Cancer
Waiting to Treat Prostate Cancer?
Doctors have stressed for years it’s vital to treat all cancers early to increase the chance of cure. But one rogue malignancy rarely obeys the rules. Now, a report in the Canadian Medical Association Journal says, “active surveillance” is increasingly used to treat prostate cancer. The big question is how many patients want to wait when told they have a malignancy? But why is this currently a choice? Autopsies show that 50 percent of men over age 59 have prostate cancer, and three in four over 85. One in seven North Americans will be diagnosed with prostate cancer in their lifetime, yet only one in every 28 men will die of it. Obviously, not all need to be treated. Why does this...Read More
Cancer, Medicine, Pain
Why Cancer Patients Will Suffer to Protect the Lives of Addicts
How history repeats itself! Today, politicians are once again ignoring the pain of terminal cancer patients. At the same time, they are shooting themselves in the foot by making illogical remarks about pain. This human folly takes me back 37 years. In January 1979, I wrote a New Year’s resolution in this column to petition the government to legalize medical heroin to ease the agony of terminal cancer patients. I knew that heroin had been used in English hospitals for 90 years, so why not have this painkiller available in North America? But rather than being applauded for my compassion, all hell broke loose. One well-known cancer specialist labelled me “a misinformed headline-seeking journalist”. The Cancer Society argued that morphine was as...Read More
Cancer
Has Anyone Felt Your Testicles Lately?
How many women will have their breasts examined this year? I don’t know the exact figure but it will be in the millions. But how many men will have their testicles examined during 2016? Again, I don’t know the exact number but it will be miniscule compared to that of the fairer sex. Is this sexual discrimination? If so, we need a class action lawsuit to protect men’s rights or, more to the point, our testicles. But more important, an increase in TSE (testicular self examination) would increase the survival rate of this malignancy. We don’t know what triggers testicular cancer. But males at greatest risk are those between the ages of 15 and 35. There’s increased risk if the testicle...Read More
Cancer, Gastroenterology, Lifestyle, Nutrition
Can Fiber Decrease the Risk of Colon Cancer?
Humans don’t learn from history. Dr. Denis Burkitt, a British researcher, showed years ago that African natives, consuming large amounts of fiber, did not suffer from constipation, appendicitis or problems of the large bowel, such as diverticulitis (hernias of the colon). Now, a new British report states an increase in dietary fiber decreases the risk of large bowel malignancy. Being of Scottish heritage, I always consider ways to save money for our health care system. Luckily, there’s no need for expensive MRI’s to determine whether the diet contains sufficient fiber. A rectal examination that finds rock-like stools quickly provides the answer. Stools that don’t float are also a good sign more fiber is needed. Students of history may remember the World War...Read More
Cancer, Gynecology
What No One Tells You about Mammography
It’s been said that, “All would be well if there were no buts.” Unfortunately, for women there have always been several crucial “buts” about the benefits of mammography. Now, a new report from the American Cancer Society (ACS), says that routine mammograms may do harm if started before 50 years of age. So, what other “buts” don’t the ACS and other organizations tell women about mammograms? Timing is vital is many things in life. But for years few experts could agree on the best time to start routine mammograms. The Canadian Association of Radiologists picked 40 years of age as prime time. The International Agency for Research on Cancer pulled age 50 out of the hat. In short, no one had...Read More
Cancer, Gastroenterology
Colonoscopy: If Good for the Queen, It’s Good For You
How foolish some people are. Even when it means dying from a large bowel cancer at an early age. I've seen it happen many times over the years. So here are 10 points that can prevent this needless tragedy. One - About 90 percent of colon cancer occurs in people over 50 years of age. This provides ample time to detect and treat this malignancy. But there is one big hurdle, and I've heard friends and patients react to it over and over again. They casually respond, "Yes, I'm going to have a colonoscopy one of these days." 99 percent of the time this means none of these days. And I've seen some of these people die horrible deaths from this...Read More
Cancer, Gastroenterology, Genitourinary, Miscellaneous, Nutrition
Do You Need a CT Scan?
How many people will die from excessive radiation exposure? Today, more patients get CT scans for a variety of problems. So how can patients decrease the risk of excessive exposure? “Consumer Reports on Health” says the number of CT scans in the U.S. in 1980 was under 3 million. Now in 2015 it’s 80 million. Experts claim that about one-third of the scans have little medical value. And the report adds that some doctors and technicians don’t take measures to reduce radiation exposure. In the past it’s been said that the radiation threat is greatest in children. But some research now suggests that certain radiation induced cancers place adults at risk as well, more than previously realized by doctors. So when is a...Read More
Cancer, Miscellaneous
What Oscar Knows That Doctors Don’t Know
Years ago the family cat, usually aloof, suddenly decided to spend time on my father-in-law’s lap months before he died of pancreatic cancer. Why? Another family reports in a Toronto newspaper that their pet feline recently began a vigil on a loved one’s lap just before he died. So what did the cat know that wasn’t taught to me at The Harvard Medical School? The New England Journal of Medicine, not noted for publishing trivia, surprised doctors several years ago by publishing a photo of Oscar, the cat. This male feline had become famous for his uncanny ability to predict death. Oscar did not have a noble background. Rather, he had been saved as a young kitten, by staff members of a...Read More
Cancer, Lifestyle, Sex
“Darling, Do I Have Permission to Have Sex With 20 Other Women?”
Hmmm… Why wasn’t this study done 70 years ago when I was young with an abundance of testosterone? This was my first reaction to a report in the journal, Cancer Epidemiology. But for the Don Juans of this world, this news is better late than never. I’m sure they will be ecstatic to learn that frequent sex can decrease the risk of prostate cancer. But what will their bride-to-be say? Marie-Elise Parent is Associate Professor of Epidemiology at the University of Montreal. I have not met her, but she’s been affectionately called, for appropriate reasons, “Madame Prostate”. She also has my congratulations for her unique research. So what’s the good news for Romeos? The Montreal study questioned 3,208 men between 2005 and 2009...Read More
Cancer, Heroin, Pain
Heroin for Addicts? Or Send Them to Northern Canada?
How would I react if I were dying of terminal cancer and none of the current painkillers could ease my agony? Or if I were suffering day after day the pain of crippling arthritis and no medication relieved my misery? And then I read that addicts were granted prescription heroin to treat their addiction. I’d be damn annoyed that this painkiller was available for addicts but not for cancer victims and others dying in pain. Several years ago I wrote that I’d send addicts to chop wood in Northern Canada. That would surely solve their addiction. I thought I’d receive a ton of mail calling me a “Hard-Hearted Hannah”. But the majority of readers were overwhelmingly in favour of this suggestion! Just...Read More
Cancer, Gastroenterology
How to Prevent Dying the Tough Way
Humans are inconsistent when it comes to preventing cancer. For instance, I have often written that mammography, a popular test, is an inefficient and deceptive procedure to prevent breast cancer. Yet millions of North Americans never get the one test that can save their lives, colonoscopy. Large bowel cancer is not a rare disease. Rather, it is the second leading cause of death in this country. But it does not have to end so many lives because colon malignancy does not develop overnight. Colon cancer normally starts after a soft fleshy-like polyp forms in the large bowel. The polyp can remain non-malignant for years, but it may also develop into one that kills. Studies show that, over the age of 50, one...Read More
Cancer, Dermatology
For the Right Diagnosis, Consult a Dog
Skin cancer is one of the most preventable types of malignancy. But according to The Cancer Society, it is also one of the fastest increasing malignancies. For instance, the incidence of new cases is now greater than the combined number of new breast, lung, prostate and colon cancers. Ask most authorities why this is happening and they'll say it's because of too much exposure to the sun. Dr. Allan Halpern, Chief of Dermatology at Memorial Sloan-Kettering Cancer Center, New York City, warns parents that children who get sunburns at an early age, the severe ones they never forget, are at greater risk. So are those who have worked outdoors for a number of years. Halpern adds that people who have 50...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
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
Cancer, Medicine
How Many Readers Know The Right Number?
Editors obviously pay me to pass along medical advice to you. But this week I can't answer a fundamental health question. So let's switch roles to see if any reader with the Wisdom of Solomon knows the right number to this dilemma. I'll publish the results, as it's vital that a figure be found. After all, it's going to affect how long you live. Stephen S. Hall writes a fascinating article in the magazine "New York" about the escalating cost of cancer drugs. New cancer medication now costs tens of thousands of dollars, but may extend lives of patients only a matter of days. Dr. Leonard Saltz, a cancer specialist at Sloan-Kettering Cancer Center in New York, is an outspoken advocate for...Read More
Cancer
To Treat or Not To Treat Prostate Cancer
Autopsy studies show that 50 percent of men over age 59 have prostate malignancy, and three out of four over age 85. One in seven North Americans will also be diagnosed with prostate cancer in their lifetime. Yet only one in every 28 men will die of prostate cancer! Obviously, not all men need to be treated. A report in Nutrition Action says that most prostate cancers are harmless and before the PSA test became available, men never knew the disease was present. And Dr. Lawrence Klotz, chief of Sunnybrook Cancer Centre in Toronto, is concerned that unnecessary surgery or radiation treatment leaves some men with impotence, diarrhea and urinary incontinence. Because of these complications, in 2012 the U.S. Preventive...Read More
Cancer, Cardiovascular, Lifestyle, Nutrition
Less Meat in the Diet? Why I Hope that’s Wrong
"Yes, waiter, I want my steak blue!" I've found that statement the easiest way to get a rare steak. But should I be eating meat, rare or not? A recent report in Nutrition Action, which often provides sound advice, gives six reasons why a high intake of red meat is associated with coronary heart disease, stroke, diabetes and premature death. One In a Harvard study, 120,000 health professionals were followed for 28 years. Those who ate the most meat had a 30 percent higher risk of dying earlier. In another study, the National Institute of Health followed half a million people for 10 years and came to the same conclusion. Two Dr. Adam Bernstein, research director at the Cleveland Clinic's...Read More
Cancer, Miscellaneous
Sorry Doctor, I’d Prefer an Opinion From The Dog
What do dogs have that's lacking in humans? Harry Truman, the straight-talking former president of the United States, remarked that, "If you want a friend in Washington, get a dog." But friendship is not the dog's only virtue. A dog's nose has 220 million cells that detect odours compared to a mere five million in humans. And although none have yet graduated from The Harvard Medical School, they can often outsmart doctors in recognizing serious disease. In 1989 the British Journal, Lancet, reported that a female Half-Border Collie was indeed a woman's best friend. Her dog kept sniffing at a mole on her thigh, but ignored other moles. In fact, the dog had actually tried to bite off the...Read More
Cancer, Genitourinary, Lifestyle
If Breasts Can Be Examined, Why Not The Testicles?
For years we've stressed to women the importance of an annual breast examination for the detection of cancer. Yet today little attention is paid to examination of the male testicles. It's time for women to remind their mates that what is good medicine for the goose is also good medicine for the gander. Routine testicular self-examination (TSE) is the answer. Dr. Joel Brenner, Assistant Professor of Sports Medicine at the University of Georgia, says, "There is a taboo about talking about the testicles, unlike breasts and mammograms that are discussed on prime-time television." Yet cancer of the testicles is one of the most treatable cancers. The case of Lance Armstrong is the best example. In 1996 this world class athlete and five...Read More
Cancer, Genetics
How Genetics Affect the Risk of Prostate Cancer
It has been said that "Blood is our destiny". Or that, "Bad hens have bad eggs". Or that, "He was not merely a chip off the old block, but the old block itself". Each year studies show that genetics play a huge role in whether or not we develop malignancy. But how big a role does genetics play in prostate cancer? Now, a world-wide study reports a major breakthrough, showing that some males seem to be genetically predisposed to this baffling cancer. Earlier studies reported five to ten percent of prostate cancers were due to genetics. For example, a man with one close relative, such as a father or brother, with prostate cancer is twice as likely to develop this malignancy...Read More
Cancer, Medicine, Miscellaneous
How Many Patients Would Agree to 500 Chest X-rays?
Does the doctor always know best? Normally the answer is "Yes". But when your doctor orders a CT scan (computed tomography), does he really understand the amount of radiation your body receives? A recent report from the University of California expresses concern about the overuse of the many types of scans performed in the U.S. Canada is not immune to this problem. So what can patients do to protect themselves from needless radiation? CT scans are used to diagnose cancer, heart problems, kidney stones and injuries. Obviously, a three dimensional view of the body saves lives. But the effects of radiation are cumulative. The more CT scans, the greater the danger, and your body keeps an accurate score. Today CT...Read More
Cancer, Genitourinary, Surgery
Cooking the Prostate Gland
How many angels can dance on the head of a pin? No one knows. Nor has anyone, to this point, found the answer to treating prostate cancer. Now, a treatment called high-intensity focused ultrasound (HIFU) is available. So could this procedure be the ultimate way to cure prostate malignancy? In North America, every three minutes, a man is diagnosed with prostate cancer and every 15 minutes a man dies from it. The major problem has always been, which men should be treated, and when should doctors follow a wait-and-see policy? Waiting to see what will happen has never been a logical move anytime cancer is diagnosed. The result is normally the spreading of the malignancy and eventually death. But prostate malignancy, unlike...Read More
Cancer, Lungs
The Mortality Rate is Staggering for Lung Cancer
My patients always give me the wrong answer when I ask them, "What cancer ills women more than any other malignancy?" Most say, "Breast cancer." But lung cancer kills more women than breast and colon/rectal cancer combined. But there's hope for both sexes. Unfortunately, there's an interesting, recurrent, yet depressing, reaction, particularly for non-smokers, who develop lung cancer. When told that someone has breast cancer there's always a sympathetic ear. But when informed a person has lung cancer, sure as night follows day, the first, quick response is "Was he or she a smoker?" It's a remark that puts an unfair stigma on non-smokers. It happened to the widow of Christopher Reeves (Superman). She developed lung cancer but never smoked. It was...Read More
Cancer, Dental
Dental X-Rays Linked To Meningiomas
What should you do the next time the dentist tells you he or she is going to take full dental X-rays? A new study shows that just as porcupines make love very, very carefully you should also take care to limit the amount of radiation exposure during your lifetime, particularly the amount your children receive. Dr. Elizabeth Claus of Yale University reports in the American Cancer Society Journal "Cancer", that there's a link between dental x-rays and the risk of developing a brain tumour called a meningioma. These tumours grow from the meninges, the layers of tissue that cover the brain. Fortunately, most meningiomas are benign. Others are slow growing, but they can become life-threatening when they become as large as a...Read More
Cancer, Miscellaneous
I Did Not Expect To Live In Diapers
What should men do if the doctor says, "You have prostate cancer"? This is a difficult question to answer because doctors cannot agree on the right treatment. Now, a report in The New England Journal of Medicine challenges the benefits of surgery. Its basic message to doctors is to follow the first principle of medicine, "First, do no harm". The lifetime risk for men of developing prostate cancer is about 16 percent, and the risk of dying from it only 3 percent. This indicates that many prostate cancers are not dangerous and that no treatment is the prudent option. The U.S. study involved 731 males with localized prostate cancer who were given the option of either surgery or watchful waiting. They were...Read More
