Colin Ross: Hydromorphone - A User’s Story

December 15, 2017

Colin Ross

Hydromorphone: A User’s Story

 

Heroin, Fentanyl, Carfentanil are all deadly drugs when the dose exceeds your body’s ability to metabolize them.

 

Anyone who uses these opioids knows the risks and they point out that won’t stop them from using. The need for the drug overrides caution. Withdrawal is painful and extremely hard to achieve if you are living on the streets, scrounging for food and trying to scrape together the 25 to 35 dollars a day you need to support your habit.

 

In BC Hydromorphone is available to a limited number of chronic heroin users. The SALOME and NAOMI trials provided evidence that treatment is effective in stabilizing users.

 

The BC Centre for Substance Use recently issued guidelines that are a continuum of care that include counselling, detox, withdrawal management services and the administration of injectable and oral treatment through medication.

 

Colin Ross is fortunate, he has been an addict for about 20 years, now he’s receiving hydromorphone two times a day. A treatment he says allows him to stabilize and consider the future. We sat down with Colin for a Conversation That Matters about the opioid crisis, the hydromorphone IV treatment program, mental health, housing and the potential he hopes to realize.

 

Simon Fraser University’s Centre for Dialogue presents Conversations That Matter. Join veteran Broadcaster Stuart McNish each week for an important and engaging Conversation about the issues shaping our future.

Please become a subscriber and support the production of this program, www.conversationsthatmatter.tv

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Dr Norman Doidge: The Brain that Changes and Heals Itself

December 7, 2017

The Brain That Changes and Heals Itself

 

Our brains are so complicated neuroscientists are still only at the beginning of understanding how that grey matter inside our skulls works.

For centuries the brain was completely misunderstood. Then as we started to unlock the myriad regions and elements of the brain a range of theories emerged about how it worked. Most have been set aside as neuroscientists introduced Functional Magnetic Resonance Imaging to map our brains.

Over the past 25 years, fMRI’s have reshaped our understanding of the brain. One important discovery has been how flexible and adaptable it is. Dr Norman Doidge has been at the forefront of discovering the power of the brain to adapt and change because of its plastic nature.

Neuroplasticity, in other words, is the ability to form and reorganize synaptic connections in response to learning, experience, disease and following injury. We asked Dr Doidge to join us for a Conversation That Matters about our remarkably adaptable brains.

 

Simon Fraser University’s Centre for Dialogue presents Conversations That Matter. Join veteran Broadcaster Stuart McNish each week for an important and engaging Conversation about the issues shaping our future.

Please become a subscriber and support the production of this program, www.conversationsthatmatter.tv

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Charles Gauthier: Alleyway Revitalization

December 3, 2017

Alleyway Revitalization

Re-Imagine Alleys in a major city for just a minute.

 

Can you do it?

 

They’re generally grungy, dark, dank places that you never want to enter let alone think about.

 

Well, think again, Ackery’s Alley and Alley Oop are two back lanes that have been transformed from forgotten spaces where - during the day -the trash gets picked up and deliveries are made - and - at night are the stomping grounds of dumpster divers, drug users and sex trade workers.

 

In downtown Vancouver there approximately 240 alleys - that’s about 180-thousand square meters of publically owned land. Reclaiming those public spaces in an ever-expanding city is a needed improvement.

 

Yes, you heard that right - public space. And I know you’re asking for whom?

 

Well you and me and Korean pop-stars.

 

You may have seen the YouTube sensation where the K-Pop group ‘Twice’ used the refurbished Alley Oop as one of it’s Vancouver backdrops. When I wrote this intro there were just shy of 76 million views.

 

Density is forcing us to find space, but more importantly, it’s forcing us to be innovators in the creation of liveable space.

 

We sat down with Charles Gauthier of the Downtown Vancouver Business Improvement Association to ask him what was the motivation for this project, why it’s important and what the value is to all of us who call the city home - not just the businesses he represents.

 

We also talk to Alexandra Kenyon of the design firm HCMA, why did they leap at the opportunity to donate their services to this project? What does it say about the way we’re reshaping downtown.

 

And we also sat down with Alex Beim, the artist who sees revitalized alleys as a way to get people to actually interact and talk to one another for a Conversation That Matters about alleyways as public spaces.

 

Simon Fraser University’s Centre for Dialogue presents Conversations That Matter. Join veteran Broadcaster Stuart McNish each week for an important and engaging Conversation about the issues shaping our future.

Please become a subscriber and support the production of this program, www.conversationsthatmatter.tv

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Dr. Ken Rockwood: Geriatric Assessment and Frailty Index

November 22, 2017

Ep 166

Dr. Ken Rockwood

Geriatric Assessment and Frailty Index

 

By 2030 one in four of us will be over 65.

 

Today about 16% of Canadians are over 65. Currently seniors use about half of the health care budget.

 

Looking to the future those numbers are not sustainable.

 

We know the main reason for the disproportionate use of the health care system by seniors is because of frailty. Can anything be done to change the impact frailty has on the health care system?

First of all it is important to state - frailty is not a natural consequence of aging. Frailty is the intersection of age related decline with chronic diseases and conditions. Most importantly it is associated with many poor outcomes like falls, cognitive impairment, hospitalization, admission to long term care and death. Sounds complicated and it is but what is encouraging is  that we are learning more about how and when it happens and how to prevent it.

Researchers in Canada are considered world leaders in frailty and none is better known that Dr. Kenneth Rockwood from Dalhousie University. He is the inventor of multiple health care tools to diagnose frailty which are used around the world. He is considered the leader on frailty and frailty prevention we asked Dr. Rockwood to join us for a Conversation That Matters about  changing what we know about frailty and how we treat it.

 

Simon Fraser University’s Centre for Dialogue presents Conversations That Matter. Join veteran Broadcaster Stuart McNish each week for an important and engaging Conversation about the issues shaping our future.

Please become a subscriber and support the production of this program, www.conversationsthatmatter.tv

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Dr. John Muscedere: Combating Fatigue

November 16, 2017

Many people still believe frailty is associated with aging. We use to think it was an inevitable part of growing old. However, that is not true - Frailty is not a natural part of aging. There is more and more research that demonstrates we can avoid frailty.

 

As you age, you can make a choice to avoid frailty and keep yourself functioning independently longer by getting informed and participating in your health. Basically you have two choices, you can work to ensure your body functions optimally, or you can sit back and allow mother time to slowly chip away at your body and your mind.

 

The challenge, of course, is that sitting back is the antithesis of aging well. Even if you have chronic health conditions it is possible to exercise, eat well and get involved. In fact it is the best way to prevent frailty. When you stop moving, stop exercising your body and your brain, stop socializing, ..well, the consequences not only shorten your life they increase suffering.

 

There is a tsunami of boomers headed north of 70. I’m one of them. We’re in the pre-frailty stage of our lives.

 

The good news is we are learning a lot through research on how to identify frailty early and intervene sooner. Some of the leading research on frailty is done here in Canada and what we are learning is changing how doctors practice and what seniors can do to stay well. In order to age well you need to learn how to void frailty.

 

Doctor John Muscedere of the Canadian Frailty Network is committed to fighting frailty. He joins us this week for a Conversation That Matters on why frailty is the fight of our lives and what we and everyone involved in health care can and need to do about it.

 

Simon Fraser University’s Centre for Dialogue presents Conversations That Matter. Join veteran Broadcaster Stuart McNish each week for an important and engaging Conversation about the issues shaping our future.

 

Please become a subscriber and support the production of this program, www.conversationsthatmatter.tv

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Dr. Helene Langevin: The Science of Stretch

November 8, 2017

Okay, stretch and hold and hold and hold.

What happens when you stretch, what exactly are you stretching? Is it your muscle or is it your connective tissue?

Connective tissue or fascia - as it is also known as - is what holds us together, it is a net that suspends your organs – a high-tech adhesive that holds your cells in place while relaying messages between them.

The network is so extensive and ubiquitous that if you were to lose every organ, muscle, bone, nerve and blood vessel - your body would still retain its shape.

So what happens when you don’t stretch and when you do stretch how long should it?

These questions lead to a decade’s long research project into acupuncture and stretch.

It started when our guest Dr. Helene Langevin of the Harvard Medical School, Brigham Women’s Hospital questioned why acupuncture needles grab, what are they grasping and how long should the treatment last?

Simon Fraser University’s Centre for Dialogue presents Conversations That Matter. Join veteran Broadcaster Stuart McNish each week for an important and engaging Conversation about the issues shaping our future.

Please become a subscriber and support the production of this program, www.conversationsthatmatter.tv

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Jocelyn Macdougall and Mark Busse: Interesting Vancouver

November 3, 2017

For more than a decade Interesting Vancouver has been addressing issues that challenge us, make us unique, make us uncomfortable and make us talk to one another.

Interesting Vancouver is about dialogue, it’s about rolling your sleeves up and digging into conversations with other people who invite you into a world that is new to you, people who introduce you to a Vancouver you didn't know existed.

It’s about admitting you don’t have the answers but you’re willing to muddle your way through a messy process. A process that breaks down barriers and invites participants to set aside our minor differences and embrace our common humanity.

Neat little solutions to complex problems do not exist and you won’t find them at Interesting Vancouver, what you will find are others, who like you are looking for a level of discourse that is respectful, reflective and adaptable.

To learn more about interesting Vancouver we invited Jocelyn MacDougall and Mark Busse, two exceptionally interesting people who embrace dialogue to join us for a Conversation That Matters.

Simon Fraser University’s Centre for Dialogue presents Conversations That Matter. Join veteran Broadcaster Stuart McNish each week for an important and engaging Conversation about the issues shaping our future.

Please become a subscriber and support the production of this program, www.conversationsthatmatter.tv

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Robert Lewis-Manning: Shipping on our Coastal Waters

November 3, 2017

Shipping on our Coastal Waters

Every year the Western Canada’s gateway generates over 21 billion dollars in economic activity.

Each year thousands of ships transit BC’s Coastal waterways bringing cargo in and taking it out. The new Oceans Protection Plan lays out a number of issues the Federal Government is requiring the shipping industry to meet.

Tougher regulations that require working with First Nations and Indigenous Communities to identify environmentally sensitive areas of cultural, social and economic importance. Stronger polluter pay principles, identification of safe refuge sites, 24 - 7 emergency response and the continued modernization of the ship pilot regime.

And then there is the impact of shipping on the Southern Resident Whale Population. Does the underwater noise generated by ships play a large role in preventing Orcas from identifying the location of the Chinook Salmon that is the staple of their diet?

The BC Chamber of Shipping and it’s members participated in the Port Metro ECHO program where ships reduced speed to 11 knots in Haro Strait in an effort to reduce ambient noise and better understand the relationship between speed, noise and the effects on killer whales.

Looming in the background is an increase in oil and LNG tanker traffic.

To discuss what the shipping industry is doing to meet these concerns, issues, and regulations we invited the President of the Chamber of Shipping,  Robert Lewis-Manning to join us for a Conversation That Matters about protecting our coastal waters.

Simon Fraser University’s Centre for Dialogue presents Conversations That Matter. Join veteran Broadcaster Stuart McNish each week for an important and engaging Conversation about the issues shaping our future.

Please become a subscriber and support the production of this program, www.conversationsthatmatter.tv

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Andrew Day: Howe Sound Report Card

October 18, 2017

Is the health and well-being of Howe Sound our canary in the coal mine?

 

For more than 30 years Vancouver Aquarium and other groups have been conducting research on the fjord that extends from West Vancouver to Squamish. It has housed pulp mills, a copper mine, been the gathering site for log booms and the output of sawmills.

 

Then in 1956 BC Rail completed its line to Squamish making it more accessible to industry and the people who lived and worked for the major employers that were extracting the resources from the land that borders the Sound.

 

By 1959 the Sea to Sky Highway had been completed and with it commerce grew, residential housing expanded and Whistler boomed. Each new development put pressure on the ecosystems that feed into Howe Sound.

 

Salmon, the Southern Resident Killer Whale population and the myriad organisms that make up the food chain all came under pressure.

 

With the closing of the Woodfibre Pulp Mill and Britannia Mine the impact from heavy industry was eased while at the same time urban expansion presents new challenges and new toxins entering Howe Sound.

 

Andrew Day the past Executive Director of the Coastal Ocean Research Institute which released its’ report card on Howe Sound joins us this week on Conversations That Matter to share what we know, where are the gaps in our understanding and what the well-being of the Sound means to the south coast and the Salish Sea.

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Madeleine Shaw: Social Entrepreneurialism

October 9, 2017

Can you change the world through entrepreneurialism?

 

In other words, can business be an instrument of social change?

 

In his book ‘How to Change the World, David Bornstein profiles social entrepreneurs.

 

Men and women who are innovative, successful, grass-roots individuals who created businesses that address a wide range of social and economic problems.

 

As he puts it, “social entrepreneurs are creative, driven, and adventurous. The embrace change, exploit new opportunities, and think big.”

 

Social entrepreneurs can and do change their societies - AND the world - AND in doing so demonstrate that one person can make a difference.  

 

Madeleine Shaw is one such person - she was concerned about the impact feminine hygiene products had on women and the environment and not to be overlooked, the cost.

 

Shaw and her business partner Suzanne Siemens created Lunapads, a company that provides better health products for people and the planet.

 

Lunapads are sold worldwide, as a result more than two million disposable pads and tampons are being diverted from landfills every month.

 

To talk about social entrepreneurialism, Lunapads and her latest social venture - Nestworks, we sat down with Madeleine Shaw for a Conversation That Matters.

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