National Health Quiz

<v Speaker>This program was made possible by a special grant from the St. Paul Companies, <v Speaker>Inc.. <v Speaker>KPRC, TV, Dallas, Fort Worth Presents. <v Speaker>A national health quiz. <v Speaker>Starring Cheryl Tiegs. <v Speaker>And Peter Graves. <v Speaker>And featuring Stuart Pankin. <v Speaker>Good evening and welcome to the National Health Quiz.

<v Speaker>Tonight, you'll have the opportunity to investigate the state of your own health, to <v Speaker>uncover hidden enemies within your mission, should you choose to accept it, is <v Speaker>to take the National Health Quiz. With us tonight, here's your chance to disavow the <v Speaker>actions that happened during <v Speaker>Cheryl Cheryl Please, if you would not tonight. Excuse me. <v Speaker>I've retired my trench coat to mothballs. <v Speaker>I had to when I couldn't figure out how to make Italians fall off their bicycle just by <v Speaker>mentioning a ?inaudible?. <v Speaker>But you are right about one thing. <v Speaker>We're going to ask our audience to do some detective work. <v Speaker>Not with a gun and gumshoes. All you'll need is a pencil, a piece of paper and the <v Speaker>national health quiz form published this week in your local newspaper, TV Guide or your <v Speaker>public television station, Viewer Guide. <v Speaker>Now, for those of you who didn't clip the form, don't worry, you'll still be able to take <v Speaker>the test. You'll need two pieces of paper instead of one. <v Speaker>We'll explain how to make your own form as we go. <v Speaker>So why don't you gather up your materials? <v Speaker>As Cheryl explains now what tonight's test is all about. <v Speaker>Tonight you're going to be able to measure your body age.

<v Speaker>You'll learn if your body is older or younger than your present chronological age. <v Speaker>And how to set those youthful odds in your favor. <v Speaker>You'll be quizzed on your general medical knowledge and asked about your personal health <v Speaker>risk factors. We promise that we won't grill you with a rubber hose and a spotlight on <v Speaker>your home. But if you answer the questions honestly, we'll help you identify your <v Speaker>risk factors so you can start on a personal health defense program. <v Speaker>Best of all, there's no charge for the housecall. <v Speaker>We're hoping you will take this personally because it's your personal habits dictated <v Speaker>by your lifestyle that usually determine the state of your general health. <v Speaker>We may not have discovered the ultimate cure for prickly heat or tennis elbow, but <v Speaker>medical science has made startling breakthroughs during this century. <v Speaker>We have practically eliminated such acute infectious diseases as polio, smallpox, <v Speaker>yellow fever, whooping cough, scarlet fever, diphtheria and other killers. <v Speaker>Sophisticated technological advances hardly imagined a generation ago now

<v Speaker>allow us to move through the human body and understand this complex and marvelous <v Speaker>organism. Right down to the individual cells which comprise it. <v Speaker>We now know how to replace a disease kidney with a healthy one. <v Speaker>Repair an injured eye with laser beams and keep damaged hearts <v Speaker>beating through bypass surgery and the installation of pacemakers, we can peer <v Speaker>through solid bone to discover the tumor. <v Speaker>Chart the rhythms of the brain like the price of gold on Wall Street and canoe down <v Speaker>the alimentary canal to find an ulcer. <v Speaker>Of course, most of these breakthrough advances deal with the body after the damage has <v Speaker>been done. The fact is, our major health problems these days are not infectious <v Speaker>diseases. <v Speaker>After all, you can't catch a heart attack or a stroke. <v Speaker>The responsibility for prevention of disease has shifted from the medical community <v Speaker>to the individual. The ball is in your court. <v Speaker>That's right. Heart disease and stroke.

<v Speaker>And to a large extent, cancer and diabetes are problems that we can help control. <v Speaker>While these diseases are not always curable, they are often preventable. <v Speaker>And the attempt to avoid them has prompted a whole new field called prospective medicine <v Speaker>to meet one of the top prospector's. We went to the renowned Department of Prospective <v Speaker>Medicine at Methodist Hospital in Indianapolis, Indiana. <v Speaker>There we talked with one of the pioneers in the field, Dr. Jack Hall. <v Speaker>We asked him to tell us what perspective medicine is, prospective medicine <v Speaker>is a way of performing examination. <v Speaker>Not so much defined illness today as it is to identify what <v Speaker>your risk are an illness tomorrow or in the next 10 years. <v Speaker>Dr. Lewis Robbins, my associate and myself have been aware that insurance companies <v Speaker>have used this kind of data for great economic advantage over the past <v Speaker>50 years. We believe that each of you can use the identification <v Speaker>of risk factors for a great personal health advantage over the next <v Speaker>10 years. If you know what your risk are and are

<v Speaker>helped with a program to reduce these risk, you should enjoy life more fully. <v Speaker>You should also extend your life expectancy significantly. <v Speaker>But in order to have accurate predictions, doctors Robbins and Hall had to correct and <v Speaker>include as much statistical information as they could find. <v Speaker>Hundreds of thousands of elements of scientific research, actuarial statistics <v Speaker>from insurance companies and federal agencies and so on. <v Speaker>They fed all this information into a computer to use as a base for predicting the health <v Speaker>risks of individuals of specific age, sex and other group categories. <v Speaker>The result of all this work was a way to help doctors perform prospective health <v Speaker>evaluations of their patients, called the Health Hazard Appraisal. <v Speaker>Dr. Hall worked with our research staff to design a national health quiz test will be <v Speaker>giving you this evening. We asked him to say a few words about it. <v Speaker>Of course, the real test appraisal that we run on, people here at Methodist Hospital <v Speaker>is designed for an individual with a very specific age sex,

<v Speaker>race, medical history and health habits that make our results more <v Speaker>precise. For each individual, when we tabulated the data for the National <v Speaker>Health Quiz, we had to simplify it in order to administer it to such a large <v Speaker>audience. However, we believe it still identifies the higher risk <v Speaker>and such a priority for risk reduction. <v Speaker>And that is an excellent guide to get yourself back on track and to find out what <v Speaker>your risk are and do something about it. <v Speaker>The most important reason for doing a health hazard appraisal is not to find out when <v Speaker>you're probably going to die, but to identify what your risk are. <v Speaker>So you can reduce these and extend your useful life expectancy. <v Speaker>All right, class, sharpen your pencils and your wits and let's get going. <v Speaker>And remember, the only way to fail this quiz is to decide not to take it.

<v Speaker>And we'll be testing you in two areas tonight. <v Speaker>Your general health knowledge and your personal health risks. <v Speaker>There are separate ways to grade each and you'll need a separate piece of paper for each <v Speaker>category. <v Speaker>All right. <v Speaker>Cheryl will handle the risk factor questions. <v Speaker>Fire when you're ready, Cheryl. <v Speaker>OK, at the top left corner of your test forms, or <v Speaker>if you don't have on your scratch sheet, write down your age. <v Speaker>I's on your own paper. <v Speaker>The. <v Speaker>To each risk question, you'll be adding or subtracting numbers from your actual age. <v Speaker>So keep a running total as you go. <v Speaker>These numbers represent your body age as compared to your actual age. <v Speaker>First, we'll divide you into four age groups. <v Speaker>If you are thirty four or under, you'll be represented by the gold color. <v Speaker>Thirty five to forty four represented by blue.

<v Speaker>Forty five to fifty four by green. <v Speaker>55 and over red. <v Speaker>Each time we ask you a risk question. <v Speaker>Locate your age group and follow the points given for that group. <v Speaker>These will always appear in the same portion of the screen and always with the same <v Speaker>color. <v Speaker>Got it. <v Speaker>Our first risk category is heart disease, a killer that took the lives of more <v Speaker>than 600000 people in the United States last year. <v Speaker>More than three times the number of American lives lost in all of rural war, two <v Speaker>high blood pressure is one of the main culprits here. <v Speaker>The average pressure is 120 over 80. <v Speaker>Do you know yours is you are significantly higher than that, or is it about average <v Speaker>or is it lower than average? <v Speaker>Evaluate yourself and find your risk score and your age group quadrant. <v Speaker>If you don't know what your blood pressure is. Consider yourself average.

<v Speaker>Unless a health professional is told you otherwise. <v Speaker>And for goodness sake, have it checked. <v Speaker>The American Heart Association says that an estimated sixty two and a half million people <v Speaker>in the United States have undiagnosed, high blood pressure. <v Speaker>Now, once you've located your score, write it into the space marked blood pressure <v Speaker>just below your age. <v Speaker>Remember to keep the decimal point straight. <v Speaker>Now, subtracted from your actual age or add to it if you have a minus score because you <v Speaker>have slightly low blood pressure. Deduct that number from your actual age.

<v Speaker>If you have a high score due to high blood pressure, add that number to your age. <v Speaker>If your average you have a zero and your heart age remains the same. <v Speaker>Blood pressure is an important component of your overall health. <v Speaker>It's actually something like the plumbing in your home. <v Speaker>The amount of pressure depends on the force of the pump. <v Speaker>Let your heart and the condition of the pipes, your arteries. <v Speaker>If your heart's working harder than normal or if your arteries are narrower than they <v Speaker>should be, then you've got high blood pressure. <v Speaker>Here's our first medical knowledge question. <v Speaker>All of you will need your other sheet of paper for this one if you got. <v Speaker>All right, now, which are the early symptoms of high blood pressure, a <v Speaker>dizziness. <v Speaker>Be shortness of breath. <v Speaker>See spots before eyes be pounding headache, <v Speaker>e flushed face.

<v Speaker>F None of them g. <v Speaker>All of them. One more time. <v Speaker>Which of these are early symptoms of high blood pressure? <v Speaker>A, dizziness. <v Speaker>B, shortness of breath. <v Speaker>See spots before eyes. <v Speaker>The pounding headache. <v Speaker>E flushed face. <v Speaker>F none of them. <v Speaker>G. All of them. <v Speaker>Five seconds. Choose your answer. <v Speaker>All right. Those of you who picked F, none of them go to the head of the class. <v Speaker>Give yourself 10 points. <v Speaker>The fact is, high blood pressure has no early symptoms. <v Speaker>That's why it's called the silent killer. <v Speaker>Left undetected and untreated, it contributes to heart disease, stroke and kidney <v Speaker>failure. We're not here to preach, but it's obvious everyone ought to have

<v Speaker>his blood pressure checked regularly. <v Speaker>All right. Let's move on to medical knowledge. Question number two. <v Speaker>We'll examine another major contributor to heart disease, cholesterol. <v Speaker>Americans are already big meat eaters and we're eating more oil based synthetic foods all <v Speaker>the time now frequently weigh up for fried food or junk food, <v Speaker>grease fix. <v Speaker>Consequently, 42 percent of our calories arrive in the form of fat. <v Speaker>This tends to clog up the walls of the blood vessels to go back to the plumbing <v Speaker>example. It's like, well, like a lime in the pipes. <v Speaker>Now, the plaque area eventually narrows the blood passageways and lessens <v Speaker>the amount of blood which can squeeze through.

<v Speaker>This starves and weakens human tissue. <v Speaker>Consequently, the heart has to work overtime. <v Speaker>But at the same time is being starved of the oxygen and nutrients it needs to do <v Speaker>the job. Eventually, this results in the work slowdown or strike <v Speaker>that we know it's heart disease. <v Speaker>Obviously, if you eat too many high fat foods, you know, we promised we wouldn't. <v Speaker>I guess I will get on with the questions now, which are the following is the on <v Speaker>the run meal for a person concerned about fats. <v Speaker>A, fried chicken. <v Speaker>B, cheese pizza. <v Speaker>C, hamburger. <v Speaker>D, tacos. <v Speaker>E, roast beef on a bun. <v Speaker>Five seconds to answer. <v Speaker>Rejoice. Pizza lovers. According to the September 1979 issue of Consumer Reports, <v Speaker>cheese pizza is best under these circumstances.

<v Speaker>But since a roast beef sandwich ranked close second. <v Speaker>Give yourself 10 points if you picked B or E, both being the year, correct. <v Speaker>Incidentally, by far the highest fat content turned up in the old standby, the good old <v Speaker>American hamburger. But you needn't avoid them entirely. <v Speaker>Most nutritionists say that hamburgers are a pretty good complete meal. <v Speaker>The problem is that man does not live by a hamburger alone. <v Speaker>Usually he orders French fries and the shake to go with it. <v Speaker>Cheryl, let's see if your heart's in the right place or at least <v Speaker>a healthy place. Go back to your risk sheet for this one. <v Speaker>The average cholesterol count for North Americans is to 20 to 30. <v Speaker>Is yours higher average or lower than that figure? <v Speaker>If you don't know your cholesterol count and if you've not been told it's high for your <v Speaker>age, consider yourself average and put down a zero. <v Speaker>But assuming your average here won't take the place of actually knowing for sure. <v Speaker>So have it checked.

<v Speaker>Write down your risk score in the space, mark cholesterol or on your scratch sheet <v Speaker>and put it just below the blood pressure total. <v Speaker>Now add to or subtract from your running age total. <v Speaker>Are you young at heart? If not, you might examine your eating habits and cut down on <v Speaker>those fatty high calorie foods. <v Speaker>Let's move on to the next risk question, which concerns cigaret smoking. <v Speaker>Every time you inhale tobacco smoke, nicotine is absorbed immediately into <v Speaker>the bloodstream and is carried to every part of your body, including your heart. <v Speaker>It has the same effect with every puff as if you were mainlining adrenaline, which <v Speaker>explains the increased heart rate, the increase in blood pressure, blood vessel, <v Speaker>constriction, all of those things that abuse those arteries. <v Speaker>So that means your heart has to work harder. <v Speaker>The carbon monoxide and cigaret smoke takes the place of oxygen in the blood, thereby

<v Speaker>starving the tissues of the oxygen they need. <v Speaker>That's right. Carbon monoxide, the same stuff that comes out of your automobile exhaust <v Speaker>pipe, the same poisonous gas that people use to commit suicide. <v Speaker>We've divided cigaret smoking into three categories smoker, short term <v Speaker>quitter and non smoker by smoker, we're talking about anyone who <v Speaker>smokes at all, no matter how few, a short term quitter. <v Speaker>For our purposes, here is one who has stopped smoking less than four years ago. <v Speaker>The non smoker is one who has never smoked or quit more than four years ago. <v Speaker>Morning fudging on this part of the test may be hazardous to your health. <v Speaker>Look in your age group and write down your score in the space market, smoking or just <v Speaker>below your last total on your scratch sheet.

<v Speaker>You won't need a calculator to see that people who smoke add years to the ages of their <v Speaker>hearts as well as running the risk of heart disease. <v Speaker>Have you got your score? <v Speaker>Dr Hall has asked us to assure you short term quitter's to take heart. <v Speaker>The benefits start the day you quit smoking. <v Speaker>Within a day, there's a measurable difference. <v Speaker>Figure up your score. As with the previous risk questions. <v Speaker>Our next risk category for heart disease is diabetes. <v Speaker>Diabetes is a metabolic disorder of high blood sugar. <v Speaker>It often has no early symptoms but can have lethal long range effects like <v Speaker>breakdown of the arterial walls. <v Speaker>Diabetes can sometimes be controlled through diet and exercise and sometimes with oral

<v Speaker>drugs and insulin injections. <v Speaker>Tell you points according to whether you have uncontrolled controlled or no <v Speaker>diabetes at all. <v Speaker>If you're one of the lucky majority that check. <v Speaker>Zero. Remember that just because you don't have diabetes now doesn't guarantee you <v Speaker>won't develop it later. If you have any blood relatives who have had diabetes, <v Speaker>this increases your chances of developing it. <v Speaker>Also, there's a definite correlation between being overweight and adult onset <v Speaker>diabetes. If the disease is in your family, you ought to know about it and consult <v Speaker>your physician. All right. <v Speaker>Add your score for diabetes to your last total, Peter. <v Speaker>You'll need your medical knowledge. Scratch sheep for this next question. <v Speaker>We'll look at the role that exercise plays in keeping your heart and circulatory system <v Speaker>healthy. We all know that exercise is good for you. <v Speaker>Everywhere you go these days, you see people jogging and biking, roller skating, playing

<v Speaker>strenuous games like tennis and handball. <v Speaker>But how much do you really know about your heart and exercise? <v Speaker>Here's a question that might help you find out. <v Speaker>Medical knowledge. Question number three, which of these exercises would <v Speaker>be better for your heart? A climbing one flight of stairs 10 times a day. <v Speaker>Be climbing 10 flights of stairs one time a day. <v Speaker>Once again, is it a climbing one flight of stairs 10 times a day or <v Speaker>B, 10 flights of stairs one time? <v Speaker>Choose your answer and write it down on your medical knowledge scratch sheet. <v Speaker>As question number three. Yeah, five seconds. <v Speaker>The correct answer is B, climbing 10 flights of stairs. <v Speaker>One time a day. You give yourself 10 points if you chose the right answer. <v Speaker>And tonight, no penalty points will be assessed to elevator passengers.

<v Speaker>The whole idea behind cardiovascular exercise is to put a mild strain <v Speaker>on your heart and circulatory system and to keep it up until your pant and sweat <v Speaker>don't bite off too much at first. Work up a progressive program of exercise. <v Speaker>By the way, your fitness program really doesn't require the purchase of a jogging suit or <v Speaker>shorts or pants shoes. <v Speaker>One of the best forms of exercise is a brisk daily walk. <v Speaker>Or take those stairs and you'll soon find yourself breathing in short pants <v Speaker>back to your risk factors shape. <v Speaker>This question deals with exercise. <v Speaker>And for purposes of this test, if you don't maintain a regular exercise program <v Speaker>or at least walk five blocks three times a week, you're sedentary. <v Speaker>Average is considered anywhere from the equivalent of six to 20 blocks three times <v Speaker>a week. Or are you a heavy exerciser, meaning a regular program of vigorous <v Speaker>activity in excess of walking 20 blocks three times a week? <v Speaker>Sedentary average or heavy?

<v Speaker>Consider your status and give yourself appropriate points. <v Speaker>In Alice in Wonderland, the queen complained that it takes all the running you can <v Speaker>do to keep in the same place, if you want to get somewhere else, you must run at least <v Speaker>twice as fast. <v Speaker>Well, it may not be that bad here, but you do have to walk the equivalent of six blocks <v Speaker>three times a week just to stay even. <v Speaker>Anything less. And your heart gains age and your risks climb. <v Speaker>Tell your score. Next, we'll examine your family history. <v Speaker>This question refers to longevity. <v Speaker>Did your parents or grandparents lived to be 70 or more if your parents are still <v Speaker>alive and under the age of 70? This question will refer to your grandparents. <v Speaker>Did both your parents or grandparents live to be over 70?

<v Speaker>Did one parent or grandparent lived to be over 70, but the other did not? <v Speaker>Did neither of them live to be 70? <v Speaker>Check the chart and pencil and the appropriate answer. <v Speaker>Well, people are adding up their scores. Let me add that longevity is an hereditary <v Speaker>factor. But heredity also plays a role in heart disease. <v Speaker>And again, it's important to know your family medical history. <v Speaker>So write down your score and figure you're running total. <v Speaker>The last heart category has to do with your weight. <v Speaker>For this one, we want you to write down your present weight, not the one you'll be at <v Speaker>during the diet. You're going to start next month. <v Speaker>You won't have to pass your paper to the front. <v Speaker>So put down your honest weight and no cheating. <v Speaker>Now, take a look at the chart. <v Speaker>The left hand side is four men and the right is for women. <v Speaker>Look down the first column of figures for your sex and find your height. <v Speaker>Then read across to find what is the ideal weight for how tall you are.

<v Speaker>The next column over is what constitutes serious overweight. <v Speaker>Are you within your ideal weight or are you overweight for your sex and height? <v Speaker>Remember that the left hand side is for men and the right is for women. <v Speaker>Look down the first column of figures for your sex and find your height. <v Speaker>Then read across to find what is the ideal weight for how tall you are. <v Speaker>The next column over is what constitutes serious overweight. <v Speaker>Are you within your ideal weight or are you overweight for your sex and height? <v Speaker>Well, Cheryl, these numbers don't take into account body frame size and other variables.

<v Speaker>So we a lot of 20 percent leeway between ideal weight and what constitutes <v Speaker>serious overweight problems. <v Speaker>So those of you with an extra role here and there won't be too seriously penalized, a <v Speaker>little grape in the wrong places is not considered a serious health threat. <v Speaker>Now, what we want to do is compare your actual weight with your ideal weight and <v Speaker>what is considered overweight for your height and sex and therefore a serious health <v Speaker>risk. <v Speaker>Are you below your ideal weight? <v Speaker>Are you about it? Your ideal weight? <v Speaker>So within a few pounds, or are you close to being overweight or beyond? <v Speaker>Evaluate yourself. <v Speaker>OK. Here comes the scores. <v Speaker>Find your age group on this chart and write down your score tally. <v Speaker>You're running total. The number you come up with will be the total body age for your <v Speaker>heart.

<v Speaker>So if you've been giving the old ticker a bad time, take heart, chances are it will <v Speaker>forgive you for a multitude of sins. <v Speaker>The human heart is amazingly resilient and we'll repair the damage done by years of abuse <v Speaker>if only you give it a fighting chance. <v Speaker>For those of you with old hearts, go back and see what habits caused your high scores. <v Speaker>Was it smoking, overeating, <v Speaker>lack of exercise? <v Speaker>Why not change those habits? Get started now. <v Speaker>No heart ever beat true on more good intentions. <v Speaker>Let's take a look now at the second of the three major disease killers, cancer. <v Speaker>Now, there's definitely a scare word, isn't it? <v Speaker>But it really needn't be. Cancer can be cured.

<v Speaker>Over a million and a half cancer patients attest to that fact, having gone five <v Speaker>years with no reoccurrence. Yes, cancer can be cured. <v Speaker>And to a certain extent avoided through preventive body maintenance, better education <v Speaker>and early detection. <v Speaker>Cancer is not just one disease, but a whole group of them characterized by uncontrolled <v Speaker>growth of certain cells. <v Speaker>I'm sure you've been apprized of the seven warning signals put out by the American Cancer <v Speaker>Society, but it won't hurt to reexamine them now, just as a reminder. <v Speaker>So watch for a change in bowel or bladder habits, a sore <v Speaker>throat that doesn't heal unusual bleeding or discharge <v Speaker>any thickening or lump in the breast or elsewhere in digestion <v Speaker>or difficulty in swallowing. <v Speaker>A change in a ward or a mold and any nagging cough or hoarseness. <v Speaker>Thanks, Peter. Now, here's question number eight on the body risk portion of the quiz <v Speaker>that concerns lung cancer, the top fatal cancer for men and the fastest

<v Speaker>rising cancer among women. <v Speaker>Unfortunately, women have come a long way baby in this area. <v Speaker>Well, that's it. The big question we're defining smoker, nonsmoker <v Speaker>and short term quitter in the same way we did for the heart disease portion of the quiz. <v Speaker>So mark your scores accordingly. <v Speaker>The surgeon general's warning is more than just a familiar slogan on a pack of cigarets. <v Speaker>Study after study has shown that cigaret smoking is damaging to the life system in a <v Speaker>variety of ways. Now, those of you who do smoke doesn't think that you're hooked forever. <v Speaker>Twenty nine million former smokers in this country have beaten the rap, and you can, too. <v Speaker>Have you got to score Talpiot with the figure you ended up with for your heart age? <v Speaker>Remember that these numbers represent your body age as compared to your actual age. <v Speaker>So keep a running total as you go. <v Speaker>Now get out your medical knowledge sheet for question number four.

<v Speaker>It's about smoking and lung cancer. <v Speaker>Now, not all lung cancer is caused by smoking. <v Speaker>We've all heard about other materials that do it, pollutants, asbestos, etc. <v Speaker>But by far, smoking is the major cause. <v Speaker>Now, here's the question. The substance in cigarets that is associated with lung cancer <v Speaker>is A, tar, B, nicotine, <v Speaker>C, carbon monoxide. <v Speaker>Again, the substance in cigaret smoke that's associated with lung cancer is A, tar, <v Speaker>B, nicotine. C, carbon monoxide. <v Speaker>You have five seconds <v Speaker>to answer a tar. <v Speaker>Nicotine and carbon monoxide are closely associated with heart disease, but it <v Speaker>is the tar in cigarets that's carcinogenic. <v Speaker>Give yourself 10 points if you got the right answer.

<v Speaker>The next section on cancer has to do with women only. <v Speaker>So, Sheryl, why don't you take over our next cancer question concerns cancers <v Speaker>of the cervix and breast. Men you can give yourself a zero risk factor on <v Speaker>all of these questions. One of the factors which may influence the incidence of cervical <v Speaker>cancer is the age at which a woman began having regular sexual intercourse, <v Speaker>especially if the woman had several different partners. <v Speaker>The categories for this question are as follows. <v Speaker>Did you have regular sexual intercourse before 20? <v Speaker>Between the ages of 20 and 25? <v Speaker>Or after the age of 25? <v Speaker>Here are the risk scores. <v Speaker>Find your score and compute your new total. <v Speaker>You know, Cheryl, precancerous conditions can be detected early before they become real <v Speaker>cancers. An annual pap smear can detect 90 percent of all cervical <v Speaker>cancers, 90 percent. <v Speaker>And that's because the cells of the cervix usually go through mild to severe changes

<v Speaker>called dysplasia before they become cancer. <v Speaker>So there is time to detect it early. <v Speaker>It's important to have that pap smear. <v Speaker>Which brings us to our next risk factor. <v Speaker>The Pap smear results. And remember, a negative result is not bad news. <v Speaker>It's good news because a negative result means no cancer cell irregularity was found. <v Speaker>Here are the groups. <v Speaker>Group one, if you had no PAP tests in the last five years. <v Speaker>Group two, if you had one Pap test in the last five years and it was negative. <v Speaker>Group three, if you had three or more negative tests in the last five years, <v Speaker>while you are finding your scores and computing, your new totals are run down the <v Speaker>categories. Again, one, if you have not had a Pap smear test in the last <v Speaker>five years. Two, if you have had one negative Pap test in the last <v Speaker>five years. And three, if you have had three or more negative PAP tests

<v Speaker>in the last five years. And now for the breast cancer risk factors, women only <v Speaker>again. <v Speaker>Is there a history of breast cancer in your family? <v Speaker>Say a mother or a sister and two or more relatives? <v Speaker>One or no history of breast cancer. <v Speaker>The scores here are the same for all age groups. <v Speaker>So evaluate yourself and write your risk. <v Speaker>Score down and add it or subtract it from your previous running total. <v Speaker>And now the final question in the breast cancer area. <v Speaker>Do you have a history of benign or non cancerous tumor? <v Speaker>Answer simply yes or no. <v Speaker>The risk scores are the same for all age groups. <v Speaker>Do you have a history of benign or non-cancerous tumors? <v Speaker>Find your score and compute your new total.

<v Speaker>As you can see from the numbers, having a history of tumors, even if they are benign, <v Speaker>is a serious risk factor in breast cancer. <v Speaker>If you have such a history, you should take special care in performing regular breast <v Speaker>exams. <v Speaker>There is a medical knowledge question that men can answer to get out your quiz <v Speaker>sheet for medical knowledge. Question number five. <v Speaker>Breast cancer occurs in about one out of every 15 women. <v Speaker>Once again, early detection improves survival chances. <v Speaker>So a monthly breast self-examination is important for all women. <v Speaker>You men should pay attention to this to a significant number of breast lumps are <v Speaker>discovered in women by their bed partners. <v Speaker>Nobody can tell you exactly what a lump will feel like or where it will be found. <v Speaker>The idea of the exam is to become familiar enough with the territory so that you can <v Speaker>detect any changes that might occur. <v Speaker>OK. Here's the question. Do you know which of these women has the lowest risk <v Speaker>of developing breast cancer, which is least likely to get cancer of the breast?

<v Speaker>A childless woman. <v Speaker>B, a woman who nurses one to three children. <v Speaker>C. A woman who gave birth to her first child after the age of 30. <v Speaker>For medical knowledge, question number five. <v Speaker>Which of these women are least likely to develop breast cancer? <v Speaker>A childless woman. B, a woman who nurses one to three children. <v Speaker>C. A woman who gave birth to her first child after the age of thirty five <v Speaker>seconds to write down your answer. <v Speaker>The correct answer is B the woman who nurses one to three children, <v Speaker>childless women and women who give birth to their first child after the age of 30 <v Speaker>are at higher risk. You got the correct answer. <v Speaker>Give yourself 10 points. If you did not get the right answer, you got a zero. <v Speaker>The third kind of cancer we're going to talk about is colorectal cancer, the most common

<v Speaker>cancer among men and women. <v Speaker>There are more than 100000 new cases every year, and the mortality rate from this <v Speaker>range of cancers is about fifty two thousand a year. <v Speaker>In spite of the fact that the potential for saving lives is greater than for any other <v Speaker>kind of cancer. Now, that means it's not being recognized and treated soon enough <v Speaker>after the age of 40. Everybody should have a yearly exam. <v Speaker>Now, even though the cause for colorectal cancer is unknown. <v Speaker>Research has linked it with two other diseases of the digestive tract, chronic <v Speaker>ulcerative colitis, which is a frequent inflammation of the colon and congenital <v Speaker>multiple polyposis or polyps which grow in the colon and rectum. <v Speaker>Research has begun to suggest that this condition may be due in part to diets that <v Speaker>are high in beef and are deficient in high fiber content. <v Speaker>We've prepared for risk questions for colorectal cancer men. <v Speaker>You can now re join us for the remainder of the cancer risk questions. <v Speaker>Go over to your risk score sheet for this question.

<v Speaker>Have you been diagnosed as having polyps? <v Speaker>Yes or no? If you had. <v Speaker>Give yourself a plus point five score. <v Speaker>If your answer is no. Give yourself zero. <v Speaker>Combine this score with your last total. <v Speaker>The next question concerns rectal bleeding. <v Speaker>It may be caused by hemorrhoids. But then again, you can't rule out colorectal cancer <v Speaker>unless you've had a checkup. <v Speaker>Did you experience rectal bleeding? <v Speaker>Add point seven to your total score. <v Speaker>The next risk factor is ulcerative colitis.

<v Speaker>That's only an inflammation of the colon. <v Speaker>But over long periods of time, it can become a serious disease. <v Speaker>Have you been diagnosed as a long term suffer from ulcerative colitis? <v Speaker>That is 10 years or more. <v Speaker>Short term ulcerative colitis is 10 years or less. <v Speaker>Check the chart and grade yourself accordingly. <v Speaker>The final risk factor question for cancer of the colon and rectum is, do you have <v Speaker>a routine stool exam? <v Speaker>A yearly exam is particularly important for people over 40. <v Speaker>The risk score is the same for all ages. <v Speaker>If you have a routine exam, you can deduct points seven years off your body age. <v Speaker>Gary, you've arrived that now is your total risk factor for cancer place this total <v Speaker>in the box marked risk level two, or if you're working with a scratch sheet only market

<v Speaker>cancer risk. <v Speaker>And we've demonstrated that cancer can be prevented or at least controlled. <v Speaker>The elimination of smoking is the most beneficial change you're going to affect. <v Speaker>Now it's time to move on to the third major disease killer stroke. <v Speaker>Stroke is the sudden loss of neurologic function, and it usually caused by loss or <v Speaker>blockage of the blood supply in the brain. <v Speaker>This can be caused in various ways, sometimes by a traveling blood clot or a hemorrhage. <v Speaker>But most often strokes are a result of the process of hardening of the arteries. <v Speaker>What actually happens is called thrombosis. <v Speaker>That's when a blood vessel in the brain or the neck leading to the brain becomes narrower <v Speaker>due to pack buildup from cholesterol or from hypertension until it finally <v Speaker>closes off the supply entirely. <v Speaker>The brain tissues that were fed by that blood simply starved to death, and that is a <v Speaker>stroke. Now for medical knowledge, question number six, you got your scratch sheet out, <v Speaker>OK? True or false, strokes always occur without warning.

<v Speaker>Does a stroke always occur without warning? <v Speaker>Write your answer down as medical knowledge. Question number six, <v Speaker>if you answered false. Give yourself 10 points. <v Speaker>Strokes can sometimes occur without warning, but they most usually are preceded <v Speaker>by certain signs and warning symptoms, such as a numbness <v Speaker>or weakness in the hand or leg or one side of your face. <v Speaker>Difficulty with speech such as slurring the blurring of vision or <v Speaker>eye movement impairment, dizziness or loss of coordination. <v Speaker>Why don't we go to our risk factors for stroke? <v Speaker>Now, the risk factor categories for stroke are exactly the same <v Speaker>ones you encountered in the heart disease section. <v Speaker>They are blood pressure, cholesterol,

<v Speaker>cigaret smoking and diabetes. <v Speaker>Let's check your blood pressure again. <v Speaker>Remember, the average blood pressure is 120 over 80. <v Speaker>But if you don't know yours, consider yourself average. <v Speaker>Jot down your score in the space provided or just under your last total score. <v Speaker>Keep a running total as you go. <v Speaker>Now we're back to cholesterol again. <v Speaker>It's the second risk factor for stroke. <v Speaker>Check your cholesterol level against the norm of from 220 to 230. <v Speaker>Is yours higher or lower or are you average? <v Speaker>Again, if you don't know your count, consider yourself average, but have your doctor <v Speaker>check you out for sure. <v Speaker>Have you done your math now, okay.

<v Speaker>Well, it looks like smoking has turned up again as a high risk factor. <v Speaker>Do you see a pattern emerging? <v Speaker>Answer these questions in the same manner you did before. <v Speaker>Are you a smoker? Short term quitter or non smoker? <v Speaker>Remember, a short term quitter is one who has given up smoking less than four years <v Speaker>ago. <v Speaker>Find your score and combine it with your previous total. <v Speaker>If you've decided to quit between the previous smoking questions and this one, good for <v Speaker>you, but obviously don't market Southdown as a short term credit yet. <v Speaker>You'll notice the points are higher for our next risk category. <v Speaker>Diabetes. That's because diabetics are in greater danger of strokes than of heart

<v Speaker>attacks. So answer this one. <v Speaker>Do you have uncontrolled diabetes? <v Speaker>Do you have diabetes that is under control or do you have no diabetes? <v Speaker>Remembered 80 percent of all diabetes has developed in later life, especially <v Speaker>by overweight people. If you've got your score added up and now the number you've arrived <v Speaker>at is your total score for risk levels one, two and three. <v Speaker>The following health risk area is actually not a disease at all unless you consider <v Speaker>America's fascination with the automobile a form of disease. <v Speaker>The auto is a familiar killer. The claimed 50000 lives last year and will probably <v Speaker>claim even more this year.

<v Speaker>Every time you set foot in a car, you're increasing your chances of becoming a statistic. <v Speaker>The answer to medical knowledge, question number seven concerns the car. <v Speaker>And it may shock you. Get out your knowledge scoresheet for this question. <v Speaker>In which of the following age groups is auto accident the number one cause of <v Speaker>death? <v Speaker>A fifteen to twenty five be ten to twenty one. <v Speaker>See one to forty four, five seconds to decide. <v Speaker>The answer is C, that's right. <v Speaker>If you were between the ages of one and forty four, you are more likely to die from auto <v Speaker>collision than by any other means. <v Speaker>Driving a car is risky business, but riding in one may be even more dangerous. <v Speaker>Ten points to those who answered with letter C.. <v Speaker>Now let's go over to Cheryl for our risk questions and scores.

<v Speaker>There are four risk categories that can be statistically tabulated for auto accidents. <v Speaker>They are the amount of mileage driven in a year. <v Speaker>The use of seat belts, drinking and driving. <v Speaker>The use of drugs and driving. <v Speaker>Here's the first question for your auto accident risks. <v Speaker>How many miles do you drive in a year? <v Speaker>Less than 12000 miles, between 12000 <v Speaker>and twenty four thousand miles a year, over twenty <v Speaker>four thousand miles a year. <v Speaker>How many miles do you drive in a year? <v Speaker>Here are your risk scores. <v Speaker>They are the same for all age groups. <v Speaker>Find the number of miles you drive each year and write down your score. <v Speaker>Under the last total. <v Speaker>Do your arithmetic.

<v Speaker>The next factor is seat belts. <v Speaker>What percentage of the time do you wear seat belts when you drive? <v Speaker>Less than 20 percent of the time, 20 to 60 percent of the time. <v Speaker>Or do you wear your seat belt more than 60 percent of the time? <v Speaker>The scores here are the same for all age groups. <v Speaker>Find yours and tally it with your previous totals. <v Speaker>Estimates show that up to 12000 lives can be saved annually if you buck <v Speaker>yourself up by buckling up. <v Speaker>Here's risk factor number three. <v Speaker>Nothing personal, but how many drinks do you have in the average week? <v Speaker>Figure it up. And don't forget to count beer. <v Speaker>Do you consume. Zero to seven drinks, eight to 24 drinks a

<v Speaker>week or more than 24? <v Speaker>That zero to seven, eight to 24 or more than 24. <v Speaker>The scores are the same for all ages. <v Speaker>We'll define a drink tonight as one and a half ounces of 86 proof liquor. <v Speaker>One twelve ounce can of beer or five ounces of four to five. <v Speaker>One like sherry report. <v Speaker>Add your score to the running total. <v Speaker>Drinking and driving is a dangerous combination. <v Speaker>But did you know that drugs and driving is even more lethal? <v Speaker>Traffic accident figures bear this out. <v Speaker>And by drugs, we mean tranquilizers and sedatives, barbiturates and even some <v Speaker>antihistamines, as well as marijuana, cocaine and heroin. <v Speaker>We put it up to you. Do you ever take any of these drugs or medications and then drive? <v Speaker>Now, you should transfer your total to a risk level number for the figure you come up

<v Speaker>with, is your total body age for the risk portion of tonight's quiz? <v Speaker>Get your bookkeeping and audit. <v Speaker>Now we're gonna finish off the medical knowledge portions were the last three questions, <v Speaker>so go over to your other scratch sheet. <v Speaker>We will examine suicide, homicide and cirrhosis of the liver <v Speaker>from the overuse of alcohol. <v Speaker>Now, if you're wondering why these considerations are included in a national health quiz, <v Speaker>you'll soon see why. While you may not consider them an imminent threat. <v Speaker>Suicides and homicides account for over fifty thousand deaths each year. <v Speaker>There is medical knowledge. Question number eight. <v Speaker>At what age are both homicide and suicide among the top three killers? <v Speaker>During what years are they both included in the top killers? <v Speaker>A eighteen to twenty five. <v Speaker>B forty five to fifty six.

<v Speaker>C fifteen through twenty nine. <v Speaker>At what age are both homicide and suicide among the top three killers? <v Speaker>Five seconds. <v Speaker>The answer is C ages 15 to twenty nine. <v Speaker>During these 15 years, suicide and homicide are only surpassed occasionally <v Speaker>by motor vehicle accidents as the major causes of death for our young people. <v Speaker>If you selected C as your answer, give yourself 10 points. <v Speaker>Now, here is question number nine. <v Speaker>It has to do with the cause of homicide. <v Speaker>Already most homicides, a premeditated <v Speaker>be committed in the course of a robbery or illegal act see committed <v Speaker>in family and social situations. <v Speaker>Once again, most homicides, A, premeditated, B, committed in the course <v Speaker>of a robbery or at least legal act.

<v Speaker>C, committed in family and social situations again. <v Speaker>Five seconds. <v Speaker>The answer, sadly, is C.. <v Speaker>Most murders involve not strangers, but friends and even family members. <v Speaker>We seldom kill our enemies. It's the loved ones who wind up murdered. <v Speaker>Give yourself 10 points. If you correctly answered medical knowledge, question number <v Speaker>nine. Here is the final medical knowledge question. <v Speaker>True or false? Is cirrhosis of the liver a reversible disease? <v Speaker>In other words, can your body repair the damage to your liver from too much drinking? <v Speaker>Is cirrhosis of the liver a reversible disease? <v Speaker>True or false? Five seconds. <v Speaker>The answer to question number ten on your medical knowledge quiz is false.

<v Speaker>Give yourself 10 points. If you got the right answer, once the process of cirrhosis <v Speaker>begins, there's no turning back. You stop drinking and then start again. <v Speaker>Your liver will start deteriorating again from the same place you left off. <v Speaker>So are you a young person who's living in a middle aged body or an <v Speaker>older person who's young at heart as well as the other vital organs, <v Speaker>your body seems to be rejecting you. Why not transplant those old bad habits with <v Speaker>some sound good ones? If you were penalized for smoking and drinking and being <v Speaker>overweight, you know that these are erasable problems. <v Speaker>Just because you may not have done well on this test doesn't mean you flunked the course. <v Speaker>Yeah, that's right, Sheryl. Most of us still have time to correct ourselves.

<v Speaker>And in a very real sense, we can begin to reverse the aging process. <v Speaker>Keep your scoresheet around. Refer to the problem areas and start improving now on the <v Speaker>most important score of any test you'll ever take to learn more about your <v Speaker>prospects, you may contact health care services and continue your health hazard <v Speaker>appraisal. That's health care services at Methodist Hospital. <v Speaker>1604 North Capital Avenue. <v Speaker>Indianapolis, Indiana. ZIP Code 46202 <v Speaker>Wow. Now you've taken the test. <v Speaker>I'm sure you have some questions about what it all means. <v Speaker>As I said in the beginning, the idea of the National Health Quiz was not to find out <v Speaker>when you're going to die, but to find out what factors in your lifestyle and health <v Speaker>habits that you can change to live a long and fruitful life. <v Speaker>I see people every day in the heart clinic and in the operating room who would have <v Speaker>failed this health quiz because they would not attend to the warnings. <v Speaker>We try to help them by putting in heart pacemakers and other kinds of surgery and

<v Speaker>medicines, remedial diet and exercise programs. <v Speaker>However, there's often not much that we can do beyond really just catch <v Speaker>up and patch up procedures. <v Speaker>Preventing the life threatening diseases we've talked about tonight is up to you. <v Speaker>You must work with us in a new kind of partnership to beat the epidemics of heart <v Speaker>disease, stroke and many kinds of cancers. <v Speaker>Look back over your test, as Cheryl has suggested. <v Speaker>If the score wasn't what you're wanted. Find out what the factors are in your lifestyle <v Speaker>or health habits that need changing and change them now. <v Speaker>If you scored well, then use this to reinforce a preventive maintenance <v Speaker>lifestyle that you can live with for the rest of your long and healthy life. <v Speaker>If I may paraphrase a popular TV commercial, you can take care of <v Speaker>yourself now or you can pay me later if I have left out anything on <v Speaker>my portion of the quiz. <v Speaker>Just take two aspirin, call me in the morning. <v Speaker>If not, this program will terminate in five seconds.

<v Speaker>And as we've seen tonight, there's no good reason for any of us to self-destruct. <v Speaker>Good night. I thought you were telling me you weren't gonna make any mission impossible <v Speaker>jokes. I lied. <v Speaker>This program was made possible by a special grant from the St. Paul Companies,

<v Speaker>Inc.. <v Speaker>For a transcript of this program, please send three dollars to National Health <v Speaker>Quiz, PTV Publications, P.O. <v Speaker>Box 701, Kent, Ohio, 44240 <v Speaker>Please allow four weeks for delivery.