Another doctor's dilemma: ‘similar’ does not mean ‘same’

March 20 1978

Another doctor's dilemma: ‘similar’ does not mean ‘same’

March 20 1978

Another doctor's dilemma: ‘similar’ does not mean ‘same’


I must state that I feel not only hurt but indeed outraged by the implications in The Doctor’s Dilemma (February 6) toward my own personal involvement in the practice

of anesthesia in Saskatchewan. The Anderson Committee was set up by the minister of health to review anesthetic practices in this province. The committee made a distinction between double booking and concurrent supervision of two operating theatres. In the case of double booking, one , anesthetist simultaneously anesthetizes more than one patient without proper medical care for each patient. However, with concurrent supervision, graduate physicians who are residents in training in anesthesia are viewed by the consultant anesthetist to have sufficient maturity and knowledge in the field of anesthesia to assume independent responsibility for

patient care. It is necessary during a course of training as a resident in anesthesia that he be given increased responsibility in the decision-making essential in conducting the anesthesia. At the hearing I testified in defense of concurrent supervision, not double booking.



I felt Michael Posner did an excellent job of examining and reporting on Dr. John Marian. It can now be safely said that Maclean’s has finally come of age and is truly Canada’s newsmagazine.


Living in Saskatchewan, one is getting used to the periodic publicity which the news media lavish on Dr. John Marian. It is true that there were quarrels between myself and Marian, but this had been an ongoing process for a number of months, occasioned by his refusal to cooperate not only with myself but also with other members of the staff. Eventually, as the then head of the Department of Anesthesia, I was forced to acquaint the executive director of the hospital on February 20, 1969, with the difficulties which we were having due to the continuous disruptions of our work by the doctor. After having received complaints from other sources, the University Hospital Board decided to establish a panel of consultants to investigate the entire situation. It was not Marian, as stated in your article, but the hospital which took the initiative to investigate his practices. It is a matter of record that he agreed that he had been given ample opportunity to ex-

press his concerns. So much for the “closed inquiry.” At the conclusion of the hearing, after having interviewed many other persons, the panel recommended to the University Hospital Board that Marian’s hospital privileges be withdrawn.


An unmentionable omission

Author Barbara Amiel, in For Appearance’s Sake (February 6), is yet another Canadian who doesn’t realize that Canada extends east past Halifax, or perhaps she does and is implying that Newfoundlanders don’t buy lingerie.


Maclean’s erred

I take strong exception to you quoting from Doug Nye (Preview, March 6) who wrote a short article in Car And Track magazine on the right-hand drive Lada automobiles which would be marketed in the United Kingdom. To my knowledge Mr. Nye has never driven the 1500S Lada that we will be offering to the Canadian public, so therefore it seems to me slightly unreasonable that you should quote an article two years old written about a car that we will not be importing or marketing in Canada, and by inference stating that it was the same car that would be marketed by us and was dangerous. This is certainly not the case since the car has been rigorously tested under North American safety controls and has passed all safety tests with flying colors.


Subscribers’ Moving Notice

Send to: Maclean's, Box 9100, Station A, Toronto, Ontario M5W 1V5


New Address

City Prov.

I’m moving. My moving date is___

My old address label is attached. My new address is on this coupon. (Allow 6 weeks for processing)

I I I would like to subscribe to Maclean’s. Send me 26 issues for $9.75 ($14.75 outside Canada)

I I Pleasebillme I I lenclose$__

Postal Code

Please remember that your postal code and apartment number (if applicable) are essential parts of your address.



I also subscribe to ( ) Chatelaine and/or ( ) Miss Chatelaine and enclose old address labels from those magazines as well.

How to read your Expiry Date

the top code line of the address label on the cover.

2. The first two digits indicate the year of expiry,

i.e. 78 means 1978.

3. The next two digits indicate the issue of expiry.

i.e. 26 is the 26th issue.

(The fifth digit is not used) Thus, this sample subscription expires with the 26th issue of 1978.

Surviving relative

I was fascinated to read the recollections of Steve Prentice, one of the few remaining survivors of the Titanic in A Night Still Remembered (January 23). I remember being told, some 25 years ago, that I had a greatuncle who survived the sinking of the Titanic and vaguely remember visiting him in Bournemouth, England, around that time. Not having seen, nor having heard from him for 25 years, you can imagine my surprise on reading about him and seeing his photograph in a Canadian magazine. Congratulations, Maclean’sl Not only do you print first-class material,

but you also fill in the blanks in a family tree.


In A Night Still Remembered Steve Prentice gives us an interesting but not quite correct account of the sinking of the Titanic. The ship was capable of doing 24 to 25 knots, as Prentice states. However, due to the fact that there was a coal strike in Southampton at the time, she left the harbor without full bunkers, making it impossible for her to reach such a speed. Furthermore, I disagree with Prentice when he states that “an hour after the collision the

Titanic was listing so much it was a struggle to get along the corridors.” At 12:45 a.m., the first lifeboat left with only 20 passengers—its capacity was 60. The second left with 12—its capacity was 40. This would imply that the list was not great enough to convince the crew and passengers that the Titanic was actually sinking.


Out of the Plain Brown Wrapper

Congratulations! It has now become ,a matter of pride to have a copy of Maclean ’s gracing the living-room coffee table. It used to be policy to go quietly to the store, to purchase a copy of the magazine and to sneak quickly in the back door. In the past I considered it my “Canadian duty” to read Maclean ’s every now and again. It has now become a pleasure. I enjoyed your cover story on the Class Of’78 (January 9) and I am always discovering many interesting and provocative articles.


To hell with Big Brother

Reading about Gerry McNeil’s unhappy experience with the Supreme Court’s decision on provincial movie censorship in Thou Shalt Not See (February 6) prompts me to urge that pro-censorship busybodies be severely disciplined. This must be done before our freedoms are eclipsed by disgruntled Pharisees trying to preserve a sanctimonious morality. Are we a matqre, self-determining people, or fearful, irresponsible children, needing to be told how to live?


Something you can bank on

After reading Allan Fotheringham’s column, Why Keeping Your Money In An Old Sock Is An Increasingly Better Idea (January 23), I felt guilty rushing to my sock to put its contents into Canadian bank stock. A pity he should castigate one of our few prosperous industries, and one of the few which can compete with the American colossus, expand to the Caribbean and service a country as large as ours.


I feel that the alternative to the banking system is the credit union—a financial cooperative owned and operated by consumers on a nonprofit basis. In Canada, we often divide the economy up into the public and the private sector. But in fact there

is a third or co-op sector—controlled by users rather than by investors—which operates according to principles of self-help and mutual aid. Housing, food, fuel oil, day care, credit and insurance can all be obtained on a cooperative basis. And best of all, no one has to wait for the powers that be in government before using or starting a cooperative.

LARRY KAZDAN, TORONTO Rush to judgment

I found your close-up of Rush, To Hell With Bob Dylan (January 23) to be an excellent review of how they pioneered in the Canadian rock music scene. Rush has

achieved international recognition and has made it easier for those who follow. I’m pleased that someone is acknowledging the potential market for rock music.


Most people who are looking out the window of a hotel near Cobo Hall at the Windsor waterfront see the Detroit River, not the St. Clair River, as stated in To Hell With Bob Dylan. Maybe Neil Peart is able to see 25 miles in the middle of the night.


In my opinion, To Hell With Bob Dylan is a somewhat superficial look at the Canadian rock group. The success of the band is stressed in financial terms only. The symbolic use of the wilted rose seems to imply that Rush has become an insensitive corporate enterprise. I think a better case could be made with a more commercial band—a faction which comprises the vast majority of today’s music scene. Rush displays a musical integrity which makes the band most worthy of its recent financial success. Rush’s progressive style and artistic devotion puts it light-years ahead of its closest Canadian rival. For this reason alone Rush should be congratulated.


Why can’t we all be friends?

I would like to congratulate John Crispo for his stand in What Secessionists Don’t Understand Is That Even If They Win, They Lose (January 9). I agree that Quebec does not have much of a chance to survive on its own. I do not understand why the province wants to separate. It has always received special attention. Why should it receive more? If another ethnic group wanted to separate from the rest of Canada the government would protest. I believe that if Quebec decides to separate, it will have an unstable economy. Several banks and corporations are pulling out of Quebec, and many new situations could result from the separation. People on the West Coast are far away from Ottawa and feel cut off from the rest of Canada and consequently may decide to go out on their own. The East Coast talks of separating and joining the United States. I believe that everyone should begin working together and trying to reach a solution to Canada’s problems. With a little time and effort a solution could be worked out.


For a Canadian newsmagazine that, on the surface, appears to promote a unified Canada, I feel you are widening the gap between the French-speaking and Englishspeaking populations in the country. Each time I read Maclean’s I come across an argument about separatism. If you have a sore on your arm, and you continue to pick at it, it rapidly becomes worse, and before you know it, the whole arm is infected. I believe that if you continue to pit both sides against each other, that separatism will become a reality.


Cold warriors never die

I felt enthusiastic after reading your interview with Menachem Begin (February 6). At last two courageous men have decided that a settlement of a crucial problem can be achieved. It is encouraging to note that an effort is being made to find common ground from which mutual understanding can follow. I do find it disappointing, however, to see Begin referring to the old fear of a progressive take-over by the Soviet Union. I believe that manipulating the feeling of apprehension between the United States and the Soviet Union will never contribute to a solution of the Middle East situation.


In case you hadn’t noticed ...

Maclean’s has reached a new low with the picture of Bob Guccione and his Pet of the Month in Now Voyeur (February 6). It was most disgusting. Guccione would like people to think that he invented the body and sex. They were here centuries before he was.


Business before leisure

As a secondary-school teacher who has been directly involved with student travel.

I was interested in your article, Ah, To Be Young And Have The World Before You (February 20). However I object to the inference that a study tour is not an arduous chore. Any teacher who has participated in such an activity knows that months of detailed preparation go into such trips to ensure that students get the most out of the trip. The students, themselves, do various types of research on the language, culture and customs of the countries to be visited. In addition, teachers help to organize various fund-raising activities to help finance the trips.


Two rights don’t make a wrong

I would like to applaud the authenticity of your article, When In Canada, Do As The Canadese Do (February 6) concerning the hybridization of the Italian and English languages into Italiese. Your writer tells it like it is but I am appalled at the thought of legitimizing this abomination. Rather, I propose that first-generation Italo-Canadians, including their sons and daughters make the effort of enrolling in an educational program to acquaint themselves with standard Italian in its purified form and its English equivalent and not mutilate two languages for communicative expediency. If such is the case maybe the solution to our national unity problem would be to create “Frencengliese!”


Not to be taken at face value

I can’t help but be alarmed at this narcissistic trend, or “Neatness Revolution” as Barbara Amiel calls it in For Appearance’s Sake (February 6). If pretty Debbie Tregale and her friends spend 90 minutes preparing to face the world each day, that amounts to approximately 10 hours per week or a solid 40 hours per month. It takes a certain breed of person to look at herself (himself) in a mirror for this length of time and, frankly, I want no part of them.


By the sounds of For Appearance’s Sake Toronto The Trend-Setter is developing a class of psuedo jet-setters all dressed to the nines for the sake of playing the role. If that’s what they want that’s fine, but I would like to make the point that clothes alone do not make the man or woman. Furthermore, actors on the road are probably carrying portable makeup mirrors for their theatrical use, but I don’t think I want my bus driver to take a break to make sure his mascara is not running.


As far as the look-right, think-neat, running-scared mood of ’78 is concerned, count me in. But don’t hint that this can be construed as progress or as a return to sanity. It could be a simple case of reactionary backlash, right-wing conservatism, vanity, shallowness and scrounging for personal power at the expense of conscience and compassion.


Perhaps Barbara Amiel would care to supplement my Ontario Graduate Scholarship in order that I can dress in the manner to which she implies clear thinkers should be accustomed. The problem is poverty, not a lack of fashion sense. Let’s give one more cheer for the utter myopia of the privileged elite.