Pan Canada Oncology Drug Review Committee (EXCLUDES QUEBEC) does not recommend payment for Plasma cell cancer drug DARZALEX (Daratumumab) JANSSON an IgG1k human monoclonal antibody

Cost
$28,000 for a month course of IV injections. Patients can pay privately

Toronto Princess Margaret Cancer Hosp Prof DONNA REECE was not on the committee.

CPSO WILL ACCEPT A COMPLAINT AGAINST AN ONTARIO REGISTERED DOC FROM ANYONE ANYWHERE IN THE WORLD,

DOCS RISK THEIR CAREER DAILY THROUGH NOT HAVING A CHAPERONE IN THE EXAMINING ROOM. AS THERE IS ZERO TOLERANCE BY CPSO FOR ANY SEXUAL PECCADILLO  PLUS THE CMPA DOES NOT PAY FOR APPEALS TO CPSO TRIBUNAL VERDICTS, IT IS LOGICAL TO EMPLOY A CHAPERONE/  FEW ONTARIO GPS CAN AFFORD BOTH A RECEPTIONIST AND SOMEONE TO ACT AS A CHAPERONE  SUCH AS A PHYSICIAN ASSISTANT OR NURSE. THE OMA AND CMPA HAVE YET TO DEAL WITH THIS IMPORTANT RISK TO MEMBERS' CAREERS.

ONT DOCS LEAVING OHIP FOR NON-OHIP ":FOCUSSED PRACTICE"CHARGING MARKET PRICES.

COPIED UK GPwSI ( GP WITH SPECIAL INTEREST) A RECOGNISED STATUS IN NHS OFTEN EMPLOYED AS ASSISTANTS TO CONSULTANTS IN HOSPITAL CLINICS..

IN ONTARIO

GP COSMETIC DERMATOLOGY INC HAIR TRANSPLANTS.(CARDIFF U, OFFERS ON-LINE CERTIFICATION IN CLINICAL DERM,)

GP REFACTION 20-64y NOT PAID BY OHIP.

GP ORTHOTICS

GP PHYSIOTHERAPY INC SPORT MEDICINE

GP TRAVEL MEDICINE ( NOW COMPETITION FROM PHARMACISTS WHO CAN GIVE VACCINE INJECTIONS).

WELLNESS CLINICS OFFERING EXTRA SERVICES (DIET,. PHYSIO)
SEVERAL IN TORONTO CHARGING $3,500 A YEAR) INC 5HR YEARLY GENERAL EXAMINATION.
UNLIMITED GP VISITS (30 MIN). OHIP NOT BILLED FOR GP VISIT.
CONNECTIONS WITH USA CLEVELAND CLINIC & JOHNS HOPKINS.FOR QUICK ADMISSION AND TELEPHONE CONSULTATIONS.

TORONTO WESTERN HOSPITAL NEUROSURGEON FARID MOHAMMED SHAMJI MSc (YALE) PhD (DUKE) MD (QUEEN'S ,KINGSTON 2003) ACCUSED OF STRANGLING HIS WIFE CROATIAN--CANADIAN GP ELANA CHRISTINE FRIC-SHAMJI MD( OTTAWA 2003)

MARRIED 12y ; 3 CHILDREN.

DEFENDED BY DOWNTOWN TORONTO LAWYER
LIAM O'CONNOR LLB (WINDSOR) OF 25 LAWYER FIRM ; RUSONIK O;CONNOR,.ROBBINS/ ROSS. GORHAM. ANGELINI LLP

PHARMACISTS CAN INJECT ALL VACCINES FROM DECEMBER 15 2016

OMA COUNCIL MEETING AT TORONTO HILTON

NEW POLICY; OBSERVER MEMBERS ARE NOW ALLOWED TO SPEAK. ONLY ELECTED DELEGATES CAN VOTE. PREVIOUSLY OBSERVER MEMBERS COULD ONLY SPEAK WITH PERMISSION OF COUNCIL.

SATURDAY BREAKFAST INCLUDES SMOKED SALMON.

SATURDAY LUNCH AT RUTH'S CHRIS STEAK HOUSE IN TORONTO HILTON

PRESS NOT OFFICIALLY PERMITTED TO ATTEND/ YET SEVERAL COUNCIL MEMBERS WRITE SIGNED ARTICLES FOR MEDICAL NEWSPAPERS.

ELECTIONS ARE HELD LATE SUNDAY MORNING. ABOUT 20 % OF DELEGATES HAVE LEFT TO RETURN TO THEIR PRACTICES IN VARIOUS PARTS OF THE PROVINCE. NO PROXIES ARE PROVIDED.

TORONTO; iCARE TONOMETER

iCARE FINNISH NO-ANAESTHETIC DISPOSABLE CORNEAL TOUCH TONOMETER.

AVAILABLE AT NORTH TORONTO EYE CARE OFFICES; MAIN OFFICE AT

2065 FINCH  AV WEST., SUITE 400. 416-748-2020

NETHERLANDS; FLU VACCINE FREE FOR AGED, REST PAY EURO 25

DAILY MAIL & GIDEON (infectious disease service)

ENTEROVIRUS D 68 CAUSES ACUTE FLACCID PARALYSIS
NO VACCINE
NO TREATMENT

ONT DOCS STILL HAVE NO CONTRACT WITH ONT LIB GOVT.

UK IN 1950S HAD SHORTAGE OF GPS. PAY WAS POOR. WORK HARD. HOUSE CALLS COMPULSORY ON DEMAND, MANY CLEVER DOCS EMIGRATED TO AUSTRALIA, CANADA.NEW ZEALAND AND SOUTH AFRICA/. INSTEAD OF RAISING WAGES GOVT ALLOWED ANY COMMONWEALTH DOC TO PRACTICE IN UK THUS FLOODING THE MARKET.

IN ONTARIO NURSE PRACTITIONERS HAVE SAME RIGHTS AS A DOC. PHARMACISTS NOW ALSO HAVE DIAGNOSTIC AND PRESCRIBING RIGHTS. SAME POLICY TO FLOOD THE MARKET AND KEEP WAGES DOWN FOR GPS.

IN 1970S UNIV TORONTO SCHOOL OF PUBLIC JHEALTH SOCIALIST MOTTO WAS ' BREAK THE MEDICAL MODEL"

VALUABLE MEDICAL BOOKS

WHEN DOCS DIE RELATIVES THROW OUT BOOKS WORTH THOUSANDS WITHOUT KNOWING THEIR VALUE. GET FREE VALUATIONS IN TORONTO AND SCARBOROUGH AT NO CHARGE TO SELLER.. A BOOK BROKER WILL CONTACT WORLDWIDE MEDICAL BOOKSELLERS AND RECEIVE 2 % COMMISSION FROM SALE. FOR APPOINTMENT CONTACT SCANDIAMED@AOL,COM. FIRST EDITIONS HAVE HIGHEST VALUE, A TINY BOOK ON ANATOMY MNEMONICS SELLS FOR $100. A RARE BOOK CAN BE WORTH $20,000..

CPSO DISCIPLINE TRIBUNAL COSTS

$4,460 A DAY. MANY MDS AGREE TO A GUILTY PLEA TO SAVE MONEY/ A CONTESTED COMPLAINT CAN EASILY LAST 5 DAYS. THE CMPA DOES NOT PAY FOR APPEALS AGAINST TRIBUNAL VERDICTS. APPEALS CAN COST $100,000 PLUS.

THE MEDICAL REVIEW COMMITTEE , CLOSED DOWN BY HON JUSTICE DE CARTERET CORY.,/WAS A BIG SOURCE OF CPSO INCOME PAID BY THE MINISTRY OF HEALTH.
THE CPSO then STARTED CHARGING MDS FOR DISCIPLINE TRIBUNALS.

TRIVIA A PAST MRC CHAIRMAN TORONTO GP STANLEY THEODORE  BAIN MD(U TOR 53) DID NOT TELL A PATIENT THAT A BLOOD TRANSFUSION HAD INFECTED HIM WITH AIDS. BAIN PRESUMED THAT THE PATIENT HAD NO PHYSICAL ACTIVITY WITH HIS WIFE.. SHE DEVELOPED AIDS AND SUED DR BAIN  FOR NEGLIGENCE BEFORE SHE DIED FROM HIV/. THE CPSO REPRIMANDED HIM AND HE LEFT ONTARIO.AROUND 1994. SAID TO BE IN BC.FAMILY AWARDED $1,7MILL.(70% fault of MRC CHAIRMAN GP S.BAIN)
PITTMAN ESTATE v BAIN & TorGenHosp 1994 7489 (ON SC) LANG J. DETAILED DISCUSSION.

CPSO 'DIALOGUE'; EXAMPLES OF DISRUPTIVE BEHAVIOUR

"RUDE, PROFANE, DISRESPECTFUL. INSULTING, DEMEANING, THREATENING, BULLYING,OR ABUSIVE LANGUAGE, TONE, INNUENDOS, AND BEHAVIOUR (SIC)"

LEGISLATIVE REFERENCE :PROFESSIONAL MISCONDUCT ,REG 856/93,ENACTED UNDER MEDICINE ACT,1991.

COMMENT; note TONE & INNUENDO.,
SAFEST TO PRACTICE NON-PATIENT MEDICINE./ IN MEDICAL ADMINISTRATION, GOVERNMENT MPP, MP, , LAW , LIFE ASSURANCE. OR IN PRIVATE $3,500  WELLNESS CLINICS  WHERE PATIENTS DO NOT WASTE TIME COMPLAINING; THEY JUST LEAVE.

CPSO: UNSIGNED ARTICLE IN DIALOGUE WANTS TO SET RULES ABOUT GPS BEING RESPONSIBLE FOR PATIENTS 24/7/365, COPYING UK.

COMMENT: Difference between UK & Ont. In UK patient has to register with one GP at a time. When patient changes GP the medium-sized envelope is sent to the next GP. (Notes are short.) In Ont. people are allowed to visit as many GPs as they want. All MDs have to keep records for 10y

In UK GPs are paid a capitation fee for which they are responsible 24/7/365. Time off is arranged with Locum agency which is paid by the GP.. Reason why many GPs left UK.  Liberal Ont Govt wants to reduce ER visits by introducing UK-style system with house-calls on demand. CHANGE FOUNDATION which advises Ont Govt visita UK yearly.

CPSO DISTRICT 10 (Toronto & Scarborough) ELECTED COUNCIL MEMBERS

GP Marc Curtis GABEL Toronto
GP Richard Bruce MacKENZIE Toronto
Ob & Gyn Haidar Abbas MAHMOUD (Scarborough) Listed as speaking Arabic
Haematologist Pedro (aka Peeter) Antonio POLDRE Toronto  Listed as speaking Estonian

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.

GLOBE & MAIL; FRAUD & FAMILY CONNECTIONS FOUND BY DELOITTE IN CONTRACTS FOR TORONTO UNIVERSITY HOSPITALS: ST.MICHAEL & ST.JOSEPH .Settled out of Court. No Prosecutions.

DELOITTE LLP is Canadian member of worldwide DELOITTE TOUCHE TOHMATSU Ltd. Founded 1845 in London by William Welch Deloitte. Headquarters in NY. Revenue 2015 $35.2 billion.

OMA MEMBERSHIP REJECTS PHYSICIAN SERVICES AGREEMENT. 55% VOTED IN PERSON & BY PROXY. 63.1 % VOTING MEMBERS REJECTED THE AGREEMENT

OMA GENERAL MEETING on PHYSICIAN SERVICES AGREEMENT Aug. 15 @ ALLSTREAM BUILDING in CANADIAN NATIONAL EXHIBITION GROUNDS.

Admin.problem: Grounds were closed to cars as preparation for Exhibition in progress. Approx 800 attended. 2000 expected. MEDIA INVITED.  At Council meetings MEDIA EXCLUDED. Globe & Mail,  National Post,, Tor Star reports good but missed the important point that OHIP pay GROSS not NET for fee-for-service. $600,000 needed to open an Ophthalmic office, Millions for Imaging.clinic. Usual 40% overhead for Toronto GP office (including rent). No difference of fee for Totonto or Northern Timmins office, Strong group from COALITION of ONTARIO DOCTORS for NO vote. Ciculated  ECONOMIC ANALYSIS by Emeritus U. Toronto Prof ECONOMICS J. L. CARR Summary: 1)VAGUENESS of the Phys. Service agreement. 2) IGNORING EFFECT of INFLATION. 2.5% increase yearly for 4y in `NOMINAL`DOLLARS.`does not in any way consider the effects of inflation`,3) DOCTORS ASSUME FINANCIAL RESPONSIBILITY FOR INCREASED USAGE IN THE SYSTEM. 4) DOES NOT PROVIDE FOR SYSTEM STABILITY Ìf utilization rates increases above 3.1 % there will be substantial and significant  payment reductions.`5) NEGATIVELY AFFECTS PATIENT ACCESSIBILITY if payments to doctors decrease.,

COMMENT: In 1974 motto of U,Tor School of Public Health was BREAK THE MEDICAL MODEL. Now Nurse Practiotioners, Pharmacists, Physician Assistants, taking over most of the work of GPs. New PharmD degree at Leslie Dan School of Pharmacy will allow Pharsms to  diagnose, investigate & treat,

OMA suggested GP salary rates and benefits. $351 NET hourly rate for part-time work.

Level 1 $171,904
Level 2  (2-5 years experience) $277,625
Level 3  (5-10 y.) $285,061
Level 4  (extra admin) $297,827
Level 5  ( top admin) $337,850

Extra if SPECIALIST
Extra for areas with high residential costs
Vacation: 1 month
CME 1 week
Statutory Holidays (11)
Extra if no pension plan.
Employer pays fees for CMPA,CPSO & OMA.

OHIP pays GPs approx $130 / hr.GROSS (overhead approx 40%) for fee-for-service, NO BENEFITS. NO PENSION. NO WORKERS' INSURANCE for communicable disease, accidental injury in office and when travelling between places of work. Also physical injury by patient/ MD pays all professional fees.

SIEMENS: ALBUSTIX Reagent strips for microalbuminuria.. Availaable in Canada

This test not paid by OHIP if done in MD office.

Strips made in Poland.

SIEMENS Healthcare Diagnostics Ltd
Tarrytown, NY 10591-5097.

ROGAINE 5% Minoxidil for androgenic alopecia. OTC.

5% now sold in CANADA. Before only 2% available.  In UK 5% sold in 2010.(BNF p 722) In UK 5% licenced for men only.

Daily Mail: Rio- viral contamination of sea water

Virus level 1.7 Million times danger level in UK. Athletes advised to keep head above water.  Comment: Advice difficult to put in practice!

STATS CAN; Cost of Medical care in Ontario approx $3,600 per person.

Popn.ONTARIO approx. 14-million
Cost of Provincial Medical Insurance  $50.1-billion
(COMMENT:No general Dental coverage..Meds mainly free after 65y. Those on Welfare get free basic dentistry and most meds)

$3.600 per person average cost of medical care.

90,000 immigrants yearly. (COMMENT-Refugees get immediate Insurance cover. Other immigrants have to wait 3 months. Can buy private insurance to cover first 3 months.Benefits vary by Province. Ontario now paying for IVF and Surgical transgender change. Free Abortion on Demand  to 24 weeks.)

CIA: Hospital beds per 1000 population. MONACO & JAPAN top.

MONACO 2012 - 13.8                          89.7WHO: Life expectancy (2015 M & F)
JAPAN: 2009 - 13.7  .                            83,7

RUSSIA 2006 -  9.7                              70.5
GERMANY 2011- 8.2                           81      

SWITZERLAND 2011 - 5                     83.4

UK                                                          81,2
USA                                                        79.3
2011 both 2.9                                        
CANADA 2011 - 2.7                              82.2

( COMMENT :Patient is more scientifically observed and treated in Hospital. Diagnosis easier and faster.Post-op rehab more controlled. Hospital more expensive. Many patients now have private insurance plus Catastrophic medical insurance up to  $2-million. Example:Stem-cell transplant in Switzerland with month in hospital $250,000. Swiss hospitals have optional text in Russian.)

Cost of Defensive medicine: CPSO & Personal injury lawyers

Many investigations ordered to avoid CPSO complaints by patients and/or relatives. Anyone anywhere in the World can complain to CPSO about a member. The member has to respond. Personal injury lawyers often take no retainers bur charge 30 per cent of any award. Small claims court can award damages to $25,000 No lawyer needed. CPSO expensive; about $2,000 a year. Michigan Medical licencing dept charges about $290 yearly. MD can pay for 3 years in advance.

OMA members with MBA

There are a few OMA members with a MBA. It would be wise to include their knowledge in the group dealing with the Ontario Govt  (Comment by Dr A Franklin) OMA auditors KPMG should also be involved as well as the OMA Economics dept. KPMG LLP International could advise on Taxes ,Retirement and Estate planning.(KPMG has an Information service)

Daily Mail: UK NHS pays GP approx $Can 240 a year per registered patient ( tied to one GP).

Patient can change GP but can not wander from GP to GP as in Ontario. NHS pays whether patient attends or not. To avoid paying for dead patients, NHS now sends letters to those who have not visited their GP for 5 years. GP has a maximum number of registered patients approx 2200.. After reaching that number can accept private paying patients who have to pay for investigations as well.

"Break the Medical Model" Left-wing policy of Univ Toronto School of Public Health in the mid 1970s

OMA was not aware of this political movement. No liason between OMA and nearby School Public Health. Unlike Chiropractors and Registered Nurses organisations, little social interaction with Provincial Government. Chiropractors have dinners and advise members to keep bound copies of Thank You letters. Reg Nurses CEO Dr Doris Greenspun PhD(York) RN (Hadassah) attends social-political meetings. OMA Pres and CEO usually absent. OMA Pres is only a one year job. No partial pension for loss of practice. Nurse Practitioners in Ont now have similar rights as GPs. Physician Assistants increasing. For at least  45 yrs USA patients could choose a GP or PA at a clinic. Chiropractors have become the"musculo-skeletal " experts. Although Chiro.not covered by OHIP many people have private insurance which covers Acupuncture, Chiropraxy, *Dentistry, Massage, Naturopathy, Osteopathy, Podiatry & Psychology. <Leslie Dan school of Pharmacy now offers D.Pharm. which would allow D.Pharms to Diagnose ,Investigate and Treat. Pharms at present are paid by OHIP for 30 min  yearly consult @ $ 50. Also can give injections and change GP prescriptions. Reducing GPs cuts costs as GPs have to exclude rare diseases as they held to a higher standard in Law.

*In Ontario Dentistry is not a State Insured service; except in Schools and for those on Social service benefits.

OMA LEGAL LABOUR ADVISOR: FASKEN MARTINEAU Brian BURKETT BA (Tor,73) LLB (York76)

Mr BURKETT (Late of Heenan Blaikie) is retained by OMA to advise on negotiations with Liberal; Provincial Government.

DIABETES UK, www,diabetes.org.uk Prime Minister T.M. MAY MA (Oxon.2nd class hons.Geography) MP PC Late onset Type 1 Diabetes mellitus.

Wrote about diagnosis in DIABETES UK  07 Nov 2014, on Insulin qid. in UK 20 % Type 1 diagnosed after 40y. Born:1956. Married. No children.

SUPREME BASICS warehouse office supplies inc.medical disposables.

Warehouse in Richmond Hill. Delivery next day.Tor rep Ms C KALUZNY

www.taxplanet,com LIFE ASSURANCE VS LIFE INSURANCE

Life assurance includes an investment element FINANCIAL ADVISOR BEST.  PAYMENT ASSURED if premia paid.LIVING or DEAD

Life insurance not include investment element  INSURANCE BROKER sufficient.Payment only on DEATH.during term of insurance

Toronto Star: obit Thoracic surgeon Ofei Djoleto 1947-2016 MD ChB (McGill 73)

Died from Cerebral Amyloid angiopathy at Trillium hospital in Mississauga

ROYAL ONTARIO MUSEUM: CHIHULY GLASS EXHIBITION

IMPERATIVE TO VIEW THIS MAGNIFICENT EXHIBITION BY MULTIMILLIONAIRE WORLD FAMOUS GLASS  ARTIST. Dale CHIHULY/ Lost left eye in car accident in UK.from injury by shattered windscreen glass. Opening yesterday. Reception well-catered by L-EAT,(included mini smoked salmon latkes).Family from Slovenia. Originally "Shauli".. Born 1941, Tacoma,Washington.. Father Butcher and Union activist. BA(Washington 1965) MA(Rhode Island School of Design 1968) Lived in Kibbutz. Married in 2005.

BBC WORLD SERVICE: Programme on Netherlands Forensic clinics for patients over 12y.

Largest clinic in the HAGUE; de WAAG ( the "adventure" in colloquial Dutch) Another 11 branches through the Country. Reduces need for prison.

Poor hygiene in some Ont Pharmacies.

Counting pills with bare hands. Not cleaning plastic pill counter and spatulae., Safest to buy Brand pills in sealed container. No contact with staff ungloved hands. Also pharmacologically safer to use Brand pills as excipient is different in generic formulation Excipient important for drug delivery. If financial reasons force you to use generic drugs at least know the name of the Generic manufacturer.

LEASING RISKS; CIRRUS CONSULTING GROUP

COMMENT:
Toronto 20 Eglinton Av West @ Yonge. 1-800-459-3413. Cirrus will advise and negotiate for best advantage tp MD. Landlords obviously want best advantage for themselves. There are many legal tricks that Landlords use to disadvantage MDs.Especially if renewing,  assigning or selling practice.
Cirrus offers webinars and seminars at no cost.Tip: Never be late in rent payment,even for a day,as this will legally put you in Default. Always start negotiating at least a year or two before expiry of lease. Must be in writing.

MEDICAL ENTREPRENEUR: Dr. J G B SIEGERT 1796-1870 who formulated ANGOSTURA BITTERS by appointment to H.M. Queen Elizabeth II

Dr SIEGERT was born in Silesia. Joined army of Simon Bolivar in 1820 as Surgeon-General. Formulated Gentian root  mixture in 1824 as a cure for stomach ailments, Lived in ANGOSTURA now Ciudad Bolivar. By 1850 had exported mixture to North America & UK. In 1862 one of his three sons, Don Carlos exhibited in London Exhibition. Became basis of Pink Gin. In 1870 on death of Dr Siegert the family moved to Port of Spain, Trinidad.in 1873 Angostura Aromatic Bitters won Medal of Excellence in Vienna. At present 45% alc/volume. 5 people know the  detailed comopiosition

H.M.the Queen v. Brown 2015 ONCA 361 Court of Appeal for Ontario,Juriansz, Rouleau, & Hourigan JJ.A 18y `first offender``who with 2 others broke into a house, Woman was pistol-whipped. kicked on back of head and neck, Beaten with golf driver. They poured gasoline on her. Stole long guns.

Trial judge MacKenzie J. sitting with a Jury sentenced to nine years, Appeal judges reduced sentence to  seven years based on age and "first offence".. Woman has permanent physical damage.

Comment:This reduction an invitation to violent "young" criminals. Important to get expert advice re home security; unbreakable glass and steel doors and frames. House invasion in Toronto regularly reported.. Gated communities rare in Toronto at present. Better Condos have 24 hr security staff.. Less crime in area bordered N; Lawrence av- S.  Lakeshore Blvd -W;Avenue rd.-E Bayview av

Ont.Reports 128 O,R, (3d) Part 10 797-800 Nov 13,2015

ONTARIO male denied claim of $4-million from "recreational" sex partner who became pregnant.

P,P v D,D 2016 ONSC 258 Superior Court of Justice ,PERELL J.
Ontario reports May 6, 2016 129 O.R (3d) Part 3. 175-205

"The plaintiff claimed that the defendant deceived him into having recreational sexual intercourse which,contrary to his wishes,resulted in the birth of a child.He sued the defendant for negligent misrepresentation seeking $4 million in damages for non-pathological emotional harm caused by unplanned parenthood. The defendant brought a motion to strike the statement of claim without leave to amend, HELD The motion should be granted.

William A. Chalmers , for plaintiff
Morris Cooper,,for defendant

ONTARIO REPORTS: PUBLISHED WEEKLY by LexisNexis Canada Inc under authority of LAW SOCIETY of UPPER CANADA (approx 240pp)

OMA has SIX LAWYERS on SALARY. There are no comments on cases relevant to OMA members in the OMA Review, Members could ask their legal colleagues for past copies; usually discarded., SIX pages of ads offering EXPERT WITNESSES,

Toronto non-MD female MaRS entrepreneur starts paid TELEPHONE Psychological advice.

$60 for 45 min telephone"psychotherapy" by Psychologists and Social Workers. Company takes $15. Insurance companies cover cost. Students high users.

TORONTO TOURISM: PRIVATE SPECIALIST HOUSE CALL

Toronto Tourism estimates 37,506 tourists daily. Includes 3,890 from outside North America,

ER Sunnybrook Teaching Hospital: Can$800 Waiting time up to 4 hrs.

SCANDIAMED SERVICES Scandiamed@aol,com plans to offer Hotel Specialist services @ $300//hr. Travelling time at same rate.$400/hr for night calls & Sat/Sun/.

Opportunity for  General Internists; Cardio,. Infectious diseases, Neuro(stroke). & Paed. Specialists will have electronic stethoscope to record and transmit findings; ECG; Pulse Oxymeter, Oxygen cylinder; On-site diagnostic tests.e.g. Strep.; urinalysis (10-strip)

Admin fee 10% (includes cost of Lawyer's advice when treating Non-Canadian clients)

GIDEON : INFECTIOUS DISEASE PROGRAM

Used by Canadian Armed Forces and by Tropical medicine dept Tor Gen Hosp

GIDEON willing to give 98% discount to OMA @ $24/user/year = $525,800 for 22,000

usual individual fee $1,195/year

GIDEON updated daily,

2 weeks free trial

GIDEON subscription includes 4 modules DIAGNOSIS; EPIDEMIOLOGY, PHARMACOLOGY,; TAXONOMY

CPSO: Conflict of Interest; Tribunal vs Court;

When selecting a legal firm for CPSO Tribunal advise to get n writing that your Legal team has no personal connection with the CPSO, In recent past., the present Vice-Chair CPSO comm, Inquiries,Complaints & Reports Kingston ER Dr W J Spotswood MD (Queen's 1970) had a son who worked at Toronto Lenczner Slaight. Now his son is Senior Associate with Toronto branch Clyde & Co, Also CPSO TRIBUNAL is not a Court. Taking Oath & standing not required when Tribunal members come & go, Also one does not have to sit in the Prisoner's Box in the centre of the room facing a TV camera. Giving evidence is not obligatory, All -female CPSO lawyers offer lengthy questions which are impossible to give a Yes/No answer. Insist that the Lead Lawyer provides in writing that the lawyer will attend all Tribunal hearings, If unable. will ask for another date.

TORONTO RUSSIAN IMMIGRATION

118,000 Russian-Canadians in Greater Toronto area: 2,1% of population. Only a few Russian speaking Doctors, Estimate 50 Russian-speaking physicians needed.

Ontario docs still have no contract,Liberal Provincial govt,knows that OMA not united, Few even bother to vote. Council meet in Niagara Falls instead of Toronto, Nice paid vacation for delegates, Section of Physical Med and Rehab had  4 hour scientific meeting in Toronto,Delegates are paid all expenses including an hourly rate for travelling.Mainly same faces every year. Recently a change to end continuous Delegate priv after 20 years service,

100 best World Univs ranking by TIMES HIGHER EDUCATION Mag,

CANADA

TORONTO              19

UBC Vancouver       34

McGill Montreal      38

McMaster Hamilton 94

Buy a London fur felt Lock and Co (1676) hat. Contact directly at www.lockhatters.co.uk or a 55 year client in Toronto. Scandiamed@aol com Most hats sold in Toronto are made of wool not fur felt.

District 11 Toronto plus Scarborough suburb elections for 3 Directors.
Number of voters: 12283 Number actually voted: 953 ( 8 per cent)
members could vote online or by free post

OMA District 11 ( Toronto plus suburb of Scarborough) 11,000 members AGM at Ismaili Cultural centre. Only about 200 attended. Buffet dinner provided with orange and mixed fruit drink. No alcohol.Still no contract with Liberal provincial govt. Low attendance shows apathy towards OMA. Many GPs quietly moving into non-OHIP medicine: Salaried jobs with benefits in Federal, Provincial and  Municipal govts. Insurance medicine. Administering clinics and nursing homes. Organising pharm. trials. Cosmetic medicine. Eye refraction 20 - 64 y not covered by OHIP.  Reducing overhead by not having an office eg surgical assistant or reducing office overhead by only doing GP mental health. No receptionist or equipment needed. Those with USA or EU kicence can leave ontario or practice part-time abroad. OHIP only oays 50 per cent of OMA recommended fee of $340 an hour.

Zika virus: see post 2013 Dec 28.

London. Wellington Hosp( Hosp.Corp.of America)

UK Daily Mail Sir Elton John paid GBP 30,000 for bilat hip replacement for his 90 y mother. GBP 11,500 per hip . GBP 7,000 for seven days stay. Choice of 49 Orthopaedic surgeons.

Uk Daily Mail on-line Strike by 50,000 Junior Doctors.

Scabies in Switzerland (ProMed)

Swiss public health report extensive infestion of Middle-East migrants with SCABIES. Clothes frozen and antiparasite body lotion given.

See UK Daily Mail for details UK Junior Doctors' strike.

Comment.OMA new CEO T MAGYARODY MBA(McMaster) and OMA Board have restored full subscription to Longwoods Publication allowing OMA members to attend Breakfast with the Chiefs. Aprox 250 Health execs attend. Mr. Magyarody was CEO of Canadian Dental. Assoc.