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.

MEDICO- LEGAL SOCIETY OF TORONTO

COMMENT: IMPORTANT TO JOIN. LEARN HOW LAWYERS THINK. VISIT POLICE FORENSIC BUILDING. MEET TORONTO LAWYERS. AS QC NO LONGER AWARDED FOR LEFT-WING POLITICAL REASONS, IT IS DIFFICULT KNOW WHO IS A SUPERIOR TRIAL LAWYER. GOING TO ONE OF THE TOP FIRMS HELPS. AT MED-LEGAL DINNERS A DOCTOR CAN MEET LAWYERS BOTH INTROVERTED SOLICITORS AND EXTROVERT BARRISTERS/.

CMPA APPOINTED LAWYERS ARE NOT ALWAYS THE BEST. FOR CPSO AN AGGRESSIVE CRIMINAL LAWYER IS PREFERED TO A GENTLE SOLICITOR-TYPE THE  ALL FEMALE CPSO LAWYERS ARE EXTREMELY AGGRESSIVE/ A DOCTOR NEEDS A SIMILAR TYPE TO WIN. REMEMBER THE CPSO TRIBUNAL IS NOT A COURT AND SO THE PROOF REQUIRED FROM PROSECUTOR NEED NOT BE AS STRICT AS IN A COURT. ALSO THE TRIBUNAL IS A MIX OF PART-TIME OLDER DOCS AND POLITICAL APPOINTEES.

 IT IS IMPERATIVE TO HAVE A SINKING FUND OF $100,000 FOR A COURT APPEAL TO AMATEUR TRIBUNAL VERDICTS, UNLIKE UK, CMPA DOES NOT FUND APPEALS. THERE IS NO LEGAL INSURANCE FOR APPEALS.

CPSO STATS SAY A MD WILL HAVE A SERIOUS COMPLAINT EVERY 20 YEARS. AS CPSO AUTOMATICALLY SENDS MD OR NURSE INVESTIGATORS AT 70 & THEN EVERY 5 YEARS.  BEST TO STOP CLINICAL PRACTICE AT MAX. 69. ORGANISING CLINICS AS ADMINISTRATOR AVOIDS CPSO CONTACT. LEAVING CLINICAL PRACTICE AT 50 IS EVEN SAFER WITH LESS RISK OF CPSO LITIGATION.

MANY SMART ONT DOCS GET CALIFORNIA AND/OR FLORIDA LICENCES SOON AFTER GRADUATION. EASY THEN TO RELOCATE AFTER CHILDREN LEAVE LOCAL UNIVERSITY.

HOSPITAL SECURITY; TIME TO TAKE PREVENTIVE ACTION. COPY SECURITY MEASURES AT LEGISLATIVE BUILDINGS .

MINIMUM MEASURES SHOULD INCLUDE SECURITY GUARDS AT ALL ENTRANCES. METAL DETECTORS. VISITOR BADGES.  CONTROLLED ACCESS TO IN-PATIENT AREAS.

TORONTO PUBLIC HEALTH EPIDEMIC PAROTITIS FROM JAN 2017 ; 117 CASES

IMMUNISATION IN ONTARIO IS VOLUNTARY.

GLAUCOMA PATIENTS CAN USE PORTABLE FINNISH ICARE TONOMETER. ; $3000

$6250 MODEL CAN BE USED WITH PATIENTS IN SUPINE POSITION

$5000 MODEL FOR SEDENTARY  OFFICE USE

$3000 MODEL FOR PATIENT USE.WITH LINK COMPUTER MEMORY,ANALYSIS AND GRAPHICS.

SWISS DISPOSABLE PROBES: $1.40 EACH FOR PHYSICIAN MODELS. $1.90 EACH FOR PATIENT MODEL.

ICARE FINLAND OY PART OF REVENIO GROUP CORP OY.(HELSINKI STOCK EXCHANGE)