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H-SAA oct 31 2016 - Mar 31, 2017
… Cardiac Conditions Arrhythmia Angina Pectoris Chest Pain Other GI Diagnoses Cirrhosis and Alcoholic Hepatitis … Cardiac Conditions Arrhythmia Angina Pectoris Chest Pain Other GI Diagnoses Cirrhosis and Alcoholic Hepatitis …
SOUTH WEST LOCAL HEALTH INTEGRATION NETWORK (the LHIN) and St. Josephs Health Care, London (the H os p i ta I) Hospital Service Accountability Agreement for 2008-1 0 HospitaI Service Accountability Agreement for 2008-1 0 TABLE OF CONTENTS l a O BACKGROUND ..............................................
handout: travel with an insulin pump: tips
… insurance, first aid kit, sunscreen, insect repellent, pain medication, anti-nausea and anti-diarrhea pills, … insurance, first aid kit, sunscreen, insect repellent, pain medication, anti-nausea and anti-diarrhea pills, …
Travel with an insulin pump Carry everything that you need on board the airplane. See list below. Additional items may also be packed in checked luggage, but all insulin should be carried with you because it may be exposed to extreme temperatures in transit. Write down your current basal rates and c...
Headaches and sinus disease
… to sinusitis”: 1. Frontal headache (forehead) with pain or pressure in one or more regions of the face, teeth, … Endoscopy), or by laboratory data 3. Headache and facial pain develop at the same time as the sinusitis symptoms 4. … is often used to describe a facial pressure or facial pain headache. However, in many large studies migraine …
HEADACHES AND SINUS DISEASE INTRODUCTION Headache is very common and affects millions of adults in the US. Headaches have many causes and can present in a variety of ways. Most headaches are not related to sinus disease. Among patients who have sinus disease, some patients have headaches related to,...

History

Each hospital’s research mission has a rich history. At both hospital organizations, leaders recognized opportunities to leverage in-house experts to conduct research and improve care. However, they also recognized the challenge in supporting these activities without dedicated space and resources.

Through great foresight, our hospitals founded the official research institutes that serve as Lawson's foundation:

  • 1983: Supported by Sister Mary Doyle, former Executive Director of St. Joseph's, the Sisters of St. Joseph's establish the hospital's official research institute. LHSC and Upjohn jointly open the Victoria Upjohn Clinical Research Unit at South Street Hospital (formerly Victoria Hospital), focusing on Phase I-III clinical trials.
  • 1987: The St. Joseph's research institute is named the Lawson Research Institute (LRI) in honour of London businessman and philanthropist Colonel Tom Lawson and his wife, Miggsie Lawson - close friends of Sister Mary Doyle and major supporters of the research mission.
  • 1990: Victoria Hospital takes over the operation of the clinical research unit at South Street, renaming it the Victoria Clinical Trials Centre.
  • 1997: The Victoria Clinical Trials Centre is renamed London Health Sciences Centre Research Inc. and becomes a fully incorporated research institute overseeing all hospital-based research within London Health Sciences Centre sites: Victoria Hospital, University Hospital and South Street Hospital.
  • 2000: LRI and LHSCRI merge to form a joint venture: Lawson Health Research Institute.
  • 2014: Lawson Research Institute (re-)launches as the hospital-based research arm of St. Joseph's with the goal of transforming imagination to innovation to impact; and as LHSCRI is also embedded into LHSC. 

Today, partnerships remain strong, allowing researchers to move seamlessly between hospital locations and Western University.

Milestones

Since forming in 2000, Lawson has pioneered breakthroughs across various disciplines of health research and reached several institutional milestones.

 

How to Access Archived Webcasts revised April 12 2013.pdf
… & Survivor-Run Programs April 12, 2011 15142663 Chronic Pain April 26, 2011 15142910 Survivor Stories 2011 May 3, … & Survivor-Run Programs April 12, 2011 15142663 Chronic Pain April 26, 2011 15142910 Survivor Stories 2011 May 3, …
Revised April 18, 2013 How to Access Archived Webcasts of the Survivor & Family Education Series 1. Go to http://webcast.otn.ca 2. In the middle of the screen, under Archived Events, select Public. 3. In the Search Box in the top right hand corner, type: Parkwood ABI Survivor Series and press enter....
How to refer a patient to Palliative Care
… refer a patient to Palliative Care Palliative Care provides pain management and relief of symptoms to those experiencing … are part of this caring process. Reasons for admission  pain and symptom management with the expectation that the … home Admission Guidelines:  Patients are admitted for pain and symptom management, or end-of-life care  Adults …
How to refer a patient to Palliative Care Palliative Care provides pain management and relief of symptoms to those experiencing life-threatening, progressive or terminal illness. Palliative Care focuses on physical, psychological, social and spiritual needs while remaining sensitive to the uniquenes...
hsaa Mar - oct 2016
… Prevention Rehab in the Community Neck and Lower Back Pain 0 $0 $0 Pediatric Surgery Hip & Knee Replacement - … Prevention Rehab in the Community Neck and Lower Back Pain 0 $0 $0 Pediatric Surgery Hip & Knee Replacement - …
H-SAA Amending Agreement Extension to March 31, 2017 Page 1 H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement) is made as of the 1st day of October, 2016 B E T W E E N: SOUTH WEST LOCAL HEALTH INTEGRATION NETWORK (the LHIN) AND St. Joseph's Health Care, London (the Hospital) WHEREAS t...
Hyperglycemia & DKA Guidelines
… • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite … • if a fruity odor is detected in the breath • if abdominal pain is present • if nausea or vomiting occurs • if you are … • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite …
Guidelines for Managing Hyperglycemia (High Blood Glucose) Signs and Symptoms of Hyperglycemia ( High Blood Glucose ) ONSET Gradual (hours to days) USUAL CAUSES Illness, infection, surgery, injury Stress: emotional or physical Too little insulin Increased food Exercise (in type 1) with blood g...
Hyperglycemia & DKA Guidelines
… • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite … • if a fruity odor is detected in the breath • if abdominal pain is present • if nausea or vomiting occurs • if you are … • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite …
Guidelines for Managing Hyperglycemia (High Glucose Level) Signs and Symptoms of Hyperglycemia ( High Glucose Level ) ONSET Gradual (hours to days) USUAL CAUSES Illness, infection, surgery, injury Stress: emotional or physical Too little insulin Increased food Exercise (in type 1) with glucose...
Hyperglycemia guidelines on a pump
…  Thirst  Excessive urination  Fatigue  Abdominal pain, nausea, vomiting  Blurred vision  Change in appetite … glucose is > 20mmol/L and you are experiencing abdominal pain, nausea, vomiting, or diarrhea. * Your pump cannot …  Thirst  Excessive urination  Fatigue  Abdominal pain, nausea, vomiting  Blurred vision  Change in appetite …
Guidelines for Managing Hyperglycemia Signs and Symptoms of Hyperglycemia (High Blood Glucose) Onset Gradual (hours to days) Usual Causes Illness, infection, surgery, injury Stress: emotional or physical Too little insulin Increased food Exercise (in type 1) with blood glucose over 14 mmol/L S...
Hyperglycemia guidelines on a pump
… • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite … • if a fruity odor is detected in the breath • if abdominal pain is present • if nausea or vomiting occurs • if you are … • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite …
Guidelines for Managing Hyperglycemia (High Glucose Level) Signs and Symptoms of Hyperglycemia ( High Glucose Level ) ONSET Gradual (hours to days) USUAL CAUSES Illness, infection, surgery, injury Stress: emotional or physical Too little insulin Increased food Exercise (in type 1) with glucose...
Hyperglycemia guidelines on a pump
… • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite … level is > 20mmol/L and you are experiencing abdominal pain, nausea, vomiting, or diarrhea. Your pump cannot track … • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite …
Guidelines for Managing Hyperglycemia (High Glucose Level) Signs and Symptoms of Hyperglycemia (High Glucose Level) Onset Gradual (hours to days) Usual Causes Illness, infection, surgery, injury Stress: emotional or physical Too little insulin Increased food Exercise (in type 1) with blood glu...
Hyperglycemia guidelines on a pump
… • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite … level is > 20mmol/L and you are experiencing abdominal pain, nausea, vomiting, or diarrhea. For technical problems … • Thirst • Excessive urination • Fatigue • Abdominal pain, nausea, vomiting • Blurred vision • Change in appetite …
Guidelines for Managing Hyperglycemia (High Glucose Level) Signs and Symptoms of Hyperglycemia (High Glucose Level) Onset Gradual (hours to days) Usual Causes Illness, infection, surgery, injury Stress: emotional or physical Too little insulin Increased food Exercise (in type 1) with blood glu...

Improving palliative cancer treatment with existing diagnostic scans: Study reveals promising results

A recent study from London Health Sciences Centre and Lawson Health Research Institute suggests that using existing diagnostic CT scans in planning simple palliative radiation treatments can significantly cut down the waiting time for urgent treatment, resulting in a better experience for cancer patients.

“Reducing the time patients spend in a cancer centre has far-reaching benefits,” said lead study author Melissa O’Neil an Advanced Practice Radiation Therapist at London Health Sciences Centre’s (LHSC) London Regional Cancer Program (LRCP). “Faster treatment initiation means quicker relief from symptoms for patients. Utilizing existing scans is also cost-effective and frees up appointment slots or staff, allowing us to accommodate and assist more patients in need.”

Melissa O'Neil speaks at the American Society for Radiation Oncology’s Annual Meeting on Oct. 3, 2023. 
Melissa O'Neil speaks at the American Society for Radiation Oncology’s Annual Meeting on Oct. 3, 2023. 

Palliative radiation therapy is used to relieve symptoms in patients whose cancers cannot be cured. It’s often used when tumours cause pain, neurological issues or breathing problems such as blocked airways.

In the current standard practice, patients referred for palliative radiation typically require a CT simulation scan before starting their treatment. This scan creates 3D images that the patient's health care team uses to develop a customized radiation treatment plan. Unfortunately, this process often takes several hours, even with efforts to speed it up.

However, many of these patients have undergone previous diagnostic CT scans as part of their routine medical care. Previous research has shown that radiation oncology teams can create suitable palliative treatment plans for patients with bone and soft tissue metastases using these existing scans. This approach is less time-consuming than the more intensive simulation scans.

In the current study, O’Neil and her colleagues explored whether using existing CT scans to plan treatment before a patient arrives at the cancer centre could reduce their wait time while still ensuring appropriate care. They randomly assigned 33 patients who needed palliative radiation for tumours in their chest, abdomen or pelvis to either the standard treatment planning with on-site CT simulation scans or to treatment planning using diagnostic CT scans taken within the previous 28 days.

The study found that patients who didn't need the extra CT simulation scan spent much less time at the cancer centre on the day of their treatment – just under 30 minutes compared to nearly five hours for the others. Treatments were delivered successfully, and patient perception on time spent at the cancer centre was improved for those whose treatment planning used diagnostic CT scans taken without the previous 28 days. 

"For patients who need radiation to help treat symptoms of cancer, it's important for us to get them treated quickly and to minimize the time they spend waiting for medical appointments,” said Dr. David Palma, Radiation Oncologist at LHSC and Associate Scientist at Lawson. “This trial shows that this new approach not only saves resources by reducing the number of scans we do, but also substantially reduces the time patients spend waiting for urgent radiation.” 

"These findings are incredibly promising, especially in light of the nationwide shortage of radiation therapists," said Dr. Michael Ott, Physician Department Executive for Oncology at LHSC. “Work like this has benefits that can reach far beyond London, offering more relief for patients across the country."

The findings were presented at the American Society for Radiation Oncology’s Annual Meeting on Oct. 3, 2023. This meeting is recognized globally as the leading radiation oncology scientific event, drawing more than 8,500 attendees each year. 

While the study shows promise, the research team said it's important to note that using prior diagnostic scans may not be suitable for every type of cancer or patient. It depends on the specific area being treated and the technique used. 

For more information, please contact:    
Jessica Rabaey 
Communications Consultant 
London Health Sciences Centre 
T: 519-685-8500 ext. 77728
Jessica.rabaey@lhsc.on.ca 

About Lawson Health Research Institute

Lawson Health Research Institute is one of Canada’s top hospital-based research institutes, tackling the most pressing challenges in health care. As the research institute of London Health Sciences Centre and St. Joseph’s Health Care London, our innovation happens where care is delivered. Lawson research teams are at the leading-edge of science with the goal of improving health and the delivery of care for patients. Working in partnership with Western University, our researchers are encouraged to pursue their curiosity, collaborate often and share their discoveries widely. Research conducted through Lawson makes a difference in the lives of patients, families and communities around the world. To learn more, visit www.lawsonresearch.ca.

Improving surgery for wrist arthritis

Wrist arthritis can cause debilitating pain, weakness and decreased range of motion. When patients are first diagnosed, the condition can often be managed with activity modification and pain medication. However, as symptoms progress, patients eventually require surgery.

Surgeons typically perform a procedure called four-corner fusion to preserve wrist motion and provide pain relief.  This surgery involves removing one of the carpal bones and fusing four of the remaining carpal bones. Although this procedure is one of the most common treatments for wrist arthritis, it is not known how the position of the fusion of the wrist bones affects range of motion and joint contact.

Lawson associate scientist Dr. Nina Suh is leading a study with the goal of improving the surgical technique for four-corner fusion to maximize wrist function and symptom relief, and delay wrist arthritis progression.

Dr. Suh and her team will use a customized active-motion wrist simulator to create different carpal bone fusion positions. They will then assess how these positions affect wrist motion and joint contact area.

“We hope this research will lead to new surgical techniques that will help us to more effectively manage wrist arthritis with four-corner fusion,” says Dr. Suh, who is also an orthopaedic surgeon at the Roth McFarlane Hand and Upper Limb Centre (HULC) at St. Joseph’s Health Care London and an assistant professor at Western University’s Schulich School of Medicine & Dentistry. “The project will also advance our understanding of wrist biomechanics, providing a foundation for the development of enhanced patient-specific surgical tools, such as custom wrist fusion devices and implants.”


Image of the customized active-motion wrist simulator Dr. Nina Suh and her team are using to create different carpal bone fusion positions. They will then assess how these positions affect wrist motion and joint contact area.

The study is being funded through the Lawson Internal Research Fund (IRF), designed to allow scientists the opportunity to obtain start-up funds for new projects with exciting potential.

“The IRF program is valuable for scientists as external funding sources routinely require preliminary data to strengthen applications,” says Dr. Suh. “Particularly for new scientists such as myself, these grants provide seed funding that allows us to demonstrate the validity of our methodology and the clinical usefulness of our results.”

The IRF is designed to provide Lawson scientists the opportunity to obtain start-up funds for new projects with the potential to obtain larger funding, be published in a high-impact journal, or provide a clinical benefit to patients. Funding is provided by the clinical departments of London Health Sciences Centre and St. Joseph’s Health Care London, as well as the hospital foundations (London Health Sciences Foundation and St. Joseph’s Health Care Foundation).

instructions for carpel tunnel patients
… or powders on the incision. • To help reduce swelling and pain: o Keep your arm elevated above heart level (supported … go to your local emergency room or urgent care centre. Pain pill prescriptions cannot be renewed after 4:00pm. If you think you will run out of pain medications, please contact your surgeon’s office …
Discharge Instructions St. Josephs Hospital 200722 (ortho) June 2017 Carpal Tunnel, Trigger Finger Release or Removal of Arthritic Nodules - Orthopaedics Day of Surgery remember to bring 2-3 pillows, leave in the car so they are available to elevate your arm on the way home. Care of the Surgical Si...

Introducing The Gray Centre for Mobility and Activity at Parkwood Institute

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4:00pm - 5:00pm
Virtual/Remote

Join us Thursday October 21 from 12 pm – 1 pm for a virtual introduction to some of the exciting research and clinical innovations from mobility experts at The Gray Centre for Mobility and Activity. Hear presentations from:

  • Siobhan Schabrun, PhD – Harnessing the Brain to Reduce Pain and Improve Mobility and Activity. 
  • Sue Peters, PhD – Wireless Neuroimaging During Mobility to Predict Recovery Trajectories after Stroke. 
  • Swati Mehta, PhD – Virtual Physical Activity Programming During the Pandemic.
  • Dr. Manuel Montero-Odasso – Mobility and Cognition. The Collision of 2 Giants.   
  • Stephanie Cornell, MPT – Who, What, When? Using Technology in Rehab.  
Join us via WebEx here

About The Gray Centre for Mobility and Activity:

Established in 2020, The Gray Centre for Mobility and Activity at St. Joseph’s Health Care London is expanding and advancing mobility and rehabilitation treatment and prevention solutions through research, collaborations and the latest technology to improve the lives of those living with disease, disability or injury. The Gray Centre is located at St. Joseph’s Parkwood Institute, Southwestern Ontario’s regional provider of rehabilitation and recovery health care and a national hub for treatment, research and education in mobility and activity. The Gray Centre is made possible through a $7.5 million gift to St. Joseph’s Health Care Foundation from William and Lynne Gray.

Introducing The Gray Centre for Mobility and Activity at Parkwood Institute

-
12:00 PM - 01:00 PM

Join us Thursday October 21 from 12 pm – 1 pm for a virtual introduction to some of the exciting research and clinical innovations from mobility experts at The Gray Centre for Mobility and Activity. Hear presentations from:

  • Siobhan Schabrun, PhD – Harnessing the Brain to Reduce Pain and Improve Mobility and Activity. 
  • Sue Peters, PhD – Wireless Neuroimaging During Mobility to Predict Recovery Trajectories after Stroke. 
  • Swati Mehta, PhD – Virtual Physical Activity Programming During the Pandemic.
  • Dr. Manuel Montero-Odasso – Mobility and Cognition. The Collision of 2 Giants.   
  • Stephanie Cornell, MPT – Who, What, When? Using Technology in Rehab.  

Join us via WebEx here

About The Gray Centre for Mobility and Activity:

Established in 2020, The Gray Centre for Mobility and Activity at St. Joseph’s Health Care London is expanding and advancing mobility and rehabilitation treatment and prevention solutions through research, collaborations and the latest technology to improve the lives of those living with disease, disability or injury. The Gray Centre is located at St. Joseph’s Parkwood Institute, Southwestern Ontario’s regional provider of rehabilitation and recovery health care and a national hub for treatment, research and education in mobility and activity. The Gray Centre is made possible through a $7.5 million gift to St. Joseph’s Health Care Foundation from William and Lynne Gray.

Partners
Robarts Research Institute
IV Ketamine Infusion
… doses, ketamine is used to treat certain types of nerve pain that have not responded to other pain management approaches. The most common condition for … which IV (intravenous) ketamine infusions are used in the pain clinic is complex regional pain syndrome (CRPS). When …
June 16, 2020; Page 1 of 2 IV Ketamine Infusion Why is this medication prescribed? Ketamine is a medication most commonly used as an anesthetic during surgical procedures. At lower doses, ketamine is used to treat certain types of nerve pain that have not responded to other pain management approache...
IV Lidocaine Infusion
… Lidocaine is a local anesthetic used to treat certain nerve pain conditions when the usual nerve pain medications or interventions were unsuccessful. This … long will it work for? • If lidocaine is going to provide pain relief, you should notice a difference within 2 days. …
June 16, 2020; Page 1 of 2 IV Lidocaine Infusion Why is this medication prescribed? Lidocaine is a local anesthetic used to treat certain nerve pain conditions when the usual nerve pain medications or interventions were unsuccessful. This could be due to a lack of effectiveness or side effects. When...