Urban Angel magazine, vol. 6

2016 VOL. 6 | stmichaelsfoundation.com

JOIN US july 2016 FOR MORE INFORMATION CALL 416.864.5000 stmichaelsfoundation.com

IN THIS ISSUE

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14 INSPIRE 2018 CAMPAIGN FACTS... 4 CELEBRATING...

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IN THE NEWS

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CAMPAIGN OVERVIEW

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PATIENT STORY: THE WARRIOR 14 UNDER THE MICROSCOPE

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THE MAGIC OF ST. MICHAEL’S: A FAREWELL TO ELLA FERRIS TECH TALK: TOP TECH TOYS

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CHARLIE SHEEN WINNING: THE BATTLE AGAINST HIV 26 EXERCISE: ADD NATURE’S NURTURE TO YOUR FITNESS REGIME

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WHAT’S COOKING DOC? 33 REVELLING IN VIVID SPRING COLOURS 47 THE MYSTERY OF MS 55 WELL-READ, WELL-BEING

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OPIOID EPIDEMIC: NO QUICK FIX LIFE LESSONS: PETER GILGAN

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NEW CHAIR IN HEALTH PROFESSIONS TEACHING AND LEARNING—TO FOSTER A CULTURE OF CONTINUOUS IMPROVEMENT

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SINGLE ROOMS FOR CARDIAC INTENSIVE CARE—TO SHOW WE HAVE YOUR INTERESTS AT HEART

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HYBRID OPERATING ROOMS—FOR THE LATEST IN CARE

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STOREYS OF PATIENT CARE—AND MANY STORIES OF HOPE AND RECOVERY

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Thank you!

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BEDS FOR MEDICAL-SURGICAL INTENSIVE CARE—FOR THE MOST INTENSIVE BEDSIDE CARE

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NEW CHAIR IN VOICE DISORDERS—SO YOU CAN ALWAYS SPEAK YOUR MIND

NEW OPHTHALMOLOGY CENTRE—TO SEE YOU GET THE TOP TREATMENT

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NEW CHAIR IN FOOT AND ANKLE RESEARCH—TO PUT PEP IN YOUR STEP

NEW CHAIR IN HOMELESSNESS, HOUSING AND HEALTH —TO HELP OUR MOST DISADVANTAGED

NEW PATIENT AND FAMILY LEARNING CENTRE—FOR ALL YOUR HEALTH HOMEWORK

RENOVATED BOND LOBBY—TO BE ACCESSIBLE AS WELL AS HISTORIC

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NEW CT SCANNER IN EMERGENCY—TO GIVE OUR TEAM THE BEST TOOLS

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NEW ATRIUM— TO BRIGHTEN YOUR DAY

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ORTHOPEDIC INPATIENT BEDS—TO GET YOU ON YOUR FEET AS SOON AS POSSIBLE

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NEW PRE-ADMISSION FACILITY—TO ENSURE YOUR SURGERY GOES SMOOTHLY

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NEW ELEVATORS —TO GIVE YOU A QUICKER LIFT

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NEW FRONT-TO-BACK CONNECTING PATH— SO YOU’LL NEVER HAVE TO ASK FOR DIRECTIONS AGAIN

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ADDITIONAL SQUARE FEET OF SPACE IN EMERGENCY—TO DOUBLE OUR FOOTPRINT

NEW MS CLINIC —TO ACCELERATE RESEARCH AND ENHANCE CARE

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NEW CHAIR IN ADULT CYSTIC FIBROSIS RESEARCH—TO CONTINUE OUR SEARCH FOR THE CURE

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MILLION RAISED—TO CREATE CANADA’S PREMIER CRITICAL CARE HOSPITAL

CELEBRATING...

INSPIRE 2018—A RARE OCCASION TO REDEFINE PATIENT CARE If you sense a celebratory tone in this issue of Urban Angel, it’s because we have reached a significant milestone in the life of this great hospital. Thanks to the immense generosity of our donors, we have not only met but exceeded our $210 million goal to complete our ambitious Inspire 2018 campaign. We are thrilled to be able to publicly announce this landmark success. At $235 million and counting, every additional dollar will support important priorities for your care, the care of your family and our shared community as we become Canada’s premier critical care hospital.

When Peter Gilgan of Mattamy Homes announced his historic $30 million contribution to our campaign in the fall of 2014, it began the journey to the creation of a new 17-storey patient care tower designed to care for critically ill patients. His philanthropic leadership energized others to invest in St. Michael’s future through the revitalization and modernization of our facilities, including renovations that will double the size of our Slaight Family Emergency Department. It was a proud moment to join campaign Co-Chairs Tony Arrell, John Cassaday, Bill Downe and Honorary Co-Chair Margaret McCain as we celebrated the official groundbreaking at the corner of Queen and Victoria Streets last spring. We were also pleased that Health Minister Dr. Eric Hoskins could join us at this event, a great demonstration of support from the provincial government for which we are grateful. We also appreciate John Tory, who helped us in countless ways as a campaign Co-Chair before becoming Mayor of Toronto.

As President of this hospital, I have never been more impressed by the unparalleled pace of innovation, spirit of discovery and culture of caring at St. Michael’s. When my family welcomed our first grandchild, Edith Howard, on November 26, 2015, we were fortunate enough to do so here. Everyone involved in bringing her into this world was kind, helpful and supportive. So when I say that you can expect the best in expert and compassionate care, I say it from personal experience.

Dr. Howard pictured with his first grandchild, Edith

Today, we recognize the culmination of kindness that has positioned us to save even more lives—helping people from across the province who have suffered trauma, heart attacks, strokes and other life-threatening conditions.

In this edition of our award-winning Urban Angel, you will see how Inspire 2018 is enabling us to realize our goal of transforming patient care for the 21st century. We’ll introduce you to one of our internationally renowned researchers who is making medical breakthroughs in the field of multiple sclerosis; we’ll take you inside our state-of-the-art patient care tower, highlighting the donors and volunteers who are bringing it to life; we’ll share the story of a 22-year-old cystic fibrosis patient and her fighting spirit; we also have your favourite features—from book reviews and brain teasers, to fitness tips and life lessons.

This issue of Urban Angel is dedicated to you. Thank you for reading our stories.

Thank you for embracing change. Thank you for affirming St. Michael’s vision of world leadership in urban health. This is a defining opportunity to reimagine patient care.

Sincerely,

Robert Howard, MD, MBA President and CEO, St. Michael’s Hospital Please give at stmichaelsfoundation.com

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IN THE NEWS

UP IN SPACE—AT A COST Y

ou may think it’s glamorous to be an astronaut. Certainly when kids are surveyed, it’s always a top choice. But did you know that venturing into space may come at a cost? St. Michael’s Dr. Yeni Yücel, Director of our Human Eye Biobank for Research, is examining why, on their return from missions, astronauts have poorer vision than when they left.

A condition called vision impairment and intracranial pressure has been found in half the male astronauts who have been into space. The weightlessness they experience may lead to pressure changes in the brain and spinal fluid and actually cause the eyeball to alter its shape. Astronauts like Commander Chris Hadfield routinely do eye tests during missions and record the results. Dr. Yücel and his team are collaborating with NASA to understand what happens in space and what they can do about it. And who knows what other things we can learn about Earth from space?

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A HEALING TOUCH

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t. Michael’s Neonatal Intensive Care Unit (NICU) has launched a program where carefully selected and trained volunteers cuddle infants when their parents can’t be present. Volunteers are encouraged to soothe, sing and read to the babies while holding them. They also help entertain siblings while their parents are caring for their newborn, and provide companionship to families during their time in the unit.

“HOLDING THE BABIES, SEEING THEIR LITTLE FACES REACT AND EYES OPEN IS VERY SPECIAL.” – Volunteer The program builds on the observed benefits of baby cuddling as well as research that has shown health improvements in infants resulting from a caregiver’s touch. According to Amanda Hignell, a social worker in the NICU, “Life doesn’t stop when you have a sick child and families can’t always be here—so our volunteers help and fill in wherever possible.” See news coverage of the program at stmichaelsfoundation.com/cuddle.

OPENING OUR DOORS WIDER A

s you know, Toronto’s Urban Angel provides the same expert and compassionate care to everyone in need. Staff Physician, Family Medicine, Dr. Ashna Bowry is leading a new initiative that emphasizes that welcoming attitude. In December 2015, St. Michael’s opened a new clinic for Syrian refugees in our St. James Town Health Centre.

Dr. Bowry says many of the patients have not received regular primary health care for several years or treatment for chronic conditions such as high blood pressure and diabetes. Some have suffered orthopedic injuries and traumatic injuries such as burns that are common to war zones. You can learn more about the clinic or make an appointment by calling 416.323.6400 ext. 5905. Once again, the Urban Angel is there for all.

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IN THE NEWS

DOCTORS BACK TO SCHOOL

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id you know that many children in what is considered Toronto’s inner city do not have OHIP cards or basic health insurance? That’s what St. Michael’s pediatrician Dr. Sloane Freeman discovered when she was asked to take part in a pilot project to bring health care directly to Sprucecourt Public School in Regent Park, basically in the backyard of the hospital. The pilot, created in partnership with the Toronto District School Board, received a tremendous response from the community, and the demand was so great in the first year that the clinic started to care for students from nine surrounding schools.

BOND, JAMES BOND

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rnst Stavro Blofeld, the supervillain of Spectre, the latest James Bond film, may have his heart set on ruling the world, but according to St. Michael’s Dr. Michael Cusimano, he would never make it as a neurosurgeon.

Towards the end of the film, Blofeld threatens to destroy our hero’s ability to recognize people. But the aim of his robotic drill is off: “In terms of today’s precision brain surgery, the villain was nowhere near the brain,” says Dr. Cusimano, a lifelong 007 fan. “Aiming to erase Bond’s memory of faces, Blofeld correctly identified the lateral fusiform gyrus as an area of the brain responsible for recognizing faces,” says Dr. Cusimano, “but in practice, the drill was placed in the wrong area, where it likely would have triggered a stroke or massive hemorrhage.”

As a result, Bond would have been shaken—and stirred!

“HE WOULD NEVER MAKE IT AS A NEUROSURGEON.” – Dr. Michael Cusimano

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Now, through the St. Michael’s Model Schools Pediatric Health Initiative, children from 20 schools access the clinic, staffed by two pediatricians, a family doctor, a development specialist and a multilingual clinic coordinator. The team has now seen more than 600 children for appointments and follow up, and they are seeing roughly 100 new patients a year. With its success at Sprucecourt Public School, the team has moved into more space in Nelson Mandela Park Public School on Shuter Street, which will help enhance the program. The result will be healthier children and a brighter future for these young Canadians.

NO PAIN—GREAT GAIN! “Accidents can happen to anyone at any time,” says Charlie Atkinson, President of Hewlett Packard Enterprise for Canada.

“Hunting was a way of life in Onaping Falls, now part of Sudbury, where I grew up. When my accident happened, I was barely 15 and out in the woods with my cousin. The odds of an accident are one in a million but that millionth time will change your life.”

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hen we were in the woods, my cousin tripped and dropped his gun. The safety was supposed to be on but, as the gun fell, it hit a rock and a 12-gauge shotgun blast went through my right foot. Only the Kodiak boots I was wearing saved my foot. Following the accident, I had five corrective surgeries, but I remained in constant pain. I was also left with a shortened leg and a cane for a walking companion.

“MANY TIMES I COULDN’T WALK DISTANCES AND AT TIMES EVEN HAD TO USE A SCOOTER—A TOUGH TIME FOR SOMEONE WHO WAS AMBITIOUS AND ACTIVE.” A few years ago, Charlie decided it was time to do something about it. So he did some research to find out who was the best doctor to fix his problem. His search led him to Dr. Timothy Daniels at St. Michael’s. Dr. Daniels and his team performed reconstructive surgery on Charlie’s right foot, and after 30 years of pain and failed treatments, the pain was finally gone.

However, after years of favouring his injured foot, his left had also deteriorated. Dr. Daniels repaired that as well. Now Charlie has no pain, no cane or scooter and a new outlook on life.

Charlie’s research wasn’t wrong. This past fall, the prestigious journal Orthopedics This Week named the Top 16 Foot and Ankle Surgeons in —and St. Michael’s Dr. Timothy North America—and Daniels was one of them.

Head of Orthopedic Surgery at St. Michael’s, Dr. Daniels established our foot and ankle surgery program and is recognized as an international expert in this field.

Dr. Daniels, who is St. Michael’s—and Canada’s—first Chair in Foot and Ankle Research, performs more foot surgeries than anyone else in Canada and more ankle replacements than most places in the world.

Orthopedics This Week said that these 16 physicians “represent standout orthopedic surgeons dedicated to improving the daily lives of their patients” and their peers provided insight into why they were chosen: “Tim is one of the best thinkers in our profession. Every time he stands up and presents a paper, one has to stop and listen. There will be pearls of wisdom that one can use every day. As such, he is one of the most respected teachers in our time.”

Says Charlie, “While some hospitals may be shinier and others have higher profile, none offered the patient experience I received at this hospital. St. Michael’s—and Dr. Tim class.

Daniels—are world class.”

Donors to our Inspire 2018 campaign are helping to build a new 16-bed orthopedic inpatient unit in the Peter Gilgan Patient Care Tower, which will connect with our existing 13-bed unit, enabling us to help even more patients like Charlie.

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A world away…

Visit us in Cambridge, Ontario. One hour west of Toronto.

1.800.268.1898 langdonhall.ca

SMHF_LangdonHall_ad_UA_8.375x10.875_alt4.indd 1

2016-02-26 2:49 PM

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File Name: Langdon H all ‘ A W orld Aw ay ’ ad Pub: UA Magazine Insertion Dates: Spring 2016

CAMPAIGN OVERVIEW

Docket #: Colour: 4C Trim: 8.375” x 10.875” Supplier: Designer: Sandra Damiani 416.483.7110 / s-damiani@sympatico.ca

THE COMPLETION OF OUR INSPIRE 2018 CAMPAIGN! 35 million $2 ng hi ac re , al go n io ill m 10 $2 r ou ng vi ie ch Overa for urgent hospital priorities

Imagine: 17 storeys of shining glass and steel rising up at the corner of Queen and Victoria Streets, packed with state-of-theart space for critical care patients. Boasting seven oversized hybrid operating rooms and an expansive lobby for patients, their families and staff. Imagine: ambulances rush from across the city to a twice-as-large Emergency Department, including an expanded trauma bay, for immediate lifesaving care. That’s the future St. Michael’s, thanks to your many, many gifts that have allowed us to surpass our $210 million goal and achieve a remarkable total of $235 million to complete Inspire 2018—our largest campaign to date.

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INSPIRE 2018 CAMPAIGN TEAM Honorary Chair: The Honourable Margaret McCain Campaign Co-Chairs: Tony Arrell, John Cassaday, William Downe, John H. Tory* Campaign Cabinet Members: Lloyd Barbara, John Barford, Geoff Belsher, Greg Belton, Egizio Bianchini, Julie Di Lorenzo, William Etherington, Anthony R. Graham, Ken Hugessen, Jane Humphreys, the late Patrick Keenan, Patricia Lace, Gerald T. McCaughey, Lisa Melchior, Bill Morneau*, Michael Norris, Thomas C. O’Neill, Timothy R. Price, Dr. Ori Rotstein, Helen Sinclair, Daniel F. Sullivan, Frank Techar, Bill Thomas, Benita Warmbold, Richard Waugh, Darryl White *until elected to public office

From left to right: John Cassaday, William Downe, Tony Arrell, Margaret McCain, Alayne Metrick, Dr. Bob Howard

“ST. MICHAEL’S HAS BEEN LONG BLESSED WITH EXTRAORDINARY VOLUNTEER FUNDRAISING LEADERSHIP, AND NEVER HAS THAT BEEN MORE EVIDENT THAN THROUGHOUT OUR INSPIRE 2018 CAMPAIGN.” – Alayne Metrick, Foundation President Your generosity and support were crucial in meeting this ambitious target. With this special edition of Urban Angel, we pay tribute to those who led the campaign to success, those who gave so generously to achieve success and the remarkable advances in patient care happening now—all made possible by Inspire 2018—in our quest to become the premier critical care hospital in Canada. Thank you!

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The campaign kicked off in November of 2011 when the Government of Ontario announced its support for this muchneeded project. Inspire 2018 would provide the additional funds to realize this transformation and support other urgent hospital priorities, including education and research.

The campaign was underway! We were able to recruit an extraordinary team of fundraisers, led by campaign Co-Chairs Tony Arrell, John Cassaday, William Downe and John H. Tory (who stepped down following his election as mayor of Toronto), supported by Honorary Co-Chair Margaret McCain and a truly dedicated cabinet. All have been longtime leaders with the hospital foundation who have shown time and again their commitment to what makes St. Michael’s special.

ST. MICHAEL’S IS MY HOSPITAL OF CHOICE. THE PHYSICIANS AND STAFF ARE SO WARM AND SENSITIVE TO YOUR NEEDS—IT’S A PLEASURE TO SUPPORT THEIR WORK.” – Peggi, donor The Inspire 2018 campaign has attracted gifts from across the spectrum of the St. Michael’s family. For example, Peggi Milgram has given a number of gifts to recognize excellent care from St. Michael’s, while Sara Ritchie is a first-time donor. Peggi, Sara and a multitude of other donors endorsed the essence of Inspire 2018, which is to give this great hospital the tools to save more lives.

During the early stages of Inspire 2018, the campaign cabinet secured a series of remarkable gifts from a large number of individuals, companies and foundations. The major naming gifts include: Peter Gilgan Patient Care Tower, $30 million Canada’s top homebuilder invested in the new tower to improve care throughout the hospital with the single largest gift in our history. With this new tower, we will have the capacity, the right equipment and the right facilities to provide the best critical care in Canada.

Element Financial Atrium and Way, $15 million One of North America’s leading fleet management and leasing companies, Element Financial led the way for other corporate donors with the biggest corporate gift in the hospital’s history, supporting vital public spaces in the renewed hospital.

Slaight Family Emergency Department, $10 million The Slaight family’s remarkable gift will allow our Emergency Department to double in size to create a best-in-class facility for people in need of care, including trauma patients from across the province.

“I WAS SO IMPRESSED WITH MY CARE HERE, ON SO MANY LEVELS, THAT I REALLY WANTED TO GIVE BACK. THANKS ST. MICHAEL’S!” – Sara, donor

WORK NOW ADVANCING QUICKLY If you drive by on Queen Street you’ll see the frame of the tower climbing floor by floor to match and link into the 17-storey Cardinal Carter Wing. Less visible are the interior renovations to the Donnelly Wing, which will allow us to clear the Cardinal Carter lobby for the expanded Slaight Family Emergency Department—think of where the statue of St. Michael currently stands. The walk-in section of the Emergency will occupy the new Shuter Wing on the northeast corner of the campus—that’s right, the 1912 Shuter Wing will be demolished in 2018. The new two-storey base will accommodate future expansion upward.

Tim and Frances Price Medical Surgical Intensive Care Unit, $5 million Tim and Frances Price and colleagues through the Brookfield Partners Foundation have given to the largest ICU in the hospital, allowing us to create large, single rooms for optimal care of very ill patients.

Geoffrey H. Wood Foundation Respirology Unit, $5 million Named to honour the memory of this Companion of the Canadian Business Hall of Fame (1987), this gift will create a state-of-the-art inpatient floor for our respirology patients for the best in infection control and comfort, especially suited to our cystic fibrosis population.

We also thank the innumerable donors who have already supported us. Know that gifts of every size are welcome and important in our goal to become Canada’s premier critical care hospital.

THANK YOU! Imagine: new inpatient facilities for flagship programs that will double the number of single rooms in the hospital, seven state-of-the-art hybrid operating rooms and a real front door, thanks to the Peter Gilgan Patient Care Tower.

Imagine: a new, twice-as-large Emergency Department, thanks to the Slaight family, for our ever-expanding patient volumes. All to treat patients whose lives hang in the balance.

On behalf of the campaign cabinet, the staff and physicians at St. Michael’s, and most importantly, the hundreds of thousands of patients we treat each year, thank you to all of our donors for completing this historic campaign. Your generosity is outstanding: through your gifts, now and in the future, we will become the premier critical care hospital in Canada and save even more lives. Thank you!

“ST. MICHAEL’S IS SO VERY GRATEFUL FOR THESE EXTRAORDINARY GIFTS, WHICH WILL TRANSFORM OUR HOSPITAL. I’M ALSO PROUD THAT 100% OF MY PHYSICIAN COLLEAGUES SUPPORTED THIS CAMPAIGN—FOR THE THIRD TIME. EVERY GIFT COUNTS AND MAKES A DIFFERENCE. THANK YOU TO ALL WHO MADE A COMMITMENT TO THE FUTURE OF ST. MICHAEL’S!” – Dr. Bob Howard, President and CEO Please give at stmichaelsfoundation.com

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PATIENT STORY

TARA BOURQUE’S BATTLE WITH CYSTIC FIBROSIS

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ara Bourque remembers the panic she felt when she was told she needed a double-lung transplant to save her life. The social 17-year-old, actively dedicated to sports and friends, was fresh into her first year of university when her lung function began to rapidly deteriorate. Without warning, getting out of bed, showering and brushing her hair left her desperate for air. “I didn’t know what was happening. I was struggling to cross the street, let alone walk across the campus to the cafeteria from my residence.”

Tara was just 14 months old when she was diagnosed with cystic fibrosis, the most common fatal genetic disease in Canada.

But up until now, she had been spared the impact of the complications associated with the disorder. “I never really thought about it. I was always pretty healthy,” she says. One in every 3,600 children in Canada is born with the defective gene which produces a buildup of thick mucus that clings to the lungs and can lead to life-threatening infections.

“TARA WAS THE SICKEST CYSTIC FIBROSIS PATIENT I HAD EVER SEEN FOR THE FIRST TIME.” – DR. TULLIS When her symptoms worsened, Tara was taken to St. Michael’s Hospital to see Dr. Elizabeth Tullis, Director of the Adult Cystic Fibrosis Clinic, who is internationally renowned as a leading researcher on the disease. By that point, Tara’s weight had dropped to 78 pounds and her lung function had diminished. “Tara was the sickest CF patient I had ever seen for the first time,” recalls Dr. Tullis. After performing an initial assessment, she immediately paged for an oxygen tank and told Tara that she would need to spend the next few months in hospital.

During her stay, the St. Michael’s team discovered that Tara was in urgent need of a double-lung transplant. “That was the first time a transplant had really crossed my mind,” she recalls. “To be told this was devastating. I was in complete denial.” Tara was warned that the risks of foregoing the procedure could be deadly, but she was still reluctant to proceed.

Dr. Tullis started to panic. “I thought, ‘if I don’t convince Tara that this is important, she could die.’ My dilemma was: how do I tell her she needs surgery to survive without scaring her?

How do I get her to trust me?”

“IF I DON’T CONVINCE TARA THAT THIS IS IMPORTANT, SHE COULD DIE.” – DR. TULLIS

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PATIENT STORY Tara needed time to think, so she went home to Sarnia, Ontario, to spend the holidays with her family. “That was my way of taking control of the situation,” she says. But the festivities she used to love left her exhausted and unfulfilled.

“Socializing, food, gifts—I didn’t enjoy a moment of it. I had no interest in talking to my friends or family,” remembers Tara, whose boyfriend had to carry her up and down the stairs. “That’s when I realized just how sick I was.”

“ST. MIKE’S WAS CONCERNED ABOUT ME FROM DAY ONE.” – TARA It was a wake-up call that impelled her to return to St. Michael’s to prepare for the surgery. “St. Mike’s was concerned about me from day one. They made it clear that it was critical to focus on my health,” says Tara, crediting Dr. Tullis’s persistence.

“The staff was incredible. They were so thoughtful and kind.

They really cared about me as a whole, not just my disease.”

After just 11 days of waiting, Tara was told that a pair of lungs had arrived at Toronto General Hospital. Her outlook has transformed since the surgery.

“MY HEALTH AND QUALITY OF LIFE STILL AMAZE ME COMPARED TO THE DAYS WITH MY CYSTIC FIBROSIS-RIDDEN LUNGS. I DON’T SWEAT THE SMALL STUFF ANYMORE.” – TARA Tara is one of 480 patients who belong to St. Michael’s renowned Adult Cystic Fibrosis Clinic, which is the largest of its kind in North America. “Tara is the best example of this amazing group of patients who, despite having a very busy life with all their treatments, still has time for a full life—a life that she was not ready to give up,” says Dr. Cecilia Chaparro, a respirologist with a cross appointment at both St. Michael’s and the Toronto Lung Transplant Program, who has followed Tara since her evaluation for transplant in October 2011.

after people with cystic fibrosis. We now have new drugs that contribute to improving survival and fixing the basic defect before the downstream consequences occur. The future is promising,” she adds. Dr. Anne Stephenson, a respirologist and researcher at St Michael’s, has recently published the results of survival analysis showing that the median age of survival for Canadian cystic fibrosis patients has been on an upward trend—recently surpassing 50, which is the highest in the world, and 10 years more than the US median age of 40.

“EVERYBODY HAS DAYS WHEN THEY FEEL DOWN AND THEY FEEL UPSET, BUT MY MAIN FOCUS IS NOT TO BE SOMEONE WHO ASKS ‘WHY ME?’” – TARA Now 22, Tara is faced with the reality that she will likely need a second double-lung transplant later this year. But she doesn’t want people to feel sorry for her. She doesn’t want to be treated differently. She never has. “Everybody has days when they feel down and they feel upset, but my main focus is not to be someone who asks ‘why me?’”

Despite her declining lung capacity, Tara still finds the strength to play volleyball twice a week.

“It’s so humbling to see these young people who are brave without knowing they’re brave,” says Dr. Tullis, referring to Tara as a dynamo. “You’d think that being born with a genetic disease and being sick all your life would make you grumpy or miserable, but it’s just the opposite. They’re funny. They’re tough. They’re determined. They have cystic fibrosis, but that’s not what defines them.”

Tara remains focused on the future. She plans to graduate from college this spring. She plans to one day marry her longtime boyfriend. She plans to continue inspiring fellow cystic fibrosis fighters. “If we keep raising awareness and keep the funds coming for research, I have no doubt that we’re going to breathe easier and finally find a cure.”

In a period of eight months, Tara has lost 10 friends under the age of 25 to cystic fibrosis. She refers to every one of them as a warrior. “We’re a different breed of people, the way we think and do things,” she says. It’s what’s driven her to become a motivational speaker and fierce advocate for organ donation. “I say to every parent with a newly diagnosed child that this is the best time to be diagnosed with cystic fibrosis.”

“She’s right,” says Dr. Tullis, who played an instrumental role in bringing a groundbreaking drug that treats a rare form of cystic fibrosis to Canada. “It’s an exciting time to be looking

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Tara Bourque and her University of Guelph classmates. “We’ve remained friends and are all graduating together this year. They’re one big family to me–a great support group,” says Tara.

MEET DR. ELIZABETH TULLIS VisuaL renDerinG of the new GeoFfrey H. Wood FouNdAtiOn ResPiRolOgy Unit corrIdor

SNEAK PEEK OF THE FUTURE: GEOFFREY H. WOOD FOUNDATION RESPIROLOGY UNIT The sixth floor of the new Peter Gilgan Patient Care Tower, to be built at the northeast corner of Queen and Victoria Streets in downtown Toronto, will house the Geoffrey H. Wood Foundation Respirology Unit.

This modern facility will consist of 15 rooms designed for patients who have a variety of complex lung conditions. Since cystic fibrosis patients are at greater risk of acquiring infections, all inpatient rooms will be private with individual washrooms and showers.

“This new unit will facilitate state-of-the-art care,” says Dr. Tullis.

AS HEAD OF ST. MICHAEL’S DIVISION OF RESPIROLOGY AND DIRECTOR OF THE ADULT CYSTIC FIBROSIS PROGRAM, DR. TULLIS HAS MADE GREAT STRIDES TO IMPROVE THE LIVES OF HER PATIENTS. With the generosity of St. Michael’s donors, Dr. Tullis was appointed the first Cystic Fibrosis Canada Chair in Adult Cystic Fibrosis Research last year. The five-year, $1 million chair supports research and innovation in care for adults like Tara. Dr. Tullis hopes to accelerate the pace of treatment and discovery in her field, with the ultimate goal of finding a cure. “It’s a complex disease that’s challenging from an intellectual point of view. It keeps me thinking. It stimulates me. It’s all about ‘how do we help this person live a longer, better life?’”

“IT’S AN EXCITING TIME TO BE LOOKING AFTER PEOPLE WITH CYSTIC FIBROSIS. THE FUTURE IS PROMISING.” – DR. TULLIS

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UNDER THE MICROSCOPE

A ST. MICHAEL’S FIRST IN CRITICAL CARE

SAVING KIDNEYS. SAVING LIVES.

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C

ime is of the essence for a patient suffering from massive blood loss. For St. Michael’s trauma care team, which treats patients from across the province who arrive by ambulance or helicopter, every effort must be made to control or stop the bleeding first.

St. Michael’s blood lab is using an innovative test known as the rotational thromboelastometry or ROTEM® to help clinicians quickly determine the most appropriate clotting product. St. Michael’s is the first hospital in Canada to use this test in a clinical environment. Other facilities are looking to St. Michael’s for insights into how best to implement ROTEM® clinically.

“ROTEM® has improved the way we care for patients suffering from massive bleeding. We no longer have to wait for multiple tests to be run or guess which clotting products may work,” says Dr. Sandro Rizoli, Trauma Director at St. Michael’s. Previously, the trauma team would have to rely on a “one size fits all” approach to stopping bleeding. ROTEM® allows physicians to be more targeted in their approach to stop bleeding and save lives while wasting fewer blood clot components.

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onditions affecting kidneys such as diabetes and high blood pressure can cause organ scarring and failure. St. Michael’s nephrologist Dr. Darren Yuen explains, “If we could figure out who has a lot of scarring, we could treat these patients more aggressively.” Needle biopsy is the current “gold standard” for assessing kidney scarring. However, biopsies can create discomfort for the patient and only sample a small area of the kidney, making it difficult to get a complete picture of how much of the organ is affected.

Dr. Yuen teamed up with Medical Imaging specialists Dr. Anish Kirpalani and Dr. General Leung to study the use of magnetic resonance imaging (MRI) to detect scarring in transplanted kidneys, which are also prone to scarring, without risk to the patient.

“We’ve already tested this technique in more kidney transplant patients than anywhere else in the world,” says Dr. Kirpalani. He adds, “If we’re able to detect scarring more accurately, we may be able to better guide how kidney transplant patients are treated early on and improve their long-term outcomes.”

S OPTIMAL HEALTH FOR ALL CANADIANS

t. Michael’s Centre for Research on Inner City Health generates practical solutions to the health problems created by poverty. The Centre houses some of the best research scientists in the world who focus on urban health solutions.

One important project under development at the Centre involves improving the health of Canada’s aboriginal and indigenous people. Under the direction of Dr. Janet Smylie, a recognized expert in the field of indigenous health and one of Canada’s first Métis doctors, the Centre will trial a new and innovative training program for front-line health-care providers.

Through education, this project will address the systemic issues in the health-care system that prevent equal access to health care.

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PLEASE INVEST TODAY 416.864.5000 stmichaelsfoundation.com SMHF_TheFinalPiece_UA_ad_8.375x10.875.indd 1

2016-03-02 7:55 PM

2:58 PM

It’s not that I’ve done anything fabulous; I’ve done what I would want others to do for the people I love.

THE

of St. Michael’s

Docket #: Colour: 4C Trim: 8.375” x 10.875” Supplier: Designer: Sandra Damiani 416.483.7110 / s-damiani@sympatico.ca

File Name: SMH F ‘ T h e Final Piec e’ ad Pub: UA Magazine Insertion Dates: Spring 2016

– Ella Ferris

A mentor to her peers and a miracle worker for her patients, Ella Ferris exemplifies the spirit of St. Michael’s. Throughout 43 years of dedicated service, Ella has been a model of compassionate care, demonstrating the importance of human dignity in everything she does. With her finger on the pulse of a sector in flux, Ella had no qualms about challenging the status quo to elevate standards of care to new heights. “It’s hard to imagine a St. Michael’s without Ella Ferris,” says President and CEO Dr. Bob Howard.

“Her efforts have made us strong and her mentorship has prepared our young leaders for the next generation of care.”

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Ella was just 14 when she accepted a summer job working in St. Michael’s kitchen. “When I started delivering meals to patients, I really felt that this was a place I could be happy working for a long time,” says Ella, who graduated from the hospital’s nursing program in 1972. Since then, she’s been a Manager on the General Internal Medicine and Intensive Care Units, Director of the Heart and Vascular Program, received her MBA, became an Assistant Professor of Nursing at the University of Toronto, and capped off her career with a decade-long role as Executive Vice-President of Programs and Chief Executive, Nursing and Health Disciplines Executive.

After four ella ferris says farewell WHAT COMPELLED YOU TO STAY AT ST. MICHAEL’S FOR MORE THAN FOUR DECADES?

WHEN YOU REFLECT ON YOUR CAREER, IS THERE A DEFINING MOMENT THAT STANDS OUT TO YOU?

There really is a magic about St. Michael’s. There’s a sense of purpose, a sense that one human being can always make a difference in another’s life. We all benefit from that. We all have that personal power. And it’s really, truly lovely.

In 1992, St. Michael’s was in a financial crisis along with the rest of the province. Our leaders were forced to make some really difficult decisions. As a result, 40% of management roles were eliminated, including mine. While some hospitals decided to lay off nurses and health professionals, St. Michael’s chose to keep the dollars at the bedside. For me, this was one of those life-changing moments. As tough as it was to lose my job, I respected that decision. I knew right then that I wanted to stay and work here, because this organization puts patients first. I reapplied at the next opportunity and became Manager of the Intensive Care Unit. That patientfirst philosophy has served as a guiding principle ever since. Whenever I’m faced with a difficult decision, I ask myself, “Will this enable the care of our patients?”

YOU’VE BEEN PRAISED FOR YOUR COMMITMENT TO COMPASSIONATE CARE, WHICH IS AT THE FOREFRONT OF ST. MICHAEL’S MISSION AND VALUES. WHAT DOES COMPASSION MEAN TO YOU? I think if you’re in any service industry you need to be able to see the world through the eyes of those you work with and those you care for. Compassion means that you can step into that person’s world for a little while and try to help them wherever they are, not where you think they should be.

Ella has been such an integral part of the soul of St. Michael’s over her extensive career at the hospital.

As a passionate advocate for patients and their families, she has touched innumerable lives over the decades.

She has also always understood and supported the role of the Foundation in improving this great hospital.

Ella, your legacy will endure in the collective memory of this hospital, guiding and improving how we treat and care for our patients. Thank you! – Alayne Metrick, President, St. Michael’s Foundation

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WHAT’S THE SECRET TO BEING A GOOD LEADER?

WHAT LEGACY DO YOU HOPE TO LEAVE?

As a leader you have to listen to the people you work with.

I’ve spent a lot of time walking through St. Michael’s and asking people, “What are you worrying about that I should be worrying about? How can I help?” We sometimes forget to ask these questions. If someone comes to me with a problem, I start by asking, “If I wasn’t here, what would you do to try to solve this problem?” Nine times out of 10 they have a better answer than I do. Really good leaders don’t direct, they facilitate. A leader’s number one job is to support their staff to reach their full potential.

I would like to be remembered as a transformational leader who always put people first; someone who valued every person who worked at St. Michael’s; someone who truly understood the strong link between caring for our physicians and staff and achieving our goal of high-quality patient care. In addition to this, I would want to be recognized as a health-care leader who advanced provincial health system integration in Cardiovascular, Neurosurgical, Trauma and Critical Care services.

WHAT’S YOUR VISION FOR THE FUTURE OF HEALTH CARE IN CANADA AND THE NEXT ERA OF CARE AT ST. MICHAEL’S?

WHAT’S YOUR MESSAGE TO THE NEXT GENERATION OF ST. MICHAEL’S?

I tell everyone that I wish I were 20. I think this is the best time to be working or to be a leader in health care.

Now, more than ever, we are having explicit discussions about how to engage patients and families, to ensure safe transitions in care across the continuum. That excites me for the future of health care as a system, and it excites me for the future of St. Michael’s. Our initial reason for existing in 1892 has not changed. When the government agreed to redevelop St. Michael’s Hospital in the heart of the city, it was a public declaration that we are valued in the provincial health-care system and we are here to stay.

Be there. Be there for people when they need you. It all comes back to the philosophy of paying it forward.

How do you want to be treated? It’s the golden rule, which was actually the nursing school’s motto: “Do unto others as you would have them do unto you.”

It’s not that I’ve done anything fabulous; I’ve done what I would want others to do for the people I love.

HOW WILL ST. MICHAEL’S INSPIRE 2018 CAMPAIGN TRANSFORM PATIENT CARE? The new Peter Gilgan Patient Care Tower and the redevelopment of St. Michael’s campus will create an energizing, innovative environment focused on patients and their families.

When you give people a work environment that aligns with their skills, knowledge and passion, you’re going to have great success. I love the word “Inspire” because people here really are inspired by the work they do and those they care for.

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TECH TALK We all love knowing about the latest technology, the hottest gadgets, to make life easier—or at least more interesting. Technology is ever-changing; as we know at St. Michael’s, there are always newer and better tools to help us get the job done.

“Research has shown that using the appropriate technical tools or smartphone apps can benefit your health,” says Dalton Charters, Director, Research Operations, St. Michael’s. “There are a number of devices and apps that can help you reduce stress, get more exercise, take control of your diet and reduce your exposure to allergies.”

We surveyed the market and found five of the most interesting “tech toys” available. If you are interested in the latest and the best in tech-stuff, or you want to impress your friends, or gain “cool cred” with your kids, here are some suggestions for gadgets that will help you keep on track with food, get the best rest and take the best photos.

GETTING THE BEST REST An alarm clock and a sleep-cycle tracker, Sleepbot records your movements, sleep talk, snoring and wake patterns. Based on your sleep performance, it will recommend how you can improve the quality of your sleep. For infomaniacs, Sleepbot provides trend graphs going back six months that chart sleep times, wake times, sleep length and sleep patterns.

WORRIED ABOUT GLUTEN? “The effects of allergies and food sensitivities can range from mildly upsetting to life threatening. That’s why it is essential to know what your system can and cannot process,” says Karen Gaunt,, Clinical Leader Manager, Emergency, St. Michael’s.

Many people nowadays are gluten intolerant and don’t want to be surprised.

Here’s a way to ensure complication-free eating. The Nima Sensor will reveal the presence of gluten in a few minutes. Drop in a sample, and if there’s gluten, a frowning face lights up; if it’s clear, a smile appears.

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Try them and tell us what you think at stm

WAKE UP AND SMELL THE COFFEE —OR THE JUNGLE! Imagine being awakened by the scent of chocolate or peppermint or the smell of the sea. Sensorwake is an alarm clock for your nose. No jarring sounds, just your choice of scent to start your day as pleasantly as possible. And for those days when your nose is stuffed, there’s a back-up alarm to make sure you’re out of the house on time.

IF CALORIES ARE A CONCERN MyFitnessPal is a mobile app and website that provides the tools for tracking what and how much you eat, and how many calories you burn each day through activity. It’s easy to manage and is equipped with a large database of food and drink. With the MyFitnessPal app, you can monitor what you eat at any time and wherever you are.

WORTH A THOUSAND WORDS Life doesn’t have to be a blur. Flash back to your favourite memories with a camera that captures perfect panoramas, even when you move. Use your smartphone as a second lens to see what your camera sees and control it with a tap of your finger. Get a grip on time with the DJI Osmo 4K Camera W/3 Axis Gimbal.

k at stmichaelsfoundation.com/contactus

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WINNIN CHARLIE SHEEN

THE BATTLE AGAINST HIV

Nothing grabs the public’s attention quite like the captivating lives of celebrities.

So when actor Charlie Sheen began acting outlandishly in 2011, the story made headlines. At the time, he uttered his now-famous and perplexing statements about “winning” and having tiger’s blood coursing through his veins. He was suggesting that he was somehow immune to ill health.

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In November 2015, Sheen made headlines again, this time for announcing that he was, after all, vulnerable to getting sick and had in fact contracted HIV. The announcement was a jarring reminder that this virus, which is deadly if not brought under control, continues to spread.

“I’M DIFFERENT. I HAVE A DIFFERENT CONSTITUTION… I GOT TIGER BLOOD, MAN.” – Charlie Sheen Sheen discovered he was infected only after developing symptoms that included difficulty swallowing and severe headaches. He was quickly put on powerful antiviral medication that reduced his viral load down to undetectable levels and brought his condition safely under control. Dr. Sean Rourke, a St. Michael’s neuropsychologist and international leader in HIV research, notes, “Sheen’s case has helped raise awareness about the importance of detecting infections early through regular testing—especially when people are at high risk—and, if necessary, receiving medical treatment to stay healthy and prevent the spread of this virus.”

ING “THE GOOD NEWS IS THAT PEOPLE WITH HIV WHO ARE IN CARE ARE DOING WELL.”

“ENSURING THAT VULNERABLE PEOPLE LIVING WITH HIV ARE ACCESSING REGULAR HEALTH CARE IS VITAL TO ACHIEVING OPTIMAL OUTCOMES.” – Dr. Sean Rourke Overcoming the threat of HIV requires that everyone be educated about, and have access to, preventative and treatment options. That’s why St. Michael’s provides total HIV care and services through the Positive Care Program.

Through his research, Dr. Rourke has also called attention to making sure HIV services reach our most vulnerable members of society, who are more likely to be living with HIV but less likely to be receiving the necessary care.

“The good news is that people in care are doing well,” said Dr. Rourke. He added, “The bad news is that there still are some gaps. Ensuring that vulnerable people living with HIV are accessing regular health care is vital to achieving optimal outcomes.”

Ontario is nearing an important milestone in its ambitious goal to end the AIDS epidemic. By 2020, it is expected that 90% of all people in this province living with HIV will know their HIV status. They will be receiving sustained antiretroviral drug therapy and have very low or undetectable levels of the virus, which prevents the virus from infecting others. To help us get closer to 100% success, Dr. Rourke says, “innovative and pragmatic solutions are needed to prevent all groups from falling between the cracks.”

Asked once why he did not believe he was vulnerable like other people, Sheen said, “I just didn’t believe I was like everybody else. I thought I was unique.” His subsequent infection with the virus is a vivid reminder that, when it comes to HIV, we are all vulnerable. Nevertheless, with greater awareness and access to care we can beat this decades-old scourge.

– Dr. Sean Rourke Please give at stmichaelsfoundation.com

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C CnBio_Name N m •U Urban Joseph • Robert G G. Josse • Kamel m S. Kamel m • Patrick J. Keenan • Joanne I. Kelly • Eddie C Chan • M Michael Kolton • Jarley Koo • Richard H H. Krempulec m •G Goulding Lambert m • Florence Lavinski • H Hilda Law w • Karen W Weyman m • Lawrence w A. Leiter • Thomas A m A A. Leon • Peter T. Leung • Susan G G. Levesque • Simon m Lewis w •C Choy M MacLellan • James m L. M Mahoney • Thomas m R. M Marotta • Brenda J. M McDowell D w • Lois H H. M McDowell D w • Sandra G G. M McGuire G • SMH MH D Department m of M Medicine • Filomena m M. M M Meffe • N Norma m M Melara • C Chris M Milne • W Walter J. M Montanera • Terrence L. Moore • E. M M Margaret M Morris • SMH MH D Division of N Neurosurgery • A Anh Thi N Nguyen • SMH MH A Anaesthesia Services • A Anonymous m •A Andrew w J. Baker • Jeffrey Baker • N Neil W W. Baker • Lloyd G G. Barbara • M Meridian Securities International Limited m • Peter A A. 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Price • Joan Primeau m • Jadwiga w Sedlar • Rosemary m C. Rathgeb • C Trevor I. Robinson • C Catherine G G. Ross • H Heather A A. Senst • Rachel Shupak • A Arthur Slutsky • Lawrence w Snook • M Margaret Rita Sprague • Elisabeth Squires • D Dennis R. Starritt • Brian D D. Steinhart • John D D. Stohn • John E. C Cleghorn • D Daniel F. Sullivan • M M. Bernard Syron • Sandra Tang • Jerome m M M. Teitel • Susan Thompson m •M Margaret A A. Thompson m • Richard M M. Thomson m •G Gail Todgham m • John H H. Tory • James m P. W Waddell • M Marjorie W Waters • W William m J. W Watson • W William m J. W Weiser • C Carolyn J. W West • Russell W Whittier • Robert C C. W Williams m •A Anthony W Wong • Richard Yu • A Arthur H. Zalev • Robert J. H H Harding • Robert L. M McLeish • G Georgette H H. H Helou • Sylvia G G. H Herbinson • Paul H Higgins • V Victor H Hoffstein • John H Holland • N Nadiene M M. H Holodiuk • Joan P. H HoSang • Robert J. H Howard w • Kenneth N N. H Hugessen • Trygve H Husebye • C Colleen Johnston • D Dennis W W. Jones • Agnico Eagle M A Mines Limited m • BMO MO Financial G Group • Blake, C Cassels & G Graydon LLP • C Carpenters’ U Union, C Central O Ontario Regional C Council • CGC C Charitable Foundation • D Davies W Ward Phillips & V Vineberg LLP • D Deloitte • SMH MH D Department m of O Obstetrics/Gynecology G • SMH MH D Department m of M Medical Imaging m • ED D Stewart’s w Garage & Equipment G m Ltd • E.W. W Bickle Foundation • Extendicare C Canada Inc. • D DTZ • KPMG MG LLP • Leon’s Furniture Limited m •M Mother Parker’s Tea & C Coffee Inc. • IA AC Clarington Investment m Inc. • BMO MO C Capital M Markets • Jeffrey S. Zaltzman m • Power w C Corporation of C Canada • RBC CC Capital M Markets • Rogers C Communications mm Inc. • Rotary C Club of Toronto C Charitable Foundation • The Sam m Sorbara C Charitable Foundation • D David A A. Latter • SMH MH D Department m of Laboratory M Medicine • St. M Michael’s O Orthopaedic A Associates • SMH MH D Department m of Surgery • Scotiabank • The Joan and C Clifford H Hatch Foundation • Sobeys Inc. • TD D Bank G Group • Toronto Police A Association • U United W Way of G Greater Toronto • W Winnie W Wong • Zoltan Lengyel • Burgundy A Asset M Management m Ltd. • M Michael N N. M Melanson • Rita M M. Leddy • D David T. W Wong • Shoppers Drug M D Mart C Corporation • Ignazio La D Delfa • John M M. C Cassaday • Shaun G G. G Goodman m •D Douglas Bradley • H Heather M M. Reisman m •H H. A Anthony A Arrell • O OPG G Employees’ m and Pensioners’ C Charity Trust Fund • Jean E. Robison • Simon m A Abrahamson m •D Danny W W. M Marcuzzi • G Gordon W W. M Moe • James m H. O H Oestreicher • Eduarda C Calado • M Manulife Financial • State Farm m Insurance • G Granville H H. N Nickerson • Lee Errett • Bailey M Metal Products Ltd. • O OBS/Gyne G Associates (SMH) A MH • M Marcus J. Burnstein • SMH MH Psychiatric A Associates • Laurie A A. G Goad • G Gary Slaight • Suzy Brenninkmeyer m • Janet Lindsay • M Mildred Syron • D Donna Slaight • Simon m E. H Hirsch • Thomas m C C. O O’Neill N • Bruce G G. G Gray • D Dale E. G Gray • Rashida H Haq • Karl T. Iglar • James m M M. Kitchens • Philip A A. M Marsden • Richard A Alway w • Juan C C. M Monge • Richard E. W Waugh • A Anthony R. G Graham m • Francis A A. A Archibald • St. C Clair McCabe M C •M Maria A Allgeier • M Michelle Lonergan • D Daniel Bonneau • Barbara Toivanen • Bataleur Enterprises Inc. • G G. W Wallace F. M McCain C •C Christopher M Martin • W William m E. Barnett • Ronald Besse • D Dermot m G G. C Coughlan • G G. M Mark C Curry • M Miguel L. C Childe • RBC C Financial G Group • The KPMG MG Foundation • C Connor, C Clark & Lunn Foundation • L. A Alayne M Metrick • Ernst & Young LLP • Julia Spence • Jeannette M M. G Goguen • Laurie K. G Green • M Myrna Lichter • Sharon M Mintz • Jack L. C Cockwell w •G Gabriel Tsampalieros m •C Christine M M. French • Shaw w Fujima m • Fidelity Investments m Canada C ULC U C • Jane C Cooke-Lauder • G Glenn B. H Hunnings • U University of Toronto • Birte C Chlumecky-Bauer m • Borden Ladner G Gervais LLP • SMH MH Emergency m Physicians A Association • Rose Pirri • Jeffrey S. Leon • H Hanne Jensen • Paul Ferris • R. John J. H Honey • A Alan Berger • Larissa D Derzko-Dzulynsky D • Peter V Vadas • C Canadian Imperial m Bank of C Commerce mm •M Myron G Garron • Louise R. Perlin • Stephen W W. Hw Hwang • Young-In J. Kim m•G Gyl M Midroni • Lillian Tanizaki • C Corus Entertainment m Inc. • G Guardian C Capital G Group Limited m • Timothy m R. D Dowdell w • Lyne N Noel de Tilly • Philip B. Berger • Elizabeth B. C Crawford w • The Brookfield Partners Foundation • A Anthony Seljak • C Claude R. Lamoureux m • Bok C Chan • The G Geoffrey H H. W Wood Foundation • D David H H. Fitchett • V Valerie L. Palda • Larry Bertuzzi • Peter N N. Liu • Elizabeth C Comper m • Beatrice C Crawford w •D Darka G Griffi ffin • A Allan F. W Waters • A Annette N. Jones • A N Anne A Arrell • Ruth da C Costa • M Melitta Bumeister m •H Helen M M. G Graham m • Franz A Allgeier • Peter N N. Borst • Barbara Besse • A Ann C Curry • Estate of Rudolf Bernhardt • Toronto Foundation • N Nelmar m D Drywall w C Company m Limited m •D Daniel C C. C Casey • F. A Anthony C Comper m • Jill D Denham m•A Ada Slaight • D Doug Todgham m • Robert Franklin • KPMG MG • Patricia L. M Martin • Rosemary m McIntosh • Elizabeth Lambert M m • Bradley W W. Kates • N Neeru G Gupta • Jean Sicinski • Sue Penny • D Douglas L. D Derry • Stikeman m Elliott • Lorne R. Barclay • Fairfax Financial H Holdings Limited m •M Monica A Avendano • Joseph Bruni • W Wing C Chow wC Chan • A Albert C Cheskes • M Michael Easterbrook • Peter K. G Girschek • A Anthony F. G Graham m • Gw Gwenderlyn Jansz • G Gabor Kandel • A Abraham m S. Katz • Paul Kortan • C Christopher F. Kranemann m • Richard Levene • N Norman m M Marcon • Katherine D D. Rouleau • Susan M M. Shepherd • Elizabeth Tullis • Thea M M. W Weisdorf • Richard H H. G Glazier • H Hans Brenninkmeyer m •C Cheng Tao W Wang • Patricia M M. W Windrim m•W Woon Jan M Moe • Susan Q Quaggin • Rajesh G Gupta • Robert H H. H Hyland • C Catherine H Hyland • W W. G Gordon Squires • Jacob H H. Schneiderman m • Hw Hwan S. Joo • Cynthia C C Collantes • Thomas m A A. Patterson • Beth L. A Abramson m • Kevin G Gough • Am Amir K. H Hanna • D Dominic m (Sun-Kuen) S. N Ng • Louise V V. DA D’Andrea • M Marie Barbara • Barbara J. V Vari • Peter H Higgins A Architect Inc. • O Onex C Corporation • M Maxims m Limited m Partnership • D Doreen J. C Campbell m •G Gerald J. Shear • Paul Koster • Joan M Moore • Ian G G. C Cockwell w •O Ontario A Acoustic Supply Inc. • Ronald C C. D Douglas • G Geri Lea Russett • The T.R. M Meighen Family m Foundation • RBC C Foundation • Lois Q Quinn • D Dianne C C. Stentaford • M Marika J. H Hohol • Sally Forrest • John M M. Bohnen • A Alexander H Hurst • Lawrence w Enkin • W William mD Darrah • M Margaret M McCain C • John B. M MacIntyre • M Mario O Ostrowski w •N Nicholas Forrest • N Nadine Bell • G Gloria C C. Buckley • D Desmond m Glynn • M G McKinsey & C Company m Canada • M C Maple Leaf Sports & Entertainment m Ltd. • N National Bank Financial G Group • TD D Securities Inc. • Filiberto A Altomare m •D Donna O Ouchterlony • V Vanna Schiralli • W William m F. Sullivan • Sandra E. Jelenich • Robert C Chen • Terrence Leon • Laura H Hans • Leah Steele • Patricia Yee-Ling C Chang • Jon V Venutti • A Abbas G Ghavam-Rassoul m •C Catherine Longley • Jennifer L. M McCabe C •G Glen Bandiera •W Wayne L. D Deitel • Am Amy K. Freedman m •G Gordon A Arbess • Philip A A. M McFarlane • N Nancy N N. Baxter • Robbie J. Pryde • H Helen K. Sinclair • Lorne E. H Hall • A Anthony G Gagliano • The BLG G Foundation • N Norton Rose Fulbright C Canada LLP • G Gerald W W. Schwartz w • Jane M Morton • M Mary T. Blair • G Grace P. Jordan • D Douglas D Davis • James m Raymond m Cowling C w Foundation • Evelyn E. M Martin • M Michael J. Thompson m •M Marie E. Faughnan • V Victoria Korley • Laurence A A. Rubin • Robert Rottapel • M Martin Schreiber • M M. Elaine H Hamilton m • Yveline A Audemars m • TLN N Telelatino N Network w Inc. • Lynda Prince • Linda M M. W Woods • Lynda N N. D Douglas • SMH MH Physicians’ A Association • Sharon Latter • N Nancy M Mulvihill • Saroja N Narasimhan m • Richard E. Rooney • Philip Stern • Patrick W W. H Hodgson • TGA GA G General C Contracting & Restoration Inc. • G Gillian L. Booth • C CIBC CW World M Markets • Janet M MacIntyre • Bobbie C Chan • M Mark T. Kataoka • G Gregory M M. H Hare • The A Arthur and A Audrey C Cutten Foundation • H Harold M Margles • W W. D Douglas N Newlands w •A Alan V V. D Dean • Sheila W Waengler • C Chi-Ming M Chow C w • Florence R. M Minz • H Heather M McGregor G •W William mA A. 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EXERCISE

adD natuRe’S NurtuRe to your FitneSs reGime ‘‘Climb the mountains and get their good tidings. Nature’s peace will flow into you as sunshine flows into trees. The winds will blow their own freshness into you and the storms their energy.’’

So said John Muir, a well-known naturalist and environmentalist, more than a century ago. His point still holds true. The benefits of regular workouts are boosted with a slew of additional benefits when performed in natural settings.

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About half of the people who join a gym don’t stick with it beyond the first year. Those who train outdoors tend to savour the experience and are therefore more consistent, exercising longer and more often.

dr. mikE evAns aDviseS in 23 and ½ houRs, His vIdeo Which has BecomE an InterneT SensatiOn, A 30-minuTe waLk eaCh daY wilL Make A hugE impAct oN youR healTh. However, it takes surprisingly little exercise to make a difference. As Dr. Mike Evans, Founder, Health Design Lab, Li Ka Shing Knowledge Institute, St. Michael’s, advises in 23 and ½ Hours, his video which has become an internet sensation, a 30-minute walk each day will make a huge impact on your health.

Many perks of an outdoor fitness regime can’t be replicated in a climate-controlled gym. Breaking a sweat in local parks, ravines, hiking trails, beaches, waterways or even along neigbourhood streets with gardens and trees will leave you feeling more fit, energized and engaged.

Exercise will improve your mood when undertaken in grassy, sandy, rocky or watery terrains. Natural settings have an overall positive effect on happiness, vitality and confidence while lowering tension, depression and fatigue. Exposure to sunlight allows your body to produce vitamin D3, important to bone health and metabolic function, as well as the production of feel-good endorphins.

Another surprising physical benefit of external habitats comes from direct exposure to plants and trees. They emit airborne chemicals that may improve your immune system while decreasing heart rate, blood pressure and levels of the stress hormone cortisol. For example, one Japanese study reports that after a simple walk in a forest, almost all test subjects showed “significant differences” in immune cell activity in their blood.

John Muir once stated that in every walk with nature one receives far more than they seek.

Dr. Beth Abramson reinforces this notion in her book, Heart Health for Canadians, with the simple but important message that going for a walk “is good for the heart.” Throughout her book, she stresses the importance of regular activity, which will help you maintain a healthy weight and avoid diabetes, high blood pressure and high cholesterol in the blood.

‘‘ waLking brisKly iS a gReat Place to begIn.” – Dr. Abramson Noting how you don’t have to join a gym to launch your fitness regime, Dr. Abramson says, “Walking briskly is a great place to begin.” She also recommends fitting exercise into your daily activities by walking to the store instead of driving and, if you take public transit, getting off a few stops short of your destination and walking the rest of the way.

If you prefer combining exercise with social activity, go for a walk with a friend. There is also an endless array of meet-up groups, clubs and leagues, including in-the-park classes of every stripe which, in many cases, are free!

a Word Of caUtion: exTreme heat can Pose A varIety Of issuEs. duRing The sUmmer, It’S impOrtanT to Know The sYmptoMs of dehyDratiOn anD heaT exhAustiOn. acClimaTizatIon tO the heat is aLso iMportaNt. grAduallY IncreAse tHe inTensiTy anD durAtion of oUtdooR WorkoUts sO the body can BetteR adjUst aNd adaPt.

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WHAT’S COOKING DOC?

Enjoy our St. Michael’s Summer Sippers while cooking in the kitchen or outdoors on the barbecue.

Urban Angel Chef Victor De Guzman joins Chef Jason Bangerter for one of St. Michael’s Summer Sippers.

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WHAT’S COOKING DOC?

Don’t forget the kids for summer food fun!

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JOIN US FOR SOME FINE FARE, FRESH AIR AND AL FRESCO FUN St. Michael’s pediatrician Dr. Jonathon Maguire is back with our celebrated chefs, Victor De Guzman, Executive Chef at Rosedale Golf Club in Toronto, and Jason Bangerter, Executive Chef of Langdon Hall in Cambridge, to share some healthy and delicious recipes that are guaranteed to impress this summer!

Doctor JONATHON MAGUIRE ST. MICHAEL’S PEDIATRICIAN “At the end of winter, many families are looking forward to shaking off the winter blues. Picnics are an excellent way to get outside, be physically active, eat nutritious homemade food and spend time with your family all at once—how can you beat it? Whether it’s biking around this city’s great trails, hitting the beach, having a picnic in the park, or an outdoor birthday party, anyone can have a picnic.

A picnic with good simple food is a recipe for great family fun!”

– Dr. Maguire

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WHAT’S COOKING DOC?

Potato Salad with Red Pepper Dressing Sure to be a new summertime favourite!

A fiery fusion of jalapeño peppers, parsley and pink-skinned potatoes—it’s a mash made in heaven.

Ingredients 6 boiled Amarosa potatoes or fingerling potatoes, peeled 2 tomatoes, skinned, seeded and diced 1 tbsp. rocoto chiles or red jalapeño pepper, chopped 1 tbsp. Italian parsley, chopped 1-½ tsp. salt ½ tsp. pepper ½ cup olive oil Juice of 2 limes

Directions 1. Mash the potatoes and add all other ingredients.

2. Taste and adjust the seasoning to your preference.

3. Find a creative way to serve this new summer favourite.

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Ingredients

Directions

4 chicken legs, deboned, skinned, cut into 1 inch cubes 1 medium white onion

1. Place the skewers into a baking dish and cover with water; let soak overnight.

1 clove garlic

2. Drain skewers.

1 ají panca chili or ancho chili, chopped ¼ cup chopped parsley

3. In a mixing bowl, combine the chicken with all the other ingredients. Toss thoroughly.

¼ cup olive oil

4. Marinate for at least 1 hour.

10 bamboo skewers

5. Thread chicken pieces onto skewers and transfer to a plate.

¼ cup chopped cilantro

6. Directly on hot grill, cook skewers for 4 minutes on each side.

kebabs CHICKEN Variety is the spice of life!

Whether it’s chicken, beef, salmon or lamb, put a twist on the classic kebab with a powerful punch of seasoning.

For more tasty additions to your summertime menu, visit us at stmichaelsfoundation.com/recipes Please give at stmichaelsfoundation.com

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WHAT’S COOKING DOC?

Seared Scallops w

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s with Quinoa and Tomato, Shallot & Chive Dressing Cast a culinary spell on your guests with this sizzling rendition of seared scallops!

Ingredients 2 cups uncooked red or regular quinoa 6 large sea scallops 1⁄8 cup vegetable oil 1 cup ripe fresh tomato, diced ¼ cup shallots, minced ¼ cup chives, snipped 1⁄8 cup sherry vinegar ¼ cup extra virgin olive oil Juice of half a lemon Kosher salt and pepper to taste Fresh garden herbs to garnish

plate like a pro

Spoon Quinoa on Plate

Directions 1. Cook the quinoa. Bring 2 cups water or vegetable stock to a simmer.

Add quinoa, cook until tender, usually about 10 minutes will do.

Allow to cool. Season to your taste.

2. To prepare the scallops, heat the vegetable oil over medium-high heat in a skillet or fry pan.

Add Scallops

3. Season the scallops with salt and place in the heated oil.

Cook until golden, about 3 minutes.

Alternatively, fire up the grill and cook for 2-3 minutes each side.

4. Turn the scallops and remove the pan from the heat to finish cooking in the hot pan. Remove scallops from the pan and squeeze lemon juice over them.

5. To prepare the dressing, mix the tomato, shallot and chives together.

Add the olive oil, vinegar and season with salt and pepper.

Drizzle with Topping

6. To present, spoon some quinoa on the plate, add the warm scallops, pour some dressing over top of the scallops and quinoa. Garnish with fresh herbs.

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WHAT’S COOKING DOC?

EDible Garden SUMMER SALAD

Smash the salad status-quo with an edible garden that will leave your guests green with envy.

Our unconventional quinoa crudités will quickly become a summertime classic.

What you will need • Quinoa salad • Your favourite dip, like a flavoured hummus or salad dressing—green goddess works well here • Fresh berries (wild raspberries, strawberries, currants or gooseberries) • Tiny vegetables with the stems (radishes, carrots, beets, fennel, tiny turnips or other small vegetables and asparagus) • Edible flowers and leaves

For the Quinoa Salad Ingredients 2 cups uncooked quinoa 3-1⁄2 cups cold water Sea salt for seasoning 1 lemon juice and zest ¼ cup canola oil 1 cup toasted almonds (but any can be substituted, or can easily be left out for those with allergies) 2 tbsp. mixed chopped fresh herbs: lemon balm, mint, chive and parsley 1⁄2 tsp. mixed ground spices: use equal parts of cinnamon, cloves, star anise and nutmeg. Add more or less depending on your taste preference.

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Making the Quinoa 1. Soak the quinoa for 30 minutes in cold water. Rinse thoroughly, and then drain through a fine-mesh strainer.

2. Place the rinsed quinoa in a 2-quart pot with 3-1⁄2 cups of cold water. Season with sea salt.

3. Bring to a boil. Cover the pot, let boil another minute, turn the heat down to a simmer and cook for 5 minutes.

4. Remove quinoa from heat and let sit covered for 5 minutes. When cool, fluff gently with a fork.

The quinoa can be made ahead of time and refrigerated.

Building your veggie garden for guests 1. Just before serving, mix the quinoa, lemon juice and zest, olive oil, toasted nuts and herbs. Season with salt, fresh cracked black pepper and lemon zest to your taste.

2. Line a clean, shallow flower pot or garden-inspired serving dish with a layer of dip, to the depth of 1 inch.

3. Top evenly with the quinoa salad, to the depth of 1 inch.

4. Just before serving, add fresh, stem-on, cleaned little vegetables, pushing them into the quinoa and the dip so only the tops show.

5. Garnish with fresh herbs, berries and garden garnishes.

Guests will have fun pulling little dressed veggies from the flower pot.

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WHAT’S COOKING DOC?

Chocolate Chunk &wholeWalnut Cookies wheat As night falls and the summer stars align, escape to the Milky Way with these out of this world tempting treats.

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Ingredients

Directions

2⁄3 cup unsalted butter at room temperature

1. With a mixer, beat the softened butter until light and creamy. Add both sugars and molasses and beat until fluffy.

1⁄2 cup lightly packed dark brown sugar 1⁄2 cup granulated sugar 2 tsps. molasses 1 whole egg and 1 egg yolk 1-1⁄4 cups whole wheat flour 1⁄2 tsp. baking soda 1 tsp. kosher salt

2. Add the eggs and mix lightly until just combined, about 5 seconds.

Remove the bowl from the mixer.

3. Mix together the whole wheat flour, baking soda and salt. Fold into the butter mixture.

2⁄3 cup dark chocolate chunks, 70% cacao

4. Add the chocolates and walnuts and mix just to combine.

1⁄2 cup chocolate chips, semi-sweet or milk

5. Chill the dough in the fridge for 30 minutes.

1⁄2 cup of toasted walnuts, chopped

6. Preheat oven to 350°F. 7. Line a baking sheet with parchment paper.

8. Shape the cookies into balls using a scoop or a rounded table spoon. Regular size cookies are 2-3 tablespoons of dough. If you want to make smaller cookies, use 1 tablespoon.

9. Arrange the cookies 2 to 3 inches apart onto the lined baking sheet.

10. Bake the small cookies for 6 minutes, the regular size cookies for 12 minutes.

Note: not all ovens are the same. The cookies will cook or brown faster in a convection oven.

11. The cookies are very delicate, so leave them to cool in the baking tray for 5 minutes before removing them to cool on a wire rack.

12. Hide them as your guests will devour them to the last crumb.

The recipe will make approximately 30 regular size cookies.

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WHAT’S COOKING DOC?

REScuing thirst save yourself from dehydration

From the moment your feet hit the floor in the morning, to the time when your head hits the pillow at night, water should be the first—and last—thing on your mind.

Sure, some of our daily water intake comes from food, but it’s not nearly enough to keep our bodies happy and hydrated. So, when you’re out enjoying the fresh air, sunshine and heat, don’t forget to bring along your trusty water bottle. Water being “boring” is no excuse to scrimp on your daily servings; our St. Michael’s Summer Sippers will help put some excitement back into your water!

Try infused water for a new take on our best source of hydration. Infused water is a tasty, healthy, all natural way to stay hydrated. Any combination of fruit and herbs can be delicious—just figure out which flavours you like best, and how strong you want them to be. Add all the ingredients to your infuser or bottle, lightly mash any fruit and bruise any herb leaves to release natural extracts and oils. Top with filtered water and enjoy!

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ENJOY ALL THE FUN SUMMER HAS TO OFFER AND STAY WATER SAFE. Canadians love being in and around the water and it’s no wonder why: we’re surrounded by oceans on three sides and our country is home to more than 2 million lakes. With over half of Canadians living on or near a waterfront, opportunities abound to enjoy recreational boating and swimming. But it’s not all fun and games. The Canadian Red Cross reports that 525 Canadians die each year in water-related fatalities. What can you do to protect yourself and your family this summer?

TAKE CARE BY FOLLOWING SOME WATER SAFETY TIPS: TAKE WATER SAFETY 101

WEAR A LIFEJACKET

WATCH THE KIDS

HAVE FUN IN THE SUN

Make sure everyone in the family takes lessons in swimming skills and water safety.

No excuses. An estimated 90% of drowning victims could have survived—if they’d worn a lifejacket.

Make sure kids are supervised by an adult whenever they’re in or near the water. And don’t forget the lifejacket.

Avoid swimming or boating after dark and take extra care when you’re near the waterfront at night.

BE A LIFESAVER

“More people need to be ready and willing to perform bystander CPR,” says Dr. Laurie Morrison, Director of St. Michael’s Rescu, the largest research team in Canada dedicated to improving out-ofhospital resuscitation. Training is important, but if you need guidance just call 911 and the dispatcher will ask if you are willing to help. Just say yes and do it! Chest compressions are easy and increase the chances of survival fourfold. You can make a difference with a little courage to do the right thing.

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GIVE YOUR BRAIN A WORKOUT “Variety in your experiences can promote ‘brain fitness’ by creating a wealth of neural networks that give your brain more ways to adapt in the event of age-related memory loss, the onset of Alzheimer’s disease, a stroke or a traumatic brain injury,” says Dr. Corinne Fischer, Director of the St. Michael’s Memory Disorders Clinic and Associate Professor of Psychiatry, University of Toronto.

Solving puzzles is a great way to reboot your brain. But in the summer, you may prefer to get outside, enjoy a barbecue with friends and family, or go for a dip in the pool when you can. Activities like these can boost your brain power, too.

Learning a new sport

Tackling an issue

Cooking a new dish

like water polo or trying an aquafit class will really give your brain a workout. Your brain is actively managing movements and processing spatial, social and environmental stimuli all at once.

around your home, such as figuring out how to get your garden to bloom all season long, will really get your neurons firing. Tasks like these can involve critical thinking, decision making, problem solving, creativity and coordination of movement.

with family or friends engages many interrelated dimensions of brain function, including input from your senses of taste, smell, and touch, and your capacities for planning, judgment, fine motor movement, active listening and speaking. Recipes start on page 33

WATER SAFETY WORD SEARCH

SUDOKU PUZZLE

5 9 6 AIRWAY BREATH BYSTANDER CHEST

CPR EMERGENCY EMS FLOATER

LESSONS LIFEGUARD LIFEJACKET LUNGS

OXYGEN RESUSCITATE PULSE WATER RESCUE RESPIRATORY

After you’ve found all the words, you’ll also find seven unused letters.

Arrange the leftover letters to spell the word that answers this question:

7 6 8 3

2 3 2 9 6 5 4

8 7 8 3 9 3 5 2 2 6

$235M

What is the name of the campaign to raise $210 million for St. Michael’s Hospital?

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ANSWER: Please give at stmichaelsfoundation.com

2018

Solutions page 66

EYE SPY

REVELLING IN VIVID

SPRING COLOURS Please give at stmichaelsfoundation.com

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EYE SPY “Spring is when colour returns to us after the winter—vividly coloured tulips, pink cherry blossoms and other stunning flowers, the lush greens of the trees and bushes and lawns.”

“What if you could no longer enjoy those post-winter pleasures?” says Dr. Neeru Gupta, Head of the Glaucoma Unit at St. Michael’s Hospital and world-renowned expert on glaucoma. “Too many Canadians are losing their sight, yet 75% of vision loss is preventable.

We’re working really hard to preserve the vision of more and more people, thanks to generous donor support.”

Some four million Canadian adults have at least one of the leading eye diseases: age-related macular degeneration, glaucoma, cataracts or diabetic retinopathy.

In the next 20 years, the number of Canadians with vision loss from the three major chronic eye diseases (the same list minus cataracts) will double. Vision loss costs Canada $15.8 billion a year—more than diabetes, cardiovascular disease and all cancers combined.

Dr. Neeru Gupta is working to ensure more people retain their sight. Based on her discovery that the lymphatic system connects our eyes to the body, her team has created a high-tech imaging system to measure the impact of trial therapies on the transfer of fluid out of the eyes. The goal is to be able to reduce eye pressure as a potential treatment for glaucoma.

A leader in her field, Dr. Gupta has received many honours and accolades, including being the first Canadian and the first woman appointed to the Board of Governors of the World Glaucoma Association. She is one of only 73 members of the highly prestigious Academia Ophthalmologica Internationalis, and serves as Chair of the International Glaucoma Guidelines Task Force on Glaucoma in collaboration with the World Health Organization. The international guidelines were just released at the most recent World Ophthalmology Congress this past February. “St. Michael’s and Canada are lucky to have such an international champion for

Dr. Neeru Gupta Head of the Glaucoma Unit at St. Michael’s Hospital

eye health,” says Dr. Arthur Slutsky, Vice-President of Research for St. Michael’s. “Dr. Gupta is dedicated to understanding and treating diseases that affect eye health and cause blindness.”

As part of her efforts to save sight, Dr. Gupta was in Vancouver this past December for the World Diabetes Congress to introduce the world’s first eye health guide to help health-care professionals who work with patients with diabetes. One in every three patients with diabetes has diabetic retinopathy, which can cause severe vision loss and blindness.

Dr. Gupta makes a special point of thanking the family of St. Michael’s donors who have supported her groundbreaking research over the years. “Donor funding is crucial for firststage research, which is too risky for granting agencies,” she says. “The generosity of our donors has pushed the boundaries on both research and treatment for eye disease.”

Thanks to advances in eye care, including potential future treatments for glaucoma by Dr. Gupta, more and more Canadians will be able to enjoy the panorama of colour that we enjoy all spring and summer and fall.

“The generosity of our donors has pushed the boundaries on both research and treatment for eye disease.”

– Dr. Neeru Gupta

In order to help prevent vision loss, Dr. Gupta recommends: • Get your eyes checked every two years if you’re between 19 and 64, and every year if you’re 65 and over.

• Be aware of family risk factors such as a history of glaucoma or diabetes.

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Investing in a healthy future.

Supporting St. Michael’s Hospital in its mission of caring, research and education.

KEEP HYDRATED

WATER—did you know?

“To stay hydrated throughout the day I make sure to keep a water bottle at hand—always ready to quench my thirst!"

Liza Smithies,, Philanthropy Officer, St. Michael's Foundation

Approximately

60-70%

of an adult’s body is made up of water.

30%

9KMS Elephants can smell water from that far away!

1-2%

of your bone mass is made of water.

MARCH 22

of your body water has been lost by the time you feel thirsty.

Annual World Water Day as designated by the United Nations.

3,785L

Amount an average swimming pool loses a month due to evaporation and other causes.

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6L

of clean water is used with every flush of a standard toilet.

21 vs. 15 DAYS Giraffes can go longer without drinking water than camels.

135L

Amount a thirsty camel can drink in only 13 minutes!

70-75%

of the Earth’s surface is covered by water.

ONLY 1% IS EASILY ACCESSIBLE FOR DRINKING!

6KMS

Average distance people in Africa walk to collect water.

9-12

cups of water a day for the average adult is recommended

by Dieticians of Canada. But make sure to listen to your body’s needs—active people require more!

Add water-rich foods like cucumbers, watermelon and grapefruit to your diet for an extra dose of water!

Please give at stmichaelsfoundation.com

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?

HUE G LIN HE A

S

Colour can affect our emotions, biological systems and stress levels. In fact, coloured surfaces and lights have the ability to increase and decrease heart rates, blood pressure, respiratory rates and body temperature.

Whether for patients recovering from surgery, receiving treatment or visiting St. Michael’s for checkups, colour can be used to help improve patient recovery and soothe ailing bodies and minds.

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“I advise clients that less is more.

Neutrals are not everything—so remember to put a little colour into your life.”

– Frania Banks, Principal, FB Design

What space are you decorating? What’s the purpose of the rooms?

How do you want people to feel? Now, pick a colour that fosters those feelings.

“When creating a healing environment in our new Peter Gilgan Patient Care Tower, health-care designers are using evidence-based design principles to create spaces that promote healing for patients and help support the amazing clinical staff in delivering excellent care,” says RCG Interior Design Consultant Natasha Zingg Thexton, who works with our St. Michael’s Planning Department.

From including a three-storey glass-enclosed lobby to welcome all visitors, to designing intensive care rooms to feature a dedicated caregiver and family zone next to large windows for natural sources of light, no detail has been overlooked.

of grey add elegance to a space and promote feelings of cleanliness. Green, the most restful colour for the eye, is ideal for bringing balance to a space, creating a sense of comfort. Operating rooms are typically painted in greens, teals, blues or neutrals.

Experiencing sadness or fatigue? Feeling sensitive to criticism and lacking confidence? Yellow could be the burst of happiness you need to feel a rise in your selfconfidence. Feeling timid and shy? Introducing the colour red into a space can increase energy levels, promoting togetherness. But be sure to use only in small doses as large amounts can create feelings of frustration and anger.

So, what are we doing with colour in our new spaces?

Well, according to Isabelle Boba of Toronto’s Lux Design Inc., there are standard psychological values associated with each colour, the atmosphere they create, the emotions they evoke and their influence on mental health and recovery. She says that, while no exact colour palette can guarantee outcomes, you can define colour and design goals for specific spaces. So when designing a space, in the home or a hospital, designers must consider the psychology behind the colour.

Thexton says, “People in spaces with warm colours actually report the ambient temperature of the room to be warmer than it is. This is a great way to keep patients feeling warm but still allow the space to be cool enough for nurses and staff who are always on their feet.”

Looking for calm and tranquility? Suffering from sleep problems or headaches? White or beige are your colour remedies. These shades can be found in our current patient rooms.

“When selecting colours and placements for the new patient care tower, we are utilizing colour contrast to assist anyone with low vision or depth perception challenges to navigate the environment. High colour contrast between adjacent materials can help prevent injury as it makes the environment appear crisp and well defined to the eye,” says Thexton.

Designing a public space or waiting room? Looking to reduce stress and lower anxiety in your home? Cool colours should be your palette of choice. Purple is known for fostering imagination and creativity, and lighter purple is the colour of relaxation and peace.

Similarly, blue tones create a sense of calm and creativity— but Boba warns, “Beware of dark blues as they can have the opposite effect and induce feelings of sadness.” Tones

Colours can be complicated, but striking the right balance can make a world of difference in your space!

It’s not just about selecting one colour, but selecting the right combination of colours for your purpose.

Think about the space you’re decorating, the purpose of the room and how you want people to feel in it—social, hungry, calm, relaxed, you name it—and pick a colour that fosters those feelings. You can rest assured that if you visit us at St. Michael’s, we will have done all of that thinking for you!

Please give at stmichaelsfoundation.com

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THE ROAR STARTS HERE From the Mackenzie Tour to PGA TOUR winner, in 14 months.

In 2013, Nick Taylor’s play on the Mackenzie Tour – PGA TOUR Canada earned him a chance to play on the PGA TOUR. 14 months later he fulfilled his dream of becoming a PGA TOUR Champion. Who will be the next one to make their dream a reality?

For more player profiles visit PGATOUR.COM/MackenzieTour.

THE MYSTERY OF MS

–Dr. Jiwon Oh

We don’t know what causes multiple sclerosis, says St. Michael’s neurologist Dr. Jiwon Oh. Our best understanding is that there is no single cause—it appears to originate in a complex interplay of genes and the environment.

If I can contribute a small piece to solving the MS mystery—and provide tangible benefits to my patients through new knowledge or a new treatment—I’ll feel that I’ve done my job.

F

or Paul, it began with numbness in his thumb. Not really thinking anything of it, he would startle his friends by plunging it into a cup of hot coffee. But then the print began to blur when he read the morning paper. When it persisted and started to affect his work, he went to his doctor.

Several tests later, he got a diagnosis that stopped him in his tracks: “The results indicate that you may have multiple sclerosis.”

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WE ASKED DR. OH What should we know about MS? It’s a rapidly changing area of medicine. New discoveries are being made all the time. In fact, the number of treatments for relapsing-remitting MS has doubled in the last five years alone.

Canada has one of the highest prevalences of MS in the world. This observation is likely in part due to the “Vitamin D theory”—the further away from the equator you are and the less sunshine you get, the higher the risk. To support this theory, we see much higher rates in Northern Europe and Southern Australia. The reason why this theory doesn’t explain it all, though, is because there are inconsistencies observed—for instance, among our northernmost people, the Inuit, the prevalence of MS is very low.

It’s increasing here and all over the world. It’s now being found in places it was rarely seen in the past, like East Asia and the Middle East. This could be because of better ways to detect and diagnose MS, globalization, cultures mingling and a more common diet—but again we don’t know why yet.

St. Michael’s is a leader in MS care and research. As one of the only facilities in Toronto to treat adults with multiple sclerosis, our MS Clinic is one of the largest of its kind in North America and follows approximately 7,000 patients a year. St. Michael’s is also well known as one of the largest centres for clinical trials and research. Recently, St. Michael’s spearheaded the clinical trial for a new drug now approved for use in relapsing-remitting MS: oral teriflunomide, shown to reduce relapse rates and the progression of the disease.

Are there misconceptions about MS? “Generally it begins in young people in their 20s and 30s, which creates a large public health burden because of their long-term disability.

But I have patients of all ages,” says Dr. Oh. Referred by his doctor to a neurologist, Paul got treatment and is now managing his symptoms. “Living with MS is a challenge,” says Paul, “but I’m determined to stay as mobile and active as I can. Talking to my doctor, I know that new therapies are being developed all the time. Some days it’s hard to keep a positive attitude, but I’m doing my best!”

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When people think of MS, usually they automatically think of people living with severe disability and requiring aids like wheelchairs, canes or walkers to remain mobile, but that’s a misconception. It’s an extremely unpredictable and variable disease: some people can have one attack and then nothing else, while others can suffer increasing debilitation. That’s why we need better predictors of the impact of the disease.

What is your research focus?

Traditionally the brain was the focus for research. I’m looking at the spinal cord, which has been hard to examine because it’s only as wide as your thumb, is surrounded by fluid and moves with your breathing and heartbeat. In my research, I’m using MRI to better understand how tissue

damage in the spinal cord contributes to disability in MS patients. This approach is safer for patients because it doesn’t require taking blood or tissue, and unlike X-rays or CTs, there is no radiation—and it’s showing a lot of potential.

Why did you get involved in MS? My mother suffered a stroke at the age of 35 and I saw how she struggled physically to look after her family—that’s one reason I was drawn to work with multiple sclerosis, which can have a similarly restrictive impact on young people’s lives.

As well, during my medical training I had mentors who were involved in the field, and you tend to be drawn to fields where you have mentors that you look up to.

How have donors helped?

At St. Michael’s, we are incredibly fortunate to have donors who want to help us by funding explorations into new treatments and therapies. For example, Richard and Lynne Waugh have generously established the Waugh Family Chair in MS Research. The funds provided by this chair have enabled the recruitment of new talent and are helping to develop a universal clinical registry which will provide data for improved treatment and research.

We have many remarkable champions who have provided great support, including John and Jocelyn Barford, Beth Malcolm— John’s sister, and Jon and Nancy Love. The generosity of all these wonderful people, through the Inspire 2018 campaign, has created the Love and Barford Multiple Sclerosis Research Fund, to advance highly promising translational and clinical research in MS. This support will make it possible to build on our existing knowledge and clinical expertise to broaden our investigations in translational research to develop new therapies.

As well, the Elizabeth S. Barford MS Patient Comfort Fund, established by John’s and Beth’s father Ralph, is a remarkable benefit to our patients. Among other supports, it provides financial assistance to patients in need of things like modifications to patients’ cars and houses to enable them to cope with symptoms and continue to live as independently as possible.

One patient, an older woman, lives in the country near Colborne, two hours east of Toronto. With her family at work or school, she could have been stuck at home all day.

Now, with Barford Comfort Fund-supported modifications to her chair and van she has independence and freedom: “It’s wonderful that there are people who will help in this way.”

Most recently, the Eaton family, with a leading contribution from the John C. and Sally Horsfall Eaton Foundation and volunteer leadership from John David Eaton and Foundation Board member Gregory S. Belton, has generously made lead gifts to create the John David Eaton Chair for Multiple Sclerosis. This new chair will provide new resources to further basic science research in MS. We are really lucky to have such wonderful friends like these, as well as Scotiabank, the Multiple Sclerosis Society of Canada, Bayer Inc. and Hermès Canada who, through their support, are furthering our understanding of this often debilitating condition. Donor support, like that provided through our current fundraising campaign to advance research into new and better treatments, is critical because right now there is no cure for MS, and such support enables clinicians and scientists to do the necessary studies to get us closer to a cure.

WHAT IS MS? Multiple sclerosis (MS) is a disease of the central nervous system, which involves the brain and spinal cord. The disease attacks the protective covering of the nerves, necessary for the transmission of nerve impulses through nerve fibres, causing inflammation and damage. As a result, scar tissue can form, disrupting the transmission of nerve impulses and damaging nerve fibres.

MS is unpredictable and can affect almost every neurological functional system.

Its symptoms can include: > > > > > > > >

extreme fatigue lack of muscle coordination weakness impaired sensation vision problems bladder problems cognitive impairment mood changes

As always, if you are concerned about a change in your health, consult your doctor.

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WELL-READ, WELL-BEING

WHAT PET SHOULD I GET?

THE THINGS WE KEEP

THE SLEEP REVOLUTION:

Dr. Seuss

Sally Hepworth

A brother and sister want a pet and their parents agree. But how will they make up their minds when they like all the pets that they see? With its signature illustrations and irresistible read-aloud rhythm, nostalgic fans and young readers alike will love this newly discovered classic by Dr. Seuss.

At only 38 years old, Anna Forster is diagnosed with the early stages of Alzheimer’s disease. When her family moves her into an assisted living facility she knows they have her best interests at heart.

Despite Anna’s resistance to her new life, love blossoms and she fights to retain her memories as her Alzheimer’s progresses.

Transforming Your Life, One Night at a Time

What Pet Should I Get is a fun story for families to read together. Reading with kids at home can set them up for success at school and beyond.

– Dr. Laurie Green*, Family Physician, St. Michael’s *Dr. Green launched the Reach Out and Read early literacy program at St. Michael’s along with resident Dr. Kathryn Dorman and the Toronto Public Library.

Alzheimer’s disease is a terrible condition for which there is no known cure, and some who suffer are diagnosed with early onset Alzheimer’s during their late 30s and 40s.

It’s inspiring to read how love can prevail over this debilitating disease and forge a bond between people.

– Dr. Corinne Fischer, Director, St. Michael’s Memory Disorders Clinic

Arianna Huffington The Co-Founder and Editor-in-Chief of The Huffington Post explores the history and science of one of our most restorative activities, sleep. She looks at the causes of sleep deprivation and disruptors, like our addiction to technology, and how these play havoc with our health and our personal and work lives. Huffington also offers recommendations and ideas about how to achieve better sleep and make the power of sleep work for us.

The benefits of sleep cannot be overestimated. It is critical to our physical and mental well-being. Huffington’s new book is an insightful and accessible exploration of an important activity that most of us spend 25 years of our lives doing.

– Bekah McNeil, Project Manager, Education, St. Michael’s

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THE ARM:

SMARTER, FASTER, BETTER:

THE EDIBLE BALCONY:

Inside the Billion-Dollar Mystery of the Most Valuable Commodity in Sports

The Secrets of Being Productive in Life and Business

Growing Fresh Produce in Small Spaces

Charles Duhigg

Alex Mitchell

Jeff Passan Major League Baseball annually spends more than $1.5 billion on pitchers. But all that money depends on one small thing, the ulnar collateral ligament in the elbow of a pitcher’s arm, which is snapping at unprecedented rates. Jeff Passan, the lead baseball columnist for Yahoo, examines the past, present and future of the pitching arm and what its vulnerability to injury means and costs.

The author who taught us how to diagnose and defeat our destructive impulses in the New York Times best seller, The Power of Habit, is back with an even bigger dose of brain candy. Smarter, Faster, Better is another scintillating pop-science sensation by Pulitzer Prize-winning journalist Charles Duhigg. Flex your cerebrum with a flurry of fresh ideas that will impel you to become more productive in life and business.

It’s amazing to think how much depends on a tiny band of tissue in the elbow! Jeff Passan’s insider’s look at the world of baseball is sure to resonate with every Blue Jays fan and every parent of a baseball-playing child. This is essential reading for everyone who loves the game.

If there’s even the slightest chance that after reading this book you will become a smarter, faster, better person, wouldn’t you say it’s a chance worth taking? Charles Duhigg’s secrets to being productive in life and business should be prescribed to everyone.

Growing your own vegetables, fruits and herbs allows downtown dwellers to eat fresh, nutrient dense, seasonal produce grown on a balcony, rooftop, fire escape or window box. The book includes step-bystep instructions on designing, planting and maintaining a garden and fun projects such as creating your own pots. You will even find advice on combining ornamental plants with edibles plus cocktail recipes and tips for food items sprinkled throughout.

– Dr. Daniel Whelan, Orthopedic Surgeon, St. Michael’s

– Zahra Abbas, Coordinator, Keenan Research Centre for Biomedical Sciences Projects, Office of Research Administration, St. Michael’s

The Edible Balcony is an excellent resource for turning unused spaces into sources of fresh produce that are essential to our health.

– Dr. David Jenkins, St. Michael’s Nutrition Researcher and Creator of the Portfolio Diet

Please give at stmichaelsfoundation.com

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No Quick Fix Opioid Epidemic:

The ambulance lurches to a halt and the paramedics pound up the stairs. But tonight they are too late—another unlikely addict has succumbed to Toronto’s painkiller epidemic. Don’t judge: this could be any neighbourhood in any city.

Dr. Adam Quastel, Physician Lead for the St. Michael’s Hospital Addictions Team, is on the front line. He says people are dying because prescription pain killers for chronic pain are addictive. “This is a citywide problem,” he notes, “Our patients are your friends, mothers, grandparents, professionals—people from all walks of life.”

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Canada is awash in legal painkillers. Physicians are prescribing them to patients with chronic pain, a problem reported by up to 29% of Canadians. We are now the second-highest per capita users of prescription opioids in the world, behind the US. As Dr. Quastel explains, prescription opioid use can lead to addiction not just to manage the pain but for the euphoria it creates. Then there is the “escalator effect.” The body becomes increasingly tolerant to a given opioid, which leads people to either change to a sister drug or increase the volume of the drug to get the same effect. People also transition from oral consumption to nasal to, finally, injection, to increase potency. As they need more drugs to achieve the same feeling, they seek non-prescription sources.

I felt great—and I craved more of those same feelings. Over the course of several weeks, I stopped showering, brushing my teeth, and I slept in my clothes. The house looked as if a tornado had hit it. I had no appetite, and felt sick afterward when I did eat. I kept telling myself that I would stop tomorrow, but it was obvious, even to me, that I had lost the ability to make a conscious choice.

– Rachel, detox patient testimonial A 2014 study led by St. Michael’s scientist Tara Gomes published in Addiction showed one of every eight deaths among young adults in Ontario is related to opioids, making the drugs a leading cause of premature death. Opioidrelated deaths went up by over 400% in the province over 19 years, from 127 deaths in 1991 to 550 deaths in 2010.

In response to the problem, Ontario delisted Oxycontin and its tamper-resistant successor, OxyNEO, from its drug plan in 2012, and created a centralized prescription monitoring system. That, in turn, created another issue by driving people with addictions to other drugs, including heroin. And, alarmingly, heroin is increasingly being mixed with fentanyl, an opioid 40 times more toxic than heroin, leading to a surge in deaths across Canada and the United States.

I found myself biting the pills to get the rush into my system more quickly. At that point, I knew I had to get off this drug.

– Nancy, quoted on globalnews.ca The Addictions Team offers both inpatient and outpatient services at St. Michael’s, seeing several hundred new patients a year. Often the team will be called in because an inpatient is unexpectedly showing signs and symptoms of withdrawal. “This can be a very dangerous moment for an undisclosed addicted inpatient: the body’s tolerance declines rapidly. If they then take what was their usual dose, it can be fatal,” says Dr. Quastel. “We work hard to be open and welcoming to new patients. We are not in the blame game: shame can kill.”

Advocate Donna May of mumsDU (moms united and mandated to saving the lives of Drug Users) lost her daughter, Jac, to oxycodone. Married and with three children, Jac was prescribed Oxycontin following a fall down the stairs. This led to an addiction that ruled Jac’s life and eventually to her death at the age of 35. “The stigma that was put on her and me was enormous. We fought that every day,” said Donna to the Globe and Mail. Donna now travels the country to create awareness and change.

It took a lot of my life and the lives of those around me. That’s something I’ll never get back.

– Michael, quoted on globalnews.ca In addition to compassionate understanding, Donna and Dr. Quastel are keen to see the opioid-antidote naloxone made more accessible. Naloxone rapidly counteracts the effects of an opioid overdose, and wider distribution would save lives since the medication must be given as fast as possible to be effective.

What would Dr. Quastel hope for to reduce opioid addiction and related overdose deaths? “It’s a complicated problem with no easy solution. I’d really like to see more MDs educated to better understand and care for patients with addictions disorders. Opioids are killing people, especially young people who could go on to have rewarding lives. We need to do more.”

If you or someone you know has an addiction, talk to your family physician or call 1.855.505.5045 for the Coordinated Access to Addictions Services for support within the City of Toronto. Or visit the link below for the full range of addictions services at St. Michael’s.

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stmichaelshospital.com/programs/mentalhealth/addictions-services.php Please give at stmichaelsfoundation.com

Thank you to everyone who helps St. Michael’s Hospital in its mission of caring, research and education.

The Printing House (TPH®) is proud to support the St. Michael’s Foundation and their incredible efforts in keeping St. Michael’s Hospital great!

LIFE LESSONS

PETER GILGAN

We spoke to Peter Gilgan, Founder and CEO of Mattamy Homes, about why he supported Inspire 2018 and his commitment to health and wellness in the communities where he builds.

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Why did you support Inspire 2018 through your remarkable gift of $30 million, the largest single gift in the history of St. Michael’s?

Peter: I’ve received care at St. Michael’s on a number of occasions. As a builder, I was struck by the gap between the worn appearance of parts of the hospital with the truly exceptional care I received. I was also really impressed that everyone got the same level of care, regardless of who they were or what they did. And by the warmth of all the staff: they just really seemed to care. Through my foundation I’m looking to invest in organizations that are leading in what they do. St. Mike’s, under Dr. Bob Howard’s leadership, is committed to discovering better ways to provide care.

What impressed you about the patient care tower itself?

Peter: At Mattamy we understand the impact of design on customer enjoyment. In a hospital setting, it’s even more crucial that design supports function. I was impressed by the scope of the concept, by the thoroughness of the process, and by the difference these inpatient and ICU units and ORs will make on the patient and staff experience. I also appreciated the notion that St. Mike’s will become the top critical care hospital in Canada. We need that leadership.

What do you hope to be remembered for?

By the world, by your children?

Peter: I feel I’ve been really lucky in my career, and I want to give back in ways that make a difference. It’s been a lot of fun supporting sports centres, hospitals and other projects that will make this world a better place. Giving people a chance to be fitter and healthier. I believe I’m successful because my business is really committed to solid values.

I want my kids to live their lives based on good values.

Speaking of fitness, you are a monster cyclist.

What is it about cycling that you find so appealing?

Peter: It’s a zen thing. You, the bike, the scenery flashing by, the wind. You’re concentrating on the physical effort and it washes away all the trivial stuff and lets you really think.

I try to get out at least twice a week in and around the city, or wherever I happen to be. It’s like a tonic and I don’t feel 100% if I miss a couple of sessions. Try it!

“THE GENEROUS DONATION BY PETER GILGAN WILL TRANSFORM PATIENT CARE.” – Dr. Robert Howard, President and CEO, St. Michael’s Hospital Please give at stmichaelsfoundation.com

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THE PERILS OF PLANTING:

GIVE YOUR BRAIN A WORKOUT

HOW AN AFTERNOON OF GARDENING LED TO A LONG ROAD TO RECOVERY Gardening has been described as “the purest of human pleasures.” Ironically, Tina Cusumano’s love for gardening would dramatically change the course of her day-to-day life for more than two years.

“It was a spring day like any other,” she recalls, “and I spent the majority of it in and out of the yard cleaning, planting and watering.” As evening closed in, Tina began tidying up—and slipped. The pain and swelling to her left leg was instantaneous, and as the numbness set in, she knew something was terribly wrong.

ANSWERS WATER SAFETY WORD SEARCH

Within minutes, an ambulance arrived, rushing Tina to the nearest Emergency. Her hands still muddied from her days work, Tina was whisked away by awaiting doctors. The next morning, as she lay in her hospital bed, Tina called for her doctor.

“I couldn’t feel my foot,” she says, “and I knew something more serious was happening.” Concerned that her condition was worsening, Tina’s doctor arranged for an ambulance to take her to St. Michael’s—she had severe vascular damage.

Tina’s arrival at St. Michael’s was met by a team of medical professionals ready to care for her. “It certainly does take a village,” she notes, referring to the number of staff dedicated to her recovery. Among those whose expertise led to Tina’s recovery included Dr. Daniel Whelan, orthopedic surgeon; Dr. Michael Ameli, vascular surgeon; Dr. James Mahoney, plastic surgeon; and many attentive nurses, physiotherapists and occupational therapists.

Solution: INSPIRE 2018 SUDOKU PUZZLE

4 3 2 5 7 1 9 6 66 8

9 7 8 4 6 3 2 1 5

5 6 1 8 2 9 4 7 3

2 4 6 3 8 7 5 9 1

3 9 5 2 1 6 7 8 4

8 1 7 9 5 4 6 3 2

1 2 9 6 3 5 8 4 7

Please give at stmichaelsfoundation.com

6 8 3 7 4 2 1 5 9

7 5 4 1 9 8 3 2 6

“In my greatest time of need, the staff at St. Michael’s was there for me, providing me with the best possible care. It’s because of this hospital that I’m back on my feet now and ready to tend to my great pleasure—my garden.”

– Tina Cusumano

Tina Cusumano spent two weeks at St. Michael’s Hospital.

In recognition of the care she received here, Tina is supporting our Inspire 2018 campaign as a proud donor.

SMH

Do not go where the path may lead, go instead where there is no path and leave a trail.

– Ralph Waldo Emerson

St. Michael’s Foundation Inspired Care. Inspiring Science.

SMHF_PlannedGiving_ad_UA_8.375x10.875.indd 1

Create your legacy with a planned gift to St. Michael’s Hospital Foundation.

Contact Cynthia Collantes 416.864.5879 collantesc@smh.ca

2016-02-01 11:08 AM

THANK YOU, BROOKFIELD

FOR INVESTING IN THE HEALTH AND WELL-BEING OF TORONTO With gratitude to

TIM AND FRANCES PRICE and the BROOKFIELD PARTNERS FOUNDATION Their $5 million investment will create the Tim and Frances Price Medical Surgical Intensive Care Unit in the new Peter Gilgan Patient Care Tower.

State-of-the-art space for life saving care, as we become Canada’s premier critical care hospital. In the heart of the city.

St. Michael’s Foundation Inspired Care. Inspiring Science.

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stmichaelsfoundation.com 416.864.5000

2016-03-01 8:18 PM