DOCTORS
DeCembeR 2010
nOvembeR/
life + leisure
sun+ spice in
grenaDa
hot + coLD in
win
HD Camcorder!
*
a Kodak PlaySport
Waterproof Pocket
DetaiLs on page 35
+ a tilley
gift pack!
kootenay
+ panamera
road-test
+ tango in
Buenos aires
+ LonDon
calling
+ eureka in
arkansas
PubliCations Mail agreeMent #41073506
inside: Continuing MediCal eduCation Calendar
where will you meet? london / tel aviv / baltic / macau / berlin >>
“ You may think your vacation starts on this idyllic beach,
but my goal is to have it start the moment you
walk into our agency.
”
— Lynn, Marlin Travel Advisor
Vacation Idea #9 – Hidden Oasis
WE’VE SEARCHED FAR AND WIDE TO UNCOVER THE BEST VACATION IDEAS UNDER THE SUN.
Imagine a great adventure on the open sea, a secluded paradise with Don’t forget … you’ll earn AIR MILES® reward miles
never ending views or an historic encounter in a quaint Caribbean town … when you book with us.
With the help of a trusted Marlin Travel Advisor and the hidden treasures
they’ve discovered, an unforgettable vacation is closer than you think. Not
So go ahead – get yourself into vacation mode, because your
only can a Marlin Travel Advisor find you the perfect place, they’ll also
next vacation starts here, at Marlin Travel. Give us a call at
customize the entire experience to suit your needs and budget too.
1-877-999-1717 or visit marlintravel.ca .
vacation
NEW! Your Personalized Vacation Website! Once you’ve booked your
trip we’ll give you a special link – created uniquely for you – delivering all of
the information and services you could ever need to get ready for your trip!
Proud Partners: Your
Check the weather, review your itinerary, book excursions, or make restaurant
reservations. Purchase foreign currencies and travel insurance, e-mail trip
starts here!
details to friends, upload pictures to a virtual photo book, and much more…
For Quebec enquiries, please call or visit our sister brand, Club Voyages at 1-866-777-0608 or www.clubvoyages.com. ®TM Trademarks of AIR MILES International Trading B.V. Used under license by LoyaltyOne,
Inc, and Transat Distribution Canada Inc. Marlin Travel is a division of Transat Distribution Canada Inc. ON Reg. #50015084, BC Reg. #23567. Head Office: 191 The West Mall, Suite 700, Etobicoke, ON M9C 5K8.
JuST FOR C a n a D i a n
DOCTORS life + leisure
noveMber/deCeMber 2010 Contents
november/december 2010
editor and Art director barb Sligl
editorial Assistant Adam Flint
contributors dave Hobson
dr. Holly Fong
Janet may
dr. chris Pengilly
dr. neil Pollock
manfred Purtzki
Lisa richardson
dr. Alex russell
dr. Kelly Silverthorn
corey van’t Haaff
dr. monica Yuzak
cover photo b. Sligl
Senior Account executive monique mori
Account executive Lily Yu
Sales, classifieds and Advertising In Print
16 32
circulation office 710 – 938 Howe St.
vancouver, bc v6Z 1n9
canada
Phone: 604-681-1811 Features
Fax: 604-681-0456
email:
info@AdvertisingInPrint.com 16 peak powder Heli-skiing in the mountains of interior BC
Associate Publisher Linh T. Huynh
32 spice island Sampling the many flavours of Grenada
Production manager ninh Hoang
circulation Fulfillment Alison mulvey
cme development Adam Flint ColuMns dePartMents
Founding Publisher denise Heaton 8 doctor on a soapbox 5 November/December mix
The Justice System
Just For Canadian Doctors is published
12 prescribing R & R
6 times a year by In Print Publications 10 motoring
and distributed to canadian physicians. Testing the Panamera 19 CME calendar
Publication of advertisements and any
opinions expressed do not constitute 18 techworks 26 employment opportunities
endorsement or assumption of liability The Lungpacer
for any claims made. The contents of this
26 classifieds
magazine are protected by copyright. none 30 the wine doctor 37 sudoku
of the contents of the magazine may be Viva Italia!
reproduced without the written permission
of In Print Publications. 35 the food doctor 38 small talk with Dr. David May
In Print Publications Linger over brunch
CLoCkwISE fRoM ToP LEfT: DAVE HoBSoN; B. SLIGL (2)
710 – 938 Howe St.
vancouver, bc v6Z 1n9 36 the wealthy doctor
canada cover photo:
Retirement wealth
www.justforcanadiandoctors.com A hot spot for
winter getaways?
Printed in canada. The Caribbean,
of course. Here,
miss an
snow transforms
to sand on a
issue? tropical beach
check in the sunny
out our Caribbean.
website!
november/december 2010 JuST FOR CanaDian DOCTORS 3
from the editor
Use your head to winter
protect your skin. escape
L
ate fall and early winter is here again.
In the last months of the year, things
slow down. we slow down. But we
also get revved up for the holidays—visiting
family or just getting away. So, where to?
Many of us will choose warmer climes if
possible. Like Grenada. Just off the coast of
Venezuela, it’s one of the most southern of
the Caribbean isles. And it’s divine…literally,
according to Columbus, who named it
.
Concepción from nutmeg-infused fare to
waterfalls gushing into idyllic pools, it’s hard
not to become captivated too (page 32).
Then there’s a food fest in the Cayman
Islands (hard to beat a combo of cuisine +
Caribbean) and a Spanish school in Costa
Rica (page 7). Need another option? Not as
warm…but warmer (and rainier) than the
typical snowy Canadian winters. London’s
foggy, drizzly skies still provide plenty of
colour and cure for the winter blues. The
cosmopolitan city’s vibrant culture, fashion,
art and food scene is calling! (See page 19.)
of course, type-A personalities won’t be
content to museum hop or loll on a beach
or sit poolside (despite the obvious appeal).
Physicians know a thing or two with a touch of the hardcore and a little
chill factor, heli-skiing is the go-to escape
about sun protection. That’s why once winter hits. It’s all about vertical drop
we know you and your patients and powder depth for ski and snowboard
aficionados. Lucky for them, there are plenty
will appreciate that all Tilley Hats are certified
of options on Canada’s west coast. The
UPF 50+ and most Tilley Travel Clothing is sun powder beckons…(page 16).
protective too. wherever you go, happy holidays!
See pages 12 and 14 for the fifth and
sixth finalists in our R & R writing
For information on our Physician Hat Program contest. Dr. Monica Yuzak shares her
email sylviap@tilley.com. adventure in Buenos Aires, and Dr.
Alex Russell takes you along on his
backpacking trip into the wilds of
BC. The winner of an All-expenSeS-
pAid TRip with Quark expeditions will
be drawn from the six finalists and
announced at justforcanadiandoctors.
com on december 15. Thank you to all
those who sent in a submission. We’ll
continue to publish runner-up stories in
Toronto • Montreal • Vancouver 2011. And please continue to share your
For a local retail store or mail order: 1-800-363-8737 own adventures with Just For Canadian
Doctors’ readers, whether at home or
www.Tilley.com afar. Send us your stories!
Barb Sligl, BA, MPub
feedback@InPrintPublications.com
what/when/where > november/december
style | food | shows | festivals | places | getaways | gear…
mix
this is
arkansas
There are a few things you probably know about Arkansas—it’s the
home of President Clinton and the base of Wal-Mart. But there’s plenty
more to this state—from the Ozark Mountains to the crisp Arkansas
Black apple (delicious). First, see the splendour of the Ozarks from
Whitaker Point, Arkansas’ most-photographed spot (with good reason)
1 . Locals call it Hawksbill Crag, named so by Dr. Compton, a GP known
as the “Saviour of the Buffalo River.” He saved the river, far below this
scene, from damming by campaigning to designate it a National River
in the US. Not far from here is an idyllic getaway at the Buffalo Outdoor
Center, where you can hole up in a luxurious log cabin (Mary Steenbur-
gen’s a regular visitor) overlooking the Ozarks (buffaloriver.com). In
Bentonville, visit Compton Gardens, Dr. Compton’s former home turned
into a conference centre and public park (comptongardens.org). Here
you can listen to mockingbirds and discover indigenous flora like the
bulbous bright-green fruit of the Osage Orange tree 2 . For a taste of
historic Arkansas, go to Eureka Springs in the Ozarks, where there are
get-
away
2,000 jacuzzis for 2,500 people 3 . The quaint town is the site of more
than 60 natural springs and has long been a place of pilgrimage for
healing. The Osage Indians believed in the waters’ restorative qualities,
and after a doctor brought his sick son here in the late 1800s, the town
flourished (eurekasprings.org). The famed Crescent Hotel, an imposing
castle of a building overlooking the town, was built as a resort in 1886
and later became a quasi cancer-treatment centre and hospital in the
’30s, run by the so-called Dr. Norman Baker—later exposed as a fraud.
It’s said the now-refurbished hotel is haunted (part of its appeal), with
Dr. Baker’s ill-fated patients roaming the halls…Take a ghost tour to
see the former morgue, or gaze over the surrounding countryside at the
seven-story Christ of the Ozarks atop a hill (the second-largest statue of
Christ after Rio’s) 4 while sampling a “Rib Removal” (a beef-rib dish,
of course) in Dr. Baker’s Bistro and Sky Bar (crescent-hotel.com). This is
weird and wonderful Arkansas. For more info, visit arkansas.com.
1
4 3 2
B. Sligl (4)
november/december 2010 JuST FOR CanaDian DOCTORS 5
mix november/december
stay/
london
calling
hotel
The Arch is a chic boutique hotel in London’s West End.
A short walk from the Marble Arch tube stop and the northeast
corner of Hyde Park, the 82-room luxury bolthole was created
out of seven Georgian townhouses and two mews homes (with
original sash windows) on a tranquil residential street, making
you feel like part of the posh set in Marylebone. Selfridges, Oxford
and Bond Streets, and the medical scene of Harley Street are all
in your neighbourhood. Inside you’re amidst on-trend colours,
hip patterns and sumptuous finishes—classic Brit style that’s
very now. Luxe bathrooms boast black granite, rain showers,
flat-screen TVs (a rugby match and bubble bath go together
quite well), and Malin + Goetz amenities. Beyond your suite is HUNter 486, The
Arch London’s bar and restaurant (the name refers to Marylebone’s 1950s district
dialing code), where you can sample an Earlgrey MarTeani and perhaps some pan-
roasted guinea fowl. A member of the Small Luxury Hotels of the World network,
this hideaway off Hyde Park makes a stylish base in London. thearchlondon.com
—B. Sligl For more on London and upcoming CME events there, see page 19.
sweet
scent the goods
Goodies for the holiday season—to give and get. Tis the season!
under
cover
gift it!
sweet scent soy candles burn better Olive Blossom, like a blooming orchard at newspaper in rome. ran-
and longer. And they’re more eco too.
But all that is secondary to the
home. kobocandles.com under cOver
Award season has unleashed some
domhouse.ca dish it cool
thermo cups with hot tattoos. gift
evocative scents. Our pick: provocative must-reads. shortlisted Pick a pair: Faith & hope or
the divine smelling Portuguese for the Man Booker Prize, there’s Peter Love & Luck. menu.as gAd-
dish it carey’s Parrot and Olivier, get geAr set your iPhone apart with an
set in 19th-century America eco case made out of wood. sleek and
and inspired by the life of sustainable. accessorygeeks.com. —B.S.
Alexis de tocqueville. The
Tiger, by vancouverite John
vaillant, tells the true story
dish it of a man-eating tiger on
the prowl near a remote
village in russia’s Far gadget
gear
ToP LEfT PHoToS: B. SLIGL (2)
east. And, out in paper-
back this January is The
Imperfectionists, a debut
novel with a lot of buzz (Brad
Pitt optioned the film rights)
that follows the lives behind an
international english-language
november/december mix
plunge in! Immersed in
It‘s distracting when monkeys the place for those wanting to hide augment their learning with sto-
in Costa Rica
The school’s donations range
hang from the trees over your in the back and listen. Cheating is ries told around the dinner table. from roof repairs to com- class-
homework. At the Intercultura
campus in Samara, Costa Rica,
difficult since most of the other
students are from Europe and
(Everything is more dramatic in
Spanish!) But be warned, this
puters for the elementary
school, and they also provide room
there are many things to take your speak little English. Instructors may not be the most comfortable art and music programs for
mind off studies: a surfing beach patiently draw out the most reluc- choice. Some families are friend- local kids on campus.
just outside the gateway, water so tant speaker. They are imagina- lier than others, and all live simply, No question, these week-long,
warm you barely feel it, yoga and tive communicators, so students no air-conditioning, bugs in the immersion classes are a memo-
salsa dancing after school. It’s a always know, more or less, what bathroom, and bland cooking. rable way to learn more Spanish.
wonder that any homework gets is going on. Intercultura’s students are Just watch that the monkeys don’t
done: but you can’t avoid learning Ticos are friendly and patient part of the community and con- eat your homework. —Janet May
Spanish here. people, and the village locals are tribute to the local economy in sev-
For more information, check out
The classes are not a push accustomed to being interviewed eral ways. Many of the instructors
interculturacostarica.com and
over. Spanish only is spoken, and by students on assignment. are from nearby, and the school
samaralanguageschool.com
class size is six or less. This is not Students can live with a family, and itself is integrated with the village.
Osetra Bay
the quite culinary
caymanislands
For those well travelled, a chic waterside dining experience with
sunny days
food the Caymanlong known forIslands is a flowing white linen gazebos and a hip
fest destination
culinary excellence. These
indoor lounge. It’s uptown in a beautifully
relaxed Caymanian way.
three idyllic islands, tucked Foodies will flock here this January,
in the western Caribbean, have a loyal when the Cayman Islands host the world’s
following of repeat visitors who enjoy an most talented chefs at the the third annual
array of top-drawer dining options. The Cayman Cookout. Venerated Chef Susur
Chef Susur Lee
tiny trio of islands has over 150 dining Lee, touted by Food & Wine magazine as
choices, offering both locals and travellers “one of the best chefs of the millennium,”
great diversity, quality and selection. will be featured alongside Chef Eric Ripert
Grand Cayman is the home to Seven (creator of the acclaimed restaurants, Blue
Mile Beach, a seemingly endless strip of and NYC’s Le Bernardin). Representing
white powdery sand and impossibly blue Canada, Lee was personally invited
water. As each sun-drenched day comes by Ripert to join what has become an
to a close, the scene transitions from the unparalleled experience for gourmands and
beach to the culinary offerings along West oenophiles in Grand Cayman.
Bay Road, and more recently, to George Cayman Cookout, sponsored by
Town’s Camana Bay. Restaurants and patio the Cayman Islands Department of
lounges fill with patrons seeking custom Tourism, The Ritz-Carlton, Grand
cocktails and dining options that rival Cayman and Food & Wine magazine, is
South Beach, Vancouver or Toronto. What a four-day feast of epicurean experiences
other sun destination can offer eight Wine including demonstrations, tastings and
Spectator-rated restaurants within a few excursions, as well as personal encounters
miles of each other? with participating world-class chefs and
Those close to the food scene in Grand sommeliers. This year’s super-star line-up,
Cayman speak of a culinary renaissance— hosted by Ripert, includes Lee along with
an urban chic movement—that is drawing culinary masters Anthony Bourdain, José
international attention. Newly built Andrés, Rachel Allen, Michael Schwartz,
Camana Bay, a town development adjacent Charlie Trotter, Food & Wine magazine’s
to the capital city of George Town, has Gail Simmons, and wine and spirits experts
stunning modern design, upscale shops Ray Isle, Anthony Giglio, Denis Cakebread
and a vibrant urban sensibility. There’s a and Bo Barrett.
CouRTESy CAyMAN ISLANDS TouRISM
definite vibe happening here on the patios For such an idyllic Caribbean setting,
and long bars of Abacus and Michaels the Cayman Islands clearly enjoy a secure
Genuine Food and Drink at cocktail hour. footing in the international culinary
And a quick trip over to Morgan’s Harbour world—and polished Canadian travellers
takes you to casually swank Osetra Bay, are quickly catching on. Join the feast!
The Grand Cayman Cookout takes place January 13 – 16, 2011.
Go to caymanislands.ky/cayman_cookout for more information.
Abacus
november/december 2010 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
via his website at drpeng.wordpress.com.
the justice system?
The pervasion of this archaic and negative system into the physicians’ area of practice
I
am not Saint Christopher, but I do try to pay my who know a great deal about the law, but, with all when my colleague enters to undertake some
medical plan Canadian respects, have
For:on time, bill theJust For honestly, dueDoctors no specialized knowledge of
taxes of the most difficult types of surgical procedure
and generally fit unobtrusively into society. population statistics, public health or government I have ever witnessed in my years administering
Recently, however, I came as close to having to go finance. anaesthetics.
Issue: Nov / Dec 2010 issue
to prison as I ever want to. ** special ad approved **
In this new millennium, the Court system To speak against the system is still, in 2010,
I was required to appear as a witness in a civil (I cannot refer to it as the Justice system) bears regarded as heresy. To my surprise and disquiet,
litigation that had been going on for 10 years. I was a resemblance to the role of organized religion when I casually mentioned my intention to write
Fax: 604 - 681 - 0456
given just 10 days notice. failure to appear, I was in the Middle Ages. It is autonomous. Judicial this essay, people expressed concern—asking me if
warned, would be viewed as “contempt of Court” decisions carry the same aura as papal infallibility. I am not nervous to do so.
punishable by incarceration. An authority figure wearing fancy dress sits front- when I did appear as a witness I was ques-
Attn: Advertising in Print
This is a daunting power in a free society—but and-centre overlooking a convoluted ceremony tioned for about two hours with attempts made to
it does not stop there…The maintenance or the conducted by other members of the profession interpret my 10-year-old hospital progress note and
scrapping of the long-form census. The legality of wearing similar get-ups. when the minister judge discharge summary to say different from its clear
Email: Copy sent to admaterial@advertisinginprint.com
brothels. The implementation of the Harmonised enters the church courtroom all attendees are original intent. Answers were cut off, one lawyer
Sales Tax. required to stand. accused the other of “leading questions”—it had
what do these have in common? They are I allow that a judge is a senior and knowledge- nothing to do with the real world, the real people
all at risk of being usurped by the courts—with able person, but so is a proctologist. I have never involved, and the real pain a wrong decision causes.
decisions being made by members of the judiciary seen all the staff in the operating room stand There has been much criticism of the police
concerning the delay in apprehending william
Picton. I suggest that if the judicial system was less
YOUR VOYAGE OF DISCOVERY AWAITS! complex with fewer technical loopholes, the police
may well have proceeded sooner.
Defenders of the current system say it protects
the public against the potential tyranny of the
police. It is also argued that it is better that three
guilty persons go free than one be imprisoned
incorrectly. In this regard the system has failed
Donald Marshall Jr., David Milgaard and Guy Paul
Morin amongst others.
Physicians as well as nurses, midwives and
nurse practitioners, make many, and occasionally
life-and-death, decisions every day. These decisions
CARIBBEAN RHINE RIVER BALTIC do not take days, weeks or even months. The civil
case in which I was a witness was scheduled to last
March 12 - 19 April 22 - 29 July 21 - 31 three days. I am sure that, with a well-motivated
Diabetes Management Primary Care Endocrinology mediator, it could have been settled in three hours.
It is analogous to taking a week to diagnose and
Spring Break Promotion Over 70% sold Early Bird Tuition
treat an acute appendicitis—by that time the
3rd & 4th in room cruise FREE ends December 15
patient is either moribund or dead.
So why am I railing against a system that has
CME cruises around the world been in place throughout the world for centuries?
ALASKA companion cruises FREE There are many reasons but the principal one is
the pervasion of this archaic and negative system
CARIBBEAN
DUBAI & UAE
Sea Courses Cruises into the physicians’ area of practice. Medical
practitioners should not be given carte blanche,
BALTIC & RUSSIA
MEDITERRANEAN
1-888-647-7327 with no regard to consequences of carelessness or
malevolence, but we all, every day, order tests and
ISTANBUL TO LUXOR cruises@seacourses.com interventions to protect against the ever-present
threat of a malpractice suit. It costs the public-
Accredited, live & unbiased CME One of the best educational experiences I've had. All while having
funded system an inestimable fortune—money
WWW.SEACOURSES.COM a vacation. Speakers dynamic & interesting. Ship was beautiful.
much better spent on direct and appropriate
patient care.
8 JuST FOR CanaDian DOCTORS november/december 2010
IN THE O.R., PEOPLE’S LIVES ARE IN
MY HANDS. AT HOME, I PREFER TO
LET OTHERS TAKE CARE OF ME.
TA K E M E T O T R U M P ®
Welcome to your life at Trump International Hotel & Tower®, Toronto’s
new premier address. Home to the most exclusive luxury residences
in one of the most vibrant cities in the world. A place where most could
only dream of living. And where you can call home. Here, the world’s
finest five-star amenities are on call for you night and day. Providing
attention without intrusion, service without boundaries. Just the way
you want it, just for you. Welcome home.
F O R M O R E I N F O R M AT I O N ,
C O N TA C T T H E S A L E S O F F I C E AT 4 1 6 . 2 1 4 . 2 8 0 0
O R V I S I T T A K E M E T O T R U M P. C A
TRUMP INTERNATIONAL HOTEL & TOWER TORONTO ® IS NOT OWNED, DEVELOPED OR SOLD BY DONALD J. TRUMP, THE TRUMP ORGANIZATION®,
OR ANY OF ITS AFFILIATES. TALON INTERNATIONAL DEVELOPMENT INC., THE OWNER AND DEVELOPER OF THE PROPERTY, USES THE TRUMP
NAME UNDER LICENSE FROM TRUMP MARKS TORONTO LLC, WHICH LICENSE MAY BE TERMINATED OR REVOKED ACCORDING TO ITS TERMS.
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.
tri-partite panamera
Revving Porsche’s new engine along the west Coast’s scenic motorways
M
y historically inspired benchmark: leashing the quintessential Q-ship for its first Both highways boast majestic scenery.
3,300 km over five days. Such was ever four-door sedan. All-wheel drive, 500 However, as the main artery of commerce
the prescription for Mexico’s leg- horsepower, and Valentine one collectively between the Pacific and RoC (Rest of
endary 1950 – 54 border-to-border car race, ride shotgun over the proceedings. Canada), the BC portions of the Trans-
Le Carrera Panamericana. My conundrum Canada are an embarrassment to our great
is which 3,300 Canadian kilometres are best the direct route The border-to-border nation (ditto through Calgary proper!). The
traversed on my five days with Porsche’s Le Carrera Panamericana was sprung on an vast majority of BC’s TCH is just two lanes
namesake Panamera? unsuspecting world in 1950. The Mexican with flow claudication secondary to truck-
My prescribed starting point is prairie- government sought to promote awareness plaque and RV-thrombi. I hum Radar-love to
bound Calgary. Porsche’s “Sports car of the paved completion of their section of myself, but to no avail.
for four” Panamera demands testing on the Panamerican Highway. A legend was
sporting roads. Logic dictates heading born (with the race resurrected in 1989). best moment: T Rex belting out Bang-a-
Interestingly, Trans-Canada Highway (TCH) gong as the sun sets beyond snow-capped
east-to-west wasn’t “com- mountains two hours outside Vancouver on
pleted” until 1962, when the serpentine, high-alpine, 110-kph-limit,
The Porsche Panamera,“with a top speed of 188 mph, 0 – 60 mph at an eye- over half its 7,700 km were six-lane Coquihalla.
popping 3.5 seconds and all-wheel-drive sure-footedness,” may just be “the still gravel!
The most-direct route best side roads to explore: yoho Valley
fastest multi-day cross-country tool currently available,” says Dr. Silverthorn, Road (Cathedral Lodge) just east of field,
who tested it on some of BC’s most scenic and iconic highways (below). Calgary to Vancouver runs
980 km. It still follows the BC…and skipping the Coquihalla to run the
Trans-Canada westbound now-traffic-free vestiges of the Trans Canada
through Roger’s Pass from kamloops through the fraser Canyon
and past the Last Spike to Hope.
at Craigellachie as far the southerly route This route es-
as kamloops. Then the chews the Trans Canada near Lake Louise,
direct route follows the Alberta, to run southwest through kootenay
mid-1980s engineer- National Park on Highway 93 to Radium Hot
ing masterpiece of the Springs, BC. I then follow Highway 93/95
Coquihalla Highway. along the floor of the expansive Columbia
River Valley south to Cranbrook. My route
heads west on Highway 3 parallel to the
Canadian-uS border, traversing multiple
mountain passes and intervening valleys.
The southern route is 1,125 unique
kilometres. Though the roads are two-
lane highways, the traffic density (es-
pecially truck) is much lower than the
west across the multiple Trans-Canada. This route boasts the
mountain ranges to the Salmo-Creston-Skyway, the high-
Pacific shores. A huddle est year-round pass in Canada.
with Google Maps and The tortuous Hope-Princeton
presto…sum the non- Pass section is also remarkable
repeat road distances of for its tough traffic slogging if
the three available routes unequipped with superbike-
from Calgary to Vancouver level overtaking capabilities. The
nets the requisite 3,300 Panamera’s 569 ft-lbs of torque
km. How convenient. shine throughout.
MAP: TouRISM BRITISH CoLuMBIA
I set the Panamera’s best moment: watching a bald
Satellite Radio on the $6,770 eagle circle a tree-top beside glim-
upgrade Burmester stereo to mering Slocan Lake.
Classic Rock. Music, caffeine,
and Hi-test Chevron will fuel best side roads to explore: Skip
the next five days. The Panamera the aforementioned Skyway and instead
Turbo and I creep out into the take 3A, kootenay Lake ferry, 31, 31A, and
descending darkness. Its pedigree and 6 to visit Crawford Bay, kaslo, New Denver
U.S.A. and Nelson. As well, consider the Coalmont-
potency are unparalleled—Porsche un-
10 JuST FOR CanaDian DOCTORS november/december 2010
motoring continued
Tulameen Road out of Princeton (if clinically as I drive the long climb out of Clearwater It is impossible for Porsche to imbue a 4,500-
indicated). into wells Gray Provincial Park to scenic lb sedan with the road communication de-
Helmecken falls. lights of their 3,100 lbs sports cars (or 2,400
the northerly route My familiarity lbs if you go back to 911s of the early 1970s).
with this route is the least of the three, and best side roads to explore: The road The Panamera’s styling is controversial to
thus it generates my greatest anticipation. from Mount Currie to Darcy. Also Lillooet to say the least, but good design should push
The route is the longest at 1,129 unique Lytton on Highway 12. The above-mentioned the envelope and then grow on you. I now
kilometres. I was not disappointed, save for Clearwater Valley Road to Helmcken falls. regard the car’s visual impact as menac-
the traffic density. Don’t these people know
about the shorter routes? Nevertheless, the car So enough about the 3,300 km. ing, which fits its personality perfectly.
what about the car? Is it any good? why has Throughout the range, though, I found lug-
if I could recommend only one Calgary- gage space rather limited for a four-seater.
Vancouver route, this would be the one. Porsche done a sedan? Isn’t it a stretch to
name a sedan after a famous race? Porsche did very well financially with
The route begins in west Vancouver, its 2002 entering of the SuV market with
following Highway 99 through whistler, five days of driving in any car tells you
a lot about its character. The Panamera has the Cayenne. Entering the sedan market is
Pemberton and Lillooet. upon joining viewed as somewhat less sacrilegious. The
Highway 97 I head north into the Cariboo world-class depth of dynamic abilities, es-
pecially in this top-of-the-range Turbo Sport brand is able to effectively share factories
before heading east across Highway 24 to and some components between these
join the yellowhead (Highway 5) at Little Chrono form. with a top speed of 188 mph,
0 – 60 mph at an eye-popping 3.5 seconds two platforms. To any lover of Porsche’s
fort. The yellowhead then delivers me to sports cars, or those who want a sedan with
majestic Jasper. The spectacular Ice fields and all-wheel-drive sure-footedness, it
may be the fastest multi-day cross-country these capabilities, there really is no (sedan)
Highway (Highway 93) completes the return substitute!
journey to Banff/Calgary. tool currently available. No other car I have
driven provides this degree of performance, As to the propriety of Porsche naming
This route is tops in scenery (ice fields). its sedan after the iconic 3,300 km Mexican
It’s tops in twistiness (whistler to Lillooet). stability, and comfort for two people, let
alone for the full four places and stealthful road race, I came across a little-known fact
The northern route visits all three of western in my research. In 1950 and 1951 Le Carrera
Canada’s most iconic resort communities character the Panamera offers.
These immense capabilities do come Panamericana rules stated the entered cars
of whistler, Banff and Jasper, where the must seat four. So the name and the car are
Porsche can blend easily into the automo- with compromises, and at a cost—$172,430
for our full-load yachting-Blue-on-Cream indeed a perfect fit. So too is the Panamera
tive landscape. for five days of Canada’s most challenging
full-leather version. The Panamera range
best moment: In the early morning mists in Canada starts at $88,000 MRSP with a roads.
XM plays Led Zeppelin’s Stairway to Heaven 300-horsepower V-6 and rear-wheel-drive.
Spoil yourself in a Grand way.
Starting this November, fly WestJet non-stop from Toronto to Grand Cayman. With convenient connections
between Toronto and other Canadian cities it’s easy to experience an island vacation.
Book your flight or vacation package today at westjet.com or call your travel agent.
WES111081AB_1.indd 1 november/december 2010 JuST FOR CanaDian DOCTORS 11
10/20/10 4:48:16 PM
* prescribing r & r
The winner of Just For Canadian Doctors’
contest and an All-expenSeS-pAid TRip
with Quark expeditions will be announced
december 15 at justforcanadiandoctors.com.
Read the last two finalists’ stories here. We’ll
continue to run more adventure stories by
runners-up in 2011. Send your submission
to feedback@inprintpublications.com.
tango trance
By Dr. monica yuzak
A physician kicks up her heels in Buenos Aires
I
have always loved to dance. My memories he creates by expanding her chest, leans hope of our mastering this dance?
begin with my Polish father polka-ing me forward to meet him by centering her weight we chose bohemian San Telmo with
around in his arms before I could walk, onto the heads of her metatarsals. They meet its cobbled streets and architectural jewels
and later me dancing on his feet around the chest to chest, she drapes her left arm over as our base. we found a great teacher
kitchen. Then, as a teen, perfecting moves his shoulder and rests it on his upper back and discovered to our delight that we
with one of my younger sisters. As the eldest while her right hand rests gently in his left. were surrounded by milonga halls (tango
daughter I was often next, after my mother, Both strive to be comfortable, relaxed, and salons). The Sunday morning Artisan
to dance with dad at weddings and family connected to the other. The upper bodies Market exploding under our balcony on
parties. Such deep dance delight. act as one and the lower bodies dissociate. Defensa Street was an unexpected bonus
Perhaps, not surprisingly, I fell in love Hips rotate, legs enter each other’s space. The and provided badly needed retail therapy
contest finalist 5!
with my partner on a dance floor. It was a lead is subtle and exacting, the woman closes between lessons.
supper club, and that night we closed the her eyes to better feel it. Together they move we learned that Tango originated on
place down. we have been dancing through to the ever-changing tempos in the line of the docks, created by Italian and Spanish
life together ever since. Along the way we’ve dance like a string of ants. The salon becomes immigrant portenos(people of the port),and
explored several Ballroom and Latin dances, one. It’s been called the “tango trance.” gauchos (cowboys) from the Pampas (plaines),
tackled two-step, grooved to jive and west- will I ever “get” it? I learn a movement, who were mostly working men. They danced
coast swing. then forget it when my focus shifts. Take with each other and with the women of the
Then one day, we came upon the lesson after lesson to master one sequence, Bordellos. Through music and movement
Argentine Tango. It was instant love. we consult you Tube over breakfast, once emotions were given expression. Tango
dropped all the others and became totally again dancing in the kitchen.” Patience, between rival men was a macho competition;
committed to it. I think it was the intensity persistence,” I tell myself. between lovers, foreplay; and for the lonely,
that drew us in and began our journey with To learn more about tango and the a way to connect with the female energy
JoSe AS ReyeS
this very complex dance. culture from which it sprang, we went to the they missed from back home. Mostly it was
The man opens his arms and invites the source: Buenos Aires, Argentina. would we men practising with each other, whenever
woman into his embrace. She fills the circle be inspired, or would this experience dash all a musical instrument would sound. They
were looking for the best ways to please a
woman, preparing for the moment when
they would have a woman in their arms and
a chance to make her their sweetheart.
A cauldron, this history helped explain
the “intensity” of the dance. A reflection of
the pains of a people in a new land.
our teacher proceeded to teach us…
to walk. The fundamentals of walking are
essential to all the beautiful moves that
follow, and attention to fine detail turns an
“okay” dancer into a tanguero. “one body,
four legs,” Gustavo intones. “Relax, breathe,” I
remember. It truly takes two to tango!
The culture of Buenos Aires is defined
by its music and cuisine. The cafés, bars, and
restaurants provide the romantic ambience
for a carefully prepared recipe, served by
seemingly timeless waiters. A city of daytime
snackers that finally sit down to their major
meal around 10 pm, when the numerous
legendary eateries are full. As the parillas
(grills over open fire) smoke, people in
groups share huge platters of meats washed
down with full-bodied malbec and much
merriment.
It is only then, when the meal is finished
and the food nicely settled that the milongas
begin, from 1 am till dawn. I felt like I was
entering a scene from a Bogart movie, men
wearing white linen suits, fedoras, and
spats watching from the shadows. women
eliminate the
in sequins, flowers in their hair, dresses slit
up the side. Holding a man’s gaze across
a crowded room signals a “yes.” He then
paper trail.|
sashays over, confident that the woman will
follow him to the floor. The two have agreed
to a short-term commitment to co-create
an experience. Together, focusing, listening
to each other and the music. Convention
prohibits idle chatter on the dance floor,
and insists that a couple remain together for
three songs. It IS intense. And while on the
dance floor, the dance is all there is.
I was terrified and kept my eyes glued
to the floor. Not willing to look for too long
at anybody, should they assume I wanted
to dance. one night, close to the end of our
stay, I found myself caught by the eyes of a
tall, dark, handsome man. I was on the floor, Harness the power of speech to text technology with
he was inviting me into his embrace and Speakeasy Solutions & Dragon NaturallySpeaking
my body was remembering the stance, the Version 10. Call for a customized demonstration.
pressure points, and he began with simple
patterns till I was able to relax and breathe.
By the second dance he sensed my level of
experience and matched it with his lead. Cutting edge digital dictation systems,
By the third, my eyes were closed, my mind customized for you.
was quiet and I was following patterns that Save time
were totally new to me, effortlessly! I was Save money
in Buenos Aires, dancing with a real live
Utilize cutting edge technology
Argentinean tanguero, in a real live milonga!
Improve patient care 604-264-9109
Giddy with wine, fatigue, and dance, my www.speakeasysolutions.com
partner and I watched the sun come up.
november/december 2010 JuST FOR CanaDian DOCTORS 13
*
contest finalist 6! prescribing r & r continued
mountain cure
Backpacking solo in the wilds can do wonders for the spirit
I
t was a patient who made the diagnosis.
“you’ve got industrial disease,” he wrote,
in an actual letter to me. He was right; I
needed wilderness, and some time alone, but
where do you go when you don’t want to see
anybody? Someplace primeval. It could not
cost a lot, because I not only suffer industrial
disease, I also suffer cheapness. only one
quarter Scot, but it definitely manifests.
Mt. Robson Provincial Park is a little
chunk of the Rockies within driving distance
By Dr. aLex russeLL
permission is making me feel worthy. Maps,
I decide, are for tourists. The (free) brochure
looks perfectly adequate for a wilderness
man like me. The entire route is free, except
the campsite at Berg Lake ($10). using the
special pointy tool next to the corkscrew on
my knife, I prise open my wallet and extract
the money, then catch a ride back up to
where the highway crosses Moose River. It
seems pretty far, but I am excited, and march
undaunted into the woods in the vicinity of
I climb to an alpine meadow and surprise
a mother Grizzly with her two cubs. Actually
have no way of telling if she was surprised,
as I am running for the trees too fast for the
light carrying this information to reach my
retina. This day takes me past the source of
the Moose, which turns out to be a small
puddle. I see mountain goats in the distance,
and it occurs to me that their pee will run
into a different ocean than the bears’ and
mine. Just before camp I startle an actual
from Edmonton. All the moist pacific air the river. After several hours of wandering moose, and feel my journey is complete.
gets wrung out here on the western slopes, through forest, I head towards the sound At Berg Lake I meet people and am
making the trees taller, the glaciers thicker, of water, and am relieved to find that there happy to see them: a good sign. It takes
the mountain streams more wild and is in fact a track. Turns out that wandering me five minutes to find a patient, a hatless,
tumbling. Just what the doctor ordered, but through unmarked bush is a good way to somewhat braised young man in need of my
such spectacles attract other humans, and reduce zealousness. sunscreen. This bodes well for my recovery.
the 20 km trail to Berg Lake at the foot of Later I find some mushrooms, and as I Snowbird Pass, a side trip that winds up
Emperor face is indeed a well-travelled path. had packed a little light on the food, decide behind Berg Lake and gives views of Robson
I had heard of a 66km back door route along to try them in the soup. while stirring, I Glacier and the North face, ends in what
Moose River. No bridges, no signposts, no notice some sort of maggot, which is no seems like a non-descript little snow covered
campsite development. Travel on the route doubt high in protein, and no reason for ridge. I persevere and am rewarded with
is not recommended until August, when the tossing out soup. It is hard to be sure if I am a sudden cliff edge dropping down to the
rivers are lower and the grizzlies fatter. It was being judicious with my food supply, or just huge and silent Coleman Glacier; a last dose
July. with luck, I’d be the only specimen of cheap. I guess I am still a little excited about of solitude before the walk out.
human for miles. being here, and prone to some excess in my I make excellent time getting to the
Packing for a wilderness trip is almost as efforts to get back to nature. It is only the parking lot, stopping briefly to visit the
fun as actually going on a wilderness trip. I first day and already I have: a) done some places I have been before with friends and
borrow a stove. I buy six dinners in six tin foil off-piste adventuring, b) felt quite alone, and family. A boulder here, a waterfall there;
bags. I have soup, matches, a one-man tent, c) eaten worms! I miss them and wish I had been a wiser
an akubra hat, and a pair of old hiking boots. Rain and more rain, and I lose my way and more joyful companion. Here the
I have a Swiss army knife (thank you Dagny), a few times. I still have the gist, but am task of living seems to rise up as stark and
and bear spray, which arrives in the mail from constantly backtracking. A wrong turn and monumental as the broad shoulders of
my concerned brother. The only thing I do I end up crossing the river several times. Robson. I like it that there is a climbing route
not have is a good sleeping pad (damn that uncertainty, combined with getting wet, and to the summit, somewhere on the Emperor
Scots blood). being alone, is stressful. I realize that I have to face, called “Infinite Patience”.
The woman in the park visitor centre be more protective of my map, as the paper I keep my promise to the park lady, and
gives me a brochure with a map of the route, is quite soluble, and without it I would be report my return. She seems happy to see
and advises me to: a) get a real map, and lost. The only matches that survive the river me. I tell her about the bear, and how high
b) go later in the season. Since I insist on swim are in my wallet, presumably protected the river is running, and then I say something
going immediately, there is also by its tight grip. stupid, like “best $10 I ever spent.” Some
c) report in when I get back. I things, it seems, cannot be remedied.
appreciate this girl. Her warnings
are keeping the path empty,
and her eventual
14 JuST FOR CanaDian DOCTORS november/december 2010
hotspots
destination
Our aim is to provide our see the world with
guests with the ultimate and Butterfield & Robinson,
most memorable wilderness luxury active travel
Eagle Pass Heliskiing skiing ever experienced. specialists worldwide.
Revelstoke, Bc The Monashee Mountains From Burgundy to
250-837-3734 are world renown for For detailed itineraries, slideshows, Vietnam to Argentina,
Toll-free: 877-929-3337 consistent deep dry powder, B&R trips celebrate a
(877-Way-dEEP) trip suggestions and more visit us
www.eaglepassheliskiing.com wonderful well-spaced tree online at Butterfield.com. region’s culture, in style.
skiing, and spectacular 1-877-843-0261 B&R’s biking trip in
info@butterfield.com
alpine vistas. We are able to offer a unique and comfortable www.butterfield.com Piemonte—the home of
small group atmosphere. Some of our highlights include the Slow Food—is all about
highest vertical guarantee in the industry, ski packages of one epicurean ecstasy, whether it comes during pasta class with
to seven days, ski terrain is only minutes away, and we provide a master, Michelin stars in the Roero hills, or a picnic paired
state of the art safety equipment to all our guests. In essence, with regional wines. We stroll historic Alba with a local,
skiing with EPH’s small groups of 4 results in a more intimate, pedal vine-covered hills to our spa hotel, and swim in the
more enjoyable experience with more fresh tracks! panoramic pool. B&R also offers Self-Guided trips in several
European hotspots. Call a Travel Advisor at 877-843-0261 or
Our lodge is also ideal for hosting
your travel professional for details.
medical conferences while heliskiing!
At snowwater, we offer a
distinctive alternative for If you prefer your
those who appreciate a snowboarding and
higher standard. We skiing to be at your
provide guests with a own pace, with no lift
supreme powder holiday lines, no crowds and
snowwater Heli-skiing inc. combined with un-matched great snow all day, with
south slocan, Bc service and a world-class Powder mountain professional guides
250-359-7665 culinary experience. Heliskiing and catskiing whose prime objective is
Toll free: 866-722-7669 (snOW) Whistler, Bc your backcountry safety
www.snowwater.com Catering to only twelve 1-877-PWdR-FiX
www.pmheli.com while making sure you
guests at a time, we ensure have the best day ever,
each person receives uncompromising service and optimal Powder mountain Heliskiing and catskiing is your
comfort at our private, mountain lodge. Our terrain spans powder destination in Whistler. From snowcats, you’ll have
150,000 acres, and we fly in small, cohesive groups in the an amazing day of 6-12 runs in alpine bowls and fantastic
fastest and most powerful machines in the industry. We also glades. From helicopters, you’ll have 1,000 square miles of
provide a failsafe snowcat backup for all our guests, so you the Coast Range filled with unbelievable powder runs as far
ski every day of your long awaited heli trip– guaranteed. as the eye can see, waiting for you, your friends and family.
hot +
travel at home
cold
therapy
Indulging in hot-spring bubbles and
cold-smoke on a Kootenay ski trip comes
hangover free. (But don’t forget the Ibuprofen.)
story Lisa richardson photography dave hobson
16 JuST FOR CanaDian DOCTORS november/december 2010
+
travel at home
a
s my husband approached 40, I found myself screening for the
symptoms of mid-life crisis. Especially when he started to talk
about buying a Porsche. It was clear I needed to do something snowwater’s kootenay
to distinguish the moment, switch off the autopilot light, arrest a sampler takes all the elements
if you go
potential slide into melancholy. But champagne and cigars were of your dreamski tripandsuper-sizes
not going to cut it. we needed shock therapy. themintoa seven-day package: cat,
for a skier, a perfect day is as easy to define as it is difficult to attain: a mountain to oneself. heli (with unlimitedvert andback-up
Great snow conditions. food that is so good that conversation falls off as plates are laid before cat-skiingin case of no-fly weather),
you. The view of moon-rise over mountains from the steam and churn of an outdoor hot-tub. andresort skiing, exquisite food,
There was only one place for it: we headed for the Powder Highway in the heart of the funky towns toexplore, anda good
kootenays. The kootenay Rockies region is the birthplace of heliskiing and cat-skiing. The
balance of free time, natural mineral
terrain and its legendary “blower” champagne snow conditions have attracted more than 50
cat, heliskiing, resort and backcountry lodge operations, all concentrating in a south-eastern
hot springs, champagne snow.
corner of British Columbia, where the Purcell Mountains, the Selkirks, the Monashees and the snowwater.com
Valhallas drain down into the Columbia River Valley. Valhalla is the oldNorse for “the hall
unlike the mega-operators, who can cater to 120 guests at a time, Snowwater Heliskiing is of the slain,” or warrior’s heaven…
one of the region’s boutique operators, a cluster of timber-frame cabins with radiant in-floor luckily, skiers don’t needtowait
heat, wood stoves, micro-hydro and generator power that accommodates 12 guests at a time, until they die totaste the pleasures
perched at 5,200 feet on a west facing slope in the Selkirks. of the Selkirk’s Valhalla range.
owner-operator Patric Maloney is a bon vivant, the incarnation of his latest idea for a TV valhalla powdercats
show: how to live like a millionaire without being one. He welcomes guests to the lodge with
offer single day, multi-day and
hot towels, champagne and the look of a man who has found his place in the world, in a king-
dom he’s built by hand, that allows him to indulge his own champagne tastes, and stock the
Powder Safari packages, as well as
place with big-boy toys: Patron, fine wine, the groupoption of bookingyour own
a personal chef, dynamite, snowmobiles, cat. valhallapow.com
a bio-diesel fuelled snowcat (that serves The ainsworth hot-
as back-up for bad-weather days) and an springs attract worked-over
A-star helicopter. snow-tourists andgrey-haired,
The A-star’s 700 horsepower jet engine slow-gaitedlocals in equal numbers,
is our ticket to living like a millionaire. drawn tothe restorative powers
we are free of the frenzy one feels on a
of the natural hot springs andthe
powder day in a ski resort, to get to the
best terrain before it’s tracked out by the
high mineral content of the water.
masses. It’s just three of us and a guide. hotnaturally.com
our legs will give out before the powder nelson, bc, is a funky interior
does. we ski 30 minute laps. The helicopter town, population 10,000, full of hip-
picks us up at the bottom like a chauffeur, pies, artists, green-thumbs and
turbo-boosting us up for another run so counterculture types. And, for some
quickly the lactic acid doesn’t get a chance reason, great chefs. Nelson is a town
to disperse. After nine runs of roughly 1000 worth experiencingthrough your
vertical feet each, my husband pronounces
so
belly. O Negrocoffee andincredible
himself cured of his life-long powder-
chase: “I could never ski again.”
baking. Grabbreakfast at the Red
It’s only temporary. The addiction surg- Fish Grill for the world’s best hash
es, and we rally. our approach is holistic: browns. Stay at the Prestige Hotel on
we’re targeting midlife malaise from every Kootenay Lake. discovernelson.com;
angle. After all, variety is the spice of life. prestigehotelsandresorts.com
Snow-lovers joke that catskiing is a
poor man’s heliskiing, but it feels more like
the alternative for social democrats, with less of the alpha-aggression and rush-rush-rush that can mark the heli-experience.
Catskiing is an inherently social experience, and 12 is the magic number. If you book your own cat, you can even control the chemistry.
we’re lucky to slide in to a group that is so full of chemistry, they’re practically a periodic table. They call themselves the Powder Pachyderms:
“we might be fat, but we still give’r,” and the jokes come fast and furious, giving laughing muscles as good a workout as the legs get.
As the beast lurches up improbable roads through a tenure that is over 21,000 acres, group members chat, joke, and pass around con-
tainers of home-made sandwiches, cookies, snacks. “This doesn’t suck,” someone announces and we share out the one-bite brownies and
donut holes. The tailguide, riding the bench seat, probes through the other lunch treats. “Anyone want any vegetable sticks?” There are no
takers. Skiing 15,000 vertical feet of untracked snow is heart-friendly enough.
The hang-over comes the next day—a localized sensation in the thighs that insists: get me to the hotsprings. we lower ourselves into 42
degree natural mineral baths, surrendering to an age-old remedy for joint pain, muscle fatigue, high blood pressure, circulatory and diges-
tive issues. whether it can cure a mid-life crisis is yet to be determined.
But if, as the deep ecologist Dolores LaChapelle claimed, the essence of life can be found in deep-snow turns, it’s better to turn forty
eating pow than birthday cake.
As LaChappelle wrote in her classic Earth wisdom: “one can never be bored by powder skiing because it is a special gift of the relation-
ship between earth and sky. It only comes in sufficient amounts in particular places, at certain times on this earth; it lasts only a limited
amount of time before sun or wind changes it. People devote their lives to it ‘for the pleasure of being so purely played’ by gravity and
snow.” Everything passes. Skiing powder makes that ephemerality a cause for celebration, rather than regret.
In the end, my husband bought the Porsche as well. But that’s a whole other story.
november/december 2010 JuST FOR CanaDian DOCTORS 17
techworks c o r e y va n ’ t h a a f f
Corey Van’t Haaff owns Cohiba Communications and writes about business,
medicine, technology, and law, especially where two or more of these intersect.
She can be reached at corey@cohibacommunications.com.
breathe easy
An intravenous electrode that offers new hope to patients on ventilators
D
r. Andy Hoffer will be the first to tell recovered from her illness after one week, Hoffer’s diaphragm pacing technology
you that necessity is the mother of but now couldn’t breathe well enough on doesn’t require any surgical exposure of
all invention, but that idiom never her own. All around them were other sick nerves; it is a minimally invasive, temporary
rang truer than when his own mother fell ill. people, other stories: kids, middle-aged procedure. Based on his experience is the
It was shortly before his planned trip people, victims of trauma, sunstroke, the use of electrical stimuli, he figured the
over Christmas in 2006 to his family home elderly; all struggling with varying degrees diaphragm would benefit from electrical
in uruguay (one of the top four countries of success to get off their ventilators. activation during ventilation in order to
in the 2010 Soccer world Cup, he says “My mother’s condition was worsening prevent or reverse disuse atrophy. He asked
proudly) that he received word his mom with the prolonged bed stay. I was trying himself, ‘how does one put in an electrode
had pneumonia and was rushed to intensive to figure out why it was so difficult to wean quickly, simply, and reversibly, that can be
off the ventilator,” he says, adding that removed after the patient recovers?’
physician friends advised that failure-to- He came up with the Lungpacer
wean is common, with 20 to 30% of patients intravenous electrode, placed in the upper
becoming ventilator-dependent. chest under local anesthesia. The nerves
His mom worked with a respiratory that control the diaphragm run next to large
therapist, training her to breathe on her veins under the clavicle. The Lungpacer
own, but she would fatigue after a few electrode “inside-out cuff” design provides
hours and start to panic, so she was put mechanical stability and selectively activates
back on the machine overnight. It was the the diaphragm using very low currents.
same story for many patients, often kept Hoffer and his Sfu team have since been
sedated to prevent them from fighting the busy developing and testing a medical
machine. grade, disposable electrode lead.
“I knew that the diaphragm could The Lungpacer lead, connected
weaken from not being used during to a bedside control unit, will produce
ventilation, but I had no idea of how diaphragm contractions to keep it strong.
incredibly quickly it Similar in concept to a car’s block heater, the
Dr. Andy Hoffer atrophies,” he says, adding Lungpacer will keep the diaphragm warmed
receiving the that a year later, Levine up and ready to work normally when the
LifeSciences BC published an eye-opening patient is ready to breathe again.
2010 award. finding in patients who when he conceived this technology, he
died after 18 to 69 hours of thought “of people like my mom, but I didn’t
sedation and ventilation: their diaphragm have any idea of how large a number of
muscle fibers had atrophied to less than people this problem affects. The elderly are
half of normal size. “It’s scary how fast the more susceptible but a lot of young people
diaphragm muscle declines.” die too. Ventilator-dependent patients in
“while I was trying to find a better way ICus are the most expensive hospital in-
to help wean my mom, in visualizing the patients, and too often they die.”
tubes and leads that were keeping her alive, Lungpacer Medical (lungpacer.com) has
I had a key insight. I came up with an idea completed proof of concept, safety, and
for pacing the diaphragm that should speed stability in animal trials and recently won
up the weaning process.” several awards for its innovative technology
care in a local hospital. The biomedical Hoffer had studied neurophysiology and compelling business case.
physiologist at Sfu immediately went to at Johns Hopkins, earning his PhD. He was Hoffer’s mom inspired but couldn’t
her bedside, where she lay connected to a specifically interested in the control of limb benefit from the Lungpacer; she died that
CouRTESy DR. ANDy HoffER
mechanical ventilator. movement and developed implantable cuff March.
“She was conscious but couldn’t breathe sensing electrodes permanently connected “It isn’t ready for use in people yet, but
on her own, nor speak, eat or drink” he says. to nerves. He led the development of we are not far from it. By this time next year
He spent the next five weeks with Neurostep, a pacemaker-like device we hope to be testing it in patients.”
his mom, witnessing her inability to implanted in the thigh that enables people
wean herself from the machine. She had with paralysis from stroke to walk again.
18 JuST FOR CanaDian DOCTORS november/december 2010
london / tel aviv / baltic / macau / berlin … | calendar cme
a n intern ation a l guide to conTInuInG MedIca l educaTIon
fall 2010 + beyond
LONDON
5 4 1 3
7 6 8 2
across the pond in london: one of the world’s great capitals (cme events in LonDon are highlighted in blue)
W
here to start? London is a monolith of a into a foodie’s playland. Try a twist on classic high tea at modern art. The Turbine Hall is a venue for grand works of art
city—there’s much to see along its storied streets. another hip-and-happening hotel at the southeast end of created specifically for the cavernous space, like Miroslaw
It demands repeat visits. Easy to do, since it’s a Hyde Park, the Metropolitan. The Afternoon De-Light 2 Balka’s monolithic installation described as a “box of darkness”
major hub for travellers flying east to Europe and beyond. Make is a selection of sweet and savoury cupcakes, fruit scones, and and “black hole” 4 . After exploring, head up to the café for a
it a stopover on your next trip or, better yet, your destination no-bread sandwiches—“the quintessentially British afternoon local microbrew (the Brits know their beer) 5 and gaze over
for a CME event. Then get out and explore. With over 300 tea with a cool touch of avant-garde, waist-friendly chic.” the Thames River, Millennium Footbridge and St. Paul’s
museums and galleries, it’s an art lover’s mecca. Of course, [metropolitan.london.como.bz] [culture / art] After Cathedral. [tate.org.uk/modern] [neighbourhood
shoppers be ready to pound the pavement…as well as fortification walk through Hyde Park, back to Marble Arch at hop] Take the Millennium Footbridge across the Thames and
gourmands. [stay] Make your base in the West End, at the the northeast end to Speakers’ Corner 3 . You can spend stroll to the 61-metre-high Monument, built to commemo-
edge of Hyde Park. In posh Marylebone, you’ll be in the vicinity hours here on a Sunday listening or partaking in spontaneous rate the Great Fire of London in 1666. Up top, you’ll have views
of Harley Street, a long-renowned centre for healthcare. With debates on any subject—from the existence of God to foreign of London Bridge and the skyscrapers of The City, London’s
several private hospitals and “the largest concentration of policy. Locals and tourist alike prop themselves up on makeshift financial district 6 . [themonument.info] Just northeast of The
medical proficiency in the world,” it’s often referred to as podiums and pontificate. It’s been an oral tradition here for City explore the happening markets of Spitalfields 7 ,
Medical London—more than 1,000 doctors practise here. over 150 years; some big names that stood here in the Sunday UpMarket and Brick Lane. Shop for cool togs and nosh
[harleystreetguide.co.uk] Stay a walk away, close to Marble past—Marx, Engels, Lenin…Beyond the lively, living culture on fabulous, authentic ethnic food. Back in the West End,
Arch in the northeast end of Hyde Park, at The Arch 1 , a found on a park or street corner, London is a museum mecca. dilly-dally and shop on Oxford and Bond Streets (and score the
swish and sleek new hotel carved out of the area’s classic There’s no way to take advantage of all the art on offer here, so latest Kate Moss design in Topshop), and don’t forget to
B. SLIGL
Georgian townhomes (see page 6). [thearchlondon.com] go to at least one must-see: the Tate Modern. Housed inside a window shop on Carnaby Street 8 , where London’s modern
[dine] British food hasn’t had the best rep, from former power station in the heart of London, it’s a gorgeous fashion scene began in the hippie heyday. —B. Sligl
bangers-and-mash to fish-and-chips, but London has evolved reinterpretation of a building. Inside is a stunning collection of For more info: visitlondon.com
november/december 2010 JuST FOR CanaDian DOCTORS 19
c m e calendar
cme when where topic sponsor contact website
vancouver
Jan introductory Course to botox and Cosmetic The Physician Skincare 877-754-6782
british ptcenter.org
29-31 Fillers & advanced Techniques and Training Centre See ad Page 22
Columbia
aesthetic medicinee
mar miami Physicians’ education cancerlearning.
28th annual miami breast Cancer Conference 888-949-0045
09-11 Florida Resource com
mar Dubai & uae 888-647-7327 seacourses.
anti-aging & aesthetics Sea Courses Cruises
21-28 Cruise See ad Page 20 com
vancouver
apr The Physician Skincare 877-754-6782
british introductory Course To botox & Cosmetic Fillers ptcenter.org
16-17 and Training Centre See ad Page 22
Columbia
2011 annual Symposium and Congress Of The
mar San Diego
alternative
american Society Of Cataract and Refractive aSCRS-aSOa 703-591-2220 asoa.org
medicine
26-30 California
Surgery
apr istanbul TaRTen 2011 (Transatlantic Reproductive 011-90-312-
Serenas Tourism tarten2011.org
14-17 Turkey Technologies network) 440-5011
Jan big Sky 011-61-0400-
08-15 montana new CME list from Adam The edge
medicine On
Case Studies in emergency medicine
005-668
mote.net.au
anesthesiology
Jan Grand Cayman Duke university and destinationcme.
anesthesia Camp - Grand Cayman 888-286-5815
26-29 Cayman isls. destination Cme com
Feb Ottawa ottawa-anesthe-
2011 Winterlude anesthesia Symposium university of Ottawa 613-761-4940
05-06 Ontario sia.org
mar Tucson northwest anesthesia
Current Topics in anesthesia 800-222-6927 nwas.com
10-13 arizona Seminars
Dec Philadelphia 50th annual meeting Of american Society For american Society for
301-347-9300 ascb.org
11-15 Pennsylvania Cell biology Cell biology
biochemistry
mar barcelona 10th international Conference On alzheimer’s & 011-41-22-908-
Kenes international kenes.com
09-13 Spain Parkinson’s Diseases 0488
For: may Just For CanadianMeeting And Exhibition Of The in
Quebec
19th Scientific Doctors
international Society For magnetic Resonance
international Society For
magnetic Resonance in 510-841-1899 ismrm.org
07-13 montreal
medicine medicine
Issue:nov 30- Nov / Dec 2010 issue
Rome Xiv international Symposium On Progress in
aim Rome
011-39-06-330-
aimgroup.eu
Dec 03 italy Clinical Pacing (2010) 531
university of
Fax: Dec
10-12
604 - 681 - 0456
Grand Cayman
Diving into Cardiac imaging
Cayman isls.
Pennsylvania School of 215-662-6982 uphs.upenn.edu
Cardiology
medicine
South
Attn: Jan
16-30
Advertising in Print Psychiatry
american Respirology, Cardiology, Sea Courses Cruises
888-647-7327
See ad Page 20
seacourses.
com
Cruise
Email:
apr
09-12
Copy sent toCharing Cross international Symposium:
London
england
33rd admaterial@advertisinginprint.com
vascular & endovascular Consensus update
biba Conferences
011-44-20-
7736-8788
cxsymposium.
com
CME CRUISES
Companion cruises FREE
SOUTH AMERICA Jan 16 - 30 CARIBBEAN Feb 19 - 27
Visit more CME cruises in 2011
Cardiology, Respirology, Psychiatry Hospital Clinical Medicine Alaska
Infinity Liberty of the Seas Bermuda
MEDITERRANEAN Rhine River
Sep 5 - 17 DUBAI & UAE Mar 21 - 28
Clinical Medicine in 2011 Anti-Aging & Aesthetics Baltic & Russia
+ Practice Management Brilliance 0f the Seas Istanbul to Luxor
Solstice
1-888-647-7327 cruises@seacourses.com
www.seacourses.com
20 JuST FOR CanaDian DOCTORS november/december 2010
calendar cme
cme when where topic sponsor contact website
Dec Quebec City
Clinical Pharmacology
Journee Clinique De Pharmacologie u. Laval 418-656-5958 ulaval.ca
02 Quebec
Feb London 6th international Pharmacoeconomic Conference alzheimer’s Drug
212-935-2402 alzdiscovery.org
03-04 england On alzheimer’s Disease Discovery Foundation
Clinical Pharmacotherapy 2011: Practical
apr napa
information For Physicians, nurses and uC Davis Health System 916-734-5390 ucdavis.edu
08-10 California
Pharmacists
Dec Paris 2011 annual Congress Of The international 011-33-1-4073-
CHeCK-uP SanTÉ imcasweb.com
06-09 France master Course On aging Skin 8282
Dermatology
Cosmoderm 16: international aesthetic
Dec Dresden Conventus 011-49-36-413- cosmo-
Dermatology Congress Of european Society For
09-12 Germany Congressmanagement 5330 derm2010.de
Cosmetic & aesthetic Dermatology
Feb new Orleans 69th annual meeting Of The american academy american academy of
847-330-0230 aad.org
04-08 Louisiana Of Dermatology Dermatology
Feb London The 4th international Conference On advanced 011-41-22-908-
Kenes international kenes.com
16-19 england Technologies & Treatments For Diabetes 0488
new CME list from Adam System
Diabetes
mar Sacramento
uC Davis Health
37th annual uC Davis Diabetes Symposium 916-734-5390 ucdavis.edu
04 California
mar Caribbean 888-647-7327 seacourses.
Diabetes management Sea Courses Cruises
12-19 Cruise See ad Page 8 com
Dec Sarasota Primary Care: improving Your Outcomes Through Hamad medical 011-974-439-
qatarhealth.info
13-17 Florida Diagnosis and Treatment Corporation 7398
national association
Jan bonita Springs 2011 annual meeting Of national association Of
of emergency medical 800-228-3677 naemsp.org
emergency medicine
13-15 Florida emergency medical Services Physicians
Services Physicians
SilverStar
Jan 31- beem (best evidence in emergency medicine)
british mcmaster university 905-521-2100 beemsite.com
Feb 02 Course
Columbia
Feb Sydney Royal australian College 011-61-3-9276- austraumacon-
austrauma 2011
17-19 australia of Surgeons 7406 ference.org
Whistler
Feb
british 24th annual update in emergency medicine CePD 416-978-2719 cepdtoronto.ca
20-23
Columbia
Jan Glendale thewileyproto-
Two Days back On earth Wiley Protocol 805-565-7508
29-30 California col.com
endocrinology
Jan 31- Sarasota Geriatrics: a Primary Care approach To The aging american medical
941-388-1766 ams4cme.com
Feb 04 Florida Population Seminars, inc.
mar big island
14th mayo Clinic endocrine Course mayo Clinic 507-284-2776 mayo.edu
13-18 Hawaii
Jul baltic 888-647-7327 seacourses.
endocrinology 2011 Sea Courses Cruises
21-31 Cruise See ad Page 8 com
Learn Virtually
anytime - anywhere
access your Cme worldwide
travel & Learn Format
Connect with us 24/7.
toll-Free:1-866-685-6860
www.neiconferences.com
7X2.5_canadian_family_physicians1 1
november/december 2010 JuST FOR CanaDian DOCTORS 21
3/15/07 9:28:25 AM
c m e calendar
cme when where topic sponsor contact website
Dec San Francisco 5th annual Primary Care Sports medicine: abCs university of California,
415-476-4251 cme.ucsf.edu
03-04 California Of musculoskeletal Care San Francisco
Jan new York national education 866-685-6860 neiconferences.
nei Conference Series
12-15 new York institute See ad Page 21 com
Jan London infomed Research & 011-44-20- infomedltd.
6th medical update For The General Practitioner
20-21 england Training Limited 8123-0021 co.uk
General & Family
Jan Jerusalem national education 866-685-6860 neiconferences.
nei Conference Series
medicine
23-29 israel institute See ad Page 21 com
Jan Rome 2011 international Conference On Health 351-265-100-
inSTiCC insticc.org
26-29 italy informatics 033
Feb Caribbean 888-647-7327 seacourses.
Hospital Clinical medicine Sea Courses Cruises
19-27 Cruise See ad Page 20 com
apr Rhine River 888-647-7327 seacourses.
Primary Care Refresher Sea Courses Cruises
22-27 Cruise See ad Page 8 com
Western
may Continuing education, 800-422-0711 continuingedu-
mediterranean Family medicine
09-19 inc./university at Sea See ad Page 39 cation.net
Cruise
mar
vancouver Adam
new CME list from aCmG meetings
2011 american College Of medical Genetics
british 301-718-9603 acmg.net
Genetics
16-20 annual Clinical Genetics meeting Department
Columbia
Oct montreal international Federation
12th international Congress Of Human Genetics. 301-634-7300 ifhgs.org
11-15 Quebec of Human Genetics
Feb Tel aviv 7th annual update Symposium On Clinical neu- iSaS international 011-972-2-652- neurophysiology-
Geriatrics
21-27 israel rology and neurophysiology Seminars 0574 symposium.com
mar San antonio 2011 annual meeting of the american association american association of
301-654-7850 aagpmeeting.org
18-21 Texas of Geriatric Psychiatry Geriatric Psychiatry
vancouver
Jan american Society of
british Highlights Of aSH 202-776-0544 hematology.org
21-22 Hematology
Columbia
Hematology
network of Oncology
Feb Las vegas nocrannu-
17th annual nOCR meeting Clinicians and See Website
10-12 nevada almeeting.com
Researchers
Feb San Francisco Scripps Cancer Center’s 31st annual Conference: Scripps Conference scrippshealth.
858-652-5400
19-22 California Clinical Hematology/Oncology Services org
Jan berlin 1st international Conference On Current & 011-972-3-566- comtecmed.
Comtecmed
27-29 Germany Future vaccination in adults 6166 com
immunology &
allergy
apr Lake Louise 24th annual Spring meeting Of Canadian Society Canadian Society for
See Website csi-sci.ca
08-11 alberta For immunology immunology
apr amsterdam pharma-nutri-
Pharma-nutrition elsevier See Website
18-20 netherlands tion.com/
22 JuST FOR CanaDian DOCTORS november/december 2010
calendar cme
cme when where topic sponsor contact website
Dec Sarasota infectious Diseases in The adult Patient: a Primary american medical
infectious Diseases
941-388-1766 ams4cme.com
27-31 Florida Care update Seminars, inc.
Feb Sacramento 29th annual uC Davis infectious Diseases
uC Davis Health System 916-734-5390 ucdavis.edu
11-12 California Conference
apr montreal ammi Canada and
ammi Canada - CaCmiD annual Conference 613-260-3233 ammi.ca
07-10 Quebec CaCmiD
Jun 26- baltic Continuing education, 800-422-0711 continuingedu-
internal medicine
medicine
internal
Jul 03 Cruise inc./university at Sea See ad Page 39 cation.net
aug alaskan
Chronic Diseases update 2011 CmeatSea 888-523-3732 cmeatsea.org
21-28 Cruise
Feb Rochester Frequently encountered ethical Dilemmas in The
mayo School of Cme 507-284-2509 mayo.edu
02-04 new York Community Practice
ethics
Legal
Feb Ximer arpora 2nd international Conference On medical indian association of 011-91-98-
iamleconf.in
20-21 india negligence and Litigation in medical Practice medico-Legal experts 9109-8542
Feb bangkok 21st Conference Of The Asian Pacific Association 011-65-6292- apasl2011-
Kenes asia
nephrology
17-20 Thailand For The Study Of The Liver 4706 bangkok.org
vancouver
apr international Society of info@wcn2011.
british World Congress Of nephrology 2011 wcn2011.org
08-12
Columbia new CME list from Adam nephrology org
Dec San antonio american epilepsy
neurology
2010 american epilepsy Society’s annual meeting 703-960-1213 aesnet.org
03-07 Texas Society
Dec St. andrews 011-49-7461- aesculap-acade-
endoscopic Spine Surgery aesculap academy
07-08 england 95-2001 my.com
Jan San Diego 8th annual natural Supplements: an evidence- Scripps Conference scrippshealth.
858-652-5400
nutrition
13-16 California based update Services org
apr bologna university of new
international academy On nutrition and aging 505-272-3942 unm.edu
14 italy mexico School
Dec Chicago 2010 Chicago multidisciplinary Symposium in american Society for
703-502-1550 astro.org
09-11 illinois Thoracic Oncology Radiation Oncology
Palliative Care
Oncology &
Jan San Francisco Jonathan Wood &
T-cell Lymphoma Forum 2011 201-594-0400 tclf2011.com
27-29 California associates
vancouver 15th annual international Congress On
Feb Physicians’ education cancerlearning.
british Hematologic malignancies: Focus On Leukemias, 888-949-0045
17-20 Resource com
Columbia Lymphomas, and myelomas
Dec macau international Symposium On Ocular 011-41-22-533-
Paragon Conventions isopt.net
09-12 China Pharmacology & Therapeutics 0948
Ophthalmology
Jan maui vindico medical osnhawaiianeye.
Hawaiian eye 2011 856-994-9400
16-21 Hawaii education com
all indian
Feb ahmedabad 69th annual Conference Of all india 011-91-079-
Ophthalmological aioc2011.com
03-06 india Ophthalmological Society 2630-3208
Society
november/december 2010 JuST FOR CanaDian DOCTORS 23
c m e calendar
cme when where topic sponsor contact website
Dec Calgary
Calgary Pain Conference university of Calgary 403-220-7240 ucalgary.ca
Pain management
03 alberta
Feb 12- africa
Cardiology & Pain management update 2011 CmeatSea 888-523-3732 cmeatsea.org
mar 02 Land & Cruise
Dec Orlando mceconfer-
Pediatric Review For Primary Care mCe Conferences 888-533-9031
28-30 Florida ences.com
Childrens Hospital Los childrenshos-
Pediatrics
Feb maui
Pediatric Potpourri: State Of The art 2011 angeles and american 323-361-2752 pitallamedical-
12-18 Hawaii
academy of Pediatrics group.org
Childrens Hospital Los childrenshos-
Jul maui
Pediatrics in the islands … Clinical Pearls 2011 angeles and american 323-361-2752 pitallamedical-
02-08 Hawaii
academy of Pediatrics group.org
Jan valparaiso Cognitive behavioural Therapy South america
CbT Canada 877-466-8228 cbt.ca
Psychiatry
16-30 Chile Cruise
newport 2011 medical Legal Skills Workshop; Fact based
mar Objective assessment medicalexpertc-
beach Opinions and Testimony Removing bias From See Website
26-27 Solutions me.com/
California medical Legal assessment
Jan Toronto CT angiography and 3D imaging events.
university of Toronto 888-512-8173
Radiology
10-14 Ontario Levels 1 and 2 cmetoronto.ca
Feb Grand Cayman Duke university medical
advanced imaging in the islands 919-684-2711 duke.edu
20-23 Cayman isls. Center
Feb Cancun 2011 Canadian Rheumatology association (CRa) Canadian Rheumatology
905-952-0698 rheum.ca
Rheumatology
11-15 mexico Conference association
Feb 28- Sarasota Rheumatology: improving Primary Care american medical
941-388-1766 ams4cme.com
mar 04 Florida Outcomes Through Diagnosis and Treatment Seminars, inc.
apr Taipei 1st Symposium Of The Asia Pacific League Of 011-65-6292-
Kenes asia kenes.com
15-17 Taiwan associations Of Rheumatology 4706
Jan Calgary
Spine & Peripheral nerve anatomy & Surgery university of Calgary 403-220-7240 ucalgary.ca
Surgery
05-07 alberta
Feb Las vegas managing Coding & Reimbursement Challenges in american association of
847-378-0500 aans.org
11-12 nevada neurosurgery neurological Surgeons
Jan Paris 011-972-3-566- comtecmed.
4th World Congress On Controversies in urology Comtecmed
urology
27-30 France 6166 com
Jun mont Tremblant 66th Canadian urological association annual
CUA Central Office 514-395-0376 cua.org
26-29 Quebec meeting 2011
For feedback, requests or to have your course featured please email cme@inprintpublications.com
or submit your course via www.justforcanadiandoctors.com
At Balmoral Hall School, we place a high priority on
every studentʼs personal and academic development.
Over 99% of Balmoral Hall graduates
attend the university of their choice.
We are committed to developing the whole student:
young women who not only succeed but also strive to
make a difference.
Balmoral Hall is a day and boarding school for girls
in Winnipeg, Manitoba and is an IB World School. Toll-Free: 1-866-DREAM11 • www.balmoralhall.com
24 JuST FOR CanaDian DOCTORS november/december 2010
cl a s s i f i ed a d s
positions available positions available
RIC O , BC- Physicians requiredfor very
HM ND of Fam Health G
ily roup with full night
ily
busywalk-in/fam racticeclinic. 65/35split. and weekend coverage. Approved for EM R
.ca
Please contact Richard at rishar@shaw or ay. pportunity
funding beginning end of M O
7782318911. for teaching and hospital work. Telephone
613 725-1465, fax 613 725-0340 or e-m ail
NEY ell ily
SID , BC- W establishedfam practice wjw@sym patico.ca
ale D
in office shared with one other fem M .
Adm itting privileges at Saanich Peninsula
Hospital, no obstetrics or ER required.
O in five weekend call. G lifestyle in
ne reat
practice for sale
all
sm seaside town near Victoria. D etails at KITC N ily
HENER, O - Fam practicefor sale. Full
practiceinfo@shaw .ca .
andequal partnershipin FHO I amretiring.
C pletely com
om puterized EM (Practice
R
VIC RIA, BC- Burnside,TillicumandUptown
TO Solutions) withnopaperrecords,nohospital
M edical C P
linics require a P/T or F/T G and B. ne
work, no O O day/weekend in 14. Staff
W ail
alk-indoctors. Em bridger@shaw .ca. .
experienced with the system Perfect for
a new physician or one contem plating
BIC KE, N
ETO O O - W ily
alk-in/fam practice am id-life career change. K-W is a great
group of 3 clinics/8 M s seeking M to join
D D
place tosettle down. Hopingtofinda good
in busy clinics in North Etobicoke. Attractive ilies
physician for the fam that have put up
all asm
split. C Y in 416 834-2807 or e-m ail withm for alm twogenerations. http://
e ost
alkarim @dam ji.ca m ydoctor.ca/drgeorgem iller For m ore
inform ail
ationE-m gbm iller@sym patico.ca.
KING N, O - O
STO N pportunities in a new
D
clinic! C K Fam Mily edicine and W alk-in.
D owntown Kingston. Start a new group , vacation properties
s. ontact
solo practice, wal-in shifts, locum C
r hris
D C Kozanitis (613) 329-3604 or e-m ail PUERTOV A
ALLART - Need a holiday in the
cdkoz@bell.net. sun? Deluxe one bedroombeachfront condo
in Puerto Vallarta, M exico overlooking Mis-
M ISSISSA A, O - Part-tim
UG N e ily
e/fulltim fam m aloya Bay, sleeps 4, full kitchen, fully fur-
practice/walk-in available. Ability to take ,
nished, A/CsatTVA . vailablem onthly/weekly.
over a fam practice and join a FHG M
ily . any 604-542-1928or jorajam es@telus.net
patients looking for a new fam doctor.
ily
ork
W in a positive practice environm ent
with support from the other M s. LabD , record storage
acy, etry
pharm foot clinic, optom on site.
Em doctorsearch@hotm
ail ail.com or call M edical record scanning and storage
services for practices, clinics and hospitals.
416-844-8340.
Ask about our FREE storage offer for closing
O A A, O - T over solo fam practice
TT W N ake ily G practices. C
P ontact RSRS at 1-888-563-
locatedinlargem edical buildingadjacent to 3732Ext. 221, www .recordsolutions.ca.
The O ivic am
ttawa Hospital, C C pus. M berem
fax 604-681-8149 • tel 604-681-1811 • email classified@InPrintPublications.com
m ar k e tp l a c e
d octor s ’
BELIZE
Kayak & Snorkel Journeys
Marine Atoll Basecamps
Rainforest Rivers
Mayan Ruins
Caves
Get your free Belize Adventure Guide
www.islandexpeditions.com 1 800 667 1630
26 JuST FOR CanaDian DOCTORS november/december 2010
Family Physician Opportunity
employment
Primary Health Care Clinic
Moose Jaw, Saskatchewan UNIVERSITY-AFFILIATED
A new Primary Health Care (PHC) Clinic, Kliniek on Main, is FELLOWSHIP POSITION
looking for an ambitious family physician to join their team.
This is a highly organized, modern, efficient office running on
EMR. The main role of Kliniek on Main is to provide initial
comprehensive assessments, care and follow-up to Available immediately for a
government-assisted refugees and the newcomer population in
Moose Jaw. The clinic is actively involved in the Health Quality Canadian-trained
Council’s Chronic Disease Management Collaborative.
Ophthalmologist
opportunities
The successful physician will enjoy an excellent interested in an
work/life/professional satisfaction balance in this progressive
clinic that allows for collegial arrangement/cross coverage for Anterior Segment and
time away. Additional obstetrics/ER special interest work is
available if desired. Refractive Surgery Fellowship
The community of Moose Jaw offers many cultural,
entertainment and recreational activities, as well as excellent For more information, please contact
educational facilities and affordable housing in a friendly and
safe environment. Visit www.fhhr.ca for more information Annette Stanwick, Vice-President,
about the Five Hills Health Region. Medical Affairs, Gimbel Eye Centre,
For further information, or to apply: Calgary, Alberta, Canada at
Erin Kell (403) 202-3318 or
Medical Affairs Coordinator toll free: (800) 661-1138 or
Five Hills Health Region
Phone: (306) 694-0228 send a curriculum vitae via e-mail to
Fax: (306)694-0282 Annette Stanwick at
ekell@fhhr.ca
astanwick@gimbel.com
Full Time ER Physician Opportunities Also Available
Southern Georgian Bay
Midland/Penetanguishene, Ontario
Only 90 minutes north of Toronto.
Where Doctors Practice Their Art!
Hôpital général de la baie Georgienne
Opportunities in:
GEORGIAN BAY
Family Medicine Emergency Medicine G e ne r al Ho spit a l
Internal Medicine Hospitalist www.gbgh.on.ca
Create a flexible career by combining a family practice
Georgian Bay
SOUTHERN
with Emergency or Hospitalist positions.
Financial incentives and relocation costs provided. Physician Recruitment
Recrutement de médecins
doctorworkandplayongeorgianbay.ca
Image by Diane Soward - www.artofdianesoward.com
To learn more contact: David Gravelle, Physician Recruitment Officer gravelled@gbgh.on.ca 1-705-526-1300 Ext 3135
november/december 2010 JuST FOR CanaDian DOCTORS 27
Experience the North
opportunities
Fort Smith Health and Social Services Authority
Is seeking Family Physicians
For Locums - 1, 2 &3 year Contract
& Permanent Positions
Fort Smith, the garden capital of the NWT, is a community of
2,500 residents located off of the mighty Slave River just one
mile north of the Alberta border. This community provides a
variety of social, recreational and cultural activities. Being
surrounded by a vast natural setting, it is an ideal location for
outdoor enthusiasts. Here you can spend the long summer days
golfing, camping, fishing, hiking and kayaking or tending to your
garden. Winter days can be filled with snowmobiling,
employment
cross-country skiing, snowshoeing, hockey, curling
and a whole lot more.
ESTIMATE For more information contact: 1010-004
Mahalia Villebrun, Physician Recruiter
Insertion Date Media Section Size fshssa_exec@gov.nt.ca Price
November Issue Just for Canadian Docs Careers T: 867-872-6257 F:867-872-6291
1/2 page $2200
Fort Smith Health & Social Services
Authority
41 Breynat Street
P.O. Box 1080
Fort Smith, NT X0E 0P0
Family Physicians.
Come for the career you imagined, and the lifestyle you couldn’t.
At SEH, you’ll experience all the benefits of rural practice
– a flexible, diverse and secure career, hands on
patient-focused care, plus affordable living & a more
balanced, healthy, community-oriented lifestyle for you
and your family.
FOR MORE INFORMATION, PLEASE CONTACT:
santé
South Eastman Health
health
Medical Administration Office
Tel: (204) 424-5880
Email: corp@sehealth.mb.ca
Sud-Est
YOUR CAREER PROGNOSIS IS EXCELLENT!
South Eastman
28 JuST FOR CanaDian DOCTORS november/december 2010
employment
Work. Life. Balance. Travail. Vie. Équilibre.
Practicing in New Brunswick is L’exercice d’une profession dans
more than a career choice. It’s a le secteur de la santé au
life choice. Nouveau-Brunswick s’avère plus
opportunities
qu’un choix de carrière, c’est un
Being in New Brunswick. mode de vie.
Making life happen.
Soyez au Nouveau-Brunswick
Vivez pleinement.
www.gnb.ca/physicians
www.gnb.ca/médecins
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 drneil@pollockclinics.com.
He practises no-scalpel, no-needle vasectomy and infant circumcision.
italian wine 101
Part 1: How to decipher that label—especially with more wine varieties than anywhere else
H
ave you ever found yourself frozen, conform to strict industry standards for a pink DoCG label. when you peer into the
hand hovering mid-air in the Italian particular type of wine. A DoC or DoCG ruby-red depths of your next purchase, you
section of your local wine store? designation can only be used by producers should know what grapes you are about to
unsure exactly how to narrow down and that make wines according to the tradi- savour, and where they originate.
choose between bottles that all claim to be tional recipes of their particular region, and There are 20 wine regions in Italy, but
classic Italian wines from the best regions? only certain recipes have been granted these are the standouts: Valpolicella in the
This is the common theme I hear regard- government recognition. DoCG wines are northeast; Valle d-Aosta, Lombardy, Liguria
ing Italian wines: How does one learn to more prestigious than DoC wines because and Piedmont in the northwest; there’s
navigate confidently among Italy’s best- they are held up to special tasting stan- Tuscany, of course, in the centre, along
known wines given the country’s hundreds dards. Today there are 37 DoCG wines and with Emilia-Romagna, umbria and Latium;
of varietals, thousands of vineyards, and Amarone, Barolo, Brunello, Barbaresco and and in the south, there’s Molise, Campania,
numerous wine-producing regions? Chianti all have this designation. Calabria and Puglia. Some, like Lombardy
The best place to start is the ABCs Ranked below DoC/DoCG wines are in the northwest, are best known for their
of Italian wine: Amarone, the killer Bs those in the IGT category, Indicazione sparkling wines, while others—take Puglia in
(Barbaresco, Barolo and Brunello) and Geografica Tipica. The contents of bottles the south—were long known for mediocre
The monastery of Badia a Passignano, dating The hills and vineyards of Piedmont—
from 890, sits amidst the vineyards of chianti. known for Barolo and Barbaresco wines.
middle Harvesting grapes in Piedmont.
Chianti. In this issue I’ll explain the regulatory with this label can also lay claim to a specific reds but have recently produced some high-
structure behind the Italian wine alphabet region or, with recent changes in regulations, quality blends. All these regions contain both
(next issue I explore the regions and varietals be a blend of one or more varietals, thus not DoC and DoCG zones. Sometimes these
behind these five giants of the wine world). conforming to DoC or DoCG rules. Some zones overlap—the most obvious example
foToTECA ENIT / ATL NoVARA; foToTECA ENIT / TuRISMo ToRINo
once you learn your ABCs, choosing your producers who felt confined by the rigid being Tuscany, which is home to multiple fRoM LEfT: foToTECA ENIT / DE AGoSTINI PICTuRE LIBRARy;
next bottle of red is a walk in the vineyard! recipes of the DoC denomination chose DoCGs. This is possible because while the
Before we zero in on some of Italy’s most to experiment with 100% varietal wines main varietal may be the same, the exact
influential vino, briefly vinify your brain and or other blends known as Super Tuscans. I blends differ according to traditional recipes.
consider the hierarchical organization of explored these at length in another issue So, where do the ABCs originate?
Italian wine. Italy produces more varieties (please see the May/June issue of Just for Amarone hails from the northeast region of
of wine than any other country in the world Canadian Doctors) so will just note here that Valpolicella, Barolo and Barbaresco are from
and employs a complex regulatory structure these adventurous vintners can now affix Piedmont in the northwest, while Brunello
to keep tabs on its legions of producers. the IGT stamp to their bottles. Previously, and Chianti are both natives of Tuscany.
If you take a closer look at the top Super Tuscans fell into the final category, Before we get better acquainted with this
of certain bottles, you’ll notice they say VDT, Vino de Tavola, or table wines. These Italian wine alphabet, pick up some DoCG
Denominazione di Origine Controllata, or DoC, are the most basic Italian wines; they lay no wines, sit back, sip and savour…and in my
while others say Denominazione di Origine claim aside from “made in Italy.” next column, we’ll study our ABCs. Arrivederci
Controllata e Garantita, or DoCG. These labels understanding Italian wine requires until we journey to Valpolicella!
guarantee that the contents of the bottle more than an appreciation of the coveted pART 2 ConTinued in nexT iSSue
30 JuST FOR CanaDian DOCTORS november/december 2010
GE Healthcare
See.
Feel.
Take a look.
,
Vscan™ a pocket-sized visualization tool with
physical exams. It gives you an easy look inside
your patients – immediately and non-invasively –
right on the spot. So you can get more clues.
Listen. Take a look – vscan.gehealthcare.com.
travel the world
great
Grenada
story + photos
by Barb Sligl
The Spice Island embraces all the senses. Inhale, imbibe, indulge, engage
+
+ explore this Caribbean wonder—from leafy callaloo to rich chocolate…
B
am. Ba ba ba ba ba bam. Ba bam. It’s Beyond this is the beach…Grenada boasts
friday night in Gouyave, a little fishing string after string of pristine sand dotted with resort
stay Spice Island village on the north end of Grenada. sanctuaries. Stroll the beach or loll by a seaside
Beach Resort is a Drums are beating, locals singing, pool on miles-long Grand Anse Beach with its posh
if you go
children giggling…fresh seafood is properties or the more secluded and cliff-hugging
luxurious place to
sizzling on open grills. The air is still Magazine Beach.
rest your head—and And taste the island—again and again. Sample
heavy with the day’s heat, and now the
entire body (there’s steaming food from busy stalls. The scent of savoury fresh-caught seafood and local fare like the national
a spa here as well, “oil down” stew mixes with sweet local lobster. dish of oil down, a savoury concoction of seafood,
naturally). The posh There’s a party going on. callaloo (a leafy green plant similar to spinach),
resort is on miles-long, It’s the weekly fish fry, where locals and visitors coconut milk and spices.
white-sandGrandAnse alike can sample piles of crispy jackfish with a frosty or chocolate…The Grenada Chocolate company
Beach, anda member bottle of Carib, the island’s local brew. when the is a tiny, humble facility that processes some of the
of the Small Luxury bounty is this fresh and flavourful, you need to world’s finest chocolates (Lindt sources most of its
Hotels of the World celebrate. chocolate here). A somewhat stronger sample of
A tiny jewel at the southern end of the chain of Grenada’s bounty (in terms of potency, that is) is
network. Here, you’re
Caribbean islands, Grenada is just 100 miles off of the Rivers Rum at the River Antoine Rum Distillery. This
a guest of Sir Royston ancient distillery has been operating in Grenada since
coast of South America. Christopher Columbus was an
Hopkin, K.C.M.G. (he early enchanted visitor in 1498. He named the island 1785. Take a guided tour from a local and marvel that
was knightedfor his Concepción, a fitting name for the jungle-covered hills, the original water mill still functions as it did when
work in promoting gushing mountain streams and waterfalls, rugged Grenada was a french colony. for a non-alcoholic
local tourism). Stay cliffs and soft beaches that rose out of the sea when quencher, the island is known for flavour-packed
beachside andlisten the island was created in an ancient volcanic eruption. smoothies featuring local goodies like paw paw
towaves while in bed Today, this lush landscape is largely unspoiled. And (papaya). The best are rumoured to be at a strip
or opt for one of the at its edges are pockets of charming communities. mall just outside St. George’s but the Run Down at
sleek hideaways with The small, hilly, seaside town of St. George’s is steeped Spice Island Resort is a liquid treat—sea moss (an
in history, from long-gone explorers to modern-era aprhodisiac), coconut cream, banana, nutmeg.
a private plunge pool
communist coups. The colonial capital has retained its Nutmeg is in just about everything here. It’s such
(midnight skinny dips a part of island life that it adorns the country’s flag.
french and British legacy with charming red-tile roofs,
are definitely in order). grand hilltop forts, smiling school children in uniform, There’s also ginger, saffron, cinnamon, clove, vanilla
Bliss! spiceisland- a bustling open-air market, and even cars on the (and that chocolate!). A visit to one of the island’s
beachresort.com left-hand side of the road. And the port town’s deep, spice processing plants reveals why Grenada is called
sample The natural harbor, the Carenage (from the french word the “Spice Island.” Then there’s bright red sorrel,
for where ship repair took place shoreside), has long leafy green callaloo, banana, mango, coconut, paw
Grenada Chocolate paw…The volcanic soil here grows vegetation unlike
lured sailors into its perfect horseshoe shape.
Company’s organic More towns dot the 21-mile-long and 12-mile- anywhere else; this land is so lush and fertile that it’s
dark chocolate is wide island, each with its own character, from said if you put a stick in the ground it will sprout. A
amongst the finest in Gouyave, with its friday fish fry, to Sauteurs on short trek into the Grand Étang National Park and
the world: grenada- the wilder north end of the island, where the last forest Reserve reveals the bounty…
chocolate.com indigenous people, the Caribs, are said to have leapt Crunch, crunch, crunch. footsteps reverberate
to their deaths rather than succumb to french rule. over broken nutmeg shells that coat a trail through
go For more infoon the moist quiet of rainforest. Starting at a plantation
Along the way are serpentine roads that jostle and
the Grenadian islands delight at the same time with unending views of the that grows banana, tonka bean, and cacao trees, a
of Grenada, Carriacou sea, jewel-tone boats resting ashore, dripping boys tight trail plunges into the Seven Sisters falls Valley,
andPetite Martinique, carrying home a silvery catch, peeks inside humming where it’s lined with big blooms of ginger and birds
goto: grenadagrena- rum shops, and walls of green fronds at the edge of of paradise and towering stalks of bamboo. Mona
dines.com dense tropical forest. All this in a drive that, from tip monkeys watch from deep within the green. Lower
to tip and from placid Caribbean to churning Atlantic, in the valley, the air thickens and the falls roar as
takes less than a day. chocolate-like mud sucks up a last crunch. Squelch.
32 JuST FOR CanaDian DOCTORS november/december 2010
travel the world
Private pool in a luxury
almond Suite at the Spice
Island Beach Resort.
a local
“Butterfly”
diving one
of the Seven
Sisters Falls in
Grand Étang
national Forest. Grenada’s bounty at one of
the island’s spice processing
factories. nutmeg is the Spice
Island’s prize product, seen here
with its lacy red coating of mace.
More of the island’s bounty View of St. George’s
for breakfast at the Spice and the carenage from
Island Beach Resort. the French-colonial-era
Fort George.
cliff-hugged
Magazine
Beach, a local
favourite.
Own Platinum Standard
In downtown Vancouver’s business district
one sky-rise home offering stands above all others, the Private Residences
at the Hotel Georgia. Walking distance to superior shops, business, arts
and entertainment. With the finest interior appointments. And all the
amenities of a world-class Rosewood hotel.
International interest suggests you call 1-866-602-6636 or visit our
model home and presentation centre today to secure your preferred
view and floorplan.
569 howe street, vancouver bc
www.ResidencesAtGeorgia.com
Sales by disclosure statement only. E&OE. Delta Realty Services Ltd. Open noon to 5pm daily. 604-682-8107. Now selling from $1.39m.
A Georgia Properties Partnership project. The Private Residences at Hotel Georgia is not owned, developed or sold by Rosewood Hotels & Resorts or any of its affiliates. Neither Rosewood Hotels & Resorts nor any
of its affiliates assume any responsibility or liability in connection with the project. Georgia Properties Partnership uses Rosewood Hotels & Resorts’ marks pursuant to a license agreement with Rosewood Hotels and
Resorts, L.L.C. This is not an offer to sell, nor a solicitation of an offer to buy, to residents of any state or province in which restrictions and other legal requirements have not been fulfilled.
t h e f o o d d o c t o r d r . h o l ly f o n g
Do you enjoy receiving Just for
Canadian Doctors magazine?
Dr. Holly Fong is a practising speech-language As a physician, your subscription is
pathologist with three young children who is free. To continue a new year of
always trying, adapting and creating dishes. issues, please request a subscription
by mail, fax or email. Or subscribe at:
www.justforcanadiandoctors.com
craving crepes All subscription requests received by
february 18, 2011 will be entered
into a draw to win a Kodak PlaySport
Try crepes for a luxurious weekend brunch at home Waterproof Pocket HD Camcorder
and accessories valued over $250.
R
ecently I was reminded of how won- when poaching the eggs, the water DOCTORS
JUST FOR C
DOCTORS
A N A D I A N JuST fOR C
DOCTORS
a n a D i a n
life + leisure life + leisure life + leisure
derfully indulgent Sunday brunch can should be lightly salted and barely bubbling. muskoka
lakeside in
* * win
+
win pedaling in france up 11-day
off the coast of
Arctic
11-day
Mont Ventoux Arctic
patagonia
stepping back in tilley
+
be. The beauty of brunch at home is use fresh eggs so the whites won’t spread
+ Tilley
Newfoundland
+ hit the beach in Jamaica
NAMIBIA
+ raspberry chocolate tart
+ race on the west coast
+ opera in Knoxville, TN
*
+ sip a SUPER
that you wake up late to a leisurely breakfast/ out as much in the water. Let the eggs sit
+ boost your TUSCAN
BY SAND
health + + get arty in
win
YUKON
happiness DALLAS
11-day + meet in + bring out the
Arctic toronto BURGERS
+ slow-cooked + back to camp
tilley salmon at GRAND
+ + spa it in VIEW LODGE
neW meXiCo in Minnesota BY RIVER
lunch—all the while in your jammies. Brunch for three minutes so that the whites barely inside: Continuing MediCal eduCation Calendar
/ / / / >>
inside: CONTINUING MEDICAL EDUCATION CALENDAR
/ / / / >>
inside: Continuing MediCal eduCation Calendar
can be simply a large hearty breakfast of
eggs, bacon and pancakes or something
solidify and the yolks are still runny. If you
let the yolk harden even the slightest bit, subscription form
fancier but still easy…such as crepes. you’ll miss out on a delicious creamy sauce. Send to Just For Canadian Doctors,
710 – 938 Howe Street, Vancouver, BC,
A crepe is just a batter of eggs, milk, The overall effect is unbeatable: fatty, sweet, V6Z 1N9 or by fax to 604-681-0456. Email:
flour and butter (make the batter overnight, salty, meaty, creamy and tangy. subscription@inprintpublications.com
and let it sit for at least two hours for light, A champagne or sparkling wine is a one-year subscription: ____ (check)
thin crepes). yet this simple mix can be an perfect accompaniment. The crackling
two-year subscription: ____ (check)
elegant wrap for other ingredients. effervescence, acidity and lower alcohol
Crepes made with buckwheat or counterbalance the dish’s salty richness. The name:__________________________
whole-wheat flour have a subtle eggy, nutty non-vintage Champalou Brut Vouray pairs ________________________________
flavour—a delicious foil for crispy bacon- beautifully. It has a delicate floral nose with address: _______________________
wrapped asparagus. Choose fat asparagus a hint of honey. on the palate, it’s full of ________________________________
city, province, postal code: ______
shoots without white woody ends; they foaming mousse that tastes of stony peach
________________________________
have a silky sweetness when broiled. Top with toasted almond. It ends dry with strong e-mail: _________________________
crepes with a poached egg and serve with acidity to cut through the bacon’s fat yet isn’t
citrus salad. rendered sour by the citrus. Bon appétit!
bacon-wrapped asparagus crepes with citrus salad (serves 4)
16 spears of asparagus, Peel fruit; usingasharpknife, cut flour m ixture. Addbutter, stirring
rinsed and patted dry off bothends at thepoles toexpose bine.
tocom Batter shouldbethe sudoku 2 harder solution
september/october 2010 contest
1 package of sliced bacon
fleshandm aflat surfacetostand
ake consistencyof heavycream addm; ore 5 8 6 4 3 9 7 1 2
citrus salad
2 blood oranges or
upright. Thencut closetothepulp , ilk
m if needed. Refrigeratebatter for at 9 2 3 1 7 6 5 8 4
slicingoff skininstrips andrem oving least 2hours.
tangerines 7 4 1 8 2 5 3 6 9
solution from
1 pink grapefruit thepith. O am
ver edium bowl,
-size eat
H a12-inchfrypanover
cut alongtheinsideof them branes
em m oat
ediumheat. C bottomwithpat of 4 3 8 2 5 7 6 9 1
1 navel orange
seeds of 1 pomegranate separatingthesegm tothecentre
ents butter. Ladle1/3-cupbatter intopan, 1 9 7 6 8 3 4 2 5
1 tablespoon chopped of thefruit. C eachsectionintothe
ut ook
tiltingtospreadevenly. C until top 6 5 2 9 4 1 8 3 7
chives
2 tablespoons extra virgin
bowl, discardingthem brane. Add
em of crepeis set andcentreis liftedby 2 6 4 7 1 8 9 5 3
pom egranateseeds. pockets of air, about 1– 2m inutes.
olive oil 3 1 9 5 6 4 2 7 8
Inasm bowl, whisktogether
all Runaspatulaaroundtheedges to
1 tablespoon sherry vinegar
oliveoil, vinegar, honey, lim juice,
e ook
loosenandflip. C until bottom 8 7 5 3 9 2 1 4 6
½ teaspoon honey Puzzle by websudoku.com
lime juice to taste salt andpepper. Addchoppedchives. is firmandgoldenbrown, about 1
pinch of salt Taste, adjust seasoninganddrizzle m inute. Transfer toaplate. Repeat sudoku 1 easier solution
pepper to taste over citrus salad. Set aside. withrem ainingbatter, butteringpan
Set oventobroil. Placeawire over
as needed. C plateof crepes to
1 9 8 4 5 3 6 7 2
eggs
5 3 2 7 6 9 8 1 4
solution from page 37
4 large eggs (1 per person) rackintoalargecookiesheet. Trim keepwarm .
crepe batter asparagus ends andpeel halfwayup Put thepanof wrapped 7 4 6 1 8 2 3 5 9
½ cup whole wheat flour thespear. Twirl baconaroundeach asparagus onthetoprackof theoven 8 2 5 3 4 6 1 9 7
½ cup white flour spear, stretchingtocover thetip. Place under broiler for 4– 5m inutes per 9 1 3 2 7 8 5 4 6
¼ teaspoon salt onpreparedrack. D crowdthe
on’t sideuntil thebaconis crisp. Turnover.
1 ½ cup whole milk, plus 4 6 7 5 9 1 2 3 8
spears toallowthebacontocrisp. Keepwarm M . eanwhile, poacheggs.
more if needed
M thecrepes; whisktogether
ake Roll 2bacon-wrappedasparagus 6 5 4 8 3 7 9 2 1
2 large eggs
2 tablespoons melted salt andflours inalargebowl. Whisk spears insidecrepe. Repeat. Plate2 2 7 9 6 1 5 4 8 3
unsalted butter, eggs andm together inanother
ilk rolls withcitrus saladontheside. Top 3 8 1 9 2 4 7 6 5
unsalted butter for skillet bowl. Stir eggm ixtureintothe withpoachedegg. Puzzle by websudoku.com
november/december 2010 JuST FOR CanaDian DOCTORS 35
t he w e a lt hy doctor manf r ed pu r tz ki, c .a.
Manfred Purtzki is the principal of Purtzki &
Associates Chartered Accountants. You can
reach him at manfred@purtzki.com.
wealth building tips
Is your savings plan sufficient to generate the post-retirement income you want?
T
he majority of physicians stops worry- for physicians. The best tax savings are with their savings in conservative vehicles, such as
ing about their finances once they have children attending a post-secondary institution GICs, rather than investing in the stock market.
accumulated a net worth of $1.5 million because you can allocate a dividend sufficient to An effective method of savings is the “out-of-
(not counting the value of their principal resi- absorb a substantial portion of their tuition and sight, out-of-mind” plan. Each month, take a por-
dence and household belongings). A retirement education costs. It is not unusual to allocate a tion, ideally 10% of your gross practice income,
nest egg of $1.5 million at age 60 is estimated to $60,000-$80,000 dividend to a student without and automatically transfer it to a corporation
produce an after-tax and inflation-adjusted cash any personal taxes, producing a tax saving of savings account. Don’t be concerned about
flow of $6,000 each month for the rest of your about $20,000. the tax you have to pay once you withdraw the
life, or $72,000 annually. As a rule of thumb, it’s funds during your retirement. you’ll be in a lower
4. Make home mortgage repayment a
wise to plan for an annual retirement income of tax bracket, and can split the dividend income
priority Before you start your investment
at least 50% of your pre-retirement after-tax an- with your family.
program, pay off the mortgage first. Investing
nual income derived from your medical practice.
in the repayment of a 4% non-deductible Consider what your income needs are likely
So, is your savings plan sufficient to
mortgage rate is equivalent to an investment to be after you retire from your practice and
generate that level of income? Here are some
return of 7%, which is all but impossible to what you need to do between now and then
suggestions for optimizing your savings to pay
achieve today in any low-risk investment, much to make sure you will have that income avail-
for the post-career lifestyle you want:
less a zero-risk investment such as mortgage able to you. There are many options, but just
1. Maximize after-tax practice cash flow repayment. Physicians who still face a large going to the office and hoping it will take care
through incorporation. unless your annual in- mortgage burden in their 50s are facing a future of itself is not one of them.
come is less than $100,000, you should consider of considerable financial pressure because the
setting up a medical corporation. Any income available cash surplus that should be going
retained in the corporation is taxed at the low toward retirement funding is being used to pay
For Incorporated Doctors -
Small Business tax rate, which ranges from 12% off the home mortgage. This financial squeeze If you get sick, you get paid.
in PEI to 19% in Quebec. ontario’s rate is 16%. By is often exacerbated by the need to provide If you don’t get sick,
investing cash surplus in the corporation, rather financial support to children for their post
than distributing it to the shareholder, the tax secondary education. you get paid back.
deferral benefit is about 30%—the difference
5. Buy assets not liabilities. In our experience,
between the corporate tax rate and the maxi-
the major purchases doctors have regretted
Why Life’s brighter with
mum personal tax rate.
include boats, recreational properties, and Sun Critical Illness Insurance
2. draw funds only to live on and not to even condo purchases for children attending • Helps pay your mortgage and other
save. To reduce personal taxes to the absolute university. These purchases are often made on regular expenses while you recover.
minimum, only take funds from the corporation impulse without the consultation of a financial • More control over treatment options
to pay for living expenses and house mortgage advisor. Generally speaking, recreational proper- and ongoing care.
payments. There is little benefit in making an ties do not support themselves, they are often
• Serious illnesses do happen – but your
RRSP contribution from corporate funds, since under-utilized by family members, they require
premiums can be returned if you don’t
the tax benefit of the RRSP deduction is reduced time and effort to maintain, and when the real
make a claim.
by the tax you pay on drawing the RRSP funds estate market is soft, as it is now, the value of
from the corporation in form of a taxable a recreational property drops the most. Same Today is a good day to learn how you
dividend or salary. for the incorporated medical goes for post-study condos left vacant by kids and your medical corporation can use
practice, the Tax-free Savings Account (TfSA) that have moved on. Rent instead. critical illness protection.
makes no sense because you need to take a
6. Invest conservatively. The medical corpora- Barry Zapshalla Investment &
$7,000 dividend from the corporation and pay Insurance Solutions Inc.
tion is a safe and bountiful savings tool. It allows
$2,000 of income tax, so that you have $5,000 1-800-567-9996
you to invest $87 dollars out of a $100 pre-tax
left to contribute to the TfSA. It’s an expensive 1-800-623-6666
practice income (assuming a 13% corporate tax
proposition! you are better off keeping the www.sunlife.ca/barry.zapshalla
rate), whereas the individual with a personal
$7,000 invested in your corporation where it
tax of 43% can only invest $57 dollars. The low Barry
enjoys a much reduced tax rate.
corporate tax allows you to build up a sizeable Zapshalla
3. Take advantage of income splitting. portfolio without exposing your capital to the B.Ed., P.G.Dip.
Paying a salary or dividend to family members risks of the market. Many doctors in fact have
in a low-tax bracket is number-one tax shelter done better over the past few years investing
© Sun Life Assurance Company of Canada, 2010.
36 JuST FOR CanaDian DOCTORS november/december 2010
diversion
Expect the
Unexpected
sudoku a true story – “A few weeks ago a car
swerved into my lane while I was driving
solve puzzle #2 for a home from dinner with my parents. Lucky
chance to win a tec-Wool for us, I went to Young Drivers of Canada
cap and ivy cap in the take so I was prepared to make an emergency
on Winter Wearing tilley maneuver to avoid a head-on collision.
pack (worth $150) Thanks Young Drivers. You saved our lives!”
sudoku is simple enough that anyone Other drivers make mistakes. Knowing how
can play, yet difficult enough that to drive safely means having the skills to react
anyone can improve at it. to the unexpected. Young Drivers of Canada
each sudoku puzzle has a unique teaches life-saving emergency braking and
solution that can be reached logically swerving techniques everyday. You can trust
without guessing. Fill in the grid so Young Drivers of Canada to prepare you
that every row, column and 3x3 square
and your child for the road ahead. Take the
contains the digits 1 through 9.
Learners Practice Test online today and see
winner of last issue’s sudoku contest: if you’re ready to drive.
Dr. patricia edgar of Banff, aB
Visit www.yd.com today.
1 8 4 2
sudoku 1 easier solution on page 35
5 3 7 8 4
6 1 2 3
5 1 9 7
ISO 9001:2008 Registered
4 6 7 2 Graduate certificate recognized by the Insurance industry.
4 8 7 9 Also check out our flexible payment options.
2 9 5 8 3
Driver assessments and remedial programs available
for licensed drivers.
3 4 7 5 4-day Holiday courses Gift certificates available.
Puzzle by websudoku.com
4 7 6 3
sudoku 2 harder solution in next issue
entry form (please print clearly):
2 name: __________________________________________________________________
address: _______________________________________________________________
7 9 3 8 5 city, province, postal code: _____________________________________________
________________________________________________________________________
4 1 8 e-mail: ________________________________________________________________
tel: ______________________________ fax: _________________________________
9 7 1 4 5
sudoku puzzle contest rules: 1. entry form must be accompanied with solved puzzle. only
6 1 7 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 to 604-681-0456. entries must
6 3 2 5 1 be received by february 18, 2011. 3. prize: take on winter wearing tilley pack. odds of winning
dependent upon number of entries. winner will be contacted
5 by telephone and announced in the spring 2011 issue. 4.
contest can be changed and/or cancelled without prior notice.
8 4 7 9 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
november/december 2010 JuST FOR CanaDian DOCTORS 37
s m a l l ta l k doctors share their picks, pans, pleasures and fears
This physician loves his food, from mango in Mexico to pine mushrooms foraged at home. If he wasn’t a doctor, he’d
be a restaurant critic. As his wife says: “David is a gourmand who savours traditional and new flavours in life and on the
table. He just walked past me with two cucumbers he picked from his greenhouse, so I know that we will share a fresh
salad tonight.” She adds, “He loves to share his passion with friends, and I am so lucky that he shares his life with me.”
My name: David May ten. It was refreshing to not know but dangerous. or Ming Dynasty My last purchase:
what was going on. China: breathtaking and scary. A selection of wines to serve my
I live and practise in:
friends at a locavore meal.
Powell River, BC The best souvenir I’ve brought My favourite book:
back from a trip: $250 worth of Captain Corelli’s Mandolin, by Louis My last splurge: 2004 Bordeaux: I
My training: MD, university of
saffron from a market in Catalonia, de Bernières am saving it for my 50th birthday.
London; GP Anaesthesia, uBC,
Vancouver; MRCGP, university of Spain. I was travelling with my choir My favourite movie: My closet has too many: of my
Nottingham and three of us beat the saffron [several!] The Jungle Book, wife’s clothes in it.
dealer’s price down.
Why I was drawn to medicine: My fridge is always stocked with:
Medicine is an Applied Science A favourite place that I keep Good cheese
My medicine cabinet
is always stocked with:
Tylenol
My guilty pleasure is:
fresh sourdough croissants
and newspapers on Saturday
mornings.
My favourite exercise/
sports activity: Swimming
My celebrity crush: Juliette
Binoche
I’d want this item with me if
stranded on a desert island:
A barbecue to cook the wonder-
ful fish I would catch.
My secret to relaxing and
relieving tension: Not bringing
work home
A talent I wish I had: Ease with
foreign languages
My scariest moment:
failing the exam when I was a new
doctor in Canada, with a young
family.
My fondest memory:
The birth of my children
A big challenge I’ve faced:
keeping a healthy balance between
work and family.
I’m inspired by: Classical music,
great food, wine and art..
My biggest ego boost: My wife
thinks I am great occasionally
My biggest ego blow: The low
from top Dr. David May skiing with his daughter Kate at Mount Washington on Vancouver opinion which my teenage children
Island; Escaping bulls while hiking in the Wye Valley in England; Sampling fresh mango and hold of me
coconut in Cholula, Mexico; Above the town of Monterosso in the Liguria region of Italy.
I’m happiest when: I am with
people who love me.
where I could make a difference returning to: The united kingdom Butch Cassidy and the Sundance Kid, A cause close to my heart:
and in family Practice I can see the is where my heart is. Amélie. La Jetée, Star Wars Palliative Care and Chronic Pain: two
continuity of life. My ultimate dream vacation: My first job: Gardener at the local fields where there is room for huge
CouRTESy DR. DAVID MAy
Having time to wander European school in London. improvements
My last trip: Cornwall, England: A
blissful coastal hiking holiday be- back roads finding family-run hotels. The gadget or gear I could not do Something I haven’t done yet
tween picture perfect fishing villag- To experience those serendipitous without: Bottle opener that’s on my must-do list: A walk-
es and eating at niche restaurants. events that are part of the ethos of ing tour of Tuscany
those countries. My favourite room at home:
The most exotic place I’ve trav- Bedroom If I wasn’t a doctor I’d be:
elled: Hanoi, Vietnam: where the If I could travel to any time, I’d go A restaurant critic
to: Renaissance Europe: spectacular My car: Vw Golf
rules of life are completely re-writ-
38 JuST FOR CanaDian DOCTORS november/december 2010
For more information—Call 800-422-0711 or visit www.ContinuingEducation.NET
Continuing Education, Inc.
University at Sea™
Outstanding Value for your time and resources
Combine Live CME and Personal Renewal Time with Family and Friends
Mention Code J1110 and receive a free bottle of wine in your stateroom
Featured Destination
February 11, 2011 Geriatric Medicine Review February 13, 2011
14 AMA PRA Category 1 credits™ AAFP Applied for
7-Night Eastern Caribbean from Ft. Lauderdale, Florida 12th Annual Update in Gastroenterology - 2011
Holland America's ms Westerdam 14 AMA PRA Category 1 credits™
14-Night Australia/New Zealand - Sydney to Auckland
March 18, 2011 Pediatrics
14 AMA PRA Category 1 credits™ AAFP Applied for Holland America's ms Volendam
7-Night Southern Caribbean from Ft. Lauderdale, Florida
Holland America's ms Westerdam July 8, 2011 Infectious Disease
14 AMA PRA Category 1 credits™ AAFP Applied for
April 8, 2011 General Medicine Review 10-Night Eastern Mediterranean from Rome, Italy
14 AMA PRA Category 1 credits™ AAFP Applied for Celebrity Cruise's Equinox
7-Night Southern Caribbean from Miami, Florida
Norwegian Cruise Line’s Dawn July 15, 2011 Women's Health
14 AMA PRA Category 1 credits™ AAFP Applied for
May 1, 2011 Orthopaedics and Sports Medicine for 8-Night Mediterranean from Venice, Italy
Primary Care Royal Caribbean's Voyager of the Seas
14 AMA PRA Category 1 credits™ AAFP Applied for
7-Night Bermuda from New York, New York July 16, 2011 Cancer In Women
Holland America's ms Veendam 14 AMA PRA Category 1 credits™ AAFP Applied for
7-Night Caribbean from Ft. Lauderdale, Florida
May 9, 2011 Family Medicine Royal Caribbean's Oasis of the Seas
10 AMA PRA Category 1 credits™ AAFP Applied for
5-Night Western Mediterranean from Barcelona, Spain August 13, 2011 Update on Indications, Interactions and
Royal Caribbean's Liberty of the Seas Complications in the Use of Pharmaceuticals
14 AMA PRA Category 1 credits™ AAFP Applied for
May 14, 2011 Family Medicine 7-Night Western Mediterranean from Barcelona, Spain
10 AMA PRA Category 1 credits™ AAFP Applied for Royal Caribbean's Liberty of the Seas
5-Night Western Mediterranean from Barcelona, Spain
Royal Caribbean's Liberty of the Seas September 9, 2011 Preventive Medicine
14 AMA PRA Category 1 credits™ AAFP Applied for
May 16, 2011 Primary Care Update 10-Night West Coast Wine Cruise from Vancouver, British
14 AMA PRA Category 1 credits™ AAFP Applied for Columbia to San Diego, California
11-Night Eastern Mediterranean from Rome, Italy Celebrity Cruises’ Millennium
Celebrity Cruises’ Equinox
September 16, 2011 Emergency Medicine Today
June 12, 2011 Emergency Medicine 14 AMA PRA Category 1 credits™ AAFP Applied for
14 AMA PRA Category 1 credits™ AAFP Applied for 10-Night Holy Lands from Istanbul, Turkey
7-Night Western Mediterranean from Barcelona, Spain Royal Caribbean's Vision of the Seas
Norwegian Cruise Line's Epic
October 9, 2011 Pulmonary Medicine
July 2, 2011 General Medicine: Communication Skills for 14 AMA PRA Category 1 credits™ AAFP Applied for
Health Care Practitioners 7-Night Bermuda from New York, New York
14 AMA PRA Category 1 credits™ AAFP Applied for Holland America's ms Veendam
7-Night Baltic Capitals from Oslo, Norway
Royal Caribbean's Vision of the Seas
Complete Program Listing at
We can plan or joint sponsor/accredit
www.ContinuingEducation.NET your next meeting
Ask about our Guest Travels Free Program Call 800-422-0711 or visit
www.ContinuingEducation.NET
Accreditation: Continuing Education, Inc. is accredited by the Did you know our in-house travel
Accreditation Council for Continuing Medical Education to provide
continuing medical education for physicians. division can handle your
Designation: Continuing Education, Inc. designates these educational personal travel needs?
activities for a maximum of 14 AMA PRA Category 1 credits™. Course Fees for all 14 hour courses
Physicians should only claim credit commensurate with the extent of
their participation in the activity. MD/DO/PhD/DDS/DMD—US$695
Nursing Contact Hours: Continuing Education, Inc. is an approved
provider of continuing nursing education by the Georgia Nurses
RN/NP/PA—US$450
Association, an accredited approver by the American Nurses
Credentialing Center's Commission on Accreditation.
Florida Seller of Travel Reg. #14337
A LL B UTLER,
A LL O CEANFRONT,
A LL Y OU C OULD E VER I MAGINE.
Sandals premieres a new level of luxury with the introduction of the rst and only
all-butler, oceanfront resort. Enjoy views of a perfect one-mile-long stretch of pristine,
white-sand beach. Unwind by the half-acre pool with a repit right in the middle, or
in the 29,000 square-foot Red Lane® Spa, featuring Dermalogica® products. Explore
◆
the waters of The Exumas with the most comprehensive scuba ■ program. Play the
signature Greg Norman-designed golf course,* named one of the Caribbean’s top ®
courses by Travel + Leisure Golf. Savor gourmet cuisine served with Beringer® wines
in any of five remarkable restaurants. Best of all, everything is included, making
out-of-the-ordinary luxury in the Out Islands an extraordinary private escape.
◆
Spa services additional. ■Resort dive certi cation course available
at an additional cost.*Green fees additional.
Air Canada Vacations offers non-stop Sunday ights
from Toronto to Georgetown, Great Exuma, Bahamas
with convenient connectors from 65 Canadian cities.