Baycrest Bulletin - May 2008
Baycrest Bulletin - May 2008
Baycrest Bulletin - May 2008
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DECEMBER 2007<br />
SEPTEMBER 2007<br />
New Centre for<br />
Brain Fitness<br />
Meeting a<br />
21 st century<br />
challenge<br />
MAY <strong>2008</strong> VOL. 06 06 ISSUE 02 03<br />
VOL. 06 I S 0 1<br />
New Ideas. New Tools.<br />
Geriatric Geriatric Health Health Care System System • Research Research Centre Centre for Aging Aging and the Brain Brain • Centre Centre for Education Education on Aging Aging • <strong>Baycrest</strong> <strong>Baycrest</strong> Foundation<br />
Foundation
Brain tissue loss greatest in most severe<br />
injuries, <strong>Baycrest</strong>-led study finds<br />
In a rare, large-scale study of patients with<br />
traumatic brain injury (TBI), researchers<br />
have found that the more severe the injury,<br />
the greater the volume loss of brain tissue,<br />
particularly white matter.<br />
“This is an important finding as TBI is one<br />
of the most common forms of disability,” says<br />
Dr. Brian Levine, senior scientist at <strong>Baycrest</strong>’s<br />
Rotman Research Institute and lead author of<br />
the study which was published in the journal<br />
Neurology in March.<br />
TBI causes both localized damage through<br />
bruises or bleeds, as well as more diffuse damage<br />
through disconnection of brain cells, which ultimately<br />
causes cell death. The localized damage<br />
is easier to detect with the naked eye. Yet both<br />
kinds of damage contribute to difficulties with<br />
concentration, working memory, organizing and<br />
planning—vital skills for holding a job—and to<br />
mood changes often experienced by people<br />
following a brain injury.<br />
According to Dr. Levine, “it can be hard to<br />
determine why patients are so disabled, and<br />
this study offers a clue to the nature of the<br />
brain damage causing this disability.”<br />
In the study, 69 TBI patients were recruited<br />
from Sunnybrook Health Sciences Centre one<br />
year after their injury. Eighty per cent had been<br />
injured in a motor vehicle accident. Some had<br />
minor injuries and were discharged immediately,<br />
whereas others had more severe injuries with<br />
extended loss of consciousness lasting weeks.<br />
Subjects’ brains were scanned with high<br />
resolution magnetic resonance imaging (MRI),<br />
which provides the most sensitive picture of<br />
volume changes in the brain. Analysis of the<br />
scans revealed widespread brain tissue loss<br />
that was closely related to the severity of the<br />
ON OUR COVER<br />
From left, announcing<br />
his government’s<br />
$10-million investment<br />
in <strong>Baycrest</strong>’s Centre<br />
for Brain Fitness,<br />
Minister for Research<br />
and Innovation John<br />
Wilkinson is joined by<br />
<strong>Baycrest</strong> Board Chair Dr. Tony Melman and<br />
Dr. Jon Ween, medical director of the Louis<br />
and Leah Posluns Stroke and Cognition Clinic,<br />
where the computer tablet tool seen here is<br />
being developed for assessing various brain<br />
functions. Photos by BDS Studio<br />
2 <strong>Baycrest</strong> <strong>Bulletin</strong><br />
News Briefs<br />
injury sustained one year earlier. “We were<br />
surprised at the extent of volume loss, which<br />
encompassed both frontal and posterior<br />
brain regions,” says Dr. Levine. He is leading<br />
follow-up studies on the same group of TBI<br />
patients to examine more closely how the<br />
localized loss of white and grey matter volume<br />
affects behaviour.<br />
The research team included Dr. Sandra<br />
Black, research director of the Neurosciences<br />
Program at Sunnybrook Health Sciences Centre,<br />
and a senior scientist at Sunnybrook and the<br />
Rotman Institute.<br />
The study was supported by grants from the<br />
Canadian Institutes of Health Research and the<br />
U.S. National Institutes of Health.<br />
<strong>May</strong>o Clinic geriatrician shares<br />
Alzheimer’s expertise<br />
People with dementia do well in care environments<br />
designed to help them function to the<br />
best of their ability. That was the central<br />
message of a guest lecture delivered at <strong>Baycrest</strong><br />
on January 28 by the <strong>May</strong>o Clinic’s Dr. Eric<br />
Tangalos.<br />
Dr. Tangalos is a noted geriatric care specialist<br />
and Alzheimer’s researcher, and one of two<br />
physicians invited by former U.S. President<br />
Bill Clinton to take part in the Whitehouse<br />
Conference on Aging in 1995.<br />
In his presentation to <strong>Baycrest</strong> staff, Dr.<br />
Tangalos talked about the memory and problemsolving<br />
difficulties that Alzheimer’s patients are<br />
subject to, particularly as the disease progresses<br />
and their ability to speak and perform tasks<br />
declines. The environment of care should<br />
therefore be designed to maximize “functional<br />
successes” while minimizing opportunities to<br />
fail, he said. “We want people to function, and<br />
caregivers need to pay attention to non-verbal<br />
clues from their patients.”<br />
Dr. Tangalos discussed ways to create a<br />
safe environment that helps patients deal with<br />
memory and problem-solving challenges. He<br />
showed, for example, how a curved sidewalk in<br />
one nursing home helps walkers return safely<br />
to where they began. He noted the value<br />
of teaching Alzheimer’s patients to relearn<br />
meaningful tasks such as folding clothes. He<br />
described how assistivetechno-logies such as<br />
tags in clothing, monitors, motion detectors, and<br />
amplifiers for the hearing-impaired can improve<br />
patient safety and functional ability.<br />
Avoid presenting residents with too many<br />
food choices at one meal, Dr. Tangalos advised,<br />
adding that residents who share the company<br />
Mural to hide door helps prevent Alzheimer’s<br />
patients from wandering.<br />
of staff at mealtimes stay longer at the table<br />
and eat more.<br />
Bathrooms in long-term care facilities, he<br />
noted, are shifting from sterile spaces with<br />
stainless steel tubs to more home-like rooms with<br />
showers that are easier for residents to get into.<br />
Dr. Tangalos praised <strong>Baycrest</strong>’s unique day<br />
program for dementia patients, noting that the<br />
Centre has the advantage of being a single<br />
campus with a common focus.<br />
Israeli consul general visits <strong>Baycrest</strong><br />
Amir Gissin, the newly-appointed consul general<br />
for Israel in Toronto, recently toured <strong>Baycrest</strong><br />
to learn about the organization, particularly its<br />
global telehealth activities. A former head of<br />
public relations for the Israeli foreign ministry,<br />
Gissin’s primary mandate here is to promote the<br />
State of Israel. He says he also hopes to raise<br />
awareness of <strong>Baycrest</strong>’s collaborative health-care<br />
initiatives with organizations in his home country.<br />
Amir Gissen (far right), the consul general for Israel,<br />
chats with (from left) Dr. Morris Freedman, head of<br />
the Division of Neurology at <strong>Baycrest</strong>; Tim Patterson,<br />
co-ordinator of <strong>Baycrest</strong>’s telehealth program; and<br />
<strong>Baycrest</strong> president and CEO Dr. William Reichman.
Ontario Government invests $10 million<br />
in new Centre for Brain Fitness at <strong>Baycrest</strong><br />
In the last century, science and medicine<br />
aligned to combat the scourge of heart disease.<br />
Today at <strong>Baycrest</strong>, researchers and clinicians<br />
are developing innovative responses to an<br />
emerging 21st century menace—Alzheimer’s<br />
disease and other disorders of the brain.<br />
In April, in recognition of its position as a<br />
world leader in aging brain research, <strong>Baycrest</strong><br />
received $10 million from the Ontario Government<br />
to create a groundbreaking<br />
Centre for Brain Fitness (CBF).<br />
As the province braces for a<br />
doubling of its senior population<br />
over the next 20 years, the CBF<br />
will develop and commercialize<br />
a range of products designed<br />
to improve the brain health of<br />
aging Ontarians and others<br />
around the world.<br />
“Our government is proud<br />
to support <strong>Baycrest</strong> and its<br />
invaluable work, which is<br />
already leading to the discovery<br />
of important new tools and<br />
approaches to treating brain<br />
diseases associated with aging,”<br />
said Minister of Research and<br />
Innovation John Wilkinson.<br />
The minister noted that the focus will shift<br />
from cardiac disease research in the last century<br />
to brain research in the 21st century. “Just as<br />
we have increased our understanding of how<br />
the heart ages, and the role that staying fit plays<br />
in keeping the heart healthy, we need to understand<br />
how to keep the brain fit as we age so<br />
that each of us can lead a happy, fulfilling and<br />
productive life for as long as possible.”<br />
“There are few things as frightening as the<br />
With the support of the Ontario<br />
government, the new Centre for<br />
Brain Fitness will allow <strong>Baycrest</strong><br />
to "give the world a whole new<br />
understanding—and new hope—<br />
about interventions and preventions<br />
that could transform aging,"<br />
said <strong>Baycrest</strong> President and CEO<br />
Dr. Bill Reichman.<br />
prospect of declining brain fitness as we age<br />
and the loss of our mental faculties,” said<br />
Dr. Tony Melman, chair of the <strong>Baycrest</strong> Board<br />
of Directors. “<strong>Baycrest</strong>’s strengths in aging<br />
brain research, cognitive assessment and<br />
rehabilitation make it well positioned to<br />
develop innovative, market-driven research<br />
products that will transform the way we age.”<br />
Dr. Melman also noted that the Centre for<br />
Brain Fitness could save the<br />
Ontario health-care system<br />
an estimated $1 billion<br />
annually by delaying the<br />
institutionalization of one<br />
third of dementia patients<br />
for one year. In addition,<br />
he said, the government’s<br />
investment will help Ontario<br />
participate in the global<br />
brain fitness market,<br />
which is expected to<br />
reach $4 billion by 2010.<br />
<strong>Baycrest</strong> will partner with<br />
the Toronto-based MaRS<br />
Venture Group to develop and<br />
market scientifically-proven<br />
products for the clinic, workplace<br />
and home environments. MaRS connects<br />
communities of science, business and capital to<br />
stimulate innovation and to accelerate the creation<br />
and growth of Canadian enterprises.<br />
“Loss of memory and brain functioning is<br />
the number one health concern of the aging<br />
population,” noted Dr. Don Stuss, vice president<br />
of research and academic education at <strong>Baycrest</strong>.<br />
“But through the Centre for Brain Fitness our<br />
future will see the research knowledge we<br />
generate transformed into new diagnostic tools<br />
The Minister of Research and Innovation John Wilkinson<br />
(left) takes part in a demonstration by <strong>Baycrest</strong>’s Dr. Jon<br />
Ween of a computer-based cognitive assessment tool<br />
currently in development in the newly-created Centre<br />
for Brain Fitness.<br />
such as a computer tablet that allows clinicians<br />
to measure—in a simple and rapid manner—<br />
memory and processing and reasoning in<br />
people who have had a stroke, or may have<br />
Alzheimer’s or other memory challenges.”<br />
What the blood pressure cuff did for cardiac<br />
assessment, this cognitive assessment tool<br />
has the potential to do for brain health, added<br />
Dr. Stuss. “Today, our ability to detect brain<br />
health issues related to aging is minimal, slow<br />
and cumbersome. In the near future it is going<br />
to become highly effective and efficient and,<br />
most importantly, accessible to caregivers in<br />
their office, in the Emergency departments,<br />
and in the home.”<br />
The province’s $10-million investment<br />
matches $10 million of secured and pledged<br />
commitments from private donors. “The Ontario<br />
government and our donor families understand<br />
how important it is to invest in brain research<br />
and the development of innovative products for<br />
the future benefit of all Canadians,” said Mark<br />
Gryfe, president of the <strong>Baycrest</strong> Foundation.<br />
“These funds will provide a strong foundation<br />
for a major campaign to raise additional<br />
funding for the Centre for Brain Fitness, to<br />
address the fastest growing healthcare concern<br />
of our time.”<br />
Dr. Tony Melman, Chair of the <strong>Baycrest</strong> Board of<br />
Directors, welcomes (from left) MPPs David<br />
Zimmer, Monte Kwinter, Mike Colle and John<br />
Wilkinson, Minister of Research and Innovation.<br />
The Minister was joined by his government<br />
colleagues in the <strong>Baycrest</strong> Winter Garden April 7<br />
for his announcement of $10-million in funding.<br />
<strong>May</strong> <strong>2008</strong> 3
Minding memory<br />
<strong>Baycrest</strong> offers wide range of innovative programs<br />
There is no denying that our brains, like the rest<br />
of our bodies, change over time. But it’s not all<br />
downhill. Emerging research shows that many<br />
brain functions hold up well into old age, and<br />
some—like vocabulary—actually get better. Our<br />
creative talents and jobs skills also stay with us,<br />
even into advanced age. Think of Michelangelo<br />
who was working on a sculpture when he died at<br />
age 89, or Winston Churchill who remained a<br />
member of Parliament until he was 90, or George<br />
Burns, the “poster boy” for aging well, who made<br />
his last film at age 98.<br />
Still, the changes in memory and attention<br />
that come with normal aging can be downright<br />
frustrating—annoyances like finding our misplaced<br />
reading glasses on top of our head, or a<br />
4 <strong>Baycrest</strong> <strong>Bulletin</strong><br />
name that we can’t get past the tip of our tongue.<br />
The good news is that while there is no “botox for<br />
the brain,” there are several research-supported<br />
strategies for keeping our memory in good shape<br />
as we age (see pages 11 and 12 for advice<br />
from <strong>Baycrest</strong> experts).<br />
<strong>Baycrest</strong> Programs<br />
<strong>Baycrest</strong>’s Memory and Aging program is<br />
tailored for people of retirement age and upward<br />
and teaches strategies for helping people increase<br />
memory performance. The first part explains<br />
what is normal in brain aging and what is not.<br />
The second part focuses on practical strategies<br />
for functioning better in daily life.<br />
The Memory at Work program, provided to<br />
Leading the way in memory research<br />
<strong>Baycrest</strong> scientists have developed imaging techniques for detecting signs of dementia in<br />
individuals in their 40s, and have demonstrated that age-associated neurocognitive decline can<br />
be modified, reduced and, in some cases, even reversed. Here is a summary of research that<br />
has focused on the maintenance of brain health as well as the rehabilitation of brain disorders.<br />
• <strong>Baycrest</strong>’s Rotman Research Institute found the first direct evidence that people with early-stage<br />
Alzheimer’s can engage additional areas of the brain to perform successfully on memory tests.<br />
• A study using functional magnetic resonance imaging (fMRI) identified subtle changes in brain<br />
activity that begin gradually in middle age and may explain why people over 60 find it hard to<br />
concentrate and are easily distracted.<br />
• Rotman scientists were much encouraged by the results of a clinical-experimental study they<br />
conducted on 49 healthy older adults with normal cognitive decline. The participants underwent<br />
a 12-week cognitive rehabilitation program and showed significant improvement in memory,<br />
practical task planning and psychosocial function. The rehabilitation program is now being<br />
provided to outpatients who have suffered a stroke.<br />
• Findings from an early intervention study indicate that providing practical memory strategies and<br />
lifestyle education for patients diagnosed with mild cognitive impairment can potentially slow the<br />
onset of dementia. Individuals with MCI have a 50 per cent risk of developing Alzheimer’s within<br />
five years of diagnosis.<br />
• A groundbreaking study that examined the diagnostic records of 184 patients of <strong>Baycrest</strong>’s Sam<br />
and Ida Ross Memory Clinic found that lifelong bilingualism can delay the onset of dementia.<br />
• <strong>Baycrest</strong> scientists have good advice—based on current scientific research—for people<br />
concerned with how their diet might be affecting their brain function. They recommend<br />
eating fish, fruits and vegetables, legumes, grains and olive oil to preserve a healthy brain.<br />
The research shows that adults with diabetes are especially sensitive to the foods they eat<br />
with respect to cognitive function.<br />
• A joint <strong>Baycrest</strong>/York University study found that people who have lost all their autobiographical<br />
memories due to a severe brain injury may still be able to understand other people’s feelings and<br />
intentions. Known as the theory of mind, the ability to relate to others in this way is the basis of<br />
our socialization and what makes us human. The researchers say that the preserved ability to<br />
infer other people’s feelings and intentions may be related to semantic memory (knowledge<br />
of general facts about the world and people) left intact after the injury.<br />
Cedillo/Veras<br />
Housed in glass cabinets outside the doors of<br />
Arantxa<br />
residents’rooms in the Apotex Centre, personal<br />
treasures serve as memory aids. Photo:<br />
workplaces by a <strong>Baycrest</strong> psychologist, is geared<br />
toward active working people who are interested<br />
in developing memory-enhancing skills.<br />
There is a fee for the Memory and Aging and<br />
the Memory at Work programs. For more<br />
information, call 416-785-2500, ext 2445.<br />
The Memory Loss and Dementia program<br />
is an online education tool that explains the difference<br />
between normal memory changes and<br />
changes that would indicate a potential disorder<br />
such as mild cognitive impairment or dementia.<br />
Practical strategies for better functioning in daily<br />
life are discussed. Access the program at<br />
www.baycrest.org/memoryandaging.<br />
The Memory Intervention program is for<br />
people who have mild cognitive impairment (MCI).<br />
(Cognition is the ability to think, process, store<br />
and retrieve information in order to solve<br />
problems.) The program helps clients with MCI<br />
improve functional memory and maintain their<br />
independence in activities of daily living, such as<br />
keeping track of appointments and tasks that need<br />
to be done, and the timing of medications. For<br />
more information, call 416-785-2500, ext. 2445.<br />
The Sam and Ida Ross Memory Clinic,<br />
which is part of the Brain Health Centre at<br />
<strong>Baycrest</strong>, assesses and treats older adults who<br />
are having problems with cognitive function or<br />
who exhibit abnormal behaviours associated with<br />
brain disorders such as Alzheimer’s and other<br />
dementias (see Alzheimer’s story on page 10).<br />
Dementia is very different from the normal<br />
memory loss that can be triggered by aging,<br />
stress, fatigue, depression and certain medications.<br />
It is characterized by a progressive deterioration<br />
in mental functions, such as memory, language<br />
and reasoning, caused by a disease process<br />
in the brain.<br />
For information about the Sam and Ida Ross<br />
Memory Clinic, call 416-785-2444 or visit<br />
www.baycrest.org/memoryclinic.
Unlocking mysteries of the brain<br />
Dr. Endel Tulving is one of the world’s foremost figures in the science of memory<br />
and the brain. His research is transforming the way people age at <strong>Baycrest</strong>, and<br />
around the globe.<br />
A casual conversation over a beer in the faculty<br />
lounge at the University of Toronto in 1992 led<br />
to <strong>Baycrest</strong>’s recruitment of one of the world’s<br />
most influential scientists in human memory of<br />
the past 50 years. Undecided about where he<br />
wanted to continue his research after reaching<br />
retirement age at U of T, Dr. Endel Tulving<br />
asked fellow psychologist Dr. Donald Stuss for<br />
his advice. Dr. Stuss suggested he come to<br />
<strong>Baycrest</strong>’s Rotman Research Institute, the<br />
fledgling brain research institute where he was<br />
director, and the rest is history.<br />
“Endel provided an immediate stamp of external<br />
credibility that gave us a huge leap<br />
forward in terms of recruiting exceptional<br />
scientists and in bringing in donor money for<br />
research chairs,” Dr. Stuss explains. Dr. Tulving is<br />
the Anne and Max Tanenbaum Chair in Cognitive<br />
Neuroscience at <strong>Baycrest</strong> and U of T, the first of<br />
seven endowed research chairs at <strong>Baycrest</strong>.<br />
A world-renowned neuroscientist, Dr. Tulving<br />
recently added Officer of the Order of Canada to<br />
the long list of distinguished awards he has<br />
received for his contributions to memory<br />
research, and was inducted into the Canadian<br />
Medical Hall of Fame. In 2005, he received<br />
the prestigious Gairdner International Award,<br />
considered a precursor to the Nobel Prize.<br />
The significance of Dr. Tulving’s findings<br />
date back to the 1950s when experimental<br />
IN HIS OWN WORDS<br />
Q What was the reaction to your theory that<br />
there are different types of long-term<br />
memory — episodic and semantic?<br />
A In the early 1970s, everyone was happy<br />
with the idea that there is one kind of<br />
long-term memory, so the majority of<br />
psychologists thought my theory was<br />
nonsense. People are not used to new<br />
ideas. But in science, the originators of a<br />
new idea have to present to the rest of the<br />
scientific community and then it is the duty<br />
of the community to prove you wrong. So<br />
all the skeptics did their duty and tried<br />
very hard. Of course, I thought that the<br />
distinction I made was so simple and so<br />
obvious, why fight it; let’s just move on.<br />
psychologists did not deal with concepts such<br />
as memory. “Behaviourists looked at what<br />
people did and how they behaved and were<br />
very much against looking at the mind or<br />
mental processes,” explains Dr. Fergus<br />
Craik, a Rotman scientist and former head<br />
of the psychology department at U of T. “His<br />
influence was very marked at that stage in<br />
pushing the field toward thinking of the mental<br />
processes by which we lay down and retrieve<br />
memories.”<br />
“His next great achievement was distinguishing<br />
between two kinds of memory that work in<br />
parallel; memories of which we are consciously<br />
aware and memories of which we are not aware,”<br />
adds Dr. Morris Moscovitch, a Rotman scientist<br />
and U of T psychology professor. “At <strong>Baycrest</strong>,<br />
our psychologists have developed programs of<br />
memory rehabilitation that build on this notion<br />
to help people with memory disorders.”<br />
One of Dr. Tulving’s most contentious<br />
theories, which is now widely accepted,<br />
proposed a distinction between two kinds of longterm<br />
memory—episodic and semantic. Episodic<br />
memory, a term that he coined, is the memory of<br />
events that we have personally experienced or<br />
witnessed, such as visiting the Eiffel Tower in<br />
Paris. Semantic memory refers to general facts<br />
and knowledge we have about the world, such<br />
as knowing Paris is the capital of France.<br />
An interview with renowned memory scientist Dr. Endel Tulving,<br />
the Anne and Max Tanenbaum Chair in Cognitive Neuroscience<br />
Other branches of neuroscience were<br />
okay with it. Even now, there are still<br />
those who do not think this distinction<br />
is real. Thirty-five years later, I have<br />
convinced myself that it is really real.<br />
Q What was the turning point<br />
for you?<br />
A Probably the decisive turning point was<br />
finding real physiological evidence for the<br />
distinction when we started using PET<br />
scans to measure brain activity. In 1994,<br />
I published a paper on a study that found<br />
differences between episodic and semantic<br />
memory retrieval in the frontal regions of the<br />
brain, and at about that time, the same kind<br />
of discovery was made in England. It was<br />
Dr. Endel Tulving is presented with the Order of<br />
Canada by her Excellency the Right Honourable<br />
Michaelle Jean at Rideau Hall in 2006.<br />
“Most people have one or two good ideas in<br />
their lifetime,” adds Dr. Moscovitch. “But every<br />
decade, from his 30s to his 80s, Endel has come<br />
up with some major insights.”<br />
“What he does best is to take large ideas and<br />
bring them down into ideas that can be measured<br />
in small ways, and that is genius,” Dr. Stuss<br />
explains. “Not many people can do that.”<br />
Lawrence Tanenbaum, whose mother Anne<br />
endowed Dr. Tulving’s research chair in honour<br />
of her late husband, says, “We continue to be<br />
both pleased and proud of the work Dr. Tulving<br />
has done, and continues to do, in unlocking the<br />
mysteries of human memory. In a rapidly aging<br />
population, the work of <strong>Baycrest</strong> researchers<br />
is more important than ever, and our family is<br />
privileged to be able to play a role in facilitating<br />
this important research.”<br />
very gratifying. Now everyone more or less<br />
accepts the distinction.<br />
Q What is the significance of this distinction<br />
in terms of helping people with memory<br />
loss?<br />
A We now know that episodic memory is more<br />
vulnerable to damage and breakdown than<br />
semantic memory. It is the first thing to go<br />
in dementia. People suffering from diseases<br />
such as Alzheimer’s remember information<br />
from their past but don’t know what they did<br />
the night before. At one time it was thought<br />
that if there was no episodic memory, there<br />
could be no learning. This was the accepted<br />
dogma. But now we know that under proper<br />
continued on page 8<br />
<strong>May</strong> <strong>2008</strong> 5
<strong>Baycrest</strong> International Pro-Am Hockey Tournament<br />
Bigger and better than ever<br />
This <strong>May</strong>, close to 900 players, including NHL<br />
alumni and dedicated enthusiasts, will be taking<br />
to the ice to help raise funds for care and<br />
research in Alzheimer’s and related disorders<br />
at <strong>Baycrest</strong>. The Pro-Am raised $2.8 million in<br />
From left: Mark, Daniel and David Goodman from<br />
Team Dynamic pose with draft pick Doug Gilmour<br />
(2 nd from left) minutes before their first game.<br />
When Scotiabank was searching<br />
for a unique way to touch the lives<br />
of Canadians, they looked to the<br />
<strong>Baycrest</strong> International Pro-Am<br />
Hockey Tournament.<br />
As a result, notes <strong>Baycrest</strong><br />
Foundation president Mark Gryfe,<br />
“The Pro-Am is proud to welcome<br />
the Scotiabank Group as the<br />
presenting sponsor for the tournament.”<br />
“The Pro-Am fits with Scotiabank’s objectives<br />
of enriching the lives of Canadians in local<br />
communities through hockey, while at the<br />
same time, engaging community members in<br />
a philanthropic cause to raise funds for an<br />
important charity,” says Joe Brandt, Scotiabank<br />
senior vice-president, Toronto Region.<br />
6 <strong>Baycrest</strong> <strong>Bulletin</strong><br />
Photo: Images by Jack Beker<br />
its first two years. This year, the sky’s the limit.<br />
“We know the hockey will be great,” says<br />
<strong>Baycrest</strong> Foundation president Mark Gryfe, “but<br />
even more important is the number of sponsors<br />
on board. After all, the more funds we raise in<br />
the fight against Alzheimer’s and the many other<br />
disorders that rob people of their memory, the<br />
better.”<br />
The word is out that the Pro-Am was the<br />
event to support this spring, with many new<br />
sponsors attaching their name to <strong>Baycrest</strong>. “It<br />
gives us great pleasure to welcome Scotiabank<br />
Group as the presenting sponsor of the Pro-Am,”<br />
says Gryfe. “They joined media sponsors<br />
Cineplex, the National Post, CTV, TSN, AM640<br />
and The Globe and Mail, helping us get our<br />
message out to a broader audience than ever<br />
before.”<br />
The action-packed tournament begins with<br />
a Draft Night extravaganza, where players mix<br />
and mingle with their favourite NHL alumni and<br />
other hockey celebrities. Lanny McDonald and<br />
Mike Gartner are just two of the many new<br />
players this year. They join returning hockey<br />
heroes Doug Gilmour, Wendel Clark and Borje<br />
Salming, among others.<br />
Sponsors, hockey enthusiasts and NHL<br />
alumni alike eagerly anticipated the tournament<br />
at Canlan Ice Sports. In fact, NHL Hockey Hall<br />
of Fame great Paul Coffey sums up the Pro-Am<br />
experience as one great event. “Everybody<br />
makes a big deal about us so-called celebrities<br />
and alumni being here. But we really play a small<br />
Scotiabank is the official bank<br />
of the National Hockey League,<br />
the National Hockey League<br />
Players Association, and the<br />
Canadian Women’s Hockey<br />
League.<br />
“We’re excited by the opportunity<br />
to engage more than 50 NHL<br />
alumni together with all the<br />
hockey enthusiasts—including Scotiabank’s<br />
Red Devils and Scotia Capitals teams—for<br />
two days of hockey for <strong>Baycrest</strong>,” says Brandt.<br />
He has the job of filling the Scotiabank teams,<br />
made up of representatives from branches,<br />
Commercial Banking, Scotia Private Client<br />
Group and ScotiaMcLeod.<br />
It’s important for Scotiabank to support<br />
Scott Tomenson (left) and Ward Seymour of Team<br />
ASA Alloys (right), the number one fundraiser two<br />
years running, with their top draft choice, former<br />
NHL defenceman Paul Coffey.<br />
part in it compared to the people who raise the<br />
funds and the worthy cause it goes to.”<br />
This year, out of the total funds raised,<br />
$700,000 will support scientists researching<br />
Alzheimer’s and related disorders, $300,000<br />
will support the Sam and Ida Ross Memory<br />
Clinic, and the balance will support direct<br />
patient care.<br />
Beginning <strong>May</strong> 2, you can register a team<br />
to play with and against your favourite NHL<br />
greats in the 2009 <strong>Baycrest</strong> International<br />
Pro-Am. Visit www.baycrestproam.com for<br />
more information.<br />
Pro-Am welcomes presenting sponsor Scotiabank<br />
organizations like <strong>Baycrest</strong> that touch members<br />
of the community of all ages. “Alzheimer’s and<br />
related memory disorders affect a growing<br />
number of people and the need for research<br />
grows stronger,” he says. “It’s important for<br />
all of us to play our part, to help improve the<br />
quality of life for people affected by these<br />
conditions.”<br />
Brandt notes that Alzheimer’s and other disorders<br />
that affect people’s memories transcend<br />
borders. “As Canada’s most international bank,<br />
it makes sense for us to support programs<br />
that reach beyond our national borders to<br />
help families in need around the world.<br />
“At Scotiabank, we are proud to help support<br />
some of this country’s best and brightest in their<br />
search for new treatments.”
Decorium Gala scores<br />
Hockey fans, their friends<br />
and families enjoyed a lively<br />
night out while raising funds<br />
for <strong>Baycrest</strong> at the recent<br />
Decorium Gala. Organized<br />
as part of Decorium’s participation<br />
in the <strong>Baycrest</strong><br />
Pro-Am, the gala was held<br />
at the Paradise Banquet and<br />
Convention Centre in Concord<br />
and featured a silent auction,<br />
a live auction, music, dancing,<br />
refreshments and more. Some<br />
of the items auctioned included<br />
holiday cruises, jewelry, cottage<br />
packages, as well as sports memorabilia.<br />
Decorium COO Howard Forberg was thrilled<br />
with the event. “It was a great excuse for a<br />
night out, while raising money for <strong>Baycrest</strong>.”<br />
He’s looking forward to the <strong>2008</strong> Pro-Am,<br />
especially the draft night party. “Last year’s<br />
party was like Disneyland,” said Forberg. “You<br />
got to meet NHL heroes like Doug Gilmour,<br />
Wendel Clark and Borje Salming.”<br />
Howard is a long-time <strong>Baycrest</strong> supporter,<br />
Team captains get pumped<br />
“It was my lucky day,” Pro-Am participant Howard<br />
Detsky says of being measured for his own pro<br />
hockey stick. Howard was among 17 winners on<br />
the Geri-Hat-Tricks team who received a custommade<br />
stick.The team had all their players signed<br />
up by December 31, 2007, thereby qualifying for<br />
the hockey stick draw. The sticks were donated by<br />
Joel Majer, owner of hockey retailer Majer Hockey,<br />
which also donated custom-made hockey gloves for<br />
Steve Forberg (left) and Howard Forberg (third from left) strike a pose with Team Decorium at the recent gala.<br />
The energy at the team captains’ meeting in March, which launched the<br />
<strong>2008</strong> <strong>Baycrest</strong> Pro-Am, could have lit up the entire Air Canada Centre.<br />
An enthusiastic crowd of team captains converged on <strong>Baycrest</strong>’s Loftus<br />
Hall, exchanging fundraising tips, jokes and hockey brag stories over<br />
breakfast. “It’s a great opportunity to see what everyone else is doing,”<br />
says Team One captain Stan Feldman. “Plus it gets those competitive<br />
juices flowing.”<br />
The captains’ meeting is also an opportunity to make announcements<br />
and award prizes. In November, Eric Van Ginkel of the Maple Reinders<br />
won a signed jersey from Nick Kypreos, a former left-winger for the<br />
Toronto Maple Leafs and a hockey analyst for Sportsnet and Hockey<br />
Central.<br />
Maple Reinder team captain Eric Van Ginkel beams as former Maple Leaf<br />
and television and radio personality Nick Kypreos holds up the autographed<br />
Pro-Am jersey he won in November.<br />
Pro-Am is custom-made for winners<br />
the top fundraising team in February. “I like<br />
treating the prize winners like pros,” says Majer.<br />
Majer Hockey is sponsoring the <strong>Baycrest</strong> Pro-Am<br />
at the superstar level. Majer credits his brother<br />
Dave, who once played hockey at the semi-professional<br />
level, with getting him involved in the Pro-Am.<br />
“Dave said it was the best organized tournament<br />
he’d ever played in. Plus the funds raised go to<br />
<strong>Baycrest</strong>, which really makes it a winner.”<br />
From left, Geri-Hat-Tricks players David Sharpless, Michael Spigelman and Howard Detsky show off<br />
the custom-made hockey sticks they won last December for being the first team to sign up all their players.<br />
The sticks were donated by Pro-Am sponsor Joel Majer (right) of Majer Hockey.<br />
and can remember when his great-grandmother<br />
celebrated her 100th birthday there more than<br />
30 years ago. “It’s a staple of our community,”<br />
he says. “Everyone knows someone who has<br />
benefited from <strong>Baycrest</strong>.”<br />
<strong>May</strong> <strong>2008</strong> 7
Canada’s newest geriatrician joins <strong>Baycrest</strong><br />
Only 200 doctors nationwide specialize in this field<br />
<strong>Baycrest</strong> recently welcomed to its medical<br />
staff Canada’s newest geriatrician, one of only<br />
200 such specialists in the country.<br />
Dr. Thiru Yogaparan, who is Tamil, was born<br />
and raised in Sri Lanka. Under the mentorship<br />
of Dr. Terumi Izukawa, interim physician-inchief<br />
in the Department of Medicine at <strong>Baycrest</strong>,<br />
she completed a geriatric residency at the<br />
University of Toronto and was hired by<br />
<strong>Baycrest</strong> as medical program director of<br />
its Complex Continuing Care program.<br />
“We were so lucky to be able to recruit Thiru<br />
because fewer than a handful of geriatricians<br />
are certified in Canada each year,” notes<br />
Dr. Izukawa. “To become a geriatrician is a<br />
calling—it is challenging work because we<br />
care for the most complex patients in the<br />
health-care system. As the baby boomers age<br />
the demand for this expertise will skyrocket.”<br />
Dr. Yogaparan’s journey to where she is today<br />
was filled with challenges that would have driven<br />
many others to give up. At age 19 she was a<br />
medical student at the University of Jaffna when<br />
the civil war between the Sinhalese government<br />
and the Liberation Tamil Tigers was in full force.<br />
The young medical student risked her life each<br />
day riding her bicycle between the university<br />
and the hospital. “From our bikes we could<br />
see helicopters coming down, bombing and<br />
shooting,” she recalls. “Complete strangers<br />
would urge you to come into their house to<br />
take cover. You would hide there, with people<br />
8 <strong>Baycrest</strong> <strong>Bulletin</strong><br />
you didn’t know, and then go to classes.”<br />
Because of disruption caused by the war,<br />
it took Dr. Yogaparan nine years to finish her<br />
degree. She later specialized in internal<br />
medicine.<br />
“Even with all the tension going on, I was<br />
still living a good life in Sri Lanka. As doctors,<br />
you are respected as if you are a god,” she says.<br />
However, other family members were not so<br />
fortunate. Dr. Yogaparan and her husband<br />
decided to leave after her sister-in-law lost her<br />
one-month-old baby during a mass military<br />
movement in Jaffna. The couple opted for the<br />
first country that granted them visas, arriving<br />
in Toronto in 1997.<br />
Even though she had been a senior registrar<br />
(equivalent to an attending physician) in Sri<br />
Lanka, she wasn’t permitted to practice in<br />
Canada unless she went back to being a medical<br />
student. “The demotion would have been too<br />
much for me,” she says. Instead, she successfully<br />
wrote exams to obtain a three-year residency<br />
in internal medicine at Bridgeport Hospital,<br />
affiliated with Yale, in Connecticut.<br />
It was while she was in Connecticut that<br />
Dr. Yogaparan became interested in geriatric<br />
medicine. “I would see patients in nursing<br />
homes, suffering, and I thought that I could make<br />
a difference. In internal medicine your focus is<br />
the immediate problem, you treat the disease,<br />
you do not have the time or the means to treat<br />
the whole person. With geriatrics, you take care<br />
TULVING IN HIS OWN WORDS continued from page 5<br />
conditions, individuals with amnesia can<br />
acquire new information and knowledge,<br />
despite the fact that they cannot remember<br />
anything about the occasion or occasions<br />
when they did such acquiring. Sometimes<br />
people who have lost their episodic memory<br />
relearn all or much of their own past. But<br />
when they do so, they know their own<br />
past the way you and I know Greek and<br />
Roman history, or any history we have<br />
learned from books. What remains lost is<br />
the warmth and intimacy that comes from<br />
true episodic memory. Episodic memory<br />
(the highest system) is special. Yet, this<br />
highest system cannot work independently<br />
of the lower systems (such as semantic<br />
memory), although the lower systems<br />
can work perfectly well without the higher<br />
system.<br />
This insight has led to cognitive rehabili-<br />
tation strategies that help people with<br />
memory loss learn new information.<br />
Q What are you currently<br />
working on?<br />
A I am looking at what I call mental time travel—<br />
the ability of the human mind to think about<br />
the past and think about the future. A normal<br />
person can travel back in time and also think<br />
about what they will do tomorrow, and we<br />
take this for granted. But many individuals<br />
with amnesia who do not remember their own<br />
past also cannot think about their own future.<br />
Thus, remembering the past and thinking<br />
about one’s future seem to be closely related.<br />
This is such a deep mystery and miracle<br />
because there is no known physical basis<br />
for it yet, but there must be. It is impossible<br />
for anything to happen in the mind that<br />
doesn’t happen in the brain, and we haven’t<br />
Dr. Thiru Yogaparan, medical program director<br />
of Complex Continuing Care<br />
of the whole patient, aiming to improve their<br />
quality of life. At this point, I thought of doing a<br />
geriatric medicine residency.”<br />
Dr. Yogaparan completed her residency when<br />
she returned to Canada. She says she feels she<br />
is finally in the right place at <strong>Baycrest</strong> and is<br />
grateful to Dr. Izukawa for helping her become<br />
a geriatrician.<br />
“I think Thiru’s story is very powerful and<br />
inspiring to other young medical students and<br />
doctors across the world to never give up,”<br />
says Dr. Izukawa. “She is a perfect example of<br />
courage, strength and overcoming incredible life<br />
challenges. Her reasons for choosing geriatrics<br />
really mirror the kind of person she is—<br />
thoughtful, caring and wanting to help the<br />
whole person.”<br />
got a clue. Brain processes having to do with<br />
pure thought about the future have not been<br />
studied before. We’re doing it now, using<br />
functional magnetic resonance imaging (fMRI)<br />
to look at the brains of young, healthy people<br />
while they think of the past and the future.<br />
It’s fascinating but challenging.<br />
Q Has working at <strong>Baycrest</strong> had<br />
an influence on your work?<br />
A Yes, it has definitely had an impact. Being<br />
surrounded by real-life problems has made<br />
me think more about the life cycle and<br />
the development of memory. My general<br />
education in my own field has improved<br />
greatly by being here. And getting older<br />
myself has also helped.<br />
Article reprinted from BREAKTHROUGHS, published<br />
by the <strong>Baycrest</strong> Foundation. To read the latest issue,<br />
visit www.baycrest.org/breakthroughs
January<br />
The Globe and Mail featured Dr. Randy<br />
McIntosh among a group of leading Toronto<br />
scientists breaking new<br />
ground in different areas.<br />
Dr. McIntosh, a scientist<br />
with <strong>Baycrest</strong>’s Rotman<br />
Research Institute, explores<br />
brain network flexibility in<br />
an effort to predict which<br />
people have the most<br />
Dr. Randy McIntosh potential for cognitive<br />
(brain function) recovery after an injury.<br />
The New York Times asked Rotman<br />
scientist Dr. Brian Levine to comment on a<br />
New England Journal of Medicine study that<br />
looked at concussion effects on cognition and<br />
mental health in combat soldiers returning from<br />
Iraq. Dr. Levine is an expert in understanding<br />
how traumatic brain injury affects cognitive<br />
functions.<br />
OMNI TV aired a series of interviews on its<br />
Italian Afternoon program with <strong>Baycrest</strong><br />
geriatrician Dr. Fabio Varlese who discussed<br />
the most common health problems in older<br />
adults.<br />
Andy Barrie, host of CBC Radio’s Metro<br />
Morning, interviewed Dr. Michael Gordon<br />
on the challenges of caring for aging parents.<br />
Dr. Gordon recounted his own experiences with<br />
his aging father who lives in the United States.<br />
Chum Ottawa’s Sunday<br />
program Doctor in the<br />
House aired a 15-minute<br />
interviewwith Rotman scientist<br />
Dr. Bruce Pollock about<br />
a <strong>Baycrest</strong>-CAMH (Centre<br />
for Addiction and Mental<br />
Health) study that showed<br />
Dr. Bruce Pollock<br />
that an anti-depressant may<br />
be as effective as an antipsychotic in treating<br />
agitation and aggression related to dementia.<br />
The Epoch Times, in New York, interviewed<br />
geriatrician Dr. Paula Rochon about the dangers<br />
of inappropriate use of antipsychotics in the<br />
elderly.<br />
Dr. Michael Gordon, Medical Director, Palliative<br />
Care, was interviewed for a story in Lawyers<br />
Weekly that questioned the effectiveness of<br />
living wills. Detailed advanced directives are<br />
inherently designed to fail, cautioned Dr. Gordon.<br />
<strong>Baycrest</strong> Making News<br />
Because of its reputation for excellence in geriatric care, research and education, <strong>Baycrest</strong> is often called upon<br />
by local, national and international media to share its expertise. The following is a sample of recent media stories<br />
in which <strong>Baycrest</strong> scientists and clinicians were featured:<br />
February<br />
Canadian Press interviewed Dr. Morris<br />
Freedman, head of the Sam and Ida Ross<br />
Memory Clinic at <strong>Baycrest</strong> about the potential<br />
benefits of a new “skin patch” formulation of an<br />
Alzheimer’s drug brought to market in Canada.<br />
As one of Canada’s foremost authorities on<br />
diagnosing and treating Alzheimer’s and other<br />
dementias, Dr. Freedman discussed the medication<br />
challenges with this patient population.<br />
He described how a skin patch is an effective<br />
alternative to a capsule for those with swallowing<br />
problems, who are resistant to taking pills,<br />
or who can’t tolerate the pill form.<br />
Rotman Research Institute senior scientist<br />
Dr. Fergus Craik was interviewed by Nick<br />
Purdon, of CBC Radio’s Definitely Not<br />
The Opera, for a feature on souvenirs and<br />
memory on Feb. 23. Why do we feel the need<br />
to collect souvenirs of places we’ve<br />
visited, past relationships and our childhood?<br />
Dr. Craik talked about what happens in the<br />
brain when we look at these objects.<br />
March<br />
<strong>Baycrest</strong> neurologists Drs. Tiffany Chow and<br />
Keith Meloff were interviewed by The Globe<br />
& Mail for a story on CBC Radio personality<br />
Andy Barrie and his personal journey with<br />
Parkinson’s disease. Barrie has discovered<br />
the benefits of dance therapy.<br />
The Freedmans are<br />
attached to <strong>Baycrest</strong>!<br />
The Freedmans are proud supporters<br />
of <strong>Baycrest</strong>’s Annual Campaign,<br />
and inaugural members of the<br />
prestigious Circle of Honour.<br />
“We’ve never had a family<br />
member at <strong>Baycrest</strong>, but we<br />
know the work <strong>Baycrest</strong><br />
does in memory, stroke<br />
and mental health will<br />
affect all of us as we age.<br />
We’re proud to count<br />
ourselves among the many<br />
who support this important<br />
community resource,” say<br />
husband and wife team<br />
Jeremy Freedman and<br />
Judith Finer-Freedman.<br />
Attach your name to <strong>Baycrest</strong><br />
by making a donation to<br />
the <strong>2008</strong> Annual Campaign.<br />
Please call Margi Oksner at<br />
416-785-2500, ext. 2038 or<br />
visit www.baycrest.org/Donate<br />
to make your gift today.<br />
<strong>May</strong> <strong>2008</strong> 9
Slowing down Alzheimer’s disease<br />
Researchers at <strong>Baycrest</strong> have made great strides in recent years in understanding<br />
this crippling disease but much more is needed to beat it<br />
At <strong>Baycrest</strong>, research on Alzheimer’s disease is<br />
ongoing and some headway is being made in two<br />
vital areas: delaying the onset of this debilitating<br />
disease, and slowing down its progress once a<br />
diagnosis has been made.<br />
Alzheimer’s disease is the most common form<br />
of dementia—a term used for a number of conditions<br />
that lead to a progressive deterioration in<br />
our ability to think, remember and perform daily<br />
tasks. Researchers are discovering that long<br />
before symptoms of the disease appear there are<br />
small changes in the brain that may foretell the<br />
onset of dementia.<br />
It is therefore vitally important to identify<br />
these brain changes as early as possible so that<br />
medical intervention can be quickly and aggressively<br />
put into effect. A recent <strong>Baycrest</strong> study has<br />
been targeting this issue and a new diagnostic<br />
breakthrough tool offers some hope for a more<br />
timely intervention.<br />
Dr. Paul Verhoeff is a clinician-scientist at<br />
<strong>Baycrest</strong>’s Kunin-Lunenfeld Applied Research<br />
Unit (KLARU) and staff psychiatrist at <strong>Baycrest</strong>’s<br />
Brain Health Centre. “I could not imagine anything<br />
worse happening to me than a decline in my<br />
brain functioning,” he says, when asked what<br />
drew him to this area of research. “The brain<br />
defines who we are and helps us to maintain<br />
our independence.” Nevertheless, he points<br />
out that, while there is to date no cure for the<br />
disease, there have been important advances<br />
made in recent years.<br />
Gauging the risk<br />
“Age is the main risk factor for Alzheimer’s disease,”<br />
he explains. “People, particularly women,<br />
are living longer in our society and Alzheimer’s<br />
is a bit more prevalent in women than in men.<br />
But the increased prevalence may also be<br />
gender-related, as opposed to age-related.”<br />
Genetic predisposition is another factor in<br />
determining risk. Early symptoms of Alzheimer’s<br />
are not always directly related to deterioration<br />
in cognition. An uncharacteristic apathy or an<br />
increase in anxiety levels can sometimes be early<br />
signs of the disease.<br />
Researchers have discovered a link between<br />
depression and Alzheimer’s, says Dr. Verhoeff, to<br />
the extent that people with a history of depression<br />
have a two-fold greater risk of developing<br />
the disease.<br />
Clinical guidelines mark the onset of<br />
Alzheimer’s from age 45, but physicians sometimes<br />
see people with dementia even earlier,<br />
particularly those with a hereditary factor. “Most<br />
people are diagnosed with Alzheimer’s after the<br />
age of 65,” Dr. Verhoeff reports. “If it occurs<br />
before that age, it is considered early onset.”<br />
The numbers of people afflicted with this<br />
disease are quite stark. At age 60, Alzheimer’s<br />
affects approximately one per cent of the population<br />
and it doubles every five years, so that at<br />
age 65 the chance is one in 20, at age 75 it is<br />
one in 10, at 85 it is one in four and at 90 the<br />
prevalence spikes to one in two people.<br />
continued on page 16<br />
Handheld computer assists with mild memory problems<br />
As you age, it’s normal to have trouble remembering<br />
the name of a person you seldom see.<br />
However, if you start forgetting things you used<br />
to remember easily, you may be experiencing<br />
Psychologist Dr. Brian Richards demonstrates an<br />
electronic memory aid.<br />
10 <strong>Baycrest</strong> <strong>Bulletin</strong><br />
mild cognitive impairment (MCI), which for<br />
some is an intermediary stage between normal<br />
aging and dementia.<br />
People with MCI retain sharp thinking and<br />
reasoning skills, but they may have problems<br />
with short-term memory.<br />
“They still have several years of pretty healthy<br />
living but with their memory letting them down,”<br />
explains Dr. Eva Svoboda, a psychologist<br />
(supervised practice) at <strong>Baycrest</strong>. “If someone<br />
doesn’t remember one detail, such as where to<br />
meet a family member picking them up from an<br />
appointment, it throws everything into disarray.”<br />
Having successfully trained people with<br />
amnesia to use a Palm handheld computer as a<br />
memory aid, <strong>Baycrest</strong> psychologists approached<br />
their MCI patients with an offer to train them on<br />
the device as well. “We wondered if they would<br />
embrace that technology and want to use it if<br />
we provided one-on-one training,” says Dr. Kelly<br />
Murphy, coordinator of the Memory Intervention<br />
Program.<br />
Five people from the program in their mid-60s<br />
to late 70s took part in a one-year pilot project<br />
and with much practice, they are now using<br />
the Palm to keep track of appointments; record<br />
phone numbers, addresses and directions;<br />
remind them to take their health card or<br />
questions to the doctor; make phone calls; and<br />
even take photos and videos. Dr. Svoboda says<br />
that taking a photo of where your car is parked<br />
is useful to MCI clients. The audio feature can<br />
be used to tape a doctor’s comments to play<br />
back later for family members.<br />
Before learning to use the Palm, one participant<br />
explains that he used to write things down<br />
or rely on his wife’s memory. “I used to ask her<br />
what we were doing on the weekend and when<br />
my appointments were,” he says. “Now I can<br />
keep track myself and it gives her a break.”<br />
“Our goal was to make them proficient in<br />
the use of the Palm so they could maintain<br />
their independence for as long as possible and<br />
improve their quality of life,” says Dr. Svoboda.<br />
In the future, Drs. Svoboda, Murphy and Brian<br />
Richards hope to develop customized software for<br />
the Palm to help people with MCI use internal<br />
memory techniques to acquire new knowledge,<br />
minimize memory slips and delay the onset of<br />
more significant problems. “We’re in the very<br />
early stages but I think it has real promise,”<br />
Dr. Murphy adds.
Report on Healthy Aging<br />
Boost your brain power: Tips to improve your memory<br />
Along with healthy eating and regular exercise,<br />
there are a number of evidence-based strategies<br />
that can help boost memory performance as we<br />
age—and it’s never too early, or too late, to start.<br />
Lists, notes and organizers<br />
Keeping lists, writing reminders on Post-it<br />
notes and sticking them where you’ll see them,<br />
taking a portable day planner with you at all<br />
times, and keeping medications in a pill organizer<br />
are all helpful external aids to jog your<br />
memory. So are other people (“Hey honey,<br />
remind me to pick up the dry cleaning”) and a<br />
“memory place” in your home to keep things<br />
that you need every day like your keys, wallet<br />
and glasses, according to <strong>Baycrest</strong> psychologist<br />
Dr. Nicole Anderson.<br />
Creative activities help keep the brain sharp<br />
Teach yourself memory tricks<br />
Make associations between something you are<br />
trying to remember and something you already<br />
know. When you meet someone new, think<br />
about whom else you know with that name, or<br />
what that name means. If the person’s name is<br />
Rose, associate it with the flower.<br />
Use visual imagery. Make a mental picture<br />
of something you are trying to remember. When<br />
you go to get a book from your bedroom, picture<br />
yourself picking it up from the night table.<br />
Repeat new information, but be sure to<br />
do so at multiple, spaced time points—repeating<br />
it over and over without a break won’t help.<br />
If someone introduces herself as Susan, say,<br />
“Nice to meet you, Susan.” Later on, use her<br />
name in conversation, such as, “How do you<br />
know John, Susan?” Do this a few more times<br />
and her name will stick.<br />
Chunk information. Instead of trying to<br />
remember a phone number or string of information<br />
all at once, break it down into chunks.<br />
Organize yourself. To avoid constantly<br />
searching for the remote control, always keep<br />
it in a logical place.<br />
Pay attention. We’re more susceptible to<br />
distraction as we age, so you may need to turn<br />
off the radio when you’re trying to concentrate.<br />
Use it or lose it<br />
Stimulate your brain with activities you enjoy<br />
like playing bridge, doing crosswords, reading,<br />
going to the theatre, playing an instrument or<br />
learning a language or new skill. Challenge<br />
yourself and try to learn something new every<br />
day. Social interaction is also important so keep<br />
in touch with friends and family, join a club or<br />
work as a volunteer.<br />
Self-help books and courses<br />
Books and courses on improving memory may<br />
offer valuable information. <strong>Baycrest</strong>’s five-week<br />
Memory and Aging program (fee $95)<br />
describes normal and abnormal memory<br />
changes and offers strategies to improve memory<br />
function and delay the onset of dementia.<br />
For information, call 416-785-2500, ext. 2445.<br />
Stay active and keep fit<br />
Moderate physical activity promotes brain<br />
health. It increases the supply of blood and<br />
nutrients to the brain and may even encourage<br />
the development of new cells. After a 20minute<br />
walk, older adults perform better on<br />
memory tests. People who exercise regularly<br />
are also less likely to develop heart disease,<br />
stroke and diabetes—conditions associated<br />
with an increased risk for dementia. Check<br />
with your doctor for the type of physical<br />
activity that might be right for you.<br />
Eat healthy<br />
Research has found that a long-term healthy<br />
diet can help maintain brain function, slow<br />
memory decline and may help reduce the risk<br />
of Alzheimer’s disease. Eat a diet high in fruits<br />
and vegetables, and low in cholesterol and<br />
saturated fats. Drink plenty of water, don’t<br />
smoke and limit salt, alcohol and caffeine.<br />
Reduce stress<br />
Stress can cause vascular changes and<br />
chemical imbalances that impact the brain. Try<br />
to reduce the harmful effects of stress through<br />
techniques such as deep breathing, massage<br />
and exercise or ask your doctor for advice.<br />
Buckle up<br />
To protect against head injuries that could<br />
increase your chance of developing dementia,<br />
buckle your seat belt when traveling in a car<br />
and wear protective headgear during activities<br />
like biking.<br />
Warning signs<br />
for dementia<br />
See a doctor if you notice any of these<br />
symptoms, in yourself or a loved one.<br />
Memory loss that affects daily living<br />
If you forget the name of your spouse or<br />
loved ones, it’s a sign of a more severe<br />
problem.<br />
Difficulty performing familiar tasks<br />
A person with dementia may have trouble<br />
with tasks that have been familiar to them<br />
all their lives, such as preparing a meal.<br />
Problems with language<br />
A person with dementia may forget simple<br />
words or substitute words, making their<br />
sentences difficult to understand.<br />
Disorientation of time and place<br />
A person with dementia can become lost<br />
on their own street, not knowing how they<br />
got there or how to get home.<br />
Poor or decreased judgment<br />
A person with dementia may have<br />
decreased judgment, for example,<br />
not recognizing a medical problem<br />
that needs attention or wearing heavy<br />
clothing on a hot day.<br />
Problems with abstract thinking<br />
Someone with dementia may have<br />
significant difficulty with a task such<br />
as balancing a cheque book.<br />
Misplacing things<br />
A person with dementia may put things in<br />
inappropriate places: an iron in the freezer<br />
or a wristwatch in the sugar bowl.<br />
Changes in mood and behaviour<br />
Someone with dementia can exhibit varied<br />
mood swings—from calm to tears to anger—<br />
for no apparent reason.<br />
Changes in personality<br />
A person with dementia can become confused,<br />
suspicious or withdrawn. Changes<br />
may also include apathy, fearfulness or<br />
acting out of character.<br />
Loss of initiative<br />
It’s normal to tire of housework, business<br />
activities or social obligations, but most<br />
people regain their initiative. A person with<br />
dementia may become very passive and<br />
require cues and prompting to become<br />
involved.<br />
[Source: Alzheimer Society of Canada]<br />
<strong>May</strong> <strong>2008</strong> 11
Art and design play important role in care<br />
“Confused minds are too often the result of<br />
disabling environments and crippling attitudes,”<br />
said Dr. Guy Proulx, director of Psychology at<br />
<strong>Baycrest</strong> and a specialist in the assessment and<br />
rehabilitation of brain disorders.<br />
Dr. Proulx made that provocative statement in<br />
a recent presentation to students of the Ontario<br />
College of Art and Design. He described how<br />
architects and designers are working with clinical<br />
experts to create more supportive and caring<br />
environments for residents of long-term care<br />
facilities. He challenged the students to consider<br />
how they could use their creative skills to help<br />
residents participate in life to the best of their<br />
abilities in spite of the severe cognitive impairments<br />
associated with brain disorders. He noted<br />
that the need for such care is growing because<br />
by 2047, an estimated 21 per cent (two billion)<br />
of the world’s population will be over 60,<br />
compared to 10 per cent (600 million) today.<br />
Dr. Proulx described how environmental<br />
supports are used at <strong>Baycrest</strong> to help people<br />
who have suffered significant memory loss to tap<br />
into what still remains intact. Sensory memory,<br />
for example, tends to stay robust despite<br />
dementia and can be stimulated by well-planned<br />
environments such as the light-filled atrium<br />
that graces the Apotex Centre, where olive<br />
trees, artworks, the aroma of coffee, and<br />
gathering places combine to create the sense<br />
Can we reduce our risk of developing dementia?<br />
A <strong>Baycrest</strong> expert says we can<br />
Dementia is a general term to<br />
describe progressive changes<br />
in memory and thinking that<br />
are serious enough to interfere<br />
with daily life. While<br />
Dr. Guy Proulx<br />
dementia is not a normal<br />
part of aging, advancing age is a risk factor for<br />
the condition. What can we do to reduce our<br />
chances of developing dementia, and when<br />
should we start? Dr. Guy Proulx, director of<br />
Psychology and Neurorehabilitation at <strong>Baycrest</strong><br />
and an expert in cognitive impairments and<br />
early interventions, addressed these questions<br />
in a recent interview.<br />
Is it possible to prevent or delay the onset<br />
of dementia as we age?<br />
Aging is a complex biological phenomenon that<br />
we’re just beginning to unravel. At <strong>Baycrest</strong>,<br />
our researchers and clinicians are looking at<br />
12 <strong>Baycrest</strong> <strong>Bulletin</strong><br />
of an outdoor space, like a village square.<br />
The artwork displayed throughout <strong>Baycrest</strong><br />
helps trigger past memories in people with<br />
Alzheimer’s, Dr. Proulx noted. While the disease<br />
strips away a person’s ability to create new<br />
memories, long-term memory and entrenched<br />
habits can still function until the disease is well<br />
advanced. Visual art can evoke an emotional<br />
response in a damaged brain.<br />
<strong>Baycrest</strong> is unique in its extensive use of artwork in the care of clients. The “3 sisters” group of paintings<br />
seen here is one of many examples of how art helps with orientation to place, fosters identity and<br />
attachment, promotes interaction, helps trigger long-term memory, and stimulates emotions. Even with<br />
advanced cognitive decline, regions of the brain like those responsible for emotions can remain intact.<br />
the continuum between normal aging, mild<br />
cognitive impairment and full-blown dementia to<br />
learn why some people develop dementia and<br />
others do not, how we can predict who will get it<br />
and how we can delay or prevent its onset. We<br />
know there are lifestyle changes that you can<br />
make to reduce the risk of developing dementia<br />
and to delay its onset if you are at risk.<br />
How can we maintain good brain health<br />
as we age?<br />
There are four basic ways to maintain cognitive<br />
function as we age:<br />
1. be physically active;<br />
2. keep our brains stimulated and challenged;<br />
3. engage in social activities;<br />
4. control risk factors such as smoking,<br />
alcohol, inactivity, high blood pressure,<br />
diabetes, obesity, high cholesterol, and<br />
dietary fat intake that increase the risk<br />
of vascular dementia (caused by reduced<br />
blood flow to parts of the brain) and<br />
Alzheimer dementia.<br />
At what age should we begin?<br />
It’s never too early to start living a healthy life,<br />
and it’s never too late to start. Healthy lifestyle<br />
choices—eating well, staying active and avoiding<br />
stress—play a major role in preventing or<br />
postponing age-related medical conditions that<br />
put you at risk of developing dementia. If more<br />
people practiced good nutrition and stayed<br />
physically and mentally active throughout their<br />
lives, from youth to old age, it could significantly<br />
reduce the rate of chronic diseases in later life.<br />
Even if you already have diabetes, you can make<br />
lifestyle changes to improve your health.<br />
The important thing is to teach children and<br />
young adults that their lifestyle choices will have<br />
a dramatic impact on their health as they age.<br />
Photo: Arantxa Cedillo/Veras
Monthly “Spark” program<br />
benefits both volunteers<br />
and residents<br />
One Sunday morning each month, volunteers from synagogues across<br />
the community meet at <strong>Baycrest</strong> where, over coffee, they discuss<br />
various Jewish texts. Following the guided discussion, each volunteer<br />
visits with a resident of the Apotex Jewish Home for the Aged. The<br />
group comes back together later in the morning to reflect again on the<br />
text and to talk about issues that may have arisen during the visits.<br />
These volunteers are participants in <strong>Baycrest</strong>’s Spark program.<br />
Now in its second year, the program combines Jewish learning with<br />
community service. Collectively, the volunteers represent Temple<br />
Emanu-El, Temple Har Zion, Beth Tikvah, Kehillat Shaarei Torah,<br />
Shaar Shalom and UJA Impact Toronto,<br />
“Each month the volunteers perform a mitzvah by visiting with<br />
Apotex residents and in turn they enrich their own lives,” says Spark<br />
program coordinator Bev Devins.<br />
Volunteers are carefully paired with residents based on personality,<br />
mutual interest or the particular needs of the resident, explains therapeutic<br />
recreationist Cheryl Fisch.<br />
“A key part of the program is to match the right volunteer with<br />
the right resident. The residents really get so much out of it that<br />
I encourage the volunteers to visit more than once a month if they<br />
can—it is so greatly appreciated—and some do.”<br />
The program “has enabled us to combine our resources and to<br />
build and enrich our community,” notes Devins. “The residents have<br />
benefited tremendously. The friendly visiting has enabled close bonds<br />
to be formed between the volunteers and the residents and I’m not<br />
entirely sure who actually looks forward to the Sunday visits more.<br />
The volunteers say that the program has made them better listeners<br />
and helped them develop leadership skills within the group.”<br />
If you would like to volunteer for the Spark program or want more<br />
information, please contact Bev Devins at <strong>Baycrest</strong>, 416 785-2500,<br />
ext. 3005 or e-mail her at bdevins@baycrest.org.<br />
Spark participants, back row from left, are Harold Oppenheimer, Gloria<br />
Shere, Margaret Klompas, Rochelle Schneider, Ken Stewart, and, front<br />
row, Bev Michaels, Geri Stewart, therapeutic recreationist Cheryl Fisch,<br />
and volunteer coordinator Bev Devins.<br />
Volunteers Needed<br />
for Home Visits<br />
<strong>Baycrest</strong> is looking for volunteers to visit adults with<br />
early memory loss who live in the community and<br />
attend the Sam and Ida Ross Memory Clinic<br />
With training and support provided by a Memory Clinic<br />
occupational therapist, the volunteer will visit clients in their<br />
homes to provide social contact and to encourage them to<br />
participate in activities that are specific to their needs.<br />
For more information,<br />
call 416-785-2500<br />
ext. 2250.<br />
<strong>May</strong> <strong>2008</strong> 13
All that glitters is gold<br />
at new WA fundraiser<br />
If you were looking for a great way to beat the winter blahs this past<br />
February, a new fundraiser by the Women’s Auxiliary was the place to<br />
be. Co-chaired by Debra Alexander and Janice O’Bright, Lounge WA<br />
was held Feb. 27 at Toronto’s<br />
chic new venue Six Degrees.<br />
Top kosher caterers went all<br />
out serving savoury tapas-style<br />
cuisine, while more than 300<br />
guests, dressed in their best<br />
“jeans and jewels,” swayed<br />
to the soulful tunes of jazz<br />
chanteuse Jeanine Mackie<br />
and saxophonist Pat Perez.<br />
Special thanks to event<br />
sponsors Designing Trendz,<br />
Six Degrees and Soul Power.<br />
14 <strong>Baycrest</strong> <strong>Bulletin</strong><br />
Lounge WA co-chair Janice<br />
O’Bright (right) with fellow<br />
co-chair Debra Alexander<br />
modelling a mink jacket for<br />
the evening’s live auction.<br />
Elkie Adler MS Clinic<br />
A proud legacy<br />
One evening last November,<br />
Warren and Ronald Kimel gathered<br />
with relatives and friends to officially<br />
open the Elkie Adler MS<br />
Clinic at <strong>Baycrest</strong>, named in honour<br />
of their late sister. “Throughout her<br />
courageous battle with multiple<br />
sclerosis, Elkie always found ways<br />
to help others,” said her brother,<br />
Warren Kimel. “This clinic will<br />
continue her proud legacy.”<br />
The clinic offers leading-edge<br />
equipment and<br />
services for the<br />
treatment of multiple<br />
sclerosis,<br />
and was made<br />
possible by a<br />
generous donation<br />
from the Kimel<br />
family.<br />
From left, <strong>Baycrest</strong><br />
Board immediate<br />
past chair Fran<br />
Sonshine joins<br />
long-time <strong>Baycrest</strong><br />
supporters Warren<br />
and Debbie Kimel<br />
and Vanessa and<br />
Ronald Kimel at the<br />
opening of the Elkie<br />
Adler MS Clinic.<br />
Exercise your body and<br />
brain to boost memory<br />
It’s important to give your body and<br />
brain a good workout to improve<br />
your memory, explained Dr. Nicole<br />
Anderson, a <strong>Baycrest</strong> cognitive<br />
rehabilitation scientist, at a recent<br />
luncheon for donors interested<br />
in memory and brain research.<br />
Attendee Dr. Arthur<br />
Cohen said that “seeing<br />
an actual brain scan and<br />
learning how different<br />
parts of the brain relate<br />
to memory was very<br />
exciting.”<br />
A series of luncheons<br />
on a wide variety of<br />
<strong>Baycrest</strong> services and<br />
programs is being<br />
offered by the <strong>Baycrest</strong><br />
Foundation to interested<br />
donors. These luncheons<br />
give supporters an<br />
opportunity to see behind the<br />
scenes, and also meet key<br />
<strong>Baycrest</strong> personalities.<br />
For more information,<br />
contact Rochelle Little<br />
at rlittle@baycrest.org or call<br />
416-785-2500, ext. 2045.<br />
Dr. Nicole Anderson and donor Dr. Arthur Cohen<br />
chat at a recent luncheon for <strong>Baycrest</strong> supporters.
Gift honours wife and benefits day centres<br />
The <strong>Baycrest</strong> Parkland and Oceanview day<br />
centres now have attractive and comfy new<br />
furniture, thanks to a generous donation from<br />
retired businessman Sid Brown.<br />
Brown’s late wife Jean attended the day<br />
centre for only three months, but the experience<br />
made a big impression on her.<br />
So, when he was ready to honour his wife’s<br />
memory, Sid Brown established an endowment<br />
fund at the <strong>Baycrest</strong> Foundation to support the<br />
program. At the reception celebrating the gift,<br />
he said, “Jean really enjoyed coming here, and I<br />
wanted to help <strong>Baycrest</strong> continue its good work.”<br />
April <strong>2008</strong> <strong>Bulletin</strong> Ad:Layout 1 2/19/08 11:40 AM Page 1<br />
♦<br />
✿<br />
✿<br />
♣<br />
GAMES ✿<br />
THE BAYCREST WOMEN’S AUXILIARY INVITES YOU TO<br />
girls play<br />
Join us for an evening of<br />
✿ Mahj ✿ Bridge ✿ Scrabble ✿ Canasta ✿ Pan ✿ Stitching<br />
Bring your own group andgame or we'll make the match.<br />
Thursday June 5 @ 6:30 p.m.<br />
✿ Light Dinner ✿ Noshes ✿ Wine Bar ✿ Prizes ✿ Loot Bags ✿ Free Parking<br />
• $72 Admission<br />
tax receipt for maximum allowable amount<br />
Reserve your seat today by calling 416-785-2500 x2045<br />
Joyce Lagunoff, the director of <strong>Baycrest</strong>’s<br />
Day Centre for Seniors, which includes the<br />
Parkland and Oceanview centres, said “We’re<br />
A new route for advertising<br />
Pharmacist Aaron Mandlsohn has never taken the same path as everyone<br />
else—and that applies quite literally to his advertising.<br />
Intrigued by a new opportunity to blend business with community service,<br />
a large image of Aaron and his fiancé Leilany in his Forest Hill Apothecary<br />
now graces the back panel of a <strong>Baycrest</strong> shuttle bus. The bus travels through<br />
central and northern Toronto<br />
five days a week. “This is a<br />
great way to advertise and help<br />
<strong>Baycrest</strong> at the same time,”<br />
says Mandlsohn. He remembers<br />
volunteering in <strong>Baycrest</strong><br />
Hospital as a teenager and<br />
the care his bubbie and zaide<br />
received there, and he believes<br />
in supporting <strong>Baycrest</strong>. “It’s not<br />
only a gift for the present, but<br />
an investment in the future.”<br />
To find out more about<br />
placing your ad on a <strong>Baycrest</strong><br />
bus, contact Jared Drewnowsky<br />
Aaron Mandlsohn and his fiancé Leilany at jdrewnowsky@baycrest.org<br />
Albarran beside <strong>Baycrest</strong>’s first bus wrap.<br />
or call 416-785-2500, ext. 2025.<br />
so thrilled Mr. Brown is honouring his wife by<br />
contributing to the continuity of this important<br />
family resource and respite program.”<br />
<strong>Baycrest</strong>’s Community Day Centre for Seniors<br />
provides day programs to older adults who are<br />
physically frail or cognitively impaired.<br />
Funds from the endowment were used to<br />
purchase new chairs and couches and refinish<br />
dining room tables.<br />
From left, Phyllis Dubin, Sid Brown and Rochelle<br />
Waxman gather around a new plaque in <strong>Baycrest</strong>’s<br />
Parkland and Oceanview day centres honouring<br />
Jean Brown.<br />
B2B celebrates<br />
bar/bat mitzvah year<br />
Now in its 13th year, B2B will mark its bar/bat mitzvah year with a<br />
new format. Instead of individuals riding and fundraising on their own,<br />
participants will be grouped into 10 teams of four, with each team<br />
competing for top fundraising honours. “Our goal this year is to<br />
raise $1 million,” says event co-founder and organizer Stan Feldman.<br />
Since its first year, B2B has raised $8 million for <strong>Baycrest</strong>’s most<br />
pressing needs.<br />
For more information about the <strong>2008</strong> Barrie to <strong>Baycrest</strong> ride,<br />
which takes place on Sunday, Sept. 7, visit www.baycrest.org/b2b<br />
or call Stan at 416-785-2500, ext. 2432.<br />
April 2009 Breakthroughs <strong>Bulletin</strong> Ad:Layout 1 2/19/08 11:37 AM Page 1<br />
<strong>Baycrest</strong>BREAKTHROUGHS<br />
Share your message with 40,000 GTA households!<br />
Place your corporate ad or personal message in BREAKTHROUGHS,<br />
<strong>Baycrest</strong>'s newest health-care magazine in support of care and<br />
research in Alzheimer's, stroke and mental health.<br />
The BREAKTHROUGHS Advantage<br />
• 160-page health-care and research news magazine<br />
• 40,000 GTA household distribution • Major Toronto newspaper insert<br />
• Corporate sponsorship opportunities on the web<br />
Take a sneak peek at www.baycrestbreakthroughs.com<br />
or call Jared Drewnowsky 416-785-2500, ext. 2025<br />
<strong>May</strong> <strong>2008</strong> 15
New psychiatric nursing model values individuality<br />
Greater say in their own care helps severely ill patients recover<br />
A new approach to nursing care in the inpatient<br />
psychiatric unit at <strong>Baycrest</strong> is challenging the<br />
belief that people with severe mental illness do<br />
not recover.<br />
In most traditional mental health care models,<br />
the patient is instructed on what to do. The Tidal<br />
Model focuses on the person rather than the<br />
symptoms or illness. This shift in thinking has<br />
reshaped mental health policy in many countries.<br />
Developed from research into the role of<br />
nurses in psychiatry, the Tidal Model gives<br />
patients control over decisions about their care.<br />
It values each patient as unique and stresses an<br />
empowering interaction between the individual<br />
and the nurse. It tailors care to fit each patient’s<br />
specific needs, story and lived experience. The<br />
patient is the key driver of the recovery process,<br />
with the health-care practitioner helping to<br />
unlock his or her potential for recovery.<br />
Slowing Alzheimer’s disease... continued from page 10<br />
Reducing the odds<br />
With such dramatic statistics, you might be<br />
wondering if there is any good news out there.<br />
Yes, say researchers and clinicians at <strong>Baycrest</strong><br />
—it appears that our lifestyle can affect our ability<br />
to withstand Alzheimer’s. “It is important to mention<br />
that there is some hope in the fact that you<br />
16 <strong>Baycrest</strong> <strong>Bulletin</strong><br />
To help people adequately express the magnitude<br />
and complexities of their lived experience,<br />
the model uses water as a metaphor and<br />
describes how people in distress can become<br />
emotionally, physically and spiritually “shipwrecked.”<br />
It sees the experience of health and<br />
illness as fluid rather than a stable phenomenon<br />
and life as a journey undertaken on an “ocean”<br />
of experience. Nurses and other caregivers gain<br />
a greater understanding of the situation when<br />
the patient uses images such as being “washed<br />
ashore,” “drowning” or being “marooned” by their<br />
problems. “When you are okay, it is like you are<br />
sailing in open waters,” explains clinical coach<br />
Ursula Dengedza. “When you need repairs<br />
because the water is too rough or you hit a rock,<br />
you dock. This psychiatric unit is the dock.”<br />
Traditionally in psychiatry, “the patient’s story<br />
is ‘translated’ into our professional version,” adds<br />
can probably stave off the onset of Alzheimer’s<br />
by making lifestyle changes,” notes Dr. Verhoeff.<br />
“People who perform regular physical exercise<br />
are less likely to develop heart disease or stroke.”<br />
Epidemiological studies suggest that, as with<br />
our bodies, the ‘use it or lose it’ approach is<br />
worth adopting for brain health. Studies show a<br />
decreased risk for dementia in older adults who<br />
exercise their brain—and the earlier you begin<br />
the better.<br />
Researchers have learned that a lifestyle of<br />
greater mental challenge can actually affect the<br />
system of connections in our brain, thereby giving<br />
us more ‘muscle power’ to withstand cognitive<br />
deterioration. Put another way, Dr. Verhoeff says,<br />
“We might need greater brain damage before we<br />
see or experience the tell-tale signs of Alzheimer’s<br />
or other dementias.”<br />
Developing early diagnostic tools<br />
Although early detection and aggressive treatments<br />
to preserve cognitive function are vital<br />
for Alzheimer’s sufferers, to date doctors have<br />
had no laboratory test either for diagnosing or<br />
for monitoring the progression of the disease.<br />
Together with researchers at the Centre for<br />
Addiction and Mental Health (CAMH), and the<br />
University of Toronto, Dr. Verhoeff has been<br />
engaged in research that involves using Positron<br />
Emission Tomography (PET) scanning to detect<br />
brain deposits associated with Alzheimer’s.<br />
Previous research has revealed that these<br />
nurse manager Judith Thompson. “In the Tidal<br />
Model, we preserve the patient’s own story, in<br />
his or her own words. We encourage patients to<br />
write about their life experiences, challenges and<br />
expectations. We ask them to write about what<br />
has worked for them in the past, and what they<br />
need to do now to get better. The nurse records<br />
for those who cannot do so for themselves, in<br />
their own words. Using the person’s natural<br />
language shows simply and powerfully respect<br />
for the person.”<br />
The Tidal collaboration allowed one patient<br />
to think, decide and act for herself. She<br />
describes being treated as an equal in her own<br />
care. She says she felt valued as a person and<br />
her experiences were respected. Since she did<br />
not feel threatened, she was open with staff.<br />
“It does not feel as if I am being treated, it<br />
just feels as if someone is listening to me.”<br />
deposits, known as beta-amyloid plaques, were<br />
unusually high when autopsies were performed on<br />
Alzheimer’s victims. Scientists believe that abnormally<br />
high levels of beta-amyloid are found in the<br />
brains of Alzheimer’s sufferers well before cognitive<br />
symptoms appear.<br />
Until recently, no reliable test for detecting this<br />
substance in the brain existed, but a research<br />
study by Dr.Verhoeff and his partners successfully<br />
injected patients with a compound that attaches<br />
itself to amyloid deposits and sends out harmless<br />
radioactive signals that can be detected with a<br />
PET scan.<br />
As with the levels found in Alzheimer’s victims,<br />
abnormally high beta-amyloid levels were found in<br />
living subjects and it is hoped that this promising<br />
new compound might be a reliable predictor of<br />
early changes in the brain that might lead to<br />
Alzheimer’s. Such a predictor would help doctors<br />
arrive at an early diagnosis of Alzheimer’s, which<br />
would, Dr. Verhoeff reports, “allow for a more<br />
timely initiation of preventative treatment<br />
strategies aimed at delaying the onset and<br />
decreasing the severity of Azheimer’s disease.”<br />
If you would like to know more about funding<br />
research in Alzheimer’s and related diseases at<br />
<strong>Baycrest</strong>, please contact Florence Weinberger<br />
of the <strong>Baycrest</strong> Foundation at 416-785-2500,<br />
ext. 2055.<br />
Article adapted and reprinted from BREAKTHROUGHS,<br />
published by the <strong>Baycrest</strong> Foundation. To read the latest<br />
issue, visit www.baycrest.org/breakthroughs
Oral health important for seniors, say <strong>Baycrest</strong> dentists<br />
Keeping a healthy mouth is an important part of leading a healthy<br />
life. Poor oral health can affect a person’s physical, mental and social<br />
well-being.<br />
Dentists at <strong>Baycrest</strong>’s Dental Clinic point out that while visiting the<br />
dentist is important at any age, older adults in particular need regular<br />
care. Seniors are often at risk for oral health problems due to certain<br />
medical conditions or medications.<br />
Daily brushing and flossing of natural teeth is essential to keep them<br />
in good health. although arthritis in the hands and fingers can make this<br />
challenging. Plaque can build up quickly on the teeth of older adults,<br />
especially if oral hygiene is neglected. To maintain healthy teeth and<br />
gums, it is important to brush at least twice a day with fluoride-containing<br />
Israeli quilt is donated twice…<br />
the second time to <strong>Baycrest</strong><br />
A quilt depicting a Mediterranean village scene has been donated<br />
to <strong>Baycrest</strong>’s palliative care unit. How the quilt came to the unit is<br />
an inspiring story of giving.<br />
The quilt had originally been donated by the Israeli fabric artist<br />
Rachel Covo to the Toronto alumni chapter of Alpha Omega Dental<br />
Fraternity in appreciation of its support of her husband Shlomo’s<br />
orthodontic studies at the University of Toronto several years ago.<br />
The couple enjoyed their time in Toronto and became good friends<br />
with many Alpha Omegans.<br />
In turn, the dental fraternity, with the couple’s support, decided<br />
to give the quilt to <strong>Baycrest</strong> Hospital.<br />
Entitled “Village,” the quilt is inspired by the local Israeli landscape<br />
and is displayed for all to enjoy by the elevators in the<br />
Palliative Care Unit on the 6th floor of the hospital.<br />
Palliative care nurses Susan Baltazar and Mernell Cooper admire the<br />
quilt with Ian Braverman, president of Toronto Alpha Omega.<br />
toothpaste and to floss at least once a day.<br />
Seniors visiting the dentist should<br />
expect a thorough oral examination and<br />
to be asked about their dental history.<br />
Tell your dentist if you have noticed any<br />
of the following:<br />
• recent changes in your mouth<br />
• loose or sensitive teeth<br />
• difficulty tasting, chewing or swallowing<br />
• pain, discomfort, sores or bleeding<br />
• lumps, bumps or swellings<br />
<strong>Baycrest</strong>’s Dental Clinic provides a full<br />
range of services for adults including:<br />
• X-rays, assessments<br />
• cleanings<br />
• new crowns, bridgework, dentures<br />
• fillings<br />
• extractions<br />
A referral is required for clients<br />
under the care of a physician.<br />
For more information,<br />
call 416-785-2500, ext. 2600 or visit<br />
on-line at www.baycrest.org/ dentistry.<br />
If arthritis is making it difficult<br />
to brush and floss your teeth,<br />
consider using an electric<br />
toothbrush. Or, drill two<br />
holes in a tennis ball (one at<br />
each end) and insert a regular<br />
soft-bristled toothbrush to<br />
allow for an easier grip.<br />
<strong>May</strong> <strong>2008</strong> 17
18 <strong>Baycrest</strong> <strong>Bulletin</strong><br />
Sharing Expertise<br />
Israel launches Hebrew edition<br />
of acclaimed <strong>Baycrest</strong> book<br />
The expertise of <strong>Baycrest</strong> continues to be<br />
felt around the world. Recently, senior social<br />
worker Paula David traveled to Israel for<br />
the launch of the Hebrew edition of Caring<br />
for Aging Holocaust Survivors: A Practice<br />
Manual. David co-edited the original English<br />
version which was published by <strong>Baycrest</strong><br />
in 2003. The launch was part of a one-day<br />
conference organized by JDC-ESHEL, the<br />
Association for the Planning and Development<br />
of Services for the Aged in Israel.<br />
The manual, which is a rich source of information and reflects<br />
<strong>Baycrest</strong>’s world-renowned expertise in caring for aging Holocaust<br />
survivors, is intended for health-care professionals, families and<br />
caregivers of aging survivors. The information is presented in a<br />
way that sensitizes and educates caregivers about the challenges<br />
associated with this special population. It provides invaluable advice<br />
and strategies that may be adapted to help victims of any war or<br />
genocide.<br />
“Our aim is to help caregivers provide the most sensitive care possible<br />
and thus enhance the quality of life for survivors everywhere,” says<br />
David, who spearheaded the project as <strong>Baycrest</strong>’s Holocaust<br />
resource coordinator. Several <strong>Baycrest</strong> health-care professionals<br />
have articles in their area of expertise included in the manual.<br />
While in Israel, David met with faculty from the University of Haifa’s<br />
gerontology program to facilitate the joint Collaborative Network<br />
on Aging Holocaust Survivors. She also met with professionals she<br />
had met “virtually” earlier in the year through telehealth neurology<br />
rounds.<br />
“This was an exciting trip with some great learning and sharing<br />
opportunities,” David says. “It is always a terrific experience to<br />
present <strong>Baycrest</strong> to our colleagues around the world and to<br />
actually see the impact of the work that we do.”<br />
Dr. Michael Gordon, medical program director, Palliative Care,<br />
recently conducted a workshop for medical students at Ben Gurion<br />
University in Israel. His topic was “Ethical Issues: Religion vs. the<br />
Secular World of Medicine.”<br />
A One-Bedroom Efficiency<br />
Suite at Reuben Cipin<br />
Healthy Living Community<br />
is available for rent to friends and relatives<br />
visiting a <strong>Baycrest</strong> resident or patient.<br />
Awards recognize staff’s special endeavours<br />
Dr. Bill Reichman, <strong>Baycrest</strong> president and CEO, noted at this<br />
year’s Annual Awards and Recognition ceremony that the recipients<br />
are “the most special of the special.” Here are this year’s awardees:<br />
Group Achievement<br />
Food & Nutrition Services:<br />
Beltline Safety<br />
Information Technology:<br />
Help Desk/Customer Service<br />
Nursing Practice Network<br />
Nursing Staffing Office<br />
Excellence in Leadership<br />
Pat Howard, Organizational<br />
Effectiveness<br />
The Nursing Practice<br />
Network includes, from<br />
left, Carol Ragoonath,<br />
Mary Boudart, Aurora<br />
Aglipay, Dorothy Kerr,<br />
Don McKibbon, Marjorie<br />
Hammond, Jacquiline<br />
Smith Madarasz and<br />
Sandra Law.<br />
Staff Appointments<br />
The <strong>Baycrest</strong> Board of Directors is pleased to<br />
announce the appointment of Dr. David Conn<br />
as Vice President, Medical Services. An internationally-renowned<br />
academic geriatric psychiatrist,<br />
Dr. Conn is psychiatrist-in-chief at <strong>Baycrest</strong> and<br />
an associate professor in the Department of<br />
Psychiatry at the University of Toronto. He is<br />
co-chair of the Canadian Coalition for Seniors’<br />
Dr. David Conn<br />
Mental Health and chair of its National Guidelines<br />
Project. He is past president of the Canadian Academy of Geriatric<br />
Psychiatry and a recipient of the Academy’s award for outstanding<br />
contributions to geriatric psychiatry in Canada. Dr. Conn’s academic<br />
interests include the psychiatric consequences of brain disease in<br />
the elderly, nursing home psychiatry and pharmaco-epidemiology.<br />
He has published widely in these areas.<br />
Staff Achievements<br />
Outstanding Innovation<br />
Imran Somji, Patricia Van Roon<br />
and Shamindra Fernando,<br />
Research Division<br />
Excellence in<br />
Sharing Learning<br />
Eileen Chang, Safety & Risk<br />
Management and Gary<br />
Rosborough, Organizational<br />
Effectiveness<br />
Visitors can book The Glassman Overnight<br />
Residence Suite for a 3-day minimum stay.<br />
Features:<br />
Reasonable rates, Fully furnished, Meat & dairy dishes<br />
in kitchen, Washer & dryer, Close proximity to <strong>Baycrest</strong>.<br />
For more information or to make a reservation,<br />
call: 905-850-7750<br />
The Glassman Suite is available thanks to the generosity of <strong>Baycrest</strong><br />
supporters Dr. Max and Gianna Glassman
<strong>Baycrest</strong> tests best way to implement<br />
new mental health guidelines<br />
An inter-professional team at <strong>Baycrest</strong> is<br />
examining how best to implement new national<br />
guidelines for assessing and treating mental<br />
health issues in long-term care homes where<br />
the incidence of depression is three to four<br />
times higher than in the general population.<br />
The guidelines were developed by the<br />
Canadian Coalition for Seniors’ Mental Health<br />
(CCSMH) in 2006.<br />
As a leader in the delivery of mental health<br />
services to the elderly, <strong>Baycrest</strong> is well-placed<br />
to test the most effective ways to implement<br />
CCSMH guidelines, specifically for the assessment<br />
and treatment of mood and behavioural<br />
symptoms. More than 50 per cent of residents in<br />
long-term care suffer from some form of dementia.<br />
Symptoms associated with Alzheimer’s disease<br />
and<br />
and related dementias include verbal, physical<br />
and sexual aggression, agitation and insomnia.<br />
“Good mental health is just as important as<br />
physical health for individuals in long-term care,”<br />
observes Dr. Sid Feldman, program director of<br />
Family Medicine at <strong>Baycrest</strong>. “This project will<br />
help to define best practices in mental health,<br />
which in turn will provide more complete care<br />
for the person overall.”<br />
An implementation pilot project, supported<br />
by funding from HealthForce Ontario, is now<br />
underway in the Apotex Jewish Home for the<br />
Aged. Taking part are residents, family members,<br />
and staff from all disciplines, including dieticians,<br />
family physicians, personal support workers,<br />
pharmacists, psychiatrists, registered nurses,<br />
registered practical nurses, clinical nurse<br />
<strong>Baycrest</strong> is grateful for these new funds<br />
All funds listed were established between July 1, 2007 and January 31, <strong>2008</strong><br />
Pillars<br />
$1-million Plus<br />
Sam & Ida Ross Fund<br />
for Alzheimer’s Research<br />
Sam & Ida Ross<br />
International Prize in<br />
Alzheimer’s Research<br />
Founder<br />
$250,000 to $499,999<br />
Lynn & Brent Belzberg<br />
& Family<br />
Guardian<br />
$18,000 to $35,999<br />
Rose Brown<br />
Patron<br />
$10,000 to $17,999<br />
Bertha Cozman<br />
Joanne & Garry Foster<br />
Sarah & Jacob Gordon<br />
Morris & Ruth Korman<br />
Sara (Sal) & Ted Sidon<br />
& Family<br />
Luigi Tatangelo<br />
Emma Weiss<br />
Saul & Jean Weisbrod<br />
Covenant Funds<br />
$1,000 to $9,999<br />
Joseph M. Abraham<br />
Elsa Allen<br />
Ronnie & Bunnie<br />
Appleby/Robins<br />
Appleby & Taub LLP<br />
Cantor David &<br />
Klara Bagley<br />
Sophie & Sid Baker<br />
Domenico & Maria<br />
Colaiacovo<br />
Dover Family<br />
Claire Feldman<br />
Morris & Rose Glick<br />
Jack Goldberg<br />
Ann & Percy Grafstein<br />
Hildebrand Family<br />
BSD<br />
Sarah & Percy Kassel<br />
Jane & Israel Katz<br />
Isadore & Sarah Kerzner<br />
Esther Bluma Krakowski<br />
Anna & Harvey Lerner<br />
Fran Mann<br />
Joseph & Molly Moses<br />
Beatrice & Joseph<br />
Rosenberg<br />
Josef & Fela Rosenthal<br />
Harry Rubenstein<br />
Nathan & Clara Stein<br />
Edith Swartz<br />
Chana Wallace<br />
Belle Green Wax<br />
Mietek Weinreich<br />
Memorial Funds<br />
Sophie Baker<br />
Jean Barrett<br />
Amy Beatty<br />
Anna Bernstein<br />
Belle Berger<br />
Sollie Berman<br />
Percy & Lillian Bloom<br />
Sadie & Irving Bowman<br />
Florence Cadesky<br />
Samuel and Ruth Caplan<br />
William Chase<br />
Domenico Colaiacovo<br />
Leila Conn<br />
Martin Dover<br />
Danny & Sylvia Dubinsky<br />
Ben Edelberg<br />
Sylvia Fairweather<br />
Pearl Feldman<br />
Solomon Fleisher<br />
Nathan Fox<br />
Leon Franklin<br />
Rachel Frydberg<br />
Murray Glicksman<br />
Robert Hay<br />
Sydney Herman<br />
Sylvia Herberman<br />
Rachel Kaplan<br />
Harry Kates<br />
Miriam Katz<br />
Lillian Kestenberg<br />
Arthur Krangle<br />
Esther Bluma Krakowski<br />
Max Lipovitch<br />
Rosemary Lippa<br />
Claire Mandell<br />
Evelyn <strong>May</strong>ers<br />
Margaret McCreight<br />
Ruth Mirsky<br />
Jeno Mittelman<br />
Ann Moran<br />
Renee Nadal<br />
Bernie Nathanson<br />
Arthur Nixon<br />
Courtney Noel<br />
Mannie Perry<br />
Emil Remez<br />
Egga Riebeek<br />
Raye Rosen<br />
Edith Rowan<br />
Archie Rubinoff<br />
Sara Shapero<br />
Fred Sheldon<br />
Helen Shleser<br />
Isaac Shleser<br />
Edward Silver<br />
Helen Singer<br />
Claire Spring<br />
Rachel Stern<br />
Mary Sugar<br />
Edith Swartz<br />
Harry Tepperman<br />
Louis Tureck<br />
Jack & Celia Ungerman<br />
Cheiva Vaisman<br />
Ethel Wasserman<br />
Mietek Weinreich<br />
Sadye Wintre<br />
Fanny Zaidenberg<br />
Anny Zumer<br />
Celebration Funds<br />
Vera & Arie Avraham<br />
Jack Baker<br />
Tobie Bekhor<br />
Gerald Biderman<br />
Max & Anna Milgram<br />
Sonya Slater<br />
Bernard Weinstein<br />
Kate Witkin<br />
For information about establishing a <strong>Baycrest</strong> Fund, call Lyn Ben-Dat at 416-785-2500, ext. 3409.<br />
specialists, social workers and therapeutic<br />
recreationists.<br />
The project committee is gathering feedback<br />
from all participants. Interviews were held with<br />
residents and families, for example. “We want<br />
to hear the residents’ perspective on care that<br />
supports their mental health and well-being. We<br />
want to hear of their experiences and hear their<br />
suggestions as well,” explains senior social worker<br />
Ruth Goodman. And feedback from staff focus<br />
groups will help guide the implementation of<br />
recommendations that are more relevant to “real<br />
life” daily clinical practice, say the project leaders.<br />
This is “both a client and staff-centred<br />
initiative in how mental health care is delivered—it<br />
will offer more choice in delivery of<br />
care,” explains Dr. Maria Huijbregts, director<br />
of clinical evaluation at <strong>Baycrest</strong>, and co-chair<br />
with Dr. Sid Feldman of the mental health<br />
guidelines implementation working group.<br />
<strong>May</strong> <strong>2008</strong> 19
Volunteer opportunities at <strong>Baycrest</strong><br />
Join our dedicated volunteer team. Just a few hours of your time means so much.<br />
Meal time: Many <strong>Baycrest</strong> clients can’t<br />
feed themselves and volunteers are<br />
needed to help. By volunteering at<br />
mealtimes you can help make each<br />
meal a celebration for our clients.<br />
Training will be provided.<br />
Youth opportunities: If you are<br />
between 13 and 24, we have many volunteer<br />
opportunities in the evenings<br />
and on Sundays assisting in recreational<br />
programs. The <strong>Baycrest</strong> Summer Youth Volunteer<br />
Program for university and high school students<br />
begins in <strong>May</strong>, <strong>2008</strong>. For more information visit<br />
our website at www.baycrest.org/Volunteerism.<br />
Musicians are needed to play musical<br />
instruments, and to help lead sing-a-longs.<br />
<strong>Baycrest</strong><br />
Lifeline<br />
Personal Response and Support Services<br />
Providing independence<br />
and peace of mind<br />
for today’s seniors<br />
and their families.<br />
Caregiving is made<br />
easier knowing that<br />
BAYCREST LIFELINE<br />
will be there in an<br />
emargency.<br />
Available in over<br />
130 different languages.<br />
24 hours a day/7 days a week.<br />
Discount available to veterans who qualify.<br />
CALL TODAY!<br />
Phone: 416-442-5547<br />
Revenue assists in maintaining services at <strong>Baycrest</strong><br />
EDITOR: Paula Halpin<br />
CONTRIBUTORS: Elayne Clarke,<br />
Kelly Connelly, Pam Feldman,<br />
Krystyna Lagowski, Joan<br />
Mortimer, Cindy Weiner<br />
<strong>Baycrest</strong> is an academic centre<br />
affiliated with the University of Toronto<br />
Volunteer<br />
Vanessa Lourenco<br />
The Terraces of <strong>Baycrest</strong>/Wagman<br />
Complex is looking for volunteers:<br />
• to assist with the Arts & Crafts<br />
program;<br />
• to visit residents and help in programs<br />
such as flower pressing, greenhouse,<br />
and movie night.<br />
The W.A. Café is looking<br />
for cashiers and people to<br />
help prepare food behind<br />
the counter on weekdays.<br />
Assist in the Gift Shop or in the<br />
Lottery Booth.<br />
Dog visitors are needed to<br />
brighten up the days for our<br />
animal-loving clients.<br />
<strong>Baycrest</strong> <strong>Bulletin</strong> is published by<br />
the Public Affairs Department to<br />
keep readers up to date on the news,<br />
people and events at <strong>Baycrest</strong>.<br />
Please address your letters,<br />
comments or ideas to the Editor at:<br />
Volunteers Manny<br />
Hoffman (right)<br />
and Nat Lidsky.<br />
<strong>Baycrest</strong>, Public Affairs Dept.<br />
3560 Bathurst Street<br />
Toronto, Ontario M6A 2E1<br />
or call: 416-785-2500, ext. 2479<br />
www.baycrest.org Printed on recycled paper PM40010444<br />
<strong>Baycrest</strong><br />
Home Care<br />
Services<br />
Brings the Best of <strong>Baycrest</strong> to you…providing a<br />
helping hand whenever & wherever you need it most.<br />
We can provide male<br />
and female staff for:<br />
Nursing<br />
Personal care<br />
Caregiving Relief<br />
Housecleaning /<br />
Homemaking<br />
Short-Term Respite Care<br />
Escorts for:<br />
■ medical appointments<br />
■ lifecycle celebrations<br />
■ travel assistance<br />
A program in co-operation<br />
with Spectrum Health Care<br />
The Community Day Centre needs:<br />
• patient, kind, caring individuals to assist daily<br />
with programs, serve morning coffee and chat<br />
with members. Knowledge of Russian, Hebrew,<br />
Polish, Romanian or Hungarian an asset;<br />
• a Yiddish-speaking discussion group leader.<br />
Friday and Saturday Sabbath Service:<br />
Volunteers are needed weekly.<br />
Friendly Visitors and Program Escorts<br />
are always needed.<br />
For information about all volunteer<br />
opportunities, please call: 416-785-2500,<br />
ext. 2572, or email us at<br />
alefkovitz@baycrest.org. Visit our website<br />
at: www.baycrest.org/Volunteerism<br />
Whether you are:<br />
• Living at home<br />
• Caring for a family<br />
member at home<br />
• Waiting for placement in<br />
a long-term care facility<br />
and need temporary help<br />
• In need of extra help at<br />
<strong>Baycrest</strong> or any other<br />
facility or hospital<br />
• Just home from hospital<br />
and temporarily need a<br />
helping hand<br />
For information on<br />
Services & Rates call:<br />
416-964-6402<br />
To report a change of address, or to remove your name from the<br />
mailing list, please call Kris Shenvi in the <strong>Baycrest</strong> Foundation<br />
at 416-785-2500, ext. 2261 or email: kshenvi@baycrest.org