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