Just For Canadian Doctors Summer 2017

Page 1

summer 2017

DOCTORS life + leisure

River adventure in

northern BC

River cruise in


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inside: Continuing medical Education Calendar where will you meet? p o r t l a n d


sto c k h o l m


to r o n to


to k yo


ta h i t i




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DOCTORS life + leisure


summer 2017

summer 2017

Publisher Linh T. Huynh

Editor Barb Sligl

Art Direction BSS Creative Contributing Editor Janet Gyenes

Editorial Assistant Adam Flint Contributors Michael DeFreitas Janet Gyenes Dr. Chris Pengilly Manfred Purtzki Kirsten Rodenhizer Dr. Kellen Silverthorn Barb Sligl Roberta Staley Cover photo Janet Gyenes Senior Account Executive Monique Nguyen



Account Executives Janice Frome Wing-Yee Kwong

Production Manager Ninh Hoang CE Development Adam Flint

Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com

clockwise from top left: barb sligl; Janet Gyenes (2)

Just For Canadian Doctors is published four times a year by Jamieson-Quinn Holdings Ltd. dba In Print Publications and distributed to Canadian doctors. 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.


12 Slow drift The easiest way to explore Europe is by river cruise 32 River run The only way to access the wilds of Northern BC COLUMNS


9 pay it forward

5 summer mix 19 CME calendar 25 sudoku 38 small talk

On a medical mission in India

10 photo prescription Hong Kong’s allure

26 the thirsty doctor

Dr. Peter Brindley

Gin goes for gold

27 motoring A hit parade of family haulers

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

30 the wealthy doctor

www.justforcanadiandoctors.com Printed in Canada.

31 soapbox

want to reach us? check out our website!

5 ways to financial health Where have all the GPs gone?

cover photo Totem poles at Kitselas Canyon Interpretive Village National Historic Site, reached via jet boat, of course (page 32).

Summer 2017 Just For Canadian doctors


from the editor Scenes from a multiday jet-boat river tour in Northern BC (page 32).

Get wet


the Midwest and a new hideaway in the middle of the Pacific (okay, it’s in Hawaii; page 7). Whatever your watery with adventure, whether by jet boat, river-cruise ship, pontoon or kayak, warmer days call for getting wet. Make a splash! Thank you for the words of congratulations for our contributors’ multiple awards from the North American Travel Journalists Association (NATJA). We’re happy to share these stories (find them online at justfor canadiandoctors.com) and keep reading for future adventures that inspire and celebrate exploration and destinations—whether new or old, urban or wild, on water or land.

Just For Canadian doctors Summer 2017




Any ideas, comments or questions? Reach us at feedback@InPrintPublications.com.

janet gyenes


ater, water everywhere. The earth is mostly water, as are we. It lifts, carries, cleans, quenches. As Leonardo da Vinci said: “Water is the driving force of all nature.” (See page 5 for another master painter.) It makes sense that if water is involved in a getaway, it’ll be a good one—with a certain flow (slow or swift) and ease, it’s an almost guaranteed source of both adventure and relaxation, be it ocean, river, canal, lake or even a pool. We’ll go with rivers this issue, both slow, meandering ones that link to canals and cities in Europe (page 12) and swift, untamed ones that provide access to otherwise-unreachable swaths of the northern Canadian landscape (page 32). We also go from a wild beach in the Pacific Northwest to a serene lake (page 6) in

what/when/where > summer

style | food | drink | festivals | places | getaways | gear…



Dutch treat

master class


kirsten rodenhizer

get your rembrandt on Art lovers gather to gaze at Rembrandt’s 1642 masterpiece, The Night Watch, at the Rijksmuseum (rijksmuseum.nl) in Amsterdam. The four-metre-wide oil painting, formally known as Militia Company of District II under the Command of Captain Frans Banninck Cocq, gained its more memorable moniker in the 18th century, after it had darkened with age, mistaken for a nighttime scene. But it remains a masterful work of shadow, light and three-dimensional rendering. The captain’s hand, astonishingly lifelike, extends toward the viewer. Soft pools of light illuminate key figures. And at the back, peering over a soldier’s shoulder: a figure thought to be Rembrandt himself. Learn more about The Night Watch and the artist on a new Rembrandt tour, offered daily at the Rijksmuseum. — Kirsten Rodenhizer For more on the Netherlands, see page 12. Summer 2017 Just For Canadian doctors


mix getaway

west + east



bellingham, wa vs fox cities, wi

shore things

Perched on the edge of Bellingham Bay, the city is a recreational mecca just 45 km south of the BC border.

the lowdown

The cities of Appleton, Kaukauna, Menasha and Neenah are scattered along the Fox River in northeastern Wisconsin.

Take a guided kayak tour of Chukanut Bay with Moondance Sea Kayak. Spot honeycomb shapes in the sandstone and look for chunks of ancient palms.

on the water

Soak up the sun on a pontoon boat cruising through the Fox River locks, one of the country’s last remaining hand-operated lock systems.

Traverse the mist-shrouded Bagley Lakes Trail framed in heather, in Mt. BakerSnoqualmie National Forest.

take a hike

In High Cliff State Park, walk the Red Bird Trail along the top of limestone cliffs of the Niagara Escarpment. Climb the 40-foot observation tower for views of Lake Winnebago.

Detroit-style (it’s square!) pizza at FatPie. l i

eat this

Deep-fried white cheddar cheese curds at Pullmans.

Quaff Cedar Dust IPA at Boundary Bay Brewery and Bistro.

drink this

In summer, try the Mile of Music Americana Ale at Stone Arch Brew House.

Chewbacca: one of the camels you can ride at Camel Safari.

local hero

Fang T. Rattler, the Wisconsin Timber Rattlers’ baseball team’s mascot.

craft work

Make blue-denim paper from Levi’s remnants at the Paper Discovery Center.


The world’s largest collection of glass paperweights (4,000-plus!) at the Bergstrom-Mahler Museum of Glass. Some date back to the 1840s.

tr a z e b la

Pour your own goat’s milk soap at OTION Soap Bar. The Bellingham Roller Betties, a roller derby league whose slogan is “breaking hearts and body parts.”


Just For Canadian doctors Summer 2017

u pc y c


janet gyenes

on the water

Washington’s untamed West Coast? Or Wisconsin’s meandering waterways? We got our feet wet exploring the best of both. Now it’s your turn. by Janet Gyenes

paradise found



tropical heat

Leafy accessory or equitorial escape? Find your piece of paradise… Written + produced by Janet Gyenes

art imitating nature

natural selection “Jungalow” fever? Create the on-trend junglemeets-bungalow vibe in your garden room by accessorizing with decor these melamine plates. The showy monstera leaves, palm fronds and birds of paradise that bedeck these beauties will help elevate your outdoor entertaining. $4.50–$6 tropical side and dinner plates, PC Home; presidentschoice.ca

photo credit: pc home; © Tiffany & Co., RENDERING courtesy westin maui nanea

culture club The spirit of aloha is suffused throughout Maui’s new resort, Westin Nanea Ocean Villas, which opened on April 15. Featuring 390 luxury villas situated on north Ka’anapali Beach, the resort’s Hawaiian namesake, nanea, translates to a state of relaxation getrepose. Every element of this away and oasis embodies Hawaiian history and culture. Imagine reclining in an area shaded by wild plants and trees, which the Hawaiian mahi’ai, or farmers, cultivated by harnessing the power of nature. (Indigenous plants and vegetables grown on site will be featured on the farm-to-plate menu at Mauka Makai Restaurant.) Or marvelling at the shape of the artfully utilitarian hina‘i, a traditional Hawaiian fishing basket. Drink it all in while sipping a cocktail from the Inu Pool Bar: look for the ipu, a motif of the traditional gourd. Then go deeper: visit the Pu’uhonua o Nanea Cultural Center and “talk story” with Makalapua Kanuha, the resort’s cultural advisor. From $559 per night, Westin Nanea Ocean Villas; westinnanea.com

As Seneca once said, “All art is an imitation of nature.” And the Tiffany 2017 Blue Book Collection, the Art of the Wild, is a fantastic tribute to the flora and fauna that captures our imagination, showcased in six stunning themes: Whispers of the Rain Forest; Mirac le Berry; The Falls; Leaves of the Sun; Feathered Cloak; and Yesterday, Today and Tomorrow. Two of our favourites are “Leaves of The Sun,” where the metamorphosis of leaves style stretching skyward is embodied in an 18-karat gold bracelet of forest-green tsavorites and yellow sapphires; and “Feathered Cloak,” which exquisitely renders the fine feathers of the rainforest’s rare birds in a pair of brooches, using coloured gemstones (montana sapphires, blue sapphires, round spinels, spessartite and yellow sapphires) and yellow and white diamonds (all shown above). With this sparkling selection, art just might be outdoing nature. Prices on request, Tiffany & Co.; tiffany.ca

Maui’s new oceanfront oasis

rare birds

Flights of fancy




Summer 2017 Just For Canadian doctors


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r o b e r ta s ta l e y

Roberta Staley is an award-winning writer and editor and documentary filmmaker. She teaches magazine writing at Douglas College.

A passage to India

A plastic and reconstructive surgeon travels to India to heal wounds that are beyond skin deep

courtesy of Dr. colin white


t seems an exaggerated expression: “a fate worse than death.” But for India’s victims of acid attacks—and to the family members who bear witness to their agony—death can sometimes feel like the preferred outcome. In India the rate of acid attacks—targeting mainly women—has been on the increase since 2012, when there were 106 recorded, rising to more than 500 in 2015, according to Acid Survivors Foundation India. Sulphuric acid or nitric acid—widely available due to their use in cotton and rubber manufacturing—is thrown into the face of the intended victim, damaging skin tissue and even dissolving bone. For Dr. Colin White, who travelled last fall to the rural village of Hansot in the Indian province of Gujarat on a medical mission with the charity Operation Rainbow Canada, the acid-attack survivors that he treated exhibited “horrendous trauma.” A plastic and reconstructive surgeon, White treated women who were disfigured so badly from scarring that they didn’t dare leave their homes, venturing outside only if their mutilated visages were entirely hidden. While some acid attacks are gendermotivated—possibly revenge for a spurned marriage proposal—others are sparked by disputes or dowry demands. Other assaults, says White, are rooted in caste system retaliation. An example is a case where a young man—rejecting parental wishes— selected a bride of his own choosing from a lower social caste. The man’s family threw acid in the young woman’s face in order to halt the wedding. Surgery can enhance the appearance of an acid-attack victim. More so, it can improve functionality. If a victim’s lips have been burned “and they have a hard time opening their mouth, you can cut out burnt tissue and skin graft it so a person can open their mouth and eat properly,” says White, who works out of Burnaby Hospital and Metrotown Surgical Centre. In all, White treated 80 patients and undertook 60 procedures during his two-week stay in India. One of the most remarkable transformations, he says, was a six-year-old boy who had fallen into an open

cooking fire several years previously. The in Vancouver. White works with the resulting burn encompassed the boy’s right organization because it funnels 100% of all shoulder, armpit and upper arm, which had charitable donations directly into patient fused to the torso, preventing upwards or care. (ORC has provided thousands of side motion. “Eating was very difficult,” says cleft lip and cleft palate surgery for kids White, a Newfoundlander who attended the in Cambodia, Lebanon, Mexico and the Faculty of Medicine at Memorial University Philippines, as well as India.) White also in St. John’s. admires how ORC is helping build hospital The fusion happened due to a lack of infrastructures in places like Hansot, proper burn care. When skin is burned, ensuring that there is a continuation of care it breaks down into a after the Canadian medical team leaves. gel-like state that The year before White was in India, an ORC congeals together team of surgeons, residents, anesthetists Dr. Colin White as it heals. In and nurses took enough operating works with the charity developing organization Operation countries Rainbow Canada on like India, medical missions to treat such burns acid-attack survivors are simply and others in need of bandaged, reconstructive causing surgery contracture of the skin, which is when the tissue sticks together. During the five-hour surgery on the boy, White removed scar tissue and grafted new skin onto the armpit, allowing for a normal range of motion. Following the surgery the boy’s arm was put into a splint to ensure contracture wouldn’t reoccur during the healing process, similar to how burns are treated in Canada. Burn units in Western nations also ensure that patients undergo intensive physiotherapy to stretch skin out as it is healing to further avoid contracture. “Developing countries don’t have the primary care to avoid these secondary problems,” says White. White also undertook numerous cleft palate surgeries on one- to three-year-old toddlers. At this age, he says, the surgery is functional rather than aesthetic, focusing on closing the upper palate to ensure that the child can eat, breath and speak properly. The trip to India was White’s second mission with Operation Rainbow Canada (ORC), which was started in 1998 by plastic surgeon Dr. Kimit Rai, who is surgical director of False Creek Healthcare Centre

room equipment and supplies with them to establish a small but permanent plastic surgery centre. This has meant that Indian plastic surgeons are able to travel every few months to the Hansot village hospital to undertake surgeries such as facial reconstruction following vehicle accidents, as well as do congenital ear corrections. White will be travelling to China this October on a 12-day ORC mission to the northern part of the country to undertake surgery, once again, on cleft lips and palates and burns. Such excursions, he says, emphasize how lucky both physicians and patients are in Canada. “It makes me appreciate the Canadian healthcare system so much more.”

Summer 2017 Just For Canadian doctors


p h o t o p r e s c r i p t i o n m i c h a e l d e f r e i ta s Michael DeFreitas is an award-winning photographer who’s been published in a wide variety of travel publications. With his initials, MD, he’s been nicknamed “doc,” making his photography prescriptions apropos.

It’s like you rolled three or four great cities into one


destination photography

Apply your photography skills to the shooting situations and scenery of hong kong.

get steamy find drama

Don’t shy away from rain! Tropical Hong Kong with its frequently wet days offers colourful umbrellas by day and steamy neon-lined streets by night. I took this atmospheric, late-night street shot through the window of a tour bus to capture the taxi and neon using my 24–70mm zoom, 1/200 second and ISO 400. I asked the driver to turn off the wipers so I could shoot through the raindrops on the windshield.


Just For Canadian doctors Summer 2017

if you go

For more info on Hong Kong: discoverhongkong.com

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

nstantly recognizable by its world-famous skyline, Hong Kong is one of the most-photographed cities in the world. From that glimmering skyline to its peaceful green countryside, you’ll find surprising photo ops around every corner in this culturally diverse and colourful city: night markets, neoncluttered streets and secluded temples perched on lush forested hilltops. My first goal on a recent visit was to get a signature opening-bookend image to set the scene for my story. The first evening was a bit foggy, so I headed to the waterfront for a skyline nightscape shot. With a medium telephoto zoom (set around 30mm) and tripod, I set my shutter speed to 10 seconds and waited for it to get a bit darker so I could emphasize the lit buildings. The glowing fog was a bonus. With one bookend shot in place I proceeded to capture Hong Kong culture. As you may know from previous columns, I really like to photograph people and daily life and thus am drawn to local markets. These bustling oases of commerce tucked amid HK’s towering skyline provide a peek into the everyday lives of ordinary residents, whether vendors or shoppers. I find big zoom telephoto lenses intrusive and behaviour-altering. Rather, I prefer to use a wide-angle lens (14–24mm) or a medium telephoto (24mm–70mm) and get close to the action while trying not to intimidate the vendors or shoppers. Wide angles are also well suited for close-up detail shots such as Chinese jade charms, masks, calligraphy brushes and prayer tags. Also, I seldom bring the camera up to my eyes, relying instead on wide-angle close-ups shot “from the hip” or a low angle that includes vendors and their products. When language permits (English is widely spoken in HK) I always try to strike up a conversation with my subjects. Small talk about a vendor’s product or a buyer’s purchase puts them more at ease with my presence. I simply show an interest in their lives and most are happy to engage.

michael defreitas

Hong Kong highlights

photo prescription [continued] The small fish market on Nelson Street, a few steps from my hotel, hums with activity all day. Most vendors have covered stalls so, even if it’s raining, shooting isn’t a problem. I preset my camera to shutter speed priority (1/30th second) and ISO 400, knowing that my wide-angle 14mm has a wide depth-of-field, and then started a conversation with a vendor. Before I knew it, I got a lesson on fish identification and some cheesy posed shots. After that it was easy to get more spontaneous shots. Other local market hotspots include the Ladies and Goldfish Markets on Tung Choi Street, the indoor Jade Market on Battery Street, and the Flower and Bird Markets near Flower Market Road. In stark contrast to the frenetic markets, HK’s many temples are calm respites that offer a quieter perspective on the city’s culture. Perched on a hilltop surrounded by verdant forest, one of my favourites is the Ten Thousand Buddhas Monastery in Sha Tin New Territories. As I made my way up the 430-step trail lined with Buddha statues, inquisitive rhesus macaques scampered around the overhead branches. The beautiful ornate temple is great for detail shots and a chance to get fairly close to the monkeys.

I used two cameras 14–24mm and 24–70mm zooms. Other must-see temple sites include the giant 34-metre-high Tian Tan Buddha Statue and the mystical ambiance of the steles along the Wisdom Path on Lantau Island, the Wong Tai Sin Temple with its fortune-telling sticks and the peaceful Chi Lin Nunnery and adjoining Nan Lian Gardens. And, of course, no visit to Hong Kong would be complete without the food. Situated at the commercial crossroads of Asia, the city offers Cantonese delicacies fused with other Asian and international influences. From the simple street “fast food” fare of congee (rice porridge), wonton soups and yau cha kwai (fried bread sticks), to the more elaborate har gow (steamed shrimp dumplings) and xiao long bao (soupy dumplings stuffed with foie gras) at one of the dim sum palaces, you’ll find food porn everywhere. I seldom use flash, opting for natural light and a medium telephoto lens and tripod to record my food shots. I love Hong Kong because it stimulates all my senses…so when I found a display of “I Love HK” T-shirts I knew I had my closing bookend image.

don’t overlook the obvious

michael defreitas

Sometimes, it’s the touristy elements that help define a destination…like souvenir T-shirts and lanterns…or go hyper-local, like at the fish market.

Summer 2017 Just For Canadian doctors


travel the world

Dawn near Veere Begijnhof in Amsterdam bottom right Dutch kitsch at Keukenhof Garden opposite, top left Women boating on a canal in Hoorn opposite, top right Edam cheese opposite, bottom Cyclists in Amsterdam bottom left

low and slow story


Just For Canadian DOCTORS Summer 2017

+ photography by Barb Sligl

travel the world

The easiest, if slowest (and that’s a good thing), way to explore Holland’s “low country” is by water (that is, river cruise)

Summer 2017 Just For Canadian DOCTORS


travel the world


nside the dim, lowceilinged space, an amber glow suffuses all the canvases, tcotchkes and ephemera, revealing a patina of age and touch. I stop in front of a painting of a smiling young woman wearing the traditional white-winged Dutch cap. Vermeer’s 17th-century paintings of similar subjects come to mind and I feel time-tossed in the midst of this

wistful yet lively restaurant on the seashore of a little village in Holland. I’m in Volendam, an old fishing outpost that’s now overrun with tourists. And yet, despite kitschy souvenirs (Dutch wooden clogs by the bucket-full) and crowded bars with beer-guzzling day-trippers, there are moments of tranquility and connection to some essence of the Netherlands, or the “low country,” as Nederland is literally translated (and literally below sea level for a

quarter of the nation). I wander off the main strip to cross cute bridges over a network of canals and snap propped-just-so bikes here and there, again and again. I buy a to-go sample of kibbeling (fried morsels of fish with loads of garlic mayo), the local fast food. Sitting on a bench on a dike overlooking the sea, I find myself in another oh-so-very-Dutch scene and savour a classic bit—and bite—of this place before returning to my ship docked in Hoorn.

top Architecture in Hoorn bottom left Painting of woman in traditional Dutch cap bottom middle Multi-level bike parking in Amsterdam, as seen from the water bottom right Ubiquitous Dutch-shoe souvenirs

travel the world

Inside Keukenhof Garden top middle Windmill and ferry in Veere top right Carpet at Amsterdam Museum bottom left Locals hang out on a canal’s edge, Amsterdam top left

bottom right

Fish koppen in Arnhem

My ship, so to speak, is an Emerald Waterways river-cruising vessel. And here, in Hoorn, we’re less than 50 km from our starting point in Amsterdam. The entire seven-day tour of the Netherlands (Belgium’s Flemish region, part of the geographical Low Countries, is thrown in there with a stop in Antwerp) only travels as far as a standard day trip from the Dutch capital. But by boat it’s a leisurely, time-warping journey into bygone

days and lesser-known villages. Starting in Amsterdam, we spend a night in this famed city and take a walking tour that covers the, ahem, highlights. Interested passengers get the lowdown on the redlight district (where independent professionals are part of a union with health benefits, as our local guide proudly explains) and learn the difference between koffiehuis and coffee shop (the latter is where you can legally partake in marijuana, be it

with a joint or “space cake”). And this modern, sophisticated city also has a thing for self-propelled transportation, populated with more bikes than people (as our guide states of the Dutch: “As soon as we’re on a bike the beast in us comes alive.”). A mere five minutes at any street corner is a live-action film on how to dress with aplomb while cycling. There’s an interplay of young and old, new and traditional, off-beat and staid. In a soaring, spired church

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travel the world

top Brabo Fountain and façades in Antwerp bottom left Shipping containers en route bottom right Beer, fries and lots of mayo in Antwerp

that’s been transformed into a gallery space, I’m drawn in by an avantgarde art exhibit that seems all the more powerful because of where it’s displayed. And at the Amsterdam Museum, I watch people tread across a glorious multi-hued 40-metre carpet that’s a study in symbology of the different nationalities living in Amsterdam (179!). if you go It’s astoundEmerald Waterways offers river ing. As is the

cruises—on modern-styled ships in which most cabins have floor-to-ceiling, drop-down windows for fresh-air, balconylike viewing—from Amsterdam throughout the summer sailing season. The “Highlights of Netherlands & Beauty of Belgium” tour is every spring. emeraldwaterways.ca For more on art in Amsterdam, see page 5.

contrasting serenity I happen upon in the Begijnhof, an enclosed oasis of sorts in the centre of the city that dates back to the 14th century. The secluded courtyard was once the home of nun-like, single women who formed their own community. It’s this trapped-in-amber quality of a long-gone era that persists as the river cruise departs Amsterdam to explore the “low country” in earnest. The ship glides out of the big city, past commercial ports and

shipping containers stacked like Lego, and leaves the modern world for something mistier, veiled with centuries of light and dark, like some chiaroscuro artwork by the Dutch master Rembrandt (see page 5). At twilight, the orange orb of the sun dips behind silhouetted trees in line with the stark, straight horizon. And at dawn, this flat land, so even and unwavering, slowly reveals itself again, trees still in tidy formation. Still and silent, it’s early morning in

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Just For Canadian doctors Summer 2017

Veere. A town I’d never heard of before, it’s delightfully Dutch—a life-size diorama of a Bruegel village scene. I borrow one of the ship’s bikes (because, when touring the Netherlands by boat, there must be bikes too) and make like a Hollander, coasting along the cobblestone streets, past the town’s old walls (adorned with a weathered whale bone), atop the bulge of dikes and past an authentic windmill. To get to the windmill I manoeuvre the cruiser bike onto a selfpulled cable ferry to traverse a miniature canal. On the other side, I push the bike along more dikes and paths, revelling in the spring warmth and twitter of birds and bugs. I plop down among wildflowers under the big wooden sails of the windmill. Water gurgles nearby. It’s almost as if I’m one of Vermeer’s maidens. I only need that cap. Bucolic is often overwrought, but here the word fits. In the town itself, low brick buildings are home to establishments that range from koffiehuis (no coffee shop here) to sweet shop. A snoep shop, an “oud Holland” candy store, has 101 sorten with names as sweet as their flavours: polka-brokken, stropies, duimdrop, kaneelstokken… At another saccharine, cute-ascan-be façade, a wooden box of bloemen is set out on a chair with a handwritten sign that the flower seeds are half a euro. As the slow-boat cruise through this low country continues, I come across similarly lovingly rendered tidbits of everyday life, whether floral arrangements in Keukenhof Garden (on an excursion to the famous and popular gardens), window displays in Edam (as in the samenamed gorgeous colourful-rind wheels of cheese) or beautifully filleted fish in the Arnhem market (lying in lyrical swirls in bright buckets or unceremoniously labelled koppen or “heads”). In Edam, one of my more idyllic interludes of Dutch life was an appeltaart followed by a bier in the sun at a corner bar (yes, an apple tart with fresh whipping cream at a neighbourhood bar). Earlier that day, on a guided tour of the town, I had watched a group of local women puttering down the canal in a small blue boat, perhaps on their way to lunch. I thought of them as I sipped my appeltaart-chasing beer. Laughing and waving, their hair blowing in the breeze, they seemed to embody the Dutch spirit, warm and now familiar. If they had been wearing the white caps, it wouldn’t have seemed out of place.

portland / stockholm / toronto / tokyo / tahiti … | c a l e n d a r


A n intern ation a l guide to continuing medica l Education

summe r 2017 + beyond








© www.travelportland.com (5); dougnhut shot: Pip’s Original Doughnuts

portland, Oregon, has serious cool factor—and great food. Instead of sitting on its hipster laurels, this PNW city keeps pushing palates…eat it up! (CME events in Portland + beyond are highlighted in blue.)


ortland is still the new frontier. Here, amidst the tattooed, bearded, thick-framed-glasseswearing crowd—it’s as if this Pacific Northwest city, tucked under Mt. Hood 1 , is a homing beacon for hipsters—there’s the warm embrace of creative types with some robust entrepreneurial spirit. “Keep Portland weird,” states a legendary mural (and adopted city slogan of sorts). Another long-standing emblematic sign: the neon white stag 2 . And this odd factor is just plain charming—with some rather tasty side dishes. Because this oft-satirized hipster-haven is the happening food-and-drink hub of the PNW—think farm-to-fork, branch-to-bottle, leaf-to-cup. From ramen bowls at Noraneko 3 (where you can also have a soju chuhai, the Japanese version of an after-work cocktail) to doughnuts (skip the line at Voodoo for a Dirty Wu at Pip’s 4 ), Portland puts on an unrivalled culinary show of which the following is just a small sample… EAST BY WEST The Southeast Asian street-food cuisine of Pok Pok blew open a burgeoning Asian-fare scene in Portland (and now has recent Brooklyn and LA outposts beyond its PDX birthplace). There’s also Han Oak (named for

traditional Korean “hanok” homes), Langbaan (a culinary speakeasy that means “back of the house” in Thai), Hat Yai (Langbaan’s counter-service off-shoot) and the first North American locations of Marukin and Afuri, Tokyo ramen houses with a cult following. SAMPLE: Korean bibimbap (“mixed rice”) and steamed buns at Kim Jong Smokehouse, a collaboration between a few of Portland’s hottest chefs housed in the new Pine Street Market food hall. DRINK ME Like the Alice in Wonderland directive, Portland encourages serious sipping. Besides the well-known coffee scene—this is the home of Stumptown Roasters, after all (also a moniker for the city itself)—there’s also a tea movement. This is where Tazo tea started, the founder of which went on to quietly create Smith Teamaker—the best in America, some say. There’s also, of course, kombucha (try Brew Dr.) and distilled tea spirits (at Thomas and Sons Distillery), made with varieties like pine-smoked Lapsang Souchong, that simply don’t fit neatly into any existing category—much like PDX itself. SAMPLE: The new fernet-style digestif by Thomas and Sons Distillery, redolent with local ingredients of Douglas Fir, Willamette Hops and birch bark.

POD CAST Portland was an early adopter of food trucks or carts. And with more than 600 citywide, from Viking Soul Food (lefse and gravlax) to newer kid-on-the-block Chicken and Guns (oak-fired Latin chicken), the options are limitless. Which is why this Portland particularity makes perfect sense: food-cart pods. Clustered in empty lots, the congregations of carts become al fresco dining and community spaces, PDX style. Cartlandia is a “super pod” of some 30 carts (featuring fare from 15 countries) and a full-on bar (with 18 beers and ciders on tap). Cartopia has outdoor movie screenings and is a late-night stop, while Tidbit, the newest pod, goes beyond the food and drink with pretty lights, picnic tables, a fire pit and Airstream boutique 5 . SAMPLE: A Smaaken waffle sandwich (made with local, organic, heirloom varietal wheat, of course)—try the bacon-forward Van Gogh or the veggie Popeye—at the Tidbit pod. And, now, after all that feasting, “go by bike,” as they say in Portlandia 6 . — Barb Sligl For more on all the weird and wonderful things to do and sample in Portland, go to travelportland.com.

Summer 2017 Just For Canadian doctors


Emergency Medicine




Aesthetic Medicine

calendar c Mcmee when where

MORE CME Full-access CME calendar and destinations at justforcanadiandoctors.com/cme/





Aug 26-27

Boston Massachusetts

Management Of Facial Trauma Course

AO North America



Oct 21-22

Vancouver British Columbia

Botox And Dermal Filler Training

The Physician Skincare and Training Center



Nov 24-25

Toronto Ontario

14th Annual Canadian Association Of Aesthetic Medicine Conference

Canadian Association Of Aesthetic Medicine



Jul 06-07

Baltimore Maryland

Practical Emergency Airway Management

Center for Emergency Medical Education



Oct 07-13

Scottsdale Arizona

2017 Scottsdale Anesthesia

Holiday Seminars


holidaysemi nars.com

Nov 13-17

Kauai Hawaii

2017 California Society Of Anesthesiologists (CSA) Fall Anesthesia Conference

California Society of Anesthesiologists



Jan 24-27 2018

Grand Cayman Cayman Islands

2018 Anesthesia Camp, Grand Cayman



destination cme.com

Jul 10-13

Portland Oregon

2017 Basic Cardiovascular Sciences Scientific Sessions

American Heart Association


professional. heart.org

Aug 17-20

New York New York

Magnetic Resonance Imaging Of Cardiac Function

International Society for Magnetic Resonance in Medicine



Sep 13-16

Maui Hawaii

Advances In Cardiovascular Medicine 2017

UC Davis Health System

916-734-5390 See Ad Page 21

ucdmc.ucdavis. edu

Oct 01-04

Birmingham England

2017 Heart Rhythm Congress (HRC)

Heart Rhythm Congress


heartrhythm congress.com

Nov 07-10

La Jolla California

28th Annual Cardiovascular Interventions

Promedica International CME


cvinterven tions.com

Sep 11-15

Lisbon Spain

53rd Annual European Association For The Study Of Diabetes (EASD) Meeting

EASD Headquarters



Dec 04-08

Abu Dhabi United Arab Emirates

2017 World Diabetes Congress

International Diabetes Federation



Sep 30Oct 03 2018

Tokyo Japan

18th International Society For Pediatric & Adolescent Diabetes Science School For Physicians

K.I.T. Group GmbH



Jun 22-23

Ottawa Ontario

Emergency Department Targeted Ultrasound

Canadian Association of Emergency Physicians



Jul 20-22

San Francisco California

13th Annual Summer Conference On Emergency Medicine

Symposia Medicus


symposiamedi cus.org

Sep 14-17

Boston Massachusetts

Principles Of Critical Care Medicine For Non-Intensive Care Specialists

Global and Continuing Education Harvard Institute of Medicine


hms.harvard. edu

new CE to be placed

Update in Gastroenterology, Pain & Rehab Medicine

3-Day Land Pre-Tour at the JW Marriott in Quito, Ecuador + 7-Night Cruise onboard the Silver Galapagos ALL shore excursions are included!

NOVEMBER 22 – DECEMBER 2, 2017 20

Just For Canadian doctors Summer 2017

Featuring speakers: Dr. Jim Gray & Dr. Paul Winston

Featuring up to 14.00 MAINPRO+ credits


cruises@seacourses.com | 1-888-647-7327

MORE CME Full-access CME calendar and destinations at justforcanadiandoctors.com/cme/

Medicine Medicine


General & Family













Dec 14-17

Miami Beach Florida

Topics In Emergency Medicine

Northwest Seminars


northwestsemi nars.com

Feb 09-10 2018

Miami Florida

2018 Mass Gathering Medicine Summit

American Academy of Event Medicine

info@mass gatheringmedi cine.org

massgather ingmedicine.org

Jul 27-30

Boston Massachusetts

3rd World Congress On Thyroid Cancer

The Bayley Group


thyroidworld congress.com

Sep 21-22

Stockholm Sweden

Pancreas Workshop: A Multidisciplinary Imaging Approach

European Society of Gastrointestinal & Abdominal Radiology Office



Oct 13-14

Strasbourg France

Biliopancreatic Endoscopy Advanced Course

Institut de Recherche Contre les Cancers de l’Appareil Digestif Training Centre



Aug 25-27

St. Louis Missouri

2017 American College Of Gastroenterology (ACG) Midwest Regional Postgraduate Course

American College of Gastroenterology



Sep 14-17

Chicago Illinois

2017 Gastroenterology & Hepatology Board Review Course

Mayo Clinic



Oct 19-20

Rome Italy

European Society of Gastrointestinal & Abdominal Radiology Office


Aug 12

Las Vegas, Nevada

new CE to Hospital Procedures be placed Hospitalist And Emergency Procedures Course Consultants

11-43-1-5358927 805-339-0225

hospitalproce dures.org

Oct 12-24

Brighton England

2017 Brighton Sleep: British Sleep Society (BSS) Biennial Scientific Meeting

British Sleep Society


sleepsociety. org.uk

Oct 19-31

India: Delhi, Agra, Jaipur and Ganges River Cruise

Dental & Medical Health And Well-Being Updates / 5-Night Oberoi Hotels & 7-Night Uniworld River Cruise

Professional Education Society



Oct 26-29

Auckland New Zealand

2017 Sleep DownUnder

Australasian Sleep Association



Oct 9-13

Napa California

2017 UC Davis Practical Imaging Update

UC Davis Health System


ucdmc.ucda vis.edu

Feb 19-22 2018

Grand Cayman Cayman Islands

2018 Advanced Imaging In The Islands

Duke Radiology



Aug 24-26

Malmo Sweden

6th Fragility Fracture Network Global Congress

MCI Deutschland GmbH


ffn-congress. com

Sep 18-19

Dublin Ireland

8th International Conference on Dementia and Dementia Care

Pulsus Group


dementia.cme society.com

Nov 02-04

Toronto Ontario

9th Canadian Conference On Dementia

University Health Network


canadiancon ferenceonde mentia.com

Multidisciplinary Acute Abdomen Workshop






I 20


y or







1 ™




• Difficult Airway Management

• Compelling EKG Discussions

• Techniques in Difficult Vascular Access

• Hands-on Vascular Access & Airway Sessons

• Pediatric EM Topics

• Pediatric EM Case Discussions


• Current Critical Care Concepts events@ucdavis.edu 530-747-3849 Hotel: http://bit.ly/2p6GiaF Online Registration: http://conferences.ucdavis.edu/emu

Summer 2017 Just For Canadian doctors



Mental Health

Infectious & Chronic Diseases

Internal Medicine


calendar c Mcmee when where

MORE CME Full-access CME calendar and destinations at justforcanadiandoctors.com/cme/







Jun 09-10

Calgary Alberta

2017 Canadian Blood & Marrow Transplant Group Calgary Meeting

Canadian Blood & Marrow Transplant Group

Dec 07-08

Madrid Spain

13th International Conference On Clinical Gastroenterology & Hepatology

Pulsus Meetings


gastroenter ologysociety.org

Jun 30Jul 02

Las Vegas Nevada

Men’s & Women’s Health for Primary Care

Medical Education Resources



Aug 03-04

Baltimore Maryland

Practical Emergency Airway Management

Center for Emergency Medical Education



Nov 02-03

Melbourne Australia

Falls, Fractures & Pressure Injuries Management Conference

Informa Australia



Ends Jan 30 2018


Adult Immunization In Primary Care - Influenza, Meningococcal And Food And Water Borne Travel Illnesses Update



goo.gl /M8Fe5A

Multiple Dates

Multiple Locations

July 08, La Jolla, California July 22, San Francisco, California July 29, Los Angeles, California August 19, Houston, Texas

Scripps Conference Services & CME



Jul 09-12

Rio de Janeiro Brazil

STI And HIV World Congress

Activia Turismo

stihivrio2017@ activiaturismo. com.br

activiaturismo. com.br

Jul 10-12

Banff Rimrock Alberta

Medical CBT Tools: Ten-Minute Techniques For Real Doctors

877-466-8228 See Ad Page 18


Oct 09-20

Celebrity Mediterranean Cruise

Medical CBT Tools: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228 See Ad Page 18


Dec 16-23

Disney Caribbean Cruise

Medical CBT For Depression (And Happiness): Ten-Minute Techniques For Real Doctors

CBT Canada



Dec 27-29

Disney World Grand Floridian

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

CBT Canada



May 26-30 2018

Rome Italy

16th World Association For Infant Mental Health World Congress

Worldwide Congresses & Events



Jul 24-28

Colorado Springs Colorado

14th Annual Society Of NeuroInterventional Surgery (SNIS) Meeting

Society of NeuroInterventional Surgery



Oct 09-11

Portland Oregon

11th American Society Of Functional Neuroradiology Annual Meeting

American Society Of Functional Neuroradiology



Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingedu cation.net

2017 National Hepatitis BC Training Program And Treatment Update

Tahiti and the

new CE to be placedCBT Canada

Nov Society Islands Topics In Neurology For Primary Care Providers 04-11 DocAd.pdf 1 30/08/2016 6:23:27 PM











Just For Canadian doctors Summer 2017

MORE CME Full-access CME calendar and destinations at justforcanadiandoctors.com/cme/



Oncology & Palliative Care

Obstetrics & Gynecology










Aug 11-12

Memphis Tennessee

Primary Care Issues In Women’s Health

Methodist Healthcare


methodistmd. org

Oct 13-14

Singapore Singapore

2017 Australasian Gynaecological Endoscopy & Surgery Society Focus Meeting

YRD Event Management



Oct 25-26

New York New York

2017 ART World Congress

CME Congresses


artworldcon gress.com

Dec 08-09

Phoenix Arizona

Workshop On Surgical Anatomy Of The Pelvis & Procedures In Patients With Chronic Pelvic Pain

American Association of Gynecologic Laparoscopists



Dec 15-16

New York New York

23rd Annual Conference On Challenges In Gynecology

Symposia Medicus


symposiamedi cus.org

Jan 20Feb 01 2018

Australia and New Zealand Cruise

Women’s Health And Healthcare Communications

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingedu cation.net



Modernizing The Code Of Medical Ethics: Chapter 5 - Ethical Issues In Caring for Patients At The End Of Life

American Medical Association



Nov 08-10

Alexandria Virginia

Disrupting Cancer: The Role Of Personalized Nutrition

American College of Nutrition

conf@ameri cancollegeof nutrition.org

americanco llegeofnutri tion.org

Feb 17-23 2018


General Practitioners & Dermatology Symposium On Skin Cancer



Aug 29-31

Prague Czech Republic

6th World Congress On Addiction Disorder & Addiction Therapy

Omics International

addictioncon gress2017@ gmail.com


Jan 16-18 2018

Rodney Bay St. Lucia

5th Caribbean Biomedical Research Days

International Stress & Behavior Society




Multiple Cities Colombia

Capacity Building Internship For HIV/AIDS Orphanage (Volunteer Opportunity)

The Humanity Exchange


thehumani tyexchange.org

Jul 01-07

Maui Hawaii

Pediatrics In The Islands … Clinical Pearls 2017

Children’s Hospital Los Angeles Medical Group and American Academy of Pediatrics


childrenshospi tallamedical group.org

Jul 06-09

Kuala Lumpur Malaysia

11th International Symposium On Pediatric Pain

My Meeting Partner by Anderes Fourdy



Aug 07-09

Austin Texas

Innovations In Neonatal Care Conference

Pediatrix Medical Group

innovations@ mednax.com

innovation sconference. com

Oct 25-28

Grand Cayman Cayman Islands

33rd Annual Fall Conference On Pediatric Emergencies

Symposia Medicus


symposiamedi cus.org

new CE to CME Travel be placed

NYU Radiology CME Presents

36th Annual Head to Toe Imaging Conference December 18-22, 2017 • The New York Hilton Midtown • New York City

Earn over 40 AMA PRA Category I Credits www.med.nyu.edu/courses/cme/h2t17

Summer 2017 Just For Canadian doctors


MORE CME Full-access CME calendar and destinations at justforcanadiandoctors.com/cme/




Portland Oregon

Dermatology For Primary Care

MCE Conferences


mceconfer ences.com

Jul 13-16

Lake Buena Vista Florida

Headache Update 2017

Diamond Headache Clinic



Sep 18-28

French Riviera Barcelona to Venice

Primary Care And Women’s Health: Key Topics And Core Strategies

Continuing Education, Inc./University at Sea


continuingedu cation.net

Sep 24-26

Monterey California

Clinical Dermatology For The Primary Care Provider

UC Davis Health System

916-734-5390 See Ad Page 21


Jul 03-05

Banff Alberta

3 Day Mindfulness Intensive In Banff

Jack Hirose & Associates Inc.



Aug 07-11

Huntsville Ontario

2017 Forensic Psychiatry Institute

St. Joseph’s Healthcare Hamilton


psychiatry. mcmaster.ca

Sep 11-13

Seattle Washington

Transcranial Doppler For Cerebrovascular Disease

Pacific Vascular & Swedish Neuroscience Institute


pvicme.com/ transdoppler

Oct 23-27

Charleston South Carolina

NYU’s Fall Radiology Symposium In Charleston

New York University Department of Radiology

212-263-3936 See Ad Page 23


Dec 18-22

New York New York

36th Annual Head To Toe Imaging Conference

New York University Department of Radiology



Jan 22-26 2018

Oahu Hawaii

NYU’s Clinical Imaging Symposium In Oahu

New York University Department of Radiology

212-263-3936 See Ad Page 23


Sep 25-27

Chicago Illinois

3rd World Summit On Pediatric Cardiology & Pulmonology

Conference Series LLT


pediatriccar diology.con ferenceseries. com

Nov 14-17

Marseille France

Thoracoscopy & Pleural Techniques

European Respiratory Society

felix.yip@ ersnet.org


Jul 06-07

Cambridge United Kingdom

16th Cambridge / UCLA Course On Clinical Exercise Testing & Interpretation - A Practical Approach

Cambridge Postgraduate Medical Centre



Jul 20-23

Toronto Ontario

American Orthopaedic Society For Sports Medicine’s Annual Meeting

American Orthopaedic Society For Sports Medicine



Sep 03-23

Bali Indonesia

Wilderness Medicine Educational Conference: Highest Point In Oceania: Carstensz Pyramid

Andes Mountain Guides


andesmoun tainguides.com

Sep 16-29

Galapagos Island Ecuador

CME & Ecological Tour Of Ecuador: Amazon, Galapagos Islands & Quito



doctorsontour. ca


Wilderness and Travel Medicine



Primary Care

Jul 07-09



Sports Medicine

calendar c Mcmee when where

new CE to be placed

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

Having a facial difference can create barriers to opportunities and aspirations. It affects over 1.5 Million Canadians. AboutFace promotes positive mental and emotional well-being of individuals with facial differences and their families through social & peer support, information and educational programs. We work to encourage, empower and educate. For more information on how you can get involved, visit www.aboutface.ca “It was the first time in my life that I met people who had facial differences, as I did. It was also one of the few times in which I walked into a room full of strangers and did not feel even the tiniest air of judgment.” -Samantha Loucks, 23


Just For Canadian doctors Summer 2017


sudoku Solve puzzle #2 for a chance to win a $50 VISA gift card!

Each sudoku puzzle has a unique solution that can be reached logically without guessing. Fill in the grid so that every row, column and 3x3 square contains the digits 1 through 9. GOOD LUCK!

sudoku 2 harder solution in next issue

sudoku 1 easier solution on page 30

$50 Visa Gift Card winner: Dr. Carey Matsuba of Vancouver, BC



3 1 8 3 7

2 5 8 4 6 1 3 4 8 1 6 5 1 7 8 4 2 9 3 9 3 2 8 8 6 4 9 2

Puzzle by websudoku.com


4 7 5 2 5 6 5 3 2 6 9 2 4 1 6 2 9 9 3

3 9

2 1

4 3 6 9 7

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Summer 2017 Just For Canadian doctors


the thirsty doctor janet gyenes Janet Gyenes is a magazine writer and editor who likes to dally in spirits, especially when discovering something like corenwyn jenever (a gin-like Dutch spirit)—straight or in cocktails like the “bramble.” Have a boozy idea or question? Send it to feedback@inprintpublications.com

Gin goes for gold



gin fix

in is supposed to behave in a certain way. It’s supposed to be clear. It’s supposed be to as pure as a hunk of ancient ice carved off a ’berg drifting in the middle of nowhere land. It’s supposed to be as crystalline as that same hunk of ice once it has melted into a pristine puddle. It’s not supposed to be yellow. Or worse: brown. But some distillers, especially on the West Coast of Canada, have gone rogue. They’re trading gin’s silvery seductiveness for a golden glow. They’re putting the juniperforward spirit in used booze barrels and letting it sit in solitude, for weeks or months on end, like a hermit hidden deep in a forest of mighty oaks. Why are distillers doing this? And what’s the gin like when it’s released from its rest? Gin is supposed to taste refined. Genteel. Self-possessed with its overtones of juniper, coriander and citrus, and its nuances of rose petals or even lavender. Think

Everyone at the tasting has eight glasses of liquid in front of them, ranging in colour from flaxen to almost amber. (The latter, and the last we sip, turns out to be Sons’ barrelaged amaretto.) There’s also a colourful printout of a barrel-aged gin tasting wheel, divided in segments with the descriptors: green, fruity, floral, spicy, earthy, woody; and, of course, juniper. “Your first sniff is a hello,” say Lester. We dutifully stick our noses in our glasses and take a big whiff. Next, he tells us to take a sip of the spirit and let it sit in the middle of our tongues. Then “let it swish forward and taste to let it touch all of your mouth.” One of the first few barrel-aged or “rested” gins we sample is called New Tom Gin. It’s produced by deVine Vineyards, Winery & Distillery, in Victoria, BC, based on the Old Tom gin of cinnamon old fashioned Dickensian times, 2 oz. deVine New Tom Gin Add all ingredients into a pre-Prohibition. It’s 1/2 oz. cinnamon simple martini shaker. Add a scoop slightly sweeter than syrup* of ice. Stir vigorously for London dry gin. But there’s 2 dashes Angostura 20 seconds. Strain into a no grain in this glass; the bitters rocks glass with fresh ice. New Tom is triple-distilled Garnish with lemon peel. from BC wine grapes. The tasting wheel *Cinnamon simple syrup: Put 1 cup water in a pot. Bring to a boil. Add quickly comes in handy as 1 cup of brown sugar and stir constantly until dissolved. Add 1 cinnamon Lester starts tossing out stick; simmer 5–8 minutes. Remove from heat. Infuse for 2–6 hours. Strain and pour into a bottle. Store in refrigerator for up to two weeks. aromas and flavours he detects in the New Tom— licorice, allspice, star anise, English gent, not rough-hewn hipster. fennel—on the spicy spectrum of the tastI’ve come to a seminar at Legacy Liquor ing wheel. And then he shifts to the fruity in Vancouver to get the lowdown on barrelwedges of the wheel: “Quince and pear. A aged gin. It’s a preview for the annual BC bit of lemon and lime.” Distilled festival, where 34 craft distillers will Gin’s neutral base and botanicals give share samples of their spirits, ranging from the spirit its distinctive characteristics. akvavit to whisky. So does the type of wood the gin rests James Lester, founder of the Vancouver in. “I’m in love with barrels. They make Gin Society is leading today’s tasting. He’s everything better,” says distiller Gordon also a distiller and co-founder of Sons of Glanz, founder of Odd Society Spirits in Vancouver Distillery, which makes amaretto East Vancouver. His Oaken Wallflower and vodka. Gin? Not so much. A few of Gin, which is made from 100% BC-grown the barrel-aged gin distillers are on hand barley and aged for several months in oak too, observing and answering questions. whisky barrels, is one of our samples.


Just For Canadian doctors Summer 2017

Gin used to be stored in oak, not glass, says Dave Brimacombe, head distiller and co-founder of Wayward Distillation House in Courtenay, BC. His Wayward Order Bourbon Barrelled Gin starts from a base spirit of 100% BC honey. Then it’s banished inside a 12-year-old, 200-litre Basil Hayden’s bourbon barrel for six months. Despite its age, the gin’s juniper nose is still apparent. But the flavour? “I’m definitely getting gin-and-tonic ice cream. A gin Creamsicle,” says Lester. I ask the distillers how we should drink this burlier version of its pale predecessor and the answers vary as much as the seven samples do in aroma and flavour. Sip it neat, use it in a classic G&T, mix it in a Negroni or sub it for bourbon in either an Old Fashioned or a Boulevardier. I’m still not sold. A few days later, at the BC Distilled event, I chat with deVine’s distiller, Ken Winchester. He tells me a bit about the backstory of Old Tom gin and how his New Tom compares. Old Tom gin preceded the classic London dry gin by about 150 years. “It was stored in barrels. It also had a grape [spirit] base,” he says. Old Tom sometimes had sugar added to it, or even turpentine to boost the resiny elements. Winchester’s version starts with deVine’s Vin Gin, a London dry gin that he describes as clean, resiny and citrusy—a classic cocktail gin. “Then we took it a step further.” It goes into once-used bourbon barrels from Woodinville in Washington, and rests for eight to 12 weeks. But what’s lost with this modern throwback? Is it still really a gin? “It’s a bit of a hirewire act,” Winchester admits. What’s “found” though, is an entirely different category of spirit. Some botanicals soften as the gin rests, while others, like the star anise in this one, get more assertive. It’s ideal for deVine’s Cinnamon Old Fashioned recipe (left). I ask Phil Hemming, director of the BC Gin Society, what he thinks of this newfangled spirit. “I’m not a gin purist at all. I’m all for innovation,” he says. Then he suggests a classic cocktail to make with this newish category of spirit, a Martinez, which strikes a balance between the buttoned-up London dry gin and brown spirits such as bourbon. It’s both an old-school classic and new cool. And I think I kind of like it.

Janet gyenes

A new take on tradition is bridging the gap between clear and brown spirits


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

Dr. Kellen Silverthorn is Just For Canadian Doctors’ automotive writer. He tries to keep one convertible and/or one track-day car in the family fleet.

The family hauler

A hit parade of larger-than-life vehicles for transporting the family entourage—in style

General motors; Chrysler


arly-1960s suburbia provided the milieu of my automotive awakening. Parked in trendsetting neighbours’ driveways were gleaming and ginormous Americana station wagons. Two-ton, 220-inch-long family haulers were typical on my street—always with at least six seats, and sometimes even nine. Two-car garages were de rigueur for those families. The second car’s origin was more variable; with leading contenders a VW Beetle, a small British sedan or a Big Three compact. Japan’s automotive invasion had not yet reached my Ontario hometown by the early ‘60s. Of that selection, only the early VWs are much sought after today. In contrast, full-size Big Three station wagons (yes, wagons) from the ‘50s, and ‘60s have had a voracious collector following for 25 years now. The bigger the car, the higher up the brand pecking order, and the fancier the model, then the faster the collector’s heartbeat. My personal favourite is the 1957 Buick Century Caballero Estate—a chrome-laden, leather-clad hardtop wagon of a semi-svelte 208 inches in length. Caballeros were Buick’s most expensive 1957 model (at $3,700), though not their largest model (215 inches long). Full-size Big Three leviathan wagons faded from the new car marketplace in the mid-1970s. Blame or credit is due to the conspiring forces of air-pollution regulations, lead-free gasoline, OPEC oil embargoes and the so-called Japanese invasion. The innovative Chrysler minivan debut of 1984 opened a new chapter in family haulers. The “mini” appellation is something of a misnomer—Honda’s latest is 203 inches long. Nevertheless, the immense practicality for family life of the 1984-style minivan saved Chrysler from oblivion and re-inflated the economy in Windsor, Ontario (where these vehicles are still built to this day). Success breeds imitators. Competing American, Japanese and Korean firms rushed minivans into the North American marketplace. Like Chrysler’s minivans, the most successful were re-engineered from existing front-drive economy cars with decent fuel economy.

Minivans were so game-changing and popular that a counter-movement was bound to emerge. Not everyone wanted to be associated with those “baby-on-board” stickers or soccer moms driving the tall “one-box” minivan. The market was ripe for an edgier family-hauler that compromised on practicality in favour of a two-box style. Late1980s sport-utility vehicles (SUVs) somewhat fit the bill: Jeep Cherokee, GMC Jimmy, Ford Explorer, Toyota 4-Runner and Nissan Pathfinder. These early SUVs were essentially small body-on-frame pick-up trucks with their load bed re-configured to an extended passenger compartment. [wagon] Such vehicles THE START… were off-road caThe 1957 Buick pable—if that is Century Caballero what was meant Estate by “sport.” But how many family haulers went off-road? These small trucks were inferior to then-modern passenger cars in terms of noise, vibration and harshness (NVH), as well as fuel efficiency, braking, handling or crashworthiness. Regardless, the bodyon-frame truck-based SUVs had a long and profitable run as family haulers. The SUV market diversified into all size ranges, horsepower ratings and levels of luxury. Yet, passenger cars had abandoned body-on-frame for unibody construction progressively from 1950 onwards to offer lightness and cost-savings. This proved to be the soft-underbelly of the SUV as the dominant family-hauler. Take a unibody car model (say, Toyota Camry) and fashion a tallish two-box “cross over” from it. The resulting Lexus RX350 looked like a two-box SUV, but with unibody-car drivability, economy and NVH. Yet other brands (say, Honda) took this

unibody one-box minivan and re-styled it as a less practical two-box SUV-look Acura MDX crossover. Today, any tall two-box is still labelled a “SUV” by the public, though technically all but the Super Big Gulpsized two-boxes have long been unibody crossovers. So if cross-overs are the latest vehicles to claim the title of dominant family hauler, what threatens their hegemony?

[minivan] THE ‘80s… This era culminated in the 1990 Chrysler Town & Country

Electrification will almost certainly be the next disruptor. Manufacturers initially targeted the family’s second smaller car for electrification. A wise strategy, as battery size/range/re-charging concerns are more pressing for the family hauler role. An enforced four-hour recharge stop on the cross-province journey to grandma’s place does not constitute a selling feature.

Summer 2017 Just For Canadian doctors


motoring [continued] st The late “family the hauler,” Tesla X

by the numbers

top speed: 155 mph acceleration: 0-60 mph in 3.2 seconds size: 77 cubic feet, six-seater Aerodynamics: lowest drag

[electric] THE FUTURE… The new Tesla X and latest incarnation of the family hauler

coefficient of any SUV

the doctor is in: HEPA filter system fills

cabin with “medical-grade” air bonus: “Falcon Wing” doors

The new Model X ($106,000 CAD) shows where Tesla’s Elon Musk thinks the fully electrified family hauler is headed. The X has the tall-wagon look of a crossover, but incorporates the trendy impractical coupe-like sloping roof-line. A too-butch SUV-look must be passé these days. Tesla seems uninterested in a practical one-box. Despite the flash and fervour, we are still awaiting improved range, re-charging and price-points of full electrics…so in the meantime the under-the-radar go-to is plug-in hybrids. For now, family-hauler minivans and crossovers are improving plug-in hybrid capabilities and cost much less than full electrics, while eradicating range anxiety and still allowing 90%-plus of most family-hauler kilometres to be fully electric powered. They may not have “Falcon Wing” doors, but could plug-in hybrids bring back the big station wagons of my youth?

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PROVENCE, FRANCE — OUR VILLA Les Geraniums, a luxury-3 bedroom, 2 ½ bath villa, is your home in the heart of Provence. Expansive terrace with pool and panoramic views. New kitchen and bathrooms. Walk to lovely market town. One hour to Aix and Nice. Come and enjoy the sun of southern France! 604-522-5196. villavar@telus.net Unleash your inner cowboy/cowgirl in the Rockies of Alberta! Join the TRAIL RIDERS OF THE CANADIAN ROCKIES, a 94 year old non-profit club, for a dream get-a-way holiday in the spectacular Rockies! Enjoy teepee/tent accommodations while savoring delicious homemade meals on these first-class, 4, 5, or 6-day, professionally guided adventures. (hot showers too!) After a day on the trail, enjoy educational talks, live cowboy entertainment with western history and culture. For beginners and advanced riders. Five Star Rating!! Group discounts! www.trailridevacations.com NORTH DELTA CLINIC — 2 FAMILY DOCTORS WANTED We are looking for 2 Family Doctors for our clinic, to start ASAP as Locums or on full time basis or as associates, with the intentions of being partners in the long run. Our clinic is located in North Delta, BC, since 1983. We are equipped with EMR and paper charts. All the options are available for convenience. We have a full time family practice and a walk in clinic on one side. Billing split-negotiable. Please contact as soon as possible at medicalclinic07@hotmail.com


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classified a d s


Electrification will almost certainly be the next disruptor

e m pl o ym en t


The municipal-operated Keyano Medical Centre in the community of Wabasca is located 1.5 hours NE of Slave Lake and 3.5 hours north of Edmonton. Living in the heart of the Canadian boreal forest means enjoying year-round recreation such as hunting, fishing, snowmobiling, quadding, boating, and wildlife viewing. Nestled between two large lakes, Wabasca has a population of approx 5,000 and is growing, with new amenities added each year such as the Lakeview Sports Centre, the Eagle Point Golf & Country Club, an ATB branch and Registry.

This opportunity is a contract position, not a fee for service, with a guaranteed annual income of $360,000. The on call ratio is currently 1:4 with hospital billings going to the physicians, RRNP eligible to max of $60,000. Accommodation in a newer three-bedroom, two bath home is included in the contract!

Helen Alook, Chief Administrative Officer Tel: (780) 891-3778 Email: CAO@mdopportunity.ab.ca Michelle Grach, Clinic Manager Tel: (780) 891-2847 Email: mgrach@mdopportunity.ab.ca

Summer 2017 Just For Canadian doctors


t h e w e a lt h y d o c t o r M a n f r e d p u r t z k i Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

Better practise for your practice Develop these 5 simple yet savvy habits to achieve financial success Monitor your progress As you execute the steps to reach your objectives, you’ll need a mechanism to monitor your progress. If you plan to save $5,000 each month, for example, you should prepare a monthly income and expense statement that compares the budgeted figures to the actual. Then, if you are short of funds, you can analyze the reasons for the shortfall and take remedial action.

blanche to invest the money as he sees fit? That’s just abdicating your responsibility for your Find more own investments. financial freeTake a keen interest dom for your life in how the funds are invested. As high-income earners, doctors are understandably the favourite target for anyone selling financial products. Adopt the habit of saying “No” to anything that does not fit into your financial plan. Saying “No” also extends to activities that are non-productive, such as loan requests from family members.

“off call ”

The application of skills alone does not guarantee financial success

Execute: if not now, then when? Writing lists and posting notes is one thing; getting the job done is another. Execution is the Achilles heel in financial planning because it requires you to overcome the common affliction known as “procrastination.” Execution means turning your dreams into a reality by implementing your goals rather than just talking about them. Start early! With their long years of education, many doctors do not start their career until after age 30. While income increases substantially, a significant portion is usually needed to pay off a sizeable student debt. This means that doctors will have lost many years in which they could have compounded their savings. High net-worth doctors become serious about investing money when they start their career, not at age 50 like so many others in their profession.


An excellent monitoring tool is the net worth statement, which tracks your wealth-building efforts. By subtracting your debts from the market value of your assets, you determine your equity, or net worth. The annual net worth statement is an ideal tool to measure progress towards your goals. Be disciplined: learn to say “No” Nobody cares more about your money than you do. So why would you hand a cheque to your broker and give him carte

solution from page 25

pressing goals right now? Paying off debt? Purchasing a family home? Financially, where do you want to be five, 10 and 15 years from now? Write your goals down to give you a visual image and a motivating force to power you towards what you want to accomplish.

Just For Canadian doctors Summer 2017

sudoku 1 easier solution 7 5 8 9 6 3 4 1 2 4 2 6 1 5 8 3 7 9 3 1 9 4 2 7 8 6 5 8 7 2 5 4 6 1 9 3 9 4 5 3 1 2 7 8 6 6 3 1 7 8 9 5 2 4 2 8 4 6 3 1 9 5 7 1 9 3 2 7 5 6 4 8 5 6 7 8 9 4 2 3 1

Puzzle by websudoku.com

Live frugally There is a saying that “Rich people buy assets and poor people buy liabilities.” It’s amazing that many doctors don’t know the difference between the two. An asset is an investment, which generates income, but items such as boats, sports cars and vacation properties are liabilities because they require a cash outflow to maintain them. You can enjoy a great lifestyle without having to surround yourself with the newest toys on the market or living in the lap of luxury. Delay the gratification of enjoying the luxuries in life until you can afford to pay for them.

solution from Spring 2017 contest


lan before you act As a doctor you are equipped with the skills you need to give your patients the best treatment. The application of skills alone, however, does not guarantee financial success. You need to have a vision of how to achieve both professional and financial success. To start the process it’s critical to put your vision and goals down on paper. Successful doctors are good at formulating goals and implementing them promptly. What are your own most

sudoku 2 harder solution 3 4 9 8 2 6 1 5 7 6 7 2 4 5 1 8 9 3 1 8 5 3 7 9 6 4 2 8 2 1 5 4 7 3 6 9 5 9 4 6 3 2 7 1 8 7 6 3 1 9 8 5 2 4 2 3 7 9 1 5 4 8 6 9 1 6 7 8 4 2 3 5 4 5 8 2 6 3 9 7 1

Puzzle by websudoku.com

d o c t o r o n a s o a p b o x d r . c h r i s p e n g i l ly

Dr. Chris Pengilly is Just For Canadian Doctors’ current affairs columnist. Please send your comments to him via his website at drpeng.ca.

Where have all the GPs gone? We need to do something about the increasingly limited pool of family physicians



hen did the nationwide shortage of family physicians occur? I guess about the same time I lost my hair. It did not happen overnight but it did happen. It is a bit like the election of President Trump. A quiet rumbling in the background that went unnoticed, and then suddenly there is the stark reality. In the 1980s when I was establishing a family practice it was against a disheartening setting of “there are too many physicians in Canada doing too many…” promoted, amongst others, by Dr. Michael Rachlis. His power of persuasion was so strong that medical school spots were cut. Though these have now been restored and increased, it will take a decade for experienced physicians to be available in adequate numbers. I feel that I, and many of my contemporaries, are responsible to some extent for what has happened over the past decade or two. When I first came to Victoria in 1978 I fit into the accepted pattern of urban family practice of the time. Older readers will remember going to the hospital at about 7am to deal with inpatients and overnight admissions. (This was, however, a great time to meet colleagues, discuss difficult cases and even chat about medical politics). Having dealt with this we saw patients in the office four-and-a-half days of the week. The other half-day involved either house calls or nursing homes. At any time we may have been called to the case room. Also it was expected of the family physician to assist in the operating room, both elective and emergency. There was, as well, the occasional night call. Most family physicians worked about 60 hours a week— the normal standard of the time (and unfortunately still so for rural physicians). Effectively we were working as hospitalists, family physicians, midwives and surgical assistants. Younger physicians coming along are smarter; they accept that they cannot safely work these hours, and now, in many (mostly urban) regions, these duties have become disciplines in their

own right. The development, early in this new century, of the hospitalist service undoubtedly offers better inpatient care. These physicians have more appropriate time to deal with what used to be hurriedly dealt with on the way to the office. Also, the complexity of hospital patients has increased because only the very sickest are admitted. This service facilitates expedition of patients out of the emergency room and, I am told, earlier discharge from hospital. The profound fiscal and practical repercussions of this necessary service enhancement was not anticipated by the provincial governments, nor by the Canadian Medical Association and various provincial medical associations. A major repercussion is the appropriation of physicians away from family practice. Using figures from my local region (Southern Vancouver Island), there are about 400 family physicians and 66

hospitalists. That is a huge draw from the pool of available full-service family practitioners. Primary-care physicians are not the only ones affected by this phenomenon—since my ophthalmologist retired I am now under the care of three ophthalmologists—one for pressures, one for retinas and one for prism problems. It is inevitable that more doctors will need to graduate, and therefore medical school spots will need to be increased even further. But in the meantime family practice will change to meet the demand. It is necessary for more senior physicians to abandon the mindset of decades ago and realize they do not need to “mark their territory” but rather learn to delegate and share medical care. It is also necessary for both levels of government to urgently recognize that the current situation is untenable; our governments need to, with an open mind, seek solutions from all healthcare deliverers. Some subjects worth discussion…and please do let me know what you think. • Handing over uncomplicated obstetrics entirely to midwife services. • Substantial financial and educational incentives for the creation of physician groups, and eventually multidisciplinary health delivery clinics. • In the short term, subsidize the cost of staff to encourage the employment of more nurses and college-trained medical office assistants in family doctors’ offices, many of which currently are, out of fiscal necessity, functionally understaffed. • Educational opportunities to teach family physicians to appreciate the benefits of group practice and effectively delegate to enhanced staffing. • As exists in the hospital, an online confidential transcription service that saves each physician time while improving the efficacy and safety of medical record keeping.

Summer 2017 Just For Canadian doctors


water world

travel at home

soak up History, culture + adventure on the Skeena River (by jet boat!) in Northern BC story



Just For Canadian dentists May/June 2017

photogr aphy by

Janet Gyenes

travel at home


Jet-boating on the Exchamsiks River top Rob Bryce in Rooster Tail Falls opposite Jet-boaters walking upstream, Exchamsiks River

omething happens when you step into waders for the first time, stuffing your toes into the built-in boots, pulling the seemingly impenetrable material up across your chest and snapping the shoulder straps closed with two satisfying clicks. A transformation takes place, like when a superhero puts on armour. So when Rob Bryce says “Let’s see how far we can go….” and lets a whiff of a question mark hang in the warm breeze, not a single one of us five wader-wearers even thinks to ask the captain of our jet boat: “Go where?” There’s clearly no trail. We’re standing in the shallows of a stream, surrounded by a thicket of trees. Somewhere beyond is Rooster Tail Falls, the destination of our hike. About half an hour ago, we ate our brown-bag lunches under Crayola-blue skies, gazing up at the twin torrents of water, half hoping (and half fearing) a grizzly would amble over, looking for chocolate lilies (the bears like to chow down on the rice-like roots). Up here in Northern BC, on the summer solstice, somewhere along the 54th parallel, on a frayed thread of river only accessible by boat—or a helluva hike—making it to the falls is all about attitude. Bryce is the coordinator and guide of this four-day-long adventure travel program we’re on, offered through the University of Northern BC’s continuing education program. You don’t need to be a student to join these jet-boat trips, which travel to ghost towns, historic canneries and First Nations villages along the Skeena River. But you do have to be curious or up for adventure. By day, we explore. At night, we dry out and dine on decadent meals at Yellow Cedar Lodge in Terrace and at Cassiar Cannery outside of Prince Rupert, before falling into bed to dream about what heroic feat we’ll tackle next. Today, Bryce brought us on a rollicking ride up this ropey vein of the Exchamsiks River, part of the Skeena’s nervous system. Earlier in our jet-boat adventure, he tells us about trailblazers who travelled the Skeena during its sternwheeler days, between 1864 and 1912, before the Grand Trunk Pacific Railway provided a viable alternative. Robert Cunningham was an Irishman and entrepreneur whose Hazelton sternwheeler was river rival to the Hudson Bay Company’s Mount Royal. The adversaries’ antics involved racing up the Skeena and stealing each other’s stashes of cord wood, Just For Canadian doctors


travel at home which was used to fuel the boats. Tying up the jet boat on a quiet stretch of the river, Bryce leads us up a slope into the shadows of evergreens. As he triumphantly points to a moss-covered heap, it becomes clear that this is his white whale: a pile of centuryold cord wood. Bryce had spent months scouring the area before finally finding this perfectly preserved piece of river life. He also shares a tragic tale. In 1907, the Mount Royal met her watery end in Kitselas Canyon after the current smashed her on a crag called Ringbolt Island. Six people were killed. Metal rings were later installed in the rock so sternwheelers could safely tie up. We use those same rings to secure the jet boat, then clamber up the rock to survey our surroundings. The roiling river wraps the island, shapeshifting into blue-grey hues like the woollen sky that’s blanketed the sun. Violet and red flowers eke out an existence among the cracks, tiny signs of life on this rock that claimed so many. “Women weren’t allowed here,” says Bryce, telling how their presence would cause sternwheelers to crash. One woman dressed up like a man to debunk the superstition and a sternwheeler smashed into the rock, cementing the folklore. There are other forces at play on Ringbolt Island. Five petroglyphs, including some that indicate shamanistic activity, have been carved into the stone by the Tsimshian First Nations people whose culture goes back more than five millennia. We go ashore at Kitselas Canyon Interpretive Village National Historic Site to gain a deeper understanding of the Kitselas First Nations, whose name means “People of the canyon.” Like the intricate blankets we drape over our shoulders in the village’s longhouse, the Skeena has many threads that tie together Northern BC’s communities and cultures. They’re interwoven in time and space and manifest in the natural and supernatural. The river is both soul and sustenance. Steelhead fishing is still king in these parts. And the North Pacific Cannery National Historic Site, near Prince Rupert, helps unravel the tangled stories of the Chinese, Japanese, Europeans and First Nations people who toiled in the north’s remote reaches. At the industry’s peak, there were more than 200 salmon canneries. Remnants of some are strewn along the shoreline, flotsam from another era. Little is left of Port Essington, a former salmon cannery town, but there’s enough mired in the mud to ignite the imagination. Bending down in our waders among rotting wooden pilings, we spot the spectres of a slaughterhouse: old cow skulls, some with their teeth intact. I can


Just For Canadian doctors

travel at home

from top, left to right

Bald eagle near Prince Rupert; salmon berries; exploring Dorreen, a ghost town; remnants of cow skulls at Port Essington; on the beach near Port Essington; rundown building at North Pacific Cannery National Historic Site. opposite, from top, left to right Rooster Tail Falls; hidden hot spring; sustainable BC sushi from Fukasaku of Prince Rupert; totem poles, Kitselas Canyon Interpretive Village National Historic Site

travel at home practically hear the cattle’s mournful lowing. Chunky emerald glass bottles and shards of blue-and-white rice bowls are other artifacts we uncover. Cruising along in the jet boat once again, Bryce points to a patch of grass. “They didn’t have milk here, so they brought in some cows to graze on the sedge grass,” he says. “A Japanese fellow milked [the cows] and said the milk tasted like skunk cabbage. The cows didn’t last long.” Back on the Exchamsiks, our bellies are full and everyone is game for a walk on the wild side. Bryce leads the way and we trudge along our watery trail, protected by our waders. The stream deepens and disappears into the woods. We follow, ducking under the arms of branches, skirting cascades and walking over stones, making our way upstream in the dappled sunlight. Avoiding the spikes of devil’s club, I grab trees and shrubs, eventually easing myself out of the water. Then I claw my way up a near-vertical embankment. The earthy smell of fresh dirt under my fingernails takes me back to my childhood, when I felt invincible climbing trees’ uppermost branches, the queen of my castle in the sky. Two of the jet-boaters are already at the top near the waterfall. But I’ve run out of branches to haul myself up. “Rob?” He reaches down, grabs my right wrist and within a split second I’m standing in kneehigh sedge, the sky swallowing me in its boundless blue. Together, we thrash through the long grass to the falls. Our collective adrenaline is pumping and we’re grinning like kids, exhilarated from our bushwhacking and the 270-degree view on top of this water world. Up close, the mountain has the hulking shoulders of a grizzly. Rooster Tail Falls, easily a dozen times my height, is thundering, BACK TO SCHOOL University of Northern putting on a powerBritish Columbia (UNBC) Continuing ful show with its Studies offers fully guided multi-day jet boat tours on the Skeena River travelling to plumage. Spindly, ghost towns, historic canneries, First Nations multi-tiered casvillages and beyond. unbc.ca/continuingcades spill down the studies/courses/tours NORTHERN BC stone. Spidery webs Discover more about this untapped of water gleam in the region of British Columbia. sunlight as a fine veil travelnbc.com MORE Destination of mist rises around us. BC: hellobc.com Giddy, we can’t help but get closer. Taking my turn, I make my way under the falls and let it rain down on me, like a child splashing in an outsized water park. A superhero on adventure, somewhere along the 54th parallel, on a frayed thread of Northern BC’s mighty and magical Skeena River.

if you go


Just For Canadian doctors

Sign at Kitselas Canyon Interpretive Village “The Man Who Fell From Heaven” petroglyph near Prince Rupert

Webb Bennett, a guide at Kitselas Canyon Interpretive Village Tying up on the Exchamsiks River near Rooster Tail falls

Old, abandoned truck, Dorreen ghost town

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valley of the

janet gyenes


a hush comes over the crowd and I join the stream of people who flow through the doors and onto the outer deck of the Inside Passage. The 72-foot catamaran, painted buttercup yellow, is a leviathan compared to the jet boat I had been travelling on for the past four days. Evidently, we’re not trying to blend in to our surroundings here in Khutzeymateen Provincial Park, better known as the K’tzim-a-deen Grizzly Sanctuary. The Skeena River ends its 580-kilometre journey just south of Prince Rupert, where it spills into the Pacific Ocean at Chatham Sound. The griz sanctuary is situated in the sound’s fish-filled estuary some 45 km northeast of Prince Rupert in the traditional territories of the Coast Tsimshian First Nations. Owned and operated by Prince Rupert Adventure Tours, the boat is surprisingly stealthy. Plus there’s a strict protocol for grizzly-bear viewing. Larger vessels, like ours, have to keep at least 75 metres away from the beautiful bruins. When on deck, words must be whispered and food is entirely forbidden. The Khutzeymateen is famed for having one of North America’s highest concentrations of grizzlies. Think of it as Manhattan for Ursus arctos. The best times to visit are mid-May to July. Since it’s late June, we’ve had lots of luck, already spotting several solitary bears munching on protein-rich sedge. Male grizzlies can reach 300 kg, double the weight of a black bear or a female grizzly. Despite having their characteristic humps, the bears we see don’t look like imposing beasts. They’re are almost lanky, with eyes ringed in dark fur like their long winter naps have been endlessly interrupted by Goldilocks. Then I see them: three little bears. Fuzzy, chocolate-brown scamps chasing one another in the seaweed and playing hide-and-seek in the sedge. Then the mama bear comes and chases her cubs out of the sedge, closer to the shore—and us. She seems to be staring directly at the boat, undaunted, and cajoling her fur babies to put on a show. And they do, dancing behind her in single file near the shore as we wildly snap away, long lenses fully extended. Finally, I put down my camera and immortalize this moment in my mind’s eye. The scene is surreal and it bites deep. Perhaps because it is so real yet so rare. Grizzlies playing in this pristine place, as Mother Nature intended. — Janet Gyenes For more on the grizzly-bear-viewing tour in Prince Rupert: princerupertadventuretours.ca. Summer 2017 Just For Canadian doctors


s m a l l ta l k

doctors share their picks + pleasures dr. peter brindley began his medical career in the UK and is now based in Edmonton, where he practises and teaches at the University of Alberta hospital. From there he travels the world, from Rwanda to Nepal…because global exploration is his guilty pleasure and it’s what he happily splurges on (or sees as a wise investment in mental health). Because there’s no place he’d not venture to…although, as someone who finds it hard to slow down and relax, he’s now making a point of learning the art of chill. Cue his favourite film, The Big Lebowski…

I live, practise in: Edmonton, Alberta My training: MD UBC, Int Med and Critical Care Med UofA Why I was drawn to medicine: I really never wanted to do anything else… can’t fully explain why, but am convinced it suits my pathology. I probably enjoy managing chaos more than I wish to admit.

A “wow” hotel/ resort I’d happily stay at again: Anywhere owned by &Beyond Safaris A favourite place that I keep returning to: Our place on the South Shore of Nova Scotia, where the local time is 1950 Can’t believe I’ve

My jet-lag cure: The trinity: melatonin plus a whisky plus bad TV I always travel with: A book and noise-cancelling headphones

I could not do without: They’re just possessions. If you can’t do without them then you need help

Favourite city: Edinburgh is tough to beat

I’d describe my home as: Warm and welcoming and colourful

Favourite book: Medical: The

My car: A disgraceful mess

My guilty pleasure: Travel

My secret to relaxing and relieving tension: I am terrible at relaxing Dr. Peter Brindley A talent I enjoys a flight of wish I had: beer. His travels have Playing included tiger viewing music and the Khajuraho temple in India (better A big known as the source of challenge the kama sutra). And I’ve faced: his favourite film… Illness

My go-to exercise/sport: Falling asleep

One thing I’d change about myself: Wish I was more patient… sometimes The word that best describes me: Passionate

My last trip: India and Nepal (and bloody marvelous it was too)

I’m inspired by: People who are creative for the sake of creativity, not money, not recognition, just the joy of it

Most exotic place I’ve travelled to: Worked in both Zimbabwe and Rwanda The best souvenir I’ve brought back from a trip: The worst would be E. coli, which has happened several times Best meal anywhere: Ah, c’mon, that’s easy: at home with the Mrs Memorable restaurant: Safari lodge Southern Africa on Xmas Day: sweltering hot, full meal with all trimmings and bugs everywhere


a desert island: Wife and kids: corny but true

never been to: Wales, and despite living in the UK for 17 years Don’t need to go to: Can’t think of a place: Everywhere has something to offer Dream vacation: Is wherever the next one coming up happens to be If I could travel to any time, I’d go: Hmmm, interesting question. Life has never been better than right now

Knife Man; nonmedical: anything by Bill Bryson

Last purchase: A Soviet era watch off eBay

My motto: Life is about problem solving

Favourite film: Um…tough one. How ‘bout The Big Lebowski

Last splurge: Trip to India and Nepal (or was it a wise investment in mental health?)

A cause that’s close to my heart: Mental health and dementia (both deserve far more attention)

Must-see TV: The Thick of It (BBC) Favourite band/ album or song: Too many—can’t even narrow down to top 10 My first job: Paperboy (and was fired!) Gadget or gear

Just For Canadian doctors Summer 2017

Most-frequented store: Anything to do with books and records…I still love ‘em I have too many: Clothes My fridge is always stocked with: Pie!

on the couch Favourite spectator sport: Rugby Celebrity crush: Who’s reading this? Maybe Jenna Coleman if forced I’d want this with me if stranded on

On my must-do list: Learn to chill and be more grateful If I wasn’t a doctor, I’d be: Darn sad. I really do love it, even when I don’t think I do

courtesy of Dr. peter brindley

My name: Peter George Brindley

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Women’s Health & Healthcare Communications 21 AMA PRA Category 1 Credit(s)™ 21 Contact Hours 12-Night Australia and New Zealand from Sydney Holland America’s ms Noordam January 20 - February 1, 2018

October 8, 2017 Topics in Preventive Medicine and Geriatrics 21 AMA PRA Category 1 Credit(s)™ 21 Contact Hours 10-Night Far East, Hong Kong to Singapore Royal Caribbean’s Voyager of the Seas

April 15, 2018 Topics in Critical Care & Pulmonary Medicine 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 11-Night Japanese Explorer from Tokyo, Japan Celebrity Cruises’ Celebrity Millennium

October 28, 2017 Pediatrics Update: Topics in Gastroenterology and Infectious Diseases 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 7-Day Southern Caribbean from San Juan, Puerto Rico Celebrity Cruises’ Celebrity Summit

May 28, 2018 Internal Medicine: Cardiology 16 AMA PRA Category 1 Credit(s)™ 16 Contact Hours 10-Night Iceland and Ireland from Dublin Celebrity Cruises’ Celebrity Eclipse

November 4, 2017 12-Lead ECGs & Arrhythmias: Diagnosis and Treatment 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 6-Night Havana, Cuba & Cozumel from Tampa, Florida Royal Caribbean’s Empress of the Seas November 13, 2017 Topics in Adult and Pediatric Medicine 14 AMA PRA Category 1 Credit(s) ™ 14 Contact Hours 8-Night Australia from Sydney Royal Caribbean’s Voyager of the Seas December 30, 2017 Preventive & Personalized Medicine 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 7-Night Southern Caribbean from San Juan, Puerto Rico Celebrity Cruises’ Celebrity Summit

July 14, 2018 Pediatrics 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 7-Night Western Mediterranean Rome to Barcelona Celebrity Cruises’ Celebrity Constellation August 4, 2018 Allergy and Immunology for PCPs 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 7-Night Hawaii Islands from Honolulu, Oahu Norwegian Cruise Line’s Pride of America September 30, 2018 Primary Care and Women’s Health 20 AMA PRA Category 1 Credit(s)™ 20 Contact Hours 14-Night Holy Land & Ancient Kingdoms from Rome Holland America’s ms Prinsendam

December 1, 2018 Topics in Family Medicine: 2018 Update 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 7-Night Hawaiian Islands from Honolulu, Oahu Course Fees may vary based on number of hours offered. Please visit our web site for current fees and cancellation policies. Norwegian Cruise Line’s Pride of America

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.

Ask about our Guest Travels Free Program We can manage or joint provide/accredit your next association or group meeting Call 800-422-0711 or 727-526-1571 or visit www.ContinuingEducation.NET Florida Seller of Travel Reg. #14337

Caring for your patients sinCe 1954

Spray Kit – Multiple uSe

20% Benzocaine Oral Anaesthetic • Eliminates pain and discomfort • Fast onset (within 30 seconds) • Short duration (15 minutes) • Safe – available over the counter • Best value among topical anaesthetic sprays • Great Wild Cherry flavour!

1/2 SECOND SPRAY is all it takes!

EFFECTIVE • Trusted by medical professionals for over 40 years • Eliminates pain and discomfort


product Description


extension tubes

Beutlich product Number


• Relief within 30 seconds

Spray – 2 oz. spray can and 1 disposable extension tube




Spray Kit – 2 oz. spray can and 200 disposable extension tubes



Extension tubes – Box of 200 disposable extension tubes



• Virtually no systemic absorption • Available over the counter

uNit DOSe – patieNt SaFety an innovative Non-aerosol unit Dose topical anaesthetic Spray • Fast onset • Short duration • Virtually no systemic absorption 0.5 mL each

• Utilizes bar code medication administration (BCMA) to accommodate point-of-care scanning • Virtually eliminates adverse events resulting from preventable medication errors, ensuring the “5 Rights” are met: √ Right Drug √ Right Patient √ Right Dose √ Right Route √ Right Time • Single unit-of-use packaging eliminates the potential for cross-contamination • Increases billing accuracy and improves supply chain costs • Recyclable


product Description

Beutlich product Number


HurriCaine ONE® Unit Dose Non-Aerosol Spray Box of 2, 0.017 fl. oz. (0.5 mL) each



HurriCaine ONE Unit Dose Non-Aerosol Spray Box of 25, 0.017 fl. oz. (0.5 mL) each



Questions? Contact your Canadian Representative at 1-519-766-6343. www.beutlich.com. HurriCaine is a registered trademark of Beutlich Pharmaceuticals, LLC. CMA 792 0415