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One of the biggest risks of delirium hip fracture patients is pain management.

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And we usually treat that pain with narcotics and sedatives.

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And of course, too much narcotics and too much sedatives also leads to delirium.

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So it's a real fine line between our treatment and the disease itself.

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An elderly family member or friend has just had hip surgery and you've come to the
hospital for a visit.

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But instead of the tired but smiling face you expect to see,

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You're greeted by a stranger.

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This person looks like someone you know well, but their behavior is completely different.

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They seem agitated, irritable, and belligerent, or perhaps lethargic and confused.

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This is post-operative delirium, and while this condition may have a number of causes,

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One of the most common is from the use of narcotic painkillers, a necessary measure to
counteract the often excruciating pain associated with hip fractures.

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But there's a quiet revolution in anesthesiology taking place in a handful of operating
rooms in BC's lower mainland, and it's improving fracture patient outcomes while

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substantially reducing their opioid intake and possible risk of delirium.

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And one of its greatest proponents is right here at Peace Arch Hospital.

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This is the power to heal.

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In this series of podcasts, we'll focus on the many innovative ways Peace Arch Hospital,
located in White Rock, British Columbia, Canada, has been an integral part of its

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community.

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We'll take you behind the scenes of the hospital's dynamic fundraising arm and talk to
those who are instrumental in creating new initiatives to help this important healthcare

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facility grow and evolve along with the town it serves.

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A new laptop-sized portable ultrasound is revolutionizing the care provided by
anesthesiologists at PeaceArch Hospital.

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With direction provided by the ultrasound's probe, this technology's real-time imaging
capabilities allow for precise needle guidance and anesthetic delivery that safely targets

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and blocks nerves, enhancing the effectiveness of pain management techniques and reducing
the risk of complications.

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The result is significantly less post-operative pain following hip surgery, as well as a
reduction in opioid consumption and related side effects.

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Here to tell us how a small community hospital like PeaceArch became an early adopter of
these leading edge portable ultrasounds is one of the technology's greatest advocates, Dr.

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Marshall Cheng, Department Head of Anesthesiology at PeaceArch Hospital.

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And joining us to share another remarkable aspect of this episode's story, in which one
couple's generous donation made acquisition of the ultrasound device possible, is Sean

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Kenney, the Hospital Foundation's Philanthropy Officer for Leadership Giving.

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Dr.

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Chang and Sean Kenney spoke with the Power to Heal host Lance Peverly, a journalist and
former editor of the PeaceArch News, and a longtime resident of the White Rock, South

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Surrey area.

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Dr.

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Chang, let's start by addressing what I believe is a popular misconception.

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That an anesthesiologist is someone who just sits beside the operating table monitoring
the amount of drugs being used to keep a patient asleep while a medical procedure is

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performed.

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How do you see your role?

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Well, there's some truth in that and there's some falsity in that.

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We are in the operating room.

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Yes, you are.

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So for those who don't know, anesthesiologists, yeah, we do operate in the operating room.

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We take care of patients around surgery, including pre and after surgery.

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And that's our role.

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That's our primary role, but we're also in other parts of the hospital, especially in
Peace Arch.

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We help out in the ICU sometimes.

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We help out in Emerge.

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We help out on the wards.

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In other hospitals, they run a chronic pain clinic.

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So we're in other areas also.

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And what's your background, Dr.

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Ching?

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Why did you choose anesthesiology as your medical specialty?

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I have an interesting course of how I entered in medicine.

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I entered

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I entered university thinking I would become a journalist.

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This is way back when...

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I hear that's a popular profession.

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I grew up with Walter Cronkite.

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I wanted to be Walter Cronkite.

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But after almost failing English, decided a second career path would be better.

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So after about five or six years, I entered medicine and I was really attracted to
anesthesia because of, so this acute medicine, you get to deal with sick patients, you

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know, almost every day.

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You get to see...

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good results almost right away.

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Amazing.

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I was interested in physiology and pharmacology.

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So I finished my medical degree at UBC and went off to Toronto to do five years of
anesthesia and a year of critical care and then moved back to BC and moved back to the

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hospital by the sea, which I love.

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Before we go much further, I do need to ask

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Anesthesiologist versus anesthetist.

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Are they the same?

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it a regional thing?

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that's a good question.

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I get that asked that a lot.

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Actually, it's a hot topic now because it's American versus Canadian, right?

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I didn't realize that.

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did not realize that.

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Yeah.

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So yeah, an anesthesiologist, it comes from Britain.

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So because we're educated in the British system and we follow the British system closely,
we're called anesthesiologists.

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OK.

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And Americans, of course, they want to be different.

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So they're anesthetists.

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I do find that easier to say.

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That's right.

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Now, before I ask you about this new technology that is revolutionizing the care you
provide, what exactly is it replacing?

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Talk us through the pain management techniques that were usually applied for patients
with, for example, hip fractures.

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That's a very, very good question, Lance.

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And it's a question and a topic that's really dear to my heart.

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One of the most common complication of surgery is delirium, and it's more so

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in patients with hip fractures.

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Patients with hip fractures get around 30 to 50 percent rate of delirium, post-op
delirium.

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And why that's important is not just because it's very common in those patients, but it's
linked to worse outcomes.

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It's linked to more infections, more pneumonias, more heart attacks, more strokes while in
hospital, and of course, more deaths.

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So it's very, very important that we get to treat delirium.

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prevent delirium in hip fracture patients.

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One of the biggest risks of delirium in hip fracture patients is pain management.

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I see.

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Right.

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If they have too much pain, they're prone to delirium.

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And so we try to treat that pain.

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And we usually treat that pain with narcotics and sedatives.

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And of course, too much narcotics and too much sedatives also leads to delirium.

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So it's a real fine line between our treatment and the disease itself.

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And sometimes, of course, we get it wrong and we put patients in delirium.

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Right?

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How we're approaching this now is trying to avoid narcotics while trying to treat pain.

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And we're tending now at PeaceArch, and you talked about this revolutionary technique, is
we're providing hip blocks, hip fracture blocks where we inject local anesthetics around

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the hip capsule that's fractured.

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And the local anesthetic will numb that hip and provide probably about a day, 16 to 24
hours of...

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pain relief, which is important when you're moving a patient around in bed with a hip
fracture where they've got to use the commode or you've got to provide care for them.

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So this is a revolutionary technique.

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It's a revolution techniques for Fraser Health, but it's been around for a bit in the
world.

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Where, for example, where, where?

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yeah.

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It actually started off in Toronto.

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yeah.

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Of all places in Toronto.

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And it's used in other parts of the world.

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So prolifically.

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that it's in Australia, it's become a standard of care for infractural patients, a
national standard of care.

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I think Britain also has this as a national standard of care, meaning every patient in
Australia and Britain that comes into hospital gets this sort of pain management.

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We haven't got that in Canada yet, but I'm hoping that it starts at research.

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Postoperative delirium is a common complication stemming from hip fracture surgery with
the number of patients affected ranging between 30 to 50 percent.

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The elderly are particularly susceptible to this condition resulting in longer hospital
stays and increased risk of heart attacks, strokes and infections.

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Pain is a contributing factor for delirium, with the body going into a kind of fight or
flight mode as even the most simple movements can produce excruciating agony.

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The narcotics and sedatives generally administered to alleviate this pain could also
contribute to patient delirium, with a fine line existing between prescribing too much or

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just enough anesthetics.

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Narcotics is used, sorry, I'm trying to figure out where this is.

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Is mainly hip fractures where the delirium comes in or is it all sorts of procedures?

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You're correct, Lance.

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Delirium is the most common surgical complication in the general surgical population.

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The incidence usually ranges between three to five percent, but it multiplies almost
tenfold in hip fracture patients going up to 30 to 50 percent, which means that half of

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our hip fracture patients will experience delirium.

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And that's a big thing because the delirium is associated with a lot of bad complications.

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So I would say hip fracture patients are probably one of the most high risk patients and
even more so in my opinion, more so than even cardiac patients.

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Now, I hope I don't get too personal here, but I'm told your own father's experience with
delirium and cognitive difficulties after surgery, it must have been very difficult for

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you to watch.

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Can you tell us what happened and how this inspired you to seek?

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pain management alternatives?

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Yeah, thank you for that.

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Yeah, this happened probably about eight or nine years ago.

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My father fractured his hip visiting a friend in hospital.

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He actually fractured it going up the hospital steps.

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So, so lucky for him, he got the right care right away at the right time.

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He had surgery and then probably about two days after surgery, he started getting
delirious.

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hallucinating, a bit of disorientation.

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And he recovered, luckily, within five to seven days.

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I went home.

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But to his surprise, after that, he found it very difficult to read and to follow
conversations.

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And prior to that, I must mention that my dad was very sharp.

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was an avid reader, loved socialization, just on the ball.

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So he noticed an overnight change.

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He noticed a...

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very sudden.

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You notice overnight change and it continued for months and we now know that delirium
though short-lived can have long lasting impact on cognitive function.

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We call it post-operative cognitive decline and it's related to delirium.

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Some patients with intention can overcome it so you really have to really focus on
techniques to recover from it.

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I had a bit of an experience.

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One of my children at age four was having the tube placed in his eardrums.

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I don't know if this is related.

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I remember taking him to Surin Memorial.

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The doctor had told them that he did not need a general anesthetic.

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The younger children generally do, but he could have a local anesthetic.

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And then we discovered when we came into the desk, they told us that the anesthesiologist
said, no, he needs the general anesthetic.

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They put him under and within

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seconds he started screaming and kicking.

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And they put me in a room with him where I held him tight and he was deliriously kicking
and scratching me and screaming.

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And about a half hour later, didn't know anything that had just happened.

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It was like waking up.

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And I assume this is a rare reaction.

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Is there any relation between this and what you're talking about?

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Or is it the drug itself that would cause something like that?

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In children, it could be the drug.

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In children, it's more likely the drug.

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It's called emergence delirium in children.

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And it's usually short-lived and doesn't have long-term effects as the delirium in elderly
patients.

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They're not really related then.

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They said it was an allergy at the time.

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Yeah, it's usually related to the drugs.

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The pathophysiology, the alterations in the brain are not related between children and
older patients.

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Like clinically, with children, it usually will last a few hours and then...

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they're fine, but with older patients, they tend to last days to sometimes even weeks and
then have longer, longer complications on top of that.

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Now, getting back to the newer system now, sorry, did you call it not nerve blocks?

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called it?

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Yeah, we call it the acronym is PENG, P-E-N-G.

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And funny enough, it's invented by Dr.

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Peng in Toronto.

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Did he have something to do with the naming then?

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I wonder, I wonder.

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And does it just sort of dull the feeling then rather than?

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completely dulls the feeling.

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If it works, we are able to move that hip, that fractured hip, without any discomfort.

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We've seen patients within 20 minutes of the block where we can lift that leg up and twist
it and turn it and they have no sensation of what we're doing with their fractured hip.

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00:14:00,936 --> 00:14:05,597
Now, I'm guessing portability is a big factor in the effectiveness of these new ultrasound
devices.

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00:14:05,597 --> 00:14:07,738
Is there more to it than just convenience?

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00:14:07,738 --> 00:14:09,976
That is one of the biggest things actually.

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You know, what happened before is that logistically, it was very hard to do these blocks.

197
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To provide care, you need, you know, the right time, the right personnel, and you need the
right equipment.

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And the right equipment can mean the logistics of it all.

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Right?

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00:14:26,243 --> 00:14:27,433
So let me explain.

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00:14:27,433 --> 00:14:30,824
Prior to having this new portable ultrasound,

202
00:14:30,824 --> 00:14:41,208
We would have to bring patients into the operating room or into our recovery room to have
our blocks done because our machine was quite big and not portable.

203
00:14:41,208 --> 00:14:46,050
So we would have to bring the patient to the machine instead of bringing the machine to
the patient.

204
00:14:46,050 --> 00:14:47,387
So what does that mean to the patient?

205
00:14:47,387 --> 00:14:51,972
It means that we've got to move the patient with a fractured hip, painful.

206
00:14:52,073 --> 00:15:00,820
It would involve nursing to help us coordinate the move and it would involve us going, you
know, coordinating with this big lumpy machine.

207
00:15:00,820 --> 00:15:02,300
and coordinating a whole time.

208
00:15:02,300 --> 00:15:04,660
So logistically, it was very difficult.

209
00:15:04,660 --> 00:15:09,100
So once we had this new portable machine, and I have to explain the portability of it.

210
00:15:09,100 --> 00:15:13,120
It's a machine which is the size of a laptop.

211
00:15:13,120 --> 00:15:21,300
So the screen itself and the computer and everything, you can just tuck it underneath your
arm like a laptop or like a book and start walking out.

212
00:15:21,300 --> 00:15:27,180
And the probe, the ultrasound probe where you actually put on the patient is the size of
your iPhone.

213
00:15:27,340 --> 00:15:29,500
So you slip that into your back pocket,

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00:15:29,908 --> 00:15:35,028
pick this book up, this laptop up, and you walk down the hallway to where the patient is
at.

215
00:15:35,028 --> 00:15:37,968
Sounds like it could be taken to smaller hospitals everywhere.

216
00:15:37,968 --> 00:15:41,628
It doesn't need the large operating room for these kind of procedures.

217
00:15:41,628 --> 00:15:42,368
You're right.

218
00:15:42,368 --> 00:15:44,048
The other one is huge and bulky.

219
00:15:44,048 --> 00:15:50,788
It's almost like four feet, you know, and it's on wheels and it's got cables hanging out
and you got to plug it in.

220
00:15:51,208 --> 00:15:52,548
It's a chore.

221
00:15:52,548 --> 00:15:54,528
Whereas this is, it's pure and simple.

222
00:15:54,528 --> 00:15:59,892
You just slip it into your pocket, pick it up like a book and walk over to the bedside and
there you are, you're ready to go.

223
00:15:59,892 --> 00:16:01,273
And the patient doesn't have to move.

224
00:16:01,273 --> 00:16:03,055
The nurses don't have to be involved.

225
00:16:03,055 --> 00:16:06,458
So logistically, it made things a whole lot easier.

226
00:16:06,458 --> 00:16:10,602
And not as expensive it's sounding like, am I jumped to conclusions there?

227
00:16:10,602 --> 00:16:13,165
You you asked a very difficult question.

228
00:16:13,165 --> 00:16:15,827
I'm fortunate enough not to be involved in the money.

229
00:16:16,007 --> 00:16:17,872
You don't do the personal billing for the patient?

230
00:16:17,872 --> 00:16:19,080
I don't do the personal billing.

231
00:16:19,080 --> 00:16:19,971
No, no.

232
00:16:19,971 --> 00:16:22,172
I just sit around and play with my toys.

233
00:16:25,140 --> 00:16:30,202
And I'm so lucky that that is so fortunate the foundation takes care of all the money and
all that headache.

234
00:16:30,202 --> 00:16:38,186
Well, I was going to say, why don't we bring Sean Kenny from the Peace Arch Hospital
Foundation into the discussion here since he does deal with money.

235
00:16:38,186 --> 00:16:41,526
Sean, your job title includes leadership giving.

236
00:16:41,526 --> 00:16:42,868
What does that refer to?

237
00:16:42,868 --> 00:16:44,388
Yes, thank you, Lance.

238
00:16:44,388 --> 00:16:47,369
So leadership giving refers to our major gifts program.

239
00:16:47,369 --> 00:16:54,082
So any one organization or business that makes an annual gift to the foundation of twenty
five thousand dollars or more.

240
00:16:54,182 --> 00:16:56,534
as included in that leadership giving group.

241
00:16:56,614 --> 00:17:01,578
And to be very clear, we're very, very grateful for any and all gifts, no matter the size.

242
00:17:01,578 --> 00:17:04,741
They all touch our hearts and make for life saving impact.

243
00:17:04,741 --> 00:17:10,986
However, donors who make these profound leadership gifts are able to transform healthcare
here at PeaceArch.

244
00:17:11,026 --> 00:17:20,264
So one avenue for impactful giving is to capital projects like the recently completed
medical imaging campaign, where the community came together to fund $10 million to replace

245
00:17:20,264 --> 00:17:22,772
imaging equipment, such as X-ray.

246
00:17:22,772 --> 00:17:30,737
mammography and MRI machines with new state-of-the-art equipment that can help our
radiologists detect serious ailments like cancer more accurately.

247
00:17:30,737 --> 00:17:37,842
So newer technologies can produce faster scans too, leading to seeing more patients each
day and ultimately reducing wait times.

248
00:17:37,842 --> 00:17:45,988
Another really top priority for us is critically needed equipment such as the portable
ultrasound that was funded through that process here at PeaceArch.

249
00:17:45,988 --> 00:17:47,100
So every year

250
00:17:47,100 --> 00:17:56,462
departments come together to identify their urgent equipment needs and we select $2
million in items to support in addition to the items that Fraser Health already funds.

251
00:17:56,503 --> 00:18:06,115
So not only does this save lives, but having the most up-to-date equipment really helps in
physician recruitment and retention and it gives our patients and families peace of mind

252
00:18:06,115 --> 00:18:09,566
that we have the best equipment available to our medical teams when they need it most.

253
00:18:09,566 --> 00:18:16,062
We've had many wonderful individual and organizations support critical equipment over the
years like TB Vets Terrible Foundation.

254
00:18:16,062 --> 00:18:22,835
funding a Hamilton C6 ventilator or the Tsu Chi Foundation, funding an arthroscopic
surgery set for shoulders.

255
00:18:22,915 --> 00:18:26,957
Sean, the Foundation funded the purchase of the portable ultrasound we're talking about
today.

256
00:18:26,957 --> 00:18:30,018
What was the impetus for acquiring this device specifically?

257
00:18:30,018 --> 00:18:32,158
Yes, so as you've heard from Dr.

258
00:18:32,158 --> 00:18:35,600
Chang, there was a clear and urgent need for this portable ultrasound.

259
00:18:35,600 --> 00:18:43,504
So when physicians and departments identify these critically needed pieces of equipment,
the Foundation partners with them to ask for the public support in bringing these pieces

260
00:18:43,504 --> 00:18:44,340
to PeaceArch.

261
00:18:44,340 --> 00:18:46,381
equipment that the hospital otherwise wouldn't have.

262
00:18:46,381 --> 00:18:46,881
So Dr.

263
00:18:46,881 --> 00:18:52,943
Chang and the OR department made a compelling case for the portable ultrasound to be on
our annual $2 million capital equipment list.

264
00:18:52,943 --> 00:18:57,564
understand one couple's generous donations made acquisition of this new technology
possible.

265
00:18:57,564 --> 00:18:58,525
Yeah, that's right.

266
00:18:58,525 --> 00:18:59,375
How does that work?

267
00:18:59,375 --> 00:19:04,807
Take us through the steps that started with thoughtful donors through to the purchase of
this amazing piece of technology.

268
00:19:04,807 --> 00:19:08,828
So after hearing about the vital need of this portable ultrasound from Dr.

269
00:19:08,828 --> 00:19:09,352
Chang,

270
00:19:09,352 --> 00:19:16,979
From a visit to the hospital from our wonderful donors, Ed and Johanna Campshire, they
decided to make a really inspiring decision to fund that piece of equipment.

271
00:19:16,979 --> 00:19:22,864
We are so humbled by Ed and Johanna's generosity and longstanding commitment to making an
impact at PeaceArch Hospital.

272
00:19:22,864 --> 00:19:24,525
It's such an inspiration.

273
00:19:24,626 --> 00:19:31,051
They and donors like them really take pride in choosing a particular piece of equipment
and then hearing about it after it arrives.

274
00:19:31,051 --> 00:19:36,602
Our doctors and medical teams love being able to explain the impact of the equipment and
thank the donors directly.

275
00:19:36,602 --> 00:19:38,023
Is there a list or something?

276
00:19:38,023 --> 00:19:46,877
Do you ever post items online where you say this is what we would love to have some of
maybe the smaller items that aren't going to be the major campaigns for that year?

277
00:19:46,877 --> 00:19:55,781
The more common route to getting involved and giving to critical equipment like the
portable ultrasound is through our website, pahfoundation.ca, where you can find the

278
00:19:55,781 --> 00:20:00,082
current catalog of our medical equipment in need and how to support it.

279
00:20:00,103 --> 00:20:03,604
On the list, you'll find equipment that can be supported for, say,

280
00:20:03,604 --> 00:20:08,388
$2,500 and all the way up to $200,000 and everywhere in between.

281
00:20:08,388 --> 00:20:13,112
Not to mention, you can always give a gift of any amount to be designated to a piece of
equipment of your choosing.

282
00:20:13,112 --> 00:20:18,336
We've had many donors and organizations that have combined their gifts to make that piece
of equipment a reality at PeaceArch.

283
00:20:18,336 --> 00:20:25,202
You can always reach out to myself or any of our staff if you're interested in supporting
medical equipment and we'd be honored to help you through the process.

284
00:20:28,284 --> 00:20:38,269
In order to avoid the use of narcotics, nerve blocks targeted with the aid of the portable
ultrasound are applied as early as possible before hip surgery.

285
00:20:38,269 --> 00:20:47,715
The blocks are effective for a period typically lasting between 16 to 20 hours, taking the
patient through the operation and into post-surgery.

286
00:20:47,715 --> 00:20:58,044
However, with the bones now repaired and not coming into contact with each other, pain is
usually decreased and reliance on narcotic medications reduced.

287
00:20:58,044 --> 00:21:10,596
And in terms of usage of pain blocks assisted by the portable ultrasound, Peace Arch
Hospital is a clear leader utilizing this technique in approximately 90 % of hip fracture

288
00:21:10,596 --> 00:21:11,828
procedures.

289
00:21:15,730 --> 00:21:16,090
Dr.

290
00:21:16,090 --> 00:21:21,525
Cheng, let's go back to how common is the usage of these portable ultrasounds for pain
management after surgery?

291
00:21:21,525 --> 00:21:24,267
Are you helping break new ground here in Western Canada?

292
00:21:24,267 --> 00:21:25,308
That's a good question.

293
00:21:25,308 --> 00:21:28,110
know, there's three parts of quality care.

294
00:21:28,110 --> 00:21:32,354
One is providing at the right time and having the right personnel and having the right
equipment.

295
00:21:32,354 --> 00:21:37,858
And having this equipment, having this portable ultrasound puts us onto a different
sphere.

296
00:21:37,858 --> 00:21:41,061
Having this equipment has actually made this possible.

297
00:21:41,061 --> 00:21:44,894
Without this new equipment, we would not have had this block.

298
00:21:44,894 --> 00:21:49,827
program or been able to reach these patients and prevent delirium.

299
00:21:49,827 --> 00:21:51,368
When did you get this device?

300
00:21:51,368 --> 00:21:53,409
We probably got it about two years ago.

301
00:21:53,409 --> 00:21:57,901
Would you happen to know how many procedures for hip surgery have been carried out at
PSARCH?

302
00:21:57,901 --> 00:21:58,712
this is a good question.

303
00:21:58,712 --> 00:22:06,636
So, PSARCH being such a small hospital, we do the highest amount of hip fractures in
Fraser Health.

304
00:22:06,636 --> 00:22:07,306
we're hitting...

305
00:22:07,306 --> 00:22:08,137
idea.

306
00:22:08,137 --> 00:22:09,898
Yeah, most people don't.

307
00:22:09,898 --> 00:22:14,332
So we are treating the majority of hip fracture patients in Fraser Health.

308
00:22:14,332 --> 00:22:16,814
with this program and with these blocks.

309
00:22:16,814 --> 00:22:18,925
We're making a big impact, I believe.

310
00:22:18,925 --> 00:22:23,479
Certainly I've been privy to some of the data on delirium in Fraser Health.

311
00:22:23,479 --> 00:22:30,092
And I think about two years ago, they showed a reduction in delirium in Fraser Health in
elderly patients.

312
00:22:30,092 --> 00:22:39,130
I have to tease out the data a bit more, but I'm wondering if it could be linked to this
new equipment and our use of this new equipment and providing these blocks.

313
00:22:39,130 --> 00:22:42,420
How many hip surgeries does PeaceArch do in a year then?

314
00:22:42,420 --> 00:22:45,040
Oh, that I don't really know.

315
00:22:45,040 --> 00:22:50,260
We probably do, I would say one or two a day.

316
00:22:50,260 --> 00:22:51,540
Oh, wow.

317
00:22:51,780 --> 00:22:52,540
Yep.

318
00:22:53,040 --> 00:22:53,900
That's a lot.

319
00:22:53,900 --> 00:22:57,540
That is a lot, especially for a hospital size of P-Search.

320
00:22:57,540 --> 00:22:58,580
That small.

321
00:22:59,560 --> 00:23:08,360
Now I'd like to ask you, does having access to cutting edge donor supported equipment like
this at P-Search help attract top medical talents such as yourself?

322
00:23:08,800 --> 00:23:09,380
100%.

323
00:23:09,380 --> 00:23:10,200
100%.

324
00:23:10,200 --> 00:23:11,828
Having the right equipment.

325
00:23:11,828 --> 00:23:14,768
and having the support of the community and the foundation.

326
00:23:14,768 --> 00:23:24,248
I'm half kidding when I say I don't worry about the cost because the medical community at
Peace Arch, if they want something, they just approach the foundation and it's always yes.

327
00:23:24,248 --> 00:23:26,008
It's never how much will this cost?

328
00:23:26,008 --> 00:23:35,108
I don't get that from the foundation and it's such a blessing as a medical profession just
to concentrate on medicine and know that Peace Arch and the community has your back on

329
00:23:35,108 --> 00:23:36,248
everything else.

330
00:23:41,086 --> 00:23:41,878
you

331
00:23:48,404 --> 00:23:55,524
In the future, do you see more applications of this nerve blocking technique to improve
patient outcomes and reduce the need for strong pain medications?

332
00:23:55,524 --> 00:23:56,384
I do.

333
00:23:56,384 --> 00:23:57,024
I do.

334
00:23:57,024 --> 00:23:59,004
I know that Langley is trying to copy us.

335
00:23:59,004 --> 00:24:00,964
I know that Surrey Memorial is trying to copy us.

336
00:24:00,964 --> 00:24:03,664
I know that Royal Columbian is trying to copy us.

337
00:24:03,664 --> 00:24:06,124
I'm just hoping they have a foundation like we do.

338
00:24:06,124 --> 00:24:07,284
Yes, yes.

339
00:24:07,304 --> 00:24:08,364
It's supportive.

340
00:24:08,384 --> 00:24:12,364
In addition to hip replacement though, what sort of procedures could this be used for?

341
00:24:12,364 --> 00:24:17,704
So what we use it for now is providing nerve blocks for after

342
00:24:17,704 --> 00:24:27,867
Knee replacement surgery is quite painful and we have to move the knee after surgery
otherwise patient develop contractures and immobility so they have to move through pain.

343
00:24:27,867 --> 00:24:37,930
So what we do now is we do nerve blocks to target the knee so these patients can be
comfortable after surgery and be able to mobilize and walk around after surgery.

344
00:24:37,930 --> 00:24:41,411
We also use these blocks for hip replacement surgeries.

345
00:24:41,411 --> 00:24:45,842
So it's the same sort of thing, same sort of concept and we use that for that.

346
00:24:45,842 --> 00:24:47,058
We use it for

347
00:24:47,058 --> 00:24:49,679
Shoulder surgeries, which are very, very painful.

348
00:24:49,679 --> 00:24:54,122
can imagine we have to move that shoulder after surgery, otherwise you're frozen.

349
00:24:54,122 --> 00:24:57,584
So we inject local anesthetic around the big structures here.

350
00:24:57,584 --> 00:24:59,515
There's a lot of arteries and nerves.

351
00:24:59,515 --> 00:25:03,477
We use the ultrasound to perform it safely so we don't hit the big arteries.

352
00:25:03,477 --> 00:25:08,250
It sounds like anything with a joint in the body could be used in that area or is that too
general?

353
00:25:08,250 --> 00:25:09,260
Almost every joint.

354
00:25:09,260 --> 00:25:10,401
Yeah, almost every joint.

355
00:25:10,401 --> 00:25:16,176
And we use these ultrasounds to perform the block safely because usually the nerve is
around a big blood vessel.

356
00:25:16,176 --> 00:25:17,547
and is around other structures.

357
00:25:17,547 --> 00:25:24,462
So we try to, we just try to pinpoint the nerve instead of hitting other structures as we
use a needle in there.

358
00:25:24,462 --> 00:25:27,904
This will be life-changing, life-changing for people having these procedures.

359
00:25:27,904 --> 00:25:29,245
Definitely, definitely.

360
00:25:29,245 --> 00:25:30,126
There's a big difference.

361
00:25:30,126 --> 00:25:34,899
We've noticed a big difference in mobility after using these techniques and patient
satisfaction.

362
00:25:34,899 --> 00:25:43,225
Well, Sean Kenny, just to wrap up, what does this say about our community of White Rock
South Surrey when generous donors step forward to help fund important equipment like the

363
00:25:43,225 --> 00:25:44,326
portable ultrasound?

364
00:25:44,326 --> 00:25:47,517
Yeah, know, Lance, simply put it, saves lives.

365
00:25:47,517 --> 00:25:52,880
I'm just continually in awe of the openhearted generosity in White Rock and South Surrey.

366
00:25:52,880 --> 00:26:01,103
I've made connections with so many incredible people who are so passionate about having
the best community hospital in the world, making astonishingly heartfelt gifts because

367
00:26:01,103 --> 00:26:05,365
they want better health outcomes, not only for their families, but for their neighbors'
families as well.

368
00:26:05,365 --> 00:26:12,388
Having state of the art equipment means staff are able to perform more in-depth procedures
and perform routine procedures faster.

369
00:26:12,556 --> 00:26:13,326
What does that mean?

370
00:26:13,326 --> 00:26:20,241
Well, it means they can perform more procedures for patients here in our own backyard and
reduce wait times with faster procedures.

371
00:26:20,241 --> 00:26:28,936
I'm really honored to say that we've had Peace Arch Hospital staff, physicians,
technologists, and nurses' faces just light up with joy when they see a donor-sponsored

372
00:26:28,936 --> 00:26:31,368
piece of equipment like the portable ultrasound come in.

373
00:26:31,368 --> 00:26:38,152
We also see that when the latest technology comes in, there's a greater breadth of
equipment to use that attracts staff to Peace Arch Hospital.

374
00:26:38,152 --> 00:26:46,242
We know the community's support has saved countless lives with their generosity and on
behalf of the entire team at Peace Arch Hospital Foundation, we're just so grateful for

375
00:26:46,242 --> 00:26:46,542
you.

376
00:26:46,542 --> 00:26:48,004
I truly can't say enough.

377
00:26:48,004 --> 00:26:48,985
My thanks to Dr.

378
00:26:48,985 --> 00:26:52,569
Cheng and Sean Kenny from Peace Arch Hospital for speaking with me today.

379
00:26:52,569 --> 00:26:56,934
And thank you to all the donors who help keep our hospital on the leading edge of
community health care.

380
00:26:56,934 --> 00:26:57,595
Thank you, Lance.

381
00:26:57,595 --> 00:26:58,836
Thank you very much.

382
00:27:02,196 --> 00:27:12,576
The Power to Heal podcast presented by Peace Arch Hospital Foundation in White Rock,
British Columbia, takes you behind the scenes of an innovative hospital foundation and

383
00:27:12,576 --> 00:27:22,276
introduces you to the team who find new and sometimes surprising ways to engage with the
local community and help fund the best healthcare possible in the region.

384
00:27:22,316 --> 00:27:29,212
Since 1988, the foundation has raised over $250 million for capital projects.

385
00:27:29,212 --> 00:27:32,294
medical equipment, and community health programs.

386
00:27:32,294 --> 00:27:43,339
Their passionate and caring team's number one priority is the prudent stewardship of your
gifts and the resulting positive impact on patients and medical staff at Peace Arch

387
00:27:43,339 --> 00:27:47,441
Hospital and the entire White Rock South Surrey community.

388
00:27:47,441 --> 00:27:53,624
Peace Arch Hospital Foundation, where innovation comes to life in so many ways.

389
00:27:59,592 --> 00:28:03,094
The simple act of giving is truly transformational.

390
00:28:03,094 --> 00:28:12,419
Every dollar we receive is enhancing health care in this community, whether it's
supporting our capital infrastructure, the purchase of essential medical equipment, or

391
00:28:12,419 --> 00:28:19,322
funding a wellness program like stroke recovery or a children's club to encourage healthy
habits and active play.

392
00:28:19,583 --> 00:28:29,198
Our wide range of giving options includes monthly donations, an increasingly popular and
convenient choice that makes the greatest impact on your community hospital.

393
00:28:29,198 --> 00:28:32,032
You just sign up once and the rest is automatic.

394
00:28:32,032 --> 00:28:36,659
And that includes receiving a consolidated tax receipt at the end of the year.

395
00:28:36,659 --> 00:28:42,587
But no matter what giving option you choose, it all matters and it all makes a difference.

396
00:28:46,029 --> 00:28:50,926
Be sure to subscribe to Power to Heal wherever you get your favorite podcasts.

397
00:28:50,926 --> 00:29:01,080
Each episode brings you inspiring stories about the Peace Arch Hospital Foundation and its
innovative approach to supporting better healthcare throughout the White Rock South Surrey

398
00:29:01,080 --> 00:29:02,062
community.

399
00:29:02,062 --> 00:29:03,593
Thanks for listening.

400
00:29:05,955 --> 00:29:08,878
another Everything Podcasts production.

401
00:29:10,241 --> 00:29:14,908
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402
00:29:14,908 --> 00:29:17,551
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