Transcript: Show #6 | Nov 07, 2000

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)

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

Maureen says THIS WEEK...

A doctor says WE CAN'T CURE IT IN A HIGH
APPROPRIATION.
BUT YES, THESE MEN DO HAVE TO
LIVE WITH THE SIDE EFFECTS.

Maureen says PROSTATE CANCER.
IS THE CURE WORSE THAN THE
DISEASE?

A woman with short hair says IT DOESN'T SEEM TO BE ANY
BENEFIT FROM HORMONES...

Maureen says HORMONE REPLACEMENT THERAPY
IT, DOESN'T PROTECT YOUR HEART
AFTER ALL.
JOE SCHWARTZ.

Joe says IF GINSENG DID EVERYTHING IT CLAIMED
THAT SOFT PROPONENTS SAYS IT
CAN DO, WE COULD DO AWAY WITH
MEDICINE.

(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 cream turtle neck sweater.

She says HELLO.
I'M MAUREEN TAYLOR.
MANY MEN DIE WITH PROSTATE
CANCER, NOT OF PROSTATE CANCER.
THE FACT IS, THE LONGER MEN
LIVE, THE HIGHER THEIR CHANCE
OF GETTING T BUT PROSTATE
CANCER NOT ALWAYS AGGRESSIVE
AND DEADLY AND THE TREATMENTS
THEMSELVES CARRY RISKS.
PROSTATE CANCER IS THE MOST
COMMON CANCER IN MEN.
APPROXIMATELY 16,000 CANADIAN
MEN WILL BE DIAGNOSED WITH
PROSTATE CANCER THIS YEAR.
ABOUT 4,000 WILL DIE FROM IT.
BUT IT'S A SLOW-GROWING
DISEASE.
AND MANY MEN CAN LIVE WITH PROSTATE
CANCER FOR YEARS
WITHOUT UNDERGOING TREATMENT.
DOCTOR NEIL FLESHNER IS AN
UROLOGIST AND ONCOLOGIST AND
SURGEON.

A caption reads "Doctor Neil Fleshner. Uro-Oncologist-Surgeon. Sunnybrook Cancer Centre."

Neil is in his early forties, clean-shaven and with short wavy brown hair. He wears glasses, a black suit, white shirt and black tie.

He says ABOUT 80 percent OF MEN IF THEY
LIVE LONG ENOUGH WILL GET
PROSTATE CANCER.
IT'S LIKE GREY HAIR AND
WRINKLES.
HAVING SAID THAT, ONLY ABOUT
15 percent OF MEN WILL BE DIAGNOSED
WITH A PROSTATE CANCER IN THEIR
LIFETIME AND OVERALL, 4 percent OF MEN
WILL DIE INTEREST PROSTATE
CANCER.
WHICH MAKES IT THE SECOND MOST
COMMON CAUSE OF CANCER-RELATED
DEATHS AMONG MEN.

Maureen says A BLOOD CALLED PSA,
FOR PROSTATE SPECIFIC ANTIGEN
DETECTING THE CANCER AT AN EARLY
STAGE, LONG BEFORE SYMPTOMS CAN
BE FELT BY PARENT OR DOCTOR.

A doctor says OKAY.
SO JUST DO A RECTUM EXAMINATION
NOW.

Maureen says BUT A POSITIVE
DIAGNOSIS PRESENTS A DILEMMA:
WHETHER TO TREAT OR LEAVE IT
ALONE.
THIS DOCTOR IS A RADIOLOGIST
ONCOLOGIST AT SUNNYBROOK.
HE SPECIALIZES IN TREATING
CANCER WITH RADIATION.

The caption changes to "Doctor Gerard Morton. Radiation Oncologist. Sunnybrook Cancer Centre."

Gerard is in his mid-forties, balding and with a trimmed beard. He wears scrubs and a white coat.

He says THE DILEMMA IS THAT THE
CANCER CAN-- CAN BE CURED
WHEN-- WHEN IT IS AT ITS
EARLIEST STAGE.
ONCE IT HAS SPREAD OUTSIDE OF
THE PROSTATE, THE CHANCE OF
CURING IT DECREASES.
SO WE'RE PICKING IT UP AT AN
EARLIER STAGE IN YOUNGER MEN.
WE CAN'T CURE IT IN A-- WE
CAN'T CURE IT IN A-- IT IN A
HIGH APPROPRIATION, BUT YES,
THE MEN HAVE TO LIVE WITH THE
SIDE EFFECTS.

Maureen says AND IMPOTENCE AND
INCONTINENCE ARE DREADED
BY ALL MEN AND THAT AND THE
FACT THAT THE CANCER MAY NOT
KILL THEM MAKES HOW TO TREAT
AND IF THEY SHOULD MAKES IT
DIFFICULT ONE.

Neil says THEY HAVE TO CONSIDER TWO
FACTORS: THE DISEASE AND THE
PATIENT.
DISEASE-RELATED FACTOR, THE
MAJOR FACTOR IS THE STAGE.
HOW EARLY HAVE WE CAUGHT IT?
AND, OF COURSE, THE-- THE NEXT
IMPORTANT FACTOR IS THE LIFE
EXPECTANCY OF THE PATIENT AND
THEIR GENERAL HEALTH.
OPTION ONE IS WATCHFUL WAITING.
WHICH IMPLIES THIS-- JUST DOING
NOTHING BUT MONITORING THE
CANCER, UM, CLOSELY.

Gerard says IF SOMEBODY IS YOUNGER, OR
IF THEY'VE GOT HIGHER GRADE
CANCER, THERE'S QUITE A HIGH
CHANCE THAT THE CANCER WILL
ACTUALLY PROGRESS IN THEIR
LIFETIME.
AND CAUSE EITHER LOCAL PROBLEMS
OR SPREAD ELSEWHERE IN THE BODY
AND-- AND RESULT IN, UM, IN...
IN PROBLEMS WITH QUALITY OF
LIFE, PAIN AND-- AND THEIR EVEN
YOU'LL DEATH.

Neil says SECOND OPTION COULD BE A
SURGICAL REMOVAL OF THE
PROSTATE.
CALLED A RADICAL
PROSTATECTOMY.
AGAIN, THAT'S WITH MEN WITH
EARLY-STAGE CANCER THAT IS
CONFINED TO THE PROSTATE AND
HAS ABOUT A 15-YEAR LIFE
EXPECTANCY.
THAT'S GENERALLY MEN UNDER 70
YEARS OF AGE.
WE GENERALLY DON'T DO THE
OPERATION IN MEN OVER 70.

Maureen says IF THE CANCER CONFINED TO
THE PROSTATE, RADICAL
PROSTATECTOMY IS USUALLY
SUCCESSFUL IN REMOVING THE
CANCER.
BUT INCONTINENCE OCCURS IN 5-7 percent
OF MEN.
THE OTHER PROBLEM, SEXUAL
DYSFUNCTION, HAPPENS MORE
OFTEN.

Neil says THE NERVES THAT CONTROL
SEXUAL FUNCTION ARE MILLIMETERS
AWAY FROM THE PROSTATE.
ONE OF THE TRICKS SURGICALLY IS
TO REMOVE THE PROSTATE WITHOUT
DISTURBING THOSE NERVES.
IF ONE PERFORMS AS
NERVE-SPARING OPERATION,
DEPENDING ON THE AGE GROUP OF
THE PATIENT, ABOUT 50 percent OF MEN
CAN HAVE, UM, A-- A
SATISFACTORY ERECTION AND
PHYSICAL PENETRATION AND ENTER
COURSE AFTER THE OPERATION.
SO IT'S ABOUT 50-50.

Gerard says IF THE CANCER HAS SPREAD
OUTSIDE THE GLAND, IF IT'S AN
AGGRESSIVE CANCER, SURGERY IS
NOT A GOOD OPTION.
BECAUSE THERE'S A VERY HIGH
CHANCE OF LEAVING SOME CANCER
BEHIND.
SURGERY REALLY IS-- REALLY IS
BEST WHEN THE CANCER IS
CONFINED TO THE PROSTATE.

Maureen says FOR MORE AGGRESSIVE OR MORE
WIDE-SPREAD CANCER, EXTERNAL
BEAM RADIATION WITH HORMONE
TREATMENT IS RECOMMENDED.

Neil says A CHRONIC URINARY PROBLEM IS
QUITE RARE AFTER RADIATION
THERAPY.
PERHAPS ONLY ABOUT 2 percent OF THE
PATIENTS.
SEXUAL DYSFUNCTION CAN OCCUR IN
THERAPY.
UPWARDS OF 40-50 PERCENT OF
MEN.
BUT IT BENDS TO BE A SLOWER
ONSET OF ERECTILE DYSFUNCTION.
UNLIKE THE PROSTATECTOMY, IT
HAPPENS OVER TWO OR THREE YEARS
BECAUSE IT SLOWS DOWN THE BLOOD
GOING...

Maureen says ANOTHER THERAPY CALLED
BRACHI-THERAPY IS SHOWING
GOOD RESULTS IF THE CANCER IS
DETECTED EARLY AND CONFINED
WITH THE-- WITHIN THE PROSTATE.

Gerard says BRACHI-THERAPY OCCURS TO
TREATING CANCER BY PLACING A
RADIOACTIVE SOURCE
IN OR CLOSE TO THE AREA.
IT HAS THE ADVANTAGE OF-- OF
GIVING A VERY HIGH DOZE TO THE
TUMOUR.
A HIGHER DOZE THAN CAN BE-- CAN
BE ADMINISTERED USING EXTERNAL
BEAM TREATMENT.
AND ALSO GIVING LESS DOZE TO
SURROUNDING NORMAL TISSUES.
SO THERE'S LESS SIDE EFFECTS
AND GREATER DOZE TO THE TUMOUR
SO THIS IS A PICTURE THROUGH
THE PROSTATE IN THE CENTRE.
AND THE GREEN DOTS REPRESENT
THE LOCATION OF THE RADIOACTIVE
SEEDS.

He shows a digital image of a prostate full of green dots.

Maureen says BRACHI-THERAPY HAS BEEN
AROUND FOR DECADES.
RECENTLY, THERE HAVE BEEN
SIGNIFICANT IMPROVEMENTS.

Gerard says THE GREATEST CHANGES HAVE
OCCURRED OVER THE LAST FIVE TO
TEN YEARS.
WHEN-- WHEN THE DEVELOPMENT
OF-- OF, UM, OF AN ULTRASOUND
TO IMAGE THE PROSTATE, AND...
AND BETTER TECHNIQUES AND
COMPUTERS TO ALLOW TO US
ACCURATELY PLAN AND WORK OUT IN
ADVANCE WHERE THE SEEDS NEED TO
BE PLACED AND-- TO ENABLE US TO
DO VERY GOOD IMPLANTS.
THESE PICTURES CAN THEN BE SENT
TO A COMPUTER WHICH GIVES US A
THREE DIMENSIONAL PICTURE OF
THE PROSTATE.
WE USE THIS INFORMATION TO WORK
OUT EXACTLY WHERE AND HOW MANY
SEEDS WE NEED TO USE.

A clip of with the caption "Courtesy of Canadian Cancer Society" shows images of a group of doctors working on a patient.

Maureen says THE PATIENT IS ANAESTHETIZED
BELOW THE WAIST SO THE
PROCEDURE IS PAINLESS.
SEEDS NO, BIGGER THAN A GRAIN
OF RICE, ARE LOADED INTO A
NEEDLE.
GUIDED BY AN ULTRA SOUND IMAGE
OF THE PROSTATE, THE DOCTOR
INSERTS THE NEEDLE THROUGH THE
SKIN UNDER THE SCROTUM.
BETWEEN 80 AND 100 RADIOACTIVE
SEEDS ARE DEPOSITED DIRECTLY
INTO THE PROSTATE.
THE SEEDS LOSE THEIR POTENCY
WITHIN SIX MONTHS.
BUT THEY SAY IN THE-- STAY IN
THE PROSTATE FOREVER.

Gerard says WHEN THE PATIENT LEAVES THE
ROOM AND IN MOST CASES THE MAN
CAN ACTUALLY WALK OUT OF THE
OPERATING ROOM.
AND USUALLY GOES HOME ONE OR
TWO HOURS LATER.

Maureen says THE PROCEDURE IS EASIER AND
RECOVERY QUICKER, BUT THERE ARE
STILL SIDE EFFECTS TO GRAPPLE
WITH.

Gerard says WITH BRACHI-THERAPY, THE
RISK OF INCONTINENCE IS LESS THAN
IS percent.
IMPOTENCE DOES OCCUR.
IT'S RATHER QUITE UNCOMMON.
WITH INITIALLY REPORTS OF 5-10 percent
RISK OF IMPOTENCE.
MORE RECENTLY, THE-- THERE'S
EVIDENCE THAT THE RISK OF
IMPOTENCE IS A BIT HIGHER.
PROBABLY CLOSER TO 30-40 percent.
BUT STILL...

Neil says THE REAL ADVANTAGE OF
BRACHI-THERAPY IS IT'S A
ONE-DAY TREATMENT.
YOU'RE IN-- AND THE RADIATION
TREATMENT IS DAILY FOR SEVEN
WEEKS AND THE SURGERY YOU HAVE
TO THE-- THE SURGERY IS ABOUT
THREE TO FIVE WEEKS.

Gerard says THE PROBLEM IS THAT THERE'S
NO PERFECT TREATMENT FOR
CANCER.
THE PERFECT TREATMENT IS-- IS
100 percent CURE RATE WITH 0 percent CHANCE
OF-- OF COMPLICATIONS.
AND-- AND WE DON'T HAVE THAT
TREATMENT.

Maureen says SCIENTISTS CONTINUE TO
SEARCH FOR BETTER TECHNIQUES TO
TREAT PROSTATE CANCER.
A NEW SURGICAL PROCEDURE
DEVELOPED IN EUROPE AND
RECENTLY INTRODUCED AT THE
MONTREAL JEWISH GENERAL
HOSPITAL IS CALLED A
LAPAROSCOPIC RADICAL PROSTATECTOMY.
THIS PROCEDURE HAS
FEWER COMPLICATIONS AND A LOWER
RISK OF IMPOTENCE THAN A COMMON
SURGERY.
BUT IT'S NOT WIDELY AVAILABLE.

Now the health quiz appears on screen. The caption reads "The study of the causes of diseases is called: 1- Epidemiology; 2- Etiology; or 3-Entomology."

Maureen says READY FOR THIS WEEK'S QUIZ?
STAY TUNED.
THE ANSWER IS COMING UP LATER
ON "YOUR HEALTH."

Now Maureen sits in the studio with a guest.

Maureen says JUST TEN YEARS AGO, IT SEEMED
LIKE A NO BRAINER.
IF YOU WERE BOTHERED BY
MENOPAUSAL HOT FLASHES, IF YOU
WERE AT RISK OF OSTEOPOROSIS OR
EVEN HEART DISEASE AND AS LONG
AS YOU WEREN'T AT RISK OF
BREAST CANCER, YOU WERE TOLD BY
YOUR DOCTOR TO GO ON HORMONE
REPLACEMENT THERAPY.
BUT IT'S BEEN DEALT A BLOW.
THE LATEST AND MOST RIGOROUS
STUDY OF THE RELATIONSHIP
BETWEEN HRT AND HEART DISEASE
SHOWED THAT THERE WAS NO
BENEFIT FOR WOMEN WHO ALREADY
HAD SYMPTOMS.
TO BRING US UP TO DATE ON THE
LATEST RESEARCH INTO HRT, WE'VE
INVITED DOCTOR SANDY MESSNER WITH
WITH OUR STUDIOS.
SHE'S WITH SUNNYBROOK AND
WOMEN'S COLLEGE HEALTH SCIENCES
CENTRE.
WELCOME TO THE PROGRAM.

Sandy says THANK YOU.

The caption changes to "Doctor Sandy Messner. Sunnybrook-Women’s College."

Sandy is in her late forties, with short straight graying hair. She wears glasses and a pale gray short sleeved shirt.

Sandy says TELL US ABOUT THE LATEST
STUDY IS IT LOOKED AT WOMEN
WITH EXISTING HEART DISEASE.
THAT'S THE GROUP WE WERE TAUGHT
WOULD BENEFIT THE MOST FROM
HORMONE REPLACEMENT THERAPY.
THAT HASN'T BORN OUT.
THERE'S NO BENEFIT FROM
HORMONES.
IN WOMEN WITH EXISTING HEART
DISEASE.
AND-- AND WHETHER THIS APPLIES
TO OTHERWISE HEALTHY WOMEN, WE
DON'T KNOW FOR SURE.

Maureen says WHY DID EARLIER STUDIES OR
WHATEVER THEY WERE, WHY DID
THEY SAY THAT IT WOULD BENEFIT?

Sandy says THERE ARE BENEFITS AT THE
LEVEL, IF YOU LOOK AT THE AT
THE BLOOD VESSELS AND THOSE
SORT OF INDICATORS OF HEART
DISEASE, YOU CAN SEE THAT...
BENEFICIAL EFFECTS OF OESTROGEN.
BUT IT TAKES A LONG TIME BEFORE
YOU KNOW WHETHER THAT'S
RELEVANT IN A CLINICAL SENSE.
WHETHER THE OUT COMES ARE
DIFFERENT IN THOSE PEOPLE SO
IT'S TAKEN TIME TO COME UP WITH
THAT DATA.

Maureen says SO OESTROGEN OR HRT STILL
HELPS LOWER YOUR BAD
CHOLESTEROL AND IMPROVE THE
GOOD CHOLESTEROL WOULD MAKE
SENSE THAT IT HELPS THE HEART.
BUT IT DOESN'T.

Sandy says THAT'S ONLY A PICTURE OF THE
HEART PICTURE.
IF YOU PUT IT IN A CONTEXT WITH
DIFFERENT THINGS, IT'S NOT
ENOUGH TO SHOW UP IN THE
STUDIES.

Maureen says LIKE YOU SAID IT, SHOWS THAT
IT DOESN'T HELP WOMEN THAT SHOW
HEART DISEASE ALREADY.
AND IT WOULD BE A GOOD
PREVENTIVE FOR WOMEN THAT HAVE
NO SYMPTOMS.

Sandy says WE SUDDEN DID I DON'T...
SUDDENLY DON'T HAVE THE ANSWER
TO THAT QUESTION.
IN THE SAME JOURNAL WHERE THAT
DATA WAS PUBLISHED WAS DATA
PUBLISHED FROM A STUDY GOING ON
IN THE U.S. FOR MANY, MANY
YEARS, THAT HAD SOME INDICATION
THAT HEALTHY WOMEN TAKING
OESTROGEN HAD FEWER HEART...
CARDIAC ATTACKS LATER.
BUT THAT INFORMATION DEFINITE.
WHEN YOU LOOK AHEAD TO WOMEN,
THERE ARE MANY OTHER THINGS
THAT YOU KNOW THAT-- THAT HAVE
GOOD STRONG BENEFITS THAN
CARDIO VASCULAR DISEASE.
NOT SMOKING AND EXERCISING AND
EATING A HEALTHY DIET.
WHY NOT GO WITH THOSE THINGS
FIRST RATHER THAN USE A DRUG
WHICH HAS POTENTIAL SIDE
EFFECTS?
WHERE WE DON'T HAVE GOOD,
STRONG DATA TO SAY IT WILL
REALLY MAKE A STRONG
DIFFERENCE.

Maureen says WOULDN'T A GOOD STUDY BE TO
COMPARE THE EFFECTS OF HRT ON
YOUR HEART AND HAVE ANOTHER
POPULATION OF WOMEN DOING THE
EXERCISE AND QUITTING SMOKING
AND IMPROVING THE DIET AND
COMPARE THOSE TWO POPULATIONS.

Sandy says THAT'S THE IDEAL STUDY.
IT WON'T HAPPEN.

Maureen says WHY NOT?

Sandy says IT'S ALMOST NOT ETHICAL TO
TAKE A GROUP OF WOMEN AND TELL
THEM THEY CAN'T EXERCISE AND
THEY HAVE TO SMOKE AND EAT A
LOUSY DIET BUT CAN TAKE HORMONE
REPLACEMENT.
IT WOULD BE A VERY DIFFICULT
STUDY TO DO FROM A METHODICAL...

Maureen says DON'T YOU FIND IN THE
PRACTICE THAT SOME WOMEN DO
THAT.
THEY WANT HRT BECAUSE IT'S
HARDER TO QUIT SMOKING AND
HARDER TO EXERCISE.
THAN...

Sandy says AND-- I'VE ALWAYS SAID IT'S
NOT AN ALTERNATIVE TO A HEALTHY
LIFESTYLE.
MAYBE A BENEFIT TO PEOPLE AT
HIGHER RISK.
AND-- AND...

Maureen says WHAT ABOUT OSTEOPOROSIS-- IS
IT BENEFICIAL...

Sandy says I THINK SO.
WE ONLY LOOK AT IT IN THE
SITUATION OF THE HIGH RISK.
I DON'T THINK FOR THE AVERAGE
WOMAN THAT-- THAT THIS IS
NECESSARILY GOING TO HAVE A
HUGE BENEFIT.
BUT FOR WOMEN WHO ARE-- IN...
AGAIN, WE'RE JUST STARTING TO
COME OUT WITH THE OUT COME
DATA.
DOES IT REDUCE FRACTURES?
MAY CHANGE YOUR BONE DENSITY?
IT MAY LOWER YOUR RISK OF
OSTEOPOROSIS BUT WHAT...

Maureen says WHAT WILL HELP WITH BONE
DESIGNS ANY.

Sandy says EXERCISE.
WEIGHT RESISTANCE EXERCISE AND
HAVING A GOOD INTAKE OF VITAMIN
D AND NOT TOO MUCH CAFFEINE AND
ALCOHOL AND NOT SMOKING.
ALL OF THOSE GOOD COMMON SENSE
THINGS WE KNOW.

Maureen says AND I HEARD THAT OESTROGEN CAN
PROTECT AGAINST WOMEN AGAINST
ALZHEIMER'S DISEASE.
WHAT ABOUT THAT?

Sandy says THAT'S ALWAYS A BIG PART OF
THE MEETING, OESTROGEN.
WE'RE AT THE STAGE NOW WHERE WE
WERE WITH HEART DISEASE A FEW
YEARS AGO WHERE WE LOOK AT THE
BRAIN AND INDIVIDUAL
CONNECTIONS AND WE CAN SEE THAT
OESTROGEN IS MAKING A DIFFERENCE
HERE OR THERE.
WHETHER THAT HAS ANY CLINICAL
SIGNIFICANCE IN TERMS OF
ACTUALLY HAVING A LESS PROBLEM
LATER, WE DON'T KNOW.
WE ALSO DON'T KNOW-- DON'T KNOW
IF LIFESTYLE FACTORS JUST...
JUST AS WITH OTHER DISEASES,
MAY HAVE AN IMPACT ON BRAIN
FUNCTION AS WELL.
UM, YOU KNOW, I DON'T THINK
THAT KIND OF COMPARISON WE'VE
EVEN STARTED TO LOOK AT.
I THINK AT THIS POINT, THE
REDUCTION AND RISK OF
ALZHEIMER'S, WHICH HAS COME OUT
OF THE STUDIES THAT'S THERE, I
DON'T HAVE-- I'M NOT SURE I
HAVE IT QUITE RIGHT, BUT
THERE'S A 15 percent REDUCTION IN
RISK.
WHICH IS A SMALL REDUCTION.
I DON'T THINK ANYONE IS YET
RECOMMENDING OESTROGEN HAS-- AS
THAT'S THE ONLY REASON TO TAKE
OESTROGEN.
IF YOU TONIGHT HAVE ANOTHER
REASON TO TAKE IT, YOU WOULDN'T
TAKE IT JUST FOR THAT.
I DON'T THINK WE HAVE ENOUGH
INFORMATION TO SAY IT'S
BENEFICIAL.

Maureen says GIVEN ALL THAT, WHAT'S THE
BEST REASON TO TAKE OESTROGEN
NOW?

Sandy says I THINK THE BEST REASON IS
THAT WOMEN THAT HAVE SEVERE
MENOPAUSAL SYMPTOMS TO IMPROVE
THEIR QUALITY OF LIFE.

Maureen says BACK TO THE ORIGINAL REASON.

Sandy says BACK TO THE ORIGINAL.
A GOOD TREATMENT FOR
OSTEOPOROSIS.

Maureen says WHAT'S THE LESSON HERE FOR
SCIENTISTS AND DOCTORS AND
PERHAPS THE MEDIA WHEN EAR
STUDYING THE OTHER BENEFITS OF
SOMETHING LIKE HRT AND WE THINK
THERE'S A BENEFIT FOR HEART
DISEASE AND PRETTY SOON EVEN
THE OBSTETRICIANS AND
GYNAECOLOGISTS OF CANADA SAY GO
ON TO PROTECT YOUR HEART.
OOPS SORRY.
AT WHAT POINT DO YOU YELL
EUREKA AND NOT HAVE TO WORRY
ABOUT GIVING HARMFUL ADVICE TO
CONSUMERS?

Sandy says IT'S A REALLY DIFFICULT
QUESTION.
BECAUSE YOU DON'T REALLY EVER
HAVE ANSWERS UNTIL YOU HAVE
MANY, MANY STUDIES.
NO INDIVIDUAL STUDIES.
BECAUSE THERE ARE DIFFERENT
STUDY DESIGNS AND EVERY STUDY
HAS IT'S SORT OF GOOD POINTS
AND BAD POINTS IN TERMS OF ITS...
ITS MEANING.
AND-- AND YOU CAN NEVER BASE
ANY DECISION ON ONE STUDY.
SO I THINK THAT THE LESSON IS
THAT WE DO HAVE TO BACK OFF A
LITTLE BIT.
NOT GET QUITE SO EXCITED ABOUT
EVERY NEW PAPER THAT'S-- THAT
GETS PUBLISHED.
AND USE A LITTLE COMMON SENSE.
AND PUT THINGS ON THE GOOD SIDE
EFFECTS, LIKE THE LIFESTYLE
CHANGES THAT WE SEE.
AS GOINGS, WE HAVE TO EMPHASIZE
THAT MORE AND NOT ALWAYS GOING
TO IMMEDIATELY TO
PRESCRIPTIONS AND DRUGS.

Maureen says LET'S GO BACK TO ONE OF THE
POTENTIALS RISKS OF TAKING HRT.
THAT'S BREAST CANCER.
WHAT'S THE DATA THERE?

Sandy says THE DATA FOR BREAST CANCER.
WE HAVE MANY YEARS OF RESEARCH
AND HUNDREDS AND HUNDREDS OF
STUDIES.
IF YOU PUT THEM ALL TOGETHER,
THE CONCLUSION I THINK THAT
MOST OF US HAVE REACHED IS THAT
SHORT-TERM USE OF HRT THAT,
MEANS LESS THAN FIVE YEARS,
PERHAPS UP TO TEN YEARS, IS
REALLY QUITE SAFE.
THE RISK, IT INCREASES
GRADUALLY OVER TIME.
SO IN THE FIRST FEW YEARS, THE
RISK WAS RELATIVELY SMALL.
ONCE YOU GET TO LONGER TERM,
TEN YEARS PLUS, THERE'S A
SIGNIFICANT BUT SMALL INCREASE
IN THE RISK OF BREAST CANCER.
IT MAY BE-- MAY NOT BE AS MUCH
OF A RINK AS LEADING A
SEDENTARY LIFESTYLE.
WE HAVE TO PUT IT INTO
PERSPECTIVE.
FOR WOMEN WHO IT'S BENEFICIAL,
MAYBE WE SHOULD USE IT.
USE IT SHORT-TERM FOR SYMPTOMS.
THEN A LOWER DOZE TO MAINTAIN
THE BENEFITS OR BY THEN PERHAPS
WE'LL HAVE ALL THE NEW
SELECTIVE OESTROGEN MOD LATER.
THINGS LIKE EUVISTA COMING ON
THE MARKET NOW ARE MAYBE
SOMETHING WE CAN MOVE TO AFTER
WE'VE HAD THE INITIALLY SYMPTOM
PROBLEM KIND OF RESOLVED.

Maureen says IF OESTROGEN ISN'T GREAT FOR
WOMEN AT RISK FOR BREAST
CANCER, WHAT ABOUT FIDO AND SOY
PRODUCT.
SHOULD YOU AVOID THOSE AS WELL?

Sandy says I THINK IF YOU'RE LOOKING AT
FOOD, PRETTY HARD TO OVER DOZE
ON SOY.
I THINK IF YOU'RE CHANGING YOUR
DIET AND ADDING FIDO-OESTROGENS,
I DON'T THINK WE HAVE TO BE
CONCERNED ABOUT THAT.
I'M CONCERNED ABOUT
CONCENTRATED SOY THAT'S PACKED
INTO A CAPSULE.
BECAUSE WE DON'T HAVE ANY GOOD
DATA ON THE LONG-TERM EFFECTS
OF THAT.
WE KNOW THAT IT EFFECTS
RECEPTORS IN THE BREAST AND
THINK IT COULD BE PROTECTIVE.
BUT SOME STUDIES HAVE SHOWN AT
CERTAIN AGES AND STAGES OF
LIFE, IT MAY BE, UM,
DETRIMENTAL.
SO I THINK THAT-- THAT I STILL,
UM, I'M A FIRM BELIEVER IN-- IN
WHOLE FOODS TO GET THE ANTI OXIDANTS
AND FIDO-OESTROGENS.
I'M NOT SURE OF THE
SUPPLEMENTS.

Maureen says BOTTOM LINE: WHAT WILL YOU
TELL THE NEXT WOMAN THAT COMES
INTO YOUR OFFICE ABOUT-- MAYBE
WORRIED ABOUT HEART DISEASE AS
WELL WHAT WILL YOU TELL HER?

Sandy says I THINK I'LL TELL HER THAT
IN TERMS OF HEART DISEASE I
CAN'T ASSURE THAT TAKING
OESTROGEN WILL MAKE ANY
DIFFERENCE FOR HER.
I'LL TALK TO-- COUNSELLOR TO
HER ABOUT HER LIFE AND EXPLAIN
OESTROGEN.
OESTROGEN WORKS FOR SYMPTOMS OF
MENOPAUSE.
OTHER ALTERNATIVES, NOT AS
POTENT.
BUT THEY'RE GOOD FOR SOME WOMEN
BECAUSE THEY HAVE DIFFERENT
SYMPTOMS.
AND IF-- TRY IT.
AND IF YOU DON'T FEEL BETTER,
MAYBE THIS SIN THE ROUTE TO GO.

Maureen says THANK YOU VERY MUCH FOR
DOING THIS.

Sandy says YOU'RE WELCOME.

The logo of the show appears.

Maureen says COMING UP ON "YOUR
HEALTH," 5,000 YEARS LATER ,
WHAT DO WE REALLY KNOW ABOUT
THE BENEFITS OF GINSENG?

Now Maureen stands next to a screen with the caption "Health Digest. Heart attack."

She says NOW THAT WE'RE UP TO DATE ON
THE CONNECTION BETWEEN HRT AND
HEART DISEASE IN WOMEN, HERE
ARE OTHER DEVELOPMENTS IN THE
AREA OF HEART RESEARCH SEARCH.
A NEW STUDY PUBLISHED IN THE NEW
ENGLAND JOURNAL OF MEDICATES
THERE'S MORE EFFORT MADE TO
KEEP MEN ALIVE AFTER A HEART
ATTACK THAN WOMEN.
IN A LARGE STUDIES IN THE
DIFFERENCES BY GENDER,
RESEARCHERS FOUND THAT WOMEN
WITH HEART DISEASE ARE FAR MORE
LIKELY TO GIVE DO NOT
RESUSCITATE ORDERS THAN MEN
EVEN IF THEY'RE LESS ILL.
IT'S NOT CLEAR WHETHER HEALTH
CARE PROVIDERS RECOMMEND DNR
STATUS TO WOMEN MORE OFTEN OR
WHETHER WOMEN ARE MORE PRONE TO
REQUEST IT FOR THEMSELVES.
A DNR ORDER IS AN INSTRUCTION
TO DOCTORS AND ORDERS NOT TO
USE EXTREME MEASURES TO REVIVE
OR KEEP A PATIENT ALIVE.

The caption on the screen reads "Heart Disease."

Maureen says MEN WHO DON'T TAKE VACATIONS
ARE AT HIGHER RISK OF HEART
DISEASE AND HAVE A HIGHER DEATH
RATE THAN MEN WHO GET UP AND
GET AWAY.
A PSYCHOLOGIST AT THE STATE
UNIVERSITY OF NEW YORK STUDIED
THE VACATION HABITS OF MORE
THAN 12,000 MEN OVER FIVE
YEARS, AND THEN TRACKED THEM
FOR ANOTHER NINE YEARS.
MEN WHO TOOK VACATIONS EVERY
YEAR REDUCED THEIR OVERALL RISK
OF DEATH BY 21 percent.
AND THEIR RISK OF HEART DISEASE
BY 22 percent.

The caption on the screen reads "Heart Shock."

She says SPORTS ARENAS AND THEATERS AND
RESTAURANTS SHOULD BE EQUIPPED
WITH AUTOMATED DEFIBRILLATORS.
THAT'S THE ADVICE FROM THE
AMERICAN HEART ASSOCIATION.
DEFIBRILLATORS DELIVER A SHOCK
TO HEARTS THAT STOP BEATING.
THERE'S GROWING REGISTERS THAT
HEART ATTACK PATIENTS STAND A
BETTER CHANCE OF SURVIVING IF
THEY RECEIVE IMMEDIATE
TREATMENT.
SINCE CASINO WINDSOR IN
SOUTHERN ONTARIO INTRODUCED
AUTOMATED DEFIBRILLATORS 21
MONTHS AGO, THEY'VE BEEN USED
ON 21 GAMBLERS.
68 percent RECOVERED WITHOUT ANY
NEUROLOGICAL DAMAGE.
HERE'S THE HEALTH QUIZ ANSWER:

The option 2-Etiology is highlighted.

Maureen says FOR ANYBODY INTO HERBAL
MEDICINE HAS A BOTTLE OF GINSENG ON THE SHELF.
IT'S SUPPOSED TO HAVE A
MULTITUDE OF HEALING
PROPERTIES.
HERE'S JOE SCHWARTZ WITH THE
SCOOP ON GINSENG.

Joe 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.

He holds a ginseng root.

Joe says IF GINSENG DID EVERYTHING
PEOPLE CLAIMED IT COULD DO,
WE'D DO AWAY WITH ORGANIZED
MEDICINE.
AND WHY?
BECAUSE IT HAS DIABETIC
PROPERTIES AND AGING PROPERTIES
AND ANTI IMPOTENCE PROPERTIES
AND BOOSTS YOUR MEMORY WHAT
MORE CAN YOU ASK FOR?
HOW ABOUT A LITTLE SCIENTIFIC
EVIDENCE?
THE CHINESE USED GINSENG FOR
OVER 5,000 YEARS.
THEY WERE INTRIGUED BY THE FACT
THAT THE ROOT IS SHAPED LIKE A
HUMAN BODY.
JUST AS THEY THOUGHT IT WAS
BENEFICIAL FOR THE HUMAN BODY.
INDEED, THE MOST SOUGHT AFTER
ROOTS WERE THE ONES THAT HAVE AN
APPENDIX BETWEEN THE TWO LEGS
BECAUSE IT WAS SUPPOSED TO BE
THE ULTIMATE APHRODISIAC.
WHAT DOES MODERN SCIENCE SAY
ABOUT THIS?
JUST BECAUSE THE CHINESE USED
IT FOR 5,000 YEARS DOESN'T MEAN
THEY USED IT EFFECTIVELY FOR
5,000 YEARS.
WE NEED THE EVIDENCE.
HERE'S THE PROBLEM: THERE'S
CHINESE GINSENG AND AMERICAN
AND KOREAN GINSENG AND THEY
HAVE DIFFERENT CHEMICAL PRO
FILLS.
WHAT WE THINK ARE THE MOST
INTERESTING COMPOUNDS ARE THE...
WHEN YOU LOOK AT ON THE LABEL
YOU SEE 7 percent GINSENGOSIDES.
AN ATTEMPT WAS MADE TO CONTROL
THE PRODUCT.
THAT DOESN'T CONFORM WITH
WHAT'S ON THE LABEL INSIDE,
UNFORTUNATELY.
MOST PEOPLE THAT SAKE GINSENG
TAKE IT BECAUSE THEY WANT EXTRA
ENERGY.
THE STUDIES DONE ON THIS
CERTAINLY DON'T PROVE THAT
GINSENG CAN DELIVER THE GOODS.
A FEW STUDIES SHOWED THAT IN
ANIMALS, THEY CAN RUN LONGER ON
TREAD MILLS AND THERE'S HUMAN
EVIDENCE IN TERMS OF SOME
INCREASED ENERGY.
BUT FOR EVERY STUDY THAT SHOWS
A POSITIVE EFFECT, THERE'S
STUDIES THAT SHOW NO EFFECT AT
ALL.
SOME PEOPLE SUGGEST THAT
GINSENG HELPS US ADAPT TO THE
STRESSES OF EVERYDAY LIFE.
THIS IS VERY DIFFICULT TO-- TO
CONTROL, YOU KNOW, UNDER
EXPERIMENTAL CONDITIONS IN
STUDIES.
SOME PEOPLE WHO HAVE UNDERGONE
OPERATIONS SAY THAT THEY'RE
RE-ENERGIZED AND GET BETTER MORE
QUICKLY IF THEY TAKE GINSENG.
SO WE NEED A LOT MORE STUDIES
AND CLINICAL EVIDENCE.
BUT I MUST ADMIT THAT THERE ARE
UNDOUBTEDLY PHYSICAL PROPERTIES
ASSOCIATED WITH GINSENG BECAUSE
WHEN YOU TAKE SOME, YOU FEEL
SOMETHING.
OF COURSE, YOU FEEL SOMETHING
IF YOU DRINK A CUP OF COFFEE AS
WELL.
I LIKE THE IDEA OF BEING
ENERGIZED, THOUGH.
I LIKE THE IDEA OF ENHANCED
MEMORY FOR SURE.
SINCE I'M FEELING A BIT
TIRED, I WOULDN'T MIND TRYING,
UM, TRYING A GINSENG
SUPPLEMENT.
THE ONLY PROBLEM IS, I CAN'T
REMEMBER IF I TOOK ONE TODAY OR
NOT.

Maureen says YOU CAN GET A TRANCE SCRIPT
OF JOE'S HERBAL ADVICE ON OUR
WEBSITE AT:
WWW.TVO.ORG/YOURHEALTH.
WE WELCOME YOUR COMMENTS
ABOUT OUR PROGRAMME.
OUR E-MAIL ADDRESS IS YOUR
YOURHEALTH@TVO.ORG.
THE FAX NUMBER IS
416-484-4519.
OR WRITE TO US AT YOUR
HEALTH PO BOX 200 STATION Q
TORONTO M4T 2T1.
I'M MAUREEN TAYLOR, THANKS
FOR WATCHING.

I'M MAUREEN TAYLOR.
THANKS FOR WATCHING.

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 #6