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                                                                   life + leisure

                                                  sun+ spice in
                                                  hot + coLD in
  HD Camcorder!
  a Kodak PlaySport
  Waterproof Pocket

  DetaiLs on page 35

 + a tilley
   gift pack!

                                                                       + panamera
                                                                       + tango in
                                                                         Buenos aires
                                                                       + LonDon
                                                                       + eureka in

                                                                          PubliCations Mail agreeMent #41073506

      inside: Continuing MediCal eduCation Calendar
       where will you meet?   london   /   tel aviv   /   baltic   /    macau       /   berlin          >>
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    but my goal is to have it start the moment you
    walk into our agency.
                               — Lynn, Marlin Travel Advisor

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                                                      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
                                                                                Phone: 604-681-1811           Features
                                                                                Fax: 604-681-0456
                                                                         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

                                                     710 – 938 Howe St.
                                                     vancouver, bc v6Z 1n9                                    36 the wealthy doctor
                                                     canada                                                                                                                    cover photo:
                                                                                                                 Retirement wealth
                                                                                                                                       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.

                                                                                                                                        november/december 2010 JuST FOR CanaDian DOCTORS      3
                                                         from the editor

    Use your head to                                     winter
    protect your skin.                                   escape
                                                                 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                               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
                                 afar. Send us your stories!
                                                                                 Barb Sligl, BA, MPub
                                                       what/when/where > november/december
                               style | food | shows | festivals | places | getaways | gear…

                         this is
               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 ( In
               Bentonville, visit Compton Gardens, Dr. Compton’s former home turned
               into a conference centre and public park ( 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
               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 ( 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 ( This is
               weird and wonderful Arkansas. For more info, visit

                                                        4                                           3        2
B. Sligl (4)

                                                                                            november/december 2010 JuST FOR CanaDian DOCTORS   5
mix           november/december


                                                                       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.
                                                                       —B. Sligl For more on London and upcoming CME events there, see page 19.

              scent                                the goods
                                                Goodies for the holiday season—to give and get. Tis the season!
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. under cOver
                                                        Award season has unleashed some
                                                                                             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. 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. —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
                                                                                                                                                          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
                                    over. Spanish only is spoken, and        by students on assignment.             are from nearby, and the school
                                    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
                                                    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.

                                    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 for more information.

                                                                                                                          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

the justice system?
The pervasion of this archaic and negative system into the physicians’ area of practice

    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
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
        DUBAI & UAE
                                                         Sea Courses Cruises                                     into the physicians’ area of practice. Medical
                                                                                                                 practitioners should not be given carte blanche,
                                                          1-888-647-7327                                         with no regard to consequences of carelessness or
                                                                                                                 malevolence, but we all, every day, order tests and
     ISTANBUL TO LUXOR                                                           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

              TA K E M E T O T R U M P ®

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              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
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                                                                         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

           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 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
                      Read the last two finalists’ stories here. We’ll
                      continue to run more adventure stories by
                      runners-up in 2011. Send your submission

                      tango trance
                      By Dr. monica yuzak

                                                              A physician kicks up her heels in Buenos Aires

                           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
      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
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      Giddy with wine, fatigue, and dance, my                                                
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

                          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

                                     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      wonderful well-spaced tree            online at      region’s culture, in style.
                                     skiing, and spectacular                     1-877-843-0261            B&R’s biking trip in
alpine vistas. We are able to offer a unique and comfortable                  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.
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                                   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         Catering to only twelve                    1-877-PWdR-FiX
                                                                               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


                                         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

                                 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           
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.
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.                                                             
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
                                                                                                                 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.;
angle. After all, variety is the spice of life.                                                        
     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

breathe easy
An intravenous electrode that offers new hope to patients on ventilators

         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 ( 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


                                         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)

                        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,       [] [culture / art] After                  Cathedral. [] [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 . [] 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
           [] 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

           Georgian townhomes (see page 6). []               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:

                                                                                                                      november/december 2010 JuST FOR CanaDian DOCTORS                                       19
c m e calendar
   cme                       when        where          topic                                                  sponsor                     contact           website
                             Jan                        introductory Course to botox and Cosmetic              The Physician Skincare      877-754-6782
                             29-31                      Fillers & advanced Techniques                          and Training Centre         See ad Page 22
     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
                             apr                                                                               The Physician Skincare      877-754-6782
                                         british        introductory Course To botox & Cosmetic Fillers                                            
                             16-17                                                                             and Training Centre         See ad Page 22
                                                        2011 annual Symposium and Congress Of The
                             mar         San Diego

                                                        american Society Of Cataract and Refractive            aSCRS-aSOa                  703-591-2220

                             26-30       California
                             apr         istanbul       TaRTen 2011 (Transatlantic Reproductive                                            011-90-312-
                                                                                                               Serenas Tourism                     
                             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

                             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                                                                                                   
                             mar         Tucson                                                                northwest anesthesia
                                                        Current Topics in anesthesia                                                       800-222-6927
                             10-13       arizona                                                               Seminars
                             Dec         Philadelphia   50th annual meeting Of american Society For            american Society for
                             11-15       Pennsylvania   Cell biology                                           Cell biology

                             mar         barcelona      10th international Conference On alzheimer’s &                                     011-41-22-908-
                                                                                                               Kenes international                 
                             09-13       Spain          Parkinson’s Diseases                                                               0488

   For:                      may           Just For CanadianMeeting And Exhibition Of The in
                                                    19th Scientific Doctors
                                                    international Society For magnetic Resonance
                                                                                                               international Society For
                                                                                                               magnetic Resonance in       510-841-1899
                             07-13       montreal
                                                        medicine                                               medicine
   Issue:nov 30-                           Nov / Dec 2010 issue
                                         Rome      Xiv international Symposium On Progress in
                                                                                                               aim Rome
                             Dec 03      italy          Clinical Pacing (2010)                                                             531
                                                                                                               university of
   Fax:                      Dec
                                           604 - 681 - 0456
                                         Grand Cayman
                                                    Diving into Cardiac imaging
                                         Cayman isls.
                                                                                                               Pennsylvania School of      215-662-6982

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   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
                         02        Quebec
                         Feb       London           6th international Pharmacoeconomic Conference      alzheimer’s Drug
                         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
                         08-10     California
                         Dec       Paris            2011 annual Congress Of The international                                     011-33-1-4073-
                                                                                                       CHeCK-uP SanTÉ                    
                         06-09     France           master Course On aging Skin                                                   8282

                                                    Cosmoderm 16: international aesthetic
                         Dec       Dresden                                                             Conventus                  011-49-36-413-   cosmo-
                                                    Dermatology Congress Of european Society For
                         09-12     Germany                                                             Congressmanagement         5330   
                                                    Cosmetic & aesthetic Dermatology
                         Feb       new Orleans      69th annual meeting Of The american academy        american academy of
                         04-08     Louisiana        Of Dermatology                                     Dermatology
                         Feb       London           The 4th international Conference On advanced                                  011-41-22-908-
                                                                                                       Kenes international               
                         16-19     england          Technologies & Treatments For Diabetes                                        0488
                                                                  new CME list from Adam System

                         mar       Sacramento
                                                                                   uC Davis Health
                                                    37th annual uC Davis Diabetes Symposium                                       916-734-5390
                         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-
                         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
 emergency medicine

                         13-15     Florida          emergency medical Services Physicians
                                                                                                       Services Physicians
                         Jan 31-                    beem (best evidence in emergency medicine)
                                   british                                                             mcmaster university        905-521-2100
                         Feb 02                     Course
                         Feb       Sydney                                                              Royal australian College   011-61-3-9276-   austraumacon-
                                                    austrauma 2011
                         17-19     australia                                                           of Surgeons                7406   
                                   british          24th annual update in emergency medicine           CePD                       416-978-2719
                         Jan       Glendale                                                                                                        thewileyproto-
                                                    Two Days back On earth                             Wiley Protocol             805-565-7508
                         29-30     California                                                                                            

                         Jan 31-   Sarasota         Geriatrics: a Primary Care approach To The aging   american medical
                         Feb 04    Florida          Population                                         Seminars, inc.
                         mar       big island
                                                    14th mayo Clinic endocrine Course                  mayo Clinic                507-284-2776
                         13-18     Hawaii
                         Jul       baltic                                                                                         888-647-7327     seacourses.
                                                    endocrinology 2011                                 Sea Courses Cruises
                         21-31     Cruise                                                                                         See ad Page 8    com

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                                                                                                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,
                      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
   General & Family

                      Jan     Jerusalem                                                         national education          866-685-6860     neiconferences.
                                              nei Conference Series

                      23-29   israel                                                            institute                   See ad Page 21   com
                      Jan     Rome            2011 international Conference On Health                                       351-265-100-
                      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
                      may                                                                       Continuing education,       800-422-0711     continuingedu-
                              mediterranean   Family medicine
                      09-19                                                                     inc./university at Sea      See ad Page 39

                              vancouver                                      Adam
                                                           new CME list from aCmG meetings
                                              2011 american College Of medical Genetics
                              british                                                                                       301-718-9603

                      16-20                   annual Clinical Genetics meeting                  Department
                      Oct     montreal                                                          international Federation
                                              12th international Congress Of Human Genetics.                                301-634-7300
                      11-15   Quebec                                                            of Human Genetics
                      Feb     Tel aviv        7th annual update Symposium On Clinical neu-      iSaS international          011-972-2-652-   neurophysiology-

                      21-27   israel          rology and neurophysiology                        Seminars                    0574   

                      mar     San antonio     2011 annual meeting of the american association   american association of
                      18-21   Texas           of Geriatric Psychiatry                           Geriatric Psychiatry
                      Jan                                                                       american Society of
                              british         Highlights Of aSH                                                             202-776-0544
                      21-22                                                                     Hematology

                                                                                                network of Oncology
                      Feb     Las vegas                                                                                                      nocrannu-
                                              17th annual nOCR meeting                          Clinicians and              See Website
                      10-12   nevada                                                                                               
                      Feb     San Francisco   Scripps Cancer Center’s 31st annual Conference:   Scripps Conference                           scrippshealth.
                      19-22   California      Clinical Hematology/Oncology                      Services                                     org
                      Jan     berlin          1st international Conference On Current &                                     011-972-3-566-   comtecmed.
                      27-29   Germany         Future vaccination in adults                                                  6166             com
   immunology &

                      apr     Lake Louise     24th annual Spring meeting Of Canadian Society    Canadian Society for
                                                                                                                            See Website
                      08-11   alberta         For immunology                                    immunology
                      apr     amsterdam                                                                                                      pharma-nutri-
                                              Pharma-nutrition                                  elsevier                    See Website
                      18-20   netherlands                                                                                          

   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
                         27-31     Florida         Care update                                           Seminars, inc.
                         Feb       Sacramento      29th annual uC Davis infectious Diseases
                                                                                                         uC Davis Health System     916-734-5390
                         11-12     California      Conference
                         apr       montreal                                                              ammi Canada and
                                                   ammi Canada - CaCmiD annual Conference                                           613-260-3233
                         07-10     Quebec                                                                CaCmiD
                         Jun 26-   baltic                                                                Continuing education,      800-422-0711     continuingedu-
                                                   internal medicine

                         Jul 03    Cruise                                                                inc./university at Sea     See ad Page 39
                         aug       alaskan
                                                   Chronic Diseases update 2011                          CmeatSea                   888-523-3732
                         21-28     Cruise
                         Feb       Rochester       Frequently encountered ethical Dilemmas in The
                                                                                                         mayo School of Cme         507-284-2509
                         02-04     new York        Community Practice

                         Feb       Ximer arpora    2nd international Conference On medical               indian association of      011-91-98-
                         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

                         17-20     Thailand        For The Study Of The Liver                                                       4706   
                         apr                                                                             international Society of   info@wcn2011.
                                   british         World Congress Of nephrology 2011                                                       
                                   Columbia                     new CME list from Adam                   nephrology                 org

                         Dec       San antonio                                                           american epilepsy

                                                   2010 american epilepsy Society’s annual meeting                                  703-960-1213
                         03-07     Texas                                                                 Society
                         Dec       St. andrews                                                                                      011-49-7461-     aesculap-acade-
                                                   endoscopic Spine Surgery                              aesculap academy
                         07-08     england                                                                                          95-2001
                         Jan       San Diego       8th annual natural Supplements: an evidence-          Scripps Conference                          scrippshealth.

                         13-16     California      based update                                          Services                                    org
                         apr       bologna                                                               university of new
                                                   international academy On nutrition and aging                                     505-272-3942
                         14        italy                                                                 mexico School
                         Dec       Chicago         2010 Chicago multidisciplinary Symposium in           american Society for
                         09-11     illinois        Thoracic Oncology                                     Radiation Oncology
Palliative Care
 Oncology &

                         Jan       San Francisco                                                         Jonathan Wood &
                                                   T-cell Lymphoma Forum 2011                                                       201-594-0400
                         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               
                         09-12     China           Pharmacology & Therapeutics                                                      0948

                         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-
                         03-06     india           Ophthalmological Society                                                         2630-3208

                                                                                               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
    Pain management

                        03        alberta

                        Feb 12-   africa
                                                   Cardiology & Pain management update 2011           CmeatSea                    888-523-3732
                        mar 02    Land & Cruise

                        Dec       Orlando                                                                                                          mceconfer-
                                                   Pediatric Review For Primary Care                  mCe Conferences             888-533-9031
                        28-30     Florida                                                                                                
                                                                                                      Childrens Hospital Los                       childrenshos-

                        Feb       maui
                                                   Pediatric Potpourri: State Of The art 2011         angeles and american        323-361-2752     pitallamedical-
                        12-18     Hawaii
                                                                                                      academy of Pediatrics              
                                                                                                      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              
                        Jan       valparaiso       Cognitive behavioural Therapy South america
                                                                                                      CbT Canada                  877-466-8228

                        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                          
                                  California       medical Legal assessment
                        Jan       Toronto          CT angiography and 3D imaging                                                                   events.
                                                                                                      university of Toronto       888-512-8173

                        10-14     Ontario          Levels 1 and 2                                                                        
                        Feb       Grand Cayman                                                        Duke university medical
                                                   advanced imaging in the islands                                                919-684-2711
                        20-23     Cayman isls.                                                        Center
                        Feb       Cancun           2011 Canadian Rheumatology association (CRa)       Canadian Rheumatology

                        11-15     mexico           Conference                                         association
                        Feb 28-   Sarasota         Rheumatology: improving Primary Care               american medical
                        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                         
                        15-17     Taiwan           associations Of Rheumatology                                                   4706
                        Jan       Calgary
                                                   Spine & Peripheral nerve anatomy & Surgery         university of Calgary       403-220-7240

                        05-07     alberta
                        Feb       Las vegas        managing Coding & Reimbursement Challenges in      american association of
                        11-12     nevada           neurosurgery                                       neurological Surgeons
                        Jan       Paris                                                                                           011-972-3-566-   comtecmed.
                                                   4th World Congress On Controversies in urology     Comtecmed

                        27-30     France                                                                                          6166             com
                        Jun       mont Tremblant   66th Canadian urological association annual
                                                                                                      CUA Central Office          514-395-0376
                        26-29     Quebec           meeting 2011

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   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 •

   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                                     
                                                                                                                                
    busywalk-in/fam racticeclinic. 65/35split.        and weekend coverage. Approved for EM   R                        
    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                                              
                                          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                                  
                                                                                                                       
    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                              m     iller For m       ore                    
                                                      inform            ail
                                                              ationE-m gbm       iller@sym                 
    KING N, O - O
          STO N pportunities in a new                                                                                     
                                                                                                                        
    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                                                               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                            
    patients looking for a new fam doctor.
                                      ily                                                                                 
    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            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
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                                                       P              ontact RSRS at 1-888-563-           
                                                                                                                
    locatedinlargem  edical buildingadjacent to       3732Ext. 221, www                   
    The O                  ivic am
          ttawa Hospital, C C pus. M berem                                                                      
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      fax 604-681-8149 • tel 604-681-1811 • email                            
                                                                                                                
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                   m ar k e tp l a c e

d octor s ’                                                                                                     



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          Marine Atoll Basecamps
          Rainforest Rivers
          Mayan Ruins
         Get your free Belize Adventure Guide
                      1 800 667 1630

    26     JuST FOR CanaDian DOCTORS november/december 2010
                    Family Physician Opportunity

                     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.

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 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
   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                             

    Create a flexible career by combining a family practice
                                                                                                      Georgian Bay
    with Emergency or Hospitalist positions.
    Financial incentives and relocation costs provided.                                                 Physician Recruitment
                                                                                                       Recrutement de médecins
   Image by Diane Soward -

  To learn more contact: David Gravelle, Physician Recruitment Officer 1-705-526-1300 Ext 3135

                                                                           november/december 2010 JuST FOR CanaDian DOCTORS                27
                                                                                                  Experience the North
                                                                                          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,

                                                                                             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   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
                                                                                                           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:

                                                South Eastman Health

                                                Medical Administration Office
                                                Tel: (204) 424-5880

                                                YOUR CAREER PROGNOSIS IS EXCELLENT!
                      South Eastman

                 28     JuST FOR CanaDian DOCTORS november/december 2010
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

                                    qu’un choix de carrière, c’est un
Being in New Brunswick.             mode de vie.
Making life happen.
                                    Soyez au Nouveau-Brunswick
                                    Vivez pleinement.édecins
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 or send feedback to
                                                     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

          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
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travel the world

                                                                                                                                         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…

                                                        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
               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…
                 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
                     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
                 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.

                                                         Beach, a local
         Own Platinum Standard

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                                                             International interest suggests you call 1-866-602-6636 or visit our
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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
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        ecently I was reminded of how won-                  when poaching the eggs, the water                                                               DOCTORS
                                                                                                                                                                                                                     JUST FOR C

                                                                                                                                                                                                                                       A   N   A   D   I        A    N         JuST fOR C

                                                                                                                                                                                                                                                                                                     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
                                                                                                                                                                                                                                                                                          Mont Ventoux                         Arctic

                                                                                                                                                                                                                                                                                              stepping back in                          tilley

        be. The beauty of brunch at home is            use fresh eggs so the whites won’t spread
                                                                                                                                                                                                                                                                +   Tilley
                                                                                                                                                                                                                                                                                          + hit the beach in Jamaica

                                                                                                                                                                                                                                                                                          + 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

                                                                                                                                                                                              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.                                      
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
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
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
                                                                                                                                                                     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

                                                                                            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

wealth building tips
Is your savings plan sufficient to generate the post-retirement income you want?

         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                                                                                    
                                                      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

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                                                                                      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
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                                               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
                                                                                                                     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:
                                                                                                                                                 My guilty pleasure is:
                                                                                                                                                fresh sourdough croissants
                                                                                                                                                and newspapers on Saturday
                                                                                                                                                My favourite exercise/
                                                                                                                                                sports activity: Swimming
                                                                                                                                               My celebrity crush: Juliette
                                                                                                                                              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
                                                                                                                                          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
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