CPSO COUNCIL MEETING, Pres. Paed Cadio. Joel A KIRSH MD (Tor, 1992) FRCP(Can).@ 80 College st,Toronto.

SECRET Morning session:: only  31 Council members plus the Registrar Dr R. Gerace (appointed 2002) and some Staff. No other CPSO members allowed in the room.(Comment: Why the secrecy? Possuibly to decide what to do if Ont MDs go on strike - as is planned  in UK.

Afternoon session from 1pm to 3pm, Presentation by Cancer Care Ontario on attempt to provide same Cancer diagnosis and treatment in  Community Hosps as in University Cancer centres.

To combat illegal use of DURAGESIC MATRIX (fentanyl patches). Distributed by JANSSEN ,made by ALZA,Ca: both owned by JOHNSON & JOHNSON., CPSO new rules mean that GP must confirm in writing SINGLE pharmacy supplier. Must note number of patches Rx. Pharmacist will issue new patches only when used patches returned to pharmacy. Problem with forged patches.

Council Cocktail party and Dinner starting at 5 pm at Le Select Bistro, 432 Wellington st. West..Toilet in basement, Menu includes Ris de Veau $28 (hard to find sweetbreads in Toronto.).
COMMENT: Why not at Upper-class clubs; eg Albany, National, Rosedale Golf,  Royal Can.Yacht (City club house), University, York? Possible reason is that  these clubs have Dress rules: at least a jacket for men,prefrably with a tie. Shirt alone is allowed at CPSO Council meetings.Also some Council members may be Left-wing socialists and regard these clubs as elitist (which they are).
Except for Cosmetic Medicine/Surgery and Private $3,500éyr GP offices (called Wellness Centres to avoid the Canada Health Act) Toronto medicine has fallen to, at best, middle-middle class. The Toronto Academy of Medicine including the Drake Museum,. library and Osler Hall became bankrupt through lack of support. It is now the Toronto Baha`i Centre..Legal loophole Wellness Centres (usually $3,500/yr with eg dietitian advice)),include Cleveland Clinic Canada (30,000 sq ft)  181 Bay st.- opens at 7;30 am, ;MedCan at 150 York St (opens 9 am) and Canada-wide MediSys.333 Bay St & 3300 Bloor St West.(opens 8 am)

GLOBE & MAIL; 'MORE PEOPLE EMPLOYED IN HEALTH CARE AND SOCIAL ASSISTANCE THAN IN FACTORIES.'

ONTARIO FACTORY CLOSURES & NUMBER OF WORKERS DISMISSED.

CCL INDUSTRIES PENETANGUISHINE  170
FAURECIA SA  BRADFORD  550
H J HEINTZ CO, LEAMINGTON 740
KELLOGG CO. LONDON 550
NOVARTIS, MISSISSAUGA 300

OMA `STRATEGIC WORKING GROUP; ANAESTHETIST, GASTRO-ENTEROLOGIST; OBS & GYNAECOLOGIST

IN SENIORITY

WHITBY    OBS & GYN  GREGORY OWEN ATHAIDE MD (McMaster 2004) FRCSC (2009)
OTTAWA:   ANAESTHETIST PIOTR LUKASZ BARTOSI MD(Toronto 2005) FRCPC (2010)
OTTAWA    INTERNIST-GASTROENTEROLOGIST SILVANA MARGARET BOLANO DEL VECCHIO MD( Ottawa 2006) FRCPC (Int Med. & GIT 2011)

DAILY MAIL: Prof Public Health Monash Univ.Melbourne C. FAIRLEY on use of antiseptic mouthwash to reduce oral load of N. gonorrhoea.

UK stats: Between 2012-2015 N.gonorrhoeal infections up by 53 %: 26,880 to 41,193.

N.Gon bacteria can live in mouth for months without symptoms.

Gargling with antiseptic mouthwash reduces bacterial load.

UK:resistant N.gon. in Leeds (2014); spread to West Midlands & London.

By April 2016,  34 diagnosed with" super-gonorrhoea".

CMAJ Editorial by Journalist R COLLIER "ACCESSIBILITY TO MEDICAL OFFICES A SIGNIFICANT PROBLEM."

Mr Collier suggests that MDs buy special lifts to help morbidly obese & physically disabled pts get on to exam tables. Also wheel-chair weighing machines.

COMMENT: As with many armchair experts Mr Collier gives this Utopian advice when in Ontario the Liberal Govt is cutting MDs' fees.As well there is an absurd 13% TAX on medical equipment. Mr Collier seems to be unaware of the problem of end-of-lease moving or forced  eviction as was the case when the University of Toronto evicted all the Doctors from the the 73y Medical Arts Building on the NWcorner of Bloor West and St. George.  Now named the Jackman Humanities building. Doctors were also evicted from the 99 Avenue road building to make room for a Condominium development. An answer to Mr Collier would be Government owned Medical offices which could be leased to MDs. Similar to REGUS time-shares.

WRIST BLOOD PRESSURE MONITOR AVAILABLE IN CANADA. KYOTO OMRON HEALTHCARE CO.LTD Made in China,

SURGO SURGICAL SUPPLY in  Newmarket stocks the 7 Series. Approx $190. Free delivery.
Detects IRREGULAR HEARTBEAT (more than 2 during measurement of BP)

TORONTO Andro-Endocrinologist Dr, Jerald BAIN B Pharm MD(UWO 1965) FRCPC (Int Med.'70 Endo.85)

Moved office from Mt Sinai Hosp to 960 Lawrence Av West, Ste 404.