On the scene at LHSC

Summer 2013

World first treatment of localized prostate cancer

In April, London Health Sciences Centre (LHSC) was proud to perform a world first procedure, facilitated by research from Lawson Health Research Institute, which provides a new, minimally invasive treatment option for patients with localized prostate cancer.

Dr. Joseph Chin, chief of surgical oncology at LHSC, performed the treatment called transurethral magnetic resonance (MR) guided ultrasound ablation for prostate cancer. The procedure utilizes a new ablation device that uses thermal ultrasound therapy, together with real-time MR image guidance to eliminate cancer cells in the prostate gland. Physicians have a 360-degree viewing angle that allows the whole prostate gland to be treated in one session and with greater accuracy.

While conventional treatments for localized prostate cancer, including radiation therapy and surgery, provide good control of disease, they leave men with significant long-term complications which can reduce the patient’s quality of life. This new treatment option will reduce these complications and provides patients who wouldn’t qualify for the conventional surgery (because they have a smaller amount of cancer that is less likely to spread) with a surgical option.

The world first procedure was done as part of a clinical trial approved by Health Canada to evaluate the safety and feasibility of the new ablation device to destroy prostate tissue.

Visit LHSC’s Facebook page for more photos and video related to this world first.

LHSC first in North America to perform BONEBRIDGE bone conduction implant

On April 25, Kelly Dickson from Cambridge, Ontario became the first patient in North America to receive the BONEBRIDGE™ – a bone conduction hearing implant. The surgery was successfully performed at London Health Sciences Centre (LHSC) by Dr. Sumit Agrawal and his surgical team. On May 10, the hearing device was activated for the first time allowing Dickson to hear a full range of sounds.

BONEBRIDGE is new technology developed by MED-El Medical Electronics that makes it possible for people with hearing impairments, including conductive and mixed hearing losses or single-sided deafness, to hear a full range of sounds.

The audio processor records sound and converts it into signals which are transferred through the skin to the implant. The implant converts the signals received into mechanical vibrations that are transmitted to the surrounding bone. The bone then conducts these vibrations to the inner ear where they are converted into nerve signals and transmitted as impulses to the auditory nerve.

Visit LHSC’s Facebook page for more photos and videos related to this North American first.

Testing London’s emergency preparedness

On May 3, London’s ability to respond to a mass casualty incident was put to the test with a simulation exercise. The exercise was part of Project PREPARE 2013 – an education conference, workshop and large full-scale mass casualty exercise to train emergency service personnel, hospital staff and students in the fundamentals of "preparation, readiness, education, planning, action, recovery and evaluation" of chemical, biological, radiological, nuclear and explosive (CBRNE) incidents.

London Health Sciences Centre’s Southwest Ontario Regional Base Hospital Program, in partnership with Fanshawe College and the CBRNE Collaborative, hosted a conference that included an advanced hazardous materials life support course as well as a practical training day with various themes including incident management system, patient decontamination and family integration and support.

The exercise scenario simulated an accident involving a chemical truck and a school bus which overturned and came to rest on a soccer field, with 100 people in the vicinity of the accident. Several 55 gallon closed-top steel drums fell off of the chemical truck and spilled an unknown liquid and powder. Soccer players and spectators immediately rushed to the accident scene to help resulting in instant fatalities and multiple casualties.

More than 400 participants were involved in the exercise. Approximately 50 “first responders” attended the incident site, 30 hospital staff managed “Fanshawe Hospital” and at least 30 Fanshawe College staff members were involved in the incident site and emergency operations centre management. At least 150 patient volunteers were triaged and treated due to motor vehicle accident injuries and various levels of chemical agent exposure.

Exercises like this allow LHSC to review its preparedness and plans and evaluate their implementation in response to a mass casualty event. Lessons learned from the exercise allow us to make positive changes to how we respond to future events.

Visit LHSC’s Facebook page for more photos from the exercise.

London Health Sciences Foundation receives important accreditation

This spring, London Health Sciences Foundation (LHSF) became one of the first 27 charities nationwide and one of only four hospital foundations to meet 72 stringent standards and earn the right to display the Imagine Canada Trustmark.

Along with the Better Business Bureau Charity Seal, this Imagine Canada accreditation is yet another assurance that donations to LHSF are being used wisely, in accordance with donor wishes, and to the greatest effect possible.

For more information visit www.lhsf.ca and click on the Imagine Canada logo.

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Dr. Joseph Chin, chief of surgical oncology at LHSC talks with prostate cancer patient Brian Danter, who was the second patient to be treated in the study
From left, Dr. Sumit Agrawal, patient Kelly Dicson and audiologist Kim Zimmerman
Dr. Michael Peddle (center), local medical director, SWORBHP and medical director, LHSC CBRNe Program coordinates emergency preparedness at "Fanshawe Hospital" during PROJECT PREAPRE 2013