Info AQL - Winter 2020

HIVER 2020

DANS CE NUMÉRO Meilleurs pratiques en matière de lymphœdème Congrès national 2019 Exercices de réadaptation

SPÉCIAL

pour les membres de l'AQL Accès aux articles traduits en français au fr.infolympho.ca/revue-Pathways

/ 1 866 979-2463

The caregiver at the heart of the solution It's no mystery. When patients have the chance to meet a health care professional who is knowledgeable about lymphedema, their entire future is transformed. If the situation is taken care of from the beginning, the patient avoids the pangs of significant swelling that will leave a lifelong legacy. If the patient is diagnosed later in life, he or she will then receive the treatments needed to regain control of the lymphedema and control of his or her life.

Our article on depression and chronic disease raises awareness among doctors and therapists about the psychological burden of a chronic condition like lymphedema. It highlights the importance of detecting and helping patients who are on a downward slope that can isolate them and lead to a decline in all aspects of their health.

A major gathering point for the medical and scientific community concerned about This issue of L’info AQL lymphedema, the CLF 2019 highlights the key role of health Conference provided an professionals in the diagnosis, opportunity for doctors, treatment and follow-up of researchers and therapists to lymphedema. exchange their knowledge and For example, the article on the questions. The highlights of the Dutch Guidelines explains how Conference will allow you to the Netherlands used best understand the impact of the practices in lymphedema and a collegial work that took place long-term care model to better during the event. guide health care teams.

Dr. David Keast and Anna Kennedy (CLF) sign an analysis of Canadian results from the ILF Outcome Measures Study. An exercise that will guide professionals toward the most effective interventions.

At the leading edge of their discipline, physiotherapists Heather Hettrick and Robyn Bjork explain why all edema is

lymphedema. They share new hemodynamic knowledge about the endothelial glycocalytic layer and the links between the lymphatic and integumentary systems. A development that calls for rapid and targeted intervention.

On the therapeutic practice side, physiotherapists Marize Ibrahim and Angela Yung share with us the specific exercises they have developed for the rehabilitation of upper limb lymphedema.

Internationally renowned nurse scientist and researcher Mei R. Fu discusses the challenges of screening. She also presents a predictive application developed by her team for the assessment and management of lymphedema symptoms. A new tool available to health care professionals who want to get involved to minimize the impact of lymphedema.

Whether through our tools including the new and improved 2020 Resource Guide, our training sessions or our publications – health professionals can count on the LAQ to perfect their approach to lymphedema and become part of the solution that patients so desperately need!

Good reading!

ANNE-MARIE JONCAS PRESIDENT

L'INFO AQL

WINTER 2020

REPRODUCED WITH PERMISSION FROM THE MAGAZINE PROFESSION SANTÉ, NOVEMBER 2019, VOL. 5 NO. 10

When illness causes depression

THE PATIENTS NEED YOU

BY MATHIEU STE-MARIE

Dr. Denis Audet sees many

are not directly related to

diabetic patients. But some

diabetes. And yet they have

are more ill than others, and

everything to do with this

don’t show it. Only slight

disease.

help their patients caught in

clues left here and there sow

While one person in ten will be

this cycle, health care

doubt: a patient who walks

prone to depression during his

professionals play a vital role

at a slow pace, another

or her lifetime in the general

in detecting the early signs of

whose speech is without

population, the prevalence is

depression. But the road to

much conviction, or even one two to five times higher among

better detection is fraught

who neglects his medication,

people with chronic disease.

with pitfalls.

despite the ill effects of this

“A good deal of the screening

sloppiness.

for diagnosis of depression

Such manifestations

involves the non-verbal,”

observed in these patients

explains Dr. Audet. The patients

It’s a vicious circle: chronic illness causes depression, which in turn aggravates the symptoms of the disease. To

don’t have to say they’re going illnesses without a health care

Depression in chronically ill

to hang themselves to let

professional intervening in

people often leads them into a

people know they’re not okay.

time.

downward spiral that could

It’s more subtle than that.”

One-quarter to one-half of

prove fatal.

To get more clues about the

people with chronic conditions

For example, heart attack

mood of the person in his

develop depression, according

survivors with major

office, Dr. Audet can use the

to data from the Mental Health

depression are three to four

Patient Health Questionnaire

Commission of Canada.

times more likely to die within

(PHQ-9), which allows him to

One in two people affected by

six months of their attack than

determine whether or not a

multiple sclerosis will

those who have not developed

patient has the nine symptoms experience an episode of deep

a depressive disorder. The high

of depression.

depression during the course of levels of stress hormones that However, one has to know that the disease. The same is true accompany depression have this is not the patient’s usual

for those who have had a

direct physical consequences

attitude. “Knowing the patient, stroke. Four out of 10 people his family and his history is very with cancer will not avoid

that put the heart at risk.

important,” adds the family

depression. The ratio is similar

cancer are 2.5 times more likely

physician who practises in

for those with Parkinson’s. In

to commit suicide within a year

Charlesbourg, Québec.

the case of diabetics, one third

of diagnosis than the general

For their part, those with

will have significant depressive Deadly Spiral All too often, depression sets in symptoms.

population, according to a

among people with chronic

Society, which examined data

study by the American Cancer

“We detect it when the patient opens up, but there is so much stigma attached to this disease that detection is difficult. Patients don’t talk about it. More effort should be put into detecting it.”

Dr. Léon Tourian, MUHC psychiatrist

from nearly 4.7 million people

Psychiatrist Léon Tourian has

diagnosed with cancer between observed that in 25% to 50% of

the CHUM. “There aren’t enough opportunities to create

2000 and 2014.

the patients in the chronic pain a bond with the patient, and

“All practices that allow us to

clinic he supervises at the

recognize the first signs of

McGill University Health Centre favourable for patients to

depression can prevent the

(MUHC), early signs of

the environment isn’t confide,” she notes.

irreparable,” says Dr. Jacynthe depression are not observed.

Some studies have shown that

Rivest, a psychiatrist

“We detect it when the patient

patients are afraid of disturbing

specializing in oncology at the

opens up, but there is so much

their health care team. “They

Centre hospitalier de

stigma attached to this disease think it’s going to waste their

l’Université de Montréal

that detection is difficult.

time,” says Dr. Rivest. Others

(CHUM).

Patients don’t talk about it.

believe that depression will

More effort should be put into

pass over time. Many will

screening,” he says.

prioritize self-care to help them

chronically ill patient,

For her part, Dr. Jacynthe

cope with cancer. So it’s not

medication-assisted

Rivest estimates that

something that comes to be

psychotherapy is the preferred

symptoms of depression are

discussed with their health care

approach. However, it must be

not detected spontaneously in

team.

detected in time.

two-thirds of cancer patients at

Difficulty of screening To cure depression in a

THE ORIGINS OF DEPRESSION The origins of depression in the chronically ill are multiple. In the case of diabetes, the disease is thought to cause hormonal changes that can lead to a decrease in mood. In the case of cancer, its diagnosis is an obvious source of anxiety, which can lead to depression.

Crohn’s disease causes digestive pain so severe that it greatly affects the daily lives of sufferers for a long time. “Being told at age 16 that you have an illness for the rest of your life and that you have to take long-term treatment can be very hard on your spirits,” says Dr. Justin Côté-Daigneault, gastroenterologist and researcher at the Centre de recherche du Centre hospitalier de l’Université de Montréal (CRCHUM).

“Crohn’s disease can even affect people’s appearance, whether through weight loss or surgery, he says. Patients may find it difficult to accept these body changes.”

In the case of multiple sclerosis, researchers at the University of California at Los Angeles found in 2014 that women with multiple sclerosis who suffer from depression have significant atrophy of the hippocampus, a brain region closely linked to memory and mood.

Depression may be related to a loss of independence and mobility, or to constant pain. “The most difficult thing is to grieve the life you had before the illness,” says psychologist and president of the Ordre des psychologues du Québec, Christine Grou.

“This tool (PHQ-9) should be used more often, since the risk of mental illness is significant in these patients.”

Dr. Catherine Hudon, family physician at the CHUS

Understanding the signs

physician at the Centre

For clinicians, the

hospitalier universitaire de

challenge of screening for

Sherbrooke (CHUS) and a

depression is immense,

researcher with the Canadian

since many of the

Institutes of Health Research

symptoms of depression,

(CIHR).

such as loss of appetite,

“This is not a problem of

lack of concentration and

screening expertise, it’s a

insomnia, are also

problem of time,” says Marie-

symptoms of chronic illness. “There are 1,000

Source : Association canadienne pour la santé mentale (2010)

Josée Fleury, a researcher at the Douglas Research Centre

illnesses that can cause

when providing mental health care,

and professor in the

fatigue!” says Dr. Audet.

Dr. Catherine Hudon and her team

Department of Psychiatry at

interviewed 18 doctors, nurses,

McGill University.

The best “clinical test” in

psychologists and social workers

She has conducted several

this case would be the

three years ago.

studies on mental illness,

close relationship that

A recurring finding was that a long-

including a recent one on the

the treating physician

term relationship between doctor

use of emergency services in

must maintain with his

and patient makes it easier to detect

Québec by patients with mental

patient.

depression. “The doctor knows the

disorders, published by the

Wishing to study the

patient well, as well as other family

Institut national de santé

needs and barriers of

members who can attest to the

publique du Québec. Professor

health care professionals

patient’s mood,” says the family

Fleury makes a harsh

observation: “Doctors are very

treatment and stigmatization.

symptoms of chronic diseases

busy. They’re not going to dig

For his part, Grégory Moullec, a and depression.

up all the problems if they only researcher at the CIUSSS of the If the patient is indeed have a few minutes.”

Nord-de-l’Île-de-Montréal and

depressed, the family physician

Despite this lack of time, all

professor at the School of

can prescribe an

physicians should routinely

Public Health of the Université

antidepressant, making sure

have their chronically ill

de Montréal, is rather critical of that it does not interact with

patients fill out the PHQ-9,

this method of diagnosing

the medications used for the

even if they have to do it in the

depression. “The simplicity of

chronic disease. If necessary,

waiting room, says Dr.

the diagnosis proposed by the

he or she can then refer the

Catherine Hudon, “This tool

DSM-5 contrasts with the

patient to a CLSC or a mental

should be used more often,

complexity of the disease,

health worker. As long as there

since the risk of mental illness

which requires a detailed

is access, of course.

is significant in these patients.” analysis of the patient’s However, her position is not

context and sensitivities. A

unanimous. The Canadian Task person’s reaction to an event or Force on Preventive Care does

environment thus varies

not recommend routine

according to the meaning they

screening for depression, even

give to it, their history and the

in at-risk subgroups. The Task

supports they can rely on.”

Force reckons that routine

Nevertheless, for Dr. Denis

screening can lead to false

Audet, the PHQ-9 is very useful

positives, unnecessary

in distinguishing between the

Isolated Doctors According to a text from the Douglas Mental Health University Institute written by Marie-Josée Fleury in the medical journal Canadian Family Physician, many doctors feel isolated in the face of mental illness.

“Patients may find it difficult to accept these bodily changes.”

Dr. Justin Côté-Daigneault, CHUM gastroenterologist

The 2013, study, to which 1,415 tertiary levels. At the pain clinic adolescence is a tumultuous where Dr. Léon Tourian works, time. “Teenagers don’t want to general practitioners from different practice locations in

patients can count on a team of be labelled. Sometimes they

which general practitioners

CHUM’s inflammatory diseases

medication,” she says.

clinic, where patients can

But the mother hopes that if

don’t want to be taken care of, Québec responded, highlighted psychologists and social the non-optimal conditions in workers. The same is true at the they refuse to take their practise in the management of

mental disorders. In particular, consult a psychologist if it referred to the inadequacy of necessary. interdisciplinary relationships and the lack of psychosocial and psychiatric resources. The study concluded that significant organizational barriers encourage a silo practice by general practitioners.

Access to psychotherapy is better at the secondary or

her son experiences more difficult times related to his

Access to psychotherapy may

illness in a few years, a

one day be helpful for Florent

professional will be there to

Cloutier, who at only 11 years

support him.

old has had Crohn’s disease for three years. The child is not yet aware of the full implications of his disease. “We’re keeping him away from it,” says his mother, Mélanie Irvine.

Nevertheless, she knows that

A SHARED RESPONSIBILITY A patient with a chronic illness often has two treating physicians: his or her specialist and family doctor.

For people with cancer, they will see their oncologist more often, while their family doctor will have a better view of their overall condition.

Family doctors would be relatively well placed to recognize signs of depression in chronically ill patients, according to a study published in 2014 in the General Hospital Psychiatry, based on data from 61 clinics in Québec.

Their success rate varies between 54.7% and 77.2% depending on the clinic.

Among specialists, the overall picture is more difficult to establish. However, CHUM gastroenterologist Justin Côté-Daigneault notes the limitations of screening for depression. “When there are warning signs, it’s important to have access to someone who understands what’s going on and who is able to offer treatment and therapy.”

“Specialists and general practitioners can screen for depression, says Dr. Catherine Hudon, a family physician at the CHUS and a CIHR researcher. But many more patients have a follow-up with a family doctor compared to specialists. So it’s important to do a good screening with a family doctor.”

However, no single health care professional is in a good position to take the lead in the detection and management of depression if communication between the family physician and the specialist is lacking.

“Communication is everyone’s business, says psychiatrist Léon Tourian, and when everyone is super busy, it can fall between two stools. You have to be proactive and establish effective communication links.”

For Dr. Hudon, the model of care involving a primary caregiver, such as a nurse, is proving to be an interesting way to improve the coordination of care for chronically depressed patients. Also, when there is a psychiatrist on staff at a clinic, communication can be more direct and easier, she says.

REPRODUCED WITH PERMISSION FROM THE MAGAZINE PROFESSION SANTÉ, NOVEMBER 2019, VOL. 5 NO. 10

THE 2020 RESOURCE GUIDE IS READY! It's here! The LAQ 2020 Resource Guide is available on our website and is being distributed in print format.

The LAQ is very proud of this new and improved version which now includes : - promotion of the Training for Physicians and Nurses - an example of a complete prescription for compression therapy - the page What to do in case of suspicious swelling – a step-by-step procedure to guide the patient - a new section for Therapeutic Networks - a more elaborate Training for Therapists section - the new Code of Conduct for Professional Members of the LAQ - and our new toll-free number 1-866-979-2463 Access the LAQ 2020 Resource Guide online today at https://en.infolympho.ca/resources/laqbrochures-publications/ Printed in more than 5000 copies, the Resource Guide will be distributed in the majority of hospitals and a large number of CLSCs in Quebec. This will allow us to reach even more health professionals - our allies in the solution to properly treat lymphedema.

The LAQ sincerely thanks the therapists and businesses listed in the Resource Guide and contributing financially to this essential tool.

HEALTH PARTNERS: YOU CAN ORDER YOUR COPIES AT aql@infolympho.ca or by calling 1 866 979-2463 / 514 979-2463

L'INFO AQL

WINTER 2020

Tribute Evening Rachel Pritzker : 20 years of commitments and achievements Taking time to honor a life's work. This is what

A whole section of the

some forty people did on Friday, November 8,

LAQ's history was evoked and officially

2019, to highlight the accomplishments of the

recognized with the presentation of a

great lady who is Rachel Pritzker, founder

highly deserved plaque to an extraordinary

of the LAQ.

woman who brought lymphedema out of

Â

the shadows and helped so many patients.

The speeches and testimonials followed one another over the course of a most warm and friendly evening, ressembling the woman who has lead the LAQ for 20 years. Among the tributes were the testimonials of Barbara Meimari, an early collaborator, and that of a pillar of the association, Dr. Anna Towers. Â Radiant throughout the event, Rachel shook the hands of all the volunteers, patients, industry representatives and health professionals, with all the attention and sincerity that made her mark.

L'INFO AQL

WINTER 2020

Tribute to Rachel Pritzker – symbol of determination

BY ANNE-MARIE JONCAS, PRESIDENT OF THE LAQ

Thousands of Quebecers living

lymphedema should be

with lymphedema owe a great

made known to the medical

deal to Rachel Pritzker. Too

community and the people

forever.

Rachel identifies the needs and

little is said about the impact of here.

distress of all these people and

lymphedema: a chronic and

quickly understands that lack

degenerative swelling requiring With Dr. Towers'

of knowledge leaves many

lifelong control that upsets the support, she organized the first patients without diagnosis and daily lives of people with

lymphedema education and

follow-up, which can lead to

lymphedema.

support meeting in

serious complications. In the

1999, which she publicized in

fall of 1999, she founded the

This is the sudden and

hospitals and on radio and

Lymphedema Association of

unknown situation that Rachel

television. Thirty

Québec, planning education

bravely faced with her leg in

people gathered. They

and support meetings. Over the

1998 after surgery for

discovered that they were not

years, she has produced

melanoma. Although her

alone in having had to quit

documentation for the general

medical team did not

their jobs, give up their

public, created a Web site, a

understand what was

hobbies, find it difficult to stay

resource guide and self-

happening to her, Rachel

up for long

management tools, raised

recovered very quickly. She did periods of time, move around,

awareness among

her own research, discovered

get dressed, and be

physiotherapists and massage

her diagnosis on her own,

psychologically distressed

therapists to training courses

found treatments and - while

because lymphedema has

offered abroad, and organized

she was still undergoing

scarred their bodies,

an annual conference for

chemotherapy - decided that

appearance and abilities

health professionals in Québec.

Nothing can stop her! Rachel

It took Rachel Pritzker months

makes the LAQ the only patient to figure out why her left leg was swollen. And years to association in the country to train its own therapists!

control her condition. Today, a

garments, Rachel made

to find a therapist, a phone call

project, then becomes in

treatment to control her

representations to the RAMQ. A to make an appointment and a few weeks of intensive goal that leads to a pilot August 2018 a program that is

lymphedema. Afterwards, she

lymphedemas are covered,

to her condition. All this thanks

not only complete, but also the will be able to count on the LAQ to help her learn how to adapt most generous in Canada. All

assistance have coverage

QuĂŠbec, would be an even more difficult ordeal to accept and get through.

patient who is lucky enough to

And that's not all! Realizing the meet the LAQ on her way will staggering cost of compression need two clicks on our website

children and people on social

would affect 233,000 people in

to the phenomenal work done by this inspiring woman.

adapted to their needs. No one Without people with heart like Rachel, this condition, which is left behind.

Thank you so much Rachel!

L'INFO AQL

WINTER 2020

OIIQ Congress

Two major themes in

3,000 nurses in the spotlight

particular aroused the LAQ's interest. The first focused on accompanying patients as a

On November 25 and 26, more

lever for changing practices

than 3,000 nurses were

to improve the patient

informed about lymphedema,

experience. This element

its detection and treatment. It

made us realize the potential

was the very first time that the

of our education and support

LAQ participated in the Congrès de l’Ordre des infirmières et infirmiers du Québec (OIIQ).

The event held at the Palais des congrès de Montréal provided us with some very fruitful encounters! Thanks to the very generous availability of our volunteer nurse therapists, we were able to distribute a

groups as an off-site support Marie-France L'Italien and France Landry proudly represented the LAQ at the OIIQ Congress.

Québec Cancer Program Conference

An in-depth collaboration

Screening and Treatment

service for hospitals and CLSCs. The second theme, the issues and challenges of a partnership between the public health network and community organizations, allowed us to glimpse the implementation of a better organized and more

pamphlet specially designed

On November 22nd, the LAQ

systematic referral from the

for these professionals and

participated in the Québec

health system to

create a list of nurses

Cancer Program Congress

interested in our training and

organizations. This better

"Together, in network, to

tools. A huge thank you to our

coordinated collaboration

beat cancer", held in

volunteers: Julie Allard, nurse

will be highly beneficial for

Montreal. In her opening

with a bachelor's degree and

lymphedema patients. Both

address, Danielle McCann,

therapist; France Landry,

for at-risk patients who need

Minister of Health and Social

to learn self-observation, and

Services, emphasized the

for diagnosed patients who

richness of community

need to learn about self-

organizations for the health

management as soon as

care system.

possible. In addition to

nurse and therapist; MarieFrance L'Italien, nurse with a bachelor's degree and therapist; and Marie-Claude Gagnon, patient and vicepresident treasurer at the LAQ.

giving patients access to

collaborating with the health

community organisms into the

proven information and

system.

care trajectory through a

personalized support, this very

protocol. In addition, the

concrete partnership will

Committee is committed to

connect us with the healthcare

promoting Engagement qualité

community to increase

accreditation to community

lymphedema awareness. Stay tuned!

Participation in the ROCO Exchange and Training Day The Regroupement des organismes communautaires en oncologie (ROCO) organized a Day of Exchange and Training on October 24th. The theme chosen was Community Involvement in Oncology: Impact and Recognition. To promote its mission, the LAQ met with organizations working in oncology, a field from which many cases of lymphedema originate. The event allowed for an enlightening exchange on the resources, services and impact of the various organizations.

By joining forces with all the ROCO member organizations, the LAQ benefits from the reach of a strong voice and a concerted approach to

National Committee of Community Cancer Organisms The LAQ has been invited to join the National Committee of Community Cancer Organisms, a group created by the Québec Cancer Program. The group discusses issues that will allow for better communication and closer collaboration between community resources and cancer health services. To date, committee members – including CCS, FQC, FQCS, ROCO, Ovarian Cancer Canada and Leucan, among others – have identified the following challenges: - Ignorance of the existence of several organizations - Undervaluing the role of community organizations - Systematic referencing to organizations The Committee is working on possible solutions, including the integration of referrals to

organizations in order to enable the health network to better identify recognized organizations. Engaged in this accreditation process, the LAQ intends to actively participate in each of the steps endorsed by the Committee.

L'INFO AQL

WINTER 2020

Donors Overwhelmed by our donors!

TENAQUIP Foundation Donation A HUGE THANK YOU to the

is involved! It was the wish of

TENAQUIP Foundation for

Ken Reed, founder of TENAQUIP TENAQUIP Foundation for the

choosing the LAQ as the

Limited, that a foundation be

crucial assistance provided,

beneficiary of its generosity at

created to assist registered

which will benefit all the

the end of 2019. In fact, the

charities in Canada and abroad people living with lymphedema

lucky organisms are suggested

to help meet their charitable

by the employees of TENAQUIP objectives. The TENAQUIP SCN. Lorna Rock, a loyal

Foundation was founded in

volunteer and administrator on November of 2006, it exists to the board of the LAQ, had her

provide relief primarily in the

wish granted when the

areas of medical research,

TENAQUIP Foundation

hospitals, children's welfare

announced the good news. A

and humanitarian causes. Since

generous donation of $5,000

its operations began in 2006-

was given to our organization

2007 the TENAQUIP Foundation

to ensure the sustainability of

has given out over $10,000,000

our activities.

to Canadians in need and has

TENAQUIP is proud to give back also taken part in several to the communities in which it

international projects.

The LAQ warmly thanks the

that we support.

L'INFO AQL

WINTER 2020

A devoted marathoner!

Guillaume Journel’s gift What a gift for us that

from calves to toes, Guillaume

day in November when

has never let himself be

Guillaume Journel offered the

discouraged by the

LAQ to collect donations for

condition. The proof is that he

the marathon he was about to

was to run a marathon for the

run in Valencia.

12th time in Spain. But this one

had the peculiarity of being the

On December 1st, Guillaume

last, because following the

achieved an incredible

advice of his therapist,

performance: 42.2 km in 4 hrs

Guillaume decided to spare his

52 min 57 s.! In all, his

legs by abandoning a discipline

determination raised $3,300.

that had become too

Guillaume, we take our hat off

demanding due to

to you and say a very sincere

lymphedema. He told us he

thank you!

wanted to turn to triathlon in

order to stay in shape!

Guillaume Journel, an outstanding marathoner, has been living with primary lymphedema for 44 years.

Affected on both legs,

determination. Here, my physical condition is tolerable

"Thank you all for your

with tendinitis. My results

encouragement and your

satisfied me knowing that this

donations to the LAQ that have was my last marathon. But, thanks to you, I was able to turn supported me in my my frustrations into sharing through fundraising for the LAQ. My message? Lymphedema is pervasive, but if we can adapt, we can continue to do the activities that are good for us and our spirit. Hang in there and thank you! "-Guillaume Journel Thank you Guillaume. You inspired us every step of the way!

L'INFO AQL

WINTER 2020

A donation for the future

It is with deep appreciation that we pay tribute to Mrs. Mary Deirdre Ann Foucault.

On March 9, 2019, Mary Deirdre

Criminology at the University

Mrs. Foucault made a

Ann Foucault, a major donor to

of Ottawa. Her passion for

significant bequest to the LAQ

the LAQ, passed away.

literacy was demonstrated by

that has had a tremendous

Deirdre was the cherished

her dedicated teaching and

impact in supporting people

daughter of the late Mary Helen

mentoring of English reading

with lymphedema and research

Bullock and Jean-Paul

skills for new Canadians. She

to bring a cure. On behalf of all

Foucault. She will be dearly

became involved in many civic

lymphedema patients, the LAQ

missed by her many cousins

issues and charitable causes.

thanks Mrs. Foucauld and her

and friends.

Her kindness, thoughtfulness

family from the bottom of our

Born in Montreal, Deirdre

and loyalty were

heart.

completed her undergraduate

immeasurable. One of her

studies at Marianopolis College

greatest qualities was her

and Concordia (Loyola)

endless ability to put others

University. She then obtained

first.

her Master’s Degree in

L'INFO AQL

WINTER 2020

And if your employer could help...

The company you work for or retired from may have a foundation that is willing to help the cause of lymphedema.

Your employer may have a matching gift program that could help the LAQ. Find out more about it. Your generosity may be worth even more than you think! For help in your efforts, contact us: 1 866 979-2463 / 514 979-2463