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quickdraw_mcgraw

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Everything posted by quickdraw_mcgraw

  1. Of course the extra health care worker testing is odd, literally against the policy "Choosing wisely"
  2. Here is the policy. http://www.cpso.on.ca/Policies-Publications/Policy/Blood-Borne-Viruses
  3. The career decision is whether the college will let you practice if you test positive. They do not have a policy on cure, the only thing that matters is patient safety, your career does not factor into the CPSO's concerns.
  4. And you guys forget the eye splash, happens very often, even with good PPE.
  5. Most surgeons, including myself, prick themselves in the OR once or twice a year, higher for residents. We don't routinely test for HIV or HCV preop, especially in emergency cases. It is not a controlled environment. You can tell me, but my understanding is that the prevalence of the two, HCV and HIV are increasing, and no one really knows what the risk is, the 1/300 number is a guess, I haven't found the original source.
  6. Don't forget, a false positive, while figuring it out, is all over your EMR, under your name. And you cannot practice during that time. And HCV is the bigger concern, the CPSO panel has not accepted HCV infection can be cured yet, it might take a few years.
  7. Totally right. And it can really f-ck up your career. You are at risk of catching it, but at zero risk of giving it to the patient. Meanwhile you are not allowed to practice.
  8. But one positive test ends your right to practice in Ontario, and it happens. And we don't know the true prevalence in the baby boom population. One positive test, I cannot do the only thing I know how to do...
  9. Exactly, so I just mention it so that you might use it as further information in choosing a specialty. The high risk in infecting a patient, as I best understand are surgeons and assistants in OBGYN, GEN. ORTHO. Not sure about the others.
  10. Yes, surgical specialties, they just made a list of the specialties that are high risk.
  11. Yes, but I don't think they have developed a policy on what defines cure. But they will immediately say you must stop practicing the second you test positive. And that is on your electronic medical record...
  12. If you get a needle stick and test positive for HIV or Hep C the following July in Ontario, you will have to stop practice if you are a surgeon. The CPSO requires you have clean blood every year to practice. I don't think the College of Dentistry has the same rules. Dr. McGraw
  13. If you get a needle stick and test positive for HIV or Hep C the following July in Ontario, you will have to stop practive. The CPSO requires you have clean blood every year to practice. Dr. McGraw
  14. Something to consider in considering a specialty, from a surgeon in practice. Every year you must prove you do not have HIV or Hep C to the College of Physicians and surgeons on Ontario. If you test positive, you may no longer operate. You may live the clean life of a Buddist monk, but if you get something splashed in your eye, or a needle stick from a patient with Hep C, you will no longer really be able to practice surgery. The Hepatologists figure there a a whole host of baby boomers out there infected with Hep C, thank you sexual revolution. Add this to the calculus of
  15. Um, amazing story...have you been tested? I am not sure but I think a criminal record check and HIV test may be on the horizon or here now for medical school admission. I would recommend the test though, being positive and being a doctor would have the CPSO regulating your practice to low risk medical activities, whether right or not.
  16. James Menlove STEGH Chief of ER and anesthetist
  17. Surgery resident: 7am rounds, OR's 8-6pm three days per week=33 hours or clinic 8:30-4pm two days per week=15 hours 2-3 nights per week on call- additional 6-14 hours each night=12-39 hours So, roughly, 33+15 +12=60 or the higher number 33+15+39=87 hours 60-87 hours per week approximately involved in patient care and learning. 168 hours per week, Leaving 81- 108 hours for sleep and life.
  18. And lets not forget when you kids go through your ER rotations at the academic hospitals your risk of getting TB that is resitant. ----------------------------------------------------------------------------- Jonathan Jonathan Guss Chief Executive Officer Ontario Medical Association Dear Mr. Guss, Thanks for your reply. The late Dr. Yanga died of SARS, not TB. The problem is that if eiher you or I developed multiple drug resistant tb and were incarcerated in Westpark, YOU would receive your salary, but my colleagues and I would not (non-salaried). It is difficult to get priva
  19. Dude, I know about MD... Seeing that I have seven years of actually practicing the craft...and you have not even started medical school, I think you should pay attention. I am not lying, I have no agenda. My only interest is to open the eyes of students like yourself in a way that wasn't possible when I applied. Whatever...
  20. It's really not about money, it's about freedom. You give up the best years of your life to a classroom and residency. Then you discover that you are under a mountain of debt. Then, if you pay really close attention to what the "bureaucrats" are planning for your profession, you will understand that doctors are slaves. You ask for more money because costs are increasing---"No doctor, you are greedy, you shouldn't be asking for money, you should do this work out of your love for the job." You ask for time off---"No doctor, you should be selfless and give ALL of your time to pa
  21. When you do get rich, if you do, I think the charities you give to should be focused on children. Health care and social services for kids are being cut to pay for the baby boomers' new knees, hips, and angioplasties.
  22. Everything being tried now in Ontario has already been tried in the UK. The MOHLTC thinks the NHS is the "bees knees" of public health care. Here is the honest truth, the government will NEVER significantly increase doctors incomes, meaning increases at least at the level of inflation. Why? They do not want to look weak. Here is another truth, it's not how much you earn, it's how much you keep. Work hard in your first ten years of practice, save most of it and invest it in dividend paying income trusts/stocks/mutual funds. That will supplement your income. Then you can ch
  23. "This is very true, and, it's why the day of the solo practioner has come and gone. However, the most substantial costs here are fixed and readily reduced by smart practice management as simple as getting together with a few other docs and buying your office space rather than renting. A little financial saavy (not taught in residency unfortunately) and you're laughing at people losing 40% of gross billings to overhead." Most group practices, the last time I looked, collect 30% of your gross billings. More irritatingly, you are now an employee, there is usually a community board, to who
  24. That's can BILL 250-300K/year. Add up your expenses and take off your tax rate first. You might pocket 100K in Ontario. You have to see quite a few patients to do that. The province pays $38 per visit to a GP and $15 for a follow-up visit. You do the math, I already have. At least the media is starting to recognize the reality: MEDICAL CARE Forget the country club image, it simply doesn't pay to be a family doctor GARY MASON gmason@globeandmail.com April 29, 2008 You want to know why fewer students entering medical school these days want to become family do
  25. But, if you are in the OR, and you are scrubbed, you can't pull out an anatomy book. You should have that anatomy memorized prior to scrubbing. His complaint was that he had no anatomy education. Key for surgery.
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