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Healthcare Workers WARNING: New research is showing a relationship between chronic stress and heart disease

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BY W. GIFFORD- JONES MD & DIANA GIFFORD-JONES

There has always been a lot of heart in the practice of medicine – literally and figuratively. Typically, the focus is on the beating heart of the patient, but has the pandemic, unlike any challenge to the medical profession before, impacted the hearts of front-line healthcare workers themselves?

Medicine is “A calling in which your heart will be exercised equally with your head.” These words of Sir William Osler, a founding figure of modern medicine, were a warning as much as a motivation. A contemporary of Osler, Dr Maude Abbott, a cardiac pathologist, was one of Canada’s earliest women in medicine. Her calling was challenged by refusal of entry to medical school. She was barred from entrance to McGill’s medical program due to her gender. Bishop’s College graduated her in 1894, but she was driven to be a doctor.

Are would-be doctors, nurses, and other healthcare professionals so keenly motivated today? Medicine requires emotional and physical fortitude; that is understood, but is there now a price to be paid in heart health?

Miners know that even with the best safety equipment, they are often working in dangerous environments. Bus drivers know the sedentary nature of their jobs can place them at increased risk for cardiovascular disease. Test pilots are probably most acutely aware that their jobs could kill them.

But do healthcare workers know the calculus? How are emerging trainees perceiving their future?

In 1945, the New England Journal of Medicine reported that “Physicians die of coronary-artery disease at the same age as the average person with the disease.” Since then, it would seem doctors got healthier. In pre-pandemic 2019, JAMA Network published a study showing the “Incidence of cardiovascular death was 52% lower among physicians than the general population.”

Medical careers have always involved long hours and stressful situations, but the pandemic has resulted in extreme exhaustion for many healthcare workers. According to Dr. Susan R. Bailey, the president of the American Medical Association. “A lot of physicians were hanging on by a thread from burnout before the pandemic even started.”

Now, new research is showing a relationship between chronic stress and heart disease. A study published last year in JAMA Psychiatry reported that people who suffered from four or more depressive symptoms were 20% more likely to experience cardiovascular disease or death.

What are some of these symptoms: Uncomfortable emotional stress that persists, situations that generate a sense of dread or anxiety, traumatic life experiences. These may be the symptoms of patients with PTSD, anxiety disorders or depression, but they also read like the everyday work environment of our frontline healthcare workers.

Time will tell the outcome, but this research suggests that pandemic-era workers in the health sector are at increased risk of heart disease.

Doctors should know the benefits of prevention, but they are trained in treatment.

So, a word of advice: for many, chronic stress is not going to evaporate anytime soon. In the interim, the best way to take care of the heart is to arm that most precious of muscles with the ingredients needed for long-term performance. That is, regular exercise and rest, balanced nutrition, and a daily maintenance routine.

Keep arteries clear of plaque build up. Vitamin C in high doses combined with lysine lowers cholesterol levels for a safe, natural defense force against heart disease and an alternative to drugs.

Next week, a refresher to readers about the Omega 3 Index, a way to measure your personal risk factors for heart disease, and later this month, a personal celebration of a quarter century since a life-threatening heart attack.

Dr. W. Gifford-Jones, MD is a graduate of the University of Toronto and the Harvard Medical School. He trained in general surgery at Strong Memorial Hospital, University of Rochester, Montreal General Hospital, McGill University and in Gynecology at Harvard. His storied medical career began as a general practitioner, ship’s surgeon, and hotel doctor. For more than 40 years, he specialized in gynecology, devoting his practice to the formative issues of women’s health. In 1975, he launched his weekly medical column that has been published by national and local Canadian and U.S. newspapers. Today, the readership remains over seven million. His advice contains a solid dose of common sense and he never sits on the fence with controversial issues. He is the author of nine books including, “The Healthy Barmaid”, his autobiography “You’re Going To Do What?”, “What I Learned as a Medical Journalist”, and “90+ How I Got There!” Many years ago, he was successful in a fight to legalize heroin to help ease the pain of terminal cancer patients. His foundation at that time donated $500,000 to establish the Gifford-Jones Professorship in Pain Control and Palliative Care at the University of Toronto Medical School. At 93 years of age he rappelled from the top of Toronto’s City Hall (30 stories) to raise funds for children with a life-threatening disease through the Make-a-Wish Foundation.  Diana Gifford-Jones, the daughter of W. Gifford-Jones, MD, Diana has extensive global experience in health and healthcare policy.  Diana is Special Advisor with The Aga Khan University, which operates 2 quaternary care hospitals and numerous secondary hospitals, medical centres, pharmacies, and laboratories in South Asia and Africa.  She worked for ten years in the Human Development sectors at the World Bank, including health policy and economics, nutrition, and population health. For over a decade at The Conference Board of Canada, she managed four health-related executive networks, including the Roundtable on Socio-Economic Determinants of Health, the Centre for Chronic Disease Prevention and Management, the Canadian Centre for Environmental Health, and the Centre for Health System Design and Management. Her master’s degree in public policy at Harvard University’s Kennedy School of Government included coursework at Harvard Medical School.  She is also a graduate of Wellesley College.  She has extensive experience with Canadian universities, including at Carleton University, where she was the Executive Director of the Global Academy. She lived and worked in Japan for four years and speaks Japanese fluently. Diana has the designation as a certified Chartered Director from The Directors College, a joint venture of The Conference Board of Canada and McMaster University.  She has recently published a book on the natural health philosophy of W. Gifford-Jones, called No Nonsense Health – Naturally!

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Timeless music brought to life on stage; Welcome to the Soul Nostalgic Experience

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Photo Credit: Jose Maria Elizalde

BY SIMONE J. SMITH

“Ladies and gentlemen, welcome to the Soul Nostalgic Experience! Tonight, we’re taking a journey back in time to relive the magic of an era that continues to inspire and captivate audiences worldwide. Are you ready to feel the groove?”

The audience erupts into cheers and applause as the band launches into a classic soul tune. People start swaying in their seats, unable to resist the infectious beat. A few brave souls even start dancing in the aisles.

Imagine being transported back in time to the golden era of R&B and Soul music, where smooth melodies and infectious rhythms ruled the airwaves. Now, envision this timeless music brought to life on stage with the energy and spectacle of a Las Vegas residency.

That’s precisely what the Soul Nostalgic Experience is all about. As I stepped through the doors, I was greeted by the smooth ambiance of classic R&B tunes mingling with the clinking of glasses and the tantalizing aromas wafting from our kitchen. The atmosphere was electric, alive with the anticipation of what the night had in store.

In the heart of Toronto’s vibrant music scene, there exists a figure who orchestrates brilliance from the shadows. Steve Hollywood, a name whispered among those in the know, is the unseen force behind many of the city’s musical endeavors. Despite his significant contributions, he stays removed from the spotlight, preferring the quiet hum of behind-the-scenes influence. Regardless, his presence remains enigmatic, known only to those privileged enough to collaborate with him. It’s a rare invitation to glimpse into his world, an offer extended to a select few, beckoning them to join the symphony of creativity he meticulously curates.

On Thursday, April 25th, 2024, the Toronto Caribbean Newspaper was welcome to the Acqua Supper Club, where the heartbeat of Toronto’s R&B and Soul scene will pulsate throughout the summer. Nestled in the heart of the city, the venue is a sanctuary where men and women will be able to gather for unforgettable evenings of soulful music and culinary delights.

At the helm of this musical journey is none other than DRU, a Juno Award-winning and gold record artist with a visionary passion for bringing back the magic of the 90s and 2000s R&B/Soul era. From timeless classics to contemporary hits, his performance was a journey through the soul, evoking nostalgia and stirring the spirit. Inspired to create something truly special, DRU collaborated with the immensely talented The Recipee Band to craft a show unlike any other. The Recipee Band, comprised of musical virtuosos: Jason Larmond, Otis Williams, Juwayon Clarke, and Jonathan Kerr, bringing over two decades of collective experience to the stage.

Drawing from a diverse range of genres and generations spanning from the 50s to the present, The Recipee Band serves as the backbone of Soul Nostalgic, infusing each performance with their unmatched musicality and passion. Soul Nostalgic isn’t just a concert; it’s a collective of exceptional talent coming together to create an immersive experience that will transport you back in time.

The night brought me through a ray of emotions, from high-energy dancing to electrifying live music, every moment of the show was designed to make you groove and feel good.

As the night unfolded, I found myself immersed in a world where time seemed to stand still, where the troubles of the outside world faded away, and all that mattered was the connection between music, food, and community.

I completely co-sign on this unforgettable journey. On May 30th, 2024, they are sharing this experience with the city again, so get ready to dance, sing along, and relive the magic of an era that continues to inspire and captivate audiences worldwide. This is more than just a concert; it’s the Soul Nostalgic Experience.

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Generational survival: Can our young people survive our generation?

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Photo Credit: Dr Obotdean

BY STEVEN KASZAB

The young people of the day are often criticized for not voting or participating in our electoral and public service efforts. Called bubble wrapped by some, those who attend schools of higher learning face challenges presented to them such as: professors who are not objective but espouse various ideologies of the left or right. Professorial prejudices often place the young student in academic limbo, encouraged to choose their professors preferred political outlook.

Raised to be democratically inclined, our youth often witness the actions of our establishments, which can appear to be very undemocratic. Terms like “Do as we say, not as we do,” hypocritical actions by the administration and police often lead our youth an openness towards misguided ideologies and movements of purported social change.

Our youth are encouraged to insert themselves into local, national and international politics, only to be witness to the horrible events, misinformation and the manipulative nature of global media who present their own interpretation of said events. Media is in fact a business manipulated by corporate and politically friendly owners. So, how can our youth truly believe what is in fact real, truthful, honest and objectively presented?

Our youth will often develop a sense of “Stockholm Syndrome” like attitudes, actions and desires. Desire to change a society that is obviously unacceptable but have an attitude to accept no other message except that which is given by their governments and institutions.

Our youth find the idea of voting in a system that remains the same, changes nothing and has players who all look and act alike to be a waste of time and effort. There will always be bad guys, taxes, raising prices, and diminishing opportunities. One’s outlook can be deflated, filled with nervous tension and even fatalism. War, addiction, premature deaths, abortion, women rights, democracy while supporting and doing business with dictatorships.

To be young, means to create, grow and aspire to positive things. Our national and global experience is seen as the opposite of that approach. There is simply: too much going on, too many people being harmed, too little opportunity, too much misinformation, too much greed to allow our young to develop in a well-balanced, mentally positive manner.

Mental health concerns for not only the youth, but our own as adults challenge us to change our ways, assist each other with an: empathetic, charitable manner, open minds and hearts.

Our young people are our treasure and future hope. If they are screwed up, so too are our future expectations and future goals. We have to continue to work on getting it right.

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The Black Business and Professional Association (BBPA) scandal: Is there room for corrections and restoration?

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BY MICHAEL THOMAS

After over 40 years of upholding a legacy of integrity and excellence, accusations and allegations of mismanagement of public funds and conflict of interest have raised its ugly head at the Black Business and Professional Association (BBPA).

As I investigated the meat of information surrounding this case it is easy to see why many buzzards are circling this prey. One of the main allegations I have noticed is that BBPA management awarded contracts to companies controlled by the former President and CEO, Nadine Spencer, without appropriate due diligence. Again, if this turns out to be true, an organization that has been in business for four decades must have seen this coming.

If the rules of receiving the funds, or government grants say that you must put out tenders to hire workers, then by all means do so. We have to remember that bad news travels twice the speed of good news.

There is more; on November 5th, 2021, the BBPA’s President at the time, Nadine Spencer became the CEO where she was allegedly paid in the range of $250,000. This was used to make the comparison that a bigger organization was thriftier with their money than BBPA, here is how. As an example, the Executive Director of Tropicana Community Services, a much larger non-profit organization, earned a salary of $163,671 in 2023.

My job in this article is not to throw BBPA under the morality bus, but to shed a bit of light on how as a people we must realize that all eyes are on us. Something I quickly spot is how many mainstream media took the opportunity to jump at this alleged scandal in BBPA, yet, for over four years now Canada has been led off the cliff, and because these same mainstream media folks were paid and funded, they looked the other way.

Do I condone the misuse of public funds? Hell no! If these allegations are proven to be true, should BBPA be held accountable? Hell yes!

That said, I went to BBPA’s website to have a bird’s eye view of what this organization is all about, and after reading I must say I was impressed.

I am hoping that BBPA realizes that to whom much is given, much is required.  An organization that has kept such a sterling reputation over the last four decades need not look only in its rearview mirror, but in blind spots as well.

Misappropriation of funds is no laughing matter regardless of how big or small an organization is, nor is conflict of interest. These are tantamount to having blood stains on white garments. If proven there needs to be public apologies, and most importantly “a complete cleaning of the house.”

The Boards of Directors of the BBPA released a statement on Friday, April 26th, 2024, in response to the call for their resignation in the midst of the allegations of financial mismanagement. The statement was addressed to BBPA members/supporters. It states, “We want you to know that we have been listening to the concerns that have recently been raised. The BBPA has hired independent professionals to undertake the appropriate reviews. The current BBPA Board has and continues to proactively take steps to strengthen governance and compliance practices. We are all dedicated to learning, improving, and continuing to work together through this process. We, as Directors, also want you to know that you can reach out to us any time for a conversation.”

Now in the case of Mr. Harry Jerome’s daughter, when one engages in asking an organization that has upheld her father’s name for four decades to quit using the name. I would like to think that this individual has solid proof of wrongdoing, or if proven wrong is ready to apologize as well, but with all these wolves circling the wagon. I understand her plight.

Starting from a small gathering that honored just six Black Canadian athletes who excelled at that year’s Commonwealth Games in 1983, to an organization that built an endowment fund of close to $600,000, and in the last 24 years the fund has granted over 650 scholarships totaling close to 2.5 million dollars, BBPA has a lot to be proud of.

However, if these allegations are found to be false, I am hoping that the accusing parties will do the right thing and apologize. On the other hand, if BBPA is found to be in the wrong, then the organization should be wise enough to rock the boat and throw those found guilty of tarnishing BBPA’s and Mr. Harry Jerome’s good reputation completely overboard.

According to news sources, BBPA has categorically denied all allegations. Whichever way this cookie crumbles, BBPA, your decision should and must make your people, and the late sprinter Mr. Harry Jerome’s name and family proud.

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