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Healthy. Together. SPRING/SUMMER 2015

Markham.Stouffville.

Celebrate the Pan Am Games Markham’s Michelle Li has hometown advantage Compliments of the Markham Stouffville Hospital Foundation. Please take this magazine with you and share it with your family and friends.

mshf.on.ca

TM


Healthy. Together.

in this issue

Markham.Stouffville.TM

Spring/Summer 2015 Publisher Ian Proudfoot Regional General Manager Shaun Sauve Associate Publication Manager Lee Ann Waterman Markham Stouffville Hospital Editorial Advisors Lisa Joyce, Suzette Strong Contributors Sheena Campbell, Jim Craigmyle, Cathy Hillard, Bill Hodgins, Sue Kanhai, Joann MacDonald, Rebecca Reid Director of Advertising Debra Weller

message from our CEOs 3

24

26

We celebrate the Pan Am and Parapan Am Games

A proud heritage, an extraordinary future 8

Michele Li has hometown advantage

10

A legacy of excellence

Meet our MSHeroes Making a difference for 25 years

11

Pachi has local roots

12

MSH is ready and willing

Jo-anne Marr MSH welcomes our new president and CEO

12

ER nurse to carry torch

at your hospital 22

cover story

Interventional radiology the future of care Dr. Sundeep Toor comes home to make a difference

How’s your sleep hygiene? Tips for a good night’s sleep

30

Ask the specialist Health care professionals take your questions

supporting your hospital 18

20

Fairgate Homes Building homes, building community

Quality of life, at the end of life Palliative care team supports people to live well, for whatever time remains Young philanthropists pay it forward An early start to giving back

events 4

MSH celebrates 25 years Anniversary Ball raises $725,000 for equipment

6

Highlights of past events

32

Join us! Upcoming events benefiting the hospital

your community partners 28

Advertising Team Lucy Adams, Zepure Bakmazian, Pam Burgess, Dawn Chaykowsky, Tyler Duncan, Alex LeClerc, Carolyn Norman, Mike Sinainos Regional Director Production and Creative Services Katherine Porcheron Graphic Designer Michelle Al-Jbouri Director of Business Administration Rob Lazurko Director of Distribution Carol Lamb Healthy.Together.Markham.Stouffville. is published twice a year by York Region Media Group Ltd., in partnership with the Markham Stouffville Hospital Foundation. TM

keeping you healthy 14

Advertising Manager Mara Sepe

Copyright 2015. All rights reserved. No part of this publication may be reproduced without the written consent of the publisher.

The material in this publication is intended for general information purposes only and, while every effort is made to ensure the accuracy of the material, it does not constitute advice or carry the specific endorsement of either York Region Media Group or Markham Stouffville Hospital. Readers are encouraged to consult their doctor to discuss their health concerns.

mshf.on.ca 1


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message from our CEOs

A proud heritage. An extraordinary future.

T

hese two lines represent Markham Stouffville Hospital and are two of the key reasons why I was so attracted to leading this great organization. MSH is well-known and well-respected by its community. The hospital grew out of community support and advocacy and continues to thrive today from that same level of unwavering support. The future for MSH is bright and filled with great potential. The new and renovated spaces provide ideal environments for our team to care for patients and for us to grow our programs and services. Over the coming years, we will open new beds and expand our services to meet the needs of our community. In the pages of this magazine you will learn more about how MSH continues to embrace the art and science of health care. A particularly touching article about our palliative program speaks to the art of health care and what a tremendous impact that can have on patients and their families. The science of health care is evident throughout the organization and in our commitment to technology featured in the interventional radiology article. It is a great example of how new technology benefits patients and allows innovative care close to home. I hope you enjoy reading these articles and learning about the team at MSH. I’m excited about the future and I’m truly honoured to be in the role of President and CEO. I believe that by working together we will support the organization along its journey – focused on quality, patient care and innovation. Thank you for welcoming me into the community and I look forward to working with you for many years to come.

Jo-anne Marr President & CEO, Markham Stouffville Hospital

T

ogether, we are celebrating the 25th anniversary of Markham Stouffville Hospital, the arrival of its new leader, Jo-anne Marr, and an exciting summer season that includes the 2015 Pan Am and Parapan Am Games. With the start of the games next month, our vibrant City of Markham will be in the global spotlight. As will several local athletes and residents. What an incredible story Michelle Li shares about personal dedication and her desire for a podium finish in this, her hometown, in front of her family, friends and her community. And how exciting for us within the hospital community to cheer on one of our own, Bonnie Alexiou, an emergency room nurse who will represent us all in the Pan Am Games Torch Relay. We hope that you all will share in the excitement and joy of this historic event. Community and corporate support is and always has been a powerful force for MSH, vital to drive health care innovation and to enable our continual growth. It is amazing what has been accomplished in the last 25 years through our collective energy, commitment, dedication, inspiration and shared vision. None of it would have been possible without the generous support from our community members, individuals and organizations, our staff, physicians and volunteers who share a common belief in Markham Stouffville Hospital. We have much to celebrate, most notably a quarter of a century of providing excellent care to our community. It truly is a proud heritage upon which our extraordinary future is built.

Suzette Strong CEO, Markham Stouffville Hospital Foundation

Compliments of the Markham Stouffville Hospital Foundation. Please take this magazine with you and share with your family and friends. mshf.on.ca 3


events

MSH celebrates 25 years EpicFocus Photography

Anniversary Ball raises $725,000 for equipment

On Friday, April 17, the Markham Stouffville Hospital Foundation threw a party with a purpose. The 25th Anniversary Ball at the Hilton Toronto/Markham Suites not only celebrated the hospital’s remarkable quartercentury milestone, it sought to raise $450,000 in hopes of purchasing some much-needed equipment. The foundation met its goal and then some. The more than 800 guests came together to contribute more than $725,000 for their hospital. “We have a lot to celebrate,” says gala chair Carol Wildgoose. “We have an amazing hospital that has done an incredible job of serving the community and, in turn, the community has been fantastic in supporting the hospital.”

Suzette Strong, CEO of MSH Foundation, (left) and Khalid Usman, chair of the foundation’s board of directors, present gala chair Carol Wildgoose with flowers.

Event Imaging Photography

Tony and Suzanne Cesaroni generously pledged $100,000 to purchase much-needed hospital equipment. Event Imaging Photography

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EpicFocus Photography

The annual gala is an important fundraiser for the hospital, raising money for much-needed equipment not funded by the province. Thanks to the generosity of gala-goers, cancer patients will soon have a new, state-of-the-art Meditech Oncology System, technology that streamlines the process of ordering drugs and managing treatment. Safe and accurate, it will hugely benefit clinicians, oncologists, pharmacists, nurses and the patients they care for. During the evening, the foundation made a separate equipment appeal: $50,000 to purchase a sentinel lymph node system navigator. The technolgy is used in breast cancer surgery and allows for more precise and accurate identification of the first lymph node to which cancer cells are most likely to spread from a primary tumor, which improves clinical outcomes. Morris Kansun of Sierra Building Group kicked off donations with a $25,000 gift. Donors Carlo and Angela Baldassarra; Tony and Suzanne Cesaroni; Terry Coughlin; Fred Darvish (Liberty Development); Jean and Les Gagnon; John and Diane Gibson; Mark Lievonen and Family; Aldo and Linda Scopazzi and Family; Lori Williams and Gary Halliday; and Rahul and Nita Shastri quickly followed suit. Together they contributed $280,000 to fund two navigators and give an additional $180,000 to the hospital’s greatest priority needs.

Morris Kansun of Sierra Building Group was the first donor for the equipment appeal.

John and Diane Gibson of E.E.S. Financial Services Ltd.

View more photographs at mshf.on.ca


EpicFocus Photography

The event included cocktails, gourmet meal, silent and live auctions, a raffle and special entertainment. It takes about 25 people working on two different committees, plus an additional 80 to 100 volunteers on the day itself. Without the volunteers, says Ms Wildgoose, the night would never happen. “This is an important job for them; it’s not taken lightly,” she says. “The fact they come back year after year is a testament to them and to how much the hospital means to them,” she says. Event Imaging Photography

EpicFocus Photography

Janet Beed, MSH president and CEO; Suzette Strong, CEO of MSH Foundation; and Khalid Usman, chair of the foundation’s board of directors, recognize Cathy and Evan MacDonald of the Village Grocer, presenting sponsor of the 25th Anniversary Ball.

The backing of local businesses is crucial to the gala’s success. The Village Grocer has been the presenting sponsor of the event since 2002. Owners Evan and Cathy MacDonald recently committed to another five years of support. “Evan and Cathy do great work, they truly care about the hospital and they make it a priority in their giving,” Ms Wildgoose says. “They have big hearts and, as a result, they’ve made a huge difference in the community.” “I grew up in Markham before there was a hospital. I recognize the importance of it and I recognize the need for support and I’m very happy to do it,” says Mr. MacDonald. “I’m very proud of the fact that many years ago, we decided to make a commitment to the hospital and it’s going to continue because it’s a major portion of what we do and I believe in it.” For eight years, Weins Canada has donated the gala raffle’s grand prize, a brand new car.

“We are delighted to do our part,” says Amin Tejani, vice-president of dealership operations. “The funds that have been raised through the efforts of the gala team, who work long and hard behind the scenes, are truly impressive. We are happy to do our part, which looks easy compared to the heavy lifting that goes into the event long before the evening starts.”

Event Imaging Photography

Erin Davis, gala emcee and host of the Erin & Mike Morning Show on CHFI, with Quintavious Johnson, America’s Got Talent finalist.

Reception sponsor, B+H.

City of Markham Mayor Scarpitti; Janet Beed, MSH president and CEO; and Ranjeet Wallia, hospital board chair.

Justin Altmann, the lucky winner of a 2015 Toyota Camry, with Amin Tejani, vice-president of dealership operations at Weins Canada.

mshf.on.ca 5


events

Highlights from our fall and winter community events It takes our community to support Markham Stouffville Hospital. We gratefully acknowledge the generous fundraising efforts of our many supporters. Every dollar raised offers life-changing and lifesaving potential for a family member, a friend or a neighbour. Thank you!

Whitchurch-Stouffville Firefighters Association and Stouffville Spirit’s “Care to Wear Pink”

10th Annual Angus Glen Half Marathon

3rd Annual A Night to Celebrate

Uncork Macedonia

Michael-Angelo’s Gingerbread Promotion

Stouffville Pharmasave Charity Barbecue

Lions Community Walk/Run for Happiness

Markham Fair and World’s Finest Show

Tim Hortons’ Coffee for Causes

Canadians of Pakistani Origin 13th Annual Fundraising Gala Dinner

WSP Employee Barbecue

View more photographs at mshf.on.ca 6 mshf.on.ca

Huawei Canada Holiday Gala

Dr. Kevin F. Brown & Associates’ Smiles for Life


COME BACK AND PLAY. The renovation to the championship South Course is complete and ready to host golf at the Toronto 2015 Pan Am Games.

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Jim Craigmyle photograph

Michelle Li: Pan Am athlete has hometown advantage by Lee Ann Waterman

When Michelle Li steps onto the badminton court at Markham’s Pan Am Centre this July, she’ll be competing for Canada in front of her hometown crowd and with the hopes of advancing the profile of her sport. Born in Hong Kong, Ms Li, 23, grew up in Markham. It was during a visit to her birthplace at age 11 that she was introduced to badminton by an aunt. Back home in Markham, she and her mom began playing weekly in a recreational program at a local church. An active kid with good hand-eye coordination, Ms Li showed a natural talent for the game. Soon she began lessons at Lee’s Badminton Training Centre in Markham, where she still trains with coach Jennifer Lee. 8 mshf.on.ca

At 17 and competing in her first world-class tournament in Switzerland, Ms Li decided she could play with the best. “Watching all the professional players, the top players of the world, compete, I decided I wanted to be like that. I wanted to be at the top,” she says. “And that’s when I realized I knew that I could do it.” In the five years since, Ms Li has recorded some big wins. In 2011, she took gold in singles and doubles (with Toronto’s Alexandra Bruce) at the Pan Am Games in Guadalajara, Mexico. The pair finished in fourth place at the Summer Games in London in 2012, the best Canadian finish in badminton at the Olympics. Last year, Ms Li won the Canada Open Grand

Prix, making her the first home player to win this title. She also took the gold medal at the 2014 Commonwealth Games, becoming the first Canadian woman to win a singles gold in Commonwealth badminton. But these wins haven’t come without sacrifice. Ms Li spent two years studying at the University of Toronto (2010-2011 in life sciences and 2012-2013 in kinesiology), but she put her education on hold to focus on her game. Training, she says, requires discipline and consistency. “I wake up, have breakfast, train for three hours, have lunch, nap, do a second session, another three hours, go home, make dinner, rest and go to sleep. And then do the same


City of Markham photograph

Jim Craigmyle photograph

Michelle Li competes last year at the City of Markham’s new Pan Am Centre, which will host badminton and other events during this summer’s Pan Am and Parapan Am Games.

thing again tomorrow,” she says. “Sometimes I take Sunday off. “A big part of the game is mental,” she adds. “Even sometimes when I’m off the court, I have to think about badminton and how I can improve myself.” That’s part of what appeals to Ms Li about the sport: It’s a game that demands both physical and mental skill. It takes power, stamina, technique, speed and strategy. “There are so many aspects and if you want to win, you’ve got to be good at a lot of things. You have to work very hard to be good.” As the returning champion, Ms Li is a heavy favourite in the Pan Am Games. But this contest will be about more than a medal to the athlete; it will be an opportunity to compete in front of local supporters and fans and inspire young athletes. “I want to enjoy playing my sport in front of my friends and family because they don’t get a chance to see me play at this level very often,” she says. “It’s nice to show them what I’ve been

Michelle Li gets a high five from Toronto 2015 Pan Am and Parapan Am Games mascot Pachi.

training for.” Although many Canadians might consider badminton “a backyard sport,” it is hugely popular and highly competitive in many other parts of the world, she says. This event and Ms Li’s performance have the potential to change perceptions. “I realize that compared to Asian countries, badminton is underrated in Canada and I think that’s because it’s been a while since Canada had any results in badminton,” Ms Li says. “I feel if we can start bringing home medals, this will increase the profile of the sport and motivate more juniors and young kids to play badminton.” Many Canadian players, she says, stop competing after they outgrow the junior circuit (under age 20) and start post-secondary school. “One of my goals is to work hard and get results. I also want to be a good role model and give young aspiring players hope that they can do it.”

With her immediate sights set on a goldmedal-winning performance at home this summer, Ms Li is also looking to next year in Rio de Janeiro, Brazil. “A goal would be to win Olympics in 2016,” she says. “With my results and progress lately, I feel like I’m getting a lot closer. I feel like I can do it.” Competition beyond that will depend on whether she feels she has reached her peak or not. But eventually, she will again focus on her education, which she expects will culminate in medical school. Badminton, which she says is a social activity as well as good exercise, will always be a part of her life.

Pan Am badminton competition will take place at Markham’s Pan Am Centre, July 11 to 16. For details and ticket information, visit toronto2015.org.

mshf.on.ca 9


City of Markham photograph

The City of Markham’s new Pan Am Centre will host water polo, badminton and table tennis during this summer’s Pan Am and Parapan Am Games.

A legacy of excellence by Lee Ann Waterman

When it comes to the City of Markham’s connection to the Pan Am and Parapan Am Games, Mayor Frank Scarpitti takes a bit of a long view. Sure he’s looking forward to welcoming thousands of people, both athletes and spectators, to the city this summer. And he plans on taking in a water polo match or two and cheering on local badminton player Michelle Li at Markham’s new Pan Am Centre. But he also sees the lasting impact the Games will have on the community. The new centre, Mr. Scarpitti says, allows for more residents to train and compete in sports ranging from pickleball, martial arts and gymnastics to basketball, badminton and swimming. But the reach goes beyond the physical space. “Physically and philosophically, it gives young people a window on a world they might not otherwise see,” he says. “It gives 10 mshf.on.ca

them a chance to experience excellence, be inspired by athletes. “It speaks to that human potential we want to create within our community and that human potential is in sports, it’s in culture, it’s in education, it’s in creating a social fabric and I think all of that is certainly incorporated into this centre.” A state-of-the-art athletics centre had been on Markham’s wish list for many years, he says. When Toronto was named host of the Toronto 2015 Games, it provided an opportunity to move ahead with the project and bring some of the competition and celebration to the city. The 13,600-square-metre (147,000-squarefoot) multi-sport centre will host four TO2015 Pan Am/Parapan Am competitions: badminton, table tennis, water polo and para table tennis. The centre’s features include York Region’s first 50-metre Olympic-size pool with 10 swimming lanes and a triple gymnasium with 12 badminton, six volleyball and two basketball

courts that meets international competition standards for the sports. The centre has already seen some international competition, with the Pan American Championships in badminton held there in the fall and the International UANA Cup Water Polo championships this past spring.

MARKHAM EVENTS Pan Am Water polo, July 7 to 9, 11 to 15 Badminton, July 11 to 16 Golf (Angus Glen Golf Club), July 16 to 19 Table tennis, July 19 to 25 Parapan Am Table tennis, Aug. 8 to 13


Pachi has local roots Pachi the porcupine, the friendly face of the 2015 Pan Am and Parapan Am Games, has local roots. The original design for the mascot came from four Buttonville Public School students — Fiona Hong, Michelle Ing, Paige Kunihiro and Jenny Lee. The girls entered the mascot creation challenge as part of a school project led by physical education teacher Mari Ellery. Pachi was selected from the more than 4,000 entries that were submitted by groups of kids from across Canada and was also the favourite in the online voting contest that received more than 33,000 votes. Porcupines have more than 30,000 quills, but Pachi has 41—one for each of the Pan American countries participating in the Games. His quills are five colours and represent qualities that he holds: green is youth, fuchsia is passion, blue is collaboration, orange is determination and purple is creativity. “Symbolizing the spirit of the 2015 Games, Pachi captures the energy, excitement and creativity of our young people,” said Michael Chan, MPP for Markham-Unionville and Ontario minister responsible for the Games. “Pachi will be a great ambassador for the Games, as well as Fiona, Michelle, Paige and Jenny, who I’m proud to say are from Markham, Ontario! Congratulations to all who contributed their creativity in giving the 2015 Games a unique identity.” Pachi’s character came to life through a series of stages that included the original design from Fiona, Michelle, Paige and Jenny, professional illustration and refinement by renowned illustrator James Caswell and finally costume design by Toronto-based Maydwell Mascots Inc. You can meet Pachi online at TORONTO2015.org/mascot. The website features information and news about Pachi, fun downloads such as colouring pages, photos and videos as well as stories of his travels in The Mascot Diaries. City of Markham photograph

The original design for the mascot Pachi came from four Buttonville Public School students, Fiona Hong, Michelle Ing, Paige Kunihiro and Jenny Lee.

mshf.on.ca 11


Jim Craigmyle photograph

Ready and willing 41 countries. 51 sports. 7,500 athletes. 250,000 visitors. More than 30 venues. Being part of an event like the Pan Am and Parapan Am Games presents many challenges—and safety is chief among them. Diane Purdy, manager of occupational health and safety at Markham Stouffville Hospital, says the hospital is ready to play its role should the need arise. The hospital formed a working group, whose members represent every department that could be affected by an emergency during the Games—from maintenance and communications to emergency preparedness and occupational health and safety to the emergency department and a radiation safety officer. At a hospital level, the group is leading the review and testing protocols already in place to deal with situations that are unlikely but need to be anticipated. Incidents such as a mass casualty incident (a bus full of spectators crashing or a smoke bomb set off at a venue), extreme weather such as heat or a tornado, transportation interruptions and infectious disease outbreak. Because of the scope of the Pan Am Games, which are being held at locations across the GTA, members of the MSH working group have also attended information sessions and training exercises with organizers as well as health care and emergency personnel from other communities. “Are we prepared? Are we communicating well?” are the questions the tests and training address, Ms Purdy says. And the answer is yes. “We’re always prepared,” she says. “And we are continuing to make sure that our staff is comfortable with the protocols and that they are fresh in their minds. “Working in our hospital, I have seen that when push comes to shove and an emergency happens, everyone is at their best,” she continues. “Here at MSH, people go above and beyond what’s called for.”

ED nurse to carry torch It’s only 200 metres, but Bonnie Alexiou’s length of the Pan Am torch relay represents a journey that began more than 20 years ago. As a new emergency room nurse, Ms Alexiou was fortunate to be mentored by a colleague who was approachable and took the time to share her knowledge with others. “That’s the kind of nurse I want to be,” she remembers thinking. “I wanted to be the kind of nurse that mentored and supported others. To be recognized as that at this point in my career, is very rewarding.” When staff at Markham Stouffville Hospital were asked to nominate a colleague to represent them in the Pan Am torch relay this summer, Ms Alexiou’s name came up more than once. The nominations described her as a good leader and a good mentor, a valuable resource person and trainer, someone who makes new staff feel welcome. For Ms Alexiou, who has been an emergency department nurse at Markham Stouffville Hospital for 16 years, it was a validation of her dedication to her work. “I’m so passionate about Markham Stouffville

I am humbled and proud to represent the team. MSH emergency nurse and Pan Am torch bearer Bonnie Alexiou

Hospital and the emergency department; they are my family and I couldn’t ask for a better bunch of people to work with,” she says. “It makes me feel really humbled and proud to represent all of the team.” The Pan Am Games torch relay will pass through Whitchurch-Stouffville June 26 and Markham, June 27. More detailed information can be found at toronto2015.org/torch-relay/ pan-am-games.

Compliments of the Markham Stouffville Hospital Foundation. Please take this magazine with you and share with your family and friends. 12 mshf.on.ca


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mshf.on.ca 13


keeping you healthy

How’s your sleep hygiene? by Joann MacDonald

When it comes to optimum health, a good night’s rest may not get the same exposure as eating your vegetables or getting daily exercise. But experts say you ignore the benefits of proper sleep at your own peril. “Sleep is important for restorative reasons, both cognitive as well as physical,” says Dr. David Dancey, a respirologist and sleep medicine specialist. “It’s very important for feeling good, for mood and for mental clarity. Without it, we can feel groggy, forgetful, grumpy and have trouble coping 14 mshf.on.ca

with physical discomfort and pain.” Lack of sleep doesn’t just make for a bad day, it can also have serious consequences. “People who are sleep-deprived tend to be more likely to run into physical issues like obesity, heart disease, stroke, kidney disease and high blood pressure,” Dr. Dancey says. How much sleep is enough? “On average we need from seven to nine hours, probably closer to nine,” Dr. Dancey says. “Everyone’s different. Some people can function very well on what most of us regard as minimal sleep

and some need more sleep.” Under four or five hours a night, we can run into problems with mental clarity, productivity and the ability to make good decisions. Reflexes are slower and driving a vehicle or operating machinery is more risky. Maintaining healthy sleep habits is referred to as having good “sleep hygiene.” If you regularly have difficulty sleeping, the experts at Markham Stouffville Hospital’s sleep clinic have this advice.


10 TIPS FOR A GOOD NIGHT’S SLEEP 1. Go to bed at the same time each night and wake up at the same time each morning, even on weekends. This regulates your body’s clock and may help you to fall asleep and stay asleep for the night.

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2. Establish a relaxing bedtime ritual to separate sleep time from active time. Activities that cause excitement, stress or anxiety can make it more difficult to fall asleep, get deep sleep or remain asleep. Spend the last hour before bed doing a calming activity such as reading. 3. Avoid using electronic devices before bed or in the middle of the night. The light that emanates from the screens activates the brain and may make it difficult to fall asleep. 4. Avoid naps, especially in the afternoon. Power napping may help you get through the day, but can disrupt your evening sleep. 5. Exercise daily. Vigorous exercise is best, but even light exercise can help. Exercise at any time of day, but not during your designated sleep time. 6. Evaluate your bedroom. It should be cool; set your thermostat between 16 and 19 Celsius. Check for sources of noise, including a partner’s snoring. Eliminate light. Use any needed tools, such as earplugs, white noise machines, humidifiers, fans, blackout curtains or eye shades. 7. Choose a comfortable mattress and pillows. Make sure your mattress is supportive and hasn’t exceeded its life expectancy, about nine or 10 years for most good quality mattresses. Ensure your room is attractive and inviting. Eliminate allergens and any objects that might cause you to slip or fall if you get up during the night. 8. Use light to manage your circadian rhythms. Avoid bright light in the evening and expose yourself to sunlight in the morning. 9. Avoid alcohol, cigarettes and caffeine in the evening. All of them can disrupt sleep. Avoid big or spicy meals; they can cause indigestion, making sleep difficult. Ideally, finish eating at least two to three hours before bedtime. 10. If you can’t sleep, go into another room and do something relaxing until you feel tired. Remove work materials, computers and televisions from the sleep environment. Use your bed only for sleep and sex. If you associate a particular activity or item with anxiety about sleeping, omit it from your bedtime routine. Record your sleep in a sleep diary to evaluate patterns or issues you may experience. If you still have trouble sleeping, speak with your doctor or a sleep professional.

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supporting your hospital

Quality of life, at the end of life Markham Stouffville Hospital’s approach to palliative care supports people to live well, for whatever time remains by Sheena Campbell

Life is everywhere on the palliative care unit. In the quiet conversation between a mother and daughter. In the laughter echoing from the family lounge and the tears shed in grief for what is being lost. In the warmth of a beloved pet’s fur. And in all the little moments of dignity and compassion that help dying people fill their final days with love, care and comfort. This is the palliative care unit at Markham Stouffville Hospital, a special 13-bed area in the hospital’s newly renovated facility. Some patients come here when the end of their life is near, to receive care aimed at making them comfortable and easing their passing. Others receive active treatment that helps manage their pain and symptoms and, in some cases, improves their health enough for them to return home. In every situation the goal is better quality of life for whatever time the person has remaining. Social worker Tanya Dube says the team works collaboratively to tailor care to the needs of each patient and every family, to better support them through this extremely difficult time. “Our approach goes beyond medication and clinical goals encompassing the psychosocial aspects around what gives a life meaning and purpose,” Ms Dube says. “Every patient’s situation is unique. Some are able to talk openly about their prognosis and about what they want—perhaps, to be surrounded by family, to go home one more time or to attend a special event. We try to help people appreciate, in a gentle way, the window of time they have to have those interactions and we work closely with them to try to achieve them. Along with the skilled and caring nursing staff, the interdisciplinary palliative care team at MSH includes palliative care and family physician Dr. Gina Yip and Dr. Andrew Patterson, chief of rehabilitation and palliative 18 mshf.on.ca

care. A pain and symptom management specialist whom colleagues describe as a “gentle soul,” Dr. Patterson has been a driving force for continuously improving care at MSH for more than 15 years. Both doctors see patients in their family practices, a huge advantage for patients in terms of continuity of care. The team conducts rounds on the unit

regularly, consulting other hospital clinicians as needed to manage patients’ changing needs. Allied health professionals who work throughout the hospital, such as occupational therapists, physiotherapists, speech language pathologists, social workers, recreational therapists and dietitians, play a key role in providing the range of care required. “It’s impossible to do this work without the


Jim Craigmyle photograph

Members of Markham Stouffville Hospital’s palliative care team (from left) palliative care manager Bonnie Jean-Baptiste, Dr. Gina Yip, social worker Tanya Dube, patient support assistance Wendy Rowland, social worker Jennifer Porteous-Muller, registered nurse Amanda Gooden, registered nurse Chris Orsi and unit secretary Richelle Williams.

support of the team as there are lots of aspects of patient health that need to be considered,” Dr. Yip says. “Many patients are ambulatory and benefit from occupational therapy and physiotherapy at some point in their illness. Social work is tremendous because there are a lot of complicated issues with palliative care. They facilitate family meetings and alternative supports and are very important in transitions to other care settings or to home.” There is no doubt the palliative care team’s work is valued, particularly its role in creating special memories and legacies. One nurse sings to her patients. Another team member helps patients write legacy letters or make video messages for their children. There was a young father who passed away several years ago during the holiday season and the staff took up a collection of gifts and toys for his young child. Staff have arranged birthday parties, anniversary celebrations and even a wedding in the hospital chapel. These are the moments of care that can’t be recorded in a health records chart. “This is an exceptional team. Far and away they offer excellent care that stresses the importance of quality of life, which, when it matters most, is what you need,” says Dr. Mateya Trinkaus, one of MSH’s oncologists. “They are outstanding at supporting patients and families. A hand on the shoulder, a hug for a grieving spouse, reassuring a patient by holding their hand. Everything they do is a gentle reflection of `I get it. I care. You are not alone.’”

So many people come up to our staff years later and express their heartfelt thanks, saying ‘I remember you. Thank you for the care you gave my mother or father. It Meant so much.’ Bonnie Jean-Baptiste palliative care manager

An aging population and the high population growth rates in the region are contributing to the growing need for end-oflife care. Over the last 15 years, the hospital has evolved its approach to palliative care to better serve the needs of the community through integrated care provided both in and outside of the traditional acute setting. “There is a big movement for people to be able to die at home and many more people looking for the support they need to do that,” Ms Dube says. “If that is the person’s wish, we will move heaven and earth to make it happen.” Led by Dr. Patterson, the hospital has built a palliative care team that includes specialized

nurses and five family physicians. Working with community partners such as the Central Community Care Access Centre, the team is currently supporting 90 patients considered palliative, to receive end-of-life care at home. According to Dr. Yip, while palliative care is sometimes overshadowed by the more heroic stories of lives saved by the advances of medicine, the field has a vital place in people’s lives. “End-of-life care is as important in its own way because it’s about extending both the quality and quantity and that brings great comfort to patients and families,” says Dr. Yip. “It’s a very rewarding field of medicine.” Dr. Patterson agrees. “We are accomplishing very worthwhile, meaningful work here for patients, their families, the hospital and our community. Providing excellent end-oflife care the community needs. We see the benefits of it for our patients every day.” Bonnie Jean-Baptiste is the manager of the palliative unit. A social worker by training and former patient relations representative at the hospital, she has spoken to countless grateful families who have been helped by the palliative care team. “So many people come up to our staff years later and express their heartfelt thanks, saying, `I remember you. Thank you for the care you gave my mother or father. It meant so much,’” Ms Jean-Baptiste says. “Many staff are brought to tears knowing that just by doing their job, they’ve had such a lasting and positive impact on people’s lives.” mshf.on.ca 19


Young philanthropists pay it forward by Rebecca Reid

An awareness of a need in your community is sometimes all it takes to inspire your desire to help. Such is the case with several young residents who have chosen to support Markham Stouffville Hospital in its mission of excellence in care. Patrick and Karen Petersen wanted their sons, Brayden and Matthew, to understand how fortunate they were to spend Christmas at home with their family when so many people are in hospital over the holiday season. “We wanted our boys to know that happiness can be gained simply by helping other people” Ms Petersen says. “We chose to help Markham Stouffville Hospital because each of us have had to pay a visit there before and the staff have always been amazing. We feel very fortunate to have such a top-notch facility in our neighbourhood.” In 2013, an extended family Christmas Eve gathering at their home included a piano recital where the boys showcased their talent. They asked for a $5 donation from each person and raised $100. The total increased to $160 in 2014 and they hope to raise even more money with this year’s event. The boys enjoyed being given the “hero” treatment at the Markham Stouffville Hospital Foundation, where they presented a giant cheque with their donation. “I feel great knowing the money we raised can help buy new equipment for the doctors to use and more patients, especially the kids, can get better faster and go home sooner,” says Brayden, 11. Matthew, 7, who aspires to be a doctor when he grows up, hopes the money can help doctors like Dr. Larry Pancer (their pediatrician and specialist at MSH) buy new tools so he can help more kids who are sick. “The fact that Brayden and Matthew know their donation has helped fund the hospital’s recent expansion and they can actually witness the transformation themselves definitely motivates them to continue their piano recital fundraiser each year,” Mr. Petersen explains. The hospital has also benefited from the efforts of the teens who sit on Markham Youth Council. The council, explains Jhanahan Sriranjan, a member from 2011 to 2014 and mentor to the current council, provides fun and safe recreational activities for residents of Markham, combining athletics and arts in community events for children, teenagers and families. “The council focuses on helping local organizations as part of its goal to give back to the community,” he adds. “We are proud that one of the organizations we support is 20 mshf.on.ca

For their September 6, 2014 wedding, Adam and Daniella Erwood wanted to do something meaningful as a gift to their guests. In lieu of traditional wedding favours, the couple made a donation to MSH. “We wanted to know the money we spent on behalf of our guests would make a lasting difference,” explains the couple. “We chose Markham Stouffville Hospital because we both have a close relationship with the facility having grown up in Markham and going to school right around the corner from the hospital. “This gift was a way for us to show our gratitude to the hospital staff and to say thank you to our guests. We hope it encourages others to consider a similar donation so everyone has access to quality care close to home. Of all the wedding decisions we had to make, this was the easiest.”

Markham Stouffville Hospital.” Markham Youth Council raises between $2,000 and $4,000 annually for their hospital by hosting a number of events, including a “Youth Games” competition, coffeehouses and “Spooktacular” event. Members also assist with Markham Stouffville Hospital-led projects such as holiday gift-wrapping at the mall. “It is a great way for myself and other youth to be involved in doing something to better ourselves and better our community. As teenagers, it is often hard to express ourselves and being a part of something like Markham Youth Council, that helps improve things, feels great,” Mr. Sriranjan says. “Knowing we are helping Markham Stouffville Hospital offer the best in health care makes us feel good and we are very grateful for the opportunity,” he says. Young people are proving you don’t have to be an adult to make a difference. You just need a big heart and the courage to turn a dream into a reality.

Brayden and Matthew Peterson, shown here with parents Patrick and Karen Peterson, held a piano recital to raise funds for Markham Stouffville Hospital Foundation.


Celebrate your baby Honour the birth of a special baby on our Baby Wall with a donation of $200 in support of vital equipment and technology at Markham Stouffville Hospital. For more information please contact the Foundation: tion: 905.472.7373 ext. 6341 mshfoundation@msh.on.ca mshf.on.ca/babywall @MSHospital

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at your hospital

Meet our MSHeroes by Sue Kanhai photography by Jim Craigmyle

Patients of Markham Stouffville Hospital recognize excellent care by nominating physicians, nurses, other staff members and volunteers as MSHeroes. Patients make a donation in honour of their heroes, who receive a card and gold pin from the hospital foundation. Not only is the hospital celebrating a remarkable 25 years, several of its MSHeroes are too. Please meet:

Dr. Alan Ing general surgeon “The fact that I’ve been here for 25 years probably speaks to how I feel,” says Dr. Alan Ing. “Obviously I’m happy in the job. I derive great personal satisfaction from it.” The general surgeon does surgical oncology and endoscopy, as well as hernia and thoracic surgery. He has always been extremely happy at MSH, largely because of the work environment. The doctors and nurses are talented and skilled, he says; they’re also caring and friendly. Dr. Ing hopes to expand general surgical coverage in Markham so the hospital can care for a diverse population and remain on the cutting edge of cancer care. His job satisfaction comes from knowing he’s made a difference to the patients he has been asked to care for. “You help people and they appreciate it. You go home satisfied, appreciating the time you’ve spent at work.”

Cathy Sutherland volunteer, critical care unit Stouffville resident Cathy Sutherland first got involved with the hospital in 1983, as a member of the board’s volunteer advisory committee. When the hospital opened in 1990, she was one of 700 volunteers. Assigned to the intensive care unit, she can still be found there today, stocking supply carts for the nurses. The 77-year-old still looks forward to coming in. “I work with a wonderful group of people,” she says. “All the nurses, everyone in the critical care unit are great people and they’re appreciative of what we do as volunteers.” Markham Stouffville is a wonderful hospital that serves the community well, she says. The large number of volunteers is part of what makes the hospital so great, that people give their time to help. “I get great satisfaction out of coming here and hopefully making a difference.”

22 www.mshf.on.ca mshf.on.ca


I think a hero is any person really intent on making this a better place for Maya Angelou all people.

Sue Pereira registered nurse, emergency department In 1990, Sue Pereira helped with the actual set-up of the hospital’s first emergency department. The registered nurse’s duties now include triage and prioritizing walk-in patients, as well as those brought in by ambulance. She conducts physical and emotional assessments and does blood work, IV insertions and ECGs. She likes the uncertainty each day brings. “We never know at a given moment what will come through the doors. It could be anything from a runny nose to a heart attack, stroke, trauma or pediatric emergency,” she says. Ms Pereira is grateful to her husband and kids for their support during her training and the many years of shift work where she worked weekends and missed birthday and Christmas celebrations. She’s deeply touched by this nomination, but feels she’s just doing her job. Sue loves being part of the emergency department’s wonderful team of doctors, nurses and support staff. She says, “I can’t even think about what life will be like when I can’t be a nurse here anymore.”

Lynne Campkin director, diagnostic and laboratory services Lynne Campkin started at Markham Stouffville Hospital in April 1989, a year before it opened. She was part of that initial excitement and buzz, and enjoyed being part of it all again during the hospital’s recent expansion. It’s a privilege, she says, to have been part of MSH’s journey. A true leader, Ms Campkin has worked in a number of roles over the years, guiding different teams and developing new programs and services. She works with physicians and medical professionals of all disciplines to elevate quality of care and position the hospital as a progressive leader in medical technology and patient care. Satisfaction comes from patients and families who say they’ve had a good experience, and physicians, surgeons and specialists who say her team supported them in delivering high-quality, responsive diagnostic care for their patients. “I love my job,” she says. “No day looks the same and the challenges and opportunities to make a difference never stop. There has never been a dull moment!”

mshf.on.ca 23


6 questions for our new president and CEO Jo-anne Marr This month, Markham Stouffville Hospital will welcome its new president and CEO, Jo-anne Marr. Healthy.Together. sat down with Ms Marr to talk about her passion for health care and her views on team building and leadership. Can you share some of the highlights of your career to date? I’ve had a real diversity of experiences over the last 30 years. I’ve worked in the community, in hospitals, acute as well as academic, and in the private sector. It has given me a good understanding of how the health sector works and just how complex it is. I have a strong clinical background and I’m a neurosurgical nurse by training. Coming up through the ranks, I had a lot of different frontline roles, so I understand very well the challenges as well as the joys that caregivers experience. I’ve also been responsible for what I would describe as the business side of how a hospital runs—things like the physical plant and parking, including the parts that generate needed revenues for the clinical operations—all of which has given me a broad perspective and appreciation. I’ve been involved in leading many change initiatives over my career and those, too, have been diverse in nature. I’ve led change initiatives involving code of conduct, financial and budget turnarounds and clinical transformations such as improving patient experience and patient care redesign. I would say the latter, the clinical change projects, are closest to my heart because they require an understanding and knowledge of many health care issues and they’re focused on improving patient care and this is really the focus of what we do. 24 mshf.on.ca

What keeps you engaged in health care? Why are you passionate about it? I love that everyone is focused on caring for patients regardless of what we do in health care, whether we’re direct providers or not, we’re all caregivers. Health care is all about people at the end of the day. How do we create the best possible

experience for patients and how do we work with people to make this happen? I get energized every day when I connect with the people who make this work. Health care is complex. I’ve found that in order to make improvements and to facilitate meaningful change, that no one piece of the system is the problem, nor is it the solution. To


solve problems and challenges, we have to work together and across sectors and many times outside of health care. I very much enjoy working to solve problems and discover solutions. I’m always looking for ways of doing things differently. In fact, there’s probably nothing that energizes me more than when somebody tells me, “Well, this is a problem you won’t be able to solve.” What do you think makes a good leader? Health care is a people business, so I think, ultimately, you have to, as a leader, be able to create and sustain really great relationships. It’s the secret sauce that makes everything else possible. Good leaders spend a lot of time listening, asking questions, inquiring and really getting to know people, what they’re about, what drives them, what they truly care about and then supporting and coaching them to do what they do best. I think that leaders have to create a vision—where is an organization or team going—and they have to be build a strategy, a plan to get there. A leader has to have his or her finger on the pulse of the organization: the finances, the people, the strategy. The best way to do that, I believe, is to build and leverage a very strong leadership team. That means finding the right people, leveraging their best strengths and talents and aligning them around that plan. I believe that we’re all successful standing on the shoulders of those around us and we have to remember that. Keeping on top of operations is really a bit of a balance: jumping into the weeds when you need to support people or when there’s risk, but, at the same time, letting go and leveraging others to do what they do best. What do you think makes a great health care team? It doesn’t just happen by accident. Teams have to be nurtured, grown and developed. A great team will have people who are diverse in their strengths but with similar values and principles, allowing them to be aligned in terms of their approach. They should solve tough problems together by leveraging the strengths of one another and be able to speak with one voice when supporting a priority or decision. They will challenge one another vigorously yet respectfully. When all of this comes together, you will have a really successful team that truly like each other and enjoy spending time together. What are your first impressions of Markham Stouffville Hospital? Markham Stouffville Hospital is an organization at a very exciting time in its history. It has a new physical structure, a new strategic plan, an engaged board, a great team and a supportive community. It’s a very friendly culture so I’m very much looking forward to starting this journey. It’s an organization that’s well positioned for continued future success. Tell us a bit about your life outside of work? I moved to York Region in the late fall because I’d been working in the area for some time and I thought it was important to live in the region where I was working. Living in the area and having a young daughter allows me to better understand what families are looking for and need in and from their community. We have a cottage in the Bancroft area; I like spending time there all year round, but particularly in the summer and fall. I like music, all kinds of it, but jazz is a really big love of mine. I enjoy boating, cycling and swimming, photography and art. Relationships are very important to me, so I really work hard to try to make time for all those I care about. mshf.on.ca 25


Interventional radiology the future of care

Dr. Sundeep Toor comes home to make a difference by Bill Hodgins

As a mother of two, Elaine Lee was fairly familiar with the birthing experience. She knew — at least to a point — what she could expect with her third delivery last September. Her second child had been born healthy after some complications and, as it turned out, she was about to experience that same bit of trauma. This time, however, it was a bit more serious. But thanks to Markham Stouffville Hospital’s new interventional radiology program, she and the family’s newest member are doing well today. As with her second child, Ms Lee was unable to deliver her placenta. When an initial procedure to address the problem was unsuccessful, physicians suggested a hysterectomy. Understanding Ms Lee’s reluctance to agree to the surgery, her health care team presented another option: bringing in Dr. Sundeep Toor to do an embolization procedure. Dr. Toor is the head of the hospital’s new interventional radiology program, created just for situations like Ms Lee’s. 26 mshf.on.ca

“I was the first patient at the hospital to have this procedure,” Ms Lee says. “They were just preparing the room for this emergency procedure when I asked him if he had ever done this before. He said he had, just not at this hospital.” Ms Lee was able to watch the whole procedure and was impressed by the team’s work. “I was really lucky they were able to do that. It was pretty scary thinking I would need the hysterectomy. It’s just so permanent.” Today, she says, everything with her is back to normal. Her children are healthy and she’s just so appreciative of the care she received at Markham Stouffville Hospital. It was a progressive move for the hospital to introduce the IR program last fall. Interventional radiologists are board-certified physicians who specialize in minimally invasive, targeted treatments. They offer in-depth knowledge of the least invasive treatments available, coupled with diagnostic and clinical experience across all specialties. In 2014, Dr. Toor was hired by Markham

Stouffville Hospital to lead the new interventional radiology program, joining MSH from the University Health Network where he was completing a fellowship in vascular and interventional radiology. It was a bit of a homecoming for the physician. “I grew up in the north Scarborough and Markham area so this is sort of my background,” he says. “I’ve a lot of friends and family here still. Markham is very dear and close to my heart.” Dr. Toor attended medical school in the GTA before leaving for a residency in Ottawa. He chose to return to Toronto to finish his specialty training. When he learned of the interventional radiology plans for MSH, he didn’t hesitate in making contact. “I was looking for an IR position and they were looking to bring in someone who specializes in this,” he says. “I saw it was an amazing opportunity.” He chose MSH over other opportunities because of his familiarity with the region and the hospital’s vision to provide innovative and leading edge care.


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“It was a good opportunity to come back to the community I was very familiar with… one where I still had a lot of close connections.” He says the program has come a long way since Ms Lee’s procedure in September. It started slowly with a deliberate step-by-step process focusing mainly on what he considers basic procedures. As it moves forward, the team will be taking on more advanced interventions. “Being the only specialist in IR, it’s taking a bit of time to build the program. We’re still getting people on board, making them aware of what we are doing, getting them to refer more patients.” He says there are many different types of surgeries where an IR can help shorten a person’s stay—procedures that, in the past, would have been more invasive and require a longer period for healing. He says many patients will benefit from MSH’s foresight in bringing the program to the community. These procedures were available before, he says, but not at Markham Stouffville Hospital. In the past, these same patients had to travel to other medical centres. Now, he says, MSH can treat everything from cancerous tumours in the uterus to bleeding stomachs with just a small nick of an incision instead of more invasive surgeries resulting in large scars and longer recovery times. And he sees it only getting better. Five years from now, he envisions the unit with more space and more staff. “I can see us providing a lot more than what we’re doing right now.” And that, he says, will continue to benefit the whole community.

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community partners

Tony Mauro and Emilio Ronco, co-presidents of Fairgate Homes and long-time supporters of Markham Stouffville Hospital.

Building homes, building community by Cathy Hillard

Tony Mauro was just a newborn baby when his father, Frank, started in the home building business in 1964. He grew up learning about the business and understanding the importance of building community along with houses. As co-president of the Stouffville-based Fairgate Homes, Mr. Mauro remains committed to those values, evident in a recent major donation to Markham Stouffville Hospital. Fairgate Homes came to Stouffville in 1980 and when construction began on the hospital in the mid-1980s, the Mauro family was right there to offer support. Fast forward 30 years and the needs of the community called to the family once again in 28 mshf.on.ca

the form of the capital fundraising campaign for the expansion of MSH. “It felt like the right time,” Mr. Mauro explains. “When we started developing in Stouffville, we were told that the hospital would need to expand [to cater for the growing population] and so the seed was planted then.” “We are part of the community,” he says, “and we realise the importance of having a hospital in the local community. It’s been there for us and we know how important it is. “Also, as developers, we recognise that the hospital has to grow with the community.” Emilio Ronco, Mr. Mauro’s brother-in-law and co-president at Fairgate, says the company

values its connection to their community— and this is one way to demonstrate that. “We wanted to give back to the community and show that we are here for the long haul,” he says. “It is special to us so it’s a giveback.” Both the Mauro and Ronco families live in the area and have been involved at many levels for years—from coaching their children’s sports teams to sponsoring local events like the holiday fireworks and the Strawberry Festival. “Being in the community so long, we know a lot of people who work in the hospital as well,” Mr. Mauro explains. “It’s nice to walk through the hospital and see someone whose daughter you coached in hockey or who


As developers, we recognise that the hospital has to grow with the community. Tony Mauro, Fairgate Homes

played sports with your child. There is that personal connection.” Mr. Ronco also has a personal connection to the hospital: He recently welcomed a third grandchild into his family, all of whom were born at the hospital. He has nothing but praise for the staff. “Everyone from the front desk to the nursing staff, they have always been great,” he says. In recognition of the generous donation from Fairgate Homes, one of the operative delivery rooms (where Caesarean sections are performed) in the maternity wing has now been dedicated in the Fairgate family name. The good experiences Mr. Ronco and his family have had at Markham Stouffville Hospital reflect the passion the MSH team has for its patients, staff, volunteers and community. They also inspired Mr. Ronco to join the MSH Foundation Board to help promote the hospital’s fundraising efforts. He says Fairgate Homes puts personal care and attention into every home they build and that he sees that same commitment to excellence at MSH. “We are so proud to have what is fast becoming a world-class hospital in the area,” he says, adding he is “in awe” of some of the new ground-breaking technologies and specialized doctors that MSH is now home to. Sustaining that level of excellence is largely dependent on the generous support of people like Mr. Mauro and Mr. Ronco. And it is support they are happy to give. “This experience for me has been a positive one,” Mr. Mauro says. “It is a great feeling to help people. My dad has always been a big proponent of looking after those who are less fortunate and so this is an extension of that. If you have been successful and blessed to have some fruits, then you should share them.” That is a sentiment he will no doubt pass on to his children, who are now grown and poised to enter into the family business. Fairgate Homes’ strong ties and commitment to the Markham Stouffville community are likely assured for many years to come.

Michael Chan, MPP Markham-Unionville

Thank you to the entire team at Markham Stouffville Hospital for your hard work to deliver the best in progressive community care within your new, state-of-the-art facility. Constituency Office: 450 Alden Road, Unit 5 Markham, ON L3R 5H4 T: 905-305-1935 | F: 905-305-1938 Email: mchan.mpp.co@liberal.ola.org Web: www.michaelchan.onmpp.ca

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ask the specialist

Q A

ASK THE OBSTETRICIAN

How common is bleeding during pregnancy?

Vaginal bleeding is a common event at all stages of pregnancy. The source is almost always from the mother. During the first trimester, vaginal bleeding occurs in between 20 and 40 per cent of pregnant women. It may be any combination of light or heavy, intermittent or constant, painless or painful. The four major sources of non-traumatic bleeding in early pregnancy are: ectopic pregnancy, miscarriage, implantation bleeding or cervical or vaginal growths (e.g. polyps). If bleeding occurs and a fetal heart is detected, the likelihood of going on to miscarry is low and the bleeding is likely from the placenta growing into the wall of the uterus (implantation bleeding). Vaginal bleeding occurring after 20 weeks gestation that is not due to labour and delivery occurs in 4 to 5 per cent of pregnancies. The most common causes are placenta previa (the placenta covers part of the cervix) and placental abruption (the placenta separates away from the uterus). Bleeding during pregnancy can be a source of considerable concern to both parents. Bleeding should always be brought to the attention of your caregiver to ensure that everything is fine with both you and your baby. Investigations may include examining you, doing blood tests and doing an ultrasound. It is always best to check things out rather than worrying that something serious is wrong. Dr. George Arnold is the chief of obstetrics and gynecology at Markham Stouffville Hospital

Q A

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ASK A CARDIAC NURSE PRACTITIONER What causes chest pain and when should I be worried and seek medical attention?

There are many structures within the chest that can cause chest discomfort including muscle, ribs, lungs and heart. Discomfort in the chest may also be caused by gall bladder disease or from issues with the gastrointestinal system. However, it is important to rule out a cardiac cause of chest discomfort particularly in patients with known risk factors for coronary artery disease. These risk factors include high blood pressure, high cholesterol, diabetes, a history of smoking or a family history of premature heart disease. Chest pain that is cardiac in origin is often described as a discomfort rather than a pain. For patients with new chest discomfort, knowing the onset, duration and the character of the discomfort as well as the presence of any associated symptoms is very important. Pain that is sharp, constant, tender to touch, worse with taking a deep breath or with movement of the torso or arms may be related to other issues such as the ones listed above. Patients who experience this type of pain should seek medical attention, but may be best served by a scheduled visit with their primary care provider. On the other hand, some patients should be seen more urgently. These are patients with new onset or worsening chest discomfort which is pressure-like or heavy and may be associated with shortness of breath, light-headedness or sweating. If you have these symptoms and they are not going away with rest, you should seek treatment at your nearest emergency department. Sue Feltham is a cardiac nurse practitioner at Markham Stouffville Hospital

30 mshf.on.ca

Thank you for taking your time to review this edition of Healthy Together Markham Stouffville™ magazine. We value your input and want to hear from you. Eligible entrants must complete survey before Monday, November 9, 2015 and the random draw winner will be notified immediately.

LOG ON TO: https://www.surveymonkey.com/r/QYRNNBT

Purpose and eligibility: Draw will be held on Monday, November 9, 2015 and winner will be notified by phone. Entrants must be at least 18 years of age. Winners agree to the use of their name and photo for announcement/publicity purposes. Prize must be accepted as awarded with no cash value or substitutions and may not be exactly as shown. Markham Stouffville Hospital Foundation assumes no liability for prize awarded. Privacy: Markham Stouffville Hospital Foundation respects your privacy and will never trade, rent or sell your personal information. Your survey responses and personal information will be kept strictly confidential. We will use your information to better understand readership value for statistical and communication purposes and to keep you informed of the needs and activities of your hospital. To change your communication preferences at any time please call 905.472.7373 Ext. 6341. For our complete privacy policy please visit mshf.on.ca.


Town+Country BMW

8111 Kennedy Rd. Markham, ON

Many thanks for 26 great years in our community!

Town+Country BMW

Hwy 407 + Kennedy Rd., Markham Just a short drive from anywhere...

905.477.2212

tcbmw.com

The Ultimate Driving Experience.TM


events

JOIN US! Upcoming events benefiting the hospital Fundraising events organized and supported by others demonstrates a strong belief in the hospital’s services and programs. This endorsement is most encouraging to the many dedicated volunteers, physicians and staff at Markham Stouffville Hospital. We hope to see you at one of these upcoming events! Visit mshf.on.ca for full details.

June

7

2nd Annual Unionville Festival Funky 5K 8:15 a.m., Main Street Unionville funky5k.ca

Aug.

Sept.

10

21

This race is bringing back tie-dye and all things groovy! Don’t miss this timed run/walk or family 2K walk around Toogood Pond Park.

June

17

31st Annual MSH Foundation Golf Tournament

York Downs Golf & Country Club • golf.mshf.on.ca

The longest running fundraising event in Markham and Stouffville. Enjoy a day of golf, live and silent auctions and great food at the prestigious York Downs Golf & Country Club. Sponsorship opportunities available, contact 905-472-7395 or abell@msh.on.ca.

Markham-Unionville Ladies Golf Tournament Sleepy Hollow Golf Club • kgerrard@trebnet.com

Ladies golf tournament benefiting the Breast Health Centre and Chemotherapy Clinic.

Sept.

30

Aug. 5th Annual MSH Leaders Night at the Races

20

Woodbine Racetrack • mshleaders.ca

Get in on the racing action at Woodbine. Enjoy a lovely dinner, cocktails, an amazing track-side view, auction, raffle and networking opportunities. Call 905-472-7373 ext. 6970

Annual Culinary Arts Golf Classic

Angus Glen Golf Club, South Course • angusglen.com

June

27

5th Annual Hockey Night in Stouffville 7 p.m., Stouffville Arena • paulcalandra.com

An exciting night of hockey with current and former NHL stars, Olympians, community leaders, local politicians and minor hockey teams, hosted by Paul Calandra, MP, Oak Ridges-Markham.

This esteemed tournament mixes together top chefs, fabulous wines paired with savoury bites and one great golf course to provide a one-of-a-kind experience. To book your foursome, contact 905-887-0090 ext. 237 or kwayling@angusglen.com.

Nov.

1

Sept. The Forsythe Summer Bash!

14-20

Markham Green Golf Club • forsythecup.com

This is not your average golf tournament — enjoy drink and food stations at every hole, personal team beverage carts, live music and tons of fun! Register today by contacting Paul Bussiere at paul.bussiere@bell.net.

July

24

Tim Hortons Smile Cookie Campaign

Tim Hortons restaurants in Markham and Stouffville

Purchase a Smile Cookie from Tim Hortons and proceeds from the sale will benefit child and adolescent mental health services at MSH.

Would you like to host a fundraising event? Angus Glen Summer Five Miler

Angus Glen Golf Club • angusglenrunningseries.com

Celebrate the summer with an evening race including afterrace party with dinner and entertainment. 32 mshf.on.ca

Whether a golf tournament, barbecue or dance — no event is too big or too small. EVERY DOLLAR COUNTS. To find out more, visit mshf.on.ca or contact Madeline Cuadra at mcuadra@msh.on.ca or 905-472-7373 ext. 6970.

27th Annual CIBC Celebration of Hope

Hilton Suites Markham • celebrationofhope.info

Bringing together the community to celebrate, educate and raise awareness about cancer and the people it affects. The luncheon is hosted by CHFI’s Erin Davis and features a fashion show, live entertainment, boutique shopping, auctions, delicious food, draw prizes and more! For details contact 905-472-7373 ext. 6606 or cortiz@msh.on.ca.


WE'RE DELIGHTED TO BE A PET PROJECT FOR THIS MARKHAM WOMAN. Paula Mills has two great loves in her life right now. Her rescue dogs, Litlin and Lexus. And lately, she’s added another new love. Because this 12-year resident of Markham just loves the work we do here at Markham Stouffville Hospital. And she thinks it’s very important. That’s why Paula has chosen to take part in our Legacy Giving Program. You can make a difference like Paula through gifts of life insurance or by leaving a bequest in your will. Call Jan Black at 905.472.7394

jblack@msh.on.ca or visit mshf.on.ca mshf.on.ca 33


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416.291.2929

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Markham Road

2730 Markham Rd.

SERVICE

Healthy Together Summer 2015  
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