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winter 2016

DOCTORS heat it up‌ski in

life + leisure

new mexico

the

big chill

in

newfoundland

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+ a travel prize pack Antigua & Barbuda

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Just for C

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DOCTORS life + leisure

contents

winter 2016

winter 2016

Publisher Linh T. Huynh

Editor Barb Sligl

Art Direction BSS Creative Contributing Editor Janet Gyenes

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

15 32

Account Executives Lily Yu Wing-Yee Kwong

Production Manager Ninh Hoang

Circulation Fulfillment Shereen Hoang

CE Development Adam Flint

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

15 Southwest ski Hit the slopes in New Mexico 32 Far east Hibernate on the northeast coast of Newfoundland COLUMNS

DEPARTMENTS

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.

8 photo prescription

5 winter mix 23 CME calendar 37 sudoku 38 small talk

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

clockwise from top left: B. Sligl; Marieke Gow/Artisan Inn; B. Sligl

FEATURES

Caribbean photo session

11 pay it forward Fighting rare disease

12 motoring

Dr. Theo Dombrowski

Winternationals

13 the thirsty doctor Festive cocktails

21 side trip

www.justforcanadiandoctors.com Printed in Canada.

29 soapbox

want to reach us? check out our website!

Off the beaten ski track in BC Is it time for national Pharmacare?

36 the wealthy doctor

Pick your investment racehorse cover photo

Northern BC has epic terrain + snow for ski touring, like this “slackcountry” accessed from Shames Mountain (page 21).

Winter 2016 Just For Canadian doctors

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from the editor New Mexico may not be the first place you think of for a ski vacation, but the dry climate and high elevation makes for some stellar skiing. And the artsy vibe equals great après-ski scene, great characters, like this gentleman in Red River, and places to stay, like La Fonda Inn on the Plaza. Story on page 15.

winter is…here!

For less exertion, but probably more exposure to winter’s chill, we go back north and all the way east to Newfoundland. The Rock may not be the first place you’d put on your list to check out at this time of year, but there’s an eerie beauty at play, when the colourful fishermen’s houses of Trinity (snap-worthy any time of year) pop even brighter against the surrounding white (page 32). St. John’s, Newfoundland’s capital (page 23) hums with jovial activity despite the cold. Rub shoulders and stay warm with locals at cozy brewpubs hugging the icy shores of this Atlantic outpost. To warm up after embracing the cold, we’ve asked bartenders and distillers around the country for their go-to holiday tipples,

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Just For Canadian doctors Winter 2016

from the Cardamom Rose by Yukon Shine Distillery in Whitehorse to the Winter Martini from EVOO restaurant in Montreal (page 13). If that’s more than enough of the cold factor, escape back down south to southern California with motoring columnist Dr. Silverthorn for the Winternationals car extravaganza and burn some rubber (page 12), or go west to Hawaii, a perennial favourite for good reason. This time, island hop off the island of Maui to Lanai, where idyllic little Lanai is a taste of old Hawaii (page 5). We also travel to the Caribbean with photography expert Michael DeFreitas (and recent award winner in the 2015 SATW Bill Muster Photo Competition) for advice on how to shoot beach scenes and make your Instagram friends über jealous (and, yes, it’s okay to gloat) while on vacation (page 8). Hot or cold, winter is here and that’s a good thing. But to really get that warmand-fuzzy feeling, please donate to our “Arbutus for Humanity” MSF Drive (page 10). A private donor will match your contributions to this fundraiser that supports Médecins Sans Frontières’ efforts in aiding Syrian refugees—and you’ll be entered in a draw for Dr. Theo Dombrowski’s “Arbutus” painting. We’re feeling warmer already! Any ideas, comments or questions? Reach us at feedback@InPrintPublications.com.

B. Sligl

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now. You either love it or hate it. And it’s far easier to love when powdery and pure white (“snow white” conjures pristine beauty, after all). If you’re a skier, it’s easier still to embrace the fluffy white stuff. Which is why I quite happily go south to strap on skis—as far south as New Mexico, where there’s a still relatively unknown ski scene. I almost want to keep it that way. Think of New Mexico and Sante Fe and Taos you may imagine Georgia O’Keefe, desert scrub bush, bleached bones and red-earth adobe houses. That’s all there, but there’s also snow. Dry, light-as-air, deep, facewash snow (page 15). Then go north to ski tour in “slackcountry” in northern BC, where littleknown ski hotspots offer pristine, trackless, knee-deep-powder terrain (page 21).


what/when/where > winter

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

1

mix

the island

life

2

oh lanai!

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4

B. Sligl

4 ways to get your lanai on From desolate mountaintop at Keahiakawelo, the rather fittingly named Garden of the Gods, to lush Maunalei gulch, as seen from Lanaihale (House of Lanai), the little island of Lanai is named for the maiden Puu and her warrior. An idyllicgetaway that feels isolated despite beingjust off Maui’s western coast, it’s a side of Hawaii that’s old school and wild. >>

Winter 2016 Just For Canadian doctors

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mix

artful indulgences wear it!

winter

lanai high

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editor’s

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island hop!

he island of Lanai (lah-nigh-ee in the sing-song Hawaiian pronunciation) was once a pineapple plantation for the Dole company and retains the nostalgic lure of that bygone era—an outpost that’s remained largely untouched and untamed. Nature still reigns here, and you can find elusive Hawaiian solitude: empty beaches and desolate sea cliffs where the soundtrack is wind and views are unobstructed to Molokai and Maui. And having changed hands from pineapple baron to software tycoon (the current owner is Larry Ellison) likely means that Lanai will stay somewhat isolated and idiosyncratic. Cross from Lahaina on Maui’s northwestern shore Harbour on the hour-long get- toferryManele and then take the sole paved road away (there’s only about 30 miles of it in total and no traffic lights) alongside the island’s distinctive tall and spindly Cook Pines to Lanai City. The “city” is more a village, a relic of the plantation’s heyday in the 1920s (the entire island’s population is only about 3,000), alongside Hotel Lanai 4 with its pretty wraparound porch and understated, old-school charm. From your base here in upcountry, rent a 4x4 Jeep and set out for Kaiolohia or Shipwreck Beach 1 , where the partially submerged bulk of a ship reveals itself. Spend the morning treasure hunting for ancient Hawaiian petroglyphs. Beyond the beach there are about 100 miles of trails to explore. Hike the 12.8-mile Munro Trail amidst native ohia lehua trees in rainforest to arid Koloiki Ridge extending from the lush Palawai Basin. From the top of Lanaihale (House of Lanai) at 3,370 feet, emerald Maunalei gulch 3 looks like an episode of Lost, with nary a house or other person in sight. Another rollicking Jeep ride away is Keahiakawelo, the otherworldly Garden of the Gods 2 . Big boulders seem strewn across the barren plateau as if in a giants’ game of croquet. Hawaiian lore tells of a fire-making contest between kahuna (priests) from Lanai and Molokai in which all the vegetation was burned. At sunset the now-barren landscape seems to glow as if from lesser- lunar-like those long-gone godly fires. Refuel back known in Lanai City on the edge of Dole Park at the Blue Ginger Café or Pele’s Other Garden. After indulging in authentic Hawaiiana (Lanai is called Hawaii’s “Most Enticing Island” for a reason), take the ferry back to Lahaina, past Puu Pehe (Sweetheart Rock), and lose yourself in non-stop whale watching. Oh, Lah-nigh-ee! — B. Sligl

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Hawaii

if you go Go to gohawaii.com for more info, and go-lanai.com for ferry times between Lanai + Maui.

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Just For Canadian doctors Winter 2016

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conversation pieces

winter

spirited Giving

mix

wish Present pieces with character this festive list season…and year round Written + produced by Janet Gyenes

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1 the conscious consumer She can wrap herself in comfort knowing the purchase of this gift supports the Obakki Foundation’s Scarves for Water. Funds raised from each of three limited edition scarves (in Cobalt, Sand and Maize—shown) aid in building a well for a South Sudan village. $29, obakkifoundation.org 2 The sophisticate This iconic yet understated Tiffany T wire bracelet in 18-karat rose gold (mined in America) shows that the simplest gifts are often the most sublime. $2,100, Tifffany & Co.® , tiffany.ca

good gifting

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3 the gourmand Give the gift of effortless indulgence with this tin of Dark & Dreamy Noir Fondant. Just add hot milk, soy (or spike with a little liqueur) for a holiday treat. $15, epicure.com 4 the Audiophile This sexy tube-clock-shaped bluetooth speaker by Leff Amsterdam is traditional in its styling but totally tech-savvy. Plus it’s diminutive enough to perch on a bedside table. Available in Copper (shown), Silver and Brass. $288, informinteriors.com

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5 the photog Gift instant gratification to clickhappy friends with this Fuji Instax Mini camera. It takes instant pictures (5.3 cm by 8.4 cm) and comes with bells and whistles like instant flash, light settings and more. $99, indigo.ca 6 the stylist Any design aficionado will love the luxe look and versatility of these gemstone accent pieces from 18Karat. The antique gold or black pearl finishes add sparkle to any space. $25, 18karatstore.com

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7 the Traditionalist The natural ingredients and fresh scent of woodsy moss make Musgo Real’s body soap and shave cream ideal choices for the man who cares about his skin and appreciates the century-old pedigree of this Portuguese shaving line. Body soap, $12.95; real shave cream, $24.95. litchfieldtheshop.com 8 the craft beer Enthusiast Stocking stuffer alert! This simple brass-look Arrow bottle opener brings fun and function to any home bar. $14.50, indigo.ca 9 the collector Splurge on this unconventional Eplaff fruit bowl by Ligne-Roset. The conversation piece is fashioned from laser-cut steel and finished in gloss copper. $531, kioskdesign.ca

instant memories!

10 the Connoisseur Spirit sippers will love the herbal and citrus notes of Maestro Dobel Diamante Tequila, a unique blend of reposado, anejo and extra aged anejo tequilas. A world’s first, this 100% blue agave tequila is filtered for extra clarity. $74.80, maestrodobel.com

Winter 2016 Just For Canadian doctors

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p h o t o p r e s c r i p t i o n m i c h a e l d e f r e i ta s 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.

capture the Caribbean

Through the traveller’s lens, or how to document a destination with photography

Try framing your beach shots. Use palm trees (left) or any structure like a gate (above). After focusing on the beach scene (blurring the frame), then the frame (blurring the beach), and then both, my pick of the three is the first option, shot at f8 &1/250 sec to freeze blowing palms and using a medium telephoto 100mm lens to accentuate the frame.

resort

shooting sytle:

Past columns have covered photographic techniques to improve your travel photography in general. The next step: revisit and apply those skills to shooting situations of a particular destination. This issue, it’s the Turks & Caicos.

Just For Canadian doctors Winter 2016

if you go

For more info on Turks & Caicos: turksandcaicostourism.com/

estinations are all different despite the cloning that’s happening in the tourism industry. More destinations appear to offer the same old activities, attractions and amenities—on the surface. What may seem like just another destination with its dolphin encounters, ziplines and fastfood eateries, still offers interesting traces of authenticity and originality. This brings us to that old “traveler-versustourist” debate that impacts many of today’s travel discussions. Tourists book a vacation, but travelers book an adventure. And, while tourists prefer to spend most of their time at an all-inclusive resort vegging, travellers seek more of the unknown. And yet you can still have a rewarding experience around an all-inclusive vacation without having to hike three days into the jungle to spend time with a tribe of Amerindians. I believe anyone travelling should include time to explore a destination. And how you prefer to spend your downtime doesn’t mean that your photography has to suffer. Insert a few different images of people/ places between your shots of the resort’s hot tub, pool, beach or limbo party for a more interesting Facebook or Instagram feed. That doesn’t mean you shouldn’t photograph those entertaining fire-lit hula performers or lazy-afternoon hammock sessions. The photographic skills are the same whether you capture an Amerindian in a hammock or your spouse. It’s about finding that happy medium to pique the photographic curiosity of travellers and tourists alike. On a recent trip to the Turks and Caicos I found the perfect setting for the travellerversus-tourist debate. Forty, tiny, idyllic islands fringed in spectacular ivory white sand and emerald waters. Resorts to fit every budget and taste—some all-inclusive—line the 18-km Grace Bay Beach (voted one of Conde Nast’s 10 best Caribbean beaches), while celebrity homes dot the dry interior landscape. But first impressions can be deceiving, for beyond the touristy façade are hidden historic colonial charms, like on nearby Sapodilla Hill, where you’ll find a number of limestone rocks inscribed by 17th- and 18th-century Caribbean pirates and settlers. I decided to shoot them using their location near

michael defreitas

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destination photography

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


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hammock time

shell game

the shoreline to heighten the drama. This required a 14mm wide-angle lens and f18 and 1/15 sec settings to get the wide depth of field I needed. I positioned my camera on my bag (as my tripod could not go that low) and used the camera’s self-timer to avoid any camera shake when depressing the shutter release. The grayish stones are best shot late or early in the day when the sun’s angle accentuates the carved letters, but you can always wet them to bring out the etchings. I also did a day trip to Grand Turk where I shot St. Mary’s Catholic church, the island’s oldest (circa 1900). After taking the obvious shots of the front with its red gate, I shot it looking outward over the water to place the church. I waited for a passerby to provide a little mystery and used a faster speed of 1/125 sec and aperture of f16 to avoid movement blur and keep both the person and gate in focus. Of course, I took plenty of resort shots too. A good resort shot uses angles and time of day to portray a certain feeling: romance, solitude, relaxation, etc. I needed an opener for my story, so I grabbed one of the conch shells from my room and placed it on the sand near the water’s edge just before sunset. The trick is finding the right angle and shooting from a low angle for more drama.

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Since I didn’t include any background, I didn’t need a wide depth of field (f8 at 1/125). Then I waited for a bit of water to enter the frame before snapping the shot. Now for that food shot. There are millions of straight-on food shots taken at noon or with flash: boring. Instead, wait until sunset and place your lobster dinner near the edge of your beachside table. Place your chilled glass of white wine at the edge of the frame and make sure you compose the scene to include some of the umbrellas/beach. Use a tripod and shoot from a position just above the level of the plate. Try 1/30 or 1/15 sec at f16 and use the camera’s self-timer to avoid any blur. Then it’s hammock shot time. I used the leading-line technique to accentuate the hammock and include as much of paradise as possible (you want your shot to incite envy!). Place one end of the hammock near a bottom corner and let it diagonally lead the viewer into the scene. You’ll need a large depth of field (f22 and at least 1/60 sec) so the sway doesn’t blur. Take these shots and you’ll be the envy of all your friends on Facebook, as well as have inspirational images to use as your screensaver on those chilly, snowy, rainy days to come.

Arbutus for Humanity MSF Drive With the current Syrian refugee crisis dominating the headlines, we are reminded that there are more than 60 million people around the world currently displaced from their homes—the highest number since the Second World War. Many are fleeing persecution, poverty and war in their home countries, but are forced by official barriers into underground human-trafficking networks. Doctors Without Borders/Médecins Sans Frontières (MSF) works on the migration routes along which many people travel, providing essential humanitarian care for those most at risk.

arbutus for humanity

Join our MSF drive and Just For Canadian Doctors magazine is proud to sponsor Arbutus for your donation will Humanity, an MSF drive for donations so your fellow Canadian physicians on be matched by a the frontline can continue to provide urgent medical care. With a minimum private donor. donation of $20, your name will automatically be entered to win “Arbutus” an original oil on canvas (16” x 20”) by Dr. Theo Dombrowski, a retired professor, artist, published author and MSF supporter from Vancouver Island. Dr. Dombrowski has raised about $30,000 for MSF through sales of his books and paintings. Find out more about Dr. Dombrowski’s work at theodombrowski.net and on page 38.

To borrow from the beliefs of the Salish First Nation, the Arbutus tree is considered the “Tree of Knowledge” because it knows how to find the sun and it is most sacred because it symbolizes refuge and survival for the inhabitants of the vast Pacific Northwest region. Please make a donation so you can give a refugee in need the knowledge that their hardship will result in refuge and survival because of the work MSF is able to provide with the dedications of your fellow Canadian physicians. Your contributions will make a difference and are greatly appreciated.

Go to justforcanadiandoctors.com to donate now.

michael defreitas

photo prescription [continued]


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.

a rare doctor

A crusading physician and his microgrant program help in the fight against rare disease

courtesy of dr. Millan Patel

one narrow aspect of a disease, becoming, in the end, even more expert in that area. However, this model does nothing to harness the knowledge of other scientists whose work also overlaps the disease. Under Patel’s microgrant program, the small amounts of money

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to 50 new mutations, the inevitable result of “photocopying six billion letters of DNA. About 50% of my patients I can’t diagnose; there are just so many rare diseases left to uncover,” Patel says. A rare disease occurs in less than one in 2,000 people. Some occur in clusters, he says, such as the inherited mutations on the BRCA1 and BRCA2 genes that cause cancer in Ashkenazi Jews. A few rare diseases, such as cystic fibrosis, which affects one in 3,400 individuals, are well known, thanks in part to determined interest groups supported by families who suffer from the fatal genetic affliction. However, most rare diseases haven’t been studied and those affected have no champion. Except for Patel. “There is something in me that cries out for justice in these patients. I saw them in medical school and people just threw up their hands and became fatalistic. That attitude doesn’t help and instead I prefer to roll up my sleeves and do something. One of my life missions is to help this patient population and try to be part of their solution,” Patel says. Being part of the solution involves soliciting grant money, a key driver of innovation and research. But an elitism exists within Canada’s granting system, with 50 common diseases such as HIV and diabetes receiving the lion’s share of billions of dollars in annual government and private funding. Rare diseases are left out in the cold. So Patel looked to microfinance, the funding model created by Bangladeshi economist and Nobel Prize winner Muhammad Yunus, who pioneered microcredit to help the poor in the developing world who couldn’t obtain bank loans. “A little amount of money goes a long way if it’s employed correctly,” Patel says. Patel co-established the Rare Disease Foundation to generate money to fund a microgrant program—most of it solicited through the Rare Finds fundraising galas, held in Vancouver and Toronto. It differs significantly from conventional grant programs, where large amounts of money are awarded to specialists who toil away on

is s re e Th

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t was a simple but slightly offbeat diagnostic technique. Place your feet in warm bathwater for two hours, Dr. Millan Patel directed his young patient, and afterwards we’ll inspect your toes. Whether the girl’s digits were wrinkled—or not—would confirm Patel’s suspicion: her sympathetic nervous system might be in overdrive, causing the mysterious resorption of her toe bones. Following the immersion, her toes indeed remained smooth—the riddle was, at least, partly solved. The bathtub test had proven that the sympathetic nervous system was sending the wrong signal to the toe nerves, possibly causing the distal phalanges to dissolve, sparking pain and affecting the girl’s competiveness at swim meets. This process of resorption of bone is called acroosteolysis. It has 38 known causes. Patel had eliminated most of them before opting for the foot soak. But acroosteolysis was only a symptom. What was causing the bone degradation? Was it infectious? Genetic? “I don’t know,” he admits. Patel confronts similar mysteries as part of his daily routine as an associate clinician scientist at the Children’s & Women’s Health Centre of British Columbia in Vancouver. Patel is also co-founder and research director of the Rare Disease Foundation and a clinical assistant professor at the University of British Columbia. As one of only 120 medical geneticists in Canada, Patel is often tasked with diagnosing inexplicable conditions that stump other physicians. An investigation often becomes an odyssey into the molecular world of DNA: Patel’s forensic landscape is the 25,000 protein-coding genes composed of the four “letters”: ATCG, or adenine, thymine, cytosine and guanine, that make up the building blocks of human life. There are more than 7,000 known rare diseases in the world, with an additional 10 to 30 new ones being described every month, says Patel. About 80% of rare diseases are genetic, often caused by mutations in the human genome. (Patel points to achondroplasia, or dwarfism, as a relatively recent mutation in humans.) On average, every human being is born with 35

Dr. Millan Patel is the co-founder and research director of the Rare Disease Foundation.

raised are distributed to foster collaboration between a variety of experts whose work may provide a small but important piece of the puzzle to understanding a rare disease. Without a cure, many rare diseases cause untold suffering. In the case of the young swimmer with the disappearing toes, however, the outcome was positive. Patel prescribed betablockers, a blood pressure medication that blocks the sympathetic nervous system, and the girl’s toes began to regrow. While her disease remains a mystery, Patel found a treatment that gave her back her life. “Eight other rare diseases have seen similar gains through the microgrant program,” says Patel. “I hope for many more.”

Winter 2016 Just For Canadian doctors

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motoring

D r . k e l l e n s i lv e r t h o r n Dr. Kellen Silverthorn is Just For Canadian Doctors’ automotive writer. He tries to keep one convertible and/or one track-day car in the family fleet.

Gearing up for another year of automotive hijinks

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anadians love their winter getaways. I like mine best bundled together with a World-Class automotive event down south. The NHRA’s Winternationals are one such action-packed spectacle of speed and drama, and just an 89-minute Google Maps drive from gorgeous Palm Springs, California. The Winternationals is the second-most important drag race event annually (after Labour Day weekend’s US Nationals in Indianapolis), kicking off the pro drag race season each February. The event is held at the Pomona Fairplex in east Los Angeles, also home of the don’t-miss 30,000-squarefoot NHRA Motorsport Museum. Drag racing is a popular motorsport with both fans and participants. The NHRA boasts far more members than any other motorsport organization in the world. Yet, it had been a LONG time since I’d been to a drag race event—40 years in fact. Happily, most things are similar, with a fast-forward overlay. The full-phat nitro-burning cars that generated 2,000 hp in 1975 are now muscled up to 10,000 hp. And, a few years back, the NHRA shortened the race distance for these ever-faster nitro-burning classes to 1,000 feet from 1,320 for safety considerations.

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As in other forms of motorsport, many children and even grandchildren of dragracing stars from 1975 are headliners today. Unlike other forms of motorsport, women and visible minority competitors are multiple drag-racing champions—great to see and good for the sport. Most fans attend the Sunday Program, when the Pro Class Eliminations Rounds are held. The fastest 16 in each of Top Fuel, Funny Car, Pro Stock and Pro Stock Motorcycle from the qualifying rounds run over four rounds to establish an Event Champion—and for pride, fame, fortune and the season-long points championship. (Saturday is when the semi-pro Class Eliminations are held.) Watching the nitro cars run is akin to invoking human-generated lightening. With each run, you need to cover your ears and brace yourself for a sonic concussion. The sport’s long-running “court jester,” 16-time Season Champion John Force, says it well: “I love the smell of nitromethane in the morning. When I see the fans start covering their eyes and their noses, I know that the Hound Dog and I are going to rocket down the strip and into the Winner’s Circle.” A race is run every few minutes unless

Just For Canadian doctors Winter 2016

Sixteen-time Season Champion John Force, says it well: “ I love the

the excitement is interrupted smell of nitroby a dreaded methan e in the “oil-down,” which is when mornin g.’” a competitor’s mechanical failure spreads lubricants and other debris onto the track. For Canadians it’s like randomly imposed Zamboni time. During the protracted clean-up many grandstand fans make for the spectatorwelcoming racer’s pits and vendor concession areas. The crowd is friendly, and comes in all shapes and ages. Families are common. Middle age and older males are over-represented (not especially surprising). My grandstand neighbour fit that demographic, and told me he hasn’t missed a Winternationals in 38 years. He’s never been to the US Nationals at Indy but hopes to someday. The NHRA season has 24 weekend dates annually for the Pro Classes to contest Season Championship honours. Several are within striking distance by car of the Canadian border, including events in (from east to west) New Hampshire, New Jersey, Pennsylvania, Ohio, Illinois, Minnesota and Washington State. More events in sunny, fly-to choices include Arizona, Florida, Texas, Las Vegas (twice a year), and wine country in Sonoma, California. Nostalgia drag meets are also gaining in popularity, where only cars from “backin-the-day” are allowed to compete. The participants are more hobbyists than pros, but I’m keen to further explore that branch of the motorsport family. But that’ll be next winter’s getaway. And, of course, drag-racing venues winter will have to vie for my attention heats up : over Classic Car Auctions (Arizona Scenes from and Palm Beach, Florida), Winternationals, Concours (Amelia Island, Florida including hot and Arizona), Vintage Racing rods + burning (Nassua, Bahamas), the Grand rubber. National Roadster Show (California) and Motorsport of both car and motorcycle types (Daytona, Florida). I’m spoilt for choice. How to choose? Where will you be getting your car fix in 2016?

winternationals

Winternationals


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

spirited sipping

Bartenders and distillers across Canada share their favourite wintery + warming recipes

cocktail photo: r. d. kane

D

uring the holidays—or any time, really—you can’t go wrong by popping the cork on a bottle of bubbly and presenting your guests with an elegant champagne cocktail (drop a sugar cube into a flute glass and a dash of angostura bitters before pouring in the bubbles). Ready to go beyond the basics? We found inspiration and recipes (for beginner, advanced and expert) from distillers and bartenders across Canada. Slightly north of the 60th parallel at Yukon Shine Distillery in Whitehorse, owner and master distiller Karlo Krauzig gets his inspiration from the region’s dramatic landscape. He uses locally sourced ingredients, such as the Yukon Gold potatoes that go into his Winter Vodka and AuraGin. Both spirits are handcrafted and filtered, first through charcoal and then, remarkably, through gold nuggets. Gold rush, indeed! Krauzig shares an easy-to-impress recipe that embodies the spirit of the region: The

Whitehorse Russian. It resembles “the purity of the Yukon,” he says. The cocktail is crafted by building together three ingredients in an ice-filled rocks glass—1.5 oz Yukon Winter Vodka, 0.75 oz White Crème de Cacao and 2 oz milk—and garnishing with a sprinkle of cocoa powder. “It’s a perfect drink for the holiday season when you want something different than your typical rum and eggnog,” says Krauzig. Another festive drink, the Cardamom Rose Cocktail (recipe top right), takes its cues from the botanicals Krauzig infuses into his award-winning AuraGin. “This has been a go-to favourite of ours for quite a while,” he says. “I use cardamom, rose petals and grapefruit when I produce AuraGin. This is probably why it lends itself so perfectly to this cocktail. It’s also very easy to prepare in larger volumes and serve in a drink dispenser (with a bottle of seltzer water on the side), making it perfect for continued on page 14

spirited sipping! Cocktail inspiration from Canada’s experts Winter Barley Wort

by Kylie Bartlett, Vancouver, British Columbia

1 oz Odd Society Spirits East Van Vodka 3 oz Poached pear, long pepper and barley wort* syrup (see below) 1 Pat of butter *Wort: “If you are kind to your local brewer you might be able to get wort from your neighbourhood brewery. Be sure to ask for barley wort,” says Kylie Bartlett, bartender at Vancouver’s Odd Society Spirits. “If you would like to make it, you are essentially making a barley tea. You can get a variety of different barley from home brewing stores. Use a ratio of 1 cup barley to 2 cups water and heat at a consistent temperature of 65°C overnight. You can use a crock pot. This will bring out the sweetness of the barley. Once it’s a touch sweet, strain and keep the water. “ Wort syrup: Combine 2 cups of wort, 2 cups of brown sugar, 2 pears and 1 long pepper (8–10 black peppercorns can be substituted) in a slow cooker and simmer on low overnight until thickened. Let cool. Cocktail: Pour warm syrup in a glass, stir in butter to melt, add vodka and stir. Grind long pepper (black peppercorns can be used as an alternative) on top for garnish. Serve.

s Impres {easy} Cardamom Rose Cocktail your by Karlo Krauzig, Whitehorse, Yukon guests!

*

1.5 oz AuraGin 0.75 oz Simple syrup 1 Cardamom pod 0.25 oz Fresh lemon juice 0.75 oz Fresh grapefruit juice (ruby red)

Lightly muddle (too much muddling will overpower the drink) 1 cardamom pod in the bottom of shaker. Add remaining ingredients. Add ice; shake for 20 seconds. Strain over fresh ice, removing cardamom pod. Add a splash of seltzer water. Garnish with rose petals or an organic lemon wedge.

{advanced} Winter Martini by Claudie Harvey, Montreal, Quebec

1 oz Bourbon 0.75 oz Iced apple cider 2 oz Apple juice 0.75 oz Pumpkin spice syrup (see below) Pumpkin spice syrup: In a small pot over medium heat, mix together 2 cups water, 2 cups of sugar and 1 tbsp. pumpkin spice mix. Heat and stir until sugar dissolves. Let cool. Cocktail: Pour ingredients into an ice-filled shaker. Shake. Strain and pour into a martini glass. Top with a little bit of pumpkin spice.

{expert} Spiced Holiday Punch by Rebecca Davis, Calgary, Alberta

750 ml Ginger vodka 375 ml Apricot brandy 1 litre Cranberry puree (see below) 125 ml Fresh lemon juice 750 ml Dry sparkling wine Cranberries and orange wheels to garnish

winter

Barley Wort

Cranberry puree: In a small pot, bring 1 lb. fresh cranberries and 1 litre water to a low boil. Add 2 cinnamon sticks, 4 star anise and 4 peppercorns. Simmer over medium heat for 15 mins. or until cranberries are soft. Remove. Strain to remove large particles. Stir in approx. 500 ml sugar to taste. Let cool. Punch: Add all ingredients to a large punch bowl or vessel.

Winter 2016 Just For Canadian doctors

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the spicy warmth of a martini she typically makes in autumn. The bourbon-based beverage made with iced apple cider easily translates to the chilly holiday season (recipe on page 13). “It really is the perfect drink to keep warm on a cold winter night,” she says. “It’s very well balanced and mixes the taste of alcohol with the acidity and sweetness of the apple.” On the warmer West Coast, Kylie Bartlett, bartender at Odd Society Spirits in Vancouver, shares a recipe that will challenge even the best bartenders: Christmas Barley Wort (recipe on page 13). Bartlett explains that wort is the liquid extracted from the mashing process when beer, whisky or vodka are made. Since East Van Vodka is made from 100 per cent malted BC barley, its distinctive flavour is enhanced by combining it with the wort in a cocktail, she says. “Having the beginning of the process and the final result in one drink evokes thoughts of creation and evolution. The holidays are a time for reflection after all.” And what better way to celebrate the season than with a new cocktail. Cheers!

Just For Canadian doctors Winter 2016

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

Puzzle by websudoku.com

solution from page 37

parties when you don’t want to mix drink after drink all night long.” That same sentiment is echoed by Calgary bartender Rebecca Davis, who works for Sovereign Canada and at Bonterra Trattoria. Her favourite festive tipple is scaled up to make a crowd-pleasing Spiced Holiday Punch (recipe on page 13). “I love making cocktails, but when the holiday season is upon us, the last place I want to be is stuck in the kitchen,” says Davis. She elevates this simple punch by adding fresh cranberry puree (recipe on page 13) to the mix and infusing vodka with fresh ginger root—an easy, make-ahead recipe. (Just peel and chop a large knob of ginger. Place in a mason jar with a 750-ml bottle of vodka. Shake vigorously. Leave in a dark cupboard for a week, shaking daily. Taste every couple of days until it reaches the level of spice you like. Strain the ginger from the vodka. Done!) “This punch is one of my favourites as it embodies all the good stuff that I love about the holiday season,” says Davis. In Montreal, Claudie Harvey, bartender and co-owner of EVOO restaurant, loves continued from page 13

solution from FALL 2015 contest

thirsty [continued]

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Puzzle by websudoku.com


travel the world

Skiers contemplate the way down from the basin below Kachina Peak and Highline Ridge at Taos Ski Valley.

New Mexico has some of the best unknown skiing spots. High and dry, these ski towns have plenty of powder and even more character for an après-ski scene. Think stellar art, rugged cowboys and hot (in all connotations) cuisine. So, this ski season, go south. story + photography by barb sligl

Winter 2016 Just For Canadian doctors

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W

travel the world ith more than 300 inches of snowfall a year, and more than 400 trails, there’s plenty of steep-and-deep fresh powder tracks to be made on the slopes of the Southern Rockies in New Mexico. After a few days in the somewhat-still-secret stash of this “Land of Enchantment,” as this southwestern state is called—surrounded by the desert’s golden palette, big-sky blues and explosive sunsets—you’ll never think desert skiing is an oxymoron again.

At Ski Sante Fe, just north of the highest-elevation capital city in the US, some of the first skiers I meet are a couple of old-timers who’ve skied in this area since high school, circa 1950. There’s a down-home, old-school vibe here, where 80-year-olds mix easily with young boarders and hotdoggers. I hit the slopes santa fe with a local avg annual snowfall: 225 inches Avg days of sun:
300+ who bridges Terrain: 660 acres both worlds Number of trails: 79 (20% easy, 40% and is on a intermediate, 40% expert) first-name Base elevation: 10,350 feet Summit elevation: 12,075 feet basis with Vertical drop: 1,725 feet everyone Must-try run: Gay Way (blue) with its on the hill, desert views Benny Abruzzo. skisantafe.com His family has owned this ski hill since 1984 (and is known for hot-air ballooning and an inbred taste for adventure). Benny not only gives me pointers on skiing but also on how to live life with southwestern ease. “The worst thing you can do in life is be afraid,” he tells me as I visibly cringe at the thought of tackling a mogul run. “Life is unpredictable. Wait 10 minutes, it’ll change.” Point taken, I follow his lead and make it down a mogul-laden run. Benny’s done everything from learn to hunt with a bow and arrow to fly, ski (with a parachute, and he’s also partowner of a heli-ski operation in northern BC), snowboard, surf (double overhead!), deep-sea dive, scuba, climb, mountaineer and skin (SkiMo or ski-mountaineering). In fact, after our ski day, he and his son go up for an evening “skin.” They also cut trees themselves each summer on the slopes to open up glades, picking out new lines they want to ski themselves. I watch as Benny drops down into Big Rocks Glade to do Richard’s Run, named for his brother who died in a ballooning accident. This is the type of all-round wild

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spirit that makes tracks in New Mexico— serious adventurers who’re looking for the less-polished, more-authentic ski experience. And the eponymous ski resort is just 16 miles (at the end of the road in the Santa Fe National Forest) from the town of Sante Fe itself, which is its own special place—America’s second-oldest city, founded more than 400 years ago. Called “The City Different,” for its cast of characters, from painter Georgia O’Keeffe to author D. H. Lawrence, it’s also a UNESCO Creative City (one of only nine in the world) and has been named the number-one cultural getaway in the US by Travel + Leisure magazine. Southwestern art, culture, cuisine, pueblos, spas and hot springs make up what might be the best après-ski scene anywhere. After a bluebird day hanging with Benny and having most of the runs to ourselves (besides those old-timers and a few hotdoggers), I start my après-ski with a stop at Totemoff’s, the mid-slope bar named for another local ski legend, Pete Totemoff, a beloved Aleut Aboriginal from Alaska who made his home here. I sip a Monks’ Ale from Abbey Brewing Company, which is actually owned by the Benedictine monks of the Monastery of Christ in the Desert in nearby Abiquiu, New Mexico, where O’Keeffe also made her home. Weird and wonderful.

Southwest,” Red River is family-friendly (whereas Sante Fe and Taos are more hardcore) and embraces its history with runs like the easy groomer Golden Treasure that takes you through a mock mining camp and a black-diamond cut named a screechingly appropriate Catskinner. After reliving the wild west on Miners Alley and Tailings (black runs) and easing up on Copper Toll Rd. and Boom Town (blue runs), I descend to the bottom to kick back at the Lift House, where the thing to do is have, um, a shot atop an old wooden ski before heading back up to the top of the mountain after dark on a snowcat to the Ski Tip Restaurant—because that’s how dinner is done here, Red River style. The next morning, before taking off for Taos, I indulge in what may be the biggest breakfast burrito ever at Shotgun Willie’s, a decades-old Red River institution, where the O. F. G. (Old Farts Group) hangs out and reminisces over coffee. More old-school cool.

From Red River, the Enchanted Circle skirts the snow-covered Sangre de Cristo mountain range of the southern Rockies en route to Taos, another cultural hotspot, where certain Hollywood stars (like Dennis Hopper, who’s now buried here) embrace the counterculture and decidedly non-celebrity ambience of the pueblo influence and artist From Sante Fe, types. Some say that Taos is a spiritual centre the road to Red River goes through the of great natural energy. And snow. desert landscape that I first glimpsed from The ski hill is a scenic half-hour drive the top of the Tesuque Peak chair at Ski Sante outside of town, where you’re immediately Fe: buttes, scrub, sage, rocky plateau, the greeted with the now-iconic and retroRio Grande, Jemez mountains. This is the looking sign at the base of the facing stuff O’Keeffe fell in love with and painted. oh-yeah-that’s-steep slope: “DON’T PANIC! A colourful two-hour drive along what’s YOU’RE LOOKING AT ONLY 1/30 OF TAOS SKI called the Enchanted Circle (an 83-mile loop VALLEY. WE HAVE MANY EASY RUNS TOO!” through mountains, valleys, mesa, and the Yes, it’s steep, with more than 50 percent national forest of Northern New Mexico) of the trails listed as black or expert…and brings me to the former mining boomtown at Taos black is a serious, black-hole kind of that’s now a mountain retreat in the Sangre black. Here, blue runs are what most other de Cristo Mountains. ski hills would consider black. In the gold-rush era, hundreds of mines I ride up the lift with some locals, one built up the town of Red River, which then of whom says this “Land of Enchantment” transformed itself in the 1920s and ’30s is more like a “Land of Entrapment.” After by using abandoned mining cabins as coming to experience the skiing at Taos, accommodations for so-called “flatland” he never left and now reviews visitors escaping the heat in these arid ski equipment on its slopes. mountains (Texans are perennial His go-to run is Reforma vacationers here). Today, Red Red River because it’s steep and fast River retains an old-western avg annual snowfall: 214 inches and, as a test run, “tells allure, with a Main Street Avg days of sun:
300+ (again) Terrain: 285 acres me everything I need that could be a stage Number of trails: 57 (32% beginner, 38% to know.” His other set and ski in/out access intermediate, 30% expert) fave is Zdarsky because about a block off the Base elevation: 8,750 feet it’s steep (a recurring main drag. Billing itself Summit elevation: 10,350 feet Vertical drop: 1,600 feet theme; local bumper as the “Ski Town of the Must-try run: Boom Town (blue) redriverskiarea.com Just For Canadian doctors Winter 2016


travel the world

clockwise from top left Rescue dog on the lookout at the top of Lift 2 at Taos Ski Valley; one of the “Old Farts” at Shotgun Willie’s in Red River; southwestern souvenirs in Sante Fe; Benny Abruzzo of Ski Sante Fe, high above the surrounding desert valley; the signature red adobe of La Fonda hotel in Sante Fe; artifacts and antiques in Sante Fe; iconic bleached skulls that are synonymous with the southwest; and exterior of the Museum of Contemporary Native Arts in Sante Fe.


travel the world

Taos

avg annual snowfall: 305 inches Avg days of sun:
300+ (yet again) Terrain: 1,294 acres Number of trails: 110 (24% beginner, 25%

The “Don’t panic!” sign that greets skiers at Taos Ski Valley; big burrito breakfast at Shotgun Willie’s in Red River; spectacular sunset en route to Red River from Sante Fe, along the Enchanted Circle scenic byway; the aptly named Happy Camper IPA by the Santa Fe Brewing Company, New Mexico’s oldest microbrewery, sampled slopeside on the patio at Hotel St. Bernard in Taos Ski Valley; welcome to the family-friendly Red River Ski Area. clockwise from top left

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Just For Canadian doctors Winter 2016

intermediate, 51% expert) Base elevation: 9,200 feet Summit elevation: 12,481 feet Vertical drop: 3,281 feet Must-try run: Main Street off new Kachina Peak chair (black) skitaos.org

stickers say “Taos is a four-letter word for steep”) and technical. It’s named for the Austrian engineer, Mathias Zdarsky, who wrote the first practical ski manual in 1897. Other classic runs include Totemoff, who also has that bar named after himself at Ski Sante Fe. Al’s Run got its name from a Taos surgeon who helped get the ski hill going (and who started as a MD in Taos “when it was just the bar, roadhouse and whore house”). There’s a whole history entrenched in these trails since Taos opened in 1955. As we climb to the peak, my impromptu guides tell me that this is the lift at Taos: “Chair 2 has some of the best inbound skiing in the lower 48,” with steep bumps, tree skiing and double-black diamonds. They tell me to watch for the dummy Slim Slidell, who’s sprawled out below the lift, in full-on ski gear with a sign that says: “KNOW HOW TO SELF ARREST!” Instructions follow: 1. Feet downhill; 2. Dig in with hands and feet; and 3. Stop yourself before you can’t! Ok, then. It’s so steep that Slim Slidell needs to remind Taos newbies how to stop from sliding into oblivion. Which makes me think that I need another shot of something. Thankfully that’s quickly remedied as I’m taken down a blue run (well, easy black) to another Taos secret stash, the martini tree. Tucked into a wooden box just off the trail is a glass vessel filled with the ready-made elixir—always gin and “chilled to perfection,” says another local, Sandy Wohlfrom. She’s a ski instructor who’s been carving the slopes here for decades (since 1973, when she was still a “hacking fool”), along with ski patroller and adventurer extraordinaire, Dave Hahn (who’s summited Everest 15 times, the record for a nonSherpa climber). He climbs 12,481-foot Kachina Peak every morning, hanging with Rocky Mountain bighorn sheep (and probably still does, despite there being lift access to Kachina as of last year, via one of the highest chairlifts in North America). Another living local legend, Jean Mayer, the Technical Director of the Taos Ski Valley Snowsports School (known as one of the best in the US), came from France and opened the Hotel St. Bernard in 1960 to serve classic Alps-style slopeside cuisine (he also has a cookbook, Cuisine St. Bernard). Jean’s mantra, oft repeated on the slopes, is “amplify your relaxation.” Along with “learn how to self arrest” (courtesy of Slim Slidell) and “don’t panic,” it’s a mantra for life in general, as well as how to ski. That is, with a big-hearted, free spirit. Land of Enchantment? Oh, yes indeed.


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ou’ve gone south… now go north. Skiing in BC needs little introduction (Whistler was recently named the number-one ski resort in North America by SKI Magazine), but for a fresh experience— and snow—you need to discover “slackcountry.” This is easy-access backcountry or semi-lift access into the wild. You take the

lift at Shames Mountain (a community-owned ski hill with plenty of sweet groomed runs too) to the top, where tracks lead into the alpine (above). This is where you put on skins and start the trudge to “the best slack country in the known universe,” as one local says. Other skiers and split-boarders here may seem hardcore, BUT this is also perfect skitouring-101 terrain. You don’t

have to be a pro to enjoy slackcountry. That’s because 85% of backcountry skiing is touring, or that trudge uphill. And it’s a joy—those lung-taxing ascents are as fun as the knee-deep descents, immersing you in snowy silence and beauty. It’s the next level of snowshoeing. If you can handle powder, you can handle the backcountry. The most important part is knowing the terrain and

avalanche preparedness. So go with one of the many local guides (this is where all the real skiers make their base), who’ll pick out the lines for you. Then it’s all about you and the mountain. About 200km east, near Smithers, is the Hankin-Evelyn Backcountry Recreation Area, another community-driven project in which land has been designated solely for non-

motorized winter use: cut ski runs, warming huts and double digits of alpine bowls—with no lifts or snowmobiles. The 1,700-metre summit of Hut Ridge (top) awaits. It’s a skitouring powder-hound’s dream. As one hardy ski guide (known locally as “The Machine”) says, “Only wimps ski at Whistler.” — B. Sligl For more go to HelloBC.com and WinterWithin.ca.

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ST. JOHN’S

Yellowbelly Brewery (top left) and Signal Hill (above), where contemplative views extend to Fort Amherst and Cape Spear, the most easterly point in North America (bottom left).

Winter on The Rock (Newfoundland!) in St. John’s is anything but cold in spirit. Here’s where to wander + warm up on the east coast… (CME events in St. John’s + beyond are highlighted in blue.)

destination St. John’s

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apital of The Rock and Canada’s easternmost city, St. John’s is a dramatic place. Set on undulating hills sloping down to the sea, its pastel-perfect saltbox houses have long been the subject of colourful postcards. And while you’ll experience Newfoundland around every corner, this city of around 200,000— established by royal charter way back in 1583—still manages to surprise. Get the lay of the land at Signal Hill. Situated at the mouth of St. John’s Harbour, it’s been a fort since the Seven Year’s War in the middle of the 18th century, and was the site where Guglielmo Marconi received the first Transatlantic wireless transmission in 1901. Now it’s a National Historic Site, and the best place to see the full sweep of the harbour, and the city. Then head across to the opposite hill and go back in time at The Rooms, one of the province’s premiere cultural sites, home to a museum tracing the island’s history, an art gallery featuring an array of impressive, rotating exhibits,

and the provincial archives—as well as an overlook that boasts another very attractive view of the city. Located near the heart of town, Quidi Vidi, tucked into a hidden inlet, feels like a far-flung Newfoundland fishing village. A settlement since the 1650s, little boats still dock along the shore of the harbour—known as the Quidi Vidi Gut—and artisans make lovely creations at the Plantation, selling their wares straight out of their studios, while some of the province’s favourite beers are created at the Quidi Vidi Brewery, including Iceberg Ale, which is made using water harvested from icebergs drifting off the coast. It’s also the site of one of the city’s most innovative—and delicious— restaurants; Mallard Cottage, housed in one of North America’s oldest wooden buildings, features nouveau Newfoundland cuisine, including plenty of local, wild game, meats cured in-house and a menu that changes with the season. End the day like a local, on George Street. Small but mighty, this short pedestrianized route is said

to have more bars per square foot than any street in North America. You’ll find plenty of places to get “Screeched In”—a ritual for first-time visitors, who are welcomed to the island by kissing a cod and downing a shot of local, dark rum (known as Screech). Then head to the Yellowbelly Brewery and Public House for a good meal. The five-floor establishment, all crackling fires and ancient brickwork, offers its own stouts and pale ales, brewed down in the basement, as well as a full menu of wood-fired pizzas and other delicious eats. And finish the evening deep underground, in the Underbelly, a cozy little stone space that serves up the province’s widest, oldest selection of Scotch. And wander back to JAG, a brand-new, rock’n’roll themed hotel just a few short blocks away. — Tim Johnson For more on St. John’s, go to destinationstjohns.com. And for more on the beauty of the northeast shore of Newfoundland in winter, see the story on page 32.

Winter 2016 Just For Canadian doctors

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3rd International Congress Of Aesthetic Dermatology & Healthy Aging Medicine Brazil

EuroMediCom

011-33-1-56837800

euromedicom. com

Nov 16-20 2016

Dubai UAE

5th Annual Dermatologic & Aesthetic Surgery International League (DASIL) Congress

Dermatologic & Aesthetic Surgery International League

847-577-6543

thedasil.org

Jan 18-22 2016

Guanacaste Costa Rica

Medical Spanish For The Healthcare Professional

Medical Studies Abroad

512-328-6431

medicalstudiesabroad.com

Jan 28-31 2016

San Diego California

13th Annual Natural Supplements: An EvidenceBased Update

Scripps Conference Services

858-652-5400

scripps.org

Feb 24-27 2016

New York New York

2016 Integrative Healthcare Symposium Annual Conference

Integrative Healthcare

800-454-3007

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Feb 29Mar 02 2016

Kuala Lumpur Malaysia

Global Engage

011-44-186584-9841

globalengage. co.uk

Anytime

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Ethical Dilemmas, Pediatric Concerns, Depth of Anesthesia, Ambulatory Care, And More For Anesthesiologists, Subspecialist Physicians, Nurse Anesthetists (CRNA’s), Anesthesia Assistants

American Seminar Institute

866-611-5599

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Mar 02 2016

London England

Royal College of Anaesthetists (RCoA) CPD Study Day

Royal College of Anaesthetists

011-44-207092-1670

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Apr 21-24 2016

Key West Florida

Trauma Anesthesia Update - Key West

Northwest Anesthesia Seminars

509-547-7065

nwas.com

Feb 01-05 2016

Maui Hawaii

2016 Arrhythmias & The Heart: A Cardiovascular Update

Mayo Clinic Cardiovascular CME

800-283-6296

ce.mayo.edu

Feb 11-12 2016

Quebec City Quebec

Cardiologie et la Néphrologie

Fédération des Médecins Omnipraticiens du Québec

800-361-8499

fmoq.org

Apr 14-15 2016

Abu Dhabi UAE

2016 Middle East Cardiovascular Clinical Trialists Forum

icom group

011-971-4-4307892

cvctmiddleeast. com

May 31Jun 01 2016

Alexandria Egypt

2016 CardioAlex

Alexandria University

011-20-3-4204849

cardio-alex. com

Jan 15-18 2016

new CME to be placed Probiotics Congress: Asia

*"3-*-)2),++B)-'/"01') *"3-*-)2),++B)-'/"01' C689DE9F)?@)G)!E9=H)?()?@:A) C689DE9F)?@)G)!E9=H)?()?@:A 2.&'01&'%3+,+4$/."53+6.0(17+ !"#$%&'"'()*%"!+*%'()'+,-&*.) -'/"01')2)*"3-*-) 04567869):;)<)16=67869)>()?@:A) 04567869):;)<)16=67869)>()?@:A)) !"#$%&'"$($)*+,+-.&/01$($)*+

24

Just For Canadian doctors Winter 2016


General & Family Medicine

Gastroenterology

Endocrinology

Emergency Medicine

Diabetes

cme

calendar

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where

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Jun 16-19 2016

Chicago Illinois

Diabetes Guidelines Update

Med Guidelines

011-44-203514-5870

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Oct 05-08 2016

Doha Qatar

2016 Arab Diabetes Medical Congress

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011-971-4-3619616

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Multiple Dates

Multiple Locations

Hospitalist And Emergency Procedures CME Course Jul 19 - Vancouver, British Columbia Sep 12 - Washington, District Of Columbia

Hospital Procedures Consultants

805-339-0225

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Feb 22-26 2016

Lake Tahoe California

Emergency Medicine 2016: 39th Annual Winter Conference

UC Davis Health System

916-734-5390

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Feb 05-12 2017

South America Cruise

Emergency Medicine: Clinical Topics, Personal Development, And Leadership Skills

Continuing Education, Inc./University at Sea

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Mar 03-06 2016

Venice Italy

4th International Conference On Prehypertension, Hypertension & Cardio Metabolic Syndrome

Paragon Group

011-41-22-5330948

prehypertension.org

Aug 21-25 2016

Leuven Belgium

28th Conference Of European Comparative Endocrinologists

European Society for Comparative Endocrinology

011-69-6-3016040

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Sep 11-12 2016

Seattle Washington

2016 Endocrine Board Review

888-363-6274

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Apr 01-03 2016

Downers Grove Illinois

Pancreas Summit

630-573-0600

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Jul 04-06 2016

Edinburgh Scotland

2016 Association Of Coloproctology Of Great Britain & Ireland (ACPGBI) Annual Meeting

ACPGBI

011-44-207973-0307

cpgbi.org.uk

Feb 04-06 2016

Atlantis Resort Bahamas

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

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Feb 20Mar 02 2016

Tahiti and Cook Islands Cruise

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Mar 02-12 2016

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Challenges In Medicine: Key Healthcare Issues For 2016

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Mar 09-11 2016

Kauai Hawaii

Medical CBT For Stress And Anxiety: TenMinute Techniques For Real Doctors

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Mar 14-19 2016

Caribbean Cruise

Topics In Patient Care: Personalized Medicine, Eating Disorders And Obesity Aboard Emerald Princess

University Learning Systems

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new CME to American Society be placed for Gastrointestinal

Autism, ADHD And Developmental Disabilities Through The Lifespan - Biological And Environmental Perspectives Physician Training Center (REVISED).pdf 12/05/2015 2:13:45 PM

Mar 25Apr 09 2016

New Zealand Cruise

Endocrine Society

Endoscopy

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Winter 2016 Just For Canadian doctors

25


Neurology

Infectious & Chronic Diseases

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Jun 03-04 2016

St. Johnâ&#x20AC;&#x2122;s Newfoundland

Introduction To Medical CBT: Ten-Minute Techniques For Real Doctors

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Jun 12-22 2016

Baltic & Scandinavia Crystal Cruise

Challenges In Medicine: Key Healthcare Issues For 2016

Professional Education Society

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Jul 08-18 2016

Italy & Greek Isles on Celebrity

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Aug 07-21 2016

Mediterranean Cruise

Charging A New Course In Patient Care

Sea Courses Cruises

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Mar 17-20 2016

Washington DC

2016 American Association For Geriatric Psychiatry (AAGP) Annual Meeting: New Perspectives On Brain Health & Aging

American Association For Geriatric Psychiatry

703-556-9222

asoft9256.accrisoft.com

May 04 2016

London Ontario

30th Annual Geriatric Medicine Refresher Day

Schulich School of Medicine & Dentistry

519-685-4021

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Jul 28-31 2016

Indianapolis Indiana

Core Curriculum On Medical Direction In LongTerm Care: Part II

American Medical Directors Association

800-876-2632

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Feb 27Mar 01 2016

Seattle Washington

Annual Dialysis Conference

573-882-0366

annualdialysisconference.org

Mar 21-25 2016

Marco Island Florida

19th Annual Primary Care Update - Session 1

Continuing Medical Education Institute

952-948-1685

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Jun 13-19 2016

San Francisco to Vancouver Cruise

Internal Medicine Update

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Ongoing

Online

Meningococcal Serogroup B Frequently Asked Questions

mdBriefcase Inc.

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Mar 24-26 2016

Paradise Island Bahamas

Adult/Peds Infectious Diseases For Primary Care

MCE Conferences

888-533-9031

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Apr 06-08 2016

Chicago Illinois

HIV Hepatitis Mini-Residency Series

University of Chicago

asmit51@uic. edu

uchicago.edu

Apr 15-21 2016

Vancouver British Columbia

2016 AAN Annual Meeting

American Academy of Neurology

612-928-6000 See Ad Page 28

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Jun 21-24 2016

Quebec City Quebec

5th Canadian Neurological Sciences Federation (CNSF) Congress

Canadian Neurological Sciences Federation

403-229-9544

cnsfederation. org

Sep 24-28 2016

San Diego California

2016 Congress Of Neurological Surgeons Annual Meeting

Congress of Neurological Surgeons

847-240-2500

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Apr 12May 02 2016

new CME to be placedUniversity of Missouri

Meeting the Challenge of Primary Care March 16-19, 2016

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Just For Canadian doctors Winter 2016


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Pain Management

Oncology & Palliative Care

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Jan 29 2016

Miami Florida

30th Annual Sanford H. Cole, M.D., Memorial Ob/Gyn Symposium

Baptist Health South Florida

786-596-2398

baptisthealth. net

Feb 01-06 2016

Atlanta Georgia

36th Annual The Pregnancy Meeting

Society for MaternalFetal Medicine

202-863-2476

smfm.org

Mar 19-22 2016

San Diego California

47th Annual Meeting On Women’s Cancer

Society of Gynecologic Oncology

312-235-4060

sgo.org

Ongoing

Online

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

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800-621-8335

ama-assn.org

Apr 23-30 2016

Iberian Treasures Cruise

Primary Care Including Topics In Palliative Care

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Aug 11-14 2016

Anaheim California

Office Gynecology/Women’s Health For Primary Care

David Geffen School of Medicine at UCLA

310-794-2620 See Ad Page 26

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Jan 16-18 2016

Rodney Bay St. Lucia

3rd Caribbean Biomedical Research Days

International Stress & Behavior Society

240-899-9571

stressandbehavior.com

312-867-9104 See Ad Page 22

dhc-fdn.org

Feb 12-15 2016

Newport Beach California

The 29th Annual Practicing Physician’s Approach To The Difficult Headache Patient

Diamond Headache Clinic Research & Educational Foundation, Diamond Inpatient Headache Unit at Presence Saint Joseph Hospital, Primary Care Network

Ongoing

Multiple Cities Colombia

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

The Humanity Exchange

778-300-2466

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Feb 18-20 2016

Edmonton Alberta

2016 Canadian Pediatric Endocrine Group Scientific Meeting

University of British Columbia

604-827-3112

interprofessional.ubc.ca

Feb 23-28 2016

Orlando Florida

Specialty Review In Neonatology

Pediatrix Medical Group

See Website See Ad Page 19

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Feb 25-28 2016

Orlando Florida

NEO: The Conference For Neonatology

Pediatrix Medical Group

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Jan 18-25 2016

St. Moritz Switzerland

Pan Europe Asia Medical & Legal Conference

Continuing Professional Education

011-61-7-32543331

cpeconferences.com

Feb 07-14 2016

Puntarenas Costa Rica

Time Management For Physicians

Rxplorers/MDTravel

416-830-0858

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Jul 23 2016

Las Vegas Nevada

Hospitalist & Emergency Procedures CME Course

Hospital Procedures Consultants

805-339-0225

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new CME to be placed

2016 Live CME Meetings

Maui… Florida… New Orleans & others. Lectures in the mornings only. Expert faculty! www.cmemeeting.org | 800-327-4502 Winter 2016 Just For Canadian doctors

27


Wilderness and Travel Medicine

Radiology

Psychiatry Psychology

Primary Care

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Marco Island Florida

4th Annual Essentials In Primary Care Winter Medical Conference

Continuing Education Company

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Feb 15-19 2016

Maui Hawaii

4th Annual Primary Care Winter Conference

Continuing Education Company

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Mar 16-19 2016

Maui Hawaii

Meeting The Challenge Of Primary Care

David Geffen School of Medicine at UCLA

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Mar 21-25 2016

Palm Coast Florida

10th Annual Primary Care Spring Conference I

Continuing Education Company

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Mar 28Apr 01 2016

Palm Coast Florida

10th Annual Primary Care Spring Conference II

Continuing Education Company

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May 26-28 2016

Berlin Germany

12th European Skull Base Society Congress

Porstmann Kongresse GmbH

011-49-30-284499

esbs.eu/2016

Jun 12-13 2016

St. Johnâ&#x20AC;&#x2122;s Newfoundland

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Pri-Med Canada

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Feb 24-26 2016

Whistler British Columbia

Medical CBT Tools: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228

cbt.ca

Mar 21-23 2016

Maui Hawaii

Medical CBT Tools: Ten-Minute Techniques For Real Doctors

CBT Canada

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cbt.ca

Jan 17-20 2016

Sedona Arizona

Data Sampling & Image Reconstruction

International Society for Magnetic Resonance in Medicine

510-841-1899

ismrm.org

Mar 21-25 2016

Snowmass Colorado

14th Annual NYU Radiology Alpine Imaging Symposium

New York University Department of Radiology

212-263-3936

med.nyu.edu

Apr 07-09 2016

Las Vegas Nevada

13th Radiology After Five: How To Make Night & Weekend Call A Success

Educational Symposia

800-338-5901

edusymp.com

Jan 22 2016

Banff Alberta

18th Annual Rural Anesthesia For GP Anesthesiologists

University of Calgary

403-220-8786

ucalgary.ca

Jan 31Feb 19 2016

Aconcagua Mendoza Argentina

Aconcagua Expedition

Andes Mountain Guides

406-539-5091

andesmountainguides.com

Mar 30Apr 03 2016

Big Island Hawaii

The National Conference On Wilderness And Travel Medicine

Wilderness and Travel Medicine

888-995-3088

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Nov 30Dec 10 2016

Ghana

Tropical Medicine Excursion (since 1995)

TROPMEDEX

49-15255698101

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Jan 25-29 2016

new CME to be placed

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

Reg Ad_Canadian Doctors v708.indd 1 2816AMJust For Canadian doctors

Winter 2016

11/19/15 1:43 PM


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.

single payer, nation wide Is it time for a national Pharmacare program for Canada?

P

rescription drug costs are in danger of bankrupting Canada’s Medicare. That may be hyperbolic, but certainly these costs are siphoning too many dollars away from other services. Last year in Canada prescription drugs cost a total of $30 billion. They have quadrupled in the past 20 years. That is an increase of 8% per annum over inflation. And it’s now been almost two decades; it was in 1997 that prescription costs outstripped total physician cost to Medicare. This problem can no longer be ignored. There’s no one simple solution, but a major consideration should be a national Pharmacare program. When Tommy Douglas first established Medicare in Canada in 1962 his intention was to have an all-encompassing program. He reluctantly had to make compromises because of an impending election; the result, 50 years later, is a Medicare system that covers hospitals and physicians and little else.

Since then the Hall commission (1964) and the Romanow report (2002) have emphasized that prescription costs should become part of the Canadian health system. In fact, Canada is the only developed country in the world with a national healthcare program that does not include prescription drugs. The result is a hodgepodge of different payers. Private insurance companies pay about 36%, public insurance plans pay about 42% and the public bears 22%. This leads to inefficient replications of administration of these disparate paying agencies. A less obvious consequence is that there is no authoritative body to negotiate reasonable drug prices. It is estimated that if there were one single-paying agency across the nation then 10% could be saved on private company administrations, 10% on the public administrations and 10% on renegotiated

A SINGLE agency is better able to n egotiate savings

drug prices. This is for a total of 30% of $30 billion. $10 billion. No small change. A single agency dealing with prescription drugs is better able to negotiate substantial savings. As an example let’s look at atorvastatin (Lipitor). A year’s supply of the brand-name drug in Canada costs at least $811; in New Zealand, where a public authority negotiates prices, a year’s supply of the brand costs just $15. Even the generic version of Lipitor costs at least $140 in Canada. Another driver of these escalating costs is the price of new drugs. These are promoted strongly to both the public and to physicians. Physicians may feel that failure to use new medications will put them at risk of malpractice. Quite the contrary. New drugs are not continued on page 36

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opportunities employment

Catch a Taste of the Great Life! GPs needed in Australia’s beautiful Northern Territory attractive salaries and incentives diverse opportunities e recruitment@ntphn.org.au ntphn.org.au/working-nt

c la ss ified a ds office space / positions / locums / + more

Richmond, BC — Family Physician Recruitment 2016 & 2017 Our colleague will be leaving her busy practice which is a part of our group family practice in the south-east of Richmond BC (juncture of Richmond, Ladner and Tsawwassen), with easy highway access. We require a family physician that must be comfortable with good primary care, women’s health and EMR skills. Locum opportunities available for 2016 leading to long term Associateship. Fast paced, friendly environment, supportive staff, 3 -5 working days, competitive split. Seeking a long term associate to take over a built up longitudinal care practice with some walk in component. www.mydoctor.ca/ drsinghal CPSBC Provisional Licensure Applicants from IMGs also encouraged to apply. For information please contact office number: (604)-448-9595 or email: msinghalmd@gmail.com Richmond, BC ­— Cosmetic/Aesthetic Dermatology Wishing Lasers We are interested in sublease of Dermatology Lasers as demand for such services grow. Our practice is located in the south-east of Richmond BC (juncture of Richmond, Ladner and Tsawwassen) with easy highway access. We are seeking to sublease with potential to buy or lease takeover of Dermatology Lasers for Cosmetic/Aesthetic Dermatology. We recognize there are quite a few physicians who have leased or purchased lasers which are being underutilized and would wish a symbiotic agreement in using the Lasers for private patients. www.mydoctor.ca/drsinghal For enquiries please contact office number: (604)-448-9595 or email: msinghalmd@gmail.com

30

Just For Canadian doctors Winter 2016

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


employment

Generalist and Specialist Physicians

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.

opportunities

Photo courtesy Marikay Falby

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

FREE UP YOUR PERSONAL TIME.

Your work/life balance awaits If you’re ready for a rewarding change of pace, we invite you to join our medical team in treating obesity and related disease with safe and highly effective methods proven for over 40 years. You’ll work closely with your patients, building healthy relationships in a positive environment that changes lives. Enjoy your evenings and weekends and be free from calls, emergencies, and administrative stress. To learn more, contact Michael McGuire: tel: 1-888-372-3438 ext. 232 e-mail: Michael@DrBDiet.com

Recruitment Opportunities! • Specialists and Family Physicians • Permanent and Locum Opportunities • Fee For Service and Salaried Vacancies Contact Sarah at medicalservices@westernhealth.nl.ca or visit www.westernhealth.nl.ca/physicians for details.

DrBDiet.com/careers Winter 2016 Just For Canadian doctors

31


Wintery scene, straight out of The Shipping News, in Trinity harbour on Newfoundlandâ&#x20AC;&#x2122;s Legendary Coast.

32

Just For Canadian doctors Winter 2016

Marieke Gow/Artisan Inn

travel at home


travel at home

a beautiful Awash in history and culture, this stunning harbour villageâ&#x20AC;&#x201D;and star of The Shipping News â&#x20AC;&#x201D;holds many surprises on the Legendary Coast by tim johnson Winter 2016 Just For Canadian doctors

33


S

et on Newfoundland’s dramatic eastern shores— a place sometimes known as the Legendary Coast— Trinity is a funny sort of place. Once a serious rival to St. John’s—its deep, vast harbour was perfect for oceangoing ships—it began as a cod powerhouse in the 1500s, attracting fishermen from across the Atlantic, whose massive catches of these highly desirable fish quickly became world-famous. By the late 18th century, Trinity had become a major merchant town, exporting as much as 40 percent of the cod and train oil that Newfoundland produced back to England, loading up dozens of ships with its abundance. So important was the town that the English actually built a fort at nearby Admiralty Point, one that the French attacked three separate times in the 1700s. But with the shift of trade to St. John’s, Trinity fell into decline. Now home to just 191 hardy souls, today’s Trinity is little more than an out-of-the-way village. But just like it drew those 16th century anglers, it continues to be a magnet for visitors.

34

Tourists come here to take photos of the picturesque, multi-coloured, multi-layered town and its surrounds, but others have come, too. The cast of The Shipping News, for example. The creepy-cool, award-winning film— which celebrates its 15th anniversary next year—is perhaps the best-known movie ever set in Newfoundland, and it was filmed right in Trinity. Tineke Gow, who owns the Artisan Inn—a beautiful B&B housed in a series of historic buildings, remembers those days. “There was a buzz,” she says. “The local bar would be packed every night with people hoping to spot the stars and then acting really cool as if it was absolutely normal.” And whether or not they made a stop at the watering hole, the stars definitely spent a lot of time in town. Gow remembers big flatbed trucks rumbling into town to deliver sports cars for Kevin Spacey, Julianne Moore and Judi Dench to drive around the area in their spare time, as well as treadmills and other exercise equipment for them to keep in shape (although she wonders why they didn’t simply run up the path at Gun Hill, a

Just For Canadian doctors Winter 2016

pretty trail that will get your heart pumping every time). Spacey stayed in another, nearby town, but Moore spent her nights right there at the Artisan Inn. (“She was a lovely guest,” Gow remembers.) And while the movie stars were welcome—and still are, as they continue to come here (Trinity was a stand-in for a place called Tickle Head in the 2013 film The Grand Seduction, starring Taylor Kitsch and Gordon Pinsent, and Ethan Hawke and Sally Hawkins were recently in town to film an upcoming movie)— Gow says they were treated like any other visitor. “The nice thing around here is that everybody is treated the same. Always friendly and no fuss.” I definitely felt that spirit as I strolled about town, grabbing coffee in the cozy confines of the Trinity Mercantile, a local café with loads of charm, dining on unbelievably fresh seafood by candlelight at the Twine Loft, and making the trek to the other side of the harbour to visit the town’s pictureperfect lighthouse, which is set on a spit of land that provides some very nice views back on Trinity. Like the stars, I never made it to the top of Gun Hill, despite the fact that there’s a very good trail, one of many that

Marieke Gow/Artisan Inn (2)

travel at home


travel at home

SHIPS + SNOW + SPARKLING PROSE

More wintery scenes of Trinity harbour (above + left), the setting for Annie Proulx’s The Shipping News, winner of both the Pulitzer Prize and US National Book Award. The now-classic book celebrates its 15th anniversary in 2016.

remain open and maintained even in the winter around town. But I did venture out onto nearby Bonavista Bay, accompanied by Kris Prince, a guide and part owner of Sea of Whales, a local ecotourism operation. Like most of the characters in The Shipping News, Prince grew up on the water—but that’s where the similarity ends. As he took me out in a zodiac to see some remarkable sights—massive Bluefin tuna jumping out of the water while seabirds dove all around them, a huge “superpod” of more than 1,000 white-sided dolphins jumping and frolicking all around us—Prince noted that the sea has long provided life in this part of Newfoundland. In years past, locals hunted whales, their oil providing fuel for lamps in an age before electricity. Even Great White sharks weren’t safe. “One liver could make the whole season,” he told me. Prince himself remembered a childhood filled with fishing trips with his uncles, noting that he stills uses “marks,” shorthand for orientation points, taught by his grandfathers. And like most Newfoundlanders old enough to remember, Prince recalls the days when the cod fishery

+

collapsed. All of a sudden—with just the swipe of a pen in faraway Ottawa—an entire way of life, one that had fed and clothed this island for hundred of years, was lost. “We couldn’t believe it,” he says. “We couldn’t even catch a fish to eat.” But that didn’t stop them, at first. Believing rumours that the entire bay was rigged with cameras to catch those who would dare some illegal fishing, he and his cousin ventured out on the ice and snow in winter draped—like a lame Halloweencostume ghost—in white bed sheets, with just small holes cut for their eyes. “It was kind of fun,” he remembers. “We were like pirates.” As we rolled back to the dock, Prince noted a few of the most memorable experiences he’s had in the zodiac. A relative rarity on the east coast, he remembered an ultimate highlight—sitting in the bow as orcas jumped high in the air before him. “It was a once-in-a-lifetime experience,” he said, smiling. I didn’t see any whales. But it was all the more reason to return—like many a movie star before me—to this legendary part of Newfoundland.

if you go

Newfoundland is gorgeous any time of year, but winter has a special magic, with blowing snow, drifting ice and puffs of steamy breath. Here’s where to hunker down while on the east coast. stay At the Artisan Inn, where guests are housed in a series of historic buildings spread all over Trinity, including the charming Cove Cottage and Barbour Place, where Julianne Moore stayed during the filming of The Shipping News. trinityvacations.com tour With Sea of Whales, which provides wild, on-the-water adventures on Bonavista Bay, or Ocean Quest, which offers birding, whalewatching and boat tours closer to St. John’s. seaofwhales.com + oceanquestadventures.com eat At the Trinity Mercantile, which serves up a super-fresh breakfast and lunch that includes smoked salmon and seafood chowder, as well as the Twine Loft, where the ingredients at dinner are often sourced from the sea, right next to it. trinitycoffeecompany.ca + trinityvacations.com/ dining-trinity/twine-loft For more on Newfoundland, see page 23, and go to newfoundlandlabrador.com.

Winter 2016 Just For Canadian doctors

35


w e a lt h y d o c t o r m . p u r t z k i

soapbox [continued]

Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

RRSP, IPP, TFSA, RESP—which is right for you?

I

nvesting your money is a challenging task. How do you pick the winners among the 20,000 mutual funds and myriad investment products? Once you settle on your investment choices, you have to also select the appropriate investment vehicle, such as RRSP, IPP, TFSA or RESP, as well as your medical corporation. Is the RRSP a sure bet? The advantages of the RRSP are that your contribution is fully deductible and the income accumulates tax-free until you draw out the How do funds. The RRSP is not only great you pick an as a

investment

winner?

forced savings vehicle, but it also provides full creditor protection. The RRSP is an ideal tax shelter for the self-employed doctor. However, the RRSP penalizes doctors who are incorporated. They lose most of the tax refund, as they have to pay tax on the money taken from the corporation to make the RRSP contribution. To illustrate, take a dividend of $10,000 from your corporation, which triggers $3,500 of income taxes (this taxable amount depends on the province). The tax savings of a $10,000 RRSP contribution is about $4,500. The $1,000 tax saving is negligible when you consider the $4,500 of income tax you need to pay in the future on the $10,000 RRSP withdrawal. In BC, doctors receive an annual government pension contribution for the RRSP, which they have to match. Hence, it makes sense

36

for doctors in this province to limit the RRSP contribution to the minimum required. What about the RRSP alternative, the Individual Pension Plan (IPP)? If you’re 45 years or older, you can contribute more (unlike the RRSP). Other benefits associated with the IPP are that you can make a sizeable contribution for past service and your corporation can deduct the interest on an IPP bank loan. The drawback of IPP compared to the RRSP is higher administrative costs and less flexibility. You may also decide to take advantage of the Tax Free Savings Account (TSFA). With annual contributions for you and your spouse of $20,000, you can generate a sizable return—all of which is tax free. The beauty of the TFSA is that you can then take out the funds tax-free when you are retired without clawing back your OAS benefits. The Registered Education Savings Plan (RESP) is a must. The federal government, through the Canada Education Savings Grant (CESG) program, tops your annual contribution by 20%—up to a maximum of $500 per beneficiary, which is 20% of a $2,500 RESP contribution. The lifetime maximum grant is $7,200. Lastly, don’t disregard many doctors’ favourite investment vehicle: the medical corporation. Corporate income is taxed at 14% compared to a personal tax of 44%, generating a tax-deferral benefit of 30%. Keep in mind that the tax benefit varies by province. Every $100,000 you leave in your corporation to invest saves you $30,000 of personal taxes. Basically, you would only take funds from the corporation to finance your personal living expenses and leave the rest of your funds and assets in the corporation. The only personal asset would be your principal residence. This leaves you with a lot more horses in the race to win the financial independence trophy. One caveat is that you have to pay personal taxes when you withdraw your nest egg from your corporation. But if you use advance tax planning, there are many planning opportunities to keep your taxes to the absolute minimum.

Just For Canadian doctors Winter 2016

horse illustration: Jems Mayor; hands iluustration: Gregor Črešnar

financial racehorse

always better. As an example, remember rosiglitazone (Avandia) and cerivistatin (Baycol)? Another cause, which we can all address, is polypharmacy. It is easier to start a prescription than it is to stop one. As physicians, we are the ones that write these prescriptions and we should be the ones to take a closer look at our prescribing habits. But to do this we need good evidence on which to confidently base therapeutic decisions. A national Pharmacare program could—and must—do more than simply administer payment for prescription drugs, it should also promote evidence-based education for physicians. British Columbia’s drug costs are lower than the national average, due in no small part to the University of British Columbia’s program Therapeutics Initiative. Once I got over my prejudice of “yet one more restriction on my practising medicine,” this initiative turned out to be a valuable objective look at the evidence concerning new and established medications, and to a lesser extent, physicians’ prescribing practices (a hands-on practical offspring of TI can be found in iTunes: Best Science Medicine podcasts). Finally, as a simple matter of arithmetic, if a medication dose can be safely halved, so will the cost. An example is ezetimibe (Ezetrol)—1/40th of the recommended 10 mg dose results in 50% of the full therapeutic effect. A pill cutter could safely reduce the dose and the price to one quarter. The cost of the prescriptions that we write remains occult. I have searched diligently and I am unable to find a website with the price of drugs commonly prescribed in Canada. With the adoption of the EMR I wonder if it’s possible that the price of prescriptions could appear when an electronic prescription is written. Give physicians the information to enable them to make clinically and fiscally responsible decisions. Further reading on a national Pharmacare is covered in an excellent paper Pharmacare 2020, prepared by a group of academics from universities around the world.

continued from page 29


diversion

ADVENTURE

sudoku

AWA I T S

Solve puzzle #2 for a chance to win a $50 VISA gift card and travel prize pack from Antigua & Barbuda Department of Tourism and Trade! Each sudoku puzzle has a unique solution that can be reached logically without guessing. Fill in the grid so that every row, column and 3x3 square contains the digits 1 through 9. GOOD LUCK!

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1. Entry form must be accompanied with solved puzzle. Only correctly solved puzzles entered into random draw. 2. Send puzzle + entry form to Just For Canadian Doctors, 200 â&#x20AC;&#x201C; 896 Cambie St., Vancouver, BC, V6B 2P6 or fax 604-681-0456. Entries must be received by February 26, 2016. 3. Prize: $50 VISA Gift Card and branded travel prize pack from Antigua & Barbuda Department of Tourism and Trade. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. 6. Employees of In Print Publications and its affliates are not eligible to participate.

Winter 2016 Just For Canadian doctors

37


Dr. theo dombrowski may be a “fake” doctor, as he puts it, but this retired English Lit prof does seem to have the prescription for living well: Go outside, snowboard/mountain bike/hike/kayak, read, travel. Repeat. Not only does this BC Men’s Sea Kayak Champion write novels (whether or not they’ve been published yet), he also paints. And his gorgeous canvas “Arbutus” is part of this magazine’s Arbutus for Humanity MSF Drive (page 10). Please donate! My name: Theo Dombrowski I live, practise in: I’m retired—or selfemployed, depending on the day My training: I’m a fake doctor…a PhD in English literature Why I’m drawn to medicine: I’ve always admired real doctors but thought the painter, responsibility writer, MSF supporter overwhelming. Litfrom top Dr. Theo Dombrowki; erature, I’ve hiking The Golden Hinde, the hoped and highest summit on Vancouver believed, Island, BC; his artwork; and comes as kayaking in Jervis Inlet on the BC coast. close as it gets to understanding the human condition­—in its horror, wonder, despair, and tenderness. My last trip: Driving a rented car through Romania Most exotic place I’ve travelled to: An unnamed island across the ice pack northwest of Coppermine Best souvenir I’ve brought back from a trip: I’d better not say…I’m not sure it’s quite legal A favourite place that I keep returning to: Mountains in general, Mt. Klitsa most often Dream vacation: Patagonia! If I could travel anywhere, I’d go: Italy, when Verdi was

38

Just For Canadian doctors Winter 2016

at the height of his powers and Puccini was beginning his ascent

My medicine cabinet is always stocked with: Extra-large bandaids

Favourite book: James Joyce’s Ulysses—sad, but true

My guilty pleasure: Peanut butter Nanaimo bars

Favourite film: Christmas Carol (Alastair Sim). Christmas is not Christmas without getting weepy over this one Must-see TV: South Park Favourite band/ album or song: Ez a Vonat Ha Elindult by Csik Zenekar My first job: Afternoon shift in a sawmill Gadget or gear I could not do without: My kayak…no, my mountain bike…no, my snowboard… My favourite spot at home: Living room with view over Georgia Strait My car: Subaru Forester 2015 Last purchase: MEC hiking pants Last splurge: MEC hiking pants Most-frequented store: MEC My closet has too many: Almost worn-out runners My fridge is always stocked with: Peanut butter Nanaimo bars for post-mountain biking refuelling

My go-to exercise/ sport: Whichever of snowboarding, kayaking, hiking or mountain biking I’m doing at the time Favourite spectator sport: Trackand-field meets— HD on Youtube! Celebrity crush: Emma Thompson I’d want this with me if stranded on a desert island: iPod equipped with solar recharger My secret to relaxing and relieving tension: Sweating and puffing. A lot. Often. A talent I wish I had: Sounding as good outside the shower as in My scariest moment: Hard to choose which of a few accidents while teaching scuba diving to international students, including one where a diver surfaced unconscious, blue-faced… My fondest memory: Having a book dedicated to me and my wife by Booker Prize winner Anne Enright A big challenge I’ve faced: I’ve so far (guilt!) had a pretty charmed

life—my thousands of “challenges,” mostly self-imposed, have been tiny when viewed from a distance One thing I’d change about myself: Hype the nervy factor The word that best describes me: Restless I’m inspired by: Dover Beach by Matthew Arnold My biggest ego boost: BC Men’s Sea Kayak Championship 2002 My biggest ego blow: A stack of rejections from publishers unimpressed by my novel manuscript I’m happiest when: Counting blessings (lowercase B) and ignoring the rest My biggest fear: Stephen Harper and his ilk crowding the world stage My motto: A journey of a thousand miles etc. A cause close to my heart: MSF and its just-DO-it approach On my must-do list: Get a novel published—and read If I wasn’t a doctor, I’d be: If I hadn’t slid into being a lit prof I might have worked up the nerve to apply to med school

courtesy of Teho Dombrowski

s m a l l ta l k

doctors share their picks, plans + pleasures


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