Transcript: Show #24 | Mar 21, 2000


Maureen faces the camera and says HI, I'M MAUREEN
TAYLOR, AND THIS IS "YOUR
HEALTH."

Against a blue sky background, an animated pink, green and white grid shows clips of a baby, a boy playing with a ball and two adults having breakfast as the white letters of the title of the show fly forward: "Your Health."

Maureen is in her late thirties, with short curly light brown hair with highlights. She wears a maroon top and a maroon blazer.

(music plays)

Maureen says THIS WEEK THE
MEDICAL DEBATE OVER
CHELATION THERAPY FOR HEART
DISEASE.

A doctor says THERE IS ABSOLUTELY NO
PROOF THAT THAT WORK.
NONE AT ALL.

Maureen says DON'T LET THEM
PUT YOU IN THE HOSPITAL.

A man in the studio says HOSPITALS ARE NOT GEARED FOR
OLD PEOPLE.
THE WORST CASE IS TO GO TO A
HOSPITAL.

Maureen says AND FLAX SEED,
THE NEW OAT BRAN.

The title of the program reads "Your Health." The "R" in "Your" ends with an "X."

Maureen says THE CLAIMS ARE
DRAMATIC AND ATTENTION
GRABBING.
CUT YOUR RISK OF HEART
ATTACK BY 80 percent.
IMPROVE CARDIOVASCULAR
FUNCTION.
ALL THIS WITH WITH
CHELATION.
HEALTH MANS DON'T COVER IT.
THOUGH CLINICS THAT PERFORM
CHELATION THERAPY.
IS IT AN ALTERNATIVE TO
BYPASS SURGERY?
THE AMERICAN AND CANADIAN
HEART ASSOCIATION CERTAINLY
DON'T THINK SO BUT BELIEVERS
AND THOSE TREATED
SUCCESSFULLY INTERBY IT.
KEN MacLENNAN DOESN'T LOOK
LIKE A MAN WITH A MATTER
CONDITION BUT 14 YEARS AGO
HE HAD ALL THE SYMPTOMS OF
SEVERE CARDIOVASCULAR.

Ken is in his sixties, with short receding wavy gray hair and wears a blue shirt.

He says I WAS HAVING THESE PAINS
IN THE CHEST AND THEN I
START GETTING SWATS, A
COUPLE OF OCCASIONS THE
PAINS WERE SO SEVERE THAT I
SAID, WE'D BETTER CHEQUE ON
THIS.
AND THAT'S WHEN WE
ESTABLISHED THAT I HAD
OCCLUSIONS IN 4 ARTERIES.

Maureen says KEN REQUIRED
EMERGENCY BYPASS SURGERY.
ALL WENT WELL AND HE WAS
HAPPY WITH WITH THE RESULTS
BUT IT DIDN'T LAST LONG.
AND ONLY A YEAR AND A HALF
LATER, KEN HAD SEVERE CHEST
PAINS ALL OVER AGAIN.

A caption reads ¨Ken MacLennan.¨

Ken says I GOT THAT OLD FEELING.
ANGINA AGAIN.
AND YOU KNOW THE FEELING.
IT'S NOT HEARTBURN, IT'S THE
ANGINA.
AND I GOT A FEW LITTLE PAINS
DOWN MY ARMS BUT THE ANGINA
ATTACKS IN ANY CHEST AND
THEY BECAME A LITTLE MORE
SEVERE.
WELL, IMAGINE, I WASN'T TOO
ENTHUSED ABOUT HAVING A
SECOND HEART OPERATION.

Maureen says THAT'S WHEN A NEIGHBOUR
GAVE HIM LITERATURE ON AN
ALTERNATIVE TREATMENT FOR
HEART DISEASE CALLED
CHELATION THERAPY.

A study appears on screen with the title "EDTA Chelation Therapy: Efficacy in Arteriosclerotic Heart Disease."

Ken says AT THAT STAGE ANY
ALTERNATIVE WAS ACCEPTABLE
TO ME.
I WAS VERY RECEPTIVE TO
ANYTHING.

Maureen says CHELATION
THERAPY A CONTROVERSIAL
TREATMENT WHEN IT COMES TO
HEART DISEASE.
IT INVOLVES A SERIES OF OF A
SYNTHETIC AMINO ACID WITH
MINERALS AND VITAMINS AND
CHEMICAL COMPOUNDS.
DR. VINCENT DeMARCO IS A
PHYCHIATRIST WHO DECIDED TO
BECOME A CHELATION FISSION.

The caption changes to "Doctor Vincent DeMarco. Chelation Physician."

Vincent is in his late forties, with short receding brown hair and a graying goatee and wears a black suit, a pale blue shirt and a printed brown tie.

He says AN INTRAVENOUS THERAPY
WHICH LASTS ABOUT THREE
HOURS, BY MEANS OF WHICH WE
REMOVE HEAVY METALS FROM THE
BODY, AND EXCRETED THROUGH
THE URINE ALONG WITH THE
CHELATION UNCHANGED.

Maureen says IT'S USED TO
CLEAR THE BLOOD OF LED
POISONING AND OTHER HEAVY
METALS.
BUT DOCTORS NOTICED A
SURPRISING POSITIVE SIDE
EFFECT OF THE TREATMENT.

Vincent says PEOPLE BEGAN TO OBSERVE
THAT ANGINA WAS IMPROVED IN
PEOPLE TAKING CHELATION
THERAPY.
AND ANGINA IS A SYMPTOM OF
HEART DISEASE.

Maureen says FROM THIS OBSERVATION,
SOME RESEARCHERS BELIEVED
THAT CHELATION THERAPY COULD
CLEAR THE ARTERIES OF
PLAQUE.
ONE OF THE CULPRITS
RESPONSIBLE FOR
ARTERIOSCLEROSIS.

Vincent says AND EVERYBODY IS FAMILIAR
WITH THE TERM HARDINING OF
THE ARTERIES.
IS SIMPLY CALCIUM THAT HAS
BECOME IMBEDDED IN THE
PLAQUE MAKING THE ARTERIES
STIFF, MORE LIKE A RIGID
PIPE THAN A FLEXIBLE TUBE.
BY REMOVING CALCIUM AND FROM
THESE PLAQUES, THE ARTERY
THEN CAN EXPAND AGAIN AND
EXPAND ON DEMAND FROM THE
BODY.

Maureen says IT SOUNDS GOOD
IN THEORY, BUT CARDOLOGISTS
LIKE ROBERT MYERS DON'T BUY
IT.
PHYSICIAN OF THE AMERICAN
HEART ASSOCIATION, AS WELL
AS THE CANADIAN MEDICAL
ASSOCIATION TO NAME A FEW.
THEY SAY THESE CLAIMS ARE
UNFOUNDED.

The caption changes to "Doctor Robert Myers. Cardiologist."

Robert is in his early thirties, with short wavy brown hair and a stubble. He wears glasses, a blue shirt, a printed tie and a white coat.

He says SO THE CONCEPT HERE IS
YOU CAN TAKE THESE HARD
CALCIUM PLAQUES, BIND OUT
THE CALCIUM WITH EDTA AND
THEY'LL SOFTEN UP AND
DISAPPEAR.
THE PROBLEM WITH WITH THE
CLAIM IS THERE IS ABSOLUTELY
NO PROOF THAT THAT WORKS.
NONE AT ALL.

Maureen says HE INSISTS THERE IS
PLENTY OF PROOF, THE STUDIES
JUST AREN'T THE DOUBLE BLIND
PLACEBO.

Vincent says CROSSOVER STUDY, AND THAT
IS THE ONLY WAY YOU CAN HAVE
KNOWLEDGE.
THAT IS NOT TRUE IN THE
WORLD HEALTH ORGANIZATION
SAYS THAT ANY TREATMENT THAT
HAS BEEN SHOWN OVER THE
YEARS TO HAVE CLINICAL
BENEFITS, AND IS SAFELY DONE,
IS GOOD SCIENTIFIC EVIDENCE.

Robert says IT BECOMES VERY IMPORTANT
TO MAKE SURE ONE UNDERSTANDS
HOW A STUDY IS DONE.
IF A THOUSAND PEOPLE CROSS
THE QEW AND TEN LIVE, YOU
DON'T RELY ON THE AN NECK
DOEDS.
YOU DON'T RELY ON THE
TESTIMONY OF TEN PEOPLE.
SO FOR SOMEONE TO TELL ME
THERE'S AN OVERWHELMING
BALANCE OF EVIDENCE IT'S
IRRELEVANT TO ME.
MAYBE 50,000 PEOPLE FELT
BETTER BUT ALL DIED FIVE
YEARS PREMATURELY.
DO I KNOW THAT?
NO, OF COURSE I DON'T KNOW
THAT, BUT UNTIL YOU TEST IT
IT REMAINS A VALID
POSSIBILITY.

Vincent says SOME PEOPLE THINK OF
CHELATION THERAPY AS BEING
ROTO ROOTER FOR THE VELSS.
IT'S NOT THAT AT ALL.
IT REMOVES THESE MELTALS, SO
ONE MOLECULE OF THE
CHELATION AGENT BINDS TO ONE
ATOM OF MERCURY OR LEAD AND
THEN EXCRETED THROUGH THE
KIDNEYINGS UNCHANGED.

Robert says FIRST OF ALL EDTA
FUNCTIONS BY BEING WATER
SOLUABLE.
WHAT DOES THAT MEAN, ITDY
SOLVES IN WATER.
IT DOESN'T DISOLVE IN FAT.
BUT THE PLAQUES WE'RE
TALKING ABOUT ARE FULL OF
FAT, EDTA CAN'T GET INTO THE
FAT.
DOESN'T HAVE ACCESS TO THEM.

Maureen says IN SPITE OF ITS
DETRACTORS CHELATION THERAPY
HAD PLENTY OF SUPPORTERS.
KEN MacLENNAN HAD 24 WEEKLY
TREATMENTS FOR A PERIOD OF
SICK MONTHS AND NEED BIG
DIFFERENCE.

Ken says I CANNOT TELL YOU EXACTLY
WHEN THE ANGINA DISAPPEARED.
I HAVE NOT HAD AN ANGINA
PAIN ATTACK IN YEARS.
I HAVE FORTUNATELY NO PAIN,
PERIOD.

Maureen says IT'S BEEN 14 YEARS AND HE
NEVER DID GO FOR THE SECOND
BYPASS OPERATION.
NOW KEN GETS CHELATION TWICE
ANNUALLY FOR MAINTENANCE.
BUT PART OF THE TREATMENT
ALSO INCLUDES LIFESTYLE
CHANGES CONSISTENT WITH WHAT
CARDOLOGISTS ADVICE THEIR
PATIENTS.

A clip shows Ken playing golf.

Robert says ALSO INVOLVES NUTRITIONAL
COUNSELING.
SMOKING CESSATION PROGRAMS,
WEIGHT REDUCTION.
WHAT WE'RE SEEING IS PEOPLE
FEEL BETTER OR DO BETTER IS
A REFLECTION OF THAT TYPE OF
ACCEPTED FORM OF TREATMENT
OF HEART BUSINESS.
CHELATION THERAPY MAY BE AN
INNOCENT BYSTANDER.

Vincent says IT'S A MATTER I THINK OF
CLINICAL EXPERIENCE IF YOU
DO LIFESTYLE CHANGES ON
SOMEBODY, IT'S VERY
DIFFICULT YOU HAVE TO TAKE
VERY, VERY SEE VEER
LIFESTYLE CHANGES TO REVERSE
THESE KINDS OF SYMPTOMS.
SO WE JUST DON'T SEE THIS
KIND OF DRAMATIC IMPROVEMENT
JUST BY CHANGING LIFESTYLE
OR EATING HABITS.

Maureen says REGARDLESS OF
THE ARGUMENTS, FOR OR
AGAINST, CHELATION CAN BE
DANGEROUS IF THE KIDNEYS
AREN'T FUNCTIONING PROPERLY.

Vincent says THE EDTA AND HEAVY METALS
WON'T BE TAKEN OUT OF THE
BODY.
THEY'LL ACCUMULATE IN THE
BODY OR CAUSE FURTHER DAMAGE
TO THE KIDNEY.
BECAUSE THE HEAVY METALS
WILL ACCUMULATE IN THE
KIDNEYS.
SO IT'S A VERY REAL RISK,
AND IT'S SOMETHING WE HAVE
TO PAY EXTREMELY CLOSE
ATTENTION TO.

Robert says I DON'T CLAIM THAT
CHELATION THERAPY IS
INEFFECTIVE.
THE PROBLEM I HAVE IS IT HAS
NEVER BEEN PROVEN.
BYPASS HAS BEEN PROVEN TO BE
EFFECTIVE COMPARED TO NOT
HAVING BYPASS.
DRUG THERAPIES HAVE BEEN
PROVEN TO BE EFFECTIVE.
WHAT HAPPENS WHEN A PERSON
COMES TO A CHELATION
PRACTITIONER, AND THEREFORE
DENIES THEMSELVES A MORE
PROVEN METHOD OF TREATING
THEIR HEART DISEASE.
IT'S POTENTIALLY DANGEROUS
TO MANY PEOPLE.

Maureen says THE COST PER TREATMENT
RUNS ABOUT 100 TO 150
DOLLARS.
DEPENDING ON YOUR CONDITION,
A SERIES OF 24 TREATMENTS
COULD PUT YOU BACK SOME
THREE OR FOUR THOUSAND
DOLLARS.

Robert says IT LIGHTENS A PERSON'S
POCKETBOOKS BUT THE CLAIMS
ARE NOT THAT THIS IS GOING
TO HURT YOU SO.
CHELATION PRACTITIONERS
DON'T TELL YOU COME TO MY
OFFICE.
GIVE ME THE MONEY, I'LL GIVE
YOU CHELATION AND IT WON'T
HURT YOU.
THEY'RE SAYING IT'S GOING TO
HELP YOU.
IF YOU'RE GOING TO OFFER
SOMETHING TO SOMEONE YOU
BETTER BE DARN SURE IT HELPS
YOU.

Vincent says WHO IS STEALING MONEY
FROM WHOM.
HEART BYPASS SURGERY COSTS A
LOT MORE THAN CHELATION
DOES.
AND AND I DON'T THINK YOU'RE
GOING TO FIND VICTIM
CHELATION PATIENTS WHO FEEL
THAT THEY'VE BEEN ROBBED OF
THEIR MONEY.

Maureen says KEN THOUGHT IT WAS WORTH
IT.

Ken says AT THAT POINT IT WAS VERY
WELL SPENT BECAUSE I'M HERE
TODAY.
AND I WOULD LIKE TO THINK
BECAUSE OF CHELATION THAT
TEN OR 15 YEARS DOWN THE
ROAD, I WILL HAVE THE SAME
LEVEL OF PHYSICAL AND MENTAL
FITNESS THAT I HAVE RIGHT
NOW.

Maureen says READY FOR OUR
HEALTH QUIZ?

A quiz appears on screen.

Maureen says DIVERTICULITIS AFFECTS YOUR
COLON, YOUR APPENDIX OR
ESOPHAGUS.
THE ANSWER COMING UP LATER
ON "YOUR HEALTH."

(music plays)

Now Maureen sits in the studio with a guest.

Maureen says MAYBE YOU'VE
ALREADY MADE A LIVING WILL.
MAYBE YOU'VE TOLD FAMILY
MEMBERS WHEN YOU REACH THE
END OF YOUR LIFE YOU DON'T
WANT EXTRAORDINARY MEASURES
TAKEN TO KEEP YOU ALIVE.
WHEN THAT TIME COMES IT
WON'T BE YOU MAKING THE
DECISION.
IT WILL BE YOUR FAMILY.
AND THEY'LL BE INFLUENCED BY
DOCTORS AND NURSES WHOSE
INSTINCTS ARE TO KEEP PEOPLE
ALIVE.
DR. WILLIAM MOLLOY LOOKS AT
WHAT HAPPENS WHEN PEOPLE ARE
DECIDED TO CHOOSE FOR
THEMSELVES HOW THEY'LL LIVE
AND HOW THEY'LL DIE.
A LEADING GERIATRICIAN AND
PROFESSOR OF MEDICINE IN
HAMILTON.
WELCOME TO "YOUR HEALTH."

William says THANK YOU.

William is in his fifties, balding and clean-shaven. He wears a gray glen plaid suit, a blue shirt and a printed brown tie.

Maureen says YOU'VE BEEN
LOOKING AT THIS WHOLE AREA
OF PATIENT CONTROL OVER THE
END OF THEIR LIFE FOR 15
YEARS OR SOMETHING.
WHY?

The caption changes to "Doctor William Molloy. Geriatrician."

William says WELL, WHAT WAS HAPPENING
TO ME I WAS BEING CALLED BY
FAMILIES AGAIN AND AGAIN
SAYING, DAD WENT INTO
HOSPITAL, HE HAD CHRONIC
BRONCHITIS.
HE'S ON A MACHINE, HE
WOULDN'T WANT TO BE KEPT
GOING AND THE DOCTORS AND
NURSES ARE SAYING THEY CAN'T
STOP IT.
CAN YOU COME IN AND HELP US.
AND AGAIN AND AGAIN AND
AGAIN.
THESE FAMILIES ARE PHONING
ME VERY DISTRESSED.
I'LL NEVER FORGET ONE DAY A
HUNGARIAN WOMAN, HER HUSBAND
WAS DA MEANTED AND HE HAD
BEEN ADMITTED SEVEN TIMES
WITH CHRONIC OBSTRUCTED
PULMONARY DISEASE, SHE SAID
HOW DO I STOP THIS?
LIKE WHAT DO I DO?
HOW DO I TELL THEM NEXT TIME
HE GOES IN HE DOESN'T GO ON
THE MACHINE, BECAUSE I DON'T
WANT IT AND HE DOESN'T WANT
IT.
SO WE STARTED TO WRITE
THINGS DOWN AND WE STARTED
THEN TO DEVELOP A METHOD
THAT PEOPLE WOULD WRITE DOWN
WHAT THEY WANTED IN THE
CLINIC AND FROM THERE.

Maureen says IS THIS THE SAME
AS MAKING A LIVING WILL?

William says YES.
A LIVING WILL HAS
UNFORTUNATELY IS A PITY
BECAUSE THE LIVING WILL IS
AN ADVANCED DIRECTIVE AND
TWO TYPES OF ADVANCED
DIRECTIVES.
ONE WHAT WE CALL A PROXY
DIRECTIVE, THAT'S WHERE YOU
SAY IF I GET SICK I WANT MY
HUSBAND OR MOTHER TO MAKE
DECISIONS FOR ME.
AND THE OTHER FORM OF A
LIVING WILL WHERE YOU SAY IF
I GET TO THE POINT WHERE I'M
WEARING A DIAPER, I CAN'T
RECOGNIZE MY FAMILY, AND MY
HEART STOPS DON'T GET IT
GOING AGAIN.
IDEALLY YOU SHOULD CALL IT
AN ADVANCED DIRECTIVE
BECAUSE THAT COVERS BOTH A
LIVING WILL AND THE PROXY
COMPONENT.

Maureen says I SEE.
NOW TELL US ABOUT YOUR
STUDY.
HOW IT CAME ABOUT AND WHAT
YOU LOOKED.

William says WE HAVE A PAGE WHICH HAD
IF I GOT PNEUMONIA OR
BLEEDING ULCER.
AND WE HAD CUKTED CHOICES
AND WE HAD DEFINITIONS.
AND WE'RE CONSTANTLY HAVING
THIS CONFERENCE WITH PEOPLE.
WE CAN ACTUALLY GIVE TO IT
FAMILIES.
I'D BETTER WRITE IT DOWN.
THEY HAD A DAUGHTER-IN-LAW
AND A SON.
I PRINTED IT ALL OUT FOR
THEM AND GAVE IT TO THEM.
I SAID READ THAT AND COME
BACK, THEY CAME BACK SAID I
WANT THAT, AND THAT.
SO THEN THE NURSES SAID
THAT'S GREAT.
CAN WE HAVE THAT AND
EVERYBODY STARTED USING.

Maureen says WHAT DID YOUR
STUDY SHOW YOU.

William says WE STARTED USING THE BOOK
LET THEN, WE HAVE A BOOK LET,
WE HAVE THREE VIDEOS.
WE HAVE A WHOLE PROGRAMME A
WORKSHOP WHERE WE TRAIN
PEOPLE HOW TO USE IT TO DO
IT PROPERLY.
THEY DON'T FORCE PEOPLE.
IT'S A WHOLE THING.
SO WE GOT THE STUDY ANYWAY
AND WE'VE DONE A STUDY, WE
LOOKED AT ALL THE NURSING
HOMES IN ONTARIO AND MATCHED
THEM, SIX HOMES WE TOOK SIX
HOMES AND MATCHED EACH HOME
TO EACH HOME.
SIZE OF HOME, LEVEL OF CARE.
NUMBER OF DEATH, RURAL
VERSUS URBAN.
EVERYTHING THAT COULD AFFECT
THE OUTCOME.
TOSSED THE COIN.
ONE MOM GOT THE PROGRAMME.
ONE HOME WAS CONTROLLED
BUSINESS AS TIAL.
WE THEN TOOK A NURSE OUT.
TRAINED THE NURSE FOR TWO
DAYS AND THE NURSE WENT BACK
IN AND STARTED USING THE
PROGRAMME.
AS SIMPLE AS THAT.
SHED THAT BOOKS, THE VIDEOS.
THE WHOLE THING AND STARTED
OFFERING TO RESIDENTS AND
FAMILIES AND ONCE A
DIRECTIVE APPEARED ON THE
CHART.
WE STARTEDED THE CLOCK
TICKING AND FOR 18 MONTHS WE
FOLLOWED.
MEASURED SATISFACTION.
HEALTH CARE COSTS AND
DEATHS.

Maureen says THESE ARE PEOPLE
WHO SOMETHING WOULD GO WRONG
IN THE NURSING HOME, AND
THEY WOULD BE RUSHED TO...
GIVE ME AN EXAMPLE.
PNEUMONIA.

William says A PERSON GETS PNEUMONIA
OR SICK OR VERY CONFUSED.
IN EVERYBODY WAS SAYING I'D
GIST LIKE TO STAY HERE.
I DON'T WANT TO DIE IN AN
EMERGENCY ROOM.
I DON'T WANT TO DIE IN AN
AMBULANCE SURROUNDED BY
STRANGERS.
THE PEOPLE IN THE OTHER HOME
HAD NEVER MADE THEIR
CHOICES.
50 percent OF THEM HAD CHOICES BUT
THE CHOICES WERE DO NOT
RESUSCITATE.
BUT THAT WAS IF THEIR HEART
STOPPED.
THE STAFF DIDN'T KNOW WHAT
TO DO.
DON'T SEND ME, WE HAVE A LOT
MORE CHOICES.
A LOT MORE COMPREHENSIVE.
FEEDING WHETHER YOU DO CRK
PRK RRK.
IT'S A GOOD TRAINING
PROGRAMME WITH THEM.
SO WE KNOW PEOPLE REALLY
UNDERSTOOD IT.
IN THE OTHER HOEM HOMINGS IT
WAS ALL SIMILAR NUMBERS BUT
NO CPR.
AT THE END OF THE DAY, THE
GROUP IN THE CONTROLLED
HOMES THE ONES WHO DIDN'T
GET PROGRAMME, THEY HAD 290
HOSPITALIZATIONS.
AND THE GROUP WITH THE
PROGRAMME WERE 140.
BEFORE WE START WE HAD HAD
119 AND 108
HOSPITALIZATIONS.
THEY WERE EQUAL THE YEAR
BEFORE AND 1700 IN 2000.
THE NUMBER OF HOSPITAL DAYS
THEY SPENT IN WERE 1300 IN
THE HOMES WE WERE IN AND 3,500
IN THE HOMES.

Maureen says SO LET ME SUMMARIZE WHEN
PEOPLE GET TO DECIDE FOR
THEMSELVES WHAT THEY WANT
DONE WHEN THEY'RE DYING,
THEY CHOOSE TO NOT GO INTO A
HOSPITAL MORE OFTEN WHICH
SAVES THE HEALTH CARE SYSTEM
MONEY.

William says WELL, THE POINT IS THAT
THEY SAY ONLY SEND KNOW
HOSPITAL IF YOU CAN'T KEEP
ME COMFORTABLE HERE.
THEY DON'T SAY DON'T SEND ME
TO HOSPITAL.
THEY SAY IF I BREAK MY HIP
AND I NEED SURGERY I HAVE TO
GO TO HOSPITAL BUT OTHERWISE
DON'T SEND ME.
IN THE OTHER HOMES PEOPLE
SAY THEY'RE CIRCUMSTANCE
CALL THE AMBULANCE.
THERE WAS 150 percent MORE HEALTH
CARE USE SO, THE COST OF
THAT, WE BROKE THAT DOWN,
McMASTER WHO ARE EXCELLENT
PEOPLE, WHAT THEY DID WAS
THE COST PER RESIDENT WAS 3,400
VERSUS 5,200.
THE DIFFERENCE IS 2,000
SOMETHING.

Maureen says YOU WOULD THINK
IF THEY DIDN'T GET SENT TO
HOSPITAL AS OFTEN THEY WOULD
GUY MORE OFTEN.

William says YOU SAY OKAY.
SO WHO WE'RE DOING IS
DENYING ALL THESE OLD PEOPLE
HEALTH CARE ANDKYING THEM
ALL OFF.

Maureen says THAT'S WHAT YOU
THINK.

William says BUT IN FACT THE NUMBER OF
DEATHS WERE 167 IN THE
CONTROLLED HOMES, AND 129 IN
THE OTHER HOMESS.
SO ACTUALLY MORE DEATHS IN
THE PEOPLE WHO WENT TO
HOSPITAL.

Maureen says HOW DO YOU
EXPLAIN ALL THIS.

William says THAT'S EASY TO EXPLAIN.
HOSPITALIZATION KILLS OLD
PEOPLE.
YOU SHOULD NEVER SEND OLD
PEOPLE TO HOSPITAL.
THE WORST PLACE YOU SHOULD
HAVE TO GO IF YOUR SEALED
HOSPITAL.
THAT'S IT.
THAT'S A SCARY THING FOR ME
TO SAY.
I WORK IN THE SYSTEM.
A PROFESSOR OF MEDICINE AND
I'M TELLING YOU, I WORK IN A
HOSPITAL, I JUST SPENT A
MONTH IN GERIA TRICK
ASSESSMENT.
I WAS AROUND THE HOSPITAL
THIS MORNING AND IT'S THE
LAST PLACE YOU WANT TO GO.

Maureen says WHY?

William says NEVER GO TO HOSPITAL IF
YOU'RE SICK, YOU HAVE TO BE
IN THE BEST OF HEALTH TO
MAKE IT THROUGH A HOSPITAL
EXPERIENCE.
HOSPITALS ARE TOUGH PLACES.

Maureen says ON THE OTHER
HAND, THERE WOULD BE PEOPLE
WHO HAVE HAD SPERPS IN THEIR
FAMILY WHERE AN OLD PERSON
WAS IN HOSPITAL AND EVEN
THOUGH THEY HAD NOT PUT A DO
NOT RESUSCITATE ORDER ON.

William says THAT'S JUST BAD.
I MEAN IN ANOTHER THING IS
THE WHOLE CONCEPT OF LET ME
DECIDE.
IT'S TO INCREASE AUTONOMY.
WE DON'T FORCE PEOPLE TO DO
IT IF THEY DON'T WANT 70 percent
DID IT.
30 percent DIDN'T DO IT.
WE DON'T FORCE PEOPLE TO
FILL THIS OUT.
THE VAST MAJORITY OF
CANADIANS WHO JUST FINISHED
WERE VETERANS.
WE DADE VETERAN STUDY AND
100 percent OF VETERANS ARE SUPPORT
OF THE PROGRAMME SAY
VETERANS CANADA SHOULD OFFER
TO VETERANS.
STUDY OF A THOUSAND
CANADIANS SHOWING THAT
ALMOST 90 percent OF PEOPLE
SUPPORTED WANTED TO FILL
THEM OUT.
FAMILY DOCTORS ARE NOT
OFFERING IT.
AND HOSPITALS ARE NOT
OFFERING THEM.
GOVERNMENT IS NOT OFFERING
THEM.
NOBODY IS DOING THIS.
AND PEOPLE WANT THEN.
SECOND INCREASED AUTONOMY.
TAKES THE FAMILY OFF THE
HOOK, I DON'T WANT TO MAKE
ZIGS FOR PEOPLE BECAUSE I
KNOW I WILL RESUSCITATE THEM
EVEN THOUGH I KNOW PERSON
WOULD WANT THEM.
EVERYBODY WANTS THESE THINGS
BUT NOBODY IS DOING THEM.

Maureen says I ASSUME YOU OFFER THEM
TO YOUR PATIENTS.

William says YEAH, ROUTINELY.

Maureen says AND HAVE YOU WATCHED IT
HAPPEN FROM YOU KNOW THEY
FILLED ONE OUT AND THEN YOU
WATCH THEM AT THE END OF
THEIR LIFE?

William says EVERY DAY OF THE WEEK.

Maureen says HOW IS IT DIFFERENT THAN
WHAT YOU'RE USED TO SEEING
GOING ON IN FAMILY.

William says THE PROBLEM IS IF THE PERSON
HASN'T DECIDED AHEAD OF TIME,
ONE CHILD SAYS DO THIS, THE
OTHER SAYS DO THAT.
ONE CHILD WALKINGS NORTH,
THE OTHER WALKS SOUTH, THEY
NEVER TALK AGAIN.
AND ACTUALLY DIVIDED THE
FAMILY.
I MEAN NONE OF US WOULD WANT
THAT.

Maureen says THIS WAY YOU
COULD AVOID OWL OF THAT.
VERY INTERESTING.
THANKS FOR TELLING US ABOUT
IT.

William says THANK YOU.

A picture of William's book appears.

Maureen says IF YOU'RE
INTERESTED IN THE LET ME
DECIDE BOOK LET YOU CAN CALL
905-628-0354 OR FOR A FULL
LIST OF FAX NUMBERS AND
INTERNET ADDRESSES, VISIT
OUR WEB SITE AT WWORK WWW.TVO.ORG/YOUR HEALTH.

(music plays)

Maureen says STILL TO COME ON YOUR
HEALTH.
FLAX SEED WHAT IT DOES, HOW
TO TAKE IT.
BUT FIRST, YOU KNOW WHAT'S
BEHIND YOUR DOCTOR'S
CREDENTIALS BUT WHAT ABOUT
YOUR NURSE?
NOT ALL NURSES ARE EDGE
KUWAITED EQUALLY.
AND WHILE THEY ALL HAVE A
ROLE.
WE'RE RELYING TOO MUCH ON
THE ONES WITH THE LEAST
TRAINING.

A caption reads "Second opinion."

The caption changes to "Ellie Tesher. Columnist, Toronto Star."

Ellie is in her late forties, with long straight red hair and wears a white turtleneck sweater and a brown blazer.

She says THE QUALITY OF NURSING
CARE AS IT AFFECTS A PATIENT
IS ACTUALLY UNDER THREAT.
THE REASON IS THREE FOLD.
ONE IS THERE'S AN ACUTE
SHORTAGE OF NURSES.
TWO NURSES ARE BEING OFFERED
ONLY PART OF TIME JOBS AND
MANY ARE CHOOSING NOT TO DO
IT ANYMORE.
AND THREE, AND THIS IS
SOMETHING THE PUBLIC DOESN'T
ALWAYS UNDERSTOOD, IS THAT
THERE ARE DIFFERENT LEVELS
OF EDUCATION OF NURSES, AND
AN INSTITUTION CAN GET AWAY
WITH SAYING THEY HAVE SO
MANY NURSING HOURS PER
PATIENT.
BUT THOSE NURSING HOURS VERY
WITH THE EDUCATION OF THE
NURSE.
A REGISTERED NURSE FOR
EXAMPLE HAS THREE YEARS OF
EDUCATION.
SHE'S TRAINED IN PHYSIOLOGY.
SHE'S ABLE TO DIAGNOSE SOME
ILLNESSES.
SHE KNOWS WHEN A CALL A
DOCTOR.
A PRACTICAL NURSE HAS ABOUT
18 MONTHS OF EDUCATION.
DEPENDING ON THE INSTITUTION
SHE ATTENDED.
HAS BASICALLY A LEVEL OF THE
SAME EDUCATION, AND CAN DO
SOME OF THE SAME THINGS, BUT
NOT WITH QUITE AS MUCH
EXPERIENCE IN BACKGROUND.
A HEALTH CARE WORKER
SOMETIMES THEY'RE CALLED
PERSONAL SUPPORT WORKERS,
THESE SUPREME AT THE VERY
MOST THREE MONTHS OF
EDUCATION DEPENDING ON WHERE
THEY'RE WORKING.
THERE'S NO REQUIREMENT AND
THERE'S NO STANDARD.
THEY'RE NOT REGULATED BY A
PROFESSIONAL BODY OR COLLEGE
OF NURSES, AND THERE'S NO
PROCESS BY WHICH THE PUBLIC
CAN COMPLAIN.
NOW HOW THIS AFFECTS THE
PATIENT IS ACTUALLY VERY
DIRECTLY.
IN A NURSING HOME FOR
EXAMPLE, YOU HAVE ELDERLY
PEOPLE.
TODAY WE HAVE MORE FRAIL
ELDERLY THAN WE'VE EVER HAD
BEFORE.
WHEN AN ELDERLY PERSON ISN'T
FEEING WELL THEY OFTEN SHOW
CONFUSION, AGITATION.
IN A CASE OF A REGISTERED
NURSE SHE MIGHT KNOW RIGHT
OFF THE BAD IT'S LIKELY A
BLADDER INFECTION AND SHE'LL
DO THE NECESSARY TESTS AND
IF SHE SEES THAT THE PATIENT
DOES HAVE THAT SHE'LL CALL A
DOCTOR AND THERE'S TREATMENT
RIGHT AWAY.
IN THE CASE OF A HEALTH CARE
WORK HERB AT THE LOW END OF
THE SCALE, THEY PROBABLY
UNLESS THEY'RE VERY
EXPERIENCED WOULD HAVE NO
IDEA.
SIMPLY END UP RESTRAINING
THE ELDERLY PERSON.
NOW WHAT THAT MEANS TO THE
SYSTEM IS THAT PERSON
GETINGS SICKER AND SICKER
AND LANDS IN AN EMERGENCY
WHEN THERE WAS NO NEED FOR
IT.
THAT'S ONE OF THE REASON
THERE ARE MERGES ARE CLOGGED
ALL ACROSS THE COUNTRY.
THEY'VELY DUMBED DOWN THE
SYSTEM IN AN ATTEMPT TO SAVE
COSTS.
AN INSTITUTION WILL HIRE A
HEALTH CARE WORKER, THE
LESSER EDUCATED PERSON
INSTEAD OF A REGISTERED
NURSE IF THEY CAN GET AWAY
WITH IT.
IN THE END THE PROBLEM IS
THAT THE PATIENT HAS BEEN
IGNORED.
ALL THE SOLUTIONS FOR THE
HEALTH CARE SYSTEM AND WE
CERTAINLY DO NEED TO COME UP
WITH SOLUTIONS, HAVE BEEN
PIECEMEAL AND HAVEN'T PAID
ANY ATTENTION TO THE
DEMOGRAPHICS.
WE CUT HOSPITAL BEDS, WE CUT
BACK NURSES AND WE'RE ENDING
UP WITH ALL KINDS OF
PROBLEMS, BECAUSE WE DIDN'T
PUT THEEER THING HAS THE WE
NEED IN PLACE AND THE
AVAILABILITY OF NURSES AT A
TIME WHEN THE POPULATION IS
AGING.

(music plays)

Maureen says AND NOW THE
ANSWER TO OUR HEALTH QUIZ.
WHEN YOU GET POUCHS IN YOUR
COLON THAT'S DIVERTICULOSIS.
WHEN THEY BECOME INFLAMED
AND PAINFUL, THAT'S
DIVERTICULITIS.
SO THE ANSWER IS YOUR COLON
AND FLAX SEED MAY HELP.
MORE ON THAT LATER ON YOUR
HEALTH.
FIRST THIS WEEK'S HEALTH
DIGEST.
A STUDY IN ENGLAND IS GIVING
NEW HOPE TO PEOPLE WHO ARE
PARALYZED BECAUSE OF SPINAL
CORD DAMAGE.
SCIENTISTS CRUSHED THE
SENSERY NERVES OF RATS AND
USED POTENT PROTEINS TO GET
THE NERVES TO GROW BACK.
THE NERVES NOT ONLY GREW
BACK THEY RECONNECTED TO THE
SPINAL CORD AND BECAME
ACTIVE AGAIN.
THE PROTEINS ARE CALLED
NEUROTROPHIC GROWTH FACTORS.
DOCTORS PREDICT THERE WILL
BE CLINICAL TRIALS FOR
SPINAL CORD INJURY IN CANADA
WITHIN THE NEXT TWO YEARS.
THEY MAY NEVER KNOW FOR SURE
BUT A TEAM OF CALIFORNIA
RESEARCHERS THINK THEY'VE
PREVENTED HIV INFECTIONS BY
USING A MORNING AFTER DOSE
OF DRUGS.
4 O 1 PEOPLE WHO CAME TO
THEIR CHRIN A RISKY SEXUAL
ENCOUNTER OR DRUG EPISODE
WERE GIVEN A HIGH DOSE OF
HIV DRUGS AND NOT A SINGLE
ONE HAVE TESTED POSITIVE
YET.
IT'S IMPOSSIBLE TO KNOW HOW
MANY OF THEM WOULD HAVE BEEN
INFECTED ANYWAY.
WE KNOW THAT MEN WHO SNORE
ARE AT INCREASED RISK OF
HEART DISEASE AND IT TURNS
OUT THE SAME IS TRUE FOR
WOMEN.
RESEARCHERS IN BOSTON SAY
REGULAR SENATORING CAN
INCREASE A WOMAN'S RISK OF
CARDIOVASCULAR DISEASE 33 percent.

A caption reads "Habitual snoring is believed to affect about 44 percent of men and 28 percent of women. Source: Mayo Clinic Sleep Disorders Center."

Maureen says FLAX SEED IS THE NEW WONDER
SUPPLEMENT.
THERE'S FLAX SEED AND FLAX
SEED OIL.
NATUROPATHIC DOCTOR TELLS US
WHY IT'S GOOD FOR US AND HOW
TO TAKE IT.

The caption changes to "Ruth Anne Baron. Naturopathic Doctor."

Ruth is in her forties, with short straight blond hair and wears a red shirt and a black blazer.

Ruth points at a plateful of flax seeds says FLAX SEEDS ARE A
WONDERFUL SOURCE OF FIBER,
AS THE WHOLE SEED WHICH YOU
SEE HERE.
BUT THEY'RE ALSO A VERY
IMPORTANT SOURCE OF A
SPECIAL KIND OF FAT CALLED
THE OMEGA 3 FATTY ACIDS, OR
ESSENTIAL FATTY ACIDS.
FLAX SEED PROS RIDE IS TWO
SEPARATE SUPPLEMENTS.
AS A SEED YOU CAN GRIND IT.
ADD IT TO YOUR SERIAL.
IT PROVIDES GOOD BENEFICIAL
AND GENTLE FIBER.
AS AN OIL, YOU NEED TO TAKE
IT AS EITHER A LIQUID OIL
AND THIS IS A LOT.
YOU WOULD USE ABOUT ONE TO
TWO TABLE SPOONS OF THE OIL
A DAY.
ESSENTIAL FATTY ACIDS ARE
IMPORTANT IN THE BODY, HELP
TO VERY GOOD FOR PEOPLE WITH
ALLERGIES.
PEOPLE WITH CARDIOVASCULAR
DISEASE.
THE BODY NEEDS ESSENTIAL
FATTY ACIDS AND IT'S HARD TO
GET THEM FROM OUR FOOD.
IF YOU TAKE THE OIL YOU
CAN'T COOK IT.
YOU CAN'T PUT IT IN A FRYING
PAN.
YOU NEED TAKE IT STRAIGHT
OFF THE SPOON OR ADD IT TO
YOUR FOOD.
YOU CAN ALSO TAKE THE
ESSENTIAL FATTY ACIDS OR THE
FLAX SEED OIL IN A FORM OF A
CAPSULE.
SOME PEOPLE DON'T CARE FOR
THE TASTE OR THEY FIND IT
INCONVENIENT TO TAKE IT OFF
THE SPOON.
IF YOU'RE GOING TO TAKE FLAX
SEED OIL CAPSULES YOU NEED
TO TAKE FOUR TO SIX CAPSULES
A DAY TO ACHIEVE THE
EQUIVALENT DOSE.
SHOULD ALWAYS BE TAKEN WITH
YOUR MEALS BECAUSE WHEN
YOU'RE EATING YOUR DIGESTION
IS TURNED ON AND YOU'LL
ABSORB THE BENEFITS OF THE
OILS MUCH BETTER.

(music plays)

Maureen says AND THAT BRINGS
IS TO THE END OF THIS
EDITION.
IF YOU'D LIKE TO GET IN
TOUCH WITH US, YOU CAN FAX
US AT 416-484-4519, OUR
E-MAIL ADDRESS IS YOUR
HEALTH AT TVO.ORG AND VISIT
OUR WEB SITE.
I'M MAUREEN TAYLOR, WE'LL
SEE YOU NEXT TIME.

An announcer says THE ADVICE GIVEN IN THE
PROCEEDING PROGRAMME IS OF A
GENERAL NATURE ONLY.
VIEWERS SHOULD CONSULT THEIR
OWN MEDICAL PROFESSIONAL FOR
MEDICAL ADVICE SPECIFIC TO
THEIR CIRCUMSTANCES.

A final slate reads "Your Health. Email: yourhealth@tvo.org. Fax: 416-484-4519. Mail: Box 200, Station Q, Toronto, ON, M4T 2T1."

(music plays)

The end credits roll.

Director, Michael Smith.

Producer, Cathy Perry.

Executive Producer, Patricia Ellingson.

Logo: CEP Local 72m.

A production of TVOntario. Copyright 2000, The Ontario Educational Communications Authority.

Watch: Show #24