Honour - 10 COVID-19 - OSMH Foundation
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VOLUME 3 / ISSUE 1 / SPRING 2021 Honour A Newsletter For Supporters Of Orillia Soldiers’ Memorial Hospital Foundation 10 COVID-19 A Look at the Pandemic One Year Later
EDITOR IN CHIEF: Mark Riczu EDITOR/DESIGNER: Sarah Petrie BOARD OF DIRECTORS — Dr. Nancy Harris, CHAIR What's Inside Amanda Reynolds, VICE CHAIR David Power, TREASURER Stephanie Worthington, SECRETARY Greg Parker, PAST CHAIR John Cameron Dr. Svetlana Carrigan Julie Emery Hanan Fahmy Raquel Ness 04 Doug Varty Ron Shulman, OSMH REPRESENTATIVE Mark Riczu, EXECUTIVE DIRECTOR Carmine Stumpo, OSMH PRESIDENT & CEO Community Difference STAFF — Makers Meaghan Byrnes DEVELOPMENT OFFICER, ANNUAL GIVING Sandy Davis STEWARDSHIP & DEVELOPMENT COORDINATOR Sarah Petrie 07 COMMUNICATIONS OFFICER Mark Riczu JD/MBA EXECUTIVE DIRECTOR Time for an Upgrade Jeff Sieger Soldiers' MRI Replacement Project DATA MANAGEMENT COORDINATOR Lisa Stanley CFRE DIRECTOR, FINANCE & DEVELOPMENT Kaitlyn St. Pierre DEVELOPMENT OFFICER, ANNUAL GIVING Lisa Wanamaker 10 DEVELOPMENT OFFICER, MAJOR GIFTS Brittany Wilson DEVELOPMENT OFFICER, MAJOR GIFTS COVID-19: One Year Later 14 Charlee's Run 2021 found@osmh.on.ca / 705 . 325 . 6464 osmhfoundation.ca @OSMHFoundation
Orillia Soldiers’ Memorial Hospital Foundation HONOUR / SPRING 2021 Executive Message I finally think it's possible to be hopeful. For a while there, it just felt like it was a betrayal of our efforts to fight the pandemic, to even think about the post-COVID future. But now I feel hopeful. That's not to say that we don't face new COVID variants and a "third wave", but rather, that our continued vigilance in taking COVID precautions and the vaccination effort will overcome these threats in the foreseeable future. What then? Will we still wear masks and avoid large crowds? Will life simply continue in shades of grey? I think not. Humans are social animals — and never more so than after a long winter in hibernation. It's no surprise that the Roaring Twenties followed the Spanish Flu pandemic, or that the prosperous & techy 1950s followed WWII. When humanity is put to the test, we inevitably emerge from the crucible forged anew — more our best selves than ever before. As you read this issue of Honour, you'll see stories of innovation, like our "not-so-classic" golf tournament; stories of entrepreneurial spirit, like Apple Annie's "Showin' the Love" fundraiser; stories of communities working in partnership, like Rama First Nation's investment in new mental health rooms for our Emergency Department; stories of compassion, like 5-year-old Cora emptying her piggy bank to support the Hospital; and stories of shifting paradigms, as Dave and Mallory Holmes have done in creating Charlee's Run to break the silence surrounding pregnancy and infant loss. These forces: innovation, entrepreneurship, community, compassion, paradigm shifts, and so many others, will define the next decade. Get ready for quality time with friends and family, but also more parties and events, exciting new businesses, significant medical advances, and perhaps most importantly, new ways of knowing and appreciating our place in the world. Deeper connections to nature, greater compassion for humanity, and more fellowship, even in the company of strangers. This is my hope for the future...bring on the Roaring Twenty Twenties! Yours sincerely, Mark Riczu EXECUTIVE DIRECTOR 03
Orillia Soldiers’ Memorial Hospital Foundation HONOUR / SPRING 2021 Community Difference Makers What's Happening in the Soldiers' Community PHOTO: The Beer Store team presents a cheque for $42,133 to Mark Riczu, Executive Director, OSMH Foundation outside the Old Muskoka Road store. Pictured from L-R are Randy Scott, Brad Judd, Brian Worsley, Melissa Knapp, Brett Barrowman and Mark Riczu. BOTTLE DRIVE AT LOCAL BEER STORES NETS $42,133 FOR SOLDIERS' Orillians who popped a top or two over the The money raised from the bottle drive summer months and donated their empties to will have a big impact on the health of the The Beer Store’s bottle drive helped raise an community. The funds were put towards incredible $42,133 to support Orillia Soldiers’ fighting the pandemic long-term by purchasing Memorial Hospital. COVID-19 related supplies and equipment. This fundraising campaign was part of The “Early on, we started receiving phone calls Beer Store’s company-wide initiative to raise from the public asking about the bottle drive,” funds for local hospitals and food banks across said Kaitlyn St. Pierre, Development Officer the province. In Orillia, that started as a small of Annual Giving with the OSMH Foundation. initiative and morphed into a large donation to “People were excited to be able to help out Soldiers’ COVID-19 Emergency Preparedness just by cleaning out their garage and donating Fund. their empty bottles. We’re so grateful to the Atherley Road and Old Muskoka Road stores “The community got behind the idea and ran for putting on this drive and to our community with it,” said John Jones, District Manager, The for responding in such a huge way.” Beer Store. “The two Orillia stores managed to raise a significant amount – more than other The Beer Store’s fundraising campaign ran communities with more locations – which from April to Labour Day and raised $2.3 certainly says a lot about the generosity of our million across Ontario. Orillia customers.” 04
ZEHRS CHECK OUT DONATIONS ADD UP PHOTO: The Orillia Zehrs store team presents a cheque for $4,879.91 to Mark Riczu of the OSMH Foundation. From August 20th to September 7th, upon the generosity of our community.” checking out with their groceries, customers shopping at Orillia’s Zehrs store on Coldwater “These community-led fundraisers are so Road were asked to make a $2 donation in exciting for us,” said Mark Riczu, Executive support of Soldiers’ Paediatric Department. Director, OSMH Foundation. “Our fantastic community business partners like Zehrs Orillia These small gifts added up to a $4,879.91 make it easy for any of us to make a small donation to Soldiers’. contribution that makes a difference in a big way.” “Our store’s charitable giving initiatives are known to out-raise other stores in the The team at Zehrs looks forward to hosting province,” shared Fraser Cole, Zehrs Orillia another fundraiser this year. Assistant Manager. “This is a true testament to APPLE ANNIE'S SHOWS LOVE FOR SOLDIERS' WITH VALENTINE'S DAY FUNDRAISER Apple Annie’s Cafe donated $500 to Soldiers’ as a result of their “Showin’ the Love” fundraiser. When customers purchased a Valentine’s treat or sale merchandise, the cafe donated $1 to the Hospital. Over the course of a month, the donations added up. Owners Susan and Nancy Willsey shared that customers were happy to participate, often adding their own contributions. “OSMH is much in our thoughts these days,” they said. “We wanted to PHOTO: Apple Annie’s donated $1 from show our gratitude for the role you play in the the sale of Valentine’s Day treats like community.” these to Soldiers’. 05
CHIPPEWAS OF RAMA $115,000 DONATION IMPROVES CARE AT SOLDIERS' A $115,000 donation from Rama of care in our critical care areas. Chi First Nation, made over three miigwech.” years, will support the purchase of Medication Dispensing Cabinets and Historically, Soldiers’ has played a Mental Health Safe Room in the a key role in Rama’s health care Emergency Department of Orillia program, providing emergency and Soldiers’ Memorial Hospital. ongoing care to members from birth to death. With the support Rama First Nation Chief and of Soldiers’, a First Nation Patient Council announced the donation Navigator program is now in place Rama’s Director of Health in February as continuation of a to support aboriginal patients in and Social Services, Leanne longstanding healthcare relationship connecting with medical resources. McRae-Douglas said, “We between the First Nation and the are truly grateful for the Hospital. During the pandemic, Soldiers’ ongoing partnership and the assisted Rama’s Health Care team in strengthened relationship “It’s an honour to work in becoming trained administrators for that has been developed with partnership with Rama First Nation, COVID testing. OSMH provided test OSMH. It is through these very supporting the health and wellbeing results so that Rama could react important partnerships that of the community,” said Carmine quickly to prevent spread in our we are able to create a unified Stumpo, President and CEO of community. This relationship is one team approach for increased OSMH. “We are truly grateful for this of the keys to integrated health care effectiveness of services and incredible donation to OSMH, which services in Rama First Nation. improved health outcomes of will enhance the quality and safety our community members”. 5-YEAR-OLD EMPTIES PIGGY BANK FOR MRI When a letter from the OSMH Foundation arrived at five-year-old Cora’s house, she asked her mom what it was all about. Upon learning that she was born at Soldiers’ and the Hospital was in need of a new MRI, Cora marched right up to her room and dumped her piggy bank. She found $0.64 (or several pieces of money) and asked her mom if she could donate it along with this note. Her mom topped up the donation and sent it in to us. Thank you, Cora, for your generous donation! 06
Time for an Upgrade SOLDIERS' MRI REPLACEMENT PROJECT Picture an old car. One that except during routine and prioritized according to tiered might be good enough to unscheduled maintenance. It guidelines set out by the take down the street to the performs diagnostic tests to province. A non-emergency grocery store, but not across give doctors an inside look at knee scan might be low on the country on a road trip. It what is going on within their the priority list, but a test for works, but it’s not at its prime patients. a suspected cancer diagnosis and it’s not worth fixing when would be considered a high it makes more sense to get a “There is a lot of confusion priority. Wait times for those new one. about what the MRI is and scans vary accordingly. where it fits in a doctor’s That’s the current situation toolkit,” explained Dr. Noah It’s important to note that with the magnetic resonance Wortsman, Chief of Radiology the MRI is a limited resource imaging (MRI) machine at at Soldiers’. “It is not the reserved for cases that Soldiers’. The Hospital’s unit only tool we rely on, but in require specialized imaging. has seen a lot of kilometres. conjunction with the rest of For Dr. Peter Daniel, a family It and the specially shielded our diagnostic imaging fleet, physician serving the Orillia room that it is housed in are it is a very powerful problem- area for more than 30 years both aging and in need of solving device that helps get and the lead physician for replacement. us answers for our patients.” the Orillia Family Health Organization, having this The MRI is a workhorse MRI scans are performed vital tool in our community is that has been in constant on both inpatients and important for the wellbeing of operation since it was outpatients for a variety of his patients. installed 14 years ago, different reasons and they are 07
PHOTO: MRI Technologist Luc Pharand reviews patient images as they are generated during the MRI scan. “When one of my patients concern and report their with a new machine,” Pharand has multiple sclerosis or has findings back to referring described. “Because of its possibly had a stroke, for physicians, like Dr. Daniel, who age, the machine also goes example, the MRI is often the use these reports to make down unexpectedly, meaning best imaging tool,” explained treatment plans for their that we have to cancel exams Dr. Daniel. patients. until maintenance is complete or replacement parts are “With many joint problems, The room in which the MRI is sourced. The magnet needs or to follow the progress housed must be completely much more unscheduled of cancer treatments, an shielded from radio maintenance than ever before, MRI also may be needed. frequencies (RF). There are which ends up delaying The ability to have these two reasons for this; one is to valuable care to our patients tests done close to home stop any outside signals from and their loved ones.” in a timely manner reduces interfering with the scan and inconvenience and stress for the second is to protect the According to Pharand, an patients dealing with these surrounding spaces, people upgraded MRI suite will mean difficult situations.” and medical equipment a better patient experience from the power of the MRI’s overall. “A new machine scans What makes the MRI so magnet. Soldiers’ RF shielding faster, with more accuracy effective is the powerful has started to show signs of and allows us to complete magnet at its core. The wear. more tests that we currently MRI machine uses a strong cannot do,” he said. “In terms magnetic field and radio MRI technologists like Luc of patient comfort, new MRI waves to produce dynamic Pharand work in teams of scanners also have a wider images of organs and two to admit, scan and test opening which helps to structures without using patients. The current set up reduce claustrophobia — one radiation. Radiologists like poses some challenges. of the major fears patients Dr. Wortsman interpret have about MRI exams — these images to identify “Exams with our MRI take and come equipped with abnormalities or areas of much longer than they would entertainment systems to 08
Orillia Soldiers’ Memorial Hospital Foundation HONOUR / SPRING 2021 SOLDIERS’ MRI AT A GLANCE relax patients and help keep important tests that they can them calm for the duration of currently get right here.” their scans.” As you might imagine, For our community’s this project is no small doctors, the MRI is a valuable undertaking and it comes with diagnostic tool. Even during a large price tag. The scope this pandemic year, Soldiers’ of replacing the MRI and its MRI performed close to housing is about $3 million. 7,000 scans to aid physicians in diagnosing and treating “At this point, the community Current machine challenging conditions has raised a pretty impressive is 14 years old right here in Orillia. Without $616,000 of that amount,” support from the community, explained Mark Riczu, this may not be the case in Executive Director of the the future. OSMH Foundation. “By working together, we hope we “It’s incredible that a can close the remaining gap community of our size has to ensure that our community an MRI at all,” expressed continues to have an MRI for Dr. Wortsman. “It’s a great important diagnostic tests.” asset for us to have for our patients.” 7,000 scans in pandemic year, 8,100 usually “While the MRI is just one tool, we have come to rely To make a donation to heavily on this device in many Soldiers’ MRI project, please situations,” shared Dr. Daniel. visit osmhfoundation.ca/donate “Without it, patients would or call the Foundation Office have to travel elsewhere for at 705.325.6464. MRI FUNDRAISING PROGRESS $3,000,000 Uses a 1.5 tesla magnet to create magnetic field $2,500,000 $2,000,000 $1,500,000 $1,000,000 $500,000 Replacement project costs $3,000,000
COVID-19: One Year Later Around this time last year, scale many of us have never At the outset of the the world as we knew it was experienced before. Curbing pandemic, the Hospital flipped upside down. What the spread of the virus has experienced a shortage started as information about meant sacrifice and personal of personal protection a mysterious virus trickling struggle for the benefit of equipment. Local businesses in from around the world others. and individuals answered the slowly started creeping call for donations. They gave closer to home, transforming It is this sentiment that has up what they had to keep our into a global pandemic, fear, inspired Mark Riczu, Executive frontline workers safe during lockdowns and uncertainty. Director of the OSMH the early months when much Fast forward to now, much Foundation, the most. “At a was unknown. of that remains the same. time when, of necessity, we We must ask ourselves, are rightly worried about our “Our supporters have after 12 months of living in own personal safety and that conveyed strong support and a pandemic world, what of our friends and family, the appreciation for our frontline have we learned from this fact that our community has staff, recognizing that they experience as a healthcare prioritized the greater good, are doing some of the most organization and foundation? and the degree to which difficult work, and under people have supported our gruelling circumstances,” We’ve been required to hospital — that has blown me acknowledged Riczu. cooperate as a society on a away,” he offered. 10
Orillia Soldiers’ Memorial Hospital Foundation HONOUR / SPRING 2021 “The staff’s hard work and successful when we are all patients and each other. We sacrifice is really inspiring our working together.” have learned that plans for donors.” a new hospital have to take Dr. Nancy Merrow, Soldiers’ equally into account the That comes as no surprise Chief of Staff, echoed those wellbeing of our staff with the to Soldiers’ President and same sentiments. “Our health and recovery of our CEO, Carmine Stumpo. To pandemic partnerships have patients.” him, the Hospital’s biggest been the key to our success strength has always been its so far,” she explained. We’ve been acutely aware people, and, over the last 12 of the human impact of this months, this belief has only “The Couchiching Family pandemic from the start. strengthened. “I have been Health Team, paramedics, News stories from overseas continually impressed by the Helping Hands and other initially introduced us to the resilience and creativity of our community providers, long virus and the human cost staff in the response through term care, all of these working of hospital overcrowding, each phase of the pandemic,” together with the hospital.” ventilator shortages and he expressed. exhausted medical teams. According to Dr. Merrow, While we’ve been lucky to “The entire OSMH team the pandemic has not only have learned from those continues to rise to the reinforced the importance of experiences and adjusted our challenge, despite an truly integrated healthcare response accordingly, the toll incredibly long year, to stay networks but has also on our skilled care teams has focused on serving the demonstrated an often been, and continues to be, community and keeping each overlooked issue: caring huge. other safe.” for the health and welfare of everyone involved in Last April, Dr. Rebecca At the outset of the administering that care. Van Iersel was tasked with pandemic, Stumpo leading Soldiers’ special encouraged cooperation to “Our people are our most COVID Unit. Looking back beat the virus. Since then, precious resource,” she at the challenges of the last “what has become clear,” he emphasized. 12 months, she credits the said “is the community isn’t resiliency of the healthcare just the first line of defence “We need to consider the long teams for their ability to keep but has to be integrated in all term effects of this pandemic going. “We’ve had to adapt, lines of defence against this on the physical, mental and pivot, respond and respond pandemic. We are connected spiritual health of our staff so again as the situation has at every level and will be most they can continue to support morphed around us,” she PHOTO: Out of necessity, some of the Hospital's traditional meeting spaces and training rooms, like this one, were transformed to give staff a safe place to remove their PPE during their breaks and meals. 11
PHOTO: Most of Soldiers' rooms are set up to care for more PHOTO: An aging building and limited space has meant than one patient at a time, which goes against most modern finding creative solutions to modify existing areas to infection control protocols. enhance patient care during this pandemic. explained. “There has been We have been fortunate too great. There is a limit to no stable footing … We’ve as a community, and as a how much you can update experienced learning curves in hospital, to have been able to something that is decades the jobs we thought we were manage our way through this past the current standards. experts in.” pandemic as well as we have, The fact that we are so tight to date. A modern hospital on space has meant less Adaptation and learning will provide far greater flexibility with our visitor on the fly are the common protection and capacity policy during the pandemic, threads that weave to care for those with the for example.” throughout this pandemic, so greatest need.” it makes sense that the list of In this ongoing medical crisis, lessons learned is long. Dr. Merrow believes a new changes to the Hospital’s hospital on a new site is the current spaces in response For Hospital leadership, one answer. “Anyone who has lived to COVID-19 have impacted of the biggest nuggets of through a renovation knows patients and staff alike. It wisdom to come out of this what that is like and given the has meant fewer areas for is a reflection of the Hospital choice, most people would staff to eat lunch or take building itself. “The pandemic live elsewhere during the breaks, more restrictions has only strengthened our construction,” she observed. and changing capacities for resolve toward advocating patients and their visitors, for a new hospital in Orillia,” “Rebuilding in phases and Soldiers’ Facilities and disclosed Stumpo. through serial demolition and IT Departments finding rebuilding over a 10-15 year creative solutions within “Our dated infrastructure with period while providing care the Hospital’s limitations. mostly multi-patient rooms in spaces adjacent to active Last spring, the Foundation goes against most current construction, the impact on created the COVID-19 infection control standards. our patients and people is Emergency Preparedness PHOTO: The vaccination roll out has already begun at Soldiers' and in the surrounding community. 12
PHOTO: The Hospital's COVID-19 Assessment Centre had to be moved to Rotary Place when demand became too high for the on-site facility to handle. Soldiers' IT and Facilities Departments created offices, a lab, and testing stations in the empty arena. Fund in response to some of at this time, Stumpo remains found a way to see light in the needs arising out of the optimistic. “Everyone is tired,” the darkness of the last 12 developing situation. he reflected. months. “The COVID-19 Emergency “We see the light at the end “Every day in the Hospital I Preparedness Fund enabled of the tunnel with the mass see moments of tenderness, us to stabilize our supply of vaccination strategy coming humanity, caring and hope,” PPE, make investments in to fruition. We need to finish she shared. critical technology, such as strong, keeping all necessary ventilators, and support our precautions until such time “I feel immense gratitude staff with wellness initiatives that widespread transmission for every human encounter I to build their endurance is stopped. We will get have. Whenever I get to look as they tackle this COVID through this.” into another person’s eyes, marathon,” expressed Riczu. I’m aware that I don’t know When the scope of the when the last time was that “It has also allowed us to pandemic first became they saw another person, sat invest in some of the spaces apparent, Dr. Van Iersel wrote and talked. It has highlighted that required reworking for a letter to the community the humanity in healthcare, the pandemic and areas to explaining what we knew and I hope when things return improve staff wellness.” of the situation at that time to ‘normal’ we are all able and asking for support for to prioritize those things we The compassion, generosity the COVID-19 Emergency missed the most and hold and support of the community Preparedness Fund. The them dear.” for the Hospital and its staff response to her letter was have been heartening for overwhelming with over all. And while the collective $500,000 raised to date. COVID exhaustion is obvious She and her colleagues have PHOTO: After 12 months of working through a pandemic, Hospital leadership agrees that building a new hospital on a new site is the best solution for the future health of this community and its care providers. 13
Orillia Soldiers’ Memorial Hospital Foundation HONOUR / SPRING 2021 Event Profile REGISTER TODAY FOR THE 5TH ANNUAL CHARLEE'S RUN VIRTUAL EVENT Every second counts when deliveries don’t go according to plan. The Panda Warmers give healthcare teams the best chance of a successful outcome for high-risk newborns and moms by combining all the intervention tools necessary in one place. The Panda Warmers will replace the outdated newborn care set up currently located in the birthing suites and, according to the team at the Hospital, this piece of equipment will revolutionize neonatal resuscitation at Soldiers’. PHOTO: Dave and Mallory Holmes during Charlee's Run 2020. On May 8th, 2021, please join us in Participants will once again be running separately to combat the #RunningTogetherApart as a community to spread of COVID-19. show support for all those who have had to say goodbye much too soon. We all know someone affected by pregnancy or infant loss, whether we’re aware of it or not. Register today at CharleesRun.com. Many times, these heartbreaks are dealt with in silence and those hurting struggle to find support. Charlee’s Run is an outlet for those PHOTO: Charlee's Run 2021 who have experienced loss to find their voice will support the purchase of two Panda Bedded Warmers within a community of support. for Soldiers' Obstetrics Unit. The 5th Annual Charlee’s Run will be held virtually, once again, on May 8th, 2021. This event was created by Dave and Mallory Holmes to honour the memory of their daughter Charlee Clare Holmes. Over the past four years, more than $185,000 has been raised for Neonatal and Paediatric needs at Orillia Soldiers' Memorial Hospital. Every year, more than 1,000 babies are born at Soldiers’ and some of these infants need a little extra help at birth. Charlee’s Run 2021 will support the purchase of two Panda Bedded Warmers with Resuscitation Units. 14
Upcoming Events Charlee's Run 24th Annual Soldiers' Hospital May 8, 2021 Not-So-Classic CharleesRun.com June 25, 2021 HospitalClassic.ca Angie Green-Hill's Online Auction for Mental Health Fit to Live Walks and Talks May 9th to 15th, 2021 September 16, 2021 https://bit.ly/38PiFsL St. Thomas Anglican Church, Shanty Bay Yes, I would like to make a difference by contributing to Soldiers' MRI Replacement Project. o $250 o $100 o $50 o OTHER o I would like to receive future correspondence by EMAIL: o Please designate my donation to the MRI Replacement Project. NAME o I am interested in a MONTHLY GIVING plan. ADDRESS CITY o PLANNED GIVING Please send me information on the PROVINCE POSTAL PHONE ways I can leave a legacy to Soldiers'. o VISA o MASTERCARD o AMEX o CHEQUE (made payable to: osmh foundation) o PLEASE UNSUBSCRIBE ME I do not wish to receive future CARD NUMBER EXPIRY editions of the Honour Newsletter. Please enclose this form with your gift. All donations are tax creditable and receipts SIGNATURE will be issued. OSMH FOUNDATION: 146 MISSISSAGA STREET WEST, ORILLIA, ON L3V 3B3 / T: 705 . 325 . 6464 CHARITABLE REGISTRATION BN 88932-1998-RR0001
Orillia Soldiers’ Memorial Hospital Foundation HONOUR / SPRING 2021 24TH ANNUAL SOLDIERS' HOSPITAL NOT-SO-CLASSIC For 2021, the 24th Annual Soldiers’ Hospital participants can redeem on their own time Not-So-Classic is a hybrid event that offers all summer long. Each golfer also receives a participants the opportunity to golf and dine special VIP package with fun goodies! on their own time for a great cause. There will also be an online raffle and silent With the concern of COVID-19 still top of mind, auction that will wrap up on June 25th, 2021. this event will bring golfers and community members together without the large gatherings Since 1997, the OSMH Foundation’s golf event of past Hospital Classics. has raised more than $2.3 million towards critical care programs and new equipment. Last year, the quick onset of the global pandemic forced the cancellation of the event If you would like to sponsor the event or have altogether. This year, the event will proceed in a a silent auction item to donate, please contact unique way. events@osmh.on.ca. To purchase a golf and dine package, or for more information about Local restaurants and golf courses have the 24th Annual Hospital Not-So-Classic, visit put together golf and dinner packages that HospitalClassic.ca.
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