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Thursday, August 11, 2016

ideas for LHIN

If system transformation was fully achieved in the Central East LHIN, what would it look like in your own words, taking into consideration and including the role of Primary Care and Family

Setup program to train lay volunteers to take up roles as health educators to augment our strained human resources; create templates for “health internship programs” for students and “health education senior internship programs” for the retired.  
Young people:
Collaborate with schools & colleges to identify children at risk for mental health illness & to begin mindfulness training classes in schools & broaden health teaching and other essential life skills classes in schools.
Track high risk patient list  (complex, chronic disease, resource poor, mental health, addiction)
For each of the above high risk group, ensure adequate funding for effective education/prevention programs that have proven to ameliorate the risks.
Why would you like to support the Central East Health Links?  What steps do you see as essential to take in order for family doctors and Nurse Practitioners to engage in Health Links more broadly across the Central East LHIN?

The transformation should improve Canadian universal health care: delivery and sustainability.

Care partners need to be more conscious of the importance of not only being an educator of health care issues but to become educator of future educators.

Care partners needs to have a stronger morale - to feel the gratification of having an incredibly important role in our society; as educator of healthcare educators and health care deliverer.

Monday, June 13, 2016

Can we immunize our kids against Addiction and Mental illness?

Can we "immunize" our kids against Addiction and Mental illness? 
Vaccination has proven to save lives.   Can we immunize against Addiction and Mental illness?
Nadar asked some excellent questions!!
"...So does anyone have any ideas? With all the apps, websites and blogs, is there any effective answer to the question of countering self-harm that has plagued Humankind forever? Would it be focused family upbringing? Sure. But obviously that leaves out many people who do not have that good fortune...."
Yes indeed, our Health Care Systems is fighting a losing battle --- against whom?
Nader suggest the fight is really against a legion of "self-harm", "addictions" wrought by profit driven corporations.  Except for those with good fortune of having some equivalent of a "focused family upbringing", the rest are helplessly at risk.
If it is knowledge and understanding that is badly needed for those who are less fortunate, why not bring the battle into the classrooms in elementary schools; lets vaccinate the children against addiction and mental illness.
Offer classes and workshops on addiction and mental health (and other aspect of health and life-skills)
Examples for Elementary school: "why do kids bully?", "why do my parents yell at me?", "Why should we be polite and listen?", "What happens to the food we eat?"...
Examples Post-elementary School: "Why do I get nervous", "Why do I get sad", "Why do I get so angry?", "why do some kids hurt themselves?", "What is panic disorder?", "why do I have a headache?", "Why is Math important to me"
Bring the best educators, speakers, artists, entertainers, courses and workshops to the classrooms with online, appropriate medium and MOOCs (Massive Online Open Courses).
Train the teachers to be facilitators and allow the students to learn from the best with the best tools and from each other through workshops and role playing.
Finally improve the process by following the real data;  let the kids decide which method is better...Cream rises to the top.
Should such a "immunization" program be implemented?
If so, how?

Tuesday, June 7, 2016

Youth suicide highlights a healthcare system in crisis

“If we are to reach real peace in this world… We shall Have to begin with our children.” -- Mahatma Ghandi

Patient-resource is the largely forgotten component of many discussions on healthcare.
The only way to keep up with a forever growing healthcare demand is to grow supply at an equal pace.
Health care must be everyone's business.  A population well informed about healthcare = a healthier population = more efficient health care system.

Let's encourage the use of well developed concept of "online forums", listserv and "MOOC's" as efficient ways to pass on knowledge. Train our health care providers not to be satisfied with only helping one patient at a time but to become health care teachers of teachers.
Let’s expand the health care teaching in primary school to include mental health teaching; such preventative health education should start in the "formative years"; it is a "mental illness vaccine" against mental health illness such as anxiety/depressive disorders, bullying and teenage suicides)
Let’s encourage or expand high school and university co-op programs & internships in health care facilities ( including doctor's offices); students learn about health care, become teacher of more junior students, develop leadership skills and people skills; health care provider gets inexpensive human resources.
Let's encourage students of arts to promote healthcare teachings and healthcare knowledge translation using the medium of their choice.

Perhaps most important of all, let’s encourage business and marketing students to promote the above concepts using modern marketing medium; if the marketing minds can make the drinking of certain beverages seem so sexy why not invite them to sell us on the Power of Healthcare Knowledge - only a motivated populace of learners and teachers of healthcare knowledge will ensure a healthier population and sustainable healthcare system.

Wednesday, February 3, 2016

ZIKA Virus

Should I go to a Zika area? ( click link to find out the current Zika area)

To Pregnant women:  DON'T GO!!!  

To everyone else (male and female (who are post menopausal or on the "pill"))

The same mosquitos that carry Zika also carry Chikungunya and Dengue fever.

While visiting Zika area, live in an air conditioned hotel with walls sprayed with residual insecticide, long sleeves and slacks (preferably cotton so they don't dissolve with the DEET being applied every 1 1/2 hours to collars and cuffs), broad brimmed (Tilley) hat with DEET on the brim  (every 1 1/2 hours), move slowly so you don't pump out so much CArbon dioxide (attracts mosquitoes), light colored clothing, depending on the location and wind, burn the outdoor repellant lamps if possible;
Wear condoms so no one else becomes high risk. ( It is possible to transmit Zika sexually)

Finally, the main reason you are doing all this is to prevent Dengue and Chikungunya which, unlike Zika (for the most part), can REALLY make you sick.

Newly released!  Canadian Guidelines on the prevention and treatment of Zika Virus infections.

For audio clip from an expert

Let's all help control the spread of Aedes Albopictus (carrier of Zika)

Sunday, January 10, 2016

Flu, Measles, Meningitis, Pneumonia and Shingles vaccines

Flu shots are in!
Please come in for your flu shot, It is important!   no appointment necessary.
Who should receive MMR boosters?
If you are born between January 1st 1956 to December 31st 1998 and not sure if you have had two doses of vaccines against measles, you will qualify for a booster dose. 
Who should receive meningococcal vaccines?
All adolescents age 11–12 years
All previously unvaccinated adolescents age 13 through 18 years
All previously unvaccinated first-year college students age 19 through 21 years who are or will be living in a residence hall
Who should receive the Shingles Vaccine?
Zostavax™ is recommended for the prevention of herpes zoster and its complications in persons 60 years and older without contraindications (NACI recommendation A, good).
Who should receive Pneumonia vaccines?PCV13 and PPSV23 (Prevnar 13 and Pneumovax 23)

The ACIP recommends that both PCV13 and PPSV23 be given sequentially to all adults aged ≥65 years and to adults of any age who have the underlying conditions.
All adults age 65 years and older.  
Any adult with chronic illness (hypertension is excluded)

Sunday, January 3, 2016

Plantar Fasciitis

Suffer plantar fasciitis or "heel spurs"? Maybe expensive arch supports are not necessary?
As a family doc who used to suffer the above condition, I'd like to share my insight.

The pain from plantar fasciitis or "heel spur" is a myofascial pain that is felt any where along the arch of the foot from the heel forward.
It's related to fatigue and spasms of the small muscles in the arch of the foot.  ( this is why it often partially relieved after walking for a while)

To relax and stretch the muscles involved try this:

When walking, place more weight on the heels and lightly lift toes off the floor... Imagine gently touching the roof of the shoes with the top of toe nails.

Worked for me and few friends and patients; I hope it works for others too.

Saturday, January 2, 2016


Our New Location

We are a group of four family physicians in the Ajax Harwood Plaza since 1990. 
Since January 2015, we have relocated to our new wheelchair accessible space:
T: 905 683 0690      |       Fax: 905 683 1431
It is conveniently located across from the Ajax Town Hall and next to the beautiful Debbie's Boutique Cafe

Medications and Prescription Renewals

Please bring all current medications ( regular meds, meds used as needed regularly) to all your doctor's appointments.
Medication list can be altered by specialist, by pharmacists and by yourself both intentionally and unintentionally; it is imperative that your family doctor knows what medication you are on.
If you come to your appointment without your medications, you may be asked to make another appointment so that you can bring in your medications to avoid mistakes.