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COMMEMORATIVE ISSUE
HOSPITAL
FOR WOMEN
CELEBRATES
5 YEARS OF
EXCELLENCE
BEDSIDE
STRENGTH
Maternal-fetal specialist
DR. RADHA CHARI is one
of three research
chairs improving
care for Alberta
women
AGILE
ARMS
FERTILE
GROUND
A happy couple
bridges the
gap to make
a family
SPRUNG A LEAK?
Youre not alone in
urinary incontinence.
Help is here!
UNWELCOME
INHERITANCE
Women can weigh
their options in the
presence of breast
cancer predictors
PM#40020055
PLUS
MEN IN
G THE
MATERD
N
a study AL MIND:
scre
anxiety ens for
a
depressiond
n
These moments.
101 Riel Drive, St. Albert holesonline.com
Contents
50
HOPE
Features
12 Rule of Thirds
18 Patients First
20 Healing Arts
32 Womens Advocate
50 Unwelcome Inheritance
54 Maternal Minds
20
58 Hope for the Future
26
The Lois Hole Hospital for Women
Spring 2015
Departments
7
76
Out Front:
48 Top Tips
57 Strike a Cord
40
68 What to Expect
72 A Life of Spirit
76 Flood Relief
44
78 In Good Company
80 Will Power
64
82 No Small Matter
12
ON THE COVER
68
www.loisholehospital.com
32
5 Years of Caring
Welcome
Volume 01 Issue 1 Spring 2015
Publisher
Ruth Kelly
Executive Editors
Sharlene Rutherford
Elise Cerny
Mifi Purvis
Associate Editor
Shelley Williamson
Production Manager
Production Technicians
Brent Felzien
Brandon Hoover
Circulation Manager
Karen Reilly
Vice-President Sales
Anita McGillis
Advertising Representative
Kathy Kelley
Sales Assistant
Julia Ehli
Art Director
Charles Burke
Andrea deBoer
Graphic Designer
Ben Rude
Contributing Writers
Caroline Barlott, Colleen Biondi, Lyndsie Bourgon,
Sydnee Bryant, Lisa Caterall, Caitlin Crawshaw,
Martin Dover, Mike Hingston, Jen Janzen, Robbie
Jeffrey, Lani Lupul, Sam Macdonald, Lindsey Norris,
Cory Schachtel, Seamus Smyth, Shelley Williamson
Contributing Illustrators and Photographers
Buffy Goodman, Cooper + OHara, Jessica FernFacette, Anthony Houle, Heff OReilley, Pedersen,
Darryl Propp, Kelly Redinger, Cindy Revell
HOPE is published by Venture Publishing Inc.
for Royal Alexandra Hospital Foundation.
Venture Publishing Inc.
10259-105 Street,
Edmonton, Alberta T5J 1E3
Tel.: (780) 990-0839 Fax: (780) 425-4921
admin@venturepublishing.ca
www.venturepublishing.ca
Royal Alexandra Hospital Foundation
10240 Kingsway Ave. NW,
Edmonton, Alberta T5H 2V9
Tel.: (780) 735-5458
www.loisholehospital.com
The opinions conveyed by contributors to HOPE magazine
may not be indicative of the views of Venture Publishing
Inc. or Royal Alexandra Hospital Foundation. While
every effort is made to ensure accuracy, neither Venture
Publishing Inc. nor Royal Alexandra Hospital Foundation
assume any responsibility or liability for errors or omissions.
Canadian Publications Mail Product Agreement
#40020055
Copyright 2015 by Royal Alexandra Hospital Foundation.
No part of this publication should be reproduced without
express permission of Royal Alexandra Hospital Foundation.
Printed in Canada by Transcontinental LGM Graphics
HOPE is printed on Forest Stewardship Council
certified paper
Loiss Legacy
THE LOIS HOLE HOSPITAL FOR
Women is now five years old. And theres no
question that the woman for whom it is
named would be immensely proud. For
Lois, that sense of pride first began the day
she gave the Royal Alexandra Hospital
Foundation her emotional approval that,
yes, she would be delighted to have the
hospital carry her name.
As we continue on with our mission of
building the best womens hospital in
Canada here in Alberta, we think about this
iconic Albertan often. The staff and physicians think about her, too. We cant help
but wonder what she would say about this
hospital, had she lived to see it completed.
We think she would be very pleased by
the interior design, the selection of art
within, and theres no question she would
have delighted in the abundance of natural
light that cascades through the halls and
waiting rooms on each and every floor.
The rooftop healing garden would have
been a favourite spot for her, and the cantilevered staircase, encased in glass and offering magnificent views, would have taken
her breath away. But we think what would
impress Lois the most and really, really
touch her heart is the support that Albertans have shown for her hospital through
their kind and generous donations.
Lois was known for her practical hand,
her kind heart, and her generous spirit. She
also had an enduring search for knowledge.
She was a proud Albertan. And her early
years as a farm girl informed her ability to
make a little go a long, long way.
She would be so impressed by the people
who care enough about this hospital to
want it to succeed. And in doing so, they
enable the people who work here to go
above and beyond for patients and families.
Its fitting that during the fifth anniversary
of the Lois Hole Hospital for Women, we
capture and collect this community spirit by
showcasing how patient care is reaching
new and exciting heights.
5 Years of Caring
Out Front
7,000
the new record
high number of
births at the Lois
Hole Hospital for
Women, 2014
HOPE NOTES
Official opening day of
the Lois Hole Hospital
for Women:
April 8, 2010
On the Menu
www.loisholehospital.com
5 Years of Caring
Out Front
13
state-of-the-art
features specific to womens
health procedures
5 Years of Caring
the number
of labour and
delivery rooms,
including two
with infant
resuscitation
areas to provide
the most
advanced care
www.loisholehospital.com
the number
of operating
rooms
dedicated
to women
for complex
inpatient, day
surgery and
caesarean
section births
5 Years of Caring
Breast Check:
a How-to
Dont wait for your yearly mammogram
check your own breasts every month.
The best time is usually a week after
your period starts. If youve stopped
menstruating, do your examination on
the same day every month. If youre
breast feeding, do your exam after your
baby nurses. Heres how it works:
1. Lie flat on your back, naked above
the waist.
2. Use your left hand to check your
right breast and your right hand to
check your left breast.
3. Press the flat pads of your three
middle fingers on your breast.
Start at your nipples, and work your
way out in a spiral.
4. At each finger placement, first press
lightly in a circular motion, to check
tissue close to the skin. The press
a little harder to feel deeper tissue.
Finally, press firmly to feel tissue
close to your breastbone and ribs.
5. Note any lumps, thickness or
changes.
6. If you feel a lump but arent sure,
check the same spot on your other
breast. It the same thing is there, too,
its probably fine.
7. You can also check your breasts
standing up, with one arm raised
over your head.
See your doctor if you find:
A new lump, painful or not.
Places that feel thicker than usual.
Sticky or bloody discharge from
your nipples.
Changes in the skin of your breasts
or nipples, puckering or dimpling.
An unusual increase in the size of
one breast.
One breast looks lower than it
used to.
Source: myhealthalberta.ca
Out Front
80,000
the number of
outpatient
visits per year
Tackling Cancer
May marks the seventh-annual Edmonton
Eskimos Womens Dinner in support of ovarian cancer research at the Lois Hole Hospital
for Women.
A group of past and present Edmonton
Eskimos and club employees conceived of the
dinner as a tribute to the memory of 21-year
Eskimos employee Pam Monastyrskyj, who
died of ovarian cancer. Funds the group
raised were the genesis of the Edmonton
Eskimos Womens Ovarian Cancer Research
Endowment Fund set up to provide longterm, sustainable funding for researchers at
HPV and Me
HPV is short for human papilloma virus. It is
a family of sexually transmitted viruses that
70 per cent of sexually active adults will get
in their lifetime. Your body will often clear the
virus and it will not usually show any symptoms or require any treatment. But some
strains of HPV can cause abnormal changes
to cells lining the cervix in some women.
These changes will lead to genital warts and
cervical cancer in some women. (HPV is also
a cause of some other types of cancer in
men and women.)
Women can protect themselves from
most cervical cancers with a vaccine against
HPV given before they become sexually active. Girls and more recently boys in
Alberta are able to get this three-dose vaccine free of charge in schools. It prevents the
strains of HPV that are behind 70 per cent of
cervical cancer cases.
Its still important to get regular pap tests
throughout your life, as its the only way to
identify changes leading to cervical cancer.
The HPV shot doesnt protect against all
cervical cancer.
To find out more about screening for
cervical cancer, Albertan women can visit
screeningforlife.ca.
10
A national leader
Clickable
HOPE NOTES
All human wisdom
is summed up in two
words: wait and hope.
- Alexandre Dumas
Seeds of Hope
Dr. Dawn Kingston, assistant professor at
the University of Alberta, is teaming up
with Dr. Peggy Sagle for a rare look into
the mental health of women and men
undergoing fertility treatment.
The study, out of the Regional Fertility
and Womens Endocrinology Clinic at the
Lois Hole Hospital for Women, seeks to
understand how many women and men
undergoing fertility treatment experience anxiety, depression and stress and
for those who do, how severe and long
lasting their symptoms are. It will also
look at what type of help they would
prefer to have to deal with anxiety,
depression or stress, and who is most at
risk for developing these while in fertility
treatment.
Kingston says it is the first study of its
kind to include a look at how men deal
with the trials and tribulations of fertility
treatment, and her findings will be used
to develop and test some psychological
therapies that would be effective for this
group. She also says that any research
into how women struggle during fertility
treatment has been limited, at best.
Kingston hopes the studys findings
will be threefold: to help identify women
and men who have symptoms; identify
women and men at risk of developing
anxiety, depression or stress; and finally
learn what types of psychological care
would be appropriate for the group.
www.loisholehospital.com
Cancer Support
Women looking for support following
their treatment of gynecological cancer
will be able to net access to like-minded
survivors online, thanks to a study
now open in Alberta, led by Dr. John
Robinson, a psychosocial oncologist at
the Tom Baker Cancer Centre, and Dr.
Erika Weibe, department of radiation
oncology at the Cross Cancer Institute in
Edmonton.
Participants will be part of a
12-week online professionally moderated group, thats designed to provide a
safe space for women to learn about the
5 Years of Caring
11
THE EXPERTS ARE HERE: (L-R) Drs. Radha Chari, Sue Ross and
Lynne Postovit have created an environment of excellence.
12
5 Years of Caring
Rule
of
THIRDS
rooms and hallways are where many of Albertas women experience the most
difficult moments of their lives. But this is also a place of hope and change,
where developments and commitments in research are improving maternal and womens health in direct ways. Of these developments, none is more significant than the
addition of three research chairs, led by three remarkable women who bring a revelatory
focus to womens health and set new best practices in the field, garnering national
attention at the same time they are increasing the depth of local care.
Committed to advancing findings in womens health, these researchers are Dr. Sue
Ross, Dr. Lynne-Marie Postovit and Dr. Radha Chari. All three have been working to
bring about change in womens medicine and how it is delivered to patients.
www.loisholehospital.com
5 Years of Caring
13
SUE ROSS
Grew up in: Cheshire and Helensburgh, in Western Scotland
Studied at: Heriot Watt University, Robert Gordons Institute of Technology, the
University of Aberdeen and the University of Glasgow
Spends her free time: Gardening, backcountry skiing and white-water canoeing.
Speaks fluent pika (pikas are rock rabbits that live high in the Rocky Mountains)
14
5 Years of Caring
RADHA CHARI
Grew up in: Swift Current, Saskatchewan
Studied at: The University of Saskatchewan, with internships and residencies at the
University of Western Ontario, University of Alberta and the University of Tennessee
Spends her free time: Hanging out with her husband Ravi and her two sons, Keshav and
Nik.Drives her family crazy by setting clocks and watches 20-30 minutes ahead so that
shes not running late
5 Years of Caring
15
LYNNE POSTOVIT
Grew up in: Whitby, Ontario
Studied at: Queens University
Spends her free time: Running, rowing and cooking. Likes to play music loudly in her car
and sing along to whatevers on the radio
16
5 Years of Caring
HOPE NOTES
There is no medicine like
hope, no incentive so
great, and no tonic so
powerful as expectation
of something better
tomorrow.
- Orison Marden
17
Womens worth
in health care exists
apart from the realm of
maternal health
Its director, Dr. Sandy Davidge (also a
professor in the departments of ob-gyn and
physiology, and a tier-one Canada Research
Chair in Womens Cardiovascular Health)
says WCHRI represents just the tip of the
iceberg of the potential depth and breadth of
womens health, especially at the Lois Hole
Hospital for Women. With a researchoriented hospital which is what were
striving for women get the best care.
Were at the forefront of knowledge and the
18
forefront of clinicians working hand-inhand with scientists for the best available
medicines and procedures, says Davidge,
whos also the Canada Research Chair in
Maternal and Perinatal Cardiovascular Health.
Research saves lives and gives hope, and we
want to do that for our women and children.
In addition to three endowed chairs in
womens health, WCHRI supports research
excellence through grants, ranging from
graduate work to summer studentships.
WCHRI also supports the recruitment and
retention of the best and the brightest
minds in research.
And it translates to better health care for
Alberta women. Through our research and
our programs, we have been able to look at
better ways to improve the health of
women in the community, Davidge
explains. We have three endowed chairs in
the areas of mature womens health, womens health focusing on maternal, and ovarian cancer. We need to see the research
behind womens health to understand the
best way to treat or prevent disease.
Recent initiatives to receive WCHRI support include Davidges own study looking at
the link between babies who have complicated births and who later in life experience
obesity, diabetes and cardiovascular disease.
Acknowledging this potential connection
may help prevent chronic diseases down the
road. But thats just one of myriad WCHRI
studies focusing on pregnancy. One of the
things weve been working on in general is
looking at healthy pregnancies and health
outcomes, Davidge notes. To lead to better
therapies, we are looking at how the body
adapts to pregnancy and what can go wrong
in conditions such as preeclampsia. Other
research includes Drs. John Mackey and Ing
5 Years of Caring
THE
20
5 Years of Caring
sound like items likelier to adorn an art gallery than a hospital. Patients and families
dont often expect to find unique pieces of artwork in every hallway, much less in every
waiting room or at the foot of every patient bed.
In an August 18, 2014 article she wrote for the Wall Street Journal online, Laura Landro details
the efforts of many American hospitals to incorporate art into hallways as a way to boost patient
care, citing studies to support the claim that art can encourage healing by reducing stress and
anxiety levels. Nature-inspired artwork, she says, can create a warm environment that allows
patients, families and staff to feel secure. With more than 700 pieces of art, the Lois Hole
Hospital for Women has created this kind of environment, one in which patients, families
and staff can thrive.
www.loisholehospital.com
5 Years of Caring
21
HOPE NOTES
Hope is the thing with
feathers that perches in
the soul - and sings the
tune without words and
never stops - at all.
- Emily Dickinson
22
23
24
5 Years of Caring
True Originals
www.loisholehospital.com
5 Years of Caring
25
26
5 Years of Caring
herself, kind of. People called Lois Hole the Queen of Hugs. A woman who carried
multiple titles in her lifetime, Lois was like none other. A wife, a mother, professional gardener, author, businesswoman, farmer, chancellor, and in her final years, Lieutenant
Governor of Alberta, Lois brought grace and warmth to each role. That grace and warmth
now live on in the legacy of the Lois Hole Hospital for Women.
Born in rural Buchanan, Saskatchewan on January 30, 1929, Lois Elsa Veregin was twin to
brother Ray, and older sister to brother Lorne. Their father was a cattle buyer and their
mother a housewife with an avid interest in gardening. Lois grew up with a feverish interest
in music, books and learning, and had a natural gift for speaking. At one Sunday morning
church service in her early teens, the minister was delayed and the congregation sat fidgeting in their seats as they waited. Lois took note of the crowds need for leadership and rose
to the pulpit. She shared a little about Jesus, and a little about some other things and,
though she wasnt particularly religious, it put her fellow parishioners at ease until the
minister arrived. There was just something about young Lois, even from an early age,
that set people at ease.
www.loisholehospital.com
5 Years of Caring
27
HOPE NOTES
Hope is being able to
see that there is light
despite all of the
darkness.
- Desmond Tutu
28
www.loisholehospital.com
29
HOPE NOTES
We must accept finite
disappointment,
but never lose
infinite hope.
30
FARM TEAM: Ted and Lois Hole werent afraid of new ideas
and took failed ideas as lessons on the road to success.
5 Years of Caring
32
5 Years of Caring
Womens
Advocate
Edmonton philanthropist Dale Sheard
played a major role in the creation of
the Lois Hole Hospital for Women
BY CAITLIN CRAWSHAW PHOTOGRAPHY BY ANTHONY HOULE
HEN DALE SHEARD WAS IN HER EARLY 20s, SHE LOST A GOOD
friend to cancer. An apparently healthy young woman, her friend had few
symptoms until being diagnosed with late-stage ovarian cancer. It was called
the silent killer and it still is, she says. By the time you find out you have it, its often
too late to beat it.
Sheard was living in Toronto with her husband and children. The couples IT business
was doing well and life was good. But seeing her close friend cut down in the prime of
youth shook Sheard to the core and it made her realize the importance of womens
health care for the first time.
When she moved to Edmonton with her family in 1986, Sheard thought it a shame that
there wasnt a womens hospital in the city. But over the next few years, she watched with
interest as womens health care evolved. It began in the mid-1990s, when womens
health-care services in Edmonton became centralized at the Royal Alexandra Hospital.
Then, a few years later, Sheard received a brochure in the mail from the Royal Alexandra
Hospital Foundation requesting donations to renovate a new womens area for the hospital. She immediately picked up the phone and became a donor.
When the renovations were finished in 1999, Sheard was invited to come for a tour, led
by Andrew Otway, CEO and president of the Royal Alexandra Hospital Foundation. We
had some interesting conversations that day about womens health, says Sheard, who
left feeling inspired by the work that the foundation was doing. So when she was asked to
join the foundations board of directors two years later, she was thrilled. Having sold her
www.loisholehospital.com
5 Years of Caring
33
nor that it was a centre for a number of specialized health services, including womens
health, ophthalmology and mental health.
There were so many great things about the
Royal Alex the public didnt know, she says.
In her thesis, Sheard argued that each of the
34
HOPE NOTES
When we are no longer
able to change a situation,
we are challenged to
change ourselves.
- Viktor E. Frankl
5 Years of Caring
Lois Hole Hospital for Women. As a longtime politician, McLellan has worked with
countless community leaders and says the
best ones are like Sheard eager to see a
project succeed, but patient enough to lay
the groundwork needed for success: Her
commitment to the hospital was so strong
and never wavered.
35
36
5 Years of Caring
Higher
Learning
BY MICHAEL HINGSTON
www.loisholehospital.com
5 Years of Caring
37
HOPE NOTES
Man is a creature of
hope and invention,
both of which belie the
idea that things cannot
be changed.
- Tom Clancy
38
5 Years of Caring
The Robbins
Learning Centre
When the Robbins Learning Centre
opened to the public in February
2012, then-health minister Fred Horne
announced that the high-tech training
centre would enhance health-care
teaching in a way that would benefit
patients across the province.
In fact, thats an understatement.
With its 181-seat auditorium and three
classroom spaces, each equipped with
audio-visual technology that allows them
to digitally connect to other facilities, the
Lois Hole Hospital for Women, which
is housed in the same building as the
Robbins Learning Centre, now has an
instant connection not just to the rest of
the province, but also the country and
even the continent.
Weve never had anything of that
size on the Royal Alex campus at all,
says Dr. Radha Chari, chair of maternalfetal medicine at the Lois Hole Hospital
for Women and head of the department
of obstetrics and gynecology. She adds
that the Robbins Centre isnt strictly
reserved for the womens hospital, either.
Anybody who works on our site can
book the area and use it. Thats been
really helpful.
The goal of the centre is, ultimately,
to share what happens at the Lois Hole
Hospital for Women with other health-
5 Years of Caring
39
40
5 Years of Caring
M HAVING CONTRACTIONS!
www.loisholehospital.com
5 Years of Caring
41
of the educational component of the simulators. The hospital houses renowned teaching facilities.
Then the idea grew to providing a permanent home for the simulators, one that
enhances educational capacity, providing
the technology to record and debrief on the
42
process as well.
The foundation believed that thered be an
uptake in use with everyone from nursing
students to staff physicians if the lab were a
permanent fixture. And while the lab is relatively new, Otway has received encouraging
feedback from almost everyone involved.
Even for very experienced practitioners in
womens health, this is seen as a valuable
5 Years of Caring
Rhonda VanThournout
But lest anyone feel overwhelmed, everyone is briefed before they begin so they know
how much control VanThournout has over
the session. Were putting experienced professionals through a high-stress situation,
which can be uneasy for people, she says.
Part of the brief is to make them feel safe.
It gets to the heart of the simulation labs
purpose: a productive suspension of disbelief
that aims to educate. Essentially, simulation
is about trying to recreate not only the medical parts but the communication and interaction parts as well, whether its low-tech or
high-tech says Dr. Jain.
The fiction contract that is taped to the
door can seem redundant Noelle is fooling
no one but at the same time, student participants become engrossed despite the
gaps in realism. It is a reminder of the
cognitive dissonance thats crucial to learning these kinds of skills, the kind of belief
and disbelief that makes you think, if only
for the briefest of moments, that once the
lights are turned off and the door is closed,
Noelle still blinks.
Spring 2015 Hope
43
High Tech
High Touch
BY CAROLINE BARLOTT PHOTOGRAPHY BY BUFFY GOODMAN
44
5 Years of Caring
www.loisholehospital.com
5 Years of Caring
45
HOPE NOTES
People will forget what
you said, people will
forget what you did, but
people will never forget
how you made them feel.
- Maya Angelou
46
We are located in
the heart of
downtown Edmonton
and are fortunate to
serve a population of
women with
varying cultural
and socioeconomic
backgrounds,
says Moyo.
The Details
Thiemer had her baby. As far as Im concerned, she saved my babys life, Thiemer
says. She sat me down and made sure I
didnt do something rash.
During her stay, Thiemer received counselling through mental health services, which
provided her with treatment to help prevent
postpartum depression, something she had
suffered in the past and didnt want to face
again. It was a helpful experience, one that
continues to benefit her.
I think for women, whether theyre
having a baby or coming in for gynecological services or oncology the reoccurring
theme is how positive the staff are, says
Moyo. We want to give people a sense that
there is hope for a better day.
5 Years of Caring
47
Health Tips
A Gynecological Guide
An expert at the Lois Hole Hospital for Women
sees women at all ages and in all stages
gynecologist) at the Lois Hole Hospital for Women since before it officially
opened five years ago. As such, shes a specialist in womens health at one
of Canadas leading research hospitals. The women she sees have usually
been referred to her by a primary care physician. Its not like on TV, she
explains. You dont call and book an appointment with an ob-gyn. Your
doctor refers you.
Bader says that doctors refer patients for a variety of reasons, depending
on the patients presentation and on their own repertoire and comfort level
with womens medicine. Bader sees woman at all stages of life for a variety
of conditions.
STARTING OUT
While its rare for Bader to see a child in her
practice, there are conditions that bring
pediatric patients her way. A lack of estrogen can cause the labia to stick together,
she says. And she sees young patients who
have skin conditions that can affect the genital area, causing redness and itching.
48
EXPECTANT TIMES
The Lois Hole Hospital for Women delivers
more than 6,000 babies each year and about
half of Baders practice is spent on the
obstetrics part of her title. Pregnancy is one
of the most common reasons I get a referral,
says Bader. Some of the pregnancies she sees
are routine, and many involve high risk
pregnancies and premature deliveries.
As an obstetician, Bader sees pregnant
women with higher medical needs and
concerns for their own health and/or that of
their baby. For example, shell see mothers
LATER YEARS
Menopause is ubiquitous, but impacts
women differently. Some pass through this
milestone with few symptoms. For other
women, its debilitating, Bader says. There
are hot flashes, mood changes, vaginal dryness and, for some, profound sleep disturbance. How she treats these women
depends on their symptoms, age and risk
factors, but treatment may include hormones, sleep aids or other medication.
Bader often sees women for urinary
incontinence, or prolapse. While these
conditions can occur earlier in life, they
become more common and symptoms
increase as women age. The number one
cause for prolapse is childbirth, Bader says.
Prolapse involves a pelvic organ bulging
through the vaginal wall. It can feel like
something is falling out of the vagina,
Bader explains. Or women can feel a
sensation or pressure and pain with
intercourse. Bader and her colleagues can
treat prolapse or incontinence surgically or
with the aid of a device called a pessary,
which women wear internally to support
pelvic organs. Treatment depends on
severity, and on the age of the patient,
Bader says. Physiotherapy helps, and so
does estrogen therapy.
When is it urgent?
Many women worry about gynecological
cancer. While women of any age can get
it, it becomes likelier with age. Regular pap
smears monitor the cervix for changes
that are a precursor to cancer. Other
cancers are harder to spot. Bader says
there are some symptoms that should
send you to your doctor right way, rather
than waiting to see if they resolve. Most
women with these symptoms do not have
cancer, but they should be investigated.
www.loisholehospital.com
Health Link
Toll-free: 1-866-408-5465
5 Years of Caring
49
50
5 Years of Caring
second child when she found a lump in her breast. She wasnt concerned about it,
and neither was her obstetrician breasts go through many changes throughout
pregnancy, and most lumps arent a problem but the doctor sent Elisa for bloodwork
and an ultrasound, just to be safe. These tests led to a biopsy.
A week later, on a cold Friday in January, her obstetrician called with bad news: the
lump was cancerous. The pathology report also indicated the cancer was triple-negative,
meaning the cancer cells didnt contain the estrogen, progesterone or HER2 (human epidermal growth factor) receptors needed for the most common breast cancer therapies to
be effective. So instead of hormone-targeting medication, her treatment options were
limited to tumour removal followed by chemotherapy and radiation.
They gave me the weekend to process the news, Elisa recalls. Her labour was induced
on the Monday. Eight days later, she had a lumpectomy to remove the cancer in her breast.
Then, with a newborn and a three-year-old at home, she began her cancer treatments:
three months of chemotherapy and 30 rounds of radiation over six weeks.
Those few months were a whirlwind of treatment for Elisa, but she didnt go through it
alone: her mother, Elaine, was diagnosed with a rare form of ovarian cancer just a couple
of weeks before Elisas breast cancer discovery.
www.loisholehospital.com
5 Years of Caring
51
HOPE NOTES
Hope lies in dreams, in
imagination, and in the
courage of those who
dare to make dreams
into reality.
- Jonas Salk
52
the Allard Foundation and the HBOC Society, the Allard Hereditary Breast and Ovarian Cancer Clinic, located in the Lois Hole
Hospital for Women, follows about 600
patients, just over half of whom have ovarian
and breast cancer in their families but have
not yet had genetic testing. The Allard Clinic
sees patients who have a suspected genetic
link and those who have a confirmation.
Dr. Valerie Capstick is a gynecologic
oncologist and one of the specialists at the
Allard Clinic. She says about five per cent of
breast cancers and 10 per cent of ovarian or
fallopian tube cancers are caused by hereditary factors (the HBOC Society says this
translates into about 1 in 400 women). With
a BRCA1 mutation, the risk of breast cancer
is in the range of 50 and 85 per cent, whereas the risk of ovarian cancer is generally
around 40 per cent. With BRCA2, Capstick
says the risks are slightly lower, but still
significantly elevated. Male carriers of
either mutation have an increased risk of
getting breast cancer and prostate cancer.
Some of the red flags for HBOC syndrome
are multiple people on the same side of the
family with breast and/or ovarian cancer,
developing breast cancer at 40 or younger,
and developing triple negative breast cancer
at 50 or younger.
5 Years of Caring
5 Years of Caring
Celebrate celebrity
53
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5 Years of Caring
Maternal
Minds
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5 Years of Caring
Program Files
BY MARTIN DOVER
Strike a Cord
A program to save umbilical cord blood from newborns at the Lois Hole
Hospital for Women provides hope for stem cell transplant patients
A NEW PARTNERSHIP BETWEEN THE
Lois Hole Hospital for Women and Canadian
Blood Services has helped make Canadas
National Public Cord Blood Bank a reality.
Started in 2014, its already saving lives and
has the potential to benefit thousands of
patients across in Alberta, across the country
and around the world.
The Lois Hole Hospital for Women has been
named as one of four hospitals in the country
to serve as a collection site and Edmonton is
one of two storage sites. As a womans hospital of national importance, the Lois Hole
Hospital for Women sees more than 6,000
births annually. It makes us an obvious collection point, says Cheryl Parkes, patient
care manager, obstetrics. She oversees
recruitment of cord blood donors, working
with Canadian Blood Services to recruit
expectant mothers and obtain their consent
to donate their childs umbilical cord blood
a rich source of blood stem cells. Canadian
Blood Services saves and stores it for potential
future use by patients who need it for medical treatments.
The Canadian Blood Services website says
recipients need blood stem cells to treat dozens of diseases, the most common of which
are types of leukemia. Blood stem cells used
for transplantation can come from bone marrow, peripheral blood stem cells collected
from the blood after special treatment, or
umbilical cord blood.
Cord blood comes from the umbilical cord
that anchors and nourishes the growing baby
in utero. If this cord blood is not harvested at
birth, it gets discarded anyway, Parkes says,
So there is no risk to the baby or mother to
donate it.
Cord blood is often preferable to bone marrow and peripheral blood that adults donate.
www.loisholehospital.com
57
Return
to HOPE
YNN SUTANKAYO EXPERIENCED actually hit the radiologist. The doctor had
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5 Years of Caring
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5 Years of Caring
The
Cutting
EDGE
L
THE FOURTH MUSKETEER: (L-R) Drs. Valerie Capstick,
Tiffany Wells and Helen Steed pictured with the newest
member of the team, the da Vinci robot.
www.loisholehospital.com
innovation and excellence, so its not surprising that the surgical care at the
eponymous hospital embodies these traits too. The hospitals surgical team
enhances the reach of the clinics in fertility, high-risk pregnancies, urogynecology
and gynecologic oncology, providing the widest range of womens health services in
the province. Doing so, it has established itself as a national centre of surgical excellence.
We like to be innovative, driving the expansion of where medicine is going, and providing the best possible care, Dr. Helen Steed says. Shes a Lois Hole Hospital for Women
gynecologic oncologist and surgeon, and lately shes been working with a new surgical
partner: the da Vinci robot, a life- and time-saving machine that allows surgeons a versatility they didnt have before.
5 Years of Caring
61
Da Vinci is the first tool of its kind in Canada to be dedicated solely to womens
health and its presence is a game-changer.
In the past we shared a da Vinci robot with
the main OR at the Royal Alex and had
access to it about one day per week, Steed
explains. With our own dedicated robot
weve more than doubled the number of
surgeries that we can do.
Rhonda Plamondon was one of the
first patients to benefit from da Vincis
precise work. Shes from Plamondon,
Alberta, a hamlet three hours northeast
of Edmonton (named after her husbands
ancestor). Her doctor found some irregular
cells in a pap test in 2013 so he repeated
the test in 2014. It showed the same kind
of changed cells, so he sent Plamondons
tissue for a biopsy.
HOPE NOTES
Hope is like a road in
the country; there was
never a road, but when
many people walk
on it, the road comes
into existence.
- Lin Yutang
62
HANDS ON: The da Vincis robotic arms are able to rotate 360 degrees
to manoeuvre in ways the human arm and wrist could not manage.
Bedside
The Lois Hole Hospital for Women
provides the largest gynecological
services in Alberta with four gyne
operating rooms dedicated to
womens health. The gynecology
oncology inpatient unit at the
hospital has 33 inpatient beds and
13 day surgery beds, providing
treatment to more than 2,500
patients each year.
Each room has a computer outside
the door where any nurse or doctor
can check on a patients progress,
rather than retreating to a centralized
computer at the front desk, and
having to pull a file each time.
glove, looks through the goggles and executes surgical procedures with an exacting
precision.
Da Vinci also allows Steed to sit, a less
obvious benefit to doctor and patient.
Clearly, the patient care is foremost, but
the ergonomics are phenomenal no more
straining and turning, and the camera gets
as close as I want, from all angles. It makes
everything more precise, lessens fatigue
and increases the life span of a surgeons
career, she says.
The $3.3-million base cost of the robot
was covered by community donor support
from across the province, led by campaign
chair Lynn Mandel, with the hospital covering the remaining $500,000 for staff and
maintenance. Its another example of what
donors can do, coming together to support
the Lois Hole Hospital for Women and
ensuring patients like Plamondon from
across Western Canada survive and
return quickly to their lives.
In March, Plamondon was in Edmonton
again to see Steed at the Lois Hole Hospital
for Women. Steed gave her a clean bill of
health and told her to visit twice a year for
two years and once a year for five more.
Plamondon found the news as delightful as
it was reassuring.
Spring 2015 Hope
63
Facility Profile
64
5 Years of Caring
www.loisholehospital.com
5 Years of Caring
65
The interdisciplinary
clinics at the Lois Hole
Hospital for Women
provide services to
women of all ages,
for a variety of
health and
wellness needs.
The Lois Hole Hospital for Women, which
opened in April 2010, is the tertiary hospital
for central and northern zones of Alberta, as
well as Canadas northwest. The hospital
experiences more than 80,000 outpatient
visits every year. Depending on the services
needed, patients are referred to the hospitals outpatient clinics by their family doctors or ob-gyns, and in some cases, they
self-refer.
The Lois Hole Hospital for Women is
really unique in that its an integrated
obstetrics and gynecology program,
66
says Tyrrell. It offers a patient- and familycentred model with labour and delivery,
antepartum, post-partum, outpatient,
operating rooms and gynecology services
all under one umbrella. In many situations,
patients are receiving many different services in one location, says Tyrrell. The team
consists of both obstetrical medicine providers and cardiac providers working
together with the patient to provide integrated and collaborative care in one place.
The hospitals dedication to patient- and
family-centred care shows in every aspect.
The facility was designed to facilitate a
warm and welcoming atmosphere, delivering compassionate and sensitive care for
patients and their families. The whole
design of the hospital is very much a natural and friendly environment, says Tyrrell.
5 Years of Caring
Weve Come a
Long Way, Baby
67
First Person
68
5 Years of Caring
Expectant Times
A few years ago, I had no way of knowing
that my journey to creating a family would
take so many turns
IT WAS A BEAUTIFUL FALL DAY, AND
there I was attending yet another baby
shower, this one for a friend who already
had two boys and was about to have a third.
A mistake, she said. But all she had to
do was look at her husband and bam
shes pregnant. Even though I was happy
for her, I couldnt help feeling jealous.
Everyone around me and my husband Marc
was pregnant and having babies. For us,
each month came and went as a disappointment. Every baby shower guaranteed
that the topic of our non-existent babies
was going to come up.
5 Years of Caring
69
We waited, and I
was optimistic, but
we werent so lucky.
The pregnancy test
came back negative.
I was so upset.
I had the surgery a couple of months
later. At my follow-up appointment, Dr.
Motan showed us the pictures from the
procedure. My ovaries were the size of tennis balls and pretty much touching each
other. The endometriosis was attacking my
ovaries, fallopian tubes, even my bowels.
Dr. Motan suggested he would put me on a
drug for four months to launch me into a
temporary menopause, to give my body a
break from the endometriosis, then wed
begin the IVF process.
The additional months of waiting felt like
another setback, but the time finally came.
We started our first round of IVF, which
brought financial as well as emotional
stress. IVF is uninsured by Alberta Health
Care and, at the time, each fresh cycle of
IVF cost approximately $6,500 for the procedure. (Thankfully, both my husband and
I had benefits plans through work that covered the drugs I had to take prior to the IVF
procedure. These medications can cost as
much as $8,000.) For approximately 10
days before the retrieval of my eggs, I had to
give myself three injections in my abdomen
each day. I had frequent ultrasounds so the
70
FERTILE GROUND: The Isbisters will welcome their third child this
summer something parents Megan and Marc never thought possible.
Defining a problem
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5 Years of Caring
A Life of Spirit
STELLA CORMIER STARTED WORK
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5 Years of Caring
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5 Years of Caring
75
Health Works
A Flood of Relief
Urinary incontinence sends women rushing
to the bathroom. But help is here
AS AN ARTIST, TEACHER AND MOTHER
of two teenagers, Marilyn Porter (not her real
name), 49, manages a busy life in Edmonton.
She also manages a condition not uncommon
to her peer group urinary incontinence.
Ill be working in my office. Ill feel the
need to go and run for the bathroom, but I
wont make it, she says. I probably pee my
pants on a daily basis. Its been an issue for
Porter since childhood. She consulted doctors, but they could find no physical cause.
Porter was embarrassed that her body was
betraying her and was too humiliated to
talk about it.
Then, about 20 years ago, something
76
Schulzs leadership
in the field means help
is at hand.
During pregnancy, women can leak due to
hormonal changes and pelvic organ prolapse.
Fifty per cent of women who have had children will have prolapse, where the bladder
drops and pushes against the vagina, or herniates through the vaginal wall, says Schulz.
After pregnancy, damage to the nerves or tissues of the urethral sphincter can result in
unexpected peeing.
Other professions are not immune. Construction workers, farmers and health-care
personnel are vulnerable due to the pressure
on the bladder from the lifting and bending
associated with their work. Women who
cough frequently those with chronic
obstructive pulmonary disease (COPD) or
asthma are at increased risk, Shulz says.
Schulzs leadership in the field establishes
that, for some women, incontinence and its
companion urinary frequency present more
than an inconvenience. Pervasive disruption in sleep from the need to get up and go
can lead to anxiety and depression, she says.
Approximately 25 per cent of women experience mental health problems as a result.
But not everyone is bothered by urinary
incontinence, says Schulz. If the leakage is
just a spritz, you might just wear a light sanitary pad and call it a day. But if you are
active and, for example, you spend time on
www.loisholehospital.com
77
Corporate Donor
78
BY LINDSEY NORRIS
wellness initiatives, says Julie Woo, a public affairs advisor from the companys
investor relations department. Woo says
that the technology will benefit the companys employees, their families, and the
communities in which Canadian Natural
operates.
Sharlene Rutherford, vice president of
the Royal Alexandra Hospital Foundation,
noticed a trend towards increased transparency in corporate giving.
The corporations want to truly
understand how that donation can make a
difference to patients, she says. It isnt
enough for a company to say, The da Vinci
surgical system will benefit all Albertans.
They will need to know which
communities benefit, where patients are
coming from. And they want to be able to
communicate that value to stakeholders.
If communication around corporate
giving is an important aspect to a successful
campaign, Canadian Natural has a lot of
good news to communicate: in 2013, the
companys total investment reached
$10.8 million, and included programs in
more than 50 communities.
www.loisholehospital.com
Canadian Natural
Resources Limited made
a six-figure donation to
the Lois Hole Hospital
for Women towards
the cost of the
da Vinci robot.
of Canadian Naturals varied efforts, hundreds of volunteers have logged thousands of
hours that benefit organizations in the community financially and materially.
Canadian Naturals rebuilding projects
now go much farther afield: its international
5 Years of Caring
division, Canadian Natural Resources International, conducts operations off the coast of
the western African nation Cte dIvoire,
and the management and staff located in
that country are currently involved in projects to rebuild schools and hospitals in the
southern city of Abidjan, which was affected
during the 2011 humanitarian crisis.
So, from hospitals in western Africa to the
Lois Hole Hospital for Women in central
Edmonton, Canadian Natural has its hands in
lots of initiatives. In the increasingly transparent environment Rutherford has witnessed over the years, it becomes more
important for companies to be clear about
where their CSR dollars are going, and Canadian Natural has built consultation and
shareholder engagement into the corporate
responsibility process.
This may be an era in which few people
doubt that corporations have some responsibility to behave in a socially responsible
manner, but it is also the era in which everything from a Facebook post to a newspaper
flier is expected to produce a measurable
return on investment. There is research that
tries to pinpoint the value of charitable giving motivated, productive employees,
lower turnover, improved reputation but
these benefits remain stubbornly difficult
to quantify.
What is not difficult to prove is that most
employees want to feel that their work has
value, and that they work for a company
that supports their values. A survey by the
Conference Board of Canada found that 71
per cent of employees want to work for
companies that commit to social and community concerns, and in the highly competitive job market in Alberta, that is no small
benefit it just happens to benefit the recipient as well as the donor, and in this case, it
makes life-changing technology available to
Albertans.
Its support from individuals and corporations that allows us to take our diagnostics
to the next level, to offer ground-breaking
technology that maximizes our ability to
deliver high-quality, compassionate care,
Rutherford says. Were so fortunate to have
support from Canadian Natural and the corporate community here in Alberta. They
help us do amazing things.
Spring 2015 Hope
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Donor Files
80
Theres nothing
more personal or
intimate, Terry Tobin
says, than how a
person decides to
allocate the wealth
theyve accumulated
throughout their life.
Then they met Terry Tobin, senior
development officer at the foundation. In
2013, he made a presentation to the hospitals board about bequests and planned
gifts. Shortly after, the Nakatsui family
made a monumental commitment. They
put the foundation in their will.
Tobin is both a consultant and an agent.
He provides prospective donors with
information or sample wording of how
they can include the hospital in their
estate plans; he also administers and
directs those gifts. But he quickly dispels
5 Years of Caring
TO GIVE A GIFT
81
Donor Files
BY SAM MACDONALD
82
A Little Goes
a Long Way
To donate any amount, modest or
otherwise, donors can give with the
click of a button.
Visit royalalex.org/loisholehospital
and select the Donate button. It will
take you to a secure page where you
can enter an amount and indicate if
its a one-time gift or a recurring gift,
and also select a campaign or leave
comments. You can also indicate if
your gift is a memorial gift or one that
marks a special occasion. To donate
over the phone, call 780-735-4723.
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FOR ALL THE WOMEN WHO MEAN THE WORLD TO US
SS NEIGHBOUR TEACHER DOCTOR ENGINEER WIFE SISTER DAUGHTER MOTHER AUNT PARTNER GRAN
Join usCOWORKER
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Lois Hole Hospital
forDOCTOR
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of providing
world-class
care to the
women
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The Syncrude Project is a joint venture undertaking among Canadian Oil Sands Partnership #1, Imperial Oil Resources, Mocal Energy Limited,
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