HIVER 2020
DANS CE NUMÉRO Meilleurs pratiques en matière de lymphœdème Congrès national 2019 Exercices de réadaptation
SPÉCIAL
pour les membres de l'AQL Accès aux articles traduits en français au fr.infolympho.ca/revue-Pathways
/ 1 866 979-2463
The caregiver at the heart of the solution It's no mystery. When patients have the chance to meet a health care professional who is knowledgeable about lymphedema, their entire future is transformed. If the situation is taken care of from the beginning, the patient avoids the pangs of significant swelling that will leave a lifelong legacy. If the patient is diagnosed later in life, he or she will then receive the treatments needed to regain control of the lymphedema and control of his or her life.
Our article on depression and chronic disease raises awareness among doctors and therapists about the psychological burden of a chronic condition like lymphedema. It highlights the importance of detecting and helping patients who are on a downward slope that can isolate them and lead to a decline in all aspects of their health.
A major gathering point for the medical and scientific community concerned about This issue of L’info AQL lymphedema, the CLF 2019 highlights the key role of health Conference provided an professionals in the diagnosis, opportunity for doctors, treatment and follow-up of researchers and therapists to lymphedema. exchange their knowledge and For example, the article on the questions. The highlights of the Dutch Guidelines explains how Conference will allow you to the Netherlands used best understand the impact of the practices in lymphedema and a collegial work that took place long-term care model to better during the event. guide health care teams. Dr. David Keast and Anna Kennedy (CLF) sign an analysis of Canadian results from the ILF Outcome Measures Study. An exercise that will guide professionals toward the most effective interventions. At the leading edge of their discipline, physiotherapists Heather Hettrick and Robyn Bjork explain why all edema is
lymphedema. They share new hemodynamic knowledge about the endothelial glycocalytic layer and the links between the lymphatic and integumentary systems. A development that calls for rapid and targeted intervention. On the therapeutic practice side, physiotherapists Marize Ibrahim and Angela Yung share with us the specific exercises they have developed for the rehabilitation of upper limb lymphedema. Internationally renowned nurse scientist and researcher Mei R. Fu discusses the challenges of screening. She also presents a predictive application developed by her team for the assessment and management of lymphedema symptoms. A new tool available to health care professionals who want to get involved to minimize the impact of lymphedema. Whether through our tools including the new and improved 2020 Resource Guide, our training sessions or our publications – health professionals can count on the LAQ to perfect their approach to lymphedema and become part of the solution that patients so desperately need! Good reading!
ANNE-MARIE JONCAS PRESIDENT
L'INFO AQL
WINTER 2020
REPRODUCED WITH PERMISSION FROM THE MAGAZINE PROFESSION SANTÉ, NOVEMBER 2019, VOL. 5 NO. 10
When illness causes depression
THE PATIENTS NEED YOU BY MATHIEU STE-MARIE
Dr. Denis Audet sees many
are not directly related to
diabetic patients. But some
diabetes. And yet they have
are more ill than others, and
everything to do with this
don’t show it. Only slight
disease.
help their patients caught in
clues left here and there sow
While one person in ten will be
this cycle, health care
doubt: a patient who walks
prone to depression during his
professionals play a vital role
at a slow pace, another
or her lifetime in the general
in detecting the early signs of
whose speech is without
population, the prevalence is
depression. But the road to
much conviction, or even one two to five times higher among
better detection is fraught
who neglects his medication,
people with chronic disease.
with pitfalls.
despite the ill effects of this
“A good deal of the screening
sloppiness.
for diagnosis of depression
Such manifestations
involves the non-verbal,”
observed in these patients
explains Dr. Audet. The patients
It’s a vicious circle: chronic illness causes depression, which in turn aggravates the symptoms of the disease. To
don’t have to say they’re going illnesses without a health care
Depression in chronically ill
to hang themselves to let
professional intervening in
people often leads them into a
people know they’re not okay.
time.
downward spiral that could
It’s more subtle than that.”
One-quarter to one-half of
prove fatal.
To get more clues about the
people with chronic conditions
For example, heart attack
mood of the person in his
develop depression, according
survivors with major
office, Dr. Audet can use the
to data from the Mental Health
depression are three to four
Patient Health Questionnaire
Commission of Canada.
times more likely to die within
(PHQ-9), which allows him to
One in two people affected by
six months of their attack than
determine whether or not a
multiple sclerosis will
those who have not developed
patient has the nine symptoms experience an episode of deep
a depressive disorder. The high
of depression.
depression during the course of levels of stress hormones that However, one has to know that the disease. The same is true accompany depression have this is not the patient’s usual
for those who have had a
direct physical consequences
attitude. “Knowing the patient, stroke. Four out of 10 people his family and his history is very with cancer will not avoid
that put the heart at risk.
important,” adds the family
depression. The ratio is similar
cancer are 2.5 times more likely
physician who practises in
for those with Parkinson’s. In
to commit suicide within a year
Charlesbourg, Québec.
the case of diabetics, one third
of diagnosis than the general
For their part, those with
will have significant depressive Deadly Spiral All too often, depression sets in symptoms.
population, according to a
among people with chronic
Society, which examined data
study by the American Cancer
“We detect it when the patient opens up, but there is so much stigma attached to this disease that detection is difficult. Patients don’t talk about it. More effort should be put into detecting it.” Dr. Léon Tourian, MUHC psychiatrist
from nearly 4.7 million people
Psychiatrist Léon Tourian has
diagnosed with cancer between observed that in 25% to 50% of
the CHUM. “There aren’t enough opportunities to create
2000 and 2014.
the patients in the chronic pain a bond with the patient, and
“All practices that allow us to
clinic he supervises at the
recognize the first signs of
McGill University Health Centre favourable for patients to
depression can prevent the
(MUHC), early signs of
the environment isn’t confide,” she notes.
irreparable,” says Dr. Jacynthe depression are not observed.
Some studies have shown that
Rivest, a psychiatrist
“We detect it when the patient
patients are afraid of disturbing
specializing in oncology at the
opens up, but there is so much
their health care team. “They
Centre hospitalier de
stigma attached to this disease think it’s going to waste their
l’Université de Montréal
that detection is difficult.
time,” says Dr. Rivest. Others
(CHUM).
Patients don’t talk about it.
believe that depression will
More effort should be put into
pass over time. Many will
screening,” he says.
prioritize self-care to help them
chronically ill patient,
For her part, Dr. Jacynthe
cope with cancer. So it’s not
medication-assisted
Rivest estimates that
something that comes to be
psychotherapy is the preferred
symptoms of depression are
discussed with their health care
approach. However, it must be
not detected spontaneously in
team.
detected in time.
two-thirds of cancer patients at
Difficulty of screening To cure depression in a
THE ORIGINS OF DEPRESSION The origins of depression in the chronically ill are multiple. In the case of diabetes, the disease is thought to cause hormonal changes that can lead to a decrease in mood. In the case of cancer, its diagnosis is an obvious source of anxiety, which can lead to depression. Crohn’s disease causes digestive pain so severe that it greatly affects the daily lives of sufferers for a long time. “Being told at age 16 that you have an illness for the rest of your life and that you have to take long-term treatment can be very hard on your spirits,” says Dr. Justin Côté-Daigneault, gastroenterologist and researcher at the Centre de recherche du Centre hospitalier de l’Université de Montréal (CRCHUM). “Crohn’s disease can even affect people’s appearance, whether through weight loss or surgery, he says. Patients may find it difficult to accept these body changes.” In the case of multiple sclerosis, researchers at the University of California at Los Angeles found in 2014 that women with multiple sclerosis who suffer from depression have significant atrophy of the hippocampus, a brain region closely linked to memory and mood. Depression may be related to a loss of independence and mobility, or to constant pain. “The most difficult thing is to grieve the life you had before the illness,” says psychologist and president of the Ordre des psychologues du Québec, Christine Grou.
“This tool (PHQ-9) should be used more often, since the risk of mental illness is significant in these patients.” Dr. Catherine Hudon, family physician at the CHUS
Understanding the signs
physician at the Centre
For clinicians, the
hospitalier universitaire de
challenge of screening for
Sherbrooke (CHUS) and a
depression is immense,
researcher with the Canadian
since many of the
Institutes of Health Research
symptoms of depression,
(CIHR).
such as loss of appetite,
“This is not a problem of
lack of concentration and
screening expertise, it’s a
insomnia, are also
problem of time,” says Marie-
symptoms of chronic illness. “There are 1,000
Source : Association canadienne pour la santé mentale (2010)
Josée Fleury, a researcher at the Douglas Research Centre
illnesses that can cause
when providing mental health care,
and professor in the
fatigue!” says Dr. Audet.
Dr. Catherine Hudon and her team
Department of Psychiatry at
interviewed 18 doctors, nurses,
McGill University.
The best “clinical test” in
psychologists and social workers
She has conducted several
this case would be the
three years ago.
studies on mental illness,
close relationship that
A recurring finding was that a long-
including a recent one on the
the treating physician
term relationship between doctor
use of emergency services in
must maintain with his
and patient makes it easier to detect
Québec by patients with mental
patient.
depression. “The doctor knows the
disorders, published by the
Wishing to study the
patient well, as well as other family
Institut national de santé
needs and barriers of
members who can attest to the
publique du Québec. Professor
health care professionals
patient’s mood,” says the family
Fleury makes a harsh
observation: “Doctors are very
treatment and stigmatization.
symptoms of chronic diseases
busy. They’re not going to dig
For his part, Grégory Moullec, a and depression.
up all the problems if they only researcher at the CIUSSS of the If the patient is indeed have a few minutes.”
Nord-de-l’Île-de-Montréal and
depressed, the family physician
Despite this lack of time, all
professor at the School of
can prescribe an
physicians should routinely
Public Health of the Université
antidepressant, making sure
have their chronically ill
de Montréal, is rather critical of that it does not interact with
patients fill out the PHQ-9,
this method of diagnosing
the medications used for the
even if they have to do it in the
depression. “The simplicity of
chronic disease. If necessary,
waiting room, says Dr.
the diagnosis proposed by the
he or she can then refer the
Catherine Hudon, “This tool
DSM-5 contrasts with the
patient to a CLSC or a mental
should be used more often,
complexity of the disease,
health worker. As long as there
since the risk of mental illness
which requires a detailed
is access, of course.
is significant in these patients.” analysis of the patient’s However, her position is not
context and sensitivities. A
unanimous. The Canadian Task person’s reaction to an event or Force on Preventive Care does
environment thus varies
not recommend routine
according to the meaning they
screening for depression, even
give to it, their history and the
in at-risk subgroups. The Task
supports they can rely on.”
Force reckons that routine
Nevertheless, for Dr. Denis
screening can lead to false
Audet, the PHQ-9 is very useful
positives, unnecessary
in distinguishing between the
Isolated Doctors According to a text from the Douglas Mental Health University Institute written by Marie-Josée Fleury in the medical journal Canadian Family Physician, many doctors feel isolated in the face of mental illness.
“Patients may find it difficult to accept these bodily changes.” Dr. Justin Côté-Daigneault, CHUM gastroenterologist
The 2013, study, to which 1,415 tertiary levels. At the pain clinic adolescence is a tumultuous where Dr. Léon Tourian works, time. “Teenagers don’t want to general practitioners from different practice locations in
patients can count on a team of be labelled. Sometimes they
which general practitioners
CHUM’s inflammatory diseases
medication,” she says.
clinic, where patients can
But the mother hopes that if
don’t want to be taken care of, Québec responded, highlighted psychologists and social the non-optimal conditions in workers. The same is true at the they refuse to take their practise in the management of
mental disorders. In particular, consult a psychologist if it referred to the inadequacy of necessary. interdisciplinary relationships and the lack of psychosocial and psychiatric resources. The study concluded that significant organizational barriers encourage a silo practice by general practitioners. Access to psychotherapy is better at the secondary or
her son experiences more difficult times related to his
Access to psychotherapy may
illness in a few years, a
one day be helpful for Florent
professional will be there to
Cloutier, who at only 11 years
support him.
old has had Crohn’s disease for three years. The child is not yet aware of the full implications of his disease. “We’re keeping him away from it,” says his mother, Mélanie Irvine. Nevertheless, she knows that
A SHARED RESPONSIBILITY A patient with a chronic illness often has two treating physicians: his or her specialist and family doctor. For people with cancer, they will see their oncologist more often, while their family doctor will have a better view of their overall condition. Family doctors would be relatively well placed to recognize signs of depression in chronically ill patients, according to a study published in 2014 in the General Hospital Psychiatry, based on data from 61 clinics in Québec. Their success rate varies between 54.7% and 77.2% depending on the clinic. Among specialists, the overall picture is more difficult to establish. However, CHUM gastroenterologist Justin Côté-Daigneault notes the limitations of screening for depression. “When there are warning signs, it’s important to have access to someone who understands what’s going on and who is able to offer treatment and therapy.” “Specialists and general practitioners can screen for depression, says Dr. Catherine Hudon, a family physician at the CHUS and a CIHR researcher. But many more patients have a follow-up with a family doctor compared to specialists. So it’s important to do a good screening with a family doctor.” However, no single health care professional is in a good position to take the lead in the detection and management of depression if communication between the family physician and the specialist is lacking. “Communication is everyone’s business, says psychiatrist Léon Tourian, and when everyone is super busy, it can fall between two stools. You have to be proactive and establish effective communication links.” For Dr. Hudon, the model of care involving a primary caregiver, such as a nurse, is proving to be an interesting way to improve the coordination of care for chronically depressed patients. Also, when there is a psychiatrist on staff at a clinic, communication can be more direct and easier, she says. REPRODUCED WITH PERMISSION FROM THE MAGAZINE PROFESSION SANTÉ, NOVEMBER 2019, VOL. 5 NO. 10
THE 2020 RESOURCE GUIDE IS READY! It's here! The LAQ 2020 Resource Guide is available on our website and is being distributed in print format. The LAQ is very proud of this new and improved version which now includes : - promotion of the Training for Physicians and Nurses - an example of a complete prescription for compression therapy - the page What to do in case of suspicious swelling – a step-by-step procedure to guide the patient - a new section for Therapeutic Networks - a more elaborate Training for Therapists section - the new Code of Conduct for Professional Members of the LAQ - and our new toll-free number 1-866-979-2463 Access the LAQ 2020 Resource Guide online today at https://en.infolympho.ca/resources/laqbrochures-publications/ Printed in more than 5000 copies, the Resource Guide will be distributed in the majority of hospitals and a large number of CLSCs in Quebec. This will allow us to reach even more health professionals - our allies in the solution to properly treat lymphedema.
The LAQ sincerely thanks the therapists and businesses listed in the Resource Guide and contributing financially to this essential tool.
HEALTH PARTNERS: YOU CAN ORDER YOUR COPIES AT aql@infolympho.ca or by calling 1 866 979-2463 / 514 979-2463
L'INFO AQL
WINTER 2020
Tribute Evening Rachel Pritzker : 20 years of commitments and achievements Taking time to honor a life's work. This is what
A whole section of the
some forty people did on Friday, November 8,
LAQ's history was evoked and officially
2019, to highlight the accomplishments of the
recognized with the presentation of a
great lady who is Rachel Pritzker, founder
highly deserved plaque to an extraordinary
of the LAQ.
woman who brought lymphedema out of
Â
the shadows and helped so many patients.
The speeches and testimonials followed one another over the course of a most warm and friendly evening, ressembling the woman who has lead the LAQ for 20 years. Among the tributes were the testimonials of Barbara Meimari, an early collaborator, and that of a pillar of the association, Dr. Anna Towers. Â Radiant throughout the event, Rachel shook the hands of all the volunteers, patients, industry representatives and health professionals, with all the attention and sincerity that made her mark.
L'INFO AQL
WINTER 2020
Tribute to Rachel Pritzker – symbol of determination BY ANNE-MARIE JONCAS, PRESIDENT OF THE LAQ
Thousands of Quebecers living
lymphedema should be
with lymphedema owe a great
made known to the medical
deal to Rachel Pritzker. Too
community and the people
forever. Rachel identifies the needs and
little is said about the impact of here.
distress of all these people and
lymphedema: a chronic and
quickly understands that lack
degenerative swelling requiring With Dr. Towers'
of knowledge leaves many
lifelong control that upsets the support, she organized the first patients without diagnosis and daily lives of people with
lymphedema education and
follow-up, which can lead to
lymphedema.
support meeting in
serious complications. In the
1999, which she publicized in
fall of 1999, she founded the
This is the sudden and
hospitals and on radio and
Lymphedema Association of
unknown situation that Rachel
television. Thirty
Québec, planning education
bravely faced with her leg in
people gathered. They
and support meetings. Over the
1998 after surgery for
discovered that they were not
years, she has produced
melanoma. Although her
alone in having had to quit
documentation for the general
medical team did not
their jobs, give up their
public, created a Web site, a
understand what was
hobbies, find it difficult to stay
resource guide and self-
happening to her, Rachel
up for long
management tools, raised
recovered very quickly. She did periods of time, move around,
awareness among
her own research, discovered
get dressed, and be
physiotherapists and massage
her diagnosis on her own,
psychologically distressed
therapists to training courses
found treatments and - while
because lymphedema has
offered abroad, and organized
she was still undergoing
scarred their bodies,
an annual conference for
chemotherapy - decided that
appearance and abilities
health professionals in Québec.
Nothing can stop her! Rachel
It took Rachel Pritzker months
makes the LAQ the only patient to figure out why her left leg was swollen. And years to association in the country to train its own therapists!
control her condition. Today, a
garments, Rachel made
to find a therapist, a phone call
project, then becomes in
treatment to control her
representations to the RAMQ. A to make an appointment and a few weeks of intensive goal that leads to a pilot August 2018 a program that is
lymphedema. Afterwards, she
lymphedemas are covered,
to her condition. All this thanks
not only complete, but also the will be able to count on the LAQ to help her learn how to adapt most generous in Canada. All
assistance have coverage
QuĂŠbec, would be an even more difficult ordeal to accept and get through.
patient who is lucky enough to
And that's not all! Realizing the meet the LAQ on her way will staggering cost of compression need two clicks on our website
children and people on social
would affect 233,000 people in
to the phenomenal work done by this inspiring woman.
adapted to their needs. No one Without people with heart like Rachel, this condition, which is left behind.
Thank you so much Rachel!
L'INFO AQL
WINTER 2020
OIIQ Congress
Two major themes in
3,000 nurses in the spotlight
particular aroused the LAQ's interest. The first focused on accompanying patients as a
On November 25 and 26, more
lever for changing practices
than 3,000 nurses were
to improve the patient
informed about lymphedema,
experience. This element
its detection and treatment. It
made us realize the potential
was the very first time that the
of our education and support
LAQ participated in the Congrès de l’Ordre des infirmières et infirmiers du Québec (OIIQ). The event held at the Palais des congrès de Montréal provided us with some very fruitful encounters! Thanks to the very generous availability of our volunteer nurse therapists, we were able to distribute a
groups as an off-site support Marie-France L'Italien and France Landry proudly represented the LAQ at the OIIQ Congress.
Québec Cancer Program Conference
An in-depth collaboration
Screening and Treatment
service for hospitals and CLSCs. The second theme, the issues and challenges of a partnership between the public health network and community organizations, allowed us to glimpse the implementation of a better organized and more
pamphlet specially designed
On November 22nd, the LAQ
systematic referral from the
for these professionals and
participated in the Québec
health system to
create a list of nurses
Cancer Program Congress
interested in our training and
organizations. This better
"Together, in network, to
tools. A huge thank you to our
coordinated collaboration
beat cancer", held in
volunteers: Julie Allard, nurse
will be highly beneficial for
Montreal. In her opening
with a bachelor's degree and
lymphedema patients. Both
address, Danielle McCann,
therapist; France Landry,
for at-risk patients who need
Minister of Health and Social
to learn self-observation, and
Services, emphasized the
for diagnosed patients who
richness of community
need to learn about self-
organizations for the health
management as soon as
care system.
possible. In addition to
nurse and therapist; MarieFrance L'Italien, nurse with a bachelor's degree and therapist; and Marie-Claude Gagnon, patient and vicepresident treasurer at the LAQ.
giving patients access to
collaborating with the health
community organisms into the
proven information and
system.
care trajectory through a
personalized support, this very
protocol. In addition, the
concrete partnership will
Committee is committed to
connect us with the healthcare
promoting Engagement qualité
community to increase
accreditation to community
lymphedema awareness. Stay tuned!
Participation in the ROCO Exchange and Training Day The Regroupement des organismes communautaires en oncologie (ROCO) organized a Day of Exchange and Training on October 24th. The theme chosen was Community Involvement in Oncology: Impact and Recognition. To promote its mission, the LAQ met with organizations working in oncology, a field from which many cases of lymphedema originate. The event allowed for an enlightening exchange on the resources, services and impact of the various organizations. By joining forces with all the ROCO member organizations, the LAQ benefits from the reach of a strong voice and a concerted approach to
National Committee of Community Cancer Organisms The LAQ has been invited to join the National Committee of Community Cancer Organisms, a group created by the Québec Cancer Program. The group discusses issues that will allow for better communication and closer collaboration between community resources and cancer health services. To date, committee members – including CCS, FQC, FQCS, ROCO, Ovarian Cancer Canada and Leucan, among others – have identified the following challenges: - Ignorance of the existence of several organizations - Undervaluing the role of community organizations - Systematic referencing to organizations The Committee is working on possible solutions, including the integration of referrals to
organizations in order to enable the health network to better identify recognized organizations. Engaged in this accreditation process, the LAQ intends to actively participate in each of the steps endorsed by the Committee.
L'INFO AQL
WINTER 2020
Donors Overwhelmed by our donors!
TENAQUIP Foundation Donation A HUGE THANK YOU to the
is involved! It was the wish of
TENAQUIP Foundation for
Ken Reed, founder of TENAQUIP TENAQUIP Foundation for the
choosing the LAQ as the
Limited, that a foundation be
crucial assistance provided,
beneficiary of its generosity at
created to assist registered
which will benefit all the
the end of 2019. In fact, the
charities in Canada and abroad people living with lymphedema
lucky organisms are suggested
to help meet their charitable
by the employees of TENAQUIP objectives. The TENAQUIP SCN. Lorna Rock, a loyal
Foundation was founded in
volunteer and administrator on November of 2006, it exists to the board of the LAQ, had her
provide relief primarily in the
wish granted when the
areas of medical research,
TENAQUIP Foundation
hospitals, children's welfare
announced the good news. A
and humanitarian causes. Since
generous donation of $5,000
its operations began in 2006-
was given to our organization
2007 the TENAQUIP Foundation
to ensure the sustainability of
has given out over $10,000,000
our activities.
to Canadians in need and has
TENAQUIP is proud to give back also taken part in several to the communities in which it
international projects.
The LAQ warmly thanks the
that we support.
L'INFO AQL
WINTER 2020
A devoted marathoner!
Guillaume Journel’s gift What a gift for us that
from calves to toes, Guillaume
day in November when
has never let himself be
Guillaume Journel offered the
discouraged by the
LAQ to collect donations for
condition. The proof is that he
the marathon he was about to
was to run a marathon for the
run in Valencia.
12th time in Spain. But this one
had the peculiarity of being the
On December 1st, Guillaume
last, because following the
achieved an incredible
advice of his therapist,
performance: 42.2 km in 4 hrs
Guillaume decided to spare his
52 min 57 s.! In all, his
legs by abandoning a discipline
determination raised $3,300.
that had become too
Guillaume, we take our hat off
demanding due to
to you and say a very sincere
lymphedema. He told us he
thank you!
wanted to turn to triathlon in
order to stay in shape!
Guillaume Journel, an outstanding marathoner, has been living with primary lymphedema for 44 years. Affected on both legs,
determination. Here, my physical condition is tolerable
"Thank you all for your
with tendinitis. My results
encouragement and your
satisfied me knowing that this
donations to the LAQ that have was my last marathon. But, thanks to you, I was able to turn supported me in my my frustrations into sharing through fundraising for the LAQ. My message? Lymphedema is pervasive, but if we can adapt, we can continue to do the activities that are good for us and our spirit. Hang in there and thank you! "-Guillaume Journel Thank you Guillaume. You inspired us every step of the way!
L'INFO AQL
WINTER 2020
A donation for the future
It is with deep appreciation that we pay tribute to Mrs. Mary Deirdre Ann Foucault.
On March 9, 2019, Mary Deirdre
Criminology at the University
Mrs. Foucault made a
Ann Foucault, a major donor to
of Ottawa. Her passion for
significant bequest to the LAQ
the LAQ, passed away.
literacy was demonstrated by
that has had a tremendous
Deirdre was the cherished
her dedicated teaching and
impact in supporting people
daughter of the late Mary Helen
mentoring of English reading
with lymphedema and research
Bullock and Jean-Paul
skills for new Canadians. She
to bring a cure. On behalf of all
Foucault. She will be dearly
became involved in many civic
lymphedema patients, the LAQ
missed by her many cousins
issues and charitable causes.
thanks Mrs. Foucauld and her
and friends.
Her kindness, thoughtfulness
family from the bottom of our
Born in Montreal, Deirdre
and loyalty were
heart.
completed her undergraduate
immeasurable. One of her
studies at Marianopolis College
greatest qualities was her
and Concordia (Loyola)
endless ability to put others
University. She then obtained
first.
her Master’s Degree in
L'INFO AQL
WINTER 2020
And if your employer could help... The company you work for or retired from may have a foundation that is willing to help the cause of lymphedema. Your employer may have a matching gift program that could help the LAQ. Find out more about it. Your generosity may be worth even more than you think! For help in your efforts, contact us: 1 866 979-2463 / 514 979-2463