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Ovarian cancer patients fearful as Canada grapples with specialist shortage

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Colleen Tkachuk is facing difficult odds. She has Stage 4 recurrent ovarian cancer. The diagnosis is frightening but the 48-year-old says the worst part is feeling like she’s facing the disease alone.

“If you have an issue, you don’t know who you’re going to see. You don’t know who you’re going to contact. It’s scary,” Tkachuk said.

READ MORE: Simple CT scan shows responsiveness to ovarian cancer treatment

Last October, there were two full-time gynecological oncologists based in Tkachuk’s hometown of Saskatoon. By the end of the 2018, there was none.

Instead, patients are left to rely on locum doctors who fly in for a few weeks at a time. In nearby Regina, the situation is not much better. The city is losing one of its two specialists this June.

“When you go from four specialists (in Saskatchewan) to one, it’s a pretty scary thing for patients,” said Stephanie Gosselin, Saskatchewan and Manitoba regional director for Ovarian Cancer Canada.

Gynecological oncologists are highly trained specialists who treat cervical, uterine, vulvar and ovarian cancer. Ovarian cancer is the fifth-leading cause of cancer death for women in Canada.  According to Ovarian Cancer Canada, 1,800 women will die of the disease each year.

According to the Society of Gynecologic Oncologists of Canada (SGOC), the city of Kingston, Ont. is also struggling to recruit and retain specialists, especially as Canada deals with a national shortage brought on by a perfect storm of medical leaves, retirements and international competition.

WATCH BELOW: Retired RN’s “normal healthy life” changed in an instant after ovarian cancer diagnosis (Sept. 5, 2017) 






SGOC President, Dr. James Bentley says physician burnout is also a major factor.

“If you are in a small specialty, your on-call requirements are going to be significant,”  Dr. James Bentley said. He added in some cancer centers, doctors are sharing on-call loads with just one or two other physicians.

“Year after year, that is going to wear on people.”

For patients like Tkachuk, seeing her specialist struggle under such a heavy workload was worrisome.

“You can see how tired they are.

“When someone gets burned out and tired, they’re not enjoying what they’re doing anymore. Maybe they don’t want to help you anymore? You don’t know.”

That’s why Bentley says the SGOC released a set of Pan-Canadian guidelines for Gynecologic Oncology last year. Produced in partnership with the Canadian partnership against cancer, the document calls for every Canadian cancer centre to staff a minimum of three specialists.

“A minimum of a three-person gynecological team can reduce surgeon fatigue, contributes to shorter operative time and thereby produce optimal outcomes,” the document reads.

WATCH BELOW: Dr. Tim Holland addresses the doctor shortage in Nova Scotia and the impact it’s having on a refugee health clinic in Halifax (Jan. 10, 2019) 






The SGOC is currently working to speak with provincial ministers of health across the country to discuss ways to implement the new standards.

READ MORE: Johnson & Johnson ordered to pay $4.7 B in talcum powder ovarian cancer case 

For ovarian cancer patients in Quebec, there is another problem limiting access to specialized care: geography.

Most of the province’s gynecologic oncologists are based in Montreal, Quebec City and Sherbrooke, meaning women in northern and eastern Quebec must travel significant distances for appointments.

“We know that not all women are opting to travel these distances and are not being diagnosed and treated by gynecological oncologists and we also know that this is associated with poorer outcomes,” said Jennifer Laliberté, Quebec Regional Director at Ovarian Cancer Canada.

Back in Saskatchewan, an international recruitment campaign is well underway.

Tkachuk says she’s hopeful that a permanent doctor can be found soon.

“When you know that they’re there with you for this long journey, it takes away the fear because no one wants to go through it alone.”

WATCH BELOW: Seventy-five women are diagnosed with ovarian cancer in Saskatchewan each year, and 55 lose their lives. But does that outcome need be so severe? Ovarian Cancer Canada thinks not and it is hopeful a new drug can reduce that number. David Baxter has more. (Jul 27, 2017)






© 2019 Global News, a division of Corus Entertainment Inc.

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Nostalgia and much more with Starburst XXXtreme

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Get a taste of adventure with Starburst XXXtreme based on the legendary NetEnt Game. The nostalgic themes are sure to capture fans of the classic version as they get treated to higher intensity, better visuals, and features. The most significant element of the game is its volatility. Patience will not be an essential virtue considering the insane gameplay, and there is a lot of win potential involved. It retains the original makeup of the previous game while adding a healthy dose of adrenaline. 

Starburst Visuals and Symbols

The game is definitely more conspicuous than before. The setting happens over a 5-reel, 3-row game grid with nine fixed win lines, which function if a succession from the left to the right reel is present. Only those players that that attain the highest win per bet line are paid. From a visual standpoint, the Starburst XXXtreme slots illustrates lightning effects behind the reels, which is not surprising as it is inherited from the original version. Available themes include Classic, Jewels, and Space. The game is also available in both desktop and mobile versions, which is advantageous for players considering the global pandemic. According to Techguide, American gamers are increasingly having more engaging gaming experiences to socialize to fill the gap of in-person interaction. Starburst XXXtreme allows them to fill the social void at a time when there is so much time to be had indoors. 

Starburst XXXTreme Features

Players get to alternate on three features which are Starburst Wilds, XXXtreme Spins, and Random Wilds. The first appears on reels 2,3, or 4. When these land, they expand to cover all positions while also calculating the wins. They are also locked for a respin. If a new one hits, it also becomes locked while awarding another respin. Starburst XXXtreme offers a choice between two scenarios for a higher stake. In one scenario with a ten times stake, the Starburst Wild is set on random on reels 2,3, or 4, and a multiplier starts the respin. The second scenario, which has a 95 times stake, starts with two guaranteed starburst wilds on reels 2,3, or 4. it also plays out using respin game sequence and features. The game also increases the potential with the Random Wilds feature to add Starburst Wilds to a vacant reel at the end of a spin. Every Starburst Wild gives a random multiplier with potential wins of x2, x3, x5, x10, x25, x50, x100, or even x150.

The new feature is sure to be a big hit with the gaming market as online gambling has shown significant growth during the lockdown. AdAge indicates the current casino customer base is an estimated one in five Americans, so Starburst XXXtreme’s additional features will achieve considerable popularity. 

What We Think About The Game

The gambling market has continued to diversify post-pandemic, so it is one of the most opportune times to release an online casino-based game. Thankfully Starburst XXXtreme features eye-catching visuals, including the jewels and space themes. These attract audience participation and make the gameplay inviting. The game also has a nostalgic edge. The previous NetEnt iteration featured similar visuals and gameplay, so the audience has some familiarity with it. The producers have revamped this version by tweaking the features to improve the volatility and engagement. 

That is characterized by the potential win cap of 200,000 times the bet. Starburst XXXtreme does not just give betting alternatives for players that want to go big. The increase of multipliers also provides a great experience. If the respins in the previous version were great, knowing that multipliers can go hundreds of times overtakes the game to a new level. 

Players should get excited about this offering. All of the features can be triggered within a single spin. Whether one plays the standard game or takes the XXXtreme spin route, it is possible to activate all of the features. Of course, the potential 200,000 times potential is a huge carrot. However, the bet size is probably going to be restricted and vary depending on the casino. It is also worth pointing out that a malfunction during the gameplay will void all of the payouts and progress. Overall, the game itself has been designed to provide a capped win of 200,000 times the original bet. 

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Anglais

‘We’re back’: Montreal festival promoters happy to return but looking to next year

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In downtown Montreal, it’s festival season.

In the city’s entertainment district, a musical act was conducting a sound check on stage Friday evening — the second day of the French-language version of the renowned Just For Laughs comedy festival. Tickets for many of the festival’s free outdoor shows — limited by COVID-19 regulations — were sold out.

Two blocks away, more than 100 people were watching an acoustic performance by the Isaac Neto Trio — part of the last weekend of the Festival International Nuits d’Afrique, a celebration of music from the African continent and the African diaspora.

With COVID-19 restrictions continuing to limit capacity, festival organizers say they’re glad to be back but looking forward to next year when they hope border restrictions and capacity limits won’t affect their plans.

Charles Décarie, Just For Laughs’ CEO and president, said this is a “transition year.”

“Even though we have major constraints from the public health group in Montreal, we’ve managed to design a festival that can navigate through those constraints,” Décarie said.

The French-language Juste pour rire festival began on July 15 and is followed by the English-language festival until July 31.

When planning began in February and March, Décarie said, organizers came up with a variety of scenarios for different crowd sizes, ranging from no spectators to 50 per cent of usual capacity.

“You’ve got to build scenarios,” he said. “You do have to plan a little bit more than usual because you have to have alternatives.”

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MELS new major movie studio to be built in Montreal

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MONTREAL — MELS Studios will build a new film studio in Montreal, filling some of the gap in supply to meet the demand of Hollywood productions.

MELS president Martin Carrier said on Friday that MELS 4 studio construction will begin « as soon as possible », either in the fall or winter of next year. The studio could host productions as early as spring 2023.

The total investment for the project is $76 million, with the Quebec government contributing a $25 million loan. The project will create 110 jobs, according to the company.

The TVA Group subsidiary’s project will enable it to stand out « even more » internationally, according to Quebecor president and CEO Pierre Karl Péladeau. In the past, MELS Studios has hosted several major productions, including chapters of the X-Men franchise. The next Transformers movie is shooting this summer in Montreal.

Péladeau insisted that local cultural productions would also benefit from the new facility, adding that the studio ensures foreign revenues and to showcase talent and maintain an industry of Quebec producers.

STUDIO SHORTAGE

The film industry is cramped in Montreal.

According to a report published last May by the Bureau du cinéma et de la télévision du Québec (BCTQ), there is a shortage of nearly 400,000 square feet of studio space.

With the addition of MELS 4, which will be 160,000 square feet, the company is filling part of the gap.

Carrier admitted that he has had to turn down contracts because of the lack of space, representing missed opportunities of « tens of millions of dollars, not only for MELS, but also for the Quebec economy. »

« Montreal’s expertise is in high demand, » said Montreal Mayor Valérie Plante, who was present at the announcement.

She said she received great testimonials from « Netflix, Disney, HBO and company » during an economic mission to Los Angeles in 2019.

« What stands out is that they love Montreal because of its expertise, knowledge and beauty. We need more space, like MELS 4, » she said.

There is still not enough capacity in Quebec, acknowledged Minister of Finance, the Economy and Innovation Eric Girard.

« It is certain that the government is concerned about fairness and balance, so if other requests come in, we will study them with the same seriousness as we have studied this one, » he said.

Grandé Studios is the second-largest player in the industry. Last May, the company said it had expansion plans that should begin in 2022. Investissement Québec and Bell are minority shareholders in the company.

For its part, MELS will have 400,000 square feet of production space once MELS 4 is completed. The company employs 450 people in Quebec and offers a range of services including studio and equipment rentals, image and sound postproduction, visual effects and a virtual production platform.

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