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Protecting transplant patients from COVID-19 leads to delays in life-changing surgeries – Global News

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As the novel coronavirus wave started to roll across Canada, transplant centres had to make difficult decisions: how best to protect patients who need transplant surgeries and create space for COVID-19 patients.

Toronto General Hospital is the country’s largest transplant program and one of the top in the world. It is a centre for innovation and care for patients from several provinces, so the decision to scale back surgeries was difficult for everyone.

“When we do a transplant, we put patients on anti-rejection pills and that means really knocking down their immune system,” Dr. Atul Humar, medical director of the Multi-Organ Transplant Program, told Global News. “We’re very worried if we do that to patients, and then if they get COVID, they’ll end up with very, very severe manifestations of COVID-19.

It also means that transplants patients could end up, post-operatively, in the same ICU as COVID-19 patients and there would be an increased need for ventilators.

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“It’s a really unique and unprecedented situation, so we’re trying to do the best we can. We’re taking as many precautions as we can,” said Dr. Humar.

On March 13, the hospital decided to reduce transplant surgeries — heart, liver, kidney, pancreas and lung — unless a patient was rapidly deteriorating.

“COVID-19 seems to also infect the liver and the kidney and the heart. So we’re very concerned about that,” Dr. Humar told Global News.

In Niagara Falls, Jim Mann received a call telling him his double-lung transplant was on hold, for now.

To get on the official waiting list is an arduous and precise process. It takes time, numerous tests and appointments.

Mann, who is living with severe emphysema, needs a transplant, but he’s also worried about COVID-19.

“The COVID-19 is what scares me more than the surgery. They’ve told me if I got that, my chances of survival are very, very minute,” Mann told Global News.

Jim Mann is waiting for a double-lung transplant that has been delayed because of COVID-19.

Jim Mann is waiting for a double-lung transplant that has been delayed because of COVID-19.


Lori Mann

Mann and his wife Lori are doing everything they can to keep him safe inside as he waits.

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“It kind of breaks your heart because we had that hope,” said Lori Mann.

“Nobody knows how long this is going to go on for. And basically, we’ve been told if he gets this COVID-19 he won’t survive it. And so it’s terrifying.”

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John Dennis is being doubly impacted by COVID-19. His wife, Penny is living with dementia and her long-term care home in Halifax, N.S., has residents who have tested positive for COVID-19, so no visitors are allowed.


READ MORE:
Canadians waiting for organ transplants feel ‘defeated’ during coronavirus pandemic

John moved to an apartment building next to where Penny lives. He stands outside on his cell phone waving to Penny, who waves back from the seventh floor. This is as close as he can get.

He is living with idiopathic pulmonary fibrosis, needs a double-lung transplant, and a visit would not be safe.

“It’s putting your life on hold and just praying every night that it’ll be over soon or that your health will hold until the COVID-19 dilemma is over,” Dennis said.

“And I can move forward. I’m not going to give up.”

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Dennis is still going through the process of trying to get on the official transplant waiting list in Toronto. At 74, he knows time is precious. His appointments are continuing at a distance.

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Dennis is an adventurer who once competed in an around-the-world sailing race, so he’s ready for a fight.

“I want my family to know I’m not giving up the fight. It’s an important fight for me. I’m not going to give it up,” Dennis told Global News.

John Dennis is greeted by his wife Penny and daughter Stephanie after competing in an international sailing race in 2002.

John Dennis is greeted by his wife Penny and daughter Stephanie after competing in an international sailing race in 2002.


John Dennis

Transplants are on hold or reduced at centres across the country, leading doctors who refer patients to be concerned.

“So there are patients right now who are very unwell and getting sicker quickly,” Dr. Meredith Chiasson, a respirologist with the Halifax Infirmary, told Global News. She adds the waitlist is concerning, “the number of patients on the waitlist is growing and that will create a backlog that will take a while to clear through.”

Another devastating consequence is that with programs across the country scaled back — so, too, is the procurement of donor organs.

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“So essentially those organs are not used. They’re lost to the system, which is really another tragedy due to COVID-19,“ Dr. Humar told Global News. “It’s very heartbreaking, actually.”


READ MORE:
Toronto transplant research aims to salvage infected organs

Jim is still optimistic. His wife Lori says their bags are packed and they are ready for the call. Lori’s sister also established a GoFund me campaign to help with the associated costs of travelling and living in Toronto during Jim’s surgery and care.

“I know there’s a fix down the road. … Hopefully it comes before I can’t go on anymore like this,” Mann told Global News.

While Mann and Dennis have been waiting, the team at Toronto General and its partners have been establishing safety protocols and testing donor organs for COVID-19.

Close to 20 transplant surgeries have been performed since March 13 at the hospital.

All the gained knowledge and safety protocols are leading to some renewed optimism.

Dr. Humar hopes that Toronto General will be able to slowly start performing additional transplant surgeries — soon.

“For the sake of our patients and so that precious donor organs do not go to unused,” Dr. Humar told Global News.

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© 2020 Global News, a division of Corus Entertainment Inc.

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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