Increasingly, worldwide, GPs are leaving comprehensive high overhead, high legal risk practice for focused medicine. Acupuncture, Anaesthetics, Complementary medicine, Cosmetic medicine, Dermatology, Hospitalist, Musculoskeletal medicine inc manipulation, Orthotics inc Podiatry, Palliative medicine, Psychotherapy, Sports medicine,
Ontario Health Insurance does not pay for eye tests between ages 20y-64y.(Exception are those on welfare or who have eye diseases).
Doctors can bill PRIVATELY, usually between $50 - $100.
Testing can be done quickly (20 minutes) and easily using AUTOREFRACTORS and TRIAL LENSES. Fundus cameras are invaluable for clinical and legal records.
Doctors can own Eye stores and hire Opticians to fit and sell specs and contacts.
Toronto now has a school for training GPs in Eye testing.
For those interested please leave a comment below.
08 April 2011
06 April 2011
PRIVATE MEDICINE
MEDCAN 150 YORK STREET
Comprehensive Health Assessment
We identify health risks, before they become a risk to you.
Medcan’s flagship service is our Comprehensive Health Assessment which includes 12-15 sophisticated diagnostic tests, all performed at one location within a single 4 hour visit. During your Assessment, your physician will spend an hour to understand your medical history, conduct a thorough medical exam and synthesize the results of the diagnostic on-site tests that we will conduct. Medcan’s objectives are to not only pick up early signs of disease, but also to give you a strategy to improve your health.
Should any health concerns arise during your Assessment, we will book an appointment for you with one of our growing number of on-site specialists, or our dedicated referral team will book an appointment for you in the community with one of our preferred specialists. For clients who wish to access services in the United States, Medcan has a partnership with Johns Hopkins Hospital in Baltimore, the number one ranked hospital in the U.S., to provide seamless referrals and care.
Our Comprehensive Health Assessment is available to both individuals who want a complete analysis of their health, and corporations who want their employees to benefit from an Executive Health Plan.
Your Comprehensive Health Assessment at the Medcan Clinic includes:
Comprehensive Health Assessment Cost: $2,395
Comprehensive Health Assessment Membership Bundle: $2,795
Comprehensive Health Assessment Membership Bundle: $2,795
Corporate rates are available. To inquire, please contact:
SELF-HELP MEDICINE: "CHEMSTRIP 10" urine test strips (ROCHE)
In Toronto multitest urine dip sticks are difficult to buy. Most GPs do not use due to cost. Poor State medicine payment does not cover overhead of urine container, toilet facilities and $0.75 cost of a strip plus`detailed charting.
People can buy personal supplies from old established SURGO SURGICAL SUPPLY in Keswick, a small town North of Toronto www.surgo.com
Urine sent to lab is useless as usually urine stands for longer than TWO hours.
People can buy personal supplies from old established SURGO SURGICAL SUPPLY in Keswick, a small town North of Toronto www.surgo.com
Urine sent to lab is useless as usually urine stands for longer than TWO hours.
CLEVELAND CLINIC CANADA (Toronto)
LOBLAWS pays $2,500/year for Preventive medicine for 300 Executives.
30,000 sq.ft in BROOKFIELD PLACE.(Home of Hockey Hall of Fame).
30,000 sq.ft in BROOKFIELD PLACE.(Home of Hockey Hall of Fame).
PHYSICIAN ENTREPRENEURS
65,000 Canadian doctors: potential Capitalists
$1,000 a year into a Private Equity Fund would mean $65,000,000 a year invested.
At present Canadian doctors have no Professional pension,unlike the UK.
At present Canadian doctors have no Professional pension,unlike the UK.
DIVIDE ET IMPERA: "Divide and Conquer" Philip !! of Macedon 382-336 BC
If physicians united financially they could be as successful as the Ontario Teachers' & Public Service Unions.
The Teachers' Union bought Medical laboratories and the Public service union bought REVERA with 400 retirement homes.
At present Ontario physicians are not allowed to form a trades union; although they are fixed-price contract workers of the Ministry of Health. After 35 years of restriction they are now able in to Incorporate.
According to the Canada Health Act they are not allowed to change a penny more than the State fee. The College of Physicians and Surgeons employs hundreds of part- time doctors to "inspect" their colleagues practices, at the same time finding out colleagues' "trade secrets".
Anyone, anywhere in the world can complain about an Ontario doctor. Every complaint has to be investigated by the "College" which is made up of 50% political non-medical appointees.
The Teachers' Union bought Medical laboratories and the Public service union bought REVERA with 400 retirement homes.
At present Ontario physicians are not allowed to form a trades union; although they are fixed-price contract workers of the Ministry of Health. After 35 years of restriction they are now able in to Incorporate.
According to the Canada Health Act they are not allowed to change a penny more than the State fee. The College of Physicians and Surgeons employs hundreds of part- time doctors to "inspect" their colleagues practices, at the same time finding out colleagues' "trade secrets".
Anyone, anywhere in the world can complain about an Ontario doctor. Every complaint has to be investigated by the "College" which is made up of 50% political non-medical appointees.
CLEVELAND CLINIC CANADA (Toronto)
Has`28,000 sq.ft in BROOKFIELD PLACE,Toronto.
$2,500 subscription yearly which includes 5 hour yearly general examination.
The Weston organisation (LOBLAWS) sends its 300 executives to the Cleveland.
$2,500 subscription yearly which includes 5 hour yearly general examination.
The Weston organisation (LOBLAWS) sends its 300 executives to the Cleveland.
05 April 2011
CANADA: E.coli in RAW WALNUTS from USA
Reply |ProMED-mail to promed-edr
show details 4 Apr (2 days ago)
E. COLI O157 - CANADA: ex USA, WALNUT, ALERT, RECALL
****************************************************
A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Date: Sun 3 Apr 2011
Source: Canadian Food Inspection Agency (CFIA) [edited]
<http://www.inspection.gc.ca/english/corpaffr/recarapp/2011/20110403e.shtml>
The Canadian Food Inspection Agency (CFIA) and Amira Enterprises Inc.
are warning the public not to consume certain bulk and prepackaged raw
shelled walnut products described below because these products may be
contaminated with _E. coli_ O157:H7.
All raw shelled walnuts sold from bulk bins, all package sizes, and
all lot codes / Best Before dates of the following raw shelled walnuts
and products containing walnuts are affected by this alert. The
affected products were available for purchase from 1 Jan 2011, up to
and including 4 Apr 2011. The raw shelled walnuts are imported from
the USA.
Brand products
--------------
- Amira Raw shelled walnuts sold from a bulk bin*
- Amira Prepackaged raw shelled walnuts (Halves/Pieces/Crumbs)
- Tia Prepackaged raw shelled walnuts (Halves/Pieces/Crumbs)
- Merit Selection Prepackaged raw shelled walnuts
(Halves/Pieces/Crumbs)
- Amira Mistral Mix containing walnuts
- Tia Mistral Mix containing walnuts
- Amira Salad booster containing walnuts
- Tia Salad booster containing walnuts
(*The brand name Amira may not be marked on raw walnuts sold from
bulk bins.)
show details 4 Apr (2 days ago)
E. COLI O157 - CANADA: ex USA, WALNUT, ALERT, RECALL
****************************************************
A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Date: Sun 3 Apr 2011
Source: Canadian Food Inspection Agency (CFIA) [edited]
<http://www.inspection.gc.ca/english/corpaffr/recarapp/2011/20110403e.shtml>
The Canadian Food Inspection Agency (CFIA) and Amira Enterprises Inc.
are warning the public not to consume certain bulk and prepackaged raw
shelled walnut products described below because these products may be
contaminated with _E. coli_ O157:H7.
All raw shelled walnuts sold from bulk bins, all package sizes, and
all lot codes / Best Before dates of the following raw shelled walnuts
and products containing walnuts are affected by this alert. The
affected products were available for purchase from 1 Jan 2011, up to
and including 4 Apr 2011. The raw shelled walnuts are imported from
the USA.
Brand products
--------------
- Amira Raw shelled walnuts sold from a bulk bin*
- Amira Prepackaged raw shelled walnuts (Halves/Pieces/Crumbs)
- Tia Prepackaged raw shelled walnuts (Halves/Pieces/Crumbs)
- Merit Selection Prepackaged raw shelled walnuts
(Halves/Pieces/Crumbs)
- Amira Mistral Mix containing walnuts
- Tia Mistral Mix containing walnuts
- Amira Salad booster containing walnuts
- Tia Salad booster containing walnuts
(*The brand name Amira may not be marked on raw walnuts sold from
bulk bins.)
27 March 2011
SCOTLAND: LEGIONELLOSIS
PRO/EDR> Legionellosis, hotel - UK: (Scotland)
InboxX
Reply |ProMED-mail to promed-edr
show details 14:41 (6 hours ago)
LEGIONELLOSIS, HOTEL - UK: (SCOTLAND)
*************************************
A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Date: Sat 26 Mar 2011
Source: The Press & Journal [edited]
<http://www.pressandjournal.co.uk/Article.aspx/2197354?UserKey=3D>
A man is in hospital with the potentially fatal Legionnaires' disease
after using the leisure centre at a 4-star hotel in Dundee. Some 66
staff and visitors at the Landmark Dundee have also experienced
flu-like sickness, NHS [National Health Service] Tayside confirmed
last night [25 Mar 2011].
The man who was confirmed positive for the disease is being treated
in Ninewells Hospital.
The health authority and Dundee City Council environmental health
officers said last night [25 Mar 2011] they had carried out
investigations at the hotel after staff and guests reported feeling
unwell. NHS Tayside said that before the single confirmed case, there
was no evidence of _Legionella_ infection in any samples taken.
Consultant in public health medicine for the health authority Dr
Christopher McGuigan said: "To date, 66 people who work in or have
visited Landmark Dundee are known to have experienced flu-like
illness, which has, for the majority, been short-lived and managed
symptomatically at home. We are not recommending that people should
stay away from the hotel as the investigations are focusing on the
leisure club, which has been closed since the evening of Thursday, 17
Mar 2011. We have been working closely with the hotel since the
investigation started late last week, and we are systematically
carrying out all appropriate health and environmental tests."
NHS Tayside has asked anyone who has visited the hotel over the last
2 weeks, and who has been unwell with a flu-like illness -- for
example, high temperature, chills, cough, headache or shortness of
breath -- to seek advice.
Legionnaires' disease, a potentially fatal form of pneumonia, is
caused by types of bacteria commonly found in the environment. People
can become infected when they breathe in air that contains
_Legionella_ bacteria which have been dispersed into the air in very
fine droplets of water.
Most people exposed to these common bacteria do not become ill, and
the disease cannot be spread from person to person. Contaminated water
is usually the source of infection.
[Byline: Rebecca Buchan]
--
Communicated by:
Denis Green <legion@q-net.net.au>
[For a discussion of Legionnaires' disease (LD) and Pontiac fever
(PF), please see the prior ProMED-mail post Legionellosis - USA (02):
(CA) conference, susp 20110304.0713.
Outbreaks of legionellosis are usually either LD or PF; combined
outbreaks of both LD and PF are unusual [1-4]. Why some people
apparently exposed to the same source develop Legionnaires' disease
and others develop Pontiac fever has not been explained.
1. Thomas DL, Mundy LM, Tucker PC. Hot tub legionellosis:
Legionnaires' disease and Pontiac fever after a point-source exposure
to Legionella pneumophila. Arch Intern Med 1993;153:2597-9.
2. Goldberg DJ, Fallon RJ, Green ST, Wrench JG. Pontiac fever in
children. Pediatr Infect Dis J 1992; 11:240-1.
3. Girod JC, Reichman RC, Winn WC, Klaucke DN, Vogt RL, Dolin R.
Pneumonic and nonpneumonic forms of legionellosis. The result of a
common-source exposure to Legionella pneumophila. Arch Intern Med.
1982;142(3):545-7.
4. Benin AL, Benson RF, Arnold KE, Fiore AE, Cook PG, Williams LK,
Fields B, Besser RE. An outbreak of travel-associated Legionnaires
disease and Pontiac fever: the need for enhanced surveillance of
travel-associated legionellosis in the United States. J Infect Dis.
2002; 185(2):237-43.
A excellent review of the topic can be found at: Edelstein PH. Urine
Antigen Tests Positive for Pontiac Fever: Implications for Diagnosis
and Pathogenesis. Clin Infect Dis 2007; 44 (2):229-231. Available at:
<http://cid.oxfordjournals.org/content/44/2/229.full>.
The Landmark Hotel, located on the outskirts of Dundee, Scotland, has
3 bedrooms situated in the old mansion house with the remaining 100
bedrooms located in an extension. The hotel has a "leisure club" with
an indoor heated pool, spa, sauna, solarium, and a 10-station
gymnasium (<http://www.gbstay.com/hotel/AAB104398.htm>).
Dundee, a city in the Tayside region of Scotland, lies within the
eastern central Lowlands on the north bank of the Firth of Tay
(<http://en.wikipedia.org/wiki/Dundee>). Ninewells Hospital, a
teaching hospital on the western edge of Dundee, is administered by
NHS Tayside (<http://en.wikipedia.org/wiki/Ninewells_Hospital>).
InboxX
Reply |ProMED-mail to promed-edr
show details 14:41 (6 hours ago)
LEGIONELLOSIS, HOTEL - UK: (SCOTLAND)
*************************************
A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Date: Sat 26 Mar 2011
Source: The Press & Journal [edited]
<http://www.pressandjournal.co.uk/Article.aspx/2197354?UserKey=3D>
A man is in hospital with the potentially fatal Legionnaires' disease
after using the leisure centre at a 4-star hotel in Dundee. Some 66
staff and visitors at the Landmark Dundee have also experienced
flu-like sickness, NHS [National Health Service] Tayside confirmed
last night [25 Mar 2011].
The man who was confirmed positive for the disease is being treated
in Ninewells Hospital.
The health authority and Dundee City Council environmental health
officers said last night [25 Mar 2011] they had carried out
investigations at the hotel after staff and guests reported feeling
unwell. NHS Tayside said that before the single confirmed case, there
was no evidence of _Legionella_ infection in any samples taken.
Consultant in public health medicine for the health authority Dr
Christopher McGuigan said: "To date, 66 people who work in or have
visited Landmark Dundee are known to have experienced flu-like
illness, which has, for the majority, been short-lived and managed
symptomatically at home. We are not recommending that people should
stay away from the hotel as the investigations are focusing on the
leisure club, which has been closed since the evening of Thursday, 17
Mar 2011. We have been working closely with the hotel since the
investigation started late last week, and we are systematically
carrying out all appropriate health and environmental tests."
NHS Tayside has asked anyone who has visited the hotel over the last
2 weeks, and who has been unwell with a flu-like illness -- for
example, high temperature, chills, cough, headache or shortness of
breath -- to seek advice.
Legionnaires' disease, a potentially fatal form of pneumonia, is
caused by types of bacteria commonly found in the environment. People
can become infected when they breathe in air that contains
_Legionella_ bacteria which have been dispersed into the air in very
fine droplets of water.
Most people exposed to these common bacteria do not become ill, and
the disease cannot be spread from person to person. Contaminated water
is usually the source of infection.
[Byline: Rebecca Buchan]
--
Communicated by:
Denis Green <legion@q-net.net.au>
[For a discussion of Legionnaires' disease (LD) and Pontiac fever
(PF), please see the prior ProMED-mail post Legionellosis - USA (02):
(CA) conference, susp 20110304.0713.
Outbreaks of legionellosis are usually either LD or PF; combined
outbreaks of both LD and PF are unusual [1-4]. Why some people
apparently exposed to the same source develop Legionnaires' disease
and others develop Pontiac fever has not been explained.
1. Thomas DL, Mundy LM, Tucker PC. Hot tub legionellosis:
Legionnaires' disease and Pontiac fever after a point-source exposure
to Legionella pneumophila. Arch Intern Med 1993;153:2597-9.
2. Goldberg DJ, Fallon RJ, Green ST, Wrench JG. Pontiac fever in
children. Pediatr Infect Dis J 1992; 11:240-1.
3. Girod JC, Reichman RC, Winn WC, Klaucke DN, Vogt RL, Dolin R.
Pneumonic and nonpneumonic forms of legionellosis. The result of a
common-source exposure to Legionella pneumophila. Arch Intern Med.
1982;142(3):545-7.
4. Benin AL, Benson RF, Arnold KE, Fiore AE, Cook PG, Williams LK,
Fields B, Besser RE. An outbreak of travel-associated Legionnaires
disease and Pontiac fever: the need for enhanced surveillance of
travel-associated legionellosis in the United States. J Infect Dis.
2002; 185(2):237-43.
A excellent review of the topic can be found at: Edelstein PH. Urine
Antigen Tests Positive for Pontiac Fever: Implications for Diagnosis
and Pathogenesis. Clin Infect Dis 2007; 44 (2):229-231. Available at:
<http://cid.oxfordjournals.org/content/44/2/229.full>.
The Landmark Hotel, located on the outskirts of Dundee, Scotland, has
3 bedrooms situated in the old mansion house with the remaining 100
bedrooms located in an extension. The hotel has a "leisure club" with
an indoor heated pool, spa, sauna, solarium, and a 10-station
gymnasium (<http://www.gbstay.com/hotel/AAB104398.htm>).
Dundee, a city in the Tayside region of Scotland, lies within the
eastern central Lowlands on the north bank of the Firth of Tay
(<http://en.wikipedia.org/wiki/Dundee>). Ninewells Hospital, a
teaching hospital on the western edge of Dundee, is administered by
NHS Tayside (<http://en.wikipedia.org/wiki/Ninewells_Hospital>).
19 March 2011
THAILAND: UNDIAGNOSED DEATHS
)
UNDIAGNOSED DEATHS - THAILAND (02): (CHIANG MAI)
************************************************
A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Young French Tourist's Death No. 6 in Chiang Mai
------------------------------------------------
The revelation of a 6th death and the results of an investigation by
Thailand's Department of Disease Control has shed new light on the
series of mysterious fatalities in Chiang Mai.
UNDIAGNOSED DEATHS - THAILAND (02): (CHIANG MAI)
************************************************
A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Date: 14 Mar 2011
Source: Phuketwan Tourism News [edited]
<http://phuketwan.com/tourism/young-french-tourists-death-chiang-mai-link-13817/>
Source: Phuketwan Tourism News [edited]
<http://phuketwan.com/tourism/young-french-tourists-death-chiang-mai-link-13817/>
Young French Tourist's Death No. 6 in Chiang Mai
------------------------------------------------
The revelation of a 6th death and the results of an investigation by
Thailand's Department of Disease Control has shed new light on the
series of mysterious fatalities in Chiang Mai.
The 6th death involved a Frenchwoman -- one of 2 who fell sick, a
media release from the department says. It highlighted the exceptional
nature of a complaint that appears to have struck down 6 young women
aged 23-33 between 9 Jan 2011 and 4 Feb 2011, killing 3 of them.
media release from the department says. It highlighted the exceptional
nature of a complaint that appears to have struck down 6 young women
aged 23-33 between 9 Jan 2011 and 4 Feb 2011, killing 3 of them.
These 3 deaths -- the unnamed Frenchwoman, a New Zealand woman also
23, and an American, aged 33 -- have been linked by the media to 3
other deaths, 2 British pensioners, a man and a woman and a
47-year-old Thai guide.
23, and an American, aged 33 -- have been linked by the media to 3
other deaths, 2 British pensioners, a man and a woman and a
47-year-old Thai guide.
The joint investigation by the department with the Chiang Mai
Provincial Health Office found 4 clinically-confirmed cases of
myocarditis (inflammation of the heart muscle) and another 2 patients
with mild symptoms.
Provincial Health Office found 4 clinically-confirmed cases of
myocarditis (inflammation of the heart muscle) and another 2 patients
with mild symptoms.
"These 6 patients were among 3 separate groups of tourists visiting
Chiang Mai, Thailand, between 9 Jan 2011 and 4 Feb 2011. All were
young women aged 23-33 years and were from the United States (1),
Canada (1), France (2) and New Zealand (3)." 5 of the 6 women "became
ill while visiting Chiang Mai and one developed symptoms 3 days before
arriving there." However, an extensive epidemiological investigation
"has not revealed any common exposures across the 3 groups."
Chiang Mai, Thailand, between 9 Jan 2011 and 4 Feb 2011. All were
young women aged 23-33 years and were from the United States (1),
Canada (1), France (2) and New Zealand (3)." 5 of the 6 women "became
ill while visiting Chiang Mai and one developed symptoms 3 days before
arriving there." However, an extensive epidemiological investigation
"has not revealed any common exposures across the 3 groups."
The media release says autopsies on 2 of the dead patients (American
and French) were done by forensic medical experts from Chiang Mai
University. The joint investigation team found 4 clinically-confirmed
cases of myocarditis (inflammation of the heart muscle) and another 2
patients with mild symptoms. "The autopsies found nothing abnormal
except for inflammation of the heart muscle," it says.
and French) were done by forensic medical experts from Chiang Mai
University. The joint investigation team found 4 clinically-confirmed
cases of myocarditis (inflammation of the heart muscle) and another 2
patients with mild symptoms. "The autopsies found nothing abnormal
except for inflammation of the heart muscle," it says.
"The Department of Disease Control has shared this information with
the World Health Organisation and US CDC offices in Bangkok, as well
as the New Zealand Embassy and the International Health Regulation
focal points of France and the European Community." The report
carefully distinguishes between the cases involving the 6 young women
and the other cases.
the World Health Organisation and US CDC offices in Bangkok, as well
as the New Zealand Embassy and the International Health Regulation
focal points of France and the European Community." The report
carefully distinguishes between the cases involving the 6 young women
and the other cases.
"In a separate episode, since 3 Feb 2011, there were 3 other deaths
in the same hotel where the 3 New Zealanders stayed," it says. "This
included an elderly British couple and a 47-year-old Thai woman. As
these 3 deaths occurred outside the hospital, the police took charge
of the investigation. The autopsies of the 2 elderly Britons found a
high degree of coronary occlusion while the examination of the Thai
woman found no inflammation of the heart muscle or any other clear
evidence to explain the cause of her death."
in the same hotel where the 3 New Zealanders stayed," it says. "This
included an elderly British couple and a 47-year-old Thai woman. As
these 3 deaths occurred outside the hospital, the police took charge
of the investigation. The autopsies of the 2 elderly Britons found a
high degree of coronary occlusion while the examination of the Thai
woman found no inflammation of the heart muscle or any other clear
evidence to explain the cause of her death."
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