Transcript: Your Health Season 3 Episode 19 | Feb 12, 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.

Pictures of a Lynn show her on the beach, sitting on a rock and next to friends.

Lynn is in her mid-forties with short curly gray hair. She wears round earrings and a patterned brown blouse.

Lynn says IT WAS A GRADUAL THING,
YOU MIGHT GAIN EIGHT, NINE
POUNDS A YEAR.
THAT DOESN'T SOUND LIKE A
LOT BUT AS THOSE YEARS ADD
UP, ALL OF A SUDDEN IT'S
QUITE A WEIGHT GAIN.
AND I KNEW I HAD TO DO
SOMETHING.

Maureen says A RADICAL NEW SURGERY
THAT PUTS THE SQUEEZE ON THE
STOMACH.

Sheila Dunn is in her forties with short blond hair and bangs. She wears glasses, brown blazer and pearl necklace.

Sheila says WE KNOW THAT A NUMBER OF
PREGNANCIES PROBABLY 40 TO
50 percent OF PREGNANCIES ARE
UNPLANNED.

Maureen says EMERGENCY CONTRACEPTION,
SHOULD IT BE
OVER-THE-COUNTER.

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

Paul says YOU'VE PROBABLY GROWN
THIS MOULD IN YOUR KITCHEN,
IT WAS A COMMON BREAD MOULD
CALLED PENCILIUM.

Maureen says AND KITCHEN
SCIENCE WITH Dr. PAUL
CALDWELL.

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 purple blouse and lilac jacket.

Maureen says HELLO, I'M
MAUREEN TAYLOR.
THERE'S OBESE AND THEN
THERE'S MORBIDLY OBESE.
PEOPLE WHO WEIGH AT LEAST
100 POUNDS MORE THAN THEIR
HEALTHY BODY WEIGHT.
AND THIS EXTRA FAT DOES PUT
THEIR HEALTH AT RISK.
THEY ARE MORE APT TO HAVE
DIABETES, HEART DISEASE AND
HIGH BLOOD PRESSURE JUST TO
NAME A FEW.

The TV screen next to her shows a picture of a woman, a hand holding a type of ring, doctors operating and a tape measure.

Maureen continues WE LOOKED AT A NEW SURGERY
THAT WILL HELP THESE PEOPLE
LOSE WEIGHT BUT STILL ADDS
UP TO AN EXTREME MEASURE.

[monitor beeps]
A blue slate reads "Extreme Measures. Produced by Wendy Kirschner."

A clip plays.

Maureen says LYNN HAS TO LOSE 100 POUNDS.
HER HEALTH DEPENDS ON IT.

Lynn weights herself.

Lynn says I HAVE HAD A WEIGHT
PROBLEM FOR ABOUT THE LAST
20 YEARS.
I'M A DIE BEAT... DIABETIC,
TYPE II DIABETES.
THAT IS SOMETHING THAT CAN
BE CONTROLLED BY DIET AND
EXERCISE.
IN ADDITION, HEART DISEASE
AND CANCER RUNS IN MY
FAMILY.
THESE ARE THINGS THAT AS MY
WEIGHT INCREASED, AND AS I
GOT OLDER I STARTED TO THINK
MORE AND MORE ABOUT.

Maureen says FOR LYNN LOSING WEIGHT
HAS BEEN A LOSING BATTLE.

Lynn says WHEN I WAS IN MY MID... I
WAS IN A BICYCLE ACCIDENT
AND I DAMAGED BOTH OF MY
KNEES AND MY LEFT FOOT.
THAT IS WHEN I REALLY TARTED
TO PUT ON THE WEIGHT.
IT WAS A GRADUAL THING.
YOU MIGHT GAIN EIGHT, NINE
POUNDS A YEAR.
THAT DOESN'T SOUND LIKE A
LOT BUT AS THOSE YEARS ADD
UP, ALL OF A SUDDEN IT'S
QUITE A WEIGHT GAIN.
AND I KNEW I HAD TO DO
SOMETHING.

Maureen says THAT SOMETHING
FOR LYNN IS A NEW TYPE OF
IMPLANT FOR MORBIDLY OBESE
PEOPLE CALLED THE LAP BAND.

Lynn packs a bag.

Lynn says MY GOAL IS TO LOSE 100
POUNDS WITHIN THE NEXT 14 TO
18 MONTHS.
I BELIEF THAT THAT IS
REALISTIC.
THE DOCTORS DO NOT WANT FOUR
OR FIVE, SIX POUND WEIGHT
LOSS PER WEEK BECAUSE THAT'S
NOT THE KIND OF WEIGHT THAT
STAYS OFF AND YOUR BODY ALSO
HAS TO ADD JUST TO THE LOWER
WEIGHT.

Maureen says LYNN WILL HAVE
HER SURGERY HERE AT
SCARBOROUGH GRACE HOSPITAL.
IT'S THE ONLY PLACE IN
ONTARIO, AND ONE OF JUST
THREE HOSPITALS ACROSS THE
COUNTRY WHERE LAP BAND
SURGERY IS DONE.

Lyn lies on a hospital bed.

A female doctor says LET ME JUST ASK YOU ABOUT
YOUR MEDICATIONS THEN.
DO YOU TAKE LOXAC.

Lynn says ONE OF MY GOALS IS TO
COME OFF DIABETES
MEDICATION.
I'M ALSO TAKING MEDICATION
FOR TRIGLYCERIDES AND HIGH
CHOLESTEROL.
ONCE I LOSE THE WEIGHT I
WILL BE ABLE TO COME OFF OF
THAT MEDICATION AS WELL.

Patrick says ARE YOU READY TO GO.

Lynn says YEAH, I'M READY TO GO.
I THINK EVERYTHING HAS BEEN
EXPLAINED SO I'M READY TO GO.

Patrick says YOU LIFT UP THE LIVER.

Maureen says SINCE IT WAS
INVENTED IN 1995, 5,000
PEOPLE WORLDWIDE HAVE
RECEIVE LAP BANDS.

Performing a surgery, a male doctor ANYTHING YELLOW YOU SEE
AT THIS POINT IS GOING TO BE
FAT.

A caption appears on screen. It reads "Doctor Patrick Yau. Surgeon." Patrick is in his early thirties, clean-shaven with black hair. He wears a blue doctor apron.

Patrick says IT IS THE MOST POPULAR
WEIGHT LOSS PROCEDURE IN
EUROPE, IN ISRAEL, IN
AUSTRALIA.
WE ARE REALLY KIND OF BEHIND
THE TIMES COMPARED TO THOSE
OTHER COUNTRIES.

Maureen says THE REASON IT
HAS CAUGHT ON IS THAT IT IS
DONE LAPAROSCOPICALLY,
PATIENTS HAVE SMALL INCISION
MAKING IT LESS INVASIVE THAN
OTHER SURGERIES.
THE LAP BAND WILL STAY
AROUND LYNN'S STOMACH FOR
THE REST OF HER LIFE.

A clip shows a male doctor inserting the band on a patient.

Maureen continues THINK OF THE LAP BAND AS A
BELT THAT DIVIDES THE
STOMACH INTO TWO PARTS.

The caption changes to "Courtesy: Bioenterics Corporation."

An animation shows the band grabbing the stomach.

Jacob Joffe is in his mid-forties, with a blond moustache and receding light brown hair. He wears a blue doctor apron.

Jacob says WE ARE PLACING A BAND
AROUND THE UPPER PART OF THE
STOMACH AND THIS BAND IS
DESIGNED TO CREATE A
SENSATION OF WHAT IS CALLED
EARLY SAITITY OR A FEELING
THAT ARE YOU FULL VERY
QUICKLY.

Patrick says ON AVERAGE WHAT WE EXPECT
PEOPLE TO BE ABLE TO HOLD IS
ABOUT 15 TO 20 CCs OF FOOD.
IN REAL TERMS ABOUT HALF A
SANDWICH.
AND WHAT I WANT TO REITERATE,
IMPORTANT HERE IS THAT THESE
PATIENTS HAVE ALL TRIED
DIETING.
THE MAIN REASON PEOPLE FAIL
DIETS IS THEY ARE HUNGARY
ALL THE TIME.
THEY HAVE A LITTLE BIT OF
FOOD THAT THEY ARE SUPPOSED
TO EAT AND ARE HUNGARY AND
SOONER OR LATER YOU GO BACK
TO YOUR NATURAL INSTINCT,
WHEN YOU ARE HUNGARY YOU
EAT.

Maureen says LIKE ANY MAJOR SURGERY THERE
CAN BE COMPLICATIONS.

Patrick says THERE ARE RISKS SUCH AS
HEMORRHAGE.
THERE ARE BLOOD VESSELS
AROUND THAT AREA THAT CAN
CAUSE BLEEDING.
THE BAND IS A PROS STETIC, A
FOREIGN BODY THAT CAN BECOME
INFECTED AND IT CAN BE A BIG
PROBLEM.
IN TERMS OF COMPLICATIONS
THE BAND CAN MIGRATE AND
MOVE AND IF IT MOVES IN ONE
DIRECTION OR THE WRONG
DIRECTION IT CAN ACTUALLY
CAUSE A TWIST IN THE STOMACH
SO THAT NOTHING GOES
THROUGH.
THIS IS SOMETHING THAT IS
NOT 100 percent.
IT'S RADICAL IN TERMS OF IT
IS SURGERY.

As doctors operate, they look at a TV monitor that shows the patient’s stomach.

Maureen says AND IT IS EXTENSIVE.
THIS SURGERY IS COSTING LYNN
10,000 DOLLARS THIS BECAUSE IT'S NOT
COVERED BY ONTARIO'S
PROVINCIAL HEALTH PLAN.

Lynn says MY FIRST REACTION WHEN I
WAS TOLD I HAD TO PAY FOR IT
WAS I WILL WAIT.
BUT ONCE I THOUGHT ABOUT IT,
I THOUGHT WELL, IS IT WORTH
10,000 DOLLARS TO ME TO HAVE THIS
DONE.
AND I DECIDED THAT YES, IT
WAS.

Maureen says THERE ARE OTHER
TYPES OF SURGRY AVAILABLE.
BUT THEY ARE MUCH MORE
INVASIVE.

Patrick SAYS THE RULE ON GASTRIC
BYPASS IT IS THE STANDARD.
BASICALLY WHAT IT INTAILS IS
THIS, WE TAPE EL THE STOMACH
TO MAKE IT SMALLER SO THERE
IS SOME RESTRICTION BECAUSE
IF THE STOMACH IS SMALLER
THEORETICALLY YOU WON'T HAVE
TO EAT VERY MUCH.
THE SECRETARY THING INVOLVED
IS WE BASICALLY RENDER A
GOOD PORTION OF THE BOWELS
USELESS.
BY THAT STOCKEN NOT ONLY DOW
EAT LESS, WHATEVER DOW EAT
YOU ABSORB LESS AND LESS
CALORIES GOING IN THIS ARE
YOU GOING TO LOSE WEIGHT.

An animation reads "Gastric bypass roux-en-y." It shows cuts in different areas of the stomach.

The caption changes to "Doctor Jacob Joffe. Surgeon."

Jacob says THE VERTICAL BANDED
GASTRO PLASTY IS AN
OPERATION THAT HAS BEEN
AROUND FOR A LONG TIME.
AND HOW WE DO THIS IS WE
STAPLE AND DIVIDE THE UPPER
PORTION OF THE STOMACH
CONVERTING IT INTO A VERY
SMALL POUCH.
AT THE END OF THAT POUCH WE
ATTACH A RING THAT ALLOWS
THE FOOD TO STAY ON TOP AND
ON TO THAT POUCH AND CREATE
A SENSATION OF FULLNESS.

Another animation reads "Vertical banded gastroplasty." It shows the procedure described.

Lynn says I DID NOT WANT TO SPEND
SIX TO EIGHT WEEKS
RECOVERING FROM A MAJOR
OPERATION.
AND ACCORDING TO THE DOCTORS
WITHIN ONE TO TWO WEEKS I'M
WELL ENOUGH TO RETURN TO
WORK.
SO THAT WAS IMPORTANT TO ME.

Maureen says BUT NOT ALL
DOCTORS AGREE THAT SURGICAL
INTERSECTION... INTERSENSE
IS THE BEST WAY TO BATTLE
OBESITY.

The caption changes to "Doctor Lance Levy. Author ‘Conquering Obesity.’" He is in his late forties, clean-shaven with receding gray hair. He wears a plaid blue shirt.

Lance says IF YOU WENT TO YOUR
DOCTOR AND SAID I HAD A
HEADACHE AND HE SAID WE WILL
IT OUT THE PART OF THE BRAIN
THAT CAUSES A FEELING OF
HEADACHE.
THAT WOULD BE RIDICULOUS, OF
COURSE.
WHEN ARE YOU TREATING
SOMEONE WITH SERIOUS OBESITY
I THINK IT IS REQUIRED THAT
YOU GET AT THE UNDERPINNINGS
AND THESE ARE PSYCHOLOGICAL
ISSUES THAT ARE INVOLVED.
MOOD DISORDERS, CHRONIC PAIN
SYNDROMES OR PROBLEMS WITH
CHRONIC TIREDNESS.
THESE ARE ALL VERY TREATABLE
THINGS.
WHEN WE DO TREAT PATIENTS
THEY START TO GET BETTER AND
LOSE WEIGHT.

Beth McCormack and her little daughter look at photographs. She is in her thirties with short blond hair and bangs. She wears a red blouse.

Beth says PICTURES OF MOMMY BEFORE
SHE HAD HER OPERATION.

Pictures of Beth spending time with her family flash by.

Beth says WHEN HI MY LAP BAND
SURGERY I WAS 292 POUNDS.
I HAD TYPE TWO DIABETES.
I WAS TIRED ALL THE TIME.
AND MY JOINTS WERE SORE AND
I HAD INCONTINENT FROM BEING
OBESE.
AND I REALLY NEEDED TO GET
SOMETHING DONE TO TAKE CARE
OF THAT.
I HAVE DONE SO MANY DIETS.

The caption changes to "Beth McCormack."

She laughs and continues I HAD DONE O IT I FAST AND
ACUPUNCTURE AND WEIGHT LOSS
CLINIC AND WEIGHT LOSS TER
AND TOPS AND WEIGHT WATCHERS
AND ZEN HE CALL.
I COULD GO ON AND ON.
I'M SURE THERE ARE LOTS I
HAVE DONE TWO OR THREE TIMES,
THE CABBAGE SOUP DIET,
GRAPEFRUIT DIET, EVERYTHING
YOU CAN THINK OF, I THINK I
TRIED.

Maureen says BETH WENT FROM A SIZE 28
TO A SIZE 14.

Beth stretches the elastic waist of her trousers to show the weight she lost.

Beth says PEOPLE ARE SHOCKED.
THEY ARE REALLY HAPPY.
THEY CAN'T BELIEVE IT I WAS
RECENTLY HOME AND MY FAMILY
HADN'T SEEN ME FOR A WHILE.
THEY THOUGHT I LEFT THE
OTHER HALF AT HOME.

Maureen says BETH'S WHOLE DIET CHANGED
DRAMATICALLY.

At a kitchen, Beth says GOING TO HAVE SOMETHING
GOOD FOR LUNCH.
MUMMY MAKE YOU A SANDWICH
AND YOU ONLY EAT HALF IF YOU
WANT, OKAY.

Then, Beth says THINGS CHANGED A LOT.
NOW I LIMIT MYSELF, I EAT,
YOU KNOW, LIKE HALF A CUP OF
SERIAL OR YOU KNOW, A
QUARTER OF A SANDWICH BUT
I'M FULL ON THAT.

Maureen says PATIENTS ARE TOLD TO TAKE
A LIQUID VITAMIN SUPPLEMENT.
Dr. LEVY QUESTIONS WHETHER
THAT IS ENOUGH.

Lance says THAT IS CERTAINLY NOT
ENOUGH, NOT BY A LONG SHOT.
THE PEOPLE WHO DO VERTICAL
BANDED GASTROPLASTIES AND
PROCEDURES AND DO IT REALLY
WELL ALL HAVE DIETICIANS
INVOLVED, ALL HAVE VERY
THOROUGH AFTERCARE
PROGRAMMES THAT LOOK AT THE
DIETING IN TERMS OF GRAMS OF
PROTEIN, VITAMIN LEVELS,
MINERAL LEVELS.
THEY DO BLOOD TESTS.
BONE DENSITY STUDIES.
YOU HAVE TO BE THOROUGH WITH
THIS.

Beth says I CONCENTRATE ON GETTING
PROTEIN IN FIRST BECAUSE
THAT'S THE MOST IMPORTANT
PART OF MY DIET.
AND YOU CAN'T DRINK WITH
YOUR MEALS WHICH IS KIND OF
HARD TO GET USED TO
OTHERWISE YOU CAN JUST WASH
THE FOOD THROUGH AND YOU
LOSE THAT SENSE OF FULL.
IF YOU EAT TOO FAST, FOOD
CAN GET STUCK OR IF YOU
DON'T CHEW ENOUGH, AND NOT
PAY ATTENTION FOOD WILL GET
STUCK AND YOU WILL FEEL THE
URGE TO VOMIT OR TRY TO WAIT
FOR SOMETHING TO WORK ITS
WAY THROUGH.

Jacob says YOU HAVE TO REMEMBER THAT
EVERYTHING HAS TO GO THROUGH
A SMALL HOLE.
AND SO THERE ARE FOODS,
FIRST OF ALL YOU ARE GOING
TO HAVE TO CHEW VERY, VERY
WELL.
THAT GIVES YOU A TIME TO
REFLECT ON WHAT FOOD ARE YOU
EATING.

Maureen says THE LAP BAND IS
ADJUSTABLE.
IF PATIENTS AREN'T LOSING
ENOUGH WEIGHT THE BAND CAN
BE FILLED WITH SALINE TO
MAKE THE PASSAGE SMALLER.
IT IS INJECTED THROUGH A
PORT WHICH SITS JUST BENEATH
THE KIN.
THIS ADJUSTMENT IS CALLED A
FILL.

A male doctor inserts a white cord though a hole on a patient’s belly and says SEE T IS GOING IN.
AND THE PORT IS NOW IN
PLACE.

Jacob says ON THE AVERAGE WE SEE
PATIENTS FIRST OF ALL ABOUT
A MONTH LATER AND THEN EVERY
TWO TO THREE MONTHS AFTER
THAT.
BUT THAT REALLY DEPENDS ON
THE PATIENT AND THEIR WEIGHT
LOSS.

Beth says I THIS IT IS VERY
IMPORTANT THAT YOU KNOW IT'S
NOT A MAGIC CURE.
IT HASN'T BEEN A WALK IN THE
PARK.
YOU STILL HAVE TO DO YOUR
PART AND PICK THE RIGHT
FOODS AND EAT SENSIBLY.
I CAN FILL MYSELF UP ON
CHOCOLATE OR COOKIES AND YOU
KNOW, I WOULDN'T LOSE ANY
WEIGHT.

Jacob says WE TELL PATIENTS THAT YOU
CANNOT CURE 30 YEARS OF
OVEREATING WITH AN HOUR
OPERATION.
WE MAKE SURE THAT THEY KNOW
THAT.

Maureen says AS FOR LYNN HER SURGERY
HAS BEEN A SUCCESS SO FAR.
ONE MONTH LATER SHE HAS LOST
21 POUNDS.

Beth says THE LAP BAND SURGERY IS
THE BEST THING THAT I HAVE
DONE FOR MYSELF.
MY HEALTH HAS CHANGED
DRAMATICALLY.
I HAVE GOT MY DIABETES IS
UNDER CONTROL WITH MY DIET.
I HAVE SO MUCH MORE ENERGY.
I'M SCARED ABOUT MAINTAINING
IT BECAUSE OTHER TIME I HAVE
LOST WEIGHT IT HAS ALWAYS
COME BACK.
SO THIS IS WHERE THE
STRUGGLE I THINK IS REALLY
GOING TO BE.

Beth plays with her daughter on the snow.

The clip ends.

(music plays)

Maureen says CAN YOU STOMACH THIS
WEEK'S HEALTH QUIZ?
HOW MUCH CAN THE AVERAGE
HUMAN STOMACH HOLD?
HALF A LITRE, A LITRE OR TWO
LITRES.
THE ANSWER COMING UP LATER
ON "YOUR HEALTH."

Now, Maureen and Sheila sit at a table.

Maureen says NO METHOD OF
BIRTH CONTROL IS PERFECT.
CONDOMS BREAK, PILLS ARE
FORGOTTEN.
THE SOCIETY OF OBSTETRICIANS
AND GYNECOLOGISTS OF CANADA
WANTS WOMEN TO HAVE EASY
ACCESS TO SOMETHING KNOWN AS
THE "MORNING AFTER PILL."
THE SOCIETY SAYS IT SHOULD
BE AVAILABLE WITHOUT A
PRESCRIPTION.
Dr. SHEILA DUNN IS MEDICAL
DIRECTOR OF TORONTO'S BAY
CENTRE FOR BIRTH CROW SHE'S
LEADING A PILOT PROJECT TO
GIVE WOMEN BETTER ACCESS TO
9 MORNING-AFTER PILL.
WELCOME Dr. DUNN.
WHAT IS THE MORNING AFTER
PILL.

The caption changes to "Doctor Sheila Dunn. Bay Centre for Birth Control."

Sheila says THE MORNING-AFTER PILL,
WE LIKE TO CALL IT EMERGENCY
CONTRACEPTION.
IT IS A HORMONE THAT CAN BE
TAKEN AFTER INTERCOURSE TO
REDUCE THE RISK OF GETTING
PREGNANT FROM INTERCOURSE.
IT USED TO BE TAKEN IN A
TIME WHEN WOMEN THOUGHT OH,
I'M UNPROTECTED.
MAYBE SOMEONE HAD A CONDOM
BREAK OR FORGOT TO USE IT OR
THE DIAPHRAGM SLIPPED.

Maureen says IT IS THE SAME
HORMONES WOMEN TAKE IF THEY
ARE TAKING BIRTH-CONTROL
PILL, RIGHT.

Sheila says THERE ARE TWO DIFFERENT
FORMULATIONS NOW IN CANADA.
THE ONE THAT WE'VE BEEN
USING FOR YEARS AND YEARS
HERE IS ACTUALLY TWO
HORMONES, ESTROGEN AND
PROGESTIN AND THIS
COMBINATION CAN BE FOUND IN
CERTAIN BIRTH-CONTROL PILLS.
AND WE TRADITIONALLY HAD
USED THEM IN CERTAIN
COMBINATIONS TO MAKE THAT UP
FORMULATION.
SINCE THE YEAR 2000 WE'VE
HAD A NEWER REGIMEN
AVAILABLE WITH ONLY
PROTESTIN SO THERE IS NO
ESTROGEN IN IT.
IT IS CALLED PLAN B AND IT'S
AGAIN HORMONE THAT IS TAKEN
AFTER INTERCOURSE.

Maureen says OKAY.
SO SCIENTIFICALLY CAN WE SAY
THAT THE MORNING AFTER PILL
ACTUALLY PREVENTS CONCEPTION
OR JUST THAT IT PREVENTS
PREGNANCY.
DO YOU SEE THE DISTINCTION?

Sheila says I DON'T REALLY SEE THE
DISTINCTION.
CONCEPTION IS DEFINED AS
IMPLANTATION OF A FERTILIZED
OVUM AND THAT DEFINES THE
ONSET OF PREGNANCY.

Maureen says SO THIS WILL
PREVENT IMPLANTATION, IT MAY
ALSO PREVENT OFLATION,
RIGHT.

Sheila says CORRECT.

Maureen says BUT IT IS NOT RU-486
WHICH THEY CALL THE ABORTION
PILL.

Sheila says THIS IS NOT THE ABORTION
PILL T WORKS PRIOR TO
PREGNANCY, PRIOR TO
CONCEPTION.
IT IS A CONTRACEPTIVE.
IT IS MOST EFFECTIVE THE
SOONER IT IS USED AFTER
INTERCOURSE.
SO THAT IS PART OF THE
EMERGENCY, THE QUOTE,
UNQUOTE, OF THE USE OF THE
TERM
She air quotes and continues EMERGENCY" WITH THIS.
BUT CERTAINLY IT IS
EFFECTIVE IN REDUCING THE
RISK OF PREGNANCY IF IT IS
USED WITHIN 72 HOURS OF
INTERCOURSE AND SOME NEWER
DATA SUGGESTS THAT IT MIGHT
EVEN HAVE A SLIGHTLY LONGER
PERIOD WHERE IT MAYBE
DOESN'T REDUCE IT QUITE AS
WELL, THE RISK BUT IT MAY
STILL HAVE SOME EFFECT.
SO IT MAYBE USEFUL OUT TO
FIVE DAYS.

Maureen says FIVE DAYS.
AND YOU SAY REDUCES THE RISK,
BY HOW MUCH.
WHAT IS 9 EFFECTIVENESS RATE
OF THE MORNING-AFTER PILL.

Sheila says NOT EVERY TIME SOMEONE
HAS SEX THEY ARE BEING TO
GET PREGNANT, OKAY.
SO THE RISK ISN'T 100 percent JUST
BECAUSE THEY HAD UNPROTECTED
SEX.
WHATEVER THE RISK THAT
PERSON HAD, THE USE OF THE
EMERGENCY CONTRACEPTIVE PILL
WILL REDUCE THAT RISK BY 75
TO 85 percent.
NOT PERFECT, BUT BETTER THAN
HAVING NO RISK REDUCTION AT
ALL.

Maureen says AND AS YOU SAID,
THAT'S BETTER IF USED WITHIN
72 HOURS, THE RISK OF
PREGNANCY PROBABLY GOES UP
IF YOU LEAVE IT LATER THAN
THAT.

Sheila says CERTAINLY.

Maureen says SIDE IFS, WHAT
ARE THEY.

Sheila says THE TWO REGIMENS ARE
DIFFERENT IN THEIR SIDE
EFFECTS.
THE ONE THAT HAS THE
COMBINATION OF ESTROGEN AND
PROGESTIN HAS MOST OF THE
SIDE EFFECTS THAT ARE
RELATED TO ESTROGEN USE
WHICH IS NAUSEA, VOMITING.
AND THAT IS THE ONE THAT
WOMEN COMPLAIN ABOUT MOSTLY
IS THAT SOMETIMES IT CAN
MAKE THEM FEEL QUITE SICK TO
THEIR STOMACH.
SHORT-LIVED.
DOESN'T LAST VERY LONG.
AND SO THAT, YOU KNOW,
USUALLY THEY WOULD THINK IT
WOULD BE WORTH IT IF THEY
REALLY WERE AT RISK.
BUT THE NEWER REGIMEN WITH
JUST THE PRO GISTIN HAS A
MUCH REDUCED RISK OF NAUSEA
AND VOMITING SO IT IS MUCH
BETTER.

Maureen says SO WHERE IS THIS
AVAILABLE IN CANADA RIGHT
NOW.

Sheila says IT IS A PRESCRIPTION DRUG
BUT IT IS AVAILABLE IN
VARIOUS PROVINCES, SORT OF
BY DIFFERENT MEANS.
IN BRITISH COLUMBIA, IN FACT,
THE GOVERNMENT HAS
AUTHORIZED PHARMACISTS WHO
ARE TRAINED TO PRESCRIBE
EMERGENCY CONTRACEPTION AND
MY UNDERSTANDING IS THAT NOW
IN QUEBEC PHARMACISTS WHO
ARE TRAINED ARE ABLE TO
PROVIDE AM CONTRACEPTION
DIRECTLY.
IN THE REST OF THE COUNTRY A
WOMAN WHO NEEDS THIS WOULD
HAVE TO GO TO A PHYSICIAN OR
NURSE PRACTITIONER TO
PRESCRIBE THIS AND TAKE IT
TO A PHARMACY.
SOME CLINICS WILL HAVE IT
AVAILABLE RIGHT IN A CLINIC
BUT AGAIN IT IS THROUGH A
PHYSICIANS PRESCRIPTION.

Maureen says AND WHAT ARE YOU
DOING IN YOUR PILOT PROJECT
IN TORONTO.

Sheila says IT IS CERTAINLY TO THE
B.C. SYSTEM WHERE A
PHARMACIST IS INVOLVED IN
SORT OF DISPENSING...
PROVIDING, A SESSION THE
PERSON AND DISPENSING THE
MEDICATION.
IT IS AVAILABLE NOW IN 39 TO
40 PHARMACIES IN THE GTA.

Maureen says WHY ARE SOME
DOCTORS CONCERNED ABOUT EASY
ACCESS TO THIS PILL FOR
WOMEN?
WHAT IS IT THEY ARE WORRIED
ABOUT?

Sheila says I THINK THE STATISTICS
SHOULD TELL US WHY WE SHOULD
BE CONCERNED ABOUT EASY
ACCESS TO THIS PRODUCT.
WE KNOW THAT A NUMBER OF
PREGNANCY, PROBABLY 40 TO
50 percent OF PREGNANCIES ARE
UNPLANNED.
AND OF THOSE ABOUT HALF OF
THOSE ARE WANTED AND END IN
ABORTION.
SECONDLY, WE NEED TO MAKE
SURE THAT IF THEY KNOW THERE
IS SOMETHING THEY CAN DO
THAT THEY ARE NOT IMPEDED BY
THE FACT THEY ARE
EMBARRASSED TO SEE A DOCTOR,
THAT THEY CAN'T GET TO A
DOCTOR, THAT THEY MAY LIVE
IN A COMMUNITY THAT DOESN'T
HAVE EASY PHYSICIAN, THEY
MAY BE UNDERDOCTORED OR
MAYBE HAVE A DOCTOR THAT
DOESN'T HAVE WEEKEND HOURS.
AND LASTLY, THE REASON...
THE SOONER IT IS TAKEN THE
BETTER IT WORKS.
SO WHO CAN GET IN TO SEE
THEIR DOCTOR WITHIN A DAY OR
EVEN TWO DAYS USUALLY, IT IS
OFTEN QUITE DIFFICULT.

Maureen says BUT I HAVE HEARD
THAT SOME DOCTORS STILL WANT
THIS TO BE A PRESCRIPTION
DRUG BECAUSE THEY WANT THE
OPPORTUNITY TO TALK TO THESE
WOMEN ABOUT BIRTH CONTROL
AFTER THIS.
THAT THEY DON'T WANT THEM
RELYING ON THIS AS A METHOD
OF BIRTH CONTROL.
AND THEN THERE ARE STD TOSS
WORRY ABOUT.
THIS WILL NOT PROTECT YOU
FROM STDs.
WHAT ABOUT THOSE CONCERNS?

Sheila says I THINK THOSE ARE REALLY
VALID CONCERNS.
I THINK WITH SHOULD
CONCERNED ABOUT THAT.
BUT I THINK THAT IS DESPITE
THAT, THESE WOMEN OFTEN WILL
NOT GET THIS MEDICATION OR
GET THE ADVICE ON BIRTH
CONTROL OR GET THE ADVICE
AROUND SEXUALLY TRANSMITTED
INFECTIONS ANYWAY.
SO WHAT WE WANT TO DO IS NOT
SORT OF PUT THEM ALL
TOGETHER BUT SAY YEAH, WE
NEED TO GET THIS OUT THERE
BUT WE NEED TO BUILD
SUPPORTS FOR WOMEN WHO DO
NEED HELP AROUND THEIR BIRTH
CONTROL, DO NEED TO SEE A
PHYSICIAN AROUND SEXUALLY
TRANSMITTED DI... DISEASES,
MAKE SURE THEY HAVE EASY
ACCESS INTO THE SYSTEM TO
GET TESTING AND INFORMATION.
I THINK THAT IS GOING TO BE
THE IMPORTANT THING IN TERMS
OF ACCESS OUTSIDE OF THE
MEDICAL SYSTEM IS TO MAKE
SURE THAT WOMEN ARE PROVIDED
WITH THE SUPPORTS THAT THEY
ARE NEEDED AND PHARMACISTS
MAY HAVE TO, YOU KNOW,
PROVIDE THEM WITH COMMUNITY
RESOURCES TO LET THEM KNOW
WHAT THEY ARE.

Maureen says WHAT DO YOU
EXPECT HEALTH CANADA TO DO
ABOUT MORNING AFTER .

Sheila says I THINK YOU WILL HAVE TO
ASK HEALTH CANADA ABOUT
THAT.
BUT I'M PRETTY SURE THAT
THEY ARE BEING TO RECEIVE AN
APPLICATION TO TRY AND MAKE
IT NONPRESCRIPTIVE,
NONPRESCRIPTION OR AVAILABLE
IN A NONPRESCRIPTION BASIS.
I THINK AT THAT POINT IT IS
UP TO THE PROCESS TO SORT OF
LOOK AT ALL THE ISSUES THAT
ARE INVOLVED BUT I THINK
THERE IS CERTAINLY GOOD
EVIDENCE TO SUGGEST THAT NO
DIAGNOSIS IS REALLY REQUIRED
FOR WOMEN TO BE MADE.
IT DOESN'T REQUIRE A
PHYSICIAN TO MAKE A
DIAGNOSIS TO KNOW THAT
SOMEONE HAS HAD UNPROTECTED
SEX.
A WOMAN KNOWS THAT OR SHE
DOESN'T KNOW THAT.
THERE MAY BE SOME
INFORMATION THAT WOMEN NEED
TO BE ABLE TO DETERMINE
WHETHER IT IS APPROPRIATE
FOR THEM TO USE IT.
BUT IT'S PRETTY SIMPLE
INFORMATION IN SOME WAYS.
AND IT, THE PACKAGING ON THE
PRODUCT THAT WOULD BE
APPROVED FOR THIS USE IS
REALLY PRETTY GOOD.
I THINK THAT THAT WILL BE
PRESIDENT OF THE ISSUE THAT
HEALTH CANADA LOOKS AT IN
TERMS OF DECIDING ABOUT THE
APPROPRIATENESS OF THIS IS
TO LOOK AT WHAT WENT... WHAT
INFORMATION DO WOMEN NEED,
WHAT SUPPORTS DO THEY NEED,
TO REALLY MAKE THIS BE, YOU
KNOW, IN ORDER THAT THEY CAN
USE IT SAFELY AND
APPROPRIATELY.

Maureen says Dr. DUNN, THANKS
VERY MUCH.

Sheila says YOU ARE WELCOME.

Maureen says COMING UP.

In a clip, Paul says IF YOU'VE GOT A SORE
THROAT IT IS VERY HARD FOR
THE DOCTOR TO TELL IF IT IS
CAUSED BY A VIRUS OR A
BACTERIA.

Maureen says BACK TERIOLOGY
ON MEDICINE 101.

The opening sequence rolls again.

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

Maureen says HERE IS A LOOK AT THIS
WEEK'S HEALTH DIGEST.
ALTHOUGH HEALTH CANADA HAS
ANNOUNCED A VOLUNTARY RECALL
OF SOME PRODUCTS CONTAINING
EPHEDRA, AT LEAST ONE DOCTOR
SAYS THAT DOESN'T GO FAR
ENOUGH.

The TV screen next to her shows a picture of a plant and a band with the Canadian flag. A caption reads "Ephedra."

Maureen continues Dr. STEPHEN JONES WHO HELPED
COMPILE AN HERBAL DATABASE
FOR THE GOVERNMENT IN 1990
SAYS EPHEDRA SHOULD BE A
REGULATED DRUG.
IN ASK HEALTH CANADA ASKED
PHARMACIES AND DRUG
COMPANIES TO VOLUNTARILY
STOP SELLING PRODUCTS
CONTAINING MORE THAN EIGHT
MILLIGRAMS OF HE FED RECENT
PER DOSE AFTER THE DRUG WAS
LINKED TO HEART PROBLEMS,
STROKES AND EVEN SUICIDES.
JONES SAYS OVER-THE-COUNTER
COLD REMEDIES CONTAINING
EPHEDRA NEVER SHOULD HAVE
BEEN ALLOWED IN THE FIRST
PLACE.

The caption changes to "Stress reduction." A picture shows the male symbol and a man meditating backwards.

Maureen continues A NEW STUDY SUGGEST IT'S
ADDING YOGA OR MEDICATION TO
OTHER HEART DISEASE... WHEN
RESEARCHERS LOOKED AT MEN
WITH HEART DISEASE OVER FIVE
YEARS THEY FOUND THOSE WHO
WERE GIVEN STRESS MANAGEMENT
TRAINING WERE LESS LIKELY TO
NEED HEART SURGERY SUCH AS A
BYPASS ORANGIO PLASTY.
THE MEN IN THE STRESS
MANAGEMENT GROUP EVEN DID
BETTER THAN THOSE WHO WERE
ASSIGNED TO AN EXERCISE
GROUP.
RESEARCHERS POINT OUT THAT
PATIENTS DID NOT ENTER THE
STUDY COMPLAINING OF STRESS
WHICH SUGGESTS HEART DISEASE
PATIENTS NEED NOT FEEL
STRESSED TO BENEFIT FROM A
PROGRAMME TO MANAGE IT.
IF YOU ARE ONE OF THOSE AT
RISK OF HEART DISEASE IT MAY
BE TIME TO TALK TO REQUEST
DOCTOR ABOUT TAKING ASPIRIN
DALEY.

The caption changes to "Daily aspirin." A picture shows a bottle of white pills and the drawing of a human heart.

Maureen continues FOR YEARS DOCTORS HAVE
ADVISED PEOPLE WHO HAVE HAD
A HEART ATTACK TO TAKE AN
ASPIRIN A DAY.
NOW A PANEL OF DISEASE
PREVENTION EXPERTS SAY THERE
ARE BENEFITS FOR THOSE WHO
NEVER HAD A HEART ATTACK BUT
ARE AT HIGHER RISKS
INCLUDING MEN OVER 40,
POSTMENOPAUSAL WOMEN AND
YOUNGER PEOPLE WHO SMOKE,
HAVE DIABETES OR HIGH BLOOD
PRESSURE BUT DO TALK TO YOUR
DOCTOR FIRST.
ASPIRIN CAN CAUSE STOMACH
BLEEDING IN SOME PEOPLE.
HERE IS THE ANSWER TO THIS
WEEK'S QUIZ.
PROVIDED YOU HAVEN'T HAD LAP
BAND SURGERY, YOUR STOMACH
PROBABLY HOLDS ABOUT ONE
LITRE.
THE SIZE OF A BAG OF MILK.

The Quiz slate appears. The answer "2. 1 litre" appears highlighted in yellow.

Maureen says THE NEXT TIME YOU TOSS
OUT A MOULDY LOAF OF BREAD
THINK AV LEX ANDER FLEMING.
HE PUT HIS MOULD TO GOOD
USE.
HERE IS Dr. PAUL CALDWELL TO
EXPLAIN.

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

Paul says IN 1929 A SCOTTISH DOCTOR
NAMED ALEXANDER FLEMING
DECIDED TO TAKE A HOLIDAY.
S WITH WORK ON THE ISOLATION
OF VARIOUS BACTERIAL SPECIES
AND HE LEFT HIS LAB, WELL,
IN A BIT OF A SHAMBLES.
WHEN HE GOT BACK HE NOTICED
THAT THE BACTERIA IN HIS
PETRIE DISHES HADN'T TAKEN A
HOLIDAY.

He grabs a cylindrical plastic lidded dish containing a red gel.

He continues THEY HAD SIMPLY GONE ABOUT
THEIR BACTERIAL BUSINESS
INCREASING THE SIZE OF THEIR
VARIOUS COLONIES BUT ON ONE
OF THE PETRIE DISHES THERE
WAS SOMETHING STRANGE.

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

He continues THERE SEEMED TO BE A BIT OF
MOULD PRESENT ON THE ONE
SIDE OF THE DISH AND THE
BACTERIA IN THAT DISH HADN'T
MULTIPLIED.
IN FACT, IN THE MIDDLE WAS A
CLEAR LINE OF DEMARCATION,
IT SEEMED AS IF THE MOULD
HAD KILLED THE BACTERIA.
YOU HAVE PROBABLY GROWN THIS
MOULD IN YOUR KITCHEN.
IT WAS A COMMON BREAD MOULD
CALLED PENCILIUM.
YOU GUESSED IT, Dr. FLEMING
EVENTUALLY ISOLATED THE
CHEMICAL THAT THIS MOUL WAS
PRODUCING AND CALLED IT
PENCIL UP, AND PICKED UP THE
NOBEL PRIZE FOR THAT
DISCOVERY.
NOT BAD FOR TAKING A
VACATION.
WE USE THE SAME TECHNIQUE
WHEN WE TEST FOR BACTERIA IN
THE LAB NOW.
IF YOU HAVE A SORE THROAT IT
IS VERY HARD FOR THE DOCTOR
TO FELL IT IS CAUSED BY A
VIRUS OR BY A BACTERIA.
THE DOCTOR TAKES A SWAB OF
THE SECRETIONS FROM THE BACK
OF THE THROAT TO PICK UP
SOME OF THE BACTERIA AND
SENDS THE SWAB TO THE LAB.
THE LAB TECHNICIAN THEN
TRIES TO GROW THE BACTERIA
THAT MAY BE PRESENT IN A
PETRIE DISH.
MOST PETRIE DISHES CONTAIN
AGAR, A GEL-LIKE CHEMICAL
PRODUCED BY ALGAE THAT
ENCOURAGES THE GROWTH OF
BACTERIA.
THE SWAB IS SPREAD ACROSS
THE AGAR, AND THE DISH IS
KEPT IN AN INCUBATOR WITH
THE PERFECT TEMPERATURE AND
HUMIDITY TO ENCOURAGE
BACTERIAL GROWTH.
IF THE SORE THROAT WAS
CAUSED BY A BACTERIA THE LAB
TECHNICIAN CAN READ THE
GROWTH ON THE PETRIE DISH
AFTER SEVERAL HOURS OR
SOMETIMES DAYS.
EACH BACTERIUM PRODUCES
SPECIFIC SIGNS AND GROWTH
PATTERNS.
I'M GROWING HERE SOME COMMON
STREP KOCH CUSS TYPE A, THIS
IS WHAT THE LAB TECHNICIAN
WOULD SEE IF YOU HAD STREP
THROAT.

He shows a dish containing a dark thick substance with a line and dot pattern.

He continues HERE IS ANOTHER
GROWING A BACTERIA THAT
PRODUCES THIS LIGHT GREEN
COLOUR.
THAT MEANS YOU MAY HAVE A
KIDNEY INFECTION.
ONCE THE BACTERIA IS
IDENTIFIED, THE NEXT STEP IS
TO TEST WHETHER IT IS
SENSITIVE TO ANTIBIOTICS.
SMALL PAPER DISKS CONTAINING
VARIOUS ANTIBIOTICS ARE
PLACED ON TOP THE BACTERIAL
GROWTH.
IF THE ANTIBIOTICS STOP THE
GROWTH OF BACTERIA, A SMALL
CLEAR HALOA 35ERS ON THE
AGAR JUST LIKE THIS.

He shows another dish that contains three white dots on a red thick substance.

He continues FINALLY,
A REPORT IS SENT BACK TO THE
DOCTOR SAYING WHAT BACTERIA
GREW AND WHICH ANTIBIOTIC
WAS MOST EFFECTIVE.
7 A... 57 YEARS AFTER
Dr. FLEMING NOTICED THE
STRANGE FUNGUS GROWING IN
HIS PETRIE DISH, PENCIL UP
IS STILL A COMMONLY USED
ANTIBIOTIC USED TODAY.
WE HAVE HIM TO THANK FOR
THAT.
NOT ONLY DID HE PROVE THAT
AN REQUEST DIFFICULT MIND IS
ESSENTIALLY SCIENCE, HE ALSO
PROVED THAT IT IS ALWAYS A
GOOD IDENTIFY TO TAKE A
VACATION.

Maureen says WILL YOU FIND
Dr. CALDWELL'S MINIMEDICAL
QUESTIONS ON OUR WEB SITE,
VISIT
WWW.TVO.ORG/YOURHEALTH.
NEXT WEEK.

A clip plays.

Maureen says DRUG COMPANY
MARKETING.
IS IT EDUCATION OR SLICK
SALESMANSHIP.

Two booklets appear.

A middle-aged man says CONSUMERS SHOULD WANT TO
KNOW WHERE DOCTORS ARE
GETTING THEIR INFORMATION
ABOUT DRUGS.

A male doctor says PHYSICIANS HAVE THE
CAPABILITY OF BEING
DISCERTAIN, TO READ THE
LITERATURE, TO BRING THE
VOLUME OF DATA TOGETHER AND
MAKE THEIR OWN OPINION.

Maureen says MARKETING DRUGS
ON THE NEXT "YOUR HEALTH."

The clip ends.

Maureen concludes THAT'S HOUR PROGRAMME FOR
THIS WEEK.
I'M MAUREEN TAYLOR.
THANKS FOR WATCHING.

(music plays)

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

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 19