Transcript: Your Health Season 3 Episode 18 | Feb 05, 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.

Neil Shear is in his forties, clean-shaven with brown hair. He wears glasses, a gray shirt and striped matching tie.

Neil says THE 458 MAKE OF ROSACEA
IS A RED FACE.

Jane Clark is in her mid-forties, with short brown hair. She wears a white shirt and black jacket.

Jane says PEOPLE THINK YOU HAVE
EITHER HIGH BLOOD PRESSURE,
YOU ARE DRINKING, HEAVILY.

Maureen says TURNING RED FOR
THE WRONG REASONS.

Bill McPhee is in his early fifties, clean-shaven with light brown hair. He wears glasses, a black suit, white shirt and patterned tie.

Bill says NOW I AM GOING TO BE A
CLOSE EYE ON THEM, FOR
EXAMPLE, IF THINGS I SEE
BECOMES ANTI-SOCIAL OR
DISAPPEARS INTO THE ROOM FOR
HOURS AT A TIME AND THEN
BECAUSE EARLY TREATMENT, THE
EARLIER YOU CAN FIND IT, THE
BETTER YOU CAN GET ON INTO

Maureen says SCHIZOPHRENIA, TREATING THE
DISEASE BEFORE THE DIAGNOSIS.

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

Paul says IF WE COULD SEE RIGHT
INSIDE, IF WE COULD CREATE
AN IMAGE OF THE ORGANS WE'D
BE ABLE TO DIAGNOSE WHAT WAS
WRONG WITH EASE.

Maureen says AND Dr. PAUL
CALDWELL GETS X-RAY VISION

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 pale pink blouse under a lilac blazer.

Maureen says HELLO, I'M
MAUREEN TAYLOR, REMEMBER THE
ANGST YOU FELT BREAKING OUT
IN A FACE FULL OF PIMP ELS
AS A TEENAGER OR BEING
EMBARRASSED AND TURNING BEET
RED IN A ROOM FULL OF PEOPLE,
THAT IS THE FEELING PEOPLE
WITH ROSACEA LIVE WITH EVERY
DAY, IT IS A VERY COMMON
SKIN DISEASE WHICH AFFECTS
MOSTLY THE FACE.
IF LEFT UNTREATED IT CAN BE
DISFIGURING.

The TV screen next to her shows a picture of Jane Clark.

Maureen continues DERMATOLOGISTS CAN HELP BUT
IS THE COSMOTOLOGIST WHO CAN
SOMETIMES WORK MIRACLES.
BILL CLINTON HAS IT, THAT
BRIGHT RED FLUSH DOESN'T
COME FROM EMBARRASSMENT AS
BEING CAUGHT IN THE OVAL
OFFICE WITH HIS PANTS DOWN.
CLINTON HAS ROSACEA.

[monitor beeps]
A blue slate reads "Face First. Produced by Wendy Kirchner."

A clip plays.

A caption appears on screen. It reads "File Pictures."

Bill and Hillary Clinton walk next to a group of people waving.

The caption changes to "Doctor Neil Shear. Dermatologist."

Neil says THE HALLMARK OF ROSACEA
IS A RED FACE.
AND THE REDNESS CAN HAVE
DIFFERENT COMPONENTS, THERE
IS FLUSHING WHERE PEOPLE
WILL BE MODERATELY RED AND
THEN HAVE A DRINK OF WINE
AND BECOME FLAMING RED.
AND THERE IS ALSO SOME
PEOPLE WHO GET PIMP ELS ON
THEIR FACE AS PART OF IT.

A picture shows a woman with red cheeks, followed by another one of a woman with pimples.

Neil continues IN THE OLDER DAYS WHEN THERE
WEREN'T GOOD PATIENTS PEOPLE
HAD BIG THICK NOSES, THE
KARL MALDEN OR MORE RECENTLY
A BILL CLINTON TYPE OF NOSE.

Maureen says ROCHE ASIA IS
USUALLY DIAGNOSED AFTER THE
AGE OF 30 AND ALTHOUGH IT IS
MORE COMMON IN WOMEN THAN
MEN, MEN GET IT MORE
SEVERELY.

Neil says IN ROSACEA THERE ARE
SEVERAL BITS THAT CAN MAKE
YOUR FACE RED.
SOMEONE YOU CAN HAVE PIMP
ELS WHICH CAN BE LIKE RAISED
RED BUMPS OR FLAT LITTLE
SPIDER VAINS AND WE DON'T
KNOW WHY YOU GET THOSE.
AND PEOPLE CAN HAVE A BIT OF
ECZEMA WITH IT AND ADDS TO
THE REDNESS WITH

A series of pictures of people with the symptoms described flash by.

The caption changes to "Jane Clark."

Jane says CAN FEEL MY
FACE BURNING RIGHT NOW.
IT WAS A GRADUALLY ESCALATEING
CONDITION.
AND I NOTICED BROKEN
CAPILLARIES AND THE FLUSHING,
THE REDNESS WAS BOTHERING
ME.

Jane looks in the mirror and applies make up on her nose and cheeks.

Neil says I KNOW THAT WHEN OUR
DERMATOLOGY RESIDENTS WORK
WITH ME AND SEE SOME OF THE
PATIENTS WE SEE, YOU CAN'T
BELIEVE HOW BAD.
IT IS AND THEY JUST HAVE
THICK, HUGE, RED BOGEY MASS
ON THEIR FACE, PINCHES ALL
OVER, SWOLLEN NOSE,
MISERABLE WITH PAIN,
DISCOMFORT AND ITCH, THEY
CAN'T WORK.
CAN YOU IMAGINE TRYING TO GO
INTO THE PUBLIC LIKE THIS.

Maureen says CERTAIN THINGS CAN
AGGRAVATE ROSACEA OR CAUSE
FLARE-UPS, PARTICULARLY
ANYTHING THAT CAUSES THE
BODY TEMPERATURE TO RISE.
THEY INCLUDE EXPOSURE TO THE
SUN, EXPOSURE TO EXTREME
HEAT OR COLD, CONSUMPTION OF
ALCOHOL, HOT LIQUID OR SPICY
FOODS, AND STRESS.

Fast clips show a man playing Frisbee on the beach, a woman applying sunscreen on another woman and a blond woman having a drink.

Jane says PEOPLE THINK YOU HAVE
EITHER HIGH WHAT URE, YOU
ARE DRINKING, HEAVILY, OR
THE OTHER THING THAT THEY
THINK IS THAT YOU HAVE BEEN
IN THE SUN AND HAVE A
SUNBURN.

Neil says WHAT HAS BEEN HAPPENING
WITH YOUR FACE WHAT BROUGHT
NEW TO SEE ME.

A young blond woman says WELL, I NOTICE I WAS
GETTING WHAT I THOUGHT WAS
ACNE, LIKE LITTLE BUMPS WITH
MAYBE SLIGHT WHITEHEADS OR
SOMETHING BUT NOT REALLY.
AND JUST REALLY HOT, HOT
FACE.

Maureen says WHILE ROSACEA
CAN'T BE CURED IT CAN BE
KEPT UNDER CONTROL AND
PATIENTS USUALLY SEE RESULTS
WITHIN SEVERAL WEEKS.

Neil says WHEN WE ARE TRYING TO
TREAT ROSACEA WE WILL FOCUS
ON THE SYMPTOMS.
WE START FROM THE GROUND UP.
PEOPLE SAY I CAN'T FIND
ANYTHING THAT I CAN USE TO
WASH MY FACE.
WE WILL SAY HERE SAY PRODUCT
THAT WE KNOW IS SAFE, GENTLE
AND BECAUSE WE SEE SO MANY
PEOPLE WITH ROSACEA WE HAVE
HAD GOOD FEEDBACK WE KNOW IT
IS GOING TO WORK.
THAT IS GREAT.

At Neil’s office, the young woman washes her face.

Maureen says ANTIBIOTICS AND
TOP CAN OINTMENTS ARE ALSO
USED TO KEEP ROSACEA AT BAY.

An old man rubs gel on his cheek.

Neil says WE DO KNOW THAT THERE IS
AN EASY DILITATION OF THE
BLOOD VESSELS WHEN PEOPLE
GET HOT AND WE DO KNOW THAT
ANTIBIOTICS PUT ON THE SKIN
OR TAKEN BY MOUTH ARE
PROBABLY THE MAINSTAY OF
THERAPY AND WORK REALLY WELL
FOR ROSACEA.

Talking to the young woman, Neil says I WILL GIVE YOU A
PRESCRIPTION FOR THE GEL I
WOULD LIKE YOU TO USE.
BUT BEFORE YOU EVEN START,
JUST TO MAKE SURE THAT YOU
CAN TOLERATE IT AND IT IS
OKAY I WILL GIVE YOU A SAMP
TOLD USE, SO TRY THAT.

Then, Neil says THE MOST COMMON TOPICAL
MEDICATION IS METRONITOZOLE
USED TWICE A DAY CAN HAVE A
DRAMATIC AFFECT NOT SO MUCH
ON THE REDNESS BUT THE PIMP
ELS AND PREVENTING THEM FROM
COMING.
AND THEN THINGS LIKE OR ALL
ANTIBIOTICS, TETRACYCLINES
ARE A COMMON THING TO TREAT
AGAIN THE PIMP ELLY PART OF
ROSACEA.
ANTIBIOTICS DO HAVE AN
ANTI-INFLAMMATORY OR AN
AFFECT ON CALMING THE IMMUNE
SYSTEM EVEN THOUGH THEY ARE
AGAINST THE BACTERIA.
AND PEOPLE HAVE LOOKED HIGH
AND LOW FOR DID WAYS THAT
BACTERIA MIGHT BE CAUSING
ROSACEA, AND TO DATE NO ONE
HAS REALLY FOUND AN ANSWER
TO THAT.
SO ANTIBIOTICS DO WORK, WHY
THEY WORK WE DON'T REALLY
NOTE.

The young woman sits in a room. Lee applies make up on her face. She is in her early forties, with shoulder-length brown hair in a bob and bangs. She wears a white doctor apron and a black turtleneck sweater.

Lee says WHAT I'M GOING TO DO IS
TAKE A FOUNDATION THAT I
BELIEVE IS YOUR COLOUR.

Maureen says MASKING ROSACEA
WITH SPECIAL MAKEUP OR
CAMOUFLAGE IS ALSO A WAY TO
HELP PEOPLE PUT THEIR BEST
FACE FORWARD.

Lee continues AND I'M GOING TO TRY TO
MATCH IT TO YOUR NECK
BECAUSE YOUR NECK IS PART OF
YOUR FACE.

Maureen says LEE IS A CAMOUFLAGE
THERAPIST AT SUNNYBROOK
HOSPITAL.
SHE AND Dr. SHEER SPENT TWO
YEARS DEVELOPING A SPECIAL
MAKEUP FOR ROSACEA PATIENTS.

Lee continues IT WILL PROTECT YOUR SKIN
AT THE SAME TIME AS CALM
DOWN THE REDNESS.
PEOPLE WITH ROSACEA HAVE
A LOT OF REDNESS, BROKEN
BLOOD VESSELS AND THIS HAS
AN SPF.
IT FRAGRANCE FREE IT IS NOT
OIL FREE.
IT IS NONCOMOD IN OGENIC
MEANING THERE NOT CAUSE TO
YOU BREAK OUT, PIMP ELS,
PUSTULE, THAT TYPE OF THING.
IT LONG WEARING T WATER
RESISTANT.
I HAVE 43 COLOURS BASED ON
ALL THE NATALITIES THAT I
SEE, THE DIFFERENT CULTURAL
GROUPS THAT I SEE HERE AT
THE HOSPITAL.

As she applies the make-up, Lee says THAT IS BASICALLY HALF YOUR
FACE DONE.
IN ABOUT ONE MINUTE.
THERE YOU GO.
HOW IS THAT.

The young woman says YEAH, THAT SAY BIG
DIFFERENCE.

Jane says FOR A LONG TIME I WAS
SEARCHING FOR A MAKEUP
PRODUCT, MOST OF THEM I
FOUND THE COLOURS WEREN'T
GOOD OR THEY WERE PASTEY,
SORT OF A HEAVY POWDERY KIND
OF A PRODUCT.
AND I HAVE JUST COME ACROSS
MAKEUP UNDER THE BRAND NAME
COVER FX WHICH PROVIDES ME
WITH GREAT COVERAGE.
IT ALLOWS ME TO GO OUT AT
NIGHT, HAVE A GLASS OF RED
WINE WHICH IS A REAL TRIGGER
FOR ROSACEA, AND KNOW THAT
MY FACE ISN'T GOING TO BE
BEET RED.
IT MIGHT BE RED UNDER THE
MAKEUP BUT I'M THE ONLY ONE
WHO KNOWS THAT.

Jane takes her dog for a walk.

Maureen says EVEN THOUGH MEN
ARE SOMETIMES RELUCTANT TO
HAVE ROSACEA TREATED, THE
MEDICATION AND CAMOUFLAGE
CAN WORK WONDERS FOR THEM
TOO.

A picture shows a man wearing a moustache with a red nose. Then, the same man appears on another picture with make-up on that makes his nose look natural.

Neil says SOME MEN COME IN AND FOR
INSTANCE THE CAMOUFLAGE IS
FANTASTIC BECAUSE THEY'VE
GOT A BRIGHT RED NOSE AND
REALLY WITH A SIMPLE LITTLE
WIPE OVER THEIR NOSE LIKE
THIS THEY WALK OUT AND LOOK
NORMAL IT REALLY CHANGES THE
WAY OTHER PEOPLE LOOK AT
THEM, TALK TO THEM, HOW
PEOPLE BEHAVE WITH THEM.

Lee says THERE YOU GO, ARE YOU ALL
DONE.

The young woman says THANK YOU.

Neil says I HAVE FOUND THAT ROSACEA
REALLY CONTROLS PEOPLE'S
LIVES.
THEY CAN'T SIT IN A CERTAIN
CHAIR IN A RESTAURANT, IT
TOO CLOSE TO THE FIREPLACE,
TOO CLOSE TO THE WINDOW.
THEY CAN'T GO OUT BECAUSE
THEY ARE EMBARRASSED TO GO
OUT.
THE DISEASE CONTROLS THEIR
LIFE.
AND OUR GOAL IS TO GIVE
THEM CONTROL OVER THEIR
CONDITION.

Jane says THERE ARE A LOT WORSE
THINGS THAT YOU COULD HAVE
TO DEAL WITH IN YOUR
LIFETIME.

The clip ends.

(music plays)

A gray slate reads "Quiz."

Maureen says A BEEFY QUESTION
IN THIS WEEK'S QUIZ, WHICH
DISEASE HAS NOT BEEN LINKED
TO DIETS THAT ARE RICH IN
RED MEAT, STOMACH CANCER,
COLON CANCER OR HEART
DISEASE, STAY TUNED.
THE ANSWER LATER ON "YOUR
HEALTH."

Now, Maureen and three guests sit at a table.

Maureen says POLICE THOUGHT BILL
McPHEE WAS DRUNK OR ON DRUGS
WHEN THEY FOUND HIM WALKING
NAKED IN TRAFFIC.
BUT WHAT THEY DIDN'T KNOW,
WHAT HE DIDN'T KNOW HIMSELF
WAS THAT HE HAD
SCHIZOPHRENIA.
RESEARCHERS THINK THEY CAN
STOP PSYCHOTIC EPISODES LIKE
BILLS BY GIVING PEOPLE DRUGS
EARLIER, EVEN BEFORE ACTUAL
DIAGNOSIS.
BUT CRITICS WARN THAT USING
DRUGS TOO EARLY CAN BE
DANGEROUS.
TODAY BILL McPHEE PUBLISHES
SCHIZOPHRENIA DIGEST,
DR. ROBERT SAPERSKI IS
CLINICAL DIRECTOR OF THE
SCHIZOPHRENIA PROGRAMME FOR
THE CENTRE FOR ADDICTION AND
MENTAL HEALTH AND JENNIFER
CHAMBERS IS A MENTAL HEALTH
PATIENT ADVOCATE.
WELCOME TO ALL OF YOU.
DOCTOR, FIRST OF ALL, CAN
YOU TELL US WHY SOME PEOPLE
THINK WE SHOULD BE GIVING
PEOPLE DRUGS EARLIER IF THEY
ARE SUSPECTED OF HAVING
SCHIZOPHRENIA.

The caption changes to "Doctor Robert Zipursky. Psychiatrist." Robert is in his mid-forties, clean-shaven with receding dark hair. He wears a black suit, glasses, white shirt and striped black and brown tie.

Robert says YEAH, THERE IS A PRETTY
SPECIFIC RATIONAL.
WE KNOW NOW THAT IF WE ARE
ABLE TO TREAT PEOPLE EARLY
WHEN THEY FIRST BECOME
PSYCHOTIC THAT THE CHANCES
OF THEM HAVING A GOOD
RECOVERY THAT IS THOUGH
LONGER HAVING THE
CHARACTERISTIC SYMPTOMS OF
SKITS FRIEND YA, THE
HALLUCINATIONS AND DELUSIONS,
THAT THERE IS ABOUT A 90 percent
CHANCE THAT THEIR SYMPTOMS
WILL GO AWAY WITHIN THE
FIRST YEAR OF TREATMENT.
THAT YOU MIGHT THINK GIVEN
WHAT MOST PEOPLE KNOW ABOUT
SCHIZOPHRENIA, THAT IF YOU
CAN MAKE THOSE SYMPTOM GOES
AWAY THE PERSON COULD JUST
GET BACK IT NORMAL.
THEY COULD GO BACK TO SCHOOL,
BACK TO WORK IF THEY ARE NO
LONGER HEARING VOICES OR
FEELING PARANOID.
IT TURNS OUT THAT EVEN
THOUGH FOR THE VAST MAJORITY
OF PEOPLE THEIR SYMPTOMS
WILL GO AWAY QUICKLY WITH
TREATMENT, MANY OF THOSE
PEOPLE ARE UNABLE TO
FUNCTION WELL AT WORK, AT
SCHOOL AND IN SOCIAL
SITUATIONS.
EVEN THOUGH THE SYMPTOMS ARE
GONE, THEY MAY REMAIN
DISABLED SO ONE OF THE BIG
ENIGMAS THAT WE ARE
CHALLENGED WITH IN THE FIELD
IS WHY IS IT THE CASE THAT
MANY PEOPLE WHO NO LONGER
HAVE ANY OF THE SYMPTOMS OF
SCHIZOPHRENIA ARE VERY, VERY
DISABLED.
AND THE ANSWER TO THAT IS
THAT BY THE TIME PEOPLE COME
TO US FOR TREATMENT, THEY
HAVE USUALLY BEEN PSYCHOTIC
FOR ONE TO TWO YEARS.
AND PRIOR TO BECOMING
PSYCHOTIC, THEY'VE USUALLY
BEEN INCREASINGLY
FUNCTIONALLY DISABLED FOR
APPROXIMATELY FIVE YEARS
BEFORE THAT.
SO EVEN THOUGH WE CAN MAKE
THEIR PSYCHOTIC, THEIR
CHARACTERISTIC SYMPTOMS OF
SKRITS FRIENDIA GO AWAY, BY
THE TIME WE TREAT THEM THEY
HAVE ACTUALLY BEEN
FUNCTIONALLY DISABLED FOR
ABOUT SIX IS ENYEARS.

Maureen says NOW IF YOU WERE
GOING TO TREAT THEM EARLIER,
HOW MANY EPISODES OF
PSYCHOSIS WOULD YOU WANT TO
SEE BEFORE YOU STARTED TO
GIVE THEM THIS MEDICATION?

Robert says WELL, TYPICALLY WHEN
PEOPLE HAVE AN EPISODE OF
PSYCHOSIS IT DOESN'T GO AWAY
UNLESS YOU TREAT IT SO
PEOPLE REMAIN PSYCHOTIC, CAN
REMAIN PSYCHOTIC FOR MANY,
MANY YEARS.
THE WHOLE POINT HERE IS THAT
IN ORDER TO ACTUALLY PREVENT
THE LONG-TERM FUNCTIONAL
DISABILITY YOU PROBABLY HAVE
TO GET TO PEOPLE BEFORE THEY
GET PSYCHOTIC.

Maureen says WOW!, OKAY.

Rob says THAT IS REALLY THE THEORY
HERE.

Maureen says LET'S FIND OUT, BILL
BEFORE YOU WERE PSYCHOTIC,
WERE THERE SIGNS THAT YOU
HAD SCHIZOPHRENIA.

The caption changes to "Bill McPhee. Schizophrenia Digest."

Bill says I BEGAN TO GET PARANOID
AND I ACTUALLY SAW ILLUSIONS,
I WOULD LOOK IN MY BEDROOM,
THE BARNWOOD HAD KNOTS IN IT,
IT WOULD EXPAND, CONTRACT
AND LOOK AT FACES.
I WOULD SEE WORDS FLOAT OFF
AT THE PAGE AND EXPAND AND
CONTRACT.
AND I HAD NO IDEA THAT
SCHIZOPHRENIA HITS PEOPLE
BETWEEN THE AGES OF 20... AT
17 AND 28, THAT YOUNG T IS
KNOWN AS YOUTH'S GREATEST
DISABLER, SO I THOUGHT IF I
WAS GOING TO BE MENTALLY ILL
I WOULD HAVE BEEN AS A
CHILD.
BUT THAT IS NOT THE CASE.
BUT I DID HAVE THE PARANOIA
AND TOOK HOSPITALIZATION
BEFORE I ACTUALLY ADMITTED
THAT HI AN ILLNESS.

The caption changes to "Jennifer Chambers. Mental Health Advocate." Jennifer is in her late thirties with short curly blond hair. She wears glasses, necklace and a pale lilac blazer.

Jennifer says I THINK IT IS A GOOD IDEA
TO OFFER SUPPORTS TO PEOPLE
BEFORE THEY BECOME SEVERELY
DISTRESSED.
I THINK THAT IT IS IMPORTANT
THAT PEOPLE BE OFFERED A
RANGE OF SUPPORTS.
COUNSELLING, EDUCATION, AND
THAT PEOPLE BE TOLD ABOUT
THE MEDICATIONS THAT ARE
AVAILABLE, WHAT THEIR
EFFECTIVENESS IS, AND WHAT
THE DANGERS ARE OF TAKING
THE MEDICATION SO THAT
PEOPLE ARE ABLE TO MAKE FULL
AND INFORMED DECISIONS BASED
ON A RANGE OF TREATMENTS
BEING AVAILABLE.
NOW THE TOPIC TODAY IS ABOUT
TREATING PEOPLE WITH THE
MEDICATIONS.
I THINK IT IS IMPORTANT TO
NOTE THAT IT'S GOOD NOT TO
JUST OFFER PEOPLE THAT ONE
SINGLE CHOICE.

Maureen says ALTHOUGH THAT IS
NOT WHAT...

Jennifer says THAT IS IN WHAT HAPPENED.

Bill says IT IS IMPORTANT TO
REALIZE THAT WITH THE
ILLNESS OF SCHIZOPHRENIA YOU
HAVE NO INSIGHT INTO THE
ILLNESS.
YOU ARE VERY... YOU ARE VERY
PARANOID AND DON'T THINK
ANYTHING IS WRONG WITH YOU.
AND MOST PEOPLE WILL NOT
FIGURE OUT WHAT IS WRONG
WITH THEM UNTIL THEY GET
BACK INTO REALITY.
AND AS FAR AS I'M CONCERNED
THE ONLY WAY TO GET BACK
INTO REALITY IS GETTING ON
THE PROPER MEDICATION.
AND IT IS LIKE A KEY IN A
LOCK, THE MEDICATION IS THE
FOUNDATION THAT OPENS THE
DOOR.
YOU HAVE TO GET INTO REALITY
BEFORE YOU CAN START WORKING
ON SOCIAL ASPECTS AND SOCIAL
FUNCTIONING AND GETTING BACK
INTO SOCIETY.
I HAVE LOST FIVE YEARS OF MY
LIFE LAYING ON A COUCH
THINKING OF WAYS I COULD
KILL MYSELF.

Maureen says YOU ARE SAYING YOU WISH
SOMEONE HAD STEPPED IN
INSTEAD OF WAITING FOR YOUR
CONSENT, STEPPED IN AND PUT
YOU ON THE MEDICATION WHEN
YOU WERE TOO SICK TO KNOW
YOU NEEDED IT.

Bill says ABSOLUTELY BECAUSE MOST
PEOPLE SUFFERING FROM
SCHIZOPHRENIA ARE OUT OF
REALITY AND DON'T REALIZE
THEY ARE SICK.

Maureen says CAN YOU YOU GET
INFORMED CONSENT FROM THE
PEOPLE WITH TALKING ABOUT.

Robert says YOU DEFINITELY CAN.
IT IS IMPORTANT THAT I
STRESS THAT I'M NOT TRYING
TO MAKE ANY TYPE OF ARGUMENT
THAT WE NEED TO BE TREATING
PEOPLE EARLIER.
THE QUESTION WE ARE
INTERESTED IN IS WHETHER YOU
COULD ACTUALLY HELP PEOPLE
BY TREATING THEM EARLIER.
I'M TALKING FROM A
PERSPECTIVE OF SOMEONE
RUNNING A LARGE UNIVERSITY
BASED PROGRAMME WHERE WE ARE
CARRYING OUT STUDIES, WHERE
WE ARE SEEING YOUNG PEOPLE
AND LOOKING AT WHETHER IT
MIGHT BE HELPFUL TO THEM.
THAT IS A LONG WAY AWAY FROM
RECOMMENDING TO DOCTORS IN
PRACTICE THAT THEY BE
TREATING PEOPLE EARLIER IN
THE ILLNESS.
IN TERMS OF WHETHER PEOPLE
WHO HAVE SCHIZOPHRENIA OR
ARE DEVELOPING SCHIZOPHRENIA
ARE ABLE TO PROVIDE INFORMED
CONSENT, THE VAST MAJORITY
OF PEOPLE ARE.
IF PEOPLE BECOME EXTREMELY
PSYCHOTIC SO THEY ARE VERY
PARANOID, HEARING VOICES
TELLING THEM WHAT TO DO,
THEY MAY BE SO SICK, AS BILL
SAID, THAT THEY ARE NOT ABLE
TO IDENTIFY THAT THEY ARE
ILL OR IDENTIFY THAT THEY
ARE IN NEED OF HELP.
BUT PART OF IDENTIFYING
PEOPLE EARLIER IN THE
ILLNESS IS THAT AT EARLIER
STAGES OF ILLNESS PEOPLE ARE
NOT THAT PSYCHOTIC.
THEY CAN APPRECIATE THAT
THERE MAY BE A PROBLEM.
THEY HAVE HAD SIGHT INTO THE
FACT THAT THEY ARE FAILING
IN THEIR LIVES AND THEY MAY
VERY WELL BE ABLE TO FULLY
UNDERSTAND THE RISKS AND
BENEFITS AT THAT POINT IN
TIME.

Maureen says BUT THEY MAY BE
VERY YOUNG, IS THAT THE
POPULATION ARE YOU WORRIED
ABOUT, JENNIFER, THE
TEENAGER WHO IS BEING
IDENTIFIED AS SCHIZOPHRENIC.

Jennifer says THE WAY THAT THIS IS DONE
IS DIFFERENT IN DIFFERENT
PARTS OF THE WORLD AND
DIFFERENT AT DIFFERENT
PLACES ACCORDING TO SORT OF
THE PROGRAMS THAT PEOPLE ARE
FOLLOWING.
AT THE CENTRE FOR ADDICTION
AND MENTAL HEALTH THEY JUST
ADDRESS PEOPLE WHO COME IN
BECAUSE THEY HAVE PROBLEMS.
OTHER PARTS OF THE WORLD
THEY ACTUALLY GO OUT AND
SORT OF TEST SAY THE HIGH
SCHOOL POPULATION.
AND SORT OF BRING THEM IN
FOR TREATMENT.
I'M MORE CONCERNED ABOUT
THEM SORT OF TAKING PEOPLE
OUT OF THE POPULATION THAN
PEOPLE COMING AND WHO SAY
THAT THEY ARE HAVING
PROBLEMS AND GETTING OFFERED
A RANGE OF SUPPORTS.

Maureen says WHY ARE YOU
CONCERNED ABOUT THAT.
IF THEY GO OUT AND SORT OF
LOOK THROUGH HIGH SCHOOL FOR
KIDS WHO MIGHT BE SKITS
FRIEND YOU ARE AFRAID THEY
WILL SCOOP UP KIDS WHO
AREN'T AND TREAT THEM.

Jennifer says THE STUDIES I HAVE SEEN
SHOWS THAT THEY FIND PEOPLE
IN THE HIGH SCHOOL
POPULATION, A MUCH HIGHER
PERCENTAGE THAN THEY, SR.
PSYCHOSIS TO EXIST IN THE
POPULATION SO IT SUGGESTS
THAT THEY ARE GETTING ALOT
OF FALSE POSITIVES IT IS
CALLED.

Maureen says DO YOU THINK WE
HAVE THAT AS WELL.

Robert says I AGREE WITH GENERAL
THEIR IT IS EXTREMELY
IMPORTANT THAT WE BE
ADDRESSING THE NEEDS OF
PEOPLE WHO ARE VERY, VERY
SYMPTOMATIC.
BECAUSE WHEN ARE YOU
ADDRESSING THE NEEDS OF
SYMPTOMATIC PEOPLE, PROBABLY
MOST OF THOSE PEOPLE HAVE
SYMPTOMS THAT LOOK VERY MUCH
LIKE SCHIZOPHRENIA AND THAT
HAS BEEN OUR EXPERIENCE AT
OUR CLINIC AT THE UNIVERSITY
OF TORONTO.
ON THE OTHER HAND IF YOU DO
GO OUT IN THE COMMUNITY AND
ASK HOW MANY YOUNGSTERS OUT
THERE HAVE SYMPTOMS THAT
MIGHT FIT INTO THE CLUSTER
OF SYMPTOMS THAT ARE PART OF
THE EARLY PHASES OF
SCHIZOPHRENIA, SOME OF THOSE
THINGS ARE VERY NONSPECIFIC,
THINGS LIKE FEELING SOMEWHAT
DEPRESSED, NOT CONCENTRATING
VERY WELL, NOT HAVING VERY
MUCH MOTIVATION, THOSE ARE
RELATIVELY COMMON THINGS IN
ADOLESCENTS.

Maureen says THAT IS MY DAUGHTER.

Maureen laughs.

Robert continues RIGHT, SO FOR THAT REASON
YOU HAVE TO BE EXTREMELY
CAUTIOUS ABOUT TAKING ANY
CRITERIA INTO THE COMMUNITY.
AND I WOULDN'T RECOMMEND
THAT ANYBODY DO THAT.
ON THE OTHER HAND, WHEN
YOUNG PEOPLE ARE PRESENTING
WITH A VARIETY OF SYMPTOMS
THAT LOOK A LOT LIKE
SCHIZOPHRENIA BUT HAVEN'T
REACHED A RELATIVELY HIGH
THRESHOLD WE HAVE SET FOR
MAKING A DIAGNOSIS OF
SCHIZOPHRENIA, THOSE PEOPLE
SHOULD BE TAKEN TO SEE A
PSYCHIATRIST.

Bill says IT IS A GENETIC FACTOR AS
WELL WITH.
SCHIZOPHRENIA THERE ARE
GENETICS INVOLVED SO MANY
TIMES THROUGH FAMILY
HISTORIES IF DOW HAVE A
GENETIC FACTOR, FOR EXAMPLE,
IN MY FAMILY RUNS MENTAL
ILLNESS, AND YOU KNOW, WE
CAN'T... IT MISSES AND SKIPS
GENERATIONS AND THINGS LIKE
THAT, WE CAN'T PINPOINT BUT
AS WE ARE MOVING TOWARD
EARLY INTERVENTION, MAYBE
ONE DAY WE COULD REALLY HAVE
GOOD MEDICAL TEST TO ALLOW
PEOPLE TO BE TREATED BEFORE
ANYTHING HAPPENS.

Maureen says YOU HAVE A SON
WHO IS 14.

Bill says I HAVE A 14-YEAR-OLD SON.
AND IF HE... YOU KNOW, I
ALREADY WARNED HIM.
WE KNOW THAT STRESS AND
CHEMICAL IMBALANCE AND A
GENETIC FACTOR IS INVOLVED
WITH SKITS FRIENDIA.
I TOLD HIM, I SAID WILLIAM,
YOU KNOW, IF YOU ARE IN HIGH
SCHOOL NOW, THERE IS PEER
PRESSURE AND EVERYTHING,
THERE IS A DRUG MOVEMENT,
THERE IS ALCOHOL.
YOU ARE PUTTING YOURSELF AT
RISK IF YOU GET THAT ALCOHOL,
IF YOU GET INTO STREET DRUGS
AND THINGS LIKE THAT.
NOW I AM GOING TO BE A CLOSE
EYE ON HIM, FOR EXAMPLE, IF
THINGS I SEE BECOME
ANTI-SOCIAL OR DISAPPEARS
INTO THE ROOM FOR HOURS AT A
TIME AND THEN... BECAUSE
EARLY TREATMENT, THE EARLIER
YOU CAN FIND IT, THE BETTER
YOU CAN GET ON.
BECAUSE PEOPLE HAVE
DIAGNOSED AT 17 AND THEY
DON'T GET... THERE THEY
DON'T HAVE A SCHOOL FINISHED
OR CAREER START.
IT IS AWFUL HARD TO GET BACK
WHAT YOU ONCE HAD.

Jennifer says WE ARE A LONG WAY FROM
FINDING ANY KIND OF GENETIC
BASIS YET THERE HAS BEEN A
FEW STU THAT SHOW FOR A
MINORITY OF PEOPLE THERE
SEEMS TO BE A GENETIC
COMPONENT TO THEM BEING OUT
OF TOUCH WITH REALITY BUT
AGAIN IT IS VERY... IT IS
STILL QUITE MINERAL...
MINIMAL.
AND I THINK ONE CAUTION THAT
NEEDS TO BE EXERCISED WHEN
DEALING WITH, ESPECIALLY
YOUNG PEOPLE WHO ARE HAVING
DAVID IS THAT AS ANY
PSYCHOLOGIST OR
SOCIALIOLOGIST WILL TELL YOU,
LABELS CAN BE
SELF-FULFILLING PROPHECIES.
SO IF PEOPLE THINK THAT
THERE IS SOMETHING SERIOUSLY
WRONG WITH THEM, THAT IN
ITSELF CAN HAVE AN EFFECT.
SO YOU HAVE TO HIT A BALANCE
BETWEEN GIVING PEOPLE THE
SUPPORT THEY NEED BUT NOT
GIVING THEM SUCH A NEGATIVE
VIEW OF WHAT IS LIKELY TO
HAPPEN IN THEIR LIFE THAT
THEY BECOME VERY DEPRESSED.

Maureen says DOCTOR, WHAT IS THE RISK
OF TAKING A PERSON WHO TURNS
OUT TO BE A FALSE POSITIVE
AND TELLING THEM YOU MAY BE
SCHIZOPHRENIC AND TWO, WE
ARE PUTTING YOU ON THESE
MEDICATIONS.

Robert says I THINK THAT REALLY GETS
THE QUESTION OF NOT ONLY CAN
WE PREVENT SCHIZOPHRENIA BY
USING MEDICATIONS BUT HOW
CONFIDENT ARE WE THAT WE CAN
IT HAD IDENTIFY WHO IS AT
HIGH RISK.
AND BECAUSE THIS IS A VERY,
VERY NEW DIRECTION IN THE
MENTAL HEALTH FIELD, REALLY
OUR TOP PRIORITY IS TO BE
CONFIDENT THAT WE ARE
IDENTIFYING THE RIGHT
PEOPLE.
AND IF WE ARE IDENTIFYING
THE RIGHT PEOPLE THAN YOU
CAN CARRY OUT A VARIETY OF
CLINICAL TRIALS WITH
MEDICATIONS, WITH DIFFERENT
PSYCHE THERAPEUTIC
INTERVENTIONS TO SEE IF THEY
ARE EFFECTIVE AT EITHER
MAKING PEOPLE FEEL BETTER OR
PREVENTING THE ONSET OF
SKITS FRIEND GENTLEMAN.

Maureen says ALL RIGHT,
FINALLY, WHAT WOULD EACH OF
YOU SAY OUT THERE TO
FAMILIES OUT THERE WHO ARE
STRUGGLING WITH THIS PROBLEM,
BILL, FIRST.

Bill says I WOULD SAY YOU
DEFINITELY HAVE TO TALK TO A
PROFESSIONAL.
TALK TO YOUR DOCTORS,
PERHAPS A PSYCHIATRIST.
IF YOU ARE REALLY CONCERNED
ABOUT EARLY SYMPTOMS AND
THINGS LIKE THAT BECAUSE
REMEMBER, 50 percent OF THE PEOPLE
WHO SUFFER FROM
SCHIZOPHRENIA WILL TRY TO
COMMIT SUICIDE, AND I WAS
ONE OF THEY I TRIED TO
COMMIT SUICIDE AND THAT IS A
BIG WASTE.
YOU KNOW, AND POTENTIAL OF
LIFE.
AND THIS ILLNESS COSTS
CANADA 4 BILLION DOLLARS A YEAR IN
IN TREATMENT AND AM CASE
COSTS, JUSTICE SYSTEM, THAT
IS A LOT OF MONEY A YEAR FOR
BILLION JUST FOR MENTAL
ILLNESS, SKRITS FRIENDIA
RELATED.

Maureen says JENNIFER?

Jennifer says I WOULD SUGGEST THAT THEY
TALK TO PEOPLE ABOUT
DIFFERENT ALTERNATIVES THAT
ARE AVAILABLE TO ASSIST AND
SUPPORT PEOPLE WITH WHATEVER
THE PERSON'S PROBLEMS ARE.
JUST AS AN EXAMPLE THERE IS
A SUPPORT GROUP IN TORONTO
FOR PEOPLE WHO HEAR VOICES
AND DON'T CHOOSE TO TAKE
MEDICATIONS.
AND THEY MANAGE THAT WAY,
THAT IS ONE ALTERNATIVE.
THERE IS A GREAT RANGE.
AND I THINK THAT IT IS A
GOOD IDEA TO GET INFORMED
ABOUT WHAT THE DIFFERENT
OPTIONS ARE.

Maureen says DOCTOR, FINALLY.

Robert says I THINK THE PUBLIC NEED
TO KNOW THAT THERE ARE
EXCELLENT SERVICES OUT
THERE.
THIS IS NOT A SORT OF
CONDITION WHERE YOU CAN JUST
GO AND GET ANY MEDICATION
AND GET BETTER.
IT IS A SITUATION WHERE YOU
REALLY NEED EXPERT
EVALUATION.
WE HAVE AN EXPERT CLINIC AT
THE CENTRE FOR ADDICTION AND
MENTAL HEALTH.
WE ACTUALLY HAVE A HOME
INTERIS TEAM THAT WILL COME
OUT AND SEE FAMILIES,
INDIVIDUALS IN THEIR HOME TO
HELP EVALUATE THEM.
AND THEN THEY NEED TO GO
THROUGH A VERY CAREFUL
PROCESS OF EVALUATION AND
ALSO DISCUSSION ABOUT THE
RISKS AND BENEFITS OF
TREATMENT.
BUT WHAT PEOPLE NEED TO
UNDERSTAND IS THAT MENTAL
ILLNESSES ARE MEDICAL
ILLNESSES, LARGELY GENETIC
IN ORIGIN AND THE LIKELIHOOD
THAT PEOPLE CAN GET BETTER
AND HAVE AN EXCELLENT
RECOVERY EVEN FROM AN
ILLNESS LIKE SCHIZOPHRENIA
IS EXCELLENT THESE DAYS.
THE LONGER PEOPLE DELAY
GETTING HELP THE MORE LIKELY
IT IS THEY WILL BE DISABLED
IN THE LONG TERM.

Maureen says WE HAVE TO LEAVE
IT THERE.
THANK YOU, ALL OF YOU.

(music plays)

Maureen says COMING UP.

In a clip, Paul says CT SCANNING HAS
REVOLUTIONIZED THE WAY WE
LOOK AT TISSUES IN HEALTH
AND DISEASE.

Maureen says TAKING A BETTER PICTURE.
HE.

The opening sequence rolls again.

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

Maureen says IN THIS WEEK'S HEALTH
DIGEST, THERE HAS BEEN A
WORRYING INCREASE IN THE
NUMBER OF BRITISH CHILDREN
WHO DEVELOPED CANCER OVER
THE LAST 45 YEARS RATES OF
THE MOST COMMON CHILDHOOD
TUMORS HAVE INCREASED BY
MORE THAN A THIRD.

The TV screen next to her shows a picture of the British flag and a girl lying in bed. A caption reads "Childhood Cancers."

She continues THE RESEARCH HAS MANY
WORRIED THAT SOME UNKNOWN
ENVIRONMENTAL FACTOR COULD
BE TO BLAME.
CHEMICAL POLLUTION,
RADIOACTIVITY, DIET, OR IN
THE CASE OF LEUKEMIA, AN
INFECTIOUS AGENT MAY ALL BE
CULPRITS.
NEARLY 1500 CHILDREN NOW
DEVELOP CANCER EVERY YEAR IN
THE U.K.

The caption changes to "Good Bacteria." A picture shows green bacteria next to dairy products.

She continues HAVE YOU TAKEN YOUR PRO
BIOTICS TODAY.
A NEW REPORT SAYS BABY
BOOMERS ARE EATING THEIR WAY
TO BETTER HEALTH FUELING A
BIG DEMAND FOR SO-CALLED
FUNCTIONAL FOODS.
THESE MAY BE MARGARINES THAT
LOWER CHOLESTEROL OREO GURTS
THAT STRENGTHEN THE IMMUNE
SYSTEM.
IN THE LAST 18 MONTHS 204
NEW PRODUCTS HAVE HIT THE
STORE SHELVES, THE SINGLE
BIGGEST CATEGORY, PRODUCTS
THAT CONTAIN BENEFICIAL
BACTERIA CALLED PROBIOTICS,
RESEARCHERS PREDICT IN THE
FUTURE SALES OF VITAMIN
SUPPLEMENTS WILL DECLINE AS
PEOPLE TURN TO PRODUCTS THAT
PROMISE TO CURE OR PREVENT
SPECIFIC DISEASES.

The caption changes to "Cold Cure?" A picture shows a nose and yellow pills.

She continues IT IS NOT A CURE FOR THE
COMMON COLD BUT IT IS THE
FIRST MEDICINE PROVEN TO
HELP MAKE YOUR COLD GO AWAY
FASTER.
U.S. SCIENTISTS WITH FUNDING
FROM A DRUG COMPANY HAVE
DEVELOPED AN ANTI-VIRAL
MEDICINE THAT REDUCES THE
LENGTH OF A COLD BY ONE FULL
DACHL OTHER OVER-THE-COUNTER
REMEDIES DRY UP PLUGGED
NOSES AND QUELL COUGHING BUT
THIS IS THE FIRST DRUG THAT
ACTUALLY ATTACKS THE RHINO
VIRUS ITSELF.
THE DRUG WILL HAVE TO PASS
STRINGENT SAFETY TESTS
BEFORE IT IS APPROVED SINCE
IT MAY BE USED BY MILLIONS
OF PEOPLE.

(music plays)

Maureen says DID YOU KNOW THE ANSWER
TO THE QUIZ QUESTION?
RED MEAT DOESN'T TAKE THE
RAP FOR STOMACH CAN SEVERAL
THE SATURATED FAT AND
CHOLESTEROL IN BEEF RAISE
THE RISK OF HEART DISEASE.
NO ONE IS SURE WHAT EXPLAINS
ITS APPARENT LINK TO COLON
AND PROSTATE CANCERS.

The Quiz slate appears. The answer "1. Stomach cancer" appears highlighted in yellow.

Maureen says EARLIER THIS SEASON WE
LEARNED ABOUT THE X-RAY.
FOR MORE THAN 100 YEARS IT
HAS BEEN AN IMPORTANT TOOL
IN MEDICINE.
BUT IT'S A POOR COUSIN TO
THE HIGH-TECH CAN ASK.
HERE IS Dr. PAUL CALDWELL.

Paul sits at a table with a stethoscope, a human anatomy model and a loaf of bread on it. Behind him, a TV monitor sits on a piece of furniture.

Paul says FOR THOUSANDS OF YEARS WE
DOCTORS HAVE BEEN TRYING TO
SEE INTO THE HUMAN BODY, TO
SEE HOW IT FUNCTIONS IN
HEALTH AND DISEASE.
IF WE COULD SEE RIGHT INSIDE,
IF WE COULD CREATE AN IMAGE
OF THE ORGANS, WE WOULD BE
ABLE TO DIAGNOSE WHAT WAS
WRONG WITH EASE.

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

He continues ONE OF THE MOST INFORMATIVE
OF THE NEW TECHNIQUES OF
IMAGING IS THE CT SCAN.
CT SCANS ARE ALSO CALLED CAT
SCANS.
AND THOUGH THEY ARE
COMPLICATED X-RAY TECHNOLOGY,
THE BASIC CONCEPT IS FAIRLY
SIMPLE.
THE T IN CT STANDS FOR
THE WORD "TOMOGRAPH" AND
TOMOGRAPHY IS AN X-RAY
TECHNIQUE OF TAKING X-RAYS
ONE RIGHT AFTER THE OTHER OF
A CERTAIN BODY PART WITH
EACH X-RAY FOCUSED ON A SPOT
JUST A MILLIMETRE OR TWO
PAST THE LAST X-RAY.
IT IS AS IF THE X-RAYS WERE
ACTUALLY SLICING THROUGH THE
TISSUE, AND EACH SLICE
LOOKED AT A SLIGHTLY
DIFFERENT PART BEGAN.
HERE IS AN EXAMPLE.

He points to an X-ray and continues
THIS IS A CT OF THE ABDOMEN.
AND YOU CAN SEE THAT THIS
SLICE OR TOMOGRAM SHOWS THE
VERTEBRAE AT THE BACK OF THE
AN DO MERNING THE LIVER ON
ONE SIDE, THE KIDNEYS, ET
CETERA.
ANOTHER SLICE IS TAKEN JUST
A FEW MILLIMETRES HIGHER.
THE NEXT SLICE IS EVEN
HIGHER AND SO ON AND SO ON
AND SO ON.
THE LETTER "C" IN THE WORD
"CT SCAN" REFERS TO THE WORD
COMPUTERIZED.
USING A COMPUTER THE SLICES
OR IMAGES ARE REASSEMBLEED
TO GIVE A FLOW OF IMAGES
THAT RESEMBLES THE TISSUE OR
ORGAN BEING STUDIED.
THESE IMAGES WERE CREATED
FROM SINGLE X-RAY SLICES
PLAYED BY THE COMPUTER IN
SEQUENCE MUCH LIKE A MOVIE
IS SIMPLY A COLLECTION OF
MILLIONS OF SINGLE FRAME
PHOTOGRAPHS.
LOOK AT THIS LOAF OF BREAD.
PRETEND THAT EACH OF THESE
SLICES IS IN FACT AN X-RAY
PICTURE OR TOMOGRAM.
IF YOU LOOK AT A SINGLE
SLICE CAN'T TELL WHAT THE
WHOLE LOAF LOOKS LIKE, BUT
BY PUTTING THE SLICES
TOGETHER ONE AFTER THE OTHER,
AND ASSEMBLING IT, WHICH IS
WHAT THE CT SCAN DOES, YOU
GET A PICTURE NOT ONLY OF
EACH INDIVIDUAL SLICE OF
BREAD BUT THE ENTIRE LOAF.
CT SCANNING HAS
REVOLUTIONIZED THE WAY WE
LOOK AT TISSUES IN HEALTH
AND DISEASE.
IT HAS CHANGED THE WAY WE
LOOKED INSIDE THE BODY.
OH, IT IS ALSO USED IN LOTS
OF OTHER MEDICAL SITUATIONS
LIKE VETERINARY MEDICINE, OF
COURSE.
THEIR IDEA OF A CAT SCAN IS
SOMETHING ENTIRELY DIFFERENT.

Maureen says THANKS
Dr. CALDWELL.
YOU CAN SEE TRANSCRIPTS OF
MEDICINE 101 ON OUR WEB SITE
AT WWW.TVO.ORG/YOURHEALTH.
THAT'S ALL THE TIME WE HAVE
FOR THEY DIFTION "YOUR
HEALTH."
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 18