Transcript: Your Health Season 3 Episode 2 | Sep 25, 2001

A slate reads "The advice given in the following program is of a general nature only. Viewers should consult their own medical professional for medical advice specific to their circumstances."

(music plays)

Against a gray background, an animated blue, green and gray grid shows clips of doctors and patients as the white letters of the title of the show fly forward: "Your Health."

Maureen says THIS WEEK...

Carl Eisener is in his late forties, with a beard and blond hair. He wears glasses and a burgundy sweater.

Carl says THE JOBS JUST BECOME TOTALLY
UNIMAGINABLE.
THERE'S JUST TOO MUCH WORK TO
DO AND IT CAN'T ALL BE DONE.

Maureen says LOTS OF APP L ICANTS AND
NOBODY FILLING THEM IN.
THE DOCTOR SHORTAGE IN CANADA.

Michael Roizen is in his mid-fifties, clean-shaven with combed black hair. He is wearing a dark gray suit, white shirt, blue tie and glasses.

Michael says IMPOTENCE AND WRINKLING OF
THE SKIN, 70 percent OF IT YOU
CONTROL.

A white book cover It reads "The Real Age Diet. Make yourself younger with what you eat. Michael F. Roizen."

Maureen says THE KEY TO A LONGER
LIFE WITH REAL-AGE DR. ROIZEN.

Paul Caldwell is in his late fifties, with a beard and receding white hair. He wears a blue shirt and dotted yellow shirt.

Paul points to a sample on a transparent container.

He says ISN'T IT AMAZING HOW
SOMETHING SO SMALL AND SOME NOT
SO SMALL CAN CAUSE SO MUCH
PAIN.
THESE ARE GALL STONES.
RIGHT NOW, ABOUT SIX MILLION
CANADIANS HAVE THEM FLOATING
AROUND IN THEIR GALL BLADDER.
THEY'RE SOFTER THAN REAL
STONES, OFTEN IRREGULAR.
TO UNDERSTAND WHY THEY FORM,
YOU NEED TO KNOW SOMETHING
ABOUT BILE.

Maureen says WHAT GALL!
DR. PAUL CALDWELL WILL MEDICAL
101.

The animated grid appears showing clips of a woman holding a baby, pills, a surgery, a needle and a man doing exercise. The title of the program reads "Your Health." The "R" in "Your" ends with an "X."
Maureen Taylor stands next to a screen in a studio. She is in her late thirties with shoulder-length light brown hair. She wears a pearl necklace and pastel orange blazer and matching shirt.

Maureen says HELLO.
I'M MAUREEN TAYLOR.
WHAT IF YOU ADVERTISED A JOB
AND NO ONE APPLIED?
YOU WOULD PROBABLY THROW IN A
FEW INCENTIVES LIKE A FREE GOLF
CLUB MEMBERSHIP AND AT 40,000
DOLLARS SIGNING BONUS.
NOW THE APPLICATIONS WILL FLOOD
IN.
BUT NOT IF THE POSITION IS FOR
A FAMILY PHYSICIAN IN RURAL
CANADA.
NONE OF THE LUCRATIVE INCENTIVE
VERSUS MANAGED TO EASE A
GROWING CRISIS IN SMALL
COMMUNITY.

The pictures of a female and a male doctor appear on the screen.

She continues THESE TWO DOCTORS ARE
PHYSICIANS IN DRYDEN, ONTARIO.
LIKE HUNDREDS OF SMALL-TOWN
DOCTORS ACROSS CANADA, THEY'RE
BEGINNING TO BUCKLE UNDER THE
WEIGHT OF A GRUELING WORK LOAD.

A clip plays.

Maureen says 8,000 PEOPLE LIVE IN DRYDEN.
A TOWN THAT BOASTS OF ITS
UNSPOILED LAKES AND NATURAL
RESOURCES.
IF YOU LOVE THE OUTDOORS AND A
QUIET SETTING, IT WOULD SEEM
THE PERFECT PLACE TO LIVE.
BUT IT'S NOT QUITE SO IDYLIC
FOR THE DOCTORS WHO PRACTICE
HERE.

Fast clips show a quiet snowy landscape and a bird flying.

Patty Van checks a patient using a stethoscope. She is in her late thirties with short dark hair. She wears a patterned doctor apron.

Patty says MY NAME IS PATTY VAN.
I'M A RURAL PHYSICIAN HERE IN
DRYDEN, WHICH MEANS I'M A FAMILY
PHYSICIAN PRACTICING WITHOUT
PHYSICIAN BACK UP.
I WORK IN THE EMERGENCY ROOM, I
DO DELIVERIES.
I TO C-SECS AND I HAVE-- ALSO
HAVE AN INPATIENT HOSPITAL
PRACTICE.

Talking to a male patient, Patty says YOU HAVE YOUR FIRST CASE OF
PNEUMONIA.

The male patient says IS THAT RIGHT?

Patty says I THINK I DO FROM LISTENING
TO YOU.

Patty sits in a living room.

Patty says WE HAVE A HUGE PEDIATRIC
POPULATION AND PATIENT WAS
MS AND PATIENT WAS DIABETES AND
PATIENT WAS LUNG DISEASE AND
PATIENT WAS CANCER.
UM, AND, UM, I MEAN, WE DO
ORTHOPEDICS.
WE'RE INVOLVED IN-- I MEAN, IT
NEVER ENDS.

Maureen says PATTY'S HUSBAND, DR. CARL E
EISNER, IS ALSO A PHYSICIAN IN
DRITED EN.
LIKE ALL RURAL DOCTORS, THEY DO
A LOT MORE THAN THEIR BIG-CITY
COUNTERPARTS.

Carl walks into a building.

Carl says HELLO.

The old woman says HI.

Carl says HAD THE DOOR OPEN FOR ME,
GREAT.
HOW IS THE ARM FEELING...

In an interview, Carl says FIRST OF ALL, I WORK IN THE
CLINIC AS A FAMILY DOCTOR.
SECONDLY, I WORK IN THE
EMERGENCY ROOM AS-- AT THE
HOSPITAL.
THIRDLY, I WORK LOOKING AFTER
INPATIENTS IN THE HOSPITAL.
AND IN OF-- MANY OF WHOM ARE
VERY ILL.
FOURTHLY, I'M INVOLVED IN THE
CHEMOTHERAPY PROGRAM.
UM, AND AS WELL AS THE
PALLITIVE CARE PROGRAM.
LOOKING AFTER CANCER PATIENTS.

At the old woman’s house, Carl checks her blood pressure.

Carl says WE'RE 111 ON 60.
PULSE AT 98.
THAT'S-- THAT'S WHAT IT USUALLY
RUNS AT.

A female police officer and Carl stand next to a police car.

The Female Police Officer says THEY REPORT, UM, TO-- THAT
HE HAD SUFFERED A HEART ATTACK.
I SPOKE TO, UM, TO THE DECEASED
WIFE.
SHE SAID THAT-- THAT THEY WERE
GETTING READY TO GO TO TOWN.

Maureen says CARL ALSO DOUBLES AS THE
TOWN'S CORONER AND CAN BE
CALLED AT ANY TIME OF DAY TO
INVESTIGATE AN UNEXPECTED
DEATH.

Patty checks a baby’s heart.

Patty says OH, YES.

Maureen says BOTH PATTY AND CARL PUT IN
LONG HOURS.
EVERY DAY, EVERY WEEK.

Talking to the baby’s mother, Patty says YOU HAVE BEEN...

Carl says WE ARE DOING ROUGHLY 12-HOUR
DAYS, THAT'S NOT COUNTING CALL.
THAT'S NOT COMMUNITYING...
COUNTING HAVING TO SEE PATIENTS
IN THE HOSPITAL MORE THAN ONCE
IN THE MORNING.
IT ALSO DOESN'T COUNT WEEKENDS.
UM, EVEN ON WEEKENDS, WHEN WE
HAVE A-- A SUPPOSED DAY OFF,
WE'RE USUALLY IN THE HOSPITAL
FOR TWO OR THREE HOURS WAY.

Maureen says THERE ARE ONLY 11 DOCTORS
SERVING 18,000 PEOPLE IN THE
REGION.
THAT'S A RATIO OF ONE PHYSICIAN
OR EVERY 1600 PEOPLE.
THAT'S MORE THAN THREE TIMES
THE PATIENTS SEEN BY DOCTORS IN
MAJOR CITIES.

A caption appears on screen. It reads "Doctor Patty Vann. Rural Physician."

Patty says ON AN AVERAGE DAY, ON THE
12-HOUR SHIFTS, WEEK SEE 40 TO
50 PEOPLE IN THE EMERGENCY ROOM
AND DURING THE WEEK IN THE
CLINIC, PROBABLY SEEING 25 TO
30 PEOPLE A DAY IN THE CLINICS
AS WELL.

The caption changes to "Doctor Carl Eisener. Rural Physician."

Carl says PEOPLE NORMALLY WOULD GO TO
THE CLINICS TO SEE THE
PHYSICIANS.
BUT NOW IF YOU PHONE TO MAKE AN
APPOINTMENT TO SEE EITHER PATTY
OR I IF YOU CAN GET IN, IF
YOU'RE LUCKY AND YOU CAN GET AN
APPOINTMENT, IT WILL BE TWO
MONTH FROM NOW.

Maureen says ALTHOUGH PATTY IS A GENERAL
PRACTITIONER, IN A SMALL TOWN
LIKE DRYDEN, SHE HAS TO ASSIST
IN THE OPERATING ROOM.
ANOTHER GP DUBLS AS THE AEN
AENESTHESTICST.
IN AN URBAN SYSTEM, NEITHER
WOULD BE DOING EITHER IN THE
LOCAL ER.

Doctors perform a surgery.

Patty says IN ORDER TO GET SPECIALISTS
NOW, IT'S VERY DIFFICULT TO GET
OUR PATIENT NOOSE WINNIPEG AND
THUBD ARE-- THUNDER BAY.
THEY'RE 300 KILOMETERS AWAY
FROM A SPECIALIST.
A LOT OF TIMES THE SPECIALIST
ARE AREN'T OR THE BEDS AREN'T
THERE EITHER.

Carl says THERE'S A SAYING FOR-- FOR,
UM, THINGS LIKE CAT SCANS AND
MRI, THE WAITING LIST IS
EXTREMELY LONG.
UM AS PATTY SAID, SOMEBODY'S
HEART SURGERY NOW, THE WAITING
LIST FOR HEART SURGERY IS VERY
LONG AND WE MANAGE THEM
MEDICALLY MUCH LONGER THAN WE
DID PREVIOUSLY.

Maureen says A POTENTIALLY DISASTROUS
SHORTAGE OF DOCTORS IS LOOMING
ACROSS THE WHOLE COUNTRY.
THERE ARE 1600 DOCTORS NEEDED
IN RURAL COMMUNITIES IN CANADA.
ONTARIO ALONE HAS 500-- 533
VACANCIES IN 100 RURAL AREAS.
AND 75 percent OF FAMILY PHYSICIANS
ACROSS THE PROVINCE ARE SO BUSY
THAT THEY'RE NOT EVEN ACCEPTING
NEW PATIENTS.

Patty and Carl take a look at forms in a hospital.

Carl says THERE ARE MANY AREAS OF THE
PROVINCE, PARTICULARLY IN RURAL
CANADA AND RURAL ONTARIO WHERE
IT'S ALREADY A CRISIS.
IT'S NOT A CRISIS IN THE
MAKING.
IT'S ALREADY HERE.

Maureen says LONG WORK HOURS AND A
GRUELING SCHEDULE TAKES A TOLL.
IT CAN LEAD TO ERROR, EVEN FOR
THE MOST DILIGENT.
THAT PUTS PATIENTS AT RISK.

Carl says THE JOBS JUST BECOME TOTALLY
UNMANAGEABLE.
TOO MUCH WORK TO DO.
IT CAN'T ALL BE DONE.
SO YOU'RE-- SO YOU'RE SKIMMING
CORNERS AND NOT DOING A PROPER
JOB IN SOME OF THE AREAS THAT
YOU KNOW YOU SHOULD BE JUST
BECAUSE YOU DON'T HAVE THE TIME
TO DO IT.

Patty performs an abdominal echography on a pregnant woman.

Patty says YOU'RE SURE OF THE DUE
DATE.

The woman says I'M PRETTY SURE.

Maureen says BECAUSE THE WORK LOAD IS SO
DEMANDING, PHYSICIAN WHO IS
WANT A MORE REASONABLE
LIFESTYLE PACK UP AND LEAVE.
WHEN THEY DO, IT MAKES THINGS
WORSE FOR THOSE LEFT BEHIND.
THEN, WHEN THE COMMUNITY TRIES
TO ATTRACT NEW PHYSICIANS TO
SHARE THE LOAD, NO ONE WANTS TO
APPLY.

Patty says THE WORK LOAD DOESN'T HAVE
TO BE.

ANITA: GREAT IF YOU HAVE
SO-- IF YOU HAVE MORE
PHYSICIANS AND PHYSICIANS SAY
THEY DON'T WANT TO COME BECAUSE
YOU'RE SO BUSY AND WE WOULDN'T
BE AS BUSY IF THEY-- IF WE HAD
MORE PHYSICIANS.

Carl says IT'S LESS EXPENSIVE.
DESPITE THE GOVERNMENT PROGRAMS
TO GET THE PHYSICIAN UP HERE,
YOU CAN MAK MORE MONEY IN A
WALK-IN CLINIC IN TORONTO AS
YOU CAN AS A RURAL DOCTOR.
YOU'LL ONLY WORK 40 HOURS A
WEEK WHILE YOU'RE DOING IT,
TOO, IN TORONTO.

A booklet reads "Come Grow with us! Dryden, Ontario. Rural Practice Opportunities."

Patty says WE HAVE BEEN LOOKING FOR
OVER TWO YEARS FOR NEW FAMILY
PHYSICIANS.
THE HEALTH UNIT HAS A LISTING
FOR A NURSE PRACTITIONER AND
BEEN UP FOR A YEAR AND-A-HALF
AND THERE HASN'T EVEN BEEN ONE
APP LISM C ANT.

Maureen says ACROSS THE COUNTRY, COMMUNE
LIKE DRYDEN HAVE REALIZED THAT
GOVERNMENTS ALONE CAN'T PUT
DOCTORS WHERE THEY'RE NEEDED
MOST SO THEY FORMED THEIR OWN
SEARCH COMMITTEES.

Citizens have a meeting in the Municipal Office.

Patty says WHAT WE'VE DONE IS WE'VE GOT
A GROUP OF CONCERNED CITIZENS
IN DRYDEN INVOLVED.
THEY CALL THEMSELVES THE DRYDEN
CARES COMMITTEE AND THEY'RE
TRYING TO HELP US WITH THE
RECRUITMENT OF PHYSICIANS.

At the meeting, Patty says THE HOSPITAL HAS TO REALIZE
THAT WITHOUT PHYSICIANS WE
WON'T HAVE A HOSPITAL IN THIS
COMMUNITY.
SO THE-- MAYBE THE PRIORITY
DOES HAVE TO SWITCH TO
RECRUITMENT AND ATTENTION OF
PHYSICIANS OR WE WON'T BE ABLE
TO RETAIN THE PRESENT LEVEL OF
CARE THAT WE'RE PROVIDING.

Maureen says ONCE THE PROVINCE DESIGNATES
AN AREA UNDER SERVICED, THERE
ARE INCENTIVES OFFERED TO TO
SWEETEN THE POT.

Patty says DRYDEN IS DESIGNATED AS
UNDER SERVICED FOR THREE MORE
FAMILY PHYSICIAN WHO IS WILL DO
EMERGENCY WORK AS WELL.
AS OFFICE PRACTICE.
AND-- AND IF A PHYSICIAN TOOK
ONE OF THOSE POSITIONS AND CAME
HERE, THEY WOULD BE ELIGIBLE
FOR THE 40,000 UNDER SERVICED
AREA GRANT OVER THE 10,000 DOLLARS
OVER THE FIRST FOUR YEARS.

Maureen says BUT IT'S NOT ENOUGH.
COMMUNITIES FIND THEMSELVES
COMPETING WITH EACH OTHER, SO
THEY OFFER PACKAGES TO LURE
HEALTH CARE WORKERS.
SIGNING BONUSESS, FREE
ACCOMMODATION, GOLF CLUB
MEMBERSHIPS, THE LIST GOES ON.

Carl says WHEN IS NANCY COMING IN?

A Female Receptionist says SHE IS GOING TO COME IN NEXT
TUESDAY I BELIEVE FOR AN...

Maureen says BUT PERKS AND PAYOFFS ALONE
WON'T SOLVE THE PROBLEM.
IT'S MORE SYSTEMIC.
EVERYTHING FROM MEDICAL SCHOOL
TO FEE FOR SERVICE NEEDS TO BE
REEXAMINED.

Carl says THE PROBLEM IS THAT WITH FEE
FOR SERVICE, YOU'RE PAID FOR
EVERY PATIENT YOU SEE.
NOW, IF YOU'RE SEEING ONLY
HEALTHY PEOPLE, YOU CAN SEE A
HEALTHY PERSON IN FIVE MINUTE.
IF YOU HAVE SOMEONE WITH SEVERE
HEART PROBLEM OR KIDNEY
PROBLEMS OR ANY ONE OF A
THOUSAND OTHER CONDITIONS,
INSTEAD OF SEEING A PERSON FIVE
MINUTES, IT MAY TAKE YOU HALF
AN HOUR.
BUT YOU'RE STILL PAID THE SAME
AS IF YOU JUST SAW THEM FOR
FIVE MINUTES.

Patty says THE BIG SOLUTION
IS JUST THE TOTAL AMOUNT OF
PHYSICIANS IN THIS PROVINCE.
WE SHOULD BE TRAINING OUR OWN
PHYSICIANS AND AN ADEQUATE
NUMBER TO SERVE THE PEOPLE OF
ONTARIO, WHETHER IT BE IN URBAN
OR RURAL AREAS AND I THINK WE
NEED TO DO SOMETHING QUICKLY
ABOUT THE NUMBER OF PHYSICIANS
THAT-- THAT ARE BEING TRAINED.

Carl says IF YOU LOOK AT THE LARGER
SOLUTIONS, UM, FIRST OF ALL,
THE MEDICAL EDUCATION HAS TO
CHANGE.
THERE HAS TO BE A GREATER
EMPHASIS ON RURAL PRACTICE.
UM, MEDICAL STUDENTS HAVE TO BE
EXPOSED TO RURAL MEDICINE IN A
VERY EARLY STAGE IN THEIR
CAREER SO IT CAN BE A-- CAN
BECOME A VIABLE CAREER OPTION
FOR THEM.

Maureen says BUT IT'S NOT ALL DRUDGERY.
THERE ARE MANY REWARDS TO BEING
A RURAL PHYSICIAN.
IF ONLY THEY HAD THE TIME TO
ENJOY THEM.

Carl, Patty and a girl fish in a frozen lake.

Carl says WE DO LIVE IN A VACATION
PARADISE.
UM, WE CAN BE CROSS COUNTRY
SKIING FROM OUR DOOR.
WE LIVE IN A NICE HOUSE ON THE
LAKE.
AND WE'RE FIVE MINUTES FROM THE
HOSPITAL.
AND IT DIDN'T COST THAT MUCH TO
BUY COMPARED TO WHAT IT WOULD
BE IN AN URBAN CENTRE
OBVIOUSLY.

Patty says AND IT'S A SAFE COMMUNE.
IT'S A COMFORTABLE PLACE TO
LIVE AND TO PRACTICE.
AND, YOU KNOW, YOUR FRIEND ARE
YOUR PATIENTS AND YOUR
COLLEAGUES.
UM, AND IT'S A REAL SENSE OF
COMMUNE IN---- AND A SENSE OF
BELONGING AND A SENSE OF
SUPPORT FROM EVERYBODY IN THE
COMMUNITY.

Carl says WE LOOK AFTER PEOPLE FROM
THE MOMENT THEY'RE BORN UNTIL
THE MOMENT THEY-- UNTIL THE
MOMENT THEY DIE N A WAY, IT'S A
GREAT PRIVILEGE TO BE INVOLVED
IN PEOPLE'S LIVES THIS WAY.

Maureen says BUT EVEN THE MOST COMMITTED
INDIVIDUALS HAVE THEIR LIMITS.
PATTY AND CARL KNOW THEY'RE
CLOSE TO REACHING THEIRS.
IF THAT HAPPENS, EVERYONE IN
THE COMMUNITY WOULD SUFFER.

Carl places a dish on an oven.

Carl says HOW DO YOU SLOW DOWN
WHEN-- HOW DO YOU CUT YOUR
HOURS BACK WHEN THERE'S NOBODY
ELSE THAT CAN PICK UP THOSE
HOURS?

Patty says WE'RE GOING HAVE TO DECIDE
AS A GROUP WHETHER WE HAVE TO
WITHDRAWAL SOME OF THE SERVICES
THAT WE ARE PROVIDING TO THE
COMMUNITY.
AND MAYBE WE'RE NOT GOING TO
ALLOW OUR PATIENTS TO HAVE THE
CHEMO HERE.
MAYBE THEY HAVE HAVE TO DRIVE
FOUR HOURS FOR THE
CHEMOTHERAPY.
MAYBE THEY'RE GOING HAVE TO...
HAVE TO GO THAT DISTANCE TO
HAVE THEIR BABIES.
I MEAN, THERE'S ONLY SO MANY OF
US AND THERE'S SO MUCH WORK TO
DO AND IF WE CAN'T DO IT, WE'LL
HAVE TO STOP PROVIDING SOME OF
THE SERVICE THAT IS SERVE THE
COMMUNITY SO WELL.

The clip ends.

(music plays)

A slate reads "Quiz. Which vitamin is essential for the absorption of calcium? 1. Vitamin D. 2. Vitamin C. 3. Vitamin E."

At the studio, Maureen says WHAT KIND OF
VEHICLE DO YOU DRIVE MOST
OFTEN?
IF IT'S A MOTORCYCLE, YOU CAN
SUBTRACT ONE AND-A-HALF YEARS
FROM YOUR LIFE EXPECTANCY.
GOT A DOG?
THAT POOCH STEPPED YOUR LIFE BY
SIX MONTH.
THESE ARE THE KIND OF QUESTIONS
DIVISED BY DR. MICHAEL ROIZEN
TO HELP DETERMINE YOUR REAL
LIFE.
NOT YOUR CHRONOLOGICAL AGE BUT
YOUR BIOLOGICAL AGE DETERMINED
MOSTLY BY YOUR LIFESTYLE
CHOICES.
AN INTERNIST BY TRADE, DR. ROI
ROIZEN WAS IN CANADA RECENTLY
TO PROMOTE HIS RECENT BOOK "THE
REAL AGE DIET."
I SAT DOWN TO TALK TO HIM WITH
HIS THEORIES ON AGING.

A clip plays.

Maureen and Michael sit at a restaurant.

Maureen says DR. ROIZEN, WELCOME.

Michael says GOOD TO BE HERE.

Maureen says GIVE US IN A
NUTSHELL YOUR CONCEPT OF REAL
AGE.

The caption changes to "Doctor Michael Roizen. Author, ‘The Real Age Diet’."

Michael says WE ALL HAVE A CALENDER AGE.
THAT'S THE NUMBER OF BIRTHDAYS
THAT WE'VE CELEBRATED.
AND WE HAVE A REAL AGE AND
THAT'S THE ACTUAL AGE OF YOUR
BODY.
YOUR BODY CAN BE MANY YEARS
OLDER OR YOUNGER THAN YOUR
CALENDAR AGE.
THE TRICK IS TO FIND OUT HOW TO
MAKE IT YOUNGER AND IT'S NOT
THAT HARD.
FOR EXAMPLE, I'M 55 CALENDAR
YEARS OF AGE.
MY REAL AGE IS ABOUT 39.
SO I'M-- I'M CONSIDERABLY
YOUNGER AND I'M AGING LESS FAST
THAN THE CALENDER IS TURNING.

Maureen says NOW, WHY WOULD I BE
INTERESTED IN PREVENTING AGING
RATHER THAN PREVENTING DISEASE?

Michael says WELL, THE GOAL IS IF YOU
PREVENT AGING, YOU PREVENT BOTH
DISEASE, BUT YOU LIVE IN A
HIGHER QUALITY OF LIFE EVERY
YEAR.
YOU HAVE THE ENERGY YOU HAD 15
YEARS AGO, OR 20 YEARS AGO ARE
OR 5 YEERGS RATHER THAN-- YEARS
AGO RATHER THAN THE ENERGY AS
NOT A GREAT AMOUNT OF ENERGY AS
YOU GET OLDER.
SO THE GOAL IS TO LIVE EACH
YEAR AT THE HIGHEST QUALITY OF
LIFE THAT YOU CAN.

Maureen says NOW, LET'S LOOK AT
SOME OF THE CATEGORIES THAT YOU
TALK ABOUT IN YOUR BOOKS THAT
HELP US, UM, PREVENT AGING.
WHAT-- WHAT'S THE NUMBER ONE
THING WE COULD ALL DO TO TAKE
YEARS OFF OF LIFE?
I MEAN, ADD YEARS TO OUR LIFE?

Michael says ONE OF THEM, STRESS IS THE
GREATEST AGEER.
AND HAVING DINNER WITH A
FRIEND, ONCE A WEEK OR TAKING A
WALK WITH A FRIEND.
OR, IN FACT , A WALK WITH A
FRIEND IS A GREAT WAY, BECAUSE
YOU GET THE BENEFITS OF BOTH
THE ASSOCIATION WITH THE FRIEND
AND THE BENEFITS OF EXERCISE.
SO TAKING LUNCH HOURS, A WALK,
30 MINUTES AT A TIME WOULD BE A
GREAT WAY OF DOING IT.

Maureen says IS THAT WHY YOU ASK
QUESTIONS, LIKE, ARE YOU
MARRIED?
AND HAVE YOU BEEN DIVORCE?
DOES THAT ALL CONTRIBUTE TO
STRESS?

Michael says EXACTLY.
SO WHILE IT CONTINUES TO RELIEF
OF STRESS.
Smiling, he continues HOPEFULLY, IN MOST OF THE
CASES.
WHETHER IT'S A RELIGIOUS GROUP
PARTICIPATION OR SOCIAL GROUP
PARTICIPATION, GATHERING OF ANY
TYPE IS A WAY OF RELIEVING
STRESS.

Maureen says ISN'T A LOT OF THIS
ALREADY BUILT INTO OUR GENES,
THOUGH?
DOESN'T THAT DETERMINE HOW LONG
WE'LL LIVE?

Michael says WELL, OUR GENE IF WE DON'T
DO ANYTHING ABOUT THEM DO
CONTROL US.
BUT THE GREAT NEWS AND WHAT
SCIENCE HAS SHOWN IS THAT 70 percent
OR MORE OF AGING, YOU CAN
CONTROL.
YOU REALLY DO CONTROL YOUR
GENES.
AND NOW WE GET OLDER BECAUSE
THE ARTERIES GET OLD AND THE
IMMUNE SYSTEM GETS OLD AND
THAT'S ASSOCIATED WITH CANCER
BUT WE HAVE ACCIDENT.
ALL OF THOSE THINGS, OF
ARTERIAL AGING, HEART DISEASE,
STROKE, MEMORY LOSS, IMPOTENCE
AND EVEN WRINKLING, THE SKIN,
70 percent YOU CONTROL.
830 percent OF THE CANCER IS
ENVIRONMENT-- 830 percent OF THE
CANCER-- 80 percent OF THE CANCER IS
ENVIRONMENTALLY CAUSED AND YOU
CAN REALLY CONTROL YOUR GENES
AND THE GREAT THING, WHETHER
IT'S WITH DIET OR THE REST OF
LIFE, IT'S NOT THAT TOUGH.

Maureen says YOU ASK ABOUT THE
BOOK AND HISTORY IN THE FAMILY
ABOUT HISTORY LIKE OVARIAN AND
BREAST CANCER AND HEART
DISEASE.
CAN YOU TALK A BIT ABOUT THE...
ABOUT WHAT THINGS WE CAN CHANGE
IN THE LIFESTYLE THAT WILL HELP
PREVENT THOSE THINGS IF THEY
ARE IN THE FAMILY.

Michael says FOR EXAMPLE, IF OSTEPOROSIS
RUN IN THE FAMILY AS YOU SAID
TO ME BEFOREHAND THEN YOU DO
THINGS THAT PREVENT OS
OSTEOPORISIS, GETTING THE RIGHT
AMOUNT OF CALCIUM D, WHETHER IN
DIET OR HEALTHY.
YOU DO EXERCISES TO MAKE THE
BONES AND MUSCLES STRONGER THAT
PREVENTS IT.
IF HEART DISEASE IS IN YOUR
FAMILY THAT, MEANS WE HAVE WHAT
YOU CALL ARTERIAL AGING, THAT'S
AGING OF THE ARTERIES.
NOW I USED TO LIVE RIGHT ACROSS
FROM THE UNIVERSITY OF CHICAGO
CAMPUS AND THERE WERE A LOT OF
PEOPLE SMOKING, ESPECIALLY
YOUNG WOMEN ON THE CAMPUS.
AND I COULDN'T RESIST GOING UP
TO THEM AND I WOULD SAY YOU'RE
SMOKING AND THAT-- THE ONE
THING THAT SMOKING DOES IS
PREDICTABLELY AGE YOUR ARTERIES
AND I SAID YOU'RE SMOKING AND
THAT AGE YOUR ARTERIES AND THAT
AGES YOUR ARTERIES AND CAUSES
HEART AND-- HEART DISEASE AND
STROKE.
AND WHAT DO YOU THINK THEY
SAID?

Maureen says WE'LL STOP LATER.

Michael says AND SMOKING GOES-- CREATES
IMPOTENCE AND AS WELL AS HEART
DISEASE AND STROKE AND MEMBERER
LOSS.
SO IF HEART DISEASE RUNS IN
YOUR FAMILY, YOU DO THINGS THAT
CAN ANTAGONIZE HEART DISEASE.
WE'RE IN A RESTAURANT THAT HAS
GREAT WINE.
IF YOU'RE-- YOU HAVE A FAMILY
WITH HEART DISEASE, AND WINE IS
GREAT FOR THE HEART.
IS SEVEN DRINKS ON A FRIDAY
NIGHT THE SAME AS ONE EVERY
NIGHT?
AND THE ANSWER IS NO.
SO IT HAS TO BE IN PACE.
AN ASPIRIN A DAY.
DOING ALL 3-COM BONE OF
PHYSICAL ACTIVITY IS ANOTHER
ONE.
JUST CHOOSING THE RIGHT FOODS
IS ONE OF THE EASIEST WAYS.
HAVING A LITTLE FAT, HEALTHY
FAT, AT THE START OF EVERY MEAL
SO YOU WANT NUTS OR OLIVE OIL
OR CANOLA OIL OR FISH OILS AT
THE START OF EVERY MEAL IS A
WAY OF KEEPING YOUR ARTERIES
MUCH YOUNGER.

Maureen asks WHY AT THE START OF
THE MEAL?

Michael replies WELL, THERE ARE FOUR REASONS
WHY HEALTHY FAT IS GOOD FOR
YOU.
THE FIRST IS THAT IF YOU HAVE
IT AT THE START OF A MEAL, IT
SLOWS YOUR STOMACH FROM
EMPTYING SO YOU DON'T EAT AS
MUCH.
SO YOU FEEL FULL LONGER.
THE SECOND IS THAT-- THAT IF
HEMS YOU ABSORB THE GOOD THINGS
IN-- IN VEGETABLES AND COLOURFUL
FRUITS AND ALL THE FOODS THAT
HAVE A LOT OF RICH NUTRIENTS IN
IT.
BECAUSE YOU NEED A LITTLE FAT
TO ABSORB THE NUTRIENTS.
SO THE GOOD STUFF THAT'S IN
TOMATOES AND, UM, AND RICH,
DEEP GREEN VEGETABLES, THOSE
DON'T GET ABSORBED WITHOUT A
LITTLE FAT BEFOREHAND.
SO IF ALL YOU DO IS HAVE A
SALAD WITH FAT-FREE SALAD
DRESSING, YOU'RE GETTING THE
CALORIES OF THE SALAD IN THE
DRESSING AND NONE OF THE GOOD
NUTRIENT AND YOU WANT A LITTLE
FAT TO HELP YOU ABSORB THE
NUTRIENTS.

Maureen says JUST A LITTLE.

Michael says HALF A TEASPOON OF FAT.
HALF A TEASPOON OF OLIVE OIL IS
PLENTY FROM THAT POINT OF VIEW.
THE THIRD THING IS THAT IT
KEEPS YOUR BLOOD SUGAR LEVEL
MORE CONSTANT.
SO BLOOD SUGAR, HIGH BLOOD
SUGAR AGES YOUR ARTERIES AGAIN.
AND-- AND IF YOU HAVE A LITTLE
FAT FIRST, IT SLOWS THE
ABSORPTION BECAUSE SUGARS
ABSORBED IN THE INTESTINE, NOT
THE STOMACH.
FOURTH REASON YOU WANT A LITTLE
HEALTHY FAT FIRST IS HEALTHY FAT
BY ITSELF HELPS KEEP THE
ARTERIES AND THE IMMUNE SYSTEM
YOUNGER.

Maureen says EVERYONE AT HOME IS
GOING BACK TO WHAT HE SAID
ABOUT THE QUALITY OF-- AND THE
ORGASMS.
YOU SAID THAT TWICE.
WHAT ARE YOU TALKING ABOUT
THERE?

Michael says WELL, MORE-- FOR MEN, IT'S
THE QUANTITY OF SEX.
FOR WOMEN, IT'S THE QUALITY.
THAT'S THE WAY THE STUDIES HAVE
BEEN DONE.
I GUESS, MULTIPLE OR GASPS
DON'T ALLOW QUANTATION AS WELL
IN WOMEN.
BUT THE MORE SEX YOU HAVE FOR
MEN AND THE HIGHER QUALITY FOR
WOMEN, THE YOUNGER YOU HAVE.
WE HAVE IT QUANATATED WELL FOR
AMERICAN MEN AND ENGLISH MEN
AND WOMEN.

Maureen says CANADIANS ARE RIGHT
IN BETWEEN...

She smiles and he laughs.

Michael says THE CANADIANS HAVE NOT BEEN
AS STUDIED.

Maureen says BUT GENERALLY HOW
OFTEN SHOULD PEOPLE HAVE SEX?

Michael says WELL, THE MORE OFTEN THE
BETTER FOR MEN.
THE HIGHER QUALITY FOR WOMEN.

Maureen says HMM.
ALL RIGHT.
WE'LL MOVE ON THEN.
YOUR DAD IS STILL ALIVE AND
HE'S, WHAT?
95 YEARS OLD?

Michael says RIGHT.
95.

Maureen says WHAT'S HIS REAL
AGE?

Michael says HIS REAL-- HIS REAL AGE IS
PROBABLY
AROUND 78
STILL.
BUT, UM, BUT... BUT IT'S-- WHEN
I WOULD-- WHEN I WAS WRITING
THE BOOK I WOULD XEROX THEM AND
HE WOULD READ THEM WITH HIS
FRIENDS AND OVER HAPPY HOUR
EVERY NIGHT THEY WOULD VOTE
OVER WHETHER THEY'RE GOINGED TO
DO SOMETHING OR NOT.
ONE DAY HE SAID I'M TO GO THE
FOLLOWING THINGS.
AND HE LISTED TEN THINGS.
I'M MINUS TEN IN WAITING TO BE
BORN.
He laughs and continues AND I SAID IT DOESN'T WORK THAT
WAY.
NUMBERS IN THE BOOK BY THE
INDIVIDUALLY-- THAT I GIVE YOU
AN ASPIRIN MAKES YOU 1.9 YEARS
YOUNGER OR FLOSSING YOUR
DISEASE AND PREVENTING
PERIDONTAL DISEASE MAKES YOU
6.4 YEARS YOUNGER AND EATING
NATIONAL MAKES YOU 4 YEARS
YOUNGER AND THAT'S IF YOU'RE
DOING NOTHING ELSE.
SO THE GOOD THINGS YOU DO, THE
LESS BENEFIT YOU GET FROM ANY
ONE BUT THE OVERALL BENEFIT.
SO YOU HAVE TO USE THE TABLES
IN THE BOOK TO FIND OUT THE
EXACT EFFECT FOR YOU.

Maureen says IN THE LAST 30
SECONDS, DR. ROIZEN, WHY DOES A
DOG EXTEND MY LIFE AND NOT A
CAT?

Michael says BECAUSE A DOG REGULARIZES
YOUR LIFE.
YOU GET UP AND WALK A DOG.
YOU DON'T WALK A CAT.
IT'S THE EXERCISE COME BONE OF
THE DOG THAT HELPS SO MESSAGE
IS WALK YOUR DOG, EVEN IF YOU
DON'T HAVE ONE.

Maureen says ALL RIGHT .
WAS GREAT.
THANKS FOR DOING.

Michael says MY PRIVILEGE.
THANK YOU.

The clip ends.

Maureen says COMING UP ON
"MEDICINE 101."..

(music plays)

In a clip, Paul says IF YOU HAVE GAL STONES, HOW
TO YOU GET RID OF THEM?

Maureen says A PEEK INSIDE YOUR GALL
BLADDER.

The opening sequence rolls again.

Now, Maureen stands next to a screen that reads "Health Digest."

Maureen says IN THIS WEEK'S
HEALTH DIGEST, NEW RESEARCH
SAYS THAT WOMEN WHO HAVE AN
EPIDERAL FOR PAIN DURING
DELIVERY ARE NOT AT HIGHER RISK
OF NEEDING A C-SECTION.

The screen shows the picture of a pregnant woman and a needle. A caption reads "C-Section."

She continues SOME PAST RESEARCH HAS FOUND A
HIGHER RISK OF C-SECTION
DELIVERY FOLLOWING AN EPIDURAL.
BUT DOCTORS AT THE NATIONAL
INSTITUTE OF CHILD HEALTH IN
THE U.S. LOOKED AT THE
C-SECTION RATE IN A MILITARY
HOSPITAL BEFORE 1993 WHEN
EPIDURALS WERE VERY UNCOMMON
THERE AND COMPARED THEM TO
RATES AFTER 1995, WHEN ABOUT 37
PORSCHE OF WOMEN RECEIVED AN
E-- ABOUT 70 percent OF WOMEN RECEIVED
AN EPIDURAL.
THEY FOUND NO HIGHER RATES OF
C-SECS.
AFTER THEY HAVE CHILDREN, WOMEN
FIND IT HARDER TO STICK TO AN
EXERCISE PROGRAM AND OVERWEIGHT
WOMEN ARE LESS LIKELY TO HIT
THE GYM, PROBABLY BECAUSE
THEY'RE ASHAMED OF THE WAY THEY
LOOK A NEW STUDY BY STATS
CANADA LOOKED AT THE REASONS
PEER ARE EITHER SEDINTARY OR
ACTIVE.

The caption on the screen changes to "Exercise." Pictures of a man’s belly and a woman’s leg appear.

She continues MEN ARE NOT HAMPERED BY FAMILY
RESPONSIBILITIES OR
EMBARRASSMENT OVER A BIG BELLY
BUT MORE LIKELY TO WORK UP A
SWEAT IF THEY CAN SCHMOOZE AT
THE SAME TIME, IN A GOLF COURSE
OR A RECREATIONAL HOCKEY GAME.
THE STUDY FOUND THAT FORMER
SMOKERS ARE MOST COMMITTED TO
STARTING AND SUSTAINING AN
ACTIVE LIFESTYLE LONG-TERM.

The caption changes to "Nicotine Gum." A picture of a form appears.

She continues SMOKEERS THAT CHEW NICOTINE GUM
TO HELP THEM QUIT MAY DO JUST
AS WELL WITH ORDINARY CHEWING
GUM A SMALL NEW STUDY IN WALES
SUGGESTS THAT-- THAT MUCH OF
THE BENEFIT FROM NICOTINE GUM
MAY BE THE SO-CALLED PLACEBO
WHERE SMOKERS FEEL BETTER AND
SMOKE LESS SIMPLY BECAUSE THEY
EXPECT THE GUM TO WORK.
RESEARCHERS LKD AT 4 A PEOPLE
THAT SMOKED LEAST-- 45 PEOPLE
THAT SMOKE AT LEAST 15
CIGARETTES A DAY.
SOME WERE GIVEN NICOTINE GUM
AND REGULAR-- REGULAR CHEWING
GUM AND THEN SOME WITH NOTHING.
THERE WAS NO DIFFERENCE BETWEEN
THE NICOTINE CRAVING INTENSITY
BETWEEN THE TWO CHEWING GUM
GROUPS AND THOSE THAT HAD
NOTHING HAD HIGHER CRAVINGS OF
THE NICOTINE.

The Quiz slate appears. The answer "1. Vitamin D" appears highlighted in yellow.

Maureen says OUR FAVOURITE FAMILY PHYSICIAN,
DR. PAUL CALDWELL, BROUGHT IN
HIS STONE COLLECTION THE OTHER
DAY.
GA L L STONE.
HERE HE IS WITH THIS WEEK'S
EDITION OF "MEDICINE 101."

Paul sits a table next to a human anatomy model.

Paul says ISN'T IT AMAZING HOW
SOMETHING SO SMALL AND SOME NOT
SO SMALL CAN CAUSE SO MUCH
PAIN.

Small brown stones and a larger yellow piece sit in two transparent containers.

Paul continues THESE ARE GALL STONES.
RIGHT NOW, ABOUT SIX MILLION
CANADIANS HAVE THEM FLOATING
AROUND IN THEIR GALL BLADDERS.
THEY'RE SOFTER THAN REAL
STONES, OFTEN IRREGULAR AND TO
UNDERSTAND WHY THEY FORM, YOU
NEED TO KNOW SOMETHING ABOUT
BFMTISM LE.
YOUR BODY NEEDS BILE TO DIGEST
FATTY FOODS.
BIL E A COMPLEX MIXTURE OF
VARIOUS COMPONENT INCLUDING OLD
RED BLOOD CELLS AND CHO L
ESTEROL AND EVER DAY, YOUR
LIVER, RIGHT HERE, PRODUCES
ABOUT A LITRE AND-A-HALF OF
BILE OR G ALL, AS IT USED TO BE
CALLED, AND SENDS IT DOWN TO
THE GA L L BLADDER, RIGHT
UNDERNEATH THE LIVER,
He points to the model and says RIGHT
HERE.
NOW, THE GALL BLADDER'S LIKE A
SMALL BAG.
IT ONLY HOLDS ABOUT 35 CC'S OF
BILE, THE BIL E STORED IN THE
GALL BLADDER-- BLADDER UNTIL
THE BODY NEEDS IT FOR DIGESTION
AND THEN THE BLADDER PUMPS.
CONCENTRATED BILE INTO THE
INTESTINE.
THE BILE HAS MOSTLY WATER AND
OTHER CHEMICALS.
AND IT'S THE BALANCE OF THESE
CHEMICALS THAT'S IMPORTANT IN
UNDERSTANDING THE FORMATION OF
BILE.
IF IT HAS TOO MUCH, AS IT
CONCENTRATES THE BILE THAT, IS
TAKES THE WATER OFF THE BILE,
THESE CHEMICALS PERCIPITAE OUT
OF SOLUTION AND HARDEN INTO
STONES.
WHEN THE GALL BLADDER CONTRACTS
WITH THE NEXT MEAL IT, GETS
STUCK AND THAT'S WHY YOU GET
THE PAIN JUST UNDER THE LIVER.
MANY OF US HAVE INHERITED A
TENDENCY FOR THICKENED BILE SO
WE'RE MORE AT RISK FOR GALL
STONES.
BUT THERE ARE OTHER CONDITIONS
THAT CAN LEAD TO GALL STONES AS
WELL.
WE THINK OF CONTROLLING OUR CHO
L ESTEROL FOR A HEALTHY HEART
BUT IT'S IMPORTANT FOR THE
PREVENTION OF GALL STONES AS
WELL F YOU HAVE GALL STONES,
HOW DO YOU GET RID OF THEM?
YOU MIGHT WONDER, WHY DON'T WE
JUST CHANGE THE CONCENTRATION
OF THE CHEMICALS IN THE BI L E?
WELL, THAT'S PRETTY HARD TO DO
AND WOULD MEAN LIFE-LONG
CHEMICAL TREATMENTS.
SO UNFORTUNATELY, THE BEST WAY
TO DEAL WITH THESE PESKY
STOPESE IS WITH SURGERY.
THE GALL BLADDER MUST BE
REMOVED AS WELL AS THE STONES
OR MORE STONES WILL SIMPLY
FORM.
DON'T WORRY, YOU CAN LIVE
WITHOUT OUR GALL BLADDER.
THE BILE GOES DIRECTLY INTO THE
SMALL INTESTINE.
YOU MAY HAVE TO LIVE WITH A
LITTLE DIARRHEA.
FORTUNATELY, REMOVING THE GALL
BADER IS FAIRLY ROUTINE THESE
DAYS.

Maureen says DR. CALDWELL'S LECTURE ARE
AVAILABLE ON OUR WEBSITE:

The caption changes to "www.tvo.org/yourhealth."

Maureen continues BEFORE WE GO , A LOOK AT ONE OF
THE STORIES WE'LL HAVE NEXT
WEEK:

A male doctor says WE HAVE OBJECTIVE EVIDENCE
THAT IMPROVING THICKNESS IS A
VERY, VERY IMPORTANT
INDEPENDENT PREDICT FOR OF
SURVIVAL AFTER A BY-PASS, UM,
AFTER A HEART ATTACK AND AFTER
A DIAGNOSIS.

Maureen says AFTER THE HEART ATTACK.
HOW CARDIO REHAB WORKS.
THAT'S OUR PROGRAM
FOR THIS WEEK.
I'M MAUREEN TAYLOR.
THANKS FOR WATCHING.

(music plays)

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

Logo: CEP Local 72m.

A production of TVOntario. Copyright 2001, The Ontario Educational Communications Authority.

Watch: Your Health Season 3 Episode 2