Monday, February 23, 2009

Google Lies

Well, probably not intentionally. But don't trust Google Maps implicitly, for you might end up with something like this:


View Larger Map

Note the portion of Dalhousie University located at right, and you'll notice something called the Halifax Infirmary. Sounds like a hospital, right? Well, it was, until it was replaced and later demolished... in 2005. In fact, the original building has been vacant since 1998, as the "New" Halifax Infirmary opened in 1996. What's notable about this? Well, Google didn't exist until Sept. 1998, and Google Maps didn't appear until Feb. 2005, admittedly a few months before the old Infirmary was torn down. Though it had been vacant for some seven years before that.

The question remains - why is the HI still appearing on Google Maps in a location which for three-and-half years has existed as a vacant patch of gravel next to a pay parking lot?

Tuesday, February 17, 2009

Naturopathy in BC?

I'm not surprised this is happening in British Columbia:

Naturopathic doctors in B.C. could soon be allowed to prescribe medications if the provincial government goes ahead with plans to change its health profession regulations.

The changes would make B.C. the first province in Canada to grant naturopathic doctors the authority to prescribe drugs such as antibiotics, painkillers, and antidepressants.

But the B.C. Medical Association is concerned about the potential move, arguing patient safety will be put at risk if the changes are allowed.

In a letter written last month to the province's medical doctors, BCMA president Bill Mackie said the association "is significantly concerned with the expansion of scope proposed for naturopaths... "
Thoughts on this? The College of Physicans and Surgeons of BC is very opposed, mainly on the grounds of patient safety (which are quite well founded - to start with, naturopaths don't have remotely equivalent training to physicians of any kind, much less nurses or pharmacists, when it comes to prescribing drugs, ordering diagnostic tests, or, well, making diagnoses of any kind.

And isn't it kinda ironic that naturopaths - who disdain pharmaceuticals as part of their MO - want to be able to prescribe them? (I'm not into the whole "holistic" versus "reductionist" argument either. There is a way based on evidence and science and another based on an odd mix of traditional/folk techniques (some with actual benefits) and wonky homeopathy.)

Plus, when I think of naturopathic "medicine", I am always reminded of this:

TOR: No. You know, I am not a business man. I'm a holistic healer. It's a calling, it's a gift. You see, it's in the best interest of the medical profession that you remain sick. You see, that insures good business. You're not a patient. You're a customer.

JERRY: (He thinks this, the audience can hear his thoughts) And you're not a doctor, but you play one in real life.
Just because naturopaths call themselves doctors and stick "ND" after their name like it's a university degree (it isn't, at least not in Canada) doesn't make them such or qualified to pretend that they are.

Tuesday, January 20, 2009

Endoscopy is Cool

Gastroenterology is very procedure-based. I saw one of these today.



Down the esophagus, through the lower esophageal sphincter, through the body of the stomach, down the antrum, and out through the pylorus into the duodenum.

Monday, January 12, 2009

New name!

I think it's about time I rechristened this blog, particularly since I'm no longer living in Waterloo and unlikely to return there that soon (and certainly not to live). It is very wintry in Halifax, though, so I might consider going with "Habitating in Halifax" - nice and alliterative. That's perhaps a bit silly, though, so I might have to think of something else. I might change the template too. We shall see! I'm welcome to any suggestions of course.

Friday, January 9, 2009

Concerning winter air travel...

It's not too fun. In December, flying from Halifax to Toronto necessitated waiting from 8:30am to 3:30pm to find out that our flight was cancelled, and subsequently waiting until after midnight to depart on our rebooked flight. This rebooked flight routed us through Montreal, so we sought and found a quiet area in the departure lounge at Dorval to "sleep" for a bit before our 6:30am flight to YYZ. All in all, we spent about 24 hours from arriving at the Halifax airport to arriving at Pearson. It wasn't *that* bad, and I can't blame the airlines for the weather or icy runways (and unlike WestJet, Air Canada has many more flights on more routes, along with a "secret" reservations line for relatively quick re-bookings), but I'd sooner fly in the summer or, well, at any time of year apart from Dec/Jan.

The trip back was a dream in comparison. I had a brief stopover in Ottawa, whereupon I was called to the gate as I evidently needed to change seats. They put me in executive class and, as ever, the Seinfeld depiction is almost wholly accurate (though my meal was just a light lunch).

Random Stuff

I've been quiet of late, primarily because of being away from the internet (or else focussing on physiology). Next week we delve into the workings of the gastrointestinal system. Exciting, eh? Interestingly, Dr Des Leddin, the head of GI at the QEII here in Halifax (and our intial GI lecturer), appears in this CBC story concerning a study concerning the effectiveness of colonoscopies at detecting cancerous growths. That's suitably random, I think.

Otherwise, the next exam approaches, comprising 80 multiple choice questions with 8 for each week of this unit. I think I have just enough time to study, but we shall see. The other big news is that I have two opportunities for an international elective in the summer - (possibly) Thailand or Austria. I'm really not sure which I prefer at this point, though Thailand might be more of once-in-a-lifetime thing. How often do you get a chance to learn about rural community medicine in Southeast Asia? I'm open to any suggestions there!