Why did you become a car-
diologist? During medical school !
thought the heart offered tremen-
dous advances in the field, The
treatment of heart problems was
advancing so that you could actu-
ally help people and save people.

There are a lot of areas in med-
icine that are advancing fan-
tastically in the research end, but
you can't make very many inroads
as far as actually helping patients.
How has cardiology changed over
the years? As far as advancements
have gone, one thing has led to
the .other. For example, the
open-heart pump machine allowed
us to keep people on the operating
table with their heart stopped to
put in valves and to do other pro-
cedures.

A patient’s heart can be stopped
for one or two hours.

Before the pump was available,
you had to be in and out in
minutes during a heart operation.
How do you feel about the doc-
tors’ dispute with the provincial
government? | think a number of
the things the government has
done or says it wants to do are
changes that should be done.
However, the method of how they
are doing these things is where we,
as doctors, take great exception.

By this I mean, many doctors
take exception to the unilateral
methods of making the rules and
the speed at which the rules are
made.

Clearly, we have to do some-

thing to decrease the deficit and to
decrease the wildly expanded
funds needed for health care. But
I strongly feel that changes should
be done in discussions with physi-
cians.
How do you feel about the pro-
vincial government’s move tv cap
salaries of high-end specialists? If
you are a specialist, the patients
that you see are referred to you
because their family physicians
feel that they have a problem.
Specialists don’t stand out on the
streets herding people into their
offices.

If a specialist is good, he is go-
ing to get a lot of people referred
to him.

I think anyone in any kind of

work should be recompensed for
the hours they put in because they
are doing a good job.
Why haven't yeu gone to work
permanently in the United States?
Pm a Canadian. I like it here. My
family lives here. 1 think Van-
couver has a lot to offer.

All of us get offers from the
United States. I'll bet a month
doesn’t go by where I don’t get an

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A WORKSHOP FOR
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inday, May 30, 1993 ~ North Shore News

ne

eretz: in his own words

NEWS photo Mike Wakefleld
TOP CANADIAN cardiologist Dwight Peretz has lived in West

Vancouver since he was a teenager after the Second World War.

invitation to go practise some-
where,
Could you make more money in
the United States? Yes. But I’m
happy enough with the way things
have gone.
Would you want to be treated in a
community hospital versus a
regional centre like St. Paui’s
Hospital? It would depend on
what I had, I think community
hospitals have a lot to offer. HI
had ordinary, everyday-type of
pneumonia, I’d be happy to be
treated in a community hospital.
There are patients who continue
to smoke, eat poorly, and den’'t
do exercises who find themselves
back in your office needing
another bypass. What is your
reaction as a doctor? I think these
patients are very foolish. They
should know smoking is one of
the three major risk factors. And
smoking is the only risk factor
that is readibly controlable.
However, I’ve always felt very
strongly that a physician is not a
policeman.
Were bypasses supposed to last
forever? I’m not sure that we
thought they would last forever. If
a person requires a bypass, he al-
ready has a problem with depos-

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Dressing you and your home

iting cholestero} in the arteries,

When you bypass an area of
cholesterol obstruction, it would
be foolish to think that other
obstructions couldn't develop in
later years.

We also learned that the
bypasses themselves can get
cholesterol deposits.

At around the 10-year stage, we
Start to see patients returning with
angina.

The vast majority can be re-
fixed in some way. In fact, we
have a number of people on their
third bypass.

What do you remember as a
teenager living in West Van-
couver? In those days there was
no Upper Levels, no Squamish
Highway. The only way out of
West Van was over this little
bridge over the Capilano River.

There was hardly anybody liv-
ing near Horseshoe Bay. Caulfeild
was way out. We had some
friends in Caulfeild and, boy, that
was the end of the line.

‘a

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IMPRESSIONS OF NATU
A Chow of Original Works of Art by

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WILDLIFE AND LANDSCAPE PAINTINGS

Friday, June 4th, 1993 * 7:00 pm - 10:00 pm
Saturday, June 5th, 1993 + 10:00 am - 4:00 pm

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West Georgia Street ncar Stanley Park, Vancouver

STRAT

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