Once considered a rare disease, liver cancer incidence rates have been rising rapidly in the past several decades. There are several reasons for this spike in prevalence, many of which doctors insist are preventable.
A diagnosis of liver cancer confuses many patients because so many cancers -- forming in organs such as the stomach, colon and pancreas -- often spread rapidly and metastasize in the liver. But a cancerous liver is separate issue from a cancer that develops in the liver -- and this is the disease that oncologists are seeing with more and more regularity. They refer to this type of cancer as Primary Liver Cancer.
The liver is the large organ, located in the abdomen, that functions in the same way as a gland. Like a great processing plant, the liver stores and disposes of nutrients and toxins, metabolizes substances used by the body and produces a host of proteins used by the blood for clotting. It is an essential organ in the healthy functioning of the body, and when it becomes diseased, many complications ensue. The patient may feel bloated and full, take on a yellow (jaundiced) hue, and experience pain and fever.
There are several factors contributing to the rising cases of liver cancer in North America. The first is the viral infections Hepatitis B and C, which are silent diseases spread by infected blood. Because these diseases can take up to 30 years to result in primary liver cancer, the rates of cancer are only starting to increase now. Awareness of Hepatitis infections have grown immeasurably over the years, and Hepatitis B vaccinations are reducing the prevalence of the disease. There is currently no protection against Hepatitis C, and it is becoming common amongst intravenous drug users. It can also be passed along through unprotected sex, and improperly sanitized tattoo or body-piercing needles.
Cirrhosis (or scarring) of the liver is most commonly caused by alcohol abuse, and long-term cirrhosis is perhaps the greatest cause of primary liver cancer. The cancer develops a decade or so after the patient has stopped drinking, when the liver begins to generate new cells around the scarring.
Lesser causes of liver cancer including a fungus produced poison called aflotoxin B (a problem in developing nations, but not here) and exposure to certain industrial chemicals. Overall, lifestyle is, more often than not, the main influence for the development of primary liver cancer. So, how can it be avoided?
Heavy drinking or any other excessive consumption that leads to the scarring of the liver must be avoided (rampant use of the anti-inflammatory ibuprofen is another example). The disease often starts years after these activities are halted. Tattooing and piercing need to be regarded as high risk activities -- especially for contracting Hepatitis B or C. Needles need to be properly sanitized before they are reused, and a reputable practitioner should be used for these activities. More and more, doctors are noting that lifestyle plays a role in cancer rates. Prevention, they tell us, is far easier than cure.
Historian Cheryl Foggo brings the stories of important African-Canadians to life with her books, films and plays
How much do Canadians know about our country’s black history? How many people would admit to knowing little about Viola Desmond before the campaign to choose a woman to appear on the new banknote? Most of us might say our knowledge stops at the Underground Railroad or Nova Scotia’s Black Loyalists. But this country is rich with stories of African-Canadian experiences on the east coast, west coast and everywhere between. While classrooms play catch-up in diversifying history curriculums, learning the names and stories of African-Canadian men and women is a conscious effort that should no longer be set aside.
Cheryl Foggo is a playwright, historian and author who’s committed to making the names and tales of African-Canadian settlers known. Based in Calgary, Foggo actively combs archives and documents recounting the lives of Alberta’s black settlers. One of her projects is a documentary film about the legendary black cowboy John Ware, who was considered a hero in Alberta’s ranching frontier.
We spoke with Foggo about her latest projects, Alberta’s lesser-known African-Canadians and why celebrating Canada’s black history is important not just in February, but year-round.
When did you first become interested in Canada’s black history?
From a young age I was interested in the stories I heard my mother’s family tell when we visited my grandparent’s home in Winnipeg. Although I wouldn’t have defined it as history at that time—it was just my Mom and her siblings and their parents talking about their lives—I found these stories interesting. As I got older, I gradually became aware of a disconnect between the history I was learning in school and what I was hearing from my family. I began to wonder why our stories were absent from the historical record.
Why do you think Canadians don’t know much about our country’s black history?
I think it’s up to Canadians to ask ourselves this question. Even what Canadians do know about the Black Loyalists and the Underground Railroad is limited to a “happy ending” narrative and skewed away from the realities of the struggles black Canadians faced historically.
Western Canada’s black history isn’t widely known or taught. Share the story of one lesser-known African-Canadian and her contribution?
It’s tough to choose, but I’ll pick a woman from Alberta. Violet King, the first black female lawyer in Canada. She was a trailblazer throughout her life and an accomplished classical pianist. She was also the only woman in her graduating class from the faculty of law at the University of Alberta in 1953, the same class as former Alberta Premier Peter Lougheed.
King went on to work for Citizenship and Immigration Canada before becoming the first woman named to a senior management position with the American National YMCA. She also happened to be among the best friends of my mother, Pauline, and her twin sister, Pearl, and a bridesmaid for both.
In your opinion why is knowing more about Canada’s diverse history so important?
A history that is incomplete is damaging. A history that is purposely incomplete is sinister. How can Canadians move into a sustainable future if we can’t acknowledge our past? And how can we acknowledge and reckon with our past if our canonical history is missing pages?
What are you currently working on?
I’m working on a documentary film about the legendary black cowboy John Ware and a collection of articles and essays that will anthologize my writings about Alberta’s black history.
Can you recommend some resources for Canadians who want to learn more about Canada’s black history?
There are many ways to gain more knowledge about this subject. Here are a few places to start:
> The Black Lives Canada Syllabus
Drop that takeout menu, and walk away from the fast food. These tips will make you an ace at Monday-to-Friday dinner prep.
Set for success
Shop once, eat all week
If it's Sunday and you haven't thought ahead to what you'll have for dinner on Thursday, you're missing out on the world's simplest time-saving tool: meal planning! Write out a list of what you'll need to prep your family's meals for the entire week, and get it all in a single supermarket trip before your busy weekday cycle begins. There's no need to worry about wilted veggies when you have a Bosch refrigerator that is equipped with the special VitaFresh system. It maintains just the right level of humidity and helps keep produce fresh longer.
Call in the troops!
You don't have to handle meal prep alone: enlist your family's help. Even young kids can gather ingredients from the fridge, and Bosch's large-capacity drawers and shelves mean it's highly unlikely the broccoli will have been flattened by a jar of pickles. (Everything in its place!) Plus, the efficient LED lighting system keeps items in clear view without hogging a lot of electricity. Once your ingredients are on the counter, kids can shift to sous-chef mode. Safe tasks for little ones include tearing lettuce, crumbling cheese and whisking dressing. Older kids can peel veggies and stir sauces or brown meat on the stove.
Love your leftovers
Plan to make a double batch of your favourite casserole, soup or stew, allowing you to easily transform leftovers into lunches or use them as a base for tomorrow's dinner. Consider cooking more than one recipe at a time: Bosch stoves have five burners and three oven racks, so you'll have space for it all. Don't your weeknights feel less stressed already?
Label and date all freezer foods so you can know at a glance what you have on hand at all times. This minimizes waste, as you're less likely to buy items you already have, and makes it easier to put dinner on the table efficiently by using up leftovers.
Thaw frozen dishes in the fridge, as opposed to on your kitchen countertop, to prevent the growth of harmful bacteria. To avoid freezer burn and keep food at its best, use airtight storage containers or large bags that are designed for the freezer.
To maximize storage space in your freezer, package items like soups and sauces in resealable freezer bags so you can flatten and stack them on top of one another.
Freezer staples—like peas, edamame, corn, bread, ravioli and puff pastry—make weeknight cooking easier. Have these on hand at all times and make a note when one of those items is running low so you never run out.
For more on how Bosch appliances can make prep, cooking and cleanup easier, visit bosch-home.ca.
Dainty and flavourful, everyone loves to indulge in tiny bites of traditional tea sandwiches. Though they appear finicky to make, these tea sandwiches are easy to assemble and entirely make-ahead.
Pinwheel Sandwiches Trim crusts from 5 slices white or whole wheat sandwich loaf, cut Pullman-style. (Ask bakery to cut sandwich loaf horizontally, or Pullman style.) Using rolling pin, flatten slices slightly. Spread with 1/3 cup (75 mL) butter, softened; spread with filling.
Place 1 asparagus spear (or 2 baby gherkins) along 1 short end of each. Starting at asparagus, roll up tightly without squeezing. Wrap each roll tightly in plastic wrap. Refrigerate for 1 hour. With serrated knife, trim ends; cut each roll into 6 slices.
Makes 30 pieces. Pinwheel Sandwich recipe: Curried Egg Salad Triangle Sandwiches Spread 16 thin slices whole wheat or white sandwich bread with 1/3 cup (75 mL) butter, softened; spread filling evenly over 8 of the slices. Top with remaining slices, pressing lightly. Place on rimmed baking sheet and cover with damp tea towel; cover tightly with plastic wrap and refrigerate until firm, about 1 hour. Trim off crusts. Cut each sandwich into 4 pieces.
Makes 32 pieces. Triangle Sandwich recipe: Ham Pickle Spread Square Sandwiches Make sandwiches as in Triangle Sandwiches above except use 8 thin slices white and 8 thin slices whole wheat sandwich bread. Cut each sandwich into quarters.
Makes 32 pieces.Square Sandwich recipe: Pimiento Cheese Spread Finger Sandwiches Make sandwiches as in Triangle Sandwiches above. Cut each sandwich lengthwise into 4 fingers.
Makes 32 pieces. Finger Sandwich recipe: Tuna Olive Salad
Choose the best-quality bread. Never serve end slices. Freezing bread before cutting and then spreading makes for easier handling.
Bread should be lightly buttered no matter what the filling. Butter should be at room temperature before spreading. Sandwiches will not become limp and soggy as readily if you spread butter right to edge of bread.
Cut crusts off bread with long, sharp knife after (not before) assembling sandwiches. This keeps everything neater.
Since tea sandwiches should be delicate, cut each sandwich into thirds or quarters or in half diagonally. Or use cookie cutters to cut into decorative shapes.
We asked some of Canada's top celebrity designers to spill the beans on their best-kept design secrets—and did they ever! Read on for expert advice on everything from space planning and choosing paint colours to styling shelves and how to create a foolproof gallery wall.
The inside scoop on space planning
How much space do you need around your dining room table? Can you really make a room feel larger? Our experts weigh in.
Tip 1: Sofas should be two-thirds the length of the longest wall, and seating is placed close enough around so no person is more than eight feet from another to allow for easy conversation. — Glen Peloso and Jamie Alexander
Photography by Arnal Photography
Tip 2: One easy rule to figure out what size dining table you need: allow for a minimum of 30 inches walking clearance on all sides. — Karl Lohnes
Tip 3: Space planning is critical. For a kitchen island, for example, leave three feet of space between the island and surrounding counters. Ensure that appliances (like the fridge or dishwasher) can open without blocking traffic flow or hitting neighbouring walls or cabinets. Not leaving enough room is a mistake people make all the time, before they call a designer in a panic to help fix it! — Lisa Canning
Photography by Arnal Photography
Tip 4: Use mirrors strategically to expand space and increase the amount of natural light reflected in the room. Framing a wall with floor-to-ceiling mirrors adds a dramatic effect to the feeling and scale of the room. — Brian Gluckstein
Photography by Arnal Photography
Tip 5: Allow for 18 inches between the sofa and the coffee table so people have enough room to pass by and to make it easy to reach for drinks or food. — Amanda Forrest
Tip 6: Want to make sure furniture fits before it arrives at your door? There are a host of free sites (like planyourroom.com) that allow you to put furniture onto a scaled floor plan. Another option? Many furniture and decor stores offer free design services, and they'll do the calculating for you. — Janette Ewen
Light it up
Follow these five rules and your lights will shine in all the right ways.
Tip 2: Install dimmer switches; they're a practical way to control light and energy consumption. — Amanda Forrest
Tip 3: The bottom of the shade of your bedside reading lamp should be at shoulder height when sitting in bed. Do the math! — Karl Lohnes
Tip 4: Choose a pendant or chandelier that's one-third the size of the table or kitchen island. Hang it approximately 30 to 36 inches above the table or island; if there are more than one, place them 12 to 18 inches apart. — Mia Parres
Tip 5: Incandescent bulbs are great for atmosphere lighting, but LED bulbs are more suited to task lighting, when you really need to see what you're working on. — Janette Ewen
The inside scoop on paint and palette
Did you know that paint selection should be one of the last decisions you make when decorating a room?
Tip 1: I'm a firm believer in mood boards. They're not just for designers! Gather together fabrics, paint samples and inspiration images for a room before starting. It will create a picture and a trajectory that you may not have thought of. — Steven Sabados
Tip 2: When you design a room, pull your palette from one inspiration fabric. Whether you use a whimsical print or a more traditional pattern, take all the colours present in that material and allow those to guide fabric selection for pillows, throws, drapery and upholstery in the room. Take that same fabric to the paint store and have a custom colour mixed that matches one of the hues exactly. — Lisa Canning
Tip 4: Fine finish Choose a fresh trim colour in a semigloss, such as Benjamin Moore's Chantilly Lace OC-65. It creates a subtle separation from a matte wall, and it's a much more durable finish, which comes in handy since trims are usually the most touched, bumped and scuffed parts of our homes. — Mia Parres
Tip 5: Colour pop If you buy that cool orange statement chair, give it a buddy. When you're adding a colourful piece to a space, always have at least one other subtle hit of that colour elsewhere in the room to create a cohesive feel. — Tiffany Pratt
Tip 6: Want to make a room feel taller? Paint baseboards and crown moulding the same colour as the walls. Want it to feel huge? mix one-third of the wall colour into the ceiling paint. — Karl Lohnes
The inside scoop on styling
You've bought the sofa and painted the walls. Now what? Our experts show you how to style a room like a pro.
Tip 1: Shop at stores that have liberal return policies and buy three times as much as you think you need. This gives you plenty of merchandise to play with to see what works and what does not. Mix in unique family heirlooms and vintage finds with the new pieces you purchase to create a naturally curated look. — Janette Ewen
Photography by Magdalena M
Tip 2: For a no-fail pillow combination, you need only three: one 20- by 20-inch, one 16- by 16-inch and one 12- by 16-inch. Those sizes look good together no matter how you arrange them! — Jo Alcorn
Tip 3: Beauty is in the details When styling a console, include framed art on easels or leaning against the wall; it's a great way to display smaller pieces. Create a dynamic vignette by mixing in boxes, vases and vintage pieces in differing heights and dimensions. — Brian Gluckenstein
Tip 4: Mix and match Use these common elements when styling shelves: stacks of books, gorgeous flowers and at least one accessory that has a lot of shimmer and shine. Varying heights and textures is also really important for visual interest. — Lisa Canning
The inside scoop on art
Take the mystery out of hanging art.
Tip 1: Make your own art! Buy a canvas in a size you're looking for, then grab some paint in the colours you're decorating with, and see what happens. Great masterpieces are born of happy accidents or beautiful mistakes. — Tiffany Pratt
Tip 2: When hanging art on an empty wall, the middle of the art should to be hung 66 to 72 inches off the floor. — Karl Lohnes
Tip 3: Art relates to furniture, not the ceiling: Keep art about six to eight inches above the sofa, or any piece of furniture, when hanging it. — Glen Peloso and Jamie Alexander
Tip 4: For a gallery wall, use different-size frames in one single finish and select artwork with a consistent theme in colour or subject matter to keep the display cohesive. — Brian Gluckenstein
Each year, top designers and brands showcase the best in innovative and inspiring design from around the world at The Interior Design Show in Toronto. We’ve picked our top Canadian designers that you may not have heard of yet, but should.