Positively Healthy Winter 2012

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Winter issue Seven Oaks magazine including Wellness Institute program guide

Transcript of Positively Healthy Winter 2012

  • Winter 2012

    Winter Program Registration Opens December 15*

    Freeing kidney patients to live their lives

    RegisteR eaRly at wellnessinstitute.ca staRting 6:00am DeceMBeR 14 (online only)

    FREEway to Wellness

    Sister Hospitals in China

    online at wellnessinstitute.ca and at sogh.mb.ca

  • Healthy kidneys process waste products from the body, but when the kidneys shut down those waste products build up in the bloodstream and need to be eliminated artificially. The conventional treatment is Hemo-Dialysis, in which patients are hooked up to a dialysis machine for several hours, three or more times per week to clean their blood.

    With Peritoneal Dialysis (PD) doctors surgically insert a catheter into the patients abdomen and leave a small stem protruding. Fluids are placed into the patients abdominal

    cavity to soak up waste products and draw off fluids several times a day.

    PD is considered a best practice option for patients who still have some kidney function because it allows the patient to maintain their own kidney function for longer and to maintain their lifestyle and mobility.

    Michael Lefebvre, a 50 year old accountant at Bristol Aerospace says that the option to use PD has allowed him to carry on with his life. The kidney disease he inherited from his mother was getting progressively worse and he was referred to Seven

    Oaks for dialysis. In September he started on a method of PD known as the twin bag process in which patients exchange the fluids in their abdomen 4 times per day and which takes about 45 minutes.

    For him, that meant exchanging the fluids in the morning before work, at lunch, at supper and before bedtime. Because he lives close to his work he was able to come home and replace the fluids while he was eating, instead of having to find a place to do it at work. Now he, too, is on a cycler at night time.


    Freeing kidney patients to live their lives

    More Seven Oaks kidney patients are living active lives as a result of a portable form of dialysis patients can perform on their own at home. The patients are able to continue working, attend school and travel out of the country instead of spending three or more days in a hospital dialysis each week.

    3 Sister Hospitals in China4 The Wellness Institute Program Guide

  • I was determined to not let this disease change what I did every day go to work, go to the cottage, play hockey its still not as good as a transplant but it gives you the most amount of freedom you can have.

    Lefebvre says that if his disease progresses he hopes to have the option of Home Hemo-Dialysis rather than in centre dialysis, also because of the freedom to carry on with work and other interests.

    Hes still able to play golf in the summer and hockey twice a week in the winter with old friends. We dont have any refs but we still compete. Its something I dont want to give up.

    Nephrologist Dr. Sean Armstrong says that over the last two years, the kidney health team Seven Oaks General Hospital has been able to double the number of PD patients from 43 to 84 by performing bedside catheter insertions. He and his team trained at University of British Columbia to learn the bedside technique which is less invasive, doesnt require an Operating Room or full anesthesia, and allows the dialysis to begin sooner.

    PD can often be a bridge for younger patients whose kidneys are failing and are waiting for a transplant, Armstrong says.

    Ryan Hobbs, 22, was a bit shaken in June when he found out he had end stage renal disease. He had been losing his vision and went to a

    hospital where he found that his blood pressure was through the roof and that he had likely had kidney disease for several years. He says a form of auto-immune response caused his own body to attack his kidneys. Just a luckof-the-draw type thing, he said.

    Dr. Armstrong presented him with options but 3 days per week in a hospital didnt seem like much of a choice so Ryan had the PD catheter inserted on August 15. Shortly after he applied to go to University of Manitoba where has been taking three courses and will probably pursue a business major.

    Im happy about that part having all this happen, I kind of rushed and got ready (for school). I wasnt sure before but I thought (now) its time to commit to something. Meanwhile hes waiting for the transplant which will add about 25 years to his lifespan.

    Its pretty big but definitely bitter sweet. Its kind of freaky to find out theres a set number of years you can live (with a transplant) and to be thinking about that number of years at my age, but it also makes me want to live every one of them.

    PD does present some limitations. Three days a week he needs to leave for school by 7:30 so that means he has to be in bed early to get 9 hours of overnight dialysis. When hes with friends in the evening its a bit awkward to have to leave to go home to bed at 9:30.

    Swimming is something that he misses because it doesnt go well with having a catheter and needing to keep the insertion point free of bacteria. Its kind of a bummer, but better than being in the hospital for sure.

    Another dialysis patient in her 70s, Dena Katz, has been on PD for over three years now and is quite happy with doing it. Maybe Im just used to it now, but Im quite comfortable.

    I started with Hemo-Dialysis but the reason we switched is we were going away in the winter so we asked the doctor if I was a candidate and the answer was yes.

    Dr. Armstrong is pleased to see some of his patients having a chance to live a bit, because for many in-site dialysis is the only option currently available. People who are on (in centre) dialysis say its a job (they go to) 3 or 4 days per week.


    I was determined to not let this disease change what I did every day

    patients are able to continue working,

    attend school and travel out of the country

    14 What makes a Top Employer?13 Support for innovation at Seven Oaks

    14 FREEway to Wellness

    winter 2012

  • 3Seven Oaks signs research agreements with Chinese hospitals

    Anhui Hospital

    Shandong Hospital

    Innovation in a relatively small community hospital in Winnipeg has led to an international research partnership with two large hospitals in the Peoples Republic of China.

    Seven Oaks Hospitals Chief Medical Director Dr. Ricardo Lobato de Faria and his Emergency team have been experimenting with the use of Radio Frequency Identification Tags to track and study equipment and staff movements in Emergency. They hope to identify opportunities for efficiency as well as patient safety.

    Their project caught the interest of someone at a conference from Fudan University in Shanghai which has affiliations with two Chinese Hospitals, Anhui Provincial Hospital in Hefei and Shandong Provincial Hospital in Jinan. Those hospitals invited Dr. Lobato de Faria and Informatrics/Process Improvement Lead Trevor Strome to visit China.

    According to Dr. Lobato de Faria they found two hospitals that are almost unimaginably large by Canadian standards, with 2800 beds and 5000 beds as compared to Seven Oaks 300. Relative to population, however, the two hospitals have similar roles and challenges to Seven Oaks.

    Anhui Province is located in eastern China south of Beijing and across the basins of the Yangtze River and the

    Huai River with a population of over 40 million people. Shandong Province touches Anhui to the north and is on the east coast and closer to Beijing. It has a population over 95 million people and is known as the birthplace of Confucius.

    That visit last spring was reciprocated with a visit from each of the Chinese Hospitals to Seven Oaks this fall. Both Anhui and Shandong have signed agreements for cooperation as Sister Hospitals with Seven Oaks. The agreements outline four broad areas for cooperation as sister hospitals including:

    Co-operation of joint conferences, seminars and workshops

    Conduct of joint research projects

    Exchange of researchers

    Exchange of information and research publications

    Both hospitals are developing and modernizing rapidly. Anhui for instance is developing a new Emergency Department and quite interested in process improvements and the use of technology at Seven Oaks. Both have university affiliations, and like Seven Oaks a developing interest in research and innovation.

    Dr. Lobato de Faria attributes the interest in research partnerships to a general tend in China to open up to the world and be more involved.

    He notes that Shandong has been involved in funding and fostering the development of hospitals in Tanzania.

    The next step for collaboration between Seven Oaks and its two sisters will be an exchange of individual physicians to visit and work alongside each other. The exchanges will likely involve kidney health and emergency services which are strengths at Seven Oaks.

  • 7. wellness institute, 1075 Leila AveWed, Jan 25-Feb 29, 1:00-3:30pm

    8. Reh-Fit centre, 1390 Taylor AveTue, Feb 7-Mar 13, 6:00-8:30pm

    9. youville st. Boniface, 33 Marion StMon, Feb 6-March 26 (no class Feb 20), 1:00-3:30pm

    10. youville st. Vital, 6-845 Dakota StWed, Feb 8-March 21, 1:00-3:30pm

    11. Klinic, 870 Portage AveTue, Feb 7-Mar 13, 1:00-3:30pm

    12. access transcona, 845 Regent AveTue, Jan 24-Feb 28, 1:00-3:30pm

    13. Fort garryLocation and Times TBA

    14. Health & social services centre,3401 Roblin Blvd Wed, Jan 25-Feb 29, 1:30-4:00pm

    additional locations and Dates tBa

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