Dr Feelgood Saturday 22nd February 2003

 

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

Emphysaema and Chronic Bronchitis

 Have you seen people taking the occasional breather on low fences – hopefully not also taking a smoko –they might have difficulty with hills and stairs – some cant make it to the front gate without getting breathless. While there are many causes of breathlessness there are also treatments that can help – some people with a history of smoking might think shortness of breath is a sort of lot they have to live with for their sins – some may take it as a part of aging or lack of exercise. The truth is that if you have shortness of breath make no assumptions about the cause and dont self medicate– get it properly diagnosed.AND moreover get it reviewed regularly. We have discussed breathlessness due to heart problems – and we’ve talked about asthma – another cause of shortness of breath that some people confuse with asthma is COPD –  While some of the features of COPD are similar to  asthma in that  wheeze may be present and  inflammation results in mucus production and mucus  the problem with COPD is that the shortness of breath is also due to damage to the alveoli – the tiny sacs at the end of the branching airways tubes – these little balloon like structures act as a meeting point for red blood cells to pick up a consignment of oxygen – their structure allows maximum surface area for transfer. In COPD the structure is often broken down and the sacs join up so the ergonomics of the surface area is reduced. Hence less oxygen transfer means the body responds by trying to speed things up – so the sufferer feels short of breath in an attempt to increase the amount of oxygen getting in.

We know that cigarette smoking is a big risk factor for COPD – it is also associated with paralysing the little waving hair like structures  ( cilia ) that line the respiratory tree and whose usual job it is to wave mucus up the tree so it can be coughed out .

 Put the combo of paralysed cilia and decreased oxygen transfer due to less surface area and its dynamite ! Pooling of the mucus is a sitting duck for infection – and this is commonly the cause for the flare ups that people with this condition get .Its also the reason why they can get into all sorts of trouble if they get the flu – any increase in mucus production – as happens with a cold or flu and their airways can get very inefficient at their usual job of passing oxygen into the blood stream

 So what's  the good news?

 Treatment is always advancing and its worth checking in with your doctor – Also we always need to be vigilant about reassessing our diagnosis and must never forget to consider an additional problem if things get worse or don’t respond – in older people there can be a mixed picture – elements of COPD and asthma AND just to be really confusing – pump failure of the heart can also step into confuse the issue

 Dr Peter Holmes is a respiratory specialist at Monash Medical Centre his interest is COPD and he’ll be giving us the latest on treatment

for more info click on the link ->  http://www.lungnet.com.au/copd.html

 SUPPORT GROUP OF THE WEEK

 

KIDS UNDER COVER

 I remember Ken Morgan’s smiling face when I was growing up on Saturday nights as a sponsor of the Prize Wheel on Hey Hey Its Saturday with Daryl Somers. We all hoped the person won the car and Ken always kept smiling when they did.

 Ken’s motto is KEN CAN – and he certainly does !  Ken has been involved in charity work for disadvantaged children for decades. He and his wife Lenka are well respected for their selfless work they don’t talk about it – they do it ! Ken is vehement about charity being REAL charity – volunteering  do just that !

Ken is one of the founders of a fabulous charity in Victoria called KIDS UNDER COVER. Ken was aware of the under funded and under appreciated problem in our community of homeless children. He was  tired of relying on waiting for other groups to get around to raising the money  doing the job so he did it himself. He was also aware that some children did have rooves over their heads but crowded or difficult family circumstances may mean if something wasn’t don’t about housing conditions they may end up on the street. Providing bungalow accommodation for these young people can keep the family together and allow the young person to thrive.

 Ken gathered together some of his friends and started building homes for kids. In 2002 thy celebrated as they opened the doors on their 100th property! Please check out the KUC website and see the great work this man has achieved – He really has got something to smile about !

 to visit KIDS UNDER COVER click on the link -> www.kuc.org.au

 

 

ORGAN AND TISSUE DONATION AWARENESS WEEK

SKIN SHORTAGE!

 This week is organ donation awareness week – Usually this makes people think of kidneys and hearts and lungs. However its not all about those organs – the largest organ in our body is often not thought of as being something that can be donated after death  - SKIN. Donated skin is used to help treat burns injuries and with the events of last October in Bali our country’s skin bank is running low. Of course its not like the blood bank where you rush off and give your skin – but it is something else to discuss with your family in the event of your death .

 Tissue donation after death is not as time critical as organ donation but its not something that people want to be hearing about for the first time after a bereavement . Please discuss your feelings about organ and tissue donation and sign up to save a life by calling

 1800 777 203

 Jane Beard is the  Senior Transplant & Family Liaison Coordinator with the Donor Tissue Bank of Victoria . She’ll be talking with us  about Australia’s Tissue Banks

to visit the

www.visp.monash.edu.au

 for more information about the organ and tissue donor registry click on the link ->

 http://www.hic.gov.au/yourhealth/our_services/aaodr.htm#role

  

SCIENCE CELEBRITIES

SHEILA KITZINGER

 If you’ve ever been pregnant you’ll know the name Sheila Kitzinger – it may sound like a cliché but lets face it - she the wrote the book !!

 Sheila has international fame as an advocate for childbirth education – and putting pregnancy and childbirth in its rightful place – not as an illness or medical condition but as a healthy activity and natural part of life !

 She in her 70’s but as vibrant as ever and is visiting Australia this week speaking at a series of conferences around the country for National Association of Childbirth Educators.

 To quote Sheila from her book Birth over 35  - Health is not a medical artifact. Economics, politics, the social system in which we live, conditions in the work-place, poisons in the environment, and personal relationships are all elements in causing health and disease. Doctors treat illness; they do not make us healthy. For the vast majority of women physical health and a sense of well-being during pregnancy is nothing to do with how often they visit the doctor, but with the social conditions in which they live."
 
I was contacted recently by one of the event organsiers by email and I am very excited to be interviewing Shelia today on the program !

  to find out more about the conferences Click on the link -> http://www.nace.org.au/

To visit Shelia’s site click on the link -> http://www.sheilakitzinger.com/

  

FINDING YOUR ROOTS

INSEMINATION BY DONOR AND PRIVACY ISSUES

 We have spoken on several occasions on the program about issues relating to adoption and the organisations that exist to help people find their biological parents. Technology developed in the 1970s to help infertile couples achieve miracles was wonderful. Fertile people are often glad to assist by donating sperm and eggs. I recall many of my male medical student colleagues taking about donating sperm and bragging about the quality of their product!

 Of course we now think of IVF as a normal option for fertility problems and donation as a commonplace thing. The technology has been around long enough now that many of the babies conceived this way are adults. Some of them are asking who their biological parents are and some are seeking to find them.

 Laws vary from state to state in Australia .

 Myfanwy Walker was conceived through artificial insemination by donor . She’ll be speaking at a  public meeting for couples considering donor insemination in Melbourne where  the law says that children conceived this way in that state  have a right to obtain identifying information about the donot

 The seminar is to be held in Melbourne 27th February 2003 at 7.30pm.

 More info call Vanish 1800 334 043

 to visit VANISH  (remember law is different in various states – VANISH is a VICTORIAN organisation ) click on the link -> http://home.vicnet.net.au/~vanish/

  

HEALTHY HOLIDAYS

THE OUTBACK CAMEL COMPANY

 Andrew Harper is a cameleer he bought the Outback Camel Company in 1995. For  26-years this company has  been taking  people on treks in the Australian out back on board Camels ! 

 Andrew  is launching a new range of trips from 14 to 30 day adventure in some of Australia’s harshest land , walking alongside a camel train where everything you will need is on the back of 16 camel means you’d want to  be fit.  

We’ll be talking to Andrew about  these exciting challenges and what sorts of preparation you’d need to do for the adventure

 Andrew warns “Simplistically speaking, our expeditions are not tours, nor are they holidays or vacations. These journeys are authentic, contemporary expeditions in every sense of the word and they require active participation from all the expedition members for the trip to be successful.”

Outback Camel Company  Melbourne Information/Slide Night  will be held

Monday February 24th

 at  7:00pm – 8:30pm

at Phoenix Bar

82 Flinders Street, Melbourne    for more info  CALL 03.9654 5219

  

LOVE YOUR WORK

 TREE SURGEON

 I have always wanted to meet a tree surgeon – today I will Dave Bidwell is a tree surgeon with the  Royal Botanic Gardens and Domain Trust in Sydney. He’ll be telling me all about his work and how the drought has affected our urban treescape

 for more info about theRoyal botanic Gardens click here - >  www.rbgsyd.nsw.gov.au

 

CELEBRITY CHECK UP

 VAL LEHMAN

 Bea’s back ! She’s on DVD and she’s still ruling the roost. PRISONER 2 is the second release on DVD of the phenomenal 1970’s TV series Prisoner. Which is still being seen all over the world – and especially adored in England.

“Queen” Bea Smith, the murderous matriarch and mistress of Cell block H the “Donnette” of the Wentworth Prison, made Val Leyman an Australian Icon  - I was scared of her.

 But Val Leyman is not Bea Smith and she had a life before and certainly has one after Prisoner.

Val was born in Western Australia and studied fine Arts. She had already started her career on stage when the role of Bea in the new TV series came along. Val won 3 logies for her performances but as is often the way in Austrlaian TV the phenomenal success of the series and longevity it enjoys is of little benefit to the actors who made it so great

 Since Prisoner Val has been in numerous TV roles and  live theatre productions as well as thriving in her Antique business .

  click HERE and HERE for more info on Val

click HERE for more info on Prisoner the series

Click HERE for Info on New video DVD/video release of Prisoner

PS - I heard from someone else in the show,not Val,  that not only was the pay lousy at the time but there are no residuals for the repeats . Americans Actors cottoned on to this before Australians and fought for their rights to be paid when the programs were repeated.  TV stations run repeats with fresh advertisers – what do actors get ? Angry letters from fans because they haven’t written back …….. I dont believe its right that  actors are not paid for their work when others make money from repeats !

  

HEALTHY EATING WITH A FRENCH ACCENT!

 

We’re all a sucker for a gorgeous French accent and Gabriel Gate is an Australian favourite  - Gabriel says there is no age barrier to cooking and he believes we can all learn to do it if we want – Gabriel joins me today  :)

 visit Gabriel's website by following the link ->  www.gabrielgate.com