WINTER 2013 by Just For Canadian Doctors

WINTER 2013

DOCTORS life + leisure

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JUST FOR C

DOCTORS life + leisure

CONTENTS

WINTER 2013

WINTER 2013 Editor Barb Sligl Art Direction BSS Creative Contributing Editor Janet Gyenes Editorial Assistant Adam Flint Contributors Michael DeFreitas Dr. Holly Fong Janet Gyenes Tim Johnson Dr. Chris Pengilly Manfred Purtzki Dr. Kelly Silverthorn Corey Van’t Haaff Cover photo Stratus Vineyards Senior Account Executive Monique Nguyen Account Executive Wing-Yee Kwong 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

FEATURES

12 ice ice baby

Winter wonderland at the Niagara Icewine Festival

18 trekking in Tassie

High-end hiking down under

Circulation Fulfillment Shereen Hoang CME Development Adam Flint

CLOCKWISE FROM TOP LEFT: BARB SLIGL (2); STRATUS VINEYARDS

Founding Publisher Denise Heaton

Just For Canadian Doctors is published 4 times a year by Jamieson-Quinn Holdings Ltd. dba 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.

COLUMNS

DEPARTMENTS

8 photo prescription

5 winter mix

In the bag

16 the thirsty doctor Better with bitters

17 the hungry doctor Pho in a hurry

Five ﬁnancial mistakes to ﬁx

34 motoring

www.justforcanadiandoctors.com

36 pay it forward

Tearing it up at Targa Tassie A ride with a difference

miss an issue? check out our website!

27 sudoku 29 employment opportunities 38 small talk with Dr. Kelly Silverthorn

32 the wealthy doctor

In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada

Printed in Canada.

21 CME calendar

37 doctor on a soapbox Assisted suicide

COVER PHOTO

The Niagara Icewine Festival is a winter wonderland featuring some of Ontario’s— and Canada’s— ﬁnest wineries, including this idyllic spread at Stratus Vineyards. Story on page 12.

WINTER 2013 JUST FOR CANADIAN DOCTORS

FROM THE EDITOR CLOCKWISE FROM TOP

winter magic

If you relish the ice and snow, then stay close to home and make your way to the Niagara Icewine Festival. On the shores of Lake Ontario and the quaint streets of Niagara-on-the-Lake, you’ll sample Canada’s best in terms of wine, locavore food (yes, more fab fare) and chic style (page 12). And what about your best? Publisher Linh Huynh embarked on an epic journey (for her!) to bike the Mekong Delta in Vietnam. For motivation she raised donations for a local orphanage. The experience left her with a new travel perspective and appreciation of the human spirit (page 36). We’re sure you have your own stories of giving back to the communities you’ve visited. Share your volunteerism experience in the magazine. Reach us at feedback@ inprintpublications.com or through justforcanadiandoctors.com. feedback@InPrintPublications.com

Spoil yourself in a Grand way. Grand Cayman is one of the most gorgeous island destinations in the Caribbean. Experience a luxurious getaway with flights to Grand Cayman on WestJet. Looking for more than just flights? WestJet Vacations offers a variety of great vacation packages with the following properties:

Comfort Suites Cayman Islands

Sunshine Suites Resort

Grand Cayman Marriott Beach Resort

The Westin Grand Cayman Seven Mile Beach Resort & Spa

To learn more about Grand Cayman, use your smart phone or tablet and scan the applicable code below with your QR reader.

Ontario travel agents are covered by TICO. Mailing address: 6085 Midfield Road, Toronto ON, L5P 1A2. TICO registration number 50018683.

B. SLIGL (3)

hen winter hits, it’s time to go down under. Way down under. In Tasmania, summer is just getting going. This island off the southwestern tip of Australia is the last stop before Antarctica, and as such has a purity and untouched quality hard to ﬁnd elsewhere. And fabulous food and wine. It’s foodie heaven…and hiking heaven. Experience the best of both worlds on the four-day hike around Maria Island off of Tassie’s east coast (page 18). Before that, hole up in Hobart, the state’s capital, for a few days and revel in the world-class and cutting-edge fare, arts and culture (page 5). While in the southern hemisphere, cross the Tasman Sea to Auckland for more surf, sand, spectacular scenery and a serious adrenaline rush (page 21). Or for somewhere else that’s toasty warm right now, it’s a shorter haul to foodie hotspot, the Cayman Islands (page 6).

Whet your appetite at the happening scene of the Niagara Icewine Festival. Ontario’s wine country has plenty to offer in winter— swirl, sip, sample, spa, stay…

what/when/where > winter

mix

The Henry Jones Art Hotel: once a jam factory, now a sleek art-infused hotel on the historic waterfront.

getaway

CONTINUED ON PAGE 6 >>

B. SLIGL

Stay in these mod accommodations at the MONA museum and Moorilla winery.

The MONA museum is out of this world—literally. Avant-garde art (and a bar to boot) is housed metres below the earth’s surface.

HOT HOT HOBART IN TASMANIA

The food scene is haute gourmet and hyper local. Think fresh, ÅH]V\YM\S funky.

WINTER 2013 JUST FOR CANADIAN DOCTORS

winter

HOT HOT HOBART IN TASMANIA SEE Your first stop has to be the MONA museum, where the [continued] underground (literally and figuratively) art collection ranges from ancient Roman coins and Egyptian artifacts to an installation that mimics the intricacy of the human digestive system. Really. mona.net.au And then there are the myriad galleries in Salamanca… STAY If you don’t want to leave MONA (after all, there’s an underground bar in the museum; see page 5), you can stay on the property, where you’ll also find the Moorilla winery (mona.net.au/mona/winery), Moo Brew (moobrew.com.au) and some stunning stand-alone structures (named for Aussie architects) to settle into (see page 5). MONA is also home to the MOFO festival (January 16 –20; mofo.net.au). The whole enterprise is the wonderous brainchild of local tycoon David Walsh, and a trip in more ways than one. mona.net.au If you want to stick to more historic shores on Hobart’s waterfront, there’s The Henry Jones Art Hotel, which is another repository of art, showcasing local talent, including student works from the art school next door. thehenryjones. com SAMPLE You’ll eat very well in Hobart. Whether at the hopping Jackman & McRoss bakery (for goodies like the divine sandwich on page 5) in the pretty Battery Point neighbourhood, the more edgy Garagistes (garnering plenty of buzz; garagistes.com.au) or Salamanca’s Smolt (smolt.com. au), where local oysters are paired with Tassie wines like Josef Chromy (josefchromy.com.au). If you stay at The Henry Jones Art Hotel (page 5), there’s fab food in-house, starting with a “flat white” (the better, Aussie version of a latte) in the morning. For stronger stuff, walk to the Lark Distillery, for singlemalt whiskey. larkdistillery.com. au Oh, and there’s Australia’s oldest brewery, Cascade, brewing just outside Hobart since 1824. cascadebreweryco. com.au — B. Sligl

getaway

gastronomy in Grand Cayman

WE LOVE WINTER GETAWAYS TO THE TROPICS. A great beach is assumed. But what else sways your destination choice—cost, diving, surﬁng, luxe factor? For me, it’s the food. Yet it’s been a dining disappointment on past tropical trips,

we ordered (at Blue Cilantro) on the island was great, as was the pasta (at Agua). As for chicken, feral ﬂightless birds are everywhere in Cayman—except for most menus. And I still have dessert daydreams that vacillate between sticky toffee

foodie getaway

until a foodie friend advised, “The restaurant scene in Grand Cayman is amazing.” There are more than 200 eateries in the Cayman Islands. Serious competition elevates everyone’s game. And the locale provides a seafood paradise—lobster, conch, squid, yellow-ﬁn tuna, wahoo, red snapper, grouper and mahi mahi. One misty memory of Cayman seafood: tuna foie gras appetizer (at Blue). Many restaurants feature “Sea Sense” sustainability accreditation, and some, like Brasserie, even boast ownership of their own ﬁshing boats and gardens. Even the beef

JUST FOR CANADIAN DOCTORS WINTER 2013

pudding (at Calypso Grill) and key lime pie (at Rum Point Club). And I’m happy to share… Here are my go-to eateries, hot spots that, ﬁrst, are recommended by at least two local foodies, and then vetted by me (unless otherwise noted). The resulting grueling dining regimen added nearly ﬁve pounds to my aging frame, which triggered a further grueling workout regimen upon my return. (What can I say, my editor exacts a high degree of commitment.) SEVEN-MILE WONDERS Most visitors stay along Seven Mile Beach or disembark at the adjacent cruiseship

terminus in George Town. Here, the must-try eateries are Brasserie, Casanova and La Dolce Vita. Along Seven Mile Beach sample the fare at Luca, Agua, Blue, Regazzi and Blue Cilantro. There’s also the upscale shopping area known as Camana Bay, with another two highly recommended establishments, Abacus and Artinique (at which I didn’t actually dine). Farther aﬁeld, there’s the Grand Old House, a few-minutes’ drive south of George Town, which has a long history and seems to be where every Caymanian bride plans to be married. Morgan Harbour, a $20 cab ride north of Seven Mile Beach, has three hot spots. Osetra Bay is the ﬁne-dining nouveau-cuisine choice (dinner only), while Calypso Grill has a semi-formal island scene and Morgan Harbour offers edgier decor, staff and music. Then, well north of Seven Mile and highly recommended by multiple locals, are Ristorante Pappagallo and Cracked Conch Restaurant (although I didn’t make it that far!). RUM RUN Less-frequented Rum Point is across the vast North Sound from the West Bay/Seven Mile Beach area. The Rum Point Club has an evening arrangement with Red Sail Sports to shuttle diners via 60-foot catamaran. The star-lit cruise back is perfect…but capping the bacchanal week with the seven-course dinner at Blue by Eric Ripert in the Ritz-Carlton is even better. Dining indulgence does not get much grander than this. Given the foodie focus of this trip, my view of the Cayman hinges on the dining. The beach and weather are somewhat secondary. Really. Nevertheless, Grand Cayman surpasses high expectations on all fronts. I will return. And the next trip will likely coincide with the local culinary festivals going on come January, including the Cayman Cookout (caymancookout.com), hosted by Ripert with guest chefs like Anthony Bourdain. Taste buds tingling… —Kelly Silverthorn

KELLY SILVERTHORN

mix

winter 1 ARMCHAIR ADVENTURE The New York Times 36 Hours: 125 Weekends in Europe, tours through the beaches of Croatia to the fairy chimneys of Cappadocia, and includes restaurant and hotel recommendations, city maps and more. $39.99, amazon.ca 2 SIP SMART Quench your thirst with the BPA-free Eau Good Bottle from black+blum. It sports a binchotan charcoal ﬁlter—low-tech smarts that hark back to 17th-century Japan. $20, www.aquaovo.com

When the shop weather takes on a chill, shift gears by snuggling up, getting active, or escaping to warmer climes. Whatever you choose, these stylesavvy items will help you embrace the season

winter warm-

ups

Written + produced by Janet Gyenes

5 SUPER SOAKER At 417 metres below sea level, Israel’s Dead Sea is the lowest—and one of the saltiest spots—on the planet. A dip in such a briny bath means you can bob like a cork without a care in the world. Channel that experience at home with Dead Sea Bath Salts, handmade at Vancouver’s The Pink Door Design Lab. $40/454 g, shop.pinkdoordesignlab

4 BED DOWN Comfort and decadence are always excellent allies as evidenced by the new Humbert pillow and throw from Italian knitwear fashion house Missoni. The distinctive zigzag pattern and look-at-me hues will enliven any decor. Throw, $475; pillow, $175. Roche-Bobois

3 SNAP HAPPY Capture that first snowfall, or a glorious beachbound romp with an old-school film Lomography camera. Choose from fish-eye, 35-mm and medium-format cameras, such as the coveted new Champagne editions (swathed in cork). $89, Canada.shop.lomography.com

mix

P H O T O P R E S C R I P T I O N M I C H A E L D E F R E I TA S Michael DeFreitas is an award-winning photographer who’s been published in a wide variety of travel publications. With his initials, MD, he’s been nicknamed “doc,” making his photography prescriptions apropos.

Whatever the trip, make sure your camera bag is properly equipped

Sometimes you need to go big: ABOVE For skittish pink flamingos in the Galapagos Islands (or breaching humpback whales in Alaska) you need a 300mm or longer telephoto lens. Avoid the temptation to buy a zoom lens that covers a huge focal range (like 18mm to 400mm). It won’t deliver good-quality images throughout its range. Rather, opt for two or three zoom lenses that cover that same focal range (17mm to 35mm, 35mm to 70mm, and/or 70mm to 300mm). Spend a bit more on lenses that cover your favourite shooting subjects (panoramas, people or wildlife). RIGHT All the gear you’ll find in pro photographer Michael DeFreitas’ go-to bag.

JUST FOR CANADIAN DOCTORS WINTER 2013

Send your photos and questions to our photography guru at feedback@ inprintpublications.com and your shot may be featured in a future issue!

he most frequent question I get asked about travel photography is, “What sort of camera equipment do I need?” My usual reply is, “It depends on what you like to shoot, where you’re going and how much you want to spend.” There is no easy answer in terms of travel photography equipment. No one lens or camera will do everything. Most people buy a camera for their day-to-day needs (family get-togethers, a baby’s first steps and cute Halloween costumes), but that doesn’t mean it’s a suitable choice for travel photography. Unlike point-and-shoots, digital SLRs offer various image shooting formats (JPEGs, TIFFs or RAW) and the ability to use a variety of lenses and photographic accessories (flash units, filters, etc.). You can also build your DSLR system over time or modify it as your travel preferences change. So my first recommendation is to get the best 10- or 12-megapixel DSLR you can afford. Lens selection depends on what you like shooting. Sweeping panoramas of the Grand Canyon or Brazil’s Iguaçu Falls are best tackled with wide-angle lenses in the 18mm to 35mm range. A medium-range telephoto lens (70mm to 110mm) is perfect for that cute Egyptian girl holding her goat or your smiling gold-toothed tuk-tuk driver in Bangkok. For skittish pink flamingos in the Galapagos Islands or breaching humpback whales in Alaska, you’ll need a 300mm or longer telephoto lens. That said, try to avoid the temptation of buying one of those zoom lenses that covers a huge focal range (like 18mm to 400mm). They don’t deliver good-quality images throughout their range. Rather, opt for two or three zoom lenses that cover the same focal range (17mm to 35mm, 35mm to 70mm, and/or 70mm to 300mm). Make sure you spend a bit more on lenses that cover your favourite shooting subjects (panoramas, people or wildlife). Memory or compact flash cards come in various sizes. The amount of memory you’ll need depends on the image file format you shoot. If you shoot high-quality jpegs with a 10-megapixel camera, you can probably

MICHAEL DEFREITAS

in the bag

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(AND COUNTING)

ACCUPRIL® is proud of our

20 YEAR HERITAGE of helping Canadians treat their high blood pressure. We are committed to helping patients through ongoing support programs and providing you with quality medications.

ACCUPRIL is indicated in the treatment of essential hypertension. It should normally be used in patients in whom treatment with a diuretic or a beta-blocker was found ineffective or has been associated with unacceptable adverse effects. ACCUPRIL is indicated in the treatment of congestive heart failure as adjunctive therapy when added to diuretics and/or digitalis glycosides.2 ACCURETIC is indicated in essential hypertension when combination therapy is appropriate. The ﬁxed combination is not indicated for initial therapy.3 WARNINGS: As with all ACE inhibitors, please refer to speciﬁc warnings regarding drug discontinuation in angioedema and pregnancy. ACCUPRIL and ACCURETIC are contraindicated in patients who are hypersensitive to this product, in patients with a history of angioedema related to previous treatment with an ACE inhibitor and in pregnancy. It is possible that quinapril passes into breast milk. Patients should be advised not to breast-feed while taking quinapril. When used in pregnancy, angiotensin converting enzyme (ACE) inhibitors can cause injury or even death of the developing fetus. When pregnancy is detected, ACCUPRIL or ACCURETIC should be discontinued as soon as possible. In hypertension, the most frequent adverse events in controlled clinical trials with ACCUPRIL were headache (8.1%), dizziness (4.1%), cough (3.2%), fatigue (3.2%), rhinitis (3.2%), nausea and/or vomiting (2.3%) and abdominal pain (2.0%). In congestive heart failure, the most frequent adverse events in controlled clinical trials with ACCUPRIL were dizziness (11.2%), cough (7.6%), chest pain (6.5%), dyspnea (5.5%), fatigue (5.1%), nausea and/or vomiting (5.0%), hypotension (3.4%), diarrhea (3.4%), headache (3.2%), myalgia (2.9%), abdominal pain (2.5%), rhinitis (2.5%), angina pectoris (2.3%). The most frequent adverse events in controlled trials with ACCURETIC were headache (6.7%), dizziness (4.8%), cough (3.2%) and fatigue (2.9%). For the complete prescribing information, please refer to the Product Monographs.

TAKE A FORWARD STEP

POWER OF COMBINED CONTROL

See prescribing summary on page

® (quinapril hydrochloride) ® (quinapril hydrochloride and hydrochlorothiazide)

Prescribing Summary Patient Selection Criteria THERAPEUTIC CLASSIFICATION: ACCUPRIL: Angiotensin Converting Enzyme (ACE) Inhibitor ACCURETIC: ACE Inhibitor/Diuretic INDICATION: ACCUPRIL: For the treatment of essential hypertension, and for the treatment of congestive heart failure as adjunctive therapy when added to diuretics and/or digitalis glycosides. ACCURETIC: For the treatment of essential hypertension in patients for whom combination therapy is appropriate. CONTRAINDICATIONS: ACCUPRIL and ACCURETIC are contraindicated in patients who are hypersensitive to these products; in patients with a history of angioedema related to previous treatment with an ACE inhibitor; and in women who are pregnant, intend to become pregnant, or are of childbearing potential and not using adequate contraceptive measures. ACCUPRIL and ACCURETIC should be administered to women of childbearing age only when such patients are highly unlikely to conceive and have been informed of the potential hazards to the fetus. Because of the hydrochlorothiazide component, ACCURETIC is contraindicated in patients with anuria or hypersensitivity to other sulfonamide-derived drugs

Safety Information WARNINGS AND PRECAUTIONS When used in pregnancy, ACE inhibitors can cause injury or even death of the developing fetus. When pregnancy is detected, ACCUPRIL and ACCURETIC should be discontinued as soon as possible. Angioedema (including intestinal angioedema) has been reported in patients treated with ACCUPRIL and ACCURETIC, with higher risk in black than non-black patients and in patients with a history of angioedema unrelated to ACE inhibitor therapy. Angioedema can be fatal when there is laryngeal involvement so if laryngeal stridor or angioedema of the face, tongue, or glottis occurs, discontinue ACCUPRIL or ACCURETIC immediately, treat the patient appropriately, and observe carefully until swelling disappears. Intestinal angioedema should be included in the differential diagnosis of patients on ACE inhibitors presenting with abdominal pain, even without facial angioedema and normal C-1 esterase levels. Symptomatic hypotension can occur after administration of quinapril, (usually after the first or second dose or when the dose was increased, and especially in volume depleted patients), and could result in a myocardial infarction or cerebrovascular accident in patients with ischemic heart or cerebrovascular disease, therefore start treatment under close medical supervision. Agranulocytosis and bone marrow depression have been caused by ACE inhibitors. Periodic monitoring of white blood cell counts should be considered, especially in patients with collagen vascular disease and/or renal disease. Azotemia may be precipitated or increased by hydrochlorothiazide. Cumulative effects of the drug may develop in patients with impaired renal function. If increasing azotemia and oliguria occur, ACCURETIC should be discontinued. Hydrochlorothiazide, a sulfonamide, can cause an idiosyncratic reaction, resulting in acute transient myopia and acute angle-closure glaucoma. Symptoms include acute onset of decreased visual acuity or ocular pain and typically occur within hours to weeks of drug initiation. Untreated acute angle-closure glaucoma can lead to permanent vision loss. The primary treatment is to discontinue hydrochlorothiazide as rapidly as possible. Prompt medical or surgical treatments may need to be considered if the intraocular pressure remains uncontrolled. Risk factors for developing acute angle-closure glaucoma may include a history of sulfonamide or penicillin allergy. Because the presence of concentrations of ACE inhibitors have been reported in human milk, and because thiazides appear in human milk, ACCUPRIL and ACCURETIC are not recommended in nursing women. Also, because their safety and effectiveness in children have not been established, use in this age group is not recommended. For more information and the complete list of warnings and precautions, including appropriate courses of treatment and when to discontinue ACCUPRIL and ACCURETIC, refer to the complete Product Monograph. ADVERSE REACTIONS ACCUPRIL has been evaluated for long-term safety in over 1100 hypertensive patients treated for ≥1 year. In controlled clinical hypertension trials, the most frequent adverse events (usually mild and transient in nature) were headache (8.1%), dizziness (4.1%), cough (3.2%), fatigue (3.2%), rhinitis (3.2%), nausea and/or vomiting (2.3%), and abdominal pain (2.0%). The most serious were angioedema (0.1%), renal insufficiency (1 case), agranulocytosis (1 case) and mild azotemia (2 cases in congestive heart failure patients). Myocardial infarction and cerebrovascular accident occurred, possibly secondary to excessive hypotension in high-risk patients.

ACCUPRIL safety was also studied in 525 patients with congestive heart failure in controlled clinical trials. Adverse event frequency was similar for both sexes and all ages (i.e., older or younger than 65 years). Most frequent adverse events were dizziness (11.2%), cough (7.6%), chest pain (6.5%), dyspnea (5.5%), fatigue (5.1%), and nausea/vomiting (5.0%); most serious were angioedema (0.1%), chest pain of unknown origin (0.8%), angina pectoris (0.4%), hypotension (0.1%), and impaired renal function; and most common reasons for withdrawal were hypotension (0.8%) and cough (0.8%). Myocardial infarct, and cerebrovascular accident occurred. Rare cases of eosinophilic pneumonitis have been reported but hepatitis/hepatic failure have rarely been observed with other ACE inhibitors. ACCURETIC has been evaluated for safety in 517 patients with essential hypertension for at least one year. The most frequent adverse experiences in controlled trials were headache (6.7%), dizziness (4.8%), cough (3.2%), and fatigue (2.9%). Adverse reactions have been limited to those reported previously with quinapril or hydrochlorothiazide when used separately for the treatment of hypertension. Therapy was discontinued in 2.1% of patients due to an adverse event, and headache (0.5%) and dizziness (0.3%) were the most frequent reasons for withdrawal. Serious or clinically significant adverse reactions observed in less than 0.2% of patients treated with quinapril and hydrochlorothiazide were: hematemesis, gout, syncope and angioedema. To report suspected side effects, contact Health Canada at: 866-234-2345.

Administration Dosage of both ACCUPRIL and ACCURETIC must be individualized. ACCUPRIL for hypertension: Recommended initial dose (in patients not on diuretics) is 10 mg daily. Adjust according to blood pressure response, generally every 2-4 weeks. Maximum dose: 40 mg daily. ACCUPRIL for congestive heart failure: Recommended starting dose is 5 mg daily administered under close medical supervision. After the initial dose, observe patient for ≥2 hours or until blood pressure has stabilized for at least an additional hour. Once medication is tolerated, increase dose gradually to 10 mg once daily, then 20 mg once daily, then 40 mg daily in 2 equally divided doses, depending on patient response. Maximum daily dose: 40 mg. ACCURETIC: Fixed combination is not for initial therapy. Determine dose by titration of the individual components. Some patients may require twice-daily administration; most patients do not require more than 50 mg of the hydrochlorothiazide component daily, particularly when combined with other antihypertensive agents. See the complete Product Monograph for full dosing information in specific special populations.

Study References 1. Data on file, Pfizer Canada Inc., 2012. 2. Accupril Product Monograph. Pfizer Canada Inc. May 2012. 3. Accuretic Product Monograph. Pfizer Canada Inc. May 2012. SUPPLEMENTAL PRODUCT INFORMATION PRECAUTIONS The Product Monograph issues precautions regarding: patients with renal impairment (e.g., patients with bilateral renal artery stenosis, unilateral renal artery stenosis to a solitary kidney, or severe congestive heart failure); patients with impaired hepatic function or progressive liver disease; patients dialysed with high-flux membranes and treated concomitantly with an ACE inhibitor; patients receiving ACE inhibitors during low density lipoprotein apheresis with dextran sulphate; patients receiving ACE inhibitors during desensitizing treatment with hymenoptera venom; the potential for hyperkalemia; hypoglycemia in diabetic patients on insulin or oral hypoglycemic agents; patients with aortic stenosis (theoretical risk only); metabolism effects; patients undergoing major surgery or during anaesthesia with agents that produce hypotension; systemic lupus erythematosus; cough. See the Product Monograph for more information. DOSING – SPECIAL POPULATIONS Patients with renal impairment: For treatment of hypertension, starting doses should be reduced according to creatinine clearance (see Product Monograph for specific guidelines). For use in hemodialysis patients, quinapril should be administered on days when dialysis is not performed (see Product Monograph for more information). ACCURETIC is not recommended in patients with severe renal dysfunction. Elderly patients (≥65 years old): For treatment of hypertension, recommended initial dosage of ACCUPRIL is 10 mg daily (depending on renal function), followed by titration to the optimal response. DRUG INTERACTIONS The Product Monograph discusses drug-interactions for patients concomitantly taking ACE inhibitors and diuretics, patients taking agents increasing serum potassium (e.g., spironolactone, triamterene or amiloride, or potassium supplements); agents causing rennin release; agents affecting sympathetic activity (e.g., ganglionic blocking agents or adrenergic neuron blocking agents); tetracycline; lithium; cardiac glycosides; alcohol, barbiturates, or narcotics; antidiabetic drugs; other antihypertensive agents; corticosteroids; pressor amines; non-depolarizing neuromuscular blocking agents; NSAIDs, including selective cyclooxygenase-2 inhibitors (COX-2 inhibitors); other agents. For further information, refer to complete Product Monograph. In single dose pharmacokinetic studies, no important changes in pharmacokinetic parameters were observed when ACCUPRIL was used concomitantly with propranolol, hydrochlorothiazide, digoxin, or cimetidine. No change in prothrombin time occurred when ACCUPRIL and warfarin were given together. SYMPTOMS AND TREATMENT OF OVERDOSAGE There is no information on overdosage with ACCUPRIL or ACCURETIC in humans. The most likely clinical manifestation would be symptoms attributable to severe hypotension, which should be normally treated by intravenous volume expansion with 0.9% sodium chloride. Hemodialysis and peritoneal dialysis have little effect on the elimination of quinapril and quinaprilat. The most common signs and symptoms observed for hydrochlorothiazide monotherapy overdosage are those caused by electrolyte depletion (hypokalemia, hypochloremia, hyponatremia) and dehydration resulting from excessive diuresis. If digitalis has also been administered, hypokalemia may accentuate cardiac arrhythmias. Please refer to the ACCUPRIL and ACCURETIC product monographs for full information on indications, contraindications, warnings and precautions, adverse reactions and dosage and administration. Product monographs available on request. Contact 1-800-463-6001, or www.pfizer.ca. ACCUPRIL ® and ACCURETIC ® Parke, Davis & Company LLC, owner Pfizer Canada Inc, Licensee TM Pfizer Inc, owner/ Pfizer Canada Inc, Licensee

PRESCRIBING INFO

PHOTO PRESCRIPTION [continued]

cover a three-week hiking trip in Peru with two 8 gig cards. Shooting RAW files gives you the greatest flexibility to modify your images back home (with image processing software), but requires more memory (see “Gear Up”). Digital SLRs use lots of power, so make sure you pack at least one extra battery (I always pack two). Also, cold weather saps battery power quickly, so you’ll need at least two spares if you plan on shooting harp seal pups on the St. Lawrence ice floes or penguins in Antarctica. A backup battery charger is also a good idea. If you have read my other columns, you know how I feel about tripods. A tripod is a must, regardless of your destination and especially if you are using long telephoto lenses. Make sure the one you get is sturdy enough to support the weight of your camera and largest lens. Take your camera and lens when shopping for a tripod. Finally, camera bags are specially designed to hold and protect camera equipment from bumps and damp conditions. Lowepro and Tenba offer a wide assortment of all-weather camera cases, backpacks and fanny packs. Don’t stuff expensive equipment into regular backpacks, handbags or luggage.

3LUZ ZLSLJ[PVU KLWLUKZ VU what you like ZOVV[PUN

PRO TIPS some extra goodies

> A rubber air blower for sensor cleaning. When blowing off a sensor

make sure you follow the manufacturer’s instructions and point the camera downwards. This will allow the dislodged dust to ‘fall’ out of the sensor compartment.

> A sensor cleaning kit (VisibleDust or Pentax) for dusty desert travel. > A Ziploc bag. Moving your camera equipment from a cold to humid environment (like leaving your air-conditioned room in the tropics or heading inside from the ski slopes) can cause condensation problems. Avoid condensation by placing your camera and lens in the bag and open only after the equipment has acclimatized to the warmer space.

> Keep one or two of those moisture absorbing crystal packs in your camera and/or Ziploc bags at all times.

> An extra lens cap to protect the front element of your lens or to replace the one you left perched on that rocky outcropping!

> A lens hood to protect the front element and to reduce lens glare or ÅHYL PU IYPNO[ JVUKP[PVUZ

> A list of camera equipment (with serial numbers) in case of theft.

You’ll need this info for the police report and your insurance claim.

GEAR UP 0 OPNOS` YLJVTTLUK ZOVV[PUN SHYNLY 9(> ÄSLZ I\[

instead of packing 10 or more 8 gig memory cards, invest in a portable image storage device (basically a portable hard drive with LCD for image viewing). You free up memory card space by transferring imHNL ÄSLZ [V [OLZL KL]PJLZ [O\Z YLK\JPUN [OL U\TILY VM JHYKZ `V\ need. Epson, Jobo, MemoryKick, Sanho offer 80 to 200 gig sizes for between $200 and $400.

You do more than sutures. We do more than taxes. As a medical professional, you devote your time and care to your patients. At MNP, our professional services team dedicates their time and focus to you and your practice. We are partners who help you think forward, ensuring you get the most out of your business tomorrow, so you can focus on taking care of your patients today. Our medical niche team works closely with our extensive network of specialists to offer a full suite of accounting, consulting and assurance services, including: tax planning, management advice, human resources management, succession and retirement planning, and wealth management and ﬁnancial planning. To move your practice forward, contact Calvin Carpenter, CA, Director of Professional Services at 1.800.661.7778 or calvin.carpenter@mnp.ca.

ACCOUNTING

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WINTER 2013 JUST FOR CANADIAN DOCTORS

ice ice baby!

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It may be the wine Canada’s most known for. After all, we have the necessary winter temps needed for those frozen grapes. Icewine has long been a treat in Germany (since 1794) and Austria, but Canada now leads in world production. True icewine is pressed from grapes that have frozen right on the vine, and the magic number for grapes to maintain that frozen state of concentrated sweetness is -8° C. To see the puckered-fruit-ball bunches, there’s no better spot than PU [OL ÄLSK ZV [V ZWLHR H[ [OL HUU\HS Niagara Icewine Festival. Over three weekends in January you get an upclose look of the winter wonder of this liquid gold. All in the mix: gala dinners, icewine tastings and menus, outdoor street stalls in the towns of Niagaraon-the-Lake and Jordan Village, ice sculptures, live entertainment and some very popular icewine marshmalSV^Z YVHZ[LK V]LY VWLU ÄYLZ¯

“We try to bottle the farm here.” Here is southern Ontario, on the Niagara Peninsula. And, more speciﬁcally, Stratus Vineyards, where it’s all about the soil, location and climate—as with any terroir. Stratus sits on 62 acres at the southeastern edge of the Niagara Lakeshore sub-appellation, and this spot, it seems, is just right for growing particular grape varieties, from Cabernet Franc and Malbec

JUST FOR CANADIAN DOCTORS WINTER 2013

to Gewurztraminer and Viognier. The snow drifts may be hip deep, but this wine country exists because of the relatively temperate climate (thanks to the moderating effects of Lake Ontario) and glacial soil. And, geographically, the Niagara Peninsula is actually south of Bordeaux. Stratus is even “…drawing comparisons to the boutique cult wineries of Napa

Valley,” as The Globe and Mail has noted, calling the winery an “eco-wonder.” This is sustainable low-yield viticulture. Stratus has the distinction of being the first fully LEED-certified winery in the world. Think reclaimed wood and steel, recycled materials, energy-efficient, natural light, and even geoexchange heating/cooling technology…making it one of the most sustainable

wineries in the world. Oh, and it’s super sleek and stylish. The minimal modern design and art evokes the eco-chic mindset (stratuswines.com). Sample a ﬂight of assemblage wines (the name Stratus, after all, speaks to the layers in blended wines as well as clouds and soil). Or, perhaps more ﬁtting in the snowscape, go for the Ice Duo, in which you can taste the balance of

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Sample icewine where it’s grown and harvested amidst ice and snow on the edge of the Great Lakes in Ontario’s wine country. And, while on the Niagara 7LUPUZ\SH `V\»SS HSZV ÄUK ZVTL fabulous local fare—from icewineinfused marshmallows to an icewine-inspired cocktail that includes…bacon. The NIAGARA ICEWINE FESTIVAL has it all…

It’s a mix of old and new at Ravine Vineyard, where a century-old farmhouse sits alongside the swish, modern Bistro that serves up gourmet poutine and stellar wines.

:;69@ 7/6;6.9(7/@ )@ )(9) :30.3 intense sweetness and acidity in the signature Stratus Icewine White and Red. Then, before continuing on the icewine trail, pick up some gorgeous upcycled pieces re-imagined from old wine barrels… candleholders, napkin rings, and even a bundle of vine branches for the hearth. Stratus is deﬁnitely not alone in stellar wines and style. Farther down the peninsula on

St. David’s Bench is the inspiring and trend-setting Ravine Vineyard (ravine.com). The ﬁfth-generation, family-owned farm dates back to 1802. After marveling at the oldschool farmhouse (restored to its original charm as closely as possible), nosh on a locavore lunch in the Bistro, where gourmet poutine provides hearty and happy fodder. Of course, the roasted beet and chèvre salad or

brioche burger (topped with local aged cheddar, smoked bacon and jalapeño) is best paired with Ravine wines—Sand & Gravel Cabernet Franc, Estate Reserve Unﬁltered Chardonnay and Riesling Icewine. The next muststop winery is considered the pioneer of Niagara—and Canadian—wines, especially when it comes to icewine. Inniskillin started in 1972 and has

WINTER 2013 JUST FOR CANADIAN DOCTORS

travel at home All signs lead to wineries in Niagara-onthe-Lakeâ&#x20AC;Ś

A gourmet take on poutine at Ravine Vineyard goes great with the Cab Franc. Oh yes.

Tuna-andbeet bite-sized treat at the Niagara Icewine Festival.

Don Ziraldo, co-founder of Inniskillin, with a batch of frozen grapes.

Wine tasting outdoors on Queen Street in Niagaraon-the-Lake.

The stunning tasting room (with artwork by Richard Halliday) of 3,,+ JLY[PĂ&#x201E;LK :[YH[\Z =PUL`HYKZ

At the Flash and Panache cocktail night.

Frozen grapes at Inniskillin.

On the shores of Lake Ontario.

JUST FOR CANADIAN DOCTORS WINTER 2013

travel at home grown into the icewine winery (inniskillin. com). There’s a tasting bar, demo kitchen and boutique, where you can even get Riedel glasses designed just for Inniskillin. You can also chow down here at the Market Grill, where Chef David Penny incorporates the winery’s Vidal and Cab Franc icewines into the menu. During last year’s Icewine Festival, Chef Penny was serving up a warm Vidalinfused apple tart. Some of the other food-and-wine pairings found at the fest: campﬁre chili, with Trius Vidal Icewine from Hillebrand Winery; toffee pudding cake with Hinterbrook’s Vidal Icewine; braised chuck taco with salsa and Cabernet Franc Icewine from Jackson Triggs; and “train wrecker” beans, infused with the Zweigelt/Merlot blend from Konzelmann Estate Winery. The most popular treat at the 2012 festival may have been at Peller Estates Winery, where crowds happily toasted massive icewine-infused marshmallows (some 5,000 of them, according to Chef Jason Parsons) over open ﬁres at the edge of the snowy 25-acre vineyard (peller.com). Or, even simpler (and my fave)…roasted chestnuts back at Ravine. Throughout the fest there’s food, food and more food to sample, like the bite-sized samplers at the outdoor stalls set up on historic Queen Street in Niagara-on-theLake—from icewine-infused lamb sausage

to icewine-marinated tuna on beet. Oh, and more icewine (from 28 wineries!) as accompaniment. It’s definitely a foodie/oenophile scene, although those who don’t know Vidal from Viognier happily puff steamy breath and stomp the snowy block right alongside, only occasionally escaping to browse inside the cute boutiques on either side of the street. An even better escape? The wine-based treatments (think vinotherapy facial, using grape-seed extracts, or a wine wrap) at the Shaw Club Spa just down the street (niagarasfinest.com/properties/shawspa). Post treatment, it’s time to bundle up again and trundle through the pretty town towards the lakeshore, to settle in fireside at the Harbour House Hotel (niagarasfinest.com/ properties/harbourhouse). Of course, there’s a wine-and-cheese hour, if you must continue sampling (I did). After a brief warm-up it’s back out for more festivities…especially the don’tmiss Flash and Panache icewine cocktail competition. Shaken, stirred or muddled, it’s all about local mixologists incorporating icewine into a glass. The winner last year? The “I-Swine-Tini” by Stone Road Grille, with bacon-infused scotch, Pillitteri Gewürztraminer icewine and a splash of cranberry cocktail…plus crispy bacon as garnish.

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And that winning establishment, the Stone Road Grille restaurant (stoneroadgrille. com) in Niagara-on-the-Lake, is itself a destination, getting in on all the local wine action. But be warned, it’s perpetually packed, especially during the fest. So come early and feast on the constantly changing menu with recommended local pairings. One mouth-watering sample: conﬁt leg and pan-seared breast with foie gras croquette, guanciale cassoulet, roast ﬁngerlings and icewine-braised cabbage… paired with Stratus 2010 Red Icewine. Yes, we’ve come full circle back to Stratus. Everything here really does start with those layers…from the soil and clouds found on the Niagara Peninsula to the blend of wines that come out of it all and are showcased at this fest amidst ice and snow. Smack your lips and sip.

if you go Discover icewine in this winter wonderland at the 2013 Niagara Icewine Festival, January 11 – 27; niagaraicewinefestival.com. For more on Ontario wines and what to see/do/ sip/sample in the Niagara region and beyond, go to winecountryontario.ca and ontariotravel.net.

THE THIRSTY DOCTOR JANET GYENES Janet Gyenes is a magazine writer and editor who likes to dally in spirits, especially when discovering something like corenwyn jenever (a gin-like Dutch spirit)—straight or in cocktails like the “bramble.”

a IP[[LYZ Ä_ Elevate cocktails with ﬂavours from mint to mole

CHAMPAGNE COCKTAIL 1 sugar cube 4 to 6 dashes Angostura or other aromatic bitters Chilled Champagne Garnish: lemon twist Place the sugar cube on the bottom of a Champagne flute or coupe glass. Douse the sugar cube with the bitters and fill the glass with Champagne. Garnish with the lemon twist. fect pe r e h T f! riti a pé But back to that Manhattan. According to the original 1906 definition, a cocktail is composed of four essential ingredients: spirits, sugar, water and aromatic bitters. Unlike their digestif counterparts—grappa, amari and Jägermeister, to name a few—cocktail bitters aren’t supposed to be quaffed. Instead, they play a supporting, but essential, role in classic drinks such as the Sazerac, Champagne Cocktail, and Old-Fashioned. In the 1800s, though, aromatic bitters were part of a doctor’s equipage, not a bartender’s arsenal. Despite an alcohol content of around 45%, bitters (then and now) are non-potable. The ingredients—bitter roots and bark, and fruits and flowers steeped in high-proof alcohol—were brewed together for their medicinal value. In fact, the formula for Angostura aromatic bitters (the bitters in a Manhattan) was developed around 1824 by a Dr. Siegert, who administered bitters to seasick sailors who visited the eponymous

Venezuela trading town. Soon, his bitters biz was born. Three thousand kilometres away in New Orleans, pharmacist Antoine Amedie Peychaud started adding a dash of his namesake bitters to Cognac, creating a curative cocktail: the Sazerac. The year was 1838, and Prohibition hadn’t yet staunched the flow of alcohol in North America. But when it did, bitters played a new role: they masked the taste of poor-quality bootlegged alcohol. Orange bitters was introduced by Fee Brothers in New York in 1951, and along with Angostura and Peychaud’s, it is one of the few bitters that endured, post-Prohibition. Today, bitters have earned their rightful position back at the bar. As Parsons puts it, “Bitters are the ultimate matchmaker: just a dash or two can bring a perfect balance to two seemingly incompatible spirits. Adding bitters can tamp down an overly sweet drink, help cut through richness, unite disparate ingredients, and add an aromatic spiciness.” Classic cocktails and bitters are enjoying a rebirth, and bartenders are reaching for the ever-expanding range of handcrafted bitters—many made in small batches—to mix up in modern drinks. Parsons’ first flirtation with bitters involved Angostura, but it was the taste of Seattle bartenders’ housemade bitters that fueled his passion for the so-called cocktail seasoning. “A few different people were playing around with cherry bitters, and then a bartender named David Nelson blew my mind with his wizard’s lab of bitters.” Their inspiration came from greenmarkets, restaurant kitchens and ethnic enclaves. “While not as pronounced as it is with regional foods, specific cities and regions across America have specific tics when it comes to drinking—whether it’s a specific cocktail, a certain spirit, or an overall style and approach to service behind the bar,” Parsons explains. The subtle nuances of bitters, and the range of flavours that run the gamut from lime to lavender and mint to mole, are part of what makes bitters so appealing to both pro-pourers and cocktail enthusiasts who appreciate a well-built drink. Many would agree

JUST FOR CANADIAN DOCTORS WINTER 2013

RAISING THE BAR Brad Thomas Parsons on making and using bitters s TAKE THREE: Angostura, Peychaud’s, and an orange bitters. Those three can be employed in dozens of classic and contemporary cocktails and are essential to any bitters collection. s TRIUMPHS: The Apple bitters and the Pear bitters from the book are my two favourites. s DISAPPOINTMENTS: Despite many test batches, I couldn’t nail a concord grape formula. s SURPRISES: I had a curious raspberry-lime test batch that surprised me, but I’m embarrassed to say that I lost my notes and wasn’t able to replicate it. s EXPERIMENTS: Someone once shared a bottle of homemade spinach bitters with me. That’s a ﬂavour that I’m conﬁdent doesn’t need the bitters treatment. —J.G. that a cocktail just isn’t, if it’s not anointed with bitters. Parsons gamely discloses his “death row” cocktail—a classic. “One last Old-Fashioned would do the trick. In particular, the one served at Prime Meats [Brooklyn, New York], my neighbourhood joint. Rye, homemade pear bitters, a hand-chipped chunk of ice, and a thick lemon peel garnish. And I’d make it last.”

ED ANDERSON

Manhattan isn’t a Manhattan without the bitters.” Brad Thomas Parsons comes by this spirited statement honestly. The author, who readily admits to his ﬁxation with bitters, earned the 2012 James Beard Foundation book award for beverage for Bitters: A Spirited History of a Classic Cure-all, With Cocktails, Recipes & Formulas (Ten Speed Press).

T H E H U N G R Y 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.

Complement the pho with the Yalumba 2011 Organic Viognier, with its medium creamy mouth feel and hints of apricot, citrus, IHQQHO $VLDQ Ă&#x20AC;YH spice powder.

pho in a hurry Cold weather calls for hot soup PHO IN A HURRY INGREDIENTS

1 lb rice noodles, preferably fresh 1 lb lean beef, cut into paper-thin slices, preferably eye-ofround or ribeye 1 lime 227g mung bean sprouts Âź bunch of cilantro handful of Thai basil leaves (if unavailable, substitute with small leaves of Italian basil) 1 green onion Â˝ medium onion, peeled 8 sprigs of baby bok choy sliced fresh chilies to taste STOCK

2.7 liters no-saltadded beef broth (3 boxes)

SERVES 4

1 cup of water 2 inch nob of ginger, peeled and coarsely sliced lengthwise 1 medium onion, peeled and cut into large wedges 1 small daikon, peeled and cut into thick 1-inch rounds 1 teaspoon salt 4 whole star anises 1 Â˝ cinnamon sticks 1 large bay leaf 2 whole cloves Â˝ teaspoon whole coriander seeds 1 /8 teaspoon whole cumin seeds 1 teaspoon fennel seeds 1 Â˝ teaspoons sugar [HISLZWVVUZ Ă&#x201E;ZO sauce (bottled nuoc mam) 1 tablespoon canola oil salt and freshly ground pepper to taste

bowl of steaming hot noodle soup is especially comforting during the dark winter months. Many cultures have soups with noodles but, for me, it is the Asian noodle soups which seem to be most satisfyingâ&#x20AC;&#x201D;the abundance of chewy noodles, crisp vegetables and herbs swimming in fragrant broth. When making these soups at home, the meaty broth usually requires some preparation and needs to be made ahead of time. Usually, I make a large batch and freeze it in several containers. However, I recently discovered that in a pinch, store-bought beef broth can make a pretty good Vietnamese style pho in about 40 minutes from start to ďŹ nish. The key is to make the soup ďŹ rst by adding spices

to the commercial broth. While the soup is simmering, assemble the vegetables, meat and noodles. To reduce the preparation time, try to use fresh rice noodles and precut thin slices of beef (found in most Asian grocery stores). Pairing a wine with the pho can be tricky because of the complex spices, herbs and salt content. A wine with a high percentage of alcohol will make you wish you had a cold beer instead, whereas too much oak will overpower the herbs. Yet the wine needs some body and acidity to stand up to the meatiness of the broth. The Yalumba 2011 Organic Viognier has a medium creamy mouth feel, hints of apricot, citrus, fennel and Asian ďŹ ve-spice powder that will complement the pho and can be enjoyed on its own while you are cooking.

Heat oil in a large saucepot on high heat. Stir fry onion and ginger until brown. Add beef broth and water to pot. Add half the daikon slices and rest of stock ingredients. Bring to a boil. Reduce heat to medium-low; cover and simmer for 30 â&#x20AC;&#x201C; 45 minutes. > Divide rice noodles into 4 portions. Divide the beef into 4 servings on a large plate. > Cut halved lime into 4 wedges. Cut cilantro into short sprigs, rinse and drain thoroughly. Do same with basil leaves, bean sprouts, green onion (trim ends, cut on a diagonal) and bok choy (keeping clusters together, trim ends). Slice onion crosswise into paper-thin half rounds. > Remove stock from heat. Ladle soup into another saucepot over a sieve. Discard solids. Season with salt and pepper. > Return soup to stove on high heat. Add reserved daikon. Bring to boil, uncovered. Add baby bok choy and cook for about a minute until tender. Using a slotted spoon, divide vegetables among 4 large soup bowls. > Add cooked noodle portions and veggies to serving bowls. Place beef in strainer and immerse in boiling soup to cook for a few seconds before adding to serving bowls (the paper-thin beef will continue to cook in the hot soup). > Divide rest of herbs, onions, bean sprouts amongst bowls. Ladle boiling broth over top. Squeeze lime juice over top before adding the wedge. If desired, add sliced chilies and serve. WINTER 2013 JUST FOR CANADIAN DOCTORS

travel the world

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trekking in

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THIS PAGE Trekking from beach to ILHJOÂ¯[V ILHJO [V ILHJO OPPOSITE PAGE FROM TOP, LEFT TO RIGHT *HZ\HYPUH )LHJO % 7HY[ VM )LYUHJJOPÂ»Z LU[YLWYLUL\YPHS SLNHJ` PU +HYSPUN[VU HSVUN ^P[O H NPHU[ ÔHSL IVUL % )Y\ZJOL[[H LU[YtL THKL ^P[O O`WLY SVJHS PUNYLKPLU[Z MYVT [OL NVH[Â»Z JOLLZL [V [OL JPHIH[[H IYLHK % ;OL OV[ WPUR Ã&#x2026;V^LYZ VM [OL Â¸WPN MHJLÂ¹ Z\JJ\SLU[ KV[Z 4HYPHÂ»Z ÔP[L ZHUK ILHJOLZ % 7VZ[ OPRL SLHW VÉ&#x2C6; [OL ÔHYM PU +HYSPUN[VU % .SHTWPUN PU [PK` [PU` JHIPUZ HTPKZ[ L\JHS`W[\Z [YLLZ H[ [OL *HZ\HYPUH JHTW

e’ve just come through one of the planet’s largest stands of giant Tasmanian blue gums. We make our way around a corner, having come through brush dotted with wallabies and kangaroos, following the trail past the towering eucalyptus trees with their mottled bark, to come upon the gentle curve of the bright-white sand of Four Mile beach…and a wombat waddling by. It’s just another day on the fantasy island of Maria (pronounced ma-rye-ah) off the east coast of Tasmania. The day before we trekked through more eucalyptus to reach a penguin colony at Haunted Bay. Here, bare rock faces of pink granite painted with orange lichen are home to the tiny fairy penguin. We peek at one hidden in the cliffside before we leave the fuzzy blob alone again. And alone it is. There is nothing and no one here on this end of Maria Island—or pretty much anywhere else. No cars, no phones, no shops. It’s blissfully barren of civilization, yet teeming with wildlife and natural beauty. Maria Island has been described as a kind of Noah’s Ark, home to those fairy penguins (think twee, as in the smallest penguin), wombats, wallabies and Forester kangaroos (which can stand up to two metres), as well as Cape Barren geese, white-breasted sea eagles (with a wing span that can exceed two metres), and even one of the smallest and rarest birds of Australia, the Forty-spotted Pardalote (known as the “diamond bird” because of its tiny, jewel-like appearance). These fantastical creatures come out as the sun settles, where the excitement of spotting your ﬁrst wallaby soon becomes an inability to stop counting.

We’re here on this Aussie version of Noah’s Ark with The Maria Island Walk, a high-end, low-effort hiking tour of one of the world’s last seemingly untouched places (the next stop is Antarctica, after all). Limited to groups of eight, the tour company runs three-night/ four-day excursions led by two hyper-experienced guides (our lead guide, Nate Welch, has navigated the length of the Amazon; our other guide, Stefanie Gebbie, seems a botanist in the making). The guides do it all, from carrying in fresh grub and even cold Tassie beer to whipping up gourmet feasts, while we simply get spoiled. After being dropped off in Shoal Bay on a deserted stretch of beach on a narrow isthmus, we gasp and gaze with each step until an almost-too-soon stop for lunch, then cross over to see a twin beach on the other side on Riedle Bay (two sugar-white beaches back to back!) and make camp by Casuarina Beach. Camp is a bit of a misnomer. Think glamping, not camping. It’s a rather exclusive wilderness camp with tidy two-person structures with slat ﬂoors and canvas ﬂaps to tuck into. Wooden walkways connect every miniature cabin and the communal dining area (it’s all about minimal impact on the environment here, from eliminating haphazard footsteps to recycling grey water). Set amidst those towering eucalyptus trees, it feels like a posh little nest. While one guide takes us to Haunted Bay, the other prepares a menu that’s a foodie’s delight. The fare showcases Tasmania’s coveted produce (from blackcurrant cordial and Huon Valley mushrooms to duck-and-roo sausages and scallops from the Mercury Passage we just crossed over) paired with Tassie beers (Hoag’s one night, Cascade the next) and wines (like Frogmore Creek Chardonnay and Bream Creek Pinot Noir). And all this to candlelight. There’s no electricity here, of course, and it’s all the better to see those WINTER 2013 JUST FOR CANADIAN DOCTORS

travel at home

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stars with (including the elusive, for Canadians anyway, Southern Cross). After saffron-and-scallop risotto and summer-berry pudding, it’s a quiet, still night, drifting off to the scent of eucalyptus. The morning arrives with the chattering of wattle birds and even the raucous call of a kookaburra. Day two is a journey along ﬁve beaches, sea eagle spotting, more wombat encounters, tea at a long-abandoned farm and lunch at the somber site of a convict outpost at Point if you go Lesueur. Tasmania is still There’s unexpected beauty somewhat fraught with its everywhere on Maria Island. Make the past as a penal colony, and most of it with THE MARIA ISLAND the red-brick ruins here are WALK. The company proudly claims it’s one a reminder of how a place of the great walks of the world. And its tag line is seemingly so untouched “four days that will last a lifetime.” Indeed. $2,250 per has indeed seen its share person, including transfers between Hobart and Maria of human suffering. Happily this is now Island, all meals and wine and National Park entry fees. the land of wallabies and Three nights twin-share accommodations. Backpacks, roos, and we even see sleeping bag liners, pillow cases, head torches and a big one with a joey in waterproof jackets provided. Plus two profesher pouch observing us as sional, charming guides. mariaislandwe bushwalk to White Gums walk.com.au camp. Ensconced in our lovely huts again, all we have to do is sip a cold Cascade and await

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CANADA N supratentorial i medicine

more gastronomic delights. But ﬁrst a dip calls. It’s numbingly cold but invigorating for sore post-hike feet (and, of course, there’s yet another wombat waddling about on the hillside). From White Gums camp, we hike along Four Mile Beach, beachcombing along the way, past Cape Barren geese, to the surreal swirls of Painted Cliffs, and then on to Darlington. After dropping off our gear, we continue on, climbing through cloud rainforest (ah, more eucalyptus!) and past scree and boulders to the summit of Bishop and Clerk to sit atop the bishop’s miter and gaze at how far we’ve come. It’s been a total of some 35 km since day one. We descend, back down Skipping Ridge (actually skipping down it, for a few steps anyway), to our last night in Darlington at the charming Bernacchi House (and back to electricity and indoor plumbing). Once the home of 19th-century settler Diego Bernacchi, it’s a testament to the human never-ending desire to cultivate nature— wherever. The Italian entrepreneur grew vineyards here and even started a cement factory. The cement silos still stand and it’s an odd site amidst the bucolic bliss. Since Bernacchi’s time, things have turned back in the island’s favour. The entire island was designated a National Park in 1972, and the only current enterprise is this high-end hiking experience. Trekking across these pristine white beaches and blue-gum forests is far better than trying to tame them. Our guides tell us Maria Island was once dubbed the Ceylon of Australia—a Tasmanian Arcadia. A paradise off of a paradise. And so, for a last hurrah, a few brave folk get in their togs (bathing suits in Aussie speak) and leap off the wharf before heading back to the main island of Tasmania. It’s still numbingly cold but an apt end to this four-day adventure. When you leave paradise, it shouldn’t be easy.

auckland / napa / barrie / zürs / rwanda …

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winter 2013 + beyond

Waiheke Island, east of Auckland is a wine (and beer!) haven for day trippers.

AUCKLAND The Auckland skyline from the Waitemata Harbour. LEFT Mount Eden, overlooking Auckland, is the site of longdormant volcanoes and called Maungawhau in Maori, as this guide (wearing an All Blacks rugby shirt, of course) explains. BELOW LEFT The Waitakere Ranges Regional Park is just west of Auckland, on the Tasman Sea, the wilds of which were featured in the Oscar-winning film, The Piano.

A Kiwi classic: Hokey pokey ice cream (vanilla with chunks of honeycomb toffee).

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B. SLIGL

et on two spacious harbours (the Waitemata and the Manukau), with views out over the white mastheads on the water to the green volcanic islands beyond, New Zealand’s largest city is truly a lovely place, and one which certainly lives up to its nickname as the City of Sails. With about one million residents and the largest per capita boat ownership in the world, Auckland offers some great aquatic options, but if you’re looking for something a bit wilder, you’re definitely in the right place. Kiwis are famous for their derring-do, with a propensity for leaping from any tall structure that they encounter. Not surprisingly, modern bungee jumping was invented in this country, and Auckland offers visitors the opportunity to hurl themselves from the city’s expansive Harbour Bridge, plunging headfirst from the 43-metre high span. Or, if you’re looking for something a little different (but still adrenaline inducing), don a kitschy flight suit and

jump from a platform just above the observation deck of the Sky Tower. Rising to a height of 192 metres, the tower is the tallest structure in the Southern Hemisphere, and Sky Jumpers plummet to a target on the ground at a speed of more than 60 kilometres an hour. And if your conception of a wild vacation must include some wilderness, Auckland obliges, with a number of beautiful, green areas within an easy drive—or ride—from the city. A company called Bush and Beach offers day tours to the Waitakere Ranges, the region’s largest park, where you can hike down to a stunning surfer’s beach past stands of 1000-year-old trees. Or, if you prefer to see the countryside at a faster clip, sign up for a Harley Tour. Climb on the back with a biker dude, then hang on as the rainforest and water whip by—a truly memorable experience. But Auckland has its fair share of refined

pleasures, too, and one of the finest is a trip out to Waiheke Island, a short ferry ride from the city, but a world away. With green, undulating hills, farms, forest, beaches and orchards filled with olive trees, Waiheke is a feast for the eyes, but it’s best known for its biggest export—great New Zealand red wines, including award-winning syrah. With hot, dry summers and stony soil, the island is a perfect place for these grapes, and is home to a number of excellent boutique wineries, most of which welcome visitors to their tasting rooms (called a “cellar door” in New Zealand). Tour, taste, then settle in for a nice mid-afternoon late lunch at a place like Mudbrick Winery, which offers lovely meals and breathtaking views out over the hills and water, all the way back to the glassy towers of Auckland, just visible on the horizon. —Tim Johnson For more on Auckland and New Zealand, go to aucklandnz.com and newzealand.com.

WINTER 2013 JUST FOR CANADIAN DOCTORS

C M E calendar

Medicine

Biochemistry

Anesthesiology

Alternative

Aesthetic Medicine

cme

when

where

topic

sponsor

contact

website

Jan 12-15

Naples Florida

American Society For Reconstructive Microsurgery 2013 Annual Meeting

American Society for Reconstructive Microsurgery

laurensnider@ isms.org

microsurg.org

Feb 02-03

Vancouver British Columbia

Professional Facial Aesthetics Training Introductory Course To Botox & Cosmetic Fillers

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 24

ptcenter.org

Feb 25Mar 01

Barrie Ontario

One Week â&#x20AC;&#x153;Everythingâ&#x20AC;? Training Course In Botox, Fillers And Medical Aesthetics

Dr. Martinâ&#x20AC;&#x2122;s Training Centre Canada

800-627-3309 See Ad Page 28

botoxtrainingcanada.com

Mar 06

Liverpool England

Specialty Skills In Plastic Surgery

Royal College of Surgeons of England

011-44-151430-1854

rcseng.ac.uk

Mar 16

Vancouver British Columbia

Advanced Techniques In Botox And Cosmetic Fillers

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 24

ptcenter.org

Mar 18-22

Barrie Ontario

One Week â&#x20AC;&#x153;Everythingâ&#x20AC;? Training Course In Botox, Fillers And Medical Aesthetics

Dr. Martinâ&#x20AC;&#x2122;s Training Centre Canada

800-627-3309 See Ad Page 28

botoxtrainingcanada.com

Jun 07

London England

Vascular Anomalies: A Clinical Approach

University College London

011-44-207905-2204

ucl.ac.uk

Oct 19-21

New Orleans Louisiana

American Academy Of Facial Plastic & Reconstructive Surgery Fall Meeting 2013

of Facial Plastic and Reconstructive Surgery Foundation

703-299-9291

aafprs.org

Jan 30Feb 02

San Diego California

10th Anniversary Natural Supplements: An Evidence-Based Update

Scripps Health

858-652-5400

scrippshealth. org

Feb 14-16

Cape Town South Africa

19th World Congress Of Aesthetic Medicine (UIME Event) (WCAM2013)

AMEO Events

011-27-12-5487152

wcam2013.org

May 16-20

St. Petersburg Florida

19th Annual International â&#x20AC;&#x153;Stress & Behaviorâ&#x20AC;? Neuroscience & Biopsychiatry Conference

ISBS Conference

240-899-9571

stress-andbehavior.com

Jul 07-09

Paris France

International Congress on Naturopathic Medicine

Paragon Conventions

011-41-22-5330948

icnmcongress. com

Sep 11-14

Napa California

14th Annual Conference On Integrative Medicine In Womenâ&#x20AC;&#x2122;s Health

Symposia Medicus

800-327-3161

symposiamedicus.org

Jan 16-19

San Diego, California

UCSD Anesthesiology Update 2013

UC San Diego

619-543-5560

cme.ucsd.edu/ calendar.cfm

Jan 30Feb 2

Grand Cayman Grand Cayman Anesthesia Camp

Destination CME

888-286-5815

destinationcme. com

Mar 05

London England

Leadership And Management: Leading And Managing Change; Success With Service Development

Royal College of Anaesthetists

011-44-207092-1500

rcoa.ac.uk

Jan 13-18

Snowbird Utah

Frontiers of NMR In Biology

Keystone Symposia

800-253-0685

keystonesymposia.org

Apr 18-19

Baltimore Maryland

45th Annual Oak Ridge Conference: Emerging Technologies For 21st Century Clinical Diagnostics

American Association for Clinical Chemistry

800-892-1400

aacc.org

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Medicine

Clinical Emergency

Diabetes

Dermatology

Pharmacology

Cardiology

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CME

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where

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Jan 23Feb 2

Tahiti Cruise

Cardiology Update 2013

CMEatSEA

888-523-3732

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Mar 04-11

Zürs Austria

31st International Cardiovascular Surgical Symposium

Karl Landsteiner Institute

congress@ surgery-zurs.at

surgery-zuers.at

May 15-17

Baltimore Maryland

Quality Of Care & Outcomes Research 2013 7GMIRXM½G 7IWWMSRW

American Heart Association

888-242-2453

americanheart. org

Jul 22Aug 04

Black Sea Cruise

Cardiology, Neurology & Chronic Pain

Sea Courses Cruises

888-647-7327

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Aug 09-21

Mediterranean Cruise

Cardio-Pulmonary Update 2013

CMEatSEA

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Sep 26-29

Chicago Illinois

XL %RRYEP 7GMIRXM½G 7IWWMSR 3J 8LI %QIVMGER Society Of Nuclear Cardiology

American Society of Nuclear Cardiology

301-215-7575

asnc.org

Jan 14-16

San Diego California

UCSD PACE Physician Prescribing Course

UC San Diego

619-543-6410

ucsd.edu

May 13-17

Oxford England

Adverse Drug Reactions, Drug Interactions, And Pharmacovigilance

University of Oxford

011-44-186528-6955

conted.ox.ac.uk

Sep 22-24

Bethesda Maryland

2013 Annual Meeting Of American College Of Clinical Pharmacology

College of new CME list fromAmerican Adam

240-399-9070

accp1.org

Jan 10

London England

8th Medical Dermatology Conference

British Association of Dermatologists

conference@ bad.org.uk

rcplondon.ac.uk

Jan 15-19

Grand Cayman Cayman Islands

12th Annual Caribbean Dermatology Symposium

Caribbean Dermatology Symposium

502-569-1356

caribederm.org

Feb 11-13

Las Vegas Nevada

Skin & Wound Management Course & NAWC 'IVXM½GEXMSR )\EQ

Wound Care Education Institute

877-462-9234

wcei.net

May 08-11

Edinburgh Scotland

International Investigative Dermatology 2013

IID 2013

011-44-207391-6357

iid2013.org

Dec 09-23

Singapore to Hong Kong Cruise

Primary Care: Dermatology And Oral Dermatology Review

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Jan 19-23

Snowmass Colorado

Clinical Diabetes And Endocrinology In 2013

National Jewish Health

800-844-2305

nationaljewish. org

Apr 17May 10

India Cruise

Diabetes, Obesity & Women’s Health

CMEatSEA

888-523-3732 See Ad Page 26

cmeatsea.org

Apr 22-25

Vancouver British Columbia

Diabetes Educator Course - Vancouver

UBC Interprofessional Continuing Education

604-827-3112

interprofessional.ubc.ca

Feb 06-20

Australia and New Zealand Cruise

11th Annual Emergency Medicine Conference

Continuing Education, Inc./University at Sea

800-422-0711

continuingeducation.net

Feb 13

Halifax Nova Scotia

AIME: Airway Intervention And Management In Emergencies Roadshow

Canadian Association of Emergency Physicians

613-523-3343

caep.ca

Clinical Pharmacology

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WINTER 2013 JUST FOR CANADIAN DOCTORS

C M E calendar

Medicine

Hematology

Gastroenterology

General & Family

Endocrinology

cme

when

where

topic

sponsor

contact

website

May 20-22

Xian China

BITâ&#x20AC;&#x2122;s 3rd Annual World Congress Of Endobolism-2013

BIT Congress Inc.

011-86-4118479-9609

bitlifesciences. com

Jun 21-25

Chicago Illinois

Diabetes Association

American Diabetes Association

866-290-9910

professional. diabetes.org

Oct 05-06

Monterey California

New Concepts & Emerging Therapies In Metabolic UC Davis Health System Disorders & Vascular Disease

916-734-5390

ucdmc.ucdavis. edu

Ongoing

Lima Peru

Volunteer Work In Lima

Cross-Cultural Solutions

800-380-4777

crossculturalsolutions.org

Feb 04-06

Mayan Riviera Mexico

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

CBT Canada

877-466-8228

cbt.ca

Feb 25-27

Maui Hawaii

Medical CBT Tools: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228 See Ad Page 20

cbt.ca

Mar 18-28

Western Caribbean Cruise

Pain Management Update 2013

CMEatSEA

888-523-3732

cmeatsea.org

Mar 21-29

Marco Island Florida

16th Annual Primary Care Update - Session 2

Continuing Medical Education Institute, Inc

952-948-1685

CMEIconference.org

Mar 28Apr 08

Australian Cruise

Medical CBT Tools: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228

cbt.ca

May 27Jun 03

Eastern Europe River Cruise

Current Medical Issues In Eastern Europe

Professional Education Society

877-737-7005 See Ad Page 27

pestravel.com

Jul 14-21

Alaskan Cruise

Topic TBA

CMEatSEA

888-523-3732

cmeatsea.org

Aug 17-24

Mediterranean Cruise (Disney)

Medical CBT For Anxiety: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228 See Ad Page 20

cbt.ca

Jan 25-27

Los Angeles California

20th International Symposium On Pancreatic And Biliary Endoscopy

Cedars - Sinai Medical Center

310-423-5548

research3.csmc. edu

Feb 14-16

Vienna Austria

8th Congress of the European Crohnâ&#x20AC;&#x2122;s and Colitis Organisation (ECCO)

ECCO

011-43-1-71022420

ecco-ibd.eu

May 18-21

Orlando Florida

Digestive Disease Week 2013

DDW

301-272-0022

ddw.org

Nov 26Dec 11

Mekong River Cruise

Gastroenterology & Cardiology

Sea Courses Cruises

888-647-7327 See Ad Page 22

seacourses. com

Jan 12

St. Louis Missouri

ASH Abstract Highlights

Washington University

314-362-6891

wustl.edu

Mar 07-09

Dubai UAE

3rd Emirates Hematology Conference

Meeting Minds: Experts

011-97-1-44270492

ehc2013.com

May 10-12

Toronto Ontario

International Society For Laboratory Hematology 2013 Symposium

Society For Laboratory Hematology

847-983-3519

islh.org

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new CME list from Adam

JUST FOR CANADIAN DOCTORS WINTER 2013

Diseases Legal Gynecology Palliative

Oncology &

Obstetrics &

Nutrition

Ethics and

Internal Medicine

Infectious and Chronic

cme

calendar

CME

when

where

topic

sponsor

contact

website

Jan 16-28

Australia & New Zealand Cruise

Healthcare Perspectives From Down Under: Changing Demographics & Chronic Disease 4EXXIVRW -R 8LI 4EGMÂ˝G

Professional Education Society

877-737-7005

pestravel.com

Feb 01-02

Sacramento California

31st Annual UC Davis Infectious Diseases Conference

UC Davis Health System

916-734-5390

ucdmc.ucdavis. edu

Mar 15-25

Bali & Java Sea Cruise

Confronting Community Healthcare:Challenges & Delivery Systems In Indonesia

Professional Education Society

877-737-7005

pestravel.com

Jul 12-28

Tanzania & Rwanda

Disease Prevention

Professional Education Society

877-737-7005 See Ad Page 27

pestravel.com

Feb 20-23

Phoenix Arizona

Preventive Medicine 2013

American College of Preventive Medicine

202-466-2044

preventivemedicine2013.org

Mar 04-08

Maui Hawaii

8th Annual Primary Care Update

Continuing Medical Education Institute

952-948-1685

cmeiconference.org

Mar 22

Sacramento California

Health Informatics: 7th Annual Conference 2013

UC Davis Health System

916-734-5390

ucdavis.edu

May 17

London England

Legal Aspects Of Surgical Practice

Royal College of Surgeons of England

011-44-207869-6300

rcseng.ac.uk

Sep 29Oct 06

Rhine River Cruise

Mental Health And The Law

Sea Courses Cruises

888-647-7327 See Ad Page 22

seacourses. com

Feb 19-24

Santa Fe New Mexico

Nutrition, Epigenetics And Human Disease

Keystone Symposia

800-253-0685

keystonesymposia.org

Apr 15-17

Singapore Singapore

Pharma-Nutrition 2013

Elsevier

See Website

pharma-nutrition.com

Aug 09-12

Portland Oregon

Society for Nutrition Education & Behavior (SNEB) 2013 Annual Conference

Society for Nutrition Education and Behavior

317-328-4627

sne.org

Mar 07-09

Atlantis Bahamas

Best Of ESHRE & ASRM 2013

American Society for Reproductive Medicine

703-449-6418

asrm.org

Oct 06-16

Barcelona to Athens Cruise

Family Medicine: Womenâ&#x20AC;&#x2122;s Health

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Nov 01-02

Auckland New Zealand

Australasian Gynaecological Endoscopy & Surgery (AGES) Focus Meeting

Australasian Gynaecological Endoscopy & Surgery

011-61-2-99672928

ages.com.au

Jan 30

London England

Aroma-psychology In Cancer Care: Evidence And Applications

Royal Marsden

011-44-207808-2921

royalmarsden. nhs.uk

Feb 04-08

Vancouver British Columbia

Psychosocial Care Of The Dying And Bereaved

Victoria Hospice

250-370-8283 See Ad Page 32

victoriahospice. org

Mar 04-08

Vancouver British Columbia

Palliative Care: Medical Intensive Course

Victoria Hospice

250-370-8283 See Ad Page 32

victoriahospice. org

new CME list from Adam

WINTER 2013 JUST FOR CANADIAN DOCTORS

C M E calendar

Rural

Technology

Surgery

Medicine

Rheumatology

Respirology

Psychiatry

Pediatrics

cme

when

where

topic

sponsor

contact

website

Jun 03-14

British Isles Cruise

Pediatrics: Autism, ADHD, And Other Behavior Disorders

Continuing Education, Inc./University at Sea

800-422-0711

continuingeducation.net

Jun 29Jul 05

Maui Hawaii

Pediatrics In The Islands … Clinical Pearls 2013

Los Angeles Medical Group & American Academy of Pediatrics

323-361-2752

childrenshospitallamedicalgroup.org

Mar 04-07

Lima Peru

5th World Congress On Women´s Mental Health

Kenes Latin America

011-56-2-9462633

iawmh2013.com

May 02-04

Montreal Quebec

2013 International Conference On Eating Disorders (ICED)

Academy for Eating Disordersheadquarters

aed@aedweb. org

aedweb.org

Jul 03

Glasgow Scotland

Acute NIV for Physicians

Royal College of Physicians and Surgeons of Glasgow

011-44-141227-3212

rcpsg.ac.uk

Jul 18

Northbrook Illinois

Essentials Of Airway Management: Skills, Planning, And Teamwork

American College of Chest Physicians

847-498-1400

chestnet.org

Aug 19-21

Las Vegas Nevada

2nd International Conference And Exhibition On Orthopedics & Rheumatology

OMICS Group Conferences

800-216-6499

omicsgroup. com

Sep 01-13

Iceland and Norway Cruise

Rheumatology, Chronic Pain, Sports Medicine

Sea Courses Cruises

888-647-7327

seacourses. com

Oct 21-23

San Diego California

Forensic Psychiatry Review Course

American Academy of Psychiatry and the Law

800-331-1389

aapl.org

Jan 14-18

Guanacaste Costa Rica

Medical Spanish For The Healthcare Professional

Medical Studies Abroad

512-328-6431

medicalstudiesabroad.com

Jan 25-27

Calgary Alberta

29th Annual Emergency Medicine For Rural Hospitals

University of Calgary

403-220-7240

ucalgary.ca

Mar 26-28

Bristol England

29th BSDS Annual Surgery Workshop

British Society for Dermatological Surgery

011-44-207388-5263

bsds.org.uk

May 06-10

Auckland New Zealand

RH %RRYEP 7GMIRXM½G 'SRKVIWW 3J 6S]EP Australasian College Of Surgeons

Royal Australasian College of Surgeons

011-61-3-92491273

asc.surgeons. org

Aug 25-29

Helsinki Finland

International Surgical Week 2013

CONGREX / Blue & White Conferences

011-358-9-5607500

isw2013.org/

Jan 24-26

Tampa Florida

AUA Advanced Robotic Oncology: Curing Cancer Through Technology And Skill

American Urological Association

800-908-9414

auanet.org

Feb 18-22

Oxford England

Surgical Technology and Robotics

University of Oxford

011-44-186528-6954

conted.ox.ac.uk

Mar 07

London England

6th Annual Cell Culture Technology Event: Recent Advances, Future Prospects

Euroscicon

enquiries@ euroscicon.com

regonline.co.uk

new CME list from Adam

For feedback, requests or to have your course featured please email cme@inprintpublications.com or submit your course via www.justforcanadiandoctors.com

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DIVERSION

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sudoku 2 harder solution in next issue

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4 7 4 7 9 1 8 1 8 4 9 2 5 7 3 2 6 9 1 Puzzle by websudoku.com

entry form (please print clearly): NAME: __________________________________________________________________ ADDRESS: _______________________________________________________________ CITY, PROVINCE, POSTAL CODE: _____________________________________________

________________________________________________________________________ E-MAIL: ________________________________________________________________ TEL: ______________________________ FAX: _________________________________ Sudoku Puzzle Contest Rules: 1. Entry form must be accompanied by solved puzzle. Only correctly solved puzzles entered into random draw. 2. Send puzzle and entry form to Just For Canadian Doctors, 200 â&#x20AC;&#x201C; 896 Cambie Street, Vancouver, BC, V6B 2P6 or by fax to 604-681-0456. Entries must be received no later than March 6, 2013. 3. Prize: Cayman Islands Gift Pack (travel accessories and a $50 VISA gift card). Odds of winning dependent upon number of entries. Winner contacted by telephone and announced in Spring 2013 issue. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. Employees of In Print Publications and its afďŹ liates are not eligible to participate. WINTER 2013 JUST FOR CANADIAN DOCTORS

solution from page 27

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sudoku 2 harder solution 7 4 2 9 8 5 6 3 1 6 8 3 4 1 2 7 5 9 5 1 9 7 3 6 2 8 4 8 7 1 6 4 3 5 9 2 3 2 4 5 7 9 8 1 6 9 6 5 8 2 1 3 4 7 1 5 7 3 6 4 9 2 8 2 3 8 1 9 7 4 6 5 4 9 6 2 5 8 1 7 3 Puzzle by websudoku.com

JSHZZPÄLK ads positions available

KELOWNA, BC – Well established clinic looking for a doctor to join our practice. Flexible hours, convenient schedule, highly organized office with great associates and staff in the sunny Okanagan. Great recreational amenities, cultural activities and lifestyle opportunities. Contact Wendy at 250-764-8873 or wendy. lakeshoremed@shawcable.com. RICHMOND, BC – Locum wanted for Richmond BC collegial group medical practice with EMR and Chronic Disease Nurses. Variable shifts available. Late February 2013 until end of April 2013 shifts are needed. Please phone 604448-9595. SLOCAN, BC – Semi-retired family doctor needed for small recreational town, Slocan, BC. Straight from your backyard is the lake, as well as excellent outdoor activities such as skiing, golfing and hiking. Please call 250.362.3313 for more information.

vacation properties

PUERTO VALLARTA – Need a holiday in the sun? Deluxe one bedroom beachfront condo in Puerto Vallarta, Mexico overlooking Mismaloya Bay, sleeps 4, full kitchen, fully furnished, A/C, sat TV. Contact Anne 604-542-1928 or jorajames@telus.net. RICHMOND, BC – Oﬃce space available four days a week in a busy group Medical Practice in Richmond BC’s Premier Strip Mall. For Information please phone 604-448-9595.

conference news THE 22nd ANNUAL PEDIATRIC INFECTIOUS DISEASES CONFERENCE: AB – Banff. Fairmont Banff Springs, February 6 – 9, 2013. Web site: www.pediatricinfectiousdisease.ca. Reach 28,000+ physicians 1 inch - $95 | 2 inch - $120 | 3 inch - $145 or complimentary classifieds to physicians. EMAIL classified@inprintpublications.com

JUST FOR CANADIAN DOCTORS WINTER 2013

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One week "Everything" course includes Botox, Dermal Fillers, Sclerotherapy, Laser, Microderm and Business. Our courses meet or exceed the accreditation criteria of the College of Family Physicians of Canada. Partial classes are available, please enquire. Feb 25-Mar 1 t Mar 18-22 t Apr 15-19 t May 6-10 training@botoxtrainingcanada.com Dr. Deborah Martin, MD, CCFP (EM) www.botoxtrainingcanada.com 570 Bryne Drive, Barrie, ON

Practicing in New Brunswick is more than a career choice. It’s a life choice.

L’exercice d’une profession dans le secteur de la santé au Nouveau-Brunswick s’avère plus qu’un choix de carrière, c’est un mode de vie. Venez au Nouveau-Brunswick. Vivez pleinement.

Come to New Brunswick. Make life happen.

www.gnb.ca/physicians www.gnb.ca/médecins

opportunities

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)DPLO\ 3UDFWLWLRQHU Â˛ 3ULQFHWRQ %& Interested in a rural practice, friendly community, with provincial parks at your doorstep? Princeton has all of this. Recognized as the Southern Gateway to the B.C. Interior, Princeton is rich in history and abundant in beauty. Located in the foothills of the Cascade Mountains where two rivers meet, the area offers a wide range of recreational activities for all to enjoy. From fishing, hiking and cycling in the nearby parks, to participating in one of the many community events and fairs, Princeton has something for everyone.

employment

The Town of Princeton is seeking a full-time Family Practitioner to join their welcoming community. This busy clinic is located in the hospital and provides ease of access for emergency call situations. This role requires emergency experience and does not include any obstetrics. Three physicians and one Nurse Practitioner currently service the surrounding population of approximately five thousand people. Princeton General Hospital is a six-bed community hospital with an Emergency Room, X-ray, and Lab services. Hospital transportation is supported by a helicopter for emergency situations and the High Acuity Response Team (HART). HART team consists of six highly trained critical care nurses responding with a BC Ambulance Service (BCAS) basic life support ambulance team to provide ground transport for acutely ill and injured patients from outlying rural and remote communities to higher levels of care. When required, a respiratory therapist will be called in to assist. HART nurses are based at Penticton Regional Hospital, where they support the Emergency Department and Intensive Care Unit when not involved in patient transports. This position is eligible for MOCAP funding for after hours call. May be eligible for additional remuneration in accordance with the Rural Subsidiary Agreement (RSA) including 16.07% Retention Premium, $14,045.20 Retention Flat Fee and up to a $10,000 Recruitment Incentive. Come experience Princeton for yourself. If you are interested in making the change, or would like to refer a physician, please contact: SK\VLFLDQUHFUXLWPHQW#LQWHULRUKHDOWK FD RU RQOLQH DW ZZZ EHWWHUKHUH FD

Emergency Physicians (5) Experience a rewarding clinical practice and enjoy the Great Lakes, beaches, parks, sporting activities all within a few minutes of your home and office. Chatham-Kent is centrally located between Windsor and London, with easy access to Detroit and Toronto. Emergency Medicine program highlights include:

t A new leadership model featuring support from assistant chiefs for quality, scheduling and Sydenham site, fostering a strong team and supportive, inclusive work environment t Full and part time physicians providing service in two separate 24/7 emergency departments (Chatham and Sydenham) t Annual visits are approximately 48,000 and 22,000 respectively t Physician remuneration is based on an Alternate Funding Agreement (AFA) t Triage and RN initiated medical directives expedite patient care t Ten emergency medicine physicians with Emergency Department Ultrasound Independent Provider Status t Team of Nurse Practitioners provide care to lower acuity patients and follow up services t Specialist support t ACLS & ATLS required t Double coverage through all shifts except overnight Contact information Chatham-Kent Health Alliance is a 300 bed Physician Recruitment hospital in Southwestern Ontario. We offer c/o Fannie Vavoulis a competitive incentive package, including educational allowances, medical and dental Medical Recruiter & Education Coordinator benefits. We strive to meet the needs of you fvavoulis@ckha.on.ca and your family. 519.437.6143

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T H E W E A LTHY DO CTOR MANFRED PUR TZ KI, C .A. Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

ÄUHUJPHS Ä_ The 5 most common ﬁnancial mistakes

fter years of consulting with many physicians, I’ve found that the same planning mistakes are being made again and again, and are preventing doctors from realizing their financial goals. Here are the five most common financial mistakes… and fixes:

1. NOT SAVING ENOUGH There was a time, before the bottom dropped out of the ﬁnancial markets, when a 30-year-old doctor could expect his savings at $3,000 per month, at 8%, to accumulate to a whopping $4 million at age 60. The net returns in many portfolios today is more like 2%, which means that the $3000 per month saving over 30 years would only yield $1.4 million by age 60.

Given the current investment climate, you have to set aside more money in your retirement savings account. This forces you to become more disciplined in your spending habits. Useful saving tools include: household budgets, and the “the richest Man in Babylon ” saving strategy; where 10% of your gross practice revenues are automatically transferred to your investment account each month.

goal of ﬁnancial independence at age 60 if they still carry signiﬁcant amount of personal debts, including the home mortgage.

;OL ZHTL WSHUUPUN TPZ[HRLZ HYL ILPUN made again and again

2. HAVING PERSONAL DEBTS AFTER AGE 50 Most physicians will likely not reach their

When most of your precious cash ﬂow is used for living expenses such as mortgage payments and children’s education, there is very little money left for the retirement nest egg. As a result, you may be forced to postpone your retirement until age 65 or make an arrangement to work part-time after your retirement target date. If you plan to retire at age 60 make sure that you are debt-free when you turn 50. This means that you should consider purchasing your dream home early in your career so that you are ﬁnished with your mortgage payments when you’re 50 and can get serious about saving for your retirement.

3. PAYING TOO MUCH TAX Income tax is a huge ﬁnancial burden and I recommend that in your annual meeting with your accountant you focus on tax saving strategies. You should go over a checklist of practice expenses, and in particular those which have a personal component such as automobile expenses, the home ofﬁce, promotion and entertainment, attending conferences etc. to ensure that you maximize the deductibility. Many physicians are not taking full advantage of their Medical Corporation. They fail to take advantage of maximizing income splitting opportunities with family members, or devise a saving/spending strategy which minimizes personal taxes.

4. MAXIMIZING RRSP CONTRIBUTIONS If you want to maximize your RRSP contribution, think twice, because you are wasting your money. Consider this: suppose

JUST FOR CANADIAN DOCTORS WINTER 2013

TH E WEALTH Y DOC TOR [ c o n t i n u e d ]

you can contribute an additional $11,000 to maximize your RRSP. Your RRSP tax saving will be $4400, assuming a 40% personal tax rate. The Corporation can deduct the additional salary of $62,000, which you need in order to make the $11,000 RRSP contribution, resulting in a tax savings of $9300, assuming a 15% corporate tax rate. Your total personal and corporate tax savings is $13,700. Your personal taxes on the $62,000 salary is $24,800 (assuming a 40% tax rate). In summary then it will cost you $11,100, which is the net personal tax cost to make the RRSP contribution. This is the reason why I do not recommend topping up your RRSP.

5. “INVESTING“ IN A LIFE INSURANCE POLICY I am surprised by how many doctors have asked me lately about purchasing universal life insurance policies, as recommended by their ﬁnancial planner. There are three parts to the universal life insurance policy: a term policy for the death beneﬁt, administration charges, and the investment component.

The income earned in a universal life insurance policy is not taxed until you withdraw the money. The investment in the policy can only be paid out without tax upon your death. The policy is most often marketed as a retirement vehicle since the cash value of the policy grows tax-free similar to that of an RRSP. The key question you need to ask is whether you need to have permanent insurance, because you will be paying a substantial portion of your premiums for the death coverage. For instance, if you look after a disabled child and you need to create a sizable estate to provide ﬁnancial support for this child upon your death, or you have a sizable estate and worry about capital gains taxes upon death, then these are valid reasons for purchasing such a policy. If you do not have such a

need, then the universal life insurance policy makes no sense. Think twice before you commit yourself to many years of premium payments. The premiums must be paid with after-tax dollars and also you cannot draw the accumulated cash value from the policy for many years because of the substantial cash surrender charges. I know of many doctors who have regretted the purchase of such a permanent policy because they failed to ask themselves the question: “Do I absolutely need it?” Realizing your financial goals can be challenging, but it’s not impossible. With proper planning physicians can achieve the financial stability they want in order to enjoy a fulfilling life and a happy retirement.

Realizing `V\Y ÄUHUJPHS NVHSZ JHU IL JOHSSLUNPUN I\[ P[»Z UV[ PTWVZZPISL

IT’S YOUR MOVE

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MOTORING Dr. Kelly Silverthorn is a radiologist and Just For Canadian Doctors’ automotive writer.

tearing up ;HZZPL Finding my prancing moose amidst Tasmanian devils

t is beyond dabbling now. Entering six week-long Targa events in the last 30 months may even qualify as a reckless addiction. If my frequency of competing is to continue unabated, it must be time to consider my own Targa racer. The last seven days I’ve lived the non-stop special stages, pace notes, tire wear, approaching weather nuances, and exhaustion that is Targa Tasmania. The first goal in any Targa is simply to finish (in 2010, roughly half the Tassie entries were still standing at week’s end). The second goal is to earn a Targa “plate.” A plate is awarded to finishers for a sufficiently rapid pace while racing against the clock on each and every closed public (tarmac) road special stage. One muffed or timid stage, wet roads or dry, and your plate vapourizes like a whiff of tire smoke. Beyond

the plates are the goals of Class, Division or Outright wins or podiums. Our six Targa entries to date we’ve garnered six finishes, five plates and two Class podiums. Kudos go out to all of our codrivers and host arrive-and-drive teams. Drill deeper and, so far, our focus has been more about finishing than winning. Increasing our Targa race pace is a slowly evolving process, weighed down by a strong sense of self-andwallet-preservation. Last year, the 20th anniversary edition of the Targa Tasmania week-long race was the largest yet of the modern Targa era (1990 onwards). Roughly 350 teams, including our Redback Racing Mazda Miata, competed across more than 500 km of tarmac special stages—in towns, rural areas and wilderness. It proved amazing in every way: challenge,

scenery, comradeship, thrills and spills. So many glorious cars laying down their markers just had to re-kindle the “what if I had my own Targa car” internal debate. Of course the headline-grabbing teams were all present in their mega-horsepower Lamborghinis, Porsches, Audis and Nissan GT-Rs. These cars don’t make much sense for a chicken-man like me to consider. Its always more satisfying for me to drive a slow car fast, than a fast car slow. My ideal Targa racer would also be robust, simple and easy to ﬁnd mechanical assistance. The hypothetical car would need to endear itself to me in one-or-more ways: styling, technical innovations, quirkiness, soundtrack or past memories. Understandably, I’m drawn to cars from 1955 – 1975—the cars I most connected with growing up.

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PROS :PTWSL H SVJHS +H[Z\U 5PZZHU ZOVW JHU Ä_ JSHZZPJ SPULZ CONS Rust prone, negligible cachet or quirkiness Second is the Volvo 122 or “Amason,” produced from 1956 to 1970. This car would have never crossed my mind prior to Targa Tassie 2011. The 1961 Gulf Blue/over orange one competing looked spectacular and was surprisingly rapid, finishing 3rd in Class for Early Classics. As this 122S was just minimally slower than our 2008 showroom stock Miata, we would get to see it launch aggressively at many stage starts. Admittedly, I’ve never driven a Volvo 122. But as a PMH connection (past motor-sport history), I did earn my first racing license aboard the model that followed, a high-miler 1971 Volvo 142E. So, from among the ~700 competitors I tracked down the Volvo 122 owner for a chat. He extolled the gold-standard technology that was originally packed into the car including: multi-link rear suspension, double wishbone front suspension, disc brakes, overdrive transmission, and the bottom end of its four-cylinder engine designed to cope with V-8 forces. The car’s style looks of Italian influences, both elegant and tastefully restrained. But the prancing moose logo is the real clincher. It is the unofficial mascot adopted by Volvo racers around the globe as a parody of Ferrari’s official Cavallino Rampante (prancing horse) logo. Volvo’s engineering and branding emphasizes safety and durability—the opposite demographic to Ferrari’s performance and bling-devotion. So, if you’re off-beat enough to race Volvos, how cool to have a irreverent Scandinavian icon to rally behind? And, as a Canadian, I’ll proudly embrace anything moose-centric.

PROS Simple, robust, quirky choice, that prancing moose icon CONS Can a 55-year-old design keep up if my driving brio

B. SLIGL

discovers a Viagra equivalent? Fortunately, I have lots of time to mull over whether buying a Targa racer is the right call. Such daydreaming will be particularly therapeutic in the next week as I will myself through another postTarga withdrawal. I’ll be that conforming, mild-mannered, law-abiding desk jockey…until my next high-octane Targa adventure spirits me away in another six months or so.

destination

So, as I write this, facing my 27-hour journey home from Tasmania, what fro two Targa cars vie for my tw ownership consideration? o I list them in no particular order. And I fully expect o tthe list to change. As with most car folk, the contemplation is as gratifying as the execution. First is the Datsun 240Z, produced from 1969 to 1973. I remember the huge splash these h cars made d when new, dynamically outclassing their British, German and Italian rivals. I owned several as a medical student, with fond memories persisting. They look good and sound great with their bass-rich inline-six power plant. Like any Japanese car brand, the marque has limited cachet, despite the current mercurial success of the Nissan GT-R.

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PAY I T F O R W A R D

LINH HUYNH Linh Huynh is the publisher of Just for Canadian Doctors. She tells her story of raising funds for a Vietnamese orphanage, and she’d love to share your volunteerism stories too. Contact feedback@inprintpublications.com.

a ride to make a KPɈLYLUJL knew what I wanted to do for my annual vacation but that WANT turned into a NEED and the ﬁnal result is something quite unexpected and heart-warming. For months, I thought about going to Vietnam to visit relatives AND tour the Mekong Delta by bike. I envisioned bumping along on my bike on the back-roads of Vietnam, meandering through rice paddies and climbing little bridges over tributaries that feed into the Mekong River or Z UN *Ͽ\

age in Ca Mau, one that I had not made contact with but knew of through blogs of American parents who had adopted from there. Now, I just needed to get the ﬁnancial support of my family and friends. I sent emails and set up a Facebook page with details of my journey, and the money came ﬂooding in (thank you technology for the immediate dissemination of information!). After receiving initial support from friends and family on three continents, I had exactly four

Long (Nine Dragon River), as it’s known to the

more weeks to cast the net wider and raise as much money as possible for the Ca Mau Orphanage. A week before my ride was scheduled to start, Minh, my resident Vietnamese cousin and spokesperson, called the Ca Mau Orphanage and asked Anh, Assistant to Director, for a wish list. Anh was very modest in her request for some pantry staples. Minh told Anh we could offer more, so infant formula and diapers were added to the wish list. Anh did not know until the day the shipment of goods arrived at the orphanage that I had spent about $2,500, double the average annual salary per capita (according to The World Bank for 2011), on her wish list. With the wish list ﬁlled, I was ready for my ride as mapped out by Vietnam Backroads, a touring company that specialises in off-thebeaten-path bike tours. Trung, my guide, and I mounted our bikes on the outskirts of

Vietnamese. But my time was limited and constrained to July—not an ideal time to ride in this region, or any in Southern Vietnam during the rainy season (June to November). I had never endured riding in 35°C heat with my shorts and jersey clinging to my skin in 80%-plus humidity. Oh, and my goal was to complete about 250 km in three days under these conditions. For an avid rider, this might seem easy but I’m a fair-weather rider. I really wanted to do this ride but even I had doubts that I could make it happen. I needed some serious incentive. My brother-in-law Tung came up with a brilliant solution: turn it into a charity ride to give myself the motivation to stay on the saddle from Ho Chi Minh, formerly Saigon (my mother’s birthplace), to Ca Mau (my father’s birthplace). It’s a win-win situation. So I committed to making my ride a fundraiser for an orphan-

JUST FOR CANADIAN DOCTORS WINTER 2013

My Tho to begin our journey through the Mekong Delta. And you definitely need a guide for a tour like this; you can’t count on Google maps to navigate hamlet roads rarely travelled by tourists. Trung and I rode some of the most beautiful and tranquil country roads I have ever seen. This being the “rice bowl” of Vietnam (the world’s second largest rice exporter after Thailand), there were lush green rice paddies as far as the eye can see. For three days, I shared roads the width of a sidewalk, dirt paths shaded by palms and rickety wooden bridges with locals and their livestock. The flora and fauna made me forget (almost) about the heat and humidity. My favourite sound was of children shouting “hello” and waving from their homes as I rode by. In contrast to the beauty of this land, I was acutely aware that at the end of my ride I’d face the ugliness of human conditions some must endure due to poverty. I’d be meeting children who lost or were abandoned by their parents because of social and/or economic circumstances, some of them also suffering physical and/or mental disabilities. At the gates of the orphanage, I was greeted by relatives: Aunt Ghi, cousins Minh and Van and niece Thao. As I walked towards the area where the children were playing, I tearfully reflected on how lucky I was to have this opportunity to make a difference. My motivation was simple: I wanted to make a difference, and my family and friends made it possible with their emotional and financial support. Trung, who did not know I was riding to make a difference, reached out and made a donation of his own. The unexpected acts of unconditional generosity are what made this journey so heart-warming. I share my story in hope that you will share yours. Starting with the next issue, we will feature a doctor who has taken his/her time and effort to make a difference for those who are in need at home or abroad. That may include some kind of structured volunteerism or your own fundraising efforts. Sharing your experience may motivate someone to make a difference. Pay it forward; I know you will. P.S. I continued to receive donations after my ride finished. In total, I received over $3,200, so a second donation was made to the orphanage. Google “Linh’s Ride to Make a Difference” for more details and images of the journey.

COURTESY LINH HUYNH

Fundraising for donations is a way to give back while exploring the world

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.

assisted Z\PJPKL Still a controversial and divisive issue

was recently watching a television murder-mystery program (George Gently) set in 1964 in which the culprit was tried and hanged. In the same episode a general practitioner was officially admonished for prescribing contraception to an unmarried woman, a teenager procured an illegal abortion and a man was petrified of being prosecuted because of his homosexual practices. The only omission was a prosecution for attempting suicide. Quite a haul in one program—which led me to think how far society has come in the intervening 52 years. The details of this progress make interesting reading. Capital punishment was abolished in Canada in 1976. This was 15 years after the last (and double) execution in Toronto in 1962. In 1987 a bill attempting to restore the death penalty was defeated in the House of Commons by a relatively close vote of 148 to 127. Other reforms were accomplished with an omnibus bill introduced before the House of Commons—The Criminal Law Amendment Act, 1968 – 1969—by the then Minister of Justice, Pierre Trudeau. This bill took about 18 months to reach the third reading in the House of Commons where it passed by 149 votes to 55. Amendments contained in this massive legislation included decriminalization of homosexuality, decriminalization of abortion under certain circumstances and liberalisation of contraception. (This act also regulated lotteries, gun ownership, drinking and driving, harassing phone calls, misleading advertising and cruelty to animals!). Access to legal abortion was still quite difficult, in that a committee of three physicians had to agree that a pregnancy would be harmful to the physical or mental health of the woman. This remained in effect until 1988 when Dr. Morgentaler successfully

challenged the existing law; this resulted in abortion being left to the less complicated Canada Health Act. Attempting suicide was illegal in Canada until 1972. I can remember suicide attempts being made to look like accidents by patients, nurses and physicians. Anyone desperate enough to try to die was prosecuted as a common criminal. We are now in the 21st century with Gay Pride parades, same gender marriages, abortion pretty well on demand, and birth control being freely available regardless of marital status. So why are physicians still at risk of 14 years in jail for responding to a request from a terminally ill patient for a quiet, digniﬁed passing from this world. In 1993 Sue Rodriguez, a patient with ALS, lost her second bid for an assisted suicide in the Supreme Court of Canada by a slim 5 to 4 decision. The very closeness of this vote reﬂects the degree of ambivalence about this matter. Regardless she went ahead with the end-of-life event with the assistance of an anonymous physician. The threat of prosecution is not an idle one. Within months of her death I actively condoned the suicide of one of my patients. This was a retired GP with advanced prostate cancer. After he died I informed the coroner, and all hell broke loose. I spent several uncomfortable hours in the interview room of the police station. Clearly it was thought that I was the anonymous doctor in attendance on Sue Rodriguez. I just wish I had the courage of that anonymous physician. Eventually it was decided that condoning and not preventing is not the same as assisting a suicide, and I was released. Our contemporary politicians do not

([[LTW[PUN Z\PJPKL ^HZ PSSLNHS PU *HUHKH \U[PS I can remember Z\PJPKL H[[LTW[Z being made to look SPRL HJJPKLU[Z

seem to have the courage of Pierre Trudeau to deal with this anachronism, and so it will likely be left up to the Supreme Court to decide the issue. A private member’s bill was introduced in the House of Commons in 2010 which was defeated by 228 votes to 59. The ﬂaw with this bill, in my opinion, is that it included euthanasia with assisted suicide. These are entirely different matters. As late as 2009 the Canadian Medical Association stated publically that its Code of Ethics absolutely and actively opposes assisted suicide and euthanasia (erroneously lumping these together). I would be interested if this reﬂects the attitude of the majority of CMA members. There should be a poll of physicians with the next annual fee payment, and then a revisit of this issue.

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Dr. Kelly Silverthorn has been a columnist with this magazine since its inception, writing about all things automotive—from taking turns in Targa Tasmania (see page 34) and the legendary Nürburgring to cruising the backroads of Scotland (photo below). An avid traveller, he’s also giving us the low-down on Grand Cayman’s fab food scene (page 6). Next up? New Zealand (again!), South America, Turkey… “Have car, will travel,” could be his motto, although he tells us that it’s “Life is not a dress rehearsal.” Indeed. And, given that, he wants to spend less of life in scrubs and more of it on the road. Know a radiologist looking to job share in BC’s gorgeous interior? Reach us at feedback@inprintpublications.com and we’ll pass your info on. Maybe he’ll share his wheels too… Foods, Kitchener, ON

istrators more effectively

The gadget or gear I could not do without: My overhead compartmentready race gear…helmet, HANS, ﬁre suit, cool suit, undervest, etc.

My biggest challenge: Healthcare administrators from afar with nefarious agendas

Off call, you’ll find me…: …at home awaiting another “I need a CT” call. At home, you’ll find me…: …walking the dogs with my wife, and catching up on paper, endless paper. My car: Summer, Honda S2000 roadster; winter, Subaru Legacy Wagon Favourite “toy”: Any arrive-and-drive race car My last purchase: A shirt, no doubt. I can’t stop myself. My last splurge: Kenya trip Most-frequented store: Nordstrom’s Rack I have too many: Shirts My fridge is always stocked with: Diet Coke…so I guess that is another weakness. My name: Kelly Silverthorn

radiology, that really made me give it a closer look.

I live and practise in: Nelson, BC, solo radiology practice at Kootenay Lake Hospital

My last trip: Wildlife Safari to Kenya (Masai Mara, Lewa, Mugie)

My degrees and training: MD, U West Ont ’83, FRCP Diag Radiology U of Sask ’89 Why I was drawn to medicine and my specialty: Multi-system and multi-modality keeps things fresh. My uberbright roommate was being recruited by multiple residency programs half way through medical school. When he chose

The best souvenir I’ve brought back from a trip: Targa Finisher Plates from Newfoundland, New Zealand, and Tasmania… fortunately they stack well. [See Dr. Silverthorn’s story on Targa Tassie on page 34.] A favourite place that I keep returning to: NZ, ﬁve trips so far My ultimate dream vacation: Heading off to new-to-us parts of the

JUST FOR CANADIAN DOCTORS WINTER 2013

world with my wife… Greece/Turkey, Scandinavia, South America are all on our “to do” list. My favourite book: Milton Friedman’s Capitalism and Freedom My favourite film: American Beauty…exploring the insigniﬁcance of life that I think every middle-aged male fears. Must-see TV: Every Formula One race…even found a way to catch Korean race from the wilds of Kenya. My first job: Grocery Stocker at Dutch Boy

Guilty pleasure: Shirts, Diet Coke, Targa racing. My favourite exercise/ sports activity: Crosscountry skiing in winter; road biking in summer. Sport I love to watch vs do: MotoGP or World SuperBike Celebrity crush: 007 (says my wife) My secret to relaxing: Is yet to be discovered. I’d want this item with me if stranded on a desert island: Diet Coke A talent I wish I had: Tuning out healthcare admin-

One thing I’d change about myself: Greater mindfulness, greater playfulness The word that best describes me: Busy or efﬁcient (says my wife) I’m inspired by: My two sons as they take on adulthood…and a school full of AIDS orphans we visited in Kenya. My biggest ego boost: That colleagues actually read and remember the columns I’ve written in this magazine. My biggest ego blow: No doubt delivered by some Health Care administrator with a serious personality disorder. I’m happiest when: Finding the right balance between work and play, with sunny weather dayafter-day. My greatest fear: Working full time too long, and then dying in the ﬁrst six months of retirement. So, I’m beginning the search now for the right radiologist to job share with. My motto: Life is not a dress rehearsal. A favourite cause: Western Canada hosting a world-class Targa event. On my must-do list: Compete in La Carrera Panamericana (also to drive a F1 car of some era, 1960s would be great). If I wasn’t a doctor I’d be: A struggling motorsport driver/team manager

PHOTOS COURTESY DR. KELLY SILVERTHORN

S M A L L TA L K

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7-Night Canada and New England-Montreal to Boston 21 AMA PRA Category 1 Credit(s)™ 21 Contact Hours 14-Night Far East Discovery-Singapore to Hong Kong Holland America's ms Maasdam Holland America's ms Volendam

May 24, 2013 Infectious Disease Review 7-Night Spain and France from Southampton, England Royal Caribbean's Adventure of the Seas June 3, 2013 Pediatrics: Autism, ADHD, and other Behavior Disorders 11-Night British Isles from Harwich, England Celebrity Cruises' Infinity June 30, 2013 Primary Care: Addressing Issues of Aging Patients 9-Night Scandinavia and Russia from Copenhagen, Denmark Norwegian Cruise Line's Star July 9, 2013 Dermatology for the PCP 10-Night Eastern Mediterranean Rome to Venice, Italy Celebrity Cruises' Silhouette July 9, 2013 Emergency Medicine Review 7-Night Baltic Sea with overnight in St. Petersburg, Russia Seabourn’s Sojourn July 19, 2013 Mass Casualty and Disaster Management 8-Night Eastern Mediterranean from Venice, Italy Royal Caribbean's Splendour of the Seas

Selected Cruises listed here See a Complete Program Listing at www.ContinuingEducation.NET Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation: Continuing Education, Inc. designates these live educational activities for a maximum of 14-21 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

August 7, 2013 Primary Care: Allergy and Immunology 10-Night British Isles from Copenhagen, Denmark Royal Caribbean's Vision of the Seas August 9, 2013 Primary Care Update: Cardiac Health, Metabolic Syndrome, Obesity and Related Disorders 12-Night Western Mediterranean from Barcelona, Spain Celebrity Cruises' Equinox August 11, 2013 Infectious Disease Review 7-Night Bermuda from Cape Bayonne, New Jersey Celebrity Cruises' Summit August 15, 2013 Primary Care: Nutrition and Lifestyle Review 11-Night Ancient Mysteries Cruise Conference Athens Holland America's ms Noordam September 3, 2013 Evidence-Based Medicine Conference and Workshop 12-Night Mediterranean Barcelona, Spain to Venice, Italy Princess Cruises' New Royal Princess October 6, 2013 Family Medicine: Women's Health 10-Night Mediterranean Barcelona, Spain to Athens, Greece Seabourn's Quest

Ask about our Guest Travels Free Program We can plan or joint sponsor/accredit your next meeting Call 800-422-0711 or

727-526-1571

or visit www.ContinuingEducation.NET Our in-house travel division can handle your personal travel needs Florida Seller of Travel Reg. #14337