Fall 2013

October 2013 eNewsletter for Cleveland Clinic Canada

As the Canadian campus of a world-class, academic medical institution, Cleveland Clinic Canada is focused on preventing disease and enhancing overall health and well-being. We are committed to providing the highest quality patient experience. Everything we do is looked at through the lens of our patients and one simple question: What does it mean to put our patients first? In many ways, the answer to this question is simple: great service, compassionate and knowledgeable caregivers and leading-edge programs. In this issue of Did You Know? we are proud to share exciting news about clinic developments, new staff appointments and emerging programs of excellence – all of which we hope will ultimately better serve you, our patients and our local community.

To begin: We are happy to announce that we are now the preferred health care and sports health care provider for the Toronto Maple Leafs Alumni Association and its members (Go Leafs!). Our head of Sports Medicine, Dr. Tim Rindlisbacher, has also been appointed Head Team Physician for the Toronto Argonauts Football Club (Go Argos!), and those of you who live in the west end of Toronto, Mississauga, Oakville or Burlington may be interested to know that we have expanded our services to Mississauga. Details about each of these announcements follow.

With Thanksgiving just behind us, our team at Cleveland Clinic Canada certainly feels that we have a lot to be thankful for. Read on to learn more about the exceptional new staff members joining our team, the exciting things happening in and around the clinic and tips on how to continue to live a healthy and active life!

Yours in good health,

The Cleveland Clinic Canada team

MLSE and Cleveland Clinic Canada

Cleveland Clinic Canada is pleased to announce that we are now the preferred health and sports health provider for the Toronto Maple Leafs Alumni Association. We are honoured to be working with the Toronto Maple Leafs Alumni Association and their members,” said Mike Kessel, president and CEO of Cleveland Clinic Canada. “Hockey players, as with any professional athletes, are under a great deal of stress and work their bodies hard during their careers. As you would expect, both can have long-term implications on one’s overall health. Our goal is to provide the alumni with comprehensive and personalized health and wellness services and enable them to maintain a healthy lifestyle throughout the year.” Don’t be surprised if you see Wendel Clark or Darryl Sittler in our lounges when you visit us over the next few weeks!

Cleveland Clinic Canada Expands to Mississauga

Cleveland Clinic Canada and Mississauga-based High Point Wellness Centre (HPWC) have announced a new relationship designed to bring more comprehensive sports medicine to the Mississauga area. This affiliation marks the first expansion of Cleveland Clinic Canada’s services.

Dr. Tim Rindlisbacher, our head of Sports Health, is providing sports health assessments for Cleveland Clinic Canada at High Point. The practice will focus on individuals who experience muscle and joint pain, as well as youth, adult recreational and professional athletes.

“We are very pleased to be working with High Point Wellness Centre to provide sports medicine services for those who work and live in Mississauga and surrounding areas,” said Mike Kessel, president and CEO of Cleveland Clinic Canada. “With a common commitment to the health and wellness of our patients, this relationship was a natural fit for us. In addition, with Dr. Rindlisbacher’s current work with the Mississauga Steelheads and the Toronto Argonauts - whose training facility is located in Mississauga – we have a large patient base that will benefit from the convenience of being able to continue their care with Cleveland Clinic Canada and Dr. Rindlisbacher at the High Point Wellness Centre location.”

“Our new relationship with Cleveland Clinic Canada reflects our commitment to bringing world-class health and wellness services to our community,” commented Dr. Dwight Chapin, clinic director at High Point Wellness Centre. “We share Cleveland Clinic’s passion for excellence. Dr. Rindlisbacher’s expertise in sports medicine provides our patients with a whole new dimension of care. This relationship also strengthens our ability to support our corporate wellness clients with their specific needs. We are thrilled to welcome Cleveland Clinic Canada and Dr. Rindlisbacher to the High Point facility.”

The Cleveland Clinic Canada Sports Medicine practice will operate out of the High Point Wellness Centre at 5110 Creekbank Rd., Suite 700, Mississauga, Ontario, every Monday from 1:00 p.m. to 6:00 p.m. To schedule an appointment at our new Mississauga location, please call 905.624.0233. Let us help you move faster, better and without pain!

Our Team is Growing!

Cleveland Clinic Canada continues to attract top health experts. We now have 24 specialists in 14 specialty areas: Anesthesiology, Cardiology, Cardiac Surgery, Colorectal Surgery, Dermatology, Endocrinology, Gastroenterology, Immunology and Allergy, Neurology, Orthopaedics, Preventive Health, Respirology, Sports Medicine, and Urology. This means that roughly 80% of our Executive Health patients’ specialist referrals can be accommodated on-site.

Welcome (and Welcome Back)…

1. Cleveland Clinic Canada is pleased to introduce Cathy J. Campbell, MD, CCFP, FCFP, Dip. Sport Med.

Dr. Campbell arrives with an extensive background in family and sports medicine. Dr. Campbell is an assistant professor in the Department of Family and Community Medicine at the University of Toronto, and was the Team Physician for the Canadian Women’s National Soccer Team during its London 2012 Olympic bronze medal and 2011 Pan-American Games gold medal wins. Highly respected in the field of sports medicine, Dr. Campbell is the Medical Officer and Doping Control Officer for FIFA, the Fédération Internationale de Football Association. Sports achievement “swims” in her family; Dr. Campbell’s niece is American Olympic swimmer Melissa (Missy) Franklin, who won five medals at the 2011 world long-course championships in Shanghai, set a world record at the 2011 International Swimming Federation (FINA) World Cup in Berlin, and was recently named Sports Woman of the Year by the Women’s Sports Foundation. Welcome Cathy!

To schedule your Executive Health Physical or a Sports Medicine appointment with Dr. Campbell, please contact Cleveland Clinic Canada at 416.507.6600.

2. Welcome Sonya J. Abdulla, MD, FRCPC (Dermatology)

Also joining our team is Dr. Sonya Abdulla. Dr. Abdulla is a leading provider of specialized dermatology services with national and provincial contributions to her field, including work with the Canadian Dermatology Association and the College of Physicians and Surgeons of Ontario. In her role at the clinic, Dr. Abdulla provides general and aesthetic dermatological preventive care.

Appointments with Dr. Abdulla are covered by OHIP. A referral from a family physician is required. To schedule an appointment, please contact Cleveland Clinic Canada at 416.507.6600.

3. Dr. Tim Rindlisbacher named Head Team Physician for the Toronto Argonauts Football Club

Cleveland Clinic Canada would like to congratulate Dr. Tim Rindlisbacher on his appointment as Head Team Physician for the Toronto Argonauts Football Club. A highly regarded expert in the field of professional sports medicine and concussion management, Dr. Rindlisbacher is also the Team Physician for the Mississauga Steelheads of the Ontario Hockey League and has worked with the Toronto Raptors, the Buffalo Bills, and Canada’s National Men’s Under-18 and Canada's World Junior Hockey Teams. As well, Dr. Rindlisbacher currently serves as a consultant to the National Hockey League Players Association and the National Ballet School of Canada. Dr. Rindlisbacher sees patients at our main clinic at 181 Bay Street in Toronto, as well as at our new Mississauga location, where we have a weekly Sports Medicine clinic based at the High Point Wellness Centre.

Appointments with Dr. Rindlisbacher are covered by OHIP. A referral from a family physician is not required but is preferred. To schedule an appointment with Dr. Rindlisbacher, please contact Cleveland Clinic Canada at 416.507.6600.

4. Returning from touring with the Association of Tennis Players, Luke Fuller, MHSc (Osteo), MPhysio, CSCS.

Returning from touring with the elite group of athletes of the Association of Tennis Players (ATP) is Cleveland Clinic Canada’s osteopath, Luke Fuller. Over the past several years, Luke has worked with many of the top seeded players on the ATP World Tour circuit and has also treated leading professional golfers. Highly qualified as an osteopath and physiotherapist, Luke has extensive experience treating musculoskeletal and sports injuries, especially biomechanical issues caused by repetitive pounding, twisting and changing-direction movements, and brings a special interest and specialized skill in addressing issues of the foot, ankle, shoulder and knees. Earlier this month, Luke launched a new Clinical Pilates program at the clinic. Clinical Pilates is a form of exercise that concentrates on the appropriate activation of muscles to improve performance and/or prevent injury or recurrence of injury.

To schedule an appointment with Luke Fuller or to learn more about our Clinical Pilates program, please contact Cleveland Clinic Canada at 416.507.6600.

Is a Chronic Injury Holding you Back? Clinical Personal Training can Help

Have you ever felt highly motivated to change your behaviour only to find, a few months later, that you are stuck in the same old pattern? Without a concrete plan, appropriate tools and some educational coaching, old habits can die hard. Our Clinical Personal Training program has been designed to help you establish and commit to a consistent exercise routine to help you maintain an active lifestyle throughout the year – whether to eliminate chronic injury or disease or simply to improve your health.

During carefully structured sessions, our Exercise Physiology team will work with you to develop a personalized, research-based exercise prescription that is tailored to your health and wellness needs and goals. During your appointments, our clinical experts will focus on the specifics of the exercises in your prescription, coaching you to effectively implement them on your own, either at home or at the gym. At regular intervals throughout the program we will follow up with you during in-clinic visits to review and modify your exercise prescription based on your feedback from implementing it on your own. At the conclusion of the program, we will complete a final assessment of your fitness state and make any additional adjustments so you will be able to continue your exercise regime in the weeks and months to come. Online tools will be used throughout the 12-week program to help you track your progress.

To learn more or to sign up for the Clinical Personal Training program, please contact Cleveland Clinic Canada at 416.507.6600.

Protect Yourself from the Flu

Once again, Cleveland Clinic Canada is offering the flu vaccine to our patients and their family members. Prevention is the best course of action for managing infectious illnesses. The best time to get your vaccination is early, between October and December, before the virus becomes widespread. It takes about two weeks after immunization for the flu shot to give you full protection.

It is highly recommended that you receive the flu shot if you are in one or more of these high-risk groups:

  • Adults 50 years and older
  • Individuals with chronic medical conditions such as asthma or heart disease
  • Pregnant women
  • Healthcare workers
  • Caregivers of infants and young children

The flu vaccine is covered by OHIP. Please bring a valid OHIP card with you to your appointment. For more information or to book an appointment to get your flu shot, please call Cleveland Clinic Canada at 416.507.6600.

Flying South? Cleveland Clinic Florida Welcomes You

Cleveland Clinic Canada patients going south for the winter can travel with peace of mind knowing that they have access to the same high quality of healthcare to which they have grown accustomed at our clinic in Toronto. Cleveland Clinic has two Florida locations: Weston and West Palm Beach.

If you are in Florida and require medical care, simply call our concierge line to make an appointment at 954.659.6175.

Tips to keep your Metabolism Moving

By Jaclyn Pritchard, RD

It’s always challenging to keep our health and wellness goals in view when faced with the cozy combination of homemade holiday treats and snow on the doorstep. That’s why Cleveland Clinic Canada’s health and wellness experts have put together a number of health tips and other “food for thought” to keep you active and eating right in the cooler months ahead!

Metabolism is the process by which your body converts food and beverages into energy. Even when you're at rest, your body needs energy for breathing, circulating blood, adjusting hormone levels (such as insulin) and growing and repairing cells. Your metabolism is influenced by your age (metabolism slows by about 5% per decade after age 40), gender (men generally burn more calories at rest than women) and lean body mass (generally, the more muscle you have, the higher your metabolic rate). A faster metabolism may assist you in losing weight more quickly or more easily, and is a key factor in keeping unwanted weight off. Here are eight tips on how to pep up your metabolism:

  1. Kick-start your day with breakfast. A nutritious breakfast stimulates your body to work at its peak rate to burn calories. A small or skipped breakfast will cause your body to adapt by trying to conserve its energy. Dieters who eat a balanced breakfast can eat the same lunch, dinner and snacks as those who skip breakfast but by comparison lose more weight.
  2. Plan a snack attack. Eating smaller, well-balanced meals every three to four hours will help you burn more energy than eating the traditional three large meals per day. Include foods with protein and fibre in each meal or snack.
  3. Eat! Don’t starve! Eating the right kind and amount of food keeps your metabolism moving because it is forced to work continuously throughout the day. Reducing your calorie intake to below what your body requires will bring about initial weight loss, but will also lead to muscle loss and your body lowering its metabolism significantly.
  4. Give yourself a boost. Foods that can boost metabolism require the most work for your body to break down and digest (referred to as the thermic effect of food). Look for whole foods such as lean meats, fruits, vegetables, whole grains, nuts and seeds.
  5. Lose your love of processed foods. Whether you love the taste or convenience of processed foods, learn to love them less. Processing food makes it less nutritious. Processing also makes food easier for our bodies to digest, requiring less energy and reducing the thermic effect of the food. Unprocessed whole foods contain fibre, a non-digestible carbohydrate. Fibre forces the body to work harder trying to digest it, thereby using up more energy and boosting metabolism in the process! Eat a variety of unprocessed whole foods including grains, legumes and lentils, as well as fruits and vegetables high in fibre. Popular seasonal choices include kale, mushrooms, squash, apples and oranges.
  6. Hydrate. The body needs water to process calories. If you are even mildly dehydrated, your metabolism may slow down.
  7. Don’t believe everything you read. Green tea, caffeine and hot peppers have all been recommended to increase your metabolism; however, studies have shown mixed results. A compound in green tea called ECGC has been shown to increase metabolism by a small amount, but not enough to make a long-term difference. Capsaicin, the chemical in hot peppers that gives them their heat, boosts metabolism too, but again, it’s not significant enough to have much benefit. Caffeine affects your metabolism but studies have shown mixed results regarding coffee’s long-term impact.
  8. Get moving! Regular exercise will increase your metabolism. Go out for a jog. Ride your bike. Snag a few minutes on an elliptical trainer. Walk the dog. All are great forms of exercise. Weight training will also increase your metabolism. After a bout of resistance training, muscles are activated all over your body, increasing your metabolic rate. See “Less Sweet and More Sweat” below to learn more.

To learn more about how to keep your metabolism moving or to schedule an appointment with a Registered Dietitian, please contact Cleveland Clinic Canada at 416.507.6600.

Less Sweet and More Sweat

By Gilles Beaudin, Exercise Physiologist

Sometimes, being a little less sweet is a good thing. We are specifically talking about the sweetness of your blood, or more precisely, your blood glucose levels.

Blood glucose levels go up and down during the day, depending on the foods we eat. When food is digested it gets broken down into sugar, which turns into glucose. Insulin (a hormone) is responsible for clearing the glucose out of your blood when levels get too high. When your body relies too much on insulin, you can develop insulin resistance. Over time, your body needs to produce more and more insulin in order to be effective at removing the glucose from your system. This can develop into diabetes.

Even without a diagnosis of diabetes, exceeding your body’s natural sugar limits even a little for an extended period of time can be detrimental to your health. Unfortunately, you often won’t know it until it’s too late to prevent or treat the problems that can follow - not only diabetes, but neuropathy, retinopathy and kidney problems among them.

So, how do you keep your blood sugar levels under control? The first step is to eat less processed carbohydrates (see “Tips to Keep your Metabolism Moving” above). The second step is to include regular physical activity in your day. Research shows that regular exercise can help control your blood sugar, and any activity – whether it’s high intensity for short periods of time or lower intensity for longer periods of time – can do the trick.

If you are short of time, make sure your exercise session is intense enough so that you feel a slight “burn” in your muscles. That’s the sign that you are breaking down and getting rid of sugar/glucose. You can achieve this by cardio interval training and weight training exercises that use big muscles groups; aim for sets of 8-20 repetitions. Stuck at the office? Try a wall sit while on a conference call. It won’t take long for you to feel the effects. The secret to preventing the side effects of high blood sugar levels is reducing the level of glucose in your muscles.

By challenging your muscles, they become more sensitive to insulin. The insulin will be more effective at removing the glucose and will begin to replenish muscle-based sugars by drawing on what is in your bloodstream, thus lowering your overall blood sugar levels. Keeping your blood sugar levels under control can make a big difference to your long-term health.

If you have high blood sugar and/or have been diagnosed with diabetes, regular exercise should be part of your lifestyle. If you don’t know where to start, Cleveland Clinic Canada offers a new Clinical Personal Training program that will get you started the right way. For more information or to register for the Clinical Personal Training program, please contact Cleveland Clinic Canada at 416.507.6600.

Five Things to do Before the Snow Flies

By: Dr. Susan Joy, Cleveland Clinic Sports Health Expert

Summer has officially come to an end, but that doesn’t mean your workouts can’t continue outdoors. There is plenty of time to get outside and exercise before the snow starts flying.

Dr. Susan Joy is an expert on sports medicine at Cleveland Clinic, Ohio, and she recently shared these tips we can use to make our workouts more enjoyable this fall.

  • Fall is a great time to get outside for a run, a hike or a walk to enjoy the scenery and the changing colours of the leaves.
  • Dress in layers. The temperatures are cooler so there aren’t the same heat-illness risks as in the summer. Dressing in layers when you’re outside affords you some options if you start to heat up or cool down at various points in your workout.
  • Fall chores are a great way to burn some extra calories. Raking leaves or gardening can burn up to 150 calories every 30 minutes. Keep in mind that these activities use repetitive motions that can make you sore. With this in mind…
  • Warm up to prevent injuries. Doing proper warm-up exercises, such as stretching, before any activities such as raking or gardening will help prevent soreness and related injuries.
  • Get outside as a family. Find a local apple orchard and run through a corn maze together, or sign up for a fall event such as a “pumpkin run”.

Getting outside, on your own or with family and friends, is a great way to stay active this fall!

Get to the roots of gut health by understanding good and bad bacteria and IBS triggers

How much do our everyday choices affect the health of our digestive system? Perhaps more than we ever imagined, actually.

To schedule an appointment with Jennifer Sygo, Registered Dietitian, Sports Nutrition, please contact Cleveland Clinic Canada at 416.507.6600.

Healthy Fall Recipes