AGM 2019 Q&As


September 26th, 2019


Thank you to all who attended the 2019 Annual General Meeting (AGM)!  We at the Lymphedema Association of Ontario (LAO) are honoured to have had the opportunity to share a very successful year. 

In order to provide thorough and informed responses we have compiled a set of answers to questions submitted to the LAO through the ZOOM chat feature and through our email.  We have removed any identification from questions in order to preserve the anonymity of members and their personal information.

We love hearing from the community and if you have any further comments, suggestion, or inquires please do not hesitate to contact us at: Info@lymphontario.ca.

We look forward to working for you and for the lymphedema community in the coming year!

Sincerely,

LAO Directors


2019 AGM Q&As


Q: Why are the minutes that I prepare for the 2018 AGM shortened so much that they delete some pertinent information?

A: We do not have a copy of the minutes you prepared and thus cannot respond to your query.  However, the minutes presented at the 2019 AGM were compiled by a LAO Director and are representative of the 2018 AGM.


Q: Do we have enough members for quorum for tonight’s meeting?

A: Yes.


Q: Is there anything being done to fill the additional 5 vacancies on the board from outside the GTA?

A: Yes! We are excited and actively taking steps to recruit individuals residing outside the GTA to fill vacancies.  Please stay tuned to updates and postings on our social media and on our website at lymphontario.ca!


Q: How do non board members access the by-laws and monthly minutes?

A: Based on our established practice, such documents are only available to Board members.


Q: There was a one hour presentation to MPP’s earlier this year. This should be shared with the membership as well as next steps.

A: Thank you for your input and recognition!  The LAO is proud to host and partake in many events and initiative to raise awareness for this underrepresented condition. Reference is being made to this May 30th presentation in the upcoming Fall 2019 Pathways magazine newsletter-insert, "Lymphedema Matters". Some further steps are outlined therein and are currently being considered for action.  Please also find more information about our past, current, and future initiatives on our Facebook page and at lymphontario.ca!


Q: Will answers to previously asked questions on this chat be shared with everyone?

A: Yes!  As mentioned during the meeting, and to ensure we provide correct and thorough information, we have posted answers to all questions submitted via chat and e-mailed on our website - shared with everyone! 


Q: I live 1hour+ north of London and over 2 hours to Mississauga etc. Is there any info booths ever at

events held in London? Stratford? Kitchener-Waterloo?

A: Unfortunately, we do not currently have events planned in the areas you have mentioned.  However, the LAO is constantly expanding our awareness and advocacy platforms and events.  Please stay tuned to our website (lymphontario.ca) and to our social media for information on upcoming events!


The following Q’s were posed to and answered by our Keynote speaker Jean LaMantia


Q: How much would shipping be approximately?

A: The Canada post plug-in is part of the shopping cart on my website. It will calculate the shipping. So far shipping has been around $9 for southern/central Ontario and was as high as $17 for Thunder Bay. If you would like to calculate for yourself, the book and package weights 526 grams and measures 26x22x2 cm.


Q: How do you feel about rebounding?

A: I prefer you ask that question to your lymphedema therapist as that is outside of my scope of practice.


Q: Do you know of any research that is available on lymphedema and obesity that is not cancer related?

A: Yes, here are 3:

  1. Greene, A Grant, F and Slavin S. Lower-extremity lymphedema and elevated body mass index. N Engl J Med 266:22. May 31, 2012. Letter to the editor.

  2. Lymphat Res Biol. 2019 Apr;17(2):178-186. doi: 10.1089/lrb.2019.0014. Lymphedema Impact and Prevalence International Study: The Canadian Data. Keast DH, Moffatt C, Janmohammad A.

  3. Plast Reconstr Surg. 2014 Jul;134(1):154e-160e. doi: 10.1097/PRS.0000000000000268. 
    Lymphedema and obesity: is there a link? Mehrara BJ1, Greene AK.

Q: Will Jean be selling her book at the National Conference?

A: Yes, Jean and Ann will have a table at the expo of the National Conference, Nov 1-2, in Toronto. You can register for the conference. Jean and her co-author Ann are both speakers at the conference.


Q: Do you expect the book to be in print at the conference?

A: Yes. Both Ann and I have copies of the book now and we will bring them to the conference.


Q: Jean - do you recommend limiting or omitting dairy?

A: No, I don’t recommend that per se, but I do recommend an anti-inflammatory diet and diary products are inflammatory. I believe it’s the overall balance of inflammatory and anti-inflammatory components that matter though. If you choose to keep milk in your diet, be sure to balance that by consuming a regular intake of fruits and vegetables, herbs and spices and omega-3 rich fish. I would recommend limit high fat dairy though, as that is quite inflammatory.


Q: Your view on gastric bypass to lose weight. How will it affect lymphedema?

A: I found this care report of a 46-year-old woman with a BMI of 80 (morbidly obese) who had a gastric sleeve procedure. Her weight loss was significant and her size reduced (click on the link to the study to see the before and after photos) but analysis afterwards showed she still had impaired lymphatic function.

Plast Reconstr Surg Glob Open. 2015 Jun; 3(6): e426. 

Published online 2015 Jul 8. 

Obesity-induced Lymphedema Nonreversible following Massive Weight Loss

Arin K. Greene, MD, MMSc,* Frederick D. Grant, MD, and  Reid A. Maclellan, 





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