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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.

BC Covid-19 Survey gets quite personal
Public

BC Covid-19 SurveyThe BC Covid-19 Survey has just been launched and people can participate until the end of May 2020.

The survey takes longer than the 10-15 minutes claimed and while the survey does allow people to answer anonymously and answer only the questions they wish to, it does include a number of questions that reveal a lot of private personal information including the individual's PHN if they wish.

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 the time to put out information they know few people 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.

Federal Government seeks intervenor status in B.C. health care court case
Public

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?

Update on CPSBC Bylaw Amendments - Associate Physician
Public

We wish to express our sincere thanks to the more than 600 BC physicians who signed the group response letter in less than 48 hours. The overwhelming response with more than 150 comments expressed strong concerns about the precedent-setting CPSBC Bylaw amendments and the potential detrimental effect on patient safety and the quality of care delivered in BC. Please see our update letter sharing what we have learned and what can be done to help uphold the integrity of physician practice in BC, keeping our patients, communities, and families safe.

BC Covid19 Math and Stats modelling lecture May 14, 2020
Public

BC Covid19 Realtime modellingThe "bcCOVID-19 group Lecture: Real time modelling of the COVID-19 epidemic - perspectives from British Columbia" was delivered as a Zoom lecture and was recorded. The first speaker Caroline Colijn provides an interesting explanation of the use of mathematical modelling and how this is being used to develop data driven policies. Her presentation includes some graphs that are quite useful.

Telehealth, what does it mean?
Public

Telehealth collageWith tongue in cheek some might say it was about time we made more use of the tech we've got and now here we are all using telehealth. What does it mean? What does it look like? How does it work?

Society-changing infections - parallels to the polio epidemic of 1927
Public

Poliomyelitis – a.k.a. “The Crippler” or “infantile paralysis” - is a viral disease that primarily, and quite harmlessly, infects the gastrointestinal system. But if the poliovirus survives and is able to enter the bloodstream and nervous system it can cause damage to motor neurons in the spinal cord that connect the brain to muscles. Such damage interferes with muscle control, causing weakness or paralysis.

"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.

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)?

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

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?

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.

Rick Mercer's 2013 Rant - Scientists Muzzled Again
Public

Rick Mercer Rant Scientists Muzzled Again

This is one of my favorite Rick's Rants. In less than 2 minutes he lays it all out. Beginning with the problem for scientists then in the middle he turns it up a notch, "Get over yourselves. It's not like scientists are the only ones being told to shut up. No, it's everyone." Then after some fine examples he ends with a polite, "Thank you for not talking." A great entertaining and thought provoking rant.

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.

News Items

BC Covid19 Math and Stats modelling lecture May 14, 2020
Public

BC Covid19 Realtime modellingThe "bcCOVID-19 group Lecture: Real time modelling of the COVID-19 epidemic - perspectives from British Columbia" was delivered as a Zoom lecture and was recorded. The first speaker Caroline Colijn provides an interesting explanation of the use of mathematical modelling and how this is being used to develop data driven policies. Her presentation includes some graphs that are quite useful.

BC Covid-19 Survey gets quite personal
Public

BC Covid-19 SurveyThe BC Covid-19 Survey has just been launched and people can participate until the end of May 2020.

The survey takes longer than the 10-15 minutes claimed and while the survey does allow people to answer anonymously and answer only the questions they wish to, it does include a number of questions that reveal a lot of private personal information including the individual's PHN if they wish.

Update on CPSBC Bylaw Amendments - Associate Physician
Public

We wish to express our sincere thanks to the more than 600 BC physicians who signed the group response letter in less than 48 hours. The overwhelming response with more than 150 comments expressed strong concerns about the precedent-setting CPSBC Bylaw amendments and the potential detrimental effect on patient safety and the quality of care delivered in BC. Please see our update letter sharing what we have learned and what can be done to help uphold the integrity of physician practice in BC, keeping our patients, communities, and families safe.

Telehealth, what does it mean?
Public

Telehealth collageWith tongue in cheek some might say it was about time we made more use of the tech we've got and now here we are all using telehealth. What does it mean? What does it look like? How does it work?

Society-changing infections - parallels to the polio epidemic of 1927
Public

Poliomyelitis – a.k.a. “The Crippler” or “infantile paralysis” - is a viral disease that primarily, and quite harmlessly, infects the gastrointestinal system. But if the poliovirus survives and is able to enter the bloodstream and nervous system it can cause damage to motor neurons in the spinal cord that connect the brain to muscles. Such damage interferes with muscle control, causing weakness or paralysis.

The Future of Psychiatry?
Public

Dr. Chris Sedergreen.

A highly respected psychiatrist has recently sent a letter to her patients announcing her decision not to return to clinical practice. I've known her professionally for over 15 years and can attest that her departure will leave a gap in her patient's lives that will be almost impossible to fill.

Will we see changes to copyright laws in Canada?
Public

2019-06-21 Vancouver, BC

Canadian copyright laws were updated in 2012. Now, in 2019, two Canadian Parliamentary Standing Committees delivered reports with recommendations on changes to copyright laws in Canada.

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."

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