COVID: Pandemic inspires end-of-life care discussions

There's new urgency for end-of-life dialogue between patients, doctors in light of pandemic: experts

Photo: Pexels

Dr. Giovanna Sirianni talks to patients -- and their families -- about dying.

A family physician practicing in palliative medicine with Toronto’s Sunnybrook Hospital, she sits with them shortly after a diagnosis, and answers questions about incurable cancers that, she said, have become more common over the last two years.

“Because people are [coming in] with more advanced diseases, they really haven’t had the opportunity to get their head around the diagnosis and what’s happening,” she said.

As a result of shut-down clinics and inadequate screening of symptoms throughout the early months of the pandemic, hospitals have reported an uptick of patients with advanced-stage cancers and other life-limiting diseases since March 2020. A lack of early detection has brought Sirianni an influx of patients that are suddenly hit with a scary term: “palliative care.”

The term refers to any patients undergoing treatment for life-threatening illness. A major component of it, Sirianni said, is determining the particular end-of-life goals of the patients -- what they hope to accomplish with the time they have left, and how these goals could align with their medical treatment.

But determining end-of-life goals entails accepting that the end of life is approaching -- an acceptance patients have been more hesitant to discuss during the global health crisis, she said.

“They’ve been hit with this diagnosis that’s very much unexpected, and they become so caught up in thinking about the treatment plan that it becomes challenging to talk about goals of care,” she told CTVNews.ca.

Sirianni explained this type of response often differs from patients who have seen their illness progress from earlier stages, but she said there is a wide spectrum of openness people have towards discussing what dying will be like.

Often, “they feel like they’re on a treadmill,” she said. “[They think], ‘I’m on this treatment treadmill and you want me to get off to talk about goals of care? I’m not ready for that. I just need to figure out when my radiation and chemo will be.’”

Treatment plans that focus on pain management and symptom control are an important part of the palliative conversation, but Sirianni believes it’s equally important for patients to have difficult discussions about dying -- and, therefore, living.

“I like to get a sense of the person who is there with me,” she said. “What’s important to them? What do they like to do? What do they value?”

Values, she said, can emerge through patients’ final objectives -- such as making it to their daughter’s wedding and being able to walk down the aisle, or writing down their family history before it’s too late.

As patients and their families are confronted with the implications of life-ending illness, Sirianni suggests that palliative care offers an opportunity to reflect on a question that, at first registry, might seem contradictory to people who are dying: “Aside from goals of care, what are your goals of life?”

NAVIGATING 'ROUGH WATERS'

The last two years have exposed a greater urgency for patients to discuss end-of-life care goals earlier on, explained Dr. Hitesh Bhanabhai.

A palliative care physician with McGill University Health Centre in Montreal, Bhanabhai often expresses an analogy to his patients about his role as their end-of-life guide.

“The journey that a patient has towards end of life is like a river, and I haven’t been down that exact river before, but we’re in the canoe together. We don’t know exactly what’s at the end, but our goal is to make sure we don’t flip the boat over, even if there are rough waters ahead.”

The problem, Bhanabhai told CTVNews.ca, is that too many patients are not aware of “how to navigate those waters,” a reality that emerges when conversations about dying are not carried out during the time of diagnosis.

“The transition can be very rocky. Patients could feel like they missed out on planning that could have occurred earlier if they had a stronger sense of what was happening with their illness, if it wasn’t just thrust upon them at the end,” he said.

“It’s kind of like a relay race where the last runner just sort of throws the baton on the emergency room floor and other people are trying to scramble to pick it up,” Bhanabhai explained, referring to the rushed transition from emergency room treatment to palliative care -- the speed of which could make important conversations difficult to have.

“Especially during the pandemic, it’s a pressure cooker and a lot of teams are running around like chickens with their heads cut off,” he said. “Patients feel abandoned, and many of them are left out of the loop, not knowing what to expect.”

Bhanabhai also works at Palliative Care Residence Vaudreuil-Soulanges, a hospice in Hudson, Que. The building, backed by a small forest, is full of open concept rooms, spa amenities and a “hominess” that Bhanabhai said is not offered in the sterile and medical environment of hospitals.

If the conversation regarding end of life happens late, Bhanabhai said options such as moving into a hospice – which allows peace and comfort in a patient’s final days -- could become unavailable.

“Unfortunately, because teams are so busy, important and clear communication with patients is often being thrown to the waste side,” he said.

TALKING AT A DISTANCE

With varying health measures implemented throughout the pandemic, communication about end-of-life was complicated by physical distance, said Shahar Amir.

A visiting nurse for S.R.T Medstaff, a home health-care provider in Ontario, she considers herself the “eyes and ears” of her palliative team, visiting the homes of patients and determining what is needed to meet their end-of-life goals through assessments and check-ins. Her visits allow her to relay relevant information to the interdisciplinary professionals involved in a patient’s care.

“Losing human touch,” she says, “was a game changer.”

Reflecting on difficulties over the last two years, Amir said palliative teams that were typically accustomed to visiting the patient at home had to resort to sending in a solo nurse, which made it more difficult for patients to build therapeutic relationships with other professionals situated to help them.

“People had to learn on the go and improvise,” she said, pointing towards Zoom calls and phone conversations that did not effectively replace the intimate nature of caring for someone in-person. “On the clinical team there weren't any other options, so adapting was a necessity.”

Aside from the restriction barriers between patients and their palliative health-care workers, Amir said the same distance applied to family members, which made discussions about end-of-life goals or instructions regarding resuscitations or compressions all the more challenging to carry out.

“Often, I had to help patients talk to their families only through virtual measures,” she said, mentioning immunocompromised patients whose loved ones did not want to risk virus exposure.

This physical distance between families and dying loved ones was also witnessed by Dr. Hershl Berman, a palliative care physician who does home visits in Toronto. Recognizing that family is often an important value for those receiving end-of-life care, Berman encouraged patients to find new ways to connect with loved ones -- even after they die.

“If you’re well enough, and you have grandchildren, write a letter for their wedding, or for the birth of their first child,” he said, reiterating what he tells patients. “Have someone who will hold onto those [letters] and give them at the right time. In that way, you’re building a legacy that remains with the person.”

LEGACY AND DYING

Berman’s suggestion falls under a specific category of palliative care: “legacy therapy” -- a branch of end-of-life treatment that hospice organizations throughout Canada are widely promoting.

Through therapy sessions and open dialogue about what patients want to leave behind after they die, legacy palliative care guides patients towards creating something tangible -- like a memory box, or audio tape -- that tells their story and immortalizes messages for loved ones.

One of the Canadian hospices that offers legacy palliative therapy is Heart House Hospice, an interdisciplinary organization that provides a wide range of end-of-life programs for terminally ill patients and their caregivers, deploying experts such as meditation coaches, art therapists and bereavement counselors.

Kitrina Fex, the executive director of Heart House Hospice, often emphasizes the importance of having programs like legacy therapy for dying patients, which extend beyond the borders of medical intervention.

“It’s always left to the consideration of what the patient wants,” she said, explaining the team’s process for designating resources to home hospices in Brampton and Mississauga, Ont.

“A great deal of what comes as a result of the prognosis of a terminal diagnosis are those psycho-social elements of patients considering, ‘What does this mean for me? What does this mean for my family? Where do I go with this?’”

Fex explained that patients are robbed of these meaningful, therapeutic treatments when open, transparent dialogue regarding end of life is neglected.

“The pandemic indicated the importance of us getting in well before end-of-life care begins.”

Hospices, she said, are not just about someone’s final days -- they are an opportunity to bring comfort and meaning to an inevitable point in anyone’s life.

But when the patient is too close to the end of life, it can be more difficult to implement resources that align with their values on short notice -- mostly because those values haven’t been adequately articulated sooner.

Fex and other end-of-life care experts see a lesson in this reality.

“We should be having those conversations at the time of diagnosis,” she said.

CTVNews.ca Top Stories

Canadian musician Jacob Hoggard has been found not guilty of sexually assaulting a young woman in northeastern Ontario eight years ago. The former Hedley frontman had pleaded not guilty to sexual assault.

Police have arrested a Toronto woman in connection with three recent homicides and investigators say that they believe two of the victims may have been 'randomly targeted.'

The body of a British Columbia mountain climber has been located and recovered after the 39-year-old man was reported missing during a solo climb on Washington state's Mount Baker earlier this week.

Following child's death in Ontario, here's what you need to know about rabies and bats

An Ontario child died last month after coming into contact with a rabid bat in their bedroom, which was the first known human rabies case in Canada since 2019.

A French judge in a shocking rape case allows the public to see some of the video evidence

A French judge in the trial of dozens of men accused of raping an unconscious woman whose now former husband had repeatedly drugged her so that he and others could assault her decided on Friday to allow the public to see some of the video recordings of the alleged rapes.

Former Colorado county clerk Tina Peters sentenced to 9 years for voting data scheme

A judge ripped into a Colorado county clerk for her crimes and lies before sentencing her Thursday to nine years behind bars for a data-breach scheme spawned from the rampant false claims about voting machine fraud in the 2020 presidential race.

Anne Hathaway confirms 'Princess Diaries 3': 'Miracles happen'

You might be thinking, 'Shut up!' but it’s officially true: the 'Princess Diaries' franchise is finally growing.

A teen charged with the murder of another teen on Prince Edward Island last year has pleaded guilty to a lesser charge of manslaughter.

A Saskatchewan man living in the United States has pleaded guilty to possessing child pornography after he unknowingly provided disturbing videos to an FBI agent he thought was a pedophile.

Canada

Police have arrested a Toronto woman in connection with three recent homicides and investigators say that they believe two of the victims may have been 'randomly targeted.'
The body of a British Columbia mountain climber has been located and recovered after the 39-year-old man was reported missing during a solo climb on Washington state's Mount Baker earlier this week.
A Saskatchewan man living in the United States has pleaded guilty to possessing child pornography after he unknowingly provided disturbing videos to an FBI agent he thought was a pedophile.
Melissa Duff-Shore, a Cambridge, Ont. woman who killed her daughter in 2020, has been ordered to a forensic hospital in St. Thomas.
Canadian musician Jacob Hoggard has been found not guilty of sexually assaulting a young woman in northeastern Ontario eight years ago. The former Hedley frontman had pleaded not guilty to sexual assault.
A northeastern Ontario jury has started deliberating in Canadian musician Jacob Hoggard's sexual assault trial, we can now tell you what they weren't allowed to hear.

World

Colorado judge who sentenced election denier Tina Peters to prison receives threats

A rural Colorado county courthouse beefed up security Friday after threats were made against staff and a judge who sentenced former county clerk Tina Peters to nearly nine years behind bars for her role in a data breach scheme catalyzed by the lie that the 2020 election was stolen from former President Donald Trump.
Bibles that Oklahoma wants for schools match version backed by Trump

Oklahoma's top education official is seeking to purchase 55,000 Bibles for public schools and specifying that each copy contain the Declaration of Independence and U.S. Constitution, which are not commonly found in Bibles but are included in one endorsed by former President Donald Trump.
A French judge in a shocking rape case allows the public to see some of the video evidence

A French judge in the trial of dozens of men accused of raping an unconscious woman whose now former husband had repeatedly drugged her so that he and others could assault her decided on Friday to allow the public to see some of the video recordings of the alleged rapes.
Former Colorado county clerk Tina Peters sentenced to 9 years for voting data scheme

A judge ripped into a Colorado county clerk for her crimes and lies before sentencing her Thursday to nine years behind bars for a data-breach scheme spawned from the rampant false claims about voting machine fraud in the 2020 presidential race.
U.S. and Britain launch airstrikes by fighter jets and ships on Yemen's Iran-backed Houthi rebels

The U.S. and British militaries struck more than a dozen Houthi targets in Yemen on Friday, going after weapons systems, bases and other equipment belonging to the Iranian-backed rebels, U.S. officials confirmed.
Helene damaged a factory that makes IV fluids

The fallout from storm damage to a North Carolina factory that makes critical hospital supplies will be felt broadly and could linger, experts say.

Politics

NDP house leader laments 'agents of chaos' in precarious Parliament

NDP House leader Peter Julian says there's more his party wants to do in Parliament before the next election, but if the current dysfunction continues it will become a factor in how they vote on a confidence measure.
Canada announces funding for African countries, scientific research at Francophonie

Prime Minister Justin Trudeau is set to announce funding to support French-speaking African countries and initiatives to promote the French language in the Francophonie.
Defence minister says Israel has right to defend itself in 'proportional way'

Defence Minister Bill Blair says Israel has the right to defend itself in 'a calibrated and proportional way' following Iran’s ballistic missile attack against Israel on Tuesday.

Health

Following child's death in Ontario, here's what you need to know about rabies and bats

An Ontario child died last month after coming into contact with a rabid bat in their bedroom, which was the first known human rabies case in Canada since 2019.
Breast cancer patient says she had to lie to get a mammogram in Ontario

When an Ontario doctor refused to sign off on a mammogram for 38-year-old Sidra Lone, the mother of four says she was left with no choice but to lie.
The recent rabies-related death in Ontario has raised concerns about human exposure, but an assistant professor at the University of Guelph says we can learn a lot from the health of bat populations.

Sci-Tech

What can a fruit fly's brain tell us about our own?

Scientists announced on Thursday a milestone in neurobiological research with the mapping of the entire brain of an adult fruit fly, a feat that may provide insight into brains across the animal kingdom, including people.
Dolphins 'smile' at each other when they play and to avoid misunderstanding, study finds

For humans, flashing a smile is an easy way to avoid misunderstanding. And, according to a new study, bottlenose dolphins may use a similar tactic while playing with each other.
Google tests verified check marks in search results

Alphabet's Google is testing showing check marks next to certain companies on its search results, a company spokesperson said on Friday, in a move aimed at helping users identify verified sources and steer clear of fake websites.

Entertainment

Anne Hathaway confirms 'Princess Diaries 3': 'Miracles happen'

You might be thinking, 'Shut up!' but it’s officially true: the 'Princess Diaries' franchise is finally growing.
Paul Simon is 'optimistic' about returning to live performance after partially losing hearing

Legendary singer Paul Simon has said he is 'optimistic' about being able to return to performing live after losing most of his hearing in his left ear.
The jury tasked with determining if Canadian musician Jacob Hoggard sexually assaulted a young woman in northeastern Ontario eight years ago began deliberating Friday after nearly two weeks of testimony that saw the singer and his accuser give starkly different accounts of what happened.

Business

Brazil's top court says X paid pending fines to wrong bank

Brazil's Supreme Court said on Friday that lawyers representing social media platform X did not pay pending fines to the right bank, postponing its decision on whether to allow the tech firm to resume services in Brazil.
Airlines' challenge of Canada's passenger protection rules rejected by Supreme Court

Canada's airlines have failed in their challenge of air passenger protection rules that the federal government implemented in 2019.
Vatican Bank fires couple whose marriage breached new workplace ban

The Vatican Bank has fired two employees whose recent wedding violates a newly-introduced ban on marriages between staff.

Lifestyle

A five-seat sushi counter located inside another restaurant is the latest Vancouver eatery to receive a Michelin star.
People are panic-buying toilet paper because of the port strike. There is no need for that

Toilet paper shortages in stores across America are giving folks nightmarish reminders of the pandemic era. But the lack of toilet paper isn’t a direct result of a major port strike Tuesday. It’s because of panic buying.
What does New Westminster's təməsew̓txʷ Aquatic and Community Centre have in common with a historic 68,000-seat stadium in Beijing, an NFL stadium and the aquatics venue for the Paris Olympics? They've all been named among the world's most beautiful sports venues for 2024.

Sports

Paul Pogba doping ban reduced from 4 years to 18 months

Paul Pogba has had his four-year ban for doping reduced to 18 months after appealing to the Court of Arbitration for Sport.
NFL says the preseason saw its fewest number of concussions since tracking started

The NFL saw its fewest number of concussions in the preseason since tracking started in 2015.
Indiana Fever star Caitlin Clark a near-unanimous choice as WNBA's Rookie of the Year

Caitlin Clark has been named the WNBA Rookie of the Year in a near-unanimous vote, giving the Indiana Fever back-to-back winners after Aliyah Boston won the honour last season.

Autos

A 5th recall for Tesla Cybertruck within a year, the latest due to rearview display

Tesla is recalling more than 27,000 Cybertrucks because the rearview camera image may not activate immediately after shifting into reverse, the fifth recall for the vehicle since it went on sale late last year.
A Pickering, Ont., student going to college to be a mechanic is shocked the engine in his two-year-old car will not be repaired under warranty after the dealership claimed he had been 'over-revving' the engine.
A group of classic car enthusiasts donated hundreds of blankets to nursing homes in Nova Scotia.

Local Spotlight

Chantal Kreviazuk is set to return to Winnipeg to mark a major milestone in her illustrious musical career.

From the beaches of Cannes to the bustling streets of New York City, a new film by a trio of Manitoba directors has toured the international film festival circuit to much pomp and circumstance.

A husband and wife have been on the road trip of a lifetime and have decided to stop in Saskatchewan for the winter.

The grave of a previously unknown Canadian soldier has been identified as a man from Hayfield, Man. who fought in the First World War.

A group of classic car enthusiasts donated hundreds of blankets to nursing homes in Nova Scotia.

Moving into the second week of October, the eastern half of Canada can expect some brisker fall air to break down from the north

What does New Westminster's təməsew̓txʷ Aquatic and Community Centre have in common with a historic 68,000-seat stadium in Beijing, an NFL stadium and the aquatics venue for the Paris Olympics? They've all been named among the world's most beautiful sports venues for 2024.

The last living member of the legendary Vancouver Asahi baseball team, Kaye Kaminishi, died on Saturday, Sept. 28, surrounded by family. He was 102 years old.

New data from Greater Vancouver and the Fraser Valley shows a surge in supply and drop in demand in the region's historically hot real estate market.

Chayton Point loved to dance. Just ask his mom.
As the provincial election campaign reaches the halfway mark, the party leaders made pitches to voters on bread-and-butter issues: housing, child care and jobs.
Vancouver police have deployed extra resources in anticipation of multiple protests planned for Oct. 7.

Police have arrested a Toronto woman in connection with three recent homicides and investigators say that they believe two of the victims may have been 'randomly targeted.'
Canadian musician Jacob Hoggard has been found not guilty of sexually assaulting a young woman in northeastern Ontario eight years ago. The former Hedley frontman had pleaded not guilty to sexual assault.
Toronto Public Health has confirmed two cases of listeria in the city believed to be connected to ready-to-eat deli meat products sold by Summerhill Market.

Three Calgary businesses have been ordered to shut down after inspectors discovered evidence of uninspected meat.
A pedestrian is in critical condition after being struck by a vehicle in southeast Calgary on Friday night.
Alberta Health Services (AHS) says it is taking immediate action to expedite care for patients who had referrals to community health-care providers delayed.

The owner of a Gatineau, Que. café says it's 'silly' that Quebec's language watchdog is telling the business to write its Instagram posts in French.
Gas prices in Ottawa are set to rise this weekend after a slight uptick overnight.
Canadian musician Jacob Hoggard has been found not guilty of sexually assaulting a young woman in northeastern Ontario eight years ago. The former Hedley frontman had pleaded not guilty to sexual assault.

At least two people are dead and others are injured after a fire ripped through a century-old building in Old Montreal early Friday morning, sources told Noovo Info.
The owner of a Gatineau, Que. café says it's 'silly' that Quebec's language watchdog is telling the business to write its Instagram posts in French.
A 28-year-old female driver was seriously injured in a three-vehicle collision Friday afternoon in Saint-Rémi, Montérégie, reports the Sûreté du Québec (SQ).

A 79-year-old woman is dead after the vehicle she was driving crashed into an east Edmonton building late Friday afternoon.
A letter from Edmonton's mayor to the Alberta government detailing the city's fiscal wishlist ahead of next year's budget calls for fair treatment for the capital city, something several city councillors say isn't already happening.
A new docu-series that reveals what life is like for National Hockey League players on and off the ice during the playoffs is now out.

A teen charged with the murder of another teen on Prince Edward Island last year has pleaded guilty to a lesser charge of manslaughter.
The federal Fisheries Department says it is concerned about a "pattern" of violence and threats toward its enforcement officers after two tense incidents off southwestern Nova Scotia last month.
Friday marked the grand opening of 22 new seniors' apartments built from the ground-up on Pitt Street in Sydney Mines, N.S.

Brady Oliveira and the Winnipeg Blue Bombers continue to roll along. Oliveira ran for a season-high 147 yards and a touchdown to power Winnipeg past the Hamilton Tiger-Cats 31-10 on Friday night.
A new report from Doctors Manitoba is calling for major changes to the way sick notes are issued in Manitoba, saying they are a waste of time for doctors and employers.
With winter right around the corner, thousands of feathered friends are flying south. New technology in Assiniboine Park is helping researchers around the world unlock the mysteries of this migration.

A Saskatchewan man living in the United States has pleaded guilty to possessing child pornography after he unknowingly provided disturbing videos to an FBI agent he thought was a pedophile.
A group of climate activists is challenging SaskPower's move towards natural gas, arguing it violates their Charter rights.
Regina kids facing mobility issues were gifted toy cars through the Go Baby Go program.

Police have laid charges after a car crashed into the side of a Kitchener home early Friday morning.
The K-W Symphony may have played their last concert but the musicians who made up the ensemble aren’t ready for their curtain call.
Melissa Duff-Shore, a Cambridge, Ont. woman who killed her daughter in 2020, has been ordered to a forensic hospital in St. Thomas.

The Saskatchewan Teachers' Federation hosted a virtual election forum on education Thursday evening, giving candidates in the provincial election a chance to share their thoughts and answer questions on issues teachers find most important.
A Saskatchewan man living in the United States has pleaded guilty to possessing child pornography after he unknowingly provided disturbing videos to an FBI agent he thought was a pedophile.
Saskatoon police arrested a homeless person at the scene of an encampment underneath the University Bridge on Friday morning.

Canadian musician Jacob Hoggard has been found not guilty of sexually assaulting a young woman in northeastern Ontario eight years ago. The former Hedley frontman had pleaded not guilty to sexual assault.
Two police officers in Greater Sudbury required medical attention for injuries they received arresting a man for the second time in just two days.
Police have arrested a Toronto woman in connection with three recent homicides and investigators say that they believe two of the victims may have been 'randomly targeted.'

The Ministry of Labour is investigating a workplace incident that claimed the lives of two people in Georgian Bluffs, south of Owen Sound.
Eleven victim impact statements were submitted into court during the proceedings.
Middlesex OPP have shuttered a road between Mount Brydges and Komoka today - Amiens Road is currently closed between Glendon Drive and Oriole Drive.

A woman whose son died last month while at a Penetanguishene, Ont. beach with another family member wants to see safety increased at the beach.
The Ministry of Labour is investigating a workplace incident that claimed the lives of two people in Georgian Bluffs, south of Owen Sound.
Provincial police are investigating a collision along Highway 400 in Tay Township Friday afternoon.

A London, Ont. man, who pleaded guilty earlier this year in a harassment case, has been sentenced to two months in jail for criminal harassment of a Windsor, Ont. family.
Hike Metal has added more security since a $20,000 ship propeller was stolen, while Crime Stoppers is still looking for tips on possible suspects
The City of Windsor is on the right path to adding much needed housing inventory to the stock, according to city officials.

We haven't heard the candidates talk much about education during B.C.'s 2024 election campaign, but the teachers' union is trying to put the spotlight on that issue.
The body of a British Columbia mountain climber has been located and recovered after the 39-year-old man was reported missing during a solo climb on Washington state's Mount Baker earlier this week.
Many British Columbians were shaken awake early Friday morning when an earthquake struck in the Strait of Georgia, about 18 kilometres southwest of Tsawwassen.

Three young suspects have been arrested in connection with a swarming attack on a teenager in B.C.'s Okanagan last week – and authorities have asked the public to stop circulating disturbing videos of the incident.
A father in Kelowna is furious after his 13-year-old daughter was brutally beaten on Gyro Beach. He is calling for criminal charges in the devastating attack, which was caught on video by multiple bystanders.
The officer who shot and killed a forcible confinement suspect in Kamloops two years ago was justified in doing so, according to the Independent Investigations Office of B.C.

A person was airlifted to hospital following a serious crash in Taber, Alta., on Friday morning. Taber RCMP responded to the scene on Highway 864 around 10:30 a.m., for a crash involving an SUV and a semi-truck.
To enhance inclusivity at Lethbridge Polytechnic, the institution has launched a new accessibility micro-credential.
WestJet has changed its operations at the Lethbridge Airport, and it means there's now only a single daily flight from Lethbridge to Calgary, down from three flights a day, as offered previously.

Two teens, ages 14 and 19, have been charged with arson in connection with a July 14 fire in Cat Lake First Nation that destroyed $500,000 in construction materials.
A northeastern Ontario jury has started deliberating in Canadian musician Jacob Hoggard's sexual assault trial, we can now tell you what they weren't allowed to hear.
A suspect who accused Thunder Bay police of being responsible for his throat injury actually hurt himself when he swallowed a large amount of drugs.

N.L.

Marathon goat: Animal runner wins hearts and a medal after crashing Newfoundland race

He may not have logged the fastest time or even gone the full distance, but residents of a Newfoundland town agree the goat who unexpectedly joined the local weekend half marathon was the event's undisputed champion.
Labrador residents say 'inhumane' food prices force families to go hungry

A mother in a community where the cost of living is one of the highest in the country says grocery prices are 'inhumane' and retailers are putting profits ahead of people’s basic human right to food.
Small English soccer team has huge year, thanks in part to Newfoundland and Labrador

A soccer game in England on Tuesday night drove a spike in online traffic across the Atlantic to a website launched by the Newfoundland and Labrador government.