Death By Chocolate Dr. Hepburn and Dr. Sealey

Is it good or bad for your health to eat chocolate? Through the “Wisequacks” program, Dr. Hepburn and Dr. Sealey explain the health benefits of eating chocolate. At the begging, Dr. Sealey said that the doctor prescribes “a whole ton of medications various colors and shapes and sizes and not many people really enjoy them but there is a medicine that is actually fairly easy to digest, the chocolate”

 

Chocolate, according to Dr. David Hepburn and Dr. Sealey brings several medical benefits but it is important to know that are some specific chocolates that produce greater health benefits. Dr. Sealey mention “apparently the chocolate has to be a certain type most people crave the milk chocolate but chocolate the darker the better and if it has a higher content that’s right cocoa bean that’s better for you”

Dr. David Frederick Hepburn

The doctors point out that these types of chocolates are rich in antioxidants and omega-3s achieving as a consequence that its consumption cleans up our arteries and prevents a lot of diseases. In words of Dr. Sealey eat chocolate “reduces things like our cholesterol and our blood pressure may even prevent diabetes. Studies show that people who eat a lot of chocolate not only look smarter but acts smarter” however it must be emphasized that in order to see the benefits in our health, chocolate must be bitter and the higher percentage of cocoa the better.

Dr. David Hepburn claimed “chocolate lowers your blood pressure is good for your heart good for your mood”

David Frederick Hepburn

Finally, Dr. David Hepburn and Dr. Robert Sealey urged you to consume more chocolate with a high cocoa content and thereby improve your health.

If you want to see the full video visit:

Visit the website of Dr. David Frederick Hepburn:

http://davidfrederickhepburn.com/

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Bladder Matters Dr. David Frederick Hepburn

Dr. Hepburn and Dr. Sealey In their well-known program, Wisequacks talked about the importance of taking care of urinary incontinence

First at all Dr. David Hepburn begun saying that “Urinary incontinence is an under-diagnosed and under-reported medical condition that affects whopping a number of you but it takes about six to nine years for the average person with urinary incontinence to come to a doctor” Dr. Hepburn emphasize that for some reasons and social stigmas a lot of people do not visit doctors for this problem.

David Frederick Hepburn

Dr. Sealey accentuate that one main problem is the syndrome called “overactive bladder where I get this twitchy sort of contraction of the muscles and it makes me feel like I have to go quite frequently and urgently sometimes over eight times a day” This syndrome indicates Dr. Hepburn and Dr. Sealey affects about 1 in 6 adults

Dr. David Frederick Hepburn mention that if you have this problem is a pathology and it is very important to see a Physician which helps you with this and actually there are a lot of things that you can do to treat this syndrome. On the other hand Dr. Hepburn commented that there is another type of incontinence called “stress incontinence” Dr. David Hepburn defines this kind of incontinence as one that is caused by the stress.

Another important incontinence is the one that “where if you laugh or a cough or sneeze you may actually leak a little bit” this happens a lot to the women “who have a weak pelvic floor from giving birth to say children or locomotive or a man who’s had a prostatectomy prostate”. The important thing as mentioned by Dr. Hepburn is that there are many ways to treat the syndrome and why you should not suffer from incontinence

Dr. David Frederick Hepburn

In the words of Dr. David Frederick Hepburn himself “there’s somethings that can be done don’t suffer for six to nine years with stress incontinence or overactive bladder syndromes there are lots of things that can be done ranging from medications of course to simple little procedures”

So remember if you suffer from incontinence or overactive bladder visit the doctor and have him take care of the problem.

LEECHES AND MAGGOTS By Dr. David Frederick Hepburn

“Forceps stat!”
“Here you go, doctor.”
“Hemostat stat!”
“Yessir.”
“Stats stat!”
“The Leafs are 3 points up with a game in hand and….”
“No, no, the patient’s vital stats.”
“Pulse is 30, respirations 89 and her mutual funds are at 18.9%.”
“That’s better, now leeches, stat!”
“Leeches sir? Don’t you think that maggots would be more appropriate here?”

Amidst the seething whirls and whistles of high tech hospital lasers, fiber optics and designer bedpans, rests a simple aquarium crawling in leeches. Leeches have slithered back into our hospitals but now with a meaningful job to do. These slimy surgeons sit back in their little leechy surgeon’s lounge, smoke cigarettes and discuss recent cases, recent wives, and politics (they love their fellow senators).

David Frederick Hepburn, Dr.David Frederick Hepburn, David Hepburn, Dave Hepburn, Dr. Hepburn, Frederick Hepburn, family physician,British Columbia, College of Physicians and Surgeons of British Columbiamedicinal cannabis

Occasionally they perk right up, hopping up and down madly and wagging their tails with anticipation every time a plastic surgeon happens to walk by the aquarium. Plastic surgery is what they do best. A day in the OR for the leech means a succulent feast of blood. They utilize their 300 teeth and a unique ability to inject an anti-clotting agent in order to suck up undesired engorged blood from reattached fingertips, earlobes, lips and even tongues. If too much blood is left in these reattached pieces then the congestion may cause the tissue to die.

Leeches are even being used to treat the congested blood of hemorrhoids. (“Good news Bloggins, that massive barnacle in your behind is now fully decompressed, bad news is WE CAN’T FIND THE LEECH!”) The hospital actually buys the leeches, at about $8.00 each, from the Tax Department where they are bred en masse. The leech wrangler, a nurse, usually named Sarge, can get pretty “attached” to the little surgeons. She gives them names such as Robin Leech (prefers blue blood), F. Leech Bailey (according to my lawyer I should make no comment here) and Pamela Leech (definitely no comment).

David Frederick Hepburn, Dr.David Frederick Hepburn, David Hepburn, Dave Hepburn, Dr. Hepburn, Frederick Hepburn, family physician,British Columbia

After a 45minute fling in the OR however, the leech, now stuffed to its gills, is classified as biohazardous waste and is therefore sent to the hospital cafeteria. Not only do the leeches perform the surgery but they also provide their own anesthesia. As any schoolboy knows who, on a sunny afternoon, has substituted Math class for a day of searching out swamp frogs and crawfish, the leech attachment is pleasantly painless. Exiting the swamp covered in painless leeches, frog in one hand and blood dripping down the legs is a joy that only a boy of the male species would understand.

If the leech on your tongue idea hasn’t put goosebumps on your goosebumps yet, perhaps a doctor at the foot of your bed barking, “This patient needs a new dressing and throw some maggots on that wound will ya.” might convince you that you’re a guest of the Vince McMahon Memorial Hospital. In fact, these cuddly little botfly babies are also making a comeback in some hospitals. Prior to the introduction of antibiotics in the 1940’s, some 300 US hospitals used MDT or maggot debridement therapy (debridement meaning your wife leaves you should you ever incur this treatment.)

David Frederick Hepburn, Dr. David Frederick Hepburn, David Hepburn, Dave Hepburn, Dr. Hepburn, Frederick Hepburn, family physician, British Columbia, College of Physicians and Surgeons of British Columbia medicinal cannabis

Any dead tissue sitting in a wound is a serious source of infection. To maggots, it’s a smorgasbord. Doctors noticed that soldiers’ wounds were cleaner and healed better when they were infested with maggots. These patients required less nursing care (nurses refused to go near them) and wounds healed better. As antibiotic resistance currently develops at an alarming rate, Maggie the Maggot is once again in vogue and actually being used in some hospitals to clean out bed sores, diabetic foot wounds, post-op wounds and skin ulcers.

The future may hold more interesting bio-therapy including slugs for depression, mussels for muscles, and hornets for impotence. But for now, don’t lose your maggots when you see you, doctor, reach for a leech.

THE HANGOVER

It was a dark and stormy night, and I, as a hospital intern/scut monkey, was called to assist Dr. Cerveza or whoever, in surgery. It was a trauma case and I could smell the alcohol pong wafting off the hapless victim on the table. But then….. “Ok, young intern, you make the insssishin will ya.” Now, please don’t extrapolate this to mean that all surgeons are inebriated all the time. There is lent.

THE HANGOVER

Under the “How Much Money Was Spent On This Study” file, comes the actual headline HUNGOVER SURGEONS MAKE MORE MISTAKES. This study, done in Ireland, involved doctors who were asked to either drink to a nice Dudley Moorish buzz or abstain completely, the latter category making this a very difficult study in Ireland. In simulated surgeries, those who drank excessively the night before performed poorly.

Stop the presses! Surgeons who drink to excess the night before they operate are more likely to make errors the next day, even as late as four in the afternoon. The message, published in the Archives of Surgery actually stated “Surgeons should not drink excessively the night before operating. The definition of “excessively” is an issue that needs to be defined by the surgical profession.”

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Unlike airline pilots, who have had to follow a “bottle-to-throttle” mandate restricting drinking before flights, surgeons have no “bottle-to-scalpel” rule. So if you happen to notice that your kidney is now dangling from your earlobe, it might’ve been safer to fly Aer Lingus standby.

I always think it strange when I’m asked to give an “expert” opinion on hangovers, as I am an admitted teetotaler. It’s a major character flaw that I realize I need to address, but it’s like asking me how it feels to give birth. All I know is that having a hangover and having a child both cause headaches, nausea, loud noises and often involve alcohol.

Hangovers are caused by increased levels of alcohol breakdown products called acetaldehyde, which is an unpleasant sounding word unlike say, peppermint or playoffs. Alcohol, a diuretic, leads to dehydration and causes electrolyte depletion. Dehydration means that the body now can’t easily rid itself of the irritating acetaldehyde and other byproducts of alcohol. Result…hangover, as in hanging over the porcelain phone leads to hanging over at a friend’s place and hanging under large ear mufflers.

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To treat a hangover:

-Try to drink water or beverages like Gatorade or bouillon soup to help replace lost electrolytes or lost soup
-Pace yourself. Don’t drink large amounts of alcohol quickly. No more than one drink an hour, since that is all the alcohol your liver can handle. Those of you with no liver can drink as quickly as you wish.
-Exercise. It raises your metabolic rate, which helps you clear toxins associated with metabolizing alcohol. Chinese checkers is not exercise.

-Eat a meal before you start drinking unless you cook flambees without the flam.
Don’t:
-Use Tylenol. If you consume more than three alcoholic beverages a day, be very careful with acetaminophen, which itself can mess up a liver.

-Drink more alcohol. It doesn’t help and it’s only enhancing the existing toxicity and making dehydration worse. Hair of the dog is only good if you’re a Pekingese.

-Drink caffeinated beverages. Will further aggravate dehydration.

-Drink dark drinks. Complex organic molecules called congeners to create more toxic byproducts and are found in greater concentrations in darker drinks (e.g. whiskey, brandy, rum, even red wine)

compared with clear drinks (e.g. vodka, gin, white wine, Fresca)-Operate any heavy scalpels at 3 AM.

A PRELIMINARY PREMONITION By David Frederick Hepburn

David Frederick Hepburn prefaced this column by saying that “Predict, prevent and preserve” should be the slogan for physicians whose job is to have you die young…at an old age. To prevent you from getting a stroke, hypertension, diabetes or coming down with an unexpected case of “eternal rest”, we now tend to diagnose you with prediseases.

Some of you might cynically believe that this is simply an attempt to get you to come to the office more often so that we can pay off our poker debts incurred at the Bellagio last summer with a dealer named Ernest who was undoubtedly cheating and in cahoots with the guy in the Stetson from Wichita, I believe. Preposterous!  That is premature preconception and if you presumed that, then I would predict that your mother has a prehensile tail.

A PRELIMINARY PREMONITION By David Frederick Hepburn

David Frederick Hepburn states that the idea is to take action before blood pressure or blood sugars or a bloody stroke risk become any worse. A pre-disease does not mean prescription pills but taking precaution to prevent prediseases from proceeding to their predetermined fate. It means lifestyle change, serious lifestyle changes of less sedentariness, less pizza, less stress, more hockey.

PREHYPERTENSION
Recently the National Institutes of Health revised the guidelines of high blood pressure (hypertension) for the first time since 1997. The changes included a new definition of “normal” blood pressure. David Frederick Hepburn explains why what was classified as normal blood pressure (a systolic pressure of 120-139 mm Hg and diastolic pressure of 80-89 mm Hg) is now categorized as prehypertension. Several studies have shown that your cardiovascular risk (heart attack and/or stroke) starts climbing at 115/75 mm Hg – not 140/90!  This meant that 50 million North Americans who had gone to bed with normal blood pressure woke up with a disease. (This might also depend on who you woke up beside.)

David Frederick Hepburn, Dr. David Frederick Hepburn, David Hepburn, Dave Hepburn, Dr. Hepburn, Frederick Hepburn

PREDIABETES (aka Impaired Glucose Tolerance)

YOU DO NOT WANT TO GET DIABETES!! I know everyone else on the block has it but  I can hear my mother “So if everyone else in Grade 10 jumps off a cliff are you going to jump off a cliff as well? Now get back down to the cellar.” Once you’ve been diagnosed with Type 2 diabetes there has often been significant damage already inflicted to multiple organs in the HMCS YOU.

According to David Frederick Hepburn, prediabetes, when a person’s blood glucose levels are higher than normal but not high enough to be type 2 diabetes, may be asymptomatic, yet insidiously destructive. In fact, millions of people have either prediabetes or diabetes and don’t know it because symptoms develop so gradually that people often don’t recognize them. There are three different lab tests you can take to determine if you have prediabetes. Though this predisposes you to getting Type 2 diabetes, you will not necessarily always go on to develop type 2 diabetes automatically, but you do need to make some lifestyle changes.

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PRESTROKE (Precursor to a major problem)

David Frederick Hepburn also referred to as a TIA, the percentage of those who present with a TIA and go on to full blown stroke is frightening. A pre-stroke occurs when, for a short period of time, there is a lack of blood flow to a section of the brain, also known to occur when watching Duck Dynasty. The person develops symptoms of brain function impairment like having trouble speaking (Duck Dynasty syndrome) or moving an arm or leg on one side of the body. Don’t pretend it is nothing or you may be prebooking your precarious ticket to the hereafter.

More than one-third of those who have a TIA will have a stroke, many within a month, so it is imperative to get treatment for your TIA ASAP so you don’t end up in an ICU a couple of months later.

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OK, that’s enough preadolescent preaching for one day. Time for a prenap.

KEGELS By Dr. David Frederick Hepburn

C’mon. Truth in advertising folks and I mean you. Your personal ads should really read:
“I am a 60-year-old gal who loves to travel, walk along the shore, snuggle by a fire, hire lawyers. My photo was snapped 27 years ago but it was the one my parole office likes the best. I look equally good in jeans as I do in high heels and my hibiscus muumuu. I have a wonderful personality when I get my way. I am in good health though I tend to have rectal prolapse and sometimes when I laugh I have a wee accident. I like to laugh.” And it is that final point I wish to address. Few people enjoy having a uterus, rectum or bladder fall out of their pelvis on a first date or in Aisle 6 of Costco during a Viennese wiener demonstration. The pelvic floor, like all of our muscles, weakens with time. As we age, nerves die and along with them, the muscle fibres they supply, says Dr. David Frederick Hepburn.

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This is why there is a paucity of octogenarians in Olympic clean and jerk events. Pregnancy can stretch out and subsequently weaken the pelvic floor as can pushing a 24-pound turkey through the pelvic floor like my mother says that she did. According to Dr. David Frederick Hepburn, a weak pelvic floor leads to a lot of problems, first and foremost – stress incontinence. Stress, not being the type of finding yourself back in Aisle 6 having just sprung a leak and being three aisles away from the Depends, but stress meaning any physical stress placed on the abdomen which, in turn, creates a wee leak.

Dr. David Frederick Hepburn has seen that laughing, coughing, sneezing or any of the seven dwarves jumping on the belly can cause a sudden leakage of urine if the pelvic floor has been sufficiently weakened.

But the pelvic floor muscles, aka pubococcygeal, are an oft-neglected muscle group that we seldom ask our personal trainer to help us work out. Rarely do you hear “Wow, Bill, great delts, pecs and pubos.” Yet it is important for women and even men not to neglect this hammock-like muscle that holds up the undercarriage of our chassis.

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It stretches from our tailbone to that hard bone in the front of your pelvis that you can identify by either knocking on it or by riding a bike and accidentally missing a pedal. Dr. David Frederick Hepburn states that these muscles are often weak and thin so finding them may take some getting used to. Exercises to strengthen these muscles are known a Kegel Exercises names after the doctor who invented them, Dr. Chuck Exercise. But they aren’t an easy group of muscles to identify as trying to locate these in the gym mirror may get you five to ten. But there is an easier way to find these all-important muscles so you can do your Kegels.

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Imagine you are in the pew at Our Lady of the Silent Suffering and you feel an urge to pass wind. You don’t want to be asked to leave again. So try to flex the muscles to suppress that event from happening while NOT contracting your buttocks or abdomen. I can feel you all trying that now (and hope for the sake of the poor, oft-blamed dog you succeed.) Those muscles you feel are the pelvic floor. Now work ‘em.  There are some excellent products now that can assist you in both finding and exercising these muscles. For example, Dr. David Frederick Hepburn recommends vaginal cones, some are graduated weights that can be inserted and carted about for 15 minutes. This not only helps you to identify the muscles but also strengthens the pelvic floor. You can buy these at any self-respecting medial supply store…I suggest trying Aisle 6.

BAD PLASMID By David Frederick Hepburn

Doctors have nightmares. They’re not the usual nightmares of sitting naked in Grade 12 Math class being taught by a stegosaurus as your teeth slowly fall out. Nope. We have nightmares about taking out the wrong kidney, taking out night nurses or ordering take out with a side of bacteria gone wild. Fortunately, there are very few stegosauri left in schools but ladies and gentlemen, start your engines and get out of dodge. There is now a new superbug, a rogue bacteria gone wild. This one isn’t just super, it is super, kryptonite resistant. Welcome to my nightmare bacteria Alice, the one we didn’t ever want to see, the one that NO antibiotic can touch.

Up to now, the superbugs you have heard of like MRSA, the NDM-1 plasmid of New Delhi, C. difficile etc., were not completely 100% resistant to every antibiotic. But this new one IS and if you’re not scared, get scared. It’s called CRE and it does CRE stuff but really, there are two things you should know about CRE:

1. If you catch it, you only have a 50% chance of surviving.

2. It is here.

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Why is it here?

  1. Antibiotic overuse. This is normally where I tee off and berate you, the patient, for coming to the clinic for antibiotics for a cold or flu or an earache. But most of you folks have figured it out. In the past several years I’ve noted fewer requests for antibiotics and fewer people demanding treatment for a cold. There are still a few who do, of course. They apparently don’t think they should suffer with a cold while everyone else should. They want the instant magic cure we’ve been keeping to ourselves, often coming up with brilliant statements like:

“I simply can’t be sick doctor. I have to go on a trip to Drumheller to see the stegosaurus festival.”

“It starts in my head but it always goes to my chest.” Yes Bloggins, that’s what a cold does. But it’s still just a cold so get a grippe.

“Well, my doctor always gives me antibiotics.” In the past, weaker doctors may have given antibiotics for ear infections and coughs, but competent doctors do not.

David Frederick Hepburn, Dr. David Frederick Hepburn

  1. As the world shrinks the medical problems expand. In third world countries where antibiotics are plentiful and education is not, antibiotics are being doled out like Kleenex at a Flames game. Compounding this is medical tourism. Folks scamper off to East Trumpastan for a really cheap tummy tuck or facelift or a tummy lift into a face tuck, when they’re on sale. While on this trip, they pick up a few falafels and a little CRE, bringing both back home. Though they may be asymptomatic they might still be colonized with CRE and falafel crumbs.

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Many places now have special protocols in place to deal with sick patients who’ve come from places like Greece, the Middle East, and the Indian subcontinent. But here is the scary part. There are now actually protocols in place for patients who have been in hospital in…. the USA! A couple of hundred hospitals in 41 US states now have confirmed cases of this deadly CRE.

The countermeasures include keeping patients isolated/quarantined as CRE is shed in the feces of patients who are infected or carrying the bacteria. Yet another good reason to stay away from hospitals and clinics unless you have to. Apparently, there are sick people there. Can you catch something in the waiting room? Absolutely! If you use doorknobs, touch a chair or run your hands through the hair of the patient sitting beside you, you could catch a nasty bug. I recently had a patient lick the face of another patient sitting in the waiting room!

David Frederick Hepburn, Dr. David Frederick Hepburn

The blockbuster movie Contagion showed the entire world, or at least Toronto, grinding to a halt as an unstoppable microbe destroys the Blue Jays and most of the Leafs’ defensemen. Could this actually occur? Possibly. This would mean that the Leafs will never again win Lord Stanley’s Cup prolonging the nightmare of those of us of Leaf Nation. Unless, of course, this year we happen to trade for a stegosaurus. That would be a dream come true.