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July 31, 2013

What Inspires You?

My work inspires me - everyday.  And what I find most inspiring are those people who are able to turn a terrible or traumatic situation into something beautiful.  I saw this first with Bob.  When I was 19, in my undergrad and knowing I wanted a career in health care, I applied for a job as an attendant care aide.  Despite having no experience and only able to offer a positive attitude and helping spirit, I got the job. Bob was my boss.  Bob had been rendered a quadriplegic when he was hit by a car.  Bob described his life before his accident as “miserable”.  He was very open about his previous unhappiness and spoke candidly about how his accident helped him to turn his life around.  As I worked with Bob for many years we became quite close.  Overtime, he started telling me about the feelings he was having for one of his other attendants.  I listened and encouraged Bob to share his feelings with her.  He did, and discovered that the feelings were mutual.  They were soon married.  Bob and his new wife lived a wonderful life – they traveled, spent time with friends and family, and just truly enjoyed each other’s company.  I remained in touch with Bob and his wife over the years and was saddened to hear of Bob’s passing a few weeks ago.  At the visitation I hugged his wife and together we spoke of the wonderful years they shared, and the joy they brought to each other. 

I believe that when Bob had his accident he had choices - maybe not physical choices to walk again, or to be able to regain full use of his hands – but he had emotional choices.  He could have chosen to be miserable, grumpy and difficult to work for.  Or, to withdrawal from others and live reclusively. He could have resumed his previous poor habits that rendered him so unhappy in his adult years.  He also could have decided to keep his feelings for his attendant to himself, fearing rejection.  But Bob’s accident made him realize the preciousness of life and this helped him to make all the right choices and decisions that ultimately brought him joy, love and happiness in his remaining years. 


We can all learn from the Bob’s of the world.  And luckily enough for me I have a caseload full of them.  

Daily Dose of Inspiration

"You can turn off the sun, but I'm still gonna shine."
Jason Mraz:  "The Remedy"
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July 30, 2013

Summer First Aid Essentials

Although it's best to be prepared and know how to avoid sunburn and heat illnesses the hot summer can bring, sometimes our best efforts fail and we need to learn how to deal with the consequences.  The following from the Government's Healthy Canadians, will help you learn how to treat a sunburn or heat stroke, 2 very common summer health issues.  Although prevention is the best method, it's best to be prepared.  

Daily Dose of Inspiration


July 29, 2013

Hope is Essential

A friend asked me to visit a colleague of his who was in hospital following a spinal infection.  The spinal infection, and resulting surgery, caused paralysis and the gentleman was told he will not walk again.  During our visit we spoke of the non-profit organization “Spinal Cord Injury Ontario” and the client’s wife told me the story of their first meeting with a Peer Support volunteer.  She recalled that the volunteer (a paraplegic) entered their room and introduced himself.  The wife politely thanked him for coming but told him they would not need his services as they strongly believe that her husband will walk again.   The volunteer’s answer was brilliant – he told them that even though it has been years since his own accident, he too has not given up hope that one day there will be a cure for paralysis.  He explained that he keeps himself in great shape as to always be prepared for that day.  He told my friend’s colleague to never give up hope. 

This conversation reminded me that hope is essential.  As a health professional, I realized early that one of the key roles I play in the lives of my clients is to foster hope.  Hope for a better future, for a solution to their current problems, and for a better way to manage.  Even just discussing problems and brainstorming solutions elicits hope.  Health professionals should never undervalue the importance of fostering hope – even if that is in the face of one huge challenge after another.  Where hope becomes dangerous is when people are so busy waiting for “the cure” that they forget to manage in the meantime.  Hope, like goals, is essential to survival, but so is survival in between.  To forgo opportunities, solutions and help in the hopes of a future “fix” will only cause secondary problems that may be larger than the initial problem in the first place. 

This philosophy is supported by most Chronic Pain Programs – they will not admit people to participate if that person is banking on a surgery, medication, or other therapy to “fix” them.  Some problems are chronic, and learning to manage with the trials of life despite the problem is the only therapy.  This should not squish hope – but rather should allow hope to live and breathe among optimal function. 

I always try to remain hopeful.  Hopeful for a better world for my children, for resolution of pain and suffering for my clients, for the health of others, and for my industry to remain a place where injured people can be adequately supported during their recovery.  But I recognize that it is not always easy to feel hopeful.  So, if you ever find yourself running on empty in the hope tank, try calling a supportive friend or family member, looking online (or on this blog) for inspiration, watching a funny or uplifting movie, getting some exercise, changing your scenery, or seeking support from a health professional.  We are here for hope and help. 

Daily Dose of Inspiration

"I avoid looking forward or backward, and try to keep looking upward."
Charlotte Bronte

July 26, 2013

Weekly Mind Bender


When I am filled I can point the way.  When I am empty nothing moves me.  I have two skins; one without and one within.  What am I?  

Daily Dose of Inspiration

"Don't lose hope:  When the sun goes down, the stars come out."  
Unknown

July 25, 2013

Fact of Fiction? Top Summer Health Myths Revealed

Do you really need to wait at least 30 minutes after eating to go for a swim?  Is it dangerous to drink water from your garden hose?  Will scratching that itchy bug bite actually make it worse?   The answers to these and other common summer health questions are answered in the following article by Men's Health Magazine.  Check this out to find out how to handle these and other summer health issues.  

Daily Dose of Inspiration

A Son asked his father, "Dad, will you take part in a marathon with me?" The father who, despite having a heart condition, says "Yes". They went on to complete the marathon together. Father and son went on to join other marathons. The father always saying "Yes" to his son's request of going through the race together. One day, the son asked his father, "Dad, let's join the Ironman together."

To which, his father said "Yes".  See their inspiring journey here.
 


July 24, 2013

Summer Sports Safety


Do you or your kids participate in summer activities or sports?  Swimming, playing soccer, golf, tennis and other summer sports can be fabulous for your health, however, you need to ensure you are playing safely.  Whether you play organized summer sports or simply enjoy a nature walk, the following article from Better Home and Gardens discusses how to ensure you and your family play it safe this summer. 

Daily Dose of Inspiration

“Emancipate yourselves from mental slavery; none but ourselves can free our minds.”  
Bob Marley:  "Redemption Song" 
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July 23, 2013

Summer Food Safety

Studies in the UK show that food poisoning cases double in the summer season.  Barbecue season has begun and the following food safety tips by the UK's National Health Services will help to allow you to enjoy your barbecued food without worry.

Daily Dose of Inspiration


July 22, 2013

Emergency Preparedness

The storm in Toronto last week hit hard and fast.  The flooding in Calgary was severe.   Parts of Barrie were leveled many years ago from a tornado.  In 2004 some of Ontario suffered a power outage that lasted for days in the heat of summer.  A few winters ago there was a significant snow storm in London and Sarnia that trapped people in their cars for hours and even overnight.  Ontario and Quebec have also suffered from severe ice storms that have caused power outages in the coldest and darkest days of winter. 


While I don’t like to be “doom and gloom”, I do believe in being prepared for an emergency.  I have three kits I keep in my car.  One for the car (jumper cables etc), one for first aid, and one for us should we be stranded.  When we take our kids into busy public places we take a photo of them on our phone so that we know what they are wearing when we arrived (flashback to my panicked parenting moment when we lost a twin for 45 minutes at an amusement park and could not remember what she was wearing to tell the paramedics and police).  In the “olden days” (okay, 8 years ago) we would carry walkie-talkies with us when out with our kids so we could easily communicate about which parent had which kids (flashback to the time when my husband was frantically looking for a kid who was with me the entire time).  Now, we use our cells for this.  Our pool is separately fenced from our already fenced yard and when our kids were small we had safety locks on all the doors to prevent them from leaving the house independently.  The list goes on…


I recently finished a course in Risk Management.  In this, students had to consider the many risks that face an organization, prioritize how significant those risks are to the business should they happen, anddetermine ways to protect a business from these, or how they should react to “stop the bleeding”following.

The same risk management process can be applied to us personally – regardless of our situation.  This is especially important for persons with disabilities who may have special equipment, housing, medical, or dietary needs that reduces the time they can safely tolerate emergency, or their physical or functional ability to react.  To look at your own risk profile consider the following:  What if you become stranded in your car?  Could not find a child?  Suffer a significant power outage?  Hear of a tornado alert?  Need to evacuate your home?  Have a failure in life-sustaining or mobility equipment?  

I believe it is valuable time spent, and could be lifesaving, to outline the risks facing you and your family (including your pets) should disaster strike.  Is there anything you can do to prepare for your identified risks ahead of time?  Are there kits you can make or buy for your car, home or work (blankets, food, water, candles, first-aid, etc.)?  Do you have back-up options if you cannot heat your home, cool your home, store or prepare food for several days?  What if you have special equipment and if this fails do you have battery options, other non-power devices to use, or an emergency response number to call?  
Like many things, perhaps an ounce of prevention is worth a pound of cure.  Not to mention the fact that panicking in an emergency situation is rarely the right response, and having a plan in place for the emergency will reduce the likelihood of you responding poorly, making the situation worse.  

Daily Dose of Inspiration

"The future belongs to those who believe in the beauty of their dreams."
Eleanor Roosevelt

July 19, 2013

Weekly Mind Bender

What is unusual about the following words: revive, banana, grammar, voodoo, assess, potato, dresser, uneven?

Daily Dose of Inspiration

"Each day is a new life.   Seize it.  Live it."  
David Guy Powers

July 18, 2013

Your Healthiest Summer Yet

After a long winter it's important to reflect and reconnect with yourself and your health.  The freshly grown crops and warm weather provide many opportunities to be active and healthy all summer long.  The following article from webmd.com provides fun and easy tips to get healthy and stay healthy the entire summer!  

Daily Dose of Inspiration

A small taste of things to come...



July 17, 2013

Still Don't Get OT? Try This:

My previous post outlined the value of OT and spoke about a recent article that highlighted how OT’s are underutilized, but provide great value in healthcare.  I could not agree more.  And I would hope that anyone that has encountered a good OT would also agree.  One of our biggest challenges as we try to become a “household name” is the fact that people still struggle to understand what we do, and how we do it.  With OT there is no magic formula so we can’t publish the recipe for our secret sauce.  Besides, we don’t see disability in a vacuum where a diagnosis determines the treatment.  Rather, we look at each disability in the context of that person, in that environment, and this makes it impossible to really give people the goods on how we help.  OT then is the definition of healthcare “customization”.  Perhaps you really need to experience an OT to understand and appreciate the scope of what we do.


However, I always love spreading creative and fun ways to explain our profession.  These two You Tube videos are well done, and explain OT in a way that you can’t put on paper.  Take a look, enjoy and hopefully you too will be saying to someone someday “maybe you need an OT”?



Daily Dose of Inspiration

"When rain has covered my leaves with tears, I want you near to kill my fears.  To help me leave all my blues behind.  While standing in your heart is where I wanna be and long to be... Ah, but I might as well try and catch the wind."
Donovan:  "Catch The Wind"  
Find on iTunes

July 16, 2013

Reap What You Sow All Summer Long

Thinking of starting your own vegetable garden?  Gardening is a great way to get outside and enjoy nature while reaping many health benefits.  Growing your own food can also be beneficial due to: cost savings, the promotion of eco-friendly activities, allowing you to connect with nature, educational opportunities and many more!  The following article by Readers Digest provides easy tips on how to start your own vegetable garden and reap the benefits your harvest will bring.  

Daily Dose of Inspiration


July 15, 2013

Does OT Work? Absolutely!

I am not shy about loving my profession.  I think occupational therapy is one of the most creative, compassionate, client-centered and “bang for your buck” health professions as we are trained to help people with a variety of disabilities (physical, cognitive, emotional and behavioral) to function as effectively and independently as possible.  While none of us will claim our profession is “rocket science”, I hope all of us have move passed thinking our knowledge is “common sense”.  As a profession, I feel that we continue to be behind our peers in shouting our skills from the rooftops, and while we have been around for a really long time, I still get asked “oh, so you are a physio”? 

I was thrilled to read a recent article in Healthcare Quarterly (Vol. 16 No. 1) on the value of OT.  This article indicates that “occupational therapy interventions are cost-effective in treating or preventing injury and improving outcomes”, and clearly states that “occupational therapists are underused and not working to their full scope of practice” (page 69).  The article further outlines that there are “clear, cost-effective opportunities for occupational therapists to use their expertise and full scope of practice in the areas of:  case management, chronic disease management, injury prevention, caregiver education, intervening at the point of hospitalization or to reduce hospital stays, community or caregiver support to reduce re-hospitalization, rehabilitation and palliative care” (page 71).  In the end, the article concludes that “there is a strong foundation of evidence indicating positive health outcomes in occupational therapy intervention, with good value from an economic perspective” (page 72).


Perhaps, with research and articles such as these, the systems that fund healthcare (public and private alike) can more fully understand why occupational therapists are a necessary part of the rehabilitation continuum and are a cost benefit, not just a cost.  However, in the world of auto insurance, one of our current struggles is getting other members of our own profession to understand this, and to support occupational therapy treatment when an insurer disputes the need.  I hope this article will help other OT’s to feel that evidence does exist to support our worth, and they will join the crusade to advocate for, and support, our profession as a valuable, contributing and essential service in the public and private sectors.  Go OT!

Daily Dose of Inspiration

"Throw back the shoulders, let the heart sing, let the eyes flash, let the mind be lifted up, look upward and say to yourself... Nothing is impossible!"
Norman Vincent Peale

July 12, 2013

Weekly Mind Bender

What goes around the world but stays in a corner?

Daily Dose of Inspiration

"Risk more than others think is safe. Care more than others think is wise. Dream more than others think is practical. Expect more than others think is possible. "
Cadet Maxim

July 11, 2013

Make The Most of Your Weekend

Are you weekends filled with countless errands and projects?  Do you make time for fun activities?  The following article from Readers Digest discusses how you can plan ahead to ensure you and your family get more out of your weekends and give ideas for easy ways to add some fun to your summer.  The activities are fun, strengthen family relationships, and will help keep you and your family active and healthy.  

Daily Dose of Inspiration


July 10, 2013

Want Feedback? Ask for it!

McMaster University’s Occupational Therapy program was very much grounded in the concept of feedback.  While sometimes contrived, and definitely awkward, giving and receiving feedback is an essential skill in relationships, parenting, work and school. 

Recently I was in one of my MBA classes and the professor circulated feedback forms to the class asking for our input on how the course was going.  In my many years of university, I have never had a professor ask for feedback during the course.  Usually the instructor evaluation forms are circulated at the end, when a) the feedback does not directly benefit the people that provide it (the class is over anyway), and b) the students never know if their feedback has value or elicits change. 

In the case of this particular class, the professor, at the start of the following lecture, summarized the feedback he received.  He commented on what people liked and did not like about the class so far and told us how he was going to adjust his sails to meet the needs of his audience.  Brilliant. 

Reflecting on this reminded me of the recent times when I have asked for feedback and benefited from the outcome.  At home, we engaged in a Stop, Start, Continue exercise with our four daughters.  We all had six pieces of paper with our own, and each other’s, names at the top.  Our job was to comment on what we felt that we each needed to stop doing, start doing, and continue doing in our own mind, and then also for each other.  Basically, we were giving and receiving feedback on our skills as mom, dad, daughter or sister.  The result was amazing.  The kids took the exercise seriously and we all learned more about ourselves through the eyes of the people closest to us.   It was a valuable exercise for them and us, and something we will continue to do going forward.

At work, I also asked for feedback from colleagues, clients and customers.  I circulated a questionnaire via email that allowed people to anonymously let me know how I was performing in my job.  Then, I also engaged in a self-initiated 360 review that provided those closest to me the opportunity to highlight, from their perspective, my personal strengths and weaknesses. 


Why is feedback so important to me?  I am not as much interested in ensuring I am living up to the expectations of others, as I am interested in ensuring I am not naïve to my own faults.  It is always easier to see the faults in others and yet how often do we really reflect on our own skills?  I believe that the path to achieving my personal best involves understanding myself through my eyes and the eyes of those around me.  So, if you want feedback, just ask for it!   How is my blog by the way?

Daily Dose of Inspiration

"And I will sail my vessel, 'til the river runs dry.  Like a bird upon the wind, these waters are my sky.  I'll never reach my destination, if I never try.  So I will sail my vessel, 'til the river runs dry."
Garth Brooks: "The River"  
Find on iTunes

July 9, 2013

Tired of Counting Sheep? Or Simply Tired? Helpful Tips for Common Sleep Deterrents

Is someone's snoring keeping you awake at night?  Do you find it hard to sleep due to noise or light problems?  This article by Real Simple Magazine gives some helpful tips to minimize common sleep distractions and help you get more zzz's.  

Daily Dose of Inspiration


July 8, 2013

Golf FORE All

I don’t quite understand why hitting a stationary ball is so difficult but alas, golf is one of my favorite sports.  I started playing as a teenager and spent years figuring out that my old baseball swing aimed lower would hit a golf ball far, but not really straight.  With practice I have removed the sway, slowed down my tempo, and learned that trying to kill the white-dimpled-target does not work out either, and voila, I am hooked. 

But beyond my love of the sport as an athlete, I also love how adaptable it is.  Growing up I remember playing with my grandfather who had polio.  He would swing a club with one arm while his other arm held his crutch to keep him standing.  Yet, even with one arm, he could hit the ball consistently far and straight – skills foreign to most amateurs.  As an occupational therapist I now suggest golf as one way to re-integrate clients into the athletic world following an accident or injury.  How?  By breaking the sport into its component parts, and structuring participation around ability.

Many people start with putting.  While putting can be boring to practice, it is the most important part of the game as you are likely going to put at least 18 times a round.  Putting requires neck flexion  but can be done in sitting or standing.  Mats can be purchased to putt at home that will eject the ball back to your feet if your putt is successful.  At times, I have even used putting with clients at their home to test for visual-spatial deficits which makes it a great exercise to also practice if deficits are noted. 

From putting, people can slowly increase the club speed through chipping, pitching and low wedge shots.  In these cases, there is little body movement and reduced torque through lowered club speed that would cause pain if the ground, not the ball, was impacted.  Then, if feeling good around the greens, the player can start with low irons on the range and work backwards to full swings.  Eventually, they can try a few holes with a cart to pace the walking, then consider a pull cart with walking later if that is within their abilities.

What is also great about golf, however, is how this is getting attention in the world of modified sport.  Now, some courses have Solo Riders (www.solorider.com) that can be used by people who have deficits in independent standing.  These Solo Riders position the golfer in swing distance from the ball, then elevate them into a standing position to facilitate the swing.  These carts can go on the tees and greens as they only distribute 70 pounds for force through each tire – less than a person’s foot so they don’t damage the course.  I played in a tournament last year where a local golf pro, who had a spinal cord injury, demonstrated the use of a Solo Rider on a par 3 from the tee and hit the ball within a few feet of the pin.  Apparently, for the group before us, he hit a hole in one. 

I also remember reading an article a few years ago about physiotherapy programs that were focusing on golf-related skills in therapy such as balance, trunk control, pelvic rotation, and fluidity of movement to help golfers return to the game.  Other activities, such as yoga and Tai Chi are also now known as ways golfers can improve flexibility, strength, endurance, and muscle control in the off-season. 


My parents vacation in Florida all winter, and while there met Judy Alvarez who instructs and assists disabled people to learn, enjoy and excel at the game of golf.  I read her book (Broken Tees, Mended Hearts) on a recent holiday.  What is most compelling in her book is not about the physical benefits of golfing, but rather the emotional and participatory value golf has for her disabled clients.  Through participation in a challenging but modifiable sport, people can regain passion for sport, competition and can work to achieve personal bests.  Golf really is FORE all and I hope you will consider hitting the links.

Daily Dose of Inspiration

"One generation plants the trees; another gets the shade."
Chinese Proverb

July 5, 2013

Weekly Mind Bender

What gets wetter and wetter the more it dries?

Daily Dose of Inspiration

"If you want children to keep their feet on the ground, put some responsibility on their shoulders."
Abigail Van Buren

July 4, 2013

The Best Picks From Your Local Farmer's Market

Summer has officially begun and fresh fruits and vegetables are a plenty.  Why not join the "eat local" food movement!  A great way to spend a summer day is to visit a local farm or farmers market and take in some of the healthy fresh items the season has to offer.  The following article from Health.com will help you decide the best things to purchase from your local farmers market.  

Daily Dose of Inspiration

Grayson Clamp, adopted at birth, was born without the nerves to hear.  After years of searching for an answer, at the age of 3, Grayson received an implant in his brain to replace the nerves his lacks.  The processor listens to sound, breaks it down and sends the information to his implanted device which allows Grayson to hear.  The following video from UNC Health Care explains the process of the experimental device and shows the breathtaking moment when Grayson hears the sound of his Dad's voice for the first time.  "It was the most amazing thing I've ever seen," Len Clamp, Grayson's Father, said. "He's got a long way to go, but he's going to get there." 



July 3, 2013

Pedestrian Safety – Senior’s and Traffic

The other day I was driving through a busy parking lot.  I noticed an elderly man who parked his car, got out, and proceeded to walk through the parking lot without ever surveying his surroundings.  He did not see my vehicle approaching him, and did not appear to notice the other cars that had to stop to let him pass.  The other drivers looked both annoyed and perplexed that he could be so clueless.

According to the CDC “Increasing frailty may leave the elderly more vulnerable to being hit by traffic. Age-linked declines in mental function, vision and physical disabilities might place older adult pedestrians at greater risk for being struck by a vehicle." (http://www.nlm.nih.gov/medlineplus/news/fullstory_136049.html).

With this man, what I noticed was quite telling.  He was looking at his feet.  Many seniors do this when walking.  Why?  Because they are afraid to fall.  With a decline in physical ability comes problems negotiating uneven terrain.  Parking lots and sidewalks are full of holes, stones, and cracks that could be problematic for someone with declining mobility.  So, they stare at the ground to avoid falling, the entire time being unable to also look around at other risks in the environment.  And when you combine this with reduced peripheral vision, they may not notice vehicles approaching. 

Society expects seniors to “know better” in that they have been trained, over a lifetime, about the perils of traffic.  With children, we don’t expect them to know better because they are carefree and often move before thinking.  As driver’s we watch for children and take extra care when we see them around roads or in parking lots.  We also tend to take the same precautions when we notice someone who is more visibly disabled using a wheelchair, or white cane.  But disabilities are not always visible and we have to be careful to not make assumptions – especially with seniors who may have an unnoticeable visual, cognitive, physical or auditory problem.  


My message here is that drivers should be cautious with all pedestrians, but need to be especially mindful of seniors – much like they are with children or other people with visible disabilities.  Seniors deserve our patience and the extra time it might take to help them safely go about their day and negotiate the sometimes challenging outdoor environment.

Daily Dose of Inspiration

"We're here for a good time, not a long time.  So have a good time, the sun can't shine everyday."
Trooper:  "We're Here for a Good Time"  
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July 2, 2013

Summer Health Hazards

Summer is here!  Tis the season to head outside, exercise, hit the beach and enjoy all that the warmer months have to offer.  However, despite all the good things summer has to offer, there are many health dangers lurking behind the scenes such as insect bites, food borne illnesses, over-heating, sun exposure and many more.  The following article by Health Magazine will make you aware of these hazards and learn how to avoid and overcome them.  


Daily Dose of Inspiration


July 1, 2013

O’ Canada

"There are no limits to the majestic future which lies before the mighty expanse of Canada with its virile, aspiring, cultured, and generous-hearted people." - Sir Winston Churchill


I love this country.  In Canada we are polite and apologize for everything.  We have beautiful seasons that give us plenty of opportunity to be outdoors.  We leave our doors and cars unlocked because we trust each other.  We have gun laws and want it that way.  We let people live how they want, love how they want, dress how they want, and be who they are.  We appreciate cultural and religious diversity.  We have great health care and strong educational institutions.  Are we perfect? Nope.  But nothing is and complaining without action will get us nowhere.  As a fellow Canadian I encourage others in this great country to solve problems, get involved, pay it forward, advocate, speak out, and live with integrity.   If everyone could everyday do one nice thing for this country, or the people in it, we will all be better off.  Pick up a piece of garbage, help a neighbor, donate blood, support a charity, donate time to a worthy cause, or just make someone smile.  It all helps.  Happy Canada Day!

Daily Dose of Inspiration -- Happy Canada Day!

"I am a Canadian, free to speak without fear, free to worship in my own way, free to stand for what I think right, free to oppose what I believe wrong, or free to choose those who shall govern my country. This heritage of freedom I pledge to uphold for myself and all mankind."
John Diefenbaker