Transcript: Show #12 | Dec 19, 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."

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

Maureen says THIS WEEK.

A woman in her thirties says SO I HAVE GONE THROUGH
YEARS OF PROBLEMS, MOOD
SWINGS, ACNE, EMOTIONAL,
FEELING DEPRESSED BECAUSE
YOU DON'T KNOW WHAT IS WRONG
WITH YOU.

Maureen says A DIAGNOSIS
FOR A HIDDEN DISEASE.

A female guest says SOME PEOPLE DEFINE
DIGNITY IN DEATH BY CHOOSING
THE TIME AND MANNER OF THEIR
DEATH.

Maureen says IS IT TIME FOR
CANADA TO ALLOW DOCTOR-ASSISTED
SUICIDE.
AND JOE SCHWARCZ.

Joe says DRINK CRANBERRY JUICE TO
REDUCE THE URINARY TRACT
INFECTION.

Maureen says ON THE
CRANBERRY.

(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 gray cardigan over a gray turtleneck sweater.

Maureen says HELLO, I'M MAUREEN
TAYLOR.
INFERTILITY ON ITS OWN IS
DEEPLY PAINFUL.
BUT ON TOP OF THEIR
INABILITY TO CONCEIVE, WOMEN
WITH A SYNDROME NOME AS PCOS
HAVE TO COPE WITH HAIR IN
ODD PLACES AND IRREGULAR
PERIODS.
POLYCYSTIC OVARY SYNDROME,
AS WE DISCOVERED A DIAGNOSIS
MIGHT GIVE WOMEN AN
EXPLANATION FOR THEIR
SYMPTOMS BUT THEY HOPE BY
SPEAKING OUT THE REST OF US
MIGHT UNDERSTAND THEIR
STRUGGLE.
GENEVIEVE WAS 18 WHEN HER
BODY BEGAN TO BETRAY HER.
JUST BEFORE HER WEDDING SHE
STARTED GAINING WEIGHT THAT
NEITHER DIET NOR EXERCISE
COULD CONTROL.

Pictures of Genevieve at different weights appear.

Genevieve is in her thirties, with mid-length slightly wavy blond hair. She wears a sundress and sunglasses.

She says I HAD MET MY FUTURE
HUSBAND AT THE TIME.
AND I WAS ALWAYS A LITTLE
CHUNKY BUT NEVER LIKE THIS.
AND WE DECIDED WE WERE GOING
TO GET MARRIED.
WE WERE HAPPY.
AND IT JUST KABAM.

Maureen says LOUISE WAS HAVING TROUBLE
GETTING PREGNANT AND CAME
ACROSS AN ARTICLE THAT
DESCRIBED SYMPTOMS SHE
RECOGNIZED IN HERSELF.

Louise is in her thirties, with mid-length slightly wavy brown hair with bangs. She wears glasses, a blue shirt and a beige jacket.

She says BASICALLY THERE WAS A
LITTLE SECTION ON
INFERTILITIES, AND WHAT
TYPES.
AND I READ ABOUT THIS PC AND
MY HUSBAND WAS NEARBY, I WAS
LIKE OH MY GOD, LOOK AT THIS,
THIS IS ME.
AND WHEN I WENT TO MY DOCTOR
AND THOUGHT I HAD THIS
AMAZING NEWS TO TELL HER,
SHE LOOKED AT ME, SHE SAID
YEAH, I KIND OF SUSPECTED IT
FOR A WHILE.

Pictures of Lori at different sizes appear.

Maureen says WHEN LORI WAS A
TEENAGER HER MOTHER NOTICED
HAIR GROWTH UNDER HER CHIN
AND DECIDED TO HAVE IT
LOOKED AT.

Lori is in her thirties, with slightly wavy brown hair in a bun. She wears a dotted blouse.

She says UNFORTUNATELY THERE
WASN'T TREATMENT AT THAT
TIME.
I WAS DIAGNOSED AT 17.
SO THERE WAS REALLY NOTHING
THEY COULD DO OTHER THAN
GIVE ME A BIRTH-CONTROL
PILL.

Maureen says DIFFERENT
SYMPTOMS ALL THE SAME
PROBLEM.
OFTEN ACCOMPANIED BY EXCESS
WEIGHT, PCOS OR POLYCYSTIC
OVARY SYNDROME AFFECTS SIX
TO 10 percent OF REPRODUCTIVE AGE
WOMEN, MANY OF WHOM DON'T
EVEN KNOW THEY HAVE IT.
DOCTOR ELLEN GREENBLATT IS A
REPRODUCTIVE ENDOCRINOLOGIST.

A caption reads "Doctor Ellen Greenblatt. Reproductive Endocrinologist."

Ellen is in her forties, with short straight red hair. She wears a white coat.

She says IT CAN PRESENT
DIFFERENTLY IN DIFFERENT
WOMEN.
AND THERE IS STILL A LOT OF
DISCUSSION AS TO HOW TO
DEFINE IT BUT I WOULD SAY
MOST OF THE... THE MOST
CONSISTENT RESPONSE WOULD BE
CHRONIC ANOVULATION, MEANING NOT
OVULATING REGULARLY COUPLED
WITH HYPER ANDROGENIMIA, MANIFESTATION
OF HIGH MALE HORMONE LEVELS,
MAINLY TESTOSTERONE.
AND THAT COULD PRESENT AS
EITHER EXTRA HAIR GROWTH,
OFF OFTEN ON THE FACE OR
ACNE, THESE SORTS OF SIGNS.

Maureen says NOT ALL WOMEN
WITH PCOS WILL HAVE ALL OF
THESE SYMPTOMS WHICH MAKES
IT DIFFICULT TO DIAGNOSE.

The caption changes to "Louise."

Louise says SO I HAVE GONE THROUGH
YEARS OF WAKING, HAIR
PROBLEMS, MOOD SWINGS, ACNE,
EMOTIONAL, FEELING DEPRESSED
BECAUSE YOU DON'T KNOW WHAT
IS WRONG WITH YOU.
AND THAN THE FERTILITY.

Maureen says MANY WOMEN WITH PCOS ONLY
FIND OUT THAT THEY HAVE IT
WHEN THEY TRY TO CONCEIVE
BUT CAN'T.

The caption changes to "Genevieve."

Genevieve says WE WAITED A YEAR AND
DECIDED WE WERE GOING TO GET
PREGNANT AND NOTHING
HAPPENS.
IT WAS JUST NOTHING.
WE WAITED AND WAITED AND
WAITED AND TRIED.
AND FINALLY I WENT TO A
DOCTOR AND THEY PUT ME ON
ALL THESE MEDICATIONS.
NOBODY WOULD TELL ME WHAT
WAS WRONG.
NOBODY HAD ANY ANSWERS THAT
I NEEDED.

Louise says WE HAD THREE MONTHS OF
TREATMENT.
AND AFTER THE SECOND MONTH
IT WAS TERRIBLE.
I STARTED SHOWING THE SIGNS.
THAT I MIGHT BE POSSIBLY
PREGNANT AND I WAS ALL
EXCITED.
I THOUGHT OKAY THERE IS A
CHANCE THIS COULD WORK.
WE GOT TO DAY 40 AND THEY
TOOK A PREGNANCY TEST AN
THREE DAYS OF WAITING FOR
THE RESULTS AND CALLING FOR
THE RESULTS.
I'M ON THE PHONE, TALKING TO
THE RECEPTIONIST AND SHE
SAYS NO, IT IS NEGATIVE.
AND I WAS BALLING, TEARS
COMING DOWN MY FACE AND MY
HEART IS WRENCHING.
AND I'M JUST EMOTIONALLY
GOING THROUGH HELL.

Maureen says PCOS IS ONE OF THE
LEADING CAUSES OF
INFERTILITY.
DOCTOR GREENBLATT EXPLAINS WHY.

Ellen says INFERTILITY IS A COMMON
SYMPTOM OF POLYCYSTIC OVARY
SYNDROME BECAUSE THESE WOMEN
ARE NOT OVULATING SO IF THEY
ARE NOT RELEASING AN EGG
THERE IS NO CHANCE FOR IT TO
BE FERTILIZED BY A SPERM.
AND THAT IS KIND OF THE
SHORT AND SIMPLE ANSWER AS
TO WHY THEY AREN'T FERTILE.
THE REASSURING THING IS THAT
MOST WOMEN WILL RESPOND TO
FERTILITY MEDICATION.

Maureen says LORI FEELS LUCKY
TO HAVE HAD A SON BUT SHE
HAS BEEN TRYING FOR FOUR
YEARS FOR A SECOND CHILD
WITH NO LUCK.
LOUISE HAS BEEN TRYING THAT
LONG FOR HER FIRST.

Louise says IT IS A HARD DISEASE.
AND IT IS NOT JUST THE
FERTILITY.
IT IS OKAY, WE ARE GOING TO
TURN 40 AND GET TYPE 2
DIABETES AND WE ARE GOING TO
GET HOUSE DISEASE AND WE
MIGHT HAVE A STROKE AND
PROBABLY GOING TO HAVE
OVARIAN CANCER.

Maureen says WOMEN WITH PCOS
ARE UP TO 11 TIMES MORE
LIKELY TO DEVELOP HEART
DISEASE.
AND THEY ARE AT INCREASED
RISK FOR DIABETES.
DOCTOR GREENBLATT SAYS PHYSICIANS NEED TO BE MADE
AWARE OF THESE SERIOUS RISK
FACTORS.

Ellen says IT IS IMPORTANT FOR THE
PHYSICIAN TREATING HER TO BE
AWARE THAT THIS IS A MARKER
FOR OTHER RISK FACTORS.
AND TO SCREEN THAT WOMAN
PERHAPS AT AN EARLIER STAGE
WITH CHOLESTEROL LEVEL AND
SCREENING TESTS FOR DIABETES.
REFERRAL TO AN ENDOCRINOLOGIST SHOULD BE
MADE IF FIRST LINE MEASURES
ARE INEFFECTIVE, EITHER TO
CONTROL THE SYMPTOMS OF
EXCESS TESTOSTERONE, THE
SYMPTOMS OF IRREGULAR
MENSTRUAL CYCLES OR THE
INABILITY TO CONCEIVE.

Maureen says WOMEN WITH PCOS HAVE
CYSTS ON THEIR OVARIES.
IT INCREASES THE WOMEN'S
RISK OF ENDOMETRIAL AND
OVARIAN CANCER BECAUSE THE
LINING OF THE UTERUS NOT
SHED WITH MONTHLY MENSTRUATION.

Ellen says BECAUSE OF THE HORMONE
ENVIRONMENT THAT IS PRESENT
WITH THE LACK OF OVULATION
IS AN ENVIRONMENT WHERE
THERE IS A CONSTANT
STIMULATION TO THE UTERUS
WITH OESTROGEN AND OVER A
LONG PERIOD OF TIME THAT CAN
ALTER THE LINING OF THE
UTERUS, CAN MAKE IT
PREMALIGNANT OR EVEN FRANKLY
MALIGNANT.

Maureen says THERE IS NO
SINGULAR TREATMENT FOR PCOS.
PHYSICIANS CAN ONLY TREAT
INDIVIDUAL SYMPTOMS, USUALLY
WITH MEDICATIONS THAT
AFFECTS THE HORMONES.

The caption changes to "Lori."

Lori says I FIND THE DRUG HELPS A
LOT TOO BECAUSE IT BASICALLY
MAKES YOU FEEL LIKE A PERSON
AGAIN, AS WELL.
I MEAN IT BALANCES YOUR
HORMONES BACK OUT WHERE
BEFORE THEY ARE ALL JUMBLED
UP.
AND NOTHING IS MAKING SENSE
TO ANYTHING IN YOUR BODY.

Genevieve says I KNOW FOR MYSELF GOING
ON, IT WAS LIKE A GOD SEND.
IT REALLY CHANGED A LOT OF
THINGS.
I COULD EAT NORMALLY AND NOT
WORRY ABOUT ANYTHING.
AND I HAD ENERGY AGAIN.
THAT WAS A BIG THING IS ALL
OF A SUDDEN... IT WAS LIKE
THIS BIG CLOUD WAS LIFTED
OFF.

Maureen says GOOD RESULTS
HAVE ALSO BEEN FOUND WITH
DRUGS THAT ARE OFTEN GIVEN
TO DIABETICS TO CONTROL
INSULIN LEVELS.

Ellen says SO MUCH INTEREST IS BEING
FOCUSED ON THE PRIMARY ROLE
OF HYPER INSULIN OR HYPER...
HIGH INSULIN LEVELS IN THESE
WOMEN THAT IT ALMOST SEEMS
TO BE A CENTRAL MECHANISM AS
TO WHY THEY RUN HIGH ANDROGEN
LEVELS AND WHY THEIR
OVARIES ARE NOT CYCLING.
AND THERE ARE A LOT OF
MANEUVERS NOW THAT ARE BEING
USED TO TRY TO LOWER INSULIN
LEVELS.

Maureen says STUDIES ARE BEING
CONDUCTED ON LOWERING
INSULIN LEVELS THROUGH DIET
AND EXERCISE.
ONE SUCH STUDY IS GOING ON
IN TORONTO.
DOCTOR SHEILA LORADO AT THE
UNIVERSITY OF TORONTO
FACULTY OF PHYSICAL
EDUCATION AND HEALTH.

The caption changes to "Doctor Shiela Laredo. Endocrinologist."

Shiela is in her mid-thirties, with very long curly brown hair. She wears a pink blazer.

She says THE IDEA BEHIND THE STUDY
IS THAT WOMEN WITH
POLYCYSTIC OVARY SYMPTOM
DROP HAVE A CONDITION KNOWN
AS INSULIN RESISTANCE.
AND IT IS KNOWN THAT DIET
CAN IMPROVE INSULIN
RESISTANCE IN WOMEN WITH
PCOS.
AND MAY IMPROVE SOME OF THE
SYMPTOMS.

Maureen says GENEVIEVE,
LOUISE AND LORI ARE NO
STRANGERS TO TREADMILLS AND
COTTAGE CHEESE.

Louise says IT IS THE BIZARREST
THING.
WHEN IT HAPPENED TO ME I WAS
JUST LIKE OKAY, I EXERCISE,
TONS.
I'M NOT TALKING ONCE A WEEK,
I'M TALKING THREE, FOUR
TIMES A WEEK TO KEEP MY
WEIGHT DOWN.

Genevieve says I WAS EXERCISING THREE OR
FOUR TIMES A DAY.
I WAS GETTING OBSESSED AND
IT WOULDN'T WORK.
JUST NOTHING WORKS, AT ALL.

Ellen says LOSING WEIGHT IS NOT EASY
FOR ANYONE.
AND THERE ARE SOME CONCERNS
WITH POLYCYSTIC OVARIAN
SYNDROME THAT WEIGHT LOSS
MIGHT BE DIFFICULT BECAUSE
ANDROGEN ARE BY DEFINITION
ANDROGENIC AND THAT MEANS
BULK FORMING.
YOU PROBABLY HEAR OF
ATHLETES GOING ON ANDROGENS
AND THEY BULK UP AND GAIN
WEIGHT SO THERE IS A THEORY
IT MIGHT BE MORE DIFFICULT
FOR THESE WOMEN TO LOSE
WEIGHT BECAUSE THEY RUN HIGH
ANDROGEN LEVELS.

Shiela says WE ARE TRYING EXERCISE ON
LITERATURE THAT EXISTS ON
PEOPLE WITH DIABETES, MEN
AND WOMEN.
PEOPLE WITH DIABETES ARE
KNOWN TO HAVE INSULIN
RESISTANCE AND THERE IS GOOD
EVIDENCE THAT YOU CAN BUILDS
IT IN THOSE PEOPLE USING
EXERCISE.
WHENEVER WOMEN SEE A
PHYSICIAN FOR PCO, THEY SAY
DIET AND EXERCISE AND THIS
IS WHAT THE REAL THERAPY IS
SO EVERYBODY IS TOLD TO DIET
AND EXERCISE, GENERALLY, BUT
LIFESTYLE IS REALLY GIVEN A
SHORT TRIP.
AND WE WANT TO REALLY GIVE A
QUANTITATIVE MEASUREMENT OF
HOW MUCH EXERCISE IS GOING
TO BENEFIT.

Maureen says THERE IS NO CURE
FOR POLYCYSTIC OVARY
SYNDROME BUT HAVING IT
DIAGNOSED HELPED THESE WOMEN
GAIN CONTROL.

Lori says ONCE YOU LEARN TO CONTROL
IT OR AS BEST YOU CAN, IT IS
GREAT.
BECAUSE YOU KNOW WHAT IS
WRONG.
YOU HAVE A SENSE OF EMPOWERMENT
ALMOST OVER YOUR BODY
BECAUSE YOU FINALLY
UNDERSTAND WHAT IS GOING ON
WITH IT.

Maureen says WE'VE GOT ANOTHER OF
THOSE OLD-FASHIONED DISEASE...
WHICH OF THE FOLLOWING WAS
USED AS A MEDICAL TERM FOR
BLINDNESS. ABLEPSIA, ABLEPSY or ABOPSIA.
: THE ANSWER IS COMING UP
LATER ON YOUR HEALTH.

Maureen now sits in the studio with two guests.

Maureen says WHO CAN FORGET THE
PICTURE OF SUE RODRIGUEZ
STRICKEN WITH LOU GEHRIG A
DISEASE BARELY ABLE TO
BREATHE OR TALK BUT FIGHTING
FOR HER RIGHT TO DIE.
IN THE END MISS RODRIGUEZ
GOT HER PHYSICIAN-ASSISTED
SUICIDE BUT NOT LEGALLY.
IS IT TIME FOR CANADA TO
LEGALIZE EUTHANASIA LIKE IN
HOLLAND AND OREGON.
MOIRA McQUEEN SAYS NO, SHE
TEACHES MEDICAL ETHICS AT
THE UNIVERSITY OF TORONTO.
CYNTHIA SAINT JOHN SAYS PHYSICIAN-ASSISTED SUICIDE
IS ALREADY A REALITY.
HE IS SHE IS A MEMBER OF
DYING WITH DIGNITY.
WELCOME TO BOTH OF YOU.

Moira is in her fifties, with mid-length slightly wavy blond hair in a side part. She wears a black sweater under a bright green blazer.

Cynthia is in her thirties, with long slightly wavy brown hair in a bun. She wears a brown jacket.

Maureen says WHY DO YOU SAY THAT DOCTORS
IN CANADA ARE ALREADY
HELPING TERMINALLY ILL
PATIENTS DIE EVERY DAY.

The caption changes to "Cynthia Saint John. Dying with Dignity."

She says BECAUSE WE KNOW IT IS
HAPPENING.
WE ARE HEARING FROM
FAMILIES.
WE ARE HEARING FROM
INDIVIDUALS WHO ARE DYING
INDICATING THAT THEY HAVE
SECURED THE HELP OF THEIR
PHYSICIAN IN HAVING A
PHYSICIAN ASSISTED DEATH.
THE PROBLEM, OF COURSE BEING
IS WHEN IT IS NOT LEGAL, YOU
DON'T HAVE MONITORING IN
PLACE, YOU DON'T HAVE ANY
EVALUATION OF THE SYSTEM IN
PLACE AND SO THAT IS WHY.
IT IS NOT OKAY TO JUST LEAVE
IT UP, IT IS ALREADY
HAPPENING.

Maureen says ARE YOU AWARE OF THIS
UNDERGROUND EUTHANASIA GOING
ON.

The caption changes to "Moira McQueen. Medical Ethicist."

Moira says IT IS HAPPENING.
I THINK THAT IS WHAT BROUGHT
THE WHOLE TOPIC TO THE
SURFACE.
CYNTHIA POINTS OUT IT IS NOT
LEGAL AND MY SIDE OF THE
STORY IS THAT THERE IS GOOD
REASONS WHY IT IS NOT LEGAL.
AND THAT OF COURSE, IS WHAT
THE WHOLE DEBATE IS REALLY
ALL ABOUT.
SO MY QUESTION IS I DON'T
THINK IT SHOULD BE LEGALIZED,
I'M NOT SAYING BUT IN
PRINCIPLES THIS QUESTION OF
HAVING A PHYSICIAN HELP
SOMEONE TO DIE GOES SO
CONTRARY TO WHAT MOST OF US
EXPECT FROM OUR PHYSICIANS.
MOST OF US THINK OF
PHYSICIANS AS PEOPLE WHO
HEAL, PEOPLE WHO CURE.
PHYSICIANS ARE PEOPLE WHO
HELP US WITH LIFE.
AND TO SOMEHOW ASK THE
MEDICAL PROFESSION TO TURN
INTO HELPERS OF DEATH SEEMS
TO ME TO BE CHEATING A
SOCIETY THAT IS VERY
DIFFERENT FROM THE ONE WE
ACTUALLY LIVE.
IN AND I'M NOT REALLY
CONVINCED IT THAT THAT IS
WHAT THE WHOLE OF SOCIETY
WOULD ACTUALLY GO FOR GIVEN
THE OPPORTUNITY TO DECIDE
THAT WAY.
AND I THINK THIS WHOLE
QUESTION ABOUT TRUST IN
PHYSICIANS IS ABSOLUTELY
CRUCIAL.
I THINK THE QUESTIONS THAT
IT RAISES IN TERMS OF JUST
BEING FEARFUL OF ONE'S
PHYSICIAN AT A CERTAIN STAGE
IN LIFE, THAT WHOLE SPECTER
OF THIS PERSON IS MAYBE A
DIFFERENT IDEA OF WHAT I
SHOULD BE DOING.

Maureen says DOES VERY THE RIGHT TO
DECIDE WHEN IT IS TIME FOR
ME TO DIE, WHAT ABOUT THE
CONCERNS THAT MOIRA RACES.

Cynthia says I DON'T THINK THE
PHYSICIAN HAS THE RIGHT TO
DETERMINE WHEN I AS A
PATIENT WANT TO DIE.
I THINK IT IS COMPLETELY A
PATIENT'S CHOICE.
THE CONCERN THAT DYING WITH
DIGNITY HAS AND THAT A LARGE
PORTION OF CANADIANS HAVE IS
THAT EVERY INDIVIDUAL DEFINES
DIGNITY DIFFERENTLY.
DIGNITY FOR ME IS DIFFERENT
THAN DIGNITY FOR SOMEBODY
ELSE.
AND SOME PEOPLE DEFINE
DIGNITY IN DEATH BY CHOOSING
THE TIME AND MANNER OF THEIR
DEATH.
AND WHAT WE ARE SUGGESTING
IS THAT FOR A SELECTED FEW,
A CAREFULLY MONITORED SYSTEM
INCLUDING PHYSICIAN ASSISTED
DYING MUCH LIKE WHAT IS
HAPPENING IN OREGON RIGHT
NOW BE IMPLEMENTED TO ALLOW
THOSE INDIVIDUALS TO CHOOSE
THE TIME AND MANNER OF THEIR
DEATH.
IT COMES DOWN TO A
LOT MORE THAN PAIN CONTROL
IT IS ABOUT AUTONOMY, ABOUT
SELF-CONTROL, IT'S ABOUT
QUALITY OF LIFE.
AND IN DYING WITH DIGNITY'S
CASE, THOSE GUIDELINES WHERE
THEY SEE IT LEGALIZED WOULD
INCLUDE, OBVIOUSLY THAT THE
INDIVIDUAL BE ALREADY
DIAGNOSED TERMINALLY ILL, ET
CETERA, ET CETERA.

Maureen says THOSE WOULD BE THE
PARAMETERS LIKE THEY HAD IN
OREGON.
HOW MANY PEOPLE HAVE CHOSEN
PHYSICIAN-ASSISTED SUICIDE
UNDER THE OREGON LAW.

Cynthia says IN THE DIGNITY ACT IN
OREGON 16 INDIVIDUALS CHOSE
PHYSICIAN ASSISTED DEATH IN
1998.
AND IN 1999, 27 INDIVIDUALS
CHOSE PHYSICIAN ASSISTED
DEATH.
NOW WHAT THAT MEANS IS THAT
THEY FILLED THE PRESCRIPTION,
I THINK IT WAS 32 WHO FILLED
THE PRESCRIPTION IN 1999
WITH 27 ACTUALLY TAKING THE
MEDICATION THAT ENDED THEIR
LIFE.
AND WHAT OREGON HAS
REAFFIRMED AS OF THIS POINT,
ANYWAY, THAT IN A REVIEW OF
ALL OF THE CASES THERE HAS
BEEN NO ABUSE TO BE FOUND.
SO THAT IS IMPORTANT TO
KNOW.

Maureen says IS THAT YOUR
UNDERSTANDING.

Moira says I'M NOT ACTUALLY SURE HOW
ABUSE IS DEFINED AND HOW IT
IS MONITORED, EVEN IN OREGON
IT IS A VERY INTERESTING
SITUATION BECAUSE SO MANY OF
THE OTHER STATES HAVE
OBVIOUSLY BEEN CONSIDERING
THIS TOO.
AND NONE OF THEM IS RUSHING
TO FOLLOW IN OREGON'S
FOOTSTEPS AND AGAIN THAT
RAISES AN ABUSE CONCERNS,
BOTH SOCIAL AND ETHICAL
QUESTIONS ABOUT WHAT IS
GOING ON THERE THAT IS
MAKING PEOPLE HESITATE.
OREGON IS VERY INTERESTING
IF YOU LIKE AS AN EXPERIMENT
JUST TO SEE WHAT DOES GO ON.
BECAUSE IT IS ONE THING TO
SAY THAT WE KNOW WHAT WILL
HAPPEN.
BUT ONLY TIME USUALLY TELLS
WHETHER IT IS IN TERMS OF
USE OR PERSUADING PEOPLE
THAT IT IS THEIR TIME TO
DIE.
I WAS REALLY INTERESTED IN
WHAT YOU WERE SAYING ABOUT
RIGHTS AND AUTONOMY AND
QUALITY OF LIFE.
BECAUSE I THINK, I EVEN LIKE
THE DYING WITH DIGNITY MOTTO,
LOGO BECAUSE THAT IS EXACTLY
WHAT I SAY TOO.
MUCH COURSE DYING WITH
DIGNITY, I WISH IT WERE A
RIGHT.
I WOULD LIKE TO SEE IT AS A
RIGHT BUT I THINK JUST
INHERENTLY PEOPLE ALL
DESERVE TO DIE WITH DIGNITY.
I THINK IT IS A NATURAL
RIGHT.
I THINK IN FACT WE ALREADY
HAVE IT.
AND I THINK THERE IS MANY
WAYS OF DYING WITH DIGNITY
THAT DON'T NECESSARILY
INCLUDE BEING HELPED THROUGH
DRUGS OR ANY OTHER MEANS.
THE WHOLE MEMPHIS TODAY
ESPECIALLY IN COUNTRIES LIKE
BRITAIN WHO REJECTED
LEGALIZED EUTHANASIA, THE
WHOLE MEMPHIS IS REALLY TO
STRENGTHEN PALLIATIVE CARE
AND TO EMPHASIZE HOSPICE.
I DON'T LIKE TO SEE PEOPLE
SUFFERING.
AS A FELLOW HUMAN BEING...
OUR POINT IS THAT THIS WHOLE
IDEA OF SUFFERING WHICH
SEEMS TO BE THE REAL REASON
WHY PEOPLE WANT TO END THEIR
LIFE, I DON'T THINK IT IS A
QUESTION OF AUTONOMY, NOT
REALLY.
I DON'T REALLY THINK IT IS A
QUESTION OF CHOICE.
MOST OF US ACTUALLY CHOOSE
TO LIVE BUT FACTORING IN
THIS QUESTION OF PAIN AND
SUFFERING WILL MAYBE MAKE
SOME OF US REALLY CONSIDER
WHAT EXACTLY IS THIS
DIFFERENCE BETWEEN DYING A
INTERNATIONAL DEATH, WITH
DIGNITY AND BEING HELPED.
AND I THINK WHY THERE ARE SO
MANY PATHS WITH THIS
PALLIATIVE CARE AND HAVING
PHYSICIAN MEDICATION TO MAKE
SURE THE PERSON DOESN'T
SUFFER IS NOT ONLY JUST THAT
THE PERSON DIES WITH DIGNITY
BUT FOR ME IT IS
IMPLICATIONS LIKE MYSELF,
SAY AS A CAREGIVER WATCHING
THIS PERSON, THE LESSON I'M
LEFT WITH IS MY MOTHER, IS
89.
IF SHE DECIDED THAT SHE
WOULD FIGHT TO BE ASSISTED
IN DYING, I WOULD FIND IT
DIFFICULT TO EXPLAIN TO MY
YOUNGER CHILDREN IF THEY
THEN HIT A STAGE IN THEIR
LIFE THAT THEY WERE
SUFFERING GRANNY SAID IT
WAS OKAY TO DIE BECAUSE SHE
COULDN'T UNDERSTAND THE PAIN
ANY MORE, WHY CAN'T I.

Cynthia says I THINK THERE
ARE IMPLICATIONS,
ABSOLUTELY.
BUT I THINK A COUPLE OF
THINGS.
WE KNOW FROM OREGON AND THE
INTERVIEWS OF THE
INDIVIDUALS WHO PARTICIPATED
IN THE DEATH WITH DIGNITY
ACT IT WAS ABOUT AWE DONE...
AUTONOMY, IT WAS ABOUT
CONTROL.
ONLY IN 22 percent WAS IT ABOUT
PAIN CONTROL.
AND SO I THINK THAT IS A
REALLY IMPORTANT
DISTINCTION.
AND I HAVE TO AGREE WITH MY
RA IN THAT PALLIATIVE CARE
AND QUALITY, ACCESSIBLE
PALLIATIVE CARE, GOOD
HOSPICE CARE ARE ESSENTIAL
IN THIS COUNTRY.
AND IF THAT KIND OF CARE IS
NOT HAPPENING RIGHT NOW.
WE DON'T HAVE THE BEST
PALLIATIVE CARE SYSTEM.
BUT WHAT DYING WITH DIGNITY
WANTS TO SEE IS THERE
BE A CHOICE.
BECAUSE AT THE END OF THE
DAY IF HE ONLY ALLOW IT TO
BE AN OPTION FOR INDIVIDUALS,
THAN WE HAVE SAID YOUR
TERMINALLY ILL.
YOU KNOW ARE YOU GOING TO
DIE.
AND WE DECIDED HOW ARE YOU
GOING TO DIE.
AND QUITE FRANKLY I SEE IT
AS THE LAST STAGE OF YOUR
LIFE AND TALL THROUGH LIFE
YOU MAKE PROFOUND DECISIONS
ABOUT THINGS THAT HAPPEN IN
YOUR LIFE.
AND I SEE CHOOSING AN ASSISTED
DEATH FOR THE FEW
THAT WANT THAT TO BE A
VIABLE CHOICE AND A VIABLE
OPTION THAT THEY SHOULD
HAVE.

Maureen says BUT A LOT OF
STUDIES SHOW THAT WHEN
PEOPLE SAY THEY WANT TO DIE,
ONCE THEY ARE TREATED FOR
THEIR PAIN AND DEPRESSION
THAN THEY CHANGE THEIR
MINDS.

Cynthia says WHICH BRINGS TO LIGHT THE
ABSOLUTE IMPORTANCE OF
COUNSELLING.
IN DYING WITH DIGNITY'S CASE,
IN THE DEATHS THAT I HAVE
COUNSELLED, THE COUNSELLING
DOESN'T HAPPEN OVER A DAY OR
A WEEK.
THIS IS AN ONGOING,
EXTENSIVE COUNSELLING
PROGRAMME THAT TALKS WITH
INDIVIDUALS.
ARE YOU SURE THAT IS WHAT
YOU WANT TO DO.
DO YOU KNOW ALL THE OPTIONS
AVAILABLE TO YOU.
AND IN OREGON, THREE
QUARTERS OF THE INDIVIDUALS
THAT DIED IN 1999 HAD
HOSPICE CARE.
AND THEY DIDN'T... TWO OF
THEM CHANGED THEIR MINDS,
THE REST DIDN'T AND THEY
OPTED NOT TO TAKE THE
MEDICATION.
THERE IS, I THINK THERE HAS
TO BE ROOM IN A PHYSICIAN
ASSISTED LAW, PHYSICIAN
ASSISTED DYING LAW THAT
ALLOWS FOR INDIVIDUALS TO
CHANGE THEIR MINE BECAUSE IT
DOES HAPPEN.
AND RIGHT DOWN TO THE WIRE I
SHOULD BE ALLOWED AS AN
INDIVIDUAL TO SAY NO, I
DON'T WANT TO DO THAT.

Moira says I THINK THE PROBLEM WITH
INDIVIDUALS DECIDING THAT
BUT THE QUESTION IS REALLY
ABOUT PHYSICIAN-ASSISTED
SUICIDE AND THAT MAKES A
HUGE DIFFERENCE.
WE'RE NOT JUST TALKING ABOUT
THE PERSON'S AUTONOMY TO
CHOOSE WHATEVER DEATH SHE OR
HE WANTS BUT WE ARE ACTUALLY
ASKING SOMEONE ELSE, OR A
REPRESENTATIVE FROM A WHOLE
PROFESSION THAT HAS A BODY,
THAT GOES WITH IT IN TERMS
IT OF WHAT WE ARE EXPECTED
TO DO TO BECOME INVOLVED.
THAT IS WHY EVEN THIS WORD
AUTONOMY TO ME IS A BIG
PROBLEM.
WE ALL ARE AUTONOMOUS BUT
ONLY TO A CERTAIN DEGREE IT
IS NOT ABSOLUTE.
IT IS A SOCIAL
IMPLICATION OF HOW IT
AFFECTS US IN SHAPING
SOCIETY.

Maureen says YOU HAVE 30
SECONDS TO TELL US WHY
DOCTORS NEED TO BE INVOLVED.
WHY CAN'T WE JUST LET PEOPLE
TAKE THEIR OWN LIVES HERE.

Cynthia says BECAUSE I HAVE SEEN
SELF-DELIVERANCE AND IT IS
NOT GOOD.
AT THE MOMENT WE HAVE
INDIVIDUALS COMMITTING
SELF-DELIVERANCE OF SUICIDE.
THEY ARE BOTCHED SUICIDES.
WHEN SOMEBODY IS DYING THEY
HAVE THE ABSOLUTE RIGHT TO
HAVE SUPPORT AROUND THEM.
AND PART OF THAT SUPPORT IS
KNOWING THAT THEIR EXIT FROM
THIS LIFE WILL BE A SAFE
ONE.
AND APRIL PHYSICIAN OR A
TRAINED PROFESSIONAL IS THE
ONLY INDIVIDUAL THAT CAN
ENSURE THAT.

Maureen says I WANT TO THANK YOU BOTH.
IT IS A DIFFICULT DEBATE.
THANK YOU FOR IT.

Moira says THANK YOU.

Maureen says COMING UP.

Joe says A STUDY AT THE UNIVERSITY
OF WESTERN ONTARIO SHOWED
THAT IT CAN HAVE AN
ANTI-CANCER AFFECT.
AT LEAST IN RODENTS.

Maureen says CRANBERRIES AND
CANCER PREVENTION.

The logo of the show appears.

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

Maureen says NOW SOME STORIES
FROM THE HEALTH FILES.
CANCER PARENTS WHO TREAT
THEIR DISEASE WITH SHARK
CARTILAGE CAPSULES ARE
WASTING THEIR MONEY
ACCORDING TO A DAN ANYBODY
STUDY.
17 WOMEN WITH ADVANCED
BREAST CANCER WERE GIVEN
HIGH DOSES OF SHARK
CARTILAGE FOR THREE MONTHS.
BUT THE DISEASE PROGRESSED
IN ALL BUT ONE OF THE WOMEN.
SHARK CARTILAGE HAS BEEN
SOLD AS AN ALTERNATIVE
CANCER THERAPY SINCE THE
EARLY 1990s AFTER THE
PUBLICATION OF A BOOK TITLED
SHARK, DON'T GET CANCER.

The caption on the screen changes to "Ergonomics."

Maureen says IF YOUR WORK DAY INVOLVES A
LOT OF COMPUTER USE HERE IS
SOME ADVICE.
PLACE YOUR MONITOR 15
DEGREES BELOW YOUR LINE OF
SIGHT.
AUSTRALIAN RESEARCHERS HAD
PEOPLE PUT THEIR COMPUTER
SCREENS IN DIFFERENT
POSITIONS FROM 65 DEGREES
BELOW THE LINE OF SITE TO 30
DEGREES ABOVE.
THAN THEY MONITORED BACK,
NECK AND EYESTRAIN. WHAT
THEY FOUND WAS THAT WHAT IS
EASIEST FOR THE EYE MAY BE
UNCOMFORTABLE FOR THE BACK
AND NECK AND VICE VERSA.
THE 15 degrees BELOW LINE OF SIGHT
POSITION WAS DETERMINED TO
BE THE BEST COMPROMISE.

The caption on the screen changes to "Stress."

Maureen says IF YOU ARE AN APPLE SHAPED
WOMAN MEANING YOU TEND TO
PUT WEIGHT ON AROUND THE
MIDDLE YOU MIGHT WANT TO TRY
RELAXATION TECHNIQUES TO
HELP YOU LOSE WEIGHT.
RESEARCH OUT OF THE
UNIVERSITY OF CALIFORNIA
SAYS OUR ABILITY TO HANDLE
STRESS MAY ACTUALLY SHAPE
OUR BODIES AND AFFECT OUR
RISK OF DISEASE.
IN TIMES OF STRESS THE BODY
RELEASES COURT I SOL, A
FIGHT OR FLIGHT HORMONE TO
PLAY THE ROLE IN WHERE EXTRA
POUNDS ARE DEPOSITED.
APPLE SHAPED WOMEN NOT ONLY
SECRETE MORE OF THE CHEMICAL
BUT DESCRIBE THEM SEVERS AS
FEELING MORE STRESSED OUT
THAN THEIR PEAR SHAPED
SISTERS.

The quiz appears on screen.

Maureen says HERE IS THE ANSWER TO OUR
QUIZ.
WHICH OF THE FOLLOWING WAS
USED AS A MEDICAL TERM FOR
BLINDNESS.
THE ANSWER IS ALL THREE.
DON'T ASK US WHY.

Maureen says DO YOU SERVE CRANBERRY
SAUCE WITH TURKEY DINNERS?
THAT IS FINE BUT WOMEN WHO
SUFFER FROM URINARY TRACT
INFECTIONS MAY WANT TO MAKE
CRANBERRIES A REGULAR PART
OF THEIR DIET.
HERE'S HERB EXPERT JOE
SCHWARCZ WITH THE SOUR TRUTH
ON CRANBERRY.

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 gray shirt and silver tie.

Joe says CRANBERRIES AND TURKEYS
GO VERY WELL TOGETHER.
BUT SO DO CRANBERRIES AND
PEOPLE.
WE ARE NOT TALKING ABOUT
CANNIBALISM BUT THE HEALTH
OF THE URINARY TRACT.
IT STARTS WAY BACK IN THE
1920s WHEN IT WAS NOTED THAT
CRANBERRY JUICE MADE THE
URINE VERY ACIDIC.
AND E. COLI BACTERIA WHICH
VERY OFTEN CAUSE INFECTIONS
OF URINARY TRACT WERE
THOUGHT TO BE... THE IDEA
WAS DRINK CRANBERRY JUST TO
REDUCE URINARY TRACT
INFECTIONS.
MANY LADIES TRIED IT AND
SANG THE PRAISES OF THE
CRANBERRY.
HOWEVER IT TURNS OUT THAT IT
REALLY HAS NOTHING TO DO
WITH THE ACIDITY.
CRANBERRY JUICE DOES NOT
MAKE THE URINE ACIDIC ENOUGH
TO KILL THE E. COLI BACTERIA
BUT THERE IS A MORE
INTERESTING MECHANISM OF
ACTION. THIS WAS UNRAVELLED
AFTER A 1994 HARVARD
RESEARCHERS SHOWED THAT
INDEED, YOU COULD REDUCE THE
INCIDENCE OF URINARY TRACT
INFECTIONS IN PEOPLE.
THEY LOOKED AT SOME ELDERLY
LADIES WHO DRANK A GREAT
DEAL OF CRANBERRY JUICE ON A
REGULAR BASIS AND NOTED A
DEGREES... DECREASED
INCIDENCE OF YOUR NE'ER
TRACT INFECTION.
BACTERIA STICKS TO THE
LINING OF THE URINARY TRACT
USING MOLECULES.
AND CRANBERRY CONTAINS
MOLECULES WHICH CAN
INTERFERE WITH THE RECEPTOR
SITES THAT BACTERIA USE TO
STICK TO THE LINING OF THE
URINARY TRACT SO NOW WE HAVE
AN EXPLANATION.
BUT WE ALSO HAVE A PROBLEM.
AND THE PROBLEM IS THAT
CRANBERRY JUICE IS VERY,
VERY SOUR.
IT IS VIRTUALLY UNDRINKABLE.
SO WE HAVE TO ADD SUGAR TO
IT TO MAKE IT PALATABLE.
CRANBERRY COCKTAIL IS
DILUTED WITH SUGAR ADDED.
IF YOU DON'T WANT ALL THAT
SUGAR TODAY WE CAN HAVE
CRANBERRY PILLS, DEHYDRATED
CRANBERRY JUICE AND SOME
PEOPLE SUGGEST THAT THEY
HAVE BEEN HELPED BY THAT AS
WELL.
AND INTERESTINGLY ENOUGH
CRANBERRIES MAY DO MORE
THAN JUST PREVENT URINARY
TRACT INFECTION.
A STUDY AT THE UNIVERSITY OF
WESTERN ONTARIO SHOWED IT
CAN HAVE AN ANTI-CANCER
EFFECT AT LEAST IN RODENTS.
TEST ANIMALS WERE TREATED
WITH CRANBERRY JUICE OR
CRANBERRY EXTRACT AND THAN
WERE INJECTED WITH HUMAN
BREAST CANCER CELLS IN THEIR
MAMMARY GLANDS AND IT TURNS
OUT THAT THE ANIMALS THAT
WERE PRE-TREATED WITH THE
CRANBERRY IN ITS VARIOUS
FORMS TOOK LONGER TO DEVELOP
TUMOURS.
THAT IS PRETTY INTERESTING.
SO IN THE FUTURE, ON
THANKSGIVING DAY WE MAY IN
FACT BE GIVING THANKS FOR
CRANBERRIES.

Maureen says THANKS TO YOU,
JOE.
TRANSCRIPTS OF JOE'S HERBS
ARE AVAILABLE ON OUR WEB
SITE.
GO TO WWW.TRO.ORG/YOUR
HEALTH.
IF YOU WOULD LIKE TO GET IN
TOUCH WITH US OUR E-MAIL
ADDRESS IS YOUR HEALTH AT
TVO.ORG.
OUR FAX NUMBER IS
416-484-4519.
AND OUR MAILING ADDRESS IS
YOUR HEALTH BOX 200 STATION
Q TORONTO M 4 T 2 T-1.
THAT IS OUR PROGRAMME FOR
THIS WEEK.
I'M MAUREEN TAYLOR.
THANKS FOR WATCHING.

Music plays as the end credits roll.

CEP Local 72m.

A production of TVOntario.

Copyright 2000. The Ontario Educational Communications Authority.

Watch: Show #12