Transcript: Show #19 | Feb 15, 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 red dress with a red-and-black patterned ascot.

Maureen says HI I'M MAUREEN TAYLOR,
AND THIS IS 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, HOCKEY LEGEND
RON ELLIS TALKS ABOUT HIS
BATTLE WITH DEPRESSION.

A clip plays of a hockey game.

An old Ron Ellis says I'LL NEVER FORGET IT.
THAT WAS THE DAY I CRASHED.

A clip plays of Maureen sitting at a table with a male guest.

Maureen says A GLOBAL BATTLE AGAINST
THE NEXT KILLER FLU.

The male guest says A BRAND NEW STRAIN OF FLU
WILL SWEEP AROUND THE WORLD
VERY RAPIDLY AND CAUSE A
HUGE NUMBER OF PEOPLE TO
BECOME ILL AND DIE.

A clip plays of a female doctor in her office talking to a patient.

Maureen says AND HPV.
THE SEXUALLY TRANSMITTED
DISEASE CONDEMNS CAN'T
PREVENT.

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

Maureen says IF YOU'RE A HOCKEY FAN, YOU
KNOW RON ELLIS.
HE HELPED THE TORONTO MAPLE
LEAFS WIN THEIR LAST STANLEY
CUP IN 1967 AND HE PLAYED
FOR TEAM CANADA IN THAT
FATEFUL 1972 CANADA RUSSIA
SERIES.
BUT AFTER RETIRING FROM
HOCKEY, RON ELLIS STRUGGLED
FOR YEARS WITH DEPRESSION.
HE'S NOT ALONE.
BUT MEN ARE LESS LIKELY THAN
WOMEN TO SEEK HELP FOR
DEPRESSION.
PUTTING THEM AT GREATER
RISK.
TONIGHT RON ELLIS SHARES HIS
PERSONAL JOURNEY WITH US.

Clips play of the Canadian hockey team skating on ice in the midst of a game.

Ron narrates BEING A PRO HOCKEY PLAYER,
THAT BECAME A BIG PART OF
WHO I WAS, I HAD TO LIVE,
BREATHE IT, DAY IN, DAY OUT.
EVERYTHING I TOOK ON, I
BECAME VERY SERIOUS ABOUT
IT.
I THINK I'M A BIT OF A
PERFECTIONIST AND THAT COULD
BE ONE OF MY PROBLEMS THAT
LED UP TO THE END RESULT OF
DEPRESSION.

The scene changes to Ron Ellis sitting on a couch in a room with blue walls. He is in his sixties, clean-shaven, with a receding hairline. He wears a grey polo with a black collar. A caption reads "Ron Ellis. Former NHL Player."

Ron continues
SO EVERYTHING I TOOK ON, I
TOOK ON TO DO WELL.
WHETHER IT WAS SCHOOL, OTHER
SPORTS.
SO WHEN I PLAYED THE GAME OF
HOCKEY, I WANTED TO DO WELL.
I WANTED TO BE THE BEST.

Clips play of a younger Ron playing hockey.

Ron narrates TOWARDS THE END AFTER MY
TENTH YEAR AT THE END
OF THE SEASON, I WOULD BE
THOROUGHLY EXHAUSTED.
I WOULD BE EXHAUSTED
EMOTIONALLY, MENTALLY,
PHYSICALLY, AND I KNEW I HAD
TO GET AWAY.
I DIDN'T... I IDENTIFIED AS
THE CUSHION AT THAT TIME.
BUT WHEN I LOOKED BACK, I
THINK THAT HAD TO BE A MAJOR
PART.

Back in the room, Ron says THE FIRST THING I DID
WHEN I THEFT GAME, I TOULGT
SCHOOL FOR A YEAR.
AND I WAS DOING A GOOD JOB,
BUT BY THE END OF THAT
SCHOOL YEAR, I WAS REALLY
GOING THROUGH SOME EMOTIONAL
BAD TIMES.
AND STARTING TO WITHDRAW,
THAT'S HARD TO DO WHEN
YOU'RE UP IN FRONT OF A
CLASS EACH MORNING, BUT THE
SIGNS WERE THERE.

His wife appears sitting next to him She is in her fifties with greying blond hair. She wears a black dress and a necklace.

She says I COULD SEE HE WASN'T
HIMSELF AT ALL.
WE... HE DIDN'T WANT TO SEE
FRIENDS AT ALL, OR FAMILY,
AND I THOUGHT, WHAT IS GOING
ON HERE.
I COULD START TO SEE
SOMETHING HAPPENING.
BUT HE TOOK THAT SUMMER OFF
BEFORE HE STARTED HIS NEXT
CAREER.
WE HAVE GONE THROUGH SEVERAL
CAREERS.
SINCE HOCKEY.

Clips flash of a sporting good stores. Children are shown browsing and trying on clothing and trying out the equipment.

Ron says WE BUILT THIS BEAUTIFUL
STORE, IT WAS A HIGH-END
STORE IN DOWNTOWN BRAMPTON.
BOY, IF THIS WAS SUCCESSFUL,
WE WERE GOING TO HELP
OTHERS.
WE WERE GOING TO HELP KIDS.
AND WE GOT PRETTY EXCITED
ABOUT IT.
BUT UNFORTUNATELY OUR TIMING
WASN'T THE BEST.
1986 WAS A TIME IN THE
ECONOMY AND WITHIN A FEW
MONTHS I REALIZED EVERYTHING
WE OWNED WAS ON THE LINE.

A caption reads "Jan Ellis."

Jan says HE WAS GETTING THINNER
AND THINNER AND THINNER, AND
HE WAS ALWAYS SWEATING.
JUST CONSTANTLY SWEATING.
SO YOU KNOW I KNEW HE WASN'T
SLEEPING BECAUSE HE WOULDN'T
COME HOME FROM THE STORE
UNTIL 2:00 OR 3:00 IN THE
MORNING AND HE WOULD BE UP
AT 6:00 AND BE BACK.
AND JUST A DREADFUL GRAY
COLOUR.

Ron says AS A MATTER OF FACT, I
FORCED MYSELF TO GO TO THE
STORE THIS ONE PARTICULAR
MORNING, AND SHE DIDN'T WANT
ME TO GO.
BUT AGAIN, MY PRIDE GOT IN
THE WAY.
I'VE GOT TO KEEP DOING THIS.
I GOT MYSELF IN THIS
POSITION, I'M GOING TO GET
OUT OF IT SOMEHOW, AND I
WENT TO THE STORE THAT
MORNING, WENT UP TO MY
OFFICE AND I'LL NEVER FORGET
IT.
THAT WAS THE DAY I CRASHED.

A black-and-white clip of a man walking into an office plays. A caption reads "Dramatization."

Ron narrates
I GOT UP TO MY OWN OFFICE.
IT WAS A PRIVATE OFFICE,
OVERLOOKED THE STORE AND SAW
SOME THINGS ON THE DESK.
SOME PHONE MESSAGES I HAD TO
RETURN.
AND I THINK BASICALLY WHAT
HAPPENED, I JUST SAID I
CAN'T DO THIS ANYMORE.
TAKE MY RESPONSIBILITY
SERIOUSLY AND WHEN I ASKED
THIS YOUNG LADY TO MARRY ME,
I WAS GOING TO TAKE CARE OF
HER.
AND NOW I RISKED EVERYTHING
WE HAD.

The man in the dramatization sits behind his desk with his head in his hands. Now, a black-and-white clip of Ron walking down a street plays.

A man narrates HAVING HIGH EXPECTATIONS
OF YOURSELF, IF YOU HAD DONE
REALLY WELL YOU MIGHT, YOUR
JOB, PERFORMANCE IN, ANY
ACTIVITIES, AND YOU BEGIN TO
SEE YOU CANNOT CONTINUE WITH
THE SAME LEVEL OF
ACHIEVEMENT, IF YOU HAVE
INVESTED A LOT OF YOURSELF
AND ENERGY AND YOU SEE
YOURSELF THROUGH THAT JOB.
OR YOU SEE YOURSELF THROUGH
THAT POSITION.

The scene changes to Dr. Edgardo Perez sitting in his office. He is in his fifties with salt-and-pepper hair combed to the side. He is wearing glasses, a red shirt, and a black patterned tie.

A caption reads "Dr. Edgardo Perez. Psychiatrist."

Dr. Perez says AND YOU LOSE THAT OR YOU SEE
THE POTENTIAL OF LOSING THAT,
THAT MAY LEAD TO A
DEPRESSION.

The scene changes to Ron and Jan sitting on the couch.

Ron says SEE ALL THROUGH MY CAREER
AS A PROFESSIONAL ATHLETE,
ONE OF THE THINGS YOU DO NOT
SHOW OR TRY NOT TO SHOW TO
YOUR TEAMMATES OR THE
OPPOSITION IS ANY WEAKNESS.
AT ALL.

The dramatization plays. The man walks up to a door and turns the handle.

Ron narrates
WITH DR. KELLY'S HELP AND
JAN'S PERSUASION BECAUSE THIS
WAS NOT SOMETHING RON ELLIS
WANTED TO DO, BUT MY ONLY
OPTION I THINK AT THAT POINT
WAS TO CONSIDER THE HEALTH
CENTRE.

The man in the dramatization walks into an office. A sign on the wall reads "Please…Report to the Receptionist and Sign-In. Thank you."

Ron continues
IT'S EVEN HARD TO SAY
BECAUSE IT WAS SO TOUGH ON
ME, MY PRIDE TO SAY I HAVE
TO RESORT TO THIS.
AND THIS IS A WONDERFUL,
WONDERFUL HOSPITAL.
AND I TRY TO SUPPORT THEM AS
MUCH AS I CAN.
BECAUSE I KNOW WITHOUT THEM,
I MIGHT NOT BE HERE TODAY.

The scene changes to Dr. Perez in his office.

Dr. Perez says SUICIDE IS A MAJOR
CONCERN.
SUICIDE IS HIGHER IN MALE BY
SUICIDE I MEAN COMPLETED
SUICIDE.
SOMEONE WOULD REALLY KILL
THEMSELVES.
NOT AN ATTEMPT.
THE PERCENTAGE OF MALES WHO
TRY TO KILL THEMSELVES AND
SUCCEED IS MUCH HIGHER.

Back to Ron, he says I THINK THE WHOLE PERIOD
OF MY FIRST VISIT TO THE
HOMEWOOD HAD TO BE WITH
SHAME THAT I GOT TO THIS
POINT IN MY LIFE.
THAT I HAD TO GO TO THIS
FACILITY FOR HELP.
BECAUSE I ALWAYS FELT I WAS
A SELF-MADE GUY.

Back to Dr. Perez, SO WHEN A MALE BEGIN TO
MANIFEST THE SIGNS OF
DEPRESSION, WHICH
INDIVIDUALS MAY SEE THAT AS
A WEAKNESS, MAINLY TO SENSE
A FEELING OF SHAME THAT THIS
IS HAPPENING TO THEM.
THAT THEY SHOULD HAVE THE
ABILITY TO COPE.
AND BECAUSE OF THAT, THEN
THEY BECOME MORE WITHDRAWN.
AND THEY MAY TURN TO OTHER
MECHANISMS TO COPE WITH THAT,
FOR EXAMPLE THEY MAY TO
DRINK MORE, AND THEY MAY
FIND WAYS TO CALM DOWN THE
SENSE OF SHAME THAT THEY MAY
HAVE.

The scene changes to a small room with a circle of chairs filled by men.

A man says WHEN YOU TALK ABOUT YOUR
THINKING, WELL, I HAVE TO ACCEPT
THAT SOME OF THE THINKING I
HAVE IS DISTORTED, MAYBE.

Another man says I'VE NEVER TALKED TO ANYBODY
ABOUT THIS, SO TO HEAR OTHER
PEOPLE TALKING ABOUT IT,
CERTAINLY HELPS.
BUT HOW DO YOU GO ABOUT
TRYING TO CHANGE THE PATTERN
HAS THE YOU'VE SET UP.
I DON'T KNOW HOW TO DO THAT.

Man 3 says YOU CHOSE TO BE PART OF
THIS GROUP.
AND YOU START TO SHARE SOME
OF THE THINGS.
IT'S GOING TO TAKE SOME
TIME.

Back to Ron, he says ONE OF THE PROBLEMS WITH
DEPRESSION.
YOU THINK YOU'RE THE ONLY
ONE.
LIKE NO ONE ELSE HAS THIS
PROBLEM.
THERE MUST BE SOMETHING
REALLY WRONG WITH YOU.
BUT ALL OF A SUDDEN I'M ON A
FLOOR WITH MANY OTHER MEN
AND WOMEN FROM ALL
PROFESSIONS.
SOME VERY WEALTHY.
SCHOOLTEACHERS, POLICEMEN.
C.E.O.s.

Back to Dr. Perez, he says GROUP SETUP IS ONE OF THE
BEST POSSIBLE TECHNIQUES TO
HELP PATIENTS AND REMEMBER
THAT WE ALL HAVE A SENSE OF
WE NEED TO BELONG.
AND WE WANT TO FEEL THAT WE
ARE THE ONLY ONE.
WE CALL THAT IN GROUP
THERAPY THE SENSE OF
UNIVERSALITY.
YOU'RE NOT ALONE.

The scene changes back to the room of men.

Ron narrates LOOKED AROUND TO PEOPLE
WHO WERE ON THE FLOOR WITH
ME THAT WE ARE ALL IN THE 45
TO 55 AGE BRACKET.
AND A LOT OF THINGS ARE
STARTING TO HAPPEN.
KIDS ARE LEAVING HOME.
PARENTS ARE PASSING AWAY,
YOUR CAREER, YOU REALIZE
YOUR CAREER IS AT A PLATEAU.
MANY, MANY THINGS ARE ALL
COME TOGETHER AND IT BECOMES
SO HEAVY, YOU JUST CAN'T
BRING UP THE RESERVES,
PARTLY BECAUSE OF AGE.

Back to Dr. Perez, he says TREATMENT AND DEPRESSION
IS AN AREA THAT IS OPEN, BUT
IT'S TREMENDOUS
OPPORTUNITIES FOR TREATMENT.
WE HAVE THE BEST POSSIBLE
MEDICATION THAT WE HAVE
EVER HAD.
SOME OF THE MEDICATION HAS THE WE
HAVE TO TREAT DEPRESSION NOW,
ARE BETTER THAN MANY OF THE
MEDICATIONS THAT WE HAVE TO
TREAT OTHER PHYSICAL
DISORDERS.
THE EFFECTIVENESS OF
TREATMENT FOR DEPRESSION IS
CLOSE TO 75 TO 80 PERCENT.

Back to Ron, he says IT'S TAKEN TIME.
IT'S TAKEN FOUR YEARS FOR
KNOW GET TO THAT POINT WHERE
I SAY OKAY, I FOUGHT THIS
THING TOOTH AND NAIL, AND NO,
I'M NOT SUPERMAN.
IF I HAVE TO BE ON THIS
MEDICATION SO I CAN PERFORM
FOR THE REST OF MY LIFE, AND
LOOK AFTER MY FAMILY AND BE
A RESPONSIBLE CITIZEN, THEN
THAT'S WHAT I'LL DO.

Jan says I AM JUST SO THANKFUL TO
SEE RONNIE THE WAY HE IS,
THE MAN I MARRIED, THE MAN
THAT I GREW UP WITH FROM
CHILDHOOD.

A clip plays of Ron and Jan walking down a path with their dog.

Ron narrates I THINK THIS WHOLE TIME
OF OUR LIFE THIS, TEN-YEAR
PERIOD WHEN WE FOUGHT THIS
DEPRESSION, HAS TAUGHT ME
MANY GOOD LESSONS.
AND I THINK THROUGH THIS
PROCESS AND BECAUSE OF MY
FAITH, OR OUR FAITH THAT WE
HAVE, I THINK WE'VE REALLY
UNDERSTOOD NOW WHAT IT MEANS
TO TAKE ONE DAY AT A TIME.

Back in the studio, Maureen says IF YOU NEED TO TALK TO
SOMEONE ABOUT DEPRESSION,
CALL THE CANADIAN MENTAL
HEALTH ASSOCIATION.

A caption reads "1-800-875-6213. WWW.CMHA.CA."

A blue slate appears on screen.

Maureen says READY FOR THIS WEEK'S HEALTH
QUIZ?

On screen a title reads "Your Health Quiz."

The question reads "For the pain of esophagitis, should you take a: 1. pain reliever, 2. antacid, 3. laxative."

Maureen says THE ANSWER LATER ON YOUR
HEALTH.

Back in the studio, Maureen says SO MANY CANADIANS WERE HIT
WITH THE FLU THIS WINTER
THAT SOME WERE CALLING IT AN
EPIDEMIC.
BUT THAT STRAIN OF INFLUENZA
WAS THE SAME BORING OLD
REGULAR FLU WE'VE FOUGHT FOR
DECADES.
THE NEXT FLU PANDEMIC IS
WHAT DR. KEVIN KAIN IS
CONCERNED, THAT AND OTHER
EMERGING DISEASES IN CANADA.
DR. KAIN IS DIRECTING FOR
CENTRE OF TRAVEL AND
TROPICAL MEDICINE AT THE
TORONTO GENERAL HOSPITAL
HOSPITAL.
WELCOME DR. KAIN.
WHAT DO WE MEAN BY PANDEMIC?

Dr. Kain is in his fifties with black greying hair that is neatly combed to the side. He is clean-shaven and is wearing a light blue button-down with a red-and-brown patterned tie.

Dr. Kain says EVERY YEAR WE GET A
FLU EPIDEMIC.
MORE CASES IN THE WINTER
THAN IN THE SUMMER.
BUT WHAT WE'RE CONCERNED
ABOUT IS A BRAND NEW TYPE OF
FLU AND THESE COME ALONG
OVER HISTORY ABOUT EVERY TEN
TO 30 YEARS, A BRAND NEW
STRAIN OF FLU WILL SWEEP
AROUND THE WORLD.
VERY RAPIDLY AND CAUSE HUGE
NUMBERS OF PEOPLE TO BECOME
ILL AND DIE.
AND THE CLASSIC ONE THAT
MOST OF THE PUBLIC HAS HEARD
ABOUT IS THE SO-CALLED
SPANISH FLU IN 1917 AND 1918 WHICH
KILLED AN ESTIMATED 20
MILLION PEOPLE.
WE'RE OVERDUE FOR THAT KIND
OF NEW FLU VIRUS.
AND SO PUBLIC HEALTH PEOPLE
AROUND THE WORLD AND GLOBAL
SURVEILLANCE IS LOOKING AND
WAITING TO SEE WHEN THIS NEW
FLU PANDEMIC WILL EMERGE.

Maureen says BUT SINCE 1917 A LOT HAS
HAPPENED IN MEDICINE.
WHY ARE WE OVERDUE?

A caption reads "Dr. Kevin Kain. Tropical Disease Specialist.

Dr. Kain says BECAUSE SCIENCE AND
BIOLOGY AREN'T PREDICTABLE
AND IT'S HARD TO KNOW WHAT
THE NEXT FLU WILL LOOK LIKE.
OUR TRADITIONAL APPROACH
TO INFLUENZA IS
TO SEE WHAT'S HAPPENING,
COME UP WITH THE NEXT
VACCINE BECAUSE THIS IS A
VIRUS THAT CHANGES QUITE
READILY.
BUT USUALLY THEY CAN SEE
WHAT VIRUSES ARE OCCURRING
IN THE SOUTHERN HEMISPHERE
AND DETERMINE WHAT SEEN WE
NEED TO MAKE FOR THE
NORTHERN HEMISPHERE FOR THE
FOLLOWING YEAR.
BUT A PANDEMIC WILL BE A
BRAND NEW COMBINATION AND
WILL NOT NECESSARILY BE
SOMETHING WE CAN PREDICT,
IT WILL NOT NECESSARILY BE
FOR WHICH A VACCINE IS READILY AVAILABLE.
WE ALMOST HAD THAT SITUATION
A COUPLE YEARS AGO IN HONG
KONG WITH THIS AVIAN INFLUENZA.

Maureen says BIRD FLU THEY WERE
CALLING IT.

Dr. Kain says RIGHT.
THERE ARE A LARGE NUMBER
OF FLU VIRUSES THAT
NATURALLY EXIST IN BIRDS AND
GENERALLY THE BIRDS ARE NOT
EVEN MADE ILL BY THEM.
BUT THOSE VIRUSES CHANGE,
THEY RECOMBINE AND SOMETIMES
THEY GO INTO PIGS AND FROM
PIG INTO HUMAN.
WHAT HAPPENED IN HONG KONG
WAS THAT A NOVEL TYPE OF
INFLUENZA VIRUS WENT
DIRECTLY FROM BIRDS TO
HUMANS AND PANDEMIC FLUS ARE
SCARY FOR FOLLOWING REASONS.
A, THEY ARE TRANSMISSIBLE
EASILY AND TEND TO HIT AND KILL YOUNG
HEALTHY PEOPLE.

Maureen says HOW MUCH TIME... NOTICE
WOULD YOU GET THAT IT'S OUT
THERE AND COULD YOU
VACCINATE PEOPLE QUICKLY?

Dr. Kain says IT'S A HUGE CHALLENGE.
FOR EXAMPLE, IF WE LOOK AT
THAT SITUATION IN HONG KONG
A COUPLE YEARS AGO, IT WAS
AN H5N1 THOSE ARE TWO DIFFERENT
THAT THE VIRUS MAKES.
AND REALLY THE FIRST TIME IT
HAD EVER BEEN RECOGNIZED IN
HUMANS AND SO AND IT WAS
ALSO LETHAL TO EMBRYOES
WHERE WE OFTEN GENERATE VACCINES.
UP FRONT THERE WASN'T AN
EASY WAY TO MAKE A VACCINE.
IT WOULD HAVE BEEN MANY,
MANY MONTHS, SO IF THAT HAD
TURNED OUT TO BE A NEXT
PANDEMIC AND ALL IT NEEDED
TO BE THE NEXT PANDEMIC
WAS TO BE EASILY
TRANSMISSIBLE PERSON TO
PERSON.
IT REALLY WAS ONLY
TRANSMISSIBLE BIRD TO
PERSON.
BUT HAD IT BEEN
TRANSMISSIBLE PERSON TO
PERSON, IT WOULD HAVE BEEN A
VERY, VERY INTERESTING
SITUATION AND WOULD HAVE
REPRESENTED THE NEXT
PANDEMIC OF FLU.
WHAT WE'RE CONCERNED ABOUT
IS THAT SCENARIO COULD
UNFOLD AGAIN IN ANOTHER
CONTEXT.
WHENEVER YOU HAVE PEOPLE
AND BIRDS AND PIGS TOGETHER,
ALL SORTS OF INTERESTING
INFLUENZA VIRUSES CAN COME
OUT OF THAT COMBINATION.

Maureen says THAT IS ESPECIALLY
PREVALENT IN CHINA.
THAT'S WHY YOU'RE WATCHING
CHINA CLOSELY.

Dr. Kain says ALSO ELSEWHERE BECAUSE OF
ANIMAL PRACTICES HAVE
CHANGED SO MUCH.
FOR ECONOMIC REASONS THE WAY
PEOPLE RAISE BIRDS, RAISE SWINE HAS
BECOME A BIG INDUSTRY.
SO YOU CRAM A LOT OF HOG AND
SWINE INTO A SMALL AREA AND YOU
HAVE PEOPLE TEND THEM.
YOU CAN GET NOVEL VIRUSES TO COME OUT
OF THAT.
WE HAD ANOTHER EXAMPLE OF
THAT IN MAYLASIA AND SINGAPORE JUST 6
TO 12 MONTHS AGO WITH THIS
NEW VIRUS CALLED NIPPA VIRUS.
AGAIN WHICH IS A VIRUS THAT
WAS IN PIGS.
TRANSMITTED PEOPLE MANAGING
THE PIG FARMS AND HIGH
FATALITY RATES.
43 PERCENT FATALITY RATE OF PEOPLE
WHO BECAME INFECTED WITH
THAT.

Maureen says WHAT OTHER EMERGING
DISEASES CONCERN YOU IN
CANADA OR ANYWHERE IN THE
WORLD.

Dr. Kain says THINGS HERE RIGHT NOW IN
ADDITION TO THE FLU WHICH IS
THE LOCAL FLU ARE THINGS
LIKE TUBERCULOSIS.
CERTAINLY BECOMING AN
INGRAIN PROBLEM HERE.
WE HAD THIS INTERESTING
SITUATION HERE NEXT DOOR TO
US IN NEW YORK CITY WITH WEST NILE VIRUS
WHEN A
CANADIAN ACTUALLY ACQUIRED
IT WHEN THEY VISITED NEW
YORK CITY.
THE STORY IS NOT OVER.
WE WERE VERY LUCKY IT
HAPPENED LATE IN THE YEAR SO
GOT COLD WHICH LIMITED THE
MOSQUITOS THAT TRANSFER THIS
VIRUS TO HUMANS BUT IT'S
POSSIBLE THAT VIRUS OVER THE
WINTER EITHER IN BIRDS
BECAUSE THEY MIGHT BRING IT
BACK INTO OUR AREA, BUT ALSO
MOSQUITOS CAN TRANSMIT IT
RIGHT THROUGH TO THEIR EGGS
SO THE EGG HAS THE ARE
HATCHING NEXT SPRING MIGHT
BE INFECTED WITH THE VIRUS.
WE DON'T KNOW THAT.
IT'S GOING TO REQUIRE
CAREFUL SURVEILLANCE THIS
COMING YEAR TO SEE IF WEST NILE VIRUS WILL
RECUR.
IF IT HAPPENED IN NEW YORK
CITY KIT CERTAINLY HAPPEN IN
SOUTHERN ONTARIO.

Maureen says BUT WE HAVE DRUGS RIGHT
TO TREAT IT?

Dr. Kain says WE DON'T HAVE ANY DRUGS
FOR A LOT OF THESE
PARTICULAR AGENTS SO WEST
NILE THERE'S
NO TREATMENT.
IT'S JUST ONE OF A NUMBER OF
OF THINGS FOR WHICH WE DON'T
HAVE GOOD TREATMENT.
THE WAY WE HAVE TO MANAGE
THOSE IS PREVENT THEM.
AND WE HAVE TO KNOW THAT
THEY EXIST SO.
WITHOUT GOOD SURVEILLANCE OF
WHAT'S GOING ON LOCALLY AND
GLOBALLY.
WE CAN'T PREVENT THESE
THING.

Maureen says WHAT ABOUT THE AVERAGE
PERSON WATCHING NOW.
IS THERE ANYTHING THEY CAN
DO TO PROTECT THEMSELVESS?

Dr. Kain says I THINK THE RISK OF RIGHT
NOW I DON'T WANT TO CREATE
SOME SORT OF GENERALIZED
PANIC THAT WE'RE GOING TO
HAVE A WEST NILE OUTBREAK IN
TORONTO NEXT SUMMER.
I DON'T THINK THAT'S LIKELY
BUT NOT SOMETHING YOU CAN
COMPLETELY BLOW OFF EITHER.
WE NEED SURVEILLANCE IN
PLACE TO LOOK FOR THESE
THINGS.
IF THERE WAS A RECURRENCE
THERE NEEDS TO BE PROMPT AND
SPECIFIC ACTION TO LIMIT
THAT DISEASE AND YOU WOULD
DO THAT PRIMARILY BY
CONTROLLING MOSQUTIO
TO POPULATION.

Maureen says IF YOU LOOK BACK THROUGH
HISTORY THERE WAS A PLAGUE
OR SOMETHING THAT CAME ALONG
THAT WIPED OUT THE WEAKEST
IN THE POPULATION AND THEN
THE STRONG SURVIVED.
MODERN MEDICINE I THOUGHT
MAYBE HAD BROKEN THAT CHAIN
WHAT DO YOU THINK?

Dr. Kain says I THINK THAT A LOT OF
PEOPLE HAVE BOUGHT INTO THAT,
BUT I THINK IT'S A NAIVE
VIEW.
PANDEMICS ARE PLAGUES THAT
HAVE SPREAD AROUND THE WORLD
KILLED YOUNG HEALTHY PEOPLE.
MANY OF THESE DISEASES LIKE
MALARIA AND PLAGUE AND
ANTHRAX AND POLIO
STRUCK ALL AGES, ALL TYPES.
SO THEY CAUSED HUGE NUMBERS
OF CASES OF ILLNESS AND
DEATH.
THE ONE LINK WAS THERE WAS
MOBILIZATION OF PEOPLE, SO
PLAGUE MOVED ACROSS EUROPE
WHEN PEOPLE BROUGHT IT.
AND WHAT WE'VE SEEN NOW IS
BECAUSE PEOPLE CAN TRAVEL SO
QUICKLY IT USED TO TAKE
MONTHS TO CROSS THE OCEAN
AND BRING A NEW DISEASE
SOMEWHERE.
NOW THAT CAN HAPPEN IN THE
SPACE OF 12 HOURS SO
DISEASES REALLY DO HAVE THE
POTENTIAL TO BECOME
GLOBALIZED.

Maureen says LOTS TO THINK ABOUT.
THANK YOU FOR TALKING TO US
ABOUT THAT.

Dr. Kain says YOU'RE WELCOME.

A clip plays of a female doctor talking to a female patient.

Maureen narrates COMING UP, WHAT WOMEN
NEED TO ASK THEIR DOCTOR
ABOUT HPV.

Back in the studio, Maureen says A FEW WEEKS AGO ON YOUR
HEALTH, DR. HAMILTON HALL
SAID HE HAD NO PROBLEM USING
NATURAL REMEDIES.
HE JUST WANTS SCIENTIFIC
PROOF THEY WORK FIRST.
RUTH ANN BARON, IS A
NATUROPATHIC DOCTOR. SHE SAYS THERE’S
A DOUBLE STANDARD
AT WORK HERE.

Ruth Anne Baron appears on screen with a blue screen in the background that reads "Second Opinion." Ruth is in her forties with short blond hair and a fringe that reaches her eyes. She wears a black blazer with a red shirt.

Ruth says IT’S NOT SURPRISING TO ME
THAT SOME MEDICAL DOCTORS
VIEW NATUROPATHIC DOCTORS
WITH THEIR VARIOUS ISSUES WITH HERBAL
MEDICINE WITH GREAT SUSPICION.
IT'S OFTEN BEEN SAID WHAT
YOU'RE NOT UP ON, YOU'RE
DOWN ON.
IT SEEMS TO ME THAT MEDICAL
DOCTORS ARE VERY USED TO
BEING PART OF THE
ESTABLISHMENT.
PEOPLE PUT ENORMOUS FAITH IN
THEIR KIND OF SERVICES AND
EXPERTISE.
BUT TO EXPECT THAT ALL
NATURAL MEDICINES BE HELD TO
THAT SAME GOLDEN SNAVMENTD
THE DOUBLE BLIND PLACEBO CONTROLLED
TRIAL REALLY ISN’T REALISTIC
OR FAIR.
BECAUSE MANY PHARMACEUTICAL
DRUGS AND MEDICAL TREATMENTS
HAVE NOT BEEN HELD TO THAT
HIGH STANDARD.
IT'S A FALLACY THAT MEDICINE
IS AN EXACT SCIENCE.
PEOPLE ARE INDIVIDUALS.
THEY RESPOND DIFFERENTLY TO
TREATMENTS.
MANY PEOPLE HAVE HAD THE
EXPERIENCE OF STARTING A
DRUG AND HAVING TO TINKER
WITH THE DOSE OR GETTING
UNEXPECTED SIDE EFFECTS OR
NOT GETTING THE RESULT THAT
WAS EXPECTED.
NATUROPATHIC DOCTORS
ACKNOWLEDGE THAT PEOPLE ARE
INDIVIDUALS AND MANY PEOPLE
REQUIRE INDIVIDUALIZED
TREATMENT.
THE ISSUE OF TESTING HERBS
AND OTHER NATURAL SUBSTANCES
USING THE STANDARDIZED
RANDOMIZED CONTROLLED STUDY,
TAKES A LOT OF MONEY.
YOU NEED A SPONSOR FOR THIS
KIND OF RESEARCH AND USUALLY
WITH PHARMACEUTICAL DRUGS
THE PHARMACEUTICAL COMPANY
STAND
A LOT TO GRAIN.
IN HERBAL MEDICINE, ONE
COMPANY CAN'T OWN THE RIGHT TO
A CERTAIN HERB SO THERE FOR
IT'S NOT AS FINANCIALLY
VIABLE.
THAT DOESN'T MEAN THAT
RESEARCH HASN'T BEEN DONE.
IN FACT LOTS OF CLINICALLY
RELEVANT RESEARCH HAS BEEN
DONE, THAT SUGGEST HAS THE
THE TRADITIONAL USE OF THESE
HERBS IS EXACTLY AS WE HAVE
ALWAYS KNOWN IT TO BE.
ANOTHER POINT THOUGH WITH
RANDOMIZED CONTROLLED
STUDIES IS THERE ARE MANY
DRUG HAS THE HAVE BEEN
STUDIED, HAVE COME TO MARKET
AND HAVE LATER BEEN PULLED FROM THE
MARKET BECAUSE THEY WERE AT
BEST NOT EFFECTIVE AND AT
WORST, HARMFUL.
SO WHAT'S THE DIFFERENCE
BETWEEN ANECDOTE AND
CLINICAL EXPERIENCE.
IN FACT, NOT VERY MUCH.
MEDICAL DOCTORS HAVE A FORM
WHERE IF YOU SEE SIX OR
EIGHT PATIENTS IN YOUR
PRACTICE WITH A PROBLEM AND
YOU TREAT THEM IN A CERTAIN
OR NOVEL OR NEW WAY, YOU CAN
WRITE THAT UP AND PUBLISH IT
IN A MEDICAL JOURNA AND IT’S
CONSIDERED ANECDOTAL EVIDENCE.
THIS IS CONSIDERED A VALID
WAY FOR DOCTORS TO SHARE NEW
TREATMENTS.
SO IF THAT'S ALL RIGHT FOR
MEDICAL DOCTOR WHY IS IT NOT
OKAY FOR NATUROPATHIC
DOCTORS.
WHY SHOULD WE BE HELD TO A
HIGHER STANDARD?
CONVENTIONAL DOCTORS WOULD
LIKE TO KEEP THAT DOOR SHUT
TO OTHERS WHO PRACTICE OTHER
KINDS OF MEDICINE.
I'M NOT DISCOUNTING HOW MUCH
EFFORT GOES INTO A CONVENTIAL MEDICAL
EDUCATION, BUT NATUROPATHIC
DOCTORS ALSO SPEND FOUR
YEARS IN MEDICAL SCHOOL
LEARNING NOT ONLY THE
MEDICAL SCIENCE BUT ALL THE
NATURAL THERAPIES THAT WE'VE
BECOME EXPERT IN IN OUR OWN
PRACTICES.
IF I SEE A PATIENT WHO
REQUIRES SURGERY OR NEEDS A
BONE SET I WOULD REFER THAT
TO A MEDICAL DOCTOR, BUT
WITHIN MY AREA OF EXPERTISE
I'M VERY COMFORTABLE
TREATING THE PATIENTS THAT COME
TO SEE ME.
THE PUBLIC SHOULDN'T THINK
THAT MEDICAL SCIENCES IS
EXACT AND INFALLIBLE AND
NATURAL MEDICINE IS UNPROVEN
AND UNSCIENTIFIC.
I THINK WE NEED TO PUT ALL
THESE SQUABBLES TO REST
ABOUT WHO HAS THE BEST STUDY
OR THE BEST EVIDENCE.
WHETHER WE CALL IT ANECDOTAL
EVIDENCE, CLINICAL EVIDENCE.
LET'S USE ALL THE
TOOL HAS THE WE HAVE AT OUR
HANDS, WORK TOGETHER TO
PROVIDE THE BEST KIND OF
CARE FOR OUR PATIENTS.

The health quiz appears back on screen.

Maureen says NOW THE ANSWER TO THIS
WEEK'S QUIZ.
IF THE PAIN OF ESOPHAGITIS IS KEEPING YOU
UP AT NIGHT
YOU NEED AN ANTACID.
ESOPHAGITIS
IS ANOTHER WORD FOR HEARTBURN.

Back in the studio, Maureen says AND NOW LATEST FROM THE
HEALTH FILES.

She stands next to a t.v. screen. A rooster and white mouse appear on its screen.

Maureen says WHILE SCIENTISTS HAVE LONG
USED MICE AS MODELS OF HUMAN
DISEASE, IT TURNS OUT PEOPLE
HAVE MORE IN COMMON WITH
CHICKENS.
SCIENTISTS AT THE ROSALIND INSTITUTE
IN SCOTTLAND.
THE SAME PEOPLE WHO BROUGHT
US DOLLLY THE CLONED SHEEP,
HAVE MAPPED THE CHICKEN AND
COMPARED IT WITH MICE AND
HUMANS.
THERE WERE MORE GENETIC
MATCHES BETWEEN HUMANS AND
CHICKENS THAN HUMANS AND
MICE SO
FAR THERE ARE NO PLANS TO
REPLACE LAB RATS WITH LAB
HENS.

The image on the t.v. screen changes to a skull and crossbones next to a yellow plane.

Maureen says CHILDREN LIVING NEAR FARMER’S
FIELDS AND HUNTING VILLAGES
FACE UNDENYABLE RISKS FROM
PESTICIDE EXPOSURE.
ACCORDING TO ONTARIO’S COLLEGE FAMILY
PHYSICIANS. THE COLLEGE
PRESENTED RESULTS ITS
STUDY TO THE ENVIRONMENT
COMMITTEE WHICH IS EXAMINING
THE COUNTRY'S 30-YEAR-OLD
PESTICIDE REGULATION.
THE DOCTORS SAY CHILDREN ARE
MORE SUSCEPTIBLE TO
PESTICIDES
BECAUSE THEIR BODIES ABSORB
LARGE QUANTITIES OF
CHEMICALS IN RELATION TO
THEIR SIZE.
HEAVY PESTICIDE EXPOSURE HAS BEEN
LINKED TO CANCER,
INFERTILITY, AND COGNITIVE DIFFICULTIES
IN CHILDREN.

The image on the t.v. changes to a group of supplement bottles with pills piled around them.

Maureen says RESEARCHERS STUDYING DIETARY
SUPPLEMENTS SUCH
ECHINACEA, ST. JOHN’S WART
AND KAVA KAVA HAVE FOUND THAT
PEOPLE ARE GENERALLY GETTING
THE INGREDIENTS AND
QUANTITIES LISTED ON THE
LABELS.
THERE HAS BEEN CRITICISM OF
NATURAL REMEDIES THAT DON'T
CONTAIN THE HERBS IN THE
QUANTITIES LISTED.
AND THE SCIENTISTS DID FIND
SOME EXAMPLES OF THAT.
BUT THE MAJORITY OF BRANDS
TESTED WERE ACCURATELY
LABELED.

A blue slate appears. It reads "Captain James Cook was the first European to discover kava-kava on his travels to the South Pacific in the 1700’s. Source: Reader’s Digest."

Back in the studio, Maureen says WHEN YOU THINK OF A
SEXUALLY TRANSMITTED
DISEASES YOU PROBABLY THINK
OF GONORRHEA OR HIV.
BUT A FAR MORE COMMON VIRUS
IS HPV. HUMAN PAPILLOMAVIRUS.
WHEN MEN GET IT IT'S NOT
MUCH OF A PROBLEM.
WHEN WOMEN GET IT, IT CAN
LEAD TO A HIGHER RISK OF
CERVICAL CANCER.
AND AS GYNECOLOGIST DR. NANCY DURAND EXPLAINS
THAT'S WHERE THE PAP TEST
COMES IN.

The scene changes to a female doctor in her offices talking to a patient. She is in his sixties with short brown hair. She wears a white doctor’s coat and a navy blue dress.

Dr. Nancy Durand narrates MOST WOMEN KNOW THEY HAVE
TO GO TO THE DOCTOR ONCE A
YEAR FOR THEIR PAP TEST BUT
WHAT MANY WOMEN DON'T KNOW
IS WHY THEY HAVE TO GO.

The scene changes to Dr. Nancy Durand sitting on a stool. She is in her forties with blond hair. She wears a black blazer and a lavender turtleneck.

A caption reads "Dr. Nancy Durand. Gynecologist."

Dr. Durand says THE PAP TEST IS DESIGNED TO
DETECT ABNORMAL CELLS ON THE
CERVIX.
THE CELLS CAN CHANGE FROM
MILDLY ABNORMAL TO SEVERELY
ABNORMAL AND THEN TO CANCER
OF THE CERVIX.
IF DETECTED EARLY AND
TREATED THIS WILL NOT
PROGRESS TO CANCER OF THE
CERVIX.
THE CAUSE OF THE ABNORMAL
CELLS IS A VIRUS CAUSED HPV.
HUMAN PAPILLOMAVIRUS.
THE VIRUS IS PASSED FROM
PERSON TO PERSON BY GENTLE
SKIN CONTACT AND SEXUAL
INTERCOURSE IS NOT NECESSARY
FOR ITS TRANSMISSION.
GAY COUPLES ARE AT RISK FOR
THIS VIRUS.
LESBIAN COUPLES ARE AT RISK
AND HETEROSEXUAL COUPLES
ARE AT RISK FOR THE VIRUS.

Clips show gay, lesbian, and heterosexual couples hugging.

Dr. Durand continues
SO EVERYONE IS AT RISK.
SINCE THE SIZE OF THE
CONDOM IS LARGER THAN THE SIZE
OF THE VIRUS, ABSTINENCE
IS THE ONLY METHOD OF PREVENTION.
IF ABNORMAL CELLS ARE
DETECTED ON THE PAP TEST
THEY CAN BE TREATED BY
BURNING THEM OFF USING
LASER.
WE CAN TREAT THESE CELLS
BEFORE THEY PROGRESS TO
CANCER OF THE CERVIX AND
THIS MAKES IT ONE FORM OF
PREVENTABLE CANCER IN THE
BODY.

A blue slate appears with the title of the show.

Back in the studio, Maureen says AND THAT'S "YOUR HEALTH."
FOR THIS WEEK.
SEND US YOUR COMMENTS AND
QUESTIONS.
I’M MAUREEN TAYLOR. THANKS
FOR WATCHING AND
WE'LL SEE YOU NEXT WEEK 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 "Hockey Footage Courtesy of: Team ’72 Representation Inc. Ficel Marketing Group."

The end credits roll.

Music, Andy McNeil,

Editors, Douglas Beavan, Ian Partridge, Marisa Gatto.

Director, Patricia Ellingson.

Producer, Cathy Perry.

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

Watch: Show #19