wednesday, february 16, 2011 The VancouVer courier EW17

february 2011special advertising feature

Risky BusinessMen and Heart disease

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• Forget-me-nots: Exploring the confusing world of Alzheimer disease and dementia. Getting a proper diagnosis, early, plus ways for family members to cope, and enhance the life of the senior involved.

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by Helen Peterson

February is Heart Month. From Valentine’s Day to awareness of heart disease, it’s a heartfelt time. It’s also a great time to remind readers to take charge of their health.

And for men under age 60, the risk of a heart attack is greater than that for women. This is partially due to envi-ronmental factors, and that women up until menopause have estrogen in their bodies to act as a protector.

But… are men being screened for their risk? As a child and teen I do not ever once recall my father going to the doctor. He was a three-pack a day smoker, but “real men” don’t just go the doctor for a sniffle or even a general physical!

Dad quit smoking years ago, and is doing great at age 76. But I’ve known sev-eral people who have lost dads and broth-ers who were in their early to mid-50s, or younger, gone much too soon, leaving families behind to wonder… why?

The Heart TruthReality or myth? The number one way to help prevent heart disease in adult men is to avoid or cut down on choles-terol-laiden foods like red meat, dairy and eggs.

Definitely a myth, says Dr. Gordon Francis, director of the Healthy Heart Program Prevention Clinic at St. Paul’s Hospital, Vancouver. While good nutri-tional habits and regular exercise are always beneficial for health, the long-

held belief that “slothful” behaviour and bad diet alone cause heart attacks is untrue, he says. “A key predictor of heart attacks is inherited risk.”

cont. on page 18

EW18 The VancouVer courier wednesday, february 16, 2011

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“If one or more members of your close family, a parent or a sibling, showed signs of coronary heart dis-ease or stroke under age 60 (and either survived or did not), this becomes a huge risk factor to pay attention to,” says Francis.

“As far as cholesterol goes, one in 40 people have an inherited lipid disorder that in most cases is not corrected by diet and exercise changes alone, and is frequently a reason for early heart disease in families.”

Francis is a lipid specialist, and at the Healthy Heart Program, patients who have been referred by their physician will be put through a battery of (non-invasive) tests to determine what needs to be done to help prevent a heart attack.

“Our screening process deter-mines your risk based on a number of factors. Is there diabetes in the family, for example?” Francis says. “Did a close family member devel-op angina early? All these things are taken into consideration.”

The program works up a com-plete risk profile for the patient, including LDL and HDL levels and, where indicated, analysis of Lipo-protein (a), a factor that is some-times the only reason found for early heart disease. Blood pres-sure and blood sugar are checked too, along with diet and exercise assessment, stress levels and other relevant medical history.

Smoking makes skin look prema-turely aged, as it restricts the blood vessels. But what’s going on inside is even worse.

‘Smoking is the second

leading cause of heart

attack after abnormalities in cholesterol metabolism’ “I can’t stress this enough, that

quitting smoking is really impor-tant to lower your risk,” says Fran-cis.

“I recently had a patient referred to the clinic whose parents both had heart attacks before age 60, and who had a heart attack himself at age 39 on the basis of inherited high Lipoprotein (a) plus smok-ing. Men who’ve had a heart attack before 60 frequently have inher-ited factors that they may not be aware of,” says Francis.

Some referrals include patients who have had a mild heart attack and their physician wants to know why. At the Healthy Heart Program, the team looks for the reasons, to put people back on track.

Francis emphasizes healthy diet and regular exercise as important components to heart health. Pro-tective foods include fruit and veg-etables, whole grains and other high fibre foods.

Depending on the severity of your lipid levels, and especially with inherited high cholesterol,

you may also have additional tests like an ultrasound on your carotid arteries, searching for early plaque. Depending on the overall assess-ment, you may be prescribed med-ication like a statin.

The numbers don’t lie. A 2004 study published in The Lancet concluded, by analysing the lives of 15,000 people having their first heart attack (myocardial infarc-tion), that the top three reasons were: 1) poor ratio of lipoproteins (bad over good; often inherited); 2) cigarette smoking; 3) psychosocial stress (measured by standardized questions). Diabetes, high blood pressure and abdominal obesity were also major risk factors.

So, at what age should a man get a full work-up by his physician? “Age 40 is a good time to discuss your lifetime risk,” says Francis. “But if you have early heart dis-ease in the family, get checked out in your 20’s or 30’s,” he says. “If you are adopted and don’t know your blood relatives’ history, ear-lier than 40 is also better.

“By knowing your numbers, and following a plan to change the behaviors you can and letting med-icine or other intervention help those factors you can’t, you can greatly reduce your chance of hav-ing a heart attack or stroke.”

For more information on the Healthy Heart Program, go to www.heartcentre.ca.

cont. from page 18

Risky Business

See more on this story atvancourier.com

click on Life

wednesday, february 16, 2011 The VancouVer courier EW19

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WinTeR BRings Woes To eczema suffeReRsby Valerie Berenyi, Postmedia News

The estimated 15 to 20 per cent of Canadians living with eczema often dread winter.

The cold weather arrives, the fur-naces kick in and their eczema symp-toms flare up - the dry, scaly, flaky, red, inflamed and constantly itchy skin that is the hallmark of atopic dermatitis, the most common form of this hereditary allergic condition.

The good news is that emollient ther-apy - bathing and then applying a rich moisturizer immediately after - can help control the chronic condition.

“Winter is miserable for sure,” says Amanda Cresswell-Melville, executive director of the Eczema Society of Cana-da, who has mild eczema herself.

“Your skin is dry, itchy, it can begin to crack and it’s painful. You don’t want to be out in the cold.”

But it’s her two young children who really suffer.

“When I send my two children out to play, their little faces are exposed and their cheeks start to get red, inflamed, itchy. That can start to crack and bleed.”

Her son Nathan, now five, developed severe atopic dermatitis all over his tiny body at about three months of age.

“He was literally red from head to toe. It was terrible.”

Cresswell-Melville found help from the Eczema Society of Canada, a non-profit run by parents of eczema suf-ferers. Its website, eczemahelp.ca, is a wellspring of information.

“The charity saved us at a very bad time and that’s when I started volun-teering to give back to others,” says Cress-well-Melville.

She learned that, simply put, eczema-prone skin has a barrier defect and is unable to retain moisture.

“Think of it as brick and mortar. The mortar is damaged, so there’s cracks in the mortar through which our natural moisture escapes. And allergens from the environment get in through that impaired barrier,” she explains.

An allergen - and there are many, including harsh soaps, perfumed items, fabric softeners, wool clothing, dust mites and certain foods - triggers itch-ing, and the scratching further damages the barrier.

The Eczema Society of Canada rec-ommends a “triangle of control,” start-ing with the most important part: bath-ing and moisturizing.

Doctors used to tell eczema sufferers to limit their baths and showers, but

it turns out that bathing - even two to three times a day - actually hydrates the skin, and removes dirt and allergens from the surface of the skin. The key is to follow every bath or shower with a rich emollient to lock in the moisture.

“We recommend bathing in warm, not hot, water. Apply your moistur-izer within three minutes of leaving the water. Just pat dry, leaving some water on the surface, and seal it with your moisturizer.”

control your eczemaThe following three-step process rec-ommended by the Eczema Society of Canada includes:

1) The first line of defence is to hydrate the skin. Doctors used to tell eczema sufferers to limit their baths and showers, but it turns out that bath-ing - even two to three times a day - actually hydrates the skin. The key is to follow every bath or shower with a rich emollient to lock it in the moisture.

2) If bathing and moisturizing isn’t enough, prescription medication, from topical corticosteroids to oral antibiot-ics, is a vital part of controlling eczema.

3) Avoiding common triggers such as stress, excessive heat, low humidity, harsh soaps, perfumed items, fabric soft-

eners, wool clothing, dust mites and cer-tain foods may help reduce eczema flare-ups. A trigger chart found on the eczema-help.ca website will help document your or your family member’s triggers.

For more, visit www.eczemahelp.ca

aManda Cresswell-Melville, exeCutive direC-tor of tHe eCzeMa soCiety of Canada, is piCtured witH Her CHildren, natHan, 5, and vanessa, 3. all tHree suffer froM eCzeMa. (Courtesy daniel Melville)

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A visit to The Wellness Show, held Feb. 18 to 20 at the new Vancouver Convention Centre, will help you to keep your New Year’s Resolutions, by helping you to live a more balanced and holistic lifestyle.

The Wellness Show includes exhibitors, speakers and demon-strations on a diverse range of wellness topics. One of the prime draws is food and nutrition. At this year’s show, you’ll discover healthy food and cooking demonstrations by superstar chefs.

Cooking stage demonstrations kick off with Alessandra Quaglia – the Dancing Chef on Friday at 2 pm. She’ll be cooking Virgin Sauce, Fennel and Oven Dried Compote, Roasted Red Pepper Aoili, and this cooking demonstration will be accompanied by a Salsa Dance demonstration by Mad About Salsa and CTV’s Dr. Rhonda Lowe.

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Favourite Vancouver chefs include Hidekazu Tojo (pictured) of Tojo’s, demonstrating Wild Salmon Bar-bequed with Cyan Sauce, and Rob-ert Erickson from Central Bistro making Moroccan Spice Rubbed BC Trout and Mediterranean red organ-ic quinoa, sautéed French beans, and lobster bisque reduction. Sarah Rush, the winner of the 2011 Healthy Appetizer Recipe, will demonstrate her winning recipe (Lemon, Chili and Mint Grilled Halloumi) along-side executive chef from Choices Markets, Antonio Cerullo.

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wednesday, february 16, 2011 The VancouVer courier W21

healthwise

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Hippocrates, the father of modern medicine, left behind records of his pain relief treatments, which included salicin powder made from leaves and bark of the willow tree, and was used to treat headache, fever and pain. This was used as early as the fourth Century C.

German chemist Felix Hoffmann developed aspirin (acetylsalicylic acid) in 1897, and it was introduced to the market in 1899. Hippocrates had also used opium as a narcotic. Dating back as early as 3400 BC, the opium poppy was cultivated by the Egyptians, Sume-rians, Babylonians and Assyrians.

A German man discovered morphine in 1803, and in 1843 a Scottish doctor first administered morphine via injec-tion. Heroin was first synthesized from morphine in 1874 and sold by The Bayer Company in 1898.

Opium was banned by the U.S. Con-gress in 1905. In an effort to curb drug abuse and addiction, the Harrison Nar-cotics Tax Act passed in 1914, requiring doctors, pharmacists and others who prescribe narcotics to register and pay a tax.

Highly effective but habit-formingOpiates are derived from opium. Active opiates found in opium include mor-phine, codeine, thebaine and papave-rine. Synthetic opioids such as heroin and hydrocodone are synthesized from these substances, mainly morphine and codeine.

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Drug dependency is defined as: “a state of adaptation that is manifested by a drug class ‘specific withdrawal syn-drome’ that can be produced by abrupt cessation, rapid dose reduction, decre-asing blood level of the drug, and/or administration of an antagonist.”

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Painkiller history courtesy: opiates.com.

If you think prescription drug dependency is an issue for you or a family member, there are local resources. For example, the Chemi-cal Dependence Resource Team at VGH - 855 West 12th Ave. (ph: 604-875-4788) provides formal or infor-mal addictions/chemical dependen-cy consultation to patients admit-ted to Vancouver General Hospital at the request of their doctor or any member of their health care team.

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Cooking stage demonstrations kick off with Alessandra Quaglia – the Dancing Chef on Friday at 2 pm. She’ll be cooking Virgin Sauce, Fennel and Oven Dried Compote, Roasted Red Pepper Aoili, and this cooking demonstration will be accompanied by a Salsa Dance demonstration by Mad About Salsa and CTV’s Dr. Rhonda Lowe.

Other mouth-watering demon-strations include Tempeh Country Paté with Winter Fruit Chutney

and Rye Cracker Bread by Alison Kent, author of Canadian Living’s The Best of Vegetarian; and Magic Muesli, ORAC hot cocoa, Turkey with Protective Spice Rub, and Kiwi Salsa by Theresa Albert, author of Ace Your Health: 52 Ways to Stack the Deck.

Favourite Vancouver chefs include Hidekazu Tojo (pictured) of Tojo’s, demonstrating Wild Salmon Bar-bequed with Cyan Sauce, and Rob-ert Erickson from Central Bistro making Moroccan Spice Rubbed BC Trout and Mediterranean red organ-ic quinoa, sautéed French beans, and lobster bisque reduction. Sarah Rush, the winner of the 2011 Healthy Appetizer Recipe, will demonstrate her winning recipe (Lemon, Chili and Mint Grilled Halloumi) along-side executive chef from Choices Markets, Antonio Cerullo.

Chef Cerullo will also be making Pork and Mushroom Crispy Lasa-gna, and the Show will also feature dishes from the executive chefs at Lift Bar and Grill, Brix Restau-rant and the Kingfisher Oceanside Resort and Spa.

In addition to the cooking demos, you can munch your way around the show, sampling goodies like organic cheeses, Vega smooth-ies, Hippie Chips, cooking stocks, juices, teas, hummus, tzatziki and other yummy dips, water, yogurts, coffee and teas, cheese buns and everyone’s favourite: Denman Island Chocolate. Choices Markets, the presenting sponsor, will set up a “mini Choices” at the show, and will be sampling a wide variety of goodies all weekend long.

Food is just the tip of the iceberg (lettuce). Go to www.thewell-nessshow.com for more juicy details.

eaT, PRay, Live at tHe 2011 wellness sHow

wednesday, february 16, 2011 The VancouVer courier E21

healthwise

Dr. David Wang, DC3632 Kingsway, Vancouver(one block west of Kingsway & Boundary) SunhealthClinic.ca

FIBROMYALGIA AND LOWER-BACK PAIN“.. for me, the laser really worked. Finally, I can enjoy lifeas it is meant to be enjoyed.”

- Alex R, Burnaby (32)

SEVERE TENDONITIS“Pleased to say that I am able to sleep, work and hold my 2 year old painlessly.”

- Amelia Travis-Lee, Burnaby (28)

L4, L5 DISC BULGE AND SPINAL STENOSIS“.. a month ago, I had CT and MRI done, my orthopedist recommended surgery. After 1 month of laser, I am nolonger on the waiting list.”

- John Streetly, Vancouver (46)

15 YEARS OF NECK PAIN“.. by the 2nd week, I felt rejuvenated like my body was 20 years younger.”

- Anthony Rodriguez, Burnaby (57)

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“.. I was also very impressed with the complete treatment and service. I received 9 laser treatments over 4weeks, and I am now pain free and walking well.”

FOR SPORTS INJURIES& CHRONIC PAIN

LOW INTENSITY (COLD) LASER THERAPY

Hippocrates, the father of modern medicine, left behind records of his pain relief treatments, which included salicin powder made from leaves and bark of the willow tree, and was used to treat headache, fever and pain. This was used as early as the fourth Century C.

German chemist Felix Hoffmann developed aspirin (acetylsalicylic acid) in 1897, and it was introduced to the market in 1899. Hippocrates had also used opium as a narcotic.

Dating back as early as 3400 BC, the opium poppy was cultivated by the Egyptians, Sumerians, Babylonians and Assyrians.

A German man discovered morphine in 1803, and in 1843 a Scottish doctor first administered morphine via injec-tion. Heroin was first synthesized from morphine in 1874 and sold by The Bayer Company in 1898.

Opium was banned by the U.S. Con-gress in 1905. In an effort to curb drug abuse and addiction, the Harrison Nar-cotics Tax Act passed in 1914, requiring doctors, pharmacists and others who prescribe narcotics to register and pay a tax.

Highly effective but habit-formingOpiates are derived from opium. Active opiates found in opium include mor-phine, codeine, thebaine and papave-rine. Synthetic opioids such as heroin and hydrocodone are synthesized from these substances, mainly morphine and codeine.

Today, opiates are still the most effec-tive pain relievers available in medicine, and include morphine, OxyContin, Per-cocet, Tramadol, Fentanyl and Vicodin. They block pain signals by attaching to opioid receptors located throughout the body and brain. But opiate pain relievers also have the potential to be habit-forming, leading to dependency and addiction.

These drugs are powerful analge-sics also known to cause sedation and euphoria. Addiction to prescription painkillers is characterized by persi-stent use and is believed to be a disor-der of the central nervous system. The terms “addiction” and “dependency” are often used interchangeably, but have different clinical meanings.

Prescription painkiller addiction is evident when someone uses the drugs persistently despite negative and poten-

tially devastating consequences and effects. A physical dependency to opi-ates such as Darvocet and Dilaudid is marked by intense cravings for the drugs and the physical need to take it to feel normal.

Drug dependency is defined as: “a state of adaptation that is manifested by a drug class ‘specific withdrawal syn-drome’ that can be produced by abrupt cessation, rapid dose reduction, decre-asing blood level of the drug, and/or administration of an antagonist.”

Indications you may have a prescrip-tion painkiller dependency:• your body needs the drug in order to

function normally• painful withdrawal symptoms develop

when you stop or lessen your use of the drug

• you become tolerant to the medicati-on and increase use over time

• you are using the drug chronically, despite potential harm

• you become increasingly defensive about your use and deny there is a problem

• you neglect responsibilities and with-draw from friends, family and social situations

• you exhibit typical drug-seeking beha-vior such as spending large amounts of time trying to get the drug, doctor shopping, falsifying prescriptions or engaging in destructive or illegal acti-vities in order to obtain it.

Painkiller history courtesy: opiates.com.

If you think prescription drug dependency is an issue for you or a family member, there are local resources. For example, the Chemi-cal Dependence Resource Team at VGH - 855 West 12th Ave. (ph: 604-875-4788) provides formal or infor-mal addictions/chemical dependen-cy consultation to patients admit-ted to Vancouver General Hospital at the request of their doctor or any member of their health care team.

fRom HiPPocRaTes To BayeR: tHe power of painkillers