Issue 4 E 3 Advocacy Digital Magazine

3

E Advocacy Empower, Engage, and Educate

June 2024 Issue 4

Heal Canada digital magazine

Artificial Intellligence Emergent Treatments Belonging, Diversity, Inclusion and Equity Mental Health Seniors' Health Pediatric Health Patient Journey's Living Well

Plus

Resources for Industry Stakeholders, Patients and Carepartners

Table of contents Founders Welcome Issue dedicated topic: AI in Healthcare AI, Luxury or Necessity?

The Emergence of AI in Healthcare How AI Will Assist Primary Care Can a Patient Trust AI Diagnosis?

CachEducation Emerging Treatments Health Canada’s new approval CADTH call for patients input

Diversity, Inclusion, and Equity Embracing DEI in healthcare Mental Health The age of anger Reduce stress strategy Reading for well-being Senior Health Dowsizing tips Senior, sexe and intimacy Say yes2next !

Pediatric Health Role of AI in child health

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24 25 29 30 34 36 38 39 41 44 45 46

Advocacy Spotlight Melanoma awareness month Melanoma Canada Patient Journey Rare blood cancer–my journey Listen, It’s My Heart Living Well Cardiologist secrets Satisfy Your Sweet Tooth Quick + Simple mini-meals Ask the Professional Resources Smile File References Supporters Heal Canada Team

49 51 53 56 57 59 61 66 69 72 75 79 83 84 85 86

Visit Heal Canada.org to download this current issue E3 ADVOCACY -2

Founders Note Welcome to our Fourth Issue, of E3 Advocacy. A digital publication for Patient Advocates and Patient Centricity

Advocacy Spotlight

This edition is focused on AI Artificial intelligence and how the importance of AI is important to Healthcare and Patient Centricity We're deeply grateful to our readers for their continued interest and support. Your engagement drives us to bring insightful and valuable content to each issue. By subscribing to Heal Canada Digital Magazine, you'll stay connected with us and gain access to future issues that explore topics that matter to you and the healthcare community. Visit our website at https://www.healcanada.org to become a subscriber and enjoy these benefits.

Each Issue we have been adding new sections to be inclusive of entire Healthcare Ecosystem.

We are humbled at the momentum we are gaining with the information to our readers. This digital publication is being read by patient advocates, patients, carepartners across the world.

To ensure that our global readers feel included in our information, we are rebranding our title of this magazine/journal to E3 Advocacy! Empower, Engage, Educate.

Our new publication, My Blood My Health, under the editorial supervision of our Chief Scientific Officer, Brigitte Leonard. In this digital publication, we will focus on Patient Advocacy, for all Blood related issues.

Thank you for being a part of our journey, and welcome to another enlightening issue!

Heal Canada is a registered Not For Profit Organization in Canada.

Disclaimer: The Patient Advocacy Digital Magazine provides general information and resources to promote patient empowerment and awareness. The content is not a substitute for professional medical advice or treatment.

Always consult with qualified healthcare professionals for personalized guidance regarding your specific medical condition or situation.

www.healcanada.org

Cheryl Petruk, MBA, B.Mgt. Founder Heal Canada E3 ADVOCACY -3

AI in HealthCare

AI in healthcare: Is it a luxury or a necessity?

by Brigitte Leonard, Ph.D

Artificial Intelligence (AI) is a game-changer in healthcare, offering immense potential to enhance diagnostics and patient management. While there may be concerns about its impact, the real focus should be on how to safely integrate AI for the benefit of patients. The speed of scientific knowledge that influences clinical practice has surpassed human capacity, making AI a necessary tool in our healthcare system.

The healthcare system can offer better support for people suffering from rare conditions with AI. In the past, diseases were classified by anatomic sites as the underlying molecular abnormalities were beyond our reach. However, with improved molecular comprehension, scientists can now reclassify different pathologies, leading to more efficient access to treatment. The pace of change in diagnostic and treatment guidelines is unprecedented. In the near future, healthcare professionals who embrace AI will be best equipped to provide services in line with the latest knowledge. With AI, the best practices currently limited to specialized academic hospitals can be made universally accessible, revolutionizing healthcare.

As a patient advocacy group, we greatly respect healthcare professionals. We witness their dedication to do everything humanly possible to treat us or our loved ones with dignity. However, the facts are undeniable. Studies have estimated that diagnostic errors affect 5% to 10% of adults in the US (1, 2). Imagine more than 5% receiving a wrong diagnosis, meaning they receive the wrong treatment. These individuals continue to suffer from their disease, impacting their QoL and potentially their overall survival. Besides the human cost, this situation overloads the healthcare systems in terms of human resources and dollars. AI has the potential to reduce these numbers significantly. For instance, AI from Babylon Health scored 82 percent in diagnostic accuracy instead of the human average mark of 72 percent (2). Another estimate suggests that machine learning algorithms can make a diagnosis accurate 87% of the time, and with deep learning, they can reach a success rate of 97-98% (3).

As we integrate AI into healthcare, we must engage in robust discussions about the regulations and mechanisms that will protect patients. Equally important is optimizing healthcare professionals' roles regarding this new technology because their role will remain crucial.

However, amidst these considerations, we must remember that AI is not a luxury but a necessity in our healthcare system.

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The Emergence of AI in Healthcare: Transforming Patient Care at All Levels.

by Cheryl Petruk, MBA, B.Mgt.

Artificial Intelligence (AI) has rapidly emerged as a transformative force in healthcare, revolutionizing how medical practitioners diagnose, treat, and manage patient care. From primary care physicians to specialized surgeons, the integration of AI is enhancing efficiency, accuracy, and patient outcomes.

This article explores the multifaceted roles of AI in healthcare and its impact across various levels of healthcare practitioners, including a real-life case study to illustrate its impact.

Primary Care Physicians: Enhanced Diagnosis and Patient Monitoring In primary care, AI-powered tools are proving to be invaluable. They aid physicians in early diagnosis and ongoing patient monitoring, leading to more accurate and timely treatments. AI algorithms can analyze vast patient data, including electronic health records (EHRs), to identify patterns and predict potential health issues.

For instance, AI-driven diagnostic tools can analyze symptoms and medical history to suggest possible conditions, enabling doctors to make more informed decisions.

Moreover, wearable devices equipped with AI capabilities are transforming patient monitoring. These devices track vital signs, activity levels, and other health metrics in real time, allowing for continuous monitoring of chronic conditions such as diabetes and hypertension.

Primary care physicians can leverage this data to provide personalized care plans and timely interventions.

Specialist Practitioners: Precision Medicine and Advanced Imaging

Specialist practitioners, such as cardiologists, oncologists, and radiologists, are harnessing AI for precision medicine and advanced imaging. AI algorithms can analyze medical images, such as Xrays, MRIs, and CT scans, with remarkable accuracy, often detecting anomalies the human eye might miss. This capability is precious in fields like radiology, where AI can assist in identifying tumours, fractures, and other abnormalities.

In oncology, AI-driven tools enable precision medicine by analyzing genetic data and identifying specific cancer-linked mutations. This information allows oncologists to tailor treatments to the individual patient's genetic profile, improving the efficacy of therapies and reducing side effects.

Robotic Assistance and Surgical Planning In the realm of surgery, AI is playing a crucial role in enhancing precision and outcomes. Robotic surgical systems, guided by AI, offer unparalleled precision in procedures ranging from minimally invasive surgeries to complex operations. These systems can execute delicate maneuvers with stability and accuracy, reducing the risk of complications and improving recovery times.

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AI is also revolutionizing surgical planning.

Preoperative planning tools use AI to analyze patient data and simulate surgical procedures, allowing surgeons to anticipate potential challenges and optimize their approach. This level of preparation contributes to better surgical outcomes and increased patient safety.

Healthcare Administrators: Streamlining Operations and Reducing Costs AI’s impact extends beyond direct patient care to healthcare administration, where it is streamlining operations and reducing costs.

AI-powered systems can automate routine administrative tasks, such as appointment scheduling, billing, and claims processing, freeing up staff to focus on patient care.

Additionally, predictive analytics can help healthcare administrators forecast patient demand, optimize resource allocation, and manage supply chains more efficiently. This operational efficiency translates to cost savings and improved service delivery, benefiting practitioners and patients.

Case Study: AI in Breast Cancer Diagnosis One notable case study demonstrating the impact of AI in healthcare is its application in breast cancer diagnosis. Researchers at Google Health developed an AI system to improve the accuracy of breast cancer detection in mammography. In a study involving thousands of mammograms, the AI system outperformed radiologists in detecting breast cancer, reducing false positives by 5.7% and false negatives by 9.4% (McKinney et al., 2020).

This AI system was trained on a diverse dataset from the UK and US and demonstrated its ability to generalize across different populations. The study highlighted the potential of AI to enhance diagnostic accuracy, reduce the workload on radiologists, and ultimately improve patient outcomes.

Ethical Considerations and Future Directions While integrating AI in healthcare offers numerous benefits, it raises important ethical considerations. Ensuring patient data privacy, addressing biases in AI algorithms, and maintaining transparency in AI decision-making processes are critical challenges that must be addressed.

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The Emergence of AI in Healthcare: Transforming Patient Care at All Levels con`t Looking ahead, the future of AI in healthcare is promising. Ongoing advancements in machine learning, natural language processing, and robotics are poised to enhance patient care further and transform healthcare practices. Collaboration between technologists, healthcare practitioners, and policymakers will be essential in realizing AI's full potential while safeguarding ethical standards.

The emergence of AI in healthcare is a game-changer, providing powerful tools that enhance the capabilities of healthcare practitioners at all levels. From primary care physicians to specialized surgeons and healthcare administrators, AI is driving improvements in diagnosis, treatment, patient monitoring, and operational efficiency. As AI continues to evolve, its integration into healthcare promises to deliver even more significant benefits, ultimately leading to better patient outcomes and a more efficient healthcare system.

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How AI Will Assist Primary Care Doctors in Optimizing Initial Diagnosis of Patients.

By Cheryl Petruk, MBA, B.Mgt.

Artificial Intelligence (AI) is revolutionizing various sectors, and healthcare is no exception. Primary care doctors, who are often the first point of contact for patients, can significantly benefit from AI in optimizing initial diagnoses. This article explores how AI technologies are poised to enhance the accuracy, efficiency, and overall quality of patient care in primary settings.

Enhanced Diagnostic Accuracy One of the most promising aspects of AI in primary care is its potential to improve diagnostic accuracy. AI algorithms, trained on vast medical records, images, and clinical studies datasets, can identify patterns and correlations that humans might miss. For instance, AI can analyze symptoms and medical history to suggest possible diagnoses, often with a higher degree of precision than traditional methods. The benefit of AI is particularly true for identifying rare diseases or conditions with non-specific symptoms.

Efficient Triage and Prioritization AI can assist primary care doctors in triaging patients more effectively. By analyzing patient data, AI systems can determine the urgency of each case and prioritize appointments accordingly, ensuring that patients with severe or life-threatening conditions receive immediate attention. At the same time, those with less critical issues are seen later. Such efficient triage can help reduce wait times and improve the patient experience.

Personalized Treatment Plans AI can analyze a patient’s medical history, genetic information, lifestyle, and other factors to recommend personalized treatment plans. This approach ensures that treatments are tailored to individual patients, improving outcomes and reducing the risk of adverse reactions. For instance, AI can suggest the most effective medications for a patient based on their genetic makeup, thereby optimizing the treatment process from the initial diagnosis.

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Support for Differential Diagnosis Primary care doctors often face the challenge of differentiating between diseases with similar symptoms. AI can support differential diagnosis by comparing patient data with extensive medical databases to suggest potential conditions. AI helps doctors consider broader possibilities and reduces the likelihood of misdiagnosis. AI-driven differential diagnosis tools can act as a second opinion, providing additional confidence in the diagnostic process.

Continuous Learning and Improvement AI systems can continuously learn and improve from new data, ensuring that diagnostic tools remain up-to-date with the latest medical research and clinical guidelines. This dynamic learning capability allows primary care doctors to benefit from cutting-edge knowledge and best practices without constant manual updates. AI can also provide ongoing education for doctors, offering insights into new diagnostic techniques and emerging health trends.

Streamlined Administrative Tasks Beyond direct diagnostic support, AI can automate various administrative tasks, liberating more time for doctors to focus on patient care. AI-powered systems can efficiently handle appointment scheduling, patient follow-ups, and electronic health record management, significantly reducing the administrative burden on primary care practices. This increased efficiency allows doctors to spend more time on patient interactions and diagnostic activities and gives them a sense of control over their workload.

Improved Patient Engagement AI can enhance patient engagement by providing tools for remote monitoring and selfmanagement of health conditions. For example, AI-driven apps can track symptoms, medication adherence, and lifestyle changes, providing real-time feedback to both patients and doctors. This continuous monitoring fosters collaboration between the doctor and the patient, helping in the early detection of potential issues and ensuring timely intervention, further optimizing the initial diagnosis and subsequent care.

Integrating AI in primary care can transform how initial diagnoses are made, enhancing accuracy, efficiency, and personalization. By leveraging the power of AI, primary care doctors can provide better care, improve patient outcomes, and stay at the forefront of medical innovation. As AI technologies evolve, their role in primary care will undoubtedly expand, paving the way for a new era of healthcare excellence.

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Can a Patient Trust AI in Optimizing A Diagnosis?

by Cheryl Petruk, MBA, B.Mgt.

In the rapidly evolving healthcare landscape, Artificial Intelligence (AI) has emerged as a powerful tool with the potential to revolutionize diagnosis. As AI technologies become increasingly integrated into medical practice, a pressing question arises: Can patients trust AI in optimizing their diagnoses? This article explores the benefits, concerns, and ethical considerations surrounding the use of AI in medical diagnostics.

The Promise of AI in Medical Diagnostics AI has demonstrated remarkable capabilities in analyzing vast amounts of data quickly and accurately. By processing patient records, medical images, genetic information, and other data, AI systems can identify patterns and correlations that may elude even the most experienced human practitioners. This ability to sift through data quickly and efficiently holds great promise for improving diagnostic accuracy and outcomes.

For example, AI algorithms have shown proficiency in detecting early signs of diseases such as cancer, diabetes, and cardiovascular conditions, often more accurately than traditional methods. In radiology, AI can assist in interpreting medical images, reducing the risk of human error and ensuring that potential issues are identified promptly. These advancements suggest that AI can be a valuable ally in the diagnostic process, enhancing the capabilities of healthcare providers and contributing to better patient care.

Addressing Concerns and Building Trust While the potential benefits of AI in diagnostics are significant, patients understandably have concerns about trusting machines with their health. Key considerations include the accuracy of AI predictions, data privacy, and the potential for bias in AI algorithms.

Addressing these concerns is crucial to building trust in AI-based diagnostic tools.

Accuracy and Reliability Patients need assurance that AI systems are accurate and reliable. Rigorous testing, validation, and continuous monitoring of AI algorithms are required to ensure they meet high-performance standards. It also involves transparency in how AI systems make decisions, allowing healthcare providers to understand and explain the reasoning behind AI-generated diagnoses.

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Data Privacy and Security Protecting patient data is paramount. AI systems rely on large datasets, which raises concerns about data privacy and security. Healthcare organizations must implement robust measures to safeguard patient information, ensure compliance with regulations, and foster trust in the use of AI.

Bias and Fairness AI algorithms can inadvertently perpetuate biases in the data they are trained on. To mitigate this risk, developers must strive for diverse and representative datasets and continuously assess AI systems for potential biases. Ensuring fairness and equity in AI-driven diagnostics is essential to maintaining patient trust.

Ethical Considerations The ethical implications of AI in diagnostics extend beyond accuracy and privacy.

Patients must feel confident that AI systems are used responsibly and ethically. Key ethical considerations include: • Informed Consent: Patients should be informed about using AI in their diagnosis and understand how it works. Informed consent is crucial to ensuring patients are comfortable with AI's role in their healthcare.

• Human Oversight: AI should augment, not replace, human expertise. Maintaining human oversight in the diagnostic process ensures that AI recommendations are validated by experienced healthcare professionals who can consider the broader clinical context.

• Transparency and Accountability: Healthcare providers and AI developers must be transparent about AI systems' capabilities and limitations. Establishing accountability for AI-driven decisions is essential to building and maintaining trust.

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The Future of AI in Diagnostics The integration of AI in medical diagnostics is still in its early stages. Still, the potential for positive impact is undeniable. As AI technologies evolve, their accuracy and reliability will improve, addressing many current concerns. Collaborative efforts between AI developers, healthcare providers, and regulatory bodies will ensure that AI is used responsibly and ethically.

For patients, the future of AI in diagnostics promises more accurate, timely, and personalized care. By fostering transparency, addressing ethical concerns, and maintaining a focus on patient-centred care, the healthcare industry can build the trust needed to fully realize AI's benefits in optimizing diagnoses.

AI can potentially transform medical diagnostics, offering significant benefits in terms of accuracy and efficiency. While there are valid concerns and ethical considerations, a patientcentred approach emphasizing transparency, privacy, and human oversight can help build trust in AI-driven diagnostic tools. As we navigate this new frontier in healthcare, it is crucial to ensure that patients remain at the heart of these technological advancements, ultimately enhancing the quality of care and improving health outcomes.

Canadian MPN Network Patient Advocacy and Education Group

Providing MPN Patients Support and Education

Info@canadianmpnnetwork.ca

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Patient Advocacy Training contact: Info@CACHEducation.org

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Fall into Learning: CACHEducation’s 2024 Course Schedule.

by Cheryl Petruk, MBA, B.Mgt.

There is a significant need in Canada to provide patient advocates with a comprehensive educational program that adequately prepares them to address the many challenges they face when starting, maintaining, and growing a patient organization.

Most patient advocacy groups are managed from kitchen tables, where leaders and staff are "trained" by word of mouth and through learning from their mistakes. CACHEducation aims to change this by offering college-level courses that certify patient advocates, enabling them to successfully navigate the complexities of running a non-profit organization in Canada. These courses will teach patient advocates essential skills such as fundraising, recruiting and retaining volunteers, writing grants, funding researchers, and communicating with government agencies.

CACHEducation inaugural course, Introduction to Patient Advocacy in Canada, which ran earlier this year, received outstanding reviews. Most students rated the program as excellent or above average and all respondents indicated that the program was fair, balanced, and provided valuable information applicable to them and their teams.

Committed to building on the success of the introductory course in 2023/2024, which enrolled 25 students, CACHEducation will offer another opportunity for students to enroll in the introductory course in Fall 2024. (See Table 1 for lesson breakdown).

What is patient advocacy

Drug development: Introduction

Review ad case Studies

Introduction to the Canadian health care system

Clinical trials: Introduction

Treatment options: Introduction

Online presence: Website design and social media

Clinical trials: Introduction

Level One Courses Starting September 2024!

Register now! www.cacheducation.org E3 ADVOCACY - 16

Additionally, an advanced class focused on advocacy group management will be available this fall.

(See Table 2 for lesson breakdown). Each course is scheduled to start in September and will consist of eight one-hour, live, online classes led by patient advocate and professional educator.

Insurance and legal issues

Communication & Online Presence

Communications: Public speaking

Staff and Volunteer Retention

Grant writing, fundraising

Ledership Skills

About CACHEducation CACHEducation (https://cacheducation.org/) is a not-for-profit organization that began in 2022.

With over 25 years of collective experience in patient advocacy, the founding Board Members of CACHEducation are created an organization focused on properly educating individuals interested in patient advocacy about the essential knowledge needed to succeed.

To register for upcoming courses or learn more about CACHEducation, visit www.cacheducation.org

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www.cllcanada.org E3 ADVOCACY - 18

Emerging Treatments

Brigitte Leonard, PhD. Chief Scientific Officer, Heal Canada

New treatments offer hope to patients and their loved ones.

Here, we present new therapies that are available to Canadians.

This section also addresses challenges around access to new medication. Our readers will find important information here to help them understand Canada's drug review processes.

An informed and engaged patient is an empowered one. We aim to equip our readers with the tools and knowledge to navigate the complex healthcare landscape because, more than ever, patients need to raise their voices, to get access to services.

Accessing innovative medicines can save patients' lives.

Health Canada recent approbation.

by Brigitte Leonard, Ph.D

Health Canada approved three new substance drugs since the previous issues.

A new option for patients with diabetes Health Canada approved Awiqli, a long-acting insulin (insulin icodec) for treating adults with diabetes, in March 2024. This new insulin developed by Novo Nordisk is more convenient for patients and only allows an injection once weekly. In a clinical trial involving 588 patients with type II diabetes, Awiqli provided superior blood control over a daily treatment of over 26 weeks.

A new option for patients with iron deficiency Health Canada approved FERINJECT (ferric carboxymaltose) in March 2024 distributed by CSL Behring. It is an intravenous fer supplement used to treat iron deficiency anemia (IDA) in oneyear and older patients when oral iron preparations are neither tolerated nor effective. FERINJECT can also treat iron deficiency (ID) in adult patients with heart failure to improve exercise capacity. Iron supplements can be needed when patients have symptoms of iron deficiency, such as low energy, fatigue, lack of concentration, breathlessness during exercise, etc. (2)

A new option for patients with multiple myeloma who failed several lines of treatment Despite therapeutic advancements in multiple myeloma, resistance to treatment remains a significant challenge, leading to poor prognostic for many patients.

More than 80% of patients with multiple myeloma will suffer from disease progression than die. Most will develop resistance to all three therapeutic classes: IMIDs, antibody therapy (CD-38) and bcl inhibitor. So, new therapeutic options are needed.(3) Health Canada approved Talvey (talquetamab) in April developed by Janssen. The product is approved for treating adult patients with multiple myeloma who have failed at least three prior lines of therapy, including different therapeutic classes.

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CADTH call for patient input for oncology products.

by Brigitte Leonard, Ph.D

Subscribe to receive your digital copy of Heal Canada visit www.healcanada.org

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CADTH call for patient input for non-oncology products.

by Brigitte Leonard, Ph.D

Watch our website for the My Blood My Health digital publication mybloodmyhealth.ca E3 ADVOCACY - 22

Belonging, Diversity, Inclusion and Equity Welcome to the Belonging, Diversity, Inclusion and Equity section of Heal Canada's Digital Magazine.

In this section, we provide information focusing on ensuring that BDEI is part of the patient conversation in our Health ecosystem. Our focus is to illuminate the pathways through which individuals grappling with health challenges can not only find their voice but also harness it to drive their own journey.

Healthcare and the patient experiences should not be determined on social determinants of health.

We believe that an informed and engaged patient is an empowered one, and through enlightening articles, expert insights, and inspiring stories, we aim to equip our readers with the tools and knowledge necessary to navigate the complex landscape of health care.

Embracing Diversity, Equity, and Inclusion in Patient Advocacy: A Call for Healthcare Transformation

by Cheryl Petruk, MBA, B.Mgt.

In the evolving landscape of healthcare, the principles of diversity, equity, and inclusion (DEI) have emerged as pivotal in ensuring that all patients receive the highest quality of care. Patient advocacy, at its core, is about championing patients' rights, needs, and voices. However, to be truly effective, advocacy must be deeply rooted in DEI, addressing the social determinants of health that often act as barriers to equitable healthcare.

Understanding Diversity, Equity, and Inclusion in Healthcare Diversity in healthcare refers to differences that include race, ethnicity, gender, age, socioeconomic status, sexual orientation, disability, and religion. Equity involves recognizing and addressing the disparities and barriers individuals face, ensuring everyone has access to the same opportunities. Inclusion means creating environments where individuals or groups can feel welcomed, respected, supported, and valued to participate fully.

In patient advocacy, embracing DEI means recognizing different populations' unique challenges and working to eliminate disparities. This approach improves individual patient outcomes and strengthens the overall healthcare system.

The Role of Social Determinants of Health The social determinants of health are the conditions in which people are born, grow, live, work, and age. These factors significantly impact health outcomes and include: • Economic Stability: Income, employment, and financial security.

• Education: Access to quality education and lifelong learning.

• Healthcare Access: Availability and quality of healthcare services.

• Neighborhood and Environment: Safe housing, transportation, and community resources.

• Social and Community Context: Support systems, social integration, and exposure to violence or discrimination.

Addressing these determinants is crucial for achieving health equity. For instance, a patient’s ability to manage a chronic condition may be severely limited by financial constraints, lack of access to nutritious food, or unstable housing. Advocacy efforts must, therefore, extend beyond the clinical setting to address these broader issues.

Challenges in Achieving DEI in Patient Advocacy

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Despite the growing awareness of DEI, several challenges persist: 1. Implicit Bias: Healthcare professionals may unconsciously hold biases that affect patient interactions, leading to unequal treatment.

2. Cultural Competency: A lack of understanding of different cultural backgrounds can result in miscommunication and mistrust between patients and providers.

3. Access Barriers: Socioeconomic disparities often limit access to healthcare services for marginalized populations.

4. Policy Gaps: Existing healthcare policies may not adequately address the unique needs of diverse populations.

Strategies for Improving DEI in Patient Advocacy to overcome these challenges, a multifaceted approach is necessary: 1. Education and Training: Continuous education on cultural competency, implicit bias, and the social determinants of health should be mandatory for all healthcare professionals.

2. Community Engagement: Building strong relationships with diverse communities helps us understand their specific needs and develop tailored advocacy strategies.

3. Policy Advocacy: Advocating for policies that address health disparities and promote equity is essential. This includes pushing for reforms in healthcare financing, expanding access to care, and enhancing social support systems.

4. Data Collection and Analysis: Collecting and analyzing data on health outcomes across different populations can help identify disparities and inform targeted interventions.

5. Patient-Centered Care: Ensuring that care is tailored to the individual needs of each patient, respecting their cultural, social, and economic context.

The Path Forward Improving DEI in patient advocacy is a moral imperative and a practical necessity for a robust healthcare system. As advocates, we must strive to see beyond patients' immediate clinical needs and address the broader social determinants that impact their health. By embracing diversity, promoting equity, and fostering inclusion, we can ensure that every patient receives the care they deserve, ultimately leading to a healthier, more just society.

At Heal Canada, we are committed to advocating for these changes and supporting initiatives to bridge the gaps in our healthcare system. Together, we can create a future where healthcare equity is not an aspiration but a reality. ________________________________________ Cheryl Petruk is a dedicated caregiver and advocate with extensive experience in patient advocacy, particularly in the context of myeloproliferative neoplasms. She is the founder of Heal Canada and a contributor to the My Blood My Health digital magazine. Cheryl holds an MBA in Community Economic Development and a Bachelor of Management in HR/LR. Cheryl also teaches in the Healthcare Administration Program at a Public College in Ontario, Canada.

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for more information how LCA can help you info@latinxcanceralliance.org

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Heal Canada and Pat ADV Hub in the USA have embarked on a collaborative journey, aiming to revolutionize the realm of patient advocacy across North America. This pioneering partnership brings together two influential organizations from neighboring countries, combining their extensive expertise and resources.

The objective is to expand and enhance the access to critical information for patient advocates, ensuring that individuals across the continent receive the best possible support and guidance in their healthcare journeys.

By bridging the gap between Canadian and American healthcare advocacy, this alliance promises to foster a more informed, empowered, and connected community of patient advocates, significantly contributing to the improvement of healthcare experiences for countless individuals.

email: patadvhub@gmail.com

www.patadvhub.org

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Mental Health Welcome to the Mental Health section of Heal Canada Digital Magazine, a dedicated space where we embrace the journey towards mental wellness with open arms and open hearts. In this edition, we delve into the empowering world of patient advocacy, engagement, empowerment, and education. Our focus is to illuminate the pathways through which individuals grappling with mental health challenges can not only find their voice but also harnest it to drive their own journey.

We believe than an informed and engaged patient is an empowered one and through enlighteninig articles, expert insights, and insipiring stories, we aim to equip our readers with the tools and knowledge necessary to navigate the complex landscape of mental health care.

Join us as we explore how patient advocacy, active engagement and comprehensive education can transform the experience of mental health care, turning obstacles into opportunities for growth and healing.

The Age of Anger: Strategies for Controlling a Growing Emotional Crisis.

by Rod Mitchell, MC, MSc, RPsych

Anger is a powerful emotion that, when uncontrolled, poses significant challenges to personal relationships, professional environments, and public safety. Recent data presents a troubling trend: a 2023 Gallup global survey revealed that the percentage of adults worldwide experiencing significant anger has reached record highs, with 23% reporting that they felt a lot of anger the previous day [1]. This trend mirrors a broader societal perception, with 64% believing that the world is becoming increasingly angrier [2].

The consequences of this growing anger are widespread. Approximately 1 in 3 people have a close friend or family member who struggles with controlling their anger, highlighting the extent of the issue in personal relationships [2]. Widespread anger also compromised road safety, with 80% of drivers involved in road rage incidents and 25% admitting to acts of aggression themselves [3].

These statistics highlight the urgency of addressing anger management and underscore the need for effective strategies to mitigate its impact on our daily lives and well-being.

Recognizing Signs of Problematic Anger Identifying the signs of problematic anger is essential to managing it effectively. Here are some common indicators that anger may be an issue: Frequent Irritation: Easily annoyed or upset by minor issues.

Verbal Outbursts: Often yelling or arguing more intensely than the situation demands.

Ruminating on Slights: Dwelling on perceived offences or upsetting interactions.

Slow to Cool Down: Difficulty calming down, with anger lasting for a long time.

Damaged Relationships: Regular conflicts with friends, family, or coworkers because of aggressive or defensive reactions.

By recognizing when anger adversely impacts our lives, we can start using techniques that help us handle this problematic emotion better. Consistent use of anger management tools helps to improve our emotional health and quality of life.

Managing Anger in the Moment: Grounding Techniques Anger activates the body's "fight or flight" response, preparing you to handle perceived threats.

This physiological reaction can manifest as a rapid heartbeat, tightened muscles (particularly around the jaw and shoulders), a warming flush across the body, clenched fists or jaw, and quickened breathing—signs that your body braces for a stressful situation.

Recognizing these signs is crucial for controlling one's emotional response. Grounding techniques like Box Breathing and the 5-4-3-2-1 Technique effectively manage these intense emotions and prevent anger from escalating.

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The Age of Anger con`t

Box Breathing: This simple technique helps calm the nervous system and shift your focus away from angerinducing thoughts.

1. Slowly exhale all the air from your lungs.

2. Gently inhale through your nose to a slow count of four.

3. Hold your breath for a count of four.

4. Exhale through your mouth for a count of four.

5. Hold your breath again for a count of four before inhaling again. Repeat this cycle until you feel your body begin to relax.

The 5-4-3-2-1 Technique helps you detach from emotional pain and intense feelings by focusing on your immediate environment. Practice it by mentally or verbally identifying: 1. Five things you can see.

2. Four things you can touch.

3. Three things you can hear.

4. Two things you can smell.

5. One thing you can taste.

Both techniques are effective because they redirect your attention away from anger triggers.

Concentrating on your breathing or your senses engages different parts of the brain, which helps reduce the intensity of your anger and makes it more manageable. These practical tools can be used anytime and anywhere to help you regain control over your emotions.

Long-Term Strategies: Anger Journaling Anger journaling is a powerful technique that can fundamentally reshape your relationship with anger, fostering greater self-awareness and emotional control. This practice helps facilitate consistent reflection and can help manage intense emotions.

Below, you'll find three distinct categories of anger journaling, each equipped with specific prompts designed to guide your exploration. While engaging with all these prompts is beneficial, choosing only one prompt daily and rotating through the list can still yield substantial benefits.

1. Expression and Identification Freely Express Anger: Write down all your negative thoughts, feelings, and impulses as they arise without filtering or judging them. For example, if you're upset about a work situation, describe precisely what happened and how it made you feel, using direct and honest language.

Explore the Trigger: Identify and describe the specific incident or interaction that triggered your anger. Begin this section with the prompt, "I'm angry because..." and let your narrative detail your circumstances and reactions.

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2. Analysis and Dialogue Reflect on Underlying Themes: Use your entries to reflect on deeper issues that your anger might be signalling. Ask yourself, "What does this anger tell me about my values or unmet needs?" For instance, being repeatedly angry over being interrupted might reflect a deeper need for respect or to be heard.

Dialogue with Anger: Engage your anger in a written dialogue to understand its purpose and what it's trying to communicate. Write a question such as, "Why are you here?" and respond from the perspective of your anger. This can reveal motivations like protecting yourself from feeling undervalued or exposed.

3. Insight and Resolution Engage in Word Association: To explore subconscious elements of your anger, start with a central word related to your feelings and jot down associated words or thoughts. This spider web of words can help you visualize and understand connected emotions or triggers.

Foster Forgiveness: Reflect on the potential for forgiving yourself and others involved in the situations you've journaled about. Consider how holding onto anger affects you and how letting go might bring peace. Write about what forgiveness might look like in your situation and the steps you could take toward achieving it.

Towards a Calmer Future While anger is a natural human emotion, it can have profound effects on our personal and professional lives if left unchecked. Understanding the signs of problematic anger and employing immediate and long-term strategies to manage it are essential to maintaining emotional health and enhancing interpersonal relationships.

Remember, the journey to control anger is ongoing. Each step invests in your well-being and builds stronger, healthier connections with those around you. By committing to these practices, you equip yourself with the tools to face challenges more constructively and with greater resilience.

Rod Mitchell is a Registered Psychologist who works with perpetrators and victims of family violence at a women's shelter agency in Calgary. He also leads a private psychology practice, Therapy Calgary Emotions Clinic. Rod specializes in using innovative psychological techniques to help people manage and transform overwhelming emotions like anger, anxiety, stress, and grief. You can get in touch with Rod by emailing him at rod@emotionstherapycalgary.ca For more information, visit the Therapy Calgary Emotions Clinic website at emotionstherapycalgary.ca, where you can also find articles Rod has published on various mental health topics.

Therapy Calgary Emotions Clinic location: 2145 17 St SW Calgary, AB, T2T4M5

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Exploring Effective Strategies to Reduce Stress for Clients Dealing with Mental Health Issues.

Janice D’souza, M.S.W., R.S.W.

In the realm of mental health, stress often acts as a formidable adversary, exacerbating symptoms and hindering recovery. For individuals grappling with mental health issues, managing stress becomes a crucial aspect of their journey toward healing and well-being. Fortunately, there are many strategies and techniques that therapists and clients can explore to alleviate stress and cultivate resilience. This piece delves into effective approaches to helping clients reduce stress and enhance their mental well-being.

Mindfulness and Meditation:

Mindfulness and meditation are at the forefront of stress reduction techniques.These practices encourage individuals to anchor themselves in the present moment, fostering a sense of calm and inner peace. By cultivating awareness of thoughts, emotions, and bodily sensations without judgment, clients can gradually learn to navigate stressors with greater composure. Therapists can guide clients through mindfulness exercises, such as focused breathing or body scans, to help them develop these invaluable skills.

Cognitive Behavioural Therapy (CBT):

CBT offers a structured and evidence-based approach to stress management by examining the interplay between thoughts, feelings, and behaviours. Through CBT interventions, clients can identify and challenge maladaptive thought patterns that contribute to stress and anxiety. By replacing negative cognitions with more balanced and rational alternatives, clients can experience a profound shift in their perception of stressors, empowering them to respond more effectively.

Stress Reduction Techniques:

Encouraging clients to incorporate stress reduction techniques into their daily routine can yield significant benefits. These techniques may include progressive muscle relaxation or guided imagery, among others. By engaging in regular practice, clients can cultivate a greater sense of relaxation and resilience, thereby mitigating the impact of stress on their mental health.

Lifestyle Modifications:

Exploring lifestyle modifications can also play a pivotal role in stress management. Encouraging clients to prioritize self-care activities, such as adequate sleep, regular exercise, and healthy nutrition, can bolster their physical and emotional well-being. Additionally, fostering meaningful social connections and engaging in enjoyable hobbies can provide much-needed support and solace during times of stress.

Relaxation Techniques:

Incorporating relaxation techniques, such as deep breathing exercises, progressive muscle relaxation, or visualization, can help clients alleviate physiological symptoms of stress and induce a state of calmness. Teaching clients these techniques equips them with practical tools to manage stress in real-time, empowering them to regain a sense of control over their emotions and physical sensations.

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Support Groups and Peer Networks:

Connecting clients with support groups or peer networks can offer a sense of validation, understanding, and unity.

Interacting with individuals who share similar experiences can diminish feelings of isolation and provide invaluable emotional support. Therapists can help facilitate access to these resources and encourage clients to actively engage with their peers as they navigate their mental health journey.

Time Management and Boundaries: Helping clients develop effective time management skills and establish healthy boundaries can reduce stress. By prioritizing tasks, setting realistic goals, and learning to communicate their needs assertively, clients can minimize feelings of overwhelm and cultivate a greater sense of balance in their lives.

Expressive Therapies: Engaging in expressive therapies, such as art therapy, music therapy, or dance movement therapy, can provide clients with alternative avenues for self-expression and stress relief. These modalities offer creative outlets for processing emotions, reducing tension, and fostering self-discovery in a supportive and non-judgmental environment.

In conclusion, reducing stress for clients dealing with mental health issues requires a multifaceted approach that addresses the interconnected facets of their well-being.

By incorporating mindfulness practices, cognitive restructuring, stress reduction techniques, lifestyle modifications, social support, relaxation strategies, time management skills, and expressive therapies into treatment plans, therapists can empower clients to manage stress and effectively enhance their overall quality of life.

Ultimately, by collaboratively exploring these strategies, therapists and clients can work towards fostering resilience, promoting healing, and cultivating a sense of empowerment in the face of adversity.

Janice D’souza, M.S.W., R.S.W. Insightful Minds Therapy Inc. If you or someone you know is struggling with their mental health and well-being, feel free to reach out to Janice D’souza, for individual therapy, at the contact information below: Email: j6dsouza@gmail.com Phone: 416-316-7686

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Reading for Well-Being.

by Joanna Pozzulo, Ph.D.

Bought or borrowed, hardcover, paperback, e-book, or audiobooks give readers several options for enjoying their reading.

How popular is reading in Canada?

According to BookNet Canada, many Canadians enjoy reading and list it among their favourite leisure activities.

Moreover, approximately 50% of Canadians report reading or listening to books weekly, while just over 30% read or listen to a book daily. So, if you are a reader, you're in great company! (1,2)

Why read?

Books can educate and transform lives, and readers can experience several benefits.

Stress reduction

According to the World Health Organization, stress is “a state of worry or mental tension caused by a difficult situation.” It is likely safe to say that everyone has or is experiencing stress. Unfortunately, stress can wreak havoc on our physical and mental health, especially when you need these very resources to cope and manage stress. Depending on your stressful situation, engaging in some stress management activities, such as eating healthy, getting regular exercise, socializing, etc., may not be feasible (3) One activity that has been associated with stress management and that is often a viable option for many is reading. Picking up the latest bestseller or whatever type of book interests you can significantly reduce stress. One report from the University of Sussex suggests that reading for 6 minutes can reduce stress by 68%. (4) Stress reduction may occur because your mind is distracted from what is "stressing" you. Thirty minutes of reading was found to have a decrease in blood pressure and heart rate comparable to doing 30 minutes of yoga. (5) Slowing cognitive decline Some cognitive changes are a normal part of the aging process. For example, processing information may take a little longer, and some memory and language abilities may change.

(6)

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Engaging in activities that help build and preserve cognitive function, such as reading, may help. In one study that followed people 64 years old and older across 14 years, those who read more (greater than once a week) had a lower risk of decreased cognitive function than those who read less. (7) Engaging in reading helps increase your ability to concentrate.

Reading provides exercise for your brain.

Improving well-being

Bibliotherapy is reading books to supplement other therapeutic modalities to support well-being and improve mood. Reading Well is an organization in the United Kingdom where health professionals and those with lived experience suggest book options to support well-being, and 91% of readers reported that the book they read was helpful. (9) However, readers don't necessarily need to fall within the "self-help" category to gain benefits from reading books. Fiction books can provide well-being benefits, including improving mood (10) The key may be to read what you enjoy!

Community reading?

Often, reading is thought of as a solitary activity. But what about if we read within a "community"?

The benefits of a community include improved well-being, decreased social isolation, and increased connectedness. (11) Intriguingly, book clubs may allow you to reap the benefits of reading and community. Book club meetings can be in-person, virtually, hybrid, or digital.

If you want to join a book club, your local public library often has options. Recently, I started a "Reading for Well-Being Community Book Club through the Mental Health and Well-Being Research and Training Hub (MeWeRTH; carleton.ca/mental-health at Carleton University (Ottawa, Ontario).

Each month, I select an evidence-based book on some aspect of well-being and provide my take on it. A digital platform posts book selections and reviews and communicates with members.

People can participate regardless of where they are physically located. In addition, members can post about what they are reading. All are welcome, and sign-up is available here: mewerthsreading-for-well-being-community-book-club Reading is joy, the end of the story.

Joanna Pozzulo, Ph.D. Chancellor’s Professor Department of Psychology Director, Mental Health and Well-Being Research and Training Hub (MeWeRTH) Carleton University

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Seniors Health In today's society, the health of senior citizens stands as a paramount concern, particularly within the framework of the Canadian healthcare system. This heightened focus is more than just a response to the growing number of seniors. Still, it is deeply rooted in recognizing their invaluable contribution to society and their unique challenges in their twilight years.

As people transition into their senior years, they bring unique health and social needs. This shift presents challenges and opportunities for the Canadian healthcare system and society.

In our Seniors Health section, we will provide information to help you in your journey, navigate daily life as a Senior, and provide resources to help you have the best quality of life.

Downsizing Tips and Maximizing the Value of Your Home.

By Stéfanie Cadou

As the population ages, there has been an enormous trend in downsizing to smaller homes, condos, or retirement residences. This winter has been particularly tough; many people have decided that enough is enough.

"It can be challenging to leave the family home where countless memories were created. It's only human nature to want to stay as long as possible.

However, in the senior transition world, the most popular phrase I hear is, "I should have done this a couple of years ago." Many factors, such as mobility challenges, cognitive concerns, loneliness, safety, security, caregiver stress, or simply the burden of home ownership, can come into play.

For those considering this transition, here are a few tips to help you along the way.

Downsizing Tips Start Early: It is never too soon to start removing the unnecessary. We should go through our closets and cupboards twice a year to eradicate accumulation.

One Room at a Time: Start with the basement or guest room. Proceeding one room at a time will prevent chaos.

The 6-month rule: states that what you haven't used in 6 months is probably unnecessary. Consider extra bedding, cutlery, and dishes.

Quality over quantity: Establish space in your new living quarters and stick to the quality items that mean the most. If you're unsure what to keep, ask for an objective opinion from someone close to you.

Where Can It All Go? Sell what can be sold. Give heirlooms to family and friends and donate to charities.

The last step is to throw it out.

Maximizing the Value of Your Home Clean: A clean house translates into dollars. Be aware that buyers touch everything!

Neutralize: Neutral colours are very appealing to buyers. Depersonalizing your home allows buyers to visualize their belongings in it. Turn your home back into a house. Less is More.

Repair: You do not need to renovate your house to sell it. However, good maintenance is crucial. A leaking roof is problematic and needs to be repaired. A foundation crack must be addressed to prevent deterioration and a lower selling price. Yet, a new kitchen will not guarantee a higher selling price.

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Curb Appeal: Mow the lawn and clean the front porch, front door, and windows. Nobody enjoys walking through spider webs before entering a house.

The 5 Senses: Appeal to the five senses of potential buyers: Smell: Open the windows a few minutes before a showing. Let the fresh air in!

Sight: Open the blinds and curtains, wash the windows, and turn on the lights. We all love a bright home.

Touch: Clean all surfaces, paying particular attention to countertops, faucets, door handles, and light switches.

Hearing: You may want to play soft music during the showing. Regrettably, a hockey game on TV is not recommended.

Taste: Finally, your broker may bring drinks and bites for potential buyers at Open Houses, adding to the "Welcome to your New Home" experience.

Downsizing can be challenging and emotional. It can be daunting sometimes, but embrace the process as you venture into this new life transition. Speak to friends and loved ones who have already done it. You would be amazed at how many people have a smile on their faces when they talk about their new "home."

For more information, please email us at stefanie.cadou@royallepage.ca or call us at 514-885-3524 and ask for Stéfanie Cadou.

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Seniors, Sex and Intimacy: A Vital Connection.

By Maureen McGrath RN, Nurse Continence Advisor & Sexual Health Educator Intimacy is a fundamental human need that transcends age. For seniors, maintaining emotional and physical intimacy is crucial to their overall well-being and quality of life. Despite societal misconceptions that older adults lose interest in intimate relationships, intimacy remains a significant and fulfilling part of their lives. This essay explores the importance of intimacy among seniors, its benefits and challenges, and ways to support and enhance their intimate relationships.

The Importance of Emotional Intimacy Emotional intimacy involves the deep connection and bonding between individuals, characterized by mutual understanding, trust, and sharing of feelings. For seniors, emotional intimacy is essential as it provides companionship, reduces feelings of loneliness, and enhances mental health. As people age, they often experience significant life changes such as retirement, the loss of loved ones, and declining health, which can lead to isolation and depression. Having emotionally intimate relationships can buffer against these negative feelings, offering a sense of security and belonging.

Emotional intimacy is not limited to romantic relationships. Friendships and close familial ties also play a critical role in providing emotional support. Seniors with strong emotional connections with others tend to have higher life satisfaction and a better quality of life. These relationships offer a space for seniors to express themselves, share their life experiences, and receive empathy and understanding.

The Role of Physical Intimacy Physical intimacy, which includes a range of activities from holding hands and cuddling to sexual intercourse, remains vital for many seniors. The benefits of physical intimacy for older adults are multifaceted. It can enhance physical health by reducing stress, lowering blood pressure, and boosting the immune system. Moreover, physical touch releases oxytocin, often called the "love hormone," which promotes feelings of happiness and well-being.

Sexuality in later life can be a source of joy and vitality. Many seniors continue to enjoy a healthy sexual life well into their later years.

However, the dynamics of physical intimacy may change because of aging-related factors such as health conditions, hormonal changes, and the side effects of medications. These changes can affect sexual function, but with open communication and appropriate medical advice, many seniors find ways to adapt and continue to enjoy physical intimacy.

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Challenges to Intimacy Among Seniors

Despite the importance of intimacy, seniors face several barriers that can hinder their ability to maintain intimate relationships. Health issues are a primary concern. Chronic conditions such as arthritis, diabetes, and heart disease, as well as cognitive impairments like dementia, can impact both emotional and physical intimacy. Medications used to manage these conditions can also have side effects that affect sexual desire and function.

A multifaceted approach is needed to address these challenges and support and enhance intimacy among seniors. Healthcare providers (HCPs) play a crucial role. HCPs must initiate conversations about sexual health and intimacy during medical appointments, providing a safe space for seniors to express their concerns and seek advice. Regular check-ups should include discussions on how health conditions and medications affect intimate relationships and offer solutions or adjustments where possible.

It is important to address sexual health. Women post-menopause may experience vaginal dryness, painful sex, and, as a result, low sexual desire.

They may be uncomfortable discussing it with their partners, spouses, or lovers. These, along with recurrent urinary tract infections, are hallmark signs of a common condition that occurs after menopause called Genitourinary Syndrome of Menopause (GSM). GSM requires treatment in the form of low-dose localized estrogen therapy, which is by prescription only. It comes as a cream, ring, or tablet and is a lifelong therapy.

It is important to note that whether or not women are sexually active, they may still experience vaginal dryness and require treatment. If a woman is only experiencing vaginal dryness, she may benefit from a hormone-free personal moisturizer, which can be purchased over the counter or online.

Men may experience erectile dysfunction (ED), which is defined as the inability to attain and maintain an erection adequate for penetrative sex.

Men may be embarrassed by this condition and, therefore, may find it embarrassing to discuss it, resulting in the withdrawal of intimacy, especially when the partner is also feeling rejected and confused. It is common to feel embarrassed or apprehensive about discussing erectile dysfunction (ED) with a medical professional or partner.

HCPS must ask about whether or not a man is experiencing erectile dysfunction, not only in terms of intimacy but also because ED can be the "canary in the coal mine." Erectile dysfunction may be the first sign of cardiovascular disease.

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Seniors, Sex and Intimacy: A Vital Connection con`t

Urinary incontinence is also common as people age. And it's not just women! Men may experience urinary incontinence, too, especially after prostate cancer treatment. Incontinence can affect a person's sexual health as well, as it is embarrassing and isolating and may lead to depression. The critical thing to note is that there are several treatments available, from fluid management to reduction of bladder irritants to bladder retraining, medications, devices, products, and procedures.

Social stigma and cultural attitudes toward senior sexuality further complicate matters. Society often holds misconceptions about older adults being asexual or uninterested in intimacy. These stereotypes can lead to feelings of embarrassment or shame, making seniors reluctant to discuss their intimate needs and concerns openly. Additionally, seniors in long-term care facilities may face policies or environments that do not support or respect their need for privacy and intimate relationships.

Supporting intimacy in seniors

Community support and education are also essential. Senior centers and community programs can provide opportunities for social interaction, helping seniors form new friendships and romantic relationships. Support groups for older adults can offer a platform to share experiences and receive emotional support from peers who understand their situation.

Education about the importance of intimacy and the changes that come with aging can empower seniors and their families. It is important to encourage open communication between partners about their needs, preferences, and any challenges they face. Couples can benefit from counselling or therapy to navigate changes in their relationship dynamics and maintain a healthy and fulfilling intimate life.

Conclusion

Intimacy is a vital component of life that does not diminish with age. For seniors, maintaining both emotional and physical intimacy is essential for their well-being and happiness. Addressing unique challenges and providing the necessary support and resources can help seniors lead fulfilling lives enriched by meaningful, intimate relationships. By fostering a more inclusive and understanding society, we can ensure that seniors continue to experience the joys and benefits of intimacy throughout their later years.

Maureen McGrath is an RN, Nurse Continence Advisor, and sexual health educator. She sees patients in her clinic in North Vancouver and online. She hosts a podcast where she discusses all things health. It can be found on Apple Podcasts, Spotify, Google Play, or wherever you listen to your favourite podcasts. https://podcasts.apple.com/ca/podcast/maureen-mcgraths-healthshow-podcast/id1734045357 Her website is maureenmcgrath.com Maureen did a TEDx talk on the No Sex Marriage that has had 35 million views.

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Staying physically active is crucial for seniors to maintain their overall health and quality of life.

Engaging in regular fitness activities helps improve strength, flexibility, balance, and cardiovascular health, reducing the risk of injury and chronic diseases. Fortunately, many free workout resources are available, particularly online. One such valuable resource to try is the

YouTube channel https://yes2next.com/ It is a mother-and-daughter dynamic duo showcasing a variety of exercises specifically tailored for those 50 and beyond and for individuals with limited mobility. Their YouTube channel offers you more than 200 free fitness videos.

Whether it's gentle stretches, chair exercises, or low-impact cardio routines, yes2next provides a convenient and effective way for seniors and everyone to stay active and maintain their wellbeing.

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Pediatric Health Welcome to the Pediatric Health section of Heal Canada Digital Magazine, a dedicated space where we embrace the journey towards pediatric wellness with open arms and open hearts.

We believe than an informed and engaged parent is an empowered one and through enlighteninig articles, expert insights, and insipiring stories, we aim to equip our readers with the tools and knowledge necessary to navigate the complex landscape of pediatric health care.

Join us as we explore how patient advocacy, active engagement and comprehensive education can transform the experience of peditric health care, turning obstacles into opportunities for growth and healing.

What can be the role of AI in child health?

By Brigitte Leonard, Ph.D

Dear reader, if you live in the northern hemisphere and have healthy children like me, you probably do not think about child mortality, nor do you want to think about it. In developed countries, pregnancy and birth are not associated with death anymore, and this is a good thing. However, there are still some children who won't reach adulthood. Who are they, and what can we do to change their fate?

In developed countries, the critical current health issues in pediatrics include mental health, rare genetic disorders, cancer, and preventable diseases.

Mental health problems They are common among children and youth. Seventy percent of persons living with a mental illness see their symptoms begin before age 18. Early identification of mental health problems and timely intervention are incredibly critical and can help to build a better society.

Pediatric cancers They affect more than 400000 worldwide each year. The most common types of cancer are leukemia, lymphoma and solid cancers such as brain cancer, neuroblastoma and Wilms tumours. The survival rate can reach 80%. A better comprehension of molecular drivers and improved access to targeted therapies can help get the perfect score.

Rare genetic disorders They are responsible for 35% of deaths in the first year of life, and one-third of children born with a rare disease will not live to see their fifth birthday.

The medical community thinks that the contribution of rare disorders to child mortality is probably higher because of underdiagnosis due to the lack of comprehensive genetic testing.

Preventable diseases Vaccinations have had a profound impact on reducing child mortality rates worldwide. From the 40% to 50% mortality rate observed at the end of the 1700s, we currently observe between 0.38% and 0.53% mortality rates by birth in Canada and the USA, respectively. Of course, this rate varies significantly based on socioeconomic status, healthcare access and public health initiatives.

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What can be the role of AI in child health?

This reduction was due to vaccination, especially against diseases like measles. Measles is highly contagious, and in a classroom of children who are not protected against measles, a child with measles will infect 12-18 others. Measles is associated with several severe health consequences, including hospitalization, pneumonia, encephalitis, and death. Measles can also cause "immune amnesia," making individuals more susceptible to pathogens they had previously developed protection against.

The resurgence of contagious diseases in developed countries has become a significant issue.

The Centers for Disease Control and Prevention issued a health alert warning of a global rise in measles cases. The key issue driving this resurgence is under-vaccination. To protect a community from outbreaks, about 95% of the population needs to have been vaccinated. The anti-vaccination movement is increasing in the population, combined with the return of international travel, creating the perfect storm.

AI can significantly reduce child mortality at three levels: in the clinic, in the laboratory, and in social health issues. Daily, AI can support better healthcare professionals by improving early disease screening, diagnosis, and resource allocation. In drug development research, AI can speed up the comprehension of the molecular drivers of cancer and genetic diseases and help select molecules capable of correcting abnormalities. It can also help predict outbreaks and support policy development to support health authorities.

Are you ready for this revolution?

Have your voice heard!

Visit the My Blood My Health website and participate in our Quality of Life Survey

mybloodmyhealth.ca

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Advocacy Spotlight The "Advocacy Spotlight" section of Heal Canada Digital Magazine serves as a dynamic platform dedicated to shining a light on patient advocacy groups, both new and established. This unique feature aims to introduce these vital organizations to a broader audience, highlighting their missions, achievements, and the critical support they offer patients and their families.

Each edition of this segment meticulously selects a different group, delving into their specific focus areas, ranging from rare diseases to everyday health challenges. By showcasing their stories, initiatives, and community resources, Heal Canada amplifies these groups’ voices and fosters a deeper understanding and connection within the broader healthcare community.

This section is more than just an informational piece; it's a celebration of the tireless efforts and significant impact of these advocacy groups & empowering readers by connecting them with valuable resources and support networks.

Melanoma Awareness Month at the GCI: Myths, Facts, and New Research.

By Diana Berry

Melanoma is the rarest, but also the deadliest form of skin cancer, and is the source of both common misconceptions as well as next-generation cancer research. Unlike other skin cancers which arise from the cells that make up the layers of the skin, melanoma originates in the skin’s pigment producing cells called melanocytes. Many researchers at the Rosalind and Morris Goodman Cancer Institute (GCI) are investigating what causes melanoma to develop and spread, with the ultimate goal of improving treatments for patients.

Melanoma is often associated with tanning and lack of sunscreen use, since melanoma and other skin cancers are driven by damage to cells caused by sunburn. Another melanoma risk factor is biological sex – males are more likely to be diagnosed with melanoma, and more likely to die of melanoma. While outdated misconceptions explained this sex difference in melanoma by conflating gender stereotypes with sunscreen use, researchers including Ian Watson at the GCI have uncovered a genetic explanation. A gene on the X chromosome, which females have two copies of, is protective against melanoma. Males have only one X chromosome, so they have less genetic protection against melanoma.

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Melanoma Awareness Month at the GCI: Myths, Facts, and New Research

A particularly dangerous myth about melanoma is that it is easy to treat by surgical removal of the affected skin. While early detection of melanoma is important for surgical treatment options, melanomas detected later have often spread to other areas of the body and become very difficult to treat. Melanoma is particularly aggressive in spreading or metastasizing to the brain.

In a study from the GCI, researchers Logan Walsh, Daniela Quail, and Peter Siegel investigated the immune cells within tumours that had originated in the brain or spread there from other tumour types, including melanoma. They found striking differences between the groups, which could inform doctors how to use the best immunotherapy drugs - therapies that use a patient’s immune system to target cancer cells and can effectively treat melanoma.

In addition to promising immune-based therapies for melanoma, melanoma is a success story for next-generation cancer therapies which target a specific cancer-causing mutation. About 50% of melanomas are driven by the same mutation, which can be specifically targeted by drugs that inhibit the mutation harbouring cancer cells while sparing healthy cells. Pioneering research at the GCI led by April Rose, Peter Siegel, and Ian Watson found that these same drugs can target different melanoma mutations, expanding the number of patients who can benefit from existing therapies. Ongoing work at the GCI aims to find new uses for existing therapies and targets for melanoma treatment.

While significant progress has been made in the treatment of melanoma, it remains a formidable disease that requires proactive measures for prevention. The dedicated researchers at the GCI are not resting on their laurels. They are diligently building on their findings to provide doctors with more comprehensive guidance on melanoma treatment, with the ultimate goal of improving outcomes for patients. The studies highlighted in this article, which can be found below, are a testament to their unwavering commitment to advancing melanoma research.

Alkallas, R., Lajoie, M., Moldoveanu, D… & Watson, I.R. Multi-omic analysis reveals significantly mutated genes and DDX3X as a sex-specific tumor suppressor in cutaneous melanoma. Nat Cancer (2020). https://doi.org/10.1038/s43018-020-0077-8 Karimi, E., Yu, M.W., Maritan, S.M… & Siegel, P.M., Quail, D.F., Walsh, L.A. Single-cell spatial immune landscapes of primary and metastatic brain tumours. Nature (2023). https://doi.org/10.1038/s41586-022-05680-3 Dankner, M., Lajoie, M., Moldoveanu, D… & Watson, I.R., Siegel, P.M., Rose, A.A.N. Dual MAPK inhibition is an effective therapeutic strategy for a subset of class II BRAF mutant melanomas.

Clinical Cancer Research (2018). https://doi.org/10.1158/1078-0432.CCR-17-3384 We want to sincerely thank Diana Berry, author of this article, and the Rosalind and Morris Goodman Cancer Institute at McGill University for allowing us to reprint it. Your generosity and support are greatly valued. awareness-month-at-the-gci-myths-facts-and-new-research

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Driving Change: Melanoma Canada's Mole Mobile Expands to Quebec and B.C. in 2024 Program.

Toronto, ON – May 16, 2024 – Melanoma Canada, a leading not-for-profit organization dedicated to skin cancer awareness, prevention, and support, is thrilled to announce the expansion of its acclaimed Mole Mobile program, presented by national sponsor Neutrogena®, a Kenvue brand.

After a successful tour across Ontario in 2023, new Mole Mobiles will journey to Quebec and British Columbia in 2024, bringing vital skin cancer education and early detection services to communities across these provinces.

Skin cancer, including melanoma, continues to be a significant public health concern in Canada, with rates of diagnosis on the rise. Many Canadians struggle to access our strained healthcare system, especially in remote and underserved communities. Melanoma Canada recognizes the need to increase awareness and accessibility to preventive measures and early detection services.

The Mole Mobile is a ground-breaking initiative that underscores the importance of skin cancer prevention and early detection. It's not just about education but about empowering individuals with the knowledge and tools to identify potential skin cancer risks early when treatment is most effective. The Mole Mobile is designed to be versatile, visiting high-profile events and remote, indigenous, and underserved communities throughout Quebec and British Columbia, ensuring that no one is left behind in the fight against skin cancer.

"Expanding the Mole Mobile program to Quebec and British Columbia aligns with our mission to reach as many Canadians as possible with life-saving information and services," said Falyn Katz, CEO of Melanoma Canada. "We understand individuals’ challenges in accessing healthcare services, particularly in remote and underserved areas. The Mole Mobile allows us to bridge this gap, offering education, awareness, and support where needed most."

For Quebec and British Columbia, the Mole Mobile will be shifting its focus squarely on awareness and education. This means that instead of providing on-site screening services, each Mole Mobile will be staffed by nurses who are equipped with validated risk assessment tools.

These nurses will provide one-on-one consultations to assess each individual's risk levels for skin cancer and educate them on how to recognize signs of potential skin cancer, ensuring that the public is well-informed about the services being provided.

"Prevention and early detection are key in the fight against skin cancer," said Dr. Julia Carroll, Dermatologist and Board Member at Melanoma Canada. "The Mole Mobile not only raises awareness but also provides individuals with the opportunity to take proactive steps in safeguarding their skin health. By reaching communities across Quebec and British Columbia, we hope to make a meaningful impact in reducing the burden of skin cancer in Canada."

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Driving Change: Melanoma Canada's Mole Mobile Expands con't In addition to offering education and risk assessment services, the Mole Mobile will serve as a platform for advocacy, encouraging policymakers to prioritize skin cancer prevention and access to healthcare services. By engaging with communities and stakeholders, Melanoma Canada aims to drive positive change and improve outcomes for individuals affected by skin cancer.

The expansion of the Mole Mobile program to Quebec and British Columbia represents a significant milestone in Melanoma Canada's ongoing efforts to combat skin cancer and save lives.

Melanoma Canada remains committed to promoting skin cancer awareness, prevention, and support nationwide through innovation, collaboration, and dedication.

The 2024 Mole Mobile tour is a testament to the incredible support of our partners and sponsors.

We are deeply grateful to our presenting national sponsor, Neutrogena®, and our national sponsors, Jamieson Wellness, Pfizer, Sanofi, TD Bank Group, Charles, Evelyne and Sandra Dolanksy Foundation, and Nissan.

Our local partners, including London Drugs, the Drive for the Cure Foundation, the Jess & Red Hamilton Fund in BC, Jean Coutu, Olymbec, and the Jarislowsky Foundation in Quebec, have made this tour possible. The Mole Mobiles will stop at Nissan Dealerships, Jean Coutu, Giant Tigers, and London Drugs Stores across the provinces, demonstrating the collective effort and shared responsibility in the fight against skin cancer.

About Melanoma Canada: Melanoma Canada advocates for and supports Canadians living with melanoma and skin cancer by providing helpful resources, education, psychosocial support services, and more. For more information about Melanoma Canada and the Mole Mobile program, please visit melanomacanada.ca.

Melanoma and Skin Cancer Stats and Facts: Skin cancer is a pervasive health concern in Canada, with approximately 1 in 3 cancers diagnosed as skin cancer. Annually, an estimated 90,000 skin cancers are diagnosed in Canada, highlighting the significant burden of the disease on individuals and communities.

Melanoma is among the few cancers experiencing rising incidence and mortality rates, signalling the critical need for continued efforts in prevention and intervention. Tragically, 3 Canadians lose their lives to melanoma every day, emphasizing the importance of early detection and access to effective treatment.

For more information visit Molemobile For media inquiries, please contact: Lorraine Quartaro Lorraine@thePRQ.com (416)433-7232

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Patient Journey's The "Patient Journey’s" section of Heal Canada Digital Magazine is close to our heart. This magazine is dedicated to patients and caregivers. We are proud to offer a platform to our community so that we can share, learn and grown together. Here they can share their experience and empower readers by connecting their experience with our Heal Canada community, so that we understand whatever the situation is that we are faced with, we are not alone! United we stand in Advocacy!

Diagnosed with a rare blood cancer–my journey so far.

By Wendy Reichental

I will never forget the day I anxiously waited in the hematology/oncology waiting room, my heart pounding as I contemplated what lay ahead. My family doctor referred me here following routine blood tests as part of my yearly physical. Further blood work indicated that I tested positive for a particular gene mutation and that I have a myeloproliferative neoplasm (MPN), which stands for a group of rare blood cancers typically characterized by the overproduction of blood cells in the bone marrow.

One of the million things running through my freaked-out mind aside from the immediate thought of, "Am I going to die?" was, "How did I get this MPN?" The jury is out on what causes an MPN; some scientific documents point to some environmental impact or long-term noxious exposure. I wondered if my mom's treasured but highly corroded aluminum pots, in which she so lovingly cooked many stews and chicken soups, could have delivered something more than comfort.

I received no real answers because the causes of an MPN diagnosis remain elusive. MPNs typically tend to be an older person's condition (sadly true in my case, as I was just about to turn 60), although they can occur in younger adults. I have an MPN known as polycythemia vera (PV), which results in elevated red cell mass.

As I sat in the chair in shock, I felt even more dismayed when my doctor rattled off several questions concerning any strange and unusual symptoms I might be experiencing. For instance, do I have any intense itchy skin following my shower? What about visual disturbances, fatigue, shortness of breath, headaches or sweating, especially at night? Well, I can tell you I was undoubtedly profusely sweating now!

My doctor saw my anxious reaction as he provided more details about my diagnosis and tried to assuage my fears by telling me that the 1970s hit tear-jerker movie Love Story, with Ryan O'Neil and where the main character, famously played by Ali McGraw, tragically dies of an undisclosed terminal blood disease, gave all blood cancers a scary, fatal prospect and consequently a bad rap.

This anecdote did nothing by the way to soften the blow. I was still in panic mode, but I appreciated the doctor's message that blood-related cancers have come a very long way since then and are significantly more survivable today.

While my doctor tried to assure me that it was possible to live an expected lifespan, he was also blunt, telling me there are no cures or remission with an MPN. There is also the risk that an MPN diagnosis might progress to other cancers, particularly acute myeloid leukemia. Unfortunately, doctors do not know why MPNs transition into something more severe in some patients than in others.

Treatment options depend on your specific MPN and the severity of the symptoms. I now have a different doctor at another hospital where I am more closely monitored and have blood tests done every three months along with ultrasounds to check on my organs, specifically my spleen

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Diagnosed with a rare blood cancer–my journey so far con`t

which could be most impacted by this type of cancer. My current cocktail, which is unfortunately not served in a tall glass, consists of low-dose aspirin and a tolerated, but not without its drawbacks, chemotherapy drug to reduce cell growth rate.

As I absorb all the data on MPNs, I hope my story reminds everyone, especially women of a certain age, to prioritize their well-being and insist on annual check-ups, particularly getting their blood work done, which can identify and treat health issues before they worsen. I am extremely grateful to my family doctor who noticed something unusual in my blood work and referred me promptly to a hematologist. My PV diagnosis was thankfully caught early.

In the meantime, I hope we continue to advocate for better recognition of these rare conditions and diseases and keep working together, pushing for easier access to a family physician, equitable healthcare services, more diagnostic tools, clinical trials, and ongoing vital research.

A global effort to expedite rare disease treatments and, ultimately, to one day find more cures is the kind of nonfiction movie and happy ending we could all delight in!

Be sure to check out Heal Canada's newly launched digital magazine My Blood My Health, which covers hematological issues, including malignancies and other hematological disorders.

mybloodmyhealth.ca My Blood, My Health encourages peoples to get their blood checked yearly

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Listen, It’s My Heart.

by Christina Stuwe

I've advocated for women's heart health for six years. Why? There are two significant reasons for this.

First, "heart disease and stroke are the main causes of premature death in Canadian women." That means that "every 16 minutes, a woman in Canada is dying from heart disease or stroke."

Ms.Understood brochure: Heart and Stroke 2018 Secondly, I had a close call that almost made me a part of that statistic.

You see, I had a heart attack at age 44 but did not recognize the signs and only became aware of it three years later, during one of three ECGs I had. It was finally confirmed later that year with an angiogram. Had I been aware of the typical heart attack symptoms for women, I would have acted on them immediately. Some of my symptoms were nausea, heavy fatigue, sweating, and breathlessness, and I thought it was all because I carried a heavy item to our car on a hot summer day.

I also had pregnancy complications, which I later found out were warnings of an increased chance for future heart disease—a fact I was never informed of. "Nearly a third of young women with premature acute heart attacks have a history of pregnancy disorders. Gestational diabetes, hypertension, or pre-eclampsia doubles a woman's lifetime risk for heart disease." (Ms. Understood brochure: Heart and Stroke 2018) My journey toward advocacy started with me listening to my body. I listened to my heart racing like a freight train in my chest while watching cartoons with my son on February 18, 2017. I listened because I had lost a mentor, my son's godfather, and my mom to heart disease. My husband took me to the nearest walk-in clinic that day, and we began my journey of many steps to the truth together.

Over seven months, we listened, asked questions and had ECGs identify abnormal heartbeats. We listened and questioned my results and my cardiologist's, and when it felt like we were not being heard, we pushed for answers and further tests. An added benefit was having the support and voice of my husband on these appointments, who, when I felt emotionally overwhelmed, was there to continue questioning the doctor and help me process the information we were given.

I listened to Dr. Kealy and her team when they performed my angiogram. We listened as a family when the hard truth of my diagnosis was finally revealed to us. My heart had received minimal damage from my heart attack three years prior. Thank goodness for small blessings. My heart, however, had three major arteries that were blocked between 70 and 100%. We were shocked.

This meant that I required open heart surgery, a triple bypass, at 47. The trouble was that there were many people ahead of me who needed cardiac surgery, which meant I would have a prolonged four-and-a-half-month wait before it was my turn.

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Listen, It’s My Heart con`t

Six days after my angiogram, Dr. Teresa Kieser's office contacted my husband and me. She would be my amazing cardiac surgeon. My consultation was booked for February 14, 2018, Valentine's Day. How cosmic to receive a message like that; you bet I was listening!

Having extensive surgical experience, Dr. Kieser assured me of a successful procedure and a promising prognosis for a long and healthy life, citing a 98% chance of success. So, long story short, I am here thriving and advocating for women's heart health because I listened to my body and trusted my intuition. This quest for listening drove me to write a book about my journey, to hopefully have other women "listen" to their bodies and stand up and advocate for them.

My book, "Yes, It's My Heart... Is It Yours Too?" summarizes my journey, lessons learned, struggles, and realizations about my heart and its voice. I encourage you to "listen" as well.

As I wrote in my book, "May you listen to your own inner heart, face the fears, face the challenges, and do what you need to do. Yes, it won't be easy. It will be messy, and it will take hard work! Will it be worth it? Embrace the journey, and you will answer that for yourself."

If you're interested in reading more about my experiences, the things I discovered, and the helpful advice and tips I learned on this journey, grab a copy of my book on Amazon.

Christina Stuwe was raised in Calgary and is married with a son. She’s worked in the financial industry for over three decades, helping families financially. Currently, she is using her public speaking experience and people skills to pass on her message. As a woman with lived experience, she shares her knowledge with various heart studies. Christina has also been featured on Global and CTV News, the Sunday Night Health Show podcast and online. She’s also a member of the Canadian Women’s Heart Health Alliance, a former spokesperson for Heart & Stroke and is now the author of her first book.

Contact Info: Email: christinastuwesheart@gmail.com Instagram: @christinastuwesheart Facebook: Christina Stuwe X (formerly Twitter): @christinastuwe

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Share your Patient Journey Story with us!

If you would like to share your story about your journey, as a patient, caregiver, or advocate, send us a short (150 words) description of your journey, for consideration in an upcoming issue! email your submission to: digitalmagazine@healcanada.org

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Living Well

In this vibrant corner of Heal Canada Digital Magazine, we're excited to introduce you to our "Living Well" section – a treasure trove of inspiration and guidance for those seeking a healthier, happier, and more balanced life. Our mission is to empower you with expert insights, the latest health trends, and personal wellness stories that resonate with real-life challenges and triumphs.

Here, we explore the many facets of well-being: from nourishing your body with wholesome nutrition to rejuvenating your mind through meditation and mindfulness. You'll find practical advice on exercise, mental health, and preventive care, all tailored to fit into your busy lifestyle.

But "Living Well" is more than just a guide; it's a community. We encourage you to engage with us, share your journeys, and learn from others who are on similar paths. Whether you're taking the first steps towards a healthier you or are further along your journey, we're here to support and inspire you at every turn.

Living Well will provide topics that matter the most to your health and happiness. Let's celebrate the joy of living well together!

Cardiologists secrets for a healthy heart.

by Brigitte Léonard, Ph.D

Almost all advice on reducing cardiovascular risk includes diet, weight loss, exercise programs, and stress reduction recommendations. When we asked eighty cardiologists what they do for their cardiovascular health, their answers fell mainly into these categories. No surprise here. These basic principles for a better life may seem easy, but why is it so challenging to integrate them into our busy lives? Let's explore their vision and how to incorporate these vital elements into our lives for a healthier heart.

Smoking

It's encouraging to see that only one doctor mentioned tobacco, supposing a decline in this harmful habit. Not smoking, exercising regularly, and maintaining a balanced diet can collectively reduce the risk of heart attack by a staggering 86%. This significant risk reduction underscores our lifestyle choices' profound impact on heart health.

Testing, Monitoring and follow up

While adopting a healthy lifestyle is always beneficial, it's crucial to remember that everyone has unique genetic risks for heart disease.

Understanding your family history, assessing your risks with a professional, and taking appropriate steps to manage them can significantly improve your heart health.

This knowledge empowers you to take control of your health. It makes you more informed and responsible in decision-making about heart health because sometimes a healthy lifestyle is not enough.

"I see my doctor.", "I check my blood pressure and sugar."

"I don't smoke"

"I know my risks, my heredity."

"I have my heart checked regularly."

"I take a statin because of my high cholesterol."

People with a healthy weight might be less susceptible to being screened for blood pressure, cholesterol, and blood sugar. Most of these risk factors are not associated with specific symptoms. Some cardiologists stressed the importance of monitoring these factors regularly.

"I pay attention to female risks, and monitor my hormone levels."

There are particular risks to women related to reproductive hormones and certain diseases more common in women. In addition, menopause deprives women of the beneficial effects of estrogen on blood vessels - including lower cholesterol levels. If you are perimenopause, it is essential to talk to your doctor about these risk factors.

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Cardiologists secrets for a healthy heart, con`t

Physical Activities Guidelines target 150 minutes of cardiovascular activities weekly because they reduce blood pressure, increase good cholesterol (HDL), lower bad cholesterol (LDL) and triglycerides, and stabilize blood sugar levels.

In addition, regular exercise has proven to be a fantastic stress management strategy. It reduces spikes in cortisol, the hormone associated with stress, which is associated with an increased risk of heart attack or stroke.

Time and motivation are the most significant limitations to maintaining a sufficient activity level in adulthood.

Time We have to reprioritize exercise in our lives. We can schedule exercise sessions in our calendars just like we write down a business meeting.

To adopt and maintain a proper level of exercise, we need to make it as easy as possible. Integrating exercise into daily activities is one of the best ways to reach the target activity level associated with better health. Every little effort counts.

Take the stairs Park a certain distance from your destination Stand as often as possible Exercise in front of the TV Breakdown exercise into ten-minute blocks

"I plan my training sessions in my schedule."

"I go to work by bike."

Motivation The less the exercise weighs on us, the better our chances of doing it. Motivation is essential to staying active.

Pleasure is definitively an essential factor.

Partners: We are social beasts; partners with two or four legs can help us achieve our objectives even on rainy days.

Measures can motivate: a person is considered active with 10000 daily steps.

Timing: Sticking to the training routine is easier if planned in the morning because motivation fades with the energy during the day.

"I have sex often."

"I adopted a dog."

"I recruit partners to motivate me."

"I wear a pedometer."

"I train in the morning."

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Cardiologists secrets for a healthy heart, con`t

Healthy Eating A 2016 study found that being overweight could take away one to three years of life expectancy, while obesity could take away up to eight. The effect is even three times worse for men than for women.

OK, what are we supposed to do with this statement? We do not know what is good for us anymore. Should we avoid fat or sugar?

Should we eat more meat because protein is good now? What a nightmare! Twenty-eight of the cardiologist's responses were related to eating habits. You will find a summary of their priorities in the following table.

Reaching and maintaining a healthy weight is work for everyone, even cardiologists. Here is what they do to avoid gaining weight over time.

Drinking water reduces calorie intake during the day and avoids dehydration, which increases blood viscosity and can damage organs.

Even doctors can learn valuable tips from nutritionists.

"I count calories.",

"I weigh myself every day."

"I drink a ton of water."

"I took a course on nutrition."

Below, we can see some of their tricks to avoid hunger and its best friend: poor judgment.

"I never skip breakfast."

"I have healthy meals delivered, or I prepare "I eat raw fruit and my meals for the week."

vegetables while preparing the meal"

Some cardiologists follow specific diets or focus on foods they privilege or avoid. Clear, simple trends establish themselves when you review their comments. They avoid highly transformed food rich in transformed sugar (high fructose corn syrup) and trans fat. They also avoid processed meat (sausages, deli) and red meat. There is a clear link between transformed food and red meat and cardiovascular diseases.

We better understand now how different cooking oils affect our heart health. Avoid products with palm oil and instead look for those with canola oil. Olive, Grapeseed, coconut, avocado, and almond oils are also good choices. Frying food is terrible for our health because reused cooking oil turns into trans fats, which clog the arteries.

The Mediterranean, no-white, and vegetarian diets have some common ground. They all recommend eating vegetables, fruit, wholegrain cereal products, and lean protein sources.

"I follow the Mediterranean diet" "I eat a 'no white' diet" "I tried a vegetarian diet"

"I skip hot dog meals" The serie of "I avoid "... simple sugars, saturated fats,salty foods. "

"I avoid frying."

"I choose my cooking oils carefully."

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Cardiologists secrets for a healthy heart, con`t Fruits and whole grain products should be the preferred source of sugar. They contain more fibres than white and transformed products. Soluble fibre protects the heart by absorbing lowdensity lipoproteins – the 'bad' cholesterol – and facilitating their excretion. Berries contain natural antioxidants (like vitamins C and E) and anthocyanins (the pigments that give colour) that help the heart.

Lean protein can be chicken, fish, legumes, and even eggs. Recent studies have shown that a cholesterol-free diet does not necessarily lower a person's cholesterol levels.

When the cholesterol level in a food is high, it often acts as an antioxidant.

Eggs are great foods, with saturating proteins and essential fats.

And what about pleasure? We all have one life, after all. Do we have to eliminate chocolate, wine, and fries from our lives? No, not at all.

Based on cardiologists' wisdom, the trick is to drink moderately, eat good dark chocolate, and eat less greasy fries cooked with olive oil in the oven.

"I don't buy fruit juice"

"I read labels carefully" The serie of "I eat" ... berries every day, a lot of protein, eggs, dark chocolate.

"I make myself less greasy fries in the oven"

Supplements and other healthy habits A study showed that women who took a multivitamin for more than three years significantly reduced their risk of heart disease and death from such disease.

Certain types of probiotics have been shown to significantly decrease bad cholesterol and inflammatory markers that can lead to heart disease.

It has recently been proven that the flu vaccine offers protection against the onset of atrial fibrillation.

Enough magnesium level in our body reduces the risk of excess cholesterol production.

Recent studies indicate that vitamin K2 is essential for heart health. It works by circulating calcium through your bones instead of letting it clog your arteries. Some studies suggest that vitamin K2 can reverse coronary calcification, a disease that causes a blockage in your arteries.

Vitamin D deficiency is widespread, and studies have demonstrated that low vitamin D levels are significant predictors of high blood pressure and blood sugar levels, cardiac death, heart attacks and strokes.

"I take a good multivitamin."

"I take vitamin D and K2 supplement."

"I take probiotics."

"I get vaccinated against the flu every year"

"I mix magnesium powder in my water"

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Cardiologists secrets for a healthy heart, con`t

Relaxation and social life The quality and quantity of our social relationships are intimately linked to our overall health and a lower risk of death. Forget about work occasionally and focus on your loved ones instead, which will help improve your cardiovascular health.

Unpleasant conversations raise heart rate and blood pressure, and stress increases the secretion of hormones (cortisol, norepinephrine, catecholamine, and adrenaline) that damage the cardiovascular system. Small things such as a good laugh can reduce stress, dilate the arteries, and reduce blood pressure. So, reducing stress in our lives is vital. It is up to you to find what is working for you.

"I take time with my friends and family."

"I keep toxic person at bay" "I practice yoga" "I meditate" "I read to relax"

The World Health Organization has even shown that small green spaces in cities are good for cardiovascular health, lowering mortality rates.

Studies have shown that expressing gratitude impacts our heart health by increasing heart rate variability and lowering levels of inflammatory biomarkers. It is a good exercise for the soul and the body.

"I spend time in the park" "I go hiking."

"I keep a diary of gratitude"

Sleep People today sleep up to two hours less per night than 100 years ago. This decreased sleep is associated with higher blood pressure and increased risk of heart disease.

A good sleep hygiene is: ·No screens in our room. ·No caffeine in the evening. ·Limiting alcohol consumption.

Relaxation activities before sleeping like herbal tea, gazing at the stars, and reading In case of insomnia, we can take a small dose of melatonin and 5HTP supplements to help us fall asleep and sleep through the night.

Sleep apnea, one of the most common sleep disorders, causes you to take long breathing pauses while sleeping. Long breathing pauses can deprive your organs of oxygen and wreak havoc on your heart health, such as heart attacks, arrhythmias, heart failure, strokes and high blood pressure.

"I sleep 8 hours a night, every night" "I have good sleep hygiene."

"I take an herbal sleeping pill."

"I did tests to detect sleep disorders."

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Satisfy Your Sweet Tooth: Combat Your Cravings: Are you ready for this shocking fact?

by Sue Lemoine, RHNP

The average North American, according to recent research, consumes roughly 150 pounds of sugar a year.

What!!?? That sounds like A LOT and to me that is shocking.

Hopefully it is to you as well.

When you consider that as a fact, it’s not difficult to guess why we, as a nation, struggle with obesity and diabetes. Mildly overweight people usually store about 5% of the sugar they eat for energy. They metabolize about 60% and they store the rest, about 35%, as fat for future energy needs. The problem is that we rarely need to tap into those fat stores so they just keep accumulating.

Our “Sweet Tooth” is killing us.

What we whimsically call a “sweet tooth” is really just a cute name for a sugar craving, or a passion for sweet foods. If you’re the person most likely to hit the dessert bar twice, you probably identify as someone with a “sweet tooth.” And that might not be entirely your fault.

Recent evidence suggests a genetic root to the lust for sugar. PLUS research proves that “Sugar Addiction” is as real as drug addiction and probably harder to beat. Hardcore metabolic roots for those sugary cravings mean that sugar junkies who really want to combat their desires need to find healthy alternatives to satisfy their sweet teeth.

What are the genetic causes for a sweet tooth?

Studies in recent years show that people who crave sugar tend to have a “weak sweet taste.”

That means that they need more sugar than a normal person to taste the same level of sweetness. Genetics appear to account for about 30% of the differences in peoples’ ability to taste sweetness according to a study of identical and non-identical twins at the Monell Chemical Senses Center.

The same research demonstrated that contrary to popular thought, eating a lot of sugar as a kid didn’t anesthetize participants to sweetness. It’s a genetic thing. Some people are just born with a sweet tooth.

So what happens when DNA supplies you with weak sweet receptors? Sweets are more appealing to you than to most people. You eat more sugar to satisfy your desire for sweetness.

And that means you take in more empty calories that your body will helpfully store as fat in case you need that energy later. Thanks.

What is sugar addiction?

Sugar over stimulates the reward centers in your brain and according to some experts, causes addiction. Other experts dispute whether sugar addiction exists, but what I know is when I eat sugar I want more and more and more. So regardless of what the experts say, I feel like it's an uncontrollable monster within me.

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Satisfy Your Sweet Tooth con`t Here's what we all agree on ... foods with a lot of sugar cause our brains to release massive amounts of dopamine, the same brain chemical that illicit drugs, like cocaine and meth, amp up to create euphoria. That’s what we mean by a “sugar high.”

When we eat a lot of high-sugar foods frequently, we train the brain to be less conscious of the increased dopamine levels. And once the brain is less receptive it takes more and more sugar to create the same feeling, just like building a tolerance to an addictive drug. Because sugar manipulates our brains’ reward centers, and functions a lot like nicotine or cocaine, folks with a predisposition toward addiction are more likely to get addicted to sugar and to lose control of their ability to regulate consumption.

Well that sucks. But I have good news! You CAN satisfy your sweet tooth and put the kibosh on those crazy cravings by choosing healthier snacks and limiting the amount sugar you swallow.

You know that you need to set down the candy bars, step away from the ice cream, and lay off the sodas and desserts but did you also know that dairy, fruit products, and white flour pack a huge sugar punch?

The top three sources for added sugar in the North American diet are: Soft drinks, energy drinks, and sports drinks; Baked desserts with a grain base like cookies and cake; Sugar packed fruit drinks like juices and smoothies.

But before you start to despair, let’s get back to all of the incredibly tasty options you have to satisfy that sweet tooth and curb yourcravings.

Fifteen Healthier Alternatives to Sugary Foods

1. Baked apple.

2. Banana Nice Cream (aka pureed frozen bananas) 3. All-fruit popsicle.

4. Homemade trail mix.

5. Baked sweet potatoes with cinnamon and nutmeg.

6. Strawberries dipped in cashew cream sauce.

7. Coconut.

8. Grilled pineapple.

9. Frozen grapes.

10. Sliced pear, apple or banana with almond or other nut butter.

11. Home made granola bar or date square (no sugar added).

12. Green smoothie 13. Berries topped with a dollop of yogurt and granola.

14. Fruit crisp, also known as baked fruit with a sprinkle of nuts and granola.

15. Home-made protein balls.

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Satisfy Your Sweet Tooth con`t Now if your body has become accustomed to high-fructose, super-processed snack cakes, it will take you a while to get used to eating a frozen banana instead. But I promise that if you commit to working the sugar out of your diet, you’re going to feel so much healthier and energetic. And after a while, treats you once enjoyed will seem too sweet. You’ll be able to relish a truly divine chocolate dipped strawberry instead of eating a sleeve of Thin Mints.

You will learn to satisfy your sweet tooth with less sugar. Doesn’t that sound heavenly? To be in control of what you eat? To live without cravings?

I distinctively remember the first time I decided to experiment with not eating sugar. I decided I’d quit ALL sugar for one week. I wanted to see if I was addicted, and what symptoms I would experience. The symptoms showed up on day one with a headache and I felt very tired. I couldn’t concentrate. The next day my symptoms were worse. I actually thought I had the flu. The third and fourth day were better until finally on the fifth day all withdrawal symptoms were gone and I felt FANTASTIC. I actually felt light and alive and in such a good mood. I was shocked at how profound it was.

Now I really limit my sugar intake, but when I do have too much sugar, I actually feel like I have a hangover the next day. It’s really shocking.

So let’s do it. I challenge you to go without sugar for just one week (and check all food labels for sugar – which means no ingredients with “ose”) Do not let sugar kick your butt. Jump in and try it for just one week. And let me know how you do.

It’s time to kick those sugar cravings to the curb so you can live the healthy, happy life that you deserve!

If you have any questions, please reach out to me, anytime.

Sue Lemoine, RHNP Flourish Holistic Nutrition sue@flourish-nutrition.ca www.flourish-nutrition.ca

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7 Quick + Simple Healthy “Mini-Meals”.

by Sue Lemoine, RHNP

These mini-meals are great if you want something easy to prepare and light.

Simple Hummus Dip Yields: approx. 3 cups

Ingredients 3 cans of chickpeas + 1⁄2 cup water 1⁄4 cup tahini 1 tablespoon olive oil 1⁄4 cup lemon juice 2 garlic cloves, peeled and minced 1 teaspoon cumin 2 teaspoons salt Directions Place all ingredients in a high-powered blender and blend on HIGH for a minute. If the mixture is not moving smoothly, add a small amount of water and press ingredients down into the blades with a tamper. Resume blending.

Taste and add more salt, if needed.

Enjoy with crudités and crackers.

Corn Salsa

Yield: 12 servings Ingredients 3 cups or 2- 12 oz. bags frozen corn kernels, thawed 1⁄2 cup red onion, finely chopped 1⁄2 cup fresh cilantro, finely chopped (~ 1⁄2 bunch) 1 jalapeno, finely chopped 1⁄4 cup lime juice 1 tablespoon apple cider vinegar 1⁄4 teaspoon chili powder 1⁄4 teaspoon ground cumin 1 teaspoon sea salt 1⁄4 teaspoon black pepper Directions In a medium bowl, combine all the ingredients. Stir well.

To make it spicier, add more jalapenos.

Refrigerate salsa for minimum half an hour.

Enjoy with chips or as a topping on pork tacos!

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Easy Tomato Soup Serves 4

Ingredients 4 tablespoons unsalted butter 1 large onion, cut into large wedges 1 celery stalk, chopped 1 carrot, peeled and chopped coarsely 2 (28-ounce) cans tomatoes, whole peeled or 12 medium-sized fresh tomatoes, previously peeled 4 cups water or chicken stock 1 teaspoon fine sea salt, or more to taste Directions Melt butter over medium heat in a large pot.

Add onion wedges, celery, and carrots. Saute for 4 minutes over medium-low heat.

Add water or stock, cans of tomatoes with their juices, and salt. Bring to a simmer. Cook, uncovered, for about 40 minutes. Stir occasionally and add additional salt as needed.

Blend the soup with an immersion blender and then season to taste.

Enjoy with grilled cheese sandwiches or crackers and cheese!

Simple + Healthy Pumpkin Yogurt Dip Ingredients 1 cup plain greek yogurt 3/4 cups pumpkin puree 1/2 – 1 tsp pumpkin pie spice 1/2 tsp vanilla extract 1-2 Tbsp maple syrup Preparation Combine ingredients in a small bowl.

Stir to combine.

Taste and adjust spices and sweeteners if needed.

If the dip is too thick, add a couple tablespoons of water to thin.

Energizing Oat Balls Ingredients ½ cup peanut butter ⅓ cup honey 1 ½ cups oats ½ cup dried cranberries ⅛ cup coconut oil, melted ½ cup coconut flakes 3 tablespoons ground flaxseed

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Directions Mix everything in a large bowl.

Roll the mix into 1-inch balls. If the mix is too sticky, damp your hands with water.

Set the balls in the fridge for about 20 minutes. Enjoy!

Chocolate Chia Seed Pudding Ingredients ● 1 - 14 oz can coconut milk ● 1⁄3 cup chia seeds ● 1⁄4 cup maple syrup ● 3 Tablespoons cocoa powder ● 1 teaspoon vanilla extract ● 1⁄4 cup coconut flakes ● Raspberries or blueberries (optional for topping) Directions In a 1 quart-sized bowl, combine all ingredients (except berries).

Whisk together and chill for at least 3 hours.

Serve into bowls and top with berries.

Homemade Apple Pie Larabars Ingredients 9 large medjool dates 1/4 cup raisins, packed 1 ½ cups dried unsweetened apples ½ cup raw cashews ½ cup raw walnuts ½ cup raw almonds ½ teaspoon cinnamon ¼ teaspoon salt ½ teaspoon lemon juice 1-2 teaspoons water (if needed) Preparation Place all the ingredients in the food processor, with the dried fruit on the bottom, and blend until the fruit and nut mixture is finely chopped and sticking together. At this point, if the mixture is not sticking together, you may add a teaspoon of water and process again, adding more water as needed, until it starts to stick together.

Line an 8x8 or 9x9 inch baking dish with wax paper, with extra hanging around the sides to cover the mixture.

Pour the mixture into the dish and cover with the extra wax paper. Press or roll the mixture out until it's smooth.

Lift the wax paper out of the pan and cut the fruit & nut mixture into 10 equal bars. Wrap individually in wax paper or plastic wrap or enjoy right away.

Store in the pantry for up to 3 months or refrigerator/freezer for up to 6 months.

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Ask the Professional Welcome to the "Ask the Professional" section of Heal Canada Digital Magazine, a dedicated space where curiosity meets expertise in the realm of healthcare.

In our pursuit to empower patients and their advocates with knowledge, this section bridges the gap between medical professionals and our readers, offering clear, accurate, and practical answers to your most pressing questions. Whether you're navigating the complexities of clinical trials, seeking advice on managing chronic conditions, or exploring the latest in wellness trends, our experts are here to provide you with insights grounded in the latest research and clinical experience.

Let's embark on this journey of understanding together, fostering a community where informed decisions lead to better health outcomes.

Ask the Professional.

Maureen Carpenter, BSC, RN, CD provides her insight .

1) What are the fundamental rights patients should be aware of when receiving treatment for chronic conditions like Myeloproliferative Neoplasms?

In Canada, the Patient’s Bill of Rights (excellent comparative overview online) ensures that all patients have rights to clean and safe care environments, the right to be treated with dignity and respect, the right to protection of privacy, the right to independence and self-determination, the right to high-quality services that comply with health standards, the right to have all relevant information to ensure they can make informed decisions about their care, the right to participate in their care and in doing that they will have a voice, the right to decline student involvement in your care, the right to recognition of an Advance Care Directive, the right to a second opinion, the right to pain and symptom control/ management, the right to refuse medication or treatment BUT no legislation gives a patient the right to demand a medication or treatment, and finally, the right to MAID (Medical Assistance in Dying).

2) How can patients effectively advocate for themselves within the healthcare system to ensure they receive the best care?

Each province will have Health Information Act publications with many allowances for access to a patient’s health information and correcting any errors. Education is the key to knowledge, and a patient who is informed about their condition, treatment(s), and rights will be the best advocate for themselves.

A patient may appoint a substitute decision-maker. You have the right to appoint a substitute decision-maker (SDM) who will represent you if or when you can no longer make your own medical decisions to advocate when the patient cannot.

3) What resources are available for patients and caregivers to understand and navigate their healthcare rights and responsibilities? Other than specific provincial health publications.

Foremost Charter of Rights and Freedoms- this document does not expressly guarantee rights to healthcare or a right to access healthcare. What the Charter does do is protect health related values and access to medically necessary services.

Secondly Patient’s Bill of Rights- this document expresses the truth that patients are people who possess the same fundamental human rights extended to all Canadians.

Thirdly Public Health Act in Canada- this document addresses the duties of the Chief Medical Officer of Health, deputy and medical officers of health; outlines the responsibilities of regional health authorities; deals with the treatment of communicable diseases; addresses epidemics; and deals with public health emergencies.

Lastly Government of Canda Health Act which is mainly about insurance, insured services, interprovincial travel healthcare coverage, etc, to ensure access to health services without financial or other barriers.

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Ask the Professional con`t

4) What are a patient’s responsibilities when receiving healthcare services?

Treat staff with the courtesy and respect they wish to receive back.

Be an active participant in the development and implementation of their care/ treatment plan.

Keep your care team informed of changes to or developments in your health status and support services.

Also, keep care team aware of address or contact information changes.

Be available for treatments, don’t miss appointments if possible. If missing an appointment is unavoidable ensure that your team is aware in advance, if possible, that an appointment or treatment cannot be attended.

5) What steps can patients take if they feel their rights are being violated or their healthcare team does not address their concerns?

Examples of rights violations could be: · Inadequate disclosure of risks, benefits, and alternatives associated with medical procedures or treatments. · Performing procedures without securing the patient’s informed consent. · Incorrectly diagnosing or delaying the diagnosis of medical conditions, leading to worsened prognosis. · Neglecting to recognize and address obvious symptoms. · Administering incorrect medications or dosages. · Overlooking a patient’s allergies or potential drug interactions. · Conducting the wrong surgery or operating on the wrong body part. · Leaving surgical instruments or foreign objects inside patients. · Departing from established medical protocols and care standards without justification. · Unauthorized disclosure of a patient’s medical information. · Inadequate monitoring of a patient’s condition. · Failing to follow up on test results or ensure appropriate post-operative care. · Breaching patient privacy by discussing sensitive information without consent.

Violation of patient rights would be a legal issue requiring the expertise of a medical malpractice lawyer. Other avenues would Human Rights Tribunals within home province.

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Resources

Care partners

Are you a care partner for a patient?

Visit our website for resources that can assist you in helping your patient with a better quality of life living with their diagnosis, and find resources that can assist you as a care partner.

Visit www.healcanada.org

Patient Advocacy Groups Visit our website at www.healcanada.org for resources needed to help your advocacy group grow and assist your community

Stakeholder Resources Visit our website at www.healcanada.org for resources needed to help you in working with advocacy groups

Questions to ask your specialist.

When facing a health concern, your initial visit is to your primary care provider or family doctor.

However, consulting a specialist may become necessary for more intricate health issues.

Arriving at your appointment with prepared questions is crucial to help you understand your condition, treatment options, and what to expect.

Here are a few common questions to ask your specialist at your first consultation: ● What is my diagnosis, and what does it mean? ● What are the potential causes or contributing factors of my condition? ● What are the available treatment options, and what do you recommend for me? ● What are the potential risks and benefits of each treatment option? ● Are there any lifestyle changes I should consider to manage my condition better? ● What can I expect in terms of recovery or improvement with treatment? ● How frequently should I follow up with you, and what signs or symptoms should prompt me to seek immediate medical attention? ● Are there any specific tests or procedures I must undergo, and what do they involve? ● Do you have any educational materials or resources to help me learn more about my condition?

Having a partner, friend, or relative accompany you to your appointment can be highly beneficial.

They can serve as an additional set of ears and act as your advocate. These questions can be a starting point for a productive conversation with your specialist and ensure you receive the information and guidance you need for your care.

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Join Heal Canada's Patient Advisory Council Be part of the Heal Canada Resource Advisory Council. Provide ongoing feedback on issues relevant to Patient Advocacy in Canada. We are looking for Patients, Care-partners, and General Advocates Send you information to: Admin@healcanada.org or visit our website and fill out our application form and find out more details about time commitment required.

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CONTACT HEAL CANADA TO ASSIST YOUR ORGANIZATION IN HELPING GROW AWARENESS AND RAISE VALUABLE DOLLARS FOR YOUR MISSION ADMIN@HEALCANADA.ORG

Experiential Fundraising for your mission and create awareness for your organization? contact Heal Canada for more information about how your group can raise funds for your mission and create awareness

Let us know what you think!

Subscribe to receive your digital copy of Heal Canada visit www.healcanada.org

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Join our Resource List Patient Advocacy Organization Registry Have your Patient Advocacy Organization listed with Heal Canada, so that Patients & their Carepartners can find you!

Send your coordinates to: admin@healcanada.org & we will add you to our Patient Advocacy Registry

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The Smile File

Something to make you laugh and smile!

“Everybody laughs the same in every language because laughter is a universal connection.” – Jakob Smirnoff

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References AI McKinney, S. M., Sieniek, M., Godbole, V., Godwin, J., Antropova, N., Ashrafian, H., ... & Suleyman, M. (2020). International evaluation of an AI system for breast cancer screening. Nature, 577(7788), 89-94. https://doi.org/10.1038/s41586-019-1799-6 Emerging therapies: 1) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354685/?report=printable 2) https://www.nejm.org/doi/10.1056/NEJMoa2304968?url_ver=Z39.882003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed 3) https://ashpublications.org/blood/article/138/Supplement%201/2704/478718/ClinicalOutcomes-and-Treatment-Strategies-for The Age of Anger: Strategies for Controlling a Growing Emotional Crisis 1. https://www.gallup.com/analytics/349280/gallup-global-emotions-report.aspx 2. https://www.mentalhealth.org.uk/sites/default/files/2022-09/MHF-boiling-point-report_0.pdf 3. https://newsroom.aaa.com/2022/12/going-in-reverse-dangerous-driving-behaviors-rise/ Reading for Well-Being 1- a-third-of-canadians-read-daily 2- canadians-and-their-leisure-time-in-2022-leisure-reading-study 3- news-room/questions-and-answers/item/stress 4- reading-reduces-stress-by-68-percent 5- The_Immediate_Effects_Of_Yoga_Humor_And_Reading_On_Stress 6- ncbi.nlm.nih.gov/pmc/articles 7- ncbi.nlm.nih.gov/pmc/articles 8- ncbi.nlm.nih.gov/pmc/articles 9- reading-well.org.uk 10- the-mental-health-benefits-reading 11- magazine/relationships/the-importance-of-community Pediatric 1) https://cps.ca/en/documents/position/promoting-optimal-mental-health-outcomes-forchildren-and-youth

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Supporters

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Heal Canada Team Brigitte Leonard, Ph.D Brigitte Léonard is the Chief Scientific Officer at Heal Canada, a registered not-for-profit organization advocating equitable access to quality healthcare across Canada. She had the privilege of working in Pharma for over 20 years, contributing to bringing lifechanging treatments to patients with the highest ethical standards. Now, she wants to share her knowledge and utilize her scientific, strategic, and communication skills to help the patients’ community.

She obtained her Ph.D. in Biomedical Sciences from Université de Montréal in 2003. Her doctoral research was conducted under the supervision of Dr. Denis-Claude Roy at GuyBernier, Maisonneuve-Rosemont Hospital Research Center. She developed a quantitative diagnostic assay in non-Hodgkin's lymphoma and evaluated the relevance of this marker in the patient's outcome.

Wendy Reichental, B.A. Wendy Reichental, Program Manager, Heal Canada. Wendy holds a B.A. and a Diploma in Human Relations and Family Life Education from McGill University. She is certified in foot reflexology.

Throughout her career, Wendy has showcased her insightful perspectives through her writings, which have appeared in publications such as The Montreal Gazette and Ottawa's Globe and Mail. She has also contributed to specialized platforms like Booming Encore and Refresh Reflexology Magazine, demonstrating her versatility in addressing diverse audiences.

Wendy’s writings have appeared in publications like The Montreal Gazette and Ottawa's Globe and Mail. She is a regular contributor for Booming Encore, niche platforms such as Refresh Reflexology Magazine, and numerous online forums. Wendy's unique observation on the initial days of the pandemic lockdown is captured in the anthology Chronicling the Days: Dispatches from the Pandemic, published by Guernica Editions in the spring of 2021.

Cheryl Petruk, MBA B.Mgt. Cheryl A. Petruk is a multifaceted professional whose career spans across patient advocacy, business, and post-secondary education, showcasing her dedication to making a significant impact in each of these areas.

Cheryl's transition into patient advocacy was driven by a passion from her family circumstances and a deep commitment to ensuring patients' rights and access to care.

Cheryl has worked tirelessly to bridge the gap between the healthcare system, patients, and pharma stakeholders, ensuring that patients' voices are heard and their needs are met.

Her work involves collaborating with Stakeholders and Patient Advocacy Organizations, lobbying for patient centricity, and providing patient support and guidance. Cheryl's empathetic approach and dedication to advocacy have made her a respected figure in this field, admired by patients, healthcare professionals, and fellow advocates.

Cheryl also leads and is the lead faculty member at CACHEducation, Patient Advocacy Training.

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