TORONTO; TAXI VS LIMO

FOR SHORT DISTANCES DOWNTOWN TAXI COULD BE USED

FOR HIGHWAY DRIVING TO SUBURBS LIMO PREFERABLE ON GROUNDS OF COMFORT EG SUSPENSION & TEMPERATURE CONTROL.AS WELL AS SAFETY FACTORS PERSONAL AND MECHANICAL.

LIMO DRIVERS USUALLY WEAR UNIFORM DRESS. MORE LIKELY TO WEAR ANTI-GLARE GLASSES.

CMPA COUNCIL; ONTARIO 4 OUT OF 10 HAVE ADMIN QUALIFICATIONS

EXECUTIVE COMMITTEE MEMBER

PSYCHIATRIST  GERARD  P CRAIGEN LLB


NON-EXECUTIVE COMMITTEE

PHYSICIAN A C BARRON MBA
GP R COOPER LLB
GP B SINGH LLB

DR PETER MUNK C C LL,D P, ENG. 1927-2018.

OFFICER ORDER CANADA 1992 AT 65
COMPANION                          2008 AT 81.

FOUNDEE MUNK SCHOOL OF UNIV TORONTO
FOUNDED TORONTO GENERAL MUNK HEART CENTRE.

MERMBER TORONTO LAWN TENNIS CLUB.

AIRD AND BERLIS LLP WEBINAR. ON RISK OF LITIGATION ABOUT SEXUAL HARASSMENT CLAIMS,

COURTS SYMPATHETIC TO CLAIMANTS. AWARDS CAN REACH $200,000

IMPORTANT TO HAVE DETAILED DOCUMENTATION, ACCORDING TO AIRD AND BERLIS LLP PARTNER LORENZO LISI

SAFEST AND CHEAPEST TO CALL LAWYER AT TRIAGE STAGE OF CLAIM. SETTLEMENT CAN BE CHEAPER THAN DEFENSIVE LITIGATTION.

THIS IS RISK TO BE CONSIDERED BEFORE SETTING UP A PRACTICE AS SELF-EMPLOYED PRACTITIONER.

LESS RISK IN PAYING COMMERCIAL OFFICE FOR USE OF SPACE. AND STAFF AT USUALLY ABOUT  30 PER CENT OF BILLING.. GREAT ADVANTAGE OF WORKING IN A HOSPITAL OR PUBLIC HEALTH CLINIC. CPSO OFFICE INSPECTOR NURSES MORE LIKELY TO APPROVE OFFICES IN GOVERNMENT FUNDED BUILDINGS.

NEW CPSO REGISTRAR DR NANCY WHITMORE MD (MANITOBA) FRCSC (OB/GYNAE) MBA (IVEY)

PAST PRES & CEO ST THOMAS ELGIN GENERAL HOSPITAL (157 BEDS). SALARY WAS $205,569 PLUS ONE DAY A WEEK OHIP PRACTICE.

CPSO SALARY AND BENEFITS NOT DISCLOSED BY CPSO OR SYDNEY BOYDEN EXECUTIVE SEARCH AGENCY. (1946). PRES AND CEO TRINA GORDON. CALGARY REP N BERKO. 1 403 410 6700

PRESENT REGISTRAR ER DOCTOR R GERACE RETIRING AFTER 16 YEARS.

DIFFERENCE FROM QUEBEC WHICH  HIRES EXECUTIVES FROM WITHIN THE "ORDER".

'INCREMENTALISM' YALE STIRLING PROFESSOR DR CHARLES LINDBLOM 1917-2018

'THE SCIENCE OF MUDDLING THROUGH' 1955. ACCORDING TO ONT DEPUTY MINISTER OF HEALTH ORTH SURGEON ROBERT BELL AT A LONGWOODS'  LECTURE TO 300 AT THE TORONTO GILGAN CENTRE, THIS IS THE PRESENT PHILOSOPHY OF THE MINISTRY.

ONT MIN HEALTH TO PAY FOR 25 PATIENTS TO HAVE PROSE SCLERAL CONTACT LENSES TO BE FITTED AT TORONTO KENSINGTON EYE INSTITUTE .LOCATED IN KENSINGTON MEDICAL CENTRE.

CLIN DIRECTOR  OCULAR REGENERATION PROGRAM; OPHTH. ALLAN SLOMOVIC MSC MD FRCPC WORKING WITH 3 OPTOMETRISTS TO FIT THE BOSTONSIGHT  "PROSE" SCLERAL LENSES IN USE IN USA SINCE 1994

PROSE; PROSTHETIC REGENERATION OF OCULAR SURFACE ECOSYSTEMS. INVENTED BY DR P ROSENTHAL IN 1986.. NO CONTACT WITH CORNEA. FLUID RESERVOIR.

COST $2-5,000

INDICATIONS;

IRREGULAR CORNEAS; HIGH REFRACTIVE ERRORS.CORNEAL TRANSPLANTS;KERATOCONUS ET AL.

OCULAR PROTECTION; CHEMICAL BURNS;  SJOGREN'S ;  NEURTROPHIC KERATITIS; STEVENS-JOHNSON-  PEMPHIGOID

OCULAR COMFORT; TRICHIASIS,  SCLERAL PATCH GRAFTS;  KERATITIS SICCA, FILAMENTARY KERATITIS.

TORONTO 2 FEB. ALBANY CLUB; MEMORIAL RECEPTION FOR STANLEY HARTT OC QC NOV 11,1937-JAN 3 2018.

MANY LAWYERS AND POLITICIANS ATTENDED INC PAST ONT PREMIER M HARRIS.

MALIGNANT MELANOMA WAS CAUSE OF DEATH.  PIGMENTED MOLE BEHIND LEFT SHOULDER WAS EITHER NOT NOTICED OR IGNORED. DIVORCED IN 1978. NOT REMARRIED.

CONFIDENTIALITY LAWYER-CLIENT PROTECTED BY CANADIAN LAW.

PRIEST-PENITENT AND MEDICAL DOCTOR-PATIENT NOT PROTECTED.

IF PATIENT WANTS CONFIDENTIALITY AT ALL COSTS CAN USE NOM DE PLUME  AND PAY CASH

IN CANADA NO STATUTE OF LIMITATION ON CRIMINAL CHARGES.

TORONTO CRIMINAL LAWYER LIAM O'CONNOR WHO IS DEFENDING TORONTO WESTERN HOSPITAL NEUROSURGEON SHAMJI POINTS OUT THAT AS LONG AS A DOCTOR IS ALIVE THE MD CAN BE CHARGED FOR FREUDIAN MISBEHAVIOUR .

THIS SEVERE RISK IS NOT EMPHASISED BY OMA LEGAL DEPARTMENT OF FOUR SALARIED LAWYERS.

IT IS IMPERATIVE TO HAVE A PROFESSIONAL WITNESS, (SAY RPN), PRESENT  WHEN EXAMINING A PERSON OF ANY GENDER.

A PROBLEM EXISTS WITH PSYCHIATRY. A POSSIBLE SOLUTION IS TO RENT OFFICES
AT ORGANISATIONS SUCH AS REGUS WHICH HAVE A BUSY COMMON AREAS OR IN  HOSPITAL CLINICS.  PRIVATE OFFICES ARE A MAJOR RISK IN PSYCHIATRY

AS FOR UNCHAPERONED HOUSE CALLS; DIFFICULT TO DEFEND A COMPLAINT IF NO WITNESS.

IN PRESENT POLITICAL CLIMATE BEST NOT TO PUT MEDICAL LICENSE IN DANGER . BY ANY 'POLITICALLY INCORRECT' QUESTION OR  STATEMENT AND BY ANY MOVEMENT OR GESTURE THAT COULD IMPLY A SENSUAL OVERTONE. BEST TO USE FORMAL SALUTATION INC FAMILY NAME. FIRST NAME ONLY FOR CHILDREN SAY UP TO 16. SOME ETHNIC COMMUNITIES DISLIKE  DIFFERENT GENDERS SHAKING HANDS.             

GIBRALTAR; TAX ADVANTAGES

FOR RESIDENTS OVER 60: NO INCOME TAX ON OCCUPATIONAL PENSION

FOR ALL RESIDENTS; NO CAPITAL GAINS TAX; NO SALES TAX; NO VALUE ADDED TAX. NO TAX ON INCOME FROM SAVINGS.

MORTGAGE TAX RELIEF UP TO PROPERTIES GBP 800,000.

GIBRALTAR HEALTH AUTHORITY IN 2002 SPENT GBP 60,000,000 ON ST BERNARD'S HOSPITAL -FOUNDED 1567. 210 BED. SPECIALISTS VISIT FROM UK.   NOW CLOSE CONNECTION WITH LONDON ST GEORGE'S HOSPITAL AND MEDICAL SCHOOL. HOSPITAL HAS HYDROTHERAPY POOL

AIRD BERLIS LLP: WEBINAR ON MEDICAL CONSENT.

CONCEPT OF "LIVING WILL"  APPLIES TO USA NOT ONTARIO.

TWO POWERS OF ATTORNEY NEEDED FOR EACH LEGAL JURISDICTION; ONTARIO AND FOR EXAMPLE  FLORIDA, FOR  PERSONAL CARE AND ANOTHER FOR PROPERTY.

DECISION MAKER SHOULD BE LOCAL AND AGREES TO ACT ACCORDING TO WISHES OF OUTCOME OF TREATMENT. USING PHRASES; NO TUBES OR HEROIC MEASURES USELESS. ALTERNATE SHOULD BE STATED. IF NO POWER OF ATTORNEY DECISION LEFT TO FAMILY HIERARCHY AND NOT TO A "FRIEND".

AS FOR EUTHANASIA, REQUEST CANNOT BE MADE IN ADVANCE. ONLY SHORTLY BEFORE DECISION TO DIE.

PSYCHOTHERAPY A CONTROLLED ACT FROM DEC 30, 2017

THERE WILL BE THREE LEVELS

PSYCHIATRISTS FRCPC

"REGISTERED PSYCHOTHERAPISTS" -MEMBERS OF COLLEGE OF PSYCHOLOGISTS-

"PSYCHOTHERAPISTS"; INCLUDE MDs, OCCUPATIONAL THERAPISTS; REGISTERED NURSES. SOCIAL WORKERS. ALL MUST BE MEMBERS OF THEIR COLLEGES.

COMMENT; INSURANCE COMPANIES WILL BE GLAD AS APPLICANTS WILL HAVE TO DECLARE PSYCHOTHERAPY; INDICATING A HIGHER RISK OF SUICIDE.

TORONTO STAR: TORONTO HOSPITAL DONATIONS. ANONYMOUS $100MILLION FOR PSYCHIATRIC RESEARCH

PAST MAJOR DONATIONS IN MILLIONS

137 MUNK
130 ROGERS
80 GARRON
70 GILGAN
62.5 CAMPBELL
60 TANENBAUM
50 LEBOVIC
50 SIR KA-SHING LI
50 SLAIGHT
30 LABATT
20 CI FINANCIAL

TORONTO IN WINTER.

DANGER OF FALLING AS SNOW NOT CLEARED. EVEN IN DOWNTOWN AREAS, 6% UNEMPLOYMENT. UNEMPLOYED NOT USED TO CLEAR SNOW. HOSPITALS CROWDED. QUICKER TO LAKE LIMO TO LEWISTON MOUNT ST MARY HOSPITAL. 2 HOUR DRIVE  ($400) VS 4 HOUR ER WAIT IN TORONTO. LEWISTON HOSPITAL PRIVATE. ONTARIO HOSPITALS STATE CONTROLLED.

ALTHOUGH CANADA HEALTH ACT DOES NOT ALLOW PRIVATE PRACTICE FOR "MEDICALLY NECESSARY" SERVICES - NEVER DEFINED IN PAST 48 YEARS- IF CLINIC PROVIDES NON-OHIP SERVICES EG DIETARY ADVICE; PHYSIOTHERAPY THEN IT CAN BE CALLED A WELLNESS CENTRE AND CHARGE USUALLY $3500/YEAR/PERSON. GP VISITS  ARE NOT BILLED TO OHIP.  INVESTIGATIONS CAN BE BILLED TO OHIP.  EXAMPLES CLEVELAND CLINIC CANADA, MEDCAN AND MEDISYS.VISITS USUALLY 30 MIN. UNLIMITED NUMBER PER YEAR.

EMERGENCIES:  SUNNYBROOK HOSPITAL IN NORTH TORONTO IS BEST. FEWER DRUG ADDICTS, KNIFINGS AND SHOOTING VICTIMS. BEST TO GO BY TAXI OR LIMO. AMBULANCES HAVE TO TAKE PATIRNT TO NEAREST HOSPITAL. SUNNYBROOK IS NEXT TO THE MOST EXPENSIVE REAL ESTATE IN TORONTO.  USUAL HOME $6-7 MILLION.

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.