Neurology, Pain, Psychiatry
Why Did Anthony Bourdain Commit Suicide?
Albert Camus, the French humanist, wrote, “There is only one true philosophical problem and that is suicide. Judging whether life is worth living amounts to answering the fundamental question of philosophy.” Pliny the Elder had said earlier, “Admit the miseries of our life on earth, suicide is God’s best gift to man.” But what prompted Anthony Bourdain of TV’s “Parts Unknown” to hang himself? And could medical care have prevented it? Suicide rates are rising in North America. For instance, among girls 10 to 19 the suicide rate has increased a shocking 70 percent. It’s easy to understand how elderly people, dying of metastatic cancer, who are in severe pain, decide to call it a day. Or, those who have lost a loving...Read More
Alternate Treatments
The Greatest Threat to Your Life
Ask anyone, “What’s the greatest medical risk of dying?” and they’ll answer “Heart attack.” The correct answer is a blood clot (Thrombosis) that occurs in the heart, brain or legs. Now, a shocking report in the health publication, “LifeExtension”, shows what can happen to our legs when we’re flying at 35,000 feet. So with an aging population, and increased air travel, what can be done to decrease the risk of a blood clot? Thrombosis can happen anytime and anywhere. But the greatest risk is a long air flight. This is when venous blood pools in the lower leg due to inactivity. But the extent of this threat has surprised researchers. Using ultrasound imaging they detected venous thrombosis in the lower legs...Read More
Medicine
“But Roosevelt Knows How To Be President!”
72 years ago I arrived in Boston. I’d been accepted as a student at the Harvard Medical School. That night a full moon shone on the school’s white marble buildings, an awe-inspiring sight I’ve never forgotten. I recently returned for a 68th reunion, attended lectures, and as a former student was interviewed by a film crew. At one point the interviewer asked, “What are your thoughts in this robotic age of medicine?” His question reminded me of a comment I’d heard years ago. A White House reporter once asked an assistant working with U.S. President Franklin D. Roosevelt, “Does the President really understand all of the economic bill he’s presenting to Congress?” The aide thought for a moment and replied, “Possibly not,...Read More
Miscellaneous, Philosophy
When All This Doesn’t Happen, We’re All Dead
What did I learn at my 68th medical reunion at the Harvard Medical School (HMS)? I learned, from an article written by Stephanie Dutchen, that my brilliant classmate, Melvin Glimcher, physician, engineer and professor, had created the myoelectric elbow. Dubbed “the Boston Arm”, this device is a godsend to upper arm amputees. But I learned that such a great medical achievement, and others, might be allowed to vanish in a split second. And that it’s time for the medical profession to speak up to prevent nuclear disaster. An article authored by Jake Miller, a science writer in the HMS Office of Communications and External Relations, and published in Harvard Medicine, shows how complacent we’ve become about the catastrophic consequences of nuclear...Read More
Gynecology
What Women (and Men) Should Know About HRT
The year 2002 was a worrying year for women who were taking hormone replacement therapy (HRT) to combat troublesome menopausal symptoms. Bold newspaper headlines reported that a study called The Women’s Health Initiative, conducted by the National Institute of Health, showed an increased risk of breast cancer, heart disease, stroke, gall bladder disease and blood clots in the legs and lungs of those taking HRT for longer than five years. It was hardly prime time to be prescribed estrogen. But what are the facts in 2018? The passage of time often changes opinions in many areas. Treatment of menopause is no exception. Now, after 18 years, the Women’s Health Initiative says the potential harm of HRT was overstated for healthy women...Read More
Miscellaneous
Green Funerals: How We Can Help Green Our Planet
How would you react if you saw people dumping 800,000 gallons of formaldehyde, a carcinogenic substance, into the earth every year? Then witness them cutting down four million acres of forests annually? I suspect the environmentalists who fight underground oil pipes would be raising holy hell about formaldehyde and rampant destruction of trees. Yet this is what it takes to bury the U.S dead every year. So why are environmentalists so silent? Now, a film called “Echo Death Takeover: Changing the Funeral Industry” has been produced by The Order of Good Death, founded by funeral owner Catlin Doughty who advocates green funerals. Some readers may wonder why I’m writing about death when I’m trained to keep people alive. But pollution of many...Read More
Cardiovascular
Heart Failure, What You Should Know About Mitochondria
Ask anyone what is the nation’s number one killer and most people will say heart attack. But how many know that congestive heart failure (CHF) is the fastest growing cause of heart disease in North America? Why is this happening? And why are mitochondria of vital importance, particularly as we all grow older? Congestive Heart Failure occurs for several reasons. A coronary attack may have destroyed cardiac muscle. Or hypertension over a period of years has weakened it. Or obesity and diabetes has resulted in hardening of coronary arteries, decreasing blood flow to the heart. So, in addition to aging, a series of events may injure the heart. As the “Gifford-Jones Law” states, one problem leads to another and another. In the...Read More
Genitourinary, Vitamins
Why Humans Get Kidney Stones and Gorillas Rarely
Do large doses of vitamin C increase the risk of kidney stones? It’s a question I’m often asked, having reported the medical value of vitamin C in decreasing the risk of cardiovascular disease (CVD). So is this concern fact or fiction? Or does vitamin C, by making acid urine, combine with calcium and oxalate to form stones? I asked Dr. Linus Pauling this question. Pauling, a two-time Nobel Prize winner, had for years taken 20,000 milligrams (mgs) of vitamin C daily. He said, “Not a single case had been reported in medical literature. But some people who had a tendency to form oxalate stones might do so while taking large amounts of vitamin C, or those with a rare genetic problem.” Dr....Read More
Heroin, Pain
Politicians Take Note – Readers Damn Opioid Summit
This week my e-mail nearly developed “Rigor Mortis” from the volume of responses to my column about an opioid summit. I recently told readers the government’s proposed opioid summit was a waste of money. I asked for their opinion. The majority agreed with me. But some labelled me barbaric, cruel and Godless for praising Singapore’s system of justice. M.P. writes, “I also saw the warning signs when entering Singapore airport. A poster showed a drug dealer hanging by a rope!” Another reader adds, “I’m glad someone has the balls to discuss the consequences of this drug problem.” From A.W., “My wife would swear I wrote your column. The only way to deal with drug dealers is death. Put them in jail and these...Read More
Alternate Treatments, Medicine, Pain
Gifford-Jones; Do I Look Like an Addict?
“But why must I give you a urine sample?” I asked the receptionist at the marijuana clinic. She replied, “Because we won’t see you without one, and each time you come back you must give us one. It’s to make sure you’re not taking illegal drugs.” So at 94 years of age, a doctor with lots of gray hair, tired after fighting Toronto traffic, and walking with a cane, I asked her, “Do I really look like an addict?” I reluctantly gave her a urine sample! But why was I there? Years ago, while in Japan, I had a Japanese massage at the Imperial Hotel in Tokyo. During the procedure, a petite girl suddenly struck a heavy blow on the side of...Read More
Alternate Treatments, Pain
Marijuana for Gifford-Jones?
Why would I, at my age, want to start smoking pot, when I’d much prefer a glass of chardonnay? It’s because I’ve suffered annoying neck pain for years due to an old injury which happened in Japan. Besides, my experience with the plant may help others who suffer from chronic pain day after day, and find no relief from other painkillers. My interest in marijuana dates back many years. At that time several readers asked for my support to obtain medical marijuana. Some patients had found that marijuana decreased nausea while undergoing chemotherapy. Others with spinal cord injuries, accompanied by painful muscle spasm, also reported relief. But many could not find a doctor to prescribe marijuana. So I argued in my...Read More
Lifestyle, Miscellaneous
We Need Lee Kwan Yew – Not an Opioid Summit
Why don’t we learn from history when the question is a no-brainer? For instance, a recent editorial in a major Canadian newspaper states, “We Need an Opioid Summit.” One could add to this headline, “a Summit that would solve nothing and cost taxpayers millions of dollars.” What we actually need is the perspective of Lee Kwan Yew, Prime Minister of Singapore. Unfortunately he’s dead. Saskatoon police recently disclosed publicly the name and telephone number of a known drug dealer. They warned people that cocaine purchased from the dealer might also contain fentanyl. It could kill them. Last year the Canadian government stated that about 4,000 citizens died from drug overdose. More bluntly, they were murdered by poison by drug dealers,...Read More
Lifestyle, Sports
Exercise Can Kill You
The Earl of Darby once remarked that “Those who don’t take time for wellness, will eventually have to make time for sickness.” Like many doctors, I too have advised patients and readers to exercise as part of a healthy lifestyle. Now, Dr. Maureen Brogan, Associate Professor of Medicine at New York Medical College, reports that intense, repetitive, motion exercise can cause rhabdomyolysis. And in rare cases it can kill. Brogan explains that when muscle is damaged, it dumps myoglobin, an iron and oxygen-binding muscle protein, into blood circulation. Excessive amounts of myoglobin can obstruct the kidney’s filtration system and cause serious damage. I have mentioned in previous columns that, in rare cases, prolonged use of high doses of cholesterol-lowering drugs can cause...Read More
Miscellaneous
Is There a Doctor On the Plane?
What is it that doctors worry about when they’re flying? It’s not fear of flying. They know that travelling by air is safer than driving a car. Rather, it’s the possibility that they will hear a sudden announcement, “Is there a doctor on the plane?” This is when the brain shifts into high gear. Every time it happens to me, it reminds me of my days of internship at the Montreal General Hospital. Interns took turns riding in the ambulance on emergency calls. We never knew what we might encounter. But at least our feet were on terra firma, and we knew that on returning to the hospital specific expertise would be available. But in the air, this announcement, particularly if it...Read More
Alternate Treatments, Pain, Philosophy
Sudan, Will Humans Ever Learn?
What a sad, thought-provoking photo, published in the Globe and Mail newspaper. It shows Sudan, the last male northern white rhino, unable to stand. You can see the terrible frustration and pain on his face. Veterinarians, at the Pejeta Kenyan Conservancy, decided that since there was no quality of life left for Sudan, only unsolvable pain, the best treatment was a lethal injection. It’s ironic that veterinarians are so compassionate about the end of life for dying animals. Yet some physicians, who often see the agony of human death, can be so lacking in compassion, and are outright cruel. We could ask why ending Sudan’s life did not trigger the usual cries that only God can decide this issue. Or argue that...Read More
Lifestyle, Medicine, Nutrition
The Philippines Finance Oral Insulin Pill
A Spanish proverb states, “He loses all who loses the right moment.” I had a similar thought a few weeks ago when I wrote that, “a brain that’s full of knowledge has no room left to dream.” Why these philosophical mutterings? Because I was annoyed that Canada had lost a major medical opportunity. Now, the insulin mouth rinse that should have been a “Canadian First”, is a Philippine economic coup. It’s a loss for Canada. But the Philippines had the vision to see that an oral insulin product offers immense medical and financial benefits. I’ve told readers that Eastgate Biotech Corp, using nanotechnology, had developed an oral insulin pill to treat Type 2 diabetes. This is a monumental finding since...Read More
Lifestyle, Nutrition, Vitamins
Mediterranean Diet for a Long Life
Leonardo da Vinci once remarked, “Trifles make perfection and perfection is no trifle.” Trifles can make a huge difference in surgery, when building rockets, in nutrition, or in life generally. For instance, a report in the publication LifeExtension shows that a Mediterranean Diet prolongs life. As we all age, this is no trifle. For years doctors and nutritionists have known the Mediterranean Diet is a “Five Star” one. But no one knew why this diet had such remarkable benefits. Now, researchers have discovered its success is due to polyphenols (a plant based compound). They lower the risk of cardiovascular disease (CVD) by an amazing 60 percent! This means fewer heart attacks, strokes, hypertension and less inflammation. The author of the report, Michael...Read More
Miscellaneous
Insomnia; It’s Shortening Your Life
F. Scott Fitzgerald, the author, once remarked, “The worst thing in the world is try to sleep and not to.” I’m sure many readers share Fitzgerald’s problem. But suppose this common trouble kills you? That’s when it’s worthwhile to find out more about insomnia, and why some people suffer from TAT (Tired all the Time). Professor Matthew Walker is founder of the University of California Berkeley’s Center for Human Sleep Science. He’s also author of the book, “Why We Sleep.” Walker says, “The silent sleep loss epidemic is one of the greatest public health challenges we face in the 21st century.” Right now, if you become drowsy while driving, his figures should awaken you. Walker says that one person dies every hour...Read More
Medicine
Why Don’t They Read History to Save Lives?
It’s been said that “If you don’t learn from history, you’re destined to relive it”. So today I have to repeat what I’ve said before. It’s apparent that the medical profession, TV anchors, and Medical Officers of Health (MOH), have never read history. So young children, and others, are dying of influenza. Today, rather than believing what I write, go to the internet and read about the history of Dr Klenner. During the great polio epidemic of 1948, Dr. Frederick Klenner, a family doctor in North Carolina, was placed in charge of a ward of 60 patients stricken with this paralyzing disease. Dr. Klenner decided to give massive doses of vitamin C to all 60 patients. None of them developed paralysis! A...Read More
Cardiovascular
A Great View, But Will it Kill You?
What is the greatest threat to having a heart attack, the nation’s number one killer? Ask this question and most people will answer it’s having high blood cholesterol. Or they respond, it’s due to hypertension, obesity, diabetes, or a stressful lifestyle. But suppose you ask what things will improve the chance of surviving coronary attack? I’d predict that after some hesitation the answer will be having someone nearby to administer cardio-pulmonary respiration (CPR). But how many will know it depends on the floor you’re living on in a high rise building? And what should you know about the 26th floor? I’ve now been living for 35 years in a high rise condo in Toronto. But my wife and I never considered that...Read More
Eyes, Ears, Nose & Throat
What I Learned Watching My Wife’s Cataract Surgery
As a surgeon, giving medical advice to a family member, particularly to your wife, is a difficult task. Moreover, since she’s also my editor, Susan is well aware of my advice to readers. Namely, that it’s prudent never to agree to surgery for a painful hip or any chronic condition until it affects your quality of life. So, how did I react to her cataract surgery? According to The National Eye Institute, by age 80 half of North Americans have a cataract, or have required the operation to replace a foggy lens. In Canada 250,000 such surgeries are performed each year and an estimated 1.5 million worldwide. Many people are unaware they have cataracts in the early stages of growth. Since cataracts...Read More
Infection, Medicine
The Right Answers about Flu Could Save Your Life
“Get the shot”, is the message now the flu season is here. But how effective is the vaccine? What is the chance of a mismatch? Are there serious complications? Should you get your shot at the local pharmacy? Or treat yourself with over-the-counter products? Should you rely on natural remedies? The right answers could save your life. How Effective is the Vaccine? Australia’s flu season, during its winter and our summer, usually predicts what happens in North America. And during Australia’s past winter, there were 215,280 cases. Dr. Ralph Campbell, reporting in Orthomolecular Medicine News Service, says this increase was most likely due to a vaccine mismatch. In effect, it was the wrong vaccine for the current virus. But suppose researchers achieve a...Read More
Alternate Treatments, Cardiovascular, Nutrition
The Nitric Oxide Key to Prevent Heart Attack
Ask anyone what causes a sudden coronary attack and they will say it’s the result of high blood cholesterol, lack of exercise, obesity or smoking. Now, a report in the publication “LifeExtension” says doctors must start thinking “endothelium”. I’d bet few readers could even spell this word. So why is it so vital? And what natural remedies make it healthy? The endothelium is the ultra-thin, one cell thick, innermost lining of arteries. It produces nitric oxide. And it’s ironic that just this single layer of cells, if unhealthy, results in decreased blood circulation, hardening of arteries, and is a major cause of the big killers, high blood pressure, heart attack and stroke. During our early years, a youthful endothelium is due to...Read More
Heroin, Pain, Psychiatry
Readers Say “Cancer Patients Deserve Better”
Several weeks ago I wrote that Canada’s Federal Minister of Health had announced 100 million dollars would be available to fight the opioid crisis. In addition, it would now be easier for addicts in treatment centers to obtain heroin. But I argued there was no such easy access to heroin for terminal cancer patients in agony. I’ve received tons of mail from angry readers. From E.D. “I watched my Father die a horrible death due to cancer. He lost all dignity, begged doctors for heroin, as morphine did not help. A vet of the Korean war should not have suffered this way.” J.F., an English nurse, says, “When I came to Canada I couldn’t believe heroin was not available. I was told...Read More
Diabetes
My Scottish Father Would Roll Over in His Grave
Most people know that obesity is a health issue. But how many know that it’s responsible for 95 percent of Type 2 diabetes? Or that 50 percent of diabetes patients die of heart attack? How many readers know how obesity affects surgery? And what would make my father roll over in his grave? For 60 years I’ve seen obesity in children and adults increasing in North America and most of the world. It’s tragic that few people fully understand how much this epidemic affects their lives and what it’s costing society. My viewpoint about obesity developed over time as a surgeon. I was once asked during an interview if operating on a 300 pound patient compared to a patient half that weight...Read More
