Download New vascular surgery chair to transform the way vascular care is

Issue No. 8 October, 2011
Sunnybrook offers next-day breast cancer diagnosis
Sunnybrook has opened its new Breast
Rapid Diagnostic Unit (RDU) which provides next-day breast cancer diagnosis and
goes further to provide personalized screening recommendations for all individuals
assessed.
Responding to the needs of many who
still wait weeks for assessment of a breast
concern, the Sunnybrook Breast RDU
provides rapid assessment for women and
men suspected of having breast cancer. All
individuals assessed are asked about breast
cancer risk factors such as family history,
and receive tailored screening recommendations. Those who do not have breast cancer but who may be at high risk are referred
to the High Risk Clinic at Sunnybrook’s
Odette Cancer Centre.
“Our goal is to help more individuals gain
earlier and rapid assessment so they will
know their diagnosis as soon as possible
and the course of action to help them get
better,” says Dr. Eileen Rakovitch, head of
Breast Care team at Odette Cancer Centre.
“We also have a key role in helping to prevent the disease in those at high risk, and to
also support those at low risk.”
Artist rendering of
the digital mammography suite that is
being built in the new
Breast Cancer Centre
at Sunnybrook
The Breast RDU also features a dedicated
Nurse Navigator who guides and supports
each individual through assessment – often
an anxious time.
is highly suspicious of breast cancer.
Individuals also benefit from the expertise
of the Odette Breast Care team and other
breast-dedicated specialists in Sunnybrook’s
Departments of Medical Imaging and
Anatomic Pathology.
The Breast RDU will be housed in the
Breast Cancer Centre that is currently under
construction and is part of the Sunnybrook
Breast program that provides total breast
care and is dedicated to the early detection,
rapid diagnosis and innovative treatment of
breast cancer.
Natalie Chung-Sayers
A family physician can refer individuals if
there is an abnormality on a mammogram,
breast ultrasound or a clinical finding that
Learn how you can help us build our new
Breast Cancer Centre.
Visit sunnybrook.ca/breast
New vascular surgery chair to transform the way vascular
care is delivered
With a goal of
transforming the
way that vascular
care
is
delivered, Dr. Robert
Maggisano
has
been named the
inaugural Chair in
Vascular Surgery
at
Sunnybrook
Health
Sciences
Sunnybrook Vascular Surgery
Centre. The $3
chair, Dr. Robert Maggisano
million
endowment fund will allow Dr. Maggisano, a
vascular surgeon at Sunnybrook, to enhance the development and evaluation of
less invasive image-guided vascular interventions, with a strong focus on education.
“Sunnybrook is a world leader in providing
safe, less invasive endovascular surgery. A
priority of the Chair will be to disseminate new knowledge to both students and
practicing surgeons,” says Dr. Maggisano,
Associate Professor, Department of Surgery,
University of Toronto. “My motto is make
a difference and make a difference now. By
ensuring that new knowledge is applied to
patient care, we can make a difference now
in saving patients’ lives.”
Since beginning to perform endovascular
aneurysm repairs (EVAR) in 2006 with
the support of funding from Sunnybrook
Foundation, the hospital has been recognized as a leader in the use of this technique.
This minimally invasive technique is safer
than conventional open aneurysm repair,
results in shortened hospital stays and a
quicker recovery time for patients with
aortic aneurysms. Typical open surgery
means a seven or eight hour operation and
six weeks to three months recovery, while
EVAR surgery takes an hour or two and
patients are out of the hospital within days.
A key to success has been Sunnybrook’s
highly skilled multidisciplinary health team
with strengths in imaging, endovascular
therapies, intensive care, basic and clinical research and also teaching. “This is a
cohesive group, supported by Sunnybrook’s
Schulich Heart Centre, and readily shares
knowledge, cases and assists one another
in order to achieve quality patient care and
education,” adds Dr. Maggisano.
Over the last few years, the team’s clinical
and teaching strengths have been boosted
by the additions of Dr. Giuseppe Papia and
Dr. Andrew Dueck to the vascular surgery
team.
Another priority for Dr. Maggisano is to
build bridges with industry to modify and
develop new endovascular products for the
benefit of patients.
Marie Sanderson
New gene identified as common cause of ALS
Two new studies are bringing scientists
closer to slowing down the progression of
Amyotrophic Lateral Sclerosis (ALS), as a
new gene has been identified as the most
common cause of the genetic form of the
disease.
The studies, published in the September 21
online issue of Neuron, report the identification of the long-sought genetic abnormality that authors say is the most common
cause of two different but related forms of
neurodegenerative disease: Frontotemporal
Dementia (FTD) and ALS.
One of these studies was an international
collaboration led by Dr. Bryan Traynor at
the National Institutes of Health (NIH)
and included University of Torontobased investigators Dr. Lorne Zinman
(Sunnybrook Health Sciences Centre) and
Dr. Ekaterina Rogaeva (Centre for Research
in Neurodegenerative Diseases), who were
co-authors.
A mutation was discovered, where a short
DNA sequence on chromosome 9 is repeated many more times as compared to healthy
individuals. The mutation was found in
around 1/3 of patients with familial ALS
and is more than twice as common as the
previously identified mutation SOD1. The
defect is also the strongest genetic risk factor
found to date for the more common, sporadic forms of ALS and FTD. It was found
in four per cent of sporadic ALS samples and
three per cent of sporadic FTD.
The discovery of this gene underlying the
largest proportion of familial ALS and FTD
cases to date is a significant finding.
“This is a critical step that will help us
determine how the disease develops and
progresses, why its presentation and course is
variable, and provide a new target for intervention,” says Dr. Zinman who is also chair
of the Canadian ALS Research Network
(CALS). “The next step is to determine how
this mutation causes ALS and FTD. We
can also develop cell and animal models
using this novel mutation to improve
our understanding of the diseases and
for screening of therapeutics that may
halt progression.”
Investigators worldwide have
been committed to identifying
the gene alteration in patients
with ALS and FTD linked
to chromosome 9, and until
now it had remained elusive. This gene mutation
was identified by collecting blood samples
from hundreds of ALS
and FTD patients
worldwide and using state of the art
next-generation
sequencing
technology.
“Finding a mutation representing the majority of patients with familial ALS is a major
milestone for the ALS community,” says
Zinman. “There has never been more
reason to be hopeful and optimistic that ALS research
will provide effective
therapies for those
living with ALS.”
In past decades, there
was mistaken belief that
there is no known cause of
ALS. In cases where ALS is
inherited as a familial trait,
researchers have now identified the causative mutations in
the majority of cases thanks to
this new finding.
Mutations in a number of genes, such
as those found in these recent studies,
account for a large fraction of those familial cases. In addition, studies in recent
years have demonstrated the involvement
of many of those genes in cases of sporadic
ALS. This means that experimental models
based on mutant genes will provide important insights relevant to both the sporadic
and familial forms of the disease.
Dr. Zinman’s research is funded by the ALS
Society of Canada.
Nadia Radovini
Jumping for a cause
Derek Walton, ALS patient and
Sunnybrook donor, has been jumping out
of planes for a cure for ALS. Amyotrophic
lateral sclerosis (also known as Lou Gehrig’s
disease) is a fatal neurodegenerative disease
that Derek says ultimately “buries you
alive.”
Derek founded Jump for “PALS” (People
with ALS), an event that he has held twice,
most recently in August 2011, to benefit
the ALS program at Sunnybrook, the largest of its kind in North America. Through
these events, Derek, along with dozens of
other skydivers, has raised over $150,000
by jumping out of planes at 12,500 feet.
“In order to have a life of purpose, you need
to have a purpose in life,” he says. “I am living with ALS. I am not dying of ALS. After
all, life itself is terminal. I want to leave a
legacy behind with Jumping for ‘PALS’,
and would like this event to continue every
year after I am gone.”
He adds, “We don’t have a Michael J. Fox
for this disease because we don’t live long
enough to have one.” ALS attacks nerve
cells and pathways in the brain and around
the spinal cord. Total paralysis eventually
takes over.
Derek’s case is rare. The majority of ALS
patients have an average lifespan of less
than three years - Derek has now been living with ALS for nine years.
“As my arms and legs weaken, so too does
my energy level, but not my heart,” says
Derek. “I feel that because ALS affects
around 3,000 Canadians only, compared
to some other conditions which affect
hundreds of thousands of Canadians, there
isn’t enough awareness or funding for this
disease.”
Derek’s purpose is to raise more than money.
He wants to raise awareness of the disease.
With his event being duplicated in several
cities in North America, he is succeeding.
Details can be found on his website, www.
waltoncure4als.ca.
ALS patient and Sunybrook donor, Derek Walton
Says Derek, “As my symptoms progress,
I remain positive that a cure will be found.
Maybe not in my lifetime, but one day.
In the interim, I continue to raise awareness
through public speaking engagements and
my annual fundraiser for ALS research.”
Pushing the boundaries of stroke recovery
Heart and Stroke Foundation Centre for Stroke Recovery receives
multimillion dollar contribution to expand groundbreaking research
On September 27, the Heart and Stroke
Foundation announced $10 million in
funding to its partner organization, the
Heart and Stroke Foundation Centre for
Stroke Recovery (CSR) to fund research in
the area of stroke recovery.
“The Centre for Stroke Recovery is redefining research, stroke care, and stroke recovery
across the country,” says David Sculthorpe,
CEO, Heart and Stroke Foundation of
Canada. “This contribution will facilitate
new discoveries and help stroke survivors
recover faster than ever before. We are extremely grateful for the contributions from
the centre’s current partners, which include
Baycrest, Sunnybrook Health Sciences
Centre, the University of Ottawa, the
Ottawa Hospital Research Institute, and
our new partner, Memorial University of
Newfoundland.”
CSR partners are committed to transforming outcomes by dramatically reducing the
incidence of stroke and improving recovery
and quality of life for stroke survivors and
caregivers. Funding from the Heart and
Stroke Foundation and the CSR’s other
partners will support vital research and accelerate its pace.
The Foundation’s investment will continue
to fuel the centre’s research into new areas
of stroke recovery. Created in 2002, the
CSR has initiated multiple research initiatives and partnerships aimed at accelerating
and enhancing recovery from stroke.
“Research into stroke recovery is more
important than ever because we now know
that recovery continues indefinitely rather
than stopping a few weeks after the event,”
says Dr. Dale Corbett, CEO and Scientific
Director of the CSR. “This finding has major implications for rehabilitation and for
research into recovery following stroke. It
opens the door to new modes of rehabilitation and treatment. For survivors, it means
it is never too late to regain functions.”
The Centre for Stroke Recovery
is redefining research, stroke
care, and stroke recovery
across the country,” says David
Sculthorpe, CEO, Heart and
Stroke Foundation of Canada.
Key areas of research in this multiple-site
centre include:
Exercise, stroke recovery and brain health
Research teams, including those at
Sunnybrook led by Drs. Brad MacIntosh
and Laura Middleton, are working to understand the implications of exercise for
recovery. These innovative studies have the
potential to change lives in a very substantive
way.
White matter injury, covert stroke and
cognitive function
Dr. Sandra Black and her team at
Sunnybrook as well as colleagues at
Baycrest are among the many researchers studying silent or covert strokes – tiny
strokes that do not immediately produce
obvious symptoms. While covert stroke has
received increased attention over the last
few years, the magnitude of the problem is
just now being realized. Canadians are five
to six times more likely to experience covert
strokes than massive overt strokes – and the
long- term effects often include significant
loss of cognitive function and eventually
dementia.
Regenerative approaches to stroke
recovery involving neurogenesis and cell
transplants
CSR teams, including one led by Dr.
Corbett, working at University of Ottawa
and the Ottawa Hospital Research Institute,
are looking for ways to promote the replacement of brain cells – a process known as neurogenesis. The goal is to help the brain heal
itself using its own processes after stroke.
Nadia Radovini
Sunnybrook clinician and scientist Dr. Sandra
Black and her team are working to understand
the effects of silent or covert strokes.
The Heart and Stroke Foundation Centre for Stroke Recovery
at Sunnybrook:
✓✓ is located on A4 of the Bayview campus
✓✓ has 23 active members at Sunnybrook CSR (core, associate and affiliate members)
with an additional 22 members affiliated with the Sunnybrook site of CSR but located at
partnering university sites
✓✓ is specializing in the design and testing of pharmacological, cognitive and physical
interventions to optimize recovery of ambulation, upper arm/hand function,
cerebrovascular health, and cognitive deficits
✓✓ is assessing brain tissue loss and brain activity through advanced imaging technologies,
such as structural magnetic resonance imaging (MRI), functional MRI, diffusion tensor
and perfusion imaging, transcranial magnetic stimulation (TMS) and event-related
potentials (ERP)
To learn more about research into stroke recovery, visit www.centreforstrokerecovery.ca
October is Breast Can
Landmark shift: pre-surgery
Reconstruction at
chemotherapy for operable breast cancer the time of breast
cancer treatment
Wendy Wilson, 56, had begun to make
to identify residual cancer cells at the time of
healthier choices but last May was diagnosed
with breast cancer.
Wendy met with Dr. Jean-Francois Boileau,
head, Neoadjuvant Locally Advanced Breast
Cancer Clinic, Sunnybrook’s Odette Cancer
Centre. She was getting prompt care and
contributing to research that may mean a
landmark shift in treatment approaches.
Dr. Boileau, a surgical oncologist, is leading
two clinical trials on pre-surgery chemotherapy and is collaborating with medical and
radiation oncologists. The Odette Cancer
Centre is one of two Canadian centres chosen to participate in these North American
clinical trials hosted by the National Surgical
Adjuvant Breast and Bowel Project (NSABP).
Usually, neoadjuvant chemotherapy is
recommended for locally advanced/inoperable breast cancer, to reduce tumour size
and save more of the breast during surgery.
Increasingly, this approach is being offered
for operable breast cancer. Wendy is one of
over 500 participants in trials for women
with operable breast cancer.
“Neoadjuvant therapy is a good example of
personalized care,” says Dr. Boileau. “For an
increasing number of patients, it’s difficult
surgery. With neoadjuvant chemotherapy, response to the treatment is known up front by
monitoring the therapy in the tumour itself.
If the response is not optimal, treatment can
be changed, or the patient may be a candidate
for novel therapies in other trials.”
Neoadjuvant chemotherapy potentially better
targets cancer cells, lowers risk of recurrence
and better measures response to therapy also
for high-risk breast cancer – subgroups like
HER-2 positive or Triple Negative.
“When I first heard the words ‘you have cancer’, I felt like my life was completely upsidedown,” says Wendy. “Then I made up my
mind: there’s no way I’m giving in. I still have
things I need to do.” She credits Dr. Boileau
and his team for being a lifeline of sorts.
Natalie Chung-Sayers
Dr. Boileau with breast cancer patient, Wendy Wilson
Help us build our Breast Cancer Centre
The largest facility of its kind in the country, our new $27-million
Breast Cancer Centre will feature:
• A functional program plan composed of three areas – research, clinical and
imaging – as well as a supportive environment where patients learn about
recovery and after-care
• The Rapid Diagnosis Unit, which will provide women with diagnoses and
treatment plans within 24 hours of their assessments, offering peace-of-mind
by significantly decreasing what can be a weeks-long process
• Leading researchers who are pioneering therapies
ranging from brachytherapy to cancer-killing
microbubbles to next-generation imaging
techniques
• PYNK: Breast Cancer Program for
Young Women (supported by Rethink
Breast Cancer), a specialized program
addressing the clinical, informational and
psychosocial needs of younger women
Learn more at sunnybrook.ca/breast
When cancer affects the breast, for many
women it can be an emotional journey of altered femininity even after breast-conserving
treatment. To further individualize treatment planning, the Odette Cancer Centre’s
new Immediate Breast Reconstruction
Clinic offers appropriate patients same-time
access to experts in breast cancer surgery
and immediate reconstructive surgery.
The Clinic is a unique collaboration led by
three breast surgical oncologists, and two
plastic surgeons trained in microsurgery
and oncologic reconstruction, and includes
radiation oncologists.
Lori Vajda, 42, had breast cancer. She came
to the Clinic because more surgery was
needed. Margins in her treated breast remained unclear and a family history meant
a 60 per cent chance of recurrence. She
needed a bilateral mastectomy.
“It gave me tremendous added confidence
knowing my surgeon and my plastic surgeon were working together,” says Lori.
“They removed the cancer and lowered my
risk while doing immediate reconstruction
to help me regain a sensual and important
part of who I am as a woman.”
For more information about our Immediate
Breast Reconstruction Clinic or visit
sunnybrook.ca/breastreconstruction
National Breast Reconstruction Awareness
Day is October 19, 2011.
Natalie Chung-Sayers
Breast surgeons and breast plastic
surgeons. From left to right: Dr. Claire
Holloway, Dr. Joan Lipa, Dr. Laura Snell,
Dr. Frances Wright, Dr. JF Boileau
cer Awareness Month!
Unique online tool supports relationships during breast cancer
A study of the Couplelinks.ca online tool developed at Sunnybrook and York University
shows good potential to strengthen relationships for younger couples living with
breast cancer, and is opening a larger crossCanada trial.
strong, then both partners are better able
to cope with the stress of cancer,” says Dr.
Karen Fergus, Principal Investigator and
Clinical Psychologist, Patient and Family
Support program, Sunnybrook’s Odette
Cancer Centre.
Couplelinks.ca the first of its kind in
cancer is a self-guided workshop based on
qualitative relationship research with input
and experiences directly from patients and
their partners, and is framed within six
evidence-based learning modules. Couples
work together on one module per week on
average. Throughout this six to eight-week
intervention, a Couplelinks.ca facilitator,
(a certified psychologist or mental health
professional working in oncology), supports
the couple’s progress through a regular,
three-way, online conversation.
“We have begun our research with this online tool by tailoring it for younger couples
living with breast cancer. Younger women
generally face more distressing and unique
challenges than older women diagnosed
with the disease, such as early menopause
and loss of fertility, disrupted intimacy
and can irrevocably change plans for having children,” says Dr. Fergus, Assistant
Professor, Department of Psychology, York
University.
“We designed this tool based on the idea
that partners’ coping efforts are interdependent and reciprocal, so if the relationship is
The study is funded by the Canadian Breast
Cancer Foundation, Ontario Chapter and
Canadian Breast Cancer Research Alliance/
Canadian Breast Cancer Foundation.
Fundraiser delivering a K.O. to breast
cancer
It’s a knockout event quite unlike any other
breast cancer fundraiser.
Fight for the Girls is a dinner gala and
boxing showcase that is now entering its
third year. Last May’s event, held at the
Fairmont Royal York Hotel in Toronto,
featured seven entertaining bouts, dance
group performances and a moving talk by
26-year-old Claudia Grieco, who received
chemotherapy and radiation at Sunnybrook
during her successful breast cancer battle.
All told, the event collected over $87,000
for breast cancer research at Sunnybrook.
Everyone at the Odette Cancer Centre was
honoured that the BCSC chose Sunnybrook
as the event’s beneficiary.
“When we fund research, we look for a
partnership,” Davidson says. The Torontofocused event, she adds, was seen as a good
fit with Sunnybrook because many of the
hospital’s supporters were likely to rally
around it.
Now that it is Breast Cancer Awareness
Month, the people behind Fight for the Girls
– Dewith’s Boxing Studio in Mississauga
and the Breast Cancer Society of Canada
(BCSC) – are no doubt looking forward to
next year’s event, to be held May 23 at the
Royal York.
Marsha Davidson, the society’s executive
director, says the event will build on its
impressive track record. “We were really,
really pleased with the effort and the enthusiasm that our boxers brought to the table,”
Davidson says of this year’s edition, noting
that the boxers – a mix of recreational and
Olympic fighters – dedicated considerable
time to training and fundraising.
Sunnybrook named
one of top 100
employers in Canada
For the third straight year, Sunnybrook has
been named one of “http://www.eluta.ca/
top-employer-sunnybrook-health-sciencescentre”Canada’s Top 100 Employers.
Now in its 12th year, the annual Top 100
Employers in Canada competition recognizes organizations leading their industries
in attracting and retaining employees. The
selection committee examined the recruitment histories of over 75,000 employers
across Canada and invited 12,500 employers to apply.
Sunnybrook was selected from the over
2,700 employers that started this year’s application process to be among the 100 best
places to work in Canada. As an organization, we’ve made a commitment to being
the healthcare workplace of choice and this
award is a good indication that, together,
we’re achieving that goal.
From left to right: Tom Foss, Claudia Grieco,
Barrington Grey, Bill Vastis, Dewith Frazer,
owner, Dewith’s Boxing Studio, Marsha Davidson, executive director, Breast Cancer Society
of Canada
This award recognizes the personal contribution of each staff member and volunteer.
Thank you for creating one of the best
work environments in Canada again this
year, and for being there for our patients
when it matters
Sunnybrook’s antimicrobial stewardship
team collaborates with care teams to
reduce infection
Antimicrobial stewardship programs help
hospitals optimize the use of antimicrobials
(antibiotic, antiviral and antifungal medications) to maximize clinical care or to prevent
infection, while minimizing consequences
of antibiotic overuse, including antibioticresistant organisms such as MRSA (methicillin-resistant Staphylococcus aureus) and
C. difficile (Clostridium difficile).
Cherry Glazed
Pork Tenderloin
Try this savory nutrition-conscious recipe,
approved by our dietitian.
Sunnybrook’s Antimicrobial Stewardship
program, called Day 3 Reflections, is at
the leading edge of this work in Canadian
hospitals.
‘We are all here for the best quality in patient care’ is the simple but powerful idea
behind Sunnybrook’s program – and the
key to its success.
The program is a joint project of the Division
of Infectious Diseases and the Department
of Pharmacy in close partnership with clinical care areas across the hospital.
“From the beginning we wanted the
program to focus on a more collaborative, consultative process,” says Dr. Nick
Daneman, Infectious Diseases Physician
Lead, Antimicrobial Stewardship program,
and a Clinician Scientist in the Division of
Infectious Diseases at Sunnybrook.
“Day 3 Reflections is symbolic of our unique
approach and our collective thinking at
a time in the patient’s stay when generally
there is more data and his or her condition is
more stable. The stewardship team and the
care teams can take a figurative step back,
to review and discuss the most appropriate
antibiotic use,” says Dr. Sandra Walker,
Clinical Coordinator- Infectious Diseases
and Antimicrobial Stewardship, in the
Department of Pharmacy.
To develop the program, the team began by
meeting with the physicians and pharmacists of the pilot units – Sunnybrook’s three
Intensive Care Units. Together they determined how best antimicrobial stewardship
could be tailored to the needs of critical care
patients. “Throughout our meetings, there
was a strong sense of collegiality to operate
together to optimize care,” says Dr. Walker.
“We developed an active, not a restrictive
program, where on a case-by-case basis
there is individualized feedback,” says Dr.
Daneman. “The stewardship team visits the
Unit, reviews the patient’s story in detail,
and discusses suggestions with the critical
care team in addition to leaving formal
recommendations in the chart progress
notes.” “The frontline members of our
team and ‘face’ of antimicrobial steward-
ship at Sunnybrook are Marion Elligsen
(Antimicrobial Stewardship Pharmacist)
and Lesley Palmay (Antimicrobial
Stewardship Fellow). Marion and Lesley review patients on a daily basis from Monday
to Friday, and following consultation with
the rest of our team, directly communicate
recommendations on our collective behalf,”
conveys Dr. Walker notes.
Antimicrobial stewardship in the Intensive
Care Units resulted in a 21 per cent reduction in broad-spectrum antibiotic use, a 31
per cent reduction in C.difficile, and promising reductions in antibiotic resistance
rates. “We have demonstrated significant
overall reduction in utilization and reduction in broad spectrum antibiotic use,
which relates to lower drug costs,” says Dr.
Andrew Simor, chief, Microbiology, and
the Division of Infectious Diseases. “More
significantly, there is evidence of improved
quality of care as indicated by a decrease in
some forms of antibiotic resistance and in
C. difficile infection rates.”
Sunnybrook’s Antibiotic Stewardship
program team has been recognized for its
work, receiving Ministry of Health and
Innovation Awards in 2009 and 2010. “Our
success is due in large part to the tremendous work and collaborative spirit of physicians and staff in our Intensive Care Units,”
says Dr. Daneman.
The goal is to expand the program within
the hospital. The team continues to use a
dynamic approach working closely with
medical and surgical care teams to better
meet each area’s needs.
System-wide, Sunnybrook’s Antibiotic
Stewardship program team advocates for
antimicrobial stewardship education, provides mentorship to other hospitals across
Ontario, and pushes forward the frontiers
of antibiotic stewardship research.
Natalie Chung-Sayers
Ingredients:
•Pork tenderloin, cut into 8 medallions
•1/2 tsp. black pepper
•1/4 tsp. salt
•1-1/2 tsp. olive oil
•1/2 cup Zinfandel wine
•1/4 cup all-fruit sour cherry preserves
•1/4 cup dried tart cherries
•2 cups cooked brown rice
Directions;
Flatten pork slightly with palm of hand.
Sprinkle with pepper, and 1/8 teaspoon
salt.
In large nonstick skillet, heat oil over
medium-high heat. Add pork and cook
until browned, 3 to 5 minutes per side.
Transfer pork to plate. Add wine to skillet
and stir to scrape up brown bits. Add
preserves, cherries, and remaining 1/8
teaspoon salt.
Cook, stirring, until sauce reduces
slightly, about 1 minute.
Add pork back to skillet and cook until
hot, turning to coat with sauce.
Serve pork with sauce and brown rice.
Makes 4
servings.
Nutritional Facts
per serving
Calcium 9 mg
Calories 181
Carbohydrates 12 g
Cholesterol 55 mg
Fibre 1 g
Protein 18 g
Sodium 193 mg
Sugars 9 g
Saturated Fat 1 g
Total Fat 4 g
Website: http://sunnybrook.ca
Twitter: http://twitter.com/SunnybrookHSC
Facebook: http://facebook.com/SunnybrookHSC
YouTube: http://youtube.com/SunnybrookMedia
Raise a flag in honour of a Sunnybrook
Veteran this Remembrance Day
Sunnybrook is the largest Veterans’ care
facility in Canada. Working in close
partnership with Veterans Affairs Canada,
we offer long-term and complex hospital
care to 500 Veterans from the Second
World War and Korean War.
This Remembrance Day, honour Canada’s
Veterans by donating a flag with a message
of thanks for their courage and sacrifice.
Your flag will decorate the lawn in front
of the Sunnybrook Veterans Centre on
November 11 as a symbol of gratitude to
our vets.
Order your flag today at raiseaflag.ca
Hospital staff and visitors are welcome to
attend the annual Remembrance Day Service
at the Sunnybrook cenotaph on November 11,
commencing at 11:30 a.m.
Preventing Seasonal Flu: Get Vaccinated
Influenza season will soon be upon us.
Influenza is spread by coughing, sneezing or
direct contact and there are several groups
that can get much sicker if they get influenza. Many of Sunnybrook’s patient population is included in this high-risk category:
people 65 and older, pregnant women, babies
and young children and people with certain
health conditions such as heart, lung or kidney disease or a weakened immune system.
In an average year, 5,000 deaths in Canada
are associated with influenza.
The number one priority at Sunnybrook is
the health and safety of our patients, visitors,
residents and staff. Outbreaks are preventable and there are three ways to prevent influenza: get your flu shot, clean your hands
and don’t come to work ill. Staff, physician
and volunteer flu clinics will begin in early
November and there will be a mobile flu
shot nurse for those staff who find it difficult to leave their units. Information and
details will be provided in Snapshot and on
Sunnynet.
If you are ill, do not come to work with symptoms. Use the online surveillance tool on the
home page of Sunnynet entitled “Have you
been ill?” to report your symptoms online
and clear yourself to return to work.
Sunnybrook staff with anaphylactic-type egg
allergies will be required this flu season to
produce a note from an allergy specialist, not
a family physician, confirming their allergy.
As the influenza vaccine is grown in eggs,
Speaker Series:
Skin Deep: A Dermatology
Discussion On Common
Conditions
Sunnybrook’s Dermatology Department
is extremely busy, attending to about
35,000 patient visits a year. On September
15, three of our dermatologists hosted
a Sunnybrook Speaker Series on Skin
Deep: A Dermatology Discussion on
Common Conditions. Department Head
Dr. Neil Shear moderated the event and
also presented on several skin conditions,
including psoriasis, atopic dermatitis
and tumours. He also talked about how
to keep rosacea from controlling your
life. Dermatologist Dr. Joel DeKoven
then addressed his role at Sunnybrook in
determining what is at the root of certain
rashes, and the role allergies can play with
various skin conditions. The final speaker
of the evening was dermatologist Dr. Scott
Walsh, who discussed balancing the risks
and benefits in determining the proper
course of treatment for patients. The
formal presentations were followed by an
engaging, and entertaining, question and
answer period led by Dr. Shear. To view
the event webcast, go to: sunnybrook.ca
and click on Welcome>News, Media and
Publications>Speaker Series>Skin Deep:
A Dermatology Discussion On Common
Conditions
Monica Matys
Don’t get taken out of the game this season.
Let’s stick to the plan and W.I.N.
people with this type of egg allergy should
not receive the influenza vaccine. If you have
any questions, please contact Occupational
Health and Safety at ext. 4175.
If you receive your flu vaccine from either
a family physician or public health clinic,
written documentation must be provided
to Occupational Health and Safety for
you to be considered vaccinated. Please
use the Influenza Vaccine Received form
on Sunnynet (under Employee Resources,
Occupational Health and Safety and OHS
forms).
Remember, get your flu shot, clean your
hands and don’t come to work ill. Let’s work
together for a healthy workplace.
Marie Sanderson
Top: Dr. Neil Shear, Head of Dermatology,
speaks about common skin conditions
Bottom: Corrective make up specialist, Lee
Graf demonstrates some application techniques with Cover FX.
Your Health Matters is published monthly by the Communications & Stakeholder Relations Department and Sunnybrook Foundation. Submissions to Your Health Matters are welcome, however, they are subject to space availability
and editorial discretion.
How to reach us:
Your Health Matters
Sunnybrook Health Sciences Centre
2075 Bayview Avenue, Suite D1 00
Toronto, ON M4N 3M5
P: 416.480.4040
E: [email protected]
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
leadership in research and education and a full affiliation with the University of Toronto distinguish Sunnybrook as
one of Canada’s premier academic health sciences centres. Sunnybrook specializes in caring for Canada’s war veterans,
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
CAMPAIGN GOAL
74%
RAISED TO DATE
The community has invested
$346 million in Sunnybrook
as of September 30, 2011.
Learn how the Campaign for
Sunnybrook is saving lives at
sunnybrook.ca/foundation
Think of Sunnybrook
for your gift giving
this holiday season
Sunnybrook donors celebrate an
eventful year
Sunnybrook donors and staff came together
on September 27 to celebrate a tremendous
year, one that included the opening of
leading-edge facilities in multiple program
areas.
Sunnybrook Foundation’s annual general
meeting, held at Vaughan Estate, featured
a mix of fun, education and foundation
business. A moving 10-minute video presentation, which included interviews with
Sunnybrook patients, donors and staff,
highlighted various milestones from the
past year, such as the opening of Canada’s
most advanced maternity ward and intensive care unit for babies and the opening
of the Gelato Cup Golf Early Detection
Centre.
“It truly was a memorable evening. You
could see on the faces of donors that they
were moved by the video and excited about
all that’s happening at Sunnybrook,” says
Jennifer Tory, chair of the Campaign for
Sunnybrook. “The interactive reception
following the AGM was a hit as well.
Donors enjoyed being able to chat with
Sunnybrook staff to learn more about a
host of program areas.”
A little bit of business was also on the
agenda as Sunnybrook Foundation’s
Governing Council welcomed Rosemary
McLeese as its new chair and Sheryl Kerr
as its new vice-chair. Lynne Golding and
Anita Gupta were recognized as new members of the council who have joined in the
last year.
The foundation thanked three retiring
members of the Board of Directors for their
important contributions. Since the 1990s,
Lesley Alboini has served on several committees, as well as board vice-chair and secretary. Linda Campbell began as a hospital
volunteer in 2002 and joined the board
in 2005. Barry Cooper joined the board
in 2008 and served on its donor relations
committee.
Sunnybrook Foundation also reported on
its strong 2010/2011 financial performance,
including $46 million raised, bringing the
campaign total to $334 million. The foundation’s expenses decreased 26 per cent
and 80 cents of every dollar received was
earmarked to hospital programming.
Dan Birch
Giving a Gifts of Giving will not only show
someone how much you care – it will help
Sunnybrook continue to provide the lifesaving care to those who need it most.
Whether you are giving a gift in honour of
a special someone in your life during the
holidays or for that special occasion, your
gift will truly make a difference in the lives
of your family, friends, neighbours and
community.
Visit sunnybrook.ca/gifts
to see all 29 gifts
Above: Sunnybrook staff and Sunnybrook Foundation members gathered with donors to at the
annual general meeting to share the latest hospital and foundation news.