London,Ontario: TRUDELL MEDICAL Int. AEROBIKA Oscillating Positive Expiratory Pressure Therapy System: $85

AEROBIKA shown at Ontario Thoracic Soc meeting at Marriott Eaton Hotel. Can be combined with the AEROCLIPSE XL BAN & Ombra compressor as a nebulizer ($100) Director, Can.Sales & Marketing H.G.HARKNESS hharkness@trudellmed.com www.trudellmed.com

DANA-FARBER PRIVATE DISTANCE CONSULTING: $ 575

The Partners Online Specialty Consultations (POSC) service allows physicians all over the world to refer cases to Dana-Farber oncologists for expert second opinions. By combining the personalized care of a local physician with the expertise of a Dana-Farber oncologist, cancer patients can benefit from state-of-the-art care regardless of their location. The service is available to adult patients only. Services Partners Online Specialty Consultations can be initiated by a patient or physician. Patients requesting consultations need to involve their local physician. Once the patient and the patient's physician agree to pursue the consultation, the physician registers with the service and completes a patient history. A Partners HealthCare System specialist will review the case, as described by the referring physician, within three to four business days after the diagnostics have been re-evaluated by a Partners Specialist. A consultation will be sent back to the patient's physician. Treatment team Many members of Dana-Farber Cancer Institute's staff participate in online specialty consultations with Partners HealthCare System. The program will arrange consultations with the participating physician whose expertise is most consistent with the patient's type of cancer. How will I get the results of my consultation? The reviewing Dana-Farber physician will send an opinion to the referring physician. Patients will get an email telling them to contact their referring physician when the specialist's opinion is ready for discussion. All patient information is kept confidential to the patient, the referring physician, and the online specialist. Patient information transmitted over the Web cannot be intercepted or read by anyone other than the referring and consulting physicians. Note: The price for an online consultation starts at $575 and is typically the responsibility of the patient. It must be paid prior to the consultation.

CPSO TRIBUNAL DATES FEB (FREE ENTRY to ANYONE)

February 2014 Effective as of January 23, 2014 Doctor Date Summary of Allegations POWELL, Gerald Wayne Ottawa February 3 Failure to maintain the standard of practice of the profession. Engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. WOOLLAM, Robin Charles Mississauga February 5 Sexual abuse of a patient. Engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. Has been found guilty of an offence that is relevant to his suitability to practice. BHUPAL, Vipul Kumar Toronto February 7 Hearing will be held in the council chambers on the 3rd Floor, start time 9:00 a.m. Failure to maintain the standard of practice of the profession. Engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional.He had a conflict of interest. Incompetence. SOARES, Claudio De Novaes Practice Address not available February 7 Motion Sexual abuse of a patient. Engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. ABAWI, Walid Toronto February 10 Penalty hearing Hearing will be held in the council chambers on the 3rd Floor, start time 9:00 a.m. On September 12, 2013, the Discipline Committee found that Dr. Walid Abawi committed an act of professional misconduct, in that he has engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. EISEN, Hillel David Toronto February 12 Motion Hearing will be held in the council chambers on the 3rd Floor, start time 9:00 a.m. Sexual abuse of a patient. Engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. SIKANETA, Samuel Sibafuzi Practice Address not available February 24-28 Sexual abuse of patients. Failure to maintain the standard of practice of the profession. Engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. Incompetence.

Tor.Western Hosp Paul HELLIWELL LIBRARY

Paul Helliwell (right) was born in China in 1917 to parents who were missionaries, and died in 2001. After serving in the Royal Canadian Air Force during the Second World War, he started a career in the banking industry and went on to own several manufacturing firms with his wife, Neta. They were married for almost 50 years until her death in 1985. Several years later, Helliwell remarried and he and his wife, June, were together for 10 years. Though he was never a father himself, he was a father figure to many and gave generously to various charitable causes. Excellent selection of Medical books available on loan.

DUBAI: Canadian Group to Medical exhibition

Member of Ont.Health Innovation Council, Orthopaedic surgeon,Pres & CEO Univ. Health Network Dr. Robert S.BELL MDCM( 1975) MSc(Tor. 1981) FRCS(C)-Fellow @ Mass.Gen & Harvard now in Dubai with Canadian Trade commission selling Hosp management.

NEW GRAD using XRAY instead of examining abdomen and doing a rectal.

Toronto Western & Toronto General resident JENNY YUJING WANG MD (Tor. 2012) CPSO # 98206 at 2130 hrs 24 Jan. ordered a portable xray for 8th floor medical ward sleeping (female) patient with Marrow failure due to Mult. Myeloma. Patient had distended abdomen. During five days in hospital passed liquid stool and flatus. First year grad. Dr.WANG had not examined the abdomen and had not done a rectal exam. The xray showed faeces. A glycerol suppository was ordered.

TORONTO WESTERN HOSPITAL: MRSA INFECTION on 8th floor MEDICAL WARD.

MRSA at Toronto Western Hospital Room 180. Elderly female with COPD & Splenomegaly. Patients'naries not swabed om admission. Patient in room 180 in hosp for at least 4 days before MRSA diagnosed. "Private" rooms filled with patients with "communicable diseases". Nursing services overwhelmed. Administration has not officially informed patients and relatives about MRSA outbreak.

WARNING: HOSPITALISATION in CENTRAL TORONTO TEACHING HOSPITALS

Difficult to find single rooms , many filled with pts with AIDS & other communicable diseases. When private rooms available,$300/24 hrs with OHIP. Understaffed nursing services. Strongly advised to hire personal experienced Registered nurse from Agencies. As nursing uniforms no longer worn, difficult to tell nurses from cleaners.

WEIGHT-LOSS Dr S.K.BERNSTEIN MD(Tor.1966) invested $100million in property:lawyers Mrs N.J & Mr.R WALTON.accused of theft.

Legal Feeds Canadian Lawyer jobsinlaw.ca Lawyer accused of ‘theft’ against Dr. Bernstein restricted from practising real estate law Featured Monday, 20 January 2014 08:01 | Written By Yamri Taddese | Print | Email Share 0 inShare A Law Society of Upper Canada hearing panel has temporarily restricted a lawyer from practising real estate law after a court-ordered investigation found her to have diverted millions of dollars from a joint investment without the knowledge of her business partner, well-known weight-loss physician Dr. Stanley Bernstein. The law society is seeking an interlocutory suspension of Norma Jean Walton and her husband Ronauld’s licences to practise law following a finding that their company misappropriated funds. On Jan. 13, lawyers for the couple requested an adjournment of the suspension motion due to the need for additional time for preparation. In the meantime, Norma —“the primary actor” in the financial misuse, according to law society counsel Lisa Freeman — can’t practise real estate law. According to court documents in civil proceedings related to the case, mortgages worth $6 million were discharged from joint investment projects the Waltons owned with Bernstein without his approval. A court-ordered investigation also found that $2.1 million in mortgage proceeds was diverted from the joint investments. Of that sum, $400,000 went into Norma’s personal bank account; $353,000 was used to repay a loan owed by the couple’s company, the Rose and Thistle Group Ltd.; and $154,600 was transferred to other companies owned by the Waltons. An additional $268,000 that went into renovating the Waltons’ home at 44 Park Lane Circle also has “all the appearances of another case of theft,” wrote Superior Court Justice Frank Newbould in DBCD Spadina Ltd. v. Norma Walton on Nov. 5, 2013. The Waltons participated in 31 projects with Bernstein in which they had a 50-per-cent share. Bernstein has invested more than $100 million in the joint projects. In a strongly worded November 2013 endorsement, Newbould said Norma’s actions were akin to theft. “Ms. Walton admits that $2.1 million was ‘diverted’ and used outside the 31 projects. She admits it should not have been done without Dr. Bernstein’s consent. She offers excuses that do not justify what she did. What happened here, not to put too fine a point on it, was theft,” wrote Newbould. He added: “Ms. Walton was well aware that this was wrong. She is a lawyer and the agreements were drawn in her office.” While Freeman argued Newbould’s wording in the endorsement included “strong statements” that merit an interlocutory suspension, Norma’s counsel, Howard Cohen, said she’s appealing the statements made by the judge. Since the matter before the judge wasn’t an allegation of theft, Newbould “really went beyond what was before the court,” Cohen told the hearing panel last week. He also argued it would be “manifestly unfair” to suspend Norma’s licence without giving her a chance to explain herself. Freeman contested Cohen’s argument, saying Norma had plenty of opportunity to explain herself as she was able to file three affidavits in the civil proceedings. But Cohen, who noted his client was already “under siege,” said there was no need to suspend her licence as she’s not a danger to the public. “The situation at the present time is that Ms. Walton does not practise law in any way,” he said, adding his client limits her legal work to her own company. As to any work she’s currently doing, Cohen assured the panel that “there are more eyes on her than you can possibly imagine.” He added: “Her hands are tied.” Both Cohen and Brian Greenspan, counsel for Ronauld, said a licence suspension would unnecessarily ruin their clients’ reputations and bias their case in the civil proceedings. But Freeman told the hearing panel chaired by Bencher Barbara Murchie that its prime responsibility is public safety and not the reputation of the lawyers. “It’s unfortunate that reputational damage is a biproduct of these orders, but that’s not really before the panel,” she said. Greenspan said Ronauld “does not practise law at all” and that suspending his licence would be “for no reason at all.” Freeman said while the law society deems Norma to be the main actor in the alleged breach of the agreement with Bernstein, Ronauld is also implicated as a “beneficiary” of the proceeds. Freeman said that since Norma used her Teranet access to discharge mortgages without Bernstein’s approval, the panel should restrict her from making any use of it. “If a licensee is diverting millions of dollars from a business partner, it’s a question of integrity,” she said. In the compromise that followed, the law society agreed not to suspend Norma’s licence in the weeks between Jan. 13 and the motion hearing date as long as Norma doesn’t practise real estate law. The motion is scheduled to proceed on Feb. 5. Norma has a disciplinary record with the law society. In 2007, she received a reprimand following a finding of professional misconduct related to “comingling” of client funds with corporate and financial accounts.

Relative penalties Loss of arm $90,000 vs CPSO $24,000 fine for not writing the postal address on patient charts.

Iron Mountain Canada Operations ULC Fined $90,000 After Worker Loses Arm January 17, 2014 TORONTO, ON - Iron Mountain Canada Operations ULC, a document-shredding company, has been fined $90,000 for a violation of Ontario's Occupational Health and Safety Act after a worker at a Toronto plant lost an arm. On November 7, 2012, repairs were being done on a conveyor that is part of the shredding operation when material became stuck in the return side of the conveyor in a pit. A worker accessed the pit after opening a gate and climbing down a ladder, then used one hand to reach into an opening to remove the material. The worker's arm became caught in the conveyor, resulting in the loss of the arm at the shoulder. The event took place at a plant located at 90 The East Mall in Toronto. A Ministry of Labour investigation followed. A Ministry of Labour investigation found that the worker had to go through a closed gate to access the pit and the gate had a latch to keep the gate closed. However, there was no mechanism such as a lock or other tool that would prevent a worker from opening the gate to access the area while the conveyor was in operation, and there was no other device in place to prevent access to the pinch point created by the moving underside of the conveyor. Iron Mountain Canada pleaded guilty to failing, as an employer, to ensure that an in-running nip hazard on the conveyor that endangered the safety of a worker was equipped with and guarded with a device that prevented access to the pinch point, and was fined $90,000. The fine was imposed by Justice of the Peace Mary Anne Ross-Hendricks. In addition to the fine, the court imposed a 25-per-cent victim fine surcharge as required by the Provincial Offences Act. The surcharge is credited to a special provincial government fund to assist victims of crime Location: Ontario Court of Justice 70 Centre Avenue Toronto, ON Judge: Justice of the Peace Mary Anne Ross-Hendricks Date of Sentencing: January 16, 2014 Defendant: Iron Mountain Canada Operations ULC 195 Summerlea Road Brampton, ON Matter: Occupational Health and Safety Conviction: Ontario Regulation 851/90 (Industrial Establishments) Occupational Health and Safety Act Section 25(1)(c) Crown Counsel: Alicia Gordon-Fagan

Can Nutrition Soc.meeting 11 Jan. 2014 Tor. Hyatt Regency Keynote Speaker Harvard Prof Paed. & Nutrition D.LUDWIG MD PhD (Stanford)

The John Fielding Crigler, Jr. & Mary Adele Sippel Crigler Chair in Pediatric Endocrinology; Director, Optimal Weight for Life (OWL) Clinic; Director, New Balance Foundation Obesity Prevention Center Boston Children's Hospital Academic Title: Professor of Pediatrics (Harvard Medical School); Professor of Nutrition (Harvard School of Public Health) Research Area: obesity David Ludwig developed the Children's Optimal Weight for Life (OWL) Program --a multi-disciplinary care clinic dedicated to the evaluation and treatment of children who are overweight/obese. Not only does the program provide state-of-the-art care for overweight children, it also serves as a setting for clinical research to develop innovative treatments for pediatric obesity. He has also been the a principal or co-investigator of several epidemiological and clinical studies to identify dietary factors that contribute to obesity. His research has determined that: A low-glycemic index diet may be as or more effective than the standard reduced-fat diet for weight loss in children and adolescents. Consumption of soft drinks is directly related to obesity in children. Fast food consumption is associated with factors that increase risk of childhood obesity. Consumption of dairy products may offer protection against insulin resistance in overweight adults. About David Ludwig David Ludwig received a PhD and an MD from Stanford University School of Medicine. He completed an internship and residency in pediatrics and a fellowship in pediatric endocrinology at Boston Children's Hospital. Key Publications Weight-loss maintenance: mind over matter? NEJM 2010, 363:2159-2161 Technology, diet, and the burden of chronic disease. JAMA 2011, 305:1352-1353 The supplemental nutrition assistance program, soda, and USDA policy: who benefits? JAMA 2011, 306:1370-1 Effects of dietary composition on energy expenditure during weight-loss maintenance. JAMA 2012, 207:2627-2634 Surgical versus lifestyle treatment for type 2 diabetes. JAMA Effects of a low-glycemic load diet in overweight and obese pregnant women: a pilot randomized controlled trial (American Journal of Clinical Nutrition; 2010 Dec) The Association Between Pregnancy Weight Gain and Birthweight: a Within-family Comparison (Lancet; 2010 Sept 18) Effects of Glycemic Index on Oxidative Stress (Obesity; 2009 Sept) Effects of Insulin Secretion on Response to Glycemic Load (American Journal of Clinical Nutrition; 2008 Feb) Effects of Glycemic Index on Fatty Liver in Rodents (Obesity; 2007 Sept) An 18-month Study of a Low Glycemic Load Diet in Young Adults (JAMA; 2007 May 16) Funding Source Influences the Outcomes of Nutrition-Related Scientific Articles(PLoS Medicine; 2007 Jan) How TV Viewing Affects Children’s Diets (Archives of Pediatric Adolescent Medicine; 2006 Apr) Reducing Sugar-Sweetened Beverage Consumption Causes Weight Loss in Adolescents (Pediatrics; 2006 Mar) Beneficial Effects of Low Glycemic Load Diet on Heart Disease Risk Factors(American Journal of Clinical Nutrition; 2005 May) Effects of Fast Food on Weight Gain and Insulin Resistance in Young Adults(Lancet; 2005 Jan 1) Beneficial Effects of a Low Glycemic Load Diet on “Body Weight Set Point”(JAMA; 2004 Nov 24) A High Glycemic Index Diet Causes Obesity in Rodents (Lancet; 2004 Aug 28) Why Fast Food Causes Weight Gain in Adolescents (JAMA; 2004 June 16) Effects of Fast Food on Calorie Consumption and Diet Quality in Children(Pediatrics; 2004 Jan) Weight Loss in Obese Adolescents on a Low Glycemic Load Diet (Archives of Pediatric Adolescent Medicine; 2003 Aug) Effects of Dairy Consumption on the Metabolic Syndrome (JAMA; 2002 Apr 24) Effects of Sugar-Sweetened Beverage on Body Weight in Children (Lancet; 2001 Feb 17) A Low Glycemic Load Diet Promotes Weight Loss in the OWL Clinic (Archives of Pediatric Adolescent Medicine; 2000 Sept) Fiber But Not Fat Consumption Affects Body Weight (JAMA; 1999 Oct 27) How Glycemic Index Affects Hunger and Food Consumption (Pediatrics; 1999 Mar) - See more at: http://www.childrenshospital.org/directory/researchers/l/david-ludwig#sthash.tTsl7vrn.dpuf

U.Tor.Prof.D J A JENKINS: "GLYCAEMIC INDEX"Can Nutrition Soc.meeting 11 Jan,2014 HYATT REGENCY

David J.A. Jenkins, BM,BCh (Oxon.1971),M.D., Ph.D., D.Sc. Professor Canada Research Chair in Nutrition and Metabolism Department of Nutritional Sciences Director, Risk Factor Modification Centre, St. Michael's Hospital Ph: 416.978.4752 Fax: 416.978.5310 cyril.kendall@utoronto.ca Research: The ultimate goal of our research team is to elucidate the potential of diet to prevent and treat chronic diseases; primarily heart disease, cancer and diabetes. Our research is clinically based. Dietary trials allow us to also assess mechanisms in vivo by which diet and/or its components alter risk for disease. We have spent considerable time assessing the glycemic index of foods, and have identified legumes and traditional methods of processing as producing a low glycemic index (eg. white pasta - low vs. white bread - high) We have and continue to carry out research on vegetable proteins and their potential health benefits eg. soy, gluten, and other cereal and vegan proteins. Most recently we have started to combine foods with cholesterol lowering actions (soy, viscous fibers, oats, barley, plant sterols and nuts - almonds) in a single diet to lower serum cholesterol. We have demonstrated that early statin-like effects can be achieved under highly controlled conditions. In the real world this dietary approach has a somewhat dampened level of efficacy, but remains a highly effective dietary approach to cholesterol reduction. We continue to carry out studies on low glycemic index diets, and the quest to find new low glycemic index foods continues. We also work in collaboration with the food industry on a diverse spectrum of food products and food components ranging from macronutrients to phytochemicals. Selected publications: Jenkins, DJA. Kendall CWC. Faulkner DA. Nguyen T. Kemp T. Marchie A. Wong JM. de Souza R. Emam A. Vidgen E. Trautwein EA. Lapsley KG. Holmes C. Josse RG. Leiter LA. Connelly PW. Singer W. Assessment of the longer-term effects of a dietary portfolio of cholesterol-lowering foods in hypercholesterolemia.American Journal of Clinical Nutrition. 83(3):582-91, 2006 Mar. Jenkins, DJA. Kendall CWC. Marchie A. Faulkner DA. Wong JMW. De Souza R. Emam A. Parker TL. Vidgen E. Trautwein EA. Lapsley KG. Josse RG. Leiter LA. Singer W. Connelly PW.Direct comparison of a dietary portfolio of cholesterol-lowering foods with a statin in hypercholesterolemic participants.American Journal of Clinical Nutrition. Vol. 81(2)(pp 380-387), 2005. Jenkins, DJA. Kendall CWC. Marchie A. Faulkner DA. Josse AR. Wong JMW. de Souza R. Emam A. Parker TL. Li TJ. Josse RG. Leiter LA. Singer W. Connelly PW. Direct comparison of dietary portfolio vs statin on C-reactive protein.European Journal of Clinical Nutrition. Vol. 59(7)(pp 851-860), 2005. Jenkins, DJA. Kendall CW. Marchie A. Faulkner DA. Wong JM. de Souza R. Emam A. Parker TL. Vidgen E. Lapsley KG. Trautwein EA. Josse RG. Leiter LA. Connelly PW. Effects of a dietary portfolio of cholesterol-lowering foods vs lovastatin on serum lipids and C-reactive protein.JAMA. 290(4):502-10, 2003 Jul 23. Jenkins, DJA. Kendall CW. D'Costa MA. Jackson CJ. Vidgen E. Singer W. Silverman JA. Koumbridis G. Honey J. Rao AV. Fleshner N. Klotz L. Soy consumption and phytoestrogens: effect on serum prostate specific antigen when blood lipids and oxidized low-density lipoprotein are reduced in hyperlipidemic men.Journal of Urology. 169(2):507-11, 2003 Feb. Jenkins, DJA. Kendall CW. Marchie A. Parker TL. Connelly PW. Qian W. Haight JS. Faulkner D. Vidgen E. Lapsley KG. Spiller GA. Dose response of almonds on coronary heart disease risk factors: blood lipids, oxidized low-density lipoproteins, lipoprotein(a), homocysteine, and pulmonary nitric oxide: a randomized, controlled, crossover trial. Circulation. 106(11):1327-32, 2002 Sep 10. Jenkins, DJA. Kendall CWC. Augustin LSA. Martini MC. Axelsen M. Faulkner D. Vidgen E. Parker T. Lau H. Connelly PW. Teitel J. Singer W. Vandenbroucke AC. Leiter LA. Josse RG. Effect of wheat bran on glycemic control and risk factors for cardiovascular disease in type 2 diabetes.Diabetes Care. Vol. 25(9)(pp 1522-1528), 2002. Jenkins, DJA. Kendall CW. Jackson CJ. Connelly PW. Parker T. Faulkner D. Vidgen E. Cunnane SC. Leiter LA. Josse RG. Effects of high- and low-isoflavone soyfoods on blood lipids, oxidized LDL, homocysteine, and blood pressure in hyperlipidemic men and women.American Journal of Clinical Nutrition. 76(2):365-72, 2002 Aug. Jenkins, DJA. Kendall CW. Connelly PW. Jackson CJ. Parker T. Faulkner D. Vidgen E. Effects of high- and low-isoflavone (phytoestrogen) soy foods on inflammatory biomarkers and proinflammatory cytokines in middle-aged men and women. Metabolism: Clinical & Experimental. 51(7):919-24, 2002 Jul. Jenkins, DJA. Kendall CW. Vuksan V. Vidgen E. Parker T. Faulkner D. Mehling CC. Garsetti M. Testolin G. Cunnane SC. Ryan MA. Corey PN. Soluble fiber intake at a dose approved by the US Food and Drug Administration for a claim of health benefits: serum lipid risk factors for cardiovascular disease assessed in a randomized controlled crossover trial. American Journal of Clinical Nutrition. 75(5):834-9, 2002 May.

Editorial BMJ: American Med. Assn lobbying costs $16.5m

But in the ensuing days the BMJ published this data briefing looking at federal lobbying costs (doi:10.1136/bmj.f7366), and it portrays a scene in which doctors are far from absent. The single biggest spend on lobbying by a drug company in 2012 was Eli Lilly and Co’s $11.1m ({euro}8.1m, £6.8m). This was closely followed by Pfizer Inc at $10.2m and Merck and Co at $9.5m. But none even comes close to the $16.5m spent by the American Medical Association on influencing government to the benefit, often financial, of its members. And although it is by far the biggest spender of the professional representative organizations, the American Colleges of Radiology, Emergency Physicians, and Cardiology all counted their lobbying spends in millions of dollars in 2012, and are far from alone in doing so. There’s no doubt that self-interested lobbying represents a challenge in the battle against rising costs in US healthcare. What is less clear is whether doctors are part of the problem or the solution, and what they are willing to do to change the status quo. Cite this as: BMJ 2014;348:g135 Follow BMJ Editor Fiona Godlee on Twitter @fgodlee and the BMJ @bmj_latest

U.Toronto FACULTY MEDICINE Graduating Class 2013 Demographics

From U.Tor Magazine MMAMATTERS Winter 2013 pp 10-11 Illustrated with 225 pics. MALE:102 FEMALE:113 Ethnic Asian names: 50 Ethnic Ashkenazi names:16 Ethnic African names: 2

Lawyers Weekly: New Queen's Counsels

Donning the silks Posted: 03 Jan 2014 08:39 AM PST More than 180 lawyers across the country welcomed 2014 with a Queen’s Counsel designation to add to their title. Although Ontario and Manitoba no longer bestow the centuries-old honour upon lawyers, most other provinces still do. (COMMENT) OMA members selecting Lawyers have difficulty knowing which lawyers are best. A "QC" used to help. Left-wing Socialist Ontario dislikes UK-based honours. Many of the major law firms have branches across Canada. Unlike MDs, a lawyer can practice 90 days in any Province. A Doctor is reported to have retained a lawyer from the firm of LENCZNER,SLAGHT,ROYCE,SMITH,GRIFFIN LLP who attended a pre-CPSO tribunal conference in his office with a bare foot and ice-bag -after running. He also failed to attend the Tribunal when the MD was being Cross-examined. A timid Junior took his place, never once objecting to the "legal tricks" of the CPSO female "Prosecutor" (now working for TD bank)who asked multiple clause questions to which it was impossible to give "yes/no" answers.)

BLOOMBERG BUSINESSWEEK:: DOCTORS ON DEMAND.

In his various professional incarnations, Phillip “Dr. Phil” McGraw has been a practicing psychologist, bestselling author, television personality, and spokesman for weight-loss products of dubious efficacy. Now he’s got a part-time gig as an adviser to a startup called Doctor On Demand, which is announcing itself to the public today. The service will try to increase online access to doctors, which could have far-reaching effects on health care. McGraw helped conceive the San Francisco-based startup with his son Jay McGraw, a reality TV producer. The company has raised $3 million from investors including Google Ventures (GOOG), Andreessen Horowitz, Venrock, and Shasta Ventures. (Bloomberg LP, the parent of Bloomberg Businessweek, is an investor in Andreessen.) The startup seeks to help people bypass costly in-person visits to crowded medical offices and emergency rooms by letting them use mobile devices to set up video chats with doctors. “There are 1.2 billion ambulatory care visits every year, and the vast majority of people are walking in for something like colds or urinary tract infections that are very amenable to an initial consult over video,” says Adam Jackson, the company’s co-founder and chief executive officer. Each online consultation costs $40. Doctors who enlist in the company’s network will collect $30 per session. They can diagnose illnesses, prescribe medicine, or refer a case to a caregiver if it seems like an emergency or requires lab work or an in-person examination. “It’s the bane of my existence, but everyone has a smartphone, which means everyone has a video camera. Everyone is paparazzi,” says McGraw, a shareholder and adviser to Doctor on Demand. “There are also many good things to come from this change in technology and telemedicine is one of them. It’s a giant step forward and a great opportunity to help people live healthier lives.” The service goes live today in 15 states, including California, Florida, New Jersey, New York, Ohio, and Texas. (Many states have laws preventing Doctor on Demand from setting up shop.) The company says it has enlisted more than 1,000 doctors to offer video consults a day or two per week. The company trains physicians to use its service, and it handles all the extras, including patient questionnaires, pharmacy networks, and malpractice insurance.

USA CDC: HISTOPLASMOSIS-infected house in St.-Eustache, PQ.

Morbidity and Mortality Weekly Report (MMWR) Histoplasmosis Outbreak Associated with the Renovation of an Old House — Quebec, Canada, 2013 Weekly January 3, 2014 / 62(51);1041-1044 On May 19, 2013, a consulting physician contacted the Laurentian Regional Department of Public Health (Direction de santé publique des Laurentides [DSP]) in Quebec, Canada, to report that two masons employed by the same company to do demolition work were experiencing cough and dyspnea accompanied by fever. Other workers also were said to be ill. DSP initiated a joint infectious disease, environmental health, and occupational health investigation to determine the extent and cause of the outbreak. The investigation identified 14 persons with respiratory symptoms among 30 potentially exposed persons. A strong correlation was found between exposure to demolition dust containing bat or bird droppings and a diagnosis of histoplasmosis. Temporary suspension of construction work at the demolition site in Saint-Eustache, Quebec, northwest from Montreal, and transport of the old masonry elements to a secure site for burial were ordered, and information about the disease was provided to workers and residents. To prevent future outbreaks, recommendations included disinfection of any contaminated material, disposal of waste material with proper control of aerosolized dust, and mandatory use of personal protective equipment such as gloves, protective clothing, and adequate respirators.

USA NIH: KLINEFELTER SYNDROME 1:500 males.

Because XXY males do not really appear different from other males and because they may not have any or have mild symptoms, XXY males often don't know they have KS.1,2 In other cases, males with KS may have mild or severe symptoms. Whether or not a male with KS has visible symptoms depends on many factors, including how much testosterone his body makes, if he is mosaic (with both XY and XXY cells), and his age when the condition is diagnosed and treated. KS symptoms fall into these main categories: Physical Symptoms Language and Learning Symptoms Social and Behavioral Symptoms Symptoms of Poly-X KS Physical Symptoms Many physical symptoms of KS result from low testosterone levels in the body. The degree of symptoms differs based on the amount of testosterone needed for a specific age or developmental stage and the amount of testosterone the body makes or has available. During the first few years of life, when the need for testosterone is low, most XXY males do not show any obvious differences from typical male infants and young boys. Some may have slightly weaker muscles, meaning they might sit up, crawl, and walk slightly later than average. For example, on average, baby boys with KS do not start walking until age 18 months.3 After age 5 years, when compared to typically developing boys, boys with KS may be slightly: Taller Fatter around the belly Clumsier Slower in developing motor skills, coordination, speed, and muscle strength Puberty for boys with KS usually starts normally. But because their bodies make less testosterone than non-KS boys, their pubertal development may be disrupted or slow. In addition to being tall, KS boys may have: Smaller testes and penis Breast growth (about one-third of teens with KS have breast growth) Less facial and body hair Reduced muscle tone Narrower shoulders and wider hips Weaker bones, greater risk for bone fractures Decreased sexual interest Lower energy Reduced sperm production An adult male with KS may have these features: Infertility: Nearly all men with KS are unable to father a biologically-related child without help from a fertility specialist.4 Small testes, with the possibility of testes shrinking slightly after the teen years5 Lower testosterone levels, which lead to less muscle, hair, and sexual interest and function Breasts or breast growth (called gynecomastia, pronounced GUY-nuh-kow-mast-ee-uh). In some cases, breast growth can be permanent, and about 10% of XXY males need breast-reduction surgery.6 [top] Language and Learning Symptoms Most males with KS have normal intelligence quotients (IQs)7,8 and successfully complete education at all levels. (IQ is a frequently used intelligence measure, but does not include emotional, creative, or other types of intelligence.) Between 25% and 85% of all males with KS have some kind of learning or language-related problem, which makes it more likely that they will need some extra help in school. Without this help or intervention, KS males might fall behind their classmates as schoolwork becomes harder. KS males may experience some of the following learning and language-related challenges:9 A delay in learning to talk. Infants with KS tend to make only a few different vocal sounds. As they grow older, they may have difficulty saying words clearly. It might be hard for them to distinguish differences between similar sounds. Trouble using language to express their thoughts and needs. Boys with KS might have problems putting their thoughts, ideas, and emotions into words. Some may find it hard to learn and remember some words, such as the names of common objects. Trouble processing what they hear. Although most boys with KS can understand what is being said to them, they might take longer to process multiple or complex sentences. In some cases, they might fidget or "tune out" because they take longer to process the information. It might also be difficult for KS males to concentrate in noisy settings. They might also be less able to understand a speaker's feelings from just speech alone. Reading difficulties. Many boys with KS have difficulty understanding what they read (called poor reading comprehension). They might also read more slowly than other boys. By adulthood, most males with KS learn to speak and converse normally, although they may have a harder time doing work that involves extensive reading and writing. [top] Social and Behavioral Symptoms Many of the social and behavioral symptoms in KS may result from the language and learning difficulties. For instance, boys with KS who have language difficulties might hold back socially and could use help building social relationships. Boys with KS, compared to typically developing boys, tend to be: Quieter Less assertive or self-confident More anxious or restless Less physically active More helpful and eager to please More obedient or more ready to follow directions In the teenage years, boys with KS may feel their differences more strongly. As a result, these teen boys are at higher risk of depression, substance abuse, and behavioral disorders. Some teens might withdraw, feel sad, or act out their frustration and anger. As adults, most men with KS have lives similar to those of men without KS. They successfully complete high school, college, and other levels of education. They have successful and meaningful careers and professions. They have friends and families. Contrary to research findings published several decades ago, males with KS are no more likely to have serious psychiatric disorders or to get into trouble with the law.10 (Comment: Easy to diagnose: no male-type baldness; infertile (may be married).

Brand: DOCTOR of MEDICINE

Brand "DOCTOR of MEDICINE" Image important. Court Lawyers and Judges look the part and are paid accordingly . Trend of (male) Physicians to look "working class" by avoiding ties and white coats. Fashion of draping "shorty" stethoscope around the neck looks absurd. Better to wear Doppler and Pulse-Oximeter. Or ELECTRONIC STETHOSCOPE to visually separate MDs from Nursing assistants.(e.g. LITTMANN # 3200) A profitable 2014 to the Blog's World Readers. Comments welcome. NB: NO ADs. Canada 4188 United States 3926 Russia 1910 Germany 1383 France 1342 Ukraine 1196 Poland 331 United Kingdom 276 China 237 Latvia 210