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Well-oiled cancer care 'machine' gives Hamilton man quality of life – Hamilton Health Sciences

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Danny Prosic has undergone more treatments than most cancer patients due to his complex medical issues. He’s currently undergoing immunotherapy and doing very well.

Danny Prosic repaired equipment for a tool-making company until a leg circulation disorder forced him to stop working.

But that wasn’t the only serious health issue to plague the Hamilton man, who went on to develop life-threatening conditions including liver cancer, a heart blockage requiring quadruple bypass surgery, and most recently a cancerous tumor on his spine.

Spotlight on Danny Prosic, liver cancer patient

“The human body is like a machine, but it’s far more intricate,” says Prosic, 63. “And machines don’t have feelings. It’s really hard living with such serious, ongoing health issues and I’m grateful for the way I’ve been treated by the doctors, nurses and staff at Hamilton Health Sciences (HHS). Everyone has been very kind and caring. I wouldn’t be here today if it wasn’t for them.”

Prosic receives cancer care at HHS’ Juravinski Hospital and Cancer Centre (JHCC). Earlier this year he had surgery to remove the tumor on his spine, at the base of his neck. This was followed by radiation therapy to kill or damage remaining cancer cells so they can’t reproduce. He’s considered palliative, meaning his cancer is too advanced to be cured. Instead, the goal is to continue knocking back the cancer with treatment so Prosic can live as long as possible with a good quality of life. He’s currently undergoing immunotherapy, which ramps up the immune system to keep the disease at bay.

“I have lots of patients, like Danny, who are surviving years rather than months.” — Dr. Brandon Meyers, medical oncologist

The neck tumor was a secondary cancer stemming from an earlier liver cancer diagnosis. Prosic wasn’t eligible for a transplant due to his history of poor circulation to his legs and heart. Instead, he received treatments including surgery, a specialized and intensive type of radiation therapy called stereotactic body radiosurgery (SBRT), and transarterial chemoembolization (TACE) – where blood supply to liver tumors is blocked and chemotherapy is administered directly to tumors.

“Danny’s had a lot of therapies compared to most cancer patients,” says his medical oncologist, Dr. Brandon Meyers. “He responded to these treatments extremely well.”

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Life-changing cancer care

JHCC is the only hospital in the region where patients can be treated for all forms of cancer, and is a designated leader in the provincial cancer system in a number of highly specialized cancers. Its staff and doctors support more than 26,000 patients with cancer each year.

Liver cancer falls under the category of hepato-pancreato-biliary (HPB) cancers, along with pancreas, gall bladder and bile duct cancer. HPB cancers are serious and complex with high mortality rates. They typically require a range of treatments.

At JHCC, doctors and staff are organized into disease-site teams based on areas Illuminight 2022: Donate today. ShineALightOnCancer.caof cancer care, with the gastrointestinal team covering HPB cancers. Each team includes medical oncologists, radiation oncologists, surgeons, nurses, radiation therapists, pharmacists, social workers, nutritionists, and psychiatrists.

Danny Prosic, outside Juravinski Cancer Centre

Danny Prosic, liver cancer patient

“That’s the beauty of working at a large centre like JHCC,” says Meyers. “We have a wide range of expertise all under one roof, and our collaborative team approach is helping our patients live longer with a better quality of life.”

On paper, liver cancer patients have a poor prognosis.

“If they’re seeing me for palliative treatment – which focusses on managing the disease because it’s no longer considered curable — the best case scenario statistically is a 12 month survival,” says Meyers. “But over half of my patients easily do better than that, thanks our team approach. I have lots of patients, like Danny, who are surviving years rather than months.”

Spotlight on Dr. Brandon Meyers, medical oncologist 

Black and white portrait of Dr. Brandor Meyers

Meyers joined HHS in 2006 as a resident doctor, then went on to complete a fellowship before joining the hospital system full time in 2012 as a medical oncologist. He works primarily with gastrointestinal (GI) cancer patients, with a focus on liver cancer.

“GI cancers are an area of care than I’m especially interested in, and it’s also an area of need,” says Meyers, referring to cancers of the digestive tract and liver.

Among the most satisfying aspects of his work is seeing patients like Prosic beat the odds. “Danny has already survived three times longer than his life expectancy, with a good quality of life.”

“It’s really hard living with such serious, ongoing health issues and I’m grateful for the way I’ve been treated by the doctors, nurses and staff at Hamilton Health Sciences.” — Danny Prosic, patient

Looking to the future, Meyers would like to see a nurse navigator join the team, but it would require funding. A nurse navigator works with patients who might otherwise fall through the cracks, helping them navigate the system so they understand their care plan and don’t miss appointments. Navigators could even help free up hospital beds, since their support could allow patients to recover at home after certain procedures instead of in hospital.

“Our liver cancer patients would especially benefit from a nurse navigator’s support, because their cases are so complex and they see so many different physicians for their care,” says Meyers. “It can often feel overwhelming, and it’s not unusual for some patients to lose track of appointments and miss them.”

Spotlight on Melanie Carrigan, medical radiation therapist

Black and white portrait of Melanie Carrigan

Medical radiation therapist Melanie Carrigan is also keenly aware of the difference that funding can make in providing the very best care. Donations from Hamilton Health Sciences Foundation support JHCC’s radiation therapy program for children, says Carrigan, who works with children and teens but also treats adult patients. She was Prosic’s radiation therapist for four of his five SBRT treatments for liver cancer.

“Cancer care isn’t all doom and gloom. It’s about working together to help people during the most difficult experiences of their lives.” — Melanie Carrigan, medical radiation therapist

With SBRT, highly concentrated doses of radiation are safely and precisely delivered over a much shorter period of time than with usual radiation therapy. “We can finish in a week what traditionally took months, with same or better benefits,” says Carrigan.

Carrigan is part of JHCC’s research, innovation and learning committee and she works closely with the radiation and medical oncology teams in running clinical trials.

“The future is happening now with the advent of new immunotherapies, and shorter, less toxic, and more effective combined therapies,” says Carrigan. “It’s very exciting to see the progress being made toward improved outcomes.”

But as much as she loves research and technology, the best part of her job is connecting with colleagues and patients.

“What it really comes down to is the people,” says Carrigan. “Cancer care isn’t all doom and gloom. It’s about working together to help people during the most difficult experiences of their lives, and giving them the confidence to know that our expert team is here to support them every step of the way.”

2022 Illuminight: Help shine a light on hepato-pancreato-biliary (HPB) cancer

Illuminight is an annual fundraising event that aims to shine a light on the nationally-leading, life-saving cancer care and research at JHCC. This year, we’re celebrating Illuminight with a five-part series of stories and videos from Sept. 22 to Oct. 11 featuring gynecologic, blood and hepato-pancreato-biliary (HPB) cancer care as well as cancer research and health equity.

Look for:
Tuesday, Oct. 4: Partnering for equitable, high-quality cancer care
Tuesday, Oct. 11: Lung cancer research and treatment working wonders

Since 2018, Illuminight has raised more than $500,000 to support the highest priority needs of the cancer program at Juravinski Hospital and Cancer Centre. Help us shine a light on cancer and donate today.

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

This report by The Canadian Press was first published Sept. 16, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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