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Nurses, truckers in Ontario denied health-care services over COVID-19 risk – CBC.ca

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Some essential workers in Ontario say they’ve been denied health-care services because their jobs put them at risk of contracting COVID-19.

Hinda Hassan, an ICU nurse at Grand River Hospital in Kitchener, Ont., said it happened to her during a scheduled massage therapy and chiropractic appointment last week.

She was given a COVID-19 screening questionnaire at a Waterloo, Ont., clinic that asked if she had come into contact with confirmed cases of the novel coronavirus.

Hassan checked yes and clarified that this contact was due to her job at the hospital, where she’s required to wear personal protective equipment. 

She said she was told to come back after being tested for COVID-19. 

The Ontario Ministry of Health released a COVID-19 patient screening guidance document in June to ensure that “all health providers are following the same screening protocol” and to “help ensure consistency when dealing with suspected or confirmed cases of COVID-19.”

A ministry spokesperson said in a statement that the document is only for risk assessment and that it’s up to individual regulatory colleges to decide how to proceed if a patient screens positive.

Anyone who feels they have been denied service unfairly should take it up with their relevant regulatory college, the spokesperson said.

Hassan said there is no practical way for her to take time off work while she awaits a result. And, she said, it was tough news to hear given that she has put her own health and safety on the line during the pandemic.

“If you need my service, I can’t say, ‘Hey, you’re high risk. I’m sorry. I can’t take care of you.’ But then here you are — you’re denying me those rights,” she said. “It felt a little frustrating.”

Clinic apologized for denying service

The College of Massage Therapists of Ontario said someone like Hassan shouldn’t have had problems, based on the province’s current screening guidelines.

“An ICU nurse who works with COVID-19 patients (wearing appropriate personal protective equipment) should absolutely be able to receive massage therapy treatment, assuming they are not showing symptoms of COVID-19,” a spokesperson said.

A spokesperson for the College of Chiropractors of Ontario declined to comment on individual situations but said its professionals follow Ministry of Health screening guidelines. 

The clinic has since called Hassan back, apologized and updated its policies. She said she’s happy it made the change, and she plans to make another appointment.

Vicky MacLean, an ICU nurse in Waterloo Region, tried to book a speech therapy appointment for her toddler but was unable to because of her contact with COVID-19 patients. (Submitted by Vicky MacLean)

Vicky MacLean, a fellow ICU nurse in Waterloo Region, in southern Ontario, said a similar situation happened in her family.

At the beginning of June, MacLean said, she tried to book a speech therapy appointment for her toddler but was screened out because of her contact with COVID-19 patients.

MacLean said she was offered a virtual appointment, but she felt her two-year-old wouldn’t be able to focus during an online session.

After reaching out again last week, MacLean learned that the clinic had updated its screening policies based on provincial guidance, and she booked an in-person appointment.

She said she was “overwhelmed with joy” at the news but wishes she had managed to get an appointment sooner.

“We’re doing everything we can at home, but … she would be much further along if she’d had speech therapy,” MacLean said of her daughter.

Vicki McKenna, president of the Ontario Nurses’ Association, said she hasn’t heard of similar problems from other nurses. But she said she’s sorry to hear that such incidents are happening.

“Nurses, they’ve been under incredible stress over the last number of weeks, as many people have,” she said. “They deserve services as well — and certainly their families.”    

‘I don’t see why my wife is punished’

It isn’t just nurses who’ve been denied service, said Bob Heans, of Fergus, Ont.

He’s a long-haul truck driver and often drives through the United States.

Heans said his wife recently made an appointment for a dental checkup, but when she mentioned his work as a long-haul driver, she was told she had to isolate from him for 14 days before she could be treated.

Heans said he doesn’t think that was fair to either of them.

“Being a truck driver, we’re probably all scared senseless for our family enough,” he said.

“I probably wash my hands 100 times a day, probably go through two bottles of hand sanitizer in like two or three days,” he said.

“I don’t see why my wife has to be punished for this because I’m a long-haul truck driver.”    

Trucker Bob Heans, who often drives through the United States, says his wife was told she needed to isolate away from him for 14 days before she could get a dental checkup. (Submitted by Bob Heans)

Stephen Laskowski, head of the Ontario Trucking Association, said the industry has worked hard to protect drivers from COVID-19 and doesn’t think they’re at an elevated risk because they travel south of the border.

“Long-haul truck drivers spend a lot of their time alone inside their trucks. Trucks are sterilized before drivers get in, when they come out,” he said.

“We’re very proud as an industry of how proactive we’ve been.”

Laskowski said he’s heard other reports of drivers being turned away from health-care services, and that’s a concern because they need to have periodic medical exams to renew their licences.

The association is currently trying to find out how widespread the issue is, he said.

Dental college seeking clarity

Heans’s situation demonstrates a “long-standing issue” with current provincial screening guidance, said Kevin Marsh, a spokesperson for the Royal College of Dental Surgeons of Ontario.

Marsh said dentists — like massage therapists and other health-care providers — also use the province’s screening template, which includes a question about whether a patient has travelled outside of Canada in the last 14 days.

“Long-haul truck drivers who travel into the U.S.A. will always screen positive to this question. So will many pilots,” Marsh said in an email.

“As a result, their family members will always come into question, as they have close contact with someone who screens positive.”

The dental college has asked the provincial government for more clarity regarding people in these categories, but it has not yet received a response, Marsh said.

Skipping the dentist

For now, Marsh said dentists can provide emergency dental care to patients who screen positive for COVID-19, but for non-essential appointments, patients still have to either get tested or isolate for 14 days.

Heans said that means he and his wife will simply skip the dentist for the foreseeable future.

“I guess we have to,” he said.

As for Hassan, she said she’s happy with how her situation was resolved but hopes it will shed light on a situation that other essential workers may be going through. Essential workers who find themselves in a situation like hers shouldn’t be afraid to push back, she said.

“I think just have a discussion around it,” Hassan said.  

“In some cases, it’s going to take some navigation, and that’s how a decision is going to be made.”

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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