Just For Canadian Doctors

Page 1

winter 2015

DOCTORS life + leisure

win $50 Visa Gift Card page 37

sail away in the

Caribbean arctic adventure in


+ winter comfort food + whisky wonder + the ultimate toy car + great safari escape Publications Mail Agreement #41073506

inside: Continuing medical Education Calendar where will you meet? s c o t t s d a l e

/ b e r l i n / d u c k k e y / va i l /



OpenRoad honda Burnaby 6984 Kingsway, Burnaby, B.C. V5E 1E6 (5 minutes East of Metrotown)

Tel: 604-525-4667 OpenRoadHonda.ca

Just for C








DOCTORS life + leisure

winter 2015


winter 2015 Editor Barb Sligl

Art Direction BSS Creative Contributing Editor Janet Gyenes

Editorial Assistant Adam Flint Contributors Lucas Aykroyd Timothy A. Brown Michael DeFreitas Dr. Holly Fong Tim Johnson Dr. Chris Pengilly Dr. Michael Purdon Manfred Purtzki Dr. Kelly Silverthorn Roberta Staley Hans Tammemagi Cover photo B. Sligl

14 33

Senior Account Executive Monique Nguyen Account Executives Wing-Yee Kwong Lily Yu Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie St. Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com

Associate Publisher Linh T. Huynh Production Manager Ninh Hoang Circulation Fulfillment Shereen Hoang

14 Caribbean sailing on a tall ship 33 Nunavut adventure north of 60 COLUMNS


9 pay it forward

5 winter mix 23 CME calendar 37 sudoku 38 small talk

Spreading skills to stop the spread of disease

CME Development Adam Flint Founding Publisher Denise Heaton

clockwise from top left: B. Sligl; Lucase aykroyd; B. sligl


Just For Canadian Doctors is published 4 times a year by Jamieson-Quinn Holdings Ltd. dba In Print Publications and distributed to Canadian physicians. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications.

10 photo prescription Get flashy

12 the hungry doctor

Indulge in comfort food this winter

13 motoring Toy-car fantasy

cover photo

Sail the Caribbean on a tall ship, and experience sunsets and coves and sheltered beaches. Story on page 14.

19 the wealthy doctor

The right retirement income

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

20 continuing ed


21 the thirsty doctor

Printed in Canada.

miss an issue? check out our website!

with Dr. Daniel Girgis

Back to school for a different kind of education Whisky wonder

36 doctor on a soapbox

When good intentions go awry Winter 2015 Just For Canadian doctors


from the editor Sail away, sail away, sail away. Scenes from a tall-ship tour of the Caribbean. Story on page 14.

clockwise from top

smooth sailing farther afield to South Africa, where summer is in full swing and exotic animal watching awaits (page 5). Hippos, elephants, giraffes, oh my! Tick off the “big five” in the world’s most popular safari nation… If you’re okay with a somewhat more soggy getaway (yet still a warmweather getaway for most of us in Canada), make your way to Wales to retrace the steps of Dylan Thomas. The actual 100th anniversary of the legendary poet’s birth just passed—celebrations wrapped up in November (as part of the Dylan Thomas Festival that takes place each year from October 27 to November 9, the dates of his birth and death; dylanthomas. com/2014-centenary)—but you can still brush up on his profound poetry and visit the places that inspired him, like his boathouse


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Just For Canadian doctors Winter 2015



and the people of Laugharne (page 6). Or find a different kind of inspiration here in Canada’s far north. In winter the mercury may dip to -40°C or so, but the dog sledding and northern lights viewing in Nunavut is extraordinary. Or go for some ice-floe or polar-bear tracking. Year-round, Nunavut is an Arctic destination that’s wildly scenic and full of surprises—from hockey-cap wearing locals to narwhal tusks in gift shops (page 33). Pre- or post-travel, either far north or farther south, downtime at home over the holidays or in the new year is on most of our lists. We have a slew of gift ideas (page 7) for loved ones (or yourself!), including a rather extravagant toy for the guy who has everything (page 13). And ’tis the season for some serious comfort food (yes, mac ’n’ cheese, please; page 12), after which some whisky sipping fireside to ring in 2015 may be in order (page 21). Mmmmm… And in the being-thankful holiday spirit, we’re sending out congratulations to our sister magazine, Just for Canadian Dentists, for achieving a Western Magazine Awards nomination for best trade magazine— we’ve been there too and we’re proud that you’ve joined the ranks. Bravo! Happy holidays and Happy New Year! feedback@InPrintPublications.com

b. Sligl


e all have different ideas of what winter means and what we should be doing during these cold and sometimes dreary months. Some of us relish the crisp air, frosty nip and fresh blanket of white stuff (it means skiing, sledding, skating!). But most of us choose to banish that bleakness with warmweather travel…understandably. For those of us in that warm-weather escape camp, a sailing trip aboard the Royal Clipper is a sure cure for the winter blues (page 14). A week-long tour of the Grenadines out of Barbados, anchoring in smaller coves and ports than any cruise ship (think less crowds and more scenic), is a hot Caribbean adventure that’ll give you the luxe sailing experience without having to deal with rigging and steering yourself. Another kind of hot adventure takes you

what/when/where > winter style | food | shows | festivals | places | getaways | gear…

wild thing


safari bound

Lucas Aykroyd

Enjoy the thrill of “big five” wildlife sightings in the world’s most popular safari nation


ou stare in awe as the towering matriarch of a pride of African elephants confronts you. It’s dusk at the Entabeni Safari Conservancy in South

Africa’s northern Limpopo Province, but there’s no mistaking how widely the elephant’s ears are spread—staking out her turf, as your host ranger quietly informs the tour group in an

open-air Toyota fourwheel-drive. Crashing through thick foliage, nine more elephants emerge into view (nine!), before entering the nearby forest to feed on acacia trees. The matri-

arch joins them, and there’s an indescribable feeling of peace and wonder. That’s a taste of the wildlife adventure that awaits guests at the Legend Golf and Safari Resort.

Less than three hours away by car from Johannesburg, South Africa’s biggest city, this 22,000-hectare, malaria-free area is less frequented than Kruger National Park. >>

Winter 2015 Just For Canadian doctors



literary Wales


>> Yet its opportunities to spot “Big Five” animals like elephants, rhinos and lions are as magnificent as the layered red mass of Hanglip Mountain, which looms over the private game reserve. On an early-morning drive through the savannah, a herd of impala grazes by the dirt road. As the red sun rises rapidly, you find a female black rhino munching on leaves. Like the massive hippopotamus you saw wallowing in a pond the night before, her speed is to be respected, says the ranger. Both animals can run up to 40 kilometres an hour. The ranger keeps his eyes peeled for tracks and spoor as you drive on. It pays off in sightings. A troop of baboons shrieks and wrestles its way into the trees. Out on the plains, wildebeests stand impassively staring, while nocturnal black-backed jackals doze in the dust, and warthogs scuttle off with whimsical urgency. This all happens before 7 am. And there’s much more to do here: quad biking, archery, fishing and hot-air balloon excursions. Adventurous golfers can board an Astar helicopter for a breathtaking two-minute ride up Hanglip Mountain, tee off a cliff toward the world’s longest par-three hole 400 metres below (dubbed the “Extreme 19th”), and then thrill to an even more roller coaster-like descent. The resort’s signature 18-hole golf course was designed by 18 international stars, including Canada’s Mike Weir. At night, dig into a buffet feast at the outdoor White Lion Boma as traditional drumming echoes in the background. Then relax in your spacious suite with a soaker tub, big picture windows, and wired Internet. It’s amazing all these creature comforts go hand-in-hand with some of our planet’s wildest creatures. — Lucas Aykroyd

hippos, elephants, giraffes, oh my!


For more on South Africa, go to southafrica.net. For the Legend Golf and Safari Resort, see legendgolfsafari.com. >>





“Each October on his birthday Dylan Thomas would walk past the towering castle, along the edge of the bay and up to the wooded brow of Sir John’s Hill,” explains Bob Stevens, the mayor of Laugharne. We are on the two-mile Dylan Thomas Birthday Walk, strolling from sign to sign and bench to bench, enjoying the lyrical imagery of Thomas’ October Poem, which he penned to describe this trail on his “thirtieth year to heaven.” The vast sweep of the Taf estuary with fishing boats bobbing in the distance dominate the view. On the 100th anniversary of Thomas’ birth, I’m touring south Wales, revelling in the year-long binge of readings, festivals and performances. I had left Swansea, Dylan’s birthplace, and driven westward to Laugharne, a pretty little village on the south coast of Wales. Dylan, the greatest Welsh poet of the 20th century, called it “a legendary, lazy little black magical bedlam by the sea.” He visited frequently and lived here for the final four years of his 39-year life. After the Birthday Walk I pass the weathervaned tower of the town hall and the looming walls of the castle—it seems every town in Wales is

read + go



DYLAN THOMAS Pick up a classic this winter, and make it this Welsh legend. Curl up and (re)discover his characters, humour and poetry…then consider yourself sufficiently inspired to visit his boathouse. dylanthomasboathouse.com

Just For Canadian doctors Winter 2015

in the


Dylan Thomas

dominated by a history and blood-soaked fortress. I visit the Boathouse, now a museum and tea house, where Dylan lived stormily with wife Caitlin and children. Next to the Boathouse is a small boatshed with a grand view over the bay. I imagine Dylan writing in the shed, a beer bottle and ashtray on the table and crunched up sheets of paper littering the floor. Later, sipping a pint in the same corner of Brown’s Hotel where the roistering, hard-living Dylan often sat, I hear laughter in the dusky premises, for Dylan was always the life of the party and had a sonorous voice with a subtle Welsh lilt. His public readings, particularly in America, became almost as famous as his written works. Surreptitiously, I stare at the pub occupants, for it’s said they inspired many of the eccentric characters in Under Milk Wood. The sun is low as I enter the cemetery where Dylan and Caitlin lay under a simple, wooden, white cross surrounded by rows of solid, stone monuments. In spite of the epic legacy of work he created, Dylan died in poverty. The wind whispers Dylan’s words: “Do not go gentle into that good night. Rage, rage against the dying of the light.”

— Hans Tammemagi






Take inspiration from Italy to Afghanistan when bestowing gifts this season—or next written

wish list

give + get


+ produced by Janet Gyenes


1 the LADY WHO LUNCHES What woman wouldn’t want a treat, such as these confections— Paloma’s Sugar Stacks in 18-karat gold with “crystallized” pave diamonds. Delicious indeed. Paloma’s Sugar Stacks ring, $6,350; pendant, $2,750, Tiffany & Co. tiffany.ca 2 the collector When Lucite meets brass, the look is pure glam. These Globo boxes by Jonathan Adler are eye-catching display pieces, plus they keep her best baubles hidden from prying eyes. Starting from $200 each, Modern Shop. www.modernshop.ca


3 the free spirit Eye candy or arm candy? Both! She can look chic and ward off evil with this ultracool clutch embroidered by women in northern Pakistan. $199, Far and Wide Collective. farandwidecollective.com 4 the global citizen A walnut jali (lattice) trivet exhibits the exquisite craftsmanship of artisan and jali master Masoud Abdul Baqi. The gorgeous geometric pieces were typically used in place of windows in homes in Afghanistan. $49, Far and Wide Collective. farandwidecollective.com 5 the connoisseur When a rich Scotch ale tarries in 18-year old Highland whisky casks, beer aficionados start to salivate. But don’t expect the giftee to share a bottle of Innis & Gunn’s Barrelmaster’s Reserve—after all, it’s a limited edition. From $4.95/ea., Innis & Gunn. innisandgunn.com

For her For him 7 5 5

6 the early adopter The Apple Watch promises to be a constant companion with myriad features to keep its wearer in a constant state of awe—and distraction. It comes in 18 models and is available in early 2015. Starting from $350, Apple Canada. apple.com/ca


2015 editor’s pick

7 the infomaniac With 456 pages jampacked with information and graphics aplenty (280!), Understanding the World. The Atlas of Infographics (TASCHEN, 2014) will satisfy those who are wont to wonder. $46, Indigo. chapters.indigo.ca 8 the casanova The essence of Italy is distilled in this alluring Italian Citrus cologne by D.S. and Durga. Blood orange and cold-pressed lemon mingle with undercurrents of oak moss and musk. Cue the seduction. $110, Still Life. stilllifeboutique.com 9 the ENTERTAINER The best hosts always have a little extra something to elevate an occasion. Why not the copper-topped battery-operated beer foamer by Danish company Menu, which creates a thick foamy head on a beer faster than you can say Skål! $33.99, Bed, Bath & Beyond. bedbathandbeyond.ca

Foam + sip!




winter in the west


on the edge

m bi n g o c h c n bea term a C s e h C on o, B , Tofi n h c a e B

way west

Stay + surf at Cox Bay at the Long Beach Lodge. And gaze at that sunset. longbeachlodgeresort.com sip

Post surf: a well-deserved pint of Tofino Brewing’s Tuff Session Ale. tofinobrewingco.com slurp

Pair that beer with Clayoquot Climax oysters from The Fish Store & Oyster Bar in Tofino. Divine. 250-725-2264


What lies on the far edge of the west coast besides dine stellar storm watching and some serious coldwater surfing? Canada’s best new restaurant, Wolf in the Fog. Given this top honour by enRoute magazine, the elegant yet down-to-earth eatery in Tofino is fast becoming a destination itself. Named for an earlymorning vision on the beach, the Wolf in the Fog is all about celebrating local bounty and beauty. Set as it is on the edge of the ocean, the culinary influence comes from local fishers and foragers—think authentic, rustic and end of the road. Signature dishes from Chef Nick Nutting include Bamfield Seaweed Salad and Braised Humboldt Squid, and cocktails that conjure Tofino in a glass, whether Jamie’s Tears (made with salt water) or the Cedar Sour (see page 22). And the design of the restaurant exudes the same out-in-the-wild-yet-ohso-sophisticated vibe, with roughhewn wood, gleaming copper, funky artwork made out of surfboards and even an apropos ethereal wolf comprised of driftwood pieces. wolfinthefog.com — B. Sligl

Just For Canadian doctors Winter 2015

More info at Tourism Tofino {tourismtofino. com} or Tourism Vancouver Island {vancouverisland.travel}.

Best in the west—and all of Canada.

Bamfield Seaweed Salad at Wolf in the Fog

tofino photos: b. sligl; restaurant photos, courtesy of wolf in the fog


The curvaceous drive to Tofino takes you past lakes, through ancient cedar groves and across the spine of Vancouver Island’s mountainous centre to reach the end of the road, the island, the country, the continent. Here, the sea is wild, the air bracing, the land windswept. Especially in winter. It’s storm-watching season. Watch the waves or wade out into them—if you dare, with dry suit on and surfboard tucked under arm. Beachcomb or bushwhack. Sip a local brew and slurp a justshucked oyster. Then repeat. Often. And be sure to experience the Wolf in the Fog.

pay i t f o r w a r d

r o b e r ta s ta l e y

Roberta Staley is an award-winning magazine writer and the editor of the Canadian Chemical News, published by the Chemical Institute of Canada. She is also a magazine writing instructor at Douglas College and a graduate student at Simon Fraser University.

an ounce of prevention

A Vancouver physician teaches circumcision in Africa and helps fight the spread of AIDS

courtesy Dr. Neil pollock


n April 6, 1994, a plane carrying Rwandan president Juvénal Habyarimana was shot down during its descent into Kigali International Airport. The act of terrorism sparked a three-monthlong, nation-wide massacre that saw the majority Hutu ethnic group nearly succeed in wiping out the minority Tutsis in a conflict known as the Rwandan Genocide. The slaughter was remarkable not only for its savagery—victims were tortured and sexually mutilated before being dispatched with machetes and rifles—but for the widespread use of rape as a weapon of war. The Tutsis who survived (many rape victims also included Hutus) were often infected with HIV, as the Hutus reportedly sent out HIV-positive men to systematically rape the women with the intent of infecting them. In the ensuing years, thousands of Rwandan women were indeed diagnosed with HIV. Fourteen years after the genocide, Dr. Neil Pollock of Vancouver tried to help right some of Rwanda’s historical wrong. A GP who is well known for circumcision and vasectomy procedures, Pollock flew into Rwanda in 2008 on a teaching mission to King Faisal Hospital in the nation’s capital of Kigali. Studies in East and South Africa found that circumcised heterosexual men were 50 to 60 percent less likely to contract HIV than uncircumcised men. They were also at reduced risk of sexually transmitted diseases like human papillomavirus, syphilis and herpes as well as penile cancer. Researchers attribute this to several factors. The high concentration of Langerhans cells in the foreskin increases the risk of transmission, as does the delicate foreskin tissue, which can tear during sex and trap infected fluids. (Circumcision does not prevent HIV transmission to women from men, nor does it protect homosexual men.) Rwandan mothers, however, were reluctant to have their boys circumcised, something that Pollock attributes to conventional surgical methods using scissors and stitches that caused pain and bleeding. During his five-day stay, Pollock taught two physicians—who in turn would teach other Rwandan doctors—a “30-second circumcision” technique he had developed at his Vancouver clinics. “It is virtually painless and

virtually bloodless,” Pollock claims. During his stay in Rwanda, Pollock and the two Rwandan doctors did 100 circumcisions. “The parents appreciated the potentially life-saving health benefits given the child,” says Pollock, who observed evidence of the genocide in the old scars and injuries of waiting parents. “Having the people express their appreciation so thoughtfully to me was very meaningful,” says Pollock, who frequently gives lectures at conferences about his circumcision and vasectomy surgical techniques, while inviting foreign physicians to come to his Vancouver clinic for hands-on training. Pollock didn’t undertake circumcision on adult males while in Rwanda, although the country embarked on a nation-wide program in 2013 aimed at circumcising 700,000 men to further cut HIV infection rates. (Currently at three percent, HIV rates in Rwanda are among the lowest in Africa. It is more predominant in females: women aged 15 to 24 are twice as likely to be infected with HIV as men the same age.) Recently, Pollock returned from Haiti where he spent four days in a Port-auPrince surgical facility this past November teaching his circumcision technique. The medical mission was initiated by Dr. Jeffrey Klausner, a professor of Medicine, Division of Infectious Diseases and Program in Global Health, University of California, Los Angeles, in partnership with the Haitian government. According to UNICEF, HIV-AIDS has become the biggest killer of Haitians under age 44, with five percent of the population aged 15 to 49 carrying the virus. In total, about 280,000 people—six percent of them children under age 15—are HIV-positive. As in Rwanda, Pollock’s multi-day surgical schedule

included the training of two doctors in his circumcision technique on infants two months of age and younger. (Pollock was accompanied by family physician Dr. Pierre Crouse of Calgary.) The pair had the Haitian doctors practise first on models, then infants. About 200 babies were circumcised during the trip. “I feel blessed to have Dr. Pollock been part of a shares his expertise program that can with local doctors in be shared with Rwanda. Studies show other countries that circumcised heterosexual men were 50 – 60% less likely to contract HIV.

in the Caribbean and duplicated throughout the region,” says Pollock, who has done more than 35,000 circumcisions in his career. Back in Vancouver, Pollock chairs or sits on numerous charitable boards. He also administers his own charitable foundation, the Pollock Family Philanthropic Fund, which has donated money to charities and various organizations for several decades. “I believe that all people have a responsibility to help others who are less fortunate,” says Pollock. “Others haven’t had the good luck that you or I have had, but they still are wonderful people. If you have the opportunity to share good fortune, then why wouldn’t you do it?”

Winter 2015 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.

flash it

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

Shedding some light on flash photography

get flashy

When photographing people, even in favourable lighting conditions, use flash for the subtle twinkle achieved; catch-light adds liveliness to your subject’s eyes. In overcast conditions, like under storm clouds in an Andean village in the Sacred Valley of Peru, flash is a must to decrease blur and bring out colours. Flash also helps when shooting still life subjects like big mugs of beer and steamers full of dumplings inside dark bars or eateries. But do be sure to “dial down” the flash output so that you don’t overpower ambient light.


Just For Canadian doctors Winter 2015

michael defreitas


ark storm clouds gathered as I made my way towards an artisan market in the small Andean Inca village of Chinchero, high on the windswept plains of Peru’s Andean Mountains. Bracketed between the lush fertile fields in the Sacred Valley and the snow-capped Cordillera Vilcabamba, the Inca believe that Chinchero is the mythical birthplace of the rainbow. Oh well. I found my Inca ladies busy knitting, weaving and spinning brightly coloured llama wool into even more vibrant textiles. I quickly realized that the darkness was not only muting the fabulous colours, but it was forcing me to use a slow shutter speed that increased the chance of unwanted blurred movement as the ladies worked. To help bring out the colours, I mounted my hand-held flash to a one-metre sync cord and attached the sync cord to the hot-shoe of my camera. This allowed me to hold the flash high and well away from the camera simulating overhead light and reducing the likelihood of “ghost” shadows behind my subjects. I photographed the ladies working, checking after each shot for any pesky ghosts. By far the biggest mistake photographers make when using flash is allowing the flash output to overpower the ambient light. This causes unflattering, unnatural looking light that washes out colours and rims subjects with shadows. It also produces a stark 2-D look I call “the dear in the headlights look.” Therefore the key to great flash photography is making sure that flash output never overpowers the available light. Many of the latest DSLRs have a flash exposure compensation control that allows you to select a negative flash output (one or two f-stops less than the ambient light). It operates similar to the exposure compensation button on your camera body. Since my Inca ladies were working at different speeds I decided to shoot on shutter priority so I could control the speed (slower speed for the knitting and faster speeds for spinning the wool). One of the women was busy knitting so I set my shutter priority speed to 1/125 sec to avoid blurring her hands. I composed the

photo prescription [continued] shot and noted in the viewfinder the exposure the camera automatically selected. It showed f8, so I switched my flash to “auto” and selected an f4 output (two stops less than the ambient light reading). I took a series of shots from a low angle so I wouldn’t cast a shadow on the wall behind her, adjusting flash settings as I went. Under these same lighting conditions most modern DSLRs, set on auto or program mode, will either automatically increase the ISO or select a slower shutter speed. High ISO in low-light conditions can cause unsightly noise (graininess) in dark areas of the image and slower shutter speeds contribute to blur from camera shake or subject movement. A better solution in this situation is to use a flash and shutter priority or manual mode. Another benefit of using flash, even in good lighting conditions, is the catch-light it adds to your subject’s eyes. The subtle twinkle gives your subject a more “alive” look. This method works well for people and animals with dark eyes. Without this sparkle, dark coloured eyes usually reproduce as black lifeless blobs. Camera pop-up flashes work okay for these situations, but because they are so close to the lens, they increase the chance of “red-eye” and the lens can block some of the flash output (especially if you have a lens hood installed on the lens). A wideangle lens records the scene well below the lens, but prevents the pop-up flash from covering the same space with light. The resulting half-moon “lens” shadows at the centre-bottom of the frame have ruined many a great image. Before heading off on your next adventure, practise using flash outdoors and indoors. Learn don’t be how to “dial down” flash output so it doesn’t afraid to flash overpower the ambient light. It takes a while But not too much… the key to great flash to get the hang of it, but in this digital age, at photography is making least you’re not wasting film.

PRO TIPS for using flash

sure that flash output never overpowers the available light.

Buddhist monks are backlit by natural light as well as flash. above Shot outdoors, shadows on this Hawaiian dancer’s face are eliminated with the help of flash .

> Flash is white and considered “cold” light (a high Kelvin

temperature). To warm it up a little, tape a thin strip (one centimetre wide) of yellow tissue paper or a piece of orange Rosco film (from an art supply shop) to the front of the flash.

> Anything used to soften or tint your flash output will also

reduce its output, so make sure you adjust your flash settings accordingly.

> If your flash doesn’t have red-eye reduction always take two

quick shots. The first flash will help constrict your subject’s pupils reducing the chance of red-eye with the second shot. There is less chance of red-eye outdoors because pupils are already constricted.

> When shooting subjects with glasses, have them lower or turn

their heads slightly away from the lens. This will reduce flash reflections in the glasses obscuring their eyes or reflecting back into the lens.

> If you can’t adjust your flash output try moving further away or closer to your subject to lessen or increase respectively the amount of light hitting your subject.

michael defreitas

gear up Flashes typically produce a harsh directional light. Us-

ing a diffuser is a great way to “soften” or disperse some of the flash output. You can soften flash by taping a white tissue over the front of the flash or by using one of the nifty white plastic “light modifiers” manufactured by LumiQuest, Gary Fong, Vello or Westcott. They mount overtop the flash head (even your pop-up) and do a wonderful job of diffusing or dispersing the light. Most run from $12 to $20.

Winter 2015 Just For Canadian doctors


t h e h u n g r y d o c t o r d r . h o l ly f o n g Dr. Holly Fong is a practising speech-language pathologist with three young children who’s always trying, adapting and creating dishes.

comfort food

As the weather turns cold, warm up with mac ‘n’ cheese

broccolini mac ’n’ cheese 500g fusilli or any tubular pasta 4 tablespoons unsalted butter 4 tablespoons flour ½ teaspoon Dijon mustard 1 tablespoon Tabasco sauce white pepper to taste 250g extra old cheddar, coarsely grated 150g old cheddar, coarsely grated 2 cups 2% milk ¾ cup half-and-half (10% cream) 2 tablespoons fine bread crumbs 1 bunch of broccolini, rinsed, ends trimmed and cut into half-inch pieces (½ pound) 1 clove of garlic, peeled and smashed with the blade of a knife 1 tablespoon canola oil salt to taste

Preheat oven to 400°F. In a large heavy skillet, heat the oil over high heat until hot and shimmering, but not smoking. Add garlic and broccolini. Sauté until tender with some brown bits, approximately 3 – 4 minutes. Season with salt to taste. Discard garlic and set aside. Melt butter in a large sauce pot over medium heat. Add the flour and stir for about 4 minutes until the roux is frothy and lightly golden. Stir in milk and cream and whisk constantly for about 10 minutes until the sauce thickens. Add the mustard and Tabasco sauce, stirring to blend. Remove from heat and let cool for about 2 minutes.

(serves 6)

Cooling the sauce will prevent it from separating and becoming mealy after adding the cheese. Mix three-quarters of the cheese into the sauce, stirring until melted. Season with pepper. Fill a large six-quart pot three-quarters full with water. Add two tablespoons salt and bring to a boil. Cook the pasta for one minute. Drain. Add pasta and broccolini to the sauce, stirring gently to coat the noodles. Pour into a large shallow baking dish. Combine remaining cheese and breadcrumbs. Sprinkle mixture over top and bake for 20 minutes. If desired, broil for 4 – 5 minutes to create a brown chewy crust. Serve.

eese Mac ‘n’ ch n ay? ch ardon



Just For Canadian doctors Winter 2015



inter is a busy season at my house. After autumn’s return to school and extra-curricular activities for the children, the hectic holiday season is upon us and then we’re into a new year. During this time, I find myself turning towards comfort foods, especially those that can be easily frozen and reheated. A favorite is macaroni and cheese. This great North American classic is simple to make and tastes so much better made from scratch than what can be had from a box. It is essentially a gooey, rich milkbased sauce with tangy cheddar. The addition of mustard and hot sauce brings out the tangy flavours of the cheese. It’s also a dish that lends itself well to improvisation; you can dress it up with the addition of roasted garlic, mushrooms, broccoli, cauliflower and even lobster or crab (think high-end restaurants). However you choose to make it—dressed up or plain—use a ridged tubular pasta and bake it in a large shallow dish so that there’s plenty of chewy brown crust. I love scraping up the crunchy dry bits that stick to the pan. A Californian Chardonnay with some oak is a perfect accompaniment. The Dry Creek 2009 Foggy Oaks Chardonnay has aromas of spice and pear followed by a hint of oak, and refreshing tastes of vanilla, citrus, and pepper. This well-balanced wine enhances the flavours of the cheese. Yum.

A Californian Chardonnay with some oak is a perfect accompaniment. Try the Dry Creek 2009 Foggy Oaks, a wellbalanced Chardonnay that enhances the flavours of the cheese.


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

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

… Gift i dyea wh o

for th e gu th i n g! h as every

fantasy fulfillment

The slot-car industry generates more than a billion dollars annually…and is growing

courtesy david beattie


he 2008 financial crash hit Greater Detroit hard. After David Beattie lost his printing industry job he faced finding his ideal new vocation. He remembers thinking “painting coconuts” as his new career’s karmic goal. Fortunately for automobilia enthusiasts everywhere David seems just as happy having evolved to be the world’s pre-eminent creator of fantasyfilled slot car systems. His starting price is $75,000 USD for the base Slot Mod 7-footby-16-foot size, and it goes up (potentially way up) from there. David fell into this career field mostly by accident. Sure, everyone in Detroit has car juice running through their veins, and his older brother had worked for Bruce McLaren’s Can-Am racing team. However, what really got things going was a 2004 slot-car track Christmas present from his wife, ordered from the Hammacher and Sclemmer catalogue. With unexpected time on his hands, David enlarged and improved it over the years—a lot. A friend asked him for similar improvements. One thing led to another, as they say, and six years later Fortune 500 clients such as Audi AG and Progressive Insurance are ordering elaborate Slot Mod 12-foot-by-20-foot tracks that entertain their patrons streetside Toronto or at trade shows across the continent. You’d think the first Sony Playstation and Gran Turismo video game would have been the death knell of the slot car industry. Not so. It seems there remains a market for those who want to literally build their own tracks, physically touch the cars and zone out into that metronome-like race pattern of muscle memory to get the best performance out of a slot car. In fact, the slot-car industry generates more than a billion dollars annually.

Revenues are growing as boomers entreat their kids and grandkids into how they mispent their own youth. In North America 1:32 scale rules, while in Europe 1:24 is also popular. Around the world 1:87 scale also has a following. While the Eldon, Strombecker and Tyco brands that I remember from my childhood Eaton’s Christmas catalogue (I’d gleefully find that page first!) are no longer marketed, longrunning Scalextric, Revell, Nimco, Carrera, AFX and others robustly remain. A complete 1:32 consumer-intended slot car system of 20-foot plastic track length can be had for $200 – 250. Additional Starting at cars are widely USD $75,000, the available in the racetracks that David $30 – 60 range. Beattie creates are like Car choice works of art or, as his selection is tagline says, “Racing tremendous… beyond expectations.”

forming local clubs. The consumer-intended dual-track we remember as kids will be replaced by something hobbyist-grade, wood-track-based, multi-lane and larger. The print magazine Model Car Racing is a must-have resource for those moving to the dizzying scope and detail of the hobbyistsatisfying set-ups. David’s own multi-lane home track reached 170 feet at its zenith. So, yes, the intrepid handy-man/woman can fashion a hobbyist track for far, far less than the price fetched by David Beattie’s pro-built masterpieces. Yet David’s are sought by the rich and famous. His tracks demonstrate creativity, authenticity and striking detail. Slot Mods’ tag line reads “Museum quality, hand-crafted raceways for the ultimate garage, showroom, man cave or commercial interactive attraction.” The David Beattie/Slot Mod story has captivated the print and video media. The Zulu Alpha Kilo Agency won a 2013 Clio

modern or classic from numerous disciplines including Formula One, IndyCar, NASCAR, DTM, LeMans, rally, drag racing and so on. Beattie has collected more than 400 slot cars in his preferred 1:32 scale. If the slot-car hobby hooks you, others so afflicted end up finding each other and

Award for its short film appropriately titled Painting Coconuts. The film alone is worth a trip to the Slot Mod website/facebook page. And while you’re there, check out some of the tracks they’ve built. My favourite is the one inside the Porsche 917 LeMans racer. Painted coconuts indeed.


Winter 2015 Just For Canadian doctors


travel the world

sa i l a way

Picnic-table perch at Tobago Cays Marine Park. opposite The Royal Clipper tall ship moored just off Soufrière, as seen from the hills of St. Lucia.


Just For Canadian doctors Winter 2015

t rt ar av veel lt ha et w hom rld e

The allure o f discovering the Caribbea n under sail

story + photography by barb



travel the world

hat’s the limit on watching big, fat glowing orbs dip behind a gently undulating sea? This is the spectacle I see every night that I’m aboard the Royal Clipper tall ship in the Grenadine Islands. Stunning sunset after stunning sunset. And the one night I don’t track the sun’s descent from on deck, it’s because I’m doing so on the beach with a beer in hand, listening to the waves lap ashore. It’s a Lorraine Blonde brew I sip this sunset, on a secluded strip of sand in the cove of Les Anses d’Arlet in Martinique. French families lounge on the beach and in the smattering of seaside bars and restaurants, murmurs of bon soir and alors in the air. Here you can sip pastis, bien sûr. Happy dogs patrol the beach as if making sure everyone is suitably blissed out, much like the resident cat sprawled out on the bar railing, catching the last rays of that sun. Between beers I take a cue from le soleil and dip into the sea. The water is so warm, it’s almost bath-like. Bats begin to come out, dive-bombing for nibbles in the twilight air as the Royal Clipper’s strings of lights come aglow. I linger, suspended in this twilight scene so long that I catch the last tender back aboard. We weave our way through the slew of sailboats moored and bobbing here in Les Anses d’Arlet overnight, past some of these sailors now making their way ashore in dinghies for an apertif and dinner of fresh-caught langoustine or other French/Caribbean fare. The tall ship is anchored


on the edge of this hum of twilight activity. The purpleand-gold sky is turning inky and I’m just in time for the daily ritual that takes place at each sail away. The crew sets the sails to the classical strains of the Vangelis soundtrack to the film about Columbus’ sailing, 1492: Conquest of Paradise. And it feels like we’re in a movie as the staggered sails—42 of them!— across five masts billow open, flapping and filling with wind. Romantic. Stirring. Epic.

gers gather on deck to listen and watch the sails unfurl. Once she gets going in full-on old-school style (the Royal Clipper is a replica of a 1902 ship, the Preussen, and the largest and only fivemasted full-rigged sailing ship built since), people go below deck for dinner, where no set seating means a musical chairs of sorts—each night I chat with a new group of people, from football talk with Brits and Germans to philosophical

The Royal Clipper aglow at twilight just after sunset.

Market in St. George’s, Grenada.

Tobago Cays Marine Park.

The ritual is a bit of a wow surprise the first night upon embarkation in Bridgetown, Barbados, and continues each sail away thereafter—and, like those sunsets, it doesn’t get old. Throughout this Caribbean sailing in the Grenadine Islands— St. Vincent and the Grenadines, Tobago Cays, Bequia, Grenada, Martinique, St. Lucia—passen-

Just For Canadian doctors Winter 2015

discussions with an American family with college-age kids on spring break. The commonality is a love of sailing—not cruising. One longtime avid sailor who sails out of Tortola himself every year, shares sailing terms—those crossbeams or horizontal spars on the masts are actually called “yards” and “sheets” is the proper term for

ropes controlling the sails. For him, being on this tall ship is a more luxurious and responsibility-free way to be under sail. All the romance and none of the roughing and rigging it. And those who want a more handson taste of the sailor’s life can climb one of the masts part way and help tug on ropes. I just try to stay out of the way of the always-hopping international crew. The Star Clippers line (three tall ships, of which the 439-foot Royal Clipper is the largest) is Swedish, and besides the crew of übertan and -tall blonde Swedes, Dutch and Danes in bright white uniforms, there are Sri Lankans and Indians manning the ship alongside Captain Sergey. The Captain shares stories of his racing and regatta experience with tall ships, including a race that follows Columbus’ route to the Canary Islands and on to Puerto Rico. Our sailing adventure may be minor in comparison, but each tiny cove and uncrowded island feels like a revelation. There are no cruise ships in sight. Our first stop is to Union Island, a small, rugged-looking island between St. Vincent and Grenada. Here I meet a local fisherman in his 60s, who comes here to fish and collect pods off tamarind trees. He shows how to open the pod and suck the tangy fruit from the seed. I chase the sweet-and-sour flavour with a Hairoun beer and marvel at how a cold Caribbean brew never fails to taste like manna on a beach. That night, I scan the sky, trying to pinpoint stars, and think of a phrase from the novel I’ve brought along for beach reading: “the silver pepper of stars.” They’re F. Scott Fitzgerald’s words from a book set on a different coast, but seem rather apropos for the night sky overhead and aboard this tall ship. And the next day more pretty prose comes to mind at Tobago Cays Marine Park, which might

travel the world Hanging out in the netting under the bowsprit of the Royal Clipper.

Local kids welcome passengers in Soufrière, St. Lucia.

Tools of the tall ship; big piles of rope coiled up on the deck.

Fisherman on Union Island with a stash of tamarind pods.

Ship’s tender with a view, to and from the Royal Clipper.

Hairoun beer, brewed in St. Vincent and enjoyed on the beach at Union Island.

travel the world

The crew steps out on the bowsprit as the sun sets.

Sign of the Caribbean: palm trees.

The Royal Clipper glides past the Pitons of St. Lucia in full sail.

Sailing away…

At a coconut farm on St. Lucia, during one of the ship’s excursions.

as well be called a marine paradise. Here, I snorkel with a stingray and an octopus before climbing amongst cacti and agave-like plants to the top of this uninhabited island to glimpse the Royal Clipper far below. She’s surrounded by dozens of smaller craft, a grand dame with her coterie. A sand spit stretches far out into the blue water—the very same one that made an appearance in the Pirates of the Caribbean movie. After my topside stroll, a weathered picnic table beckons under the shade of palms as a secluded spot to take it all in. I’m not sure how it can get any better, and yet it does with each stop. Or everything just keeps culminating into a whole that’s greater than any of the stops. In St. Lucia, the little town of Soufrière is flanked by the volcanic spires of the Pitons. And, as if that’s not enough wow factor, the crew steps out on the ship’s bowsprit as we sail away. At Bequia, the harbour of Port Elizabeth is full of sailboats and bars and restaurants strung along the water’s edge, reached by a seawalk to which people’s dinghies are tied. I have yet another doesn’t-taste-like-this-at-home beer at the Whaleboner Bar, sitting atop a massive whale vertebra that’s now a stool. I watch yet another sunset from my perch. And, no, there’s no tiring of le couché du soleil. Seems this Grenadine Islands sailing pulls no punches with grandiose, almost cliché gestures, because back on board, as the sun and sails both set to the music of Vangelis and the Royal Clipper glides out of Bequia’s port, a glow appears from behind the island. It’s a full moon rising.


if you go sail away, sail away, sail away

Grenadine Islands sailings start November and run through until the end of March. The seven-day sailing trip includes food and water sports (sailing, snorkelling, waterskiing­—with the blond-bombshell crew) and starts at USD $3,310 per person. Excursions like the “Hike at the Seven Sisters Waterfall” in Grenada or the “La Soufrière Volcano Hike” are extra. Embarkation and debarkation take place in Bridgetown, Barbados, itself worthy of a few days of exploration before or after the sailing. And if the Grenadine Islands aren’t your thing, Star Clippers offers plenty of Leeward Island sailings in the Caribbean, as well as the Mediterranean, Panama Canal and ocean crossings. For more info on dates and itineraries go to starclippers.com.

th e wealth y d oc tor m an fred pu r tzk i Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

know your retirement options!

retire right

How much retirement income do you need?

2. Income available to safely withdraw so

that investments do not run out during his/her lifetime.

The US financial planner William Bengen published an article in 1994 in which he summarized an analysis of investment data back to 1929 to determine the maximum safe withdrawal rate, based on the percentage of the initial investment portfolio. Assuming a minimum requirement of 30 years of portfolio longevity, Mr. Bengen concluded that a first-year withdrawal rate of 4% followed by inflation-adjusted withdrawals in subsequent years would be safe. The 4% rule has been gospel ever since, but the question remains: Does it still hold true today in an investment climate of near zero returns on fixed income investments and the growing risks of putting money into equities? According to T. Rowe Price Group, had you retired in 2000 and withdrawn 4% from your 55% stock/45% bond portfolio, you would likely have lost one-third of your investment by 2010, giving you only a 30% chance of outliving your investments. If you need $80,000 of annual inflationadjusted income from your investments, can you rely on the golden rule of 4% and build a $2 million retirement nest egg? Many financial planners use sophisticated modelling tools to calculate the annual withdrawal rate from the portfolio. One alternative method to calculate the annual withdrawal rate is to use your life expectancy. Choosing this method, let’s assume you are a 62-year-old male

Many doctors have angst that their savings may not last for 30 years of retirement

use an annual withdrawal rate of 7%, you can—according to Mr. Finke—enjoy an annual income of $90,000 for 17 years until age 82 when your $1 million portfolio will be depleted. Boosting your withdrawal rate from the safe 4% to 7% means 50% more income during the early years, as opposed to later, of your retirement. When you are in your 80s, you will likely reduce your discretionary spending anyway. You continue to receive CPP and OAS income and—if necessary—you can sell your home and live off the proceeds. Many doctors have angst that their savings may not last for 30 years of retirement and are resigning themselves to an ascetic lifestyle. To avoid this outcome, discuss the retirement options available to you with your financial planner, including the risk of a shortfall in your retirement income and how to minimize its impact on your lifestyle and well-being.

solution from Fall 2014 contest

1. Asset allocation.

doctor with a portfolio of $2 million. You can use the life expectancy tables from Statistics Canada or go to the website: candianbusiness.com/cbn-tools-lifeexpectancy-calculator/. In my illustration, you are expected to live for another 18 years. To calculate the first-year withdrawal, you divide $2 million by 18, which is $111,000. Next year, your portfolio value is $1,946,000 assuming a 3% after tax return. The life expectancy remains at 18 years, which means that you can safely withdraw $108,000. Fast forward our illustration to age 70, with an assumed $1.4 million in your portfolio and a life expectancy of 13 years, and you can withdraw $108,000. Under the life expectancy method, your withdrawal will fluctuate each year. However, you will have less risk of running out of money compared to using the standard 4% withdrawal rate. In a study titled “Spending Flexibility and Safe Withdrawal Rates,” Michael Finke, a professor in the department of Personal Financial Planning at Texas Tech University, provides an interesting perspective on withdrawal rates and shortfall risks. The purpose of this study is to help clients better understand the trade-off between shortfall risk and the risk of not living well during the retirement years and how their risk tolerance affects the withdrawal rates. When determining a safe withdrawal rate, we ignore the fact that a person can make lifestyle adjustments. You may want to travel extensively in your 60s and 70s and enjoy your retirement to the fullest without worrying about money, even if it means having to cut back on European River Cruises and car purchases later on in your 80s. If you are a 65-year investor with 70% of your portfolio invested in equities and

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

Puzzle by websudoku.com

solution from page 37


n order to provide the best possible advice to clients, a financial planner needs to take into account:

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

Puzzle by websudoku.com

Winter 2015 Just For Canadian doctors


continuing ed dr. michael Purdon Dr. Michael Purdon is the Director of Faculty Development at UBC’s Southern Medical Program in Kelowna, as well as Program Director of the Master Teacher Certificate Program for faculty physicians. He is also Interior Health’s Executive Medical Director for Acute Services in the North Okanagan and Thompson Cariboo Shuswap Region.

back to school

A doctor returns to his alma mater for a different and eye-opening kind of education


he trend of bringing physicians into management and administration leadership is happening North America-wide, if not worldwide. There’s a growing understanding that when physicians are brought in to help manage the system that they’re a part of, results are better, as has been demonstrated in a couple of studies in the US. It also helps to engage those physicians who are working on the front lines of care—to have physicians with clinical and cultural credibility actually manage processes. I took the Sauder School of Business Physician Leadership Program to develop my own leadership skills, and found it an incredible educational experience. I loved the program’s premise of “Monday morning learning,” in which students finish a module over the weekend. We didn’t ponder hypothetical high-

level theories but were given practical tools to use immediately at work. When I finished the program I felt like I’d been given a pair of glasses and playbook—and I clearly saw how to accomplish what I set out to do. There’s a wonderful metaphor that I’ve oft repeated since first hearing during the course: getting a rocket to the moon is complicated but linear. Here on earth, we’re all working in complex and non-linear environments. Rather than dealing with rocket science, it’s like we’re trying to raise a family—a complex, non-linear task that involves unanticipated effects. Most who work in medical leadership will have heard this sentiment from physicians, “well, it’s just so simple, if someone would just…,” revealing a common frustration of not being able to move the ball forward. I think all of us have felt this to some degree, and it’s a

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Just For Canadian doctors Winter 2015

relief to recognize the difference between leading in a complicated versus complex environment. Now, I understand not only why the ball won’t move forward, but how I might help it do so more effectively. Perhaps most useful for someone coming from a clinical background, is the imagination the program fosters. I discovered practical techniques completely outside of my realm and different ways of thinking that may not be immediately obvious to those who do clinical work. Just being amongst people with different and extraordinary skills, vision and energy stretched my imagination of excellence. And the opportunity to have valued-based discussions, as my class was encouraged to do in the first module, resulted in learning that “you have to lead yourself to lead others.” There are plenty of programs out there covering physician leadership, and much effort has gone into creating such educational programs, but I haven’t seen anything as efficiently comprehensive and practical as the Sauder School of Business Physician Leadership Program. Before taking the next set of modules, one of the program’s candidates visited me at my office for encouragement, and I told him that if you looked across the levels of experience of all the people in the group, it would be hard to fulfil everyone’s educational needs. With such a diverse set of skill sets and experiences, it’s hard to build an educational program that meets everyone’s needs. And yet somehow Sauder did it. On the final day, everyone in my group left deeply satisfied. The program also served as an incredible homecoming for me. After working abroad for 13 years, I returned to Canada and was invited by Interior Health in BC to take the Sauder School of Business Physician Leadership Program. To attend, I walked back onto the University of British Columbia campus for the first time in 25 years. After completing my undergrad at UBC, I had left in 1988 for medical school at McGill and hadn’t been back since. Setting up base in the Gage Residence, where I stayed for each of the modules, and strolling across campus to have a burger at the Pit Pub was like coming home. It’s never too late to go back to school for a rich educational experience—and so much more.

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

whisky decoded

{whisky speak} dram

A globetrotter’s guide to where to imbibe


hisky is a spirit that conjures much romanticism, legend and sense of place, perhaps more so than, say, vodka or gin. It’s simple in its ingredients—grain and water—but mystifying once you delve into its history. Scan the menu at Shebeen Whiskey House in Vancouver, for instance and the globetrotting whisky list lingers in Scotland, traversing from Highlands to Lowlands, evoking the romance of mist-shrouded lochs and glens. It stretches out to the isles of Mull, Skye and Islay, among others, before crossing the North Atlantic and Irish Sea to the Emerald Isle, where whisky (spelled whiskey) was born. Familiar names include Bushmills in Northern Ireland, a stone’s throw from the basalt pillars of the Giants Causeway, and Jameson in County Cork, where stone castles and crosses punctuate the impossibly green landscape. The whisky list then trips away from tartan and tweed and into the bluegrass territory, where American whisky, in Kentucky at editor’s least, is better known as bourbon, before moving north to Canada, with a smat-



{sipping tips}

tering of brands from sea to sea, including that regal-named fave, Crown Royal. In order to understand whisky’s globetrotting ways, it’s essential to take a quick trip back in time to unravel its evolution.

luck of the Irish

You couldn’t weave a yarn about whisky’s origins that would stand up to the colourful truth. After all, St. Patrick—a Scot—is credited for teaching monks in Ireland how to distil in about 432 AD, long before the spirit arrived in Scotland. But they were hardly the first people to discover the alchemy of coaxing cheap ingredients into uisce beatha vitae, Gaelic for “water of life”; St. Patrick learned it from the French. Well before that, Moorish scholars were distilling spirits and even earlier, ancient Egyptians were crafting potable spirits from flowers or grapes, while the Chinese and Tibetans were doing the same with rice and millet. What makes Irish whisky so? Most Irish distillers still favour traditional swan-necked copper pot stills over the less-labourious column stills. By law, after distillation, the spirit must be aged in wooden casks—for no fewer than three years—on the island of Ireland. If the whisky is solely made from malted or unmalted barley, it can be called “single

A measure equivalent to malt,” wherean eighth of an ounce, but as “blended whisky” is in “Scotch speak” — created when a wee bit malt and grain spirits are mixed together. Irish whisky is often triple distilled and aged in oak casks that once used to hold sherry or rum—all which make it light in colour and smooth, not smoky, compared to its Scottish counterparts. Scotland’s great divides

An unknown Scottish poet once quipped, “The Irish invented whisky, but only used it as a liniment for their sick mules. Only my fellow countrymen would have thought of the idea for drinking whisky.” Or so the story goes. Scotland records indicate that its firstever distilled spirit, made from barley malt, was for none other than King James IV. But that was in 1494 and Scotland’s cherished spirit has changed since then, thanks to its taxation system, which led to the initial Highland-Lowland divide. Lowland whiskies lean to the lighter side: paler in colour and more citrus in flavour. The Northern Highlands, where brands such as Glenmorangie and continued on page 22 >>

Skip the ice and sip whisky neat or dilute with a bit of water to “open up” the spirit.

Want to expand your sipping repertoire? Here’s where to start your whisky-themed globe-trotting…

classic {scotland} Tobermory 10 Year Single Malt Scotch Whisky // Isle of Mull Colour Bright lemony gold // Nose Hints of grass, malt, gingerbread, stewed fruit syrup and finely polished oak // Palate Smooth and velvety; tang of fruit, spiced gingerbread, acacia honey and aniseed // Finish Ginger and spicy oak, bitter chocolate and almond, fading with sea salt

winning blend {SOUTH AFRICA} Three Ships Five Year Old Premium Select // Blend of South African + Scottish whiskies

new player {SWEDEN} Mackmyra Svensk Whisky // First edition single malt whisky

Colour Full golden with a sherry red tinge // Nose Robust and full with an aromatic, peaty nose // Palate Slightly sweet, but with full peaty character // Finish Long, full, warm

Colour Pale gold // Nose Fruity, with citrus, pear, honey and cereal notes // Palate Citrus, caramel and honey // Finish Dark chocolate

Winter 2015 Just For Canadian doctors


thirsty [continued]

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ASTMH American Society of Tropical Medicine and Hygiene

Organized in collaboration with

WHO Collaborating Centre for Clinical Management of Cystic Echinococcosis


Clinical Ultrasound in Tropical Infectious Diseases January 13-16, 2015 Lima, Peru Course Directors: Eduardo Gotuzzo, MD Walter “Ted” Kuhn, MD Enrico Brunetti, MD www.tropicalultrasound.org/Lima


>> continued from page 21 Dalmore hail, offer sweet, rich malts. Head south for lighter, drier and fruitier whiskies, which become more full-bodied as you head east and get peatier in the west. Highlands’ Speyside whiskies, with brands such as Glenfiddich and The Macallam, tend to be more complex single malts, with pear and apple notes and perhaps a hint of smoke, though they’re usually made with un-peated malt. These are heralded as among the best of the Highlands. Campbeltown single malts are considered the “most manly” of whiskies, owing to their pungent aromas and dryness, while the wet climates of the Islands impart their own peaty distinctiveness, with peppery brands such as Talisker, and Tobermory, which offers smooth notes of fruit and spice. Islay whiskies may be the most aggressive tasting, with flavours described as oily, salty and smoky.

Premium Whisky is made from 100% rye. Smaller producers, such as Glenora Distillery in Nova Scotia and Okanagan Spirits in BC are using 100% barley to produce their single malts. To borrow from the tequila/mezcal saying, all whisky is rye, but not all rye is whisky. Of course, before it can be called whisky in Canada, the spirit must be aged for a minimum of three years.

Whisky is a spirit that conjures much romanticism

Canada’s hardy rye

In its early days, Canadian whisky was made of various cereal grains—wheat, barley, corn—until enterprising distillers added a little something extra, which gives it its telltale sweetness: rye. The cold-hardy grain was brought to the country by German and Dutch immigrants, but nowadays, the grain is used primarily for flavouring, adding spicy notes such as ginger, clove and cinnamon. Corn now dominates Canada’s whisky trade, although Crown Royal also includes malted barley and rye in its award-winning recipe. In Alberta, Highwood Distillers’ eponymous rye whisky also includes wheat, while Alberta

American whisky has had rollicking history, thanks to taxes, the temperance movement and more than one war. But that didn’t stop everyday folks from making their own tipple. Even George Washington distilled his own rye whisky. In Kentucky, though, corn was the predominant crop, and it became bourbon’s de facto birthplace. Although the Bluegrass State’s cash crop imparted a sweetness to the spirit, it was the oak aging that helped make bourbon the revered spirit it is today. Using charred brand-new white oak barrels infuses the spirit with its characteristic vanilla and caramel notes. By law, to be called bourbon, grain must be at least 51% corn and charred barrels can only be used once for aging; afterwards they’re retired and commonly put to work for aging other spirits, including Scotch. Not to be outdone by Ireland and Scotland in the truth-is-stranger than fiction category, Bourbon County, the namesake for America’s Native Spirit, as enshrined in law by US Congress in 1964, does not produce bourbon.


{try this} Cedar Sour

WHISKY COCKTAIL, by the bar manager, hailey pasemko, of “CANADA’S best NEW restaurant,” WOLF IN THE FOG (SEE PAGE 8) Combine in a cocktail shaker: • 2 oz cedar rye * • 1 oz lemon juice • ¾ oz lemon thyme syrup** • 1 egg white Dry shake without ice and then shake again with ice. Double strain into a chilled rocks glass. Serve neat and garnish with cherries. *Cedar Rye • 1.14 L bottle Wiser’s Deluxe Whisky • 4 inch section of a cedar shim or shingle Sterilize the cedar shim by scrubbing off any dirt or dust and then soaking in warm salt water for 1 hour. Then soak in warm fresh water to remove any saltiness left in the wood. Chop the wood down and put in a clean glass jar with the Wiser’s. Let stand

America’s sweet corn sensation

5 – 7 days and then filter out all wood particles from the rye. **Lemon Thyme Syrup • ¼ cup fresh lemon thyme (Or alternatively, ¼ cup regular thyme and the rind of half a lemon) • 4 cups sugar • 4 cups water Combine water and sugar in a saucepan. Bring to a boil and remove from heat. Ensure the sugar has completely dissolved. Place the lemon thyme in a container and pour the hot sugar syrup over it. Let cool before refrigerating and leave overnight to infuse. Strain out herbs the next day. Keep refrigerated.

photo courtesy of wolf in the fog

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scottsdale / berlin / duck key / vail / bariloche … | c a l e n d a r


A n intern ation a l guide to c ontinuing medica l Education

winte r 2015 + beyond Fairmont’s Well & Being Spa

The Rusty Spur


McDowell Sonoran Preserve Golf specialty massage

Troon North Golf Course

The Boulders Resort

scottsdale is a wild-west and five-star-luxe mash-up, where you can kick up dust off-road in the desert and then kick up your boots on the dance floor…

Photos courtesy of Scottsdale Convention & Visitors Bureau


et between a vast, untamed wilderness and one of the largest cities in the Southwest, Scottsdale truly offers the best of both worlds. A place of sumptuous spas, top-drawer restaurants and five-star hotels, it’s a desired destination for those seeking a super-luxury vacation. But this sunny city offers more than gratifying massages and gourmet bites. Bordered by towering cacti and home to true cowboys, Scottsdale is officially—according to its motto—“the west’s most western town,” something that’s always delivered with a touch of class. Start by getting out of town to gain a better feel for the Sonoran Desert. Covering large parts of the American Southwest and Mexico, this vast and varied landscape looks straight out of a Western movie set, with red soil, velvet mesquite and towering saguaro cacti. It’s an environment that just beckons exploration—and a company called Green Zebra offers adrenaline-fueled adventures that run straight through the heart of it. From their base just east of the city, you’ll get behind the wheel of a Tomcar—a sort of dune buggy crafted and utilized by the Israeli army—and race down miles of dusty desert paths, roaring over hills and

(CME events in Scottsdale are highlighted in blue.)

screaming around tight turns. Then head back into town to learn more about this arid ecosystem at Desert Botanical Garden. Here, you can wander down pleasant paths through 140 acres of Sonoran flora and fauna, taking in more than 50,000 plant exhibits. And then, for a true taste of the West, take a walk with Arizona Food Tours. Their Taste of Old Town Scottsdale trip is a three-hour culinary excursion into the quirky—and delicious—restaurants that populate this quaint and historic district. Learn about the city’s history, from its founding by an adventurous army chaplain in the late 19th century, to the cosmopolitan present, along the way downing everything from juicy beef sliders at an Old West spot called the Rusty Spur, to chicken satay at Malee’s Thai Bistro. Return for a full dinner, then finish off with a nightcap at the Coach House, a loveable dive bar that decks the halls with thousands of Christmas lights during the holidays. And if you still have a bit of energy, head up to the Buffalo Chip Saloon, and sprawling indoor and outdoor bar that offers live bull riding; sign a waiver, and you can even give it a try. But if bull riding isn’t your thing, no worries—Scottsdale

offers a wide variety of other opportunities to show off your athleticism. Home to some of the best golf courses in the nation, try your swing at Troon North—one of the most stunning desert courses in the Southwest, or TPC Scottsdale, home to the PGA’s Phoenix Open. Or watch the pros do their stuff—Scottsdale is an ideal jumping off point to watch professional hockey, baseball, football and basketball, just a few minutes’ drive away. If you tire of playing and exploring, slow things down for one of Scottsdale’s many full-service spas. Check in at the beautiful Boulders Resort, Four Seasons or the Fairmont Scottsdale Princess, all of which offer top-notch treatments. At the latter’s Well & Being Spa, you can easily spend an entire day—go for acupuncture, a full-body massage, or get a tailored fitness plan, which includes an evaluation using cutting-edge equipment to assess your BMI and other vital stats before an expert instructs you on how to slim down in the future. After all that good Western food, you’re probably going to need it. — Tim Johnson For more on what to do in the desert getaway of Scottsdale this fall and winter, go to experiencescottsdale.com.

Winter 2015 Just For Canadian doctors




Alternative Medicine

Aesthetic Medicine

c Mcmee when calendar where





Feb 28Mar 01

Vancouver British Columbia

Botox And Dermal Filler Training

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 26


Apr 11-14

Scottsdale Arizona

94th American Association Of Plastic Surgeons (AAPS) Annual Meeting

American Association Of Plastic Surgeons


meeting. aaps1921.org

Apr 18-19

Vancouver British Columbia

Botox And Dermal Filler Training

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 26


Feb 04-05

London England

Novel Approaches To The Treatment Of Cancer

Management Forum



Mar 18-19

Melbourne Australia

Collaboration In Health & Medical Research

Criterion Conferences


advancingmedicalresearch. com

Sep 17-20

San Diego California

6th Annual Conference: Integrative Medicine For Mental Health

Integrative Medicine for Mental Health



Jan 15-18

Duck Key Florida

9th Annual Pediatric Anesthesia Review

Northwest Anesthesia Seminars



Feb 26-28

Vail Colorado

Ultrasound-Guided Regional Anesthesia Skills Course



Mar 12-15

Tucson Arizona

Interesting Topics In Anesthesia

Northwest Anesthesia Seminars



Apr 25-26

Colorado Springs Colorado

new CE to be placed 22nd Colorado Society Of Anesthesiologists

Institute for Advanced Medical Education



Jan 30Feb 13

Australia and New Zealand Cruise

2015 Updates In Pulmonary And Critical Care Medicine For Primary Care Providers

Continuing Education, Inc./University at Sea



Feb 04-06

San Diego California

Fourth Annual Structural Heart Intervention And Imaging 2015: A Practical Approach

Scripps Conference Services and CME



All Children’s Hospital Johns Hopkins



cme4u GmbH


csi-congress. org

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 40


Feb For: 06-09

Annual International Symposium On Just For15th Canadian Doctors Congenital Heart Disease

St. Petersburg Florida Ho Chi Minh City Vietnam

2015 Congenital & Structural Interventions


Mediterranean Cruise

Evidence-Based Lifestyle Factors That Enhance

Feb 18-21

Paris France

8th International Conference On Advanced Technologies & Treatments For Diabetes

Kenes International



Mar 20-21

Sacramento California

41st Annual UC Davis Diabetes And Endocrinology Symposium

University of California, Davis Health System




Berlin Germany

Hypertension, Metabolic Syndrome & Pregnancy


comtecmed. com


Issue: 05-07 03-13 Fax:



Colorado Society of (CSA) Annual Anesthesia Symposium & Meeting Anesthesiologists

Email: Apr

Catheter Interventions In Winter Asia-Pacific: 2014 issue Congenital, Structural & Valvar Heart Disease Cardiovascular, Cognitive, Metabolic, And 604 - 681 - 0456 Hormone Function

Advertising in Print

Copy sent to admaterial@advertisinginprint.com 8th International DIP Symposium On Diabetes, ComtecMed


Mar 14 - 22/15


Mar 18 - 28/15


This was the perfect blend of personal time and CME time.

Primary Care Review


This course was among the best that I have attended during my career.

Polynesian Pearls 2015



Apr 20-May 1/15 Charting a new course in Medicine

BPCPA # 3320


call 1-888-647-7327 visit www.seacourses.com for more CME cruises to

Just For Canadian doctors Winter 2015

British Isles



The cruise was so much more than just a conference. It was a whole package. ~

Saguenay River



General & Family Medicine


Emergency Medicine











Apr 24

New York New York

TransRadial Endovascular Advanced Therapies

Icahn School of Medicine at Mount Sinai



Jun 15-24

Singapore to Shanghai Cruise

Endocrinology & Women’s Health

Sea Courses Cruises


seacourses. com

Multiple Dates

Multiple Locations

Hospitalist And Emergency Procedures CME Course Feb 08 - Las Vegas, Nevada May 02 - Chicago, Illinois Jul 19 - Vancouver, British Columbia Sep 12 - Washington, District of Columbia

Hospital Procedures Consultants



Feb 22-25

Whistler British Columbia

28th Annual Update In Emergency Medicine

University of Toronto

888.512.8173 See Ad Page 25

cpd.utoronto. ca

Feb 23-27

Truckee California

Emergency Medicine 2015: 38th Annual Winter Conference

University of California, Davis Health System

916-734-5390 See Ad Pages 28 and 30


Mar 15-22

Eastern Caribbean Cruise

Endocrinology & Women’s Health


888-523-3732 See Ad Page 27


May 30Jun 03

Boston Massachusetts

2015 American Society Of Colon & Rectal Surgeons (ASCRS) Annual Scientific Meeting




Jul 01-04

Barcelona Spain

17th World Congress On Gastrointestinal Cancer

Jan 16-17

Las Vegas Nevada

Jan 16-30

Imedex new CE to Medical CBT Tools: Ten-Minute Techniques be placed CBT Canada For Real Doctors


worldgicancer. com

877-466-8228 See Ad Page 29


Australia and South Pacific Cruise

Clinical Update In Medicine

Sea Courses Cruises


seacourses. com

Feb 05-08

Boca Raton Florida

North American Rhinology & Allergy Conference - Update In Rhinology & Allergy

North American Rhinology & Allergy Conference



Mar 12-14

Kauai Hawaii

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

CBT Canada

877-466-8228 See Ad Page 29


Mar 18-28

Tahiti Cruise

Polynesian Pearls

Sea Courses Cruises

888-647-7327 See Ad Page 24

seacourses. com

Apr 16-19

Napa California

13th Annual UC Davis Clinical Pharmacotherapy Conference

University of California, Davis Health System

916-734-5390 See Ad Pages 28 and 30


Apr 17-18

Pointe Verde Florida

Mayo Clinic Rheumatology Update

Mayo Clinic



Apr 20May 01

Hawaiian Islands Cruise

Charting A New Course In Medicine

Sea Courses Cruises


seacourses. com

May 04-08

Hilton Head South Carolina

Controversies In Internal Medicine

Boston University School of Medicine

800-688-2475 See Ad Page 29



FEBRUARY 22-25, 2015 Hilton Whistler Resort Whistler, British Columbia

For information: www.cpd.utoronto.ca/whistler Winter 2015 Just For Canadian doctors


Obstetrics & Gynecology


Legal and Ethics

Infectious and Chronic Diseases



c Mcmee when calendar where





Feb 27Mar 03

Boston Massachusetts

31st Annual Review Of Geriatric Medicine

Harvard Medical School



Mar 19-22

Louisville Kentucky

2015 American Medical Directors Association Society For Post-Acute & Long-Term Care Medicine (AMDA) Annual Conference

AMDA Professional Development & Meetings



Jan 16-17

Austin Texas

2015 Highlights Of ASH In North America

American Society of Hematology


hematology. com

Feb 11-15

San Diego California

2015 Blood & Marrow Transplant Tandem Meetings

Conference Direct

bmttandem@ cs.com


Mar 15-16

Paris France

International Conference On Practical Problems In Diagnosis & Management Of Myelodysplastic & Myelodysplastic / Myeloproliferative Neoplasm

European School of Haematology





Meningococcal Serogroup B Frequently Asked Questions

mdBriefcase Inc. International Centre for Infectious Diseases


mdbriefcase. com

Feb 22

Amelia Island Florida

Electromyography (EMG) Electroencephalography (EEG), And Neurophysiology In Clinical Practice

Mayo Clinic



Mar 02-16

Far East Cruise

Infectious Diseases

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 40


Apr 21May 07

Eastern Caribbean Cruise

Chronic Disease Management & Pain Management Update 2015

888-523-3732 See Ad Page 27


May 28-31

Palm Beach Florida

Eastern Allergy Conference - Update In Allergy, Asthma And Immunology

Eastern Allergy Conference



Mar 19-21

Washington District of Columbia

2015 National Conference On Health & Domestic Violence

Futures Without Violence



Apr 13-20

Paris France

Pan Europe Pacific Medical & Legal Conference

Continuing Professional Education



Feb 26-27

Bristol England

PET3 (Paediatric Epilepsy Training)

British Paediatric Neurology Association



Apr 18-25

Washington District of Columbia

AAN Annual Meeting

American Academy of Neurology



May 31Jun 01

Baltimore Maryland

5th American Delirium Society (ADS) Annual Meeting

American Delirium Society



Feb 05-07

Scottsdale Arizona

3rd Annual Mayo Clinic Collaborative Symposium: Update In Minimally Invasive Gynecologic Surgery

Mayo Clinic Scottsdale



Feb 19-21

Lake Buena Vista Florida

38th Annual Advanced Ultrasound Seminar: Ob/Gyn

American Institute of Ultrasound in Medicine



new CE to be placedCMEatSEA

Physician Training Centre AD


Just For Canadian doctors Winter 2015

Psychiatry Psychology

Primary Care


Oncology & Palliative Care












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

American Medical Association



Feb 03-05

Paris France

26th International Congress Of Anti-Cancer Treatments 2015 (ICACT 2015)

International Medical Events

33-14104-0404 icact.fr

Apr 24-25

Krakow Poland

7th Clinical Oncology Update

Medycyna Praktyczna Conferences



May 15-17

Beijing China

8th Annual BIT World Cancer Congress

BIT Congress, Inc.


bitcongress. com


Multiple Cities Colombia

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

The Humanity Exchange



Feb 07-13

Maui Hawaii

Pediatric Potpourri: State Of The Art 2015

American Academy of Pediatrics & Children’s Hospital Los Angeles



Apr 20-24

Hilton Head South Carolina

Current Clinical Pediatrics

Boston University School of Medicine

800-688-2475 See Ad Page 29


May 31Jun 04

Seattle Washington

10th International Symposium On Pediatric Pain

Seattle Children’s Hospital

ispp2015@ seattlechildrens. org


Jul 04-10

Maui Hawaii



Feb 02-06

Marco Island Florida



800-327-4502 See Ad Page 37

cmemeeting. org

Feb 16-20

Maui Hawaii

3rd Annual Primary Care Winter Conference: Hawaii

Continuing Education Company

800-327-4502 See Ad Page 37

cmemeeting. org

Feb 13-16

Newport Beach California

The 28th Annual Practicing Physician’s Approach To The Difficult Headache Patient

Diamond Headache Clinic Research & Educational Foundation



Mar 14-22

Eastern Caribbean Cruise

Primary Care Review

Sea Courses Cruises

888-647-7327 See Ad Page 24

seacourses. com

Mar 23-26

Maui Hawaii

20th Annual Primary Care In Paradise

Scripps Conference Services and CME


scrippshealth. org

Mar 30Apr 03

Palm Coast Florida

9th Annual Primary Care Spring Conference: Session I

Continuing Education Company


cmemeeting. org

Apr 06-10

Palm Coast Florida

9th Annual Primary Care Spring Conference: Session II

Continuing Education Company


cmemeeting. org

Jan 08-10

Whistler British Columbia

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

CBT Canada



Mar 23-25

Maui Hawaii

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

CBT Canada




Dermatology & Gastroenterology Update 2015

Women’s Health Update 2015


from $


Celebrity Infinity


from $


Celebrity Equinox

8,169 w/ FREE AIR*

from $

www.CMEatSEA.org 1-888-523-3732




Diabetes Update 2015 Includes Ephesus Tour

Speaker • Dr. Jonathan Love

Celebrity Silhouette

s ur ho

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Eastern Caribbean

American Academy of

new Pediatrics CE toLos& Children’s Hospital Angeles be placed 3rd Annual Essentials In Primary Care Winter Continuing Education Pediatrics In The Islands … Clinical Pearls 2015

As ever, this CMEatSEA team proved to be the most attentive & genuinely concerned about our CME experience. There are no competitors or competition...

— Dr. Roger Dodd, Edmonton, AB

10 FREE CRUISES Log on to:


Hosted Programs

*Air Included from select North American Gateways and on select departures | Companion travels and flies free on select departures | Delegate flights included on select departures. All funds in USD. CMEatSEA reserves the right to make changes, correct errors or omissions. BPCPA #28364.

Winter 2015 Just For Canadian doctors


Wilderness and Travel Medicine



c Mcmee when calendar where





866-593-4911 See Ad Page 22


Jan 13-16

Lima Peru

Clinical Ultrasound In Tropical Infectious Diseases

University of Pavia/ Georgia Regents University

Feb 02-06

Kona Hawaii

NYU’s Clinical Imaging Symposium In Hualalai

New York University Department of Radiology



Feb 03-07

Pavia Italy

Short Course On Ultrasound In Infectious Diseases And Tropical Medicine

University of Pavia

390-382989898 See Ad Page 22


Mar 16-20

Deer Valley Utah

13th Annual NYU Radiology Alpine Imaging Symposium In Deer Valley 2015

New York University Department of Radiology

212-263-3936 See Ad Page 20


Mar 21-25

Lake Buena Vista Florida

AIUM Annual Convention, Hosting WFUMB

American Institute of Ultrasound in Medicine



Jun 22-26

Cape Cod Massachusetts

NYU’s Summer Radiology Symposium In Cape Cod

New York University Department of Radiology

212-263-3936 See Ad Page 20


Aug 03-07


NYU’s Clinical Imaging Symposium In Bermuda

New York University Department of Radiology

212-263-3936 See Ad Page 20


Jan 13-16

San Francisco California



Feb 14-18

Maui Hawaii

new CE to be placed John A Boswick Burn & Wound Care

Meetings Events & Conference Coordinators John A Boswick Burn & Wound Care Symposium



Apr 23-25

Toronto Ontario

Update In General Surgery

University of Toronto

888.512.8173 See Ad Page 25

cpd.utoronto. ca

Feb 12-16

Big Sky Montana

The National Conference On Wilderness & Travel Medicine

Wilderness Medicine



Apr 08-12

Maui Hawaii

The National Conference On Wilderness Medicine

Wilderness Medicine



Apr 17-19

Toronto Ontario

The Travel Medicine Review And Update Course

International Society of Travel Medicine



Aug 17-27

Bariloche Argentina

Patagonia Skiing and Avalanche Level 1

Andes Mountain Guides



Sep 21Oct 02

Papau Indonesia

Raja Ampat Liveabord Dive And Marine Medicine CME Conference

Andes Mountain Guides



Oct 3-23

Papau Indonesia

Carstensz Pyramid Jungle and Altitude Medicine

Andes Mountain Guides



Annual Oral & Maxillofacial Pathology, Reconstructive & Medicine Review


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


Just For Canadian doctors Winter 2015

classif ied ad s

office space / positions/locums PHYSICIANS WANTED in Regina, SK — Family Physicians are invited to join busy Quance East Medical Clinic, located in east Regina, adjacent to Shoppers Drug Mart. We are close to major shopping centers and first class housing. FT, PT or locum basis positions are available. Regular and walk-in patients are welcome. Each office and exam room is equipped with a computer workstation and printer networked with our EMR (Accuro) system. Remote access to the system via internet is available. ECG and lab facilities are also available on site. Staff is pleasant and efficient. Split arrangement is competitive. For more information please contact clinic manager: (306) 522-2278 or email: quanceclinic@yahoo.ca Physician Recruitment in Richmond, BC — Very busy group practice in south-east of Richmond BC (juncture of Richmond, Ladner and Tsawwassen) with easy highway access requires a physician that must be comfortable with good primary care, women’s health and EMR skills. Fast paced, friendly environment, supportive staff, 4 working days, competitive split. Seeking a long term associate to build up your practice or transitioning practitioner to relocate practice within Richmond/ Tsawwassen. www.mydoctor.ca/drsinghal For information please contact office number: (604)-448-9595 or email: msinghalmd@gmail.com

Vacation CME CANADA supratentorial medicine

• • • • • • • • • • •

Asian cruise Banff Caribbean cruise Disney World Kauai Las Vegas Maui Mediterranean cruise Tahitian cruise Vancouver Whistler $

Up to 18.0 Mainpro-Cs

up to


earlybird savings

National 2013 Winner College of Family Physicians of Canada CME Program Award


Psychiatrist Recruitment in Richmond, BC — Very busy group practice in south-east of Richmond BC (juncture of Richmond, Ladner and Tsawwassen) with easy highway access, requires a psychiatrist to replace psychiatrist on permanent medical leave. Plenty of patients, friendly environment, excellent support staff, flexible hours, and competitive split. Seeking a long term associate. www.mydoctor. ca/drsinghal For information please contact office number: 6044489595 or email: msinghalmd@ gmail.com 3 FT Family Emergency Physicians in Southampton, ON — Are you a recent grad, new to the ER or, an established physician looking for a new opportunity? NRRR eligible plus additional community incentives. Independent License to practice in Ontario. For more information please contact: Peggy Zeppieri at (519)-386-3791 or email: peggy@physicianquest.ca 2 Family Physician (FHT) in Kincardine, ON — Take over an existing practice or start your own. Preferably Physicians - willing to cover the Emergency Department – annual volume 16,000 with local physician back-up. Independent License to practice in Ontario. Great community incentives - NRRR eligible. What are you waiting for? Let the adventure begin! Call and book a site visit today! For more information please contact: Peggy Zeppieri at (519)-386-3791 or email: peggy@physicianquest.ca

Winter 2015 Just For Canadian doctors


opportunities employment

Explore State-of-the-Art Management of Vascular Disease Early Discount Rates Extended for Canadian Doctors!

FEBRUARY 15–19, 2015 BROCHURE http://bit.ly/1B2lZpI HOTEL BOOKING LINK http://bit.ly/1mEqi9I


HIGHLIGHTS • Two established, popular continuing medical education programs offered together engaging a variety of learner groups, with special emphasis on international outreach and interprofessional engagement • Unparalleled opportunity for multidisciplinary and inter-professional learning • Hands-on simulation modules to enhance the learner outcomes • Core program themes will be presented in parallel sessions including: * The Strandness Symposium focusing the vascular laboratory, vascular diagnostics and integration of physicians, vascular technologists, nurses and others in the care of the patient with vascular disease * Vascular Care will continue to emphasize a multi-disciplinary approach

Sponsored by: UC DAVIS HEALTH SYSTEM Office of Continuing Medical Education and the UC Davis Vascular Center


PHYSICIANS Building healthy and successful weight-loss environments is what we do. If you’re ready for a rewarding change of pace, we invite you to join our team in treating obesity and managing related diseases. You will work closely with your patients, building meaningful relationships in a positive environment and help change lives. And you’ll have your evening and weekends free again. No calls. No emergencies. No stress. Call us today to find out more. phone: 1-888-372-3438 ext. 232


DrBDiet.com 30

Just For Canadian doctors Winter 2015

Have a successful career. Achieve balance in your life. Choose New Brunswick! www.gnb.ca/health Ayez du succès dans votre carrière et un équilibre dans votre vie. Choisissez le Nouveau-Brunswick! www.gnb.ca/santé

Heartland is located in west-central Saskatchewan and provides health care services to a population of 44,100. Heartland is home to some of the friendliest communities in the country! We have excellent healthcare services and programs, great recreation, leisure services and schools.

Vacancy: 1 Regional Locum Other Vacancies: 2 Permanent Full Time Family Medicine Positions Communities: Eston, Wilkie Health Region: Heartland Posting Period: Open October 25, 2013 until filled Compensation Details: Compensation is on a Fee for Service basis Education/Work Experience: All candidates must be eligible for a license by the College of Physicians and Surgeons of Saskatchewan and have completed an internship/residency/post-graduate training in family medicine. Internationally trained physicians must have passed the MCCEE Exam and practises as an active family physician in the last three years. Job Duties: Provide patient care, on call emergency coverage and backup to the physicians in the other areas of the Region if needed. Visit our website www.hrha.sk.ca for further information or email inquiries to recruitment@hrha.sk.ca.


ur Radiation Oncology Department is seeking an individual interested in working in a team-care environment dedicated to quality care with no call and no weekends. You would be joining 12 radiation oncologists working in an ambulatory care setting providing care to 2500 new patients per year within a state-of-the-art facility. In addition, the GPO provides oncology-specific consultation-liaison service for cancer in-patients in Kelowna General Hospital, adjacent to the BC Cancer Agency Sindi Ahluwalia Hawkins Centre for the Southern Interior. The GPO role is an integral component of the radiation oncology team and necessary expertise would be welcome but as necessary can be developed under a mentorship model. You must be a licensed general practitioner in British Columbia at the time of appointment. Canadian immigration regulations accord preference to Canadian citizens and landed immigrants, but all qualified applicants are encouraged to apply. Please contact: Dr. David Hoegler, Acting Professional Practice Leader, BCCA-CSI Radiation Oncology Phone: (250) 712-3958 | Email: dhoegler@bccancer.bc.ca 399 Royal Avenue, Kelowna BC, V1Y 5L3


Heartland Health Region is seeking dynamic and committed family physicians to provide services to clients in various communities. Physicians will provide patient care, on call emergency coverage and backup to the physicians in the other areas of the Region if needed.

Clinical Associate/General Practitioner Radiation Oncology—Kelowna, BC


Healthy People, Healthy Communities and Service Excellence in an Enduring Health System


Generalist and Specialist Physicians

Photo courtesy Marikay Falby

Exciting opportunities are available at the University of imaging of the body to a resolution several-fold greater than Exciting opportunities are available in the City Saskatchewan and Saskatoon Region for and Generalist The ever before. Furthermore, precisely targeted radiation Saskatoon Health RegionHealth for Generalist Saskatoon – with more hours of and Specialist Physicians. Opportunities include therapy isShines possible. Specialist Physicians. Opportunities include sunshine than any other major Canadian city. Emergency , Family Medicine,Rural Medicine (all subspecialties) Emergency, Pediatrics, Family Medicine With a population of 250,000, Saskatoon is and various Medicine specialties. Please see the largest city in Saskatchewan, boasting our website for a complete list of available small town spirit and big city amenities, an opportunities: International airport, world class events, with http://www.saskatoonhealthregion.ca/join_our_ a strong arts and music focus. The city is team/physician_ opportunities.htm noted for its outstanding walking and biking trails along the riverbank, and excellent Home of the Canadian Light educational facilities, including the University of Saskatchewan. Source Synchrotron Saskatoon is home to the Canadian Light Source. The Synchrotron is a unique national resource and the largest Science project in Canada in more than 30 years.

What's more, everything is within 20 minutes of home.

To Apply: If you are seeking a challenging career opportunity, please apply in confidence to either: Jackie McKee Phone: 306 655-0196 Fax: 306 655-0192 jackie.mckee@saskatoonhealthregion.ca OR Lois Spizawka Phone: 306 655-0195 Fax: 306 655-0192 lois.spizawka@saskatoonhealthregion.ca

Winter 2015 Just For Canadian doctors



The Northern Health Region is located in the heart of the boreal forest in Manitoba and offers a variety of choices to practice with generous remuneration.


Community, Lifestyle, Opportunity. The Northern Health Region has openings for full/part-time or locum Family Physicians and Specialists to practice in a multidisciplinary environment with the ability to choose an employment model which suits both your personal and professional needs. Enjoy an earning potential from $250,000 - $500,000+ per year. We strive to be an employer of choice who ensures that physicians have a healthy work-life balance. Join our team who help improve population health by delivering accessible, quality and compassionate health services in Northern Manitoba. For more information please contact:

physicianrecruiter@nrha.ca Tel: 1-204-778-1569


Our Proven Income Properties have helped Medical Professionals Retire Earlier with More Income!

 You own the property A guaranteed monthly  income Management  Property Provided  For as little as $20,000 down Providing Income Properties for Medical Professionals since 1995. Contact us for a FREE Report to learn more. 1.866.307.8888 32


Just For Canadian doctors Winter 2015





travel at home

north of 60 in

Nunavut Arctic adventures, rich wildlife and northern traditions await in Canada’s newest territory

lucas aykroyd

story by lucas aykroyd

Mama polar bear and her cubs, swimming off the rocky shores of Harbour Island in Hudson’s Bay.

r pol ar bea vi ewi n g! Winter 2015 Just For Canadian doctors


travel at home

Local kids in Nunavut. Chunks of ice dot the landscape year round.

frigid Arctic wind is blowing in my face when the Inuit guides in our open motorboat alert me to the polar bears paddling in the water. My heart pounds faster as I squint ahead. At first, the bears are three white dots in the distance, just off the stark, rocky shores of Harbour Island in Hudson Bay. Could those merely be chunks of ice? No, they’re moving with purpose. As we get near, I can make out their majestic profiles: a mother and two cubs, sticking closely together, almost like synchronized swimmers. Sometimes the cubs cling to their mother’s back. Our experienced guides pilot the boat incredibly close, just far away enough not to perturb the bears. Awestruck, I almost forget to reach for my camera. This is the Canadian North at its finest. This is Nunavut. Although it’s eight times the size of the United Kingdom and would be the world’s 15th-largest country if independent, Canada’s newest territory is only home to


The gargantuan, glittering view en route to Nunavut.

some 30,000 inhabitants. Carved out of the Northwest Territories in 1999, Nunavut’s name means “our land” in Inuktitut, the language of the native people who make up 85 percent of the population. Nunavut made headlines this past summer when archaeologists discovered a ship from the doomed 1845 quest of Sir John Franklin to find the Northwest Passage. Nunavut is also front and centre in the Canadian government’s bid to assert its Arctic sovereignty. Yet it still feels undiscovered, uncharted. Visitors come here to experience a remoteness, vastness, and wildness that is extraordinary even in a country of Canada’s grandeur. It takes three Calm Air flights for me to get to my Nunavut destination—travelling via Winnipeg, Churchill and Rankin Inlet to Repulse Bay—more than 950 kilometres northeast of Churchill, right on the edge of the Arctic Circle. I gaze out the window at the gargantuan, glittering expanse of Hudson Bay. During a brief layover in Rankin Inlet, I get my first taste of Nunavut life. Roaming the dirt streets, I spot a huge billboard. Topped with real caribou antlers, it features

Just For Canadian doctors Winter 2015

local hockey hero Jordin Tootoo. The first Inuit-born NHLer sports the Canadian jersey he wore at the 2003 IIHF World Junior Hockey Championship. I browse through the Ivalu gift store, which sells everything from Inuit herbal tea ($9.50) to a sealskin iPod cover ($40). Returning to the airport, I admire an epic Inukshuk, looming atop a rock mass. The iconic cairn of stacked stones gained international fame as the logo of the 2010 Vancouver Olympics. Resembling a human figure, the stone monument is a giant marker, representing good hunting grounds, a place where food is stored, or even a historical event. After my last leg of some 500 kilometres, I land in Repulse Bay, a hamlet of 1,045 that’s a traditional, working Inuit community. Hunting and fishing are the backbone of Repulse Bay. It’s no place for hardcore vegans—but the locals kill for food, not for fun. ATVs and snowmobiles, parked everywhere, help the Inuit negotiate this shadeless, surreal landscape. You can find Arctic char fish drying outside the heavily insulated houses with metal roofs. Even beneath the summer

clockwise from top left: Lee Narraway / Nunavut Tourism; Lucas Aykryod (3)


Whale bones on an isolated beach.

travel at home

Icon of the north, the Inukshuk. Roaming musk ox. Arctic char, drying outside. Nunavut local, wearing a Canadiens cap.

clockwise from top left: Heiner Kubny; Hans G. Pfaff / Nunavut Tourism; Lucas Aykryod; Lee Narraway / Nunavut Tourism (2)

Wildlife abounds, like this walrus.

sun, though, it’s a little chilly. And come winter, it can drop to -40°C. Not that frigid temperature should dissuade anyone; people come year-round for floe-edge trips, dogsledding and northern lights viewing. As a hockey fan, I feel entirely at home with all the people in NHL gear here. At the Naujat Co-op grocery store, I spot two guys wearing Boston Bruins and New York Rangers caps in the lineup. A little Inuit girl in a Detroit Red Wings toque smiles shyly up at me. And then that sense of familiarity suddenly dissipates—when I notice enormous narwhal tusks for sale behind the counter. Soapstone carvings I’d expected, but this? I ask the assistant manager if I can take a closer look. “Sure,” he says, adding: “We had 91 narwhal tags this year.” (In other words, Fisheries and Oceans Canada permitted the hunting of 91 of these whales, who can grow to nearly six metres in length, and whose tusks, used for foraging, are the basis of the unicorn legend.) I grip a seven-foot-long ivory spear for a photo op. Priced at $15 an inch, it would

if you go

Check out nunavuttourism.com for more on this great Canadian territory. For easy sampling north of 60 take The Great Canadian it at that, I take a Travel Company’s “Best of the Arctic” guided hike past tour, which also includes snorkelling with beluga whales and visiting the Inukshuks to a Prince of Wales Fort fur trade post cliffside site where in Churchill, Manitoba, en route the Thule, ancestors to Nunavut; greatcanadianof the Inuit who arrived travel.com.

cost more than $1,200. Perhaps another time. There’s no lack of otherworldly creatures here. You never know when you’ll encounter wildlife in Nunavut. Thousands of caribou and musk ox roam the territory, while walruses, seals, and birds abound at sea. And those bears. If, like me, you’re a city-slicker qablunaq (Inuit for “white person”), it’s particularly vital to be aware of polar bears, who sometimes wander into Repulse Bay. “Always be aware of your surroundings,” instructs my Great Canadian Travel Company guide. “Never get low down in the rocks. Stay visible, and don’t run from a bear. If you encounter one, back up slowly and talk to him. Drop clothing for him to sniff at.” Happily, nothing like that happens when I venture over to the hamlet office to get my “Polar Bear Chapter, Order of Arctic Adventurers Certificate.” It’s dated and witnessed to show that I visited this isolated community. Not content to leave

1,000 years ago, once resided. En route, we learn about native plants. On an isolated beach, I view the huge, defleshed skulls of bowhead whales captured in recent decades. And then I sample the arctic, quite literally. At an Inuit feast at the community centre, I have Arctic char soup (delicious) and fresh muktuk (not so much). The latter is narwhal whale blubber. To my Vancouver-schooled, sushi-centric taste buds, it evokes rubbery sashimi. Traditional singing and drumming follow. But nothing quite matches the pounding of my heart when those polar bears swim past. I watch as the mother leads her cubs ashore and they vanish over a rocky ridge, into that remoteness, vastness and wildness that’s unlike anywhere else.

Winter 2015 Just For Canadian doctors


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.

virtual insult When good intentions go awry


ometimes good intentions can become perverted and abused. An example of this has just occurred here in British Columbia. A self-proclaimed Pastafarian, and member of The Church of the Flying Spaghetti Monster, is challenging the authorities who insist that he cannot wear a colander as a religious headpiece when having his driver’s license (and provincial ID card) photograph taken. Though this is probably just an eccentricity, it does fail to recognize the human rights laws that protect Sikhs and similar religions with their genuine sacred symbols. Historically these laws have been hard earned, and they should not be treated in a frivolous manner. Much closer to home I have some disquiet about a well-intentioned fee in the BC provincial fee guide that is being used in a way that was not intended, and which will tax the already overstretched provincial health budget beyond breaking point. I am referring to teleconferencing and its usurper Medeo. Medeo is an app, available for most smart phones, that will con-

nect the caller to a qualified physician via a video link. The patient history is taken and, if necessary after the diagnosis is made, a prescription will be sent to a chosen pharmacy. A report of the interaction is forwarded to the patient’s family physician if they have one. Though every province has its own fee schedule, the principal is the same across this country, and I will give the figures for BC, west of the Rockies, where Medicare dollars are scarce and the government is super-vigilant and a tough negotiator. There is a fee of $40.31 for a telehealth out-of-office visit (where a medical practitioner needs to go to a specific facility to access live-image transmission) and a lesser fee of $33.56 for an “in-office [virtual] visit.” These fees were intended for virtual visits to be used in remote areas where either geography or climate makes the physical attendance at an office difficult or impossible. They were negotiated and initiated in the time before the ubiquitous FaceTime and similar technology. They were never intended to be used in downtown Vancouver where a patient, without lifting his/her bum off the chair, can dial up and get unlimited “free” (paid for by the beleaguered taxpayer) medical advice for trivial medical matters delivered by a doctor who need not lift his carcass from his/her sitting room either. There is no provincial fee for a family physician to renew a prescription over the telephone. Nor is there any fee for a family physician to respond to a patient by email. There is a provisional fee of $15 for telephone advice to a patient previously seen by that physician. The two examples I have seen of Medeo visits were essentially prescription renewals. It is grossly inequitable to pay $40, or even $33, for a service delivered by a physician who has no knowledge of the patient, when the family physician is expected to deliver that same service for free. Both of these extremes are wrong. However I digress. My main concern with this service is that it will lead to further fragmentation of medical care with inevitable duplication of tests, treatments and visits. Errors of omission are an inevitability. It is interesting that the concern is not simply here in Canada. A recent excellent leading article in the US publication Medscape titled “Virtual Doctor Visits: A Nail in the PCP Coffin?” expresses worries about the expense of this service, as well as precipitating the final disintegration of the conventional family physician service. I suggest that this be dealt with promptly before it follows the path of other changes in primary medical care delivery. These changes are observed, then tolerated, then accepted and eventually become an integral part of fragmented medical care.

a t y o ur


My main concern with this service is that it will lead to further fragmentation of medical care

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Just For Canadian doctors Winter 2015

Maybe there shouldn’t be an app for that!


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Winter 2015 Just For Canadian doctors


dr. Daniel Girgis lives in Vancouver and works in rural Alberta, but the commute doesn’t bother him—he likes to travel, from off the beaten path in South Africa to NYC. In fact, his dream trip would be cycling from Cairo to Cape Town. Or at least surfing the coast of California. When this erudite MD isn’t exploring or reading James Joyce or Tolstoy, he’s donning soccer jerseys (without much club discretion). This doctor is passionate—to a fault, as he says. My name: Daniel Girgis I live and practise in: I split my time between Vancouver, where I live, and rural Alberta, where I work.

My training: MD degree, Calgary Family Medicine residency Why I was drawn to medicine: I like medicine for

the basic interplay between art and science. I like rural family medicine for the variety and the lifestyle. My last trip: Portland The most exotic place I’ve travelled: Off the beaten path in South Africa The best souvenir I’ve brought back from a trip: A Gorkha knife from Nepal

A favourite place that I keep returning to: New York City

My car: 2005 VW Passat. A Diesel roadtripping machine.

My ultimate dream vacation: Too many ideas so I’ll pick one. Cairo to Cape Town on a bike.

My last purchase: Some Ambiguous jeans

If I could travel at any time, I’d go to: 1860s in Russia to find and learn from Tolstoy. Favourite book: Too many favorites, but I’ll pick one. Dubliners by James Joyce.

Dr. Daniel Girgis in rural Japan, wearing his signature Wayfarer sunglasses. right Dr. Girgis and his gorgeous girlfriend Adaeze.

Fave filmmaker: Terrence Malick

Favourite TV show: The Wire… really anything written by David Simon

My guilty pleasure is: Skittles. I just try to walk on by.

Favourite music: Too many, mood-dependent favourites. At the moment, I’m liking Pharoahe Monch’s PTSD.

Favourite sport to watch: Soccer

The gadget or gear I could not do without: Sunglasses, Wayfarers to be precise

Favourite exercise/sports activity: Soccer

My celebrity crush: Ryan Gosling (obviously) I’d want this with me if stranded on a desert island: A really good mariachi band My secret to relaxing and relieving tension: Playing guitar really loud A talent I wish I had: Being able to fluently speak five languages

Fave book

Just For Canadian doctors Winter 2015

My fridge is always stocked with: Sriracha sauce My medicine cabinet is always stocked with: Neocitran for those cold winter nights.

Fave TV show


My closet has too many: Soccer jerseys and enough to call my club loyalties into question.

Favourite film: The Tree of Life… really anything by Terrence Malick

My first job: Cook at Dairy Queen. $5.90 an hour, baby. top

My last splurge: My apartment in Vancouver was not cheap.

My scariest moment: Stepping on a hornet’s nest while climbing a mountain Muststock ingredient: Sriracha

My fondest memory: The “It’s a small

world after all” ride at Disneyland A big challenge I’ve faced: Finding relevance in a big, complicated world. (That’s deep, bro.) One thing I’d change about myself: I definitely plan a bit more than I should The word that best describes me: Passionate, almost to a fault I’m inspired by: Peacemakers in this increasingly polarized world My biggest ego boost: Getting into med school when I was 19 My biggest ego blow: In grade 3, I gave my crush a rose only to have her rip it into three pieces and throw it at me. I’m happiest when: My friends are around My greatest fear: Getting to the end of my life and wanting more My motto is: Love till it hurts, take a breath, and continue A cause close to my heart: The responsive, indiscriminate work done by MSF Something I haven’t done yet that’s on my mustdo list: Surf the coast of California If I wasn’t a doctor, I’d be: An investigative journalist—think Vice media. I’d like to act and make music too.

photos (top 2): courtesy Daniel Girgis

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