CMA 1977-78 directory Mrs. M.A. Brombal, administrative

as-

sistant, allied health

COUNCIL 014 MEDICAL SERVICES Primarily concerned with the provision of medical services as an integral part of the provision of comprehensive health care to Canadians. Dr. L.P. Chesney, chairman Dr. R.B. Smillie, British Columbia Dr. J.R. Brummitt, Alberta Dr. L.M. Loewen, Saskatchewan Dr. P. Lommerse, Manitoba Dr. W.J. Butt, Ontario Dr. S. Sinclair, Quebec Dr. S.A. Hopper, New Brunswick Dr. l.A. George, Nova Scotia Dr. J.B. Wonnacott, Prince Edward Island Dr. W.D. Parsons, Newfoundland Dr. N.P. DaSylva, council coordinator

COUNCIL ON COMMUNITY HEALTH Primarily concerned with the promotion and preservation of good health and with medical, social, socioeconomic and environmental problems that affect health and social development of the community. Dr. W.J. Corbett, chairman Dr. V. Dirnfeld, British Columbia Dr. W.A.J. Donald, Alberta Dr. J.K. Wood, Saskatchewan Dr. P.F.R. Cantin, Manitoba Dr. B.M. Cochrane, Ontario Dr. E.L. Coffin, Quebec Dr. M.A. Smith, Nova Scotia Dr. J.R. Allanach, New Brunswick Dr. L.H. Killorn, Prince Edward Island Dr. N. Russell, Newfoundland Dr. J.S. Bennett, council coordinator

COUNCIL 014 ECONOMICS Primarily concerned with the collection, collation and interpretation of information regarding the cost of health services. Dr. M.A. Baltzan, chairman Dr. M. Kliman, British Columbia Dr. R.W. Winter, Alberta Dr. H.G. Smith, Saskatchewan Dr. C.E. Abbott, Manitoba Dr. R.H. Railton Ontario Dr. J. Guertin, Quebec Dr. S.A. Keyes, New Brunswick Dr. P.E. Kinsman, Nova Scotia Dr. J.R. Sparling, Prince Edward Island Dr. C.A. Boddie, Newfoundland Dr. N.P. DaSylva, council coordinator

McPherson

CMA JOURNAL/NOVEMBER 5, 1977/VOL. 117 1085

Dr. R.G. Wilson Mr. J. Garner Mr. C.K. Goodman

Dr. E.H. Baergen, executive director 211 Fourth Ave S., Saskatoon, Sask., S7K iNi

COMMITTEE ON BYLAWS

MANITOBA MEDICAL ASSOCIATION

Dr. G. Caron, chairman Dr. F.T.H. Porter Dr. W.J. Jory

Dr. J.H. Crust, president Mr. R.P.H. Sprague, executive vice president 201 Kennedy St., Winnipeg, Man., R3C 1S8

CMA SENIOR SECRETARIAT Dr. R.G. Wilson, secretary general Mr. BE. Freamo, executive secretary Dr. J.S. Bennett, director, professional affairs Mr. D.A. Geekie, director of communications

CMA PUBLICATIONS

ONTARIO MEDICAL ASSOCIATION Dr. L. Loeb, president Dr. F.T.H. Porter, general secretary (to Dec. 31, 1977) 240 St. George St., Toronto, Ont., M5R 2P4

CMA Publications publishes the Canadian QUEBEC MEDICAL ASSOCIATION Medical Association Journal and, jointly Dr. L. Trempe, president with the Royal College of Physicians and Dr. G. Caron, executive director Surgeons, the Canadian Journal of Sur- Ste. 1010, 1010 Sherbrooke St. W. gery. Editorial offices are located at 1867 Alta Vista Dr., Ottawa, Ont., KiG OGS, Montreal, PQ, H3A 2R7 (613) 731-9331, telex 053-3152. Toronto offices are at the Ontario Medical THE NEW BRUNSWICK MEDICAL SOCIETY Associlition, 240 St. George St. M5R 2P4. Dr. L. Richard, president Montreal offices are at 2050 Mansfield Dr. F.L. Whitehead, secretary St., M3A 1Y9. Mr. C.K. Goodman, business manager Ste. 170, Courtenay Centre Mr. N. Hutton, sales manager Cforonto) Saint John, NB, E2L 2X6 Mr. R. Sinnott, production manager Miss J. Clarke, classified advertising Dr. J.F. Hamm. president manager Mr. D. Peacocke, executive secretary Canadian Medical Association Journal Sir Charles Tupper Medical Bldg., Dr. R.G. Wilson, acting editor, scienti- University Avenue, Halifax, NS fic section Mr. J. Garner, editor, news and fea- THE PRINCE EDWARD ISLAND tures MEDICAL SOCIETY Drs. A.W. Andison, E.M. Cooperman, Dr. C.A. Moyse, president associate editors, scientific section Dr. W.T. Hooper, hon. secretary Ms. A. Bolster, senior assistant editor Director, Division of Cancer Control Miss C. Lalonde, reporter (Montreal) Provincial Health Bldg., Canadian Journal of Surgery Charlottetown, PET, CiA 7U1 Dr. L.D. MacLean, coeditor Dr. C.B. Mueller, coeditor Mrs. G. Pancirov, assistant editor Dr. J.R. Martin, president Mr. G. Lynch, executive secretary STATISTICS, SYSTEMS AND ECONOMIC O'Mara-Martin Bldg., Rawlins Cross, RESEARCH UNIT St. John's Nfld., AiC 2E4 Dr. J.S. Brandejs, director CMA Affiliate Societies Mr. S. Constantinou, senior economist Canadian medical organizations, the maCMA Divisions jority of whose members must also be BRITISH COLUMBIA MEDICAL ASSOCIATION members of the CMA. MEDICAL

Dr. F.W. Tysoe, president Dr. F.N. Rigby, executive director 1807 W 10th Ave. Vancouver, BC, V6J 2A9

ALBERTA MEDICAL ASSOCIATION Dr. D.W. Irving, president Dr. R.F. Clark, executive director 9901 - 108 St., Edmonton, Alta., T5K 1G8

SASKATCHEWAN MEDICAL ASSOCIATION Dr. J.B. O'Regan, president

THE ASSOCIATION OF CANADIAN MEDICAL COLLEGES Dr. R.G. Murray, president Dr. DOW. Waugh, executive director 151 Slater St., Ottawa, Ont., KiP 5H3

Dr. F.C. Heagy, president Dr. Fran9ois Hebert, secretary Ste 806, 1440 St. Catherine St. W. Montreal, PQ, HiG 1R8

CANADIAN ASSOCIATION OF PATHOLOGISTS Dr. H.E. Bell, president Dr. K. Pritzker, secretary-treasurer Department of Laboratory Medicine Mount Sinai Hospital Toronto, Ont., M5G 1X5 AND

REHABILITATION

Dr. J. Jimenez, president Dr. M.G.P. Cameron, secretary University Hospital 339 Windermere Rd. London, Ont., N6G 2K3

CANADIAN ASSOCIATION OF RADIOLOGISTS Dr. D.W. MacEwan, president Dr. M.J. Palayew, hon. secretary Jewish General Hospital Montreal PQ, HiW 2E8

CANADIAN CARDIOVASCULAR SOCIETY

CANADIAN ACADEMY OF SPORTS MEDICINE

Dr. R.J. Baird, president Dr. D. Stubington, secretary Royal Victoria Hospital 687 Pine Ave. W. Montreal, PQ, H3A lAl

Dr. J. Sullivan, president Dr. R. Myers, secretary Department of Physical Education University of New Brunswick Fredericton, NB

Dr. R. Davis, president Dr. R. Lessard, secretary 11 Cote du Palais Quebec, PQ, GiR 2J6

CANADIAN DERMATOLOGICAL ASSOCIATlON

CMA JOURNAL/NOVEMBER 5, 1977/VOL. 117 1087

THE CANADIAN LIFE INSURANCE MEDICAL Dr. J.S. Percy, secretary-treasurer 9 - 112 Clinical Sciences Building OFFICERS ASSOCIATION Dr. C.A. Gordon, president Dr. G.S. Varnam, secretary 321 Bloor St. E. Toronto, Ont., M4W iHi

CANADIAN MEDICAL PROTECTiVE ASSOCIATION Dr. J.B. Hilton, president Dr. N.F. Brown, secretary-treasurer P.O. Box 8225 Ottawa, Ont.. KiG 3H7

CANADIAN NEUROLOGICAL SOCIETY Dr. F. Andermann, president Dr. R. Lee, secretary-treasurer Health Sciences Centre, Calgary, Alta., T2N 1N4

CANADIAN NEUROSURG1CAL SOCIETY Dr. W.M. Lougheed, president Dr. R.G. Elgie, secretary 3050 Lawrence Ave. E., Ste. 3304 Scarborough, Ont., MiP 2V5

CANADIAN COUNCIL OF OCCUPATIONAL MEDICINE Dr. D. Brunet, president Dr. M. Lesage, acting secretary 3 Place Ville-Marie, Ste. 603 Montreal, PQ, H3B 2H3

CANADIAN OPHTHALMOLOGICAL SOCiETY Dr. J.H. Quigley, president Mr. J.P. LeBel, executive director Dr. C.B. Mortimer, secretary P.O. Box 8650 Ottawa, Ont., KiG 0G8

CANADIAN ORTHOPAEDIC ASSOCIATION Dr. R.L. Cruess, president Dr. C. Sorbie, secretary Queen's University, Richardson House Kingston, Ont., K7L 3N6

University of Alberta Edmonton, Alta., T6G 2G3

CANADIAN SOCIETY OF SPECIALISTS IN INTERNAL MEDiCINE Dr. M.A. Baltzan, president Dr. W.J. Fenton, secretary 404 Medical Arts Building Saskatoon, Sask., S7K 3H3

CANADIAN SOCIETY OF PLASTIC SURGEONS Dr. H.J. Shimizu, president Dr. W.R. Waters, secretary 425 St. Mary Ave. Winnipeg, Man., R3C 0N2

CANADIAN THORACIC SOCIETY Dr. E.J.M. Campbell, president Dr. E. Hershfield, medical director 75 Albert St., Ste. 900 Ottawa, Ont., KiP 5E7

CANADIAN UROLOGICAL ASSOCIATION Dr. C. Schneiderman, president Dr. G.A. Farrow, secretary Suite 407, 170 St. George St. Toronto, Ont., M5R 2M8

THE COLLEGE OF FAMILY PHYSICIANS OF CANADA Dr. H.F. King, president Dr. DI. Rice, executive director 4000 Leslie St. Willowdale, Ont., M2K 2R9

FEDERATION OF MEDICAL WOMEN OF CANADA Dr. E.B. Holmes, president Dr. E. Pollonetsky, hon. secretary 2103 Prince Charles Rd. Ottawa, Ont., K2A 3L2

PHARMACEUTICAL MANUFACTURERS ASSOCIATION OF CANADA (MEDICAL SECTION)

CANADIAN OTOLARYNGOLOGICAL SOCIETY Dr. R. Waters, chairman Dr. Y.P. Morrisette, president Dr. T.D.R. Briant, secretary do St. Michael's Hospital 30 Bond St., Toronto, Ont., M5B 1W8

CANADIAN PAEDIATRIC SOCIETY Dr. J. Tibbles, president Dr. V. Marchessault, executive secretary University of Sherbrooke, PQ, J1H 5N4

CANADIAN PSYCHIATRIC ASSOCIATION Dr. D. McLean, president Dr. A. C6t6, secretary Suite 103, 225 Lisgar St. Ottawa, Ont., K2P 0C6

CANADIAN RHEUMATISM ASSOCIATION Dr. T.D. Kinsella. nresident

Dr. K. Cartwright, secretary Head, Clinical Inventory Ciba Geigy Canada Limited 205 Bouchard Boul. Dorval, PQ, H95 4B1

ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA Dr. R.B. Salter, president Dr. J.H. Graham, secretary 74 Stanley Ave. Ottawa, Ont., KiM 1P4

SOCIETY OF OBSTETRICIANS AND GYNAECOLOGISTS OF CANADA Dr. J.L. Bean, president Dr. J. Whetham, secretary Academy of Medicine Building 288 Bloor St. W. Toronto, Ont., M55 1V8

1088 CMA JOURNAL/NOVEMBER 5, 1977/VOL. 117

Dyazide® To lower blood pressure and conserve potassium. Before prescribing, see complete prescribing information in CPS. The following is a brief summary. ADULT DOSAGE: Hypertension: Starting dosage is one tablet twice daily after meals. Dosage can be subsequently increased or decreased according to patients need. If two or more tablets per day are needed, they should be given in divided doses. Edema: Starting dosage is one tablet twice daily after meals. When dry weight is reached, the patient may be maintained on one tablet daily. Masimum dosage fosr tablets daily. INDICATIONS: Mild to moderate hypertension in patients who have developed hypokalemia and in patients in.whom potassium depletion is considered especially dangerous (e.g. digitalized patients). Medical opinion is not unanimous regarding the incidence and/or clinical significance of hypokalemia occurring among hypertensive patients treated with thiazide-like diuretics alone, and concerning the use of potassium-sparing combinations as routine therapy in hypertension. Edema of congestive heart failure, cirrhosis, nephrotic syndrome, steroid-induced edema and idiopathic edema. 'Dyazide is useful in edematous patients whose response to other diuretics is inadequate. CONTRAINDICATIONS: Progressive renal dysfunction (including increasing oliguria and azotemia) or increasing hepatic dysfuncfinn. Hypersensitivity. Elevated serum potassium. Nursing mothers. WARNINGS: Do not use potassium supplementation or other potassium-conserving agents with Dyazide since hyperkalemia may result. Hyperkalemia (>5.4 mEq/l) has been reported ranging in incidence from 40/a in patients less than 60 years of age to 120/a in patients 60 and older, with an overall incidence of less than 80/a. Rare cases have been associated with cardiac irregularities. Make periodic serum potassium determinations, particularly in the elderly, in diabetics, and in suspected or confirmed renal insufficiency. If hyperkalemia develops, withdraw Dyazide' and substitute a thiazide atone. Hypokalemia is less common than with thiazides alone, but if it occurs it may precipitate digitalis intoxication. PRECAUTIONS: Check laboratory data (e.g. BUN, serum electrolytes) and ECG's periodically, especially in the elderly, in diabetics, in renal insufficiency, and in those who have developed hyper kalemia on Dyazide' previously. Electrolyte imbalance may occur, especially where salt-restricted diets or prolonged high-dose therapy is used. Observe acutely ill cirrhotic patients for early signs of impending coma. Reversible nitrogen retention may be seen. Observe patients regularly for blood dyscrasias, liver damage or other idiosyncratic reactions; perform appropriate laboratory studies as required. Sensitivity reactions may occur, particularly in patients with history of allergy or bronchial asthma. Periodic blood studies are recommended in cirrhotics with splenomegaly. Ad(ust dosage of other antihypertensive agents given concomitantly. Antihypertensive effects of Dyazide may be enhanced in the post-sympathectomy patient. Hyperglycemia and glycosuria may occur. Insulin requirement may be altered in diabetics. Hyperuricemia and gout may occur. Thiazides have been reported to exacerbate or activate systemic lupus erythematosus. Pathological changes in the parathyroid glands have been reported with prolonged thiazide therapy. Triamlerene may cause a decreasing alkali reserve, with the possibility of metabolic acidosis. Serum transaminase elevations sometimes occur with Dyazide. Thiazides can decrease arterial responsiveness to norepinephrine and increase tubocurarines paralyzing effect; exercise caution in patients undergoing surgery. Thiazides cross the placental barrier and appear in breast milk; this may result in fetal or neonatal hyperbilirubinemia, thrombocytopenia, altered carbohydrate metabolism and possible other adverse reactions that have occurred in the adult. Use in pregnancy only when deemed necessary for the patient's welfare. ADVERSE REACTIONS: The following adverse reactions have been associated with the use of thiazide diuretics or triamlerene: Gastrointestinal: dry mouth, anorexia, gastric irritation, nausea, vomiting, diarrhea, constipation, iaundice (intra-hepatic cholestatic) pancreatitis, sialadenitis. Nausea can usually be prevented by giving the drug after meals. It should be noted that symptoms of nausea and vomiting can also be indicative of electrolyte imbalance (See Precautions). Central nervous system: dizziness, vertigo, paresthesias, headache, santhopsia. Dermatologic - Hypersensitivity: fever, purpura, anaphylaxis, photosensitivity, rash, urticaria, necrotizing angiitis. Hematologic: leukopenia, thrombocytopenia, agranulocytosis, aplastic anemia. Cardiovascular: orthostatic hypotension may occur and may be potentiated by alcohol, barbiturates, or narcotics. Electrolyte imbalance (See Precautions). Miscellaneous: hyperglycemia, glycosuria, hyperuricemia, muscle spasm, weakness, restlessness, transient blurred vision. SUPPLY: Scored light orange compressed tablets monog rammed

Dyazide SKF E93 in bottles of 100, 500, 1,000 and 2,500. DIN 181528

makes sense

hydrochiorothiazide 50 mg triamterene

. Smith Kline & French Canada Ltd. SMontreal,Quebec H4M 2L6

CMA 1977-78 directory.

CMA 1977-78 directory Mrs. M.A. Brombal, administrative as- sistant, allied health COUNCIL 014 MEDICAL SERVICES Primarily concerned with the provis...
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