Transcript: Show #7 | Nov 09, 1999

Maureen stands in a studio with windows and sofa chairs in the background. She is in her forties, has short, side-parted, curly blond-highlighted brown hair in a bob, and wears a black turtle neck under a maroon cardigan.

She says HELLO, I'M MAUREEN
TAYLOR, AND WELCOME TO "YOUR
HEALTH."

(music plays)
The opening sequence begins.

Clips of people of different ages flash on screen one by one against an animated blue sky background. First a baby boy, then a 10-year-old boy with short brown hair, a teenage girl with curly brown hair, a man in his thirties with middle-parted brown hair and glasses, and finally a woman in her sixties with long gray hair.

The title appears: "Your Health."

Clips from the episode flash on screen.

Maureen says THIS WEEK, A SPECIAL
EDITION, LIVING WITH CHRONIC
PAIN.

Al walks downstairs slowly with a cane. Rod is in his sixties, has short, dark brownish gray hair, is clean-shaven, and wears a brown sweater.

Now Rod appears on screen. He is in his sixties, has short, side-parted, white hair, has a gray moustache, and wears an orange sweater.

Rod says I CAN ONLY BE CAN ONLY
SIT AROUND AND DO WHAT I CAN
DO, IT'S JUST VERY LITTLE.

Maureen says THE TREATMENTS, THE
MISCON ACCEPTINGS, THE
PROGNOSIS.

Now Bonnie, a woman in her sixties with short brown hair and wearing a pink sweater and gray sweatpants, changes position in an orthopedic bed.

The title appears on screen again and fades to Maureen standing in the studio with a screen in the background that reads "Health Digest."

Maureen says FIRST, THE LATEST IN HEALTH
RESEARCH, THE STRESS AT WORK
COULD BE SHORTENING YOUR
MENSTRUAL CYCLE.
TWICE AS LIKELY TO HAVE A
SHORT MENSTRUAL CYCLE AS
OTHER WOMEN.

The screen changes to a woman answering a phone with a caption that reads "Stress."

Maureen continues A PSYCHAL IS SHORT IF IT
LASTS FEWER THAN 25 DAYS.
CYCLE SLENG IMPORTANT AS AN
INDICATOR OF OSTEOPOROSIS
AND FERTILITY.
MAY BE A VACCINE THAT CAN
PROTECT AGAINST SKIN SCANER
IS.

The screen changes to a photo of an injection needle with a caption that reads "Skin Cancer."

Maureen continues THE VACCINE CALLED GMK BEING
GIVEN THE 1,000 MELANOMA
PATIENTSS WHO ARE AT HIGH
RISK OF A RECURRENCE.
SHOWS THE VACCINE
SIGNIFICANTLY INCREASES THE
PATIENT'S ODDS OF REMAINING
DISEASE FREE AND LIVING
LONGER.
DOCTORS ENCOURAGE WOMEN TO
DO A MONTHLY BREAST
SELF-EXAMINATION, BUT
SURVEYS SHOW THAT NEARLY 5 percent
OF WOMEN DON'T.

Now the screen changes to a kit with a caption that reads "Breast Exam."

Maureen continues MANY OF THEM SAY THEY DON'T
THINK THEY'D RECOGNIZE A
LUMP THAT MIGHT BE
CANCEROUS.
BUT A NEW PRODUCT CLAIMS TO
HELP WOMEN CONDUCT MORE
ACCURATE BREAST EXAMS.
THE PD SENSEABILITY PAD
COMPOSED OF TWO PLASTIC
SHEETS.
THE MANUFACTURE SAYS IT
REDUES THE FRICTION BETWEEN
A WOMAN'S FINGERS AND HER
BREAST, MAKING HER MORE
SENSITIVE TO LUMPS.
A slide appears on screen that reads "Of all suspicious breast lumps, 85-90 percent are not cancerous. Source: The Gynecological Sourcebook by M. Sara Rosenthal."

Back in the studio, Maureen says WE ALL KNOW WHAT PAIN
FEELS LIKE.
CHILD BIRTH IS PAINFUL, BUT
FOR MILLIONS OF CANADIANS
THE PAIN ISN'T TRANSITORY.
IT'S CHRONIC.
AND PROFOUNDLY CHANGES THEIR
LIFE.
MEET BONNIE AL ROD AND ANNE
AND TRY TO IMAGINE WHAT IT'S
LIKE TO FEEL PAIN 24 HOURS A
DAY.

Bonnie appears on screen shifting her pillows around on a bed.

Bonnie says I DIDN'T KNOW HOW TO
HANDLE IT, I DIDN'T KNOW HOW
TO HANDLE MY PAIN.
I REALLY DIDN'T.
I THOUGHT I COULD JUST DO
ANYTHING.
I WAS INVINCIBLE.
YOU KNOW, I'M GOING TO GET
UP.
I'M GOING TO WALK AWAY AND
THIS WHOLE THING WILL
DISAPPEAR.
FROM JULY UNTIL NOVEMBER, I
SLEPT ONE SOLID HOUR.

Clips of Rod’s hands taking medication appear.

Rod says I LEFT FOR WORK THREE
YEARS AGO A, I HAVE BEEN
UNABLE TO WORK BECAUSE THE
MEDICATION MAKES ME YOU ZI
AND A SLUR A LITTLE BIT WHEN
I TALK.
AND THE PAIN IS ALWAYS THERE
AND IT'S CONSTANT SO I CAN'T
GO TO WORK.
I CAN'T WALK FOR MORE THAN
50 OR 20 MINUTES OR STAND UP
AND I CAN'T SIT FOR MORE
THAN FIVE OR 10 MINUTES
BOUGHT GETTING EXCRUCIATING
PAIN ON MY TAILBONE.

Anne appears on screen stretching on a yoga mat on her floor. She is in her late fifties, has short, straight, side-parted dark blond hair, and wears a black shirt.

Anne says THERE'S STILL A LOT OF
MISUNDERSTANDING THOUGH, A
LOT OF PEOPLE JUST DON'T GET
IT THAT WE MAY HAVE PLANS
FOR SOMETHING, AND BUT IT
COMES DOWN TO THE TIME AND
I'VE GOT TO CANCEL.
YOU KNOW,, A NORTHERN
CALIFORNIA NE CAN'T MAKE IT
AGAIN AND I GUESS THAT GETS
FRUSTRATING.
I'M SURE IT GETS FRUSTRATING
FOR FRIENDS.

Al appears on screen walking down the stairs.

Al says OUT OF 10 DAYS I MAY HAVE
THREE GOOD ONES.
WHICH I TEND TO GO OVERBOARD
IN USING AND SEVEN BAD ONES
IN WHICH THE ONLY THING I
REALLY WANT TO DO IS STAY
LAYING ON THE COUCH AND
LETTING MY MEDICATION KICK
IN BEFORE I GO ON TO THE
NEXT ONE.

Bonnie appears on screen with a caption that reads "Bonnie Kennedy."

Bonnie says ORIGINALLY WHAT THEY
DIAGNOSED ME WITH WAS DISPRO
TUGS, AND THEY ELABORATED ON
THAT WITH FACET JOINT
BLOCKAGE, AND SCIATICA.

Anne appears on screen with a caption that reads "Anne Bell."

Anne says I WAS ORIGINALLY
DIAGNOSED AT McMASTER AS
HAVING MYALGIC
ENCEPHLOMYELITIS.
WHICH IS ANOTHER NAME
FOR CHRONIC FATIGUE
SYNDROME.
I FEEL IT'S KIND OF A
MISNOMER BECAUSE DON'T WE
ALL FEEL CHRONICLY FATIGUE
IN THIS DAY AND AGE?
THERE'S CONSIDERABLY MORE TO
IT THAN JUST FATIGUE.

Rod appears on screen with a caption that reads "Rod Graham."

Rod says DOCTORS HAVE DIAGNOSED MY
DISEASE AS SCOLIOSIS, PLUS A
DEGENERATIVE DISK DISEASE,
AND I'VE BEEN POPPING DISK
IN MY LUMBAR REGION UPWARDS
FROM MY LOWER VERT PRAY AND

VERTEBRA AND UP, AND IT'S
QUITE PAINFUL.

Al appears on screen with a caption that reads "Al Gaudet."

Al says THE PROBLEM I HAVE IS A A
SPINE WHICH WAS INJURED WHEN
I WAS QUITE YOUNG, AND HAS
DETERIORATED OVER THE YEARS,
SO IT'S BASICALLY DEGENERAL
KRATIVE DISK DISEASE WHICH I
HAVE.
I'VE HAD SEVEN OPERATIONS ON
IT AND I HAVE A HARDWARE
LIKE RODS AND SCREWS IN THE
SPINE.
TO TRY AND STOP IT FROM
FURTHER COMPRESSING.

Anne says WHAT SLEEP YOU GET WHICH
YOU NEED A GREAT DEAL OF IS
NONRESTORETIVE SLEEP, SO WE
SLEEP A LOT.
SOMETIMES TEN TO 12 HOURS A
A DAY.
THAT'S A BIG WASTE OF TIME
TO BAKE UP AND FEEL PRETTY
WELL THE WAY YOU DID WHEN
YOU WENT TO SLEEP.

Bonnie says MY NEXT OLDEST BLOV, MY
YOUNGEST BROTHER, AND MY
SISTER HAVE
TOTALLY ELIMINATED ME FROM
MY FAMILY.

Rod says I CAN'T BE THE PRINCIPLE
WAGE EARNER.
I CAN'T BE THE KNIGHT IN
SHINING ARMOUR THAT MY WIFE
MARRIED.
I CAN ONLY BE A CRIPPLE.
I CAN ONLY SIT AROUND AND DO
WHAT I CAN DO.
IT'S JUST VERY LITTLE.

Anne says IT DOESN'T MATTER WHETHER
THEY UNDERSTOOD, WHETHER
OTHER PEOPLE UNDERSTOOD
THESE ILLNESS OR NOT.
I THINK THAT ONE OF THE
GREATEST HURDLES OF GETTING
OVER PEOPLE SEEING ME AND
SAYING, WELL, YOU LOOK FINE.

Bonnie says THEY DON'T BELIEVE ME.
THEY DON'T BELIEVE THAT I'M
DISABLED.

Al says AID A REALLY GOOD FRIEND
BRING ME HOLY WATER, BELIEVE
IT OR NOT, AND SAID NOW JUST
NAUT ON YOUR BACK AND IF YOU
REALLY BELIEVE IT WOULD WORK
AND OF COURSE I WILL DO
ANYTHING ONCE.
YOU KNOW.
AND SO I'VE TRIED IT BUT IT
DIDN'T WORK SO.
HERE I AM TODAY.

Bonnie says I HAVE A COMPLETELY OPEN
MIND TO TRYING COMPLIMENTARY
THERAPIES.
I'VE TRIAD NUMBER.
I TRIED AK A PUNCTURE.
I TRIED EYE KRO PRAK TICK
AND THESE THINGS WORK FOR A
LOT OF MY FRIENDS WITH THE
SAME ILLNESS.
WHAT I FIND HELPFUL TO ME IS
RE LAXATION MASSAGE AND I
TRY TO KEEP THAT UP ON A
REGULAR BASIS.

Bonnie says I FOUND MARIJUANA DID CUT
THE PAIN.
I HAD AN ACTUAL ENJOYABLE
EVENING WHERE I COULD SIT
AND PLAY CARDS FOR A WHILE.
GET UP AND REST.
YOU KNOW, MOVE AROUND A.
GET BACK DOWN, PLAY SOME
MORE CARDS.
I HAD A WONDERFUL EVENING.
ABSOLUTELY WONDERFUL
EVENING.
AND I KNOW IT'S ILLEGAL.
I UNDERSTAND THAT.
BUT IT IS ALSO A DRUG.
AND IT'S A HERBAL DRUG.
AND I THINK THAT WE SHOULD
BE ALLOWED TO USE IT.

Al says WHEN THE MEDICATION KICKS
IN AND YOU CAN LITERALLY
FEEL IT KICKS IN, AND IF YOU
DON'T GET A HEAD RUSH OR
ANYTHING LIKE THAT, BUT IT
JUST SORT OF LIKE SETS THE
PAIN ASIDE, IF YOU
UNDERSTAND WHAT I MEAN, SO
THAT IT'S THERE, BUT YOU CAN
TOLERATE IT, YOU CAN AT
LEAST DO SOME THINGS, WHERE
BEFORE, THE PAIN WAS RIGHT
IN YOUR LIKE YOU JUST COULD
NOT IF YOU THINK.

Rod says WHAT THEY GIVE KNOW TAKE
TO COPE WITH THE PAIN IS A
PILL CALLED OXYCONTIN.
AND AN ANTIDEPRESSANT CALLED
AMITRIPTYLINE.
AND I TAKE 24 PERCODAN A
DAY.
AND IT KEEPS ME QUITE DAUM.

Anne says MY PHILOSOPHY IS WHATEVER
WORKFORCE YOU.
DO IT.

Bonnie says YOU CAN'T GO INTO AN OFFICE
SAYING CANES OR A WALKER AND
SAY YOU KNOW, I'D LIKE A JOB
PLEASE, HERE'S MY RESUME AND
I'M GOOD AT THIS AND THAT,
AND COULD YOU GIVE ME A AN
OPPORTUNITY.
AND THEY KIND OF LOOK YOU UP
AND DOWN, AND WELL, WE'LL
CALL YOU.
NOBODY CALLED.

Al says MOST PEOPLE IN MY
SITUATION WOULD PREFER TO
WORK OR PREFER TO
CONTRIBUTE.
AND IF THE MEDICAL
PROFESSION PARTICULARLY HAD
MORE PEOPLE LIKE MY
ONCOLOGIST WHO WERE NOT
AFRAID TO TREAT PEOPLE
PROPERLY, THEN I THINK THEY
THEY CERTAINLY WOULD BENEFIT
AND SOCIETY WOULD BENEFIT
BECAUSE THESE PEOPLE
WOULDN'T BE A DRAIN ON
SOCIETY.

Clips of all four of them doing household tasks slowly appear on screen.

Back in the studio, Maureen says IN A MOMENT DR. BRIAN
GOLDMAN AND HOW HE HELPS
PATIENTS COPE WITH PAIN AND
WE'LL HAVE CONTACT MOMS
ANOTHER THE END OF THE SHOW
WHERE YOU CAN GET MORE
INFORMATION.
LOTS MORE TO COME, BUT FIRST
THIS WEEK'S HEALTH QUIZ.
On screen a title reads "Your Health Quiz."

Maureen reads the question on screen and says IF YOU'RE SEEING ARE YOU
HAVING PROBLEMS WITH YOUR
EARS, YOUR NOSE OR YOUR
THROAT.
THE ANSWER LATER ON YOUR
HEALTH.

Back in the studio, Maureen says KNEW WE ALL HAVE A BETTER
IDEA OF WHAT IT'S LIKE TO
LIVE WITH CHRONIC PAIN WE'LL
LOOK AT HOW THE HEALTH
PROFESSION HELPS THE
SUFFERERS.
DR. BRIAN GOLDMAN IS A PAIN
CONSULTANT IN MOUNT SINAI
HOSPITAL IN TORONTO.
WHAT DO YOU KNOW ABOUT THE
DIFFERENCE BETWEEN CHRONIC
PAIN AND REGULAR PAIN?

Dr. Brian Goldman appears in the studio sitting at a table with Maureen and a caption reads "Dr. Brian Goldman, Pain Consultant." He is in his fifties, has short, messy, brownish gray hair, is clean-shaven, and wears glasses, a gray suit, a gray shirt, and a black tie.

Dr. Goldman says THE REGULAR PAIN THAT
EVERYBODY FEELS WHETHER IT'S
A BROKEN BONE OR A SPRAIN OR
A STUBED TOE OR A BURN, THE
COMMON DENOMINATOR IS THAT
THERE'S BEEN DAMAGE TO A
PART OF THE BODY AND THAT
DAMAGE RELEASES CHEMICALS
THAT SEND A SIGNAL TO BRAIN
THAT SAYS I HURT, WHERE I
HURT AND WHY I HURT.
AND ALL OF THOSE KINDS OF
PAINS WE CALL ACUTE BECAUSE
THEY'RE QUICK AND THEY'RE
SUDEN AND THE GOOD NEWS
ABOUT THOSE IF THEY'RE
TREATED PROPERLY OR WHATEVER
THE PRO IS THAT'S CAUSED THE
PAIN HEALS, THE BODY HEALS,
THE PAIN GOES AWAY.
UNFORTUNATELY IN A MINORITY
OF CASES, THAT PAIN CAN
CONTINUE ON AND ON FOR
MONTHS AND EVEN YEARS BEYOND
THE WHEN WE WOULD HAVE
EXPECTED THAT PART OF THE
BODY TO HEAL.
WE CALL THAT CHRONIC PAIN
AND THAT'S THE DEFINITION
THAT MOST PAIN SPECIALIVES
ARE USING THESE DAY.

Maureen says ARE YOU SAYING PEOPLE WHO
SUFFER FROM CHRONIC PAIN THE
INSTIGATOR IS USUALLY SOME
SORT OF INJURY.

Dr. Goldman says I WOULD SAY IN THE
MAJORITY OF CASES IT IS AN
INJURY BUT CAN BE SOME
PROCESS OCCURRING IN THE
BODY SUCH AS A ARTHRITIS,
RHEUMATOID ARTHRITIS,
OSTEOARTHRITIS.
IN SOME CASES IT CAN BE
GETTING SHINGLES.
A RASH THAT KOURNS ONE SIDE
OF THE BODY AND MIMICS THE
CHICKEN POX RASH, SO YOU HAD
A A CASE OF CHICKEN POX AS A
CHILD AND THIS FLAERS UP
OVER ONE PART OF THE BODY.
THE RASH COMES, THE RASH
GOES BUT IN ITS PLACE IS
LEFT THIS TERRIBLE NUR RITES
BURNING PAIN, WHERE IT'S
BURNING, ELECTRONIC SHOCK
SENSATIONS AND ANY LIGHT
TOUCH IN THAT AREA CAN SEND
THAT PATIENT INTO ACUTE
PAROXYSMS OF PAIN.
AND THAT DOESN'T OCCUR FROM
AN INJURY THAT.
OCCURS FROM A SPONTANEOUS
PROCESS OCCURRING IN THE
BODY.

Maureen says WHY DO SOME PEOPLE SUFFER
FROM CONNICK PAIN AFTER AN
INJURY, AND OTHER PEOPLE
DON'T.
THEY GET OVER IT?

Dr. Goldman says WELL, IT'S NOT BECAUSE
THERE'S SOMETHING IN THEIR
HEAD.
THAT'S BEEN LARGELY
DISCREDITED.
I'M SURE WE'LL GET INTO THAT
IN A MINUTE, WHAT WE'RE
BEGINNING TO UNDERSTOOD IS
THAT ACUTE SPAIN A SYMPTOM
OF A BROKEN BODY PART THAT
NEEDS TO BE FIXED.
CHRONIC PAIN IS A A DISEASE
AND THE DISEASE IS INSIDE
THE NERVOUS SYSTEM, THE
BUYERING OF THE BODY AND
BRAIN.
AND WHAT'S HAPPENING IS IN
SOME PEOPLE WHO ARE UNLUCKY,
PROBABLY FOR GENETIC REASONS,
THE INJURY CAN ACTUALLY SET
UP A PROCESS CHEMICALLY
OCCURRING IN THE NERVOUS
SYSTEM WHEREBY REPEATED
SIGNALS OF PAIN, IF IT'S
THERE LONG ENOUGH OVER A
LONG ENOUGH PERIOD OF TIME
CAN HOT FIRE THE... WIRE THE
PAIN INTO THE BODY.
SO THAT PROGRESSIVELY LOWER
AMOUNTS OF STILL LIE CAN
HURT, SO WHERE THIS USED TO
HURT NOW JUST A LIGHT BRUSH.

IT LOWERS THEIR PAIN
TOLERANCE.

NOT THEIR TOLERANCE, THE
THRESHOLD FOR FIRING
OPPORTUNITY PAIN, THE PAIN
TRANSMISSION SYSTEM.
AND NOT ONLY DO WE KNOW A
LOT ABOUT WHY THAT OCCURS,
BUT WE'RE BEGINNING TO FIND
OUT THE CHEMICAL MESSENGERS
IN THE BODY THAT CAUSE IT
AND CHEMICALS THAT CAN UNDO
IT.

Maureen says WHAT'S THE MOST COMMON
WAY TO TREAT PEOPLE THE WITH
CHRONIC PAIN.

Dr. Goldman says THE MOST COMMON WAY TO
TREAT PEOPLE WITH CHRONIC
PAIN IS PROBABLY
PHARMACEUTICAL DRUGS.
THIS IS WHAT THE MEDICAL
PROFESSION IS DOING.
OF COURSE THAT DOESN'T DEAL
WITH THE SUBJECT OF WHAT
PATIENTS DO FOR RELIEF OF
THEIR PAIN.
WE'VE ALREADY HEARD SOME OF
THEIR STORIES BUT I WOULD
SAY PHARMACEUTICALS WHETHER
THEY BE ACETAMINOPHEN OR
NARCOTICS.
ANTIDEPRESS SENT DRUGS.
IT DEPENDS ON THE KIND OF
PAIN IF IT'S CHRONIC LOW
BACK PAIN MOST PATIENTS HAVE
GONE THROUGH AT LEAST ONE IF
NOT A HALF A DOZEN COURSES
OF PHYSIOTHERAPY.
THEY MIGHT HAVE BEEN SENT TO
A PAIN CLINIC TO TRY TO SEE
IF THEY CAN BE TAUGHT WAYS
OF COPING WITH THEIR PAIN,
EVEN IF THEY CAN'T GET RID
OF THE PAIN.

Maureen says ROD WAS THE FELLOW IN THE
STORY WHO SAID HE WAS ON
THE EQUIVALENT OF 24
PERCODAN A DAY.
WHEN I TELL PEOPLE THAT,
THEIR JAW DROPS.
THAT'S AN ENORMOUS AMOUNT OF
MEDICATION AND HE SAYS HE'S
SLURRING HIS WORSD.
IS HE OVERMEDICATE.

Dr. Goldman says LET'S START WITH THE
DOSAGE.
HE'S TAKING THE EQUIVALENT
OF 24 PERCODAN A DAY.
THAT WOULD BE WAY TOO MUCH
AS PRISON WHICH IS WHAT'S IN
THE PERCODAN.
BUT LET'S STICK WITH THE
OXYCONTIN.
REALLY DEPENDS ON THE
PERSON.
120 MILLIGRAMS COULD
PROBABLY PUT YOU AND I TO
SLEEP, MAYBE A COMMA, BUT
120 MILLIGRAMS MIGHT BE JUST
THE RIGHT AMOUNT FOR ANOTHER
PERSON OR NOT ENOUGH FOR A
WHOLE PUNCH OF OTHER PEOPLE.
I HAVE SEEN PATIENTS WHO
HAVE BEEN TREATED WITH
THE EQUIVALENT OF 4 OR 5,000
MILLIGRAMS OF MORPHINE A
DAY.

Maureen says ARE THEY ADDICTED TO IT
AFTER A WHILE.

Dr. Goldman says THEY'RE NOT ADDICTED.

Maureen says WAIT A MINUTE I WAS
HOSPITALIZED FOR A BROKEN
BACK AND THEY WERE GIVING ME
HYPODERMIC NEEDLES OF
MORPHINE A AND I SURE LOOKED
FORWARD TO THE NEXT ONE.

Dr. Goldman says SOMETHING HAPPENED TO YOU
THOUGH, YOUR PAIN, YOUR
POSTOPERATIVE PAIN GOT
BETTER.
YOU HAVE CONTINUED TO WANT
THOSE SHOTS, ARE YOU TAKING
THEM NOW.

Maureen says NO.

Dr. Goldman says WHY NOT.

Maureen says I DON'T NEED THEM
ANYMORE.

Dr. Goldman says AH!
AND THAT'S THE MESSAGE.
PEOPLE WHO ARE IN PAIN TAKE
NARCOTICS BECAUSE THEY ARE
IN PAIN AND NEED THE RELIEF.
AND IN FACT IN THE PRACTICE
THAT I HAD I FOUND THAT THE
VAST MAJORITY OF PEOPLE ONCE
THEIR PAIN SETTLED DOWN
WOULD APPROACH ME ABOUT
GOING DOWN TO A LOWER DOSE.
OR IF THEY FELT THAT THE
MEDICATION HAD TOO MANY SIDE
EFFECTS WOULD BE SAYING I
DON'T LIKE THIS DRUG
ANYMORE.

Maureen says SIDE EFFECTS IS WHY ONE
IN THE WOMEN IN THE PIECE
DOESN'T WANT TO TAKE
MEDICATION AT ALL AND SHE IS
FLOOSHG ALTERNATIVE WAYS TO
DEAL WITH HER PAIN.
WHOSE OUT THERE FOR HER?

Dr. Goldman says A WHOLE SHOPPING LIST OF
POSSIBLE ALTERNATIVE
TREATMENTS.
THERE IS ACUPUNCTURE,
MENTIONED A COUPLE OF TIMES
AND THAT MAY HELP.
IN FACT THEY MAY HELP
RELEASE THE BODY'S OWN
NATURAL ENDO FINS.
ELECTRICAL CURRENTS,
TRANSELECTRICAL NERVE
STIMULATION, THERAPEUTIC
TOUCH HAS SOMETIMES BEEN
USED SUCCESSFULLY, HERBAL
REMEDIES MIMIC THE
PHARMACEUTICAL DRUG BOURQUE
THE SAME WAY, SO WE HAVE AND
USUALLY WHAT WE SEE BY THE
TIME SOMEBODY GETS TO A
CHRONIC PAIN CLINIC, THEY'VE
USUALLY TRIED A GOOD HALF A
DOZEN OR A DOZEN DREAMS ON
THEIR OWN AND MANY ARE
ALTERNATIVE TREATMENTS.

Maureen says ALL OF THOSE PEOPLE SAID
THAT THEY ARE CONSTANTLY
BEING TOLD BY COWORKERS
FRIENDS WHATEVER, YOU DON'T
LOOK SICK, AND THEY'RE NOT
BELIEVED.
AND THEY HAVE FIGHTS WITH
THE INSURANCE COMPANIES, AND

WHAT'S GOING ON THERE?

Dr. Goldman says THERE'S A COUPLE OF
THINGS GOING ON.
FIRST OF ALL, WHEN WE SAY
SOMEBODY DOESN'T LOOK LIKE
THEY'RE IN PAIN, WHAT WE
MEAN THEY DON'T LOOK LIKE
THEY'RE IN ACUTE PAIN, WHEN
YOU HAVE A BROKEN BONE YOU
HAVE A RUSH OF ADRENALINE.
CAUSES YOUR PULSE TO RACE,
YOUR BLOOD PRESSURE TO GO
UP.
YOUR YOUR COMPLEXION GETS
GRAY AND YOU LOOK LIKE
YOU'RE IN PAIN.
ALL OF THOSE SYMPTOMS IS
COMPLETELY DISSIPATE BY THE
TIME YOU HAVE CHRONIC PAIK
PAIN SO YOU CAN BE SITTING
THERE QUIETLY IN A CORNER
AND PEOPLE SAY YOU DON'T
LOOK LIKE YOU'RE IN PAIN.
THAT'S THE FIRST THING.
THE SECOND THING THAT I
THINK I'M HEARING, AND A LOT
OF PATIENTS AGREE WE WITH ME
IS THEY'RE TOLD THEIR PAIN
IS DISBELIEVED.
WHETHER IT'S AN INSURANCE
COMPANY OR THEIR FAMILY,
VERY OFTEN LOVED ONES CAN'T
UNDERSTOOD WHY DAD CAN'T
TAKE THE GARBAGE OUT ANYMORE,
OR CAN'T GO TO HOCKEY
PRACTICE OR SKATE AROUND
WITH THE KIDS ANYMORE.
OR MOM CAN'T DO THE HOUSE
WORK.
SHE'S NOT THE FORCE SHE USED
TO BE.
WE USED TO SAY IT'S
PSYCHOLOGICAL.
WHEN IN FACT THAT WHOLE AREA
HAS BEEN LARGELY
DISCREDITED.
WE NOW KNOW THAT THE PEOPLE
WHO BECOME DEPRESSED WITH
CHRONIC PAIN BECOME
DEPRESSED AS A RESULT OF THE
PAIN, IT ISN'T THE OTHER WAY
AROUND.
THE DEPRESSION DOESN'T CAUSE
THE CHRONIC PAIN.

Maureen says THEY ALSO SAID THEY'D
LOVE TO BE BACK TO WORK
CONTRIBUTING TO SOCIETY.
THEY CAN'T FIND AN EMPLOYER
WHO IS WILLING TO
ACCOMMODATE THE THING THAT'S
NEED DIN.
WHAT WOULD YOUR ADVICE BE TO
THEM?

Dr. Goldman says WELL, MY ADVICE WOULD BE
TO TRY AND PUSH THEIR
DOCTORS TO BE REFERRED TO A
PAIN CLINIC THAT'S WILLING
TO LOOK AT ALL THE AT TIVS
INCLUDING THE USE OF STRONG
NARCOTICS OR WHAT WE CALL
ANALGESICS.
MANY STUDIES HAVE SHOWN
DOCTORS ARE AFRAID TO
PRESCRIBE THEM.
PATIENTS ARE AFRAID TO TAKE
THEM AND ESPECIALLY FAMILY
MEMBERS.
WHAT YOU'RE TAKING THAT?
YOU'RE GOING TO GET
ADDICTED.
WHAT WE HAVE TO DO IS
EXPLAIN TO PEOPLE IF THEY
TAKE THAT MEDICATION THEY'RE
NOT GOING TO BECOME
ADDICTED.

Maureen says THEY'RE NOT GOING TO
OPERATE HEAVY MACHINERY
EITHER, ARE THEY.

Dr. Goldman says THERE'S A STUDY THAT
SHOWS PEOPLE CAN DRIVE CARS,
I KNOW LOTS OF IN FACT I
HAVE SEEN A TYPE TAPE FROM A
PATIENT AT MD ANDERSON
CANCER CENTRE OF A WOMAN
TAKING THOUSANDS OF
MILLIGRAMS OF THE STRONGEST
PRESCRIPTION NARCOTIC
AVAILABLE AND WE SAW HER
DRIVING A CAR IN A VIDEO.

Maureen says AND YOU FEEL
COMFORTABLE A DOCTOR WITH
THAT.

Dr. Goldman says YES, BECAUSE STUDIES HAVE
SHOWN SPRO VIDED THEIR NOT
NODDING OFF AND SEDATED.
WHEN THEY WEAR OFF THEY'RE
FIT.
IF THERE'S ANY DOUBT SEND GO
TO A DRIVING SIMULATOR AND
THERE ARE HAS A DRIVING
SIMULATOR AND GET TEST.

Maureen says QUICKLY THE FUTURE OF
PAIN MANAGEMENT, WHERE IS IT
GOING?

Dr. Goldman says THE FUTURE OF PAIN
MANAGEMENT IS MORE RESEARCH
TO TRY TO FIND OTHER NONNARC
WAYS OF DEALING WITH THE
PAIN, AND ALSO THE OTHER
IMPORTANT DEAL IS PEOPLE
POWER.
PATIENT POWER.
PEOPLE SAYING LOOK, WE WANT
THIS TO GET THE ATTENTION
THAT BREAST CANCER AND A HIV
AND HEART DISEASE AND ALL
THE OVER DISEASES GET.

Maureen says THANKS VERY MUCH.

Dr. Goldman says IT'S BEEN A PLEASURE.

Maureen says COMING UP HOW TO AVOID
THE THE PAIN OF MIGRAINES.
THAT'S LATER ON YOUR HEALTH.
ALMOST ANYTHING THAT CAN BE
SOLD CAN BE ADVERTISED.
BUT NOT PRESCRIPTION DRUGS.
IN CANADA PHARMACEUTICAL
COMPANIES AREN'T ALLOWED TO
MARKET THEIR DRUGSS DIRECTLY
TO YOU, THE CONSUMER, NOW
THOSE COMPANIES ARE LOBBYING
OTTAWA HARD TO CHANGE THAT,
BUT IN HIS SECOND FOOTBALL
OPINION, DR. JOEL LEXCHIN,
SAYS PEOPLE NEED INFORMATION
ABOUT MEDICINE.
NOT A SALES PITCH.

Dr. Joel Lexchin stands in the studio with a blue screen in the background that reads "Second Opinion." Dr. Lexchin is in his fifties, has short, balding, dark brown hair, is clean-shaven, and wears a patterned green sweater over a patterned beige collared shirt.

Dr. Lexchin says FARM SUITCAL COMPANIES
SHOULD NOT BE ABLE TO
ADVERTISE DRUGS DIRECTLY TO
CONSUMERS.
THERE'S A DIFFERENCE HERE
WHICH COMPANIES TRY OBSCURE
WHICH IS THAT ADVERTISING IS
NOT INFORMING CUSTOMERS.
ADVERTISING IS TEAMING TO
SELL DRUGS TO PEOPLE, THAT'S
WHAT THE COMPANIES WANT TO
DO.
PROVIDING INFORMATION IS
ALLOWING CUSTOMERS TO MAKE
AN INFORMED DECISION.
ADVERTISING DOESN'T TO THAT.
WHEN CONSUMER GOES INTO
THEIR DOCTORS AND ASK FOR
DRUGS BY NAME.
WE KNOW FROM AMERICAN
EXPERIENCE THAT ABOUT 80 percent OF
THE TIME THAT THE FIGURES
WILL PRESCRIBE THE DRUG THAT
CONSUMERS HAVE ASKED FOR.
THEY'VE GOT TO ASK WHY DO
FIGURES DO THIS, WHY ARE
THEY WILLING TO PRESCRIBE
WHAT PATIENTS ASK FOR AND
THERE ARE A COUPLE OF
REASONS FOR THIS.
FIRST OFF, WHEN PHYSICIANS
ARE CONFRONTED WITH THE
PATIENT WHO WANTS A
PARTICULAR PRODUCT, THEY
FIGURE IF I DON'T GIVE THEM
THIS DRUG THEY'RE GOING TO
GO DOWN THE STREET AND I'M
GOING TO LOSE THEM AS A
PATIENT.
SECONDLY, WHEN DRUG
COMPANIES ARE ADVERTISING
THESE PRODUCTS TO CONSUMERS,
THEY'RE ALSO ADVERTISING THE
SAME PRODUCTS TO PHYSICIANS,
SO PHYSICIANS ARE BEING HYPE
REASONABLE DOUBT GETTING THE
SAME HYPE THAT CONSUMERS ARE
ABOUT THESE PRODUCTS.
AND WHEN YOU ASK FOR A DRUG
BY NAME THIS CLUES THE
PHYSICIAN.
IN THEY REMEMBER THE ADS
THAT THEY'VE SEEN AND THEY
RESPOND TO THE REQUEST.
PHYSICIANS UNFORTUNATELY
REACT THE SAME WAY TO
PROMOTION AS CONSUMERS DO.
THE DRUG COMPANIES LIKE TO
ARGUE THAT WHEN THEY PRO
NOTE PRODUCTS TO CONSUMERS
WHAT THEY'RE DOING IS GIVING
CONSUMERS INFORMATION TO
HELP THEM MAKE A BETTER
CHOICE.
BUT IN REALITY THAT'S NOT
WHAT'S HAPPENING.
IF YOU LOOK AT THE TV ADS OR
THE PRINT ADS THAT RUN IN
THE U.S., WHAT YOU FIND IS
THAT A THE GOOD POINTS ABOUT
THE DRUG OCCUPY MOST OF THE
TIME OR MOST OF THE SPACE.
THE BAD.S ARE THE SIDE
EFFECTS ARE SHOVED IN NEAR
THE END OR IN SMALLER PRINT
AND THERE'S NO DISCUSSION
ABOUT OTHER CHOICES, OTHER
KINDS OF TREATMENT THAT CAN
BE OFFERED FOR THE
CONDITION.
YOU DON'T HEAR ANYTHING
ABOUT THE OTHER DRUGS THAT
MAY BE AVAILABLE.
YOU DON'T HEAR ANYTHING
ABOUT THE NONDRUG
TREATMENTS.
SO WHAT CONSUMERS ARE LEFT
WITH IS JUST ONE OPTION.
USE THIS DRUG OR DON'T DO
ANYTHING.
IF THE DRUG COMPANIES ARE
ARE REALLY SERIOUS THAT WHAT
THEY WANT TO DO IS INFORM
CONSUMERS, THEN WHAT I WOULD
SUGGEST THAT THEY DO IS THEY
TAKE THE MONEY THAT THEY'RE
GOING TO PUT INTO DIRECT THE
CONSUMER ADVERTISING, AND
THEY PUT IT INTO A POOL.
THIS POOL OF MONEY WOULD
THEN BE AVAILABLE FOR MONTH
PROFIT ORGANIZATIONS,
PATIENT GROUPS, AND OTHER
ORGANIZATIONS TO DRAW FROM
AND THESE GROUPS CAN PRODUCE
THE INFORMATION THAT
PATIENTS NEED.
THERE'S NO QUESTION THAT
PATIENTS HAVE A RIGHT TO
INFORMATION.
WHAT THEY DON'T NEED IS THEY
DON'T NEED MORE HYPE ABOUT
DRUGS.
EVEN THOUGH DIRECTOR
CONSUMER ADVERTISING HAS
BEEN GOING ON IN THE UNITED
STATES FOR OVER TEN YEARS, I
FIND IT VERY INTERESTING
THAT SO FAR THERE IS
ABSOLUTELY NO EVIDENCE TO
SHOW THAT CONSUMERS
ARE EITHER BETTER INFORMED
ABOUT THE MEDICATIONS THAT
THEY'RE USING OR AND MORE
IMPORTANTLY, THAT THEIR
HEALTH IS ANY BETTER OFF AS
A RESULT OF DIRECTOR
CONSUMER ADVERTISING.
AFTER TEN YEARS IF THE DRUG
COMPANIES HAVEN'T BEEN ABLE
TO PROVE THIS, I THINK THAT
IT'S BECAUSE IT'S NOT
HAPPENING.

The health quiz appears on screen again and Maureen says THE RIGHT ANSWER TO THIS
WEEK'S HEALTH QUIZ IS ALL
THREE.
AN EAR, NOSE AND THROAT
SPECIALIST.

Back in the studio, Maureen says NEW RESEARCH INDICATES THAT
FOOD PLAYS A MORE IMPORTANT
ROLE IN MIGRAINES THAN
PREVIOUSLY THOUGHT.
HERE'S VALERIE SOUTH OF THE
WORLD HEADACHE ALLIANCE WITH
TIPS ON HOW TO IDENTIFY YOUR
MIGRAINE TRIGGERS.

Valerie South sits at a desk with a caption that reads "Valerie South, World Headache Alliance." She is in her forties, has short, side-parted reddish blond hair cut in the shape of a bob, and wears a navy blue suit and a pearl necklace.

Valerie says FOR PEOPLE WITH MIGRAINE
THERE'S A VARIETY OF
TRIGGERS THAT CAN SET OFF AN
ATTACK IN MOTION.
IN THE FOOD CATEGORY WE HAVE
THINGS LIKE RED WINE,
SOMETIMES THE PROBLEM FOR
PEOPLE, SOMETIMES CHOCOLATE.
SOMETIMES AGED CHEESES AND
FOR SOME EVEN CAFFEINE.
I THINK THE IMPORTANT THING
TO REALIZE THOUGH IS THESE
THINGS AND OTHER TRIGGERS
AREN'T ACTUALLY THE CAUSE OF
MIGRAINES.
THE CAUSE OF MIGRAINE IS
INVOLVED A COMPLEX CHAIN OF
EVENTS THAT HAPPEN IN THE
CENTRAL NERVOUS SYSTEM OF
SOMEBODY WHO SUFFERS.
AND THE REASON WHY THEY
SUFFER IS PROBABLY BECAUSE
THEY INHERITED A GENE FROM
SOMEBODY WITHIN THEIR
FAMILY.
THERE'S A LOT OF RESEARCH
GOING ON, AND WHICH NOW HAVE
REALLY GOOD REASON TO
BELIEVE THAT MIGRAINE IS A
GENETIC DISORDER.
WE CERTAINLY KNOW THAT IT'S
A MEDICAL DISORDER.
AND WE KNOW THAT THERE'S
HELP AND HOPE AVAILABLE FOR
PEOPLE WHO SUFFER IT.
THERE'S A LOT OF PEOPLE OUT
THERE WHO AREN'T ACCESSING
AVAILABLE TREATMENTS AND
THERE'S MORE AND MORE
TREATMENTS AVAILABLE EACH
DAY.
BUT FOR PEOPLE WHO DO HAVE
MIGRAINE THE FIRST STEP IS A
PROPER DIAGNOSIS AND FROM
THERE, THEY SHOULD LOOK AT
SOME OF THE THINGS THAT
MIGHT BE SETTING THEIR
ATTACKS IN MOTION.
FOR INSTANCE, FOOD.
OTHER COMMON TRIGGERS OF
MIGRAINE CAN INCLUDE
HORMONES, INCLUDE CHANGES IN
THE WEATHER AND COULD
INCLUDE REACTIONS TO STRESS.
PARTICULARLY A LETDOWN
PERIOD AFTER A STRESSFUL
EVENT.
IF YOU HAVE RECURRENT
HEADACHES OR KNOW SOMEBODY
THAT DOES, OR IF YOU SUSPECT
THAT INDEED YOU DO HAVE
MIGRAINE AND THE SYMPTOMS OF
VO PLITING ALONG WITH A
HEADACHE AND SOME OF THE
OTHER SYMPTOMS IT'S
IMPORTANT FOR YOU TO DO WHAT
YOU CAN TO ELIMINATE THE
NUMBER OF ATTACKS AND THE
CONTROLABLE TRIGGERS AND TO
SEE YOUR DOCTOR TO ACCESS
ALL OF THE NEW AVAILABLE
TREATMENTS.

Back in the studio, Maureen says THAT'S ALL THE TIME WE
HAVE FOR THIS EDITION.
I'M MAUREEN TAYLOR.
THANKS FOR WATCHING.
AND UNTIL NEXT WEEK, HERE'S
TO YOUR HEALTH.

A female announcer says ADVICE GIVEN IN THE
PROGRAMME IS OF A GENERAL
NATURE ONLY.
VIEWERS SHOULD CONSULT THEIR
OWN MEDICAL PROFESSIONAL FOR
MEDICAL ADVICE SPECIFIC TO
THEIR CIRCUMSTANCES.
A slate reads "North American Chronic Pain Association of Canada. 1 800 616 PAIN, www3.sympatico.co slash nacpac."

Another slate reads "Your Health, Website, www.tvo.org slash yourhealth; e-mail, yourhealth at tvo.org, fax 416-484 4519."

The end credits roll.

Music, Andy McNeill,

Editors, Douglas Beavan, Craig Gellner, and Dean Henry.

Story Editor, Mark Quinn.

Director, Blair Harley.

Producer, Cathy Perry.

A production of TVO Ontario, copyright The Ontario Educational Communications Authority 1999.

Watch: Show #7