Alternate Treatments, Lifestyle, Miscellaneous, Pain
Not All Lunatics Are in the Asylum
I'm often asked, "What have you learned as a medical journalist?" In one word "Plenty". After writing a column for 38 years you would have to be an imbecile not to learn something about medicine, human personality and hypocrisy. But above all else I've concluded that common sense is an uncommon commodity, and not all lunatics are in the asylum. Let's start with the Supreme Court of Canada. It's composed of legal experts who, having reached this exalted position, you'd expect to be the "crème de la crème" of this country. But how much horse sense do they possess about medical matters? How much understanding of their fellow men? And why are they so out-of-tune with the wishes of the populace? I'd bet...Read More
Lifestyle, Nutrition
From 1600 T0 400 Calories in 40,000 Years!
How can we help to improve the health care system in this country? Politicians and others continue to debate this issue. They always conclude that more money is the answer. But this approach is doomed to failure. How can it work when it's taken 40,000 years for humans to get into such horrible shape? How did it happen? And is there a solution? Dr. Barry Bogin is a professor of anthropology at the University of Michigan. He says we all envision our Paleolithic ancestors as being short, bent- over people with small brains. Actually, they were a tad taller with brains as large as ours. And if alive today they would not require hospitalization for so much degenerative disease. Admittedly, most stone-age...Read More
Lifestyle
Death In The Electronic Age
Do you want to die at an early age? I doubt that many people would be willing to say "Yes" to this question. But a report in the Canadian Medical Association Journal says this is going to happen unless North Americans learn about the dangers of the electronic age. Fortunately there is a solution. But are people willing to accept the advice? Dr. Kirsten Patrick, in an editorial in the CMA Journal, paints a dismal picture of what is happening to those who have become addicted to the pleasures of the electronic age. Patrick says the ownership of modern conveniences such as television, computers and cars has dramatically decreased the amount of time that we move. After all, we can now even...Read More
Lifestyle, Nutrition
Salt: Is Too Much Causing Autoimmune Disease?
What comes crashing down with excessive salt? Dr Stephen Havas, Professor of Epidemiology at the University of Maryland says, "The number of deaths from excess salt is equivalent to a commuter jet crashing every day in the U.S." During a recent visit to the Harvard Medical School, I also learned that too much salt may be causing autoimmune diseases such as Type 1 diabetes, multiple sclerosis, Crohn's Disease and psoriasis. For years doctors have linked excessive amounts of salt to high blood pressure and cardiovascular disease. Dietary guidelines suggest no more than 1,500 milligrams (mgs) of salt daily. But the majority of North Americans consume a whopping 4,000 mgs daily. Studies show that one in two North Americans over the age of...Read More
Lifestyle, Miscellaneous
Burnout 101 for Caregivers
Here's a possible Trivial Pursuit question, "What's the fastest growing unpaid profession in North America?" I admit I wouldn't have known the answer. But, according to the "Family Caregiver Alliance", more than 65.7 million Americans, that's 29 percent of the population, provide care to a family member, loved one or friend who is ill, disabled or aged. But when does such labour of love trigger burnout anger in the caregiver? A report from Johns Hopkins University states, "The average unpaid, or informal, caregiver is a 46 year old female with a full or part-time job who spends about 20 hours a week catering for her mother. But for those caring for a loved one older than 65 the average age is...Read More
Cardiovascular, Genitourinary, Lifestyle, Miscellaneous
Medical Tidbits
It's summertime and the living is easy" is a favourite expression at this time of year. But health hazards don't care what month it is. You can stub your toe at any time. And, for instance, how many parents worry that their children face a hazard simply by brushing their teeth, summer or winter? Can a roller coaster ride cause more than thrills? Can binge drinking result in more than a hangover? And, in summer, never mess around with 300,000,000 volts. Dr. Jurgen Kuschyk, a cardiologist at University Hospital in Mannheim, Germany, reports that anyone over 14 years of age should get a physical checkup before taking a roller coaster ride. This should include an electrocardiogram and, even better, an echocardiogram. Dr....Read More
Lifestyle, Nutrition
Defending Cows
"Don't buy any more butter", I told my wife many years ago. I was a naïve young doctor at that time and I believed my cardiologist who advised the use of margarine instead to prevent heart attack. But this dutiful switch did not last long. Later, as a not-so- naïve-medical-journalist, I questioned my cardiologist's reasoning. Now, the cows are having the last laugh. The Annals of Internal Medicine reports 27 clinical trials that involved 600,000 participants. Researchers concluded that the use of margarine, namely a high intake of polyunsaturated fatty acids, did not have any beneficial effect on cardiovascular health. Hence, some nutritionists are saying "Butter is back". But the question is, should butter have ever gone away? So what is the...Read More
Lifestyle
Who Says 10,000 Steps a Day?
How many steps do most people take daily, and how many are needed for good health? I had no idea how many I take and thought it would be interesting and prudent to find out. And, who is right about exercise, Mark Twain or the Earl of Derby? My first step was to purchase a pedometer. It's a small battery operated device (the cost about $35.00) that fits on your hip and counts your steps. Mine has more gizmos than I need, but the main button counts steps and another the calories burned up. For years my normal day involved a 25 minute walk to my office and the same route home in late afternoon. During the day I never ran a...Read More
Cardiovascular, Genitourinary, Lifestyle, Miscellaneous, Nutrition, Sex
What You Should Ask Before You Say, “I Do”
We've often heard a minister ask, "Mary MacTavish, do you take John MacDuff to be your lawful husband, to love and cherish, till death do you part?" But in 2014, hasn't life become more complicated for such a lifetime vow? Shouldn't Mary ask John, "Do you toss your dirty socks on the floor?" Or, "What is your risk of obesity?" She might demand "Before we go roaming in the gloaming, send me a copy of your sperm count and what you wear underneath your kilt." A report from the University of Aberdeen, Scotland, should make every prospective bride, who wants to be a mother, take a second look at her husband-to-be before she says, "I do". Scottish researchers now repeat what we...Read More
Cancer, Cardiovascular, Eyes, Ears, Nose & Throat, Genetics, Lifestyle, Miscellaneous
Tight Collar? It Increases Risk of Glaucoma
What's the best way to diagnose disease? Today, as never before, there are many scientific tests such as ultrasound, CT scans, MRIs and more blood and genetics tests available every year. But is it possible to spot a potential disease without using these expensive procedures? Instead, how about the KISS approach (keep it simple, stupid)? Researchers at Britain's Warwick University report in The British Journal of Cancer that prostate cancer kills about 250,000 men every year. But who are the most likely to develop this disease late in life? After studying males with prostate cancer, and those without this disease, researchers discovered an interesting physical finding. Males whose index finger was longer than their ring finger were 33 percent less likely to...Read More
Cardiovascular, Lifestyle
Potassium: Like Sex and Money, Just the Right Amount
"Why would anyone be so foolish to carry on this asinine habit for so long?" This was my immediate reaction to an article, published by LiveScience and reported at the European Heart Rhythm Association. In effect, the article shows how a most innocent habit, carried out for a long period, can send you to hospital. A woman living in Monaco was admitted to emergency following a fainting episode. She had no family history of heart problems. Doctors quickly discovered that she had an irregular heart rate. When results of the blood study were reported they were shocked to find her blood potassium was in the hazardous range. But why would it be so low? A detailed questioning revealed that she had consumed...Read More
Cardiovascular, Lifestyle, Nutrition
They Tried To Hang Me In 1981
What had I done so wrong 33 years ago? I had written a column about the health hazards of excessive amounts of sugar. The Canadian Sugar Institute asked The College of Physicians and Surgeons to discipline me for making false charges. It was only after many hours of testimony that democracy prevailed. The College decided that, as a journalist, I had the right to a personal opinion. So is the linking of sugar to heart disease a new idea? A report in the journal, JAMA Internal Medicine, claims that those who consume 25 percent of more of their daily calories from added sugar are three times more likely to die of heart disease. The Heart and Stroke Foundation is...Read More
Lifestyle, Miscellaneous
My Number Is 18924
Why am I mad as hell? This week I finally joined "Dignitas", the Swiss organization that allows freedom of choice in death. Now I'm Registered Member 18924. I hope I don't get a chance to use it soon or ever. But if I develop a debilitating illness, Dignitas will be available. Many share my view. We want to cry out "We're mad as hell and we're not going to take it anymore." Let's first get mad as hell at gutless politicians, such as any Prime Minister who claims our Charter of Rights and Freedoms protects us all from injustice, yet denies freedom from the agony of terminal cancer pain, Lou Gehrig's disease and other degenerative diseases. Some justice! Then let's get...Read More
Lifestyle, Vitamins
Can Vitamin C Stop an Aging Brain?
"I want to die with my boots on!" is an oft-heard expression. But it poses a problem. Today, many are living and dying not even knowing their boots are on. So does Alzheimer's disease have to happen? Are cholesterol deposits in arteries starving our brain cells of oxygen? And can we do anything about it? A report in the journal Dementia and Geriatric Disorders claims there's a link between heart attack and Alzheimer's disease. The link is atherosclerosis (hardening of arteries) due to cholesterol. Sir William Osler, Professor of Medicine at both McGill and Johns Hopkins University, once remarked that "It's lucky to be born with good rubber." Namely, it's best to have flexible, open arteries that carry sufficient amounts of oxygenated...Read More
Cancer, Lifestyle, Women's Health
The Worst Place to Carry A Cell Phone
Could smart phones be slowly killing us? Some experts feel we're living in an Alice-in-Wonderland world if we ignore radiation from these electronic devices. So today, here's an example of what can go wrong. The Environmental Health Trust's Newsletter reports an unusual case. A young woman, with no predisposing risk factors for cancer, made a practical decision. She decided to carry her cell phone in her bra. Today with so many cell phones being snatched from people, I give her top marks for ingenuity and increased security. Unfortunately, she developed breast cancer. But what shocked doctors was that the pattern of the cancer lined up perfectly with the shape of the cell phone. This single case does not prove that radiation...Read More
Lifestyle, Miscellaneous
A New Year’s Resolution That Makes Sense
Where do I get ideas for this column? Normally, from reliable medical sources. But this New Year's resolution comes from The Daily Reckoning, a financial publication. Its advice is sound for all of us as we start 2014. Its topic is "The Parable of Taganga". A U.S. investment adviser was visiting a small fishing village in Colombia called Taganga. As he strolled along the pier, a fisherman appeared with his daily catch. The basket contained four tilapia. When the American was told the fish had been caught quickly he said, "So why didn't you catch more fish?" The fisherman replied, "This is all I need to feed my family." So the American asked, "How do you spend the rest of the day?" The...Read More
Lifestyle, Miscellaneous, Vitamins
The Darkness Hormone
"Do you think melatonin is of any value?" a doctor recently asked me. And if a doctor is wondering about this natural remedy, many people must be asking the same question. So, what do we know about it? Melatonin has been labeled "the darkness hormone" because it's produced at night in contrast to vitamin D, "the sunshine hormone", that's manufactured during sunlight hours. Melatonin is found in some plants such as bananas, cherries and grapes. A report in the Journal of Medicinal Food showed that tart cherry juice, compared to a placebo drink, helped some older people sleep better. But it required 16 ounces a day, (the equivalent of 100 cherries) to have a modest effect. It also added 250 calories to...Read More
Cardiovascular, Lifestyle
Overweight and Fit?
"How much do you think this weighs?", I occasionally ask patients. What I've handed them is a large, fatty, yellow, glob of fake tissue, similar to human tissue. But what surprises patients is that it feels quite heavy, yet only weighs one pound. Suddenly they realize the significance of the 20 pounds they've gained since their last checkup. But can they be overweight and fit at the same time? Dr. Jean-Pierre Despres of Laval Research Centre in Quebec City reports in the Archives of Internal Medicine what is good news for some men, and what should be a wakeup call for others. Despres and his colleagues studied 169 healthy men by comparing their cardiovascular fitness to the amount of belly fat they...Read More
Cardiovascular, Lifestyle, Medicine, Nutrition
Stein’s Law and Cholesterol-Lowering Drugs
Stein's Law says that if something can't go on forever, it has to stop. It's just a matter of when. Stein's Law always wins. But when will this Law stop the increasing number of North Americans taking cholesterol-lowering drugs (CLDs)? Surely enough is enough. Recently the American Heart Association and the American College of Cardiology issued new broader guidelines that in one fell swoop have added millions of healthy people to the list of those who will be prescribed CLDs. Dr. John Abramson at the Harvard Medical School and Dr. Rita F. Redberg, cardiologist at the University of California, report that these guidelines will primarily benefit the pharmaceutical industry, not patients. Abramson and Redberg state this decision would be good news for patients...Read More
Lifestyle, Nutrition
Be Careful How Many Friends You Invite For Dinner
Who doesn't like the feast of the holiday season? For most it's a time of laughter, revelry and the bounty of food and drink. It's also a time when will-power takes a holiday. Much too much eggnog and other calories are consumed. So do you just give up, or do you decide to be a smart eater? Here's Menu 101 for smart holiday eating. Dr. Susan B. Roberts, Director of Tuft's University Energy Metabolism Laboratory, says, "Faced with a six week never ending onslaught of fattening foods, you know you can't win, so you resign yourself in advance and let yourself go." But what happens to the calorie count on holidays is shocking. For instance, Roberts says between U.S. Thanksgiving and the...Read More
Cardiovascular, Endocrine, Lifestyle, Nutrition
Too Little Salt Or Too Much Salt?
Is everything I've written about salt wrong? As well as that of Stephen Havas, Professor of Epidemiology at the University of Maryland? He claims that "the number of deaths from excess salt is equivalent to a commuter jet crashing every day in the U.S. And that people should be outraged". Now, a report from the Institute of Medicine (IOM) suggests instead that low sodium intake can be harmful for some people! IOM analyzed nearly 40 studies and found that high amounts of sodium are associated with increased risk. This has always been the theory of the American Heart Association. But the report proposed that low sodium intake could be risky for those suffering from heart failure. Moreover, the report showed no...Read More
Lifestyle, Miscellaneous
What I Learned While Being On-The-Road
I am travelling across Canada! Come out to my free lecture in North Vancouver on October 16 at 7 pm at the Silver Harbour Senior’s Activity Centre. What's it like to be a medical journalist? It's a combination of hard work, deadlines and loneliness. After all, computers are hardly good company. This is why, for several months, it's been exciting meeting and greeting live humans across Canada. And what was the number one question and worry of readers? I wasn't surprised to find that health consumers today are confused about medical care. Countless numbers of readers handed me a list of prescription drugs they were taking. Most had only a vague knowledge of why they were taking them. I wondered too, and...Read More
Lifestyle, Miscellaneous
ThorupGaarden: a Big Hit with Seniors
I recently reported the Danish retirement home, Thorupgaarden, allows pornographic movies on Saturday night and even prostitutes on occasion. These have proven to have a calming effect on seniors more powerful than Prozac. So how did readers react to this news? From RS in Winnipeg, "I've always wanted to find a nursing home that allowed cocktails, never mind the pornographic videos and prostitutes. I agree that seniors should be allowed more than just pulling up the covers at bedtime. Bravo to you for writing about the need for sexual satisfaction for us elders." From Vancouver, "Great article in 24 hours. I work with a geriatric population and am tempted to put it up on the bulletin board. Now I know where I'll...Read More
Cardiovascular, Lifestyle, Miscellaneous
Update on the “Cup of Java”
A glowing ad once stated "A very wholesome and physical drink that helpeth indigestion, quickeneth the spirits, maketh the heart lightsome, is good against eye sores, coughs, head-ache, gout and the King's evil". It was the year 1657, when coffee was first introduced into London, England from the Middle East. And what was the King's evil? In recent years people have considered coffee drinking a questionable habit with some refusing coffee for health reasons. So what are the pros and cons for drinking a cup of java? First, the good news. Coffee contains over 1,000 naturally occurring chemicals. Caffeine is actually a natural pesticide that helps to protect coffee plants from predators. Brewed coffee contains between 60 to 120 milligrams of caffeine...Read More
Lifestyle, Miscellaneous, Pain
Reader Response on Assisted Death
I recently applauded the Province of Quebec which is attempting to legalize assisted death. There is no better example of what's wrong with the Charter of Freedoms when it does not allow freedom from pain on the death bed. I did not ask for reader response, but received a ton of it.... From WP, "I enjoy your column in the Kelowna Courier and I couldn't agree more on assisted suicide. I'm a volunteer counsellor at a hospice. The problem is that families will not let go even though the patient is ready for the big trip. I have seen them rescind "do not resuscitate" and have to remind them this decision is not about them, but the wishes of the patient"... From...Read More
