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PSA Screening Results in 30 Percent Over-Diagnosis
 By Dr. Gifford Jones

For women, a telephone call reporting that mammography has detected an abnormality, and a second picture is needed, triggers instant fear of breast cancer. For men, an elevated PSA (Prostate-Specific Antigen) test has the same devastating effect. They dread the thought that they’ve developed cancer of the prostate gland with all its grim implications. But how accurate is the PSA test? And if a malignancy is present, what is the best treatment?

New Treatment For The Fractured Male Organ
 By Dr. Gifford Jones

“So you’re the doctor who wrote that column!” I’m still greeted by that remark even though it’s 11 years since I first wrote about “The Fractured Male Organ”. I know doctors shouldn’t make light of a patient’s medical problems. But I couldn’t stop chuckling when I first researched this malady. Now there’s a new treatment for this embarrassing problem.

A man was admitted to the emergency department at 1:00 A.M. in obvious distress. He was agitated, his skin cold and clammy suggestive of blood loss. Doctors were shocked to find a markedly swollen penis as the cause which required immediate surgery to remove a large blood clot.

Your Kidneys And a Brown Paper Bag
 By Dr. Gifford Jones

Can a brown paper bag decrease the epidemic of renal disease in this country? Today, more than 20 million North Americans suffer from chronic kidney disease. That’s 1 in 9 adults. Another 20 million are at risk.

But the number of cases is growing. A report from Johns Hopkins University claims the number of people with advanced kidney disease has doubled during the last 10 years. And the number with end-stage kidney disease who require renal dialysis is growing at the rate of 7 percent a year. And it’s creating a huge economic problem.

Feeling a Little Sexy and Wonder Why?
 By Dr. Gifford Jones

Are you feeling a little sexy lately and have no idea why it’s happening? If that’s the case you had better check your medicine cabinet. You may be taking a well-known product sildenafil (Viagra) approved for the treatment of erectile dysfunction (ED) without knowing it. How can this happen?

Health Canada recently issued an alert to health care professionals about the safety of a herbal product called Hua Fo. Manufacturers claimed it was the “natural” Viagra for men. The suggested dosage, two tablets twice a day.

Is Circumcision Why We Need Viagra?
 By Dr. Gifford Jones

When I researched this column on circumcision my initial reaction was “Wow”. I thought the topic would be as easy to write about as rolling off a log but it consumed hours. I hadn’t realized the male foreskin had triggered so many medical articles and so much controversy. Now I’m convinced that most families make a decision on circumcision without knowing much about this procedure. The question is, has male circumcision has increased the sale of Viagra?

ED drugs + Testosterone = End of ED
 By Dr. Gifford Jones

“Sex is not only for Valentines Day” was the message awaiting me when I arrived in London, England. And to drive home the point, the fearless British racing car driver Sir Stirling Moss had just announced that he used erectile dysfunction (ED) drugs. And urged others to seek treatment. So the timing for the 4th International Meeting of the Andropause Society to discuss ED and testosterone couldn’t have been better.

Moss had two brushes with ED, the condition that men fear. His first followed a racing car accident in 1962. He refused to see a doctor about it, but met a cute nurse who said, “Don’t worry, it will be all right.” And it was.

Fluoridation, And Why Montreal Males May Be Better Lovers
 By Dr. Gifford Jones

“Doctor, I’d suggest fluoride treatment to protect your teeth” my dentist said.

I agreed. After all, I’d been told since I was knee-high that fluoride prevents cavities. I’ve also used fluoride toothpaste for years. But I recently decided to research this topic to see if there was a downside to this treatment. Now I know why Montreal males are better lovers than those in Toronto.

Fluoridation of Water A Health Benefit Or a Toxic Drink?
 By Dr. Gifford Jones

“Doctor, I’d suggest fluoride treatment to protect your teeth”. I agreed with my dentist. After all, I’d been told since I was knee-high that fluoride prevents cavities. I’ve also used fluoride toothpaste for years. But I recently decided to research this topic to see if there was a downside to this treatment.

William, a three year old Brooklyn boy, had his first dental checkup in 1974. Fluoride gel was spread over the teeth. Following that he was handed a glass of water by the hygienist who failed to inform him to swish the solution in his mouth and spit it out. Instead, he drank the water and a few hours later he was dead from fluoride poisoning. Fluoride is an acute toxin with a rating higher than lead.

Prevent Your Teeth From Falling Out
 By Dr. Gifford Jones

What an appalling situation! We send rockets to Mars. We transplant hearts and kidneys. Yet we can’t stop North Americans from losing their teeth. By age 60 one in three have lost, not some, but all of their teeth. Why does this happen when the solution is so, so simple? It’s because of several misconceptions about dental care. And laziness.

George Herbert wrote in 1640, “For want of a nail, the horse’s shoe was lost. For want of a shoe, the horse was lost. For want of horse, the rider was lost. For want of a rider, the battle was lost. And for want of a battle, the kingdom was lost.”

Do Infected Gums Cause Heart Attack
 By Dr. Gifford Jones

Why did the patient die from a sudden heart attack? The victim was a thin, middle-aged who had never smoked and exercised regularly. Blood cholesterol values had always been normal and there was no history of diabetes. Moreover, both parents were still living and well. Could this death have been prevented by the household dishwasher?

I was sceptical two years ago when I first read about a possible relationship between infection and coronary attack. Now a report from the Harvard Medical School in its publication “Focus”, links chronically infected gums (periodontal disease) to coronary heart disease (CHD).

For want of a nail the kingdom was lost
 By Dr. Gifford Jones

George Herbert in 1640 wrote. “For want of a nail, the horse’s shoe was lost. For want of a shoe, the horse was lost. For want of a horse, the rider was lost. For want of a rider, the battle was lost. And for want of a battle, the kingdom was lost.” A report from the American Dental Association shows that due to a series of errors and misconceptions many North Americans lose precious teeth. Why does it happen, and what can you do to keep your teeth for a lifetime?

Finally an end to the clickety-clack
 By Dr. Gifford Jones

George Washington, the first President of the United States, always looks tight-lipped in his portraits. But he had good reason not to smile. The President had difficulty keeping his wooden dentures from falling out. Today there’s been a vast improvement in dentures, yet it hasn’t entirely removed that clickety-clack noise. Or the embarrassment of having to remove false teeth. Or the difficulty of eating certain foods. Conventional dentures however, will soon be as antiquated as the Model-T Ford. We have entered the age of dental implants. They are a momentous breakthrough in the history of dentistry.

How travellers should handle dental emergencies
 By Dr. Gifford Jones

What should you do if you develop an abscessed tooth in Mexico? Or if a tooth is knocked out in Berlin? Or if hemorrhage occurs after a recent extraction while travelling to Moscow? There are some important do’s and dont’s if you seek dental care in a foreign land.

Dental problems abroad are usually initiated at home from years of neglect. Most travellers have the wrong idea about rust. They think it just causes holes in drainpipes. But dental rust (periodontal gum disease) is the main cause of tooth loss in people over the age of 35. It’s an insidious process starting as “gingivitis” in which gums turn from a natural pink colour to red.

A high score keeps your teeth a lifetime
 By Dr. Gifford Jones

“What a shame”, I thought, “that she had never read Don Quixote”. My wealthy patient had fingers loaded with diamonds. But at 40 years of age she was wearing a complete set of dentures in her mouth. Miguel de Cervantes the Spanish novelist wrote 400 years ago,” For what I would have you know , Sancho, that a mouth without molars is like a mill without a stone, and a tooth is more precious than a diamond.” Cervantes would be amazed that today it’s possible to keep teeth a lifetime due to tremendous advances in dentistry. So why are so many lacking teeth? It’s because there’s a limit to what dental technology alone can accomplish.

Unexpected Consequences of Joint Replacement Surgery
 By Dr. Gifford Jones

An English proverb cautions that “It is the unexpected that always happens”. No doubt people looking back on their life can recall several of those unexpected and unpleasant events. But how often do unexpected events happen in surgery?

Today an increasing number of people face hip and knee replacement operations.

They’re often concerned about the pain following surgery and long sessions of physiotherapy to recover joint mobility. But how many think of coronary attack after the operation?

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