Gynecology, Pain, Sex
What Women Suffer Most from Menopause?
There’s a universal fact for women. If they live long enough, their capacity to bring forth children will end, and they will become menopausal. Menopause can be when the thermostat becomes their most prized possession. But not all women have hot flashes. Some go through this period wondering why they have no symptoms. The best advice for them is, “Enjoy the smooth sailing!” Other women endure needless suffering. There are treatments, and these women should see their doctors. The medical journal, The Lancet, has urged women to become educated about hormone replacement therapy (HRT). Menopause should not be considered a disease. It is a natural process. Be cautious with commercial interests of pharmaceutical companies’ propaganda. Seek information from a medical specialist. The authors of...Read More
Gastroenterology, Infection, Pain
The Season for Sorrows and Joys
Why is it that the scariest and toughest illnesses occur at the festive time of year? Instead of family gatherings at home with music and merriment, for some people the holidays involve hushed tones at the bedside in a hospital. It may have started as nothing serious. An ache. Maybe stomach flu. But when symptoms turn serious, getting to an emergency room is not to be delayed. One common cause of trouble is the appendix. This odd, little finger-shaped organ was poorly understood in medical history until more recent times. The fact that a ruptured appendix could be removed without apparent implications for the patient had doctors convinced it was an evolutionary leftover. More recent research suggests it functions as a “saferoom”...Read More
Alternate Treatments, Infection, Neurology, Orthopedics, Pain, Psychiatry, Surgery
Alternative Medicine Makes a Good Gift
What’s the gift we’d like to have in stock for our readers this holiday season? It would be a healthy dose of common sense, and a reminder that not every health problem needs a medical solution. Unfortunately, few people open their minds when confronted with a swollen joint, an injury to the skin, back pain, broken bones, or even brain injuries. Yet, instead of costly, dangerous drugs that come with side effects, or surgical treatments that involve other risks, these are examples of problems that respond well to alternative forms of therapy. We have written in the past about low-intensity laser therapy (LILT). It’s now known as photobiomodulation (PBM), which involves the application of light to instigate a natural healing process....Read More
Pain, Surgery
The Pros and Cons of Surgery for Osteoarthritis
When osteoarthritis in the knee is causing you pain, how do you know whether to hang in there and take it or to accept the risks of going under the knife in hopes of bouncing back stronger? It’s not an easy question. Many factors need to be part of the decision. Osteoarthritis (OA) is the most common form of arthritis, often described as a “wear and tear” problem, and usually found in the knees, hips and hands. Symptoms are usually mild initially – stiff joints and reduced flexibility. It gradually progresses to more noticeable swelling and aching caused by the breakdown of joint cartilage and the underlying bone. According to the Centres of Disease Control and Prevention, over 32 million Americans have...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
Medicine, Pain
Not Every Pain Needs a Pill
How we wish there were better ways to treat pain. But scientists are struggling to find them. The very nature of pain remains illusive too. Determining if pain is mild, moderate, or severe is a personal perception. Doctors and nurses ask patients to rate their pain from zero to ten. Whether the patient says 2 or 15, there’s more judgement than science in decisions about pain management. But one thing is certain, people managing pain at home are taking too many pills. Pain, at best, is an annoyance. At worst, it is all consuming. It’s been said pain can collapse the universe and concentrate the soul until only the hurt is left. Elaine Scarry, a Harvard professor and author of “The...Read More
Pain
Little Relief and High Costs for Back Pain
A humorous greeting card reads, “Technically I’m still young, but due to my back pain, I’m actually 90.” Whatever the age, including 99, back pain can be agonizing. It’s a surprisingly common problem. A new study published by the Lancet Rheumatology Journal reports that 619 million people suffer from low back pain globally. That’s nearly 10 percent of the world’s population! Why so many people? With higher numbers of people living longer, in part it’s the mathematics. The older one gets, the greater the risk. By 99 years of age, the probability of living with back pain is high. In addition to aging, what else causes the trouble? It is no surprise that researchers found obesity high on the list. Their finding that...Read More
Gynecology, Pain
Why Do Some Women Have Pain During Sex
Why do some women shy away from sex? It might be fatigue after a long day where everything, everything, has gone wrong. But before men jump to conclusions, they should know about a disease called endometriosis. This problem causes severe pain during sex. It occurs in about 10 percent of women and has a profound effect of their lives. And, about 30 percent will have trouble becoming pregnant. Some women with endometriosis may be fortunate. In spite of extensive disease, they are completely free of symptoms. Others, with minimal amounts of endometriosis bitterly complain of a variety of symptoms. What is endometriosis? At the end of a menstrual cycle women experience vaginal bleeding. The inside of the uterus, called the endometrium, starts...Read More
Cardiovascular, Infection, Lifestyle, Neurology, Pain
Are Canadians Better at Preventing Lyme Disease?
It’s tick season and the little pests are out with a vengeance. Tiny as they are, ticks are a huge nuisance and a hazardous vector of disease. Their ability to latch onto unsuspecting hosts has made them one of the most successful blood-sucking parasites on the planet. Ticks are the primary carriers of Lyme disease, infecting people with their bite. But do ticks or people account for the sizable difference in the number of reported cases in the US and Canada? Every year, in the United States, about half a million people are diagnosed with Lyme disease. Based on population, all other things equal, one would expect about 50,000 cases annually in Canada. Other things, however, must not be equal. Because...Read More
Cardiovascular, Obesity, Pain
Edema Is a Common Problem Often Ignored
What is one of the most common health problems that develops in people as they age, and also one of the least discussed? The answer is chronic swelling of the legs. At best, it’s a natural consequence of aging. But also known as peripheral edema, there can be medical, nutritional, or lifestyle causes and serious health consequences. Edema is a general term meaning swelling. Peripheral edema occurs in the legs, ankles, feet, as well as arms and hands. Swelling in other parts of the body include pulmonary edema (in the lungs), cerebral edema (in the brain), and macular edema (in the eye). It’s a medical emergency when the lungs or brain are affected, and a life-altering condition when vision is impacted. But...Read More
Miscellaneous, Pain
No Guff – Swearing Eases Pain
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
Alternate Treatments, Pain, Philosophy
Common Sense in End-of-Life Choices
Few want to think about it. But there are choices to make about death. Doing nothing is one option. Life will, inevitably, one way or another, come to an end. But making common sense decisions about personal preferences for end-of-life should not be taboo or disallowed. And politicians should get out of the way. In Canada, the would-be “just society”, the vast majority of citizens, about 80%, have repeatedly affirmed support for people who wish it to have the option of medical assistance in dying. In the U.S., over the past decade, polls have ranged from 55-75% in support. But why are there still restrictions on who is eligible? In the U.S., there is a hodgepodge legislation, as only some states have...Read More
Cardiovascular, Neurology, Nutrition, Orthopedics, Pain, Vitamins
Symptoms of Magnesium Deficiency
Magnesium is involved in roughly 80 percent of metabolic functions in the body. It is critical in delivering energy to cells and for the production of glutathione, an important antioxidant inside cells. Today, due to depletion of magnesium in the soil and modern food processing, about 60 percent of North Americans are deficient in this vital mineral. This hidden depletion could be causing diverse symptoms. Suffering Migraine Attacks? About 15 percent of the population experience one or more migraine attacks due to constricted blood vessels. Studies show that blood levels of magnesium in migraine patients are low compared to healthy patients. But they are even lower during a migraine attack. An intravenous injection of magnesium relaxes constricted vessels and relieves migraine pain. Feeling...Read More
Genetics, Obesity, Pain
Gout: No Longer the Blue-Blooded Disease
King Henry VIII of England offers an excellent example of how too much wine, rich food and obesity trigger the agony of gout. But why did Leonardo da Vinci, Sir Isaac Newton, and Benjamin Franklin, to name a few, develop this excruciating disease? And how can you decrease the risk? More than nine million North Americans suffer from gout, a type of inflammatory arthritis in which the body produces too much uric acid, or the kidneys fail to excrete enough. Genes play an important role. Gout and diseases such as diabetes are more likely to occur if there is a family history. But given the rise from only 3 million cases just over a decade ago, more than genetics is driving the...Read More
Alternate Treatments, Cardiovascular, Cholesterol, Diabetes, Nutrition, Pain
“Beeting” Yourself to Increase Good Health
Would you like to improve your physical endurance? An exercise routine is the answer. Being physically and mentally active leads to a longer life. But diet can help too. You can start “beeting” yourself to improved health simply by adding beets to your menu. You should also know that nitrates in beets can treat more than one medical problem. Atherosclerosis, thickening of the inside lining of arteries, decreases the flow of oxygenated blood to coronary arteries. This results in anginal pain or heart attack. For years researchers have known that nitroglycerine eases angina. But they had no idea why it dilated coronary arteries and increased blood flow to the heart. Then, three U.S researchers received the Nobel Prize for proving it was nitric...Read More
Alternate Treatments, Dermatology, Infection, Pain
The Agony of Shingles: How to Decrease the Risk
“It was like going through hell,” he said. A friend had developed facial shingles, involving his ear, and despite medication the pain continued for weeks. So what is the best way to prevent an attack of shingles? Take action quickly. If you delay, you’ll wish you hadn’t when the pain from hell strikes. Today, most children are vaccinated against chickenpox. But it was not in the mix of common childhood shots until the mid-1990s. It’s a rare older person who escaped this childhood infection. Unlike other childhood diseases, the varicella zoster virus never leaves the body. Rather, it goes into hiding in nerve cells near the spinal cord. These cells transmit messages from skin to the central nervous system. The virus...Read More
Pain
People in Pain Need Protection from False Pot Promotion
What’s the worst kind of pain? At the top of the list is debilitating chronic pain that, despite painkillers and other treatments, is unrelenting day after day. Chronic pain gradually destroys the soul. A study of suicide cases between 2003 and 2014 found evidence that as many as 10% of cases involved chronic pain. Now, with the availability of marijuana for medical treatment in Canada and most US states, is new hope being corrupted by false advertising? No one should suffer pain that can be safely managed. The addition of medical marijuana as a treatment option has helped many. But despite heavy regulation, there are unscrupulous entrepreneurs ready to make a quick buck, and they are banking on your trust. What...Read More
Alternate Treatments, Dermatology, Pain
What You Should Know About Light Therapy
What could you do if you sprained your ankle during the COVID-19 pandemic? Or if you suffer a bad cut? You may feel that the last place you want to visit these days is a hospital. But do you have options? Maybe it’s time to learn more about light therapy. It’s sometimes called low-level laser therapy or low-intensity light therapy. And with one of the many portable devices available on the market, you can safely treat yourself at home. So, what should you know about this therapy as you get older and invariably develop various aches, pains, injuries and infections? Dr. Mary Dyson, Emeritus Professor at King’s College, University of London, England, is an international expert on wound healing. She reports...Read More
Pain, Philosophy, Vitamins
Why Are Families So Polite When Loved Ones Are Suffering?
Robert Burns, the Scottish poet, was right when he wrote, “The best laid plans of mice and men often go awry.” I recently planned to attend a recent health meeting in Vancouver, traveling there by train. But the trip ended abruptly when protesters blocked the rail lines. What is the relevance, you might ask? I’ve given considerable thought to what happened. To me, it is a matter of societal complacency – and it is affecting our health. So, here’s a question for readers. Why are family members so damn polite and so silent when they see loved ones suffering? Why do medical support organizations react the same way? And, why do civilians continue to be so passive when elected politicians delay and...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
Pain
Are Your Facet Joints Causing You Pain?
It’s been aptly said, “They preach patience who never felt pain.” Chronic severe pain can be soul destroying, particularly when the diagnosis is not known. One of the most troublesome categories is back and neck pain. It can render people immobile, making even the simplest activity a challenge. Because it involves the spine, and therefore a wide range of muscles as well as the delicate and complex central nervous system, back and neck pain is also a worry due to the risks of treatments that go wrong. Unfortunately, all too often, the diagnosis and treatment of spinal problems involves expensive tests, risky surgical procedures, and powerful drugs. But as regular readers will know, I have always been loath to recommend surgeries...Read More
Pain, Philosophy
Rotten Law, Rotten Politicians, Rotten Eggs
Months ago, I wrote a bracelet could be worn by those opposed to medical assistance in dying (MAID). The bracelet would protect those individuals, and the law’s restrictive, now seemingly unconstitutional, conditions could be relaxed for those who want access to MAID. I sent a letter and the column to every Member of Parliament (MP) and Senator in Canada urging a rewrite of the law. I’ve delayed writing another column on this topic so our elected and appointed leaders could respond. So what happened? First, there was an avalanche of mail from readers in response to my initial column. From JR – It’s a brilliant solution to a difficult problem. Congratulations for your efforts to ensure human rights for all. SW says – Your...Read More
Medicine, Pain
Did you hear about the North American wimp epidemic?
How do people in other countries handle pain following various surgical procedures? It’s a pertinent question today in light of the debate on opioid usage in North America. A recent report in JAMA Network Open, published by the American Medical Association, confirms what I have argued, that North Americans have become wimps when confronted with pain. So who is responsible for this? I first became aware of what was happening to pain control many years ago. I had an impacted wisdom tooth which my dentist said must be removed. So I called a dental surgeon in Toronto, whom I had known for years, and made an appointment for this procedure. Following the tooth’s removal, he said, “Be sure to take this painkiller every...Read More
Neurology, Pain
Magnesium: A Natural Remedy to Treat Migraine
Migraine attacks have plagued humankind for centuries and they are still a major cause of disability worldwide. During a recent reunion at the Harvard Medical School, a professor told me of an interesting study. He said that Dr. Stephanie W. Goldberg, a neurologist at Tufts Medical Center in Boston, has reported that magnesium can be helpful in treating these debilitating headaches. Migraine attacks are not your typical headache. Rather, they’re associated with an intense throbbing pain, usually on one side of the head, accompanied by nausea, vomiting, and an increased sensitivity to light and sound. Patients may also complain of visual disturbances, such as flashes of light, zigzag lines or stars. It’s not surprising that Statistics Canada finds 63% of those with...Read More
Pain
The Hypocrisy of Pain Control
Why is it that patients in severe pain from serious diseases are being denied painkillers? A report from the Chronic Pain Association of Canada (CPAC) states that it’s easier for addicts to obtain painkillers than non-addicted patients in desperate need of them. You might say this does not make sense. But the lack of common sense, uncommon as it is, does not surprise. During the past fifty years I’ve seen a ton of hypocrisy that results in needless, disabling pain. The report states, “Bad and distorted research used by Health Canada leads to tragedy for many Canadian patients.” It charges that to deal with overdose deaths among illicit drug users Health Canada decided on a new tactic. The decision was to go...Read More
