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d’Elegance + GIN spin + LEVERAGE now to boost savings + PRO PHOTO tips
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vancouver’s best
life + leisure
fall 2012
contents
fall 2012
Rosewood Hotel Georgia
best hotels 2012 Condé Nast Traveler
The Private Residences
display suites open
Hawksworth Restaurant
Editorial Assistant Adam Flint
Contributors Cover photo
restaurant of the year
by appointment only
Editor and Art Director Barb Sligl
Vancouver Magazine
Michael DeFreitas Dr. Holly Fong Janet Gyenes Tiffany Jarva Tim Johnson Dr. Chris Pengilly Dr. Neil Pollock Manfred Purtzki Dr. Kelly Silverthorn Corey Van’t Haaff B. Sligl
Senior Account Executive Monique Nguyen Account Executive Wing-Yee Kwong Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie St. Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com Associate Publisher Linh T. Huynh
Production Manager Ninh Hoang
Circulation Fulfillment Shereen Hoang
CME Development Adam Flint
Founding Publisher Denise Heaton
Just For Canadian Doctors is published 4 times a year by Jamieson-Quinn Holdings Ltd. dba In Print Publications and distributed to Canadian physicians. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications.
Suite 2505, one of four spectacular finished display suites by Mitchell Freedland Design
seeing is believing. four finished display suites. by appointment only.
w w w.residencesatgeorgia.com
Full cooperation with buyer agents
clockwise from top left: barb sligl (3)
604-682-8107 | toll free 1-866-602-6636 2, 3 & 4-bedroom homes from $2 million Cdn 667 Howe Street, Vancouver BC
In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada
15 FEATURES
15 Prairie surprise Big sky and a big welcome 20 spellbound in Peru Culture, landscape and cuisine COLUMNS
DEPARTMENTS
12 photo prescription
5 fall mix
A shot in the dark
18 the thirsty doctor
Take a gin spin
19 the hungry doctor
Easy does it with the sandwich
42 motoring
Printed in Canada.
Leveraging to boost savings
45 doctor on a soapbox Antibiotic update
miss an issue? check out our website!
25 CME calendar 31 sudoku 32 employment opportunities 46 small talk with Dr. Vincent Lam
Concours d’Elegance in Florida
44 the wealthy doctor
www.justforcanadiandoctors.com
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cover photo : A local woman in the colourful traditional, everyday garb of the Colca Valley in Peru. See story on page 20.
Sales by disclosure statement only. E&OE. Delta Realty Services Ltd. 604-678-9239. A Georgia Properties Partnership project. The Private Residences at Hotel Georgia is not owned, developed or sold by Rosewood Hotels & Resorts or any of its affiliates. Neither Rosewood Hotels & Resorts nor any of its affiliates assume any responsibility or liability in connection with the project. Georgia Properties Partnership uses Rosewood Hotels & Resorts’ marks pursuant to a license agreement with Rosewood Hotels & Resorts, L.L.C. This is not an offer to sell, nor a solicitation of an offer to buy, to residents of any state or province in which restrictions and other legal requirements have not been fulfilled.
FALL 2012 Just For Canadian Doctors
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from the editor
what/when/where > fall
style | food | shows | festivals | places | getaways | gear… clockwise from top
autumn adventure
Scenes from Peru, from muddy river banks in the Amazon basin to meltin-your-mouth ceviche (the best you’ve ever tasted, guaranteed).
getaway
going to a game in Regina amidst a sea of green, spotting melon heads (yes, there are even instructions on how to carve a helmet out of a watermelon) in the packed stands is a bit of a safari experience. Beyond the football, there’s a warmth and culture here that makes every visitor feel welcome. With the province doing well economically, prairie living is good indeed— from gourmet fare to fine art (page 15). Across the border in the US the hospitality continues, midwest style in Wisconsin. The rather posh environs of Lake Geneva’s cottage country showcases fall’s changing leaves and old-school American genteel society. Hop aboard (page 5)! Let us know what you’re up to—at home and on the road— and send us your photos and questions. And keep your subscription going at justforcanadiandoctors.com. Enjoy!
Colourful Lake Geneva Being a northern ontario girl, wisconsin has always been synonymous with good cheese and, well, the “Dells”—extreme water sliding anyone? But now having rambled around the Lake Geneva area in southeastern Wisconsin—the summer “cottage” playground of Chicago’s elite—it’s clear that Wisconsin is more than just cheese and water parks. >>
B. Sligl (3)
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t’s fall and that means the start of a new season, school year…and football season is in full swing. With the cooler weather, it’s also time to start planning your great escape south. Far south. South America and Peru is calling. This fall and winter, check off one of those perennial bucket-list places: Machu Picchu. It’s one of those sites that just about everyone knows of and can picture yet still wants to see for themselves. And should. It doesn’t disappoint, as one celeb fashion designer attests (page 7). But beyond the iconic hilltop UNESCO World Heritage Site is a vast and varied country, from jungle to high desert. In the Colca Valley, there’s the swoop of the condors, and in the Amazon basin, the swish of the pink dolphin (page 20). And Lima (page 25)! Find another kind of animal here in Canada, on the prairies. The Saskatchewan Roughriders fan. This is Rider Nation, and
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Antique yachting on Lake Geneva. The Polaris dates from 1898.
FALL 2012 Just For Canadian Doctors
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fashion files
fall getaway
Wisconsin’s luxurious lakeside living
>> colour chasing
Where to Stay 1 Grand Geneva Resort & Spa; grandgeneva.com Kinda sassy. Grand Geneva used to be a Playboy Resort catering to Chicago clientele, and apparently Playboy bunnies often return to the area. Today, enjoy the rolling hills and views of Grand Geneva— a full-service resort with a spa, golf course, and conference centre, and one of only five AAA Four-Diamond resorts in Wisconsin. 2 The Baker House; bakerhouse1885.com Feeling whimsical? The Baker House is where you can choose a hat to match your personality, dine with a lakeside view, sing with a player piano in the music room, play backgammon in the game room, or lounge in plush wing-backed chairs. Stay in one of the luxurious suites, relax in the “sexy” Baker House Bath, and be pampered by a butler and chambermaids. MORE For information on Lake Geneva and Wisconsin, visit travelwisconsin.com and lakegenevawi.com.
foliage display, thanks to wealthy cottagers designing their grounds to showcase the most and longest-lasting colour.
colour by boat, foot or car There are many ways to take in the Lake Geneva fall splendour. On a warm October morning, I lounge on the deck of the historic Yacht
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Chicago’s leading brewers at the time, Black Point is now operated by the State and open to public tours. blackpointestate.com By foot, I meander on the edges of the lawns of the rich and famous. A by-law restricts owners from putting up fences, thus making it easy to get a peek of the stately homesteads along the 20+ mile public
Just For Canadian Doctors FALL 2012
path around the state’s second deepest lake. If short on time, consider checking out one of the many scenic drives recommended in the Fall Color Report. Learn more about the annual Fall Color Report at lakegenevawi.com or travelwisconsin.com
US mailboat tour & antique yachting Unique to the area, mail is delivered on a daily basis by Lake Geneva Cruise Lines to about 60 homes from June to September (only a handful of places in the US still receive their post via boat). I watch in awe as a young athletic man (a mail jumper) hops off the boat, runs the dock, tucks the mail into the box, and hops back on without the boat stopping. Once in a while the jumper doesn’t make it, which can be painfully entertaining to watch. With nearly 90 years of postal service on the lake, the athleticism of the mailrun is a must-see. After a tasty lunch at The Abbey Resort, the only full resort complete with a marina on the lake, I reboard the vintage Yacht Polaris (circa 1898). Restored with its original mahogany and brass, the Polaris was built for Otto Young, one of the original millionaires on the lake. As I sip my Wisconsin beer, William Gage, owner of the Polaris, describes the Lake Geneva autumn experience best: “It’s a shawl of colour that completely wraps around you.” cruiselakegeneva.com —Tiffany Jarva
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Upgrade your iPhone Two smart + streamlined ways to get more out of your device 1 ZOOM IN There’s no question: the Instagram app has transformed point-andshoot photography apathy into an addiction. Apply a choice of filters (Lo-fi saturates your shot’s colours, while 1977 gives it that retro flair) and the simplest detail is amplified into a work of art. And now the new Easy Macro Cell Lens Band ($15; photojojo.com) takes your singlelens mobile phone to new depths. A macro lens is embedded into a low-tech, heavy-duty rubber band that slips over any cell phone camera lens, enabling you to zoom in close while maintaining supersharp detail. And when you’re not using the band, just wrap it around your wallet or wrist, but you’ll want to keep it handy for those impromptu photo ops. 2 STAY SLIM As far as portmanteaus go, the Callet ($20; thecallet.com)—part phone cover, part wallet—is as smart as it sounds. The clever case protects your phone and lets you safely stow your credit cards so your must-have items are all in one compact package. The streamlined and lightweight cover stretches over your iPhone or Blackberry (choose from four colours: blue, black, white, and pink), and it has two slots so you can stash a bit of cash when you need to travel light, whether rubbing shoulders at a concert or out for a run. —Janet Gyenes
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high-flying style
ashion and travel are constant companions. Even before the tickets are booked, we begin the virtual packing and planning process, whether we’re winding down (while wearing a lounge-worthy caftan) or ready to strike a runway-proud pose decked-out in the height of style. American Fashion Travel: Designers on the Go, by the Council of Fashion Designers of America (CFDA), reveals members’ travel tales, tips, and picture-postcard memories in this 144-page book. Diane von Furstenberg, CFDA president and mastermind behind the travel-friendly wrap dress, swears by small luggage and reveals her favourite city (hint: It’s home to the Blue Mosque). She also offers up a jet-lag remedy. It’s no surprise that Tory Burch often jaunts to India for the inspiration seen in her high-wattage collections. But who knew this jet-setter packs a red ribbon in her carry-on for good luck! Sun-seeking Betsey Johnson gamely reveals that she loves the beach, but loathes flying, so she travels “liquidly.” The inimitable designer’s travel tip? B.Y.O.F. That’s right. Johnson packs snacks to nibble on en route, including Red Vines, Parmesan cheese, and roasted almonds. $45; assouline.com —Janet Gyenes
style
camera ready
Wear your obsession on your wrist Nikon or Canon? Prime lens or zoom? Auto focus or manual? Put the many questions to rest (or start the conversation), even when your SLR isn’t in tow, by donning the Lens Bracelet ® (from $15; photojojo.com), a quirkycool way to showcase your passion. Photography enthusiasts will recognize the simple design: it’s the focusing ring on a lens, embossed with those all-important details that meld art and science. The silicon bracelets, which come two to a set, are designed by travel and music photographer, Adam Elmakias, who originally created the bracelets as a business card, when starting out as a fledgling pro photog at the tender age of 16. Layer them on your wrist and show your allegiance to Nikon (our fave) with its 85-mm prime lens design (and drop a gift hint at the same time). Or, if Canon’s your mainstay (Elmakias’s choice), opt for an armload with the Bracelet Bundle C Series, and get all seven pro lens styles.—J.G.
lens wear
lake country
The view from my room at the Grand Geneva is stunning: the palette of fall colours against the impeccable greens of the golf course (one of 22 courses within half an hour) is a living, dancing Monet painting. Autumn colours lure many a traveller to the area, so much so that every year the Wisconsin Department of Tourism announces when trees across the state will hit their peak. Lake Geneva (about 90 minutes from Chicago and 45 minutes from Milwaukee) typically boasts the longest and most dramatic autumn
Geneva, watching burnt oranges and golden yellows reflect on the water as we glide by summer estates with names like “Lakewood,” “Edgewood,” and, of course, “Green Gables” of the famed Wrigley Estates. The majority of the owners of these stately summer homes are Chicagoans, thanks to a construction boom after the Great Chicago Fire of 1871. Our destination is Black Point Estate on the highest point along the lakeshore—a 13-bedroom cottage boasting a stunning Queen Anne design. Built by the German beer baron Conrad Seipp, one of
book
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go alfresco (while you still can!)
Dishes at Adesso Bistro in Vancouver
hit the
deck
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1. On the down low in Vancouver Competition in Vancouver is fierce during taste any sunny day, any season. There’s the pull of the English Bay beaches, the cool cloak of Stanley Park’s thousand-acre woods, and the jawdropping views from the peaks of Grouse, Seymour and Cypress mountains. But when it’s time to refuel, the picture-perfect patio at Adesso Bistro easily entices the most intrepid travellers. Situated on a residential street in the West End neighbourhood, the dead giveaway that there’s a terazza tucked unassumingly behind manicured hedges is the tantalizing aroma of Ligurian regional cuisine. [For another Vancouver patio experience that’s more Miami than Italy, see page 10.] A whiff of lemon squeezed over a plate of fritto misto di mare intermingles with a hit of salty sea air that drifted up from the bay just blocks away. In this dish, crispy-fried fish, ever-so-lightly swathed in batter, shares the plate with juicy prawns, squid and tender artichoke hearts. Forks clang against porcelain plates as diners vie for the last bite of house-cured bison bresaloa, served on a bed of peppery arugula. Glasses of Prosecco are quaffed—perhaps a little too lustily— for a scene that’s the embodiment of Italy on the West Coast. Adesso’s menu is modern, while remaining faithful to its Northern Italian origins. Seafood and pasta, like the triangular-raviolishaped pansotti tossed with pesto alla Genovese capture Liguria’s signature flavours. The best time to visit this bistro whose name means “now” in Italian? Adesso! adessobistro.net
2. Out back in Ottawa From farm to fork and nose to tail, Ottawa’s Murray Street KWC (that’s kitchen-wine-charcuterie) is all about bringing locally raised food to the plate and letting it hog the spotlight. And what better spot to savour true Canadian flavours than this back patio in the Byward Market, where grape vines overhead filter the late-summer/ early-fall sun’s intensity? Make your own last-hurrah picnic with a gorgeworthy selection of charcuterie (Niagara prosciutto, house-smoked duck breast, elk salami), cheeses (try the soft-ripened Grey Owl or Pine River 7-year), and veggies (roasted mushroom parfait, white bean and garlic pâté). murraystreet.ca 3. Above it all in Calgary Bigger is undoubtedly better when it comes to patios, and Calgary’s West Bar and Grill tops them all. The 15,000-square-foot rooftop space (Canada’s largest! Open eight months of the year!) is decked out with cabanas and fireplaces. Guests can gape at the view and chill while chowing down on comfort foods suitably elevated to the super-cool atmosphere. Steak frites get anointed with truffled Parmesan aioli, and crab meat adds decadence to mac ’n cheese. westrestaurantandbar.com —Janet Gyenes
Just For Canadian Doctors FALL 2012
mix
fall
made in the shade
gear
with TOMS ONE FOR ONE
bring home
pick + Pack a perfume Each city has
a fingerprint in fragrance. Think whiffs of freshcut lawn on a warm day in Central Park (green and crisp apple of NYC), sea breezes and beachy glamour in Abu Dhabi (bergamot and nutmeg of AUH) or exotic florals in Bali (frangipani and creamy vanilla of DPS)… Capture those scents in the ultimate souvenir of your favourite places—in Europe, North America, Middle East, Asia—with The Scent of Departure, a new collection of perfumes from French perfumer Gérald Ghislain (with designer Magali Sénéquier). The skyscraper-like bottles even have labelling that mimics a luggage tag with the three IATA code letters of the destination it represents: CDG for Paris, HKG for Hong Kong, MIL for Milan, SIN for Singapore…and LHR for London—perhaps most apropos postOlympics to keep that glow going. Inhale and imagine Hyde Park, Carnaby Street and perhaps even a gin-and-tonic… thescentofdeparture.com —B.Sligl
scent of a city
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ummer may be over but sunglasses are still a must—practically and fashionably speaking. And charitably too. TOMS, the “it” shoe company that launched the one-for-one philosophy of donating a pair of shoes for every chic pair of espadrille-inspired slipons it sold, has broadened its catalogue—and mission—with a sunglass line. And, yes, for every pair of shades bought, someone in the developing world will get a much-needed set of glasses. In partnership with the Seva Foundation (seva.org), which has helped nearly three million people worldwide to see again, TOMS Eyewear will give the gift of sight in countries like Nepal, Tibet and Cambodia. Plus, a big bonus to that feel-good aspect is the look-good one. These Italian-made sunglasses also deliver serious style. Sport this all-season musthave and, yes, you’re made in the shade. toms.ca/eyewear —B.S.
FALL 2012 Just For Canadian Doctors
fashion forward
stay outside
The colossal West patio in downtown Calgary
The leafy patio of Adesso Bistro
it’s in the eyes
courtesy Adesso; B. Sligl; courtesy West
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historic hideaway
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As a busy healthcare professional your time online must be spent valuably.
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rosy indulgence at the rosewood hotel georgia there’s an all-encompassing fresh take on serious old-school indulgence…visit and stay
The Rosewood Hotel Georgia has been open over a year now and the revamp of the historic 1927 property still feels cutting edge (and has garnered a spot on the Condé Nast Traveler: 2012 Hot List), from the jaw-dropping collection of art to the award-winning and hopping Hawksworth Restaurant. And then there’s the wow-factor of the attached residential tower, almost complete now…so the only thing better than staying for the weekend is staying indefinitely in your own pad high above Vancouver’s downtown. swish suites The grand lobby retains all its original charm 1 and then some, with stunning light fixtures and art on display (take a tour) 7 . The standard suite (featuring a bathroom that may even be bigger than yours at home) is posh enough, but then there’s the Rosewood Suite 2 , where Elvis once stayed, with its stellar patio (book for a chic gathering). rosewoodhotels.com/en/ hotelgeorgia fab fare Start with the signature Hotel Georgia cocktail 5 at Reflections 4 , the Miami-meets-West Coast patio-cum-lounge, then check out the well-deserved hype at Hawksworth, starting with Oyama Prosciutto and Pear Panzanella 6 or the to-die-for Prosciutto di Parma with Smoked Burrata. hawksworthrestaurant.com In the morning, you only need to amble downstairs to Bel Café for West Coast-worthy coffee and decadent macarons (must-try flavour: cassis) 3 . belcafe.com spa sense Post indulgence there’s a lovely lap pool (see into the porte-cochère below through glass cut-outs in the pool floor), and the Rosewood Retreat massage at the Sense spa. Ahhh… indulge indefinitely Want to make your stay last longer? Check out display suites at the adjoining skyscraper that houses the Private Residences. Here you’ll have all the luxuries of the hotel scene at your doorstep…and one rather well-heeled neighbour: The College of Physicians and Surgeons of British Columbia (owner of seven floors in the building). residencesatgeorgia.com —B.S.
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p h o t o p r e s c r i p t i o n m i c h a e l d e f r e i ta s
a shot in the dark All destinations have dual lives…here’s how to photograph the night version
A
PRO TIPS to get it right at night
> Shoot at a low ISO (100 or 200). Higher ISOs record more light,
but also lend a grainy or gritty quality to your images that’s rarely desirable in a night shot. I dial down the ISO and help the camera maximize light in other ways (shutter speed and aperture).
Send your photos and questions to our photography guru at feedback@ inprintpublications.com and your shot may be featured in a future issue!
> Use a tripod to steady the camera, so you can leave the shutter
open longer to let in more light. But even with a tripod, the slight vibration caused by pressing the camera’s shutter-release button is enough to blur long-exposure shots. A remote cable or electronic release eliminates most vibrations. If your camera doesn’t have this capability, use the self-timer. Set it for three to five seconds and press the shutter button. This allows enough time for the camera to stop vibrating before the shutter opens.
s the last rays of sun danced across the western sky, I set up my camera and tripod at the corner of Rue St-Louis and Rue Ste-Ursule in Old Quebec City. I was shooting the street’s transition from day to night when a young British couple, SLRs dangling from their necks, exited a small souvenir shop. “Let’s head back to the hotel, dump the cameras and get something to eat,” said the woman. With a quick nod from her male companion, they trotted off down Rue StLouis. I continued shooting. Putting away your camera when the sun goes down seems a natural thing to do. Maybe it’s all those bright sunny travel images that besiege us each day. Maybe the Bordeaux beckons. Or maybe a long day has left you creatively spent. But it’s worth the extra effort. Nighttime provides an opportunity to capture a destination’s exciting nocturnal side. Would my Quebec City couple dare to ditch their cameras at night if they were in Las Vegas or Times Square? Every destination has a dark side that’s easy to capture if you have a tripod or steady surface and a camera capable of shooting in manual, shutter or aperture mode (night images shot in auto or program mode usually come out too dark). The manual setting gives you the most control, but you can also compensate for
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Just For Canadian Doctors FALL 2012
destination
Michael DeFreitas is an award-winning photographer who’s been published in a wide variety of travel publications. With his initials, MD, he’s been nicknamed “doc,” making his photography prescriptions apropos.
> Don’t have a tripod? Rest your camera on a table, car hood, railing, garbage can or even a mailbox and use the self-timer. I also use a door jam or telephone pole to brace my camera.
> Review each shot on your camera’s LCD at 100% magnification to make sure it’s sharp.
Confronting Community Healthcare Challenges & Delivery Systems Accredited CME Program
Ready to take it to the next level? gear up All tripods have legs and a head. The head is the
swivel part of the tripod you connect the camera to. Spend the extra dollars and get a ball head (Manfrotto, Benbo, FLM). Try to avoid heads with three or more adjustment handles and knobs. Mini tripods ($20 – $40 by Joby, Sunpack, Giottos, Vanguard) work well with lighter point-and-shoots and DSLRs. Heavier DLSRs, especially those with telephoto lens, require sturdier aluminum tripods ($100 – $300 by Optex, Slik, Velbon). Ultra-light carbon-fibre models (like Manfrotto, Sherpa, Induro, Gitzo) range in price from $300 – $600.
Nighttime provides an opportunity to capture a destination’s exciting nocturnal side
michael defreitas
How to take advantage of the inky night light: Shoot within 90 minutes of the sun setting to get that desirable deep indigo blue in the sky (wait too long, and the sky is just black). ABOVE This shot of the Dome of the Rock and Western Wall in Jerusalem, Israel, was taken from a rooftop with the camera and medium wide-angle of 35mm lens resting on my camera bag (I didn’t have my tripod with me and there was not enough room to set it up anyway). I used the camera’s self-timer to trip the shutter to minimize camera shake. RIGHT This photo of an Arab man at the Luxor Temple in Egypt was taken using a tripod and a telephoto zoom lens set around 180mm because I didn’t want to interrupt his smoke (the telephoto lens allowed some distance and a candid quality; had I gone right up to the man he probably would have gotten up and left).
hotspots
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the lack of light by using shutter or aperture priority (check your manual for instructions on changing the shooting mode) to control the speed at which the shutter opens and closes (shutter speed) and size of lens opening (aperture). The chart on page 14 gives you typical shutter speeds and aperture settings for various types of night photography. They’re just a starting point and may vary with type of camera, so experiment a bit. Moody skyline images really add to a travel portfolio and there’s no better time to shoot them than just after sunset or before sunrise (up to 90 minutes after sunset or before sunrise). Buildings stand out better in the bluish hues of late evening or the pinkish pre-dawn glows than in a totally black sky. I also love nighttime street scenes and you can capture them any time after sunset. For that bustling, vibrant nightlife shot, try to include people in the scene even if they appear blurred. For that deserted street look, keep the shutter open for at least 25 seconds. Moving objects are not recorded. To capture dramatic streaming car lights, select a section of the street with an assortment of not-too-bright lights. Frame your shot and time how long it takes for the car to enter and leave your frame of view. If it takes the cars about five seconds to pass through your
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frame then add three or so seconds and set your shutter speed for about eight seconds. Try to compose the shot so the cars enter near a corner of your frame. Shoot their streaming taillights (bright headlights tend to burn out the scene). Push your shutter button just before the cars enter your frame. Bright lights shot with smaller apertures, such as f16 and f22, produce starburst flaring. Some are okay, but too many can ruin a shot. Wider apertures like f2.8 or f4 produce softer, more romantic images. Night photography is much more forgiving than daylight shooting. Don’t be intimidated. Review your camera controls, use the handy shooting chart, take a small flashlight (for setting camera controls in the dark) and don’t be in a hurry to get back to the hotel.
Subject (shot at ISO 100)
Shutter Speed
Aperture
Skyline (as described)
25 sec
f11
Floodlit building (museum, art gallery, etc.)
4 sec
f8
Street scene with mix of light sources
8 sec
f11
Neon lights (like Las Vegas Strip)
1/8 sec
f8
Fireworks bursts
2 – 3 sec
f8
Fireworks clusters (streaks)
10 – 15 sec
f8
Deserted street look
25 – 30 sec
f22
Streaking car lights
8 – 10 sec
f16
shooting chart
training@botoxtrainingcanada.com Dr. Deborah Martin, MD, CCFP (EM) www.botoxtrainingcanada.com 570 Bryne Drive, Barrie, ON
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travel at home
[continued]
get real in
regina where prairie beauty, spirit + hospitality mix
1
The allure of nighttime shooting: This street scene was shot in Old Quebec City, highlighting motion blur from pedestrians and the streaks of taillights. The camera was set up on a tripod with a medium wide angle lens (35mm). Aperture priority was used to control the depth of field, and the camera’s self-timer was used to trip the shutter.
story + photography by Barb sligl
Call 604-681-1811 now.
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travel at home
T
his is the “Land of the Living Skies,” where fluffy cottonball-like clouds flit by one moment and stormy, dark ones take over the next. The prairie sky in Saskatchewan is full of intoxicating beauty, from placid to churning. It’s striking. So much so that people in Regina still talk of “the storm of the century,” the epic tornado that levelled the city in 1912. With winds that reached 400 kilometres per hour, the Great Regina Cyclone left a long-standing imprint as the worst tornado to hit the nation to date. The city even had a festival to commemorate the 100th anniversary last year, and each summer draws some serious storm watchers here, coming from far and wide to chase the tornadoes that churn up the prairies (think Twister, the Hollywood movie). But what the “stormy” past really reveals is a forthright prairie mentality. People here are strong and hardy (“We don’t take anything for granted here,” is an oft-repeated
Who knows what the city will come up with for 2013’s Grey Cup taking place in Regina… There’s certainly a cowboy spirit here, whether seen in those Riders-green cowboy hats or the rather gentlemanly security crew on horseback at the Craven Country Jamboree 9 (cravencountryjamboree.com). This annual outdoor fest, called “The World’s Greatest Country Music Festival,” is another all-out party with legions of devoted locals planning their summers around the event. It’s been going on now for almost 30 years just outside Regina, set in the bucolic Qu’Appelle Valley. This is big sky and rolling-green-hills country 1 and dispels any notion of the flat, nondescript scenery you might expect. Get off the Trans-Canada Highway and forget flat. This landscape is mercurial (with that living sky), undulating and alive. En route there are flashes of bright yellow—ribbons of canola and mustard, screaming photo op 6 . This is iconic prairie produce, but there’s much more growing
“There’s a lot to do and nothing to block the view” refrain)—and welcoming. Go to a Saskatchewan Roughriders game (‘tis the season!) for some whippedup frenzy and storm watching of another sort. One fan jokes that “We’re all born with tattoos,” and “It’s the longest relationship I’ve been in.” Given that about 70% of all the Canadian Football League’s merchandise sales come from Riders fans (the publicly owned team sells more merchandise than all the other CFL clubs combined), it’s one serious commitment (riderville.com). So serious that grown men happily wile away their time carving helmets out of watermelons to sport on game day 8 , wearing them with flags-as-capes and anything and everything green. It’s a sea of green in the stadium and everywhere in Regina. Stop for a local pint at Bushwakker brewpub (bushwakker.com) pre- or post-game, and you may feel out of place without some Riders paraphernalia on, be it a jersey, cowboy hat or some other crafted homage to the team. In the local grocery store you’ll find “All-Dressler” chips and “Dario’s” cereal (named for star players Weston Dressler and Darian Durant) and even “Rider Pride” ice cream (green, of course).
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here. Beyond the beautiful beets, peas and radishes at the downtown Regina Farmers’ Market 10 , there are cherries (making surprisingly tasty cherry wine from Cypress Hills Vineyard and Winery, the only winery in the province; cypresshillswinery.com), berries (from saskatoons to strawberries) and even grapes, apricots and peaches (at the organic Over the Hill Orchards; overthehillorchards.ca). Local restaurants are joining the food-to-fork movement, utilizing this bounty to create gourmet dishes—from posh poutine with roast mushroom sauce and short rib (yes!) at Flip Eatery (fliprestaurant.ca) to the minted spring pea, lemon and ricotta ravioli dish from The Willow on Wascana (willowonwascana.ca), fittingly called Peas du Resistance (divine!) 5 . For something more down-home, there’s Merv’s Pitchfork Fondue (on wheels, Merv can set up anywhere in the city or in the midst of the Qu’Appelle Valley) for ribeye steak like you’ve never had it before 4 (mervspitchforkfondue.com). Back at The Willow, your gourmet fare comes with a unique side—the largest urban park in North America. The 2,300-acre Wascana Centre (wascana.sk.ca) in the centre of Regina surrounds Wascana Lake where you
Just For Canadian Doctors FALL 2012
can watch the Regina Rowing Club practise strokes on the glassy surface. There’s certainly a stateliness to the park (two times the size of Stanley Park in Vancouver; three times the size of Central Park in Manhattan), and that grandeur is found throughout the city. At the Royal Canadian Mounted Police Heritage Centre, reverence is given to the iconic red-coated Mountie with trusty steed and broadbrimmed Stetson hat 2 , as seen in the huge photo that greets you in the entry. Seeing the modern Arthur Ericksondesigned building itself is a must 3 , and then, inside, you’re transported back through the RCMP’s 139 years. Even better, visit while the Sergeant Major’s Parade takes place for full-on regalia (rcmpheritagecentre.com). For more old-school cool, there’s the Hotel Saskatchewan (where the Queen herself has stayed while in Regina), one of the château-style hotels of the Canadian Pacific Railway’s heyday (boasting original chandeliers and perhaps a few ghostly patrons; hotelsask.com). The hotel mixes old colonial character with the funky flair of some independent shops on site—from a barber shop (with original tiles, sinks and chairs) and day spa to a French-style pâtisserie that follows that newfound foodie movement going on throughout the city 7 (Koko Pâtisserie; kokopatisserie.com). It’s all a mix of old and new, cowboy and cosmopolitan, country and cool. Regina has retained its roots—proudly—but is also becoming far more than its past. Simply put, it’s happening. Life here is good, everyone will tell you. The resource-based economy is booming (thanks to potash, oil and gas). Regina has the lowest unemployment rate in the country and the largest increase in housing values. And, with both the Grey Cup and Juno Awards taking place in Regina next year, expect things to just keep getting hotter. Yet people remember the hard times— whether that great cyclone or flooding or drought, and, again, will repeat point-blank, “We don’t take anything for granted here.” Maybe it’s something to do with that big sky…it tends to keep things in perspective. The landscape here has a quiet drama. That colossal sky is what dominates. Or, as one local puts it, “There’s lots to do and nothing to block the view.”
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if you go rock it in regina Find out more about Regina at reginaroc. com/visit. And for a CME meeting “with the most,” check out stayinregina.com. FALL 2012 Just For Canadian Doctors
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the thirsty doctor Janet Gyenes
t h e h u n g r y d o c t o r d r . h o l ly f o n g
Janet Gyenes is a magazine writer and editor who likes to dally in spirits, especially when discovering something like corenwyn jenever (a gin-like Dutch spirit)—straight or in cocktails like the “bramble.”
Dr. Holly Fong is a practising speech-language pathologist with three young children who is always trying, adapting and creating dishes.
not-so-standard
spirit of the west Organic gin laced with local hops, rose hips and rosemary
Elevate the commonplace sandwich to gourmet levels
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ith the back-to-school rush, it seems that there aren’t enough hours in a day to do all that needs to be done. When you’re too busy to make dinner from scratch, a store-bought roast chicken offers a much-appreciated head start. Convenient rotisserie birds, available at many supermarkets, may not be as moist and flavourful as home-roasted, but, even when less than perfect, the meat can be transformed into a delicious entrée. For cooks on the run, a quick main course salad or a hearty sandwich are a far cry from plain chicken. Moreover, the bird can do triple duty, providing a second meal later in the week and the carcass can
craft distillery couldn’t start from scratch and ferment its own product and make a gin out of it,” Schramm explains, “so we took that on as a bit of a challenge.” Cork popped on bottle #297 of Batch #6, and there’s the initial resinous aroma and spicy notes anticipated from a classic London dry gin. The cool liquid, served neat, is unabashedly juniperforward, with an unexpected hit of hops.
Tyler Schramm
al gin. and his artisan
“We wanted to give it a little bit of West Coast flair,” says Schramm, whose wife and business partner, Lorien, came up with the blend of all-organic botanicals. “And rose hips, rosemary and hops all grow really well in this area, so we threw those in.” Ceylon cinnamon, angelica root and orange peel round out the recipe. Each batch of the artisanal gin has varied sightly, even though the blend and proportion of organic botanicals remains constant. Adjusting the percentage alcohol in each can really alter the profile of the spirit, especially the juniper and hops, which come through first. But it all boils down to that ever-present potato. “The mouth feel is quite a bit different,” says Schramm.
Just For Canadian Doctors FALL 2012
“If you sip it next to a grain-based gin, it’s very smooth on your palate. It’s kind of an earthy flavour … sort of a combination of the potato spirit and the rosemary.” While the gutsy gin daunts vodka devotees, gin lovers embrace it. Most sip it neat, or forego the tonic in favour of a splash of soda. Lemon or lime? “Neither,” says Schramm. He prefers to let the botanicals “have a chance to come through on their own.” Does the Pemberton potato terroir truly shine through in the spirit? “Absolutely,” says Schramm, grinning. “When I first registered the vodka with the [B.C. Liquor Distribution Branch], I tried—unsuccessfully—to give our vodka a vintage. 2012 is going to be an From Spud to Spirit extremely good potato year. I “In theory, we could go thought it would be kind of cool from potato to bottle in about nine or 10 days.” to have that harvest designated —Tyler Schramm on the bottle.” Schramm isn’t just reaping • 1,000 litres of mash (550 kg of potatoes) the rewards of the fertile valley; yields just 50 to 65 his operation gives back to the litres of spirit at 60% land too. The nondescript distillalcohol ery, easy to ignore in its subalpine • 18 kg of juniper surroundings of wildflowers and berries and 9 kg of glacial peaks, uses a geothermal coriander seeds go ground loop system for heating into each batch and cooling the building, and • 7 kg of spuds go into preheating water for the stills. each 750-ml bottle The mash waste becomes com• Each batch yields post for that erstwhile spud farm about 300 750-ml that started it all—the brothers bottles now grow organic hops there. • Eight organic And while Schramm organic gin botanicals are added is a tasty tribute to the classic to the potato spirit, where they soak for juniper-forward spirit, it’s the about 24 hours ingredients from the valley that • Spuds are sourced make it a modern and sustainfrom the “certified able success. salmon safe” Creek Organics Farm, giving the spirits the distinction of being North America’s first “salmon safe spirits”
• Popular Mechanics magazine ranked the distillery in its list of “Five of the World’s Most High-tech Distilleries” —J.G.
serves 4
12 bacon slices 2 roasted chicken breast halves (or chicken thighs if preferred) 2 large ripe but still firm avocados 2 tomatoes, rinsed, cored and sliced crosswise into rounds 100g or about 4oz blue cheese (creamier versions work better)
go Pemberton Distillery: 604-894-0222; pembertondistillery.ca > Tasting room (summer hours until to Oct. 14) open Thursday to Saturday, 12 pm to 6 pm; guided tour ($5), 4 pm.
be frozen until you’re ready to make soup. Although the word sandwich often brings to mind bag lunches, my family loves the Cobb sandwich, a cross between the salad from which it gets its name and a club sandwich. The combination of chicken, bacon, avocado, blue cheese, lettuce and tomato on toast makes a delicious casual meal. The tang of the blue cheese and the saltiness of the bacon pair well with fruity wines with good acidity. This past summer, my everyday white wine has been the refreshing Marlborough Sauvignon Blanc 2011 from Spy Valley. This intensely
Tangy blue cheese and salty bacon pair well with the fruity, acidic Marlborough Sauvignon Blanc 2011 from Spy Valley. It’s a Cobb match.
flavoured wine has notes of citrus and ripe peach or pineapple. On the palate, this smooth wine has a long fruity finish with vibrant acidity and a hint of spice. It’s an easy way to elevate your Cobb-wich.
Rotisserie Cobb sandwiches
dr. holly fong
t’s all about the dirt. That much is clear when sipping Schramm Organic Canadian Dry Gin in the tasting room at Pemberton Distillery. Not dirt in a gritty, cringe-inducing way, but the character it imparts, which can be detected in a wine with mineral notes or artisan cheese, for example. The taste is in the terroir. Where Whistler is spotlighted for its superb snow sports, Pemberton, a village 35 km north, has a more down-to-earth claim to fame: potatoes. Spud Valley, as the locale is known, can thank its violent volcanic past for its crowning glaciers and fertile soil, which produce virusfree seed potatoes. And Tyler Schramm, master distiller at Pemberton Distillery, has elevated this starchy staple into a top-shelf potato spirit—and awardwinning organic vodka—that’s the base alcohol for his organic gin. In some respects, it’s always been about the terroir for Schramm. Backtrack almost a decade and he was completing his geography degree, specializing in resource management, and with a strong interest in organic agriculture. “I always wanted to do something related to that, but wasn’t sure how I fit into that program.” When one of Schramm’s brothers purchased a 10-acre plot of land planted with potatoes, along with it came the idea for setting up a micro-distillery and making an organic potato vodka. But British Columbia’s antiquated liquor laws made it “virtually impossible,” says Schramm, who recommitted to the concept in 2005. He spent the following year in Scotland earning a master’s degree in brewing and distilling and finally hit pay dirt when the B.C. government changed its licensing regulations. “It took me a year and a small mountain of paperwork” to get a distillery license, says Schramm. The brothers built the distillery (incorporating a German-made, hand-built copper-and-steel pot still), and started making spirits in 2009. The potato vodka was earning accolades, a single-malt whisky was in production, and Schramm admits that he had no interest in distilling a gin. That was until fellow member of the Artisan Distillers Guild of British Columbia contended that gin couldn’t be made from anything other than a neutral alcohol. “They were basically claiming that a B.C.
4 tbsp of mayonnaise 1 teaspoon of chopped parsley or cilantro juice of ½ lemon pepper to taste 8 small crisp romaine leaves, washed and dried with paper towel or salad spinner 8 slices of firm crusty bread, e.g., French or Italian loaf 16 toothpicks (optional)
Ina largeskillet cook baconover moderateheat until crispandbrown. Transfer toa paper towel linedplateto drain. > Ina small bowl, combinemayonnaise, chopped cilantroand1tablespoonof lemonjuice. Mix andadjust seasoningwithpepper. Set aside. > Halveavocado. Pit, peel andcut thinslices lengthwise. Drizzlewith remaininglemonjuice. Set aside. > Lay a chickenbreast, cut sidedownona cuttingboard. Usinga sharpknife, makethincuts parallel totheboard(approximately ¼ inchthick). > Toast breadandspread4slices withblue cheeseandremainder withthemayonnaisemixture. Reserveany remainingmayonnaisetospreadonthe chicken, if desired. Dividethechicken, bacon, avocado, tomatoandlettuceamongst thebluecheesetoast slices. Cover withtheremainingbread. Secureeachsandwich with2toothpicks, if desired, andhalvetoserve. Enjoy.
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FALL 2012 Just For Canadian Doctors
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travel the world
Peru
travel the world
more than machu
picchu >>
story by tim johnson | Photography By barb sligl
A beluga whale swims up to a kayak in Hudson Bay.
FALL 2012 Just For Canadian Doctors
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travel the world
n the retelling, the swim probably sounds like a bad idea. Fully cognizant of the fact that a number of normally terror-inducing animals could be hidden down in that brown, murky water— bloodthirsty piranhas, sleek, patient caimans and even the occasional anaconda—I slipped my feet, then my torso, into the
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intersect and form one mighty river—the place that marks the starting point of the world’s greatest waterway. But now, bunched together in a group in the middle of the Rio Ucayali— like kids on Christmas Eve hoping for a glimpse of Kris Kringle—we eagerly dug our feet into the muddy riverbed and awaited the arrival of the mysterious pink dolphin.
the vast, muggy Amazon basin, Peru, now one of Latin America’s economic powerhouses and a new culinary mecca, is a place with a lot to offer. I was off on a fascinating journey, and one with quite a few surprises along the way. My Amazon adventure began in Iquitos, the world’s largest city unconnected by road to the rest
air-conditioned hammocks, cushy couches and beautiful open spaces, perfect for whiling away a hot afternoon. But we didn’t have much time for the hammocks. Each of our four days on the river were filled with unique adventures, from a hike through dense jungle amongst playful monkeys, to a walk to a local village and its hand-
It's not surpising Llosa called
Colca "the valley of wonders"..
surprisingly warm water and, arm over arm, cautiously propelled myself out to the middle of the river. There, I joined a group of my fellow guests from the Delphin II, a small, boutique, luxury cruise boat that plies the waters of the Ucayali and the Marañon, the two principal headwaters of the Amazon. Later, we would spend some time at the place where the two
It’s not the Peru that most people picture—because when most people imagine this South American nation, they think only of Machu Picchu. And while that sacred site is truly one of the most unforgettable places on earth, I was in Peru for two weeks to see its many other attractions. A diverse country, from its Pacific beaches to its Andean peaks, to
of the world (air and water are the only avenues for arrival). Passing thatched buildings and lush rainforest along the one-and-ahalf hour drive to the river town of Nauta (one road connects these two places alone), I arrived at the ship, which looks a bit like an old school cartoon riverboat (but without the paddlewheel)— three decks of comfortable,
icrafts market, an excursion that included fun face-to-face encounters with local residents and even an impromptu football game that brought together cruisers and village kids in one enthusiastic match. We also enjoyed a lovely breakfast onboard small launches that plunged deep into the rainforest on small waterways, taking us into an exotic land of sloths
Between Arequipa and the Colca Valley, at the 4,800-metre-high “Lookout Point of the Andes.” this page from left Villagers meet and greet cruisers in the Amazon basin. > The flight of the condors in the Colca Valley. opposite page, clockwise from top The Delphin II. > Political messaging in the midst of the jungle. > The Colca Valley at sunset. > Villagers’ trail from river to village. > The high Andean plateau from Arequipa to Colca Valley, where vicuñas roam. > White-washed village church in the Colca Valley, where locals celebrate a wedding.
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travel at home
It's not the Peru most people picture.. to Chicha, the Andean brand of Gaston Acurio, Peru’s superstar chef, who—as Peruvian cuisine continues to bask in growing worldwide acclaim—is presiding over a rapidly advancing worldwide restaurant empire. Serving up Andean and Peruvian favourites, Acurio also dares to play with unique fusions, and I tried one such dish, an Indian curry alpaca, which brought together one of Peru’s most iconic animals with an exotic curry mixed with local fruits. It was far different than anything I had ever eaten, a culinary confluence of hardy meat, spicy flavours and savory tastes—a delicious combination. Sufficiently sated, I was ready for a big day on the road, and the next morning I rode much higher into the mountains, at one point traversing a pass more than 16,000 feet up—so high that, when we stopped to inspect the craft items sold by colourful local women along the roadside, the extremely
thin air caused me to feel dizzy and confused. We dropped over the other side of the cordillera and into the Colca Valley, a stunning region filled with picturesque, 16th century villages, lined with hulking, snow-capped volcanoes and remarkable terraced slopes that were created and agriculturally cultivated by a pre-Incan civilization (it’s not surprising that Mario Vargas Llosa called Colca “the Valley of Wonders”). Bumping along a dusty road clinging to the flanks of the mountains, we arrived at a true national treasure—the Colca Canyon, twice as deep as the Grand Canyon and home to the majestic Andean condor, an unmistakable symbol of Peru. Joining the crowd gathered at a landmark called the Condor Cross, we thrilled at the sight of the giant birds, which swooped over the great depths of the canyon, riding its warm updrafts with their ten-plus-foot wingspans. Although you could
Vacation CME Accredited by the CFPC for up to 12.0 Mainpro-C credits
fall 2012 + beyond El Parque del Amor (the Park of Love ) in Miraflores. right Ceviche at Rafael Restaurant, Peruvian celeb chef Rafael Osterling‘s hot spot in Miraflores.
LAND Maui Whistler Scottsdale Dominican Disney World
Lovely LIMA on the Pacific coast of Peru has gorgeous colonial architecture, all-the-rage cuisine, a seaside soccer + surf vibe and gritty, happening edge. (CME events in Lima are highlighted in blue.)
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www.cbt.ca
b. sligl
Australia Caribbean Mediterranean
supratentorial medicine
Colonial architecture of the Plaza de Armas.
Lima
Sunset over the Pacific, as seen from the Westin Lima Hotel & Convention Center. left Maras, another celebchef restaurant (Chef Rafael Piqueras) at the Westin.
peru Theupcomingwinter here means thesummer seasonis just startinginSouthAmerica. Findout moreabout where/when/howto get tothemanywondersof Peruat: peru.travel/en/
SEA
CANADA
cme
A n in ter n ation a l guide to continuing Medical Education
hear a pin drop amongst the amassed observers, the haunting tune of the Flight of the Condor on pan flute played in the back of my mind as I watched the smooth, languid, awe-inspiring flight of these birds. But no trip to Peru would be complete without a trip to Machu Picchu. On one of my final days in the country I travelled there, taking the first-class route—an Orient-Express train to the base, and a chartered bus to the top. And it was magnificent. It was everything that I expected it to be. But instead of the sum total of my experiences, it was the conclusion, the final curtain on a diverse and wonderful adventure.
if you go
and macaws and electric blue Morpho butterflies, marvels that we viewed while enjoying whiteglove service of bacon and eggs, passion fruit and papaya juices and piping hot coffee, followed up by some piranha fishing. And we immersed ourselves in the river, waiting—in vain—for the strange, famous Amazon freshwater dolphin (although we would see several later from the decks of the boat, at the meeting of the two rivers)— then slathering ourselves headto-toe with therapeutic mud from the bottom of the Ucayali and playing a little volleyball on a sandbar. And from the steamy depths of the Amazon basin, I travelled to the soaring heights of the Andes, flying from Iquitos to Arequipa, a city that sits more than 7,500 feet up, with a beautifully preserved colonial city centre, which has been designated a UNESCO World Heritage Site. Pausing there for a night, I paid a dinner visit
lima / tel aviv / indianapolis / vancouver / cyprus … | c a l e n d a r
hile most visitors to Peru start and finish their visit in the country’s rambling capital, many treat Lima as a drive-through city—a place to fly into on their way to visiting Machu Picchu, the Andes and the Amazon, before flying out again from the city’s international airport. And that’s a shame. Situated near the sea and with a number of worthwhile attractions—cultural, culinary and otherwise—Lima is a great place to linger, a vast and fascinating Latin American city with much more to offer than just a long runway capable of landing jumbo jets. The Barranco District is a great starting point for your visit. This coastal community is also one of the oldest parts of greater Lima, a colourful and cool place that brings together history and natural beauty. Walk the pedestrian streets past a mix of glassy, modern condos and restored colonial homes (in shades of pink, blue, yellow and green, and combinations thereof), plus sidewalk cafes and
great little restaurants, before joining the crowd and heading down to the beach, where you can watch most of the men (and a few women) engaging in heated soccer matches on the sandy, sunny pitch. After that, travel a little bit north, to Miraflores, Lima’s famous seaside suburb. Lined with beautiful beaches that back onto vertiginous sea cliffs, Miraflores is a dramatic place that evokes something of a California-Pacific feel. Take in the cliff-top views from El Parque del Amor, a happy place with a tile mosaic wall and a statue of a couple in the throes of an amorous kiss (appropriately enough, it’s called El Beso, or, “The Kiss”)—a pose mimicked by a number of the park’s visitors, who spread out on the grass and get into the spirit under the shade of olive trees. And while it’s a little distance away from the sea, the main square in Miraflores is also worth a visit, a broad, green space that serves as a quiet retreat where joggers share space with the many artists
who sell their own handiwork on easels along the footpaths. But no visit to Lima would be complete without a visit to its very heart—Plaza de Armas, in the colonial centre of the city. Dominated by the Presidential Palace and the city’s Cathedral, it’s both a beautiful and bustling place, where taxis and horse-drawn carriages jockey for position on the streets that surround it and tourists and newlywed couples alike pose for photos in front of the square’s flowing fountain. Then walk just a few steps and settle in for a well-deserved dinner at Tanta, which features the Peruvian cuisine of Gaston Acurio, the country’s most famous chef, where the food—delicious combinations of seafood, yucca, fresh fruits and other local ingredients—will make it obvious why Lima is sometimes known as the gastronomic capital of the Americas. —Tim Johnson For more on Lima and Peru, go to peru.travel/en/.
FALL 2012 Just For Canadian Doctors
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c m e calendar
contact
website
Oct 17-21
Paradise Island Bahamas
International Society Of Hair Restoration Surgery (ISHRS) 20th Annual Scientific Meeting
ISHRS
630-262-5399
Oct 22-26
Barrie Ontario
One Week “Everything” Training Course In Botox, Dr. Martin’s Training Fillers And Medical Aesthetics Centre Canada
Oct 27-28
Vancouver British Columbia
Professional Facial Aesthetics Training Introductory Course To Botox & Cosmetic Fillers
Nov 02-03
Toronto Ontario
Nov 14-28
Biochemistry
Attn:
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ishrs.org
Oct 27-31
Toronto Ontario
Canadian Cardiovascular Congress
Canadian Cardiovascular Society
877-569-3407
cardiocongress. org
800-627-3309 See Ad Page 14
botoxtrainingcanada.com
Dec 02-04
Tel Aviv Israel
Innovations In Cardiovascular Interventions (ICI 2012)
Dan Knassim
011-972-3-5767739
icimeeting.com
The Physician Skincare and Training Centre
877-754-6782 See Ad Page 28
ptcenter.org
Jan 23Feb 2 2013
Tahiti Cruise
Cardiology Update 2013
CMEatSEA
888-523-3732 See Ad Page 30
cmeatsea.org
Aesthetic Medicine & Certification Program
Canadian Association of Aesthetic Medicine
877-685-0452 See Ad Page 13
caam.ca
Mar 04-11 2013
Zürs Austria
31st International Cardiovascular Surgical Symposium
Karl Landsteiner Institute congress@ of Cardiovascular surgery-zurs.at Surgical Research
surgery-zuers.at
Ecuador
CME & Ecological Tour of Ecuador
doctors-on-tour
416-231-8466
doctors-ontour.ca
Nov 03-07
Berlin Germany
International Society for Pharmacoeconomics & Outcomes Research (ISPOR) 15th Annual European Congress
ISPOR
609-586-4981
ispor.org
Nov 16-18
Miami Florida
9th Congress Of The American Academy Of Aesthetic Medicine
American Academy of Aesthetic Medicine
310-944-1790
aaamed.org
Dec 03-06
Hollywood Florida
American College of Neuropsychopharmacology 2012 Annual Meeting
615-324-2360
acnp.org
Nov 19-23
Barrie Ontario
One Week “Everything” Training Course In Botox, Dr. Martin’s Training Fillers And Medical Aesthetics Centre Canada
800-627-3309 See Ad Page 14
botoxtrainingcanada.com
American College of Neuropsychopharmacology
Oxford England
Adverse Drug Reactions, Drug Interactions, And Pharmacovigilance
Dec 08-09
877-754-6782 See Ad Page 28
011-44-186528-6955
conted.ox.ac.uk
Vancouver British Columbia
May 13-17 2013
ptcenter.org
Oct 31Nov 03
Las Vegas Nevada
SDPA 10th Annual Fall Dermatology Conference
830-980-8489
aapa.org
Nov 22
Uppsala Sweden
Life Sciences Frontiers
Economist Conferences
512-328-6431
medicalstudiesabroad.com
Society of Dermatology Physician Assistants
Nov 14-17
Barcelona Spain
6th World Meeting Of Interdisciplinary Melanoma/Skin Cancer Centres
May 16-20 2013
Servicios Básicos de Congresos
011-34-93-3685538
melanoma2012. com/
St. Petersburg Florida
19th Annual International “Stress & Behavior” Neuroscience & Biopsychiatry Conference
ISBS Conference
240-899-9571
stress-andbehavior.com
London England
8th Medical Dermatology Conference
British Association of Dermatologists
conference@ bad.org.uk
rcplondon.ac.uk
Jul 07-09 2013
Jan 10 2013
Paris France
International Congress on Naturopathic Medicine
Paragon Conventions
011-41-22-5330948
icnmcongress. com
Grand Cayman Cayman Islands
12th Annual Caribbean Dermatology Symposium
Caribbean Dermatology Symposium
502-569-1356
caribederm.org
Oct 06-07
Iowa City Iowa
Hands-On Ultrasound-Guided Peripheral Nerve
University of Iowa Health Care
Jan 15-19 2013
319-384-9273
uiowa.edu
2012 CDA/CSEM Professional Conference And Annual Meetings
Canadian Diabetes Association
diabetes.ca
Nov
41st Annual Refresher Course For Nurse
Continuing Education Programs
954-763-8003
currentreviews. com
Vancouver British Columbia
800-226-8464
Lake Buena Vista Florida
Oct 10-13 Dec 04-06
Dubai UAE
1st American Diabetes Association Middle East Congress
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SLOCAN, BC – Semi-retired family doctor needed for small recreational town, Slocan, BC. Straight from your backyard is the lake, as well as excellent outdoor activities such as skiing, golfing and hiking. Please call 250.362.3313 for more information
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opportunities
Enderby
Pediatricians and Medical Oncologists
[mailto:moniquemori@ab.telus.net] The four hospitals of Quinte Health Care (QHC) provide primary and secondary services to a population of 160,000 in Hastings and Prince Edward Counties. The region, which has become one of Canada’s most desired locations to live, includes a number of diverse and culturally rich urban and rural communities within an area defined by both its pastoral settings and its proximity to a multitude of waterways. It has a remarkable heritage and a strong sense of community; its residents enjoy some of the best arts, culinary and Gettingrecreational Here: opportunities in Ontario yet it is less than two hours from Toronto. For more information and a map of the area, please visit www.qhc.on.ca VIA Rail - viarail.ca
employment
Kelowna Int’l Airport - kelownaairport.com Pediatrics: Department Chief, Full Time, or Locum Shifts available. Paid accommodations may be available Kamloops Airport - kamloopsairport.com for locum work. QHC Belleville General Hospital's Maternal-Child Unit has 10 pediatric beds, an 8-bed Penticton Regional care Airport - cyyf.ca intermediate nursery (special care nursery) for high risk newborns, an operating room for caesarian sections, and a 17 bed obstetrical unit. QHC Belleville General also houses a Children’s Treatment Centre Greyhound Bus - greyhound.ca and multidisciplinary diabetes clinic which treats children and their families.
Enderby & District Chamber Medical Oncology: QHCof is Commerce offering a fully funded position through the Ontario Medical Oncology Association. You will have the P.O. Box 1000, 700 Railway Street unique opportunity to work in a Community Hospital Ambulatory Oncology Clinic as well as a Regional Cancer Care Centre at the CCSEO. Your link to the CCSEO will also allow you Enderby, BC to be involved in an academic cancer program with teaching and research opportunities in affiliation with V0E 1V0 Queen’s University. At the QHC Belleville site you will work in our new state of the art ambulatory oncology Email: clinic info@enderbychamber.com in a multidisciplinary environment with on-site diagnostic services including MRI Imaging. Telephone: 250-838-6727 or 877-213-6509 Fax: (250) 838-0123
Exceptional Care, Inspired By You
Interested candidates please contact: Bree Ricketts-Gaber p: 1-800-483-2811 x 2600 bricketts@qhc.on.ca
32
Just For Canadian Doctors FALL 2012
enderbychamber.com facebook.com/enderbychamber twitter.com/enderbychamber
Enderby
British Columbia
Where the Okanagan meets the Shuswap!
w w w . e n d e r b y c h a m b e r. c o m FALL 2012 Just For Canadian Doctors
33
Enderby Cliffs-Darren Robinson Photography
exciting events
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modern amenities
Play today. Stay for good.
Play
Whether your Enderby adventure lasts only a day, or an entire lifetime, the North Okanagan/Shuswap is ready to welcome you in. Many residents recall proudly discovering Enderby as a tourist, only to return later on as a happy resident. Unsurpassed natural beauty, affordable housing, modern amenities, close proximity to major markets, friendly people, clean living, family-firendly; there are countless reasons to consider a better life Where the Okanagan meets the Shuswap!
Hike the iconic Enderb
y Cliffs
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t
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ver
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e stars
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oor pool
Stay Close proximity to m ajor centres like Vernon, Salmon Arm and Kelowna All modern amenities within minutes
Welcome to Enderby, British Columbia
Enderby, BC offers the perfect blend of friendly rural charm, pristine natural beauty and unparalleled outdoor adventure. Hike the iconic Enderby Cliffs for breathtaking panoramic views in all directions, or savour the sights, sounds and tastes of our various farm markets. Whether you are seeking adventure, family fun, arts and culture, or just a way to escape the ordinary, your Enderby experience is bound to be one you won’t soon forget.
Safe & affordable Ideal climate year roun
d
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re
34
w w w . e n d e r b y c h a m b e r. c o m
Just For Canadian Doctors FALL 2012
O2012 pen fo FALL Just Canadian Doctors r buFor sines s
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Life’s better here...
Career. Outdoors. Recreation. Individuality. Balance.
Family Practice - Enderby, BC Interior Health is actively recruiting two full-time physicians for Enderby, British Columbia, to join a two physician/one nurse practitioner complement. Enderby is situated in the North Okanagan, just one and a half hours from Kelowna International Airport. This rural city is nature’s playground as it sits on the banks of the Shuswap River. Enderby provides a year round paradise for outdoor enthusiasts and is overlooked by the spectacular Enderby Cliffs. This great opportunity provides a collaborative practice in a multi-disciplinary community health setting that includes a laboratory, mental health, public health and community care at the Enderby Community Health Centre. Contract includes a guaranteed income, no overhead, numerous incentives, and no on-call duties.
Enderby
Enderby Community Health Centre is a comprehensive primary care centre serving Enderby, the Splatsin First Nation and surrounding communities including Mara, Grindrod, Kingfisher, Armstrong and Spallumcheen. The Health Centre staff work as an interdisciplinary team with a focus on quality primary health care and chronic disease management. This close team consists of family physicians, a Nurse-Practitioner, Public Health, Mental Health (Adult and Child/Youth), Home & Community Care, Speech Language Pathologist, Alcohol & Drug Addiction Services, On-site Laboratory, Ambulatory Care Clinic, Stopping the Violence, First Nation's Counselors and a Diabetic Education program. Still not convinced that this is an opportunity you should seriously consider? Contact us, and we will show you how rewarding and wonderful your life will be in Enderby.
Getting Here: VIA Rail - viarail.ca Kelowna Int’l Airport - kelownaairport.com Kamloops Airport - kamloopsairport.com Penticton Regional Airport - cyyf.ca Greyhound Bus - greyhound.ca Enderby & District Chamber of Commerce P.O. Box 1000, 700 Railway Street Enderby, BC V0E 1V0 Email: info@enderbychamber.com Telephone: 250-838-6727 or 877-213-6509 Fax: (250) 838-0123
If you are interested in making the change, or would like to refer a physician for the role contact: physicianrecruitment@interiorhealth.ca or go online to www.betterhere.ca
Enderby
British Columbia
Where the Okanagan meets the Shuswap!
36
Just For Canadian Doctors FALL 2012
enderbychamber.com facebook.com/enderbychamber twitter.com/enderbychamber
w w w . e n d e r b y c h a m b e r. c o m Enderby Cliffs-Darren Robinson Photography
Family Practitioner – Princeton, BC Interested in a rural practice, friendly community, with provincial parks at your doorstep? Princeton has all of this. Recognized as the Southern Gateway to the B.C. Interior, Princeton is rich in history and abundant in beauty. Located in the foothills of the Cascade Mountains where two rivers meet, the area offers a wide range of recreational activities for all to enjoy. From fishing, hiking and cycling in the nearby parks, to participating in one of the many community events and fairs, Princeton has something for everyone.
opportunities
opportunities
Career. Outdoors. Recreation. Enjoyment. Individuality. Balance.
t c e f r e p e h t Discover . e m o h l l a c place to
employment
Life’s better here...
employment
The Town of Princeton is seeking a full-time Family Practitioner to join their welcoming community. This busy clinic is located in the hospital and provides ease of access for emergency call situations. This role requires emergency experience and does not include any obstetrics. Three physicians and one Nurse Practitioner currently service the surrounding population of approximately five thousand people. Princeton General Hospital is a six-bed community hospital with an Emergency Room, X-ray, and Lab services. Hospital transportation is supported by a helicopter for emergency situations and the High Acuity Response Team (HART). HART team consists of six highly trained critical care nurses responding with a BC Ambulance Service (BCAS) basic life support ambulance team to provide ground transport for acutely ill and injured patients from outlying rural and remote communities to higher levels of care. When required, a respiratory therapist will be called in to assist. HART nurses are based at Penticton Regional Hospital, where they support the Emergency Department and Intensive Care Unit when not involved in patient transports. This position is eligible for MOCAP funding for after hours call. May be eligible for additional remuneration in accordance with the Rural Subsidiary Agreement (RSA) including 16.07% Retention Premium, $14,045.20 Retention Flat Fee and up to a $10,000 Recruitment Incentive. Come experience Princeton for yourself. If you are interested in making the change, or would like to refer a physician, please contact: physicianrecruitment@interiorhealth.ca or online at www.betterhere.ca
Life’s better here...
Saskatoon Health Region
Career. Outdoors. Recreation. Enjoyment. Individuality. Balance. Saskatchewan
r Isla nd Va nc ouve , le il v s k r Pa
Fe rnie, The Int e rior
Family Practitioner – Princeton, BC
Interested in a rural practice, friendly community, with provincial parks at your doorstep? Princeton has all of this. Recognized as the Southern Gateway to the B.C. Interior, Princeton is rich in history and abundant in beauty. Located in the foothills of the Cascade Mountains where two rivers meet, the area offers a wide range of recreational activities for all to enjoy. From fishing, hiking and cycling in the nearby parks, to participating in one of the many community events and fairs, Princeton has something for everyone. The Town of Princeton is seeking a full-time Family Practitioner to join their welcoming community. This busy clinic is located in the hospital and provides ease of access for emergency call situations. This role requires emergency experience and does not include any obstetrics. Three physicians and one Nurse Practitioner currently service the surrounding population of approximately five thousand people.
Physician Opportunities await you in Saskatoon Health Region
From the growing diversity & attractions to the
Princeton General Hospital is a six-bed community hospital with an Emergency Room, X-ray, and Lab services. Hospital & energy of Team our citizens, our team Region transportation is supported by a helicopter for emergency situations and warmth the High Acuity Response (HART). HART consists of six highly trained critical care nurses responding with a BC Ambulance Service (BCAS) basic life support ambulance radiates fun, excitement & sophistication: team to provide ground transport for acutely ill and injured patients from outlying rural and remote communities to higher levels of www.saskatoonhealthregion.ca care. When required, a respiratory therapist will be called in to assist. HART nurses are based at Penticton Regional Hospital, where they support the Emergency Department and Intensive Care Unit when not involved in patient transports. This position is eligible for MOCAP funding for after hours call. May be eligible for additional accordance with the Rural Subsidiary Forremuneration an excitingincareer opportunity, please contact Agreement (RSA) including 16.07% Retention Premium, $14,045.20 Retention Flat Fee and up to a $10,000 Recruitment Incentive. Come experience Princeton for yourself. Jackie McKee, Physician Recruitment Tel: (306) 655-0196
Email:please jackie.mckee@saskatoonhealthregion.ca If you are interested in making the change, or would like to refer a physician, contact: physicianrecruitment@interiorhealth.ca or online at www.betterhere.ca Lois Spizawka, Physician Recruitment Tel: (306) 655-0195 Email: lois.spizawka@saskatoonhealthregion.ca
PRACTICE MEDICINE IN BRITISH COLUMBIA Enrich your career. Enhance your quality of life.
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Practicing in New Brunswick is more than a career choice. It’s a life choice.
L’exercice d’une profession dans le secteur de la santé au Nouveau-Brunswick s’avère plus qu’un choix de carrière, c’est un mode de vie. Venez au Nouveau-Brunswick. Vivez pleinement.
Come to New Brunswick. Make life happen.
rural and urban communities great work environments financial security
Live, work and play in Saskatchewan! There are many practice opportunities available for you in Saskatchewan. Send us an email (jobs@saskdocs.ca) or drop by our booth at one of the following Marskell Group-Health Careers Interaction fairs to find out more. Halifax - Tuesday, September 25th @The Westin Nova Scotian Fredericton - Wednesday, September 26th @ Fredericton Convention Centre St. John’s - Friday, September 28th @ the St. John’s Convention Centre Toronto - Sunday & Monday, September 30-October 1 @ the Hyatt Regency
For more information visit www.saskdocs.ca Physician Recruitment Agency of Saskatchewan 40
Just For Canadian Doctors FALL 2012
www.gnb.ca/physicians www.gnb.ca/médecins
opportunities
short commutes diverse practices lots of room to play great schools for my kids
Travail. Vie. Équilibre.
employment
Lifestyle Checklist
Work. Life. Balance.
Everything Under the Sun... Sun Country Health Region is currently recruiting for General Practice Physicians and for a General Practice/Surgeon. Each opportunity has strong and established earnings potential and each opportunity partners with other physicians. If you are eligible for registration with the College of Physicians and Surgeons of Saskatchewan we are interested in you! Sun Country Health Region (SCHR) covers the southeast portion of Saskatchewan Canada, from the Manitoba border to the U.S. border, encompassing serene prairie and parkland. SCHR provides health care services to the population of 54,000 residing in the region.
See www.suncountry.sk.ca for a complete listing of physician job opportunities.
LIVE. WORK. PLAY.
If you want some of everything... Contact the Recruitment Team:
Phone: 306-842-8320 Toll Free: 1-866-578-7247 jobs@schr.sk.ca www.suncountry.sk.ca
and
one one
Enjoy a safe, secure, rural lifestyle and community support for your family in Flagstaff County, Alberta, Canada. Daysland is 1.5 hours SE of Edmonton. “Your new home away from home” will consist of working in a brand new well equipped 4 physician clinic. 24 hour emergency coverage and weekends on call are on a 4 week rotation. Moving and signing bonuses provided. Must be qualified to obtain obstetrical privileging.
16 acute and 10 rehab beds under the management of a well established practice: currently have 3 GPs (1 with anesthetic privileges ) and 4 visiting surgeons and 1 visiting anesthetist. Surgery performed 3X week including laparoscopic cholecycstectomy, tubal ligation, hysterectomy, C-section, endoscopy. Approx. 120 deliveries/year.
Daysland Health Centre Tel: (780) 374-3746 Mariann Wolbeck mariann.wolbeck@albertahealthservices.ca
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Just For Canadian Doctors FALL 2012
Dr. Kelly Silverthorn is a radiologist and Just For Canadian Doctors’ automotive writer.
up routinely outsourcing custom coachwork were Rolls Royce and Ferrari. Today’s ongoing influence of the 1930s designers and craftsmen is demonstrated by the 2012 Winners of Best in Show at the top USA “triple crown” Concours events: 2012 Amelia Island/1938 Bugatti Type 57C, MeadowBrook (July co-winners)/1933 Chrysler Imperial and 1933 Delage D8S, Pebble Beach (August) 1928 Mercedes Benz 680S. The collective field value at each of these triplecrown events is pushing a cool billion dollars, and you can drink in all that coolness for your charity-supporting $50-admission fee. Perhaps 1930s opulence is not your automotive thing, or you can’t differentiate a Marmon from a Morgan? Not to worry. To
auto Amelia Notes from a 1930s “dead celebrity” fan-boy
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rofessional conferences spirit each of us away to many funtastic destinations. My long-term recall of course content fades with time. In contrast, my memories of the destination itself autoenhance. Like with Florida’s Amelia Island… Florida boasts a heady 2,300 miles of coastline, though Amelia Island is just 13 miles long, situated a few hundred yards offshore into the Atlantic, cheek-by-jowl with the Georgia-Florida border. The Island holds an impressive history, both pre- and post-contact, laying claim to sequential rule by eight colonial and New World powers. Today, Amelia Island’s main economic driver is catering to North America’s idle rich. It’s Concours d’Elegance, a celebration of automotive beauty that’s now in its 17th year and, by far, the largest event on Amelia Island’s tourism calendar. Temperate climate is assured on the Concours’ second weekend of March date (March 8 – 10 in 2013). Show-Sunday in 2012 being the warmest of the three days with a high of 72˚F / 22˚C. The host venue, the fabulous Ritz Carlton Amelia Island, is located a 30-minute drive north from the Jacksonville airport. Rooms at the Ritz, or at the downthe-beach Omni, book up early with 20,000 weekend attendees. Concoursis a French word meaning “competition,” while Elegance translates into English unaltered. Combining the two words results in a peer-reviewed beauty pageant of static display old cars—with each of the >220 entrant’s endlessly obsessing to achieve the holy grail of the “100 point car”—as judged by its originality, significance, craftsmanship, authenticity, poise, condition and swimsuit segment (okay, just kiddingabout the poise). So what cars own the podium on the Concours’ lawn? Answer, while any car can be entered, the “dead celebrity” luxury brands from the late 1920s and 1930s dominate. Unassailability is further augmented if the actual car was once owned by a now-dead celebrity or royal. Many of these storied brands ceased to exist years before Hitler double-crossed Stalin. The brand bankruptcies reads like roll call at the G8…America’s Duesenberg and Pierce Arrow, Germany’s Maybach and Horch, France’s Voison and Bugatti, Britain’s Lagonda and Invicta, Spanish/Swiss Hispano-Suiza, Italy’s Isotta-Franschini, and dozens more. Luxury car-makers during the interwar period typically produced just the chassis frame, engine and running gear. So efficient, Concours taxonomy starts at the radiator cowl and then hones in to the radiator cap mascot. The engineering unleashed in the 1930s was both varied and advanced: straight eights, vee twelves, vee sixteens, multi-stage superchargers, to name just a few. The proud purchasers of such rolling technology would then send their bodiless chassis from the “car” maker to their coachbuilder of choice. Dozens of these coachwork houses (H.J. Mulliner of London’s Mayfair, Carrozzeria Touring of Milan, Saoutchik of Paris, etc.) also experienced an orgy of bespoke excess in the 1930s and then faded to black. Unrivalled one-of-a-kind automotive masterpieces resulted in the interwar period, which, thankfully, modern enthusiasts appreciate and restore. Fittingly, after WWII the last top-tier car companies to give
Both hotels host displays by today’s top sport and luxury car brands, where they want you to drive their finest offerings. If some in your party crave something beyond the car scene (I know, I’m incredulous too), there are numerous other attractions on Amelia Island. I can speak to naturalist-guided walking tours of the beaches/dunes, guided kayak tours of the marshes, championshipcalibre golf, historic Civil-War era Fort Clinch, or yacht cruises to Cumberland Island. Shop therapy? Spa tune-ups? Lots at the Ritz, the Omni, or in old-town Fernandina. Even a full-on fashion show, something to consider if you covet that Great Gatsby look come Saturday evening at Mercedes Benz’s Black Tie Concours Gala.
Oldschool cool. Vintage winners at the Concours.
rashba.com
opportunities employment
Rewarding Physician Job Opportunities in South East Saskatchewan.
motoring [continued]
motoring
appeal to a wider and repeat audience, each Concours also features one-off themes, and a human Honoree or two. In 2013, Amelia Island has announced celebrations of 50 years of Porsche 911 and Ford GT40, with further focus on Harry Millar’s Indy racers and retired racer and contemporary poet Sam Posey. Like moths to a flame, more automotive events are staking out the second weekend in March on Amelia Island. Rival auction houses RM and Gooding both hold mega-million-dollar sales. Raise your hand at the right/wrong moment and you could own a Concours-worthy beauty. Concourso Atlantico, a celebration of Italian cars past and present, runs at the Omni, while the Automotive Fine Arts Society fits at the Ritz.
For any other evening, stash the tux and book a table at Salt, the Ritz’s fine dining restaurant, for you’ll be the toast of your party. The moniker Salt is not meant to indicate they serve Atlantic seafood (which they do), but rather to highlight how they weave into the menu, from obscure corners of the globe, dozens of specialty salts. The salt/dish marrying process has parallels to wine pairings. Hard-core foodies absolutely must book Salt’s “kitchen table,” a fishbowl-like dining table/ room smack centrally within Salt’s kitchen. Such a table sounded a bit odd (as did salt pairings), until we savoured it. Now I’m sold on all of it: salt pairings… Salt…The Ritz…Concours…Amelia Island. I’ve become a real fanboy.
classiccanadiantours.com Ph: 1-866-460-1415
t he w e a lt hy do ctor manf r ed pur tz ki, c .a.
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
Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.
Dr. Chris Pengilly is Just For Canadian Doctors’ current affairs columnist. Please send your comments to him via his website at drpeng.ca.
time to leverage
some good news
There is no better time for leveraging to boost savings
The tide is turning on antibiotic resistance
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have never been a fan of leveraging. Leveraging is often abused by some commission-focused financial planners advising their clients to open up a margin account or to mortgage their home equity to purchase investments from them. Should the investment go south, then you spend years of
taxable. If you borrow money personally, by taking out a mortgage or line of credit low. In particular, doctors have access to against the home, and lend the funds to loans at the bank prime of 3%, a rate that is your corporation to invest, then you can only available to established and successwrite off the interest expense on your perful businesses. It was only five years ago sonal tax return, without having to report when the bank prime was 6%. The interest interest income on your shareholder loan rates are expected to stay low for a numto the company. 5. Often you get a lower loan interest when the home is collateral compared to a corporation loan. 6. Having your corporation make the investment you limit your damage in case the investment goes sour. At a corporate tax rate of say 16%, the company needs only $475,000 of pre-tax income to pay off a $400,000 loan; in case the investments and loan are personal, the doctor would need $740,000 of before tax practice cash flow to retire the $400,000 debt.
1. The borrowing rates have never been this
Leveraging is a double-edged sword— it magnifies both gains and losses
Leveraging can make you rich, but it can turn you into a pauper just as easily. To prevent any potential financial calamity, I recommend that you:
1. Borrow no more than you are willing to
using your precious cash flow to pay off the loan. Leveraging is a double-edged sword—it magnifies both gains and losses. You invest $100,000 in capital gains earning stock with a return of 7%. You earn $7,000 before tax or $5,400 after tax (assuming a 23% capital gains tax rate), a 5.4% return. With leveraging you buy $500,000 of investments, with $100,000 down and a loan at 3% for $400,000. The return on investments jumps to $35,000 less loan interest of $12,000. This translates into an after tax return of $19,000, a respectable 19% return on your $100,000 investment, instead of a 5.4% return in the absence of leveraging. This is an ideal time for doctors to consider prudent leveraging.
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ber of years thanks to the euro crisis and the sputtering economy on this continent. 2. Doctors enjoy a steady cash flow immune from the ups and downs of the economy. If need be, a doctor can often boost the income by working more hours. 3. Most investment portfolios produce meagre returns. Many doctors are frustrated that they cannot save enough for a decent retirement. They are unwilling to purchase riskier investments to get higher returns. Leveraging would help to boost investment returns without exposing to greater market risk. 4. The interest on the investment loan is tax deductible. It can be a tax shelter, since the interest expense is 100% deductible, while only 50% of any capital gains earned are
Just For Canadian Doctors FALL 2012
lose. You should have the ability to pay off comfortably a bad loan within 5 years. Be careful leveraging, if you are 5 years away from retirement. 2. Invest in well-managed diversified funds; and deal with an advisor you have full confidence in. 3. Retain expert advice when making a real estate investment and carry out your own due diligence. 4. If you still carry a non-deductible house mortgage, consider making a loan arrangement for your investments that requires minimal principal repayments. You want to use your cash surplus to repay the mortgage first before you repay the deductible loan. Leveraging means using the bank’s money to build wealth. With the lowest borrowing costs in 40 years there is a great opportunity for doctors to boost their investment returns and make their retirement dreams a reality. Make sure you understand the risks, and proceed with caution.
ike every physician I like to deliver good news, and I have good news. The steady increase in antibiotic resistance noted over the 1980s and 1990s has slowed significantly; in fact it has reversed over the past five or so years. For example, in British Columbia Staphylococcus aureus isolates that are methicillin-resistant (MRSA) decreased from 23% to 17.1% between 2006 to 2010, and H. influenzae isolates resistant to ampicillin decreased from 18.4% to 14.3% in the same time frame. This is not a huge change but a sound move in the right direction. Though there is no hard proof it is reasonable to relate this shift to a more rational and careful use of antibiotics that has occurred, albeit unsteadily, since about 1996. This is being achieved by education of the public and of physicians. As a result of programs such as “Do Bugs Need Drugs?” fewer patients come to the office expecting an antibiotic; I would go so far as to say that they are relieved when told they do not need one. I like the concept of delayed prescribing: A patient presenting with a respiratory tract infection that is likely viral, after a thorough and convincing clinical examination, can be reassured that this is a self-limiting condition; a bacterial infection, though not present at the moment, is possible but not probable. It is then reasonable to give a prescription to be filled in a few days if certain symptoms occur; I give a handout in which these symptoms are listed along with suggestions for symptomatic relief. A Cochrane review suggests that 93% of antibiotic prescriptions for immediate use are filled as against only 32% of delayed ones. I think this is understandable in that then the patient feels less vulnerable and enabled to make an informed decision. A further spinoff of this has been shown by a study that discovered that these patients are significantly less likely to seek medical advice for future minor respiratory conditions. I must emphasize that what I suggest relates to uncomplicated respiratory or urinary tract infections and not, of course, to serious and chronic conditions such as life-threatening septicaemia or osteomyelitis. It is essential also to emphasize to the patient that he or she must come back to the office or go to the emergency department in the unlikely event of rapidly
In researching this topic I have relied upon two sources. First is Therapeutics EducationCollaboration, an on-line evidence-based education program from the University British Columbia—Podcast #154 (January 23, 2012). The other is a publication Antimicrobial ResistanceTrendsintheProvinceof BritishColumbia 2011—BritishColumbiaCentreforDiseaseControl. I have put links to these sites, as well as my handout (which can be freely copied and plagiarized to customise it to your own style), on my web page drpeng.ca.
escalating symptoms or other “red flags.” Another aspect of antibiotic use is how long to treat. There is no rationale or trials to validate the long-standing advice physicians and pharmacists give to patients to take an antibiotic for x number days. I quite like the idea that an antibiotic should be taken until the symptoms have improved for 24 or 48 hours, and then discontinued. The argument for this being that taking further antibiotics will probably be of no further benefit to the patient, and will increase bacteria exposure to antibiotics and so maybe enable development of resistance. A valuable tool that will be coming available to family physicians is a serum procalcitonin assay. Procalcitonin is a peptide precursor of calcitonin and is secreted mostly by the neuroendocrine cells of the lungs and intestines. This
peptide is normally undetectable but is secreted in response to proinflammatory stimuli due to bacterial infections only. There is no response to viral or noninfectious inflammatory processes. As yet its use is confined mostly to some emergency departments and intensive care units. The assay can be used in two ways. The first is to help in making the decision whether an infection is likely viral or bacterial in patients with a nonspecific flulike illness. The second is to monitor the procalcitonin level during antibiotic treatment and to terminate the treatment when the level falls. For now this test is expensive and its interpretation requires more research and experience, but eventually I feel that this will become a valuable clinical tool in deciding when and when not to prescribe an antibiotic.
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When we first talked to Dr. Vincent Lam upon publication of his first book, the Giller Prize-winning Bloodletting and Miraculous Cures, he told us what was on his must-do list: “Finish my historical novel about a Chinese gambler in Saigon in the 1960s.” Well, The Headmaster’s Wager is just out… And this physician-cum-author now has four acclaimed titles to his name, including the co-written The Flu Pandemic and You, and a book in the Extraordinary Canadians series on the “Father of Medicare,” Tommy Douglas. His first book has even been made into an HBO series. Yet Dr. Lam has kept his day job as an emergency physician and Lecturer with the Department of Family and Community Medicine at the University of Toronto…as he says, the word that describes him: frenetic.
Dr. Vincent Lam won the 2006 Scotiabank Giller Prize for his book of short stories, Bloodletting and Miraculous Cures. His latest work of fiction is The Headmaster’s Wager. Other books include The Flu Pandemic and You, a guide to understanding influenza, written with Dr. Colin Lee, a public health and emergency physician (and a foreword by literary icon Margaret Atwood).
with no clear destination or time line. If I could travel to any time, I’d go to: 1960s. My favourite book: Nick Adams Stories, Hemingway. My favourite film: Wings of Desire, Wim Wenders. My favourite CD/ album or song: Soundtrack of Until The End of The World, a film by Wim Wenders. My first job: Busker in Byward Market, Ottawa. The gadget or gear I could not do without: PDA. My favourite room at home: Bedroom. My last splurge: Kenojoak print from 1972. Most-frequented store: Ebay. My closet has too many: Shirts, largely unopened, given to me as gifts and never ever worn, still in plastic. My fridge is always stocked with: Creemore Springs beer.
My name: Dr. Vincent Lam I live and practise in: Toronto, ON My degrees and training: Emergency Physician at Toronto East General Hospital; BSc, MD, CCFP Why I was drawn to medicine and my specialty: I was drawn to medicine initially because I was interested in people and in stories.
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Naively, I reasoned that it would help me learn to be a writer. What I didn’t realize is that medicine would be allconsuming during the time of my training, and that I would have to put writing aside until later. What also happened is that I fell in love with practising medicine, and love doing it. Thankfully, I was able to come back to writing. At one time, I was destined for a career in public health, until I
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succumbed to the pace, variety, and flexibility of emergency medicine. The most exotic place I’ve travelled to: Antarctica. The best souvenir I’ve brought back from a trip: My own photos. A favourite place that I keep returning to: Christian Island, in Georgian Bay. My ultimate dream vacation: To start off
My medicine cabinet is stocked with: Pediatric formulations of acetaminophen and ibuprofen for my son. Guilty pleasure: Fiddling with my car. My favourite exercise/ sports activity: Cycling. My favourite sport to watch: I don’t watch sports. No TV. I have seen the World Rally Competition live in Cyprus, which was
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amazing. My secret to relaxing and relieving tension: What relaxing?
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I’d want this item with me if stranded on a desert island: Solarpowered desalinator. (What else should anyone have?) A talent I wish I had: Clairvoyance in the stock market. My scariest moment: Don’t want to talk about it. Would be bad luck to do so. My fondest memory: Everything that happens every day with my wife and son.
January 26, 2013 Internal Medicine: Cardiology 7-Night Eastern Caribbean from Ft. Lauderdale, Florida Holland America's ms Eurodam February 2, 2013 Women's Health 7-Night Western Caribbean from Ft. Lauderdale, Florida Royal Caribbean's Oasis of the Seas March 2, 2013 Women's Health 7-Night Mexican Riviera from San Diego, California Holland America's ms Zaandam April 20, 2013 Pediatrics Review 7-Night Hawaiian Islands from Honolulu, Hawaii Norwegian Cruise Line's Pride of America May 17, 2013 Rheumatology and Orthopaedics 11-Night Eastern Mediterranean & Black Sea Istanbul, Turkey to Athens, Greece Holland America's ms Noordam May 21, 2013 Primary Care: Nephrology Essentials and Case Studies 10-Night Baltic Sea from Copenhagen, Denmark Holland America's ms Eurodam
My biggest challenge: Time management, and I haven’t figured it out yet. One thing I’d change about myself: Compulsive desire to do everything, but then maybe I wouldn’t change it, because this is one of my best qualities. The word that best describes me: At present, frenetic. I’m inspired by: Literature. I’m happiest when: I got a good night’s sleep. My greatest fear: I won’t say, because that would also be bad luck. My motto: Don’t be scared, just figure it out and do it. A favourite cause: Composting. If I wasn’t a doctor I’d be: A writer.
vincent lam photo: Barbara Stoneham
s m a l l ta l k
doctors share their picks, pans, pleasures and fears
Selected Cruises listed here See a Complete Program Listing at www.ContinuingEducation.NET Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation: Continuing Education, Inc. designates these live educational activities for a maximum of 14-21 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
May 24, 2013 Infectious Disease Review 7-Night Spain and France from Southampton, England Royal Caribbean's Adventure of the Seas June 3, 2013 Pediatrics: Autism, ADHD, and other Behavior Disorders 11-Night British Isles from Harwich, England Celebrity Cruises' Infinity June 30, 2013 Primary Care: Addressing Issues of Aging Patients 9-Night Scandinavia and Russia from Copenhagen, Denmark Norwegian Cruise Line's Star July 9, 2013 Dermatology for the PCP 10-Night Eastern Mediterranean Rome to Venice, Italy Celebrity Cruises' Silhouette July 19, 2013 Mass Casualty and Disaster Management 8-Night Eastern Mediterranean from Venice, Italy Royal Caribbean's Splendour of the Seas August 9, 2013 Primary Care Update: Cardiac Health, Metabolic Syndrome, Obesity and Related Disorders 12-Night Western Mediterranean from Barcelona, Spain Celebrity Cruises' Equinox
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