Transcript: Show #8 | Nov 21, 2000

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

Maureen says THIS WEEK.

A man in his late forties says DOCTORS
AREN’T TAUGHT HOW TO COPE WITH EMOTIONS
BECAUSE UNTIL RECENTLY
THEY DIDN’T KNOW!

Maureen says BEDSIDE MANNERS
AS TAUGHT BY DOCTOR ROB BUCKMAN

A man in his sixties says WE GOTTA
REEMBRACE OUT KIDS, WE GOTTA
TEACH THEM RIGHT, WE HAVE TO PARENT
THEM RIGHT AND IF WE DRUG THEM, WE’RE
NOT GONNA DO THAT.

Maureen says ARE TOO MANY CHILDREN IN
RITALIN.

Joe Schwarcz says WE KNOW THAT CONSUME
BEING 200 TO 250 MILLIGRAMS
OF KAVALACTONE ON A DAILY
BASIS CAN HAVE ANTI-ANXIETY
EFFECT.

Maureen says AND JOE SCHWARCZ ON KAVA
KAVA.

Joe holds a bottle of Kava Kava.

(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 white turtleneck under a blue coat.

Maureen says HELLO, I'M MAUREEN TAYLOR.
THE HARDEST PART ABOUT
WORKING IN HEALTH CARE IS
HAVING TO BREAK BAD NEWS.
THE DEATH OF A CHILD, A
CANCER DIAGNOSIS, MOST OF
THIS NEWS COMES THERE
DOCTORS BUT IT TURNS OUT
THEY GET THE LEAST AMOUNT OF
TRAINING.
IN A SERIES OF BOOKS AND
VIDEOS, ONE TORONTO DOCTOR
IS TRYING TO UPGRADE
EVERYBODY'S BEDSIDE MANNER,
SOMETHING PATIENTS SAY IS
LONG OVERDUE.

A man in his thirties says A LITTLE MORE INFO WOULD
BE NICE FOR THE DOCTOR TO
GIVE YOU.
OTHER THAN YEAH, TAKE THESE
TWO TABLETS EVERY HALF AN
HOUR, IT SHOULD CLEAR UP
WHAT YOU HAVE OR YOU WILL
FEEL BETTER IN THE MORNING.

A woman in her thirties says A LOT OF DOCTORS REALLY
RUSH YOU.
THEY JUST WANT YOU OUT.
AND YOU TRY AND TALK BUT
THEY WON'T LET YOU TALK.
SO IF IT WAS MORE PERSONAL.

A woman in her sixties says DOCTORS IN GENERAL ARE
OFTEN NOT VERY
COMMUNICATIVE.

A clip shows a doctor with a patient and the caption "Communication skills in clinical practice: How to break bad news."

Maureen says DOCTOR ROB BUCHMAN
WANTS TO CHANGE THAT HE SAYS DOCTORS NEED TO LEARN TO
COMMUNICATE WITH THEIR
PATIENTS ON AN EMOTIONAL
LEVEL.

Rob Buchman is in his late forties, clean-shaven and with short wavy graying hair. He wears a blue shirt and a dotted red tie,

He says DOCTORS AREN'T TAUGHT HOW
TO COPE WITH EMOTIONS
BECAUSE UNTIL RECENTLY THEY
DIDN'T KNOW.
IT'S ACTUALLY, I'M BEING
ABSOLUTELY SERIOUS, HANDLING
EMOTIONS WAS SOMETHING THAT
PSYCHIATRISTS, PSYCHOLOGISTS,
PSYCHOTHERAPISTS KNEW ABOUT
BECAUSE IT IS WHAT THEY GO
EVERY DAY.
MANY OTHER HEALTH CARE
DISCIPLINES KNEW ABSOLUTELY
NOTHING.
NURSING COLLEGE THEY ARE
TAUGHT, NURSES ARE REALLY
GOOD AT HANDLING HE MOTIONS.
MOST PEOPLE WHO WORK IN
STORES ARE TAUGHT HOW TO
HANDLE THE ANGRY CUSTOMERS.
DOCTORS WERE TOO BUSY.
IT IS NOT OUR FAULT,
OBVIOUSLY.
WE WERE TOO BUSY LEARNING
ABOUT PARATHYROID ADENONAS
AND KAMSIUM METABOLISM TO
SAY WHAT DO YOU DO WHEN A
PATIENT CRIES.

A re-enactment clip rolls with the caption "Dramatization. How to break bad news: ‘Your husband has died.'"

Rob says I'M REALLY SORRY, WHAT
HAPPENED.
IT WAS QUITE... I'M AFRAID
THIS STUFF HAPPENS AT TIMES.
A HUGE HEART ATTACK, THAT IS
TOTALLY...

A crying woman says I NEED TO BE WITH HIM.

Rob says I'M GOING TO TAKE YOU
THERE IN A FEW MINUTES,
ACTUALLY.
WHAT WILL HAPPEN IS I WILL
EXPLAIN ALL ABOUT THIS.

The woman says I'M SORRY.

Rob says IT IS OKAY, IT'S OKAY.
YOU WILL ABSOLUTELY NEED
TO TAKE A...

The caption changes to "Doctor Robert Buckman. Oncologist."

Rob says HOW DO YOU KEEP WITH AN
EMOTION.
IS THERE A TECHNIQUE.
YOU DON'T LIE BACK AND WAIT
FOR THE VIBRATIONS TO FLOW
OVER YOU.
YOU LEARN HOW TO HANDLE THE
EMOTIONS, IDENTIFY THE
EMOTIONS, IDENTIFY THE
SOURCE OF THE EMOTION, AND
YOU RESPOND IN A WAY THAT
SHOWS YOU HAVE MADE THE
DECISION BETWEEN THOSE TWO
THINGS.
THE PATIENT SAYS IT CAN'T BE
MY NAME ON THE X-RAY.
YOU SAY EMOTIONS, DISBELIEF,
CAUSE WHAT SHE JUST HEARD ME
SAY, THIS MUST BE VERY
DIFFICULT TO BELIEVE HEARING
WHAT YOU JUST HEARD.
THE PATIENT SAYS OH MY GOD
THAT IS TERRIBLE.
YOU SAY THIS MUST BE
REALLY HARD FOR YOU HEARING
THAT.
THIS MUST BE AWFUL FOR YOU,
THIS MUST BE VERY UPSETTING
OR DISTRESSING.
THE WORD DOESN'T MATTER, THE
PRINCIPLES IS RESPONDING TO
THE EMOTION THAT EMERGES IN
THE ROOM BETWEEN HER OR HIM,
THE PATIENT AND YOU THE
DOCTOR.
THAT IS THE KEY.

Another dramatization clip rolls with the caption "How to break bad news: ‘Recurrent breast cancer.'"

On a hospital bed, a woman says CHEMOTHERAPY AGAIN.

Rob says WE MAY HAVE TO DO
CHEMOTHERAPY.
THAT MAY BE ONE OF THE
OPTIONS WE CONSIDER.

The woman says I DON'T KNOW HOW... I
DON'T KNOW HOW... OH, BOY, I
DON'T KNOW HOW MY HUSBAND IS
GOING TO COPE WITH THIS.

Rob says HOW MUCH DOES YOUR
HUSBAND KNOW ABOUT IT SO FAR.

The woman says WELL, I AS MUCH AS TOLD
HIM THAT THERE WAS NO WAY
THIS WAS GOING TO BE CANCER
BECAUSE... BECAUSE I JUST
DIDN'T DIDN'T PUT THE TWO
PIECES TOGETHER.

Rob says ACTUALLY THAT WAS AN
ENTIRELY REASONABLE
SUPPOSITION.
IT WAS ABSOLUTELY
REASONABLE.
THE BACK PAIN WAS NOT
ASSOCIATED IN YOUR MIND WITH
THE BREAST OPERATION TWO
YEARS AGO, NOR SHOULD IT BE.

Maureen says A GROUP OF MEDICAL
PROFESSIONALS INCLUDING
DOCTOR BUCHMAN HAS PRODUCED
VIDEOS FOR DOCTORS THAT
DEMONSTRATE THE STEPS FOR
DEALING WITH EMOTIONAL
SITUATIONS.

The woman on the hospital bed says NOT WHAT YOU JUST SAID,
THEY SAID WE GOT IT.

Rob says IT IS A TOTAL OF LIKE 40
SCENARIOS OF A DOCTOR
TALKING TO A PATIENT,
SHOWING, SHOWING, NOT
DESCRIBING NOT LECTURING BUT
SHOWING HOW THESE STEPS CAN
ACTUALLY WORK.
THE PATIENT GOES OH MY
GOODNESS THAT IS TERRIBLE.
THE DOCTOR SAYS THIS IS
OBVIOUSLY OVERWHELMING FOR
YOU.
THE PATIENT CRIES, THE
DOCTOR MOVES FORWARD, GIVES
A KLEENEX AND SAYS THIS IS
VERY UPSETTING.
HE IS SHOWING THE STEPS IS
WORTH MILLIONS IN WORDS.

Another dramatization clip rolls with the caption "How to break bad news: ‘Rheumatoid arthritis.'"

Rob says WHAT IMPRESSION DID YOU
HAVE, WHAT DO YOU THINK THIS
PROBLEM IS WITH YOUR JOINTS
IN THE HANDS AND THE FEET
AND SO ON WHAT DO YOU THINK
IT IS GOING ON.

A male patient says WELL, I AM NOT REALLY
THAT SURE.
FIRST I THOUGHT MAYBE IT WAS
WHAT DO THEY CALL IT, CARPAL
TUNNEL FROM ALL THE TYPING
BUT THAT DOESN'T EXPLAIN MY
FEET EITHER-OR THE FATIGUE
THAT I HAVE BEEN HAVING.

Maureen says DOCTORS CAN USE THE VIDEO
EXAMPLES TO LEARN HOW TO
RESPOND TO THEIR PATIENTS
EMOTIONS.

Rob says ALL RIGHT.
NOW I HAVE GOT THE RESULTS,
AND I ALWAYS ASK THIS, ARE
YOU THE KIND OF PERSON AS IT
TURNS OUT TO BE SOMETHING
MORE SERIOUS THAN JUST A
SIMPLE LIKE YOU SAID CARPAL
TUNNEL SYNDROME ARE YOU THE
TYPE OF PERSON WHO LIKES TO
KNOW THE FULL DETAILS OF
WHAT IS GOING ON AND HOW IT
SHOULD BE TREATED.

The patient says OH, WAY, ABSOLUTELY.
I'M A REPORTER.
I LIKE TO KNOW THE FACTS.
WELL, OKAY, LET ME EXPLAIN
TO YOU.

The clip ends.

Rob says THE BENEFITS TO THE
PATIENTS ARE ENORMOUS.
NUMBER ONE, YOU'VE GOT YOUR
DOCTOR.
THIS IS NOW YOUR DOCTOR.
IF MY DOCTOR HEARS ME CRY
AND STATE OR HEARS ME SHOUT
AND STAYS WITH ME, HE IS MY
DOCTOR.
AND THERE IS A BOND WHICH IS
FABULOUS BECAUSE YOU HAVE
SOMEBODY YOU CAN LEAN ON.
AND NUMBER TWO, WHEN YOU
HAVE SYMPTOMS YOU FEEL
READIER TO SAY TO THE OTHER
PERSON DOCTOR T HURTS, THE
PAIN IS GETTING WORSE.
NUMBER THREE, THE DOCTOR IS
MORE LIKELY TO DO SOMETHING
EARLY IF THERE IS A GOOD
RAPPORT AND YOU ARE LIKELY
TO INTERPRET AN IMPROVEMENT
IN YOUR SYMPTOMS BETTER.
YOUR PAIN MAY GO DOWN BY
THIS MUCH BUT IF YOU HATE
THE DOCTOR YOU SAY OH, I
STILL HAVE THIS MUCH PAIN.
IF THE PAIN GOES DOWN THIS
MUCH BUT YOU LOVE YOUR
DOCTOR YOU A IT HAS BEGUN
DOWN THIS MUCH.
SO YOUR INTERPRETATION IS
BETTER.
THE BENEFITS FOR THE
PHYSICIAN ARE INCREDIBLE.
YOU SUDDENLY GET COMPETENT
AT A NEW PART OF YOUR JOB.
SO INSTEAD OF THAT THING
WHEN YOU ARE STANDING
OUTSIDE SAYING OH, I HAVE TO
GO IN AND TELL HER WERE THE
BONE SCAN YOU ARE SAYING
RIGHT, THIS IS VERY SERIOUS.
IT IS A VERY IMPORTANT
RESULT AND I'M GOING TO GO
INTO THAT ROOM.
I WILL TELL HER ABOUT THE
BONE SCAN AND WHATEVER
HAPPENS, I KNOW I CAN COPE
WITH IT.
AND SO YOU GO IN EXACTLY THE
SAME WAY WHEN YOU ARE A
SURGEON YOU OPEN SOMEBODY'S
ABDOMEN.
YOU SAY I WONDER WHAT IS
GOING TO BE IN HERE.
YOU ARE SAYING I HOPE IT IS
NOT... YOU ARE SAYING
WHATEVER IT IS, I'M THE
SURGEON, I CAN COPE WITH IT.
SO YOU BECOME COMPETENT AND
CONFIDENT IN ANOTHER PART OF
YOUR AREA.
ANOTHER PART OF YOUR JOB AND
THAT GIVES YOU JOLLIES.
YOU GET MEDICAL REWARD FROM
DOING YOUR JOB WELL IN THE
COMMUNICATION AREA.

Another part of the "Recurrent breast cancer" clip rolls.

Rob says THIS IS ONE OF MY
PATIENTS, IT FEELS LIKE
SOMETHING DREADFUL IS GOING
TO HAPPEN TO ME THE DAY
AFTER TOMORROW.
IT ISN'T.
ANOTHER ONE OF MY PATIENTS
SAID IT IS NOT TIME TO SELL
THE FURNITURE THAN DOCTOR,
IS IT.
AND I SAID NO, IT'S NOT.
SHE SAID PROMISE ME ONE
THING, IF IT IS WILL YOU
TELL ME.
AND I SAID I WILL.

The woman says OKAY, I WILL MAKE THAT
DEAL WITH YOU.

IS THAT A DEAL.

The clip ends.

Rob says YES, WE SAID FOR MANY,
MANY YEARS ARE WE SELECTING
MEDICAL STUDENTS IN THE
RIGHT WAY, DO WE WANT THE
TOP .2 percent OF BRAINS, IQ PEOPLE
WHO CAN UNDERSTAND ELECTRON
SPIN RESONANCE AND ISOTOPES
IN ORGANIC CHEMISTRY OR DO
WE WANT SOMEBODY WHO IS
MAYBE IN THE TOP FIVE percent OF
BRAINS BUT ALSO IN THE TOP
TEN percent OR TOP 15 percent OF AFFECTION,
MEANING THEY CAN ACTUALLY
HANDLE EMOTIONS, THE
EFFECTIVE ASPECT OR
COMPONENT OF A
COMMUNICATION.
AND THAT IS A BILLION DOLLAR
QUESTION.
WE REALLY NEED TO EXAMINE
OUR SELECTION PROCEDURE.
ONE DAY AND WE SAID THIS
MANY, MANY TIMES IN OUR
COMMUNICATION SKILLS WE WILL
GET A PERSON SAYING YOU KNOW,
I PASSED THE BIOCHEMISTRY
BUT DARN ET I FAILED ON THE
EMPATHY.
CAN YOU BELIEVE IT.
AND THAT WILL ACTUALLY BE A
GOOD DAY FOR THE PATIENT AND
NOR MEDICINE.

Maureen says THIS WEEK HEALTH
QUIZ IS FOR CLASSICAL MUSIC
LOVERS.
WE KNOW THAT BEETHOVEN WAS
DEAF AND BACH HAD GLAUCOMA
BUT WHAT DISORDER MAY HAVE
EFFECTED JOHANNES BRAHMS,
WAS IT SLEEP APNEA,
ARTHRITIS OR ASTHMA.
THE ANSWER IS COMING UP
LATER ON YOUR HEALTH.

In the studio, Maureen says THERE IS STILL A DEBATE
IN THE PSYCHIATRIC AND
MEDICAL COMMUNITIES OVER
WHETHER ATTENTION DEFICIT
HYPERACTIVITY DISORDER IS
FACT OR MYTH.
ARE THESE KIDS TRULY
SUFFERING SOME KIND OF BRAIN
DISORDER THAT REQUIRES
PSYCHIATRIC DRUGS OR ARE
THEY MERELY FIDGETY,
ENERGETIC EGO CENTRIC
CHILDREN WHO NEED DIFFERENT
PARENTING AND TEACHING
STYLES THAN OTHER KIDS AND
EVEN MORE CONTROVERSY THAN
THE DIAGNOSIS IS THE
TREATMENT.
RITALIN USE IN CANADA HAS
SKYROCKETED SINCE THE EARLY
'90s AND MOST OF THE 56.2
MILLION PILLS DISPENSED EACH
YEAR ARE GIVEN TO KIDS UNDER
TEN.
DOCTOR WENDY ROBERTS IS A
DEVELOPMENTAL PAEDIATRICIAN
AT TORONTO'S HOSPITAL FOR
SICK CHILDREN AND DOCTOR PETER
BREGGIN IS A PSYCHIATRIST
AND AUTHOR OF "YOUR DRUG MAY
BE YOUR PROBLEM."

A picture of the book appears on screen.

Wendy is in her forties, with mid-length straight blond hair. She wears a pink top and a printed black shirt.

Peter is in his mid-fifties, clean-shaven and with short wavy white hair. He wears glasses, a black suit, a pale blue shirt and a burgundy tie.

Maureen says WELCOME BOTH OF YOU TO THE
PROGRAMME.
DOCTOR BREGGIN, WHAT ARE YOUR
CONCERNS, MAJOR CONCERNS
ABOUT KIDS BEING GIVEN
RITALIN.

The caption changes to "Doctor Peter Breggin. Author and Psychiatrist."

Peter says TWOFOLD, ONE IS THE
DIAGNOSIS AND THE OTHER IS
THE DRUG.
IT CAN'T BE A BRAIN DISEASE,
ADHD IS NOT A BIOCHEMICAL OR
NEUROLOGICAL DISORDER T IS A
DESCRIPTION OF BEHAVIOURS
THAT MAKE IT HARD FOR
TEACHERS IN OVERCROWDED
CLASSROOMS WHEN TEACHERS ARE
STRESSED, WHEN THEIR
TEACHING MATERIALS AREN'T
GOOD, WHEN THERE AREN'T
ENOUGH ASSISTANTS IN THE
CLASSROOM.
YOU GET THE BEHAVIOURS THAT
ARE CALLED ADHD.
YOU GET TALKING OUT OF TURN,
FIDGETING IN YOUR CHAIR, YOU
GET NOT PAYING ATTENTION TO
DETAILS.
IT CAN COME FROM OTHER
CAUSES.
THAT BEHAVIOUR COULD BE A
KID AHEAD OF CLASS, BEHIND
CLASS OR A KID WITH STRESS
AT HOME.
IN MY PRACTICE IT IS MOSTLY
JUST NORMAL KIDS IN
CLASSROOMS THAT DON'T MEET
THEIR NEEDS.
WHEN YOU GIVE THE DRUG
RITALIN OR DEXEDRINE NO
QUESTION ABOUT WHAT IT DOES.
WE HAVE ANIMAL RESEARCH AND
HUMAN RESEARCH, IT STOPS
SPONTANEOUS BEHAVIOUR.
SO IF YOU HAVE GOT A
CHIMPANZEE THAT WANTS TO
GROOM ITS NEIGHBOUR, GET OUT
OF THE CAGE, RUN AROUND,
CLIMB A TREE AND YOU GIVE
RITALIN TO THAT ANIMAL IT
SITS AROUND AND IT MINDS ITS
OWN BUSINESS AND DOESN'T
WANT TO PLAY AND IT DOES
LITTLE OBSESSIVE THINGS LIKE
PICK AT ITSELF.
THAT IS WHAT WE ARE DOING TO
OUR KIDS.

Maureen says ALL RIGHT.
BUT A LOT OF PEOPLE WOULD
LOOK AT THAT AND SAY THAT IS
BAD TO STOP THAT BEHAVIOUR...
BEHAVIOUR BUT HEALTH EFFECTS
ARE THERE SERIOUS HEALTH
EFFECTS.

Peter says WELL, THERE DEFINITELY
ARE.
THE STIMULANT DRUGS ALL
DISRUPT GROWTH HORMONE.
THEY NOT ONLY SUPPRESS
APPETITE, THEY ACTUALLY SEND
GROWTH HORMONE OUT OF CYCLE
SO YOU GET A STUNTING OF
GROWTH, CERTAINLY A DELAY OF
GROWTH, A LOT OF THE KIDS
ARE ACTUALLY SKINNY LOOKING
AND DON'T LOOK VERY WELL.

Maureen says I HEART ABOUT...
HEARD ABOUT THE WEIGHT LOSS.
WENDY, CAN WE GO TO YOU.
WHAT DO YOU THINK, ARE THERE
SERIOUS HEALTH AFFECTS
BECAUSE OF RITALIN.

The caption changes to "Doctor Wendy Roberts. Hospital for Sick Children."

Wendy says WE HAVE BEEN LOOKING AT
THE HEALTH EFFECTS OF
RITALIN FOR THE LAST IN
DETAIL FOR THE LAST 25
YEARS.
AND I THINK THAT WE STARTED
OUT VERY CONCERNED ABOUT THE
FACT THAT MANY CHILDREN WHEN
THEY START ON RITALIN FIRST
WILL EAT LESS.
AND SO YOU WILL SEE AT TIMES
IF YOU ARE NOT CAREFUL IN
TERMS OF WHEN YOU GIVE THE
FOOD AND SORT OF LOOKING AT
FOOD DISTRIBUTION, YOU WILL
SEE INITIAL WEIGHT LOSS IN
SOME THE CHILDREN.
THAT IS WHY IT USED TO BE
USED AS DIET PILLS WAY BACK
SORT OF IN THE '50s AND
'60s.
SO THERE IS AN AFFECT ON
APPETITE.
WE HAVE FOLLOWED AND MANY
STUDIES FOLLOWED CAREFULLY
GROWTH PERCENTILES LOOKING
AT HEIGHT SPECIFICALLY AND
ALTHOUGH SOME OF THE
AMPHETAMINES HAVE BEEN SHOWN
TO INTERACT AT TIMES WITH
GROWTH HORMONE, WE ARE QUITE
CONFIDENT THAT IF YOU KEEP
THE DOSES OF RITALIN AT
REASONABLE LEVELS THERE IS
NOT A SIGNIFICANT EFFECT ON
HEIGHT PERCENTILES AND THERE
ARE A COUPLE RECENT STUDIES
THAT SHOW THAT NICELY.
YOU CAN SUPPLEMENT BATE BUT
YOU CAN... -- WEIGHT.

Peter says WE DON'T AGREE ON THE
STUDY.

Maureen says NO?

Peter says NOT AT ALL.

Maureen says YOU SAY WE HAVE
HAD RITALIN FOR 25 YEARS.
I MEN THAT WOULD BE A LONG
TIME TO STUDY IT.
HAVE WE LOOKED AT IT IN
YOUNG CHILDREN IN THE
LONG-TERM EFFECTS.

Wendy says WE HAVE LOOKED AT IT IN
CHILDREN OVER SIX OR SEVEN.
THERE ARE VERY FEW STUDY, NO
STUDIES THAT HAVE LOOKED AT
THE LONG-TERM EFFECTS IF YOU
STARTED IT IN YOUNGER AGES
AND WE DON'T SUPPORT IT
BEING USED IN YOUNGER THAT
YOU DON'T SUPPORT IT IN
PRESCHOOL CHILDREN ALTHOUGH
IT IS HAPPENING.

Peter says GROWTH IS ONLY THE
BEGINNING OF THE PROBLEMS.
WE DON'T AGREE ABOUT THE
STUDIES AT ALL BUT THAT IS
ONLY THE BEGINNING OF THE
PROBLEMS.
IF YOU LOOK AT EVEN THE
CLINICAL TRIALS, DEPRESSION,
APATHY, LETHARGY ARE COMMON,
OBSESSIVE COMPULSIVE
OVERFOCUSING IS COMMON.
LOSS OF SPARKLE, OF SPIRIT,
OF SELF, THESE ARE FLATTENING
AGENTS.
THEY WORK BECAUSE THE CHILD
BECOMES MORE COMPLIANT.
AND I THINK THAT IS WRONG IN
PRINCIPLES.

Maureen says WHAT WOULD YOU DO INSTEAD
FOR THESE CHILDREN WHO ARE
IN CLASS, NOT LEARNING,
GRADES ARE DROPPING,
TEACHERS ARE AT THEIR WITS
END AND SO ARE PARENTS.

Peter says I THINK WE WOULD AGREE,
I'M SURE WE WOULD AGREE THAT
YOU HAVE TO LOOK AT EACH
CHILD SEPARATELY.
YOU HAVE TO FIND OUT WHAT IS
HAPPENING.
IS THIS CHILD OUT OF SYNC
WITH THE TEACHER, DOES THE
CHILD HAVE PROBLEMS AT HOME,
IS THE CHILD TOO SMART FOR
THE CLASS, TOO SLOW FOR THE
CLASS, MAYBE NOBODY TAUGHT
THE CHILD TO READ.
THERE IS NO WAY AROUND
PAYING ATTENTION TO OUR
INDIVIDUAL KIDS.
ABSOLUTELY.

Wendy says AND I AGREE COMPLETELY IN
TERMS OF TWO THINGS, ONE
THAT IT IS HARD TO SAY
EXACTLY IN ANY INDIVIDUAL
CHILD HOW SEVERE THE
SYMPTOMS ARE IN TERMS IT OF
WHAT CONSTITUTES A DIFFERENT
PERSONALITY AND WHAT
CONSTITUTES A DISORDER.
AND IT IS DIFFICULT BECAUSE
WE STILL DON'T HAVE A CLEAR
NEUROBIOLOGICAL MARKER TO BE
ABLE TO SAY OKAY, THIS KID
HAS IT, THIS KID DOESN'T AND
THAT IS SIMPLISTIC BECAUSE
OBVIOUSLY THE BEHAVIOURS
DO VARY DEPENDING ON THE
ENVIRONMENT THE CHILD IS IN.
THE NEXT THING IS, I THINK
WHEN WE ARE MAKING DECISIONS
ABOUT WHETHER CHILDREN MEET
CRITERIA FOR AN
ATTENTION-DEFICIT DISORDER,
WE ARE SPENDING A LOT OF
TIME LOOKING AT ALL OF THOSE
PIECES, THE CLASSROOM PIECE,
THE HOME PIECE, THE GENERAL
ENVIRONMENT PIECE, HOW THE
CHILD IS FEELING ABOUT
THEMSELVES.
SO THAT IS ANOTHER SORT OF
MULTIMODAL APPROACH TO
MAKING SURE THAT WE HAVE
COVERED...

Peter says IT IS NOT WHAT IS GOING
ON IN CANADA OR THE U.S.

Wendy says IT IS WHAT WE ARE TRYING
TO TEACH PHYSICIANS AT THIS
POINT.

Peter says WHAT IS HAPPENING IS WE
ARE DRUGGING OUR KIDS.

Maureen says IN YOUR
EXPERIENCE, WHERE DOES THE
PUSH COME FROM TO PUT A KID
ON RITALIN, DOES IT COME
FROM THE PARENTS, FROM THE
TEACHERS TO THE PARENTS TO
THE DOCTOR.

Wendy says A STUDY THAT HEALTH
CANADA DID LAST YEAR LOOKING
AT PHYSICIANS IMPRESSIONS OF
PRACTICE, THEIR PRACTICE AND
THEIR OWN COMMUNITIES THAT
WENT ALL ACROSS CANADA WAS
PRETTY CLEAR THAT PHYSICIANS
FEEL THAT THE BIGGEST PUSH
COMES FROM TEACHERS.
AND SO I WOULD AGREE THAT I
THINK THAT THE INCIDENCE OF
USE, THE INCREASE IN USE HAS
TO A GREAT EXTENT COME FROM
KIDS THAT ARE HAVING TROUBLE,
STRUGGLING IN CLASSROOMS.
AND I ABSOLUTELY AGREE THAT
I THINK THERE SHOULD BE A
LOT MORE TEACHER TRAINING
BECAUSE WE SEE THAT SOME
SUPERB TEACHERS CAN MANAGE
FAR MORE DIFFICULT CHILDREN
WITHOUT ANY COMPLAINTS ABOUT
THEIR BEHAVIOUR.
SO THERE REALLY IS A
DIFFERENCE.
BUT I THINK ALSO THAT THERE
ARE SOME WONDERFUL TEACHERS
WHO STILL COME AND SAY LOOK,
THIS KID JUST ISN'T
LEARNING.
AND IS STARTING TO FEEL
TERRIBLE ABOUT THEMSELVES
AND EVERYTHING IS FALLING
APART.
THEY HAVE NO FRIENDS.
AND I BELIEVE THAT THERE ARE
A GROUP OF THOSE CHILDREN
WITH REALLY SEVERE SYMPTOMS
THAT WHEN YOU VERY CAREFULLY
START THEM.
AND WE BELIEVE ON LOW DOSES
OF MEDICATION THAT, IN FACT,
THOSE KIDS BECOME POSITIVE
AND HAVE POSITIVE
EXPERIENCES ACADEMICALLY,
SOCIALLY IN TERMS OF FAMILY
DYNAMICS FOR THE FIRST TIME
IN THEIR LIVES.
AND I DON'T THINK WE CAN
DENY THOSE KIDS THAT KIND OF
SUCCESS.

Peter says I THINK WE SHOULD DENY
THOSE KIDS DRUGS BECAUSE
FIRST OF ALL THE DRUGS ARE
DAMAGING TO THE BRAIN.
WE HAVE LONG-TERM STUDIES IN
ANIMALS SHOWING THAT
AMPHETAMINES KILL BRAIN
CELLS, RITALIN PERMANENTLY
CHANGES SENSITIVITY OF THE
BRAIN.
THIS IS A SERIOUS DRUG, BUT
BEYOND THAT, IT IS NOT GOOD
FOR A CHILD TO BE TOLD THEY
HAVE CROSSED WIRES IN THEIR
HEAD OR BIOCHEMICAL
IMBALANCE OR A DISORDER.

Maureen says IS IT BETTER TO
THEY WILL THEM THAT THEY ARE
EGO CENTRIC AND THEY DON'T
KNOW NOT TO LISTEN.

Peter says IT IS BETTER TO TELL THEM
THAT THE TEACHER HASN'T
FIGURED OUT TO TEACH THEM.
THE PARENT HAS FIGURED OUT
HOW TO PARENT THEM.
THE CONVERSATION HAS GOTTEN
SHIFTED TO THE CHILDREN WHEN
WE ADULT... ADULTS NEED TO
RETAKE RESPONSIBILITY FOR
OUR KIDS AND INSTEAD OF
SAYING SOME ARE INCORRIGIBLE
AND SOME SHOULD GET DRUGS WE
SHOULD SAY WE HAVE TO
REEMBRACE OUR KIDS, WE HAVE
TO TEACH THEM RIGHT, PARENT
THEM RIGHT.
AND IF WE DRUG THEM WE ARE
TO THE GOING TO DO THAT.

Maureen says SHOULD RITALIN
BE THE FIRST LINE OF
TREATMENT IN...

Wendy says NO.

Maureen says IN YOUR OPINION.

Wendy says ABSOLUTELY NOT.
I THINK WE ALWAYS SHOULD DO
WHAT WE CAN IN TERMS OF
GETTING THE BEHAVIOURAL
SUPPORT, THE EDUCATIONAL
SUPPORTS, THE PARENTING AND
WE PUT A LOT OF TIME INTO
TRYING TO GET THOSE THINGS.
BUT THE HEALTH CANADA SURVEY
ALSO SHOWS THAT THE MAJORITY
OF PHYSICIANS ARE FEELING
STRAPPED THAT THEY ONLY HAVE
THE MEDICATION ROUTE TO GO
IN MANY REGIONS BECAUSE WE
SIMPLY DON'T HAVE THE
RESOURCES, EDUCATIONALLY OR
IN TERMS OF PARENT SUPPORT
AND PARENT TEACHING.
AND MANY PEOPLE WOULD PREFER
TO HOLD OFF A LOT LONGER IN
TERMS OF WRITING A
PRESCRIPTION IF THEY COULD
HAVE SUPERB, REALLY, REALLY
GOOD EDUCATION AND
BEHAVIOURAL AND PARENTING
RESOURCES IN PLACE.

Maureen says WHAT DO THE KIDS
WHO WE GREW UP WITH WHO ARE
HYPERACTIVITY AND
INATTENTIVE, WHERE ARE THEY
NOW?
HOW DID THEY GET...

Peter says THEY ARE DOCTORS, LAWYERS,
THEY ARE TELEVISION
PERSONALITIES, BUT THEY ARE
NOT GOING TO BE ON RITALIN.
RITALIN TAKES THE EDGE OFF
THAT EXCITEMENT, THAT
CHALLENGE, THAT
OBSTREPEROUSNESS.
WE ARE CONDUCTING A GIANT
SOCIAL EXPERIMENT OF TAKING
OUR MOST WONDERFUL KIDS AND
SUPPRESSING THEM WITH DRUGS.

Maureen says JUMP IN THERE,
WENDY.

Wendy says ABSOLUTELY.
I BELIEVE THAT THAT IS TRUE
IF YOU USE TOO MUCH AND
UNDER THE WRONG
CIRCUMSTANCES.
BUT I WOULD CHALLENGE YOU
THAT THERE ARE A GROUP OF
CHILDREN WHO WILL NOT MAKE
IT TO BE THE TV PRODUCER OR
THE LAWYER OR WHATEVER.

Peter says YOU DON'T KNOW THAT.
WE ARE JUDGING SOME LITTLE
CHILD SAYING YOU NEED DRUGS
AND YOU DON'T NEED DRUGS.

Wendy says WELL, I HAVE FOLLOWED
LOTS OF CHILDREN BOTH WAYS,
I HAVE BEEN FOLLOWING
CHILDREN FOR THE LAST 25
YEARS, MANY ARE PARENTS NOW
MAKING ME FEEL VERY OLD.
BUT I HAVE SEEN BOTH WAYS.
AND IF THE CHILDREN WHO
ABSOLUTELY WILL NOT FEEL
GOOD ABOUT THEMSELVES AS
THEY GO ALONG IF THEY
CONSTANTLY IMPULSIVELY ARE
JUMPING IN AND RUINING
THINGS FOR THEIR FAMILY, FOR
THEIR FRIENDS...

Peter says THE TROUBLE THE QUESTION
IS DO WE DRUG THEM WHEN THEY
HAVE TROUBLES AND WHEN WE
CAN DRUG WE ARE NOT GOING TO
DO ALL THE OTHER THINGS.

Maureen says WHY ARE DRUGS ALWAYS BAD.
DRUGS HAVE SAVED A LOT OF
LIVES IN MODERN MEDICINE.

Peter says THESE ARE PSYCHOACTIVE
AGENCIES, THE VERY DRUGS
THAT THE UNITED STATES WE
USED TO HAVE A CAMPAIGN...

Maureen says SO IT IS THESE PARTICULAR
DRUGS.

Peter says I'M AGAINST USING DRUGS
TO SUPPRESS THE BEHAVIOURS
OF CHILDREN INSTEAD OF
MEETING THEIR NEEDS.

Maureen says DO YOU FEEL THAT
WAY ABOUT MOOD DISORDERS AND
des PRESS.

Peter says LET'S NOT GET INTO IT,
THAT IS ANOTHER SHOW.
I DON'T THINK DRUGS ARE
PARTICULARLY THE ANSWER BUT
WITH CHILDREN I THINK IT IS
BORDERLINE CRIMINAL.
WE HAVE UNLEASHED A MONSTER
IN NORTH AMERICA.
WE USE 90 percent OF THE WORLD'S
RITALIN.
WE HAVE A CULTURE WITH
MILLIONS OF CHILDREN IN MY
COUNTRY UP TO 10 percent IN MANY
STUDIES OF THE KIDS IN
SCHOOL ARE GETTING THESE
DRUGS.
IT IS GOING TO HAPPEN HERE
IN CANADA BECAUSE WE LET THE
GENIE OUT OF THE BOTTLE.
WE DON'T HAVE TO PAY
ATTENTION TO OUR KIDS.
WE CAN MEDICATE THEM.

Maureen says FINALLY IN THE
LAST MINUTE THAT WE HAVE,
WENDY WHAT IS YOUR ADVICE TO
A PARENT WHOSE JUST BEEN
TOLD THEIR CHILD IS
DIAGNOSED WITH ADHD, WHAT IS
THE FIRST THING THEY DO.

Wendy says I THINK THEY SHOULD LOOK
VERY CAREFULLY, GET ALL THE
INFORMATION THEY CAN, LOOK
VERY CAREFULLY AT HOW THEY
CAN BUILD IN SUPPORTS IN
SCHOOL AND AT HOME, GET AS
MUCH INFORMATION AS POSSIBLE,
GET AS MUCH SUPPORT FOR THE
CHILD AS POSSIBLE.
AND MEDICATION IN SMALL
AMOUNTS IS THE FINAL STEP,
NOT THE FIRST STEP.

Maureen says AND YOUR ADVICE
TO THEM.

Peter says AS LONG AS WE HOLD OUT
THAT STEP WHERE WE CAN
MEDICATE YOU ARE GOING TO
HAVE WHAT WE HAVE RIGHT NOW
WHICH IS AN AVALANCHE OF
DRUGGING OUR KIDS.
WE NEED TO RETURN TO
BELIEVING THAT ALL KIDS CAN
BE REACHED BY BETTER
PARENTING, BETTER TEACHING,
BETTER COMMUNITY LIFE AND
THAT THERE AREN'T
INCORRIGIBLE KIDS WHO HAVE
TO BE DRUGGED.

Maureen says THANK YOU, BOTH
VERY MUCH, INTERESTING
DISCUSSION.
THANKS.
COMING UP, WHY KAVA KAVA
EASES STRESS.

Joe Schwarcz says IN FACT T HAS BEEN CALLED
THE HERBAL VALIUM.
MAYBE A BIT OF AN
OVERSTATEMENT.

Maureen says THAT IS LATER ON
"YOUR HEALTH."

The logo of the show appears.

Now Maureen stands next to a screen with the caption "Health Digest. Stroke rehab."

Maureen says AND NOW A LOOK AT RECENT
STORIES MAKING HEALTH NEWS,
A NOVEL REHABILITATION
THERAPY CAN HELP THE BRAIN
REWIRE ITSELF AFTER A
STROKE.
RESEARCHERS OF THE
UNIVERSITY OF ALABAMA
RESTRAINED THE GOOD ARMS OF
STROKE VICTIMS AND
FORCED THEM TO USE THEIR
WEAKENED HAND SIX HOURS A
DAY, IT HAD SIGNIFICANT
IMPROVEMENT IN TWO TO THREE
WEEKS.
ONE PATIENT IN THE STUDY
REGAINED HAND DEXTERITY 21
YEARS AFTER A STROKE.

The caption on the screen changes to "Vaccine."

Maureen says SCIENTISTS HAVE COMPLETED
THE FIRST PHASE OF HUMAN
TRIALS OF AN ALZHEIMER
VACCINE AND THEY SAY THE
DRUG IS SAFE TO USE BUT IT
IS TOO SOON TO TELL WHETHER
IT WILL DO PATIENTS ANY
GOOD.
THE EXPERIMENTAL VACCINE
MADE HEADLINES WHEN
RESEARCHERS USED IT IN MICE
AND FOUND IT COULD PREVENT
AND EVEN REDUCE THE BRAIN
CLOGGING PLAQUE THAT OCCUR
IN ALZHEIMER PATIENTS
BRAINS.
THE PHARMACEUTICAL COMPANY
THAT MAKES THE VACCINE HOPES
TO MOVE TO PHASE TWO STUDIES
TO TEST ITS EFFECTIVENESS BY
THE END OF 2001.

The caption on the screen changes to "Heart disease."

Maureen says THEY'VE ALREADY BEEN TOUTED
AS A CANCER PREVENTIVE BUT
NOW THERE IS EVIDENCE
TOMATOES MAY ALSO NIGHT
HEART DISEASE.
A SCOTTISH STUDY FOUND THAT
THE YELLOW JELLY AROUND
TOMATO SEEDS KEEP PLATELETS
IN BLOOD FROM CLUMPING
TOGETHER AND CLOTTING BLOOD
VESSELS.
THE SCIENTISTS CALL THE
JELLY THE TOMATO FACTOR AND
SAY IT IS DIFFERENT FROM
OTHER ANTI-OXIDANTS SUCH AS
VITAMIN C.
TOMATOES ARE THE BEST SOURCE
OF THE JELLY BUT YOU WILL
ALSO GET IT FROM STRAWBERRIES,
MELONS AND
GRAPEFRUIT.

The quiz appears on screen.

Maureen says DID YOU KNOW THE ANSWER TO
THIS WEEK'S QUIZ?
JOHANNES BRAHMS, COMPOSER OF
ALL THOSE FAMOUS LULLABIES
PROBABLY SUFFERED FROM SLEEP
APNEA.
MEANING HE STOPPED BREATHING
WHILE HE SLEPT.
COMPANY TAKEN JAMES COOK MAY
HAVE BEEN THE FIRST EUROPEAN
TO SAMPLE THE HERB KAVA
KAVA.
NOW IT HAS BECOME A POPULAR
REMEDY FOR ANXIETY, EVEN IN
PEOPLE WHO AREN'T EXPLORING
THE NEW WORLD.
HERE IS JOE SCHWARCZ.

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 dotted red tie.

He says IF YOU ARE'S EVER INVITED
TO A NATIVE CEREMONY IN THE
SOUTH SEAS ISLAND DON'T BE
SURPRISED IF YOU SEE VIRGINS
SITTING AROUND THE COMMUNAL
POT FILLED WITH COCONUT MILK
EXPECTORATING INTO IT.
WHAT THEY HAVE BEEN DOING IS
CHEWING ON THE ROOTS OF THE
KAVA PLANT MAKING THE CON
CANUCKS THAT IS THEN CON
SUMMED BY EVERYONE.
WHY?
BECAUSE OF ITS
MELLOWNESS-INDUCING EFFECT.
WELL, MO OF US ARE NOT
LIKELY TO BE INVITED TO SUCH
CEREMONIES BUT WE DO HAVE
ACCESS TO KAVA KAVA RIGHT
HERE IN NORTH AMERICA.
BECAUSE NOW IT IS AVAILABLE
IN CAPSULE FORM AS AN
ANTI-ANXIETY AGENT.
IT DOES HAVE RESEARCH BEHIND
IT.
AND IN THIS PARTICULAR CASE
WE KNOW EXACTLY WHAT THE
ACTIVE INGREDIENTS ARE.
THEY ARE A BUNCH OF
COMPOUNDS CALLED
KAVALACTONES.
AND THE PRODUCT CAN BE
STANDARDIZED TO THEM AND WE
KNOW THAT CONSUMING ABOUT
200 TO 250 MILLIGRAMS OF
KAVALACTONES ON A DAILY
BASIS CAN HAVE ANTI-ANXIETY
EFFECTS.
SIMILAR TO WHAT WE MIGHT SEE
FROM VALIUM OR LIBRIUM.
IN FACT, IT HAS BEEN CALLED
THE HERBAL VALIUM, MAN A BIT
OF AN OVERSTATEMENT BUT THE
CHEMICAL, THE KAVALACTONES
ACTUALLY DO WORK THE SAME
WAY AS THOSE BENZODIAZEPINES,
THAT IS, THEY MODULATE THE
EFFECT OF CHEMICALS IN OUR
BODY CALLED NEUROTRANSMITTERS,
SPECIFICALLY GABA, GAMO
AMINO BUTANOIC ACID.
IS THERE A PROBLEM WITH
TRYING IT, NOT A GREAT DEAL
BUT IF SOMEONE OVERINDULGES
THEY MAY BECOME SO MELLOW
THEY MAY NOT DRIVE PROPERLY.
BOTH IN CALIFORNIA AND UTAH
DRIVERS HAVE BEEN STOPPED
FOR WEAVING IN AND OUT OF
TRAFFIC WITHOUT REALLY
REALIZING WHAT THEY WERE
DOING.
THEY WERE UNDER THE
INFLUENCE CANNOT OF ALCOHOL
BUT, INDEED, OF KAVA KAVA.
HERE IN NORTH AMERICA PEOPLE
TEND TO TAKE KAVA KAVA FOR
STRESSFUL SITUATIONS SUCH AS
VISITS BY THEIR MOTHERS IN
LAW, ALTHOUGH THAT IS NOT
REALLY WHAT IT IS INDICATED
FOR.
YOU HAVE GOT TO TAKE IT ON A
PROTRACTED BASIS IN ORDER TO
SEE ANY KIND OF AN EFFECT.
IT IS A RELATIVELY SAFE
PRODUCT.
ASIDE FROM THE
OVERINDULGENCE AND THE
MANUFACTURER TECHNIQUES HAVE
BEEN WORKED OUT AND OF
COURSE IT IS ALL DONE IN
NICE CAPSULE FORM AND IN
NORTH AMERICA, ACTUALLY
VIRGINS ARE NOT INVOLVED IN
THE PRODUCTION OF THIS
PARTICULAR PRODUCT.

Maureen says YOU CAN GET A
TRANSCRIPT OF JOE'S HERBAL
ADVICE ON OUR WEB SITE.
VISIT
WWW.TVO.ORG/YOURHEALTH.
WE ALSO WELCOME YOUR
COMMENTS ABOUT OUR
PROGRAMME.
OUR E-MAIL ADDRESS IS
YOURHEALTH TVO.ORGANIZE.
416-44-4519 OR WRITE TO US,
YOUR HEALTH, PO BOX 200
STATION Q TORONTO M 4 T, 2
T-1.
I'M MAUREEN TAYLOR.

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."

The caption changes to "For more information about Doctor Buckman’s videos call 1-800-757-4868."

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 #8