October 24th, 2002, over 80 friends, faculty and family met at the oVogue Hotel to honour Drs.Jonathan L. Meakins and Jacqueline McClaran at a testimonial banquet as they are moving to Oxford, England with new appointments on November 20th. Jonathan has been appointed the Nuffield Jonathan Meakins Professor of Surgery and Head of the Nuffield De- partment of Surgery at Oxford and he will be affil- Moving to Oxford iated with Balliol College. Jacqueline McClaran will be Assistant Medical Director at the John Radcliffe Hospital's Trust and she will be employed at the University of Oxford with an educational role in the Dean's office and the Department of Primary Care (Family Medicine). They in- tend to be on-site at Oxford by December 1st.

Speakers at the dinner who bid farewell to them were Drs. E.D. Monaghan, Nicolas V. Christou, Lloyd D. Maclean, Dean Abraham Fuks, Gerald Fried, Mostafa Elhilali, and Ms. Celine Doray, R.N.

A presentation was made of a photograph of Dr. Meakins done by Montreal's laszlo which will be posted in the 10th Floor Archibald Amphitheatre along with those of Drs. Ed- ward Archibald and Lloyd D. Maclean. Dr.Jonathan Meakins Jonathan L. Meakins qualified MD at the University of West- ern Ontario in 1966, DSc (Cincinnati) in 1972 in Surgical In- fection and Immunology with Drs. Wes Alexander and W.A. Altemeier, and obtained his FRCS(Canada) in 1973 and FACSin 1976. He completed his postgraduate training at the Royal Victoria Hospital and McGill University in 1974 and was appointed ~ DEPARTMENT OF SURGERY (please see Meakins, pg. 4) ...... NEWSLETTER -::::::I Letters to The Editor 1 Mount Club 13 McGILL UNIVERSITY ~. Editorial 3 Kudos 14 a. Jonathan Meakins' Farewell Dinner 4 Achievements Residentsand Fellows 16 FALL 2002 ID New Director of ProfessionalServices 7~inir1lallyln~asiveSurgery~rograr1l(~ISP)m 17 Dr.Max Aebi to Switzerland 8 AnthonyRSDo~~IIVisitingProfessor 18 Welcome Aboard 8 MISPVisitinq Professor 19 Npw (hipf nHNT 8 19 Mr('ill O;v;,;on of <;"ro;,,1 R~search 9 20 hlvpnilp ni~hptp< Ihu;:p;:nrh roundation 9 20 Welcoming The New R-l's 10 Ambassador'sClub 21 ...... Volunteering in Hospitals 12 Events ...... 21 THE SQUARE ""z ....C> 2

Dear Editor: published by Lippincott Williams and Lawrence in a Flying Dutchman; Herman I am writing to you all after a long ab- Wilkins, and edited by myself and Dr. in a Jollyboat, and 18' sailboat designed sence, but I have been reading The Square William B. Inabnet from the Mount Sinai by Uffa Fox, which had the reputation to Knot diligently and enjoying it. I have School of Medicine, New York. The book be the fastest planing monohull at that also seen a number of the McGill staff has 33 chapters in this field devoted to time; and I, an International 14 at Pointe during different College meetings new techniques of thyroid, parathyroid, Claire. We occasionally raced each other's throughout the years. When I saw the is- thymus, adrenal and pancreatic surgery. boats and whenever there was a major sues of Winter Sixty contributors from around the world regatta and when we had the "time-off': 2002 with Dr. have written this book, which is the first we would race on Lac St. Louis. Two years ? Letters Sarkis Meterissian on this subject. This textbook includes ago, I spent a week's vacation in New to The Editor and Dr. Judith over 200 color illustrations and 306 pages, Brunswick to see some old family friends, Trudel mentioned and has been registered at the Library of namely Dorothy Mcintosh Waterston, the and the Summer Congress. We have donated a copy to the daughter of Dr. John F. Mcintosh, an in- 2002 issue with the picture on page 9 of McGill Library for the benefits of your ternist and research at the RVH and niece all the residents and friends present in medical residents, students, and fellows. CA. (Sandy) Mcintosh who spends the 1985, I decided to write. At the same time, I would like to thank summer at Westfield, N.B. near St. John, you for the photographs of the Royal Vic- N.B. I tried to get in touch with Herm, How are you, your family and all the staff toria Hospital in 1985, which were pub- whom I believe still enjoys sailing and my and friends? Regards to all. My wife Lina lished in the summer 2002 issue of The fellow RVH resident, Bob Dionne, who and I have a family of four, 3 daughters Square Knot. I have to tell you that I have had retired from his orthopaedic practice. (Meyce, Lara, Samar) and a son (Hamdi). never received a copy of the photograph We are living in Saudi Arabia and I am when this was taken and if you can find I also have some news of 3 former Vic res- working in ARAMCOas a surgeon and as in the archive a copy of the negative or idents who some may still have some rec- the Director of the Clinical Medicine De- any of the large color photographs, I ollection of: partment. As you may remember, I did would like to have one for my record. my residency in General Surgery from I hope everything is well at McGill. Jack Handelsman, was the 1st Accident 1986 to 1991. Life and work here is very Service Fellow, 1971-72. He came from good and we are very excited that our I wish you much luck with the new Birmingham Accident Hospital. He helped eldest, Meyce, has joined McGill Univer- hospital. Dr. Moseley organize the Accident Ser- sity School of Nutrition at the McDonald Michel Gagner, M.D. vice. Later on, he returned to South Africa Campus this September. Chief, Laparoscopic Surgery, and practised. However, as the political cli- TheMount Sinai Medical Center, New York mate changed, he came to USAand was a I hope to continue to correspond and Professor of Pediatric Orthopaedics at please send our regards to all SUNY on Long Island. He is still a very ac- Ali Alaudin, M.D. Dear Editor: tive pediatric orthopaedic surgeon, pub- Saudi Arabia I read the Summer 2002 issue of The lished widely and frequently presents Square Knot with a lot of interest. I was papers at sub-specialty meetings. Editor's Note: When Ali was here, the very sad to learn that Drs. David Lin Department of Surgery organized an In- and Doug Ackman had passed away. Karel van de Putte followed Jack Han- ter-Hospital Tennis Tournament. The RVH During the time I was on the surgical dlesman and served for one year on the contingent included Ali who was then house staff at the Royal Vic, 1961-64, Accident Service. He was Flemish, came tennis champion of Saudi Arabia and David Lin was one of my teachers. He from Vienna, Austria where he had taken Coleman Bonny, the tennis professional at distinguished himself by bringing in training with Bohler and when we ro- the Montreal Indoor Tennis Club. Some of cases from his community practice. He tated on that service, we were making the hospitals thought this unfair. But the also allowed the residents to do a mean- skin-tight casts for acute fractures. Karel MCH won! ingful part of the surgery and gave ex- also distinguished himself by taking care cellent follow-up care. I really enjoyed of a spinal injured RVH house officer in Dear Editor: his teaching and his friendship. such an exemplary way that I believe she I would like to let you know that we re- recovered fully. After leaving Canada, he cently published a book entitled Mini- Doug Ackman, Herman Sullivan and I went to Los Angeles and was persuaded mally Invasive Endocrine Surgery sailed dinghies. Doug at Royal St. to return to his native Antwerp ~ (please see Letters, pg. 9) THE SQUARE ""z ~ 3

four years in a designated area. If they failed to comply, there would be fines of up to $50,000 per year and lossof their license.

Recently, the government passed Bill 114, a controversial law, 000 NEWS FROM QUEBE(- which allows the government to force doctors to work in out- GQUEBEC DROPS PENALTIES FOR URBAN MD's lying Emergency Rooms. Ever since the 1980's, the Ministry of Health and Social Affairs in Quebec has tried to recruit medical doctors to work in the The whole process has caused such a hue and cry by young outlying regions. With each successive yearly doctors, the public and the press,that Health Minister Fran~ois Editorial "decret'; various rules and regulations have Legault has promised to eliminate these repressive rules. been promulgated to achieve this end. In These include all those dating all the way back to "decrets" in 1988, when the Internships were abolished, and when two the 1980's which stipulated that General Practitioners in their streams were established for Postgraduate Training (Family first three years of practice were to be docked 30% of their Medicine or Specialty), the "decret" allocated sufficient num- revenue if they worked in an urban center like Montreal in- bers of Postgraduate Residency positions for the entire stead of in outlying areas. province. But we live in a very large province with 19 Health Regions. The focus was to provide incentives to work in pe- At present, there is a shortage of about 1,000 physicians in ripheral regions. These latter were rather poorly defined even Quebec. An estimated 5,000 foreign trained doctors have im- by the Regional Councils, and so, when it became known that migrated to Canada. Many of those do not meet the high most medical school graduates wished to work in the cities standards that we expect for Canadian physicians and, ac- which held their universities (Montreal, Sherbrooke, Quebec cording to Dr.Jean Rodrigue, President of the Quebec Federa- City), the emphasis became on "non-university regions': tion of General Practitioners, "we cannot have two classes of doctors." This whole policy is now being revised. Pierre Blan- The Deans' offices together chard, head of the Medical Education Section of the Quebec with the Quebec College of College of Physicians maintains that "all candidates who meet Physicians, CREPUQ (Con- the necessary requirements will get a permit." Andre ference des Recteurs et des Boulerice, the Minister responsible for relations with immi- Principaux des universites du grants announced that they will target France and England. Quebec), and the Ministries of Health and Education worked For years the "number crunchers" of the government have cal- very hard to achieve this goal, culated that there are too many Family Physicians and too but not with much success.The many Specialists in the university cities of Quebec and, of various Specialty Associations course, not enough in the wide area of the remainder of the of the Province would tell us province. But cutting the numbers of entries into medical that doctors seem to go to the schools, decreasing the number of postgraduate trainees and countryside for short periods of forcing both our graduates and foreign medical graduates to time, but eventually they grav- go to work in outlying areas are not the solution. itate back towards the cities. "I'm afraid a house call is out of the question just So punitive clauses were put in, We are not out of the woods yet, however, as on November now, (omrad Koo. Trypushing the needle in a bit and, of course, the results were 7th, Minister Legault tabled Bill 142 which has two objectives: farther, wiggling it as you do so, and if the pain per- even worse. In 1990, one half to ensure that Emergency Rooms stay open 24 hours a day, 7 sists, call me in the morning." - TheNew Yorker the graduating class of McGill days a week, and to ascertain that doctors are spread evenly (82 out of 164) left the across the Province. This legislation is to better control the province upon graduating. Forty-one of these went to the numbers of GP'sand Specialists in each region and especially other provinces in Canada, the other 41 left mostly for the far flung ones. But talks are going well. There is even talk of United States. giving GP's a 17 percent pay hike for those who staff ER's.

The government then concentrated on graduates from foreign The good news is that the Ministry seems to be reviewing its medical schools who were landed immigrants. An FMG could old ways, and by a dialogue with those young doctors in- train here, either in Family Medicine or in a Specialty,and if they volved, such as the Quebec Association of Young Physicians, passedspecial qualifying exams,they would then go to practice some better times seem ahead.• THE SQUARE ""z ~ 4

~ Assistant Professor of Surgery and Microbiology at He is a member of a large number of learned societies both McGill University in the same year. In 1984, he became Pro- regional and international and has played an executive role in fessor of Surgery and Microbiology and was Chairman of the many of them, including the Surgical Infection Society of Department of Surgery from 1988-1993. Since 1998, he has which he was President in 1989. He also serves on the Board held the Edward W. Archibald Chair of of Regents of the American College of Surgeons, and is Presi- Meakins Surgery at McGill. He is presently the dent of the International Federation of Surgical Colleges, and Surgeon-in-Chief and Chair of Surgery, was recently made an Officer of the Order of Canada. (continued from pg.l) the McGill University Health Centre. Dr.Meakins is co-editor of the Canadian Journal of Surgery and He has had two sabbaticals: In 1980-1981 in Critical Care as a serves on the editorial board of 14 journals and is reviewer for Professeur Associe at the Universite de Paris XII with Profes- 16 other prestigious journals, providing book reviews to 4 of sors Lemaire and Rapin; and in 1987-1988 in Hepatobiliary these in addition. His own journal publication list numbers Surgery in Paris with Professor Franco as a Fellow of La Fon- 200; he has contributed chapters and proceedings to 70 sur- dation pour la recherche medicale. gical texts and been author or co-author of 5 books.

It was Dr. Meakins who founded the McGill Surgery newslet- ter The Square Knot and who designed the men's tie and The Nuffield Department of Surgery, ladies'scarf. For these and many other good memories, TSK EI Oxford wishes Joe and Jackie Godspeed.• ~ Founded in 1937 Benefactor: William Morris (Lord Nuffield)

1. Hugh Cairns, Neurosurgeon, Australle 2. Philip Allison, Cardiothoraclc Surgeon, Leeds (Heart valve homografls, pig xenografls and the "Allison" repair for H.H.) ...... ••...... ••...... •...• 3. Sir Peter Morris, Transplant Surgeon, Australia Retired in October 2001 to the post 01 President Royal College of Surgeons of England o 4. Jonathan L. Meaklns, Canada Dr. Meakins' Farewell Dinner Hotel Vogue-October 24,2002

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Jackie McClaren & Jonathan Meakins skeet-shooting in England Jackie McClaren & Jonathan Meakins with photo by Laszl6 THE SQUARE z:0:: ~ 5

Lt. to Rt. Standing: G. Fried, Dean A. Fuks, L. MacLean The Chorus Singing Gilbert & Sullivan's "He is the Very Model of a Modern Surgeon- Lt. to Rt. Sitting: M. Elhilali, N. Christou, 1. Meakins,1. McClaren, E. Monaghan General" Lt. to Rt.: L. Feldman, D. Evans, N. Christou, M. Wexler

M. Entin and S. Skoryna Lt. to Rt. Standing: H. Shibata, F. Tremblay, W Fisher Lt. to Rt. Sitting: M. Wexler, S. Skoryna, R. Estrada, M. Thirlwell, M. Entin

Lt. to Rt.: 1. Tchervenkov, P. Metrakos, S. Meterissian, L. Stein, S. Paraskevas Lt. to Rt.: D. Owen, P. McLean, A. Loutfi, A. Dobell, Hugh Scott, S. -L. Tan THE SQUARE "":z ~ 6

\ Lt. to Rt. Standing: V. Simons, L. Lessard, J.-M. Laberge Lt. to Rt. Standing: M. Beaulne, M. Black, M. Bikas Lt. to Rt. Sitting: B. Williams, C. Lee, R. (hiu, P. Blundell, H. Brown Lt. to Rt. Sitting: S. Frenkiel, A. Katsarkas, R. DiPaolo, R. Piccione

Lt. to Rt. Standing: D. Evans, T. Razek Lt. to Rt.: B. deVarennes, P. Goldberg, P. Ergina, o. Blaschuk, J. Gordon, P. Brodt Lt. to Rt. Sitting: L. Feldman, K. MacKenzie, 1. Barkun, K. Aiken, C. Doray, A. Gursahaney

Lt. to Rt. Standing: D.Anderson, G. Ghitulescu Lt. to Rt. Standing: A. Turnbull (New York), J.-E. Morin Lt. to Rt. Sitting: A. Derossis, H. Sigman, 1.Antoniou, D. Morehouse, Y. Taguchi Lt. to Rt. Sitting: Mr. Robert McClaran (Jackie's father), S. (ruess, P. (umyn, R. (ruess, H.limmerman (Jackie's cousin) THE SQUARE z ....co"" 7

for greater efficiencies. She said she will put a priority on transparency in corporate decision-making. "We must ensure that physicians and other health FRAN(OISE CHAGNON care professionals are driving health DDirector of Professional Services for the MUHC care policy at the MUHC The Board of Directors appointed Dr. Francoise Chagnon to the position of Director of Professional Services for the MUHC at Dr. Chagnon is a graduate of the McGill their meeting of June 14,2002. Faculty of Medicine and has a Master's Dr. Fran(oise Chagnon degree in Health Care Administration Dr. Chagnon sees the role from the University of Montreal. She New Director of of the DPS as focused on continues to pursue studies in public Professional Services day-to-day operational administration and related legal studies as well as continuing and clinical issues. "The medical education. She has been the Associate Director of for the MUHC community has to know Professional Services for the MUHC at the Montreal General that we are here for Hospital site since 1999. She has broad experience in the them': She listed a number of challenges in her new job, in- practice of medicine and surgery at the MUHC and other in- cluding reducing waiting lists for care. "I want to put an em- stitutions, including St. Mary's, LaSalle and Douglas Hospitals. phasis on recruiting and retaining professional staff-doctors, Dr.Chagnon plans to continue to run a private practice in oto- pharmacists and the allied professions - and on providing op- laryngology and the care of the professional voice.• portunities for their personal and professional development. Courtesy of MUHCensemble en bref - June 19,2002 This is essential to providing accessible and state-of-the-art care for our patients': Dr. Chagnon said she will be looking at opportunities for re-organizing services on the existing sites ...... •......

CURRENT BED ALLOCATION FOR SURGERY - RVH SERVICE ROSS 5 9E 9W 8E 8W TOTAL General Surgery/Purple 25 28 53 Vascular 18 18 Urology 8 8 Plastics 3 3 ENT 7 7 Ophthalmology 3 3 Cardiac 2 29 9 LTC 2 2 5 9 TOTAL 31 25 30 29 15 130

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... but a Samaritan who him there. Next day he produced two silver pieces, and gave The Good Samaritan was making the journey them to the innkeeper, and said, "Look after him; and if you came upon him, and when spend any more, I will repay you on my way back" .• he saw him was moved to pity. He went up and bandaged his GospelAccording to Luke, Chapter 10 Verses33-35 wounds, bathing them with oil and wine. Then he lifted him TheNew English Bible, 1972 on to his own beast, brought him to an inn, and looked after THE SQUARE ..z ....o 8

He came to McGill in 1992 and has been Professor and Chairman of the Division of Orthopaedic Surgery since then. In addition to the RVH and the Max Aebi has decided to step down at the MGH, he also has been Consultant Or- Dend of this year as Professor and Chairman of the Division of thopaedic Surgeon to the Montreal Orthopaedic Surgery at McGill and Chief of the MUHC Adult Children's Hospital, the Jewish General Services. It is obvi- Hospital, and the Shriners Hospital for ously with some sad- Children of Canada. Dr. Max Aebi Returning ness that he bids his Dr. Max Aebi to Switzerland "adieu" to h is col- His expertise has been in spinal leagues at McGill surgery and in the year 2000 he gave with whom he has worked for the past ten years, and returns the Straumann Honorary Lecture of the AO-Veterinary Group to Bern where new challenges await him. in Davos,Switzerland entitled New Advances in Spine Surgery. In 2001, he received the Maurice E. Muller Award in Or- Max was born in Bern and graduated from the university there thopaedic Surgery in Lugano. with a Federal Diploma as a physician in 1975. In 1987, he received a PD which is the equivalent of a Ph.D. in North This year, he received the prestigious honour of being pro- America. During his surgical training from 1972 to 1984, he posed to the Ministry of Education of Paris, France as an "Hon- had a variety of experiences: Gynaecology and Obstetrics in orary Doctor of Medicine" of the Faculty of Medicine in Ethiopia, General Surgery, Pathology, Neurosurgery, Micro- Marseilles, France. surgery, and of course Orthopaedic Surgery. He obtained his Fellowship of the Royal College of Canada in 1995. The Square Knot wishes him well in his new enterprise. • EOM

Dr. Gregory Berry joined the Division of Orthopaedic New Chief ENT Surgery and the Trauma Group at the MUHC (MGH site) in July 2002. Dr. Saul Frenkiel has been appointed Chairman of the Dr, Berry obtained his M.D.CM. Department of Otolaryngology, McGill University effec- (1991) at McGill and his or- tive October 1,2002. He replaces Dr. Melvin D. Schloss thopaedic training at the Universite who has held this position for the past 13 years. • de Montreal. In addition, he did a Foot and Ankle Fellowship at the Royal National Orthopaedic Hospital in London as well as a Trauma Fellowship at Sunnybrook in Toronto. He has worked two years as a practicing orthopaedic surgeon in a Trauma Centre at H6pital Sacre-Coeur. He has a strong inter- est in clinical outcome research as well as an interest in ex- perimental work. This fits well with our intention to build, Thanks together with Sunnybrook and Vancouver General Hospitals, a Trauma Registry.• Thank you to Dr. Jemi Olak for her generous contribution to Madeleine Beaulne McGill Surgery Alumni and Friends. THE SQUARE ..z ~ 9 McGill Division of The Division of Surgical Research procedures. Copies are available for wide distribution. The Di- has designed a new and im- vision has a need and greatly welcomes clinician scientists to Surgical Research proved information brochure de- serve as Student Advisory Committee members and to par- tailing all you want to know ticipate in class room teaching activities. Please contact Ms. about the Surgical Graduate Program and Research. The Irene Sidorenko at 934-1934 extension 42837 for further in- brochure introduces the distinguished history of Surgical Re- formation or to obtain copies of the brochure. Also check out search at McGill, the mandate and vision of the Division and our recently updated web site at: provides a brief account of the research orientation of the sci- [email protected] entists in the Division. It also details the admission require- By Anie Philip, Ph.D. ments to the graduate program and the application ......

Centre un ivers ita ire de sante McGill III McGill University Health Centre CHUM- The Juvenile Diabetes Research Foundation (JDRF)

On October 17th at the Faculty Club of McGill, Dr. lawrence replacement successfull as a viable cure for Juvenile (Type 1) Rosenberg and his colleagues Marc Prentki, Ph.D. and Diabetes - a devastating disease that often strikes children Dr. Richard Furlanetto along with patient David Vilanova leaving them insulin dependent for life. This new research gave a press conference to announce the launch of a highly centre was launched with a 2.7 million dollar grant. • innovative research centre. The Juvenile Diabetes Research EDM Foundation Centre for Beta Cell Replacement at McGill Uni- versity and the Universite de Montreal focuses on making islet

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~ by his wife, Magdalena who had UCSF. He married an Italian national, Dear Editor: a law degree, to practice. I had the plea- worked in Europe and subsequently came Dr. Ray Chiu must be congratulated for sure of meeting him sev- back to practice in Pittsburgh, PA. I hap- the exceptional mentorship that he has L tt era lye a r s I ate rat pened to have been there for the NCAA provided to the cardiac residents during e ers orthopaedic meetings, championships last March. My wife, their research year. The productivity is a re- (continued from pg.2) went to his home and Francine and I had a delightful evening flection of both the mentor and students. participated in several with the Betancourts catching up and I surgical operations with him and his showed him The Square Knot. In addition to the already published daughter who was training in Or- prizes won, Dr. Marc Pelletier received thopaedics in Belgium. Unfortunately, I really look forward to future issues. We the year 2001 Maclean-Muller prize for Karel died of a sudden heart problem did go as interns on ambulances to keep the best article by a resident in the Cana- about 10 years ago. our classmates from the MGH and JGH dian Journal of Surgery. honest and from "dumping" cases on us. Jean-E.Morin, M.D. Most interns at the Vic in those days were Maybe when names come up again, I Royal Victoria Hospital, Montreal unmarried and when we rotated to the could write you some further recollec- Editor's Note: The article published in the Women's Pavilion, we were assigned room- tions. With personal best wishes. CJSin June 2001 by Drs. Pelletier, Morin mates. Sergio Betancourt, graduate of John Hsu, M.D. and others was entitled Prognostic Mark- Cornell, was mine. After his service as a Downey, California ers in Resectable Non-Small Cell Lung Green Beret, I last saw him in 1967 when Cancer: A Multivariate Analysis. • he was in General Surgery residency at THE SQUARE "":z !:I 10

Welcome Dinner The Second Annual General Surgery Welcome Dinner was for the New Rl's held on Thursday, Sept Sth at L'Orchidee de Chine. An intro- duction of the staff, chiefs and Rl's was conducted by the Pro- gram Director, Dr. S. Meteriss- ian, who revealed intriguing information on the new recruits. The Rl's and the Chief residents re- ceived McGill Key chains. Thanks to all who partic- ipated in making this evening a pleasant one. • Pictures courtesy of Rita Piccioni

Lt. to Rt.: L. Ferri, G. Chan, A. AI- Shaikhi

Lt. to Rt.: P. Chaudhury, H. AI-ceadhi, A. AI- Shaikhi, L. Ferri and S. Meterissian Lt. to Rt.: K. Aikin, M. Tan

Lt. to Rt. : M. Liberman, G. Fried, H. Sigman Lt. to Rt.: S. Meterissian, S. Hassan, S. Demyttenaere THE SQUARE ~ ~ 11

Lt. to Rt..' V.Sherman, T. Rozek, S.Meterissian Lt. to Rt..' 1. Pascual, V. Sherman, L. Ferri, G. Chan, A. AI- Shaikhi

Front.' M. Tan,R. Faizer, S.Sharma, S. Demyttenaere, G.Chan, Lt. to Rt..' C. Rochon, M. Poirier, S. Liberman A. AI-Shaikhi, M. Zerey

Lt. to Rt..' S. Gholoum, S. Hassan, S. Demyttenaere, A. AI-Shaikhi, l.AI-Balushi Lt. to Rt..' S.Meterissian, M. Liberman, S. Liberman, V.Sherman THE SQUARE 5:i ~ 12 vate sector, without setting up a parallel system, can be com- plimentary to the public system.

We know costs are rising faster than government revenues, in our Hospitals, be it at the level of the and 40% of government expenditures are in health. So the VIe"SBoards and those of the Foundation and Research Institutes, time of the Claire Report in Quebec, Sullivan in Ontario, Kirby or those taking care of the daily needs in the wards, in the in Ottawa is over. When Roy Romanow's report comes out, coffee shops and all through our institutions, are a vital part we must act. of providing health care. And who must be in the forefront of this debate, along with Hospitals have become even more com- patients, health-care givers and the public, but the volun- Volunteering plex than universities to administer. And it teers who are active on the boards of our hospitals and their in Hospitals is no wonder for they operate in a society foundations. that has no consensus of what our health system should be. Since the advent of the And so, we are starting to see training programs being devel- Canada Health Act in 1984, we have adopted, as part of be- oped to assist the board members, not only in the governance ing Canadian, the principles of universal coverage, compre- of complex institutions, but in the whole issue of health-care hensive services, portability and importantly, equal access. delivery itself.

Despite political battles and doctors' strikes, the principles VOLUNTEER IN THE TRENCHES have continued to this day to be part of what defines us as But there is another role, and a vitally important role for vol- Canadians. It defines us because we have said we will ensure unteers in our hospitals. that we will support every Canadian everywhere in the coun- try for all his or her medical expenses. Across this country, volunteers help welcome patients and their families, read and listen, and help create a family atmosphere. But the 1990's, with huge financial pressures on the Provinces, They offer practical assistance during meals, help writing let- we have seen cuts to funding and health care, closures of hos- ters, run errands, and give non-medical information and direc- pital beds and hospitals, restrictions on billings and caps on tion. They bring newspapers, books and films to patients. doctors' earnings, cuts to services to the extent that people have been sent to the States for certain treatments. Wherever there is an Oncology Department, invaluable sup- port is given in the delivery of palliative care to both patients At the same time, demands for home-care, public-care and and families who are very much in need of a friend. pharmacare, which were not seriously considered at the be- ginning of the 80's, are now part of the health-care package. They work as well in Neonatal Intensive Care, Risk Pregnancy, Dialysis, Transplant, ER's and Geriatrics. And so the debate about the two-tier systems rages. In some hospitals, there are special programs of music therapy, While our health-care system has been subjected to a barrage pets brought in to lonely animal lovers, and there are often of public criticism, and the rhetoric makes it sound as if we friendly visiting programs organized by the volunteer bureaus. are in crisis, we know that the care given is mostly excellent, Hospitability corners and coffee shops, blood donor clinics, sales and it is the resources that we give our caregivers that are at Christmas time, this is all the work of the volunteers. lacking. We spend far less per person than our neighbours to the South. They on the other hand use a large part of each I have had the opportunity in the last three years of visiting health-care dollar on insurance premiums, brokers, lawyers, hospitals from St. John's, New Brunswick to British Columbia consultants, marketing people, etc. and down the Eastern Seaboard and into the mid-United States. I am struck on each visit with the difference and vari- There are many choices to be made, but I suspect that most ety of equipment. Some very modern and progressive, some Canadians would not give up the universality of our system, regrettably horribly outdated. But I am even more impressed although politicians and polls in Quebec indicate a private with the work of the volunteers and the support of the com- component is being considered by many. We are waiting with munity in most places. ~ suspense for the ways in which Romanow will suggest the pri- THE SQUARE ""z ....co 13

~ We stand second to none in our hospitals Ever since the founding of our hospitals the need for a posi- in Quebec, in the community support for the work that is tive group of people willing to build, support, and go to the done. And no matter how expert and qualified the specialists, aid of the patients is always there. how dedicated the nurses, how efficient the administrators, without the community, a hospital cannot be first rate. CONCLUSION Major change is again underway, but people's needs do not FUNDRAISING change. There will always be a need for funds to support the There is always a desperate need for people who are pre- services. There will always be a need for volunteers of good pared to sell the cause and the needs of the hospital in the humour, compassion, who are capable of helping to provide \ private sector. care. There will always be a need for hands reaching out to in- volve the community, and hands from the community offer- Each hospital has had a foundation since the early '70s, and ing that immediate support. There will always be a need for they have been very successful in the support they have been people to form the core of the volunteers in our hospitals .• able to provide to the hospitals. Alex K. Paterson, O.c., O.Q., Q,C. Former Chairman of the Interim Board of the MUHC and You should not be scared of fund-raising. It does take Founding Chair of the MUHC Foundation hootspa, but it is very challenging and exciting when you get a positive response .

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~ ~ount Royal last summer, Lise and Ed Monaghan and Ariane and Peter Mclean were happy to be the dinner guests of X MTennis Club Eleanor and Lloyd Maclean at the Mount Royal Tennis Club.

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~ Saporo, Japan on April 25th and termination of Outcomes and Competency. Resection for Diverticular Disease: What to 26th. He served as a Visiting Professor at Also in March, he was an Invited Speaker Do and When to Do It and the other was the MD Anderson Cancer Center in Hous- at the World Congress of Gastroenterology entitled Perianal Crohn's Disease. ton on February 6th; at Yonsei University in Bangkok, Thailand and his topic was En- Seoul, Korea on April 22nd; and Kyoto Uni- abling Technologyfor Hemostasis and Tissue Dr. Frank Guttman, pediatric surgeon versity in Japan on April 29th. On May Division. Dr. Fried was invited to chair a emeritus, has been writing books. His 15th, he was the Annual Visiting Professor symposium of the Royal College of Physi- first three years in retirement were de- of the Department of Surgery at the Uni- cians and Surgeons of Canada on "Training voted to writing a book on Senator Tele- versity of Ottawa; a speaker at the Henry and Evaluation of Laparoscopic Skills': sphore-Damien Bouchard (Tee-Dee) "The Ford Medical Center Symposium in Detroit Devil from St. Hyacinthe': The Wilfrid Lau- on June 20th; and a Visiting Professor at Drs. Gerald M. Fried, Liane Feldman rier University Press is considering to pub- the Ottawa Heart Institute on September and Dennis R. Klassen have set up a lish it. In October, 50 years after receiving 19th. He was also invited to deliver the an- web site on "Laparoscopic Cholecystec- his Bachelor of Science Degree (Honours nual Bigelow Lectureship during the Cana- tomy" which describes their approach and in Physiology)' he was at convocation to dian Cardiovascular Society meeting in the current indicators and techniques for receive his M.A. in History from McGill Edmonton on October 29th. imaging and exploring the common bile University. His thesis-paper was on Hon- duct. There is emphasis on intra-opera- ore Beaugrand. If ever Frank writes a The Egyptian Urological Association intro- tive ultrasonography. Subscribers may book about him, it will be entitled "Hon- duced the "Elhilali Lecture" at their annual view the full text at www.acssurgerY.com ore Beaugrand - Not Just a Metro Station': meeting in Luxor, Egypt in October 2002. This lecture in Dr. Mostafa Elhilali's ho- Dr. Claude Gagnon, Director of the Urol- Dr. Karen Johnston obtained the Career nour, will be held annually at the EUA ogy Research Laboratories, at the last CIHR Investigator Award from the Michael meeting. The EUA has only one other grant competition (March 2002), was Smith Foundation for Health Research for named lecture. The speaker this year was awarded a second CIHR 5 year grant. The her project on Mild Traumatic Brain In- Dr. Vito Pansadoro, Chief of Urology, former grant has been in operation since jury. All her colleagues at the Montreal University of Rome. The EUA also named successfully received in 1978. Both grants Neurological Institute congratulated her Dr. Elhilali as Honorary President, a life- were renewed without interruption. and wished her continued success. time appointment. Dr. Philip H. Gordon of the JGH has We congratulate Dr. Saundra Kay who Drs. Helene Flageole and Jean-Martin been appointed to the Advisory Council of was successful in obtaining the Royal Laberge of the Montreal Children's Hos- the American Board of Colon and Rectal College Certification for Pediatric General pital organized the meeting of the Inter- Surgeons. In the year 2002, he published Surgery. national Fetal Medicine and Surgery 3 important papers: 1) Khan A, Shrier I, Society (lFMSS) held on September Gordon PH: The Changed Histologic Par- Dr. Jean-Martin Laberge accepted the 1st to the 4th at the Manoir adigm of Colorectal Polyps - Surg. Endosc. honour of writing an article on What's Richelieu in La Malbaie. With 2002;16:436-440; 2) AI Qahtani AR, New in Pediatric Surgery for the Journal more than 160 participants Satin R, Stern J, Gordon PH: Investiga- of the American College of Surgeons. The from around the world, the tive Modalities for Massive Lower Gas- article appeared in the August 2002 issue. meeting was a great success. trointestinal Bleeding - World J. Surg. This also concludes his 2nd term (6 years 2002;26:620-625; and 3) Miller G, Bo- total) as a member of the Advisory Coun- Dr. Gerald M. Fried was named the first man J, Shrier I, Gordon PH: Readmis- cil for Pediatric Surgery of the American Steinberg-Bernstein Chair of Minimally In- sion for Small-Bowel Obstruction in the College of Surgeons. vasive Surgery at the MUHC. He was nom- Early Postoperative Period: Etiology and -: inated as President-elect of the Canadian Outcome - Can. J. Surg. 2002;45:255-258. Dr. Peter Metrakos was invited to speak Association of General Surgeons in Sep- He was also an Invited Participant at the at Hematology/Oncology Rounds - Cancer- tember 2002 in Ottawa. Dr. Fried was also 25th Anniversary of the International care Manitoba in Winnipeg on April 16th, nominated to the Board of Governors of Meeting in Surgery at Madrid in Spain 2002 on Management of Hepatocellular SAGES(Society of American Gastrointesti- from May 27th to June 1st, 2002. Last Carcinoma. On May 25th at the Annual Co- nal and Endoscopic Surgeons). He was an September, he was an Invited Participant ordinator Meeting of Quebec Transplant, his Invited Speaker at the 8th World Congress at the 65th Annual Meeting of Colon and topic was Living Donors: What's New 2002. of Endoscopic Surgery held in New York in Rectal Surgery in St. Paul, Minnesota. 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Dr. Nicolas Christou has been the surgeon performing bariatric surgery at McGill and has recently started a program of laparoscopic roux-en- Y gastric bypass for morbid obesity. These patients will be monitored in a prospective database as n the past 6 months, the McGill Minimally Invasive part of the commitment to data collection and quality assur- ISurgery Program has been active and productive locally, na- ance within the MIS Program. tionally and internationally. One of the highlights of the year's activities was the annual MIS Visiting Professorship. This visit Dr. Gabriela Ghitulescu organized a course for general was sponsored by the surgery residents in MIS. This was a combination of a series of MUHC's Sally Jackson didactic sessions and videos, followed by two days of hands- Minimally Invasive Fund and our Centre of on teaching, using physical and virtual reality simulators and Surgery Program Excellence Program procedural based training. The feedback was excellent and we Grant from Tyco look forward to follow-up sessions on a regular basis. Healthcare. Our Visit- ing Professor this year was Dr. Lee Swanstrom from Port- Donna Stanbridge is the Nurse-Coordinator of the MUHC MIS land, Oregon. Dr. Swanstrom visited McGill on September program. She has been invaluable at training nurses across 11-12,2002. He was originally scheduled to visit exactly one sites of the MUHC and has worked closely in collaboration with year earlier, but due to the tragedy of September 11,2001, his the nurses at the Jewish General Hospital and St. Mary's Hos- visit was cancelled and rescheduled one year later. Dr. pital. She has put on a series of courses on instrumentation, Swanstrom is a world authority on minimally invasive surgery patient safety, and instrumentation/trouble shooting. At an in- and it was a great honour for us to have him visit. He lec- ternationallevel, Donna was Director of the Allied Health Pro- tured on Minimally Invasive Therapies for Metastatic Disease fessionals Course at the 8th World Congress of Endoscopic to the Liver on Wednesday, September 11th, and spoke on Surgery held in New York in March 2002. Drs. Gabi Ghit- Minimally Invasive Approaches to Esophageal Surgery at Sur- ulescu, Liane Feldman, Dennis Klassen (our laparoscopic gical Grand Rounds on September 12th. On the Wednesday fellow), Shannon Fraser (general surgery resident), and Ger- afternoon, the McGill MIS Group gave a series of presentations ald Fried all presented their work at the World Congress. on surgical techniques, outcomes and education research. At- tendance by surgeons, students, and residents was excellent. Donna has also been appointed as Educational Chair of Advanced We all look forward to next year's visitor. Technology and Minimally Invasive Surgery ofThe Association of Operating Room Nurses. This is a very prestigious appointment, Through a generous donation by Mr. John Alper, we were especially for a Canadian nurse. able through the Hermes/Aesop voice controlled robot to con- trol the laparoscope during surgery. This donation is in hon- Dr. Dennis Klassen completed a one-year fellowship in MIS our of Dr. D.O. Morehouse from the Department of Urology at McGill on July 1,2002. He came to McGill from ~ and will greatly facilitate the laparo- scopic radical prostatectomy pro- gramme, spearheaded by Drs. M. Anidjar and S. Tanguay (see right).

The McGill University Health Centre has strongly supported the activities of the MIS Program. Current plans are under- way for the construction of three new operating rooms at the MGH site, specif- ically to enhance the resources for MIS surgery. The flagship of this project is a dedicated MIS suite with videoconfer- encing capabilities, digital image archiv- ing, telestration, and central control of all devices in the O.R.by either touch pad or voice control. 'aAJn) 6U!U10a7 pUOJas 041 :asJnO) AlOUOlO) xa/d -WO) 4J!M UO!)oladO 4JPMS /O!la)l'l uo SI'M ~ll'l S,laAI'9-mO) -l'l'JO 'spunoH pUI'J9 Al!SJaA!Un1A) 1I!9)W l\I 'SUO!ll'lUaSaJd am a)uaJa!uo) A6oI0!PJI')/1A) Aq paMollO! SI'M S!41 'sluap -!saJ )1'!pJI') a4l 4l!M law laAI'9-mO)1'1 'JO '4)Unl Jaw J!l'lS pUI' SlUap!SaJ Aq SUO!ll'lUaSaJd Aq paMollO! SI'M S!41 'alOJS a/JO)S!l'l 041 :Ala6JnS JO!PlO) J!l)O!pad U! aJuowlojiad )0 uO/Jon/oA3 uo a~ods laAI'9-mO)1'1 'JO 4)!4M U! s,uaJpI!4) a4l ll' spunoH pUI'J9 11')!6Jns 4l!M pa)uawwO) SluaAa S,AI'Pa41

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8l :; 1:2 3~\fnOSlHl THE SQUARE ..z ~ 19

Osler Amphitheatre in which a d laparoscopic repair of a para- esophageal hernia with Nis- sen fundoplication was ANNUALr VISITING PROFESSOR performed. 3FOR MINIMALLY INVASIVE SURGERY PROGRAM September 71-12,2002 As one of the great opinion This year's Visiting Professor was Dr. Lee L. Swanstrom, leaders and innovators in MIS, it who is currently Clinical Profes- was an honour to welcome Dr. Visiting Professor sor of Surgery, Oregon Health Swanstrom to McGill as the 3rd Sciences University in Portland, Annual Visiting Professor in Dr.LeeSwanstrom Oregon and Medical Director Minimally Invasive Surgery. • and Program Director of the Minimally Invasive Surgery Pro- EKL gram at Legacy Health System in Portland.

On Wednesday at the MGH, Dr. Swanstrom was the Guest Lecturer. The topic of his talk was Laparoscopic Treatment of Non-Resectable Liver Metastases, followed by video and scientific presentations. On Thursday, at Surgical Grand Rounds, he spoke on The Impact of Minimally Inva- sive Techniques on Esophageal Surgery. This was followed by live surgery with video-conferencing to the

Drs. G.Fried, L. Swanstrom, L. Ferri, V. Sherman and D.Klassen ......

F.ST ANNUAL COLLIP VISITING PROFESSOR IN INNOVATION IN BIOMEDICAL RESEARCH November 7 - 8, 2002 The McGill Division of Surgical Research was honoured to wel- Visiting Professor come Dr. Alberto Hayek, Pro- fessor of Pediatrics at the University of California, San Diego as the first Collip Professor in Innovation in Biomedical Research. His talk at Surgical Grand Rounds was on Neogenesis and Replication of Human Beta Cells. It was a pleasure to have Dr. Hayek who is one of the pioneers in the field of islet cell neogenesis .• EKL Dr.Alberto Hayek WOJ • '(mpl!H) xarif pue (le1ue4)) finoo '(lJ4d) !pnr 'auer '(uesns) Ja1ad !O Ja41e! 'alood lIaqdwe) uu\f a!!M paAolaq S!4 Aq paA!AmS S! aH 'AJefile) U! paJ!laJ uewJoN ')aqanO 'all!AMe4S pue neaWO) ales 'UOSAJS!O ApaWJO! pue 'Ll6l U! 'u4osiapuaw (,{puaw) u!Alaw ·JO!O fiu!ssed 1Ua)aJ UJOS 'e1Jaql\f 'AJefile) U! 41ll Alnr uo AI!We! S!4 Aq papunoJ a41 uo MOJJOSdaap J!a41 sassaJdxa A1!SJaA!Un1I!9)W1e AJafims -ms Alln!amd AeMe passed 117517 Nt/WI/ON ·1/0 '1700d ~)aN pue peaH 'A90709NAI/t/7010 iO lNJW11/t/d10 1Hl

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At a glittering gala held on June 17,600 guests at the Palais photo, one can note Dr. Jonathan Meakins (back row), des Congres honoured thirteen new individuals who were in- Dr. Jacques (orcos (middle row), and Dr. Francis Glorieux ducted into the Montreal Ambassadors' Club for 2002. In this (front row) .•

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Upcoming Events

Mount Sinai Minimally Invasive 4. Laparoscopic Surgery of the Foregut 19th Annual Breast Surgery Surgery Educational Programs, Feb.27-28, 2003 Symposium by SESPRS, New York 5. Minimally Invasive Endocrine Atlanta, Georgia-Jan. 16-19, 2003 1. Laparoscopic Ventral Hernia Repair Surgery-April 3-4,2003 Dec. 6, 2002 39th Annual Meeting of the Society of 2. Laparoscopic Surgery for Morbid Hand Assisted Laparoscopy, Thoracic Surgeons, Obesity-Dec. 12-13, 2002 Houston, Texas-Dec. 15-16,2002 San Diego-Jan. 31-Feb. 2, 2003 3. Laparoscopic Inguinal Hernia Repair Feb. 7, 2003 :; z 3Hvnos lHl THE SQUARE

E.D. Monaghan, M.D. =-=Z Editor o.... Emma Lisi Assistant Editor ~

Marie M. Cimon Copy Editor

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