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Monday, May 16, 2011

Who's London? The London Free Press examines The Forest City.

London, The Forest City, as seen from my Bryon home.
The London Free Press is running a series, Who's London, and reporter Randy Richmond is putting this Southwestern Ontario city under the journalistic microscope. He is out to discover the "city’s identity, or lack of identity."

Richmond has a blog, Urban Sub, on Tumblr where he tells us:
"Every workday morning, I leave the suburbs and cross the river to the downtown, where I write stories for the newspaper."

I'm not sure where Richmond lives today but when he started at The Free Press I took his picture posed in his London neighbourhood in the western part of the city. Back then Richmond lived about seven kilometres from work, or a few minutes by car from the paper. I could walk from Randy's home to The Free Press, given the time, he lives that close to work.

Since moving back to London, Richmond says he finds London dull, just as his father did before him. His dad was "a little too comfortable in London." He uprooted his young family and moved to Hamilton. I don't know if his dad found Hamilton suitably uncomfortable but maybe he did; He stayed.

I enjoy reading Richmond's stuff, but he's often more of poet than journalist. His words in that first story got me thinking about suburbs and how one defines them. I have often felt Richmond has a love/hate relationship with suburbs and I have wondered why he lives in what he thinks of as a suburb.

Richmond's Urban sub blog invites his readers to Ask me anything, and so I did. I asked: "Why do you live in the 'suburbs' and not downtown?" Here is his reply:

"Space, bit of nature, and a comfort zone.
Got three kids who like to run around the yards and the street they live on.
Needless to say, I needed space for them and for me to escape from them from time to time.
I grew up in the suburbs of a small town. (A strange thing in itself.)
I have lived in downtown neighbourhoods and felt a bit cramped. That’s just me though.
I know I will be tempted by a downtown condo when I get older."

What a great reply. Very honest. And now I know why I am often at odds with Richmond when it comes to his views on cities. I, too, grew up in what I thought of as a suburb, of sorts, Windsor. When I was a young boy, Windsor felt like a suburb of Detroit. Driving north on Windsor's main street, visitors often mistook the tall skyscrapers of Detroit for Windsor's downtown.

As a young boy my friends and I often spent our Saturdays bumming about Motown. It was as easy to get to Detroit back then as taking the bus, the tunnel bus. We could leave home and be in Detroit in less than thirty minutes. The big city offered lots to do: The Detroit Zoo, Belle Isle and its aquarium, and two amusement parks. There was Bob-lo if you had the time and Edgewater if you didn't.

As a teen I often went to Detroit for clothes. J.L. Hudson's was great for conservative stuff, everyday high school attire. But for that special look, the Friday-night-sock-hop look, it was Todd's Clothes which was opened in 1931 in downtown Detroit by Nathan "Toddy" Elkus who gained fame as the designer of The Zoot Suit. No one carried a better line of shark-skin fabric clothing than Todd's, or tighter men's slacks or had a better selection of narrow-brimmed hats. If you were not careful, you could leave Todd's with the look Lou Rawls' gently mocks in his mid 60s' release of Street Corner Hustler Blues.



I'm very comfortable in cities. Downtown neighbourhoods don't make me feel at all cramped. Certainly not London's. My first home here was just across the Thames River from downtown. I lived on Wilson Street and collected hardballs knocked high and foul by batters at Labatt Park.

My lot went back about 185 feet and I never longed for any more yard. I had more yard when I lived near the core than I do now in Byron. Randy's reason for living in the suburbs, I had "three kids who like to run around the yards and the street they live on," rang completely hollow with me.

His talk about needing a "bit of nature" also rang false with me. When I sought a hit of nature back when I lived near the core, I portaged my canoe to the nearby Thames, launched it at the forks and paddled past herons and turtles to Springbank Park and back.

Richmond writes: "I know I will be tempted by a downtown condo when I get older."

I'm already older and I am already tempted but I'd rather live in downtown Byron than downtown London. Let's be honest, when you get right down to it, is downtown Byron all that distant from downtown London?

It rarely takes me more than 15 minutes to drive downtown. Mapquest agrees.

(I think of suburbs as distant places, involving long commutes to work. Some urban experts put the cutoff at half an hour. If it takes more than thirty minutes to drive downtown, you live in a suburb. If it takes less, you may  not live in the core but you do live in the city.)

Monday, May 9, 2011

Question: Are the suburbs our future?

A new apartment soars above the core. It has a suburban twin.
When I read the question in The London Free Press that became the title of today's post, I thought the question was at least sixty years out-of-date and getting a wee bit stale.

By some calculations, the suburbs of North American cities have been outpacing inner city neighbourhood growth for more than a half century. In the past, many believed the suburbs were the future, today many still believe it, and in the world of tomorrow there are numerous reasons to believe the suburbs will remain the urban growth sweet-spot.

That said, cities once gave every sign that they could sprawl outward forever but a change may be in the offing --- but I wouldn't hold my breath. It seems for the first time in years, some urban cores are growing faster than their outlying suburbs.

Builder reports an EPA study, Residential Construction Trends in America’s Metropolitan Regions, that found permits in certain central cities and first-ring suburban neighborhoods are outpacing greenfield developments.

Smart growth proponents have long predicted that the ever-greater expansion of suburbia would one day reach its limit, prompting a renewed interest in central city living. A new EPA report suggests this trend is well underway, with residential permits in downtown areas and close-in suburbs more than doubling since 2000 in 26 of the largest metro regions in the United States.

The shift has been especially pronounced in some big cities, such as New York, which saw its share of regional permits increase from 15% in the early 1990s to 48% by 2008. In Chicago, housing permits inside city limits rose from 7% to 27% over the same time period.


Will this trend come to London? Is the inner city core our future?

[I doubt the core is our future. But look for more high density infill developments right across the entire London urban landscape and definitely watch for more residential and high-rise office development throughout the core.]


Addendum:

I found this on the Web. It seems the suburbs may have been hailed as the future as long ago as 539 B.C. Supposedly, the following comes from a letter written on a clay tablet to the King of Persia:

"Our property seems to me the most beautiful in the world. It is so close to Babylon that we enjoy all the advantages of the city, and yet when we come home we are away from all the noise and dust."

No dust? Must have been all those suburban lawns.

Thursday, May 5, 2011

Sun News asked Bell to suspend the broadcasting of their signal

If you read the story in The London Free Press today, you might have thought that it was the decision of Bell TV to suddenly deny Bell subscribers access to the new Sun News Network. According to the article Fans demand: I want my Sun TV!:

"Sun News fan, Susannah Sears, has created her own Facebook group for people who're upset they can't watch Sun News through Bell."
"Luc Lavoie, head of development for SUN News, is encouraging Bell satellite TV customers to give Bell a piece of their mind."

I found the Facebook page to which the article refers and read a posting reportedly from Sun News itself. The new network posted the following:

"We have asked them [Bell] to suspend broadcasting the [Sun News Network] signal."

It was the Sun Network itself that cut the feed! I tried to post a link to the online version of The Free Press story but could not find the story. I did fine a version of the article carried by the Toronto Sun. The Toronto version I found admits in the last paragraph that "Quebecor actively shut down the channel."

After finding the article, I added a comment and read a number of the others. Here is a sampling:


pauljensen75 wrote: 
"Read any other media outlet and you'll soon learn Sun removed the service from Bell because Sun wanted more money for the signal. This "news" article is a lie brought to you by a company with a vested interest in the outcome. Can you say "conflict of interest"?

This is an example of a news organization writing news to serve the corporate parent's purposes.

Hey Sun (TV, online, in paper, etc.): you only get one reputation. And it's "news stories" like these that make it obvious where your rep is headed."

pieridy wrote:
"I'm happy to have a right-leaning network on the air, but from what I've seen so far, they take the same approach to the facts as FOX down south - that is, omit details, twist, distort until all that remains is spin, conjecture and implication. From what I've seen, the right has no other way to support their arguments; as soon as you look for evidence to support their positions, everything falls apart."

Friday, April 29, 2011

Sun News struggles with numbers and truth

Ezra Levant — The Source
The Sun Media story claimed, and we are using claimed in its correct sense, that the new Sun News network has been on roll. I saw the story by Terry Davidson in The London Free Press. My local paper obediently carried the filler supplied by Sun Media and QMI.

The story was headlined New network buoyed by viewer stats. It went on to say, "Around 37,000 viewers across Canada tuned in to watch the news channel when it launched April 18 . . . " No one disputes that number. The problem is that today is April 29, not April 18, and the numbers have plummeted with each passing day.

The London Free Press tells us The Caldwell Account, hosted by Theo Caldwell, had 20,000 views coming out of the starting gate. What The Free Press doesn't say is that Theo wilted fast. Marketing Mag Canada reports:

"Sun News commentator Theo Caldwell was drawing 11,000 viewers at 7 p.m. last Friday, CBC News Network had an audience of 263,000 viewers across Canada. [Even the American network] CNN’s estimated audience in Canada at 7 p.m. on Friday was 38,000 viewers."

The numbers in the Free Press story are old news. But then some of the stunts being pulled by the Sun News network to attract viewers are pretty stale. Ezra Levant, host of The Source, in a blatant attempt to create controversy, broadcast the infamous cartoons of the Prophet Muhammad that sparked riots around the world.

Despite the Islamic faith's prohibition against any depiction of Muhammad, these cartoons were published in a Danish newspaper in 2005. The New York Times reported "at least 200 died and many more were injured."

This did not stop Levant from displaying the cartoons on The Source as part of  free speech segment. This is not the first time Levant has displayed the cartoons. He first published them years ago in the The Western Standard. The topic was red hot then and he succeeded in stirring up the correct amount of controversy.

The Vancouver Sun spoke with Chris Waddell, director of the school of journalism at Carleton University, who said it's hard to understand why it's important. What can you say? It's recycling a very old story.

A week after launch, Levant’s show was down to 19,000 viewers. This is a big drop from the 40,000 viewers The Free Press story linked to Levant's show.

Will Sun News succeed? It is too early to tell. Personally, I'm not pulling for them.

Thursday, April 28, 2011

Downtown Core Summit a success!

London Mayor Joe Fontana makes an enthusiastic pitch for the future of downtown.
London Mayor Joe Fontana kicked off the Downtown Core Summit by posing a challenging question to the crowd of more than two hundred assembled at Covent Garden Market Wednesday: "Are we ready to rebuild downtown London?"

And for many in the large crowd, the answer was a resounding "yes."

The attendees were drawn from the ranks of business and government, and even from the general public. Possibly the largest property owner in the core, real estate mogul Shmuel Farhi, was there. But this group was not as diverse as one might think: They all shared a love of London and a desire to see the downtown a healthy, vital part of the city again.

The focus of the event was London's aging city hall. Should the decades old building be kept and its useful life extended by leasing downtown office space; Should the present building be patched up and enlarged; Should the city simply build a new city hall? These were the three options originally on the table.

But Wednesday night's brain-storming session may have enlarged the number of options. For instance, Alan Cowey, CEO of Ashfield Group Inc., has his own creative vision for the core. His dream proposal sees city hall being moved to the site of the present London Life complex. He would retain the elegant, historic facade but gut the core of the aging complex. The new city hall would rise from this hollow shell.

London Life today may no longer require the large footprint of its present operations and would be encouraged to move a short distance and build new.

Bud and Paul Gowan watch Alan Cowey sketch his dream.
Cowey's dream was infectious. He had the others at his table, among them Phil McLeod , Bud Gowan and his son Paul, all hunched over the aerial map of downtown London that decorated every table, while he gave form to his well-thought out vision. He quickly and dramatically put his creative thoughts to paper using a large felt-tip pen perfect for his large, dramatic ideas.

Drawing heavy lines through Clarence Street above Dufferin Avenue and through Kent Street as well. Cowey said he'd close these. Clarence is a dead end already, he explained.

But the Downtown Core Summit was not a dead end; With the caliber of people attending, it was clearly a beginning.

Councillor Judy Bryant closing the very successful Downtown Core Summit.

Tuesday, April 26, 2011

Causation or correlation: Dan Brown


Dan Brown, the former online editor and Internet guru at The London Free Press, wonders who else, other than Dan Brown himself, has noticed that since Bob Rae left the NDP to join the Liberals the NDP has trended higher and higher in the polls. Meanwhile, the Liberals, in Brown's words, "have been sucking canal water."

I, for one, hadn't noticed the trend and therefore had not thought of old Bob as the cause.

A quick check on the Internet indicated to me that a lot of others hadn't noticed the Bob Rae-inspired trends either. This was not surprising as the trends didn't seem to be there to be noticed. In fact, some of the polling organizations I consulted saw the NDP as recently breaking out of a rut. None seemed to see the NDP's present surge as the culmination of a long, steady climb going back years.

Frank Graves, the founder of EKOS Research Associates Inc., recently said: "Ontario has been a pitched see saw battle between the Conservatives and the Liberals. The Conservatives have tended to hold the edge." It was only "recently a dramatic rise in the NDP suggests those ridings may be in doubt." Note the word recently. No long term trend going back to Bob Rae departure from the party.

In fact, The Globe and Mail suggested: 
"Some question whether Bob Rae’s tumultuous five years as an NDP premier [in Ontario] could be what’s holding Jack [Layton] back." 

That's right, the Globe and Mail thinks old Bob's distant actions as the premier of Ontario may be an albatross around the neck of the NDP in the province.
 
I found a really neat site PollingReport.ca and contacted Kelly John Rose to discover if it was possible to create a graph showing federal polling results from around the time Bob Rae left the NDP for the Liberals till today. He e-mailed me: "If you change the numbers in the URL, it will adjust accordingly."

I did and the following is the result.

Chart from PollingReport.ca.

So, what do you think? If you want to see the actual graph, try this custom link to PollingReport.

In what I think of as the good old days, questions like Dan Brown's were kicked around at editorial meetings. It was "brain storming." The questions from the session were handed to a reporter to research and write a story filled with the interesting information. Today the question is just tossed out with no one at the paper doing a thing. The question is dropped straight into the lap of the reader.

I have to thank Kelly John Rose for putting a lot of work into his polling info on the Net and for his quick reply to my query. His is a fine site and a great resource.

Saturday, April 23, 2011

Now a blood clot has formed

Finding the time and the energy to post a steady stream of blogs has proven difficult in the past months.

About six weeks ago I had an ICD surgically placed in a pocket in my chest. It is just under the collar bone on the left side of my body. All seemed to go well: No infection, no seroma, no hematoma. Then, just days ago, my left hand turned red and the red colour spread up my left arm. The hand turned from red to purple and the hand and arm began to swell.

I had a blood clot on the lead from my ICD. The clot could not reach my heart as it was too large to slide between the lead and the venous wall. It was stuck. This protected me from the dangers posed by a blood clot free in my body but it did interfere with my blood flow.

The doctors considered giving me a clot-busting drug but because of my history of micro-bleeds in the brain, they held back. A discussion with the neurology department at the LHSC in London, Ontario, confirmed that I should not be given clot-busting drugs. It was even felt that my daily dose of Aspirin was possibly inadvisable. But as I obviously have a propensity for forming clots, and as the Aspirin has not caused any known adverse reactions in the years that I have been taking it, I have been left on the mild anti-clotting agent.

There seems to be little to do but wait. Possibly the clot will dissolve on its own. Possibly my body will build new veins around the blockage with my body encasing the clot in some scarlike tissue on the wall of the affected vein.

For now I simply must put up with the discolouration and the swelling. I wear a compression bandage for a great part of the day to try and force the gathering fluids back into my body's systems.

Damn!

Thursday, April 21, 2011

Memories of the Northern Lights


In The Land Of The Northern Lights from Ole Christian Salomonsen on Vimeo.

Many years ago I made a night crossing in my sailboat of northern Lake Huron with three friends. After midnight the North Lights appeared. First, they appeared low on the northern horizon. Then they spread along the horizon, heading east and west. As they moved along the horizon, they also extended farther and farther into the middle of the once dark, night sky above. When half the sky was claimed, the lights then conquered to the remaining half of the sky. At the height of the activity the shimmering, dancing, mostly green lights filled the sky. It was one of the most amazing sights I have ever witnessed.

For a window into that night, check out the embedded video.

I must thank Laura Arnold for tipping me off about this video via a Facebook link. Thank you, Laura.

Sunday, April 17, 2011

Reporting "Foul play not suspected"

My late friend's art had clues revealing mental illness.
Recently, the Western Journalism Project London ran an online story Youth suicide: Breaking the silence.

Having worked for newspapers since the early '70s, my interest was immediate. I cannot count the number of stories that I have been involved with that were silenced when it became clear suicide was the cause of death.

As a general rule, neither paper at which I worked reported suicides in any depth. Give no details was the working rule. Even suicide attempts were off limits.

Once I turned in pictures of a young girl lying injured on pavement near London's Harris Park. She was being comforted by passersby as they awaited the arrival of an ambulance. Very dramatic stuff. The pictures never ran. The girl had injured herself jumping from a roadway overpass in a failed suicide attempt.

Now, I am reading that media outlets, traditionally afraid of provoking copycat suicides by reporting suicides without constraints, may be dropping the somewhat self imposed ban. Is this true? Larry Cornies, professor of journalism at Conestoga College, believes it is:

“We’re in it,” said Cornies. “We have come from this era where we saw it (suicide) as a great taboo and we’re now beginning to understand suicide much more as a mental illness and we’re adjusting our plans accordingly.”

"The copycat argument that has been used so often in the past doesn’t hold as much sway as it used to,” he said.


If Cornies is right, I hope the media has considered the guidelines for reporting suicide published by the Canadian Psychiatric Association (CPA). According to the CPA, there is solid evidence showing that media reporting of suicides is linked to copycat suicides among young people under 24 years of age.

This is not a new position. The Centers for Disease Control and Prevention (CDC) in the United States reported the same thing back in 1989. A national workshop addressed suicide contagion and made recommendations to reduce the number of suspected media-related suicides.

Both the Canadian Association for Suicide Prevention (CASP) and the Center for Disease Control (CDC) have provided the media with specific guidelines on reporting suicide. Unfortunately, many reporters are not acquainted with the guidelines. I wonder if the journalism students at Western know about the guidelines.

A quick check of media reports revealed many, possibly all, in the MSM media in Canada handled the suicide of the former student with traditional care. CBC News reported that the young, missing student "suffered from a medical condition that could be harmful to her health." CTV said the young woman had "been found dead. . . . foul play is not suspected."

Suicide: Quick reference card (Australia)
Why the journalism students would report "We’re now beginning to understand suicide much more as a mental illness" puzzles me. When I was in art school in the '60s, I knew a young man who took his life; It did not come as a surprise. Everyone, students, faculty and family, all had worried about his mental health and apparent depression. In fact, one art instructor had arranged a meeting with a mental health doctor but the student killed himself the weekend before his appointment.

In Australia the government has the Mindframe National Media Initiative providing accurate information about suicide and mental illness. The goal is to influence the portrayal of these issues in the news media, on stage and in film.

In Great Britain  The Media Wise Trust has released Sensitive Coverage Saves Lives --- a move to improve the portrayal of suicide in the media.

I'm proud to say that both the Sault Daily Star and The London Free Press both generally followed the guidelines on reporting suicide while I was employed at those papers.

The media is not always insensitive.

Wednesday, April 13, 2011

A little food with that sugar?

 Cool demonstration.

Watch Jamie Oliver graphically illustrate that kids are getting too much sugar in their diets. And some of that sugar is coming from an unsuspected source: flavoured milk!

Monday, April 11, 2011

These should never see a landfill. Never!

Note steam sealing lip on decades-old Lifetime cookware.
My wife just inherited some stainless steel cookware: Lifetime brand.

I took one look at this stuff and told her, "This cookware is better than your Paderno." My wife disagreed. Her stainless steel cookware is marketed as "Paderno: Pots for eternity." She pointed out that this stuff only promises to last a lifetime.

Whatever, the point is that both companies made promises they could keep; Stainless steel pots can last indefinitely. The only thing that can immediately shorten the life of a stainless steel pot is extreme heat. Twist the heat control to max on your range and you run the risk of overheating your pot. If our stove's maximum element setting was half of what it is now, I'd be happy; And our pots would be happy.

With all the talk of green, let's hear it for well-make stainless steel pots. Buy 'em once and use 'em thousands of times. Take care of 'em and hand 'em down from generation to generation. And if the next generation doesn't want 'em, sell 'em. I figure the full set that my wife inherited would fetch at least a hundred dollars if she decided to sell. (She gave them to a friend.)

Lifetime cookware was originally made by West Bend out of Wisconsin. The West Bend company was known for quality and so it is not surprise that the Lifetime brand originated with them. Today the cookware is still being made in the United States but now it is Regal making the famous West Bend, Wisconsin, line.

So what makes the Lifetime so good. The weight, the multi-ply construction, the quality of stainless steel and the design --- the heavy lids sit in a groove to trap steam. Their handles are their weakness. Paderno handles are stainless steel and spot welded to the pots and lids. On the plus side for Lifetime, the handles are still readily available for even these decades old pots. Still, I like the durability of the Paderno solution.

So what is the best cookware? Neither. Try Teknika by Silga out of Italy. This stuff is carried by David Mellor Design. (I got an email from a chap in British Columbia who also carries the Silga line. Here is a link to his Tuscan Kitchen in Victoria, BC.) This is beautiful cookware built for professional cooks. Heavy, high quality, stainless steel construction, multi-ply bottoms, fashionable stainless steel handles spot-welded to never loosen, and steam-sealing lid rims. Perfect.

My wife and I own one and it the best. One of her favorite chicken dishes, is started over a stove top element and moved to the oven to finish. When done, the pot always cleans up very easily. Although I do finish with a dab of stainless steel cleaner. I like the added shine.

The thing is, with just a little care, there is no reason for any of these products to ever end up in a landfill. (Our Paderno is now approaching three decades of constant use.)

We have a Teknika frying pan; It is a fave with expert cooks using our kitchen.

Sunday, April 10, 2011

Look at my shadow! I'm a big girl!


Fiona thinks she is a big girl. She is 19-months going on 19 years. This is probably not quite true. I never had children of my own and so I'm just so surprised at the all the thinking that clearly goes on in young heads.

This is Fiona's first spring. This is her first foray into the outside world on her own two feet. And Fiona is quite enchanted with the world she is discovering. She can't get enough of the outside.

Yesterday I was doing the dishes and Fiona wandered out of the kitchen and into the front hallway. I could hear her puttering about and wondered what she was up to. Before I could dry my hands and take a look, Fiona appeared carrying my large coat. That coat is bigger than she is but she carried through the kitchen and handed it right to me. I knew what was up. She wanted to go outside.

I dried my hands and started putting on my coat when Fiona appeared again. This time she was carrying my shoes. I put them on, but before I could lace them up she was back. This time carrying my camera bag.

I slipped the camera bag strap over my shoulder and looked down to see Fiona. She was holding out my house keys. The kid's amazing.

Content that I had everything, Fiona waited patiently by the front door for my assistance in getting her into her coat and shoes.

19-months and she already knows enough to make sure granddad has his house keys. Like I said, "The kid's amazing."

Wednesday, April 6, 2011

Now I'm getting spam!

I called the ad questionable and wondered why newspapers don't treat their advertising business with more respect. Advertising is how newspapers make money. Accepting questionable ads, and often placing them in prominent positions in the newspaper and on the companion Website, lessens the value of the newspaper ad franchise.

As I wrote in the previous post,

"The ad prominently displaced on the opening screen of The London Free Press Web page read, "View your credit score now". Just go to Free Credit Reports in Canada. It was clear this was a free service; There was no charge."

Well, I did go and I'm sorry. I worked through a number of screens but when asked for my credit card number I stopped. Today I got my first spam from these Free Credit Report people.


It makes me feel very uneasy that one of the companies that tracks our credit history and rates our credit worthiness may be behind this. You see, credit reports are free in Canada, if you don't count the cost of the stamp and business envelope necessary to send in a request for the information on file. To find out how to obtain a copy of your credit records for free, see my last post.

Sunday, April 3, 2011

Questionable ads question a newspaper's integrity.


The ad prominently displaced on the opening screen of The London Free Press Web page read, "View your credit score now". Just go to Free Credit Reports in Canada. It was clear this was a free service; There was no charge.

Interested, I clicked; I got a screen asking for my name, complete address plus e-mail. This seemed reasonable. How else could they provide my credit score? Reasonable or not, I balked. I noticed the name TransUnion in the top right of the screen.

I googled "TransUnion" and discovered this was a major player in the credit reporting business in Canada. The other company is Equifax Canada. I also came across a CBC News in Depth report: "Checking your credit rating".

The first thing I learned from the CBC was that credit reports are free:

"You can ask for a free copy of your credit report by mail. . . . Complete details on how to order credit reports are available online." (Here are the links: TransUnion and Equifax Canada.)

So, what's up with the whole Free Credit Reports in Canada stuff? What's with the ad on The London Free Press Web site? Before continuing, I decided to do a little googling. I found a post on the blog Moo's virtual world: Privacy Protection Plus is a fraud. This privacy protection name was a new wrinkle, but interested I read on:


I read the blogger's post and then scanned the comments:

"I renewed my classmates.com account using my Visa. . . . 1st mistake. I don't recall being asked about any Privacy Protection or 24-hour Assistance. Just received this months bill and that I was being billed 19.95 for Privacy Proctection and another 19.95 for 24-hour Assistance. I called my credit card comp and they couldn't help me as it is Sunday. I tried contacting the company Privacy Proctection and again they are closed. I can't go online cuz I don't have a username and password. . . . what a scam. . . . I tried contacting Classmates and that was hopeless. I am not impressed with their underhanded techniques. How dare they allow another company to have access to my personal info and especially my credit card info? . . . ya I am PO'd and will be dealing with this first thing in the morning. Then I will be canceling my credit card.

Wednesday, March 23, 2011

Yes, sex can kill you, study shows

"Yes, sex can kill you." This downer news comes from a study published in the Journal of the American Medical Association.

I learned about the study from my daily paper. Essentially the paper reported:

When people with heart problems are having sex, they are 2.7 times more likely to have a heart attack. Sudden bursts of moderate to intense physical activity — such as sex — pose a significant risk of heart attack.

Having recently undergone a heart related operation, I can say something is missing from the newspaper report. Sex, per se, is not dangerous; It's sex with a twist, and I don't mean lime! Don't pass on the sex, just hold the spice.

When it comes to sexual activity for heart patients, the following are some of the warnings I've come across on the Internet since my operation:

  • Only have sex with your usual partner to minimize heart-racing tension. Paid partners add even more stress. (Just think: Charlie Sheen. Need I say more?)
  • Keep to the tried and true. The usual oh-so-comfortable positions are the least stressful. In fact, they can be downright relaxing.
  • It is safest to have sex in your usual setting. For instance, refrain from having sex in hot showers. Steamy sex is stressful sex. ;-)
  • Don't downplay foreplay; Think of it as the proper warm-up for the big game. We don't speak of sexual athletes for nothing. And just like other athletes, sexual ones often perform better on drugs. But unlike other athletes some of these drugs are recommended. For instance, if one takes nitroglycerin to prevent chest pain, take it before sexual activity. And if you are competing with someone who is not your usual partner, you may have to stop and take more while competing.
  • Get some rest before hand. Morning is an ideal time for sexual activity. Remember the old line from Playboy: "Shall I call you in the morning, or just nudge you?" Nudging is safer, at least, if it is your usual nudge.
  • Speaking of your usual nudge, masturbation requires less energy than intercourse.
  • And whatever you do, choose a position that does not put stress on your breastbone (sternum) if you have just had open heart surgery. Those patients should stay clear of the partner-sternum-superior position.

Jessica Paulus, a Tufts Medical Center in Boston researcher who worked on the study, said the risk found is fairly high but the period of increased risk is brief.

"The period of increased risk is brief"? Damn! The bad news just keeps on coming.

Cheers!

Monday, March 21, 2011

Into the fog: The London Free Press series on Canadian health care

Into the fog might be an apt title for The Free Press series.

There is a battle raging over information. I am NOT referring to the battle between the Main Stream Media (MSM) and bloggers but the war being waged over how we, the readers, process the information we read in either the MSM or in the blogosphere.

An article, Out of the fog, in The London Free Press is an excellent example. In the old days, I'd have read this article and have either believed it or not. Those were the two choices. But today there is a third choice..

Thanks to the Internet, the moment I read something I question I turn to Google. Depending upon what I learn, I may write a blog post. If I am really offended and want to warn others, I post to Digital Journal. I did this with a story about a St. Catherines man who died in Costa Rica of complications from a controversial multiple sclerosis (MS) treatment (CCSVI). 

The London Free Press and reporter Randy Richmond recently seemed to promote CCSVI with an article featuring Paolo Zamboni, the Italian doctor behind the controversial treatment:

"Zamboni believes MS is a vascular, not auto-immune condition. A narrowing of veins -- chronic cerebrospinal venous insufficiency (CCSVI) — is prevalent in MS patients and can be treated by a simple surgical procedure — angioplasty — that widens the veins. The procedure is also known as liberation therapy."

The Free Press article introduced us to a local woman suffering from MS. She found it impossible to have the highly suspect surgical procedure done in Ontario. Richmond tells the reader, "She tried to talk to her neurologist about liberation therapy. He dismissed Zamboni's work."

What Richmond, a Free Press crack investigative reporter, doesn't tell us is "Zamboni himself admits his research lacks scientific rigour: his sample was small; there was no control group. Two studies in the Annals of Neurology have refuted his findings." Source: Macleans.

The following is from the Skepticblog. It is from a post called CCSVI - The Importance of Replication

"We have two independent replications of Zamboni’s research published in the latest issue of the Annals of Neurology – and both are completely negative. The first is a German study by Florian Doepp et al, using ultrasound to test the CCSVI criteria in 56 MS patients and 20 controls. They found almost completely negative results (one MS patient met one criterion, but not the others) – no signs of venous blockage in the MS patients.

The second study is a Swedish study . . .  – not yet available online. This study used MRI scanning to assess blood flow in the internal jugular vein in 21 MS patients and 20 controls, and also found no difference."

I am reprinting the last paragraph from the Skepticblog article as author Steven Novella puts it so well:

"I do wish that the media and public would learn the more general lesson here – new dramatic ideas in science, especially those that seem to go against established knowledge, are likely to turn out to be wrong when the dust settles. It is partly the job of the skeptical community to provide cultural memory of such events – so the next time a lone scientist or doctor claims to have made a revolutionary breakthrough that seems a bit dubious, it is the skeptics who will be there to say – remember Zamboni."

As I pointed out in a previous post, when it comes to the Canadian medical system, "One must admit, our system has problems." Out of the Fog was part of a London Free Press series on the shortcomings of our healthcare system. Sadly, this article did little to enlighten anyone and may well have done damage. I've have already stumbled upon links to the Richmond series on American, right-wing, anti-Obamacare, websites. They see the Richmond series as a damning indictment of the Canadian health care system.
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Addendum:

CBC Radio reported in December, 2017, that Dr. Zamboni concluded the therapy he devised is a "largely ineffective technique; [and] the treatment cannot be recommended in patients with MS."

It turns out the London woman was given excellent advice by her doctors. And they were not alone. Doctors around the world dismissed Zamboni's work. Read: Liberation therapy: the 'wave of complications' breaks in Macleans. Going out of the country for a medical treatment not offered in Canada can be dangerous. There may be very good reasons why a procedure is not offered in Canada. If you want to know more, read this article in the Montreal Gazette.

Or read this article in The Globe and Mail that tells us: there is " . . . a growing body of evidence that suggests that they [patients] are wasting their time and their money – and perhaps putting their lives in danger."

Or read an alert issued by the FDA in the States on potential dangers of unproven treatments for multiple sclerosis.

If you are personally suffering from MS and no hope is offered, it is quite understandable that you might turn to liberation therapy for an answer.

The London woman in the article has stated that the CCSVI therapy she has undergone at her own expense was actually less expensive than the drug therapy being offered. In cases like this, where the person is adamant to have the therapy and the cost is actually a savings to the Canadian medical system, maybe the government should consider covering the costs of out-of-country medical treatment.

This remark, of course, is a little flippant as there are moral issues that must be resolved: Is it ethical to send someone out of the country for highly questionable treatment because the patient wants it and the treatment promises to save the Canadian medical system money?

Sunday, March 20, 2011

Time to revisit LHSC panel discussion on state of Canadian health care

When just a little girl, my daughter asked her mother, "Mom, what's a bum-ticker?" She had heard that Crusty the Clown on the Simpsons might be dropped from the show because of his "bum-ticker." She placed the accent on "bum."

As a man with a "bum-ticker" who is still alive today thanks to the Canadian health care system, I give our system a thumbs up. But it doesn't get two thumbs up, or rate a ten, or top out in whatever scale of measurement you use. One must admit, our system has problems.

Dr. Nick Kates speaking at the LHSC discussion.
It was almost exactly a year ago that a blue-ribbon panel of doctors was assembled for an interactive panel discussion at University Hospital in London, Ontario. The panel, sponsored by the student Medical Reform Group at the Schulich School of Medicine & Dentistry at the University of Western Ontario was composed of: Dr. Jeff Turnbull , president-elect of the Canadian Medical Association; Dr. Robert McMurtry, former special advisor to the Canadian Royal Commission on the Future of Health Care in Canada; Dr. Nick Kates, Ontario lead for the Quality Improvement and Innovation Partnership, and Dr. Debby Copes, the quality advisor for the Choice in Health Clinic in Toronto.

Dr. Robert McMurtry, the dean of the Faculty of Medicine and Dentistry at the University of Western Ontario from 1992 to 1999, set the tone of the evening as he explained why he believes in the Canadian health caresystem.

He told the story of two lawyers: one his father and the other his brother, the late Bill McMurtry, a tireless crusader for social justice and author of the 1974 McMurtry Report on Violence in Hockey.

His father, Roy McMurtry senior, had had rheumatic heart disease and was unable to buy medical insurance. When his father suffered a stroke in the early '50s, in the days before medicare, McMurtry senior was left financially crippled by the mounting medial expenses.

Years later, when his brother Bill was diagnosed with stage 4 lung cancer, Bill considered leaving Canada for treatment. He searched broadly outside the country but discovered the care being "offered in Toronto was as good as it gets."

Robert McMurtry and the other three panelists all firmly believe in publicly funded health care. Yet there is increasing pressure in Canada to expand the role of the private-sector in health care, he said.

Dr. Jeff Turnbull
According to Dr. Jeff Turnbull, chief of staff, Ottawa Hospital, when it comes to health care in Canada there is "an elephant in the room", and that elephant is cost. He said health care costs make up more than 40 percent of the Ontario government’s total program spending and could hit 50 percent.

McMurtry added that although these percentages do not tell the whole story they do grab headlines. Reporters love these numbers.

The answer is not more private-sector involvement, according to Dr. Debby Copes who cited a McMaster University study: "There's a lot of evidence that shows private for-profit health care costs more and has poorer outcomes (compared to publicly funded systems)." There was a great deal of support for Copes' position on the panel.

Whether the approach is public or private, both must face the same problems — such as an aging population. According to Kates, "The problems are there, and will be there, no matter what."

With a public system, "We are all in the same lifeboat. There is more incentive to make it work."

On the positive side, there are many examples of the public system learning to do what McMurtry was suggesting — "innovate or perish." We not only have to do better than we are doing now, we can do better.

An example of what McMurtry was suggesting is the trauma, emergency and critical care (TECC) program at Sunnybrook Health Sciences Centre in north-central Toronto. The centre is well know for its dedication to innovative, quality care.

Or look to the activity-based funding being championed by Alberta Health Services. "They found they could do it faster, cheaper and better. That should be our model." There is so much we could do better than we do now, McMurty continued.

This was a theme that ran through the presentations of all the panelists. Canadians must get more bang for the their health care buck. We must use our existing resources more efficiently.

All agreed it won’t be easy for the Canadian health system to regain its social justice mojo which was front and centre at its birth those many decades ago. Over the passing years a fiscal agenda has pushed aside the service agenda.

The panel took an aggressive stance when it came to change. "We have to think differently, better, smarter," according to Turnbull. He went on to show how "it can be done." He spoke proudly of Ottawa Inner City Health Inc., rattled off a long list of programs offered, and then added the kicker: "It saves $3.5 million annually."

Wrapping up the night, Kates made it clear the health care system must embrace change but within a social justice framework. He said: " 'Insanity: doing the same thing over and over again and expecting different results.' Albert Einstein."

Dr. Debby Copes
Copes smiled and added: " 'Without deviation from the norm, progress is not possible': Frank Zappa."

After the panel discussion, Dr. Jeff Turnbull, chief of staff Ottawa Hospital, I asked about the furor over the Premier of Newfoundland, Danny Williams, travelling to Florida for heart surgery.

Turnbull was not going to be drawn into commenting but he did say, on the record, there is no long queue of patients awaiting cardiac surgery at Ottawa Hospital where minimally invasive surgery is among the offered surgical procedures.

(We now know Williams' surgery did not go as smoothly as anticipated. The operation took hours longer the originally planned because of unforeseen problems encountered in the repair of Williams' valve. His stay in the Miami hospital was about twice as long as that of many patients who have the full, traditional, sternum cutting, surgery. I am not adding this to knock the Miami hospital. I am just mentioning this to complete the story.)
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A note in passing: The London Free Press, part of the Sun Media chain owned by Quebecor Media Inc., was not able to cover this important panel discussion. Why? My guess is that staffing cutbacks left the paper short staffed and unable to attend. Sad.

Saturday, March 19, 2011

Patients losing patience; Newspaper series missing the mark

Without apparently realizing it, Randy Richmond of The London Free Press has been writing a series praising the Canadian health care system.

His series on health care in Canada is unfolding in the pages of the local Sun Media-owned paper. Saturday readers were introduced to a woman who emigrated to Canada from Romania where, she told Richmond, health care was better under Communist rule than it is today in Canada today.

She finds our system "cold and outdated." In Romania she once saw three specialists in one day. She compared that to her experience in Canada. "I was really shocked. All three had better equipment than I have seen in London." An incredible story. She may have seen the only three well equipped specialists in all of Romania.

Just seven month ago the BBC reported:

Romanian health care on verge of collapse.   

Romanian Cristian Grigore, 9, died after breaking his arm.
"Romania spends less on healthcare than any other country in the European Union, and because of the worst recession on record, it is planning to spend even less. This chronic underfunding and a brain-drain of medical staff could be putting patients at risk. . . .

(Romanian farmer) Constantin Grigore chokes up when he talks about his nine-year-old son. Cristian broke his arm in May and was taken to the hospital in the nearest town, Slatina.

But four days later, he was dead, apparently of a severe infection he had caught there. The picture of a little boy with big dark eyes now hangs on the outside wall of the family's ramshackle mud-brick house.

Cristian's father said the doctors simply ignored his son. The family had to buy painkillers with their own money. . . .

Across Romania, hospitals . . . can only afford to pay for some of the drugs or medical supplies they need. Often they run out of the most basic things, like antibiotics or stitches. . . .

Since 2007, almost 5,000 doctors - 1 in 10 - have left Romania for Western Europe . . . "

When this woman's daughter began having trouble sleeping and suffered sore throats and sinus trouble, she took her to their family doctor. He referred the youngster to a specialist who said her adenoids were swollen. The specialist said an operation wasn't worth the trouble and the girl would outgrow the problem.

Without knowing more details, all I can say is: The Canadian specialist may have made a very good call, and a brave one. A lot of parents will push for the removal of swollen tonsils and/or adenoids (T and A surgery).

A study in Clinical Otolaryngology (2000, Vol 25, Iss 5, pp 428-430) showed that after waiting for surgery for 9 months, almost 30 percent of children scheduled for T and A surgery got better and no longer required the surgery. Score one for the woman's Canadian doctor.

More than three decades ago doctors at the Faculty of Medicine in Winnipeg, Manitoba wrote that although tonsillectomy-adenoidectomy rates are declining across North America, they are not falling fast enough. Nonindicated T and A surgery is a prevalent problem deserving of widespread attention. Score two for the Canadian doctor.

Tonsillectomy is one of the most common surgical procedures in the United States, with over 530,000 procedures performed annually in children under 15 years old. This is a multi-billion dollar industry! Many believe that this procedure has become a staple of pediatric health care in the States because it is a cash cow. President Obama said that when it comes to tonsillectomies doctors in the States may think: " 'You know what? I make a lot more money if I take this kid's tonsils out.' "

Just this year The American Academy of Otolaryngology published guidelines for Tonsillectomy in Children. Tonsillectomy being the surgical procedure often performed in tandem with an adenoidectomy. The very first point made in the guidelines is:

Most children with frequent throat infection get better on their own; watchful waiting is best for most children with less than seven episodes in the past year, five a year in the past two years, or three a year in the past three years. Her Canadian doctor appears to have possibly scored again.

No operation is without risk. A study by Children's Hospital of Pittsburgh reported nearly 10% of the children who had  T and A surgery developed complications. One more point in favour of the Canadian health care system.

Some doctors, such as American Gabe Mirkin, argue that because tonsils and adenoid tissue are lymphatic tissue doctors should almost never remove tonsils before age 4, because prior to age 4, they are major suppliers of the cells and proteins that help to protect a child from being infected with viruses and bacteria.

Not liking the Canadian specialist's position, Richmond's contact sought the opinions of three Romanian doctors during a visit to her homeland. All opted for an operation. It would be good medical practice in Romania.

On returning to Canada she was unable to get a quick appointment with a specialist in Canada and was not prepared to wait any longer. She wanted treatment for her child and she wanted it now. She saw Detroit as her best option. She took her daughter to the Detroit Medical Centre where she had the young girl's adenoids removed.

"I went in the morning and by three o'clock we were back on our way to London." I wonder if the trip home went quicker than the trip there; They were traveling about $7000 lighter. $7000 for an outpatient procedure! Some sources on the Internet claim American insurers usually only pay a surgeon $200 to $300 for tonsil surgery. If this is true, it is no wonder American hospitals love Canadian cash-paying patients.

It is impossible to know whether this woman's daughter was in desperate need of having her adenoids removed or not. But as I mentioned earlier, Randy reports the Canadian specialist wasn't keen to do the operation as he believed the girl would outgrow the problem.

But it is not hard to know why the U.S. doctors may have been keen to operate. The little girl was a cash cow.
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Detroit Medical Centre background:

Struggling Detroit Medical Centre was transformed into an 8 hospital system for profit entity by the takeover Dec. 30, 2010, by Vanguard Health. VH promised to keep all 8 DMC facilities open for a decade, at least, including maintaining care for uninsured and poor patients.

The deal was prevented from closing earlier due to a conflict arising over Vanguard's potential liability for DMC's past Medicare and Medicaid billings, in the fall. As DMC made preparations for being sold to Vanguard, it discovered certain irregularities in billing and leases with unaffiliated physicians and informed the government of the violations. Most involved favourable lease deals and independent contractor relationships not put in writing, nor reflecting fair market value.

Despite federal law restricting financial deals between hospitals and doctors referring patients, DMC gave doctors tickets for sporting events, entertainment and charity dinners between 2004 and 2010.

A Justice Department press release dated 30th December says DMC agreed to pay the U. S. $30 million for violating the False Claims Act, the Anti-Kickback Statute and the Stark Statute by engaging in improper financial relationships with referring physicians.
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In 2002 the American Academy of Pediatrics recommended that children have a sleep study before surgery is considered if the problem being addressed by the T and A operation is sleep related. Randy makes no mention of any sleep study being done on the little girl.

Friday, March 18, 2011

Sick of waiting: Are some Canadians paying for expensive, risky medical treatment?

The pain from his affliction left him desperate for a medical solution.

Randy Richmond is writing a three part series, Patients losing patience,which is taking a look at the hundreds of thousands of seriously ill Canadians who have been left without satisfactory care by the Canadian heath system. Richmond is focusing on the folk who are going outside the country seeking medical help.

Randy is a writer I really liked when I worked at the paper. He's an excellent reporter. I'm sure this series will be part of his WONA (Western Ontario Newspaper Awards) portfolio next year. Still, this first story, as interesting as it was, left me with some serious questions, such as: "What is the Laser Spine Institute?"

You see this question was important to me as I also have a bad back. I have come to believe, based on what I've been told by a number of doctors, that when it comes to bad backs often less treatment may be the best treatment. I read in a Harvard Medical School health newsletter that "doctors are beginning to question whether too many surgeries are performed to treat degenerative disease. As for herniated disks, a recent study found that surgical and nonsurgical treatments worked equally well." The newsletter editorial told me "the decision whether to have surgery is a matter of patient preference more than anything else."

On LiveStrong.com I read that the Cleveland Clinic and the Mayo Clinic both advise trying other less intrusive therapies, like massage, physical therapy and anti-inflammation drugs before back surgery. Laser surgery has been touted as the latest, least invasive, most successful technique with the least amount of recovery time but these hospitals warn that there are several disadvantages to laser spine surgery.

Without a cane, I would not get to my computer.
Unsuccessful back surgeries have become so common in the States that there is now an acronym: FBSS (Failed Back Surgery Syndrome.)

My back can be so bad that it drops me to my knees but my family doctor has poo-pooed my complaints. High tech laser surgery has never been an option. It has never been offered to me by my present doctor nor by my former.

I've been advised to apply cold to alleviate pain and to prevent or reduce the swelling. After 48 hours I've been told to apply warmth to increase blood flow and promote healing. I should limit bed rest to a couple of days, at most,  and then add limited exercise therapy. The theory is that strong, flexible muscles are less prone to injury and will help to strengthen the back and support the spine.

All my family doctors over the years have given me sheets detailing back exercises. I have never been given so much as a prescription for the pain. For me, this has been the extent of the Canadian solution to serious back pain. And so far, it's working. Hold the knife and hold the laser, thank-you. (I wrote this in 2011. I'm adding this in 2018. My back pain situation may have improved a little.  I'm glad that I have not had back surgery.)

In Randy's first installment, a fellow from Windsor suffering from a spinal problem was unable to get the medical help he perceived he needed. In desperation, he turned to Kelly Meloche, the head of Windsor's International Health Care Providers.

The man told Randy. "Before I knew it, I was in Tampa, Florida, at the Laser Spine Institute. There, doctors did a laser procedure not available in Canada. The fellow said, "I walked off the operation table. I felt great. It was crazy. It was almost surreal."

As it turned out, the 2007 operation worked only for a time. Things looked great for a year and a half, then the Windsor fellow's headaches returned. I wondered if his experience was common. I googled "Laser Spine Institute Tampa complaints" and I read:

My husband had surgery in May 2008. A decent experience, and he was mostly pain free after...for a few months. Now he is just as he was before surgery. Why? I can't explain it, but this certainly makes the out of pocket payment not worth it for us. Apart from the medical, they dropped us like a hot potato after the cash was in hand. Multiple phone calls were not returned. A 3 month and 6 month follow up came in the same envelope. When we managed to reach someone, and complain about calls not being returned, we were directed to call others on the staff. Apparently they were too busy to call us. Insurance forms were not submitted as promised upon our departure - took 4 months to get them to make the claims. BTW, our next door neighbor also went there with unsuccessful results, and the same dismissal. They don't like it when you do not become a new testimonial!

I looked down the comment list. Some were positive and then I spotted one from a Canadian out of Lachine, Quebec.

Don't go there!! Please I beg of you not to waste your money or your health. I had a discectomy done at LSI in 2008 and they ruined my back for life. Not only did they damage my nerve endings, they permanently destabilized my spine. My current neurosurgeon is not sure if my S1 nerve will ever fully recover. I had to be rushed to the emergency ward the evening after the LSI surgery. LSI did not take any steps to rectify the issue. The hospital informed me that I was not the first patient from LSI to be rushed to the ER after surgery.

I read more comments:
  • . . . all I can say about LSI is DO NOT GO THERE!!!
  • . . . everything was fine for six weeks and then the pain came back. now it's as bad as ever.
  • . . . bad experience with LSI. I am in much more pain than before I walked in.
  • . . . Do NOT go to LSI. I had surgery there on Sept. 26, 2007. I cannot describe the hell I have been through, physically and financially, with these people . . . filing suit for medical malpractice, fraud, and malfeasance.

To be fair, the Windsor fellow still credits the laser surgery in Florida for relieving much of his pain, although he was left with a $17,000 medical fee. But the laser operation didn't stop him from seeking more medical help. He is now crossing the border at Windsor to travel into Michigan to get $1200 botox injections.

As I said, not all the comments on the Internet about LSI are negative. One person wrote: "I had surgery on July 16, 2008 and have considered it a great success."

So, what does one believe? I leave the final word to Mark McLaughlin, MD, FACS, FAANS, from Princeton who wrote an article titled: The Laser Myth in Spine Surgery

Laser Spine Surgery: It has almost zero usefulness in your spine surgery and in fact may be harmful - R. McLaughlin MD

No laser surgery for me, thank you. Now, where did I put those sheets of doctor-recommended back strengthening exercises?
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The following is here simply because it was in the original post. It has been removed as of March 2018.

On the other hand there are the newspaper articles, such as the ones from the St. Petersburg Times, about a questionable Florida surgeon who gained fame for his laser approach to curing spinal problems:  Back doctor sues and Is surgeon innovative, or unfit? or this article titled Treat the Leg or Pull it?

A couple of months after Randy Richmond did his article, Bloomberg did a story on the Florida laser spine surgery clinics: Laser Spine Surgery More Profitable Than Google Sees Complaints. Follow the link if you're interested.

I don't know what to believe but I have decided not to go to Florida. No laser surgery for me, thank you. Now, where did I put those sheets of doctor-recommended back strengthening exercises?
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If you haven't guessed, I support the Canadian health care system. Click the link to discover why.