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JuST fOR C a n a D i a n doCtors life + leisure May/June 2009 Contents MAY/JuNE 2009 Editor and Art Director Barb Sligl Editorial Assistant Adam flint Contributors Dr. Dara Behroozi Dr. Susan Biali Dr. Mel Borins Dr. George Burden Dr. holly fong Dr. Marlene hunter Tiffany Jarva Dr. Stan Kutcher Dr. Chris Pengilly Dr. Neil Pollock Manfred Purtzki lisa Richardson Dr. Kelly Silverthorn 21 14 Corey Van’t haaff Cover photo iStock Features Advertising Sales Manager Ruth findlay 14 lessons from the mountain Senior Account Executive Monique Mori A physician tackles the trek to the top of Mount Kilimanjaro Account Executive Teri Richardson Classified Sales Yee Peng 21 sail away Sales office Advertising In Print A rockin’ vacation off the coast of Nova Scotia 710 – 938 howe St. Vancouver, BC V6Z 1N9 Canada Phone: 604-681-1811 fax: 604-681-0456 Email: ColuMns dePartMents info@AdvertisingInPrint.com 8 doctor on a soapbox 5 May/June mix Stop the presses Associate Publisher linh T. huynh 18 prescribing R & R Production Manager Ninh hoang 9 aqueous humour Taking a dive Bedside manners Circulation fulfillment Yee Peng 25 CME calendar 10 the wine doctor CME Development Adam flint Portuguese wine renaissance 31 employment opportunities CloCKwISE fRoM ToP lEfT: CANADIAN SAIlING ExPEDITIoNS; DR. STAN KuTChER; ISToCK founding Publisher Denise heaton 11 the food doctor 35 classifieds It’s lobster season Just For Canadian Doctors is published 6 times 37 sudoku a year by In Print Publications and distributed to Canadian physicians. Publication of 12 motoring 38 small talk advertisements and any opinions expressed Rocking the Rock with Dr. Gordon Chapman do not constitute endorsement or assumption of liability for any claims made. The contents 13 tales from the trenches of this magazine are protected by copyright. Road to Rwanda None of the contents of the magazine may be cover photo: reproduced without the written permission of 19 the wealthy doctor Mount Kilimanjaro In Print Publications. Your retirement nest-egg is a rite of passage In Print Publications for climbers and 710 – 938 howe St. 20 techworks adventurers Vancouver, BC V6Z 1N9 A new old way to care for wounds worldwide, but Canada it also provides www.justforcanadiandoctors.com great life lessons Printed in Canada. miss an issue? to a physician check out our website! who tackles the peak with his son. May/June 2009 JuST fOR CanaDian DOCTORS 3 from the editor family adventure T ypically vacations are with family. the conference) and while strolling That’s the whole point—to travel through the old town sightseeing. with the people we love, and to Perhaps the best type of family explore places together, share experi- escape is a romantic one, like Dr. George ences and create new memories. Burden’s sailing adventure off the coast And travelling with family can add of Nova Scotia with his wife (yes, some immeasurably to a trip, offering insight “rocking” was likely involved). A leisurely and personal growth. This is what getaway with a partner—away from the Travelling Dr. Stan Kutcher found out when he usual domestic worries—can work with family climbed Mount Kilimanjaro with his wonders (page 21). is a great adventure. son Matt (page 14). As he puts it, the Dr. Kelly Silverthorn took on a more from top mountain taught him many lessons. challenging adventure with his wife: the Sitting in I fondly remember a trip with my Targa Newfoundland rally-car race (page an outdoor sister, Dr. wendy Sligl, to Brussels, 12). They survived unscathed with a new- café in the old town of Belgium. She attended a medical found respect for each other (and as navi- Brussels (me) conference and I tagged along, ex- gator and driver). when’s the next race?! and taking in ploring the beautiful city while she Another challenge: sky-diving out of the beautiful presented work and networked with a plane thousands of feet above earth. Dr. architecture of colleagues (I relished the glimpse George Burden tackled this leap with his w. sligl; B. sligl la Grand Place (my sister). inside her professional life). our teenage niece (page 18). unforgettable. bond grew—both during the stress Take on a family adventure! of travel (including a hellish bus Barb Sligl, BA, MPub ride from Brussels to Prague after feedback@InPrintPublications.com A Complete EMR Solution for General Practice & Specialists now available in British Columbia call to arrange a demonstration 604 980 5577 or e-mail email@example.com www.intrahealthcanada.com 4 JuST fOR CanaDian DOCTORS May/June 2009 what/when/where > may/june books | food | shows | festivals | places | getaways | gear… mix san antonio mission The Convento Cloister at Mission Concepción is a tranquil, shady spot shielded from the hot Texan sun in the midst of San Antonio. Thick walls hold hundreds of years of stories from the days when the mission was one of five (including the far-more- famous Alamo) built in Spanish territory in the 1700s. Today the place church is an active parish, a tourist draw in a National historic Park, and a beautifully preserved example of Spanish Colonial architecture. Sit still and imagine the missionaries, vaqueros (cowboys) and tejanos (Texans) of days gone by (and see some modern-day ones). B. sligl nps.gov/saan/ For more on San Antonio, see page 25 and go to visitsanantonio.com. —B. Sligl May/June 2009 JuST fOR CanaDian DOCTORS 5 mix may/june cele- brate D-DAY 65 years later This June is the 65th anniversary of D-Day, when the beaches along the Normandy coast of France were stormed by Allied troops during WWII. Celebrations and commemorations—with some of the last remaining veterans—will take place at the Britsh-, Canadian- and American-led landing spots (Gold Beach, Juno Beach, Omaha Beach, Utah Beach). And on the evening of June 5th 25 fireworks displays will be set off simultaneously along 50 miles of coastline, illuminating this spectacular, stark and pathos-filled landscape. —B.S. normandiememoire.com; clockwise from top left The remains of Mulberry “B” harbour dot the coast off of Arromanches, where Allied soldiers unloaded after D-Day. • German gun batteries at normandie-tourisme.fr the Longues-sur-Mer clifftops. • Memorial sculpture at the Canadian Juno Beach Centre. • Over 9,000 graves overlook Omaha Beach at the American Cemetery. charity getting to better on a wing, a prayer, and 4571 hours of volunteer time Hope Air provides 2470 free flights a year to get Canadians to medical treatment D Sweeney was bornwitha giant avid RonaldMcD onaldHouse. “It was a very T ent reatm for D avid’s tracheotom y resource, m akingit easier for patients to om phalocele, oneof theworst cases scary, roughyear,” says his m other, Tracy canonly bedoneinC algary, 527km beassessedfor lungtransplant.” his doctors hadever seen. Hewasn’t Sweeney. O D n avid’s release, they m oved away. For helpgettingthere, the A23year oldnational charity, Hope expectedtolive. toSaskatoontobecloser tom edical Sweeneys turnedtoHopeAir. Air has providedover 56,000freeflights Hespent thefirst 14m onths of care, leavingbehindfam support ily, ut O ontheeast coast, over 500 toC anadians across thecountry, totrans- his lifeinintensivecare, underwent 7 networks, jobs anda housethey had ilies fam fromAtlanticC anada turnedto port themtom edical carewhenthey surgeries, anddevelopedseveretra- barely slept in. HopeAir last year, too. can’t affordthetransportationcosts. cheobronchom alacia, for whichhehad Illness doesn’t necessarily strike r. D LianneSinger is them edical Its founders, twovolunteers ina tobeairliftedtoCalgary for treatm ent. e, closetohom or closetom edical director of thelungtransplant program Torontocancer caredepartm saw ent, His parents spent theyear livingin treatm ent. at TorontoGeneral Hospital, where howexhaustedpatients arrivingfor theworld’s first lungtransplant and ent treatm werejust fromgettingtothe first doublelungtransplant took place. hospital. They m arshaled56freeflights e “W havea lot of patients for lung oncorporatejets for non-em ergency transplants fromtheAtlanticprovinces m edical treatm ent. becausethereis nolungtransplant In2008, 50%of HopeAir’s 2470 servicethere.” flights werefor childrenneedingm edical r. Says D Singer, services likeHope ent. treatm For thosefam just like ilies, fRoM ToP: B. SlIGl (4); CouRTESY hoPE AIR Air “area hugehelptopatients because ily avid thefam of littleD Sweeney, Hope otherwise, they’dhavetoget hereby Air isn’t just anairline, it’s a lifeline. som other m e eans, andthey’realready —Lisa Richardson facinghugeother pressures. Anything HopeAir assists clients ineveryprovince, that caneasetheburden(that patients andcaneventurnyour RBCRewards arefacing) is a great thing. Hope Points intofreeflights. For information Felix, age 6, and his mom en route from Northern Ontario to The Hospital Air im proves access toa very lim ited for Sick Children (SickKids) in Toronto on a Hope Air volunteer pilot flight. visit www .hopeair.org. 6 JuST fOR CanaDian DOCTORS May/June 2009 may/june mix rocky retreat get- away “The tourists go to Banff, the locals go to Kananaskis,” claim many Albertans. So do G-8 leaders. They held their Canadian summit at Kananaskis Village’s Delta Lodge in 2002, because, as Sales & Marketing Director Reto Nigg puts it: “We have a strategic location, beautiful surroundings, an advanced communications system and all the amenities.” They also have a track record, having hosted the APEC Finance Minister’s Conference four years earlier, as well as Where DOes plenty of CME events. The NAMe COMe K.C., as the locals affectionately call it, is a 4,200-square- FrOM? It was kilometre multiple-use and recreational area consisting of Captain John one ecological reserve, five Wildland Parks and five Provincial Palliser, on his ex- Parks. Thirty-one years ago, Premier Peter Lougheed officially ploration through dedicated the largest of them, a 500-square-kilometre area the area 150 years around the Kananaskis Lakes that now comprises Peter ago, who gave the Lougheed Provincial Park. Located just half an hour west of river and surround- Calgary on the southeast slopes of the central Rockies, the aerial of highway 40leadingintoKananaskis Country ing area its Cree area offers hiking trails and backcountry camping, mountain name, Kin-e-a-kis, biking, downhill and cross-country skiing, horseback riding and golfing in phenomenal mountain settings. You can’t find a after he heard better place for relaxation and recreation. about a Cree Built in 1987, Delta Lodge seems to be in the centre of warrior who had Kananaskis country. Hiking, biking and X-country trails extend survived an axe like wheel spokes with the hotel at its hub. Looming over all blow to the head. of this are the 10,000-foot peaks of the Rockies. Nakiska, built for the 1988 Calgary Winter Olympic Games, offers uncrowded skiing five minutes away, two legendary 18-hole golf courses are within a short distance, and a five-minute drive leads to Boundary Ranch. a trail runs along it The Ranch employs over a hundred sure-footed, obliging horses. Take the 2-hour trail ride, which climbs up to the ridge over narrow, steep trails, to deliver mile-high mountain views before dropping into verdant forest trails. Now combine that with the Ranch’s Western style barbecue and enjoy a little luncheon of steak, baked potato, beans, and corn, followed by homemade pie. And then, combine it yet again with a little surf. The Boundary Ranch offers a full day trail ridinginKananaskis Country Kananaskis Country Golf Course “Surf and Saddle” adventure that rounds out your day with a little white water rafting. a river runs through it hikinginPeter LougheedProvincial Park And on another day, two renowned side-by-side 16-hole golf courses await your irons. Will it be Mt. Kidd, Mt. Lorette, or both? At 1,500 metres, these mountain courses are overlooked by their namesake mountains, but not by “gourmet” golfers. The Kananaskis River is an ubiquitous presence in the courses’ combined 243 hectares of fairways, bent grass greens and bunker bliss. a road leads to it Now you might be ready to head back to the Delta’s Signature Club, a separate hotel wing with trail, river, road its own restaurant, concierge, and lounge with honour bar and hot and cold hors d’oeuvres. If it’s a “spring rolls” day, you won’t need dinner. In the mornings, a complimentary continental breakfast awaits you, with yogurt, fruits, muffins and killer cinnamon buns. The Lodge is also a popular conference venue, with 65% of its business coming from conferences. “Last year we hosted the doctors’ I Care Network,” says Nigg. “Another annual conference is the University of Calgary’s Cabin Fever.” (A three-day professional development conference for rural and regional preceptors, organized through the Faculty of Medicine, and the largest event of its kind in Canada.) “In Kananaskis venues and attractions are easily combined to vary the scene for conference delegates, and that’s a real boon for organizers.” For those who like their pleasures on the rocks, Kananaskis is the getaway. —Cherie Thiessen TRAVEl AlBERTA MORE INFO TravelAlberta.com; Kananaskis-Country.ca HORSEBACK TRAIL RIDES & WESTERN STYLE MEALS boundaryranch.com GOLFING kananaskisgolf.com LODGING deltalodgeatkananaskis.ca May/June 2009 JuST fOR CanaDian DOCTORS 7 d o c t o r o n a s o a p b o x d r . c h r i s p e n g i l ly Dr. Chris Pengilly is Just for Canadian Doctors’ current affairs columnist. Please send your comments to him at firstname.lastname@example.org. too much news? we’re inundated and oversaturated with news I am a family physician. As such, of does one have to hear the heartrending judgment is questionable, and in some course, I see a wide variety of illnesses. recording of Mrs. Dziekanski crying and remote part of the world 20 people were Two diagnoses that seem to be sounding inconsolable? killed in a bus accident. coming up more and more frequently are what is the news value of watching having thought about this I tried a 311—depression—and 50B—anxiety. Australian families distraught as they look at limited unblended clinical trial. I suggested I began to ask myself why this is. Am the smouldering remains of to patients that they listen I over-diagnosing the condition or is the their houses? to the news just once a day incidence truly increasing? I think it’s the latter. So then I asked myself what is causing Is there any relevance of a bus crash in Venezuela There is (that should be enough to make sure that the world this increase. If we have some idea of the cause, then maybe there is a way of treating resulting in 20 deaths? finally, the frequency. excessive hasn’t stopped spinning). I also told patients to never it without prescriptions for Prozac and xanax. we should not be ostriches burying our heads in the hyperbole watch the news; preferably they’d get news from a in news I don’t think there is any one answer; the sand. on the other hand, to print medium, and pick one which I will focus on here is that I think be told this news every hour, and choose from headlines we are over-saturated with news. I suggest on the hour (and in some on only those matters they there is excessive hyperbole in its delivery. It’s often too graphic in its presentation— commercial radio stations every half an hour) amounts delivery wanted to be informed about. Any electronic and it’s presented in excess. to brainwashing. There media should be used only News presenters have never shied away are radio and television stations entirely to play recorded music, audible books or from using hyperbole. And the current dedicated to the news. good escapist movies. economic chaos has really given them an Every hour a person can be regaled It worked. This is not for everybody, but opportunity! The fact that the unregulated by the fact that the world finances are it has certainly worked for several of my banks in the uS have precipitated a plunging, our national police force’s patients. It could be classified as modifying correction in an overinflated economy—a lifestyle, like getting the overweight and little more than is comfortable—is unfit to exercise more and eat less. In this presented with such terms as spiralling case, getting the mentally stressed to down, plummeting, catastrophe. A readiness modify the information they receive and to report on the days the stock markets are then have to deal with. It is so simple and falling is matched by a reticence on the yet effective. days when there is “green on the screen.” I had the gratifying experience of a Nowhere are there reports or nurse asking me what I had done comments concerning the positive for her housebound aunt. She had aspects of this correction. The no prescription for tranquilizers or falling Canadian dollar can only be antidepressants but became much good for an exporting country like more tranquil. Canada. The more realistic real This is one of the joys of estate prices have enabled several medical practice. There are of my younger patients to enter still areas in which one can the housing market. This would experiment. There is still the not have been thinkable six opportunity to practice and months ago. The falling cost develop the art as well as the of oil has put dollars back science of medicine. into most households that I would be very interested own a car. likewise the cost if any other readers have had of transporting goods is less a similar experience in this or prohibitive. other fields of medicine. No matter what the rights ISToCK or wrongs of the situation at the Vancouver International Airport, how many more times 8 JuST fOR CanaDian DOCTORS May/June 2009 aqueous humour dr. dara behroozi Dr. Dara Behroozi is Just for Canadian Doctors’ humour columnist. He practises medicine, plays soccer and enjoys single-malt. bedside manners walk the ! plank we’ve softened—from crusty old docs to young, iPod-toting ones A s I walk the wards with the Sitting at the end of the bed, they young residents these days I am would say things like...”It’s not looking always impressed by how polite good old chap…er…I wouldn’t start they are—even to the most difficult, reading War and Peace...You know... personality-disordered patients. A far cry get your affairs in order.” And with from when I trained, when the Gods who that they would be up and off, ran the teaching hospitals would talk before the patients had any time down from their pedestals to the patients, to express “excessive” emotions or or dispense wisdom to us students, ask unnecessary questions. of course, laced with sarcasm and disparaging a nurse was quickly dispatched to deal remarks about our intellectual prowess. with the quivering unfortunate in the In England, where I trained, the medical bed. The ward was run by a Sister or chief fight against the Nazis. hierarchy has long nurtured a reputation nurse who was constantly telling patients Back to that hypercalcemia episode. for humiliating the next generation of to “Pull yourself together,” when they did It happened on a wet November day, on doctors. not meet pain or bad news with a stiff a ward round in my forth year of medical once you have been destroyed in upper lip. school. God settled his eyes on me and front of your peers and patients for not Things are much better now…or asked for five causes of hypercalcemia. recalling the five most common causes of are they? well, we are much nicer to I could only come up with three. I was hypercalcemia, you never forget it. everyone, even when there is nothing then asked to “walk the plank,” as we The crusty old docs out there will wrong with them. we treat everyone with minions called it. That was when the remember the characters I am talking respect. what could possibly be wrong Professor sent you home to read up, since about. They would march imperiously with that? Nothing, except you don’t get you obviously did not know enough to down the ward, followed by a flock of far using a carrot alone. be on his ward round. It was worse if it fawning (or at least frightened) students, we no longer judge (rightly so) but happened at the end of the long Victorian residents and nurses. rather hold hands wards, as you would have to walk They would pause while patients shamefaced like a latter-day oliver Twist before a recently Once you have drink, drug, gamble, past all the inquisitive glances of the admitted patient, who just played a been destroyed philander, or malinger their way patients, cleaning staff and care aids. from that day on I could—and supporting role in the theatrical drama, in front of your through life. like a priest, we are there still can—recall All the causes of hypercalcemia, and hypocalcaemia, and and wait. peers and patients for them; but unlike many other much more obscure facts. one of us would the priest, we are to I have often asked my residents the stutter out the for not recalling be silent witnesses. hypercalcemia question. Sometimes I history and then God of course, for some get a couple of causes, and occasionally would examine the the five most this can be too none can be recalled. however, today’s patient. “who made this wound?” he common causes much. An old doc, long gone, who residents quickly remind me that all these things can be looked up in a matter would say looking at the appendectomy of hypercalcemia, I had met in my youth, was telling of seconds and no longer have to be committed to memory like a parrot. True scar. we all looked at the quickly you never forget it me of a patient who had come to him enough, but what sits in the memory is like an old friend who is much easier to reddening senior yet again to pad reconnect with. resident. “what’s the matter Dr. Smith, a car accident claim with “pain diaries,” Just like the pendulum that has swung can’t you cut straight? Did you have too and whiney complaints…eventually too far to one end and needs to be many beers the night before?” After a my old friend had had enough: “what centred, we too need to find something quick patronizing pat on the patient’s exactly makes you think I am in the least between the sociopathic doctors of the head, we would be off to the next bed. interested in every twinge and ache that past and the enabling, iPod doctors of the ISToCK watching the crusty old docs trying besets you?” To add effect, he tapped future. to break bad news was distinctly painful. his pen on his glass eye, a souvenir of his May/June 2009 JuST fOR CanaDian DOCTORS 9 the wine doctor dr. neil pollock Dr. Neil Pollock is a member of the Wine Writers’ Circle of Canada; visit his website on wine at vinovancouver.com or send feedback to email@example.com. He practises no-scalpel, no-needle vasectomy and infant circumcision. beyond port + green wines Vinho Verde translates as “green wines,” but these wines didn’t get the name from their standard yellow to golden colour. They’re green because the grapes need to be consumed young, while There’s a Portuguese wine renaissance going on fresh with bright flavours. Besides crisp acidity and vivid fruit flavours, Vinho Verde wines also have some fizz. Before the advent of modern winemaking techniques, the wines A s a medical student I backpacked herbs—and they can age underwent a slight secondary fermentation in the bottle. through Europe and toured the exceptionally well. Locals consider any Vinho Verde without carbonation beaches of the Algarve along Quinta da Cortezia flawed. Vinho Verde is white or red, but the whites are Portugal’s coast. I remember motoring along 2005 (about $18) is deep much better—and true bargains that range from $6 to rough roads on a moped with the hot sun in colour, showing tons of $10. They’re the perfect accompaniment to shellfish, mild and warm wind on my face, searching for the fleshy plum. It ages 300 days cheese, fruit, pasta, salads and other summer fare. next beautiful beach to set camp on. I also in french-oak barrels and remember being totally unimpressed with 120 days minimum in the Portuguese wines. But that was 25 years ago bottle. with a nice layering and I’m amazed at how things have changed. of spicy aromas, its structure for hundreds of years Portugal has is firm and powerful. It’s best preserved its rich heritage of indigenous served with fine meats and grape varieties to become the world’s strong-tasting cheeses. Also eighth-largest wine producer. And now a from the Douro is Quinta new generation of winemakers is marrying dos Quatro Ventos (about modern winemaking technologies with $20)—deep purple, per- traditional craftsmanship to produce wine fumed with spice, coconut that is making the world’s wine connoisseurs and oak aromas, and laced take notice. with sunny black fruits. It’s left Thewineterraces of theD uorovalley inPortugal, longknownfor port but I met Marcio ferreira, North American soft with a seasoned texture nowalsofor its wine. right Thetownof Pinhãocom tolifeduringtheannual es marketing manager for Viniportugal (a trade and a rich-yet-dry aftertaste. n, grapeharvest intheautum attractingpickers fromall over Portugal. association promoting Portuguese wines), at The Meandro Douro Rd by a recent wine-tasting event showcasing close f. olazabal filhos (about $15) to 50 of Portugal’s top wine producers to is also dark in colour with a prove that the country’s wines are undergo- saturated blueberry and licorice nose. with minerals. This robust red finishes smooth and ing a renaissance. As ferreira puts it, “Portugal lots of blueberry, blackberry, black current, fruity with good tannic structure and is best has a great advantage because its wines are chocolate liquor and vanilla on the palate, it’s paired with a braised meat dish. undervalued at all price points.” clean, rich and powerful. At the wine tasting I also met Domingos Two well-established wine regions (from In Southern Portugal, the Alentejo region Alves De Sousa. This affable man epitomizes a long list) are the Douro and Alentejo. wine is a vast rural area of flat planes and occasion- today’s Portuguese winemakers. his family terraces have tamed the slopes of the Douro al low hills marked with cork, oak and olive has been making wines in the Douro for valley for centuries. one of the wildest wine- trees. The soil here is rich lime with granite, generations, but now, instead of selling wines growing landscapes in the world, its soil is schist and marble. Popular grape varieties are in bulk to the major port houses, he’s produc- schist—poor, rocky soil with low yields. The Roupeiro, Aragones and Trincadeira. Alentejo ing, bottling and marketing wines under his main grape varieties are Touriga Nacional, was the source of Portugal’s wine revolution, own label. The Alves De Sousa name is one to Tinta Roriaz (Aragones) Touriga franca and adopting modern wine-growing methods look for, especially on higher-end bottles like Tinta Amarela. Despite the rocky soil, these with impressive results and international Abandonado 2005 (about $65). Domingos vines flourish and sink their roots deep. acclaim. It’s best known for red wines that are and I did a lot of smiling and nodding at Port may be Douro’s most famous prod- full-bodied, fruity and suitable for aging. each other; I couldn’t speak Portuguese and uct, but its table wine is produced in greater Esporao Reserva 2005 (about $20) he couldn’t speak English, but after clanging quantities and is capturing consumers with is a deep-red wine matured one year in glasses filled with his top vintages more than its dark colours—inky, opaque, ripe blackber- American oak barrels and another year in the a few times, it didn’t matter much. ries—and notes of rockrose. Touriga Nacional bottle. with blackberry flavours and a tarry, whether you’re a Portuguese wine virgin fRoM lEfT: RuI CuNhA; João PAulo is the dominant and best-appreciated red- savoury element, it’s best paired with any or avid collector, there’s a bottle to please wine grape variety here. Growers all over the stewed, braised or roasted red meat or fish your palate. This new wave of Portuguese country have discovered its potential. The dish. lush, with an evident oak footprint, this wines is proof that great quality is still avail- grapes are small with a high concentration agreeable red comes from the well-respect- able at great prices. Instead of reaching for of sweetness, aroma, extracts, tannins and ed herdade winery. Also from the Alentejo familiar varieties from france or California, go colour. Its wines are aromatic, bursting with region, Cortes de Cima Chamine 2006 by for the Douro or Alentejo. Saude! dark berry fruit, with floral notes of violets Casa Agricola (about $17) has sweet blue- and rockrose pine with eucalyptus and and-black fruits with mellow oak and earthen 10 JuST fOR CanaDian DOCTORS May/June 2009 t h e f o o d d o c t o r d r . h o l ly f o n g Dr. Holly Fong is a practising speech-language pathologist with three young children who is always trying, adapting and creating dishes. it’s lobster season Time for some drunken lobster and mangos S pring is one of my favourite seasons. Maritimes, coinciding with an abundance The days are longer, the weather of mangos and the first peas at the farmers’ is warmer and who isn’t markets. happier with the abundance lobster, in season, is of yellow, purple and pink priced comparably with flowers in yards and other meats, and given a public spaces? It also choice between steak heralds the return of and lobster, I’ll choose some of my family’s the latter. As long as favourite foods. The I can serve it shell big spring lobster free (or I’ll find myself fishery opens in the constantly peeling shells at the table for my ravenous two- lobster mango salad year-old twins while my (serves 4) own dinner goes cold). Removing raw lobster from dressing the shell is very difficult and 1 garlic clove, minced not recommended—trust me, I’ve 1 tablespoon fresh tarragon, chopped tried; it’s much easier to remove meat from zest of 1 lime, grated boiled lobsters. But I find boiling renders juice of 1 lime the meat tough and dry compared to stir- 1 tablespoon of honey frying. The solution: the Chinese cooking 1 teaspoon of dijon mustard method for a succulent and moist “dunked” ¼ cup of olive oil or “drunken” bird. Put the lobster into a big salt and pepper pot of boiling water flavoured with carrots, — onion and celery. when the water returns to 1 package of baby spinach, 5 oz a roiling boil, cover the pot and turn off the 2 large ripe ataulfo mangoes (flat, yellow mangoes) heat so that the lobster cooks gently in hot 4 lobster tails, cut into 1 inch rounds water (a two-pound lobster will cook in 18 minutes). Cut up immediately or cool under C binethefirst 7 ingredients for thesaladdressing om ice water to stop further cooking. ina largem easuringcupor bowl. Whisk toem ulsify. An added bonus of this cooking Addsalt andpepper totaste. Refrigerateandre- method is that I get two meals from one em ulsify beforeusing. lobster. The tail meat combined with Peel them angos. O a largebowl, scorethe ver mango and spinach makes a colourful m angoes lengthwiseinto5 strips by cuttingtothe salad for a light lunch. And I use the lobster central pit. Thenscorecrosswiseinto8 or 9 slices. shells to make stock for a delicious risotto Sliceoff thechunks fromthecentral pit. Toss with2 containing peas and the remaining meat. tablespoons of saladdressing. when serving these dishes during Rinseanddry baby spinach. Toss with2 lobster season, splurge by serving tablespoons of dressing. D spinacham ivide ongst 4 champagne or go with a more economical plates. Put thelobster tail slices inthecentreof the accompanying wine like a well-balanced + spinachoneachplate. Scatter thedressedm ango Chenin Blanc. Try the 2005 vintage by chunks over thelobster andspinachoneachplate. the Raats brothers from the Stellenbosch region of South Africa. This Chenin Blanc D Holly Fong’s lobster risotto recipeis on r. has intense pineapple, citrus and honey DR. hollY foNG page37; her dunked lobster recipeis at spice flavours with a well-balanced acidity justforcanadiandoctors.com. to cut the richness of the lobster. It’s elegant without overpowering fruit and has a finish that lingers. Enjoy. May/June 2009 JuST fOR CanaDian DOCTORS 11 motoring d r . k e l ly s i l v e r t h o r n Dr. Kelly Silverthorn is a radiologist and Just for Canadian Doctors’ automotive writer. rocking The Rock Targa Newfoundland newbies tell all F or years I’ve yearned to tour the Equipped class. Thus, our the Granite Planet. The ideal Giannou Motorsports Porsche Newfoundland CME event just never 944 Turbo had a rally computer presented itself. when the CME approach secured to the navigator’s side of falters, my fallback is to find a motoring the dash. The computer’s odom- event. Targa Newfoundland had long eter reads to the tens of metres, captured my imagination on TV. I’d assumed the event was beyond my scope of (motoring) practice. A little web surfing and two quick phone calls later, I was a bewildered Targa Newfoundland rookie. The modern Targa format debuted in 1992 in Tasmania. Since then, the Australian, New Zealand, and Newfoundland events have offered intrepid motoring adventurers competi- r. clockwise from left D Silverthornsits over tive tarmac rallies. They traverse have further safety a seafood-chowder lunch(his second 1,500 – 2,000 km of transit stages, bowl of“thebest I’veever had”) withrace equipment, including full and an additional 500 – 700 km of course workers. • The amazing scenery and roll cages and five-point closed-road Targa stages. In the twistingroads of theG ranitePlanet and safety belts. To encour- Targa stages teams of drivers and Targa Newfoundland. • A bonus of the race age vehicle diversity, the co-drivers (navigators) compete experience: C hildrenwholinethetransit various Targa classes have against the clock (one car starting routes, cheering, seekingcom petitor handicapped closed- every 30 seconds). “cards”(think of a hockey card, only road target times based My expectations for our bigger) andteamautographs.“However on: i) car age, ii) engine ble hum your car or driving, you’reaT arga size/induction systems, mid-September week at Targa r. star,”says D Silverthorn. and iii) modifications Newfoundland were lousy weather, friendly people, interest- from stock. ing roads, and an occasional adrenaline- as do the stage notes (actually diagrams The twisty roads chosen for the event infused spat with my recalcitrant co-driver/ called “tulips” that the navigator translates to rarely allow 200 kph. The fastest cars are wife. As less of a gearhead than I, Michelle the driver: “left in 30 metres and into crest the professional gravel rally teams from was ambivalent about co-driving from the over square right in 50 metres, don’t cut…”). Subaru, Mitsubishi and Audi. factory teams outset. I may have undersold the nature of Touring division target speeds and time- from lexus and Dodge (460hybrid and the event just a little. her suspicions were arrival windows start out slow and easy and Challenger respectively) are also quick. heightened by the two sets of crash helmets progress to fast, precise and unobtainable… Though, thanks to the handicap system, the and fire suits she found in the luggage. even for fellow Targa Newfoundland rookies overall 2008 Targa Newfoundland winners Normally, Michelle refuses to read maps and Canada’s first-ever formula one driver were, again, in an old privateer BMw from while moving, and is barely tolerant of my Eppie wietzes. Eppie and wife Barb are the Nixon era. penchant for press-on driving. But the lure competing in their speedy Porsche 996 C4S. To curry favour with the spectators, most CouRTESY TARGA NEwfouNDlAND of touring Newfoundland won out. She has we all become fast friends. closed-road stages utilize some residential no regrets about her Targa experience, and The 15 cars making up the Touring segments. The tightest, in Brigus, is primarily excelled in the job. our event expectations division are an eclectic mix of old and new, one-lane alleyways meandering through the were exceeded with: sunburns, amazing cheap and expensive, including Porsche, Victorian-era village. Even the veterans were roads, real Canadiana, the welcoming Targa BMw, Alfa Romeo, Jaguar, lotus, American anxious about Brigus. I overhear three-time community, a sense of accomplishment, and muscle, and Japanese econoboxes. overall winner Bill Arnold warning one of a stronger partnership. And no spats! Starting each stage after the Touring his teams that they have to be millimetre As first-time Targanauts, we chose division are 50 teams in the Targa classes. perfect just to fit through the alley widths. the more accessible Touring division in These cars must be both street legal and A third of the way into the Brigus stage 12 JuST fOR CanaDian DOCTORS May/June 2009 ta l e s f r o m t h e t r e n c h e s we’re in trouble. Michelle is lost tulip-wise. Dr. Neil Pollock writes about wine Paroxysms of laughter echo through for Just for Canadian Doctors. the car but our pace is undiminished. See his column on page 10. Between guffaws I mutter, “I can’t believe road to Rwanda this is legal…every gearhead should get to do this once.” I’m still giggling as we exit the stage. I thank the local course marshal effusively for sharing his amazing community. A physician shares his work in sub-Saharan Africa The faster, non-residential, portions of most stages feature many elevation “N changes with blind corners and crests, ever doubt that a small group of ceptance of infant circumcision (pain, viable dips, or gravel just where you don’t want thoughtful, committed citizens technique) softened once people saw and them. Mistakes here come with enhanced can change the world. Indeed it’s learned about the new options for infant the only thing that ever has.” The truth of circumcision presented by the BCCDC team this quote (by anthropologist Margaret of doctors. “My contribution was to teach I can’t believe this Mead) was confirmed for Dr. Neil Pollock after a recent trip to Rwanda with a team my African colleagues a 30-second virtually bloodless, painless surgery with anesthetic,” is legal…every of physicians assembled by the BC Centre for Disease Control (BCCDC) and its project says Dr. Pollock. “They were using a 20-minute gearhead should partner, family health International (fhI). Statistics can be grim: An estimated 1.9 get to do this once million people were newly infected with human Immunodeficiency Virus (hIV) in sub-Saharan Africa in 2007 (for a total 22 consequences. five Targa division cars million). Two thirds of the global population have You Tube-worthy offs—both rookies with hIV live in this region, with 75% of the and past champions. fortunately, no in- world’s AIDS deaths in 2007. juries are sustained (Targa Newfoundland But there’s also hope: Studies in Africa has an unblemished safety record to date). show that circumcised men are up to 60% we survive to finish the six-day event less likely than uncircumcised men to con- despite many mechanical gremlins. we tract the AIDS virus from heterosexual sex drive as fast as we are comfortable and with an infected partner. The world health have a blast. Apart from one Mulligan in organization and the uNAIDS program now Gander, we have no close calls (missed recommend adult male circumcision as part the turn completely and slid harmlessly of comprehensive AIDS reduction programs. Dr. Pollock wanted his participation in this r. cised D Neil Pollock holds anewlycircum babyboyat KingFaisal under red tape!). The days are long, from Hospital inKigali, Rwanda. Herecentlytravelledtotheregiontoteach before 6 am to around 8 pm, not counting mission to add to the positive stats. having local surgeons his virtuallypain-free“M ogen”circumcisiontechnique. vehicle servicing or navigator homework. done over 30,000 infant circumcisions using This childnowhas asignificantlyreducedchanceof contractingthe fortunately, there’s a fair bit of idle time the Mogen technique (developed in 1954 by a S AID virus as anadult, accordingtostudies conductedinAfrica. within each day, where one gets to bond rabbi in New York), Dr. Pollock devised his own with the larger Targa community. teaching models. Before travelling to Rwanda, scissor/scalpel technique with sub-optimal At Targa Newfoundland’s closing it’s he asked the head of King faisal hospital in anesthetic, if any, requiring sutures.” easy to tell that every competitor has ap- Kigali to choose two top physicians and book what’s more, for Dr. Pollock, this trip preciated the challenge, cultural exposure, 20 babies a day for three days so that he could made an impact in reducing mortality. “I took comradeship, and scenic beauty of the pass on his surgical technique to physicians this little thing that I do, which is circumci- event. (I’m holding back a tear as I type who could then use it themselves and be sion—a small, relatively insignificant thing in this.) we all plan to return. skilled enough to teach it to other physicians. the whole scheme of medical technology You could complete the Touring side he prearranged everything from home. today—to another country, and that small of the event with a rental car, $20 worth “You think it’s hard to book a surgical schedule intervention will reduce the risk of AIDS trans- of stopwatches/calculators and a strong in Canada? Try doing it when you’re in Canada mission by about 60%. As doctors we dream sense of adventure. Although installing a and booking it for Africa,” says Dr. Pollock. “My about having an impact—to improve the $600 rally computer adds enormously to colleagues all said, ‘You’re going to do what?!’” quality of life for people and help save lives.” the experience…The racers amongst us he pulled it off and ended up with a big group Africa had an impact on Dr. Pollock too. are now thinking of putting roll cages into watching each procedure while he focused on on his road to Rwanda, he found the African a Porsche GT3 (Eppie) or Nissan Skyline teaching the two physicians. They’ve followed people invariably happy and smiling, despite CouRTESY DR. PolloCK GTR (me) and chasing Targa glory. But up to tell Dr. Pollock that the Mogen clamp is less-fortunate living conditions—whether how does one slide either of those into in good use and that there have been no com- in the city, countryside or jungle. And in the luggage, past a wife, unransomed? plications. The Rwandan Ministry of health the jungle, Dr. Pollock had another nice also announced that it was making infant surprise…he literally rubbed shoulders with circumcision a priority in its fight against AIDS. a huge silverback. Even the gorillas were Potential barriers to widespread ac- happy and welcoming. —B. Sligl May/June 2009 JuST fOR CanaDian DOCTORS 13 s 6 travel the world son moun from the Les tain cras Reac h co hing urse the s in lif umm it of M stor y ount Kilim e fo + ph anjar Karibu r thi otog r aph o is a (“welcome” in Swahili). That s ph y by is the greeting of the sun, slapping warmth ysic Dr. S ta n K on my weary shoulders at the mountain’s top. That is ian utch the salutation from uhuru peak, at 5,896 metres above sea and er level, the highest freestanding mountain in the world— forests fath the roof of Africa. and green- tree hills, sharing er My son and I have summitted, and are standing on backgrounds, joking the snow-capped ridge of Kilimanjaro. Thirty years of together, telling stories, mixing age separates us. one young and fit and just beginning climbing partners, learning local knowledge. to explore Africa. one older, much less fit and enjoying The miles fly by. The faster climbers drop back to help continued exploration of Africa. A shared challenge and the slower ones. Matt carries my extra pack. And has the now a shared goal realized. five days of steady climbing. good grace not to comment on his father’s slower pace. All five days of father-son bonding. five days of lessons from for one and one for all. the mountain. Lesson 2 The world is a small place and groups Day 1 A long bumpy and red-dirt dusty ride over of strangers can work together to achieve a common goal. We all become stronger as we help each other. winding rural roads bound by a narrow band of mud- wattle and then thatched buildings, produce sellers, water Funny how sometimes that truth seems so hard to carriers and constantly moving people. Villages merge into grasp. villages. Each is filled with scores of young children, running, laughing, waving at our jeep convoy. No shoes. Some wear Day 3 My legs are aching. My lungs are not providing flip-flops. Most are barefooted. All are caked in the choking enough oxygen to the muscles. The path is steep, red dust. But everywhere is laughter. Excitement. Grins from crumbling shale. Always upwards. Vast expanses of broken ear to ear. volcanic rock stretch to the horizon. Broken rock is studded out of the jeeps for lunch. Everyone in our climbing with patches of brilliant white flowers. like vanilla yogurt group consumes more calories in our pre-packed lunch drippings on our granite kitchen counter. how do they boxes than any family we passed along the road would eat grow in such a harsh and barren place? that day. “Terrible sandwich and the banana is so bruised,” My backpack is getting heavier as we go higher. I is overheard from a climber in a sister group. “Can’t they am sweating in the cool air. The trail leads steeply up— provide better food?” Meanwhile, little faces watching. disappearing into the clouds. The young and more fit seem Noses running. we share our chocolates and fruit. Smiles to be doing better. Matt comes by frequently to check on and shouts of laughter as little feet run off to hide with their “the old man.” lots of jokes between older and younger treasures. climbers. I begin to shuffle as I climb. I should have trained. fewer glasses of Bordeaux and more time on the jogging Lesson 1 We have so much yet take it for granted trail. Should have spent more time exercising and fewer and complain. Be appreciative and share. I need to hours at the desk. live that, not just think that. Lesson 3 Be prepared. The mountain, like life, Day 2 Thick frost and cold wind welcome us before the requires readiness. sun rises to warm. It seems Matt and I have come to Africa to escape the heat of Canada. our climbing group sleeply Day 4 Cold crisp day—brilliant sun again. The flower stumbles to break camp. we come from many places— patches give way to rock and gravel. occasional volcanic Canada, uK, the uS—and are parent-child pairs, husband- lava tubes, lava caves, extinct for centuries. The greens are wife pairs and singletons; 11 climbers and four Tanzanian gone. Browns and blacks are now the dominant colours, guides. It’s a full day of thorn-filled scrambles through scrubby often wrapped in a soft off-white green mist of clouds. The 14 JuST fOR CanaDian DOCTORS May/June 2009 above Trekkers tent camp on the low slopes of Kilimanjaro. below Dr. stan Kutcher and his son Matthew at the summit. travel the world dust is swept by the wind, blurring the shapes of the hills. Barren. Silent. An occasional raven appears in the sky. wild dog droppings dot the trail. No sight of any other life. Desert. The sunset pinks the dirt. Now we are above the clouds—in violets and blues. higher there’s a clear indigo sky, crowned by a full moon. water freezes in the washing bowl. A stark and barren beauty. Lesson 4 There is beauty everywhere. Learn to see it. Day 5 we are up at midnight. fumbling, dressing in the warm tent while outside the temperature is well below zero. we make sure the water bottles are full and tucked inside the down. Time to leave Kibo hut camp—ours is the last of five groups departing on the night push to the top. we joke and wisecrack as we set off, like teenagers at a first dance. Excited and uncertain. Now we are all moon shadows moving. flashlights help smooth out the rough rocks. our route is straight up into the darkness. Blinking stars and headlamps from those who left earlier above saying goodbye—the guides, porters and trekkers at point the way ahead. Shouts and far-off calls in the night. “Pole, the trip’s end. below The saddle of Kilimanjaro. bottom Dr. stan Kutcher and his son at the glacier-laced shoulder of Kilimanjaro. pole” (slowly, slowly) says Meke our guide. we think we can push faster. No, asserts Meke—“pole, pole.” Then there are the casualties of the mountain. Some of those who left before us are slumped by the trail or being helped down the dark slides. The altitude can kill. one man is delirious—fighting with those who only wish to help. A young girl is having trouble breathing—lung gurgles. She’s been pushed beyond her limit by her overbearing father. hopefully she gets down in time. The altitude can kill. “Pole, pole.” Now we scramble over rocks—big rocks—like by the ocean at our home. I lag a bit behind. will I be able to make it? Meke’s words echo—“pole, pole.” Set your own pace. Sunrise appears in a crimson sky; crayoned and paint-spilled reds and blues. we’re well above the clouds, like glaciers floating and soft amidst sand and rock. And finally the fullness of the sun. A final push from Gilman’s Point. The sky is white, blue, silver. with an arm over Matt’s strong back, I make the peak. The world is at our feet. Lesson 5 Slow and steady wins the race. March to the beat of your own drum. Day 6 we’re down and breaking camp again. Thank you to the guides. Thank you to the porters. Thank you to each other. African songs are sung by a male choir with the snows of Kilimanjaro as the background. The track descends steeply. Desert gives way to forest. Dust to damp. My right foot pains with every step. There’s blood in my boot. I dare not take it off. But more than that is the feeling of success, of pushing past my limits. There’s the freedom of new friendships and the collective of shared participation. And most of all, the privilege of watching my son take on the challenge. Not only the challenge of the mountain, but the challenge of watching over a slower, older climbing partner. Respectfully and quietly. he met these challenges. he set his own relationships with climbers, guides and partners alike. he reached the summit. he helpfully hovered when necessary and moved at his own pace when not. he stood well. The mountain was his. Lesson 6 I have grown up to be father to the man. Kwaheri, safari salama (goodbye, travel well). Dr. Stan Kutcher lives and practises in Halifax, Nova Scotia, and has served as the Associate Dean of International Medical Development & Research with Dalhousie University’s Faculty of Medicine. At Dalhousie, he has been chair of the Department of Psychiatry. 16 JuST fOR CanaDian DOCTORS May/June 2009 it. Lesson 4: earn to see erywhere. L s beauty ev There i above Breaking camp above the clouds—it’s cold out here! below left The summit glimpsed through clouds. below right The summit ahead—days of trekking to go. prescribing r & r Dr. George Burden is a general practitioner in Elmsdale, Nova Scotia. He’s also an avid travel writer; he won a merit award for his travel feature in Just for Canadian Doctors September 2008 issue in both the Family Travel and Cruising categories of the North American Travel Journalism Awards this year. taking a dive by dr. george burden A physician defies eons of genetic conditioning and hurls himself out of a plane Y + ou don’t really feel the rush until the Association. wilson, the Canadian record- aircraft’s door opens at 10,000 feet. holder for the most jumps in 24 hours Then reality hits. There’s nothing (an incredible 150!), was working on if you dive between you and the ground but two parachuting from every skydive-site in the skydive AtlanticSchool of Skydiving miles of empty space. The air rushing past country. Rumour has it that he’s done a few > atlanticschoolofskydiving.com> the door seems a sentient force, struggling of his dives au naturel. But not this one. firstname.lastname@example.org to rip you from the cockpit. Rather than our pilot, Ron, welcomed us aboard the find out more CanadianSport fighting it, you embrace it, hurling yourself single-engine aircraft. As it climbed skyward, ParachutingAssociation> cspa.ca > into the void. You arch your back and for the Annapolis Valley unfolded below. To email@example.com the next 40 seconds plummet in free-fall, the east the Atlantic glistened blue and in effectively weightless. the west were the brown waters of the Bay I hadn’t really expected to be falling of fundy with its monumental tides, the from a plane at 120 miles per hour that shores of New Brunswick visible beyond it. afternoon. The week-long camping holiday Alex and I began to get some appreciation with my family was drawing to an end. of exactly how high 10,000 feet was. As we passed the waterville Airport in Alex graciously allowed me to jump Nova Scotia’s Annapolis Valley, I noticed first. “Don’ worry,” Dave reassured me. “If the a sign advertising the Atlantic School of chute doesn’t open you‘ll get a full refund.” Skydiving…and doing a parachute jump The biggest shock comes when the has always been on my “bucket list” (things door pops open. overcoming eons of to do before you “kick the bucket” in case genetic conditioning, I lean forward and you missed the movie.) throw myself out of the exit. hurtling “hey, Alex” I said to my 19-year-old niece, downward, I arch my back and throw “how would you like to go sky-diving?” my arms backwards as Dave had “Are you serious uncle George? heck instructed. And, of course, he’s right yeah!” she exclaimed. there to remind me. The sky was crystal clear, not a cloud in Adrenaline surges through my blood sight, a perfect day for parachuting. stream and I let out a whoop as the air we drove down to the end of a row of whistles past me during freefall. This is hangars and spotted the school. A mock-up probably the closest thing to weightlessness of the plane that students use to practice you can experience without leaving the dives stood near the main office. owner planet. After the best part of a minute Dave Dave williamson approached, looking like releases the chute; our rate of descent a youthful Einstein with his unruly locks. moderates and we glide at a leisurely pace Yes, he could accommodate us both for a back toward the airport. tandem dive that afternoon. Dave explained I’m surprised to find that today’s r. D Burden’s that he had been parachuting for over 33 parachute is far different from the old round nieceAlex drifts years and had done about 6,000 dives, ones we picture from old war films. It’s back toearth almost 1,000 of them in tandem. more like a small glider and descent can be via parachute. A tandem dive involves the novice controlled very precisely. I expect to land inset Alex being securely harnessed in front of an with a jolt but Dave floats us in so softly I practises her experienced diver. It allows the first-timer to barely realize we’ve touched ground. Alex p jum out of the plane—scream enjoy a higher altitude, free-fall dive without has a similarly soft landing, punctuated by andall. extensive training and experience—the slightly more screaming and squealing. best choice for Alex and me, given that And all this is caught on video; Dave neither of us had ever sky-dived before. films students during the whole dive. After DR.. GEoRGE BuRDEN Dave had one other customer that the chutes are gathered up Alex and I afternoon, at entirely the other end of head back to the office to pick up our DVD the experience spectrum, Jim wilson, a recording of the descent, ready to relive our director of the Canadian Sport Parachuting exciting afternoon any time we want. 18 JuST fOR CanaDian DOCTORS May/June 2009 t he wealth y doc tor m an fred pur tz ki , c .a . Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at firstname.lastname@example.org. retirement nest-egg how much do you really need? W hen you graduated from medi- Assume you estimated an annual are currently at an all-time low (ranging cal school, your ticket to success before-tax retirement income from your from 12.5% to 16.5% depending on the was pretty much guaranteed, balanced portfolio of $100,000 for 30 province), you should invest your practice and your confidence to create wealth dur- years. According to the table you will need surplus in the corporation. only take funds ing your career was well founded. There $1,376,483 (inflation and CPP/oAS are not from the corporation to fund your personal was no question you would build up the considered). and living expenses. You will need to deal financial resources to continue the same with the personal taxes lifestyle in retirement that you enjoyed when you eventually while working. APIT U C ALREQ IRED take an income from the But the reality is, according to surveys, Annual Equity8% Balanced6% G 4% IC corporation, but there are that less than 20% of physicians can incom needed e many tax-saving strategies actually retire and maintain their preferred available to minimize the lifestyle without worrying about money. $50,000 $562,889 $688,242 $864,602 cost of withdrawal. The remaining 80% are concerned that the current investment climate won’t allow $75,000 $844,334 $1,032,362 $1,296,902 Similar to stepping on the them to build the nest-egg they hoped $100,000 $1,125,778 $1,376,483 $1,729,203 scale to check whether for. Many physicians are now experiencing the weight-loss program a significant drop in their net worth and $125,000 $1,407,223 $1,720,604 $2,161,504 is working, you should are compelled to take a more proactive periodically prepare a net- $150,000 $1,688,668 $2,064,725 $2,593,805 approach in managing their money. worth statement to check You have known for years how important it is to plan for your retirement, but where do you begin? Prepare a net-worth statement to check the sTeP 1 Project your retirement expenses progress of money-accumulation efforts You need to estimate how much income you will require to fund your retirement. the progress of your money-accumulation Start with your current income and reduce CAse sCeNArIO efforts and decide what remedial action you it by the cost of expenses for which you will Dr. Peter—53 years old and married with need to take to get back on track to ensure no longer be responsible, such as mortgage adult, financially independent children—just a healthy financial future. payments and university financing. Then paid off his mortgage. his only investment is adjust the budget to your specific situation a combined $400,000 RRSP. his corporation and include, for example, the cost of travel pays him and his wife a salary of $100,000 or any part-time income. and $30,000, respectively. Dr. Peter wants to retire at age 60. Assuming maximum sTeP 2 Pick the retirement date RRSP contributions for the next seven how long do you plan on being retired? years invested at 6%, and factoring in a 2% The longer your retirement, the more years inflation rate, his annual after-tax income of income you need to finance it. will be $52,000. If he requires $80,000 of sTeP 3 Determine the size of your retirement income, then he would need to retirement nest-egg save $4,000 per month outside the RRSP The amount of income you draw from your until age 60. investments will depend on the size of Alternatively, he can work until age 66, your portfolio. use the following factors to to receive $80,000 per year without saving determine: the extra money. EquityInvestor – 8% TIPs TO sPeeD UP yOUr ISToCK Balancedinvestor 6% reTiremenT saVings Always save in your medical corporation. To IC G /bondinvestor – 4% take advantage of corporate tax rates, which May/June 2009 JuST fOR CanaDian DOCTORS 19 techworks c o r e y va n ’ t h a a f f Corey Van’t Haaff is a Vancouver-based writer and the owner of Cohiba Communications. She writes about technology for Just for Canadian Doctors. She can be reached at email@example.com and welcomes ideas for future columns. what’s old is new Negative pressure wound therapy is back and better E verything old is new again. It’s Dyke, Director of American operations for “It’s about 60% less expensive. There’s certainly true with fashion as styles Talley Group. a huge pent-up demand for this but very re-appear with new twists. And it’s The technology, he explains, uses an little market penetration [because of the equally true with adages like “do more with existing drain attached to the system. The other company’s domination]. There has less,” which is as timely now as it has ever drain is placed in the base of the wound, been no other alternative,” he says. “It’s like been. the gauze is wrapped around the drain and a generic drug. The physician or patient It’s also true with wound care—and the dressing seals the entire thing. now has the ability to obtain a similar result negative pressure wound therapy (NPwT) “The drain is attached to a collection that isn’t so costly.” in particular. Some physicians may recall canister which is attached to a vacuum The success rate for the Venturi is quite relatively unsophisticated wall suction pump so that excess blood or chronic high, he says, but nothing is 100%. The being used in hospitals. Then, a company infection is sucked constantly out and Venturi shouldn’t be viewed as a definitive patented the the dressing is answer but it does work in the majority of technology changed every cases and usually works better than doing to move from A highly effective 48-to-72 hours,” nothing at all. wall suction to he said. “It doesn’t work in every case. A prudent a pump. The method of chronic and The Talley clinician, if they are not seeing results, will technology Venturi, he says, try something else.” worked fine but acute wound healing uses software Negative pressure wound therapy the problem for control, not just helps acute wounds to heal by themselves, some was the cost. a vacuum pump, to deliver a low level of including fresh skin grafts or flaps. At the A lawsuit over the patent was launched vacuum. It cycles on and off to maintain other end of the spectrum, chronic wounds about five years ago. The Court ruled that optimum levels. The vacuum range is that have existed for a year or more can the patent was valid for the proprietary between 40 and 120 mm, which is sufficient oftentimes be closed within a month or foam and suction tube, but not for the for all types of wounds. two with NPwT, or at least reversed to the actual vacuum system and technology. There are other benefits as well. The point where surgery can be used to further The process went through appeal and very collection canister is sealed from the close the wound. recently it was decided that other vacuum factory. There is no risk of spillage as it “There are a lot of uses for negative systems did not infringe on the patent. cannot be opened. The Venturi marries the pressure wound therapy but many were In stepped Talley Group limited, an electronics to the pump so the system will afraid to use it as it was so expensive, so England-based company that had been shut off when the canister is full, preventing it was used only as a last resort,” says Van in the business of wound care, treatment aspiration of fluid into the pump. Dyke. “It’s a highly effective method of and prevention for 53 years. The Talley Perhaps best of all, says Van chronic and acute wound healing that is Venturi, an advanced vacuum system Dyke, is the cost. available now that wasn’t before. we are for the application of negative pressure providing an alternative with such wound therapy, received fDA clearance in cost savings that many more July 2008 and a health Canada license in patients can be treated.” february 2009. The process for NPwT, a concept where dressing is applied to acute or chronic wounds along with a drain, is three-fold. first, it drains excess fluid from the wound. It also draws blood into the surrounding wound to enhance the healing process. lastly, it applies dynamic pressure on the tissue bed to improve healing time for post- surgical, traumatic or chronic wounds. “The wound dressing consists of a dressing set from us or supplied from most facilities. Typically, it is sterile gauze, a non- permeable top dressing and a drain such as a Jackson Pratt type of drain,” says Jack Van 20 JuST fOR CanaDian DOCTORS May/June 2009 travel at home barquentine on blue waters CANADIAN SAIlING ExPEDITIoNS (CSE) Off the shores of Nova scotia, a physician indulges in the sailing lifestyle by Dr. George Burden May/June 2009 JuST fOR CanaDian DOCTORS 21 travel at home B y an interesting coincidence the hour and more sailing… date slated for the departure of our cruise along the cradle of New France ship, Caledonia, coincided with the precise time of the arrival of hurricane hannah. and the villages of the saguenay fortunately by the time hannah reached the port of halifax, Nova Scotia, the cooler Tall ship sailing along the historical st. Lawrence north Atlantic waters had pacified her and sagenuay rivers is a lovely way to discover into what was barely a tropical storm. Nevertheless, Captain Kim Smith, paced coastal old-world Québec villages. the bridge of his sailing vessel, a three-masted barquentine, like sailing by the Notre Dome du saguenay statue of Lady Madonna a jungle cat. he told us that it irked him to delay leaving port, but on a remote soaring cliff top, it feels fitting to arrive in the village he nonetheless re-scheduled sailing until the next morning. of Tadoussac by tall ship: it is here that, struck by the steep cliffs when cruising in a sailing vessel, even a 60-metre one sporting and flickering waters of the saguenay Fjord, Jacques Cartier first dropped anchor in 1535. A member of the Most Beautiful Bays a 1,500-hP diesel engine, flexibility is the key word. happily, while in the World Club, Tadoussac, east of Québec City, is a charming this flexibility is necessary to avoid weather that a large cruise village steeped in history. Canada’s first trading post in 1600, the ship can ignore, it also allows Caledonia to anchor or dock at tiny village lies at the mouth of the fjord, where the saguenay feeds coves and fishing villages, Caribbean islands and Pacific atolls into the st. Lawrence estuary and where beluga and humpback that bigger vessels could never dream of approaching. whales come to play. Unique in North America, the saguenay is This was precisely the reason my wife Krista and I booked part river and part fjord, where fresh water meets salt. In addition to a one-week cruise around our home province of Nova Scotia’s the whales, it’s home to Atlantic salmon, common seal and sea-run scenic and historic South Shore. Newly and luxuriously refitted, brook trout. the Caledonia allowed us an exotic venue departing a mere Colourful sea kayakers congregate on the beach before heading 45-minute drive from our home. out on to the fjord. hikers take advantage of over 100 kilometres of extensive trails. Walk along the slightly uphill, winding road from our delay was put to good use when the ship’s purser issued the beach to the whitewashed walls and red roof of the hôtel everyone complimentary tickets to the Maritime Museum of Tadoussac, well known for its cinematic appearance in The Hotel the Atlantic. Documenting Nova Scotia’s nautical history, it’s New Hampshire based on John Irving’s book. Across from the hotel renowned as the home of a variety of artifacts from the Titanic, is The Little Chapel of Tadoussac (left), the oldest wooden church most found when Nova Scotia-based vessels participated in the in North America, built in 1747 by Jesuit missionaries. Nearby, rescue of the doomed vessel’s survivors. And, by an interesting dunes, massive coincidence, Caledonia’s designer, Bill Graham, was sailing with raised beaches ThIS PAGE: TIffANY JARVA; oPPoSITE PAGE: All PhoToS, CANADIAN SAIlING ExPEDITIoNS (CSE), ExCEPT BoTToM lEfT, DR. GEoRGE BuRDEN us, just as Bruce Ismay, the designer of Titanic, was aboard his left over from the vessel. last great glacier, The parallels ended however, as hurricane hannah fizzled out offer breathtaking views and a bird into a splendid sunny afternoon, leaving us clear sailing for the observatory. rest of the week. Departing Monday morning we commenced a Then sail to 10-hour voyage to Port Mouton (locally pronounced “ma-toon”) L’Anse-saint-Jean, in a heaving swell left over from hannah. Caledonia proved to a cosy village that be stable and seaworthy, and by late afternoon we’d anchored borders the southern in sun-dappled blue waters off a white sandy beach near Port bank of the fjord. Mouton. Visiting this village During the cruise I made the acquaintance of a number is truly like stepping of fellow passengers, easy enough to do when the vessel’s back in time: gem- passenger capacity was a cozy 77. Jason and Julia, honeymooning green pastoral fields seem to flow into graduates of the famed American naval academy at Annapolis, the water. The Great were aboard to experience something different from their Falls is an easy usual nuclear submarines and massive aircraft carriers. Mark, a biking destination honolulu-based anesthetist and his wife Sarah, were seeking as you breeze past a change of scenery, while Rob, a Toronto pharmaceutical the 1929 covered marketing executive was accompanying his lady love back to her bridge (pictured on home province for a first visit. the $1,000 bill for almost 40 years), past outdoor bread ovens and At the first stop we had the option of touring the historic freshly-hung laundry blowing on outdoor lines. —Tiffany Jarva ship-building town of liverpool and visiting Thomas Raddall IF yOU GO > Canadian sailing expeditions; Provincial Park with its seal colonies and remains of native canadiansailingexpeditions.com; 1-877-429-9463 > Departures Mi’kmaq settlements. Krista and I decided to spend the afternoon from Québec City in June and september sTAy > Begin or end combing the long, pristine beach in search of sand dollars. we your trip in the historical district of Québec City at a charming returned in time to join the other passengers for drinks and hors- european-style hotel, set under Québec’s ramparts. Québec d’oeuvres on the stern deck, mixed with spirited conversation. City; hotel Le saint-Paul, 229 ½, rue saint-Paul; 1.888.794.4414; Then supper, a choice of pan-fried trout with green salad or pork lesaintpaul.qc.ca > Tadoussac hotel (seasonal, from May to October) 1 800.561.0718; hoteltadoussac.com MOre > The Most medallions seared with lemon butter and fresh basil. I chose the Beautiful Villages of Québec offers multi-day tours departing from trout, washed down with a glass of excellent and reasonably either Montreal or Quebec. beauxvillages.qc.ca; 1-418-652-8150 priced french Sancerre. well fed and pleasantly fatigued, Krista and I retired to our suite. Some say the gentle rocking of an 22 JuST fOR CanaDian DOCTORS May/June 2009 May/June 2009 JuST fOR CanaDian DOCTORS 23 hotspots destination travel at home anchored sailing vessel has aphrodisiac properties… Next morning, after a breakfast of fresh fruit, yogurt, home- baked muffins and prodigious cups of coffee, Captain Smith announced that we would weigh anchor and head north to the town of lunenburg, a uNESCo world heritage Site and birthplace of the famed Nova Scotia racing schooner, Bluenose. Caledonia has an open bridge policy so I stuck my head into the pilot house and asked Captain Smith if I could climb the 60-metre foremast of his vessel. Before I knew it I was wearing a safety harness and climbing the rat-lines skyward under the coaching of Erica, a member of Caledonia’s sailing crew. Soon I was staring 60 metres down to the deck and wondering at what point during the trip I’d taken leave of my senses. Erica expertly coached me downward and, adrenaline flushed, I finally reached the deck, where Mark congratulated me on having more guts than brains. we docked in lunenburg and Krista and I grabbed two bicycles (complimentary of CSE). lunenburg is a town of fine old buildings. Churches and homes date back to the mid-1700s when the town was settled by 2,000 “foreign Protestants,” hardworking German, Swiss and french settlers who turned a patch of woods into one of the world’s major ship-building towns within less than 100 years. lunenburg’s fishery Museum is a must for anyone who wants to develop an understanding of the town’s history and the fishery’s role. Several kilometres out of town, the little fishing village of Blue Rock rivals the far-more- known Peggy’s Cove. Departing lunenburg the next morning we headed towards the town of Chester. wind conditions en route were perfect and Captain Smith took this opportunity to set every sail the Caledonia possessed—for the first time in the vessel’s history. The ship quivered like a living thing as her sails billowed and she heeled over about 15 degrees, making walking down the vessel’s inner passageways both awkward and humorous. Arriving at Chester, we anchored off shore, relying on Caledonia’s zodiacs to ferry us back and forth to town. The shady streets are ideal for a leisurely walk; the town has long been a favourite place for wealthy Americans looking for a more temperate place to pass their summers and sail their yachts. we left Chester later that afternoon and set course back to halifax. here we spent a night anchored in the city’s mansion- studded back harbor, the Northwest Arm. As we sailed down “the Arm,” sipping french wine and enjoying smoked salmon I thought that I could certainly get used to this lifestyle. Alas, the next day Caledonia returned to her berth on the halifax waterfront and we disembarked. while my vacation was ending, Caledonia was about to have a six-week holiday of her own, going for a refit before heading south for a winter in the Pedal and Sea Adventures, a Caribbean. 9-year-old Nova Scotia Adventure Dr. George Burden is a general practitioner in Elmsdale, Nova Scotia, company, is in the business of and an award-winning travel writer. Read his other story on braving making dreams come true. Our skydiving on page 18. Pedal and Sea Adventures creative tours are near and dear + RR#2 Hubbards, NS B0J 1T0 to our hearts, and our clients love the passion we bring to our work. if you go Reservations 1.877.777.5699 Fax 1.902.858.2004 firstname.lastname@example.org Our only mission is to impress. 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O hours are Monday-Thursday opportunities.Thecapital townof BruceC ounty- aneasy individual offices with Internet access, and pleasant , 9am to 5pm but Fridays and weekends available if drive to m southern O ajor ntario urban centers. Contact: and efficient staff. Excellent potential for building your ore desired. For m inform ation contact lili@drnasseri. walkertondocs@gm ail.com practice. Contact: Lana C ail heshenchuk at em suitlana@ com . sasktel.net or call 306.545.5868. ANC UVER ISLAND BC - Full tim physician required V O , e G N UELPH O - Are you looking for work-life balance? ily to join teamof two other doctors in full fam practice HM ND RIC O , BC - Modern G ily roup Fam Practice/W alk- No overhead? The G HC uelph C is seeking an energetic office. Y run your own practice, and a non-profit co- ou R In with EM allows for excellent work/ life balance . ily fam physician to full a 1 year locum position. 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Rewarding work with city of .m see our website at www ydoctor.ca/drsinghal Em to ail e e graduates/ part tim applicants are welcom to apply. Victoria 30 minutes away by ferry, shared by 9 other G P m .ca. el:604-448-9595 edicalclinic@shaw T ail: E-m email@example.com Fax: 519-821-6148 Classifieds: fax 604-681-8149 • tel 604-681-1811 • email classified@InPrintPublications.com cl a s s i f i ed ads | positions / vacation properties / practices / locums record storage equipment for sale RETIRING MO, VING or CLO ily SING your fam practice? RTH O ffice NO VANC UVER, BC- O equipment in excellent sudoku 2 harder solution O D CUdavit Medical Solutions provides FREE patient condition 20-40% off catalogue price or best offer. For recordstorage with nohidden costs. C ontact SidSoil at e details call tel. 604-986-6716. 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D etails at www.kapoutsi.com or 2 9 3 7 1 6 4 8 5 (15% discount for practising physicians) contact anaism email@example.com 6 1 4 5 8 3 2 9 7 5 8 7 9 4 2 1 3 6 Puzzle by websudoku.com Classifieds: fax 604-681-8149 • tel 604-681-1811 • email classified@InPrintPublications.com d octor s ’ m ar k e tp l a c e Bangkok Chiang Saen Chiang Rai Ban Meo Mae Ki Chiang Mai Bangkok 36 JuST fOR CanaDian DOCTORS May/June 2009 diversion the food doctor Continued from pAge 11 lobster risotto (serves 4) sudoku lobster stock shells from 4 lobsters, rinsed do you sudoku? 2 leeks, cut into 1-inch chunks 3 carrots, peeled and cut into Solve puzzle #2 for a 1-inch chunks chance to win a $225 1 large onion, quartered Family Getaway Gift 4 large garlic cloves, peeled and cut Pack…Tilley Style. in half 1 fennel bulb, Sudoku is simple enough that anyone washed and can play, yet difficult enough that quartered anyone can improve at it. 3 celery stalks, Each Sudoku puzzle has a unique washed and cut into 1-inch solution that can be reached logically chunks without guessing. Fill in the grid 12 peppercorns so that every row, column and 3x3 2 large sprigs of square contains the digits 1 through 9. fresh thyme winner of last issue’s sudoku contest: 2 tablespoons salt 4 quarts of water Dr. Jamal Aboujamra, Toronto, ON Peel anddicetheshallot. Heat oliveoil ina risotto m m ediumsaucepot until shim ering. Reduceheat to 4 lobster claws for garnish m . edium Addscallionandrice. Stir continuously for meat from 4 lobsters, cut into small pieces 2m m inutes. Add1 cupof stock andsim er, stirring 1 3 2 tablespoons minced chives sudoku 1 easier solution on page 36 2 cups arborio rice ost until thebrothis alm absorbed(about 4 m inutes). 4 9 3 6 8 1 shallot e, Add1 cupof brothat a tim stirringuntil absorbed 2 tablespoons olive oil beforeeachnewaddition. C ontinueuntil thericeis 3 7 6 8 1 approximately 8 cups lobster stock tender andthem y, ixtureis cream about 25 m inutes. Inthelast 2 m inutes of cooking, addthepeas. T urn 1 2 5 7 1 cup shelled peas or frozen peas — eat off theheat andstir inthelobster m until warm ed 6 2 7 5 salt and pepper through. Addchives. Seasontotastewithsalt and pepper. Serve. 6 9 1 3 om C bineall theingredients for thelobster stock ina D Holly Fong’s lobster mango salad recipe 9 7 4 8 5 largestockpot. Bringtoa boil. Reducetheheat tolow r. m andlet sim er for several hours or overnight. The is onpage1 her dunked lobster recipeis at 1; 4 8 3 2 9 ore m longer it sim ers, them flavourful it will becom D e. iscardlargeshells andstrainthestock througha fine justforcanadiandoctors.com. 5 2 sieveintoanother largepot. Bringtoa boil andkeep Puzzle by websudoku.com warmover lowheat. 1 2 sudoku 2 harder solution in next issue entry form (please print clearly): 9 3 1 4 name: __________________________________________________________________ address: _______________________________________________________________ 3 4 7 city, province, postal code: _____________________________________________ ________________________________________________________________________ 3 4 7 5 8 9 e-mail: ________________________________________________________________ tel: ______________________________ fax: _________________________________ sudoku puzzle contest rules: 1. entry form must be accompanied with solved puzzle. 6 8 7 3 5 4 only correctly solved puzzles will be entered into random draw. 2. Send puzzle & entry form to Just For Canadian Doctors, 710 – 938 Howe Street, Vancouver, BC, V6Z 1N9 or by fax 4 8 9 to 604-681-0456. entries must be received by June 15, 2009. 3. prize: tilley endurables family getaway gift pack. odds of winning dependent upon number of entries. winner will be contacted 7 1 6 2 by telephone and announced in the July/august 2009 issue. 4. contest can be changed and/or cancelled without prior notice. 7 3 5. all entries become property of in print publications. employees of in print publications and its affiliates are not eligible to participate. Puzzle by websudoku.com May/June 2009 JuST fOR CanaDian DOCTORS 37 s m a l l ta l k doctors share their picks, pans, pleasures and fears From sausages to sutures…Dr. Gordon Chapman read The History of Surgery at 14 years of age…and never looked back. This New Brunswick-based physician has an affinity for choral music, soy milk, Sophia Loren and his table-saw. My name: Gordon M Chapman to help people…I considered movie: Flashdance orthopedics, then became My I live and practise in: Saint My must-see TV show: intrigued by the challenges secret to John, New Brunswick Currently NCIS—a great diversion. of anaesthesia and the instant relaxing and relieving tension: My training: london university, gratification of a response within My favourite music: various Choral music—listening to it and uK, Bachelor and medical a few circulation times…plus solos by Kiri te Kanawa singing in a choir. degrees; Anaesthesia training the challenge and satisfaction of My first job: As a teenager, at Nuffield Dept in oxford, caring for people at a critical time A talent I wish I had: A voice like making sausages and delivering uK; ffARCS, which became in their lives. Pavarotti. meat for a butcher in my fRCA; fellowship at harvard in hometown. My scariest moment: Going off cardiology and ICu. My last trip: on a river steamer down the Mekong river in the edge of a ski trail at Jay Peak, The gadget or gear I could not Why I was drawn to medicine: Cambodia and Vietnam. Vermont, head-first down a steep do without: My computer, or my I read The History of Surgery when pitch among trees. The most exotic place I’ve table-saw… I was 14 and was fascinated— My fondest memory: holding never looked back—and knew travelled: The Angkor region My favourite room at home: temples in Cambodia. my first daughter soon after birth. I wanted Study-cum-library The best souvenir I’ve My car: Mercedes C230 A big challenge I’ve faced: brought back from a Kompressor Surviving a divorce. trip: Paintings by teenage One thing I’d change about orphans in Cambodia. My last purchase: Energy- efficient Kodak printer/copier/ myself: I’d lose 50 lbs. A favourite place that scanner/fax The word that best describes I keep returning to: me: Eclectic My cottage on Prince My last splurge: A MacBook Edward Island. Pro—a convert, at last! I’m inspired by: Personal Most-frequented store: home achievement in the face of My ultimate dream adversity. vacation: To visit the Depot lakes and mountains My closet has too many: old My biggest ego boost: near Srinagar. shirts, pants and ties I seldom finishing my first novel. If I could travel to wear. My biggest ego blow: Persistent any time, I’d go to: My fridge is always stocked humiliation by a misguided mid-19th- with: white wine, vanilla soy milk department head. century Vienna and Becel… I’m happiest when: I’m among My favourite My medicine cabinet is always close friends and family. book: The last stocked with: Ibuprofen My greatest fear is: Making a one I read… My guilty pleasure is: Sleeping fatal mistake… usually a late, then reading the paper in biography. A cause that’s close to my bed. heart: Prevention of chronic My favourite My favourite exercise/ diseases through lifestyle choices activity: My motto is: Patience and landscaping, perseverance. building, renovating—and A cause close to my sailing. heart: Promotion of fair and honest behaviour in large My favourite organizations—government, sport to watch: industry, universities. Track and field events, figure Something I haven’t done yet skating that’s on my must-do list: See Mount Everest. CouRTESY DR. GoRDoN ChAPMAN (4); APPlE My celebrity crush: Sophia If I wasn’t a doctor I’d be: A civil loren—when I was a engineer. teenager! from top Dr. Gordon I’d want this item with me if stranded Chapman cracks on a desert island: macadamia nuts in Hawaii; A solar-powered With his wife Ellen in computer Hawaii, giving the local “shaka” greeting; At a hotel near Rome; Holding his youngest grand-daughter, Rose; And his latest splurge, the MacBook Pro. 38 JuST fOR CanaDian DOCTORS May/June 2009 For more information—Call 800-422-0711 or visit www.ContinuingEducation.NET 14-18 CME Continuing Education, Inc. 14-18 CME Credits University at Sea™ Credits Outstanding Value for your time and resources. 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Did you know our in-house travel division Designation: Continuing Education, Inc. designates these educational can handle your personal travel needs? activities for a maximum of 14–18 AMA PRA Category 1 credits™. Physicians should only claim credit commensurate with the extent of their participation in Course Fees for all 14 hour courses the activity. Nursing Contact Hours: Continuing Education, Inc. is an approved provider MD/DO/PhD—US$695 of continuing nursing education by the Georgia Nurses Association, an RN/NP/PA—US$450 accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. 20 -21 hour courses are US$895 Florida Seller of Travel Reg. #14337 Brand THERE’S NOTHING LIKE A New Home. Only minutes from the new Calgary South Health Campus, the southeast community of Cranston awaits you. Perched high on a ridge overlooking the meandering Bow River, imagine the spectacular Rocky Mountain sunsets as your backdrop. 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