19 Jan 2013

BERMUDA: Dr.Sidney LOWRY:"The End of Medicine & the Last Doctor"


From the  Bermuda ROYAL GAZETTE

Are machines replacing your doctor?

 
  • Could robots like this one day replace humans as doctors? File picture.


It's looking like the end of an era for patient-doctor relationships in the hands-on way that we have grown up with, according to Sidney Lowry, a former Edward VII Memorial Hospital oncologist.
Patients are increasingly demanding test results and place much less weight on a doctor's physical examination findings, Dr Lowry believes.
He's put his views in a new book, ‘The End of Medicine and the Last Doctor'.
“Patients no longer want to be examined. They want an MRI,” he said. “The physician is being gradually replaced by a range of health professionals, and the machine.

Dr Lowry contends that technological advancements are well on the way to displacing the traditional physician.






17 Jan 2013

Employer vs Employee

http://www.webmd.com/cancer/what-to-expect-from-radiation-therapy?page=4

From Toronto BLANEY McMURTRY LLP

 

January 2013


When Can an Employer Sue an Employee for Damages?

Property Damage
Emily Anne Maclean worked in a farmer’s market. On August 1, 2003, she placed eggs on a hot plate to boil in order to make them ready for the next day’s sandwiches. She got distracted in another part of the store. Upon smelling smoke, she returned to the hot plate only to find “full blown flames”. The farmer's market was destroyed and Ms. MacLean was sued in negligence by the market’s insurer. In dismissing this claim, the Court concluded:
  • employees are not generally held liable for ordinary negligence or carelessness in the performance of their duties;
  • the imposition of liability in such a case would be unjust and/or unfair;
  • an employer accepts the risk of employee fallibility and takes that into account in the costs of doing business, supervising the employee and insuring the enterprise.
Accordingly, although it is clearly reasonable for an employer to expect its employees to exercise reasonable care in the performance of their duties, it will only be where the degree of fault by the employee goes beyond mere negligence, that a claim for damages will have any chance of success.
The inability to recover damages in negligence does not preclude the employer from alleging cause for dismissal in an appropriate case.
A Suit to Recover Damages Payable to a Third Party
It is settled law that employers are vicariously responsible for the harm caused by an employee in the performance of the employee’s duties. The question then becomes whether the employer can recover the damages it paid to the third party from the negligent employee. As one might expect from the analysis above, the likely answer is that recovery will be restricted to those situations where the employee’s conduct was grossly negligent. Again, inability to recover does not prevent discipline and, where justified, dismissal for cause.
Suing for Breach of Contract
It is quite common for employers to require senior employees to execute covenants which prevent or restrict certain activities. Examples include maintenance of confidentiality and prohibiting the soliciting of clients or co-workers for a reasonable period of time following resignation or termination. Provided these clauses are carefully drafted to meet current judicially mandated standards and are incorporated into a properly executed employment agreement, they can form the basis of a successful lawsuit against an employee who ignores contractual terms to which the employee agreed.
In this type of lawsuit, the employer must act quickly after learning of the breach, seeking a mandatory order prohibiting the continuation of the offensive action. While an order actually prohibiting continuance of the breach (an injunction) may not be granted, the employee will be required to pay the damages suffered by the employer resulting from the competitive activity. Furthermore, the very act of commencing the lawsuit may cause the offending employee to cease the prohibited activity.
Breach of Duty of Fidelity
Even without a valid restrictive covenant, senior employees are required to act in good faith towards their employer and not exploit the vulnerability which flows from the nature of the relationship. For example, although such an employee is entitled to compete following employment, in doing so, he/she must not do so unfairly. This means that for a reasonable period of time following resignation, he/she is not to utilize confidential information or affiliations developed during employment in a manner detrimental to the former employer. Doing so is considered unfair and a breach of this obligation of fidelity. Provided the status with the employer was senior enough, a court will enforce these obligations by way of requiring the departed employee to disgorge the profits earned from the improper activity.

29 Dec 2012

OMA District 11(Toronto) COMMITTEE ELECTIONS

With over 10,000 members few stand for election to the NINE posts available.

NOMINATIONS are due Wed. JAN. 16 ,2013.( ONLY THREE WEEKS NOTICE)

AGM FEB. 13 (LOCATION STILL NOT PUBLISHED)

VOTING by Wed. FEB. 27.(2 pm)

At present, chances of being elected are 50/50.

Dist 11 with approx $250,000 in the bank, employs a full-time Secretary (Mrs.K.BUGEJA)

OMA pays well for time spent in Committees. Many have been committee members for over TWENTY YEARS.

Between about $870 and $1250 a day up to approx. 46 days a year

DISTRICT CHAIR gets BONUS OF 25% ..
.
A well-paid SECOND CAREER for many Toronto Docs.(easily $46,000/year + free food)

OMA HOURLY RATE for meetings and travel  increases with the number of committees:

up to 15 days/year HALF-DAY $380                            TRAVEL:/HOUR $108
15.5- 25                                    $465                                                        $133
25+                                           $547.50                                                    $156

HALF-DAY = 2.5-4.5 hrs
FULL-DAY =  5 - 8.5 hrs.

ONLY THREE NOMINATORS NEEDED.

NEW IDEAS URGENTLY REQUIRED.




28 Dec 2012

TORONTO Sick Childrens' Hosp Influenza immunisation stats

TORONTO: SICK CHILDRENS' HOSPITAL

CLINICAL STAFF: 64.3% immunized against INFLUENZA ( 35.7% of CLINICAL STAFF FAILED TO BE IMMUNISED)

NURSING STAFF  78%  immunized agaainst INFLUENZA   ( 22% of NURSING STAFF FAILED TO BE IMMUNISED)


PRIVATE MONEY subsidizes STATE MEDICINE.

Founder & CEO of  MATTAMY HOMES Ltd., PETER GILGAN donated $40,000,000  to TORONTO SICK CHILDRENS' HOSP. RESEARCH & LEARNING CENTER.

(Strictly according to OHIP rules a MD could be fined for giving Mr.GILGAN -or his family-priority medical attention).

This absurdity makes a mockery of the Ontario State monopoly of (never defined) MEDICALLY NECESSARY MEDICINE.

As with USA Prohibition the Ontario OHIP rules are broken daily through use of "WELLNESS CENTRES" that at do not bill OHIP for the DOCTOR visits, (but bill OHIP for investigations). The trick is that the office  provides ext ra services e.g. a Dietitian or Physiotherapist. An example is The Toronto CLEVELAND CLINIC CANADA -30,000 sq.ft.- that charges about $3,500/yr for unlimited medical services, a five hour annual exam and direct commuinication with the USA Cleveland Clinic.

QUEBEC has allowed PRIVATE HOSPITALS ( e.g. ROCKLANDMD)






18 Dec 2012

GPs: 2013 Ontario pay lower; USA pay higher

Ontario Health Insurance reduced all MDs' pay by 0.5%

USA Medicare increased GPs pay by 7%.

 Toronto emigration lawyers with USA offices expected to have increased business.

California & Florida preferred.

Escape from irritating time-wasting CPSO investigations about trivial patient complaints such as not prescribing antibiotics for minor respiratory complaints or refusing to perjure oneself signing phoney disability and sickness forms.

11 Dec 2012

URBAN HOUSE CALLS a waste of medical talent.

Most URBAN HOUSE CALLS are a waste of Medical talent. Can easily be done by a visiting DISTRICT NURSE: an important person in the UK NHS since 1947.

House Calls are useful in making sure that there are no safety hazards such as loose carpets. That there is food in a clean fridge. That there are Aids-to-Daily-Living in the bedroom, toilet and bath. That smoke and Carbon monoxide detectors work.

Urine dip-stick , and Diabetic blood tests can be done by a Nurse.As well as Blood pressure.and other vital signs.

Office visits are more CLINICALLY valuable as more equipment is available together with other paramedical services.

In most Ontario cities there are Wheel-Trans facilities that cost between $2-3 a journey. making a visit to the GP cheap and easy.

Stairs can be a problem  Many GP offices have ramps and elevators. An OCCUPATIONAL THERAPIST
is valuable in advising Structural Alterations and various PERSONAL Aids.for dressing and cooking.

A visiting PHYSIOTHERAPIST can instruct DIY exercises and provide simple equipment.to maintain muscle strength

Relatives should learn FIRST AID. An OXYGEN CYLINDER (with a suction adaptor) is a good investment especially in Rural areas. Electronic personal emergency devices improve yearly. and are now inexpensive.

(Personal opinion)