Transcript: Show #18 | Feb 08, 2000

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, and wears a brown sweater.

Maureen says HELLO.
I'M MAUREEN TAYLOR.
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.

Maureen narrates
THIS WEEK, INCONTINENCE,
EMBARRASSING, FRUSTRATING AND
MANAGEABLE.

The title appears: "Your Health."

Clips from the episode flash on screen.

A woman says IF I COUGH, I WOULD START
TO LEAK.
IF I SNEEZE, IT WAS THE SAME
THING.

Clips show a female doctor sitting at a computer screen followed by a woman sitting in a recliner.

Maureen says IS STRESS ON THE
JOB MAKING YOU SICK?

A clip shows Maureen sitting around a table with two men.

A man says ALL SORTS OF DISEASES
CONNECTED TO STRESS.

Maureen says AND IS IT OKAY TO
PUT PREGNANT SMOKERS ON THE
PATCH?

Clips show a hand holding a cigarette and a white box that reads "Nico-Derm."

The title appears on screen again and fades to Maureen standing in the studio.

Maureen says WELL, YOU KNEW SOMETHING WAS
UP WHEN THEY STARTED MAKING
DIAPERS FOR ADULTS.
URINARY INCONTINENCE AFFECTS
ONE IN FOUR WOMEN AND ONE IN
TEN MEN IN CANADA.
ADULTS LOSE BLADDER CONTROL
BECAUSE OF WEAK MUSCLES AFTER
CHILD BIRTH, INJURIES,
DISEASES.
IT CAN BE THE SIDE EFFECT OF
MEDICATIONS, SURGERY, AND
NOBODY WANTS TO TALK ABOUT IT.
TWO PEOPLE FROM THE OTTAWA
AREA WANT PEOPLE TO KNOW THAT
MOST CASES OF INCONTINENCE CAN
BE MANAGED OR EVEN CURED.

A clip shows a toilet flushing followed by a sixty-year-old woman sitting in a recliner. She has short, grey hair that is combed to the side and wears glasses, a white shirt, and a patterned blazer.

The woman says THE BIGGEST EMOTION THAT'S
ATTACHED TO THIS IS
FRUSTRATION, BECAUSE YOU FEEL
THAT THERE SHOULD BE SOMETHING
THAT YOU CAN DO, AND YOU DON'T
SEEM TO BE ABLE TO DO IT.

The image changes to a doctor sitting in his office. He is in his sixties with a receding hairline a wears a light blue shirt with a paisley tie.

He says IT WAS THE MOST IMPORTANT
THING, MUCH MORE TERRIBLE THAN
HAVING... BEING IMPOTENT.
ALL YOUR DIGNITY IS OUT, YOU
KNOW.

Clips show people walking down a busy street.

The scene changes to Judy Fox sitting in a large room. She is in her late fifties with short, black hair. She wears a white shirt and a black vest. A caption reads "Judy Fox. Physiotherapist, Ottawa Hospital."

Judy says IN CANADA ABOUT ONE AND A
HALF MILLION PEOPLE SUFFER
FROM INCONTINENCE.
JUST TO SHOW THAT INCONTINENCE
IS PROBABLY THE LAST TABOO
SUBJECT, THE FACT THAT 45 PERCENT OR
50 PERCENT OF THE PEOPLE WHO HAVE
INCONTINENCE DON'T EVEN TELL
THEIR SPOUSES, DON'T TELL
THEIR GENERAL PRACTITIONERS
ABOUT IT OR CERTAINLY NOT FOR
MANY YEARS.
I THINK THAT WOULD SUGGEST TO
YOU THAT THERE'S A BIG PROBLEM
HERE.

A clip shows Sheila walking down the aisle of a supermarket. She is the woman who was sitting in the recliner.

Sheila narrates I'M SHEILA, AND I'M 56
YEARS OLD.
PROBABLY THE FIRST INDICATION
OF INCONTINENCE THAT I
EXPERIENCED WAS IN THE LATE
30s AGE GROUP, AND I HAD A
BLADDER REPAIR WHEN I WAS 42.
BEFORE THE BLADDER REPAIR, I
WAS VERY CAREFUL TO WEAR EXTRA
PADS.
I HAD A HYSTERECTOMY TWO YEARS
BEFORE, BUT HERE I WAS WEARING
PADS AGAIN.
AND I FOUND THAT I WAS EVEN
HAVING TO CHANGE THOSE PADS
QUITE OFTEN DURING THE DAY.
FROM THE TIME OF THE BLADDER
REPAIR UNTIL ABOUT TWO YEARS AGO
I FELT EVERYTHING WAS FINE.
BUT AS WITH ALL SURGERIES IN THAT VAIN
I WASN'T AWARE OF THAT.
I STARTED TO HAVE THE SAME
SYMPTOMS IF I COUGHED I WOULD
START TO LEAK.
IF I SNEEZED, IT WAS THE SAME
THING.
AND IT GOT PROGRESSIVELY WORSE
TO THE POINT I WAS DOING ALL
THE WRONG THINGS TO TRY TO
CORRECT THIS.
I STOPPED DRINKING AS MUCH
LIQUID.
YOU DON'T DRINK AS MUCH LIQUID,
THE URINE BECOMES MUCH MORE
CONCENTRATED.
THE BLADDER WALLS GET
IRRITATED, AND IT CAUSES THE
EXACT REVERSE OF WHAT YOU WANT
IT TO DO.

The scene changes to the doctor in his laboratory. Clips show him running tests using a microscope and examining a patient.

He says I AM AN ONCOLOGIST.
WE TREAT BLOOD DISEASE AND TUMOUR
CANCER ALSO.
MAINLY I DEAL WITH CANCER
PATIENT.
I HAD CANCER OF THE
PROSTATE.
RIGHT AWAY AFTER THE SURGERY,
IT TOOK THE URINE
CATHETER.
AND THEN YOU HAD ONLY THE DIAPER,
THE BIG DIAPER.
AND IT WAS VERY HARD FROM THE
FIRST MOMENT.
I STAYED ALMOST ONE YEAR
COMPLETELY INCONTINENT.
THAT MEANS I USED TO CHANGE
EVERY TIME I GO OUT, EVERY
TIME I STAND UP, I HAVE TO
CHANGE.
I KNOW EXACTLY WHEN A PATIENT
COMES TO ME NOW WITH ALL THE
EMOTION AND ALL THE DISTRESS,
WHAT HE'S FEELING.
BECAUSE I USED TO SPEND THE
WHOLE NIGHT NOT SLEEPING,
BECAUSE IT'S ALL THE TIME IN
YOUR HEAD TURNING AROUND, HOW
COME, YOU KNOW THE DIFFERENCE
BETWEEN BEFORE AND NOW.
I USED TO BE LIKE A TIGER
JUMPING EVERYWHERE.
NOW I CAN'T EVEN GO DOWN THE
STAIRS.

The clip changes to Sheila in the supermarket filling her cart with food and beverages.

Sheila narrates ONE OF THE THINGS THAT YOU
HAVE TO BE AWARE OF WITH
INCONTINENCE IS TO AVOID
CAFFEINE LOADED FOODS.
IF YOU HAVE AN INCONTINENCE
PROBLEM AND YOU'RE GOING TO GO
SHOPPING YOU EITHER HAVE TO
SHOP WHERE BATHROOMS ARE
ACCESSIBLE OR YOU HAVE TO MAKE SURE THAT
YOUR SHOPPING TIME IS GOING
TO BE SHORT ENOUGH THAT
YOUR SHOPPING TIME IS GOING
TO BE SHORT ENOUGH THAT YOU CAN
GO TO THE WASHROOM BEFORE YOU
LEAVE THE HOUSE
AND MAKE IT BACK IN TIME.
SO IT ADDS AN EXTRA FACTOR
TO EVERYTHING YOU DO
IN YOUR DAILY ROUTINE

The scene changes to the doctor in his office.

He says YOU CAN LOSE A FINGER. IT DOESN’T
MATTER. YOU CAN LOSE A NOSE
BUT
THIS IS VERY IMPORTANT YOU KNOW
IT MAKES YOU CLEAN.
I’LL TELL YOU SOMETHING
I GET TWO DRIPS, I PUT THE
DIAPER.
IF I GO TO TAKE MY SHOWER, EVERYBODY
SEE I HAVE A DIAPER.

The scene changes to Judy sitting in the large room.

She says THERE ARE OFTEN MEDICATIONS
THAT CAN BE USED FOR
INCONTINENCE.
USUALLY WITH SURGERY YOU GET
100 PERCENT RECOVERY STRAIGHT AWAY.
IT MAY ONLY LAST THREE TO FIVE
YEARS.
IF THEY GO THE MORE
CONSERVATIVE ROUTES OF HAVING EXERCISES,
BEHAVIOUR MODIFICATION,
LOOKING AT DIET AND LIFESTYLE,
THEN THE CHANCES ARE 80 PERCENT OF THEM
WILL BE IMPROVED, MUCH
IMPROVED AND YOU PROBABLY WILL
GET 50 TO 60 PERCENT WHO WILL BE
COMPLETELY CURED.

The scene changes to Judy sitting in front of a computer monitor. The screen shows lines going up and down.

Judy says YOU CAN SEE HOW MUCH
SHARPER YOU ARE GETTING.

Clips show Judy analysing the data from the computer screen.

Judy narrates THE EXERCISES THAT PEOPLE
DO TO – ARE CALLED EITHER PELVIC FLOOR OR
KEGEL EXERCISES.
THEY ARE PRETTY MUCH THE SAME
THING.
IF WE CAN SHOW THEM ON THE SCREEN
WHAT HAPPENS WHEN THEY TRY TO
TIGHTEN THESE MUSCLES THEY CAN
SEE, YES, I AM TIGHTENING AND
SOMETHING IS RISING OR
SOMETHING IS FALLING.

The image shows the computer screen. The lines go up and down.

Judy says ONE, TWO, AND REST.

The scene changes to the doctor walking into a laboratory. He speaks French to a colleague.

Now back in his office, he says NOW I AM VERY HAPPY.
YOU HAVE MUSCLES THAT CONTRACT
FOR A LONGER TIME AND MUSCLES
THAT REACT FOR A SHORTER TIME.
YOU HAVE TO LOOK ON THE LONG
RANGE CONTRACTION MUSCLES AND
THE SHORT RANGE CONTRACTION
MUSCLES AND BOTH TOGETHER.
AND THIS TELLS ME A LOT.
IT MAKES A BIG DIFFERENCE.

The scene changes to Sheila driving her car.

Sheila narrates
WHEN YOU'RE STANDING
GETTING YOUR MEALS READY.
YOU CAN EVEN DO THEM WHEN
YOU'RE DRIVING YOUR CAR,
STOPPED AT A RED LIGHT.
I'M GETTING BETTER.
I KNOW THAT BY WORKING ON THEM,
I WILL GET TO THE POINT WHERE
I CAN STAVE OFF ANOTHER
BLADDER REPAIR FOR AS LONG AS
POSSIBLE.

Now, Sheila is showing cutting potatoes into a pot.

She narrates
I THINK AS MORE PEOPLE HIT
INTO THE 50s AND LARGER
POPULATION, BABY BOOMERS
HITTING IN THAT AGE GROUP
WHERE THERE IS A HIGHER
PREVALENCE OF IT, IT WILL
BECOME A MUCH MORE OPEN
SUBJECT.

The scene changes to the doctor walking down a hallway.

He narrates
WE SHOULD TALK ABOUT IT
MORE.
I DON'T THINK WE CAN STOP,
THAT'S IT.
I'M INCONTINENT.
YOU CAN ALWAYS DO SOMETHING.

A blue slate appears on screen.

Maureen says READY FOR THIS
WEEK'S QUIZ?

On screen a title reads "Your Health Quiz."

The question reads "How many lumbar vertebrae does the human back have?
33, 12 OR 5?"

Maureen narrates
WE'LL BE BACK WITH THE ANSWER
LATER ON YOUR HEALTH.

Back in the studio, Maureen says YOU'VE PROBABLY SAID IT IN
JEST.
MY WORK IS KILLING ME.
SOME OF YOU AREN'T KIDDING.

She is seated at a table with two men.
Maureen continues
NEW RESEARCH SHOWS THAT
OCCUPATIONAL HEALTH ISN'T JUST
ABOUT ASBESTOS OR REPETITIVE
STRAIN INJURY ANYMORE.
STRESS ON THE JOB IS COSTING
CANADIAN BUSINESSES AN
ESTIMATED 12 BILLION A YEAR
AND CAN LEAD TO HEART DISEASE,
DEPRESSION AND EVEN CANCER.
HOW DO WE MAKE SURE OUR JOBS
AREN'T MAKING US SICK AND WHAT
CAN EMPLOYERS DO TO DECREASE
THE STRESS?
MARTIN SHANE IS IN
OCCUPATIONAL HEALTH HERE IN TORONTO,
SCOTT
WALLACE IS A STAFF PSYCHOLOGIST
IN BRITISH COLUMBIA
WITH THE NATIONAL
TELECOMMUNICATIONS COMPANY
TELUS.
WELCOME TO THE SHOW.
I'M SURPRISED, SCOTT, A
COMPANY WOULD HAVE A
PSYCHOLOGIST ON STAFF.
WHAT DO YOU DO EXACTLY?

Dr. Scott Wallace is in his forties with short brown hair that is gelled back. He is clean-shaven and wears a black suit with a blue shirt and a dark brown tie.

Dr. Wallace says IT'S UNFORTUNATE YOU WOULD
BE SURPRISED.
I HOPE THERE WOULD BE MORE OF
ME ON STAFF AT OTHER COMPANIES.
THERE IS A TREMENDOUS ROLL
PSYCHOLOGISTS CAN PLAY.
AND IT’S NOT ONE YOU’D TYPICALLY EXPECT.
YOU WOULD THINK I WOULD BE
DOING THERAPY AND COUNSELLING.
WORKPLACE HEALTH IS A LOT MORE
THAN JUST EMOTIONAL
WELL-BEING.
PHYSICAL WELL-BEING FOR EXAMPLE,
IT’S THE
CORPORATE CULTURE THAT SUPPORTS
WORKPLACE HEALTH, A WHOLE
RANGE OF SITUATIONS AND
EXPERIENCES THAT IMPACT A
WORKER'S WELL-BEING.

Maureen says IS THIS VERY
COMMON, MARTIN?

Dr. Martin Shain is in his seventies with white hair that is combed over and a short-trimmed beard. He wears a tawny coat with a black turtleneck.

Dr. Shain says IT'S BECOMING MORE COMMON.
I THINK SCOTT'S PARTICULAR
PERSPECTIVE IS PROBABLY LESS
COMMON THAN WE WOULD WISH
BECAUSE IT'S A MORE BROAD
PERSPECTIVE THAN MOST
INDUSTRIAL PSYCHOLOGISTS HAVE AS
I UNDERSTAND IT.

Maureen says THAT'S WHERE WE
GET INTO THE SITUATION OF
OCCUPATIONAL HEALTH AND
SAFETY.
TELL ME HOW THAT'S CHANGED IN
THE LAST TWO DECADES.

A caption reads "Dr. Martin Shain. Centre for Mental Health."

Dr. Shain says IT USED TO BE UNSAFE PLACES
AND THINGS, HOW TO CONTROL THE
HAZARDS IN A PHYSICAL SENSE.
IT'S EXPANDED TO INCLUDE
PEOPLE HAZARDS.
I THINK OF THEM AS
PSYCHOSOCIAL HAZARDS WHICH IS
THE HAZARDS CREATED BY THE WAY
PEOPLE BEHAVE TOWARD ONE
ANOTHER.

Maureen says CAN YOU GIVE ME AN
EXAMPLE OF THAT?

Dr, Shain says STRESS IS THE SINGLE
EXAMPLE HOW PEOPLE CREATE PROBLEMS
FOR ONE ANOTHER BY HOW THEY
BEHAVE TO ONE ANOTHER.
IT'S NOT ANY KIND OF STRESS. NOT ALL
OR EVERY TYPE OF STRESS. IT’S
CERTAIN TYPES OF STRESS
WE UNDERSTAND IN THE COMPLICIT
PRODUCTION OF HEALTH AND
DISEASE.

Maureen says FOR EXAMPLE WHAT
KINDS OF STRESS?

Dr. Shain says HIGH DEMAND AND LOW CONTROL
AND HIGH EFFORT AND LOW
REWARD.
WE ARE BEGINNING TO UNDERSTAND
THAT WHAT'S REALLY BAD ABOUT
THOSE IS WHEN PEOPLE HAVE TOO
MUCH TO DO IN TOO SHORT OF
TIME AND DON'T HAVE ENOUGH
CONTROL OVER IT, AND THEY HAVE
TO PUT OUT TOO MUCH EFFORT,
PARTICULARLY MENTAL EFFORT AND
NOT REWARDED IN PSYCHOLOGICAL
TERMS, THAT THEY SEE THESE
CONDITIONS AS UNFAIR.
WHEN THEY SEE THESE CONDITIONS
AS UNFAIR, THEY REACT VERY
NEGATIVELY.
AND THAT THESE NEGATIVE
EMOTIONAL CONSEQUENCES LEAD TO
A WHOLE RANGE OF UNPLEASANT
HEALTH OUTCOMES.
EVERYTHING FROM DEPRESSION AND
ANXIETY TO CARDIOVASCULAR
DISEASE.

Maureen says HOW HAS TELUS
ADDRESSED THE RELATIONSHIP
ISSUES MARTIN IS TALKING
ABOUT?

A caption reads "Dr. Scott Wallace. Psychologist."

Dr. Wallace says ONE OF THE MOST LEADING
EDGE ACTIVITIES HAS BEEN TO DEVELOP
A SORT OF
SUPPORTIVE MANAGEMENT
PROGRAMME THROUGH THE
ORGANIZATION.
THERE'S AN ANNUAL EMPLOYEE
OPINION SURVEY WHICH WILL
CANVAS THE EMPLOYEES WITH
RESPECT TO THEIR SUPPORT...
PERSPECTIVE ON SUPPORTIVE
MANAGEMENT.
I AS AN EMPLOYEE OF YOU BEING MY
MANAGER WOULD RATE YOU ON HOW
SUPPORTIVE I THINK YOU ARE IN
BALANCING MY WORK AND FAMILY
NEEDS.
THAT IN TURN WOULD BE TIED
INTO YOUR VARIABLE
COMPENSATION REWARD PLAN.
YOU AS A MANAGER WOULD HAVE AN
INCENTIVE THEN WITH RESPECT TO
YOUR FINANCIAL COMPENSATION
PACKAGE TO CREATE A SUPPORTIVE
WORK ENVIRONMENT FOR YOUR
EMPLOYEES.
A SUPPORTIVE WORK ENVIRONMENT
IS ONE WHERE YOU ARE COMMUNICATING CLEARLY,
YOU HAVE CLEAR
EXPECTATIONS, FAIR IN YOUR
EXPECTATIONS HOW MUCH TIME AND
HOW MUCH YOU CAN EXPECT IN
TERMS OF PRODUCTIVITY.
I HAVE A RESPONSIBILITY AS
WELL AS AN EMPLOYEE IN TERMS OF
RECOGNIZING THAT MAYBE SOME OF
THE STRESSES AND STRAINS I
HAVE ARE FROM MY FAMILY LIFE.
I HAVE TO PURSUE STRESS
MANAGEMENT TRAINING COURSES,
FOR EXAMPLE.
I HAVE A VOICE WITHIN TELUS TO
EXPRESS THAT THE COMPANY IS
SUPPORTIVE OR NOT SUPPORTIVE.

Maureen says HOW DID MANAGERS
REACT AT FIRST TO THAT, HAVING
A BONUS PACKAGE TIED TO HOW
HAPPY THEIR EMPLOYEES SAID
THEY WERE?

Dr. Wallace says THE STRATEGY WAS TO START
FROM THE TOP DOWN.
THIS BEGAN WITH THE EXECUTIVE.
MANAGEMENT WAS ABLE TO LOOK
TOWARDS THE EXECUTIVE WHO HAD
COMPLETED THIS ACTIVITY WITH
GREAT SUCCESS.
IT WAS LESS THREATENING.
CERTAINLY IT WAS CHALLENGING.
IT IS CHALLENGING FOR SOME
MANAGERS TRAINED IN A
TRADITIONAL MANAGEMENT MODEL
WHICH IS ONE OF I MUST SEE YOU TO
KNOW YOU ARE PRODUCTIVE.
MANY PEOPLE ARE PRODUCTIVE IN
MANY WAYS, BUT THEY DON'T HAVE
TO BE SEEN.
THE NUMBER OF HOURS I SEE YOU
DOESN'T EQUAL THE QUALITY OF
WORK.
FOR SOME MANAGERS IT HAS BEEN
THREATENING AND WE OFFER
TRAINING HOW TO BE A MORE
SUPPORTIVE MANAGER AND STILL
HAVE THE RESULTS THE COMPANY
WANTS TO HAVE.
THE FACT THAT THE EXECUTIVE DID IT FIRST AND
THEN THE SENIOR MANAGEMENT DID
IT... MADE IT FAR LESS
THREATENING.

Maureen says FOR OTHER
COMPANIES TO COME ON-BOARD,
MARTIN, YOU HAVE TO CONVINCE
THEM THAT THIS WILL HELP THEIR BOTTOM
LINE.
HOW DO YOU PITCH THAT TO THEM?

Dr. Shain says THERE ARE A NUMBER OF WAYS.
TELLING THAT SUCCESS STORY,
ONE IS THE PART WHERE YOU SAY
REDUCING HEALTH CONSEQUENCES
OF HIGH STRESS BY CHANGING
MANAGEMENT BEHAVIOUR, AS SCOTT
SAID, YOU WILL REDUCE
ABSENTEEISM, WHICH YOU WILL.
IF YOU
REDUCE STRESS AND
INCREASE SATISFACTION,
YOU WILL REDUCE ABSENTEEISM.
IT'S LIKE A FIXED LAW OF THE
UNIVERSE.
THE OTHER SIDE OF THAT IS WHEN
YOU DO THOSE THINGS, REDUCE
STRESS AND INCREASE
SATISFACTION, YOU ALSO
INCREASE CUSTOMER BEHAVIOUR.
YOU CAN INCREASE THE PROFIT,
THE BOTTOM LINE OF AN
ORGANIZATION BY DOING THOSE
SAME THINGS.
THAT SHOULD BE ATTRACTIVE AS
WELL.

Maureen says PEOPLE SELLING THE
GOODS ARE HAPPY, THE MORE
PEOPLE WILL BUY THOSE GOODS.

Dr. Shain says WELL, THERE ARE NUMEROUS
SERVICE STUDIES.
THE SEARS ROEBUCK IS PROBABLY THE MOST
FAMOUS ONE PEOPLE ARE FAMILIAR
WITH.
WHEN YOU RAISE JOB
SATISFACTION IN CERTAIN WAYS
PARTICULARLY ATTENDING TO THE
AMOUNT OF INFLUENCE EMPLOYEES
HAVE OVER THEIR WORK AND THE
REWARD THEY GET IN
PSYCHOLOGICAL TERMS.
THE CUSTOMER BEHAVIOUR IS
DIRECTLY AFFECTED BY THAT.
IT'S LIKE PRESSING BUTTONS.
YOU WILL GET A BOTTOM LINE
REACTION.

Maureen says YOU KNOW, SCOTT,
YOU MENTIONED THAT FAMILY LIFE
IS IMPORTANT AS WELL.
A LOT OF THE BIG STRESSORS ON
PEOPLE THESE DAYS IS BALANCING
WORK AND FAMILY.
MAYBE YOU HAVE TO CARE FOR AN
ELDERLY PARENT OR SICK CHILD.
HOW DOES TELUS APPROACH THAT?

Dr. Wallace says WE HAVE A LOT OF DIFFERENT
PROGRAMMES FOR EXAMPLE JOB
SHARING, ELDER CARE PROGRAMME.
WE HAVE EMPLOYEE ASSISTANCE
PROGRAMME THAT WILL ASSIST
EMPLOYEES WITH ALL SORTS OF
ISSUES AROUND DEBT OR LEGAL
ISSUES, ALCOHOL, SUBSTANCE
RELATED ISSUES.
TRADITIONAL PROGRAMMES AND
SERVICES SUCH AS PHYSICAL
FITNESS IS OFFERED.
HUMAN FACTORS OR WORK STATION
TRAINING AND ENSURING THE
ENVIRONMENT YOU ARE WORKING IN
IS A SUPPORTIVE ONE.

Maureen says YOU SAID EVERYBODY
GETS A FLU VACCINE?

Dr. Wallace says EVERYONE IS OFFERED
IMMUNIZATION EVERY YEAR AND
THAT'S RESULTED IN A REDUCTION OF
RESPIRATORY ILLNESS.
WE HAVE SEEN THAT CLEARLY IN
OUR STUDIES.
IN ONE AREA, OPERATOR SERVICES,
WHEN WE DID ERGONOMICS
TRAINING, THAT'S THE
INTERACTION BETWEEN THE
INDIVIDUAL AND THEIR WORK
STATION, WE SAW 57 PERCENT REDUCTION
IN REPETITIVE STRAIN INJURY.
THERE ARE A LOT OF THINGS WE
HAVE BEEN ABLE TO DO AND SHOW
CLEARLY THOSE HAVE AN IMPACT
ON THE BOTTOM LINE.

Maureen says MARTIN, THE NEXT
QUESTION IS IF WE CAN PROVE
STRESS CAUSES ILLNESSES, CAN
YOU BOOK OFF ON SICK LEAVE FOR
STRESS?
ARE LIFE INSURANCE COMPANIES
AND WORKERS COMPENSATION
BOARDS RECOGNIZING THAT?

Dr. Shain says THAT'S A VERY VEXED ISSUE.
SOME WORKER COMPENSATION
BOARDS ACROSS NORTH AMERICA
WILL RECOGNIZE STRESS IN
ITSELF AS A COMPENCEABLE
DISORDER AND OTHERS WON'T.
MOST SHOULD BE ON THE
PREVENTION OF STRESS.
WHETHER WORKERS COMPENSATION
RECOGNIZES STRESS IN ITSELF AS A
DISORDER OR NOT, THEY ARE
ACTUALLY COMPENSATING STRESS
WHETHER THEY KNOW IT OR NOT,
BECAUSE THEY ARE COMPENSATING
FOR OTHER REASONS WHY PEOPLE
ARE OFF.
ALL SORTS OF INJURIES ARE
CONNECTED TO STRESS.
ALL SORTS OF DISEASES ARE
CONNECTED TO STRESS.
IN EFFECT, THEY'RE PAYING FOR
IT ANYWAY.
I DON'T THINK IT'S GOING TO
HELP VERY MUCH BY ADDING
STRESS IN OTHER CATEGORIES OF
COMPENCEABLE DISORDERS. I THINK THE EMPHASIS
SHOULD BE ON PREVENTING IT.

Maureen says WHAT'S YOUR ADVICE
OF A WORKER WHO FEELS THEY'RE
OVER-STRESSED DIRECT RESULT OF
RELATIONSHIP, HOURS OR
WHATEVER.
HOW CAN THEY AFFECT CHANGE?

Dr. Wallace says YOU HAVE TO LOOK AT
YOURSELF, ACTIVITY, FITNESS OF
YOURSELF AND YOUR JOB.
AVAIL YOURSELF OF ANY
RESOURCES OFFERED BY THE
COMPANY OR SOMETIMES OUTSIDE
THE COMPANY FOR STRESS
MANAGEMENT, NUTRITION
MANAGEMENT, PHYSICAL FITNESS,
THINGS LIKE THAT.
THERE ARE MANY THINGS YOU CAN
DO AS AN INDIVIDUAL.
THAT'S YOUR INDIVIDUAL
RESPONSIBILITY.
THEN YOU NEED TO SEE HOW YOU
CAN INFLUENCE YOUR EMPLOYER.
IT MAY BE IF YOU'RE PART OF A
UNIONIZED ENVIRONMENT, THE
UNION MAY SUPPORT YOU IN
TRYING TO CREATE CIRCUMSTANCES
WHERE MANAGERS ARE MORE
SUPPORTIVE IN THE WORKPLACE.
THERE ARE MANY THINGS THE
ORGANIZATION CAN DO.
BOTTOM LINE YOU HAVE TO LOOK
AT WHETHER OR NOT IN THE END
IF YOU CANNOT CHANGE THE
CIRCUMSTANCES THAT ARE
CONTRIBUTING TO YOUR STRESS,
ARE YOU WANTING TO BE
CONTINUING TO BE EMPLOYED WITH
THAT EMPLOYER?
THERE ARE MANY THAT SUPPORT A
HEALTHY WORKPLACE.

Maureen says IT MAY BE TIME TO
SAY TAKE THIS JOB AND SHOVE IT,
GET A NEW ONE.
THANK YOU VERY MUCH, GENTLEMEN,
FOR THIS.

A blue slide appears on screen with a white box that reads "Nico-Derm" followed by a hand holding a cigarette.

Maureen narrates
STILL TO COME ON "YOUR HEALTH."
NICOTINE PATCH FOR PREGNANT
WOMEN.
A LESSER EVIL THAN SMOKING?

Back in the studio, Maureen says BACTERIA, THEY'RE EVERYWHERE
AND SOMETIMES, NOT ALWAYS BUT
SOMETIMES THEY'RE HARMFUL.
DO WE NEED TO PROTECT
OURSELVES WITH ANTIBACTERIAL
SOAPS, SPRAYS AND DETERGENTS? NOT ACCORDING
TO MICROBIOLIST

Dr. Donald Low appears on screen with a blue screen in the background that reads "Second Opinion." Dr. Low is in his sixties, bald, clean-shaven, and wears a gray suit, blue shirt, and patterned tie.

Dr. Donald Low says WHAT WE'RE SEEING NOW
GENERALLY ARE TWO TYPES OF
ANTIBACTERIAL PRODUCTS.
ONE HAS SOAPS WITH ANTIBIOTICS IN THEM
AND THE OTHER IS
MATERIAL SUCH AS CUTTING BOARD
SURFACES, TIES... TOYS THAT
HAVE ANTIBIOTICS IN THE TOY.
THERE ARE MATTRESSES THAT HAVE
ANTIBIOTICS IN THEM.
THE PROMISE OR WHAT WE'RE LED
TO BELIEVE THAT USING THESE
PRODUCTS WILL DECREASE THE
LIKELIHOOD OF DISEASE
OCCURRING, DISEASE TRANSMISSION.
THERE IS NO EVIDENCE THIS
HAPPENS WITH ANY OF THESE
PRODUCTS.
FIRST OF ALL LET'S LOOK AT THE
ANTIBACTERIAL SOAPS.
THEY GO ON YOUR HANDS.
THESE ANTIBIOTICS IN THE SOAPS
ARE ON YOUR HANDS FOR A PERIOD
OF THREE, FOUR SECONDS AND GO
DOWN THE DRAIN.
THEY DON'T HAVE A CHANCE TO
ACT AGAINST THE BACTERIA.
IN ORDER TO KILL BACTERIA,
ANTIBIOTICS, IT TAKES TIME.
IT HAS TO GET INSIDE THE
BACTERIA, IT HAS TO TURN OFF THE
MACHINERY OF THE BACTERIA AND
KILL THE BACTERIA.
THAT CAN'T HAPPEN IN TWO OR
THREE SECONDS.
THAT CAN TAKE UP TO 20
MINUTES.
AS FAR AS ANTIBIOTICS IN
THINGS LIKE TOYS AND CUTTING
BOARD SURFACES IS,
THE ANTIBIOTIC HAS TO GET OUT
OF THOSE SURFACES TO THE
BACTERIA.
THE BIG PROBLEM THERE
IS WHEN YOU DIRTY THOSE SURFACES
WITH SECRETIONS FROM YOUR
MOUTH OR DRIPPINGS FROM A
CHICKEN, THAT INCLUDES
PROTEIN.
PROTEIN PROTECTS THOSE
BACTERIA FROM THE SAME
ANTIBIOTICS IF THEY EVER DID
GET OUT OF THE MATERIAL, WHICH
THEY DON'T.
IT DOESN'T MAKE ANY SENSE, NO
MATTER HOW YOU CUT IT.
THE REAL DANGER OF THESE PRODUCTS IS
THERE'S A FALSE SENSE OF
SECURITY, ACTUALLY THINKING
THESE PRODUCTS MIGHT REDUCE
THE TRANSMISSION OF DISEASE.

A caption reads "Dr. Donald Low. Microbiologist."

He continues
THEREFORE YOU WOULDN'T WASH
YOUR HANDS AS CAREFULLY OR AS YOU
LONG AS YOU SHOULD.
OR YOU MAY ALLOW TOYS THAT
HAVE BEEN CONTAMINATED OR
SOILED BECAUSE OF SEC CRETIONS
FROM CHILDREN OR THE MOST
IMPORTANT OR MOST DANGEROUS IS
TO ACTUALLY THINK IS THE WAY
YOU PREPARE FOOD THAT YOU
MIGHT NOT HAVE TO BE SO
DILIGENT ABOUT MAKING SURE THE
SURFACE THAT YOU'RE PREPARING
THE FOOD ON IS CLEAN BEFORE
AND AFTER.
AND THAT THE FOOD IS COOKED
PROPERLY.
THE REAL CONCERN WITH THIS IS
A FALSE SENSE OF SECURITY.
ANOTHER MAJOR REASON IS IT
COSTS, AN EXPENSE THAT YOU
REALLY SHOULD... THE CONSUMER
SHOULDN'T HAVE TO TAKE THE
BURDEN OF.
THERE'S ABSOLUTELY NO EVIDENCE
THAT IT WORKS.
I DISAGREE THEY ARE LEADING TO
RESISTANCE IN THE COMMUNITY.
THE FACT IS THESE ANTIBIOTICS
HAVE SO LITTLE EFFECT ON
BACTERIA, WE WILL NOT SEE
RESISTANCE EMERGE.
IT'S A TOTAL WASTE OF MONEY.
THERE IS NO EVIDENCE IT WORKS
AND GIVES A FALSE SENSE OF
SECURITY.
WE HAVE TO REMEMBER TO RESPECT
THINGS LIKE RAW FOOD, WHETHER
VEGETABLES OR MEAT, THAT
REMEMBER THESE THINGS ARE RAW.
THEY CAN BE CONTAMINATED WITH
BACTERIA AND THAT CAN LEAD TO
DISEASE.
PROPER FOOD PREPARATION IS
GOING TO PREVENT THESE
TRANSMISSIONS.
NOT ANTIBACTERIAL SOAPS OR
PRODUCTS.

The health quiz appears back on screen.

Maureen says HOW'D YOU DO ON
THIS WEEK'S HEALTH QUIZ?
THE HUMAN BACK HAS 33
VERTEBRAE BUT ONLY 5 IN THE
LUMBAR WHICH IS THE
LOWER PART OF THE
SPINAL COLUMN.

Back in the studio, Maureen stands next to a t.v. screen. An image of a scale appears on its screen.

Maureen says TEENAGE GIRLS WHO GO ON
EXTREME DIETS TO LOSE WEIGHT
ARE MORE LIKELY TO GAIN WEIGHT
AND MORE AT RISK FOR OBESITY.
RESEARCHERS IN THE U.S. SAY
THERE ARE TWO REASONS
THAT DIETING BACKFIRES.
SOME OF THE GIRLS HAVE AN
INHERITED TENDENCY TO BE
OVERWEIGHT AND OTHERS MAY BE
SELF-DUTIONAL.
THEY THINK THEY'RE EATING LESS
AND EXERCISING MORE THAN THEY
ARE.

The image on the t.v. shows a woman holding a pregnant stomach next to pink and green pills.

Maureen continues
TAKING MEDICATION TO LOWER
BLOOD PRESSURE DURING
PREGNANCY CAN BE AS HARMFUL TO
THE FETUS AS SMOKING.
A STUDY IN TORONTO SAYS LIKE
SMOKING, BLOOD PRESSURE
MEDICATION CAN LOWER BIRTH
WEIGHT.

The image on the t.v. changes to a woman with a cigarette in her mouth.

Maureen says AND SCIENTISTS THINK THEY HAVE
DISCOVERED THE REASON FEMALE
SMOKERS ARE MORE AT RISK OF
LUNG CANCER THAN MEN.
WOMEN HAVE A MORE ACTIVE GENE
THAT FUELS CANCER GROWTH AND
NICOTINE TRIGGERS THE GENE.
THIS IS THE FIRST BIOLOGICAL
EXPLANATION FOR WHY WOMEN FACE A
GREATER RISK FROM SMOKING.

A blue slate reads "In 1999, 8,500 women were diagnosed with lung cancer in Canada. Source: Canadian Cancer Society."

Back in the studio, Maureen continues
IF THE THREAT OF LUNG CANCER
DOESN'T MAKE YOU QUIT SMOKING,
WHAT ABOUT PREGNANCY?
THE DANGERS TO THE FETUS ARE
WELL-DOCUMENTED.
STILL, SOME WOMEN CAN'T QUIT.
Dr. TED BODEWAY SAYS THE
NICOTINE PATCH IS THE LESSER
OF TWO EVILS.

The scene changes to Dr. Ted Bodeway in his office. Numerous boxes of medication are organized on his desk. He is in his sixties with black greying hair. He is clean-shaven and is wearing glasses, a charcoal suit, a blue shirt, and a red patterned tie.

A caption reads "Dr. Ted Boadway."

Dr. Boadway says SMOKING AND PREGNANCY
CONTINUES TO BE
ONE OF THE MAJOR PUBLIC HEALTH PROBLEMS
WE FACE HERE IN CANADA.
SMOKING AND PREGNANCY RESULTS
IN INCREASED INSTANCES OF MISCARRIAGE,
STILLBIRTH, SMALL BIRTH WEIGHT AND
ALL THE HEALTH PROBLEMS
THAT BRINGS.
58 PERCENT OF WOMEN IGNORE THE ADVICE
OF THEIR DOCTORS TO STOP SMOKING.
HOW CAN THIS BE?
MOTHERS ARE INCREDIBLY
MOTIVATED TO LOOK AFTER THEIR
BABY.
IT'S THE TESTIMONY TO THE INCREDIBLY
POWERFUL ADDICTION OF NICOTINE,
ONE OF THE MOST ADDICTIVE
SUBSTANCES KNOW TO HUMANITY.
IS THERE ANYTHING WE CAN DO
FOR FOLKS GRIPPED IN THIS
TERRIBLE ADDICTION?
THERE IS.

Clips show various women smoking along a busy street.

Back in his office, Dr. Boadway says NICOTINE REPLACEMENT THERAPY
IS A PRODUCT THAT CAN HELP
SOME PEOPLE STOP SMOKING WHO
COULDN'T STOP OTHERWISE AND
HELP OTHERS DECREASE THE
AMOUNT OF SMOKE, ESPECIALLY
USED CONCOMITANTLY.

Images flash of nicotine replacement therapy boxes. They read "Nico-Derm, Nicorette, Habitrol."

Dr. Boadway says EVERY CIGARETTE YOU SMOKE LESS
IS A SMALL VICTORY FOR
THE HEALTH OF YOUR
BABY.
IF YOU READ THE BROCHURE,
HEALTH CANADA INSISTS
MANUFACTURERS INDICATE THAT
THIS PRODUCT IS NOT FOR USE IN
PREGNANCY.
THE MEDICAL PROFESSION
RESPECTFULLY DISAGREES.
NICOTINE REPLACEMENT THERAPY
DELIVIERS NICOTINE IN A CLEAN
DELIVERY SYSTEM.
CIGARETTE SMOKING IS DOWNRIGHT
POISONOUS.
WE’RE INTERESTED IN THE HEALTH OF THE BABY.
WE WILL NOT ABANDON PREGNANT
WOMEN WITH BABIES IN THE TIME
OF THEIR GREATEST NEED.
WE ARE SPEAKING FOR THE PERSON
AND THE PARTY WHO IS NOT PART
OF THIS CONVERSATION, YOUR
BABY, AND WE WANT TO PROTECT
ITS HEALTH.

A blue slate appears with the title of the show.

Back in the studio, Maureen says WELL, THAT'S OUR
PROGRAMME FOR THIS WEEK.
WE'D LOVE TO HEAR YOUR
COMMENTS AND SUGGESTIONS.
I'M MAUREEN TAYLOR.
THANKS FOR WATCHING, AND WE'LL
SEE YOU NEXT TIME ON "YOUR
HEALTH."

A slate reads "Your Health, Website, www.tvo.org/yourhealth; e-mail, yourhealth@tvo.org, fax 416-484 4519."

Another slate reads "The advice given in the preceding program is of a general nature only. Viewers should consult their own medical professional for medical advice specific to their circumstances."

Another slate reads "For more information on incontinence contact: The Canadian Continence Foundation. 1-800-265-9575. www.continence dash fdn.ca."

The end credits roll.

Music, Andy McNeil,

Editors, Douglas Beavan, Ian Partridge, Elizabeth Payne, James Poll.

Story Editor, Susan Sutherland.

Director, Michael Smith.

Producer, Cathy Perry.

A production of TVO Ontario, copyright 2000. The Ontario Educational Communications Authority.

Watch: Show #18