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Q&A WITH A BELOVED HOCKEY LEGEND

PAGE 44

The
Pickleball CANADA’S
MOST-READ
OCTOBER 2023
CRAZE MAGAZINE
PAGE 15

7 SLEEP
ZZZZZZZ DRAMA:
The Man Who
Took Down
a Deadly

SECRETS
Gunman
PAGE 54

Cleaning Up
the Earth,
FROM AROUND One Repair
THE WORLD
PAGE 30
at a Time
PAGE 84

Be Good to
Your Feet!
PAGE 76

A Day in
the Life of
a Brain
Surgeon
PAGE 90
“I know there’s
I can go anywhere and


no leakage
-Dolores

Boutique underwear. 8 oz of liquid.

The bladder leak underwear we deserve


A Trusted Friend in a Complicated World

Features 44 54
portrait drama in real life
Power Player Nightmare at the

30
cover story
The straight-shooting
Hayley Wickenheiser—
four-time Olympic gold
Nightclub
When the shooting
started at a Colorado
7 GLOBAL SLEEP TIPS medal winner, assistant nightclub, a combat
Trouble sleeping? We GM of the Leafs and a veteran’s lifesaving
gathered ideas from medical doctor—has a instincts kicked in.
around the world and few things to say about BY DAVE PHILIPPS
FROM THE NEW YORK TIMES
then asked experts what working under pressure.
really works. BY STÉPHANIE VERGE
FROM TORONTO LIFE
BY VANESSA MILNE

36
cover story
How I Tried to Stop
Snoring
I wanted a quick fix,
even if it meant strap-
ping a glorified bike
pump to my face.
BY JORDAN FOISY
FROM THE WALRUS

44
IAN PATTERSON

on the cover:
illustration by hayden maynard
reader ’s digest

60 66 non-Hodgkin’s lym-
phoma, federal minister
nature smile
Dominic Leblanc knew
The Great Wildebeest Stretching the Truth
only a perfect bone-
Migration A squabble with my wife
marrow match could
It’s a spectacular sight taught me to see BMI in
save him.
when countless rumi- a whole new light.
BY HAROLD GAGNÉ
nants trample across BY RICHARD GLOVER
the Serengeti in search
of greener pastures. 68 76
health
BY VINCENT NOYOUX inspiration
FROM LE FIGARO MAGAZINE Be Nice to Your Feet
Blood Ties
We can be pretty hard
Diagnosed with
on them. Here’s how
highly aggressive
to show your feet a little
more love.
BY SYDNEY LONEY

84
environment
The Fix-It Revolution
DIY repairs are making
a comeback to remedy
our throwaway culture.
BY VANESSA MILNE

90
bonus read
Lives in the Balance
Real-life stories told by
a leading neurosurgeon.
BY DR. CHRISTOPHER HONEY
FROM THE TENTH NERVE

76
ELISE CONLIN
6 Letters game’s exploding
popularity?
BY KAREN ROBOCK Humour
World of Good 17 The Scoop on 14
9 Reasons to Smile Veggie Powders Life’s Like That
BY MELISSA GREER
everyday heroes 20
10 A Very Caring 18 News From the Laughter, the Best
Family World of Medicine Medicine
These Delhi-based BY SAMANTHA RIDEOUT
24
brothers and their As Kids See It
families work long
days to help those Art of Living
who need it most. food passport
BY DIANE PETERS 21 Hoppy Hour 13 things
When it comes to 26 A Fascinating
good news from
around the world beer, the choices Fungus
12 Wheels For Pets are just about BY COURTNEY SHEA
... and other uplift- endless.
29 Quotable Quotes
ing stories. BY LEILA EL SHENNAWY
BY PATRICIA KAROUNOS
26 Brain Games
Health Digest 106 Puzzles
wellness for 108 Sudoku
body & mind 109 Trivia
15 Pickleball Fever
Everyone is getting 111 Word Power
in on this sport. 113 Crossword
What’s behind the 114 A Trusted Friend

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P U B L I S H E D B Y T H E R E A D E R ’ S D I G E S T M A G A Z I N E S C A N A D A L I M I T E D, M O N T R E A L , C A N A D A

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Bonnie Munday editor-in-chief


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Ron Starr
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TRUSTED MEDIA BRANDS


Bonnie Kintzer president and chief executive officer

VOL. 203, NO. 1,203 Copyright © 2023 by Reader’s Digest Magazines We acknowledge
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4 october 2023 | rd.ca


reader ’s digest

IN PRAISE OF PRINT
LETTERS Thank you for your open and honest
dialogue regarding today’s challenges
in publishing (“Dear Reader,” June
2023). I have been reading this maga-
zine since my parents had a subscrip-

Dear Reader, tion, and I’m now a senior. I have


always considered it my “bible” for
current events and knowledge. What-
As you can see from the collection of ever decisions you need to make to
the letters we’ve received, stories from keep publishing Reader’s Digest, I stand
our Canadian edition are read all behind them. I will keep up my sub-
around the world—in 43 countries, to scription, and the ones that I gift, of this
be exact—and are translated into nine extraordinary magazine.
languages. How cool is that? We’re — DEBRA HORRELL, Mississauga, Ont.
proud to bring you stories, by Canadian
writers, that resonate so widely. MUSICAL HEROES
In this issue you’ll find the inspiring Thank you for “When Music Is Medi-
“The Fix-It Revolution,” which high- cine” (June 2023). I have depression and
lights efforts of companies and individ- music is my No. 1 coping skill. The peo-
uals to reduce waste in landfills; a lively ple who go into medical and care facili-
conversation with national sports hero ties to play and sing music are heroes.
Hayley Wickenheiser; and a Bonus Reading about music’s healing powers
Read, “Lives In the Balance,” that I guar- for people of all ages is very uplifting.
antee you won’t be able to put down. — BRIAN RAYMOND LESSARD, Pembroke, Ont.
We hope you enjoy the October issue
of Reader’s Digest. Please let us know TRUSTED FRIEND
what you think! We’ll publish another When our family was cleaning out my
roundup of letters in the December- mother’s home in British Columbia
January issue. after she died in April 2023, I took
home nine issues of Reader’s Digest
that she hadn’t already recycled. I
decided to read them all as a small way
Bonnie Munday, to honour her passing, and I was espe-
LORI-ANNE STEWART

Editor-in-Chief cially pleased to read “Thanks, Mom”


editors_canada@rd.ca in the May issue—the last one that
arrived. It was one my mother
never got to read after subscrib-
ing for probably 50 years. Thank
Letters

you for being a trusted friend in my


mother’s life.
— MICHAEL DYLAN WELCH, United States

GIVING BACK
I was most interested in your article
“Team Player” (March 2023) and why
we should consider volunteering for
clinical trials. I’ve been a blood donor
for many years and like to think I am
giving back to our national healthcare
system for all they’ve done for me
(I’ve had several operations in the CAREGIVING ISN’T MARTYRDOM
past). Now I plan to ask my doctor A vital lesson for every caregiver is to
about being in a clinical trial. strike a balance between caregiving
I do want to say that I am against and carving out “me time” (“The Acci-
testing on animals. The pain, suffering dental Caregiver,” March 2023). Care-
and death of animals is not worth the giving should not become synonymous
possible benefits to humans. Animals with martyrdom; the demanding role
cannot volunteer. But I can. is a deliberate, joy-giving choice. Car-
— KAREN YETTON, United Kingdom ing for a terminally ill family member
and the despair of waiting for their
THE BIG PICTURE inevitable passing are indeed over-
“Tackling Emissions: Lessons from the whelming. But life should still go on,
U.K.” (March 2023) asks why Canada is despite everything.
so slow to change its fossil fuel policies. Caregivers should keep this thought
I believe there are too many emissions, consciously and deeply rooted in their
too many cars and too many people on minds and hearts.
Earth. But comparing a small, densely — BULBUL GUPTA, India
populated land mass like the United
Kingdom to our country is one-sided. HONESTY IS BEST
The true environmental cost of wind- I was dismayed by a joke in “As Kids See
mills and battery-powered vehicles It” (December 2022), in which a dad
from the start to their eventual end of implies that he tells his 13-year-old to
life need to be accounted for. Lots of lie about her age at a restaurant where
good technology to offset hydrocarbons kids 12 and under eat for free. A parent
is coming, but this article does not who would forfeit honesty to save a few
address the realities of the whole. dollars is teaching their child to be
— DAVID RYSDALE, Lively, Ont. dishonest whenever it suits them. We

rd.ca 7
reader ’s digest

should all consider how we value hon- and comprehensive while also being
esty, a noble characteristic, and be an manageable to read in one sitting.
example to the younger generation. What I really love, though, is that in
— NELLIE P. STROWBRIDGE, Pasadena, NL this world of online algorithms and
curated content, Reader’s Digest deliv-
TAKING THE PLUNGE ers genuine serendipity.
As a proponent of the benefits of cold — SCOTT POPHAM, Australia
water, I enjoyed reading “Cold-Water
Cure” (April 2023). There is nothing NOT FUNNY
quite like the surge of adrenaline and There is nothing humorous about “Girl
the sensory jolt that comes with plung- vs. Elk” (January/February 2023). To
ing into chilly water. approach a bull elk is extremely dan-
That might sound like a nightmare to gerous. Those who do it are lucky if they
many—and as the article states, it’s not don’t get injured or even killed.
something one should rush into, as — CHERYL GENERT, Red Deer County, Alta.
the body needs time to adjust to the
shock—but I notice that my mood
shifts when I indulge in this.
I have also recently begun taking
cold showers regularly. I don’t neces-
sarily enjoy them, but I’ve noticed that
afterwards I do feel more energized,
more invigoratated and ready to tackle
the day.
Sometimes stepping outside of one’s
comfort zone is the best thing we can
do for ourselves.
— JENNI WARRIOR, United Kingdom
A POWERFUL STORY
NEW ADMIRER My breath caught in my throat with
I’ve only recently discovered a real every word of “Into the Flames” (May
appreciation for Reader’s Digest. As an 2023). It was the first time in years that
anaesthetist, I read with interest the I’ve had an emotional response to read-
article about the against-odds rescue of ing a story. I was hooked from the first
13 boys trapped in a cave in northern line. Imagine my chills when I learned
Thailand (“The Boys in the Cave,” Sep- that this man’s heroic actions hap-
tember 2022). pened on my 26th birthday! Thank you
It was one of the best accounts I’ve for this beautiful story.
read of the incident: engaging, emotive — JULIA TILSON, Gravenhurst, Ont.

8 october 2023
World of

GOOD
Reasons to Smile

Print and Play


s Mary-Elizabeth Brown draws the bow across the violin’s strings, a dark

A and mellow sound emanates through the room. Brown has been playing the
violin for more than 35 years, but never one like this. 3-D printed in polymer
plastic for less than $50, this violin is part of a project to improve access to music
education. A traditional violin constructed from wood can sell for thousands of
dollars. Brown, director of the Montreal-based AVIVA Young Artists Program, says
“It’s my hope that future music students will find these instruments engaging to
make, easy to play and an inspiring start to their musical journeys.”
COURTESY OF MARY-ELIZABETH BROWN

rd.ca 9
reader ’s digest

EVERYDAY HEROES

Brothers Premjit (left)


and Kamaljeet Singh.

E
ACH MORNING AT 6 a.m., even on
weekends, Kamaljeet Singh, 57, is
up and out of the house. He starts
A Very Caring by spending three hours helping dis-
tribute food to nearly two dozen drop-
Family off locations across Delhi, India, then
checks on the numerous facilities run
These Delhi-based brothers by the volunteer organization he leads
with his brother, Premjit. The organi-
and their families work long zation, Veerji Ka Dera (“dear brother’s
COURTESY OF PREMJIT SINGH

days to help those who need sacred space”), was founded in 1989 by
their father, Trilokchan Singh.
it most “He was charismatic and a very self-
less man,” says Kamaljeet of his father,
BY Diane Peters who died in 2010. A social worker who
practised seva, or “selfless service,” a
key element of the Sikh religion, Trilok-

10 october 2023
World of Good

chan wanted to do more to help peo- pray to the Lord and that you should
ple. In the 1980s, he began organizing share what you have,” says Kamaljeet.
volunteers to help him clean gurud- He and his wife, Raminder, juggle their
waras—Sikh temples. volunteer work with managing their
From there, Trilokchan and his help- security-camera installation com-
ers began supporting one of India’s most pany, and they get help from their son
underserved groups: the migrant work- and daughter-in-law, too. His other
ers who came to Delhi from rural areas. adult children, who now live abroad,
It started with a free breakfast, and even- have volunteered in the past, as have
tually the group was also providing basic Premjit’s kids.
first aid for minor, often job-related, inju- During the Covid-19 pandemic, the
ries. During this time, Trilokchan would group’s farms had harvested bumper
begin his days as early as 4 a.m., then go crops of wheat and rice. With special
to his paid job at 9 a.m., and end each permission from the government and
day by volunteering in the evenings. extra safety precautions, it doubled
After his death, Kamaljeet and Prem- down to feed 5,000 people a day and
jit, inspired by their father’s lifetime of offer medical care, including oxygen, to
service, took over the organization. “We those in need.
are continuing his legacy of helping the In 2023, the group was named one
poorest of the poor,” says Premjit, 61, a of the Real Heroes of Rising India by
retired brigadier with the Indian army. broadcaster News18 India; the award
“Our aim is that no one goes hungry was presented to them by the country’s
and uncared for in Delhi.” health minister.
Veerji Ka Dera now feeds about 2,500 Premjit says that in the future he’d
daily wage workers and homeless peo- like to build a medical facility for the
ple a day, in addition to providing basic unhoused. Kamaljeet wants to install
medical care to as many as 500 people. more solar panels on the group’s build-
The group operates a main building in ings and foster a self-sufficient eco-
west Delhi, several rented farms—grow- system on its farms. Importantly, he
ing crops such as wheat, mustard, millet wants to make sure Veerji Ka Dera con-
and rice—an old-age home and medical, tinues even after he and Premjit are no
homeopathic and dental clinics. It even longer able to run things.
operates an animal shelter housing a Despite the size and scope of the orga-
few hundred rescued cows and buffalo. nization, the brothers claim it causes
It’s all made possible by the roughly them no stress. Premjit says spending
250 families who volunteer their time time with his brother and the volun-
to cook, drive, nurse, farm and clean. teers—especially young people—is “the
“My father said you have to have best,” and a rewarding act of faith. “This
your own livelihood, that you should work is worship for us.”

rd.ca 11
GOOD NEWS
from around the world

Pumpkin the West


BY Patricia Karounos
Highland Terrier

WHEELS FOR PETS


inspiration When Tammie Fox volun- disabled to animals achieve the same.
teered to foster a pet from an animal Last year, Fox started Pumpkin and
rescue organization in Lincoln, United Friends Charity to help provide wheel-
Kingdom, she hadn’t planned to adopt chairs and funding for medical proce-
one. But then she fell in love with a dures to families with special-needs
West Highland Terrier who dragged pets. Through fundraising events, such
her hind legs. as annual Dog Walks, Fox has raised
After Fox brought Pumpkin home, around $73,000.
tests confirmed that the now two-year- The cost of pet wheelchairs can be
old pup was paralyzed, likely the result prohibitive. For example, at one U.K.
of abuse. To help her move around, retailer rear-leg chairs cost more than
COURTESY OF TAMMIE FOX

Pumpkin was fitted for a little wheelchair $700. So far, the charity has helped nearly
from U.K.-based distributor Wheels- 350 dogs. It has even helped one goat
4dogs, which sells other mobility aids. and one sheep.
Today, Pumpkin is a happy “diva” who “A disability isn’t a death sentence
doesn’t let anything slow her down— for a pet,” Fox says. “It’s so rewarding to
and now, her owner is helping other see an animal get its life back.”

12 october 2023
World of Good reader ’s digest

Friendly Checkout Lanes Sandra Rey wondered: Could that phe-


nomenon be harnessed to create an eco-
community It’s normal to feel lonely friendly alternative to LED bulbs?
from time to time, but a lack of personal Rey founded Glowee in 2014 to do
connection is causing an epidemic of just that. Using bioluminescent bacte-
loneliness, especially among seniors. ria found in Hawaiian bobtail squid,
This is true around the world, including the startup harnessed the organisms to
in the Netherlands, where research create light bulbs with a blue glow. While
shows that a third of the country’s pop- the bacteria-powered bulbs aren’t bright
ulation aged 75 and up reported feeling enough to replace traditional light
at least moderately lonely. sources completely, the technology has
To help combat isolation, Dutch shown promise as a sustainable option.
grocery chain Jumbo introduced slow
checkout lanes called Kletskassa, which Okra for Clean Water
roughly translates to “chat checkout.”
In these lanes, customers who aren’t in environment You’ve likely eaten okra,
a rush can pause for a friendly chat with whether it was fried, pickled or stewed.
the cashier. The gesture is a simple way But okra is more than a versatile veggie.
to show seniors, and anyone else who Researchers at Tarleton State University
may need a boost in human connec- in Texas have found a new use for the
tion, that they’re not alone. fibre-rich food: purifying water.
Microplastics, tiny fragments of plas-
Squid-Powered Light Bulbs tic debris, are removed from water in
wastewater treatment plants with floc-
innovation The ocean is filled with culants. These chemicals clump the
organisms that naturally emit light, microplastics together, making them
including jellyfish, squid and algae. easier to remove. But some flocculants
Knowing this, French entrepreneur can be dangerous as they can break
down into toxins.
The researchers discovered that
extracts from okra, when combined
with extracts from several other plants,
work similarly to chemical flocculants
ROBJ808/SHUTTERSTOCK

when added to contaminated water. The


difference is the plant-based extracts
can be used safely in water-treatment
processes. Researchers are still testing
the extract method in hopes it could
become the industry standard.

rd.ca 13
reader ’s digest

LIFE’S LIKE THAT

“What took you so long?”

Easily Influenced Benny was, right?” She replied, “Of


I just realized I was involuntarily course. My dad told me about him.”
dancing the Macarena while reading —Bruce Stratton, Salmon Arm, B.C.
my email because a car outside was
blasting the song. That’s apparently Risky Business
how easy I would be to brainwash. I like a little danger. When I bought a
—@meg_it_happen on X couch off Craigslist, I asked the seller
to deliver it for me. So not only did I
Touché get a couch for a decent price, but I
While preparing to pay after getting also got a stranger who now knows
a haircut, I said to the young hair- where I live and that I’m too weak to
dresser, “I’m cheap like Jack Benny, carry a couch.
but you’re too young to have known —Sierra Kratow, comedian
about him.”
PHIL WITTE

I looked across the room, where an Send us your funny stories! You could
older lady was having her hair done. earn $50 and be featured in the magazine.
I asked, “You would know who Jack See page 3 or rd.ca/joke for details.

14 october 2023
HEALTH Digest
Wellness for Body & Mind

Pickleball
Fever
It seems that everyone is
getting in on this game.
What’s behind its
exploding popularity?

BY Karen Robock

n the last few years, pickleball has

I taken Europe and North America by


storm. There are more than 200 offi-
cial community clubs registered with
Pickleball Canada and an estimated
one million Canadians playing each
month. In the U.S., there is a profes-
sional league (ex NFLer Tom Brady is
part owner of a Major League Pickleball
team). And the International Federa-
tion of Pickleball, which has 60 mem-
ber countries and counting, is working
toward having the game recognized as
an Olympic sport. So if you haven’t

illustrations by Kate Traynor rd.ca 15


reader ’s digest

played it yourself, you’ve probably at end up with a “falafel”—pickleball slang


least heard of pickleball—even if you for a shot that falls short of the net.
don’t quite understand it. Matches can be played in doubles or sin-
“Pickleball takes components from gles, and games are played to 11 points
tennis, badminton and table tennis,” (and must be won by a margin of two
says Hope Tolley, managing director of points). Lose with a score of 11–0 and
recreational programs for USA Pickle- you’ve been “pickled”!
ball. It’s played on a badminton-sized Whether you play regularly—making
court and with a net that’s almost as you a “pickler”—or only once in a while,
high as for tennis. Players use square it’s a very social game and a great way
paddles and a small, perforated plastic to make new friends, says Tolley. “It’s a
ball that’s similar in size to a tennis ball, sport that’s bringing folks together.”
but much lighter. Since the lighter ball Part of the appeal is that pickleball
doesn’t bounce as much, it’s easier to is easy to learn and is accessible to
get a rally (continuous back-and-forth anyone, from kids to seniors. While
play) going. older adults were early adopters, those
Unlike tennis, you can score only aged 18 to 34 now represent the fastest-
when it’s your turn to serve. If your oppo- growing player group.
nent (called the receiver) fails to return It all started in the U.S. in the 1960s,
the ball over the net, either from the in the backyard of congressman Joel
serve or in a rally, you get the point. Be Pritchard from Washington state. He
sure to hit with enough force or you’ll and two dad friends started an impro-
vised game of badminton, with
the goal of keeping their kids
busy, using what was on hand:
an old badminton court, some
Ping-Pong paddles, a volleyball
net and a wiffle ball.
Fast forward six decades and
pickleball—the name is a nod
to “pickle boats,” a term used to
describe a motley group of row-
ers who are thrown together at
random to compete—is one of
the hottest trends in sports and
popular culture.
Playing the game can improve
your hand-eye coordination and
increase your reaction time. And

16 october 2023
Health Digest

because you can vary the intensity— People who are really into the sport
playing all-out from the get-go or tak- can join tournaments at various levels.
ing a slower pace—pickleball suits The first-ever World Pickleball Games
serious athletes and weekend warriors will be held next summer at the Austin
alike. It’s a great aerobic workout, and Pickle Ranch in Texas with teams com-
because it’s a low-impact sport, it’s easy ing from around the world.
on your joints. By 2030, pickleball is expected to have
You don’t need to join a league to get as many as 40 million players world-
in on the action. “It can be played in wide. Its popularity has also led to
non-traditional spaces like gymnasi- increased interest in other racket sports.
ums and parking lots,” says Tolley. Any For instance, padel, a fast-paced combi-
smooth surface will work, as long as nation of tennis and squash invented in
you have a net, a ball and a paddle Mexico in the late 1960s, is gaining trac-
(available to buy for as little as $30). tion across Europe and South America.

greens to be a nutritional supplement,”


The Scoop on says Maya Feller, a New York–based
Veggie Powders registered dietitian and author of Eat-
ing From Our Roots: 80+ Healthy Home-
Cooked Favorites From Cultures Around
BY Melissa Greer
the World. “Many of these products have
ark green vegetables are often added vitamins and minerals or other

D considered to be the cream of the


health-food crop because they’re
particularly rich in essential minerals
nutrients that don’t naturally occur in
green vegetables, so they’re similar to
a multivitamin.”
like iron, magnesium and calcium, as The crucial element many are miss-
well as vitamins C, K and many of the ing is fibre. Fibre is good for your gut,
Bs. Now an array of products, from helping to keep food moving through
brands like Athletic Greens and Vital the digestive system. It’s found in whole
Proteins, promise all that goodness in vegetables, but most juices and pow-
one simple scoop of powder—just stir it dered greens have little to none.
into a glass of water. The powders are Still, getting your daily servings of
made of dehydrated veggies such as vegetables isn’t always convenient—
spinach and beetroot, plus spirulina, a and that’s where green powders may
type of algae full of nutrients. come in handy. “They can help bridge
But is drinking your greens as healthy the gap when you’re not able to meet
as consuming them whole? The short your nutritional needs by food or bev-
answer is no. “I consider powdered erages alone,” says Feller.

rd.ca 17
reader ’s digest

noise. The people who were regularly


News From the exposed to high levels of both had the

WORLD OF
highest hypertension risk of all. This
means that measures such as quieter

MEDICINE
vehicles, noise barriers and buffer
zones around highways would
BYSamantha Rideout improve public health.

Lowering Cholesterol
Without Statins

For people who need to manage their


cholesterol to prevent problems like
heart attacks and strokes, statins are
the go-to drugs, and for good reason:
They typically lead to a 30 to 50 per-
cent reduction in the level of LDL
(“bad”) cholesterol. However, some
patients get side effects such as mus-
cle pain, headaches or weakness.
Another medication, bempedoic
acid, has been around for a few years
as an add-on to statins, but for a
recent New England Journal of Medi-

PHOTOGRAPH BY CLAIRE BENOIST; PROP STYLIST: JANINE IVERSEN


cine trial, participants took it on its
THE TROUBLE own. Their LDL cholesterol dropped
WITH TRAFFIC by an average of 20 to 25 percent. So,
although bempedoic acid is not as
People who live near busy roads deal effective as statins, it could still make
with a barrage of horns, sirens and a meaningful difference.
engines, day in and day out. According
to a large study from researchers at the A New Therapy for Leukemia
University of Leicester, Oxford Univer-
sity and Peking University, this noise Leukemia is the most common cancer
puts them at higher risk of hyperten- among kids, though it does strike
sion—even after accounting for the adults as well. The most aggressive
harmful effects of car exhaust. forms are often caused by either a
The study compared homes with mutation in a gene called NPM1 or a
differing levels of air pollution and chromosome abnormality called an

18 october 2023
Health Digest

MLL rearrangement. When this is the


case, a new class of drugs called menin
inhibitors can sometimes turn cancer-
ous blood cells back into normal ones.
In an early-stage clinical trial pub-
lished in Nature, 18 of 60 patients had
a complete remission. Twelve of them
even went on to get stem-cell trans-
plants: treatments that can cure leu-
kemia but that are feasible only when
the levels of cancer in the blood are
(SLEEP MASK) PETER DAZELEY/GETTY IMAGES; (SIGN) NGIRISH/GETTY IMAGES

very low.

Sleep Boosts Vaccine A Case for the


Effectiveness Four-Day Workweek

Getting enough sleep around the time What happens if an employer lets peo-
of a vaccination could help it work bet- ple work 32 hours each week instead
ter, suggests a review of seven studies of 40, but still pays them the same
in which people were immunized amount and expects the same output?
against viruses like hepatitis and the In a six-month-long experiment, 61
flu. Specifically, subjects who clocked British companies employing a total
at least seven hours of shut-eye per of nearly 3,000 people tried it out.
night produced more antibodies than It didn’t go well everywhere, but
people who slept for six or less. Anti- most of those involved were pleased
bodies are proteins that help the with the results. Employees compen-
immune system to identify threats, and sated for the missing time by finding
producing more of them could lead to efficiencies—for example, by auto-
stronger and longer-lasting immunity. mating certain tasks or cutting back
on meetings. Overall, company reve-
nue stayed about the same.
Meanwhile, many workers reported
being healthier and happier: 39 per-
cent felt less stressed, 46 percent felt
less fatigued and 37 percent reported
improvements to their physical health.
The businesses benefited, too, since
employee turnover and sick days both
plummeted by more than half.

rd.ca 19
reader ’s digest

LAUGHTER
The best Medicine

Tech Support cash from his bank account, went to


Dad: “What is this green thing next the races and bet on the horse. Sure
to my notifications?” enough, the horse came in fifth.
Daughter: “Dad, that’s cilantro. You —Irishroversbooks.com
have cilantro on your phone.”
—@shannonandress on TikTok String Theory
I was going to sign up for a banjo
Lucky Bet? class but decided against it. The
A 55-year-old man who was born on notice read, “First lesson free, no
May 5 had been married five years strings attached.”
and had five children. His lucky num- —Todd Strong, Victoria
ber was five. A friend told him that a
horse named Lucky 5 would be run- Send us your original jokes! You could
ning in the fifth race at the Kentucky earn $50 and be featured in the magazine.
Derby. The man withdrew $5,555 in See page 3 or rd.ca/joke for details.

THE BEST JOKE I EVER TOLD


By Cedric Newman

I recently had a mouse in my house. I bought the


cheapest mousetraps I could find—sticky pads.
The next morning there was mouse fur on the pad,
but no mouse. I just gave the bugger a $13 wax. If
you see a mouse with nice eyebrows, that’s mine!

Cedric Newman is a Jamaican-born, Canadian-


EVAN DUBOIS

bred comedian who, through laughter, has warmed


hearts across Canada for more than 25 years.

20 october 2023
Art of

LIVING
Food, facts & fun

Hoppy Hour
When it comes to beer, the choices are just about endless

BY Leila El Shennawy

very autumn, the mayor of Munich taps Oktober-

E fest’s first keg inside the festival’s oldest beer tent,


Schottenhamel-Festhalle. Surrounded by a cheering
crowd and a brass band, he proclaims in the Bavarian dia-
lect, “O’zapft is!”—“It has been tapped!”
Germany’s Oktoberfest draws millions every year; no sur-
prise, since beer is the world’s third-most-consumed bever-
age, after water and tea. It is also one the oldest, having been
first brewed in ancient Mesopotamia (most of which is now
TMB STUDIO

Iraq) around 12,000 years ago. The beloved yeast-fermented


brew of malted barley has come a long way since then. Early
beer was thick, porridge-like and flavoured with date syrup

photographs by K. Synold rd.ca 21


reader ’s digest

instead of hops. It wasn’t until the Mid- Ales—like hoppy India pale ale (IPA)
dle Ages that Catholic monks added and the famous Irish stout, Guinness—
hops to beer (which they sold to gener- need a warmer, shorter brew to give
ate income), perhaps making them the them their fruity, floral or malty aromas
first craft brewers. and flavours.
Modern beer comes in more than If you prefer your brew without the
100 styles, but most of them are sub- buzz—and indeed, the health effects of
sets of two basic categories: lagers and drinking have recently become clearer,
ales. Mass-produced lagers make up a leading to Health Canada lowering its
huge proportion of the North American recommendations for alcohol consump-
market, which include famous brands tion to two drinks a week—you can find
like Labbat Blue, Molson Canadian, more non-alcoholic offerings than ever.
Budweiser and Corona. Two of the These beers may represent only a
world’s best-known lagers are from small portion of the global
Europe: Heineken and Carlsberg. Lagers market, but people are
are brewed using a longer, cooler fer- increasingly turning to
mentation process, producing a crisp them. In the United States,
and refreshing taste. for example, the number of
people who drink booze-
Art of Living

free beer has increased eightfold since Jimmy Carter, the U.S. legalized it in
2020. Labatt, Heineken and Corona are 1978—which is ironic, because Presi-
just a few of the brewers that make “near dent Carter disliked alcohol so much
beers.” And craft brewers are producing that he banned it from the White House
low-calorie booze-free options too. during his tenure.)
There’s a beer for every palate, and In Canada, home-brewing clubs
the ingredient options are pretty much have popped up in cities across the
endless. Here’s a taste of some craft- country. There is even a Canadian
beer twists: chocolate, marshmallows, Homebrew Day, introduced by the
hot peppers, oysters and mushrooms. Canadian Homebrewers Association in
Despite the dizzying array, some peo- 2019 and celebrated in June.
ple still insist on brewing their own. At beer festivals around the world this
Sales of home-brewing kits surged in month, you’ll plenty of beer options—
many parts of the world during the definitely more than the revellers of
pandemic. Beer made at home for per- the very first Oktoberfest had when they
sonal use is legal in many countries, lined the streets of Munich to celebrate
including Canada, the United King- the wedding of Crown Prince Ludwig
dom, Australia, Singapore, Ireland and of Bavaria in October 1810.
Hungary. (True story: Under President Despite the fact that the festival
now starts in September, in order to
cram more fun into the shortening
autumn days, the global appeal of
beer is clear to see at Oktoberfest.
Which proves that some things never
change. Cheers!

rd.ca 23
reader ’s digest

AS KIDS SEE IT

“A hard pass on the markers—crayon is my medium of choice.”

My two young children were watching Me: “Where are your dirty clothes?”
me assemble a swing set. Tightening My 10-year-old: “On the floor.”
the screws was difficult for me, so I Me: “Where should they be?”
asked their father to come and help. He My 10-year-old: “On the floor where
swaggered out, grinning like the hero, you can’t see them.”
and tightened the screws. My three- — @XPlodingUnicorn on X
year-old blurted out, “Mommy makes
things and Daddy screws them up.” I told my daughter to put socks on
— Dale Jewett, Wasaga Beach, Ont. her baby doll. She responded, “You

24 october 2023 cartoon by Susan Camilleri Konar


Art of Living

My kid just told me he needs to take 120 of


“something” to school tomorrow, so his
choices are Cheerios or my tears.
— @deloisivete on X

can’t tell people how to take care of wanted you to do.” I soon learned my
their kids.” highly imaginative daughter had told
— @nyooxo on X all her friends that her family had
been in a shipwreck, her parents
My three-year-old son was crying in had drowned, and I had rescued her
the car while we were driving. I and agreed to adopt her.
noticed a police car driving near our I had to set the record straight, but
car, so I said he shouldn’t cry in front I must admit, I miss being treated
of the police. He quickly stopped. like a hero in the school playground.
Shortly after, the police car drove — Kay Stead, York, United Kingdom
ahead and away. My son said, “The
police are gone. Can I cry now?” My six-year-old daughter, to her crying
— Ruchi Prasad, Ottawa brother: “It’s okay to be sad. Some-
times we need to let our feelings out.”
When my daughter started elementary Me: “Oh darling, that’s so lovely. Well
school, she made some new friends done. Why is he crying?”
and they started to go to each other’s My daughter: “I hit him.”
houses after school. Every time I — @elspells13 on X
picked my daughter up from one of
their homes, the mother would make My grown son asked my nine-year-
a point of saying what a great job I old grandson, “What did you learn at
was doing with her. It was nice of school today?” He responded,
them to say, I thought, but a little over “Apparently not enough because I
the top. I was just doing what mothers have to go back tomorrow.”
do, wasn’t I? — JANIE teasdale, Antigonish, N.S.
Eventually I pointed this out to one
of them. She patted me on the arm Send us your funny stories! You could
and said, “Yes, you’re doing exactly earn $50 and be featured in the magazine.
what her real mother would have See page 3 or rd.ca/joke for details.

rd.ca 25
reader ’s digest

13 THINGS

A Fascinating Fungus
BY Courtney Shea

1
The global mushroom market vitamins B and D, the fungi are a
is expected to reach US$90 billion source of protein and an affordable
by 2028 (up from US$63 billion in meat alternative. Grilled portobello
2022). Canada is one of the world’s mushrooms make a tasty “burger,”
top exporters; white button and brown and now, you can even buy mush-
mushrooms, including cremini and room versions of steak, chicken
portobello, account for more than 90 breast and bacon. Climate scientists
percent of crops—more than half of in Germany found that if we replaced
which are grown in Ontario. just 20 percent of the meat we con-
sume with microbial protein, by 2050

2
This mushrooming popularity we could more than halve the rate
is not surprising; low-carb and of deforestation and reduce carbon
rich in antioxidants as well as emissions related to cattle farming.

26 october 2023 illustration by Serge Bloch


Art of Living

3 6
Still, not everyone is a myco- If “mycelium” sounds familiar,
phile (the technical term for a you may be among the millions
mushroom enthusiast). Many of fans who tuned into The Last
haters (mycophobes) cite texture as of Us, HBO’s recent hit series about
the turnoff, but mushrooms may also an infectious species of Cordyceps
trigger disgust for their association that causes mycelium to take over the
with mould. A 2015 Washington Post human brain and turn the host into a
exploration on the science of disgust zombie-like mushroom monster. The
listed mushrooms among those foods premise was based on the real-life
that can trigger a response that may parasitic “zombie-ant” fungus; its
not be entirely rational. spores attack an insect and take over
its behaviour. But our higher body

4
You don’t have to like eating temperature means we are not sus-
them to reap mushrooms’ ben- ceptible to that infection. Phew!
efits. Reishi and tremella mush-

7
rooms are trendy wellness ingredi- More than 50 years after they
ents, found in everything from first dominated the funky fashion
adaptogen supplements (which are and design aesthetic of the ’70s,
supposed to help your body adjust mushrooms are once again popping
to stress) to skin-care products up on everything from light fixtures to
(tremella is said to be more hydrat- wallpaper to throw pillows. Pinterest
ing than hyaluronic acid). And has even named them a key design
chaga, lion’s mane, Cordyceps and trend for 2023. And fashion brands
reishi have been used for centuries like Hermés and Stella McCartney
in anti-inflammatory and immune- have turned to “mushroom leather”
boosting remedies. (made from a mixture of mycelium
and other plant fibres) as an eco-

5
Beneath the earth’s surface, friendly, vegan alternative to leather.
mushrooms branch into net- One of McCartney’s bags, launched
works of rootlike mycelium, help- at Paris Fashion Week in 2021, retails
ing break down plant and animal for around $3,500.
waste, which adds vital nutrients back

8
into the soil. This network even shares The largest mushroom on
information (such as warning trees earth is a single Armillaria
about insect infestation), communi- ostoyae (honey mushroom) that
cating via electrical pulses in intricate occupies 2,384 acres (965 hectares)
patterns. Some mycologists (mush- in the Blue Mountains of Oregon.
room experts) refer to this as “the nat- Meanwhile, the Tibetan yartsa gunbu
ural internet” or the “wood wide web.” (caterpillar mushroom) is among the

rd.ca 27
reader ’s digest

most expensive, selling for $30,000 a funded grant to study psilocybin as a


kilogram. Its purported aphrodisiac potential treatment for depression.
properties have earned it the nick- The U.S. government also recently
name “the Viagra of the Himalayas.” funded a study on psilocybin as a
tool to help people quit smoking.

9
Foraging for mushrooms is a Earlier this year, Australia became
popular outdoor activity. In the the first country to approve psilocy-
fall, puffball mushrooms emerge bin for treatment-resistant depres-
in forest clearings and pastures, and sion, and Europe’s first psychedelic
in the spring, morels can be found drug trial firm opened last year in
near ash and elm trees. But beware: the United Kingdom.
Many poisonous mushrooms can

12
look like familiar varieties, and Meanwhile, microdosing—
some wild mushrooms are danger- taking super-small doses of
ous to eat raw. Deaths are rare, but psilocybin—is a popular
you could easily end up with an productivity-boosting hack in Cali-
upset stomach at the least. Always fornia’s Silicon Valley and elsewhere.
forage with an expert. The scientific community is still
divided on the effectiveness of this

10
Poisonous mushrooms are for enhancing mood, creativity and
sometimes called toadstools. focus. But microdosing was recently
This is slang for a colourful given (unofficial) royal assent: In an
yet poisonous fungi with a stem and interview about his memoir, Spare,
an umbrella-shaped cap. One exam- Prince Harry described psychedelic
ple is Amanita phalloides, known as mushrooms as a “fundamental” part
death-cap mushrooms, with their sil- of his mental-health practice.
ver-green caps. They’re responsible

13
for more than 90 percent of mush- Mushrooms may find their
room-related poisonings and deaths way to outer space as soon
worldwide. as 2025. Researchers are
exploring mycotecture—the use of

11
Recent years have brought mushrooms as architecture—for
renewed interest and invest- future bases on the moon and Mars.
ment in magic mushrooms as The stucco-like building material is
a promising treatment for depres- grown by feeding mycelium an algae,
sion, addiction and other mental- which causes it to expand and fill a
health disorders. In 2022, the Centre mould. It’s then sterilized, ensuring
for Addiction and Mental Health no unwanted organisms come along
was awarded Canada’s first federally on its journey to another world.

28 october 2023
Art of Living

QUOTABLE QUOTES

I could tell so many MISTAKES


stories about each ARE THE
of my parents that CAN OPENERS
would make them OF THE
CONVERSATIONS
(POLLEY) AMY SUSSMAN/GETTY IMAGES; (FERNANDEZ) ROBERT PRANGE/GETTY IMAGES; (NASH) JEFF SPICER/GETTY IMAGES

look like the best


WE MOST
parents in the NEED TO HAVE.
world, or the —Aparna Nancherla,
worst parents in comedian, in her book
UNRELIABLE NARR ATOR
the world. They’re
all true.
—Sarah Polley, filmmaker, I CAN
in THE NEW YORKER
ONLY WRITE
SONGS FOR
You can always win by ME. I CAN’T
challenging yourself. WRITE THEM
—Kerry Washington, actor, in THE CUT
FOR YOU.
—Graham Nash,
musician,
in A ARP THE MAGAZINE

WHEN
THE
MIND
DECIDES,
THE BODY
WILL FOLLOW.
—Leylah Fernandez,
tennis player, in FORBES
COVER STORY

Global

having a good night’s sleep allows your body to


One of these function at its best: It boosts your immune sys-

could be your tem, lowers stress, improves mental sharpness


and may even lower your chances of overeat-
key to a good ing. But as anyone who has ever sat up at night
staring at the clock knows, getting the recom-
night’s rest mended seven-plus hours can be elusive.
There is no shortage of techniques that really
work: sleep in a darkened, cool bedroom; avoid
BY Vanessa Milne prolonged screen time before bed; get regular
exercise; and aim to wake up and go to bed at
the same time every day.

30 october 2023 illustrations by Hayden Maynard


reader ’s digest
reader ’s digest

But we unearthed some lesser-known them can stimulate blood circulation


ideas that are well worth a try: six from by dilating your vessels. Having warmer
around the world, and one from right feet may lower your core body tempera-
here in Canada. ture, helping you fall asleep faster.
A 2018 South Korean study of people
1. People in China Wash who wore socks to sleep, which warms
Their Feet Before Bed the feet, found that they fell asleep seven
minutes faster than those who didn’t
Foot massages and spa treatments that wear socks. And they slept for 32 min-
are focused on the feet—including aro- utes longer, too.
matherapy and wrapping the feet in
warm towels—are widely practised 2. Germans Use
across China. What could be more relax- Separate Duvets
ing? The ritual is so beloved that many
people perform a DIY version at home In Germany, couples have solved the
before bedtime each night. problem of one of them waking up cold
Automatic foot spas are ubiquitous in whenever their partner rolls over and
Chinese households. Every night, peo- takes the sheets with them. While it’s
ple soak their feet in hot water; many typical for partners to share a bed—often
machines have exfoliating and massage two singles pushed together—each
functions, too. The routine is done right chooses their own single-sized sheets
before bed, so that after you dry your feet, and a separate duvet.
they are still warm when you tuck in. Not only does that make it less likely
Beyond the hygiene aspect, putting that your partner will disturb your sleep
feet in a warm basin and massaging when they move around, but you can
each customize the amount of bed-
ding you use to stay as warm or as
cool as you prefer at night.
“Different sets of bedding can be
great,” says Michael Breus, a Cali-
fornia-based author of several books
about sleep and a clinical psychologist
with a speciality in sleep disorders.
It’s useful when one partner is a
cover stealer, he says, but also when
partners differ in how hot or cold
they feel at night. Because women
generally have less muscle mass
than men, they may have a lower

32 october 2023
Cover Story

metabolism, burning fewer calories


and therefore producing less body
heat. That can make finding bed-
ding that’s comfortable for both part-
ners a problem—and separate cov-
ers could be the solution.

3. Guatemalans Rely
on Worry Dolls
Guatemala has a longstanding tradi-
tion of parents putting “worry dolls”
under their kids’ pillows to comfort
them if they are afraid of the dark.
Plus, children can tell the tiny dolls
their worries before they go to sleep.
The legend goes that the colourful
fabric dolls, which are only a couple
of centimetres long, can alleviate kids’ Writing down your worries can also
anxieties by morning. be effective, says Breus. “You can make
But it’s no longer a ritual just for chil- a worry journal by taking a piece of
dren. Adults in that country and in paper and drawing a line down the
Mexico are increasingly relying on the middle. You put your worries on one
dolls, too, according to Adriana Villagra, side, and the first step to help resolve
Mexico-based editor-in-chief of the each worry on the other.”
Latin American edition of Reader’s
Digest. “More and more, adults rely on 4. The British Sleep Naked
worry dolls at night,” she says. “They’re
like a comforting presence.” Thirty percent of people in the United
Anxiety can make it hard for people to Kingdom sleep naked, or at least they did
fall asleep. According to a 2021 review when the most recent global poll on the
from researchers in Germany that was subject was done by the National Sleep
published in the journal Sleep Medicine Foundation in 2013. (Compare that to
Reviews, about 50 percent of people with just 12 percent of Americans.) Not
clinical anxiety also have insomnia. Not wearing clothes to bed might be benefi-
sleeping enough can lead to more anx- cial for several reasons, says Breus. “The
iety, perpetuating the problem. Express- biggest one is thermoregulation. It’s eas-
ing your worries before bed can help— ier for ‘hot sleepers’ to be comfortable.”
so why not tell them to a doll? He adds that there is also data linking

rd.ca 33
reader ’s digest Cover Story

nude sleeping with fewer yeast infections 6. The Japanese Nap in


and urinary tract infections for women, Public—and at Work
and a higher sperm count for men. And
a potential bonus? Healthier relation- According to a government survey, 40
ships. It’s possible that couples are inti- percent of Japanese adults sleep fewer
mate more often when at least one of than six hours a night. That’s likely why
them sleeps naked, Breus says. the tradition of inemuri, or “sleeping
while present,” is practised, and that
5. Many American includes in cafés and on public transit.
Couples Sleep Separately As long as you don’t invade other
people’s space when you nod off while
In the U.S., some couples are getting a seated, it’s widely accepted—even in
so-called “sleep divorce”: when one the workplace. Napping at your desk
partner gives up the marital bed and is frowned upon in other parts of the
sleeps in a separate room. According to world, but the Japanese regularly do it;
a Slumber Cloud poll of 2,000 Ameri- in white-collar jobs, it shows dedication.
cans who lived with a partner, nearly After all, the workday often extends
one-third said they had discussed sleep- well into the evening, when colleagues
ing in separate rooms, and 12 percent are expected to socialize.
of them actually do. The reasons range Daytime napping can be a good idea
from one partner snoring to having if you’re sleep deprived. A 2021 French
different sleep schedules to not having study found that naps improved cogni-
enough space in the bed. tive performance and alertness. Other
“I’m actually a big fan of couples research has shown that a 10- to 20-
sleeping in separate rooms,” says Breus. minute nap improves your mood, too.
He says there is a stigma attached to
it, since some people may think cou-
ples who sleep apart have weaker
relationships than those who sleep
together. But in his experience, that’s
not true. It’s more a case of absence
making the heart grow fonder.
“When I advise couples to split
apart for sleep, they actually have
more intimacy. And partners usu-
ally don’t need to stay in separate
rooms every night. I recommend it
four days a week and then spending
weekends together.”

34 october 2023
7. Canadians Cozy Up
With Their Pets
We Canadians love our pets—so
much so that, according to a survey
of 1,800 pet owners carried out by
Purina Canada in 2019, more than
three-quarters of us who have dogs
let them into our beds every night,
and just over half of cat owners do.
Around half to two-thirds of pet own-
ers in the U.S., Australia and the U.K.
sleep with their furry friends, too. bed slept worse than those whose dogs
There’s likely a good reason why peo- slept on the floor next to them.
ple feel comfortable sleeping around That backs up the findings of an ear-
dogs, says David Samson, associate pro- lier study in which more people found
fessor of evolutionary anthropology at sleeping near their pet to be benefi-
the University of Toronto and the author cial than they did disruptive. Those in
of Our Tribal Future. He studies the favour said that it didn’t affect their
so-called sentinel hypothesis in rela- sleep, and some reported that it even
tion to dogs, which argues that one of helped them sleep better.
the main ways they helped our ancient If you do allow a pet to sleep on your
ancestors survive was by barking to warn bed, says Breus, be conscious of the fact
them of danger during the night. that they’re less clean than you are.
“The relationship between dogs and “Your animal brings pollen and dirt
humans likely goes back about 55,000 from outside into the bed,” he says.
years,” he says. “Dogs and humans have Some can also have a breathing or sleep
been co-evolving.” It makes sense that disorder and can disrupt your sleep.
some people instinctively feel safer, and But on the whole, Breus believes
therefore sleep better, with a dog around. animals on the bed are fine as long as
A 2017 study from the Mayo Clinic they don’t bother you—and that’s
found that people who let their dogs based on first-hand experience: “My
sleep in their rooms slept well, although two bulldogs sleep at the end of my
those who let their dog sleep on their bed,” he says.

Gather ’Round the Table


One cannot think well, love well, sleep well, if one has not dined well.
VIRGINIA WOOLF

rd.ca 35
reader ’s digest
COVER STORY

How
to
I Tried

I wanted a quick fix, even if it meant


strapping a glorified bike pump to my face

BY Jordan Foisy FROM THE WALRUS

illustrations by Hayden Maynard rd.ca 37


reader ’s digest

think of myself as a good sleeper. Give me a large


book and a horizontal position, and I could fall
asleep strapped to the top of a bullet train. Sleep
has been a constant ally, a friend. When I was
a teen, it was a refuge. I used to pray for sleep;
its temporary oblivion was a welcome respite from
anxiety and obsessive thoughts. It was a pause—not
a death, but close enough to it. Every time I fell asleep,
there was a chance of resurrection, to wake up new.
My girlfriend, Allison, however, does the guilty parties. When Allison is flip-
not think I’m a good sleeper. She knows ping my sleeping body over and plug-
the truth. At night, I thrash around and ging its nose, or occasionally smothering
scream. Occasionally, it sounds like my my face with a pillow, who is she smoth-
breathing stops. Worst of all for her, I ering? How unimportant is the self to our
snore. Badly. She’s shown me a video life when we are sleeping—something
of it, and it’s horrifying: My thin, wheez- we spend a third of our life doing—that
ing inhalations are interrupted by a it can be completely absent?
wrenching tear of a noise, like someone
ripping a carpet inside a cave. i tried treating my snoring with the
We sometimes get into little fights junk-drawer solution of buying every
when I wake up. She’s had a terrible anti-snoring device I could: nose strips,
sleep and is justifiably annoyed. She mouth guards, nasal spray—anything
can’t stay mad for long, though, because that promised snoring absolution. Noth-
who is she mad at? Certainly, it was my ing worked. Every time, there would be
body, not me, that was snoring; my lungs a glimmer of hope, when we would try
moving the air, my soft tissues. Those are to convince ourselves my snoring wasn’t

38 october 2023
Cover Story

as bad. But, every time, it soon became studies in which the subjects are taught
clear the only difference was that the a basic skill before bed, and when they
top of my mouth was now shredded wake up, they not only remember the
from the cheap plastic of a so-called skill but have actually improved upon it.
snore guard. Sleep, then, is where we are forged.
Allison wanted me to see a doctor, Every night, we throw our day-to-day
but it’s hard to take snoring seriously as experiences, memories and lessons into
a health problem. It seems more like a the kiln of sleep, let them bake for hope-
joke, like a problem that a sitcom dad fully eight hours, and emerge a better,
would have after getting electrocuted stronger, fuller version of ourselves in
by Christmas decorations. It seems less the morning.
like a health issue and more like a per-
sonality defect.
According to Nick van den Berg, a MY HEALTH CARE
PhD candidate in experimental psychol- SUBSISTED ON FAITH
ogy at the University of Ottawa and a THAT A PROBLEM
member of the Canadian Sleep Society,
“Snoring occurs as our muscles in the DOESN’T EXIST UNTIL
upper airway relax so much that they YOU DEAL WITH IT.
narrow the airway.” This is why snoring
gets worse as we age, as our once taut
and virile inner neck muscles become so my girlfriend was right to insist I
flabby and weak. deal with the problem, but I was resis-
The real threat of bad snoring is that tant. I’m in my mid-30s and haven’t had
it could be a sign of obstructive sleep a doctor since I was a kid. My health
apnea, when a blockage in your airway care subsisted on walk-in clinic visits
causes you to wake up constantly. The and youthful hubris—a faith that things
lack of sleep—for you or your partner— will work out and a belief that a prob-
can be a serious health risk, as insuffi- lem doesn’t really exist until you deal
cient sleep has been linked to heart dis- with it. But what really scared me off
ease, type 2 diabetes and Alzheimer’s. was that going to a doctor about my
More than all of that, sleep is essen- snoring would force me to confront how
tial to your functioning as a human I live and its repercussions, and that
being. “Sleep is key to memory consol- my body has limits.
idation,” says van den Berg. When we It has been a tough year. A friend
sleep, our brain organizes, processes passed away suddenly and tragically.
and saves our memories. Not only that, Then my grandmother followed. My
he says, but sleep also enhances our chronic knee problem turned into a full-
memories. Van den Berg told me about blown meniscus tear, dashing any hopes

rd.ca 39
reader ’s digest

of a late-life bloom into a guy who is A CPAP machine is a device that


“surprisingly athletic.” My eyesight shoots a steady flow of pressurized air
became distorted, and a visit to the eye into your nose and mouth. It involves
doctor revealed I had fluid under my a hose, a mask that covers either your
retina, a condition called central serous nose or mouth or both, and a head har-
chorioretinopathy. It’s caused by stress. ness, resulting in the wearer looking
Also, I started seeing a therapist again like a cozy fighter pilot, like Top Gun’s
and within minutes, over Zoom, he told Maverick if the undisclosed enemy coun-
me I looked depressed. try were your dreams.
It was a year of the space capsule of The sleep clinic was in Toronto’s St.
my youthful fantasy breaking up on con- Joseph’s Health Centre. I entered the
tact with an atmosphere of reality and hospital ready to get my sleep on. I felt
repercussions, all soundtracked by some nervous and excited and blisteringly
of the worst snoring you’ve ever heard. sober. I had successfully adhered to
the guidelines sent out by the clinic: no
alcohol in the past 12 hours, no coffee
THE TECH WANTS TO in the last two, and no naps. Free from
KNOW WHAT POSITION its usual coating of hangover, too-late
I SLEEP IN. OVERALL coffee and post-nap delirium, my mind
was unadorned and hungry for answers.
I’D DESCRIBE IT AS Next, a technician came and asked
MAXIMUM OBNOXIOUS. me a couple of questions, the most
provocative being: What position do you
sleep in? I’m mostly a mix of side and
But there are other things to be afraid stomach, with one leg pitched like I’m
of besides aging and so, fearing a doing a hurdle. Overall, though, I would
breakup or an unexplained disappear- describe my sleeping position as maxi-
ance (mine), I tried what Allison had mum obnoxious. My limbs are splayed
been asking me to do. I went to a doctor. as far as they can reach, and I continu-
The doctor asked how much I drank a ally thrash and roll from side to side in
week. I gave him a number high enough erratic and irregular movements. Basi-
that he should factor it into his diagnosis cally, I sleep like David Byrne dances.
but low enough that I could say it with- I sat on my assigned bed, waiting for
out being embarrassed. He figured I had the sleep lab to begin its work. “Lab”
sleep apnea and said I should drink less was a misnomer. There were no bea-
and lose weight. He referred me to a kers, or mad scientists, or stainless-
sleep study to confirm the diagnosis so steel tanks with anonymous figures
I could get a CPAP (continuous positive floating in green fluid. Just a generic
airway pressure) machine for the apnea. hospital room: infinite white walls; a

40 october 2023
Cover Story

thin, hard bed that made me feel like I I don’t know what it says about my
was lying on an H&M clothing shelf; self-esteem, but I found being a speci-
and a pillow that had all the comfort men thrilling. The thrill quickly passed
and support of a bag of napkins. Worst as I proceeded to have the worst sleep
of all, something was dripping in the air of my life.
conditioning unit, producing a sharp,
arrhythmic, metallic smack. there are two types of sleep: NREM
At 10:45 p.m., the technician began and REM. Both are required for mem-
sticking electrodes to my body for the ory consolidation. NREM, or non-rapid
electroencephalogram, or EEG. Created eye movement, sleep has three stages.
in 1924, this test measures brain waves Stage one is drifting off: those five to 10
without any need for your head to be minutes of drowsiness where it is hard
cut open. It is still the gold standard to tell if you are asleep or not. Once you
for sleep studies. The technician also are out, the second stage begins. It is
placed sensors on my arms and legs to marked by slower brain waves and short,
measure my movement, a sensor below fast bursts of brain activity called spin-
my nose and a harness around my chest dles. The third stage of NREM is slow-
to measure my breathing. wave sleep. Your brain waves are now

rd.ca 41
reader ’s digest

deep, long curves, similar at times to Beneath the eyelids your eyes dart
those seen in people under anaesthe- around wildly, and your heart races. It’s
sia. It is in these last two stages of NREM not entirely clear why this happens.
sleep that the majority of restoration— Van den Berg’s favourite theory is that
in which the body repairs itself on a it is preparatory. “If NREM is recovery
cellular level from the wear and tear of from the day before, REM seems to be
the day—happens. preparation for the day ahead.”
Suddenly, the second act of sleep When you have a good night’s sleep,
occurs: REM (rapid eye movement) these different stages are a harmonious
sleep. The brain explodes with activity; cycle. Of course, many things can dis-
it appears to be awake. This is when rupt this harmony: electric light, caf-
most dreaming occurs, especially the feine, a late night out or—as I found
intense, emotional genre of dreams— out—being covered in wires that pre-
the ones that are like “I’m on a date cariously cling to your body with every
with a book report I didn’t finish” or “I toss and turn. Many thoughts can keep
started playing hockey again, but I you up at night, and in the lab I discov-
didn’t realize my skates are made of ered a new one: “I sure hope that when
everyone I’ve ever disappointed.” I turned over, I didn’t ruin this experi-

42 october 2023
Cover Story

ment being performed on me.” Another bike pump to my face. Instead, what I
pressure point in the delicate dance of got were consequences, which coalesce
the sleep stages is if there is an unceas- and compound and reverberate, like a
ing arrhythmic drip of an air condition- snore off the inner walls of your throat.
ing unit the entire night. There is no guarantee things will just
work out: injuries worsen, tragedy hap-
i was woken up at 5:30 a.m. after maybe pens, your girlfriend gets fed up with
two hours of gruel-thin snoozing. The your snoring. When you don’t sleep, it
wires were removed, and I strolled home takes days to recover.
in the dawn light, feeling like my sleep- My snoring has gotten worse since the
wake cycle and circadian rhythms were study. Louder, more frequent. Thank-
utterly and completely ruined. fully, Allison and I have figured out a
After two months, the results of the staggered sleep schedule that seems to
study came in. There was no sleep work. Also, I’m exercising more, eating
apnea. I have what the report called better and drinking less, because from
“mild primary snoring.” As far as the this study, I learned that you are an
study could tell, there is no particular accumulation of everything you did
reason for it. Aging, drinking too much, before. Things aren’t just going to get
and rapidly deteriorating neck muscles better on their own. You have to take
are all it takes. The snoring was simply care of yourself and others. When you
the sound of time catching up to me. ate, what you learned, how you slept:
These were not the results I was These things matter. The person you
looking for. I had been hoping for a are today builds from the person you
condition, a disorder, something to were the day before.
point to whenever I indulged in a self-
© 2023, THE WALRUS. FROM “HOW I TRIED TO STOP
pity wallow. I had wanted a quick fix, SNORING, FIX MY SLEEP HABITS, AND CONFRONT MY
MORTALITY,” BY JORDAN FOISY, FROM THE WALRUS
even if that meant strapping a glorified (MARCH 15, 2023), THEWALRUS.CA

Seasons Pass
Fall colours are funny. They’re so bright and intense and beautiful.
It’s like nature is trying to fill you up with colour, to saturate
you so you can stockpile it before winter turns everything
muted and dreary.
SIOBHAN VIVIAN

I cannot endure to waste anything so precious as autumnal sunshine


by staying in the house.
NATHANIEL HAWTHORNE

rd.ca 43
PORTRAIT

Straight-shooting Hayley
Wickenheiser—four-time Olympic
gold medal winner, assistant GM
of the Leafs and a medical doctor—
has a few things to say about
working under pressure

BY Stéphanie Verge FROM TORONTO LIFE

44 october 2023
reader ’s digest
reader ’s digest

ayley Wickenheiser double duty as a resident in family med-


has been skating icine at a Toronto hospital and an assis-
for almost as long tant general manager of the Toronto
as she’s been walk- Maple Leafs (the fourth woman in NHL
ing. She honed her history to hold that title). Throughout it
skills on a backyard all, she advocates passionately for girls’
rink flooded by her and women’s hockey with WickFest, a
dad in the tiny hockey-obsessed town festival that hosts 7,000 players each year.
of Shaunavon, Saskatchewan. Late-
night games of shinny at home led to In 2020, when the lockdown hit, instead
lacing up with the boys (and changing of making bread you wrote a memoir,
separately, in the boiler room) and then Over the Boards.
to joining the women’s national team I had already committed to the book,
in 1994, where, at 15, she was a good and then I suddenly had more time on
decade younger than most of her team- my hands. I started working on it ver-
mates. Despite the sacrifices hockey bally—I would talk into my phone as I
required, Wickenheiser knew it was drove to and from rinks and hospitals.
for her—a certainty on clear display in
her 2021 memoir, Over the Boards, and You’re an introvert, but you also took
in a new documentary called Wick. part in the documentary Wick, which
Wickenheiser’s 23 years as a pro are is all about, well, you.
unparalleled in hockey: She is the first I do understand that what I have done
woman to score a goal in a men’s pro- in life is unique, and I thought my story
fessional league (in Finland) and she could inspire female athletes and, in
has taken part in six Olympics (five for particular, young girls. I wanted them
hockey, one for softball), winning four to know that things can be hard but
gold medals (twice as MVP). they can also get better. I have insights
After such a storied career, the to share, which is why my book is built
speaking circuit and coaching are the around lessons learned as opposed to
usual go-tos for a sports star. But not for being just about my life.
Wickenheiser. Since hanging up her
(PREVIOUS SPREAD) IAN PATTERSON

skates in 2017, she has graduated from Each chapter ends with takeaways
medical school. She’d always wanted for the reader. One is “Focus on win-
to be a doctor, ever since a delivery van ning, but don’t ignore the possibility
hit her neighbour when she was a little of losing.”
girl. Wickenheiser visited her friend in Sport is regimented—it’s based on rou-
the hospital and was inspired by the tine and process. To get from A to B,
medical team that saved her. there are certain things you have to do.
These days, the 45-year-old is pulling I enjoy that. A big part of sport is that you

46 october 2023
Portrait

lose a lot, sometimes more than you win. In Wick, you talk about playing boys’
So you’re constantly evaluating what hockey and the pushback you got from
went wrong and what went well and coaches and parents and other players.
then trying to do better. Even when you You say, “When I step on the ice, I’d
win, you’re still chasing improvement, better be good or they’re going to say
for yourself and for your team. ‘Girls don’t play hockey. You can’t play.’
One day I’m going to look back and I’m
But with everything you’ve achieved, going to shove it down their throats.”
aren’t there days when you look at Were you always so confident?
yourself and think, No self-improve- I was always determined as a kid. I
ment required? faced so much adversity—even when
Oh yeah. Last night—when I was 18 the negative reactions from other play-
hours into a 26-hour shift at the hospi- ers and their parents were subtle, I
tal—I ran out of my usual food, went to could still tell that I wasn’t welcome.
the vending machine, grabbed a bag People put up with me because I was
of spicy dill-pickle chips and that was good on the ice. I learned to bury my
that. They were good. feelings because I knew that no one
wanted me around. I tried to be invisi-
You’re doing a residency in family med- ble with my emotions. No one cared
icine and working toward a specialty except my parents, and even they are
in emergency medicine. Emergency “suck it up” kind of people.
departments are a mess in Canada.
Why choose something so fraught? You’ve talked about doing everything
The last seven or eight years that I was not to cry or show vulnerability when
playing in Calgary for the women’s you lost a big game or got hurt on the
national team, I would head to a
nearby hospital after games to Hayley, aged 12.
COURTESY OF THE WICKENHEISER FAMILY ARCHIVE

shadow a doctor friend of mine in


the ER. I knew right away that it was
my kind of medicine. It’s like hockey:
It’s very active and it’s never the
same thing twice. You might see an
ear infection and then the next sec-
ond you’re doing a resuscitation.
I also like the lifestyle. It’s shift
based, and when you leave the hos-
pital, you have nothing else to deal
with—no overhead, no staff. I need
that in my life.
reader ’s digest

ice. But when you entered medicine, and sister for support. I used to joke
that changed. What happened? that it was a really easy pregnancy
Athletes are actors. If you’re injured or and that I didn’t even need to take nine
sick or scared, you project that you’re months off. In reality, Noah was born
not. Medicine, however, is so human. three months premature and was so
And after so many years of burying sick for the first year that I probably lost
things, I started feeling human again. those nine months anyhow.
When there’s a death or a birth, you’re But being his mother has always felt
in it with your patients. The tragic like a gift.
moments really get to me, especially
when there are kids involved. Now he’s grown up and you’ve moved
from the Prairies to Toronto. As a kid,
When you were 21, you adopted your you cheered for the Edmonton Oilers

(CLOCKWISE FROM TO-LEFT) COURTESY OF THE WICKENHEISER FAMILY ARCHIVE; CEILIDH PRICE; CEILIDH PRICE
son, Noah. Back then, did you ever yet you are wearing blue and white.
worry that having a newborn would What would young Hayley say?
negatively affect your career? She would definitely call me a traitor.
I never had a second thought about As a die-hard western girl, I hated the
becoming a parent. I knew that Tomas, Leafs. But wearing this logo feels nat-
my partner at the time, and I would fig- ural now. Toronto has grown on me,
ure it out. Plus I had my parents, brother too—everything except the traffic.

(Clockwise from top left) The


Wickenheiser family rink with Hayley
on the right; Dr. Wickenheiser
reporting for duty; Canada’s Walk of
Fame ceremony with Grace Bowen.
Portrait

Early in the pandemic, you put out a call look at a situation and you think, Oh,
on Twitter to address the urgent need it’s definitely this, you can miss things.
for personal protective equipment. So I need to always check myself.
In a few months, you and more than
100 volunteers raised more than $2.3 How do you counter the lack of sleep
million and delivered some three mil- and often unhealthy lifestyle that comes
lion pieces of PPE across the country. with being a resident?
Did you expect that level of response? When I started in medicine, I promised
Not initially. But once Ryan Reynolds myself two things: I would get sleep and
joined the effort, I knew we’d get a lot I would continue to train and be fit. It’s
of eyes. not always possible, but I really carve
out the time. Because how can I talk
You met Reynolds in 2014, when you about health to others if I’m not healthy?
both received a star on Canada’s Walk You can’t ask someone to do something
of Fame. Did you click right away? you’re not willing to do yourself.
Yes, over our mutual dislike of awards
ceremonies. He introduced himself to Do you have any vices?
me and my guest, Grace Bowen, a nine- Coffee. If it’s hot and decent, give it to me.
year-old hockey player with osteosar-
coma whom I’d met at SickKids Hospi- Before you started drinking coffee,
tal. Grace died a few months later. But your vice was watching and rewatch-
that evening we all spent time together. ing hockey tapes. Were your friends
The next day, Ryan messaged me. He ever like, “Can we just rent a movie
said that Grace had inspired him to from Blockbuster?”
become more involved with SickKids, No, because I fall asleep five minutes
which he really has. We’ve stayed in into any movie. And you have to watch
touch ever since. hockey to get better. That’s what I tell lit-
tle girls who ask me for advice. As a kid,
To succeed in hockey and medicine, I would watch Don Cherry’s Rock’em
what’s most important: quick think- Sock’em videos and tapes of the 1972
ing, quick feet or a quick mouth? Summit Series. You have to love the
Quick thinking. Keep your mouth shut game to get better.
and your head down. I don’t like to pro-
crastinate, so it doesn’t take me long to No one would question your love of the
make a decision. game, but what happens when the game
doesn’t love you back? Many athletes
Have your quick-fire decisions ever from marginalized groups—whether
gotten you into trouble? they are Black or Indigenous or queer
I’m sure they have. In medicine, if you or women—have spoken out about how

rd.ca 49
reader ’s digest Portrait

toxic sports culture can be in Canada. hard. It’s nice to just do my job.
Kids shouldn’t grow up thinking that It’s moments like a recent prac-
having a girl or a Black player on their tice at the Ford Performance
team is abnormal. And we should be Centre, the team’s facility in Eto-
introducing hockey to populations bicoke, where we can run three
other than white, male, middle class rinks at a time for development
to wealthy. In this country, hockey has work. There were 27 players in
become so expensive and so inaccessi- the space—from prospects right
ble. The women’s side of the game has up to current Leafs. Every inch
done a good job of breaking down bar- of the ice was taken up by our
riers, but it’s required a lot of hard work staff working with players. I
by a lot of people. remember thinking, This is just
so cool. Whether they’re trying
Hockey Canada, the national governing to get to the NHL or they’ve
body of hockey, came under fire for been in the league for years,
how it dealt with allegations of sexual they’re still trying to get better.
assaults against some of its players And I get to be around that and
and for using registration fees to pay help them find their edge.
settlements. What should changes
look like? You’ve taught hockey skills to
We need to bring in people who are young women in rural India
visionary, who understand the game and run practices for teams in
and who are willing to make tough North Korea. What makes hockey so
decisions. [Editor’s Note: Around the universal?
time of this interview, Hockey Canada You can go anywhere in the world, put a
elected a new board of directors. In July puck on the ice and body language will
2023 Katherine Henderson was named say it all. Those girls in India are now
the new CEO.] And there has to be zero doing cool things in places where you
tolerance for the kind of stuff we’ve would never think hockey was a thing.
seen. Zero tolerance. They’ve gone on to work as teachers in
schools and are doing sports camps.
What do you love about being an assis- They run clinics for kids who have never
tant general manager? skated. And they’ve taken on—and
I love what I’m doing with the Leafs. beaten—members of the military who
Not long ago, I was telling Leafs presi- were hogging the best ice.
dent Brendan Shanahan how much I
loved the work and the environment. You’re known worldwide as an elite
For one of the first times in my hockey athlete. What’s the least jockish thing
career, the off-ice stuff hasn’t been so about you?

50 october 2023
At the 2014 Olympic Winter Games
Wickenheiser and her team won their
fourth consecutive gold medal.

I play the piano. I used to play well, but ever is bothering me. Otherwise I would
I’m just okay now. My dad taught phys. just be consumed by things all the time.
ed., math and science, but he was also I knew I had to find a way to control
a drummer in a rock band when I was the anxiety, the worry and the fear. The
growing up, so we always had music freak-out sessions have been a way to
around. Music helps me relax. settle myself down.

One of your more unorthodox calm- Team Canada lost gold to the Ameri-
ing tools is the freak-out session. When cans at Nagano, which devastated you.
you’re stressed, you give yourself 20 You credit your coach, Wally Kozak,
minutes—with a timer—of unfettered for helping you through that.
worrying. He passed me a note that said, “A gold
It started after the Nagano Olympics in medal is a wonderful thing, but if you’re
DAVE HOLLAND

1998. It’s taken years, but I’ve become not enough without it, you’ll never be
pretty good at it. I can stop the spiral- enough with it.” I still have the note. It’s
ling by telling myself to calm down, folded up into a tiny square in my wal-
move on and come back later to what- let. I always have it with me.

rd.ca 51
reader ’s digest

Before you were assistant GM for the Hayley


Leafs, you were the team’s senior Wickenheiser
director of player development, has been an
and you hired your former team- assistant GM
for the Toronto
mate Danielle Goyette as director
Maple Leafs
of player development. A fair bit since 2022.
of attention was paid to the fact
that, for the first time in NHL his-
tory, two women were running that
department.
I understand why people want to
talk about it, but I just didn’t think
that way about hiring her. Women
working in hockey always face ques-
tions like that, even when they’re
playing. How often does a journalist
ask a female player about the game?
Instead they report on peripheral
issues rather than performance. That
frustrated me as an athlete. Yes,
discussing this stuff is important to
evolve the game and move forward. Have you snuck into anyone’s back-
But at the same time, we’re doing a job. yard lately to let off steam?
Just evaluate the job. When I was in Calgary playing on the
women’s national team and I was
Have you ever wondered whether super stressed and couldn’t find my
hockey is worth all the trouble that game, I would go to outdoor rinks and
comes with it? just fool around. Doing that reminded
No. I always knew that this was the bur- me of the joy of the game. It’s harder
den I had to carry. I understand that this in Toronto because the ice isn’t—well,
is part of the gig. You know that quote, let’s just say that it doesn’t get as cold
“To whom much is given, much is as it does out west.
RENE JOHNSTON/GETTY IMAGES

required”? I realize that this is the expec-


tation, and I’m okay with it. I love hockey. Have you ever been recognized on
those rinks?
You’ve said that backyard and com- A few times I pretended I wasn’t very
munity rinks are a safe haven, some- good, but when I started trying, sud-
where kids can just play shinny with denly there were double takes and
no one to instruct or criticize them. “Who’s that girl with the ponytail?”

52 october 2023
Portrait

Tennis great Billie Jean King is one of nities. Professionally, I want to keep
your inspirations. One of her favourite getting better at what I do. And the ulti-
lines is “Pressure is a privilege.” Do mate thing would be to win a Stanley
you think it applies only to sport? Cup with the Leafs.
Absolutely not. It applies to all indus-
tries and also to parenting. If someone I hate to rain on your parade, but
expects a lot of you and you feel pressure Toronto’s been going through a bit of
from them, it’s because they believe a dry spell on that front.
you can get the job done. In medicine, Winning is really, really hard. It’s about
when I’m overwhelmed, I take a step consistency, doing the little things day in
back and remind myself that someone and day out, and then believing that you
put me here because they thought I can do the job because you prepared
had it in me to be a competent doctor. every single day. You can’t cut corners,
It helps to reframe things. At the Van- and you have to go out there and do any-
couver Olympics in 2010 [when Canada thing to win. It’s not for everyone. But if
beat the U.S. to win gold], instead of you can get a group of players together
thinking that the pressure—the weight who want to sacrifice everything for
of the nation—was bearing down on one another to win a Stanley Cup, you
us, we had to recognize that the pres- have a pretty good chance.
sure could help. The nation believed in
us and was pushing us from behind. You had two dreams growing up: to
play hockey and to become a doctor.
At the Sydney Olympics in 2000, you Now what?
met Nelson Mandela and he asked what I’m done! Now, honestly, it’s less about
you would do to leave your sport and striving and more about just living and
the world better than you found them. enjoying what I’m doing. It’s been a
You’ve given hockey four decades of really hard grind, so I look forward to
almost undivided attention. What’s having some more free time to do fun
left on your list? things, like travel. Maybe the Maldives,
I want to keep doing WickFest, to con- on a beach—with no cellphone.
tinue moving things forward for girls © 2023, STÉPHANIE VERGE. FROM “POWER PLAYER:
HAYLEY WICKENHEISER”, TORONTO LIFE ( JANUARY 23,
and continue to expand their opportu- 2023), TORONTOLIFE.COM

The Blog vs. The Bard


We’ve heard that a million monkeys at a million keyboards could
produce the complete works of Shakespeare.
Now, thanks to the Internet, we know that is not true.
—ROBERT WILENSKY

rd.ca 53
DRAMA IN REAL LIFE

NIGHTMARE AT THE
NIGHTCLUB WHEN THE SHOOTING STARTED
AT A COLORADO NIGHTCLUB,
A COMBAT VETERAN’S LIFESAVING INSTINCTS
KICKED IN
BY Dave Philipps FROM THE NEW YORK TIMES

54 october 2023 illustration by Jeffrey Smith


reader ’s digest

rd.ca 55
reader ’s digest

ichard M. Fierro was it was supposed to be a chill family night


at a table at Club Q out. The combat veteran and his wife,
with his wife, daugh- Jess Fierro, joined their daughter, Kas-
ter and friends on a sandra, her longtime boyfriend, Ray-
Saturday night last mond Green Vance, and two family
November when the friends to watch one of his daughter’s
sudden flash of gun- friends perform a drag act.
fire ripped across It was Fierro’s first time at a drag show,
the nightclub. His and he was enjoying it. After all those
instincts, forged during four combat years in the Army, he now relished his
deployments in Iraq and Afghanistan, role as a civilian and a father, watching
instantly kicked in. Fight back, he told one of his daughter’s old high school
himself. Protect your people. friends perform.
Fierro, 45, who spent 15 years as a “These kids want to live that way,
U.S. Army officer and left as a major in want to have a good time, have at it,” he
2013, charged through the chaos at the said as he described the night. “I’m
club and tackled the gunman, beating happy about it because that is what I
him with the shooter’s own gun. fought for, so they can do whatever the
“I don’t know exactly what I did. I hell they want.”
just went into combat mode,” Fierro Fierro was trying to get better at going
said in the driveway of his Colorado out. In Iraq and Afghanistan he’d been
Springs, Colorado, home a few days after shot at, lost friends and seen roadside
the shooting, an American flag hanging bombs shred trucks in his platoon. He
limp in the freezing air. “I just knew I was twice awarded the Bronze Star.
had to stop this guy.” The wars were past and yet still pres-
The gunman, Anderson Lee Aldrich, ent. There were things he would never
then 22, was arrested on charges of kill- forget. For a long time after coming
ing five people and wounding 18 more home, crowds put him on edge. He
in a rampage that lasted only a few min- couldn’t help but be vigilant. In restau-
utes. The death toll could have been rants he sat against the wall, facing
much higher, officials said, if patrons of the door. No matter how much he tried
the bar had not stopped the gunman. to relax, part of him was always ready
“He saved a lot of lives,” John Suthers, for an attack, like an itch that could not
then the mayor of Colorado Springs, be scratched.
said of Fierro. Suthers said he had spo- He was too often distrustful, quick to
ken to Fierro and was struck by his anger. It had been hard on his wife and
humility. “I have never encountered a daughter. He was working on it. There
person who engaged in such heroic was medication and there were ses-
actions and was so humble about it.” sions with a psychologist. He got rid of

56 october 2023
Drama in Real Life

all the guns in the house. He let his hair Fierro looked up and saw a figure as big
grow out long and grew a long white as a bear, easily more than 300 pounds,
goatee to distance himself from his wearing body armour and carrying a
days in uniform. rifle a lot like the one Fierro had carried
He and his wife run a successful local in Iraq. The shooter was moving through
brewery called Atrevida Beer Co., and he the bar toward a door leading to a patio
had a warm relationship with his daugh- where dozens of people had fled.
ter and her boyfriend. He also accepted The long-suppressed instincts of a
that war would always be with him. platoon leader surged back to life. Fierro
But that night at Club Q, he was not raced across the room, grabbed the gun-
thinking of war at all. People were danc- man by a handle on the back of his body
ing. He was joking with his friends. Then armour, pulled him to the floor and
the shooting started. jumped on top of him.
It was a staccato of flashes by the “Was he shooting at the time? Was he
front door, the familiar sound of small- about to shoot? I don’t know,” Fierro said.
arms fire. Fierro knew it too well. With- “I just knew I had to take him down.”
out thinking, he hit the floor, pulling his The two crashed down to the floor.
friend down with him. The gunman’s military-style rifle clat-
Bullets sprayed across the bar, smash- tered just out of reach. Fierro started to
ing bottles and glasses. People screamed. go for it, but then saw the gunman
DANIEL BRENNER/THE NEW YORK TIMES

Richard Fierro
tackled the
gunman before
he could kill
more people.

rd.ca 57
reader ’s digest

Mourners gathered at a makeshift memorial near Club Q in Colorado Springs to pay


tribute to the victims.

come up with a pistol in his other hand. “In combat, most of the time nothing
“I grabbed the gun out of his hand happens, but it’s that mad minute, and
and just started hitting him on the head, you are tested in that minute. It becomes
over and over,” Fierro said. habit,” he said. “I don’t know how I
As he held the man down and got the weapon away from that guy, no
slammed the pistol on his skull, Fierro idea. I’m just a dude, I’m a fat old vet,
started barking orders. Using a string of but I knew I had to do something.”

SCOTT OLSON/GETTY IMAGES; SCOTT OLSON/GETTY IMAGES


expletives, he yelled for a club patron When police arrived a few minutes
to grab the rifle, then told the patron to later, the gunman was no longer strug-
start kicking the gunman in the face. gling. Fierro, himself covered in blood,
Fierro ordered a bystander to stomp the feared that he had killed him.
attacker with her high heels. Meantime, Fierro got up and frantically lurched
Fierro said, he pummelled the shooter around in the dark, looking for his
with the pistol while screaming at him. family. He spotted his friends on the
What allowed him to throw aside all floor. One had been shot several times
fear and act? He said he has no idea. in the chest and arm. Another had been
Probably those old instincts of war, shot in the leg.
which had burdened him for so long As more police filed in, Fierro started
at home, suddenly had a place now yelling like he was back in combat.
that something like war had come to “Casualties! Casualties! I need a medic
his hometown. here now!” He yelled to the police that

58 october 2023
Drama in Real Life

the scene was clear, the shooter was In part he cried because he knew
down but people needed help. He took what lay ahead. The families of the
tourniquets from a young police officer dead, the people who were shot, they
and put them on his bleeding friends. had now been in war, as he had. They
He tried to speak calmly to them as he would struggle as he and so many of
worked, telling them they’d be okay. his combat buddies had. They would
He spied his wife and daughter on ache with misplaced vigilance. They
the edge of the room and was about to would lash out in anger, never be able
go to them when he was tackled. to scratch the itch of fear, be torn by
Officers rushing into the chaotic scene the longing to forget and the urge to
had spotted him, a blood-spattered man always remember.
with a handgun. Not knowing whether “My little girl, she screamed, and I was
he was a threat, they put Fierro in hand- crying with her,” Fierro said. “Driving
cuffs and locked him in the back of a home from the hospital I told them,
police car for what seemed like more ‘Look, I’ve gone through this before,
than an hour. He screamed and pleaded and down the road, when this happens,
to be let go so that he could see his family. you just get out on the next patrol. You
Eventually, Fierro was freed. He need to get it out of your mind.’ That is
located his wife and daughter, both of how you cured it. You cured it by doing
whom had minor injuries, and went more. Eventually you get home safe.
to the hospital with them. His friends “But here I worry there is no next
were there in much more serious con- patrol. It is harder to cure. You are
dition. They were all alive. already home.”
But his daughter’s boyfriend, Ray-
mond, was nowhere to be found. In the Editor’s Note: In June, Anderson Lee
dark and disarray, they had lost him. Aldrich pleaded guilty to five counts of
They drove back to the club, searching first-degree murder, 46 counts of
for him. They circled familiar streets, attempted first-degree murder and no
hoping they would find him walking contest to two counts of bias-motivated
home. But there was no sign of him. crimes. He received five life sentences
Then the family got a call late Sunday without the possibility of parole and
from Raymond’s mother. He had died 46 consecutive 48-year sentences.
in the shooting. When Fierro heard, he
THE NEW YORK TIMES (NOVEMBER 29, 2022), COPYRIGHT
held his daughter and cried. © 2022 BY THE NEW YORK TIMES COMPANY

Common Ground
A thousand fibres connects us with our fellow men.
HERMAN MELVILLE

rd.ca 59
NATURE

GREAT THE
WILDEBEEST
MIGRATION
60 october 2023
reader ’s digest

It’s a spectacular sight when countless


ruminants cross the Serengeti
in search of greener pastures
BY Vincent Noyoux FROM LE FIGARO MAGAZINE
reader ’s digest

subject to massive fluctuations depend-

It starts like
a scene from Out of Africa. Leaving
ing on rainfall upriver, their migration
would be smooth sailing. Rising on the
Kenyan side of the Great Rift Valley and
Mount Kilimanjaro behind, the bush flowing into Lake Victoria, it’s the longest
plane flies over the gaping Ngorongoro and only perennial river in the Serengeti.
Crater, casting its shadow over tawny It’s also the most dangerous to cross.
land that resembles lion skins sewn
together with the rivers’ green thread. THE LAND CRUISER we’re travelling in
We’re in the Serengeti in Tanzania, in crosses an acacia savannah, and there’s
the northern part of the national park, a parade of animals: elephants, giraffes,
near the Kenyan border. We’ve yet to warthogs, buffaloes, ostriches, ante-
set foot on the ground, but the safari is lopes and topis. Crocodiles and hippo-
underway. Herds of elephants bathe in potamuses soak in the water as vultures
the Mara River. Half-submerged croc- fly overhead. All of the actors are in
odiles come into sight, and on the bank place: On the opposite bank, a black
sit masses darker than boulders, the line forms at a spot at the river’s edge,
hippopotamuses. and the growing horde congregates.
It’s all wonderful, but we’re here to The wildebeests are about to cross,
see something else: the blue wilde- but they seem to hesitate. And who

(PREVIOUS PAGES) PHOTOSTOCK-ISRAEL/SCIENCE PHOTO LIBRARY/GETTY IMAGES


beest. With its spindly legs, grey-blue could blame them? The waters are
coat, wild mane and a long, bumpy face crawling with crocs and hippos. When
that gives it a stubborn air, this rumi- one wildebeest makes its move, the
nant is not the elite of the African safari. entire group follows. “Their best strategy
Wildebeests live in herds of about 30 is to cross in a line rather than head-on,”
that assemble in huge numbers during Macha says. “In a compact group, the
the great annual migration. young wildebeests would inevitably end
“The cycle starts early in the year in up crushed and then drown.”
the southern Serengeti and moves Several hundred thousand zebras fol-
west, then north to the Masai Mara low them, he says, but the more cautious
(Kenya), east and back south,” explains zebras never cross first. “One theory is
our guide, Erasto Macha. “Wildebeests they remember dangerous places. But
follow the rain, which provides green what we do know is they share the grass:
grasslands. They remain in the north- zebras graze the top of the grass and
ern Serengeti from July to early Octo- wildebeests eat the rest.”
ber, but August and September are The group at the edge of the Mara
when we see the most.” He estimates still hesitates. Will they or won’t they?
there are 1.5 million here. We place our bets. The wait can take
If it weren’t for the Mara, which is hours. Sometimes, the wildebeests turn

62 october 2023
Nature

Wildebeests set out


to cross the Mara River.

back. That’s what happens today. As the illuminate a myriad of wildebeest eyes,
light shifts from gold to glowing red, glimmering dots.
they scatter sheepishly in the bush. At dawn, we take to the sky in a hot-
Defeat in such a glorious setting. air balloon. Like the sun, we slowly rise.
We head back to Sayari Camp, the The basket skims the tops of the acacias
first of its kind in the northern Seren- and glides low over impalas, antelopes
geti. Unlike other lodges, it’s just a and zebras. The spitting burner sends
stone’s throw from the Mara River, large herds of wildebeests into a panic,
which is very practical when a river- and they gallop off into the vast
crossing alert goes up. The decor yellowish-green plain. In a few weeks
blends South African design and Tan- they’ll have reached the Masai Mara,
zanian handicrafts that distill into a whose hills peek out in the distance.
subtle safari-chic atmosphere, and it We watch as the hyenas’ limping run
isn’t uncommon to see zebras and clashes with the graceful leaps of the
wildebeests roaming between the tents. oribis—the ballerinas of the savannah.
AYZENSTAYN/GETTY IMAGES

To come and go after dark, guests have From the sky, the wild wonder calls to
to call a staff member by walkie-talkie. mind an earthly paradise, but the ani-
The nighttime savannah rustles with mal bones that litter the ground tell the
a thousand sounds. A hyena’s high- story of the struggle to survive. Here,
pitched call sends shivers down your there are the hunters and the hunted.
spine as you lay in bed. Step out onto A lioness lurks in the bushes. Wilde-
the terrace, and your flashlight will beests graze a few dozen metres away,

rd.ca 63
reader ’s digest

unaware. A more alert zebra catches its topaz eyes on us in an imperial gaze.
sight of the large cat and remains on Leopards often pounce on their prey,
the lookout, ready to flee. The lioness usually an antelope or an impala, in
stalks them. What is she waiting for? one bound. They’re powerful enough
But animals are on their own time. to haul it into a tree so they don’t have
The Serengeti teems with life. On the to share with other carnivores. This one
banks of the Mara, mongooses leapfrog will wait until night to attack, some-
the rocks. Standing in the water, Masai thing its eyesight and patience permit.
giraffes nibble acacia leaves. “They spot
danger first, and the zebras understand
that,” Macha says. SAFARIS START
Further on, there’s a group of chubby- IN THE EARLY
cheeked hippos with bulging eyes. But MORNING, WHEN
we aren’t fooled by their aura of serenity.
These territorial animals charge without THE WILDLIFE IS
warning, killing nearly 500 people a year MOST ACTIVE.
in Africa—far more than all the big cats
combined. Two teenagers quarrel and
growl, opening their mouths wide to SAFARIS START IN the early morning,
bare their frightening teeth. when the wildlife is most active, and as
The radio crackles: Wildebeests have the Land Cruiser crosses the savannah
been spotted a few kilometres away. under a sky dotted with clouds, we
The SUV sets off down the track. On the watch lion cubs play under their moth-
other side of the river, lines of wilde- er’s watchful eye. Then they quickly dis-
beests arrive from all over as the group appear into the tall grass. “The wilde-
swells. But no one wants to go first. beests are going to cross,” Macha says
Their hesitation forces them to post- with certainty. Soon enough, an epic
pone, and they disperse. scene unfolds right before our eyes.
The unexpected occurs elsewhere. As Thousands of wildebeests stamp on
we observe a group of impalas, one of the bank of the river, the depth of which
them makes a loud whistling noise. can fluctuate quickly. The most danger-
“Something alerted it,” says Macha. We ous 100 metres of their lives lie ahead.
all turn our heads. Lying on a branch, Pressured by the group, one decides to
hidden among the leaves, a leopard cross. And then the flow is unstoppable.
looks on. It coolly unfurls its tail beyond Water sprays as the wildebeests jump in.
the foliage, betraying its presence; if it It’s a dark and nervous army, an ava-
hadn’t been for the impala’s warning, lanche of horns on the Mara River.
we’d never have seen it. Crocodiles are ready to attack as the
The leopard climbs higher and sets hippos fiercely guard their territory. The

64 october 2023
Nature

smaller wildebeests are the easiest prey, trunks. This is the way of the wild: from
but the mass of moving legs complicates fear to tenderness.
any assault; a crocodile slowly moves
forward and propels itself in a flash, its THE SUN SETS on our final outing, and
jaws just missing the target. we’re on foot for the first time. A ranger
The wildebeests that make it to the armed with a .458 Winchester Magnum
other side climb out dripping wet. A is with us. And that’s a good thing. As
youngster stands alone, a few metres simple bipeds without fangs or claws,
behind them. Crocodiles loom, and we we’re more vulnerable than a baby ante-
bury our eyes in our binoculars and lope. We tread cautiously, quietly, in an
hold our breath. The safari becomes a eerily deserted savannah.
thriller—a cruel and fascinating death Suddenly, Macha freezes: “Behind the
scene that plays out right in front of us. rock, 30 metres away...” And we see the
But the little wildebeest survives, wisps of a lion’s mane behind granite.
barely, and we think back to one we We feel a quiver of fear, but we don’t
saw yesterday whose flanks had been run or the lion will assume we’re prey. In
slashed. “A crocodile attack,” Macha any case, we’d be too slow. “Stay together
had confirmed. “A hyena will finish it and walk away slowly,” Macha says. The
off when it gets too weak to run.” lion sticks its head out and follows us
Yet the biggest threat to the wilde- with its eyes. What is it thinking?
beests is drowning. Sometimes hun- “You never know what an animal was
dreds of carcasses float in the river. “In doing 30 minutes ago,” our guide adds
just 15 minutes, 3,000 to 4,000 wilde- in a low voice. “Maybe it ate, maybe it
beests cross it,” says our guide. had an unfortunate encounter, maybe
Drowned wildebeests are a feast for it was injured.”
scavengers. Bare-necked and wrapped In the evening, before dinner, as is
in their sinister cloak, vultures perch the custom at the lodge, we sit around
on the branches of a dead tree. These a blazing campfire and talk about our
gravediggers play a vital role in the eco- day, just as Ernest Hemingway, who
system. By removing remains, they help wrote extensively about hunting and
prevent the spread of diseases and pre- fishing, might have done. About leop-
serve the savannah’s ecological balance. ards perched in trees, lions ready to
Afterwards, we park under a clump pounce, crocodiles on the attack. Our
of trees among the impalas and set stories sound like tall tales, except
breakfast on the hood. The sun splat- they’re absolutely true. The sky over the
ters warm colours over the Serengeti. A Serengeti witnessed them all.
zebra foal nudges its mother. Elephants
© 2022, LE FIGARO MAGAZINE. FROM “EN TANZANIE, LA
silently cross the landscape in single GRANDE ÉPOPÉE DE LA MIGRATION DES GNOUS,” BY VIN-
CENT NOYOUX, LE FIGARO MAGAZINE (10 OCTOBRE 2022).
file as their calves play games with their LEFIGARO.FR

rd.ca 65
SMILE

STRETCHING
“Well, you used to be 185 centimetres,
but you haven’t had your height mea-
sured for years,” she says. “People get

THE TRUTH shorter as they get older. I’m going to


knock off five centimetres, maybe 10.”
Jocasta often comes up with these sci-
BY Richard Glover entific observations. In her career as a
screenwriter, she has written a couple of
medical dramas and now lives under
jocasta and i are sitting at the kitchen the misapprehension that she’s a doctor.
table. My wife has decided to calculate “The discs in your spine settle over
my body mass index (BMI) so she will the years,” she continues. “By the time
know, based on the ratio of my height to you get to 90, you’re basically half the
my weight, whether I should lose some height you used to be.”
weight. “How tall are you?” she asks. I find this hard to believe. “If that
With a slight swagger of pride, I sup- were true,” I tell her, “people would
ply the required figure. Immediately, need to lower their kitchen countertops
she disputes it. as they get older.”

66 october 2023 illustration by Sam Island


reader ’s digest

Jocasta sighs, as one might do when make you any taller. You just look like
dealing with a recalcitrant child. “By that an aristocrat trying to avoid the smell
age, people have been doing things for of his own fart.”
so long, they don’t need to have a direct Ouch. As I sit down, I can feel my
view of every task,” she says. “If they vertebrae settling; maybe I am getting
want to make toast, they do it by touch.” shorter.
To illustrate her point, she butters a There must be some way of regaining
slice of toast above her head in a way that my height. I could buy a medieval
does, admittedly, look quite credible. stretching rack and ask Jocasta to
Next, Jocasta quizzes me about my tighten it until I scream in agony. She
weight. I suggest a figure that she regards might even enjoy herself.
as fanciful. When she asks me to weigh Or I could hang from a tree branch,
myself, I decline on the grounds that I my spine lengthening by the minute.
am “currently retaining water.” Maybe the orangutans of Borneo are
just trying to improve their BMI.
I seek advice from Jocasta, since she
MAYBE I COULD considers herself a medical profes-
HANG FROM A TREE sional. “We’re all taller in the morning,
BRANCH, MY SPINE compared to the evening,” she con-
fides. “A whole day of walking around
LENGTHENING BY leaves the discs compacted. Then they
THE MINUTE. stretch out during the night, when we
are lying down. Plus we get heavier
during the day because of all the food.”
Jocasta says this is unlikely: “What Struck with an idea, Jocasta goes back
you are retaining is tuna casserole. I’m to her calculations and emerges with
going to add three kilos.” two figures for my BMI: first thing in the
Sensing her resolve on this point, I morning and in the evening. “You start
focus on upgrading the figure she’s the day as merely overweight before tip-
using for my height. It may be my only ping into clinical obesity at about 7:30
hope of avoiding a life on half-rations. each night, after your second beer.”
“I don’t feel any shorter,” I tell her. I decide to accept her adjudication.
I walk around the kitchen, my neck After all, I find it quite optimistic.
stretched, my chin raised and my nose Because even if I end every day as a
tilted upward in the style of a young clinically obese leprechaun, I start each
woman in a deportment class. “I’m get- morning in a much better place: a tall
ting taller by the moment,” I say. man, holding obesity at bay, shaking
Jocasta flashes me a derisive look. his fist at the heavens and daring grav-
“Putting your nose in the air doesn’t ity to do its worst.

rd.ca 67
reader ’s digest
INSPIRATION

Diagnosed with highly aggressive


non-Hodgkin’s lymphoma,
federal minister Dominic Leblanc knew
that only a perfect bone-marrow
match could save him

BY Harold Gagné

illustration by Meredith Sadler rd.ca 69


reader ’s digest Inspiration

graduated from law school and began


what would be a long political career
when he was elected the Liberal MP in
the New Brunswick riding of Beausé-
jour. He has since been re-elected
seven times, led various government
departments and served as the presi-
dent of the Queen’s Privy Council for
Canada.
Brimming with energy, he’d never
shied away from a heavy workload. But
on Saturday, April 20, 2019, Leblanc, 55,
felt so under the weather—exhausted
and feverish—that he consulted a phy-
sician at Dr. Georges-L.-Dumont Uni-
versity Hospital Centre in Moncton.
He was convinced he’d caught a flu
bug, but a biopsy of the lymph nodes
in his armpit said otherwise: He had a
THE YOUNG MAN being greeted by a rare and very aggressive form of non-
staffer from the Office of the Minister of Hodgkin’s lymphoma. And it had
Intergovernmental Affairs, Infrastructure started to attack his liver. In a Hail Mary
and Communities is neither a politician attempt to control its progress, he
nor a foreign delegate. Jonathan Kehl, underwent strong chemotherapy.
23, is a student from Bad Hersfeld, a “We weren’t sure he’d make it,” says
town in Germany. Travelling with his his hematologist-oncologist, Dr. Nich-
friend Dennis Bolender, he’d never set olas Finn. Adds Leblanc: “I found out
foot in Canada before he deplaned in later that if the treatment hadn’t
Ottawa on September 25, 2022. He was worked, I would have lived only a few
whisked to a hotel where Minister more weeks.”
Dominic Leblanc was waiting. Emo- His wife (Jolène Richard, former
tions were high as the two men hugged. chief judge of the Provincial Court of
Though they’d never met in person, New Brunswick), and his stepson
they felt close: Jonathan Kehl’s blood Shelby remained by his side through-
had been coursing through Dominic out the ordeal. Fortunately, the three-
Leblanc’s veins for three years. week cocktail of drugs put the cancer
into remission. Leblanc returned
IN 2000, LEBLANC, the son of former home for a short time, but the battle
Governor General Roméo Leblanc, was far from won. Still, he was con-

70 september 2023
Leblanc (left) invited
Jonathan Kehl, his donor,
to visit him in Ottawa in
September 2022.

vinced he’d be cured. After all, he’d for tests. “He was as yellow as a lemon
already survived chronic lymphocytic because of the liver failure and had lost
leukemia in 2018. a lot of weight,” remembers Dr. Sylvie
The medical team knew that the non- Lachance, who oversaw his care. Still,
Hodgkin’s lymphoma would return if doctors believed he was strong enough
Leblanc didn’t have a stem-cell trans- for the transplant.
plant. It was his only chance of survival. One of Leblanc’s younger sisters vol-
The procedure is relatively simple in unteered to donate her stem cells, but
theory: kill all the tumour cells in the she wasn’t a match. And so began the
bloodstream and then introduce stem search for a donor in Héma-Québec’s
cells from a healthy donor’s bone mar- stem-cell bank, which has more than
row to regenerate the immune system. 55,000 registered donors, and in the
“We had to work fast, while he was still international bank, which lists 40 mil-
healthy,” says Finn. Stem-cell transplants lion donors in 55 countries.
DAVE CHAN

aren’t done at the Moncton hospital, so “For a transplant to work, you need
in June 2019, Leblanc was sent to Hôpital an HLA match,” explains Susie Joron,
Maisonneuve-Rosemont in Montreal manager of donor-search strategies

rd.ca 71
reader ’s digest

and stem-cell distribution at Héma- told him the good news—especially


Québec. Human leukocyte antigens are because the chance of finding a perfect
genetic markers that are essential to a match is only one in 20,000. On August
healthy immune system. In August 2019, 31, 2019, he was admitted to the hospi-
the perfect match popped up on a screen tal for 10 days of intensive chemother-
at Héma-Québec. apy that wiped out his immune system
and blood cells.
TWENTY-YEAR-OLD Jonathan Kehl lived Meanwhile in Germany, Kehl made
with his parents and two sisters in Bad the 150-kilometre journey to the Frank-
Hersfeld, a small town in the German furt Red Cross to receive injections
state of Hesse. He’d registered as a meant to stimulate his stem-cell pro-
stem-cell donor two years earlier, in duction prior to donation. On Septem-
2018, when the German National ber 16, 2019, it was time to harvest the
Bone Marrow Donor Registry brought cells. “I felt weak,” he says, “but they

“I WANTED TO SAVE A LIFE! IT WAS A REALLY


EMOTIONAL MOMENT FOR ME, AND FOR MY
FAMILY, WHO ENCOURAGED ME TO DONATE.”

its awareness campaign to his high told me it was normal because of the
school. “Back then, I didn’t even know cell stimulation.”
it was an option,” he admits. A year and Sitting in an armchair, he watched as
a half later, he was a university student blood was drawn from his arm and sent
doing his teacher training when he got to a centrifuge to separate the stem
a surprise call from the German stem- cells (a half-litre in total was collected).
cell bank. His cells were fully compati- The rest of the blood’s components
ble with those of a potential recipient. were put back into Kehl’s body. As soon
“I could have said no, but I agreed,” as the procedure was over, the life-
says Kehl. “I wanted to save a life! It was saving stem cells were put in a cooler
a really emotional moment for me, and and jetted to Canada. The transplant
for my family, who encouraged me to was scheduled for 48 hours later.
donate.” The donation was anonymous;
all he knew was that his stem cells AT AROUND 2 P.M. on September 18,
would go to a Canadian man. 2019, a nurse clad in head-to-toe protec-
On the other side of the Atlantic, tive gear walked into Leblanc’s Montreal
Leblanc was elated when Lachance hospital room and carefully connected

72 september 2023
Inspiration

the small tube containing the stem cells him a surprise visit. Says Leblanc, “I
to a catheter in an artery just above his was really touched to see him. He sat
heart. It was a moment of profound there with me for two hours, gloved and
solemnity. Leblanc’s wife, both anxious masked, discussing politics and laugh-
and happy, was by his side as events ing despite the serious circumstances.”
unfolded.
The beige substance was adminis- THREE WEEKS LATER, glued to the tiny
tered intravenously for two hours. TV screen in his hospital room, Leblanc
Though the infusion went smoothly, it whooped with joy when voters in his
was followed by a period of uncer- New Brunswick riding of Beauséjour
tainty. It takes 14 to 21 days for the new re-elected him for a seventh term. Still,
blood cells to regenerate, and another his biggest win came on November 5,
week for any to appear. 2019: Every single cell in his blood-
“I was afraid it hadn’t worked until stream was from his donor. He could

LEBLANC EXCITEDLY ASKED AN AIDE TO LOOK


UP HIS BENEFACTOR ON FACEBOOK. HE WAS
ADAMANT ABOUT GETTING IN TOUCH WITH HIM.

Dr. Lachance came into my room with a finally leave the hospital, more than two
smile and told me the neutrophils—the months after he’d been admitted.
white blood cells—had materialized. But he wasn’t out of the woods yet. He
That was proof that the transplant was would have to remain in Montreal for
a success!” says Leblanc. another month to undergo tests three
He remained in isolation and was times a week at Hôpital Maisonneuve-
administered daily infusions of blood, Rosemont. “The day I received my trans-
platelets, antibiotics to fight infection, plant, the doctors told me it was like
magnesium and potassium. “The che- being reborn,” Leblanc says.
motherapy was so powerful that I had High on his renewed lease on life, he
ulcers in my mouth and was fed intrave- wanted to thank his donor personally.
nously for five weeks.” And so he filled out a document that
To pass the time, he read a lot and fol- would be given to Kehl—but only when
lowed his team’s campaign to get him two years had passed since the trans-
re-elected. On the eve of the French- plant. “That’s an international rule that
language TV debate on September 30, exists to make sure the transplant really
2019, his old friend Justin Trudeau paid worked,” explains Joron.

rd.ca 73
In January 2020, after Jonathan Kehl (left) donated bone marrow, Dominic Leblanc
returned to work in Ottawa.

IN JANUARY 2020, Leblanc returned to donor’s information. Leblanc was


Ottawa to the applause of the members dumbfounded. He had the donor’s
of the House of Commons. Only his lack name, Jonathan Kehl, and some infor-
of hair, which had fallen out due to the mation about him.
chemotherapy, hinted that he’d been ill. “I was struck by his age—he was born (DOMINIC LEBLANC) REUTERS/ALAMY STOCK PHOTO

He was starting to feel healthy again, but in 1999,” says Leblanc. He excitedly
“I have the immune system of a four- asked an aide to look up his benefactor
month-old,” he jokes. “It’s coming back on Facebook. He was adamant about
( JONATHAN KEHL) © PRIVAT/DKMS ;

slowly, and I have to be careful. It’s get- getting in touch with him.
ting better and better.” Stéphane Dion, then Canada’s ambas-
But he often thought of the man who sador to Germany in Berlin, suggested
saved his life. In 2021, two years after the Leblanc write his donor a message in
transplant, the politician was on his way English and have it translated into
to the Ottawa International Airport German. “You saved my life, and I am
when he got an email from Hôpital extremely grateful for your generosity,”
Maisonneuve-Rosemont: They had his Leblanc wrote.

74 september 2023
Inspiration reader ’s digest

When Kehl received the note, he was dignitaries. Prime Minister Trudeau
stunned. He and his mother searched extended his heartfelt congratulations
the internet for Dominic Leblanc’s for the young man’s generosity.
name, and all signs pointed to him being Kehl’s whirlwind trip included a quick
a Member of Parliament. “It was unbe- stop in Montreal and then a few days
lievable!” exclaims Kehl. of salmon fishing on New Brunswick’s
Four days later, Leblanc’s heart Miramichi River, where he revelled in the
pounded as he read the reply. “After all majestic landscapes (despite not catch-
this time, I am very happy to know you ing anything). “Everything was beauti-
are well,” Kehl wrote in English, which ful,” says the young man.
he’d been learning since he was nine. Though he was happy that his host
They set up a virtual meeting two weeks promised to visit him in Germany, Kehl
before Christmas. felt heavy-hearted as the parliamentar-
“I was so touched when he said he ian drove him to the airport to catch his
felt responsible for my health,” says flight back home. He had the strange
Leblanc. The men spent time talking impression that he was leaving part of
about what they’d been through, and himself behind.
Leblanc invited Kehl to visit him in “Jonathan’s extraordinary gesture
Canada when the pandemic subsided. gave me a second life,” says an emo-
tional Leblanc. The chances of his can-
“THIS YOUNG MAN saved my life,” said cer returning get lower and lower with
Dominic Leblanc as he proudly intro- time, but if he ever needs another stem-
duced Kehl to the correspondents and cell donation, Kehl has promised to
photographers on Parliament Hill in come to the rescue of the man he now
Ottawa on September 28, 2022. Kehl feels forever connected to.
was overwhelmed by the welcome, “I consider Mr. Leblanc to be my
which was usually reserved for foreign genetic twin,” he says.

The Spirit of Giving


If we’re not put here for anything else but to help each other get through life,
I think that’s a very honourable existence.
TOM BROKAW, JOURNALIST

In charity there is no excess.


FRANCIS BACON, PHILOSOPHER

After the verb “to love,” “to help” is the most beautiful verb in the world.
BERTHA VON SUTTNER, NOVELIST

rd.ca 75
HEALTH

We can be
pretty hard
on them, so
let’s show
our feet
some love

BY Sydney Loney

76 october 2023 illustrations by Elise Conlin


reader ’s digest
reader ’s digest

journal Scientific Reports. “All of this


can affect activities of daily living,
including the desire to go outside.”
Meanwhile, a 2017 study, also in
Spain, of able-bodied university stu-
dents found that poor foot health not
only prevented them from being physi-
cally active but also increased their risk
of becoming socially isolated as a result.

Walking. The Bunion Blues,


and Other Woes
If foot pain limits your activity and

Hiking.
lasts more than a week, says Paul Langer,
a Minnesota-based sports-medicine
podiatrist, it’s time to see a podiatrist or

Jogging.
an orthopaedist. Adds Hartley Miltchin,
a Toronto podiatrist who has dubbed
himself “the Bunion King,” if feet—the
body’s foundation—aren’t performing

Biking.
properly, they throw everything else off.
“They’re like the base of the Tower of
Pisa. When they’re off, the tower leans.”
Bunions are one of the most com-
Unaided, we can’t do any of these mon foot problems preventing people
things without our feet. So why, when from being active. Almost a third of us
our quality of life is directly related to have one. It’s the bony bump that can
being active, do many of us ignore form when the big toe becomes mis-
these two vital parts of our body? aligned; that causes the tip of the toe to
Spanish scientists expressed concern move inward and the joint at the base
over a rise in foot issues in their 2021 to stick out sideways. Bunions don’t go
study of how poor foot health affects away on their own.
everything from physical activity to the Troy Gubb had always been active,
overall health of able-bodied people but about a decade ago, in his early 40s,
(participants ranged from age 15 to 69). he developed a bunion on his left foot.
“Foot problems can reduce quality of When the Toronto-based manager for
life, lead to loss of balance, make it dif- a communications and media com-
ficult to put on shoes and increase the pany removed his skates after playing
risk of falling,” the authors wrote in the hockey, his foot was red and inflamed.

78 october 2023
Health

After a round of golf, it throbbed. Even- The most common are exostectomy
tually, he had to give up hockey, then (or bunionectomy) and osteotomy, and
golf, then running. He couldn’t even they’re usually done in tandem. The
take Carl, the family bulldog, for a walk. surgery takes from 45 minutes to an
“The end of the line was last fall,” he hour. Exostectomy involves shaving off
says. “I was limping around with a cane the bump of the toe joint. Then an oste-
and I couldn’t put pressure on my foot.” otomy is done to solve the underlying
He began looking into how to deal with issue. A surgeon makes cuts along the
bunions. bone to realign the joint and inserts
The condition is generally caused by a pins or screws to hold the bone in
combination of genetic predisposition place. Sometimes a small piece of the
and footwear, says Dr. Kathleen Gartke, big toe’s bone might need to be
senior medical officer at the Ottawa Hos- removed to help straighten the toe.
pital and an orthopaedic surgeon who
has performed many bunion-removal
procedures. “Fashion is not kind to feet,” HAVING STRONG
she says, adding that wearing tight or MUSCLES IN OUR
narrow-toed shoes, high heels or shoes FEET AND ANKLES
with no support is okay now and again,
but “not all day, every day.” REDUCES OUR RISK
If you notice a bony bump forming at OF FALLING.
the base of your big toe, try spending
more time in shoes that don’t crowd
your toes. Gartke also recommends The good news is that the procedures
wearing a toe spacer (available at most often require only a local anaesthetic.
pharmacies) between your first and And what was once a painful recovery
second toe to help keep them straight. can be better managed with a continu-
It can also help you identify shoes that ous nerve block. That’s when an anaes-
you shouldn’t wear—any that feel tight thetist puts a small tube into the back of
when you are wearing the toe spacer. the knee that delivers freezing into the
Bunions tend to worsen over time. nerve that connects to the foot in the
If they become so painful that they bunion area.
interfere with your daily life, consider “The tube can remain in place for a
having them surgically removed. “All few days and provides excellent pain
bunions are not created equal and so control,” says Gartke. Full recovery—
there are dozens of different procedures when there is no more swelling or ten-
available,” Gartke says. “An X-ray will derness—takes from four to six months,
help your doctor decide on the one that depending on the procedure and the
best addresses your problem.” severity of the bunion.

rd.ca 79
reader ’s digest Health

Gubb had Miltchin remove his with Achilles tendinitis is an overuse


a surgery the podiatrist developed that injury that causes pain in the Achilles
is quicker, less invasive and has a faster tendon, which connects your calf mus-
recovery time. He trains other podia- cles to your heel bone. Resting and
trists, as well as orthopaedic surgeons, over-the-counter pain medications
in the procedure, during which he uses help, as do physio stretching and
precision instruments to make small strengthening exercises. Orthotics that
cuts in the bones to bring the big toe elevate the heel can also relieve strain
back into alignment. on the tendon.
Six weeks after his surgery in April Another common culprit for foot
2022, Gubb was golfing again. By sum- pain is osteoarthritis, which is typically
mer, he was running (and winning) attributed to wear and tear. “One in six
races, and he returned to playing people over the age of 50 have arthritis
hockey and skating with his daughters in their feet, and, with 33 joints in each
a few months later. He only wishes he’d foot, that can be an issue that limits
addressed his foot pain 10 years earlier. activity,” Langer says. Treatment
Apart from bunions, Langer says, the includes medications (such as acet-
other common causes of foot pain that aminophen and nonsteroidal anti-
drive people to his clinic include plan- inflammatory drugs like Advil and
tar fasciitis, Achilles tendinitis and Aleve), physical therapy, cortisone
osteoarthritis. injections or even joint replacement.
Plantar fasciitis is a stabbing heel
pain common in runners and dancers. Keep Your Feet Happy
It is caused by inflammation of a band Sometimes, taking care of your feet and
of tissue—the plantar fascia—that runs preventing problems begins elsewhere
along the bottom of your foot, connect- in your body. Dahlia Fahmy, a physio-
ing your heel to your toes. It’s not a therapist and owner of Sports and
muscle, tendon or ligament, so it’s rigid Ortho Physical Therapy in Chicago,
and can’t stretch. describes the body as “a kinetic chain.”
Over time, microtears develop on the Every move we make creates a chain
tissue, causing pain. In people who reaction in our muscles, tendons, liga-
overpronate (roll their heel inward when ments and joints.
they walk), it’s worse because that cre- “The foot is the driver of all move-
ates even more tugging. Langer says ment,” Fahmy says. “When the foot hits
that an off-the-shelf insole may help to the ground, everything else in the body
relieve strain on the plantar fascia. If changes, and if a foot is dysfunctional,
that fails, orthotics may be considered. it can drive everything up the chain to
Stretching, physiotherapy and icing the be dysfunctional, too.” The key to a
area can also help relieve symptoms. healthy, stable foot, says Fahmy, is

80 october 2023
strength in the glutes and mobility related injuries by more than 50 percent.
through the hips and calves. “Our feet To keep his own feet fit, Langer trains
need help from their friends above to the large muscles in his legs and the
keep them working properly.” small muscles in his feet with hill run-
Langer agrees, and frequently sends ning and something called toe yoga.
his podiatry patients exercise informa- “The idea is to first activate the muscles
tion and referrals to a physiotherapist of the foot, then progressively integrate
to work on strength-training calf mus- the muscle activation into more chal-
cles, quads, hamstrings and glutes, as lenging movements, like going from
well as the upper body. He points out sitting to standing, then standing on
how important it is to strengthen the one foot, then hopping, then running.”
muscles of the foot and ankle. “Numer- A good pose to start with: Stand so
ous studies show that having strong feet your weight is evenly distributed
reduces our risk of falling and helps between your big toe, pinky and heel.
offset the natural deterioration of mus- Then lift all five toes off the floor, spread
cle that starts around age 50.” them as far apart as you can, and then
Scientists at the University of São lay them back down, one toe at a time.
Paulo in Brazil concluded that strong Langer, who has run more than 25
feet can reduce your risk of running- marathons, has long been fascinated by

rd.ca 81
reader ’s digest

how our feet carry us through the world. Medical Association Internal Medicine
“We don’t often think of our feet as sen- analyzed activity-tracker data from
sory organs, but they send a tremendous 78,500 people and found that brisk
amount of information to our brains to walking for 30 minutes a day led to a
help us maintain balance, adapt to dif- reduced risk of heart disease and cancer.
ferent surfaces and move efficiently.”
He compares what happens when we The Right Shoes
walk on a soft, sandy beach versus a Despite research touting the benefits of
concrete sidewalk: Sand is unstable and extra cushioning, Langer says there is
requires much more energy to move no magic shoe that is ideal for most
over than a firm, flat surface, such as people. One of the biggest mistakes
concrete, he says, so “Our feet provide people make, he says, is relying on
the sensory input that allows our brains reviews or salespeople for recommen-
to change the limb stiffness of our legs, dations on the “best” shoes.
helping us optimize our movement pat- “Comfort is extremely important, but
terns for various surfaces.” comfort is complex and can’t be quan-
Walking outdoors has several health tified,” he says. “For example, I like a
benefits for our feet, one of the most cushy—but not too cushy—forefoot
important of which, says Langer, is the and a wide, round toe box.” Trial and
variety of terrain. “Uneven terrain error, and gut instinct, are his secrets to
forces our joints to bend and flex to successful shoe shopping.
adapt, and it requires our muscles and Helen Branthwaite of the Royal Col-
neurologic system to work harder to lege of Podiatry is a senior lecturer in
provide power and balance.” All of this clinical biomechanics at Staffordshire
helps us maintain our range of motion, University in the U.K. She has based
strength and balance. much of her research on her own pas-
So it was welcome news last year that sion for shoes and her interest in the
Parks Canada joined PaRx, the coun- impact they have on foot mechanics
try’s first national nature-prescription (sneakers are her favourite, though she
program: doctors can now prescribe does own a pair of heels or two).
time in national parks and conserva- “Research shows that shoes affect
tion areas. how we function,” Branthwaite says,
Regardless of the surface you do it on, “and influence our movement and how
walking offers myriad health benefits. much pressure we put on our feet.” If
Canadian researchers found it’s one of shoes aren’t comfortable the moment
the best—and most preferred—forms of you put them on, they’re best left on the
exercise for people with osteoporosis. shelf. “The concept that you can wear a
Plus, a study published in September shoe in, or that it will stretch, is non-
2022 in the Journal of the American sense,” she adds.

82 october 2023
Health

Branthwaite, who has a podiatry balance but made people feel safer and
practice in Macclesfield, England, rec- more stable when walking.
ommends that shoes match the shape Gillian Parkinson, a retired speech
of your foot. So if you have a square-ish and language pathologist in Wilmslow,
foot, for example, look for similar- England, can attest to the difference a
shaped shoes. And arch support is key. change in footwear can make. Parkin-
Some brands are developing styles to son recently turned 70 and was finding
accommodate common foot issues, walking increasingly difficult. She had
such as bunions. developed Achilles tendinitis and was
Branthwaite also advises patients on also rolling over on her ankles.
what to wear to solve foot problems, After a few unnerving falls, she went
whether it’s more cushioning for heel to Branthwaite for help. The first thing
pain or smooth inside seams for bun- the podiatrist did was have Parkinson
ion sufferers. “Sometimes the shoe switch up her shoes (replacing slip-on
becomes the treatment,” she says. loafers with shoes that had a Velcro fas-
One of Branthwaite’s patients was tening and a sole with more contact
suffering from such severe arch pain area to help with stability). Then she
that she could no longer walk her dog, added a heel-raising insert so Parkin-
so Branthwaite had her replace her son would be better balanced.
flimsy ballet flats with sturdy, support- Not only did her Achilles tendinitis
ive boots. disappear, but Parkinson began walk-
In 2021, French researchers studied ing outside again, even tackling the
the use of shoes specifically designed to occasional hill. “Within about 50
improve balance and stability in every- metres of our home, my husband and I
one from athletes in training to people can access a country lane. Or we drive
over 65. They noted that more than 30 to a historic site where we can walk for
percent of people older than 65 fall each a couple of miles and reward ourselves
year, and falls account for 90 percent of at a little café at the end,” she says.
hip fractures. The researchers con- “Therapeutically and psychologically,
cluded that the shoes not only improved walking does me good.”

Creative Expressions
Every child is an artist. The problem is how to
remain an artist once he grows up.
PABLO PICASSO

College isn’t the place to go for ideas.


HELEN KELLER

rd.ca 83
reader ’s digest

Paul Magder, co-founder


of Repair Café in Toronto,
fixing a humidifier.
ENVIRONMENT

DIY repairs are


making a big
comeback as
a remedy for
our throwaway
The culture

Revolution
about to toss the item out. “I can’t
BY Vanessa Milne bear to throw away nice clothing just
because of a hole,” she explains. As a
knitwear designer based in Galashiels,
flora collingwood–norris was play- Scotland, she was used to making her
ing with her new puppy, Stitch, while own sweaters, but after she was left
wearing a favourite second-hand find: with a handful that had Stitch-inflicted
a coral cashmere sweater. Stitch, an holes, she decided to tackle a new skill:
excitable black poodle mix, jumped up mending. She began by reading a book
and grabbed her sleeve—and tore sev- called Make Do and Mend, about the
eral holes in it with her sharp teeth. innovative thriftiness that emerged
Collingwood-Norris, now 37, wasn’t during World War II.

photo by Kosta Bratsos rd.ca 85


reader ’s digest Environment

Instead of trying to make the repair as material we need to extract from nature
small as possible, she turned to “visible by a third.
mending,” a trend in repairing clothes Here’s how governments, grassroots
that leaves an intentionally obvious fix. organizations and everyday people are
Sewers add flowers, bright plaid squares taking things into their own hands.
or other small designs to damaged
clothes. “Every time you do a repair, Right-to-Repair Legislation
it’s like having a new garment in your While mending clothing is a skill any-
wardrobe,” says Collingwood-Norris. one can learn, repairing things like cell-
She’s even started to repair other phones and appliances isn’t so easy. In
things—including a hole in the uphol- fact, some products are made in a way
stery of the wide red sofa chair she’s that prevents consumers from doing
sitting on during our video interview. so. Companies such as Apple and Sam-
Sadly, we have become accustomed sung have even been fined for “planned
to replacing things instead of repairing obsolescence”—designing products
them—and the garbage is piling up. that break easily or become outdated
Worldwide, we toss out 92 million quickly, forcing consumers to buy new
tonnes of textiles every year. Electronic ones or purchase upgrades.
waste is another growing problem: An But a global “right to repair” move-
estimated 50 million tonnes of it is cre- ment is pushing back against our dis-
ated each year around the world. In posable culture. Consumers want to
Canada, e-waste has more than tripled be able to fix what they’ve bought—to
in the last 20 years, reaching nearly one reduce their environmental footprint,
million tonnes in 2020. to save money or just on principle.
The good news is that fixing things Governments are also playing a role
can help solve the waste problem. It’s in shifting corporations from a use-it-
part of a larger shift toward a circular and-replace-it business model to one
economy—the idea that instead of toss- that’s more repair friendly. In March,
ing out items once they are broken or the European Commission adopted a
out of date, we reuse, repair or refur- right-to-repair directive, demanding,
bish them, keeping them out of the among other things, that companies
landfill for as long as possible. sell replacement parts for five to 10
Approximately one-third of green- years after their products are sold.
house gas emissions come from man- Right-to-repair legislation has now
ufactured goods and consumables. been filed in more than half of the U.S.
According to a 2023 report from Circle states; Australia passed a motor vehicle
Economy, a Netherlands-based NGO, right-to-repair law; India has pro-
if the world switched to a circular econ- posed a framework for mobile phones,
omy, we could lower the amount of tablets, cars and farming equipment;

86 october 2023
Flora Collingwood-Norris
and some colourfully-
mended sweater sleeves.
and Canada has a proposed bill to information now available online. The
amend a copyright law that restricts popular how-to site iFixit.com has facil-
access to necessary repair information. itated more than 100 million repairs.
Legislative measures like these both iFixit began in the early 2000s, after its
follow and fuel the public’s desire to co-founder and CEO, California-based
repair, says Ricardo Cepeda Marquez, Kyle Wiens, dropped his Apple laptop,
technical lead for Waste and Water for breaking it. He discovered there were
C40, a global network that helps cities no repair instructions available. With
fight climate change. “Repairing is a help from his classmate and iFixit
great opportunity to become aware of co-founder Luke Soules, Wiens, who
our collective consumption and the had spent his childhood taking apart
urgent need to reduce waste.” radios and appliances with his grand-
COURTESY OF FLORA COLLINGWOOD-NORRIS

father, managed to fix his computer


Online Repair Manuals through trial and error. He and Soules
There was a time when people fixed wrote a manual based on that experi-
things themselves or called their local ence and posted it to a website they
repair shop. But as more items were created called iFixit.com.
manufactured overseas and prices Twenty years later, iFixit has grown
dropped, replacing even a big purchase into a database with nearly 100,000
like an appliance became more conve- repair manuals for everything from
nient than repairing it. electronics to clothing to appliances.
That’s changing, in part due to And its mission has gone mainstream.

rd.ca 87
reader ’s digest

“We’re now seeing manufacturers is on the rise, there is a shortage of


show interest in making it possible for repairers in their 20s and 30s. “Repair-
users to repair things,” says Elizabeth ing requires skills that younger people
Chamberlain, director of sustainability don’t have, simply because they lack
for iFixit. Companies like Google, Micro- experience,” says Christophe Gatt,
soft, Samsung, Motorola, HP, Patagonia president of Repair Cafés Paris. “This is
and the North Face are selling official why we try to share our knowledge.” In
parts and sharing their repair guides late 2022, the group launched the first
through iFixit. Repair Café for children ages five and
“We have this vision of a world where up, with workshop themes such as
repair is the expectation for all things tools, soldering and sewing.
that are made,” says Chamberlain.

Repair Cafés A WHOPPING THREE-


The first Repair Café opened in 2009 in FIFTHS OF CLOTHING
Amsterdam, offering in-person fix-it ENDS UP IN A
help. The volunteer-run network now
has more than 2,700 locations—includ- LANDFILL WITHIN A
ing in Belgium, Canada, Germany, YEAR OF PRODUCTION.
France, India, Japan, the U.K. and the
U.S. Organizers set up events, and vol-
unteers with repair knowledge bring In addition to going home with a
their toolboxes, 3-D printers, sewing coffee maker or toaster that’s working
machines and bookbinding equipment again, visitors to Repair Cafés leave
to places like libraries and community with a better understanding of how
centres. They will try to fix whatever things function, says Gatt. “And when
people bring in, for free, and teach vis- we understand how something works,
itors how to do repairs themselves. we use it better. We ‘consume’ in a
“It is a very social event, with lots of more responsible way.”
discussions about what is being fixed,
and about the whole idea of repair,” Fixable Cellphones
says Paul Magder, the co-founder of a Cellphones are one of the most dis-
Repair Café in Toronto, adding that he carded electronic items. That’s why
thinks a big draw is the sense of com- Fairphone tried to disrupt the industry
munity. Magder, who has been organiz- starting in 2013. The Dutch social
ing Repair Café events for a decade, has enterprise wanted to show that it was
seen the demand for repairs and the possible to produce an ethical smart-
number of volunteers steadily growing. phone that could be repaired.
While interest among all age groups Their smartphones sell for €579 across

88 october 2023
Environment

most of Europe. Customers can fix their keep up with changing trends by offering
own phones with replacement parts— cheaper clothes. It has been disastrous
such as cameras, batteries and speak- for the environment. A whopping three-
ers—purchased from the company’s fifths of clothing ends up in a landfill or
website. Installation guides are readily incinerator within a year of production.
available, and the only tool required is Plus, clothing production requires a lot
a small precision screwdriver (the kind of water—it can take 7,500 litres to make
used for glasses or watch repairs). a pair of jeans, for example.
Some larger companies are now fol- Responding is “slow fashion,” which
lowing Fairphone’s lead. In March, Finn- celebrates high-quality handmade
ish telecom company Nokia released the clothes created locally. As well, more
G22, a smartphone designed to be easily consumers are choosing to buy “pre-
repairable at home. It sells for less than loved” clothing via social media groups,
$240, with repair parts starting at $32 consumer websites or vintage stores.
(it’s currently only available in Europe And, like Flora Collingwood-Norris,
and Australia.) Since the phones can be people are increasingly mending their
disassembled, they’re easier to recycle; own clothing so it lasts longer.
materials like batteries, which can’t be The coral sweater her dog Stitch tore
recycled, can be separated from com- into was patched with bright polka-
ponents like metal cases. dots, and the elbows were mended with
Last year, technology giant Apple circular sunsets and flying-bird silhou-
introduced self-service repair options. ettes. The sweater has become part of
Customers who want to fix their own an exhibit at a museum in Devon, U.K.,
device can go online to rent a repair kit, about clothing repair throughout his-
check out repair manuals and buy the tory to the modern day.
part they need, be it a new screen, bat- Collingwood-Norris now runs mend-
tery or camera lens. And to help facilitate ing classes on Zoom for people around
DIY repairs, newer smartphone models, the world. She also shares advice with
like the iPhone 14, are designed to be her 100,000+ Instagram followers, and
easier to open than previous models. published a book, Visible Creative
Soon all smartphones might have Mending for Knitwear, in 2021.
longer lives: Once approved, the EU’s She’s happy that repairing one’s
right-to-repair directive will include a own clothes is becoming popular
mandate that batteries be easier to once again.
remove and replace. “It sort of skipped a couple of genera-
tions, but it’s really exciting to see it com-
Responsible Fashion ing back,” she says. “It gives me optimism
A few decades ago, “fast fashion” came for the future that there is a willingness
into vogue, encouraging consumers to to change and reassess habits.”

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BONUS READ

IN THE
BA L A N C E
R E A L - L I F E S T O R I E S BY
A LEADING NEUROSURGEON
BY Dr. Christopher Honey FROM THE TENTH NERVE

photographs by Jackie Dives


reader ’s digest

E
reader ’s digest

That doubt was allayed one night in


the ER when a patient named Jeff arrived
by ambulance. Jeff was a 19-year-old
FOR MOST construction worker who had fallen 20
feet from scaffolding while installing
PEOPLE, windows in a new hotel. The paramed-
ics had found him on his back, uncon-
neurosurgery is a mysterious, high-stakes scious but breathing, and had trans-
profession—but that’s part of the rea- ported him to St. Mike’s on a spine board
son I was drawn to it as a curious child with a neck collar.
and, eventually, as a medical intern and My pager beeped and I headed for the
PhD student. trauma bay. The physician in charge
And while surgeons are trained to be was Grant Drysdale*, an emergency doc-
detached and rational, some patients tor in his early 50s, short, lean, with
have left an indelible mark on my soul. grey frizzled hair. Wearing a white lab
Here are the stories of two who pro- coat, its pockets filled with instruments,
foundly changed my understanding of he was being briefed by a paramedic.
both medicine and myself—and of what “No medical history. Vitals stable.
it means to be human. Glasgow score was three at the scene
but 14 in the ambulance.” The Glas-
gow Coma Scale is a numeric repre-
Jeff sentation of the level of consciousness:
In the fall of 1986, I was an intern at St. from three (deeply comatose) to 15 (fully
Michael’s Hospital in Toronto, having alert). Our patient was a 14, meaning
just finished medical school at the Uni- alert but confused.
versity of Toronto and begun a one-year In obvious pain and moaning loudly
clinical rotation to complete my quali- through clenched teeth, he fought with
fications. My internship was designed everyone. His eyes were squeezed shut
to provide exposure to a variety of spe- from the pain. The board he lay on
cialties. I had spent two months each in and the white cervical collar around his
emergency, obstetrics, pediatrics, inter- neck were to keep his spine immobi-
nal medicine and psychiatry. I was now lized. He was moving all four limbs,
trying the field of surgery. suggesting he did not have an obvious
As a naive 10-year-old, I had found spinal cord injury.
neurosurgery appealing, but now, as an I stood behind Dr. Drysdale, waiting
intern at age 25, I was learning its real- to be told what to do.
ities. I was on call for the first time, work- The orderly ran large, orange-handled
ing all night and the next day. I began scissors up one pant leg and a moment
to question if it was right for me. *NAME HAS BEEN CHANGED
Bonus Read

later Jeff’s shirt was open. Two nurses, Drysdale said. He moved quickly through
one on each side, pushed intravenous Jeff’s scalp, face, jaw, chest and abdo-
(IV) lines into his arms. Then they stuck men, before methodically squeezing
electrocardiogram leads on his chest and up and down each arm and leg.
put a small white pulse oximeter on his “We need to roll him,” he announced,
finger. The monitor began to beep with and all the players took their positions.
each heartbeat at a pitch proportional Everyone stood on Jeff ’s right side
to the amount of oxygen in his blood. except Drysdale. One nurse held the
The beep had a reassuringly high pitch. head, another reached across his chest
A blood pressure cuff was wrapped to hold his left arm, the orderly reached
around his upper right arm; the reading, across his legs to hold his left thigh,
105/55, was lower than it should be, but and I stood motionless not knowing
not alarming. His heart rate was 130 what to do.
and his respiratory rate was 26—both Drysdale looked at me and said, “Grab
higher than normal but not surprising his legs.” I moved beside the orderly and
for a patient in pain. held Jeff’s ankles. Drysdale counted,
“On three. Ready, one … two … three.”
Everyone rolled Jeff toward them so
DR. DRYSDALE WAS Drysdale could see his back while keep-
VISIBLY SHAKEN. ing the spine straight.
WE HAD ONLY FIVE After palpating Jeff’s back, from below
the collar to his tailbone, Drysdale said,
MINUTES BEFORE THE “Wait a second. What’s that?” He was
PATIENT WOULD DIE. looking at Jeff’s back. “There’s a one-
inch cut between the ribs on the left.”
Reaching into the thin wound, he found
Drysdale assessed the victim’s air- a piece of glass and started pulling it
way, breathing and circulation. Every- out as Jeff moaned louder. It was out,
thing was okay. He spoke to him, “Can and Drysdale stood up and held up the
you tell me your name?” bloodied shard. It was as long as a steak
The patient spoke through his knife and slightly wider.
clenched teeth, “Jeff …” “Roll him back, and call thoracics!”
“Jeff, where does it hurt?” he yelled out to the charting nurse. The
“My back, my back … my f—— back.” volume of his voice underlined the
The words were muffled, but it was urgency of his request for the thoracic
clear to everyone where the pain was surgery team, who dealt with serious
and how much he had. chest injuries.
“I’m going to examine you to make We slowly rolled Jeff back. The
sure you don’t have any broken bones,” moment he lay flat on his back, he went

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limp and stopped moaning. His arms fell Drysdale listened to Jeff’s chest
to his sides. I was still holding his ankles, with his stethoscope. With each
but now his feet, which had been point- pump of the ventilator, he could
ing straight up, were flopped open. hear air filling both lungs. There
“What’s his pressure?” barked Drys- was no airway problem. Circula-
dale. The nurse inflated the cuff and, tion, however, was catastrophically
after what seemed like an eternity, said, impaired. “What’s his pressure?”
“I’ve got nothing.” “Nothing,” the nurse responded.
Drysdale demanded two litres of I stepped away from the foot of
saline and four units of O-negative the bed to stay out of the way but
blood, the blood type that can be given be ready to help when told what
to anyone. It arrived in the hands of a to do. This was no longer a learn-
breathless orderly and soon was flow- ing moment where a mentor would
ing into Jeff’s left arm. stop to teach you some important
Drysdale was visibly shaken. The point. A life was slipping away and
patient was in trouble, and there were only Drysdale could save him. We
only about five minutes to figure out were his extra pairs of hands, not
the problem before he would die. Jeff his partners.
was deeply unconscious, motionless Three minutes.
and unresponsive. Drysdale, standing “Why’s he got no pressure?”
on the patient’s left side, grabbed his Drysdale said aloud. He glanced
shoulder, squeezed it and yelled at him, up at the electrocardiogram (ECG),
“Jeff, open your eyes!” seeing what looked like a flat line
There was no response. He grabbed from where he was standing.
Jeff’s left nipple, squeezed and turned “Start compressions,” he commanded,
it, and yelled again, “Does that hurt?” and the team immediately moved to
Nothing. Without any blood pressure begin CPR—cardiopulmonary resusci-
to perfuse it, Jeff’s brain had stopped tation. The bed was lowered and the
working. “We’ll tube him,” Drysdale nurse on Jeff’s right side stood up on
told the nurse. a footstool and leaned down on the
Drysdale was going to intubate the patient’s chest with both her arms
patient because in an unconscious per- straight, hands on top of one another
son the tongue can relax into the throat with her fingers clasped. She leaned the
and cut off air to the lungs. He opened heel of her hands hard into the middle
Jeff’s mouth with a metal-bladed laryn- of Jeff’s chest and counted, “One and
goscope and slid an endotracheal tube two and three and four, and five and six
down his throat. Then the tube was con- and seven and eight ….”
nected to a ventilator to breathe for him. Each compression pushed Jeff’s chest
Four minutes left. down against his spine and squeezed

94 october 2023
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his heart, mimicking a heartbeat. The reached for Jeff’s neck. He tried to find
compressions forced whatever blood the carotid pulse to see if his heart was
was in his heart to move out into the working and moved his fingers around
aorta and around his body, thanks to above the neck collar in several places.
the heart’s one-way valve system. Drysdale looked up at the ECG rhythm
After 15 compressions, the respira- and saw a flat line. No heart activity.
tory therapist squeezed the ventilation Two minutes.
bag and pushed two large breaths into “Restart compressions.” He still could
the patient’s lungs. The endotracheal not find a pulse. “Give me a shot of ‘epi’
tube had been disconnected from the and be prepared to shock him.” The
ventilator and attached to a bag of oxy- nurse injected into the IV one milli-
gen so the breaths could be coordinated gram of epinephrine—the injectable
with the chest compressions. After 30 form of adrenalin, the powerful hor-
compressions, another two breaths. mone that gives the heart a boost of
“Hold compressions.” Drysdale energy. The defibrillator was brought

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in, but Drysdale knew that someone the characteristic shape of an ECG trac-
with no heart activity (“asystole”) would ing, but the amplitude was reduced
not respond to its shock. He wanted it almost to a flat line.
ready in case the rhythm changed to “Asystole,” Drysdale called out.
something shockable. “Resume compressions.”
The nurse pushed down on Jeff’s chest “No!” I shouted. “He has a rhythm.”
and the respiratory therapist squeezed “What?” Drysdale was as surprised
air into his lungs. Drysdale held Jeff’s that I would contradict him as he was
wrists to measure the degree of pulsa- that I thought there was a rhythm. The
tion in his radial artery. “Deeper com- room was silent. The protocol does not
pressions,” Drysdale commanded. The allow for discussion or dissent. Every-
nurse put the full weight of her shoul- one was staring at me, but I just looked
ders into the compressions, but the doc- at Drysdale and spoke directly to him.
tor could not feel much pulsation. “There’s a rhythm, I can see it,” I
assured him.
Drysdale hadn’t been able to see it
THE GLASS SHARD because the monitor was above his head
HAD CUT INTO JEFF’S and his bifocals showed him only the
HEART LIKE A DAGGER, details below his nose. Now, he moved
right up to the monitor, lifted his glasses
BUT IT HAD PLUGGED and tilted his head way back.
ITS OWN HOLE. “Agree,” he announced. He was calmer
than I was and emotionless in his tone.
There was no “Congratulations!” or “How
“Deeper!” Drysdale was not pleased, dare you?” It was just the right answer
but the nurse was maxing out her effort. and now the protocol changed.
“Chris! Take over compression.” He “EMD!” Drysdale called out. “Another
flashed a glance at me. I moved next to shot of epi.”
the nurse, ready to crush Jeff’s chest. Electromechanical dissociation (EMD)
My own adrenalin had charged my mus- occurs when there is electrical activity
cles. I began, counting aloud up to 15 in the heart but no coordinated pulsa-
and then a pause for the two breaths. I tion to push any blood. The chance of
was standing on the footstool and star- survival is 20 percent.
ing straight ahead at the ECG monitor One minute.
only a few feet in front of me. “Resume compressions,” Drysdale
After a few cycles Drysdale said, ordered, and I leaned down hard on
“Hold compressions!” and we froze in Jeff’s chest. We had begun another cycle
position. I stared at the monitor and when the doctor yelled “Stop!” In a flash
saw a faint tracing of a pulse. It had of intuition, Drysdale had suddenly

96 october 2023
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understood exactly what was happen- pooled in his belly button. I wondered
ing to Jeff. He pulled open the stiff cer- why Drysdale was asking me to be
vical collar around the patient’s neck. involved at this crucial stage. Perhaps it
Jeff’s neck veins were engorged with was a small reward for seeing the rhythm.
blood, standing out like ropes under Drysdale connected the cardiocen-
his skin. Drysdale was directly opposite tesis syringe to a needle that was at
me. He turned to look at me over the least a foot long. He attached one of the
top of his glasses and said, “Cardiac ECG wires to the needle with an alliga-
tamponade!” tor clip and then turned to me. “Stand
The diagnosis explained everything here. Enter here. Aim for his right shoul-
and, more importantly, it had a treat- der.” Drysdale was pointing to a spot
ment. The heart is surrounded by an just below Jeff’s lowest left rib.
empty sac called the pericardium,
which allows it to beat without rub-
bing against anything else. If the sac “I THINK I GOT IT,”
fills with blood, however, the heart is I SAID, AND STARTED
squeezed smaller. It can still beat but it PULLING ON THE
cannot fill with much blood between
each beat. The output of the heart, its PLUNGER. EVERYONE IN
pulse, gets weaker and weaker until the THE ROOM WAS SILENT.
heart cannot fill at all. The glass shard
had cut into Jeff’s heart like a dagger
but had plugged its own hole. When the I was stunned that he wanted me to
shard was removed, the ruptured heart do this but immediately walked around
began squirting blood into the pericar- to Jeff ’s left side, took hold of the
dial sac, choking the muscle closed. mother of all needles, then pushed
The cure was to relieve the pressure the tip in exactly where Drysdale had
around the heart by draining the fluid pointed. The skin puckered inwards,
in the pericardial sac. then gave way as the needle plunged
“Cardiocentesis needle,” Drysdale through. I was aiming for Jeff’s shoul-
ordered, and the nurse flew to the der, and his heart was somewhere
shelves at the back of the trauma bay along the way.
and returned with a small rectangular “When you feel the heart, stop and
box wrapped in sterile green cloth. suck back.” Drysdale’s instructions were
Drysdale looked at me and said, “Ster- simple, but I had no idea what the heart
ile gloves. Prep the belly.” He opened would feel like at the end of a long needle.
the tray and put it between Jeff’s legs as “If the ECG fires, you’re in too deep,”
I gloved and rubbed his lower chest and he added. That made sense because the
abdomen with brown iodine, which needle would cause the heart to fire,

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and the ECG wire connected to the nee- The needle was still six inches into
dle would detect that electrical impulse. his chest. I let go of the blood-filled
Unexpectedly, I did feel the needle syringe and jumped back, lifting my
push on the pericardial sac and then arms like a criminal at gunpoint. Jeff
pop through. “I think I got it,” I said and reached up to the endotracheal tube in
started to pull back on the plunger. his mouth and ripped it out.
Everyone in the room was silent and “I’m Jeff Sageman* and my back is
staring at the syringe. I pulled harder killing me!” he yelled. No one moved.
on the plunger. It stuck momentarily We were dumbfounded and frozen in
and then gave way and glided back. disbelief.
Dark red blood flowed easily into the Only Drysdale remained calm and
barrel. After 30cc, the plunger stopped. knew what to do.
It was sucking against something and “Okay, Jeff, just lie down and we’ll take
no more blood came. care of you,” he said, as he put his hand on
Jeff sat bolt upright. Jeff’s chest and pushed him to lie flat. I

98 october 2023
Bonus Read

was still standing with my arms up in sur- rarely used tray was right at the bottom.
render when the senior resident in tho- “We have to crack the chest,” he told
racics arrived and announced himself. Drysdale. “He won’t make it to the
“Hi. Mike Phoenix *. Thoracics. What’s OR.” Drysdale moved to the head of the
up?” he asked Drysdale. gurney and Phoenix moved to the left
Drysdale summarized the case suc- side of the bed. While Phoenix put on
cinctly. Phoenix looked at the needle gloves and poured iodine on Jeff’s chest,
with the blood-filled syringe still in Jeff’s Drysdale intubated him again. Then
chest. “I’ll call the OR,” was all he said, Phoenix took a scalpel and cut deeply
and started to walk backwards towards between Jeff’s left fifth and sixth ribs;
the phone, still looking at Jeff. the incision curved around his chest
Then Jeff fainted again. Drysdale felt from below his nipple towards his side.
for his pulse at the neck. Nothing. He then pushed his hand in between
“Chris. Once more,” he looked at me. the ribs and inserted a rib spreader—
I pulled on the syringe, but no more two flat metal blades with a crank that
blood came. I moved the needle allows them to be ratcheted apart.
in and out, still pulling, but noth- Phoenix then pushed Jeff’s lung away
ing came. Phoenix was suddenly with his left hand. There was no way to
beside me, pushing me away. He see inside the deep hole in Jeff’s chest, so
pulled the needle right out of Jeff Phoenix used his fingertips to feel for
and squirted all the blood onto the heart. When he found it, he reached
the blankets between his legs, for the scalpel with his right hand and
then pushed the needle back it completely disappeared into the hole.
through his upper abdomen but Phoenix cut a window in the pericardium
it banged up against his lowest to relieve the tamponade on the heart.
rib. Then he angled the needle “Okay,” he said as if the problem was
downwards and slipped it under solved, but Jeff remained motionless.
the rib, pushing the needle to its “No pulse,” Drysdale said from the
hilt. A foot of metal pierced Jeff’s head of the bed with his fingers on
chest. Keeping suction on the Jeff’s neck.
syringe, he pulled the needle “Let the heart fill,” Phoenix responded.
back slowly. No blood squirted “No pulse,” Drysdale returned, not
into the barrel. waiting very long. Jeff was dying again.
Without hesitating, he pierced Phoenix reached back into Jeff’s chest
Jeff again. Nothing. and held his heart in his left hand. He
“Open the thoracotomy tray,” squeezed his fingers towards his palm
he called out, and the nurse and rhythmically squished Jeff’s heart.
rushed over to the shelf. The Open cardiac massage—I had never
*NAMES HAVE BEEN CHANGED before seen this done.

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“I need to call the OR,” said Phoenix covered the gaping chest wound with a
and looked at me. “Squeeze his heart.” wet green towel.
I moved behind Dr. Phoenix and Phoenix returned and said, “The OR
waited for his instructions. He just is ready. We’re taking him.” With that
pulled his hand out and walked away. the orderlies wheeled Jeff away to the
No instructions. operating room, surrounded by nurses
I pushed my gloved left hand through scuttling sideways with the stretcher
the tight space between Jeff’s ribs and and a respiratory therapist squeezing
it popped inside. His ribs squeezed my the bag blowing air into his lungs.
forearm and I could feel his heart like a I looked at Phoenix and called out to
chicken breast. I reached around it and him, “Will he be okay?”
pressed it against my palm. It refilled as
I let go. I squeezed again and it refilled.
This was working. IT WAS THE MOST
“Good compressions,” Drysdale EXHILARATING THING
reported, his finger on Jeff ’s carotid I’D EVER EXPERIENCED,
artery. Emboldened, I squeezed harder.
Each time, Jeff’s heart refilled with blood THE MOST REWARDING
and swelled larger, moving more blood HOUR OF MY LIFE.
forwards through his aorta and around
his body. Suddenly, I had a horrible
thought—what if I put my fingers through Phoenix looked at me and changed my
his heart? I squeezed more gently and life forever. “Yeah, he just has a hole in his
looked up at Drysdale. heart.” The surgeons would suture the
He nodded reassuringly. “Good com- hole in Jeff’s heart, and he would leave
pressions.” I think he knew what I was hospital 11 days later. Problem solved.
thinking. There was no team debrief. The charge
Then I felt Jeff’s heart come alive. It nurse simply handed me another chart.
started to beat inside my hand. I held I have no idea who that next patient was
still and felt it move with a twisting or what their problem was. All I could
power, beating on its own. I had flushed think about was getting home and tell-
enough oxygenated blood through to ing my wife, Karla, about the drama of
feed his heart and get it started again. my day. The brief surgery that allowed
I left my hand in place, scared any me to massage Jeff’s heart was the most
movement would undo things. I looked exhilarating thing I had ever experi-
at Drysdale and said, “I’ve stopped, but enced, the most rewarding hour of my
he’s going,” and waited for instruction. life. This man had died twice, and lived.
He said, “Out.” I pulled my hand out. This was how I wanted to spend my
Drysdale said, “Good pulse,” and life. Surgery was the right path for me.

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a paved courtyard at its centre. It was


Saika hot and humid; there was air condi-
By 2014, I’d been a neurosurgeon for 25 tioning in the operating rooms and the
years. No patient of mine had died after staff lounge, but not on the wards. At
an elective operation, and I was proud the back of the compound was a large
of my winning streak. I saw my goal as locked shed humming with two diesel
operating without complication, not generators that provided the hospital
necessarily improving a patient’s life. with electricity. They ran one at a time,
But a baby boy in Africa taught me to 12 hours each.
see purpose in helping the patient yet Among the cases we would operate
losing to the disease. To see that medi- on were two infant boys with massively
cal learning and discovery is not just a enlarged heads characteristic of hydro-
science—it’s also an art. cephalus. That’s a condition where
In the spring of 2014, I landed in the flow of cerebro-spinal fluid (CSF)
Monrovia, Liberia’s capital, as part of through the brain is blocked and the
an international aid mission that would fluid builds up. CSF is a clear, water-like
perform the first neurosurgical opera- fluid produced within the ventricles
tions in the West African country. (cavities) of the brain, and flows around
The Korle-Bu Neuroscience Founda- the organ, allowing it to float inside the
tion was supporting this effort. A group skull. If there is a blockage en route,
of nurses and physicians, initially from fluid builds up and the ventricles dilate,
where I worked, Vancouver General Hos- crushing the brain against the skull.
pital, had helped set up and equip a A baby’s skull is made of separate
neurosurgery service in nearby Ghana. bones that, to allow the brain to grow,
Now the foundation’s director wanted do not fuse for several years. The gaps
to put a satellite clinic in Liberia. between these bones, called fontanelles,
The foundation had sent an African feel like the soft spot on the top of any
neurosurgeon from Nigeria to the Jack- baby’s head. If hydrocephalus begins
son F. Doe hospital a month earlier to see before their skull has fused, the infant’s
patients and identify some for surgery. head will balloon in size. Before the
The hospital, in Tappita, a six-hour drive 1950s, the condition and its treatment
east of the capital, had Liberia’s only CT were often lethal.
scanner. At least a dozen people were But the two babies had very different
now waiting for neurosurgery if condi- prognoses. A CT scan of Joshua, nine
tions were right for me to proceed. This months old, showed enlarged ventri-
would be their only chance for the sur- cles that were pushing outwards and
gery they needed. enlarging his skull. He would benefit
The hospital was a white, square two- from a ventricular-peritoneal shunt,
storey structure with a red tile roof and which regulates the flow of CSF, and I

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had brought one from Vancouver. He When we met to choose


seemed otherwise healthy and happy. which of the boys would be
The second baby, Saika, was far worse operated on next, the decision
off. Also nine months old, he could not was clear: Joshua. His surgery
lift his enlarged head off the crib. The went well, and we were done
brown skin of his scalp was stretched by lunchtime. The follow-up
paper thin, and every vein was visible CT scan showed the shunt was
beneath its translucent surface. His in an ideal location and had
young mother lived in a small village begun to decompress his ven-
with no running water about three days’ tricles. Joshua could go home
walk from the hospital. in a few days.
A nurse told me that Saika had been Our team met that evening
treated by the local healer. When his to discuss our plans for the
head began to grow, the healer wrapped next day. To my surprise, the
it in a plaster of mud, manure and Nigerian neurosurgeon sug-
straw. The mixture turned rock-hard in gested we operate on Saika.
the sun, and the helmet limited skull I outlined why this would
growth. But the pressure inside Saika’s be futile. Saika had a serious
head eventually broke the plaster. It infection and we had no way
must have been excruciatingly pain- of culturing the pathogen to
ful. I knew, as an outsider, that I held choose the correct antibiotic.
Western biases and should not judge, The infection probably came
but when I heard this story and imag- from the manure that had been
ined the child’s unnecessary suffering, wrapped around his head, the bacteria
I could not regard the traditional healer having entered through his thin scalp.
with equanimity. We didn’t have strong enough antibiot-
Saika’s CT head scan was so abnor- ics to handle an infection from bowel
mal that it was difficult to pick out the bacteria. Even if we did, we couldn’t
normal structures. Most of his brain provide a long-enough course.
was compressed by a grapefruit-sized A closer look at the images of his brain
cyst of fluid on the right side. All the showed multiple smaller abscesses,
ventricles were enlarged, and pushed and we had no way to drain them all.
into the left side of the head. There was The infection would have already
a small ribbon of abnormal brain sur- damaged his brain, and it was highly
rounding everything, and the combina- unlikely he would survive in his village.
tion of the cyst fluid and enlarged I was categorical in my conclusion. We
ventricles had pushed the skull bones were not going to operate on Saika.
open, causing the massive head. He This child was going to die and there
could not be saved. was nothing we could do about it.

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My Nigerian colleague patiently never formulated a treatment around


explained why it was important to try: how society felt about a patient and
“We can fail. Africans are used to med- his mother. They all looked at me. All I
icine failing. There is no cure for Ebola, could say was, “Wow. I’d never thought
for instance. But the village needs to about it like that.” It did not take me
know we thought it was a medical prob- long to agree that we should try to help
lem. If we stand back, they will think this boy. The details of how we would
we believed there was something else do so, however, were unclear. It was
wrong with him. They will cast the medically unsound.
mother out of the village. They will think I looked at Saika’s CT scan again, and
the boy has been possessed and that eventually concocted a far-fetched but
there is some evil in his mother for her plausible plan.
to have a child like this. Even she will “We could try to drain the main fluid
believe she has done something wrong.” collection on the right side of the brain,”
Everyone in the room was nodding I said. “He might get temporary relief
while he spoke. I was dumbstruck. I had and we would be more certain of the

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diagnosis. If it is an abscess, we will “Okay, here we go,” I announced, and


know the prognosis is lethal.” started to advance the needle’s sharp
Saika arrived at 9 the next morning, tip towards Saika’s skin.
washed and changed by his mother and That’s when the lights went out, sub-
the nurse. Too weak to cry, he was laid merging us in darkness. It was early
on his back on a small table covered in morning, but the operating room had
green towels. no windows.
I explained the plan to everyone in “What the hell?” the anesthesiolo-
the room. First, we’d put some anaes- gist blurted. I pulled back. I had not yet
thetic in his scalp; he was too weak for pierced Saika’s head. All the monitors
a general anaesthetic. “Then I will push started to beep as they switched over to
a large needle into the part of his skull battery power. The noise was deafen-
where I think the abnormal fluid is,” I ing, particularly in the dark.
said. “Then I’ll withdraw the syringe
plunger to pull out whatever fluid is
there.” The brain doesn’t feel pain when I WENT TO SEE HOW
it is touched. Saika would not suffer. SAIKA WAS DOING.
I took a number of measurements off HE WAS MORE ACTIVE,
the CT and marked the spot on Saika’s
head where I thought we should go AND COULD NOW
through his scalp. I studied the images CRY WITH STRENGTH.
again to understand the depth and direc-
tion of the needle and how the fluid
would then distort the brain after I began Four or five minutes later, the lights
to remove it. Brain shift, with a needle came back on. Shortly after, someone
deep inside the skull, could be disastrous. in dirt-stained overalls peered around
When we were ready to begin, I gently the doorway of the operating room and
washed Saika’s scalp with warm water said, “Don’t worry. We just switched
and soap. The skin looked very fragile, over the generator.” The alarm on each
so I did not scrub hard. Then I applied monitor was eventually turned off, and
dark-brown iodine solution, and after gradually the operating room returned
it dried, I put a small amount of local to normal. Saika continued to breathe,
anaesthetic underneath the skin with a oblivious to the near disaster.
tiny syringe. Saika did not cry. A nurse I leaned over Saika again. The needle
handed me a syringe attached to a pierced his skin and penetrated deep
thick, two-inch-long needle. I bent into his brain. At the one-inch mark, I
over the baby, resting the back of my paused and pulled back the plunger.
left hand on his head and holding the The syringe filled with a thick green
syringe in both hands. fluid. It was easy to get 50cc. I twisted

104 october 2023


Bonus Read

the syringe off the needle and emptied made his head grow. I’ve removed some
the fluid into a kidney basin. It was of the infection, but it’s strong and he
definitely an abscess. is very young.” Her eyes pierced mine
I reconnected the syringe and pulled when she asked, “Can you do more?”
out another 50cc. Then another 50, and “No,” I replied.
another. I had estimated that the volume She bowed her head and turned away.
of the cyst before surgery was at least She sat down in a chair beside the crib
half a litre (500cc). Saika’s head began to and looked at Saika and then up at me.
collapse. The next pull of the syringe had “Thank you,” came the translation. She
resistance—something was blocking did not cry. She picked up her son and
the flow of pus into the needle, proba- held him, rocking him back and forth
bly the brain collapsing into the evacu- in her arms. She understood.
ated space. I repositioned the needle Saika and his mother were welcomed
further backwards and deeper, pulled back to their village a few days later. The
out another 50cc and then stopped. I nurses covered my small bandage with
did not want a huge brain shift, which a very, very large dressing that wrapped
could tear some of the blood vessels. around his head like a turban. It was
I put a small bandage on Saika’s scalp clear to everyone that he had had a med-
where the needle had been. We would ical procedure—a brain operation.
let the infant recover and then reimage Normally I get to see my patients
his brain. He was swaddled and bundled after surgery in follow-up and learn
off to the recovery room and was back how they did. But Saika was a three-day
in his mother’s arms a few hours later. walk away—I would not hear anything
That evening I went with the medical further about him.
team to see how Saika was doing. His Back at home, I thought about Saika
mother burst into tears of delight when a lot. His brief time in this world was
she saw us. Saika was much brighter painful, but he would surely die in his
and more active since the surgery, she mother’s arms, surrounded by members
told me. He could cry with strength, of his village who no longer believed he
and his cry sounded more like it did was possessed by evil spirits. Social
when he could lift his head. progress was made. A life was saved:
Everyone on our team was beaming Saika’s mother’s life. My co-workers had
and the mood was joyous. Everyone made the right call.
except me was truly happy. I knew Saika I could not put into words why I felt I
would die in a few weeks. was a better doctor for having met him.
I spoke to his mother through a nurse I only knew it was so.
who translated. “We are proud of how EXCERPTED FROM THE TENTH NERVE BY DR. CHRIS HONEY.
COPYRIGHT 2022, DR. CHRIS HONEY. PUBLISHED BY
strong Saika is and how well he did PENGUIN RANDOM HOUSE CANADA LIMITED. REPRODUCED
BY ARRANGEMENT WITH THE PUBLISHER. ALL RIGHTS
during surgery,” I began. “An infection RESERVED.

rd.ca 105
Brain

GAMES
Sharpen Your Mind

Pic-A-Pix: Hayloft
Medium Reveal a hidden picture by shading 4 2 2 4
in groups of horizontally or vertically 4 1 1 1 1 4
adjacent cells. The numbers represent how 1 7 1 1 1 1 1 1 7 1
many shaded cells are in each
of the corresponding row’s or 2
column’s groups. (For 4
example, a “3” next to a row 2 2
represents three horizontally
adjacent shaded cells in that 3 3
row.) There must be at least 10

PIC-A-PIX: HAYLOFT BY DIANE BAHER; IT ALL ADDS UP BY FRASER SIMPSON


one empty cell between each 2 2
group. The numbers read in
the same horizontal or 1 1 1 1
vertical order as the groups 1 2 1
they represent. There’s only 1 1 1 1
one possible picture; can you
shade it in? 2 2

A+B=C
B+C=D
It All Adds Up
D+E=G Difficult Each letter from A through H has
one of the eight values: 1, 2, 8, 9, 10, 12, 19
C+G=F or 21. No two letters have the same value.
Determine which number goes with each
E+H=F letter to make the equations correct.

106 october 2023


reader ’s digest
SORTING APPLES BY EMILY GOODMAN ; MUSEUM TOUR BY DARREN RIGBY; (APPLES ILLUSTRATION) YULIIA KONAKHOVSKA/GETTY IMAGES

Sorting Apples
Easy One of these
apples is not like any
of the others. Which
is the odd one out?

Museum Tour
Medium On a visit to the Museum of
Stubbornness, Alex picks up a guided audio
tour that leads visitors through the rooms in
a prescribed order. In the spirit of the museum,
Alex decides to pick his own route. Both the
official route and Alex’s route go through
every room once, with no backtracking and
no rooms skipped. Using the clues below,
reconstruct both routes on the map. (North
is at the top of the map.)

1. Other than room #1, Alex doesn’t visit any


room in the intended order of the tour.
2. The recording tells visitors to head east
from room #1.
3. Alex’s fourth room occupies a corner of the
building. He left this room heading south. 1
4. The guided tour’s fourth room has more 1
doors than its fifth room.

For answers, turn to PAGE 108

rd.ca 107
reader ’s digest

BRAIN GAMES
SUDOKU ANSWERS
FROM PAGE 106
BY Louis-Luc Beaudoin

Pic-A-Pix: Hayloft

1 8 4 5 3
7 9
2 6
3 4 6
It All Adds Up
9 7 A = 8, B = 1, C = 9, D = 10,
E = 2, F = 21, G = 12,
8 5 9 H = 19

2 7 1 Sorting Apples
The apple on the upper
right. It’s the only one
1 4 with two leaves on its
stem.
3 5 8
Museum Tour
The numbers represent
To Solve This Puzzle the guided tour, and the
Put a number from 1 to 9 in line follows Alex’s path.
each empty square so that: SOLUTION 8 7
9 2 8 5 7 6 1 3 4 4 8
) every horizontal row and 4 6 7 3 2 1 8 9 5
5 7 9
vertical column contains all 5 1 3 9 4 8 6 7 2 9 5 6
nine numbers (1-9) without 3 4 1 2 9 7 5 6 8
10
repeating any of them; 8 7 2 6 1 5 3 4 9 10
6 4 3
6 9 5 4 8 3 2 1 7 3
) each of the outlined 3 x 3
7 8 4 1 6 2 9 5 3
1 5 9 8 3 4 7 2 6 11
boxes has all nine numbers, 11
2 3 6 7 5 9 4 8 1 1 1 2
none repeated. 2

108 october 2023


Brain Games

TRIVIA

BY Beth Shillibeer

1. What Canadian actor, who made


his feature film debut in Youngblood
(1986), was babysat as a child by rock
singer Alice Cooper?
7. What kind of leaf fried in tempura
2. Pumpkins are berries. True or false? batter is an autumn snack in Osaka,
Japan?
3. What former American astronaut,
now a U.S. senator, chased a co-worker 8. For security reasons, baristas who
around the International Space Station work at a Starbucks located in Langley,
while wearing a gorilla suit? Virginia, do not take customers’ names
with an order. In what U.S. federal build-
4. What nocturnal bird found in South ing is it located?
and Central America is nicknamed the
CREATIV STUDIO HEINEMANN/GETTY IMAGES

“ghost bird” due to its large eyes and 9. The Indian subcontinent moves
haunting call? northward about five centimetres a
year, causing what landmark to grow
5. Which Australian city briefly held the even taller?
names Batmania and Bearbrass before
settling on its current name in 1837? 10. How many time zones exist in China?

6. In which Central Asian country is the 11. Only three World Series in Major
Darvaza gas crater, a geological forma- League Baseball history have ended
tion also known as the“Gates of Hell,” with a walk-off home run (when a team
discovered in the 1970s? scores a winning home run at the end

rd.ca 109
reader ’s digest

of the final inning of the game). True University professors in 1999, states that
or false? the least skilled individuals are the most
likely to overestimate their abilities?
12. Which agency of the United Nations
was awarded the Nobel Peace Prize 20. What chemical element within a
twice, first in 1954 and again in 1981? star’s core gradually decreases, causing
the star to appear brighter and increase
13. What beat soccer and rugby for the in size, and become what is known as a
title of Ireland’s Favourite Sport, accord- red giant?
ing to the 2022 Teneo sport index?
19. The Dunning-Kruger effect. 20. Hydrogen.
14. A new rock formation first dubbed Saskatchewan. 18. Luddite (after Ned Ludd).
“plastiglomerate” in a 2013 research 16. The Titanic. 17. Manitoba and
paper is made up of sedimentary gran- Games. 14. Plastic. 15. Martin Luther.
Commissioner for Refugees. 13. Gaelic
ules and what else? Toronto Blue Jays in 1993. 12. UN High
two: The Pittsburgh Pirates in 1960 and the
15. What historical figure is said to have 9. Mount Everest. 10. One. 11. False, only
posted an influential statement on a 6. Turkmenistan. 7. Maple leaf. 8. CIA HQ.
church door in Germany on October 31, Kelly. 4. The great potoo. 5. Melbourne.
Answers: 1. Keanu Reeves. 2. True. 3. Mark
1571, now known as Reformation Day?

16. Among what famous wreckage was


the rust-eating bacteria Halomonas CROSSWORD ANSWERS
titanicae discovered in 2010?
FROM PAGE 113
17. On the border of which two Canadian
provinces would you find the city of Flin F A I R P I A F
Flon, named after a fictional character P O P D U O O S L O
in the 1905 novel The Sunless City? S A R A H P O L L E Y
S L O R E L I E V E
18. What term, which today describes
T S N N A T T E R
a person averse to new technology,
was inspired by the likely fictional B U F F Y
leader of a group of textile workers who R A M O N A S O S
revolted against industrialization in A V A R I C E O P T
early 1800s England? S A I N T E M A R I E
T I D E D U S T U P
19. What psychological phenomenon,
first written about by two Cornell A L S O S H A M

110 october 2023


Brain Games

WORD POWER

This issue, we’re getting all verklempt 9. shanda n.


over the many expressive words a assistance
b star
English has borrowed from Yiddish. c scandal
You likely know klutz, chutzpah and
schmear, but these are only the 10. plotz v.
a misunderstand
beginning. So enjoy our quiz, but skip b burst with emotion
the schmaltz. Whether you’re saying c hide
“Yay!” or “Oy vey!” by the end, you can
find the answers on the next page. 11. shtick n.
a weird idea
b ditty
BY Mary-Liz Shaw c comic routine or
gimmick

1. schmutz n. 5. nosh v. 12. schlock adj.


a dirt a explain a shoddy
b joke b snack b entertaining
c deli meat c forget c funny

2. schlep v. 6. bubbe n. 13. kvetch v.


a run a grandmother a complain
b haul b little one b laugh
c pass through c hot drink c rush

3. meshuggener n. 7. kvelling v. 14. mishegoss n.


a cute child a walking noisily a craziness
b foolish person b crying b bundle of papers
c important date c rejoicing c worrying trend

4. mensch n. 8. bissel n. 15. schmooze v.


a payment a little bit a play
b talent b letter b chat
c person of integrity c secret c introduce

rd.ca 111
reader ’s digest

Schlemiel, Schlimazel
Any fan of the 1970s sitcom Laverne & Shirley can recite
the little opening ditty chanted by the show’s stars
Penny Marshall and Cindy Williams: “Five, six, seven,
eight, schlemiel, schlimazel, hasenpfeffer incorporated.”
Schlemiel and schlimazel are Yiddish words for an
unlucky person. Hasenpfeffer is a German rabbit
stew, but it may be there just because it’s fun to say.

Word Power 6. bubbe (a) 12. schlock (a) shoddy


grandmother Dad bought all these
ANSWERS Every year, Gordon schlock souvenirs during
makes his bubbe’s oat- our family vacation to
1. schmutz (a) dirt meal cookie recipe. Myrtle Beach.
Only after my job inter-
view did I realize I had 7. kvelling (c) rejoicing 13. kvetch (a) complain
schmutz on my shirt. Tova was kvelling when “No matter how hard we
her daughter graduated try to please Alexander,
2. schlep (b) haul at the top of her class. he always manages to
The heavy rain made find something to kvetch
schlepping the groceries 8. bissel (a) little bit about,” Sue said.
several blocks to my Clara had a big breakfast
house even harder. so she just wants to eat a 14. mishegoss (a)
bissel for lunch. craziness
3. meshuggener (b) fool- Amid the mishegoss of
ish person 9. shanda (c) scandal rushing to catch her
“He must be a meshugge- “Did you hear about that flight home, Sofia forgot
ner if he thinks he can bank manager who stole to pack a toothbrush
park that truck there,” deposits?” David asked. and toothpaste.
Maria scoffed. “What a shanda!”
SILVER SCREEN COLLECTION/GETTY IMAGES

15. schmooze (b) chat


4. mensch (c) person of 10. plotz (b) burst with Company management
integrity emotion went to the convention
Being called a mensch is Don’t plotz, but the dog to schmooze with indus-
a huge compliment. soiled the carpet again. try bigwigs.

5. nosh (b) snack 11. shtick (c) comic rou-


Every weekend, Sophie tine or gimmick Vocabulary Ratings
and Ellen meet at the Marie-Anne quit touring 9 & below: Meh
coffee shop to nosh and is doing her shtick in 10–12: Mish mash
and gossip. Vegas now. 13–15: Mazel tov

112 october 2023


Brain Games

CROSSWORD

Some Notable Canadians 26


28
Greed
Make a decision
29 See 18-Across: Hyph.
31 A laundry detergent
BY Derek Bowman brand
32 Big scrap: Hyph.
1 2 3 4 5 6 7 8 33 In addition to
34 Pillow cover
9 10 11
DOWN
12 13 1 Baby horses
2 Protective wear
14 15 3 Boise’s state: Abbr.
4 A German industrial
16 17 region
5 Organized society
18 19 6 One of many you’d find
in Fiji
20 21 22 23 24 25 7 Advil competitor
8 Entrance hall
26 27 28 9 “Hey, over here!”
10 Like some sandwiches:
29 30 Hyph.
13 The snowman in Walt
31 32
Disney’s Frozen
18 Where Brunei is
33 34
19 Metre or litre, e.g.
20 Believer in Jah,
ACROSS 15 Take over for, as a informally
1 Carnival baseball pitcher 21 To no ___ (in vain)
5 The Very Best of Édith ___ 16 CFL on ___ (TV show) 22 Hotel employees
(2002 collection) 17 Talk incessantly 23 Kinda maybe
9 Tegan and Sara, for one: 18 With 29-Across, she 24 Important drug in
2 wds. famously played the Chinese history
11 Capital of Norway mouth bow on Sesame 25 Part of a Fitbit count
12 She sang “Courage” for Street 27 Large, flightless birds
the film The Sweet 20 Sister of Beezus, in 30 Volcanic residue
Hereafter: 2 wds. children’s literature
14 ___-pitch league 23 Big hit for ABBA For answers, turn to PAGE 110

rd.ca 113
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