Miscellaneous

Lifestyle, Miscellaneous, Philosophy

Beware of Falling, It May Kill You

November 11, 2023

What a sad way to lose a friend. Not from a heart attack or cancer. Rather, a slip and backwards fall caused a strike of the head on a hard unforgiving surface. The traumatic injury resulted in death a few days later. As Aristotle wrote centuries ago, “To have a good friend you must partake a peck of salt together.” Losing such friends as you get older is very disturbing, often leaving a void in life never refilled. Recent figures from the Centers for Disease Control and Prevention show the immense costs of falls. In North America there are over five and half million incidents yearly costing more than $45 billion! The average cost of a fall that results in injury is...Read More

Lifestyle, Miscellaneous, Philosophy

Giving Away a Lifetime Is Bittersweet Medicine

October 28, 2023

We find ourselves in the midst of change. During this 100th trip around the sun, it’s finally time for a move to a retirement residence. While the comforts and care of an elegant assisted-living community are welcome, the upheaval is overwhelming! It’s hard to say goodbye to the family home of nearly 50 years. When children and grandchildren visit to savour the memories together, they just as eagerly eye the furniture and appliances! The truth is, being able to give away a lifetime of treasured possessions is a luxury we are grateful to enjoy. Looking around the world, a lot of people would give an arm and a leg to have what we have. For anyone though, there is something universal...Read More

Lifestyle, Miscellaneous, Philosophy

Unsung Sentinels of Home Healthcare

September 30, 2023

The British author and playwright, B.G. Stern, wrote, “Silent gratitude isn’t much use to anyone.” It’s apropos to home healthcare workers, who have been acknowledged as essential, but that’s where the appreciation seems to stop. Personal support workers (PSWs) as they are called in Canada, Home Health Aides (HHAs) or other titles in the U.S., don’t get the spotlight as do doctors, nurses, and other specialists. And they certainly don’t get the pay. Yet, in the vast realm of healthcare, there exists this group of workers who quietly care for the most vulnerable – the elderly, disabled, sufferers of chronic disease, and people with health issues who can live at home or in long-term care but only with assistance. The profile...Read More

Miscellaneous, Philosophy

Who Has the Most Dangerous Job?

September 9, 2023

We often advise readers not to be foolish – not with your health, money, relationships, or other vital aspects of life. Some risks are unavoidable, like crossing a busy intersection. Yet there’s little sense in choosing a career as a test pilot if you want to live to 100. Now, new research suggests we might have that wrong. Dangerous jobs with a high safety conscious may be the better bet! What are some of the most dangerous jobs? Ambulance workers are near the top of the list. People working at skiing facilities and correctional institutions are in the top ten. So are couriers and people in water transportation jobs. Leave it to personal injury lawyers to know the facts. What does one...Read More

Infection, Lifestyle, Miscellaneous

The Health Consequences of Cats

June 10, 2023

Dog lovers may want to skip this week’s commentary. For cat lovers too, this column may prove a disappointment. A health risk assessment of household cats might be all you need to recommit to a dog. Cats are the darlings of the Internet. And that may be the safest way to enjoy them. There can be no doubt that cats provide crucial companionship for many people.  Their entertainment powers rival dogs. But here are a few thoughts on the ways cats can have an impact on human health. First, the killer instinct of cats has a startling effect on biodiversity.  About a decade ago, the journal Nature published a study that estimated domestic cats kill 1.3–4.0 billion birds and 6.3–22.3 billion mammals annually!...Read More

Infection, Miscellaneous

Make a Stink for Better Public Washrooms

April 29, 2023

When asked how to become a famous comedian, Steve Martin replied, “Be so good they can’t ignore you.” It’s true, bad performers can usually be ignored. But there’s no ignoring bad public washrooms. Public washrooms have a reputation for abysmal filth, as evidenced by dirty toilets, overflowing trash, empty or broken soap dispensers, sloppy countertops, and door handles not to be touched. An American survey found that 21 percent of respondents used a public washroom at least six times a week, sometimes over 15 times! The reason was not always obvious. Youth tend to visit washrooms to use their phones, change their clothes, or “get away”.  In fact, 21 percent of youth acknowledge the use of public washrooms to take a mental health...Read More

Lifestyle, Miscellaneous, Neurology

Fire the Canons! It’s Daylight Savings Time!

March 11, 2023

In a letter to the editor of the Journal of Paris in 1784, Benjamin Franklin wrote, "Early to bed, and early to rise, makes a man healthy, wealthy and wise." In his advocacy for people to wake up and leverage the day, Franklin joked there should be a tax on window shutters, candles should be rationed, and canons should be fired at sunrise! But it was the small town of Port Arthur in northern Ontario that first changed the clocks by enactment on July 1, 1908. In recent times, one of the main arguments for shifting the time to align with the sun focuses on energy savings during evening hours. But dozens of studies have shown the effect to be negligible. Now, the...Read More

Miscellaneous, Philosophy

If Only It Was Only an Email Nightmare

February 18, 2023

This month marks twenty years since the Gifford-Jones newspaper column became accompanied by a “medical update” sent by email to subscribing readers. In early February 2003, the column printed in newspapers was titled, “My E-Mail Nightmare”. It began like this: My daughter said, "Dad don’t do it. You don’t need the headaches. Just write your column.” My three sons cautioned, "You have no conception of what you’re getting into. There will be loads of technical problems. Stick to your column." Well I didn’t take their counsel and they were right. Agreeing to provide readers with free medical updates by E-mail has given me E-mailitis. The response was massive, a bloody nightmare. And I keep hearing voices "don’t do it." It’s a wrinkle...Read More

Miscellaneous, Surgery

The Promise of 3D Printing in Healthcare

February 11, 2023

In healthcare, it’s the elusive breakthrough to a cure for diseases like cancer that has us all hoping. But sometimes it’s the bit-by-bit advancements, rarely getting headings, that make for greater impact.  An example is the field of 3D printing, not even a medical technology by inception, but now a major disruptive force in the healthcare industry. Also known as additive manufacturing, 3D printing allows the construction of physical objects based on three-dimensional digital models. A futuristic notion until recently, such printers are now commonly found in high schools, university libraries and labs, and also in a fabulous array of high-tech companies producing medical devices, and yes, body parts of all kinds. Hearing aid manufacturers were early adopters of 3D printing technology....Read More

Lifestyle, Miscellaneous, Nutrition

A Fast for the Holidays

December 27, 2022

As 2022 comes to a close, grave existential questions loom. Is the doomsday clock ticking louder? Have we harmed our planetary home beyond repair? Is the global economy headed for collapse, or will a reckless war end all things? These are some of the debates that friends and families will have when they gather in groups around the dinner table. This year, those holiday meals themselves may be the source of despair. The higher costs for food make entertaining large groups an expensive proposition. It may not be practical to suggest fasting as an alternative. But it’s good food for thought. And research findings suggest ample benefits. As a new year’s resolution, fasting could have personal health and economic benefits. A global...Read More

Cancer, Eyes, Ears, Nose & Throat, Miscellaneous, Neurology

What A Dog’s Nose Knows

December 10, 2022

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

Lifestyle, Miscellaneous, Sports

Sarcopenia, Not Cancer, But a Deadly Word

December 3, 2022

Can you improve muscle mass even as you age? As Mickey Mantle, star player of the New York Yankees, remarked, “If I knew I was going to live this long, I’d have taken better care of myself.” Such is my worry in my 99th year. I was recently having more difficulty getting up from chairs and recalling patients who admitted they could no longer stand up from the toilet seat. They had slowly developed “sarcopenia”, weakened muscles from aging that robs one’s independence. Sarcopenia begins at about age 45 and causes skeletal muscle mass and strength decline at a rate of about one percent a year. By age 65, people who spend most of their time inactive on the sofa watching television...Read More

Miscellaneous, Neurology, Pediatrics

Game On for Video Games

November 19, 2022

Wandering poorly prepared into a discussion about video games is ill-advised. Yet, people who don’t play video games commonly argue that long hours spent focused on digital playthings, especially by children, rot their brains. It is an uninformed point of view. There are plentiful misconceptions about video games. That label itself is outdated. Video games have evolved in many different directions and “gamification” is rapidly becoming part of the most important aspects of society, from education and healthcare to banking and retail. But what about those children isolated in their bedrooms or basements playing games endlessly? Recent research, published in JAMA Network Open, suggests the kids will be fine. The Adolescent Brain Cognitive Development (ABCD) Study is a long-term study inviting 11,880 children...Read More

Lifestyle, Miscellaneous, Neurology

Poor Sleep Can Lead to Inflammatory Problems

November 12, 2022

An old Irish proverb says, “A good laugh and a long sleep are the best cures in the doctor’s book.” But research suggests it would be wiser to think of good sleep as an ingredient of wellbeing – a starting point for health, not a fixer-upper. Sleep is an essential building block of good health, along with quality nutrition, moderate exercise, socioeconomic connectivity, mindfulness, and ample good luck. Guidelines recommend “7 to 9 hours of good-quality sleep for adults aged 18 to 64, on a regular basis, with consistent sleep and wake times for health benefits.” For adults aged 65 and older, a slightly modified “7 to 8 hours of sleep” is advised. But sleep is too often neglected – insufficient in both...Read More

Alternate Treatments, Cardiovascular, Lifestyle, Miscellaneous

Have a Little Laugh When Angry

October 15, 2022

The iconic Marvin The Martian from Looney Tunes, frustrated by Bugs Bunny in his efforts to blow up Earth, would quickly walk away declaring, “You make me very, very angry.” He offered kids an entertaining lesson in how to handle heated confrontations. A refresher course for adults would be a good prescription. How people manage anger can make a big difference for personal health and much more. Anger, itself, is not always a negative thing. Anger can be a natural and useful emotional response to perceived wrongs. For example, getting angry can be highly motivational. Individuals can deploy anger to break a bad habit and groups can work together in the same way. The #MeToo movement rallied collective anger against injustice to...Read More

Miscellaneous, Philosophy

We Are Not Ready for AI

October 8, 2022

Artificial intelligence (AI) is transforming healthcare at an astounding pace. Vantage Market Research, an American firm specializing in emerging markets, estimates the global AI market in health will climb from US$6.6 billion in 2021 to US$95.7 billion by 2028. That’s an astounding 46.1% compound annual growth. What does this mean for the healthcare consumer? Henry Ford advised, “Before everything else, getting ready is the secret to success.” He lived in a different time, when his assembly lines operated in a simple operational sequence, one workstation after another. Today, getting ready for anything doesn’t seem to be an option. In healthcare, the pace at which AI technologies are reshaping the sector is both exciting and inscrutable. On the bright side, diagnostics are already...Read More

Cardiovascular, Eyes, Ears, Nose & Throat, Lifestyle, Miscellaneous

Rake Up the Leaves this Fall

October 1, 2022

What’s the most absurd image of healthy living? It’s a picture of a young woman using a leaf blower to clean up leaves in her yard while wearing ear protection, eye protection, and a mask covering her nose and mouth. The only thing that makes good sense is the mask. It’s the leaf blower that is most offensive. The first offense is the condoning of laziness. A leaf blower nearly eliminates the physical effort needed to clean up the leaves. In the past, we may have looked upon this as a good thing. Less work equals better life. False! Raking up those leaves offers a wonderful cardio workout, in the lovely outdoors, resulting in the satisfaction of a job well done. It’s exercise...Read More

Miscellaneous, Philosophy

A Different Kind of Sickness

September 24, 2022

It’s a despicable human who preys on people to defraud them of money. What kind of sickness drives a person to such lows? It’s a sad fact that every year, millions of seniors fall victim to fraud. They are prime targets because they tend be trusting, have savings and good credit, and struggle to identify scoundrels posing as government agencies, tech support, repair people, or even family members. Another tragic group of victims are the thousands of international students seeking an honest education abroad. Perpetrators raise false alarms about their visas or take money for fake scholarship applications and non-existent accommodations. What a horrible opening experience for the very people the world needs as global ambassadors. What drives a person to have no...Read More

Miscellaneous

Fainting Frightens, But Is Usually Benign

July 23, 2022

People have been swooning for joy since at least the 13th Century when the earliest recorded use of the word can be found. By the 20th Century, losing consciousness for love and rapture was a necessary attribute of a Southern belle. Even today, swooning has a positive connotation, defined as, “a few steps beyond being happy, but not so over the top that you scare children.” But change the language describing the same loss of consciousness and "blacking out like a light" is not so  glamourous.  Parents fainting with a thud on the floor most certainly gives the kids a fright. But how dangerous is fainting? And how common a problem is it? There have been some famous faints. Most recently, the 74-year-old...Read More

Miscellaneous, Pain

No Guff – Swearing Eases Pain

July 9, 2022

A taboo forbids a practice that is deemed unacceptable. Swearing, especially in polite company, is an example. But here’s good news for the foul-mouthed. Swearing can have surprising benefits – including a remarkable effect in reducing pain! Dr. Emma Byrne knows a lot about letting the filth fly. She published “Swearing is Good for You”, a book presenting research that may change the way you behave when you next stub your toe. For the well-mannered, silent fortitude is the response when something hurts. Studies show, however, swearing like a sailor can ease the pain. One study by psychologist Richard Stephens compared the pain tolerance of people holding their hands in ice-cold water. As compared to yelling a neutral word, they endured the freezing...Read More

Cancer, Medicine, Miscellaneous

Can AI Help Fight Cancer?

June 4, 2022

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

Lifestyle, Miscellaneous, Philosophy

Bend So You Don’t Break

May 28, 2022

Getting older takes a toll. Weakening bones, increasing aches and pains, and failing balance, flexibility and strength can make the body feel like worn-out baggage. But there’s a curious truth in an ancient Hindu text that states, “Everyone else is conquered by the body, but the body is conquered by yogis.” For centuries, yoga has been practiced by people all over the world for religious, spiritual rehabilitation or fitness reasons. The older set may see the neighbourhood yoga studio as a place for the young and nimble, but there is ample evidence that aging seniors benefit physically and mentally from instruction in the “sun salutation”, “tree pose”, or amusingly named positions like the “chair pigeon” or “cat-cow pose”. Yoga combines movement (asana)...Read More

Infection, Miscellaneous, Pediatrics

Flashy Marketing Deceives New Mothers

May 14, 2022

The global formula milk industry is huge and growing rapidly, at about US$55 billion and projected to reach US$110B by 2026. Aggressive and deceptive marketing by manufacturers is driving this growth. The World Health Organization (WHO) is ringing alarms. It charges the industry with using new digital marketing tactics to target pregnant women and new mothers with “personalized social media content that is often not recognizable as advertising.” The Internet and smart phones are wonderful tools. But they can also be dangerous. Women have breastfed babies since the beginning of time. Animals thrive without Big Pharma. Human babies do too. The WHO says the digital onslaught by industry reaches 2.47 billion people. The intention is to plant concerns in the minds of...Read More

Alternate Treatments, Miscellaneous, Psychiatry

A Little Nostalgia Goes a Long Way

April 30, 2022

Tracing the medical history of nostalgia involves a sharp U-turn. Centuries ago, it was considered a psychopathological disorder. Still today, nostalgia can be associated with negative feelings and sadness. But researchers are reaching new conclusions about the health benefits of wistful affection for the past. We recently witnessed the medicinal effects firsthand on a special family trip. A full seventy years later, we returned to the majestic Manoir Richelieu, a historic hotel northeast of Quebec City on the shores of the St. Lawrence River. As the former hotel doctor-in-residence, and the accompanying story-seeking family, we were treated to a wonderful walk down memory lane. It was hard not to notice the spring in our steps, the smiles, and the upbeat mood. Nostalgia comes...Read More

Miscellaneous, Philosophy

Decarbonizing Healthcare

March 5, 2022

Last week we wrote about the environmental disaster of plastics choking the world’s oceans and the consequences for human health through the food chain. This week let’s look through a different lens at another environmental disaster of our own making – the carbon footprint of healthcare itself. Here’s something you may not know. If the global healthcare sector were a country, it would be the fifth-largest greenhouse gas emitter! A report from Health Care Without Harm calculated that the environmental impact of healthcare amounts to 4.4% of global net emissions – the equivalent of 514 coal-fired power plants. So far, North Americans are among the main culprits.  By way of example, the report notes, “The United States health sector, the world’s number one...Read More