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Summer 2011

The Cleveland Clinic Difference is what makes our model of care unique, and it is a difference that has been developed and repeatedly validated over the last ninety years. Since the opening of Cleveland Clinic in 1921, thousands of employees have worked to make a difference in the lives of patients and their families. This commitment to the patient has pushed our clinic to invest –substantially – in clinical research and education which has led to numerous medical breakthroughs.

In Canada, we are leveraging the Cleveland Clinic Difference everyday, helping Canadians to live the healthiest lives possible. We do this by applying proven clinical protocols and evidence-based research in a patient-focused environment and by educating Canadians on how they can take control of their health now.

To ensure our patients receive the highest-quality care, we continue to build an all-star team of clinicians and staff. We also recognize the importance of collaborating with the larger clinical community and sharing resources to help advance healthcare and clinical practices in Canada.

Table of Contents

Dr. Roizen is Coming to Toronto

Cleveland Clinic’s Chief Wellness Officer, Dr. Michael Roizen, will be speaking at the Economic Club of Canada on Tuesday September 13, 2011. Research has demonstrated that lifestyle choices and behavior have a far greater impact on longevity and health than does heredity. A wellness expert and New York Times best-selling author, Dr. Roizen will explain that aging is a controllable process and there are hundreds of steps we can take which will help us live our lives to the fullest. Dr. Roizen has given more than 1,400 lectures to professional medical groups and has been recognized with over 25 professional lectureships. He has also made many appearances on The Oprah Winfrey Show, The Today Show, Good Morning America, Canada AM, The 700 Club and The Dr. Oz show.

Our Clinical Family is Growing

In an effort to meet the demand and deliver the best patient care possible, we continue to add to our team of talented clinicians. Please welcome the newest members of our Cleveland Clinic Canada family.

Dr. Julia Hamilton is our new Sports Medicine physician. Working alongside Dr. Tim Rindlisbacher, Dr. Hamilton will help our patients regain muscle function and maximize their performance. In addition to being an excellent clinician, she is also an accomplished athlete and plays squash competitively. Appointments with Dr. Hamilton are covered by OHIP and can be booked by contacting Tamara at 416.507.6673.

Dr. Stephen Daunt joins our talented team of Executive Health physicians. An experienced physician, Dr. Daunt understands the power of prevention and is a firm believer in our multi-disciplinary model of care. For more information about the Executive Health Program, please contact Hetal at 416.507.6662.

Dr. Jeff Donovan, a widely respected dermatologist and hair specialist, will now be on-site to see our Executive Health patients. When he is not seeing patients at our clinic, he works as an Assistant Professor at Sunnybrook Health Sciences Centre, Division of Dermatology and plays beautiful music on his piano. For more information about the Executive Health Program, please contact Hetal at 416.507.6662.

Give Five Minutes to Promote Prevention in Canada

As a leader in preventive healthcare, Cleveland Clinic Canada is constantly looking for ways to advance the understanding and practice of prevention in the lives of Canadians.

This summer, Cleveland Clinic Canada and York University are working together on a research project that will help us better understand how Canadians view preventive healthcare practices and the role they can play in improving their overall health using Professor Antonovsky’s Sense of Coherence questionnaire (Flensborg-Madsen et al. 2005).

In medical science, the term “pathogenesis” refers to the process in which the disease develops. The term “salytogensis” refers to the process through which optimal health can be achieved and maintained. The term “salutogenesis” first appeared in 1979 in the book Health, Stress and Coping by Aaron Antonovsky, a professor of medical sociology. Our research project is testing Antonovsky’s theory of salutgenesis by applying his Sense of Coherence questionnaire (Flensborg-Madsen et al, 2005) to reach a better understanding of Canadians’ attitudes toward preventive healthcare. Salutgenesis is now a central concept in developing and maintaining optimal health (Suominen et al, 2008).

We are inviting Canadians to give five minutes of their time to complete a short online questionnaire. This questionnaire was specifically designed to gather information on the inter-related dimensions of physical and psychological health. All information collected is confidential and respondents’ names will not be published in this research. To get started, please visit the link below.

If you have any questions or would like more information about this project, please feel free to contact the principal researcher, James Manson, at

Research Aimed at Improving the Diagnosis and Treatment of Headaches

Our neurologist, Dr. Jonathan Gladstone, recently co-authored a study that examined the use of CT scanning in Canadian hospitals. The study showed that CT scanning was most frequently used for patients with headaches, even though only one in 50 scans revealed a potential cause for the headache. This study suggests that CT scanning is overused for patients with headaches.

Jennifer Sygo, RD, Works with CBC to Help Kids’ Diets in Ottawa

Our Registered Dietitian, Jennifer Sygo, joined forces with the CBC earlier this year to produce a documentary called Run Run Revolution in which a group of middle-school children in Ottawa prepare to run in the youth section of the Boston Marathon. Ms. Sygo worked with these children to help them understand how important nutrition can be in leading a balanced life and achieving their race goals. Run Run Revolution not only transformed the lives of these young runners, it also brought together their families and communities while highlighting the importance of raising a healthy next generation.

More Cleveland Clinic Expertise Coming to the National Post

National Post readers will soon to be able to benefit from additional Cleveland Clinic Canada advice while reading their morning paper. Starting in September 2011, Dr. Jacqueline Brunshaw, Director of Psychology, and Paul VanWiechen, Director of Exercise Physiology, will be writing regular columns to help Canadians take steps toward living their healthiest lives possible. Dr. Brunshaw will discuss common psychological issues and provide realistic tips to help people address these issues in their own lives. Paul VanWiechen will draw upon his clinical experience with patients to help readers think differently about exercise and the benefits it can bring to our lives. Keep an eye out for these exciting new columns.

Ask an Expert: Cassandra Reid, RD
Is it possible to eat healthy and feel satisfied?

Protein and Volumetrics

We all want to feel satisfied and full after eating. If we feel satisfied by a meal or snack, we will be less likely to make an unhealthy choice the next time. A feeling of fullness can also improve concentration, increase energy and help maintain a healthy weight.

When planning your meals and snacks, think of a protein source first. Protein sources include red meat, chicken, fish, nuts and seeds, peanut butter, eggs, low-fat dairy (yogurt, cottage cheese, cheese and milk), legumes (chickpeas and kidney beans), lentils, soy and tofu. Once you have selected a protein source, the next step is to give your meal volume by adding fruit and vegetables. Dietitian Barbara Rolls coined the term “Volumetrics” when her research found that foods which are higher in volume but lower in calories create a feeling of fullness and aid weight loss.

Excluding starch (in crackers, breads, cereals, potato, rice and pasta) from a meal and choosing instead a salad or additional vegetables can decrease the overall calories in the meal and also make you feel fuller. This will help to shave calories off your daily intake which will help with weight loss and maintenance.

Be Mindful

Mindful eating is an important aid to making healthy choices. Before you indulge try to ask yourself: “Will this five minutes of gratification be worth it?” If the answer is no, then look for something else to eat or do instead. Consider a lean protein, fruit or vegetable, or go for a walk.

Exercise plays an important role in being mindful. Try to start your day by enjoying a run or swim. This will not only help you get into a healthy mindset, it will also help you work off those extra calories that are sometimes unavoidable when you are having fun.

The key is to reprogram your habits and food choices. Stop telling yourself what you shouldn’t be doing all the time and start telling yourself what you should be doing instead.

Shave Off Calories When Entertaining

Set a good example for your friends and family by offering healthy options.

  • Always have a vegetable platter available. You can think of most vegetables as “calorie-free” foods.
  • Offer lean protein appetizers such as shrimp cocktail and chicken skewers.
  • Replace starch sources with extra vegetables (grilled or steamed) and salads.
  • Avoid using extra oil and marinades while grilling.
  • Serve the dressing on the side with salads.
  • Remove creamy, crispy and sautéed dishes from your menu and opt for dishes that are braised, grilled, broiled or baked.
  • Combine club soda or mineral water with a splash of juice as an alcohol-free option, or sip it on its own or between cocktails to minimize calories.
  • Have fruit skewers for dessert.