SPRING 2011 by Just For Canadian Doctors

spring 2011

DOCTORS life + leisure

the many tastes of

toronto

win

beer, bratwursts + beauty in

a VISA gift card!

germany

page 37

+ texas blooms + going ELECTRONIC + build your NEST EGG + cardiff calling + wines of ITALY

Publications Mail Agreement #41073506

inside: Continuing Medical Education Calendar where will you meet?

cardiff

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1-87 7-999-17 17 • www.marlintravel.ca Cruise Lines reserve the right to re-instate the fuel supplement for all guests at up to $11 cad per person (amount varies per cruise line), per day if the NYMEX oil price exceeds $70 USD per barrel even if the fare has already been paid in full. For Quebec enquiries, please call or visit our sister brand, Club Voyages at 1-866-777-0608 or www.clubvoyages.com. Prices are cruise only unless otherwise stated, per person based on double occupancy in Canadian or US dollars as stated for specific cabin categories and sailings and are subject to availability and change at time of booking. Quoted savings are based on published brochure rates. All savings are reflected in advertised pricing. Some cruise lines sailings are based on US pricing, using currency Canadian exchange rate. Exchange rate subject to change. Airfare (unless stated), transfers and fuel supplement are additional. Government fees and taxes are additional unless stated. Bonus offers apply to new bookings only, are not combinable with any other offer, are capacity controlled and may be withdraw at any time. Ships’ Registry: Bermuda (Princess Cruises), The Netherlands (Holland America Line), Marshall Islands (Oceania Cruises), The Bahamas (Crystsl Cruises). All advertised pricing was available at time of print deadline and is subject to change without notice. *New Fall Fares apply to new bookings only as of 1/20/11. 2 for 1 Fares based on 50% of the published full brochure fares for the first two full-fare guests in a stateroom and do not include port, security and handling charges of $480 usd per person (Crystal Cruises only) which vary by departure. **Free Airfare promotion does not include ground transfers and applies to economy, round trip flights only from the Canadian gateways stated above and includes airline fees, surcharges and government taxes. ***$2,000 per couple “All-Inclusive. As You Wish.” onboard spending credit is not redeemable for cash and cannot be used in the casino for bingo or toward future cruise booking deposits. Other conditions may apply to advertised product. Please consult with your Marlin Travel advisor or respective cruise line brochures for full booking details. Marlin Travel is not responsible for errors or information that may occur as a result of transfer of information from selected third parties, technical or human error. ®TM Trademarks of AIR MILES International Trading B.V. Used under license by LoyaltyOne, Inc, and Transat Distribution Canada Inc. Marlin Travel is a division of Transat Distribution Canada Inc. Head Office: 191 The West Mall, Suite 700, Etobicoke ON M9C 5K8. ON Reg. #50015084, BC Reg. #23567.

J u stfor C

DOCTORS life + leisure

contents

spring 2011

Editor and Art Director Barb Sligl Editorial Assistant Adam Flint

Contributors Cover photo

Dr. Holly Fong Janet Gyenes Tiffany Jarva Tim Johnson Dr. Chris Pengilly Dr. Neil Pollock Manfred Purtzki Dr. Kelly Silverthorn Corey Van’t Haaff www.torontowide.com

Senior Account Executive Monique Mori

Account Executive Lily Yu

Sales, Classifieds and Advertising In Print Circulation Office 710 – 938 Howe St. Vancouver, BC V6Z 1N9 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com

Associate Publisher Linh T. Huynh

Production Manager Ninh Hoang

Circulation Fulfillment Alison Mulvey

CME Development Adam Flint

Founding Publisher Denise Heaton

clockwise from top left: Ontario Tourism; B. Sligl; www.torontowide.com

Just For Canadian Doctors is published 4 times a year by In Print Publications and distributed to Canadian physicians. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications. In Print Publications 710 – 938 Howe St. Vancouver, BC V6Z 1N9 Canada

15 11 FEATURES

11 a Teutonic tour Go east in Germany 15 taste Toronto There’s plenty of diversity on the plate COLUMNS

DEPARTMENTS

8 motoring

5 spring mix

Motorcycle mayhem

23 CME calendar

9 doctor on a soapbox

31 employment opportunities

Electronic medical record

14 the wealthy doctor

36 classifieds

37 sudoku

Retirement funding shortfall

18 techworks

38 small talk

Vscan

with Dr. Matthew Simmonds

34 the wine doctor

www.justforcanadiandoctors.com Printed in Canada.

miss an issue? check out our website!

Part 2: Italian wine 101

35 the food doctor

Luscious linguine

cover photo: Toronto: cosmopolitan, ethnic and a mecca for fabulous fare. It’s also home to the annual Luminato Festival. This piece, The Ascension of Beauty by Canadian knitwear designer Mark Fast (in partnership with Lancôme), was the free landmark installation at Brookfield Place during the 2010 festival. See page 15 for what’s happening this year.

Spring 2011 Just For Canadian Doctors

from the editor

In case spring of cancer fling Inform firefighters of their rights The Workers Compensation Act recognizes nine occupational diseases as being causally related to the profession of firefighting. If a firefighter develops a cancer listed in the Firefighters’ Occupational Disease Regulation — and has worked as a firefighter for the minimum cumulative period and has been regularly exposed to the hazards of a fire scene other than a forest fire — the diagnosed cancer is presumed to be caused by the worker’s employment. A compensation claim would then be covered by WorkSafeBC, unless the contrary was proven. If you have a patient who is diagnosed with one of the nine cancers, please inform your patient of his or her potential entitlement to workers’ compensation coverage.

For questions, please call WorkSafeBC at 604 279-8158.

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he buds are out and things are blooming…in some places more than others—on the west coast, we’ve already seen a smattering of pink on the cherry trees, and in Texas the bluebonnets are sprouting up everywhere, along roadsides and fields for a touch of that Texas blue (page 5). In Germany, things are also fresh and green, especially in the Green Belt, a bucolic strip of land that’s been innovatively and inspirationally reimagined—from former Iron Curtain to nature preserve. The chestnut and linden trees are also blooming; find a seat under one in the ubiquitous German beer garden while sampling some fine brew. A spring visit to the culturally rich eastern end of Germany is a bit of a step back into a volatile and vibrant history and a glimpse of the fastgrowing new generation of German verve (see page 11). Elsewhere, it may be a while yet for spring to start. Like in Toronto. So get started with a bit of a food fest. The many tastes of Toronto are waiting to be sampled, from curry in Little India to scrumptious brunch in Leslieville. And some fine dining spots are garnering buzz. So, make it breakfast, lunch and dinner. (See page 15.) After all that noshing, take in the cultural vibrancy of Canada’s most cosmopolitan city. Coming up in June is the Luminato festival, showcasing art (and food!) around the city (like the The Ascension of Beauty installation on our cover). Get inspired! Spring is about renewal and that’s certainly on the plate—from Toronto to the Teutonic towns of eastern Germany. And a big thank you to all those who requested a subscription (you still can; just go to justforcanadiandoctors.com). The subscription contest winner is Dr. Gillian Arsenault, Abbotsford, BC. Please keep your feedback, story ideas and subscription requests coming! Barb Sligl, BA, MPub feedback@InPrintPublications.com

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what/when/where > spring

Texas

Blue

mix

getaway

Bluebonnets, blue jeans and Blue Bell ice cream… It’s spring in Brenham!

tiffany jarva

Vehicles are pulled over on the side of the road. People stream out and run into the fields to be photographed in a sea of bluebonnets. “Nothing like bluebonnets in spring,” a tough-looking cowboy-of-a-man gushes about the state’s wildflower. Brenham, Texas, is about an hour’s drive west of Houston, and about mid-way to Austin. Part of Washington County, where the 1836 Texas Declaration of Independence was signed, Brenham has some of the best bluebonnet viewings in the state. >> Spring 2011 Just For Canadian Doctors

spring

friendly fare

>> The pride of many a Texan, the bluebonnet, Lupinus subcarnosus, was declared get- the state flower in 1901, after successful lobbying by the National Society of Colonial away Dames of America. In 1971, four other species of bluebonnets were made official, including Lupinus texensis, often the favourite of tourists and artists. It typically hits its peak in late March and early April, covering many a field in Washington County. Many return each spring for their bluebonnet fix and annual photo. Outside of Brenham in nearby Belleville, Longhorns graze in fields on a working ranch where I’m quickly realizing that I’m a timid cowgirl, even after a thorough mounting lesson from John Elick, owner of Texas Ranch Life. “If you have no experience, don’t worry,” reassures Elick, clad in a pair of blue jeans with a red bandana wrapped around his neck. “Most riders who say they are experienced, really aren’t,” he chuckles. “So we treat everyone as though they have no experience.” This calms me a little. I’m surprised by how nervous I am. When packing for this trip, I searched storage bins for a pair of old cowboy boots trendy in the early 90s; I envisioned myself on a horse, confident and smiling, like Dale Evans. Instead I gingerly practice leading my horse slowly around a closed-in arena, making kissing sounds over and over again to get my horse to go and using my heels and a very low and calm whoa to stop. After encouragement from Elick and some time in the arena, I finally start to feel more confident and relaxed. We head out for a pasture ride, riding amongst the cows, trees and open Texas sky, different and much more enjoyable than the head-to-tail rides that I’ve done in the past. It’s hard not to feel a little more like a cowgirl, after the ride and an earlier retreat in the restored “lodge” building, where The Log of a Cowboy by Andy Adams joins other ranch and cowboy-themed books in my room. And where in the dining area, a Longhorn on the wall watches as I move from window to window, gazing at the open fields. When I tell a friend of mine originally from Austin that I’m going to Brenham, the first thing out of her mouth is: “You HAVE to try Blue Bell Ice Cream.” So here I am: at the famed Blue Bell Creameries factory, established in 1907 and, impressively, the third largest-selling ice cream company in the U.S. All samples are very tasty, but my favourite (and their bestseller) is the Homemade Vanilla. It’s rich and creamy, reminiscent of days past. I see now why some people from out-of-state have it couriered to them (and we can’t get it in Canada). “It’s a real treat,” says CEO Paul Kruse, the fourth Kruse to manage the company over a span of 90 years. “I’m in this business because ice-cream is fun.” —Tiffany Jarva Where to Stay 1 Texas Ranch Life, Bellville; texasranchlife.com An 1800-acre working quest ranch in nearby Bellville is home to American bison, quarter horses and one of the country’s largest herds of Texas Longhorns. Specializing in corporate retreats, stay in one of eight restored historic Texas homes and choose from a variety of cowboy experiences, from fishing to cattle roundups. 2 Ant Street Inn, Brenham; antstreetinn.com In the heart of Brenham, Ant Street Inn is a Renaissance Revival-style historical building. Each room is uniquely decorated, such as the Galveston Room with its large stained glass window, canopied queen-sized bed and carved footboard, antique desk and games table. Individual servings of Blue Bell Ice Cream are stocked in the hallway freezer if you encounter any late-night cravings. 3 Outpost at Cedar Creek, Round Top; outpostinn.com An 1880s restored German farm, Outpost is a B&B that has turned recycling, restoring and antiquing into a whimsical artistic endeavour. A popular place to stay during the Round Top Antiques Fair, which attracts thousands of dealers and buyers during the first weeks of April and October, so make sure you book well in advance. MORE For information on Brenham and Washington County, visit brenhamtexas.com.

oceanwise:

good on the plate, good for the planet Pan-Roasted Northern Shrimp with Lime Butter. Tilapia in Tomato, Onion, and Coconut Curry. Pickerel with Pistachio Butter Sauce. Oh, and Salmon Burgers (and a 911 Canned Salmon Party Platter). These are just some of the dishes in the tasty tome (with plenty of mouthwatering photos) The Ocean Wise Cookbook—Seafood Recipes that are Good for the Planet. And some of the contributing chefs from across Canada: Jamie Kennedy, Rob Feenie, Vikram Vij. and Michael Smith. Ocean Wise is a conservation program across Canada created by the Vancouver Aquarium to educate restaurants and consumers about sustainable seafood. It’s about making ocean-friendly choices easier— whether that be caviar or the old standby of cod and chips. Ocean Wise now has over 200 affiliated partners—restaurants, markets and suppliers. And now you, at home. As the cookbook points out, simple is often best, especially with Ocean Wise ingredients—like the classic combo of lemon juice, salt and pepper, butter, shallots and go-to herbs (chives, parsley, tarragon). But with this slew of recipes, consider your range diversified. Then go solo; there’s a table matching various flavours and seasonings. Arugula? Perfect with pickerel and prawns. Butternut squash? Try scallops. Mint? Mahi mahi, of course. For more on Ocean Wise: oceanwise.ca. For more on the cookbook and where to purchase: whitecap.ca. — B.Sligl

photos: tiffany jarva

bluebonnets, blue jeans and Blue Bell ice cream…

mix

time management

spring

mix

accessory | watch it

dress your wrist stow + GO Travelling takes a toll on the chicest of jetsetters. Those in the know bring their favourite fragrances along must- for inflight freshening. But, instead of dealing have with wayward spritzing, there’s the far-simpler roll-on option—portable rollerball vials of Kiehl’s that meet security carry-on restrictions. Choose from Kiehl’s most popular essence oils—like the very first Musk 1921 (known as “love oil”) and coriander (our fave), grapefruit, vanilla and amber. The venerable New York City pharmacy has been using natural ingredients and botanicals in its musthave formulas for over 150 years now. Stick with the scent standard—and roll with it. kiehls.com. —B.S.

stowaway scent

Today’s modern man is likely better versed in the language of emoticons and apps than he is in morse code and weaponry. Or perhaps as a doctor, patient charts or labs. But even the most wired and busiest professional needs to keep track of time. So, why not do so with a proper timepiece, like the Infantry Vintage Gunmetal Chrono by style Swiss Army. It’s stylish enough to wear day in and out—in and out of the office—whether keeping track of the day’s appointments or trudging up Mount Kilimanjaro while on “vacation.” (We know you never really rest.) Plus, it’s waterresistant to 100 metres—perfect for heroic efforts like rescuing a kayaker from a raging river. (Yes, we know you do your share of that too.) Or, more likely, that unexpected dip in the hot tub. swissarmy. com — Janet Gyenes

and if you go for it … , rd a o bably a b y e infect. Pro n your k is o d p u d n h a c n p our lu a hygienic wipe u ust plate y o ne eded er easy to m h p u w u o s t e y s is ti if n ll, e rd a ad es on). Th off of? Wise flat, washable keyboip t quest from p his glov a e re e e t for k n n d e to a e m e c n im h you orr y. T serious rd ther equ llowed h w a a a o n t o s to a a a b t y th w o y b n e n , re d o k A arke erati thing ard is d the ea was sp kly realize mouse op spill some this keybo bled, quic ands-free ctant and happen to any office, but the id a h fe is r in d fo is e e d th ic a r v de in y fo with d-tracking omputer technolog good idea ick swipe tion (a hea c keys, a qu lu n in o a s g le e in C c liz h ffi it ia in-o . w, w spe c om —B.S office. No company, ealthcare leankeys.c h Canadian c e . d th e s in u s r ption e eve hygienic o cleanest one you’v e th ly b a b pro

Abacus Spring 2011 Just For Canadian Doctors

motoring

D r . k e l ly s i l v e r t h o r n

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

my own private TT Channeling the classic two-wheel race along the Isle of Man is exquisite fun and pain

“Well there isn’t much point lying here. Let’s find out if I can bear weight on that leg.” It takes 10 searing seconds to stand, but at least the prospect of spending four monotonous months in traction is put to bed.

fumblings. I hope that wasn’t the tow truck saying he was no longer coming. It starts to rain, hard, and I have no shelter. I realize I’ve been shaking for some time, with that posttraumatic adrenalin tremor we all recognize.

Just For Canadian Doctors Spring 2011

The wait gave me time tocontemplate my pro-active planof intentionally never carryingcollisioninsurance onmy motorcycles. Accordingtothe plan, financial pain will call intoquestionmy continuedriding. Somehow I hadexpectedthe precipitatingevent tobe adeer or errant gravel or aninattentive car driver. Alas, it was my ownrider error that was about totrigger $5 – 6,000 of preordainedpain. I was oddly slower toclue-inonalternative traumascenarios. What if insteadof my ample thighas nutcracker, motorcycle landingpillow, andfrictionmaterial, it hadbeenmy spine, thorax, abdoor skull? Christ, surely those scenarios wouldnot have endednearly so, so“well”? I guess that means I’mlucky tobe alive. I’ve dodgedabazooka. This epiphany is goingtomake my recovery attitude, andmissingmy TargaNewZealandcompetition, alittle easier. (My apologies againtoDuane, Steve, Peter, Terry, andRobby for affectingtheir NZplans as well.) By the time the tow truck driver arrives, I’m certainly leaning to putting my riding career on protracted hold. Perhaps even as I turn 50, I can’t trust myself to behave with sufficient prudence. A shame that something I love so much can be this dangerous. At least my long-suffering wife will be relieved. But yikes, my tow-truck driver proves tobe of the “get back onthe horse” persuasion. Andforcefully so! Over the ensuingweeks inmy small hometownI’masked hundreds of times, “What happenedtoyou?” I learntosay “motorcycles” andkeeplimpingright onby. Until I adopt that approachI’mgivenalot of uninvitedadvice. Several repeat the “get back onthe horse” message. Others impugnastrident “maybe nowyou will smarten upbefore endingupas anorgandonor.” Still others imply I must be feelingembarrassed… ”Toohappy beingalive,” I respondtothose. Interestingly, my fellowmotorcyclists are entirely non-judgmental andoffer noadvice onmy “to-ride or not-to-ride” dilemma. They all gothroughthe same internal conflictions regularly. Eachof us knowthere is no right or wronganswer. It is the unconditional acceptance fromother motorcyclists that is the best feature of our sharedaddiction. I have the long Canadian winter to heal, rehab, and decide whether to get back on that steel horse. The wounded cobalt-blue Triumph Daytona is for sale, cheap. Some time away from bikes will be taken. Never say never, though. Riding the real Isle of Man TT course has not yet been checked off my bucket list.

from top: Grant Matthews; Jonathan Camp

I’m serious about getting my (full-face) helmet off so I can inspect my now-electrified hip. I realize the visor is actually fine. It is my left thumb that is busted. I wrestle my helmet off one-handed. My thigh is a mess. The riding suit is in shreds, including the oval disc of Kevlar armour that I credit with saving my hip from fracture… Abrasions, even macerations galore, are visible, but thankfully no arterial pumpers. Voices. I hear voices. I jerk my head up to It all happenedsoooofast. I’dbeenonmy last ride from take in a surreal zombie movie scene. There agreat year plyingmy ownversionof anIsle of Man are no nearby houses, but people are movTT motorcycle style course. Headingdowntight and ing towards me from multiple directions— twisty “PumpHill,” I’dmanagedtoapply toomuchrear some even carrying garden tools. Though the woman is a good 150 yards away, The landscape of the Isle of Man (in the Irish Sea between the UK and Ireland) and I can hear, “He’s standing the barely visible ribbon of road that winds across the charming island and serves as now.” I deduce the accident a race course. It looks idyllic, but these rolling hills, and a sudden twist and turn, can must have been louder spell disaster. It’s what the Isle of Man TT race is all about... than I thought, as I don’t remember screaming. She proceeds in more muted conversation with the 911 operator. I shout towards her, “I’m fine, but I’ll need a tow truck.” “My husband is going to come up and see you,” she replies, both ignoring my request, and committing her man to action, all in a brake while entering few efficient words. Married for some time aleft turn. That then, I infer. wheel locks and slithers tomy right. I’mnot inleadershipmode, soit’s Dave, the husband, that suggests we invert my Triumphoff the guardrail Uponreflexively ontoits wheels. Goodidea, but I’mnot ahuge helpwith releasingthe rear just one useful hand. The bike won’t start, but I wasn’t brake, tractionis suddenly rejoined goingtoride one-handedevenif it did. I arrange for a towtruck by cell phone andthank Dave for his help. He andI’mviolently high-sidedoff offers tostay until the truck comes, but I assure himI’ll the bike tothe right. My short flight ends withmy hip be fine. impaledatopthe guardrail. I still needtodropinonDave andbetter express my Meanwhile, my 400-poundtrusty steedcartwheels appreciationtohimandhis wife. andarrives tank-first fractionally later, tattooingmy hip tothe guardrail. Inthis configurationwe literally scrub The tow truck seems to take an awfully long off, courtesy of my thigh, the remaining40-plus kphof time to arrive. I leave the left glove on, thinkdownhill momentumthat 600 pounds carries. Adrenalin ing it may tamponade the impressive swellthenquickly wills me out fromunder the hot exhaust ing underway. My cell phone goes off, but I pipe andleakingfuel tank. manage to lose the call in my one-handed mmediately after the crash, eerie silence. I am supine in the brambles, gazing up at the grey sky, and thinking…“Well, at least everything above the waist seems okay. Surely, I’ve shattered my pelvis and femur, though. That was such a HUGE hit.” I notice that I’m hyperventilating. And I really want my helmet visor up. One try, two tries, three tries with the visor… “I must have broken it too.”

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.

going electronic Bring the electronic medical record to your office

• • • • • •

• A reliable facility for follow-up and recall visits • Ability to complete and print test requisition forms • Ability to fill in demographic and clinical information in referral letters • Complete clinical summaries for hospital admissions • Ability to enter the entire patient medical record onto a CD for the transfer of records and for a patient to take when traveling Additional facilities could also include: • Drug interaction calculators • Graphing as, for example, in pediatric growth charts

My experience is that the electronic record will neither save nor cost the physician time, but it does result in a much better, safer and more satisfying delivery of care. When a patient requires a refill of several prescriptions, each one can be reviewed and renewed with two clicks of the mouse. Every day I still appreciate being able to find the laboratory results that can be sorted into each individual tests displayed chronologically. “When did we last test your TSH?” is now a matter of moments, and not a scramble through sheets and sheets of laboratory results. A concern I have had expressed to me is about how to actually enter the data into the record. There are three alternatives: keyboarding the data in yourself, hiring a stenographer or using voice recognition. Not many physicians have a typing speed that would make this first option practical. Employing a stenographer is easier, but there is a delay between the patient being seen and the record being completed. It also is a significant expense. Voice recognition is not perfect but does give acceptable results. If you do go this route then I advise strongly to get the professional medical program. It is tempting to think that the $200 retail version will suffice “because I use only a few medical terms.” In fact, you will be Live data entry into the electronic record. surprised at how many medical terms you Live downloading and filing of laboratory results do use. Also, the professional medical voice Direct electronic filing of faxed documents recognition program uses a different syntax. Facility for easy scanning and electronic filing of paper Even at $1,600 the program will pay for itself documents in a couple of months. Writing and maintaining prescriptions, with shortcuts to More practical and useful details can be each physician’s favourite medications found on my website at drpeng.ca, where Live electronic communication between the physicians your comments concerning experiences with the EMR can be posted. in a group and the medical office staff

Rush Hour

In 1966, Butterfield & Robinson pioneered a new way to see places like Burgundy: biking on quiet lanes from one luxe hotel to another. Today, we bike and walk in style all over the planet. As we always say: “Slow down to see the world.” But first, hurry up and book now. Our 2011 trips are filling up quickly.

BIKING | WALKING SELF-GUIDED | CUSTOM

PHOTO: burgundy biking | 6 days, 5 nigHTs | us$5,795 Per PersOn

ince converting to the electronic medical record I guess I have the zeal of the convert. I am surprised at the reluctance and tardiness of 75% of physicians in Canada who are not adopting this facility. According to the results of the 2007 National Physician Survey (NPS), only 12.3% of Canadian FPs and GPs use EMRs exclusively. Another 20% are tinkering with some parts of an electronic record. I think that there are a few misapprehensions deterring many physicians from jumping on board. The biggest and probably most daunting is the thought of transferring the vast amount of information from the paper chart into the electronic record. The way around this is to use a hybrid of the paper chart and the electronic chart and allowing a two to five year transition period for the transfer of the data. If the paper chart was satisfactorily maintained there should be a patient summary sheet that could be transposed relatively easily. Dealing with two records each day would come to 10 in a week, 40 in a month and about 500 in one year. Some records will need little data transferred, as in the case of babies and children, and others would be a redundant waste, as in the very frail elderly who will likely die in the next year or two. Another deterrent is cost. There will certainly be an upfront outlay but the electronic medical record will reduce one of the major expenses of running an office—staff salaries. Our group of four family doctors runs very well with 2½ staff, even without having to hire holiday relief. This is a significant saving in overhead costs. Maybe not enough to pay for the entire EMR, but certainly softens the blow. There are quite a variety of EMRs available but they all should able to deliver:

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Spring 2011 Just For Canadian Doctors

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Go east.

travel the world

Past a long-gone border in Germany there’s plenty of old and renewed beauty to behold.

h, the beer you can drink in Germany. Every town seems to have its own brew, be it a pale and delightfully bitter pilsner or a dark and malty sweet Schwarzbier. And accordingly, upon arrival in the tiny town of Geisa, just past the former border that once divided East and West Germany, the perfect accompaniment to lunch is a natural, unfiltered local pilsner. Wunderbar! And sampling beer from here into the heart of the now long-united Germany (it’s been over 20 years since the fall of the Iron Curtain) is no difficult task—it goes down very easily, thank you. There’s the brew served in an old-school ceramic mug (think medieval era; without a flat bottom, you must down it or spill it) and the yummy and chewy Schwarzbier or “black beer,” in Erfurt (traditionally served in a tulip-shaped or fluted glass). But besides the bounty in brew (there is a Saxon German saying that a man without a beer belly is a cripple…), visiting these somewhat off-the-beaten-path places (at least tourist-wise comparatively) offers a hearty sampling of some extraordinary history and culture—beyond the beer (and alongside it).

Iron curtain. After that first pilsner

in Geisa, it’s a short drive to Point Alpha. A sobering spot, this now pastoral-looking piece of greenery was once the hotspot during the Cold War. This is where, after World War II, the US Army was stationed watching over the Fulda Gap for an attack from the USSR. And it’s where the Soviets put up an almost impenetrable fence—literally an “iron curtain”—1.5 metres into the ground to prevent digging, electrified and booby trapped to prevent climbing, and armed at one time with automatic firing devices and surrounded with mines. Thousands of people died trying to cross this fence. A small but significant museum here displays the disturbing details, and a wooden cross commemorates one of the last young men to perish while crossing. Now, what was once no-man’s land—1,400 km across Germany—has been revived as Vom Todesstreifen zur Lebenslinie (From Death Strip to Life Line) or the Green Belt, a long stretch of trails and nature preserve. As local guide Monika Held says, “Where there was danger

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Barb Sligl

for 40 years, where people suffered and died, has changed to a line of the living.”

Eisenach. Continue east and you’ll reach the birthplace of Bach. The town of Eisenach was also home to Martin Luther, who went to Latin school here. Wagner was inspired by the surroundings here to write his operas, and frequent visitor Goethe said, “The area is simply magnificent.” Oh, and you can stay in the same hotel (200 years old now) as Tolstoy once did. The town, founded in the 12th century, became known as a “nest of priests” with its seven monasteries (monks made up 10% of the

Grenada’s bounty at one of the island’s spice processing factories. Nutmeg is the Spice Island’s prize product, seen here its lacy red coating of mace. Spring with asparagus

Sturzbecher

at Erfurt market

Rhubarb at Erfurt market

Schwarzbier Spring 2011 Just For Canadian Doctors

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Erfurt. Out of the forest and eastwards is the city of Erfurt. A historical and architectural gem known as the City of Steeples, only five percent of its buildings were lost in World War II. The Cathedral of St. Mary and Church of St. Severus stand side-by-side over the old town and marketplace. And, rare in Germany, Erfurt has also retained an intact 900-yearold synagogue, the oldest in Central Europe. Napoleon once met the Tsar of Russia here, and, of course, Luther lived at the Augustinian monastery in the centre of town. He would have walked down the still-standing and -thriving medieval-era merchant bridge, Krämerbrüke, with 32 buildings stacked along it, making it the longest inhabited bridge in Europe. Named for a bean (the Puffbohne, and if you’re from Erfurt, that’s what you’re called), Erfurt is the place to try some of that classic German fare—wild garlic soup, white asparagus (a spring specialty), Sauerbraten, Spätzle, schnitzel and potato dumplings. The daily market offers fresh seasonal produce (in spring look for that asparagus and rosy rhubarb) and the air is tinged with the smoky scent of succulent sausages. This is no low-brow fast food, rostbratwurst (barbecued sausage) is enjoyed by the coiffed and well-dressed as well as the student set. And there’s more than bratwurst. Try marzipanand-pistachio or pomegranate-and-balsamic chocolates at Goldhelm (Golden Helmet) Schokolade…But don’t miss out on that other stand-by—this is where you should sample Köstritzer, a delicious dark Schwarzbier. 12

Weimar. On to Weimar, known for the

Weimar Republic, as well as the Weimaraner (the sleek-looking dogs were actually banned during Communist Rule as a sign of decadence and capitalism). Long a seat of nobility, it’s morphed to see a number of different movements and historical figures. In the late 1700s, Anna Amalia, Princess of then Prussia, lived here and collected a vast amount of literature that is now the Anna Amalia Library. The town has been home to artists and musicians; Liszt (the town is celebrating the “Liszt Year” throughout 2011 for his 200th anniversary), Goethe and Schiller all lived here, and this is where the Bauhaus school of art and design originated. And the pretty town was also the stomping grounds for Hitler. He loved the town and visited it some 40 times, staying at the famous (and still running) Hotel Elephant. He even built a balcony off of the hotel’s facade so that he could stand overlooking the town square to see and be seen. Hitler also installed Gestapo headquarters in the old Ducal stable buildings here. Today, everything related to the Gestapo has been ground up and preserved in the courtyard in a project called Zermahlene Geschichte or “Crushing History.” Nearby is the Buchenwald concentration camp, another tragic part of this area’s past. But with a growing population—the only city in the former East Germany with more people now living here than before the wall fell, including 6,000 students studying at the Bauhaus University and other design schools—the town is newly vibrant.

Leipzig. Farther east to the city that,

before the Iron Curtain fell, was the country’s centre of trade. Named for the linden tree (the gorgeous, gargantuan trees are everywhere in Germany, especially overlooking beer gardens, along with chestnuts), Leipzig was where the peaceful protests and revolution began to end Soviet rule. “I saw Leipzig coming down,” says long-time resident and guide Birgit Scheffel, “I can see it coming up.” The old Stasi building (headquarters for the Secret Police) is now a museum documenting the surreal details and methods used to spy on virtually every citizen in the former East Germany—from scanning schoolchildren’s essays to outrageous disguises for spies. But, again, Leipzig’s history goes far beyond Communist rule. The 1,000-year-old town has long attracted musicians and artists. They’d meet at the oldest coffee house in Germany, and third-oldest in Europe, Coffe Baum (since 1711). And it’s still hopping. The Museum of Fine Arts holds one of the oldest and foremost collections of German art—from Cranach to the New Leipzig

Just For Canadian Doctors Spring 2011

School—and is a centre for contemporary art, showcasing current internationally renowned artists like local Neo Rauch (Brad Pitt owns his work). The Oper Leipzig building, built just 50 years ago during the Communist regime, was recently refurbished to showcase its minimalism—one of the few positive things to come out of that era. Leipzig’s musical heritage, of course, stems much farther back: Mendelssohn founded the oldest music academy here, and Bach worked and lived here for almost 30 years and is buried at the towering Church of St. Thomas. And the Gewandhausorchester, the oldest symphony orchestra in the world, is also based in Leipzig. And this is where Goethe was inspired to write his most famous piece of work, Faust. The wine cellar where Mephistopheles takes Faust is based on Auerbachs Keller, Goethe’s favourite bar and probably the best-known and second-oldest restaurant in Leipzig.

Meissen. For even more culture and artistic inspiration, there’s yet another fairyland-like town with red-tiled roofs and twisting cobblestone streets steeply climbing to an imposing castle and Gothic cathedral that overlook it all. Meissen is known as the “cradle of European porcelain.” The crossedsword trademark has graced its fine china— known as “white gold”—for 300 years now, since 1710 when August the Strong, King of Saxon, began the operation. It’s the oldest porcelain factory in Europe, and probably the only one to have been run out of a castle. Albrechtsburg Castle was an empty edifice (due to the obscure and arcane politics of the noble class) until it became the centre of production for Meissen porcelain. The town itself also boasts more than a 1,000 years of history as the “cradle” of Saxony. Napoleon was a guest here; he stayed in a hotel off of the main square en route to battle. Apparently he lost, and the loss was blamed on his accommodations in Meissen. But this rich merchant town didn’t seem to suffer any adverse effects…until Communism, of course. But, again, the town—and the former East Germany—has shown that it has far outlasted two dictatorships in the 20th century. Here’s to the 21st. Prost!

+ if you go

population), and Luther translated the New Testament in 10 weeks while in hiding at Wartburg Castle nearby. To channel a little of the founder of Lutheranism, you can sample a traditional “Luther” meal (potato soup, sausage and meat skewers) as well as brew in that medieval mug (Sturzbecher) and even mead in a horn, if you’re willing. An annual Luther festival takes place in August, growing each year in celebration of the “Luther Decade,” leading up to the 500-year anniversary of the Reformation in 2017. And to really get up close with the Luther legacy, there’s Wartburg Castle. The UNESCO World Heritage site has hosted many historic figures, including St. Elizabeth, Luther and Goethe, and it was the inspiration for Wagner’s opera Tannhäuser. Here you can see the room (Lutherstube) that Luther was quite literally holed-up in during 1521, with a writing desk and a whale-vertebrae stool (the only remaining original item from that time). Sitting high atop the Thuringian woods (the largest contiguous forest in Germany), the castle has strategic and sweeping 360-degree views.

MORE For more info on planning a trip to Germany, go to: cometogermany.com. To discover the “heart” of Germany in the Thuringian region, including Eisenach, Erfurt and Weimar, go to thuringia-tourism.com. To explore the Saxon soul of Germany, including Leipzig and Meissen, go to saxonytourism. com. To get to Germany, Lufthansa has plenty of direct flights from major cities in Canada to Frankfurt and beyond: lufthansa.com.

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above, from left

The Stasi Museum in Leipzig; Wartburg Castle near Eisenach; mural in the Bauhaus School in Weimar.

above, from left

The Luther Room in Wartburg Castle; Trails on the Green Belt by the Fulda Gap; Coffe Baum in Leipzig.

above, from left

Flowering chestnut tree in Weimar; The red-tiled roofs of Meissen; Goldhelm Schokolade chocolates in Erfurt. Spring 2011 Just For Canadian Doctors

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

the retirement funding shortfall How to avoid the painful realization—too late—of a disappointing nest egg

enerations of investors have followed the timeless financial advice dispensed by Samuel Clason in his 1926 book The Richest Man in Babylon. According to Clason, it is easy to get rich: “Live frugally, save 10% of your income, and start early.” Yet doctors who followed this advice are disappointed, as their actual net worth falls far short of their retirement goal. Many doctors have come to the painful realization that this advice is far more risky than previously acknowledged. The reality is more like: “Save as much as you can and pray that your investments double in the last few years before retirement.” Consider the young doctor who asks his or her financial planner to determine the amount needed to accumulate $3

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million in 30 years by age 60. The financial planner enters the information in his or her calculator. Assuming a “reasonable” investment return of 8%, the financial planner calculates that investing $27,000 each year will provide the doctor with a comfortable $3-million nest egg. However, the financial planner did not warn the doctor that his or her savings will accumulate very slowly to $1.2 million in the first 20 years and that the investments made must keep growing at 8% each year for 10 years in order to generate the additional $1.8 million. The Rule of 72 tells you the number of years required for your investments to double at a certain rate of return. For instance, with an 8% return, the investment will double in 9 years. If the investment return drops from 8% to 2% in the final 10 years before the doctor’s retirement, then he or she will only have $1.8 million accumulated at age 60, which is $1.2 million short of the $3 million target. So where does this leave you? Here are a number of options:

44%, respectively). There are additional personal taxes to consider when drawing retirement income from the corporation, however, the tax benefit of corporate investments remains significant.

The reality is more like: “Save as much as you can and pray…”

1. Put your funds into higher yield investments. In your efforts to make up a shortfall prior to retirement, you may be forced to make a tough decision—that is, to balance the need to put your money into higher return, but riskier investments, with the desire to preserve the capital you have accumulated to date. 2. Use the medical corporation or holding company as your investment vehicle. Take advantage of the low corporate tax rate by investing all surplus funds in the corporation and only draw funds for personal and living expenses. If you invest $30,000 of your before tax income annually in the corporation for 30 years at an interest rate of 6%, the corporate investment will grow to $2 million. If you decide to invest the same income personally, then you only have $1.3 million of investments (assuming a corporate and personal tax rate of 14% and

Just For Canadian Doctors Spring 2011

3. Save more than the financial projections tell you. To protect yourself against a poor investment performance later on in your career, force yourself to save a bit more than the “Freedom 60” financial projection. For example, if the young physician invested $40,000 each year instead of the projected $27,000, he or she would have accumulated $2.7 million compared to $1.8 million at age 60. 4. Borrow money to invest. If you are confident that your financial advisor is consistently producing above average returns for your portfolio, “leveraging” will give your wealth-building efforts a big boost. If you take out a 3% mortgage on your house for $500,000 and invest it for 10 years at 8%, you will gain an extra $300,000 using the bank’s money. 5. Postpone retirement. When all available strategies fail to provide you with the funds required for a decent lifestyle during retirement, you can either postpone your retirement for a few years or work part-time to earn sufficient income to pay for your living expenses. Instead of spending more time on your investments and finding ways of getting better returns, many physicians are resigning themselves too soon to the fact that they have to work long past their retirement due date. It is easy to say at age 50, and thinking you are in the prime of your career and full of energy, that you don’t mind working an extra 15 years to age 65. But when you are approaching 60 and are more than ready to quit but face the necessity to practice for another 5 years, you will most likely regret not having paid more attention to your personal finances when you were 50.

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the many tastes of

Toronto

When you visit a city as diverse as this one, make sure to pack your knife and fork story by Tim Johnson

light it up!

For a creative apéritif or digestif to a tasty tour of Toronto take in the Luminato Festival. For 10 days in June, the city’s stages, streets, and public spaces are illuminated with arts and creativity. Now in its fifth year, Luminato is an annual multidisciplinary celebration of theatre, dance, music, literature, food (yes, the eating continues; save room for more culinary sampling), visual arts (like the stunning sculpture on our cover), fashion, film, and more. On the food front, don’t miss the President’s Choice® 1000 Tastes of Toronto™ food event. It takes place in Queen’s Park on the fest’s closing weekend, a feast for all the senses with gourmet fare prepared by the city’s finest chefs. Think street food at its best. Food or otherwise, Luminato is all about celebrating Toronto’s cultural diversity. And one of this year’s stand-out shows will be the stage adaptation of One Thousand and One Nights, a fusion of traditional and contemporary Arabic performance, music, and storytelling that imaginatively retells Shahrazad’s epic tales. Join other “Luminatics” for the 10-day party from June 10 – 19. luminato.com —B.S.

n undeniably dynamic metropolis, first-time visitors to Canada’s largest city often expect to find one big place, sprawling out north, east and west from the CN Tower and the shores of Lake Ontario. But once you start exploring Toronto, you begin to realize that this city is actually made up of dozens and dozens of distinctive neighbourhoods, often referred to as “villages.” It’s a place where you can completely change the vibe by walking a few blocks down the road, and you can travel across the world by simply crossing the street: Toronto is one of the most international cities on earth—more than 140 languages and dialects are spoken here, and half of Toronto’s residents were born outside of Canada—and this diversity creates a cultural richness in the shops, businesses and especially restaurants that line the streets. Here is a brief look at some of Toronto’s best neighbourhoods, explored with the help of some longtime city residents, who take us to their favourite neighbourhood restaurants.

Gerrard India Bazaar The largest South Asian marketplace in all of North America, this village, just a few square blocks in size, brings the tastes and smells of the subcontinent to Toronto’s east end, with more than 100 shops and restaurants offering everything from saris to silk paintings and cricket equipment. It’s a long way from Delhi and Mumbai, but a Saturday afternoon here can truly feel like a trip abroad. “I like the Lahore Tikka House because it feels like a micro-vacation from North America. The service is friendly and the customers are as ethnically diverse as Toronto itself,” says Reb Stevenson, a Torontonian who makes frequent international trips for work. The restaurant features Pakistani and North Indian cuisine, including mouth-watering kebabs and naan from their tandoor oven, and heaping rice sizzlers. “There’s not a whiff of pretension—all you can smell is the aromatic butter chicken, really” says Stevenson. Lahore Tikka House; 1365 Gerrard St. East; lahoretikkahouse.com

The Annex Just north of the downtown core and right next door to the University of Toronto, the Annex radiates intelligence and class. Its leafy residential streets are lined with Victorian and Edwardian homes, while its commercial heart along Bloor Street ranges from the cheesy blinking lights of the famous Honest Ed’s to many tiny bookshops, record stores, coffee shops and cool restaurants, plus the renowned Bloor Cinema (often known as just “The Bloor”), a film festival venue that screens art house movies and cult classics. “The Annex is always vibrant, always changing, the people are awesome, and there’s never a shortage of new and exciting flavours,” says Emily Harrison, who grew up in the neighbourhood. Although she points out that you can get everything from Latin American Spring 2011 Just For Canadian Doctors

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more bites

posh nosh If the tried-and-true local haunts are a bit too down-to-earth, Toronto has plenty to offer on the other end of the spectrum. Here are some hot-and-happening places on the food scene.

The scenes and tastes of Toronto, from Chinatown to Little Italy, and from big bowls of pho to classic brunch fare—or an exquisite ravioli dish by Executive Chef Anthony Walsh of Canoe Restaurant, high above downtown and a bit removed from it all.

Canoe Oliver & Bonacini’s flagship restaurant, Canoe (above)—on the 54th floor of the TD Bank Tower—reopened at the end of January following a reno that outfitted the sky-high space (with killer views of the lakeshore and the lights of downtown) with a sleek new look. And, of course, there’s the food…a sample dish from the new menu featuring regional Canadian cuisine: braised rabbit with pappardelle, chestnuts, rapini and café au lait sauce. oliverbonacini.com/Canoe.aspx Blowfish on Bay Blowfish Restaurant + Sake Bar is a hot dining destination in Toronto’s stylish King West district. And now it’s opened a new location—and spot of Zen—in the midst of the Financial District. Try the blue snow rolls with tuna and salmon. blowfishrestaurant.com Briscola A new trattoria is now open in the heart of Little Italy…Think modern Italian cuisine that includes stone-oven pizzas, unique antipasti, roasted and grilled dishes and inventive pasta. Named after one of Italy’s most popular card games, this new spot aims for a social atmosphere to match. briscola.ca TOCA The flagship restaurant of the new Ritz-Carlton. Featuring contemporary Canadian cuisine with a strong local identity using fresh, authentic, seasonal, sustainable, farm-to-table and organic ingredients. The sophisticated space includes a contemporary glass-encased cheese cave, wine display, walk-in wine cellar (with extensive wine offerings), private dining room, open pastry kitchen and “middle-of-the-kitchen” Chef’s table. Gourmands, get ready! ritzcarlton. com/en/Properties/Toronto/Dining/default.htm more For more on Toronto and its culinary scene, go to: SeeTorontoNow.com. —B.S.

Just For Canadian Doctors Spring 2011

hotspots destination

to East Asian to sushi and excellent gelato, Harrison’s favourite place is Ghazale, a Middle Eastern restaurant that specializes in Lebanese fare, from falafel to shawarma and giant stuffed grape leaves. And don’t forget the baklava for dessert. “It’s a great, quick, affordable eat, and afterward you can catch a show at the Bloor,” says Harrison. Ghazale; 504 Bloor St. West; ghazale.ca

Little Italy The address of choice for the waves of Italian immigrants who settled in Toronto during the first half of the twentieth century, Little Italy, which is now home to an eclectic mix of ethnicities, still retains its Italian cultural roots in its meat, fish, flower and fruit markets, cafes, street festivals and eateries. It is also the destination of choice for flag-waving soccer fans following the glorious victories of the Italian squad. While he concedes that it’s not fine dining, David Hayes notes that Café Diplomatico was a major force in launching Toronto’s patio scene in the late ‘60s, and is still a favourite place for the neighbourhood to gather. “I go there for an old-school Margarita pizza, a decent Caesar salad and the house red,” says Hayes, a wellknown writer who often covers food, and once created his own scale for rating diners for a major review of Toronto’s diners. “‘The Dip,’ as everyone calls it, is a refreshing reminder of the days when conversation and high spirits trumped what was on your plate and in your glass.” Café Diplomatico; 594 College St.; cafediplomatico.ca

east chinatown

While the city’s main Chinatown along Spadina Avenue—one of North America’s largest—gets more press (and visitors), people head to the sidewalks of East Chinatown, just on the edge of affluent Riverdale, for a slightly quieter opportunity to browse among the colourful stands of the many Vietnamese and Chinese vendors. “You can take as long or as little as you want. Take five minutes or five hours, the owners are sweet and happy either way,” says Melissa Carter, who lives nearby. Her favourite spot for barbecue pork, sweet rice and noodles is Mi Mi Vietnamese, a loveable dive that serves up soft pork-skin rolls, meaty pho, and roll-it-yourself platters (with meat, greens and rice paper). “It’s easy, cheap, kid-friendly, fresh, and delicious,” says Carter. “And I love the atmosphere. There are families from the neighbourhood, Asian grandmothers out for lunch, and moms with babies, all in the steady queue that files into the restaurant.” Mi Mi Vietnamese; 688 Gerrard St. E. ;416-778-5948

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Leslieville This former industrial zone just east of downtown has been reborn as one of the city’s hippest neighbourhoods. The hulking warehouses and factories of “Toronto’s Brooklyn” have become condominiums, and the area’s traditional businesses, from antique shops to vintage clothing stores, now mix with marketing firms and yoga studios. It’s also a great place to find something to eat— especially on a Sunday morning. “Leslieville really is the land of a hundred brunch spots. If you’re thinking Leslieville, you’re thinking brunch,” says Jeff Hannaford, a designer who recently bought a house in a nearby neighbourhood and has sampled some of the best that Leslieville has to offer. And he has arrived at a decision about his favourite. “Lady Marmalade is the most enjoyable for me,” he says. The restaurant, which has another location in Victoria, B.C., evokes an agreeable 1960s feel with tin ceilings, mismatched chairs and apple green walls, and serves up excellent scrambles and bennies. “They have the freshest ingredients, and the best scrambled eggs I’ve ever tasted,” says Hannaford. Lady Marmalade; 898 Queen St. East; ladymarmalade.ca

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C o r e y Va n ’ t H a a f f Corey Van’t Haaff owns Cohiba Communications and writes about business, medicine, technology, and law, especially where two or more of these intersect. She can be reached at corey@cohibacommunications.com.

the Vscan A pocket-sized peek right at the point-of-care

s part of its sponsorship of the 2010 Olympics, GE was tasked with helping to find quick answers should athletes meet with injury. The solution was GE Healthcare’s Vscan Pocket Ultrasound, a pocket-sized, high-quality visualization tool enabling healthcare providers to see directly inside the human body. “It was to help them find answers when athletes experienced trauma like internal bleeding, blood pooling, or to do cardiac assessments,” says Agnes Berzsenyi, GM, Primary Care Ultrasound Business at GE, which provided the Vscan to frontline healthcare providers at both Vancouver General Hospital and the Athlete’s Village in Whistler, BC during the Games. “There was an emergency—it was used on a pregnant

spectator to make an assessment before transporting her from Whistler to Vancouver.” “It was all about increasing the quality of healthcare and how to bring ultrasound directly to the athlete,” she says of the sponsorship opportunity. “Portability and accessibility are key.” The Vscan delivers on both fronts, she says. The product leverages GE’s experience with 4D ultrasound, which enabled the scanner to move to a level of miniaturization that was required for a pocket-sized device. “The big challenge in healthcare is to reduce the cost, increase accessibility, and increase quality,” says Berzsenyi. “Vscan improves the physical exam with a pocketsized, handheld visualization tool. Until recently, the physical exam was limited to what was felt or heard. With Vscan, the physician takes a quick look inside the body which can help detect disease earlier.” The Vscan has been approved as a prescription device for ultrasound imaging, measurement and analysis in the clinical applications of abdominal; cardiac (adult and pediatric); urological, fetal/OB; pediatric; and thoracic/pleural motion and fluid detection, as well as for patient examination in primary care and in special care areas. The tool basically puts the power of ultrasound directly into the hands of the physician. Vscan offers the image quality that, until recently, was only available with a console ultrasound, and leverages GE’s highquality black and white image technology and color-coded blood flow imaging in a device weighing less than one pound. “The quality is on the screen,” says Berzsenyi. “You can see, for example, inside the abdomen or the aorta. With women, you can see the fetal position. You can see the kidneys or liver. The image quality is similar quality as the full-sized echo machine.” Introduced in February 2010 in Canada, the Vscan is already in use globally including in EMEA, USA, Japan, and India. “There are more than a thousand units in use. It can enhance the physical exam. Physicians can use it as an adjunct to the stethoscope. It should be in every doctor’s pocket,” says Berzsenyi.

Just For Canadian Doctors Spring 2011

A typical physical exam, she says, is surface-level. The Vscan can enhance the physical exam as the physician can see organ size. “It’s easy to use at the point-of-care,” she says. “It all came from redefining the physical exam. We heard about several challenges from doctors. For some cardiology cases, the echo lab was beyond capacity. It took time to get the patient to get an echo. The Vscan provides a high-quality image right in the office in the first physical examination.” That immediate inside look should improve the quality of specialist referrals as well, says Berzsenyi. “The validity of information from the Vscan helps determine the next step. It may help reduce unnecessary follow-up, and makes sure the patient gets to the right people at the right time,” she says. “In emergency medicine, time is essential. The Vscan is ready immediately,” improving the speed at which appropriate intervention can take place, potentially helping save “time and lives,” she says. Combined with its immediacy and quality of image, the size of the Vscan sets it apart. Berzsenyi says any physician can truly carry it in their pocket. It can be operated with one hand. It’s easy to navigate and learn. The Vscan has an online portal with training tools for the product; an intuitive user interface that can be controlled using the thumb; battery charger station and battery life of one hour (enough to scan up to 30 patients based on average of two minutes per scan; voice annotation; and a PC link for organization and export of data. Doctors most appreciate the immediate and accurate information the Vscan can provide. “Hospitalists and internists doing rounds have immediate access to answers. Doing rounds on a Friday, they can have a final look at a patient. The Vscan can help confirm if they can be sent home, versus waiting for radiology after the weekend. It could reduce the length of stay by providing access to immediate answers,” she says.

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Shadow Lake Expeditions

Uncommon Journeys

Join Clayton and Nansi to canoe the remote and pristine waters of the Yukon, Wind, Big Salmon, Pelly, and Teslin rivers. Backpack Yukon’s Coast Mountains for incredible vistas, abundant wildlife and no man-made trails.

Discover the Yukon in a small group adventure. We’ll guide you down a river by canoe, deep into the untamed wilderness, for world-class ﬁshing and more. Guides are tailored to each group, right down to the language.

Nahanni River Adventures

Sea to Sky Expeditions

We’re a tiny little company in a great big wilderness dedicated to offering professional, personalized service for your northern adventure. Join us for a guided trip or get expedition-quality raft and canoe rentals and support for a self-guided experience.

Experience the authentic Yukon! The landscape is wild, but your adventure will be high-end all the way. Small groups mean you get an individual experience; and our rustic yet elegant lodge, yurts, and camping accommodations mean your comfort is guaranteed.

Neil Hartling and his team invite you to use the river as a conduit to travel through the land, taking time to hike, explore, learn and savor the beauty of these last wild places. Experience exhilarating rivers, thrilling rapids, and unparalleled opportunities to view northern wildlife.

Canoe past abandoned gold rush settlements, raft down the “River of Grizzlies,” kayak with sea otters and orcas, and hike in the home of the caribou. It’s a rugged experience filled with rich rewards, led by guides who know every inch of this vast outdoors.

Taiga Journeys

Up North Adventures

Taiga, another name for boreal forest, stands for the pristine nature of Yukon and ref lects the experience we want to share with you; one that is all about connecting with nature and focusing on interpreting natural history and cultural values.

What’s your true north adventure? Floating down a wilderness river in your canoe? Pulling in the big ﬁsh from great northern lakes? Or enjoying a self-guided trip to meet nature on your own? Our awardwinning company will make sure you ﬁnd it.

Discover Yukon’s Land

Explore wild, untouched land with these experts

Cabin Fever Adventures

Muktuk Adventures

Backwoods 4x4 Tours Cabin Fever Adventures

Northern Tales Travel Services Inc.

Backwood 4x4 Tours

Cabin Fever Adventures

Muktuk Adventures

Northern Tales Travel Services Inc.

Discover the hidden gems in the backwoods of Whitehorse. Your expert guide will take you through old mining areas, around the majestic lakes nestled in the Coastal Mountain Range, and deep into places where the wild things roam. Bring your camera!

Winner of the 2010 Yukon Tourism Sustainability Award! Choose from the widest variety of wilderness vacations that operate by the principles of ecotourism. If you want to visit Yukon’s stunning beauty while treading lightly on the planet, this is for you.

Try something cool! Yukon Quest legend Frank Turner invites novice and experienced mushers alike to learn about life behind a champion dog sled. And don’t leave without having a “Taste of Yukon” dinner featuring Arctic char, bison, caribou and elk.

Welcome to your one-stop shopping spot for adventure! Experiences include hiking the Chilkoot trail, trekking past glaciers in Kluane National Park, and much more! Ask about custom, individual, and private trips by foot, boat, or van.

Boréale Mountain Biking

Cathers Wilderness Adventures

Nature Tours of Yukon

Sky High Wilderness Ranch

We are the Yukon’s mountain biking specialists, offering allinclusive and custom mountain biking vacations. Beautifully styled yurt accommodations, delicious local meals and endless singletrack all come together under our midnight sun to make a perfect trip!

After 27 years of living in the Yukon and more than 30 years of guiding, it is our goal for you to feel at home in the wilderness. All our trips, including dog sledding, hiking, backpacking with pack dogs, and more, are personally guided by our family.

Experience the spell of the Yukon and explore the land beyond the horizon. For 25 years we’ve been organizing hiking and canoeing expeditions, sightseeing tours, aurora viewing and other adventures. Expect excellent service, personal attention and expertise in wilderness travel.

We specialize in the adventure of a lifetime. Drive your own team on a dog sled adventure, ride the mountain ridges on horseback, stay in Yukon-style cabins/ lodging, and enjoy some of the most pristine landscapes Yukon has to offer. Adventures from 1 hr to multi-day.

perts know the spot

Boréale Mountain Biking (Photo: Dan Barham)

Discover Yukon’s wildest spots with the adventure experts at Yukon Wild. It’s a big country up here and you could spend a lifetime exploring it. But if you have less time than that, our expert guides can take you right to places you see in your dreams. Maybe that’s hiking the historic Chilkoot Trail and seeing the abandoned cities high in the pass. Or heli-hiking the famous Tombstone Mountains, with a catered alpine lunch along the way! If biking is your thing, picture racing along an endless single-track ribbon over mountains, through lush valleys, and breathtakingly close to raging rivers. Pretend you’re in the Yukon Quest while mushing along a frozen trail, returning to a welcoming cabin or cozy yurt at night to watch the northern lights dance overhead. Or take to the open road to see moose, mountains, grizzlies, and more all from the comfort of your guide-driven van. When you’re ready for a walk on the wild side for a day or a week, with a guide, or even by yourself, we’re ready to get you there and back.

cardiff / istanbul / des moines / dresden / halifax … | c a l e n d a r

cme

A n intern ation a l guide to continuing Medical Education

spr ing 2011 + beyond 1

cardiff

6 2

Castles, literary legends, rugby and some very tasty Brains… (CME events in Cardiff are highlighted in blue)

B.Sligl

ales is a lovely little country tucked to the west side of its rather imposing neighbour. Its history is tightly meshed with England’s (it has more castles per square mile than any other country in Western Europe due to its strategic position) and visiting is an easy hop from London (it’s a three-hour drive to Cardiff). But the Welsh happily differentiate themselves with their own culture, national symbol (a fiery red dragon) and even language, cymraeg, which is still spoken and written everywhere. The country also has its own literary star in Dylan Thomas (forget Shakespeare), and other celebs: Shirley Bassey, Tom Jones, Richard Burton, Christian Bale, Catherine Zeta Jones (who named her son after Dylan Thomas). SEE > Cardiff Castle, an impressive and intact relic of those days of yore, is right in the centre of town (cardiffcastle.com) 1 . And the National Museum of Wales, just a short walk from the castle (and everything

else in central Cardiff), boasts the largest collection of Impressionist art outside of Paris (museumwales.ac.uk). Another stroll away is the Cardiff International Arena, where international acts perform (livenation.co.uk/ cardiff). PLAY > Go to a rugby match at the modernist Millennium Stadium (millenniumstadium.com). Watch the home team, wearing Welsh red, take on England 2 . The rivalry is intense—on the field and off. Rugby is the sport here, not soccer (wru.co.uk) and its players are superstars (forget Beckham and think Mike Phillips, who’s dating pop star Duffy, also Welsh). As one local describes footballers: “Nancys. Get up for God’s sake. A gust of wind and they’re all lying down.” The words “turgid” and “dire” are also used to describe a football match. So, rugby it is, and, yes, the Welsh are tough. STAY > The award-winning Park Plaza Hotel is in the heart of the city, within walking distance of Cardiff Castle, the Millennium Stadium and the National

Museum of Wales. And it’s minutes away from St. David’s shopping centres (stdavidscardiff.com), the Café Quarter and the famous Victorian and Edwardian arcades of Cardiff. Oh, and there’s a fabulous indoor pool with a view of the grand Edwardian Cardiff City Hall. (parkplazacardiff.com). DINE > The Café Quarter, near all those shopping arcades (and iconic British stores like M&S and John Lewis) 3 , has plenty of dining options, including Jamie Oliver’s Italian restaurant (jamieoliver.com). Walk through the charming Cardiff market (here since 1891) 4 and sample the tasty treat Welsh have with tea: Welsh cakes 5 . Then, of course, have a brew. Brains is the local brewery, founded and based in Cardiff since 1882 6 . The red dragon, of course, is its symbol. Or there’s Felinfoel beer, with a double dragon symbol (two is better than one?), a nickname in Welsh for “feeling foul.” 7 A misnomer for sure. — B.S. For more info go to visitwales.com and visitcardiff.com.

Spring 2011 Just For Canadian Doctors

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where

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Apr 16-17

Vancouver British Columbia

Introductory Course to Botox and Cosmetic Fillers

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 28

ptcenter.org

Apr 15-16

Toronto Ontario

41st Annual Aesthetic Plastic Surgery Symposium

CEPD

416-978-2719

cepdtoronto.ca

Jun 03-04

Des Moines Iowa

Comprehensive 2-Day Botox Training Program

Pacific Training Institute for Facial Aesthetics

604-681-0066

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Jun 25-27

Vancouver British Columbia

Introductory Course to Botox and Cosmetic Fillers and Advanced Techniques

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 28

ptcenter.org

Mar 26-30

San Diego California

2011 Annual Symposium And Congress Of The American Society Of Cataract And Refractive Surgery

ASCRS-ASOA

703-591-2220

asoa.org

Apr 14-17

Istanbul Turkey

TARTEN 2011 (Transatlantic Reproductive Technologies Network)

Serenas Tourism

011-90-312440-5011

tarten2011.org

Apr 30May 01

San Diego California

3rd Annual Integrative And Holistic Nursing Conference: Bringing Healing To You And Your Patients

858-652-5400

scrippshealth. org

Jul 15-17

Estes Park Colorado

Colorado Integrative Medicine Conference (cIMc 2011): Focus On Mind-Body Medicine & Lifestyle Management

AlterMed Research Foundation

970-310-3030

altermedresearch.org

Apr 16-18

Noosa Heads Australia

5th Annual Update In Paediatric Emergencies

Colloquium Conferences

info@colloquium.com.au

colloquium. com.au

May 19-22

Charlotte, N. Carolina

Focus On Clinical Anesthesia

Northwest Anesthesia Seminars

800-222-6927 See Ad Page 29

nwas.com

Jun 05-10

Palm Beach Aruba

Giant Strides In Anesthesia

Northwest Anesthesia Seminars

800-222-6927 See Ad Page 29

nwas.com

Jun 26Jul 01

Seven Mile Beach, Grand Cayman

Northwest Anesthesia Seminars

800-222-6927 See Ad Page 29

nwas.com

Issue:07-10

Jul

Honolulu Hawaii

Northwest Anesthesia Seminars

800-222-6927 See Ad Page 29

nwas.com

Sep 07-10

Dresden Germany

Kenes International

011-41-22-9080488

kenes.com

May 07-13

Quebec Montreal

International Society For Magnetic Resonance In Medicine

510-841-1899

ismrm.org

12-17

Saxtons River Vermont

From Unfolded Proteins In The ER To Disease

FASEB Summer Research Conferences

vermont@faseb. org

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15-16

Dublin Ireland

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abcam.com

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Clinical

Diabetes

Dermatology

Pharmacology

Cardiology

cme

calendar

cme

when

where

topic

sponsor

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website

Apr 09-12

London England

33rd Charing Cross International Symposium: Vascular & Endovascular Consensus Update

Biba Conferences

011-44-207736-8788

cxsymposium. com

Apr 15-16

Halifax Nova Scotia

16th Annual Atlantic Canada Cardiovascular Conference

Dalhousie University

902-494-1560

dal.ca

Apr 28-30

Seoul South Korea

Angioplasty Summit TCTAP 2010

CardioVascular Research Foundation

011-82-2-30104810

summitmd.com

May 12-14

Lyon France

Printemps de la Cardiologie 2011

Société Française de Cardiologie

011-33-1-43222971

sfcardio.fr

Jun 13

London England

Bypass, Balloon Pumps and Circulatory Support

Royal College of Surgeons of England

011-44-207869-6300

rcseng.ac.uk

Jun 26Jul 03

Baltic Cruise

Primary Care Update In Cardiac Health, Metabolic Syndrome, Obesity, And Related Disorders

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Aug 19-22

Grand Teton National Park Wyoming

Tutorials In The Tetons: 37th Annual Update In Cardiovascular Diseases

Saint Joseph’s Hospital Atlanta

678-843-5105

sjha.org

Aug 19-26

Alaskan Cruise

Cardiology & Occupational Medicine

888-647-7327 See Ad Page 24

seacourses. com

Apr 08-10

Napa California

Clinical Pharmacotherapy 2011: Information For Physicians, Nurses And Pharmacists

UC Davis Health System

916-734-5390

ucdavis.edu

Aug 18-21

Reykjavik Iceland

28th Annual Meeting Of The Scandinavian Society For Antimicrobial Chemotherapy

Congress Reykjavik

011-354-5853904

congress.is

Sep 03-07

Paris France

24th European College Of Neuropsychopharmacology Congress

International Congress & Event Organizers

011-32-2-7770188

ecnp.nl

Apr 15-17

Scottsdale Arizona

Dermpedia Comprehensive Course On Melanoma And Melanocytic Proliferations

Dermpedia

617-549-1168

dermpedia.org

May 04-07

Phoenix Arizona

Society For Investigative Dermatology 2011 Annual Meeting

Society for Investigative Dermatology

216-579-9300

sidnet.org

May 24-29

Seoul South Korea

22nd World Congress Of Dermatology

Koconex Ltd.

011-82-2-34767700

wcd2011.org

Aug 05-06

Hamilton Isl. Australia

Skin Cancer Conference 2011

University of Queensland

011-61-7-33856695

skincancerconference.com.au

May 15-18

Cadiz Spain

46th Annual Meeting Of The European Diabetes Epidemiology Group (EDEG) 2011

AEDEC

belen@ceiis.org

edeg.org

Sep 10

Amarillo Texas

Cutting Edge Strategies In Diabetes Care: Making The Connection

University of California San Diego

858-534-3940

ucsd.edu

Oct 26-29

Toronto Ontario

14th Annual CDA/CSEM Professional Conference And Annual Meetings

Canadian Diabetes Association

800-226-8464 See Ad Page 37

diabetes.ca

Dec 01-04

Paris France

4th International Conference On FIXED Combination, In The treatment Of Hypertension, Dyslipidemia and Diabetes

Paragon Conventions

011-41-22-5330948

paragonconventions. com

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Learn Virtually anytime - anywhere access your Cme worldwide travel & Learn Format Connect with us 24/7. toll-Free:1-866-685-6860 www.neiconferences.com 7X2.5_canadian_family_physicians1 1

3/15/07 9:28:25 AM

Spring 2011 Just For Canadian Doctors

c m e calendar

Geriatrics

Genetics

General & Family Medicine

Endocrinology

Emergency Medicine

cme

when

where

topic

sponsor

contact

website

Apr 06-08

Banff Alberta

Trauma 2011: Trauma Association of Canada Annual Scientific Meeting

University of British Columbia

604-875-5101

ubccpd.ca

Apr 25-26

Las Vegas Nevada

VegasBEEM

BEEM, McMaster University

905-521-2100

beemsite.com

May 05-07

Toronto Ontario

Emergency Medicine Update

North York General Hospital

416-756-6442

nygh.on.ca

May 24-27

Brighton England

Airmed 2011

Kent Air Ambulance Trust

011-44-162283-3833

airmed2011. com

Jul 15-17

Queenstown New Zealand

Advanced Wilderness Life Support

AdventureMed

801-990-2800

awls.org

Apr 30May 04

Rotterdam Netherlands

13th European Congress Of Endocrinology

European Society of Endocrinology

011-44-145464-2247

euro-endo.org

Jul 10-17

Alaskan Cruise

Endocrinology & Sports Medicine

Sea Courses Cruises

888-647-7327 See Ad Page 24

seacourses. com

Oct 26-30

Indian Wells California

81st Annual Meeting Of The American Thyroid Association

American Thyroid Association

703-998-8890

thyroid.org

Mar 17-18

Cardiff Wales

Society For Academic Primary Care (South West Region) Annual Research Meeting

Cardiff University School

011-44-292068-7242

swsapc2011. co.uk/

Apr 30

Vancouver British Columbia

Finding Medical Evidence - Supporting Patient Care (Using The Internet To Your Advantage)

University of British Columbia

604-875-5101

ubccpd.ca

May 05-07

Toronto Ontario

Primary Care Today

Diversified Business Communications Canada

905-948-0470 See Ad Page 30

divbusiness.com

May 09-19

Western Mediterranean Cruise

Family Medicine

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Jun 28Jul 30

Cardiff Wales

Specialist Registrar Skills in General Surgery

Welsh Institute for Minimal Access Therapy

011-44-292068-2129

rcseng.ac.uk

Sep 09-19

Pacific Costal Cruise

The Challenging Patient

Sea Courses Cruises

888-647-7327 See Ad Page 24

seacourses. com

Oct 05-15

Roman Cruise

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

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

May 18

Toronto Ontario

19th Annual New Developments In Prenatal Diagnosis And Medical Genetics

University of Toronto/ Mount Sinai

416-586-4800

mtsinai.on.ca

Oct 11-15

Montreal Quebec

12th International Congress Of Human Genetics.

Int. Federation of Human Genetics

301-634-7300

ifhgs.org

Apr 26-30

San Francisco California

Aging in America: 2011 Annual Conference Of The American Society On Aging

American Society on Aging

415-974-9600

asaging.org

Jun 01

Hamilton Ontario

Care Of The Elderly: Perspectives For Primary Care

McMaster University

905-525-9140

mcmaster.ca

Medicine new CME list from ofAdam

Just For Canadian Doctors

Spring 2011

Oncology & Palliative Care

Nutrition

Legal Ethics

Internal Medicine

Infectious Diseases

Immunology & Allergy

Hematology

cme

calendar

cme

when

where

topic

sponsor

contact

website

Apr 29May 01

Asheville North Carolina

Duke Debates: Controversies In The Management Of Patients With Hematologic Malignancies

Physicians’ Education Resource

888-949-0045

cancerlearning. com

May 26

London England

Haemoglobinopathy Conference

EHA Executive Office

011-31-10-4361760

ehaweb.org

Oct 06-07

Buenos Aires Argentina

InterAmerican Oncology Conference 4: Current Status & Future Of Anti-Cancer Targeted Therapies

InterAmerican Oncology Conferences

secretariat@ oncologyconferences.com.ar

oncologyconferences.com.ar

Apr 08-11

Lake Louise Alberta

24th Annual Spring Meeting Of Canadian Society For Immunology

Canadian Society for Immunology

See Website

csi-sci.ca

Apr 18-20

Amsterdam Netherlands

Pharma-Nutrition

Elsevier

See Website

pharma-nutrition.com/

Aug 18-20

Christchurch New Zealand

7th New Zealand National Immunisation Conference & Immunisation Workshop

ForumPoint2

011-64-7-9815860

sixhats.co.nz

Apr 07-10

Montreal Quebec

AMMI Canada - CACMID Annual Conference

AMMI Canada and CACMID

613-260-3233

ammi.ca

Jul 11-22

Basel Switzerland

Health District Management: Priority Setting And Resource Allocation

Swiss Tropical and Public Health Institute

41-61-28483-60

swisstph.ch

Jun 27 to Jul 8

Eastern Mediterranean Cruise

Internal Medicine In Primary Care Setting

888-533-9031

mceconferences.com

Aug 21-28

Alaskan Cruise

Chronic Diseases Update 2011

CMEatSEA

888-523-3732

cmeatsea.org

Apr 28-29

Hamilton Ontario

5th Annual Risk And Recovery Forensic Conference

St. Joseph’s Healthcare

ckelley@stjoes. ca

riskandrecoveryconference. com

Jun 15-16

London England

Ethics And The Law

Royal College of Anaesthetists

011-44-207092-1500

rcoa.ac.uk

Sep 17-24

Rhodes Greece

8th Greek Legal And Medical Conference

The Greek Conference

011-61-3-96902033

greekconference.com.au

Apr 14

Bologna Italy

International Academy On Nutrition And Aging

University of New Mexico School

505-272-3942

unm.edu

Jun 05-09

Bangkok Thailand

7th Asia Pacific Conference On Clinical Nutrition

Kenes International

65-6292-4706

apccn2011.org

Nov 03-06

Las Vegas Nevada

Clinical Applications For Age Management Medicine

Age Management Medicine Group

815-527-5282

agemed.org

Apr 28

Toronto Ontario

2011 CAMO Annual Scientific Symposium

Canadian Association of Medical Oncologists

613-730-6284

cos.ca

Jun 22-25

Barcelona Spain

13th World Congress On Gastrointestinal Cancer

Imedex

770-751-7332

worldgicancer. com

Jul 14-17

Singapore Singapore

3rd World Congress Of The International Academy Of Oral Oncology 2011

Elsevier

65-6349-0201

elsevier.com

new CME list from MCE Adam Conferences

Northwest ANesthesiA semiNArs Continuing Education for the Anesthesia Provider (800) 222-6927 • (509) 547-7065 info@nwas.com • www.nwas.com

Visit

www.NwAS.CoM

for a complete list of conferences and faculty

eArN 20 Cme/CeC At the followiNg loCAtioNs: May 19-22, 2011

Charlotte, North Carolina Focus on Clinical Anesthesia

June 26-July 1, 2011

Seven Mile Beach, Grand Cayman Giant Strides in Anesthesia

July 7-10, 2011

Honolulu, Hawaii Anesthesia Update: Trauma

July 14-17, 2011

Anaheim, California (Disneyland®) Topics in Anesthesia

Land and Cruise Conferences... Around the World Since 1976 Spring 2011 Just For Canadian Doctors

c m e calendar

Urology

Rheumatology

Radiology

Psychiatry

Pediatrics

Pain Management

Orthopaedics

cme

when

where

topic

sponsor

contact

website

May 03-05

Cardiff Wales

Core Skills In Operative Orthopaedic Surgery

Welsh Institute for Minimal Access Therapy

011-44-292068-2129

rcseng.ac.uk

Jun 03

Albuquerque New Mexico

30th Annual University of New Mexico Orthopaedic Alumni Conference

University of New Mexico

505-272-3942

hsc.unm.edu

Jun 24-25

Rosemont Illinois

Wrist Injuries: State Of The Art

American Academy of Orthopaedic Surgeons

800-626-6726

aaos.org

Jun 02-05

Washington District of Columbia

53rd Annual Scientific Meeting Of The American Headache Society

American Headache Society

856-423-0043

americanheadachesociety.org

Sep 21-24

Hamburg Germany

7th Congress Of The European Federation Of IASP Chapters

Kenes International

41-22-908-0488

kenes.com

Jul 02-08

Maui Hawaii

Pediatrics In the Islands … Clinical Pearls 2011

Childrens Hospital Los Angeles and American Academy of Pediatrics

323-361-2752

childrenshospitallamedicalgroup.org

Jul 07-09

Orlando Florida

Pediatric Review For Primary Care

MCE Conferences

888-533-9031

mceconferences.com

Apr 08

Vancouver British Columbia

Annual Clinical Neurosciences 2011 ”Schizophrenia: From Diagnosis To Recovery”

University of British Columbia

604-875-5101

ubccpd.ca

Sep 05-17

Mediterranean Cruise

Psychiatry, Cardiology, Physician Health

Sea Courses Cruises

888-647-7327 See Ad Page 24

seacourses. com

Apr 27-30

Paris France

GEST 2011 - Global Embolization Symposium And Technologies

CIRSE Central Office

011-43-1-9042003

gest2011.eu

Jul 27-30

Atlanta Georgia

American Society Of Electroneurodiagnostic Technologists (ASET) 2011 Annual Conference.

American Society of Electroneurodiagnostic Technologists

816-931-1120

aset.org

Apr 15-17

Taipei Taiwan

1st Symposium Of The Asia Pacific League Of Associations Of Rheumatology

Kenes Asia

011-65-62924706

kenes.com

May 13-15

Muskoka Ontario

Ontario Rheumatology Association 10th Anniversary Annual General Meeting

Ontario Rheumatology Association

905-868-7974

memberlodge. org

Jun 08-11

Salzburg Austria

5th Annual Osteoarthritis Imaging Workshop

Osteoarthritis Research Society International

856-642-4431

oarsi.org

May 09-12

Coventry England

Assisted Reproduction Technology

University of Warwick, School of Life Sciences

011-44-247652-3540

warwick.ac.uk

Jun 26-29

Mont Tremblant Quebec

66th Canadian Urological Association Annual Meeting 2011

CUA Central Office

514-395-0376

cua.org

Sep 14-17

Providence Rhode Island

AUGS 32nd Annual Scientific Meeting

The American Urogynecologic Society

202-367-1167

augs.org

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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Spring 2011

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.

Being in New Brunswick. Making life happen.

Soyez au Nouveau-Brunswick Vivez pleinement.

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opportunities

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employment

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General Practitioners

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Southern Georgian Bay Midland/Penetanguishene, Ontario Only 90 minutes north of Toronto.

Where Doctors Practice Their Art!

Hôpital général de la baie Georgienne

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Spring 2011 Just For Canadian Doctors

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

Italian wine 101

iao da Valpolicella! In the first part of my recent article on understanding Italian wine (November/December 2010), I gave you an analytical toolbox in understanding the national regulatory structure and labelling scheme. Now all you need is to get a handle on the wine regions and varietals. And, even with 20 regions, don’t be overwhelmed—the trick is to start with a few core regions and vintages. So, in this issue, we’ll use that conceptual toolkit to uncork five big-name Italian wines, the ABCs: Amarone, Barbarella, Barbaresco, Brunello and Chianti. Familiarity with these heavy hitters provides a firm foundation. First up: A for Amarone della Valpolicella. Amarone is a blend dominated by lowtannin, thick-skinned Corvina grapes. While Corvina grapes are associated with lighter red wines that often carry a note of almost-bitter almond, the Amarone has a heavier, richer flavour because it’s mixed with Rondinella and Molinara grapes, more neutral varietals. The grapes are air-dried and left to ferment further in a process known as appassimento that ensures the wine doesn’t take on the sweeter character of Recioto della Valpolicella. With a deep, concentrated darkness, Amarone boasts syrupy tastes of dried prune, cherry and raisin. It’s a beguiling blend that soothes the senses (perhaps aided by the high alcohol content of 16%!). A longtime contender, Amarone was belatedly and deservedly promoted to DOCG status in 2009. Pour a glass and enjoy it with some parmagiano reggiano—a legendary pairing that captures the best of northeast Italian wine. On to the “Killer Bs,” as they are colloquially known, the Italian wine royalty. The first two, Barolo and Barbaresco, hail from the northern region of Piedmont. Barolo is often referred to as the king of wines. A bold, full-bodied dry wine, Barolo is made from Nebbiolo grapes. This is a highly acidic and tannic varietal due to the chalky soil composition and clay deposits that characterize the region. Nebbiolo-based wines must age 10 – 15 years in order to soften the intense tannins that characterize their youth. The king of kings would be

Barolo Riserva, Barolo that is aged in barrels for a minimum of four years. The Barolo zone in Piedmont is the largest in the region and within it you can find dozens of Barolos ranging in concentration and tannic structure. Lighter soil distinguishes Barbaresco, the other famous Nebbiolo wine, sometimes referred to as the younger brother of Barolo. The soil quality produces a wine that is less tannic in its early years. This gives it an elegance that Barolo lacks, but Barbaresco still seems to fail in capturing the limelight held by the “king.” This wine deserves greater appreciation for its greater approachability; with lighter tannins, it’s both mellow and muscular. Both Barolo and Barbaresco fall on the dark, tannic end of the Italian wine spectrum and are distinguished by blackberry and cherry flavours. With aromas of anise, licorice, and smoke, their flavours are long lasting. Any of their variants harmonize well with rich stews, roasted meat, or—trust me—pair a bottle with spinach and pecorino ravioli. Leaving Piedmont for Tuscany, we meet the third Killer B: Brunello di Montalcino, a 100% Sangiovese wine. Sangiovese grapes are arguably Italy’s most famous varietal and responsible for Tuscany’s unparalleled international profile. Sangiovese makes for rich yet subtle wines and are arguably one of the noblest grapes. Montalcino is one of the most arid regions of Tuscany. The climate’s consistency also means consistent quality in Brunello production. The wines are powerful and textured with smooth, ripe flavours. The best vintages have

Just For Canadian Doctors Spring 2011

aged at least a decade to expose their fullbodied natures and reveal layers of chocolate, blackberry and vanilla. Brunello also has the longest minimum age—four years—under Italian law. And interestingly, owing to its pure Sangiovese make-up, Brunello can also be bottled under the Chianti label…which brings us to our final wine, and another Tuscan export: the more reasonably priced yet no less renowned Chianti. At 70% Sangiovese and 10 – 30% Malvasia and Trebbiano, we get Chianti, the C wine, and what many think of as the classic red—in large part because of its traditional romantic basket wine image. Chianti is still bottled in this way, but now more often found in a standard bottle. To ease your way into Italian wine, Chianti is the way to go with its pleasing fruity flavours that don’t detract from its robust nature and sometimes-spicy personality. When choosing a vintage, it’s wise to look for the Chianti Classico label, an easy-to-spot black rooster. Chianti from the Classico sub-region must meet special requirements—there’s no flexibility with varietals and it must have a minimum alcohol level of 12%. Pair a glass of Chianti with herb bruschetta and you may be overcome to light a wine-basket candle! The alphabet of Italian wine by no means stops at Chianti, or even at DOCG wines in general. But Amarone is your key to the northeast (as well as sparkling wines), while no foray into Tuscany can exclude Chianti. And think of the Killer Bs as the conductors of Italian wine. Hundreds of producers take their cue and play with various blends based on their composition. After these, explore the rest of alphabet at your leisure. Acquaint yourself with the jargon of DOCGs, zones and grapes, but as any varietal scholar knows, tasting your way glass by glass is the best way to become a stellar student of wine. from left Tuscany; the Chianti Classico

black rooster; and the Chianti Superiore DOCG from Poggiotondo winery.

photo: Fototeca ENIT / Vito Arcomano

Part 2: The wine regions and varietals

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

reliving steamy Rome in winter Linguine con vognole is a dish that’s easy to prepare and easily transports you…

right blue skies with the sun’s rays dancing along drifts of white snow make Canadian winters beautiful. However, after weeks of relentless cold, I find myself longing for warmer days where one doesn’t have to shovel to go somewhere.

The flavour of the dish far exceeds its simplicity It’s on one of these days that I find myself standing in front of the fish section at the grocery store. The display of clams reminds me of when, in Rome, I had the most delicious dish of linguine with garlicky clams that tasted of the sea with a hint of lemon and parsley. Unlike the North American version of clams smothered in a thick white sauce, the Italian version showcased the freshness of the mollusks and the texture of the pasta tossed with good olive oil. The flavour of the dish far exceeds its simplicity. The key to making the dish is to have your ingredients prepped so that the sauce can be prepared while the pasta is cooking to ensure that the linguine will be hot and ready when the sauce is finished. At the table with a glass of wine, a salad of baby arugula and pomegranate seeds, I can close my eyes and be transported back to sitting in front of that Roman trattoria. For the wine, a good choice is a dry Italian white wine without much oak, a Pinot Grigio. Or for a change of pace, try the 2007 Arneis Langhe by Damilano. This wine made with the Arneis grape in the Piedmont region is fresh with lemon and green apple flavours. The medium-bodied wine has bright acidity with a slight almond finish which compliments the lemony herbs of the clams. Buon appetito!

Linguine Con Vognole (serves 4 – 6) 454g package of dry linguine ½ cup extra virgin olive oil 2 shallots or 1 small onion, chopped 6 cloves of garlic, finely chopped 4 lbs Manila or savory clams, scrubbed clean ½ cup flat leaf parsley, chopped (approximately 1 large handful of parsley) ½ cup dry white wine (e.g., Pinot Grigio) 2 tablespoons cold unsalted butter sea salt and fresh ground black pepper juice of ½ lemon zest from 1 lemon (be careful not to zest the white pith which is bitter)

Ina largepot, bringtoboil 6 – 8 quarts of water with2 tablespoons of salt. Addpasta, stirring constantly inthebeginningtoseparatethe strands. Cook for 8 – 10 minutes until tender yet firm(al denteinItalian).

Meanwhile, heat theoliveoil ina large, deep sautépanover medium-highheat. Oncetheoil is shimmeringandalmost smoking, reduceheat tomediumandaddtheshallots andsautéfor 2 minutes. Addthegarlicandstir for 1 minute, beingcareful not toburnthegarlic. Addthe clams andwine. Cover andsimmer, shakingthe panperiodically for approximately 8 minutes until clams haveopened. Discardany closed clams. Addhalf of thechoppedparsley andthe lemonjuice. Addgroundpepper totaste. Stir incoldbutter toslightly thickensauce. Set pan aside. Drainpasta but donot rinsewithwater. Add pasta tothepanof clams andmix thoroughly. Check seasoning. Pour pasta intoa largeservingbowl. Garnish withlemonzest andremainingparsley. Serve immediately.

Spring 2011 Just For Canadian Doctors

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From the cerebral (his favourite book is Foucault’s Pendulum) to cult classic (his favourite film is The Big Lebowski), with some True Blood, Katy Perry and Tom Waits in between, this physician has eclectic taste. He’s known to crack up his colleagues with his wit (if he wasn’t a doctor he’d channel that sarcastic streak into an acting gig). When not working (motto: “work before play”) his guilty pleasure may be exercising his thumbs on a video-game console but his family is number one, from his inspirational wife to his kids who bring wide-eyed wonder to any travel. My name: Matthew Simmonds

My last trip: Victoria BC

I live and practise in: Edmonton, Alberta

The most exotic place I’ve travelled: Anywhere with my children—the wonder and excitement in their eyes make every place great.

My training: B.Sc Zoology, MD (U of C) Anesthesiology Residency (U of A) and Critical Care Fellowship (U of A) Why I was drawn to medicine: I like sick people

The best souvenir I’ve brought back from a trip: The photos I take while away. A favourite place that I keep returning to: The Post Hotel

My favourite movie: The Big Lebowski My must-see TV show: True Blood My favourite CD/album or song: anything that Tom Waits has recorded My first job: Dishwasher at Woodward’s Restaurant in Calgary

My ultimate dream vacation: Egypt, to see the pyramids.

The gadget or gear I could not do without: My coffee grinder

If I could travel to any time, I’d go to: The 1920s

My favourite room at home: Kitchen

My favourite book: Foucault’s Pendulum by Umberto Eco

My car: 2004 Toyota ECHO My last purchase: A new fish tank

straight. My favourite exercise/sports activity: Snorkeling My favourite sport to watch: Hockey My celebrity crush: Katy Perry I’d want this item with me if stranded on a desert island: My iPod My secret to relaxing and relieving tension: A long hot shower A talent I wish I had: Singing My scariest moment: White water rafting with friends and our kids. All the kids ended up in the water—screaming and crying. I have never swum so fast to get them back in the boat. My fondest memory: The birth of my children A big challenge I’ve faced: Eliminating caffeine from my life, and I have subsequently relapsed. One thing I’d change about myself: I wish I didn’t need to sleep

clockwise from top

Dr. Matthew Simmonds with his son Ben at home; at Fort Edmonton Park with his kids, Ben and Ella; and exploring the woods with daughter Ella.

The word that best describes me: Sarcastic (can’t help myself) I’m inspired by: My wife—she does it all. My biggest ego blow: My inability to navigate in new cities. My last splurge: A new fountain pen

I’m happiest when: I’m at home

Most-frequented store: The iTunes Store

My greatest fear: Anything bad happening to my children

My closet has too many: Of my wife’s shoes.

My motto: Work before play

My fridge is always stocked with: Ice cream

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Spring 2011

A cause close to my heart: Reducing child poverty

My medicine cabinet is always stocked with: Vitamin D

Something I haven’t done yet that’s on my must-do list: Staying in an Ice Hotel

My guilty pleasure is: Playing video games until I can’t see

If I wasn’t a doctor I’d be: An actor

courtesy Dr. matthew simmonds

s m a l l ta l k

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