Volume 3, Issue 10, October 2014

space, put it in power-saving mode and turn it off at the end of the day. Turn off printers and other electronic accessories at the end of each day. Conserving electricity usage is another way to help impact our bottom line in a positive direc-tion.

Consider carpooling to meetings if they are scheduled at offsite locations and when possible hold meetings via the telephone or internet.

These measures are small, and each on its own can appear inconsequential. But bear in mind the Public Hospitals Authority family numbers in the thousands, each one of us making a small change can result in an impactful transformation of our organization. I encourage managers and supervi-sors to generate small but meaningful incentives for staff who accept the challenge to conserve and help realize savings in our expenditure wherever they may be achieved.

There are savings that can be achieved if we all commit to thinking ahead and we remain con-scious of the supplies and energy we consume in the performance of daily tasks. I hope each of you will join me in this quest to improve our effi-ciency, reduce waste and realize savings.

Sen. The Hon. Frank Smith Board Chairman

INSIDE

THIS ISSUE:

I am always pleased to reach out to our extended PHA fami-ly through this monthly newsletter, even when I am

attempting to raise our collective consciousness on a particular issue – which I seek to do now. That issue is “Cost Savings” and how we hope to real-ize them at every level of our organization.

Cut down on the use of disposable cups when getting your eight glasses of water each day, bring in a cup or sports bottle and use that instead. Over-usage of paper, rubber bands, paper clips and other office supplies adds up over time and has a real impact on our bottom line. When a doc-ument must be printed, please use your spell-check function and proofread the copy before printing so that nothing has to be reprinted mini-mizing the paper and ink that has to be used. Controlling paper usage and paper product usage by fully utilizing emails, e-blitz and even bulletin boards can help us all control our costs in this area.

Enable sleep mode on your computer system and power-down your system when you leave your work area for an extended period and at the end of the day. Turn off the lights if you are last to leave a room, if you have an individual air condi-tioning unit, coffee maker or teapot in your work-

Hon. Frank E. Smith

MESSAGE FROM

CHAIRMAN OF THE BOARD OF DIRECTORS

“Working Together for Best Quality Healthcare”

Herbert H. Brown

MESSAGE FROM

MANAGING DIRECTOR, PHA

Theme: Working with Safety in Mind - “

Always think safety no matter what the Task”

The Quality & Patient Safety Department conducted a two half- day Safety Training for the Capital Devel-opment Unit, Corporate Office, October 9th - 10th, 2014. The training included theory and practical sessions related to the theme, which was facilitated by guest speakers Mr. Alexander Darville, Dean of Construction and Workforce, BTVI, Ms. Jacqueline Rahming, Manager, Physiotherapy Department, SRC, and Corporal Adrian Edwards, Life Safety/ Fire Prevention Officer, RBPF . Members of the Quality and Patients Safety Team also assisted in the training. Some of the Topics addressed were:

Fall Prevention Fire and Chemical Emergencies Personal Protective Equipment (PPE) Working Safely with Power Tools and Equipment (scaffold, belt, harness) Prevention of Muscular and Skeletal Disorders (Ergonomics) Incident Reporting/Industrial Accident Process

The practical session involved an onsite Safety Tour at Baha Mar construction site, Cable Beach. This was facilitated by their Safety Officer and Project Manager. The participants were very enthused and receptive to the training and voiced appreciation for being afforded such a timely experience. Changes in the work practices of the participants have already been evidenced, which is in keeping with the department’s goal of having a more healthy and informed group of skilled employees.

Symptoms of Breast Cancer?

Symptoms of breast cancer vary from person to person; but symptoms can include:

Skin changes, such as swelling, redness, or other visible differences in one or both breasts

An increase in size or change in shape of the breast(s)

Changes in appearance of one or both nipples

Nipple discharge other than breast milk

General pain in/on any part of the breast

Lumps or nodes felt on or inside of the breast Symptoms more specific to invasive breast cancer are as follows:

Irritated or itchy breasts

Change in breast color

Increase in breast size or shape (over a short period of time)

Changes in touch (may feel hard, tender or warm)

Peeling or flaking of the nipple skin

A breast lump or thickening

Redness or pitting of the breast skin (like the skin of an orange)

Breast Cancer Treatments

Breast cancer treatments are local or systemic.

Local treatments are used to remove or destroy the disease within the breast and surrounding regions, such as lymph nodes. These include: Surgery, either mastectomy or lumpectomy - also called breast-conserving therapy. Radiation therapy, is a form of cancer treatment that uses high levels of radiation to kill cancer cells or keep them from growing and dividing.

Systemic treatments are used to destroy or control cancer cells all over the body and include: Chemotherapy - uses drugs to kill cancer cells. Hormone ther-apy - uses drugs to prevent hormones, especially estrogen, from promoting the growth of breast cancer cells.

Biological therapy such as Herceptin, Perjeta, or Tykerb, which work by using the body's immune system to destroy cancer cells.

One may have just one form of breast cancer treatment or a combination of treatments, depending on your needs.

Tips for Wellness

Listen to Tips for Wellness”, presented Dr. Indira

Grimes, Family Medicine physician, during the

7:oo pm evening newscast on ZNS TV channel 13.

Brought to you by The Public Hospitals Authority

… “Working Together for Best Quality Healthcare”

World Mental Health Day is the annual global celebration

of mental health education, awareness and advocacy.

Every year - on 10 October - we join together in shining

the spotlight on a particular aspect of mental ill health.

This year's World Mental Health Day highlighted Schizo-

phrenia.

Schizophrenia is a diagnosis given to some people who

have severely disrupted beliefs and experiences.

During an episode of schizophrenia, a person's under-

standing and interpretation of the outside world is dis-

rupted - they may:

lose touch with reality

see or hear things that are not there

hold irrational or unfounded beliefs

appear to act strangely because they are respond-

ing to these delusions and hallucinations.

An episode of schizophrenia can last for several weeks

and can be very frightening. About one in 100 people will

have one episode of schizophrenia, and two thirds of

these will go on to have further episodes.

Schizophrenia usually starts in the late teens or early

20s, but can also affect older people for the first time.

The causes are unknown but episodes of schizophrenia

appear to be associated with changes in some brain

chemicals.

Stressful experiences and some recreational drugs can

also trigger an episode in vulnerable people.

At least 26 million people are living with schizophrenia

worldwide according to the World Health Organization,

and many more are indirectly affected by it.

Information obtained from:

http://www.mentalhealth.org.uk

Paget's (PAJ-its) disease of the breast is a rare form of

breast cancer which starts on the nipple and extends to

the dark circle of skin (areola) around the nipple. It occurs

most often in women over the age of 50…..Most women

with Paget's disease of the breast have underlying ductal

breast cancer….Only in rare cases is the cancer confined

to the nipple itself.

Some of the signs and symptoms include:

Flaky or scaly skin on your nipple; crusty, oozing or hard-

ened skin resembling eczema on the nipple, areola or

both; itching; redness; and or a tingling or burning sensa-

tion of the nipple. Symptoms can also include a straw-

colored or bloody nipple discharge; a flattened or turned-

in nipple; a lump in the breast and thickening of skin on

the breast.

Signs and symptoms usually occur in one breast only. The

disease typically starts in the nipple and may spread to the

areola and other areas of the breast. In rare cases, only the

areola is affected. Skin changes may fluctuate early on,

making it appear as if your skin is healing on its own. On

average, women experience signs and symptoms for six to

eight months before a diagnosis is made. If you present

with any of these symptoms, you should see your doctor.

The Pretty Brown Girls Club #14, an international organization that aims to fulfill its mission of “celebrating the beautiful shades of brown skin all over the world”, while inspiring positive self-esteem and confidence in girls and young women, conducted their “Christmas In July” Toy Drive for the Children’s Ward of Princess Margaret Hospital.

The organization was able to collect dozens and dozens of new and gently used toys from the community. Club co-leaders Anita Bain and Yolanda Darville presented the toys to Princess Margaret Hospital on Friday, October 3, 2014.

In total, eight large boxes of toys were donated. The toys will be used to make children on the PMH Children’s Ward feel at home during their care at the hospital.

Organization For Girls Donates Toys to the Children of Princess Margaret Hospital

P r e t t y B r o w n G i r l

(www.prettybrowngirl.com) is an inter-

national organization that aims to fulfill

its mission of “celebrating the beautiful

shades of brown skin all over the

world”, while inspiring positive self-

esteem and confidence in girls and

young women. This popular organiza-

tion was formed in Detroit, Michigan in

2010 and quickly started to spread

across the United States. Today there

are 118 chapters in various cities in the

US. In February 2013, Anita Bain and

Yolanda Darville brought this dynamic

organization to The Bahamas, becoming

the first Pretty Brown Girl Club outside

of the United States.

Cornmeal-Crusted

Chicken with Pepian

Sauce

Ingredients

4 tomatillos, husked and rinsed

1/4 cup diced onion

4 tablespoons pepitas, (see Tip), divided

3 tablespoons chopped fresh cilantro, divided

1 clove garlic, peeled

1/2 cup reduced-sodium chicken broth

1/2 teaspoon salt, divided

2 tablespoons reduced-fat sour cream

4 boneless, skinless chicken breasts, (1˜1 1/4 pounds), trimmed 1 large egg white

2 tablespoons water

1/2 cup yellow cornmeal

3 teaspoons canola oil, divided canola oil, divided

Directions:

1. Place tomatillos, onion, 3 tablespoons pepitas, 2 table-spoons cilantro, garlic, broth and 1/4 teaspoon salt in a blender or food processor; process until smooth. Transfer to a medium saucepan and cook over medium-high heat, stirring occasional-ly, until reduced to about 3/4 cup, 12 to 15 minutes. The mixture will resemble a thick paste. Remove from the heat and stir in sour cream. Set aside.

2. Meanwhile, place one piece of chicken at a time between sheets of plastic wrap and pound with a meat mallet or heavy skillet until flattened to an even 1/4-inch thickness.

3. Whisk egg white and water in a shallow dish until combined.

Whisk cornmeal and the remaining 1/4 teaspoon salt in another shallow dish. Dip each chicken breast in egg white, then dredge in cornmeal, turning to coat evenly.

4. Heat 1 1/2 teaspoons oil in a large nonstick skillet over me-

dium heat. Cook 2 pieces of the chicken until browned on the outside and no longer pink in the middle, 2 to 4 minutes per side. Transfer to a plate and tent with foil to keep warm. Wipe out the pan, reduce the heat slightly and repeat with the remaining oil and chicken. Serve the chicken with the reserved sauce and garnish with the remaining 1 tablespoon pepitas and 1 table-spoon cilantro.

WATER TIP! You should drink 5 to 12 (8 oz.) cups of water daily OR Drink until your urine is a pale colour. If you are taking medi-cation, drink lots of water. Purchase a water bottle, fill it each day and take it to work, school or play, to ensure you are getting enough water.

Find nutritious, hearty and healthy recipes

at www.eatingwell.com. Did I mention they’re quick

and easy to prepare? Perfect after a hard day at

the office !

Chopped Greek

Salad with Chicken

Ingredients

1/3 cup red-wine vinegar

2 tablespoons extra-virgin olive oil

1 tablespoon chopped fresh dill, or oregano or 1

teaspoon dried

1 teaspoon garlic powder

1/4 teaspoon salt

1/4 teaspoon freshly ground pepper

6 cups chopped romaine lettuce

2 1/2 cups chopped cooked chicken, (about 12 ounces; see Tip)

2 medium tomatoes, chopped

1 medium cucumber, peeled, seeded and chopped

1/2 cup finely chopped red onion

1/2 cup sliced ripe black olives

1/2 cup crumbled feta cheese

Directions:

1. Whisk vinegar, oil, dill (or oregano), garlic powder,

salt and pepper in a large bowl. Add lettuce, chicken, tomatoes, cucumber, onion, olives and feta; toss to coat. Tip: If you don't have cooked chicken, poach 1 pound chicken breasts for this recipe. Place boneless, skinless chicken breasts in a medium skillet or saucepan. Add lightly salted water (or chicken broth) to cover and bring to a boil. Cover, reduce heat to low and simmer gently until the chicken is cooked through and no longer pink in the middle, 10 to 15 minutes.

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2nd Daylight Savings Time …. 11th Remembrance Day

14th World Diabetes Day 19th World COPD Day 27th Thanksgiving Day NOVEMBER is ...

Diabetes Awareness Month

CHASE, LYSLE GLINTON, OMAR

WELLS, DEREK ADDERLEY, ELEANOR

GIBSON, YVETTE HEPBURN CARTWRIGHT, TERRENCE

DAVIS, TAMARA COOPER, DEXTER BASTIAN, JEROME

DELEVEAUX , CAROLINE JENNIFER WILSON, ARISON

SWEETING, SUZETTE TERRELL-HAMILTON, JUDY

ARTHUR, GREGORY SMITH, SHAKARA

CURRY, MAEDAWN WINDER, JERMAINE MURPHY, BARBARA

CLARKE, ENID COOPER YVETTE NATASHA

SOME CANCER FIGHTING FOODS

Broccoli, cabbage and cauliflower have a chemical compo-

nent that combats breast cancer by converting a cancer-

promoting estrogen into a more protective variety. Broccoli

is also believed to aid in preventing some types of cancer,

like colon and rectal cancer.

Carrots contain beta carotene, which may help reduce a

wide range of cancer.

Grapefruits like oranges and other citrus fruits, contain

monoterpenes, believed to help prevent cancer by sweeping

carcinogens out of the body.

Grapes red grapes contain bioflavonoids, powerful antioxi-

dants that work as cancer preventives. Grapes are also a rich

source of resveratrol, which inhibits the enzymes that can

stimulate cancer-cell growth and suppress immune response.

Tomatoes contain lycopene, an antioxidant that attacks

roaming oxygen molecules, known as free radicals that are

suspected of triggering cancer

Flax may have an antioxidant effect and block or suppress

cancerous changes. Flax is also high in omega-3 fatty acids,

which are thought to protect against colon cancer and heart

disease.

Nuts contain antioxidants that may suppress the growth of

cancers. Brazil nuts contain selenium, which is important for

those with diagnosed with prostate cancer.