Success after surgery - Hôpital Saint
Transcription
Success after surgery - Hôpital Saint
Believe Fall/Winter 2014 ISSUE 3.2 A publication of St-Boniface Hospital Success after surgery John Bockstael: A community builder Forty years of Palliative Care The nerve to innovate Winning the battle against infection On the cover Believe Believe is a publication of St-Boniface Hospital. Health care aide Clayton Torres doing his part to help reduce the spread of hospital acquired infections. Read the story on page 6. 12 Cover photo by Cory Aronec Photography Believe is published twice annually and is a bilingual joint publication of St-Boniface Hospital and St-Boniface Hospital Foundation. It is intended to inform you about improvements to patient care, innovations in research, and fundraising initiatives. This publication is also available online at saintboniface.ca. All materials are the copyright of St-Boniface Hospital. Success after surgery St-Boniface researchers set out to prove that exercise before heart surgery improves results. 13 St-Boniface Hospital 409 Taché Avenue Winnipeg, MB R2H 2A6 Tel: 204-233-8563 St-Boniface Hospital Foundation 4 C1026 – 409 Taché Avenue Winnipeg, MB R2H 2A6 Tel: 204-237-2067 Fax: 204-231-0041 St-Boniface Hospital Research 351 Taché Avenue Winnipeg, MB R2H 2A6 Tel: 204-235-3206 Fax: 204-235-0793 Writers: Stu Slayen, Karine Verot Design: Bounce Design Printing: Premier Printing Photography: Cory Aronec, Robert Blaich, Dan Harper “Research Was Here” is everywhere Public awareness campaign shines a light on researchers and their work. Patient involvement St-Boniface Hospital learns from patient experiences. 14 8 For the record Approach to cancer consultation eases patient burden. PM 40064250 Return undeliverable Canadian addresses to: St-Boniface Hospital Foundation C1026 – 409 Taché Avenue Winnipeg, MB R2H 2A6 2 | Believe | Fall/Winter 2014 60 years of giving Hospital Auxiliary raises funds to support patient care. St-Boniface Hospital’s journey to improve patient care from admission to discharge continues thanks to the commitment of staff and physicians and the involvement of patients and families who provide valuable insights and suggestions on their experience. The participation of many individuals at the front line of care and of those receiving care is critical to lasting change. Their input helps focus our activities, guide our decisions, and identify what matters most to our patients. In this issue of Believe, you will read about a patient’s role in our improvement activities and staff-initiated changes to improve the patient’s experience, reduce the risk of harm, and decrease wait times and delays by improving the flow of patients throughout the Hospital. Improving patient flow is a priority and essential to transforming St-Boniface Hospital. It is about working together to provide safe and reliable care every time. It involves staff and physicians across all services and touches every process, from patient care to housekeeping and beyond. Improving flow affects all areas of the Hospital. Managing and improving each step of the patient’s journey through the Hospital is necessary to safely and effectively meet the increasing demand for care every day. We continually seek the input and participation of patients, families, staff, and the community. We listen and learn from our collective experiences. Thank you to the patients and families who so willingly provide input. We are grateful for the opportunity to work with you. “When we give cheerfully and accept gratefully, everyone is blessed.” So said the beloved and brilliant poet Maya Angelou, who passed away earlier this year. Ms. Angelou was right. Grateful and blessed is how we feel at St-Boniface Hospital Foundation. Our Board and staff – and indeed the entire St-Boniface Hospital community – see giving and philanthropy not merely as financial transactions, but as expressions of love, trust, foresight, and compassion. There is no shortage of needs in Manitoba and no end of exceptional organizations doing things to improve lives. You have choice as a donor and when you choose St-Boniface Hospital Foundation, we are humbled and honoured. We are grateful when an individual donor makes a gift of any size as a way to thank the Hospital for the care extended to oneself or to a loved one. And we are grateful when innovative, groundbreaking businesses step forward to support the innovative, groundbreaking research that takes place at St-Boniface Hospital Research. You are all donors who give cheerfully and who care deeply about the progress we make as a Hospital, a Research Centre, and as a Foundation. We are fortunate in Manitoba that we have built a community where we, as individuals, express how we feel by performing acts of kindness, either by volunteering or by making donations. We are fortunate that our business leaders don’t simply write cheques, they consider their philanthropy carefully and consciously – as they would with any business decision. They ask questions, they seek knowledge, they get to know us, and they give cheerfully. Together, we are transforming St-Boniface Hospital. Manitoba is known to be Canada’s most generous province. At St-Boniface Hospital Foundation, we see evidence of that every day. We are grateful. And we are blessed. Dr. Michel Tétreault President & CEO St-Boniface Hospital Charles (Chuck) LaFlèche, cma, fcma President & CEO St-Boniface Hospital Foundation Fall/Winter 2014 | Believe | 3 Patient involvement “They want to improve care for every patient and ultimately they want to know if they are working on the right things.” Brian Pelda is no stranger to St-Boniface Hospital. Over the past two decades, he has spent over 500 days in Hospital. Having been a patient on nearly every floor, Brian’s knowledge of the patient experience at St-Boniface Hospital has been invaluable to our efforts to improve patient flow – how patients are admitted and treated in Hospital and discharged when they are ready. Ensuring patients move through the Hospital in a safe and timely manner has been the focus of many patient flow improvement activities in recent months at St-Boniface Hospital. Improving flow involves ensuring patients receive the expert care they need, when they need it, without any delays. A key element of patient flow is the safe transfer of patients throughout the Hospital. Experience and insights from patients like Brian help guide decisions that will have a lasting impact on patient care. “I’ve lived many experiences in hospital,” says Brian. “At times I have been told that I was going to be discharged at 9 a.m. but I wouldn’t get to leave until 7 p.m. or later. Not only is this frustrating for patients, it means other patients can’t be admitted and it restricts flow.” 4 | Believe | Fall/Winter 2014 | Hospital As part of the care team working on flow, Brian shares his experiences and suggestions on where process can be improved. “I have always thought if there was any way I could give back for all the care I have received, I would,” says Brian. “Helping to improve patient flow is something I can do. I really enjoy working with staff and finding ways to improve the quality of care for patients.” As someone who has had a lot of experiences at St-Boniface Hospital, Brian hopes to make the journey more comfortable for everyone who walks through the Hospital’s doors. “Everyone, from Hospital executives to nurses and health care aides, values my feedback, positive or negative” says Brian. “They want to improve care for every patient and ultimately, they want to know if they are working on the right things.” At St-Boniface Hospital, we strive to learn from patients and families and translate that learning into patient care improvements. To learn how you can volunteer to help improve patient care at St-Boniface Hospital, go to www.sbgh.mb.ca/SafetyQuality and click on “Involving Patients and the Public.” “We know when patients are admitted to the Hospital they will have better outcomes if we can get them on the unit faster.” ADT nurse Jacinthe Sacher (left) and nurse Britt Billson discuss their patient’s care plan. Safely admitting, transferring, and discharging patients Every day, patients in hospital wait. Whether patients are waiting to be admitted to a bed on a unit, transferred to another unit, or discharged home, time moves slowly and it is an overwhelming and stressful time for patients and their families. Admitting, transferring, and discharging patients are closely linked and involve many staff and physicians working behind the scenes to manage the transitions safely. Patients are only admitted to a unit when a bed is available, requiring another patient to be discharged and the room cleaned. It also requires good communication among all departments to ensure critical information is not lost and patients are not harmed. In looking for ways to improve and accelerate the admission and discharge of patients, nursing staff found 65 per cent of patients are discharged between noon and 5 p.m., creating a delay in admitting new patients. Part of the challenge for nurses is caring for sick patients while preparing another patient for discharge, then arranging for a new patient to be admitted. The nursing team proposed the creation of an “Admission, Discharge, and Transfer (ADT)” nursing role. The ADT nurse is focused only on admitting and discharging patients and is not assigned to care for other patients. “As an ADT nurse, I can have my full attention on the patient being discharged or welcomed,” says Stephanie Nunes, Registered Nurse, E6 Medicine. “I don’t have to worry about other patients and I am able to make this the best experience possible.” In the last year, the Medicine Program also introduced face-to-face transitions to increase safety. Now, the ADT nurse meets patients in the Emergency Department for face-to-face report at the patient’s bedside. Together with the Emergency nurse, patient, and their family, the ADT nurse walks through a safety checklist. After sharing all required information, the ADT nurse accompanies the patient back up to the unit. “We know when patients are admitted to the Hospital, they will have better outcomes if we can get them on the unit faster,” says Sue-Ann Hobbs, Program Team Manager, E6 Medicine. “Increasing communication with nurses in the Emergency Department improves the admission process for patients and staff.” Thanks to the new ADT role, discharges are happening earlier in the day, patients are being admitted to the unit sooner and according to Nunes, patients are noticing a difference. “Patients no longer feel like they are just a chart when we are meeting with them face-to-face in Emergency. Their anxiety decreases and it’s a much more personal experience for our patients.” Hospital | Fall/Winter 2014 | Believe | 5 Reducing the spread of hospital acquired infections Hospital acquired infections (HAIs) are the most common serious complication of hospitalization and the fourth leading cause of death in Canada, surpassed only by cancer, heart disease, and strokes. An estimated 50 per cent of HAIs can be prevented. “Patients come to St-Boniface Hospital to get well,” says Lance Barber, Director of Surgery, St-Boniface Hospital, who leads efforts to reduce HAIs. “We have the responsibility to treat them, keep them comfortable, and ensure they aren’t getting sicker while they are patients at the Hospital.” glance whether equipment, such as IV poles, thermometers, and commodes, is clean and in good condition for the next patient. Hand hygiene plays a large role in reducing the spread of infection. Efforts to encourage staff hand hygiene, including regular audits, have had dramatic results. One unit saw a 30 per cent increase in hand hygiene, from 59 per cent to 89 per cent, in just one year. In addition to improving their own hand hygiene, staff identified patient hand hygiene as a priority. Patients who get infections may spend more time in hospital, increasing their risk of further harm. The Surgery Program at St-Boniface Hospital is leading efforts to reduce hospital acquired infections in patients. “Staff provided wet wipes to patients to wash their hands at meal time,” says Barber. “Some patients used them before eating, some used them only after eating, and some patients couldn’t open the packages. It wasn’t working and we needed to do something differently.” One of the risks for transmission is through shared patient equipment and the Surgery Program encouraged staff to come up with solutions to decrease the risk. Staff developed a sticker system to help them tell at a Health care aides on a post-surgery unit started squirting hand sanitizer directly into the patients hands as they distributed meal trays at breakfast, ensuring patients were cleaning their hands before eating. 6 | Believe | Fall/Winter 2014 | Hospital “When we returned at lunch time, patients were waiting with their hands out to receive hand sanitizer,” says Clayton Torres, health care aide, Unit 4A South. “And now, patients are reminding us if it looks like we’ve forgotten!” Staff regularly and randomly check to see if the improvement measures are working and post the results of their observations on the unit for patients and staff to see. They have seen a significant reduction of patients acquiring antibiotic resistant organisms. With everyone working together, the transmission of germs has decreased. “Hospital acquired infections affect all areas of the Hospital,” says Barber. “We are sharing what our team has learned with the entire Hospital to reduce and prevent the spread of hospital acquired infections.” Keeping it clean Reducing infections through research Dr. Michelle Alfa (right) and her team are looking at better ways to clean equipment. “Housekeeping personnel and the people who clean medical equipment are on the front lines in the battle against infection.” “I’d be the worst patient,” laughs researcher Dr. Michelle Alfa. “I’d be grilling them about how they cleaned their instruments.” Dr. Alfa’s concern is legitimate as hospitals around the world struggle with how to fight medical-device-related infection. Broadly speaking, there are two types of infection that affect patients while in hospital, explains Dr. Alfa, Principal Investigator, Infectious Diseases, Canadian Centre for Agri-food Research in Health and Medicine (CCARM). “Endogenous” infections are caused by bacteria in the patient’s own body – a post-surgery wound infection due to bacteria found on the skin, for example. Dr. Alfa focuses on the prevention of “exogenous” infections that start outside the patient’s body. These are infections from bacteria in the patient’s environment or from contaminated medical devices. “Infections due to Clostridium difficile could be the result of something as simple as touching an unclean surface in the bathroom,” says Dr. Alfa. “For older patients, C.difficile infections make hospital stays longer and could even be fatal.” There is renewed global interest in hospital acquired infections, due in part to an outbreak of NDM E.coli in the United States earlier in 2014. This particular bacterium is resistant to most antibiotics and like other bacteria, can be spread by flexible endoscopes that have not been properly cleaned. “Scopes require proper cleaning and high-level disinfection between uses,” says Dr. Alfa. “Cleaning them is a complex, manual process that involves many steps. Sometimes the cleaning isn’t perfect. It’s a challenge faced by hospitals everywhere.” Dr. Alfa and her team are looking at the issue to learn whether parts of the cleaning process can be automated. This includes conducting clinical studies for private companies, including major players like Johnson & Johnson, while still looking for ways to improve the manual processes. “We are not only working toward learning more about keeping the hospital environment and medical equipment clean,” she says, “we are trying to integrate our research findings and determine best practices, and implement these practices in a realistic manner.” On a local level, Dr. Alfa is observing and influencing practice at St-Boniface Hospital, and she likes what she sees. “Housekeeping personnel and the people who clean medical equipment are on the front lines in the battle against infection,” says Dr. Alfa. “We do a very good job here, but every hospital needs to be constantly diligent and strive to improve.” Research | Fall/Winter 2014 | Believe | 7 60 years of giving “St-Boniface Hospital owes a debt of gratitude to the many Auxiliary volunteers, past and present, for their staunch support of patient care.” For over 60 years, the St-Boniface Hospital Auxiliary has been committed to supporting the needs of patients and staff at St-Boniface Hospital. On November 10, 1954, under the direction of Sister Berthe Dorais, a group of 58 women, made up of wives of Board members and physicians practicing at St-Boniface Hospital, gathered for the first meeting of the St-Boniface Hospital Ladies’ Auxiliary. 8 | Believe | Fall/Winter 2014 | Hospital “There had been previous attempts to establish volunteer groups in the early years of the Hospital’s history,” says Daniel E. Lussier, Chair of the Auxiliary. “This group established the first formal volunteer and fundraising program to support patients and the Hospital’s objectives which continues today.” Staff and volunteers in St. Boniface Hospital’s Gift Shop. The Hospital’s first Gift Shop opened in 1956. Mrs. J.J. Bourgouin, President of the Ladies’ Auxiliary, presents a $10,000 cheque to Sister Gosselin in 1964. The Auxiliary’s first years were focused on improving the comfort and well-being of patients, finding innovative ways to raise much-needed funds for the Hospital, and recruiting new members to their cause. “We are very proud to be a part of this long-standing volunteer tradition.” The Auxiliary funds music and art programming on the units – musician Keith Price plays on the Palliative Care Unit. In recent years, the St-Boniface Hospital Auxiliary has raised money for the benefit of patients and staff in almost every department of the Hospital. Funds have supported staff development through continuing education grants; purchased furnishings and equipment; and supported the development of St-Boniface Hospital’s Everett Atrium in 2006. The Auxiliary also funds music and art programming on the units and exhibits in the Buhler Gallery. In 1956, the Ladies’ Auxiliary opened the Hospital’s first Gift Shop to generate regular income to respond to needs. Items for sale were made by Auxiliary members, their friends and relatives, sisters, nurses, and patients from occupational therapy. Today, the Gift Shop remains one of the Auxiliary’s primary revenue-generating activities, offering a wide range of products to visitors and staff. “The Auxiliary provides over $200,000 in grants towards patient care and staff initiatives at St-Boniface Hospital,” says Lussier. “We are very proud to be a part of this long-standing volunteer tradition.” Building on the strong foundation laid out by past members, today’s Auxiliary has grown from a group of women to a mix of volunteer men and women, business professionals, and retired individuals committed to supporting health care services at St-Boniface Hospital. “St-Boniface Hospital owes a debt of gratitude to the many Auxiliary volunteers, past and present, for their staunch support of patient care,” says Dr. Michel Tétreault, President and CEO, St-Boniface Hospital. “Annual grants have enabled Hospital leadership and staff to enhance the patient experience and provide patients with a warm and welcoming environment.” The Auxiliary overseas a variety of retail ventures at St-Boniface Hospital, including the Gift Shop, vendor kiosk rentals, television and telephone rentals, and baby photography, to name a few. Every time a purchase is made in the Gift Shop, or a patient rents a television, a portion of the proceeds supports the Auxiliary and contributes to the success of many Hospital projects. Auxiliary Board members are committed to the Hospital’s mission of care and play a large role in generating additional revenue for the Hospital. Hospital | Fall/Winter 2014 | Believe | 9 Protecting dignity; easing suffering Forty years of Palliative Care at St-Boniface Hospital “We’re driven by the positive change we can make for people who are dying, as well as their families.” Perhaps the greatest impact the Palliative Care Program at St-Boniface Hospital has had in its 40 years is that it has influenced the way the whole Hospital community looks at dying. presentations across North America, and welcomed many visiting practitioners to study St-Boniface Hospital’s approach. There was even a documentary about the program on CBC’s “The Nature of Things.” “I remember a family arriving at the hospital shortly after their relative passed,” recalls Dr. Paul Henteleff, who directed the Program for 17 years. “They were devastated and wanted to be with the body. The morgue attendant understood the need, and prepared a calm, dignified sitting area for the family. They were moved, and so was I.” The Palliative Care team protects the dignity, eases the suffering, and preserves the quality of life of patients nearing the end of life. “The people who work here are inspired, dedicated, compassionate, and gentle,” says Dr. Harlos. The 15-bed unit at St-Boniface Hospital is a beautifully appointed space, ensuring maximum comfort for patients and their families. While palliative care doesn’t save lives, says Dr. Harlos, it can save living. Dr. Henteleff, recognized as a pioneer of palliative care in Canada, touched the lives of 2,000 patients and their families while at St-Boniface Hospital. “It was the most rewarding part of my career as a physician,” says the nowretired doctor. “Palliative care was my spiritual formation.” St-Boniface Hospital became the first hospital in Canada to develop a Palliative Care Program. Launched in the fall of 1974, the Program was part of the Extended Care Unit, led by Dr. David Skelton. Dr. Henteleff joined to direct the Palliative Care Program, which gained international acclaim. He made 10 | Believe | Fall/Winter 2014 | Hospital “We’re driven by the positive change we can make for people who are dying, as well as their families,” says Dr. Mike Harlos, Medical Director of the WRHA’s Palliative Care Program and Pediatric Palliative Care Service. Dr. Mike Harlos in the Palliative Care Unit. Forty years later, Palliative Care at St-Boniface Hospital is now part of a wider Winnipeg Regional Health Authority program that sees about 1,300 patients a year. “We strive to ensure support and comfort so that people with life-limiting illness can live as fully as possible until they die,” he says. “I recall one patient who thanked me for saving his life after I was able to help with some very challenging pain. In reality, I feel it was his ability to carry on with his life that was saved. Before he died, he was able to become engaged with life and find meaning and purpose.” Ursula Hartel shows us the way “I was so impressed by the work being done here that I decided to become a volunteer.” You would think that being threatened at gunpoint as a child during World War II, losing members of her family, and nearly losing her own life to illness as a teenager would have led to a lifetime of bitterness and fear for Ursula Hartel. Not so. Instead, the spry Hartel has lived an adult life of giving and joy, and still celebrates life as a donor and volunteer at St-Boniface Hospital. She works a weekly shift as a “hostess” in the waiting room by the operating room. She comforts family members, helps them find their way around the Hospital, and conveys messages to and from the nurses and surgeons. “Very often the friends and family of the patient are nervous and anxious,” says Hartel, who has been a St-Boniface Hospital volunteer since 2010. “I know from my own experiences how anxious you can get. It’s my job to assure the family that their loved one is in good hands. And I help them get to where they’re going after surgery.” In 1955, Hartel and her husband Edmund left Germany, where they were both born and raised. They left with six dollars between them and dreams of a better life in Canada. They landed in Quebec and purchased railway tickets to Calgary. “For some reason, we changed our minds along the way and decided to make our lives in Winnipeg,” says Hartel, whose boundless energy belies her 81 years. The couple, who recently celebrated their 61st wedding anniversary, raised a daughter here and Hartel’s husband worked for 36 years as a butcher for Hudson’s Bay Company. As part of their investment in community life, the Hartels became donors to the St-Boniface Hospital Foundation in 1993. They have made regular gifts to the Foundation ever since. After attending a donor recognition breakfast, Hartel decided that she wanted to help even more. “I was so impressed by the work being done here that I decided to become a volunteer,” she says. “There is such a nice feeling here. I always feel welcome.” Previously, Hartel volunteered for 18 years in the German Bilingual Program at Princess Margaret School. And today, she still volunteers as a Goldwing Ambassador at Winnipeg’s James Armstrong Richardson International Airport. Again, helping people find their way. “Maybe my life experiences made me more compassionate,” she reflects. “I like to help out and give back to the community.” Hospital | Fall/Winter 2014 | Believe | 11 Success after surgery Exploring the heart health advantages of “PREHAB” Dr. Todd Duhamel’s and Dr. Rakesh Arora’s research is showing that exercise makes good sense before heart surgery. How you spend your time before heart surgery can affect how you feel after. At present, patients waiting for heart surgery are not given any specific instructions on what to do. As a result, they often do very little besides wait quietly at home. Dr. Rakesh Arora and Dr. Todd Duhamel of St-Boniface Hospital Research are promoting a change in practice. They believe that physical exercise before surgery can improve post-surgical outcomes and shorten hospital stays. “We think we can shorten hospital stays by at least one day after heart surgery.” “We know that exercise is probably one of the best things we can do for ourselves,” says Dr. Arora, Principal Investigator, Heart Failure Therapy. “That’s what we’re tapping in on – finding ways we can engage people to do the same sort of healthy living things that anyone is supposed to do – even while waiting for heart surgery.” Manitoba (CHaRM) Investigator Group. They designed an exercise program for 14 low-risk patients waiting for heart surgery, similar to the type of program that would be recommended for patients rehabilitating after surgery (hence the “PREHAB” nickname for the work). The results were promising as Dr. Arora and Dr. Duhamel learned that PREHAB can leverage better outcomes after surgery. Dr. Arora and Dr. Duhamel first tested their theory two years ago with a small $5,000 study funded by the Cardiovascular Health Research in And speaking of leverage, those early results led to $640,000 in grants for a multi-site study that launched in September. The new study 12 | Believe | Fall/Winter 2014 | Research includes 244 patients in Manitoba, New Brunswick, and Nova Scotia. “A multi-site, randomized, controlled trial like this is really the gold standard in research,” says Dr. Duhamel, Principal Investigator, Physical Activity and Chronic Disease Prevention. The local work will be conducted through a partnership with the Reh-Fit Centre and the Wellness Institute at Seven Oaks General Hospital. “They are both exceptional organizations with the expertise to deliver the program.” Aside from the promised positive impact on patient health, Dr. Arora and Dr. Duhamel, Co-Principal Investigators, are also eager to achieve positive economic impact for the health care system. “By investing in PREHAB, we can save money for the health care system,” says Dr. Duhamel. “We think we can shorten hospital stays by at least one day after heart surgery. With 1,100 heart surgeries a year at St-Boniface Hospital, this can result in substantial savings in health care dollars.” “Research Was Here” is everywhere Awareness campaign puts a face on research “Our researchers work in a highly technical world, but they talk about their research in plain language.” One used to be a basketball referee. Another worked as a bouncer while at university. A third is a fantasy football maven. And still another lets off steam by salsa dancing. And each one is a world-class researcher at St-Boniface Hospital Research. St-Boniface Hospital Foundation has launched an awareness campaign called “Research Was Here” to introduce researchers to the community and to shine a light on their work in cardiovascular, neurodegenerative, nutraceutical, functional food, and clinical research. The campaign aims to highlight the value of medical research and the great minds – and people – behind it. “It’s important to us that our donors and our sponsors have a good understanding of the impressive work being done at the Research Centre,” says Charles (Chuck) LaFlèche, President & CEO of the Foundation. “The awareness campaign gives us the platform to do that and it gives us the opportunity to talk about the researchers as citizens outside of the lab.” Through video clips and magazine-style articles, the researchers talk about their inspirations and motivations while explaining the significance of their work. The bank of stories lives and grows at www.ResearchWasHere.com and will ultimately include over 40 profiles. The site has been widely promoted through newspaper advertising, billboards, and social media, and has been well received by the community. The advertising includes photos of the researchers in colourful settings connected to their areas of study. “We’re happy with the feedback we’ve had so far and website traffic continues to grow each time we add a new researcher. Over the years, we’ve learned that the community is curious about the work being done here. This campaign answers their questions,” says Monique LaCoste, Director of Communications at the Foundation. “Our researchers work in a highly technical world, but they talk about their research in plain language. We have been directing donors to the site so they can gain an even deeper understanding of the impact and importance of their contributions.” The French version of the site is at www.researchwashere.com/?lang=fr Research | Fall/Winter 2014 | Believe | 13 For the record Approach to cancer consultation eases patient burden “We know during the initial treatment consultation patient anxiety levels are very high.” Receiving a cancer diagnosis is an overwhelming experience, and the first consultation with the doctor – when you hear “the news” – produces moments of confusion and anxiety. The first consultation typically includes discussion about treatment options and prognosis. It is a lot to absorb; a lot to remember. Dr. Tom Hack has been advancing an approach to reduce the stress of cancer’s earliest days by recording these initial consultations and providing patients with the recording. The Saskatoon-raised clinical psychologist has been sharing his work around the world. The first 90 days after a diagnosis is a critical time. “It’s a time when the cancer patient has more questions than at any other time, and when important treatment decisions are made,” explains Dr. Hack, Director, Psychosocial Oncology and Cancer Nursing Research. “If a patient wants to be involved in decision-making, if we want to empower them, how do we do that? We know during the initial treatment consultation patient anxiety levels are very high – so high in fact that patients often tune out and don’t remember what the doctor has told them.” 14 | Believe | Fall/Winter 2014 | Research The recordings, says Dr. Hack, allow patients and their families to listen to the consultation at a calmer time so they can better absorb the information. “By listening to the recording, they can be better informed and be better armed with questions the next time they see their doctor,” says Dr. Hack. Dr. Hack and his research colleagues are keenly focused on understanding and supporting the cancer patient’s ability to cope with cancer and its treatment. One of the keys, says Dr. Hack, is promoting good communication between health care providers and patients. The consultation recording practice, already tested with 2,000 patients, is proving itself to be an important vehicle for helping patients cope. The work has caught the attention of clinicians globally as well as funders. Grants from St-Boniface Hospital Foundation and a recent $100,000 donation from a private donor will help Dr. Hack and his colleagues move the practice forward in support of the well-being of cancer patients and their families. The nerve to innovate New treatments ahead for diabetic neuropathy Dr. Paul Fernyhough It started out as any regular security check at the airport. Winnipegger Darrell Fierheller emptied his pockets and removed his shoes before walking through the scanner. What he didn’t realize at the time is that in the hurried pace of a security line, he tossed his cell phone into one of his shoes. After walking through the scanner beep-free, he slipped on his shoe – phone still inside – and proceeded to wear his shoes for hours. As a diabetic with neuropathy, he couldn’t feel the phone. “Neuropathy takes away the sensitivity of your nerves,” Fierheller was told. The phone incident a few years ago caused serious problems in his foot and contributed to a condition called Charcot foot that can lead to foot ulcers. As the rate of diabetes skyrockets in Manitoba and elsewhere, there is a pressing need to find new and advanced ways of treating neuropathy. Dr. Paul Fernyhough is on the leading edge of the research. “About half of diabetics will have some sort of nerve damage,” says Dr. Fernyhough, Director and Professor of the Cell Biology of Neurodegeneration Lab at St-Boniface Hospital Research. “This can lead to unrelenting pain, infected ulcers and in many cases, amputation.” Dr. Fernyhough and his colleagues in Winnipeg and elsewhere are advancing a topical cream, applied directly to the skin, that could address and even reverse diabetic neuropathy. Early trials are very promising. “We think we have a drug that is the first drug that could cure the disease,” says Dr. Fernyhough. “Not just placate it, but actually cure it.” Not surprisingly, the cream has generated commercial interest that will lead to further testing. To advance the work, a private company called WinSanTor Biosciences Inc, has been established. This is a common practice at St-Boniface Hospital and throughout Canada’s research community. When products are brought to market successfully, there can be significant financial benefit to the Hospital, the University of Manitoba, and the researcher. The neuropathy work has global implications, but it is especially important in Manitoba where 100,000 people live with diabetes and thousands of those undergo lower extremity amputation every year. It costs up to $150 million per year to treat diabetic neuropathy in Manitoba – direct costs, including amputation and foot treatment. Early detection and better treatments would enhance individual health, community well-being, and the provincial economy. For 72-year-old Darrell Fierheller, it’s all about managing his condition. The diabetes itself is under control with medication, diet, and exercise. The neuropathy that he’s had for a decade is a different challenge. “My fingertips are always tingling and feel like they’re asleep,” he says. “In my foot, I have a little bit of feeling in the ball and heel, but my balance is affected.” Thanks to Dr. Paul Fernyhough and his colleagues, relief for Darrell Fierheller and others like him could be just around the corner. Fernyhough Earns Duhamel Award In April 2014, Dr. Paul Fernyhough received the 2014 Ronald Duhamel Innovation Fund Award. The award, presented annually by St-Boniface Hospital Foundation, recognizes a member of the St-Boniface Hospital team who has consistently demonstrated innovation and leadership in the advancement of health care for Manitobans. Dr. Fernyhough was nominated for the award by Dr. Grant Pierce, Executive Director of Research at St-Boniface Hospital. The award is named in honour of the late Ronald J. Duhamel, a long-serving Senator and Member of Parliament for Saint Boniface. Research | Fall/Winter 2014 | Believe | 15 Inspired by research Business leader gives back “I knew then that it was important to build the strength of our science community. I saw the real work of research.” John Bockstael is a builder – in more ways than one. Not only is he President and CEO of Bockstael Construction, one of Manitoba’s most storied construction companies, he’s also a thoughtful philanthropist, eager to build the community. He and his company are long-time donors and sponsors of St-Boniface Hospital Foundation. Bockstael’s most recent pledge of $150,000 is a strong statement of his support. The gift will be endowed, which means the asset will be held by the Foundation and the interest income it generates will support the research efforts at St-Boniface in perpetuity. “For my family, all roads seem to lead to St-Boniface Hospital,” says Bockstael. “My mom volunteered in the Auxiliary, my kids were all born here, and my parents have been treated here. When my father had heart surgery, the doctors discovered and treated lymphoma. St-Boniface Hospital significantly extended his life.” 16 | Believe | Fall/Winter 2014 | Foundation His specific interest in medical research goes back to his days as a Project Manager at the century-old, family-owned business. “I was working on a project at the G. Campbell MacLean Building at St-Boniface Hospital and watched some of the researchers doing their work,” he says. “I was fascinated and curious, and as an engineer, I could really relate to the rigour and attention to detail that their work required. I knew then that it was important to build the strength of our science community. I saw the real work of research.” Bockstael’s generosity is grounded in his Catholic faith. His passion is also fuelled by his belief that successful Manitoba businesses have a duty to be philanthropic. “The key is to give back,” says Bockstael. “And then we can all take pride in the high-quality work being done in our own backyard.” Winner keeps farming, keeps buying tickets Ernest Froese knows that it’s more than a lottery ticket Winning $1,060,000 in the 2013 Dream Lottery 4 Kids hasn’t changed Ernest Froese’s life too much. Nor will it prevent him from continuing to buy hospital lottery tickets. In fact, he even bought his tickets early for the 2014 draw. Even with the big win, Ernest and wife Rose are still tending 30 beef cattle and 12 dairy cattle. Farming is in Ernest Froese’s blood, having been born and raised on a family farm two miles away from his current homestead. With the grand prize win last year, Froese had his choice of prize packages that included luxury homes and vehicles. He chose the cash option and is spending some of it this coming January when he and Rose take their three children and five grandchildren to Palm Springs, California, for a family vacation. He also bought a new house in town in the event he and Rose ever choose to leave the farm. For the time being, one of his adult grandchildren is living in the house. Ernest Froese and his family celebrate the big win with Lawrence Prout, President and CEO of the Children’s Hospital Foundation (far left), and Charles (Chuck) LaFlèche, President and CEO of St-Boniface Hospital Foundation (far right). “Health care causes have always been important to me. I have a soft spot for hospital lotteries,” says Froese, a semi-retired farmer who lives between Grunthal and Steinbach. “Both of my parents battled cancer and I know how important it is to have quality health care.” JOIN US At 74 years of age, Ernest Froese doesn’t just farm, he’s also an active member of the community. He’s Chair of the local Lions Club and the rink announcer for the Southeast Prairie Thunder senior men’s hockey team. In between community service, farming, and spending time with family, you can find Froese making his way to Winnipeg for a Blue Bombers game. At every opportunity, he shares the word about the lottery with his friends and his children. “I encourage them to think about how the proceeds are used,” he says. “You’re not just buying tickets, you’re supporting an important cause.” Presented by: November 2, 2014 From 9 to 5 Donate $10 or more and we’ll personally deliver a flower to a St-Boniface Hospital patient. Broadcast on 680 CJOB live from St-Boniface Hospital’s Everett Atrium For more information, visit saintboniface.ca Foundation | Fall/Winter 2014 | Believe | 17 Foundation news Leo Mol sculpture graces hospital entrance Employee Giving grows A couple of grappling grizzlies now greet visitors in the garden directly outside the main doors of St-Boniface Hospital. The Leo Mol creation was donated by Dr. Sat Sharma, a longserving sleep specialist at the Hospital. “I wanted to give something back to St-Boniface Hospital to show my gratitude,” says Dr. Sharma, who moved to Toronto in 2013. “I received the best education in my speciality at St-B. and spent best years of my career and life at the Hospital.” To promote the Employee Giving Campaign, the St-Boniface Hospital Foundation set up a life-size board game in the Everett Atrium. The 2014 St-Boniface Hospital Employee Giving Campaign has exceeded $51,000 and is on its way to surpassing the total raised in 2013. The annual campaign was launched in 2012 and employees immediately embraced the initiative through direct giving and payroll deductions. Among other impacts, their support has helped purchase new equipment and fund transportation programs. “We’re proud of the contributions employees make through their work at the Hospital, Research Centre, and Foundation,” says Foundation President & CEO Charles (Chuck) LaFlèche. “When so many step forward with financial contributions, as well, it is extremely gratifying.” You can learn more about the Employee Giving Campaign at www.stbhf.org/ourhospital. 18 | Believe | Fall/Winter 2014 | Foundation Excellence is par for the course The Cardiac Classic Golf Tournament, held under clear skies at the Niakwa Country Club on August 11, 2014, was a remarkable success, raising over $55,000 for the Cardiac Sciences Program at St-Boniface Hospital. The sold-out tournament was a golfer’s dream with rounds completed in under four-anda-half hours, customized tee gifts, four hole-in-one-contests worth $240,000 in total, and a cocktail reception. Thank you to our sponsors who made it all possible! Presenting • Burgundy Asset Management • Johnston Group • Qualico Corporate • Apotex • Bockstael Construction Ltd. • Caisse Groupe Financier • Catholic Health Corporation • Clarus Real Estate Advisors • Independent Jewellers • Kleysen Group • KPMG • Manitoba Liquor and Lotteries • Medtronic of Canada • MTS Inc. • National Bank Financial Wealth Management • Richardson International Ltd. • Solinsky Consulting Inc. Print • Premier Printing Media • Winnipeg Free Press Cardiovascular Forum attracts 250 Meet Garth Johnson, Development Officer The heart of the continent recently hosted more than 250 young cardiac investigators and leading scientists for a conference to promote excellence in cardiac research and clinical practice. The 2nd Cardiovascular Forum for Promoting Centres of Excellence and Young Investigators, held at the RBC Convention Centre Winnipeg from September 4 to 6, attracted participants from 20 countries. The Forum, first held in 2013 in Louisville, Kentucky, provides a platform: •for young researchers to engage with established cardiac professionals; •to share biomedical and clinical information for improving the treatment of heart disease; •to promote research collaborations; •to provide a platform for interaction between the medical community and industrial partners; and •to share experiences between South and North American investigators. Among other highlights, the Forum featured over 130 speakers and four award competitions to recognize outstanding students and junior faculty in basic sciences and clinical medicine. The Forum was coordinated by the Winnipeg-based International Academy of Cardiovascular Sciences (IACS), established in 1996 to facilitate the sharing of heart health research internationally. The Forum was co-chaired by Dr. Naranjan S. Dhalla, Principal Investigator, Experimental Cardiology, Institute of Cardiovascular Sciences, and Dr. Alan Menkis, Medical Director, WRHA Cardiac Sciences Program. Dr. Dhalla also serves as the Executive Director of IACS. The Forum’s many sponsors included St-Boniface Hospital Foundation, St-Boniface Hospital Research, and St-Boniface Hospital. St-Boniface personnel were active as speakers, committee members, and event volunteers. The 2015 Forum will be held in St-Boniface Hospital’s Dr. Alan Menkis Omaha, Nebraska, with the (centre) receives the Distinguished 2016 event scheduled for Leadership Award from the Sherbrooke, Quebec. International Academy of Cardiovascular Sciences PresidentElect, Dr. Roberto Bolli (left) and incoming president, Dr. Bohuslav Ostadal (right). Garth Johnson joined the St-Boniface Hospital Foundation team in early 2014. He comes to the Foundation with years of community development and fundraising experience. As a Development Officer at the Foundation, Garth will primarily support the annual and planned giving activities of the Foundation, working directly with donors to discuss their philanthropic goals and association with the Hospital. “It has been a pleasure for me to talk to and meet with donors and to hear their stories – what it is that connects them to the Hospital and motivates them to give so generously to the Foundation,” says Johnson. THE HEALTH REPORT: taking the pulse of your community Join hosts Chuck LaFlèche & Greg Mackling every Sunday* from 11 a.m. to noon on 680 CJOB. Tune in to hear medical news from the experts, as well as personal stories of hope and healing from the patients, staff, and donors of St-Boniface Hospital. Join the conversation! Visit thehealthreport.ca. * From September to June. Presented by: Foundation | Fall/Winter 2014 | Believe | 19 Remembering. Honouring. Thank you to our many compassionate donors who have chosen to make gifts to St-Boniface Hospital Foundation to remember or honour the people listed below. Gifts were made between September 1, 2013, and August 31, 2014. In memory Florence Adamchuk Alanna Hogue Aiello Andrea Aiello Gary Alards Rosaria Albi Aniceta Altasin Dennis Alvestad Sr Henrique Amaral Roland Ammeter Fred Anderson Laura Lynne Anderson Donald Andrey Kenneth Armstrong Helen Ashcroft Solange Ayotte Max Back John C Bais Beverley Bakun Ramana Balachandra Arthur Ball Martha Bargenda Angus Bell Armand Ovila Benoit Genevieve Benoit Wladyslawa Bilicki Kenneth Bilyk Frank Binda Peggy Bisset Vanessa Black Joseph Blanchard Patricia Blobel Irene Boiteau Myron Nicholas Borys Teresa Bossuyt William H Botterill Jacques Bouchard Keith Boughton Patricia Boushel Velma Bowie Janet Boyda Frank Braun Robert Brennand William John Brewster Brian Brouillette Declan Finlay & Aelyn Fiona Brown John Robert Brown Miami Chanel Brown George Bruce Ernest Edward Bruno Kenneth Buchholz Cecylia Byzio Richard (Dick) Arthur Cain Adrienne Caners Lee Cantor Louis Caron Marguerite Casey Louanne Chabot Tu Chan Duong Joan Marilyn Chapman Margaret Chapman Suzanne Chaput Barney Charach Gerald Chartier Raymond Chien William Chuback Yvonne Cinq-Mars Kenneth H Clark Victor E Clayton Harvey Cohen Sam Cohen Margaret Ann Cole Alice Collingwood Marc Comeault Thomas Cook Garth Cote Murray Couch 20 | Believe | Fall/Winter 2014 | Foundation George Cowan James Cox Charles Donald Cribbs Edna Cummer Clarice Cuthbert Betty Dalton Steve Dankewich Daniel De Baets Ronald Deneka Mary Denesovych Doug Dent Renny Derkacz Barry Derlago Dennis R Dick Levi Doerksen Heinz Doerr George P Doig Norman Donogh Demetrios Douvris Hamilton Drewlo Aurelian D’Souza Henry Dueck Peter Dueck Adeline Dulko Paul Dumond James (Jimmy) Durcan Larry Duval Otto Ehmann Dr Jack Fainman Gloria Fairweather John Falk Bill Fediuk Joanne Ferguson Lorne Ferley Victor Feuillatre Norman Fijal Gerardus Fijn Allison Filmon Jack Fishman Bernice Flood Gisela Foerster Paul Fontaine Zdeno Ford Jacques Forest Doris Freudenberg Isaac Friesen Raymond Frost Norman Oswald Frost Joe (Jose) Furtado John Gannon Pablita Gaudry Matthew Gauthier Antonia Gentile Leopold Gingras Benjamin Mark Giroux Karyn Globerman Maureen Glover Germaine (Nora) Godin Morley Goldberg Allan Goldstine Jim Graham Grace Granger Jean & Evelyne Grenier Edmond Guertin Antoine (Tony) & Marie-Louise Guertin John Guezen Renee J Guilmette Mayer Gutwilik Jean-Rene Halde Dr Philip F Hall Chiyoko Hamade Ronald Hamilton Andy Hamm Gordon Tex Hamm John Hanesiak George Hansen Cecile Harder Jean Harnett Dorothy Harrow Michael James Hart Tabitha Hartel Pamela Hasker W D Hempel Harry Bruce Hewertson Ron Hiebert Ronald Hocking Ardell Hopfner Walter Hrycyna Noella Huberdeau Christine Louise Hudek Brian Huggins Tracy Huynen John Hyslop Maurice Ingram Joanne Instance David Israel Alexander Jack Roberta Janaway Alfonsas Janciukas Ona Janciukas Tarynn Rae Jenner George Jette Nora Johnson Tannis Johnson Kay Jonkman John Jopka Romesh Joshi Elaine Joyce Kerry Kalynchuk Beverly Kamminga Elvina Karlowsky Dr Philip Katz Jack Kay Christine & Hildegard Keicher Margaret D Kellas Jeanne Kemball Donald Kenny Shirley Key Regina King Dagmar Kirdie Jan & Derek Kirzinger John Klassen Raymond Klassen Henry Klatt Charles George Klein Lawrence E Klump Elizabeth Koley Simone Konowalchuk Robert Kopstein Betty Kovacs Freda Kozak Mike Kozar Joan Muriel Kristjanson Audrey Krizak Jean Kublanski Fred Kvern Anysie P Labossiere Maurice Lafreniere Norman Lagimodiere Conrad Lamb Bill Landiak Jeannine Landry Clement Lang William Larner Sr. Noel Later Michael Latzkitsch Lionel Lavallee Marcella LeDoyen Angela Choi-Fong Lei Debbie Leite Phillip Lemoine Lyn Levay Harry W Levin James Lewis Daniel Lie Nelly Lie Huguette Liwiski Charlotte Anne Elizabeth Lockhart Lee-Anne Joan Longley Vi Lovering Dr Shaun E Lucash Stefan Luhowy Isabelle Mac Phail Donald MacIver Gordon MacKenzie Helen Mackey Christine Macleod Gladys Amelia MacNeill Doreen Magyar James V Mahon Murray Main Robert Malcovitch Lawrence (Larry) Marchinko Teddy Margolis Grenville Marsh Doreen Marshall Carol Lucille Mastroianni Antonio Devon Matos Clements Robert Maza Rosalie Mazur Peter McCarthy Ronald H McCasin Joyce McCausland Charles McCorry Frances McDonald Kirby McFadyen Stewart McGill Leslie Mckay Robert John (Bob) McKenzie Janet McLennan Keith McNamee Dwight & Sandra McOuat Rylan McQueen Ross McRae Giuseppe Medaglia Walter Medynski Stephen Walter Mical Monika Miller George Mills Irene Mirecki Ruth Mitchell Deanna Mohr Dr André Molgat Wilfred Thomas Moore David Morris Robert F Morris Alan Morrow Garth Mosher Edward Murash Audrey Murray Drew Murray Denise Muzuchka Freeman Myers Lee Newton John Nordquist Madeleine Normandeau Jack Ogelsby Michael Oman Tom Ormshaw Alma Orr Damion Orzechowski Jim Orzechowski Lawrence & Anastasia Orzechowski Guy Ouimet Florence Mary Page Maria Paletta Renaud Paquet Claude Paradis Joseph Pashnitski David Pastuck Steven Patrick Robert Payonk Janet Penner Arthur Perron Dorothy Peters Ian Peterson Belle Pinette Rose Piush Paul Plaetinck Toby Pollock Pauline Pomarenski James Poole Alvin Porath Katherine Poseluzney Allan Pott Marjorie Jean Potter Jeanette Prasek Gerard Preteau John (Jack) Ernest Price William Prokopenko Helen Proulx Roger Ptosnick Pearl Pubben Paul Quinton Anna Rabinoit Jeanne Regadio Norman Reico Kenneth Reid Paul Reimer Richard Reynolds Russ & Louise Reynolds Alma Ristau Jeannette Roberge Wilhelmina Robertson Elaine Robidoux Lionel Robidoux Tony Rooprai Georgette Roque George Rose Lily Rosenberg Karen Rotter Susan Rouget Roman Ruchkall Sophie Rudyk Reina Rybuck John Rychlicki Leonard (Len) Ryman Marie Jeanne Sabourin Rosalia Saltis Isabel Santos Allan Raymond Sayak Emma Scarlett Paul Dennis Schlingerman Dennis Schrofel Carolyn Scott Adolph Sebunchak Margaret Eva Selinger Colon Settle Fateme T Shams Trudy Shannon Tarleton Shearer Sam Sheps Dr Morley Shuckett Franciska Silvanovich Ange-Aimee Simoens Irene Sitarik Ted Skulason Joan Slater Mark & Pat Smerchanski Clifford Smith Jim Smolinski Lee Spiers William Stetina Edith Steven Don Stevens Hayley Rachel Stevenson Peter Stewart Nancy Terletski Mary Yvonne Thompson Harold Thorarinson Auguste Thorimbert Eva Timmerman Ernest Todaschuk Ronald James Todd George Toews Roland Tranq Douglas Treffry Michael Tudryn Margaret Van Raes Alice Vielfaure Armand Vielfaure Tristan Michael Vint Jim Wasson Dr George B Watkins Mary-Ann Watsko Audrey Watson George Watson John Watson Heather Watt John Wentworth Martin Pamela Westwood Margaret Whale Roy Whiteside John P Whitlaw Karolina Wiktorowicz Shelagh Willcock David Donald Williamson Douglas Wirth Kathy Woywoda Evelyn Wyrzykowski Ida Yakimchuk Dr Hubert Young Linda Young Beverly Ann Zaharia Emil Zajic Norman Zest Paul Zommer In honour Jeffrey Ackman Dr Rakesh Arora Phillis & Gerry Arron Eliana Bailey Henry & Diana Bergen Faren & Keevin Bernstein Peter Bornais Nolan Karl James Brown Jennie Cherniack Peter Connelly Bert & Marcie Dercola Marie Dusecena Leah Fil Bjornson G Fontaine Dr Darren Freed Irene Freiter Abe Friesen Shirley Gelskey Janet & John Giesbrecht Marta Glasserman Korey Globerman Noah Globerman Simmie Globerman Heather Gregory Toby Gutwilik Judith Hall Dr G Han Gert & Stan Hiebert Rick Hill Sheila & Mel Hirt Dr Farrukh Hussain & Staff Dr Michael Klein Mikaela Koop Campbell & Cadence Kuryk Elijah Lace Lloyd Langstaff Daanival Malik Barrie & Marvelle McPherson Dr Alan Menkis Kevin Minuk Irene Nazarevich Ernie Oelkers Kai & Keenan Olson-Seel George Penner Leonard Perry Norm Promislow Sandi Promislow Dr R Rajamohan Clarice Rayter Charlotte Rempel Residence Despins Harriet Schattner Mr & Mrs Hans Schirrmeister Lori & Nolan Shapera Smith Carter Architects & Engineers Inc. St-Boniface Hospital Staff Maurice Stefanec Pierson Vallis Dr Keith Warrian Dr Clifford Yaffe Mary Louise Young Mr & Mrs Norman Yusim Wayne Zuzanski Donors’ names appear in the manner and in the language in which they wish to be recognized. Foundation | Fall/Winter 2014 | Believe | 21 2014-2015 St-Boniface Hospital Board of Directors Mr. Murray D. Kilfoyle, Chairperson Mr. Haig Vanlian, Vice-Chairperson Mr. Wayne Anderson Mr. Tom Carson Mr. Drew Cringan Mr. Gabor Csepregi Ms. Carolyn Duhamel Ms. Monique Fillion Dr. Jose François Dr. Gary Glavin Make a difference 12 times a year Your pre-authorized, automated monthly gift to St-Boniface Hospital Foundation enhances patient care and advances medical research. •It’s easy to start •It’s appreciated •It makes a difference Contact us today to set up your automatic monthly donation* from your credit card or bank account. Email: [email protected] Call: 204-237-2067 *A consolidated charitable tax receipt for income tax purposes will be sent at the end of the calendar year. 22 | Believe | Fall/Winter 2014 Mr. Allan Grant Ms. Linda Hughes Ms. Catherine J. Kloepfer Son Excellence Monseigneur Albert LeGatt Ms. Naomi Levine Mr. Robert Pruden Mr. Jean-Marc Ruest Dr. Judith Scanlan Mr. Kevin T. Williams 2014-2015 St-Boniface Hospital Auxiliary Inc. Board of Directors Mr. Daniel E. Lussier, Chairperson Ms. Michelle Ferguson, Vice-Chairperson Mr. Richard Clément Ms. Leanne Edwards Ms. Sophie Ethier Mr. Robert Gagné Ms. Karen Johnson Mr. Kyle Picard 2014-2015 St-Boniface Hospital Foundation Board of Directors Mr. Kevin T. Williams, Chair Mr. Neil Duboff, Vice-Chair Mr. John Graham, Vice-Chair Mr. Frank Plett, Secretary-Treasurer Ms. Jane Arnot Ms. Karen BanfieldThorvaldson Ms. Tanya Benoit Mr. Richard Brownscombe Mr. Robert Campbell Mr. Jim Downey Mr. Joe Fiorentino Mr. William Fraser Mr. Dom Grestoni Ms. Caroline Kiva Mr. Jonathan Letkemann Mr. Carmine Militano Mr. George Rajotte Mr. Doug Stephen Dr. Michel Tétreault Mr. Louis Trepel Mr. Larry Vickar