Transcript: Your Health Season 3 Episode 16 | Jan 22, 2002

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.

Karen Smyth is in her mid-thirties with short brown hair and bangs. He’s wearing a green jacket over a black shirt.

Karen says HE SAID THIS IS EITHER A
STROKE OR A TUMOR.
AND IN MY MIND IMMEDIATELY I
SAID IN MY OWN HEAD, CAN'T
BE A STROKE BECAUSE KIDS
DON'T HAVE STROKES.

Maureen says RECOGNIZING
STROKE IN KIDS.

Shirley Epstein is in her mid-forties with short curly brown hair. She wears a lilac shirt and necklace.

Shirley says VITAMIN A, D, E AND K, IF
YOU TAKE TOO MUCH OF THAT,
IT IS STORED IN YOUR BODY
AND CAN CAUSE DISEASE.

Maureen says VITAMINS, WHEN
IT IS TOO MUCH OF A GOOD
THING.

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 MANY OF US THOUGH WE HAVE
HEARTS OF GOLD HAVE FEET OF
CLAY.

Maureen says AND PUTTING YOUR
BEST FOOT FORWARD ON
MEDICINE 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 leopard scarf and light gray jacket.

Maureen says HELLO, I'M
MAUREEN TAYLOR.
IF YOU WERE HAVING A COFFEE
WITH A FRIEND AND SHE
COMPLAINED OF A WEAKNESS
DOWN ONE SIDE OF HER BODY,
OR SHE HAD TROUBLE SPEAKING,
YOU WOULD PROBABLY RECOGNIZE
THE WARNING SIGNS OF STROKE
AND TAKE HER RIGHT TO THE
HOSPITAL.
BUT IF IT WAS YOUR FOUR OR
FIVE-YEAR-OLD CHILD WITH
THESE SYMPTOMS, WOULD STROKE
EVER ENTER YOUR HEAD?

The screen shows the picture of a little boy.

Maureen continues KIDS CAN HAVE STROKE, IN
FACT THEY ARE MORE COMMON
THAN BRAIN TUMORS IN
CHILDREN BUT FOR ALL THE
SIMILARITIES BETWEEN CHILD
AND ADULT STROKES, THERE ARE
ALSO KEY DIFFERENCES.

[monitor beeps]
A blue slate reads "Different Strokes. Produced by Maureen Taylor."

A clip plays.

(guitar plays)

Maureen says NORTHERN ONTARIO,
THE TOWN OF HALEYBURRY, THAT
IS WHERE LIAM'S STORY
BEGINS.

Karen says THE MONDAY PRIOR TO GOOD
FRIDAY I HAD LIAM AT SKATING.
AND WHILE I WAS GETTING HIM
DRESSED IN THE CHANGE ROOM I
NOTICED VERY, VERY SUBTLE
WEAKNESS ON HIS LEFT SIDE.
HIS RIGHT HAND HE PLUNGED
VERY STRONGLY INTO HIS HIT,
AND THE LEFT ONE, IT WAS, I
HAD TO KIND OF NEGOTIATE THE
THUMB FOR HIM AND I DIDN'T
THINK ANYTHING WAS REALLY
AMISS.
HE WAS IN A BIT OF A NASTY
MOOD AT THE TIME SO I JUST
THOUGHT HE DIDN'T WANT TO
SKATE THAT DAY.

A slow motion black and white clip shows Karen dressing up his son.

James says AND HIS LEFT SIDE OF HIS
FACE WAS DROOPING.
IT WASN'T SYMMETRICAL WITH
THE RIGHT SIDE OF HIS FACE.

Karen says JUST WHEN HE SMILED.

James says YEAH, BECAUSE WE WERE
JOKING AROUND AND THINGS
LIKE THAT.
AND IT JUST SEEMED LIKE HE
WAS KIND OF GOOFING AROUND,
MAKING A FACE.

A caption appears on screen. It reads "James and Karen Smyth." James is in his mid-thirties, clean-shaven with short brown hair. He wears a black shirt.

Karen says WE DIDN'T DO ANYTHING, TO
BE HONEST.
WHEN HE WAS JUST PLAYING OR
TALKING, EVERYTHING WAS 100 percent,
IT WAS ONLY WHEN HE SMILED
AND IT WAS JUST LITERALLY
THE LEFT CORNER OF HIS MOUTH,
NOT HIS ENTIRE FACE AT ALL.

James says OUR IMMEDIATE THOUGHT WAS,
YOU KNOW, COULD HE HAVE
BELL'S PALSY BECAUSE WE WERE
FAMILIAR WITH THAT.
SO THAT CONCERNED US.

Karen helps Liam get into a car.

Maureen says AS THE WEEK
PROGRESSED KAREN AND JAMES
SMITH GREW MORE CONCERNED
ABOUT LIAM.
A GP SENT THEM TO A
PEDIATRICIAN IN NORTH BAY.
IT'S NOW THURSDAY, THREE
DAYS AFTER LIAM'S SYMPTOMS
FIRST APPEARED.

Karen says HE NEVER DID SAY STROKE.
AND I REMEMBER THINKING OKAY,
IF THIS ISN'T BELL'S PALSY,
A PARENT'S NIGHTMARE WOULD
BE OBVIOUSLY A IT ARE.
AND I REMEMBER TURNING MY
BACK TO MY SON AND MOUTHING
THE WORDS TO THE DOCTOR,
COULD THIS BE A TUMOR.
AND HE SAID YES.
AND THAT WAS THE LAST WORDS
WE SPOKE WITH HIM.
WE HAD ABOUT A FOUR AND A
HALF HOUR DRIVE.

Maureen says A DRIVE TO
TORONTO WHERE LIAM WOULD BE
SEEN BY SPECIALISTS AT THE
HOSPITAL FOR SICK'S
CHILDREN.

Karen says THE DRIVE TO TORONTO WAS
NOTTING IS I CAN EVEN
DESCRIBE.
IT WAS PUNCTUATED EVERY HALF
HOUR WITH HIM SAYING WHY ARE
WE GOING TO TORONTO.
AND THE ONLY THING I MANAGED
TO CHOKE OUT BECAUSE I NEVER
DID MAKE EYE CONTACT WITH
HIM, OF COURSE, BECAUSE WE
WERE UP SET, IS THAT MOMMY
AND DADDY WANTED TO TAKE HIM
TO SHOW HIM SOME SKYSCRAPERS.
SO I'M SURE HE THOUGHT HE
HAD VERY SPONTANEOUS COOL
PARENTS THAT WE JUST DECIDED
TO DO THIS ROAD TRIP.
AS WE GOT CLOSER WE
EXPLAINED WE WERE GOING TO A
HOSPITAL AND A DOCTOR WAS
GOING TO TRY TO FIND OUT WHY
HIS SMILE WAS CROOKED.
AND THAT WAS OKAY TO HIM.
THAT IS ALL WE KNEW AT THAT
TIME.

The car drives along a road and arrives at the emergency entrance of a hospital.

Karen continues BY ABOUT 12:30 A.M., HE HAD
HAD A CAT SCAN.
AND THE EMERGENCY DOCTOR
BROUGHT US INTO HIS LITTLE
OFFICE AND CALLED LIAM'S CAT
SCAN UP IN THE COMPUTER AND
SHOWED US WHERE THE SEEDS OF
AN APPLE WOULD BE, WAS A
WHITE AREA.
AND HE WAS THE FIRST ONE TO
SAY STROKE.
HE SAID THIS IS EITHER A
STROKE OR A TUMOR.
AND IN MY MIND IMMEDIATELY I
SAID IN MY OWN HEAD, CAN'T
BE A STROKE BECAUSE KIDS
DON'T HAVE STROKES.
SO I JUMPED FROM THAT
IMMEDIATELY AND SAID TO HIM
SHOULD WE BE PRAYING FOR A
STROKE.
AND HE SAID DEFINITELY.
AND THERE WAS SOMETHING IN
HIS TONE, I ASKED HIM IF IT
IS A TUMOR, WHAT ARE LIAM'S
OPTIONS.
AND HE SAID THERE WOULDN'T
BE ANY.
I NEVER THOUGHT I WOULD EVER
BE PRAYING THAT MY CHILD HAD
A STROKE BUT FOR OBVIOUS
REASONS IT WAS PROFOUND
RELIEF BECAUSE THE OTHER
OPTION JUST WAS NOT
THINKABLE.

Maureen says THE DOCTOR IS
LIAM'S DOCTOR.
AND A PEDIATRIC NEUROLOGIST
AT THE HOSPITAL FOR SICK
CHILDREN.

The caption changes to "Doctor Gabrielle deVeber. Pediatric Neurologist." Gabrielle is in her late thirties with short wavy light brown hair. She wears a black blouse, glasses and a long necklace.

Gabrielle says STROKE IN CHILDREN CAN BE
CAUSED BY MANY DIFFERENT
DISEASES, UNLIKE DULTS WHERE
IT IS HARDENING OF THE
ARTERIES JUST ABOUT 90 percent OF
THE TIME.
IN CHILDREN IT CAN BE CAUSED
BY COMMON CHILDHOOD
ILLNESSES SUCH AS BECOMING
VERY DEHYDRATED WITH STOCK A
AGO FLU AND DIARRHEA,
CHICKEN POSITION IN THE
SUSCEPTIBLE AGE GROUP CAN BE
THE CAUSE FOR STROKE IN SOME
CHILDREN.
AND THEN THERE ARE OTHER
CHILDREN WITH UNDERLYING
DISEASES WHICH WE KNOW MAKE
THEM PRONE TO STROKES,
CONGENITAL HEART DISEASE
WOULD BE ONE EXAMPLE.
ANOTHER EXAMPLE MIGHT BE
IMFLAMM TORE BOWEL DISEASE
LIKE CROHN'S DISEASE.
WHAT WE THINK HAPPENS IN
CHICKEN POSITION IN STROKE
IN CHILDHOOD IS THAT THE
CHICKEN POSITION VIRUS COMES
IN ALONG THE FACIAL NERVE.
THAT NERVE ACTUALLY HAS TWO
TYPES OF BRANCHES, ONE TO GO
TO THE FACIAL SKIN AND ONE
TO GO TO THE ARTERIES WHICH
SUPPLY THE BRAIN.
SO WHEN THE VIRUS COMES
ALONG THE NERVES TO SUPPLY
THE ARTERIES, IT LODGES, THE
VIRUS LODGES IN THE WALL OF
THE ARTERY, SETS UP AN
INFLAMMATION AND THEN THAT
RESULT IN A DAMAGE TO THE
ARTERY AND BLOOD CLOT.

Fast clips show children with rashes and an X-ray of facial nerves.

Gabrielle continues WELL, IN THE OLDER CHILDREN
THE STROKE SYMPTOMS THAT YOU
SEE WHEN THE STROKE OCCURS
ARE SIMILAR TO WHAT YOU
WOULD SEE IN ADULTS.
AND THAT IS SUDDEN WEAKNESS
DOWN HALF OF THE BODY,
SPEECH PROBLEMS WHERE YOU
SUDDENLY LOSE THE ABILITY TO
SPEAK, SPEECH BECOMES
GARBLED.
BUT AS YOU GET INTO THE
YOUNGER YEARS WHERE THE
BRAIN HASN'T FULLY FORMED
YET, YOU GET FEWER AND FEWER
OF THOSE CLASSIC STROKE
SYMPTOMS.
AND INSTEAD WHAT YOU SEE ARE
VERY NONSPECIFIC THINGS LIKE
SEIZURES IN NEWBORNS,
DIFFICULTY FEEDING.
THE EMERGENCY CARE OF THE
CHILD WITH STROKE IS GEARED
TOWARDS FIRST OF ALL
PREVENTING ANOTHER VERY
EARLY STROKE IN THE FIRST
HOURS.
WHICH CAN HAPPEN.
AND SECONDLY, TRYING TO
PROTECT AS MUCH OF THE BRAIN
THAT IS SUFFERING THE DAMAGE
AS POSSIBLE, AND THEN THE
IMMEDIATE SPECIFIC TREATMENT
FOR STROKE IS TO THEM BLOOD
THINNER IF THAT SEEMS
APPROPRIATE.
AND FROM THEN FORWARD, EVEN
IN THE FIRST HOURS, OUR
FIRST QUESTIONS ARE WHAT
CAUSED THIS STROKE.
AND THAT IS WHERE WE GET
INTO THE COMPLEX SET OF
INVESTIGATIONS ON EACH CHILD.

Liam draws in his room. He is 5-year-old with short blond hair. He wears a striped blue and red sweater and blue trousers.

Maureen says BUT FOR LIAM THOSE
INVESTIGATIONS DIDN'T
PROVIDE AN ANSWER.
ALTHOUGH HE HAD HAD CHICKEN
POSITION, IT HAD OCCURRED
TOO MANY MONTHS BEFORE THE
STROKE TO BE A FACTOR.

Karen says YES, IT IS IMPORTANT
TO-TO-FIND OUT WHAT CAUSED
IT BUT EQUALLY IMPORTANT TO
FIND OUT WHAT DID NOT.
AND HE HAD A SPINAL TAP AND
AN ANGIOGRAM AND A BUBBLE
TEST.
HIS HEART IS PERFECT.
THE VESSELS IN HIS BRAIN AND
NECK ARE FINE.

James says THEY HAD A LITTLE COMING
HOME PARTY FOR HIM AFTER TWO,
TWO AND A HALF WEEKS AT SICK
KIDS.

The caption changes to "James Smyth."

James continues AND I REMEMBER THEM PLAYING
IN HIS GRANDMA'S BACKYARD
AND THERE WAS PROBABLY 20
KIDS THERE.
AND HE WAS NOTICEABLY
LIMPING, DRAGGING HIS LEFT
FOOT, FAVOURING HIS LEFT
SIDE.
WHICH WAS, I THINK, MORE
PRONOUNCED THAN WHEN HE WAS
IN THE HOSPITAL.
SO I REMEMBER THINKING AT
THAT TIME, WE WERE TERRIBLY
CONCERNED ABOUT HOW MUCH OF
A RECOVERYY HE WOULD BE IN
FOR AND HOW LONG IT WOULD
TAKE.

The caption changes to "Karen Smyth."

Karen says AND THEN SLOWLY HE JUST
STARTED TO GET STRONGER AND
STRONGER AND YOU SAW HIM
THIS MORNING.
I MEAN HE HAS NO ARCH IN HIS
LEFT FOOT THAT IS WHAT WE
HAVE TO SHOW FOR HIS STROKE.

Gabrielle says BUT IN GENERAL, ABOUT
TWO-THIRDS OF CHILDREN WHO
HAVE HAD A STROKE WILL END
UP WITH SOME RESIDUAL
ABNORMALITY.
IT MIGHT BE MILD, IT MIGHT
JUST BE THAT THEY CAN'T PLAY
THE PIANO AS WELL ON ONE
HAND.
OR IT MIGHT BE MORE
SIGNIFICANT.

A young woman tries to keep her balance standing on one foot on a bar.

Another woman says OKAY, NOW TRY.

Maureen says IF THE CHILD IS
LEFT WITH SOME ABNORMALITY
THERE ARE SEVERAL TYPES OF
THERAPY THAT CAN HELP.
THIS DOCTOR IS DIRECTOR OF
THE NEUROREHABILITATION
PROGRAMME AT BLOOR VIEW
McMILLAN CHILDREN'S CENTRE.

The caption changes to "Doctor Peter Rumney. Pediatrician." Peter is in his late forties, clean-shaven with short curly gray hair. He wears glasses, light gray suit, white short and striped red tie wit details.

Peter says IF YOU HAVE A STROKE THAT
CAUSES PARALYSIS OF ONE SIDE,
AS THE NEUROLOGIC RECOVERY
OCCURS YOU HAVE TO SORT OF
REAWAKEN THOSE PATHWAYS AND
RELEARN TECHNIQUES OF
MOVEMENT AND ACTIVITY AND
BALANCE AND COORDINATION AND
STRENGTH.
SO IF YOUR RIGHT HAND IS
VERY, VERY WEAK AND CLUMSY
AND STIFF BECAUSE OF A
STROKE, YOU MAY HAVE TO
LEARN TO SWITCH YOUR
DOMINANCE TO YOUR LEFT HAND.
DRESS USING YOUR LEFT HAND,
PRIMARILY.

A blond woman teaches a little girl how to grab a cord.

Peter continues MOST PEOPLE THINK CHILDREN
RECOVER BETTER AFTER HEAD
INJURY IN STROKE THAN ADULTS
DO.
CHILDREN TEND TO BOUNCE BACK
AFTER CONCUSSIONS AND HEAD
INJURIES WITH GOOD IF
RECOVERY.
BALANCE, COORDINATION AND
MOVEMENT SEEMS TO DO WELL.
BUT CHILDREN DON'T RECOVER
AS WELL COGNITIVELY FROM
THEIR INJURIES AS OLDER
ADULTS DO.
AND THIS IS A BIT OF A
CONUNDRUM.
WE TALKED ABOUT MEMORY
EARLIER, HOW OLD INFORMATION
IS STORED BETTER THAN NEW
INFORMATION.
WELL, IF YOU HAVE OLD
INFORMATION BEFORE YOUR
INJURY YOU CAN FALL BACK ON
IT TO USE IT AS A STRATEGY.
SO ADULTS HAVE THAT, A WHOLE
WEALTH OF KNOWLEDGE.
BUT YOUNG CHILDREN, THE PART
OF THEIR BRAIN THEY NEED TO
LEARN HAS NOW BEEN DAMAGED.
AND SO THE PROCESS OF NEW
LEARNING IS SLOWER, MORE
DIFFICULT, MORE LABOUR
INTENSIVE THAN BEFORE.
AND IN SOME CASES, THE
PERSON RECOVERS FULLY.
BUT IN MOST CASES, IF IT HAS
BEEN A SIGNIFICANT STROKE
YOU HAVE LOST BRAIN CELLS.
YOU HAVE LOST SOME
NEUROLOGIC FUNCTION.
THE QUESTION IS HOW SUT IT
IS, AND HOW SIGNIFICANT AN
AFFECT IT'S GOING TO HAVE ON
FUNCTION AND LEARNING.

Maureen says FOR KAREN AND
JAMES THE GREATER FEAR IS
THAT LIAM WILL HAVE A
RECURRENT STROKE.

Karen says I CAN'T SAY THAT IT IS ON
MY MIND ALL DAY, BUT EVERY
MORNING HE HAS HIS ASPIRIN
SO IT CROSSES MY MIND EVERY
SINGLE DAY.
WE'VE BEEN TOLD HE HAS
ROUGHLY A TEN PERCENT CHANCE
OF A RECURRENT.

James says WE WOULD LIKE TO, THROUGH
THEM WORKING WITH HIM AND
OTHER STROKE PATIENTS, GET
TO THE BOTTOM OF WHY IT
HAPPENED AND WHAT CAN BE
DONE TO PREVENT IT SO THAT
HE CAN LIVE 100 percent FINE.
PARENTS ARE THEIR BEST JUDGE
OF THEIR KID'S HEALTH.

James and Liam ice skate.

Karen says IT IS POSSIBLE FOR A
CHILD TO HAVE A STROKE.

James says I DON'T THINK PARENTS
SHOULD FEEL GUILTY FOR
DIAGNOSING EARLY AS PARENTS
AND THEN, IN TURN, GETTING
THE PROPER TREATMENT.

Karen says SO DAILY WITH ARE JUST
VERY, VERY BLESSED, VERY
BLESSED.
I AM JUST GRATEFUL FOR MY
SON'S HEALTH AND MY
DAUGHTER'S HEALTH.

The clip ends.

(music plays)

Maureen says HERE'S THIS
WEEK'S QUIZ QUESTION.
ANTI-OXIDANTS ARE BELIEVED
TO HELP IN THE FIGHT AGAINST
DISEASE.

A slate reads "QUIZ. Which of the following acts as an anti-oxidant? 1. Vitamin E. 2. Vitamin C. 3. Beta-carotene."

Maureen and Shirley sit at a table.

Maureen says IF A LITTLE
VITAMIN A IS GOOD FOR YOUR
EYESIGHT, THAN MORE IS
BETTER, RIGHT?
NOT ALWAYS.
DOCTORS ARE CONCERNED ABOUT
A TREND TOWARD MEGADOSING
VITAMINS.
BUT HEALTH NUTS SAY THE
RECOMMENDED DAILY ALLOWANCES
ARE SET TOO LOW TO BE
EFFECTIVE.
Dr. SHIRLEY EPSTEIN SAY
PHYSICIAN IN TORONTO,
WELCOME.

Shirley says THANK YOU.

Maureen says WHAT DO WE MEAN
BY MEGADOSE?

The caption changes to "Doctor Shirley Epstein. General Practitioner."

Shirley says MOST PEOPLE WE RECOMMEND
TAKE A ONE A A... ONE A DAY
VITAMIN, A STANDARD
FORMULATION WITH A LITTLE
BIT OF EVERYTHING.
WITH MEGADOSING PEOPLE START
TAKING INDIVIDUAL DOSES OF
LARGE DOSES OF A, LARGE
DOSES OF C, LARGE DOSES OF
E.
AND SOMETIMES THEY AREN'T
SURE HOW MUCH TO TAKE.
AND THEY CAN TAKE TOO MUCH.

Maureen says WHO FORMULATES
THE DOSES THAT GO INTO THE
MULTIVITAMIN, THE STANDARD
DOSAGE?

Shirley says THERE HAVE BEEN STUDIES
AND RECOMMENDATIONS OF THE
RECOMMENDED DAILY MINIMUM
THAT PEOPLE MIGHT NEED SO
WHEN YOU GO WITH A STANDARD
MULTIVITAMIN IT IS USUALLY
GOING ON THE CURRENT
RECOMMENDATIONS OF THESE
CERTAIN MINIMUMS YOU NEED TO
PREVENT DISEASE.
AND THAT IS OFTEN HOW THEY
COME UP WITH THESE MINIMUMS.
YOU KNOW, HOW MUCH YOU NEED
TO PREVENT SCURVY, RICHTS,
TO PREVENT THOSE DISEASES SO
THEY WILL COME UP WITH THOSE
MINIMUMS TO GUARANTEE ARE
YOU GETTING WHAT YOU NEED,
SO THAT IS WHAT IS IN A
STANDARD MULTIVITAMIN.

Maureen says WHAT ABOUT THE
CONCERN THAT THE MINIMUM
ISN'T ENOUGH TO GIVE YOU THE
BOOST THAT YOU ARE LOOKING
FOR.

Shirley says THAT'S THE WHOLE
QUESTION.
AND PART OF THE PROBLEM IS
WE DON'T ALL KNOW WHAT THE
MAXIMUM SAFE ALLOWANCE IS.
SO YOU CAN'T ALWAYS SAY IF A
LITTLE IS GOOD, A LOT IS
BETTER BECAUSE IN SOME
VITAMINS TOO MUCH CAN BE
HARMFUL.

Maureen says YOU CAN GIVE ME
AN EXAMPLE.

Shirley says WELL, THERE ARE WHAT ARE
CALLED FAT SOLUBLE VITAMIN,
VITAMINS THAT WILL BE STORED
IN YOUR BODY, VITAMIN A, D,
E AND K.
IF YOU TAKE TOO MUCH OF THAT
T IS STORED IN YOUR BODY AND
CAN CAUSE DISEASE, CAN CAUSE
PROBLEMS.
WHEREAS WHAT ARE CALLED
WATER SOLUBLE VITAMINS, B, C,
WITHIN REASON, IF ARE YOU
TAKING HARJ LARGER DOSES OF
THAT THE KIDNEYS WILL
ELIMINATE THAT AND IT WON'T
BE STORED IN YOUR SYSTEM.

Maureen says IT IS NOT EVEN
STORED IN THE SYSTEM IS
MAKES ME WONDER IF IT IS
ACTUALLY GOING TO HELP YOUR
IMMUNE SYSTEM WHICH IS WHAT
A LOT OF PEOPLE TAKE VITAMIN
C FOR.

Shirley says A GOOD POINT.
YOUR KIDNEY WILL FLUSH IT
OUT.
YOU CAN ONLY ABSORB SO MUCH,
THE REST IS ELIMINATED, SO
YOU ARE ABSOLUTELY RIGHT.
WHEN ARE YOU TAKING TWO
GRAMS OR THREE GRAMS, HOW
MUCH BENEFIT ARE YOU
GETTING.
YOUR BODY MAY NOT BE ABLE TO
HANDLE THAT MUCH.

Maureen says A LOT OF PEOPLE
WHEN THEY FEEL A COLD CAN ON
WILL JUST START MEGADOSING
VITAMIN C, YOU ARE SAYING
THERE IS NO HARM IN THAT.
IS THERE EVIDENCE IT CAN
HELP.

Shirley says IF YOU TAKE TOO MUCH IT
CAN UP SET YOUR STOMACH,
CAUSE DIARRHEA.
THERE IS A LIMIT TO HOW MUCH
YOU CAN TAKE.
AND WE DON'T ALWAYS KNOW THE
SAFE UPPER LIMIT.
WITHIN REASON, SHORT TERM IF
YOU TAKE A THOUSAND
MILLIGRAM, 2000 MILLIGRAMS,
IT IS PROBABLY OKAY.
WILL IT MAKE A DIFFERENCE IN
TERMS OF PREVENTING THE COLD,
THE JURY IS STILL OUT ON
THAT, THEY ARE GOING BACK
AND FORTH.
MOST OF THE TIME IT SEEMS TO
BE NO T DOESN'T MAKE A
DIFFERENCE.

Maureen says I WONDER IF I
HAVE AN ORANGE, APPLE AND
SOMETHING ELSE EVERY DAY AM
I GETTING AS MUCH AS I NEED
ANYWAY.

Shirley says YES, PROBABLY.

Maureen says PLUS ALL THE
FINEARY THAT IS GOOD FOR ME
TOO.

Shirley says ABSOLUTELY.

Maureen says A LOT OF HYPE
ABOUT VITAMIN E, WHAT IS THE
RESEARCH AROUND THAT.

Shirley says PICK A DAY AND THERE WILL
BE A DIFFERENT RESEARCH
TOPIC.
AND SOME OF THE STUDIES ARE
SHOWING BENEFIT AND SOME OF
THE STUDIES UNFORTUNATELY
HAVE SHOWN NO BENEFIT.
WE STILL RECOMMEND IT FOR
CERTAIN CIRCULATION
CONDITIONS, PEOPLE WHO HAVE
CRAMPS IN THEIR LEG SOME
CIRCULATION PROBLEMS WITH
THEIR HANDS AND FEET.
A LOT OF US ARE STILL
RECOMMENDING VITAMIN E, 400
TO 800 UNITS IS BENEFICIAL.
WHEN YOU START GOING ABOVE
THAT, THOUGH, THERE ARE ARE
SOME CONCERNS THAT IT MAY BE
TOO MUCH AND NOT GOOD FOR
YOU.

Maureen says IN WHAT WAY?

Shirley thinks and says IT'S AGAIN A FAT SOLUBLE
VITAMIN, IF YOU TAKE TOO
MUCH IT CAN HAVE PROBLEMS
WITH BLOOD-CLOTTING AND
ALTHOUGH IT IS GOOD FOR
CIRCULATION MAYBE TOO MUCH
IS NOT GOOD FOR CIRCULATION,
PROBABLY MORE TO DO WITH
BLOOD-CLOTTING.
BUT VITAMIN E HAS BEEN
RECOMMENDED FOR EVERYTHING
UNDER THE SUN.
AND WHEN THEY FINALLY DO A
HARD STUDY ON IT, IT DOESN'T
ALWAYS BEAR UP.

Maureen says I KNOW A COUPLE
OF ALZHEIMER EXPERTS WHO
TELL ME THEY ARE TAKING 800
IUs OF VITAMIN E EVERY DAY
SO THAT GOT ME THINKING
MAYBE I SHOULD.
WOULD YOU RECOMMEND A
SUPPLEMENT.

Shirley says IT IS INTERESTING, I WAS
RECENTLY AT A SEMINAR, THAT
WAS THE TOPIC, ALZHEIMER AND
DEMENTIA AGE THE SIGH SKIS...
PSYCHIATRIST SAID THE THING,
HE IS TAKING BUT THEY WERE
USING MEGADOSES OF IS AM E,
SO HOW MUCH DO YOU TAKE.

Maureen says SO WE REALLY
DON'T KNOW... WE CAN'T TELL
PEOPLE THIS IS HOW MUCH YOU
NEED IN ORDER TO WARD OFF
DEMENTIA.
VITAMIN A IS IMPORTANT FOR
EYESIGHT BUT THERE IS A RISK
OF TAKING TOO MUCH, WHAT IS
THAT.

Shirley says AGAIN A FAT SOLUBLE
VITAMIN THERE ARE CERTAIN
SKIN CONDITIONS YOU CAN GET,
POLAR BEAR LIVER, NOBODY
EATS IT BUT THERE ARE
CONDITIONS OF EXCESS VITAMIN
A TOXICITY OF PEOPLE WHO EAT
POLAR BEAR LIVER BECAUSE
THERE ARE TOO MUCH.
DON'T ASK ME WHAT THE
SYMPTOMS ARE.

Maureen says WHAT ABOUT INTERACTIONS
WITH OTHER DRUGS, DO PEOPLE
WHO MEGADOSE VITAMINS HAVE
TO WORRY ABOUT WHAT ELSE
THEY ARE TAKING.

Shirley says VITAMIN K, FOR EXAMPLE,
CAN INTERFERE WITH BLOOD
CLOTTING SO IF ARE YOU ON A
DRUG CALLED COUMADIN, A
BLOOD THINNER YOU DO HAVE TO
BE VERY CAREFUL WITH TAKING
SOMETHING LIKE VITAMIN K OR
EVEN VITAMIN E.

Maureen says NOW B VITAMIN
CONS FUSE ME BECAUSE B, 1, 2,
3 THEN JUMPS TO SIX, WHAT
HAPPENED TO THOSE OTHER WITH
AND ARE THEY IMPORTANT.

Shirley says I DON'T KNOW IF THEY HAVE
NUMBERED EVERY ONE OR
CONSECUTIVELY.

Maureen laughs.

Maureen says DO WE NEED THEM
EVERY DAY.

Shirley says YES, B VITAMINS ARE
IMPORTANT.
THEY ARE GOING TO PREVENT
CERTAIN DEFICIENCIES,
CERTAIN TYPES OF ANAEMIA,
FOR EXAMPLE, IS CAUSED BY B
12 DI DEFICIENCY, FOLIC ACID
IS A HOT TOPIC IN TERMS OF
VITAMINS, A TYPE OF B
VITAMIN, RECOMMENDED FOR
WOMEN WHO ARE CONTEMPLATING
PREGNANCY IN THE EARLY
STAGES TO TAKE EXTRA FOLIC
ACID.

Maureen says IN FACT THEY
SHOULD BE TAKING IT BEFORE
THEY ARE THINKING OF GETTING
PREGNANT.

Shirley says YOU WANT TO BE ON IT
BEFORE YOU EVEN KNOW THAT
ARE YOU PREGNANT.

Maureen says MY HUSBAND WAS
TOLD HE SHOULD TAKE IT EVERY
DAY TO PROTECT HIS HEART
BECAUSE THERE IS HEART
DISEASE IN THE FAMILY.
IT WASN'T A DOCTOR, WHAT
DOES THE DOCTOR SAY.

Shirley says THERE IS A NEW THEORY
ABOUT HOW MANY OWE SISTINE,
THEY MAY BE AT HIGHER RISK
OF HAVING HEART DISEASE.
THE WAY TO LOWER IT, IS TO
TAKE FOLIC ACID, B 6 AND B
12 SO MAYBE EVERYBODY SHOULD
BE TAKEN REASONABLES OF
THAT.

Maureen says ARE WE GETTING
ENOUGH IN THAT MULTIVITAMIN.

Shirley says PROBABLY BECAUSE MOST OF
THE MULTIVITAMINS WILL GIVE
YOU .4 OR .6 AND THAT SEEMS
TO BE WHAT THEY ARE
RECOMMENDING.
ALTHOUGH SOMETIMES IN
PREGNANT WOMEN THEY WILL
RECOMMEND ONE MILLIGRAM.
BUT NO ONE SEEMS TO BE
RECOMMENDING HIGHER THAN
THAT.

Maureen says SHOULD PARENTS BE GIVING
THEIR CHILDREN A
MULTIVITAMIN EVERY DAY?

Shirley says A LOT OF PARENTS ASK ME
THAT.
THEY ARE CONCERNED BECAUSE
THE KIDS ARE PICKY EATERS.
IT IS PROBABLY NOT A BAD
IDEA TO GIVE THEM A ONE A
DAY, ONE OF THE KIDS
CHEWABLE MULTIVITAMINS IF
THEY ARE REALLY THAT PICKY
AN EATER.
PARTICULARLY IN THE WINTER
MONTHS IF THEY ARE NOT
GETTING MUCH FRESH FRUIT AND
VEGETABLE, NOT MUCH SUNLIGHT
TO GET THE VITAMIN D.

Maureen says WHAT ABOUT THE
EXTRA MEGADOSING FOR KIDS.

Shirley says I WOULDN'T RECOMMEND IT
IN KIDS.
THERE ARE CERTAIN MINIMUMS,
WE KNOW THEY NEED D FOR
RICHTS, AND C FOR SCURVY BUT
MOST HEALTHY NORTH AMERICAN
KIDS ARE GETTING ENOUGH IN
THEIR FOOD THAT THEY WILL
NOT RUN INTO THOSE PROBLEMS
BUT I DON'T THINK IT IS
HARMFUL TO GIVE THEM A ONE A
DAY KID'S CHEWABLE.

Maureen says WHO DOES IN VITAMIN D.

Shirley says BREAST FED INFANT DOES
BECAUSE IT CAN BE LOW IN
VITAMIN D SO IN ALL MY
BREAST-FEEDING MOMS I DO
RECOMMEND THAT THEY GIVE
THEM A VITAMIN DF THEY ARE
ON FORM THAT... FORMULA THEY
DON'T NEED IT.

Maureen says AND WHAT ABOUT
THE REFS US, ARE WE GETTING
ENOUGH VITAMIN D.

Shirley says PROBABLY NOT.
AGAIN, WE ARE THINKING
NOWADAYS THAT THE
RECOMMENDED MINIMUMS THAT
WE'VE BEEN TALKING ABOUT ARE
PROBABLY TOO LOW.
I KNOW IN MY PATIENTS I
RECOMMEND 400 TO 800
INTERNATIONAL UNITS A DAY,
PARTICULARLY IN WOMEN AND AS
THEY START TO APPROACH
MENOPAUSE, IN TEENS WHEN
THEY STOP DRINKING MILK,
START DRINKING MORE COKE AND
COUGHEE, THEY'VE GOT TO
START TAKING THE CALCIUM AND
VITAMIN D, TO REALLY LAY
DOWN GOOD BONES THEN.

Maureen says HOW MANY OF YOUR
PATIENTS, WHAT PERCENTAGE OF
YOUR PATIENTS DO YOU THINK
TELL YOU THAT THEY ARE
TAKING SUPPLEMENTS OR HIGHER
DOSES.
I MEAN HOW IMPORTANT IS IT
THAT WE SHARE THIS
INFORMATION WITH OUR FAMILY
DOCTOR?

Shirley says WELL, IT IS IMPORTANT.
AND I ASK WHEN THEY COME IN
FOR THEIR CHECKUP I ALWAYS
ASK WHAT DRUG ARE YOU TAKING,
OFTEN YOU HAVE TO
SPECIFICALLY ASK ABOUT
VITAMINS BECAUSE THEY DON'T
THINK OF THEM AS DRUGS AND
WON'T TELL UNLESS YOU REALLY
ASK.
YOU HAVE TO REMEMBER TO ASK.
THEN TIME SOMETIMES THEY
WILL GIVE A LIST OF
MEGATHINGS THAT THEY ARE
TAKING.

Maureen says SO THEY WILL TILL.
AND THEN YOU CAN SEE WHETHER
THAT IS INTERACTING WITH
OTHER DRUGS YOU HAVE THEM
ON.
WHAT DOES Dr. SHIRLEY
EPSTEIN TAKE.

Shirley says A ONE A DAY, A SENT RUM,
I HAVE ALL MY KIDS TAKING IT
ONCE A DAY, ALL OFF TO
UNIVERSITIES.
THEY ALL WENT OFF WITH THEIR
SUPPLY OF MULTIVITAMINS AND
A CALCIUM SUPPLEMENT WELL.

Maureen says DO YOU THINK WE
NEED MORE RESEARCH IN THIS
AREA, DO YOU... PEOPLE LIKE
THE IDEA OF USING VITAMINS
TO FEEL BETTER, RATHER THAN
AS WE SAID, PRESCRIPTION
DRUGS.

Shirley says WELL, I THINK PEOPLE HAVE
TO LEARN HOW TO EAT PROPERLY,
TAKE CARE OF THEMSELVES,
EXERCISE PROGRAMME, NOT
SMOKE, DRINK IN MODERATE...
MODERATION.
YOU CAN'T LOOK AT VITAMINS
AS A QUICK FIX, DO WHATEVER
YOU WANT AND POP YOUR
VITAMIN AND STAY HEALTHY.
I DON'T THINK THAT IS WHAT
YOU NEED TO DO.
IT IS A SUPPLEMENT TO DOING
ALL THE RIGHT THINGS BUT
SOMETIMES WILL YOU IN THE GO
ENOUGH CALCIUM IN YOUR DIET.
WILL YOU NOT GET ENOUGH
THINGS, PARTICULARLY IN
WOMEN WITH OSTEOPOROSIS
CONCERNS.
SO THERE ARE SOME SUBGROUPS
WHO DEFINITELY NEED A
SUPPLEMENT, PREGNANT WOMEN,
THERE MAY BE OTHER
CONDITIONS THEY WILL FIND
THEY DEFINITELY NEED A
SUPPLEMENT SO I THINK IT IS
HELPFUL TO TAKE A
MULTIVITAMIN BUT WE ALSO
HAVE TO STRESS ALL THE RIGHT
CHOICES, EATING PROPERLY,
REGULAR EXERCISE, ALL OF
THOSE THINGS.

Maureen says GOOD ADVICE,
THANKS AGAINST.

Shirley says MY PLEASURE.

(music plays)

Maureen says COMING UP.

In a clip, Paul says THE FOOT IS REALLY QUITE
A NEAT LITTLE BIT OF
MECHANICS AND A COMPLEX
COLLECTION OF BONES.

Maureen says STEPPING OUT WITH
Dr. PAUL CALDWELL.

The opening sequence rolls again.

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

Maureen says NOW SOME STORIES MAKING
HEALTH NEWS.

The screen reads "Allergy Drugs." A picture shows yellow and green pills close-up shot of an eye.

She continues ALLERGY
SUFFERERS WHO ONLY USE
MEDICATION WHEN THEY NEED IT
ARE PROBABLY BETTER OFF
USING STEROID NASAL SPRAYS
RATHER THAN ANTIHISTAMINE
PILLS, ALTHOUGH PEOPLE WITH
SEASONAL ALLERGY ADVISED TO
TAKE ANTIHISTAMINES OR NASAL
SPRAYS DALEY, MOST DON'T SO
RESEARCHERS COMPARED THE
MEDICATIONS WHEN USED ONLY
AS NEEDED.
IT IS COMPLICATED BUT WHEN
THEY LOOKED AT A GROUP OF
RAGWEED SUFFERERS, THEY
FOUND THAT THOSE WHO USED
NASAL SPRAYS WERE REPORTING
FEWER ALLERGY SYMPTOMS
WITHIN FIVE DAYS THAN THOSE
WHO USED ANTIHISTAMINES.
CLINICAL TRIALS ARE THE
HALLMARK OF EVIDENCE-BASED
MEDICINE.

The caption on the screen changes to "Clinical Confusion." A picture shows a question mark on a notebook and a female doctor checking a patient.

She continues BUT A NEW STUDY SAYS MANY
PATIENTS WHO AGREE TO
PARTICIPATE IN THEM DON'T
FULLY UNDERSTAND HOW THEY
WORK.
FOR EXAMPLE, A QUARTER OF
THE CANCER PATIENTS IN ONE
CLINICAL TRIAL DIDN'T
UNDERSTAND THAT THE PURPOSE
WAS TO IMPROVE THE TREATMENT
OF FUTURE PATIENTS, NOT
NECESSARILY THE PATIENTS
BEING STUDIED.
ALSO, NEARLY HALF OF THE
PATIENTS THOUGHT THE
TREATMENT THEY WERE
RECEIVING WAS STANDARD FOR
THEIR TYPE OF CANCER.
AND 30 percent THOUGHT THE
TREATMENT HAD ALREADY BEEN
PROVEN TO BE THE BEST.

The caption on the screen changes to "Low Dosage." A picture shows a bottle of medicine pills and fish.

She continues WE'VE HEARD HOW GOOD FISH
OIL IS FOR US BUT A U.S.
STUDY SAYS THE SUPPLEMENTS
WE TAKE MAY CONTAIN LESS OF
THE GOOD STUFF THAN THE
LABEL CLAIMS ECONOMY TESTING
COMPANY IN NEW YORK TESTED
20 DIETARY SUPPLEMENTS FOR
EPA AND DHA, ALSO KNOWN AS
OMEGA 3 FATTY ACIDS FINDING
MANY OF THEM CONTAINING
SIGNIFICANTLY LOWER LEVELS
OF THE ACIDS THAN STATED ON
THE PRODUCT LABEL.
NEITHER HEALTH CANADA NOR
THE FDA REGULATES
INGREDIENTS OR DOSAGE LEVELS
IN FOOD SUPPLEMENTS.

(music plays)

Maureen says NOW THE ANSWER TO OUR
HEALTH QUIZ, ANTI-OXIDANTS
FIGHT DISEASE BY DESTROYING
FREE RADICALS AND ALL THREE
VITAMIN E, VITAMIN C AND
BETA CAROTENE ACT AS
ANTI-OXIDANTS.

The Quiz slate appears. The 3 answers appear highlighted in yellow.

Maureen continues BUT TELL YOUR
DOCTOR IF YOU ARE TAKING
SUPPLEMENTS.
COULD YOU LIFT ONE AND A
HALF TIMES YOUR BODY WEIGHT?
YOUR FEET DO.
NO WONDER THEY ACHE.
HERE'S Dr. PAUL CALDWELL TO
EXPLAIN THE NOBLE
PEDESTRIANISTS.

Paul sits at a table with a stethoscope, foot models and other objects on it. Behind him, a human anatomy model and a TV monitor sit on a piece of furniture.

Paul says EVER HEAR THE MEDICAL
EXPRESSION BOY, MY DOGS ARE
BARK TONIGHT IT SAY COMMON
PHRASE USED DURING
INTERNALSHIP AFTER YOU'VE
BEEN ON YOUR FEET ALL DAY.
IT IS HARD TO HAVE A GOOD
DAY, A REALLY GOOD DAY IF
YOUR FEET ARE SORE.

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

He continues AND LET'S FACE IT, MANY OF
US, THOUGH WE HAVE HEARTS OF
GOLD, HAVE FEET OF CLAY.
THE FOOT IS REALLY QUITE A
NEAT LITTLE BIT OF MECHANICS
IN THE COMPLEX COLLECTION OF
BONES.

He grabs a small white foot skeleton.

He continues THE VERTICAL TALUS ORANGE EL
BONE AND TWO GROUPS OF
HORIZONTAL BONES, THE HEEL
BONE GOING BACK AT AN ANGLE
HERE, AND THE METATARSAL OR
TOE BONES GOING FORWARD THIS
ARRANGEMENT, THE LONG TOE
BONES GOING FORWARD AND THE
SHORTER THICKER HEEL BONE
GOING BACKYARD WARD, LETS
THE FOOT ACT AS A SORT OF
SHOCK ABSORBER, A SPRING.
ANOTHER PART OF THIS SPRING
MECHANISM INVOLVES ARCHES.
WE KNOW FROM ARCHITECTURE
THAT AN ARCH IS USED TO
DISTRIBUTE FORCE EQUALLY.

Now, he shows a plastic foot model cut in half.

He continues IN THE FOOT THERE ARE TWOS,
A LONGITUDINAL ARCH AND A
TRANSVERSE.
THE ARCHES ARE MAINTAINED BY
LIGAMENTS THAT HOLD THE
BONES TOGETHER BUT ALSO BY
MUSCLES.
FOR EXAMPLE, ON THE INSIDE
OF THE FOOT, ONE OF THE
TENDONS FROM THE SHIN COMES
UNDERNEATH THE BONES OF THE
FOOT TO ATTACH ON THE FAR
SIDE, ACTING AS A SLEEVE TO
KEEP THE FOOT UP.
THE FOOT IS ELEGANTLY
DESIGNED TO DISTRIBUTE THE
FORCES INVOLVED IN WALKING
AND RUNNING OVER THIS
NETWORK OF STRUCTURES.
SO WHY DO OUR DOGS BARK SO
OFTEN?
ONE OF THE COMMONEST REASONS
FOR FOOT PAIN HAS TO DO WITH
THE ARCHES.
FLAT-FOOTEDNESS CAN HAPPEN
FROM INJURY OR AGE BUT MOST
OFTEN, ARE YOU BORN WITH
THEM.
IF YOU ARE FLAT-FOOTED THE
DISTRIBUTION OF FORCES IN
THE FOOT IS NOT THE SAME AND
THAT CAUSES PAIN.
NOT ONLY CAN YOU LOSE THE
LONGITUDINAL ARCH HERE, BUT
IT IS QUITE COMMON AS WE AGE
TO LOSE THE TRANSVERSE ARCH
HERR CANNING THE FOREFOOD TO
WIDEN.
THIS ABNORMAL WEAR OFTEN
PRODUCES A CALLOUS ON THE
SOLE OF THE FOOT.
A BON YUN IS A PROM FENCE OF
THE FIRST METATARSAL
COMMONLY SEEN IN FLAT-FOOTED
AS THE FOOT BECOMES FLATTER,
WALKING AND PARTICULARLY
PUSHING OFF WITH THE TOES
PUSHES THE BIG TOE TO THE
SIDE.
BECAUSE ARCHITECTURE AND THE
DISTRIBUTION OF FORCE IN THE
FOOT IS SO IMPORTANT, THE
USUAL MEDICAL APPROACH TO
FOOT PAIN IS ORTHOTICS.

He puts a foot skeleton onto a shoe insert.

He continues INSERT MOOD A SHOE, THEY CAN
CORRECT ABNORMAL ALIGNMENT.
ONE LAST THING, THE BEST
SHOES ON THE MARKET ARE
RUNNING SHOES BECAUSE
RUNNERS HAVE DEMANDED GOOD
SUPPORT IN A SHOCK ABSORBING
DESIGN.
YOU MAY NOT BE AN OLYMPIC
ATHELETE BUT YOU CAN BENEFIT
FROM THIS TECHNOLOGY.
FEEL EMBARRASSED, WITH THE
IDEA OF WALKING AROUND IN A
PAIR OF RUNNING SHOES, GET
OVER IT.
IT WILL GIVE YOU THE SUPPORT
TO REQUEST BEST FOOT
FORWARD.
BESIDES, IT WILL STOP THEM
DOGS FROM BARKING.

Maureen says WOOF.
YOU CAN GET TRANSCRIPTS OF
MEDICINE 101 VISIT TVO
WWW.ORG/YOUR HEALTH.

A clip plays.

A young woman says FOR MYSELF IT WAS KIND OF
LIKE A WEIGHTLIFTED OFF MY
SHOULDERS BECAUSE NOW I KNEW
WHAT I WAS DEALING WITH AND
NOW WE CAN RESEARCH THE
SYNDROME AND NOW WE COULD
GET JOHN ROBERT THE HELP
THAT HE REQUIRED.

Maureen says THE RARE DISORDER KNOWN
AS WILLIAM SYNDROME.

The clip ends.

Maureen concludes THAT IS NEXT WEEK ON "YOUR
HEALTH."
THAT IS 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 2002, The Ontario Educational Communications Authority.

Watch: Your Health Season 3 Episode 16