Urban Angel magazine, Fall/Winter 2017, vol. 9 by St. Michael's Foundation

2017 VOL. 9 | stmichaelsfoundation.com

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WHAT’S COOKING, DOC?

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GIVE YOUR BRAIN A WORKOUT

We’re proud to work with institutional clients, retail advisors and investors to provide innovative retirement-income solutions.

WELL-BEING, WELL-READ LIFE LESSONS

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IN THE SPOTLIGHT BUCKET LIST LIFE IN THE FAST LANE

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A NEW WINDOW TO THE BRAIN

SPECIAL FEATURES DR. XAVIER MONTALBAN’S MISSION POSSIBLE ANDREA MARTIN: WHAT ARE YOU WAITING FOR?

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Lara Banks

Brian Meadwell

Sandra Damiani

Madeline Stephenson

David Gates

John Waite

Sabrina Jeria

Miranda Yorke

Michael Kennedy

Bruce Zinger

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PROUDLY INVESTING IN CANADA AND CANADIANS FOR 50 YEARS

JUMP RIGHT IN IN EVERY ISSUE

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WHAT’S COOKING, DOC? GIVE YOUR BRAIN A WORKOUT WELL-BEING, WELL-READ LIFE LESSONS

Talk to your financial advisor.

IN THE SPOTLIGHT BUCKET LIST LIFE IN THE FAST LANE

6264 10

A NEW WINDOW TO THE BRAIN

SPECIAL FEATURES DR. XAVIER MONTALBAN’S MISSION POSSIBLE ANDREA MARTIN: WHAT ARE YOU WAITING FOR?

CONTRIBUTING TEAM

Lara Banks

Brian Meadwell

Sandra Damiani

Madeline Stephenson

David Gates

John Waite

Sabrina Jeria

Miranda Yorke

Michael Kennedy

Bruce Zinger

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EDITOR’S LETTER

ONE SPECTACU R EVENING CELEBRATING THE CONCLUSION OF OUR INSPIRE 2018 CAMPAIGN.

Generous donor support is preparing St. Michael’s for the future with improvements to clinical care and the creation of state-of-the-art facilities including:

PETER GILGAN PATIENT CARE TOWER SLAIGHT FAMILY EMERGENCY DEPARTMENT ELEMENT FLEET MANAGEMENT WAY & ELEMENT FLEET MANAGEMENT ATRIUM

THANK YOU!

PRESENTING GALA SPONSORS

roken bones. That’s all it took St. Michael’s embraces this philosophy recently to change my life and every day. Here, in the heart of the perspective. This past summer city, for more than 125 years, our was full of promise for my mother, pillars of patient care, research Frania, who was looking forward to and education have evolved with the warm and outdoor days ahead. An the times to support a diverse accident derailed her plans, triggering community in need. Here, we’ve seen a whirlwind of hospital visits and the complete circle of life, from first upending cherished rituals of dogto last breaths – grace under pressure walking, strawberry picking, farmers’ and compassion amid crises. Here, Editor Lara Banks with her mom, Frania market visits and socializing with between the halls and walls of this friends. Its ripple eﬀect reached me hospital, we’ve felt the intangible, too, as our roles rapidly reversed. My mom, a family-first tender moments that make life, and St. Michael’s, so unique. woman with unrivalled energy and enthusiasm, was suddenly Taking bold steps to build for tomorrow, we are on our way to forced to slow down and depend on others. While she’s becoming the premier critical care hospital in Canada. And, in recovering well, that fleeting period in which we traded places a move to prepare for the future, we are strengthening our gave us renewed appreciation – for life, and for each other. presence through a visionary integration with St. Joseph’s

IT’S INCREDIBLE HOW THINGS CAN ALTER IN A NANOSECOND. Change – and its many variations – is often the thing that defines us. Like a fish out of water, it can make us feel uncomfortable, anxious and afraid. But when we rise above it, when we welcome it – whether it’s a change in career, a change in family or a change in finances – the clarity we gain can be enlightening. As Socrates once said, “The secret of change is to focus all of your energy, not on fighting the old, but on building the new.”

Health Centre and Providence Healthcare. This issue of Urban Angel strives to prime readers for a period of unprecedented change with features that inform, enlighten and encourage us all to brace for challenges and embrace opportunities. Why? Because confronting adversity makes us resilient, paving new paths makes us pioneers and building for tomorrow makes us unconquerable. We hope Urban Angel inspires you to look up at the starry sky – and find a quiet sense of calmness in a constellation in constant flux. After all, change is the one thing we can ALWAYS count on.

Please give at stmichaelsfoundation.com

EDITOR’S LETTER

ONE SPECTACU R EVENING CELEBRATING THE CONCLUSION OF OUR INSPIRE 2018 CAMPAIGN.

Generous donor support is preparing St. Michael’s for the future with improvements to clinical care and the creation of state-of-the-art facilities including:

PETER GILGAN PATIENT CARE TOWER SLAIGHT FAMILY EMERGENCY DEPARTMENT ELEMENT FLEET MANAGEMENT WAY & ELEMENT FLEET MANAGEMENT ATRIUM

THANK YOU!

PRESENTING GALA SPONSORS

Please give at stmichaelsfoundation.com

IN THE NEWS

A Breakthrough in Care

GOING FOR

Each year, about 400-500 people are diagnosed with HIV in Toronto. But sometimes it can take weeks or months for them to connect with caregivers and start antiretroviral treatment. With no formal follow-up in place, the health-care system does not know when or even whether they get care. Recent research has shown that early treatment results in better health outcomes, fewer complications and potentially longer lives. Equally important, rapid treatment reduces the risk of HIV transmission to other people and ultimately saves resources in the health-care system.

Climate change and reversing the damage being done to our environment are top of mind for many people these days. St. Michael’s has been taking big steps to help make the world a “greener” place.

The hospital has been recognized as the Canadian Coalition for Green Health Care’s Green Hospital of the Year for 2016, outranking 54 other organizations in 12 areas of environmental activity, with a focus on energy, water and waste conservation.

“The work to earn this recognition didn’t happen overnight,” says How-Yune Chong, Director of Engineering and Plant Services. “Many years of staﬀ-led, grassroots environmental advocacy eﬀorts have helped to shape a culture of environmental awareness.

This momentum has added up and changed corporate practices and policies.” These green practices include sustainable water, energy and toxins management and corporate policies automating two-sided printing.

Dr. Sean B. Rourke, a neuropsychologist and researcher at St. Michael’s Hospital dedicated

Model Citizens

to improving mental health care for people living with HIV/AIDS, is spearheading a new project to address this issue. He and his team will establish a system of coordinated health services in Toronto which will link vulnerable people newly diagnosed with HIV to care, ensuring they receive rapid access to treatment, social support, practical assistance and mental health and addiction services. TD Bank Group is supporting this initiative, one of the inaugural projects of St. Michael’s Centre for Urban Health Solutions, under the direction of Dr. Stephen Hwang. The findings of this study will help drive health-system changes in other clinical settings across Toronto and Ontario and guide the development of future programs to test and treat those at highest risk for HIV across Canada and internationally.

St. Michael’s Foundation New Leadership St. Michael’s Foundation is pleased to announce the appointment of its new President, Lili Litwin. A dynamic fundraiser, Litwin joins us from the University of Toronto’s Rotman School of Management. As a values-driven leader, she is well-positioned to reflect the compassionate care of St. Michael’s and support the Foundation in fulfilling the hospital’s mission of excellent care, research and education. The role was formerly held by Alayne Metrick, who recently retired following a tremendously successful 22-year career at the Foundation, in which she helped raise $500 million toward critical hospital priorities.

St. Michael’s Foundation and its Board of Directors welcome Lili Litwin to the team!

Foundation Chair Frank Techar at left, former Foundation President Alayne Metrick and former Foundation Chair Mike Norris, far right, congratulate Agnico Eagle Vice-Chairman and CEO Sean Boyd and Board Chair James Nasso.

In this year of milestones – Canada’s 150th, St. Michael’s 125th – Agnico Eagle, a global leader in the gold mining business and supporter of the hospital, is celebrating its 60th anniversary. With its headquarters on King Street East, the company is practically in St. Michael’s backyard. There is a strong connection: some of the staﬀ members have been treated at the hospital over the years, and they are supportive of their community. Thank you for being one of St. Michael’s top five corporate donors. The Canadian mining giant made the first gift to our Inspire 2018 campaign, which will support the cardiac surgery operating room in our new Peter Gilgan Patient Care Tower. More recently, Agnico Eagle consolidated its commitment to improving care with a gift to support a number of priorities, including our 2017 Angel Ball, funding an ultrasound machine for the Department of Urology and creating the Agnico Eagle Oncology Unit. James Nasso, Chair of the Board and a Director at Agnico Eagle since 1986, has often commented, “Special people make special places and good people do good things – and St. Michael’s is a very special place for me and all of us at Agnico Eagle.” St. Michael’s knows that the people at Agnico Eagle are truly the “special ones” – those who continue to give back to their community. Please give at stmichaelsfoundation.com

IN THE NEWS

A Breakthrough in Care

GOING FOR

Dr. Sean B. Rourke, a neuropsychologist and researcher at St. Michael’s Hospital dedicated

Model Citizens

St. Michael’s Foundation and its Board of Directors welcome Lili Litwin to the team!

In The News Continued

Top 40 Under 40 St. Michael’s physician and researcher Dr. Nav Persaud has been named a recipient of the prestigious Canada’s Top 40 Under 40® award. This program celebrates excellence in Canadian leadership and honours those who have achieved great success before the age of 40. Dr. Persaud joins three previous St. Michael’s Top 40 award recipients: Dr. Muhammad Mamdani (2011), Dr. Subodh Verma (2010) and Dr. Prabhat Jha (2003). Dr. Persaud is leading a randomized clinical trial – The Elizabeth A. and Richard J. Currie Research Initiative on Health: Essential Medicines for the Working Poor – involving over 780 people who have difficulty affording their medications and comparing the health outcomes of those who receive a short list of medications for free and those who do not. He is on the Ontario government’s Committee to Evaluate Drugs. “Dr. Persaud is a first-class physician, researcher and academic who has been an effective and tireless advocate to improve the health of disadvantaged communities and individuals,” said St. Michael’s President and CEO Dr. Bob Howard. “He has successfully pushed Health Canada to become more transparent about releasing research data and is conducting studies of pharmacare that will influence policymakers and improve the lives of Canadians, especially the disadvantaged.”

Investing in Excellence Our donors are central to our ongoing transformation. Thanks to visionary investments, St. Michael’s is setting a new standard in health care as we become the premier critical care hospital in Canada. One of the transformational gifts we received during our landmark Inspire 2018 campaign – that raised a monumental $237 million for St. Michael’s – was $3 million from our friends at BMO Financial Group (BMO) in recognition of advancements made in research, education and patient care. This generous donation was part of a remarkable $21 million gift BMO made to seven academic hospitals in Toronto to honour their groundbreaking, internationally recognized work. BMO has been a long-time supporter of St. Michael’s Hospital – please join us in congratulating them on a milestone 200 years in business!

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MANAGED CARE

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The Future of Health Care At St. Michael’s Hospital, we’re revolutionizing how scientific discoveries impact health care. Our experts are pioneering breakthroughs every day that smash the status quo and improve outcomes for patients across the province and beyond. We showcase many of our most innovative ideas at Angels Den: a battle of some of St. Michael’s best and brightest researchers to win funding for their life-changing innovations from a panel of jurors looking to fund the future of health care. Inspired by the wildly popular CBC television series Dragons’ Den and Co-Chaired by Foundation Board members Gwen Harvey, John Hunkin and Melissa Martin, the event brings together cuttingedge researchers, leading business experts and celebrity judges – including fashion mogul and current Dragon, Joe Mimran – for an enthralling evening of innovation and exploration.

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Former Angels Den participants who have made incredible advancements in health care include: • Drs. Jennifer Beck and Doug Campbell who won first prize at the Global Healthcare Innovation Academy in 2016 for developing a technology that helps newborns breathe. • Drs. Philip Marsden and Sunit Das who have been granted an international patent to investigate how to slow brain tumour growth. Pick up the next issue of Urban Angel in spring 2018 to read about the latest game-changing research projects to emerge from St. Michael’s. For more information, contact Erin Baier at BaierE@smh.ca

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C-A-N-C-E-R. SIX LETTERS THAT FORM A WORD NO ONE EVER WANTS TO HEAR. Valerie Armstrong was in disbelief when she heard it on a brisk winter’s day in early 2015. After experiencing a second bout of fleeting stomach pain – the first occurred four months earlier but resolved itself – Valerie rushed to the Emergency Department at St. Michael’s Hospital. “Initially, they thought it was a gallbladder attack,” she says. “But then they saw something on my scan and sent me for an MRI straight away.” She was diagnosed with bile duct cancer, a relatively rare and often fatal digestive cancer that aﬀects the thin tubes that move bile from the liver and gallbladder to the small intestine to help digest the fats in food.

“When you go through an experience like this, your whole perspective changes.” – Valerie Armstrong

Valerie. “I told Ken I’d always wanted to go to Venice and he promised to take me there. But at the time, I really didn’t think I was going to recover.” With visions of herself cruising the Grand Canal in a gondola and crossing the centuries-old Rialto Bridge to eat gelato in St. Mark’s Square fading from view, Valerie was heartbroken. She would never get to check Venice oﬀ her list. But Dr. Christine Brezden-Masley, head of the oncology and hematology division at St. Michael’s, wasn’t ready to give up on Valerie. Yes, the position of her tumour was tricky and her age did make surgery risky, but chemotherapy was still an option.

Referred to as a silent disease, the symptoms – including abdominal pain, loss of appetite and fatigue – can easily be mistaken for other illnesses and tend to go unnoticed until the cancer is so advanced that treatment options become incredibly limited. In Valerie’s case, she had no symptoms, making her diagnosis even more surprising.

We all have a list of everything we want to see and do before we die, and most of us think we have plenty of time to check it oﬀ. But when a cancer diagnosis is thrown into the mix, time is suddenly of the essence. “When you go through an experience like this, your whole perspective changes,” says

“Your attitude and what you tell yourself is extremely important in health recovery.” – Dr. Brezden-Masley An important part of coping with a cancer diagnosis is recognizing emotions and thinking positively. “Your attitude and what you tell yourself is extremely important in health recovery,” says Dr. Brezden-Masley. “That’s why in oncology, for cancer patients, we focus on positivity.” While positive thinking can’t cure cancer, a bright outlook and optimistic attitude can certainly reduce stress, help patients cope with treatment and improve overall well-being. Through eight rounds of chemotherapy, Valerie stayed hopeful, trying to find joy in a challenging time by surrounding herself with supportive family and friends. “A lot of people believe my attitude is what really pulled me through,” she says.

When a specialist at another Toronto hospital deemed her inoperable and recommended palliative treatment designed for terminal cancer patients, Valerie was blindsided – “When I heard the word palliative, I was shocked,” she says. “They just wrote me oﬀ. I couldn’t believe it.” With her future in question, Valerie confided in her close friend Ken who asked her what was at the top of her bucket list.

“When I heard this, I was like a totally diﬀerent person,” says Valerie. “Dr. Brezden was so persistent. She told me, ‘we’re going to try to beat this thing,’ and at that moment, I made a decision not to look back – not to dwell on this one bad time and to think about the good times.”

Valerie in Venice’s famed St. Mark’s Square.

We all have a list of everything we want to see and do, and most of us think we have plenty of time to check it off.

And a year and a half after she was diagnosed with a rare, ‘untreatable cancer,’ Valerie was declared in remission. “It’s really a miracle,” she says. “Dr. Brezden saved my life and I’m so grateful to her and St. Michael’s for what they did for me.” Today, at 81-years-old, Valerie is focused on living life to the fullest. She finally checked a trip to Venice oﬀ her bucket list, along with a few other things: writing a book – she’s working on her eighth novel and first children’s book! – joining a choir and taking her granddaughter to visit her hometown of London, England. She looks forward to checking oﬀ the rest of the list in the years to come. Please give at stmichaelsfoundation.com

“When you go through an experience like this, your whole perspective changes.” – Valerie Armstrong

Valerie in Venice’s famed St. Mark’s Square.

We all have a list of everything we want to see and do, and most of us think we have plenty of time to check it off.

GIFT PLANNING

TAKE STOCK IN THE FUTURE In the age of ice-bucket challenges and grassroots fundraising campaigns, philanthropists are finding new and innovative ways to pay it forward. Charity has evolved with the times, meaning more and more donors are taking untraditional approaches to giving back. As the sector continues to transform, the gift of stock has presented itself as an attractive opportunity – especially for those who like to plan ahead. Urban Angel investigates a fresh way to maximize your social impact.

Several years ago, Mary purchased $1,000 worth of common shares in a publicly traded company. The current market value of those shares has increased to $5,000, which means Mary has a capital gain of $4,000.

PAYING IT FORWARD

Life in the

Planned Giving donor John C. Ferth has been making annual donations to St. Michael’s Foundation for nearly a quarter of a century. Recently, however, the 88-year-old decided to make an even larger gift by donating publicly traded shares toward the new 17-storey Peter Gilgan Patient Care Tower. The best tax advantage for a gift of stock is a direct donation. “When I found out that I could donate securities without paying the capital gains tax, I felt this was the perfect way to say ‘Thank you for the excellent care!’” says Ferth. As an investor and former businessman, Ferth feels fortunate to have the opportunity to invest in causes he cares about.

Mary wants to make a diﬀerence. But if she decides to sell those shares and donate the cash proceeds to St. Michael’s Foundation, she’ll owe tax on the capital gain.

If Mary chooses to donate the shares directly to St. Michael’s Foundation, she’ll be able to donate the full value of her shares at the time of transfer. She’ll receive a tax receipt reflecting her contribution, and at the same time avoid paying tax on any capital gains realized – meaning her gift will have a greater impact on patient care.

WHY GIVE THE GIFT OF STOCK?

Mary wants to invest in scientific breakthroughs, so she decides to direct her securities to advancing life-changing research at St. Michael’s that will improve the lives of patients far into the future.

• It’s a tax-eﬀective way to increase the impact of your investment. • You’ll receive a charitable tax receipt for your donation.

St. Michael’s emergency doctor and bestselling author, Dr. James Maskalyk pulls back the curtain on life in the Emergency Department.

Mary’s gift of stock will help St. Michael’s clinicians, scientists and researchers blaze new trails to improve health care from coast-to-coast.

• Your gift of publicly traded securities will help fund critical priorities at St. Michael’s that improve, and in some cases save, the lives of those within your community.

Dr. James Maskalyk can read people. After more than a decade working on the frontlines of emergency medicine in places from Canada to Cambodia, he can spot the sickest person in a crowd in an instant – “It’s an energetic read of a body coming apart” – and predict which patients will follow up about their care after discharge – a unique skill that’s sharpened his vision in a fast-paced, high-stakes environment.

You can donate a gift of stock now and help make a diﬀerence in the lives of others, or you may leave a bequest in your will to benefit future generations of patients. For additional details, contact Cynthia Collantes at 416.864.5879 or CollantesC@smh.ca

“YOU CAN REALLY LOSE SIGHT OF WHAT YOU NEED WHEN YOU’RE FACED WITH THE IMMENSE NEEDS OF OTHER PEOPLE.” Please give at stmichaelsfoundation.com

GIFT PLANNING

PAYING IT FORWARD

Life in the

Mary wants to make a diﬀerence. But if she decides to sell those shares and donate the cash proceeds to St. Michael’s Foundation, she’ll owe tax on the capital gain.

WHY GIVE THE GIFT OF STOCK?

• It’s a tax-eﬀective way to increase the impact of your investment. • You’ll receive a charitable tax receipt for your donation.

St. Michael’s emergency doctor and bestselling author, Dr. James Maskalyk pulls back the curtain on life in the Emergency Department.

Mary’s gift of stock will help St. Michael’s clinicians, scientists and researchers blaze new trails to improve health care from coast-to-coast.

• Your gift of publicly traded securities will help fund critical priorities at St. Michael’s that improve, and in some cases save, the lives of those within your community.

“YOU CAN REALLY LOSE SIGHT OF WHAT YOU NEED WHEN YOU’RE FACED WITH THE IMMENSE NEEDS OF OTHER PEOPLE.” Please give at stmichaelsfoundation.com

EXERCISE FEATURE In his latest book, Life on the Ground Floor: Letters from the Edge of Emergency Medicine, he gives readers a rare glimpse at life in the ED at Black Lion Hospital in Addis Ababa, Ethiopia – where he practices and teaches – and St. Michael’s Hospital here in Toronto, both bustling, high-adrenaline spaces crowded with more and more people every day. “In the last 10 years, as the downtown’s bloomed, there’s not a day when there’s not dozens of people waiting in our ED,” says Dr. Maskalyk. “There’s no quiet time of day anymore. There used to be a time when the ED would get quiet around three or four in the morning, more or less, but not anymore.” And it shows no signs of slowing. The ongoing influx of people moving to Toronto’s downtown core, coupled with an aging population battling multiple complex and chronic conditions, will certainly contribute to the impending busyness of emergency rooms. Currently, St. Michael’s Emergency Department – originally built to accommodate 45,000 patients per year – sees more than 77,000 patients annually and growing. That’s more than 200 people a day with health-care issues that run the gamut from a sprained ankle to a heart attack, to a gunshot wound or a drug overdose. To effectively respond, Dr. Maskalyk and his colleagues have to be ready to react instantaneously. The ED is fast-paced and perpetually changing; a place where decisions have to be made quickly amid relentless interruptions; priorities need to be constantly shifted; and compassion must never be compromised. But even the most high-functioning individuals can find themselves on the fast-track to burnout. A study by the Workplace Safety and Insurance Board found that three in five health-care workers suffered from “role overload,” a situation that can be damaging to both physical and mental health, and lead to reduced productivity, increased absenteeism and greater staff turnover. Dr. Maskalyk isn’t surprised, “You can really lose sight of what you need when you’re faced with the immense needs of other people, and that can create the conditions that lead to burnout and dissatisfaction.” Part of the self-care he practices is mindfulness, a form of meditation that involves focusing one’s awareness on the present moment. In addition to reducing stress, mindfulness has been found to improve memory and lead to better decision-making. For Dr. Maskalyk, it helps him pay better attention to his patients so he can make a real connection with them. “The more I pay attention to that intention, the better the outcome is. And I can be a better doctor.” For Dr. Maskalyk, emergency medicine is about more than sewing people back up; it’s about humanizing what can oftentimes be a very impersonal experience and learning to better read patients so questions about the conditions of sickness – many of which have nothing to do with their bodies – can be addressed. “I can see a better future and part of that is changing the conditions that create health and happiness for people.”

“I CAN SEE A BETTER FUTURE AND PART OF THAT IS CHANGING THE CONDITIONS THAT CREATE HEALTH AND HAPPINESS FOR PEOPLE.” – Dr. James Maskalyk

NEVER TOO LATE TAKE ME TO ST. MIKE’S To prepare for the future, St. Michael’s Hospital recently opened the first phase of its new Slaight Family Emergency Department, a state-of-the-art acute area purpose-built for patients with urgent injuries and illnesses. As downtown Toronto’s only trauma centre, St. Michael’s cares for an incredibly diverse, inner-city patient population that continues to grow. The ED’s new acute area is twice the size of the previous location, with wider hallways to reduce overcrowding and single-patient rooms to maximize privacy and minimize noise. The revitalization and expansion of the hospital’s ED is expected to be complete in 2019. Work on phase two which involves building a new mental health area and trauma bay is currently underway. Thanks to generous donor support, we will be better equipped to accommodate growing volumes of patients in a betterdesigned environment. To support our new Slaight Family Emergency Department, visit stmichaelsfoundation.com

Most of us, if we’re being honest, have a love-hate relationship with exercise – with one side substantially outweighing the other. Rationally we know the benefits of regular fitness – better mood, better sleep, enhanced mobility, improved chance of resisting illness, and so on. But sometimes – again being honest – we lose the battle with the alarm clock and roll over instead of lacing up those running shoes. This is when the right motivation becomes essential. For David, with his hit-and-miss history of fitness, facing 65 was a wake-up call that couldn’t be ignored. Fortunately he had

the opportunity to work with a personal trainer, Andrew Walton, at his local YMCA. With a good combination of knowledge and enthusiasm, he performed an assessment, taking into consideration David’s knee issues, and developed a personalized program. Given David’s aim of working out three times a week, Andrew designed two days of varied but intense exercises, like squats, pull-downs, weights and step-ups, with a third day open for swimming or cycling. Walton, a graduate in Kinesiology from Western University, says, “The best way to sustain a training program is to make sure it’s tailored to you. People need to enjoy what they’re doing. In my experience, if someone says they like to walk and bike and you design a weight training only program, they’re going to have trouble staying with it. Educating people about why they’re doing what they’re doing helps tremendously.”

IT’S NEVER TOO LATE TO GET MOVING. IN FACT, AS WE AGE, IT BECOMES EVEN MORE VITAL TO HEALTHY LIVING. Lee Rosen, an Occupational Therapist in St. Michael’s Outpatient Occupational Therapy Program, says, “Whatever your general activity level, there are ways to improve your health and your fitness outlook. Exercising with friends can make it more of a social and enjoyable activity. It can be as simple as a brisk walk around the block, taking an aquafit class at your local pool or following a yoga routine on YouTube.” The trick is finding the right motivation, program and goal that work for you – and the benefits may even exceed your expectations. In 2008, former first lady Michelle Obama extolled the virtues of a good workout to Marie Claire magazine.

“Exercise is really important to me – it’s therapeutic,” she said. “So if I’m ever feeling tense or stressed or like I’m about to have a meltdown, I’ll put on my iPod and head to the gym or out on a bike ride along Lake Michigan with the girls.” Walton advises starting slowly: “Most people come into a new workout regimen fired-up and full of energy. People see YouTube and Instagram videos and want to jump right into it. If you’re just starting out, you need to stick to the basics and find a program you know you can accomplish. If that’s exercising once a week, so be it. But always make sure to be moving forward.”

“Do you know what a McGill sit-up is?” It’s a recent innovation developed by Dr. Stuart McGill of the University of Waterloo that minimizes the pressure on the spine that traditional sit-ups cause. If you’re curious, there are lots of YouTube videos to demonstrate how to do it properly.

HOW TO DISTRACT YOURSELF FROM THE FACT THAT YOU’RE EXERCISING:

• Listen to music or an audiobook while working out. • Window-shop while mall-walking. • Break out into dance with loved ones. • Take your camera or smartphone on walks for those Instagram moments. • Fire up Netflix and watch your favourite movie or TV series while on the treadmill. • Instead of sitting in a coﬀee shop, get that beverage to go and walk. • Walk or play fetch with a dog – clearly cats or fish won’t work in this case. If you don’t have a dog, oﬀer to take a neighbour’s dog for a walk. • Find exercise buddies, people who will encourage you – and who are a little competitive.

Please give at stmichaelsfoundation.com

“I CAN SEE A BETTER FUTURE AND PART OF THAT IS CHANGING THE CONDITIONS THAT CREATE HEALTH AND HAPPINESS FOR PEOPLE.” – Dr. James Maskalyk

HOW TO DISTRACT YOURSELF FROM THE FACT THAT YOU’RE EXERCISING:

Please give at stmichaelsfoundation.com

BREAKTHROUGHS

DEMENTIA HAS BEEN DECLARED A GLOBAL PUBLIC HEALTH CRISIS, AFFECTING A STAGGERING 47 MILLION PEOPLE WORLDWIDE.

e all want to live long, healthy lives. But as dementia affects more and more people, it will become harder to age gracefully and maintain independence and dignity. Dementia describes a range of symptoms that typically affects older adults, impairing memory, thinking and other cognitive abilities severely enough to interfere with daily life. Its most common form, Alzheimer’s disease, accounts for over two-thirds of all cases and is both progressive and degenerative, slowly erasing the lives of those who have it. Early signs of the disease include confusion, misplacing things, problems with speaking and writing, decreased judgment, and changes in mood and personality. It’s estimated that as many as 50% of Canadians with dementia are not diagnosed early enough, falling through the cracks of the health system and losing valuable time when care could make a significant difference to their quality of life. “The diagnosis gap is definitely part of the challenge in scaling up treatment and care for those with dementia,” says Dr. Neeru Gupta, a world-renowned ophthalmologist and scientist in St. Michael’s Keenan Research Centre

for Biomedical Science. “We know that this disease is progressive and that there is no cure, so finding these cases as early as possible is our goal.” Growing evidence suggests that brain changes resulting in dementia can begin 25 years before symptoms actually appear, making early detection and diagnosis extremely important. There is no test to determine if someone has dementia early on, so current diagnosis relies heavily on measuring a patient’s cognitive decline over time, and conducting brain imaging or spinal fluid testing. But Dr. Gupta and her research team may be on the brink of discovering it. Using samples from the Human Eye Biobank for Research at St. Michael’s Hospital – a collection of human eye tissue that is available to researchers from around the world to study human eye and brain diseases – Dr. Gupta examined eye tissue in patients with dementia and Alzheimer’s, and control subjects. Her findings were astonishing: abnormal protein clusters existed in the eyes of many patients with dementia and Alzheimer’s; suggesting a biomarker – something that can be used to indicate the presence of disease – for dementia may in fact exist in the eyes.

This game-changing discovery could have profound applications for the early detection and diagnosis of dementia. “This is a window into changing the way that we look at this disease,” says Dr. Gupta. “We have, for the first time, discovered a biomarker in the eyes of patients with dementia and Alzheimer’s that does not exist in the eyes of normal patients and is unique – it doesn’t look like anything else we’ve seen under the microscope.” While the early findings are promising, further investigation, including clinical studies and human trials will follow. “Now that we know these abnormal proteins are there, what are they? What are they made of? How can we detect them in a clinical setting?” asks Dr. Gupta. “We use tools in the clinic now to diagnose every eye disease. Could the same or newer tools be used to diagnose dementia and Alzheimer’s?” The potential impact of finding a biomarker for dementia in the eyes is revolutionary. It could lead to breakthroughs in clinical trials for treatments that target the disease in its early stages, resulting in improved quality of life for patients and their caregivers, or even open a new window to finding a cure.

“WE USE TOOLS IN THE CLINIC NOW TO DIAGNOSE EVERY EYE DISEASE. COULD THE SAME OR NEWER TOOLS BE USED TO DIAGNOSE DEMENTIA AND ALZHEIMER’S?” – Dr. Neeru Gupta

WITH NO KNOWN CURE AND NEARLY 10 MILLION NEW CASES OF DEMENTIA EACH YEAR, THE HUNT IS ON TO FIND AN EASY AND ACCURATE WAY TO DETECT AND DIAGNOSE THE DISEASE BEFORE SYMPTOMS START. EARLY FINDINGS FROM A GROUNDBREAKING STUDY AT ST. MICHAEL’S HOSPITAL COULD OFFER A NEW WINDOW TO DIAGNOSING DEMENTIA. To support the next phase of Dr. Gupta’s groundbreaking research at St. Michael’s, visit stmichaelsfoundation.com

BREAKTHROUGHS

DEMENTIA HAS BEEN DECLARED A GLOBAL PUBLIC HEALTH CRISIS, AFFECTING A STAGGERING 47 MILLION PEOPLE WORLDWIDE.

“WE USE TOOLS IN THE CLINIC NOW TO DIAGNOSE EVERY EYE DISEASE. COULD THE SAME OR NEWER TOOLS BE USED TO DIAGNOSE DEMENTIA AND ALZHEIMER’S?” – Dr. Neeru Gupta

SPECIAL FEATURE WHETHER IT’S A NEW RELATIONSHIP, A CAREER CHANGE OR A GEOGRAPHIC MOVE – THE EVER-EVOLVING LOCOMOTION OF LIFE IS WHAT KEEPS US ON OUR TOES. THE TRICK LIES IN FINDING BALANCE.

The Next Generation of St. Michael’s Hospital Supporters Visit stmichaelsfoundation.com/youngleaders

THE DODGER

DIGITAL EVENTS COMMITTEE INNOVATION COMMITTEE

@smylto

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

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Four annual fundraising events and innovative digital programs that raise awareness of St. Michael’s Hospital programs and groundbreaking research.

Every day we navigate the ebb and flow of an ever-changing economy, the highs and lows of the housing market, the peaks and valleys of our social lives, the promise and peril of the political landscape and the ups and downs of the weather. Urban Angel oﬀers real-life takes on transformative events – as well as tips, tricks and tools to thrive amid a turning tide. Please give at stmichaelsfoundation.com

SPECIAL FEATURE WHETHER IT’S A NEW RELATIONSHIP, A CAREER CHANGE OR A GEOGRAPHIC MOVE – THE EVER-EVOLVING LOCOMOTION OF LIFE IS WHAT KEEPS US ON OUR TOES. THE TRICK LIES IN FINDING BALANCE.

The Next Generation of St. Michael’s Hospital Supporters Visit stmichaelsfoundation.com/youngleaders

THE DODGER

DIGITAL EVENTS COMMITTEE INNOVATION COMMITTEE

@smylto

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

File Name: YoungLeaders_Ad_8.375x10.87 Pub: URBAN ANGEL Magazine Insertion Dates: Fall 2017

Four annual fundraising events and innovative digital programs that raise awareness of St. Michael’s Hospital programs and groundbreaking research.

5 ways to embrace change at work Today it seems that change is happening faster than ever before. This is especially evident in the workplace. If you’ve been at your job for any length of time – even just a day or two – you will have experienced some kind of change. Perhaps you’ve just acclimated to a shift in priorities or an expanded workload only to find a new set of projects on your plate. Your mind may be reeling from the associated stress. While you may not be able to dictate what, when or how often changes occur, you can control how you cope, adapt and grow.

Feel like a fish out of water? “There seems to be unprecedented pace and complexity of change these days,” says Dr. Glen Bandiera, Chief of Emergency Medicine, St. Michael’s Hospital.

Life-changing moments A St. Michael’s physician reflects on his ‘life-changing’ moment. A PICTURE IS WORTH A THOUSAND WORDS

• Try to be part of the solution and not part of the problem by influencing decisions and directions.

“I have been fortunate enough to be at St. Michael’s Hospital for many years and have had many moments that would fit the bill for life-changing, but the one advantage of getting further into one’s career is being able to experience the outcomes of your moments. Recently, I received an e-card with photos from one of my neonatal patients. She was born with a complex, congenital, life-threatening heart condition which I was able to help manage. She is now 22 and just graduated from Ryerson University. The pictures of her convocation ceremony and her words of thanks are certainly one of my moments.”

“My practical strategy is to use a validated change management model. Stick to it, don’t give up too early, but be prepared to course-correct along the way.”

– Dr. Tony Barozzino, Pediatric and Neonatal Physician, Director of Community Outreach and Ambulatory Services, Pediatrics, St. Michael’s Hospital

DR. BANDIERA’S BEST STRATEGY FOR COPING WITH CHANGE: • Accept that change is happening and will continue to happen. • Commit to leading a finite number of initiatives that are important to you; let others lead the rest. • Realize that you can’t control everything and you can’t control everybody. You can only control yourself.

“Change is the only constant in life. It can be diﬃcult. Sometimes we seek it ourselves and other times, it’s thrust upon us. But no matter how change comes about, it always results in growth and new opportunities,” says Summer-Lee Clark, CHRL, Human Resources Consultant, St. Michael’s Hospital.

URBAN ANGEL OFFERS READERS FIVE WAYS TO COPE WITH CHANGE IN THE WORKPLACE:

3. THINK POSITIVELY.

We’re all guilty of imagining worst-case scenarios – especially in the workplace. Be deliberate in your thinking and tune out the negativity. Recall situations in the past when you handled change well. 1. LET GO OF THE PAST. What did you do? How did you manage Just because something’s always been that shift in priority or workload? Don’t done a certain way doesn’t mean it just survive, thrive. You got this! should continue to be done that way. It’s important to entertain new ideas. 4. WELCOME CHANGE That’s how organizations go from AS AN OPPORTUNITY. good to great. Think about how you can learn and grow. Reframe the way you view 2. GET THE FACTS. change. We don’t often ask for change, Ask your colleagues constructive but when it comes our way, it can be questions and ignore organizational surprisingly well-timed and refreshing. rumours that tend to swirl around the Set ambitious yet achievable career water cooler. Take the time to acquire goals for yourself and go after them. the facts before you react.

5. BUILD A SUPPORT SYSTEM BOTH INSIDE AND OUTSIDE YOUR WORKPLACE. Know that it’s OK to feel the way you feel. Consider confiding in a trusted colleague and/or loved one if you’re having diﬃculty adjusting. We sometimes subconsciously project our fears and insecurities. Someone else’s perspective can help you understand why you’re feeling so anxious.

BY STAYING FOCUSED ON THE “BIG PICTURE” YOU WILL BE ABLE TO AVOID THOSE MENTAL SETBACKS THAT SO OFTEN SAP YOUR ENERGY. AND DON’T JUST BRACE FOR CHANGE, EMBRACE IT. Please give at stmichaelsfoundation.com

Feel like a fish out of water? “There seems to be unprecedented pace and complexity of change these days,” says Dr. Glen Bandiera, Chief of Emergency Medicine, St. Michael’s Hospital.

Life-changing moments A St. Michael’s physician reflects on his ‘life-changing’ moment. A PICTURE IS WORTH A THOUSAND WORDS

• Try to be part of the solution and not part of the problem by influencing decisions and directions.

“My practical strategy is to use a validated change management model. Stick to it, don’t give up too early, but be prepared to course-correct along the way.”

– Dr. Tony Barozzino, Pediatric and Neonatal Physician, Director of Community Outreach and Ambulatory Services, Pediatrics, St. Michael’s Hospital

URBAN ANGEL OFFERS READERS FIVE WAYS TO COPE WITH CHANGE IN THE WORKPLACE:

3. THINK POSITIVELY.

5 ways to reinvent your space REFRESH, REJUVENATE, REDO. Sometimes, the subtlest changes – such as your surroundings – can have a powerful impact on your perspective. Every room has a unique vibe – some can be calming and meditative, while others can be lively and eﬀervescent. This vibe gives oﬀ a feeling the second you walk into the space. Urban Angel interior designer Frania Banks gives her perspective on the “little things” we can all do to lift our spirits.

1. DECLUTTER “The number one thing that can change the face of your space is to step back and declutter,” says Frania. Paring back on unused items can be incredibly calming. Ask yourself ‘Do I really need this? Does it mean anything to me? Do I use it?’ If the answer is ‘no,’ then donate it or sell it online.

2. CLASSIC COLOURS “One of the top interior design trends is the resurgence of the classic blend of black and white,” says Frania. Timeless and modern, one easy way to incorporate this look into your space is to place your favourite black and white photos into inexpensive frames and hang them, in a cluster, on your wall.

Music has forever changed “The first time listening to my new Axiom speakers was wonderful and sad; They sound so good that it takes your breath away and you want to cry, and you regret all the wasted years with lesser speakers.” Todd, Axiom Customer

3. FLOWER POWER Whether it’s an ambrosial bouquet of flowers, a candle burning an aromatic scent or a de-stressing fragrance infuser, sweet smells can soothe the soul. “It’s a sure-fire way of winning over your senses,” says Frania.

4. LIGHTEN UP Bring the outdoors in. The benefits of natural light are bountiful. According to Frania, illuminating your space – especially throughout the winter – is a great way to make a small space shine like summertime.

5. PILLOW TALK Throw pillows and blankets can add a ton of personality to your space. For an easy update, Frania recommends replacing them quarterly to reflect the hues of the season.

Introducing the most advanced wireless speaker system ever created. TOP TRENDS FOR 2018 • • • • • • •

Create an old-school library with vintage classics from your local used bookstore Make your space pop with items that ooze preppy-sophistication, a sure-to-be trend of 2018 Embrace brass – this metallic alloy is slated to make a big resurgence this year The classic contrast – black and white – can do wonders to dress up a dull space Give your walls the gallery treatment with a carefully curated photo collage Add a little life to your living room with fresh flowers and lush houseplants Trade spaces – immerse yourself in authentic, culturally enlightening experiences

For over 35 years Axiom has designed and manufactured the best sounding speakers using one of the most advanced acoustical laboratories in the world. So when our customers challenged us to give them the Axiom sound they love combined in a wireless, portable and multi-room capable speaker, we knew we could create something truly amazing. Say hello to the AxiomAir.

To learn more visit axiomair.com

5. PILLOW TALK Throw pillows and blankets can add a ton of personality to your space. For an easy update, Frania recommends replacing them quarterly to reflect the hues of the season.

Introducing the most advanced wireless speaker system ever created. TOP TRENDS FOR 2018 • • • • • • •

To learn more visit axiomair.com

SPECIAL FEATURE

It’s unpredictable. IT AFFECTS 100,000 CANADIANS. It can cause fatigue, weakness, tingling, impaired sensation, lack of coordination, vision issues and mood changes, among other symptoms. And today, scientists and researchers around the world are more determined than ever to find ways to prevent this puzzling autoimmune disease that’s perplexed neurologists for decades.

DR. XAVIER MONTALBAN’S

“WE HAVE AN OPPORTUNITY WHICH I CAN ONLY DESCRIBE AS A DREAM.” – Dr. Xavier Montalban

Internationally regarded as a top trailblazer in the field, Dr. Xavier Montalban’s groundbreaking work has inspired new promise for the diagnosis and treatment of Multiple Sclerosis. Recently recruited to St. Michael’s from Barcelona, Spain’s renowned MS Centre of Catalonia, his arrival has been described as a “game-changer.”

Urban Angel spoke to Dr. Montalban about his refreshing perspective on patient care, boundless spirit of optimism and bold vision for the future.

Please give at stmichaelsfoundation.com

SPECIAL FEATURE

DR. XAVIER MONTALBAN’S

“WE HAVE AN OPPORTUNITY WHICH I CAN ONLY DESCRIBE AS A DREAM.” – Dr. Xavier Montalban

Urban Angel spoke to Dr. Montalban about his refreshing perspective on patient care, boundless spirit of optimism and bold vision for the future.

Please give at stmichaelsfoundation.com

Neurology is an incredibly complex field – what inspired you to pursue it? “I wanted to be a biologist, but my brother convinced me to become a doctor. I considered other fields, but neurology (the branch of medicine that deals with the anatomy and disorders of nerves and the nervous system) seemed especially challenging. It is very complex, but at the same time, very logical. If you understand how the nervous system functions, you realize that everything has an explanation – that’s why I decided to specialize in this field. It isn’t for everyone, though. You must be patient, optimistic and able to see past obstacles.” You established the renowned MS Centre of Catalonia (cemcat), and became internationally regarded as one of the most important MS thought leaders in the world. How did it come to life? “When I first started out in Spain, we had no treatment for MS. It was deeply concerning. So I began developing research and clinical care programs dedicated to improving the quality of life of those living with MS. Then, in 1995, the first drug appeared, and all our eﬀorts went into bringing the MS Centre of Catalonia to life. Luckily, donors supported us and we ended up with a standalone building of 20,000 sq. ft. fully dedicated to the disease. Our unique multidisciplinary approach meant patients could be diagnosed and treated at the same place, undergo rehab and partake in research if they wished. It was a long journey, but at the same time very short and very rewarding.” “JOINING ST. MICHAEL’S IS A GREAT RESPONSIBILITY, BUT IT IS ALSO A GREAT OPPORTUNITY.”

– Dr. Xavier Montalban

You had your choice of moving to any country, to work at any hospital – why Canada, and why St. Michael’s? “Canada has the highest incidence of MS in the world, and Toronto has 7,000 or more patients living with the disease. At the same time, St. Michael’s has a longstanding reputation as a major teaching and research hospital. In my mind, there is no better place to be than right here in the heart of Canada’s largest city.” Tell us about your bold vision for St. Michael’s Hospital. “We have an opportunity, which I can only describe as a dream. This is not going to happen twice. To have the right country, the right city, the right hospital, with 7,000 MS patients to serve and generous donors by our side – I am very aware that this will not happen again. Joining St. Michael’s is a great responsibility, but it is also a great opportunity.”

St. Michael’s Foundation is committed to raising funds to support critical MS initiatives. What’s your message to readers who are considering making a gift? “People in Canada and Toronto should take into account that MS is the leading cause of disability in the country, by far, and it could impact any family. Ask anyone if they know someone who has MS, and I am confident they will say they do. If you are able to collaborate in any way, you will be making a diﬀerence in the lives of many people.” Are you excited about the future of MS treatment and care? “If we make the diagnosis early and start treatment early, we can prevent the onset of disability. If the patient has no relapses and no progression, then we are successful. I am excited about how far we’ve come and where we can go.”

How excited are you about the possibilities of MS research and treatment based on the advancements you’ve seen in the past 25 years? “MS is the only neurological disorder in which we’ve been able to greatly modify its natural history. When I started in 1990, there was nothing there. By 1995, we had the first drug – and today we have about 14 drugs available. There are two components of the disease – inflammation and degeneration. We can now control the inflammatory phenomenon almost completely, and that means that the neurodegenerative component is slower and much less pronounced than it was in the past. So the prognosis has improved quite a lot. The natural history we know today has nothing to do with the one we knew 15 years ago, which is very exciting.”

A MISSION WITH A VISION With the longstanding support of John and Jocelyn Barford, Jon and Nancy Love and many other generous donors who have played a leading role in advancing MS treatment and care at St. Michael’s, the hospital is well positioned to become a world leader, dramatically improving outcomes for patients across Canada and beyond.

TO SUPPORT MS INITIATIVES AT ST. MICHAEL’S HOSPITAL, VISIT STMICHAELSFOUNDATION.COM

ONTARIO BAYVIEW VILLAGE | DOWNTOWN OAKVILLE | MUSKOKA SHERWAY | VAUGHAN MILLS OUTLET | YONGE

– Dr. Xavier Montalban

TO SUPPORT MS INITIATIVES AT ST. MICHAEL’S HOSPITAL, VISIT STMICHAELSFOUNDATION.COM

ONTARIO BAYVIEW VILLAGE | DOWNTOWN OAKVILLE | MUSKOKA SHERWAY | VAUGHAN MILLS OUTLET | YONGE

Shaping the future together.

Splitting her time between Toronto and L.A., two-time Tony award-winning actress Andrea Martin opens up to Urban Angel in an exclusive interview about life, love and labour. The comedic sensation of SCTV fame is starring in the second season of NBC’s Great News – and, at 70, she’s never felt more fearless.

When brilliant minds come together in state-of-the-future facilities, great things do happen. Healthcare outcomes for people around the world are changing for the better, because here at home we are pushing the boundaries of medical science ever outward. BMO Financial Group is proud to work with seven academic hospitals affiliated with University of Toronto’s Faculty of Medicine to push these boundaries farther and faster.

A CONVERSATION WITH

With a $21 million donation from BMO – the biggest philanthropic commitment in our 200-year history – we are helping our community partners prepare for the future, today. Working together, learning together, innovating together – BMO is committed to collaborating with these global centres of excellence to create sustainable solutions, accelerate change, and transform medical research and patient care.

” ? r o f g n i t i a w “What are you

Our Contributions:

A founding partner of the new Kids Health Alliance.

A new state-of-the-art emergency department.

Establishing the BMO Financial Group Chair in Precision Genomics.

The world’s first Prostate Centre.

A new Geriatric wing.

The new BMO Financial Group Education & Conference Centre.

The first ever Diabetes Complications & Prevention Clinic. Diabetes prevention programs in Indigenous communities.

Photo: Don Dixon

Please Please give give atat stmichaelsfoundation.com stmichaelsfoundation.com

29 29

Shaping the future together.

A CONVERSATION WITH

” ? r o f g n i t i a w “What are you

Our Contributions:

A founding partner of the new Kids Health Alliance.

A new state-of-the-art emergency department.

Establishing the BMO Financial Group Chair in Precision Genomics.

The world’s first Prostate Centre.

A new Geriatric wing.

The new BMO Financial Group Education & Conference Centre.

The first ever Diabetes Complications & Prevention Clinic. Diabetes prevention programs in Indigenous communities.

Photo: Don Dixon

Please Please give give atat stmichaelsfoundation.com stmichaelsfoundation.com

29 29

Q&A In a recent interview with Vanity Fair, you said your happiest moments were spent at St. Michael’s Hospital. Your sons were born here on July 1, 1981, and May 4, 1983. Take us inside the delivery room – what was the experience like for you? “I remember it so vividly. It really felt like a holiday when I was there. My doctor, Wilf Steinberg, is a teaching doctor at St. Michael’s – he delivered my babies. I was there for about four days and there were no complications with the births of my sons. It was a very humane experience. My first child, Jack, was born July 1. I remember that day for many reasons. It was Canada Day and I had been in labour for two days. I was just so happy to actually deliver because it’d been so long. I’d been on a monitor and they induced birth, but I was very, very fit and strong – I swam a mile the day before. That baby did not want to come out! When I finally gave birth, Dr. Steinberg yelled, ‘It’s a baby!’ About three weeks after, I joked about delivering him with Johnny Carson on The Tonight Show and said, ‘The doctor thought it was going to be twins. It turned out to be a baby with a big nose!’ My second child, Joe, was born May 4. That was very easy! I just went into labour and gave birth. By then I was kind of an old hat at it, but very grateful for the staﬀ at St. Michael’s, honestly, for allowing me to stay there for a few days and get my bearings. It was a really great experience and a really great way to bring a child into the world. I had so much support – and I remember the food being good!”

In an interview with the Globe and Mail, you describe an ‘a-ha’ moment you had when you turned 65. What was the epiphany?

In your eyes, what’s special about St. Michael’s Hospital? “I just remember feeling welcome. It felt like a family – like we were all in this together. When I delivered my kids I felt like I was the only woman in the world delivering babies. I felt very special. That’s the way to bring a life into the world, feeling like that’s the only life. And that’s what St. Mike’s gave me. I’ve been shooting a film in Toronto called Little Italy on the same street as St. Mike’s, and I oftentimes wonder what it would be like to go back. I hope I don’t have to, I hope I’m well enough, but that’s the hospital I’d like to go to if something ever happened to me in Canada. I have a grandchild now, so it’s good to know the hospital is still there if she’s coming to visit. I would for sure take her to the Emergency Department at St. Michael’s.” You’ve clearly discovered great joy in being a mom – can you put it into words? Describe the emotional thrills you’ve gained throughout motherhood. “Being a mom has made me a better actress, and it really defined for me the true meaning of love and intimacy. I’m so grateful to have had children because it puts my life into perspective. As an actress, it’s very easy to be self-consumed and live in a narcissistic bubble. Having sons expanded my universe and my gratitude for life.” What advice can you offer the next generation of moms-to-be? “I bet new moms could offer me some advice! I’d stay off the Internet. I have seen the anxiety you get from reading the Internet and comparing your baby’s

Photo: Maarten de Boer – NBCUniversal

development with others. I don’t know how anyone can win from that. I don’t know how you interpret what you Google – you’re not a doctor. You don’t know all the answers, and you shouldn’t know all the answers. Get a great pediatrician, stay oﬀ the Internet and talk to other moms!” You are hailed for your comedic genius – why is it so important to find humour in our lives? “Thank God I can laugh at things! It’s really, really hard to find humour when you’re going through something diﬃcult, but it certainly saved me. I think it’s about surrounding yourself with people who are winners – winners in their attitude towards life. It goes a long way. Talk to people who practice meditation every day, who work out every day, who eat nutritionally every day and who listen to classical music every day. Once you feel grounded it’s easier to laugh. It’s very hard to laugh when you’re all wound up. Humour comes second, finding peace comes first.”

“When I delivered my kids at St. Michael's, I felt like I was the only woman in the world delivering babies.” – Andrea Martin

“I was sitting with my friend Sean Hayes, from Will & Grace, and I was complaining again about useless things. He said to me, ‘Why don’t you switch your attitude and just say yes to life?’ It was a really simple statement but it resonated. I just thought, ‘What am I waiting for?’ There’s a certain blessing that comes with being older because you realize you have less years left than you’ve lived, so you think, ‘am I going to waste my life with the same attitude of being fearful and saying no, or am I going to change that?’ Saying yes is just a much easier way to live.” What are you most excited about right now? “Ah, many things! I’m excited that I get to do a second season of Great News in L.A. where both my sons live. I’m excited that I can get on my bicycle

right this second and go for a ride along Lakeshore. I’m excited that I have a day off and that I can enjoy my beautiful little home on a pond here in Toronto. I’m excited that at 6 o’clock tonight I can go out to dinner with my sister and some girlfriends, Marilyn Denis and Eugene Levy’s wife, Deborah Divine, at Giancarlo in Little Italy.” If you could impart one piece of life wisdom on our Urban Angel readers, what would it be? “I’d use this expression: ‘What are you waiting for?’ And that’s the most wisdom I can give anybody. We put off goals, we put off daring to dream, and we think that we have forever to get to it. If something strikes you in the moment, go for it and don’t let fear stop you from achieving those dreams! The next time you say, ‘hmm, I wonder, should I really go on that trip? Oh I don’t know. Should I really take time off?’ I would ask yourself, ‘what am I waiting for?’ Life is over so fast.”

“There's a certain blessing that comes with being older because you realize you have less years left than you've lived, so you think, 'am I going to waste my life with the same attitude of being fearful and saying no, or am I going to change that?' Saying yes is just a much easier way to live.” – Andrea Martin

ST. MICHAEL’S NEW NICU As a leader in critical care, St. Michael’s is renowned for providing specialized, compassionate care for high-risk mothers and babies in high-stakes situations – with a unique focus on disadvantaged populations. Our current 20-bed Neonatal Intensive Care Unit (NICU), supports 500–600 infants each year, either born at St. Michael’s or transferred here for specialized care. To rise to the challenges of tomorrow and address intensifying demands, St. Michael’s has launched a campaign to raise critical funds that will enable the redevelopment and expansion of our NICU, creating a state-of-the-art, family-integrated facility. Support from donors will empower us to provide the unparalleled care that our vulnerable and medically complex patients expect and require. “There is no comparator to St. Michael’s – we do it all,” says Dr. Doug Campbell, Medical Director, St. Michael’s NICU.

Since joining St. Michael’s Hospital as a resident in 1969, Dr. Wilf Steinberg has delivered nearly 6,000 babies – averaging 300 per year over a 20-year span. Two of those babies were Andrea Martin’s. Dr. Wilf Steinberg, St. Michael’s Women’s Health Team and Assistant Professor, Department of Obstetrics and Gynecology, University of Toronto

Delivering Andrea Martin’s Babies “Andrea was a wonderful patient. She’d sit in the waiting room and people would look over and say, ‘I’ve seen that face before.’ But when she came to Labour and Delivery, there was no fanfare. She was treated like all other patients with the appropriate care. She’s a wonderful, intelligent person with a great talent and a great ethical approach to life – she’s also exceedingly funny! We’ve enjoyed many laughs together and she’s recommended St. Michael’s Hospital to many of her friends over the years.” Why St. Michael’s? “Residents place St. Michael’s at the top of their wish lists. I’m often stopped in foreign cities by people who say they trained with me back in the ‘70s. And I’m not unique. It’s a wonderful starting place for young physicians. I’m pleased that during the 20-year span that I delivered babies at St. Mike’s, maternal mortality rates in Canada dropped, and we became the safest place in the world to deliver babies. Speaking as a physician, parent and grandparent, the health of the community rests on the health of moms and babies, and it’s our duty and our privilege to ensure they are conceived, delivered and brought up in a positive, healthy, enriching environment. We have to take a strong stand to do that. And St. Mike’s has a long history of this.” Please give at stmichaelsfoundation.com

To help give our moms and babies the best possible start at life, visit stmichaelsfoundation.com

In a recent interview with Vanity Fair, you said your happiest moments were spent at St. Michael’s Hospital. Your sons were born here on July 1, 1981, and May 4, 1983. Take us inside the delivery room – what was the experience like for you? “I remember it so vividly. It really felt like a holiday when I was there. My doctor, Wilf Steinberg, is a teaching doctor at St. Michael’s – he delivered my babies. I was there for about four days and there were no complications with the births of my sons. It was a very humane experience. My first child, Jack, was born July 1. I remember that day for many reasons. It was Canada Day and I had been in labour for two days. I was just so happy to actually deliver because it’d been so long. I’d been on a monitor and they induced birth, but I was very, very fit and strong – I swam a mile the day before. That baby did not want to come out! When I finally gave birth, Dr. Steinberg yelled, ‘It’s a baby!’ About three weeks after, I joked about delivering him with Johnny Carson on The Tonight Show and said, ‘The doctor thought it was going to be twins. It turned out to be a baby with a big nose!’ My second child, Joe, was born May 4. That was very easy! I just went into labour and gave birth. By then I was kind of an old hat at it, but very grateful for the staﬀ at St. Michael’s, honestly, for allowing me to stay there for a few days and get my bearings. It was a really great experience and a really great way to bring a child into the world. I had so much support – and I remember the food being good!”

In an interview with the Globe and Mail, you describe an ‘a-ha’ moment you had when you turned 65. What was the epiphany?

Photo: Maarten de Boer – NBCUniversal

“When I delivered my kids at St. Michael's, I felt like I was the only woman in the world delivering babies.” – Andrea Martin

To help give our moms and babies the best possible start at life, visit stmichaelsfoundation.com

The

Is your iPhone or iPad keeping you from falling asleep? For some of us, falling asleep is the dreaded, drawn-out phase before eventual slumber. For others, sleep comes so naturally they can do it with their eyes closed.

of Sleep

NAP APPS F.lux: Countless studies have shown that prolonged exposure to blue light prior to falling asleep can delay the release of sleep-inducing melatonin – generally leading to a poor night’s sleep. F.lux makes the colour of your computer/phone/tablet adapt to time, so that the bright light you’re looking at is increasingly dimmed throughout the day.

What’s keeping you up at night? If sleep is eluding you, don’t remain in the dark. Have you ever been so tired that when you try to sleep, your mind just won’t shut oﬀ? Maybe you’re worried about a family member, your job, your relationship, getting things done, getting things done well. You ruminate, you reflect, you reminisce. You toss and turn, count sheep, sip warm milk and listen to the soothing sounds of a noise machine. Try as you might, that digital clock keeps ticking in the back of your head, reminding you how much time has passed since you last checked – which, by the way, was only five minutes ago. Regardless of what’s keeping you up at night, a soundful slumber plays too critical a role in our health and wellbeing to miss. During sleep, our bodies are working to support healthy brain function and maintain our physical and mental health. The way we feel when we’re awake has much to do with what happens while we’re asleep.

Urban Angel caught up with Dr. Richard Leung, Director of St. Michael’s Hospital’s Sleep Laboratory, and Associate Scientist at the Li Ka Shing Knowledge Institute, and asked him for some advice on how to turn a less than ideal sleep pattern around. Dr. Leung’s recipe for restlessness? A few tweaks are usually all it takes for a peaceful sleep. According to Dr. Leung, quality and consistency are key: • Establish a routine and stick to it. • Eat meals earlier and avoid television, tablets and smartphones before bedtime, since the light from these devices can throw oﬀ our circadian rhythm. • Avoid activities that are stimulating like watching the news and checking social media sites such as Facebook. • Don’t rely on cat napping on your commute and catching up on weekends. It’s akin to starving yourself during the week and binging on the weekend, he says.

“Many of us simply need to learn to relax and be mindful of how important it is to wind down to avoid getting caught up in that classic paradox where you’re so worried about not sleeping that it prevents you from being able to.” It’s not uncommon for many of us to feel a little sluggish from time to time. But if you’re constantly drained, it may be time to look into what’s getting you down. For those unable to turn oﬀ the mind, Dr. Leung says, “consider cognitive behavioural therapy or making an appointment in St. Michael’s Sleep Lab.”

A few tweaks are usually all it takes for a peaceful sleep. According to Dr. Richard Leung, quality and consistency are key.

Sleep Genius: This app was developed from research that was conducted to help astronauts sleep and was recognized by NASA as a “Spinoﬀ Success Story.” The app trains users to sleep using acoustics designed to reduce stress and calm the body’s cardiac and respiratory systems. Snooze like an astronaut!

ST. MICHAEL’S HOSPITAL’S SLEEP LAB St. Michael’s Sleep Laboratory performs almost 2,000 sleep studies per year and is equipped with state-of-the-art technology, including video and sound monitoring equipment. The Lab is actively involved in sleep research with particular emphasis on the links between sleep disorders and cardiovascular disease. The Sleep Lab also provides consultative services for sleep-related breathing disorders like sleep apnea and non-respiratory disorders like insomnia, narcolepsy and restless legs syndrome.

Sleep Cycle: This app tracks and analyzes your sleep patterns, generating a visually pleasing dashboard of sleep statistics displayed in charts and graphs. What truly sets this app apart, though, is its use of your phone’s microphone to detect, track and measure snoring!

! t a h t r o f p a n a ’s e r e h T Please give at stmichaelsfoundation.com

The

of Sleep

A few tweaks are usually all it takes for a peaceful sleep. According to Dr. Richard Leung, quality and consistency are key.

! t a h t r o f p a n a ’s e r e h T Please give at stmichaelsfoundation.com

WHAT’S COOKING, DOC? URBAN ANGEL CHEFS VICTOR DE GUZMAN AND DARNELL GREGG IGNITE YOUR PALATE WITH HOT, TAPAS-STYLE TAKES ON YOUR FAVOURITE WINTER FOODS.

We can help.

We can help you focus on what’s important. Every year Honeywell helps health care facilities save millions in energy and operational costs — money that can be redirected to finance improvements and support vital health care needs.

To learn more about Honeywell solutions for health care facilities, visit buildingsolutions.honeywell.com or call Marco Ottavino, 289-333-1221.

Please give at stmichaelsfoundation.com

WHAT’S COOKING, DOC? URBAN ANGEL CHEFS VICTOR DE GUZMAN AND DARNELL GREGG IGNITE YOUR PALATE WITH HOT, TAPAS-STYLE TAKES ON YOUR FAVOURITE WINTER FOODS.

We can help.

To learn more about Honeywell solutions for health care facilities, visit buildingsolutions.honeywell.com or call Marco Ottavino, 289-333-1221.

Please give at stmichaelsfoundation.com

he season’s amber hues evolve to wintery white, our social lives swirl at a dizzying pace and every weekend, parties are humming. It’s that wild time of the year when the holiday hustle hits full force and healthy eating feels like an afterthought. Fret not! For this edition of Urban Angel, we’ve enlisted the talents of two top tastemakers. Darnell Gregg, Executive Chef at Fistro Supper Club Bistro, combines culinary forces with our very own Victor de Guzman, Executive Chef at Rosedale Golf Club, to oﬀer Urban Angel readers a carefully curated medley of urban fare.

SOUTHERN SHRIMP EXPLOSION

Test your mettle with metropolitan-inspired finger foods that awaken all tastebuds. Create incredible appetizers that will punch your palate with flavour, nibbles so divine your guests will pine for more, and health-conscious canapés that melt your innermost apprehensions and keep people in awe of your culinary prowess.

AVOCADO MAY BE THE HOTTEST FOOD TREND OF 2017, BUT IT’S FAR FROM A FAD. EXPECT THE CRAZE TO CONTINUE WELL INTO THE NEW YEAR WITH INVENTIVE INTERPRETATIONS BEING BORN BY THE MINUTE. “THESE SHRIMP CAKES WITH CHARRED CORN AND AVOCADO RELISH ARE SURE TO BECOME A STAPLE IN YOUR FAMILY’S RECIPE BOOKS,” SAYS CHEF GREGG.

CHEF DARNELL GREGG

DR. JONATHON MAGUIRE

WITH CHARRED CORN AND AVOCADO, THESE BITE-SIZED APPS WILL BLOW YOUR MIND. GRAB ONE BEFORE THEY’RE GONE!

CHEF VICTOR DE GUZMAN

IT’S THE SEASON OF SUCCULENT HORS D’OEUVRES AND DECADENT DESSERTS, BUT THERE’S NO NEED TO SURRENDER YOUR HEALTHY HABITS TO INDULGE IN DELICIOUS URBAN FARE. AS ST. MICHAEL’S PEDIATRICIAN DR. JONATHON MAGUIRE SAYS, “YOU DON’T HAVE TO RESTRAIN TO ENTERTAIN. ONE OF THE BIGGEST MISCONCEPTIONS I HEAR IS THAT NUTRITIOUS FOOD DOESN’T TASTE GOOD. THAT’S SIMPLY UNTRUE! WITH A DASH OF AMBITION AND THE RIGHT INGREDIENTS, YOU CAN CREATE HEALTHY DISHES THAT INVIGORATE AND IMPRESS.” Please give at stmichaelsfoundation.com

SOUTHERN SHRIMP EXPLOSION

CHEF DARNELL GREGG

DR. JONATHON MAGUIRE

WITH CHARRED CORN AND AVOCADO, THESE BITE-SIZED APPS WILL BLOW YOUR MIND. GRAB ONE BEFORE THEY’RE GONE!

CHEF VICTOR DE GUZMAN

CROSTINI CALIENTE – ARRIBA! HOT, HOT, HOT, SPANISH TAPAS TO POWER YOUR PARTY.

BRING ON THE HEAT AND INDULGE IN A SPANISH-INSPIRED FIESTA. THIS CHORIZO AND CARAMELIZED ONION CROSTINI WITH PIQUILLO PEPPERS TAKES THE CULINARY CROWN. “TRADITIONALLY, PIQUILLO PEPPERS ARE GROWN IN NORTHERN SPAIN, HAND-PICKED THEN ROASTED OVER OPEN FIRES – WHICH GIVES IT A RICH, SPICY-SWEET FLAVOUR,” SAYS CHEF DE GUZMAN.

SIZZLING SQUASH SLICES WHO KNEW HEALTHY COULD TASTE SO GOOD!

“IN THE VEGGIE KINGDOM, SQUASH REIGNS SUPREME. IT DOESN’T JUST LOOK GREAT, IT’S HEALTHY, TOO!” SAYS DR. MAGUIRE. MAKE THIS VERSATILE VEGETABLE THE CENTREPIECE OF A SIZZLING HORS D’OEUVRE BY INCORPORATING YOGURT, PICKLED CHILIES AND TOASTED SEEDS. “I HAVE NO DOUBT THIS WILL BE A FAMILY FAVOURITE!” SAYS CHEF GREGG. Please give at stmichaelsfoundation.com

CROSTINI CALIENTE – ARRIBA! HOT, HOT, HOT, SPANISH TAPAS TO POWER YOUR PARTY.

SIZZLING SQUASH SLICES WHO KNEW HEALTHY COULD TASTE SO GOOD!

SEARED BRUSSELS SPROUTS BE A CULINARY TRAILBLAZER WITH THESE ITSY BITSY, NUTRIENT-RICH BITES!

TINY TOWERS OF FLAVOUR, THESE TRENDY TASTEMAKERS WILL FLY OFF THE PLATE. “HEY KIDS, WATCH OUT! TOPPED WITH SUNFLOWER SEEDS, ROSEMARY AND CRANBERRIES, YOU’VE NEVER HAD BRUSSELS SPROUTS LIKE THIS BEFORE. SMALL BUT MIGHTY, EACH ONE IS BURSTING WITH WHOLESOME INGREDIENTS,” SAYS DR. MAGUIRE.

GOURMET WITHOUT THE GUILT CASHEWS, CAULIFLOWER AND CURRY COLLIDE!

SPICE UP YOUR LIFE! FINALLY, INDULGE IN A DIP WITHOUT THE DOWNSIDE. THIS CLEVER CONCOCTION BRINGS CAULIFLOWER AND CASHEWS TOGETHER FOR A POWERHOUSE OF EPIC PROPORTIONS. “A VEGETABLE DIP FOR DIPPING VEGETABLES – BRILLIANT!” SAYS DR. MAGUIRE. Please give at stmichaelsfoundation.com

SEARED BRUSSELS SPROUTS BE A CULINARY TRAILBLAZER WITH THESE ITSY BITSY, NUTRIENT-RICH BITES!

GOURMET WITHOUT THE GUILT CASHEWS, CAULIFLOWER AND CURRY COLLIDE!

CRÈME DE LA CRÈME BRÛLÉE SLAY YOUR NEXT WINTER SOIRÉE! BON APPÉTIT.

SHORT, SWEET AND DESIGNED TO CAP OFF A FIRESIDE FEAST. “PACKED WITH CARDAMOM, GINGER, CINNAMON AND NUTMEG, THIS DECADENT PUMPKIN DISH WILL BE THE PINNACLE OF YOUR NEXT PARTY,” SAYS CHEF DE GUZMAN. “IT’S TRULY THE CRÈME DE LA CRÈME!”

“BEET” THE COLD A DELICIOUS TWIST ON A WINTERTIME CLASSIC SOUP.

WARM UP TO WINTER WITH A FEW SIPS OF THIS SOOTHING BEET AND APPLE SOUP. “AN URBAN TWIST ON YOUR FAVOURITE HOLIDAY COMFORT FOOD, HONEY CRISP APPLES AND CRIMSON BEETROOT ARE AT THE HEART OF THIS HEALTHY BOWL,” SAYS CHEF DE GUZMAN. Please give at stmichaelsfoundation.com

CRÈME DE LA CRÈME BRÛLÉE SLAY YOUR NEXT WINTER SOIRÉE! BON APPÉTIT.

“BEET” THE COLD A DELICIOUS TWIST ON A WINTERTIME CLASSIC SOUP.

CHECK OUT MORE RECIPES TO RAVE ABOUT ONLINE @ STMICHAELSFOUNDATION.COM/RECIPES

HAUTE HOLIDAY COOKIES

THE FIG FINALE JAR-DROPPING GOOD, THIS HEAVENLY PANNA COTTA IS SURE TO PLEASE!

A FRESH FUSION OF YOGURT, ORANGE JUICE, NUTS, FIGS, MINT, WALNUT AND OATS! “THESE MINI PANNA COTTA ARE PACKED WITH NUTRITION AS WELL AS CRUNCH. FEEL FREE TO ADD YOUR FAVOURITE FRUITS!” SAYS DR. MAGUIRE. “ENTICING AND ENJOYABLE, EACH JAR IS JAMMED WITH CAREFULLY CURATED INGREDIENTS!” SAYS CHEF GREGG.

CRISPY KALE WITH GAZPACHO DIP

“DON’T FORGET THE LITTLE ONES! GET CREATIVE WITH FUN FINGER FOODS LIKE THESE EDIBLE PENGUINS DECKED OUT IN TAILORED BLACK OLIVE, CARROT, CHEESE AND RED PEPPER SUITS – AND MINI TACOS [ABOVE],” SAYS DR. MAGUIRE.

TEMPTING APPLE TARTLETS

CHECK OUT MORE RECIPES TO RAVE ABOUT ONLINE @ STMICHAELSFOUNDATION.COM/RECIPES

HAUTE HOLIDAY COOKIES

THE FIG FINALE JAR-DROPPING GOOD, THIS HEAVENLY PANNA COTTA IS SURE TO PLEASE!

CRISPY KALE WITH GAZPACHO DIP

TEMPTING APPLE TARTLETS

urban fare

GUEST CHEF Darnell Gregg

ith the philosophy ‘real food, made really well,’ Chef Darnell Gregg has mastered the art of crafting locally sourced cuisine that caters to all. As Executive Chef of Fistro Supper Club Bistro in Cambridge, Ontario, Gregg brings fierce flavours to the table. Catapulted into the industry at a young age, his decade-long dedication to culinary arts includes being a member of the team, along with Urban Angel Chef de Guzman, that was ranked among San Pellegrino’s Top 100 restaurants in the world, and received the highest honour in the Relais & Châteaux community, Relais Gourmand. www.fistrobistro.com

SOUTHERN SHRIMP EXPLOSION

SIZZLING SQUASH SLICES

CROSTINI CALIENTE ARRIBA!

SEARED BRUSSELS SPROUTS

GOURMET WITHOUT THE GUILT

SERVES 8

SERVES 12

SERVES 24

SERVES 12

INGREDIENTS 6 ounces peeled and deveined raw shrimp 2 minced scallions 3 limes, zest and juice 1 tsp ground coriander 1 tsp ground cumin 1 cup cilantro, finely minced 4 tbsps olive oil 4 cobs of corn, peeled (or 1 cup canned) 1 jalapeño to taste ½ red onion 1 avocado Salt to taste

INGREDIENTS 1 acorn squash, seeded and cut into wedges 1 tbsp maple syrup 1 tbsp red wine vinegar 1 tbsp soy sauce 1 red chili, seeded and thinly sliced (optional) ½ cup white wine vinegar 2 tbsps sugar 1 tbsp water ½ cup Greek yogurt 3 tbsps toasted pumpkin seeds 3 tbsps olive oil Salt and pepper to taste

INGREDIENTS 1 dozen brussels sprouts 3 tbsps olive oil 1 cup raw sunflower seeds 1 cup cranberries, fresh or thawed if frozen 1 cup orange juice 2 tbsps honey 1 star anise 2 juniper berries 1 sprig rosemary Salt and black pepper

INGREDIENTS – DIP ½ head cauliflower, cut into 1 inch florets 2 cloves garlic 2 tbsps curry or spiced powder (Our chefs recommend Ras el Hanout, a spice mix from North Africa) ½ cup cashews, raw (unsalted) 1 lemon, zest and juice 2 tbsps olive oil Salt to taste

METHOD 1. Take 4 ounces of the shrimp and blend in a food processor until smooth. Remove and place in a bowl, set bowl in a second, larger bowl ½ full of ice to chill. Chop the remaining shrimp and add to the mix.

METHOD 1. Mix the maple syrup, vinegar and soy sauce in a bowl until well incorporated.

INGREDIENTS 2 tbps olive oil 1 cup diced onion 1 clove garlic, minced 1 cup of fresh chorizo sausage, removed from casing and crumbled, or 1 cup sliced dried Spanish chorizo sausage 1 tsp smoked paprika ¼ cup sherry vinegar ½ cup red wine 1 tsp fresh thyme, finely chopped 1 tbsp honey 2 pieces of piquillo peppers from a jar, diced, or 1 red pepper, roasted and diced Salt and pepper to taste 24 pieces crostini (can be bought at your grocery store) Chervil sprigs for garnish, optional

2. Fold in the scallions, zest of one lime, ground coriander and cumin and ½ of the cilantro. Finish by carefully mixing in the olive oil and season with salt. 3. Grill the corn on a hot grill until evenly charred on all sides. (If using canned corn, ensure it is strained, dried, then charred in a hot pan after being tossed in olive oil.)

2. Toss acorn squash wedges in olive oil with a pinch of salt and pepper. 3. Lay evenly across a grill on high heat. Let sit until grill marks appear, then flip (about four minutes per side). The squash should be tender to the touch. Continually brush the squash with the maple and soy mixture while grilling.

4. Roast the jalapeño on the grill until charred on all sides. Peel, seed, and mince.

4. Remove from heat and brush thoroughly with the remaining maple and soy mixture. (Alternatively, broil on medium heat for about 15 minutes.)

5. Add the jalapeño, remaining lime zest, juice of one lime and the remainder of the cilantro. Finish by dressing with olive oil and salt to taste.

5. Bring the white wine vinegar, honey and water to a boil. Pour the hot mixture over the chilies and let sit until cool.

6. In a blender purée the avocado with the juice from the remaining lime and 2 tbsps olive oil.

6. To assemble, place the squash wedges on a plate. Spoon about half a tbsp of yogurt onto each piece. Top with a pickled chili slice and toasted pumpkin seeds.

7. Form the shrimp mix into 1 ounce balls and press down until about ½ inch think. Sauté on medium heat on a non-stick pan until golden on both sides and cooked through, about 3 minutes per side. 8. Top with a thin layer of the avocado spread, and finish with 1 tbsp corn relish.

Optional: For a bit of extra fun, carve up a pumpkin with the kids and toast the seeds yourself!

METHOD 1. Heat the olive oil in a medium-size frying pan. Add the diced onions and cook slowly until slightly caramelized. Add the minced garlic and cook slowly for about 1 minute until the onions are nicely browned. 2. Add the chorizo sausage and cook for 2 minutes, keeping the heat on medium high. 3. Add the smoked paprika, stir well. Then add the sherry vinegar. Cook until all the vinegar has evaporated. 4. Add the red wine and simmer until it is reduced to a sauce consistency. Add half of the piquillo peppers. Reserve the rest for garnish. 5. Add the thyme and honey and simmer slowly until most liquid has evaporated. Season the mixture with salt and pepper to taste. 6. Arrange a spoonful of the chorizo mixture on each crostini and garnish with diced piquillo peppers and chervil sprigs (or parsley), if using.

METHOD 1. Combine the orange juice, star anise, honey, juniper berries and rosemary. Bring to a boil in a sauce pot. Add the cranberries and keep at a low heat until they are tender. 2. Toast the sunflower seeds in a frying pan over medium heat, stirring constantly until they smell nutty and are hot to the touch, about 4 minutes. Remove from heat. 3. Cover them with just enough water to keep them submerged and let them sit for 2 minutes. Strain oﬀ the water and add the seeds to a food processor or blender. Blend them, adding just enough water to allow the food processor to spin. Season with a pinch of salt. 4. Preheat oven to 425F. 5. Cut the brussels sprouts in half vertically, trim oﬀ the bottom, and remove the loose leaves. Toss with olive oil, salt and pepper. 6. Lay out brussels sprouts evenly on a baking sheet and cook in the oven until the outsides are blistered and the inside is knife tender, about 10 minutes. 7. To assemble, spread a thin layer of the sunflower butter on the cut side of the brussels sprouts. 8. Finish with a cranberry on top of each. Candied or fresh orange zest also makes a wonderful garnish.

METHOD 1. Preheat oven to 375F. 2. Toss cauliflower with the spice mix, olive oil and salt. Spread evenly over a baking sheet and roast until very tender and lightly browned, about 10 minutes. Let cool to room temperature. 3. In a food processor, purée the cashews to a smooth paste. Add the cauliflower, garlic, lemon and salt – pulse until desired consistency. 4. Serve the dip on homemade or store-bought warmed flatbread. INGREDIENTS – HOMEMADE FLATBREAD (OPTIONAL) 2 cups whole wheat flour ¼ cup water ¾ cup Greek or plain yogurt ½ tsp baking powder ½ tsp baking soda 2 tsp sugar 1 tbsp olive oil ½ tsp salt METHOD 1. Mix whole wheat flour, water, yogurt, baking powder and soda, sugar, olive oil and salt in a mixer with a dough hook on medium speed for 10 to 12 minutes. 2. Wrap the ball tightly with plastic wrap and let rest for 1 hour. 3. Stretch the dough very thinly with your fingers; brush lightly with olive oil and grill or cook on a dry pan on high heat, about 4 minutes per side. Please give at stmichaelsfoundation.com