Urban Angel magazine, vol. 7 by St. Michael's Foundation

2016 VOL. 7 | stmichaelsfoundation.com

living in a

MULTI-GENERATIONAL WORLD

THE BABY MOBILE DECODED what does it all mean?

The theme of this issue is our multi-generational world, a consideration of the distinct types and ages of people who populate our lives. Looking across the generations, you will find diﬀerent attitudes to work, life and what’s truly important. Determining a recognizable icon to represent each generation was no small feat. In fact, it sparked much debate among the intergenerational Urban Angel team.

PRE-BOOMERS/CIVICS The cohort came of age during a tumultuous time in the shadow of war and disruption. The poppy, made famous by Canadian John McCrae’s poem “In Flanders Fields,” symbolizes both duty and sacrifice. Every year, on Remembrance Day, you can see Canadians, and many nationalities, wearing the crimson flower in support of those who tragically lost their lives.

IN THIS ISSUE

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BOOMERS Woodstock, hippies and the Vietnam War – what could be more iconic of this idealistic generation than the peace sign? Found on t-shirts, Volkswagen vans and buildings, the symbol is truly emblematic of this free-loving, groovy group! GENERATION X Instantly recognizable with its diﬀerent coloured sides, the world’s bestselling toy ever could be found in the hands of nearly every child in the 80s. With its twists and turns and never-ending frustration, this puzzle and brain buster has stood the test of time. GENERATION Y/MILLENNIALS This generation defined the term “foodie,” with bloggers popping up on Instagram and Facebook and snapping photos of nearly every meal that crosses their plates. Desire for a more plant-based diet fuelled the green juice craze, making it the “must-have” accessory of 2015 and beyond. GENERATION Z Rarely spotted without a smartphone in their hand or wearable technology on their wrist, this generation has defined “connected.” With constant communication, real-time news updates and social media activities all in one, the Apple Watch is the culmination of all things Gen Z: innovation, technology and connectivity. NEXT GENERATION And finally, the baby on the cover represents the generation to come. A group full of possibility and uncertainty, the Next Generation will grow up in the most connected and diverse environment of our time. Only time will tell how the social, economic and environmental factors will influence and shape the still-to-be-named generation. Please give at stmichaelsfoundation.com

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EDITOR’S LETTER 5 IN THE NEWS 6 UNDER THE MICROSCOPE 8 CRITICAL CARE 11 GIVING BACK AT ANY AGE 14 YOUNG @ HEART 16 SPECIAL FEATURE: LIVING, STRIVING, THRIVING IN A MULTI-GENERATIONAL WORLD 17-31 ANATOMY OF GENERATIONS CLOSING THE INTERGENERATIONAL GAPS #EXERCISECRAZE GENERATION-DEFINING FAMILY FLICKS PREVENTATIVE MEASURES FACE OF THE FUTURE WHAT’S COOKING, DOC? 33 A WILL OF IRON 43 BRIGHT IDEAS 46 NOT JUST A HEADACHE 49 DON’T WORRY, BE HAPPY 53 WELL-BEING, WELL-READ 56 BRAIN WORKOUT 58 RECIPES 60 LIFE LESSONS 64 Please give at stmichaelsfoundation.com

THE BABY MOBILE DECODED what does it all mean?

IN THIS ISSUE

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EDITOR’S LETTER

“Hello...”

Investing in a healthy future.

rom babies to centenarians, we are at a pivotal point in history when six generations co-exist at once, each possessing a wide variety of experiences and knowledge. But how often do we take the time to stop, listen and learn? In this fast-paced era of cursory chats and digital connectivity, stopping to have a contemplative conversation can seem an unnecessary luxury.

medical breakthroughs), his optimism about the future cannot be contained. He has a wealth of knowledge wrapped in healthy habits (no smoking, no drinking, fresh food and exercise). It was only because Pierre took the time to say “Hello” that this new friend enriched my life with valuable insights and changed my perspective. The more that we learn about yesterday, the better prepared we are for tomorrow.

Never was this more apparent to me than on a recent trip to France that I took with my mother, Frania. It was at the historic Grand-Hôtel du Cap-Ferrat (now a Four Seasons hotel) that I met 85-year-old Pierre Gruneberg who, as a young Jewish boy, had fled Germany during the Second World War. Since 1951, he has been teaching hotel guests from around the globe how to swim. His students have included Charlie Chaplin, Picasso, Elie Wiesel, Elton John, Bono, the Kennedys and Tina Turner.

At St. Michael’s, our past continues to play a significant role in our future as our guiding principles transcend generational changes. Values like compassion, dignity and respect have guided us since the Sisters of St. Joseph founded the hospital in 1892 to serve the sick and disadvantaged. We also realize that true progress and innovation cannot occur amid complacency – it is a confluence of the best of what came before and what we believe is impossibly possible. One of our greatest strengths is our generational diversity – the interplay of ideas from physicians or nurses to residents, scientists to researchers, seasoned leaders to interns and more. In fact, it was a diverse team of Gen-Zers, Millennials, Gen-Xers, Boomers and Civics who brought these very pages to life along one common thread – health. We hope this issue of Urban Angel empowers you to say “Hello” (or “Bonjour”) to someone, like Pierre, from a diﬀerent generation and perhaps gain invaluable insights to influence your own life.

Today, the lessons he delivers are less about swimming and more about life. Having lived through war, financial crises, geopolitical unrest and disease outbreaks (and

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

We, the hospital’s intergenerational team, are proud of the past 124 years at St. Michael’s, and have never been more excited about the future as we become Canada’s premier critical care hospital. We simply could not have done it without you and your support. Thank you.

Lara L. Banks Vice President, Marketing & Communications St. Michael’s Foundation

Contributing Team: Lara Banks, Victoria Belton, Sandra Damiani, David Gates, Davis Guzman, Katie Haick, Michael Kennedy, Brian Meadwell, Iain Newbigin, Madeline Stephenson, Miranda Yorke, Bruce Zinger (17 to 64 years young!)

EDITOR’S LETTER

“Hello...”

Investing in a healthy future.

Today, the lessons he delivers are less about swimming and more about life. Having lived through war, financial crises, geopolitical unrest and disease outbreaks (and

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

Lara L. Banks Vice President, Marketing & Communications St. Michael’s Foundation

IN THE NEWS

BRICK BY BRICK…

And floor by floor, St. Michael’s new Peter Gilgan Patient Care Tower has been steadily rising since we broke ground in April 2015. Now the frame of the entire 17-storey building has been completed along with our new Condrain Group Multiple Sclerosis Clinic and the Pre-Admission Facility in the Donnelly Wing. Mock-ups of diﬀerent patient rooms and an operating room will allow health-care providers to “stress test” the new spaces to ensure the best possible design. We’re making changes so that when you need St. Michael’s, you will be greeted with a new front door, state-of-the-art facilities and the very best care.

CURB THE COMMON COLD Fatigued. Coughing. And sneezing. With a nose that won’t stop running. What do these tell-tale signs spell? A dreaded cold. With symptoms starting one to three days after infection, it’s hard to pinpoint exactly where you picked up this season’s brand of the common cold. But it is possible to avoid passing it on to the next victim. How? Dr. Matthew Muller, Medical Director of St. Michael’s Infection Prevention and Control Department, recommends limiting contact with others, disinfecting common surfaces and washing your hands with soap – well and often. While there’s no cure for a cold, to get back to your normal self faster, Dr. Muller recommends staying hydrated and getting plenty of rest. If the cough is keeping you up at night, a teaspoon of honey can help. If you start to develop a fever, are having trouble breathing or swallowing, or your symptoms don’t improve within a week, check in with your doctor.

Hope you can fend oﬀ the cold monster this year! Please give at stmichaelsfoundation.com

“Thanks to Inspire 2018, and the support of our many generous donors, we are building Canada’s premier critical care hospital. Having stateof-the-art facilities and the latest technology has been a dream of our staﬀ for more than 30 years as they’ve worked in cramped spaces with aged technology. With Inspire 2018, our vision will become a reality. We couldn’t have done it without our St. Michael’s friends!” – L. Alayne Metrick, President, St. Michael’s Foundation

WHAT’S NEXT FOR ST. MICHAEL’S In-hospital renovations will continue, along with the completion of the new tower. We say goodbye to the existing Shuter Wing, as we make room for the expansion of the renovated, twice-as-large Slaight Family Emergency Department, to be completed in 2019. The new space will more than double the footprint of our existing Emergency, and allow us to treat more patients while reducing wait times when minutes matter most.

Building care. Building innovation. Building Canada’s premier critical care hospital.

IN THE NEWS

BRICK BY BRICK…

Hope you can fend oﬀ the cold monster this year! Please give at stmichaelsfoundation.com

Building care. Building innovation. Building Canada’s premier critical care hospital.

UNDER THE MICROSCOPE “Research is the lifeblood of medicine. We are so fortunate to have the Keenan Research Centre and its top-notch scientists connected to St. Michael’s. Research drives innovation in clinical practice and that means having the latest and the best treatments for our patients. Here are some of our latest research stories.” – Dr. Bob Howard, President and CEO, St. Michael’s Hospital

Urban Angel Approved Research At St. Michael’s, MIMOSA is not a drink of orange juice and champagne. It is a Multispectral Mobile tissue Sample Assessment (MIMOSA), which provides early warning of poor blood circulation in people with diabetes – and the first-prizewinning research project at the 2016 Angels’ Den, the St. Michael’s Foundation and donor-sponsored competition for hospital researchers and clinicians.

In the Angels’ Den competition, co-chaired by Gwen Harvey and John Hunkin, 10 teams from a field of 40 gave three-minute pitches for their projects to a jury who then awarded prizes of additional research support and funding to travel to an international competition held this year in Calgary.

“Canadians with diabetes are 23 times more likely than the general population to end up in the hospital for a leg amputation because of a diabetic foot ulcer,” says St. Michael’s plastic and reconstructive surgeon Dr. Karen Cross with project partner Dr. General Leung, a magnetic resonance physicist. “Patients can use the device at home to take infrared images of tissue, revealing damage and indicating a need for medical treatment. This will mean that people with diabetes are at much less risk of losing limbs.”

The 2015 Angels’ Den winners, Dr. Jennifer Beck and Dr. Doug Campbell, developed LifeVest which helps premature babies in the hospital’s Neo-natal Intensive Care Unit breathe. They, like Drs. Cross and Leung, received funding to compete in the competition hosted by the Global Healthcare Innovation Academy, and came first. Congratulations, Dr. Beck and Dr. Campbell!

THINK OUTSIDE THE BEAKER.

Special Delivery If you were a fan of Downton Abbey, you will remember that Lady Sybil died from complications of eclampsia, leaving her husband Tom to raise their daughter on his own. Eclampsia can develop from preeclampsia which aﬀects approximately 3% of pregnant women. Characterized by high blood pressure, it can cause stroke or kidney failure in the mother and put the fetus at risk of premature birth and poor growth. St. Michael’s researchers have developed a new tool that will improve how clinicians can identify women at high risk of developing preeclampsia, and who should or should not take acetylsalicylic acid (ASA), also known as Aspirin, after 12 weeks of pregnancy. The studies, led by Dr. Joel Ray, physician and scientist in the Keenan Research Centre of the Li Ka Shing Knowledge Institute at St. Michael’s, identified several risk factors that alone, or in combination, provide a clear and evidence-based approach to identify these women. “We can now identify the most influential clinical factors for preeclampsia, none of which require special testing, and all are currently collected by a midwife, obstetrician, family doctor or nurse practitioner during routine pregnancy visits,” Dr. Ray said. “While ASA may reduce the risk of preeclampsia, we really want to ensure that only a woman truly at high risk goes on ASA, while making it very easy for any clinician to identify that person.”

International Recognition The Canadian Institute of Health Research’s Institute of Population and Public Health has awarded St. Michael’s Dr. Prabhat Jha, Director of our Centre for Global Health Research, its inaugural 2016 Trailblazer Award in Population Health Solutions, recognizing the impact of his research on health policy and practice. Dr. Jha’s research and advocacy have inspired many countries, including India, the Philippines, Trinidad and Tobago, as well as parts of Europe and Asia, to rethink legislation around tobacco and raise taxes in order to reduce premature deaths from smoking. Smokers who quit when they are young adults can live almost as long as people who never smoked. Smoking cuts at least 10 years oﬀ a person’s lifespan.

“I am deeply honoured to receive the CIHR-IPPH Trailblazer Award. This prestigious award is recognition of collective eﬀorts that have halved premature deaths from smoking in many populations, and a reminder that much more needs to be done in Canada and globally.” – Dr. Prabhat Jha, Director, Centre for Global Health Research, St. Michael’s Hospital

“This is tremendous recognition for Dr. Jha’s leadership, mentorship and innovative contributions to public health on the international stage.” – Dr. Arthur Slutsky, Vice President, Research, St. Michael’s Hospital

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THINK OUTSIDE THE BEAKER.

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CRITICAL CARE Why can’t the sides be as good as the mains? Oh but they can. PC® Blue Menu® Italian Farro is a nutritious side that you’ll want front and centre. Try our Sautéed Farro with Kale and Sun-dried Tomato recipe tonight.

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11 THE HUMAN ELEMENT

ritical Care 101: Care for patients who are generally unstable, critically ill or in urgent need of advanced monitoring and intensive treatments. Care is provided through multidisciplinary teams in the following units: Medical Surgical Intensive Care, Trauma and Neurosurgery Intensive Care, Cardiovascular Intensive Care, Cardiac Intensive Care and Neo-natal Intensive Care.

“Never before has it been so clear in my mind that critical care is what St. Michael’s Hospital represents,” says Dr. Andrew Baker, Chief of the Department of Critical Care. When patients are rushed to St. Michael’s via ambulance or helicopter to receive immediate, life-saving care, they are often placed in the experienced hands of Dr. Baker and his team of renowned specialists. “We are leaders in so many fields, yet embedded in this climate of clinical excellence is a community of compassion and collaboration,” he says.

Over the past 25 years, Dr. Baker has been at the helm of some of Canada’s most complex critical care cases. He’s made time-sensitive decisions for patients suﬀering from an array of life-threatening conditions. He’s pacified powerful human emotions that are ever-present in intensive care units. He’s witnessed the gift of life and the extreme grief of loss. He’s become an instrument of empathy, regarded for his unconventional approach and ability to bridge the hopes and expectations of patients and families. He joined Urban Angel for a conversation on critical care at St. Michael’s.

“in many areas across the hospital we are leading the world.” – Dr. Andrew Baker Please give at stmichaelsfoundation.com

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11 THE HUMAN ELEMENT

“in many areas across the hospital we are leading the world.” – Dr. Andrew Baker Please give at stmichaelsfoundation.com

Dr. Baker’s Pivotal Career Moment

WITH DR. ANDREW BAKER

AT A GLANCE – In his 25-year career at St. Michael’s Hospital, Dr. Andrew Baker has become known as a passionate proponent of compassionate care, helping us acquire the support and resources needed to become Canada’s premier critical care hospital. In addition to his role as Chief of Critical Care, he serves as Medical Director of the Trauma and Neurosurgery Program, Director of the Brain Injury Laboratory in the Keenan Research Centre for Biomedical Science at St. Michael’s and the Cara Phelan Chair in Critical Care Medicine. He has dedicated time to provincial organizations, such as Trillium Gift of Life Network and Critical Care Services Ontario. As a Professor in the Departments of Anesthesia and Surgery at the University of Toronto, he shares his knowledge with the next generation of critical care experts.

“I come home every day full of gratitude.”

The resources provided by our Inspire 2018 campaign will make St. Michael’s the premier critical care hospital in Canada. As one of the key champions of critical care excellence – what does that mean to you, and how will it impact patients?

Can you share an anecdote that shines a light on critical care at St. Michael’s?

What distinguishes St. Michael’s from other hospitals?

We recently saw a young teenager who arrived by helicopter with a severely crushed chest. A malfunctioning car had run over him. What’s incredible when something like this happens is that suddenly I’m shoulder-to-shoulder with some of the world’s leading experts on ventilation, lung injury, bleeding problems and brain injury. We’re supported by incredible nurses who have tons of experience. We could not do it without them. I have so much respect for these people, and here we are talking about the best thing we can do for this patient. It’s an incredible feeling to be a part of that at two in the morning. It contributes to the best of creative thinking, the best of problem-solving and the best of care. Incredibly, the patient recovered. It was the best possible outcome, one that we strive for every single day. We want our patients to return home to their loved ones. It strengthens our resolve and helps us understand why we’re here and why we’re leaders in critical care.

One of the things that distinguishes St. Michael’s, for me, is the shared clarity of purpose. We all have a deep understanding of why we’re here. We share the same values of compassion, dignity and respect and the same joys of caring for our patients. We have a commitment to the urban community – people who are sick, poor, at-risk and vulnerable. We have disadvantaged people in our society and somebody needs to stand up and say “We’re not leaving anybody behind.” To me, it’s real. It’s Toronto. It’s St. Michael’s.

It means that in many areas across the hospital we’re leading the world. It means that we have the advanced care, technology and expertise to deal with urgent, critical care cases – everything from severe car accidents and cardiac arrests to heart attacks, overwhelming infections and trauma. It means we are ready for our patients, 24/7, and prepared for multiple life-threatening situations at the same time. It means we have the passion, and soon-to-be state-of-the-art facilities, to save even more lives. It means that mothers, fathers, sisters, brothers, grandparents and friends will be coming home. The impact the new Peter Gilgan Patient Care Tower will have on our patients is significant. It will allow us to recruit and retain top talent from around the globe. The world’s leading scientists, physicians, nurses and administrators want to be at the intersection of innovation and compassion – they want to be at St. Michael’s.

– Dr. Andrew Baker

What has this job taught you about life? Donor support has been central to St. Michael’s success in critical care. How does philanthropy drive the work you do every day? St. Michael’s excels when it comes to human capital, but to create the magic that we strive to create here every day we must be prepared to handle as many situations as possible. We need the physical capital to rival the human capital, and we can’t do it without our donors. Our donors recognize that St. Michael’s is in the business of providing life-saving, compassionate care. I can’t describe how meaningful that is. They inspire us.

I thought I knew what compassion and empathy meant when I started, but to be able to do this job, you really have to continue to nurture and grow that part of you. It has to be palpable. I don’t think I realized the role empathy would play in my career when I started 25 years ago. My time at St. Michael’s has also taught me to be grateful. I have gratitude for life and for the diversity of patients that I get to meet. I love them all. I come home every day full of gratitude.

“we are ready 24/7.” Please give at stmichaelsfoundation.com

I was in my late 20s – a young, enthusiastic doctor, still training. There was an elderly Irish couple that had been married for 60 years or so. They had lived a very frugal life. The husband had end-stage chronic lung disease and pneumonia. While we had managed to get him off the ventilator, he understood that he had reached the end. He had made a decision that day that he didn’t want to go back on life support. His wife was there and she was aware that he might not make it through the night. It came to the end of visiting hours – of course now visiting hours are around the clock – but before she left, he said to her, in a beautifully understated way, “Don’t take the streetcar – take a taxi home tonight.” It was the last thing he chose to say to his wife. It still affects me today. Up until that moment, clarity to me meant everything that was verbal, explicit and clear, but from then on clarity to me was what other people might call invisible. I saw that statement of love in what he said. Some things are too difficult to talk about. It struck me. Today, when I’m speaking to families, I will bring up words like love or guilt or death and things that people don’t often talk about. I can’t tell you the number of times I see relief in people’s eyes. I think that’s part of what makes St. Michael’s so special. We’re prepared to have this dialogue. We understand that our jobs go beyond providing life-saving care – it’s about compassionate care. Since then, I’ve made it my mission to clarify what feelings are really occurring so we can all gain clarity. That moment was so powerful for me.

Dr. Baker’s Pivotal Career Moment

WITH DR. ANDREW BAKER

“I come home every day full of gratitude.”

Can you share an anecdote that shines a light on critical care at St. Michael’s?

What distinguishes St. Michael’s from other hospitals?

– Dr. Andrew Baker

“we are ready 24/7.” Please give at stmichaelsfoundation.com

GIVING BACK 14

at any age

THE LATEST HAPPENINGS AT ST. MICHAEL’S FOUNDATION

“There’s always something happening at St. Michael’s Foundation,” says President L. Alayne Metrick. “We are fortunate to have the support of so many friends, of all diﬀerent ages, who support the important work of the hospital by attending our fundraising events or creating their own. We are grateful to everyone who helps out however they can. To all our donors I say, ‘We could not do it without you!’”

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3 (1, 2, 3) St. Michael’s Young Leaders continue their stellar eﬀorts to support the transformation of the hospital with their signature events. (4, 5, 6) The 29th annual Urban Angel Golf Classic,, co-chaired by Foundation Board Members Mike Thompson and John Manning. (7) St. Michael’s Leadership Society (annual and monthly donors who donate up to $10,000) attended a special Mini-Med School, featuring Dr. Nancy Baxter, Division Head of General Surgery. (8) Volunteers at the Sivananda Yoga Vedanta Centre hosted a yoga fundraiser in support of our Inner City Health Program. (9) Hospital Board Member Kerry O’Reilly Wilks, her husband Lloyd and their family hosted Malachy’s Soiree in support of St. Michael’s Neo-natal Intensive Care Unit. (10) From left: Dr. Bob Howard, President & CEO, St. Michael’s Hospital, Barbara Collins, President & CEO, Humber River Hospital and Dr. Rueben Devlin, Former President & CEO, Humber River Hospital, attend Nordstrom’s Pre-Gala Celebration in Toronto. (11, 12) Our Legacy of Caring luncheon gave people who have made bequest intentions in their wills the opportunity to learn more about the latest developments in critical care from Dr. Laurent Brochard, Keenan Chair, Critical Care and Respiratory Medicine. (13) As part of the holy celebration of Ramadan, the Islamic Society of Toronto presented a gift of support to Linda Jackson, Program Director of St. Michael’s Inner City Health Program. The generous donation recognized the hospital’s good work and reputation for caring for the Muslim community.

5 Please give at stmichaelsfoundation.com

GIVING BACK 14

at any age

THE LATEST HAPPENINGS AT ST. MICHAEL’S FOUNDATION

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5 Please give at stmichaelsfoundation.com

SPECIAL FEATURE

YOUNG @ HEART “I want to make people laugh. I want to make people happy!” — Georgette Helou

In just five minutes, Georgette Helou has already cracked three jokes. Howling with laughter, the 87-yearold firecracker has a fervour for life that’s infectious. Her cheeks blushing, her eyes bright, her outlook bullish, the breast-cancer survivor has become a symbol of hope at St. Michael’s. “I’m a joker,” she says, “I want to make people laugh. I want to make people happy!” Her vest is emblazoned with honorary pins recognizing more than two decades of volunteerism, including a customized Trillium Award for her many years of community service. “Since I was young, I dreamt of working in a hospital to help patients,” says Georgette. “I’m a survivor. I wanted to show patients that they can survive, too.” When Georgette was diagnosed with breast cancer nearly 30 years ago, she turned to St. Michael’s for care. She credits the skilled team of specialists and her faith for helping her overcome cancer. It was her desire to help the poor and underprivileged of Toronto’s inner city that propelled her to volunteer at St. Michael’s in 1995. “I’m very proud of this hospital and the way they treat people,” says Georgette, who volunteered for nearly 15 years in the Medical Daycare Unit, which provides outpatient cancer care to about 600 patients every month. In an eﬀort to inspire others, she speaks candidly about her battle with breast cancer. “If I didn’t have hope, I wouldn’t have survived.” In her current role as a patient guide, she ensures that everyone who walks through St. Michael’s doors is met with a smile. “I guide them, I make them laugh, I tell them jokes, I take them where they need to be. I love it because I love making people laugh.” She also gets a thrill out of telling patients her age. “They never believe me!” Her secret to staying so young? “Great genes! I also eat two pieces of dark chocolate in the morning, two pieces at noon and two pieces at night. My dinners are a delightful mix of dried and fresh fruits with cheese and a handful of all kinds of unsalted nuts.” Georgette’s legacy will live on in the countless lives she’s touched as a volunteer and the gifts she plans to leave behind – including a bequest to St. Michael’s in her will. “It’s good to help others,” she says. “I love giving back to St. Mike’s because I feel it is part of my family. I’m proud to belong to this wonderful family of kind, generous Planned gifts are and most dedicated doctors, nurses and specialists. Every Give a gift of a special way to single employee and volunteer, from the cleaning life insurance staﬀ to the executives, shares the same support St. Michael’s mission and values of treating Donate a gift of stock Honour a doctor or loved others with respect, one (express thanks!) compassion and Leave your legacy dignity.” of inspired care and

Remember us in your will with a bequest

inspiring science

For more information on Planned Giving and St. Michael’s Foundation, please contact Cynthia Collantes at 416.864.5879 or CollantesC@smh.ca

LIVING STRIVING THRIVING in a multi-generational world

Please give at stmichaelsfoundation.com

SPECIAL FEATURE

YOUNG @ HEART “I want to make people laugh. I want to make people happy!” — Georgette Helou

Remember us in your will with a bequest

inspiring science

For more information on Planned Giving and St. Michael’s Foundation, please contact Cynthia Collantes at 416.864.5879 or CollantesC@smh.ca

LIVING STRIVING THRIVING in a multi-generational world

Please give at stmichaelsfoundation.com

SPECIAL FEATURE

ANATOMY OF GENERATIONS Unique personalities, values and experiences shape each person, but generations are usually defined by cultural and social events, common characteristics and shifts in values. Each generation varies in size, as indicated by the spheres below. Who would imagine that the largest would be Gen Y? With their smartphones in hand, they are the ones who show us we truly are all connected.

WHERE DO YOU FIT? GENERATION X

— Brittany Freeman, Senior Philanthropy Assistant St. Michael’s Foundation

GEN Z Defining events: Political, social and economic events to come over the next few years Characteristics: Showing signs of being entrepreneurial, tech-savvy, industrious and eager to create social impact to build a better planet, wanderlust, visual, cynical, private, technology-reliant

Defining events: Fall of the Berlin Wall, MTV/Much Music, Challenger disaster, dawn of high-tech, The Oﬃcial Preppy Handbook, Ferris Bueller’s Day Oﬀ, space travel

PRE-BOOMERS Defining events: WWII, age of radio, air flight and television, teenagers during the Great Depression, Mickey Mouse, swing music Characteristics: Cause-driven, communityminded, disciplined, self-sacrificing Values: Strong loyalty to jobs, groups, community and extended family

“My parents, grandparents and I are always discussing the diﬀerences between our generations – and there are some distinct ones! But there are also a lot of similarities since some of the family was born during border years, where the generations overlap.”

Values: Structure, sense of predictability, strong work ethic, family as a secure base

Characteristics: Smallest generation, self-reliant, skeptical, pragmatic and action-oriented, risk takers, technologically savvy, unimpressed with authority, helicopter parents Values: Family, diversity, driven by quest for balance and security, grew up as “latch-key kids”

MILLENNIALS OR GENERATION Y BABY BOOMERS

Defining events: 9/11, Columbine massacre, Princess Diana’s death, the Great Recession, rapid technological and social shifts, Power Rangers, Facebook, cellphones

Defining events: Rise of rock’n’roll, The Beatles, peace movement, Vietnam War, civil rights protests

Characteristics: Now the largest generation, most diverse, educated, impatient, protected children with a high need for immediate response, confident, connected, “me” generation, selfish and entitled

Characteristics: Second largest generation in history, optimistic, idealistic, hardworking, independent, goal-oriented, competitive

Values: Respect authority, consider everything to be negotiable, jump from job to job, immediacy, social connections

Values: Personal recognition, new opportunities/optimism, community involvement and fulfillment

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SPECIAL FEATURE

WHERE DO YOU FIT? GENERATION X

— Brittany Freeman, Senior Philanthropy Assistant St. Michael’s Foundation

Defining events: Fall of the Berlin Wall, MTV/Much Music, Challenger disaster, dawn of high-tech, The Oﬃcial Preppy Handbook, Ferris Bueller’s Day Oﬀ, space travel

Values: Structure, sense of predictability, strong work ethic, family as a secure base

MILLENNIALS OR GENERATION Y BABY BOOMERS

Defining events: 9/11, Columbine massacre, Princess Diana’s death, the Great Recession, rapid technological and social shifts, Power Rangers, Facebook, cellphones

Defining events: Rise of rock’n’roll, The Beatles, peace movement, Vietnam War, civil rights protests

Characteristics: Second largest generation in history, optimistic, idealistic, hardworking, independent, goal-oriented, competitive

Values: Respect authority, consider everything to be negotiable, jump from job to job, immediacy, social connections

Values: Personal recognition, new opportunities/optimism, community involvement and fulfillment

Please give at stmichaelsfoundation.com

SPECIAL FEATURE

CLOSING THE INTERGENERATIONAL

CHALLENGING AGE-OLD ASSUMPTIONS AND INTERGENERATIONAL MYTHS “Even young children can understand that food that comes from nature is usually the best for us.” – Dr. Jonathon Maguire

THE ABCs of GENERATION Z If the age-old cliché “You are what you eat” bears any fruit, consider Gen Z the “freshest” of them all. While they may be viewed as junk-food juggernauts, kids today are increasingly conscientious about what they consume. Word on the street: alphabet soup isn’t what they eat. In The Future of Eating: Who’s Eating What in 2018, global research firm The NPD Group reported a surprising upswing in demand for fresh food, and it’s largely fuelled by the appetites of the youngest generation who prefer home-cooked meals over processed, and stove-tops over microwaves. The firm forecasts that “fresh food consumption will continue to grow over the next five years and the youngest generations will be driving the trend.”

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“Many children and adolescents are quite savvy when it comes to healthy eating. Parents play a large role in modelling healthy eating behaviours and teaching children about healthy food choices. Fresh food is nearly always better than processed,” says Dr. Jonathon Maguire, a St. Michael’s pediatrician. “I find that packaging can be a good indication – often the less packaging, the better it is for you. Similarly, foods with fewer ingredients are often healthier than those with more. Even young children can understand that food that comes from nature is usually the best for us.” Growing up in a digitally driven world, Gen-Zers now have nutritional data at their fingertips. As food facts become increasingly transparent, today’s youth can feel empowered about the healthy choices they make.

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CLOSING THE INTERGENERATIONAL

CHALLENGING AGE-OLD ASSUMPTIONS AND INTERGENERATIONAL MYTHS “Even young children can understand that food that comes from nature is usually the best for us.” – Dr. Jonathon Maguire

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DEMYSTIFYING PERENNIAL MILLENNIAL MYTHS

Millennials/Gen Y

elfish. Spoiled. Shallow. These are just a few of the traits that have typecast Millennials as one of the most apathetic age groups of our time. Who could forget the May 2013 cover of TIME magazine which branded the bracket as self-centred with a provocative headline that read: “The ME ME ME Generation: Millennials are lazy, entitled narcissists who still live with their parents.” To punctuate the point, the cover featured a young woman lying on the floor, taking a selfie. Snap. So, are the cohorts of the early 1980s to 2000s really a crass class? Not everyone buys into the hype. Dan Schawbel is Managing Partner of Millennial Branding, a New York City-based Gen Y research and consulting firm, which helps Fortune 500s make sense of the Millennial generation. He’s spent years trying to smash stigmas surrounding this group. “My research has found that every generation has a positive view of their elders, but a negative view of younger generations,” says Schawbel. “This has always existed in our society – the diﬀerence today is that media and social networks have proliferated these stereotypes.” He’s not alone. According to Marisa Cicero, Manager of Collaborative Practice and Education at St. Michael’s, “We could all find someone who fits the bill, but that’s not been my impression of Millennials. We have a lot of young, dynamic clinicians here. What I love about them is that they have tons of energy and initiative. They want to build their careers.”

St. Michael’s Young Leaders (SMYL) is a prime example. This vibrant group of young professionals is changing the face of fundraising with innovative events and ideas. “I admire the spirit and enthusiasm our Young Leaders bring to the Foundation. They’re passionate about philanthropy and eager to exchange knowledge,” says L. Alayne Metrick, St. Michael’s Foundation President. Since its inception in 2008, SMYL has raised more than $1 million for the Inspire 2018 campaign. Elizabeth Butorac, St. Michael’s Clinical Leader Manager, Trauma Neurosurgery Intensive Care Unit, agrees. “Millennials are far from lazy. They may change jobs more often than Gen-Xers, but they have a real desire to experience the world. They also understand the consequences of their behaviours,” says Butorac, who also coordinates St. Michael’s ThinkFirst Injury Prevention Strategy For Youth Program (TIPSY). So how do we renew these views? “What’s important is how we, as an organization that employs people across the life and career span, respect and value people’s diﬀerences,” says Cicero. Schawbel says it starts with treating people as people and giving them a chance before judging them: “We need to bring diﬀerent age groups together in mentoring and knowledge transfer relationships to close the generation gap.”

“Millennials are far from lazy. They have a real desire to experience the world.”

GENERATION EXCEL Generation X

here’s a flurry of phrases used to describe the cohort born after the 1960s, but the term Generation X took oﬀ 25 years ago when Canadian novelist Douglas Coupland released Generation X: Tales for an Accelerated Culture. Gen-Xers may live in the shadows of Baby Boomers but, by many accounts, today’s 40-somethings are far from lost. Contrary to their “slacker” misclassifications, many members of this generation have drive and grit. They work long and hard. They are founders of startups, CEOs of small and big businesses – they’re even prime ministers of countries. And while they don’t all look like Justin Trudeau, they are close in age and ambition. Black Monday, the dot-com-bubble and the 2008 global financial crisis are just a few of the financial events that aﬀected this generation. A survey conducted by Ernst & Young (EY) aimed at measuring generational

management trends, shows that this group is viewed as “best equipped to manage in current economic conditions, as well as in 2020.” Gen-Xers also achieved top scores in being considered “team players” and “productive” members of an organization. According to its global study on intergenerational work-life challenges, EY reported that Gen X found it slightly more diﬃcult, however, to manage work and family/ personal responsibilities than Boomers. Long hours and travelling overnight for work are also common among this generation. But working compulsively can have its consequences. “It’s important to let your mind be present in whatever activity you’re doing without being constantly interrupted or having to think of the next thing to do,” says Rachael Frankford, a group therapist and social worker in St. Michael’s Department of Psychiatry who founded MAST, the Mindful Awareness Stabilization Training program, to teach people emotion regulation skills to thrive in daily life. “Let your mind rest in non-doing, it’s hugely important – it’s the premise of mental health.”

– Elizabeth Butorac Please give at stmichaelsfoundation.com

SPECIAL FEATURE

DEMYSTIFYING PERENNIAL MILLENNIAL MYTHS

Millennials/Gen Y

“Millennials are far from lazy. They have a real desire to experience the world.”

GENERATION EXCEL Generation X

– Elizabeth Butorac Please give at stmichaelsfoundation.com

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THE ‘BOOMER BLUES’ DEBUNKED Baby Boomers

ome good news for retirees-to-be: the best years of your life may be ahead. Reigniting an age-old debate about intergenerational happiness, researchers have discovered that older Canadians tend to outperform Millennials when it comes to contentment. A survey spearheaded by Esme Fuller-Thomson, a social work professor at the University of Toronto – which is aﬃliated with St. Michael’s Hospital – found that an astounding 74% of Canadian Baby Boomers claimed to be happy and/or satisfied in their life nearly every day. “Three in four Boomers are flourishing,” says Fuller-Thomson. Her research also found that Boomers with good to excellent health have 80% higher odds of “complete mental health” than those in fair or poor health. Other contributing factors to contentment include increased financial security, having a confidante, turning to religion to cope with diﬃculties, being married and being female. These findings are supported by a recent survey conducted by the Angus Reid Institute, which found that “the golden years remain golden for older Canadians” – particularly those at or past the age of retirement. Despite rumours of ‘Boomer blues,’ many seniors say they are “pleased with how their lives have turned out so far. They don’t feel stressed, they feel younger than their age and they’re contemplating living to ages their parents’ generation would never have dreamed of.”

LET’S GET PHYSICAL Pre-Boomers/Civics

“It has been my experience that with supportive environmental and social networks the elderly frequently report that they continue to find joy and meaning in their lives,” says Marjorie Hammond, Clinical Nurse Specialist, St. Michael’s Geriatric Emergency Management Department. “I have been amazed by how many seniors have acquired new technological skills in ensuring connections with family and friends such as Skyping and emailing.”

“We, as a society, need to ensure the right ingredients are available to older persons to facilitate contentment and optimism in later life.” – Marjorie Hammond According to iStrategyLabs, a Washington, D.C.-based digital agency, the Boomer bracket boosted its presence on Facebook by 80% between 2011 and the first half of 2014. So, at what age does old age begin? The majority of Canadians over 55 who were surveyed by Angus Reid believe that magic number is 80. It’s a strong contrast to those 35 and younger who think someone is old when they’re in their 50s. And while many young adults are apprehensive about aging, the fear is less prominent among the oldest Canadians surveyed.

livia Newton-John probably wasn’t singing to seniors when she belted out her chart-topping single, “Let’s Get Physical,” but recent research has revealed a surprising truth about elderly intimacy – it’s not as uncommon as you think.

After surveying more than 500 participants over the age of 50, two St. Michael’s researchers, Erin Lurie and Meera Nathwani, of the Department of Family and Community Medicine, have discovered that patients in their 70s and older are often still sexually active. These individuals have many of the same sexual health concerns as their younger cohorts and they rely on their family physicians to bring up these concerns during their visits. “We think about sexual health at the forefront of our minds when dealing with young adults, but not so much with older patients,” says Lurie, whose research project was nominated for the Post-Graduate Medical Education Award and the Canadian Society for Clinical Investigation Award. While elderly people face many of the same risks of acquiring sexually transmitted diseases as younger generations, “Many patients don’t necessarily see themselves as vulnerable to infections,” says Dr. Gordon Arbess Arbess, Director of the HIV Program in the Department of Family and Community Medicine at St. Michael’s. “We’ve had patients who’ve acquired infections in their 70s and 80s – including HIV. Prognosis is generally quite good as long as it’s diagnosed and recognized quite early,” he adds. Let’s talk about it.

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THE ‘BOOMER BLUES’ DEBUNKED Baby Boomers

LET’S GET PHYSICAL Pre-Boomers/Civics

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PRE-BOOMERS/CIVICS

BABY BOOMERS

GENERATION X

Not just hip for children, hula hooping was When you have to walk uphill both Gym culture really took root during once the happening way to burn calories for ways to school is there really a need Generation X, with celebrities like for fitness? The Pre-Boomers led a much men and women alike. When Baby Boomers Arnold Schwarzenegger toting bulky discovered they could burn 165-200 calories more active lifestyle than the average muscles and a “can-lift” attitude. Some person today, without the same need for in only 30 minutes of hip-swirling fun, more Gen-Xers preferred the comfort of their than 25 million people in the U.S. alone dedicated fitness activities. But they did own homes to the gym and, luckily for scooped up one of the colourful hoops. take care of themselves. Pre-Boomers them, in the early 1980s Jane Fonda paid attention to their muscles and joints released her workout video series, by performing stretches before strenuous allowing aerobics fans to try the new activities and sports. trend right in their living rooms.

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GENERATION-DEFINING FAMILY FLICKS Over the years, research has shown the importance of spending time with loved ones. “Spending quality time together helps children feel more confident and secure, builds stronger family bonds and contributes to good emotional health,” says Amanda Hignell, a St. Michael’s social worker in the Neo-natal Intensive Care Unit. “It’s also associated with fewer behavioural problems and greater academic success.” Family fun can happen in almost any setting. But one of the easiest and most convenient ways for a family to bond is by sharing some popcorn, dimming the lights and enjoying a film together. Through the generations, Hollywood has brought us some classic movies suitable for people of all ages. Below we’ve included a list of generationdefining movies for you to enjoy with your loved ones.

PRE-BOOMER/CIVICS: CASABLANCA Set during World War II, this 1942 romantic drama tells the story of an American living in Morocco who must choose between reuniting with his one love and helping her Czech Resistance husband escape Casablanca to fight against the Nazis. When the movie premiered, it defied box-oﬃce expectations, was nominated for nine Academy Awards and won three.

26 Over the years, there have been many flavours of the week or season when it comes to fitness fads. From Richard Simmons to CrossFit, no doubt we can all think of a few. But some activities, like stretching, have stood the test of time and proven worthy of practising for all of us, regardless of age. “It’s important to take care of your body at any age. Proper amounts of exercising and stretching will help protect your joints and muscles, helping you to live a healthier life.”

BABY BOOMERS: THE SOUND OF MUSIC Based on the true story of the Von Trapp family singers, The Sound of Music tells the story of Maria, a young woman in the process of becoming a nun, who is sent to care for the children of Captain Von Trapp. While bringing music back into the lives of the Von Trapp family, Maria and the Captain fall hopelessly in love – a diﬃcult situation for a would-be nun and a man already engaged.

GEN X: THE BREAKFAST CLUB Five high-school students with nothing in common are forced to spend a Saturday afternoon together after receiving detentions. Each student represents a high-school clique stereotype: there’s “the brain,” “the athlete,” “the basket case,” “the princess” and “the criminal.” But by the end of their nine-hour detention, the students realize that despite their diﬀerences they may have far more in common than they once realized.

– Gina Gamsawen, Registered Nurse, Medical/Surgical ICU

MILLENNIALS: TITANIC Titanic is a fictionalized account of the real-life sinking of the RMS Titanic in 1912. This epic tells the story of a forbidden romance that blossoms between a beautiful first-class passenger and a penniless third-class artist onboard the “unsinkable” ship’s ill-fated maiden voyage.

NEXT GENERATION

GENERATION Y/MILLENNIALS

Who knows what the exercise craze will be for this budding generation. But whether you’re a parent or a caregiver, you know that babies rarely sit still for long. “Living an active lifestyle begins early – even babies begin to crawl between 6 and 10 months. Though some may skip that stage and go straight to pulling up and walking.” – Hyojung Kim, Registered Nurse, Medical/Surgical ICU Please give at stmichaelsfoundation.com

GENERATION Z How will these teenagers and budding young adults tackle the age-old challenge of staying in shape? Only time will tell. But you can bet technology and the digital social landscape will play a part in defining the fitness trends of Gen Z. Will it be more advanced wearable activity trackers? How about continued development of fitness apps?

With their notoriously short attention spans, and aﬃnity for change, it’s no surprise that nailing down one fad for the diverse generation was impossible. This active group is constantly seeking stimulation and can be found running obstacle courses and marathons, tackling high-intensity interval training (HIIT) with an exercise group, such as CrossFit, and working out with the latest fitness app on their phone or tablet. Ever heard of Kayla Itsines?

GEN Z: HARRY POTTER (SERIES) The Harry Potter film series is based on the hugely popular novels by author J.K. Rowling. Each film chronicles Harry Potter’s adventures at Hogwarts, a school of magic, and the battle against his nemesis, Lord Voldemort. Six of the eight films in the series were nominated for a total of 12 Academy Awards.

THE NEXT GENERATION Who can predict what film will define the Next Generation. But looking at the biggest blockbusters of the last decade, we can assume the Next Generation will be defined by a fictional, live-action and animated film that features supernatural characters. Potentially something from Marvel or DC studios, two comic book juggernauts responsible for movies like the Batman series, X-Men, Deadpool and The Avengers.

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PRE-BOOMERS/CIVICS

BABY BOOMERS

GENERATION X

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– Gina Gamsawen, Registered Nurse, Medical/Surgical ICU

NEXT GENERATION

GENERATION Y/MILLENNIALS

REVENTATIVE

SPECIAL FEATURE

ROOKIES, SLACKERS & HIP-STERS TAKE NOTE!

EASURES

St. Michael’s offers excellent medical care, but our physicians and scientists are keen to help you avoid the hospital. We talked to three experts about health issues that affect different age groups and how best to stay out of the doctor’s office.

YOUTH:

MIDDLE AGE:

SENIORS:

Concussion-Prevention

Weekend Warrior Injuries

Avoiding Potentially Deadly Hip Fractures

Thanks to high-profile news stories and classaction lawsuits by former hockey and football players, concussions are big news. St. Michael’s neurosurgeon Dr. Michael Cusimano is on a mission: to prevent concussions, especially sportsrelated brain injuries to youth and young adults, because they can have life-long consequences.

Does this sound familiar: long hours at work, sitting at a desk, followed by hours in front of the TV? Canadian adults spend three-quarters of their waking hours either sitting or reclining, which is linked to obesity, increased risk of cardiovascular disease and cancer. So we become weekend warriors, go hard at some sport or activity and our ligaments and tendons pay the price.

Years ago, seniors who arrived at our St. Michael’s Fracture Clinic were treated for their broken wrist or other fractured bone but not the underlying disease, namely osteoporosis, then sent home. Orthopedic surgeon Dr. Earl Bogoch was troubled. Some of these frail seniors would go on to break a hip, a catastrophic injury with a grim outlook: 20% of women and 25% of men will die within the year after a hip fracture. There are about 30,000 hip fractures per year in Canada, creating direct health-care costs of over $1 billion in the year following the fracture.

Concussions are caused by a direct blow to the head or a hit to the body that causes a whiplashlike injury to the brain. Symptoms can include headaches, diﬃculty concentrating, mood changes, disturbed sleep patterns, blurred vision or increased sensitivity to light and sound. Some patients suﬀer severe problems long after the injury. Dr. Cusimano has been especially concerned about brain injuries to young people caused by organized sports and led a study on sports-related concussions in youth 5–19. Sadly, but not surprisingly for Canadians, hockey was responsible for 44% of these injuries. The list continues: soccer, 19%; baseball, 15.3%; football and rugby, 12.9% and 5.6%; and, finally, basketball, 11.6%. Armed with these statistics and direct experience with patients, Dr. Cusimano has become a highprofile advocate for changes to how children and young people play sports, especially hockey. “We need educational programs, proper equipment, rules and other incentives to support a culture of safety in sports and in daily activities far beyond the sports arena. For example, do we really need bodychecking and fighting in the game?” asks Dr. Cusimano. “The status quo is unacceptable.”

Orthopedic surgeon Dr. Daniel Whelan of our Sports Injury Program consults for the National Hockey League Players’ Association. He sees soft tissue injuries far too often in his patients. “There’s a real risk going from zero to 100 without a proper build up,” he notes. Prevent injuries to your bones and tendons with an exercise plan that not only keeps your heart primed but your bones and joints strong. “Tendon problems include tennis elbow and rotator cuﬀ problems of the shoulder. I also see bicep tears and even tears of the Achilles tendon. Slow and steady is much safer if you are out of shape.” Dr. Whelan is also keen on stretching. “Because we sit so much, the front of the knee is loose, and the back gets tight. Stand up and stretch periodically during the day. And do a nice, slow stretch before and after physical activity.”

SO THERE YOU HAVE IT:

Dr. Bogoch notes, “Over 80% of all fractures after age 50 are caused by osteoporosis, so test for the condition after a fracture and then treat the disease to prevent a broken hip.” So began the Osteoporosis Exemplary Care Program at St. Michael’s. Patients are screened through bone density testing and then treated. The Ministry of Health has rolled out the program in 36 other fracture clinics across the province as part of the Ontario Osteoporosis Strategy. Dr. Bogoch advises, “The best strategy is to minimize your chance of getting osteoporosis. Avoid too much alcohol and smoking. Get up and perform weightbearing exercises and activities – walking, running, jumping, dancing and weightlifting – to retain bone density as you age. And for the group which is at highest risk for hip fracture, appropriately prescribed medication cuts the hip fracture risk in half.”

The best way to stay out of hospital is a life-long commitment to healthy living, including sensible exercise and taking care of your body while protecting your brain. Please give at stmichaelsfoundation.com

REVENTATIVE

SPECIAL FEATURE

ROOKIES, SLACKERS & HIP-STERS TAKE NOTE!

EASURES

YOUTH:

MIDDLE AGE:

SENIORS:

Concussion-Prevention

Weekend Warrior Injuries

Avoiding Potentially Deadly Hip Fractures

SO THERE YOU HAVE IT:

SPECIAL FEATURE

FACE OF THE FUTURE

YOU’RE NEVER TOO OLD – OR TOO YOUNG – TO GET SERIOUS ABOUT YOUR HEALTH.

I 30

n the last few years smartphone companies like Google, Apple and Samsung have poured hundreds of millions of dollars into developing innovative and user-friendly health applications (apps) for smartphones. Whether you own a Blackberry, Android or iPhone, app developers have designed thousands of health-focused apps that allow you to track your blood pressure, measure your heart rate, gauge your blood-glucose level, chart your weekly workout or perfect your yogapose. There’s no limit to the health-conscious activity that your phone can facilitate. In this issue we have curated a list of apps for people at every stage in life, divided into generations. Whether you’re a member of the Pre-Boomers/Civics, a Baby Boomer or part of Generation X, Y (Millennials) or Z, you’re bound to find useful apps to help stay fit, healthy and active!

PILLBOXIE As cellphones continue to replace organizers and alarm clocks, things we once relied upon for daily reminders, their significance in our lives can’t be overstated. Recognizing this importance, the creators of PillBoxie have designed an easy way to remember your meds. “Excellent medication adherence is crucial to the long-term clinical success of patients I see in the HIV clinic, HIV prevention clinic and other areas,” says Dr. Darrell Tan Tan, a clinician scientist in infectious diseases at St. Michael’s Hospital. “So having personalized electronic tools that can support patients in achieving this goal can be extremely helpful.” In fact, according to St. Michael’s Dr. Muhammad Mamdani, senior scientist and Director of the Li Ka Shing Centre for Healthcare Analytics Research and Training at St. Michael’s, “Nearly two-thirds of seniors on public drug programs in Canada take five or more prescription drugs and approximately one in 200 seniors are hospitalized because of an adverse drug reaction each year,” says Mamdani. “The use of drug management solutions such as pillboxes and apps like PillBoxie may help people take the right medications at the right time to reduce the likelihood of drug-related problems.” The app, designed by a registered nurse, lets you visually manage your meds and allows you to easily customize reminders throughout the day. Scheduling your next reminder is as easy as dropping a pill in a pill box!

EYEREADER MYSUGR According to the Canadian Institute for Health Information, Canada has one of the highest rates of diabetes among developed countries. The disease can be a challenge for the more than 10 million Canadians living with diabetes or prediabetes, but with the help of apps like MySugr that challenge can be a little bit more manageable. The app allows users to easily log info about meals, meds, blood glucose levels, daily activity and more. It also provides insightful data analysis and motivational feedback to keep users engaged and inspired to live healthy lives.

If you’ve ever struggled to read a restaurant menu or the small print on a prescription bottle, then NetSoft’s EyeReader is for you. The app uses your iPhone’s LED light to help you read in dimly lit places and has a digital zoom that lets you easily magnify the text or image you’re trying to see. “As a pathologist and scientist at St. Mike’s, each day I examine biopsies and tissues under the microscope,” says Dr. Yeni Yucel, a world-class pathologist and vision scientist at St. Michael’s Keenan Research Centre for Biomedical Science. “Using photos to share findings with colleagues and to teach students is essential to my work, and EyeReader is a wonderful app that I have on my smartphone to help me do this easily,” says Yucel.

SIDECHEF DAILY YOGA A growing body of evidence is stretching our understanding of the role the mind plays as the body recovers from physical trauma. June Son, a certified spiritual care specialist and Chaplain at St. Michael’s, has an important job visiting and counselling patients as they recover in the hospital. “Maintaining a strong spiritual connection through prayer, meditation, yoga or any other mindful-based activity, can be an important part of a person’s daily routine – especially when they’re in hospital recuperating,” says Son. With Daily Yoga, users get their own personal yoga coach in the palm of their hand. The app caters to everyone from beginners to seasoned yogis and features over 50 yoga exercises and a library of 500 diﬀerent poses delivered with voice instructions, soothing background music and high-definition video. The app also allows you to share photos of your best poses with the rest of the Daily Yoga community. Now you can do your downward dog at home, when you’re on the road or in the oﬃce!

Whether you’re a hot mess in the kitchen or a Certified Master Chef, the SideChef app makes cooking fun and easy for cooks of any calibre. The advanced step-by-step cooking app provides voice instructions to guide you through the steps of any recipe, ensuring culinary perfection with every meal. The app boasts over 2,500 recipes and a homepage with daily and featured recipes, interesting foods and helpful cooking techniques. You can browse and rate recipes, follow your favourite food bloggers and chefs, and share photos of your culinary masterpieces with the SideChef community. “For anyone looking to improve their cooking skills or the quality of their diet, SideChef is a great starting point,” says Alyson Martinez, a registered dietician in St. Michael’s Pediatric Clinic. “The app makes preparing nutritious meals an easy and intuitive choice and can provide inspiration to try new ingredients that you haven’t cooked with before.”

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SPECIAL FEATURE

FACE OF THE FUTURE

YOU’RE NEVER TOO OLD – OR TOO YOUNG – TO GET SERIOUS ABOUT YOUR HEALTH.

I 30

Please give at stmichaelsfoundation.com

WHAT’S COOKING, DOC?

Get ready for a night to remember.

A N G E L

B A L L

OCTOBER 21, 2017

CIAO!

WELCOME TO OUR ITALIAN FEAST

Ring the doorbell and come right on in! Whether you are 18 or 80, everyone loves Italian food. Join Urban Angel Chef Victor de Guzman and St. Michael’s Pediatrician Dr. Jonathon Maguire as they host the perfect multi-generational meal at home!

WHAT’S COOKING, DOC?

Get ready for a night to remember.

A N G E L

B A L L

OCTOBER 21, 2017

CIAO!

WELCOME TO OUR ITALIAN FEAST

WHAT’S COOKING, DOC?

MANGIA! MANGIA! Eat up! Yummy Italian dishes for everyone. Good health is more than just eating well; it’s also about how you break bread and the benefits you derive from sharing a special night in with loved ones.

There’s no doubt that home-cooked dinners are more delicious, and likely fresher, than the alternative. But did you know that sharing a meal with friends and family of all ages allows you to connect emotionally and share endorphin-inducing laughs? Give your natural hormones a boost and feel great by reclaiming dinner time, gathering around the table and socializing with your nearest and dearest.

Urban Angel Chef Victor de Guzman, Executive Chef at Rosedale Golf Club in Toronto, and St. Michael’s renowned pediatrician Dr. Jonathon Maguire create a meal to remember. “Sharing meals is so very important and there’s nothing better than home cooking. To eat together as a group on a daily basis is the number one piece of health advice I provide to my patients. There are so many benefits.” – Dr. Jonathon Maguire Having a diverse group of dinner guests is key to making a meal truly memorable. So don’t worry about setting up a kids’ table, have guests of all ages seated together to spark truly interesting conversation and debate. Go ahead Gen-Zers, snap that photo for your blog or Instagram. Pre-Boomers, chat while nibbling on appetizers. Gen-Xers, listen to that Boomer tell a tale. There’s no telling what you might learn from one another.

Pictured: confetti salad, seared tuna, lamb kabobs and grilled vegetable antipasti platter.

WHAT’S COOKING, DOC?

Pictured: confetti salad, seared tuna, lamb kabobs and grilled vegetable antipasti platter.

WHAT’S COOKING, DOC?

WHO NEEDS A WHOLE PIZZA? Stir up your table setting with a twist on a traditional favourite. Guests from Gen Z to Pre-Boomers will be clamouring to scoop up these cheeky, bite-sized tastes. For the kid in all of us!

Quick Tip:

Replace the dough by cutting out a portabello mushroom or zucchini to top. Feeling adventurous? Cauliflower crust is a great alternative, give making it a shot the next time you want veggies as your dough.

Did You Know: Refrigeration decreases the flavour and quality of tomatoes. Pick up fresh tomatoes for that punch of flavour and boost of antioxidants. “Traditional Italian cuisine includes many ingredients that are low in calories and fat but high in nutrients and taste great. Tomatoes, leafy greens, zucchini, eggplant, onions and garlic are examples of healthy foods. Eating great tasting fresh vegetables is an easy way to keep us all healthier. Be sure to serve everyone in the family portion sizes that are suitable for their age.” – Dr. Jonathon Maguire

Musician pictured: Brantmusic.com

Music has many benefits. Classical music can help you sleep. Upbeat tunes can help you perform in high pressure situations, and soft music, accompanied by dim lights, can help you slow down while eating and perhaps consume less. While the diﬀerent generations may quarrel about what counts as “music,” acoustic stylings of popular classics are sure to unite guests of all ages. Music is a great way to create a positive atmosphere for all those around the table. In fact, it has been shown to reduce levels of stress hormones and been proven to release endorphins in the brain. “Sitting down for meals fosters healthy eating habits that last a lifetime. Research shows that children who regularly eat meals with their family and friends are less likely to be overweight. Besides, meals provide a time for everyone to discuss their day and can reduce stress and build healthy relationships.” – Dr. Jonathon Maguire

Pictured: pizza spoons, beet linguini, roast chicken thighs, confetti salad and tomato focaccia.

WHAT’S COOKING, DOC?

Quick Tip:

Musician pictured: Brantmusic.com

Pictured: pizza spoons, beet linguini, roast chicken thighs, confetti salad and tomato focaccia.

WHAT’S COOKING, DOC?

“FAMILY STYLE” DINNER DOESN’T GET MUCH BETTER THAN THIS. Serving dinner family style means guests will choose from all of your dishes, ensuring they each get a healthy mixture and a balanced plate. Decided to include a sweet treat at the end of the meal? When it comes to dessert, serving plated may be the easier option.

Quick Tip: Try cutting servings into smaller pieces for guests. Oﬀering multiple options? Encourage sharing and ensure to balance out heavier items with lighter options such as Greek yogurt topped with fresh fruit. Feeling inspired to host your own Italian feast? Remember decor goes a long way for setting the stage for a true meal Italiano. Make your dinner memorable. Save empty cans of tomatoes and stuﬀ them with breadsticks, basil or fresh blooms.

Pictured: spaghetti and meatballs, tomato salad and tiramisu.

Did You Know: Common herbs in Italian cooking such as basil, rosemary and thyme not only boost flavour in your food, but also add vitamins and essential oils. To reap the benefits, be sure to regularly add these heroic herbs into your dishes. Multi-generational fun with ages spanning from 18 to 80: Erhan, Likai, Norah, Katherine, Justine, Tyler, Frania, Myra, Bonnie, David and Don.

“Italian food is usually a hit with people of all ages. Plunging a fork into a bowl of warm pasta with homemade tomato sauce is one of my favourite things!” – Dr. Jonathon Maguire For a meatless “meatball” option, try Chef de Guzman’s lentil “meatballs.” An excellent source of protein and minerals, lentils made a list of the top 10 healthy foods compiled by Dr. David Jenkins, a St. Michael’s scientist and world leader in nutrition research. To see other healthy food options, visit stmichaelsfoundation.com/top10foods.

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WHAT’S COOKING, DOC?

Pictured: spaghetti and meatballs, tomato salad and tiramisu.

Please give at stmichaelsfoundation.com

WHAT’S COOKING, DOC?

BUT WAIT THERE’S M , ORE! Make these dishes come to life. Turn to pages 60–63 for some delicious recipes to host your very own multi-generational dinner. Or visit us online for these recipes and more at stmichaelsfoundation.com/recipes.

A world away…

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

1.800.268.1898 langdonhall.ca Musician pictured: Brantmusic.com

WHAT’S COOKING, DOC?

A world away…

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

1.800.268.1898 langdonhall.ca Musician pictured: Brantmusic.com

A WILL OF IRON PATIENT STORY

CYCLIST CRITICALLY INJURED AFTER COLLISION WITH GARBAGE TRUCK AT YONGE AND GERRARD – TORONTO STAR, NOVEMBER 13, 2012

Margaret’s legs are pumping in the cool air of the November morning as she cycles west on Gerrard Street in downtown Toronto. She is on her way to meet her manager for their weekly meeting, short blocks away. The din of rush hour traﬃc in her ears, Margaret is heading through the Yonge Street intersection. She sees a garbage truck and realizes it’s turning into her path. She scrambles, trying to get out of the way.

With nowhere to go, no time to respond, Margaret is knocked down as the truck turns north. Then – complete unreality – she braces herself as she goes under the double back wheels once and then a second time. Oblivious, the truck continues. Now Margaret is in searing, all-encompassing pain, lying immobile on the road. But still clear-headed, with thoughts piling up in her head: “Don’t let me be paralyzed; why do they keep asking the same questions over and over; I’m too tired to talk; I want to shut my eyes but they won’t let me; and, my brand new jeans are wrecked.” Please give at stmichaelsfoundation.com

A WILL OF IRON PATIENT STORY

CYCLIST CRITICALLY INJURED AFTER COLLISION WITH GARBAGE TRUCK AT YONGE AND GERRARD – TORONTO STAR, NOVEMBER 13, 2012

A WILL OF IRON

argaret Harvey is rushed to St. Michael’s by ambulance. Orthopedic trauma surgeon Dr. Aaron Nauth receives an urgent page to come to the hospital: a severe trauma case requires his care. Margaret, 38, and the mother of two young children ages four and six, has an open-book pelvic fracture – the sturdy pelvic ring that protects her organs has been crushed open by the weight of the truck – but her bicycle frame has saved her from immediate death. Now she is suﬀering massive internal bleeding. In the Emergency Department, Margaret feels compelled to put her aﬀairs in order: she insists on calling her husband and her boss. Dr. Nauth tells her husband, “I’m sorry to say Margaret has a 30% chance of survival: I have never seen a pelvic fracture that severe.”

“With new facilities made possible by Inspire 2018, St. Michael’s will become the premier critical care hospital in Canada. The new Slaight Family Emergency Department will be twice as large as our current space, with an expanded, state-of-the-art Trauma Suite with three modernized trauma bays rather than the current two – to save even more lives. With the new Peter Gilgan Patient Care Tower, we’ll open new hybrid operating rooms to oﬀer the most precise surgeries possible, and new leading-edge intensive care units with all single-rooms for more privacy and better infection control. We have amazing people, and these new facilities will give us the tools to oﬀer even better outcomes to trauma patients.” – Dr. Andrew Baker, Chief, Department of Critical Care, St. Michael’s Hospital

Dr. Nauth and his team go rapidly to work putting Margaret back together. They use three internal screws and an external fixator to stabilize her pelvis and stop the internal bleeding that is threatening her life. She will require 38 blood transfusions over her first two days in hospital. She has multiple lacerations to her groin and has suﬀered what is known as a Morel-Lavallée lesion – essentially tissue sheared oﬀ and displaced below the skin by the force of the accident. Margaret wakes up three days later but there is a tube down her throat so she cannot speak. Foggy and weak, she scrawls: “Paralyzed?” No. “Cane?” No. The pain is still severe from what turns out to be nerve damage to her right leg. Only slowly does she understand how close to death she came.

It will take more time to realize how life-altering the accident will prove to be. Her husband’s parents drop everything and fly in from Australia to help with the children. Margaret remains in hospital for three weeks following surgery and then transfers to Bridgepoint Hospital for three weeks of rehabilitation. That is followed by further rehab in a private retirement home, because her house is too small for her wheelchair and stairs are out of the question. She will not be able to walk or stand for three months. She does not go home for four months. Margaret dedicates herself to her recovery, completing an hour of physiotherapy every day as well as performing her own complicated wound care. She progresses from walker to cane to walking unaided. Her husband will establish his own company to devote more time to Margaret. Ten months later, in September, she manages a five kilometre charity walk.

MARGARET HAS A WILL OF IRON.

The experience leaves Margaret a passionate advocate for road safety and health-care equity. She is working with the hospital to establish a Toronto chapter of the American-based Trauma Survivors Network. Life posttrauma is challenging on many levels and Margaret believes that sharing that challenge with other survivors should be a part of the healing process. She is now actively fundraising for St. Michael’s through special events sponsorships such as Mudderella, an international series of cooperative obstacle courses designed by and for women. Visit Margaret’s fundraising page at stmichaelsfoundation.com/margaret. Margaret has nothing but kind words for Dr. Nauth, who attended her 40th birthday party two years ago. “He came to see me every day, he answered every question patiently, and he has a marvellous bedside manner. I’m alive thanks to his surgical skills. Thank you, Dr. Nauth and St. Michael’s!”

St. Michael’s is becoming the premier critical care hospital in Canada, and, through Inspire 2018, we are creating an expanded, state-of-the-art Trauma Suite with a third trauma bay to save even more lives. Some 700 trauma patients arrive each year from across the region, by ambulance and across the province by helicopter to our rooftop helipad, in order to receive expert, life-saving care as fast as possible. Six of 10 patients are brought directly from the scene, while the balance are transferred from community hospitals. “Speed is of the essence: patients need to be diagnosed and begin treatment within the ‘Golden Hour,’ ideally the first 60 minutes following the trauma, in order to have the best chance at surviving and the best possible outcome.” – Dr. Aaron Nauth, Orthopedic Trauma Surgeon, St. Michael’s

DID YOU KNOW? > Each year, approximately 15,000 Canadians die as a result of injury and over 225,000 are hospitalized > The economic burden to Canada is believed to be greater than $12.7 billion annually > In Ontario alone, representing almost 40% of Canada’s population, 65 people are injured every hour of every day; almost one quarter of these patients are hospitalized, and 11 patients die each day > Half of all injury-related deaths are potentially preventable through prompt access to appropriate medical care

Left: Margaret Harvey and Dr. Aaron Nauth, in front of the Peter Gilgan Patient Care Tower at St. Michael’s Hospital (under construction)

> Ideally, this care should be provided in a trauma centre, where there is a 25% lower risk of death Please give at stmichaelsfoundation.com

A WILL OF IRON

MARGARET HAS A WILL OF IRON.

Left: Margaret Harvey and Dr. Aaron Nauth, in front of the Peter Gilgan Patient Care Tower at St. Michael’s Hospital (under construction)

> Ideally, this care should be provided in a trauma centre, where there is a 25% lower risk of death Please give at stmichaelsfoundation.com

The Standing Desk…because it’s time to take a stand

INNOVATION

I’m fortunate to have one of these in my oﬃce. Sedentary work days have become an alarming trend. The standing desk is the ergonomic antidote for the habitual sitter. Not only does it encourage cardiac health, it literally helps me think on my feet.

Glass Boards…because we all need a clean slate

rgeon We asked the su ntor and startup-me of to reveal some le the most valuab r life. inventions in he

A look at the latest innovative inventions…

Digital Media Zone at Ryerson University… because startups need support

Canada has become a hotbed of tech startups – and the Biomedical Zone at the Institute for Biomedical Engineering, Science and Technology (iBEST) is on a mission to unearth them. A joint venture between St. Michael’s Hospital and Ryerson University, this physician-led, health-tech incubator supports entrepreneurs, students, clinicians and innovative thinkers as they develop solutions to today’s greatest global health-care challenges.

“A passion for business, technologic advancement in health care and early stage companies has led me to the nexus of medicine and innovation,” says Dr. Linda Maxwell, Director of the Biomedical Zone at iBEST. She holds an undergraduate degree in Biology from Harvard University, a medical doctorate from Yale University and an MBA from Oxford University.

We have an abundance of glass boards in the Biomedical Zone. Sleek, modern and futuristic, the chalk board’s successor sparks collaboration and new ideas. It’s a great example of an evolutionary, versus revolutionary, idea. Plus, it looks cool.

Ryerson’s DMZ is a beehive of entrepreneurship. As one of the biggest incubators for emerging tech startups in Canada and the top-ranked university incubator in North America, it gives today’s young visionaries a boost by connecting them with mentors and influencers. It’s a stunning collision of talent and ideas.

Twitter…because every leader needs a few followers Twitter is an absolute requisite for anyone trying to get a handle on the business world. It’s a great platform for early-stage startups who want to publicize their news without investing in PR. I love seeing our @biomedicalzone followers grow and their engagement increase. It means we’re getting the message out there.

Digital Piano…because it’s the key to staying calm I’m far from an expert, but playing my Roland digital piano is incredibly relaxing. It forces me to focus on my hands, the keys, the melodies. As a surgeon, I can appreciate the use of manual dexterity.

Elon Musk…because every great invention has a great inventor An ultimate visionary, Elon Musk has made a series of bold business moves. It takes a pretty fearless leader to build a multi-billion dollar empire driven by disruptive brands like Tesla Motors and SpaceX.

Harvard Business Review…because being on top means staying on top To be a good health-care provider, you have to be in touch with many industries. You have to be able to view the world through diﬀerent lenses. As a Harvard alumna, I depend on Harvard Business Review to stay on top of the latest economic trends and tech advancements.

Muse…because every artist needs one This brain-sensing headband has quickly become one of my favourite consumer-facing devices. Muse takes a progressive, forward-thinking approach to relaxation by giving users meditation exercises and real-time feedback to hear what’s happening in their brains. Toronto-based healthtech startup InteraXon is the “brainchild” behind Muse, and it’s impressively secured millions of dollars in venture capital funding. Photo credits: hbr.org, roland.ca, clarusglassboards.com, Lisa Sakulensky, choosemuse.com, updesk.com.

Please give at stmichaelsfoundation.com

The Standing Desk…because it’s time to take a stand

INNOVATION

Glass Boards…because we all need a clean slate

rgeon We asked the su ntor and startup-me of to reveal some le the most valuab r life. inventions in he

A look at the latest innovative inventions…

Digital Media Zone at Ryerson University… because startups need support

Please give at stmichaelsfoundation.com

Not Just A Thank you, St. Michaelâ&#x20AC;&#x2122;s, for allowing us the honour of assisting you with your creative needs as you build Canadaâ&#x20AC;&#x2122;s premier critical care hospital. There is nothing more important than projects that make a difference in the lives of people in our neighbourhoods and around the world.

headache

Sitting at your desk. Driving in your car. Standing in line at the grocery store. All of a sudden you feel the all-too-familiar throbbing begin in your right temple. Slowly the pain spreads, intensifying, pulsing through your head, until it reaches your other temple. brandhive.ca

Please give at stmichaelsfoundation.com

headache

Please give at stmichaelsfoundation.com

Skull-crushing pain, blurred vision, stomach turning. It’s here again. Another migraine.

Migraines are often undiagnosed and undertreated. If you experience regular signs and symptoms of a migraine (see right) that prevent you from continuing on with your normal daily activities, keep a log of your attacks and make an appointment with your physician.

MIGRAINE PHASES A migraine comes on in gradual stages, each building up over several minutes and lasting 20 to 60 minutes. 1

What is a migraine?

Who gets them?

What can I take to treat a migraine?

Not to be confused with a simple headache, migraines are often debilitating – robbing patients of days of their lives, forcing them to seek solace in silence and darkness.

> 14% of the world’s population has suﬀered a migraine at some point

Is your headache a migraine?

> More women than men suﬀer attacks

Acetaminophen and ibuprofen are drugs used to treat general pain. Triptans are specifically used for the treatment of migraines and require a medical prescription. Before trying any medications, you should always speak with your doctor.

According to Dr. David Chan, a neurologist at St. Michael’s Hospital, here’s how to tell. “When patients come in complaining of headache pain, we need to obtain a precise history of the characteristics of the pain – location, description, duration, frequency and severity – as well as the presence of any associated symptoms or identifiable triggers and the impact of the headaches on their life and daily activities.”

> One in four women are tormented by migraines

Headaches such as tension-type headaches are typically milder in severity, occur on both sides of the head and are not accompanied by any other symptoms. A migraine is a moderate-to-severe headache that is typically throbbing in nature and accompanied by additional symptoms such as nausea and heightened sensitivity to light, sound and/or smell. The pain can be on one or both sides of the head. Some patients may have their headaches preceded or accompanied by visual symptoms such as dark spots in their vision or flashing lights.

> One in 10 Ontarians suﬀers from migraines every year

What causes a migraine? Everyone is unique. But family history, age, gender and hormonal changes are all risk factors.

Can I avoid a migraine? We can’t control our natural hormonal fluctuations or changes in the weather and barometric pressure. So whether it’s genetics, environmental factors or an imbalance in brain chemicals that provoke your migraines, St. Michael’s Dr. David Chan recommends avoiding these common (though not universal) triggers: > Foods and eating habits: Cheese, chocolate, salty snacks, skipping meals and fasting > Food additives: Aspartame and monosodium glutamate (MSG) > Drinks: Alcohol (especially wine) and caﬀeinated beverages

“Migraines are one of the most common referrals in general neurology.” – Dr. David Chan

> Stress: At home, at work > Lack of sleep > Sensory stimuli: Bright lights, sun glare, loud sounds and strong smells such as perfume or odours

A day or two before a migraine you may experience mood changes, concentration diﬃculties, food cravings, neck stiﬀness and frequent yawning.

See your doctor immediately or go to the nearest Emergency Department if you have any of the following symptoms:

> A chronic headache that worsens after coughing, exertion, straining or sudden movement

AURA

ATTACK A migraine generally lasts four to 72 hours if untreated. You may experience pain on one or both sides of your head (typically throbbing or pulsing pain), sensitivity to light, sounds, smells and touch, along with nausea which may or may not be accompanied by vomiting.

POSTDROME After a migraine attack, you may feel drained and washed out. For the next 24 hours you may feel mentally-fatigued, moody, dizzy and weak and continue to be sensitive to light and sound.

> An abrupt, severe headache that feels like a thunderclap > A headache accompanied by a fever, stiﬀ neck, confusion, seizures, double vision, numbness or trouble speaking

This stage can occur before or during migraines. You may suﬀer from visual disturbances such as flashes of light or wavy, zig-zag lines in your vision and, less commonly, sensory, motor or language disturbances. It is possible to be suﬀering from a migraine without experiencing an aura.

Tara Gomes, an epidemiologist and scientist at the Li Ka Shing Knowledge Institute at St. Michael’s Hospital, is part of a team working to improve safe, appropriate access to this acute migraine treatment: “There are many diﬀerent kinds of triptans, and many people find that they have to try a few types before finding the one that works for them. This type of drug works best when taken at the first sign of a migraine – so if you feel that familiar pain, don’t delay in taking your medication. At the same time, make sure you talk to your doctor if you’re using triptans frequently, because people sometimes experience medication-overuse headaches caused by the very medication meant to treat it.”

PRODROME

BACK TO NORMAL Throw oﬀ the blankets, draw open the curtains and greet the migraine-free day!

> If you are older than 50 and develop new-onset headaches

Please give at stmichaelsfoundation.com

Skull-crushing pain, blurred vision, stomach turning. It’s here again. Another migraine.

MIGRAINE PHASES A migraine comes on in gradual stages, each building up over several minutes and lasting 20 to 60 minutes. 1

What is a migraine?

Who gets them?

What can I take to treat a migraine?

Not to be confused with a simple headache, migraines are often debilitating – robbing patients of days of their lives, forcing them to seek solace in silence and darkness.

> 14% of the world’s population has suﬀered a migraine at some point

Is your headache a migraine?

> More women than men suﬀer attacks

> One in four women are tormented by migraines

> One in 10 Ontarians suﬀers from migraines every year

What causes a migraine? Everyone is unique. But family history, age, gender and hormonal changes are all risk factors.

“Migraines are one of the most common referrals in general neurology.” – Dr. David Chan

> Stress: At home, at work > Lack of sleep > Sensory stimuli: Bright lights, sun glare, loud sounds and strong smells such as perfume or odours

A day or two before a migraine you may experience mood changes, concentration diﬃculties, food cravings, neck stiﬀness and frequent yawning.

See your doctor immediately or go to the nearest Emergency Department if you have any of the following symptoms:

> A chronic headache that worsens after coughing, exertion, straining or sudden movement

AURA

POSTDROME After a migraine attack, you may feel drained and washed out. For the next 24 hours you may feel mentally-fatigued, moody, dizzy and weak and continue to be sensitive to light and sound.

> An abrupt, severe headache that feels like a thunderclap > A headache accompanied by a fever, stiﬀ neck, confusion, seizures, double vision, numbness or trouble speaking

PRODROME

BACK TO NORMAL Throw oﬀ the blankets, draw open the curtains and greet the migraine-free day!

> If you are older than 50 and develop new-onset headaches

Please give at stmichaelsfoundation.com

THANK YOU TO OUR GENEROUS SPONSORS FOR DRIVING US TO ANOTHER $1 MILLION NET FOR PRIORITY NEEDS AT ST. MICHAEL’S HOSPITAL.

53 on’t worry, be Happy:

PREMIER SPONSORS EVENING SPONSOR

GREENS SPONSOR

REGISTRATION SPONSOR

REFRESHMENT CART SPONSOR

MEDIA SPONSOR

GIFT BAG SPONSOR

PLATINUM SPONSORS

IS IT REALLY SO EASY?

FOR INVESTING IN THE HEALTH AND WELL-BEING OF TORONTO SIGNATURE SPONSORS

With gratitude to

TIM AND FRANCES PRICE Wendy M. Cecil & Jack Cockwell Family, Peter Gordon, Alan Dean and Kathy Kinnear and the BROOKFIELD PARTNERS FOUNDATION Their $5 million investment will create the EAGLE SPONSORS 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.

stmichaelsfoundation.com 416.864.5000

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THANK YOU, BROOKFIELD

Sam and Eleanor both have anxiety issues. They find themselves obsessing about the future, what’s going to happen next and, most of all, what’s going to happen to them. While they have anxiety in common, for the most part, they are very diﬀerent. Sam is 16 and Eleanor is 68. Anxiety can happen at any age. Throughout our lives we worry. We worry about things we can change, about things we can’t, about the future and about the unknown. Now a little worry is probably useful: it can make you tease out solutions to a problem that is bothering you and motivate you to make a plan. But constant worry can be crippling.

Interestingly, it’s the generations at the beginning and end of adulthood that are most prone to anxiety. St. Michael’s Hospital psychiatrist Dr. John Langley is the Medical Director of the Ambulatory Care and Community Mental Health Programs of the Mental Health and Addictions Service at St. Michael’s Hospital. He works with young people between the ages of 16 and 25 in our Steps for Youth program, designed to provide early intervention services for a first episode of mental illness. Dr. Corinne Fischer Fischer, Director of St. Michael’s Memory Disorders Clinic, works predominantly with seniors. However, anxiety aﬀects both their patient populations.

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PRESENTING SPONSOR

What is alarming is that, among young people, anxiety and depression are more prevalent than in earlier eras (Psychology Psychology Today Today, 2015). With young people the trigger for anxiety, other mood disorders or another mental illness can be genetic, the onset of puberty, the new emotional pressures of growing up, substance abuse, traumatic injury or a combination of factors. The Canadian Mental Health Association (CMHA) estimates that the number of 12–19 year olds in Canada at risk for developing depression is a staggering 3.2 million. Economically, this situation aﬀects all of us: the CMHA also ranks mental disorders in youth as the second highest hospital care expense in Canada.

Please give at stmichaelsfoundation.com

THANK YOU TO OUR GENEROUS SPONSORS FOR DRIVING US TO ANOTHER $1 MILLION NET FOR PRIORITY NEEDS AT ST. MICHAEL’S HOSPITAL.

53 on’t worry, be Happy:

PREMIER SPONSORS EVENING SPONSOR

GREENS SPONSOR

REGISTRATION SPONSOR

REFRESHMENT CART SPONSOR

MEDIA SPONSOR

GIFT BAG SPONSOR

PLATINUM SPONSORS

IS IT REALLY SO EASY?

FOR INVESTING IN THE HEALTH AND WELL-BEING OF TORONTO SIGNATURE SPONSORS

With gratitude to

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

stmichaelsfoundation.com 416.864.5000

File Name: PR IC E / B R O O K FIE LD ad Pub: UA Magazine Insertion Dates: FW 2016

THANK YOU, BROOKFIELD

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

PRESENTING SPONSOR

Please give at stmichaelsfoundation.com

SPECIAL FEATURE

The game plan for your life is set early and will aﬀect every stage of it. However, the CMHA indicates that only one in five children who needs mental health services receives them, potentially aﬀecting their life trajectory. We spoke to Dr. Langley, and he suggests that parents should watch for these signs:

• Changes in mood lasting at least two weeks or severe mood swings that cause problems in relationships at home or school • Changes in behaviour or personality, as well as dangerous or out-of-control behaviour • Changes in functioning at school • Isolation from peers or family • Trouble focusing or sitting still • Loss of appetite or changes in weight • Persistent headaches and stomachaches • Talking about feeling hopeless • Self-harm: deliberately cutting or burning • Substance use These are just some examples of signs to watch for; it’s not always easy to know. If you are worried about any of these things, consult a health-care professional.

Among her patients, Dr. Fischer points out that anxiety is directly linked to aging. We all want to continue to do what we love but this may not be possible. Seniors can be consumed by fears of poverty, isolation or declining health. Of course, physical conditions can intervene and change your life. It is estimated that 5–10% of seniors living in the community will experience a depressive disorder that is serious enough to require treatment. The rate of anxiety and depression dramatically increases to 30–40% for seniors living in institutions. Fortunately, most people with depression, more than 80% of them, respond well to treatment and achieve a complete and lasting recovery. However, 90% will NOT seek out the help they need or their depression will be missed or ignored, denying them beneficial treatment. So, as with young people, families with seniors need to be aware of possible signs of trouble, like changes in appetite, sleep patterns, energy levels or recurring themes in conversation. For most people though, it is a matter of learning to accept what we can control and what we can’t – and coping as best we can. So, how do you prepare for a happier old age? Here are some suggestions: • Plan ahead financially as much as possible • See retirement positively: consider it as a diﬀerent kind of career. What are the things you want to try now? Do you want to help others by volunteering? • Stay active and healthy physically: stop smoking if you do; try yoga at least once • Stay emotionally connected to family and friends • Stay up to date: follow current events and trends • Exercise your brain: take a course; do puzzles like the ones in Urban Angel (page 59)

Take Care

With Honeywell taking care of the energy and comfort issues, the people of St. Michael’s Hospital can concentrate on taking care of you. Honeywell is helping build a world that is safer and more secure, more comfortable

We all want to live happy and healthy lives. As parents we want that for our children, and as children ourselves we want that for our parents. Good mental health, like physical health, can be cultivated. Certainly we all worry from time to time. If you notice a change in mood in yourself, a family member or your child, pay attention! If it persists, talk to your doctor or a health-care professional. Acting early can make a world of diﬀerence. Please give at stmichaelsfoundation.com

and energy efficient, more innovative and productive. We are proud to continue our sponsorship of St. Michael’s Hospital events.

SPECIAL FEATURE

Take Care

and energy efficient, more innovative and productive. We are proud to continue our sponsorship of St. Michael’s Hospital events.

BOOK REVIEWS

57 *Covers are mock-ups only. Actual book covers may vary.

GREAT APPS! SPIT THAT OUT! The Overly Informed Parent’s Guide to Raising Healthy Kids in the Age of Environmental Guilt Paige Wolf From BPA in baby bottles to asbestos in crayons to misleading “natural” labels, how does the conscientious parent navigate our confusing, toxic world? Lighthearted yet authoritative, Spit That Out! cuts through the information overload, sorts cloth from disposable and empowers readers to make simple but meaningful changes. Hot-button topics include food, toys, breast milk, diapers, clothing, the hidden toxins in schools and how to spot greenwashing from a mile away. “A common-sense resource for the guilt-laden parent full of good intentions but confused beyond belief with all the conflicting information out there!” – Dr. Julie Maggi, Director, Postgraduate Medical Education; Interim Chief, Mental Health and Addiction Service, St. Michael’s Hospital

GENERATION CHEF

THE WONDER

A LITTLE STUCK

THE OTHER EINSTEIN

Karen Stabiner

Emma Donoghue

Oliver Jeﬀers

Marie Benedict

A slice of life is served on a platter in this succulent love aﬀair between a cook and his culinary dream. Thrust into one of New York City’s most cutthroat industries, a 24-year-old sous-chef puts his reputation at stake to pursue his restaurant reveries. Tastes can change over time, but Generation Chef tests the staying power of entrepreneurial hunger.

1850s rural Ireland is beset by a mystery when Anna O’Donnell commences an extended fast as an expression of faith. Lib, an English nurse hired to determine if Anna’s miraculous fast is genuine, suspects the young girl might really be a fraud. From the bestselling author of Room, The Wonder looks at the dichotomy between good and evil under various guises.

Brilliantly silly and laugh-out-loud funny, A Little Stuck tells the tale of Floyd, who has gotten his kite stuck in a tree. From his shoe, to an orangutan, to the kitchen sink, no item is too big or small for Floyd to throw up to shift his precious kite. Will Floyd ever get his kite back? Read this special edition board book version of the popular children’s book to find out.

1896: Mileva Maric, the only woman studying physics at the University of Zurich, meets fellow classmate Albert Einstein. Although their marriage is short, when Einstein won the 1921 Nobel Prize he gave the prize money to Mileva. How much did she – a brilliant physicist herself – contribute to his theories? Marie Benedict imagines the life of Einstein’s first wife who, until recently, has been largely ignored by history.

“Passion and grit are key to making it in the restaurant industry. Stories like this show that, in life, we must design our own recipes for success. That’s the spirit I try to bring to St. Michael’s every day.” – Paula Jack, Catering Manager, St. Michael’s Hospital

“If you liked Room, you will love Donoghue’s new psychological thriller, The Wonder. The dynamic relationship between Anna and her nurse is very compelling, and although the novel discusses some controversial topics, such as fasting, it does so in a sensitive and thought-provoking manner.” – Rhonda Roy, Assistant to the Chief, Emergency Department, St. Michael’s Hospital

“Reading aloud is one of the most important activities leading to cognitive and language development. The younger children are exposed to books, the greater their chances of building a solid foundation for success in school and beyond.” – Dr. Ripudaman Minhas, Developmental Pediatrician, Inner City Health Program, St. Michael’s Hospital

“History is full of examples of the ‘behind every successful man …’ syndrome. Benedict oﬀers an engaging and compelling argument, in fictional form, that here is yet another case – and another woman whose life should be re-examined.” – Dr. Corinne Fischer, Director, Memory Disorders Clinic, St. Michael’s Hospital

Audiobo oks from Au more tha n 180,0 0 0 dible: With download titles, Aud able ible allow s avid rea to listen to ders literature on the go No readin . g glasses required. Google P lay Book s: Create portable a library on y our phon or laptop e, tablet – with mil lions of b books to estselling choose fr om . F flexible, so there’s no ont size is need to re the fine p rint. ad Free Boo ks: Ultim ate Classi From Sha cs Library kespeare to Mark T and Osca wain r Wilde to Aristotle, curated c a free, olle at your fin ction of classics is finally gertips. Scribd: M embers o fS satisfy th eir literary cribd get to cravings w monthly su ith a pp inspired to ly of books. For th ose write, Scri bd double an open p s as latform fo r publishin g. Goodrea ds: A digit a l book clu with revie b ws and re commend rich you neve ations so r have to judge by the cover.

Please give at stmichaelsfoundation.com

BOOK REVIEWS

57 *Covers are mock-ups only. Actual book covers may vary.

GENERATION CHEF

THE WONDER

A LITTLE STUCK

THE OTHER EINSTEIN

Karen Stabiner

Emma Donoghue

Oliver Jeﬀers

Marie Benedict

Please give at stmichaelsfoundation.com

To make the most of your grey matter, Dr. Tom Schweizer, Director of St. Michael’s Neuroscience Research Program, also suggests you: GET MOVING

EMBRACE COMMUNITY

CHALLENGE YOURSELF

Studies suggest even modest amounts of exercise – such as walking for 15 minutes a day – could help lower your risk of dementia later in life, so get moving!

There’s strong evidence that having an extensive social network makes you less likely to suﬀer cognitive impairment as you age (and we don’t mean on Facebook or Twitter). Volunteering is a great way to get involved with your local community, have fun and give your brain a workout.

Mental stimulation can help protect your brain against aging by promoting the growth of new blood vessels. It also keeps existing vessels open and functional.

58 WORD SCRAMBLE Step One

ICSOAL

Unscramble the letters to form six everyday words.

MNUYMCTOI

Step Two After you’ve finished, rearrange the letters placed in the squares from your answers to reveal the missing word in the quote below.

To keep your brain healthy, make it a priority to engage in social activities you enjoy that challenge you both physically and mentally. Your pursuits could lead to a more fulfilling life, too!

SUDOKU PUZZLE

4 2 3 5

GAE

8 1 8 5

SVEALU TDTIEYNI RTLULCUA

“The most aggravating thing about the younger is that

7 3 1

9 5 8

9 3 4 3

I no longer belong to it.” – Albert Einstein

ANSWERS CAN BE FOUND ON PAGE 66

The Art of Brain Building Challenging your brain keeps it healthy. But did you know that social activity and exercise are also essential to brain health at any age?

Dr. Luis Fornazzari, a neurological consultant at the St. Michael’s Hospital Memory Disorders Clinic, believes educators should consider the arts as equally as important as science and math. Why? Because activities like sculpting, painting and playing music can improve brain capacity and help it withstand degenerative diseases. According to Dr. Fornazzari, when music is taught to children at a young age, it has the ability to enhance the brain’s reserve capacity, supporting brain function and maintaining intellectual levels later in life. Forms of art, including painting and drawing, also help minimize symptoms of neurological diseases. In fact, practising any type of art, at any age, may delay the onset of Alzheimer’s disease and protect the brain.

Break out your art supplies and instruments and get to work! Please give at stmichaelsfoundation.com

To make the most of your grey matter, Dr. Tom Schweizer, Director of St. Michael’s Neuroscience Research Program, also suggests you: GET MOVING

EMBRACE COMMUNITY

CHALLENGE YOURSELF

Studies suggest even modest amounts of exercise – such as walking for 15 minutes a day – could help lower your risk of dementia later in life, so get moving!

Mental stimulation can help protect your brain against aging by promoting the growth of new blood vessels. It also keeps existing vessels open and functional.

58 WORD SCRAMBLE Step One

ICSOAL

Unscramble the letters to form six everyday words.

MNUYMCTOI

Step Two After you’ve finished, rearrange the letters placed in the squares from your answers to reveal the missing word in the quote below.

To keep your brain healthy, make it a priority to engage in social activities you enjoy that challenge you both physically and mentally. Your pursuits could lead to a more fulfilling life, too!

SUDOKU PUZZLE

4 2 3 5

GAE

8 1 8 5

SVEALU TDTIEYNI RTLULCUA

“The most aggravating thing about the younger is that

7 3 1

9 5 8

9 3 4 3

I no longer belong to it.” – Albert Einstein

ANSWERS CAN BE FOUND ON PAGE 66

The Art of Brain Building Challenging your brain keeps it healthy. But did you know that social activity and exercise are also essential to brain health at any age?

Break out your art supplies and instruments and get to work! Please give at stmichaelsfoundation.com

WHAT’S COOKING, DOC?

RECIPES

6. Arrange the cut-out pizza spoons on an oiled baking sheet. Prick with a fork. Spread some tomato sauce on each spoon and top with grated Mozzarella and Parmesan.

PIZZA SPOONS

Makes about 15–20

Ingredients 4 cups of “00” flour* or all-purpose flour 2 1/2 tsp active dry yeast 1 1/ 11/3 cup of warm water, approximately 40˚C or 104˚F 1 tbsp sugar 1 1/ 11/2 tsp salt 6 tbsp olive oil To finish the pizza 2 cups of pizza sauce or thick tomato sauce 1 cup grated Mozzarella 1/2 cup grated Parmesan

The non-leafy ingredients of the salad are tossed with the dressing first to soften and to absorb more flavour. The leafy ingredients are tossed just before serving.

1. Dissolve the yeast into 2/3 cup of water, set aside until foamy, about 5 minutes. Combine 1 cup flour, yeast and water mixture, sugar and salt in a large bowl. Add oil. Mix together until well blended. Let the mixture rest for 30 minutes.

3. Spoon dough out of bowl onto floured surface. Dough will be slightly sticky. Knead on floured surface. Knead until dough is smooth and elastic. Divide the dough into 2. 4. On a floured parchment paper, roll each half of dough to a 12-inch square and keep in the fridge for about 1 hour. 5. Cut out a large spoon-shape from a sturdy piece of cardboard. Use this as a template to cut the pizza dough using a small pizza wheel. Please give at stmichaelsfoundation.com

CONFETTI SALAD Serves 4–6

Ingredients: 5 green onions, chopped 1/2 cup red and yellow peppers, cored, seeded and cut into thin strips 1 small jar marinated artichoke hearts, drained 5 oil-packed sun-dried tomatoes, cut into slivers 1 14-ounce can chickpeas, drained & rinsed 4 ounces young Pecorino shaved 4 ounces of Italian salami, sliced 1 head romaine lettuce, cut into thin strips, about 4 cups ½ head red cabbage or radicchio, cut into thin strips, about ½ cup

5. Reserve 1 1/2 cups sauce; keep remaining sauce in pot warm over very low heat.

3 tbsp red wine vinegar 1/2 tsp black pepper 1 tsp Dijon mustard 1/3 cup extra-virgin olive oil 1 tbsp basil, chopped Salt to taste

7. Let rise for about half an hour and bake at 425˚F until nicely browned and the cheese is melted. This may take 3–5 minutes. Serve immediately. Directions: 1. In a small bowl, whisk together the Notes: dressing ingredients, set aside. You may bake the pizza spoons 2. Place onion, peppers, artichokes, directly on a pizza stone if you have sun-dried tomatoes, chickpeas, one. You just need to be careful cheese and salami in a large serving to lift the baked pizza spoons using bowl. Add the dressing and let the a long and broad metal spatula to ingredients sit for about 5 minutes. prevent breaking. 3. Then toss the marinated mixture *Most “00” flour is ground from durum with the lettuce and cabbage, wheat and has a mid-range protein check the seasoning. content of about 11-12%, similar to all-purpose white flour. This diﬀerence 4. Garnish with more shaved Pecorino and grissini (pencil-sized crisp means that with durum wheat, you’ll breadsticks) and serve immediately. get a nice bite on your pizza spoons but not as much chewiness. Notes:

Directions:

2. Add 1/2 cup flour gradually until dough forms a ball. Add additional flour, if needed, to handle.

Dressing:

For this recipe, you may use fresh baby artichokes. Remove the hard outer green leaves and peel the stems. Cook them for about 5 minutes in boiling water to which you have added salt and either vinegar or lemon juice. Drain and refresh in cold water before using. Bonus: Full artichokes, along with lemons, can also be placed in a glass vase for decor!

“People who love to eat are always the best people.” – Julia Child, 1912-2004 (91)

SPAGHETTI & MEATBALLS Serves 8

Ingredients: Tomato Sauce 1/4 cup olive oil 6 garlic cloves, peeled and chopped 1 medium-sized onion, chopped 1 stalk celery, chopped 2 L canned whole tomatoes or crushed tomatoes 2 lb fresh tomatoes, chopped 1/2 teaspoon red pepper flakes 2 dried bay leaves 2 tsp kosher salt 1 tbsp fresh oregano 1/2 tsp freshly ground pepper 2/3 cup (packed) basil leaves 1 cup small Bocconcini, for presentation Directions:

Increase heat to medium-low, cover, and simmer until meatballs are cooked through, 10–15 minutes.

Ingredients: Meatballs

Spaghetti

1 cup roughly torn day-old Italian bread 1 cup whole milk 340g ground beef 340g ground pork 3 large eggs, beaten to blend 4 garlic cloves, finely chopped 1 cup grated Parmesan 3/4 cup coarsely chopped fresh parsley, divided into 1/2 cup and 1/4 cup 1 tsp kosher salt, plus more 1 tbsp fresh oregano, chopped 1/2 tsp freshly ground black pepper 1/2 tsp ground fennel seeds 1/2 tsp red pepper flakes 1/4 cup olive oil

1 kg spaghetti 10 L water 1 tbsp salt 2 tbsp olive oil

Directions: 1. Place bread in a medium bowl, add milk, and let rest until moistened, about 5 minutes. Squeeze bread with your hands to remove excess milk, discarding milk. Tear bread into smaller, pea-size pieces and return to the medium bowl.

1. Heat a large, wide pot over medium- 2. Combine beef, pork, eggs, garlic, Parmesan, 1/2 cup parsley, 1 tsp low and add oil and garlic. Cook, salt, oregano, pepper, fennel and stirring occasionally, until garlic is red pepper flakes in a large bowl. golden brown. Add the chopped Using your hands, gently mix in onion, cook until slightly brown. Then bread just until ingredients are add the celery and cook for 1 minute. evenly distributed. 2. Add red pepper flakes and cook, 3. Fill a small bowl with cool water. stirring occasionally, until toasted Moisten your hands and roll meat and fragrant, about 30 seconds. Add mixture between palms into tomatoes, bay leaves, salt, oregano, golfball-sized balls, occasionally and pepper and stir, breaking up moistening hands as needed. This tomatoes with a wooden spoon, recipe will yield about 24 meatballs. until well combined. 4. Heat a large skillet over medium3. Increase heat slightly and gently high and add oil. Once hot, add simmer, stirring occasionally, until meatballs to skillet (without sauce has thickened and flavours crowding) and work in batches have concentrated, at least 2 hours to brown on all sides, turning and up to 3 hours. frequently, about 5 minutes per 4. After 2–3 hours of simmering, batch. Return meatballs to baking remove the bay leaves. Purée the sheet as you brown them. sauce using an immersion blender 5. Once all meatballs are browned, or a regular blender until slightly add them to pot with tomato sauce. chunky but not smooth.

Directions: 1. Cook spaghetti in a large pot of boiling salted water with olive oil, stirring occasionally, until al dente. Drain, reserving 1 cup of pasta cooking liquid, and return to pot over medium-low heat. Spoon reserved 1 1/2 cups sauce over pasta and toss to coat. Add pasta cooking liquid, 1/4 cup at a time, as needed to loosen sauce and coat pasta. 2. Place the pasta in a big serving bowl and arrange the meatballs on top. Arrange the Bocconcini in between the meatballs. Add the remaining sauce and grate some fresh Parmesan on top. Garnish with chopped herbs and basil sprigs. Notes: Before draining the pasta, save a single cup of the liquid. This starchy water can be used to loosen the pasta and thin down the sauce to avoid the pasta from clumping in the bottom of the bowl. Sauce can be made, cooled, and refrigerated for up to 3 days or frozen for up to 3 months. Meatballs can be shaped and refrigerated 1 day in advance. Meatballs can be cooked in sauce, cooled and refrigerated for up to 3 days or frozen for up to 3 months. Most of us will cheat and buy packaged pasta, but if you want to stay true to the Italian experience and make your own, please visit our website stmichaelsfoundation.com/recipes. Tip: If you have sauce left over, freeze it and pull it out the next time you want to whip up some pizza spoons.

WHAT’S COOKING, DOC?

RECIPES

6. Arrange the cut-out pizza spoons on an oiled baking sheet. Prick with a fork. Spread some tomato sauce on each spoon and top with grated Mozzarella and Parmesan.

PIZZA SPOONS

Makes about 15–20

The non-leafy ingredients of the salad are tossed with the dressing first to soften and to absorb more flavour. The leafy ingredients are tossed just before serving.

CONFETTI SALAD Serves 4–6

5. Reserve 1 1/2 cups sauce; keep remaining sauce in pot warm over very low heat.

3 tbsp red wine vinegar 1/2 tsp black pepper 1 tsp Dijon mustard 1/3 cup extra-virgin olive oil 1 tbsp basil, chopped Salt to taste

Directions:

2. Add 1/2 cup flour gradually until dough forms a ball. Add additional flour, if needed, to handle.

Dressing:

“People who love to eat are always the best people.” – Julia Child, 1912-2004 (91)

SPAGHETTI & MEATBALLS Serves 8

Increase heat to medium-low, cover, and simmer until meatballs are cooked through, 10–15 minutes.

Ingredients: Meatballs

Spaghetti

1 kg spaghetti 10 L water 1 tbsp salt 2 tbsp olive oil

WHAT’S COOKING, DOC?

BEET LINGUINI WITH FENNEL Serves 8–10

Ingredients: Beet Purée 1 lb beets (approximately 4 medium-sized beets) 1 tsp kosher salt 81/ 1 cups water 1/ 81/2 Directions: Boil the beets in salted water for about 30 minutes or until soft. Peel the beets, cut into small pieces and purée using a blender or a food processor.

another 3 minutes, remembering to Directions: dust your board when necessary. 1. Preheat oven to 375˚F. Wrap the dough in plastic and let rest for 30 minutes at room temperature. 2. Toss the diced potatoes with 3 tbsp of oil and season with salt and 3. Roll out the dough according to pepper. Arrange the potatoes across your pasta machine’s instructions. the bottom of a large roasting pan, If you don’t have a pasta machine, then place the thighs on top. you can roll it out by hand with a 3. Arrange the olives and tomatoes rolling pin. Make sure to flour the around the thighs, then season pasta very well after you cut it to the thighs with the oregano, salt prevent from sticking. and pepper. 4. To cook the pasta, boil it 4. Drizzle 2 tbsp of oil over the top in salted water, about 10 litres, of the dish, arrange the rosemary for 2 minutes. Drain well. sprigs on top. 5. To serve, toss the sliced fennel, 5. Roast uncovered for about 40 lemon juice, zest and olive oil in minutes, stirring the ingredients a big bowl, along with pasta. Then once or twice as it cooks. Transfer sprinkle on the Parmesan and the thighs to a platter, return the season with salt and pepper. vegetables to the oven and roast Serve with crostini. until the potatoes are golden brown, about 10 minutes more. 6. Arrange the thighs on a platter, spooning the potatoes alongside. Spoon the olive and tomato mixture on top of the thighs and serve immediately.

Ingredients: Beet Pasta 2 whole large eggs 2 egg yolks 1 cup red beet purée 4 cups all-purpose unbleached flour or “00” flour* 1 tbsp olive oil 1/2 tsp of salt To serve: 1 fennel bulb, sliced Juice from 2 lemons Zest of 1/2 lemon, finely grated 3 tbsp olive oil 1/2 cup Parmesan Salt and pepper to taste Directions:

Notes:

ROAST CHICKEN THIGHS WITH OLIVES, TOMATOES & POTATOES

The chicken is cooked when a thermometer inserted into the thickest part of the thigh reaches 165˚F. Be careful not to break the thermometer.

Serves 4

Olives should be relatively firm, and never mushy or visibly bruised. You may use any olive of your choice. For this recipe we used Kalamata and Manzanilla olives.

Ingredients:

Did You Know:

8 bone-in chicken thighs, trimmed 5 tbsp olive oil 1. To prepare beet pasta: you may make this pasta dough traditionally 1 tsp fresh oregano, chopped by hand on a wooden board or you 2 cups ripe cherry or grape tomatoes, halved may mix all ingredients in a food 1/2 cup pitted assorted olives processor until all the ingredients Sea salt & black pepper are well combined. 2 large Yukon Gold potatoes, peeled 2. Transfer the dough to a lightly and cut into 1-inch dice floured board or surface and 3 sprigs fresh rosemary continue kneading for 3 minutes. The dough should be elastic and a little sticky. Continue to knead for

Beets are not only full of antioxidants but are a great way to add some colour and flare to a traditional Italian meal. Bonus: Vegetarians will rejoice when served this meatless mouth-watering option.

TIRAMISU WITH HOMEMADE LADYFINGERS

6. Dust the ladyfingers and the biscuit with powdered sugar. Bake for 15 to 18 minutes, or until just firm on the outside and soft in the centre. The round biscuit will bake for 20-30 minutes or until firm on the outside. Ingredients: Tiramisu

7 egg yolks 1/2 cup sugar 1/3 cup sweet Marsala** , Serves 8–12 plus 2 tbsp 8 ounces mascarpone, softened Ingredients: Ladyfingers to room temperature 4 tbsp butter for greasing the baking sheet 1 tsp unflavoured gelatin dissolved 1 3/4 cup all-purpose flour, ¼ cup in 1 tbsp of water reserved for dusting the baking sheet 1 cup heavy cream 8 egg yolks 1/4 cup unsweetened cocoa powder 1 cup sugar 8 egg whites, beaten until stiﬀ Syrup for dipping and brushing Pinch of salt the ladyfingers and biscuit: 2 tsp vanilla 1 cup brewed espresso coﬀee Powdered sugar for dusting 1 ounce dark chocolate Directions: 1. Preheat the oven to 350˚F. Grease and flour 2 baking sheets with 2 tbsp butter and 4 tbsp of flour. 2. Mark parallel lines in the flour across the width of the tray about 4 inches apart. On the second baking sheet, mark 7” circle. 3. Put the egg yolks and sugar in a large mixing bowl, and with an electric mixer fitted with a wire whisk beat on medium-high speed until the mixture is pale yellow, thick, and has tripled in volume, about 8 minutes.

1/4 cup rum** 1 tsp natural vanilla extract 36 homemade ladyfingers and 1–7” round biscuit Directions: 1. Put the egg yolks and sugar in a heatproof bowl set over a pot of simmering water. Add 1/3 cup of the Marsala and continue to whisk until mixture is thick and doubled in volume. Stir in the gelatin. Remove from heat. Stir in the mascarpone until completely blended. 2. In a chilled bowl, whip the heavy cream to soft peaks. Fold the whipped cream into the mascarpone mixture, to lighten.

4. Add the egg whites, remaining 11/2 cup flour, salt and vanilla, fold to mix thoroughly so the mixture is smooth. 3. To make the syrup, combine espresso, chocolate, rum, vanilla 5. Fill a large pastry bag with a 3/4and remaining 2 tbsp Marsala in a inch plain tube with the mixture. small saucepan. Heat gently, and Pipe fingers about 4 1/2-inches in stir to dissolve the chocolate. Then, length on the baking sheet, using chill the mixture to cool it down, the lines as a guide. Also pipe on about 15 minutes. the marked circle starting from the centre and move the tip clockwise to fill the 7” circle.

4. Brush the round sponge biscuit with the coﬀee syrup and arrange in the middle of an 8" spring form pan. Trim the ladyfingers on one side to about 3" length. 5. Quickly dip each ladyfinger in the chilled coﬀee syrup and arrange on the side of an 8" springform pan. Do not soak the cookies or they will become too moist. The round biscuit will hold the ladyfingers upright. 6. Spread 1/2 the mascarpone cream evenly with a spatula on top of the round biscuit, pushing it to the edge to keep the ladyfingers in place. Dip the rest of the ladyfingers that are not used on the side of the cake. Arrange them on top of the first layer of mascarpone mixture. Then spread the remaining mascarpone mixture.

7. Sift the cocoa powder on top of the tiramisu. Refrigerate for 2 hours before serving. Quick Tip: Ladyfingers are sold in most grocery stores and can be used to create the frame and base of the tiramisu. Note: **For an alcohol-free version, try 1/4 cup of white grape juice, 1 tbsp vanilla extract and 2 tbsps of sherry vinegar instead of the Marsala. Replace rum with 2 tbsp of rum extract.

“There is no sincerer love than the love of food.” – George Bernard Shaw, 1856-1950 (94)

Please give at stmichaelsfoundation.com

WHAT’S COOKING, DOC?

BEET LINGUINI WITH FENNEL Serves 8–10

Notes:

ROAST CHICKEN THIGHS WITH OLIVES, TOMATOES & POTATOES

The chicken is cooked when a thermometer inserted into the thickest part of the thigh reaches 165˚F. Be careful not to break the thermometer.

Serves 4

Olives should be relatively firm, and never mushy or visibly bruised. You may use any olive of your choice. For this recipe we used Kalamata and Manzanilla olives.

Ingredients:

Did You Know:

TIRAMISU WITH HOMEMADE LADYFINGERS

“There is no sincerer love than the love of food.” – George Bernard Shaw, 1856-1950 (94)

Please give at stmichaelsfoundation.com

LIFE LESSONS

Michael Norris, former Foundation Chair; L. Alayne Metrick, Foundation President; and John Cassaday.

We spoke with John Cassaday, Member of the Order of Canada, Founding President and Former Chief Executive Oﬃcer of Corus Entertainment Inc. and a 2015 Inductee into the Canadian Music & Broadcast Industry Hall of Fame, about his long association with St. Michael’s. John is a former Chair of St. Michael’s Hospital Board of Directors, is currently a Vice Chair of the Foundation Board and is a strong advocate for the hospital. He has led three of the four capital campaigns he has been involved with at St. Michael’s, setting a remarkable record of dedicated volunteer leadership.

JOHN CASSADAY

Mary and John Cassaday at St. Michael’s Foundation’s Angel Ball, held every three years to support hospital priorities.

John Cassaday; Frank Techar, Foundation Chair; Donna Kinoshita, MasterCard; Dr. Bob Howard, Hospital President & CEO, at the 2016 Urban Angel Golf Classic.

Why did you decide to champion St. Michael’s Hospital? Initially it was due to my regard for members of the leadership team which included Dr. Robert Howard, who is, of course, now CEO, and Dan Sullivan, who was Chair of the Board at the time. The reason we stayed involved was our shared values. The hospital’s core value of compassionate care, especially for the disadvantaged among us, remains very important to me and my family.

You’ve been involved with St. Michael’s since 1995. You must have seen many changes. We’ve been very happy to see growth at St. Michael’s on so many fronts. Each campaign has been progressively larger and exceeded its goal. The Inspire 2018 campaign, for example, had a goal of $210 million and we exceeded that goal by raising $235 million. Each campaign has changed St. Michael’s Hospital in a meaningful way. The addition of the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre was pivotal to the hospital. As Chair of the hospital, when the decision was made to fund this initiative, we were influenced to a significant degree by the words of Dr. David Naylor, a Board member at the time, who reminded us that ensuring St. Mike’s had research capability was essential to our goal of being a world-class facility. The Centre has allowed us to recruit and retain

Former St. Michael’s Young Leaders’ Co-Chair Jesse Cassaday (left), with the SMYL team at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital.

leading scientists and doctors from around the world. The Slaight Family Emergency Department and the Peter Gilgan Patient Care Tower, now under construction, are changing the clinical aspect of our hospital in an equally powerful way.

It seems that St. Michael’s is a family aﬀair in the Cassaday home. Yes, it is. My wife, Mary, proposed the creation of the Women’s Health Centre and chaired the committee that raised the funds. She organized and led a highly successful team of women to raise the necessary funding. Our son, Jesse, c0-chaired the St. Michael’s Young Leaders, a group of young business professionals who fundraise for hospital priorities.

What is your philosophy about philanthropy? Each of us needs to choose a cause or institution we can get passionate about. The important thing is that we accept the responsibility of trying to make our communities better in whatever way we can, whether it’s our time, our money or a particular type of experience we bring to the table. Giving back is so very important.

If there was one word that you could use to describe St. Michael’s, what would it be and why? World-class: World-class talent, world-class programs, and gradually world-class facilities.

Please give at stmichaelsfoundation.com

LIFE LESSONS

Michael Norris, former Foundation Chair; L. Alayne Metrick, Foundation President; and John Cassaday.

JOHN CASSADAY

Mary and John Cassaday at St. Michael’s Foundation’s Angel Ball, held every three years to support hospital priorities.

John Cassaday; Frank Techar, Foundation Chair; Donna Kinoshita, MasterCard; Dr. Bob Howard, Hospital President & CEO, at the 2016 Urban Angel Golf Classic.

Former St. Michael’s Young Leaders’ Co-Chair Jesse Cassaday (left), with the SMYL team at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital.

If there was one word that you could use to describe St. Michael’s, what would it be and why? World-class: World-class talent, world-class programs, and gradually world-class facilities.

Please give at stmichaelsfoundation.com

HOW TO GET INVOLVED As St. Michael’s becomes Canada’s premier critical care hospital, our generous donors and volunteers remain crucial to our success. There are many ways you can help:

SOLUTIONS Monthly Donor Program Easy, secure and convenient, with deductions from your bank account or credit card each month.

WORD SCRAMBLE

SOCIAL COMMUNITY AGE VALUES IDENTITY CULTURAL

Gift in Honour or Memory A gift in tribute or memory is a meaningful and lasting way to honour someone special.

“The most aggravating thing about the younger is that I no longer belong to it.” – Albert Einstein

SUDOKU PUZZLE

3 1 4 2 7 5 8 6 9

9 6 7 4 8 1 5 2 3

8 2 5 3 6 9 4 7 1

1 7 9 5 4 2 3 8 6

4 3 6 8 1 7 9 5 2

2 5 8 6 9 3 1 4 7

7 9 2 1 5 8 6 3 4

6 8 1 7 3 4 2 9 5

5 4 3 9 2 6 7 1 8

Planned Giving Remember St. Michael’s in your will with a bequest or by making a gift of life insurance, stock or RRSP.

Start Your Own Campaign Create a special event to raise funds for St. Michael’s.

Share Your Story By telling your story you can inspire others to give.

Valentino Visentini/Alamy

THANK YOU, BROOKFIELD

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

TIM AND FRANCES PRICE Wendy M. Cecil & Jack Cockwell Family, Peter Gordon, Alan Dean and Kathy Kinnear

Young Leaders If you are between 25 and 35, you can help raise funds for our most urgent priorities. Volunteer Make a diﬀerence in the lives of our patients and their families by giving your time.

FOR MORE INFORMATION, CALL 416.864.5000 OR EMAIL CONNECT@STMICHAELSFOUNDATION.COM Please give at stmichaelsfoundation.com

Valentino Visentini/Alamy

All gifts are gratefully appreciated.

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.

stmichaelsfoundation.com 416.864.5000

HOW TO GET INVOLVED As St. Michael’s becomes Canada’s premier critical care hospital, our generous donors and volunteers remain crucial to our success. There are many ways you can help:

SOLUTIONS Monthly Donor Program Easy, secure and convenient, with deductions from your bank account or credit card each month.

WORD SCRAMBLE

SOCIAL COMMUNITY AGE VALUES IDENTITY CULTURAL

Gift in Honour or Memory A gift in tribute or memory is a meaningful and lasting way to honour someone special.

“The most aggravating thing about the younger is that I no longer belong to it.” – Albert Einstein

SUDOKU PUZZLE

3 1 4 2 7 5 8 6 9

9 6 7 4 8 1 5 2 3

8 2 5 3 6 9 4 7 1

1 7 9 5 4 2 3 8 6

4 3 6 8 1 7 9 5 2

2 5 8 6 9 3 1 4 7

7 9 2 1 5 8 6 3 4

6 8 1 7 3 4 2 9 5

5 4 3 9 2 6 7 1 8

Planned Giving Remember St. Michael’s in your will with a bequest or by making a gift of life insurance, stock or RRSP.

Start Your Own Campaign Create a special event to raise funds for St. Michael’s.

Share Your Story By telling your story you can inspire others to give.

Valentino Visentini/Alamy

THANK YOU, BROOKFIELD

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

TIM AND FRANCES PRICE Wendy M. Cecil & Jack Cockwell Family, Peter Gordon, Alan Dean and Kathy Kinnear

Young Leaders If you are between 25 and 35, you can help raise funds for our most urgent priorities. Volunteer Make a diﬀerence in the lives of our patients and their families by giving your time.

FOR MORE INFORMATION, CALL 416.864.5000 OR EMAIL CONNECT@STMICHAELSFOUNDATION.COM Please give at stmichaelsfoundation.com

Valentino Visentini/Alamy

All gifts are gratefully appreciated.

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

stmichaelsfoundation.com 416.864.5000

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.

Create your legacy with a bequest to St. Michael’s Hospital Foundation. Contact Cynthia Collantes 416.864.5879 collantesc@smh.ca