Cancer, Cardiovascular, Diabetes, Gastroenterology, Infection, Lifestyle, Nutrition, Surgery
How to Decrease Risk of Large Bowel Hernias
Mention a hernia to anyone and they immediately think of a bulge in the lower abdomen or groin. But hernias also occur in the large bowel. If constipation or infection results, the individual will experience worsening pain, nausea, and sometimes the urgent need for a major operation. The good news is that a little prevention will decrease the risk of large bowel hernias. What’s the even better news? The same preventative action will also reduce the risk of diabetes and cancer, as well as cardiovascular, infectious, and respiratory diseases. And this is just the beginning. It might sound like fake news if we were to add that studies show this same simple daily remedy is also proven to increase lifespan! Let’s...Read More
Cancer, Philosophy
When Push Comes to Shove in Healthcare
Many factors determine who gets what care when fighting illness. It makes a difference where you live, what kind of insurance you have, and what health problem you face. But the bottom line is that there are only so many healthcare dollars to spend, and people are making decisions on our behalf about where the money goes. It’s time to ask if we have the balance right. Trade-offs are inevitable. Do we place a priority on reducing wait times for essential surgical treatments? Do we ensure everyone has access to a family doctor? Do we ramp up more support for drug use rehabilitation? These are tough questions with no easy answers. But when push comes to shove for limited resources, there should...Read More
Cancer, Radiation
Should the Other Breast Be Removed After Cancer Surgery?
Some patients you never forget. One woman told me she had a breast cancer on one breast removed. But her surgeon refused to remove the remaining breast. I told her then that her doctor may be right. There was little research or clinical data to help in determining if this was a prudent decision. Her surgeon had said, “I can never sleep again if I keep worrying whether or not the cancer will occur in the other breast.” After repeated medical appointments with her, it became evident the continuing anxiety would affect her overall health. So, was I wrong or right 50 years later? Dr. Steven Narod of Women's College Hospital in Toronto is also a professor of obstetrics and gynecology...Read More
Cancer
Large Bowel Cancer in Younger People on the Rise
New statistics published by the American Cancer Society should be alarming. The numbers point to an increase in colon malignancy in people in their 20s, 30s and 40s. Yet, there’s been a decrease in large bowel cancer among those over the age of 65. In people under 50, the rate has been increasing by about two percent a year since the 1990s. This data goes against a basic law. Most malignancies occur in older people, and this has been true of colon cancer. This new data sends up a red flag that should not go unnoticed. Moreover, this is not just a North American trend. Large bowel cancer is on the also rise around the world. The question is, why has...Read More
Cancer, Radiation
What to Know About the Mammography Debate
At what age should women’s breasts receive radiation to detect breast cancer? In Canada, some provinces are lowering the age of eligibility from 50 to 40, even before a task force releases an update on breast cancer screening guidelines. The current guidelines do not recommend routine screening for women in their 40s. In the U.S., a separate task force urges women ages 40 to 49 to get this procedure every two years. Why the conflicting advice? Mammography has been swirling in confusion for decades. In the past, some experts were adamant there was no evidence regular mammograms decreased the risk of breast cancer. Others, equally qualified authorities, were concerned that repeated exposures of breast tissues to radiation could cause breast malignancies. A...Read More
Alternate Treatments, Cancer, Pain, Philosophy
A Veterinarian for Assessing Weakness
Readers of a great age face a common problem. It’s called frailty or general weakness. The frail elderly are at risk of falls that require hospitalization, often leading to palliative care. As the condition progresses, independent living at home can become impossible. For people who have reached the end of their desire to continue, frailty presents a medical dilemma for doctors. How much frailty is needed before the doctor allows, “There’s reason enough to end life by Medical Assistance in Dying (MAID)”? And would a veterinarian be the better professional to make this decision? One of the conditions that doctors must decide at the end of life is whether weakness is reversible. This obviously makes sense when considering life or death...Read More
Cancer, Eyes, Ears, Nose & Throat, Miscellaneous, Neurology
What A Dog’s Nose Knows
What a wonderful world if people could be as generous to humankind as dogs. Regardless of our faults, dogs provide unfailing loving care. A new study suggests dogs may be able to use their sniffing powers to know when someone is having a really bad day. Who knew there is an aroma to being stressed, but dogs seem to detect it. In this, they have a huge advantage over humans. The nose of a dog has 220 million smell cells compared to a meagre 5 million in humans. The powerful sniffers of dogs have long been effective in detecting cancer. A report years ago in the British Journal Lancet reported that a woman’s dog repeatedly sniffed at one mole on her thigh...Read More
Alternate Treatments, Cancer, Diabetes, Lifestyle, Nutrition, Obesity, Vitamins
A Windfall of Science on Apples
We write about natural remedies we believe are good for human health. Why this focus? It’s not to encourage avoidance of pharmaceutical drugs when medical care is an imperative. To the contrary, Canadians and Americans have the luxury of the world’s best doctors, medicinal drugs, and healthcare facilities. But health systems are overwhelmed. To ease the crush, people who are not yet ill should take up responsibility to stay healthy. Good health is not achieved through inaction. Live a poor lifestyle and illness will come as sure as night follows day. But the talents of doctors and the cure of drugs are best reserved for the unlucky who lose the health lottery. For young people and the healthy aging population, a proactive,...Read More
Alternate Treatments, Cancer, Diabetes, Infection, Medicine, Philosophy
The Original Medicine of Stingless Bees
The American poet Emily Dickinson understood the profound gifts of nature. She wrote, “The lovely flowers embarrass me, They make me regret I am not a bee –” If bees could speak, they might add, “Let me do my work, so that you may live.” Bees are vital pollinators, ensuring the success of a wide variety of the world’s most nutritious agricultural crops grown for human consumption. Most people associate bees with painful stings and the tasty product of the Western honeybee. Being “busy as a bee” is a homage to the industrious nature of this pollinating insect that collects nectar in a dozen or more foraging trips each day. A small percentage of people who are stung by a bee or other insect...Read More
Cancer, Medicine, Miscellaneous
Can AI Help Fight Cancer?
The short answer is yes – cancer and other health problems too. Artificial Intelligence (AI) is a game-changer. Not only can this rapidly advancing technology improve the speed and accuracy of disease diagnosis and treatment, it has enormous potential to predict health problems, allowing for far more effective prevention programs that target at-risk populations. Take, for example, children born with congenital heart defects. This fate currently falls to about 40,000 babies born in the U.S. each year, and about 1.35 million newborns worldwide. What causes defective heart structures in the developing embryo is open to debate. But genetics, diet, environment, medications, and smoking are all on the list. But what if AI could analyse vast quantities of data and learn from patterns...Read More
Cancer, Medicine, Obesity
For Men, Don’t Disregard a Lump in the Breast
Few findings cause women as much fear as discovering a breast lump and wondering if it’s cancer. But what about men who notice a mass and pain in the breast? Male breast lumps are not commonly discussed in the locker room. But confusion and embarrassment can delay diagnosis of a malignancy. Breast cancer is not entirely a woman’s disease. Although it occurs in males in less than one percent of cases, diagnosis tends to be late. In 2022, of the 2,710 American men expected to be diagnosed with breast cancer, about 530 will die. But male breast lumps are not always dangerous. There’s a condition called “gynecomastia” derived from the Greek root for female and “mastos” for breast. In fact, studies of...Read More
Cancer, Cardiovascular, Diabetes, Gastroenterology, Lifestyle, Neurology
Stand Up To Read This Column
Get up on your feet. Seriously. It will be good for you. Sitting is something we have all become accustomed to doing a lot more of lately. Just prior to the pandemic, studies showed that the average adult spent about 6.5 hours a day sitting – an hour longer than had been the case a decade earlier. In 2019, teenagers were sitting for upwards of 8 hours a day, and for some much longer than that. During the pandemic, a study in the UK found that people were spending more than eight hours a day sitting. Canadians are reportedly sitting around for 10 hours a day! Dr. Jennifer Heisz, associate professor of kinesiology at McMaster University, surveyed over 1600 people to compare physical activity...Read More
Cancer, Endocrine
You’ve Discovered a Thyroid Lump, What Does It Mean?
Waking in the morning, the last thing you want is a health shock before you begin the day. If you are like most people, feeling a lump for the first time at the Adam’s apple, the thyroid gland, you will immediately jump to one conclusion, “I have a cancer.” But is this the right conclusion? So, let’s report some good news that will decrease anxiety while you have your morning coffee. Fortunately, the majority of thyroid nodules are not cancers. Besides, the majority don’t even require removal. Thyroid nodules are common in elderly people. In fact, a report from the University of California states that if you’re over the age of 60, there’s a 25-to-50 percent chance of developing a thyroid lump. The...Read More
Alternate Treatments, Cancer
Go Natural to Debut Your New Hair Colour
The American star of the silver screen, Jean Harlow, was known as the “Blonde Bombshell”. She once remarked, “If it wasn’t for my hair, Hollywood wouldn’t know me.” But did the blonde hair come at a huge price? Harlow was dead at the age of 26. Do you make a habit of dying your hair? Now that lockdowns are easing and you cannot wait to get a haircut, you might want to think twice about permanent hair dye and chemical hair straighteners. Some recent studies have raised health concerns. The practice of dying hair goes back to ancient Egypt, Greece, and Rome when terrible concoctions were used to alter hair colour, both for beauty and to show rank on the battlefield. In...Read More
Cancer
How Diet and Inflammation Affect Colon Cancer
It’s been said “We are what we eat,” or “garbage in garbage out.” Less catchy advice might be “Eat an anti-inflammatory diet, rather than a pro-inflammatory one.” It could make the difference in the likelihood of developing a malignancy of the large bowel. Not many people realize that if you take away skin cancers, colon cancer is the third most common malignancy in North America. A study in the Journal of the American Medical Association, Oncology, points out a strong association between chronic inflammation and the risk of colon cancer. Researchers at Harvard University discovered that people who had dietary patterns that triggered chronic inflammation were 32 percent more likely to develop colon cancer than those who followed a lowered inflammatory diet. Dr....Read More
Cancer, Diabetes, Infection, Obesity, Surgery
COVID Means Double Trouble, and Worse
If ever a time to act on your health, this is it. Study after study in leading medical journals reports compounding troubles from COVID-19. What was described as a lung disease early in the pandemic is now better recognized as an attack on health systems – your own body’s systems involving multiple organs as well as societal systems of disease surveillance and care delivery. Whether you have been infected or not, chances are high your health is becoming worse. New research should raise alarm bells. In the journal, Nature, Dr. Ziyad Al-Aly, chief of research at Veterans Affairs St. Louis Health Care System, reported on deteriorated health of COVID-19 survivors. To his amazement, the disease was not just deadlier for people with...Read More
Cancer, Radiation
Did Radiation Protect President Carter from Pancreatic Cancer?
What do former U.S. President Jimmy Carter and Gifford-Jones have in common? They were both born the same year and have remarkable staying power! But Carter has lived under the shadow of pancreatic cancer all his life. His father, brother, and two sisters died of this disease and his mother also suffered from it. Carter has also lived through metastatic melanoma, a skin cancer that had spread to his liver and brain. How did he do it? Rod Adams, an atomic energy expert, has said that moderate radiation exposure may have helped to protect the former president from developing pancreatic cancer. During the nuclear meltdown at Chalk River in 1952, Carter was a naval officer working on the secret nuclear program. He...Read More
Cancer
Physical Activity Decreases Risk of Seven Cancers
Is physical activity good for you? During COVID times, it might be prudent to avoid cramped, indoor gyms. But outdoor activity in open spaces is invariably a healthy choice. We know that getting off the couch and out for a walk helps prevent obesity, Type 2 diabetes, and heart attacks. And good news! A recent report from the American Cancer Society says exercise also lowers the risk of seven types of cancers. Dr. Charles Matthews of the National Cancer Institute in the U.S. pooled data from nine studies about how leisure-time activity affects 15 types of cancer. His results should act as a huge incentive to get people of all ages moving. Matthews and his colleagues report that those who engaged in...Read More
Alternate Treatments, Cancer, Miscellaneous, Pain, Philosophy
The Saga Continues: Rotten Law, Rotten Politicians, and Rotten Eggs
How long will patients, those dying in pain, have to endure the political nonsense surrounding the law, Medical Assistance in Dying (MAID)? The government has announced it will conduct yet another survey to determine if Canadians want to modify its incomplete law. Why another survey, another expense? The current MAID law has horrendous and painful consequences. For instance, a signed “Advanced Directive” of a patient diagnosed with Alzheimer’s disease or, another type of dementia, has no bearing once a patient has lost capacity to give consent. It’s lunacy to expect a patient to reconfirm consent when their brain is comatose, they’re incontinent of urine and feces, and living in diapers. Why won’t MPs and Senators realize this is unspeakable cruelty to...Read More
Cancer
Stomach Cancer – The Orphan Malignancy
Napoleon Bonaparte, John Wayne, and Peter O’Toole all succumbed to stomach cancer. Yet, when we talk about cancer, all the attention usually goes to lung, breast, prostate or colon cancer. This is why stomach cancer is often called the “Orphan Malignancy”. But stomach cancer strikes over 32,000 North Americans every year. It also demands a dramatic change in lifestyle when this vital organ is lost. So it’s well worth the effort to decrease the risk. Early stomach cancer usually has no symptoms. In fact, when indigestion, bloating, and weight loss occur, it can be due to several benign reasons. So it’s often only when fatigue, nausea, vomiting, and abdominal pain begin that patients realize there’s a problem and seek medical advice. The...Read More
Cancer, Vitamins
Is there such a thing as sensible sun exposure?
In their book, “Embrace the Sun”, Drs. William Grant and Marc Sorenson, experts on vitamin D, report that North Americans have been taught to believe excessive amounts of sun cause potentially fatal skin malignancies. The result? North Americans have developed sun phobia and spent billions of dollars on sunscreen protection. But does the sun trigger melanomas? Dr. Michael F. Holick, Professor of Molecular Medicine at Boston University, agrees that excessive sun exposure causes non-melanoma skin cancer, which diagnosed early is easy to treat. But he says there is compelling evidence that regular sun exposure helps to prevent the highly malignant melanoma, rather than causing it. There’s also general agreement to be cautious about melanoma if you have red hair, fair skin, a...Read More
Cancer, Infection, Lungs
Do You Want to Know What’s in Your Ducts?
Do you have dirty ducts? When did you last look? And while regular cleaning of your ducts may be important for your homeowners insurance policy, what might your ducts have to do with your health? Highly respected authorities on household air quality have studied the relationship between cleaning air ducts and your health. Years ago, the Canada Mortgage and Housing Corporation (CMHC) investigated whether cleaning air ducts leads to healthier air quality in homes, and they concluded it didn’t. The U.S. Environmental Protection Agency conducted tests that showed, whether air ducts are clean or dirty, virtually the same concentration of dust can be found in the air. This is because dust and dirt tend to stick to the vents and filters, not...Read More
Cancer, Obesity
Cancer and Obesity
What decreases the risk of cancer? A colonoscopy detects polyps before they become malignant. Also a rapid response to report unusual bleeding, a cough that lasts a few weeks, or a suspicious mole. But a report funded by the Canadian Cancer Society, links excess weight as the cause of several types of cancer. So what is it about obesity that triggers malignancy? And what to do about it? For years health authorities have labelled obesity a health hazard. The reason is that it often leads to Type 2 diabetes, then later to heart attack. But now, researchers claim that excess weight will soon be the second leading cause of cancer just behind tobacco. Sadly, being overweight has not received the attention...Read More
Cancer, Lifestyle, Obesity
Death in Both Sexes due to the “Stupidity Factor”
What’s a great medical tragedy? It’s being diagnosed with a disease for which there is no cure. Possibly an even greater tragedy is dying from what’s been called the “Stupidity Factor”. These cases occur because patients ignore symptoms which indicate cancer may be present. But due to either fear or the hope it won’t happen again, they do nothing, thereby signing their own death warrant. This folly occurs in both sexes, resulting in failure to get a test done. The prime example is colonoscopy, which detects polyps in the large bowel that can be removed. This procedure can save people from premature death. Another major folly is to ignore rectal bleeding. I recall a friend who confided he had noticed rectal bleeding....Read More
Cancer, Gynecology
Ovarian cancer, the one that whispers
What couldn’t I believe? Discovering that it’s been 42 years since I last wrote about ovarian cancer! During my time as a surgeon, what was my primary concern about this malignancy? And what has happened in the last four decades to bring hope to those diagnosed with this disease? Ovarian cancer is the third most common malignancy of the female pelvic organs, after uterine and cervical cancer. But it is also the most fatal pelvic malignancy. The risk of ovarian cancer increases with age. It’s also more likely to occur if close relatives have developed the disease. Also at risk are childless women and those who have had breast cancer. Vulnerable too, are those with early onset of menstruation, or a late...Read More
