WINTER 2014

inside: CONTINUING MEDICAL EDUCATION CALENDARPUBLICATIONS MAIL AGREEMENT #41073506

life+leisure

WIN

TER

201

4

where wil l you meet? W H I S T LE R / N E W YO R K / T I B E T / M U N IC H / KO N A >>

DOCTORS

+ escape to BAHAMAS Speed Week

+ Team Broken Earth in Haiti

+ hot winter MUST-HAVEs

+ living LA DOLCE VITA…

ice climb in

Alberta

explore the

Big Island

win a VISA gift card! PAGE 37

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Joseph R. Mikhael, M.D., Associate Professor of Medicine, Mayo Clinic College of Medicine and Associate Dean, Mayo School of Graduate Medical Education

WINTER 2014 JUST FOR CANADIAN DOCTORS 3

13

FEATURES

13 climbing Canmore Via shimmering sheets of ice

18 go big in Hawaii Where the Big Island offers it all

COLUMNS

8 photo prescription Shooting on the move

10 motoring Bahamas Speed Week

12 pay it forward Dr. Paul Duffy and

Team Broken Earth

16 the thirsty doctorEssential bar tools,

part 2—the booze

17 the hungry doctorThe slow braise

31 doctor on a soapbox Other side of the stethoscope

32 the wealthy doctor La dolce vita

WINTER 2014 CONTENTS

DEPARTMENTS

5 winter mix

25 CME calendar

33 employment opportunities

37 sudoku

38 small talk with Dr. Alister Frayne

18

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DOCTORSJ U S T F O R C A N A D I A N

life + leisure

WINTER 2014

Editor Barb Sligl

Art Direction BSS Creative

Contributing Editor Janet Gyenes

Editorial Assistant Adam Flint

Contributors Michael DeFreitas Dr. Holly Fong Darryl Leniuk Dr. Chris Pengilly Manfred Purtzki Dr. Kelly Silverthorn Roberta Staley Cover photo B. Sligl

Senior Account Executive Monique Nguyen

Account Executives Wing-Yee Kwong Lily Yu

Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie St. Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: [email protected]

Associate Publisher Linh T. Huynh

Production Manager Ninh Hoang

Circulation Fulfillment Shereen Hoang

CME Development Adam Flint

Founding Publisher Denise Heaton

Just For Canadian Doctors is published 4 times a year by Jamieson-Quinn Holdings Ltd. dba In Print Publications and distributed to Canadian physicians. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications.

In Print Publications200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada

www.justforcanadiandoctors.com

Printed in Canada.

miss an issue? check out our website!

COVER PHOTO Blissful pool-side lounging at the Four Seasons Resort Hualalai on the Kohala Coast of Hawaii’s Big Island…just one must-stay stop on our tour of this magical isle. Story on page 18.

4 JUST FOR CANADIAN DOCTORS WINTER 2014

Embrace the ice. It’s chilly, yes but it’s

also striking beauty-wise. Just think

of the crystalline forms found in the

curtains of ice that are frozen waterfalls. In

winter, ice climbing such slick routes only

makes the scenery—and your foothold (or,

rather, crampon-hold)—that much better.

Just outside Canmore in Alberta,

the winter onslaught means a spike in

adrenaline-seeking ice climbers and a

chance to discover an entirely different

perspective. Waterfalls are now slick

climbing walls. Game on. And, if you’re a

beginner, then the rush only promises to be

that much richer (see page 13).

If you want a more controlled

environment, there’s the man-made

climbing tower at Big White near Kelowna,

BC. Under the patient tutelage of young-

and-very-with-it guides, you’ll scramble to

the top, pretty much guaranteed. Those

guides’ patient encouragement may not

help win you any races, but this kind of

exertion is one surefire way to partake in

winter’s wonderland. (page 6).

Most of us, though, will opt for the

winter getaway plan. That is, Hawaii. This

year, make it the Big Island. And make it the

Kohala Coast (page 18). It’s a resort paradise

carved out of lava rock, and it’s an easy

home base for exploration from north to

south, Hawi to South Point, cowboy country

to coffee plantation.

One doctor who’s making the most of

his travels is Dr. Alister Frayne—from ostrich

riding (really) to developing his own brand

of exotic tea (page 38).

Another physician on the move is Dr.

Paul Duffy, whose work with Team Broken

Earth takes him to the most devastated

parts of the world to provide relief from

traumatic injuries (see page 12).

On a lighter note, why confine gift-

giving season to the holiday rush? Treat

yourself or someone you love to one of the

cool picks in our gift guide (page 7). Think of

it as a new year’s bonus.

And, as always, let us know if you have

a story to share. We want to know where in

the world you’re travelling, photographing,

volunteering, working…stay in touch

through justforcanadiandoctors.com.

Enjoy the winter rush!

[email protected]

winter rush

F R O M T H E E D I T O R

Working togetherfor our patients


s t y l e | f o o d | s h o w s | f e s t i v a l s | p l a c e s | g e t a w a y s | g e a r …

m i xw h a t / w h e n / w h e r e > w i n t e r

stay here!

On this guest ranch on the quiet north end of Hawaii’s Big Island, there’s a private pool, historic house, chicken coop, horse riding, ancient heiau within easy reach and artist enclave in the nearby town of Hawi…think bliss. >>

BIG ISLAND BLISS

B SL

IGL


m i x

B. S

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w i n t e r ice ice baby

MAKE LIKE A PANIOLO AT PUAKEA RANCH Paniolo is the Hawaiian

word for cowboy, stemming from

“espanola,” used to describe the

original Spanish vaquero who came

to the island in the late 1800s. On

Puakea Ranch, listed on the State

Historic Register, you’ll be follow-

ing in the footsteps (or horse trails)

of four generations of paniolos and

plantation workers who once lived

here. There are four gorgeously

restored ranch houses on this

country estate in North Kohala. Our

pick: Yoshi’s House with its wrap-

around deck or lanai (with killer

ocean views) and a stunning pool

(think lava-rock beauty overlook-

ing ranchland and sea and maybe

even Maui; see page 5). There’s

also Cowboy House, a former

bunkhouse, Miles Away and James

Cottage. Each property oozes char-

acter with local art and Hawaiiana.

And to get in full-on paniolo

mode, there’s horseback

riding, of course (see

the resident equestrian

beauties on page 22). Best

thing about this hideaway:

it feels remote but is still only

minutes from Hapuna Beach (listed

as one of the top beaches in the

world) and has wifi (that is, if you’ll

use it…maybe just to post envy-

inducing Instagram images).

—B. Sligl puakearanch.com See page 18 for more on the Big Island.

get-away

hot hotel /

MUST- STAY

hist

oric

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ay

”You’re doing

great, keep

going.” Arms

shaking, knees

wobbly, breath winded…I’m

not feeling that great, but I

keep going.

I’m climbing a 60-foot

tower of ice under the calm

reassurances of Aussie guide

Joe. After what seems like a

few more minutes or so (time

seems irrelevant when you’re

clinging to slick icefall with

just millimetres of ice-axe le-

verage), I make it to the top to

ring the bell suspended there.

It’s a serious adrenaline

rush and I feel chuffed …even

knowing afterward that Joe’s

record is a mere 19 seconds.

Gulp.

Here, at Big White Ski

Resort, just over 50 km

southeast from the Okanagan

Valley hub of Kelowna, it’s easy

to feel chuffed. That morning,

I skied through fresh powder

amidst fantastical snowghosts.

That winter wonderland

continues throughout the

Okanagan—from the top

of Silver Star in Vernon to

the slopes of Mt. Baldy near

Osoyoos. Whether slopeside

amidst surreal snowscape or

atop a man-made ice tower,

the never-ending views of the

Monashees and surrounding

valley just add to the winter

rush. Now, if I can shave some

seconds (or, rather, minutes!)

off my climb here, maybe I can

head out there… —B.S. GO! For more on the winter wonder of the Thompson Okanagan region: thompsonokanagan.com/travel_guide/

TACKLE A TOWER…OF ICEsport

just do it!

*CAUGHT THE ICE-CLIMBING BUG? Go beyond the tower and head into the wild (winter’s frozen landscape offers myriad climbing routes) on a multi-day ice climbing course. See story on page 13.

BIG ISLAND BLISS


1 + 2 THE ANGLER He can tote the retractable Pocket Fishing Pole to watering holes worldwide, and the Ultimate Fishing Tool has everything for tackling the one that didn’t get away. $45, Pocket Fishing Pole. $24, Ultimate Fishing Tool, Restoration Hardware; rh.com

3 THE ROAD-TRIPPER The sojourner will enjoy ticking off the days until the next stateside adventure, inspired by beautifully rendered landmarks in the Travel America calendar. $26, Rifle Paper Co.; riflepaperco.com

4 THE DANDY Even if he can’t race up the Long Island coast in Jay Gatsby style, these sterling silver Roadster cufflinks will transport him to the seaside during a delightful daydream. $605, Tiffany & Co.; tiffany.ca

5 THE BIBLIOPHILE Acknowledge her love for the written word. The crystallized layers of these agate book ends are as intricate as a well-woven story. From $16.99 ea., HomeSense; homesense.ca

6 THE ENTERTAINER A must-have for every host? Toothpicks infused with essential oils (Lemon No. 11) or spirits (Single-Malt No. 16). $19.99/4 pack, Old Faithful Shop; oldfaithfulshop.com

7 THE MODERNIST These jewel-like glass Vitriini boxes from Finland’s Iittala are sparkling in their simplicity. From $39, Quasi Modo Modern Furniture; quasimodomodern.com

8 THE MIX MASTER No bartender will balk at a bottle of artisanal spirits, such as London Dry Gin, a smooth sipper handcrafted at Vancouver’s Long Table Distillery. $49.99, BC Liquor Stores; bcliquorstores.com

9 THE GOURMET Chefs and foodies alike will appreciate the bright and fruity flavours of Sicily (by way of Brooklyn) encapsulated in Frankies 457 organic extra-virgin olive oil. $29, Old Faithful Shop; oldfaithfulshop.com

10 THE ANGLOPHILE This trio of Tom Dixon candles recreate the essences of England. Think cro-cuses intermingled with the Thames, Indian weddings redolent of roses, and tea time with strawberry scones. $84 ea., GR Shop Canada; grshop.com

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m i xgive + get

winter hot list

Here’s what to give + get this season and into 2014Written + produced by Janet Gyenes

1

5

7

2

3

4

6

8

9

10

savour Sicily!

2013EDITOR’S

PICK

w i n t e r

give


Send your photos and questions to our

photography guru at feedback@

inprintpublications.com and your shot may be featured in a future

issue!

P H O T O P R E S C R I P T I O N M I C H A E L D E F R E I TA S

shooting on the move

Michael DeFreitas is an award-winning photographer who’s been published in a wide variety of travel publications. With his initials, MD, he’s been

nicknamed “doc,” making his photography prescriptions apropos.

Buses, planes and trains offer an interesting photographic platform

MIC

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EL D

EFR

EITA

S

Shooting on the move Killing time en route on a bus, plane or train? Look through the window and, with the help of a lens hood and polarizing filter, take some shots. TOP Sit at the front of the bus and use your anonymity and perch to shoot scenes just outside the front windshield, like this image in Egypt. ABOVE Another through-the-windshield shot from a bus in Egypt.

> Sit at a window. > Check routes and time of day

before picking a seat. Choose a seat on the side away from the sun so you’re not shooting into it.

> Use wet wipes to clean glass.> A polarizing filter helps reduce

glare and reflections off the glass.

> Wrap a dark-coloured shirt or

scarf around lens end when

pressing it to the window to reduce

reflections and vibrations.

> Light, bright clothing reflects.

Wear darker colours.

> Turn off your flash.

GEAR UP! Lens hoods stop stray light/glare from hitting the lens front, help protect it and reduce reflections. Rubber hoods are best for shooting on the move as they absorb vibration and press against glass better. Most camera manufacturers offer plastic and rubber lens hoods ($6 – $35).

PRO TIPS for shooting on the move

On a recent trip to Egypt I was on

a tour bus headed for one of the

country’s many ruins. I grabbed an

aisle seat near the front in case something

photo-worthy popped up and checked

with our guide that I could sneak up front

periodically to shoot. Then I just watched

and waited. The large windshield was like a

giant portal into daily Egyptian life.

Soon after presetting my camera

controls, I noticed a colourful local Egyptian

bus up ahead. I moved up to the windshield

as we drew closer. The back of the bus

was open and one of the male passengers

looked directly at me as I snapped away.

I captured his intent stare framed by the

colorful bus. A bit further down the road, I

shot an old Arab man sitting on his grass-

laden donkey.

A moving vehicle is like a blind. You can

shoot out, but your subjects usually don’t

realize that you’re there. Removing yourself

from the scene lets you capture more

natural-looking images than if you were on

foot and your subject was aware of you.

Shooting from any moving vehicle has

its challenges, but you can improve your

odds with a few easy techniques. Blurred

images caused by bouncing around and

engine vibrations are the biggest problem

when shooting from a moving vehicle.

Use a fast shutter speed to neutralize most

vibrations and camera shake. I typically set

my camera controls to shutter priority mode

and select a shutter speed of 1/500 to 1/800

of a second, depending on the vehicle’s

speed and vibration.

Glass windows also produce blue colour

casts and reflections. (Needless to say, it’s

best to shoot through an open window

where possible). The tint on most vehicle

windows typically adds a

blue or “cold” hue/cast to

your images by blocking out

the warmer colours (reds and

oranges). Set your camera’s white balance

control to “cloudy” to add some warmth and

reduce the blue cast.

Reflections are a bit trickier to eliminate,

but you can reduce their effect by getting

your lens as close to the window as possible.

Use a lens hood when shooting through

any window and position the hood against

or a few millimetres away from the glass to

prevent stray light from hitting the window

in front of the lens. This will reduce most

reflections. But remember to increase

your shutter speed when doing this. Your

body does a pretty good job of absorbing

vibrations, but when your lens or camera

touches any surface of a moving vehicle, it

vibrates and shakes at the same frequency

as that surface, producing blurred images.

On a recent Caribbean trip I snapped

some shots as we flew over the beautiful

Grenadine Islands. I pressed my lens hood

against the window to reduce reflections

and increased my shutter speed to 1/1000

of a second to compensate for the plane’s

engine vibration passing from the window

to my camera.

When shooting from a moving vehicle,

I get the best results when using a medium

telephoto lens (70 – 150 mm range).

Eliminating reflections is more difficult with

wide-angles lenses (16 – 35 mm range), and

long telephoto lenses (150 – 400 mm) tend

to magnify vibrations and shake.

Travellers spend a lot of time on buses,

trains, boats, cars and planes. Use that

time and these techniques to take some

dynamite images.

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it’s better in the BahamasHot cars + hot weather make a great mix in Nassau during the Bahamas Speed Week Revival

M O T O R I N G D R . K E L LY S I LV E R T H O R N

Dr. Kelly Silverthorn is a radiologist and Just For Canadian Doctors’

automotive writer.

Is November a month you long to head

south? Me too. This is when daylight

hours in Canada are painfully short. The

skies are an oppressive grey but not yet

generating enough snow cover for winter

play. And Christmas is too far off to act as a

mental-refuge buffer. So when I learned of

the Bahamas Speed Week Revival, scheduled

for November’s final week, I rejoiced that

my month was saved. The Bahamian sun—

mingled with the sights, sounds and smells

of classic racing cars—would surely provide

November’s remedy. My wife even expressed

genuine enthusiasm.

To execute a “Revival,” one must reference

an original. The Bahamas Speed Week ran

from 1954 to 1966. Sixty or more top sports

car teams from Europe and the Americas

would come together in a festive season-end-

ing week of racing. Key Nassau ingredients

were large cash prizes, brilliant sunshine and

legendary parties. Winners included a who’s

who of post-war racing greats: de Portago,

Moss, Gurney, A.J. Foyt, Penske and Donahue.

The list of winning makes is equally illustrious:

Ferrari, Maserati, Scarab, Aston Martin, Lotus,

Chaparral and Lola.

Bahamian political winds of the mid-

60s are said to have doomed the original

Bahamas Speed Week. A then-new govern-

ment of populist leanings did not sit easily

alongside catering to an international jet

set. Nevertheless, it’s the same left-of-centre

parties in government that now largely un-

derwrites international organizers re-estab-

lishing a racing event that attracts high-value,

shoulder-season visitors. Stirling Moss was a

marquee driver attraction back in the day…

and contemporaneously too. Now knighted,

the 83-year-young Sir Stirling still races his

beautiful red 1956 OSCA (see photo).

The modern Bahamas Speed Week

(Revival) is centred at Arawak Cay, less than a

mile from the downtown Nassau cruise ship

terminus. Between these two landmarks is

the official host hotel, the

British Colonial, estab-

lished in 1898. Unlike

many such vintage hotels, the Colonial is in

fine fettle.

Public portions of Speed Week begin

Friday evening with a robust street party cel-

ebrating the competition cars. The Bahamian

locals appear quite adept at such events.

Perhaps they are just tuning up for the world-

renowned Junkanoo Festival (spans Boxing

day to New Year’s). After the street party, the

many downtown restaurants will vie for your

attention. My picks for eateries here: Van

Brugel’s, Café Matisse, Athena Cafe, Luciano’s

and the Brussels Bistro.

Saturday is the Fort Charlotte Hillclimb,

with timed runs from Arawak Cay up the

bluffs to this historic military installation. The

fastest hillclimb times of the day, by some

margin, are the cadre of modern 125-cc

Shifter Karts present. (Further history lesson:

the First Annual World Karting Championship

was held in Nassau in 1959!) Fastest “car” on

the hill is a late-model limited-edition ACR

Viper—Dodge’s answer to showroom-legal

race-ready cars, from Porsche and Ferrari.

Saturday’s fastest classic car is a multi-million-

dollar 1957 Ferrari 500 TRC.

Sunday is the Arawak Cay Sprints, es-

sentially competitive timed laps of a 1.6-mile

circuit on closed public roads around Arawak

Cay, including two inter-island bridges. The

spectator experience is enhanced by a ca-

pable public address system anchored by

a professional radio host, bleachers at the

best vantage points, pedestrian bridges

and a VIP tent option. Ed Hugo in the

ACR Viper triumphed again among the

modern cars with a one-minute-and-

29-seconds lap. Simon Arscott in the 1966

Aston Martin DB5 was fastest of the classics

at one minute and 35 seconds.

The more “in the moment” readers will

already be thinking…Friday, Saturday, Sunday

do not a “Revival Week” make. Indeed,

the original Speed Week boasted wheel-

to-wheel racing every day for eight days.

Contemporary Speed Week features social

events for participants on the Wednesday

and Thursday. 2012 was just the second

edition of the Revival, and subsequent ver-

sions will hopefully trend to filling out the

week with more competition. Old Nassau’s

backstreets mimic some of the great town-

based special stages in Targa Newfoundland,

so there is clearly promise for more Bahamian

racing formats.

It would take a cold heart indeed not to

cheer for the future success of the Bahamas

Speed Week Revival. I fully credit this young

event in drawing on the resources available to

re-establishing the Bahamas as an important

stop on the international racing calendar. It’s

got great history, tropical scenery, warm tropi-

cal climate and a government that’s now fully

on side. And the Bahamas should definitely

stick with its late November date to attract us

sunshine-starved Canadians.

Racing legend Sir Stirling Moss in his bright-red OSCA, and

some of the other sweet rides seen at Bahamas Speed Week. For more go to bahamasspeed-

week.com.


Roberta Staley is an award-winning magazine editor and writer with experience reporting from the developing world and conflict and post-conflict zones. Staley specializes in medical and science

reporting and is a magazine instructor at Douglas College and Simon Fraser University.

PAY I T F O R W A R D R O B E R TA S TA L E Y

A pickup truck filled with Haitian

National Police, dressed in combat

helmets and bulletproof vests and

touting handguns and shotguns, roared into

the paved concourse of Hospital Bernard

Mevs in Haiti’s capital city of Port-au-Prince.

They quickly unloaded a semi-conscious

and bloodied officer from the bed of the

truck and carried him into the hospital

emergency room. A bullet had penetrated

the officer’s vest during a gun battle with

thugs, tearing the man’s superior vena cava

and causing blood to pour out his chest.

Dr. Andrea Boone and Dr. Walley Temple

of Foothills Medical

Centre in Calgary—both

of whom had arrived in

Haiti earlier in the day—

realized a thoracotomy was

the only option.

As they scrubbed up, the man’s vital

signs—blood pressure, heart rate and

respiration—began to crash. One hour later

however, the patient was not only alive but

recuperating in Bernard Mevs’s Intensive

Care Unit. “The team saved his life,” says Paul

Duffy, who was the head administrator for

the Team Broken Earth Calgary mission to

Haiti last October. “So we started on a good

note.”

The one-week expedition to Haiti

was the latest undertaken by the Calgary

chapter of Team Broken Earth, a medical

NGO founded in 2010 by Newfoundland

orthopedic surgeon Dr. Andrew Furey to

assist those injured in Haiti’s devastating

earthquake. Even before the 2010

temblor killed at least 100,000 people

and displaced 1.5 million more, Haiti was

already considered the poorest nation in

the Western hemisphere. The earthquake

devastated the nation even further. Sixty

percent of the health care infrastructure

collapsed, along with four hospitals.

This latest Team Broken Earth Calgary

trip included Duffy and 28 other medical

professionals: orthopedic trauma surgeons

like himself, general, trauma

and plastic surgeons,

surgical residents, nurses,

a respiratory therapist,

a physiotherapist and

a paramedic. It wasn’t

Duffy’s first time in Haiti;

he travelled here in 2012

when Team Broken Earth

dealt with earthquake

injuries that had never

been treated. Today in Haiti,

the healthcare system has

improved slightly, as has

the earthquake cleanup,

although garbage, rubble

and collapsed buildings still

dominate the Port-au-Prince

landscape. “We’re no longer in earthquake

mode but we’re in a recovering health care

system that has no resources mode,” Duffy

says. That didn’t mean that Team Broken

Earth—which carted down 20 hockey bags

full of medicines, bandages, orthopedic

prosthetics as well as toys and books for

orphans—wasn’t shocked by the depth of

suffering. They saw broken bones, massive

infections, enormous tumours, facial

gunshot wounds and congenital defects

that had lingered for months and years,

leaving shocking afflictions they would

never encounter in Canada.

Bernard Mevs, a fee-for-service hospital

run by Florida’s Project Medishare for Haiti,

turned its operating and recovery rooms

over to the Canadians for the one-week stay.

During this time, the team did 45 surgeries:

20 of them orthopedic, 14 general and 11

plastic—all for free. They amputated some

“pretty grotesque infections,” including

the leg of a boy who had developed bone

cancer in the knee, says Duffy. Treated by

naturopathic herbs and pastes, the limb had

swollen almost to the size of the boy’s torso,

and the wound was open and festering. The

lack of sub specialty services and pathology

laboratories in Haiti means cancers like

the young boy’s go undiagnosed, making

amputation the only alternative, Duffy says.

With devastating injuries come miracle

cures. The surgical team corrected the

feet of 13-year-old Dashka, whose family

had abandoned her at Tytoo Gardens

Orphanage because they felt her turned-in,

bilateral cavovarus feet were the sign of a

voodoo curse. The team’s plastic surgeon,

Dr. Fred Loiselle, undertook tendon cord

transfers, giving one paraplegic girl the

ability to grasp things, which meant she

could push a wheelchair and finally become

mobile. Team Broken Earth also visited Port-

au-Prince’s General Hospital and selected

26 patients, many with hip fractures, who

had been bedridden for up to two years

while awaiting surgery. Oftentimes the

delay was due to a lack of money. Haiti

does not have universal health care and

the patient’s family can’t afford the cost of

the surgery as well as the required implant

or prosthetic. This tempered the team’s

feeling of accomplishment, knowing that

thousands of people, desperate for medical

help, remain in Port-au-Prince.

“I grapple with this the whole time I’m

down there,” says Duffy, who is planning

to return to Haiti this spring. “We fix three

femurs and pat ourselves on the back,

but there’s another 50 of them outside

the door.” Perspective is needed. In the

great scheme of things, three successful

femur surgeries may not be big, but for the

patients “it’s huge—you drastically change

their lives.” This raises a bigger question,

says Duffy. “How do we solve worldwide

poverty? You have to act small and think

big and hopefully you’ll get enough people

creating change.”

healing HaitiAn orthopedic trauma surgeon’s work with Team Broken Earth brings much-needed relief

CO

UR

TESY

DR

. TEC

TOR

Dr. Paul Duffy helps wheel a

new patient into the emergency

room at Hospital Bernard Mevs in Port-au-Prince,

Haiti.


STORY + PHOTOGRAPHY BY DARRYL LENIUK

As the temperature dips, a frozen landscape comes to life and

offers a new adrenaline rush…ICE CLIMBING. Strap on some

crampons, wield a pick and go where only winter will let you

ICECAPADES

t r a v e l a t h o m e



Sharp shards of ice

bounce off my

face like broken

glass on a crash-

test dummy. Each

swing of my ice

axes sends frozen

debris flying: a

fist-sized chunk

ricochets off

my forehead;

another fragment finds its way down my

neck, under three layers of clothing, and

melts against my belly. I’m 20 metres up a

frozen waterfall called The Junkyard, just

outside Canmore, Alberta, in the heart of

the Canadian Rockies. At the base of the icy

60-degree slope, Steve Holeczi, my guide

from Yamnuska Mountaineering School,

controls the rope that I’m harnessed into

and shouts encouragement. But I don’t

want to go any higher. My forearms burn

from death-gripping the two ice axes I use

to pull myself up and my calves wobble

uncontrollably as I struggle to secure my

crampons in the icy slope.

I try to remember Holeczi’s coaching:

crampons need full contact with the

ice to be effective; ice axes need to be

solid, like an axe in a block of wood; and

body position is everything. This was the

beginning of Yamnuska’s introductory

two-day ice climbing course. Wearing

crampons made me feel like a clawed

monster from Middle Earth; the sharp spikes

protruded from my feet like talons. But it’s

this awkward equipment that makes the

sport possible. With its roots in 19th-century

mountaineering, ice climbing has evolved

considerably since the days of chopping

steps to climb a frozen slope. In the 1930s,

Laurent Grivel designed front-pointing

crampons. Then in 1966, Yvon Chouinard,

founder of the Patagonia clothing line,

developed the first ‘reverse curve’ ice picks,

which enabled climbers to get purchase on

vertical ice.

When I finally reach the top of the

30-metre rope, I turn around for the first

time. I’m frightened at how high I’ve come

and at not being able to see Holeczi over

the cauliflower-shaped slope. I call out

and am reassured when I hear his reply. I

lean back and take in the view: across the

ice-covered Bow Valley, the snowy peaks of

the western Rockies glisten in the waning

afternoon light. Looking closely, I can

see tiny white threads dangling off these

mountains. More frozen waterfalls. In all,

there are over 1,000 ice-climbing routes

within a two-hour drive of Canmore, making

this town of 12,000 one of the best places

in the world for the sport. Each winter

Canmore plays host to an ice climbing

festival and is the scene of a vibrant ice-

climbing culture.

I repel to the base of the falls, and

Holeczi is waiting for me with a high-five.

“How was that!” says the lanky, bearded

guide.

“Felt pretty good,” I reply.

“How do your hands feel?” I don’t notice

them until he asks. But then I realize they’re

both hot and cold and tingly. And they hurt

like hell.

“Hah! You’ve got the screaming barfies!”

he says. When warm blood returns to

your hands after gripping ice tools in cold

weather, he explains, the effect is pain so

bad you want to vomit. It’s a common side

effect of ice climbing and will go away he

assures me.

After a few tips on footwork, he sends

me back up, but this time with only one axe.

Now I’m forced to totally support myself on

my feet when I swing my axe. I tremble at

first, not trusting the fang-like protrusions

coming out of my boots. But I don’t slip; my

feet are rock-solid. I try other movements

with my crampons to give my ankles a rest

and shift my weight side-to-side. I swing the

axe fluidly, and feel the hold it’s meant to

provide. It goes much smoother, and I’m up

in half the time.

Being a beginner rock climber, I had

thought of ice climbing as a more extreme

version of a sport I was not very good at to

begin with, and that I would be woefully

underskilled to have a go at it. But almost

anyone can climb ice. My biggest concern

was the ice itself.

Unlike rock, ice melts, cracks, breaks

and is otherwise a whole lot less stable

than granite. When I asked Holeczi about

accidents, he explained that the sport has

a very good safety record. “The equipment

is at the point that it far exceeds what we’ll

put onto it.” He told me that the ice screws

used for securing ropes can hold 1,000

kg or more. Even so, there are a handful

of fatalities involving ice climbing each

year. Most involve avalanches. Since the

best ice routes tend to form in narrow

canyons and gulleys, which are also prime

avalanche territory, an understanding of the

backcountry is important. “The danger is in

how you interpret the environment,” said

Holeczi. Using a qualified local guide is one

of the best ways to minimize the risk.

Marc Ledwedge, a public safety warden

at Banff National Park, has seen several

accidents involving ice climbing in the 20

years he has worked for the park. “Many

beginning ice climbers are not aware of the

avalanche hazard,” said Ledwedge. “It’s not

uncommon to see people on ice routes

when they shouldn’t be.” He’s also seen

many leg and ankle injuries caused by ice

climbing. The gripping nature of crampons

can make them dangerous in a fall. And, for

this reason, learning to fall is not taught in

ice-climbing courses. You just don’t fall.

The next day a fierce arctic storm

descends on the Rockies. The outside air

temperature is -24C, and dipping to -40C

with the wind chill. From the vantage point

of the Coffee Mine Cafe, in downtown

Canmore, Holeczi and I watch swirling

snow and blustery winds pelt those

foolhardy enough to venture outside. The

local radio station reports all schools are

closed. Holeczi has heard it may clear this

afternoon. We wait a while and then decide

to make a go for it.

We drive to Grotto Canyon, another ice-

climbing route just outside town. I blindly

follow Holeczi through a forest of blowing

snow. I’m soon breaking fresh tracks on a

frozen creek in a steep-walled canyon. It’s

bitterly cold but at least I’m sheltered from

the wind. I pass a snow-dusted granite

wall with bolts marking a summer rock-

climbing route. Holeczi stops and shows me

an ochre-coloured native painting. Then I

notice icicles hanging off his moustache like

a hoary mountaineer of old. We continue

up the canyon to the Grotto waterfall we’ve

come for. It covers the end of the chasm in

a giant jacket of ice. Like enormous steps,

the falls are vertical for seven or eight

metres, level to a ledge and then another

sheer pitch. It will be my first time climbing

vertical ice.

The surface is wet, and I get good

purchase from my crampons. Despite

the cold, I move upward, slowly but

methodically. I probe for good placement

with my picks and stand up on my feet. I

feel exhilarated; climbing ice is as exciting

as skiing, less work than snowshoeing and

easier than rock climbing. The clouds part

and the Grotto falls shimmer in the winter

sunlight. I glance across and see my shadow,

axes swinging, crampons kicking, ice chunks

flying. Awesome.

if you go +GO Canmore is a 90-minute drive west of Calgary. DO The ice-climbing season in the Rockies runs from November through March. Yamnuska Mountaineering offers two-day introductory courses in ice climbing starting at $265 including equipment. For more info visit yamnuska.com or call 1-866-678-4164. MORE Check out Tourism Canmore at tourismcanmore.com or call 1-866-226-6673, or get the goods on other ways to get a winter rush across the province at Travel Alberta’s website travelalberta.com.



OPENING PAGE Guide Steve Holeczi hanging out on a route near Lake Louise. CLOCKWISE FROM TOP LEFT Guide

Steve Holeczi climbing a frozen waterfall at Grotto Canyon near

Canmore. > Tools of the trade: lightweight, reverse-curve ice

axes make ice climbing possible. > Holeczi climbing a route near

Lake Louise. Unlike rock climbing, belayers always stand off to one side to avoid being hit by falling ice. > Crampons make climbing

vertical ice possible.


T H E T H I R S T Y D O C T O R J A N E T G Y E N E S

essential bar spiritsOutfit your home bar with the key spirits that make up classic cocktails and mixed drinks

Janet Gyenes is a magazine writer and editor who likes to dally in spirits, especially when discov-ering something like corenwyn jenever (a gin-like Dutch spirit)—straight or in cocktails like the

“bramble.” Have a boozy idea or question? Send it to [email protected]

When I started bartending, no one

muddled anything,” says Ryan

Boyd of Vancouver’s Metropolitan

Bartending School. “The Mojito really

changed everything. Once people started

squishing up that mint, it opened up a

whole universe.”

Boyd, a bartender for almost 20 years

now and who has trained other budding

bartenders worldwide, is explaining how

Mojitos ushered in the “bar chef” trend

about a decade ago. Today, a number of

bartenders have taken the “chef” aspect to

intoxicating new heights by barrel-aging

spirits, creating infusions with herbs and

spices and crafting their own bitters and

tinctures, but that’s what makes them pros

(and why you’ll never really be able to recre-

ate that “classic” cocktail you taste in your

favourite haunt).

Unless you aspire to get into mixology as

a radical career change or serious past-time,

leave such labour-intensive ventures to the

experts. Instead, build your home bar with

the booze basics, and as your stock expands,

so will your cocktail repertoire.

There are the dependable spirits—vod-

ka, gin, rum and tequila—ideal for making

the tried-and-true, if slightly yawn-inducing

cocktails. You know the usual suspects:

vodka and soda, gin and tonic, rum and

Coke. Add a splash of juice, a dash of soda

or squeeze of lime to these booze basics

and you’ve got your Screwdriver, Gin Rickey,

Greyhound, Cuba Libre…

While the quality of the spirit can make

a difference in a cocktail, there’s no need to

get lured by big-name brands, says Boyd. “It

doesn’t mean they’re the best or that you

can’t find equivalents at lower price points.”

He says the average person likely can’t tell

the difference from brand to brand, espe-

cially with vodka, adding that most industry

people drink Ketel One, not Grey Goose, and

not just because of price point.

Rums and tequilas are slightly different.

The sugarcane and agave spirits, respective-

ly, come in a range of colours from clear to

amber and almost black. In general, “white

rums are the least rum-y flavoured; dark

rums tend to be overly syrupy, too sweet.

Most of the rum companies put all their

effort into their amber rums,” says Boyd,

whose current go-to rum is Cruzan Single

Barrel, an amber rum that gets its colour, like

reposado tequila, from barrel-aging.

These spirits can sink or sing depend-

ing on how you use them. If you’re making

a Mojito or Margarita for instance, it’s likely

summer and you don’t want an overt spirit

flavour. So don’t break out your best bottles

of aged rum or tequila, only to mask their

nuances with those refreshing juices and

herbs—the ingredients

you want to taste on a

sweltering day. Save the

high-end for sipping

neat or on the rocks, and

opt for a good-quality

un-aged spirit instead.

And that’s another

rule for the home bar-

tender. Consider the

season—and embrace

it. You wouldn’t order a

piña colada at a fine-din-

ing establishment in the

dead of winter, would

you? So don’t serve such

drinks during the cooler

months. Something like

Blueberry tea (a soothing

sipper composed of one

ounce each Amaretto

and Grand Marnier,

topped with hot Orange

Pekoe tea), which Boyd

has resurrected as one of

his favourite post-repast

libations, would be

much more suitable.

When it comes

to gin’s juniper berry-

forward flavour, there’s

plenty of variation from

brand to brand. Boyd

says Tanqueray No. Ten

is a high-quality choice

that’s a solid standby,

but adds, “if you want

to be experimental with

gin, go with Hendrick’s.

Because not only is it

interesting, it’s available

everywhere.” What sets Hendrick’s apart

from most other gins, in particular, are

two ingredients: rose petal and cucumber.

“Muddle some cucumber slices in the glass,

add gin and soda ….” It’s a simple standout.

Choosing whisky (or whiskey) can get

pretty complicated, but you can’t go wrong

by covering the bases with a good-quality

bottle of each bourbon, rye and scotch.

The longer the age, typically, the better

the quality, and unless you’re a purist, don’t

stress too much about swap-

ping bourbon for Scotch

in a pinch. That’s how new

cocktails are concocted,

after all.

Rounding out your

home bar with a couple of

liqueurs can expand your

cocktail range monumen-

tally. “About 25 per cent

of the drink recipes in the

world will have Triple Sec

in them,” says Boyd, who

implores you to replace

this bottom-basement

orange-flavoured liqueur

with Cointreau, its top-

shelf orange peel-infused

equivalent.

“If you want to make

Manhattans and Rob Roys

and all those Mad Men

drinks, you need sweet

vermouth,” he adds. (Plus

the aforementioned

whiskey.) Dry vermouth is

handy if you must make

a classic Martini, but it’s

perfectly acceptable to

skip it altogether, just like

most bartenders do. Add

some simple syrup to your

bar basics (buy it or make

it yourself: boil equal parts

sugar and water together,

let cool and store in a jar

in the fridge) and you’ll be

able to impress even the

most finicky guests with

legions of libations. Just

don’t forget the garnish.

seasonal sipping NEED A WINTER FIX? Ryan Boyd recommends not-too-sweet white cranberry martinis. Hosting a crowd? Avoid endless shaking and pouring: mix up a pitcher.

1 CUP WHITE CRANBERRY JUICE4 OUNCES VODKA2 OUNCES COINTREAU

Fill a cocktail shaker with ice. Add cranberry juice, vodka, and Cointreau. Shake to combine well. Strain into two large martini glasses. Garnish with whole cranberries.

spirit stockRYAN’S BASIC BOOZE PICKS

Part 2: the booze

OR how to stock your

bar

VODKA > Ketel One

GIN > Tanqueray No. Ten or Hendrick’s

RUM > Bacardi 8 or Cruzan Single Barrel

TEQUILA > Don Julio

WHISKEY > good quality Canadian rye or bourbon

COINTREAU > Cosmopolitans, Margaritas

SWEET VERMOUTH

SIMPLE SYRUP


Sometimes on busy weekends, it’s

hard to make an “easy” dinner that’s

special. So when I saw lamb shanks

on sale at the butchers, I knew I had dinner

made. Braised in the oven, lamb shanks will

cook for about 2 hours, unattended. And

it’s the perfect dish when three children are

demanding help with other various projects.

As aromas develop and waft through the

house, appetites are whetted and homework

seems to be completed sooner than later.

Braising shanks in a little liquid over low

even heat will yield fork-tender meat and a

ridiculously tasty sauce. Instead of the usual

tomato based sauce (especially if pasta is a

standby), I used dry white wine, anchovies,

lemons, parsley, garlic and lots of onions,

to create a mellow rich sauce. The onions

melt and add body to the sauce without

the need for flour or cream. An added

lemon gremolata at the end accentuates

the taste of the shanks with a last-minute

hit of flavour.

Serve the lamb on a bed of sautéed

garlicky baby spinach with rice and

steamed baby carrots and green beans for

a comforting meal. Because the dish has

some delicate lemony herbal flavours, it’s

easy to overpower with a Shiraz. Go with

2009 d’Arry’s Original, an Australian-Shiraz-

and-Grenache-blend from old vines. It

opens with a nose of berry with a slight

floral hint and, on the palate, has a velvety

mouth feel with tastes of berries and

plums followed by a long finish of spice

with a touch of

chocolate. Overall,

this nuanced

wine pairs

perfectly with

the lamb.

does itBraising in the oven keeps your hands free for other stuff

Dr. Holly Fong is a practising speech-language pathologist with three young children who’s always trying, adapting and creating dishes.

T H E H U N G R Y D O C T O R D R . F O N G

6 large lamb shanks

2 Tablespoons canola oil

2 large onions, peeled and thinly sliced

6 cloves garlic, peeled and smashed with the back of a knife

4 anchovy fillets packed in oil, rinsed, dried and coarsely chopped

1 teaspoon slivered lemon zest

juice of ½ lemon

1 teaspoon of fresh thyme leaves, chopped

salt and fresh ground pepper to taste

1 ½ cups of dry white wine

1 ½ cups low salt chicken broth

GREMOLATA

1 large clove of garlic, finely minced or grated

grated zest from 2 lemons

cup of chopped Italian parsley leaves

¼ teaspoon salt

fresh ground pepper to taste

BRAISED LAMB SHANKS WITH ONIONS AND LEMON GREMOLATA (SERVES 6)

Preheat oven to 300F. Pat lamb

shanks dry with paper towel; season

with about 2 teaspoons of salt.

Heat the oil in a very large heavy

bottomed flame-proof oven casserole

or Dutch oven large enough to hold

the shanks in a single layer without

touching. When the oil is shimmering,

add the lamb and brown well for

about 4 – 5 minutes per side. Set

aside.

Reduce heat to medium and in

same pot, add more oil if needed.

Add onions, garlic and ¼ teaspoon of

salt. Sauté, stirring frequently until

golden brown, about 6 – 7 minutes.

Take care to not burn the vegetables.

Stir in anchovies and white wine,

scrapping off any brown bits into

the wine. Increase the heat to

medium-high and boil until the wine

is reduced by half. Add lemon zest,

juice, broth and thyme, stirring to

mix. Bring to a boil. Turn off heat.

Add the lamb in a single layer.

Cover the pot with aluminum foil and

crimp along the edges making a tight

seal to minimize evaporation. Bake in

the oven for about 2 hours until the

meat is fork tender.

Transfer the meat to a serving

dish and cover with plastic wrap or

foil to keep warm. With a wooden

spoon or spatula, scrape down sides

and bottom of the pan to release

all the browned bits. Strain juices

into a tall measuring cup, pushing

down on the solids to extract all

the juice. Place the solids in a small

saucepan. While waiting for the fat

to rise, make the lemon gremolata

by combining all the ingredients in a

small serving bowl.

Skim off and discard the fat

from the juices. Add the juices to the

solids in the saucepan and heat to

boiling. Remove from the heat and

blend until smooth using a handheld

blender. Pour sauce over the meat

and scatter gremolata on top. Serve

at once with extra gremolata on the

side. Enjoy.

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STORY + PHOTOGRAPHY BARB SLIGL

GO BIGON HAWAII’S KOHALA COAST




The Big Island is,

yes, big. In terms of

size (the rest of the

Hawaiian islands

would all fit within its

mass) and diversity (it

has all but two of the

world’s climate zones).

That range—from

sugar-like beach to snow-topped mountain

and churning volcanic crater—is what makes

the Big Island a big must. And that range

extends to all parts of island living. You can

nosh on exquisite farm-to-fork fare at a high-

end resort or pick up a still-warm malasada

served in a paper bag from a hole-in-the-wall

bakery. You can succumb to an open-air lomi

lomi massage at a world-renowned spa or

take a spin in a Jeep to a very-off-the-beaten-

path green-sand beach. You can watch the

sun go down alongside hula dancing seaside

or jump off cliffs while locals fish where

ancient Hawaiians once did. Star gaze or surf,

golf or hike, beach it or crater it…

So, where to start? First, set up base on

the Kohala Coast. This once barren, lava-

encrusted landscape on the island’s west

side has been transformed into a resort oasis,

making for some sweet and surreal hide-

aways tucked amidst the piles of black rock.

From here, it’s an easy day’s outing north,

south and east—to lush and quiet North

Kohala, the remote cliffs and still-roiling

chasms of Kua, vibrant Kona and rainy and

rich Hilo and Hamakua Coast. That is, if you

can tear yourself away from your west-side

idyll… Here are our picks on the Kohala

Coast and beyond.

STAY If anything, you may

have too many choices on this Gold Coast.

Carved out of one of the island’s past lava

flows, this string of resorts on the northwest

coast began when Laurance S. Rockefeller

spied the perfect

crescent of Kauna’oa

Beach from the air

and said “Every

great beach

deserves a

great hotel.”

He went on

to build the

Mauna Kea

Beach Hotel in

1965…and the rest

is history. Today the

resort retains an exclusive

elegance and the beach is listed among the

top-10 US beaches by Condé Nast Traveler.

{maunakeabeachhotel.com}

A short trek along rocky shoreline, past

ancient ruins and modern mansions, brings

you to the perhaps-even-more-jaw-dropping

Hapuna Beach. The largest white-sand beach

on the island, it’s home to the Mauna Kea’s

sister property, the Hapuna Beach Prince

Hotel. {HapunaBeachPrinceHotel.com} But here, it’s

all about the beach, beloved by locals and

visitors alike and a primo sunset-viewing spot

and morning barefoot-jogging circuit.

On the opposite end of the Kohala Coast,

in the south (and only 15 minutes from the

city centre and airport of Kona), is the Four

Seasons Resort Hualalai, where the seaside

suites feel more like hales (Hawaiian homes)

than a hotel. After a recent multi-million-dol-

lar refurb, this resort is all about pampering—

from the sushi bar to the spa. The beach is no

Hapuna but the seaside pools

and King’s Pond, stocked with

tropical fish and a spotted

eagle ray you can snorkel with,

more than make up for it.

{fourseasons.com/hualalai}There’s an even more

homey hale vibe at the Lava

Lava Beach Club Cottages,

which mesh old-school

Hawaiiana cool and stylish

swank. Each cottage boasts

local art, a ukulele (go ahead

and strum for the beach club

crowd), punee (Hawaiian

day bed), take-home pareo

or sarong (thank you very

much) and a private, lava-wall-

enclosed outdoor shower. You

won’t want to leave. {lavalava-beachclub.com}

PLAY Want to hang

with a bonafide “beach boy”?

Do the Hawaiian Outrigger

Canoe Paddling Adventure

at The Fairmont Orchid. You’ll

meet champion Hui Holokai

Ambassadors (The Fairmont’s

water experts), who’ll teach

you the basics of this quintes-

sential Hawaii sport. You’ll

ply the crystalline waters to

in-the-know snorkel spots and

maybe learn some local lingo

along the way, brah. {Fairmont.com/Orchid}

There’s also SUP (stand-up

paddleboarding), surfing, tennis, golf, biking

(you’ll be sharing the road with Ironman

trainees), snorkelling (unbelievable), diving,

windsurfing, kite-surfing (which you can also

simply content yourself to watch from your

Lava Lava Beach Club perch)…take your pick.

After burning calories (in the most fun

way possible), load up again at a luau. While

some of these celebrations have become

overly commercialized extravaganzas that

can verge on cheesy, the traditional luau is

still a window on historic Hawaiian culture,

and if you’ve never been to one, the sunset

luau at Waikoloa Beach Marriott Resort & Spa

is as good a place as any—or better with its

backdrop of an Anaeho‘omalu Bay sunset.

{WaikoloaBeachMarriott.com}

RELAX There might be nothing

better than simply setting yourself up seaside

back at the Four Seasons’ central, adult-only

pool. You can see the waves crashing onto

the beach (and a lollygagging turtle or two),

yet you’re sand-free on a plush lounge chair

under an umbrella awaiting Evian water

spritzes and little amuse-

bouche style treats. The

service is such that you’ll be

offered sunglasses clean-

ing… Plan on wiling away

an entire day from your

poolside-perch. The same might be said

all along the Kohala Coast,

but at those Lava Lava Beach

Club cottages, the cushy

chairs on your private porch

are made for sunset viewing

while sipping a Mai Tai. It’s

your own bungalow…on a

beach! Anaeho’omalu Bay’s

sunsets are legendary, and

made even more so with the

Beach Club’s sundown hula

and live-music show right on

the sand. The atmosphere

is so cheery, with a hum-

ming crowd scattered about

the sand (the Beach Club’s

version of a patio), that the

temptation is to get up off

your personal porch and join

the convivial vibe. Almost…

Of course, to relax is

synonymous with a spa. Each

resort has its own version of

lomi lomi and wrap this, zen

that. Mix it up by heading to

yet another Kohala Coast re-

sort, Hilton Waikoloa Village’s

Kohala Spa to feel the sea

breeze during an outdoor

treatment (ahhh!). Then

there’s the Mauna Lani Spa. A day spa retreat,

this gem has been ranked one of the world’s

best spas by Travel + Leisure magazine. Here

culture and chic mix with thatched open-air

hales, natural lava saunas, a meditation pavil-

ion and watsu pool. Aloha! {MaunaLani.com}

EXPLORE The north end of

the Kohala Coast is king’s country.

IF YOU GO The Kohala Coast is also known as the Gold

Coast…for good reason. Think golden weather +

kohalacoastresorts.

com

PREVIOUS PAGE Beach lounging at the Four Seasons Resort

OPPOSITE PAGE, CLOCKWISE FROM TOP LEFT The entrance to the Four Seasons, amidst lava rock and an endemic wiliwili tree. > Watching sunset at Hapuna Beach, consistently listed as one of the world’s best strips of sand. > Seaside pool at the Four Seasons. > One of the Fairmont Orchid’s local “beach boys.” >

using shells and coral along the highway up the Kohala Coast. > Classic cocktail, the Mai Tai at Merriman’s, the godfather of farm-to-fork cuisine on the Big Island. > Kauna’oa Beach (aka Mauna Kea Beach), also on the short list of world’s best beaches. > Sunset from Anaeho’omalu Bay at the Lava Lava Beach Club. > Outdoor shower at a Lava Lava Beach Club cottage. > Fresh

Mauna Lani Spa.

>> PAGE 24

2

6

The Big Island is Hawaii’s most

diverse with all but two of the world’s

climate zones. Discover more at

gohawaii.com/big-island.

MORE BIG ISLAND BLISS1 UPCOUNTRY CHIC Overlooking the west-coast sprawl of Kona, in the thick of the legendary Kona Coffee Belt, is a

is set on the slopes of Mount Hualalai,

boutique resort. You could spend all day just soaking up the high-above-it-all jungle vibe, meandering through tropical gardens redolent with torch ginger, papaya, avocado, macadamia-nut trees (crack ‘em and eat fresh on site!) 5 and some 5,100 coffee trees. There are 30 lush acres here, including pasture land…so poolside you might hear a moo or two. Inside, the inn is a Polynesian retreat full of gorgeous artifacts and treasures (it was once a private estate), and just past the driveway is historic Holualoa Village’s shops, galleries and farm-to-fork eateries. holualoainn.com

2 VOLCANIC WONDER What might be the most mind-bending thing about the Big Island is the fact that it is literally churning. At the southern tip of the

Pele, the Hawaiian Goddess of Fire, at Hawaii Volcanoes National Park. Surreal. Where else can you walk across a crusted-over lava lake? Get eruption updates and trail info at nps.gov/havo.

3 MALASADAS On the northeastern end of the island, stop in the cute town of Honoka’a (once a thriving sugar plantation) for this local classic and

“ono Kine grindz” (good local grub). texdriveinhawaii.com

4 KONA BREWING After a day of surf and sun, it’s time for some suds at Kona Brewing Co. Try the nutty, almost-toffee-like winter seasonal Koko Brown, brewed with toasted coconut. Or go for

to taste the wide range of island-inspired concoctions, from Big Wave Golden Ale to Pipeline Porter. konabrewingco.com

6 EXTREME GREEN Ever seen a green sand beach? The Big Island has one of the world’s two. Half the discovery is the trek beyond South Point (the southern-most part of the US) along moonscape-like coast (hike or brave with a 4WD

Jeep) to the remote remains of this ancient cinder cone.

greensandbeachhawaii.com7 RANCH IT Go north to paniolo—that’s Hawaiian for cow-boy—paradise at Puakea Ranch in North Kohala. It’s also an

equestrian’s dream. See page 5. puakearanch.com


1

5 4

3

7

EXCITING CME ADVENTURES WORLDWIDELearn Wilderness Medicine on an epic journey!Everest Base Camp Trek CMEMarch 30 – April 16, and April 19 – May 6 , 2014

Fiji Scuba and Snorkel CME January 22 – 31, 2015

Galapagos Islands CME January 9 – 19, 2015

Argentina & Chile CME: Northern Patagonia Multi Sport Adventure January 28 – February 5, 2015

Africa Wildlife Safari CME with optional Kilimanjaro ClimbOctober 5 – 19, 2014

National Conference on

Wilderness & Travel MedicineMedicine and the Spirit of Adventure

8889953088 WWW.WILDERNESS–MEDICINE.COM

Big Sky, Montana February 12–16, 2014

Snowbird, Utah March 5–9, 2014

UP TO 40 HOURS CME CREDIT



Vacation CME

25 savings

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CANADA

ii

NNNNN

Stand below Pu`ukohola Heiau

and make like legendary King Kamehameha.

This temple is a reminder of Hawaii’s rich

Polynesian past, and that tie seems even

stronger knowing that Kamehameha was

born just north of this sacred spot. Come

early morning and you might spot sharks

still swimming over an ancient submerged

temple that was dedicated to the shark gods.

{nps.gov/puhe}

Kamehameha the Great looms large

all along the Kohala Coast and beyond.

Mamalahoa Trail or the King’s Highway (part

of the Alu Kahakai National Historic Trail)

cuts right through lava rock and manicured

resort- and golfscapes past scores of petro-

glyphs (see below). {nps.gov/alka}

From just about anywhere on the Kohala

Coast you’ll catch glimpses of the twin volca-

noes of Mauna Kea and Mauna Loa looming

in the distance. Don’t be a stranger. Arrange

a guided hike with Hawaii Forest & Trail to

venture closer, or skirt Mauna Kea and go

north on the Kohala Waterfalls Adventure to

see a different Hawaiian countryside (think

old sugar plantations, taro terraces, water-

falls, pools, wet-and-wild valleys) and the

charming town of Hawi. {Hawaii-Forest.com}

Or head south to a still-churning volcano

(see page 22).

SAVOUR The Big Island is

becoming known for big-name cuisine.

Merriman’s Market Café has the renowned

locally sourced fare of famed Chef Peter

Merriman, one of the founders of Hawaii

regional cuisine. It also has a tasty take on

the Mai Tai. When in Hawaii… {merrimans-hawaii.com} And then there’s ‘ULU Ocean Grill

at the Four Seasons, the Kohala Coast’s go-to

eatery. Order makai, from the ocean, for local

seafood like the Kona White Abalone with

coconut and kaffir lime. The goal is “R.S.A.—

Regional, Seasonal and Artisanal” cuisine

from more than 160 farmers and fishermen

on the Big Island; 75% of the menu

features local, sustainable

dining. {uluoceangrill.com}

Of course, you can’t

beat a fish taco in

Hawaii. On the

Kohala Coast, the

unassuming

Kohala Burger

and Taco won’t

disappoint.

{kohalaburgerand-taco.com}

Whether

the goal is to stay,

play, relax, explore

or savour, your choice

is big—Big Island big.

>> PAGE 20Headache Cooperative of the Pacific

Seventh Annual Winter ConferenceJanuary 31 - February 1, 2014Registration: www.hcop.com; [email protected]

From Bed to Bench and Back

Topics Include:Keynote Address - K. Michael Welch, M.B., Ch.B

Role of Glia in Pain - Linda Watkins, Ph.DRole of Glia in Headache - Andrew Charles, MDStroke and Migraine - Gretchen Tietjen, MDHallucinogens and Marijuana for Headache - Brian McGeeney, MD, MPHHow to Select Migraine Preventives - Judy Lane, MDHighlights from Headache and Cephalalgia - John Rothrock, MD

Four Seasons Hotel San Francisco 757 Market StreetSan Francisco, CA 94103415-633-3000www.fourseasons.com


C M E

AN INTERNATIONAL GUIDE TO CONTINUING MEDICAL EDUCATION

whistler / new york / munich / t ibet / kona … | c a l e n d a r

winter 2014 + beyond

1

When it’s a “bluebird” day at Whistler, there’s no place better. Blue skies, 360-degree views, crisp mountain air, unlimited terrain, fresh tracks…

This is why Whistler Blackcomb ranks as one of the top—and most popular—mountain resorts in the world.

And if the 8,171 acres (with 16 alpine bowls and three glaciers), 2,284 metres of elevation, 1,609 metres of vertical, 11.74 metres of snow, 200-plus trails and 37 lifts (including two new high-speed chairs this season) just aren’t enough for you, there’s also Whistler Heli-Skiing, with access to seriously big mountain terrain that covers some 173 glaciers and another 475 runs.

If you want to go beyond that still, Whistler is now part of the exclusive Mountain Collective. For the skier who likes to break new ground, this is the ultimate ski pass with two days of supreme skiing at the best mountain resorts in the world—think Aspen, Jackson Hole, Squaw Valley and, of course, Whistler. And at US$379 it’s a ski bum’s dream.

Another skier’s dream? Spending the day shredding

the snow with an Olympian, of course. With the Sochi 2014 Winter Olympics coming up, Whistler Blackcomb looks back to its 2010 glory and lets you channel your inner gold medalist by skiing with one. The “Ski With An Olympian” Snow School program offers full-day sessions with local Olympians like legendary Rob Boyd and 2010 ski-cross gold medalist Ashleigh McIvor.

If that’s out of your league, there’s The Camp. A combo of two of the top ski camps in North America, Dave Murray and Ski Esprit, it’s a multi-day program of slalom-race coaching for avid skiers that includes private hill space, video analysis and race-course training—capped with the traditional Whistler après experience. There’s also the testosterone-free two-day Arc’teryx Women’s Camp. No excuse not to tear up those trails!

Don’t want to ski? There’s ice skating, ziplining, snowmobile tours, horse-drawn sleigh rides, a tube park, snowshoeing, dogsledding, on-mountain sightseeing via the spectacular Peak 2 Peak gondola, the Squamish Lil’Wat Cultural Centre and the Scandinave Spa (for oh-

so-good après-any-activity soaking).And after all the winter wonder and wander, there’s

wine and dine at 6,000 feet. The Winemaker Après Series at Steeps Grill & Wine Bar atop Whistler Mountain pairs BC’s best wine (like NK’MIP and See Ya Later Ranch) with locally sourced fare in a five-course feast. And, um, at $69 per event, it’s a sell-out with just four dates this winter.

But there’s more to Whistler than its formidable ski resort. Whistler Village offers a whole other repertoire of après ski off the mountain—from craft cocktails at Alta Bistro to the ice bar at Bearfoot Bistro. The must-sample Cornucopia fest, which showcases Whistler’s farm-to-fork haute cuisine every November, may have just finished its revelry, but the fab fare is available year round—whether at the revamped and relocated Tacos la Cantina (mmmm tacos and margaritas) or the expanded and go-to fave Alta Bistro (yummy Rootdown Farms Borlotti Bean Cassoulet). Tuck in! —B. Sligl

For more, go to whistlerblackcomb.com and whistler.com.

PH

OTO

S: T

OU

RIS

M W

HIS

TLER

/ M

IKE

CR

AN

E

CLOCKWISE FROM FAR LEFT Inukshuk on Whistler Mountain with Black Tusk in the background; gourmet fare at the Chef’s Challenge during Cornucopia; snowboarder atop Whistler Peak; ice bar at the Bearfoot Bistro in Whistler Village; the wow- and vertigo-inducing Peak 2 Peak gondola from Whistler to Blackcomb.


new CME list from Adam

CARIBBEAN BALTIC & RUSSIA

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VancouverBritishColumbia

Professional Facial Aesthetics TrainingThe Physician Skincare and Training Centre

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BarrieOntario

One Week “Everything” Training Course In Botox, Fillers And Medical Aesthetics

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One Week “Everything” Training Course In Botox, Fillers And Medical Aesthetics

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Professional Facial Aesthetics TrainingThe Physician Skincare and Training Centre

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Jan242014

VictoriaBritishColumbia

Spiritual Care Conference Victoria Hospice Society 250-370-8715 victoriahospice.

org

Jan292014

San DiegoCalifornia

Pre-Conference: Bringing Integrative Medicine To Your Practice And Health Care System

Scripps Conference Services and CME

800-727-4777scrippshealth.org

Jul2014

TuscanyItaly EatBreatheThink Wellness Retreat EatBreatheThink 416-910-4513

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Jan19-242014

St. ThomasUSVI Caribbean Seminar In Anesthesiology

Frank Moya Continuing Education

954-763-8003currentreviews.com

Feb12-152014

ScottsdaleArizona

Symposium On Anesthesia And Perioperative Medicine

Mayo Clinic in Rochester, Minnesota 800-323-2688 mayo.edu/cme

Feb16-202014

KonaHawaii

Relevant Topics In AnesthesiaNorthwest Anesthesia Seminars, Inc.

509-547-7065 nwas.com

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Jan30-312014

GenevaSwitzerland Angiogenesis And Leukocytes In Atherosclerosis Abcam Events Team

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Feb06-072014

San DiegoCalifornia Structural Heart Intervention And Imaging 2014



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Danube RiverCruise Cardiology, Nephrology, Medical-Legal Sea Courses Cruises 888-647-7327 seacourses.

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Jan 30-Feb 132015

Australia and New Zealand Cruise

2015 Updates In Pulmonary And Critical Care Medicine For Primary Care Providers

Continuing Education,Inc./University at Sea

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LondonEngland 2014 Smart Trials Active Communications

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Apr 29-May 042014

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Feb 22-Mar 042014

CaribbeanCruise Cardiovascular 2014 Focus On Diabetes CMEatSEA

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Apr23-292014

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Five Day Comprehensive Diabetes Education And Management Program



Jun27-292014

CharlestonSouth Carolina

17th Annual Hypertension, Diabetes And Dyslipidemia Conference

Continuing Education Company

800-327-4502cmemeeting.org

Emer

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San AntonioTexas

Hospitalist And Emergency Procedures CME course

Hospital Procedures Consultants

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Feb23-262014

WhistlerBritishColumbia

Annual Update In Emergency Medicine University of Toronto 888-512-8173 cepdtoronto.ca

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American Academy of Emergency Medicine

800-884-2236 aaem.org

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Feb 28-Mar 012014

SacramentoCalifornia

40th Annual UC Davis Diabetes And Endocrinology Symposium

UC Davis Health System 916-734-5390

ucdmc.ucdavis.edu

Mar13-152014

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2014 Power Of Programming: International Conference On Developmental Origins Of Adiposity & Long-Term Health

Project EarlyNutrition Secretariat

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2014 North American Society For Pediatric, Gastroenterology, Hepatology & Nutrition (NASPGHAN) 3rd Year Fellows Conference

NASPGHAN 215-233-0808 naspghan.org

Mar13-162014

OrlandoFlorida Gastroenterology & Hepatology 2014 Mayo Clinic in Arizona 480-301-4580 mayo.edu/cme

Apr 26-May 032014

GalapagosCruise Gastroenterology & Rheumatology Sea Courses Cruises

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Jul19-202014

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2014 Update in Gastroenterology and Hepatology for the Primary Care Practitioner

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Cortinad’AmpezzoItaly Conference Conferences 21 011-61-7-3254-

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Jan09-112014


Medical CBT For Depression: Ten-Minute Techniques for Real Doctors CBT Canada 877-466-8228 cbt.ca

Jan172014

RochesterMinnesota

Findling Lectureship: Educating Medical Providers About The Clinical Care Of Transgender And Intersex People

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c a l e n d a r

For the past 20 years, our Primary Care Conferences havebeen designed to educate primary care physicians, with a focuson practical and useful information for clinical practice. Choosefrom three upcoming 2014 conferences.

9th Annual Primary Care UpdateWestin Maui Resort & SpaKa’anapali Beach,Lahaina, MauiMarch 3-7

17th Annual Primary Care UpdateMarco Island Resort & Spa, Marco Island, FloridaMarch 24-28March 31-April 4April 7-11

Primary Care EssentialsWailea Beach Marriott ResortWailea, MauiMarch 10-14

Continuing Medical Education Institute952.948.1685 • www.CMEIconference.org

C M E



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7th Annual Winter Conference: From Bed To Bench And Back

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OttawaOntario 7th Annual Clinical Day Academy of Medicine

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Developing A Career In Academic Surgery Course

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Royal Australasian College Of Surgeons, Annual

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GalapagosCruise Current Medical Issues Professional Education

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Expert Reviews In Hematology 2014: Highlights From The Annual Hematology Meeting Imedex 770-751-7332 imedex.com

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ChicagoIllinois

27th Annual American Society Of Pediatric Hematology Oncology Meeting: ASPHO 2014

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Chronic Disease Management in Diverse Populations



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Potpourri Of Recent Advances In Internal Medicine Update 2014 CMEatSEA 888-523-3732

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25th Annual Clinical Reviews - A Family Medicine And Internal Medicine Update

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May12-152014

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Internal Medicine For Primary Care: ID/CV/Vasc/Neuro

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SavannahGeorgia Clinical Nutrition Week 2014 (CNW14)

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78th American Society For Nutrition (ASN) Sessions & Annual Meeting

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South American Cruise

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18th Annual Children’s Neuroscience Symposium

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PhoenixArizona Laser 2014: 34th ASLMS Annual Conference

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Recently, as a family, my wife,

grandson and myself have all

become patients, and I am not

impressed with the view of our profession

from the patient perspective. The actual

care is usually good but it’s a tough route to

gain an audience with the physician.

It begins with a phone call that is,

as often as not, answered with “doctor’s

office—please hold…” This is not

infrequently followed by a repeated

message that “your call is important to

us” followed by more insincere platitudes.

This happening occasionally would be

acceptable, but my experience is that an

immediate response by a warm body is a

rarity. Yes, physicians’ phone lines are busy,

but I suggest it would be better for the

patient to get a busy signal than to be kept

hanging on the line. The caller can then

dial *66 and be notified and connected if

the line becomes free within a 30-minute

window. Furthermore, it makes poor

economic sense to pay for more phone

lines than there is staff to answer them.

The next hurdle is to get an

appointment. In family practice, a patient

should have ready access to same-day

appointments for simple and/or urgent

problems, and no longer than a week

or two for less urgent matters. As for

specialists, offering an appointment a

year or more in advance is not reasonable.

There’s an answer to this as exemplified by

the orthopaedic and physiatry specialists

in Victoria, BC. They took over a huge new

area of real estate and formed a mega-

group. Patients are triaged and referred to

whichever discipline and physician seems

most appropriate. Several of the orthopods

have given up operating; they see patients

in the office to work them up ready for one

of their colleagues to take them to the OR.

It works. All patients are now seen within

about a month, and they feel well treated.

The next frustration is time spent

in the waiting room, euphemistically

referred to as the reception area. I like

the 15/80 formula. That is, waiting time

should be 15 minutes or less 80% or more

of the time. Running behind occasionally

is inevitable since physicians have to

deal with unpredictable emergencies

and unpredictable patient problems.

Barring calls to the hospital or urgent

house visits, starting the office late is

inexcusable. Wave scheduling* will lead

to an automatic delay for the last of the

“wave.” Even worse, all patients are given

the same appointment time, and are

routinely advised to anticipate a long

wait and to bring a book. At the very least

this is insulting to the patient, leading to

resentment that may lower the threshold

to lodge a complaint in the event of a

minor medical misadventure.

By the time patients actually get to

see us, the physicians, they are usually

so relieved that their anger or frustration

abates and they realize that they must

get their problem dealt with. This leads,

unfortunately, to physicians being

unaware of the difficulties some patients

faced to eventually get the consultation.

Physicians’ offices are usually not dealing

with average members of society. A

noticeable minority of patients can

be very trying, but many patients are

feeling ill and/or anxious or are in pain.

It behooves us to offer some empathy

to these patients and convey that we do

respect their time and values.

Things have changed over the past

10 years. Physician shortage means that

any physician, regardless of behaviour

or ability, can be assured of enough

patients to earn a reasonable living. This

can lead to a sense of indifference and

even arrogance. If this can be resisted and

patients made to feel respected, then not

only would the lives of our medical office

assistants be much easier, but expensive

and distressing law suits and complaints

to provincial colleges could occur less

often.

* Wave booking is when 4 to 6 patients

are given the same time appointment, the

theory being that the time and complexity

will average out at the end of the hour ready

for the next wave.

How it feels on the other end of the stethoscope

patient perspective

S O A P B O X D R . C H R I S P E N G I L LY

Dr. Chris Pengilly is Just For Canadian Doctors’current affairs columnist. Please send your comments to him via his website at drpeng.ca.

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reach him at [email protected].

la dolce vitaStart building wealth and stop worrying about the future

B eing in the top 1% income bracket in

Canada is no guarantee for a dolce vita

in retirement. I know of many retired

doctors who are solely relying on the Canada

Pension and OAS for living expenses. The lack

of an adequate retirement nest egg can be

traced back to a number of financial mistakes

made during their careers, predominantly

excessive spending and poor investment

choices.

To avoid the financial planning mistakes,

you may consider taking these actions:

1. MAKE SAVING YOUR #1 PRIORITY Three relevant questions related to this prior-

ity. First, is the cost of financing your family’s

lifestyle threatening your ability to put money

aside? If so, try to liquidate assets that you

don’t really need. Second, are you still getting

as much use from your sailboat or ski chalet, or

have they become a drag on your cash flow? If

so, unload these personal items and put more

money into your savings instead. Is educa-

tion financing putting a strain on the family

budget? If so, instead of writing family-trust

cheques for the tuition, consider limiting your

contribution by arranging for a line of credit to

be repaid by the children in the future.

Generations have followed the timeless

financial advice, dispensed by Samuel Clason

in his 1926 book, The Richest Man in Babylon,

which states: “Live frugally, save 10% of your

income, and start early.” If you are having dif-

ficulty switching from a spending to a saving

habit, contemplate using the “out-of-sight-

out-of-mind” strategy that many doctors have

adopted. This strategy stipulates that the first

payment each month from your practice bank

account is a deposit into your investment ac-

count. I suggest that 15% of your monthly col-

lections is allocated to this account. Never skip

a payment; should you be short one month,

take it out from your line of credit.

2. SET FINANCIAL TARGETS Putting your

goals on paper is critical. The Yale University

conducted a study that found that fewer than

5% of one year’s graduating class had devel-

oped career goals. When the graduates were

surveyed 30 years later, the researchers deter-

mined that the individuals who had taken the

time to write down their goals owned 90% of

the total wealth of that class.

Keep in mind that goals are only dreams

unless they’re implemented. Have you ever

wondered why a colleague with less practice

income is financially better off than you?

She or he most likely has a concrete financial

plan that’s actually implemented. Execution

is often the Achilles heel in reaching your

goals because it requires that you overcome a

common affliction: procrastination. Execution

means implementing your goals, rather than

dreaming or talking about them.

3. USE THE CORPORATION AS THE SAVINGS VEHICLE Use the medical or hold-

ing company as your investment vehicle. Take

advantage of the low corporate tax rate by

investing all surplus funds in the corporation,

and only draw funds for personal and living

expenses. If you invest $30,000 of your before-

tax income annually in the corporation for 30

years at an interest rate of 6%, the corporate

investment will grow to $2 million. If you invest

the same income personally, you’ll only have

$1.3 million of investments, assuming a cor-

porate and personal tax rate of 14% and 44%

respectively. There are additional personal

taxes to consider when drawing retirement in-

come from the corporation. However, the tax

benefit of corporate investments is significant.

Even after factoring in the personal tax on the

dividends from the corporation, the after-tax

retirement cash flow is estimated to be one-

third greater if you invest surplus funds in the

corporation.

4. PAY YOURSELF, NOT THE TAXMAN Make

sure you take full advantage of the many tax

savings and income-splitting benefits incorpo-

ration offers you. An accountant’s conservative

attitude toward tax planning is a luxury that

you cannot afford. Should you find yourself in

this predicament, get a second opinion and

change advisors. Often, tax savings alone can

create a sizeable retirement nest egg—and no

requirement on your part to work any harder.

It’s worthwhile to spend time on your

financial planning, metaphorically described

as embarking on an enjoyable money-making

journey that enables you to track your prog-

ress of building wealth for a retirement free of

any money worries.

office space/positions/locumsad

sRICHMOND, BC: Office space available four days a week for Consultant / Specialist / Podiatrist etc. in a busy group Medical Practice in Richmond BC’s Premier Strip Mall. www.mydoctor.ca/drsinghal We have excellent experienced physician support staff plus our own Information Technology Support staff with a custom EMR for efficiency of practice/ workflow, etc. For Information please phone (604)-448-9595 Email: [email protected]

LONG TERM ASSOCIATE FAMILY PHYSICIAN POSITION: We would welcome a transitioning Richmond Family Physician who wants to move their practice in anticipation of scaling back or wishing to end their current lease with a seamless transition. We would also welcome a physician who wishes to have less administrative headaches with their current practice. We are a Richmond BC collegial group medical practice with EMR and Chronic Disease Nurse as well as excellent support staff. We also have our own Computer Experts with our custom EMR. We anticipate professional satisfaction with excellent earnings. The successful transitioning physician would continue to have their chronic disease patients as the MRP while working in a collegial group. We may also consider new grads. Full support. 70-30 split. www.mydoctor.ca/drsinghal Please phone: (604)-448-9595 Email: [email protected]

REGINA, SK: Prince of Wales Medical Clinic invites family physicians to join busy practice located in East Regina, close to major shopping centers and first class housing. Full-time, part-time or locum basis positions are available. Regular and walk-in patients are accepted. Fully networked EMR, internet accessible system is used to manage patient records. Each office and exam room is equipped with a computer and a printer. ECG and lab facilities are available on site. We have pleasant and efficient staff. The potential for income is excellent with very attractive split. Please contact our office at (306)-546-2005 or e-mail us at [email protected]

REGINA, SK: Family Physicians are invited to join busy Quance East Medical Clinic, located in East Regina, close to major shopping centers and first class housing. Full-time, part-time or locum basis positions are available. Regular and walk-in patients are accepted. Each office and exam room is equipped with a computer and a printer networked with our EMR system. Remote access from home to the EMR is available. ECG and lab facilities are available on site. Our staff is pleasant and efficient. Very attractive split arrangement. Please contact clinic manager at (306)-522-2278 or email us at [email protected] for more information.


Have a successful career.Achieve balance in your life.Choose New Brunswick!www.gnb.ca/health

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Nouveau-Brunswick!www.gnb.ca/santé

Bringing dynamic professionals to a great workplace

Chatham-Kent Health Alliance is an innovative and progressive, 200-bed community hospital with campuses in Chatham and Wallaceburg. Our focus is Patients, People, Performance and Innovation and our strategic directions support our Vision – An Exceptional Community Hospital. Setting Standards - Exceeding Expectations. We are equipped with state-of-the-art facilities and technologies, and operate at national best practice levels. Come join us to build, grow and advance your career in a workplace where you will be respected and supported.

We are recruiting for the following positions:

Family MedicineEmergency Medicine

PediatricsObstetrics & Gynecology

PsychiatryInternal Medicine

Hospitalist

To learn more about us and our community, visit our website at

www.physicianswanted.com

Interested applicants should submit a letter of interest, together with a current CV, to:

Fannie VavoulisMedical Recruitment and Education Coordinator

[email protected]

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Dr. Marlyn CookAmdocs Physician

amdocshealth.com

Opportunity to make a lifetime of differences

As a First Nations woman, I love working in First Nations communities. I feel in a sense, through promoting physical, emotional and

spiritual healing in my patients, I am helping to reverse some of the negative effects of

our past and contributing to a healthier future. Amdocs is supportive, encourages me

to practice in my own way, and is open to learning about my approach.

FLY-IN PHYSICIANS URGENTLY NEEDED IN NORTHERN ONTARIOA dynamic, challenging, fl y-in family practice opportunity

for individuals who want to practice medicine the way

it was meant to be—seeing patients who really need

a doctor. You are an experienced physician who is

comfortable working in a federal nursing station. You will

spend your time making a difference in the lives of First

Nations people whose health-care needs are sometimes

urgent and always complex.

• Controlled and balanced workload: Monday to Friday, average of 20–25 patient encounters/day

• Flexible and attractive contract arrangements: full-time, part-time and locums available

• Generous northern remuneration package including bonus (full-time physicians annual remuneration 400k+)

• No worries about day-to-day practice administration

• Relocation & travel assistance

• Furnished accommodations & meal allowance

• Challenging medicine, dynamic & supportive colleagues

For more information about Amdocs practice opportunities, please contact

Liz Bilton, Manager, Recruitment [email protected]

1.888.934.1556

CPHC CommunityFamily Health Team

JOIN OUR TEAMAndMake a Difference in Patient Care

COMMUNITY & PRIMARY HEALTH CARE – COMMUNITY FAMILY HEALTH TEAM (CPHC CFHT)Seeking a physician to join our interdisciplinary team of physicians, nurse practitioners,registered nurses, registered dietitian, social worker, psychiatrist and support staff inGananoque, ON. Our physicians are salaried with an excellent benefit package andpension plan.

We have three (3) teams across Lanark, Leeds & Grenville (Brockville, Gananoque &Westport) offering a wide range of community and health services for a diversepopulation delivered through an interdisciplinary model of care.

The Town of Gananoque, ideally situated along the banks of the St. Lawrence River inthe beautiful 1000 Islands and major Hwy. 401, provides convenience of travel to majorcosmopolitan centres: Montreal (2.5 hrs), Ottawa (1.5 hrs), Toronto (2.5 hrs) andnearby Cities of Brockville (45 mins) and Kingston (20 mins).

In addition to the natural beauty and unsurpassed living on the beautiful St. LawrenceRiver, the Town, well known to tourists, offers a plenitude of attractions and activitiessuch as the 1000 Islands Charity Casino, Playhouse, Boat cruises and Festivals.

For more information, please contact: Ruth Kitson, Executive Director2235 Parkedale Ave, Brockville, ON K6V 6B2Ph: 613 342 1747 ext. 2050; [email protected]; [email protected]


FAMILY PHYSICIANS

healthjobs pei.caLive Island Style

FAMILY PHYSICIANSPrince Edward Island, Canada

Practicing Family Medicine in Prince Edward Island has been described as ‘much more than a job’ by Dr. Peter Hooley, Family Physician of the year 2011. “It’s a calling and a passion and a privilege partnering with PEI patients and families.”

PEI offers:- Lowest housing costs in the country- Short commute to work- Low crime rates

DID YOU KNOW? In 2013, Prince Edward Island has been ranked as Top Island in Continental US & Canada and, with over 30 golf courses, known nationally as Canada’s #1 golf destination.

We have opportunities for Family Physicians in various locations on Prince Edward Island. To view these locations, go to healthjobspei.ca.

Ask Physician Recruitment Coordinator about incentive [email protected] 902-368-6302

[email protected]

Dr. Deborah Martin, MD, CCFP (EM)526 Bryne Drive, Barrie, ON

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Heartland is located in west-central Saskatchewan and provides health care services to a population of 44,100. Heartland is home to some of the friendliest communities in the country! We have excellent healthcare services and programs, great recreation, leisure services and schools. Heartland Health Region is seeking dynamic and committed family physicians to provide services to clients in various communities. Physicians will provide patient care, on call emergency coverage and backup to the physicians in the other areas of the Region if needed.

Vacancies: 7 Permanent Full Time Family Medicine PositionsCommunities: Rosetown, Davidson, Unity, Wilkie, Kindersley, Outlook, MacklinHealth Region: Heartland Posting Period: Open October 25, 2013 until filled Minimum Potential Salary: $250,000.00 Method of Payment: Fee For Service Education/Work Experience: All candidates must be eligible for a license by the College of Physicians and Surgeons of Saskatchewan and have completed an internship/residency/post-graduate training in family medicine. Internationally trained physicians must have passed the MCCEE Exam and practices as an active family physician in the last three years. Job Duties: Provide patient care, on call emergency coverage and backup to the physicians in the other areas of the Region if needed. Visit our website www.hrha.sk.ca for further detailson these Family Physician opportunities.

EXPLORE OUR OPPORTUNITIES FOR FAMILY PHYSICIANS

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My name: Alister Frayne

I live and practise in: Fort Langley, BC

My degrees / training: MB.,Ch.B, CCFP. Happily ensconced in full-service family practice, after forays into Anaesthesia (too clos-

eted), Surgery (too much stool),

Orthopedics (hands not big enough), and

Trauma (too upsetting)

Why I was drawn to medicine and my specialty: My parents insisted. All the kids chose a profes-sion—my sister became a teacher, my brother a lawyer. I got the medicine straw. (And it was a great blend of language and sciences, my favourite subjects at school.)

My last trip: World Tea Expo, Las Vegas

The most exotic place I’ve trav-elled to: Bushmanland, Namibia

The best souvenir I’ve brought back from a trip: Trading my old runners and a bag of rice for

a carved Ovambo chest in the Caprivi

A favourite place that I keep returning to: When I can—Giant’s Castle, Drakensberg, South Africa

My ultimate dream vacation: A hammock and a villa in Bali

If I could travel to any time, I’d go…: The jazz era

My favourite book: Herzog by Saul Bellow

My favourite film: “OBWAT”

(O Brother, Where Art Thou?). A close second is Peter Sellers’ classic The

Party

Must-see TV: Breaking Bad—I still have to find the final episode re-run (I refuse to tolerate ads!)

My favourite CD/album or song: Live at Budokan, Bob Dylan

My first job: Internship at Adding-ton Hospital, Durban, aka “Hospital on the Beach”. (The call system was a towel waved from the 5th floor.)

The gadget or gear I could not do without: My Chromebook

My favourite room: My self-built media room (teaching point—lousy drywalling can always be hidden by funky painted burlap)

My car: C320 Merc

My last purchase: Skis for my 11-year-old “laat lammetjie” (look it up). The other 3 kids are at UVic and I’m determined to create “a day with dad” with the last one—“bonding” (we’ll see how that goes!)

Last splurge: I don’t

Most-frequented store: Home Depot

My closet has too many: Blackish socks

My fridge is always stocked with: Dry cider and Pinot Grigio

My medicine cabinet is always stocked with: Robax

Guilty pleasure: Aero bar

My favourite exercise/sport: Swimming

My favourite sport to watch: In-ternational rugby—go Springboks!

Celebrity crush: I don’t do celebrity

I’d want this item with me if stranded on a desert island: Something, anything, to read

My secret to relaxing: Gardening with my 30HP John Deere

A talent I wish I had: Playing the guitar (actually, any instrument)

My scariest moment: Hitchhiking in Zimbabwe in ’79, during the civil war (things we’ll do for love!)

My fondest memory: Family beach holidays as a kid—sleeping on the back window ledge of the Chevy Holden on the drive down to the Zululand coast (forget seatbelts!)

My biggest challenge: Getting “Honeybush Health Ltd” off the ground—medicine is a breeze by comparison!

One thing I’d change about my-self: My voice

The word that best describes me: Detailed

I’m inspired by: Creativity out of apparent chaos

My biggest ego boost: Founding chair of the Langley Divi-sion of Family Practice

My biggest ego blow: The Edinburgh Royal College primary surgical exam

I’m happiest when: The sun is shining

My greatest fear: Ending up saying: “Of all the things I’ve lost, it’s my mind I miss the most”

My motto: “Do what you do, do well boy” (Boy Scouts song)

A cause that’s close to my heart: Primary Care redesign

On my must-do list: Sail across the Pacific

If I wasn’t a doctor I’d be: A writer

What’s on your mind: My Honeybush Health tea!

This has been a unique challenge: establish-

ing and setting up a new tea and beverage

company, navigating the regulatory and legal

minefields, designing and creating product

labels, logos, taglines, a website, and a social

media campaign, trademarking, entering

tradeshows and expos, finding and negotiat-

ing with co-packers, and merchants of every

stripe. Oh, and developing and marketing a

range of sugar-free healthy beverages, and a

range of unique herbal health teas. We won’t

even mention financing—you know who you

are—thank you!

SM

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AL

K d o c t o r s s h a r e t h e i r p i c k s , p a i n s , p l e a s u r e s + f e a r s

Dr. Alister Frayne is into tea. Forget celebrities and splurges, think honeybush (not roiboos!). This physician has gone out on a limb to develop a brand of herbal health tea—South Africa’s little-known and rare honeybush (check it out at honeybushhealth.com). And it’s the hardest thing he’s done. Seems the world of big business is somewhat of a 180 from family practice. These days, it’s trips to the World Tea Expo in Las Vegas over a hammock in Bali (although that’s still the dream!). Bottoms up!

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TOP Dr. Alister Frayne with his son Hamish, holding lion cubs. ABOVE Riding

an ostrich. RIGHT His Honeybush

health tea.

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CONSIDER YOUR BATTERIES RECHARGED.

Kayak along a gentle river. Hike to a secluded waterfall.

Or simply sit and watch the sunset from a pier. It’s all here on Kaua‘i.

WINTER 2014

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Transcript of WINTER 2014