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Has the BC Medical Association been stolen from the members?
Public

Doctors and members of the BC Medical Association are asking what is happening at the helm of the BCMA? Some are saying they think the new CEO Allan Seckel is not good for the Association and a sign that bad things are happening to the Association.

Who is Allan Seckel? How did he get to be the BCMA CEO? What is he doing as the CEO? And what is the BCMA Board doing?

Nutrients in Our Food
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USDA Nutrient Database search urlIf you ever find yourself wondering what nutrients are in different foods you might want to take a look at the US Department of Agriculture (USDA) Nutrient database. 

It provides a wealth of information on over 7,500 specific food items and details of the nutrients they contain down to the many different minerals, vitamins, types of fats, carbohydrates, proteins and various amino acids.

There are two very useful ways to look at this information on their website.

US launches new MyPlate icon as reminder for healthier food choices
Public

MyPlate IconOn June 2, 2011 US First Lady Michelle Obama and Department of Agriculture Secretary Tom Vilsack unveiled the federal government's new food icon, MyPlate.  MyPlate is a new generation icon with the intent to prompt consumers to make healthier food choices and to seek more information by going to www.ChooseMyPlate.gov

“This is a quick, simple reminder for all of us to be more mindful of the foods that we’re eating,” said First Lady Michelle Obama. “It’s tough to be a nutritionist, too. But we do have time to take a look at our plates. As long as they’re half full of fruits and vegetables, and paired with lean proteins, whole grains and low-fat dairy, we’re golden. That’s how easy it is.”

Disagreement is central to progress
Public

It's never too late to change the world !

Ted Talks - Margaret Heffernan - Dare to disagreeIn this TED talks video Margaret Heffernan demonstrates "that disagreement is central to progress, that the best partners aren't echo chambers and how great businesses allow people to disagree".

http://www.ted.com/talks/lang/en/margaret_heffernan_dare_to_disagree.html

JN Mahy MD FRCSC

Celebrating and helping caregivers
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Patti and SherriDr Z. Essak, MD - Vancouver BC - February 16, 2018

According to Statistics Canada there are eight million caregivers in Canada. Most are unpaid, regular people who are taking care of aging and ailing parents, children with disabilities, and friends who need them. Caregivers get little or no attention, despite their massive numbers.

Some caregivers find inspiration and friendship from those they care for and some find themselves with personal challenges through caring for others. Healthcare providers may experience the same themselves and see this in those they serve.

Sharing caregivers' stories may help others find inspiration or recognize the impact on themselves and what they might be able to do.

US Federal Judge finds Google's Gmail scanning might violate wiretap law
Public

Gmail scanningSome patients and others have noticed when dealing with an MVA claim they start seeing more ads for lawyers when they are browsing the Internet making them wonder if someone is scanning their email.

Wired magazine reported on this week's decision in a proposed class-action alleging Google wiretaps Gmail as part of its business model.

"A federal judge today found that Google may have breached federal and California wiretapping laws for machine-scanning Gmail messages as part of its business model to create user profiles and provide targeted advertising. ...

"The decision is also a blow to Yahoo, whose free email platform with more than 300 million users also scans email to deliver ads. Microsoft’s rebranded free Outlook webmail offering does not scan messages of its 400 million users.

Requirements to be Deputy Registrar at College of Physicians and Surgeons (CPSBC) – Is something different?
Public

Z. Essak, MD – Vancouver, BC – 2015 Apr 23

medical regulation shield imageThe College of Physicians and Surgeons of BC is looking to hire a new Deputy Registrar with the deadline for applications of April 30, 2015 fast approaching.

Is there something different about the experience required in this job posting – “a career opportunity in medical regulation”?

The proven experience and qualifications all candidates should have begins with, "minimum 10 years of senior administrative experience in a complex health-related organization (e.g. regulator, health authority, association, etc.)"

Also the requirements, while including "medical degree preferred", are open to others with "master of business/health administration or law degree also accepted".

Is this a sign of changes or a shift underway at the College (CPSBC)?

Why do Ontario docs rock on a different day?
Public

I'm always happy to receive wishes to have a good day.

Today, I was surprised by a designated doctor's day on May 1 in Ontario. Complete with kids coloring page, "My doc rocks because ..."

This is new to me. I've never celebrated doctor's day or known anyone who has.

On looking a little further I found that March 30 is touted as a national doctors day,

The future of medicine and health care in BC and Canada: Where are we going?
Public

Norman Rockwell Doctors Office2016-07-21 Dr Z. Essak, MD - Vancouver, BC

What is the future of medicine and health care in BC and Canada? Where are we going?

While everyone is out having fun in the summertime, the Government and other organizations, use this time to put out information they know few will have time to see or digest. Much like they also use the busy time of Christmas and the Winter holiday season to slip through items. Some people may just consider it prudent timing, others may see it as deliberate avoidance of proper public consultation.

In recent weeks we have heard about the "GP for Me" initiative of the BC Government with co-management by the Doctors Of BC, legally incorporated as the British Columbia Medical Association.

This initiative has been one of several emanating from the agreements of 2006 and subsequently.

The goal of "GP for Me", a GP for everyone in BC who wants one by 2015, has not been met.

However, we do not hear the Minister of Health, Terry Lake, or the Doctors Of BC speak of having failed to meet the target.

Health issues for adults born with cerebral palsy
Public

What happens to children born with cerebral palsy when they become adults?

In one case an individual born with cerebral palsy when they were an adult in their early 30’s had progressive deterioration of function involving their affected upper limb.

The individual was reviewed by their orthopedic surgeon who suggested botox injections for spasms and possibly some cosmetic improvement to the upper extremity although not optimistic for functional improvement.

Don't get swept away by the spin on health care
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medical spin2016-08-22 Dr Z. Essak, MD - Vancouver, BC

We better be careful not to get swept away by the spin of BC Liberals pre-election buzz.

And when it comes to the spin on health care they're not alone.

The same spin seems to be coming from the leaders of the medical association DoctorsOfBC. Is this the result of being co-managers of BC healthcare for almost a decade through the GPSC and other initiatives?

Is it any surprise they are all so complimenting of each other?

What are we to believe? That they have a plan? That it's going to work, someday, soon?

Yes, the plan to spend tax payer dollars is happening. Billions of dollars and hundreds of millions over budget. So where are the results?

Will we see changes to copyright laws in Canada?
Public

2019-06-21 Vancouver, BC

Canadian copyright laws were updated in 2012. Now, this year, there have been two Canadian Parliamentary committees reporting and providing recommendations on changes to copyright laws in Canada.

With an election looming for later this year is this an opportunity for individuals and organizations affected to speak to candidates running for federal election? Will we see any changes to the copyright laws in the near future?

Will the new BC Societies Act transition be a train wreck?
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Dr Z. Essak, MD - Vancouver, BC - February 13, 2017.

Train wreckNo one can deny the importance of BC societies to communities large and small throughout the province, assisting all kinds of people as charitable and not for profit societies, including associations that represent occupations and professions.

What can we learn from the early example of transition by the Doctors of BC, the BC Medical Association, formerly a Reporting Society, declaring themselves to be a member-funded society and escaping public disclosure. Do they even meet the required criteria?

When we ask, it may come as a shock to learn the BC Registry is not confirming compliance requirements are met. Is the BC Government failing to provide proper leadership and oversight to the tasks of government?

Is the public trust being neglected? Will there be havoc on public interest and individual rights? Are we going to see a train wreck?

Don’t FIPPA your PIPA without knowing this when it comes to personal health information.
Public

Vancouver, BC – May 3, 2010

Stethoscope and keyboardWhen it comes to the privacy of personal health information everyone in British Columbia needs to know how FIPPA (also known as FOIPPA) is different from PIPA, and the same may apply in other jurisdictions across Canada and elsewhere.

This is of particular importance when information is shared between your doctor's private office and a hospital or clinic operated by the Health Authority which is a public body.

In BC, three different legislative Acts govern the privacy and protection of individual personal health information.  There are some very important differences in how these work and the results they have that should be known to all doctors, health providers and patients/clients.

Federal Government seeks intervenor status in B.C. health care court case
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Z. Essak, MD - Vancouver - April 26, 2016.

Below is a link to the Globe and Mail article from April 13, 2016.

Hopefully, the debate around the court case, involving Dr. Brian Day's private Cambie Surgery Centre and the BC Provincial Government with a trial scheduled to begin June 6, will not become polarized with views of exclusivity between public and private health care but instead what we could and should do to make public health care more effective so that escape valves, like private care, are less needed without eradicating access to private care by individuals should they need it.

How far do individuals have to go? If the public system delivers the needed service great. If not, is there private care here at home in Canada or do people have to go to other countries?

News Items

Will we see changes to copyright laws in Canada?
Public

2019-06-21 Vancouver, BC

Canadian copyright laws were updated in 2012. Now, this year, there have been two Canadian Parliamentary committees reporting and providing recommendations on changes to copyright laws in Canada.

With an election looming for later this year is this an opportunity for individuals and organizations affected to speak to candidates running for federal election? Will we see any changes to the copyright laws in the near future?

What are ethics and why are they important?
Public

PM Justin Trudeau, politics and tech giants.2019-03-12 Dr Z.Essak, MD - Vancouver, BC

Ethics are a big part of our lives as principles that govern our actions. Doctors take an oath to serve the patient's interest and not their own or that of others.

We expect ethical actions of people involved with our daily lives: teachers, accountants, professionals, merchants and others. It is the basis of the trust we have in them. We depend on them as people with privilege and power over ourselves, children and others.

It's not just ethics in medicine and health: it's ethics in politics, in technology, in corporations and the list goes on. People are growing more concerned about the decline of ethical leadership in politics and also business tech giants like Facebook, Google and others.

What happens when an individual's actions run contrary to ethical principles?

The late Dr Morris VanAndel, a well-respected GP and subsequent Registrar of the BC College of Physicians and Surgeons, reminded doctors in 2002 this way: "An ethical principle, by nature, is not modified by circumstances, regardless of the validity or justification of the reasons leading to the action."

Media depiction of Flu shot technique
Public

David Naismith (retired physician), Vernon BC, January 15, 2019.

On January 11th I was so disturbed by the portrayal of health professionals on TV, both in adverts and on the National, that I fired off an email to some colleagues. As usual, I learnt something as the thread progressed, so here is a distillate of that exchange.

"Cracked Science" light-hearted in-depth science for everyone
Public

The youtube channel "Cracked Science" with Jonathan Jerry provides some good humour and scientific knowledge in ten minute episodes to bring you up to speed and get you thinking.

Take a look at CRISPR is a Puppy and learn how gene therapy may be applied to human diseases.

Another episode helps to debunk the media hype on the discovery of a new human organ - "the Interstitium, the largest organ we never knew we had", Does a New Organ Explain Acupuncture? While some of this is opinionated to the reporter's own views on acupuncture, the evidence of the Interstitium is a good reminder of what we already know.

Are medical errors the third leading cause of death or disability and what can we do to protect ourselves?
Public

TEDx Stanley ParkDr Z. Essak, MD - Vancouver BC - March 4, 2018

The TEDx Stanley Park event at the Queen Elizabeth Theatre in Vancouver on Saturday March 3, 2018 was incredible with 13 (a bakers dozen) memorable and inspiring speakers and 4 brief, fun energerizer programs to keep the audience engaged. Two of the presentations addressed medical errors.

With cancer as the leading cause of death and heart disease as the second leading cause, medical errors are referred to by some as the third leading cause of death and disability.

Whether errors are third or not, it makes sense that anything that helps to reduce or prevent medical errors is worth pursuing. Every error that can be prevented has direct benefit to individuals and their families.

Celebrating and helping caregivers
Public

Patti and SherriDr Z. Essak, MD - Vancouver BC - February 16, 2018

According to Statistics Canada there are eight million caregivers in Canada. Most are unpaid, regular people who are taking care of aging and ailing parents, children with disabilities, and friends who need them. Caregivers get little or no attention, despite their massive numbers.

Some caregivers find inspiration and friendship from those they care for and some find themselves with personal challenges through caring for others. Healthcare providers may experience the same themselves and see this in those they serve.

Sharing caregivers' stories may help others find inspiration or recognize the impact on themselves and what they might be able to do.

Will the new BC Societies Act transition be a train wreck?
Public

Dr Z. Essak, MD - Vancouver, BC - February 13, 2017.

Train wreckNo one can deny the importance of BC societies to communities large and small throughout the province, assisting all kinds of people as charitable and not for profit societies, including associations that represent occupations and professions.

What can we learn from the early example of transition by the Doctors of BC, the BC Medical Association, formerly a Reporting Society, declaring themselves to be a member-funded society and escaping public disclosure. Do they even meet the required criteria?

When we ask, it may come as a shock to learn the BC Registry is not confirming compliance requirements are met. Is the BC Government failing to provide proper leadership and oversight to the tasks of government?

Is the public trust being neglected? Will there be havoc on public interest and individual rights? Are we going to see a train wreck?

Cannabis, marijuana, what do we know?
Public

Chemurgy2016-10-16 Dr Z. Essak, MD - Vancouver, BC

Cannabis is a plant that has been part of human history for thousands of years and on every continent. The uses of cannabis are far beyond just medical and recreational use.

What do we really know about cannabis?

Is cannabis more than just good for medical and health use, is it also good for the economy and the environment?

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