NOVEMBER 30th 2002

 

THE ROAD TOLL 

- the hidden trauma -

The number of deaths from Road traffic trauma has dramatically fallen. The reason is  a combination of many things. Seat Belts, speed limits, booze buses, air bags and awareness campaigns have all contributed to reducing the number of people who die on our roads by up to 50%. We can all pat ourselves on the back ........but wait ..................people are still suffering horrendous injuries from road traffic trauma which change their lives and in many cases destroy there future and often change  their family for ever. The cost to them personally and to the community emotionally and financially is enormous. I hate to think this but chances are  someone reading this, or listening to my program now might not be able to  after the silly season that is about to begin ......

Also news came yesterday that Zsa Zsa Gabor was seriously injured in a motor vehicle collision. Some years ago her driving hit the headlines when she allegedly slapped a traffic policeman. This time, however , according the news reports she wasn't driving . The issue of when it is time NOT to drive, and who decides -is a sticky one. Many older persons need to drive to maintain their independence. But at what cost ? There has been research done in this area at  the Monash University Accident Research Centre. 

Prof Brian Fildes is Acting Director Monash University Accident Research Centre  and RACV Chair of Road Safety. He'll join us to discuss the research going on at the MUARC and also the trends in trauma on our roads - and what we can do about it.

click HERE to visit the MUARC 

 

HEALTHY HOLIDAY OPTIONS 

 I attended the Victorian Tourism Awards the other evening and it was fabulous to see commitment to tourism rewarded. 

One award recipient caught my eye in particular - Grampians Adventure Services . They won the category of " Adventure Tourism". 

This got me thinking about highlighting some healthy holiday options around the country on the program - So I invited  Glen Warren the director, of Grampians Adventure Services to  join us and tell us all about action packed holidays where rather than  lolling  on a banana lounge  sipping daiquiris you'll be abseiling backwards down a sheer drop then relaxing with a night time nature walk.

click HERE to visit the Tourism Awards   

click HERE to Visit the Grampians Adventure Service 

 

 

 

DISEASE OF THE WEEK 

DIABETES  

A few times in the programs first 6 weeks the topic of diabetes has come up and so I thought it was time to have a good look at it.  Probably around 7% of the Australia population has diabetes. it is estimated that 7% of these may not even know they have it ! 

 The term Diabetes was originally  used to describe any condition which results on the excessive production of urine. Mellitus literally means :  honey -sweet. So Diabetes Mellitus got its name because people with condition produce excessive urine which has sugar in it. 

Sugar, in the form of glucose is the body's basic energy source. It is derived from food and can stored in tissue for use later. There is an available amount of glucose in the blood stream which is constantly being delivered to cells to use to continue their work.

Insulin is a hormone produced by the pancreas.  In  simple terms this hormone acts like a key to unlock a "door"  for glucose out of the blood stream and into cells . 

If insulin is unable to open that door or if there is no insulin to do it then glucose will accumulate in the blood stream. The body tries to rid itself of excess glucose via the kidneys which are a filtration unit for  many waste products. The excess sugar is flushed out with urine. But in order for the sugar to stay dissolved in "solution"  extra water must go with it - This is why people with diabetes produce excessive amounts of urine . People may have no symptoms of Diabetes or the may notice thirst, excessive urination, tiredness, infections and weight loss.

Sugar is not normally found in urine. 

The diagnosis of Diabetes is made by a  blood test  - a fasting  reading of blood glucose level above 7 mmol /l , or a random level of greater than 11 mmol /l are diagnostic of Diabetes. 

There are two main types of diabetes ( which have changed their names )

Type 1 (previously called juvenile diabetes )  - the absence of insulin

Type 2 ( previously called non insulin dependant diabetes or maturity onset diabetes) - where insulin is not working efficiently to let sugar out  of the blood stream  in to the cells 

( the reason they changed their names is because we now see type 2 in younger people and type 2 is sometimes treated with insulin if the persons own hormone is failing to respond to other treatments.)

There is also a temporary form of diabetes in pregnancy - called Gestational Diabetes - this is where other hormones in pregnancy reduce the effect of insulin. Women who have had this condition tend to have larger babies and may be more at risk of developing type 2 diabetes later in life 

Dr Matt Cohen, Endocrinologist  who is the Director of medical Services athel  International Diabetes Institute will join us to take your calls on Diabetes. 

click HERE  to visit  the International  Diabetes Institute

 Last week when we spoke to Bill Taylor the Brewer some questions arose contacted by Diabetes Australia , Qld. 

We'll be joined by Maria Packard who is a dietician from Diabetes Australia, Qld and well talk about food and diabetes

click HERE to visit Diabetes Australia Qld 

* You may recall the question about Diabetes Insipidus - This condition is not related to  the condition we commonly call Diabetes. We'll talk more about this too 

click HERE to read more about diabetes insipidus 

 

THE ULTIMATE BOARD GAME 

CRANIUM

 Well here it is - the ultimate board game - take the best bits of trivial pursuit - over lay some charades - add some playdoh  and there you have it - Cranium - as they point out - the game for all your brain ! 

 Game designer Richard Tait will be joining us on the phone fromRichard Tait - Game Inventor America to tell us all about his brain child

 

Click HERE to find out more about CRANIUM the Game 

Click HERE to find out more about other games by the makers of CRANIUM the Game 

             

Its simple - you play in a team - you move around a board and pick up activity cards. These  direct you to perform a task in one of the four categories - if you get it right you move on - but these activities are so much FUN !  From spelling to charades impersonation whistling drawing clues with your eyes closed or making your clue out of clay ......Not only fun for the whole family - but the whole brain as well !! 

hows this for a rave review - 

"It is the most fun game...we can't stop playing it"
- Julia Roberts on The Oprah Winfrey Show

          

ORGAN OF THE WEEK  ( HUH ?)

THYROID GLAND 

 The Thyroid sits beneath under the skin in your neck. It  is shaped rather like  a bow tie, and its job is more or less as the body's throttle. It may be small but its very important  - Dr Murray Gerstman will be joining us in the studio to tell us all about the Thyroid and what can go wrong with it ...

here are some problems that can arise -

Hyperthyroidism - over production of Thyroid hormone- speeds up metabolism 

Hypothyroidism - under production of Thyroid hormone - slows down metabolism 

Congenital Hypothyroidism ( previously called "Cretinism" ) some babies are born with a thyroid that doesn't function properly. In Australia it is routine that babies are tested within  few days of birth with a heel prick test.  It is easily treated with replacement hormone. Untreated these babies my grow up with developmental delay.

GOITRE - this is a diffuse swelling of the gland - it may or may not be associated with hormone production problems .

Thyroiditis - there can be situation where the body produces antibodies that some reason attack the gland  - this can result in under or over production of hormone - and indeed someone could have over production which "burns out" to become under production 

Thyroid Nodules - cysts can form within the gland 

Thyroid Cancer - sometimes lumps within the gland may be cancerous

Iodine Deficiency -  The thyroid uses Iodine to make it's  hormone -  years ago,  in some communities there seemed to be a disproportionate number of people with under active thyroid glands . It was found that there was a lack of iodine in the area. It was decided to give these areas supplements  and this explains why you have two types of salt on the market - iodised and non iodised.

Graves Disease - This is an autoimmune condition resulting in an overactive gland. This can be successfully treated However a distressing potential side effect of the condition is changes to the persons facial appearance. For reasons that are not fully understood the autoimmune changes also affect the tissue around the eyes and can result in protruding eyes. The person can take on a startled look. There is not much help to prevent the eye changes but not everyone gets them 

THYROID AUSTRALIAClick HERE to visit the Thyroid  Australia  - a support group in the process of setting up nationally 

 

 

 

 

INTERNET WITH OUT TEARS 

SILVER SURFERS 

Last week we met Rosemary who asked for help for a  friend she had met online ..... she has never been a computer whiz and she learned how to navigate the net after reading a book in the library.

The internet gives people a freedom to find information and keep in touch that's never been available before. But many people, especially older people , are hesitant to try as the prospect of learning the technology is daunting. 

One City in Australia is taking  a proactive approach - The Ipswich Library has an internet training division called SILVER SURFERS - Volunteers and workers visit retirement villages and teach residents how to use the internet. Trevor Nardi is the Chair of Ipswich Library Services and he'll be telling us why we shouldn't be afraid of computers and some tips for surfing with out tear !

Click HERE to visit the Ipswich Library Silver Surfers Service  

 

 TRAVELLERS HEALTH TIPS 

IMMUNISATIONS 

Too often people come into my general practice asking for travel immunisations, which is great , except that then they go on to tell me they are leaving next week ! part of your preparation for a trip overseas has to be finding out WHAT immunisations and precautions  you should consider before you go 

Dr Bernie Hudson is an Infectious Diseases Specialist at Royal North Shore  Hospital in Sydney. He'll join us with some tips for overseas travel preparation

For Information about travel immunisations you can visit your local doctor ( at least a month before travelling is best ) or call 1300 55 65 55 for a  specialist clinic near you. 

 Click HERE to visit the Medical Advisory Service for Travellers Abroad

 

PROCEDURE OF THE WEEK

FACE LIFT    

Once the exclusive realm of Movies Stars and only ever spoken about in hushed tones now  aesthetic facial surgery is a commonplace procedure. But what is involved? What sort of results can you expect ? How safe is the procedure and how much should you expect to pay ?

Mr ALFRED LEWIS – President, Aust Society of Plastic Surgeons will join us to tell us all about Face Lifts

click HERE to visit the Australian Society of Plastic Surgeons - there is an excellent fact sheet under procedures.

   

PILATES

an old idea revisited 

You might think that Pilates  is a trendy new term describing a some new fad fitness regime - The truth is that Pilates has  been around since the 1920's - Its namesake Joseph Pilates was a sickly boy from Dusseldorf Germany who wanted to be able to run and play like the other boys . As he grew up he devised his own fitness regime combining eastern and western fitness philosophies. Alan Menzes ,is the founder of the Pilates Institute of Australia. He introduced the  Pilates exercise method to Australia in 1980's.

Joe PilatesIn 1945 Joseph Pilates and William Miller published a book outlining his fitness regime which principally  involved mat work and sought a balance between mind body and spirit. He died in 1967 aged 87.

Alan Menezes

 

Alan Menezes is from The Pilates Institute. He introduced the exercise regime to Australia in the 1980's.he   will be joining us to tell us all about Pilates

click HERE  to read about Joseph Pilates

Click HERE to visit the Pilates Institute of Australia 

 

LOVE YOUR WORK  

retirement ? what's that ?

Prue Gillies is the former  Principal of  Ruyton Girls School . She "retired" a couple of years ago ...... sort of .......any one who knows Prue knows that she could never retire - she's got too much to give to the world - She is a former recipient of the AM order of Australia ( in fact NOW she is the Chair of the Committee in Victoria ! ) 

These days ( amongst all the other activities she has) Prue  is Director of a large  Child Care Centre in the Melbourne CBD called KIDS on COLLINS.  We'll speak to Prue about her career change and also about child care in general - how to go about choosing a child care centre and the sorts of activities that you should expect to be part of the curriculum.

click HERE to visit KIDS ON COLLINS Child Care Centre 

also ......

 Is Christmas still happening at your place  ?

There has been a lot of talk around in the media about political correctness and Christmas Celebrations - some child care centres and schools considering not having carols, or Christmas trees or even Santa because not everyone celebrates Christmas. I would d be interested in your thoughts on this one 

 

..................tomorrow ....................celebrity check up with an entertainment family - 5 generations of performers - 2 generations  currently performing in Singapore in Singing in the Rain !  A woman who talks to Whales !