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Health committee  It's called dysautonomia. It's something in the autonomous nervous system that goes wrong. For instance, a typical issue is your eyes or mouth being very dry. That's something in the autonomous nervous system, and it can be transferred to animal models.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  I've seen that medical tourism is a big issue in Canada as well. We see the complications.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  Generally, as to your question asking if all these implants are on the market here, the answer is no. They're not.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  That's great.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  No, I see it the other way. Patients come to me with complaints. Then I ask what brand they have, and whether it's textured or smooth. Most patients don't know. I ask them if they can contact their plastic surgeon. Even then, several patients come the next time and say that the

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  I have a slight idea but I don't know it by heart, so I would have to look it up. It's a lot.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  If you compare it with medications, we doctors are responsible for the medication we prescribe, although, of course, the manufacturer has to give the medication as it is. If we prescribe, for instance, penicillin, it should be penicillin. It shouldn't be something else. There is

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  I used to be a member of the committee for pharmaceuticals in the Netherlands. My opinion was always that medical devices should be at the same level as medications, but it's nowhere.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  The history of this comes from the fact that we were so happy with medical devices. There was such an urgent need for these things, for new technology for patients, that the FDA, especially, decided not to have all of these difficult questions before one could be entered in the m

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  I can answer that question. I've been invited by surgeons to talk about mesh implants. I've been invited by orthopaedic surgeons to talk about orthopaedic implants. I've never been invited by plastic surgeons to give a talk on breast implants.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  An issue would be medical tourism, at least from Alberta's experience. Many patients had breast implants in Mexico or elsewhere in the world.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  Unfortunately, no.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  No. If a stent is already registered, a new stent with a different.... It should only be showed that it's equivalent to the old stent. There are no large, randomized controlled trials before they are entered into the market.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  I'm not sure that it's making industry.... It's making patients.... I mean it's your choice to do the cosmetic surgery. If you have reconstruction, it will be paid by the insurance.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert

Health committee  It's not clear. I don't know.

May 9th, 2023Committee meeting

Dr. Jan Willem Cohen Tervaert