Transcript: Your Health Season 3 Episode 7 | Nov 06, 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…

Carole Giggey is in her fifties with short curly brown hair. She wears glasses, a patterned brown jacket and white shirt.

Carole says I GOT TO THE POINT WHERE
FRIENDSS WERE SAYING TO ME,
HOW DID YOU GET THAT HUGE
BRUISE?
AND I WOULD SAY, THAT'S NOT
A BRUISE.
THAT IS ME.
THAT'S MY VEINS SHOWING.

Maureen says YOU'RE SO VEIN

Lance Levy is in his late forties, clean-shaven with receding white hair. He wears a gray plaid shirt.

Lance says BUT
ACUTELY, ANOREXIA OR BUT LEMIA
ARE MORE SEVERE PROBLEMS IN
THE SHORT TERM.

Maureen says ANOREXIA OR OBESITY,
WHICH THE BIGGER HEALTH
PROBLEM.

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

Holding a vertebral column model, Paul says THE PETE OF DEGENERATED
DISKS PUT PRESSURE ON THE
NERVES.

Maureen says AND DR. PAUL CALDWELL ON
DISK DISEASE.

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 pink cardigan over a matching shirt and a pearl necklace.

Maureen says THEY'RE EASY TO SPOT,
BLUE BULGES ACROSS THE LEGS
THAT LOOK LIKE OVERFLOWING
STREAMS ON A TOP GRAPHICAL
MAP.
AND ALTHOUGH VERY COAST
VEINS ARE A COSMETIC PROBLEM
THEY CAN BE PAINFUL AN
SOMETIMES DANGEROUS, THEY'RE
ALSO COMMON.
THERE ARE TREATMENTS FOR THE
MOST SEVERE CASES, BUT NONE
OF THEM IS A WALK IN THE
PARK.

The screen shows a male doctor looking down wearing a mask.

Maureen continues WHICH IS IS MY WAY OF
WARNING YOU THAT SOME OF
WHAT YOU'RE ABOUT TO SEE IS
PRETTY GRAPHIC.

A clip plays.

A close-up shot shows varicose veins on a woman’s leg.

A woman says AS I AGED, THE THEY KEPT
GROWING, BUT NOT HURTING.
THEY ARE THERE, THAT'S IT.

Another woman says SPIDERY, BLUISH AND IT
SHOWED UP.
I JUST DIDN'T LIKE THE LOOKS
OF THEM.

A young woman says MY REACTION TO THE
VARICOSE VEINS WAS, OH, MY
GOD, I'M TOO YOUNG.
I WAS DEVASTATED.

Deborah Smith is in her forties with short blond hair. She wears a purple jacket and round necklace.

Deborah says THE BLOOD VESSELS THAT
RETURN IN THE OLD USED UP
DEOXYGEN NATED BLOOD FROM
THE EXTREMITIES BACK TO THE
HEART.
THEY WORK BY HAVING VALVES,
INTERNAL VALVES THAT KEEP
THE BLOOD MOVING UPWARD AND
THE CALF MUSCLES THAT
COMPRESS THESE VEINS AND
KEEP PUSHING THE BLOOD UP.
YOU NEED THE CALF MUSCLES
PLUS THE VALVES TO KEEP THIS
UPWARD MOTION GOING.

An animation shows the process explained.

Barry Rubin stands in a hospital corridor. He’s in his mid-forties, clean-shaven with short hair. He wears black-rimmed glasses, a blue doctor apron and orange hat.

Barry says VARICOSE VEINS HAPPEN
WHEN THERE'S FLEURY OF THE
VAFLS IN THE VEINS, AND SOME
PEOPLE FOR REASONS THAT ARE
UNKNOWN, THE VALVES CAN
BECOME INCOMPETENT OR STOP
WORKING, THE BLOOD GOES
BACKWARDS SO THE VEIN IS
EXPOSED TO HIGHER PRESSURE.
AND ITEM LIKE A VICIOUS
CIRCLE.
IF ONE VALVE FAILS THERE'S
MORE PRESSURE ON THE SECOND
VALUE SNOOF.

People walk on the street.

A caption appears on screen. It reads "Doctor Deborah Smith. Ontario Vein Clinics."

Deborah says PROBABLY ABOUT
59 percent OF CASES ARE HER REDTARY
SO YOU SEE VEINS ON ONE OR
BOTH SIDES OF THE FAMILY AND
SEE THE SAME KINDS OF VEINS
SO IF THE PATIENT TELLS YOU
HER MOVER JUST HAD SMALL
VEINS YOU'RE PREDICTION IS
THIS PATIENT PROBABLY WILL
DO.
IF THERE'S AN EXTENSIVE
FAMILY HISTORY OF SURGERY
FROM VEINS YOU CAN PREDICT
THIS PATIENT IS GOING TO
HAVE MAJOR PROBLEMS.

The caption changes to "Doctor Barry Rubin. Vascular Surgeon."

Barry says FOR THE MOST PART THE
THING THAT MAKES PEOPLE HAVE
VARICOSE VEINS IS UNKNOWN.
IT'S A GENETIC
PREDISPOSITION THAT WE DON'T
UNDERSTAND.

THEY'RE STARTING TO
BOTHER ME.

Deborah checks Carole’s legs.

The doctor says RIGHT THERE.

Carole says YEAH .

The caption changes to "Carole Giggey."

Carole says ABOUT 15 YEARS AGO I
NOTICED MY VEINS WERE
STARTING TO SHOW UP ON MY
CALVES ESPECIALLY, AND I GOT
TO THE POINT WHERE FRIENDS
WERE SAYING TO ME, HOW DID
YOU GET THAT HUGE BRUISE.
AND I WOULD SAY, THAT'S NOT
A BRUISE, THAT IS ME.
THAT'S MY VEINS SHOWING UP.
AND, THE MORE THAT I GOT
COMMENTS, I THOUGHT I REALLY
SHOULD START LOOKING INTO IT,
BECAUSE I HATED TO WEAR
SHORTS.
QUITE OFTEN IF WE WERE AT A
DRESSY OCCASION WHERE I
WOULD WEAR SHORTS I WOULD
HAVE NYLONS WITH THEM TO
COVER UP THESE VEINS.

At the examination room, Deborah says CAN YOU BEND YOUR LEFT
KNEE?

Deborah says THE FIRST LINE OF
TREATMENT IS GOOD
EXAMINATION AND EDUCATION,
SO IF YOU CAN TEACH A
PATIENT THAT IT'S IMPORTANT
TO EXERCISE, AVOID STANDING.
AVOID HEAT.
ELEVATE THEIR ANKLES AT THE
END OF THE DAY, PERHAPS PUT
THEM GOOD SUPPORT HOSE
THAT'S THE FIRST THING.
IF YOU CAN TEACH THEM WHAT
THE PROBLEM IS YOU CAN TEACH
THEM THOUSAND PREVENT IT OR
SLOW IT DOWN.
THE SECOND THING MIGHT BE
THERAPY OR INJECTION
TREATMENT OF SOME OF THEIR
VEINS.
IT'S A SIMPLE TECHNIQUE.
YOU'RE INJECTING A
MEDICATION INTO A VEIN THAT.
MEDICATION IRRITATES AND
DANIELS THAT VEIN WHILE THE
VEIN WILL LITERALLY STARTS
TO THICKEN AND SEAL ON
ITSELF.
I SAY TO PATIENTS LIKE WHEN
YOU SPRAIN YOUR AN KM I'M
TRYING TO SPRAIN OR DAMAGE
THE INSIDE OF THE VEIN TO
GET IT TO SWELL.
SOME OF THOSE VEINS IF THEY
ARE SMALL ENOUGH YOUR BODY
WILL ABSORB.
OTHERS STAY UNDER SKIN BUT
THEY'RE INVISIBLE.

Carole says I DON'T MIND HAVING THE
INJECTION AT ALL.
THEY DON'T BOTHER ME.
SOME PEOPLE SAY THAT THEY
WOULDN'T LIKE TO HAVE THAT
MANY INJECTIONS.
BUT, IT REALLY DOESN'T HURT.
AND, AS FAR AS I'M CONCERNED,
THE RESULT IS WHAT LITTLE
PAIN I HAVE TO SUFFER IT'S
VERY MUCH WORTH IT.
ANKLES ESPECIALLY SEEM TO
BE BAD WITH ME AND THE BACK
OF MY CALVE AND IT DOES
DISAPPEAR.
THE MARKINGS JUST SEEM TO
FADE AWAY FOR A WHILE.

Deborah says NOTHING WORKS 100 percent.
AND IT WORKS DIFFERENTLY ON
EVERYONE.
SO, WHEN I SEE A PATIENT, I
GIVE THAT PATIENT A
PREDICTION OF WHAT I THINK
THE NUMBER OF REQUIRED
VISITS WILL BE.
SOME HAVE WONDERFUL
SENSITIVITY TO THE
MEDICATION, OTHERS ARE STUB
BORN.
SO NO ONE IS EVER PICHBLGT I
TELL OUREN PATIENTS TO
EXPECT THEY'LL HAVE AN 80 percent
IMPROVEMENT ON AVERAGE.
COST RANGE IS ANYWHERE FROM
50 TO 75 DOLLARS A
TREATMENT.
AN AVERAGE NUMBER OF
TREATMENTS INITIALLY FOR
PATIENTS WOULD BE 6 TO 8
TREATMENTS AND PATIENTS
WOULD MAINTAIN IT OVER THE
YEARS AND AGAIN THAT WOULD
DEPEND SO MUCH ON HEREDITY
AND OCCUPATION, HOW MUCH
TREATMENT THEY WOULD NEED.

As she speaks, a clip shows Deborah doing the procedure explained on Carole’s veins. A female doctor puts cotton and tape on the spots injected.

Carole says IT'S WORTH IT JUST TO
HAVE LEGS THAT LOOK A LITTLE
BIT BETTER.

During the procedure, Deborah says ONCE WE'VE GOT HER WHERE
WE WANT HER.
THERE WE GO, ALL DONE.

Deborah says IF THINGS HAVE PROGRESSED
FURTHER THAN THAT, THEY'RE
HAVING PAIN WITH THEIR LEGS.
COMPLICATIONS THAT USUALLY
IRRITATION OR ULCERATION OF
THEIR SKIN, WE MIGHT REFER
TO PATIENT TO A SURGEON OR
TRIP STRIPPING OF SOME OF
THEIR VEINS.

Barry and medical staff get ready for a surgery.

Barry says RIGHT THERE, OKAY.
THERE ARE SOME VEINS THAT
HAVE POPPED OUT.
OH, AND WE'LL USE THE 1 percent
WIDTH, PLEASE.
OKAY.
SO WHAT WE'RE GOING TO DO IS
TAKE MAKE ONE IN THE GROIN,
TO GO TO SLEEP.
THEY WILL BE MAYBE THAT
LONG.
FIND THE VEIN THAT'S NOT
WORKING.
DO THE SAME THING BELOW YOUR
KNEE.
FIND THE VEIN THAT'S NOT
WORKING.
TIE IT OFF AT BOTH ENDS,
TAKE IT OUT.
OKAY?
20 MINUTES.

Then, Barry says I HAVE A VERY SELECT
PRACTICE IN VARICOSE VEIN, I
TRY TO ONLY SEE PEOPLE WHO
HAVE VERY SIGNIFICANT
SYMPTOMS OR ULCERS IN THEIR
SKIN BECAUSE OF PROBLEMS
WITH THE VEINS.
BECAUSE THERE'S TOO MUCH
DEMAND FOR SURGICAL TIME TO
BE TREATING PEOPLE JUST FOR
COSMETIC REASONS IN A
HOSPITAL LIKE THIS.

At the surgery room, Barry says SHE'S GOT VEINS UP HERE.
OKAY, SO LOOKS LIKE SHE'S
GOT THAT'S GOING TO BE THE
MAIN VEIN.

Barry says IT'S IMPORTANT TO
UNDERSTAND THAT THE SYSTEM
TAKES TEN OR MAYBE 20 percent OF
THE BLOOD OUT OF THE LEG AND
THE DEEP VEINS THAT WE DON'T
SEE DURING THE COURSE OF
THIS OPERATION EXCEPT FOR A
SMALL PORTION OF ONE OF THEM
TAKES 80 OR 90 percent OF THE BLOOD
OUT, SO YOU CAN HAVE THAT
THING TAKEN OUT NO PROBLEM
AND IN FACT WE DO HEART
BYPASSS WITHOUT PAIN ALL THE
TIME.

Back in the surgery, Barry says YOU GET READY TO PUSH ON
THAT.
PERFECT.

An assistant presses a towel on the patient’s thigh. Barry pulls and extracts a vein. Then, he cuts it.

Barry says THEY CAN HAVE THAT VEIN
COME BACK BECAUSE IT'S GONE,
AS YOU CAN SEE.
ONCE YOU HAVE ONE VEIN YOU
CAN CLEAR YOUR GENETIC
PREDISPOSITION, SO I TELL
THAEVB I OPERATE ON, YOU
CAN'T GET THIS ONE BACK, BUT
OTHER VEINS THAT ARE NORMAL
NOW MAY BE VARICOSE IN THE
FUTURE.

Deborah says A LOT OF PEOPLE POO POO
THIS ON A VANITY THING, IT
HAS A HUGE IMPACT ON THEIR
PERSONAL LIFE.
WHEN YOU WON'T GO TO A POOL
PARTY.
WHEN YOU'RE EMBARRASSED TO
BE SEEN IN PUBLIC.
IT REALLY HAS AN BACTERIA ON
YOUR LIFE.
THAT'S ONE ONE OF THE THINGS
HERE, PATIENTS MAIL US IN
MEXICO IN A BATHING SUIT,
THINGS LIKE THAT.

Carole says I WILL PROBABLY CONTINUE
TO TREAT THEM AS LONG AS I'M
ABLE TO SIT UP AND TAKE
NOTICE OF MY LEGS.
I JUST FEEL THAT IT HELPS ME
FEEL BETTER.
HELPS ME LOOK SOMEWHAT
BETTER.
I LIKE TO BE ABLE TO PUT ON
SHORTS IN THE HOT WEATHER.
BUT I REALLY DON'T WANT
EVERYBODY SAYING, WHAT'S
WRONG WITH YOUR LEGS.

The clip ends.

Maureen says THERE ARE OTHER
TREATMENTS FOR VARICOSE
VEINS ON THE HORSE.
SOME DOCTORS ARE USING USING
THE CLOSURE PROCEDURE IN
PLACE OF TRADITIONAL
SURGICAL VEIN STRIPPING A
THIN CATHETER IS INSERT INTO
THE VEIN AND RADIO FREQUENCY
DELIVERED TO THE VEIN WALL
CAUTION TO IT COLLAPSE AND
SEAL SHUT.
DOESN'T REQUIRE A GENERAL
ANAESTHETIC AND RECOVERY
TIME IS ONE TO TWO DAYS.
CLOSURE IS NOT AVAILABLE IN
CANADA YET, WERES I SPOKE TO
HERE SAY THE LONG TERM
EFFICACY OF THE PROCEDURE
HASN'T BEEN DETERMINED, AND
THE COST OF THE EQUIPMENTED
MAKES IT EXPENSIVE.
ALL SET FOR THE YOUR HEALTH
QUIZ?
WE TALKED ABOUT AUTO IMMUNE
DISORDERS ON THE SHOW
BEFORE.

A slate reads "Quiz. Which of the following is not an autoimmune disorder? 1. Lupus. 2. Muscular dystrophy. 3. Rheumatoid arthritis."

Maureen continues THAT ANSWER LATER ON
"YOUR HEALTH."
EARLIER THIS YEAR
ONE CANADIAN NEWSPAPER
FEATURED A SPECIAL REPORT ON
RISING OBESITY IN CHILDREN.
A FEW MONTHS LATER THE MEDIA
WERE TALKING ABOUT A NEW
STUDY THAT SHOWED AN
ALARMING NUMBER OF YOUNG
GIRLS MAYBE AT RISK OF
EATING DISORDERS.
WELL, WHICH IS IT?
OBVIOUSLY BOTH ARE HEALTH
CONCERNS BUT WE WONDERED
WHERE AWARENESS AND
EDUCATION PROGRAMS SHOULD BE
FOCUSED.

Karen Leslie sits next to Maureen. She is in her late thirties with shoulder-length dark brown hair. She wears a red shirt with pink and brown patterns.

Maureen continues DR. KAREN LESLIE IS A
PEDIATRICIAN IN ADOLESCENT
MEDICINE AT THE HOSPITAL FOR
SICK CHILDREN IN TORONTO.
DR. LANCE LEVY IS A MEDICAL
SPECIALIST AND AUTHOR OF
"CONQUERING OBESITY."

An orange book sits on a table. The cover reads "Conquering Obesity."

Maureen continues WELCOME TO BOTH OF YOU.
DR. LESLIE WHAT DID THIS
STUDY TELL US ABOUT THEIR
PREVALENCE IN CANADIAN
GIRLS?

The caption changes to "Doctor Karen Leslie. Pediatrician."

Karen says WELL, I'M NOT SURE
WHETHER OR NOT THE STUDY
TOLD US A LOT THAT WE DON'T
ALREADY KNOW.
PERHAPS MAYBE TO POINT OUT
THAT SOMETIMES THE ISSUES
AND BEHAVIORS ARE STARTING
TO DRIFT DOWNWARDS TO
YOUNGER AGED YOUNG WOMEN.
BUT FOR ME THE IMPORTANT
PART OF THE STUDY WAS IT
RACED THE AWARE THANS PEOPLE
WHO ARE SEEING THESE YOUNG
PEOPLE THAT THEIR OFFICES
FOR OTHER REASONS NEED TO
REALLY BE ASKING QUESTIONS
TO TRY TO IDENTIFY YOUNG
WOMEN WHO MAY BE HAVING
EARLY THOUGHTS OR BEHAVIORS
THAT MAY PUT THEM AT RISK.

Maureen says AND YET DR. , WHEN I SEE
NEWS HEADLINES THAT SAY
ALARMING AND SCARY, APPLIED
TO THE NUMBER OF GIRLS THAT
WHO WOULD BE IDENTIFIED WITH
EATING DISORDERS, I THINK
THAT IS GOOD NICE.
WERE YOU ALARMED OR SCARED
BY THIS?

The caption changes to "Doctor Lance Levy. Medical Nutrition Specialist."

Lance laughs and says IT'S NOT NEWS BECAUSE I'M
IN THAT FIELD, AND I SEE
KIDS ADOLESCENTS TEENAGERS
WITH OBESITY AND EATING
DISORDERS.
WHAT'S DISTURBING IS THAT
THE SYMPTOMS OF EATING
DISORDER BEHAVIOR IS COMING
OUT IN EARLIER CHILDREN.
MUCH EARLIER THAN WE HANT
HAND COUNTED ON IT'S A
SERIOUS PROBLEM.
A LOT OF THESE KIDS HAVE
PRESSURE PUT ON THEM TO LOOK
A CERTAIN AGE FROM A VERY
YOUNG AGE.
GROWN YOUR STUDY LOOKED AT
SOME OF THE PROMOTERS OF
THIS BEHAVIOR BUT IT'S A
REAL PROBLEM.

Maureen says I TAKE IT IT
DIDN'T HOOK AT THOSE THINGS
BUT OVER THE YEARS WE HAD
ABOUT IDEA OF WHAT MAY
PROMPT THAT.
WE'LL GET INTO THAT A LITTLE
BIT LATER BUT I JUST WANTED
TO GET TO THE HEART OF WHICH
IS THE BIGGER PROBLEM IN OUR
CHILDREN TODAY.
WHEN IT COMES TO THEIR
EATING HABITS AND THEIR
WEIGHT.
IS IT EATING DISORDERS?
OR IS IT OBESITY.

Karen says I THINK IT'S A HARD
QUESTION WE HAVE TO SAY
WHICH IS THE BIGGER PROBLEM.
I THINK WHEN YOU LOOK AT
SORT OF OVERALL SORT OF
ACUTE ISSUES, KIDS HAVE
EFFECTS ON THEIR GROWTH AND
THEY'RE THE PROBLEMS WITH
YOUNG CHILDREN AND
ADOLESCENTS WHO BECOME
OVERWEIGHT AND ARE MORE
LIKELY TO CONTINUE INTO
ADULTHOOD AND HAVE THE
HEALTH RISKS THAT COME WITH
THAT.
THE TIMING OF THE CONCERN I
THINK IS DIFFERENT SO.
TO SAY THAT ONE IS A BIGGER
PROBLEM THAN THE OTHER.
I THINK WE KNOW THAT YOUNG
PEOPLE WHO ARE OVERWEIGHT AS
CHILDREN ARE LIKELY TO BE
OVERWEIGHT AS ADULTS AND
HAVE ALL THE HEALTH RISKS
BUT THE MORE IMMEDIATE
HEALTH RISKS TO YOUNG
CHILDREN WHO ARE GROWING IN
ADOLESCENTS COMES TO IN MY
MIND FROM THE ANOREXIA THING
THAT HAVE A MORE IMMEDIATE
EFFECT.

Maureen says BECAUSE THEY CAN BE
FATAL.

Lance says I THINK THAT'S A GOOD WAY
OF PUTTING IT.
NUMBERICALLY KIDS WHO ARE
OVERWEIGHT OR OBESE EXCEED
BY MANY MAGNITUDE THE KIDS
WHO HAD EATING DISORDERS,
PER SE.
CHILDREN AN ADOLESCENTS WHO
ARE OVERWEIGHT PERHAPS WAS
12 percent OR SO OF KIDS, A DECADE
AGO AND IT'S ABOUT 24 percent, 25 percent
NOW.
THAT'S A DOUBLING IN ROUGHLY
A DECADE.
HAVING SAID THAT, THESE KIDS
ARE MUCH MORE PRONE TO
DIABETES, AND HIGH BLOOD
PRESSURE AND ARTHRITIS AND
OTHER NASTY SIDE EFFECTS OF
OBESITY BUT TAKES YEARS FOR
THESE THINGS TO DEVELOP.
WHEREAS.

Maureen says PERHAPS NOT ARE
THEY NOT IDENTIFYING KIDSS
WITH TYPE II DIABETES MORE
SNUCHB

Lance says THEY ARE, IT'S NOT
THANK GOD A COMMON FINDING
BUT KIT HAPPEN.
WHEREAS A 12 OR 13-YEAR-OLD
WHO SHOULD BE GROWING
SUDDENLY DROPS 30 POUNDS AND
IS 5'4," AND 58 POUNDS.
THAT'S A VERY URGENT CONCERN
AS WELL.

Maureen says SURE.
SO, WE KNOW THAT OBESITY IS
A PROBLEM IN KIDS.
YOU SAID MAYBE A QUARTER OF
A CANADIAN KIDS ARE
OVERWEIGHT OR OBESE?

Lance says WELL THERE'S A
DISTINCTION IN SO FAR IN
IMMEDIATE MEDICAL RISK BUT
WE KNOW OVERWEIGHT KIDS HAVE
A VERY HIGH RATE OF BECOMING
OBESE AND BECOME OBESE
TEENAGERS WHO BECOME OBESE
ADULTS.
THE EFFECT OF OBESITY
OCCURRING SO YOUNG AS IT'S
NOW DOING IS PROBABLY GOING
TO SHOW UP WHEN PEOPLE ARE
IN THEIR LATE 30s, EARLY 40s,
WITH HEART ATTACK, STROKE,
HIGH BLOOD PRESSURE AND SO
ON, WHEREAS NOW WE TEND TO
SEE THAT A DECADE LATER
SAYING PEOPLE'S 50s AND OFS,
SO NUMBERICALLY IT'S AN
ENORMOUS BURDEN.
ENORMOUS HEALTH CARE COSTS
OF OBESITY.
NUMBERICALLY A MUCH BIGGER
PROBLEM.
BUT ACUTELY ANOREXIA OR
BULIMIA ARE MUCH MORE SEVERE
PROBLEMS IN THE SHORT-TERM.

Maureen says I HAVE A
15-YEAR-OLD DAUGHTER AND I'M
NOT WORRIED ABOUT ANOREXIA
WITH HER, WHAT I'M WORRIED
ABOUT IS THE CRAP I SEE HER
AN HER FRIENDS EATING ALL
THE TIME.
SO FOR ME IT'S A NUTRITIONAL
ISSUE.
AND HOW DO I SAY TO HER,
CHIPS, THE POP, YOU KNOW,
THE PRETZELS AND THINGS,
THAT'S NOT HEALTHY FOR YOU
WITHOUT SAYING YOU'RE GOING
TO LOOK FAT IF YOU KEEP THAT
UP.

Karen says I MEAN WHAT I THINK I SAY
TO PARENTS WHEN I TALK TO
YOUNG PEOPLE IN SCHOOLS,
WHEN WE TALK ABOUT EATING.
I THINK THE BOTTOM LINE IS
THERE AREN'T ANY BAD FOODS
TOO MUCH OF CERTAIN FOODS
ARE NOT GOOD FOR YOU.
SO IT'S REALLY A BALANCE.
NO ONE GOING TO BECOME
UNHEALTHY EATING A BAG OF
CHIPS EVERY NOW AND THEN BUT
IF THEY'RE CONSISTENTRY
RELYING ON PROCESSED FOODS
NIGH FAT AND SALT AND THAT
OVERALL THE ENERGY THEY'RE
TAKING IN IS MORE THAN THE
ENERGY THEY'RE PUTTING OUT.
I THINK IT'S A BALANCE OF
LOOKING AT EATING A VARIETY
OF FOODS.
THAT REALLY NOT TO GIVE OUR
KIDS MESSAGES THAT THAT'S
BAD FOR YOU NECESSARILY, BUT,
THE MESSAGE THAT YOU NEED
FUEL FOR YOUR BODY.
YOU NEED TO BE SELECTIVE
ABOUT WHAT YOU'RE PUTTING IN
YOUR BODY AND THEN YOU HAVE
TO BALANCE IT BY HAVING SOME
EXERCISE AND I THINK THAT'S
SOMETIMES THE PIECE THAT
GETS MISSED THAT WE FOCUS
TOO MUCH ON THE FOOD AND
DON'T LOOK AT THE LIFESTYLE.

Lance says TAKING OFF FROM THAT GOOD
POINT IS PARENT ALSO BRING
IN A CHILD AND SAY, YOU KNOW
LITTLE JIMMY NEEDS FIXING.
LITTLE JIMMY IS OVERWEIGHT.
YOU LOOK AT THE TWO PARENTS
AND THEY'RE BOTH 40 POUNDS
OVERWEIGHT AND.

Karen says SOMEONE IS GROCERY
SHOPING FOR THE HOUSEHOLD
AND IT'S PROBABLY NOT SCIMMY.

Lance says IN ADDITION, THE IDEA OF
PRESENTING A GOOD ROLE MODEL
YOUR TEENAGER IS JOB NUMBER
ONE.
YOU CAN'T BE SAYING TO HER
YOU SHOULDN'T BE HAVING
THOSE CHIPS AND YOU SHOULD
EAT YOUR BREAKFAST WHEN YOU
PERHAPS DON'T, YOU KNOW.

Maureen says BUT STUDIES INTO
THE CALLS OF ANOREXIA
SOMETIMES BLAME THE MOTHER
FOR COMMENTING TOO OFTEN, I
REALLY IMMEDIATE TO LOSE
WEIGHT.
I SHOULD GO ON THAT DIET.
I MEAN WHAT'S WRONG WITH
ACKNOWLEDGING THAT I NEED TO
LOSE WEIGHT AND MAYBE SO DO
MY CHILDREN.

Karen says IT DEPENDS ON WHETHER OR
NOT YOU NEED TO LOOSE WEIGHT
OR NOT.
THAT'S THE BAR, YOU KNOW, I
THINK WE HAVE TO LOOK AT.
IF SOMEBODY IS OVERWEIGHT,
DANGEROUSLY SO, OR YOU KNOW
HEALTHWISE, SO, THEN ITEM
NOT UNREASON TO BELIEVE
MODEL FOR YOUR KIDS.
I NEED TO BE HEALTHIER.
EAT BETTER AND EXERCISE
MORE.
FOR THE PERSON WHO IS THE
AVERAGE WOMAN WHO IS NOT
SIGNIFICANTLY OVERWEIGHT
PERHAPS BUT WHO FEELS HER
BODY IMAGE ISN'T GREAT.
MAKING THOSE COMMENTS AND
RELATING HOW YOU FEEL TO HOW
YOU LOOK I THINK ARE THINGS
THAT ARE MORE CONCERNING IN
TERMS OF THE MESSAGES FOR
OUR KID.

Maureen says BEING OVERWEIGHT IS
COMMON TODAY AN A LOT OF
WOMEN WHO SAY TO THEIR
CHILDREN, I SHOULD LOSE SOME
WEIGHT, I WOULD BE HEALTHIER
ARE PROBABLY CORRECT.
ISN'T THAT RIGHT.

Lance says I WOULD SAY THEY'RE
CORRECT IN THE WAYS THEY GO
ABOUT IT PROBABLY COULD USE
A GREAT DEAL OF IMPROVEMENT.

Maureen says WE'LL TALK ABOUT THAT,
THEN.
THAT'S.

Lance says WELL, I THINK VERY FEW
PEOPLE, I SEE A LOT OF
PATIENTS AND VERY FEW PEOPLE
WHO ARE CHRONICICALLY
OVERWEIGHT DON'T KNOW WHAT
THEY SHOULD DO.
IF YOU ASK A PERSON WHAT A
BREAKFAST OUGHT TO BE.
THEY'LL SAY, YOU KNOW
SERIAL.
TOAST, A GRASS OF JUICE.
SENSIBLE SIMILARLY FOR LUNCH
AND DINNER.
THAT'S NOT WHAT THEY ARE
DOING.
UNLESS YOU UNDERSTAND WHY A
PERSON ISN'T FOLLOWING
THROUGH, WHAT'S DISABLING
THEM FROM EATING IN A
HEALTHY WAY OR MODIFIED
LIFESTYLE.
A DIET IS ALMOST AN INSTOULT
YOUR INTELLIGENCE HALF THE
TIME.
YOU HAVE TO GET WITH YOUR
CHILDREN.
YOU CAN'T SAY TO A
14-YEAR-OLD, YOU REALLY NEED
EAT THE FOLLOWING, MOST KIDS
HAVE AN IDEA.
YOU HAVE TO GET WHY THEY'RE
DOING WHAT THEY'RE DOING.
WHY ARE THEY NOT ARE THEY
NOT PAYING ATTENTION TO SOME
OF THE THING THAT'S NEAR
SCHOOL AND ABOUT PARENTS
ABOUT WEIGHT LOSS.

Maureen says TALK ABOUT HEALTH, NOT
LEANNESS, NOT BEING
MODEL-THIN.

Lance says THAT TRANSITION THAT HAS
TO OCCUR DURING ADOLESCENTS
WHERE YOU TAKE OVER FROM
YOUR PARENTS, AND I TEND TO
APPROACH IT THAT WAY.
THIS IS A PERSONAL GROWTH
ISSUE.
NOT A FAT OR THIN ISSUE.

Maureen says BACKING DISORDERS,
DR. LESLIE.
ONE OF THE THINGS THIS STUDY
RECOMMENDED WAS THAT PERHAPS
CHILDREN SHOULD BE SCREENED
FOR EATING DISORDERS.
AS YOUNG AS FIVE.
WHAT EXACTLY TWHULED
INVOLVE, A VISIT TO THE
FAMILY DOCTOR, SPECIFICALLY
TO BE CAREENED?

Karen says I THINK AS A PEDIATRICIAN
WE CERTAINLY RECOMMEND THAT
CHILDREN YOU KNOW, HAVE AN
ANNUAL VISIT WITH THEIR
PHYSICIAN.
AND THAT OFTEN DOESN'T
HAPPEN.
I HAVE TO SAY.
WE'LL SEE A YOUNG PERSON
COMING IN HAVING LOST A LOT
OF WEIGHT AND WILL CALL
THEIR REGULAR PHYSICIAN AND
ASK FOR A GLOET CHARTS TO
SEE WHAT THEIR GROWTH HAS
BEEN LIKE AND THEY SAY WE
DON'T HAVE A WEIGHT ON THIS
KID SINCE THEY WERE TWO AND
THEY HAD THEIR LAST MEAL OR
WHATEVER.
SO I THINK REALLY A HAVING,
YOU DON'T NEED SPECIAL
VISITS TO MONITOR EATING
ISSUES UNLESS THERE'S AN
OBVIOUS SOMETHING APPARENT
TO SEE IN FRONT OF THEM THAT
CONCERNS THEM.
BUT I THINK ON EACH ANNUAL
VISIT TO THE FAMILY DOCTOR
OR PEDIATRICIAN WHATEVER,
CERTAINLY GROWTH HEIGHT AND
WEIGHT NEED TO BE LOOKED AT.
REVIEWING OF WHAT THEIR DIET
HISTORY IS.
WHETHER THEY'RE AN ACTIVE
CHILD OR NOT.
THOSE ARE THE THINGS AND I
CERTAINLY I DON'T THINK I
WOULD ENDORSE SORT OF ASKING
5 AND 6-YEAR-OLDS HOW THEY
FEEL ABOUT THEIR BOWS BUT
THE WARNING SIGNS ARE THERE
WHEN KID ALSO OR PARENT ALSO
SAY, MY KID IS MAKING
COMMENTS ABOUT NOT WANTING
TO BE FAT OR SAYING THEY
DON'T WANT TO EAT THIS
BECAUSE, SO YOU CAN OFTEN
ELICIT THE INFORMATION FROM
PARENTS WITHOUT PROBING
YOUNGER KIDS CERTAINLY BY
THEMSELVES.
BUT I THINK FOR ME THE BIG
THING IS THE MONITORING TO
LOOK AT GROWTH AND WEIGHT
AND HEIGHT AND ALSO CHEQUING
AROUND TO SEE HOW PARENTS
FEEL ABOUT THEIR KID.

Maureen says AND DR. LEVY ON THE
OBESITY SIDE, DO YOU FEEL
IT'S GETTING THE ATTENTION
AND PERHAPS THE HEALTH CARE
SPENDING THAT IT DESERVES?

Lance says I THINK IT'S GETTING THE
ATTENTION.
THE NEWSPAPERS AND MAGAZINES
HAVE BEEN FULL OF THESE
PREDICTIONS OF DIRE HEALTH
CON QUENSS.
ALMOST 60 percent OF NORTH
AMERICANS ARE OVERWEIGHT OR
OBESE CURRENTLY.
IT'S MORE THAN ONE IN TWO.
I DON'T THINK THAT THE
APPROACH IS USED CURRENTLY
HAVE SHOWN ANY HEALTHFULNESS
AT ALL.
I THINK A LOT SHOULD BE
SPENT ON LOOK TARGET
UNDERPINNINGS, THE CAUSATION
OF OBESITY.
THE PSYCHOLOGICAL AND OTHER
CAUSES THAT DISABLE PEOPLE
FROM DOING WHAT THEY SHOULD
DO WITH THEIR LIFESTYLE AND
DIET.
MORE MONEY FOR RESEARCH
WOULD BE A GOOD IDEA.
NOT FOR MORE DIETS.

Maureen says THANK YOU BOTH
AUTHORITY THIS DISCUSSION.

Lance says THANK YOU.

Maureen says STILL AHEAD.

In a clip, Paul says SOMETIMES AS A RESULT OF
INJURIES THEY BREAK OPEN.

Maureen says WHEN BACK BONES GROW OLD.

The opening sequence rolls again.

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

Maureen says IN THIS WEEK'S
HEALTH DIGEST, WOMEN WITH A
GAMBLING PROBLEM DISPLAYED
DIFFERENT PATTERNS OF
ADDICTION IN MEN AND MAY
NEED GENDER SPECIFIC
TREATMENT.

The screen reads "Addiction." It shows a picture of the female sign next to dice.

She continues THE PERCENTAGE OF FEMALE
PATHOLOGICAL GAMBLERS IS
GROWING IN THE U.S. AND
CANADA WITH THE SPREAD OF
LEGALIZED GAMBLING.
WHEN RESEARCHERS IN
CONNECTICUT LOOKED AT 115
MEN AND WOMEN IN GAMBLE
DICTION TREATMENT PROGRAMS,
THEY FOUND WOMEN PICK UP
GAMBLING LATER IN LIFE THAN
MEN.
AND PREFER SLOT MACHINES TO
CARD GAMES.
AND WHILE MEN TAKE UP
GAMBLING FOR ITS ACTION AND
THRILLS, WOMEN BECOME
ADDICTED OUT OF BOARD ONLY
AND LONELINESS.

The caption on the screen changes to "Sick Days." It shows the picture of a woman smoking.

She continues EMPLOYEES WHO SMOKE TAKE
MORE SICK DAYS AND MAY BE
LESS PRO TUCKTIVE THAN OTHER
WORKERS ACCORDING TO A NEW
STUDY.
FOUND 300 NEW WORKERS AT AN
AIRLINE RESERVATION OF.
SMIKERS CALLED IN SICK AN
AVERAGE OF FOUR DAYS OVER A
THREE-MONTH PERIOD.
FORMER SMOESHTION CALLED IN
SIX 2.4 TIME AND THOSE WHO
NEVER SMOKED WERE ILL.3 DAYS
OVER THE SAME PERIOD.
THE STUDY WAS FUNDED BY THE
COMPANY WHO MAKES AN
ANTISMOKING DRUG THE LEAD
RESEARCHER SAYS IT'S CLEAR
THERE IS A COST INCENTIVE
FOR EMPLOYERS TO FUND
SMOKING CESSATION PROGRAMS.

The caption changes to "Heart Disease." The screen shows a picture of a clock.

She continues AND HERE'S SOMETHING ELSE
PLOERS MAY WANT TO LOOK AT.
WE'VE REPORTED THE LINK ON
YOUR HEALTH BEFORE, BUT A
STUDY CONFIRMS PEOPLE WHO
WORK SHIFTS ARE AT HIGHER
RATES OF HEART DISEASE.
SPECIFICALLY A CONDITION
KNOWN AS PVC.
IT'S ASSOCIATED WITH EXTRA
HEARTBEATS AND HEART
DISEASE.
WHEN RESEARCHERS COMPARED
THE HEART HEALTH OF SHIFT
WORKERS, AND PEOPLE WHO
WORKED STRAIGHT DAY, THEY
FOUND NEARLY HALF THE SHIFT
WORKERS EXPERIENCED AN
INCREASE IN PCC.
NOW THE ANSWER TO TODAY'S
QUIZ.

The Quiz slate appears. The answer "2. Muscular dystrophy" appears highlighted in yellow.

Maureen says MANY PEOPLE CALL
IT A SLIPPED DISK.
BUT IF YOU HAVE DEGENERATIVE
DISK DISEASE, YOUR DISK HAS
ACTUALLY EXPLODED.
HERE'S DR. CALDWELL TO
EXPLAIN THIS COMMON BACK
AILMENT.

Paul sits at a table with a vertebral column and a large bone piece. Behind him, a human anatomy model and a TV monitor sit on a piece of furniture.

Paul says IT'S HARD TO BELIEVE,
BUT THIS IS NOT A PIECE OF A
SCULPTURE.
IN SPITE OF THE SYMMETRY AND
WONDERFUL SHAPE THIS IS
SIMPLY WELL, A BONE.
IT'S A VERTEBRA, ONE OF THE
BACK BONES FROM A FIN-BACKED
WHALE.

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

Paul continues I FOUND IT ON A BEACH IN
NEWFOUNDLAND.
I'M NOT SURE ABOUT WHALES,
BUT IN HUMANS, PROBLEMS WITH
OTHER STRUCTURES IN THE BACK
ARE AMONG THE MOST COMMON
COMPLAINTS DOCTORS HAVE TO
DEAL WITH.
He grabs the vertebral column model and continues THE WORD VERTEBRA COMES FROM
THE LATIN, MEANING JOINTED.
VERTEBRA OR BACKBONES ARE
STACKED, ONE ON TOP OF THE
OTHER TO FORM THE BONES OF
THE SPINAL COLUMN.
THE BONE OF THE SPINE GIVE
SUPPORT TO THE BONES OF THE
LEGS ARMS AND HEAD BUT ALSO
PROTECT THE SPINAL CORD
WHICH RUNS IN HERE.
IT'S A DELICATE AND
CRITICALLY IMPORTANT OF THE
BRAIN, INSIDE IT'S OWN
PROTECTIVE BONNIE RING, IT
RUNS DOWN THROUGH ALL THE
VERTEBRA.
THE SPINAL CORD CARRIES
MESSAGES FROM THE BRAIN TO
THE REST OF THE BODY.
BETWEEN EACH OF THE VERTEBRA,
LIES A DISK, A SHOCK
ABSORBING FLEXIBLE PAD.
THIS MAKES GOOD SENSE.
OTHERWISE THE SPINE COULD
NOT MOVE, THE PAD, LIKE THIS
FOAM RUBBER MODEL.
ALLOW FOR SOME COMPRESSION
AND EXPANSION.
IT ALSO MOVEMENT, BECAUSE
THE GRISTLE THAT MAKES UP
THE DISK GIVES MUCH MORE
THAN THE BONE EVER COULD.
THE DISKS THEMS HAVE A RING
ON THE OUT AND A MORE LIQUID
ALMOST JELLY--LIKE CENTRE.

He lifts a lid on the foam disk and a blue jelly substance appears in the middle.

He continues DISKS DETERIORATE AS WE GET
OLDER AND SOMETIMES AS A
RESULT OF INJURY OR SIMPLY
BAD GENES, THEY BREAK OPEN,
EXPLODE, REALLY.
PUSHING DAMAGED PIECES OF
GRISTLE BACKWARDS INTO THE
SPINAL CORD.
THIS HAPPENS MOST COMMONLY
WHERE THERE IS MOST MOVEMENT
IN THE SPINAL COLUMN.
IN THE LOWER BACK, OR IN THE
LOWER NECK.
THE PIECES OF DEGENERATED
DISKS PUT PRESSURE ON THE
NERVES FROM THE SPINAL CORD.
ODDLY ENOUGH, IF YOU HAVE
SMUCH A DISK PROBLEM, YOU
OFTEN DON'T FEEL AS MUCH
PAIN IN YOUR BACK AS YOU DO
WHEN THE NERVES COME TO THE
SURFACE, DOWN THE LEGS AND
INTO THE FOOT.
THIS SITUATION IS WHAT THE
CHIROPRACTOR REFERS TO A
SLIPPED DISK.
SO, MISNOMER REALLY AS THE
DISK HASN'T SLIPPED BUT
RATHER EXPLODED.
QUITE COMMONLY, AS SEEN IN
THIS MODEL THE DISK PRAGMENTS
SEEN IN RED PUT PRESSURE ON
THE LARGE NERVE THAT EXITS
AT THE LOWER END OF YOUR
BACK AND GOES DOWN THE BACK
OF YOUR LEG PROSHTION
DEUCING A PAIN KNOWN AS
CIATICA.
THOUGH MANIPULATION DRUGS
AND REST HE WILL THE PROBLEM,
THE SPECIFIC TREATMENT IS
SURGERY, A SMALL INSAITION
SITION IS MADE HERE IN THE
BACK AND THE SURGEON GOES
THROUGH MUSCLE LAYERS AND
PICKS AWAY THE PIECES OF THE
SHATTERED DISK, THAT ARE
PUTTING PRESSURE ON THE
NERVE.
RELIEF OF THE PAIN IS ALMOST
IMMEDIATE, AND PUN INTENDED,
SOON YOU'RE BACK TO FEELING
LIKE YOUR OLD SELF AGAIN.

Maureen says REMEMBER
TRANSSCRIPTS OF
DR. CALDWELLS MYMY MEDICAL
LESSONS ARE POSTED ON OUR
WEB SITE.

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

Maureen concludes THAT'S OUR
PROGRAMME FOR THIS WEEK.
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 7