CMAJ ARTICLE ON PRIMARY ALDOSTERONISM (CONN SYNDROME) -- PREVALENCE UP TO 10 PER CENT OF RESISTANT HYPERTENSIVES.

A FEW YEARS AGO, A TORONTO LECTURE BY MELBOURNE PRINCE HENRY HOSP PROFESSOR  JOHN FUNDER AC MD PHD FRCP FRACP CHANGED DIAGNOSTIC POLICY IN ONTARIO. CARDIOLOGISTS, ENDOCRINOLOGISTS, NEPHROLOGISTS, NEUROLOGISTS AND  UROLOGISTS,  STARTED LOOKING FOR CONN, CARCINOID AND PHAEOCHROMOCYTOMA, (CCP) AFTER PROFESSOR FUNDER STATED THAT ABOUT 10 PER CENT OF RESISTANT HYPERTENSIVES HAVE CONN SYNDROME.  AS EARLY AS 1959 IN LONDON,UK IT WAS OBLIGATORY TO LOOK FOR THE CCP TRIAD IN EVERY HYPERTENSIVE PATIENT  AND NOT JUST TREAT THE BP WITHOUT A PRECISE DIAGNOSIS.      JFUNDER@UQ.EDU.AU                                                                                                                                                                             

"ISABEL" DIAGNOSTIC PROGRAM NOW CAN GIVE RESULTS  IN SECONDS AFTER ENTERING RESISTANT HYPERTENSION, PALPITATIONS, AND NOCTURNAL POLYURIA.- A SYMPTOM AND SIGN OMITTED COMPLETELY IN THE CMAJ PAPER.

SIMPLE GP TEST FOR CONN SYNDROME  IS TO GIVE ALDACTONE. BP FALLS DRAMATICALLY.    

INVESTIGATIONS INCLUDE  POTASSIUM,  ALDOSTERONE, RENIN,  DIAGNOSTIC RADIOLOGY AND ADRENAL VEIN SAMPLING,    REMOVAL OF THE ADRENAL BY ENDOSCOPY CAN CURE THE HYPERTENSION.COMPLETELY.

 (COMMENTS BY DR A FRANKLIN WHO ATTENDED PROF FUNDER'S LECTURE)

DELAY IN DIAGNOSIS ,OFTEN FOR YEARS, IS ASSOCIATED WITH PRESENT SOCIALIST POLICY OF NOT ADMITTING PATIENTS FOR DIAGNOSTIC INVESTIGATION.  ALDOSTERONE AND RENIN BEST TESTED AFTER A NIGHT'S REST AND BEFORE GETTING OUT OF BED.  IN TORONTO, PRIVATE LABS WEILL DO HOUSE CALLS FOR A MODEST $30 BUT MOST DOCS ARE FRIGHTENED TO EVEN TELL PATIENTS ABOUT THIS SERVICE AS THE MAJORITY HAVE BEEN SOCIALLY ENGINEERED TO BELIEVE THAT ALL MEDICINE MUST BE FREE IN A WELFARE STATE. THE PATIENT COULD MAKE A COMPLAINT TO THE ONT  COLLEGE OF PHYS AND SURGEONS LEADING TO A TIME WASTING INVESTIGATION OF MALPRACTICE.      

COLOUR VISION DEFICIENCY IN ONTARIO DOCTORS.

SAY AT LEAST 20,000 ACTIVE ONTARIO DOCS. AND SAY 10,000 EACH FEMALE AND MALES.

PREVALENCE IN MALES 8 PER CENT; FEMALES 0.5 PER CENT. - USA NATIONAL EYE INSTITUTE.

APPROX 800 MALE AND 50 FEMALE DOCTORS AFFECTED.

SANYO HAS PRODUCED A TV WHICH ASSISTS THOSE WITH COLOUR VISION DEFICIENCY.

COLOURED URINE DIP STICKS CAN BE READ BY MACHINE.

PROTECTION AGAINST RESPIRATORY VIRUSES; N 100 VS N95

\N= NIOSH = NATIONAL INSTITUTE OCCUPATIONAL SAFETY AND HEALTH

DURING 2003 SARS EPIDEMIC N96 DUCKBILL MASKS WERE DISTRIBUTED FREE TO TORONTO DOCTORS BY TORONTO PUBLIC HEALTH DIRECTED BY LATE DR SHEELA BASRUR O.ONT MD MPH FRCPC. ACCORDING TO SEVERAL COMMUNICATIONS TO CMAJ BY JOHN H, LANGE OF PITTSBURGH,PA ENVIROSAFE TRAINING AND CONSULTING INC N 95 MASK IS NOT SUITABLE TO PROTECT AGAINST VIRUSES, ONLY LARGER BACTERIA. ALSO RESPIRATORS  HAVE TO BE FITTED. BEARD STUBBLE BREAKS THE SEAL.

DOCTORS WERE NOT INFORMED ABOUT $12 N100 (WITH VALVE) ; N95 COSTS $1-2. DR NESTOR YANGA AND TWO NURSES DIED FROM SARS.

ESTATE OF GP DR YANGA RECEIVED NO GOVERNMENT COMPENSATION AS HE WAS SELF-EMPLOYED. THE ESTATES OF SARS-KILLED HOSPITAL NURSES RECEIVED HIGH COMPENSATION.

CMAJ 2003 SEPT 16 541-2 JOHN H LANGE

N100 MADE BY 3M  ORDER NUMBER 8233 AND OTHER FIRMS..

TORONTO TIPS

AVOID DOWNTOWN AT WEEKENDS DUE TO ROAD CLOSURES  CAUSED BY VARIOUS CHARITY CYCLING, RUNS AND WALKS AND ETHNIC STREET FESTIVALS. A $5 TAXI RIDE CAB BECOME $20 CAUSED BY TRAFFIC CHAOS.

BEST TO HIRE LIMO FROM A TORONTO LIMO SERVICE. MANY LOCAL TAXIS HAVE POOR SCHOCK ABSORBERS; DRIVERS OFTEN DO NOT SPEAK FLUENT ENGLISH; ARE VISUALLY IMPAIRED AS CAN BE PREDICTED BY AGED DRIVERS NOT WEARING SPECTACLES.

SECURITY POOR IN MOST HOTELS WITH INNER SHOPS AND RESTAURANTS. SOME HAVE FLOORS WITH SPECIAL ACCESS CARDS. BEST TO STAY AT PRIVATE CLUBS SUCH AS ROYAL CANADIAN MILITARY INSTITUTE AND UNIVERSITY CLUB, BOTH ON UNIVERSITY AVENUE. RATES ARE CHEAPER THAN HOTELS. FOR DOCTORS, THE ONT. MED. ASSN HAS A COMFORTABLE LOUNGE AT 150 BLOOR ST ,9TH FLOOR. ACROSS THE ROAD FROM ROYAL ONT MUSEUM.(WITH INTERNATIONALLY FAMOUS CHINESE COLLECTION IMPORTED BY CANADIAN MISSIONARIES AND GARDINER CERAMIC MUSEUM). OMA  IN SAME BUILDING AS LOUIS VUITTON AND TIFFANY.  YORKVILLE AREA SAFEST. SIMILAR TO LONDON MAYFAIR AND BOND STREET,  ART GALLERY OF ONTARIO IS IN CHINATOWN. AGO IS NOTED FOR  HENRY MOORE'S  PLASTER MODELS OF HIS SCULPTURES.

BEWARE OF BEGGARS IN DOWNTOWN AREA; SOME BLOCKING PAVEMENT. POLICE DO NOT REMOVE. MENTALLY ILL MOVED TO STREETS AFTER CLOSURE OF TORONTO'S TWO MAIN PSYCH HOSPITALS. BASED ON MARXIST-LENINIST SOCIAL ENGINEERING.  AVOID RISK OF CONFRONTATION BY NOT WALKING.

IN CASE OF MEDICAL URGENCY DURING WEEK, ''CLEVELAND CLINIC CANADA' AND 'MEDCAN' OFFER PRIVATE GP SERVICE.  SUNNYBROOK HOSPITAL IN WEALTHY AREA.
HAS MINIMAL DRUG ADDICTS, KNIFINGS AND GUNSHOT WOUNDS.

FOR PRIVATE INPATIENT TREATMENT AND AT WEEKENDS QUICKEST TO TRAVEL TO LEWISTON,USA,  (OPPOSITE NIAGARA ON THE LAKE)  AT  MOUNT ST MARY HOSPITAL. ABOUT 2.5 HOUR LIMO DRIVE FOR $400. PASSPORT REQUIRED.CLINIC . WAITING TIME IN DOWNTOWN TORONTO HOSPITALS CAN BE SEVERAL HOURS WITH NO CERTAINTY OF SEEING A SPECIALIST. WAITING TIME DEPENDS ON TRIAGE BY A NURSE. CLEVELAND CLINIC CANADA CAN ARRANGE AIR TRANSPORT TO USA CLEVELAND CLINIC  HOSPITAL

LATEX CONDOMS PROVIDED FREE BY TORONTO PUBLIC HEALTH 22 VD CLINICS.

LATEX CONDOMS MADE IN MALAYSIA. DISTRIBUTED BY "ONE" OF BOSTON,MA,USA AS 'CLASSIC SELECT''. AND BY 'HARDCOVER' OF CONCORD,ONT,CANADA AS 'LOLLYPOPS'

THE FRANCOPHONE CENTRE HAS MOVED TO 555 RICHMOND ST WEST. 416 922-2672

HPV VACCINE IS PROVIDED FREE DEPENDING ON RISKS; SEXUAL & MEDICAL.

MEDICO- LEGAL SOCIETY OF TORONTO

COMMENT: IMPORTANT TO JOIN. LEARN HOW LAWYERS THINK. VISIT POLICE FORENSIC BUILDING. MEET TORONTO LAWYERS. AS QC NO LONGER AWARDED FOR LEFT-WING POLITICAL REASONS, IT IS DIFFICULT KNOW WHO IS A SUPERIOR TRIAL LAWYER. GOING TO ONE OF THE TOP FIRMS HELPS. AT MED-LEGAL DINNERS A DOCTOR CAN MEET LAWYERS BOTH INTROVERTED SOLICITORS AND EXTROVERT BARRISTERS/.

CMPA APPOINTED LAWYERS ARE NOT ALWAYS THE BEST. FOR CPSO AN AGGRESSIVE CRIMINAL LAWYER IS PREFERED TO A GENTLE SOLICITOR-TYPE THE  ALL FEMALE CPSO LAWYERS ARE EXTREMELY AGGRESSIVE/ A DOCTOR NEEDS A SIMILAR TYPE TO WIN. REMEMBER THE CPSO TRIBUNAL IS NOT A COURT AND SO THE PROOF REQUIRED FROM PROSECUTOR NEED NOT BE AS STRICT AS IN A COURT. ALSO THE TRIBUNAL IS A MIX OF PART-TIME OLDER DOCS AND POLITICAL APPOINTEES.

 IT IS IMPERATIVE TO HAVE A SINKING FUND OF $100,000 FOR A COURT APPEAL TO AMATEUR TRIBUNAL VERDICTS, UNLIKE UK, CMPA DOES NOT FUND APPEALS. THERE IS NO LEGAL INSURANCE FOR APPEALS.

CPSO STATS SAY A MD WILL HAVE A SERIOUS COMPLAINT EVERY 20 YEARS. AS CPSO AUTOMATICALLY SENDS MD OR NURSE INVESTIGATORS AT 70 & THEN EVERY 5 YEARS.  BEST TO STOP CLINICAL PRACTICE AT MAX. 69. ORGANISING CLINICS AS ADMINISTRATOR AVOIDS CPSO CONTACT. LEAVING CLINICAL PRACTICE AT 50 IS EVEN SAFER WITH LESS RISK OF CPSO LITIGATION.

MANY SMART ONT DOCS GET CALIFORNIA AND/OR FLORIDA LICENCES SOON AFTER GRADUATION. EASY THEN TO RELOCATE AFTER CHILDREN LEAVE LOCAL UNIVERSITY.

HOSPITAL SECURITY; TIME TO TAKE PREVENTIVE ACTION. COPY SECURITY MEASURES AT LEGISLATIVE BUILDINGS .

MINIMUM MEASURES SHOULD INCLUDE SECURITY GUARDS AT ALL ENTRANCES. METAL DETECTORS. VISITOR BADGES.  CONTROLLED ACCESS TO IN-PATIENT AREAS.

TORONTO PUBLIC HEALTH EPIDEMIC PAROTITIS FROM JAN 2017 ; 117 CASES

IMMUNISATION IN ONTARIO IS VOLUNTARY.

GLAUCOMA PATIENTS CAN USE PORTABLE FINNISH ICARE TONOMETER. ; $3000

$6250 MODEL CAN BE USED WITH PATIENTS IN SUPINE POSITION

$5000 MODEL FOR SEDENTARY  OFFICE USE

$3000 MODEL FOR PATIENT USE.WITH LINK COMPUTER MEMORY,ANALYSIS AND GRAPHICS.

SWISS DISPOSABLE PROBES: $1.40 EACH FOR PHYSICIAN MODELS. $1.90 EACH FOR PATIENT MODEL.

ICARE FINLAND OY PART OF REVENIO GROUP CORP OY.(HELSINKI STOCK EXCHANGE)

AIRD AND BERLIS LLP; BILL148 ONTARIO 'FAIR WORKPLACES' BETTER JOBS ACT 2017.-MORE BURDEN FOR EMPLOYERS INCLUDING MORE RECORD-KEEPING WITH INCREASED INSPECTION AND FINES.

SOME OF BILL 148 WHICH WILL AFFECT EMPLOYER DOCTORS;

NEW 3 WEEKS PAID VACATION AFTER 5 YEARS SERVICE.

NOW AFTER 3 MONTHS EMPLOYEE CAN REQUEST CHANGE OF LOCATION WITHOUT REASON.

MINIMUM WAGE $14 FROM JAN 2018; $15 FROM JAN 2018

10 DAYS YEARLY UNPAID LEAVE FOR PERSONAL  REASONS,

INCREASED UNPAID MATERNITY LEAVE TO 63 WEEKS.

NEW UNPAID 15 WEEKS LEAVE YEARLY IF EMPLOYEE AFFECTED BY SEXUAL VIOLENCE

NEW UNPAID TWO YEARS LEAVE AFTER DEATH OF CHILD.(ie under 18)

MORE UNION POWER IN UNIONISING EMPLOYEES.

HAIFA,RAMBAM HOSPITAL.: CANADIAN 73 ROBERT MACLACHLAN RECEIVES COROLLA IMPLANT FOR DIASTOLIC HEART FAILURE

COROLLA IMPLANT IN LEFT VENTRICLE M,ADE BY CORASSIST A PRIVATE COMPANY. COROLLA DEVELOPED BY DRS Y.FELD, Y.REISNER & S.DUBI FROM TECHNION INSTITUTE.

TORONTO STAR AUG 2015. WORLD FAMOUS MS NEUROLOGIST RESIGNS FROM MEDICAL PROFESSION AFTER A COMPLAINT FROM FEMALE PATIENT FOLLOWED BY 3 UNDECIDED CPSO TRIBUNALS AND APPEALS.

PROFESSOR PAUL WILLIAMS O'CONNOR MD(TOR) FRCPC WAS HEAD OF MULTIPLE SCLEROSIS DEPT OF ST. MICHAEL'S HOSPITAL. A FEMALE PT MADE A COMPLAINT TO CPSO.' THE TRIBUNAL OF CPSO IS NOT A COURT. THERE IS NO JUDGE ; ONLY A REFEREE LAWYER SITTING AT THE SIDE TO GIVE ADVICE ON PROCEDURE. THE TRIBUNAL IS A MIX OF DOCTORS WITHOUT LEGAL TRAINING AND LAY POLITICAL APPOINTEES; AT TIMES INCLUDING A LAWYER. THERE WERE THREE TRIBUNALS AND APPEALS. BEFORE THE VERDICT WAS TO BE GIVEN, PROFESSOR O'CONNOR RESIGNED HIS MEDICAL LICENCE AND AGREED TO LEAVE THE MEDICAL PROFESSION COMPLETELY.  (COMMENT; A TRAGIC LOSS TO CANADIAN MEDICINE.. ANYONE,ANYWHERE IN THE WORLD CAN MAKE AN ANONYMOUS COST-FREE COMPLAINT TO CPSO . THE CPSO TRIBUNAL IS NOT A COURT SO EVIDENCE LAWS ARE RELAXED.  UNLESS THE DOCTOR HAS A CHAPERONE AND VIDEO-RECORDS  INTERVIEWS, SIMILAR DISASTERS WILL CONTINUE IN ONTARIO. MS CAUSES BEHAVIOURAL ABNORMALITIES. NOT GENERALLY KNOWN BY NON-NEUROLOGISTS).

DIVERSIFICATION; BASIC ADVICE FROM ANY FINANCIAL ADVISOR. DOCTORS SHOULD DIVERSIFY IN CASE OF DISABILITY OR MEDICO-LEGAL PROBLEMS.

IN AN OUTREACH PROGRAM CPSO ADVISED THAT MEMBERS COULD EXPECT A SERIOUS CASE EVERY TWENTY YEARS. THEIR CAREER DEPENDS ON A TRIBUNAL (NOT A COURT) OF LESS THAN BRILLIANT COLLEAGUES AND LAY POLITICAL APPOINTEES. EVEN IF A TRIBUNAL MEMBER IS NOT PRESENT, THE TRIBUNAL CONTINUES.

A GOOD EXAMPLE OF DIVERSIFICATION IS THE TORONTO PROPERTY DEVELOPER SHANE BAGHAI.WHO HAS ENTERED THE HALAL BURGER MARKET THROUGH HIS CALEDON PARADISE FARMS WITH WAGYU BEEF. KOBERGER IS SOLD IN LOBLAWS STORES AT $9 ; 4 X 115G AS WELL HE HAS BURGER AND POUTINE OUTLETS.; "JACKSON'S BURGER"' IN DOWNTOWN TORONTO ,OPEN TO 5 AM ON FRIDAY AND SATURDAY NIGHTS.BASIC BURGER IS $7;50.

FIRST CLASS WHEELCHAIR TOILETS.. ELECTRIC OPERATED DOORS.

OTHER PRODUCTS ARE KOBERGER SAUSAGE, KOBERGER GROUND BEEF,ANGUS BURGERS,AND ANGUS STEAKS,

ONTARIO PHARMACIES SELL A WIDE VARIETY OF NON-PHARMACEUTICAL PRODUCTS.

THERE IS NO LOGICAL REASON WHY DOCTORS CANNOT DO THE SAME.: AIDS TO DAILY LIVING AND ORTHOTICS. AS WELL AS OTC SUPPLIES.

ONE BURGER CONTAINS 210mg SODIUM

WINDSOR, ONTARIO HOSPITAL; KNIFE ATTACK BY PARANOID SCHIZOPHRENIC PATIENT.. HOSPITAL TO NOW HAVE ENTRANCE METAL DETECTORS

LEFT WING POLICY TO CLOSE PSYCHIATRIC HOSPITALS COMBINED WITH RIGHT IN ONTARIO TO REFUSE DRUG TREATMENT HAS LED TO GENERAL HOSPITALS HAVING TO ADMIT VIOLENT PATIENTS. ALSO STREETS OF DOWNTOWN TORONTO LITTERED BY MENTALLY ILL SLEEPING AND BEGGING ON PAVEMENTS. NO REACTION BY POLICE HAMPERED BY LEFT-WING POLITICAL CORRECTNESS.

UK DAILY MAIL ON-LINE

SHORTAGE OF GP DOCS. HAVING TO IMPORT FROM EU AS MANY DOCS EMIGRATE TO USA, AUSTRALIA & NEW ZEALAND. HOUSING PRICES DRIVEN BY UNRESTRICTED NON-UK BUYERS AS INVESTMENT AND HEDGE AGAINST FRESH WATER SHORTAGE WORLDWIDE.

TGH HYPERBARIC MEDICINE UNIT GROUND FLOOR 107 PETER MUNK BUILDING

DR WAYNE EVANS. MD (ALBERTA 1979)

416 340  4481 FAX

CHR OSTEOMYELITIS

INTRACRANIAL ABSCESS

CHRONIC WOUND

DELAYED RADIATION INJURY EG PRACTITIS; HAEM. CYSTITIS; OSTEORADIONECROSIS; ;BRAIN NECROSIS

CO POISONING\

BENDS

SLOW HEALING PLASTIC SURGERY FLAPS,

MULT PT CHAMBERS
SINGLE UNITS

100- PERCENT OXYGEN AT 2-3 ATMOSPHERE PRESSURE ( ONE ATMOSPHERE - 14.7 POUNDS PER SQ INCH) USUALKLY 2 HRS,

TREATMENT USUALY 5 DAYS A WEEK FOR 6-8 WEEKS.

DAIICHI SANKYO CO LTD INTRODUCES " LIXIANA "` EDOXABAN TOSYLATE MONOHYDRATE ONCE DAILY DOSE ANTICOAGULANT THROUGH SERVIER CANADA. INC

TORONTO CARDIOLOGIST MARTIN STRAUSS MD FRCPC GAVE CME ON ATRIAL FIBRILLATION AND NEED FOR ANTICOAGULATION ON JUNE 29 AT AUBERGE DU POMMIER, SPONSORED BY SERVIER CANADA,

ONCE A/FIB DIAGNOSED;; LIFELONG ANTICOAGULATION NEEDED TO REDUCE INCIDENCE OF MAJOR STROKE.

LIXIANA USEFUL AS ONCE DAILY DOSAGE. 60 OR 30 mg. FOOD NOT REQUIRED.

DR STRAUSS ADVISED AGAINST ASPIRIN AND ALCOHOL WHEN USING LIXIANA AND OTHER NON-WARFARIN ANTICOAGS. 

4 WEEK HOLTER NEEDED TO DIAGNOSE ON-OFF ATRIAL FIB,

MEETING MODERATOR; DR KAVITA RANDHAWA MD (RCS IRELAND)  CFPC POLYGLOT' HINDI, PUNJABI ,FRENCH, ITALIAN, SPANISH. 

'INSULIN MURDERS' VINCENT MARKS ROY SOC MED PRESS 2007

ISBN 978-1-85315-760-8

ALIBRIS $20-$80 DEPENDING ON CONDITION

TORONTO LEVITT LLP: PETERBOROUGH PLASTIC SURGEON MD 1972 HAS TO PAY NURSE-OFFICE MANAGER OF 22Y SERVICE 24 MONTHS SALARY ,AWARDED BY JUSTICE LACK & COURT OF APPEAL ,AFTER HE SHOUTED AT HER FOR NOT BEING ABLE TO USE COMPUTER FOR ELECTRONIC RECORDS.

HOWARD LEVITT ESQ.
TORONTO OFFICEL 130 ADELAIDE ST W
INFO@LEVITTLLP,COM

BLOG AVAILABLE

OMA VOTING RESULTS FOR REPRESENTATION RIGHTS, JOINT NEGOTIATION AND DISPUTE RESOLUTION AGREEMENT

APPROXIMATE NUMBERS

OMA MEMBERSHIP 30,000
VOTED 10,000 ` VOTING BY PERSON AND ONLINE,
FOR THE AGREEMENT; 6,000\\

20 % VOTED FOR AGREEMENT

UK DAILY MAIL; NHS EMPLOYS 300 PHYSICIAN ASSISTANTS. PLANS TO HIRE 3000.

ARTHUR HUGH CLOUGH 1819 - 1861 D, FROM MALARIA IN ITALY

FROM THE SATIRICAL POEM "THE LATEST DECALOGUE" ON THE TEN COMMANDMENTS

THOU SHALL NOT KILL; BUT NEEDST NOT STRIVE
OFFICIOUSLY. TO KEEP ALIVE:

ALSO INCLUDES

THOU SHALT NOT STEAL; AN EMPTY FEAT.
WHEN 'TIS SO LUCRATIVE TO CHEAT:

AIRD AND BERLIS LLP PARTNER MICHAEL HORVAT; ON WORKPLACE RIGHTS ACT

MD EMPLOYERS WILL HAVE MORE LEGAL RISKS.WITH INCREASED COSTS/

FINES UP TO $100,000

MINIMUM WAGE FOR ALL EMPLOYEES. INC INTERNS AND TRAINEES

PART-TIME PAID SAME AS FULL-TIME FOR SAME WORK

AFTER ONE YEAR EMPLOYEE CAN DEMAND FLEXIBLE HOURS AND LOCATION

EMERGENCY LEAVE WITHOUT PAY FOR ALL EMPLOYEES

EMPLOYER TO PAY FOR MEDICAL SICK NOTE

AGENCY EMPLOYEES AFTER 6 MONTHS WILL GET SAME PAY AND BENEFITS AS FULL-TIMERS

VACATION PAY 4 WEEKS AFTER 5 Y WITH SAME EMPLOYER

TORONTO HOSPITALS MINIMAL SECURITY

TORONTO HOSPITALS "SHOPPNG MALLS" WITH FOOD COURTS AND STORES.. NO CONTROL AT ENTRY POINTS. NO CONTROL WHO ENTERS PATIENT WARD AREAS.

OMA DISTRICT 11 (TORONTO + SCARBOROUGH) EXEC ADMIN DIRECTOR MRS. KATHY BUGEJA MBA

MRS BUGEJA OWNS THE PR FIRM SPi GROUP AND IS PAID APPROX $65,000/ ON YEARLY CONTRACT   BY THE MEMBERS OF DISTRICT 11  - NOT THE OMA-  TO PERFORM PART-TIME ADMIN DUTIES INC WRITING THE MINUTES OF DIST 11 EXECUTIVE COMMITTEE..  DIST 11 HAS ABOUT 10,000 MEMBERS.

MRS BUGEJA  ALSO ADVISES THE OMA SECTION OF LABORATORY MEDICINE & ONTARIO ASSN OF PATHOLOGISTS.; WITH TITLE OF "STRATEGIC CONSULTANT.".

SPi ALSO HAS A CONTRACT TO HELP WITH ADMIN OF OMA TORONTO PHYSICIANS HEALTH PROJECT ( HELPS DOCS WITH ALCOHOLISM AND DRUG ADDICTION. )

SPi SLOGAN " POSITIONING YOU TODAY FOR TOMORROW".

OFFICE
2 PAISLEY PLACE
RICHMOND HILL (N. OF TORONTO)
L4C 6S7

905 886 8777

2001-7 BOARD DIR. BRIDGEPOINT HOSPITAL PREVIOUSLY RIVERDALE HOSP FOR CHR0NIC SICK, IN EAST TORONTO .

HANSARD; 2016 NOV 16 PRESENTATION RE BILL 41 TO ONT LEGISLATURE STANDING COMMITTEE,.INCLUDED THE PHRASE" STOP THE PISSING MATCH"

OMA DISTRICT 11 TORONTO & SCARBOROUGH

APPROX 10,000 DOCS

TORONTO 2,731,000

SCARBOROUGH 633,000

CHAIRMAN

GP MARK JOAQUIM JULIUS D/SOUZA  MD(QUEENS,KINGSTON  2009) GP CERT CFPC 2011  EMERG MED CERT CFPC  2015 MYOMEDICAL CLINIC,(CHRONIC PAIN) 1939 KENNEDY RD, SCARBOROUGH

SECRETARY

NEPHROLOGIST RAJNI SINGHAL MD (OTTAWA 2000)  FRCP (2005) MSc EPID (TOR.2011)

HUIMBER HOSP CHURCH ST WEST TORONTO

TREASURER

GP MICHAEL JOHN VERBORA MD ( WESTERN, ONT  2013) GP CERT CFPC 2015  CANNABINOID MED. CLINIC 1 EGLINTON AV EAST CENTRAL TORONTO

OMA 2017 MEMBERSHIP SATISFACTION SURVEY BY ECONOMICS DEPT . 15.2% REPLIED. = 5,702

CMA STATS

ONT
GPS                   14,690
SPECIALISTS; 11.456
TOTAL; MD     26,146

(OMA MED STUDENTS & RESIDENTS; 11,367

SURVEY INCLUDED RESIDENT 26,146 + 11,367= 37,513
5,702 REPLIED

OMA NEW PRESIDENT GP SHAWN DAVID WHATLEY & PRES-ELECT GP NADIA ALAM

ONE YEAR TERM

S D WHATLEY  MD (1996 OTTAWA)  CAN COLLEGE FAMILY PRACTICE CERTS; 2000-GP; 2004 EMERG MED

LANGUAGES; ENGLISH

MOUNT ALBERT, 38 MILL ST. L0G 1M0  905 - 473 2422

MT ALBERT 65 KM NORTH  OF TORONTO, NEAR NEWMARKET

POPN ; 22,000



N ALAM MD ( 2006 HALIFAX - DALHOUSIE UNIV)  CAN COLLEGE FAMILY PRACTICE CERT GP 2008.

LANGUAGES; ENGLISH URDU

GEORGETOWN MED ASSN  SINCLAIR MED ASSOC. 99 SINCLAIR AV,# 204 L7G 5G1 905 - 873 3344

GEORGETOWN 60 KM WEST OF TORONTO

POPN; 43,000


OMA BOARD CHAIRMAN
AURORA GP TIMOTHY GUY NICHOLAS MD (TOR 19780)
15017 YONGE ST; #201
L4G 1M5
905 727 9447

AURORA 50 KM NORTH OF TORONTO

CMAJ;OBIT TORONTO PAED OPHTH MARIJA ARSTIKAITIS MD( INNSBRUCK 1947) 1923-2016

OHIP FEES ARE SO LOW FOR PAED OPHTH THAT DR ARSTIKAITIS COULD NOT GIVE AWAY HER MAINLY STRABISMUS PRACTICE WHEN SHE RETIRED FROM HER CENTRAL TORONTO OFFICE AT 123 EDWARD ST,

OMA-NORTH YORK GEN MED SOC ;LAWYER ELYSE ROCHELLE SUNSHINE ON MEDICAL RECORDS

MEETING AT ASIAN LEGEND REST 900 DON MILLS RD  ABOUT 20 ATTENDED THE FREE LECTURE-DINNER

MS SUNSHINE- FAMILY NAME ORIGINALLY  SONNENSCHEIN- POINTED OUT SOME IMPORTANT POINTS TO REDUCE RISK OF CPSO DISCIPLINE TRIBUNAL HEARING,

AVOID HANDWRITING TOO EASY FOR CPSO TO SAY ILLEGIBLE

USE ELECTRONIC RECORDS AND TEMPLATES.

PAPER RECORDS MUST BE KEPT IN FIRE-RESISTANT METAL CABINETS,\\

CHEAPER AND SAFER TO USE ELECTRONIC RECORDS, STORED ON A DISK

ANY ALTERATION MUST BE DATED AND INITIALED

ANY COMMENT ON A POSSIBLE MEDICO-LEGAL MATTER SHOULD BE KEPT SEPARATE FROM MAIN CHART, LAWYER-CLIENT CONFIDENTIALITY IF LAWYER CONSULTED  IMMEDIATELY  ABOUT THE CIRCUMSTANCE/

\MS SUNSHINE IS A PARTNER IN THE TORONTO FIRM  OF ROSEN & SUNSHINE LLP

OMA MEMBERS WHO DIED ON ACTIVE SERVICE

OMA OFFICES HAVE NO MEMORIAL TO MEMBERS WHO DIED ON ACTIVE SERVICE INCLUDING OMA MEMBERS WHO DIED TREATING PATIENTS EG DR NESTOR YANGA FROM SARS.

OMA-NORTH YORK GEN HOSP APRIL 3 MEDICAL REGULATION-AN OVERVIEW BY LAWYER LONNY ROSEN CERT IN HEALTH LAW

AT "TASTY BBQ  SEAFOOD",3555 DON MILLS ROAD.

MR ROSEN IS THE SON OF A NORTH-TORONTO GP

HIS TORONTO FIRM IS ROSEN SUNSHINE LLP

NEW LEGISLATION BY LIBERAL PROV GOVT WILL ADD MORE REGULATIONS AND GOVT INTERFERENCE.

MINISTER OF HEALTH WILL HAVE POWER TO ADD MORE LAY MEMBERS TO CPSO COMMITTEES.

CPSO INVESTIGATORS WOULD HAVE MORE POWERS OF ACCESS TO MEDICAL RECORDS.

MEDICAL DOCTORS PERSONAL HEALTH RECORDS WOULD BE AVAILABLE TO THE LIB GOVT.

TIGHTER RULES ON PATIENT CONSENT TO EXAMINATION AND ANY FORM OF TREATMENT.

ABILITY TO SUSPEND A LICENCE ON COMPLAINT .BEFORE TRIBUNAL HEARING.

LEVELS OF MEDICAL CARE

BASIC OHIP

WELFARE OHIP INCLUDES DENTAL TREATMENT. FREE GLASSES, FREE DRUGS, FREE ORTHOTICS.

OHIP PLUS INSURANCE PROVIDED BY MANY EMPLOYERS FOR DRUGS APPLIANCES AND PARAMEDICAL TREATMENT NOW INCLUDING HOMOEOPATHY

OHIP PLUS PRIVATE GP AND 5 HR YEARLY GENERAL ASSESSMENT BY $3,500 YEAR WELLNESS CLINICS WHICH PROVIDE EXTRA SERVICES EG DIET , PHYSIOTHERAY & PSYCHOLOGY. AVOIDING CANADA HEALTH ACT RESTRICTION ON EXTRA CHARGES.

OHIP PLUS TRAVEL TO DOCTORS IN OTHER PROVINCES TRAVEL COSTS NOT PAID.
MONTREAL,QUEBEC  PRIVATE ROCKLAND HOSPITALS. OHIP COVERS CHARGES AT ONTARIO LEVEL.

OHIP PLUS TRAVEL TO USA. OHIP CAN PAY FOR MEDICAL SERVICES ONLY  IN USA IF APPROVED BEFORE TRAVEL.

PRIVATE MEDICAL TRAVEL TO  OTHER COUNTRIES ESPECIALLY NORTHERN EUROPE.

WORKERS SAFETY INSURANCE BOARD (INDUSTRIAL DISEASE AND INJURY)  HIGHER PAYMENTS SEPARATE THAN  OHIP

UHN & TOR WESTERN PSYCH, GERALDINE GAIL ERLICK ROBINSON O,ONT MD(TOR 66) FRCPC(71) ON STAYING OUT OF TROUBLE BY KEEPING GOOD BOUNDARIES

OMA & NORTH YORK GEN MED SOC SPONSORED FREE DINNER-LECTURE AT PEKING MAN RESTAURANT  21 MARCH/. APPROX 20 ATTENDED

MAIN POINTS

AVOID ANY NON-DIAGNOSTIC PHYSICAL CONTACT OR NON-MEDICAL COMMENT ABOUT PHYSICAL FEATURES OF PATIENT,

IN ONTARIO AVOID HAND-SHAKING/; ANY EMBRACE; ; ANY ORAL CONTACT; NO GIFTS; NO MEETING OUT OF OFFICE.

NO PERSONAL DISCLOSURE

NO FINANCIAL RELATIONSHIP

CPSO RULES;
AFTER NON-PSYCHIATRIC VISIT  CPSO RULES; ONE YEAR BEFORE SOCIAL CONTACT
AFTER PSYCHIATRIC VISIT OR G P MENTAL HEALTH COUNSELLING;CPSO RULES  LIFE-TIME BAN.

REDUCING RISK IN MEDICINE

REDUCE DEPENDENCE ON OHIP - AFTER 45YEARS OHIP NOW PAYS APPROX 50 PER CENT OF OMA SUGGESTED RATES.

PART-TIME & FULL-TIME WORK WITH  OMA, CMA  CPSO, CMPA.

MPP & MP WITH MINIMAL MEDICAL PRACTICE

BIOINFORMATICS

MEDICAL ETHICS

PUBLIC HEALTH

SALARIED ASSURANCE MEDICINE

SALARIED JOBS WITH MAJOR ACCOUNTING FIRMS.

LEGAL MEDICINE ESPECIALLY IF CERTIFIED IN HEALTH LAW

TRAVEL MEDICINE CLINIC

IMMIGRATION MEDICAL CLINIC

"WELLNESS CLINICS" WHICH DO NOT BILL OHIP. CLIENT PAYS APPROX $3,500 YEARLY. (CLEVELAND CLINIC CANADA; MEDCAN; ET AL) THESE CLINICS OFFER ADDITIONAL SERVICES -DIET AND PHYSIO.NOT OHIP=COVERED.

REAL ESTATE ORGANISING MEDICAL CLINICS

CPSO RISK: REDUCE CONTACT  WITH DISEASED INDIVIDUALS.; FEWER COMPLAINT. CPSO STATS; ONE SERIOUS COMPLAINT EVERY 20 YEARS OF PRACTICE.

RADIATION  RISK OF RADIOLOGY AND NUCLEAR MEDICINE

NIGHT WORK RISK TO FAMILY AND SOCIAL LIFE

COMMENT; NON-OHIP MEDICINE INCLUDES COSMETIC MEDICINE, PHYSIOTHERAPY,
ALSO ONTARIO GOVERNMENT REGULATED. PARAMEDICAL SERVICES; ACUPUNCTURE & TRAD.CHINESE MED.. CHIROPRAXY, HOMOEOPATHY, NATUROPATHY,

COMMENT THE UK ROYAL FAMILY IS A PATROM OF HOMOEOPATHY. SEE ONLINE LATE ROYAL HOMOEOPATHS DR. SIR JOHN WEIR,  MBCHB(GLASGOW) GCVO AND DR MARGERY BLACKIE MBBS(LOND) .MD(THESIS LOND) CVO (BOTH MEDICAL GRADUATES)  HOMOEOPATHY ORIGINAL SPELLING; HOMEOPATHY IN NA. REASON FOR HOMOEOPATHY POPULAITY WITH UK ARISTOCRACY; LONG VISITS; USEFUL FOR SUPPORTIVE PSYCHOTHERAPY.  CLIENT CAN TRUTHFULLY SAY TO INSURANCE COMPANY THAT HAS NOT SEEN A PSYCHIATRIST.  ALL PILLS SMALL, WHITE AND ROUND.

























































































































1) PART=TIME COMMITTEE WORK FOR OMA, CMA, CMPA,,CPSO
SAL;ARIED JOBS WITH OMA, CMA, CPSO, CMPA.

2) MPP. MP WITH MINIMAL P[RACTICE

3) PUBLIC HEALTH

4) SALARIED  INSURANCE MEDICINE

5)TRAVEL MEDICINE CLINICS

5)IMMIGRATION MEDICAL CLINICS

MEDICO-LEGAL RISK OF ERRORS IN ELECTRONIC COMMUNICATION AND ERRORS BY SECRETARIAL STAFF IN SENDING REFERRALS.

PATIENT WITH ACTIVE PLASMSA CELL CANCER-MULTIPLE MYELOMA- WAS REFERRED TO ONCOLOGIST. IN ERROR NON-URGENT SQUARE WAS TICKED BY RECEPTIONIST. MD HAD FAILED TO TICK CORRECT 'URGENT' BOX. ERROR WAS DISCOVRED AFTER A WEEK WHEN THERE WAS NO APPOINTMENT GIVEN. PATIENT DID NOT COMPLAIN TO CPSO.

CONSULT LETTER FROM UNIVERSITY CLINIC TOOK TWO YEARS TO REACH GP. LASIX HAD BEEN REDUCED FROM DAILY TO 3 X WEEK. APART FROM RAISED URIC ACID THERE WERE NO SERIOUS RESULTS. SECRERTARY JHAD TYPED WRONG ADDRESS OF GP.. LETTER WAS NOT SIGNED; A COMMON DANGEROUS HABIT

PERSIONAL INJURY LAWYERS  ON CONTINGENCY PAYMENT EAGER TO MAKE CLAIMS WHICH ARE DIFFICULT TO DEFEND,

CERTIFIED IN HEALTH LAW TORONTO LAWYER TRACEY TREMAYNE-LLOYD JD (UWO 83) CS HEALTH LAW

ALL CPSO SALARIED LAWYERS ARE FEMALE.

IN DISCIPLINE TRIBUNAL CASES GOOD TO RETAIN A FEMALE LAWYER THROUGH CMPA ISURANCE  ;ESPECIALLY ONE WITH HIGJHER QUALIFICATIONS THAN CPSO LEGAL EMPLOYEES.

COMMENT; DISCIPLINE HEARINGS ARE TRIBUNALS NOT COURTS; IN TRIBUNALS  OATHS NOT NECESSARY.. STANDING WHEN COMMITTEE COMES AND GOES IS NOT REQUIRED. CPSO HAS A SEPERATE "PRISONER'S DOCK" TO INTIMIDATE IN FRONT OF A TV SCREEN CONTINUALLY PHOTOGRAPHING THE ACCUSED.

QS RANKING; 4 CANADIAN MED SCHOOLS IN TOP 50

12 TORONTO

27 MCGILL-MONTREAL

28 BRITISH COLUMBIA - VANCOUVER

33 MCMASTER- HAMILTON

OMA MEMBER SATISFACTION SURVEY BY NATIONAL PUBLIC RELATIONS

5,705 OUT OF 37,661 MEMBERS REPLIED   15.2 PER CENT

EMIGRATION OF ONTARIO DOCTORS TO BRITISH COLUMBIA

REASON FOR EMIGRATION

NO CONTRACT WITH ONTARIO LIBERAL PROVINCIAL GOVERNMENT

REVOLUTION WITHIN ONTARIIO MEDICAL ASSOCIATIION WITH NO CONFIDENCE VOTE PASSED AGAINST BOARD..

LIBERAL PROV GOVT  POLICY  REDUCED PROFESSIONAL
MONOPOLY OF MEDICAL PRACTITIONS IN FAVOUR OF PARAMEDICALS;

EASIER TO PRACTICE IN BC FOR ANGLOPHONE DOCTORS,

WARMER WEATHER IN VANCOUVER COMPARED TO TORONTO

LOWER RENTS IN VANCOUVER

SUPERB RECREATIONAL FACILITIES IN BC.

BCMA NOW NAMED  DOCTORS OF BRITISH COLUMBIA TO EMPHASISE BRAND IMAGE OF MEDICAL PRACTITIONERS.

DOWNSIDE RISK; EARTHQUAKE.

ONTARIO LIBERAL GOVT PLANS TO ALLOW REGISTERED NURSES AND NURSE PRACTITIONERS MORE CLINICAL POWER TO DIAGNOSE AND TREAT,

FEDERAL SMALL BUSINESS FINANCING

$1 MILLION MAX FOR BUSINESS PROPERTY

$350,000 FOR EQUIPMENT

VARIABLE PRIME PLUS 3% OVER 7 TO 10 YEARS

ONE TIME 2%  GOVT ADMIN FEE

BUYER BEWARE; LOBLAW STORES SELLING SMOKED RAINBOW TROUT AS ''SMOKED STEELHEAD SAL,MON''

sTEELHEADS ARE RAINBOW TROUT THAT MIGRATE TO THE SEA.

BUYER BEWARE; LOBLAW FOOD CHAIN SELLING CHEESE WITH 100 % CANADIAN MILK AS SWISS NOT SWISS-STYLE

 "

OMA DISTRICT 11- TORONTO AND SCARBOROUGH - AGM AT TORONTO ISMAILI CENTRE

SPEAKER
LABOUR LAWYER HOWARD GOLDBLATT BA (TOR). MSc (CORNELL) LLB (OSGOOD HALL- YORK UNIVERSITY)
GOLDBLATT PARTNERS LLP
20 DUNDAS ST WEST, TORONTO

EMPHASISED NEED OF UNITY AND WILLINGNESS FOR FOCUSSED JOB ACTION.

FREE BUFFET WITH ORANGE JUICE, COFFEE,TEA.. SALADS; SALMON; STUFFED BREAST OF CHICKEN,, ROAST BEEF.  CHEESE,  FRUIT,  PASTRIES.

DIST 11 CHAIRMAN; TORONTO PUBLIC HEALTH MICHAEL FINKELSTEIN MB ( OTTAWA 1995) FRCPC (COMMUNITY MEDICINE)

FISH PARASITES IN RAW FISH

UNLIKE NETHERLANDS & UK ,ONTARIO DUES NOT REQUIRE FISH TO BE FROZEN BEFORE SERVED RAW.

UK DAILY MAIL ON DANGERS OF EATING RAW FISH/

FREE ONLINE
D B STEWART & L M J BERNIER
COMMON PARASITES, DISEASES AND INJURIES OF FRESHWATER FISH IN NORTHWEST TERRITORIES & NUNAVUT