Transcript: Show #3 | Oct 17, 2000

The title of the show appears: "Your Health." Clips of the episode are displayed behind the title sequence.

Maureen says THIS WEEK,
PULLING THE MIDNIGHT SHIFT.

A man in his fifties says THEY HAVE A HIGHER
INCIDENCE OF OBESITY, AND A
HIGHER INCIDENCE OF SMOKING,
MORE DRINKING AS WELL, AND A
LOT OF NEGATIVE HEALTH
BEHAVIOUR.

Maureen says WHY SHIFT
WORKERS FACE MORE HEALTH
RISKS.

A woman in her forties says PEOPLE ARE GOING TO AN
AFRAID TO SEEK TREATMENT IN
HOSPITALS NOW.

Maureen says A DEBATE ON
COMMUNITY TREATMENT.
AND ECHINACEA.

Joe Schwarcz THERE HAVE BEEN STUDIES
THAT SHOW IMPROVED IMMUNE
FUNCTION.

Maureen says SNAKE OIL OR THE
CURE FOR THE COMMON COLD.

(music plays)
The opening sequence begins.

Clips of different people flash against a grey background. A 30-year-old woman with shoulder length black hair looks through a microscope, a 30-year-old with very short black hair holds up her 1-year-old son, a pharmacist counts and organizes red-and-yellow pills, a surgeon cuts into the abdomen of a patient and, finally, a man wearing a ted tank-top lifts weights. An animated microscope, pill bottle, syringe, and small dumbbell fly around the screen.

The title appears: "Your Health."

Maureen stands in a wood-paneled studio with T.V. screens embedded in the walls. She is in her forties, with short wavy red hair. She wears a red blazer and a delicate necklace.

Maureen says HELLO, I'M
MAUREEN TAYLOR.
WHAT DO THE EXXON VALDEZ,
CHERNOBYL AND THE CHALLENGER
HAVE IN COMMON?
HUMAN ERROR WAS A FACTOR
IN... HUMAN ERROR WAS A
FACTOR IN EACH ONE OF THESE
CATASTROPHE AND THE HUMANS
IN ERROR WERE FAT AGENCIED,
PEOPLE MAKING MISTAKES
BECAUSE THEY WERE TOO TIRED.
SHIFT WORKERS NOT ONLY RUN
THE RISK OF WORK-RELATED
ACCIDENTS, THEIR PERSONAL
HEALTH IS IN JEOPARDY AS
WELL.
RESEARCH SHORES THAT THESE
PEOPLE HAVE SIGNIFICANTLY
HIGHER RATES OF STOMACH
AILMENTS, HEART PROBLEMS,
DEPRESSION AND OBESITY.
MORE THAN THREE MILLION
PEOPLE IN CANADA HAVE TO
WORK NIGHTS AND THAT IS
PROBABLY NOT GOING TO
CHANGE.
THE QUESTION IS, HOW CAN WE
MANAGE IT MORE SAFELY.

A clip shows firefighters, doctors, policemen and paramedics at work.

Maureen says CHRISTINE
CAISSIE IS A REGISTERED
NURSE IN THE INTENSIVE CARE
UNIT.
SHE HAS BEEN WORKING SHIFTS
OVER THE LAST 12 YEARS AND
KNOWS WELL HOW IT AFFECTS
HER.

Christine is in her thirties, with long curly red hair in a ponytail. She wears scrubs.

She says THE PHYSICAL AILMENTS
FROM WORK SHIFT WORK IS
ACTUALLY A MAJOR PROBLEM.
YOU WILL FEEL BLOATED,
DEFINITELY, RETAIN A LOT OF
WATER, CONSTIPATION IS A BIG
ISSUE.
AND JUST A GENERAL FEELING
OF UNHEALTHINESS.

Maureen says MORE THAN 100
DIFFERENT DAILY RHYTHMS ARE
CONTROLLED BY A BIOLOGICAL
CLOCK BURIED DEEP IN THE
BRAIN.
THESE CIRCADIAN RHYTHMS
REGULATE BODY TEMPERATURE,
HORMONES, HEART RATE, BLOOD
PRESSURE, KIDNEY AND BOWEL
FUNCTION TO NAME A FEW.
WHEN OUR CIRCADIAN RHYTHMS
ARE THROWN OFF BY IRREGULAR
SLEEP, OUR WHOLE INTERNAL
SYSTEM OFFERS.

Ron Heslegrave is in his fifties, with short curly gray hair and a moustache. He wears glasses, a blue suit, white shirt and a printed tie.

He says SHIFT WORKERS HAVE A LOT
MORE SLEEP-RELATED
DIFFICULTIES.
WE ALSO KNOW THAT IT HAS AN
IMPACT ON OTHER ASPECTS OF
OUR HEALTH.
THE MOST PROMINENT OF WHICH
IS GASTROINTESTINAL
PROBLEMS.

Maureen says PSYCHOLOGIST RON
HESLEGRAVE HAS BEEN
RESEARCHING SLEEP
DEPRIVATION AND HUMAN
BEHAVIOUR FOR 20 YEARS.

A caption reads "Doctor Ron Heslegrave. Psychologist-Research Director. Centre for Sleep and Chronobiology."

Ron says WE ARE NOT QUITE CLEAR ON
WHY THE INJURIES ARE THERE
BUT WE KNOW IT IS TWO AND A
HALF TO THREE TIMES THE RISK
OF SOME SORT OF SIGNIFICANT
GASTROINTESTINAL DISORDER.
YOUR GUT FOLLOWS A SIR
CADDIAN RHYTHM, IT SLOWS
DOWN AT NIGHT.
IT IS MORE AGO SIEVE DURING
THE DAY.
AND OF COURSE YOU DISRUPT
THAT AS A SHIFT WORKER.
BUT THE OTHER PROBLEM SHIFT
WORKERS HAVE IS THAT THEY
USUALLY DON'T HAVE ACCESS TO
APPROPRIATE NUTRITIONAL
FOOD.
AND THE KINDS OF FOOD THAT
SHIFT WORKERS TEND TO HAVE
TENDS TO BE MORE GREASEY,
FATTY, CAFFEINATED, FOR
INSTANCE, AND THIS, ALONE,
CAN PRODUCE THE GI PROBLEMS
THAT WE SEE IN SHIFT
WORKERS.

Christine says AS FAR AS EATING PART,
YOU JUST FEEL UNHEALTHYMENT
YOUR MOTIVATION IS VERY LOW.
WHEN IT COMES TO EXERCISE, I
MEAN, I KNOW EXERCISING IS A
VERY IMPORTANT PART OF IT.
AND IT DOES HELP PEOPLE ON
SHIFT WORK BUT IT IS ANOTHER
THING TO SAY IT AND ACTUALLY
DO IT.

Ron says WE FIND THAT SHIFT
WORKERS THROUGHOUT THE
PROVINCE ARE... THEY HAVE A
HIGHER INCIDENCE OF OBESITY,
COUPLED WITH A HIGHER
INCIDENCE OF SMOKING, MORE
DRINKING AS WELL.
AND A LOT OF NEGATIVE HEALTH
BEHAVIOUR.

Maureen says THERE IS
CLINICAL EVIDENCE THAT
NURSES ARE AT GREATER RISK
FOR HEART DISEASE BECAUSE
THEY WORK SHIFTS.
CHRISTINE IS ALREADY SHOWING
SYMPTOMS EVEN THOUGH SHE IS
NOT YET 40.

Christine says I HAVE HIGH BLOOD
PRESSURE.
I DON'T THINK THE ACTUAL
SHIFT WORK DOES IT ANY GOOD.

Ron says BECAUSE OF THE PRESSURES
THAT THEY ARE UNDER AND THE
INCREASED STRESSES IN THEIR
LIVES, ASSOCIATED WITH POOR
PERFORMANCE AND POOR
INTERPERSONAL RELATIONSHIPS
AT THE WORK SITE AND AT HOME,
OFTEN LEADS TO PSYCHOLOGICAL
PROBLEMS.
AND THE MOST COMMON REALLY
IS DEPRESSION.

The caption changes to "Christine Caissie. Registered Nurse."

Christine says HEADACHES ARE QUITE
COMMON ACTUALLY AMONG THE
COWORKERS THAT I WORK WITH.
A LOT OF PEOPLE SUFFER FROM
MY GRAINS OR HEADACHES.
JUST A KIND OF THOUGHT EVEN
IN SPEAKING, AFTER THE NIGHT
SHIFT LOSING A TRAIN OF
THOUGHT, LOSS OF MEMORY.
WILL YOU START A SENTENCE
AND YOU WON'T BE ABLE TO
FINISH IT.

Maureen says FATIGUE PUTS
EVERYONE AT RISK.

Christine says YOU HAVE TO BE CAREFUL OF
MAKING SURE YOU DON'T PUT
YOUR COWORKERS, YOUR
PATIENTS AT RISK BEING
TIRED.
SO THAT IS ANOTHER CONCERN.
MEDICATION, YOU KNOW, ON
NIGHTS YOU JUST MAKE SURE
YOU TRIPLE CHECK, YOU KNOW,
WHAT YOU ARE SUPPOSED TO BE
DOING ANYWAY BUT YOU REALLY
LOOK AT THINGS.
YOU GET COWORKERS TO YOU
KNOW, LOOK AT THINGS AS WELL
IF YOU ARE UNSURE.
JUST EXTRA PRECAUTIONS THAT
PEOPLE TAKE ON NIGHTS
BECAUSE THEY ARE A LITTLE
BIT TIRED.

At a meeting, Ron says THANKS VERY MUCH FOR
INVITING ME TO COME AND TALK
TO YOU ABOUT SHIFT WORK AND
COPING WITH SHIFT WORK.

Maureen says DOCTOR HESLEGRAVE
GIVES TALKS TO EMPLOYERS WHO
WANT TO HELP THEIR STAFF
COPE WITH SHIFT WORK.
HERE AT ENVIRONMENT CANADA
THIS GROUP ACKNOWLEDGES THEY
HAVE ALL COME CLOSE TO
DRIVING OFF THE ROAD.

Ron says IN THE LAST YEAR, SAY,
HAS ANYBODY NODDED OFF EVEN
FOR A SECOND WHILE DRIVING.

A man says FOR A SPLIT SECOND,
POSSIBLY, YEAH, I WOULD
THINK SO.

A woman in her thirties says JUST FOR A SECOND LONGER
THAN A NORMAL BLINK BUT
SUDDENLY CLOSER TO THE
GUARDRAIL THAN YOU WANT TO
BE AND IT WAKES YOU UP IN A
HURRY BUT YOU DON'T REALIZE
THAT YOU ARE SO TIRED.

Maureen says SLEEP
DEPRIVATION STUDY SHOWS THAT
SHIFT WORKERS HAVE MORE
JOB-RELATED ACCIDENTS AND
MORE CAR ACCIDENTS DURING
THEIR COMMUTE TO AND FROM
WORK.
ONE STUDY FOUND THAT 95 percent OF
NURSES REPORTED A CLOSE CALL
WHILE COMMUTING.

An article appears with the title "Asleep at the switch. Coping with shift work."

Ron says IF WE THINK OF SLEEP
DEPRIVATION AS AN IMPAIRMENT
IT ALLOWS A NUMBER OF
ANALOGIES TO BE DRAWN.
AND THERE HAVE BEEN A NUMBER
OF STUDIES RECENTLY THAT
TRIED TO MAKE SOME
COMPARISONS WITH ALCOHOL
CONSUMPTION.
AND THESE STUDIES TENDED TO
FIND, IF YOU LOOKED AT THEIR
ABILITY TO PERFORM, THAT
DRIVING AN AUTOMOBILE, YOU
FOUND THAT WHEN PEOPLE WERE
DRIVING IN THE MIDDLE OF THE
NIGHT, THAT WAS EQUIVALENT
AFTER ABOUT... AFTER ABOUT
2:00 IN THE MORNING TO A .05
LEVEL OF ALCOHOL
CONSUMPTION.
BY ABOUT 4:00 OR 5:00 WHEN
PEOPLE ARE GETTING VERY
TIRED IN THE MORNING THAT
WENT UP TO ABOUT .08 OR .1
LEVEL OF BLOOD ALCOHOL.
WE WOULDN'T LET PEOPLE
WHO HAD A BLOOD ALCOHOL
CONTENT OF .1 OPERATE
MACHINERY RUN PETROCHEMICAL
PLANTS, DRIVE DOWN THE ROAD
IN A COMMERCIAL VEHICLE.
WE WOULDN'T LET THEM DO A
LOT OF THINGS IF THEY WERE
IMPAIRED WITH A HIGH BLOOD
ALCOHOL CONTENT.
BUT WE DO LET THEM DO ALL OF
THESE THINGS WHEN THEY ARE
IMPAIRED AS A RESULT OF
SLEEP LOSS.

Maureen says WITH 25 percent OF THE
WORKFORCE OPERATING AROUND
THE CLOCK IN VITAL SERVICES,
SHIFT WORK IS NOT GOING AWAY.
THE QUESTION IS HOW CAN WE
MANAGE IT MORE SAFELY.

Ron says WE NEED TO BE LOOKING AT
STRATEGIES LIKE NAPPING,
LIKE THE USE OF CAFFEINE,
THE STRATEGIC USE OF
CAFFEINE, FOR INSTANCE.
ADJUSTING THE WORKPLACE,
HAVING PROPER NUTRITION
AVAILABLE AT THE WORKPLACE
FOR THOSE PEOPLE WORKING
OVERNIGHT.

Christine says I GUESS WHEN LOOKING AT
THE PROBLEM OF SHIFT WORK
AND THE FACT THAT OUR JOB IS
24 HOURS AND THAT IS NEVER
GOING TO CHANGE, WHAT WE TRY
TO DO AS A STAFF, AT OUR
BREAKS ON NIGHTS WHAT WE TRY
AND DO IS DO THEM TOGETHER
SO AT LEAST IF ARE YOU TIRED
YOU CAN GO AND LABOR DOWN.

Ron says STRATEGIC NAPPING IS WHERE
YOU ALLOW PEOPLE TO SLEEP
FOR SHORT PERIOD OF TIMES AT
THE WORK SITE AND THE REASON IT
IS CALL STRATEGIC IS THAT
YOU PLAN FOR THIS.
SO THAT WHATEVER
PRODUCTIVITY IS GOING ON AT
THE WORK SITE IS NOT
COMPROMISED BY HAVING SUN
TAKE A 10 OR 15 MINUTE NAP.

Maureen says AFTER 12 YEARS OF
ROTATING SHIFTS AND PREGNANT
WITH HER SECOND CHILD,
CHRISTINE KRAVES A MORE
NORMAL SCHEDULE.

Christine says I WOULD PERSONALLY LOVE
TO GET INTO A JOB THAT WAS
DAY SHIFT, YOU KNOW, THAT I
COULD GO AND GET INTO A
LITTLE BIT MORE ROUTINE.

Ron says JUST AS A FINAL COMMENT I
THINK WHAT WE NEED TO DO IS
RECOGNIZE THE REALITY OF
SHIFT WORK, RECOGNIZE THE
IMPORTANCE THAT SLEEP AND
SLEEP DEPRIVATION PLAYS IN
THIS.
AND WE NEED TO COME UP WITH
BETTER WAYS OF MANAGING
FATIGUE BOTH IN OUR PERSONAL
LIVES AND AT THE WORK SITE.

Maureen says HERE IS THIS
WEEK'S HEALTH QUIZ, WHICH OF
THE FOLLOWING IS CONSIDERED
A DRUG, ALCOHOL, NICOTINE OR
CAFFEINE.
STAY TUNED.
THE ANSWER IS COMING UP
LATER ON "YOUR HEALTH."

The quiz appears on screen.

Maureen now sits in the studio with two guests.

Maureen says THEY MAKE NEWS
HEADLINES WITH A FREQUENCY
THAT IS ALL TOO FRIGHTENING.
THE DEPRESSED OR MENTALLY
ILL PARENTS WHO JUMP IN
FRONT OF SPEEDING SUBWAY
TRAINS WITH THEIR CHILDREN
IN TOW, THE MAN WITH
SCHIZOPHRENIA WHO GUNNED
DOWN A SPORTSCASTER AFTER
REFUSING TO TAKE HIS
ANTI-PSYCHOTIC DRUGS, NOW
ONTARIO IS JOINING
SASKATCHEWAN, BRITISH
COLUMBIA AND ALBERTA IN
INTRODUCING COMMUNITY
TREATMENT ORDERS, A METH OF
FORCING THE MENTALLY ILL TO
TAKE THEIR MEDICATION.
BUT DO THESE ORDERS REALLY
PROTECT THE PATIENTS AND
THEIR FAMILIES.
WHAT ABOUT THE RIGHTS OF
PEOPLE WITH MENTAL ILLNESS
TO REFUSE TREATMENT.
TED FIELDING HAS A DAUGHTER
WITH SCHIZOPHRENIA AND
PATRICIA BREGMAN IS WITH THE
CANADIAN MENTAL HEALTH
ASSOCIATION.
I WELCOME YOU BOTH.
TED FIELDING TELL ME WHY YOU
SUPPORT COMMUNITY TREATMENT
ORDER.

The caption changes to "Ted Fielding. Schizophrenia Society of Canada."

Ted is in his sixties, clean-shaven and balding. He wears glasses, a gray suit, white shirt and red, white and blue printed tie.

He says WELL, COMMUNITY TREATMENT
ORDERS BASICALLY HELP THE
PEOPLE WHO NEED HELP THE
MOST.
THE PEOPLE WHO ARE SO
SEVERELY ILL AND HAVE NO
INSIGHT INTO THEIR ILLNESS
THAT THEY KEEP RETURNING
BACK TO THE COMMUNITY AFTER
THEY HAVE BEEN STABILIZED IN
THE HOSPITAL.
SO COMMUNITY TREATMENT
ORDERS ARE NOT WHETHER
PEOPLE STEVE TREATMENT OR
NOT BECAUSE THEY DO.
BUT WHERE THEY RECEIVE
TREATMENT.
AND WHAT WE ARE SEEING IS A
SHIFT IN SOCIETY TO TREAT
PEOPLE IN THE COMMUNITY.
SO IF YOU ARE GOING TO TREAT
PEOPLE IN THE COMMUTE THAN
YOU HAVE TO HAVE SOME SORT
OF SAFEGUARDS TO ENSURE THAT
THEY STAY ON THEIR
MEDICATION.

Maureen says I DON'T UNDERSTAND, WHAT
DO YOU MEAN THAT IT IS NOT
WHETHER THEY RECEIVE
TREATMENT BECAUSE THEY DO,
AREN'T THERE A CERTAIN
POPULATION THAT REFUSE TO
TAKE MEDICATION AND THIS
HELPS FORCE THEM TOO.

Ted says YES, BUT THE LAW AS IT
EXISTS NOW OR IS COMING INTO
EXISTENCE IN ONTARIO, YOU
HAVE HAD TO HAVE HAD
PREVIOUS HOSPITALIZATIONS
TORE YOUR ILLNESS BEFORE
COMMUNITY TREATMENT ORDER
CAN BE ISSUED.
SO AS I SAID AT THE
BEGINNING THIS IS LOOKING AT
OR TRYING TO LOOK AT THE
REVOLVING DOOR TYPE OF
PATIENTS WITH A MORE
EFFECTIVE TREATMENT
PROGRAMME.

Maureen says CAN YOU ENJOYCE EVER
HAVING TO USE ONE OF THESE
TO FORCE YOUR DAUGHTER TO
TAKE HER DRUGS.

Ted says SURE.
I MEAN THE ILLNESS IS SO
DEVASTATING THAT UNLESS
YOU'VE BEEN THERE AND SEEN
WHAT IT DOES TO SOMEONE, YOU
DON'T REALIZE JUST WHAT IT
DOES TO THEIR LIFE.
AND I WOULD HAVE DONE
ANYTHING TO PREVENT HER
FROM... FOR EXAMPLE, SHE
ATTEMPTED SUICIDE.
I WOULD DO ANYTHING AS A
PARENT TO PREVENT HER FROM
HARMING HERSELF.

Maureen says PATTY, WILL COMMUNITY
TREATMENT ORDERS HELP
PREVENT SUICIDE.

The caption changes to "Patricia Bregman. Canadian Mental Health Association."

Patricia is in her early forties, with mid-length straight brown hair with bangs. She wears a cream blazer over a printed blouse.

She says I THINK UNFORTUNATELY NO.
AND IT IS NOT A MATTER OF
NOT UNDERSTANDING THAT THERE
ARE PEOPLE WITH VERY SERIOUS
MENTAL ILLNESS AND HAVE
DIFFICULTY WITH COMPLIANCE
AND WHO NEED MEDICATION AND
NEED TREATMENT.
THIS IS NOT AN ARGUMENT ABOUT
DO YOU TREAT OR DO YOU NOT
TREAT.
THE PROBLEM WITH COMMUNITY
TREATMENT ORDERS, THERE ARE
TWO PROBLEMS.
ONE IS THERE IS NO REAL
EVIDENCE THAT THEY MAKE A
SIGNIFICANT DIFFERENCE.
AND THE ONES THAT ARE COMING
INTO EFFECT IN CANADA, IN
ONTARIO IN PARTICULAR,
ACTUALLY DO NOT ALLOW YOU TO
FORCE TREATMENT ON SOMEONE
WHO HASN'T CONSENTED.
THEY ARE CONSENT-BASED
ORDERS.
SO EITHER THE PERSON OR
THEIR SUBSTITUTE...
SUBSTITUTE HAS TO CONSENT.
UNDER ONTARIO LAW IF YOU
HAVE A WISH AND YOU SAY I
DON'T EVER WANT YOU TO
CONSENT, YOU ARE NOT ALLOWED
TO.
AND SO THEY REALLY DON'T
PROVIDE A VERY DIFFERENT
ENVIRONMENT THAN WE VP
CURRENTLY.

Maureen says IS THAT THE
PROBLEM THEY DON'T HAVE
ENOUGH TEETH.

Patricia says FOR EXAMPLE ARE... OH,
NO, IT IS APPEALING AND
REACHING A VERY SMALL NUMBER
OF PEOPLE T IS GOING TO
PROVIDE SERVICES TO THE
SMALL NUMBER OF PEOPLE
WITHOUT DOING ANYTHING TO
MAKE SURE THAT WE HAVE
SERVICES AVAILABLE FOR THE
WIDE RANGE OF PEOPLE WITH
MENTAL ILLNESS WHO NEED
SERVICES.
I GUESS FROM OUR
PERSPECTIVE WHAT WE HAD
ASKED THE MINISTRY TO DO IS
COMPRESSIVE MENTAL HEALTH
REFORM.
DO MENTAL HEALTH REFORM THAT
WILL GET TO PEOPLE EARLY,
THAT WILL ENCOURAGE THEM TO
SEEK TREATMENT.
BUT TWO PRIMARY CONCERNS OF
THIS ARE THAT PEOPLE ARE
GOING TO BE AFRAID TO SEEK
TREATMENT IN HOSPITALS NOW.
AND THAT IS WHAT I'M
BEGINNING TO HEAR FROM BOTH
FAMILIES AND INDIVIDUALS.
WELL, IF I GO TO THE
HOSPITAL WILL I BE SUBJECT
TO THIS NEW COERCIONIVE
MEASURE.
AND THE ANSWER IS YES, YOU
MAY BE.
SO THERE IS A QUESTION ABOUT
WHETHER PEOPLE WILL STOP
VOLUNTARILY SEEKING HOSPITAL
TREATMENT.

Maureen says IS THAT A VALID
CONCERN.

Ted says WELL, I DON'T THINK... I
THINK THAT IS PUTTING A VERY
DARK SORT OF SPIN ON THINGS.
I THINK FIRST OF ALL IT
AFFECTS VERY, VERY FEW
PEOPLE BASED ON THE
EXPERIENCE IN OTHER
COMMUNITIES.
PLUS I WAS READING A SUMMARY
OF 12 RESEARCH DOCUMENTS, 1
RESEARCHERS BEING CONDUCTED
MOSTLY IN THE STATES AND
WHILE THE EVIDENCE ISN'T
CONCLUSIVE IN EVERY CASE, IT
DOES SHOW THAT THERE IS A
REDUCTION IN HOSPITALIZATION,
REHOSPITALIZATION.
AND IT DOES SHOW AN
IMPROVEMENT IN COMPLIANCE.
SO I THINK IT IS WORTH A
TRY.
WE HAVE NOTHING TO LOSE.

Patricia says I GUESS OUR POSITION IS
LET'S LOOK AT WHAT DOES
WORK.
LET'S LOOK AT PROGRAMMES
THAT DO WORK.
AND THERE ARE REAL QUESTIONS
ABOUT WHETHER THE VALUE OF
THE COMMUNITY TREATMENT
ORDER IS THAT ALL OF A
SUDDEN YOU HAVE A
COMPREHENSIVE TREATMENT
PLAN.
AND ONE OF THE PROBLEMS
FACING PEOPLE'S MENTAL
ILLNESS ACROSS THE COUNTRY
RIGHT NOW IS ACCESS TO
SERVICES.
WE KNOW THAT THERE ARE
PEOPLE TODAY BEING TURNED
AWAY FROM HOSPITALS WHO WANT
TO GO TO THE HOSPITAL.
ONE THING THAT MAY SURPRISE
PEOPLE IS THAT THERE ARE
ACTUALLY PROVISIONS IN
LEGISLATION, SOME PROVINCES
THAT HAVE TO DECLARE PEOPLE
AS TRESPASSERS TO GET THEM
OUT OF THE HOSPITAL BECAUSE
THEY WANT TO STAY.
LET'S LOOK AT ACCESS TO
SERVICES.
OUR SECOND CONCERN IS SIMPLY
THAT THIS IS NOW GOING TO
DIVERT THEIR SCARCE
RESOURCES AND SERVICES TO A
VERY SMALL POPULATION.

Maureen says AND IS THERE A CHANCE
THAT A BED WOULD BE TAKEN UP
BY SOMEONE WITH A CTO WHO
DOESN'T WANT TO BE THERE,
THEY WOULD BUMP OUT SOMEONE
WHO IS ABOUT TO COME IN
VOLUNTARILY.

Patricia says MORE LIKELY COMMUNITY
SERVICES WHICH ARE EVEN LESS
DEVELOPED THAN THE BEDS.
AND SO ONE OF OUR CONCERNS
AND WE'VE ASKED THE
GOVERNMENT TO ASSURE US THIS
WON'T HAPPEN AND THEY DIDN'T
AND THEY SAID THEY COULDN'T.
IS THAT YEAH, WE DO THINK
THAT PEOPLE ARE GOING TO
START BEING PUT ON TO
SERVICES BECAUSE THEY'VE GOT
A COMMUNITY TREATMENT ORDER.
WHAT DOES THAT DO TO PEOPLE
VOLUNTARILY SEEKING
TREATMENT.
THEY GET SICK.

Maureen says IS
THAT A VALID CONCERN?

Ted says WELL, AGAIN, I DON'T... I
DON'T THINK THAT PEOPLE
VOLUNTARILY SEEKING
TREATMENT ARE GOING TO BE
DISUEDED FROM THIS BECAUSE
AGAIN, IT AFFECTS ONLY SUCH
A SMALL...

Maureen says OUR RESOURCES ARE SCARCE
IN THE FIRST PLACE.

Ted says OUR RESOURCES ARE SCARCE.
AND WE HAVE ALWAYS ADVOCATED
FOR MORE SERVICES IN THE
COMMUNITY BECAUSE WHEN YOU
DISCHARGE SOMEONE FROM
HOSPITAL THEY DO NEED A LOT
OF FOLLOWUP TO KEEP THEM
STABILIZED.
BUT YOU KNOW, IT DOESN'T
TAKE UP MORE BEDS.
THE STUDIES SHOW THAT IT
DOESN'T PREVENT OTHER PEOPLE
FROM GETTING ACCESS TO
TREATMENT.
THERE IS SOME QUESTION AS TO
WHETHER IT REDUCES THE
NUMBER OF BEDS TAKEN BUT IT
CERTAINLY DOESN'T INCREASE
THE NUMBER OF BEDS.

Maureen says YOU HAVEN'T
BROUGHT UP THE HUMAN RIGHTS
ISSUE YET, ABOUT THE RIGHT
OF A PERSON WAY MENTAL
ILLNESS TO SAY I DON'T WANT
TO BE ON THOSE DRUGS WHICH
SOMETIMES HAVE TERRIBLE SIDE
EFFECTS.

Patricia says THAT IS BECAUSE THIS
LEGISLATION DOESN'T CHANGE
THAT.
THAT IS SOMETHING I DON'T
THINK PEOPLE UNDERSTAND.
THIS DOESN'T REALLY FORCE
TREATMENT IN THE WAY THAT I
THINK MOST PEOPLE PERCEIVE
IT.
THERE HAS TO BE CONSENT.
AND THEREFORE IF A PERSON
RECOVERS AND SAYS I DON'T
WANT TREATMENT, THEY CAN SAY
THAT.
THERE ARE HUMAN RIGHTS
CONCERNS AND CIVIL RIGHTS
CONCERNS ABOUT THE FACT THAT
IF YOU DECIDE YOU DON'T WANT
THIS TREATMENT AND YOU ARE
ON A COMMUNITY TREATMENT
ORDER, YOU CAN BE PICKED UP
BY THE POLICE AND TAKEN TO A
DOCTORS OFFICE.
THEY CAN'T HOSPITALIZE YOU.

Maureen says IS THAT THE SAME
IN OTHER PROVINCES THAT HAVE
THEM.

Patricia says WELL, THE OTHER PROVINCES,
THERE ARE A NUMBER OF
DIFFERENCES.
SASKATCHEWAN HAS MORE RIGID
CRITERIA.
IT IS MUCH HARDER TO GET ON
TO A COMMUNITY TREATMENT
ORDER IN SASKATCHEWAN THAN
ONTARIO.
AND DIFFERENT PROVINCES HAVE
DIFFERENT RULES ABOUT
CONSENT.
BUT THE SUPREME COURT HAS
SPOKEN PRETTY CLEARLY THAT
PEOPLE HAVE A RIGHT TO
CONCEPT TO TREATMENT.
AND IT IS VERY HARD TO
OVERRIDE THAT RIGHT OF
CONSENT AND SO EVEN HAVING
WHAT WE CALL QUOTES FORRED
TREATMENT, IT STILL
CONSENT-BASED.

Maureen says THEN I GUESS I
HAVE TO ASK TED, WHERE
WHETHER CTOs ARE EVER GOING
TO PREVENT SOME OF THE
EXAMPLES THAT I TALKED ABOUT
OFF THE TOP OF PEOPLE WITH
MENTAL ILLNESS WHO WOULDN'T
TAKE THEIR DRUGS, EITHER
GOING OUT AND COMMITTING
VIOLENCE AGAINST OTHER
PEOPLE OR AGAINST THEMSELVES
AND THEIR OWN CHILDREN.

Ted says IT CERTAINLY WON'T
PREVENT ALL OF THOSE EVER
HAPPENING BECAUSE YOU CAN'T
PREDICT VERY OFTEN WHAT IS
GOING TO HAPPEN TO A PERSON
WITH A MENTAL ILLNESS.
BUT AGAIN, I COME BACK TO
WHAT WE ARE LOOKING AT IS
THE PEOPLE WHO HAVE HAD LONG
HISTORY OF REPEATED
REHOSPITALIZATIONS.
AND THAT IS WHAT WE ARE
TRYING TO DO IS TRYING TO
KEEP THEM IN THE COMMUNITY
AND KEEP THEM STABLE.

Maureen says WHAT ARE THE
REASONS THEY STOP TAKING
THEIR MEDICATIONS IN THE
FIRST PLACE.

Ted says WELL, THERE ARE NUMEROUS
REASONS.
VERY OFTEN THEY THINK THAT
THEY ARE BETTER.
AND THAT THEY ARE NOW CURED
AND THEY DON'T HAVE TO TAKE
THE MEDICATION.
YOU MENTIONED EARLIER ABOUT
SIDE EFFECTS.
SOMETIMES THE SIDE EFFECTS
OF SUCH THAT THEY
DISCOURAGES THEM FROM TAKING
THEIR MEDICATION.
BUT WITH THE NEW MEDICATIONS
THAT WE HAVE THE SIDE EFFECTS
IS A PROBLEM THAT IS NOT AS
SEVERE AS IT USED TO BE.
IT IS GETTING BETTER SO
COMPLIANCE IS GOING TO BE
BETTER.

Patricia says WHICH GOES BACK
TO THE QUESTION, I GUESS OF
WHETHER THE FOCUS OF WHERE
MENTAL HEALTH IS GOING AND
MENTAL HEALTH SERVICES
SHOULD BE ON LEGISLATION.
LEGISLATION DOESN'T TREAT
PEOPLE, IT DOESN'T MAKE
PEOPLE BETTER.
SERVICES AND GOOD ACCESS TO
SERVICES DOES AND THERE IS A
LOT OF RESEARCH AND VERY
RECENT STUDY ITS SHOWING
THAT WHAT HAS MADE A
DIFFERENCE IN COMPLIANCE ARE
THINGS LIKE ONE-ON-ONE
ADVOCACY, SOMEBODY TO HELP
GET HOUSING, GET EMPLOYMENT,
GET SOCIAL SKILLS, GET
ACCESS TO SERVICES IN THE
COMMUNITY.
THIS LEGISLATION DOESN'T DO
THAT.

Maureen says AND YET HAVEN'T WE HEARD
OF PEOPLE, SCHIZOPHRENICS
WHO HAVE FAMILY SUPPORT IT
IS ALL THERE FOR THEM AND
YET THEY STILL REFUSE TO
TAKE THE MEDICATION AND THE
FAMILIES ARE STRESSED AND AT
THEIR WITS END AND THEY
DON'T KNOW WHAT ELSE TO DO.

Ted says ONE POINT I WOULD LIKE TO
MAKE WITH THE LAW IN ONTARIO
IS THAT COMMUNITY TREATMENT
ORDERS CAN ONLY BE ISSUED IF
THE SUPPORTS ARE IN THE
COMMUNITY, TO TAKE CARE OF
THAT PERSON.
AND NOW THIS GIVES US A
WEAPON THAT WE CAN USE WITH
THE GOVERNMENT IN OUR
ADVOCACY SAYING YOU KNOW,
ARE YOU NOT... PHYSICIANS
AREN'T ISSUING COMMUNITY
TREATMENT ORDERS BECAUSE
THERE ARE NO SERVICES IN THE
COMMUNITY.
SO YOU WROTE THE LAW, YOU
BETTER MAKE SURE THAT THE
SERVICES ARE THERE.

Maureen says BUT DOESN'T THAT
GO TO THE QUESTION THEN OF
WHAT IS GOING TO HAPPEN WITH
THE PEOPLE WHO GET BUMPED.

Patricia says BECAUSE THE GOVERNMENT
WHILE IT HAS COMMITTED SOME
NEW MONEY TO SERVICES THERE
ARE WAITING LISTS OF UP TO
FIVE YEARS FOR CASE
MANAGEMENT SERVICES IN SOME
CITIES.
SO YOU HAVE A VERY STRONG
ADVOCACY GROUP AND A REAL
CAUSE AND PASSION GOES TO
THE GOVERNMENT WHO SAYS GIVE
US THE SERVICE.
SOMEBODY ELSE MAY NOT GET
THE SERVICE.

Maureen says THERE IS A
PESSIMISTIC VIEW AND THE
OPTIMISTIC VIEW.
I GUESS WE HAVE TO WAIT AND
SEE.
THANK YOU FOR THE
DISCUSSION.

Ted says YOU ARE VERY WELCOME.

Patricia says THANK YOU.

Maureen says COMING UP.

Joe Schwarcz THERE HAVE BEEN STUDIES
THAT HAVE SHOWED IMPROVED
IMMUNE FUNCTION WITH
ECHINACEA.

Maureen says CHEMIST JOE
SCHWARCZ ANALYSTS THE PURPLE CONE FLOWER.

A slate appears with the logo of the show.

Now Maureen stands next to a screen with a slate that reads "Health Digest. Steroids."

Maureen says HERE IS A LOOK
AT SOME STORIES FROM OUR
HEALTH FILE.
A STUDY OF ASTHMA SUFFERERS
IN SASKATCHEWAN IS THE FIRST
TO SHOW THAT REGULAR USE OF
INHALED STEROIDS
DRAMATICALLY REDUCES THE
RISK OF DYING OF AN ASTHMA
ATTACK.
ALTHOUGH THEIR DOCTORS
ENCOURAGE PATIENTS TO USE
THE INHALERS MANY ASTHMATICS
ARE RELUCTANT BECAUSE THEY
CAN PRODUCE SIDE EFFECTS
WHEN TAKEN IN LARGE DOSES.
THESE INCLUDE STUNTING OF
GROWTH IN CHILDREN, AND
GLAUCOMA AND OSTEOPOROSIS IN
ADULTS.
BUT DOCTORS SAY THE STEROIDS
ARE BENEFICIAL IN LOW DOSES
WITH NO RISK OF SIDE
EFFECTS.

The caption on the screen changes to "Pain."

Maureen says THIS MIGHT EXPLAIN MULTIPLE
EAR PIERCING, IF SEEMS OUR
EAR LOBES ARE LESS SENSITIVE
TO PAIN THAN MOST OTHER BODY
PARTS.
A GROUP OF BRITISH DOCTORS
TOOK BLOOD SAMPLES FROM 60
PATIENTS, 30 WERE LANCED ON
THE SIDE OF THE THUMB, A
FAVOURITE SPOT FOR TAKING
BLOOD, THE OTHER 30 WERE
LANCED ON THE EAR LOBE.
THE PATIENTS WHO HAD THEIR
EAR LOBED JABBED REPORTED
LESS PAIN.
SO THE NEXT TIME YOUR DOCTOR
NEEDS A BLOOD SAMPLE TELL
HER TO STICK IT IN YOUR EAR.

The caption on the screen changes to "Incontinence."

Maureen says COFFEE, IT STIMULATES ALL
RIGHT, YOUR BLADDER.
A STUDY IN THE OBSTETRICS
AND GYNECOLOGY JOURNAL SHOWS
THAT WOMEN WHO DRINK MORE
THAN FOUR CUPS OF COFFEE A
DAY DOUBLE THEIR RISK OF
WEAKENED BLADDER MUSCLE, A
MAJOR CAUSE OF URINARY
INCONTINENCE.
IT KNOWN AS DETRUCER
INSTABILITY AND OFTEN
STRIKES WHILE LAUGHING,
SNEEZING OR COVING.

The quiz appears again on screen.

Maureen says TIME TO ANSWER THIS
WEEK'S QUIZ.
WHICH OF THE FOLLOWING IS
CONSIDERED A DRUG, ALCOHOL,
NICOTINE AND CAFFEINE ALL
ALTER YOUR MOOD, THEREFORE
THEY ARE ALL CONSIDERED
DRUGS.

Maureen says ECHINACEA WAS ONE OF THE
HERBAL THERAPIES THAT HELPED
KICK OFF THE CRAZE IN
NATURAL MEDICINE.
ACCORDING TO OUR HERBAL
SPECIALIST JOE SCHWARCZ
ECHINACEA OR PURPLE CONE
FLOWER HAS A LONG AND
COLOURFUL HISTORY.

Joe Schwarcz appears in a lab.

A caption reads "Doctor Joe Schwarcz, Ph.D. Professor of Chemistry."

Joe is in his mid-forties, clean-shaven and with short wavy gray hair. He wears a black suit, a blue shirt and a polka dotted red tie.

Joe says LET'S TALK FOR A MINUTE
ABOUT SNAKE OIL, YOU KNOW
THE TERM THAT MEANS
INEFFECTIVE THERAPY.
EVER WONDER WHERE IT COMES
FROM.
WE CAN TRACE IT BLACK TO
THIS PARTICULAR PLANT, THE
PURPLE CONE FLOWER, BETTER
KNOWN AS THE SOURCE OF
ECHINACEA.
REWE HAVE TO GO BACK TO 1871
AND DOCTOR H.C.F. MEYER WHO AT
THE TIME HEARD FROM NATIVES
THAT EXTRACT OF THE PLANT
WERE GREAT FOR THE TREATMENT
OF COLDS, FLU AND FOR
SNAKEBITES.
WHILE IT TURNED OUT IT
WASN'T VERY GOOD FOR MAKE
SNAKEBITES, HENCE THE TERM
SNAKE OIL FOR INEFFECTIVE
THERAPY.
BUT IT DID SEEM TO WORK
AGAINST THE COLD.
INDEED, UNTIL ABOUT THE
1920s IT WAS COMMONLY GROWN
IN NORTH AMERICA FOR THAT
PURPOSE.
BUT THEN SULFUR DRUGS WERE
INTRODUCED AND HERBAL
THERAPIES LOST SOME
FAVOURMENT BUT THEY ARE NOW
COMING BACK BECAUSE THERE IS
A MOVEMENT TODAY TOWARDS SO
CALLED NATURAL THERAPIES.
WELL, WHAT DOES SCIENCE SAY
ABOUT THIS.
THERE HAVE BEEN STUDIES THAT
HAVE ACTUALLY SHOWED
IMPROVED IMMUNE FUNCTION
WITH ECHINACEA.
BUT WE ARE NOT SURE WHAT THE
ACTIVE INGREDIENTS ARE.
YOU DO A CHEMICAL ANALYSIS
YOU FIND POLYSACCHARIDES,
ISOBUTYLAMIDE, CICHORIC ACID,
ECHINACOSIDE, ALL SHOW SOME
BENEFIT BUT THE ROBB IS OUT
THERE IN THE MARKETPLACE
THERE ARE SO MANY VERSIONS
OF ECHINACEA AND WE ARE NOT
REALLY SURE WHAT IS IN
THERE.
EVEN THE ONES THAT ARE
STANDARDIZED AND SAY FOUR
PERCENT ECHINACOSIDE WHICH
WE THINK ARE GOOD DRUGS,
WHEN YOU DO A CHEMICAL ASSAY
SOME CONTAIN MORE, SOME
LESS.
SO YOU NEVER KNOW WHETHER OR
NOT THE PRODUCT CAN BE
TRUSTED IN THOSE KIND OF
TERMS.
FURTHERMORE, IT IS NOT
ALWAYS CLEAR THAT BOOSTING
THE IMMUNE SYSTEM IS
BENEFICIAL.
PEOPLE WHO SUFFER FROM
AUTOIMMUNE DISEASES THINGS
LIKE ARTHRITIS, DIABETES, MS,
MAY NOT DO SO WELL IN THEY
TAKE ECHINACEA, BUT OF
COURSE IN THE TREATMENT OF
THE COMMON COLD, IT BEHOOVES
US TO TRY WHATEVER CAN BE
TRIED BECAUSE THIS IS THE
REAL SCOURGE.
AND INDEED, ECHINACEA
PREPARATIONS I THINK TAKEN
AT THE FIRST SIGN OF THE
COLD MAY INDEED BE
BENEFICIAL.
THE QUESTION IS WHICH ONE DO
WE TAKE.
WELL, SUGGESTION IS THAT
ECHINACEA ALCOHOL EXTRACT
MAY BE THE BEST, TINCTURES
AS THEY ARE CALLED.

He holds a bottle of Echinacea alcohol extract.

He says ALTHOUGH THERE IS SOME
SCIENTIFIC MERIT IN CERTAIN
PILLS, WE REALLY DON'T KNOW.
THAT IS WHY IT IS SO HARD TO
GIVE ADVICE.
WHAT I NORMALLY SAY IS THAT
ECHINACEA WORKS ON SOME
PEOPLE SOME OF THE TIME FOR
SOME CONDITIONS.
I KNOW IT DOESN'T SOUND VERY
SCIENTIFIC BUT THAT IS WHAT
IT COMES DOWN TO.
WHEN I HAVE A COLD, THOUGH,
I CERTAINLY DO TAKE
ECHINACEA.
AND I THINK IT KIND OF
SHORTENS THE DURATION OF MY
COLD.
ALTHOUGH I TAKE IT WITH MY
HOME MADE CHICKEN SOUP.

Maureen says WE DON'T HAVE HIS LESS
ME... RECIPE FOR CHICKEN
SOUP BUT YOU CAN GET A
TRANSCRIPT OF JOE'S HERBAL
ADVICE ON OUR WEB SITE AT
WWW.TVO.ORG/YOURHEALTH.
WE WELCOME YOUR COMMENTS
ABOUT OUR PROGRAMME.
OUR E-MAIL ADDRESS IS YOURHEALTH
YOURHEALTH@TVO.ORG.
FAX US AT 416-484-4519.
OR WRITE TO US AT YOUR
HEALTH PO BOX 200 STATION Q
TORONTO M 4 T 2 T-1.
THANKS FOR JOINING US FOR
THIS EDITION OF "YOUR HEALTH."

A slate appears with the caption "The advice given in the preceding programmes is of a general nature only viewers should consult their own medical professional for medical advice specific to their circumstances."

Music plays as the end credits roll.

Executive producer: Patricia Ellingson.

Producer: Cathy Perry.

Director: Michael Smith.

CEP Local 72m.

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

Watch: Show #3