LESLIE DAN SCHOOL of PHARMACY Prof C. GIULIVI

CPIN DISTINGUISHED LECTURE – November 1, 2013 Speaker | Dr. Cecilia Giulivi, Professor of Biochemistry, Department of Molecular Biosciences, University of California at Davis, CA Title | Role of environmental exposures in mitochondrial dysfunction and autism Date | Friday, November 1, 2013 Time | 9:30 am Location | Room PB150, Pharmacy Building, 144 College St., Leslie Dan Faculty of Pharmacy Host | Dr. David R. Hampson, Professor, Department of Pharmaceutical Sciences Co-Sponsor | Department of Pharmaceutical Sciences

GAIRDNER AWARDEE Dr. H.J.ALTER

TORONTO GAIRDNER AWARDS ($100,000) : USA NIH Dr.Harvey J. ALTER co-discoverer of AUSTRALIA ANTIGEN Lectured on Hepatitis C at the Sir Ka-shing LI GBM,KBE building of St.Michael's Teachimg hospital. Advised testing 48-68 age group. (Many used IV drugs between 1945 - 1965) 50% carriers not identified. 1-3% Worldwide infection. 60-70% show slow disease progress over 30 years 20- 30% develop cirrhosis in 15-40 years <5% develop cirrhosis in 5-10 years. Increased prevalence of Liver cancer due to Hep.C.

2013 James Arthur GAIRDNER AWARDS

Stockbroker JAMES ARTHUR GAIRDNER, LLD 1893-1971 Bequeathed his house to the town of Oakville as an art gallery. While he had always had an interest in medicine, it was the onset of severe arthritis in his early 50s that led Gairdner to become involved with the newly created Canadian Arthritis and Rheumatism Society. In 1957 he donated $500,000 to establish a foundation to recognize major research contributions in the conquest of disease and human suffering. Gairdner’s decision to create awards ($100,000)that recognize outstanding discoveries by the world’s top scientists was, and continues to be, an act of extraordinary vision. Much of his original instruction regarding the process of selection and awarding of the prizes remains in place today, contributing to the current stature of the Canada Gairdner Awards. - See more at: http://www.gairdner.org/content/james-arthur-gairdner-lld-1893-1971#sthash.J9YVdn07.dpuf

WSIB INSURANCE for MEDICAL OFFICES

Although NOT MANDATORY, Ontario MDs can insure themselves and staff for Occupational injury, illnesses, and death cheaply by WSIB at the rate of 73 cents per every $100 of OHIP income and staff salary. For $200,000, yearly premium would be $1460,(about $28 a week) Correspondence with the Late WSIB Chmn Hon.Lincoln Alexander QC will show that provided contact with communicable illness is noted in an office diary, the MD and Staff would be covered by WSIB if infected. Estate of SARS-killed GP Nestor YANGA received nothing from the Ont Govt as he`was "self-employed". Had he been covered by WSIB his Estate wiould have received approx $100,000.

MEDICO-LEGAL SOC TORONTO NOV. 6 Wed.

MLST Dinner Program: Brian Cuthbertson et al. v. Hassan Rasouli Wednesday, November 6, 2013 5:30 p.m. Reception, 6:00 p.m. Dinner 7:00 p.m. Presentations Metropolitan Hotel (Soon to be Doubletree by Hilton - 108 Chestnut Street, Toronto) On Friday October 18th, the Supreme Court of Canada released its decision in Brian Cuthbertson, et al. v. Hassan Rasouli by his Litigation Guardian and Substitute decision-maker, Parichehr Salasel (Ont) (34362). A 5-2 majority of the Supreme Court in Rasouli dismissed the appeal. The majority found that withdrawal of life support requires consent because the act of withdrawing life support is treatment, as it serves a “health-related purpose” by preventing suffering and indignity at the end of life, is closely associated with palliative care, and entails physical interference. The Court held that the withdrawal of life support “impacts patient autonomy in the most fundamental way.” The Supreme Court drew a distinction between the withdrawal of life-sustaining treatments and that of other medical services. The MLST has convened a panel of physicians and lawyers with intimate knowledge of the case to comment on the future implications of the decision for physicians, hospitals and lawyers. Be prepared to attend what promises to be a very lively and informative event -with perspectives on the case that only The Medico-Legal Society of Toronto can present. Program Chair: Daphne Jarvis, Borden Ladner Gervais LLP and First Vice-President, MLST Other Commentators: Andrew Faith, Polley Faith, LLP and Member of Council, MLST Dr. Andrew Baker, Chief of Critical Care Medicine, St. Michael's Hospital and Member of Council, MLST

CMAJ: Canadian Medical Inferiority Complex.

CMAJ Oct.15 printed one page PRACTICE advice on "MGUS". Authors were from Antwerp & Sydney. In Continental Europe UTRECHT is the main centre for study of "MGUS" & Plasma cell cancer. MGUS converts to PCC at 1% a year after diagnosis. Toronto has a World famous Plasma Cell cancer (aka "Multiple Myeloma") centre under the direction of Prof Donna REECE. MD(Baylor 1978) FRCPC No mention of on-line info and literature for MDs & patients from the INTERNATIONAL MYELOMA FOUNDATION.12650 Riverside Drive,Suite 206,North Hollywood,CA.91607-3421 Also omitted: "Serum Free Light Chain Analysis" (6th. Ed.) The Binding Site Group ltd.. Author: UK Univ.Birmingham Prof A.R. BRADWELL (wikilite.com) ISBN: 9780704427969 USA$75 350pp with many multi-colour graphs & illustrations.

Toronto Barrister Gary HODDER wins Supreme court verdict

Sunnybrook Hosp.doctors cannot stop life support of patient in coma for past three years at cost of $2000 a day.

CMAJ OBIT Internist & Psychiatrist J.R. BINGHAM d. Aug.5.2013 aet 98.

Died Lindsay,Ont. MD(Man.1940)RCN WW2. University Gastroenterologist At 55y studied Psychiatry @ CLARKE INSTITUTE (COMMENT: LOWER OVERHEADS. Less physically taxing)

Organisation for Economic co-operation & Development: World Literacy and Numeracy

www.oecd.org/canada Stats Can: 48% Canadians are FUNCTIONALLY ILLITERATE (difficulty in filling forms). GPs often forced by patients to fill forms ( time not paid by OHIP) If GP refuses, threat of complaint to CPSO. OECD STATS: LITERACY Canada 15th place below Slovakia. NUMERACY Canada 16th place below Poland.

UK DAILY MAIL: WORLD LITERACY

at the same level, whereas countries like Korea are showing huge improvement between generations Picture of Britain: This graph shows how the UK compared to other industrial nations when it came to numeracy Interesting: Countries like Japan, Netherlands and Sweden were the top performing in terms of literacy, even though children start school often years later than British youngsters Read more: http://www.dailymail.co.uk/news/article-2449481/Education-crisis-Up-8-5MILLION-numeracy-level-10-year-old.html#ixzz2hBd5fqRR

COMSOC: ONLY ODB DRUGS TO BE PAID for patients on Welfare (aka "Ontario Works")

Prescription Drug Coverage Under Ontario Works Discretionary Benefits Policy (COMMENT "Ontario Works" = WELFARE) The Ministry of Community and Social Services has informed the OMA of a change to the Ontario Works discretionary benefits policy that will impact patients who receive social assistance. Effective September 1, 2013, prescription drugs not listed on the Ontario Drug Benefit (ODB) Formulary will no longer be covered by Ontario Works as a discretionary benefit. This change will impact both Ontario Works and Ontario Disability Support Program recipients. In order to transition existing clients who receive coverage under this benefit, administrators will have the discretion to continue to fund prescription drugs not listed on the ODB Formulary under exceptional circumstances for a period of up to six months, until February 28, 2014. The transitional period will allow these clients time to speak with their physicians to arrange alternative approaches to their treatment. It is anticipated that some social assistance recipients who are currently being prescribed medication that is not listed on the ODB Formulary may be approaching their physicians in the coming weeks and months to arrange alternative approaches to their treatment. Ontario Works and Ontario Disability Support Program recipients will continue to have access to prescription medication through the Ontario Drug Benefit Formulary as a mandatory benefit. The Honourable Ted McMeekin Minister of Community and Social Services Ted McMeekin was re-elected into the riding of Ancaster-Dundas-Flamborough-Westdale in 2011 for a fourth consecutive term. He was appointed Minister of Community and Social Services in February 2013. Previously, he served as Minister of Agriculture, Food and Rural Affairs and Minister of Consumer and Business Services. Ted has a long history of community service. He served as Mayor of Flamborough from 1994-2000 and Hamilton City Councillor from 1977-1981. As MPP for the riding of Ancaster-Dundas-Flamborough-Westdale, Ted has been a powerful advocate for seniors, children with special needs, farm risk-management programs, strategic infrastructure investment and our local environment. Ted is a driven volunteer. He has worked to make a difference with many local organizations including the Hamilton Mental Health Association, Wesley Urban Ministries, the Five Oaks Christian Workers Centre, the Circle of Friends and Operation Lifeline. Ted served as President of both the Hamilton and Burlington YMCA and the Hamilton-Wentworth Lung Association. He has acted as an overseas volunteer, a church youth group leader and a baseball and soccer coach.

UK Royal Soc.Medicine: FUTURE of GP

New call for GPs to relinquish independent contractor status General practitioners should give up their independent contractor status and become NHS employees. This is the most radical alternative method of primary care funding considered by Professor Azeem Majeed, Head of the Department of Primary Care & Public Health at Imperial College London, in an editorial published today in the Journal of the Royal Society of Medicine. Professor Majeed, who also works as a part-time GP in South London, suggests that the funding of primary care should also be modified in favour of methods that link workload more closely to funding. In the last few years GPs have seen a dramatic transformation in their circumstances with reduced funding and higher clinical and administrative workload. Professor Majeed says:“Under the current capitation-based funding method, GPs face unrestricted demands for their services and on their time while having to operate on a fixed budget.” “When GPs are unable to cope with their workload, ” he says, “pressure will increase on other parts of the NHS – such as emergency departments – as well as impacting on access to primary care services and on how well GPs can manage patients with complex health needs.” If GPs gave up their independent contractor status, they could become NHS employees under similar employment terms to doctors working in acute, community and mental health trusts. This could, says Professor Majeed, allow GPs and their staff to be employed on national NHS terms of service and overcome the divide between self-employed GP principals and salaried GPs. Other options considered by Professor Majeed include the incorporation of tariff-based methods of funding in place of or in addition to capitation payments; The establishment of ‘super-partnerships’ involving the merger of general practices to allow the formation of larger primary care organisations; Or greater collaboration between general practices via the formation of general practice networks or federations. ENDS Notes for editors General practice in the United Kingdom: Meeting the challenges of the early 21st century (DOI: 10.1177/0141076813504326), by Azeem Majeed is published by the Journal of the Royal Society of Medicine today Friday 20 September 2013.

UK ROYAL SOCIETY of MEDICINE FREE on-line LECTURES

UK London Roy.Soc.Med @ 1 Wimpole St. provides many free lectures. http://www.rsmvideos.com/cat/free Other lectures cost GBP 5 to non-members.

OMA: Pharm & Vet. associations pay for OMA Mental care.

OMA receives yearly $250,000 from combined Pharm. + Vet associations to receive help from OMA 20 staff of "Physician Health Program".

U.TORONTO FREE LECTURES

PHYSIOLOGY SEMINAR – Thursday, October 3, 2013 Speaker | Dean Buonomano, PhD Institution | Departments of Neurobiology and Psychology, University of California, L.A. Title | “The role of short-term synaptic plasticity and neural dynamics in timing and neural computations” Date | Thursday, October 3, 2013 Time | 4:00 pm Location | Medical Sciences Building, Room 2172, Faculty of Medicine, University of Toronto Sponsors | Department of Physiology Seminar Series, CIHR Team Research and Training Program: Sleep & Biological Rhythms Toronto, CPIN – Collaborative Program in Neuroscience CPIN CORTEX CLUB – Thursday, October 3, 2013 Brain features and flaws: can the brain understand itself? Prof. Dean Buonomano Depts. of Neurobiology & Psychology, UCLA 5:30PM, Thurs. Oct 3rd Upstairs at the GSU Pub (16 Bancroft Avenue) CPIN DISTINGUISHED LECTURE – Friday, October 4, 2013 buonomanoSpeaker | Dean Buonomano, PhD, Departments of Neurobiology and Psychology, University of California, Los Angeles Title | Time and the Brain Date | Friday, October 4, 2013 Time | 4:00 pm Location | Room 108, Koffler House (569 Spadina Crescent) Host | Sheena Josselyn, PhD Co-Sponsor | Psychology Brian & Behaviour Seminar Series -- For more information, see the CPIN Website: http://www.neuroscience.utoronto.ca/ CPIN Distinguished Lectureship Series: http://www.neuroscience.utoronto.ca/events/lectureship.htm CPIN Cortex Club: http://www.neuroscience.utoronto.ca/events/cortexclub.htm CPIN Upcoming Neuroscience Seminars: http://www.neuroscience.utoronto.ca/events/seminar.htm