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Specialists join forces to push B.C. for same recognition as family doctors

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Specialists ranging from cardiologists to pediatricians and orthopedic surgeons are pushing the British Columbia government to alleviate backlogs that have worsened wait times.

Their stance comes as the head of the Canadian Medical Association says it’s time for innovative solutions to address the same problem across the country.

Twenty-six doctors sent an open letter Wednesday to Health Minister Adrian Dix, saying they want an urgent meeting with him due to a “crumbling” health-care system that is leaving them “exhausted and demoralized.”

By Thursday, 135 specialists had signed the letter, which was uploaded to the Consultant Specialists of BC website.

“Patients are getting sicker and dying on our wait-lists,” says the letter, which outlines examples of the effect on patients, including one who experienced sudden hearing loss and permanently lost their hearing after waiting too long to see a specialist.

It says one million patients in B.C. are waiting to be seen, based on data from the Consultant Specialists of BC, which surveyed members in August.

Dr. Chris Hoag, a North Vancouver urologist who signed the letter, said a broad base of specialists joined forces to pressure the government to act because they’re burned out while trying to see more patients that have become sicker.

“I do everything I can to keep that wait as short as possible. But you know, there are times when I have a huge load of patients waiting for cancer surgery, and I can’t sleep because I don’t know how I’m going to get them all done in a time frame that is appropriate.”

Unlike family doctors, who have recently received temporary funding of $118 million to offset overhead costs, specialists who run practices that also amount to small businesses have had nothing, Hoag said.

“It’s been incredibly distressing to specialists to see that there has not been conversation about the same issue shared in specialty care,” said Hoag, president of Consultant Specialists of BC.

“Primary care is an absolute disaster and definitely needs to be fixed,” Hoag said about the lack of family doctors, adding that delays referrals to specialists, potentially worsening patients’ condition to the point they end up in an emergency room.

“Then they’re taking up hospital beds, which takes away from surgical procedures because we have nowhere to move the patient to out of the (operating room), so we can’t do the surgery. So, it’s a huge domino effect that’s happening and not just isolated to primary care issues.”

Even patients with a general practitioner are lingering on wait-lists for an average of 10 months and sometimes up to two years, he said.

Hoag said Dix had not responded to the letter.

The Health Ministry said the minister was not available for an interview, but it provided a written statement.

All doctors, including specialists, have ways to get their concerns addressed through Doctors of BC, the association that represents them in talks with government, the statement says.

Doctors of BC said a so-called physician master agreement that expired in March is currently being negotiated with the government on behalf of all doctors but that the needs of specialists go beyond its scope and can’t be addressed through compensation.

“Rather, in many cases addressing specialist wait-lists can only be accomplished through improvements to health authority infrastructure, processes and resources such as increasing (operating room) time,” it said in a written statement.

“We fully intend to advocate specialist issues, and work with Consulting Specialists of BC and the different specialty sections,” the association said, adding its board would determine when that would happen.

Dr. Alika Lafontaine, president of the Canadian Medical Association, said specialists in all provinces and territories are dealing with a “collective crisis” as millions of patients wait for their services.

“Primary care and specialty care are all being overwhelmed at the same time,” he said, adding the letter by specialists in B.C. points to major, unprecedented issues involving multiple problems like overcrowded and closed emergency rooms in various jurisdictions due to a lack of nurses and other health-care providers.

“These sorts of letters were not going out even mid-pandemic,” Lafontaine said of the stress that health-care providers are under.

“There’s a human cost for patients, but there’s also a human cost for providers showing up to work day after day with this high degree of tension.”

Lafontaine said collaboration is needed by provinces and territories to find innovative solutions like more virtual and team-based care, not merely more requests for funding, which has been increased in all jurisdictions.

“I don’t think a lot of provinces have leaned into team-based care, making sure that the care is distributed to the right people at the right time and in the right place,” he said.

“Places that are decreasing administrative burdens on physicians are definitely creating more time for physicians to provide care,” he said of doctors having to repeatedly submit information to multiple regulatory agencies.

Lafontaine called for an emergency meeting between federal, provincial and territorial governments to create a long-term, sustainable system.

He said the association will be gathering this fall with other advocacy groups, including the Canadian Nurses’ Association and patient advocacy groups, to discuss how best to address similar needs.

This report by The Canadian Press was first published Sept. 22, 2022.

 

Camille Bains, The Canadian Press

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NASA astronauts won’t say which one of them got sick after almost eight months in space

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CAPE CANAVERAL, Fla. (AP) — Three NASA astronauts whose prolonged space station mission ended with a trip to the hospital last month declined to say Friday which one of them was sick.

Astronauts Matthew Dominick, Michael Barratt and Jeanette Epps publicly discussed their spaceflight for the first time since returning from the International Space Station on Oct. 25. They spent nearly eight months in orbit, longer than expected because of all the trouble with Boeing’s Starliner crew capsule and rough weather, including Hurricane Milton.

Soon after their SpaceX capsule splashed down in the Gulf of Mexico off the Florida coast, the three were taken to a hospital in nearby Pensacola along with Russian cosmonaut Alexander Grebenkin, who launched with them back in March.

One of the Americans ended up spending the night there for an undisclosed “medical issue.” NASA declined to say who was hospitalized or why, citing medical privacy.

When asked at Friday’s news conference which one had been sick, the astronauts refused to comment. Barratt, a doctor who specializes in space medicine, declined to even describe the symptoms that the unidentified astronaut had.

“Spaceflight is still something we don’t fully understand. We’re finding things that we don’t expect sometimes. This was one of those times and we’re still piecing things together on this,” said Barratt, the only member of the crew who had flown in space before.

Epps said everyone is different in how they respond to space — and gravity.

“That’s the part that you can’t predict,” she said, adding, “Every day is better than the day before.”

Dominick said little things like sitting comfortably in a hard chair took several days to get used to once he returned. He said he didn’t use the treadmill at all during his time in space, as part of an experiment to see what equipment might be pared on a long trip to Mars. The first time he walked was when he got out of the capsule.

The two astronauts who served as test pilots for Boeing’s Starliner — Butch Wilmore and Suni Williams — will remain at the space station until February, flying back with SpaceX. Starliner returned empty in September.

___

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.



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43 monkeys remain on the run from South Carolina lab. CEO thinks they’re having an adventure

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COLUMBIA, S.C. (AP) — Forty-three monkeys bred for medical research that escaped a compound in South Carolina have been spotted in the woods near the site and workers are using food to try to recapture them, authorities said Friday.

The Rhesus macaques made a break for it Wednesday after an employee at the Alpha Genesis facility in Yemassee didn’t fully lock a door as she fed and checked on them, officials said.

“They are very social monkeys and they travel in groups, so when the first couple go out the door the others tend to just follow right along,” Alpha Genesis CEO Greg Westergaard told CBS News.

Westergaard said his main goal is to have the monkeys returned safely with no other problems. “I think they are having an adventure,” he said.

The monkeys on Friday were exploring the outer fence of the Alpha Genesis compound and are cooing at the monkeys inside, police said in a statement.

“The primates are exhibiting calm and playful behavior, which is a positive indication,” the police statement said, adding company workers are closely watching the monkeys while keeping their distance as they work to safely recapture them.

The monkeys are about the size of a cat. They are all females weighing about 7 pounds (3 kilograms).

Alpha Genesis, federal health officials and police all said the monkeys pose no risk to public health. The facility breeds the monkeys to sell to medical and other researchers.

“They are not infected with any disease whatsoever. They are harmless and a little skittish,” Yemassee Police Chief Gregory Alexander said Thursday.

Authorities still recommend that people who live near the compound about 1 mile (1.6 kilometers) from downtown Yemassee shut their windows and doors and call 911 if they see the monkeys. Approaching them could make them more skittish and harder to capture, officials said.

Eve Cooper, a biology professor at the University of Colorado Boulder who has studied rhesus macaques, said the animals have the potential to be dangerous and urged people to keep their distance.

Rhesus macaques monkeys can be aggressive. And some carry the herpes B virus, which can be fatal to humans, Cooper said.

However, Alpha Genesis states on its website that it specializes in pathogen-free primates. Cooper noted that there are pathogen-free populations of rhesus macaques that have been quarantined and tested.

“I would give them a wide berth,” Cooper said. “They’re unpredictable animals. And they can behave quite aggressively when they’re afraid.”

Alpha Genesis provides primates for research worldwide at its compound about 50 miles (80 kilometers) northeast of Savannah, Georgia, according to its website.

Locally, it is known as “the monkey farm.” And there is more amusement than panic around Yemassee and its population of about 1,100 just off Interstate 95 about 2 miles from Auldbrass Plantation, a Frank Lloyd Wright house designed in the 1930s.

There have been escapes before, but the monkeys haven’t caused problems, said William McCoy, who owns Lowcountry Horology, a clock and watch repair shop.

“They normally come home because that’s where the food is,” he said.

McCoy has lived in Yemassee for about two years and while he plans to stay away from the monkeys, he has his own light-hearted plan to get them back.

“I’m stocking up bananas, maybe they’ll show up,” McCoy said.

The Alpha Genesis compound is regularly inspected by federal officials.

In 2018, the U.S. Department of Agriculture fined Alpha Genesis $12,600 in part after officials said 26 primates escaped from the Yemassee facility in 2014 and an additional 19 got out in 2016.

The company’s fine was also issued because of individual monkey escapes as well as the killing of one monkey by others when it was placed in the wrong social group, according to a report from the USDA.

The group Stop Animal Exploitation Now sent a letter Thursday to the USDA asking the agency to immediately send an inspector to the Alpha Genesis facility, conduct a thorough investigation and treat them as a repeated violator. The group was involved in the 2018 fine against the company.

“The clear carelessness which allowed these 40 monkeys to escape endangered not only the safety of the animals, but also put the residents of South Carolina at risk,” wrote Michael Budkie, executive director of the group.

The USDA, which has inspected the compound 10 times since 2020, didn’t immediately respond to the letter.

The facility’s most recent federal inspection in May showed there were about 6,700 primates on site and no issues.

In a 2022 review, federal veterinarians reported two animals died when their fingers were trapped in structures and they were exposed to harsh weather. They also found cages weren’t adequately secure. Inspectors said criminal charges, civil penalties or other sanctions could follow if the problems weren’t fixed.

Since then, Alpha Genesis has undergone six inspections with minor problems reported only once.

In January 2023, the USDA said temperatures were out of the 45 to 85 degree Fahrenheit (7.2 to 29.5 degree Celsius) required range at some of the compound’s monkey cages. The inspection found moldy food in one bin, sharp edges on a gate that could cut an animal and sludge, food waste, used medical supplies, mechanical equipment, and general construction debris on the grounds.

Supporters of medical research involving nonhuman primates said they are critical to lifesaving medical advances like creating vaccines against COVID-19 because of their similarities to people. Keeping a domestic supply of the animals is critical to prevent shortages for U.S. researchers.

Humans have been using the rhesus macaque for scientific research since the late 1800s. Scientists believe that rhesus macaques and humans split from a common ancestor about 25 million years ago and share about 93% of the same DNA.

These monkeys have been launched into space on V2 rockets, used for AIDS research, had their genome mapped and made stars of their own reality television show. They were in such high demand in the early 2000s that a shortage led to scientists paying up to $10,000 per animal.

Outside of rats and mice, rhesus macaques are one of the most studied animals on the planet, said Dario Maestripieri, a behavioral scientist at the University of Chicago who wrote the 2007 book “Macachiavellian Intelligence: How Rhesus Macaques and Humans Have Conquered the World.”

The animals are very family oriented, siding with relatives when fights break out. And they’re adept at building political alliances in the face of threats from other monkeys. But they can be painful to watch. Monkeys with lower status in the hierarchy live in a constant state of fear and intimidation, Maestripieri said.

“In some ways, they kind of represent some of the worst aspects of human nature,” Maestripieri said.

___

Lovan reported from Louisville, Kentucky, and Finley reported from Norfolk, Virginia.



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Freeland says she’s ready to deal with Trump |

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Finance Minister Chrystia Freeland speaks with reporters after chairing a special cabinet committee working on Canada’s plan to deal with the incoming Donald Trump administration. Freeland says she’s stood up for Canadian interests in the past and is ready to go another round. (Nov. 8, 2024)



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