Tag: Vancouver Coastal Health

Doctors talk about COVID

Dr. Patty Daly and Dr. Eric Grafstein were the featured speakers of Temple Sholom’s May 1 Let’s Talk About It webinar. (photos from Temple Sholom)

Temple Sholom began the first of a series of four (possibly five) webinars, called Let’s Talk About It, on May 1 with a public health forum that featured guest speakers Dr. Patty Daly, Vancouver Coastal Health’s chief medical officer, and Dr. Eric Grafstein, the regional head of emergency at VCH and Providence Health Care.

Together, the doctors provided a report from the medical frontlines in Vancouver, as the city responds to the COVID-19 pandemic. They later addressed several concerns raised by members of the community.

Grafstein offered reassuring remarks for those who may be apprehensive about visiting emergency departments. “Emergency departments are a safe place to go during a pandemic,” he said. “If you have things like chest pains or symptoms that you think may be a stroke, then you should be coming to the emergency department.”

Emergency visits declined sharply after a state of emergency was declared in British Columbia on March 18, dropping by half compared to last year, suggesting that people might be holding off from visiting the hospital, he said.

“When people come to a hospital with suspect cases, they are segregated. People who do not have COVID are not put at risk,” Grafstein said. As of the webinar date, about two people per 1,000 who had come to an emergency department in VCH had tested positive for COVID-19, he said.

Physical distancing in the emergency department is done through placing COVID patients in a different area than other patients. The risk of infection is further reduced by fewer people coming to EDs and creating more space in the hospital, he said.

Grafstein said the supply of personal protective equipment for medical workers is secure.

Though the first case of COVID-19 in British Columbia was identified on Jan. 15, the spread of the virus to the region came in early March, likely the result of traffic between British Columbia and the state of Washington, the first area in the United States to experience an outbreak. The number of reported cases in VCH peaked in mid-March and there has since been a decline.

Vancouver’s numbers have compared favourably to those of Toronto and Montreal, and the vast majority of cases here have been mild, said the doctors. The population most at risk is the elderly. Many of the deaths in the region have occurred at long-term-care facilities.

“We’ve done a very good job of flattening the curve – not only in our region but across B.C.,” Daly said. “Our modeling suggests that we can think about lifting some of the measures we have in place.”

Indeed, the province announced its Restart Plan last week. Outpatient services and elective surgeries are to be among the first medical activities to be resumed. An increase in the number of outdoor spaces that the public can access is also planned.

Some daycares – for the children of essential workers – have already reopened, and it is hoped that students will return to schools before the end of the academic year. Bars, restaurants and personal service businesses, such as hairdressers, could potentially reopen in the coming weeks as well, as long as measures, similar to those in grocery stores, are in place.

Universities may return to classes in the fall, though many classes will remain virtual.

There have been few cases of COVID-19 in the region among those under the age of 18, and day camps for children might take place this summer, said Daly.

Gatherings for groups of 50 or more people, such as weddings, funerals and religious services, will be among the last restrictions to be lifted.

“It will be done slowly and in a way that doesn’t lead to a dramatic increase in cases,” Daly said.

“The ultimate solution is a vaccine,” she said.

Neither doctor could predict when a vaccine would be ready, though some trials appear promising. Both doctors reinforced the messages that officials everywhere have been giving for months: stay home if you are sick, cough or sneeze into your elbow, don’t touch your face and wash your hands frequently.

“Anyone with the classic symptoms for COVID – fever, shortness of breath, cough, loss of sense of smell, nausea, diarrhea – should be tested,” Grafstein stressed.

Calling 811 will provide a person with the nearest testing facility. Every positive result is followed up and people who may have had close contact with that person are reached and advised to stay home for 14 days.

VCH covers a population of 1.25 million people, encompassing not just Vancouver but Richmond, the North Shore, the Sunshine Coast and some rural communities, such as Powell River. As of May 8, there had been 866 reported cases of COVID-19 within the VCH region; of those, 78 patients have died and 583 have recovered and discontinued isolation.

“As we open things up, we are doing everything we can to prevent a second wave. We need to also continue to help the most vulnerable,” Daly concluded.

Convened by Temple Sholom’s Rabbi Dan Moskovitz, the webinar was co-sponsored by the Jewish Federation of Greater Vancouver and was attended by more than 200 people. A video recording of the event can be found on Temple Sholom’s website and on YouTube.

Other talks in the Temple Sholom series have been discussions on financial planning and on effective parenting; a session on estate planning is scheduled for May 20.

Sam Margolis has written for the Globe and Mail, the National Post, UPI and MSNBC.

By adapting our habits, we can live safely at home for longer

From left: Leah Deslauriers, Devorah Goldberg, Lisa de Silva, Donna Cantor, Julie Hirschmanner and Charles Leibovitch, with Debbie Sharp in front. (photo by Karon Shear)

All of us fervently wish that, as the years gather, we will be able to gracefully embrace and be embraced by them. On Jan. 22, an overflow crowd at the Jewish Community Centre of Greater Vancouver Dayson Boardroom learned how to do just that.

Shanie Levin, Jewish Seniors Alliance of Greater Vancouver (JSA) coordinator of the event, called Aging in Place, welcomed everyone. Co-hosted with the JCC Seniors, the session – which was moderated by Donna Cantor, senior outreach counselor at Jewish Family Service Agency – featured a panel of experts on the subject.

The first to speak was Debbie Sharp, field supervisor for the United Way’s Better at Home program, which offers support by paid staff and unpaid volunteers for seniors 55 and older who want to remain at home while aging, with the ability and dignity to do so. The United Way offers programs that are funded by the B.C. government in up to 68 communities across the province, and can offer help in a range of non-medical services on a sliding fee scale. Some programs are even offered at no charge.

The specific services offered reflect the different needs of each community, explained Sharp. Among those offered are yard work, minor home repair, light housekeeping, grocery shopping, friendly visiting, snow shoveling, and transport to appointments. The program is intended to help seniors  play an active role in their communities and continue living at home surrounded by family and friends.

The next panelist was Julie Hirschmanner, occupational therapist at Vancouver Coastal Health, who listed ways in which seniors can stay at home safely. VCH can provide the services of health-care providers such as nurses, physiotherapists, occupational therapists, and care managers to help with bathing. Hirschmanner recommended equipment that would make each step of aging easier – grab bars and raised toilet seats, for example – and general advice. In stressing that prevention is the best tool seniors themselves can use, she listed certain hazards we tend to overlook in prevention of falls: rushing to get things done, rising too quickly from a seated position, getting overtired, carrying too much in both hands so being unable to use rails, climbing onto furniture to reach for things, wearing slippers with no backs (hence, no support), dimly lit areas, incorrect or overuse of medication, and clutter in pathways or stairs. She also reminded attendees that people can call 911 if they have fallen and cannot get up, and highly recommended a medical-alert bracelet if one lives alone.

The JSA’s Charles Leibovitch spoke about the many important services offered by JSA peer support counseling graduates, who have passed an intensive 11-week training course. This program, initiated by JSA and set up by Leibovitch in 2011, offers peer counseling, in which trained individuals are matched up with clients requiring the service; friendly home visits, which involve a trained graduate visiting the home of a senior, usually one who is too frail to venture out on their own, and assisting them with shopping, light errands, banking or getting to medical appointments; Shalom Again friendly phone calls, where the loneliness and isolation of individuals is alleviated by someone keeping in touch with them on a daily, weekly, bimonthly or monthly basis. It is important to allow time for conversation, some socialization and perhaps even to encourage a slow reintroduction into community activities. These services are at no cost to the client receiving them.

There have been three graduating peer-counseling classes, with about 13-15 graduates in each. A new class is underway and there are 30 clients at present, with a waiting list. The clients are matched with the counselors, and followed up by Leibovitch and Lynne Moss, his assistant, after the initial introduction. The client also receives Leibovitch’s cellphone number to be used if anything urgent arises. Cantor remarked that she has met many happy clients of these match-ups.

Lisa de Silva, a private occupational therapist, spoke next. Her four staff offer the services required pre- and post-surgery, and can be booked as needed, and not on an ongoing basis, as this type of care can be quite costly – though it may be covered partially by Blue Cross or another insurance provider. De Silva and her staff also offer general at-home care services – and, between them, they speak four different languages, which may be helpful to non-native-English-speakers in times of stress.

The last presenter, Devorah Goldberg, is an interior designer. Specializing in design for seniors, she incorporates function and beauty, using ergonomics to ensure that each client has a home best suited to his or her needs. Her suggestions include cupboards built lower down, no gas stove, labeling items or color-coding them so they are easily identifiable, sensor lamps beside the bed, a large dial phone with numbers (and even the faces) of dear ones for speed dialing, grab bars in the bathtub and by the toilet, extra shelves to house toiletries within easy reach, and no soft sofas (as it is too difficult to stand up once seated).

JCC Seniors coordinator Leah Deslauriers, who contributed her wonderful sense of humor throughout the presentations, thanked the panelists and presented each of them with a token of appreciation on behalf of the organizers and attendees. Many questions were asked during the presentations, which showed the audience’s keen interest in the topics that were being discussed.

Binny Goldman is a member of the Jewish Seniors Alliance of Greater Vancouver board.