BORN TO MOVE St. Joseph's leads the way for those facing mobility challenges with the creation of The Gray Centre for Mobility and Activity - St ...
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A publication of St. Joseph’s Health Care London WINTER 2020 | ISSUE 01 BORN TO MOVE St. Joseph’s leads the way for those facing mobility challenges with the creation of The Gray Centre for Mobility and Activity.
01
ISSUE
03. HEALTH CARE IN HARMONY
A publication of St. Joseph’s Health Care London
Winter 2020 | Issue 01 08. UNSPOKEN COMPASSION:
A VOLUNTEER’S STORY
CONTRIBUTORS
Fred DeVries
Emilly Dubeau 09. FEELING THE FRESH
Allison Hansen
AIR ON MY FACE
Patricia Hoffer
Amanda Jackman
Melinda Mathes 11. BORN TO MOVE
Matthew Overall
Dahlia Reich
Renee Sweeney 15. PUTTING THE LID ON
08
03.
COFFEE SHOP TALK
PHOTOGRAPHY
Pauline Devilee
Brian Hillier 16. THE POWER OF ZERO
Brick House Productions
Colleen MacDonald
My St. Joseph’s magazine is published three times a year.
St. Joseph’s welcomes your comments.
For online or print publication contact:
ComDept@sjhc.london.on.ca
Copyright ©2020 by St. Joseph’s Health Care London.
The publishers assume no responsibility for any effects from
errors or omissions. All material published in My St. Joseph’s
magazine is copyright and reproduction is forbidden without the
permission of the publishers.
15. 11.
CONTACT US
PO BOX 5777
268 Grosvenor Street
London, ON.
N6A 4V2
519 646-6100
www.sjhc.london.on.ca
stjosephslondon 17. THE SCOOP ON POOP
stjosephslondon
09. 19. THE BEST PERSON FOR THE JOB
- HANDS DOWN
MY ST. JOSEPH’S IS
20. A NEW START
St. Joseph’s Hospital Parkwood Institute
21. DIABETIC SUPPLIES OR GROCERIES?
Mount Hope Southwest Centre
Centre for for Forensic
Long Term Care Mental Health Care
23. DELIVERING ON DISCOVERY
Teams, clinics and programs in our 25. EVERY VOICE TELLS A STORY
community and beyond.
26. A HEALTHY DOSE OF EXPERT ADVICE
17. 21.
1 01 ISSUE www.sjhc.london.on.ca 2
important role because they see the
patient from a different perspective.
We are creating connections
and delivering care in new ways
recognizing that patients are coming
to us with more than one chronic
disease. Patients tell you how
grateful they are that it has all come
together for them.
For example, care for COPD at
St. Joseph’s now includes an
opportunity for patients to join
a classroom-based education
Through a program and a group exercise
comprehensive program with rehabilitation trainers.
program for The fitness training begins with an
people living eight-week intensive phase
with lung disease, of sessions held at St. Joseph’s,
patients are able ...continued
to rediscover joys
that had eluded
them for years.
HEALTH CARE Dave Garton’s once-boisterous
life had become so limited he
In 2007, a specialist said he needed
a heart/lung transplant but that he
recognizing the coordinated care
he needed and St. Joseph’s Health
IN HARMONY contemplated suicide. But he was so
ill he didn’t think he would live long
wouldn’t survive it. Two years later
he had an implantable cardioverter-
Care London for bringing it all
together. Through the collaborative
enough to kill himself, so he made defibrillator inserted to reduce his work of the heart failure, COPD
funeral arrangements instead. risk of dying if his heart stopped and diabetes teams at St. Joseph’s
The coming together of beating. And in 2018, he had three Hospital, Dave has reclaimed
The former entrepreneur and
programs and specialties at stents put in to open blocked his life.
self-proclaimed workaholic who
St. Joseph’s Hospital for patients arteries.
“worked hard and played hard,” This coming together of programs
with multiple chronic illnesses
Dave was in the darkest of places. Finally, Dave was feeling better and professionals of various
has Dave Garton singing again.
Poorly managed chronic obstructive and was able to do more, but new disciplines is part of a thrust at
pulmonary disease (COPD), heart problems emerged and again, he St. Joseph’s Hospital to improve
failure and diabetes had converged began slipping. He couldn’t climb quality of life by addressing the
to make every breath, every step, more than two steps without sitting multiple needs of each patient.
every task a hardship. down. On the way upstairs to his Program silos are coming down and
bedroom, he once got stuck on the care pathways are being redesigned
Physicians had given up on him, he
third step gasping for air, requiring and re-routed in what is called
said, “so I gave up too.”
paramedics to be called. In one integrated care.
Dave’s health plummeted in 2002 month alone, Dave landed in the
“It takes teamwork – across
after suffering a heart attack. emergency department seven times.
programs and specialties – to
He owned two businesses at the The burden on his partner-in-life,
meet the needs of patients living
time – a neon sign manufacturing Wendy, weighed heavily upon him.
with chronic conditions,” says
business and a coffee shop. He had
While Dave’s various health issues Laurie Loveland, nurse practitioner
to give up both, kick-starting a
were all linked, each problem was with the COPD and Pulmonary
deep depression. Anti-depressants
being addressed separately. He Rehabilitation Program. “Every Dave Garton of St. Thomas is not only singing again, he feels lucky to be alive. The coming together
contributed to massive weight gain,
credits a new family doctor for member of the team has an of teams at St. Joseph’s Hospital means his multiple chronic conditions are now in check.
accelerating Dave’s spiral.
3 01 ISSUE www.sjhc.london.on.ca 4
followed by a six-month Mona. When patients are provided have enough breath to do before.
maintenance phase in partnership with the tools to manage their Stairs are no longer a problem and
with the downtown YMCA. During condition, they are better equipped on scenic drives with Wendy, he
their time in the exercise program, to stay out of hospital and enjoy can actually get out of the car
patients take part in skill building good quality of life. rather than passively watch the
sessions with a social worker to world go by.
Dave had resorted to spending his
better manage the anxiety and Proudly brings you
days on the couch watching TV “I can’t believe what they helped
stress that often comes with COPD.
when he was referred to the COPD me accomplish,” Dave says of
Those with heart failure, heart
program and offered pulmonary the many teams and individuals
disease or diabetes also see those
fitness training. “I thought there was involved in his care. “They not only
nurses, educators and specialists.
no way I could exercise.” made me understand the mechanics
“We work together to tease out the of what was happening, they gave
Today, he is a healthy weight, back
contributing factors to a patient’s me the skills and confidence to do
on the golf course, playing guitar
condition and gaps in their care,” what I needed to do. I feel lucky
and singing – something he didn’t
explains Mona Groenewegen- to be alive.”
Beukeboom, nurse practitioner
with the Heart Failure Clinic.
“Appointments are often made on
the same day for a patient being DID YOU KNOW...
seen in the COPD and Heart Failure
67%
clinics, and we will share test results FEATURING:
3 OUT OF 5
David Sheff
so that only one test is needed, such
as an ECG or blood work.”
Canadians aged 20 and older
The overall emphasis is on have chronic disease and four
self-management, education and out of five people are at risk.
self-advocacy so that patients are
not passive consumers of health Of all deaths in Canada per
care but rather an essential member
of their care team, say Laurie and
year are caused by four major
chronic diseases: cancer,
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5
WELCOME TO UNSPOKEN COMPASSION:
MY ST. JOSEPH’S A VOLUNTEER’S STORY
For everyone who receives care or works within our walls,
women who are on their own breast The unique, specially-designed
St. Joseph’s Health Care London holds unique meaning.
care journey and pays gratitude for Norton and Lucille Wolf Breast
A diverse family of programs and services in various
the care she received. Care Centre is the main hub of
settings across the city and region, St. Joseph’s is, quite
the program. The centre was made
simply, one of Canada’s most innovative health care “I was fortunate to be at a
possible through the generosity of
organizations. From our facilities within London, to facility with such state-of the-art
the Bernard & Norton Wolf Family
outreach teams in the community and region, and a clinic technology and an incredible team
Foundation and support from
in Toronto, St. Joseph’s touches the lives of people from of professionals,” says Patricia.
St. Joseph’s Health Care Foundation.
all walks of life. “They knew what you were feeling
and had a way of making you feel Patricia volunteers to let women
I am proud to introduce this first edition of My St. Joseph’s,
like there was a light at the end of know they are not alone.
in which we share compelling stories of care, compassion,
the tunnel. It’s an incredible team
innovation, discovery, dignity, community giving and “I walk through the door every
to be a part of.”
spirit. These are stories of impact, excellence and week and I feel so grateful to be
inspiration that shed light on who we are, what we do, A recent breast cancer survivor, Patricia here,” says Patricia of the Breast
and our enduring legacy of care – body, mind and spirit. Mowry, 76, volunteers with St. Joseph’s “I want women to know Care Program. “As women, I truly
Breast Care Program as a way to show her
But don’t take my word for it. Visit us within the pages gratitude for the care she received and to help that they are not alone.” believe that sometimes it’s the
other women who are on their own journey. unspoken compassion and the
of My St. Joseph’s and see the impact for yourself. —PATRICIA MOWRY, shared experience we can offer
VOLUNTEER AT ST.JOSEPH’S
DR. GILLIAN KERNAGHAN BREAST CANCER PROGRAM
one another that greatly contributes
PRESIDENT AND CEO to our healing and recovery.”
ST. JOSEPH’S HEALTH CARE LONDON For the past three months,
St. Joseph’s Breast Care Program
Patricia Mowry has been a calming
brings together a breast care team
presence for many women who
of surgeons, radiologists, medical 1
walk nervously through the door
radiation technologists, advanced
of St. Joseph’s Health Care
practice nurses, nurse navigators, For more information
London’s Breast Care Program.
St. Joseph’s provides exceptional care, earning Patricia provides them with a gown,
spiritual care providers, social
workers and others in a setting that
on volunteering at
St. Joseph’s, visit:
the complete confidence of those we serve.
Care
helps administer paper work and, nurtures and supports seamless, www.sjhc.london.on.ca
more often than not, simply holds innovative care for patients focused
their hand. on individualized care needs.
“Sometimes I don’t say anything,”
says Patricia. “Sometimes it’s just
matters here.
a shared look of compassion and
understanding.”
Patricia is a St. Joseph’s volunteer.
While she doesn’t always disclose,
the 76-year-old knows all too well
what many women are feeling when
they arrive for their appointments.
As a recent breast cancer survivor,
A leader in fecal microbial transplantation for treatment of C. difficile, St. Joseph’s
she’s been there.
is paving the way in innovative and life-saving treatment for those with this
debilitating and challenging infectious disease. Read full story on page 17. A year ago, after an annual
mammogram recommended by her
doctor, Patricia was told she had
sjhc.london.on.ca a small tumour in her breast.
With a history of early-onset breast
cancer in her immediate family,
she underwent a lumpectomy at
St. Joseph’s Hospital followed
by several weeks of radiation
therapy at the London Regional
Cancer Program.
Dr. Michael Silverman Now cancer free, she volunteers Providing comfort, helping with gowns and administering paper work are just some of the tasks
Medical Director, Infectious Diseases Care Program, St. Joseph’s Health Care London
Scientist, Lawson Health Research Institute weekly to provide support for other Patricia performs while volunteering with St. Joseph’s Breast Care Program.
01 ISSUE www.sjhc.london.on.ca 01 ISSUE www.sjhc.london.on.ca 8
activities sit in the bike and enjoy nice to see the families and children
the ride,” says Brittany. “Their faces in the park, and sit by the water
light up, they smile…it brings back and watch people fish,” he says.
great memories.” “I also like to bike around the
neighbourhood and look at all the
Mount Hope’s Cycling Without
houses. When I’m out, I feel happy
Age program is made possible
and relaxed.”
through the generosity of donors
to St. Joseph’s Health Care
Foundation, who contributed 1
to the cycle purchase. 1
For Glen, the bike is more than a To see more stories
“When I’m out, I feel comfortable ride. of donor impact, visit:
happy and relaxed.”
“I get to go to Gibbons Park where sjhcfoundation.org
—GLEN MARSH, RESIDENT
AT MOUNT HOPE CENTRE
I can be around all sorts of nature,
FOR LONG TERM CARE water, trees and animals. It’s also
a resident at St. Joseph’s Mount which can lead to isolation and “When I’m taking Glen or other
“FEELING THE Hope Centre for Long Term Care loneliness,” says Bernice Haasen, residents out for a ride, I see how
FRESH AIR ON (Mount Hope).
“I also like this bike because I don’t
Coordinator of Therapeutic
Recreation at Mount Hope.
being outdoors and enjoying the
view brings a sense of freedom, a
MY FACE” have to do any work like pedaling,”
he laughs. “I just get to sit back and
“Offering them the chance to go
on a bike ride gets them outdoors
feeling of relaxation,” says Brittany.
“They feel special, especially
to see life beyond Mount Hope, when families and kids see them
enjoy the ride.”
and to enjoy the city’s parks and and wave, and sometimes stop to
Cycling around the city brings His ride is part of Cycling Without neighbourhoods. And it really talk. It’s a whole different type of
joy to residents of Mount Hope Age, a new program at Mount brings a lot of joy to their day.” experience because it connects our
Centre for Long Term Care. Hope offering recreational residents with the community.”
What’s Glen’s favourite part of being
mobility to older adults on a
on the trishaw cycle? Since launching in spring 2019,
uniquely engineered cycle pedaled
the program has rapidly become
When Glen Marsh straps on his by therapeutic recreation staff. “Getting to be outside in the
a favourite among Mount Hope
helmet and settles onto his bike Founded in Denmark, Cycling sunshine, feeling the fresh air on my
residents. Time slots fill quickly,
seat, he never has to pedal. Without Age is a grassroots face,” he says.
even by those who normally keep
He leaves that to someone else. movement that’s available in more
His bike rides are powered by to themselves.
than 30 countries.
“It’s so fun to be on a bike again Brittany Tiseo, a Mount Hope staff Glen Marsh, a resident at St. Joseph’s Mount Hope Centre for Long Term Care, enjoys a leisurely
“It’s so great to see residents
because it reminds me of when “Many of our residents experience member who pedals him wherever spin with therapeutic recreation aide, Brittany Tiseo. The activity is part of a new Cycling Without
who are often reluctant to do Age program at the facility.
I was a little boy,” says Glen, a loss of mobility and independence, he wants to go.
9 01 ISSUE www.sjhc.london.on.ca 10
COVER STORY
BORN TO
MOVE
FACES OF MOBILITY
When we move, we feel better neurological and musculoskeletal
about ourselves physically and conditions.
mentally. Most of us are mobile
The more we can do to get people
through much of our lives, but when
moving again, the better off
our mobility is limited, it can affect
they will be in terms of mental
us in numerous ways. It may harm
and physical health – and in
our quality of life, lead to social
participating in what’s important
isolation and depression, affect our
to them.
ability to work and participate in
the community, and place a burden
on our family and caregivers. Q: WHAT DOES THE FUTURE
OF MOBILITY LOOK LIKE?
Q: WHEN THINKING ABOUT A: We’ve come a long way in
MOBILITY LOSS, WE MAY how we treat people who’ve lost
PICTURE SOMEONE WITH A mobility. What we’re doing today
BROKEN LEG OR AN OLDER in rehabilitation and treatment
ADULT USING A WALKER.
Dr. Tim Doherty, Chair/Chief of Physical at Parkwood Institute wouldn’t
WHAT WAYS DO PEOPLE LOSE
Medicine and Rehabilitation at St. Joseph’s MOBILITY? have been possible 20 years ago.
Looking ahead, with development
For most of us, we took our first A: It can come in multiple ways. of The Gray Centre for Mobility
steps before we turned a year old. Sometimes it’s through a sudden and Activity, we are bringing
On tiny unsteady feet, we explored incident, such as a tragic accident, together a diverse group of medical
the world around us, experiencing concussion, fall, spinal cord injury professionals, researchers and
the wonder of independence. or stroke. Other times, mobility industry experts to develop, test and Chris MacGregor receives therapy from the Stroke Rehabilitation Program at St. Joseph’s Parkwood Institute.
However, as we age and move into loss is gradual as people deal deliver new treatments, new ways
adulthood, our lack of mobility with frailty, dementia, mental of rehabilitating people. This kind Each person’s experience with of 23 years. “It was the worst day since his stroke in 2018, literally
might slow us down. illness, diabetes, stroke, arthritis, of coordinated approach will help mobility loss tells a unique story. of my life. I didn’t know if he was and figuratively.
Parkinson’s disease, and muscular unlock innovative solutions – ideas Here, three individuals shed light going to make it. Everything was
Dr. Tim Doherty treats people who sclerosis. on what it’s like to be immobile He walks to the end of the laneway
we may not have considered yet – taken away by the stroke. It was
have mobility loss. A renowned and to take the next step. three times a day by himself, says
that get people moving again. awful to see him lose his mobility.”
expert in physical medicine and Connie. And while his speech is
rehabilitation and lead physiatrist Q: WHAT IS BEING DONE TO To regain movement and build slow, it’s coming.
at St. Joseph’s Health Care London’s HELP PEOPLE IMPROVE MOBILITY activity into his life, Chris
AND REGAIN INDEPENDENCE? EVERYTHING Seeing mobility stripped from
Parkwood Institute, he sees received therapy from the Stroke
WAS TAKEN AWAY her husband and then witnessing
firsthand how movement and A: At St. Joseph’s Parkwood Rehabilitation Program at
it gradually return, she remains
activity affect one’s health. We Institute, we are leading in many CHRIS MACGREGOR St. Joseph’s Health Care London’s
hopeful and optimistic.
asked Dr. Doherty about mobility. areas of mobility, including the use FARMER, 52 Parkwood Institute. His care team
PARKHILL, ONT.
of technology to assess and treat developed a personalized treatment “Yes, life is going to be different but
individuals. For instance, people plan, which included therapies we are going to work hard and we’re
Q: WHY IS MOBILITY AN A farmer. A hard worker.
with a spinal cord injury can use a tailored specifically to Chris. going to get it to the best it can be.”
IMPORTANT PART OF OUR An independent man.
robotic system that might help them For example, movements needed
HEALTH?
walk again. This would describe Chris to change a tractor tire –
A: We were born to move. Mobility MacGregor, until he experienced a something familiar to a farmer “Without your mobility
is how we get around in the world, People are receiving better stroke at age 50. like Chris – were part of his
assessments thanks to our you don’t have a lot.
allowing us to do all the things we rehabilitation program.
researchers who are exploring what “It took everything on his right Mobility is everything.”
need to do as people.
factors affect mobility in aging, side. It took his speech. He could do With grit and determination,
nothing,” says Connie, his wife Chris has made great strides — CONNIE MACGREGOR
11 01 ISSUE www.sjhc.london.on.ca 12
MY LEGS DON’T WORK LIKE THEY IS MY WHOLE LIFE GOING
USED TO. TO CHANGE?
LEE THIBEAULT JUNE HAMEL
PARA ATHLETE, 31 RETIRED COURT REPORTER, 87
LONDON, ONT. LONDON, ONT.
On June 25 2013, Lee Thibeault took June Hamel and her dog, Casey,
his motorcycle for a ride. He didn’t had a difference of opinion while
make it home. heading out on a walk.
He was struck by a hit-and-run “He ran one way and I landed
driver. “The accident left me in a on the floor with a broken hip,”
wheelchair,” he says. “It was actually says June.
pretty scary. I’ve become a prisoner
The next day, June underwent
to my own body.”
hip surgery and, following a
Part of Lee’s rehabilitation at hospital stay, came to St. Joseph’s
St. Joseph’s Parkwood Institute Parkwood Institute.
involved therapy on robotic
“When I was lying in a bed knowing
equipment that imitates the
I’d broken my hip, I started to think,
movement of walking.
“Oh no, now what? Is my whole life
“Just to see that there’s a light at going to change?”
the end of the tunnel, life got a little
At Parkwood Institute, June’s
easier every day,” says Lee, a former
rehabilitation team got her
professional boxer who was studying
exercising so she could get back
air craft mechanics before the crash.
on her feet.
Even though his mobility is not
“They were there to help me.
what it used to be, Lee remains
Lee Thibeault is thankful for his rehabilitation care at St. Joseph’s Parkwood Institute. They were encouraging me and
positive, and perhaps philosophical,
they gave me spirit,” says June.
as he works to take back his
“Being mobile keeps my mind
independence.
going, keeps my body going. I figure
“We take it for granted when we’re FACTS ON MOBILITY if I got moving, I would stay moving.
$2
on our feet. We were meant to be I just want to be here, and I have to June Hamel exercises with physiotherapist Reuben Smith at St. Joseph’s Parkwood Institute.
standing, walking, and moving. move to be here.” June underwent hip surgery from a fall, which began her recovery journey.
Mobility is the most important
thing… My legs don’t work like they
used to. But just because I have
changed doesn’t mean my life needs
1 IN 5
to change. And I feel that’s what
billion
MOVING MOBILITY FORWARD
Parkwood Institute has done for me.”
As the country’s population ages and rates of chronic diseases
rise, more Canadians will experience mobility challenges, and
Annual cost to the Canadian Seniors have difficulty rising will see their work and family life disrupted. At the same time,
health care system for from a chair or walking pressure on the health care system will surge.
slips and falls. two blocks.
St. Joseph’s Health Care London is taking aim at these
looming challenges with the creation of The Gray Centre for
Mobility and Activity.
Located at Parkwood Institute, the centre will expand and
advance the medical, research and community work already
happening to improve mobility in patients. It will also make
1 IN 4 EVERY 30 MINUTES Parkwood Institute a national hub for rehabilitative care and
treatment where scientists, clinicians and community partners
Local couple Bill and Lynne Gray made an
historic investment in 2019 that will open
Will be 65 years or older Someone in Canada has will collaborate on new solutions to treat and care for people
by 2030. a stroke. The Gray Centre for Mobility & Activity
with loss of mobility and activity. at Parkwood Institute to promote people’s
capacity to remain mobile and in good health
The centre’s work is being made possible through a
throughout their lives.
Lee Thibeault walks on a treadmill during a
30,000 CANADIANS $7.5 million gift to St. Joseph’s Health Care Foundation
by Bill and Lynne Gray.
Locomotor Training session in a rehabilitation Fracture a hip annually.
gym at St. Joseph’s Parkwood Institute.
13 01 ISSUE www.sjhc.london.on.ca 14
PUTTING robotics, Dr. Pautler is a highly-
respected leader who has keenly
“If an abnormality is found or a
PSA test is concerning, they get
THE LID ON followed the debate over the years. referred to the Prostate Diagnostic
Assessment Program at St. Joseph’s
“Canada has come to the
COFFEE decision that not screening is
Hospital,” says Dr. Pautler.
“If their risk is low, the care
SHOP TALK a grave mistake.”
team and patient may decide to
observe. If there is cancer requiring
NOTHING TO SHY AWAY FROM
Prostate screening happens in two treatment, patients may undergo
steps starting with a PSA blood test, radiation or surgery. It’s through
Urologist Dr. Stephen Pautler those interventions where the
explains Dr. Pautler. PSA is made
clears the air on prostate risk of incontinence or erectile
by the prostate and high levels of
screening misconceptions dysfunction happens, but in
this protein means a higher risk of
and urges men to be informed. many cases, function is restored.
Their life may depend on it. cancer being present.
If it’s not, then there are still
The second part is a rectal exam. more options.”
“In my experience, men tend to There is much discussion in
Poised over a medical model of a
build up this little exam. the medical world of cancers,
penis in his office at St. Joseph’s Thomas Telfer participated in the Zero Suicide Implementation Advisory Committee as well as a working group to provide support and advice from
We are simply looking for lumps like prostate, being treated as a an outpatient perspective.
Hospital, Dr. Stephen Pautler quips,
and bumps, which is a key ‘disease of aging’, understanding
“to screen or not to screen, that’s
indicator. The hype men give this the spectrum is broad requiring
the question.” Shakespeare he’s not,
but a urologist for almost 20 years,
is way worse than the exam.
Men need to move past it –
everything from a watchful eye to
tumor removal, says Dr. Pautler.
THE POWER “This community funding support
is a recognition of the importance
“It’s about helping people stay out
of crisis and improve their quality
Dr. Pautler knows a thing or two
about prostate care.
because it’s important.”
“Some patients are fine with OF ZERO of the initiative,” says Thomas,
who was first diagnosed with
of life day-to-day,” says Thomas.
“The goal of Zero Suicide is zero.
In addition to rectal exam dread, monitoring and others want or depression as a young lawyer. That’s the only acceptable number.”
“I call it coffee shop talk – where
men hear misinformation about need to take immediate action.”
men share the worst stories they’ve At the time of his diagnosis, Currently, St. Joseph’s is reaching
treatment.
heard, leading to misinformation TIME FOR CHANGE As a mental health advocate Thomas associated mental illness out to community partners, offering
and dangerous consequences,” “Sometimes surgery or radiation The trouble is men aren’t even with a passion for suicide with weakness and rejected suicide prevention education,
says Dr. Pautler. can cause incontinence and erectile taking the first step – they aren’t awareness and prevention, his doctor’s recommendations resources and training on the Zero
issues, and that’s what men hear in getting screened – and that has to Thomas Telfer helped shape a for treatment. That attitude Suicide approach, to help support
So why is it important to screen for
the coffee shops. Truthfully, there change, says Dr. Pautler. new approach to patient care. changed after his most recent other organizations as partners in
prostate cancer? “One in seven men
is so much more to the picture,” Today, the Zero Suicide initiative hospitalization. “I was tired of suicide prevention.
will have prostate cancer in their “It’s really about being informed.
says Dr. Pautler. at St. Joseph’s Health Care hiding my illness,” he says.
lifetime, so men should stay on top It would also be helpful if London is fully-funded thanks
of it,” he urges. MANY TREATMENT OPTIONS men would put a lid on the Thomas decided the only way to
to community support.
The care team looks at family misconceptions and instead spread reduce the stigma and help others
FLAWED STUDY was to talk about his struggles.
history, lumps, the PSA and use the word about the reality of
Despite such staggering rates, the In 2016, St. Joseph’s became the first He began by inviting friends and BY THE NUMBERS
clinical formulas to calculate prostate screening – how it’s really
number of men being screened is health care organization in Canada work colleagues to visit him in
cancer risk for men. not bad, it’s important, and it can
decreasing. to adopt Zero Suicide, a system- hospital. Today, he uses his 671 NEW PATIENTS
save a life.”
“It’s a bit complex, but a study came wide initiative that aims to prevent platform as a professor to share have received a lifetime
suicide in the health care system by his experiences with students suicide risk assessment
out from the United States saying
providing people with the help and and colleagues. since 2018.
screening doesn’t save lives, and
a Canadian panel recommended protection they need – before they 61 AGENCIES
Thomas’ work as a mental health
against screening based on this reach a crisis point. in the region have
advocate led to his involvement
work,” explains Dr. Pautler. Today, the initiative is fully-funded with Zero Suicide. expressed interest in the
by generous donations made Zero Suicide initiative.
A second study from Europe As a member of the implementation
back-tracked on the original through St. Joseph’s Health Care 24 HOURS OR LESS,
committee, he was able to share
findings, saying screening does Foundation, which brings the goal upon discharge:
his story as well as the experiences
reduce mortality. of reducing the number of deaths by individuals receive
of many patients he has met
suicide to zero one step closer. a follow up call from
“Sadly, the ‘screening doesn’t in hospital.
care staff.
help’ language infiltrated doctor’s That’s exciting news for Thomas
This vital input helped shape the
offices. Now we are stuck with false Telfer. As a survivor of two suicide 7 DAYS OR LESS,
new wrap-around approach to
information we need to combat,” attempts, Thomas participated in upon discharge:
suicide-prevention that is already individuals receive a
says Dr. Pautler. the Zero Suicide Implementation
making a difference in the lives scheduled outpatient
Advisory Committee as well as
Southwest Regional Surgical of all patients receiving inpatient appointment.
a working group to advise and
Oncology lead at Cancer Care and outpatient mental health
support the project from an
Ontario and a pioneer in surgical Urologist Dr. Stephen Pautler consults with a patient at St. Joseph’s Hospital care at St. Joseph’s.
outpatient perspective.
15 01 ISSUE www.sjhc.london.on.ca 16
THE SCOOP
ON POOP
Like blood transfusions,
fecal transplants save lives.
Don’t flush away an
opportunity to donate.
It’s inevitable that any conversation
with Dr. Michael Silverman loops
around to poop. Few get as excited
at the mention of this bodily
byproduct, and few are as well
versed on the topic.
Dr. Silverman, Director of
St. Joseph’s Health Care London’s
Infectious Diseases Care Program
and a scientist at Lawson Health
Research Institute, is, in fact,
a Canadian poop pioneer.
Fecal transplant capsules being prepared in lab.
In 2003, long before poop was
a hot topic in health care,
Dr. Silverman was treating an of the infection. And so began his YOU CAN HELP: DON’T FLUSH
80-year-old patient who had pursuit of poop to treat disease. AWAY A CHANCE TO SAVE A LIFE
been hospitalized repeatedly with
At St. Joseph’s Hospital, Just like blood transfusions,
Clostridium difficile (C. difficile)
Dr. Silverman has been able to fecal transplants save lives, says
infection –the major cause of
advance his work in FMT, efforts Dr. Michael Silverman, Medical
antibiotic-associated diarrhea
that recently earned his team the Director of St. Joseph’s Infectious
that often strikes the elderly.
Sandra Letton Quality Award Diseases Care Program.
She had borrowed money against
presented by St. Joseph’s for But transplants need donors.
her house to afford the medication
outstanding contributions Dr. Silverman urges people to get
and could no longer tolerate the
toward improvement in quality past the “ick factor”, be screened
burden of this debilitating and life-
patient care. and donate. One stool can
threatening infection – physically
transplant three to four people.
and financially. She begged him to Seema Nair Parvathy, Research Coordinator at Lawson Health Research Institute, Since 2015, the team has
prepares fecal transplant capsules. And donors can give as often as
find a solution. successfully administered more they poop.
than 150 FMTs for C. difficile
Dr. Silverman had just read a Treating C. difficile with antibiotics patients from across Southern
new Scandinavian report about also kills even more of the helpful Ontario. Working in partnership
an alternative treatment that normal gut bacteria, and when these with research coordinator 1
addressed the cause of the disease, antibiotics are stopped the SeemaNair Parvathy (PhD), the
its prevention and recurrence - fecal C. difficile returns. This can happen outpatient Infectious Diseases Care To find out more about
microbial transplantation (FMT), over and over again, making Program at St. Joseph’s Hospital has eligibility and how to
otherwise known as a treating relapsing C. difficile a donate, call:
become the first clinic in Ontario
poop transplant. huge challenge. to offer FMT by capsule instead of 519 646-6100, ext. 61726
by enema, and only the second in
Most cases of C. difficile occur With FMT, donated stools from
Canada to do so.
in individuals who are taking a healthy person are diluted with
antibiotics and some acquire it saline, filtered to a clear liquid, The hope is to expand treatment
while hospitalized. Antibiotics and introduced by enema into the using FMT to other diseases such
can destroy the normal bacteria person with C. difficile. It works a non-alcoholic fatty liver disease,
found in the gut, causing C. difficile by replacing the normal healthy multiple sclerosis, melanoma
bacteria to overgrow. When this gut bacteria. and atherosclerosis.
occurs, the C. difficile bacteria
Dr. Michael Silverman, Medical Director of the Infectious Diseases Care Program at St. Joseph’s The 80-year-old woman was
produce toxins, which can damage
Hospital, Chair/Chief of Infectious Diseases in London, and a scientist at Lawson Health Dr. Silverman’s first FMT patient.
the bowel and cause diarrhea and
Research Institute, is a Canadian pioneer in fecal transplants. It worked. The woman was cured
other complications.
17 01 ISSUE www.sjhc.london.on.ca 18THE BEST
PERSON FOR
THE JOB –
HANDS DOWN A NEW START
Expertise in hand therapy and a Occupational therapy builds
“handy” Indian accent created confidence and independence
the perfect formula for teaching for residents of St. Joseph’s
in South Asia. Steele Street Rehabilitation
Program.
During a recent trip to India Dylan leans over to grab another
and Sri Lanka, occupational onion for chopping on his cutting
therapist Shrikant Chinchalkar, board. He’s making soup – a routine
On their road to recovery, residents at St. Joseph’s Steele Street are learning about themselves,
a renowned leader in hand therapy task for most, but for Dylan, a former their talents and abilities - including some impressive skills in the kitchen. From left are,
at St. Joseph’s Health Care London, resident of St. Joseph’s Health Care John, occupational therapist assistant Angela Miles, and Dylan.
challenged old practices and shared London’s Steele Street Rehabilitation
his vast knowledge in treating Program, it means much more.
the week, not on weekends,” says “Routine and structure are an
hand fractures and other injuries. It’s a new start.
program coordinator Terri-Lynn important part of the therapy,”
Shrikant, a long-time hand By his side is occupational therapist Timmermans. “This new role, explains Angela. “We can now
therapist at the Roth|McFarlane assistant (OT assistant), Angela and the many skills Angela offers, offer our residents occupational
Hand and Upper Limb Centre Hand therapist Shrikant Chinchalker explains the controlled movement program to a patient in the Miles. Her role at the Steele Street has positively impacted those we therapy outside of traditional
who couldn’t sit still in retirement, Roth McFarlane Hand and Upper Limb Centre. residence allows individuals, like serve here.” business hours when they are not
is contributing to the organization’s Dylan, to receive occupational at work or at school.”
At Steele Street, located in
academic mission by teaching therapy seven days a week. Angela
recovery and additional surgeries. “They do exceptional work in St. Thomas, individuals with With 20 years of health care
abroad. follows treatment plans developed
If therapy is started at the right time India and Sri Lanka. I was there complex and persistent mental experience, Angela is always eager
by Steele Street’s occupational
Travelling to India for the past it helps to minimize recovery time, to enhance the practice of hand illness receive care and to make a difference. She helps
therapist who also provides care
eight years, Shrikant is no stranger the need for additional therapies.” therapy as best I could. We know rehabilitation therapy for up to residents with meal planning, daily
within the residence. Trading off
to the medical needs of developing early movement is key as it results two years. A team of professionals chores, cooking, scheduling and
Shrikant is also helping to bridge 12-hour shifts, the duo provide
countries. In India, he met with in less scar tissue formation and with expertise in occupational socializing with others. As many of
the communication gap between consistency in the support available
orthopedic and plastic surgeons, better healing and mobility.” therapy, nursing, psychiatry and the residents have spent prolonged
disciplines. for all nine residents living in
residents, fellows and medical therapeutic recreation provide periods of time in hospital, the
When asked about the response the home.
students to discuss wound healing “Sometimes the surgeons don’t services and treatment in a therapy gives them a renewed sense
to his coaching in Sri Lanka,
and decision-making for hand talk to the hand therapists and “Prior to the addition of an residential setting, helping residents of independence and valuable
Shrikant humbly states, “It was
therapy, including the right timing vice versa. Breaking down silos OT assistant to our care team, to learn the tools and skills they’ll community living skills.
good.” So good he was invited back
for casting and when to begin is important so we can all share occupational therapy at Steele need to live independently in the
in 2020. “Sticking to a routine and learning
hand therapy. information that benefits patients.” Street was only offered during community.
how to cook and stay on a budget
“In the past, the practice of keeping At the request of the Education has been helpful,” says Dylan, who
a cast on for three to six weeks was Committee of the International “Often surgeons felt the recently secured a new job and
typical,” explains Shrikant. Federation of Societies for Hand moved into his own apartment after
stiffer the injury was held
Therapy, Shrikant also imparted his living at Steele Street for a year.
Starting with a controlled
knowledge in Sri Lanka but jokingly in place, the better. But
movement program, patients are based on knowledge of
declares the invitation wasn’t just
benefitting from wearing a cast for wound healing, we know “It’s rewarding to see all
about his expertise.
only three to seven days and then the residents work together
wearing a splint while progressing “It proves challenging in Asia when
there is a better way.”
and achieve their goal of
into therapy. teachers are from Australia or the
United Kingdom. The accents pose
— SHRIKANT CHINCHALKER, independent living. I’m
OCCUPATIONAL THERAPIST
“This early hand rehabilitation
a problem. I think I was chosen excited for the opportunity
helps the break to heal better,” to use my skills in such a
not only because of my experience
says Shrikant. unique mental health care
but because of my Indian accent,”
“Having a patient in a cast for up he smiles. Through talks and setting.”
to six weeks can pose problems for clinics in both countries,
hand therapists as they struggle Shrikant shared his wisdom with — ANGELA MILES,
Occupational therapist assistant Angela Miles helps Dylan, a former resident at St. Joseph’s OCCUPATIONAL THERAPIST
with stiffness. It results in a slower eager-to-learn clinicians. Steele Street in St. Thomas, plan his meals for the week while staying on budget. ASSISTANT
19 01 ISSUE www.sjhc.london.on.ca 20DIABETIC A SIGNIFICANT STRESS
Many patients with type 1 and type
SUPPLIES OR 2 diabetes pay out thousands of
dollars annually – a significant
GROCERIES? stress that adds to the physical
and often mental health toll of
diabetes, says Rebecca Meehan,
DEC registered nurse and educator.
For many patients, the “It’s not uncommon for patients to
financial toll of diabetes means be faced with choosing between
making difficult decisions.
recommended care and basic
At St. Joseph’s Health Care
living expenses.”
London, the diabetes care
team is helping patients find For example, many of those without
the support they need. adequate coverage for test strips
used for checking blood glucose
levels forego checking, which leads
The gap between what people with to poorly managed diabetes and St. Joseph’s endocrinologist Dr. Tamara
diabetes need to manage their a higher risk of complications, Spaic often sees the impact of the financial
condition and what they can afford toll of diabetes on the lives and health of
says Rebecca.
is a growing concern for staff and her patients.
physicians at St. Joseph’s Diabetes Jason Howard estimates he pays
Education Centre (DEC). about $4,000 a year out-of-pocket
for diabetes-related essentials. new one daily for insulin injection.
A lack of funding for diabetes Both he and his wife are self- And rather than changing the
supplies, equipment and employed, which means they can’t lancet each time he pricked his
medications essential for evidence- tap into private group insurance finger to draw blood seven to ten
based care means diabetes nurses and don’t qualify for most of the times a day, he would use the same
and dietitians are spending much government funding programs. lancet for two weeks. While Jason
time helping patients navigate now uses a flash glucose monitoring
various avenues to secure financial The 47-year-old, who has had to system that can read glucose
support. To boost these advocacy scale back his handyman business levels through a painless scan of a
efforts, St. Joseph’s recently due to his health, admits to cutting sensor worn on the arm – no finger
launched a new service for diabetes corners as a way to ration supplies prick needed - the sensor must be
patients. A registered social service and medication, such as using the changed every two weeks at a
worker is now available to provide same needle for a week instead of a cost of $100 each.
coaching and guidance aimed at
helping diabetes patients and their The gap between what people with diabetes need to manage their condition and what they can afford is a growing concern for the diabetes care team
families find the resources they at St. Joseph’s Hospital.
need for optimal self-care. EVERY 24 HOURS...
$75
“The overall goal is to decrease Jason also found a way to stretch management,” she explains. of diabetes management, can be
barriers to care,” says Julie Hebert, his insulin use by eating fewer “Yet the cost of these advances expensive. It’s easy to see how the
social service worker. “This
includes helping people with MORE THAN carbs, which affects how he feels. is not universally covered and
hence not readily available to all
cost of living with diabetes quickly
adds up and how it may discourage
TWENTY
applications for financial support In St. Joseph’s diabetes clinics,
our patients.” some patients from persisting with
from various government agencies the team often sees how the
their care.”
million
or advocating for coverage from financial and psychological distress As a chronic illness that affects
private insurance companies.” Canadians die of diabetes- associated with diabetes impacts multiple organ systems, diabetes
related complications. lives and the health of patients, says management is challenging,
endocrinologist Dr. Tamara Spaic. requiring not only good sugar
Is spent by the Canadian
480
control but also excellent blood
health care system to “We live in the era of great
treat diabetes. pressure and cholesterol control,
advances in treatment of diabetes.
and more, adds. Dr. Spaic.
They include medications that
significantly improve blood sugar “The number of medications
FOURTEEN control and decrease the risk of
death and dying, and technological
prescribed for diabetes
management can quickly exceed
Canadians have lower More Canadians are diagnosed advances in blood sugar monitoring five or even 10 medications a day.
limb amputation. with this devastating disease. that help patients make informed And we should not forget that a
decisions about their diabetes healthy diet, which is a cornerstone
21 01 ISSUE www.sjhc.london.on.ca 22The R2P team, led by Lawson PRIME members meet regularly
scientist, Dalton Wolfe, is to share key findings and identify
focused on embedding research issues. This is where clinicians can
into clinical care by bringing reflect and refine their practice.
together researchers, clinicians,
Today, Patrick’s main symptom is
administrators and patients in an
neuropathic pain below his knees.
exciting approach that can quickly
About an hour spent sitting is all
translate knowledge into care.
he can tolerate. When discomfort
Parkwood Rehabilitation sets in, physical movement brings
Innovations in Mobility relief. Twice a week Patrick travels
Enhancement (PRIME) aims to to the Fitness Centre at Parkwood
create evidence-based treatment Institute for therapy that is
protocols by investigating what continually evolving.
combinations of physical or
“By integrating research into the
occupational therapies are
clinical setting, improvements
best for what type of patient.
in care are made frequently, and
Through collaborations with
patients are able to benefit from the
computer scientists and engineers,
research immediately,” says Dalton.
researchers hope to identify which
“Patients experience more effective
activities might be linked with
treatment, faster recovery, and
the best physiotherapy practices,
ultimately, better outcomes.”
with the ultimate goal
of providing the best possible
clinical recommendations.
Patrick has experienced the health
system from all angles and knows 1
the Rehabilitation Program at
Parkwood Institute well. For an in depth
His insights make him a valued interview with the
PRIME Team, visit:
member of the PRIME team.
A PRIME Team - Lawson
“Ensuring the patient experience Link 2019 on YouTube
is embedded in our research is
integral to this type of model,”
says Dalton.
At Parkwood Institute, the Research 2 Practice team brings together researchers, clinicians and patients to improve care for spinal cord injury
and acquired brain injury patients. From left are Melissa Fielding, Laura Graham, Calogero Giurleo, patient Patrick Stapleton, Dalton Wolfe,
Heather Askes, and Deena Lala.
IN THE TOP 10 – YET AGAIN
Lawson Health Research Institute is ranked eighth in the country according to the
DELIVERING Five years ago, Patrick Stapleton
was sitting upright in a chair when
has been difficult. During the first
year, he was prescribed multiple
2019 edition of Canada’s Top 40 Research Hospitals List by Research Infosource.
This strong national position has been maintained by Lawson for the past six
ON DISCOVERY his forehead went cold and clammy
and his vision suddenly blurred.
medications to manage the pain and
underwent spinal decompression
years. Lawson has also maintained the top ranking for research intensity among
the large tier institutions with $612,800 of research spending per researcher.
The next thing he remembers is surgery. He now has two titanium “As a hospital-based research institute, our innovation happens where care is
waking up on the floor with no rods spanning his T11, T12, L1, L2, delivered,” says Dr. David Hill, Lawson Scientific Director. “Every day, researchers
With patients as part of the feeling in his legs. and L3 vertebrae. are working directly with clinicians and patients to improve treatments or create
team, new knowledge can entirely new ones. They also find innovative methods of delivering services that
“There is no explanation for what The road to recovery following a
be quickly translated into drive efficiency and reduce costs.”
happened to me,” says Patrick. spinal cord injury (SCI) or acquired
rehabilitative care at St. Joseph’s
“Many doctors have looked at my brain injury (ABI) can be long and Lawson received $123,790 million in research income in 2018, which represents
Parkwood Institute.
case, and after ruling everything challenging. Since every patient’s 0.4 per cent in growth from the previous fiscal year.
out, their best guess is that I had condition is unique, so too are the
a muscle seizure, which broke rehabilitation needs. Optimizing “Our position as a leading research institute is the foundation for brilliant research
and worldwide partnerships tackling the most pressing challenges in health care,”
my vertebra.” treatment for the individual is the
says Dr. Hill.
goal of Lawson Health Research
Patrick has what is known as an
Institute’s Research 2 Practice Lawson Health Research Institute is the research institute of St. Joseph’s Health
L1 spinal cord injury. His journey
(R2P) program at St. Joseph’s Care London and London Health Sciences Centre.
through recovery and treatment
Parkwood Institute. 24
23 01 ISSUE www.sjhc.london.on.ca 24EVERY “Something that stood out was
how patient and family caregiver
“We can’t quite put our finger on
it,” Joan muses, “but you know that
VOICE TELLS involvement is being welcomed,
not only at a program or project
people are well-cared for and that
individual voices are valued.”
A STORY level, but in active roles up through
decision-making and governance
For Joan, having the accreditation
process include inquiry into the
structures,” explains Joan.
role of patients and families as
She acknowledges that not every partners in care speaks volumes
As a patient, Joan Hubert story is a good story, but there is to the authenticity of the work
shares what it means to be
opportunity to learn as much – at St. Joseph’s.
valued as a partner for
if not more – from difficulties
change at St. Joseph’s “Sharing our stories is how we
and challenges.
Health Care London. keep compassion and the human Accreditation is an ongoing
“It is about how those situations element at the centre of health process of assessing
health and social services
are heard, respected and taken into care,” says Joan. organizations against
As Joan Hubert looked around the consideration that leads to positive standards of excellence.
table during a panel discussion at change all around. It truly is a At St. Joseph’s, the
St. Joseph’s Parkwood Institute, she partnership,” she says. Accreditation Canada
felt a wash of connection and pride. “Every voice is important. surveyors recently evaluated
On this particular day, Joan’s story At the conclusion of the survey the organization’s performance
process, St. Joseph’s was awarded Each experience is against a total of 1,980
and the stories of other patients and
family caregivers were being heard Accreditation Canada’s highest important… and even standards of which 1,973
as part of an Accreditation Canada distinction: Accredited with small changes can (99.6 per cent) were met.
cascade into big changes St. Joseph’s, which has already
survey that took place this past fall. Joan Hubert is a patient advisor on the Quality Committee of St. Joseph’s Health Care London’s Exemplary Standing.
held the highest designation
Board of Directors. Following a traumatic car accident in 2016, Joan Hubert spent more than five for you and for others.”
These stories were shared to access months as an inpatient at Parkwood Institute. One of the Accreditation Canada given by Accreditation Canada
surveyors recognized a ‘secret sauce’ for the past eight years, once
strengths and weaknesses in how — JOAN HUBERT, again received “Accredited
services are offered and accessed, behind the organization’s success. PATIENT ADVISOR with Exemplary Standing,”
and to deepen understanding of all. Having spent time in a shared A strong voice for continuous extending the title to 12 years.
the lived experiences of patients room during her recovery, Joan improvement, Joan has recently
and families. recalls some of the challenges taken on the role of patient advisor
“It was powerful to listen to other that can come with balancing on the Quality Committee of
patient and caregiver stories – to everyone’s needs. St. Joseph’s Health Care London’s
learn about their journeys and Board of Directors.
“The intentions of a policy may
involvement with the organization,” be good, but it also needs to work A HEALTHY
remarks Joan. “Many have been in practice. Working as partners
involved for several years and each made that possible,” Joan says,
Across St. Joseph’s,
DOSE OF
has had a real impact.”
During the panel discussion, Joan
“As patients and caregivers, we
were encouraged to sit together patients and family
caregivers are providing
EXPERT
shared her involvement with the
development of a new Family
with staff and work through
scenarios and solutions.”
valuable insight based
on their experiences.
ADVICE
Presence policy, which came Patient and family advisory They are essential
into effect across all St. Joseph’s committees at each site of partners impacting
sites in June 2019. The policy was St. Joseph’s are another mechanism the following areas: St. Joseph’s DocTalks program SNEAK PEEK AT THE 2020
developed jointly by staff, patients through which individuals share is back by popular demand with DOCTALKS LINEUP
and family caregivers through a their voice and lived experience • Patient care an informative and enlightening
series of lectures by experts Feb. 4 Dr. Janet Pope Rheumatoid arthritis
co-design process that included with the organization. These groups • Organizational
a working group and engagement work with staff and physicians to at St. Joseph’s Health Care Mar. 11 Dr. Tom Sheidow Retinal disease and vision loss
processes
workshops at each site. drive innovation and improvement. London. From today’s most
• Education pressing health issues and the May 27 Dr. Viraj Mehta Substance use and mental illness
Bringing patient and family Changes to wayfinding to ease
and research latest treatment options to July 22 Dr. Collin Clarke Managing chronic pain
caregiver voices to the table navigation for patients and family
caregivers, the design of new new research findings these
provided integral context for the • Environment Nov. 25 Dr. Ken Faber Shoulder surgery and upper limb health
lectures are also an opportunity
policy, which replaced traditional spaces, furnishing decisions and and design
menu selections are just a few to showcase the role of
visiting hours. Family caregivers • Quality philanthropy and the difference Attendance is free but advance registration is required.
are now welcome based on patient examples of the impact of these
improvement donors make in advancing Visit sjhc.london.on.ca for more information and to receive notification
wishes, respecting the care needs, committees.
patient care. when registration opens for each lecture.
well-being, safety and security for • Staff recruitment
25 01 ISSUE www.sjhc.london.on.ca 26You can also read
