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JEAN CHRÉTIEN’S KEYNOTE • PSYCHOSOCIAL ONCOLOGY • PAVILION K GROUND-BREAKING<br />
Jewish General hospital jgh.ca<br />
Volume 47, no. 1 Spring 2011<br />
<strong>No</strong> <strong>appointment</strong>? <strong>No</strong> <strong>problem</strong>!<br />
Quicker, easier access to health care<br />
at the Herzl CRIU Walk-in Centre<br />
Weekend to End Women’s Cancers,<br />
Ride to Conquer Cancer:<br />
Two events, one family, three participants<br />
JGH News<br />
1
2 spriNG 2011<br />
F I R S T P E R S O N S I N G U L A R<br />
Library’s wealth of knowledge<br />
is vital to patients’ well-being JGh news<br />
A<br />
s John Lennon once sang, “Life is what happens to you while you’re busy<br />
making other plans.” That, in a nutshell, is how I ended up spending<br />
more than 40 years at the Jewish General Hospital in a dream job that I<br />
had never originally dreamt of. I’ve always loved books and the feel of libraries,<br />
but a librarian is not something I imagined I’d become.<br />
After earning my B.A. in<br />
1968, I was about to take off<br />
for Paris to study French at<br />
the Sorbonne, when protesting<br />
Sorbonne students<br />
began rioting—and there<br />
went my plans! So I enrolled<br />
in the Master’s program in<br />
Library Science at McGill<br />
University which led, in my<br />
second year, to a part-time<br />
job at the JGH Medical Library<br />
(renamed the Health<br />
Sciences Library in the<br />
’80s). In 1970, I launched<br />
Arlene Greenberg<br />
my career at the JGH Lady<br />
Davis Institute for Medical Research and, in<br />
1978, became Chief Medical Librarian.<br />
Over the years, most of my contact has<br />
been with doctors, nurses and other healthcare<br />
professionals who come to the Health<br />
Sciences Library (Pavilion A, second floor)<br />
for trustworthy, timely information. However,<br />
I take great satisfaction in knowing that,<br />
ultimately, it’s the patients who benefit. By<br />
supporting scholarship and research—for<br />
everyone from the greenest student to the<br />
seasoned veteran—our team plays a crucial<br />
role in improving the quality of patient care.<br />
Through the library’s Patient and Family Resource<br />
Centre, we are also in direct contact<br />
with patients (or their relatives) who need<br />
reliable health information. To play such a<br />
vital role in a patient’s well-being is extremely<br />
gratifying.<br />
I’ve also been fortunate to witness a remarkable<br />
evolution. In the pre-digital ’70s,<br />
everything was manual and time-consuming.<br />
To find an article from the medical<br />
literature, I had to comb<br />
through the massive Index<br />
Medicus for appropriate<br />
references. Today, if you<br />
know where to look, answers<br />
can be pinpointed<br />
more quickly. <strong>No</strong> longer<br />
are librarians the only ones<br />
capable of locating medical<br />
information. Although the<br />
staff still depends on us to<br />
help navigate a vast array of<br />
online databases, journals,<br />
books and other resources,<br />
we have become educators.<br />
In this role, we provide others<br />
with skills to search for themselves, keep<br />
up to date and avoid information overload.<br />
Since so much data is available online, we go<br />
where staffers work and teach them in their<br />
own environment. We also attend rounds—<br />
for instance, in Surgery or the Neonatal<br />
Intensive Care Unit—to better understand<br />
their needs and quickly respond to highly<br />
specific requests.<br />
Fortunately, not all vestiges of the past<br />
have disappeared. During the hospital’s 75 th<br />
anniversary in 2009, the Health Sciences Library<br />
launched the Legacy Project to properly<br />
catalogue and preserve our rich trove<br />
of archival materials. To me, the library still<br />
feels like the oasis it always was—a refuge<br />
from the hospital’s hustle and bustle, where<br />
you can browse through newspapers, journals<br />
and books on subjects ranging from<br />
medicine to Judaica. Above all, it’s an essential<br />
repository of knowledge, to be navigated<br />
with a mouse-click or the turn of a printed<br />
page. Either way, I’m proud to be the guide.<br />
Arlene Greenberg<br />
Chief Medical Librarian<br />
Care for all.<br />
Spring 2011<br />
Published by:<br />
SIR MORTIMER B. DAVIS -<br />
JEWISH GENERAL HOSPITAL<br />
DEPARTmENT OF PUBLIC AFFAIRS<br />
AND COmmUNICATIONS<br />
communications@jgh.mcgill.ca<br />
President:<br />
Bernard Stotland<br />
Executive Director:<br />
Dr. Hartley Stern<br />
Director of Public Affairs<br />
& Communications:<br />
Glenn J. Nashen<br />
Editor:<br />
Henry mietkiewicz<br />
Contributors:<br />
Laure-Elise Singer<br />
mark Shainblum<br />
Stephanie malley<br />
Pascal Fischer<br />
Francesca Frati<br />
Graphic design:<br />
Christine Lalonde<br />
Translation:<br />
Louise Trépanier<br />
Printer:<br />
Colorama Packaging and Printing<br />
Photography:<br />
JGH Audio-Visual Services<br />
To subscribe, please see page 13<br />
Publications Mail Agreement<br />
#40062499<br />
Return undeliverable mail with Canadian<br />
addresses to:<br />
Jewish General Hospital<br />
3755 Côte Ste-Catherine Road, A-107<br />
Montreal, Quebec H3T 1E2<br />
Tel.: 514-340-8222<br />
jgh.ca<br />
facebook.com/hgj.jgh<br />
twitter.com/hgj_ jgh<br />
A mcGill University<br />
Teaching Hospital
Cover Stories<br />
Features<br />
Jean Chrétien<br />
Contents<br />
<strong>No</strong> <strong>appointment</strong>? <strong>No</strong> <strong>problem</strong>!<br />
Pilot project soars 10<br />
Easier access to health care<br />
Come one, come all 12<br />
Patients’ walk-in experiences<br />
Vital signs 13<br />
Adding up the numbers<br />
What, where, when? 13<br />
Basic info<br />
On the cover: At the Herzl CRIU Walk-in Centre, Zohaib Ahmed is examined by Nurse Practitioner Kristel Constance<br />
with assistance from Nurse Practitioner Kelly Thorstad<br />
Annual General Meeting 4<br />
Jean Chrétien’s keynote speech<br />
Pavilion K under way! 5<br />
Premier Charest breaks ground<br />
Mind + body vs. cancer 14<br />
The psychosocial strategy<br />
Of Special Interest Familiar Faces<br />
National recognition 7<br />
JGH’s leadership award<br />
Healthcare strategies 7<br />
Dr. Stern at the Board of Trade<br />
Survey says… 29<br />
Patients rate the JGH<br />
Dynamic recruitment 30<br />
A push to hire the best<br />
Surgical pioneer 19<br />
New solution for aneurysms<br />
The Weekend and the Ride 20<br />
One family, two events<br />
Reheating cold cases 22<br />
Medical mysteries solved<br />
Foundation report 15<br />
Auxiliary report 24<br />
Newsmakers 26<br />
To your health 28<br />
The big picture 31<br />
JGH News<br />
3
JGH praised as “the image of Canada”<br />
Jean Chrétien addresses Annual General meeting<br />
With his characteristic mixture of self-deprecating wit and from-the-heart bluntness, former Prime<br />
minister Jean Chrétien used the Jewish General Hospital’s 76 th Annual General meeting to express<br />
his gratitude for his life-saving surgery at the JGH—an institution he described as “the image of<br />
Canada”.<br />
Mr. Chrétien, who underwent surgery last year<br />
and returned as the keynote speaker on <strong>No</strong>v. 10, said<br />
he admires the JGH for its long history of extending<br />
treatment to people of all backgrounds from across<br />
Montreal and Quebec. “All the religions, all the colours<br />
of the skin, all the political beliefs, and they all<br />
work together. That is the Canada I love.”<br />
Describing his experiences in this multicultural setting,<br />
Mr. Chrétien drew warm laughter as he recalled<br />
the morning of his operation: “There came a guy to<br />
shave me. So here I am in a Jewish hospital, the guy<br />
shaving me is a Muslim, and I’m a Chrétien!” In a<br />
similarly light tone, he said he was impressed by the<br />
awards that would be handed out at the meeting, “but<br />
the best award is a guy like me who gets out alive.”<br />
Concluding on a more serious note, Mr. Chrétien<br />
said he was “very impressed that all of you care about<br />
your hospital and that you are concerned about the<br />
quality of the lives of your fellow citizens.” Referring<br />
to Canada as a whole and the JGH in particular, he<br />
added,<br />
“We are together. We live together.<br />
We respect one another.”<br />
Samuel Minzberg (centre) receives the Distinguished Service<br />
Award from Executive Director Dr. Hartley Stern (left) and<br />
President Bernard Stotland, FCA.<br />
4 spriNG 2011<br />
Former Prime Minister Jean Chrétien,<br />
keynote speaker at the JGH Annual<br />
General Meeting.<br />
Another highlight was the presentation of the Distinguished Service<br />
Award, the hospital’s highest honour, to Samuel Minzberg who had served<br />
as JGH President from 2007 to 2009. Mr. Minzberg thanked his colleagues<br />
on the Board of Directors and members of staff for their close cooperation<br />
on the milestones of his term, including the transition of Executive Directors<br />
from Henri Elbaz to Dr. Hartley Stern; the launch of robot-assisted<br />
surgery; and a major expansion of the Division of Radiation Oncology.<br />
Acknowledging these achievements, President Bernard Stotland noted:<br />
“<strong>No</strong>t only did Sam help guide the hospital with vision and expertise, he<br />
did so with patience, warmth and genuine concern for everyone who relies<br />
on the JGH.”<br />
In reviewing the major accomplishments of 2009-2010, Dr. Stern noted<br />
that “we will be taking some justifiable pride in those events. However, rest<br />
assured that we are not celebrating these achievements as ends in themselves.<br />
Rather, we are celebrating our collective ability to do more on behalf<br />
of the patients who entrust us with their lives and well-being.”<br />
Serving as Master of Ceremonies, Lynne McVey, JGH Director of Nursing,<br />
briefly recalled the landmark Annual General Meeting of the previous<br />
year, adding, “Even though years like 2009-2010 aren’t milestones, every<br />
year is still special. The need to do our best for our patients is an ongoing<br />
challenge that yields outstanding achievements, regardless of what the<br />
calendar says.”<br />
It’s Care my for hospital!<br />
all.
Awards of Excellence<br />
President Bernard Stotland, FCA, (left) and Executive Director<br />
Dr. Hartley Stern (right) congratulate Award of Excellence<br />
winners (from left) Dr. Calvin Melmed, Dr. Ernesto Schiffrin,<br />
Gloria Aronoff, Isabelle Caron, Barbara Lang, and Michèle<br />
Lefort. Dr. Brett Thombs could not attend.<br />
The following staff members were honoured with<br />
Awards of Excellence in recognition of their outstanding<br />
contribution to the JGH:<br />
• Dr. Calvin melmed, Emeritus Chief of the Department<br />
of Neurosciences – Medical Excellence<br />
• Isabelle Caron, Associate Director of Nursing for<br />
Medicine, Geriatrics and Mental Health – Excellence<br />
in Nursing<br />
• Barbara Lang, Director of the Department of<br />
Volunteer Services – Excellence in Management<br />
• Dr. Ernesto Schiffrin, Physician-in-Chief and<br />
founder of the JGH Cardiovascular Prevention<br />
Centre – Excellence in Basic Research<br />
• Dr. Brett Thombs, an investigator in the Division<br />
of Psychiatry Research – Excellence in Psychosocial<br />
or Clinical Research<br />
• michèle Lefort, Administrative Technician to the<br />
Director of Nursing – Excellence in Administrative<br />
Support<br />
• Gloria Aronoff, an Occupational Therapist in<br />
the Department of Psychiatry – Excellence among<br />
Allied Health Professionals<br />
Find out more about winners of the Award of Excellence<br />
in the JGH Report to the Community 2009-2010 at<br />
jgh.ca/annual.<br />
pavilion K<br />
is under way!<br />
Premier and cabinet ministers<br />
attend ground-breaking<br />
Describing the Jewish General Hospital as “a shining light”<br />
in the healthcare systems of Quebec and Canada, Premier<br />
Jean Charest joined three of his senior cabinet<br />
ministers and the Chair of the Government Caucus in breaking<br />
ground on <strong>No</strong>v. 8 for the first phase of the Jewish General Hospital’s<br />
ambitious, new critical-care wing, Pavilion K.<br />
Ground for Pavilion K is broken by (from left) Lawrence Bergman, Raymond<br />
Bachand, Pierre Arcand, Dr. Hartley Stern, Dr. Yves Bolduc, Premier Jean Charest,<br />
Bernard Stotland and Philippe Castiel, JGH Director of Planning and Development.<br />
Speaking in the Block Amphitheatre to a packed audience of JGH board<br />
members, administrators and staff, Mr. Charest congratulated the hospital<br />
on the meticulous planning that led to government approval for the first<br />
phase. He also expressed the hope that subsequent phases would follow a<br />
similar course.<br />
Mr. Charest noted that the JGH’s reputation for outstanding care has<br />
been the key to strong community support for the project, whose modern,<br />
spacious Emergency Department is scheduled to open in spring 2012. In<br />
this first phase, the government will contribute $93.9 million, while the<br />
JGH Foundation will raise additional funds for other aspects of the project<br />
in all of its phases.<br />
Later phases of the $300 million pavilion will include facilities for intensive<br />
care, coronary care, neonatal intensive care and surgery, as well as new<br />
patient rooms, each containing no more than one or two beds. The overall<br />
goal is to minimize the spread of infection, bolster efficiency, accommodate<br />
the most sophisticated medical technology, and enhance the privacy, dignity<br />
and safety of patients.<br />
Echoing the premier’s sentiments, Dr. Yves Bolduc, Minister of Health<br />
and Social Services, praised the Foundation and its volunteers for playing<br />
Continued … please turn the page.<br />
JGH News<br />
5
pavilion K … continued from page 5.<br />
Premier Jean Charest addresses hospital officials and staff in the Block<br />
Amphitheatre.<br />
a vital role in enabling the JGH to perform strongly, rather than<br />
merely adequately. Raymond Bachand, Minister of Finance and<br />
Revenue, and Minister Responsible for the Montreal Region, called<br />
the hospital “a great institution” and acknowledged its leadership in<br />
research and teaching.<br />
The JGH’s dedication to the continuous improvement of its care<br />
won compliments from Pierre Arcand, Minister of Sustainable<br />
Development, Environment and Parks, and MNA for Mount-<br />
Royal, who added, “Your excellence passes beyond our borders and<br />
we will be behind you.”<br />
Lawrence Bergman, Chair of the Government Caucus and MNA<br />
for D’Arcy McGee, recalled the hospital’s long tradition of serving<br />
people across Montreal and Quebec, and he concluded, “My final<br />
words are for all Quebecers of varied languages, colours, religions<br />
Get ready to rumble<br />
From late winter until mid-spring, the construction of Pavilion<br />
K will be something not only to watch, but to hear and feel.<br />
Patients, visitors and staff may briefly notice mild vibrations<br />
and muffled rumbling at various times during the day, because<br />
dynamite will be used until the end of April to break up and remove<br />
large, underground rock beds from the site where Pavilion K will<br />
stand. But there’s no need to worry! All necessary safety measures<br />
have been put into place to ensure that sensitive hospital equipment<br />
will not be affected. Seismographs are also being used to measure<br />
the vibrations to ensure that they are not too intense. Your understanding<br />
during this period of construction is greatly appreciated.<br />
6 spriNG 2011<br />
Care for all.<br />
and origins who benefit from this wonderful hospital: today health<br />
care in Quebec takes another step forward.”<br />
“Pavilion K is a tangible and concrete symbol that highlights<br />
the strong and productive relationship among the government,<br />
the people of Quebec and the Jewish General Hospital,” said Dr.<br />
Hartley Stern, JGH Executive Director. “Our symbolic handshake<br />
confirms our intention to give of our insight, expertise and experience<br />
to help strengthen the healthcare system as a whole. We are<br />
not just building a modern hospital; we are building a modern<br />
healthcare system.”<br />
JGH President Bernard Stotland said Pavilion K promises “greater<br />
effectiveness in combining the personal touch with the requirements<br />
of modern medicine. The founders of the Jewish General<br />
Hospital would surely have been astounded to see how their facilities<br />
have grown. However, I am certain that if they had the chance<br />
to step into the existing building or even into Pavilion K, they<br />
would instantly recognize it as their hospital.”<br />
Dr. Hartley Stern speaks about Pavilion K to an audience that includes<br />
Premier Jean Charest and members of his cabinet (second row).<br />
Private support is critical<br />
to Pavilion K<br />
Nearly $50 million in private funding must be secured to furnish<br />
and equip the new operating rooms, intensive care units and new<br />
private and semi-private rooms in the new Pavilion K. Private<br />
support will be critical at all stages of the project and will be<br />
essential in ensuring that this critical-care pavilion reaches its full<br />
potential and yields maximum benefits to patients from across<br />
Montreal and throughout Quebec.<br />
Donations can be made at www.jghfoundation.org<br />
or by calling the JGH Foundation at 514-340-8251.
News<br />
checkup<br />
JGH saluted for public-sector leadership<br />
Winning out over more than 70 entries from across Canada, the<br />
Jewish General Hospital and the LaSalle Hospital have been honoured<br />
with a major national award for their innovative collaboration<br />
to reduce waiting times for surgery. In a ceremony in Toronto<br />
in <strong>No</strong>vember, the hospital was named a 2010 winner of the IPAC/<br />
Deloitte Public Sector Leadership Awards, founded by the Institute<br />
of Public Administration of Canada and Deloitte, in recognition of<br />
excellence in public-sector health care.<br />
On an initiative by the JGH, the hospitals began working together<br />
in 2009—with cooperation from the CSSS Dorval-Lachine-La-<br />
Salle—to take advantage of underused operating rooms at LaSalle.<br />
Operations are now performed at LaSalle by JGH surgeons on JGH<br />
patients who need straightforward surgery, such as hernia repair.<br />
<strong>No</strong>t only are these patients scheduled more promptly, the JGH’s<br />
own operating rooms are freed up more quickly for complex cases<br />
such as cancer surgery. The JGH is now rated by the Quebec Ministry<br />
of Health and Social Services as one of the rare hospitals with<br />
acceptable waiting times for surgery.<br />
Heading the project at the JGH were Dr. Lawrence Rosenberg,<br />
Chief of Surgical Services; Valérie Vandal, Nursing Director of Surgery;<br />
and Executive Director Dr. Hartley Stern. Working with them<br />
at the LaSalle Hospital were Micheline Ulrich, Director of Nursing;<br />
Dr. Hélène Daniel, Director of Professional Applications; Dr. Jean-<br />
François Courval, Chief of Anesthesiology; Ghislaine Fortin, Coordinator<br />
of Surgical Services; and Executive Director Yves Masse.<br />
The public healthcare system will continue to face major and<br />
mounting difficulties in the coming years, Executive Director<br />
Dr. Hartley Stern warned business leaders on Jan. 13. However,<br />
in addressing the Board of Trade of Metropolitan Montreal, Dr.<br />
Stern offered reassurance that solutions can be achieved through<br />
initiatives that the JGH is already implementing.<br />
Dr. Stern also urged his audience to become more active in safeguarding<br />
the viability of the public healthcare system. “Quebec’s<br />
private sector can play a stronger and more prominent role by<br />
establishing partnerships with public-sector healthcare institutions,”<br />
he said. “Ultimately, this will strengthen the entire public<br />
system, to the benefit of everyone.”<br />
Dr. Stern said patients should have access to data about the<br />
quality of their healthcare institutions and the effectiveness of their<br />
doctors—information the JGH plans to release later this year. He<br />
also advocated greater use of personalized medicine, development<br />
of healthcare teams in hospitals, and integrating improvements in<br />
the quality of care into an institution’s strategic vision.<br />
To view a video of the presentation, please visit jgh.ca/stern.<br />
The IPAC/Deloitte Public Sector Leadership Award is accepted by the JGH’s<br />
Dr. Hartley Stern, Valérie Vandal (second from left) and Dr. Shannon Fraser,<br />
Chief of General Surgery (second from right). Representing the LaSalle<br />
Hospital is Micheline Ulrich (third from left). Presenting the award are Jill<br />
Birch, Principal of Market Development at Knightsbridge Human Capital<br />
Solutions (left), and Maureen Hennessy, President of Hennessy Consulting.<br />
Healthcare system fixable, business leaders told<br />
Dr. Hartley Stern addresses the Board of Trade of Metropolitan Montreal.<br />
JGH News<br />
7
Cabinet minister praises clinical teams<br />
Michelle Courchesne, Quebec Minister of<br />
Government Services and Chair of the Treasury<br />
Board, got a first-hand look at progress<br />
on Pavilion K, during a tour of the JGH in<br />
January. “The minister was able to recognize<br />
the speed of construction, which began just<br />
four months after authorization to proceed<br />
with preparatory work on the first phase,” said<br />
Philippe Castiel, JGH Director of Planning and<br />
Development. “Minister Courchesne also witnessed<br />
the excellence of our clinical teams and<br />
the care they provide in facilities that are sometimes<br />
less than ideal.”<br />
From left: Lawrence Bergman, President of the<br />
Government Caucus and MNA for D’Arcy-McGee;<br />
Michelle Courchesne; Dr. Hartley Stern, JGH Executive<br />
Director; Lynne McVey, JGH Director of Nursing;<br />
JGH President Bernard Stotland; and Philippe<br />
Castiel.<br />
Labouring toward better obstetrical care<br />
A<br />
safe hospital environment is not born, but created. That’s why the JGH Department of Obstetrics and Gynecology<br />
has joined birthing centres across Canada in ensuring best practices in obstetrical clinical care through<br />
participation in the mORE OB program (managing Obstetrical Risk Efficiently).<br />
With 136 JGH obstetrical staff enrolled in this patient safety initiative,<br />
an entire healthcare team “labours” along with the birthing<br />
mother to ensure safe childbirth.<br />
All of the department’s obstetricians, residents, family medicine<br />
physicians and obstetrical nurses who are involved in deliveries are<br />
participating in the three-year program, as are affiliated midwives.<br />
Together they revisit the theory behind current, evidence-based<br />
obstetrical care while refining their skills as a team. “This helps us<br />
to intervene and communicate more effectively in complex patient<br />
situations” explains Kimani Daniel, Clinical Nurse Specialist.<br />
“Through this program we will have a common language regardless<br />
of prior training or background,” says Verna Grizzle, a<br />
nurse in the Family Birthing Centre. Ms. Grizzle co-chairs MORE<br />
OB with Dr. Cleve Ziegler, JGH Director of Gynecology; Dr. Ann<br />
Rothman, a family physician at the Goldman Herzl Family Practice<br />
Centre; and midwife Karine Valle-Pouliot.<br />
“The collaborative team approach to learning exposes gaps that<br />
may exist in departmental guidelines and practices,” Dr. Ziegler<br />
says. “If there’s a chance that safety may be undermined, we<br />
work together to remedy these inconsistencies.” This is achieved<br />
through workshops and skills drills where obstetrical techniques<br />
can be practiced in a non-stressful environment. Close teamwork<br />
is essential, adds Dr. Louise Miner, Chief Physician in Obstetrics,<br />
because “we need to set aside the medical hierarchy in emergency<br />
situations and communicate effectively about the patient’s needs.”<br />
8 spriNG 2011<br />
Newscheckup<br />
It’s Care my for hospital!<br />
all.<br />
A MORE OB workshop combines serious training with a lighthearted<br />
approach.
Anniversary tributes<br />
keep coming<br />
On Dec. 8, 2010, Lawrence<br />
Bergman, President of the Government<br />
Caucus and Member<br />
for D’Arcy-McGee, rose in the<br />
National Assembly to read the<br />
following declaration:<br />
“We congratulate the Jewish<br />
General Hospital on its 75 th<br />
anniversary. This hospital has<br />
become a leader in the field of<br />
research and is among the best<br />
teaching institutions. Health care and related services are provided<br />
to all Quebecers, regardless of their origin, religion, colour or language.<br />
The Jewish represents what is finest in the tradition of the<br />
Jewish people: benevolence and good deeds. And it is the age-old<br />
Jewish concern for the well-being of the community which inspired<br />
the founders of the Jewish to go about building the hospital<br />
in the first place.<br />
“I pay tribute to all the doctors, nurses, researchers, administrators<br />
and volunteers who have given the best of themselves durng<br />
the past 75 years. Today, The Jewish is a hospital where cuttingedge<br />
knowledge and human compassion go hand in hand. May the<br />
Jewish General Hospital continue to go from strength to strength.”<br />
Transforming ideas<br />
into efficiency<br />
In keeping with its traditional focus on upgrading the quality of<br />
care and putting patients’ needs first, the JGH is embarking on a<br />
multi-year, hospital-wide program to improve efficiency and trim<br />
waste in innovative ways. The program, known as Transformational<br />
Change, calls for careful scrutiny of various hospital activities—<br />
for instance, how patients move through various stages of treatment,<br />
and how supplies are ordered, purchased and distributed.<br />
Once weaknesses are identified, techniques to overcome them are<br />
developed by specially trained members of staff.<br />
“The reality of the economic state in Quebec and Canada is that<br />
we have to do more with less,” says Dr. Hartley Stern, JGH Executive<br />
Director. “Through Transformational Change, we will give staff<br />
the ability to work more efficiently, to create, to innovate.” He notes<br />
that when staff work in a more logical and consistent way, waste<br />
can be cut and savings can then be reinvested in developing programs<br />
that enhance patient care.<br />
To symbolize the importance of Transformational Change, the<br />
program is being co-chaired by two of the hospital’s top clinical administrators:<br />
Lynne McVey, Director of Nursing, and Dr. Lawrence<br />
Rosenberg, Chief of Surgical Services. “We will be starting small,<br />
but ending up by involving everyone on staff, as well as patients and<br />
their families,” says Ms. McVey. “We will also joined by members of<br />
our community who are volunteering their expertise.”<br />
Care – and training – for all<br />
JGH technologist Thérèse Bendavid (seated) shares her skills with visiting<br />
laboratory directors from China.<br />
Eight laboratory directors from China’s Gansu Province have completed<br />
an intensive, three-week management training course led by<br />
Dr. Elizabeth MacNamara, JGH Chief of Diagnostic Medicine. The<br />
trip to Canada last fall was arranged specifically for the visitors to<br />
train at the JGH, in recognition of Dr. MacNamara’s expertise in<br />
laboratory management.<br />
Delegates concentrated on subjects they can apply in the hospitals<br />
they represent, including training technologists, budget control,<br />
research opportunities, informatics and point-of-care testing.<br />
Two analysts from the Gansu Provincial People’s Hospital also participated<br />
in more extensive, one-year training on all aspects of a<br />
university hospital laboratory.<br />
Dr. MacNamara first visited Gansu in 2008 at the invitation of<br />
the Chinese Minister of Health, and will return to China this year<br />
to help implement laboratory quality initiatives.<br />
Hope & Cope turns 30<br />
Hope & Cope is gearing up for anniversary celebrations in recognition<br />
of 30 years of innovative, volunteer-based support for cancer<br />
patients and their families. The festivities will climax in August on<br />
the theme of “30 Years in 30 Days”. Among the premier events will<br />
be the annual Soirée Fantastique (Aug. 23); a symposium featuring<br />
leading experts on cancer and wellness; and the fabulous Denim &<br />
Diamonds, where young adults (ages 18 to 35) will gather to support<br />
the JGH Hope & Cope Wellness Centre and its young-adult<br />
programming.<br />
Also planned are many other exciting events, including picnics,<br />
cooking classes in the Wellness Centre’s kitchen, and demonstrations<br />
of yoga and qi gong. Many events will be free, while a nominal<br />
fee of $30 will be charged for others. As soon as plans are finalized,<br />
a full schedule will be posted at hopeandcope.ca.<br />
JGH News<br />
9
Open-door policy<br />
Herzl CRIU Walk-in Centre welcomes patients<br />
who lack a family doctor but want to avoid the ER<br />
Sunday morning, and the whole family is together. Eddie Shahini and his wife, Franca,<br />
are reading. Nearby, 7-year-old Vanessa and 5-year-old Andrew are playing quietly with<br />
hand-held video games. A picture of domestic tranquility? It would be if this were an<br />
average Sunday. But it’s not.<br />
It’s early January and winter has landed with full force. Vanessa<br />
has come down with a fever and Andrew’s cough won’t go away.<br />
They need help—now. Which is why they and their parents are<br />
waiting patiently in the bright, airy lounge of the Herzl CRIU Walkin<br />
Centre, an innovative, community-based satellite of the Jewish<br />
General Hospital, just up the block from the main hospital building.<br />
<strong>No</strong>rmally, Eddie and Franca would have two options. They could<br />
keep the kids at home and hope for an <strong>appointment</strong> with their doctor<br />
later in the week. (The risky down-side: a bad medical situation<br />
might get much worse.) Or they could seek immediate help in<br />
a hospital Emergency room. (The extremely fatiguing down-side:<br />
they’d probably face a marathon wait at the height of flu season.)<br />
Luckily, they have a third choice: the Herzl CRIU Walk-in Centre,<br />
available 365 days a year to anyone without an <strong>appointment</strong> or a<br />
prior phone call. Just drop in—which is what the Shahinis did.<br />
Today, as on most days on the fifth floor at 5858 Côte-des-<br />
Neiges, a line-up forms early, snaking around the corner and down<br />
the hall by the time the Centre’s doors are opened. Scarves are unwound<br />
and salty slush scraped off boots, amid hushed conversations<br />
in French and English, as well as cell phone conversations in<br />
Spanish, Polish and Chinese.<br />
After registering and settling into their seats in the lounge, the<br />
patients-to-be find what diversion they can. This being a Sunday,<br />
some watch a gospel music show on the Walk-in Centre’s large flatscreen<br />
television (kid-friendly DVD movies will be shown later.)<br />
A couple of children are fascinated by the bubbles rising in the<br />
water cooler as they fill their paper cones. Older fingers flip through<br />
paperbacks and magazines, while younger ones tap on tiny screens.<br />
Many people, many colours, many ages, all seeking the same thing:<br />
relief—some from eye infections, others from back sprains, this<br />
one from a bout of unexplained dizziness, that one from the sharp<br />
twinges of pregnancy.<br />
Mr. Shahini knows the routine because he brought his kids to the<br />
Centre a week earlier. Vanessa was given antibiotics for a sore throat,<br />
but now she’s running a fever. The ear infection that had been bothering<br />
Andrew is gone, but his week-old cough hasn’t cleared up.<br />
“We’re one sick family,” says Mr. Shahini. “I’m on antibiotics, too,<br />
for strep throat. But it’s winter. What can you do?”<br />
What you can’t do, he says, is run the ER gauntlet. “Even a couple<br />
of hours here is better than who-knows-how-long in an ER. We’re<br />
very happy with the way the kids were treated the last time they<br />
were here. And it’s not like they were rushed in and out in two minutes.<br />
There’s a real human connection. If the staff need to take their<br />
time with you, that’s what they do.”<br />
Even though waiting times in the Walk-in Centre are generally<br />
10 spriNG 2011<br />
Care for all.<br />
Nurse Rosette Castor performs a preliminary assessment of Rolando<br />
Rimando’s stomach discomfort.<br />
shorter—sometimes much shorter—than in the ER, waits of three<br />
hours or more are not unheard of during busy periods, such as cold<br />
and flu season. But when waiting times are lengthy, patients are given<br />
beepers so they can shop or run errands in the neighbourhood,<br />
and be notified when their turn is coming up.<br />
Though today’s visit means a great deal to the Shahinis, it does<br />
raise a key question: Is such an ambitious project really worth<br />
launching just to relieve some relatively simple aches and pains?<br />
The answer is “Yes”, because there are far-reaching consequences<br />
to the work of the Herzl CRIU Walk-in Centre. Perhaps most significantly,<br />
it creates a highly desirable ripple effect in the healthcare<br />
system by being the first to pick up on potentially serious medical<br />
conditions in patients who can’t contact their regular doctor or have<br />
no family doctor at all.
At the registrations desk, Coordinator Audrey Bouadana arranges for Monique<br />
Perez to be seen by a doctor.<br />
Since opening as a pilot project last summer, the Centre—along with a<br />
counterpart at the Verdun Hospital—has also focused on easing the immense<br />
pressure on the overburdened Emergency Department. By treating<br />
fairly simple cases, the Walk-in Centre has diverted dozens of patients per<br />
day away from the ER, which now has a greater ability to cope more quickly<br />
and effectively with urgent cases.<br />
As a further benefit, the Walk-in Centre deals promptly with minor ailments<br />
which, if left untreated, could worsen into ER cases at a later date.<br />
And when the ER does treat patients who have no family doctor, the Walkin<br />
Centre handles their follow-up visits and tries to find a doctor for them<br />
at the JGH’s Goldman Herzl Family Practice Centre or outside the hospital.<br />
There are also instances where individuals with chronic diseases (for example,<br />
hypertension or diabetes) need medical attention, but aren’t so sick<br />
that their <strong>problem</strong>s warrant an ER visit. The Walk-in Centre steps in to act<br />
as a bridge, providing immediate care until these people can be seen by<br />
their regular doctors. Without this assistance, they would probably have<br />
headed straight for—and added to the strain on—the ER.<br />
Thus, a concerted effort is being made by the Jewish General Hospital to<br />
tackle two of Quebec’s (and Canada’s) most pressing healthcare <strong>problem</strong>s:<br />
excessive ER waiting times and shrinking access to care among those without<br />
a family doctor.<br />
“We are, against all odds, handling a lot of people in the Walk-in Centre,”<br />
says Dr. Michael Malus, JGH Chief of Family Medicine. “It’s estimated that<br />
somewhere between 30 and 40 per cent of Montrealers have no family doctor,<br />
and we’re actively trying to do something about that. We’re also flagging<br />
some of the ER’s ‘frequent flyers’ and treating them ourselves to take<br />
the load off the ER. We’re the role model, the pioneer for interdisciplinary<br />
primary care which has been shifted out of the hospital and into the community.”<br />
So promising is this concept that the Herzl CRIU Walk-in Centre<br />
(“CRIU” means it’s a Clinique réseau intégrée universitaire, or Integrated<br />
University Network Clinic) may become the example upon which similar<br />
facilities are eventually launched elsewhere in Montreal.<br />
For this reason, its development has benefited from its close link with<br />
the JGH, which can offer consultation and hospitalization, where necessary;<br />
and with the CSSS de la Montagne, which can provide a wide array of<br />
resources, such as home care. Strong support has also come from the Montreal<br />
Regional Health and Social Services Agency, and McGill University.<br />
For the moment, it’s too soon to compile any statistical<br />
data about the direct effect of the Walk-in Centre on the<br />
JGH’s ER. However, Dr. Marc Afilalo, Chief of the Emergency<br />
Department, says he’s confident the Centre’s impact<br />
is being felt. “This is a huge step forward,” he says, “not just<br />
because it’s an attempt to do something concrete about ER<br />
overcrowding, but because patients without a family doctor<br />
can now get care that’s continuous and coordinated.”<br />
Dr. Malus also notes that the “U” in “CRIU” is significant,<br />
since it represents the JGH’s leadership role as teacher<br />
of multidisciplinary health care in a university hospital setting.<br />
This places the hospital at the forefront in training a<br />
new wave of medical students, residents, nurses and other<br />
professionals to work as members of closely integrated<br />
healthcare teams.<br />
The emphasis on teams and partnerships has prompted<br />
the Walk-in Centre to develop a team of its own to cover<br />
almost every situation, says Administrator Isabel Pereira.<br />
In addition to doctors and nurses, patients can benefit<br />
from consultations with a nutritionist, psychologist, social<br />
worker, clinical pharmacologist, exercise specialist and foot<br />
care specialist.<br />
Ms. Pereira says the Walk-in Centre even offers classes<br />
on diabetes, hypertension and healthy lifestyles, as well as<br />
Continued … please turn the page.<br />
Nurse Éric Harnois takes Émilie Provost-Cabana’s blood pressure.<br />
JGH News<br />
11
a mental health workshop on depression. In response to the obesity<br />
epidemic among youngsters and teenagers, the psychologist and<br />
exercise specialist can also counsel young walk-in patients about<br />
weight loss.<br />
Another important service involves prenatal care. “Our personnel<br />
follow the pregnancies of women who come to us because they<br />
don’t have anyone else who can do so,” says Head Nurse Mina Ladores.<br />
“Even if the JGH is at capacity when these mothers need to<br />
deliver, we can arrange to send them to other hospitals.”<br />
To keep the Centre itself from becoming clogged, ample use is<br />
made of nurse practitioners, adds Ms. Ladores. Special training<br />
and certification entitle these nurses to perform certain tasks—<br />
for instance, prescribing medication and ordering diagnostic<br />
tests—that would normally be handled by doctors. As a result, Ms.<br />
Ladores says, patients can be moved through the Centre at a brisker<br />
pace, with the doctor always available to collaborate with the nurse<br />
practitioner.<br />
“The pace can sometimes be pretty hectic,” says Nurse Practitioner<br />
Kelly Thorstad, “but it’s work that I love because I see it all—<br />
people of all ages with a wide range of illnesses. Whether I’m treating<br />
a patient with a chronic illness or someone who has no family<br />
doctor, it feels good knowing I’m able to make a difference in the<br />
lives of people who may have no one else to turn to.”<br />
Dr. John Maunders examines Marie Michel Paul Charles.<br />
12 spriNG 2011<br />
It’s Care my for hospital!<br />
all.<br />
Administrator Isabel Pereira (seated) and Head Nurse Mina Ladores discuss<br />
patient flow in the Herzl CRIU Walk-in Centre.<br />
Come one, come all<br />
<strong>No</strong> time is a good time to be sick, but Muriel Devemy can’t believe<br />
her terrible luck. As a citizen of France, she’s been living and working<br />
in Montreal for four years. Never had a serious health <strong>problem</strong>.<br />
Never been to a hospital. Never even needed a doctor. And now,<br />
four days before Christmas, just as she’s about to leave for a week’s<br />
vacation in San Francisco—boom: she’s hit with some sort of eye<br />
irritation.<br />
Ms. Devemy, who works in communications in the film industry,<br />
says she decided to give the Herzl CRIU Walk-in Centre a try after<br />
she heard about it from her girlfriend, whose mother works at the<br />
JGH. When she first arrived on a weekday evening in late December,<br />
she was “quite stressed, because it was the first time I needed a doctor<br />
in Canada. But everything went great. It was convenient being<br />
able to come in after work and I’m relieved my vacation plans have<br />
worked out.”<br />
For Gustavo and Olma Andino, the Walk-in Centre came to the<br />
rescue, because neither had seen their family doctor for at least 18<br />
months and their files were closed. So when Mrs. Andino began<br />
experiencing neck pain and a bit of dizziness on a Sunday morning<br />
in early January, the Walk-in Centre provided the help she needed.<br />
Here, too, word of mouth played a role, because Mr. Andino first<br />
heard about the Centre last year from his niece who is a JGH nurse.<br />
At that time, he needed to be checked for chest pains “and I got<br />
good service quite quickly.”<br />
Larisa Caragheorghii’s lunch-hour visit in late December was<br />
actually a follow-up <strong>appointment</strong>—with no pain and plenty of<br />
smiles. She was 10 weeks pregnant with her first child and had come<br />
to see Nurse Practitioner Kelly Thorstad to make sure everything<br />
was progressing properly. “I also want to ask her whether I should<br />
be getting the flu vaccine when I’m pregnant,” said Ms. Caragheorghii,<br />
“but otherwise, everything feels fine. It’s so comforting to<br />
know there’s someone I can turn to.”
Légaré Street<br />
De la Peltrie Street<br />
Jewish General Hospital<br />
Walk-In Centre<br />
5858 Côte-des-Neiges, 5 th floor<br />
Pav. H<br />
Côte Ste-Catherine Road<br />
Counting on the Walk-in Centre<br />
Activities at the Herzl CRIU Walk-in Centre between<br />
July and December 2010:<br />
• Average visits per day: Approximately 80<br />
• Vulnerable, doctorless patients from the CSSS de la Montagne<br />
area who were assigned to doctors: 168<br />
• Vulnerable, doctorless patients who were assigned to residents<br />
or nurse practitioners at the JGH’s Goldman Herzl Family Practice<br />
Centre: 166<br />
• Doctorless obstetrics patients who were transferred to residents<br />
at the Goldman Herzl Family Practice Centre: 40<br />
• Doctorless patients, pregnant more than 16 weeks, who were<br />
accepted into the Walk-in Centre’s low-risk prenatal clinic: 20<br />
Warmest thanks to JGH donors<br />
The generosity of private donors was instrumental in carrying out the<br />
extensive renovations that created a home for the Herzl CRIU Walk-in<br />
Centre—a testament to the importance of private funding in advancing<br />
patient care for all. The JGH Foundation thanks all of the donors who are<br />
enabling the hospital to achieve excellence in addressing the healthcare<br />
needs of patients from across Montreal and throughout Quebec.<br />
Côte-des-Neiges<br />
At your service<br />
The Herzl CRIU Walk-in Centre<br />
is open 365 days a year to<br />
anyone, without an <strong>appointment</strong><br />
or a prior phone call.<br />
Located at on the fifth floor<br />
of 5858 Côte-des-Neiges<br />
(at the corner of de la Peltrie<br />
Street), the Centre is open<br />
from 8:30 a.m. to 8:30 p.m.<br />
monday through Friday, and<br />
from 9:00 a.m. to 5:00 p.m.<br />
on weekends and statutory<br />
holidays.<br />
more information is available<br />
at 514-340-8311.<br />
Keep up to date with JGH News!<br />
The world of the Jewish General Hospital<br />
is yours to discover in JGH News.<br />
By donating $36 or more to the<br />
JGH Foundation, you’ll receive<br />
JGH News by mail. Just phone<br />
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www.jghfoundation.org.<br />
This applies to all Foundation<br />
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You will also receive a tax receipt<br />
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For changes to your subscription,<br />
please phone 514-340-8251 or e-mail<br />
communications@jgh.mcgill.ca.<br />
Your inside view of<br />
“Care for all”!<br />
NaNaMusical<br />
Brighten your day by singing along with the<br />
Jewish General Hospital’s NaNa Music Video at:<br />
YouTube.com/NaNamusical<br />
JGH News<br />
13
Mind over matter<br />
Coping with cancer through psychosocial support<br />
When Elliot Shatsky first learned he had been targeted by cancer,<br />
he fully expected to fight back on the battlefield of his body. But<br />
in preparing to counterattack, he soon discovered that the battleground<br />
had grown to encompass his mind. Sadness, stress, doubt, worry…<br />
If he allowed himself to be overwhelmed by the negative emotions that his<br />
mind generated, fighting the disease might become even tougher than he<br />
anticipated.<br />
What Mr. Shatsky needed was<br />
“a place where my mind could<br />
go—where it could sometimes<br />
get out of the way for a while, and<br />
let the doctors do their work.”<br />
That refuge is what he found<br />
with the help of self-hypnosis,<br />
through counselling by Dr. Sylvain<br />
Néron, a psychologist with a<br />
speciality in oncology, and a team<br />
member in the Louise Granofsky<br />
Psychosocial Oncology Program<br />
at the JGH Segal Cancer Centre.<br />
More and more healthcare<br />
professionals are now coming to<br />
realize that medical treatment for<br />
the body, though central in the<br />
struggle against cancer, sometimes<br />
needs to be complemented<br />
by support for the emotions and<br />
spirit. “Cancer affects the way patients see<br />
themselves, think about themselves and<br />
interact with their spouses, children, relatives<br />
and friends,” says Dr. Zeev Rosberger,<br />
Director of the Psychosocial Oncology<br />
Program and Chief of the JGH Division of<br />
Psychology.<br />
“That’s why our program complements<br />
the efforts of oncologists by drawing on the<br />
expertise of social workers, psychologists,<br />
psychiatrists, nurses, sex therapists, couple<br />
and family therapists, and chaplains. Our<br />
team helps to alleviate the significant levels<br />
of stress that 35 to 40 per cent of cancer<br />
patients experience before, during and after<br />
their bodies have been treated.”<br />
For Mr. Shatsky, the stress took hold in<br />
fall 2007, when he was diagnosed with lung<br />
cancer. Treatment began with intravenous<br />
chemotherapy, followed by oral chemotherapy<br />
and, in spring 2009, surgery to remove<br />
a lung. For more than a year, everything<br />
seemed fine, but last summer, the reappearance<br />
of cancer was confirmed and Mr.<br />
Shatsky was put back on intravenous chemotherapy.<br />
14 spriNG 2011<br />
During chemotherapy, Elliot Shatsky chats with Dr. Sylvain Néron about<br />
coping with cancer-related stress.<br />
These broad changes in his medical condition,<br />
as well as day-to-day ups and downs<br />
at all stages of his diagnosis, testing and<br />
treatment, have led to what Mr. Shatsky<br />
calls “the roller-coaster effect. When someone<br />
gets in your face and tells you that you<br />
have cancer, it utterly changes you. It’s overwhelming.<br />
I’ve never experienced a faster<br />
life-change than that. You begin living from<br />
scan to scan. One bad scan and—boom!—<br />
you’re down low. One good scan and—<br />
zoom!—you’re up high. These emotions<br />
can be really hard to manage.”<br />
When help was offered through the Psychosocial<br />
Oncology Program, Mr. Shatsky<br />
took it and, after a couple of sessions, felt that<br />
he and Dr. Néron had forged “a tremendous<br />
relationship, which is why I consider him a<br />
friend. Early on, he didn’t say, ‘Don’t worry,<br />
everything will be okay.’ He dealt head-on<br />
with reality, counselled me and taught me<br />
how to ride the roller-coaster.”<br />
Prior to surgery, Dr. Néron proposed<br />
using hypnosis to calm Mr. Shatsky’s particularly<br />
frazzled nerves—“and to be honest,<br />
I thought it wasn’t working, but I was<br />
Care for all.<br />
To contact the Louise Granofsky<br />
Psychosocial Oncology Program<br />
at the JGH Segal Cancer Centre,<br />
please phone 514-340-8222,<br />
extension 3223, or e-mail<br />
tgreenidge@jgh.mcgill.ca<br />
willing to go along. He asked me<br />
to create a safe haven in my mind,<br />
somewhere warm and protected<br />
where I’ve already been or would<br />
like to be. In hindsight, I now<br />
know the hypnosis worked so<br />
well that, at the time, I wasn’t<br />
even aware of the seriousness of<br />
the surgery until it was over.<br />
“The main thing that Dr.<br />
Néron instilled in me is an attitude<br />
of ‘Keep living; don’t stop.’<br />
It pretty well sums up the caring<br />
philosophy and the support<br />
of everyone on the staff of this<br />
hospital. Their warmth is contagious.”<br />
The existence of such a program<br />
may, at first, seem redundant<br />
in a hospital like the JGH<br />
which is known for compassionate care and<br />
for treating the patient as an individual,<br />
rather than as a collection of symptoms.<br />
However, Dr. Rosberger explains that when<br />
it comes to cancer, patients need more from<br />
a hospital than a warm, positive approach;<br />
they require help from specific types of<br />
healthcare experts within a structured program.<br />
For this reason, Dr. Rosberger began collaborating<br />
in the early to mid-2000s with<br />
Allan Ptack, Director of the JGH Department<br />
of Social Services, to work more closely<br />
with cancer patients. They also began<br />
mapping out plans for what was formally<br />
inaugurated in 2008 as the Louise Granofsky<br />
Psychosocial Oncology Program.<br />
Dr. Rosberger notes that patients also<br />
derive great benefits from the wide array<br />
of volunteer-based services that Hope &<br />
Cope provides. However, in its solidly clinical<br />
focus, the Psychosocial Oncology Program<br />
functions as a “sister program” that<br />
draws on a staff of professional counsellors.<br />
Patients can be referred by nurses, doctors,<br />
Continued … please turn to page 24.
REPORT<br />
Exciting times<br />
for the entire<br />
JGH community<br />
Rarely in the history of the Jewish General Hospital has there been an era when the feeling of dynamism and<br />
excitement has been more palpable than it is today. Everywhere we look, new facilities are being opened and<br />
new programs are being launched to provide quicker, easier access to outstanding, compassionate healthcare<br />
for patients of all backgrounds from across Montreal and throughout Quebec.<br />
Major accomplishments<br />
include building a new<br />
facility for Quebec’s first<br />
Centre for Child Development<br />
and Mental Health;<br />
construction of the Herzl<br />
CRIU Walk-in Centre; relocation<br />
of the Department<br />
of Obstetrics and Gynecology<br />
to modern, renovated<br />
facilities in Pavilion H; and<br />
expansion of the Division<br />
of Endocrinology’s Ambulatory<br />
Centre. And that’s all just in the past<br />
six months.<br />
By the end of this year, the entire community<br />
will be able to enjoy enhanced<br />
access to the most advanced and comprehensive<br />
care with the anticipated launch<br />
of an expanded Breast Referral and Investigation<br />
Centre, a new Skin Cancer Centre,<br />
the Peter Brodje Lung Cancer Centre and a<br />
Radiology Department that has been upgraded<br />
with the latest in state-of-the-art<br />
equipment and digital technology.<br />
Kudos to a great team!<br />
The Boards of Directors of the Jewish General Hospital<br />
and the JGH Foundation greatly value the contribution<br />
of all the people who support the hospital and its commitment<br />
to providing excellence in patient care, research<br />
and teaching for all Quebecers. We would like to thank<br />
the dedicated individuals of the JGH Foundation for<br />
their commitment, passion and tireless efforts—day in,<br />
day out—in raising critical funds and public awareness<br />
about the JGH. Their talent, energy and enthusiasm<br />
have played an integral role in the tremendous success<br />
of the Power to Heal campaign—the most ambitious<br />
fundraising campaign in the JGH’s history—which has<br />
not only reached, but surpassed, its $200 million goal.<br />
Equally exciting, construction<br />
has begun on<br />
the hospital’s new Emergency<br />
Department, the<br />
first phase of the new<br />
critical-care wing, Pavilion<br />
K. Many other vital<br />
initiatives are also in the<br />
works, which will allow<br />
Montrealers and Quebecers<br />
to reap the full benefit<br />
of the latest medical and<br />
technological advances.<br />
Among them are creation of a Molecular<br />
Pathology Institute, major expansion<br />
of the Information Technology Department’s<br />
infrastructure and software applications,<br />
and establishment of a Centre of<br />
Excellence in Spinal Surgery.<br />
All of these exciting projects are part<br />
of our plan to build the hospital of the<br />
future with the very best people, equipment,<br />
facilities and programs. This will<br />
enable the JGH to meet the changing<br />
and ever-increasing healthcare needs of<br />
Quebecers and to overcome the challenges<br />
facing our healthcare system as a whole.<br />
What is truly remarkable is that these<br />
impressive advances and further initiatives,<br />
however vital they may be, would<br />
not have been possible and could not even<br />
be contemplated without the inspired<br />
partnerships we enjoy with our dedicated<br />
medical staff and our very committed<br />
supporters. Indeed, each accomplishment,<br />
each step forward bears the mark of the<br />
many people who are passionate about<br />
supporting the JGH and the outstanding<br />
individuals, ideas and dreams that drive<br />
continued excellence in patient care, research<br />
and teaching for the benefit of all<br />
the communities we serve.<br />
Such partnerships will again be the key<br />
to our success in achieving our common<br />
goal of better health and better health<br />
care for the people of Montreal and Quebec,<br />
now and in the future. We hope you<br />
will join us along the way for this exciting<br />
journey, and take a great deal of pride in<br />
what we accomplish together.<br />
— Myer Bick<br />
President and CEO<br />
JGH News<br />
March 2011 Jewish General Hospital Foundation jghfoundation.org<br />
15
JGH stories<br />
During the 76 years of its<br />
existence, the Jewish General<br />
Hospital has touched many<br />
people and changed many<br />
lives. They have left a trail of<br />
inspiring and compelling stories<br />
that showcase the unique<br />
qualities and spirit that make<br />
the JGH such a special and<br />
valued part of our community.<br />
This section presents one of<br />
the many incredible stories<br />
that are featured on the JGH<br />
Stories website (http://stories.<br />
jghfoundation.org).<br />
Coming soon!<br />
2 nd issue of the JGH<br />
Foundation special report<br />
In June, JGH Foundation supporters<br />
and partners can look forward to<br />
the second issue of the JGH Foundation<br />
Special Report. This issue will<br />
provide you with even more unique<br />
insights into the opportunities that<br />
are shaping the future of health care<br />
at the Jewish General Hospital and<br />
across Quebec. Also featured will be<br />
inspiring stories about our donors<br />
and how their efforts and commitment<br />
are helping the JGH remain at<br />
the forefront of scientific discovery<br />
and clinical excellence. All that, and<br />
much more.<br />
16 spriNG 2011<br />
<strong>No</strong>-nonsense confidence<br />
My story started as innocently as a lot I am sure... I had just returned<br />
from a summer of guiding, biking, hiking and kayaking trips in Eastern<br />
Canada. Along with the sun tans and sun burns that came with hours and<br />
hours of fun in the sun, I developed a patch of irritated dry skin on the<br />
bridge of my nose. Thinking nothing of it, I discarded the spot all summer<br />
and went about my business.<br />
Looking back, I actually had this recurring<br />
spot of dry skin for well over a<br />
year, but had ignored it until that summer<br />
when the extended periods of sun<br />
really made it act up. There was no pain,<br />
per se, just irritation and once in a while,<br />
bleeding.<br />
Upon my return to Montreal, I booked<br />
a visit with a dermatologist who, as one<br />
who does not beat around the bush, hit<br />
me plain and simple. “That’s cancer”, he<br />
said. I have to be honest; at first, I didn’t<br />
really think much of it. Even though there<br />
is a history of cancer in my family, for<br />
whatever reason, it didn’t affect me much<br />
at that first instance. We discussed what<br />
it meant (it was Basal Cell Carcinoma, he<br />
was pretty sure, and we could handle it<br />
promptly), and what the next steps would<br />
be. It was only after my initial visit that it<br />
hit me. And, boy, did it wallop me good.<br />
Sitting in my car in the parking lot of the<br />
medical clinic, my emotions boiled over<br />
and I sat there, alone, crying and wondering<br />
what was next, questioning my mortality<br />
and wishing and hoping this didn’t<br />
mean death. I know, this may sound<br />
pretty severe for a non life-threatening<br />
cancer, but I guess I was really hit by the<br />
realization of my own mortality there and<br />
then.<br />
So the next few steps involved the biopsies,<br />
bandaging, awaiting results, and<br />
talking about it with friends and family<br />
(lots of talking—wow did that help!). Finally,<br />
when all was confirmed, I had my<br />
meeting with Dr. Manish Khanna at the<br />
JGH. He was recommended as one of only<br />
a handful of specialists in a particular type<br />
of skin cancer surgery called MOHS.<br />
Care for all.<br />
Right from the beginning, Dr. Khanna<br />
took care of me as only an expert can. At<br />
no time during any of the meetings with<br />
Dr. Khanna did I feel stressed, scared or<br />
worried about any of the upcoming procedures.<br />
He was excited about this new<br />
type of surgery and 100% confident in its<br />
effectiveness. I can’t truly express what<br />
his quiet confidence meant to me as a<br />
cancer patient.<br />
In my personal life dealing with the<br />
surgery, I had moments when I felt alone.<br />
But when I visited with Dr. Khanna and<br />
the staff at the JGH, I felt truly important<br />
and part of a much larger story being<br />
enacted at the JGH. I can’t quite put<br />
my finger on it, but there’s something<br />
special about the team at the JGH... this<br />
quiet confidence that somehow screams<br />
at you every time you are there. That may<br />
sound like an oxy-moron, but for those of<br />
you that have been lucky enough to be<br />
treated by this team of professionals, you<br />
know what I mean.<br />
At the end of the day, I am cancer free<br />
and I owe it to the amazing team at the<br />
JGH, namely Dr. Khanna. I have made certain<br />
changes in my life to help reduce the<br />
possibility of another run-in with cancer.<br />
However, I know that if it were to happen<br />
again, I would simply put myself back into<br />
the good hands of the JGH. I am loving<br />
life more than ever and looking forward<br />
to many, many more fun-filled summers!<br />
Thank you Dr. Khanna, and the whole<br />
team at the JGH. You are true heroes to<br />
me and countless others!<br />
Read more incredible stories or share your very own story at<br />
http://stories.jghfoundation.org<br />
— Corey Pomkoski<br />
March 2011 Jewish General Ho
Upcoming events for members<br />
Governors' Circle<br />
This spring, members of the Governors’ Circle will be invited to the<br />
following exclusive, special events:<br />
Spring Lecture<br />
Private tour of new hospital facilities<br />
may 10, 7:30 to 8:30 p.m.<br />
“It’s not often that you have the opportunity to<br />
find out about the latest medical and technical<br />
advances from the very doctors and researchers<br />
whose vision and work are shaping the future of<br />
healthcare. The lectures are positively fascinating<br />
and provide a tantalizing glimpse of what’s coming<br />
down the road, from advances in robotic surgery<br />
to personalized medicine.”<br />
— The Honourable E. Leo Kolber<br />
The Genetics of Aging and Other Things<br />
You Can Blame Your Parents For<br />
By Brent Richards, MD, M.Sc.<br />
JGH Division of Endocrinology<br />
may 3, 7:30 to 8:30 p.m.<br />
Block Amphitheatre, Pavilion B-106,<br />
Jewish General Hospital<br />
Refreshments will be served at 8:30 p.m.<br />
The lecture will be given in English, with a question period in French and English<br />
Open to all members of the JGH Foundation Governors’ Circle<br />
Space is limited: first come, first served.<br />
Please RSVP without delay to Tiffany England at 514-340-8222, ext. 5467.<br />
Open to Gold and Platinum members, JGH Foundation Governors’ Circle<br />
Space is limited: first come, first served.<br />
Please RSVP without delay to Tiffany England at 514-340-8222, ext. 5467.<br />
Annual luncheon with the<br />
Executive Director of the JGH<br />
Featuring Hartley S. Stern, MD, FRCS(C), FACS<br />
may 3, <strong>No</strong>on to 1:00 p.m.<br />
Open to Platinum members, JGH Foundation<br />
Governors’ Circle<br />
Space is limited: first come, first served. Please RSVP without<br />
delay to Tiffany England at 514-340-8222, ext. 5467.<br />
Become a member!<br />
Today more than 4,600 members of the JGH Foundation Governors’<br />
Circle are providing exemplary support and are playing an important<br />
part in advancing clinical research and/or patient care at the<br />
JGH, with the promise these endeavours hold for all patients and<br />
their loved ones.<br />
You, too, can make a difference by joining us today! For more<br />
information about membership or upcoming events involving the<br />
Governors’ Circle, please contact Larry Sidel at 514-340-8222, ext.<br />
1922, or at lsidel@jgh.mcgill.ca.<br />
sweet holidays<br />
sweet holidays at the JGH<br />
Angie Holcman of Regal Confections<br />
More than three years ago, Regal Confections, a<br />
Canada-wide distributor based in Montreal, was approached<br />
by the JGH Foundation to donate chocolates<br />
to be given away during Christmas and Chanukah<br />
to thank hospital staff for their dedication and hard<br />
work. Company President Joe Neufeld accepted without<br />
any hesitation and, from then on, the distribution<br />
of chocolates has become a regular event throughout<br />
the JGH to the great enjoyment of the hospital’s staff<br />
and, starting in 2009, of visitors too.<br />
The 2010 holiday<br />
season saw this unique<br />
tradition reach new<br />
heights, with even more<br />
smiling faces. On <strong>No</strong>vember<br />
17, Les Aliments<br />
Uni Midlon Foods, a<br />
food broker based in<br />
Saint-Laurent, became<br />
involved, distributing<br />
complimentary cookies<br />
to doctors, staff and visitors<br />
in the Segal Cancer<br />
Centre, Emergency, Dermatology,<br />
Orthopedics,<br />
Gastroenterology and<br />
the Intensive Care Unit.<br />
Jodie Mintz Ginsberg of<br />
Les Aliments Uni Midlon Foods<br />
This was followed on December 14 and 23 by the handing<br />
out of thousands of icy square chocolates, again<br />
generously donated by Regal Confections.<br />
“It was incredibly heartwarming for us to see so<br />
many smiles illuminating the faces of patients, relatives<br />
and visitors,” said Larry Sidel, Vice-President and<br />
Chief Operating Officer of the JGH Foundation. “We<br />
are grateful to Regal Confections and Les Aliments Uni<br />
Midlon Foods for their generous and unique contribution—another<br />
demonstration of the JGH’s philosophy<br />
of going one step further in caring for all.”<br />
JGH News<br />
spital Foundation jghfoundation.org 17
Events<br />
Events<br />
18 spriNG 2011<br />
Community action action<br />
Throughout the year, the JGH Foundation hosts or benefits from a wide variety of events that call upon all of us to<br />
take action in support of initiatives that empower the Jewish General Hospital. This enables the hospital to save<br />
lives, improve patients’ quality of life and provide the most vulnerable members of society with the care they need.<br />
past events<br />
Let’s be unforgettable<br />
October 20 – Zante Restaurant<br />
Chair: Jeff Solomon<br />
Raised over $67,000 for the Program for<br />
Alzheimer’s Disease and Dementia (PADD)<br />
The creation of a JGH Program for Alzheimer’s<br />
Disease and Dementia (PADD) is vital in bringing<br />
together the clinical, teaching, research and<br />
educational activities involving dementia. It<br />
also builds necessary synergy and momentum to<br />
avert an impending epidemic. Establishing the<br />
PADD will contribute to improving the lives of<br />
individuals with dementia and those looking after<br />
them in Montreal and across Quebec. Please<br />
visit www.jghfoundation.org/sections/vpadd.<br />
html for more information on this vital initiative.<br />
Fall Fling<br />
October 26 – Cavalli Restaurant<br />
Co-Chairs: Gabrielle Bélanger and Marie-Aude<br />
Gagnon-Rousseau<br />
Raised over $70,000 to purchase endoscopic<br />
equipment for the Division of Radiation<br />
Oncology. Special thanks to Platinum sponsor<br />
Stikeman Elliott LLP for its generous contribution<br />
to the event’s success.<br />
Fundraiser Dinner 2010<br />
for Oncology<br />
October 29 – Crowne Plaza<br />
Organized by Joe and Lynne Gentile<br />
and their family and friends<br />
Raised over $11,000 for oncology patient<br />
care at the Segal Cancer Centre<br />
Please visit www.jgh.ca/SegalCancerCentre<br />
for more information.<br />
2 nd Annual Dimitrios Banousis Fund<br />
for Pulmonary Hypertension<br />
<strong>No</strong>vember 6 – Buffet Sorrento<br />
Organized by the Dimitrios Banousis family<br />
and friends<br />
Raised over $18,000 for the Dimitrios Banousis<br />
Pulmonary Hypertension Fund<br />
Pulmonary hypertension, high blood pressure in<br />
the lungs, is a rare disorder requiring specialized<br />
treatment in an organized and caring environment.<br />
The JGH Pulmonary Hypertension Clinic is<br />
such a place, where these patients are treated by<br />
physicians, nurses, physiotherapists and pharmacists.<br />
The clinic is also a reference centre for pulmonary<br />
hypertension in Quebec, internationally<br />
recognized for offering the very latest in care<br />
and for being at the forefront of pioneering<br />
research. The clinic has many needs that can be<br />
met only through private support. The Dimitrios<br />
Banousis Pulmonary Hypertension Fund plays a<br />
crucial role in helping purchase equipment that<br />
allows for excellence in care.<br />
6 th Annual Gloria’s Girls presents<br />
It’s a Girl Thing, in honour of Chris-<br />
Ann Nakis, owner and operator of<br />
Bâton Rouge Restaurant Complexe<br />
Desjardins and De la montagne<br />
<strong>No</strong>vember 7 – Bâton Rouge Restaurant,<br />
De la Montagne Street<br />
Co-chairs: Susan Bercovitch and Maxine<br />
Shapiro-Rosenblatt<br />
Raised over $100,000 for the Gloria Shapiro<br />
Endowment Fund for Ovarian Cancer Research,<br />
which supports ovarian cancer research at the<br />
Segal Cancer Centre. Please visit www.jgh.ca/<br />
SegalCancerCentre for more information.<br />
2 nd Doctors Gala<br />
<strong>No</strong>vember 18 – Congregation Shaar<br />
Hashomayim<br />
Co-Chairs: Sarah and Allen Rubin, and<br />
Heather and Joseph Paperman<br />
Raised $925,000 for the Department of<br />
Medicine Endowment Fund<br />
Please visit www.jghfoundation.org/sections/<br />
eventsgala.html for more information.<br />
Sincere thanks to major sponsors HD Supply<br />
Litemor, Merck, Pentax, Great West Life, AMD<br />
Ritmed, Bernice and Morton Brownstein,<br />
Janssen-Ortho, Pharmacie Frayne & Digenova<br />
and Reitmans (Canada) Ltd.<br />
The Department of Medicine deals with all<br />
medical aspects of disease (except surgery) and is<br />
the largest JGH department, with 15 divisions or<br />
subspecialties: Allergy and Clinical Immunology,<br />
Cardiology, Clinical Epidemiology, Dermatology,<br />
Endocrinology and Metabolism, Gastroenterology,<br />
Genetics, Geriatric Medicine, Hematology,<br />
Infectious Diseases, Internal Medicine, Medical<br />
Biochemistry, Nephrology, Pulmonary Medicine,<br />
and Rheumatology. Its mission is to provide excellent<br />
medical care, train medical students and<br />
young physicians to assess and manage patients,<br />
and advance the frontiers of knowledge about<br />
illness and its treatment through cutting-edge<br />
patient-oriented research. The Department of<br />
Medicine’s Endowment Fund—created and supported<br />
by private donations—ensures a stable<br />
flow of funding year to year. This support helps<br />
to secure the continued recruitment of the very<br />
best doctors and scientists from around the<br />
world, thereby strengthening the department’s<br />
ability to provide world-class care, teaching and<br />
research.<br />
F*** Cancer Event<br />
<strong>No</strong>vember 20 – Club Newtown Downtown<br />
Organized by Julie Greenbaum and friends<br />
Raised over $7,000 to benefit research and<br />
treatment in ovarian, breast, colon, lymphoma<br />
and lung cancers at the Segal Cancer Centre.<br />
Please visit www.jgh.ca/SegalCancerCentre<br />
for more information.<br />
Care for all.<br />
Rock for Hope<br />
March 19 – Café Théâtre, 1832 Ste-Catherine<br />
Benefiting the Segal Cancer Centre<br />
Amount raised unavailable at press time.<br />
Upcoming events<br />
may 14<br />
POP!<br />
Complexe Dompark<br />
Benefiting the renovation of a new JGH<br />
residents’ lounge<br />
Info: Tali Chemtob – 514-340-8222, ext. 5391<br />
June 6<br />
19th Annual JGH-Silver Star<br />
mercedes-Benz Golf Classic,<br />
honouring morton Brownstein<br />
Elm Ridge Golf & Country Club<br />
Benefiting the Program for Alzheimer’s<br />
Disease and Dementia (PADD)<br />
Info: Tali Chemtob – 514-340-8222, ext. 5391<br />
June 22<br />
14th Annual JGH Tennis Classic<br />
Jarry Park<br />
Co-Chairs: Pat Ifrah-Stein, George Itzkovitz<br />
and David Souaid<br />
Sponsorship Chair: Richard Stein<br />
Benefiting the Skin Cancer Centre<br />
Info: Adrianna Di Pardo, 514-340-8222<br />
ext. 2549<br />
It is immensely gratifying to know<br />
that together we can accomplish<br />
great things to help people<br />
throughout Montreal and Quebec<br />
for many years to come. To support<br />
any of the events and/or initiatives<br />
described in these pages, please<br />
contact the JGH Foundation at 514-<br />
340-8251. Donations can also be<br />
made at www.jghfoundation.org.<br />
If you are interested in organizing<br />
a fundraising event, please contact<br />
Mary Etzitian, Associate Coordinator,<br />
Events, at 514-340-8222, ext.<br />
3986.<br />
Thank you for making a difference!<br />
Jewish General Hospital Foundation, 3755, ch. de la Côte Ste-Catherine, A-107, Montreal (Quebec) H3T 1E2<br />
Tel.: 514-340-8251 · Fax: 514-340-8220 · info@jghfoundation.org<br />
March 2011 Jewish General Hospital Foundation jghfoundation.org
Cutting-edge surgery requires less cutting<br />
As a pioneer in minimally invasive vascular surgery, Dr. Cherrie Abraham<br />
is delighted that patients have treatment options where no hope<br />
existed before. This has made him a sought-after surgeon not only<br />
for JGH patients, but among Canadian and international colleagues who are<br />
eager to learn his breakthrough techniques.<br />
Dr. Cherrie Abraham (left and in inset) performs vascular surgery at the JGH with Dr. Christos Lioupis<br />
(centre), the McGill Fellow in Advanced Aortic and Peripheral Endovascular Surgery, and Dr. Kayvan<br />
Abaiian, the McGill Fellow in Vascular Surgery.<br />
The focus of Dr. Abraham’s work is aortic<br />
aneurysms, swellings in the wall of the<br />
aorta, the body’s largest artery which runs<br />
from the heart to the abdomen. If a rupture<br />
occurs, it can cause severe pain, internal<br />
hemorrhage and death. Previously,<br />
some patients had nowhere to turn, because<br />
their cases were too high-risk for conventional<br />
open-chest surgery. However, they<br />
have benefited from the minimally invasive<br />
treatment known as fenestrated or<br />
branched endovascular aneurysm repair<br />
(complex EVAR).<br />
“Traditional open repair of these complex<br />
aneurysms in the chest and abdomen<br />
are some of the most invasive operations<br />
that surgeons perform,” says Dr. Abraham,<br />
“If we can lower the compication rate and<br />
get patients out of hospital sooner, we have<br />
to continue to push the envelope with these<br />
new techniques”.<br />
Over the past several years, Dr. Abraham,<br />
an attending staff physician at the JGH since<br />
2003, has established advanced aortic endovascular<br />
programs across Canada, acting as<br />
team leader for the first complex cases in<br />
Vancouver, Edmonton, Winnipeg, London,<br />
Toronto, Hamilton, Ottawa and Montreal<br />
(at the Royal Victoria and Hôtel-Dieu Hospitals).<br />
“I help or perform these surgeries<br />
in centres besides the JGH about 20 to 30<br />
times a year,” says Dr. Abraham, who has<br />
conducted or supervised 90 per cent of all<br />
endovascular repairs of thoracoabdominal<br />
aortic aneurysms in Canada.<br />
From mid-2010 to mid-2011, about 12<br />
to 15 complex endovascular aneurysm repairs—believed<br />
to be the country’s highest<br />
rate—will have been performed at the JGH<br />
by Dr. Abraham. It also makes him a rarity<br />
in his field, given his ability to perform<br />
traditional as well as highly specialized endovascular<br />
procedures. He assisted his U.S.<br />
mentor, Dr. Timothy Chuter, in performing<br />
Canada’s first endovascular repair of a<br />
thoracoabdominal aortic aneurysm in 2002<br />
at the Royal Victoria Hospital in Montreal,<br />
and led a team from St. Michael’s Hospital<br />
in Toronto in the first operation of its kind<br />
in Ontario.<br />
Dr. Abraham has also been instrumental<br />
in adapting these techniques to repair the<br />
Living happily<br />
after EVAR<br />
Instead of opening the chest or abdomen<br />
to insert a graft (a tube-shaped piece of<br />
fabric) to reinforce the area weakened by<br />
an aneurysm, surgeons who perform fenestrated<br />
or branched endovascular aneurysm<br />
repair (complex EVAR) gain access to the<br />
aorta via small incisions in the groin. The<br />
graft is guided to the aorta through smaller<br />
arteries with the help of a stent, a mesh-like<br />
metallic tube.<br />
This type of minimally invasive surgery<br />
results in shorter recovery (three to four<br />
days, rather than seven to ten for traditional<br />
surgery); little or no post-operative ICU<br />
care; and fewer of the risks of open-chest<br />
surgery, such as infection, kidney failure<br />
and stroke.<br />
What makes a patient unsuitable for<br />
open repair? Age, multiple medical conditions,<br />
a “challenging” vascular anatomy<br />
and previous surgeries. So far, since there<br />
is only data on the short-term efficacy and<br />
safety of complex EVAR, open surgery is<br />
still preferable for young, fit patients.<br />
aortic arch (located above the heart) with<br />
a stent graft, whose “branches” allow blood<br />
flow to be maintained in major vessels connected<br />
to the aorta. Last October, in operating<br />
on a JGH patient who was too high-risk<br />
for conventional surgery, Dr. Abraham became<br />
first in the world to perform this type<br />
of surgery. “That was truly a remarkable<br />
achievement,” says Dr. Lawrence Rosenberg,<br />
JGH Chief of Surgical Services. “The patient<br />
had no ICU stay and spent only four days<br />
in hospital.”<br />
Dr. Abraham has since completed two<br />
similar cases at the JGH and one at Toronto<br />
General Hospital, with two planned for<br />
Vancouver. Only five surgeons worldwide<br />
have performed the surgery, and after each<br />
intervention they explore ways to refine<br />
the procedure. “I train people to go out as<br />
leaders and offer that expertise,” says Dr.<br />
Abraham, who is Program Director at the<br />
JGH and the MUHC for a fellowship in advanced<br />
aortic and peripheral endovascular<br />
surgery. “A Saudi Fellow who trained with<br />
us last year is now the most highly specialized<br />
in his field in the Middle East.”<br />
JGH News<br />
19
20 spriNG 2011<br />
Two big events, one committed<br />
The arithmetic works out perfectly: divide two of Quebec’s<br />
largest fundraising events into three relatives, and you get<br />
one dedicated family that’s determined to eradicate cancer—with<br />
thousands of dollars left over for treatment, prevention<br />
and research at the JGH Segal Cancer Centre.<br />
Even so, Jeremy Shafter can’t resist tweaking the equation. “The three of<br />
us are in a single family, of course,” he says, “but when I’m on my bicycle in<br />
the Ride to Conquer Cancer, or when I see my mother walking in the Weekend<br />
to End Women’s Cancers, it feels as if everyone who participates is in<br />
one large family. <strong>No</strong> matter which team you’re on or who your teammates<br />
are, we all feel connected to each other when we’re out there.”<br />
Even so, the Shafters<br />
remain something of<br />
an anomaly, with one<br />
family producing participants<br />
for both events.<br />
Mr. Shafter, 29, was the<br />
first to take the plunge<br />
in 2009 when he set off<br />
for Quebec City from<br />
Montreal in the inaugural<br />
two-day Ride. Last<br />
summer, he did a repeat<br />
performance, and this<br />
July he’ll be back for<br />
trek number 3 in the Enbridge<br />
Ride to Conquer<br />
Cancer. His mother,<br />
Joelle, donned her<br />
sneakers last year for her first time in the<br />
two-day, cross-Montreal walk in the Pharmaprix<br />
Weekend to End Women’s Cancers,<br />
a feat she plans to repeat this August. Inspired<br />
by her mother and brother, 25-yearold<br />
Alexandra will be at her mother’s side<br />
this summer as a first-time Weekend walker.<br />
The Shafters count themselves lucky that<br />
cancer has not touched any of their relatives,<br />
but they feel deeply about the deaths<br />
of two close friends, plus the fact that one<br />
friend is fighting cancer, while another is in<br />
remission.<br />
Joelle Shafter (centre) with her teammates at the 2010 Pharmaprix<br />
Weekend to End Women’s Cancers.<br />
The essentials<br />
The 2011 Pharmaprix Weekend to End Women’s<br />
Cancers, Aug. 27 and 28, will raise funds for<br />
treatment, prevention and research into all types<br />
of women’s cancers at the JGH Segal Cancer Centre.<br />
Participants have the option of walking one<br />
day or both, with everyone paying a $75 registration<br />
fee. Those who sign up for the full weekend<br />
make a commitment to raise at least $2,000,<br />
while one-day walkers must raise at least $1,250.<br />
Participants walk a total of 60 kilometres<br />
through the streets of Montreal, rain or shine.<br />
At the half way point on Saturday, they enjoy<br />
entertainment at a camping area and sleep overnight<br />
in tents. The walk resumes Sunday morning.<br />
www.endcancer.ca 514-393-WALK (9255)<br />
It’s Care my for hospital!<br />
all.<br />
Joelle Shafter (right) will be walking with her<br />
daughter, Alexandra, in the Pharmaprix Weekend to<br />
End Women’s Cancers, while her son, Jeremy, will<br />
hit the road on his bicycle in the Enbridge Ride to<br />
Conquer Cancer.<br />
All meals, drinks, tents and washroom facilities<br />
are provided.<br />
Anyone who is unable to walk the route but<br />
wants to get involved can be a crew member who<br />
serves meals, assists walkers or performs other<br />
necessary jobs. Crew members pay the $75 registration<br />
fee, and it is encouraged but not required<br />
that they raise $500. Opportunities are also available<br />
for volunteers.<br />
For more information about the Pharmaprix<br />
Weekend to End Women’s Cancers—including<br />
registration, joining or forming a team, fund raising<br />
and training—please visit the website at www.<br />
endcancer.ca or phone 514-393-WALK (9255).
family, three eager participants<br />
Jeremy Shafter heads for Quebec City in the 2010 Ride to<br />
Conquer Cancer.<br />
“The Ride is extremely demanding<br />
physically and mentally,” says Mr.<br />
Shafter, who works in the family business<br />
selling heating and steam supplies.<br />
“But if I get tired while riding, I think<br />
about those who died. Or if I pass someone<br />
on a bike with a yellow ‘survivor’<br />
flag, that’s what gives me strength. My<br />
pain is nothing compared to that.”<br />
The family effort had its beginnings<br />
two years ago, when Mr. Shafter became<br />
aware that the CoreXcellence team had<br />
been organized for the Ride by Don<br />
White, the owner of a gym where Mr.<br />
Shafter trains. His enthusiasm was so<br />
infectious that his mother eventually<br />
became the team’s fund-raising manager.<br />
In addition, Mrs. Shafter, a jeweller,<br />
has made and donated bracelets whose<br />
proceeds are added to the totals of any<br />
team members who need help hitting<br />
their fund-raising targets. In 2010,<br />
CoreXcellence raised a total of $80,000<br />
in the Ride, while Mrs. Shafter alone<br />
collected $2,500 in the Weekend. As of<br />
late January, 50 CoreXcellence members<br />
had signed up for the 2011 Ride and<br />
nine for the upcoming Weekend.<br />
Nuts and bolts<br />
The 2011 Enbridge Ride to Conquer Cancer<br />
hits the road on July 9 and 10 to help<br />
fund cancer research and care at the JGH<br />
Segal Cancer Centre. To take part, each rider<br />
pays a $75 registration fee and raises at<br />
least $2,500.<br />
After the final check-in on Saturday<br />
morning, riders spend Saturday and Sunday<br />
pedalling from Montreal to Quebec City,<br />
rain or shine. At the half way point in Trois<br />
Rivères, they gather at a camping area to<br />
relax, enjoy entertainment and sleep overnight<br />
in tents. Then on Sunday, the ride resumes.<br />
Throughout the trip, all meals, drinks,<br />
www.conquercancer.ca 1-866-996-8356<br />
Last in the family to get actively involved<br />
was Alexandra Shafter, who is<br />
studying photography in San Francisco,<br />
but visits Montreal regularly. Although<br />
2011 will be her first year as a Weekend<br />
walker, she notes that she was involved<br />
in the Ride last summer as the team’s official<br />
photographer and as a CoreXcellence<br />
assistant on the sidelines.<br />
“I saw the joy and happiness that it<br />
brought them and I couldn’t resist,” says<br />
Ms. Shafter. “I’m in shape and last <strong>No</strong>vember,<br />
I completed a half-marathon in<br />
San Francisco. But for now, the Weekend<br />
is the event I feel most comfortable<br />
participating in.”<br />
Despite the difficulties in cycling to<br />
Quebec City, Mr. Shafter is heartened by<br />
his memories of his previous two Rides.<br />
“The thing to keep in mind is that it’s<br />
not a race; it’s people enjoying themselves<br />
because of the feeling they get out<br />
there when they realize they’re doing<br />
something special.”<br />
“At the same time,” adds Mrs. Shafter,<br />
“it’s very rewarding to know your children<br />
share your ideals and commitment<br />
to such an important cause.”<br />
tents, medical aid and mechanical assistance<br />
for bikes are available.<br />
Individuals who are unable to ride can<br />
get involved as crew members who serve<br />
meals, assist riders or perform other necessary<br />
tasks. Crew members pay the $75 registration<br />
fee, and it is encouraged but not<br />
required that they also raise $500.<br />
For more information about the Enbridge<br />
Ride to Conquer Cancer—including registration,<br />
joining or forming a team, fund raising,<br />
training or any aspect of the event—please<br />
visit the website at www.conquercancer.ca<br />
or phone 1-866-996-8356.<br />
JGH News<br />
21
esearCH aT THe LadY davis iNsTiTUTe<br />
22 spriNG 2011<br />
Dr. William Foulkes<br />
Genetics reheats cold cases<br />
The mystery began in 1976. Adolfo Pampena was diagnosed with a rare form<br />
of cancer, including a strange combination of symptoms and tumours in his<br />
stomach and colon. His perplexed medical team could not determine the<br />
cause of his disease or the risk for his descendents.<br />
Thirty-five years later, the answers are outlined in a<br />
study led by investigators at the JGH Lady Davis Institute<br />
for Medical Research (LDI), the Research Institute of the<br />
McGill University Health Centre, and the McGill Program<br />
in Cancer Genetics at the Gerald Bronfman Centre for<br />
Clinical Research in Oncology. Senior author of the study—<br />
recently published in The New England Journal of Medicine—is<br />
Dr. William Foulkes, a genetics researcher at the<br />
LDI and the MUHC’s Research Institute.<br />
The researchers pinpointed a culprit gene, which is<br />
involved in regulating the separation of chromosomes.<br />
Instability during cell division can cause chromosomes<br />
to end up in the wrong place, leading to the development<br />
of tumours. “My father and family were relieved that the<br />
cancer risk for other relatives is much less than we thought,”<br />
says Mary Pampena, Adolfo’s daughter. “We now know what<br />
screening test to perform in the future.”<br />
Value of robotic surgery confirmed<br />
Robot-assisted surgery, performed with technology<br />
such as the Jewish General Hospital’s<br />
da Vinci Surgical System, dramatically<br />
improves outcomes in patients with uterine, endometrial,<br />
and cervical cancer, a JGH study has found.<br />
With fewer post-operative complications and shorter<br />
hospital stays, robotic procedures also cost less, concludes<br />
the study, whose results were published in late 2010 in The<br />
Journal of Robotic Surgery and The International Journal of<br />
Gynecological Cancer.<br />
“Patients’ quality of life is dramatically improved,” says<br />
Dr. Walter Gotlieb, who led the study and is Director of<br />
Gynecologic Oncology at the JGH Segal Cancer Centre.<br />
“They use far less narcotic pain medication—sometimes<br />
nothing stronger than Tylenol.”<br />
Robotic surgery technology was developed to overcome<br />
the limitations of minimally invasive surgery, including such<br />
notoriously difficult procedures as laparoscopy for cancer.<br />
“Laparoscopy is the gold standard of treatment for endometrial<br />
cancer,” Dr. Gotlieb says, “but the learning curve is too<br />
steep for most surgeons. At the JGH, we went from only 15<br />
per cent of our endometrial cancer patients undergoing laparoscopy<br />
to 95 per cent using robotic surgery. Previously, for<br />
cervical cancer, we did not perform minimally invasive surgery<br />
at all, whereas now all of our patients benefit from it.”<br />
Care for all.<br />
In another study in the Journal of the American Medical<br />
Association, Dr. Foulkes describes solving a mystery<br />
involving five families with a long history of nontoxic multinodular<br />
goiter. Goiter, a thyroid disease, can lead to extreme<br />
swelling of the neck or larynx, but its cause is often<br />
iodine insufficiency and not genetics. While multinodular<br />
goiter was known to be genetic, no one had ever located the<br />
specific gene or mutation that was responsible—until now.<br />
A team led by Dr. Foulkes and Dr. Marc Tischkowitz of<br />
the LDI and the Program in Cancer Genetics found that the<br />
mutation changes the protein in only one place. “A mutation<br />
in a disease gene usually causes many <strong>problem</strong>s,” says<br />
Dr. Foulkes, “but here we have no evidence it causes anything<br />
except goiter.” He and his colleagues also confirmed<br />
an idea, first raised in 1974, that a genetic link exists between<br />
multinodular goiter and an unusual type of ovarian<br />
tumour.<br />
Dr. Walter Gotlieb performs robot-assisted surgery.<br />
In a letter to Dr. Joseph Portnoy, JGH Director of Professional<br />
Services, a patient with complex endometrial cancer,<br />
lavishly praised her “surgeon and his robot” and called the<br />
device a “marvel”.<br />
The da Vinci Surgical System was brought to the Jewish<br />
General Hospital in 2006 through the generosity and initiative<br />
of private donors.
C. difficile targeted<br />
by promising new drug<br />
For the first time in several decades, a new<br />
antiobiotic has been found to be more effective<br />
against C. difficile infection than existing<br />
treatments, says a study co-authored by<br />
Dr. mark miller, a clinical investigator at the Lady<br />
Davis Institute for medical Research.<br />
In trials conducted by Canadian<br />
and U.S. researchers, the new antibiotic<br />
Fidaxomicin demonstrated a<br />
45-per-cent reduction in recurrences<br />
of C. difficile, compared to the existing<br />
licensed treatment, says the study<br />
whose results were published in The<br />
New England Journal of Medicine.<br />
Fidaxomicin is not yet licenced, but<br />
researchers are optimistic about its<br />
eventual approval for patients.<br />
C. difficile is a bacterium that usually<br />
lives in harmony with other types<br />
of bacteria that are normally found in<br />
the human intestine. When a patient<br />
is treated with antibiotics (often while<br />
in hosptial), many normal bacteria are<br />
eliminated. C. difficile jumps in to fill<br />
this “vacancy” and, while multiplying,<br />
Tops in cancer research<br />
Over the past three years, laboratory<br />
studies by Dr. Michael Pollak at the<br />
JGH Lady Davis Institute for Medical<br />
Research and the JGH Segal Cancer<br />
Centre have shown the widely used<br />
anti-diabetic drug Metformin can<br />
inhibit colorectal cancer in mice. The<br />
grant will enable the Cancer Prevention<br />
Centre to move the research into<br />
a clinical trial at the JGH to explore<br />
the potential of this drug in cancer<br />
prevention.<br />
“This project requires an environment<br />
with excellent interaction between<br />
clinicians and scientists,” says<br />
Dr. Pollak, Director of Centre. “It is<br />
rewarding to have an international<br />
panel of experts judge the JGH to be<br />
the right setting to take this research<br />
to the next level.”<br />
Dr. Mark Miller<br />
creates a toxin that causes diarrhea.<br />
“There wasn’t much interest in<br />
C. difficile for many years, because it<br />
wasn’t considered a serious disease,”<br />
says Dr. Miller, who is Chief of the<br />
JGH Divisions of Infectious Diseases<br />
and Microbiology, and Assistant Professor<br />
of Medicine, Microbiology and<br />
Immunology at McGill University.<br />
“However, over the past decade, it<br />
has mutated into something much<br />
more serious that has caused epidemics<br />
worldwide. Recurrent C. difficile<br />
is very difficult to treat, and this has<br />
spurred interest in newer and better<br />
treatments. Anything that can reduce<br />
the recurrence rate is a very important<br />
milestone.”<br />
An application for research funding by the JGH Stroll Cancer<br />
Prevention Centre has been rated the most deserving<br />
of support among Canada-wide proposals submitted to the<br />
Canadian Cancer Society Research Institute.<br />
Under investigation will be people<br />
at higher risk, such as those with a<br />
family history of colorectal cancer or<br />
a medical history of polyps. The trials<br />
will be led by a multidisciplinary<br />
team that includes the Department of<br />
Oncology in collaboration with the<br />
Divisions of Endocrinology, Gastroenterology<br />
and Colorectal Surgery,<br />
and the Department of Pathology.<br />
The Centre has also received grants<br />
to investigate possible applications of<br />
Metaformin and related compounds<br />
in prostate and breast cancers, adds<br />
Dr. Pollak, who holds the Alexander-<br />
Goldfarb Chair and Professorship at<br />
McGill University’s Departments of<br />
Medicine and Oncology.<br />
Enzyme may hold key<br />
to Alzheimer’s cause<br />
Researchers at the JGH<br />
Lady Davis Institute for<br />
Medical Research (LDI)<br />
believe they may have discovered<br />
one of the root causes of Alzheimer’s<br />
disease. A team headed<br />
by Dr. Andréa C. LeBlanc of<br />
the LDI’s Bloomfield Centre for<br />
Research in Aging, has built an<br />
impressive case for Caspase-6, Dr. Andréa C. LeBlanc<br />
one of several enzymes that play a role in cell death and<br />
inflammation.<br />
Many scientists believe the fundamental cause<br />
of Alzheimer’s is amyloid beta—also known as<br />
“Abeta”— a peptide that forms “senile plaques” in<br />
the brains of Alzheimer’s sufferers. Dr. LeBlanc’s<br />
theory, controversial among her colleagues, is that<br />
Abeta is a consequence of the disease, not its cause.<br />
She believes that the active enzyme Caspase-6<br />
increases the production of Abeta in human neurons<br />
and contributes to several other cellular defects<br />
associated with Alzheimer’s disease.<br />
“Our research has shown that neurons, the type<br />
of cells mainly affected in Alzheimer’s disease brains,<br />
activate Caspase-6 when they are stressed,” explains<br />
Dr. LeBlanc, who is the James McGill Professor in<br />
Neurology and Neurosurgery at McGill University.<br />
“We have also shown that otherwise healthy neurons<br />
degenerate when exposed to active Capase-6.”<br />
The brains of people who have died of Alzheimer’s<br />
disease have extremely high levels of activated Caspase-6.<br />
However, Dr. LeBlanc found virtually none<br />
in the brains of older people who did not have the<br />
disease, or anyone under the age of 45. Most tantalizingly,<br />
she also found elevated levels of the enzyme<br />
in the brains of some older people who did not suffer<br />
from Alzheimer’s disease, but who had signs of<br />
memory impairment.<br />
The JGH Foundation is conducting a major fundraising<br />
effort to support the creation of a Program for<br />
Alzheimer’s Disease and Dementia (PADD) at the JGH.<br />
This program is vital to accelerate research that will<br />
lead to better diagnosis and treatment tools, hasten<br />
a cure for a disease that has the potential to turn<br />
into an epidemic of disastrous proportions, and improve<br />
access to the required services and support<br />
programs for individuals with AD and their families in<br />
our community and across Quebec. The generosity of<br />
donors will be crucial to making this urgently needed<br />
program a reality, as it must be entirely funded by<br />
private donations. For more information, please visit<br />
jghfoundation.org/sections/vpadd.html. Donations<br />
can be made at www.jghfoundation.org or by calling<br />
the JGH Foundation at 514-340-8251.<br />
JGH News<br />
23
Mind over matter… continued from page 14.<br />
residents or any member of staff who happens<br />
to pick up on the fact that a patient is<br />
under stress and needs an expert to talk to.<br />
As Associate Director of the program,<br />
Mr. Ptack has found that the strengths of<br />
the Department of Social Services (with its<br />
broad perspective on families) are a perfect<br />
complement for the skills of the Division of<br />
Psychology (with its attentiveness to the individual<br />
patient). “With time, we also hope<br />
to have social workers conducting more<br />
evidence-based research,” he adds.<br />
Clearly, Mr. Ptack says, cancer patients<br />
aren’t the only ones who experience stress<br />
Pulling together as a team<br />
Among cancer patients, stress levels can<br />
be heightened not only by legitimate fears,<br />
but by myths, particularly those involving<br />
sexual activity. That’s when sex therapist<br />
Tobi Klein steps in to reassure patients that,<br />
for example, having sex will not aggravate<br />
cancer or make the disease more likely to<br />
return after treatment has ended.<br />
“Oncologists offer whatever support they<br />
can, but their main concern is operating on<br />
the organs,” says Ms. Klein, who joined the<br />
Psychosocial Oncology team in 2009 and is<br />
also part of the JGH Gyne-Oncology team.<br />
“During cancer treatment, sex usually goes<br />
by the wayside. But when the treatment is<br />
over and thoughts of sex return, the stress<br />
may linger. After an operation, patients<br />
may be insecure about the way they look or<br />
about revealing their bodies to their partners.<br />
Also, even if they had a good sexual<br />
relationship before cancer, they’re unsure<br />
how to rekindle the spark. Readjustment<br />
can take quite a while.”<br />
In fact, stress can affect an entire family<br />
so deeply that members of a cancer patient’s<br />
24 spriNG 2011<br />
during medical care, “which is why various<br />
departments try to provide psychosocial<br />
support wherever it’s needed. But Oncology<br />
was the logical place for a formal interdisciplinary<br />
program, because cancer patients<br />
experience so much more uncertainty at<br />
every stage of their illness. The up-days<br />
and down-days come one after the other. A<br />
period of stability can be followed by remission,<br />
with any number of treatments that<br />
are tough for patients and their families. It’s<br />
a psychologically and emotionally draining<br />
process.”<br />
household are sometimes referred to as “cosufferers”,<br />
says social worker Dr. Sharon<br />
Bond, who has been on the Psychosocial<br />
Oncology team for about two years.<br />
“Perhaps there were marital <strong>problem</strong>s<br />
before the disease was diagnosed, and<br />
now they need to be addressed in a different<br />
context,” says Dr. Bond, Director of the<br />
Couple and Family Therapy section of the<br />
JGH Institute of Community and Family<br />
Psychiatry. “Even if the relationship is good,<br />
when cancer hits one spouse, the other is<br />
suddenly forced to assume the role of caregiver,<br />
and this can throw off the balance of<br />
the relationship. And when parents suffer,<br />
children can experience physical symptom<br />
like stomach aches.<br />
“More and more, we’re all coming to<br />
understand that it takes special qualities to<br />
step up and cope with cancer, whether as<br />
individuals or as members of a family. The<br />
strength may be there, but the patient still<br />
needs real support—the kind you get in its<br />
best form from a multidisciplinary team<br />
like ours.”<br />
Psychosocial support needs financial support<br />
The Louise Granofsky Psychosocial Oncology Program was established by Mini and David Granofsky<br />
in memory of their daughter, Louise, who died of cancer. Since the program is funded almost<br />
entirely through private donations, the generosity of donors is the key to ensuring the future<br />
of this vital service for a growing number of cancer patients and their loved ones throughout<br />
Quebec.<br />
“Living with cancer is a horrendous trial,” says patient Yvonne Gariépy. “Being able to count on a<br />
sympathetic ear with a healthy dose of understanding and empathy helped me regain confidence<br />
in life. To know that I can come back for more whenever I need it is greatly appreciated.”<br />
Donations can be made at www.jghfoundation.org<br />
or by calling the JGH Foundation at 514-340-8251.<br />
It’s Care my for hospital!<br />
all.<br />
Auxiliary celebrates<br />
75 caring years<br />
Phyllis Karper and Linny Blauer<br />
Get ready to sing “Happy Birthday”,<br />
because the JGH Auxiliary is celebrating<br />
its 75th anniversary! As we light<br />
the candles, let’s recall that many pacesetting<br />
programs were developed with<br />
Auxiliary support—and were later absorbed<br />
by or associated with the JGH—<br />
including Hope & Cope, the Cardiac Rehab<br />
Fund, the Stroke Rehab Program, the<br />
Chronic Spinal Pain Support Group, the<br />
Department of Volunteer Services and<br />
the ER Urgence Presence Program.<br />
Ever since The Auxiliary was founded<br />
in January 1936 by a handful of dedicated<br />
women led by Annie Goldbloom, it has<br />
maintained a commitment to enhancing<br />
the quality and effectiveness of hospital<br />
services. Today, with a membership of<br />
1,500, our mandate has changed only to<br />
reflect modern attitudes and values. We<br />
provide plastic bags for patients’ belongings<br />
in the ER, Helping Heart Pillows<br />
to alleviate pain in post-cardiac surgery<br />
patients, layettes for mothers in need,<br />
and pacifiers for premature babies in<br />
the Neonatal Intensive Care Unit. Sales<br />
of used books, collectibles, merchandise<br />
from on-site vendors and our gourmet<br />
Panache cookbook enable us to play an<br />
integral role in helping the JGH to emphasize<br />
the “care” in “health care” as well<br />
as providing revenues.<br />
Most recently, in our drive for innovation,<br />
we have provided funding for<br />
the therapeutic Dr. Clown program, the<br />
Care Cart (morale-boosting visits to<br />
patients) and Humour Cart. Our Menus<br />
for the Mind Series showcases informa-
aUXiliarY news<br />
tive lectures and inspiring movies, while<br />
the Precious Treasures program lets<br />
new parents celebrate a birth by buying<br />
a teddy bear plaque for the wall of the<br />
maternity unit. The Books-in-Motion<br />
Cart offers books and magazines to<br />
patients, and our Mobile Food Cart sells<br />
light refreshments in clinics and waiting<br />
rooms throughout the JGH.<br />
To ensure continuity of this essential<br />
work, we’re looking forward to our partnership<br />
with a new group of passionate<br />
young volunteers, known as The Auxiliary’s<br />
“Next Generation”. Helping to keep<br />
our future bright will be The Auxiliary’s<br />
new Co-Presidents, Merle Klam and<br />
Fran Yagod, and their new slate of officers,<br />
to be installed in May at our Annual<br />
General Meeting. Their vision will make<br />
The Auxiliary stronger than ever—and<br />
our patients will reap the rewards.<br />
ON THE HORIzON<br />
Don’t miss<br />
these exciting events<br />
May 2<br />
Bridge and mahjong luncheon<br />
11:00 a.m., Congregation Shaar<br />
Hashomayim<br />
May 11<br />
Annual General Meeting<br />
and Installation<br />
11:30 a.m., Samuel S. Cohen Auditorium,<br />
Pavilion A<br />
May 26<br />
Dessert reception and lecture<br />
An evening with<br />
Dr. Cleve Ziegler, JGH<br />
Director of Gynecology,<br />
speaking about<br />
“Everything You<br />
Wanted to Know, But<br />
Were Afraid to Ask” Dr. Cleve Ziegler<br />
Time and location to be announced.<br />
June 2<br />
Movie screening:<br />
The Matchmaker<br />
Petit souper at 6:00 p.m., movie at 7:00 p.m.<br />
Block Amphitheatre<br />
Proceeds to the Centre for Child<br />
Development and Mental Health<br />
Cheque for children<br />
Fabulous Fall Fair<br />
Adding holiday sparkle<br />
Dr. Jaswant Guzder<br />
and Rosemary Short<br />
accept a cheque on<br />
behalf of the Centre<br />
for Child Development<br />
and Mental<br />
Health. Proceeds<br />
came from The<br />
Auxiliary’s Menus<br />
for the Mind Series.<br />
Representing The<br />
Auxiliary are (from<br />
left) Rhona Kramer,<br />
Susan Raymer, Helene<br />
Mandelcorn and Judy<br />
Kaback.<br />
As always, The Auxiliary’s Fall Fair and Raffle drew bargain hunters who snapped up a wide array<br />
of items, including women’s and men’s clothing, toys and housewares. Proceeds will help purchase<br />
specialized equipment for the Division of Neurosurgery.<br />
From left: Fair Co-Chair<br />
Allan Bramson, Auxiliary<br />
Co-Presidents Linny Blauer<br />
and Phyllis Karper, Fair Co-<br />
Chair Sandra Gutherz, Dr.<br />
Jeffrey Golan of the Division<br />
of Neurosurgery, Raffle<br />
Co-Chairs Bev Caplan and<br />
Sandy Appel, Fair Co-Chair<br />
Rhona Heisler, volunteer<br />
Elaine Walfish, Auxiliary<br />
Vice-President Phyllis Abosh<br />
and Auxiliary Director<br />
Nancy Rubin.<br />
December’s holidays<br />
were even cheerier,<br />
thanks to The Auxiliary’s<br />
boutique sale,<br />
whose proceeds<br />
benefit the Women’s<br />
Care Centre. The<br />
Co-Chairs were<br />
Elisa Fremeth Frank<br />
and Sheryl Fremeth<br />
Frank.<br />
JGH News<br />
25
newsMaKers<br />
NEW CHIEFS<br />
Dr. michael Hier has<br />
been named Chief of<br />
Oto-rhino-laryngology/Head<br />
and Neck<br />
Surgery, after serving<br />
as Associate Chief in<br />
the department since<br />
2002. Dr. Hier earned<br />
his M.D. from McGill<br />
University in 1990 and<br />
Dr. Michael Hier<br />
went on to complete<br />
post-graduate training, including a fellowship<br />
in Head and Neck/Plastic Reconstructive<br />
Surgery at Rush University in Chicago.<br />
He has been with the JGH since 1996. Dr.<br />
Saul Frenkiel, the Chief since 1992, remains<br />
an active member of the department.<br />
Dr. Paul Warshawsky<br />
is the new Chief of<br />
Adult Critical Care,<br />
having served as the<br />
department’s interim<br />
Chief since mid-2010<br />
and as an attending<br />
staff physician in the<br />
Intensive Care Unit<br />
since 2002. Dr. War- Dr. Paul Warshawsky<br />
shawsky received his<br />
M.D. from McGill University in 1993 and<br />
joined the JGH in 2002, following residencies<br />
in pulmonary medicine and critical<br />
care at McGill, and in internal medicine at<br />
McGill and the JGH. Dr. Denny Laporta,<br />
who has stepped down after a decade as<br />
Chief, continues to be active in the department.<br />
Dr. Jeff Golan has<br />
been appointed Chief<br />
of Neurosurgery, having<br />
re-established the<br />
hospital as a training<br />
site for neurosurgical<br />
residents and orthopedic/spine<br />
residents<br />
and fellows since his<br />
arrival at the JGH in<br />
Dr. Jeff Golan<br />
2009. Along with his<br />
colleagues, Dr. Golan has also played a major<br />
role in establishing a McGill University<br />
teaching hospital multi-site clinical spine<br />
service. As Chief, he will develop a clinical<br />
and basic research spine program at the<br />
26 spriNG 2011<br />
JGH. Dr. Golan completed his neurosurgical<br />
training at McGill University, as well as fellowship<br />
training in minimally invasive and<br />
complex spine surgery at the Medical College<br />
of Wisconsin, and in spinal oncology at<br />
Ohio State University. The outgoing Chief,<br />
Dr. Gérard mohr, has been with the JGH<br />
since 1989 and remains an active member<br />
of the division.<br />
Dr. Franck Bladou<br />
has joined the JGH<br />
as Chief of Urology,<br />
coming to Montreal<br />
from Marseilles,<br />
France, where he was<br />
Chairman of the Department<br />
of Urology<br />
at Sainte Marguerite<br />
University Hospital; Dr. Franck Bladou<br />
Chairman of the Paoli-<br />
Calmettes Institute cancer centre; and Professor<br />
of Urology in the School of Medicine<br />
at the University of the Mediterranean. Dr.<br />
Bladou has also conducted clinical studies<br />
and extensive research into prostate cancer,<br />
and is a member of numerous French and<br />
international scientific societies related to<br />
urology and onco-urology.<br />
CONGRATULATIONS!<br />
Dr. Carmen Loiselle,<br />
a Senior Nurse Scientist<br />
at the JGH Lady<br />
Davis Institute for<br />
Medical Research and<br />
at the JGH Centre for<br />
Nursing Research, has<br />
been appointed the<br />
inaugural holder of<br />
the Christine & Her- Dr. Carmen Loiselle<br />
schel Victor-Hope &<br />
Cope Chair in Psychosocial Oncology at<br />
McGill University. This position is awarded<br />
to an outstanding research clinician whose<br />
work will significantly help patients and<br />
strengthen the relationship between the<br />
JGH and McGill. Dr. Loiselle, who received<br />
the JGH Award of Excellence in Medical<br />
Research in 2009, has a particular interest<br />
in the way cancer patients seek and benefit<br />
from the information they are given in cancer<br />
clinics and online.<br />
Care for all.<br />
The Christine & Herschel Victor-Hope &<br />
Cope Chair in Psychosocial Oncology was<br />
established thanks to a shared $3 million<br />
donation from long-time JGH supporters<br />
Christine and Herschel Victor and Hope<br />
& Cope. This research chair, the first of its<br />
kind in Quebec and only the third in Canada,<br />
is an example of the strong support that<br />
partnerships provide in cancer research,<br />
prevention and care.<br />
Dr. mark Wainberg,<br />
former JGH Director<br />
of Research and internationally<br />
renowned<br />
for his ongoing HIV/<br />
AIDS research at the<br />
JGH Lady Davis Institute<br />
for Medical<br />
Research, has been<br />
chosen to receive the<br />
Dr. Mark Wainberg<br />
Wilder Penfield Prize<br />
of the Prix du Québec. The prize recognizes<br />
his outstanding contribution to advancing<br />
HIV/AIDS medical research, care and<br />
prevention programs. Dr. Wainberg, who<br />
is Director of the McGill AIDS Centre and<br />
the McGill’s HIV/AIDS Research Axis, has<br />
previously been honoured for his work by<br />
being named an Officer of the Order of<br />
Canada, an Officer of the National Order<br />
of Quebec, a Chevalier in France’s Legion<br />
of Honour and a recipient of the Canadian<br />
Medical Association’s Medal of Honour.<br />
Dr. Gérard mohr,<br />
who is currently Honourary<br />
Chief of Neurosurgery<br />
and who<br />
served as JGH Chief<br />
of the Division from<br />
1996 to 2009, has been<br />
named an Adjunct<br />
Professor in the Department<br />
of Surgery<br />
at the University of<br />
Montreal. Last year, Dr. Mohr was the invited<br />
neurosurgery speaker and session moderator<br />
at the XIth Dr. Gérard Mohr<br />
Symposium of Interventional<br />
Neuroradiology in Colmar, France.
Photo: Nicolas Gallenne<br />
From left: Claudette Péloquin, President of the<br />
the Quebec Association of Clinical Nutritionists;<br />
Josée Bédard, Director of Corporate Affairs,<br />
Provigo; Paule Bernier; and Michel Sanscartier,<br />
President of the Professional Order of Quebec<br />
Dietitians.<br />
JGH Dietitian Paule Bernier has received<br />
the highest distinction of the Professional<br />
Order of Quebec Dietitians, the 2010<br />
Suzanne Mavrikakis Career Achievement<br />
Award. Ms. Bernier, who has been with<br />
the JGH since her internship in 1978, was<br />
acknowledge for her commitment to clinical<br />
nutrition and her “deep concern for the<br />
protection of the public which, for her, was<br />
a leading priority through the pursuit of<br />
scientific findings and consequently, an improvement<br />
in the skills of clinical dietitians<br />
and nutritionists.”<br />
Dr. Igal A. Sebag, Fellowship Director and<br />
Associate Director of Echocardiography at<br />
the JGH, has received McGill University’s<br />
David Stubington Teacher of the Year Award<br />
for the 2009-2010 academic year. The honour<br />
is bestowed on outstanding teachers in<br />
McGill’s Cardiology Department.<br />
Alan maislin, Chair of the JGH Users’<br />
Committee, has been honoured with the<br />
2010 RPCU Award for Personal Excellence,<br />
in recognition of his work on behalf of patients<br />
at the Jewish General Hospital. The<br />
RCPU (le Regroupement provincial des comités<br />
des usagers), a provincial organization<br />
of users’ committees, helps to ensure that<br />
the needs and rights of those who use Quebec’s<br />
healthcare institutions are maintained<br />
and upheld.<br />
WELCOmE!<br />
The JGH Division<br />
of Hematology welcomes<br />
Dr. Nathalie<br />
Johnson, who has<br />
also been appointed<br />
as an Assistant Professor<br />
at McGill University.<br />
In her research,<br />
Dr. Johnson investigates<br />
biomarkers that Dr. Nathalie Johnson<br />
are associated with<br />
resistance to treatments for certain types of<br />
lymphoma. She will be also be responsible<br />
for the Clinical Flow Cytometry laboratory<br />
in the JGH Department of Diagnostic Medicine,<br />
as well as pursuing clinical activities<br />
in the Bell Canada Adolescent and Young<br />
Adult Oncology Program in the Segal Cancer<br />
Centre. Dr. Johnson is the recipient of<br />
a research fellowship from the Terry Fox<br />
Foundation through an award from the<br />
National Cancer Institute of Canada.<br />
Dr. Olga Aleynikova has joined the JGH<br />
Department of Pathology as an attending<br />
staff pathologist, with an <strong>appointment</strong> to<br />
McGill University as an Assistant Professor.<br />
Dr. Aleynikova graduated from Dalhousie<br />
University in 2002 and completed her pathology<br />
training at Laval University and the<br />
University of Montreal. In addition to clinical<br />
activities that focus on gastrointestinal<br />
pathology, she will coordinate quality control<br />
activities in molecular pathology.<br />
Dr. Sabrina Fallavollita is the newest<br />
member of the JGH Division of Rheumatology,<br />
where she is a clinician, clinical<br />
researcher and teacher. Dr. Fallavollita<br />
completed her medical training, including<br />
a rheumatology fellowship, at McGill University.<br />
In addition to pursuing research<br />
interests in early inflammatory arthritis, she<br />
will develop her skills in using ultrasound<br />
to diagnose and assess rheumatic diseases.<br />
Dr. Reza Forghani has joined the JGH<br />
Department of Diagnostic Radiology to<br />
focus on all facets of neuroradiology and<br />
head and neck radiology, as well as general<br />
radiology. A recipient of numerous awards,<br />
Dr. Forghani has had papers published in<br />
peer-reviewed journals and has authored<br />
book chapters. He is currently involved in<br />
several research projects, including molecular<br />
imaging with potential applications to<br />
multiple sclerosis and stroke.<br />
IN mEmORIAm<br />
The Jewish General<br />
Hospital mourns the<br />
loss of Dr. Amnon<br />
Kahn, 79, who served<br />
as Chief of Endocrinology<br />
for 14 years<br />
and was admired for<br />
his personal warmth<br />
and professional expertise<br />
during his 47- Dr. Amnon Kahn<br />
year career at the JGH.<br />
Dr. Kahn, who died on <strong>No</strong>v. 4, received his<br />
M.D. from Queen’s University and completed<br />
fellowships in endocrinology at the<br />
Royal Victoria Hospital and Chicago’s<br />
Michael Reese Hospital. He joined the JGH<br />
in 1963 and was appointed Chief of Endocrinology<br />
in 1975. Dr. Kahn was the father<br />
of Dr. Susan Kahn, a JGH epidemiologist<br />
and Associate Director for Clinical Research<br />
at the Lady Davis Institute for Medical<br />
Research.<br />
The Jewish General Hospital extends its<br />
condolences to the family of Dr. Simon<br />
Gold, an obstetrician who won the love<br />
and respect of his patients and colleagues<br />
in delivering thousands of babies over the<br />
course of more than 50 years. Dr. Gold, who<br />
died on Dec. 28 at the age of 94, received<br />
his M.D. from McGill University in 1940,<br />
followed by post-graduate work at the JGH<br />
and the Royal Victoria Hospital. He joined<br />
the Jewish General Hospital in 1946 and retired<br />
in 1998. Dr. Gold was also an Assistant<br />
Professor at McGill, former President of<br />
the Montreal Obstetrical and Gynecological<br />
Society and the Montreal Clinical Society,<br />
and a founding member of the Quebec<br />
Medical Association.<br />
JGH News<br />
27
Ahhh, at last! Brighter mornings, warmer sunshine, idle<br />
snow shovels. Spring is certainly invigorating, but it has<br />
hazards all its own, such as insect bites and allergies.<br />
To stay healthy, the JGH Patient and Family Resource Centre<br />
has some reliable websites to put “spring” in your step. You can<br />
start at the home pages listed below and then navigate to the<br />
appropriate subject pages. However, your best bet is to go to<br />
jgh.ca/pfrcspring for direct links to those subject pages.<br />
28 spriNG 2011<br />
To yoUr heaLTh!<br />
Goodbye to frostbite,<br />
hello again<br />
to insect bites<br />
• The U.S. National Library of Medicine at infocus.nlm.nih.<br />
gov has some useful tips on spring cleaning, with a special<br />
focus on safe household cleaning products and detergents.<br />
• When we plunge into spring cleaning, we don’t usually think<br />
about getting rid of outdated items in our medicine cabinet.<br />
Good advice on disposing of old pharmaceuticals comes from<br />
the American Osteopathic Association at www.osteopathic.<br />
org.<br />
• Gezundheit! Hay fever can really put a damper on spring.<br />
If you need help in coping with sneezes and sniffles, turn<br />
to the U.S. National Library of Medicine’s MedlinePlus at<br />
www.nlm.nih.gov for useful links. Information on commonsense<br />
gardening for allergy sufferers is also available from the<br />
American Academy of Allergy, Asthma & Immunology at<br />
www.aaaai.org.<br />
• The emphasis is on keeping children safe at pediatrics.about.<br />
com, as About explores sun safety, allergies, water safety and<br />
avoiding insect bites.<br />
• It’s finally time to shed unwanted weight along with those<br />
bulky winter clothes. But do it sensibly! To find out how, visit<br />
WebMD at www.webmd.com.<br />
For more information on good health, or to make an <strong>appointment</strong><br />
with a librarian for help in finding reliable, up-to-date<br />
information on even hard-to-research subjects, visit the Patient<br />
and Family Resource Centre at:<br />
jgh.ca/PFRC<br />
It’s Care my for hospital!<br />
all.<br />
Stress can be a mess,<br />
unless…<br />
Take a deep breath. Count to ten. Walk around the<br />
block. There are a million and one ways to relieve<br />
stress at work or at home—and people are always eager<br />
to share their ideas. Over time, though, we realize that<br />
one person’s solution, isn’t necessarily another’s. So while<br />
there may be no foolproof stress reliever, here are a couple<br />
of worthwhile suggestions from the Heart and Stroke Foundation.<br />
Just walk away. Removing yourself from a stressful situation<br />
is half the battle. So what’s the other half? Finding<br />
something enjoyable to focus on. For Dr. Philip Gordon,<br />
JGH Chief of Colorectal Surgery, that 50 per cent is achieved<br />
through “gardening, spending time with grandchildren or<br />
putting together PowerPoint presentations.” Whatever your<br />
outlet, making time to do the things you love increases endorphin<br />
levels; this decreases stress and the symptoms related<br />
to stress. If you end up laughing, all the better: laughing<br />
is the body’s natural stress reliever, no matter what your age.<br />
Become a collector. This is how you maintain and<br />
strengthen your focus on what appeals to you. Traditionalists<br />
love coins and stamps; non-conformists have been<br />
known to collect everything from barbed wire to beer cans.<br />
Rosemary Steinberg, Local Commissioner of Complaints<br />
and Quality of Services at the JGH, credits a love of collecting<br />
fountain pens for helping to ease the pressure. “I like<br />
to search for them on eBay, and the pens don’t have to be<br />
expensive. I just find the process of searching to be relaxing.<br />
It allows me to turn off my mind for a while and genuinely<br />
take it easy.”<br />
Worth remembering is that people spend so much time trying<br />
to meet the needs of others that they often forget to take<br />
care of themselves. Setting aside a few minutes for yourself<br />
gives your mind and body the rest that they require.<br />
To learn more about reducing stress, visit:<br />
www.heartandstroke.qc.ca
JGH<br />
QUALITY<br />
PROGRAM<br />
In its latest hospital-wide survey of patients, the Jewish<br />
General Hospital has maintained its consistently<br />
high score for treating patients as individuals and not<br />
simply as medical cases. As a result, an overwhelming<br />
majority of respondents said they would not hesitate to<br />
recommend the JGH.<br />
Bilingual questionnaires were provided to 10 discharged patients<br />
per day between April 1 and <strong>No</strong>v. 6, 2010, and were completed by<br />
627 of the 2,100 recipients (a statistically valid response rate). In<br />
half of the questionnaires, more information was sought about areas<br />
that need improvement, with less emphasis on subjects where<br />
the hospital has a consistently good track record.<br />
Among the findings:<br />
QUALITY IMPROVEMENT · PATIENT SATISFACTION · SAFETY · RISK MANAGEMENT ·<br />
respect for patients<br />
Survey finds JGH sensitive<br />
to personal needs<br />
• a satisfaction rating of 93 per cent when patients were asked<br />
about being “treated like a person and not like a case”<br />
• a 95-per-cent rating among patients who said they are prepared<br />
to recommend the JGH to family and friends<br />
• ratings of 93 per cent among those who are satisfied about being<br />
addressed “in a respectful manner (politely, not overly familiarly)”,<br />
and 91 per cent among those who feel they were “treated<br />
in a respectful manner, with sensitivity to my social, cultural and<br />
religious needs.”<br />
Paula Calestagne, Co-ordinator of the Patient Satisfaction Program,<br />
explains that the questionnaires enable patients not only<br />
to identify their likes and dislikes, but to state how much each issue<br />
matters to them. Thus, even if relatively few people say that<br />
something causes them great distress, finding a solution becomes<br />
a greater priority.<br />
Ms. Calestagne says there is growing satisfaction with the hospital’s<br />
level of cleanliness, especially in the washrooms. However,<br />
since this rating is still too low, additional efforts will be made for<br />
improvement. She notes that since the survey asked patients to<br />
specify the unit where they were hospitalized, it will be easier to<br />
pinpoint the washrooms that patients found particularly unsatisfactory.<br />
In response to patients’ dissatisfaction about not always being<br />
able to get help from staff in eating, a special Continuous Quality<br />
Improvement team has been created to develop and implement<br />
solutions.<br />
Honours for JGH<br />
clot busters<br />
The Jewish General<br />
Hospital has been recognized<br />
as a national<br />
leader in preventing venous<br />
thromboembolism (VTE), a<br />
complication of hospitalization<br />
in which a blot clot forms<br />
in a vein and can be fatal if it breaks away and lodges elsewhere<br />
in the body. At a ceremony at the JGH in January, the<br />
hospital received the Venous Thromboembolism Prevention<br />
Hospital Award from Safer Healthcare <strong>No</strong>w and Pfizer<br />
Canada for its “significant commitment to preventing VTE<br />
and achieving outstanding outcomes.”<br />
The hospital’s VTE team has been involved in numerous<br />
projects, including developing innovative strategies to<br />
incorporate VTE into the surgical safety checklist; a month<br />
of activities dedicated to VTE; and seeking feedback from<br />
staff on the implementation of various proposals. The prize<br />
includes an unrestricted educational grant to help support<br />
additional patient safety initiatives.<br />
Recognized for their efforts were Hetal Patel, Co-Chair<br />
of the VTE team and a Nursing Educator in Orthopedics<br />
(replacing Marie-Claude Germain on an interim basis);<br />
Jessica Emed, Clinical Nurse Specialist in Medicine and<br />
Thrombosis; Dr. Shannon Fraser, Chief of General Surgery;<br />
and Markirit Armutlu, Quality Program Coordinator.<br />
Eager to attend the spring series<br />
of the JGH Mini-Med School?<br />
Look for details on the back<br />
cover of this issue.<br />
In the meantime, you can view<br />
lectures from previous series at:<br />
jgh.ca/minimed<br />
JGH News<br />
29
Dynamic recruitment<br />
helps upgrade care<br />
Catherine Laganière first sensed there was something<br />
special about the Jewish General Hospital<br />
when she met last year with JGH recruiters and<br />
realized she was involved not so much in a job interview<br />
as a pleasant conversation.<br />
“When I arrived, I felt nervous, because this kind of interview<br />
can make a big difference to your career,” she recalls. “But the more<br />
we talked, the more comfortable they made me feel. Their attitude<br />
put me at ease and allowed me to describe myself naturally.” Which<br />
is how Ms. Laganière became Brachytherapy Coordinator in the<br />
Division of Radiation Oncology in spring 2010.<br />
Mission accomplished, says Maria Monaco, who leads the<br />
recruitment push for the JGH Department of Human Resources.<br />
“One of the most important things we do is make the candidates<br />
feel comfortable,” she explains. “We represent the image of the<br />
hospital, so we want that comfort level to stay with the applicants<br />
after they begin working here.”<br />
Far from being just a bureaucratic strategy, this approach makes<br />
a practical difference to care at the JGH, says Ms. Monaco. “The<br />
bottom line is that our patients receive treatment of high quality<br />
because some of the best young professionals are being recruited.<br />
That’s important especially now, when there’s stiff competition to<br />
attract the best and the brightest.”<br />
Ms. Laganière, 26, had already spent about four years in Radiation<br />
Oncology at <strong>No</strong>tre-Dame Hospital, when she heard about the<br />
opening at the JGH through her professional association. She saw<br />
the position of Brachytherapy Coordinator as a chance to use her<br />
skills to their greatest potential—an ambition that has now been<br />
realized. “This job is a great combination of direct contact with<br />
patients and administration,” she says. “It’s just what I was hoping<br />
for.”<br />
Ms. Monaco says the JGH has been steadily upgrading its recruitment<br />
efforts for about three years, with stronger links to regional<br />
schools, universities and job fairs. This year she hopes the hospital<br />
will have a presence at job fairs as far afield as Sherbrooke, Trois-<br />
Rivières, Quebec City and the Saguenay region.<br />
Members of her team are on the lookout for candidates in a broad<br />
array of fields—for instance, respiratory therapy, social services,<br />
diagnostic medicine and physiotherapy, as well as certain types of<br />
Worth bookmarking<br />
Thinning out your home library? Why not<br />
donate unwanted English or French books<br />
to the JGH Auxiliary. Through its sales of<br />
used books in the Book <strong>No</strong>oks (Côte-des-<br />
Neiges lobby and Légaré entrance), The<br />
Auxiliary raises tens of thousands of dollars<br />
a year to buy much-needed medical equipment<br />
for the JGH. For more information and<br />
to find out where to drop off your books,<br />
please phone 514-340-8216.<br />
30 spriNG 2011<br />
Care for all.<br />
Catherine Laganière (right) tells Maria Monaco about her first year as<br />
Brachytherapy Coordinator in the Division of Radiation Oncology.<br />
support staff. Excluded are doctors and nurses whose recruitment<br />
is handled by other JGH departments.<br />
“The job fairs are especially important,” says recruitment officer<br />
Kamil Luna, “because when you go farther out, you realize that<br />
people don’t automatically think of the Jewish General Hospital for<br />
employment. We remind them that this is a fully bilingual hospital<br />
where there is ample opportunity to grow professionally.”<br />
Mr. Luna and fellow recruitment officer Patrizia Capri have also<br />
been involved in arranging for students to tour parts of the JGH.<br />
Last year tours of the Test Centre and the main laboratory of the<br />
Department of Diagnostic Medicine attracted about 60 students<br />
from such insitutions as Dawson College and Collège de Rosemont,<br />
resulting in the hiring of seven lab technologists.<br />
Roll up your sleeve<br />
Give from the heart at<br />
The Auxiliary’s blood donor clinic<br />
May 16<br />
10:00 a.m. to 4:00 p.m.<br />
Samuel S. Cohen Auditorium<br />
Pavilion A
The Big Picture<br />
SPECIAL MOMENTS IN THE JGH<br />
In the JGH Core Lab, laboratory technician Sophal Taing analyzes numerous blood samples in vials<br />
capped by a rainbow of multi-coloured stoppers. In each issue of JGH News, the Big Picture presents<br />
special views of the day to day life of the JGH, as captured by staff photographers.<br />
Photo: Felipe Argaez, JGH Audio-Visual Services<br />
JGH News<br />
31
32 spriNG 2011<br />
JGh Mini-Med School<br />
returns!<br />
May 11 to June 1<br />
Back by popular demand:<br />
crowd-pleasers from past series<br />
They intrigued you before—they’ll fascinate you again. Get ready for updates<br />
and insights into medical treatment and care in repeat performances by leading<br />
JGH experts:<br />
• Dr. David Zukor, Chief of Orthopedics<br />
• Dr. Howard Chertkow, Director of the Bloomfield Centre for Research in Aging<br />
• Dr. Walter Gotlieb, Director of Gynecologic Oncology and Colposcopy<br />
• Dr. Cleve Ziegler, Director of Gynecology<br />
$40 for adults, $25 for students (with ID) and seniors (60+)<br />
Presentations are in English only and begin at 7:30 p.m. Présentations en anglais seulement.<br />
To register, please call 514-340-8222, extension 3337, or visit jgh.ca/minimed.<br />
For more information: minimed@jgh.mcgill.ca.<br />
Lectures from previous series can be viewed at jgh.ca/minimed.<br />
New address? Cancelling your subscription? Please phone the JGH Foundation at 514-340-8251.<br />
Publications Mail Agreement #40062499<br />
Care for all.