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Social Isolation | Michael Nolan | TEDxPembroke


the get started one of the things that

the get started one of the things that is clear to me today as it was the day

is clear to me today as it was the day

is clear to me today as it was the day it happened to me while I was in high

it happened to me while I was in high

it happened to me while I was in high school there was a knock on the door at

school there was a knock on the door at

school there was a knock on the door at the classroom and it was my sister’s

the classroom and it was my sister’s

the classroom and it was my sister’s boyfriend standing at the door not

boyfriend standing at the door not

boyfriend standing at the door not something that you would expect at st.

something that you would expect at st.

something that you would expect at st. Pius the tenth high school in Ottawa and

Pius the tenth high school in Ottawa and

Pius the tenth high school in Ottawa and he said come in the hallway I have

he said come in the hallway I have

he said come in the hallway I have something to tell you and what he told

something to tell you and what he told

something to tell you and what he told me is awkward as I felt in that same

me is awkward as I felt in that same

me is awkward as I felt in that same moment was that my father had had a

moment was that my father had had a

moment was that my father had had a cardiac arrest he was on sparks Street

cardiac arrest he was on sparks Street

cardiac arrest he was on sparks Street he was coming out of Court where he was

he was coming out of Court where he was

he was coming out of Court where he was doing some business and at that time in

doing some business and at that time in

doing some business and at that time in the elevator

the elevator

the elevator he went into sudden cardiac arrest he

he went into sudden cardiac arrest he

he went into sudden cardiac arrest he had received CPR in those days there was

had received CPR in those days there was

had received CPR in those days there was no such thing as an automated external

no such thing as an automated external

no such thing as an automated external defibrillator in the community so the

defibrillator in the community so the

defibrillator in the community so the paramedics arrived continued that CPR

paramedics arrived continued that CPR

paramedics arrived continued that CPR and somewhere between there and the

and somewhere between there and the

and somewhere between there and the Civic Hospital I later found out that he

Civic Hospital I later found out that he

Civic Hospital I later found out that he was resuscitated and revived really

was resuscitated and revived really

was resuscitated and revived really miraculous in its own way and certainly

miraculous in its own way and certainly

miraculous in its own way and certainly something that has been indelible in my

something that has been indelible in my

something that has been indelible in my memory and something that has shaped my

memory and something that has shaped my

memory and something that has shaped my career and in fact many of my passions

career and in fact many of my passions

career and in fact many of my passions professionally I was then taken to the

professionally I was then taken to the

professionally I was then taken to the hospital where of course of those days

hospital where of course of those days

hospital where of course of those days we weren’t allowed anywhere near him

we weren’t allowed anywhere near him

we weren’t allowed anywhere near him while he was being treated and in the

while he was being treated and in the

while he was being treated and in the days and weeks to follow as a

days and weeks to follow as a

days and weeks to follow as a fifteen-year-old kid I learned what it

fifteen-year-old kid I learned what it

fifteen-year-old kid I learned what it meant to feel helpless to almost lose a

meant to feel helpless to almost lose a

meant to feel helpless to almost lose a parent and I’m sure many of you have

parent and I’m sure many of you have

parent and I’m sure many of you have felt that way and in your own lives the

felt that way and in your own lives the

felt that way and in your own lives the vulnerability that comes with those

vulnerability that comes with those

vulnerability that comes with those feelings is one of the things that

feelings is one of the things that

feelings is one of the things that certainly has inspired me to chart a

certainly has inspired me to chart a

certainly has inspired me to chart a course if you will in my own in my own

course if you will in my own in my own

course if you will in my own in my own profession and in my own life in doing

profession and in my own life in doing

profession and in my own life in doing that we I’m the youngest of eight

that we I’m the youngest of eight

that we I’m the youngest of eight children and so I have six sisters and

children and so I have six sisters and

children and so I have six sisters and one brother and my mother we all were

one brother and my mother we all were

one brother and my mother we all were instructed to go and take a CPR course

instructed to go and take a CPR course

instructed to go and take a CPR course so we all went took a CPR course kind of

so we all went took a CPR course kind of

so we all went took a CPR course kind of in the hopes that if it happened again

in the hopes that if it happened again

in the hopes that if it happened again because in those days sudden cardiac

because in those days sudden cardiac

because in those days sudden cardiac arrest was lesser known than it is today

arrest was lesser known than it is today

arrest was lesser known than it is today if it happened again hopefully one of us

if it happened again hopefully one of us

if it happened again hopefully one of us would be around and be able to receive

would be around and be able to receive

would be around and be able to receive that same life-saving intervention that

that same life-saving intervention that

that same life-saving intervention that he was lucky enough to receive on sparc

he was lucky enough to receive on sparc

he was lucky enough to receive on sparc Street the challenge though associated

Street the challenge though associated

Street the challenge though associated with those types of feelings

with those types of feelings

with those types of feelings as a young man was that you then had

as a young man was that you then had

as a young man was that you then had this vulnerability that really sticks to

this vulnerability that really sticks to

this vulnerability that really sticks to you though those Teflon years of of

you though those Teflon years of of

you though those Teflon years of of adolescence really were quite an

adolescence really were quite an

adolescence really were quite an awakening for me and the challenges

awakening for me and the challenges

awakening for me and the challenges associated with that I found was that it

associated with that I found was that it

associated with that I found was that it really set me on a path whereby I never

really set me on a path whereby I never

really set me on a path whereby I never wanted to feel that way again so I found

wanted to feel that way again so I found

wanted to feel that way again so I found myself leaving high school and entering

myself leaving high school and entering

myself leaving high school and entering Algonquin College in Ottawa taking the

Algonquin College in Ottawa taking the

Algonquin College in Ottawa taking the paramedic program that for me was one

paramedic program that for me was one

paramedic program that for me was one way of dealing with that same feeling of

way of dealing with that same feeling of

way of dealing with that same feeling of disempowerment I could learn life-saving

disempowerment I could learn life-saving

disempowerment I could learn life-saving skills perhaps I could get a job in this

skills perhaps I could get a job in this

skills perhaps I could get a job in this field working as a paramedic having the

field working as a paramedic having the

field working as a paramedic having the ability not only to feel more in control

ability not only to feel more in control

ability not only to feel more in control more ready no matter what happened but

more ready no matter what happened but

more ready no matter what happened but also to be able to give back give back

also to be able to give back give back

also to be able to give back give back to a city to a community that gave me a

to a city to a community that gave me a

to a city to a community that gave me a second chance with my own father and for

second chance with my own father and for

second chance with my own father and for those months and years after his cardiac

those months and years after his cardiac

those months and years after his cardiac arrest he had a full recovery which is

arrest he had a full recovery which is

arrest he had a full recovery which is quite miraculous really if you think

quite miraculous really if you think

quite miraculous really if you think about it but what happened to me was

about it but what happened to me was

about it but what happened to me was that I became the guy who had done this

that I became the guy who had done this

that I became the guy who had done this done the CPR program was thinking about

done the CPR program was thinking about

done the CPR program was thinking about becoming a paramedic so I had to walk

becoming a paramedic so I had to walk

becoming a paramedic so I had to walk around the block with him morning noon

around the block with him morning noon

around the block with him morning noon and night because those were doctor’s

and night because those were doctor’s

and night because those were doctor’s orders there was no such thing as an

orders there was no such thing as an

orders there was no such thing as an implanted pacemaker or defibrillator it

implanted pacemaker or defibrillator it

implanted pacemaker or defibrillator it was we’re not quite sure what happened

was we’re not quite sure what happened

was we’re not quite sure what happened we’re not quite sure if it’s gonna

we’re not quite sure if it’s gonna

we’re not quite sure if it’s gonna happen again but for a man who was 6

happen again but for a man who was 6

happen again but for a man who was 6 foot 2 and incredibly physically fits a

foot 2 and incredibly physically fits a

foot 2 and incredibly physically fits a veteran himself somebody that I thought

veteran himself somebody that I thought

veteran himself somebody that I thought a lot about yesterday he was told to

a lot about yesterday he was told to

a lot about yesterday he was told to March but he would never March more than

March but he would never March more than

March but he would never March more than about a few hundred meters from our

about a few hundred meters from our

about a few hundred meters from our house so the circle that we lived in

house so the circle that we lived in

house so the circle that we lived in became his track and for many years he

became his track and for many years he

became his track and for many years he wouldn’t go out for that walk unless one

wouldn’t go out for that walk unless one

wouldn’t go out for that walk unless one of us was with him those are life

of us was with him those are life

of us was with him those are life lessons that sent me on a course where

lessons that sent me on a course where

lessons that sent me on a course where by working as a paramedic then became

by working as a paramedic then became

by working as a paramedic then became kind of very satisfying and not only was

kind of very satisfying and not only was

kind of very satisfying and not only was I able to help him I was able to help

I able to help him I was able to help

I able to help him I was able to help myself and give back to the community so

myself and give back to the community so

myself and give back to the community so I spent many years as many paramedics

I spent many years as many paramedics

I spent many years as many paramedics have working in an ambulance working on

have working in an ambulance working on

have working in an ambulance working on a helicopter I was a critical-care

a helicopter I was a critical-care

a helicopter I was a critical-care flight paramedic in the north

flight paramedic in the north

flight paramedic in the north spent many years teaching in a classroom

spent many years teaching in a classroom

spent many years teaching in a classroom at Holland College in Prince Edward

at Holland College in Prince Edward

at Holland College in Prince Edward Island and I was fortunate enough to

Island and I was fortunate enough to

Island and I was fortunate enough to come back to the Ottawa Valley I was the

come back to the Ottawa Valley I was the

come back to the Ottawa Valley I was the deputy chief for the Ottawa paramedic

deputy chief for the Ottawa paramedic

deputy chief for the Ottawa paramedic service and more recently last 12 years

service and more recently last 12 years

service and more recently last 12 years the chief and Renford County what those

the chief and Renford County what those

the chief and Renford County what those years have have taught me about what a

years have have taught me about what a

years have have taught me about what a paramedic has to offer really shouldn’t

paramedic has to offer really shouldn’t

paramedic has to offer really shouldn’t start when something bad happens to

start when something bad happens to

start when something bad happens to someone else when something bad happens

someone else when something bad happens

someone else when something bad happens and the tones go off or the pager goes

and the tones go off or the pager goes

and the tones go off or the pager goes off and the ambulance has to go rushing

off and the ambulance has to go rushing

off and the ambulance has to go rushing down the road at the paramedics in it in

down the road at the paramedics in it in

down the road at the paramedics in it in many respects it’s already too late

many respects it’s already too late

many respects it’s already too late because we start measuring ourselves at

because we start measuring ourselves at

because we start measuring ourselves at that point in minutes and seconds

that point in minutes and seconds

that point in minutes and seconds thinking that that’s what’s going to

thinking that that’s what’s going to

thinking that that’s what’s going to make the difference and we know that it

make the difference and we know that it

make the difference and we know that it did for my own father but will it make

did for my own father but will it make

did for my own father but will it make the difference for each of you in that

the difference for each of you in that

the difference for each of you in that time of need and we started to advance

time of need and we started to advance

time of need and we started to advance in technology automated external

in technology automated external

in technology automated external defibrillators are now hanging in the

defibrillators are now hanging in the

defibrillators are now hanging in the hallway here in rinks throughout the

hallway here in rinks throughout the

hallway here in rinks throughout the county we’ve placed over 240 of them

county we’ve placed over 240 of them

county we’ve placed over 240 of them throughout Renfrew County we have

throughout Renfrew County we have

throughout Renfrew County we have paramedics working at the advanced level

paramedics working at the advanced level

paramedics working at the advanced level they can start IVs they can intubate

they can start IVs they can intubate

they can start IVs they can intubate they can give you most of the drugs

they can give you most of the drugs

they can give you most of the drugs you’d get in the emergency department at

you’d get in the emergency department at

you’d get in the emergency department at the hospital so we’ve really changed our

the hospital so we’ve really changed our

the hospital so we’ve really changed our practice environment and we’ve changed

practice environment and we’ve changed

practice environment and we’ve changed our practice but the opportunity then as

our practice but the opportunity then as

our practice but the opportunity then as I moved back to Ottawa was to learn a

I moved back to Ottawa was to learn a

I moved back to Ottawa was to learn a little bit more not only about cardiac

little bit more not only about cardiac

little bit more not only about cardiac arrest and resuscitation and the things

arrest and resuscitation and the things

arrest and resuscitation and the things that I went to school for thinking that

that I went to school for thinking that

that I went to school for thinking that they would make me feel more prepared

they would make me feel more prepared

they would make me feel more prepared for life and I can say for 20 years I

for life and I can say for 20 years I

for life and I can say for 20 years I felt very prepared as a paramedic

felt very prepared as a paramedic

felt very prepared as a paramedic serving the community no matter what you

serving the community no matter what you

serving the community no matter what you could throw at me I felt very

could throw at me I felt very

could throw at me I felt very comfortable that I could give it your

comfortable that I could give it your

comfortable that I could give it your give it the best give you the best

give it the best give you the best

give it the best give you the best chance of survival and you’ve got

chance of survival and you’ve got

chance of survival and you’ve got fantastic paramedics here and rent for

fantastic paramedics here and rent for

fantastic paramedics here and rent for counties that are dedicated to those

counties that are dedicated to those

counties that are dedicated to those very important life-saving skills but I

very important life-saving skills but I

very important life-saving skills but I can also tell you that I learned an

can also tell you that I learned an

can also tell you that I learned an incredible amount from my mother and I’m

incredible amount from my mother and I’m

incredible amount from my mother and I’m sure most of you here have had a mother

sure most of you here have had a mother

sure most of you here have had a mother at one time in life right anybody here

at one time in life right anybody here

at one time in life right anybody here not have a mother at one time in life no

not have a mother at one time in life no

not have a mother at one time in life no so you probably understand a little bit

so you probably understand a little bit

so you probably understand a little bit of what I’m talking about in terms of

of what I’m talking about in terms of

of what I’m talking about in terms of the influence that they can have over

the influence that they can have over

the influence that they can have over your personal your professional life

your personal your professional life

your personal your professional life your spiritual life they kind of reach

your spiritual life they kind of reach

your spiritual life they kind of reach right inside you and

right inside you and

right inside you and lessons don’t they well my mother this

lessons don’t they well my mother this

lessons don’t they well my mother this is a picture of my mother I did it’s not

is a picture of my mother I did it’s not

is a picture of my mother I did it’s not a copyrighted photo or anything to worry

a copyrighted photo or anything to worry

a copyrighted photo or anything to worry about

about

about this is my mom and my mom grew up during

this is my mom and my mom grew up during

this is my mom and my mom grew up during the war in England and she had asthma

the war in England and she had asthma

the war in England and she had asthma much like our earlier speaker but in

much like our earlier speaker but in

much like our earlier speaker but in those days they used to treat asthma

those days they used to treat asthma

those days they used to treat asthma with smoke from the fireplace there was

with smoke from the fireplace there was

with smoke from the fireplace there was smoke treatment and in fact cigarettes

smoke treatment and in fact cigarettes

smoke treatment and in fact cigarettes were one of the early forms of treatment

were one of the early forms of treatment

were one of the early forms of treatment for asthma he didn’t hear the wheezes

for asthma he didn’t hear the wheezes

for asthma he didn’t hear the wheezes because you weren’t moving that much air

because you weren’t moving that much air

because you weren’t moving that much air right they used to put mustard paste on

right they used to put mustard paste on

right they used to put mustard paste on her chest right and tell her to calm

her chest right and tell her to calm

her chest right and tell her to calm down so she had a real panic a real

down so she had a real panic a real

down so she had a real panic a real anxiety related to that feeling of

anxiety related to that feeling of

anxiety related to that feeling of shortness of breath well after my father

shortness of breath well after my father

shortness of breath well after my father died in his 80s so luckily we got him

died in his 80s so luckily we got him

died in his 80s so luckily we got him from his 60s to his 80s and he died a

from his 60s to his 80s and he died a

from his 60s to his 80s and he died a very natural and peaceful death the way

very natural and peaceful death the way

very natural and peaceful death the way that I think most of us would want to

that I think most of us would want to

that I think most of us would want to pass on in our years but what my mother

pass on in our years but what my mother

pass on in our years but what my mother was experiencing was not only COPD or

was experiencing was not only COPD or

was experiencing was not only COPD or breathing problems in advanced age she

breathing problems in advanced age she

breathing problems in advanced age she was also legally blind with macular

was also legally blind with macular

was also legally blind with macular degeneration she was a bit of a Spitfire

degeneration she was a bit of a Spitfire

degeneration she was a bit of a Spitfire I you know I can’t tell a lie she was

I you know I can’t tell a lie she was

I you know I can’t tell a lie she was quick to share her opinion but when she

quick to share her opinion but when she

quick to share her opinion but when she believed in something she was full-on

believed in something she was full-on

believed in something she was full-on believing in something and I’d like to

believing in something and I’d like to

believing in something and I’d like to think that she gave me a little bit of

think that she gave me a little bit of

think that she gave me a little bit of that that oomph if you will in life but

that that oomph if you will in life but

that that oomph if you will in life but when we moved both my mother and my

when we moved both my mother and my

when we moved both my mother and my father into a retirement home in Ottawa

father into a retirement home in Ottawa

father into a retirement home in Ottawa and after my father died my mother

and after my father died my mother

and after my father died my mother insisted on staying in a two-room

insisted on staying in a two-room

insisted on staying in a two-room apartment within that seniors home which

apartment within that seniors home which

apartment within that seniors home which is a little bit uncharacteristic because

is a little bit uncharacteristic because

is a little bit uncharacteristic because really it was just a duplicate of the

really it was just a duplicate of the

really it was just a duplicate of the other room and there was no need to have

other room and there was no need to have

other room and there was no need to have two rooms but she absolutely insisted

two rooms but she absolutely insisted

two rooms but she absolutely insisted that she have both of those rooms so

that she have both of those rooms so

that she have both of those rooms so that she could continue to have the

that she could continue to have the

that she could continue to have the ladies over for tea on Monday Wednesday

ladies over for tea on Monday Wednesday

ladies over for tea on Monday Wednesday and Friday

and Friday

and Friday and when we pressed her on it because

and when we pressed her on it because

and when we pressed her on it because it’s nude no cheap proposition to keep

it’s nude no cheap proposition to keep

it’s nude no cheap proposition to keep her going with two rooms in a in a large

her going with two rooms in a in a large

her going with two rooms in a in a large seniors complex in Ottawa but when she

seniors complex in Ottawa but when she

seniors complex in Ottawa but when she insisted on having that second room she

insisted on having that second room she

insisted on having that second room she said you wouldn’t believe all of the

said you wouldn’t believe all of the

said you wouldn’t believe all of the people that live here that never have

people that live here that never have

people that live here that never have anyone that come to visit them that

anyone that come to visit them that

anyone that come to visit them that don’t care enough to stop by or come by

don’t care enough to stop by or come by

don’t care enough to stop by or come by and have a chat with them so I want to

and have a chat with them so I want to

and have a chat with them so I want to have that room

have that room

have that room so that my girls as she used to call

so that my girls as she used to call

so that my girls as she used to call them would have the ability to come over

them would have the ability to come over

them would have the ability to come over and be together because the thought of

and be together because the thought of

and be together because the thought of them sitting at home alone and lonely

them sitting at home alone and lonely

them sitting at home alone and lonely was heartbreaking to her so I learned

was heartbreaking to her so I learned

was heartbreaking to her so I learned many lessons from her over those years

many lessons from her over those years

many lessons from her over those years but as I started to transition I then

but as I started to transition I then

but as I started to transition I then started to appreciate greater as a

started to appreciate greater as a

started to appreciate greater as a paramedic what that could possibly mean

paramedic what that could possibly mean

paramedic what that could possibly mean in paramedicine

in paramedicine

in paramedicine so we had an idea I had an idea and I’ll

so we had an idea I had an idea and I’ll

so we had an idea I had an idea and I’ll give full credit to my own mother and

give full credit to my own mother and

give full credit to my own mother and that are really principles and values

that are really principles and values

that are really principles and values that she shared with me but the idea was

that she shared with me but the idea was

that she shared with me but the idea was how can we guess all 50,000 paramedics

how can we guess all 50,000 paramedics

how can we guess all 50,000 paramedics in Canada with a greater sense of

in Canada with a greater sense of

in Canada with a greater sense of awareness about the impacts of

awareness about the impacts of

awareness about the impacts of loneliness and isolation in terms of

loneliness and isolation in terms of

loneliness and isolation in terms of their health it’s actually a

their health it’s actually a

their health it’s actually a little-known fact that it has a

little-known fact that it has a

little-known fact that it has a significant impact not only on your

significant impact not only on your

significant impact not only on your mental health but also on your physical

mental health but also on your physical

mental health but also on your physical health so how can we get these boots on

health so how can we get these boots on

health so how can we get these boots on the ground paramedics in every community

the ground paramedics in every community

the ground paramedics in every community large and small in Canada recognizing

large and small in Canada recognizing

large and small in Canada recognizing that when they go into someone’s home

that when they go into someone’s home

that when they go into someone’s home perhaps after something bad has happened

perhaps after something bad has happened

perhaps after something bad has happened that we don’t let that person go home

that we don’t let that person go home

that we don’t let that person go home now until they have the necessities of

now until they have the necessities of

now until they have the necessities of life to be able to adequately care for

life to be able to adequately care for

life to be able to adequately care for themselves and furthermore how can we

themselves and furthermore how can we

themselves and furthermore how can we connect them with community and social

connect them with community and social

connect them with community and social services that allow them to remain

services that allow them to remain

services that allow them to remain connected in the community so this

connected in the community so this

connected in the community so this notion that that we call community

notion that that we call community

notion that that we call community paramedicine is something that is grown

paramedicine is something that is grown

paramedicine is something that is grown out of Renfrew County and is now in fact

out of Renfrew County and is now in fact

out of Renfrew County and is now in fact happening in eight out of ten provinces

happening in eight out of ten provinces

happening in eight out of ten provinces in Canada there are over a hundred and

in Canada there are over a hundred and

in Canada there are over a hundred and sixty programs in the United States we

sixty programs in the United States we

sixty programs in the United States we now have programs in Australia New

now have programs in Australia New

now have programs in Australia New Zealand in Scotland in England and

Zealand in Scotland in England and

Zealand in Scotland in England and they’ve taken shades of the experience

they’ve taken shades of the experience

they’ve taken shades of the experience that we’ve had here in Renford County so

that we’ve had here in Renford County so

that we’ve had here in Renford County so again we have a community of need we

again we have a community of need we

again we have a community of need we have a hundred thousand souls in rent

have a hundred thousand souls in rent

have a hundred thousand souls in rent for County right we have over 14 million

for County right we have over 14 million

for County right we have over 14 million older adults in Canada but we also know

older adults in Canada but we also know

older adults in Canada but we also know that 30% of those older adults

that 30% of those older adults

that 30% of those older adults self-report to be socially isolated and

self-report to be socially isolated and

self-report to be socially isolated and I want to make a point clear for you

I want to make a point clear for you

I want to make a point clear for you socially isolated and loneliness can be

socially isolated and loneliness can be

socially isolated and loneliness can be used interchangeably you can be living

used interchangeably you can be living

used interchangeably you can be living with someone and feel socially isolated

with someone and feel socially isolated

with someone and feel socially isolated right it has to do with the quality and

right it has to do with the quality and

right it has to do with the quality and the quantity of the relationship and how

the quantity of the relationship and how

the quantity of the relationship and how fulfilling that is for you so just

fulfilling that is for you so just

fulfilling that is for you so just because you have people around doesn’t

because you have people around doesn’t

because you have people around doesn’t necessarily mean that you’re being

necessarily mean that you’re being

necessarily mean that you’re being satisfied in terms of your own emotional

satisfied in terms of your own emotional

satisfied in terms of your own emotional needs so someone who has a personal

needs so someone who has a personal

needs so someone who has a personal support worker who comes and goes and is

support worker who comes and goes and is

support worker who comes and goes and is doing a fantastic job in their home

doing a fantastic job in their home

doing a fantastic job in their home doesn’t count as someone who is working

doesn’t count as someone who is working

doesn’t count as someone who is working towards reducing someone’s social

towards reducing someone’s social

towards reducing someone’s social isolation so what we did here in Redford

isolation so what we did here in Redford

isolation so what we did here in Redford County with this idea was we used

County with this idea was we used

County with this idea was we used paramedics we fantastic paramedics here

paramedics we fantastic paramedics here

paramedics we fantastic paramedics here in Hartford County we took that idea and

in Hartford County we took that idea and

in Hartford County we took that idea and we said instead of just waiting for the

we said instead of just waiting for the

we said instead of just waiting for the phone to ring would you be interested if

phone to ring would you be interested if

phone to ring would you be interested if we gave you a list of clients to go and

we gave you a list of clients to go and

we gave you a list of clients to go and knock on their door because we know that

knock on their door because we know that

knock on their door because we know that they live alone we know that they may be

they live alone we know that they may be

they live alone we know that they may be at a risk for fall we may know that they

at a risk for fall we may know that they

at a risk for fall we may know that they have chronic health disease issues that

have chronic health disease issues that

have chronic health disease issues that you can help coach them through but

you can help coach them through but

you can help coach them through but would you take that list go and knock on

would you take that list go and knock on

would you take that list go and knock on their door and have a cup of tea with

their door and have a cup of tea with

their door and have a cup of tea with them like the ladies did with my mother

them like the ladies did with my mother

them like the ladies did with my mother take the time in between emergency calls

take the time in between emergency calls

take the time in between emergency calls to be able to do that to satisfy this

to be able to do that to satisfy this

to be able to do that to satisfy this need that is starkly missing in our

need that is starkly missing in our

need that is starkly missing in our society today we have paramedics we now

society today we have paramedics we now

society today we have paramedics we now have over 550 clients in Renford County

have over 550 clients in Renford County

have over 550 clients in Renford County who have signed up for this program so

who have signed up for this program so

who have signed up for this program so the paramedics can go in help them

the paramedics can go in help them

the paramedics can go in help them perhaps with their breathing problems or

perhaps with their breathing problems or

perhaps with their breathing problems or their high blood pressure but more

their high blood pressure but more

their high blood pressure but more importantly spend the time with them to

importantly spend the time with them to

importantly spend the time with them to make sure that they have the contact

make sure that they have the contact

make sure that they have the contact that they need so they can express how

that they need so they can express how

that they need so they can express how they’re feeling so that they can

they’re feeling so that they can

they’re feeling so that they can actually continue to live in the manner

actually continue to live in the manner

actually continue to live in the manner in which they intend so this concept

in which they intend so this concept

in which they intend so this concept where we started with a community

where we started with a community

where we started with a community paramedic we then worked in Northrend

paramedic we then worked in Northrend

paramedic we then worked in Northrend for long-term care and we took the

for long-term care and we took the

for long-term care and we took the waiting list for long-term care and we

waiting list for long-term care and we

waiting list for long-term care and we went to their homes and we studied that

went to their homes and we studied that

went to their homes and we studied that for three years and we know working in

for three years and we know working in

for three years and we know working in cooperation with North Renfrew long-term

cooperation with North Renfrew long-term

cooperation with North Renfrew long-term care by bringing them into the day

care by bringing them into the day

care by bringing them into the day program making sure that they’re

program making sure that they’re

program making sure that they’re socially connected that we’ve reduced

socially connected that we’ve reduced

socially connected that we’ve reduced their use of the hospital the emergency

their use of the hospital the emergency

their use of the hospital the emergency department and 911 over 50 percent right

department and 911 over 50 percent right

department and 911 over 50 percent right we often scramble how can we make a 1

we often scramble how can we make a 1

we often scramble how can we make a 1 percent gain in health care how can we

percent gain in health care how can we

percent gain in health care how can we reduce wait times how can we improve

reduce wait times how can we improve

reduce wait times how can we improve services 50 percent reduction by keeping

services 50 percent reduction by keeping

services 50 percent reduction by keeping them in their own home on their own

them in their own home on their own

them in their own home on their own terms

terms

terms and making sure that they have the

and making sure that they have the

and making sure that they have the contact and the support that they need

contact and the support that they need

contact and the support that they need to live the life that they want this is

to live the life that they want this is

to live the life that they want this is a huge success story from right here in

a huge success story from right here in

a huge success story from right here in Renford County but not only does it

Renford County but not only does it

Renford County but not only does it apply to rural Canada we have programs

apply to rural Canada we have programs

apply to rural Canada we have programs in downtown Toronto we have programs in

in downtown Toronto we have programs in

in downtown Toronto we have programs in downtown Vancouver Halifax is leading

downtown Vancouver Halifax is leading

downtown Vancouver Halifax is leading community paramedic programs and this is

community paramedic programs and this is

community paramedic programs and this is a significant advancement this is a

a significant advancement this is a

a significant advancement this is a friend of mine bill Everett he’s one of

friend of mine bill Everett he’s one of

friend of mine bill Everett he’s one of the supervisors in British Columbia one

the supervisors in British Columbia one

the supervisors in British Columbia one of the champions of this program their

of the champions of this program their

of the champions of this program their government just spent 18 million dollars

government just spent 18 million dollars

government just spent 18 million dollars and created almost a hundred full-time

and created almost a hundred full-time

and created almost a hundred full-time positions dedicated to addressing this

positions dedicated to addressing this

positions dedicated to addressing this need in the community it hits home in a

need in the community it hits home in a

need in the community it hits home in a number of different ways because I’m

number of different ways because I’m

number of different ways because I’m sure many of you in the audience today

sure many of you in the audience today

sure many of you in the audience today have had a loved one perhaps an older

have had a loved one perhaps an older

have had a loved one perhaps an older loved one that have said would you mind

loved one that have said would you mind

loved one that have said would you mind dropping by it would be really nice to

dropping by it would be really nice to

dropping by it would be really nice to get a little bit of time with you and

get a little bit of time with you and

get a little bit of time with you and I’m not here to give you a guilt trip

I’m not here to give you a guilt trip

I’m not here to give you a guilt trip but at the end of the day it actually

but at the end of the day it actually

but at the end of the day it actually matters to them and has a consequence to

matters to them and has a consequence to

matters to them and has a consequence to their physical health and these are

their physical health and these are

their physical health and these are really important concepts that it that I

really important concepts that it that I

really important concepts that it that I really am speaking in many respects on

really am speaking in many respects on

really am speaking in many respects on their behalf because these people that

their behalf because these people that

their behalf because these people that can’t speak for themselves or perhaps

can’t speak for themselves or perhaps

can’t speak for themselves or perhaps they phone you and ask you to drop by or

they phone you and ask you to drop by or

they phone you and ask you to drop by or they want to have a ride so that they

they want to have a ride so that they

they want to have a ride so that they could go to euchre or play bingo or do

could go to euchre or play bingo or do

could go to euchre or play bingo or do other activities actually matter in very

other activities actually matter in very

other activities actually matter in very meaningful ways the International

meaningful ways the International

meaningful ways the International Federation of aging report has outlined

Federation of aging report has outlined

Federation of aging report has outlined that this is the number one issue that’s

that this is the number one issue that’s

that this is the number one issue that’s emerging facing seniors these are

emerging facing seniors these are

emerging facing seniors these are significant consequences because the

significant consequences because the

significant consequences because the both the quality and the quantity of

both the quality and the quantity of

both the quality and the quantity of those relationships is fundamental in

those relationships is fundamental in

those relationships is fundamental in terms of that person’s mental and

terms of that person’s mental and

terms of that person’s mental and physical health and when we look at that

physical health and when we look at that

physical health and when we look at that it has a direct impact on both morbidity

it has a direct impact on both morbidity

it has a direct impact on both morbidity and mortality it has an impact on

and mortality it has an impact on

and mortality it has an impact on disease and death so what what’s

disease and death so what what’s

disease and death so what what’s typically considered a nicety sure and I

typically considered a nicety sure and I

typically considered a nicety sure and I was certainly guilty of it with my own

was certainly guilty of it with my own

was certainly guilty of it with my own parents oh yeah yeah I know I’ll drop by

parents oh yeah yeah I know I’ll drop by

parents oh yeah yeah I know I’ll drop by no I’ve gotten a little bit busier you

no I’ve gotten a little bit busier you

no I’ve gotten a little bit busier you know the cat’s in the cradle kind of

know the cat’s in the cradle kind of

know the cat’s in the cradle kind of issue that we’re dealing with you know

issue that we’re dealing with you know

issue that we’re dealing with you know you put it off to next week or oh it’s

you put it off to next week or oh it’s

you put it off to next week or oh it’s great that your neighbors popping by to

great that your neighbors popping by to

great that your neighbors popping by to see you but are those really meaningful

see you but are those really meaningful

see you but are those really meaningful conversations are those the interactions

conversations are those the interactions

conversations are those the interactions that will keep you out of harm’s way we

that will keep you out of harm’s way we

that will keep you out of harm’s way we know

know

know as a matter of fact that social

as a matter of fact that social

as a matter of fact that social isolation increases the risk of

isolation increases the risk of

isolation increases the risk of inflammation by the same amount as not

inflammation by the same amount as not

inflammation by the same amount as not exercising this is a very important

exercising this is a very important

exercising this is a very important concept because we actually measured in

concept because we actually measured in

concept because we actually measured in patient’s blood those who are socially

patient’s blood those who are socially

patient’s blood those who are socially isolated and those that aren’t and

isolated and those that aren’t and

isolated and those that aren’t and there’s a protein called C reactant and

there’s a protein called C reactant and

there’s a protein called C reactant and the C reactant levels in those patients

the C reactant levels in those patients

the C reactant levels in those patients who are socially isolated with any

who are socially isolated with any

who are socially isolated with any without any other comorbidities had the

without any other comorbidities had the

without any other comorbidities had the same risk of disease and dying as those

same risk of disease and dying as those

same risk of disease and dying as those with diabetes and a lack of exercise

with diabetes and a lack of exercise

with diabetes and a lack of exercise these are important concepts that we in

these are important concepts that we in

these are important concepts that we in society need to embrace and I would

society need to embrace and I would

society need to embrace and I would suggest to you more than ever we’re

suggest to you more than ever we’re

suggest to you more than ever we’re actually at a crossroads in society

actually at a crossroads in society

actually at a crossroads in society right now that I’m not even sure we’re

right now that I’m not even sure we’re

right now that I’m not even sure we’re standing and seeing the signs in front

standing and seeing the signs in front

standing and seeing the signs in front of us as a paramedic service we see a

of us as a paramedic service we see a

of us as a paramedic service we see a seven to nine percent growth in 911 year

seven to nine percent growth in 911 year

seven to nine percent growth in 911 year after year for the last ten years and

after year for the last ten years and

after year for the last ten years and that’s not because there are more

that’s not because there are more

that’s not because there are more crashes on the highway because in fact

crashes on the highway because in fact

crashes on the highway because in fact there aren’t it’s not because more

there aren’t it’s not because more

there aren’t it’s not because more people are dying of cancers or have

people are dying of cancers or have

people are dying of cancers or have heart attacks because there aren’t in

heart attacks because there aren’t in

heart attacks because there aren’t in fact those numbers are all headed in the

fact those numbers are all headed in the

fact those numbers are all headed in the other direction this is all related to

other direction this is all related to

other direction this is all related to the demographic shift in aging and its

the demographic shift in aging and its

the demographic shift in aging and its impact on our community and our ability

impact on our community and our ability

impact on our community and our ability to provide basic services but as an

to provide basic services but as an

to provide basic services but as an administrator of a program as the chief

administrator of a program as the chief

administrator of a program as the chief paramedic and ran for County I’m not

paramedic and ran for County I’m not

paramedic and ran for County I’m not only going to look at how are we going

only going to look at how are we going

only going to look at how are we going to change that 7 to 9 percent demand for

to change that 7 to 9 percent demand for

to change that 7 to 9 percent demand for 9-1-1 services and tout that community

9-1-1 services and tout that community

9-1-1 services and tout that community paramedicine which I explained to you is

paramedicine which I explained to you is

paramedicine which I explained to you is going to make all the difference in the

going to make all the difference in the

going to make all the difference in the world

world

world the reality is the crossroads represents

the reality is the crossroads represents

the reality is the crossroads represents the first time in history that Canada

the first time in history that Canada

the first time in history that Canada has had more people over the age of 65

has had more people over the age of 65

has had more people over the age of 65 than under the age of 15 so if we think

than under the age of 15 so if we think

than under the age of 15 so if we think it’s a problem today as people continue

it’s a problem today as people continue

it’s a problem today as people continue to age it’s only going to become a

to age it’s only going to become a

to age it’s only going to become a cataclysmic problem when there aren’t

cataclysmic problem when there aren’t

cataclysmic problem when there aren’t young people there to be able to support

young people there to be able to support

young people there to be able to support them when they’re feeling socially

them when they’re feeling socially

them when they’re feeling socially isolated these are very very important

isolated these are very very important

isolated these are very very important times in terms of our community

times in terms of our community

times in terms of our community and our ability to deal with issues of

and our ability to deal with issues of

and our ability to deal with issues of social isolation chronic disease and

social isolation chronic disease and

social isolation chronic disease and older

older

older adults but I know Renfrew County is a

adults but I know Renfrew County is a

adults but I know Renfrew County is a very rich community in its ability to

very rich community in its ability to

very rich community in its ability to care for its neighbor and its loved ones

care for its neighbor and its loved ones

care for its neighbor and its loved ones we know in deep river for example many

we know in deep river for example many

we know in deep river for example many of the people that gave their their

of the people that gave their their

of the people that gave their their life’s profession to the community in

life’s profession to the community in

life’s profession to the community in deep River had children that left to go

deep River had children that left to go

deep River had children that left to go away for university

away for university

away for university that’s why we’ve seen significant

that’s why we’ve seen significant

that’s why we’ve seen significant increases in terms of waiting lists for

increases in terms of waiting lists for

increases in terms of waiting lists for long term care

long term care

long term care that’s why we take care of the

that’s why we take care of the

that’s why we take care of the thirty-two most needy patients on that

thirty-two most needy patients on that

thirty-two most needy patients on that waiting list and have shown such

waiting list and have shown such

waiting list and have shown such incredible results in terms of reduction

incredible results in terms of reduction

incredible results in terms of reduction in health utilization but more

in health utilization but more

in health utilization but more importantly in improvements in health

importantly in improvements in health

importantly in improvements in health this is a this is an image of Jan one of

this is a this is an image of Jan one of

this is a this is an image of Jan one of our paramedics in the deep river program

our paramedics in the deep river program

our paramedics in the deep river program and she goes a couple times a week to

and she goes a couple times a week to

and she goes a couple times a week to make sure that 32 clients have what they

make sure that 32 clients have what they

make sure that 32 clients have what they need to stay home safely but

need to stay home safely but

need to stay home safely but interestingly she’s also the person who

interestingly she’s also the person who

interestingly she’s also the person who reaches through the phone at at those

reaches through the phone at at those

reaches through the phone at at those individuals own children to remind them

individuals own children to remind them

individuals own children to remind them how important it is for them to come

how important it is for them to come

how important it is for them to come visit to remind them how critical it is

visit to remind them how critical it is

visit to remind them how critical it is not only to their disease but how long

not only to their disease but how long

not only to their disease but how long they’re gonna live for them to remain in

they’re gonna live for them to remain in

they’re gonna live for them to remain in contact for them to have a meaningful

contact for them to have a meaningful

contact for them to have a meaningful quality relationship that has frequent

quality relationship that has frequent

quality relationship that has frequent contacts so my ask of you on behalf of

contacts so my ask of you on behalf of

contacts so my ask of you on behalf of all of these patients that we serve and

all of these patients that we serve and

all of these patients that we serve and all of the patients that I’ve seen in my

all of the patients that I’ve seen in my

all of the patients that I’ve seen in my career who I know would benefit from a

career who I know would benefit from a

career who I know would benefit from a phone call from a visit from a hug from

phone call from a visit from a hug from

phone call from a visit from a hug from an ear is to ask you to reach out as an

an ear is to ask you to reach out as an

an ear is to ask you to reach out as an individual to your own family and your

individual to your own family and your

individual to your own family and your own loved ones to seek out those

own loved ones to seek out those

own loved ones to seek out those vulnerable people in your own community

vulnerable people in your own community

vulnerable people in your own community and reach out to them in a meaningful

and reach out to them in a meaningful

and reach out to them in a meaningful way not only will it help their health

way not only will it help their health

way not only will it help their health and their mental health I would suggest

and their mental health I would suggest

and their mental health I would suggest to you it puts you in a very strong

to you it puts you in a very strong

to you it puts you in a very strong leadership position with your own

leadership position with your own

leadership position with your own children and grandchildren to understand

children and grandchildren to understand

children and grandchildren to understand the importance of this so that as you

the importance of this so that as you

the importance of this so that as you give to them the next generation is

give to them the next generation is

give to them the next generation is there to give to you thank you

there to give to you thank you

there to give to you thank you [Applause]

”

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