Teen idol Justin Bieber throws support behind Sunnybrook
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Issue No. 1 January, 2012 Teen idol Justin Bieber throws support behind Sunnybrook Justin Bieber “The funds will go toward specialized nurs- that youths with bipolar disorder and other selected ing care for teens with bipolar disorder, and psychiatric conditions face—and we’re re- Sunnybrook’s will help us to revolutionize the future of ally grateful for that,” says Dr. Goldstein. Centre for care for these teens.” Youth Bipolar In fact, Sunnybrook saw a spike in its Twitter Disorder as a beneficiary of The Massey Hall Concert—a much smaller followers—from about 5,000 to more his Home for venue than Bieber generally fills—featured than 8,000—after Bieber tweeted about the Holidays songs from Under the Mistletoe, Bieber’s holi- Sunnybrook to his own 16 million followers concert. day album, as well as his other releases. A portion about the “great night” he was having. of the concert was broadcast on MuchMusic and CTV on Dec. 22, and over other dates, as Sunnybrook’s Centre for Youth Bipolar Justin Bieber: Home for the Holidays. Disorder, the largest in Canada, provides specialized care to adolescents 13 to 18 who Sunnybrook supporters who attended the con- have been diagnosed with bipolar disorder or cert were also treated to an exclusive pre-con- who are experiencing symptoms. Through Teen idol Justin Bieber has thrown his support cert party that featured food and refreshments cutting-edge treatments, the centre helps behind Sunnybrook, raising $250,000 for the (such as “Baby Baby Baby Hot Chocolate”), patients sooner and more effectively than by hospital’s Centre for Youth Bipolar Disorder a free copy of Under the Mistletoe, and a traditional mental health approaches. at an intimate pre-Christmas concert. performance by hip hop dance act Magen Boys Entertainment. The event went beyond The centre’s world-class staff also conducts “We’re extremely fortunate and apprecia- raising much-needed funds. state-of-the-art research, education and tive to have the support of such a high- advocacy. profile celebrity like Justin Bieber,” says Dr. “Justin Bieber’s support goes beyond mon- Michael McKinnon Benjamin Goldstein, the centre’s director. ey; he’s helping us break down the stigma Internationally renowned leader to head Sunnybrook Foundation Having led billion dollar fundraising cam- of the people who count on Sunnybrook,” Jon S. paigns both in Canada and overseas, Jon said Jennifer Tory, chair of the Campaign Dellandrea has Dellandrea, PhD. now joins Sunnybrook for Sunnybrook. been appointed Foundation as its president and chief execu- as the new tive officer, effective April 2, 2012. “I am inspired by the commitment that President Sunnybrook, already a first-rate institution, and CEO of Sunnybrook “Sunnybrook’s aim is to invent new ways to has to doing great things even better. This Foundation. care for the people who count on us at the commitment, along with Sunnybrook’s most critical times in their lives. We can only clinical and research achievements are the do this with investment from our community. reasons I am honoured to serve this remark- There is no other person in the country more able organization,” said Dellandrea. “I look qualified than Jon to build that investment forward to putting all I have to offer behind in Sunnybrook,” said Perry Dellelce, chair of the Sunnybrook’s pursuit of world-leading Sunnybrook Foundation’s board. health care innovation.” Barry McLellan, president and CEO of In addition to managing its operations, ing campaign in the history of Canadian Sunnybrook Health Sciences Centre added, Dellandrea will lead the Foundation in Universities, raising more than $1.2 billion. “In order to deliver the innovative care our achieving the goals of its $470-million community needs, we need a sustainable, Campaign for Sunnybrook. He has received numerous awards, includ- predictable base of philanthropic support. ing the Order of Canada; the Laureate Jon has successfully tackled this challenge Prior to joining Sunnybrook Foundation, Award of the Institute for Charitable Giving at other complex, internationally renowned Dellandrea was the former Pro-Vice- in the United States; the Outstanding organizations like Sunnybrook.” Chancellor (Development and External Achievement Award from the Canadian Affairs) at the University of Oxford. As Council for the Advancement of Education; “Without question, Jon is the caliber of Vice-President and Chief Development and the Outstanding Fundraising leader Sunnybrook Foundation needs in or- Officer at the University of Toronto, Executive Award from the National Society der to be positioned to meet the great needs he headed the single largest fundrais- of Fundraising Executives.
Experts examine variable survival rates Touchpoint of brain injured patients Pharmacy is now in A new study has found the number of pa- them make more timely and accurate de- the Sunnybrook ER tients withdrawn from life support after suf- terminations of prognosis, and also suggest fering a severe traumatic brain injury (TBI) that a more standardized approach to these varies significantly across six of the largest determinations should be considered,” says trauma centres in Canada. Dr. Scales, who is also Assistant Professor of Medicine, Interdepartmental Division of “The recommendations that are made Critical Care, University of Toronto. when it comes to withdrawing life support for patients suffering from a severe TBI Scales and his co-authors hope the study will can vary from doctor to doctor, and from lead to more research on the specific factors centre to centre,” says study co-author Dr. that physicians and the patients’ families Damon Scales, Department of Critical Care consider when making their decision to Medicine, Sunnybrook Health Sciences withdraw a TBI patient’s life support, and Centre. that those findings can be used to create universal guidelines for care. The study, which included a multicentre Sunnybrook CEO Barry McLellan tests the new machines at the Touchpoint launch event on team of Canadian researchers from the six The study, which was funded in part by the December 15. trauma centres involved, examined the Fondation de l’Hôpital de l’Enfant-Jésus, number and timing of deaths that occurred appeared in the October issue of Canadian Sunnybrook and Patient Care Automation among patients sustaining a severe TBI. Of Medical Association Journal. Services Inc. are pleased to announce that two the 114 patients who died within the first Sybil Edmonds Touchpoint Pharmacy™ machines are now three days of care, 73 died following the fully operational in Sunnybrook’s Emergency withdrawal of life support. Department waiting room. The authors of the study believe that in some Touchpoint Pharmacy is convenient and cases, three days may be too soon to make simple to use, and allows patients and staff accurate predictions about neurological the convenience of filling their prescriptions prognosis. However, the study also considers before they leave the Emergency Department. that some doctors or centres may be more Patients can use Touchpoint Pharmacy in proactive in counseling patients’ families three steps: on the probability of the patient making a 1. Touch the screen, insert a prescription, and meaningful recovery. The study aims to help lead to more research on pick up the phone the specific factors to be considered when making 2. Two-way video conferencing connects “These findings highlight that clinicians a decision to withdraw a traumatic brain injury patients with a pharmacist, allowing for need better and more objective tests to help (TBI) patient’s life support. private and personalized counseling 3. Prescription medications are labeled and dispensed by the machine Sunnybrook launches new electronic Visit the machines today, and a Touchpoint whiteboards to help improve patient care pharmacist will be able to demonstrate the entire process. Touchpoint machines are also On November 29, Sunnybrook’s acute medi- other milestones that can be applied on an still available in the lobby of the Holland cal-surgical inpatient units at the Bayview and individual basis, depending on the patient’s Orthopaedic and Arthritic Centre. Holland sites launched a new Care Visibility diagnosis and needs upon discharge. Sybil Edmonds module of the Bed Management System (BMS), which is part of the “Drive to 95” oc- “With this technology we are developing an ex- cupancy initiative. cellent visual cue for the care team, which will help identify barriers to discharge earlier, and The most obvious change is the electronic allow for greater planning,,” says Bev Waite, white boards which replace the dry-erase Manager of Patient Flow. “We anticipate that whiteboards on each unit. Information is this new system will enhance patient care and fed from the BMS and includes care icons communication within the care team.” Sunnybrook staff and volunteers - that have been developed to represent patient Laura Bristow are you looking to get involved in this specific information (e.g. risk of falls, allergies), year’s I Love Sunnybrook Campaign? discharge milestones, nursing assignment and the memo board. The electronic whiteboards Sign-up as a Campaign Captain and also show the name of the service provider, be part of the action. You’ll receive pending activity including diagnostic tests amazing perks including: the patient has to be transported to, the unit’s pending admissions. 1 vacation day Cool Sunnybrook swag The updated BMS and electronic whiteboards Front-of-the-line access to will communicate discharge milestones for all events patients to the health-care team. These are And more! care goals that each patient needs to meet before discharge. Five milestones have been Care Visibility Team with the new electronic white Sign-up today on Sunnynet or contact standardized corporately and there are many boards on D5. L to R: Kate Law, Debra Carew, Lisa Franca Palummieri at 416.480.5344. Campbell, Meaghan Patton (absent: Bev Waite)
Burn survivors and families learn and share together during family day Tomato salsa For the second year in a row, burn survivors nothing like the lived experience, and the and their families gathered at the Toronto depth of sharing goes further with peers than Firefighters’ Training Academy to share their with people who haven’t gone through a burn.” stories and learn from each other. “It’s a patient-driven day,” says Hayward. “It’s The day is organized by SickKids, St. John’s because of them that the day is great. By the Rehab, and Sunnybrook’s Ross Tilley Burn end there is lots of interaction, and people Centre (RTBC). Its goal is to provide peer exchanging contact information. It was also support and education for burn survivors and great to see that some of the people who hung their families in a safe environment. A range back last year were participating more.” of survivors attend, from children and teens to Try this recipe in one of your next adults and seniors. Survivors are also at differ- Plans are already in the works for next year’s gatherings! ent stages of recovery; some are recent burns, Family Day. and some are older. This recipe has been approved by a Sunnybrook dietitian. For more “We want survivors to know that there is no information on healthy eating, visit our “Seeing other people living and thriving after forced participation,” says Knighton. “Come Clinical Nutrition pages. a burn is very empowering for survivors,” says to learn and listen – it is an education day with Anne Hayward, social worker in the RTBC. no expectations.” Ingredients: “And often the day is just as powerful for Laura Bristow • 1lb medium tomatoes, diced spouses and family members.” • 1/2 cup fresh chopped onion • 2 tbsp fresh jalapeno chili peppers, Keynote speaker for the day was Kim Phuc, minced • 1/4 cup fresh cilantro the child in the famous photo of a napalm • 2 tbsp fresh lime juice attack during the Vietnam War. She spoke • 1/2 tsp garlic powder of forgiveness. Other topics included body image, grief and loss, and transition into life Directions: post-burn. For children, fun activities and op- 1. In small bowl, mix together all portunities to make new friends were planned. ingredients. 2. Cover and chill. Additional “The peer support is really what participants Ross Tilley Burn Centre team members with Kim information: Serve Nutritional Facts respond to and enjoy,” says Judy Knighton, Phuc (centre) at the 2011 Family Day for Burn with low-carb, per serving Calories 7.5 Clinical Nurse Specialist for RTBC. “There’s Survivors and their Families whole-grain chips Carbohydrates 1.7 g or veggie dippers. Fibre 0.4 g Sugar 1g Serves 20. Protein 0.3 g The Canadian Simulation Centre at Recipe courtesy of dlife. com Sodium 1.7 mg Saturated Fat 0 g Sunnybrook receives accreditation Unsaturated Fat 0.1g Potassium 47.1 mg After months of preparation, Sunnybrook’s “It is an honour to receive accreditation from Canadian Simulation Centre has received the RCPSC. We are very proud of the work accreditation from the Royal College of that we do through the Centre, and to be Physicians and Surgeons of Canada (RCPSC). recognized for it is extremely rewarding,” says Sunnybrook’s toy drive for It is the first simulation program in Ontario to Dr. Jordan Tarshis, director of Anesthesia Toy Mountain Campaign a receive this distinction. Simulation.” success! Accreditation is a voluntary process that The Simulation Centre at Sunnybrook was the CTV’s Tom Brown speaks with Sun- includes an external review of a simulation first of its kind in Canada when it opened in nybrook veteran program’s ability to provide continuing pro- 1995. It is a multidisciplinary simulation centre John Slater.) fessional development activities according to with a wide variety of users including medical the highest standards. It recognizes that the students, residents, physicians, nurses, and simulation program has passed a rigorous peer respiratory therapy students. The Centre edu- review ensuring that simulation-based learning cates approximately 1,300 people every year. On December 12, CTV ‘s Tom Brown hosted activities are planned and delivered according a live broadcast from Sunnybrook’s M wing to the latest research. In addition to its extensive education activities, to celebrate the hospital’s support for the Toy the Centre has a large research program, head- Mountain Campaign, which distributes new ed by Research Director Dr. Pamela Morgan. toys to needy children in our city through The Research is currently focused on team training Salvation Army. A number of Sunnybrook’s in obstetrical emergencies, and resident train- veterans were on hand to talk about their role ing, which is headed by Critical Care physician of giving back to the community, including Dr. Dominique Piquette. the intergenerational program that allows vet- erans to teach local students about their experi- For further information please contact ences. Dr. Jocelyn Charles, Medical Director Susan DeSousa (Simulation Coordinator) of the Veterans Centre and Art Therapist at (416) 480-6100 x 3377 or via email at Lorrie Clarke were on hand to discuss their The Canadian Simulation Centre at Sunnybrook susan.desousa@sunnybrook.ca. programs, and Sunnybrook’s goal of collecting received Accreditation in late 2011. L to R: Susan Laura Bristow 6,000 toys this holiday season. Thank you to DeSousa, Keith Rose, Barry McLellan, Dr. Jordan everyone who helped build a mountain of toys! Tarshis, Alison Welch, Dr. Joshua Tepper Monica Matys
January is Alzheimer Awareness Month! Can computer- Sunnybrook researchers studying based assessments emotional issues in Alzheimer’s patients help diagnose Emotional issues, such as apathy and de- dementia early? pression, have long been challenging symp- As the Canadian population ages, the early toms to identify and treat in patients with diagnosis of dementia is increasingly impor- Alzheimer’s disease (AD). Sunnybrook’s Dr. tant. In particular, family physicians will be Krista Lanctôt and Dr. Nathan Herrmann called upon to administer lengthy cognitive are hoping to change that. They have two re- assessments more often, straining their busy search studies in progress that are focused on family practice schedules. addressing emotional issues in Alzheimer’s disease. A group of researchers at Sunnybrook Health Sciences Centre are working to im- The Apathy in Dementia Methylphenidate prove this process. Led by Dr. Mary Tierney, Trial, or ADMET, will evaluate whether the Director of the Primary Care Research Unit drug methylphenidate is an efficient and safe Sunnybrook researchers Dr. Nathan Herrmann and at Sunnybrook, the study is examining the way to treat apathy. Common signs of apathy Dr. Krista Lanctôt. feasibility of computer-administered cogni- include a loss of interest in people and activi- tive assessments. ties, as well as reduced emotional capacity. “In late stage Alzheimer’s disease, patients can progress to the point of losing the ability “When AD patients suffer from apathy, to speak, making diagnosis of other health they are less able to perform activities issues, such as apathy and depression, much Sunnybrook researchers have of daily living. This not only increases more challenging,” says Dr. Herrmann, head administered the Computerized caregiver stress, but also results in higher of Geriatric Psychiatry at Sunnybrook Health Assessment of Mild Cognitive institutionalization rates and health-care Sciences Centre. Impairment (CAMCI) to 263 patients, costs. The number of AD patients world- wide could reach 80 million by 2040, so The study will look at an AD patient’s visual aged 65 and older. finding effective treatments for apathy is attention to sad, neutral and social pictures, an important priority,” says Dr. Lanctôt, also known as the visual attention scanning “While FPs believe in the importance of Senior Scientist, Brain Sciences Program at system. The tests that currently exist are sub- cognitive assessments, the limited time they the Sunnybrook Research Institute. jective and usually rely on an informant, such have to complete them is a major obstacle. as a caregiver, to supply the information about Computerized testing could be used to as- The second study addresses another challenge the AD patient’s emotional state. “The tool sist FPs in patient care, as long it is feasible doctors often face with AD patients— ac- we are studying is more of an objective way of in their older patients,” says Dr. Tierney, curately diagnosing neuropsychiatric issues diagnosing emotional issues, which can help who is also a Professor in the Department of when the patient has difficulty describing clinicians make more accurate treatment deci- Family Community Medicine at University how they feel. sions,” says Dr. Herrmann. of Toronto. Sybil Edmonds To date, Sunnybrook researchers have ad- ministered the Computerized Assessment of Mild Cognitive Impairment (CAMCI) to 263 patients, 65 and older. Of the 259 patients who completed the assessment, 93% were able to do so without any additional instructions beyond those provided at the beginning of the test. The main reason the patients needed additional instructions was lack of prior computer use. “This shows a computerized cognitive assess- ment could work well in a family medicine setting. For patients who have never used a computer before, an administrator can be present to help, and it is not necessary for that person to have any specific knowledge about the CAMCI or cognitive function,” says Dr. Jocelyn Charles, a co-investigator Special care deserves special thanks. on the study and Chief of Family Medicine at Sunnybrook. If someone at Sunnybrook has made a difference in your life, you can recognize them as a Champion of Care by making a donation in their honour. The next step in the study is to individually interview family physicians regarding the To donate, visit sunnybrook.ca/champion usefulness of the computerized test report, or call 416-480-4483. and to compare patients’ computerized test results with those from paper-based tests. CHAMPI NS The study continues until the fall of 2012. Sybil Edmonds of Care
Sunnybrook physicians recognized for world-class excellence in their fields Sunnybrook trauma doctor receives Sunnybrook doctor Order of Military Merit named Family Dr. Homer Tien, medical director of Physician of the Sunnybrook’s Tory Regional Trauma Centre, was invested with the Order of Year Military Merit on December 2 at Rideau Dr. Philip Hébert, Hall in Ottawa. The Order of Military family physician, Merit is given to members of the Canadian medical ethicist, Forces who have demonstrated dedica- preceptor and tion and devotion beyond the call of duty, author, has been achieving conspicuous merit and exception- named Ontario’s al military service. It is administered by the Family Physician Governor General on behalf of the Queen. of the Year. The Laura Bristow honour, awarded Governor General David Johnston is pictured above on by the College of the right after presenting the honour to Homer Tien, left. Sunnybrook family Family Physicians physician Dr. Philip of Canada, Hébert, has been named recognizes Dr. Ontario’s Family Physician Sunnybrook’s Women and Babies of the Year. Hébert’s excellence in patient care, physician named one of Canada’s Top 25 physician training and giving back to the community. Women of Influence “Practicing family medicine, one recognizes Congratulations to vice chair of the Genesis Research that we all have the same basic needs and Dr. Jennifer Blake Foundation and chair of the Canadian interests in being treated with respect and on being named one Foundation for Women’s Health. dignity,” says Dr. Hébert. “Honour, humil- of Canada’s Top 25 ity, and humour are the bridges that connect Women of Influence. The Women of Influence award recognizes physicians with patients and their families. I Dr. Blake for her leadership in the field of am proud to be part of a tradition of medicine The inaugural rank- health sciences. The award also honours that strives for excellence in these areas.” ing by Women of women in business, non-governmental Influence Magazine organizations, professional services and the A dedicated clinician at the Sunnybrook aims to provide national recognition to public sector. Health Sciences Centre Family Practice Unit Canada’s top female influencers of the year. for 22 years, Dr. Hébert provided exemplary By shedding light on leading women, the Candidates have been ranked by quantifi- medical care and mentored residents and phy- award strives to inspire future growth and able and measureable data on their influ- sicians in medical ethics. Now retired from pa- success from generations to come. ence in their current roles, industry and tient care, he remains involved in medical eth- beyond. The official ranking of the Top 25 ics and medicine teaching. Dr. Hébert is now In addition to her role as a Sunnybrook will be released in the Winter Issue of the a Professor Emeritus with the Department physician, Dr. Blake is a professor and Women of Influence Magazine. of Family and Community Medicine at the associate chair of obstetrics and gyn- University of Toronto. He is Chair of the aecology at the University of Toronto, Sunnybrook Research Ethics Board and a Bioethics Consultant for Sunnybrook Health Sciences Centre. Sunnybrook doctor receives award Monica Matys from Crohn’s and Colitis Foundation of Canada Re to gis da te y! r Sunnybrook’s Dr. Fred Saibil has matory bowel disease (IBD), been recognized by the Crohn’s and Colitis Foundation of colorectal cancer prevention, transfer dysphagia and nutri- RELAY FOR LIFE Canada (CCFC) for his contribu- tional support. He is well-known June 15, 2012 at Sunnybrook Park tion to the field of inflammatory across Canada for his activities in Join the biggest cancer event bowel disease. education of the general public on to make the biggest difference medical topics via the media and Register your team at Dr. Saibil, the recipient of this through public lectures. His best- relayforlife.ca/torontocentral year’s Finkelstein Award, has been selling book, Crohn’s Disease and on the medical advisory board of Ulcerative Colitis, was written for in support of the CCFC since its founding in patients and their families, but has 1974. Dr. Saibil’s areas of special proven valuable to many physi- clinical expertise include inflam- Sunnybrook clinician and cians as well. researcher, Dr. Fred Saibil. celebrate remember fight back
Your Health Matters is published monthly by the Communications & Stakeholder Relations Department and Sun- How to reach us: nybrook Foundation. Submissions to Your Health Matters are welcome, however, they are subject to space availability Your Health Matters and editorial discretion. Sunnybrook Health Sciences Centre 2075 Bayview Avenue, Suite D1 00 Sunnybrook Health Sciences Centre is inventing the future of health care for the one million patients the hospital cares for each year through the dedication of its more than 10,000 staff and volunteers. Internationally recognized Toronto, ON M4N 3M5 leadership in research and education and a full affiliation with the University of Toronto distinguish Sunnybrook as P: 416.480.4040 one of Canada’s premier academic health sciences centres. Sunnybrook specializes in caring for Canada’s war veterans, E: news.articles@sunnybrook.ca high-risk pregnancies, critically-ill newborns, adults and the elderly, and treating and preventing cancer, cardiovascular disease, neurological and psychiatric disorders, orthopaedic and arthritic conditions and traumatic injuries. Campaign spotlight $470M Toronto firefighters give important gift CAMPAIGN GOAL to Sunnybrook…with Santa’s help 75% RAISED TO DATE Members of the Toronto Professional Fire the TPFFA, says he hopes the gift of new The community has invested Fighters’ Association (TPFFA) visited surgical equipment will help more burn $352 million in Sunnybrook Sunnybrook on Dec. 20 to give an im- patients to a full recovery. as of November 30, 2011. portant and much-needed holiday gift to Sunnybrook’s Ross Tilley Burn Centre. “We understand the need for precise tools Learn how the Campaign for in dealing with burn patients,” he says. “We Sunnybrook is saving lives at One of the Ross Tilley Burn Centre’s most hope by purchasing these tools, the healing sunnybrook.ca/foundation generous supporters, the TPFFA has do- process for the patient is expedited and the nated more than $600,000 to Sunnybrook scarring from their wounds is less.” over the past several years. Firefighters see first-hand the devasta- This year, they asked Santa to visit tion and physical toll fire can cause, Sunnybrook early – and to bring valuable Ramagnano says. surgical equipment with him. This will give Sunnybrook’s burn experts the best “We do everything in our power to not tools possible to treat their patients when only prevent the fires, but mitigate the it matters most. emergency as quickly and efficiently as we can,” he says, adding that sometimes “This generous gift means we can contin- there are still health consequences to these ue to provide the province’s most critically emergencies. “I guess you can say we do ill burn patients with the best and most not feel our job is done until we can return advanced care,” said Dr. Marc Jeschke, the person to their pre-emergency condi- the Ross Tilley Burn Centre’s medical tion. The experts at Sunnybrook’s Ross director. Tilley Burn Centre are the best avenue to allow that to happen.” Frank Ramagnano, secretary-treasurer of Sybil Edmonds and Alexis Dobranowski Sunnybrook Foundation development officer Yvonne Wong (left) accepts a $100-donation on November 11 from Nils Emmenegger, whose dad, Dr. Urban Emmenegger, is a medical oncologist at the Odette Cancer Centre and the director of its prostate cancer bone metastasis clinic. Nils, a Grade 2 student and hockey fan, saved up a year’s worth of his hard-earned allowance to make a donation to Sunnybrook’s Breast Cancer Centre, which is slated to open this spring. Nearly $16.5 million of the Breast Cancer Centre’s $27-million fundraising target has been met. Website: http://sunnybrook.ca Twitter: http://twitter.com/SunnybrookHSC Facebook: http://facebook.com/SunnybrookHSC The Toronto Professional Fire Fighters’ Association and Santa present Dr. Marc Jeschke with a special holiday gift: some valuable new equipment for the Ross Tilley Burn Centre. YouTube: http://youtube.com/SunnybrookMedia
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