2020 Novel Coronavirus update:

Screening for 2019-nCoV - If you are presenting with the following:

      1. Fever and acute respiratory illness, or pneumonia

AND any of the following:

      2. Travel to Wuhan, China in the 14 days before the onset of illness

OR

      Close contact with a confirmed or probable case of 2019-nCoV

OR

      Close contact with a person with acute respiratory illness who has been to Wuhan, China within 14 days prior to their illness onset

*Some people, such as the elderly and people who are immunocompromised, may not develop a fever. The presence of new/worse cough or shortness of breath may be enough to trigger further precautions.

APPLY PRECAUTIONS*, REPORT AS REQUIRED

Ask Patients to:

• Wash their hands;
• Wait in separate isolation area if possible or keep a two-metre distance from other patients and clinic staff;
• Wear a surgical mask.

Initiate Droplet and Contact Precautions for Suspected Coronavirus Cases:

• Apply vigilant hand hygiene;
• Use gloves, gowns, fit-tested, seal-checked N95 respirators and eye protection when entering the same room as the patient or when transporting or caring for the patient;
• Postpone elective procedures that generate droplets (e.g. dental care).

* For more information on Routine Practices and Additional Precautions,

Flushots 2019,,, Oct 29, 2019, the health department has finally shipped the flushots. Although again it is later in the season, they are available. We have high dose shots for our patients over 65 years of age.  If you suffer from chronic respiratory or immune conditions, you are higher risk and should receive.  We will attempt to distribute them on a drop in basis, BETWEEN regular patient appointments.    Please contact us for a good time to drop in. 

New  DNA colon cancer screening.

We want to notify you that Ontario is transitioning from the guaiac fecal occult blood test (FOBT) to the fecal immunochemical test (FIT) as the recommended screening test for people at average risk (50 to 74 years old) of developing colorectal cancer on June 24, 2019.

FIT is a more sensitive colorectal cancer screening test and detects twice as many advanced neoplasms (colorectal cancer and high risk adenomas) as gFOBT. Patients with an abnormal FIT result will then have a colonoscopy.

Key Changes:

– Only one stool sample is needed instead of the three needed for FOBT.

– No medication or dietary restrictions.

– Less contact with the stool than FOBT….so less messy!

– The kits are not available for pickup from our office. When you are due for screening, your physician will complete a requisition, send the requisition to the lab,  and the lab mails you a kit to complete. You can either: bring a completed kit either to Lifelabs (the ONLY lab that will accept it)  or you can mail the kit. The kit must arrive at Lifelabs within 14 days of completing the kit. Also, the FIT testing kit is much more expensive than the old FOBT kit, so please complete your kit when you receive it, and try not to misplace the kit or let it expire. These kits are very costly to replace, although replacement kits can be made available if needed.

Dr. Kujtan and support staff will be away during this time.   Associate support and medical staff will be reviewing messages and results from ordered tests.  Prescription renewal requests will be honoured for appropriate circumstances, otherwise assesment will be required.  Phone messages will be reviewed intermittently.   Urgent medical assistance will be available from our locum and associates on a very limited basis.  Referrals and appointment requests will be dealt with and honoured on a case by case basis.  Non urgent messages will be returned by our support staff after July 18. Appointments for Forms and letters requests will  be scheduled in the August- Sept cycle as they usually involve extensive and long appointment times, and subsequent administrative time.  Please ensure that you have all the details required for your requests.  These can be summarized on paper and provided with your request.    After hour clinics for urgent matters will continue to run as normal and up to date access will be posted on the website.   Stay healthy.

 2017 Binette Award Winner.

On behalf of the DOCS ON ICE Provincial executive, we congratulate Dr. Pete Kujtan who has been a driving force behind the success of Docs on Ice for several decades.  A tireless volunteer, leader, player and innovator,  Dr. Kujtan has advanced the tournament and helped raise large sums for local charities all around the province. His dedication as a family physician is equally inspiring. He continued to help  his patients during the initial phases of his recent cancer treatments. Docs on Ice would not exist today without the energy and enthusiasm of Dr. Peter Kujtan

Congratulations from the Provincial Executive Committee.

I would like to reach out to all of my friends,  family, colleagues and patients who have sent such warm wishes, prayers and good tidings. To be immersed in such a warm environment of spirituality and good thoughts has had a large influence on my recovery.   Surgery was performed at the Toronto General in June, and post surgical complications developed resulting in a six week hospital stay and weight loss.  To be clear, it is not a weight loss regimen that I endorse. LOL.  A sense of humour has also helped.   I have commenced follow up treatments, and am working hard to regain my health.   One of the side effects is a very weak immune system, which precludes spending large amounts of time in infectious environments. Spending 10 days a month attending hospitals seems to be the extent of accepted risk. Plainly speaking, my oncologist would not be pleased, until the go ahead is given.    Please, look after your health, stay off the sugar and think about planting a garden.  Stop smoking, in case anyone misses me saying this over and over, there you have it.  I think I am finally seeing the roses and truly enjoying the start of every new day.   I am staying in touch with Dr.Patel and Julie and together we are getting a lot of things done.  

Hope to see you soon and healthy!

you can email   julesdesk@gmail.com

Dr.K.

We apologize for  any confusion that  has arisen over the last few weeks.  Dr. Kujtan  developed health issues rather suddenly that required immediate attention and surgery.  The road has been a difficult one with complications and its own ups and downs.  Things are improving and he would like  to thank everyone for  their support, prayers and well wishes. 

    The office is open and attending to the health care needs of our patients, thanks to the collaberative efforts of colleagues and our fabulous health care team.  We hope to improve and organize further interim measures.   Dr.Remtulla and Dr.Patel are overseeing  the emergency and daily aspects of the practice, during Dr.Kujtans recovery and reintegration.

        A return to full time  has not been set yet pending some further treatment and testing.   Dr. Kujtan sends you his best wishes to stay healthy and positive. 

Walk-in clinic.    If you chose to use a regular walk-in clinic for an urgent matter and the doctor is not one of our associated after hour  physicians, then please note.    There has been an amazing increase in patients arriving at our office without proper transfer of care.   If you are seen by another clinic, then you are  essentially starting a new independent file that is NOT LINKED to your office file in any way.   Faxing raw data and results WITHOUT a proper note or phone call from the attending physician is inappropriate and not in your best interest.   Your care must be transferred in a professional manner, if you require follow up.   Please ensure that the walk in clinic or care provider is aware of this essential step in order to receive good care.  When you arrive with raw results, there is no way of your primary physician knowing wether the results you have are the complete ones ordered, and the interpretation of any results depends on the  specific reasons the initial treating physician chose to order them.  Observing this simple courtesy will enhance your health care and prevent a great deal of frustration.

If you have not yet recieved your date for a referral apointment, Please call the office. Most times patients should have some news within two weeks of the original request.  Often times, clinics and specialists notify patients directly without our awareness.  

Please bare with us, as our phone system is upgraded in the next few weeks to a more secure platform.  This may produce some difficulties in contact, but only on a temporary basis.  You can also contact us throught the website.