SUMMER 2011

where will you meet? ann arbor / dalian / adelaide / cannes / reykjavik >>

DOCTORS

inside: Continuing mediCal eduCation CalendarPubliCations mail agreement #41073506

life+leisure

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win a VISA

gift card! page 37

kayak off of Vancouver Island in

Kyuquot Sound cruise the fjords + coast of

norway

+ forgotten Florida + rediscover roSé + import cars from state-side + make the most of your iNCome

Europe… we’ve been there. And we’ll get you there too.

For Quebec enquiries, please call or visit our sister brand, Club Voyages at 1-866-777-0608 or www.clubvoyages.com. Prices are LAND ONLY (airfare not included) per person based on double occupancy in Canadian dollars for specific dates and subject to availability and change at time of booking. All savings are reflected in advertised pricing. Government fees and taxes included. All advertised product accurate at time of press deadline. Other conditions may apply. Please consult with your Marlin Travel Advisor or respective tour operator’s current Europe brochures for full details. For Amazing Spain and Italian Splendours booking terms and conditions see Insight’s 2011/2012 Winter Europe brochure. *Base reward miles offer is 1/$35 on vacation packages, cruise fares and charter flights. Not applicable on scheduled airline or rail tickets, hotel and car reservations paid locally, taxes, service fees, non-commissionable items, foreign exchange and insurance. Other conditions may apply. †To redeem for your Reward Certificates visit www.airmiles.ca. Valid on new bookings only with select suppliers. No minimum booking value required. A maximum of 4 Reward Certificates per person, per trip may be used. Base reward miles are not issued on the value of Reward Certificates applied to the booking. All rewards are subject to the terms and conditions of the AIR MILES Reward Program, are subject to change and may be withdrawn without notice. Some restrictions apply. See www.airmiles.ca for details. ®TM Trademarks of AIR MILES International Trading B.V. Used under license by LoyaltyOne, Inc., and Transat Distribution Canada Inc. Marlin Travel is a division of Transat Distribution Canada Inc. Head Office: 191 The West Mall, Suite 700, Etobicoke ON M9C 5K8. ON Reg. #50015084, BC Reg. #23567.

$1724AMAZING BRITAIN 11 DAYS · THURS., AUG. 25 – SEPT. 29, 2011Itinerary: London, Stratford, Coventry, York, Durham, Edinburgh, St. Andrews, Scottish Highlands, Culloden, Loch Ness, Glasgow, Grasmere, Manchester, Lake District, Chester, Tintern, Bristol, Bath, Stonehenge, Salisbury. Includes: 7 Full English Breakfasts, 1 Buffet Breakfast, 1 Continental Breakfast, 1 three-course Dinner, Local Highlight Scottish Highlands Dinner in Laggan, Be My Guest Farewell Luncheon in Tintern.

Land OnlyEscorted TourTaxes Included

CLIENT: TRANSAT DISTRIBUTION

PROJECT NAME: TRANSAT EUROPE 2011

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LANGUAGE: ENGLISH

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From the passion of Flamenco in Spain to the alluring architecture of Britain and the palpable romance of Italy… no matter what corner of Europe you long to discover, you can count on Marlin Travel’s knowledgeable Advisors to create a vacation you’ll never forget. This is the year to experience the eclectic cultures and savoury cuisines that Europe has to offer.

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$1825AMAZING SPAIN & PORTUGAL10 DAYS · FRI., MAR. 2, 9, 16, 23 & 30, 2012Itinerary: Madrid, Lisbon, Seville, Granada.Visit the historical city of Toledo where you can admire the Cathedral of Saint Mary of Toledo, and El Greco’s famous painting in the chapel of Santo Tomé, plus much more!Includes: 8 Buffet Breakfasts, 2 three-course table d’hôte Dinners or Buffets, tea/coffee, Highlight Dinner in Madrid and a Dine-Around option in Lisbon.

$2725ITALIAN SPLENDOURS 13 DAYS · SAT., MAR. 3, 10, 17 & 24, 2012Itinerary: Rome, Venice, Milan, Florence, Verona, Sorrento.Discover the wonders of the Colosseum and experience the beauty of the Vatican Museums and Sistine Chapel. Get a glimpse of every day Roman life as you tour the excavations of Pompeii, and stare in awe at Michelangelo’s original ‘Statue of David’ in Florence, plus much more!Includes: 11 Buffet Breakfasts, 4 three-course table d’hôte Dinners or Buffets, tea/coffee and Highlight Dinner in Rome.

summer 2011 JuST FOR CanaDian DOCTORS 3

20

Features

14 coastal cruise Sailing the spectacular shores of Norway

20 Kyuquot Sound Kayaking off of Vancouver Island

Columns

12 motoring Importing from the US

13 doctor on a soapbox Unnecessary screening

24 the wealthy doctor Kiddie tax

34 the wine doctor Rosé-tinted

35 the food doctor A salad with plenty of bite

summer 2011 COntents

dePartments5 summer mix

25 CME calendar

31 employment opportunities

36 classifieds

37 sudoku

38 small talk with Dr. Andrew Crosby

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DOCTORSJ u S T F O R C a n a D i a n

life + leisure

SUMMER 2011

Editor and Art Director Barb Sligl

Editorial Assistant Adam Flint

Contributors Dr. George Burden Andrew Findlay Dr. Holly Fong Janet Gyenes Dr. Chris Pengilly Dr. Neil Pollock Manfred Purtzki Dr. Kelly Silverthorn Corey Van’t Haaff Cover photo B. Sligl

Senior Account Executive Monique Mori

Account Executive 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 Alison Mulvey

CME Development Adam Flint

Founding Publisher Denise Heaton

Just For Canadian Doctors is published 4 times a year by 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: Alesund, a coastal Norwegian town

renowned for its Art Nouveau architecture, is a stop en

route to the Geirangerfjord, a UNESCO World Heritage

Site, on the Hurtigruten cruise along Norway’s spectacular coastline. Story on page 14.

4 JuST FOR CanaDian DOCTORS summer 2011

Maxxim Vacations AD

* 2011 prices are per person based on two sharing and subject to taxes and availability. Based on a Toronto departure.

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get wetIt’s time to get wet—literally and

figuratively. with warmer weather here (finally!), why not seek out some

new shores? these might be the sugary sandy

shores on florida’s forgotten coast (page 5), or the somewhat cooler coastline of Norway, past the Arctic Circle (page 14). Cool in more ways than one—the Norwegians seem to meld old and new very nicely, evoking both vintage-Viking and sleek style… who else could make galoshes hip (page 8)?

Closer to home are the west Coast waters off of Vancouver Island, in another little-known spot called Kyuquot Sound (page 20). A kayak tour here includes wildlife sightings, massive ancient trees, and even the requisite espresso (this is

the west Coast, after all!).on the figurative side, we’re also

exploring new waters at Just For Canadian Doctors magazine. we want to do more for you. tell us what you’d like to see in the magazine. New columns, different destinations, more CME content?

we’re also looking into starting a larger online presence with regular updates on travel news and ideas. have something you want to share? we’ll post on our website or even include in the magazine.

A big thank you to all those who make this magazine possible. please continue to subscribe to the magazine—it’s free! Just go to justforcanadiandoctors.com (or page 36). And please keep your feedback coming!

[email protected]

clockwise from top The Midnatsol cruises through

Norway’s Geirangerfjord, one of UNESCO’s World Heritage

Sites; the Norwegian coastline through a porthole; and fabulous fresh seafood in

Bergen, Norway.

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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 …w h a t / w h e n / w h e r e > s u m m e r m i x

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get-away

gulf shore getaway. Miles of sugary sand beaches (in colour and texture). Check. Briny fresh clams and oysters. Check. Old-style southern hospitality and friendliness. Check. The world’s largest natural stand of Tupelo trees

(producing out-of-this-world honey). Check. Wild, seemingly untouched waterways in acres of the Apalachicola Bay estuary. Check. The possible sighting of an alligator in said swampy estuary… Check. This is Franklin County, Florida,

or “where the wild things are.” The Gulf region may have taken a tourism hit a year ago with the tragic oil spill, but this tucked-away part of the Florida panhandle is still a sheltered bit of sanctuary in the southeast just waiting to be dis-

covered. This is “old Florida.” Forget South Beach extravagance and big-eared cartoon characters. Think moss-covered oaks, Victorian homes, old-fashioned hospitality and blue-collar fishing culture. It’s the “forgotten coast” of Florida.

And that’s a good thing…revel in miles of uncrowded beaches (pick a spot, any spot), southern manners (be prepared to be graciously referred to as “sir” or “ma’am”), and some seriously sweet seafood (like fat, salty, creamy oysters). >>


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>> The heart of Franklin County is Apalachicola (“Apalach” in local speak), founded in 1831. Once the third largest port on the Gulf of

Mexico (its population is now about 2,000), it still boasts wide, tree-lined streets with grand historic homes and a rich maritime culture. Battered boats line the waterfront and old net factories and sponge warehouses are re-purposed in a new mix of eclectic

shops, restaurants, galleries and quaint hotels (like the Coomb’s House Inn 3 and The Tin Shed, a menagerie of nautical momentos, from weathered signs 2 to figureheads off long-gone ships).

More than anything, this town is known for hav-ing some of the finest oysters—anywhere. Apala-chicola Bay oysters, with their mild, briny flavour, account for 90% of oysters sold in Florida and 10% in the US. A common sight: strapping, hardy fishermen “tonging” on “dog box” boats in the shallow waters (local big-time oyster purveyor Grady Leavins recalls his chest width growing from 38” to 44” when he started moonlighting as an oyster fisherman).

The clam fishers off of Alligator Point are another subset of the maritime culture (supplying eateries in Manhattan, no less) 4 . And local restaurants proudly flaunt this harvest from the Gulf, from oysters and clams to blue crab, redfish, tarpon and grouper. At Papa Joe’s there’s homemade gumbo by owner Stan, chock-full of grouper, scallops and shrimp. And there’s every form of oyster, from

shucked to order to “Capt. Jack” (with bacon, cheddar and jalapenos).

The seafood treasure here seems to be so-far-so-good after the devastating oil spill last year, but if long-term effects are revealed, this community will bounce back. Disaster has come through here before with Hurricane Dennis in 2004—and resiliency is part of this region’s make-up.

Maybe that’s part of the “wildness” still in place

here. Yes, there’s the balmy bay and seaside sands of St. George Island 1 . But beyond the beachfront is the Apalachicola Bay Estuary, where river meets the sea. This basin is one of the largest (over 246,000 acres) and last undeveloped, ecologically diverse systems left in the US—and hopefully remains one of the least polluted. Wander via kayak 5 . You may come across that stand of Tupelo trees and their honey, another wonder of this region (it doesn’t crystallize, is safe for diabetics, and is “easily the best honey in the world,” says one local). Yet another dimension to this “forgotten coast.” — B. Sligl

IF YOU GO For more on Franklin County: anaturalescape.com. Get the goods on local oysters: leavinsseafood.com. Stay at the historic Coomb’s House Inn: coombshouseinn.com. Or rent a beach house on St. George Island: collinsvacationren-tals.com. Find a sea-worthy souvenir at The Tin Shed: tinshednautical.com. And discover the ecological wonder of the estuary at the Apalachicola National Estuarine Research Reserve: nerrs.noaa.gov.

hit the beachget- away

Need a morning refresher after a night of dancing the Samba and one too many caipirinhas? Or

perhaps an afternoon pick-me-up after trolling museums? We thought so. Skip the jitter-inducing espresso and reach for a cuppa of caffeine-free organic rooibos tea. Republic of Tea’s Be Well herbal teas are packed with exotic flavour fusions. Get Gorgeous offers up a fragrant combination of camomile flower and orange peel. Get Wellness pairs spicy Indian ginseng with echinacea. And if you’re dreaming of a soothing stroll through fields of dandelion and clover, drink up a cup of Get Clean tea.

While white and green teas get bitter quickly, red tea can stand the heat. Pour boiling water over the bag and let it steep for five to seven minutes—just long enough for a little tea-induced reverie. $13.99 at Chapters Indigo; chapters.indigo.ca — Janet Gyenes

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Abacus

pack+playThinner, lighter, faster—the superlatives aren’t surprising when it comes to the second-generation iPad, launched just a year after the world’s first tablet made your iPhone seem a little less screen-worthy. The iPad 2 is one-third thinner, 15%

lighter and nine times faster than Apple’s first iteration. At play, enjoy FaceTime with your friends courtesy of the front-facing camera, while the rear-facing camera shoots the scene around you. At work, captivate the audience with video-mirroring, while delivering presentations in HD. The big bonus: the battery boasts 10 hours of juice, perfect for those transatlantic flights. Apple Canada, from $519; apple.com/ca — J.G.

Definitely not camera shy.First came quality, then came customization.

One of photography’s latest leaps forward—Leica à la carte—truly lives up to its name. Photogs can fully customize their M7 or MP rangefinder camera with menu of designs and features. Not one, two or even 10 items…Think bigger. Like a mise en place worthy of Ferran Adrià proportions. From fine-tuned controls and details such as viewfinder frame lines, leather finish and personal engraving, there are more than 4,000 combinations to satisfy your particular appetite for form and function. With this many choices, who needs to order off-menu? Leica à la carte, from $4,900 (body only); leica-camera.com — J.G.

gear/gadget

app it | TOOLs FOr MDsgear/gadget

photogenesis

The iPad is becoming the go-to device

on-call as well as off. Here’s how you can

make it work for you at work—yes, there’s an app for that.

1 Auriculo HD Auriculotherapy point

reference ap-plication with 20

charts, 177 treat-ment protocols and 298 Auricular Point References. $19.99

2 Eponyms Look up more than 1,700

medical eponyms from Adler Sign to

Zoon’s balanitis in 28 categories. $2.99

3 Gray’s Anatomy Premium Edition The classic anatomical

book in high-resolution, complete with scrollable thumbnails (and

zooming capabilities) of all 1,247 images. $17.99 — J.G.

app /tool

slim—and sexy There’s a sleeve for that … The stripped-down styling of the iPad 2 deserves an equally sleek cover-up to protect it from elevator elbows and sticky spills. Sleeves, messenger bags and envelopes by Built sport the durability of neoprene on the outside and plush lining on the inside. Built, from $34.99; builtny.com — J.G.

ipad to go


seaside sojournm i x s u m m e r

for more on Norwegian inspiration, go to page 14

Orcas are feeding, doubling back and circling. One whale creates a bow wave that crests towards the others, herding fish and confusing them with bubbles. We are recording their behaviour, how many minutes of foraging, travelling, or social activity. All is grist for Orca lab at Telegraph Cove. Since we set out yesterday we have met four different cetaceans; minke and humpback whales, pacific sided dolphins and now their cousins, the orcas, or killer whales.

We are watching from the deck of a converted “mission boat,” the Columbia iii. Fifty years ago she plied these waters bringing medical and pastoral care to isolated floating camps dotted among the fjords and islands between Vancouver island and mainland bC, one of a series supported by the Columbia Mission.

between 1905 and 1969, the Mission’s boats connected fishing and logging families to the outer world with news and mail. Hundred of weddings and christenings were celebrated on their decks. The boats’ chapels and kitchens served as emergency rooms where mission doctors had to deal with accidents from the steep sided logging shows, or illnesses in the communities.

Wooden trimmed, brass fitted, Columbia iii is now reborn as a “kayak mothership” under the care of skipper Ross Campbell and his family. We are part of their broughton Archipelago Tour, treated like family guests by the cook/deckhand and guides.

The crew are careful to keep the recommended distance from the orcas. All eyes follow as they stop feeding and move toward us. One of them swims right underneath Columbia and emerges near the stern. The spray from her breath hits the zodiac, close enough to moisten our cheeks. “She is in her home waters,” says Ross, “i think she recognises the engine.” The Columbia has been visiting this area for more than 50 years, perhaps the boat has become part of their community. We reverently watch her return to her family, feeling closer than ever to the whales. —Janet May

Mission orca Part of their community

tour

spotted at the Oslo Opera House (in the gift shop, no less): Charming, colourful rubber footwear. Glorified galoshes, but definitely design-worthy ones. It’s the modern galosh from Norway.

The creator grew up on the scandinavian coast, where traditional black-rubber galoshes were must-haves. He just added style. Now, when the weather acts up, wear your favorite shoes (yes, there

are versions for high heels) and slip on some rather sleek sWIMs to channel some of that Norwegian innovation. Be bold banishing those late-spring showers in vibrant colours!

And the collection goes

beyond galoshes with penny loafers and ballerina slippers. Think deck shoes for summer sailing or beachcombing. Or maybe a mucky day of dog walking. You’ll be on trend on the trail. swims.com —B.S.

style walk like a norwegian

for another kayak adventure on Vancouver Island, go to page 20

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Hotels & Resorts, L.L.C. This is not an offer to sell, nor a solicitation of an offer to buy, to residents of any state or province in which restrictions and other legal requirements have not been fulfilled.

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Fairmont AD

Make this a summer to remember.With more than 40 activities to fill your days and 65,000 acres to explore, our historic log château makes the perfect summer destination to reconnect and unwind.

• Accommodation (two adults and two children age 12 and under) and daily buffet breakfast • Daily dinner at our restaurant, Aux Chantignoles, or outdoor BBQ• Three hours of bicycle rental per day, unlimited mini-golf, one hour pontoon boat cruise • Children’s activity program• Access to Fairmont Kenauk with unlimited canoeing and kayaking• One family admission to Omega Park • One round of golf for the family when staying four nights or more

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www.fairmont.com 45 minutes from Ottawa, 75 minutes from Montreal.

GIVInG bAckA top canadian travel agency sponsors a doctor’s consultation room for underprivileged children in South Africa

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at the opening of a doctor’s consulting room in Soweto, participants put their handprints

and names in wet cement in the wall of the room—Jeff and Bernie and Marilyn. They are the children living in this Johannesburg, South Africa community who will directly benefit from this charitable effort.

This consult room, part of the community-based Ikageng Itireleng NGO’s initiative in this impoverished community, now facilitates ongoing physician visits in Ikageng’s community centre. And CMEatSEA, a division of Canada’s top cruise-only retailer, Cruise Connections (owned by a family that includes over 20 physicians), has formed a partnership with Ikageng. During CMEatSEA’s current Africa travel program—including a fundraising drive and donation collection for funds, school and medical supplies, clothing and toys—participants visited the Ikageng community centre in Soweto.

Ikageng helps over 1,700 orphaned and less-fortunate children in an area beset with poverty and disease, including AIDS. Hundreds visit the centre daily for basic necessities. CMEatSEA’s partnership with Ikageng is a part of its own ongoing charitable initiatives that benefit communities around the world. Keep it up! —B.S.

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There’s a new outfitter on the West Coast. And it’s co-founded by an orthopaedic sur-geon. Dr. Andrew Crosby and his wife Kim-berley Barry have joined forces with three

cycling friends to start Island Joy Rides, a boutique tour company run by people who believe that the best way to experience a new environment is from the seat of a bicycle.

Island Joy Rides offers premium single-day, multi-day and private tours that highlight the beauty and cul-ture of Campbell River, the Comox Valley and the Discov-ery Islands. “Cycling, by its nature, is an environmentally friendly activity and that spirit permeates our mission,” says Barry. “We aim to eat locally, travel lightly, take nothing but pictures and leave nothing but tire tread marks.” And yet this is deluxe stuff. Think fabulous food and accommodations, off-the-beaten-path stops and beautiful scenery, physical exhilaration, camaraderie, and lots of local flavour. As Barry says “We guarantee to take guests on a joy ride they’ll never forget!”

This is not your typical bike tour company. Experience cycling “splattered with healthy doses of great local food and beverage, beautiful scenery, interesting nature and culture, and easy company,” says Barry. “Ortho advice too—just kidding!”

Join the ride with a special Doctors Do Vancouver Island price on one of this summer’s tours. Call for details: 250-830-4938 or toll free 1-855-830-8522. Island Joy Rides, islandjoyrides.com —B.S.

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m i xs u m m e rbike it!

for more adventure on Vancouver Island, go to page 20, AND for more on Dr. Andrew Crosby see page 38

saddle upand hit the road on two wheels

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m o t o r i n g d r . k e l ly s i lv e r t h o r n

This magazine is reader-centred. the edi-tor reports you’ve asked JfCD to re-visit “should you self-import your next car

from the USA?” Indeed, I have just bought two late model hondas—one from a US honda dealer, and one from my local dealer. which, in a nutshell, is the take away message: “it de-pends.” I’ll give you my “it depends” decision-making process in determining whether to buy my target car model in the USA.

In late 2006, when I saved $9,000 self-importing my first US market car, the Canadian dollar was trading at 88.5 cents USD. then 6,000 – 7,000 US vehicles were being buyer-imported monthly. In 37 of the 48 months between 2007 and 2010, the loonie has been even more muscular than 88 cents. Monthly US buyer-imported numbers peaked in May 2008 at 22,000—or about one in seven of all vehicles then bought by Canadians.

the Canadian government wants consum-ers to enjoy the most affordable cars, but, at the same time, is conscious of exporting capital and dealership jobs to the US. this inherent tension was diminished with the Crash of late 2008, as self-imports tanked to less than 4,000 units monthly. US market imports into Canada are now rebounding strongly in step with both the loonie and economy.

What TWO FACTORS drive importation from the US market?the main advantages to the Canadian con-sumer of the USA marketplace are availability and price.

the US market has been the largest and most competitive in the world for eons. Roughly 10 times as many new cars are sold into it each year as into Canada. And within that US marketplace their consumers trend to more expensive and sporty cars and trucks. with our strong loonie, the US marketplace is Canuck car-guy/gal candy-store time!

that’s the good news on availability. the bad news is that most car companies now prohibit their US dealers from selling new cars into the Canadian market. Still, with such a large US market, many nearly new cars are available for sale.

I use autotrader.com and autotrader.ca to compare the prevalent availability and pric-ing in each market. for example, the honda S2000 model I recently targeted was costing ~$10,000 more here. But sales tax savings are also important! that calculation bumped my savings on a US S2000 to $11,200 Canadian.

(you’ll generally be exempt from US State sales taxes, but you will pay Canadian hSt/gSt/pSt upon importation.)

however, every other factor we’ll cover subtracts from the US car’s advantage. Basically, your buying power relates to how currency is converted. I’ve found I can buy with full-phat loonies by instructing my annual-fee financial advisor to sell tSX bought blue chips into a US stock exchange for payment in Benjamins.

What THREE key determinants about my target model will i need from riv.ca? the riv.ca website has a plethora of invaluable material. for now, just click on “Importing a Vehicle,” then “Vehicle Admissibility,” to get the key three bits.

first, is your target model even eligible to bring into Canada? for cars 15 years and older, the answer generally is yes. younger cars, it de-pends. Assuming that the car of your desires is on the eligible list, then (sigh) the two remain-ing determinants may still sink your prospects.

Second, several car companies have notified the Canadian government that only their Canadian arm is capable of determining if their US-sold and resident product has had all of its US recalls. friends of mine refer to this as the “three-week, three-thousand dollar shake-down.” the brands listing this require-ment as I write are: Bentley, BMw / MINI, ferrari / Maserati, Jaguar / land Rover, lamborghini, Mercedes-Benz and Volvo.

third, vehicles manufactured after September 1, 2007 require a CSA equivalent electronic immobilizer system (EIS) to achieve Canadian importation. Cars from the following brands may not meet this requirement without installing an accredited EIS: Chrysler, ferrari, ford, general Motors, honda, hyundai / Kia, lamborghini, Mazda, Mercedes-Benz, Subaru, Suzuki and toyota.

If your target car is included in either of the above two paragraphs, then you’ll want to sit down with at least one target model Canadian dealer Service Manager before proceeding further. (Some dealers are more co-operative on US imports than others! Don’t lose hope; ferrari broker Mike Sheehan put me in touch with several satisfied Canadian customers.)

FiVE other areas of due diligence within “it depends.” If your target model is assembled outside of NAftA, then a 6.1% duty must be paid upon importation into Canada. the manufacturer (and most car nuts) will know the country of

assembly—all ferraris in Italy, for example, while BMws vary with the model. Rarely, it will come down to the specific VIN (serial number).

Is a warranty present or available on your target US model? what is the status of that warranty once the car is registered in Canada? Determine these answers from the manufacturer contact list under fAQ at riv.ca. If the importation denies you a warranty and/or other value-added services, what monetary value do you assign to this loss?

then, we need to remember the cornucopia of importation fees. the Air Conditioning Excise ($100), the federal/ RIV fee ($195), daytime running lights as needed (allow $250), provincial fee (allow $100). the one biggie fee is the $1,000-$4,000 hit on gas-thirsty vehicles—dial your fate at green levy 1-866-330-3304.

All other vehicle aspects being identical, what will the presence of a former US title have on your imported car’s value at re-sale? the longer you plan to keep the car, the less important this factor becomes. My contacts in the trade say a former US car realizes 10 – 20% less at resale compared to an equivalent all-Canadian car. (which also tells me shopping for an already imported US car is another money-saving option!)

what value will you assign to the time, expense, and energy to execute the US purchase and delivery to your home? you can do all of this yourself or hire someone from Canadian Association of Vehicle Importers (www.cavi.ca) to do all of this for you. I’ve used both methods. Again, it depends.

Still on-board?Everything up to this point should allow you to answer “is my target model best self-imported from the US?” Assuming your “it depends” deliberations yields a yes, then due diligence around the candidate specific example/ seller/ State still needs to be carried out (beyond the scope of this article).

when you’re satisfied on both the target model and specific specimen fronts, follow the importation process laid out in the riv.ca web-site. Access the toll-free help line as needed. It seems like a huge leap of faith the first time, but most people will be pleasantly surprised how easy US self-imports can all fall into place.

After all, as many as 22,000 of your fellow Canadians have been doing this every month. It can’t be rocket surgery, right?

Is it still worth it to import a vehicle from south of the border?

loonie tunes redux

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

automotive writer.


Overnight I have about 50 patients who are no longer “well.” they are newly prediabetic. Nothing changed

in the patients, but the guidelines now suggest that a fasting blood glucose of 5.7 rather than 6.0 mandates a 75 g glucose tolerance test, and they be given a new sickness label of prediabetic.

Similarly many of my patients are suddenly prehypertensive. that is to say they have a systolic blood pressure between 120 and 139 mmhg.

this all seems to coincide with an escalating pattern I am seeing with patients coming in demanding a list of screening tests that will surely bankrupt the system. I will likely be accused of heresy suggesting that many screening tests are useless at best, and positively harmful at worst.

the problem is that the physician’s hands are tied in declining these tests in that, should the patient go on to develop illness at any time in the future, the physician will be accused of negligence, and he or she would likely feel responsible anyway. It is a no-win situation.

A prime example, which is coming under scrutiny at the moment, is the pSA. It is becoming apparent that cancer of the prostate in the older male can follow a relatively benign course. Surgery, hormonal manipulation and radiation carry a burden of morbidity and even mortality; not to mention the anxiety engendered in the patient. what is needed is a reliable method of differentiating potentially lethal prostate cancer from the more common relatively benign disease. In the meantime what do we do?

this is anecdotal, but very telling. I had a patient with the worst generalized anxiety disorder I have ever seen compounded by obsessive compulsive traits. he had a transurethral resection of the prostate that unexpectedly showed a considerable amount of cancer. I do not recall the gleason

score (this was some time ago). his wife begged me not to tell him of the diagnosis because of his anxiety—he would almost certainly have committed suicide. I confess I did not tell him. five years later his wife

died. five years after that I could stand the suspense any longer, and I checked his pSA and did a prostate examination. the prostate felt somewhat enlarged but relatively normal and the pSA was certainly less than six. he ended up dying of an unrelated condition a few years later. this

experience has certainly made me question the treatment of my 86-year-old cousin’s elevated pSA; he was quite asymptomatic and still driving around in his 40-foot motor home.

I am sure that you are faced with the same situation as I am with an asymptomatic healthy 62-year-old woman coming in requesting a screening colonoscopy, bone density and cholesterol check. She wonders about a whole-body Ct scan. She discovered that these were “necessary” from watching television, mostly from the USA. Carried to its illogical conclusion this patient could end up on a bisphosphonate and a statin medication to the delight of pharmaceutical companies. Both this woman’s parents lived well into their 90s. She is not overweight. Are such tests justified? Are such tests safe? the bone density does involve some degree of radiation, albeit small, and the colonoscopy carries a small but definite risk of colonic perforation and anaesthetic mishap.

the Canadian Medicare system cannot sustain such widespread screening. focused screening is reasonable. A healthy woman with nonagenarian parents would probably best be advised to follow a healthy lifestyle. She should exercise regularly for at least one hour three times a week, make sure she has an adequate calcium and vitamin D intake, follow a Mediterranean or similar high fibre diet and get on and enjoy her life.

I recently saw a patient, a retired family physician, who declined my advice that he should “come in for a check-up some time.” he paraphrased from Selling Sickness by Ray Moynihan, “…if you have reached the age of 65 and there is nothing wrong with you, then you have not had enough tests.” true? It got me thinking.

what can our Medicare system afford to provide? will this screening save money and illness in the long term? I suggest that health care dollars would be more effective when directed toward widespread application of healthier lifestyles with educational advertising, more funding for nicotine and alcohol addiction treatment, and tax credits for fitness activities. we will then create a new category of patients—the prehealthy.

how many tests can our Medicare system afford to provide?

screening gone mad

d o c t o r o n a 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.

Will this screening save money and illness in the long run?

t r a v e l t h e w o r l dThe Fjellheisen cable car is the easy way

up storsteinen Mountain for vertigo-inducing views (at 420 metres above sea

level) of Tromso (home of the northernmost university and brewery) and beyond.

After climbing switchbacks from the bottom of the fjord (by bus!), visitors reach

a viewing platform overlooking the stunning UNEsCO-protected Geirangerfjord.


t r a v e l t h e w o r l d

story + photos by Barb sligl

Colourful wharves in Trondheim, the oldest of which date back to the 18th century, are a relic of the port’s long history and importance as a merchant city.

The stark alpine between Gudbrandsjuvet Gorge and the dizzying Trollstigen road’s 11 switchbacks showcasing Norwegian engineering (and earning it the status of one of the most hair-raising roads in the world).


t r a v e l t h e w o r l dt r a v e l t h e w o r l d

rom inside the Midnatsol cabin the view outside softly shimmers, all hazy greys and steely blues. the cruise ship seems still as the seascape floats by, hump after hump of miniature islands like pods of breaching whales. the

low, rounded forms of bare rock have nothing upon them, maybe a smudge of green moss. the midnight sun (after which this ship is aptly named) tinges the horizon with a perpetual glow. It’s almost eerily tranquil. And not too hard to imagine Vikings once here…

In Norway the seacoast is integral to the country’s culture, as is its history and heritage—Vikings, trolls and artistic giants (grieg, Ibsen, and even a-ha). And upon the Midnatsol, a hurtigruten ship (part of the “fast route” fleet that has brought mail, cargo and passengers to Norway’s far-flung coastal communities for 115 years), you traverse this jagged coast, dipping into steep-walled fjords along the way, from the lively southern end, across the Arctic Circle, to the Nordkapp.

the start of this journey is Bergen. An ancient port town, it reflects Norway’s balance of old and new. the UNESCo heritage Site of Bryggen (62 buildings that are a relic of the town’s role in the hanseatic league’s trading empire from the 14th century) is like a movie set,

with crimson- and ochre-coloured houses butted up against each other at angles only possible with the long passage of time. Across the cobblestoned street are boats moored in the bay, bobbing with young Norwegians enjoying a tipple (or two) while peeling shrimp by the pound in the warm summer evening.

this lovely town is still one of the busiest harbours in northern Europe; there’s a ship building industry, a ropery, and a long-standing fish market where you’ll find colossal crab legs, jars of caviar, mounds of shrimp, and fast food Norwegian style, including the ubiquitous shrimp sandwich. Edvard grieg, the beloved classical composer, walked through this market every day on his way to school. his home and studio, now a museum nestled on a verdant cliff-side overlooking cobalt-blue water, seems to somehow embody Norwegian patriotism. the national anthem is titled Ja, vi elsker dette landet or “yes, we love this country,” and its lyrics describe this land as rising “rugged, weath-ered, above the sea.”

Mountains and fjords are iconic here . And trolls. grieg’s good-luck charm was a troll, and you’ll find “troll crossing” signs alongside

remote roadways. It’s even said that the rugged countryside, with its gnarled rock formations, is dotted with fossilized trolls…

this ingrained folklore has also been cheekily reclaimed by a new generation of Norsemen, like of-the-moment Moods of Norway, a de-sign team (from a small town described as “a magical place known for glaciers, salmon fishing and one newly opened escalator”) that brings iconic Norway to the fashion forefront (with funky suits and sneakers). (Another reinterpretation of Norwegian schtick is Swims; see page 8.) the hip set isn’t hard to find in Bergen, whether in the Moods store, a Sondre lerche show (an alt-pop musician with a quirky bonhomie vibe) or one of the many student-filled cafés.

Bergen itself means “meadow beneath the mountains,” a name that’s appreciated after a short ride up the floibanen funicular to the top of Mount floyen, which overlooks the town. Bergen is surrounded by forested hillsides interconnected by tunnels and bridges over fjords. And this continues up the coast.

Sailing out of Bergen on the Midnatsol, you pass the count-less fjords that lace Norway’s seaside edges. the show-stopper: geirangerfjord, another UNESCo world heritage Site. the ship glides past the Seven Sisters waterfall and into that quintessential landscape Norwegians sing about in their anthem. from the bottom of the steep-walled fjord, a bus tour takes passengers through adrenaline-inducing switchbacks to the barren beauty of the alpine, where only hardy farmers (and trolls) live. But this environment reaps sweetness—

literally. A roadside stand sells strawberries that might just be the sweetest grown anywhere (natural sugars are concentrated in a short growing season that still manages to produce a million tons of ber-ries). Ahhh, that Norwegian resiliency.

And then, back on the Midnatsol, more cliffs and peaks and green hills hugging inky waters. tiny community after community is passed—here a town “known for its meat and furniture,” there a village where the last so-called witch was burned—with red, blue, yellow and white houses brightening the shoreline. towns that seem cut off and isolated are connected by the hurtigruten fleet and by feats of engineering—towering bridges and roads arcing over water and through forests. this is Norwegian innovation (and money…the country is oil-and-gas rich and not part of the European Union).

Each port-of-call shows more of that meld of heritage and hip. trondheim, another university town and “city forest” established over 1,000 years ago by the Viking King olav, highlights more innovation—from a statue of legendary leif Ericson (the discoverer of North America) to the only bike lift in the world >> CONTiNUEd ON pAGE 18


t r a v e l t h e w o r l dt r a v e l t h e w o r l dA full-size recreation of a Viking Chieftan’s house, including a Norseman reenacting those days of yore (as part of Hurtigruten’s Lofotr Viking Feast excursion).

A sami camp near the North Cape, where reindeer reign and colourful traditional costumes pop against the barren beauty.

The Nordkapp or North Cape, once seen as the last vestige of the civilized world, still seems like the ends of the earth.

The colourful wooden houses of the old wharf in Bergen—another UNEsCO World Heritage site.


+

if yo

u go

more Hurtigruten offers seven- to 12-day cruises up the Norwegian coast, year-round. Of the fleet of 12 ships, the 644-passenger MS Midnatsol is one of the largest, including hot tubs on the top deck and a sauna with a view. For more on cruises and excursions, and the 34 ports of call in Norway, go to: hurtigruten.us/norway. To plan your travels to Norway—from sailing up the spectacular coastline to going cosmopolitan in its brimming-with-culture cities—check out visitnorway.com/en/. To get to Norway, fly with Scandinavian Airlines or SAS, a Star Alliance member, for the most flight options: flysas.com/en/us/.

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t r a v e l t h e w o r l dCONTiNUEd FROM pAGE 16

>> (created by a professor who wanted to make cycling home easier). tromso, yet another student town (with the northern-most university in the world), offers more insight into Norway’s explorative spirit at the polar Museum, which celebrates national hero Roald Amundsen (the first man to reach the South pole and sail through the

Northwest passage) alongside a hunting heritage that includes whaling (a less-than-savoury practice that continues in Norway today). tastier is tromso’s claim to the northernmost brewery in the world, Mack Bryggeri, founded in 1877 when explorers reigned—and still serving today.

Also served on this coastal cruise:

reindeer broth in a Sami tent. the meaty, warming brew is like the very essence of this indigenous people’s livelihood. there are 200 words for reindeer in the Sami language, and these nomadic people move with the seasons and their herds. the traditional hat, worn by a Sami man, even has four points for the four directions…although everything always seems to strive North In Norway.

And the “way north”—the literal meaning of “Norway,” after all—ultimately leads to what was once thought of as the end of the world, the Nordkapp or North Cape. here, the weather is changeable and unpredictable; the sparse hillsides, occupied only by reindeer and Sami, can see all four seasons in one day. thick fog blurs the hori-zon, making standing at the edge of this last chunk of rock before the North pole even more staggering. there’s a strong sense of wonder and awe here. But it’s also found throughout Norway.

from left searching for the horizon at the top of the North Cape; a carving in Bryggen that evokes Norway’s storied past; loads of

shrimp at Bergen’s fish market.

summer 2011 JuST FOR CanaDian DOCTORS 19READY-TO-GO TAILORED CUSTOM


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

oN the WeSterN edge oF vaNCouver iSlaNd iS aN aNCieNt ForeSt, a bevy oF mariNe liFe, uNForgettable kayakiNg, aNd eveN aN eSpreSSo bar…thiS iS

The espresso machine hisses like a steam locomotive, while I stretch a creaky back unaccustomed to being shoehorned into a cramped kayak shell. having navigated the bumpy roads across Vancouver Island’s rugged spine en route to a sea kayaking adventure in wild Kyuquot Sound, I hadn’t expected to be paddling up to an espresso bar. however, here in Kyuquot village the entrepreneurial spirit is alive and well. with a flotilla of kayaks bobbing next to the dock, the young barista tammy Billy is hard at work, while our guide Dave pinel, who co-owns west Coast Expeditions with his wife Caroline and Kyuquot native Bev hansen, unfurls an ocean chart to plot the day. to

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“this is the social hub of Kyuquot Sound,” pinel says, as he shares a laugh with a group of local natives lounging on the dock, along with Eric gorbman, the American kosher chef and proprietor of both the Kyuquot Inn and the Java-the-hutt coffee bar.

however, as much as I enjoy a good brew, wildlife—not civilized shots of espresso—drew me here. Kyuquot Sound forms a half-moon shaped indentation along the west coast of Vancouver Island and although much less renowned than Nootka and Clayoquot sounds to the south, it is no less spectacular. Roughly divided between the traditional territories of the Kyuquot and Checleset first nations, the Sound is ringed by steep sided mountains that plunge into a sea sprinkled with tiny islands and islets, providing sheltered waters ideal for both marine life and safe sea kayaking. pinel has spent 15 seasons guiding trips around Kyuquot—it’s like his second home. west Coast Expeditions’ base camp is on Spring Island,

smack in the centre of the Mission group archipelago; islands with groves of massive cedar trees the size of Vw Beetles surrounded by crystalline inter-tidal pools where every square centimeter of available real estate is occupied by life. In Kyuquot Sound marine life gets in your face; it’s everywhere.

that must have been Captain James Cook’s first impression when he explored these same shores in 1788; he encountered not only ancient native culture but also rafts of sea otters thousands strong inhabiting the protected shallows, around the islands and inlets. the discovery sparked a destructive trade in fur pelts destined for the fashion houses of European and Asian aristocracy, and in mere decades the entire pacific Northwest population of otters teetered on extinction. In places like Kyuquot the marine ecosystem was thrown out of balance, like a tottering house of cards. In this case the key card was the otter whose favorite food is sea urchin, an

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story by Andrew Findlay

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invertebrate that attaches itself to the holdfast of kelp. this common plant is key to biodiversity, a source of food and habitat for myriad fish, insect, crustacean, and shellfish species, in turn providing prey for marine mammals and larger fish further up the food chain. however without otters to keep urchins in check, kelp forests can be wiped out creating what scientists call “urchin barrens,” and that’s what happened here. In the late 1960s and early 70s scientists relocated nearly 100 sea otters from southern Alaska to Kyuquot Sound. It was a surprisingly successful intervention; these

thick furred, naturally curious little creatures have made a remarkable recovery, now numbering more than 1,700 in the Kyuquot region alone. Consequently some scientists believe this has allowed the kelp forests to return with vigour. Nowadays Kyuquot feels like a veritable wild kingdom. last night we fell asleep to the ghostly breathing of a humpback whale that ventured into the darkness of a Spring Island cove. today, we’re paddling toward lookout Island, on the lookout for otters, before making the crossing to Double Rocks where stellar sea lions haul out to laze in the sun.

fortified with caffeine, we skirt the western shore of Spring Island, the briny smell of the sea as sharp on the nose as a fish market. forests of bull kelp bob in the water like a confusion of spaghetti noodles. Below the surface, iridescent seaweed sparkles with cobalt blue caught in submarine shafts of sunlight. we pass a reef of volcanic rock revealed by the ebbing tide; starfish, sea stars, periwinkles, urchins, anemones and other unrecognizable creatures compete for space. pinel stops paddling and pulls out his binoculars, pointing at a pair of otters periscoping among the kelp and watching us.

“Sea otters remind me of teenagers,” pinel says, “they spend a third of the day eating, a third of the day sleeping, and a


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scenes from a tour with West Coast Expeditions: gourmet fare, intertidal exploration

and kayaking the waters of Kyuquot sound.

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third of the day grooming.”these two must be pausing between sea urchin snacks. Soon

we’re pulling ashore on lookout Island. we push through a wall of dense salal that fringes the beach before entering what feels like some fantastic lost arboretum. Sitka spruce soar as straight and tall as the masts of a schooner, but it’s the stuff underfoot that is truly mesmerizing; a forest floor thick with electric green moss that gives the sensation of walking with springs on the feet. In a mysterious way that only undisturbed nature can, this island invites silence and contemplation. An hour later, we’re paddling toward Double Rocks. As lookout shrinks behind us I sense the timeless power of the ocean rolling beneath the kayak, nothing but a thin synthetic skin of a hull that separates me and the sea, and—it suddenly occurs to me—the creatures that live within it. Double Rocks looms closer and I hear what sounds like the cacophony of a dog kennel; dozens of overlapping sea lions form a mass of flesh on Double Rocks that glistens in the sun, somewhat unpleasantly reminiscent of tourists sunning themselves on a crowded beach at an all inclusive beach resort. three massive males flop into the water threateningly and pinel cautions us to keep a respectful distance from these territorial mammals. I have no desire to challenge this directive.

the wind picks up slightly so we turn our bows 180 degrees for the exposed crossing back to lookout Island. Someone in our group spots the graceful arch of a humpback in the distance. we stop paddling and watch, counting three whales in this pod that is travelling straight toward us. two more surface, raising their tail flukes and diving into the depths. we carry on somewhat warily now. then, a few paddle lengths to the starboard of a kayak piloted by a retired nurse from Victoria, one of these leviathans breaks the surface in a silent arc unimaginably graceful for an animal that weighs nearly 40 metric tonnes full grown. the nurse screams and an involuntary panic courses through our vulnerable group that’s floating around in glorified tupperware containers. however, as far as I know a humpback has never attacked a human. of course the reverse is a different story; these whales were once indiscriminately hunted in an astonishingly wasteful industry based partly on the perverse desire to churn whale oil into cosmetics. So, it is incredible to think that these intelligent, wonderful creatures would still wish to approach us so closely, in a gesture of curiosity and, it seems, friendship. like the sea otter, humpbacks are another good news story, having made a comeback and now frequently visit Kyuquot Sound. last summer in a single day, pinel counted 17 humpbacks; 10 years ago one or two would have been cause for celebration. Buzzing from the day’s close encounters, we turn back toward Spring Island.

that night after a supper of salmon baked over an open fire, I sip a glass of red wine and sit with pinel around the campfire. Sparks spiral upwards into a darkening sky.

“the more time you spend around these islands the more they become a part of you. It’s such a rich place,” he says, as stars slowly emerge, illuminating the night one by one.

later, making my way by headlamp back to my tent, I think I hear the ghostly echo of an exhaling humpback somewhere out there in the blackness.

iF you Go For information on base-camp and expedition-style sea-kayaking trips in Kyuquot Sound go to westcoastexpeditions.com; 1-800-665-3040.


the wealthy doctor manfred purtzki, c.a.

Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can

reach him at [email protected].

In 2000, the federal government introduced the tax on split income, commonly referred to as the “Kiddie tax,” to prevent a high-

income individual to shift income to a minor child. the effect of this tax is that the minor child is obligated to pay the highest marginal tax rate on any dividends received either directly or indi-rectly through the family trust from the medical corporation. the restrictions on income splitting do not include capital gains received by the minor. As a result, tax strategies were developed to convert a dividend to a capital gain.

Doctors and other high-income taxpayers with corporations welcomed the huge benefit the capital gains method created. Instead of paying income taxes of $60,000 on a $200,000 dividend, the tax on a capital gain of $200,000 allocated

between two minor children is only $20,000, resulting in a $40,000 tax saving.

the latest federal budget proposes to extend the “Kiddie tax” to include capital gains, effective March 22, 2011.

for some time, CRA has been aware of the capital gains strategy of allocating income to minors and have issued assessments under the general Anti-Avoidance Rules (gAAR). taxpayers have objected to the proposed assessments arguing that the existing rules permit the allocation of capital gains as a means to split income with minor children. this issue is currently being decided in tax Court.

Although you can only allocate dividends to children in the year they turn 18, you can plan the income splitting well in advance. Assume that your corporation has a January 31st year-end. Considering the scenario that your daughter is turning 18 in 2013 and you decide to withdraw $100,000 for home renovations from your medical corporation in April 2011. Rather than reporting this draw as a dividend on your next year-end of January 31, 2012, you leave the $100,000 outstanding until January 31, 2013, when the company will issue a $100,000 dividend to your daughter. Assuming that your daughter has no other income, her income tax on the dividend will be about $15,000, which is 50% of the tax you will pay in the high tax bracket (tax savings vary between provinces).

If you are planning to accelerate the payments on your mortgage by taking additional draws from your corporation, which would be taxed as dividends at the highest personal tax rate, consider leaving your cash surplus in the corporation and take it out when your children turn 18.

to maximize your income splitting, you can also add low-income family

members (siblings, parents and in-laws) as shareholders to your medical corporation. Keep in mind that you do not have to prove

the reasonableness of dividends paid to family members who are not directly involved in your practice. It may be wise to check with your College as to the regulations of adding specific family members to your medical corporation.

If you are planning to take large cash advances from your medical corporation

and you do not have the ability to income split with low income family members, the alternative is to report these draws as capital gains rather than dividends. for example, if you have saved up $400,000 in your medical corporation, and you report the draw as a dividend, the income tax is about $120,000. however, if you apply the capital gains technique, your tax is about $80,000, resulting in a $40,000 tax saving. Additionally, in the event you have unused capital losses from the sale of your personal investments, you can use these losses to shelter the tax on the capital gain. Using the above example, if you have a $100,000 capital loss carry forward, your income tax on the capital gain will be reduced further by $20,000.

Although the budget of March 22, 2011 was not passed, you can expect that amendments to the Income tax Act relating to the “Kiddie tax” will become law, regardless of the election outcome.

the 2011 budget also addresses the Employee profit Sharing plans (EpSps). Many doctors are using these plans to avoid making Canada pension plan contributions and paying Employment Insurance premiums for family members who work in the practice. the federal government will study this issue further before making amendments to the tax rules applicable to the EpSps.

Kiddie taxfederal Budget blocks doctors’ income splitting scheme

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you can expect that amendments to the income tax act relating to the “kiddie tax” will become law


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ann arbor / dalian / adelaide / cannes / reykjavik … | c a l e n d a r

Kiddie taxfederal Budget blocks doctors’ income splitting scheme

summer 2011 + beyond

You might not think there’s much inspiration 25 miles west of Detroit, but university town Ann Arbor is one stimulating spot. With an average age

of 27 years, this small town with big-city style has a vibe that mixes idealism with intellect and social consciousness with creativity. Mingle with the cool crowd at The Elbow Room (elbowroomypsi.com), where you’ll hear the latest beats from blues to punk (this is the hometown of Iggy Pop, after all), or browse high culture at the stellar University of Michigan’s Museum of Art (boasting more than 18,000 pieces of art from over 150 years of collecting; umma.umich.edu) 1 . There’s also the hole-in-the-wall bar, The Blind Pig (blindpigmusic.com), which has hosted the likes of Jimi Hendrix and Nirvana (the band even touted The Pig as its number-one venue). Ann Arbor is also home to Ghostly International, a music label that produces of-the-moment alternative music (ghostly.com).

But more than music, there’s a serious sustainable food movement here. During the summer Main Street is

packed with diners al fresco and The Ann Arbor Farmers Market is stocked with stalls, where you’ll find those famous Michigan cherries 2 . You might run into local chefs like Max Sussman 3 or James Beard-nominated Alex Young of Zingerman’s Roadhouse (zingermansroadhouse.com), home of some “really good American food.” As comedian Aziz Ansari (of Parks and Recreation fame) said in a recent issue of Bon Appétit, “The best mac-and-cheese I’ve had at a restaurant was at Zingerman’s in Ann Arbor. Goddamn, that was good.” Chef Young also runs Cornman Farms, where he grows over 130 varieties of more than 27 types of vegetables and raises livestock 4 .

Then there’s the Sidetrack Bar and Grill (sidetrackba-randgrill.com) 5 , another local institution in Ypsilanti—a.k.a. Ypsi—a little hipster town just outside Ann Arbor (the setting for Drew Barrymore’s Whip It movie) that has free wireless throughout—how forward-thinking. After a Sidetrack burger (rated one of America’s best by GQ Magazine) head to The Elbow Room for a tasty microbrew

(or a PBR). Then, down the road, past over-100-year-old barns and farmsteads 6 , visit cute Chelsea, the hometown of Jeff Daniels and his Purple Rose Theatre.

Every town here seems to have its own brewery. This region—Michigan is “the great beer state”—is heaven for the beer aficionado. There’s the ABC of local beer, Arbor Brewing Co., which has won awards for its microbrews and environmental responsibility, alongside other award-winning local breweries like Jolly Pumpkin Artisan Ales (try the Weizen Bam wheat ale 7 ) and Zero Gravity.

And after all the food and drink, there’s the art—from the University of Michigan Museum of Art to the annual Ann Arbor Art Fair. During the July fest, artists gather in the downtown streets, exhibiting their work to some 500,000 fairgoers (artfairs.visitannarbor.org). It seems the stereo-typical vision of a downtrodden Detroit area is nowhere to be found. In fact, local media heralds a “brain gain” in this “budding bohemia.” Join in on the groove. — B.S.

For more info: visitannarbor.org; visitypsinow.com

small town, big style: microbrews, fab fare, art and beats in michigan (ann arbor cme events highlighted in blue)

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4th international Conference On FiXeD Combination, in The treatment Of Hypertension, Dyslipidemia and Diabetes

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Londonengland

5th international meeting Of Society For acute Care

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Oct28-29

San DiegoCalifornia

2011 San Diego Day Of TraumaScripps Conference Services

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Shades Of Grey Conference alberta Health Services 403-955-1551albertahealth-services.ca

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2011 Rugby World Cup medical Conference impact Organisation011-61-3-9535-3600

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7th iaBS Symposium On advances in Transfusion Safety

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CopenhagenDenmark

3rd international Symposium On Critical Bleeding BDP Congress 011-45-3345-4545 iscb2011.dk

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interamerican Oncology Conference 4: Current Status & Future Of anti-Cancer Targeted Therapies

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7th new Zealand national immunisation Conference & immunisation Workshop

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2011 annual meeting Of The american College of allergy, asthma & immunology

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Health District management: Priority Setting and Resource allocation

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2011 amBi Clinical ethics Conference albany medical College 518-262-5828 amc.edu

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aDa’s Food & nutrition Conference & expo 2011american Dietetic association

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Thursday evening Learning Series- Cognitive Behavioral Therapy For Obesity - exercise as a Therapeutic Tool

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7th Asia Pacific Congress In Maternal Fetal medicine (7th aPCmFm)

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coming up rosés

t h e w i n e d o c t o r d r . n e i l p o l l o c k

the season is ripe for the blush of rosé wines

Dr. Neil Pollock is a member of the Wine Writers’ Circle of Canada; visit his website on wine at vinovancouver.com or send feedback to [email protected].

He practises no-scalpel, no-needle vasectomy and infant circumcision.

Gone are the days when rosé wine needed a defense for its ambiguous tint and stereotypical sweetness. this

spring, I’m donning my rosé-tinted glasses—and you should too. let the warm Barolos and deep Merlots breathe, and opt for lighter-hued wines as the days lighten. with cheeky notes of raspberry and savoury spice, cool and crisp rosés are the perfect companions to lead us into summer. they pair well with foods across the spectrum, from seafood to tofu and flank steak to chocolate torte. this kind of versatility makes them irresistible—especially for potluck dinners, sangria or impromptu entertaining.

My earliest rosé impressions were of Mateus, the medium-sweet

portuguese export that became a hit with my parents’ generation after world war II. Many of my friends recall it with fondness: thanks to its good price and popularity with the girls, it was the perfect first-date beverage. however, the true origins of rosé are intertwined with those of Bordeaux “Clairet,” a pale, amber red wine (anglicized to “Claret” in England by the end of the 15th century). Now Claret refers to a darker red wine while rosé runs the gamut from dark pink to shades of orange.

In the 1970s, the face of the wine market blushed again. this time, it was because of white zinfandel, or white zin, first produced by accident in 1975 by the Sutter home winery in Napa

Valley. when they encountered a problem in the fermentation

process of their usual zinfandel, a white wine, they quarantined

the flawed juice for a few weeks only to sample it later and discover that it was tasty. So tasty, in fact, that it became Sutter home’s bestselling product, far surpassing reds and whites, and inspiring the moniker “blush.”

Since the white zin craze, the rosé market has dried up a bit—but only in flavour. Bigger, drier pink wines hail from across the globe, from top-end Australian sparkling to expressive California blush and powerful pink rosé from france’s Rhône valley.

I’ll start my recommendations with the local. for British Columbia rosés, I’d award top honours to the 2008 Rigamarole Rosé ($15.99), which presents strawberry and currant underscored by hints of pepper, all with a dry and pristine finish. It’s a lively, quirky wine. A close second is the 2009 Rotberger from gray Monk ($15.99). It weaves raspberry, cranberry and cherry to make quite a robust rosé, well equipped to balance

out a barbeque meal or a passover roast. If you’re looking for a sweet deal, I would

go with the 2008 Ironstone Xpression Rosé from California ($8). It’s on the sweeter end of the spectrum, tasting of peach and berry, but with the added complexity of a twist of lemon. Brilliant for patio sipping at sunset.

If you’re looking to splash out for a gift or a birthday, there are many delicious sparkling wines to choose from. I like the NV Bugey Cerdon, Caveau du Mont July ($15), a rosé made from handpicked local grapes fermented in the méthode ancestrale (the young wine continues to ferment once bottled). It’s yet another rosé that overturns the stereotype of superficial pink champagne—this is one full-bodied bubbly. Nonetheless, still rosés are more suitable for mealtimes; save the bubbly ones for appetizers or dessert.

though you’d be hard-pressed to find a rosé that doesn’t compliment your meal, a truly exceptional pairing is that of a robust Spanish rosé—like the 2009 tapena ($12)—with a wedge of Mahon or even a strong zamorano. the bold acidity of the tapena helps match these cheeses taste for taste.

Crossing the border into france, I love the 2009 Château d’Esclans Côtes de provence whispering Angel Rosé ($27.99) because it’s charming in name and taste. Blending red berries, pale flowers and a note of toasted custard, this wine pairs well with sushi or a lightly dressed linguini. A wine of the grenache varietal, whispering Angel boasts the distinctness of this amenable grape, which is one of the world’s most widely planted and produces a unique expression wherever it grows.

lastly, for a rarer treat, keep an eye out for experimental orange wines, like New york State winery Channing Daughter’s 2009 Envelope ($39), aptly named since it’s pushing the envelope in wine production. It’s a chameleon of a wine: amber or gold in colour depending on the light, with flavours of both spiced apricot and light blossoms—a fitting wine for spring-to-summer metamorphosis.

rosé 101There are three main ways to produce rosé, mostly using red grapes:

1. sKIN CONTACT This method involves crushing of dark-skinned grapes, followed by several days of contact between skins and juice (the longer the contact, the richer and redder the colour of the final wine). Although the same practice is used to create red wine, here the skins are discarded once the must is pressed.

2. sAIGNéE This method, also known as “bleeding the vats,” achieves rosé as a by-product of red wine production. The pink juice is removed at an early stage in the fermentation of the red wine.

3. BLENDING Combining red wine with white does give you pink, but it doesn’t necessarily give you quality or control. This method is the most seldom used.

Dr. Pollock would like to thank the Schachter sisters for their contributions, past and present. Lauren Schachter is a freelance writer, keen lover of wine, and recent graduate of UBC’s English

Literature Master’s program. Claire Schachter is currently working on her Master’s degree in International Relations at Oxford University.


the food doctor dr. holly fong

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

barbecue seasonIt’s time to fire up that grill

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For most of the men in my family, bar-beque season begins once the snow has melted sufficiently to create a

path from the back door to the grill. And, al-though they will eat almost anything cooked on the grill, their first choice is always steak. yes, that first smoky spice-encrusted steak is a delicious change from the stews and roasts of winter; however, there can be too much of

a good thing, not just for the taste buds but also one’s cardiac health.

I wonder if it’s the actual steak they prefer, or the taste of the beef combined with the convenience of throwing a slab of meat on the grill. If it’s the latter, a salad with steak would provide a smaller portion of meat and a larger serving of vegetables. And if you make an Asian-inspired salad with green mango, you’ll also include a serving of fruit.

with a smaller portion of steak in the salad, the beef needs to be meaty, such as a marinated flank steak. Marinating it with lime, soya sauce, chili, herbs and garlic both flavours and tenderizes the beef. In the end, you have a fresh, colourful citrus salad that is smoky with a touch of sweetness to counterbalance the spicy salt of the meat.

typically, I would choose a floral white wine with tropical fruit and some herb or spice notes such as a gewürztraminer or grüner Veltliner. for those who prefer red wine, the 2009 lirac from Domaine Saint Nicolas is a well-balanced elegant wine with a long spicy finish. this medium-bodied wine from the Côte du Rhône has a floral nose with berry fruits that pairs well with the beef and the spicy herbs of the salad. It has enough fruit to not be overwhelmed by the mango.

1 piece of flank steak (approx 700g)

MArINADE 3 tablespoon fish sauce 4 tablespoon soya sauce½ tablespoon sesame oil½ inch knob of ginger, peeled and finely

grated 1 large clove of garlic, finely grated½ teaspoon chili flakes2 tablespoon fresh lime juice1 tablespoon sugar

sALAD 12 ounce package of mixed salad greens, rinsed and dried1 large red bell pepper, seeded and diced1 large green mango, peeled and diced1 small sweet onion, thinly sliced

DrEssING 1 tablespoon chives, minced1 tablespoon cilantro, finely chopped1 teaspoon mint leaves, cut into thin ribbons (stack leaves, roll and cut in thin slices)1 tablespoon basil leaves, cut into thin ribbons1 large garlic clove, finely grated½ inch knob of ginger, peeled and finely grated, discarding tough fiberszest and juice of 1 large lime3 tablespoon sugar2 ½ tablespoon fish sauce½ teaspoon chili flakes¼ cup olive oil

Score the flank steak by cutting diagonally across the meat on both sides taking care not to cut through the meat. Place in a large dish so that the meat can lie flat. Combine the marinade ingredients, work marinade into the cuts of the meat, and marinate for at least 30 minutes, turning once.

Heat the grill to high and scrape clean to avoid excess burning and sticking. Remove meat from marinade and wipe dry with a piece of paper towel. When the grill is hot, place meat over coals. Sear for 2 minutes and turn meat 90 degrees for another minute to create grill marks. Turn over meat. Grill for another 6 – 8 minutes for medium rare or 8 – 10 minutes for medium depending upon the thickness of the steak. Remove meat and let rest for 15 minutes.

Meanwhile, mix salad dressing ingredients in a bowl. In a large bowl, combine the diced mango, diced red pepper and sliced onions. Add half of the salad dressing and toss.

On a cutting board, slice the steak thinly by cutting against the grain.

Place 2 – 3 large handfuls of salad onto each serving plate. Top with some of the mango mixture. Add 3 – 4 slices of beef to each plate. Drizzle with remaining salad dressing. Enjoy!

thai-nspired Beef mango salad(sErVEs 4 – 6)

That first smoky spice-encrusted steak is a delicious change…


NANAIMO, BC – General Practitioner required for Edgewood, located in beautiful Nanaimo, is an internationally renowned accredited and licensed facility seeking a general practitioner locum from August 1 – 26, 2011. This is a unique offer providing an opportunity to work with a multidisciplinary team in a residential addiction treatment setting. Flexible hours with no on-call requirements. A competitive remuneration as well as accommodation is included in this locum position. Contact: Dr. Gary Richardson, email [email protected] or tel 800 683-0111.

SOUTHERN VANCOUVER ISLAND, BC – The Cowichan Valley Division of Family Practice represents approximately 80 Family Physicians in the communities between Victoria and Nanaimo. If you are interested in experiencing the wonderful weather and lifestyle Southern Vancouver Island has to offer, consider joining us for a short or long term locum. The Cowichan Division has a coordinator available to work with you on all the details of your locum placement. If a full-time locum opportunity in Canada’s Warmland is something you would like to explore, we’d love to hear from you. Contact: Ms. Stacey Taylor or Dr. Roy Gilbert at [email protected]

business opportunityTORONTO, ON – Wanted: Walk in Medical Clinic. We are interested in purchasing a medical walk-in clinic in the GTA that is past the start up phase, has been operating continually, and has financial statements for the last few years at least. Clinics with specialties are also welcome. Interested parties please send email to [email protected]

vacation propertiesMONTREAL, QC – Vacation Rental/For Sale Eastern Township/L’Estric Quebec Fieldstone Manor/Manoire en Pierre Des Champs. This is a gorgeous four-bedroom lux-ury home in the heart of the Eastern Townships. Just a 75 minute drive from Montreal, this vacation rental offers the unparalleled privacy of a country estate. Fieldstone Manor is situated in Ayer’s Cliff, a quaint village built on the shores of the beautiful, sparkling Lake Massawippi. Leisure and cultural activities are many: horseback riding, boat cruises out of Magog, bird watching (Isle du Maris bird sanctuary), museums, art galleries, The Piggery summer theatre, music, wine tasting, two of the world’s finest inns boasting world class dining – all are in close proximity to Fieldstone Manor. Indoors is delightful, with two magnificent stone fireplaces, breathtaking verriere, three luxurious bathrooms, pool table, large screen HD TV and high speed internet. Outdoors the premises boast a picturesque farm view, heated swim-ming pool, palatial lawns, a fountain and delightful flower gardens. View this property at: www.annstafford.ca/en/home.html. T: 819-838-4678 F: 819-838-4241 E: [email protected]

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My name: Andrew Crosby

I live and practise in: Campbell River, BC

My training: othopaedic Surgeon; fellowship in Arthroplasty and Revision

Why I was drawn to medicine: orthopods as a group seemed to be the most enthusiatic about their work; seemed like a very well adjusted, fun, balanced group (for the most part!)

My last trip: hawaii

The most exotic place I’ve travelled: Australia

The best souvenir I’ve brought back from a trip: lizard bite scar on my hand from fiji.

A favourite place that I keep returning to: Brooks peninsula—west coast of Vancouver Island

If I could travel to any time, I’d go to: pacific Nw before white Men

My favourite book: Archie Digest

My favourite movie: Kill Bill

My must-see TV show: Top Gear

My first job: paperboy

The gadget or gear I could not do without: Ball-peen hammer

My favourite room at home: garage

My car: porsche 944 with Chevy small block

My last purchase: tim horton’s Xl Double Double

My last splurge: Just bought a car on eBay—sight unseen

Most-frequented store: Canadian tire

My closet has too many: Missing socks

My fridge is always stocked with: outdated yogurt

My medicine cabinet is always

stocked with: Don’t have a medicine cabinet

My guilty pleasure is: picking my nose in the car

My favourite exercise/sports activity: Biking, skiing and street hockey with my family

My favourite sport to watch: hockey

My celebrity crush: one of the models on the shopping channel, her name is Cathy, that’s all I know.

I’d want this item with me if stranded on a desert island: Cathy

My secret to relaxing and relieving tension: fishing in rivers

A talent I wish I had: that thing where you can eat a piece of spaghetti and make it come out your nose.

My fondest memory: As a child, going fishing with my Dad when we lived in Newfoundland (he was a cardiologist there).

A big challenge I’ve faced: getting through residency and have Kim [his wife] still love me.

One thing I’d change about myself: More patience with some patients

I’m happiest when: on a river playing a steelhead or cruising on the boat with my family.

My greatest fear: NDp

My motto: A waste of time is a waste of time—so don’t waste time.

A cause close to my heart: Development of energy sources other than fossil fuels.

Something I haven’t done yet that’s on my must-do list: Sail with my family to Australia or across the Atlantic.

If I wasn’t a doctor I’d be: A mechanic

sm

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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 n s , p l e a s u r e s a n d f e a r s

This orthopaedic surgeon is definitely good with his hands. When not in the OR, you’ll find him in the garage working on his cars (including a Porsche 944 with a Chevy block…really)—if he wasn’t an MD, he’d be a mechanic. Outside the garage, this outdoorsman relaxes by fishing and touring the Brooks Peninsula with his family. And he’s also added some serious biking to his recreational repertoire. He and his wife Kim have started a bike tour company, Island Joy Rides, with some friends. See page 11 for more on this venture.

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clockwise from top Dr. Andrew Crosby fishing a river in Lumsden, Newfoundland; boating with his kids Jack and Holly, and Chum their dog; soaking up the sun with Jack

and Holly on the Brooks Peninsula, Vancouver Island; and with a Dolly Varden on the Homathko River, BC.

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