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SPread Sheet IN THIS ISSUE FEATURES
Standardized Patient Program Newsletter educating, informing, entertaining, inspiring SPread Sheet IN THIS ISSUE CLASS OF FEATURES SESSIONS PENDING 5 SPIN AND AROUND 5 OUR SYMPATHIES 6 SYMPTOMS . . . Facial Paralysis HUMERUS 7 PROSE 7, 10 ARTICLES SCHOOL OF MEDICAL REHABILITATION OPEN HOUSE STUDENT PHARMACISTS’ 3 SOLUTION FOR PARKING 4 STREET REPAIR 4 COVER YOUR SNEEZE, PLEASE 2009 The University of Manitoba held two Convocation ceremonies on May 15, 2009, celebrating the Faculty of Medicine’s proud tradition of educating physicians in Manitoba. In the morning ceremony, degrees conferred to 90 medical graduates: 45 males and 45 females, including 14 graduates from rural Manitoba. “It is a privilege to continue the Faculty of Medicine’s 125-yearold tradition of excellence in educating and training the majority of our province’s physicians,” said Dr. J. Dean Sandham, Dean of Medicine. “Our faculty and staff congratulate with pride our newest physicians and wish them great success as they progress in their careers treating and caring for patients in our communities and making important contributions to health care delivery and service.” 2 WHITE COAT CEREMONY Volume 2, Issue 3, June 2009 The morning Convocation also included the presentation of an honorary doctorate degree to Martin Brotman; the Dr. & Mrs. D.R. Campbell Outreach Award to Dr. Patrick Choy, Associate Dean (Research); the Peter D. Curry Chancellor’s Award to H. David Graves; the title of president emeritus bestowed on Emőke Szathmáry; and the presentation of professors emeritus to Fernando Guijon, obstetrics and gynaecology and to Godfrey Harding, medical microbiology. 8 Congratulations to all of the graduates and award winners! ALUMNUS VITAMIN PROVIDES D: SUNSHINE POWER 8 10 The afternoon Special Convocation ceremony saw honorary degrees presented to four individuals who have made outstanding contributions to medicine and medical science. Dr. Elizabeth Davis BA, B.Ed. (Memorial); MA (Theology) (Notre Dame); M.Hlth.Sc., ThD (Toronto); LLD (Memorial) has led a life of outstanding contribution to the public through her work as an educator, inspirational speaker and effective health care administrator in Newfoundland. Her expertise and dedica(continued on page 2) MISS-PRINT The Editor would like to take this opportunity to apologize for not publishing a March issue to those of you who may have missed it. Questions or comments? Call 480-1307 Page 2 SPread Sheet Volume 2, Issue 3, June 2009 Contact the SPread Sheet: Office B, Clinical Learning & Simulation Facility Level 000, Brodie Centre 727 McDermot Avenue Winnipeg, MB, Canada R3E 3P5 Phone: (204) 480-1307 Fax: (204) 977-5682 E-mail: [email protected] Home Page: http://www.umanitoba.ca/ faculties/medicine/ education/ed_dev/ spp.html NEWSLETTER EDITOR Tim Webster SP PROGRAM STAFF Lezlie Brooks, SP Coordinator Holly Harris, SP Coordinator Tim Webster, SP Coordinator Cathy McDonald, Office Assistant Copyright © 2009 University of Manitoba Permission to reproduce and/or distribute any of the material contained herein must be obtained from the Standardized Patient Program. ISSN 1715-5452 CLASS OF 2009 (continued from page 1) tion to the needs of patients and their families have been recognized locally, nationally and internationally. John Herbert Dirks CM, B.Sc. (Med) MD (Manitoba); FRCPC; FRSC is a distinguished doctor, educator andscientist recognized internationally for his kidney research and academic leadership. He is president of the Gairdner Foundation in Toronto which awards major international prizes in biomedicine. During his tenure, the Gairdner Awards have become one of the top three prizes in the world in the area of medical research. Mark I. Greene, MD, PhD (Manitoba); FRCPSC is a pioneering scientist who has made significant contributions to cancer research and his discoveries have led to new chemotherapy and radiation therapy treatments. His contribution to our understanding of human biology has also led to advances in the diagnosis and treatment of cancer. David Naylor BA, B.Sc., MD (Toronto); D.Phil. (Oxford) is currently president of the University of Toronto and is an accomplished researcher and educator who played a leading role in promoting public health in Canada. He was chair of the National Advisory Committee on SARS and Public Health in 2003 which led to the creation of the Public Health Agency of Canada. Source: U of M e-memo, May 20, 2009 http://myuminfo.umanitoba.ca/index.asp? sec=2&too=100&eve=8&dat=5/20/2009&npa=19392 SCHOOL OF MEDICAL REHABILITATION OPEN HOUSE The University of Manitoba School for Medical Rehabilitation gave the public a chance to see what they’re all about. The School held an open house on Sunday, January 18 at the University of Manitoba’s Brodie Centre (727 McDermot Avenue) at the Bannatyne Campus. Information at the event was available for prospective students, future medical professionals, and anyone who may be interested in respiratory therapy, occupational therapy and physical therapy. (continued on page 3) SUBMISSIONS, PLEASE The SPread Sheet is your newsletter; if you have any articles, photos, opinions, thoughts, trivia, anecdotes, pictures, or jokes to contribute for the next issue, please do so by August 31, 2009. Contact information is provided in the sidebar on the left. We reserve the right to edit any and all submissions for length and content in collaboration with the contributor. Submissions that are not included in one issue may be included in subsequent issues. Questions or comments? Call 480-1307 SPread Sheet Volume 2, Issue 3, June 2009 SCHOOL Page 3 OF MEDICAL REHABILITATION OPEN HOUSE (continued from page 3) Through the entry-level programs, the School of Medical Rehabilitation seeks to develop competent rehabilitation practitioners who practice as generalists in their respective professions, who become leaders in responding to society's health care needs, and who view knowledge as the foundation of practice. Through the M.Sc. (Rehabilitation) program, the School of Medical Rehabilitation is on a mission to develop competent rehabilitation researchers who apply research skills to critical evaluation of clinical and basic rehabilitation concepts, who become leaders in research, teaching and clinical practice, and who use the research training to improve the quality of rehabilitation services available to the community. Source: U of M e-memo, January 14, 2009 http://myuminfo.umanitoba.ca/index.asp? sec=2&too=100&eve=8&dat=1/14/2009&npa=18292 STUDENT PHARMACISTS’ WHITE COAT CEREMONY Forty eight first-year pharmacy students at the University of Manitoba took their first steps toward becoming pharmacists during a tradition-honoured White Coat Ceremony held by the Faculty of Pharmacy. Guest speakers included The Honourable Theresa Oswald, Minister of Health, Mr. Pat Trozzo – President, Manitoba Pharmaceutical Association, and Mr. Kyle MacNair - President, Canadian Society of Hospital Pharmacists “We are pleased to present the white coats to the first year pharmacy students in recognition of their enrolment in a health care proAbove: Faculty of Pharmacy stufession,” said David Collins, Dean of the Faculty of Pharmacy and dents taking the “Oath of a PharmaMaster of Ceremonies at this event says. “The students should be cist.” Photo by Allen Patterson. proud of their accomplishments thus far, and can look forward to their future successes within the program and the profession of pharmacy.” The White Coat Ceremony is a highly symbolic event that culminates with each student receiving a new white lab coat that symbolizes entry into the pharmacy profession. During the ceremony, the new students stood together and recited the “Oath of a Pharmacist” in which they promise to show compassion and respect throughout their careers and to set worthy examples in the application of humanistic principles. The Faculty of Pharmacy is an institution that strives to create an educational environment that facilitates the integration of pharmacy scholarship in the areas of practice, research and service to effect optimal health outcomes for individuals and communities, and the advancement of the profession of pharmacy. Source: U of M e-memo, January 14, 2009 http://myuminfo.umanitoba.ca/index.asp? sec=2&too=100&eve=8&dat=1/14/2009&npa=18266 Questions or comments? Call 480-1307 SPread Sheet Volume 2, Issue 3, June 2009 SOLUTION FOR Page 4 PARKING In a previous issue of the Spread Sheet, one article speculated that “SPP” might seem to stand for “Stupid Parking Problems,” because it often seems we can’t have one with1 out the other. Office Assistant Cathy MacDonald has discovered that temporary parking passes are, in fact, available to SPs and that the process for procuring one is fairly simple. All that’s required is a photo ID - such as a driver’s license or passport – and your vehicle’s license plate number. 2 Start by getting a photo ID Card at the Neil John McLean Library on the second floor of Brodie Centre (yellow star 1 on the map below). This is when you’ll need the previ- brary. Nestled in the southwest corner almost directly across from the Tim Horton's there’s a stage with a ramp, a railing, and a beige door. Go through that beige door and up one flight of stairs through the blue door; Security Services is immediately on the left. Present your photo ID and ask for a temporary parking pass. This is when you’ll need your vehicle’s license plate number. Provide the number, and voilà! You now have your new temporary E-lot parking pass! E-lot is located on the southwest corner of the Dentistry Building, bordered by Tecumseh and McDermot (yellow star 3 on the map). The pass is valid on weekends and after 4:30PM on weekdays for six months from time of issue. Thanks to Cathy MacDonald for researching all the steps. References: 1. “Alphabet SouP,” SPread Sheet, Volume 1, Issue 2, June 2005 ously existing photo ID. You don’t need your employee number or pay-stub – they have all http://www.umanitoba.ca/faculties/ that on record. medicine/media/junetnews.pdf Smile! 2. For all the additional benefits of having your photo ID card, please reference With new photo ID card in hand, head over “Membership Has ItS Privileges,” Spread to Security Services, Room S105 in the MediSheet, Volume 1, Issue 9, March 2007 cal Services Building (yellow star 2 on the http://www.umanitoba.ca/faculties/ map). Where’s that? Look over the railing medicine/media/MAR_07.pdf across the atrium as you come out of the li- STREET REPAIR Effective May 19, contractors will be workExpect delays in this area. We recommend ing for 2 to 3 weeks on making connections people coming out of U of M parking lots to and repairs to the City of Winnipeg’s water consider heading west toward Arlington or main that runs beneath the east side of Emily north toward William St. Street . Thanks for your understanding & patience. The two north-bound lanes will be closed at Source: e-mail from Rob Froese, McDermot, causing the two south bound lanes Project Coordinator, Physical Plant to change to one lane heading in both direcMay 20, 2009 tions (north & south). Questions or comments? Call 480-1307 Page 5 SPread Sheet Volume 2, Issue 3, June 2009 SESSIONS PENDING CAPE: June 6, 2009 Physiotherapy Remedial Exam, Course 2750: June 8, 2009 Physician Assistant Education Program (PAEP), Course 7056: June 9, 2009 CAPE Prep: June 10 & 11, 2009 MURTA Session, IMG Program: June 12 & 23, 2009 Faculty of Pharmacy Remedial Exam, Course 2100: June 23, 2009 PAEP, Course 7056: June 23, 2009 MURTA Session, PAEP: June 30, 2009 NB: This listing is for informational purposes only; some of the sessions listed are already in progress. If you are required for a role, you will be contacted directly by an SP Coordinator. If there is a discrepancy between the information provided here and a confirmation form you have received, please regard the information from your SPC as correct. There are no other upcoming examination or teaching sessions scheduled for July or August, but Coordinators will be filling roles for the fall sessions during these months. A prompt response to phone and e-mail messages from the SPP Office is the best way to confirm your continuing involvement. SPIN • AND AROUND “Farewell!” to T151. The SP Program has officially moved into the Clinical Learning & Simulation Facility (CLSF). SP Holly Harris’ office remains in S204, Medical Services Building, 750 Bannatyne Avenue, but SPCs Lezlie Brooks and Tim Webster now share an office on the east side of the CLSF behind the simulation labs. The official address is: Office B, Clinical Learning & Simulation Facility Level 000, Brodie Centre 727 McDermot Avenue Winnipeg, MB R3E 3P5 The primary training rooms from now on are: 1) Room 203, Brodie Centre, and 2) Room 8, CLSF • To left: SPC Tim Webster inaugurates his new office with an empty message spike. Photo by SP Nancy Gajdosik “Welcome!” to: 1) CLSF Receptionist Gloria de Paz-Hrynuik—Gloria is responsible for organizing the bookings of all rooms in and associated with the CLSF 2) new SPs Cody Kantyluk, Mitch Krohn, Micah Smith, Michelle Szeto, and Romeo Verga • “Congratulations!” to: 1) SP Nancy Gajdosik - The 46 graduating students of the ‘09 physiotherapy class would like to express their appreciation to the SP program for providing the clients for their clinical exams during their three years of studies on the Bannatyne Campus. They wish to express appreciation particularly to Nancy who portrayed “Mrs. Jones” in the first year of their program and who became the timer and back-up (continued on page 6) Questions or comments? Call 480-1307 Page 6 SPread Sheet Volume 2, Issue 3, June 2009 SPIN AND AROUND (continued from page 5) SP for exams in Year 2 and 3 of their program. • We are attempting to standardize our policy regarding providing meals for SPs for sessions lasting 5 hours or longer. An email survey will be circulated in the next few weeks regarding this issue (if you don’t have e-mail, you will be contacted either by phone or regular post). The question will be simply if you, as an SP, would prefer to continue receiving meals during these sessions, or receive an equivalent pay increase instead. Your opinion counts! • We are still compiling a catalogue of photos of all the SPs and Applicants in the program. Not all of the Coordinators know what each and every SP and Applicant looks like, and a catalogue will help us to fill roles more easily. Please forward an 8” x 10” picture of yourself – preferably in black or white – to the SP office at your earliest convenience if you haven’t already done so. You can send your pictures electronically to: The students were appreciative of Nancy’s support and her calming influence during their anxious moments before or after the clinical examinations. Here are some representative comments from the students: “I cannot thank you enough for being my “rock” before the OSCEs. I wouldn't have survived without you.” “Thanks for calming me down.” “Thanks Mrs. Jones! I'll miss the whistles!” “Thanks for the words of encouragement and jokes.” “I'm really going to miss the encouraging and comforting hugs! Thanks so much!” “Thanks you! You made the OSCEs so much nicer!” 2) SP Darren Felbel (pictured in role below) and SPC Tim Webster on their participation in the film Among Thieves, which premiered at the Winnipeg Art Gallery on April 12, 2009. [email protected] . . . or mail them by regular post to the new address given on page 5. • Darren’s SP training came in handy as he portrayed a stroke patient in the film. OUR The Health Sciences Centre Toastmasters Club would like to extend an invitation to their weekly meeting, every Tuesday from 12:10 to 12:45PM in Room GH304, General Hospital, Health Sciences Centre. Students and staff who are members have found participating in the club to be very beneficial, and guests are always welcome. For more information, contact: Cheryl Clague [email protected] 787-8885 SYMPATHIES We extend sincerest condolences to SP Danielle Savage and her family as her father is struggling with terminal cancer. Questions or comments? Call 480-1307 Page 7 SPread Sheet Volume 2, Issue 3, June 2009 SYMPTOMS . . . Facial Paralysis There are facial muscles that wrinkle the forehead and raise the eyebrows, close and scrunch down the eyes, move the face and lips (smile, frown, pucker, open and close the mouth). Central facial paralysis, where the lesion is in the brain, produces weakness in most of the muscles in the face, except in the muscle that wrinkles the forehead. Peripheral facial paralysis involves the nerve that supplies the muscles of the face on one side causing all the muscles on that side of the face to be weak. Practice moving only the facial muscles on the side that is not “affected” - if the simulation calls for right facial paralysis, talk, smile, laugh, grimace, etc. using only the muscles on the left side, and vice versa. It can help to wipe one’s hand down the “affected” side of the face a few times to get those muscles to relax. During practice, keep a hand on the “affected” side to feel if any of those muscles are contracting, and if they do, apply a gentle downward pull to help keep them relaxed. The illusion of peripheral facial paralysis can be heightened if the SP keeps the “unaffected” side of the mouth slightly elevated at all times as if in a one-sided faint smile. The difficult part of this simulation is weakness of the forehead muscles. If asked to wrinkle the forehead or raise the eyebrows, the SP can only do so on one side. Unfortunately, the natural tendency is to accomplish this by slightly closing the other eye—the “affected” one— to hold that eyebrow down. Those muscles are supposed to be paralyzed, and holding down the eyebrow by scrunching the eye reducing the accuracy of the simulation. Practice raising one eyebrow and not the other while leaving the entire face relaxed. Again, keep a hand on the “affected” side to feel if any of those muscles are contracting, and practice until the lifting of just one eyebrow with all the other muscles relaxed becomes easy to do. Remember, too, that when looking upwards, the eyebrows are automatically raised (try it!), so only allowing one to rise will take some practice as well. Use a mirror! With central facial paralysis—still to one side—the simulation is the same except that the SP can raise the eyebrows and wrinkle the forehead on both sides. In some central facial weaknesses, the weakness is not present during emotional reflex responses, such as laughWhen an SP speaks only using the muscles ter or a spontaneous smile, and both sides of the face work. The degree of weakness on one side, speech sounds sloppy. Using should be apparent in the case notes, and only the lip muscles on one side, remain aware of only the other side of the lips work- specified with a trainer. ing. Lips are used to produce labial sounds like “p” and “b,” so “paper bag” is a good test Adapted from Training Standardized Patients to Have Physical Findings, phrase. Try saying it with only one side of the by Howard S. Barrows, M.D., Southern Illips—it should sound sloppy. linois University, School of Medicine, Springfield Illinois, 1999, pp. 14 & 15 HUMERUS PROSE Sign on the lawn of a drug rehabilitation centre: “Keep off the Grass” Source: www.punoftheday.com Questions or comments? Call 480-1307 Page 8 SPread Sheet Volume 2, Issue 3, June 2009 COVER YOUR SNEEZE, PLEASE The University of Manitoba is working • closely with Manitoba Health - Public Health Division to monitor developments in the inter• national outbreak of the H1N1 flu virus. All students, faculty, and staff are reminded to follow routine influenza precautions • of covering your cough and washing your hands with soap and water. In the absence of • soap and water a hand sanitizer is an alternative. If students, faculty, and/or staff are planning international travel in the near future, including Mexico and the United States, please refer to the following web sites for up to date travel health information: • • Winnipeg Regional Health Authority (WRHA): www.wrha.mb.ca Manitoba Health - Public Health Division: www.gov.mb.ca/health/publichealth ALUMNUS Public Health Agency of Canada (PHAC): www.phac-aspc.gc.ca Foreign Affairs & International Trade Canada: www.dfait-maeci.gc.ca United States Centers for Disease Control: www.cdc.gov/swineflu/ World Health Organization (WHO): www.who.int Faculties, schools and administrative units are encouraged to review their Pandemic Plans in the event that this situation escalates. Further information will be provided as it becomes available. Source: U of M e-memo, May 6, 2009 http://myuminfo.umanitoba.ca/index.asp? sec=2&too=100&eve=8&dat=5/6/2009&npa=19189 PROVIDES The Faculty of Medicine, University of Manitoba announced a $2.5 million gift by Dr. George Yee (MD/60) - one of its largest gifts ever by an alumnus - to establish the George & Fay Yee Centre for Healthcare Innovation and the George & Fay Yee Fellowship in Health Service Design and Quality Improvement. Yee, who grew up on Henry Avenue in Winnipeg’s inner city, is now a respected and successful pathologist in Windsor, Ontario. Despite tough times, Yee’s parents put a lot of stock in a university education – a luxury they themselves never had. Above: Dr. George Yee (MD/60) “I was very grateful to receive a bursary to attend medical school and it had a tremendous impact on me,” he says. “Education enabled me to achieve success and I vowed that if I was ever fortunate enough, I would give back.” The George & Fay Yee Centre for Healthcare Innovation (CHI) will bring together healthcare expertise from the faculties of Medicine, Nursing, Pharmacy and School of Medical Rehabilitation; experts in quality improvement from the I. H. Asper School of Business; systems and process design engineers from the Faculty of Engineering; computer and measurement scientists from the Faculty of Science; and health informatics experts. Serving as a nucleus for inter-disciplinary study, teaching and research, the CHI will provide academic leadership in healthcare system design and quality in a (continued on page 8) Questions or comments? Call 480-1307 SPread Sheet Volume 2, Issue 3, June 2009 ALUMNUS PROVIDES Page 9 (continued from page 8) continual drive to improve patient care and safety in Manitoba and beyond. The innovative centre is an extension of the faculty’s existing partnership with the Winnipeg Regional Health Authority and will be housed in the Health Sciences Centre. “The University of Manitoba lauds Dr. George & Fay Yee for their generosity and commitment to furthering the development of a multidisciplinary culture in healthcare. The George & Fay Yee Centre for Healthcare Innovation will convey knowledge and best practices about quality improvement and patient safety to health professionals and promote groundbreaking research in these fields,” said Dr. David Barnard, University of Manitoba President and ViceChancellor. “We are privileged to have among our alumni such kind-hearted and forward- thinking people as George Yee. George and Fay Yee’s remarkable gift to the Faculty of Medicine is a leadership investment,” said Dr. J. Dean Sandham, Dean of Medicine, University of Manitoba. “The George & Fay Yee Centre for Healthcare Innovation will position Manitoba and the Faculty of Medicine as leading experts in patient-centered quality care and safety and will propel the University as the vanguard in this area.” Yee has long remained connected to his alma mater. Since 2003, Yee has donated $200,000 to establish, in honour of his parents, the Charles and Pauline Yee bursary in Medicine to help medical students in financial need complete their program. His donation was matched by the Manitoba Scholarship & Bursary Initiative. In 2006, his class held their 46th reunion and he generously matched his classmates’ total gift amount to support the Medicine Class of 1960 Entrance Scholarship award. This gift, a group effort, helps medical students with the financial pressures of medical school, a pressure he remembers himself as a medical student. “I am proud to be a doctor and a graduate of the University of Manitoba medical school,” said Yee, a former Winnipeg Rods football player whose team is recognized in the Manitoba Sports Hall of Fame. “The vision for the Centre for Healthcare Innovation intrigued me . . . I appreciate the importance of teamwork and the Centre will teach and train physicians and students in new methods of working together to give more benefit to patients.” The multi-professional team of experts in the George & Fay Yee Centre for Healthcare Innovation will become the academic backbone of healthcare innovation in Manitoba, and become a resource to the Winnipeg Regional Health Authority, the Government of Manitoba and the community. It will serve as a pedagogical resource to all participating faculties in bringing health innovation through the teaching of undergraduates, graduates, postgraduates; and continuing professional education. The CHI will serve as a resource to, and become actively involved in, improving clinical care and will support and complement patient safety activities as well as inter-professional education initiatives. Source: U of M e-memo, November 18, 2009 http://myuminfo.umanitoba.ca/index.asp? sec=2&too=100&eve=8&dat=11/18/2008&npa=17824 Questions or comments? Call 480-1307 Page 10 SPread Sheet Volume 2, Issue 3, June 2009 VITAMIN D: SUNSHINE POWER Vitamin D, also known as the “sunshine vitamin” because the body manufactures the vitamin after being exposed to sunshine, has a long list of health benefits. age, their dental health was examined. The researchers found 21.6% of them to have enamel defects and 33.6% showed signs of tooth decay. Enamel defects during infancy significantly increases the likelihood of tooth decay developing during early childhood. Recent research at the University of Manitoba suggests that vitamin D may provide protection from osteoporosis, hypertension (high blood pressure), cancer, and several autoimmune diseases. The mothers of the children with signs of early-childhood tooth decay had significantly lower levels of vitamin D during pregnancy than the mothers of children who did not have cavities. The primary function of vitamin D, however, is to promote the body’s absorption of calcium, which is essential to the development of healthy bones and teeth. New findings also show vitamin D to be equally important to a baby’s teeth, even before they are born. The study is thought to be the first to document a link between a mother's vitamin D intake during pregnancy and her child’s dental health. The Dairy Farmers of Canada, the Dentistry Canada Fund, the Manitoba Institute of Child Health, the Manitoba Medical Service Foundation, and the University of Manitoba funded the study. The findings were presented to the International Association for Dental Research during its 86th general session on July 4. For their study, Canadian researchers at the University of Manitoba and in Victoria measured the vitamin D levels of 206 women in their second trimester of pregnancy. In comments to Reuters Health, U of M’s Dr. Robert Schroth, lead researcher, explained that the second trimester of pregnancy “is when primary teeth begin to develop and calcify.” They found only 21 (10.5%) to have adequate levels of the vitamin. These levels were consistent with the women’s intake of milk and prenatal vitamins. When the children born to the women in the study were approximately 16 months of HUMERUS Vitamin D is found in supplements as well as many dietary sources such as fish, eggs, fortified milk, and cod liver oil. One can also spend 10 to 15 minutes in the sun three times weekly, which is considered enough to produce the body’s requirement of vitamin D. Source: U of M e-memo, July 30, 2008 http://myuminfo.umanitoba.ca/index.asp? sec=2&too=100&eve=8&dat=11/18/2008&npa=17824 PROSE A man asked his doctor if he thought he’d live to be a hundred. The doctor asked the man, “Do you smoke or drink?” “No,” he replied, “I've never done either.” “Do you gamble, drive fast cars, or fool around with women?” inquired the doctor. “No, I've never done any of those things, either.” “Are you some kind of a religious person?” “No, I don't believe in anything.” “Well then,” said the doctor, “what do you want to live to be a hundred for?” Questions or comments? Call 480-1307