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Habsfan l'avait déjà mentionné, mais elles sont vraiment haute ces grues pour du 4-8 étages.

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Je regarded cette photo, et je ne comprends pas pourquoi nous avons des grues qui ont 20-25 étages de haut pour un projet qui n'excèdra pas 8 étages...

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<

 

Je regarded cette photo, et je ne comprends pas pourquoi nous avons des grues qui ont 20-25 étages de haut pour un projet qui n'excèdra pas 8 étages...

 

Maybe unlike most buildings that are constructed downtown the cranes will be attached to side of the building as it goes up that's why you need the extra height especially when they reach the 7-8 floor, plus there's no need to jack the cranes up

(they seem to do that a lot in Europe)

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The reason why they have such high cranes is because the second's turning diameter needs to clear that of the first, the third needs to clear the second and so on. Looks like there were some movable cranes set up today in order to begin setting up more tower cranes.

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A range of medical services - including dialysis -would be cut back at the McGill University Health Centre to make way for the opening of the superhospital in 2014, under proposals being studied by senior administrators.

 

It's all part of a clinical plan by the MUHC to "divest" itself of as many primary and secondary services as it can as the hospital network moves more in the direction of ultra-specialized care and research, The Gazette has learned. Dermatology and gynecology are also being discussed.

 

The cutbacks are also being driven, in part, by the realization that the $1.3-billion superhospital -contrary to initial promises -will simply not have the physical space needed to house all outpatient clinics that are currently available at the various sites of the MUHC network.

 

As a result, some medical services could be transferred to private clinics, which charge patients ancillary fees for services such as blood tests.

 

One of the most contentious parts of the plan is to offload dialysis to hospitals that do not belong to the MUHC. At present, about 300 kidney patients are dialyzed at the Montreal General and Royal Victoria hospitals, which are part of the MUHC.

 

When the MUHC superhospital opens in the city's west end, the Royal Vic will close. Under the proposal being studied, a small number of Royal Vic patients will be transferred to the superhospital and a larger number to the Lachine Hospital, also part of the MUHC.

 

But that will leave a shortfall of about 40 patients for whom the MUHC will not be able to provide dialysis. Other Montreal hospitals already have full dialysis caseloads.

 

"Where are those patients going to go?" asked James Seeley, co-chair of the Montreal General patient-rights committee.

 

"And that's where the problem is. We're not getting any direct answers from the MUHC. They're not forthcoming with any type of information."

 

Andrey Cybulsky, chief of nephrology at the MUHC, said many of his patients are concerned by the proposed cutbacks and the lack of firm details.

 

"There is a lot of unhappiness and anxiety among patients with the way things are moving," Cybulsky said. "It's not ideal.

 

"In the new MUHC we will not have the capacity to accommodate the patients we are treating now, and that doesn't include the potential for growth in the dialysis population, should that occur."

 

What's more, he noted, there's no funding yet allocated to build trailers at the Lachine Hospital that would be necessary to dialyze additional patients.

 

Dermatologists who work at the MUHC are also raising concerns about cutbacks in their department.

 

"Dermatology appears to have a very low priority

 

status in the planning of the future MUHC relocation at the Glen yard site (of the superhospital)," wrote dermatologists Linda Moreau and Denis Sasseville in a letter last September to the patient-rights committee.

 

"It is likely that our division will be relegated to an as-yet undetermined off-site outpatient facility. In that event, doctors may have to pay rent and buy their own supplies, as they do in any private office. The result for our patients is that dermatology services free of charge will no longer be provided at the MUHC."

 

Neither Moreau nor Sasseville, chief of dermatology at the MUHC, were available for comment yesterday. Dr.

 

Tim Meagher, chief of clinical planning at the MUHC, confirmed that dermatology will probably not be offered at the superhospital, but will be available at the Montreal General.

 

Gynecology is also being targeted for cutbacks. "We would request that physicians working for the MUHC not refer women for routine annual examinations to the gynecology clinic," says a Nov. 12 advisory written by Dr. Srinivasan Krishnamurthy of the MUHC Gynecology Department.

 

"These women should be encouraged to have their annual screening done by their family physicians ..."

 

Meagher confirmed that the proposal to exclude "low-risk" women for annual gynecological screenings at the MUHC is still on the table.

 

In a lengthy interview, Meagher defended the policy to "divest" the MUHC of primary and secondary services as being in keeping with the future mission of the hospital network.

 

"The worries (of some patients are) 'Am I going to be left out in the cold? Am I not going to get the nursing staff I'm familiar with? Am I going to get less good care?' " Meagher asked.

 

"The answer is we're trying to build something that's different. We're trying to institute change and change is very unsettling for the patients on dialysis and for the patient going to the dermatology clinic.

 

"But the question is: what is better, all told, for the delivery of health care in a province that does not have two nickels to rub against each other? What is the best way to allocate resources, given the moneys that we have?"

 

Meagher insisted that every MUHC patient will be taken care of before any transfers in services takes place.

 

"Whatever direction we go in, whatever moves we take, we must make sure that the patients we presently look after at the MUHC continue to get care of equal quality, and if necessary, at an alternative location."

 

MUHC officials are to meet with the patient-rights committee today to discuss the proposals.

 

(Courtesy of The Montreal Gazette)

 

I think we all knew this project was a tad small.

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