Transcript: Your Health Season 3 Episode 6 | Oct 30, 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…

Peter is in his late twenties, with a short goatee and brown hair. He wears a gray shirt.

Peter says FOR THE FIRST COUPLE OF
YEARS, I DIDN'T TELL ANYBODY.
I GUESS IT WAS A SENSE OF
SHAME INVOLVED.

Maureen says CHROHN'S, THE
PAINFUL DISEASE THAT DARE NOT
SPEAK ITS NAME.

Donald Low is in his sixties, clean-shaven with receding gray hair. He wears glasses, dark gray suit, light blue shirt and dotted blue tie.

Donald says IF YOU GO INTO ANY
SUPERMARKET, YOU'LL HAVE NO
DIFFICULTY FINDING BACTERIA IN
CHICKEN AND BEEF THAT IS
THERE.
IF THAT IS RESISTANT, YOU MAY
EAT IT.

Maureen says FARMING AND
ANTIBIOTICS.

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

Paul says EVER WAKE UP WITH YOUR
HAND NUMB?
FEELS LIKE IT'S ASLEEP?

Maureen says OUR DOCTOR GETS
ON YOUR NERVES.

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 light gray jacket and cream scarf with orange details.

Maureen says IT'S DISEASE NO
ONE WANTS TO TALK ABOUT, OR
ADMIT YOU HAVE, YOU DON'T
MENTION DIE REYEAH IN POLITE
COMPANY.
PERHAPS NOW THAT THERE IS A
NEW DRUG THERAPY, KREENS
DISEASE WILL COME OUT OF THE
CLOSET.

The screen shows a picture of an old man next to a boy and a young ma.

She continues THREE MEMBERS OF A FAMILY HAVE
LIVED MOST THEIR LIVES WITH
CHROHN'S DISEASE, SHARING IN
THE PAIN AND IS SHAME.

A slow-motion clip shows a man being punched in the stomach.

xxx says I WAS VOMITING CONSTANTLY.
CRAMPS THAT WOULD CAUSE YOU TO
DOUBLE OVER.
IT WAS LIKE SOMEBODY HAD
REACHED INTO YOUR GUT AN WAS
JUST... GRABBED YOUR
INTESTINES AND WAS SQUEEZING,
PULLING, TWISTING.

Doug is in his mid-thirties, with a goatee and graying black hair. He wears a blue plaid shirt.

Doug says I CAN REMEMBER WHAT IT WAS
LIKE TO BE DOUBLED OVER IN THE
WASH ROOM AND SORT OF RIDING
THE WAVES.
AT THE TIME, TRYING TO
VISUALIZE WHAT WAS GOING ON
INTERNALLY, WHAT WAS CAUSING
THIS.

Mr. Moorhouse is in his late sixties, clean-shaven with receding white hair. He wears glasses and a light shirt.

Anson says AT ITS WORST, IT'S CHRONIC
DIE REYEAH, WITH A NEED TO GO
TO THE WASH ROOM, 15 TO 0
MINUTES, 24 HOURS A DAY.

Maureen says HE WAS FIRST
DIAGNOSED WITH CHROHN'S
DISEASE IN HIS 20s.
BOTH OF HIS SONS WERE ONLY 17
WHEN THEY FELT THE SYMPTOMS.
FOR A TEENAGED BOYS, IT WAS
EMBARRASSING.

A caption appears on screen. It reads "Peter Moorhouse."

Peter says FOR THE FIRST COUPLE YEARS,
I DIDN'T TELL ANYBODY.
I GUESS IT WAS A SENSE OF
SHAME INVOLVED.
HADN'T COME TO TERMS WITH THE
FACT, OKAY, THIS IS A SERIOUS
KRCHB.
I STILL FELT IN MY MIND TO A
CERTAIN DEGREE... BECAUSE MY
DAD HID HIS PAIN, I HAD STILL
THE MENTALITY THAT ALL IT IS
IS AN UPSET STOMACH.
YOU GO TO THE BATHROOM A LOT
AN THAT IS IT.
HADN'T ACCEPTED THE FACT THAT
IT'S A SERIOUS, CHRONIC
CONDITION.

Maureen says BY DEFINITION,
CHROHN'S DISEASE IS
INFLAMMATION ALONG ANY PART OF
THE GAS TRO INTESTINE AL TRACT
FROM BEGINNING TO END.
PEOPLE WITH CHROHN'S DI degrees...
CHROHN'S DISEASE HAVE
FLAREUPS.

The caption changes to "Doctor Hillary Steinhart. Gastroenterologist." He is in his late thirties, clean-shaven with black hair. He wears glasses, a blue shirt and tie.

Hillary says THE SYMPTOMS ARE INCREASED
PAIN, MAY LOSE THEIR APPETITE,
MAY BE UNABLE TO EAT.
THEY MAY HAVE WEIGHT LOSS,
BLOOD IN THE STOOL.
THEY MAY DEVELOP AB SESZES.

Maureen says THIS DOCTOR IS
HEAD OF THE DIVISION OF GAS
TRO ENTEROLOGY IN TORONTO.

Hillary examines a male patient’s stomach at a hospital.

Hillary says PEOPLE WITH CHROHN'S
DISEASE HAVE DIFFICULTY
LEAVING THE HOUSE.
THEY CAN'T LEAVE THE HOUSE
WITHOUT KNOWING WHERE THE NEXT
BATHROOM IS.
THEY CAN'T GO ON A CAR TRIP
BECAUSE THEY DON'T KNOW WHERE
THE NEXT BATHROOM IS.
THEY HAVE TO RUN AND FIND A
TOILET.
IF THEY DON'T, THEY CAN HAVE
ACCIDENTS AND SOIL THEMSELVES.
THAT DOES HAPPEN.

Pater says THERE REALLY IS NO DIGNITY,
NO NOBILITY, TO DISEASE LIKE
CHROHN'S.
IT'S ALWAYS TO DO WITH PARTS
OF YOUR BODY TRA, FRANKLY,
NOBODY EVER TALKS ABOUT.

Maureen says DOCTORS DON'T
KNOW A LOT ABOUT CHROHN'S.
IT'S AN OUT TO IMMUNE DISORDER
THAT SEEMS TO BE CAUSED BY A
GENETIC MU TAIGS.
THE MU TAIGS NEEDS TO BE
TRIGGERED BY SOMETHING,
PERHAPS A VIRUS OR BACTERIA.
IT OFTEN RUNS IN FAMILIES.
UP TO 0 PERCENT OF THE TIME.
BUT WHILE CHROHN'S SUFFERERS
MAY SHARE A GENETIC CODE, THEY
DON'T ALWAYS NEED THE SAME
TREATMENT.

A portrait photograph of the Moorhouse family appears.

Hillary says THERE ARE SOME PEOPLE WITH
MILD DISEASE THAT MAY NOT
REQUIRE ANY TREATMENT.
THIRTY PERCENT OF PEOPLE WILL
IMPROVE WITHOUT TREATMENT.
THEN THERE IS THE OTHER
SPECTRUM WHERE PEOPLE ARE VERY,
VERY SICK AND REQUIRE
AGGRESSIVE TREATMENT.

Maureen says THE PROBLEM IS,
NONE OF THE MEDICATIONS CURE
THE DISEASE.
EVENTUALLY AS MANY AS 80
PERCENT OF PATIENTS WITH
CHROHN'S WILL REQUIRE SURGERY.
DOUG HAS BEEN LUCKY,
CONTROLLING HIS SYMPTOMS WITH
DRUGS.
PETER WAS NOT SO FORTH NAT.

Pater says WHEN I WENT INTO THE
HOSPITAL WAS SUPPOSED TO BE A
MINOR RESECTION OF THAT SMALL
PORTION OF MY INTESTINE.
THEY WERE GOING TO CUT OUT
PROBABLY SIX INCHES IN THE
AREA SURROUNDING THE NARROWING
AND RESECT IT TOGETHER AGAIN.
WHAT HAPPENED IS WHEN THE...
SURGEON OPENED ME UP AND
DETERMINED THE EXTENT OF THE
DISEASE, THE ENTIRE LARGE
INTESTINE WAS SO BADLY
DISEASED, IF E HAD BEEN ABLE
TO SALVAGE WAS WHAT WAS LEFT,
I WOULD HAVE BEEN IN FOR MORE
SURGERY IN SIX MONTHS.

Maureen says EVEN AFTER
PATIENTS ENDURE INVASIVE
SURGERY TO REMOVE SOMETIMES
LARGE SECTIONS OF THEIR
INTESTINE, THERE IS STILL NO
GUARANTEES THEY WILL BE
DISEASE-FREE.

Hillary says THE OPERATION IS NOT A CURE
EITHER.
THE DISEASE CAN COME BACK IN
PARTS OF THE BOWEL THAT WERE
NOT AFFECTED BEFORE THE
SURGERY AND RESULT IN SYMPTOMS
AGAIN AFTER SOMEONE HAS HAD
SURGERY.
WE SOMETIMES SEE PEOPLE COMING
BACK FOR A SECOND, THIRD,
FOURTH OPERATION.

Peter says THE DISITUATION WAS MADE
WHILE I WAS IN SURGERY TO
REMOVE THE COLON WITH THE
EXCEPTION OF SIX INCHES AT THE
VERY END, SO I WOULD STILL
HAVE FUNCTION.

Maureen says A COMMON
MISCONCEPTION IS THEY WILL
NEED A BAG TO COLLECT WASTE.

The caption changes to "File photos."

Doctors perform a surgery.

Hillary says THERE HAVE BEEN ADVANCES.
OUR SURGEONS HERE ARE GOOD AT
CONSER TF... CONSERVING BOWEL
AND TAKING ONLY THE MINIMUM
AMOUNT REQUIRED.
FORTUNATELY, THE MAJORITY OF
PEOPLE WHO HAVE STURJRY DON'T
REQUIRE A BAG TO COLLECT THE
STOOL.

Peter says I HAD FORGOTTEN WHAT IT WAS
LIKE TO LIVE WITHOUT PAIN.
THE PAIN WAS ALWAYS THERE.
AT TIMES IT WAS ACUTE BUT IT
WAS ALWAYS IN THE BACKGROUND.
WHEN I RECOVERED FROM SURGERY,
IT WAS KIND OF A NEW
EXPERIENCE THAT I HAD TO GET
USED TO.
FOR THE FIRST TIME IN FIVE
YEARS, I WAS LIVING COMPLETELY
WITHOUT PAIN.
I COULD EAT WITHOUT FEAR OF
ANYTHING AFTERWARDS.

A close-up shot shows Peter doing abdominal crunches shirtless.

Maureen says PETER'S FATHER
ANSON WAS FACING SURGERY WHEN
HE WAS GIVEN THE CHANCE TO
PARTICIPATE IN A TRIAL FOR A
NEW TREATMENT.
THE NEW MEDICATION IS CALLED
REDICAID AND IT WAS APPROVED
FOR USE IN CANADA IN SPRING OF
2001.

Mr. Moorhouse lies in a hospital bed while a female nurse prepares an injection.

Hillary says REDICAID IS A REAL CHANGE
IN THE WAY WE THINK ABOUT
TREATMENT OF CHROHN'S DISEASE.
IT'S A MODEL FOR THE NEW WERE
BUY LODGIC THERAPIES THAT WILL
COME ONLINE OVER THE NEXT FEW
YEARS.
IT'S A SMART BOMB.
IT GOES FOR THE CENTRAL
PROTEIN THAT IS CAUSING THE
INCREASED INFLAMMATION IN THE
PATIENTS, LEAVING

Anson says BEGINNING WITH THE FIRST
INFUSION, SYMPTOMS STARTED TO
IMPROVE LITERALLY WITHIN
HOURS.
THIS IS BEEN MAINTAINED OVER
THE LAST TWO YEARS.

Hillary says THE CLINICAL TRIALS HAVE
SHOWN THAT 80 PERCENT OF THE
INDIVIDUALS GIVEN REDICAID
IMPROVE IN SERMS OF SYMPTOMS.
50 PERCENT WILL BE IN
REMISSION FOUR WEEKS AFTER A
SINGLE INFUSION.
THAT IMPROVEMENT CAN BE
MAINTAINED IN THE MAJORITY OF
PATIENTS WITH REPEATED
INFUSIONS ON A AVERAGE EVERY
EIGHT WEEKS OVER A PERIOD OF
UP TO ONE YEAR.

Maureen says FOR PATIENTS TO
REMAIN SYMPTOM-FREE, REDICAID
NEEDS TO BE GIVEN BY IV EVERY
THREE MONTHS.
BUT IT'S STILL NOT A CURE.
WITHOUT THE INFUSIONS, THE
SYMPTOMS CAN RETURN.

Anson says THERE WAS ABOUT THREE
MONTHS UNTIL THE SYMPTOMS
RETURNED.
OVER A WEEKEND.

Maureen says ANSON NEEDS
REGULAR INFUSIONS BUT IT'S
EXPENSIVE.
FOR A MAN HIS SIZE, HE NEEDS
FIVE VIALS PER TREATMENT,
1,000 DOLLARS A VIAL.
HE DIDN'T HAVE TO PAY FOR IT
WHILE HE WAS IN THE CLINICAL
TRIAL BUT NOW THAT IT'S
APPROVED, HE IS ON THE HOOK.

Anson says THERE IS THE POSSIBILITY
THAT REDICAID MAY BE OUT OF
THE QUESTION FINANCIALLY FOR
ME.
THAT IS A CONCERN.

The caption changes to "Anson Moorhouse."

Anson continues THIS SITUATION HASN'T BEEN
WITH ME LONG ENOUGH TO DIGEST
IT BUT IF REDICAID IS
IMPOSSIBLE THEN BASED ON THE
EXPERIENCE OF TWO AND THREE
YEARS AGO, I WOULD BE FACING
SURGERY AS AN ALTERNATIVE.

Maureen says KNOWING HIS GRAND
SONS IS PRONE TO THE DISEASE,
ANSON IS HOPING MORE PROGRESS
WILL BE MADE.

Doug and three boys sit on the grass.

Anson says I HAVE HOPES THAT BY THE
TIME IF THE GRANDCHILDREN IN
PARTICULAR START TO
DEMONSTRATE SYMPTOMS, THERE
WILL BE MORE PROGRESS BY THAT
TIME.
I FEEL POSITIVE.
THEY MAY INHERIT THE DISORDER
BUT I THINK THERE IS MORE HOPE
FOR THEM THAN SOME OF US.

(music plays)

A slate appears on screen. It reads "Quiz. The MMR vaccine stands for measles, mumps and…? 1. Rheumatic fever. 2. Rubeola. 3. Rubella."

Now, Maureen and a guest sit at a table.

Maureen says A LOT OF US ARE
AWARE THAT ANTIBIOTICS ARE
OVER PRE SKRIBD, LEADING TO
SUPER BUGS.
THE WORLD HEALTH ORGANIZATIONS
HAS SAID THAT PATIENTS NEED TO
STOP PRESSURING THEIR DOCK
FORCE FOR DRUGS THAT WON'T
FIGHT THE VIRUS ANY WAY.
THEY SINGLED OUT FARMERS AND
VETS FOR CONTRIBUTING TO THE
SUPER BUG PROBLEM.
DR. DONALD LOWE IS A
MICROBIOLOGIST.
WELCOME BACK.

Donald says THANKS.

Maureen says WHAT DOES FARMING
HAVE TO DO WITH ANTIBIOTIC
RESISTANCE?

The caption changes to "Doctor Donald Low. Microbiologist."

Donald says THERE IS A LONG HISTORY OF
ANTIBIOTIC USE IN AGRICULTURE.
THEY HAVE BEEN USED AS GROWTH
PROMOTERS, ADDING THEM TO THE
ANIMAL FEED ACTUALLY INCREASES
THE WEIGHT OF THE ANIMALS AND
THEREFORE THERE IS A FINANCIAL
BENEFIT.
06 OF COURSE THAT PRACTICE
REALLY GOT START MD THE OLD
DAYS WHERE REARING ANIMALS WAS
NOT DONE UNDER THE BEST OF
CIRCUMSTANCES.
THERE WAS MORE DISEASE.
BUT IT'S A TRADITION.

Maureen says SO DO THE
ANTIBIOTICS THEN GET TRANS
MILTED TO US WHEN WE EAT?

Donald says NO.
VERY CAREFUL REGULATIONS
PREVENT ANY RESIDUAL
ANTIBIOTIC BEING PRESENT IN
THE FOOD.
BUT WHAT THE ANTIBIOTICS DO IS
CAUSE RESISTANCE IN BACTERIA
THAT ARE IN THE ANIMALS THAT
CAN BE TRANSMITTED TO HUMANS.

Maureen says HOW?

Donald says THROUGH FOOD.
IF YOU GO INTO ANY SUPERMARKET,
YOU'LL HAVE NO DIFFICULTY IN
IDENTIFYING GROWING BACTERIA
IN CHICKEN, IN BEEF, THAT IS
THERE, THAT CAME FROM THE
ANIMALS.
IF THAT BACTERIA IS RESISTANT,
YOU MAY INJEST IT AND IT COULD
CAUSE DISEASE.

Maureen says THIS IS WHY THEY
SAY COOK THEY ARE ROWLY AND BE
CAREFUL WITH OTHER THINGS
THAT... HAM BURGER?

Donald says EXACTLY.
WE ALWAYS SEE IN THE SUMMER
MORE OF THE BACTERIA FROM
ANIMALS THAT CAN CAUSE US
STOMACH UPSET.
THOSE BACTERIA ARE BEING
EXPOSED TO ANTIBIOTICS IN
AGRICULTURE, LEARNING TO
BECOME RESISTANT.
WE ARE FINDING THAT PATIENTS,
IT'S MUCH MORE DIFFICULT TO
TREATMENT THEM BECAUSE THE
BACTERIA ARE RESISTANT.

Maureen says WAS THERE AN
EXAMPLE OF AN OUTBREAK IN THE
HUMAN POPULATION THEY TRACED
BACK TO THE FARM?

Donald says THERE HAS BEEN EXAMPLES IN
THE UNITED STATES WHERE THEY
HAVE SHOWN THE MOST COMMON
BACTERIA CAUSES G-I UPSET IN
HUMANS.
IT HAD DEVELOPMENT RESISTANCE
TO ANTIBIOTICS AND CAUSED
DISEASE IN HUMANS AND DIRECTLY
LINKED TO THIS RESISTANCE,
WHICH IS FOUND IN ANIMALS THAT
HAVE BEEN EXPOSED TO THESE
ANTIBIOTICS.

Maureen says I THINK I READ
THAT 70 PERCENT OF ANTIBIOTICS
THAT ARE PURCHASED AROUND THE
WORLD ARE FOR ANIMALS.

Donald says CORRECT.
WE USE ANTIBIOTICS IN
AGRICULTURE NOT ONLY AS GROWTH
PROMOTERS, IT'S USED ALSO FOR
CONCERN ABOUT AN OUTBREAK IN A
FARM THAT ANTIBIOTICS WILL BE
GIVEN ON A WIDE-SPREAD BASIS
TO ALL ANIMALS TO PREVENT THE
SPREAD OF THE DISEASE.
SOMETIMES THESE FARMS...
PEOPLE DON'T REALIZE THEY
BECOME ANIMAL CITIES.
TENS OF THOUSANDS OF CHICKEN
EXPOSED TO A LARGE AMOUNT OF
ANTIBIOTICS, THEREFORE THE
RISK OCCURS THAT RESISTANCE
WILL DEVELOP.

Maureen says THAT DOESN'T
SOUND LIKE RESPONSIBLE USE OF
ANTIBIOTICS.
YOU WOULDN'T DO THAT IN A
HUMAN SITUATION.

Donald says THERE IS A GOOD ARGUMENT TO
DO THAT BECAUSE IF A SMALL
INFECTION GETS INTO A CHICKEN
FLOCK, WHICH THEN THAT CHICKEN
FLOCK CONSISTS OF TENS OF
THOUSANDS OF CHICKENS, YOU
COULD WIPE THE FLOCK OUT.
PREVENTING THAT DISEASE, THERE
IS A GOOD STRONG ECONOMIC
ARGUMENT.
OF COURSE NOW WE ARE
RECOGNIZING THERE IS ANOTHER
SIDE EFFECT AND THAT IS THE
DEVELOPMENT OF RESISTANCE IN
THE BACTERIA.

Maureen says THE WITH-IN-OH IS
CALLING FOR PRESCRIPTIONS FOR
ANTIBIOTICS.

Donald says I THINK IT'S SOMETHING WE
ARE LOOKING AT, IS HOW CAN WE
REGULATE THE USE OF
ANTIBIOTICS IN THE INDUSTRY SO
THAT BOTH SIDES DON'T SUFFER.
ONE OF THE... ONE TAKE IS TO
ONLY USE DRUGS THAT ARE NOT
USED IN HUMANS.
THAT IS A PARTIAL SOLUTION.

Maureen asks HOW WILL THAT
HELP?

Donald replies WHAT WILL HELP IS IF THESE
ANTIBIOTICS THAT WE NEVER USE
IN HUMANS ARE USED IN
AGRICULTURE, THE HOPE IS THAT
EVEN IF RESISTANCE DEVELOPS,
IT WONGT HAVE AN EFFECT ON US.
THAT IS ONE APPROACH.
THE OTHER APPROACH IS REALLY
DO WE NEED IN THIS DAY AND AGE
WHERE WE HAVE BET TIR
AGRICULTURE PRACTICES, DO
ANTIBIOTICS REALLY PROMOTE
GROWTH?
THEY DID PROBABLY 0 YEARS AGO.
WE ARE NOT SO SURE THEY DO NOW
WHERE WE ARE BETTER STAN AURDZ
AURDZ... STANDARDS.
THOSE THINGS HAVE TO BE LOOKED
AT.
IN THE LAST FIVE TO TEN YEARS
AS THE SUPER BUGS HAVE EMERGED,
WE ARE FORCED TO LOOK AT THEM.

Maureen says LET'S TURN OUR
ATTENTION TO WHAT PEOPLE ARE
DOING TO ENCOURAGE SUPER BUGS.
WHAT DO WE KNOW ABOUT THAT?

Donald says WHAT WE KNOW IS THAT WE ARE
SEEING PROBLEMS, MAJOR
PROBLEMS, IN THE HOSPITAL
SETTING.
PATIENTS ARE SICKER THESE DAYS.
THEY ARE ON BROAD SPECTRUM
ANTIBIOTICS.
BACTERIA THAT DON'T CAUSE
DISEASE ARE CAUSING DISEASE.
THAT IS A REAL ISSUE.
YOU HAVE HEARD ABOUT IT,
ESPECIALLY IN ONTARIO,
RECENTLY IN NURSING HOMES.
IN THE COMMUNITY THOUGH, WE
ARE ALSO SEEING THE SAME
BACTERIA NA CAUSED SORE
THROATS, PNEUMONIA, MIDDLE EAR
INFECTION.
THEY ARE LEARNING HOW TO
DEVELOP RESISTANCE TO OUR
FIRST LINE ANTIBIOTICS.

Maureen says YOU MENTIONED
SORE THROATS.
I READ A STUDY THAT SAID 70
PERCENT OF ADULTS WHO WALK
INTO THE DOCTOR COMPLAINING OF
A SORE THROAT GO HOME WITH A
PRESCRIPTION FOR ANTIBIOTICS.
ISN'T A SORE THROAT VIRAL?

Donald says YES.
NOW THE HISTORY OF SORE
THROATS HAS BEEN THE MOST
COMMON CAUSE IS GROUP-A STREP,
WHICH A COMPLICATIONS IS
RHEUMATIC FEVER.
THE WAY TO PREVENT THAT IS TO
GIVE ANTIBIOTICS.
THERE ARE IT SEEMS LIKE A
RATIONAL APPROACH IF YOU COME
INTO THE OFFICE, IF YOU DON'T
KNOW WHAT THE PATIENT HAS,
GIVE THEM THE ANTIBIOTIC
BECAUSE YOU ARE CONCERNED
ABOUT RHEUMATIC FEVER.
THAT HAS DISAPPEARED REALLY.
WE HAVEN'T SEEN RHEUMATIC
FEVER SO THAT IS OUT THE DOOR.
WE HAVE TO REEDUCATE
PHYSICIANS ABOUT REALLY WHEN
DO YOU NEED AN ANTIBIOTIC.

Maureen says THE THING IS YOU
DON'T KNOW IF IT'S STREP
THROAT UNTIL YOU TAKE A
CULTURE?
MEANTIME THE PATIENT SAYS IT
HURTS.

Donald says THE PATIENT SPENT THREE
HOURS WAITING TO SEE YOU, A
COUPLE HOURS IN THE EMERGENCY
DEPARTMENT.
YOU SAY, WELL, TOMORROW WE
WILL LOOK AFTER YOU.
THERE IS DISSATISFACTION AND
THEY HAVE THE PERCEPTION
ANTIBIOTICS WILL MAKE THEM
FEEL BETTER SOONER.
WE HAVE TRIED TO CREATE PATH
WAYS TO HELP THE PHYSICIAN AS
WELL AS THE PATIENT UNDERSTAND
WHEN AN ANTIBIOTIC IS GOING TO
HELP AND WHEN IT'S NOT GOING
TO MAKE A DIFFERENCE.

Maureen says IF YOU EXPLAIN
THAT?

Donald says WHAT WE DID WAS LOOK AT THE
BEST PRE DICK TORS OF SOMEBODY
HAVING A BACTERIA IN A THROAT
THAT NEEDS A ANTIBIOTIC.
THERE IS CERTAIN THINGS, AGE,
PUSS, SWOLLEN GLANDS,
TEMPERATURE.
WHEN YOU TAKE ALL THOSE
FACTORS, PUT THEM TOGETHER
INTO A SCORE, YOU CAN MAKE A
GOOD GUESS AS TO THE LIKLIHOOD
OF WHETHER OR NOT YOU NEED AN
ANTIBIOTIC.
SO... THAT HAS BEEN VALIDATED.
NOW, THE CHEN IS TO GET THAT
OUT INTO THE DOCTOR'S OFFICE
AND GET IT USED, GET PATIENTS
TO ACCEPT IT.
THAT IS THE NEXT BIG STEP.
IT'S NOT GOING TO BE EASY BUT
IT'S A TOOL TO HELP PHYSICIANS
AND PATIENTS UNDERSTAND, YOU
KNOW, WHEN YOU DON'T NEED AN
ANTIBIOTIC.

Maureen says HELP US...
UNDERSTAND, WHAT IS THE
DANGER?

Donald says WE ARE SEEING CLINICAL
FAILURES IN PATIENTS INFECTED
WITH RESISTANT BACTERIA.
THE CLINICAL FAILURES ARE NOT
ONLY GOING TO DIRECTLY AFFECT
PATIENTS BUT IT ALSO INCREASES
HEALTH CARE COSTS SO THAT
PATIENTS HAVE TO STAY IN THE
HOSPITAL LONGER, PATIENTS HAVE
TO GO INTO THE HOSPITALS WHO
SHOULDN'T HAVE HAD TO, AS WELL
AS THE FACT THAT THEY TAKE
LONGER TO GET BETTER BUT MAY
HAVE A MORE DIRE CONSEQUENCE
SUCH AS DEATH.

Maureen says IF IT ISN'T YOU
THIS TIME, IT COULD BE NEXT
TIME.

Donald says IT'S A KEY MESSAGE.
THE ANTIBIOTIC YOU TAKE TODAY,
NEXT TIME YOU GET AN INFECTION,
THAT IS THE BEST PRE DICK TORE
YOU WILL BE INFECTED WITH A
RESIS ATTENDANT BACTERIA.
ONLY TAKE IT WHEN YOU NEED IT.

Maureen says DR. LOW, THANKS.

(music plays)

Maureen says STILL AHEAD

Paul says THE FEELING
IS STRANGE.
IT'S LIKE NUMBNESS IN YOUR
FACE WHEN YOU HAVE HAD
FREEZING AT THE DENTIST.

The opening sequence rolls again.

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

Maureen says HERE ARE THE
RECENT STORIES FROM THE HEALTH
FILES.
AN ASPIRIN A DAY IS GOOD FOR
MORE THAN THE HEART.

The screen reads "Aspirin." It shows the picture of an opened bottle of aspirins.

She continues A NEW STUDY SAYS DAILY ASPIRIN
CUTS THE RISK OF DEATH FROM
ANY CAUSE BY MORE THAN A
THIRD.
ALL OF THE PATIENTS WERE
REFERRED TO A CLINIC FOR
STRESS TESTING, ALL OF SIMILAR
AGE AND HEALTH EXCEPT FOR
ASPIRIN USE.
AFTER THREE YEARS, RESEARCHERS
FOUND THE ASPIRIN USERS HAD A
LOWER RISK OF DEATH.

The caption changes to "Ephedra." A picture shows a plant next to a logo that reads "FDA."

She continues HEALTH CANADA HAS ALREADY
WARNED CANADIANS ABOUT IT, NOW
A U.S. CONSUMER GROUP WANTS
THE FDA TO BAN E PH E DRA,
USED IN MEDICINE TO PROMOTE
WEIGHT LOSS OR BUILD MUSCLE.
HEALTH CANADA ISSUED A WARNING
ABOUT THE DRUG AFTER ADVERSE
REACTIONS CAUSED HEART ATTACKS,
STROKES, DEATH.
T DOCTORS SAY IT NEEDS TO BE
BANNED SINCE TOO MANY PEOPLE
SUFFERED STROKES OR HEART
ATTACKS FOLLOWING
INSTRUCTIONS.

The caption changes to "Ya Dan Zi." A picture of a hand holding seeds appears on the screen.

She continues PHARMACISTS STUDYING A
CHINESE HERB WERE SURPRISED TO
FIND IT MAY HELP PREVENT
CANCER IN MICE.
YEAH DAN ZI IS USED FOR WARTS.
WHEN RESEARCHERS BROKE THE
HERB DOWN, THEY FOUND THAT ONE
OF THEM WAS ABLE TO INHIBT THE
DEVELOPMENT OF CANCER IN THE
BREAST CELLS OF MICE.

The Quiz slate appears. The answer "3. Rubella" appears highlighted in yellow.

Maureen says WHEN YOUR FOOT
GOES TO SLEEP, YOU PROBABLY
THINK IT'S BECAUSE YOU CUT OFF
THE BLOOD FLOW.
HUH-UH.
THTS ALL ABOUT YOUR NERVES.

Paul sits at a table with a stethoscope, a mortar and a glass bottle on it. Behind him, a human anatomy model and a TV monitor sit on a piece of furniture.

Paul says EVER WAKE UP WITH YOUR HAND
OR ARM NUMB?
FEELS LIKE IT'S ASLEEP?
YOU MAY HAVE A TEMPORARY
IMPAIRMENT OF FUNCTION OF THE
NERVES.

The caption changes to "Doctor Paul Caldwell. Family Physician."

He continues THEY ARE COMMON BUT THEY CAN
BE DISTURBING BECAUSE THE
SYMPTOMS ARE SIMILAR TO THOSE
OF A STROKE OR HEART ATTACK.
PALSY IS A WORD FOR PARALYSIS
IN THESE, WHAT IS HAPPENING IS
THAT THE POSITION YOU ARE IN
PUTS PRESSURE ON THE NERVE.
WHILE YOU LIE THERE IN SLEEP,
THE PRESSURE IS INTERRUPTING
THE FLOW OF IMPULSES UP AND
DOWN THE NERVE.
THIS CAUSES THE SYMPTOMS OF
TINGLING AND NUMBNESS AND THE
FEELING OF WEAKNESS.
FOR EXAMPLE, IF YOU ARE
SLEEPING ON YOUR BACK WITH
YOUR ARMS ADD YOUR SIDE, YOUR
ELBOWS ARE RESTING AGAINST THE
MATTRESS, PUTTING PRESSURE ON
THE ULNAR NERVE.
THIS COMES CLOSE TO THE
SURFACE.
YOU PROBABLY KNOW IT AS THE
FUNNY BONE BUT I HAVE NEVER
FOUND IT AMUSING.
LYING ON YOUR BACK WITH THE
ULNAR COMPRESSED CAUSES THE
NERVE TO SHORT CIRCUIT.
THE FEELINGS OF DISCOMFORT
WAKE YOU UP.
IT'S PROTECTING YOU.
IT WANTS TO INTERRUPT YOU,
CHANGE POSITION, TAKE THE
PRESSURE OFF.
THE FEELING IS STRANGE.
IT'S LIKE THE SYMPTOMS OF
NUMBNESS YOU GET IN YOUR FACE
WHEN YOU HAVE HAD FREEZING AT
THE DENTIST BUT IT CLEARS
QUICKLY WHEN YOU MOVE.
ANOTHER COMMON PALSY PATTERN
IS CARPAL TUNNEL SYNDROME.
WHILE SLEEPING WE HAVE OUR
HANDS FLEXED, PUTTING PRESSURE
ON THE MEDIAN NERVE.
THIS PRESSURE CAUSES THE SAME
NUMBNESS BUT THIS TIME THOSE
FEELINGS ARE DOWN HERE WHERE
THE NERVE COMES TO THE
SURFACE.
OVER THE THUMB SIDE OF THE
PALM OF THE HAPPENED, THE
INDEX, MIDDLE AND RING
FINGERS.
THERE ARE SEVERAL OTHER
PALSIES THAT OCCUR AT NIGHT
WITH THE SAME NUMBNESS.
OF COURSE THE LOCATION OF
THESE SYMPTOMS DEPENDS ON
WHICH NERVE HAS PRESSURE ON
IT.
TONIGHT, HAVE A GOOD SLEEP.
AND TRY NOT TO GET ON YOUR
NERVES.

Maureen says FOR A TRANSCRIPT, VISIT
OUR WEBSITE:

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

Maureen says THAT IS ALL THE
TIME WE HAVE.
I'M MAUREEN TAYLOR.
THANKS FOR WATCHING.

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

(music plays)

The end credits roll.

Executive Producer, Patricia Ellingson.

Host and Producer, Maureen Taylor.

Producer, Cathy Perry.

Director, Michael Smith.

Logo: CEP Local 72m.

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

Watch: Your Health Season 3 Episode 6