Book of Hope

Book of Hope: Healthcare and Survival in the North

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A cancer diagnosis can be life changing for anyone, bringing new physical and emotional realities, changed relationships, and often frustration when dealing with healthcare systems. But living north of sixty means dealing with a higher level of healthcare inequity. Agnes Pascal compiles firsthand narratives from Northern and Indigenous cancer survivors and caregivers that illuminate the unique challenges of health-care accessibility in the North. In this rare volume, more than thirty voices offer compassionate advice and insightful analysis born from experience. With courage and dignity, they discuss fear, grief, and death; the logistics of medical travel for treatment; Indigenous and Western medicine; structural determinants of health, including industrial pollution and environmental racism; and the impacts of residential schools and “Indian hospitals” on northern communities. In these pages people share that hope comes from building healing communities.

Contributors

Agnes R. Pascal

Agnes Pascal is Tetlit Gwich’in, originally from Fort McPherson, Northwest Territories. She was custom adopted by her Jijii (grandfather) Ronnie and Jijuu (grandmother) Laura Pascal at birth. Her Jijii died of cancer a year and half later. She lives in Inuvik, where she founded the Inuvik Cancer Support group in 2018 after being diagnosed with breast cancer. She is training to become a counsellor with Rhodes Wellness College. Agnes sees her upbringing, community, and family as her strengths. She's a mom to three young adults: Ronnie, Laura, and Seanna Pascal. Her children and her faith are her biggest motivations in life.

Chapter Contributors Pages Year Price
In this introduction, Pascal explains how Treaty 8 and Treaty 11 promised health services that were never fully honoured, leaving gaps in care that persist among Indigenous peoples.
15 $1.50
In this chapter, Gwich’in woman Annie Firth-Jones recounts her life in Hay River, weaving together the legacy of residential schools, her discovery of repressed memories after the 2021 …
6 $0.60
In this chapter, Kelsey Townend (McGinley) recounts her experience of stage two choriocarcinoma, diagnosed in Hay River, N.W.T., in 2016, and the months of treatment at Edmonton’s Cross …
3 $0.30
In this chapter, Catherine Boucher of Fort Resolution recounts her rare cancer diagnosis in October 2003 and her subsequent recovery through traditional Dene spruce gum medicine, a practice …
3 $0.30
In this chapter, Pascal presents the personal narrative of James (Jim) Lynn, an eighty-five-year-old chaplain in Dettah, near Yellowknife, in the Northwest Territories. His story centres on an …
2 $0.20
In this chapter, Toni Anderson, a Métis nursing student in Yellowknife, Northwest Territories, recounts how she was diagnosed with breast cancer in September 2020.
6 $0.60
In this chapter, Elizabeth (Sabet) Biscaye, a Chipewyan Dene woman from Yellowknife, recounts her colon cancer diagnosis, surgery, and recovery.
8 $0.80
This chapter recounts the personal narrative of Stephen Buchanan, a Yellowknife resident who, in the early 2020s, faced a rectal cancer diagnosis and the treatment that followed.
2 $0.20
In this chapter, Allice Legat recounts her 2018 stage 4 lung cancer diagnosis and the immunotherapy years that followed in Yellowknife and Edmonton.
11 $1.10
In this chapter, Patrick Scott recounts his prostate cancer journey in Yellowknife from a 2012 diagnosis through stage 4a treatment by 2023.
7 $0.70
This chapter follows Rueben Unka, a man from Fort Resolution whose life spans homelessness, addiction, and work on the survey team that discovered the Diavik Diamond Mine in the Northwest …
4 $0.40
This chapter follows Lianne Mantla-Look, a Tłı̨chǫ nurse from Behchokǫ̀, through her 2015 stomach cancer diagnosis and surgery in Edmonton, Alberta.
5 $0.50
This chapter recounts how Cecilia Rabesca of Behchokǫ̀, in the Northwest Territories, discovered a breast lump during a routine self-exam and embarked on a medical journey through …
5 $0.50
This chapter presents the testimony of Florence Barnaby, a resident of Fort Good Hope, NWT, who lived from 1942 to 2024. She describes her lymphoma diagnosis, treatment in Edmonton, and the …
6 $0.60
This chapter follows Melinda Laboucan, a K’asho Got’ine woman from Fort Good Hope in the Northwest Territories, as she recounts her mother Janet’s 2011 cancer diagnosis and the …
6 $0.60
This chapter recounts Grace Martin from Fort McPherson’s childhood at a residential hostel in the early 1970s, her colon cancer diagnosis and surgery in Yellowknife, and her resolve to …
4 $0.40
In this chapter, author Agnes Pascal recounts her breast cancer journey, Indigenous family tradition, faith, and medical treatment.
8 $0.80
This chapter presents the testimony of Mary Effie Snowshoe, a Gwich’in Elder from Fort McPherson, whose life is shaped by the loss of siblings to residential schools in Hay River and …
5 $0.50
This chapter presents Elizabeth Vittrekwa’s account of a breast cancer diagnosis in February 2020, set against the backdrop of the COVID-19 pandemic.
7 $0.70
This chapter presents the testimony of Ernest Vittrekwa, a Gwich’in elder from Fort Mc-Person, Northwest Territories, who recounts his childhood in Aklavik, his life lived on the land, and …
6 $0.60
This chapter presents Alice Vittrekwa’s account of her husband Ernest’s cancer diagnosis and their treatment in Edmonton, from Fort McPherson, Northwest Territories.
3 $0.30
This chapter traces Maria Ellen Voudrach’s 2019 breast cancer diagnosis in Inuvik, Northwest Territories, and her subsequent treatment journey.
3 $0.30
This chapter traces the life of Charlie Furlong, a Gwich’in elder in Aklavik, Northwest Territories.
6 $0.60
This chapter follows Kirsten Fleuty’s 2017 breast cancer journey in Inuvik, from a stage-zero diagnosis to a mastectomy and reconstructive surgery in Edmonton.
7 $0.70
This chapter follows Sandra Lynn Malcolm’s account of her husband David’s battle with clear cell renal carcinoma, beginning with a diagnosis in Inuvik, Northwest Territories, in …
6 $0.60
This chapter follows Winston Moses of Inuvik as he recounts his cancer diagnosis and unexpected recovery.
4 $0.40
This chapter follows Ashley Wendland, who was diagnosed with choroidal melanoma in Inuvik, NWT, in 2017.
4 $0.40
This chapter follows Ruth Wright of Inuvik, Northwest Territories, as she reflects on decades of family loss to cancer, beginning with her sister Ruby Ann in the 1970s and continuing through her …
6 $0.60
This chapter presents Clara Bates’ account of her colon cancer diagnosis in Tuktoyaktuk, N.W.T., and the three-year delay in treatment caused by systemic failures in rural health care.
4 $0.40
In this chapter, Pascal recounts her lifelong struggle with cancer in the Canadian North.
7 $0.70
In this chapter, Pascal offers practical guidance drawn from cancer storytellers in the Northwest Territories.
9 $0.90