Univ.London (UK) had an Open Day at Toronto King Edward Hotel.yesterday. Ontario docs are taking on-line courses to be eligible for the many highly paid Admin jobs,(with benefits & pensions). Avoids the expense of running an office (30%+); staff problems, CPSO complaints (CPSO stats: one bad case every 20y.) and the danger of death from infection & patient attacks. Toronto's Sick Childrens' Hosp CEO is a Nurse earning about $600,000 yr + perks. Many CEOs only have a MHSc. + BA/BSc.
Two London .MBA courses: $12,000 completely on-line. $20,000 with 2 x 2 weeks course in London (60 hrs in small Professorial class 5-6)
As well as LLB there are Diploma Courses in Law & English Common Law, LLB can be taken over 5y.( ready for the Board Room by 40y)
In Ontario, Primary OHIP-paid medicine is increasingly provided by salaried Nurses & Physician assistants
http://www.londoninternational.ac.uk
.
A FORUM on ONTARIO MEDICINE: business and professional Information from various contributors edited by Dr.Alex Franklin MBBS(Lond.)Dip.Phys.Med(UK) DPH & DIH(Tor.)LMC(C)FLex(USA).Fellow Med.Soc.London, Liveryman of London Society of Apothecaries. Freeman of City of London. Member Toronto Faculty club & Toronto Medico-Legal society.
16 Jun 2013
9 Jun 2013
OBITUARY GP Allan PENGELLY MD(Tor.51) WW2 Lieutenant RCNVR
(Obits in OM Rev. & CMAJ are minimal compared with BMAJ)
A life in GP (died at 92) allowing his spouse GP Bette STEPHENSON MD(Tor.46) to achieve political success as President of the .Toronto Academy of Medicine, OMA, CMA & then a MPP & Cabinet Minister
A life in GP (died at 92) allowing his spouse GP Bette STEPHENSON MD(Tor.46) to achieve political success as President of the .Toronto Academy of Medicine, OMA, CMA & then a MPP & Cabinet Minister
7 Jun 2013
DAILY MAIL: UK PRIVATE GP CLINIC
Patients shun NHS for clinics run by Polish GPs: Cut-price private surgeries where you can see a doctor seven days a week
- Despite charging £70 a visit, west London clinic already has almost 6,000 Britons on its books and offers 30minute slots
- Two thirds of NHS patients have to wait more than 48 hours for doctor's appointment and few slots are available outside regular working week
- My Medyk also offers dental surgery, varicose vein surgery, Botox, hypnotherapy, acupuncture and counselling session
- Clinic was founded five years ago by two Polish doctors but now employs 50 staff, the majority of whom are Poles
PUBLISHED: 21:29 GMT, 7 June 2013 | UPDATED: 21:40 GMT, 7 June 2013
5 Jun 2013
BINDING SITE: "C-R-A-B"( Multiple Myeloma)
Binding Site Blog
The Significance of CRAB (Multiple Myeloma)
Cancer is the fourth sign of the zodiac spanning June 22
to July 22. The Crab is the mascot of the Cancer zodiac sign. The
letters C-R-A-B also stand for four clinical manifestations of Multiple
Myeloma, a cancer of the blood resulting from the proliferation of
malignant plasma cells. The presence of CRAB criteria are important
diagnostic indicators of Multiple Myeloma. In 2003, the International
Myeloma Working Group (IMWG) defined the CRAB criteria in the British
Journal of Hematology(1).
C stands for Calcium. Patients with Multiple
Myeloma can have elevated levels of calcium (hypercalcemia) due to the
breakdown of bone. Hypercalcemia resulting from Multiple Myeloma must be
differentiated from other causes such as overactivity of the
parathyroid glands, medications and excessive use of calcium and Vitamin
D supplements.
R stands for Renal. Many patients with Multiple
Myeloma have some degree of renal insufficiency at diagnosis. If
untreated, patients with Multiple Myeloma can progress to a condition
called myeloma kidney and may lose their kidney function completely.
Patients with acute kidney injury (AKI) resulting from Multiple Myeloma
need to be differentiated from those with AKI from other causes to make
sure the correct treatment is initiated.
A stands for Anemia. In Multiple Myeloma,
cancerous plasma cells invade the bone marrow and can disrupt normal
hematopoiesis or blood formation. This results in decreased red blood
cell production and the condition called anemia. Anemic patients often complain of fatigue which is one of the common signs of Multiple Myeloma.
B stands for Bone. Many patients with Multiple Myeloma have bone lesions. These
lesions are caused by the destruction of bone in areas where cancerous
plasma cells have made a niche in the bone marrow. In these areas
malignant plasma cells cause the activation of osteoclasts that in turn,
cause bone resorption and the release of calcium from the bone into the
serum. The bone in these areas may be weakened and fractures are often
an unwanted sequela.
Following routine laboratory evaluations (Freelite® serum
free light chain assays, serum protein electrophoresis, immunofixation
electrophoresis), it is important for clinicians to be able to
differentiate CRAB conditions resulting from Multiple Myeloma from other
causes. Individual CRAB criteria can be associated with many
pathologies and the faster the root cause of symptoms are diagnosed, the
faster the patient will receive appropriate treatment.
4 Jun 2013
Debretts Dr.Simon FRADD MBBS(Lond.) FRCS(Eng.)
Dr Simon Fradd
Dr Simon Fradd's Biography
- Forename(s)
- Simon Oakley
- Sex
- Male
- Date of Birth
- 20/4/1950
- Foretitle(s)
- Dr
- Surname
- FRADD
- Style
- Dr Simon Fradd
- Recreations
- DIY, gardening, skiing, gliding
Dr Simon Fradd's Professional Career
- Career
- house surgn Westminster Med Sch 1977; (UNIV.LONDON) SHO: in paediatrics Queen Mary's Roehampton 1978, in neonatology Whittington Hosp London 1979, in A/E then orthopaedics St George's Tooting 1980-81; registrar: in surgery Burton Gen Hosp Burton-on-Trent 1981-84, in urology Univ Hosp of Wales Cardiff 1984-85; GP trainee: Burton-on-Trent 1985-86, under Dr Saunders Nottingham 1986-87, Castle Donington Leics 1987; GP princ Saunders & Fradd Nottingham 1988-; chm: Hosp Doctors' Assoc 1979-82, Negotiators' Hosp Jr Staff Ctee 1986-87 (dep chm 1984-86), Jr Membs' Forum BMA 1990, Doctor Patient Partnership 1997-; dep chm Gen Practitioners Ctee of BMA 1997-; memb Med Practices Ctee 1989-93, Gen Med Servs Ctee negotiator 1993-; memb GMC 1989-; Freeman City of London 1976, Liveryman Worshipful Co of Needlemakers 1976, Liveryman Worshipful Soc of Apothecaries 1993; Hon FAMGP 1998, Hon MRCGP 2000, FRCS
- (COMMENT : trained eight years in hospitals as a SURGEON before becoming a GP)
Dr Simon Fradd's Publications
- Books and Publications
- Hospital Doctors' Association Guide to Your Rights (jtly, 1981), Making Sense of Partnerships (jtly, 1994), Nottingham Non-Fundholder Project, Members Reference Book RCGP (1995)
DAILY MAIL: Dr SIMON FRADD: MBBS(Lond.) FRCS (Eng.) millionaire GP-urologist
GP who laughed all the way to the bank: He's the millionaire doctors' leader who destroyed out-of-hours care - while securing a bumper pay deal for his colleagues. Ashamed? No. He thinks it's a 'bit of a laugh'
By Tom RawstornePUBLISHED: 22:01 GMT, 3 June 2013 | UPDATED: 06:42 GMT, 4 June 2013
Britain's out-of-hours health care is in crisis — and the Mail has launched a major investigative series to highlight the true, shocking scale of the problem. Yesterday, a consultant at a major A&E unit revealed the devastating knock-on effect it's having on emergency care. Today, we reveal the inside story of how GPs got a massive pay rise while opting out of caring for their patients round the clock...
With a bejewelled chain of office where his stethoscope once hung and an ermine robe to boot, Dr Simon Fradd has every reason to look as pleased as punch. This is the man who, in 2004, helped to negotiate arguably the most generous public sector pay deal in modern British history.
Representing GPs, he and his colleagues at the British Medical Association not only secured what turned out to be a 50 per cent pay rise for family doctors, thanks to new bonuses — but also managed to ditch their obligation to provide care in the evenings and at weekends.
For more than half a century that round-the-clock responsibility had been the bedrock of GPs' contract of care with patients.
Read more: http://www.dailymail.co.uk/news/article-2335400/GP-laughed-way-bank-Hes-millionaire-doctors-leader-destroyed-hours-care--securing-bumper-pay-deal-colleagues-Ashamed-No-He-thinks-bit-laugh.html#ixzz2VFAv7geV
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31 May 2013
ORNGE HELICOPTER CRASH
Premier's Statement on Ornge Air Ambulance Fatal Accident
May 31, 2013
Premier Kathleen Wynne issued the following statement:"I am devastated to learn of the deaths of two pilots and two paramedics following the crash of an Ornge air ambulance near Moosonee.
The pilots and paramedics of Ornge provide lifesaving services in every region of this province, and my thoughts and prayers are with the friends and families of these brave individuals.
They lost their lives ensuring the people of this province receive the help they need. Their service and sacrifice will be honoured and remembered."
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