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Vitalité accused of silencing doctors, controlling public message amid COVID-19 – CBC.ca

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The Vitalité Health Network is being accused of silencing doctors and controlling the public message under the reign of outgoing president and CEO Gilles Lanteigne.

The criticisms by a former health manager and former board member come after the regional health authority issued a retraction statement last week on behalf of a doctor who had voiced concerns about the prevention and control protocols on the COVID-19 unit at the Campbellton Regional Hospital.

“We must admit that for appearances, it is as if we had forced her to retract,” said retired Dr. Louis-Marie Simard, the former president and chief executive officer of the former Beauséjour Health Authority, which pre-dated Vitalité.

“If that’s what has been done, twisting your arm is certainly not a good management practice,” he said.

“As far as I can remember, what I preach is what I did … I don’t think anyone in the organization had fears that the administration was going to slap them on the wrist if he spoke.”

Last Thursday, Dr. Vona MacMillan, a family physician based in Charlo, 30 kilometres east of Campbellton, told Radio-Canada she was a “little nervous” starting on the COVID-19 unit at the Campbellton hospital after 10 staff had tested positive for the respiratory disease.

She had called on Vitalité to allow staff to wear N95 masks while treating COVID-positive patients, regardless of the procedure being performed. 

By 4:20 p.m. on Friday, Vitalité released a statement saying MacMillan “wishes” to retract her comments and apologize.

Dr. Vona MacMillan called for the wider use of N95 masks for Campbellton hospital staff treating COVID-19 patients. (Serge Bouchard/Radio-Canada)

In Simard’s view, such control of the public message is dangerous for democracy and for patient confidence in the health-care system.

“Suppose people know that a doctor can be threatened and [forced] to retract. When I go to the doctor in his office, I have a condition that could have a public impact, and I see that my doctor is telling me a story and does not seem comfortable, can I trust him?” he said.

“Health is a personal system. When I speak to a health-care professional, I have to feel 100 per cent confident that he is trying to do the best he can for my case.”

Public health must be transparent

Simard acknowledges certain laws must frame the right to speak. “I have the right to speak, but I don’t have the right to lie and I don’t have the right to reveal intimate or private information, there is a framework.”

But he also noted Vitalité is dependent on the Department of Health, financed with public funds.

“When we talk about a health service, it is a public service, paid for by the public and managed by the public, so it must be transparent.”

Lanteigne defended himself, saying there was no muzzling in MacMillan’s case. She is the one who decided to retract her statement, he said.

Can anybody speak to the media? Of course they can speak.– Gilles Lanteigne, Vitalité president and CEO

“She decided that after consideration to recognize that the standards and the procedures as established by Canadian Public Health and the New Brunswick Public Health are appropriate, that the patients are secure and that there is enough equipment in the Restigouche, and that she would follow the guidelines and the policies and procedures of Vitalité Health Network,” he told reporters during the question period of Vitalité’s annual general meeting Tuesday afternoon.

MacMillan “has decided to do that on her own. She’s an adult. She had decided to speak.”

Lanteigne said Vitalité — like most organizations — does have a policy on who can speak on behalf of the organization.

But it considers its roughly 7,400 physicians and medical staff as “ambassadors.”

“Can anybody speak to the media? Of course they can speak. They’re doing it … as [a] private citizen,” he said.

“When we have someone who works for us, there is an obligation on both sides … that we respect and that we expect everybody to conform to their code of policy and their ethical framework that guides their professions,” he added.

‘We weren’t allowed to speak to the media’

Norma McGraw, who resigned in February as vice-chair of the Vitalité Health Network’s board of directors in protest over health reform plans, said she’s not surprised to hear about MacMillan’s case.

“We weren’t allowed to speak to the media, that’s for sure … We weren’t allowed to go and ask employees questions to find out how they were, how the services were. These are things we were not supposed to do,” she said, adding she believes information control was exercised within senior management to ensure the delivery of a consistent message.

Norma McGraw resigned as vice-chair of the board last February, publicly denying Vitalité’s assertion that a vote had been held behind closed doors on the planned overnight closure of the emergency rooms of six small hospitals. (Radio-Canada)

McGraw said she regrets, however, that a doctor who expressed legitimate fears appears to have been silenced.

“This doctor, if she transgressed the communication channels, it is because she felt preoccupied … It is a cry of alarm. Has it been listened to? I imagine not, otherwise there would not have been the” retraction.”

Three front-line care-givers who have worked on the COVID-19 unit told CBC News last week that they didn’t feel safe under current personal protective equipment protocols, especially one that allows the use of N95 masks only for procedures that produce airborne droplets.

Masks, but not N95 masks, are to be worn at all times at the hospital.

The employees said staff have been refused extra protection when treating COVID-19 patients, and lax protocols create a risk of spread throughout the hospital.

The employees said they’re fearful of bringing the virus home to vulnerable family members and called on Vitalité for change.

As of last Wednesday, 10 employees of the Campbellton Regional Hospital had tested positive for COVID-19 and 31 others were self-isolating.

One of the positive cases was determined to be a false positive over the weekend, Lanteigne said.

About half of the 40 affected employees are expected to return to work by Friday, he said.

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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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