FALL 2011 by Just For Canadian Doctors

fall 2011

DOCTORS life + leisure

win

a trip to the Cayman islands or a

Visa gift card! See inSide

giddy up in

alberta

Aegean sail on the

kauai surf lesson zesty zaatar new zealand road race inVeStMent insight PubliCations mail agreement #41073506

inside: Continuing mediCal eduCation Calendar where will you meet?

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JuST fOR C

DOCTORS life + leisure

fall 2011

COntents

fall 2011 Editor and art Director Barb Sligl Editorial assistant adam flint Contributors Yvette Cardozo Dr. Holly fong Tim Johnson lauren Kramer Dr. Chris Pengilly Dr. Neil Pollock Manfred Purtzki Dr. Kelly Silverthorn Corey Van’t Haaff Cover photo B. Sligl Senior account Executive Monique Mori account Executive lily Yu Sales, Classifieds and advertising In Print Circulation Office 200 – 896 Cambie St. Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 fax: 604-681-0456 Email: info@advertisingInPrint.com

associate Publisher linh T. Huynh Production Manager Ninh Hoang

15 30 features

15 on the Aegean Tour Greek islands on a Turkish ship 30 cowboy country Unleash your inner cowboy

Circulation fulfillment alison Mulvey CME Development adam flint founding Publisher Denise Heaton

Just For Canadian Doctors is published 4 times a year by In Print Publications and distributed to Canadian physicians. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications. In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada

dePartments

10 motoring

5 fall mix

Road race down under

12 doctor on a soapbox A cautionary tale

19 techworks Microwave for medicine

20 the wealthy doctor To invest or not to invest

21 CME calendar 27 employment opportunities 36 classifieds 37 sudoku 38 small talk with Dr. Virginia Gunn

34 the thirsty doctor No more glass ceiling

www.justforcanadiandoctors.com

35 the hungry doctor Zesty zaatar

Printed in Canada.

B. SliGl

Columns

miss an issue? check out our website!

cover photo: The view from the hilltop castle on Leros in the Dodecanese islands of Greece. The Turkish gulet Zeus is anchored in Panteli harbour below. This traditional sailing ship is a magical way to explore the Greek islands. Story on page 14.

fall 2011 JuST fOR CanaDian DOCTORS

from the editor

clockwise from top The view

8). Or the Cayman islands…you could win a trip to the Caribbean idyl and find some serious heat (see page 37). Of course, fall here in Canada has its own charm, with golden leaves, misty mornings, and the first fragile frost. Head into Alberta’s cowboy country to take in that autumn aroma, and some of that cando spirit. Giddy up! You may even end up sitting on a 2,000-pound bull...or at least chomping on a bison burger (page 30). And there’s plenty more fall flavour to indulge in—from Vietnamese cooking classes (page 5) to zesty zaatar (page 35). What’s on your menu? let us know and send us your feedback. Go to justforcanadiandoctors.com or reach us at feedback@inPrintPublications.com. We want to hear from you!

xtend summer this fall—by land or sea, from the Cowboy Trail in Alberta to the Aegean off of Turkey’s Riviera. On the Aegean you’re suffused in bright blue—the sky, the sea, the cobalt accents on white-wash buildings—sailing the Aegean, from fishing village to village, castle to castle, monastery to monastery, ancient ruin to ruin, in a Homeric journey. Even more so when sailing from Turkey’s Turquoise Coast on a traditional wide-bottomed gulet. There’s no better way to embark on a Blue Voyage through the Greek islands off of Turkey’s southwest coast. Days consist of dips in secluded bays, feasts of fresh seafood, sips of rakı and ouzo and treks into the past—all in between soaking up that Aegean sun (page 15). Then there’s Kauai, where the sun’s blazing and the surf’s on year round (page

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by land or sea

from the castle on Leros down into Pandeli bay and village; Sparki of Kauai Surf School; and Miss Rodeo Sundre 2010.

what/when/where > fall

mix

spice it up immerse yourself in Vietnamese culture through its food

getaway

YveTTe CarDoZo

Bowl of steamed catfish and vegetables, a popular Vietnamese dish.

hey are EVERYwhere in Vietnam, from the largest city to the smallest village and even aboard tourist boats in Ha long Bay. No, not T-shirt sellers.

We’re talking cooking classes. This is THE thing to do in Vietnam and we sampled several. There was the well polished class in Hoi An…15 people at tables, the instructor under an angled mirror up front. There was the spring roll class aboard the Emeraude cruise

ship in Ha long Bay. There was a chance to learn fried spring rolls while squatting in a real village kitchen over a coal fire at Cat Ba island. But best, honestly, was Mrs. Pham Thi Tuyet in Hanoi. City classes are taught in city restaurants and Mrs. Tuyet’s

is no exception. Mrs. Tuyet taught us herself. Not much English but lots of guiding of hands and patting of knuckles. She has been teaching these classes for 30 years and now, has her own cooking show on TV. Thirty years? Private enterprise? continued on page 7 >>

fall 2011 JuST fOR CanaDian DOCTORS

caffeine fix

fall tour

TO THE he rT Of CAPE TOWN MUSEUM

big breakthrough

herearen’t many cities whereyou’ll finda hospital onthelist of attractions, but CapeTownis oneof them. Thecity onthesouthernmost tipof Africa is hometotheHeart of CapeTownmuseum, whichcommemorates thefirst ever human-to-humanheart transplant performedin 1967 by Dr. ChristiaanBarnard. It’s housedinsidetheGrooteSchuur Hospital onthe slopes of TableMountain, a massive, stately buildingflankedby palmtrees (below). LouisWashkansky, 53, neededa newheart in1967, andhis opportunity arrived

whena youngwoman, DeniseDarvall, was injuredina car accident a fewkilometres away andwas declaredbraindead. Washkansky becamethefirst personintheworldtoreceivea heart transplant andthemuseumrelays thestory of that first transplant indetail. Joina guidedtour andyouaretakenthroughthesteps of Dr. Barnard’s life, learningabout theyoung donor andher tragicaccident, thehealthreports of Washkansky andthefirstpersontestimony of his doctor. Beforehediedin2001 Barnardrecalledfeelingscaredduringthefirst heart transplant operation.“After wetook out his heart I lookeddownat thebody I was operatingonandfelt terrified,”hesaidina documentary shownat themuseum.“I’d doneplenty of operations beforethen, but I’dnever beforelookedintoa body that didn’t containa heart.” Thoughthetransplant operationseemedsuccessful at thetime, Washkansky wouldliveonly 18 days after theoperationbeforedyingof pneumonia. His was the first of six heart transplants by Dr. Barnard, andoneof thosetransplant recipients wouldlive25 years. For his work, Dr. Barnardwouldbecomeaninternationally recognizable figure, findinghimself inthecompany of stateheads likeIsraeli PrimeMinister Golda Meir, PopeJohnPaul VI, thePrincess Diana of Wales andmany others. But behindhis charismaticsmilewas a personal lifethat lay inshambles. Helived throughthreedivorces andlost oneof his six children. Inhis oldageheagreed toendorseanti-ageingcreams withdubious results, andthis addedcontroversy tohis reputation. Ultimately hediedaloneinCyprus at theageof 78. But theheart transplant hepioneeredwas a significant medical breakthroughthat continues tosavelives today. IntheUS aloneit is performed in160 hospitals, witha 75%five-year success rate. TheHeart of CapeTown Museumremembers himas a manof skill andpassion, a doctor whohadthe couragetoget totheheart of thematter. —Lauren Kramer If You Go The Heart of Cape Town Museum is located inside the Groote Schuur Hospital. For more information visit heartofcapetown.co.za or call (2721) 404-1967.

JuST fOR CanaDian DOCTORS fall 2011

taste

cafe chon

WeASeLGUTCoFFee. Yum. Yes, really froma weasel. eaten, digestedand, well, youknow…Andyes, really, really yum. It is thick, richandhas a hint of chocolateflavour. Frankly, wedon’t carewhoseintestinal tract this stuff may or may not have comefrom. Thecups wehadinHanoi andtheones wehavebrewedsince cominghomearethebest coffee, hands down, we’vehadinour lives. Thestory goes likethis: Intheearly 18thcentury theDutchestablished coffeeplantations inIndonesia. But theDutchwouldn’t let thelocals pick coffeefruits for their ownuse. Weasels lovedtheberries andleft thebeans undigestedintheir droppings. TheDutchdidn’t carewhat thelocals didwith theweasel glopso, voilà, a newcoffeewas born. Accordingtothosewhohavestudiedall of this, thedigestiveenzymes ferment thebeans andbreak downtheproteins, resultinginmoreaminoacids. Andsincetheflavor of coffeedepends a lot onits proteins andaminoacids, thetheory is that this shift results inthecoffee’s unique, mildbut alsosmoky, chocolatey flavor. Thebeans arethoroughly washed, driedandroasted. Andyes, some paranoidNorthAmericanscientist (whoelse?) testedthestuff for harmful bacteria andfoundnoneof any consequence. All theguidebooks say thereal stuff is breathtakingly expensive—one Philippinewebsitesells it for $890a kilo. And, of course, thereareimitations, evenby a company inFlorida, CoffeePrimero(coffeeprimero.com) which peddles its versionfor $16a pound. TrungNguyênCoffeeCompany (trungnguyen-online.co.uk/trungnguyen.html) inVietnamdoes thesame, proudly braggingabout howit has duplicatedtheuniqueweasel gut taste. ThecoffeeinVietnamis called“cafechon,” after theVietnameseword (chon) for weasel. There, it is pricedaccordingtothepercentageof weasel coffee, from#1(80%) to#6(30%) or full onchon(100%). Shouldyoubein Hanoi, wegot our stashfromCa PheGia TruyenKimLai inHanoi’s oldQuarter. Sodidweget thereal thingfor $40a kilo? Maybe, maybenot regardless of what our guideandthewomanat theshopclaimed. Whocares, it’s still beyondfantastic. —Y. Cardozo

fROM lEfT: lAUREN KRAMER; YVETTE CARDOZO

mix

stir it up

fall

mix

slice + dice top, from left Celebrity chef MadamPhamThi Tuyet. > Market alongThuBonriver inHoi Anincentral Vietnam. bottom, from left Moremarket fare. > Baby banana flowers at themarket. > Cha ca, popular traditional dishof northernVietnam. Chunks of snakeheadcatfisharemarinatedinspices andbriefly seared, thensauteedwithshavedscallions, peanuts, noodles andother vegetables.

savour

continued from page

YVETTE CARDOZO

5 >> Wasn’t that, um, a problem in the early 1980s? Yes, of course. Those first classes were done in secret in her home. But today, frankly, for a communist country, Vietnam has thoroughly embraced capitalism and there’s hardly a molecule in the nation not for sale. first, though, at our class, the traditional trip to the market. We followed along as Mrs. Tuyet bought dill, basil, Chinese coriander, baby

banana flowers, pork, fish and more. Then we walked up a dark, narrow staircase into her restaurant and were escorted to a small balcony overlooking the life of the Old Quarter. into a bowl went sliced green papaya, carrots, the tiny banana flowers, sugar, rice vinegar, chilies, garlic, basil, coriander and other things we could hardly identify. This was set aside to marinate a bit. Next, we sliced catfish thin, added dill, saffron, ginger, mushrooms with soy sauce

and oil. That dish disappeared to be steamed and we went to work on the spring rolls. The secret? You wet down the center of the rice paper with raw egg, then add a teaspoon of the pork/ vegetable mix and make a thorough mess trying to fold it. That, too, went off to be cooked clumsily by us for 10 minutes in a wok of boiling oil. By now, it was time to eat the first salad, which was crunchy with the sharp flavor of vinegar and exotic spices. Then the spring rolls, then the

catfish, which returned in a tiny bowl with delicate mushrooms and more veggies. Mrs. Tuyet added a bit of crisp-skinned chicken with lemon/salt dip, which we had not cooked, and for dessert, we had a small banana, breaded with rice flour and fried tempura style, then served with syrup. it was so light, we thought it might levitate off the dish. And we were so full, we skipped dinner that night. — Yvette Cardozo

sTir iT up Cookingclasses arenot dirt cheap, dependingonwherethey’retaught andwhois teachingthem. Theclass withMrs. Tuyet was $38per person. Theclass in Hoi Anwith15other peopleandtaught by anassistant, was $25. Theclass aboardtheemeraudewas freewiththecruise. HANoI: CafeAnhTuyet, 25Ma May; 0438258705, anhtuyet.com.vn. or book throughindochinacharmtravel.com/tours/vietnam/hanoi-authentic-culinary-tour.html. HoI AN: MorningGlory CookingSchool; hoian.co.uk/ vietnamese_cooking_class.php. eMerAUDe: emeraude-cruises.com Abacus fall 2011 JuST fOR CanaDian DOCTORS

mix

fall

old school cool gear

ride it in

Fine accoutrements for the modern cowboy

Kauai

If you’regoingtolearnhowtosurf, doit inHawaii. Better yet, doit onthesouthshores of Kauai, wherethesunis blazing, thewater toasty, thebeaches likesugar, andthere’s surf for sport everyone—beginner topro. Kauai, thefarthest northandwest of theHawaiianislands, still feels somewhat undiscovered, anunspoiledretreat aptly calledtheGardenIsle. Thevibeis laidback but theadrenalineis abundant, whether snorkelling, diving, kayaking, hiking, mountainbiking or anythingona board, fromSUP(stand-uppaddleboarding) tosurfing. But, really, hereyou havetotry surfing. Andif you’rea surf newbieor squid, takea lessonwithbigkahuna Nathan “Sparki” Metzger (above). Co-owner of Kauai Surf School, this former prosurfer (who’s surfedwiththelikes of Andy Irons) could, as onestudent put it, teacha pigtofly, let alone surf. Think yoga inthreesimplesteps: lyingontheback endof a board, youpushup, bring onelegupina lunge, thenstepforwardwiththeother leg…andyou’reridinga wave! And Sparki—grinningandcheering—stands withyouinthewater andtimes your waves: “Start paddling”… eyes onthebeach, a fewfast armstrokes…”Nowstand”…eyes onthebeach, andsteps one, two, three…This student stoodup, plantedher feet androdea waveright ontoshoreher first go. Gnarly! kauaisurfschool.com — B.Sligl

JuST fOR CanaDian DOCTORS fall 2011

You may be hauling your laptop or charts to and from the office rather than provisions in saddlebags for a week in the bush, but why shouldn’t that briefcase or portfolio be as hardcore— and fine looking—as the saddlebags? Even though the ride to the office likely involves less wear-and-tear than crossing the Continental Divide, it’d be nice if modern-day gear lasted years and could even be handed down as a heirloom. The Colonel Littleton Heritage Collection is a nod to the past, with handmade longlasting, high-quality goods designed for today, like the No. 1 Saddlebag business briefcase. Or the No. 18 Portfolio (below), which inspired the opening of the Derry & Wallis Trading Co. in Water Valley, Alberta (just off the Cowboy Trail; see story on page 12). This tucked-away store is both nostalgic and hip (everything old is new again), and it’s Canada’s only source for Colonel Littleton gear. Visit the outpost in cowboy country or order the Colonel’s luxurious goods throughout Canada online at WaterValleyLeather. com OR DerryAndWallis.com. For more on the Colonel Littleton story go to colonellittleton.com. — B.S.

No.18 Portfolio

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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.

kitted out kiwi style

ew Zealand has long pulled at my heart. Decades ago i was both a Houseman and a Senior Houseman on the South island. My Canadian fiancée and i wed in Christchurch on Valentine’s Day 26 years ago. More recently, thanks in part to our best man, i’ve had two quite amazing North island adventures. i’m scheming to ensure these will not be my last visits to the land of Kia Oro. for me, travel and motorsport go together like fish-and-chips. late each October is the largest New Zealand Motorsport event, the grueling week-long Dunlop Targa tarmac rally. With my best man as navigator, an ex-pat Kiwi dentist, we survived to finish the Dunlop Targa in 2008. We were so chuffed by

Team Silverthorn and Bentley en route in the 2010 Dunlop Targa tarmac rally.

that experience that in 2010 the new Targa Canada West owner (Duane Bentley) agreed to navigate for me. i gravitate to “arrive and drive” packages at Targas. As such, our driving team hires a race car and support crew from the local area of the event. Mutual physician friends put me in touch with a NZ race shop for classic Porsches—Carerra Sport based at Hampton Downs—the moniker aptly derived from the famous Mexican le Carrera Panamericana road race of the 1950s. for NZ 2008 Carrera Sport had put us in a front-engined water-cooled Porsche 924S. This is a safe, predictable, and semi-affordable race car. However, i’ve progressed in the Targa discipline since and crave a more testosterone-infused steed. An iconic early Porsche 911, air-cooled, rear-engined and tail-happy, beckoned for 2010. So Steve, luke and Co at

Carrera Sport built up just what the doctor ordered—a hotrodded 1973 Porsche 911 RS tribute race car tailored just for this ultramarathon tarmac rally. in order to survive a week flat out in an early 911 across twisty rural roads, i opted for pre-event driving instruction. Carrera Sport’s Steve Rasmussen is a multi-time New Zealand racing champion. He organized a day at each of Pukekohoe and Hampton Downs race circuits where he taught me the “nuances” (some call it treachery) of early 911s on the knife-edge of control. At race pace in a 911 there are a list of “do’s” and more important “don’t’s.” Experience has no substitute. To quote Steve: “As you turn in to the corner, give it full welly two heartbeats before you think it even possible, and she’ll be right.” An early 911 is not for the faint of heart, but unrivaled when you have entered the mythical zone of harmony between man and machine. And what a menacing soundtrack that flat-six bellows! Dunlop Targa New Zealand starts in Auckland, and ends thousands of kilometres later, dockside in Wellington Harbour. The cumulative time from the ~30 closed-road competitive stages of ~700 km against the clock determines the finishing order. Cars are divided at 25 years of age into Modern and Classic Divisions, with the ~120 car field further sub-classified by their age. Our RS Porsche competes in the third oldest of 10 classes. New Zealand boasts an unlimited supply of twisty roads through lush pastoral farmland and native tropical forest. Dairy cattle and sheep are near-everywhere, rendering Duane and my episodes of the driving game “my cows” more about the cemeteries than the livestock. (A game taught to me by medical school roommate Chris Coburn). The Event’s signature stage is Whangamomana—37 km of twisty climbing/dropping over three “saddles,” with both twisty and fast valley sections intervening. We hung it All out and averaged just 96 km per hour. Quinn/Tillet (2010 and threepeat Modern winners) averaged 109 kph on Whangamomana in their 600 hp Nissan R35 GT-R. The NZ event also boasts stages through windmill farms, seaside roads and small towns. The evergreen NZ gardeners showed off their cherry blossoms and other sure signs of

JuST fOR CanaDian DOCTORS fall 2011

spring. Daylight hours are heaps longer than contemporaneous October in Canada. And on the warmer days i did spot a few hardy souls swimming and surfing in the ocean. Spring can be a wet season in New Zealand though only 10% of the competition stages were wet in 2010. for me, racing in the wet does add a further “memorable” dimension. Of the 30 competitive stages 2010 Targa New Zealand stages, Duane and i set fastest Class time in 14 of them, including Whangamomana and two of the wet stages. Unfortunately that was not enough to battle back from a penalty (my bad, i must obey navigator fully) incurred on the Manfield racetrack stage. After a week of racing the top two cars in our Class we were separated by just four seconds (a 0.017% variance). Such is the comradeship in this sport that one cheers for and assists other teams in need, even those you directly compete with. The fiat teams had won the Marque prize in 2008, and yet we were welcomed at their restaurant table, despite our contributing to Porsche teams winning that award in 2010. The Dunlop Targa is so intense it seems much longer than a week. it is also hard to believe most of us return to our “normal” lives the following day. i recommend at least a minor trip extension in Wellington, which is truly a remarkable city. As the fiat boys pointed out to Duane and me, the racing is only half the attraction of a Targa—equally it is about the many people in this circus you are embedded with for the week. There is a great mix of personalities, from professional drivers, to committed amateurs, to first-time motorsport participants. Multi-generational teams, sibling teams, and spousal teams abound. My eldest son Connor has inquired if i would have him as navigator in one of the world’s Targa events. That seems a natural progression having had my wife, best man, friends and business partners in those seats. if Connor chooses the New Zealand Targa he’ll appreciate my affection for that great country and rear-engined Porsches at the edge of control. And “Bob’s your uncle,” i’ll find myself back in NZ again.

GROUND SKY PHOTOGRAPHY

The Dunlop Targa in New Zealand is a twisty thrill ride down under

Holds 7 people. And 300 horses.

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d o c t o r o n a s o a p b o x d r . c h r i s p e n g i l ly Dr. Chris Pengilly is Just for Canadian Doctors’ current affairs columnist. Please send your comments to him via his website at drpeng.ca.

a cautionary tale More problems with the “Justice” system

he cautionary tale that follows is further evidence for my opinion that the Justice system is an archaic autonomous cartel that has little or no interest in the truth, and is tethered by ritual as much as any organized religion. Here i will confess my bias. i detest protracted claims for trivial motor vehicle accidents. By the end of these long drawn-out procedures the patient becomes convinced that they are maimed for life. i have wondered what would happen if i was involved in a collision. i found out a couple of weeks ago. i was rear ended with $1,000 worth of damage being done to my car. i had a pain in the thoracic spine for about half an hour and that was all. Nothing compared to the pain in the backside i feel when i see

patients coming in with a symptom diary and a list of every ache and pain, which even two years later on are attributed to The Accident. These cases, however, are all part of family practice and so have to be taken seriously with due diligence. in order to do this i dictate full and detailed notes immediately at the end of the office visit, before i have a chance to forget any of the facts. i do this with the intention of using them in preparing an anticipated medicolegal report. in order to be able to do this in an affordable manner i use voice recognition computer technology. The downside of this system is that recognition errors inevitably creep into the record. These are not usually major, and the original intention of the entry is almost always interpretable. (in a perfect world progress notes should be proofread and corrected, but this is just not practical with the pace of family practice.) in my office group 3 –5% recognition errors have never caused a practical problem in the usefulness of the medical record, and the safe delivery of shared care. Recently at the request of a lawyer i prepared a 3,211 word medicolegal report, concerning a 3-year-old MVA, with a narrative punctuated by cut-and-paste entries of the progress notes. To be fair, one particular record had more errors than usual—maybe i had laryngitis, there was background noise or i was distracted, all three being causes of reduced recognition accuracy. Nonetheless here is the entry...

After receiving and reviewing the report the lawyer said it was absolutely unacceptable. it would be an “insult to the Judge” to present a document with errors in it, and the lawyer would be “laughed out of court.” furthermore he felt the document was no use to my patient and therefore he refused to pay the fee promised in his instructing letter. My argument that the errors were each explained and corrected in brackets, but were present to emphasize the accuracy of the record would not change his mind. furthermore it is now the 21st century, and this is how medical records are or should be documented. An appeal to the law Society was an interesting experience. i was on the telephone for half an hour, at the end of which nothing constructive had been said. There was no way i could get the caller to either endorse or condemn my letter. Because of my effort to submit an accurate and full report i am left with a patient who is angry at me, and the bother of having to take this claim to the Small Claims Court; this i fully intend to do. in future i will reluctantly adopt the policy of demanding payment before submitting another medicolegal report— something i was advised to do by a legal secretary years ago, but have considered demeaning to the lawyer.

the Justice system is an archaic autonomous cartel that has little or no interest in the truth

She has been getting [giving] physiotherapy arrest [a rest] for couple of weeks and feels that the neck and shoulders…She gave as an example raking her area awful [of lawn].

On examination—she is quite right [tight] but the pectoral girdle…range of motion no [though] her fingers [are] several centimetres short of the floor on flexion.

JuST fOR CanaDian DOCTORS fall 2011

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travel the world

On this storied sea you may snorkel above a thousandyear-old shipwreck and glimpse shards of ancient amphoras, walk amidst temple ruins and fallen columns, hear tales of goddesses and long-gone heroes, sip raki and savour just-caught seafood, and then swim amidst phosphorescence under a star-swamped sky... all in one day on the Aegean. story + photography by Barb Sligl

Guide Sidar Duman and first mate Erdal Altin leap from the prow of the Zeus into the Aegean

fall 2011 JuST fOR CanaDian DOCTORS

travel the world Zeus in full sail

Knidos ruins

First mate with his catch

Rakı, known as “lion’s milk”

Monastery of Panormitis on Symi

Captain Cura at Knidos lighthouse

Full moon over Knidos

JuST fOR CanaDian DOCTORS fall 2011

travel the world Greek salad with kouloura bread The Aegean is a fairytale. from holding on to the handle of an ancient amphora from a thousand-year-old shipwreck to walking across the remains of mosaic floors and marble stairs of a long-gone temple to Aphrodite, i’m submerged in so much historic essence it’s surreal. How many souls have trod this way, swam in these waters? Or hiked up the same scrub-dotted hillside to look over this amphitheatre and shimmering expanse of sea? i trudge up to Knidos lighthouse like the goats that now outnumber people. At the top i sip a glass of wine (from a box of wine hauled in a backpack) and watch the

reveal themselves because there’s now a lunar eclipse under way. Seriously. The only thing to do is to get in the warm Aegean water amidst the luminosity for a late-night swim. it’s as if some sort of spell has been cast. i’ve become part of Homer’s parable. i’m a goddess. Well, that’s how the Aegean makes you feel…and the splendid ship Zeus (the name couldn’t be more apropos) and its crew. The wide-bottomed, smooth-sailing gulet is mahogany with a teak deck and two masts—the same ship that’s been used by sailors and fishermen for centuries to ply these waters. This particular beauty was custom-

Seaside town of Mandraki on Nisyros

sun set. i can almost make out a streak in the sea marking where the Aegean and the Mediterranean meet. And i imagine Odysseus sailing past, as besotted by the beauty (sirens or not) as i am. Back below and at the water’s edge, Hellenistic columns standing in sight, i order rakı (the Turkish anise tipple) and fresh-caught fish with mezes. Just offshore, Zeus, a traditional Turkish gulet (Odysseus didn’t have it as good as this ship) is anchored, its towering masts in line with the full moon rising over the now-inky water. On the zodiac ride back to Zeus i dip my hand into the indigo water and tiny gems of light do a jig where the water breaks. The beads of radiance— phosphorescence or yakamoz in Turkish—

built in 2008 in the shipyards of Bodrum. its owner, Selahattin Cura, also known as Captain Yorgo, is a charming Odysseus himself who can sail the Aegean without a compass, GPS or any charts. This is his playground (and he’s the one with the forethought to bring that box of wine to Knidos lighthouse). The Captain and his crew are based out of Bodrum, which is Turkey’s answer to the french Rivieria (and home of the Mausoleum at Halicarnassus, one of the Seven Wonders of the Ancient World, as well as Halikarnas, a nightclub wonder since 1979). With the Dodecanese group of Greek islands just off Turkey’s southwest shores, Bodrum is the port from which to embark on a Blue Voyage or Mavi Yolculuk. Within

Guide Sidar gives a lesson in sailing

Mandraki, tiny tasty fried fish in Pandeli on Leros

fall 2011 JuST fOR CanaDian DOCTORS

travel the world a Greek salad with chunks of kouloura, a traditional Kalymnos bread. Arki, an island of about 40 permanent residents, has a few tavernas (sit back with a Mythos beer) and goats—lots of goats. Sleeping on deck under the stars, the tinkling of goats’ bells as the creatures traverse the tiny island is a lullaby (now recorded on my phone). Other islands on this Blue Voyage are better known, like Patmos, where St. John wrote the Book of Revelations in the Cave of the Apocalypse. i visit the cave and see the hollow in the rock where the apostle once laid his head, and then climb farther to the monastery where orthodox monks mingle with tourists. On the island of leros, another hike up a sun-drenched hillside takes me to the medieval castle of the Knights of Saint John. Afterwards, i cool off at a seaside table on the pebbly beach, my feet nearly in the water, with a tall glass of ouzo and crunchy maridaki (the tastiest miniature fried fish; you can’t have just one). Symi, another idyll with a spongediving history, is the most touristy (British

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JuST fOR CanaDian DOCTORS fall 2011

accents are heard everywhere)—with reason. Arriving late afternoon into Yialos harbour, the bright neo-classical buildings lining the hillside, tier after tier, are aglow. it seems that the Captain knows exactly when and where to arrive, every time. His favourite island—and the entire crew’s—is Nisyros. The volcanic island (with a semi-active caldera and sulfurous fumaroles) has storybook whitewash buildings both in seaside and hilltop villages—and a delicious almond-based drink, soumada. All these islands feel like hidden secrets, revealed by the Captain and crew in enticing bits and pieces, each place almost better than the last. it’s like i’m part of some tale of destiny (i can’t get away from the Odyssey connection) that comes to its culmination in Knidos, back on the Turkish coast. Here, all the various elements— scenery, history, adventure, cuisine, even the cosmos and pixie dust of phosphorescence—come together for a day unlike any other. it’s tatlı rüyalar or sweet dreams.

if you go

an hour of sailing out of this happening town on Turkey’s Turquoise Coast, i’m in my bikini and jumping off starboard into that unbelievable blue and swimming to a deserted beach. This particular Blue Voyage took me into secluded coves (where i spied WWii bombs below the surface of the water, so incongruent with the clear cobalt blue) and fishing villages where time seems to have stood still. There’s the once-supreme sponge capital of Pothia on Kalymnos, where the men who risked their lives by pipe diving up to 90 feet for table-sized sponges now reminisce and socialize over a coffee metrio (Greek style: short, black, one sugar or medium sweetness). On the other side of the island in a tiny community that only received electricity last year, another ex-sponge diver, Nikolas Makarounas, now runs a taverna aptly named Palionisos (Paradise) where rock climbers (here for the challenging limestone cliffs) mingle with yachters. He says people should come here to experience “a silent place.” That and his food, from ubiquitous grilled octopus to

gulet tour This Blue Voyage was about far more than the storied Aegean. The splendid gulet and the Zeus crew—gregarious guide, legendary captain (known for his skillful assistance-free manoeuvres), envy-inducing chef and stellar first mate and apprentice—are what made this cruise memorable. Sidar Duman of Avanti Tourism offers a number of Turkish tours, but get on his sailing trips with the Zeus and Captain Yorgo to tour the Dodecanese and beyond. The next tour following a similar itinerary is set for May 13 – 23, 2012, and with only 12 spots, book early. avantitourism.com You can also charter the Zeus and Captain Yorgo and crew and plan your own itinerary—he’ll take you wherever you want to go, whether it’s dips in deserted coves or the nightlife of Kos (home of Hippocrates). There’s probably no better way to do a group trip. zeusyacht. com get there Getting to Turkey is easy with Turkish Airlines, which operates direct flights between Toronto and Istanbul. Spend a few days in this vibrant cosmopolitan city, then fly south to the Turkish Riviera and Bodrum. Indulge in business class; service inflight is splendid (and you can order rakı!). turkishairlines.com more For more on the chic playground of Bodrum go to bodrumguide.org or boytav.org and for more on Turkey go to goturkey.com.

techworks c o r e y v a n ’ t h a a f f Corey Van’t Haaff owns Cohiba Communications. She is Just for Canadian Doctors’ technology columnist.

nuke it Harnessing the power of the microwave for medicine

here’s no doubt that microwaves are about speed, and that is part of the equation with the Acculis MTA System from Microsulis Medical limited, a UK-based medical device company. The Acculis MTA (microwave tissue ablation) System is an oncology product that received Health Canada approval in January 2011 for percutaneous tissue ablation. “The speed of the energy creates a zone,” says Stuart Mcintyre, Microsulis CEO, which can kill unhealthy tissue in up-to-six-minute intervals (which can be repeated), versus the 40-to-50 minutes for other ablative therapies. “One minute for some small soft tissue targets,” he says. “it’s the first product using MTA applied percutaneously; it’s called Accu2i pMTA applicator. Ablation destroys tumours without having to cut them out because it heats the tumour and healthy tissue around it until all cells die. it kills all cancer cells and…deliberately kills peripheral healthy tissue. We’re always looking for a safety margin of healthy tissue to get all the target cells,” says Mcintyre. With pMTA, the tip of the device is placed at the centre of the tumour and emits microwave energy which is absorbed by the tissue. “it’s absorbed around the tip,” says Mcintyre. “By choosing the frequency chosen in design, it’s a balance between being a broad enough zone for potentially killing tissue versus not too big or not big enough to kill an area. it offers the widest range for useful coagulation.” Coagulation, he explains, is an important word as their regulatory clearance is for the coagulation of soft tissue. “in this field, coagulation means ‘rendered dead.’ it ceases to be viable tissue. The cellular structure is a solid dead mass. We can’t claim to effectively kill tumours.” What the company can say is that if you render a zone coagulated, and that zone encompasses a tumour, it is coagulated. “for clinicians, this is a tool like a big drill. it covers a bigger area and drills more holes. You can create overlapping zones to burn multiple overlapping burns,” he says. “Every

tumour has its own specific clinical issues. There are certain things around it that you don’t want to kill and don’t want to pass through.” Energy devices, he says, have always been tricky to master. The kill zone is the key. Other technologies, like cryotherapy or Rf ablation using an electrical current, are more problematic. “The utility of those technologies limit the number of patients considered suitable. Modern high-powered microwave zones become larger and more focused. More patients are suitable as part of their care regime. The speed of energy…and also the ease of use of the system and management of the patient during treatment,” are benefits of Acculis, he says. “This takes the world of ablation therapy to a different level.”

The potential of microwave energy therapy has been known for some time but the challenge was to design a device that would deliver enough energy to kill a tumour quickly.

“I just bought a microwave fireplace. You can spend an evening in front of it in only eight minutes.” — comedian Steven Wright it also allows surgeons to address parts of the body that other technologies can’t. Rf works where electrical current can go from the probe to the landing pad; the current must find a pathway. lung tissue, for instance, has high electrical impedance. Cryotherapy has a problem with bleeding as tissues thaw—a problem in the lungs. “Our technology doesn’t care where the tumour is,” says Mcintyre. Microwave energy is dispersed by the probe’s tip. The surgeon embeds it in solid tissue mass and it is coagulated. Energy not entering a solid mass is reflected back into the system. “in air, microwaves travel at the speed of light to infinity; they’re not absorbed,” he says. Microwaves pass through transparent material, reflect off of metal, or are absorbed by water-based material such as the human body. “The technology is in the tip. When it’s fully embedded in solid tissue, there’s almost 100% absorption. The microwave energy is fully absorbed and gives it its performance.”

“for us, researchers at the University of Bath worked out how to achieve this in the design of the tip: high energy with minimal reflection. it’s a science and technology issue,” he says. A critical part of our development for the high-frequency needle was how to cool it. “We have a high-pressure saline cooling system,” he explains. “The inside diameter of the needle is 1.3 millimetres. The microwave cable is 1.2 millimetres. That leaves 0.1 millimetres to pass coolant down and back. it was very, very challenging—a dimensional issue.” The solution took two-and-a-half years to discover. Researchers used a filament that would divide the flow path of the water through the tiny channels to effectively cool the instrument. “it was,” he says, “a eureka moment.” So far, four sites in Canada use the Acculis MTA. it is being commercialized worldwide.

fall 2011 JuST fOR CanaDian DOCTORS

t he w e a lt hy doctor manf r ed pu r tz ki, c .a. Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

investment insight invest or pay off personal debts?

hould you retain your cash surplus in the corporation and invest it? Or, are you better off withdrawing the funds to pay down the house mortgage? Bob (name assumed)—an ER physician— is wrestling with the questions of either using a portion of his $450,000 corporate pre-tax income to invest in a rental property or to continue with the current plan of drawing all available funds from his Corporation to service his $400,000 student debt and a $600,000, 4.5% home mortgage, which is up for renewal in six months. To support his family, including his wife Pat and their 17-year-old son, Eric, Bob figures he needs about $100,000 for living expenses excluding mortgage payments and personal taxes.

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Bob is interested in purchasing an almost new, well-constructed duplex in the neighbourhood. This property is offered at what Bob considers a bargain of $400,000 and produces an attractive return of 5% or $20,000 per year. Bob is ready to make an offer, but is not sure if he should buy it or stick to his game plan of applying all excess cash to his million dollar debt. His desire to pay down the personal debts as quickly as possible is tempered with the high personal tax cost associated with paying large dividends to Pat and himself. in addition to the corporate tax of $63,000, their combined personal taxes last year were $90,000. Below are some planning strategies to consider in this particular case: 1. Stop taking extra draws from the corporation until son is 18. Bob does not expect Eric to earn any income when he goes to university next year. By waiting another year to withdraw the extra $100,000 from the Corporation for a lump sum payment against the mortgage, the tax saving will be about $20,000 (assuming tuition and education credits of $15,000). 2. Use the son’s low tax bracket to pay off student loans and the mortgage. Since Eric is not expected to earn much for the next 5 – 6 years, Bob should use this lowincome period as a window of opportunity to become debt-free. The tax savings of allocating a $100,000 dividend to Eric every year for the next 6 years are about $120,000. 3. Switch to a variable rate mortgage when renewing existing mortgage. Currently variable-rate residential mortgages are available at an interest rate substantially below the bank prime rate. Noteworthy is that most banks offer special deals to medical professionals. i know a number of doctors who recently renewed their mortgage as low as 2.2%, which is half the rate Bob pays on his fixed rate mortgage. fixed rate mortgages are designed for homeowners who live on a tight budget. Even a slight increase in interest rate on these mortgages will cause havoc with a family’s finances. Since many doctors generally do not face these kinds of budget constraints, Bob is wasting his money on the 4.5% mortgage.

JuST fOR CanaDian DOCTORS fall 2011

Assuming a 25 year amortization with an interest rate of 4.5%, Bob will need to earn $1 million to pay down the $600,000 mortgage. At a rate of 2.2%, Bob would only require $800,000, a saving of $200,000. Although there have been persistent rumours that interest rates in Canada are destined to increase, i cannot foresee a significant rise in the interest costs when you consider that North American and European economies are still in a slump, with some European countries struggling to keep their massive debts from defaulting. 4. Purchase real estate in Inc. with 100% financing. if Bob goes ahead with the duplex, his Corporation should purchase the property. As long as Bob has personal, non-deductible debts, he can maximize his investment loans which are tax deductible. He therefore should make an arrangement with his bank to fully finance the $400,000 purchase price of the duplex, perhaps a combination of a corporate line of credit for the down payment and a low-cost conventional mortgage in the Corporation’s name. To maximize the deductibility of the interest, Bob should consider the longest possible amortization period. Or, if possible, finance the purchase with a $400,000 line of credit that does not require principal repayments. The cash flow advantage of holding an investment property in a Corporation rather than personally is substantial, as the principal of the 400,000 mortgage must be repaid with after-tax dollars. At a 14% corporate tax rate, the Corporation only needs $465,000 of before tax practice cash flow to pay off the debt. However, if Bob and Pat own the duplex personally, they would require $700,000 of pre-tax income. The overall objective in structuring your personal financial affairs is to get the most mileage from your precious cash flow. Reducing your cash draws from the Corporation to the absolute minimum, implementing an effective income splitting scheme with low income family members, and using your Corporation as the investment vehicle, are just a few strategies that will help you build your retirement nest egg.

CI-JustDoctor-Insert 24/08/11 9:03 AM Page 1

CAYMAN ISLANDS Three Islands. One Idyllic Destination. Defining the Ultimate Powdery white beaches. Tropical breezes. Romantic vistas. Exquisite dining. Having your own island home: Staying in a luxury condo. Discover some of the world's finest restaurants. Fall in love all over again!

PLUS: Explore Little Cayman and Cayman Brac • Stylish Dining Options • The Adventure of a Lifetime

CI-JustDoctor-Insert 24/08/11 9:03 AM Page 2

SOME PLACES SAY YOU TRAVEL. ONE SAYS YOU’VE ARRIVED.

lessed with sun-kissed beaches and some of the best diving and snorkelling in the world, the Cayman Islands are three distinct islands in one idyllic destination. From sophisticated Grand Cayman to adventurous Cayman Brac and tranquil Little Cayman, our trio of islands are one of the world’s premier places to indulge in romance, recreation and relaxation. COSMOPOLITAN GRAND CAYMAN

With unparalleled accommodations, modern amenities and friendly Caymanian hospitality, Grand Cayman offers the kind of understated, barefoot elegance you deserve. Spend your days soaking up the

sun on our miles of powdery white sand or visit Grand Cayman’s most famous attraction, Stingray City. “The world’s best 12-foot dive”, this once-in-a-lifetime experience provides a rare opportunity to snorkel or dive with Southern Stingrays in their natural habitat. And there’s plenty more to see and do – for starters, get up close and personal with sea turtles at Boatswain’s Beach, catch some air at the Black Pearl Skate & Surf Park, laze the day away at Rum Point or indulge in a little retail therapy. Just four hours from Toronto, Grand Cayman is as relaxing or adventurous as you want it to be.

Cayman Family Style

T HE R E ’S S O M UC H TO S E E A ND DO ON GR A ND C AYM A N BUT T HE S E A R E NOT TO BE M I S S E D 1 Spending the Day on Seven Mile Beach 2 Snorkelling or Diving at Stingray City 3 Diving Under the Sea with Atlantis Submarine 4 Chilling Out at Rum Point, North Side 5 Exploring Nature along the Mastic Trail 6 Cruising in a Catamaran at Sunset 7 Discovering Queen Elizabeth II Botanic Park 8 Visiting Pedro St. James Historical Site 9 Dining at any of our 150+ Restaurants 10 Shopping, Shopping, and More Shopping! WANT TO MAKE YOUR OWN TOP TEN LIST?

For more on the wealth and variety of activities you’ll enjoy in Grand Cayman, explore

www.caymanislands.ky

CI-JustDoctor-Insert 29/08/11 1:57 PM Page 3

MAKE YOUR HEART RACE IN GRAND CAYMAN 1 Swimming with Stingrays at Stingray City 2 Mangrove Kayak Eco Tours 3 Touch Tank at Boatswain’s Beach 4 Hiking the Mastic Trail in the Interior 5 Horseback Riding on the Beach 6 Exploring Queen Elizabeth II Botanic Park 7 Snorkelling Cemetery Reef, West Bay 8 Parasailing over Seven Mile Beach 9 Take a Helicopter Tour over Grand Cayman 10 Catch some Air at Black Pearl Skatepark

NO MATTER WHETHER IT’S ON LAND OR ON WATER, YOU’RE IN FOR THE ADVENTURE OF A LIFETIME.

WANT TO GO DEEPER?

For more on adventure and other activities you’ll enjoy in the Cayman Islands, explore

www.caymanislands.ky

ROMANCE IS IN THE TROPICAL BREEZE.

INSPIRED DINING TO WHET YOUR APPETITE With over 150 restaurants to choose from, Grand Cayman has earned a well-deserved reputation as one of the Caribbean’s premier destinations for dining. Unwinding with a good meal can range from five-star cuisine enjoyed in a private dining cabana, to casual seaside venues and open-air lounges for enjoying pre or post-dinner cocktails. Sample stylish cuisine at some of Grand Cayman’s hippest restaurants - Osetra Bay, Abacus, Luca or Michael’s Genuine are but a few of note. With exceptional culinary variety and unsurpassed ambiance, Grand Cayman will inspire even the most discriminating gourmands. TASTY TIP! Visit in January when the world’s greatest chefs like Eric Ripert, Anthony Bourdain, Paul Rogalski and more, converge in Grand Cayman for Cayman Cookout - four delicious days of tastings, beachside demonstrations and unique chef-led excursions. January 12-15, 2012.

Whatever the occasion – a wedding, vow renewal, honeymoon or simply a romantic getaway, couples will find a lot to love about the Cayman Islands. The tropical beauty of our azure waters and sugar-sand beaches combined with all the amenities and sophistication you’d expect. Weddings are limited only by your imagination, from simple, barefoot ceremonies to exquisite grand affairs. To help plan your special day, visit www.caymanvows.ky for links to our world-class service providers, inspirational ideas and even a quiz to determine your unique destination wedding style.

e is ! c n a m o R the air in

CONDOS AND VILLAS: THE CHOICE IS ENDLESS. While the ease of staying in a hotel is often the first choice for those visiting Grand Cayman, we also have a wide array of charming guest houses, condominiums and luxury villas to suit every lifestyle. These accommodations are ideal for large groups, family holidays, private romantic getaways or even weddings and extended vacations. Local rental agencies make it easy to book your vacation, plan excursions and even stock the fridge for your arrival. Whether you’re looking to stay in the lap of luxury or find your secret hideaway, we’ve got your home away from home. PLANNING TIP To select a condo or villa, log onto www.caymanislands.ky/ssu The site provides photos, prices, maps and more to help you make the right decision for your vacation.

CI-JustDoctor-Insert 24/08/11 9:04 AM Page 4

GET AWAY FROM IT ALL

ISLAND HOPPING

Sheer Excitement!

R E E NE R GI ZE ON T R A NQUI L LI T T LE C AYM A N

EXPLORE RUGGED CAYMAN BRAC 1 2 3 4 5 6 7 8

Hike along the Rugged Eastern Bluff Explore Natural Limestone Caves Rappel Down Bluffs, Climb Up Sheer Walls Go Bird Watching Discover our Hidden Treasures on a Nature Tour Land a Big One Deep Sea Fishing See the Island by Water in a Kayak Dive the Hotspots: M.V. Capt. Keith Tibbetts, East Chute, Tiara Tunnels, Anchor Wall 9 Go Back in Time at the Cayman Brac Museum 10 Read a Book Beneath a Coconut Tree ADVENTUROUS BY NATURE?

For more on accommodations and other activities you’ll enjoy in Cayman Brac, explore

www.itsyourstoexplore.com

or the ultimate escape, seek out the serenity of our Sister Islands – Cayman Brac and Little Cayman. Pristine walls and fascinating shipwrecks for divers, tranquil nature trails and secluded beaches greet guests who dream of getting away from it all.

THE SISTER ISLANDS Rising 140 feet from the sea, Cayman Brac’s stunning limestone Bluff is its most striking feature and rewards hikers with a dramatic view from the top. This adventure-filled island is also home to pirate caves, some 200 species of birds and amazing dive sites. At just 10 miles long, Little Cayman’s 170 residents are outnumbered by the 2,500 iguanas who roam freely. Spend the day lazing away in a hammock, enjoy a massage on the beach, explore abundant wildlife sanctuaries or dive the famous Bloody Bay Marine Park with a reef that plummets to 6,000 feet, offering dazzling views of deep water corals, turtles, sharks and rays.

1 Bird Outlook on Booby Pond 2 Dive Bloody Bay Wall, Jackson Reef and the Cayman Trench 3 Explore our Past in the Little Cayman Museum 4 Stroll along Secluded Point O’Sand 5 Explore Enticing Caves and Sink Holes 6 Hike the Salt Rock Nature Trails 7 Cast for Bonefish on the Flats 8 Feed Iguanas at Mahogany Estates 9 Snorkel Over to Owen Island 10 Relax in a Hammock All Day NEED TO RECHARGE YOUR BATTERIES?

For more on accommodations and other activities you’ll enjoy in Little Cayman, explore

www.itsyourstoexplore.com

INSIDER TIP If total seclusion is what you crave, visit Owen Island, situated just off Little Cayman. This tiny island, complete with a glorious sandy beach ideal for a picnic or catching some rays, is just a snorkel away in crystal clear waters.

The Cayman Islands lie 480 miles due south of Miami, just beyond Cuba and 189 miles northwest of Jamaica. Just four hours from Toronto, our three tranquil islands are the ideal playground for families and the ultimate destination for couples seeking a romantic getaway. Your little piece of paradise awaits. For more information visit www.caymanislands.ky

Air Canada offers non-stop service from Toronto to Grand Cayman with connections from other Canadian cities. Book today at aircanada.com, or contact your travel agent. Air Canada Vacations packages are also available. Visit aircanadavacations.com for more details.

WestJet offers non-stop service from Toronto to Grand Cayman with connections from other Canadian cities. Book today at westjet.com, or contact your travel agent. WestJet Vacations packages are also available. Visit westjetvacations.com for more details.

oslo / san juan / nontaburi / hamilton / tulsa … | c a l e n d a r

cme

oslo

a n intern ation a l guide to con tinuing Medica l education

fall 2011 + beyond Seafood at Lofoten Fiskerestaurant

Viking Ship Museum

Nobel Peace Center

Madonna painting by Edvard Munch at The Munch Museum Vigeland Park

Oslo waterfront in the Aker Brygge area

Gourmet fare at Lofoten Fiskerestaurant

View of the iceberglike sculpture She Lies in Oslofjord from the Oslo Opera House

Oslo is modern, cosmopolitan, fashionable, savoury, green—with a touch of that Viking spirit. (CME events in Oslo are highlighted in blue.)

B. SliGl

city of rolling green parks and billowing white sails set on a broad fjord, Oslo’s laid-back attitude and overall loveliness belies its importance on the global stage. Home to the Nobel Peace Prize, the Oslo Peace Accords and numerous prominent international conventions and conferences, Norway’s capital—which features 40 islands and 343 lakes within the city limits—presents visitors with a wide variety of culinary, natural and historical attractions. Whether you have a day or a week, prefer fine art or getting outside for a hike, this Scandinavian city will offer plenty to keep you busy. The National Gallery is a great place to begin. While the indisputable star of the show here is The Scream, the best-known work of Edvard Munch, Norway’s most famous painter, the Nasjonalgalleriet offers plenty of other wonderful pieces to enjoy, including works by Manet and Cezanne. And if you just can’t get enough Munch, visit the Munch Museum, which features drawings, graphic prints and paintings by Munch, one of

expressionism’s pioneers. When you’re ready for some fresh air, head to Vigeland Park, the world’s largest sculpture park dedicated to a single artist. In this giant, urban green space you can take in many examples of the human form crafted in careful detail by Gustav Vigeland, then join local Norwegians (an unusually super-fit bunch) as they jog the park’s many pathways and suntan on the manicured lawns. To get a sense of Oslo’s nautical nature, take a boat ride across to the Bygdøy Peninsula—en route, you will skim past tall ships and cruise ships and ferries headed for Denmark. Just minutes from the city, Bygdøy has a smalltown feel, with open spaces and tree-lined streets. It also hosts a surprising concentration of excellent museums, including an Oslo must-see—the Viking Ship museum, where you can view two of the world’s best-preserved Viking ships, built way back in the 9th century. Nearby, a very different seafaring history is commemorated at the

Kon-Tiki Museum, which showcases items from the career of Thor Heyerdahl, the eccentric Norwegian explorer and scientist who embarked on several expeditions to far-flung locales on boats of ancient design (which are on display inside the museum). And before leaving Bygdøy, make sure to swing by the Norwegian Museum of Cultural History, a sprawling outdoor attraction that features more than 150 houses collected from all over Norway. When you return to central Oslo, your ferry will dock near Aker Brygge, a former shipyard that’s been transformed into a bustling waterside complex packed with shops and restaurants, including sidewalk cafes serving up everything from Italian to tapas to traditional Scandinavian fare. And while you’re there, pay a visit to the nearby Nobel Peace Center, which presents exhibits on war, peace and conflict resolution—often with a focus on Nobel laureates—in film, photography and other artistic forms. —Tim Johnson For more info on OSLO: visitoslo.com

fall 2011 JuST fOR CanaDian DOCTORS

c m e calendar

alternative Medicine

aesthetic Medicinee

cme

For:

when

where

topic

sponsor

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Oct 29-31

Vancouver British Columbia

introductory Course To Botox and Cosmetic fillers and advanced Techniques

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nov 04-05

Vancouver British Columbia

Aesthetic Medicine & Certification Program

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nov 04-05

Tulsa Oklahoma

Cosmetic Breast Surgery: Basic To advanced Revisional

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Dec 3-4

Vancouver British Columbia

introductory Course To Botox and Cosmetic fillers

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ptcenter.org

Jan 26-29 2012

Paris france

international Master Course On aging Skin (iMCaS) annual Meeting 2012

iMCaS

011-33-1-40738282

imcas.com

nov 03-06

las Vegas nevada

Clinical applications for age Management Medicine

age Management Medicine Group

815-527-5282

agemed.org

nov 07-11

St. Petersburg florida

The 12th annual Science and Clinical application Of integrative Holistic Medicine

Services

858-652-5400

scripps.org

Dec 09-11

las Vegas nevada

Dr Roizen’s 9th annual Preventive Care & integrative Medicine Conference: focus On Preventing & Reversing Metabolic & Endocrine Disorders including Type 2 Diabetes & Thyroid Problems

uniTECH Communications

800-238-6750

clevelandclinicmeded.com

Mar 14-18 2012

antalya Turkey

9th Mediterranean Meeting On Hypertension and atherosclerosis

SlS Tourism Congress Organization Services

011-90-212347-6500

medhyp.org

Sep 23-25

Seattle Washington

Difficult Airway Course: Anesthesia

The Difficult Airway Course

866-924-7929

wam-airway. treefrog.ephibian.net

nov 03-06

Key West florida

northwest anesthesia Seminars

800-222-6927

nwas.com

nov 06-10

Scottsdale arizona

Scottsdale anesthesia Conference - 2011

Holiday Seminars

877-859-0550

holidayseminars. com

11-13

Monterey California

22nd annual anesthesiology update

uC Davis Health System

916-734-5390

ucdavis.edu

Dec 09-13

new York new York

The new York State Society of anesthesiologists, inc.

212-867-7140

nyssa-pga.org

California Society of anesthesiologists

800-345-3691

csahq.org

847-825-7246

asahq.org

anesthesiology

Issue:nov Fax:

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2012 CSa Winter Hawaiian Seminar

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Mar 11-18, 2012

Eastern Caribbean Women’s Health & Dermatology

Mar 18-25, 2012 Western Caribbean Men’s Health & Endocrinology Aug 11-18, 2012

Mediterranean

JuST fOR CanaDian DOCTORS

Istanbul to Luxor (via Suez Canal) Rheumatology & Neurology

Dec 2 - 12, 2011

Grand Caribbean Surgery & Infectious Diseases

Dec 26/11 - Jan 2/12

Eastern Caribbean Obesity & Cardiac Health

Aug 10 - 22, 2012

Russian Waterways Cardiology, Dermatology, Oncology

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Oct 19-22

Dalian China

BiTâ&#x20AC;&#x2122;s 1st annual World Congress Of Petroleum Greentech 2011

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nov 28-30

nontaburi Thailand

Global alcohol Policy Conference

Wild Blue Congress Organizer

011-66-27142590

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Dec 03-07

Denver Colorado

2011 annual Meeting of american Society for Cell Biology (aSCB)

aSCB

301-347-9300

ascb.org

Jan 17-22 2012

Keystone Colorado

Chromatin Dynamics

Keystone Symposia

800-253-0685

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Oct 12-15

Maui Hawaii

31st annual Current Concepts in Primary Care Cardiology

uC Davis Health System

916-734-5390

ucdavis.edu

Oct 15-16

Hamilton Ontario

advanced Cardiac life Support 2011

McMaster university

905-525-9140

mcmaster.ca

Oct 28nov 12

China Tour and Cruise

Cardiology & Endocrinology

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Oct 03-15

Siena italy

Translational Research in CnS Diseases

neuroscience School of

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nov 07-13

las Vegas nevada

Pharmacology for advanced Practice Clinicians

Contemporary forums

800-377-7707

sixhats.co.nz

Dec 01

Quebec City Quebec

Journee de Pharmacotherapie

universite laval

418-656-5958

ulaval.ca

nov 12-13

new Delhi india

india 2011: international Master Course On aging Skin

Check-up Sante

011-33-1-40738282

wanadoo.fr

nov 18-20

Orlando florida

Derm Exam Prep Course

american academy of Dermatology

866-503-7546

aad.org

Dec 16-18

San Diego California

Dermatology for The non-Dermatologist

Medical Education Resources

303-798-9682

Mer.org

Jan 17-21 2012

San Juan Puerto Rico

11th annual Caribbean Dermatology Symposium

Caribbean Dermatology Symposium

502-569-1356

caribederm.org

Mar 11-18 2012

Caribbean Cruise

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Oct 26-29

Toronto Ontario

14th annual CDa/CSEM Professional Conference and annual Meetings

Canadian Diabetes association

800-226-8464

diabetes.ca

nov 16

Hamilton Ontario

Evidence-Based Management Of The Diabetes Epidemic 2011

McMaster university

905-525-9140

mcmaster.ca

Dec 01-04

Paris france

4th international Conference On fiXED Combination

Paragon Conventions

011-41-22-5330948

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May 18-30 2012

Mediterranean Cruise

Diabetes Management update

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contact

website

Emergency Medicine

london England

5th international Meeting Of Society for acute Care

Eventage

011-44-141639-8123

acutemedicine. org.uk

Oct 28-29

San Diego California

2011 San Diego Day Of Trauma

Scripps Conference Services

858-652-5400

scripps.org

nov 18

Vancouver British Columbia

SEMP: Simulation-assisted Emergency Medicine Procedures Course

uBC CPD

604-875-5101

ubccpd.ca

nov 04-05

Mesa arizona

fundamentals & advanced Endocrine Coding With AACE-Sponsored Certified Endocrine Coder (aaCE-CEC) Exam

american association of Clinical Endocrinologists

904-353-7878

aace.com

Mar 18-25 2012

Caribbean Cruise

Men’s Health & Endocrinology

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Sep 06-10

Oslo norway

13th annual Meeting Of international Society Of addiction Medicine

Gyro Conference aS

011-47-61287320

isam2011.org

Oct 15

Toronto Ontario

Bio-identical Hormone initiatives Education Symposium CME

Trubalance Healthcare inc. (Canada)

647-884-0663 See ad Page 34

trubalancehealthcare.com

nov 03-06

los angeles California

american College Of Phlebology’s 25th annual Congress

american College of

510-346-6800

acpcongress.org

nov 14-21

Jerusalem israel

israel’s Medical Technological innovations

Keshet

972-2-671-3518

keshetisrael.co.il

Jan 14-21 2012

Hawaiian islands Cruise

Medical CBT for anxiety & Depression: Ten-Minute Techniques for Real Doctors

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877-466-8228 See ad Page 26

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Mar 04-08 2012

Maui Hawaii

7th annual Primary Care update

Continuing Medical Education institute, inc

952-948-1685

cmeiconference.org

Mar 24-26 2012

fort lauderdale florida

15th annual Primary Care update - Spring Refresher

Continuing Medical Education institute, inc

952-948-1685

cmeiconference.org

apr 01-08 2012

Turks & Caicos

Medical CBT for anxiety & Depression: TenMinute Techniques for Real Doctors

CBT Canada

877-466-8228 See ad Page 26

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May 20-31 2012

Baltics Cruise

Medical CBT for Depression: Ten-Minute Techniques for Real Doctors

CBT Canada

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Oct 29-30

Baltimore Maryland

11th annual Current Topics in Gastrointestinal and liver Pathology

Johns Hopkins School of Medicine

410-502-9634

hopkinscme.edu

nov 03-04

Dnepr ukraine

Modern Technologies in Diagnosis & Treatment Of Gastroenterological Patients

nBScience limited

011-380-44233-2770

nbscience.com

nov 11-12

Tokyo Japan

iBD 2011: Progress and future for lifelong Management

Keio university School of Medicine

011-81-3-33531211

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Gastroenterology

General & family Medicine

sponsor

Sep 29-30

Endocrinology

c mcmee when calendar where

topic

new CME list from Phlebology Adam

JuST fOR CanaDian DOCTORS

fall 2011

topic

sponsor

contact

website

Hematology

cme

where

Oct 06-07

Buenos aires argentina

interamerican Oncology Conference 4: Current Status & future Of anti-Cancer Targeted Therapies

interamerican Oncology Conferences

secretariat@ oncologyconferences.com.ar

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Dec 10-13

San Diego California

2011 aSH annual Meeting and Exposition

american Society of Hematology

202-776-0544

hematology.org

immunology & allergy

calendar

when

nov 03-08

Boston Massachusetts

2011 annual Meeting Of The american College of allergy, asthma & immunology

american College asthma & immunology

847-427-1200

acaai.org

May 09-13 2012

Granada Spain

8th international Congress of autoimmunity

Kenes international

011-41-2-2908048

kenes.com

Dec 02-12

Carribean Cruise

infectious Diseases & General Surgery

Sea Courses Cruises

888-647-7327 See ad Page 22

seacourses. com

Mar 11-26 2012

South american Cruise

infectious Disease Review

Continuing Education, inc./university at Sea

800-422-0711 See ad Page 39

continuingeducation.net

Oct 20-22

liverpool England

5th RCGP annual Primary Care Conference

Profile Productions

011-44-208832-7311

rcgpannualconference.org.uk

nov 18

Calgary alberta

Cardiac update and Diabetes forum

Canadian Heart Research Centre

416-977-8010

chrc.net

Mar 28-31 2012

Hamilton Ontario

4th McMaster university Review Course in internal Medicine

McMaster university

905-525-9140

mcmaster.ca

nov 06-07

las Vegas nevada

Become a legal nurse Consultant

Contemporary forums

800-377-7707

contemporaryforums.com

nov 18

albany new York

2011 aMBi Clinical Ethics Conference

albany Medical College

518-262-5828

amc.edu

Oct 27

Montreal Quebec

Thursday Evening learning Series - Cognitive Behavioral Therapy for Obesity - Exercise as a Therapeutic Tool

McGill university

514-398-5637

cme.mcgill.ca

nov 03-06

las Vegas nevada

Clinical applications for age Management Medicine

age Management Medicine Group

815-527-5282

agemed.org

Sep 24

Prince Rupert British Columbia

2nd annual northern Perinatal Conference

northern Continuing Medical Education Program

250-565-5872

ncme.ca

Oct 14-16

Kuala lumpur Malaysia

7th Asia Pacific Congress In Maternal Fetal Medicine (7th aPCMfM)

The Chinese university of Hong Kong

011-852-26321535

apcmfm.hk

Oct 26-29

nassau Bahamas

Central association of Obstetricians & Gynecologists 2011 annual Meeting

Central association of Obstetricians & Gynecologists

701-838-8323

caog.org

Oct 27-28

Vancouver British Columbia

23rd Obstetrics update for family Physicians

uBC CPD

604-875-5101

ubccpd.ca

Obstetrics & Gynecology

nutrition

legal Ethics

internal Medicine

infectious Diseases

cme

new CME list from Adam

CAAM 8th Annual Conference • November 4-5, 2011 www.caam.ca • info@caam.ca • tel: 604.685.0450 Renaissance Vancouver Harbourside Hotel • Vancouver, BC Conference Themes Friday, November 4, 2011 Injectables Laser/Light Dermatology Saturday, November 5, 2011 CMPA Face and Body Contouring Marketing An Aesthetic Medical Practice

Invited Speakers confirmed to date Dr. Haneef Alibhai - Abbotsford, BC Dr. Steven Bellemere - Ottawa, ON Dr. Yves Hébert - Montréal, QC Dr. Stephen Mulholland - Toronto, ON Dr. Jaggi Rao - Edmonton, AB Dr. Wendy Smeltzer - Calgary, AB Dr. Trina Stewart - Summerside, PEI Simon Tooley - Montréal, QC Dr. Renier van Aardt - Halifax, NS Dr. Heidi Waldorf - New York, NY

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fall 2011 JuST fOR CanaDian DOCTORS

urology

Sports Medicine

Psychiatry

Pediatrics

Pain Management

Oncology & Palliative Care

Obstetrics & Gynecology

calendar c mcmee when where

topic

sponsor

contact

website gynendo.com

nov 03-11

london England

“Hands On” Gynaecological Endoscopy Skills Workshop

Endoscopy Training Centre

011-44-207431-1321

Dec 02

Dundee England

Hysteroscopy and Endometrial ablation Course

Cuschieri Skills Centre

011-44-138264-5857

dundee.ac.uk

Jan 19 2012

Montreal Quebec

Thursday Evening learning Series - new Trends in Cervical Screening in The adolescent

McGill university

514-398-5637

cme.mcgill.ca

nov 23

Hamilton Ontario

9th innovations in Palliative Care

McMaster university

905-525-9140

mcmaster.ca

Dec 03

Vancouver British Columbia

BC Cancer agency, fPOn CME Day

BC Cancer agency

604-970-1505

cfpc.ca

Dec 13-17

Delhi india

new Horizons in Cancer Research: Biology To Prevention To Therapy

american association for Cancer Research

866-423-3965

aacr.org

Sep 21-24

Hamburg Germany

7th Congress Of The European federation Of iaSP Chapters

Kenes international

41-22-908-0488

kenes.com

Mar 13-27 2012

australian & new Zealand Cruise

neurology and Pain Management

Continuing Education, inc./university at Sea

800-422-0711 See ad Page 39

continuingeducation.net

May 12-21 2012

Oslo norway

Pain Management/neurology/Compliance British isles Cruise

Continuing Education,

800-422-0711

continuingeducation.net

nov 11-13

Monterey California

it’s a Bug’s World! an update On Pediatric infectious Diseases

Children’s Hospital & Research Center

510-428-3885

childrenshospitaloakland.org

nov 24-26

Vancouver British Columbia

The Combined aClS/aPlS Course

uBC CPD

604-875-5101

ubccpd.ca

nov 02

london Ontario

9th annual Geriatric Psychiatry Symposium

Schulich School of Medicine

519-685-8500

schulich.uwo.ca

Dec 13-14

london England

Cognitive Remediation Training for anorexia nervosa

King’s College london

011-44-207848-0160

iop.kcl.ac.uk

Oct 22

las Vegas nevada

foot and ankle Pain Conference

albany Medical College

518-262-5828

amc.edu

Dec 01-04

San Diego California

advanced Team Physician Course

american College of Sports Medicine

317-637-9200

acsm.org

Sep 14-17

Providence Rhode island

AUGS 32nd Annual Scientific Meeting

The american urogynecologic Society

202-367-1167

augs.org

nov 03-06

Orlando florida

new England & Mid-atlantic Sections Of The american urological association Joint annual Meeting

new England Section of the american urological association

978-927-8330

neaua.org

new CME list frominc./university Adam at Sea

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travel at home

hat’s the craziest thing you’ve ever done?” Aussie cowboy Joe Messina asks our group at Girletz Rodeo Ranch. What’s he getting at? Checking to see if we have any brass? Whether we have that cowboy spirit in us? Because if not, we will soon. We’re about to get a go-to answer to that question by getting on a live 2,000-pound Brahman bull. Once the exclusive arena of hardcore cowboys and rodeo pros, experiencing a live bull’s mass of shuddering muscle between your legs is now within the grasp of the sanguine layperson. Of course, it’s best to do so in a somewhat controlled environment. And just outside Calgary you can. Here, Messina runs a school for wannabe bull riders at fantasy Adventure Bull Riding. A veteran of the rodeo circuit (and its usual

giddy up

injuries: mashed vertabrae, cracked ribs, punctured lung), he came to Alberta for a girl but stayed for the bulls. He and local rodeo pros like buddy Riley Harvie (the great grandson of legendary Albertan cowboy and philanthropist Eric Harvie) bring swagger and charm to the hairy, damp and smelly world of bulls. “You’re gonna get stinky, dirty, and get snot on you…” warns Messina. it’s part of being a cowboy. And these Stetson-wearing cowboys guide you through the process of mounting a bull in a crash course called Bull Riding 101. from mindful approach (stay clear of horns and head) to stepping on top of the bull’s back with aplomb (“You gotta commit!”), it’s all about attitude. With Messina’s and Harvie’s calm reassurances and easy manner—and very firm grip—our group of eight urbanites (from a German radioshow host to a Calgary acupuncturist who insists on caressing the bull’s hump and whispering sweet nothings

aBove from lefT Diane and Bear Baker of Wildhorse mountain ranch. >> Golden fall colour in Kananaskis Country Provincial Park . >> Bison Stew at Wildhorse mountain ranch. BeloW from lefT The rockies are literally at your feet on the Signature rockies tour with Kananaskis Heli Tours. >> Bull riding 101!

JuST fOR CanaDian DOCTORS fall 2011

travel at home

story

+ photography Barb Sligl

and unleash your inner coWboy!

in his twitchy ears) manage to straddle Snoop Dog the Brahman bull…for almost 8 seconds. Post bull we all crack a cold brew, like proper cowboys, steady shaky legs and share tales of snot and stink. i can now seriously state that i straddled a real, live bull or even just Snoop Dog—either way, jaws will drop. No need to mention that the chute never opened… or that Snoop Dog was rather well behaved. After sitting on any bull, i consider my inner cowboy unleashed. from here it might get a bit tamer, but there’s still plenty of swagger to discover outside Calgary, around Highway 22, also know as the Cowboy Trail. like Bear. A big, booming character who wears leather cuffs and chaps everyday and tells us straight up at his Wildhorse Mountain Ranch that there’s “none of that canned Hollywood crap here.” Over a plate of beef jerky (a staple in these parts for 150 years) he tells us

that “if you have a little wildness in you, Alberta’s for you.” At this ranch (near Rocky Mountain House, north of Calgary), run by Bear Baker and his compadre and wife Diane, there are trail rides and workshops and even camps for kids to learn how to live off the land—something that’s been lost in concrete-contained and digitally dependent urban lifestyles. “Are you capable of just living?” asks Bear. Cowboys, of course, are. And here, riding on one of the ranch’s many rescue horses, there’s a realization of how far removed most of us city dwellers really are from just living. Before leaving, after some homemade bison stew and Saskatoon-berry pie, we down a shot of JD with Bear, whose cheer is “To the sunny slopes of long ago.” A little more of that inner cowboy unleashed, we head back south to Sundre, home of the Sundre Pro Rodeo and its motto “Go

aBove from lefT miss rodeo Sundre 2010, Shelby Simmonds. >> High above cowboy country via a helicopter tour with Kananaskis Heli Tours. BeloW from lefT ranchers’ brands at the Water valley Saloon. >> first fall colour and snow in Kananaskis Country Provincial Park off of the Cowboy Trail.

fall 2011 JuST fOR CanaDian DOCTORS

travel at home

first snowfall deep in cowboy country off of Highway 22 north of Calgary .

old rodeo photo at rafter 6 ranch in Canmore. Diane Baker at Wildhorse mountain ranch.

a lesson in lassoing at rafter 6 ranch.

Guest room at the Prairie Creek Inn, a luxurious getaway off of the Cowboy Trail.

Cowboys Joe messina and riley Harvey. left Steer at the Girletz rodeo ranch.

JuST fOR CanaDian DOCTORS fall 2011

hotspots

travel at home

if you Go STAY Make your base at the log-cabin chic Prairie Creek Inn near Rocky Mountain House. This is an intimate and luxurious country inn with nine guest suites, each with its own theme, like Home on the Range, Woodlands and Stables. The Inn also offers gourmet fare at the Heartstone restaurant, featuring local and seasonal ingredients sourced from farms and ranches throughout Alberta. theprairiecreekinn.com TOUR Kananaskis Heli Tours offers a bird’s-eye view of the landscape you’ve been exploring via the Cowboy Trail. kheli.com RIDE Head to Wildhorse Mountain Ranch for trail rides and workshops on how to live like a cowboy. wildhorsecamp.com >> Unleash more of your inner cowboy at Rafter 6 Ranch. raftersix. com SIT If you want to claim bullriding (or at least sitting) as one of the craziest things you’ve done, you can do it with Fantasy Adventure Bullriding. fantasyadventurebullriding.com MORE Find out more about the Cowboy Trail and discovering Alberta’s cowboy country at travelalberta.com.

destination

wild! Go West!” Enough said. Here we meet a sweet cowgirl, crowned Miss Rodeo Sundre 2010, Shelby Simmonds. And, even at just 17 years of age, it seems charm and good manners are part of the cowboy spirit. Another lesson for the jaded urbanite. farther south, and just 50 minutes from Calgary, we veer west to Water Valley, where long-time ranchers mix with transplanted city folk who prefer the lifestyle in the foothills of the Rockies. Here you might have to wait for a cowherd to pass through town at the four-way stop. And at the long-running Water Valley Saloon, you can see one of the original Calgary Stampede signs alongside local ranchers’ brands burned into the wood-panelled walls. While here, don’t order Alberta’s own brew Big Rock on draft, “Only city people drink that!” says the bartender; locals prefer Bud or Bud light. Everyone, however, likes the bison burger. And sated, post burger and beer (i went with the Big Rock Grasshopper; the city won that draw), we stock up on some high-quality, old-school leather goods (from gorgeous dry-milled leather-and-solid-brass travel bags to iPad cases; see page 8) at Derry & Wallis Trading Company. Owner Jodi Ouellette is one of those Calgary transplants who loves living amongst people who’ve had the same address their entire lives. She’s also, of all things, a yoga teacher here, and says that downward dog jives with cowboy culture just fine. “Cowboys are more connected to the earth.” And to feel more of that connection ourselves we finally head to Cowboy College at Rafter 6 Ranch near Canmore, west of Highway 22. This place is run by an authentic cowboy clan, the Cowley family. Stan Cowley rode bareback at the Stampede and his daughter Kateri has reigned as Stampede Princess as well as a top competitor in the Cowboy Up Challenge (basically a timed and judge obstacle course run by horse-and-rider teams). The Cowleys still sponsor their crew in rodeos, like Rob Johnson, one of the head wranglers who’s also on the pro circuit and a member of the Wild Horse Racing Association. Tough guy. He shows us how to throw a lasso (it’s all in the flick of the wrist), and we just about wrangle ourselves a calf…one that’s made of wood—does that count? We’ve sat on a bull, ridden a horse, chewed some beef jerky, ate a bison burger, and now lassoed a calf, albeit make-believe. That inner cowboy is just about out. Although, really, as Bear, back at Wildhorse Mountain Ranch, says, “There’re two types of people: those that are cowboys and them that wish they were.” i wish i was.

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the thirsty doctor dr. neil pollock Dr. Neil Pollock is a member of the Wine Writers’ Circle of Canada; visit his website on wine at vinovancouver.com or send feedback to drneil@pollockclinics.com. He practises no-scalpel, no-needle vasectomy and infant circumcision.

no more glass ceiling There’s quality stemware for everyone

ver use one of your kid’s sippy cups for wine and think to yourself: “This is all kinds of wrong.” While this is an obvious case, it brings us to one of the finer and often overlooked aspects of wine culture: the importance of the vessel. We can agree that sippy cups and old jam jars don’t do much for the taste of your wine (or your mood). But beyond simply using a wine glass instead of your old school mug, how does stemware enhance the enjoyment of wine? How can you increase your wine’s aesthetic punch (and impress your friends and in-laws)? Pull the cork and plunge into the world of stemware. it’s accessible, fascinating and doesn’t have to break the bank. Every aspect of drinking wine—taste, smell, touch, appearance, even sound—is

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hugely influenced by the quality, shape and size of the glass. A PhD student in aesthetics, and veteran wine expert at Calgary’s la Chaumière restaurant, Carmen Mathes believes that the shape of the opening of the glass has the potential to make (or break) your wine drinking experience. She tells me, “The opening controls where the wine hits your palate. for example, with the smaller glasses for Rieslings and Sauvignon Blancs, you physically can’t get it into your mouth enough to deliver the wine anywhere except the front of your mouth. Because these types of wine have less intense flavours than, say, a big red Bordeaux, you want them to spend more time actually traveling through your mouth and reaching the most taste buds possible.” So investing in a set of higher-end stemware is good, but paying attention to the type of wine and matching it to the appropriate opening shape is best. When wine first began to pique my interest as more than a steak sidekick, i focused on the wine itself and didn’t think much about the glasses it came in. As long as they were made of blown and not cut glass, i was happy. You can easily tell cut glass from blown at first sip because its rim, or “lip,” is rough—it’s like drinking out of a ceramic goblet. for new oenophiles, it makes sense to prioritize wine over fancy glasses and invest in higher-end, more specialized glasses when you can really appreciate them. The General Manager of Vancouver’s liberty Wine Merchants, Robert Simpson agrees, suggesting that newbies buy “serviceable glasses like Reidel Vinum for red wine (around $10 per stem). And in a pinch the cheapies from iKEA will work too.”

JuST fOR CanaDian DOCTORS fall 2011

it gets more complicated, though more flavourful, when you use different glasses for reds and for whites. Since white wine is best cool, the glasses are smaller (because you pour less into a small glass). Mathes explains that champagne flutes are tall and narrow to minimize surface area and keep the champagne bubbly for longer. “Mad-Men-style champagne glasses or bowls,” Mathes adds, “went out of style because people realized their champagne was going flat!” in this case, one aesthetic concern won out over another: a concern for bubbliness forced a change in trends of stemware shape. The shapeliness of your wine glass, as sensual as this sounds, is really about how quickly you want the wine to oxidize. So an oakier chardonnay works best in a wider, shallower glass because its deeper notes require more airtime. A light, crisp Pinot Gris, on the other hand, belongs in a glass with a smaller mouth so as not to oxidize away subtle flavours. for red wine, a Bordeaux glass holds the bouquet in, and allows the wine to reach the back of your palate quickly—ideal for full-bodied reds like Cabernet Sauvignon. A Burgundy glass is even broader, it has a large “bulb.” larger surface area equals more aeration, which is exactly what your more delicate Pinot Noir needs, not to mention what the tip of your tongue needs—a burgundy glass directs the wine to the tip of your tongue first. Think of stemware as a sensory tour guide. it gets the wine where it needs to go. Wine decanters are a wise investment at any point in a wine nerd’s development.

Every aspect of drinking wine is hugely influenced by the quality, shape and size of the glass

DR. HOllY fONG

thirsty [continued] As you may have noticed, the language of wine, and especially of stemware, relies on metaphors of the human body. A decanter is the most common and reliable form of wine aerator. Generally, aerators speed up the wine’s exposure to oxygen, thereby improving the taste of the wine, even if it’s lower quality. Just as the human body needs to breathe, so does your bottle of wine. According to Simpson, “small throat decanters are best with more bottle age where the sediment needs to be separated from the wine, and where any ‘off’ aroma can dissipate. for very old wines, i’d suggest pouring directly into the wine glasses...and make sure the wine has stood upright for several weeks beforehand so the sediment can compact!” Most wines, but not all, benefit from decanters. Another innovation from Simpson: use antique glass pitchers from the 1920s and 30s for young reds, “like Chianti or Côte du Rhône’s, wines that have yet to throw their sediment.” Though such jugs were originally meant for lemonade, juice or water, they are inexpensive ($25 – $50 at thrift stores) and, well, vintage is always hip. The latest in wine aerator technology comes from the glassmakers at Eisch Glaskultur in Germany. Their new line of “breathable” stems eliminate the need for a decanter, any aerator gadgetry, or even the need to swirl and swish your glass—the glasses themselves quicken the oxidizing process. Consider ordering a few of Eisch’s best if you want to be on the glassy cutting edge. for your first stemware, try Vinum’s stems, an excellent set for casual drinking. Up a notch, Simpson recommends the Trudeau line from the Czech Republic: “really well made, beautiful, and well-priced at under $10 per stem”. for expensive tastes, the Reidel Sommelier series is a good bet. The surest way to woo your wines, however, is to match them with the glass shapes that suit them best. As in, look to glass suitability before price. Why? Because an expensive Burgundy stem will get you nowhere if you primarily drink Bordeaux. Two last tips from the specialists. Mathes suggests washing decanters by swirling ice in them to remove stains, and then rinsing in hot water. “Don’t use soap!” i’ll also pass on Simpson’s warning to “stay away from your parents’ or grandparents’ treasured glasses and decanters, as they are almost always lead crystal with a very high lead content and are seriously not good for your health.” Doctors, take note. But now, put work aside and go liven up your stemware. Who knows what new tasting notes will emerge!

t h e f o o d d o c t o r d r . h o l ly f o n g Dr. Holly Fong is a practising speech-language pathologist with three young children who is always trying, adapting and creating dishes.

zesty zaatar Use the lemony zing of this Middle East spice on the grill

f you like the flavour of lemon, then zaatar is one of those spice-herb mixes for your pantry that can be used on almost anything from bread to meat and vegetables. Zaatar is the masala of the Middle East; its contents vary according to each person, but it usually contains sumac, thyme, cumin and sesame seeds. When mixed with olive oil, it makes a flavourful lemony marinade for grilled chicken. Marinating the meat overnight before grilling will keep the chicken moist and tender. During hot days, add a cucumber-yogurt tzatziki sauce and some grilled flatbread to make an easy, refreshing meal. And any leftovers make a great wrap sandwich lunch the next day. i recently paired the zaatar chicken with a Pentage 2007 Sauvignon Blanc-Semillon from Penticton, BC. This well-balanced wine with Granny Smith apple and lemon, grapefruit flavours seems to linger forever on the palate.

Grilled cHicken witH Zaatar and tZatZiki sauce chicken

2 heads of garlic 6 tablespoons olive oil plus 2 teaspoons ¼ cup zaatar (available at any greek or middle eastern grocer) 1 teaspoon cumin zest of 2 lemons, grated 3 tablespoons lemon juice 1 tablespoon oregano, finely chopped 1 tablespoon rosemary, finely chopped 1 serrano chili, seeded and chopped 1 tablespoon kosher salt plus a pinch freshly ground pepper 5 pieces of chicken legs with backs attached or chicken breasts with skin and bone in 1 tablespoon olive oil for oiling the grill tzatziki

2 cups plain whole milk or 3.25% yogurt (without gelatin, guar gum or carrageen) 1 english cucumber, thinly sliced 1 small clove of garlic, finely minced juice of ½ lemon 1 /8 teaspoon ground clove salt and pepper to taste

(serVes 5)

Addremainingoliveoil, zest, lemonjuice, oregano, rosemaryandchili, whiskingtoblend. Pour over chicken. Turntocoat andrefrigerateovernight or for at least 3hours. Makethetzatziki saucebyfirst strainingthe yogurt inasieveset over adeepbowl for 60minutes, discardinganyof thewheyor liquid. Inamedium-sizebowl, combinetherest of the ingredients for thesauce; mixtoblend. Cover and refrigerate. Takeout chickenandlet standat room temperaturefor 30minutes. Start your grill andbringtomediumheat. Scrape rackandbrushwitholiveoil. Grill chicken, skinside down, for 4– 5minutes until skinis golden. Turnand grill for another 7– 10minutes until aninstant read thermometer insertedintothethickpart of thethigh (without touchingbone) reads 160F. Transfer chicken ontoplatter andservewiththetzatziki sauce. Enjoy.

Preheat theovento400F. Cut off thetops of the garlic, brushwitholiveoil andsprinklewithapinch of kosher salt. Looselywrapinfoil androast until tender andgoldenbrown, approximately45– 60 minutes. Let cool. Cleanchickenlegs, trimanyexposedfat along thighs andplaceinaglass bakingdishlargeenough tonot crowdthemeat. Sprinklewithsalt andpepper. Combinethezaatar andcumininasmall bowl. Sprinkleover bothsides of thechicken. Squeezeroastedgarliccloves fromtheir skins intoasmall bowl. Mashintoapasteusingafork. fall 2011 JuST fOR CanaDian DOCTORS

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This general surgery resident knows what she likes…and that’s anything French: from the French Riviera to French men. Although she doesn’t mind a British accent either, especially the latest 007’s. Off call, you’ll find this selfproclaimed quirky doctor in her bedroom (she loves her sleep), if not Paris (where she keeps returning). Otherwise, she might be listening to Adele, watching celebrity stylist Rachel Zoe or imagining her own Food Network show. My name: Virginia Gunn I live and practise in: Vancouver, BC My training: BSc (Hons), MD, MHSc candidate Why I was drawn to medicine: The sappy, but true answer is that i wanted to do something meaningful with my life. My last trip: Toronto! Sneakaway trip to visit some of my best friends.

A piece of canvas art i bought from a beach in Dominican Republic. it always reminds me of sunnier times (important when you live in Vancouver!).

series. i have a secret wish to have magical powers.

My cell phone (coupled with cellular reception, of course)

My favourite movie: Amelie. (Notice a slight french obsession?)

A favourite place that I keep returning to: Paris. french food, french fashion, french men. Enough said.

My must-see TV show: Coupling, UK version. Hilarious.

My secret to relaxing and relieving tension: Please see above answer for “What is your guilty pleasure?”

My dream vacation: Somewhere along the french Riviera

The most exotic place I’ve travelled: Hmm…rural Vietnam?

If I could travel to any time, I’d go to: To the 1940s – 1950s, so i can see Ella fitzgerald and Dizzy Gillespie perform.

The best souvenir I’ve brought back from a trip:

My favourite book: Harry Potter

Dr. Victoria Gunn visiting a pagoda on Marble Mountain in Vietnam. “Grr!”; On a giant chair… “A girl’s dream come true...feeling oh-so-tiny!”; and enjoying art history at the Musee d’Orsay (“Yes, I am the kind of nerd who listens to audio guides at museums.”). clockwise from top left

My favourite CD/album or song: impossible to answer. Changes weekly. Currently, Adele’s 21. My first job: Games attendant at PNE The gadget or gear I could not do without: iPhone. it’s pathetic how addicted i am to my phone. My favourite room at home: Bedroom. i’m a surgical resident. i am happy when i get to sleep. My car: Acura CSX My last purchase: Rainboots My last splurge: Burberry rainboots (i ( live in Vancouver, it’s justifiable.) Most-frequented store: Saveon-foods My closet has too many: i don’t believe in having too many of something. You can always find an occasion to wear that item. My fridge is always stocked with: Milk. Does the body good. My medicine cabinet is always stocked with: Advil My guilty pleasure is: Rachel Zoe Project. Terrible, brain-cellkilling television, that is just so good to watch. My favourite sport to watch: Hockey. Any other answer would be terribly unpatriotic.

JuST fOR CanaDian DOCTORS

fall 2011

A talent I wish I had: Singing My scariest moment: Being paged about two simultaneous Mis as a first-week clerk on call (i.e. i barely knew how to order potassium). My fondest memory: Too many to name, but all involve my best friends. A big challenge I’ve faced: Getting in to medical school. i think most people will agree that was pretty difficult. One thing I’d change about myself: My “negative neutral” face. i just always look grumpy/ angry/sad when really, i’m just sitting quietly. The word that best describes me: Err… quirky I’m inspired by: My friend Michelle l, who frequently reminds me what it means to be truly caring, something you tend to forget when working in medicine. My biggest ego boost: Whenever a patient thanks me. My biggest ego blow: Whenever a patient becomes extremely sick. You always wonder “could i have caught this sooner?” I’m happiest when: i’m with my family and friends. My greatest fear: losing a patient.

My celebrity crush: Daniel Craig. Secret agent. British accent. Mmm…

Something I haven’t done yet that’s on my must-do list: Skydiving. Or learning how to dive. Or touring the Yangtze river. This list can go on…

I’d want this item with me if stranded on a desert island:

If I wasn’t a doctor I’d be: A host of a food Network show

COURTESY DR. ViRGiNiA GUNN

s m a l l ta l k

doctors share their picks, pans, pleasures and fears

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