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Internet search activity as measures of human health trends
Public

With millions of searches done on the Internet every day it is no surprise that search engine giants like Google are exploring many applications of the search activity data.

One interesting application of Internet search activity data is Google Flu Trends that while providing graphs of results from New Zealand, Australia and the United States, says of itself:

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

Burnout and Resilience
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Vancouver BC - Oct 19, 2011.

burning candleA talk on burnout in doctors at a recent conference in Vancouver provided good information and stimulated further exploration.

During questions the speaker said the prevalence of burnout in doctors is 20 percent and tends to occur in pockets or clusters.

The talk focused on burnout resulting from lack of recognition while caring for others. Although burnout can also result from lack of recognition from colleagues and co-workers, lack of resources, and degree of bureaucracy.

Burnout can also occur in other aspects of our lives besides our work.

Good news from the talk is research shows that when individuals examined their level of burnout and attended to the risk of burnout they were not only able to reduce their current risk but their future risk of burnout continued to remain less and even improved further over time.

Highlights of the BC OSCAR-EMR Users Group Meeting
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Vancouver, BC - April 27, 2010

Oscar EMRThe two-day meeting held on April 19-20, 2010 in Vancouver was very well attended with over 150 people including physicians, office staff and system providers and integrators.  There was a buzz of excitement throughout the two days of meetings and many “ah-ha” moments amongst those attending.

Here are three highlights from the meeting, not in any particular order: the OSCAR-CAISI integration, the MyDrugRef physician social network for sharing prescribing tips that are also displayed in the new OSCAR prescription module, and the MyOscar personal controlled health record for patients to receive and even provide medical chart information as participants in their own health care with their physician and health team.

Rethinking the Internet: How We Lost Control and How To Take It Back
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Rethinking the Internet, scene of the debate.This is an interesting and thought provoking 1 hour video interview and debate. It begins with a 5 minute overview and then proceeds with an interview by moderator Bill Blakemore with Jaron Lanier, a long-time computer scientist and developer and the father of virtual reality, who is concerned about the use of behaviour modification "to engage and addict you to algorithmic exploration until we find whatever it is that will get you".

Following the interview there is a debate with four speakers; Tim Hwang, Meredith Whittaker, Aviv Ovadya, and Brett Frischmann. They touch on many aspects of not only the Internet but also power in organizations, how it's lost and who has it.

Health Records and Privacy (Humour?)
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If you haven't already seen this, here is a somewhat humorous piece from the American Civil Liberties Union

http://www.aclu.org/pizza/images/screen.swf

You can also check out their home page for other interesting news stories,

http://www.aclu.org

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

"Deja Vu" - Dr Norman Rigby
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Dr. Norman Rigby, Retired GP and Former Executive Director BCMA.

"The best thing we had going for us was the District 6 Newsletter."

"It excited the attention of the membership."

"What really changed things was when ... the administrator became the President of the hospital, ... and governments started to deal with the President not the Board."

Video highlight from June 3, 2006 Forum for Physicians, Vancouver.

"Deja Vu"
Dr. Norman Rigby, Retired GP and Former Executive Director BCMA.

Deja Vu, Dr Norman Rigby link to video

Lessons from Enron, for our system (and our profession)?
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Jim TurleyLast week, Jim Turley, Chief Executive Officer of Ernst & Young, was asked by Charlie Rose:

What are the lessons of Enron, and how did it happen?

His reply:

Well, look, I think that, at the end of the day, you know, the profession wasn't as focused on the delivery of quality as we needed to be, back in the 90s and leading up the the Enron era, and so what happened after was really important.

BC Auditor General issues report on Electronic Health Record (EHR) Implementation.
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Health professionals not effectively or adequately engaged.

Approach should ensure health professionals, stakeholders and the public are informed.

BC Auditor General, EHR implementation in BCOn February 17, 2010 the Auditor General of BC, John Doyle, issued his report on “Electronic Health Record Implementation in British Columbia” which is available on their website http://www.bcauditor.com

In his report, the BC Auditor General, acknowledges “The development and implementation of an EHR system … is a complex and high-risk endeavour … because of the large investment of public funds” and “because collecting, storing and disclosing information electronically raises concerns about the privacy and security of personal health information”.

Concerns about the privacy and security of personal health information is not covered to any great extent in the BC Auditor General’s report.  However, several issues have been reported on by the BC Commissioner of Privacy and individual orders are available on their website, http://www.oipc.bc.ca/.  The BC Civil Liberties Association also provides information and discussion on eHealth issues on their website, http://www.bccla.org/ehealth.html

BC is one of five Provincial Auditor General Offices that will issue separate reports for their jurisdictions and the Office of the Auditor General of Canada will be issuing a joint summary report in April 2010.

There’s more in the full report than contained in the news release and Executive summary.  Here are some key highlights.

are you sure you want to drive this car ?
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You are done driving your bicycle, as you have successfully completed your race car driving school.

You decide that it is time to buy a car and put your training to use, driving people around, to feed your family, pay your student loans, mortgage etc …

You go to the only car dealerships available, all state owned dealerships, and you have no choice as they have a state sanctioned monopoly.

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

Health issues for adults born with cerebral palsy
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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.

Understanding Generations X, Y, Z and more
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Have you ever felt overwhelmed by the growing list of names for different generations; boomers, gen-X, millenials, zoomers and what follows? Here are a couple of links that may help.

Will we see changes to copyright laws in Canada?
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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?

News Items

Rethinking the Internet: How We Lost Control and How To Take It Back
Public

Rethinking the Internet, scene of the debate.This is an interesting and thought provoking 1 hour video interview and debate. It begins with a 5 minute overview and then proceeds with an interview by moderator Bill Blakemore with Jaron Lanier, a long-time computer scientist and developer and the father of virtual reality, who is concerned about the use of behaviour modification "to engage and addict you to algorithmic exploration until we find whatever it is that will get you".

Following the interview there is a debate with four speakers; Tim Hwang, Meredith Whittaker, Aviv Ovadya, and Brett Frischmann. They touch on many aspects of not only the Internet but also power in organizations, how it's lost and who has it.

The Bhagavad Gita Comes Alive
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The Bhagavad Gita Comes Alive coverDr Chris Sedegreen.

Some time before the Christmas holiday a colleague mentioned a book, The Bhagavad Gita Comes Alive, on the Doclounge listserve. I’d like to thank him for bringing this lovely book to our attention. I ordered and received the paperback version (somewhat cheaper than the hard cover, but in retrospect I wish I'd ordered the hard cover). This publication is beautifully printed.

Is virtual medicine essentially unprofessional?
Public

How the College of Physicians and Surgeons of British Columbia

Fails the Citizens of the Province

Below the banner of the College of Physicians and Surgeons of British Columbia (CPSBC) web site, College of Physicians and Surgeons of British Columbia (cpsbc.ca), they proclaim that their mission is “Serving the public by regulating physicians and surgeons”.

Christmas Carols and Songs for 2020
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Hark When Bonnie Henry Speaks sheet music imageAfter the start of a discussion by our colleague Dr David Naismith sharing a parody on "We Three Kings" with lyrics by R.G.Huff another colleague, Dr Chris Sedergreen, added several more Christmas songs and carols where he has penned words for reflection of 2020. First shared by email they are now here for more people to enjoy. They are attached as pdf files with the words and the music.

There are pdf files for each of the four songs: "We Three Queens", "Tread The Ward", "The Rest’raunt Sign Says ‘Closed’ Again" and "Hark When Bonnie Henry Speaks".

The courts will not save Canada's sick health system; Dr Day is not a gadfly
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The BC ruling, after grinding through the courts for a decade, is but a reminder that Canada's sick health care system will not be cured by its dysfunctional legal system. To expect our system to be saved by the courts amounts to, at best, magical thinking, while more and more Canadians who suffer in silence and risk dying from inability to access essential care will "just have to wait".

Understanding Generations X, Y, Z and more
Public

Have you ever felt overwhelmed by the growing list of names for different generations; boomers, gen-X, millenials, zoomers and what follows? Here are a couple of links that may help.

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

Telehealth, what does it mean?
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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?

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