Healthy Living in the North

Tales from the Man Cave: Going to your doctor is the “man-healthy” option. Why should you visit?

Man with his arm around a statue.

Talking to someone about your body and health concerns can be frightening – you may prefer statues – but Jim challenges men to be vulnerable for a while. A quick chat with the doctor can empower you to make choices about health before you are forced to be talking about disease.

It would be great if we could all cut disease off at the pass and catch every ailment before it developed.

Wouldn’t it be nice if we could consign disease to history with each of us simply dying in our own beds of old age?

This is a utopian dream, of course, but it is grounded in the need to move our focus from illness to health. That is my discussion here and in my opinion we actually need to access our doctors before we develop a reason to go see one.

The problem with us males might be that we tend to think that if we can work, then we must be healthy. Sometimes we also have the tendency to bury our heads in the sand and ignore the warning signs. I recently did that myself!

Going to the doctor once a year for that face-to-face time or to check blood work or blood pressure is the healthy option for men. I have heard men say that they would not visit a doctor in case “they found something.” As much as I understand that nobody wants to have “something”, it is generally better to have that “something” discovered before it bites your backside and is too late to treat effectively.

The need to try and find disease before it happens is not only wise, but is a strategy employed in many civilized nations with public health departments. Strategies such as immunization and health education are well advanced and often taken for granted. As are such things as access to clean drinking water and sanitation. Without these, many people become ill and many die.

Going to your doctor causes little harm in itself (perhaps some anxiety) and actually empowers you to make choices about your health before you are talking about your disease.

Discussing changes in our bodies and concerns about our health with our doctors gives us the best chance at avoiding some types of cancer and heart disease by making lifestyle changes when they’re still effective at improving our health. Stopping smoking, eating more vegetables and fruit, managing stress and living an active life can not only help us live longer, but live better. Feel better for longer.

Death – so far – has not been overcome, I am told.

Talk to your doctor and be a little vulnerable for a while. No one needs to know about it.

All the best.

Jim Coyle

About Jim Coyle

Jim is a tobacco reduction coordinator with the men’s health program, and has a background in psychiatry and care of the elderly. In former times, Jim was director of care at Simon Fraser Lodge and clinical coordinator at the Brain Injury Group. He came to Canada from Glasgow, Scotland 20 years ago and, when not at work, Jim plays in the band Out of Alba and spends time with his family.

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Tales from the Man Cave: Stress

Cloudy skies

Stress can feel like there are storm clouds overhead.

Stress is an unavoidable part of our daily lives. It can motivate us to get things done, but it can also overwhelm us if we don’t know how to manage it. It is said that about 20% of the population will suffer from serious stress issues at some point in their lives. Pressure at work, trouble with relationships, and our own expectations can all lead to increased levels of stress. Chronic stress can lead to disease and therefore it’s important to learn to manage our stress in healthy ways.

Stress can lead to a number of physical problems and in the long term even damage blood vessels, contributing to heart disease, high blood pressure and various other ailments.

Stress can also really affect your thinking and feelings. We have likely all had stressful thoughts and feelings at various times during our lives, but if they persist, they can lead to something more serious like depression and anxiety, which will need professional help.

Below are some examples of thoughts and feelings that might be an indication that stress in your life is becoming unmanageable and that you might need help:

  • You may have persistent thoughts about things going wrong and can even have panic attacks. You may believe you have screwed things up in your life or feel like a failure. You might feel full of doom and gloom about your life and find yourself waiting for the worst to happen.
  • You may often feel unwell and tense.
  • You might feel as if you have no energy for anything. You slow down.
  • You might be more irritable and you may be quick to lose your temper.
  • You’re not able to concentrate like you used to.
  • You might not sleep well or you can’t “switch off”.
  • You may also feel worthless or hopeless. You cry a lot.
  • You find yourself drinking too much or using other substances to cope.
  • You might avoid certain places in case something bad happens. You escape from places when you feel tense. You retreat from life and try to protect yourself against the world.

These things can come on either slowly over time or suddenly after a major life crisis. It can be like a vicious downward cycle that feeds on you – there is a close link between stress, anxiety, panic, depression, poor sleep, and substance abuse. Anxiety and depression are very commonly found together.

Like many things in life, these feelings and conditions can be either mild, moderate or severe. If you feel it is all too much, you need help and you need to talk to someone about it.

Did you know? Although women are twice as likely to be diagnosed with depression, men are 3-4 times more likely to die by suicide.What can be done?

There are many things in general that can be done to defeat or manage stress symptoms.

  • Talking to someone is a great way to help yourself! There is no shame in being vulnerable as this can also help others to reach out to you.
  • Exercise has been demonstrated to reduce the effects of stress and has the spin off that it can make you feel healthier and feel good with the release of all those “feel good” chemicals.
  • Write down a list of stressors in your life. Often the very act of writing down the stressful things can give you a more realistic view and you might see ways to reduce your stress that you hadn’t thought of yet.
  • Reduce your intake of caffeine and alcohol as both can worsen stress and anxiety. Caffeine can increase jitteriness and anxious feelings and alcohol can make you feel depressed. In the long term, alcohol can make you anxious and even lead to panic attacks.
  • Healthy eating and good nutrition has also been shown to be helpful in combating stress, giving the body the energy and nutrients it needs to fight stress effects.
  • Take a “one thing at a time” approach to help you get through the tasks of the day and to stop you from running everything together and going over things again and again.
  • Focus on the positive and try to find at least 5 things each day to be thankful for. Gratitude works in changing the conversation from negative and self-deprecating to positive and grateful.
  • Try yoga and meditation. Maybe it’s time to join a group and change up your life and learn some new things. Research shows that meditation is very useful in helping people cope with stress. People can learn that they are ‘not’ their thoughts and that thinking and self are different. This can help combat negative thoughts.
  • Avoid isolating yourself and think about doing things for other people. Helping others helps us to feel better about ourselves. Join a group of some kind to give you an interest that is different from family and work.
  • Go to a counsellor. There are many well-researched thought and behaviour therapies that can help people re-imagine their lives for the better.
  • Talk to your doctor about your stress if you are having trouble coping. There are ways that your doctor can help with anxiety and depression.

Some people can become so stressed that they may even consider suicide.

If you have suicidal thoughts or thoughts about death you need to speak to your doctor and counsellor immediately. I know what you’re thinking: “But I’m a man, Jim, I shouldn’t ask for help.” I’m here to tell you that you can ask for help and that it makes you an even stronger man for doing so. You can call a crisis line and talk to someone there confidentially or seek emergency help by calling 911.

Jim Coyle

About Jim Coyle

Jim is a tobacco reduction coordinator with the men’s health program, and has a background in psychiatry and care of the elderly. In former times, Jim was director of care at Simon Fraser Lodge and clinical coordinator at the Brain Injury Group. He came to Canada from Glasgow, Scotland 20 years ago and, when not at work, Jim plays in the band Out of Alba and spends time with his family.

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Spreading men’s health across the north!

Two speakers at a conference.

Holly Christian (Northern Health) and Trevor Kehoe (First Nations Health Authority) speak at Men’s Health Works. What can you do to promote men’s health?

When working in an emerging area of health promotion in the north, it can often feel like you’re the lone soldier on the battlefield. The battle we are currently waging is men’s health.

Statistics on the cost of men’s health in Canada released by the Canadian Men’s Health Foundation are startling to say the least and highlight the ongoing need for prevention work.

Northern Health has been a key player in the men’s health movement in Canada, gaining much attention for the cause with the release of the insightful Where are the Men? report. That’s not to say there aren’t other groups working on men’s health in larger centres. There are also groups focused on specific men’s health issues. We’re likely all aware of the Movember phenomenon and many other pockets of prostate cancer work being done.

However, men’s health is complex and involves more than just their testicles. The risks for chronic disease (including sedentary behaviour, obesity, poor diet, stress and smoking) are showing up in all men of all age groups. In fact, there’s never been a better time to come out from behind the 8-ball (pardon the pun) and figure out our next move.

Men’s Health Works

On June 8, 2015, thanks to the Centre for Excellence in Cancer Prevention and the BC Healthy Living Alliance, researchers, health promotion staff and community members came together in Prince George for the Men’s Health Works workshop. It was a great opportunity to showcase, for a northern audience, men’s health work happening across B.C. and beyond!

Men’s Health Works covered topics including men’s health in the workplace, suicide and depression, First Nations men’s health, and a highlight of POWERPLAY and Working on Wellness, two research projects taking place in northern, male-dominated workplaces (to learn more about Working on Wellness, check out the latest issue of A Healthier You magazine!).

The passion for men’s health in the room was evident! The fact that the men’s health message is spreading is a testament to the work of not only researchers and health authorities like Northern Health, but the amazing work of community members who are making men’s health a priority and talking about it at home, work, school, and on the ground!

My key takeaway messages from the workshop were:

  • Women have a huge role to play in the health of men. As mothers, sisters, daughters, spouses, aunties, cousins and friends, they need to encourage and support the men in their lives to prioritize their health.
  • Workplaces are in a unique position to support men’s health in an environment where men spend most of their time. Policies that support health both at work and after work lead to healthier, happier workers.
  • Local champions for men’s health can have a big impact in their communities.
  • Current Canadian research is leading to the development of resources aimed at men that address depression, suicide, and social isolation.

What can you do to help promote men’s health?

Holly Christian

About Holly Christian

Holly Christian is the NH Men's Health Coordinator. Previous to this, she worked as the school nutrition lead for Northern Health’s population health department. Her passion for food and health promotion drew her to the nutrition field and she relocated to northern B.C. from the east coast. Although she has fully embraced northern living, she enjoys the warmth of the sun and the sound of the ocean. She stays active by training for triathlons, and is looking forward to this year’s community garden harvest – a personal experiment that is so far succeeding!

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Tales from the Man Cave: Sun is fun but you need to take precautions

Airplane in a sunny sky

If you’re out in the sun – maybe taking in Quesnel’s SkyFest this weekend – be sure to take precautions like wearing a wide-brimmed hat, sunglasses, and sunscreen.

I just heard about a new skin disease. Well, it’s as new to me as this lump on my head. Funny, that! Here’s what happened:

Bald guy shaves head, notices a lump about size of sixpence (bigger than a penny, smaller than a nickel for you Canadians!) that feels like sandpaper and is real itchy.

Bald guy’s inside voice thinks, “What is that? Don’t know, but it’s OK.”

Eventually, I visit my doc for something else.

Lo and behold, the doctor he sees the lump and pronounces: actinic keratosis!

“What’s that about my hairy toes?” I think.

Actinic keratosis. The sun has damaged my skin. I mention this because as we age, it is so easy to discount certain things as occurring “just because” we are getting older. Some of them are linked to simply getting older and some are not, so it really is best to get thoroughly checked out if you’re suspicious of anything. It can do no harm. I messed up this time and should’ve connected with my doctor after that first itch. But I’m getting ahead of myself!

I had had this lump for about 4 months and thought, “it’s OK, it will heal next week.” And then when it did not heal, I would say to myself, “it does not look like a melanoma to me, so I will wait and see.” And so I waited 4 months and finally asked my doctor as an aside after much prompting from wife.

So, looking back and given the fact that I am always telling others to get checkups, why did I just ignore the lump and my own advice and chalk it up to “getting older”? I think that I did so for the same reason as a lot of other guys do: I just thought that this was no big deal. That I would be OK. Luckily for me, I was – but what if I was not?

Actinic keratosis is a skin disorder that can be pre-cancerous but, luckily, is very easily treated with nitrous oxide. It can, however, develop into squamous cell cancer, which, although also easily removed, can get into the lymphatic system and spread. This, of course, is not such a good outcome but is mostly avoidable by paying attention to the skin around the areas exposed to the sun, like the top of your head, ears, face, shoulders and chest.

So, sun is fun, but make sure you cover up and take precautions! HealthLink BC has some information about that.

I am a pink flamingo, never tanned in my life, but I do like the sun. Even today, I caught myself out in the yard without a hat.

Doing the right thing is not so easy sometimes, but my summertime resolution is to cover up and wear a wide-brimmed hat, sunscreen and shades when I am outdoors. Even if I add long sleeves and pants to the mix, there is no reason why I should not be still enjoying the good weather.

Jim Coyle

About Jim Coyle

Jim is a tobacco reduction coordinator with the men’s health program, and has a background in psychiatry and care of the elderly. In former times, Jim was director of care at Simon Fraser Lodge and clinical coordinator at the Brain Injury Group. He came to Canada from Glasgow, Scotland 20 years ago and, when not at work, Jim plays in the band Out of Alba and spends time with his family.

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Tales from the Man Cave: There’s no smoke without fire

Stuart Lake

Keep an eye on air quality before planning your days this summer! With wildfires raging and dry conditions so far this year, not all days will be as clear as this beautiful afternoon at Stuart Lake!

With B.C. wildfires – including plenty in northern B.C. – dominating the headlines recently, I’m worried.

I’m worried that soon – and for some of you this may already be the case – I will be stuck indoors as outside there will be two enemies of my personal health which will keep me imprisoned:

  1. The smell of smoke in the air from a forest fire, which makes me cough.
  2. That lovely sun, which recently hit 32 degrees for me, even in the shade. I took my wall thermometer off the wall to see what the temperature would be if I placed it in the sun. Within minutes it went to 42 degrees! Standing still for any length of time will do that to your skin, too! 42 degrees. Holy smokes! It was not quite a scientific experiment, but all the same, it was very hot!

The recent headlines and my past experiences during this time of year got me thinking about wellness and all the other issues related to these two conditions, like air quality advisories and sunscreen.

At one point last year, my local air quality health index was at 7, which is high risk. Given the current fire situation, I suspect that I’ll see that number again this year – some of you may have already. You can check your local air quality at bcairquality.ca.

So, what’s the advice given to those of us with respiratory ailments, children and the elderly at these levels?

Take it easy, stay indoors if you can (well, yes, it may also be plus 30!), and try and avoid strenuous activities during the period of the warning. This, I should say, also applies to the general population. If you are working outside and it’s causing you to cough, maybe you should take it easy, too. Catch up with the yard work another time.

And did I mention sun? I don’t think I have to tell folks these days that as beautiful as it is, it also harbours some dangers in the form of skin cancer from too much exposure. Use a sunscreen with an SPF of 15 or higher and spend as little time in the sun as possible. Higher SPF doesn’t mean you can stay out longer! Also, try to cover up as much skin as possible, especially if you are as fair as I am, and especially on top of your head.

Lastly, keep an eye on local air quality advisories, especially if there are forest fires out in your area as exposure to smoke and particulates can trigger asthma and worsen other respiratory ailments.

Happy holidays!

Jim Coyle

About Jim Coyle

Jim is a tobacco reduction coordinator with the men’s health program, and has a background in psychiatry and care of the elderly. In former times, Jim was director of care at Simon Fraser Lodge and clinical coordinator at the Brain Injury Group. He came to Canada from Glasgow, Scotland 20 years ago and, when not at work, Jim plays in the band Out of Alba and spends time with his family.

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Tales from the Man Cave: Stroke awareness and heart disease

Learn the signs of stroke: Act FAST

Do you know the signs of stroke?

Sometimes we spend so much time doing what we are doing that we forget why we are doing it. This, of course, also happens in men’s health blogging. Why am I blogging?

After rereading Where Are The Men? (the men’s health report), it is once again obvious why I need to do what I am currently doing. We have to somehow give men the ability to live healthier, longer lives by providing information that is current and well-researched.

One thing is clear: men are dying younger than women and we need to address that gap. To do this, we need to address the causes of earlier male mortality and look at the lifestyle factors that contribute to that. Lifestyle factors are things that we men can change. Making small changes to your lifestyle will have a big effect on your health! So what can we men do to live longer, healthier lives?

It’s Stroke Month so I’ll start there!

Heart disease and stroke prevention

The Heart & Stroke Foundation has information on the risk factors that you can do something about to prevent heart disease. For the Mayo Clinic, they present this as five steps to follow to reduce your risk of heart disease and stroke.

  • Quit smoking.
  • Exercise at least 30 minutes a day on most days of the week.
  • Eat a diet that’s healthy.
  • Maintain a healthy weight.
  • Get regular checkups.

If you are overweight, smoke and have a poor diet, the road ahead can seem overwhelming. It is, however, very achievable. How, you ask?

Start with one step. Then add another.

At first, the best step might simply be to go to the doctor and have your blood pressure checkup. Then you have a starting point that can be a valuable place from which to decide your next move in consultation with the doctor.

In addition, add some fruit and vegetables to your diet, as well as some extra activity and exercise to your life. For some people, this is best done by doing something that makes sense to them, like walking to work. Park the car further away. Take the stairs. Stand up more often if you are in a sitting job. Simple things done often can mean a lot in the long term.

Stop smoking.

If you smoke, there really is no getting around it. You have to stop.

Stopping smoking is the one big thing that you can do to help yourself. Nicotine replacement therapy is now available via 8-1-1 to help you quit and your doctor can also help if you are having a really hard time.

A stroke is a real, life-threatening emergency and requires rapid emergency response. Lifestyle changes can reduce the risk of having one. Let’s make some changes!

Jim Coyle

About Jim Coyle

Jim is a tobacco reduction coordinator with the men’s health program, and has a background in psychiatry and care of the elderly. In former times, Jim was director of care at Simon Fraser Lodge and clinical coordinator at the Brain Injury Group. He came to Canada from Glasgow, Scotland 20 years ago and, when not at work, Jim plays in the band Out of Alba and spends time with his family.

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Health is a journey, not a destination

Photo of man holding basketball

After a health screening, Duane Jackson took steps to improve his health and is sharing his story and tips to inspire other men.

This week is the 2nd Annual Canadian Men’s Health Week. It’s an excellent opportunity to look at some of the highlights of men’s health work in the north and to acknowledge some of the men who are making positive changes in their lives. I thought it would be a great time to share my interview with Duane Jackson.

Duane is Gitanmaax from Old Hazelton but has lived in Prince Rupert most of his life. Duane shared with me his story of how he has taken steps towards improving his health.

What motivated you to look at your health?

Every year, I do the health screening that is offered at the All Native Basketball Tournament. Two years ago, I was honoured to be the Male Role Model for both this initiative and the tobacco reduction program. I thought that this title should be more than just show! When I first did the testing, my blood sugar, blood pressure, and cholesterol levels were all pretty high so I started taking steps towards lowering those by looking at what I was eating and by being more active. This past year, I went in and took the screening again and my blood sugar and blood pressure were lower but my cholesterol was twice as high as it was supposed to be. At 48 years old, this wasn’t something I was willing to simply look past and not take seriously.

What did you do?

It was recommended to me that I see my doctor and have further tests done. I booked an appointment right away and the tests came back with the same results. Between my doctor and I, we came up with the plan to lose 30 pounds over the next 6 months. I started walking to and from work every day. In fact, any time I had to go out, I walked. I cut caffeine completely out of my diet and my energy levels went up within the week. I started eating foods with healthier fats, like walnuts, to help with my cholesterol. I started checking labels for saturated fats and was surprised to find that some foods that we are being told are very healthy really aren’t. Check the label!

What changes have you noticed?

I haven’t really checked my weight but I can tell you that I have had to purchase new clothing as my other shirts were starting to hang off me and all of my pants are too big. I even pulled on a pair of pants that I had stopped wearing a while ago when they got too small! I am also looking to use the belt punch for the first time, well, ever.

I have started to see things differently, too. I thought that I had played my last game of basketball, but now I’ve purchased a new pair of shoes and am planning to make my 48-year-old comeback next season!

Any message you’d like to share with men?

As a very good friend pointed out to me, “You don’t know what you don’t know until you know you don’t know it.” I would recommend to all men to get the health screening done because I was feeling pretty healthy and the truth is that I wasn’t. As a father of three, I can say that knowing was my first step.

The steps afterward weren’t life-ending decisions, they were only a life change and, truthfully, not hard ones. I still have a treat every now and then and even treat myself to fast food occasionally – I just walk home afterward. Also, I don’t think that I’m aiming for the 30 pounds anymore, I’m simply aiming to be healthy. I won’t know when I’ve reached the pounds I wanted to lose, I’m fairly certain that this is my life from now on.

Haa’mii’yaa,

Duane

Feeling motivated yet? What things have you done this week to improve your health?

Doreen Bond

About Doreen Bond

A true Northerner, Doreen was born and raised in Prince Rupert and has lived in the north her whole life. She works in at the Public Health Unit in Prince Rupert as a Regional Tobacco Reduction Coordinator with Northern Health’s Population Health team. Doreen is passionate about tobacco reduction and has a strong interest in community development. Once contemplating a move to Vancouver Island, she chose to stay in Prince Rupert to raise her sons with everything the north has to offer. In her spare time, she loves sport fishing on the ocean, beachcombing on the white sandy beaches and hiking outdoors on the pristine mountain trails. When not at work, Doreen can be found at home, spending quality time with her family and friends and taking the odd bellydancing class.

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Tales from the Man Cave: We men can help each other cope with life

Numbers are funny creatures – or at least the way we react to them is funny.

Take prostate cancer mortality rates, for example. Roughly 4,000 men die each year from prostate cancer in Canada. Most are well over 50 years of age and each and every case is undoubtedly a tragedy. There are walks and talks about it and the message is getting out, which is great. There is a Movember fundraising event as well as Ride for Dad and Big Blue Ball. I have many friends who are currently being treated for prostate cancer and, as far as I am concerned, we cannot do enough to raise awareness and raise funds for research to improve their chances.

But there are other statistics about men and mortality, too, and they get less attention. Some 2,700 males commit suicide every year in this country. Some estimate that this figure actually hides the true number, in part because some motor vehicle accident fatalities, for example, are probably suicides. This number has remained more or less stable throughout the past several years.

In British Columbia, suicide is one of the top three causes of mortality among men aged 15 and 44. In Canada, suicide ranked as the seventh leading cause of male death in 2007.

It’s a tragedy that is hidden and taboo. Families who have lost loved ones in this way understandably don’t want to shout it from the rooftops but as a society, we should.

Culturally, men are at a great disadvantage for depression and suicide. We are not encouraged to talk about our “feelings” and, in fact, doing so is actively discouraged. It makes the guys feel a little awkward when someone starts going on about feelings. Most feel inadequate at dealing with it. What do we hear all the time? Boys need to “man up” and “suck it up” and “stay strong.” Vulnerability will not be tolerated!

This was probably an OK strategy when it came to the need to keep the tribe strong and fearless. In survival and war, there is not much room for talking about feelings. But in our modern world, it is a hindrance to health at best and a tragedy of enormous proportions at worst. Compared to women, fewer men report feelings of depression or suicidality but more men are likely to kill themselves, though women actually make more suicide attempts. The methods that men use are more lethal, resulting in 4 times more deaths. It is, therefore, really important that we change the way we think about men and talking about our feelings.

We men pay a heavy toll for silence and society as a whole suffers much from male mental health issues. It starts very early with alienation and isolation. The use of drugs and alcohol to “cope” compounds the issue and may result in addiction, violence, absenteeism, and increased road traffic accidents, to mention just a few.

Getting help is actually a sign of strength. The Crisis Centre is a wonderful resource.

We sometimes think that we need permission to seek help and support when things are tough. If that’s you, consider this your permission. May we men enable each other to seek the help we need. May we be the shoulder that supports a friend or workmate when needed.

Stay well!

Jim Coyle

About Jim Coyle

Jim is a tobacco reduction coordinator with the men’s health program, and has a background in psychiatry and care of the elderly. In former times, Jim was director of care at Simon Fraser Lodge and clinical coordinator at the Brain Injury Group. He came to Canada from Glasgow, Scotland 20 years ago and, when not at work, Jim plays in the band Out of Alba and spends time with his family.

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Tales from the Man Cave: Breaking the taboo – let’s talk ED!

Francois Lake

We know that ED can be an uncomfortable topic, so Jim’s provided a picture of beautiful and soothing Francois Lake while he has a frank conversation about prevention and treatment.

It’s Men’s Health Week so I thought I’d write about a health topic that carries a big taboo amongst us men. Because what better time to get the conversation going?

I always seem to be writing about worrying things and this time is no different. For our sexual health, we should all be aware of it and despite how the media sometimes portrays this, if you have it, then it’s no joke.

It is erectile dysfunction (ED) and it carries a heavy taboo. ED is a fairly common condition in males as they age, but is also a complex matter that can be affected by numerous lifestyle factors. It is these that we can try to change so let’s take a look at them.

Alcohol, drug use and smoking can all lead to erectile dysfunction.

Obesity also has an impact and a good rule to keep in mind is basically, if your belly is too big and you can’t see your tackle, then that’s a problem.

It is important to know that hypertension and diabetes are also causes, along with atherosclerosis, or a hardening of the arteries. ED can be an early indication that all is not well with your veins and arteries and can be a sign that heart disease may be down the road. A good reason to see a physician and have a checkup!

Given the taboo – and how special our, ahem, tackle, is for many men – I think ED is every guy’s worst nightmare! The psychological causes of erectile dysfunction can be every bit as distressing as physical ones and ED can be a symptom of depression and anxiety.

The incorporation of a healthy diet with an active lifestyle as well as stopping smoking can help mitigate some of this and there is some evidence that aerobic exercise may benefit those with ED, too.

In fact, living an active life and getting enough exercise in combination with a healthy diet can go a long way to helping with both ED and all of these causative issues. It can also improve your health in general as well as your performance. It’s not a quick fix, but it’s really a healthy option.

There are other causes such as nerve damage or low levels of testosterone. Your physician can run a battery of tests to see what the cause is and let you know if medication might be on the agenda. The main thing about all these things is to talk them over with your doctor and partner. This article is too short to be able to cover all the angles, so I’d suggest HealthLink BC if you want some more information.

ED is a serious condition that can make you miserable. But take it from me: you are not a loser, you are not alone, and it’s not the end of the world. The good news is that there is treatment available and, more importantly in some ways, know that you can take steps to prevent it by modifying your lifestyle!

Jim Coyle

About Jim Coyle

Jim is a tobacco reduction coordinator with the men’s health program, and has a background in psychiatry and care of the elderly. In former times, Jim was director of care at Simon Fraser Lodge and clinical coordinator at the Brain Injury Group. He came to Canada from Glasgow, Scotland 20 years ago and, when not at work, Jim plays in the band Out of Alba and spends time with his family.

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Tales from the Man Cave: The sacred and the evil

Charred pack of cigarettes

Jim’s got a fiery message on the heels of World No Tobacco Day: there is no safe level of exposure to cigarette smoke. There is more support than ever to quit!

Tobacco is not an evil thing in and of itself. It has been used ceremonially for eons in Aboriginal cultures and even used by some for medicinal purposes. As a sacred gift, it has been given and used as a way of making peace or a contract. Historically, it is a very important plant. It has also been used as a pesticide, but this use has largely stopped because it’s also very poisonous when eaten.

Tobacco smoke it is both a relaxant and a stimulant. It can help with depression but may also cause depression. It can make you calm and it can make you more anxious. It is thought to be the type of drug that opens up the brain to develop other addictions and is therefore called a gateway drug.

Boring it is not. Dangerous it is.

So, on the heels of World No Tobacco Day, the main point of this blog is not to disparage the tobacco plant but rather the misuse of tobacco, outside of its sacred, traditional use.

When misused, tobacco is a killer. Smoke it, chew it, snuff it and it will addict you! It will lead to cancer and it will kill you. It will kill you through many different cancers, such as lung cancer, but also through heart disease and lung disease.

Make no mistake: the misuse of tobacco products in a modern context such as cigarette smoking or chewing is a great evil that may kill 1 billion people on this planet in this century according to the World Health Organization.

The language in this blog is a little strong, but I feel this strongly about it.

It is my wish that not another lung choke, nor another heart fail, nor another living thing die from this addiction. And my wish for you, the smoker and tobacco user, is to know that it can be overcome. There is more support than ever! You can access free counselling by text, phone or email as well as information to help you quit at QuitNow.ca.

If you are a smoker, encourage your children to never start using tobacco.

It is hard, yes. But you can do it! All British Columbians can access free nicotine patches or nicotine gum through the BC Smoking Cessation Program.

Jim Coyle

About Jim Coyle

Jim is a tobacco reduction coordinator with the men’s health program, and has a background in psychiatry and care of the elderly. In former times, Jim was director of care at Simon Fraser Lodge and clinical coordinator at the Brain Injury Group. He came to Canada from Glasgow, Scotland 20 years ago and, when not at work, Jim plays in the band Out of Alba and spends time with his family.

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