Unlike Canadians, Americans at least know how Black people are faring with COVID-19 (very badly)
Comments by Dr. Andrew Pinto
COVID-19’s impact on Black people is highlighting the similarities and differences between the U.S. and Canada. They collect data. We don’t. We have universal health care. They don’t. But underlying structures in both nations are deeply racist, which means Black people on both sides of the border live in circumstances that leave them more vulnerable to illnesses at the best of times — and now make them susceptible to the ravages of the pandemic.
Patches on X-rays, breathing troubles, and ‘odd presentations.’ What COVID-19 looks like to Ontario hospitals
Comments by Dr. Laurent Brochard
As an emergency room doctor in Ottawa, Dr. Rohit Gandhi is used to seeing people in serious distress. They usually fit the profile of someone at risk of becoming extremely ill — maybe they’re elderly or live rough on the streets, or suffer from a serious medical condition.
In Canada’s coronavirus fight, front-line workers miss their families, fear the worst and hope they’re ready
The Globe and Mail
Comments by Dr. Tim Rutledge
Hospitals across the country are bracing for what’s expected to be a rush of new coronavirus cases in the coming weeks.
In the war against COVID-19, ventilators face their toughest mission yet
Comments by Dr. Art Slutsky
If it wasn’t so macabre it would be almost poetic: An illness that aggressively attacks the lungs, caused by a newly discovered coronavirus, has spread so rapidly and completely that we’ve barely had time to stop and catch our breath.
Osimertinib may be beneficial for NSCLC patients with intracranial metastasis
Comments by Dr. Sunit Das
Results of a systematic review and meta-analysis support a possible role for osimertinib in the management of non-small-cell lung cancer (NSCLC) patients with intracranial metastatic disease, researchers say.
Ontario clinicians bracing for ‘surge’ of COVID-19 patients — but exact timing hard to predict
Comments by Dr. Carolyn Snider
Front-line healthcare workers are bracing for a “surge” in COVID-19 patients, which could hit Ontario hospitals within weeks — though the exact timing, experts warn, is hard to predict.
Why the emergency departments look empty amid a viral outbreak
Comments by Dr. Carolyn Snider
The sound of Nicole Odermatt’s son gasping for air woke her just after midnight. The Cambridge, Ont., mom immediately recognized an attack of croup, which the six-year-old had faced several times before. But even as his lips turned blue, she admits to hesitating before she ultimately called an ambulance.
Mandatory self-isolation for those returning to Canada starts March 26
CBC News Network
Comments by Dr. Carolyn Snider
Beginning Thursday, travellers returning to Canada will have mandatory self-isolation for 14 days. The chief of emergency medicine at St. Michael’s Hospital says it’s important for people to stay at home — and important to have enforcement if they don’t.
Lung cancer therapy may improve outcomes of metastatic brain cancer
Comments by Anders Erickson and Dr. Sunit Das
A medication commonly used to treat non-small cell lung cancer that has spread, or metastasized, may have benefits for patients with metastatic brain cancers, suggests a new review and analysis led by researchers at St. Michael’s Hospital of Unity Health Toronto and Harvard Medical School.
A message from the ICU team at St. Michael’s Hospital (video)
CBC News The National
Featuring staff from St. Michael’s Intensive Care Unit
“We envisioned the whole thing as a conveyor belt”: How St. Mike’s doctors created a Covid-19 assessment centre from scratch
Commentary by Dr. Joel Lockwood
As an emergency physician and trauma team leader at St. Michael’s Hospital, I’ve been paying close attention to developments in the Covid-19 outbreak over the past few months. Once we got our first confirmed cases in Canada, our team knew we needed a plan.
Two Italian doctors look to colleagues’ wisdom in leading the critical-care team at Toronto’s St. Michael’s Hospital
The Globe and Mail
Interview with Drs. Alberto Goffi and Andrea Rigamonti
Among the biggest challenges facing Canadian critical-care doctors as they brace themselves for the coronavirus is that most have never treated a single patient made severely ill by the new pathogen, let alone the dozens a day who could soon need their help.
Do we really need vagina sheet masks?
Comments by Dr. Yolanda Kirkham
It was only a matter of time before the wellness wave came for our vaginas. A bevy of new-gen intimate care products infused with “plant-powered” ingredients and promising the pampering our “lady bits” deserve, are aiming to take self-care to new terrain.
Toronto hospital touts heart procedure for high-risk patients as ‘game-changer’
Interview with Dr. Neil Fam
A weak heart made simple tasks like walking to the bathroom from his bedroom difficult for Mir Hasan Ali. The 76-year-old retiree says he would tire quickly and feel dizzy if he walked more than a few minutes.
The Keto diet: why bother?
Ontario Today, CBC Radio
Interview with Dr. David Jenkins
This low-carb, high-fat diet was ranked worst by a US panel of specialists. But it’s still popular. Our guest nutritional scientist Dr. David Jenkins helped formulate Canadian and US guidelines for diabetes and led the team that first defined the glycemic index of foods.
Honouring women in STEM for International Women’s Day
Breakfast Television, Citytv Toronto
Interviews with Dr. Shannon Dunn and Dr. Dalia Rotstein
Two of St. Michael’s researchers (Dr. Dalia Rotstein and Dr. Shannon Dunn) were featured in a BT Toronto story about women in STEM (science, technology, engineering and math) ahead of International Women’s Day on Sunday, March 8.
New online tool directs patients and visitors to support services in the community
Interviews with Lauren Massey and Tedi Brash
Often, discharged patients, community members or visitors come to Unity Health Toronto staff asking for help to find social care such as crisis services, financial support, abuse resources, housing options or support for newcomers.
Creating an AI-powered solution to address scheduling challenges
Comments by Ray Howald and Dr. Muhammad Mamdani
It was less than a year ago that Ray Howald, the clinical leader manager of the Emergency Department (ED) at St. Michael’s Hospital in Toronto, thought out loud, “Would it be possible to create a system that does this for us?”
Seeing green: Unity Health Toronto implements various sustainability initiatives
Comments by Dayalan Thevathasan and Dr. Syed Ali Abbass
First the plastic straws went. Then it was Styrofoam and plastic materials such as utensils, take-out containers, soup bowls and lids, coffee cups and lids, stir sticks, and plates. Compost bins and a cooking-oil recycling project were also implemented.
New trauma bay shows the impact of simulations on hospital design
Comments by Dr. Andrew Petrosoniak and Margaret Moy Lum-Kwong
A brand new trauma bay has opened inside St. Michael’s Hospital’s Slaight Family Emergency Department (ED) after a lengthy and carefully planned testing and design process that ensured trauma patients will get the best possible care when they need it most.
Thinking outside the box to improve surgical safety for patients
Canadian Healthcare Technology
Profile of the International Centre for Surgical Safety with the Li Ka Shing Knowledge Institute at St. Michael’s Hospital
How does an operating room’s team culture impact a patient’s surgical outcomes? What about the number of times the OR door opens during a procedure? Or the types of distractions the team experiences while performing surgery?
How to travel during the international coronavirus outbreak
Comments by Dr. Kamran Khan
The map of Covid-19 spread around the world looks a lot different than it did just a week ago. While new infections are slowing down in China, they’re rapidly picking up pace around the globe. Of the people infected with the virus, at least in China, around 2 per cent die. Individuals over the age of 50 are overrepresented among the severe cases and deaths, as well as people with underlying health conditions. So, someone who is elderly or immunocompromised from a chronic disease should think differently about their risk of severe infection “compared to a healthy 18-year-old,” said Dr. Khan, an author on the modeling studies cited in the article.
Trends in lower-extremity amputations for diabetes and peripheral artery disease
Q&A with Dr. Charles de Mestral
Together, diabetes and peripheral artery disease account for more than 80 per cent of lower-extremity amputations in Canada. A recent study by St. Michael’s Hospital vascular surgeons, Dr. Mohammed Al-Omran and Dr. Charles de Mestral, has found that lower-extremity amputations related to diabetes and peripheral arterial disease have increased over the last decade in Ontario.
4 tips on handling Toronto’s slippery sidewalks this winter
Tips from Jessica Casey and Julia Filinski
Though it’s been a milder winter than usual in Toronto, fluctuating temperatures can pose unexpected risks for slips and falls. The warmer days and sudden temperature drops at night can create sheets of ice that are dangerous when unnoticed. The Falls Prevention Clinic at Providence Healthcare takes a holistic, interprofessional approach to addressing risks and prevention, and is available to the community through a referral from your family doctor. Occupational therapist Jessica Casey and physiotherapist Julia Filinski at Providence helped develop the Falls Prevention Clinic six years ago and shared their top tips for falls prevention and awareness.
Geriatric Psychiatric Clinic supports complex needs of older adults
Introduces the Geriatric Psychiatry Clinic at Providence
The Geriatric Psychiatry Clinic is part of a multidisciplinary program, The Regional Geriatric Program of Toronto, housed at Providence Healthcare since 1988. The role of the clinic’s geriatric psychiatrists is to assess, consult, and treat elderly patients who may have a mental health issue, dementia syndrome, behaviour disorder, or a psychosocial problem. Referrals to the clinic come primarily from family physicians, geriatricians, and neurologists. A critical component of the program is the community outreach service, which involves health care professionals visiting patients in their homes to identify factors that contribute to frailty in the elderly.
Community Health Navigators offer ‘safety net’ for patients going home
Comments by Monica McCullagh and Kelly Tough
At Providence Healthcare, the Community Health Navigator role supports patients after discharge and rehab patients receive either a live or an automated phone call – based on their preference – to check on how they’re doing. These calls happen at the 48-hour, 30-day and four-month points after discharge. Monica McCullagh, one of three Community Health Navigators (CHN), said the navigators make sure the discharge plans are being followed, that physician referrals are in motion and that they have the medications they need.
Armes à feu : Ottawa veut permettre le signalement des personnes à risque
Ici Radio-Canada Première Toronto
Comments by Dr. Samuel Vaillancourt
Le ministre de la Sécurité publique, Bill Blair, compte présenter un projet de loi incluant la possibilité d’alerter les autorités en cas de comportement à risque de personnes possédant des armes à feu.
Traumatic brain injury in homeless people is underrecognized
Comments by Dr. Stephen Hwang
A recent review in The Lancet Public Health found the lifetime prevalence of any severity of traumatic brain injury (TBI) in homeless and marginally housed individuals was 53.1 percent, and the lifetime prevalence of either moderate or severe TBI was 22.5 percent. Dr. Stephen Hwang, an internist, homelessness researcher, and director of the Centre for Research on Inner City Health at St. Michael’s Hospital in Toronto, said living on the streets or in a shelter is a hazardous environment. He said neurologists treating homeless patients should be aware of the possibility that a history of TBI could be the cause of behavioral issues, seizures or unexplained cognitive deficits. He helped craft recommendations issued in October 2018 by the National Health Care for the Homeless Council that focus on the care of patients who are homeless and living with the effects of TBI.
Plastic-free periods: Reusable menstrual products are going mainstream (scroll for the article)
Interview with Dr. Yolanda Kirkham
Every year, tens of billions of single-use pads and tampons go into landfills — material that takes hundreds of years to decompose. The average user goes through between 5,000 and 15,000 pads and/or tampons in a lifetime. Reusable menstrual products have been available for a while, but they’re becoming increasingly mainstream. Dr. Yolanda Kirkham, a gynecologist at. St. Joseph’s Health Centre of Unity Health Toronto, said a lot of her patients have been using reusable products for several years, indicating those who make the switch end up sticking with it.
How the design of a new trauma centre at St. Michael’s Hospital is meant to save precious seconds, and lives
Interviews with Candis Kokoski, Dr. Bernard Lawless, Dr. Andrew Petrosoniak and Dr. Carolyn Snider
The Toronto Star
Trauma teams at Toronto’s St. Michael’s Hospital spent countless hours in the last year and a half trying to shave minutes and seconds off treatment times for critically injured patients. But in the type of Level 1 trauma centre the hospital opened last week to the city’s most gravely injured patients, minutes and seconds are the medicine of life. The quicker, more coordinated and efficient the treatment, the greater the chance of survival, says Dr. Bernard Lawless, medical director of the hospital’s trauma program. The upgrade has a much better layout to more smoothly, efficiently manage patents as they come through the doors, said Dr. Lawless. The new equipment is certainly an upgrade in the incremental way that new versions of technologies typically improve on the older, but it’s the placement of the equipment, the logistical layout of the cabinets, the shelves, the smallest details — that will make the most difference.
Study finds female soccer players more likely to undergo medical assessments after head trauma than men
Research by Dr. Michael Cusimano
The Globe and Mail
Half of elite female soccer players who suffered a head-collision event received medical assessments, compared with a third of male players, according to a study by Dr. Michael Cusimano, a neurosurgeon and researcher at St. Michael’s Hospital. In the matches reviewed, 84 per cent of female athletes and 88 per cent of male athletes showed two or more visible signs of concussion after a head collision event, including clutching of the head or disequilibrium. Dr. Cusimano believes the differences in how head collision events are handled between the two genders may lie in the on-field officials – female referees officiate female matches.
– Additional coverage in The Toronto Star, CTV News and Sportsnet
Food insecurity can shorten lifespan
Comments by Dr. Gary Bloch
A new study shows that food insecurity – the lack of access to nutritious foods – can shorten someone’s lifespan by nine years. Dr. Gary Bloch, a family physician with St. Michael’s Hospital’s Academic Family Health team, was not involved in the study but says that the findings reinforce what he sees in his practice. Dr. Bloch said the prospect of dying earlier due to a lack of access to nutritious food is frightening and should be addressed at the social policy level.
Boys and young men more likely to die than girls and young women, study finds
Research by Dr. Joel Ray
The Canadian Press, via CBC News
A new study shows boys and young men are more likely to die than girls and young women, and they have a greater chance of dying due to injury, particularly from age 14 onwards. The study looked at 3.1 million children born in Ontario between 1990 and 2016 and examined who died and from what cause between the ages of one and 24. Lead author Dr. Joel Ray, a clinician-scientist at St. Michael’s Hospital in Toronto, said the jump in deaths during adolescence, particularly in boys, is likely due to an increase in risk-taking behaviours, but said biological factors and changes may play a role in those behaviours as well.
– Additional coverage on The Toronto Star
Bariatric Centre of Excellence opens at Unity Health Toronto
Comments by Sonya Canzian
Michael Garron Hospital (MGH) and Unity Health Toronto have partnered to open a Bariatric Centre of Excellence (BCoE) to provide their communities with access to bariatric surgical care close to home. A BCoE provides services with a team of experts who have adopted best practices to help people manage obesity. The Unity Health – MGH BCoE includes a Bariatric Assessment Centre (BAC) at Providence Healthcare and a partnership of three existing bariatric surgery sites: St. Michael’s Hospital, St. Joseph’s Health Centre and MGH. Together, the Centre provides comprehensive pre-operative, peri-operative and post-operative bariatric surgical care. Sonya Canzian, Chief Nursing and Health Professions Officer at Unity Health, said the partnership is a patient-focused solution that will benefit hundreds of people every year.
Caught in a crisis: crystal meth addiction in Canada
Comments by Dr. Carolyn Snider
Dr. Carolyn Snider, chief of St. Michael’s Hospital’s emergency department, believes it won’t be long until Toronto hospitals see the same levels of crystal meth cases as she did back in Winnipeg while working as an emergency physician. Dr. Snider saw crystal meth become the predominant substance among patients around 2017, and said it was a frustrating period, because as front-line staff were struggling to manage five or six patients actively suffering from meth psychosis at any given time, federal funding and national attention was directed at the opiate crisis. Now at St. Michael’s in Toronto, Dr. Snider sees that opioids are still very much a problem, but she has also seen several cases of meth hallucinations and psychosis, and believes that the drug is moving east.
Is Canada at risk from a mysterious Chinese virus related to SARS?
Comments by Dr. Kamran Khan
An illness in China has been identified as a new coronavirus, a large family of viruses that can make the jump from animals to humans and range from the common cold to much more serious illnesses, such as SARS or MERS. Given the fact that both SARS and the Wuhan outbreak both originated in open-air markets that sold both live and dead animals, the similar origins of the viruses are hard to ignore. Dr. Kamran Khan, an infectious disease physician and scientist at St. Michael’s Hospital in Toronto said there are some parallels thinking back to SARS, however we are getting information earlier in this outbreak. He said to get in front of threats, information must move faster than the diseases themselves.
‘I was pretty broken’: Man shares journey of learning to walk again after serious car crash
Patient story, with comments by Jeff Kestenberg and Dr. Ashley Verduyn
J.D. Penner, who was once an avid cyclist and runner, was seriously injured in an Etobicoke crash more than five years ago. He was left with nerve damage, a concussion and fractures all over his body, including the tibia and fibula, clavical, stemum, ribs, vertebra and right hand. After emergency surgery at St. Michael’s Hospital, Penner arrived at Providence Healthcare for between seven and eight weeks of rehabilitation, including learning how to walk again. Penner said he has a lot of love for Providence, and while he doesn’t consider himself to be particularly inspirational, he hopes that his journey might resonate with someone going through something similar.
– Video coverage on CTV News Toronto
East Toronto groups form community-focused health-care network
Mentions Providence and the Toronto East Ontario Health Team
A new integrated health care network is now up and running in East Toronto. Ontario’s Minister of Health and Deputy Premier Christine Elliott officially named the Toronto East Ontario Health Team, East Toronto Health Partners as it’s being called, as one of the first of 24 new health teams in Ontario. The new team consists of six anchor partners, all of whom have a long track record of working together. They are Michael Garron Hospital, Providence Healthcare, South Riverdale Community Health Centre, VHA Home HealthCare, WoodGreen Community Services and East Toronto Family Practice Network, which is the voice of 260 primary care physicians in East Toronto with the support of a number of organizations with similar offerings.
Induced labor tied to neonatal complications among women with diabetes before pregnancy
Research by Dr. Howard Berger
Routine induction of labour among women with diabetes before pregnancy is not associated with an increase in the rate of cesarean delivery, but is associated with certain neonatal complications, according to findings published in BMJ Open Diabetes Research and Care. Dr. Howard Berger, lead researcher and head of maternal fetal medicine at St. Michael’s Hospital, said based on this population-based, retrospective data, delivery of women with preexisting diabetes before 39 weeks’ gestation is associated with a higher rate of neonatal complications and does not reduce the cesarean section rate.
St. Joseph’s hospital gets money to help with wait times and overcrowding
Comments by Dr. Tim Rutledge
The Toronto Star
The Ontario government is providing up to $5 million in funding to cover costs of early planning of redevelopment at St. Joseph’s Health Centre. Dr. Tim Rutledge, president and chief executive of Unity Health Toronto, told a news conference the new facilities will help transform patient care in Toronto’s west end.
Not enough home care top concern for Ontario patients, study finds
Research by Dr. Tara Kiran
The three biggest problems for patients surveyed about their discharge from Ontario hospitals all concern publicly funded home care, according to new research published in an international medical journal. Dr. Tara Kiran, lead researcher of the study and a family physician at St. Michael’s Hospital, hopes the findings will encourage improvements in the hospital-to-home transition navigated by some one million patients every year in this province. The study involved more than 700 patients who had been admitted to Ontario hospitals over the previous three years.