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A life saving
transplant put
a firefighter
back on
the job

Round-the-clock expert attention, care and                                 01
support kept Dale Shippam going until a new
heart showed up

By Judy Gerstel

Growing up, Dale Shippam always       easily, breathed harder, felt weak.  get. They can’t be manufactured                                               02
knew what his future                   His family doctor                   with 3-D printers. They can’t be
was going to be.                                                           ordered from Amazon. And they          “We had to get to the point where
                                      diagnosed heart failure.             can’t be created whole from stem      he was well enough and strong
 He was going to be a firefighter.     “I had to get a pacemaker,”         cells or other living tissues – at    enough to have a transplant,”
 But during six weeks in the                                               least, not yet; although, a short     explains Ms. Kozuszko.
Coronary Intensive Care Unit          Mr. Shippam explains. “Then          distance from Mr. Shippam’s room
(CICU) at the Peter Munk              a defibrillator. Every time they     were labs, where scientists were       As critically ill as he was,
Cardiac Centre (PMCC),                tried to control it, something       working to make that happen.          hovering between life and
the firefighter’s future, any         else would happen.”                                                        death, Mr. Shippam was aware
future, was in grave doubt.                                                 But in Mr. Shippam’s room, it        of what was happening.
 “There were so many sirens            Mr. Shippam was referred to         was the applied science of keeping
outside,” he recalls, “and I was      the PMCC because of problems         a diseased heart beating that was      “They were so attentive round-
lying in a bed, thinking, ‘I’m never  with the defibrillator. He was told  happening, hour by hour, second       the-clock,” he recalls, “and
going to ride a fire truck again.’”   he’d contracted a heart virus.       by second, a race against the clock.  friendly, on top of everything else.”
 The best he could hope for, and
it was a long shot, was to live.       A few days later, transferring       “We worked very hard to               He strongly believes, and tells
 If you’d told him at the time that   between units with his wife,         maintain what little heart            everyone who will listen, that “it
he’d be riding the truck again,       Peggy, a former nurse, at his        function there was,” explains         was because of the care I received
trekking in Bhutan, climbing in       side, he suffered a cardiac          veteran CICU nurse Stella             in this hospital that I was able to
Nepal, skiing to the North Pole       arrest and was rushed to the         Kozuszko, “constantly making
and the South Pole, he’d have         CICU, where Dr. Heather Ross         adjustments, minor, minor little
thought he was hallucinating from     worked hard to keep him alive.       changes, minute by minute.”
all the drugs dripping into him.
 Mr. Shippam had been a                “Dale was critically ill,” recalls   The heart, says Ms. Kozuszko,
fit 47-year old firefighter           Dr. Ross, Dr. Heather Ross,          is responsible for what all the
in Thunder Bay.                       Cardiologist, Peter Munk Cardiac     organs are doing – the kidneys,
 “I was incredibly healthy,”          Centre, and Medical Director,        the lungs, the brain. A slight
he says. “I ran the Boston            Cardiac Transplant Program,          drop in urinary output or blood
Marathon. I never smoked. I           Toronto General Hospital. “He        pressure needs to be attended
controlled for risk factors.”         had a very prolonged arrest, and     to instantly. Monitoring fluids
 There was no history of              we had to return circulation.        and devices is a priority.
cardiovascular disease                We got it, we lost it; it was a
in his family.                        real battle. Dale’s body had          “It’s a fine line, at that point,
 But his body began to fail him.      tried to actively die through        in terms of monitoring,” says
What was happening to all the         cardiac arrest,” she says.           Ms. Kozuszko, “because in
energy and stamina that had                                                seconds they could pass.”
fuelled this powerful six-foot         “At that stage, I was incredibly
athlete in his prime? He tired        sick,” Mr. Shippam says. “I was       But there was a challenge
                                      told I would never be able to        for the highly trained, highly
                                      leave the hospital without a heart   skilled nurses and doctors
                                      transplant. I would either get       in the CICU beyond just
                                      a new heart or die waiting.”         keeping Mr. Shippam alive.

                                       But new hearts are not easy to

50 Peter Munk Cardiac Centre
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