voice of st. Paul’s Hospital Foundation

fall/winter 2009

the team approach Inside the Integrated Care Clinic

bridging the gap Mental health services for youth

report to the community n u r s i n g Successes to celebrate n e w RBC Foundation’s $1-million donation to St. Paul’s creates d r e a m s new opportunities for nurses PM 40065475 inside Fall/Winter 2009

Cover 6 Nursing fall/winter 2009 New Dreams VOLUME 7, NUMBER 2 a $1-million gift from the RBC Foundation EDITOR will help practising nurses advance their Ann Collette education plus provide mentors for nurses CONTRIBUTING EDITOR throughout their careers. Leslie Dickson By Helena Bryan ART DIRECTOR Ren Reed Contributing Writers Yolanda Brooks, Helena Bryan, Leslie Features Dickson, Nancy Gratham, Gail Johnson, J.K. Malmgren, Jessica Werb 11 Report to the 6 Contributing Photographers Phillip Chin, Ron Sangha, Brian Smith – Community Providence Health Care Media Services senior IMAGING technician 08/09 Debbie Lynn Craig learn how you, our generous donors and ELECTRONIC IMAGING supporters, helped the foundation to achieve Laura Michaels many fundraising successes in 2008/09. PRODUCTION manager Suzy Williamson circulation 18 The Team Scott Wheatley, Tracy McRitchie, Rekha Sihota Approach The multidisciplinary team at the Integrated care Clinic is helping kidney patients navigate 11 the complexities of multiple health challenges. By Gail Johnson 4th Floor, 4180 Lougheed Highway Burnaby, B.C., V5C 6A7 Phone: 604-299-7311 Fax: 604-299-9188 chairman, ceo 21 c l o s e -u p Peter Legge, O.B.C., LL.D. (Hon) PResident Bridging the gap Karen Foss The innovative Vancouver Inner City Youth Executive Vice-President Mental Health Program is taking much- Heather Parker, CGA needed psychiatric services to the street We welcome your comments on Promise magazine. to help youth in crisis. Please write to us c/o St. Paul’s Hospital Foundation, By Yolanda Brooks 178 –1081 Burrard Street, Vancouver, B.C., V6Z 1Y6. 18 Website: www.helpstpauls.com Phone: 604-682-8206; Fax: 604-806-8326.

Promise magazine is published twice a year by Departments Canada Wide Media Limited for St. Paul’s Hospital Foundation. No part of this magazine may be reproduced 3 Frontlines without written permission of the publisher. Send change- Diagnostic Treatment Unit; high-definition of-address notices and covers of undeliverable copies to: Promise, c/o St. Paul’s Hospital Foundation, CT scanner; Herzog photography donation; 178 –1081 Burrard Street, Vancouver, B.C., V6Z 1Y6. Fast Updates: Lights of Hope campaign; For subscription enquiries, call 604-299-1023. ISSN: 1703-6151. Canadian Publications Mail Product Scotiarun results, doctors’ public lecture series. Sales Agreement No. 40065475.

5 5 great ways to give Learn many convenient ways to donate to St. Paul’s Hospital Foundation. 21 17 Breakthroughs A new nucleic acid extractor has revolutionized 23 off duty lab testing for viruses at St. Paul’s, which is great Medical microbiologist Dr. Marc Romney. news for transplant patients. By Jessica Werb By J.K. Malmgren

2 Promise • Fall/Winter 2009 Photographs: Phillip Chin (cover); Brian Smith; iStockphoto (teen) frontlines CT Scanner Generates Clear Benefits New scanner uses less radiation while producing superior images

Dr. Jonathon Leipsic says that St. Paul’s new high-definition CT scanner is invaluable for early stroke detection and for diagnosing cancer.

Better. Safer. Faster. Cheaper. These may not be words stroke detection, to detect pneumonia or pneumothorax, we’re accustomed to hearing in discussions concerning and, with its unprecedented ability to differentiate between health care, but they’re certainly relevant when talking types of soft tissue, to more accurately diagnose lesions in about the newest equipment acquisition by the Radiology the lungs, liver and other organs. At the same time, St. Paul’s Department in partnership with the Providence Heart + Lung is also doing world-leading clinical research with the new CT Institute at St. Paul’s Hospital. Thanks to early support from scanner in collaboration with other renowned academic donors to St. Paul’s Hospital Foundation, St. Paul’s was the first health science centres like Cornell University Medical hospital in Canada to put a powerful new $2.2-million high- Center and Massachusetts General Hospital. definition computed tomography (CT) scanner to patient Faster, more accurate, and often less expensive than use for better, safer, faster and more cost-efficient imaging. traditional testing methods, the world’s first high-definition CT For patients with coronary artery disease, the new scanner scanner also uses significantly less radiation than its earlier offers a safer, non-invasive and less-expensive alternative to incarnations. Remarkably, the unmatched diagnostic image traditional angiography. For undiagnosed patients who present quality is delivered with as little as half the radiation for body with chest pain, it can perform a time-saving and possibly scans; 83-per-cent less for cardiac scans. It also produces lifesaving triple-rule-out test designed to simultaneously those images about 100 times faster than its predecessors. scan for three potentially fatal causes of that pain: coronary So, while the foundation continues to raise money to artery disease, aortic dissection and pulmonary embolism. complete the purchase of this groundbreaking equipment, However, cardiac patients aren’t the only ones seeing its time-saving, cost-saving and lifesaving benefits are already the benefits of the remarkable new machine. According to as clear as the images it generates. -Nancy Gratham Dr. Jonathon Leipsic, head of the Department of Radiology at St. Paul’s, physicians are already using the scanner for 170 To make a donation towards the CT scanner, call 604- different cases a week, 12 hours a day. It is invaluable for early 682-8206 or visit www.helpstpauls.com

Photograph: Brian Smith Fall/Winter 2009 • Promise 3 frontlines

Captured in Time Lights of Hope Goes Global Celebrated Vancouver photographer Next February and March, sports Fred Herzog donates an image of the fans from around the world will get hospital to St. Paul’s a chance to see St. Paul’s Hospital Foundation’s 12th annual Lights of Hope display as well as the names of our many generous Lights of Hope donors. That’s because this holiday season landmark will continue to light up downtown Vancouver during the Vancouver 2010 Olympic and Paralympic Winter Games. Fans in need of hospital care will get an even closer look at the display, as St. Paul’s is the designated spectators’ hospital during the Games. For more information about Lights of Hope or to donate, visit www.helpstpauls.com/lights_of_hope -Leslie Dickson In every great city there are buildings and places that become so much a part of the landscape that it’s Runners Rise to The Challenge hard to imagine the city without them. St. Paul’s Hospital and its storied red-brick facade is such a In 2009, St. Paul’s Hospital Foundation was one of 15 place. There are people, too, who become synonymous lucky non-profits selected to take part in the Scotiabank with a city, capturing its spirit or embodying it, and Vancouver Group Charity Challenge. A fundraising sometimes doing both. Renowned photographer complement to the Scotiabank Vancouver Fred Herzog is such a person. Half-Marathon & 5K held on June 28, Since arriving from Germany in 1952, Herzog has the challenge encouraged runners documented the drama of urban life in Vancouver and walkers to raise money for their through his celebrated colour-saturated Kodachrome favourite charity. images. Now, thanks to the photographer’s kind Almost 40 people made St. Paul’s donation, one of those images will soon grace a wall Hospital Foundation their charity of at St. Paul’s. choice and countless more sponsored There is a connection, of course. While Herzog them with donations. In all, they raised was so famously documenting his adopted city and more than $11,500 for St. Paul’s Hospital. laying the groundwork for a school of “New Colour” A big thank-you to everyone who supported St. Paul’s photographers that would later receive much and to Scotiabank for making this event such a success. -L.D. acclaim, he was also working as a medical photogra- pher at St. Paul’s, documenting things of a more Let’s Talk About Health scientific nature. “Those five years gave me a knowledge in medical Get in-depth and up-to-date health information from photography,” remembers Herzog. That knowledge, leading medical experts at the new Own Your Health: together with his underlying talent, was sufficient to St. Paul’s Hospital Community Forums. earn him the position of chief photographer for the These free public talks are held on the third Wednesday Faculty of Medicine. Later, Herzog would also become of every month from 7 to 9 p.m. in St. Paul’s Hospital’s New associate director of St. Paul’s Department of Biomedical Lecture Theatre. These informal discussions, sponsored Communication – a position he held until 1990. by St. Paul’s Hospital Foundation and Providence Health Now his two worlds have come together in the Care’s departments of Medicine and form of a photo, which will soon hang in St. Paul’s Surgery, give members of the Hospital. The image, says Herzog, was taken in 1957 public the opportunity to ask from the top of the BC Hydro building. Shot in questions of St. Paul’s specialists. Herzog’s trademark Kodachrome colour, the picture For information about shows St. Paul’s Hospital nestled at the heart of a upcoming speakers and topics, neighbourhood comprising apartments and houses. including HIV/AIDS and diabetes, It’s an engaging image; a moment of the hospital’s visit www.phcmedicine.ca -L.D. history captured in time. -N.G.

4 Promise • Fall/Winter 2009 Photographs: Brian Smith Dr. Lawrence Cheng says the new four-bed DTU will greatly great enhance emergency services. 5 gıvWAYSe TO

1. Donate to St. Paul’s Hospital Foundation

Mail: 178-1081 Burrard St., Vancouver, B.C. V6Z 1Y6

Phone: 604-682-8206 Web: www.helpstpauls.com

Diagnostic Treatment Unit 2. Give a gift of securities Redeployment of Emergency Department resources is producing By donating securities directly great results to St. Paul’s Hospital Foundation, you could save a significant St. Paul’s Hospital knows a thing or two hospital. These short-term admissions amount of money at tax time. about innovation in health care. It’s no also contribute to the access block that Charitable gifts of publicly traded surprise then that St. Paul’s Emergency most emergency departments currently shares and mutual funds are now Department’s new Diagnostic Treatment experience. exempt from capital gains tax and Unit (DTU), which opened last summer While it may sound like patients are earn you a charitable receipt for as the third phase of the aptly named receiving the same treatment only in the full market value. If you have Emergency Innovation Project, has become a different location, Cheng says the a capital loss, the loss can be a model for hospitals everywhere. benefits of treating these patients in used to offset past and future St. Paul’s new DTU – funded in part by the DTU are significant. For every person capital gains. donors to St. Paul’s Hospital Foundation treated and discharged from the DTU, – is a special four-bed treatment area a much-needed hospital bed is freed 3. Honour a loved one situated across the hall from acute care in upstairs on a ward. This is significant the Emergency Department. According to because, as Cheng points out, “There’s Make a donation in honour or Dr. Lawrence Cheng, physician operations an almost endless supply of patients in memory of a family member leader of the department, this unit can waiting to fill those beds.” or friend. Call 604-806-8912.4 make a big difference in terms of timely, If the DTU’s four beds don’t sound effective patient management and like much, consider the math. Over the 4. Make a bequest long-term cost efficiency. Here’s why: course of a single year those four beds The people who arrive in the add nearly 80,000 stretcher hours to Include a gift to St. Paul’s Hospital Emergency Department traditionally fall the hospital’s capacity. Based on an Foundation of Vancouver in your into one of two groups – those who need average four-hour stay in the Emergency will. There are also other ways to to be admitted to hospital and those who Department, that works out to an make a future or planned gift, don’t. However, there has always been a additional 10,000 patients the depart- including life insurance, an RRSP or third group of patients whose needs fall ment can see each year. Now that’s RRIF, or a trust. Call 604-806-8914. somewhere in the middle – patients who innovation. -N.G. perhaps require only a day of treatment 5. Lights of Hope or observation before they stabilize and St. Paul’s Hospital Foundation is currently can be sent home. It is for this specific raising $4.7 million for the Emergency Support our annual holiday season group of patients, who suffer from illnesses Innovation Project to augment a fundraising campaign. Call 604- like chest pain, pneumonia and asthma, $10-million commitment from Vancouver 806-8560 to talk about getting that the DTU was created – the patients Coastal Health. For information or to your name or your company’s who would previously have required costly, make a donation, visit www.helpstpauls. name on a star. resource-heavy short-term admission to com or call 604-682-8206.

Photograph: Brian Smith Fall/Winter 2009 • Promise 5 nursing new

Ad transformationalre $1-millionams RBC Foundation donation builds on the long tradition of nursing excellence at St. Paul’s Hospital.

s the largest group of care providers, nurses are, for many canadians, the face of health care. Skilled pro- fessionals tempered by a spirit of compassion and caring, nurses are a crucial resource when we are in pain, acomfort and educate us when we have fears, and are a lifeline when circumstances take a turn for the worse. However, nurses are getting much harder to come by. First, many The second component of the program, called the RBC Nursing nurses are preparing to leave the profession as more than 20 per cent of Education Awards, grants fi nancial support to nurses pursuing a range Canada’s nurses are now eligible for retirement. In addition, according of educational opportunities (e.g., bachelor’s degree, a master’s degree to a report by the Canadian Nurses Association, there’s currently a short- or, for the fi rst time at St. Paul’s, a PhD in nursing) or support to present age of more than 11,000 registered nurses (RNs) nationwide. By 2022, a paper or research with other nurses around the globe. this number will reach 22,000 if nothing is done to address the problem. encouraging retention advancing the profeSSion One of the major findings from the nursing consultation process St. Paul’s Hospital is doing its part to inspire practising nurses as well as was that such educational and mentorship opportunities are critical for entice new nurses to join its ranks, thanks in large part to a $1-million attracting new nurses and retaining experienced ones. donation to St. Paul’s Hospital Foundation from the RBC Foundation. “Increasingly, nurses want to advance their careers by pursuing The milestone sum has created the new RBC Leadership Program for graduate degrees or specialized training,” says Byres. “Now we’re able to Nursing Innovation. Launched during national Nursing Week in May support them in that.” 2009, the program has two main components based on fi ndings from Stephen Shapiro, St. Paul’s Hospital Foundation’s president and CEO, an extensive consultation process in February 2009 involving Provi- believes the RBC Foundation gift is transformational, providing an dence Health Care nurses and leaders. innovative solution to the challenges presented by B.C.’s nursing short- With a philanthropic tradition dating back to 1891, RBC is one of age: “The RBC investment is a powerful recognition of the integral role Canada’s largest corporate donors, which sponsors key initiatives in the that nurses play in our health-care system. It will ensure that St. Paul’s communities it serves. remains at the forefront of nursing advances by providing progressive “RBC truly admires the success and impact St. Paul’s has had in training and mentoring opportunities for our nurses.” nursing practice over the years,” says RBC regional president Graham However, nobody is leaving the advancement of the profession MacLachlan. “We share St. Paul’s long-term vision of growing the num- to chance. ber of qualifi ed nurses in B.C. and we believe the newRBC Leadership “While we know from the literature that improved nursing know- Program will help attract and retain nurses, creating a lasting legacy of ledge has many benefi ts, we want to demonstrate outcomes,” says excellence and innovation in nursing care.” Byres. “Through formal evaluations each fi scal, we expect to show that The first component of the program is a mentorship initiative, improved clinical support for direct-care nurses leads to more nurses the RBC Nursing Mentorship Program, enabling a dedicated, highly remaining in the workforce. We also expect to show the relationship experienced nurse mentor to provide on-the-spot coaching and gen- between the clinical support enhancing knowledge and improved eral support to nursing staff – particularly early-career nurses. patient care.” “We have nurses here with tremendous skills and expertise. Some One RBC nurse-mentor position was fi lled in June 2009 by a 34-year may not want to work the same shifts anymore and others are looking veteran of the profession, and 26 nurses have already benefi tted from for a new career opportunity. They now have that opportunity, in the RBC Nursing Education Awards. In this issue, we introduce you to collaboration with our educators, to contribute through point-of-care St. Paul’s Hospital’s fi rst nurse mentor, as well as two of this year’s 26RBC support,” says David Byres, vice-president of Clinical Programs, Chief Nursing Education Awards recipients. While their backgrounds, experi- of Professional Practice and Nursing at Providence Health Care, which ence and aspirations are different, they share something very special – a operates St. Paul’s Hospital. passion for nursing and a desire to make a difference. l

6 Promise • Fall/Winter 2009 by helena bryan

ST. PAUL’S PROUD NURSING HISTORY For 67 years, St. Paul’s Hospital operated a highly respected School of Nursing. The school closed its doors in 1974 when the profession shifted its educational focus to post-secondary institutions. St. Paul’s continues to lead as a clinical training centre for the nurses of today and tomorrow.

1907 St. Paul’s opens its fi rst School of Nursing 1919 St. Paul’s graduating class is the fi rst to write the Provincial Registered Nurses exams. 1931 A new six-storey nurses’ residence opens, with room for 200 students 1957 UBC nursing students begin doing most of their clinical work at St. Paul’s 1974 St. Paul’s School of Nursing closes after 67 years and the graduation of more than 4,000 nurses. 1979 The Registered Nurses Foundation of B.C. is formed to assist nurses in furthering their education. St. Paul’s nurse Don Ransom is the founding president. 1985 A team from St. Paul’s leads efforts in AIDS education for nurses, which appears in a special report in RNABC News. 2009 The RBC Leadership Program for Nursing Innovation is established at St. Paul’s Hospital thanks to a $1-million donation from the RBC Foundation.

“WE BELIEVE THE NEW RBC LEADERSHIP PROGRAM WILL HELP ATTRACT AND RETAIN NURSES.” Graham MacLachlan, RBC regional president

Photographs: Brian Smith, courtesy PHC Archives (historical image) Fall/Winter 2009 • Promise 7 Nurse mentor Cheryl McDonald (right) will be on hand to provide much-needed professional support to working nurses like Meghan Fales.

Someone to Watch Over Me RBC nurse mentor Cheryl McDonald gives fellow nurses someone to lean on

Back in the 1970s, Cheryl McDonald, then mentor, McDonald devotes her time to helping ence than when I graduated,” says McDonald. a newly minted RN working in Nelson’s nurses navigate their way through those New nurses will clearly benefit from a full- community hospital, found herself working pivotal first years. time mentor on staff, but so will more estab- wherever the need was greatest at the moment During her more than two decades at lished nurses: “I’m there as a sounding board if – orthopedic surgery, vascular surgery, general St. Paul’s McDonald has worked as a staff they want to discuss something specific about a surgery, labour and delivery, gynecology – you nurse, acting head nurse and clinical nurse patient’s care or need help with some procedure name it. leader in various areas, including gynecology, they’re not familiar with. My schedule is posted “I was brand new with no experience and I surgery, intensive care, coronary care, and the in each unit; I have a pager and I’m there for was the only RN on at night, so often I was it,” gastrointestinal clinic. all of the nurses, new and experienced.” says McDonald. Now, as a seasoned nurse veteran, she In addition to being an in-the-moment, McDonald’s first two years on the job were wants to give back by sharing her wealth of individual support for nurses, McDonald will very stressful, but she is proud that she stuck it knowledge. In her new position, she will sup- work with nurse educators to identify the over- out as a new nurse. Now, after 34 years work- port nurses to help them integrate all their all training needs of the unit, develop nurses’ ing in hospitals throughout Western Canada, learning and skills for the best possible patient learning plans and determine systems and she knows first-hand that the profession loses care on four units at St. Paul’s: two cardiac and procedures that need refinement. too many novice but potentially excellent two surgical. In a role with many exciting challenges, nurses due to lack of support. “I’ve definitely learned from more experi- McDonald will always be sure to keep a goal in “It’s that first year that can make or break a enced nurses and now it’s my pleasure to coach mind: sparing other nurses the same terrifying nurse’s career,” says McDonald. and advise new nurses who are coming out of sink-or-swim experiences she endured as a

Today, as St. Paul’s Hospital’s firstRBC nurse four-year programs with less clinical experi- young RN in order to keep nurses in nursing. l

8 Promise • Fall/Winter 2009 Expanding Horizons An award from RBC Foundation is helping a patient educator do what she was meant to do

Brynn Laurillard loves a challenge. A good go back sooner than later, just four years after “I don’t have much of a social life,” she thing, too, because she got more than her fair graduating from the University of Ottawa as says, adding that the payoff is worth it. “This share when she went back to school a year ago an RN and returning to Vancouver to work past year, my mind has been opened up to so to pursue her master’s in nursing while working in St. Paul’s HIV/AIDS unit. It’s work that much. My undergraduate degree was clini- full time as patient nurse educator in St. Paul’s Laurillard fell in love with instantly. cally oriented, which is great, but the master’s John Ruedy Immunodeficiency Clinic, which “I knew right away this is what I wanted to is giving me a lot more knowledge about cares for 1,200 people living with HIV/AIDS. do with my life,” says Laurillard. “I loved that HIV/AIDS.” Fortunately for Laurillard and her I was working with patients that tend to be Of course, Laurillard has something no patients, an RBC Nursing Education Award marginalized; patients who other people might degree can teach; namely a deep regard for has helped her meet some of the financial not be willing to care for. And I really liked that her patients. challenges of her first year back at school, St. Paul’s is on the leading edge in Canada in “This is a unique patient group already which wrapped up in June 2009. the area of HIV/AIDS, with the only in-patient dealing with terrible stigma,” says Laurillard. “The award gave me a term’s worth of unit in Canada for HIV-positive patients.” “You won’t keep them coming back for treat- tuition and peace of mind,” says Laurillard. The fact that Laurillard has been able to ment if you’re judgmental or disrespectful.” “It provided me with some scheduling flexi- tailor her degree (she’s focusing on HIV and In the end, all the effort of the past year bility, allowing me to take the time to focus addictions) and pick subjects that she cares hasn’t been about the degree at all. For Lauril- on school.” about and that she will eventually be able to lard, the master’s is just a means to a more There was never any question that Lauril- apply to her work has helped her stick with important end – better care for people living lard would go back to school. She decided to the intense schedule in spite of the sacrifices. with HIV and AIDS. l

Brynn Laurillard is pursuing a master’s degree with an eye to enhancing her ability to help patients living with HIV/AIDS.

Photograph: Brian Smith Fall/Winter 2009 • Promise 9 Martha Mackay is working on her PhD in nursing. She plans to continue working in clinical practice while also conducting research.

Position of Influence An award from RBC Foundation will help an up-and-coming researcher broaden her reach in nursing

It wasn’t until Martha Mackay was a patient “There’s a perspective nursing takes that flow to the heart muscle is temporarily stopped, that she first started thinking about becoming no other discipline gets at,” says Mackay. “My mimicking a heart attack. So it was an ideal time a nurse. She was a teenager at the time and clinical practice will inform the questions I to ask about symptoms. Participants’ answers briefly quite ill: “I was awestruck by how much ask in research studies and should improve the to a series of open-ended questions led to some the nurses contributed to making me feel better flow of research findings back into the clinical interesting preliminary findings. – by just how good the good nurses were.” setting. That’s one reason it’s good for patients The most common symptoms, regardless That experience was enough to inspire to have a nursing voice in influential places.” of gender, were chest, arm or throat pain, as Mackay to set her sights on becoming an RN The research Mackay has done while work- well as indigestion, shortness of breath and an herself. Today she’s a clinical nurse specialist ing toward her PhD is a case in point. Her overall feeling of fatigue. There was no differ- in the provincial Heart Centre, part of the Pro- study, which asks the question “Do heart ence in the proportion of women reporting vidence Heart + Lung Institute at St. Paul’s. attack symptoms differ between men and chest pain compared to men and there was no Looking back, nursing was a perfect (if not women?” has the potential to help improve difference between the genders in the preva- obvious) choice for someone who also happens cardiac care, particularly for women, which is lence of typical symptoms appearing as a to love research, is naturally analytical and a group that has been understudied when it cluster. The findings are a good beginning, is always asking questions. comes to heart health. says Mackay, who plans to pursue further In fact, thanks to an RBC Nursing Education “When people have heart attacks the most research related to heart health and the differ- Award, Mackay is poised to enter a pretty special important factor for survival is prompt treat- ences between men and women. club: the roughly 0.1 per cent of nurses in ment, and literally every minute makes a dif- For aspiring and established nurses alike, the country who are PhDs. The degree, which ference,” says Mackay. “But studies show that the opportunities afforded by the RBC Nursing Mackay expects to finish by the end of 2009, is women delay seeking treatment more than Education Awards are an inspiration. much more than a piece of paper. It means she men. Why is that? We wondered if it is because “When I started nursing, nurses could has the knowledge required for independent they don’t recognize their symptoms. The advance only to head nurse or some other research and potential access to hotly contested research so far on heart attack symptoms and administrative role, but there were very few research funds. gender differences hasn’t been conclusive and ways to advance while staying in clinical But Mackay doesn’t want to leave clinical I thought it was worth a more careful look.” practice,” says Mackay. “If nursing is seen as a care behind. Ideally, she’d like to stay within So, Mackay looked at the experiences of career in which there are lots of different the Heart Centre as a clinician-scientist, com- 325 men and women undergoing angioplasty, opportunities for advancement, in which you bining her clinical work with her cardiac-care which is a routine procedure to improve blood can have a real influence, that’s going to be a research. flow to the heart. During the procedure blood big boost for recruitment and retention.” n

10 Promise • Fall/Winter 2009 Photograph: Brian Smith Inspiring care, research and teaching Report to the Community 2008/2009 Inspiring care, research and teaching Message from the Chair I am pleased to present the Foundation’s 2nd patients with this state-of-the-art equipment in annual Report to the Community, included this January 2009. year as part of our Promise magazine. We continue to work with Providence Health This past year was my first as Chair of St. Paul’s Care and the B.C. government to find solutions Paul Hollands, Hospital Foundation. On behalf of the Board to St. Paul’s ongoing infrastructure challenges. Chair and staff of the Foundation, I am pleased to We will be sure to inform you, our valued donors, report that in spite of the global economic partners and supporters, when we have concrete downturn we achieved a number of important information about St. Paul’s Hospital’s renewal. successes last year. Over the past year, generous donors have One important recent accomplishment helped the hospital make a real difference in is an outstanding investment in the future of the lives of hundreds of thousands of British nursing at St. Paul’s called the RBC Leadership Columbians, through innovative procedures, Board of Directors Program for Nursing Innovation. This program cutting-edge research and compassionate patient 08/09 was created with a $1-million donation from care. Yet there is much left to be done. I would Chair: Mr. Paul Hollands RBC Foundation. like to personally thank each and every one of President & CEO Last year we kicked off fundraising for a new our donors, supporters and partners for the A&W Food Services of Canada Inc. $2.2-million high-definition CT scanner. Thanks commitment you have made to St. Paul’s. Vice-Chair: Mr. Henry Man President & CEO to early contributions from donors, St. Paul’s Magellen Developments 20/20 Inc. Hospital was the first in Canada to diagnose Past Chair: Mr. Hari Varshney President Varshney Capital Corp. Ms. Orla Cousineau National Partner Mercer Human Resources Consulting Ltd. Ms. Dianne Doyle Message from the CEO President & CEO Providence Health Care When you look through our 2008/09 Report to the Community, Mr. Dean Alexander you will see why we proudly say the Foundation is “inspiring Managing Partner care, research and teaching” thanks to the ongoing generosity Cypress Capital Management Ltd. of you, our donors. Mr. Frank Anfield Dr. Ron Carere With your help, we were able to support more than 20 Physician Program Director different departments and areas throughout St. Paul’s last St. Paul’s Hospital Heart Centre year. These needs included funding for the world-class Mr. Don Goedbloed Providence Heart + Lung Institute and our award-winning Mr. Doug Horswill Senior Vice-President Emergency Department, as well as palliative care and HIV/AIDS. Sustainability & External Affairs Stephen Shapiro, While this past year has been a rewarding one, it has also been Teck President and CEO Ms. Alice Laberge challenging. For St. Paul’s Hospital Foundation, the period during Corporate Director which we typically receive most donations unfortunately coincided Dr. Yvonne Lefebvre with plummeting stock prices and global financial unease. Vice-President, Research & Academic Affairs The Foundation began to feel the effects of the economy Providence Health Care on donations toward the end of 2008. Research Institute However, we are very fortunate to have so many loyal Ms. Joanne McLeod supporters who continue to recognize the many urgent needs Mr. Chris Oosthuizen Vice-President & Director at St. Paul’s. We finished the 2008/09 fiscal year having raised RBC Dominion Securities $8.66 million. While down from the record $10.7 million raised Mr. David Poole Senior Vice-President, BC & Yukon in 2007/08, our fundraising shortfall was similar to decreases Scotiabank experienced by charities across the country. Mr. Peter Webb As the economy shows signs of improving, I am pleased to Senior Vice-President Development report that we are already seeing a surge in donations this fiscal year. Concord Pacific Group I hope you will continue to feel inspired to give to Ms. Angela White St. Paul’s Hospital Foundation. President Auxiliary to St. Paul's Hospital

Report to the Community • 2008/2009 Photograph: Brian Smith (Stephen Shapiro) Inspired

giving Generous donors to St. Paul’s Hospital Foundation helped support compassionate care, leading research, and prestigious academic training and education opportunities at St. Paul’s Hospital last year. Below are highlights:

The 11th annual Lights of Hope campaign raised an impressive $1.77 million for greatest needs at St. Paul’s, thanks to hundreds of generous corporate, individual, community and hospital supporters who gave to the campaign in 2008. Beau Olmstead, VP of RBC’s Health Care Professionals’ Group in B.C., with Stephen Shapiro and Paul Hollands. Advanced Aperio ScanScope technology was put to use in the Providence Heart + Lung Institute to create high-quality A $ 1-million donation from RBC Foundation created digital images from glass microscope slides, enhancing patient the new RBC Leadership Program for Nursing care, research and teaching at St. Paul’s. Innovation at St. Paul's Hospital. One of Canada's largest gifts for nursing to an academic health science The Foundation funded state-of-the-art bronchoscopy centre, this transformational gift means exciting equipment for the Pacific Lung Health Centre, part of the new mentorship and educational opportunities Providence Heart + Lung Institute at St. Paul’s, to quickly and for St. Paul’s nurses at all stages of their careers, accurately diagnose and treat serious pulmonary problems like enhancing the recruitment and retention of this lung cancer. invaluable group of health-care workers. St. Paul’s Heart Centre, part of the Providence Heart + Lung Institute, received two 3D echocardiography machines — crucial for life- saving corrective procedures like valve replacements. These echo machines have the capacity to scan 80 per cent more heart patients St. Paul’s was than before. the first hospital in Canada to Donors continued to contribute toward the fundraising goal of use a $2.2-million $4.7 million for the $14.7-million Emergency Innovation Project high-definition, at St. Paul’s Hospital. When complete in 2010, St. Paul’s Emergency low-radiation Department will be one of the most technologically advanced CT scanner to in Canada. diagnose patients, thanks to early support from donors. The scanner is invaluable for advanced heart imaging as Urgent needs were funded within the world-renowned well as imaging of the brain, liver, kidneys and lungs, sparing Providence Heart + Lung Institute at St. Paul’s Hospital, some patients from invasive and costly tests. St. Paul’s is including new equipment and specialized training, as well now collaborating with other leading centres to realize the as support for exciting initiatives like Heart, Lung and Blood full potential of this technology. Research FEST.

Numerous donations, including undesignated donations, supported Funding for the pioneering Palliative Outreach care, research and teaching in more than 20 areas and Project ensured all patients at St. Paul’s with life- departments at St. Paul’s, including the kidney program, Pain limiting illnesses like cancer have access to St. Paul’s Centre, and BC Centre for Excellence in HIV/AIDS. palliative expertise, including determining a patient’s goals of care, pain The Foundation continued to raise money for St. Paul’s initiatives management, and to discover and implement real solutions for two often intercon- end-of-life plan- nected health problems: mental illness and addictions, including ning. The goal of an addictions research fellow. this project: help- ing people live as St. Paul’s operating rooms received funding for many urgent well as possible, as needs, including imaging and other equipment for leading-edge long as possible. sinus, gynecology, emergency and other surgeries.

Photographs: Brian Smith 2008/2009 • Report to the Community St. Paul’s Hospital Foundation would like to thank the following donors who have supported St. Paul’s Hospital with a gift of $1,000 or more in 2008/2009. Their generosity is a commitment to excellent and compassionate health care at St. Paul’s Hospital. Individual Donors Rea Flamer Janet Moore Po Man & Anita Wong Anonymous (60) Gwynneth Foulds Richard Moore Yin King Wong Arnold Abramson Dan & Lorraine Fraser Nico & Nanny Mulder ten Kate Peter & Rose Yeung, Sutton Realty David A. & Anne Adams Lily Fu Duyen Nguyen Henry H. Yong Jane C. Adams Joseph M. Fung Eugene & Naomi Ogino Dan Young James Adamson Selma Beth Furman Pat O’Hara Mahmood & Yasmin Ahamed Adrian & Diana Gatrill Robert Olma Corporate Donors Thank Freidoun Alagheband Howard Gerber Shinichi & Shirley Omatsu Anonymous (11) Dean & Joy Alexander Robert & Nancy Gibson Chris & Johanna Oosthuizen A&W Food Services of Ida Ambroisi J. Owen Gilbert Dr. Brian Owen Canada Inc. You June & John Ames Helga Grimm David & Frauke Owen Aaaah-So Easy Mobile Mini- Normand & Grace Anctil Anna Jean Haley Leslie & Magda Palotai Storage Corp. To Our Edvard & Mary-Louise Anderson Alasdair & Alison Hamilton Jasmine J. Panthaky ABC Recycling Ltd. Mark & Gloria Andreassen Bill Hare Glen Patterson Acciona Infrastructures Frank & Marilyn Anfield Vera Harvie H. Pearson Canada Inc. Donors Michael J. Audain Terry F. Heenan James Peers Actelion Pharmaceuticals Glenn & Loretta Barr Stephen Heeney Andre Petterson Canada Inc. Dr. Robert & Grace Barrie Michael Heskin Dr. Don Pezzot Advanced Parking Systems Ltd. Wayne A. Barry James C.K. Ho Michael & Joy Phelps AG Hair Cosmetics The Bauman Family The Hollands Family Scott Plear Air Canada Cargo Pierre & Carol Beauregard Dr. Chih-Ho Hong & Royal Bank Commerical Financial AJ Forsyth (A Division of Russel Rick Bennett & Moyna Krusell Dr. Susie Song Services, Don K. Poisson Metals) Susan Ben-Oliel Margaret Horsman & daughters David & Mary Beth Poole Allteck Line Contractors Inc. Avtar Bhogal Doug & Vicki Horswill Donald & Margaret Potvin Allwest Insurance Services Ltd. Lisa Birnie Richard Howard George Pratt Amica Mature Lifestyles Inc. Stella Black Dr. Patricia Ann Howitt Alan Pyatt Anthem Visual Effects Inc. Bjorn & Mary Blondal Irene Ing Judith & Glen Ratcliff Aqua-Pak Styro Containers Ltd. Kris Borowski Juerg Ingold Barry Reed Arrow Transportation The Borrell Family Maggie Ip Geoff Rees Systems Inc. Stan & Irma Boulter Liz & Joe Jarvis Barrie & Marion Reeves Asia Pacific Link Helen R. Bourque J. B. Jensen Robert E. Robinson AstraZeneca Canada Inc. Jim & Evelyn Bowersock Harold & Maureen Juby Nina Rumen Atlas Scaffolding Ltd. Nancy Boyd Anne Kaplan Dorothy Ryan Aventis Bud & Noreen Boyer Arthur Kelm & Dr. Mary Lewis Stan Salo Bancorp Financial Services Inc. George & Sheri Braun Kathleen Kent & Ken Neros Annie & Gary Santini Baxter Corporation BRITISH John Kitchen & Shirley Willoughby Andrew & Sophie Saxton BC Bearing Engineers Ltd. Patricia Broberg Hans & Linda Kohler Veronica Scarpino BC Hydro Power Smart Janice Brown Mr. & Mrs. Yen-Ping Kok Dr. & Mrs. Scholtz BCIT Electrical Trades Class Margaret I. Brown Jack & Tina Koning Peter Scott BDBG Investment Holdings Matthew Burns Rod Kovacs, Graphic Design Walter & Nancy Segsworth Bing Thom Architects Inc. Albert Butterick The Kronier Family Maria Wu Ying Shearon BL Innovative Lighting Gordon & Jean Campbell Silva Kwok & Christina Chui John & Breda Sheehan Blake Cassels & Graydon LLP Frances Caton Stephen Kwong Theresa Sheehan Blundell Seafoods Ltd. Betty Chan Alice & Larry Laberge Thorne Shindler Boehringer Ingelheim Lena Chan Lynda Larouche Joseph & Annie Siermy (Canada) Ltd. Mr. O.K. Chan Patrick & Matilda Lau Arnold Silber, Value Bogdonov Engineering Inc. Pan Chan Ian & Anita Law Property Group Borden Ladner Gervais LLP Shou Chang Chang Jeremy Law Peter & Barbara Smith Bridge Electric Corp. Andrew Cheng Wai Kwok Law Gordon & Iris Solnes Brite-Lite Lighting Victor & Jocelin Chern Amy Mui Fan Vong Lee Dr. A.H. Somjee & BTY Group Mrs. Belinda Chow, Chow Sang Benson Lee Dr. Geeta Somjee Bull, Housser & Tupper LLP Sang Jewellers Ian Lee Marianne Soy Burrard Roofing & Drainage Inc. Daphne Chow Lily & Robert H. Lee Lilly Sprenger Canada Bread Co. Ltd. So-Ping Chow Maria Lee Mr. Lloyd & Mrs. Christine Stadler Canada Scaffold Supply Co. Ltd. Dr. Federick S. Chu George Lengvari Sr. Bill & Sally Staples Canadian Blind MFG Vivian Siu Wan Chum Eleanor Leung Ron & Helen Storey Canamera Investment John A. Coles Tsi Choi Leung & Family Daljinder Sumbal Corporation Timothy & Jane Collings Mrs. Alice Li Ida & Thomas Tait Cat The Rental Store Mr. & Mrs. W.E. Couling M.K.L. Mike & Isabel Tanaka CDC Construction Ltd. Bob Cowan Annie Lin Lawrence & Annie Tang CD/M2 Lightworks Corp. Edward Crane Lena Liu Ed Tong & Beatrice Tao CGL & Friends Kevin Crawford Doris Livingstone Sheldon Tay CIBC Tamas Cseza Kow Mooi Loh Agnes Tchao Citimark Devlopment Corporation John & Jean Dahl Brandt C. Louie Gail & David Thompson City of Vancouver Rick Dauphinee Mr. & Mrs. Len & Elaine Lowe Fred & May Tsai Coast Industrial Maintenance & Margaret & Gordon Davis Jerry & Lilli Luking Shui-Yim Tse Machine Ltd. Susan Dawson Rick Luscombe Hari Varshney Con West Contracting Ltd. David Devine Thor & Joan Lynum Peeyush Varshney Concert Properties Ltd. Fred & Marie Donatiello Dudley & Helga Macomber Praveen Varshney Crosby Property Management Ltd. Ian & Frances Dowdeswell Albert Mar Bonnie & Don Vicic CTV The Barry Drummond Family Betty Mar Jean & Catherine Vidal Cullen Diesel Power Pam, Lionel & Sonya Durante The Marrie Family Amir, Sophia & Azim Virani Cummins Western Canada Gertrude Eberwein David & Joanne McDonald Gordon Walsh Cushman Wakefield LePage Christine Elliott Bill & Ethel McIntosh Mark Waslen CWA Engineers Inc. A.K. & E.D. Ellwyn Raymond McLellan Mary Ann Waslen Deloitte Mark Emanuel Donald & Christa McLeod Herbert Weitzel Designer Printing John Erickson & Family Doug McLeod Mark Wilson Dollar Food Manufacturing Inc. Allan J. Farrar Jason Merner Joann Wong Bittle East West Plastics & Electric Rafael & Miriam Filosof M.N. Mollard Linda Wong Products Ltd.

Report to the Community • 2008/2009 Eddi’s Wholesale Garden Supplies Ming Pao Daily News Wide Loyal Developments Ltd. The Chan Sisters Foundation In memory of Joan Ives The Edwards Lifesciences Fund MMM Group Xenon Pharmaceuticals Inc. CKNW Orphans’ Fund James & Linda Jang in memory EECOL Electric (Sask) Morguard Investments Ltd. Yen Bros. Food Services Ltd. The Hamber Foundation of Richard Jang Elec-Tech Sales Ltd. Moxon Personnel Yukon Zinc Corp The John Hardie Mitchell Family In memory of Glyn L. Jenkins Electrical Contractors Nathanson, Schachter & Foundation In memory of Andrew Stuart Association of BC Thompson LLP St. Paul’s Hospital Heart and Stroke Foundation Johnson Electronic Arts (Canada) Ltd. Neo-Neon International Ltd. Family Donors of British Columbia & Yukon In memory of Helene Jospe Fairchild Media Group New Food Classics The Hydrecs Fund In memory of our beloved mother Anonymous (3) Farris, Vaughan Wills & Murphy LLP The New Reel Appetites Inc. J.E. Panneton Family Foundation Tsai Yun Kao William Abbott Fasken Martineau DuMoulin LLP North Growth Management Ltd. Kapoor Singh Siddoo Foundation In memory of Kenneth Ki-Nam Dr. James Abel Feenstra Architecture North West CruiseShip Knights of Columbus In memory of Siu Sung Lau Dr. Michael F. Allard Fluor Canada Ltd. Association KPMG LLP In memory of Mom - Burma Lee Auxiliary to St. Paul’s Hospital Gala Fabrics Ltd. Odlum Brown Ltd. Lohn Foundation Douglas Lee in memory of Aymong Family Gambro, Inc. Onflo Int’l Ent. (Canada) Ltd. Loyal Protestant Association Burma Lee Dr. Tony R Bai Gateway Casinos Inc. Orr Development (1980) Corp. The Claire & Murray MacKenzie In memory of Julia P.K. Lee Ron, Wendy, Bronwyn, Aiden GE Canada Out To Lunch Catering Cuisine Inc. Foundation In memory of Barry Lefeaux Carere Genzyme Canada Inc. Pacific Blue Cross Edward & Emily McWhinney In memory of Chan Yin Ching Luk Robert M.T. Chan GFS Canada Group Paladin Security Group Ltd. Foundation In loving memory of Anson & Jessie Cheung Gibralt Capital Corporation Paramount Furniture Motion Picture Studio Production Gail MacKinnon Dr. Thelma Sharp Cook & Glenmore Printing Ltd. Park Georgia Insurance Technicians In loving memory of Donald Cook GML Mechanical Ltd. Agencies Ltd. Oasis Foundation Joseph P. Macvey Dr. Lynne Day Gordon Loewen Inc. PCL Constructors Westcoast Inc. Mr. & Mrs. P.A. Woodward’s In memory of Philip Maisonville Maureen Donnelly, RN, Gore Mutual Insurance Company Points West Hospitality Group Foundation In memory of Robert Marcus CNeph (C), Renal Program Foundation Potash Corporation of Percy R. Gardiner Foundation In memory of Yuki Matsuba Dianne Doyle Graestone Ready Mix Inc. Saskatchewan Inc. RBC Foundation In memory of Olwen McBride Enid Edwards Great-West Life Assurance PricewaterhouseCoopers LLP RHF Hearing Foundation In memory of Ronald Frederick Romayne Gallagher Company Pro Line Communications Ltd. Scleroderma Association of BC Millership Dr. Tom Goetz Greenbrier Holdings Ltd. Read Jones Christoffersen Ltd. Shon Yee Benevolent Association In memory of Barbara Neufeld Dr. James Hogg Grosvenor Canada Ltd. Reliable Mortgages Inc. of Canada Daniel L. Nocente, in memory of Dr. & Mrs. A. Ignaszewski Hatch Ltd. Rio Tinto Alcan Inc. Sze Cheung Shiu-King Foundation Otello P. Nocente Dr. Robert Irvine & Donna Turko Hawkair Ritchie Bros. Auctioneers Thomas H C Cheung The Randall Family in memory of Dr. Michael Janusz Hills Foods Ltd. Rolfe, Benson Chartered Foundation Ltd. Mary Randall The Kerr Family Holiday Inn Hotel & Suites Accountants University of British Columbia In memory of Dr. W. Murray Dr. Marla C. Kiess Vancouver Downtown Royal Printers Ltd. The V. K. Eddie Hsu Foundation Robinson Dr. Sam Lichtenstein The Home Depot Safetech Scaffold Ltd. Vancouver Foundation In memory of Kathleen Rublack Neil MacConnell HSBC Bank Canada Sandwell International Inc. Vancouver Police In loving memory of Drs. Ian & Helen Macdonald Hub International Insurance Sasco Systems Ltd. Community Fund Ewald Schabernig Bruce & Janet McManus Brokers Scotiabank Vancouver School Board In memory of Leslie Sefton Brad Munt, Stephanie Glotman IMEC Mechanical Ltd. Seaside Paper Products Ltd. Vancouver Shaughnessy Lions Club In memory of Paul Setiawan & Family International Brotherhood of Second City Signs & Design Variety - The Children’s Charity In memory of Ian Gordon Pacific Nephrology Group Electrical Workers local 213 Semiahmoo Glass Ltd. James B. Wallace Foundation Heinrich Sinclair Dr. Gary Nussbaumer Intrawest ULC Shoppers Drug Mart Hip and Choi Foon Tan in memory Dr. Peter Paré Investors Group Sierra Systems Group Inc. of son, Richard The Phang Family Tribute – In Honour J.D. Sweid Ltd. Signals Design Group In memory of An Luu Truong PHC Division of Geriatrics Anonymous (1) Silver Standard Resources Inc. In honour of the ER staff In loving memory of my sweetheart Jenkins Marzban Logan LLP PHC Medical Staff Association SMS Equipment Ltd. In honour of Amanda Jack & Husband, Al Waine Jewish War Veterans of Canada Dr. Alan Rabinowitz Sodexo Canada In honour of Victoria Porter & In memory of Terina Werry John Henshaw Architect Inc. Dr. Frances Rosenberg Sodican (B.C.) Inc. Charles Porter In memory of Daniel Wong Johnson & Johnson Zulie Sachedina & Firoz Dossa South Seas Meats Ltd. In honour of Gabby Prosperi-Porta In memory of Norman Wong Kahn Zack Ehrlich Lithwick Dr. Philip M. Sestak Spargus Industries Ltd. In honour of Dr. Nancy Van Laeken Kal Tire Dr. Roger Shick Stantec Consulting Ltd. KAP Management Ltd. Dr. Donna Smith Estate Donors Stikeman Elliott LLP Kasian Architecture Interior St. Paul’s Hospital Department Tribute – In Memory Estate of Gerald Ernest Beaudoin Stuart Olson Construction Design & Planning Ltd. of Anaesthesia Anonymous (1) In memory of Arthur L. Bergquist Subway Sandwiches Downtown Kim Chau Delicatessen Ltd. St Paul’s Hospital Department In memory of Stephen Allison Estate of Ivan Ernest Burman Sudden Service Technologies Koffman Kalef LLP of Obstetrics & Gynaecology In memory of Blair Anderson In memory of Ian Davidson Corporation L’a Patisserie Vancouver Bone & Joint Clinic In memory of Wendy Ruth Estate of Robert Lucas Foster Sun Life Financial Lamb Weston Inc. Dr. Nancy Van Laeken Blanchard Estate of Norman Dalton Galloway Super Save Fence Rentals Lang Michener LLP Dr. John Webb In memory of Arthur L. Bergquist Estate of Vivian Glyn-Jones Suspended Stages Lantic Sugar Ltd. Dr. Neil Wells In memory of Barry Bourke Estates of Xavier & T&T Supermarket Inc. Le Kiu Importing Co. Ltd./Asian Dr. Brian D. Westerberg In memory of Jean-Francois Helene Hetzman Talk 1410AM Foods Dr. Brian Willoughby Bowden Estate of Norval Hume McLennan Taylor Jordan Chafetz, Barristers Leede Financial Markets Inc. Tim Wong In memory of Hannah Brookfield Estate of Calvin Francis Murphy & Solicitors Leith Wheeler Investment Dr. John A. Yeung-Lai-Wah In memory of Robert Brown Estate of Elda Maria Nardelli TD Financial Group Counsel Ltd. Dr. Alastair Younger In memory of Murray D. Bryce Estate of Elvira E. Nordlund The Link Teck In memory of Thomas Buell Estate of Marilynn J. Ranalli London Drugs Ltd. Teekay Shipping (Canada) Ltd. Carraresi Foundation in memory Estate of Irene Roth M.W. Grand Lodge of Ancient Terminal Forest Products Ltd. Associations, of Augusto Carraresi In memory of Robert Albert Smith Free & Accepted Masons of Thomas & Betts Limited Foundations and Manoj & Tanuja Dabir in the fond Estate of Margaret Rosemary BC & Yukon Tim Hortons Institutions memory of Neeta Chandorkar Steeves MacDonald Dettwiler & Tony Lau Insurance Agencies Ltd. Anonymous (2) In memory of Jan Antoni Chojnacki Estate of Margaret Stevenson Associates Ltd. Trotter & Morton The Adera Group In memory of Peter Combe Caskie Magellen Developments 20/20 Inc. Up Sign The Keith & Betty Beedie In memory of Doris Coombes Estate of Harry Gar Long Wong Maitland & Company Valles Steamship (Canada) Ltd. Foundation In memory of Earl Crocker Manulife Financial Valley Traffic Systems Inc. Better World Foundation In memory of Juliet Easton-Nash St. Paul’s Hospital Foundation Marin Investments Limited Vancouver Ticket Service BMO Employee Charitable In memory of Albert Eckel has made every effort to list all Marsh Canada Ltd. The Vancouver Sun Foundation In memory of Norman C. Franz of its supporters who wanted MCL Motor Cars (1992) Inc. Varshney Capital Buddha’s Light International In memory of Dr. Dimitrios Jim to be recognized. We would Medtronic of Canada Ltd. Villa Capri Enterprises Ltd. Association (BLIA), Vancouver Giannoulis appreciate hearing from donors Mercer Human Resource Vinpac Lines Buddhist Compassionate Relief In memory of Robert Gibson who have any comments or Consulting Westburne Electric Supply BC Tzu Chi Foundation Canada In memory of David Hall who would like to make changes. Merck Frosst Canada Ltd. WesternOne Rentals & Sales Care Housing Society In memory of Douglas & Margaret Please send your feedback to Merrill Lynch Canada Inc. Westshore Terminals Limited CCF Community Care Foundation Hayward [email protected] Miller Thomson LLP Partnership Cedar Springs Foundation In memory of Kenneth J. Hickling

Photographs: Brian Smith 2008/2009 • Report to the Community Inspiring Innovation St. Paul’s Hospital Foundation raised A Q&A with Dianne Doyle, President and DianNe Doyle CEO of Providence Health Care over $8.6 million for What would you say were St. Paul’s major achievements last year? equipment, research Every year I am amazed at the scope of for leasing more space, to address and patient care in ;d^WdY[ZFWj_[dj9Wh[,'"-.. St. Paul’s Hospital’s accomplishments. short-term and immediate needs This past year, there was height- for St. Paul’s Hospital. 2008/09 ;ZkYWj_ed'+&",+. ened urgency for meeting patient 9Wf_jWbFhe`[Yji*)'"+/* needs, while ensuring strong and What response do you have to the Donations make a difference throughout the effective stewardship of our programs rumours about programs being hospital. Your generosity helps to fund every- ;gk_fc[dj)"&/("),* ;d^WdY[ZFWj_[dj9Wh[' through innovation, transformation moved from St. Paul’s Hospital? thing from small initiatives that improve patient H[i[WhY^*")*,"-&- and collaboration. The Providence Because there is a lot of strategic care to multi-million-dollar capital equipment ;ZkYWj_ed( Heart + Lung Institute and its Acute planning occurring in the health items and support for research scientists. Heart Failure Program had its best sector – and a lot of emphasis toward 9Wf_jWbFhe`[Yji+ year ever, implanting a record 26 consolidation and integration of mechanical heart pumps. St. Paul’s administrative functions within Lower breakdown of revenue Fiscal Year ended ;gk_fc[dj).March 31, 2009 opened B.C.’s first Integrated Care Mainland health authorities – the Clinic for kidney patients, and the rumours began about potential Ej^[h, H[i[WhY^+* hospital became home to the new impacts to St. Paul’s Hospital clinical

Some of the most important period of uncertainty in the commu- 9ehfehWj[(. work being done at St. Paul’s is with nity and within health organizations. the most vulnerable populations we I know of no plans to remove any ?dZ_l_ZkWb** serve. A perfect example is St. Paul’s clinical programs from the hospital. partnership with Covenant House to provide mental health support What would any change in Ej^[h,I[hl_Y[9bkXi" for 700 vulnerable street youths. services at St. Paul’s mean for 7iieY_Wj_edi"?dij_jkj_edi St. Paul’s also demonstrated donors and other supporters to

Over the past year, we were reas- disbursement of funds ;d^WdY[ZFWj_[dj9Wh[' sured by the Ministry of Health Ser- Fiscal Year ended March 31, 2009 vices that the renewal of St. Paul’s ;d^WdY[ZFWj_[dj9Wh[,'"-.. ;ZkYWj_ed( Hospital remains an important issue. The provincial government is now ;ZkYWj_ed'+&",+. 9Wf_jWbFhe`[Yji+ facing significant revenue challenges 9Wf_jWbFhe`[Yji*)'"+/* due to the downturn of the global ;gk_fc[dj). economy and that is impacting all ;gk_fc[dj)"&/("),* capital plans for the province. Provi- H[i[WhY^*")*,"-&- H[i[WhY^+* dence Health Care is continuing to look for options, including the need For a copy of the Foundation’s audited financial statements for 2008/09, please call 604-682-8206 or send an e-mail to [email protected]

Report to the Community • 2008/2009 Photograph: Brian Smith

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Nucleic Acid Extractor New biomedical technology has transformed critical lab testing for the benefit of transplant patients throughout B.C.

t looks something like an oversized microwave: a large, white box with a Idarkened door, but you’d hardly find this unique device sitting in anyone’s kitchen. Where you will see this biotechnical marvel is in the Virology Laboratory of St. Paul’s Hospital, where it has transformed the lives of technicians, scientists, doctors and patients. This technological innovation is a robotic nucleic acid extractor, purchased in fall 2008 with donations to St. Paul’s Hospital Founda- tion totalling $135,000. What it does is isolate DNA or RNA (the building blocks of proteins) from patient samples so they can quickly be tested for the presence of certain viruses. What’s made the extractor such a revolu- Dr. Chris Sherlock (left) and Dr. Gordon Ritchie say tionary step forward for the lab is that it the new nucleic acid extractor has revolutionized completes tests that once took all day within a testing for viruses in transplant patients. few hours. During a tour of the lab, molecular scien- tist Dr. Gordon Ritchie can’t hide his enthusi- and Virology for Providence Health Care. “It we had to get the samples within six hours, asm for the new machine: “If we were to do becomes an overwhelming infection. It causes otherwise the test would not give an accurate all the [lab] work manually, as we were doing pneumonia, severe gastroenteritis, and affects result,” he says. “We have patients with trans- before, it would basically take all day. You’d the kidneys, the liver and the brain.” plants throughout B.C. – Prince George, Fort have one technician spending his entire day Standard procedure in transplant programs St. John, up the Island – and we simply couldn’t just pipetting.” requires that patients be tested for CMV every get those samples from them to us in six hours, week for 100 days after their transplant. If so we weren’t able to meet their needs. Unique application CMV is detected, doctors can control the infec- “Now we can provide this service for the While St. Paul’s Hospital already had two tion with specific medications. whole province instead of essentially just nucleic acid extractors, they were dedicated to The second, BK Virus, is dormant in about St. Paul’s and Vancouver General Hospital, running the 28,000 HIV and 18,000 hepatitis 99 per cent of the population, but it can flare up and occasionally Victoria Hospital.” B tests conducted annually in the lab. This and attack the kidneys of a newly transplanted Ritchie now oversees about 50 tests a day new machine is used for an entirely different patient. Again, tests for the virus are routinely for CMV and about 100 tests a week for BK purpose: to check for the presence of two conducted in newly transplanted patients. Virus – a pace that previously would have been viruses that, if not discovered and treated in “If it’s left unchecked, they’ll lose their newly impossible to maintain. He says that not only time, can cause serious illness or rejection in transplanted kidney, which is a tragedy,” notes are the results available quickly, they’re also transplant patients. Sherlock. “We don’t have any drugs to treat more accurate and less prone to error, which is The first, cytomegalovirus (CMV), lies this virus, but what doctors can do is reduce good news for patients and hospital staff alike. dormant in about 50 per cent of the general the amount of immuno-suppressive drugs The nucleic acid extractor has also made population, but in patients on anti-rejection patients are taking.” testing easier on technologists, adds Sherlock, drugs, whose immune systems are suppressed, Sherlock says that before the arrival of the by eliminating the need for hours of manual it can cause havoc. new nucleic acid extractor, lab technicians at pipetting that sometimes leads to repetitive “When your immune system is compro- St. Paul’s (the provincial testing centre for these stress injuries. mised [especially with bone marrow trans- viruses) were using a different and much more Little wonder then that the arrival of the plants], it can reactivate and kill the patient time-consuming method of testing for CMV nucleic acid extractor in the lab was greeted very quickly,” explains Dr. Chris Sherlock, and BK Virus. with “great excitement” says Ritchie, and, adds head of the Division of Medical Microbiology “The problem with the other test was that Sherlock with a gratified smile, “great relief.”n

Photograph: Brian Smith Fall/Winter 2009 • Promise 17 Endocrinologist Dr. Adam White and nephrologist Dr. Monica Beaulieu are members of the ICC’s multidisciplinary medical team, created to meet the complex needs of kidney patients.

18 Promise • Fall/Winter 2009  by gail johnson  photography brian smith the TEA Mpproach St. Paul’s unique Integrated Care Clinic is streamlining health care for people coping with the complexities of multiple chronic health problems.

t’s said that trouble almost always comes in threes, and that’s certainly “I totally feel like a VIP there,” says Barker the case for many people living with kidney disease. For them, chronic of the ICC. “It made my transition to a new conditions like diabetes and heart disease are often close companions province a lot easier. I feel totally connected to I the team. They’re super supportive.” to renal failure, creating multiple challenges for both patients and their doctors, especially when it comes to delivering medical care. It was pre- Multiple benefits cisely this need for co-ordinated services for people with complex health The ICC, which sees about 10 to 15 patients a challenges that inspired St. Paul’s Hospital to create its Integrated Care week, arose out of research done by St. Paul’s Clinic (ICC), the first such clinic of its kind in Canada, which caters spe- nephrologist and executive director of the BC cifically to the needs of kidney patients – people like Emily Barker. Renal Agency Dr. Adeera Levin, who was the principal investigator on a randomized, con- Poster patient various needs, she’s had more doctors’ appoint- trolled study conducted at Providence Health Barker is no stranger to the medical system. ments, lab tests and blood work than she cares Care that ended in 2008. The study divided Eight-and-a-half pounds at birth, she was the to remember. patients into two groups: one that went for biggest baby in the incubators when she was However, that all changed when she moved standard care at separate clinics and another born prematurely in Ottawa. At age one she to Vancouver earlier this year. She’s fallen in that visited an integrated clinic. The research developed asthma, and at five she was hit with love with the West Coast thanks in no small found that patients in the combined clinic used a triple-whammy: chicken pox, pneumonia and measure to the comprehensive health care she’s fewer Emergency Department services than the bronchitis. Despite no history of diabetes on been receiving at St. Paul’s Hospital’s ICC. others and had fewer hospital admissions. either side of her family, Barker was diagnosed Nephrologist Dr. Monica Beaulieu says that with Type 1 (juvenile) diabetes at age six. Streamlined system enabling patients to see all of their specialists in “I’ve had a whole sludge of medical issues A new model of streamlined specialist care, the one visit makes an enormous difference. For from the get-go,” says the affable 23-year-old ICC, which opened in January 2009, caters to one, those with multiple chronic conditions student. kidney patients who also have diabetes, heart simply don’t have the energy to attend multiple At age 13, Barker and her family moved to disease or both. Traditionally, kidney patients appointments. However, integrated care does Calgary, where she experienced another blow see a nephrologist or go to a renal clinic and a lot more than simply ease up on patients’ to her health: renal failure. receive diabetes or cardiac care separately. The schedules. Barker has other health problems, too, ICC, by contrast, could be considered the “People with all three diseases find it over- including low blood pressure and anemia. health-care equivalent of one-stop shopping: whelming to tell their story to three different However, she refuses to adopt a woe-is-me not only do patients get to see all of their spe- people,” Beaulieu says. “It’s especially hard on mentality and says she’s blessed in many other cialists in the same location on the same day, an individual who winds up in hospital and is ways. She will admit, though, that she’s found they’re also connected with a nurse who acts discharged with three new conditions they herself overwhelmed and even frustrated by as their care co-ordinator, as well as dietitian, previously didn’t have. It’s exhausting, and it the health-care system. It was hard for her to social worker and pharmacist. Plus, patients impacts their health. This is a way of easing the find a family doctor in Alberta, and, given her have all their tests ordered at once. patient’s journey.”

Photograph: iStockphoto (blood pressure cuff) Fall/Winter 2009 • Promise 19 “Patients end up a lot more confident and comfortable with their Emily Barker says the management of various issues,” says Dr. Adam White, an endocrinologist ICC’s comprehensive (diabetes specialist) who is part of St. Paul’s ICC team. “There’s a com- approach to helping her deal with complex munication flow between the various practitioners, and so any concerns medical issues makes are dealt with immediately and a joint plan is put in place. We will sit her feel “like a VIP.” down and talk as a team.” That team effort has other positive ramifications, saysICC cardiologist Dr. Chris Thompson. “An engaged, motivated patient is key to excellent patient out- comes,” says Thompson, who notes he became involved in the ICC because he believes in its unified philosophy. “Patients appreciate the clinic’s effort to respect their time by integrating their care. I believe this helps motivate them to become fully engaged in a self-management program, which will hopefully achieve the best outcomes possible.” Forging health partnerships Beaulieu emphasizes that the role of the ICC is not to take over patients’ care from their own family doctors. “Chronic-disease management is best served in the primary-care relationship,” Beaulieu says. “We’re here to help co-ordinate and to act as support as a health-care team. We ask GPs what level of involvement they’d like us to take. There’s a definite benefit to the patient because they see that we’re working with the primary caregivers and that we’re all on the same page.” Another advantage is saving money. The integrated model eliminates the redundancy of medical and laboratory tests. Duplicate testing costs $4.5 million each year in the province of B.C. alone, Beaulieu says. At the ICC, on the other hand, everything is centralized. The ICC approach developed by staff at St. Paul’s has been adapted in hospitals in Langley and Salmon Arm. Over the long term, the model could also be used to treat other complex chronic diseases, such as lung disorders, arthritis and mental health conditions and could also be established in other parts of the country. “Everyone puts the patients’ needs first,” Beaulieu notes. Barker, meanwhile, can’t say enough good things about the ICC. She says her nurse co-ordinator, Shelley Burnett, has helped her find a family doctor and has also arranged for other medical care, such as an appointment with an ophthalmologist. “I’ve been super impressed,” Barker says. “I love the system. They’re so on top of things, and I love how they’re so committed and interested Integrated care also makes things easier for family members who in my case.” need to take their loved ones to and from doctors appointments. In fact, says Barker, her care has been so comprehensive that it’s also “We’ve had kudos from patients’ middle-aged working children who been a great source of comfort to her mom, who still lives in Alberta. don’t have to take extra days off to make all the appointments,” says “She still nags me about the meds,” Barker says with a laugh, “but Beaulieu. “Plus, patients get consistent health recommendations.” I tell her about the in-depth care I’m getting at the ICC, and it’s really Dealing with two or three chronic diseases at once can indeed be reassuring for her.” n confusing as the conditions have a complex relationship. Cardiovascular disease accounts for more than half of all deaths among people with While St. Paul’s Hospital Foundation receives valued designated donations kidney failure, and people with kidney disease are at higher risk of for fundraising priorities at St. Paul’s, it also relies on crucial undesignated developing heart ailments. In addition, diabetes is a major risk factor for donations to help support inspired care and ongoing innovation at the chronic kidney disease and heart disease. hospital. Greatest needs (undesignated) donations ensure the foundation Treating each disease separately can potentially lead to mixed has the resources and the flexibility to provide crucial funding to complete messages. For instance, following a healthy diet is often a challenge for the purchase of urgently needed equipment, help attract world-class physi- people with multiple conditions, since they may get varying dietary cians and researchers, and support innovative clinical, teaching or research restrictions from their diabetes, heart and kidney specialists. projects at St. Paul’s. For information about greatest needs at St. Paul’s The ICC’s co-operative strategy, on the other hand, allows for doctors Hospital and how you can contribute, visit www.helpstpauls.com or call to come up with a co-ordinated treatment plan. 604-682-8206.

20 Promise • Fall/Winter 2009 close-up By Yolanda Brooks g Brid ingtheGap St. Paul’s Hospital’s Vancouver Inner City Youth Mental Health Program is delivering desperately needed psychiatric services to youth living on the streets.

ight now there are an estimated 700 homeless young people surviving on the streets of Van- rcouver. While it’s easy for them to get their hands on illegal drugs and alcohol, many of them struggle to access the medical services they so desperately need. It’s estimated that 60 to 65 per cent of these young people have been in foster care. Many have addictions issues, while as many as 50 per cent are dealing with emerging mental health problems. Their transient lifestyles make it diffi cult for them to connect with the appropriate services, and the lack of co-ordination between child and adolescent psychiatric services in B.C. leaves them with little hope of recovery or a normal life. To help these hard-to-reach youth, St. Paul’s Hospital has created an innovative outreach team to take psychiatric services directly to the street. The Vancouver Inner City Youth Mental Health Program was launched as a pilot program in 2007 to provide more comprehensive mental health services for vulnerable youth aged 16 to 24. St. Paul’s psychiatrists Dr. Bill MacEwan and Dr. Megan Sherwood were already providing some community-based services for those suffering from severe psychosis through Covenant House Vancouver, the only youth shelter in the downtown area. The current Vancouver Inner City Youth Mental Health Program is much more comprehensive, with a team of six psychiatrists and a social worker holding regular sessions with young patients on their own turf. “This is a program that tries to bridge that gap between services and tries to help youth transition into adulthood,” explains Dr. Steve Mathias, who developed the program in partnership with MacEwan. “It is very early on in most illnesses for these young people. They are struggling with their own identity, their own autonomy and indepen- dence, and often just learning what it is like to be on their own.” CreatiVe partnersHip The program’s success lies in the partnership the St. Paul’s team has established with Covenant House, which provides essential services for

Photograph: iStockphoto Fall/Winter 2009 • Promise 21 Community-based support To provide the best access to youth who often fall between the cracks of other social services, St. Paul’s psychiatrists with the Vancouver Inner City Youth Mental Health Program work at Covenant House four days a week, and in the first year, 120 young people were referred to them. “A third of the youth were psychotic and so had very severe illness, and there were many others who struggled with various traumas,” says Mathias. “They had been beaten or abused by family members or by partners. They had been involved in the drug trade and had experienced things that were pretty horrific.” The team also provided therapy for young people who were struggling The Vancouver Inner City Youth Mental Health Program team (left to right): with anxiety disorders and even some who had suffered severe frontal lobe Pamela Miller, Dr. Bill MacEwan, Dr. Alex Gubanov, Dr. Megan Sherwood, Dr. Julia injuries from falls or accidents they had suffered in their teenage years. Raudzus, social worker Stephanie Gillingham, Dr. Dan Lin, Covenant House mental health clinician Tracy Brown, and Dr. Steve Mathias. Mathias says that the young people who are treated have been bruised by life and that the first step in their treatment is creating a trust- 2,000 young people a year. In addition to providing a safe place to stay, ing relationship between doctor and patient. the agency offers long-term support programs that enable youths to get “Our goal is to set the table for more long-term relationships, and off the streets and get their lives back on course. then to listen to what the young people have to say about their experi- The partnership has proven to be very successful, says Mathias: ences,” he says. “It is an amazing moment when they start to talk about “The staff at Covenant House understand the challenges of working what they’ve experienced and tell you that they’ve never actually had a with youth and they have a good track record.” chance to talk to someone about it.” Before the arrival of the St. Paul’s team, Covenant House did not In addition to providing psychiatric therapies, the team helps have the in-house expertise to deal with those clients suffering the patients with other issues such as housing, finances, family reunion, effects of mental illness. Unless the patients were a danger to themselves and educational and job options. or others, Covenant House often had no choice but to discharge them For Tracy Brown, the mental health clinician at Covenant House after 72 hours as they were usually unable to follow a recovery plan. who works closely with the St. Paul’s team, the program is nothing short Those with severe psychosis would sometimes end up in the Emer- of a miracle. gency Department or a police cell, but for those with other mental “It has made an immense difference,” says Brown. “Our youth are health issues, such as bipolar disorder, depression and anxiety, there not only being seen by a doctor but being diagnosed and treated, and was often nowhere to turn. So, when St. Paul’s suggested on-site psy- that allows them to look at their life, re-evaluate their life and to set chiatric services, Covenant House was eager to get involved. goals to go forward. “It is almost like there’s magic, because they have never experienced being cared for in this way. It is working wonderfully for them.” » Rebuilding A Life Early intervention in mental health problems is essential for giving In many ways, Rebecca’s story echoes that of so many young people who suddenly young people the best possible chance of leading successful and fulfill- find themselves living on the street. She started drinking in her teens, followed in ing lives. short order by regular drug use. Her frantic parents expelled her from the family “It is an amazing thing to see a youth housed in their own place home. Rebecca was then 17. after being on the streets for two or three years. It is also an amazing After a period of couch surfing, Rebecca ended up in Vancouver’s Downtown thing for youth to complete high school or attend university while Eastside, eventually finding her way to Covenant House. It’s here, at the urging of they’re under our care,” says Mathias. “What we’re trying to do is not mental health clinician Tracy Brown, that Rebecca finally sought help by booking see these youth as collateral damage but to see the promise and strength an appointment with St. Paul’s psychiatrist Dr. Steve Mathias. Their initial meeting that they have when they walk through our door.” wasn’t much more than a meet-and-greet, but it was a crucial first step. When The Vancouver Inner City Youth Mental Health Program has been Rebecca sobered up a year later, she decided to try therapy. so successful that it is now a permanent fixture in the community, and Within a month of working with Mathias, Rebecca discovered that she had bipolar St. Paul’s is looking to work with other agencies to provide much- disorder; at last there was a diagnosis to help her make sense of her shattered life. needed community-based psychiatric services to even more vulnerable “When I found out I was bipolar, it helped me understand a lot,” says Rebecca. young people. n “It helped me put the pieces together.” After a year under the supervision of Mathias, Rebecca’s life is back on track. While St. Paul’s Hospital Foundation receives valued designated donations She’s living at home again where she’s re-building her relationship with her for fundraising priorities at St. Paul’s, it also relies on crucial undesignated parents, and she’s studying and working her way through an apprenticeship donations to help support inspired care and ongoing innovation at the hospital. program with a national restaurant chain. And she’s still sober. Greatest needs (undesignated) donations ensure the foundation has the “A couple of years ago I was homeless, living on the street and I was an resources and the flexibility to provide crucial funding to complete the purchase alcoholic. I was so young, but I had nothing going for me,” says Rebecca, now 20. of urgently needed equipment, help attract world-class physicians and “My life has turned a complete 180. I owe Tracy Brown a great deal and I feel very, researchers, and support innovative clinical, teaching or research projects at

very fortunate to have met Dr. Mathias.” l St. Paul’s. For information about greatest needs at St. Paul’s Hospital and how you can contribute, visit www.helpstpauls.com or call 604-682-8206.

22 Promise • Fall/Winter 2009 Photograph: Brian Smith By J.K. Malmgren offduty

Dr. Marc Romney Keeping watch on infection prevention

Dr. Marc Romney is the Medical Director of Infection Protection and Control (IPAC) at Providence Health Care and oversees clinical testing performed in the Microbiology Laboratory at St. Paul’s Hospital. He heads up the IPAC team that recently won the prestigious Oxoid Judges’ Special Award for excellence in hospital infection prevention – the first time such an award has been won by a North American team.

What attracted you to a career in medicine? I was always interested in science. I did some basic science research work, but I didn’t find it terribly satisfying. I was interested in a career that was much more applied and that would have a more direct impact on people’s lives. I thought medicine would be a good fit. In medical school, I became interested in infections and antibiot- ics, so I decided to specialize in medical microbiology.

Where did you take your medical training? I went to medical school at the University of Western Ontario, and then I did my residency at UBC. As part of my residency, I completed a course in tropical medicine at the London School of Hygiene and Tropical Medicine. After my residency work, I pursued a fellowship at the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, where I was a member of the Epidemic Intelligence Service (EIS).

What brought you to St. Paul’s? I’d say it was the people and patients of St. Paul’s. The first year of my residency was based here and that’s when I came to appreciate the dedication of the hospital staff and the medical challenges presented to us by our patients. As most people know, we have a world-class centre for HIV/AIDS, and some of these patients have unusual, Medical microbiologist Dr. Marc Romney enjoys both opportunistic infections. We care for a challenging population from the pleasures and science of good food and wine. the Downtown Eastside, and they also have interesting infections. I also liked the collegiality of the medical staff at St. Paul’s. We really collaborate in providing the best service to the patients. If you could wish for one great advancement in medicine, what would it be? What do you love most about your chosen field? [My wish would be for the development of] hospitals in Canada that There’s never a dull moment – H1N1 influenza,SARS , extremely are designed and engineered to prevent infection: single-bed rooms, drug-resistant tuberculosis, new strains of C. difficile, and outbreaks high levels of hygiene, easy access to sinks and hand rub [sanitizer]. in the Downtown Eastside – it keeps you on your toes. You have to If we had high rates of compliance, with single-bed rooms and constantly keep up with the latest emerging pathogen. engineering controls in place, very few patients would acquire infections in hospital. How do you spend your free time? What’s also needed is basic infrastructure for infection control My wife and I just had a new baby in April, and we also have a two- in developing countries. Access to clean water, handwashing stations, year-old toddler at home, so there’s not much free time these days. disposable gloves – these would all be a great leap forward. I really enjoy travelling and planning trips. We travelled quite a bit before we had kids and we’re planning to keep up our annual trips What do you feel is the key to great doctor/patient relationships? to France – ma patrie! [The key is] patient-centred care; listening and getting the patient I’m also very interested in food and wine, and especially combining involved in his or her care. It should be about the patient. When you’re the latter with travel. There’s a microbiological element to winemaking in the hospital and an issue comes up, consider how you would want and cheese production; it’s strictly related to the metabolism of bacteria to be treated. That’s what I think Providence is all about; it’s one of the and moulds, of course. secrets of its success. n

Photograph: Ron Sangha Fall/Winter 2009 • Promise 23