Women's and Infants' Health Impact Report 2018 by Sinai Health Foundation

Healthy Women, Healthy Families FRANCES BLOOMBERG CENTRE FOR WOMEN'S AND INFANTS' HEALTH IMPACT REPORT 2018

“Communities and countries and ultimately the world are only as strong as the health of their women.” MICHELLE OBAMA

The Ezras Noshem (Ladies’ Aid) was founded on August 9, 1913, by Mmes. Cohn, Miller, Spiegel and Adler. By May 1922, they had collected $12,000 to put a down payment on a building destined to become Toronto's first Mount Sinai Hospital. Dorothy Dworkin, seated centre, was one of four Ezras Noshem representatives on the Hospital's inaugural Board of Directors. Mount Sinai Hospital opened in 1923.

You are making an impact Your generous support for Sinai Health System is making an impact on women and families. Thank you. Whether your giving is directed towards Mount Sinai Hospital’s modern new women’s and infants’ care facilities, state-of-the-art medical equipment, innovations in care and support for patients and families, or groundbreaking clinical research — you are helping us improve people’s lives. It is only with your support that Mount Sinai has been positioned to continually make the advances in care for moms and babies that we are known for around the world. Yet women’s health encompasses far more than the reproductive system. Women’s wellness is foundational not only for the health of babies, but also for families and society as a whole. You have made it possible for our care to benefit women of all ages, at all stages of life. We are humbled and grateful for the support of our dedicated philanthropic community, in which women have always been leaders. On behalf of our colleagues in the Frances Bloomberg Centre for Women’s and Infants’ Health, and the patients and families for whom we provide care, thank you for improving the lives of women and families — locally, across Canada and beyond.

Dr. Mathew Sermer Obstetrician and Gynaecologist-in-Chief Rose Torno Chair in Obstetrics and Gynaecology

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Dr. Shoo Lee Paediatrician-in-Chief

Helping sick babies before they’re born Every year, Sinai Health donors help save hundreds of vulnerable unborn babies from across the country through their support for Canada's only fetal therapy centre.

BABY

Eiko When Romelia Son and Romeo Crisostomo learned that they would be welcoming a baby girl into their family of four boys, they hoped she’d grow up strong like her brothers. Thanks to a first-in-Canada surgery performed by Sinai Health’s fetal therapy team, together with SickKids' surgeons, the odds are on her side.

able to function without walking aids or a wheelchair, and reduces the risk of neurocognitive issues. Until now, Canadian women have had to travel to the US for this surgery.

Baby Eiko is one of 150 babies diagnosed in Canada each year with severe spina bifida. Eiko’s spinal cord was protruding through an opening where her spine had failed to close properly. It could have led to severe complications for her, including paralysis and brain damage.

At 25 weeks pregnant, Romelia was wheeled into a surgical room in the Slaight Family Labour & Delivery Unit at Mount Sinai, where Drs. Greg Ryan and Tim van Meighem opened her uterus as if performing a C-section. They carefully positioned the developing baby so that neurosurgeons could fix her spine. The fetal therapists then topped up the fluid in Romelia's womb and closed it with a watertight seal.

About one-third of children with spina bifida do not reach adulthood, and nearly half of those who do are unable to live independently. In-utero repair dramatically improves these children’s odds of being

Eiko was delivered by C-section just shy of full-term. Like other babies her age, she’s kicking, eating and growing well, and her brain remains stable. “She is our little miracle,” says Romelia.

Sinai Health is home to

1 4 OF

FETAL SURGERY PROGRAMS in North America

Premier Kathleen Wynne, Drs. Tim van Meighem and Greg Ryan, Romeo Crisostomo, Romelia Son and baby Eiko

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BABY

Sebastian At their 20-week ultrasound scan, Kristine Barry and Christopher Havill were thrilled to learn the sex of their first baby. But when the ultrasound technologist grew quiet, Kristine knew something was wrong.

to perform a procedure involving Sinai Health and SickKids. It would be risky — a world-first in an unborn baby with TGA — but it could give the little boy a chance to grow up healthy.

Her doctor soon called. Their little boy had a serious heart defect called ‘transposition of the great arteries’ (TGA). After he was born, the defect would prevent oxygen-rich blood from reaching his brain and organs.

One week before Kristine’s scheduled delivery, Dr. Ryan inserted a needle through her belly and into her son’s heart. He threaded a balloon through the needle and inflated it to create a temporary gap between the heart’s chambers, allowing the baby’s blood to circulate.

Their son’s heart could be repaired — but it would be a race against time, as the lack of oxygen would lead to permanent brain and organ damage within minutes of delivery. That’s when Sinai Health fetal therapy specialist Dr. Greg Ryan was called in

Days later, Kristine and Christopher welcomed a “pink and screaming” Sebastian into the world. Today he is healthy and active.

Drs. Edgar Jaeggi, Greg Ryan and Rajiv Chaturvedi, with Kristine Barry, baby Sebastian and Christopher Havill (Photo courtesy of The Hospital for Sick Children)

Introducing the Ontario Fetal Centre Pregnant women will now have greater access to world-renowned care for their unborn babies, thanks to a recent $4 million commitment from the Province to create the Ontario Fetal Centre. Based at Mount Sinai in collaboration with SickKids, the Centre will be the first in Canada and one of only a small handful worldwide. Sinai Health Foundation is now raising additional funds to equip the Centre's operating room with highly specialized equipment for fetoscopic examinations, bronchoscopy, cardiac interventions and spina bifida repair. In addition, the Centre will also encompass Canada’s largest fetal therapy training program.

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Leading the way in care for high-risk moms and babies Donors help advance highly specialized care for pregnant women and babies at risk for health complications. Through their support, Sinai Health’s high-risk pregnancy program has amassed one of the world’s largest and most distinguished multidisciplinary care teams.

Andrea Anthony Thousands of women — including ‘special cases’ from across Canada and beyond — have been helped by Mount Sinai’s Medical Disorders in Pregnancy program. The program’s specialists care for pregnant women with challenging health issues such as cancer, HIV, organ transplants, diabetes, inflammatory bowel disease and other high-risk conditions.

Andrea Querido is one of those women. Born with a heart valve defect, she grew up believing that she couldn’t have children — until she learned about Mount Sinai’s Pregnancy and Heart Disease program, which is part of the Miles Nadal Heart Centre. After learning from the program’s experts about steps she could take to achieve a healthy outcome, Andrea became pregnant. She was carefully followed by high-risk obstetrician Dr. Mathew Sermer, cardiologist Dr. Candice Silversides and other members of her multidisciplinary team with weekly appointments during her pregnancy. Today, her son Anthony is a chatty, superheroloving preschooler.

Round-the-clock care for the highest-risk pregnancies Three words that define the miracle of Jewish history, Am Israel Chai — “the people of Israel live” — speak to an indomitable spirit and perseverance in the face of adversity.

Patient Andrea and her son Anthony, with Dr. Candice Silversides

Through the generous philanthropy of a deeply dedicated community that has come together to support high-risk moms and babies, the Am Israel Chai Antenatal Unit at Mount Sinai provides inpatient care for the most acute health problems and pregnancy complications, giving both mothers and babies the best chances for a healthy delivery and recovery.

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Reducing the consequences of being born too soon

Mom Priscilla and baby Nyla were among the first patients to be assessed for preeclampsia with a blood test based on discoveries by Dr. John Kingdom

Priscilla Nyla

Babies’ risk for health problems increases the earlier and smaller they’re born. “Preemies” account for nearly two-thirds of infant deaths in Canada, and complications of preterm birth are the leading cause of death among children under five. Preemies who survive are also more likely to develop diabetes, heart disease, cognitive delays, and other lifelong health issues. Sinai Health's internationally renowned maternal-infant health researchers are making discoveries that help babies stay in the womb longer. One of their recent discoveries is helping doctors manage preeclampsia, an unpredictable and life-threatening condition that is only reversible by delivering the baby — often many weeks early. Mount Sinai is the only facility in North America to offer a blood test to confirm whether a pregnant woman's symptoms are in fact due to preeclampsia, helping physicians decide whether and when preterm delivery becomes necessary.

This incredible new test, developed directly from donor-supported research at Sinai Health, is poised to make a major impact on health care around the world. Beyond preeclampsia, doctors still do not fully know what triggers up to 50 per cent of preterm births. But Sinai Health scientists have also recently developed a groundbreaking test to identify women at risk for preterm labour, months before their baby is due. In addition to ensuring these high-risk moms and babies receive specialized prenatal care, this may also lead to new treatments to reduce preterm birth.

Approximately

2/3 of the PREGNANCIES

AT SINAI HEALTH are considered

HIGH-RISK

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Joining forces to give the tiniest, most vulnerable preemies the best possible start One-third of preterm babies born in Canada experience serious complications, including infections, brain bleeds, breathing problems, eye disease, and intestinal disease — any of which can lead to lifelong challenges. Supported by donors and grateful families, Sinai Health’s newborn care specialists are driving nationwide efforts to prevent and manage the consequences of preterm birth. Advances in neonatology have given babies born up to 18 weeks early a better chance at survival, yet the risk of serious complications mounts rapidly the earlier these tiny fighters are born. “We aim to improve care for extremely preterm infants,” says Sinai Health newborn specialist Dr. Prakesh Shah, who leads the recently established Canadian Preterm Birth Network (CPTBN). “Our goal over the next five years is to increase survival without serious complications or chronic diseases by 30 per cent.” The CPTBN brings together nearly 100 experts from across Canada — including

obstetricians, developmental paediatricians, and experts in health economics and population health — to improve preterm babies' lifelong health. By identifying best practices in prenatal, newborn and children’s care, as well as supporting families, CPTBN builds on the success of the Mount Sinaibased Canadian Neonatal Network — which has measurably reduced serious infections and eye diseases in preterm babies nationwide. “Ultimately we’re all working toward the same goal,” says Dr. Shah. “Together we’re uncovering more effective ways to improve care and support families, so that even the tiniest most vulnerable preemies are given the best chance to grow up into healthy adults.”

Moms for the Milk Bank Sinai Health moms Marissa Kassam, Lauren Granatstein and Ashley Steinhauer recently welcomed fellow moms and their babies into the Kassam home for an interactive lunchtime musical experience. The event raised funds to purchase disposable measuring tapes, which often become family keepsakes after they are used to measure babies. The tapes will promote the Rogers Hixon Ontario Human Milk Bank and provide information on milk donation, for distribution to NICUs and birthing centres across Ontario. Thanks to additional funding recently committed by the Ontario government, the Milk Bank will be able to expand its operations to provide life-sustaining donor milk to more critically ill babies across the province.

NICU Nurse Trisha Young prepares a tiny preemie for skin-to-skin time with mom

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Above: Today, Thomas is well & Sarah's memory lives on Left: Sarah Klages provides skin-to-skin care for baby Thomas in 2014

Sarah Thomas

“It was an easy decision to give Thomas the best support we could. By giving him donor milk… he’s done really well. He’s had a fantastic start here.” SARAH KLAGES 1981-2015

Sharing the best medicine with sick babies Together with a group of very special donors, Sinai Health is bringing the benefits of human milk to fragile babies in neonatal intensive care units (NICUs) across Ontario. Thomas Klages was one of those babies. He arrived three months before his due date, weighing just 1 pound, 13 ounces. For preemies like Thomas, mother’s milk is more than food. It protects them from lifethreatening infections while helping them develop and adjust to life outside the womb. But Thomas didn’t have the benefit of his mom’s milk. Twenty-six weeks into her pregnancy, Sarah Klages was diagnosed with incurable cancer. Chemotherapy gave the Klages family 10 precious months together, yet deprived Sarah of the ability to produce milk for her son.

When doctors offered human donor milk — the next-best alternative — Sarah and her husband Joe gladly accepted. The Rogers Hixon Ontario Human Milk Bank, based at Mount Sinai Hospital, collects and pasteurizes surplus milk donated by nursing mothers. The milk is then dispensed by prescription to NICU babies, who don’t have access to a full supply of mother’s milk. The gift of donor milk helped Thomas grow healthy and strong. Today he continues to thrive in his dad’s care, surrounded by a loving family who help sustain Sarah’s presence in Thomas’ life. In honour of Sarah's memory, her sister Heather has generously donated her own breast milk to support other NICU families.

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A HISTORY OF

Innovation in women’s 1923

1974

Mount Sinai Hospital is registered with the Province, broadening the mandate of the Hebrew Maternity and Convalescent Hospital opened in 1922.

2007 Dr. Andrea Juriscova reveals that preconception exposure to environmental pollutants diminishes the fertility of women’s future offspring.

Endocrinologist Dr. Paul Walfish develops a test for newborns with congenital hypothyroidism and a way to correct it. The procedure is now standard practice globally.

2008 Dr. Ravi Retnakaran launches the GAP study, following pregnant women in Toronto and China to uncover new insights on women's future risk of developing diabetes and cardiovascular disease. In 2017, Dr. Retnakaran is appointed the inaugural Boehringer Ingelheim Chair in Beta-Cell Preservation, Function and Regeneration.

2013 Ontario’s only human milk bank, the Rogers Hixon Ontario Human Milk Bank, opens at Mount Sinai. It collects, pasteurizes and distributes donated breast milk to hospitalized babies across Ontario.

1981 The Ontario Ministry of Health selects Mount Sinai as the site of a new High-Risk Perinatal Unit, the first academic program of its kind in Canada.

2009 Mount Sinai’s Dr. Greg Ryan and SickKids’ Dr. Edgar Jaeggi are the first in Canada to successfully perform a heart procedure on an unborn baby, expanding the baby’s aortic valve.

2017 Dr. Stephen Lye, Mount Sinai Hospital Auxiliary Chair in Women's and Infants' Health Research, and the LTRI partner with one of the world’s largest genomics companies to commercialize two innovative tests: one to predict whether a woman is at risk of delivering her baby prematurely, and the other to distinguish preterm from false labour.

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& infants’ health 1988 The Maternal-Fetal Medicine group introduces invasive fetal intervention procedures to monitor and treat rare blood disorders in mothers and babies.

2011 Family Integrated Care (FICare) pioneered in Mount Sinai’s NICU. Today, it is rapidly spreading around the world as a new standard of care.

2017 Dr. Miguel Ramalho-Santos joins the LTRI as the Canada 150 Chair in Developmental Epigenetics, one of the first four appointees announced through this prestigious national initiative.

1988 The Medical Disorders in Pregnancy Program is established by Dr. Mathew Sermer to treat medically complex patients, including women with heart disease, organ transplants and cancer.

2006 The Lunenfeld Tanenbaum Research Institute (LTRI) establishes what will become one of the world's largest repositories of pregnancyrelated tissue specimens and associated clinical data. This biobank supports research aimed at reducing fetal and newborn deaths and improving the lifelong health of women and their children.

2012 As part of its largest redevelopment ever, Mount Sinai opens the David & Stacey Cynamon Mother & Baby Unit in the hospital’s newly extended Murray Street tower. The Newton Glassman Charitable Foundation NICU, Slaight Family Labour & Delivery Unit and Am Israel Chai Antenatal Unit soon follow.

2018 Dr. Wendy Wolfman is appointed the Carol Mitchell Chair in Mature Women's Health, Canada's first clinical research chair focusing on menopause care, funded by over 100 women to close a gap in the health system.

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2013 Mount Sinai launches the Ontario Birth Study, the largest Canadian study of its kind to track the shortand long-term health of women and their babies.

2018 The Ontario Fetal Centre is established at Mount Sinai in partnership with SickKids. The Centre is the only one of its kind in Canada, providing world-leading expertise and life-saving care for babies still in the womb.

Leading the way in newborn intensive care By supporting Mount Sinai’s Newton Glassman Charitable Foundation Neonatal Intensive Care Unit (NICU), Sinai Health donors are driving clinical innovations that are saving babies' lives — here at Mount Sinai and around the world.

BABY

Matteo For tiny babies battling serious health issues, life can hang in the balance of a few minutes. In most NICUs, neonatologists and sick preemies often wait for days for access to medical imaging that will reveal timesensitive insights that can mean the difference between life, death, and lifealtering consequences. Donor support has helped equip the NICU with bedside medical imaging units, allowing specialists to make treatment decisions with real-time information —

dramatically improving the odds of a healthy life for tiny, sick babies. Donors have also enabled Mount Sinai's NICU to become the first in Canada with the in-house ability to visualize brain function in tiny patients, and to establish the country's first program to train NICU specialists how to assess preemies’ heart-lung function. And finally, donors have helped pave the way for a world-first nationwide study on newborn lung ultrasound — a technology that could reduce early-life exposure to cancerlinked x-rays.

Dad looks on as baby Matteo is checked for bleeding in the brain

Meet Zak, Michelle and Blake Goldman

Each year, more than

,000 1vulnerable, fragile

of the MOST

babies in the province are cared for at MOUNT SINAI

Zak and Michelle Goldman, and their son Blake, are among the NICU's grateful families. In 2011, Zak and Michelle created the Avery Goldman Fund to honour the memory of Blake’s twin, who passed away at birth. Blake spent more than 6 months in the NICU at Mount Sinai before he was healthy enough to go home. Zak and Michelle have raised over $800,000 to help give other NICU babies a chance at long, healthy lives.

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Sinai Health leads the way involving parents in their baby's NICU care

Improving NICU care around the world A new model of care — pioneered right here at Mount Sinai — is helping tiny patients grow faster and go home sooner, with parents who are less anxious and more confident in caring for their baby. Developed by Sinai Health specialists, Family Integrated Care (FICare) involves parents in their baby’s NICU care. FICare has been linked with increased breastfeeding and reduced risk for NICU readmission. This innovative approach has become the new national standard for newborn intensive care, adopted by all

high-level NICUs across Canada. FICare is also transforming NICU care internationally. Australia and New Zealand are now in the process of rolling out FICare across their NICUs, and the UK, Germany, the US and China are actively engaged in pilot projects. The annual FICare conference attracted 145 international attendees to Toronto last year. The next conference is now being organized by an Australian team to be held in Sydney, Australia, later this year — a sign of how far and wide this new care model has spread.

Accommodating families from distant communities Sinai Health cares for patients with high-risk pregnancies referred from across Ontario and Canada. When patients and families from distant communities arrive at the hospital, often transferred at short notice, many need a temporary place to stay. The David & Stacey Cynamon Family Accommodation Program allows parents of sick babies, as well as high-risk expectant moms who are nearing delivery, to stay right in the hospital in suites decorated by Ikea — steps away from the Glassman NICU, Slaight Family Labour & Delivery and Am Israel Chai Antenatal units. The Cynamons’ generous support extends also to the David & Stacey Cynamon Mother & Baby Unit, where moms, babies and families begin to bond after uncomplicated deliveries.

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Fostering wellness in families Donor support allows Sinai Health experts from several of clinical programs to address care and service gaps, supporting moms and families from all walks of life.

Yanekah Reaching out with mental health support Pregnancy and the time after the birth of a child are often thought of as the happiest time for parents. But the early days of parenthood can be overwhelming, with as many as one in five new moms developing mental health issues during pregnancy or baby’s first year. Sinai Health’s perinatal mental health program — one of the nation’s largest, caring for 1,000 new patients each year — recently piloted a way to use mobile devices to screen new mothers for post-partum depression. The text-message questions are quick and easy to answer during baby’s nap time. The responses help identify at-risk moms, who are then contacted by a mental health professional.

Some moms are unable to travel to Mount Sinai — due to their location, physical limitations, severe mental health issues or financial constraints. The program’s telemedicine service lets these patients use a tablet, smartphone or computer to video conference with a mental health specialist from their own home. Recently, the program introduced a firstin-Canada service to support the one in ten new dads who experience depression or other mental illnesses that interfere with life at home and at work. The program helps dads overcome the “strong and silent” stereotype through their transition to parenthood.

“There is no health without mental health, and parents’ wellbeing directly impacts their children’s health as well. Donor support helps overcome barriers and brings mental health support to parents, fostering healthy beginnings and healthy futures for babies and families.” DR. ARIEL DALFEN, HEAD, PERINATAL MENTAL HEALTH PROGRAM

Yanekah Jacobs participates in a telemedicine session with Dr. Beverley Young

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Connecting moms and babies with the right level of care Thanks to many generous donors, the Slaight Family Labour and Delivery Unit at Mount Sinai Hospital has been earning rave reviews since its opening in 2015. While the unit is known for supporting high-risk deliveries, routine pregnancies account for one of every three babies born at Mount Sinai. Many babies are delivered by a midwife or family doctor rather than an obstetrician. Dr. Anne Biringer, the Ada Slaight and Slaight Family Director in Family Based Maternity Care, promotes education and training programs that help future family doctors increase their knowledge and skills in maternity care.

Dr. Anne Biringer sharing maternity care expertise in Guyana

Approximately

,000 7 BABIES are delivered at

Through the University of Toronto Addis Ababa Academic Collaboration in Family Medicine, Dr. Biringer is helping establish the Family Medicine profession in Ethiopia with core training in family medicine-based maternity care. Her efforts are increasing women's access to maternity care in this vastly underserved nation, where only a handful of obstetricians are available. Dr. Biringer also oversees the Slaight Family Maternal Health Equity Fund. The fund brings Sinai Health's expertise and support to under-served, at-risk moms and families everywhere, through initiatives such as the perinatal mental health telemedicine service.

MOUNT SINAI HOSPITAL each year

A helping hand for families faced with financial challenges The Babyâ&#x20AC;&#x2122;s First Comforts program, introduced in 2004 through generous support from Rexall, has given a brighter start to nearly 2,000 newborns from families facing financial challenges. Families receive a layette filled with newborn care necessities, as well as body wash, lotion and chapstick for mom.

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Advancing women’s health care Thanks to the generous support of Sinai Health donors, women's health care is evolving. The Frances Bloomberg Centre for Women's and Infants' Health provides leading-edge care for women of all ages, in all stages of life.

Dr. Jonathon Solnik

Dr. Nucelio Lemos

Offering patients more treatment options Gynecologic conditions can cause women to suffer from pelvic pain, pressure, irregular bleeding, urinary incontinence or bowel issues. But treatment typically means major surgery, several days in hospital and six to eight weeks of recovery — leading many to forego treatment and suffer needlessly.

Dr. Jonathon Solnik, named one of the Top Doctors in America by US News and World Report, is a leader in minimally invasive gynecologic surgery. In 2015, he left his post at Cedars-Sinai Medical Center in Los Angeles to lead Sinai Health’s Gynaecology and Minimally Invasive Surgery program.

Sinai Health offers patients another option — one that lets many women return home the same day they are treated, with minimal recovery time.

Dr. Nucelio Lemos was recruited in 2017 from the University of São Paolo in Brazil to join Sinai Health’s urogynaecology team. In addition to his Pelvic Functional Surgery and Neuropelveology Clinic, Dr. Lemos also lends his expertise to help preserve bladder control in patients who require extensive pelvic surgery.

It’s possible thanks to the expertise of two recently recruited specialists, who were drawn to Sinai Health by the reputation donors helped build.

“When women take care of their health, they become their own best friend.” MAYA ANGELOU

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Relieving burdensome menopause symptoms Medical concepts of disease and wellness have been largely defined by men. But since women’s symptoms can be quite different from men’s, women with a variety of health conditions often go underdiagnosed and undertreated. Menopause is just one of those conditions, with of symptoms that can range from annoying to debilitating. “As women, we’re used to dealing with some discomfort” says Vered Eyal. Having always lived a healthy lifestyle, the Toronto psychologist did not anticipate the hot flashes, sleep problems and mood changes that came with her menopause.

Following the lead of philanthropist Carol Mitchell, over 100 supporters have collectively contributed more than $2 million to create the first clinical research chair in North America or Europe dedicated to improving care for menopausal women. Carol has generously offered to match dollarfor-dollar the next $500,000 raised in order to fully fund the Chair as soon as possible. The Carol Mitchell Chair in Mature Women’s Health will fuel Dr. Wolfman’s mission to improve doctors’ knowledge and skills, so they can better help their patients live life fully without being sidelined by symptoms of menopause.

“The biggest misconception is that these are trivial, short-lived symptoms that women have to endure,” says Dr. Wendy Wolfman, Sinai Health’s trailblazing leader in care for women experiencing a difficult menopause. “It’s a silent epidemic that no one talks about.” But Dr. Wolfman is talking, and patients are raving about her candour and focus on their quality of life. Within days of starting hormone replacement therapy prescribed by Dr. Wolfman, Vered's symptoms improved.

Caring for younger women with early menopause One percent of women under age 40 experience menopause as a result of surgery, cancer treatment, autoimmune disease, or their individual genetic makeup. These women face increased risk for heart disease, Parkinson’s, dementia and other health issues. Some require emotional support to cope with early fertility loss or other psychosocial impacts. Dr. Wolfman runs one of the only clinics in North America for women with premature ovarian insufficiency, providing specialized information and support to address their distinct questions, concerns and health needs.

Dr. Wendy Wolfman, with Carol Mitchell, CEO and Portfolio Manager, iMaGiNe Wealth Management

“From age five, I was determined to practice medicine, and no disparaging comments or other barriers ever diverted me from that goal.” DR. WENDY WOLFMAN

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We couldn’t do it without you Your generosity is helping advance care for women, babies and families to improve lifelong health and well-being for all. Thank you for helping elevate the hospital’s leadership in caring for women and their babies. The successes of Sinai’s renowned clinical leaders and scientists are your successes. Together, we are making an impact that extends beyond our local community to bring better care and health to people around the world. Whether you or a loved one has benefitted from Mount Sinai’s expert care, or you have simply been moved to support care advances for women and families, we are deeply grateful. On behalf of the patients and families touched by your support, thank you.

Louis de Melo, CPA, CMA CEO, Sinai Health Foundation Executive VP, Academic Advancement Sinai Health System

Gary Newton, MD, FRCPC President & CEO Sinai Health System

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Dr. Yenge Diambomba oversees care in the NICU

Dr. Ariel Dalfen leads the Perinatal Mental Health Program

Dr. Kerry Kuluski seeks ways to better support patients with multiple health conditions, including streamlining care delivery across hospital, home and community settings

Dr. Susanna Mak is casting light on how women's heart health differs from men's

â&#x20AC;&#x153;If you invest in a woman, you are investing in everybody else.â&#x20AC;?

Dr. Sharon Unger is advancing newborn nutrition through her research and leadership of the Rogers Hixon Ontario Human Milk Bank

MELINDA GATES

Dr. Irene Andrulis is uncovering connections between lifestyle, puberty and breast cancer risk through the LEGACY Girls' Study

Dr. Karel O'Brien is helping engage parents in NICU care across Canada and internationally

Dr. Isabella Caniggia is working to reduce the impact of preeclampsia on children's health

Dr. Jennifer Young helps provide ongoing support for NICU families in partnership with the Life with a Preterm Baby peer network

SINAI HEALTH + YOU =

supportsinai.ca

for everywhere 2018209F