver, punctured both lungs and attained a Traumatic Brain Injury also known as a TBI. The impact of the truck hitting my car put me in a coma. I was in that coma for 23 days. On the third day of the coma, the doctor told my parents that I was brain dead and in the slim chance of regaining consciousness, I'd be feeble and wheelchair bound for the rest of my life. My dad made his decision strictly on faith and God not only pulled me through that tragedy but restored all of my capabilities.
Everyone is on this earth for a reason and you will not leave this earth until you fulfill your purpose. Don't lose hope. God's not finished with you yet.


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(Photo: Darby Simon)
When PBS faces its greatest crisis--or just a fundraising week--it calls upon its greatest heroes: Carl Sagan, Bill Nye, Fred Rogers, and Bob Ross. Men vs Cosplay offers this friendly take on The Avengers.
Question: which PBS host corresponds with which Avenger? I mean, besides Bob Ross obviously being Black Widow.
-via Cosplay in America


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Immaculata students head to the beach
SANDY HOOK – In keeping with the Catholic Church's social teaching tenet to be good stewards of the earth, 10 Immaculata girls, along with the school's Outreach Director Rich Grieshaber, went to Sandy Hook to help out with the cleanup of the beach, still deluged by Hurricane Sandy debris.
Since Sandy Hook only reopened last May, the beach missed out on the annual coast-wide Earth Day clean-up sweeps that typically get rid of the left-over litter from the previous year. Added to that, Hurricane Sandy left behind pieces of obliterated houses and boats, so the beach really needed some serious attention.
"Our Immaculata team felt overwhelmed, because we left so much behind," Grieshaber said. "It was exhausting work and our volunteers had to carry their jam packed bags the full length of the shore to reach the access point for disposal. Before we even left, our National Park Service ranger asked us to come back, because the need is so extreme. We hope we can make a return trip before school ends."
Volunteer and junior Chrissy Sullivan of Branchburg said that the experience "made me better appreciate 'a day at the beach.' Seeing the daunting task of cleaning up the beaches and the amount of volunteers that takes, one can begin to comprehend the monumental job of keeping our Jersey shore pristine and safe."
The Sandy Hook clean up is one of more than 130 missions that the Campus Ministry Outreach Program handles each year to help communities on a local, state, and national level.


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Friday Golden Retrievers
Our Girls
Our Boys
Family Photos
About Us
Contact Us
Available Puppies & Upcoming Litters
Meet the lovely Henrietta
Photo GALLERY OF OUR PUPPIES
Upcoming Judging Assignments
Bokeh and Stan - Oct 2020
Meet the lovely Henrietta
2021 Dec. Litter - Dani & Sam
Photo Gallery of Our Puppies
Week 4 - Getting bigger! Ready to play!
Read More
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This is my very first book tag! I was tagged by Lauren @ Comma Hangover (thanks!). Check her blog out. It's really awesome! Ice cream is my favorite food so I'm very excited to do this book tag!
Vanilla Caramel Fudge
Pick a light, fluffy contemporary read
Tales of the City by Armistead Maupin
I don't read a lot of light and fluffy books, but in college, I read Tales of the City by Armistead Maupin, which is pretty light and fun. It sometimes tackles serious issues, but always with a touch of absurdity. It follows the residents of 28 Barbary Lane, a boarding house in San Francisco circa 1976. The whole series is pretty madcap and fantastic.
Mint Chocolate Cookie
A new release that you wish everybody would read
Homegoing by Yaa Gyasi
This book is such an important read. Gyasi manages to encapsulate hundreds of years of African and African-American history in the intertwined and intergenerational stories of two half-sisters and their descendants. An amazing, though not always easy, read. Check out my review here.
Cherry Garcia
An ending that was bittersweet
The Time Traveler's Wife by Audrey Niffenegger
This is one of my all time favorite books. I've read it multiple times. Every time, I can't put it down, even though I know what's coming. The ending is initially pretty tragic, but when you get to the very end, it ends on a sweeter note, which is only made bitter by the earlier tragedy. If you've seen the movie, the ending is NOT the same.
Strawberry Shortcake
A book containing your OTP of OTP's
A Discovery of Witches by Deborah Harkness
The whole trilogy really follows my OTP, but Matthew Clairmont and Diana Bishop are one of my very favorite literary couples EVER. A vampire and a witch together causes lots of trouble, but also lots of fun. Love this trilogy!
Milk and Cookies
Two authors that would go perfectly together if they collaborated
I would really love to see what V. E. Schwab and Zen Cho could do together given a chance. They have both written my favorite books about magic this year, in the form of Sorcerer to the Crown and the Darker Shade of Magic series. While one is set in Victorian England, and the other is set in a world of multiple Londons, I think both write about magic in a fascinating way, highlighting its dangers and its possibilities. Their characters are also all fleshed out and interesting in their own ways. I think together they could write a pretty perfect fantasy series (since they've both managed to do so on their own).
Boston Cream Pie
A book that had you turning the pages late into the night
Everything Everything by Nicola Yoon
There have been SO many books I've read in one sitting this year, but Everything Everything was so phenomenal. I loved the drawings, the prose, and the story. The characters are amazing, and the story itself makes you think. Highly recommend!
Chocolate Therapy
A book that makes you feel better after a long day of life
The Spellman Files by Lisa Lutz
The Spellman Files is the first in a series of zany mystery novels about a family who runs their own private investigation firm. They are not your typical family. Their personalities are oversized, and the book will have you rolling with laughter. I love Lutz's sense of humor, and her books are the perfect cure for a bad day.
Coffee, Coffee, BUZZBUZZBUZZ!
A book not yet released that you can't wait to get your hands on
King's Cage by Victoria Aveyard
There are so many books I can't wait for, but I haven't given much love to this one on my blog yet. I have really enjoyed Aveyard's series thus far, with Red Queen and Glass Sword. The way Glass Sword ended was so heartwrenching and hopeless that I can't wait to see where it goes in the final installment. I'm hoping for surprise, and not a predictable ending…even though I'm afraid that will ruin the ending I want. Such is the life of a reader!
Here are some folks I'm tagging to continue this delicious tag:
Ola @ Ola Reads Books
Holly @ Nut-Free Nerd
M. @ A Blog of One's Own
Caitlin @ Words and Other Beasts
Amber @ Only True Magic
If you would also like to do this tag, go ahead!! 🙂 If I tagged you and you've already done it, I apologize.
I really want ice cream now! (Of course, I always do! Halo Top is my current favorite!). What do you think of my picks? What would you choose? Let me know in the comments!!


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If you're lucky enough to visit Oaxaca, then I have no doubt it will quickly become one of your favorite destinations of all time. (And not just in Mexico, but the world over.) From the city's bustling markets, smoky street food stands, charming mezcalerías, colorful colonial architecture, and incredible museums, to its indigenous archaeological sites, vibrant handicrafts and textiles, and world-class restaurants, there are countless unique and enriching things to do in Oaxaca.
The sheer amount of authentic experiences and mind-boggling flavors that await you in Oaxaca is overwhelming. After all, Oaxaca is the undeniable cultural and culinary capital of Mexico.
So to make it easy for you, I've rounded up my top picks of the best things to do in Oaxaca City and its surroundings – along with where to stay, what to eat, and some other must-know tips.
So without further ado, here are the top 20 best things to do in Oaxaca!
This blog post covers the 20 best things to do in Oaxaca, plus other need-to-know tips, info, and recommendations. It's a comprehensive guide for your trip to Oaxaca! Use this table of contents to navigate to specific sections of the post.
Top 20 Best Things to Do in Oaxaca City, Mexico
1. Head to El Zócalo
First things first, head to El Zócalo.
El Zócalo is Oaxaca's main square, located smack in the center of town. It's the perfect place to people-watch and discover how day-to-day life in Oaxaca unfolds.
In the main square, dozens of street food stalls permeate the lively atmosphere with smoky, mouth-watering aromas. Fresh fruit stands offer to quench your thirst on sweltering days. And hundreds of local people gather there to relax, catch up, laugh, and possibly, to sell you their traditional handicrafts, clothing, and souvenirs.
To properly experience El Zócalo, buy some fresh fruit with a sprinkle of chili, find somewhere to sit, and spend some time taking it all in.
2. Meander through Mercado de Benito Juárez
El Mercado de Benito Juárez is a maze of colorful market stalls offering everything from street snacks and typical ingredients, to traditional clothing, handmade pottery, home décor, and hand-painted handicrafts.
If you're looking for souvenirs for friends, or some décor to color your home, this market is a great place to start. El Mercado de Benito Juárez is also another great place to start understanding more about the local culture and people.
At Mercado de Benito Juárez, I purchased quite a few authentic ingredients for my kitchen – including mole negro paste, packed with roughly 30 ingredients. Such a good buy!
Make sure to clear a couple of hours in your schedule. This market is huge and demands plenty of time to see, taste, and experience everything on offer! In fact, you may need to return a couple of times.
3. Visit the Museo de las Culturas de Oaxaca
Even if you're not a huge fan of museums, the Museo de las Culturas de Oaxaca is a must. During my travels, I've been to countless museums, but this one has been the most spectacular.
Set in a centuries-old monastery, the building itself is an important piece of the city's history. However, inside the museum, you'll find precious ancient artifacts from the Pre-Colombian era and from during and after the Conquest.
You'll see colorful art, learn about the many indigenous cultures that have thrived in the area, and be blown away by the amazing exhibitions and organization.
The Museo de las Culturas de Oaxaca is one of the best things to do in Oaxaca, so don't miss it!
RELATED: For great deals on centrally located hotels in Oaxaca, click here!
4. Try the street food
The street food in Oaxaca is legendary.
In fact, eating street food in Oaxaca is like taking a bite of the city's rich history itself. These recipes have deep indigenous roots, use centuries-old techniques, and have been passed through families for generations. And honestly, you should feel honored to experience them!
As you walk down the streets, stop at any one of the delicious-smelling stalls (especially the ones crowded by locals!), and you be rewarded with a cheap and simple, yet incredibly flavorful meal.
During your trip to Oaxaca, make sure to try these street food dishes: tlayudas, tamales oaxaqueños, memelas, tetelas, and empanadas oaxaqueñas.
For more information on Oaxacan street food (and all the other reasons you'll love Oaxaca), click here!
Photo by Miguel Dorantes
5. Explore Monte Albán
A trip to Oaxaca would be incomplete without visiting an indigenous archaeological site or two! Especially Monte Albán, the mother of all the ruins in the state of Oaxaca and a UNESCO World Heritage Site.
Monte Albán was one of the earliest cities in Mesoamerica and the main sociopolitical and economic center for the Zapotecs for roughly 1,000 years. Other peoples, such as the Olmecs and the Mixtecs, also lived here in succession.
The ingenious centuries-old engineering of Monte Albán's pyramids, canals, terraces, and dams will blow your mind!
The best way to experience Monte Albán is with an expert tour guide so that you can fully grasp the magnitude of what you're seeing. I recommend booking this half-day tour to Monte Albán.
CLICK HERE to book your Half-Day Guided Tour of Monte Albán.
Photo by Andrea Schaffer
6. Stop by Templo de Santo Domingo
The Templo de Santo Domingo is arguably the most beautiful church – inside and out – in all of Oaxaca.
Mainly built between 1570 and 1608, the region's best artists came all the way from Puebla and elsewhere in Mexico to help construct this church.
Oaxaca is an earthquake-prone region, so the church's stone walls and pillars are incredibly thick. Meanwhile, its domed interior is adorned in ornate paintings, a gilded altar, and masterful sculptures.
Simply put, the beauty and all of the small details in this church are mind-blowing.
Photo by Mike Rowe
7. Visit a mezcalería
Ever heard of mezcal? Put simply, mezcal is the smokier, edgier (and more delicious) cousin of tequila and it is the thing to drink in Oaxaca.
Throughout the city, you will encounter plenty of different mezcalerías – or mezcal bars. And in my opinion, it'd be a crime if you didn't stop in to at least one mezcalería for a tasting!
At some mezcalerías, you will need to make a reservation in advance. But at others, you can simply walk in, strike up a conversation with the bartender, and proceed to taste and learn about different mezcals!
My top two recommendations for mezcalerías are Los Amantes and El Cortijo, but you can also just meander and see what you stumble upon!
8. Shop for local crafts
Oaxaca is one of the last places in Mexico where handicrafts are still made with love, care, and tradition – rather than being mass-produced.
Whether you want to buy something to decorate your home (such as a hand-woven tapestry, beautiful textured pillows, a vibrant blanket, or a hand-painted alebrije), or something to wear (like buttery leather huaraches, a wicker tote bag, or a traditional blouse), you will find it in Oaxaca!
A great place to shop for crafts is the Mercado de Artesanias, however, there are all kinds of stalls and shops throughout the city. Just be ready to barter!
9. Feast at the Mercado 20 de Noviembre
The Mercado 20 de Noviembre is a food market in the center of the city, featuring dozens of food stalls and all kinds of typical Oaxacan meals. From pollo con mole and enfrijoladas, to tlayudas and tetelas, you can find it all in the Mercado 20 de Noviembre!
There's also a section of the market called el Pasillo de los Tasajos, which is essentially a smoky hallway lined with stands selling freshly grilled meats, served alongside grilled onions and spicy salsas. For meat-lovers, this is a must!
RELATED: For great deals on centrally located hotels in Oaxaca, click here!
10. Take a cooking class
I love taking a cooking class in every new country I visit. Cooking classes are the best way to spend quality time with the locals (sometimes in their own homes!), learning about their food and culture, so I always jump at the chance. And I think you should too!
Want to learn how to make mole from scratch? How about fresh tortillas, guacamole, and salsa? Or maybe Oaxacan tamales wrapped in banana leaves?
Oaxaca is the undisputed culinary capital of Mexico, so if you have any interest in traditional Mexican or indigenous Mesoamerican cuisines, then you should take a cooking class in Oaxaca. No doubt, your cooking class will be a highlight of your trip!
All cooking classes in Oaxaca cost roughly $100 per person, but I promise it's worth the splurge.
CLICK HERE to book your Oaxaca Cooking Class with a Market Tour!
11. Go to Hierve el Agua
When you visit Oaxaca, it would be a shame to spend the entire time on cobblestone streets. Instead, make sure you get out into the enchanting, mountainous countryside and visit Hierve el Agua.
To make it easy, I recommend taking this day trip to explore the state of Oaxaca. Along the way, you'll stop at el Hierve el Agua – a set of natural rock and mineral formations that look like a frozen waterfall! The views are stunning, and you can also go swimming in the natural springs – so make sure to bring a swimsuit.
This tour is one of the best day trips from Oaxaca and includes visits to Hierve el Agua, Mitla, El Tule, Teotitlan del Valle, and a mezcal distillery.
I took this day tour to see Hierve el Agua too, and I can't recommend it highly enough! CLICK HERE to book your tour.
CLICK HERE to book your Full-Day Tour of Mitla, Hierve el Agua, Teotitlán del Valle, a Mezcal Distillery & El Tule!
12. Stroll through the Ethnobotanical Garden
In the city center, around the back of el Templo de Santo Domingo, you'll find the city's treasured Ethnobotanical Garden, filled with all kinds of beautiful cacti and other regional flora.
Oaxaca's Ethnobotanical Garden is a peaceful place to visit, enjoy a slow wander, and take some photos among the cacti.
13. Learn about traditional textiles
Look around, and it won't take you more than five seconds to realize that textiles are a huge deal in Oaxaca, Mexico.
So much so, that there's an entire museum dedicated to textiles: El Museo de Textil de Oaxaca. And while textiles may not strike you as the most fascinating thing in the world, they are, indeed. Trust me when I say, this museum is 1000% worth visiting!
Another highlight of my trip was visiting a traditional textile workshop in Teotitlán del Valle. There, I learned about the dyeing and weaving processes the indigenous peoples of the region have been using for centuries. And to be honest, I was mind-blown.
After seeing the hard work that goes into these beautiful textiles, you will want to buy them all!
CLICK HERE to book your Full-Day Tour of Mitla, Hierve el Agua, Teotitlán del Valle, a Mezcal Distillery & El Tule!
14. Dine at Oaxaca's finest restaurants
As you might've guessed, Oaxaca is home to some of Mexico's best restaurants. So splurging on a few fine meals is non-negotiable! You have to do it! (Plus, fine dining in Oaxaca is very affordable… Especially when you compare it to similar experiences in, let's say, Europe!)
I tried a handful of the top restaurants in Oaxaca, and of them all, I highly recommend Casa Oaxaca, Los Danzantes, and Origen.
But if you can only go to one, make sure it's Casa Oaxaca. No doubt, it's the best restaurant in the city!
The rooftop dining area, which overlooks the beautiful Templo de Santo Domingo and those old cobblestone streets, is truly special. Not to mention… The amazing, modern Mexican food (the mole was epic!), attentive service, and table-side finishes all make for an all-around unforgettable dining experience!
In addition to street food and fine-dining restaurants, Oaxaca has plenty of amazing mid-range restaurants on offer.
Make sure to check out these can't-miss restaurants:
- Itanoni emphasizes the all-important ingredient (indigenous corn!), a slow, authentic experience, and simple, traditional cooking. Go for lunch.
- Casa Taviche is one of my favorite places in Oaxaca! An absolutely stunning little restaurant, sharing beautifully presented, traditional yet modern Mexican cuisine. Perfect for lunch or dinner.
- Cabuche offers a charming setting, classic dishes, great service, and big flavors that never dissapoint. An unrivalled lunch spot.
- Mexita delivers authentic Napoli-style Italian food in a romantic atmosphere. It's a good and welcome addition to Oaxaca's surplus of Mexican eats. Great for dinner!
15. Visit Mitla
After Monte Albán, Mitla is the second most important archaeological site in the Mexican state of Oaxaca. Mitla is thought to be a sacred burial ground for the Zapotecs. And it makes sense, since Mitla is a Nahuatl name translating to Place of the Dead.
If you have some extra time, you should make sure to visit Mitla as well as Monte Albán.
CLICK HERE to book your Full-Day Tour of Mitla, Hierve el Agua, Teotitlán del Valle, a Mezcal Distillery & El Tule!
Photo by Russ Bowling
16. Tour a mezcal distillery
If you haven't picked up on this yet, artisanal mezcal is the drink of choice in Oaxaca. So it's only fitting that you go to a nearby distillery to see how it's made!
To give you a quick idea, first the mezcaleros roast the hearts (or piñas) of agave plants in underground pits with hot rocks for up to a few days. Next, the pits are uncovered and donkeys or mules macerate the agave with a stone tool (called a tauna) to aid the fermentation process. And finally, the cooked agave plants are distilled into delicious mezcal!
During a day trip around the region, I stopped at El Rey de Matatlán for a tour of the distillery and plenty of mezcal tastings. It was so much fun to learn about the process of making this smoky, strong, and super delicious spirit. I bought a couple of bottles to bring home too!
For an awesome day trip to a mezcal distillery (as well as Mitla, El Tule, Hierve el Agua, and Teotitlán del Valle) click here!
17. Check out the art galleries
As you roam the city streets, you'll happen upon countless art galleries showcasing all kinds of art, from Oaxacan folk to modern art.
Make sure to stop into each (or, at least, most) of the galleries to enjoy their brilliantly colorful paintings and sculptures. And if you have the budget for it, feel free to splurge on a one-of-a-kind piece!
We found ourselves completely blown away by this city's art, and we have an inkling you'll feel the same.
18. Sip on hot chocolate
Oaxaca is famous for its rich hot chocolate drinks, which are made in clay pots, and laced with cinnamon.
You can't leave Oaxaca without having a cup of hot choccy, so here are my top recommendations for where to find it:
- Oaxaca En Una Taza: A cute little café offering delightful cups hot chocolate (infused with your choices of spices and fruits) and delicate pastries. My top pick for Mexican chocolate in Oaxaca.
- Cafe Brújula: I loved this cafe – for hot chocolate, chai, and specialty coffee – and went back many times.
- Be adventurous, support a small business owner, and see if you can find the best chocolatey drink at a stall in one of the markets!
19. See El Tule
While looking at a tree might not seem like one of the top things to do in Oaxaca, it totally is.
El Tule is, by far, the most impressive tree I've ever seen… considering that it's more than 2,000 years old, 119 feet in circumference, and 116 feet tall!
After you've marveled El Tule for a bit, feel free to roam around the tree's adorable hometown of Santa María del Tule and do some people-watching.
This tour is one of the best day trips from Oaxaca, and includes a stop at El Tule (as well as Mitla, a mezcal distillery, Hierve el Agua, and Teotitlán del Valle). Click here to book it!
20. Experience Day of the Dead (Día de los Muertos)
Day of the Dead (Día de los Muertos in Spanish) is a Mexican holiday and festival where families and friends gather to welcome back the souls of family members who have passed away. Undeniably, as a traveler, the best place to experience Day of the Dead is in Oaxaca.
If you go to Oaxaca during Day of the Dead celebrations, you'll be met with intricate altars decked in flowers, candles, and religious figures. Not to mention, markets bursting with altar decorations, mole sauce, chocolates, and tamales, and a sea of endless sugar skull faces. All of this, and more, is Mexico's way of celebrating and remembering the lives of lost loved ones.
Day of the Dead festivities take place every year on November 1st and 2nd. If possible, plan your trip to line up with these dates, and you will be set for the cultural experience of a lifetime!
RELATED READING: 20 Festivals to Experience in Your 20s
Where to Stay in Oaxaca City
Oaxaca is filled to the brim with authenticity, culture, tradition, and charm. In other words, you won't find any huge international hotel brands as you roam the streets. Instead, you'll stumble upon plenty of cute, historic bed and breakfasts with typical decor and beautiful courtyards.
There are also plenty of other options, ranging from fun and affordable hostels to fancy hotels.
Here are my top recommendations on places to stay in Oaxaca!
Best Bed & Breakfast
During my week in Oaxaca City, I stayed at a bed and breakfast called Hotel Casa de la Tía Tere and loved every minute of it!
I highly recommend this bed and breakfast for its friendly staff, good location, and great value.
You can read all about my stay here. And to book the Hotel Casa de la Tía Tere, CLICK HERE.
Best Hotels
Best Budget Accommodation & Hostels
You can find other great deals on Oaxaca accommodations here.
How to Get to Oaxaca City
Via Airplane (Recommended)
The safest and quickest way to take a trip to Oaxaca is via airplane. There are domestic flights available throughout Mexico and there are plenty of one-stop flights available from the USA.
The last time I visited Oaxaca, I spent one week eating my way through Mexico City, before hopping on a plane to Oaxaca. To give you an idea, the flight from Mexico City to Oaxaca takes about one hour and costs roughly $100 USD.
From the airport, I arranged for my hotel to pick me up, but you can easily grab a taxi from the airport to the city center for around $7.
Easy, safe, and efficient, this is the best way to travel to Oaxaca City.
Drive Yourself
If you have a rental car, you can drive yourself to Oaxaca. However, for safety and ease, I wouldn't recommend this option. Once you're in Oaxaca City, you will have little use for a car. The city is very walkable and taxis (if necessary) are very affordable. Plus, depending on where you're traveling from, it can be dangerous to drive yourself to Oaxaca City.
If you're convinced on road-tripping through Mexico, know this: it is not safe to drive the highways after dark.
Quick FAQs about visiting Oaxaca + the top things to do
How do you pronounce Oaxaca?
If you don't speak Spanish, this can be a tricky one! In case you're not sure, Oaxaca is pronounced like [wa-ha-ka].
Is Oaxaca worth visiting?
Absolutely! If you have the chance to take a trip to Oaxaca, then go! Oaxaca City is one of the top destinations to visit in Mexico for its bustling markets, rainbow-colored colonial architecture, incredibly rich history and indigenous cultures, artisan galleries and workshops, friendly locals, and some of the world's best street food. In this blog post, I've detailed the top 10 reasons why Oaxaca is worth visiting.
What are the top things to do in Oaxaca?
There are countless unique and enriching cultural and culinary experiences to discover in Oaxaca. Some of the best things to do in Oaxaca City include visiting indigenous archaeological sites like Monte Albán and Mitla, trying local street food, sipping Mexican hot chocolate and local mezcal, exploring the bustling markets, going to the many museums, swimming at Hierve el Agua, experience Day of the Dead celebrations, and so much more. This article includes the top 20 things to do during a visit to Oaxaca, Mexico.
Is Oaxaca safe for tourists?
Yes, Oaxaca is generally quite safe for tourists to visit. Like any other destination, it's important to keep your wits about you, be aware of your surroundings, and do your research before you arrive. Speaking from years and years of personal experience traveling through Mexico, I have never felt safer in any other destination in Mexico than I have in Oaxaca.
How many days should you spend in Oaxaca City?
If you're planning to visit Oaxaca, make sure you allocate plenty of time. With so many things to do, see, eat, and discover in Oaxaca City, three days is the minimum amount of time you need. However, ideally, you should stay in Oaxaca for up to one week to ensure you can experience everything the city – and its surrounds – has to offer.
The Top 20 Best Things to Do in Oaxaca City
Well, there you have it, friends! Those are the top 20 most incredible and unforgettable things to do in Oaxaca City.
Between its fascinating history, incredible food, smoky mezcal, warm and friendly locals, indigenous archaeological sites, Day of the Dead celebrations, beautiful arts and handicrafts, and surrounding natural beauty, Oaxaca City is home to an overwhelming variety of unique and enriching experiences.
Plus, with its bright-colored colonial façades, cobblestone streets, wrought-iron details, and peaceful tree-lined plazas, Oaxaca is one of the most beautiful cities I've ever seen.
I don't think a city has ever stolen my heart as quickly as Oaxaca did. And if you follow this guide of the best things to do in Oaxaca, Mexico, my guess is, you'll feel the same.
Planning a trip to México? Check out these posts!
What are your favorite, top things to do in Oaxaca City? Let us know in the comments below!


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Back on December 23rd, we polled the audience. We asked you how excited you'd be about the 2012 Mariners if the roster picture remained more or less as it was at the time. Options were presented on a 1-to-5 scale, and 3,285 people voted. On average, the excitement rating came out to 2.4.
We polled you again this afternoon. We asked you how excited you are about the 2012 Mariners now, with the new roster picture. Options were presented on a 1-to-5 scale, and so far more than 1,800 people have voted. On average, the excitement rating comes out to 3.4.
It's a difference of a full point. Or, to be specific, 1.01 points. By this measure, audience excitement has increased by 43 percent. Since the first poll, the Mariners have signed Hisashi Iwakuma and traded Michael Pineda and Jose Campos for Jesus Montero and Hector Noesi. They've also officially signed George Sherrill and Munenori Kawasaki, but those were foregone conclusions. I'm assuming this has nothing to do with Aaron Heilman.
That's a pretty big jump. At least, I think that's a pretty big jump, although it's not like I have much in the way of references. Now, one notes that the questions were phrased slightly differently. There are always going to be some sample size issues. The polled audiences might be a little different - there are new people here now, on account of the big trade. And it's been almost a month, which means we're almost a month closer to the season, which could cause excitement to rise. This isn't perfect science.
But I think the information is interesting and meaningful. And I suspect - although I cannot confirm - it doesn't have a lot to do with Iwakuma and Noesi.
I think this is about Montero. I think the audience is excited to have a potential franchise hitter who can make an immediate impact, and who could be around for a long long time. Mariners fans wanted a bat. The Mariners got a bat that Baseball America gave an 80 power rating on the 20-80 scouting scale (if I remember correctly). Montero's an exciting player.
Of course, to get Montero, the Mariners gave up Pineda. Pineda is less than a year older than Montero. He's definitely more proven in the Major Leagues. If Montero has the talent to be a superstar bat, Pineda has the talent to be a superstar arm. He's awesome. We watched him. He's really awesome.
It's funny - the excitement rating is up 43 percent. I'm not sure the Mariners are much better now, in terms of 2012 win projection, than they were then. I definitely don't think the Pineda trade made them much better in the short-term. They got a really exciting young talent in exchange for a really exciting young talent who is exciting in a different way.
So maybe this is less about Montero specifically, and more about change. Mariners fans wanted the team to do something big. The team did something big. Big things are exciting. It's the same phenomenon that drives overactive fantasy baseball managers. You could sit on your team, or you could constantly tinker. It's more exciting if you constantly tinker. Tinkering keeps things fresh.
Michael Pineda is an awesome young player that we know. Jesus Montero is an awesome young player that we know way less. The discovery process is an exciting one. We have a pretty good idea of what Pineda can do. We get to find out what Montero can do (and from which position he can do it!).
If the 2012 Mariners are better than they were a week ago, they aren't better by much. Yet the fans, or at least the fans around here, are significantly more excited about the season ahead. I can't help but feel like I'm only scratching the surface here, that there's more substance and insight than I've been able to glean.
Or maybe it's all about dingers.


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Holiday Theory #2
A holiday's greatness is measured by the nosh sampled.
When I go away, I like to eat the destination. And this trip to Bali was no different! Sure you can count on Ku De Ta and all the other old faves, but I came across a few other stand out spots that quite literally made our trip.
Image: Kevin H.
La Luccciola
'La Looch' is a Seminyak institution that is made famous for its ocean view. What better way is there to start your day than by staring out at the wide blue yonder over a leisurely brunch of coconut bread and lychee and lime granitas? Heaven!
Jl. Petitinget – Seminyak, Tel: +62 361 730 838
Start your day on the sunny side with a visit to Biku! This charming tea house/bookstore/antique shop is housed in a 150 year old teak Joglo and serves up an all day breakfast that can give you a taste of home (eggs any style, fruit and bircher muesli, buttermilk pancakes) or away (nasi goreng, mee goreng or bubur ayam).
Jl. Petitinget, No. 888 – Seminyak, Tel: +62 361 857 0888
Image: Striatic
The Cornerstore/Tuck Shop
The Cornerstore/Tuck Shop is the perfect place to indulge in some unashamed people watching. Grab a perch at one of their large courtyard tables, chow down on a crusty baguette or yummy salad and watch the world whizz past. But, wait there's more! Make sure you also check out their eclectic mix of mens, womens and kidswear. Fashion and food – what more could you want?
Jl. Laksmana, No. 10A – Seminyak
Grocer and Grind
Keep your stamina up while shopping along Jl Laksmana by taking a pit stop at Grocer and Grind. This little deli consistently pumps out salads, paninis, great coffee and irresistible sweet treats – perfect shopping fuel really!
Jl. Kayu Jati, No. 3x – Petitenget Beach, Tel +62 361 737 321
Honourable Mention
While it is a little exxy, Breeze at The Samaya is worth a visit for its beachside location alone. Plus, they do a mean fresh tuna niçoise salad.
Image: Thomas Hawk
Sarong simply gets it all right. With internationally renowned chef, Will Meyricks (ex Jimmy Liks, Longrain), at the helm we had big expectations. And they were well and truly knocked out of the park. With it's modern take on a hawker mix of Asian cuisine, Sarong is perfect for a Big Night Out.
Jl. Petitenget No. 19X, Kerobokan, Tel: +62 361 737 809
Our one and only Bali regret was that we discovered Chandi on the last night of our trip. They bill it as haute Indonesian cuisine and while I'm a little confused as to what that means, one thing I'm clear on – it's bloody good! With the majority of ingredients sourced locally and organically grown, Chandi produces really creative flavours like crunchy tofu squares, slow roasted chicken breast in Balinese tomato sauce or grilled beef tenderloin with savoury onion jam and sour cherry mustard.
Jl. Laksmana, No. 72 – Seminyak, Tel: +62 0361 731 060
And lastly, if you're planning on making a night of it and having a few beverages, it's hard to go past Ku De Ta. But other spots worth a look in are Blossom at Sentosa Villas and Sunset on Six. Cheers!