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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 />

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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

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