19 February 2009

Young Stroke Patients



When we say 'young' we mean those patients who are 45 years old and lower.

Yes, owing perhaps to a (modern) sedentary but stressful lifestyle, I have personally encountered patients consulting not just for high blood pressure or abnormal fasting blood sugar levels, but for high cholesterol levels and chest pains. There was a time when these symptoms were present only in patients who were older --- those who were in their early 60s and above.

ER staff should always think out of the box, and recognize the telling symptoms of stroke or heart attacks even in young patients.

13 February 2009

Jose Miguel Arroyo's Stress Condition

This is Mr. Jose Miguel Arroyo, popularly known in this country as the First Gentleman, being the husband of our second female president. His popularity stems lately more from speculations (and rumors and more rumors) of his notoriety, of him meddling in government contracts, of which he should NOT have a part of. But as I said, these are speculations. No one has been bold enough to present credible evidence to substantiate the hurled accusations.

Two years ago, after being diagnosed with aortic aneurysm, he underwent a delicate surgical operation. Either because he had excellent doctors, or because his nine lives haven't been exhausted yet, he emerged from this ordeal as a triumphant winner. He's still having weekly rehabilitation sessions in the hospital until now, but his doctors can attest to his magnificent recovery.

Recently, he's making the headlines again because senators want to question him again on his alleged involvement on contracts entered into by the government years ago. 'Problem is, he does not want to be questioned and "grilled" in the Senate. His doctors support this claim. I am not his doctor, but I know most of his doctors, and I can only agree on their professional opinion that any stress brought upon him by the senate questioning can, and might be fatal for Mr. Arroyo.



He even had --- what I think is --- an accurate assessment of his overall condition, and how he abhors being classified, if ever, as a statistical mortality figure:



Indeed, stress kills. And if one can avoid stress, why not? Different people have different sets of stressors. Also, people have varied ways of reacting to these stressors. What may stress you might not affect me at all, and vice-versa.

Reaction to stress depends on both a person's psychological and emotional states. Not everyone can handle it as good or better than some who breeze through it daily.

'Thing is, just like allergens, if you know the culprit, you know best how to avoid it. For Mr. Arroyo and his doctors, the answer is simple. Avoid direct questioning. It will only raise blood pressures, and heaven knows what might happen next.

The relationship between psychological stress, cardiovascular stress activity, and the resulting thickness of carotid arteries (those large blood vessels on the sides of your neck) has been established in both adults and children in medical studies.

Stress can erode our healthy well-being over time. Sure, we might try our best to avoid it. We might even force ourselves to smile even when there's nothing to be happy about, but sooner or later, stress catches up, and seizes us when we least expect it.

The gossipy barbers in my favorite barbershop say that where there's smoke, there's usually fire. They mince no words in concluding that the past must be catching up with the president's husband. But again, that is speculation, and "hearsay," as what Mr. Arroyo said in the news item.

A doctor's job is to offer measures to lengthen his patient's life. A barber? Well, he tries to make you look good when things look bad. He also entertains you with gossip materials. Hahahaha. I digress.

A patient, of course, wants to live as long as he wants. Avoiding all kinds of stress is a possible solution. But it is most difficult to achieve.

11 February 2009

Multivitamin Hype

A new large study done among postmenopausal women suggests that taking multivitamins has "little or no influence on the risk of common cancers, CVD, or total mortality."



Spending money and taking on a lot of vitamins does little to prevent cancers or heart disease? I have long suspected this. For me, the best vitamins are still those we get in our respective diets. Yes, I know it is quite impossible to get that recommended daily allowance from diet alone, but if there are no benefits to be reaped from doing so, why are many people still taking them?

More so, why are doctors still recommending and prescribing them to patients?

This study, granting both doctors and patients will notice it, will do little to affect their prescribing and buying behaviors.

My guess is, they do this for lack of a better alternative to heal whatever ails them. It provides some kind of psychological security blanket. Yes, much like what Linus Van Pelt's blanket does in Charlie Brown, if you're familiar with it.

More on the study:
  1. It is a large study that is part of the Women's Health Initiative clinical trials.
  2. More than 67,000 post-menopausal women took multivitamins and were followed up for 7.9 years and observed for cancers of the breast (invasive), colon/rectum, endometrium, kidney, bladder, stomach, ovary, and lung; heart disease ailments (myocardial infarction, stroke, and venous thromboembolism); and total mortality.
  3. Conclusion ---"....multivitamin use has little or no influence on the risk of common cancers, CVD, or total mortality in postmenopausal women."

10 February 2009

Very Few Consult For Flu



I think this is true in most parts of the world. Not too many people sick with flu or cough and colds go to their doctors to seek help.

Why would they? For an ailment that comes and goes?

But what ticks me off is when I overhear some asking for "quick medical consults" in pharmacies.

What's the best medicine for headache or cough?

What's the medicine to give a newborn with cough and colds?

Is it okay to take so-and-so medication 3x a day?

Sick people seek these "free consults" in drug stores by asking the sales ladies, or any other sales person around. And yes, these salespeople give out prescriptions as doctors would.

Now, I'm not putting these people down. For all we know, their batting average might be tilting more on the correct side. But still, the adage that a little knowledge might be dangerous holds true here. Most particularly when we deal with illnesses and prescription medications.

Yes, I know there is expense involved when consulting doctors. But if a false prescription causes harm, I think the expense would be much more than if a mere consultation with a doctor was done.

06 February 2009

Michael Phelps and Marijuana



The full story is here.

I think a 3-month suspension can distract the momentum of a champion swimmer on his way to winning more medals.

Never mind the canceled Kellogg deal, I really think this is a very heavy penalty for someone who has probably out there trying to have fun when he did it, and not really bent on getting hooked or addicted to the forbidden drug. But hey, that's just my opinion. After all is said and done, I know what he did really merits some kind of punishment.

In the LATimes' Dish Rag, this was the talk going on:



Even champions err in judgment once in a while.

04 February 2009

Doctors and Pharma Companies

This has been going on for years. Both parties are at fault. One never wavers in tempting, while the other one enjoys being tempted.



So, nothing new there. The real news is, if and when this practice stops.

There are only a handful of good doctors out there who are courageous enough to resist.