"CLOTHES MAKE THE MAN" Samuel.L.CLEMENS 1835-1910

USA firm Jos.A.Bank now selling on-line to Canuck clients. In Ontario Chiropractors (in  suits) look more professional than many MDs who try to appear as "working-class" operatives. No white coat, No jacket, No tie.. The Ont College of Phys & Surgeons Registrar appears at OMA Council meetings in  bomber-jacket, jeans, and work-boots.

www.JosBank.com

CENTRIFUGAL MOVE of TOP SPECIALISTS from TORONTO to cheaper Cities.

Three top Minimally Invasive Surgeons left Toronto. Two to Ottawa and one to London,Ont. Same phenomenon happened in London, UK where bright Doctors would work for a while in a London Teaching Hospital for the CV status then move away from the high-cost of housing to Provincial cities where a 4-bedroom house could be bought on a single NHS salary.. An upper-middle class home in Toronto is at least $1.5-mill. Unlike USA mortgages are not tax-deductible in Canada.

UK DAILY MAIL: ANTIBIOTIC RESISTANCE Predicted fiscal disaster

Mr O'Neill heads the Review on Antimicrobial Resistance, which was set up in July by Prime Minister David Cameron and publishes its findings today.

Read more: http://www.dailymail.co.uk/health/article-2869706/Superbugs-kill-10-MILLION-people-year-2050-cost-world-economy-100-TRILLION-unless-urgent-action-taken-tackle-growing-resistance-antibiotics.html#ixzz3LeG9Z4fw
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Mr O'Neill stressed the importance of nations across the world working together to avert the potential economic and health crisis.

He said: 'Drug-resistant infections already kill hundreds of thousands a year globally, and by 2050 that figure could be more than 10 million.

'The economic cost will also be significant, with the world economy being hit by up to 100 trillion US dollars (£63.6 trillion) by 2050 if we do not take action. 

WHAT IS ANTIMICROBIAL RESISTANCE?  

In 1928 a piece of mould fortuitously contaminated a petri dish in Alexander Fleming's laboratory at St Mary's Hospital.

It produced a substance, later called penicillin, that killed the bacteria growing in the dish.

Twelve years later Fleming and others had taken this finding and created the 'wonder drug' of their time, which could cure patients of bacterial infections.

Further antibiotics were developed, revolutionising healthcare and paving the way for many of the most notable medical advances of the 20th century.

The breakthrough meant illnesses like pneumonia and tuberculosis, which until then had been deadly, could be cured.

A small cut no longer had the potential to be fatal if it became infected, and the dangers of childbirth and surgery were greatly reduced.

In recent years, advances in antiviral medications, have transformed HIV from a probable death sentence into a largely manageable lifelong condition. 

But bacteria and other pathogens are constantly evolving to resist new drugs.

Resistance is increasingly becoming a problem, because the pace at which scientists are discovering new antibiotics has slowed drastically, while antibiotic use is rising.

It is a problem not solely confined to bacteria, all microbes have the ability to mutate to beat drugs.

The great strides made in the past could be reversed, with diseases including malaria, TB, pneumonia once again spiralling out of control. 

'We cannot allow these projections to materialise for any of us, especially our fellow citizens in the Bric (Brazil, Russia, India and China) and Mint (Mexico, Indonesia, Nigeria and Turkey) world, and our ambition is such that we will search for bold, clear and practical long term solutions.'

He told BBC Radio 4's Today Programme, 'whatever we do in the UK, we are not going to solve the problem on our own', adding that the picture 'gets bleak' if the world does not take steps to counter the problem.

As well as stressing the importance of international cooperation, he suggested that an 'innovation fund' could help with the huge costs involved in developing new medicines. 

Politicians and scientists have warned of the need to find a cure for infections that have become resistant, with Mr Cameron this year stating it was a 'very real and worrying threat' that could send medicine 'back into the dark ages'. 

Professor Dame Sally Davies, chief medical officer for England, said the latest research is 'compelling'.

She said: 'We all know that antimicrobial resistance (AMR) is important. 

'This is a compelling piece of work, which takes us a step forward in understanding the true gravity of the threat.

'It demonstrates that the world simply cannot afford not to take action to tackle the alarming rise in resistance to antibiotics and other antimicrobial drugs we are witnessing at the moment.  

'I look forward to the ideas that Jim will recommend in due course for how we can begin to turn this tide globally.'

Professor Anthony Kessel, director for International Public Health at Public Health England, said 'if ever we needed a reminder of what a public health catastrophe looks like, then this has to be it'. 

'Stopping resistance developing should be straight forward: prescribing the right antibiotic for the right infection for the right time and stopping infections spreading by practicing good infection control,' he said.

'However, in reality this can be difficult to achieve, particularly in countries where antibiotics are freely available or there is lack of sanitation and healthcare is limited.

'For bacteria, the development of resistance to antibiotics is a natural evolutionary process in terms of survival. 

TORONTO STAR: OSHAWA LAKERIDGE HEALTH (aka Oshawa Gen Hosp) "STAFF SNOOPED INTO 500 FILES".

"Fourteen have been disciplined for accessing data in the Oshawa facility's mental health program" for the past ten years.

WSIB insurance for MDs & Staff not noted by OMA Review in 45 years.

WSIB INSURANCE for MEDICAL OFFICES

Although NOT MANDATORY, Ontario MDs can insure themselves and staff for Occupational injury, illnesses, and death cheaply by WSIB at the rate of 73 cents per every $100 of OHIP income and staff salary. For $200,000, yearly premium would be $1460,(about $28 a week) The Late WSIB Chmn Hon.Lincoln Alexander QC stated in a letter that provided contact with communicable disease is noted in an office diary, the MD and Staff would be covered by WSIB if infected. Estate of SARS-killed GP Nestor YANGA received nothing from the Ont Govt as he`was "self-employed". Had he been covered by WSIB his Estate wiould have received approx $100,000.

MDs not part of the $2.3-million 7 Local Health Integration Networks Primary Care Low Back Pain Pilot program

OMA members are not part of the $2.3-million LHIN "Primary Care Low Back Pain clinics.

Two will be Nurse Practitioner led. "Chiropractors, Physiotherapists, Occupational.Therapists, Kinesiologists & Registered Massage Therapits" will make up the Teams according to Health Minister Dr.Eric HOSKINS  MD(McMaster 1985) D.Phil(Oxon) FRCPC(Comm.Med 1994) today at 333 Sherborne St Medical Centre (previously the Canadian -Hungarian Drs REKAI  Central Hospital.). No OMA Board or Staff member was present at the announcement which was advertised by email to the medical media. An OMA member asked the Minister whether medically trained Osteopaths could apply.. Dr Hoskins replied that his Staff would reply to the question. (Misses Levi & Wilkinson).

(There was no discussion about this program at the $2-million OMA Council meeting Nov.22-23).

ontario.ca/health-news.

OMA ELECTION RESULTS of DIRECTORS ELECTED BY COUNCIL

Council has approx 250 paid delegates coming from all areas of the Province for the 2 day meeting (22-23 Nov.). Delegates are paid for time at Council + travel time from home + costs of travel and hotel (Hilton,145 Richmond St.Tor.)..Elections are held on Sunday morning. There are usually only about 190 still at Council.

DIAGNOSTIC ASSEMBLY: Cytologist ; Ont. Director of LIFE LABS (BC & Ont.) since 2011 Virginia WALLEY, MD(Western Ont,,London 1978) re-elected.

GENERAL PRACTICE ASSEMBLY : NORTH BAY GP James STEWART MD(Tor. 2001) beat incumbent Ottawa GP Alicia DONOHUE MD (Ottawa 1985).

MEDICAL (Specialist) ASSEMBLY: Only one nominee RICHMOND HILL (Northern Toronto suburb)
PAEDIATRICIAN Hirotaka YAMASHIRO MD (Tor.1993) Licensed in Ontario & Japan(2004)