Attended Lecture With One Of Canada’s Foremost Celiac Disease Gastroenterologists

The Great Canadian Fart Survey

Advanced Members 3,594 posts Posted 02 June 2011 – 09:33 AM For some reason I posted this under “Post Diagnosis” so I thought I should add it here in case anyone is interested.…gist-yesterday/ 0 Confirmed celiac disease February 2011 from biopsies (had both gastroscopy and colonoscopy). Strictly gluten free March 18 2011. Diagnosed with fibromyalgia April 13 2011. 3 herniated discs, myofascial pain syndrome, IT band syndrome, 2 rotator cuff injuries – from an accident Dec. 07 – resulting in chronic pain ever since. Degenerative disc disease. Osteoarthritis in back and hips. Chronic insomnia mostly due to chronic pain. Aspartame free May 2011. Dairy free August 15 2011. Can tolerate aged cheese Jan.

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Did you know that rectal gas is potentially explosive. One patient was undergoing a sigmoidoscopic examination for removal of a polyp in the large bowel. When the bowel was cauterized to control bleeding the collection of gas caused an explosion. This resulted in a six inch tear in the intestine and the force blew the doctor across the room . The patient had ignored advice to take an enema to remove gas prior to the procedure. Everyone has experienced being present at a dinner party, needing to pass flatus and wishing to be in the Sahara desert. But retaining gas may cause harm. Dr. Wynne-Jones a New Zealand physician claims being polite results in herniations of the bowel (diverticulosis) due to constant pressure from the gas. He advises patients to pass flatus whenever necessary. But he makes no mention of whether he’s ever invited a second time to dinner parties.

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Canada’s New Medical Marijuana Rules Cut Homegrowers, Pharmacists Out

Canada announces new medical marijuana rules

Health Canada said since the medical marijuana program was introduced in 2001, it has expanded to 30,000 people from the original 500 authorized to use the product. “This rapid increase has had unintended consequences for public health, safety and security as a result of allowing individuals to produce marijuana in their homes,” the department said in a news release. “Under the new regulations, production will no longer take place in homes and municipal zoning laws will need to be respected, which will further enhance public safety.” Under the new regulations, the government will allow patients to buy prescribed amounts only from licensed growers who will be required to meet strict conditions. In previous versions of the regulations, pharmacies were to distribute the product just like other medications, provoking concern from pharmacists, who expressed concerns about dispensing a product without sufficient research. They also cited security concerns. The final version removes the pharmacists from the loop, leaving patients to rely on mail order for their medical marijuana. “While the courts have said that there must be reasonable access to a legal source of marijuana for medical purposes, we believe that this must be done in a controlled fashion in order to protect public safety,” Aglukkaq said in a statement. “These changes will strengthen the safety of Canadian communities while making sure patients can access what they need to treat serious illnesses.” She used similar reasoning last week when she introduced new hurdles for the creation of supervised drug-injection sites in response to a court ruling. Physicians and pharmacists alike questioned the regulatory changes, saying there is little evidence that medical marijuana is either effective or safe. The umbrella group representing the country’s colleges of physicians and surgeons said the changes won’t protect people. “We believe that the new federal medical marijuana regulations put patients and the general public at risk,” Dr. Rocco Gerace, president of the Federation of Medical Regulatory Authorities of Canada, said in a statement. “Physicians should not be asked to prescribe or dispense substances or treatments for which there is little or no evidence of clinical efficacy or safety.” In December, the president of the Canadian Medical Association, Dr. Anna Reid, described the proposed marijuana rules as “akin to asking doctors to write prescriptions while blindfolded.” “Not only does prescribing drugs that haven’t been clinically tested fly in the face of medical training and ethics, but marijuana’s potential benefits and adverse effects have not been rigorously tested.” The Canadian Pharmacists Association responded in February to a set of draft rules.

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Liver specialists urge hepatitis C screening strategy in Canada

The authors said Baby Boomers are the most likely group to have hepatitis C, though most infected individuals dont know they have the illness. Early treatment can cure hepatitis C, but the advanced stage of the disease can cause liver damage. Baby boomers are much more likely to be infected with hepatitis C than other age groups, Jordan Feld, one of the authors of the article, said. Most people who have the infection have no or very few symptoms even if theyve been infected for decades. Without symptoms, many infected people have no idea they have the disease until its too late. In the article, the authors presented arguments and data in favor of developing and implementing a national screening program for hepatitis C in Canada. The currently recommended Canadian approach is to test based on risk factors, such as receiving blood transfusions or blood products before 1992, using injection drugs or receiving piercings or tattoos in an unclean environment. The U.S. Centers for Disease Control and Prevention recently recommended screening all individuals born between 1945 and 1965 for hepatitis C virus. Hepatitis C has the greatest impact of all infectious disease in Ontario, even more so than HIV, influenza virus or human papillomavirus, Hemant Shah, the clinic and education director of the Francis Family Liver Clinic in Toronto Western Hospital, said. Its a life-changing diagnosis, yet there is a huge gap in public and healthcare provider awareness about the disease, its implications and the treatment options for patients. The authors pointed out that risk-factor based screening was not successful in other countries, including the U.S. and Europe. The authors said the U.S. adopted the new policy after showing that identifying infected people and treating them early could save lives and money. Now is the time to consider a national screening strategy, Feld said. This silent epidemic can be prevented and many more lives could be saved with Baby Boomer screening, follow-up treatment and a major education campaign. Feld and Shah also pointed out that awareness about the illness should be improved among healthcare professionals.

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Canadian Doctor Total At Record High

Canadian doctors share national sense of disgruntlement

“The year 2012 saw the highest level of physicians per capita ever recorded in Canada,” the authors of the reports said. What’s more, the six-year trend of growth in the number of doctors outpacing population growth is expected to continue since data from medical schools indicate more students are graduating with MD degrees. Between 2008 and 2012, the number of female physicians increased by nearly 24 per cent, while the number of male doctors increased by 10 per cent. In all provinces, women represented a larger proportion of family doctors than specialists. Since 2008, the number of doctors working in rural areas increased five times faster than the rural population, with almost 6.400 physicians in 2012. But the numbers alone don’t present the full picture. It’s important to ask not just how many doctors are needed, but where are they most needed and in what specialties, said Geoff Ballinger, CIHI’s manager of physician information. Kristin Speth, 35, of Toronto, has been looking for a regular doctor since she moved from Alberta four years ago. She’s had headaches since childhood and has been going to walk-in clinics but is frustrated with the experience. She’s tried the provincial service to find a doctor but keeps getting notices saying there are no leads. “It is extremely frustrating,” said Speth. “It’s just so hard to find someone who will just stay longer than the one year that I need for my physical. They just don’t stick around or you know, you can’t find anyone who is taking new patients.” In 2011-12, clinical payments to doctors’ offices also increased nine per cent over the previous year to more than $22 billion, the institute reported. In the two previous years, the increases were 6.1 per cent and 7.9 per cent, respectively.

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Doctors in Alberta, Quebec and Ontario are all upset, all about the same thing money although for different reasons. Quebec doctors are furious at the Parti Quebecois government for asking them to delay a pay increase negotiated by the previous government to help bring pay levels up to those in the rest of the country. Canadian doctors are among the worlds best paid , but Quebec doctors lag behind the rest of the country and reached an agreement with former premier Jean Charest for long-term increases to narrow the gap. But Quebec is also the most heavily indebted province in the country, and the PQ, which brought down its first budget last week, wants the doctors to help out a bit by delaying the hike. Dr. Gaetan Barrette, president of the Federation des medecins specialistes du Quebec, said Thursday his members have been ringing his phone off the hook since Finance Minister Nicolas Marceau suggested earlier in the day that doctors should put off for as long as seven years their 9.2-per-cent average pay increase. The increase will cost the province $530 million this coming year and $540 million in 2014-2015, a total of $1.07 billion for the two years. Under the circumstances, their anger seems reasonable enough. The PQ also broke its promise to cancel a much-disliked health tax, and will increase it instead, to $1,000 from $200, plus a 1.75% surtax on high-income earners, meaning the doctors will be paying top rates to help fund an increase they wont be getting after all, if the province has its way. Albertas doctors are at the other end of the spectrum. Already the highest paid in the country, theyd been negotiating for a new contract for 20 months, only to have one imposed on them last week by Health Minister Fred Horne. They arent pleased, and say the deal isnt good enough. We were shocked, surprised. We were taken off guard, lamented Alberta Medical Association president Dr. Michael Giuffre.

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Doctors’ Strike May End Soon

This is even as private hospitals, especially in Abuja, are counting the gains of the four-day old strike embarked upon by the resident doctors to press home their demands for better condition of service. The meeting, convened by the Minister of Labour and Productivity, Chief Emeka Wogu, is expected to lead to the calling off of the ongoing strike. Although details of the meeting were not available at the time of filing this report, a source said that a compromise was likely. However, as the strike lingers, private hospitals in the Federal Capital Territory, FCT, are counting gains from increased patronage by patients. Major Federal Government- owned hospitals are also struggling to attend to in-patients and emergency cases, while patronage by out-patients continues to decline. When our reporter visited the National Hospital yesterday, a few patients were seen on hospital beds being attended to by consultants, who are not part of the ongoing industrial action. In an interview with National Mirror, the Public Relations Officer of the hospital, Mr. Tayo Hastrupp, said: The consultants are working, but the resident doctors are not working. The issue is if we had received 100 patients before, it would reduce. We are attending to emergencies. Our patients are in the wards. The doctors, who are youth corps members and house officers are not working, but consultants will continue to work; there is no way the strike of the resident doctors will not affect the rate of work in the hospital. The Chief Medical Director, University of Abuja Teaching Hospital, UATH, Dr. Peter Alabi, called on the striking doctors to consider the plight of Nigerians and dialogue with the government on their grievances. The CMD made the call in an interview with journalists, stressing that the hospital was coping with challenges arising from the strike. Similarly, the Federal Staff Hospital, Abuja, had fewer patients than other federal hospitals in the FCT as a result of the strike.

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