HEALTH FOR SENIOR CITIZENS
(Updated on 4th December 2011)
SPECIAL ARTICLE
Life can begin at 50/60/70, it is all in your
hands!
Many people feel unhappy, health-wise and security-wise,
after 50/60 years of age owing to the diminishing importance given to
them and their opinions. But it need not be so, if only we understand
the basic principles of life and follow them scrupulously.
Here are ten mantras to age gracefully, make life
after retirement pleasant, enjoy and treasure the elders years of wisdom
and intelligence at its best.
1. Never say ‘I am aged': There are three
ages, chronological, biological, and psychological. The first is calculated
based on our date of birth; the second is determined by the health conditions
and the third is how old you feel you are. While we don't have control
over the first, we can take care of our health with good diet, exercise
and a cheerful attitude. A positive attitude and optimistic thinking
can reverse the third age. 2. Health is
wealth: If you really love your kids and kin, taking care of yourself
and your health should be your priority. Thus, you will not be a burden
to them. Have an annual health check-up and take the prescribed medicines
regularly. Do take health insurance cover. 3.
Money is important: Money is essential for meeting the basic necessities
of life! , keeping good health and earning family respect and security.
Don't spend beyond your means even for your children. You have lived
for them all through and it is time you enjoyed a harmonious life with
your spouse. If your children are grateful and they take care of you,
you are blessed. But never take it for granted. 4.
Relaxation and recreation: The most relaxing and recreating forces are
a healthy religious attitude, good sleep, music and laughter. Have faith
in God, learn to sleep well, love good music and see the funny side
of life. 5. Time is precious: It is almost
like holding a horse's reins. When they are in your hands, you can control
them. Imagine that every day you are born again. Yesterday is a cancelled
cheque. Tomorrow is a promissory note. Today is ready cash — use
it profitably. Live this moment. 6. Change
is the only permanent thing: We should accept change — it is inevitable.
The only way to make sense out of change is ! to join the dance. Change
has brought about many pleasant things. We should be happy that our
children are blessed. 7.
Enlightened selfishness: All of us are basically selfish. Whatever we
do, we expect something in return. We should definitely be grateful
to those who stood by us. But our focus should be on the internal satisfaction
and happiness we derive by doing good to others, without expecting anything
in return. 8. Forget and forgive: Don't
be bothered too much about others' mistakes. We are not spiritual enough
to show our other cheek when we are slapped in one. But for the sake
of our own health and happiness, let us forgive and forgetthem. Otherwise,
we will be only increasing our BP. 9. Everything
has a reason. A purpose: Take life as it comes. Accept yourself as you
are and also accept others for what they are. Everybody is unique and
right in his own way. 10. Overcome the
fear of death: We all know that one day we have! to leave this world.
Still we are afraid of death. We think that our spouse and children
will be unable to withstand our loss. But the truth is no one is going
to die for you; they may be depressed for some time. Time heals everything
and they will carry on.
And lastly, (though this was not in the original book/manual) have a
cheerful evening always........ Cheers.....
Regardless How Far The Journey Is OR How Capable We Are, We Do Our Best
To Reach Our Goal.
This Is Perseverance At Its Best ...
—Anonymous
DEMENTIA - HOW TO AVOID IT
To help ward off dementia,
train your brain:
*The minute you said you are retired, Dementia
STARTS !!!!
Timing is everything, comedians say. It's also important when it comes
to taking care of your brain. Yet most of us start worrying about dementia
after retirement - and that may be too little, too late. Experts say
that if you really want to ward off dementia, you need to start taking
care of your brain in your 30s and or even earlier.
"More and more research is suggesting that lifestyle is very important
to your brain's health," says Dr Paul Nussbaum, a neuro-psychologist
and an adjunct associate professor at the University of Pittsburgh School
of Medicine "If you want to live a long, healthy life, then many
of us need to start as early as we can.
"So what can you do to beef up your brain – and possibly ward
off dementia?”
Dr Nussbaum, who recently gave a speech on the topic for the Winter
Park (Fla.) Health Foundation, offers 20 tips that may help to ward
off dementia.
1.*Join clubs or organizations that need volunteers*. If you start volunteering now, you won't feel lost and unneeded after you retire.
2.*Develop a hobby or two*. Hobbies help you develop a robust brain because you're trying something new and complex.
3.*Practice writing with your non-dominant hand several minutes everyday*. This will exercise the opposite side of your brain and fire up those neurons.
4.*Take dance lessons*. In a study of nearly 500 people, dancing was the only regular physical activity associated with a significant decrease in the incidence of dementia, including Alzheimer's disease. The people who danced three or four times a week showed 76% less incidence of dementia than those who danced only once a week or not at all.
5. Need a hobby? *Start gardening*. Researchers in New Zealand found that, of 1,000 people, those who gardened regularly were less likely to suffer from dementia. Not only does gardening reduce stress, but gardeners use their brains to plan garden they use visual and spatial reasoning to lay out a garden.
6.*Buy a pedometer and walk 10,000 steps a day*. Walking daily can reduce the risk of dementia because cardio vascular health is important to maintain blood flow to the brain.
7.*Read and write daily*. Reading stimulates a wide variety of brain areas that process and store information. Likewise, writing (not copying) stimulates many areas of the brain as well.
8.*Start knitting*. Using both hands works both sides of your brain. And it's a stress reducer.
9.*Learn a new language*.
Whether it's a foreign language or sign language, you are working your
brain by making it go back and forth between one language and the other.
A researcher in England found that being bilingual seemed to delay symptoms
of Alzheimer's disease for four years. (And some research suggests that
the earlier a child learns sign language, the higher his IQ - and people
with high IQs are less likely to have dementia. So start them early.)
10.*Play board games such as Scrabble and Monopoly*. Not only are you taxing your brain, you're socializing too. (Playing solo games, such as solitaire or online computer brain games can be helpful, but Dr Nussbaum prefers games that encourage you to socialize too.) *MAHJONG IS GOOD!* besides which there is the incentive of $$$.
11.*Take classes throughout your lifetime*. Learning produces structural and chemical changes in the brain, and education appears to help people live longer. Brain researchers have found that people with advanced degrees live longer - and if they do have Alzheimer's, it often becomes apparent only in the very later stages of the disease.
12.*Listen to classical
music*. A growing volume of research suggests that music may hardwire
the brain, building links between the two hemispheres.
Any kind of music may work, but there's some research that shows positive
effects for classical music, though researchers don't understand why.
13.*Learn a musical instrument*. It may be harder than it was when you were a kid, but you'll be developing a dormant part of your brain.
14.*TRAVEL*. When you travel
(whether it's to a distant vacation spot or on a different route across
town), you're forcing your brain to navigate a new and complex environment.
A study of London taxi drivers found experienced drivers had larger
brains because they have to store lots of information about locations
and how to navigate there.
15.*Pray*. Daily prayer appears to help your immune system. And people who attend a formal worship service regularly live longer and report happier, healthier lives.
16. *Learn to meditate*. It's important for your brain that you learn to shut out the stresses of everyday life.
17.*Get enough sleep*. Studies have shown a link between interrupted sleep and dementia.
18.*Eat more foods containing
Omega-3 fatty acids*.
Salmon, sardines, tuna, ocean trout, mackerel or herring, plus walnuts
(which are higher in Omega 3s than salmon) and flaxseed.
Flaxseed oil, cod liver oil and walnut oil are good sources too.
19.*Eat more fruits and vegetables*. Antioxidants in fruits and vegetables mop up some of the damage caused by free radicals, one of the leading killers of brain cells.
20.*Eat at least one meal a day with family and friends*. You'll slow down, socialize, and research shows you'll eat healthier food than if you ate alone or on the go.
Dr Hegde recently had a chat with some doctors, surgeons and owners
of nursing homes about the tricks of their trade. Here is what they
said
1) 40-60% kickbacks for lab tests. When a doctor
(whether family doctor / general physician, consultant or surgeon) prescribes
tests - pathology, radiology, X-rays, MRIs etc. - the laboratory conducting
those tests gives commissions. In South and Central Mumbai -- 40%. In
the suburbs north of Bandra -- a whopping 60 per cent! He probably earns
a lot more in this way than
the consulting fees that you pay.
2) 30-40% for referring to consultants, specialists & surgeons. When your friendly GP refers you to a specialist or surgeon, he gets 30-40%.
3) 30-40% of total hospital charges. If the GP or consultant recommends hospitalization, he will receive kickback from the private nursing home as a percentage of all charges including ICU, bed, nursing care, surgery.
4) Sink tests. Some tests prescribed by doctors are not needed. They are there to inflate bills and commissions. The pathology lab understands what is unnecessary. These are called "sink tests"; blood, urine, stool samples collected will be thrown.
5) Admitting the patient to "keep him under observation". People go to cardiologists feeling unwell and anxious. Most of them aren't really having a heart attack, and cardiologists and family doctors are well aware of this. They admit such safe patients, put them on a saline drip with mild sedation, and send them home after 3-4 days after charging them a fat amount for ICU, bed charges, visiting doctors fees.
6) ICU minus intensive care. Nursing homes all over the suburbs are run by doctor couples or as one-man-shows. In such places, nurses and ward boys are 10th cl-ass drop-outs in ill-fitting uniforms and bare feet. These "nurses" sit at the reception counter, give injections and saline drips, perform ECGs, apply dressings and change bandages, and assist in the operation theatre. At night, they even sit outside the Intensive Care Units; there is no resident doctor. In case of a crisis, the doctor -- who usually lives in the same building -- will turn up after 20 minutes, after this nurse calls him. Such ICUs admit safe patients to fill up beds. Genuine patients who require emergency care are sent elsewhere to hospitals having a Resident Medical Officer (RMO) round-the-clock.
7) Unnecessary caesarean
surgeries and hysterectomies. Many surgical procedures are done to keep
the cash register ringing. Caesarean deliveries and hysterectomy (removal
of uterus) are high on the list. While the woman with labour -pains
is screaming and panicking, the obstetrician who gently suggests that
caesarean is best seems like an angel sent by God! Menopausal women
experience bodily changes that make them nervous and gullible. They
can be frightened by words like " and "fibroids" that
are in almost every normal woman's radiology reports. When a gynaecologist
gently suggests womb removal "as a precaution", most women
and their husbands agree without a second's
thought.
8) Cosmetic surgery advertized
through newspapers. Liposuction and plastic surgery are not minor procedures.
Some are life-threateningly major. But advertisements make them appear
as easy as facials and waxing. The Indian medical council
has strict rules against such misrepresentation. But nobody is interested
in taking action.
9) Indirect kickbacks from doctors to prestigious hospitals. To be on the panel of a prestigious hospital, there is give-and-take involved. The hospital expects the doctor to refer many patients for hospital admission. If he fails to send a certain number of patients, he is quietly dumped. And so he likes to admit patients even when there is no need.
10) "Emergency surgery"
on dead body. If a surgeon hurriedly wheels your patient from the Intensive
Care Unit to the operation theatre, refuses to let you go inside and
see him, and wants your signature on the consent form for "an emergency
operation to save his life", it is likely that your patient is
already dead. The "emergency operation" is for inflating the
bill; if you agree for it, the surgeon will come out 15 minutes later
and report that your patient died on the operation table. And then,
when you take delivery of the dead body, you will pay OT charges, anaesthesiologist's
charges, blah-blah-
Doctors are humans too. You can't trust them blindly. Please understand the difference.
Young surgeons and old ones. The young ones who are setting up nursing home etc. have heavy loans to settle. To pay back the loan, they have to perform as many operations as possible. Also, to build a reputation, they have to perform a large number of operations and develop their skills. So, at first, every case seems fit for cutting. But with age, experience and prosperity, many surgeons lose their taste for cutting, and stop recommending operations.
Physicians and surgeons.
To a man with a hammer, every problem looks like a nail. Surgeons like
to solve medical problems by cutting, just as physicians first seek
solutions with drugs. So, if you take your medical problem to a surgeon
first, the chances are that you will unnecessarily end up on the operation
table. Instead, please go to an ordinary GP first
Prof. B. M. Hegde, MD, FRCP, FRCPE, FRCPG, FRCPI, FACC, FAMS.
Padma Bhushan Awardee 2010.
Editor-in-Chief, The Journal of the Science of Healing Outcomes,
Chairman, State Health Society's Expert Committee, Govt. of Bihar, Patna.
Former Prof. Cardiology, The Middlesex Hospital Medical School, University
of London,
Affiliate Prof. of Human Health, Northern Colorado University,
Retd. Vice Chancellor, Manipal University,
"Manjunath"
Pais Hills, Bejai.
MANGALORE-575004. India.
Heart attack info
Natural control of the Prostrate Problem
(See below)
10th July 2011
Monthly Discussion Programme for JULY 2011.
Discussion on the Legal, Judicial, Adminiastrative and Media view about LOKPAL draft Bill and its impact.
Participants:
Justice R D Shukla
Shri J P Vyas (IAS -Retired)
Shri S K Varma, Advocate
and Shri GHanshyam Saxena, Editor GREY HAIR
AT : Day Care Centre, 10 No Bus Stop Flower Market, Bhopal
Time : 1030 hrs
ATTN MEMBERS: 100 a month subscription is due for many. Please deposit to help us run our programmes.
Donations welcome.
Cheques to be marked to "Senior Citizens Forum, Bhopal"
BUDGET 2011-12 Summary in our Concessions page
SAVE WATER
SPECIAL PROGRAMME:
HelpAge India in association with Senior Citizens Forum Has opened a Physio Therapy Centre at DAY CARE CENTRE, Near 10 No Bus stop.
Senior Citizens would be given common treatments on a token payment of Rs 20 per treatment
Calling all senior citizens:
Look after your Health. Follow all instructions of Doctors. Cooperate with Family Members. Avoid FALLs. SLOW DOWN. Keep busy. LAUGH. Detach yourself from possessions. Keep some cash handy for Emergency. SLEEP for 7-8 HRS daily. Let us remain useful to our society. Live in the PRESENT. WALK everyday. Do your own work as far as possible.
Heart attack info
NEW ASPIRIN
Just a reminder to all: purchase a box, keep one in your car, pocketbook,
wallet, bedside, etc.
IMPORTANT READ......
Something that we can do to help ourselves
Bayer is making crystal aspirin to dissolve under the tongue. They work
much faster than the tablets.
Why keep
aspirin by your bedside?
About Heart Attacks
There are other symptoms of an heart attack besides
the pain on the left arm.
One must also be aware of an intense pain on the chin, as well as nausea
and lots of sweating, however these symptoms may also occur less frequently.
Note: There may be NO pain in the chest during a heart attack.. The majority
of people (about 60%) who had a heart attack during their sleep, did not
wake up. However, if it occurs, the chest pain may wake you up from your
deep sleep.
If that happens:
- immediately dissolve 2 aspirins in your mouth
- and swallow them with a bit of water
Afterwards :
CALL………….
- say "heart attack!"
- say that you have taken 2 aspirins..
- phone a neighbor or a family member who lives very close by
- take a seat on a chair or sofa near the front door, and wait for their
arrival and....
DO NOT LIE DOWN
FOR HEALTHY HEART
Steps to a healthy heart
A positive attitude with a balanced approach to life
Avoid mental stress and strain
Eat a healthy balanced diet. Include at least five servings of fruits and vegetables a day
Avoid saturated fats and transfats
Regular aerobic exercise of 30 minutes a day
Regular meditation of 20 minutes a day
Maintain optimal body weight. Avoid abdominal obesity
Avoid excess salt to maintain normal blood pressure
Avoid tobacco in all forms including passive smoking
Avoid alcohol
Include physical activity in your daily schedule. Cycle to work if possible, take the stairs, go for a walk during lunch breaks
Says DR. V. CHOCKALINGAM
(From THE HINDU)
Keys to Controlling Your Blood Pressure
(From Discovery Health)
Here are the main steps
you can take to prevent or reduce high blood pressure.
· Eat a balanced diet that is low in sodium.
· Exercise regularly.
· Avoid unhealthy habits, such as smoking and drinking too much
alcohol.
· Lose any excess weight.
· Take medicine, if your doctor prescribes it.
· Have your blood pressure checked as often as your doctor recommends.
High blood pressure affects your heart and blood vessels in several
ways:
· It damages blood vessels throughout your body. This speeds
up hardening of the arteries, known as atherosclerosis.
· It causes your heart to work harder.
· It increases your risk for heart attack, heart failure, stroke,
and kidney disease.
Other risk factors for coronary heart disease include being overweight
and smoking. If you have high blood pressure along with any of these,
your risk of a heart attack increases several times.
What Can I Do About My Blood Pressure?
If your blood pressure is high, lowering it can reduce your risk for
heart disease. In fact, for each one-point drop in diastolic blood pressure,
your risk for heart disease drops by 2% to 3%. Controlling your blood
pressure is more important if you already have heart disease. While
you can't control certain causes of high blood pressure, such as increasing
age or heredity, you can control others. For instance, you can make
lifestyle changes. Keep reading to learn how to make these changes to
help lower your blood pressure:
· eating less salt
· eating a diet rich in fruits, vegetables, and whole grains,
also see How Much Can I Eat on the DASH Diet?
· getting more daily exercise
· losing excess weight
· avoiding smoking
· not drinking too much alcohol
Other topics
Cause and Treatment of Prostrate Problem
We know that it is common for the prostrate to enlarge as men grow older; however, the exact cause is not known. The established risk factors for BPH are age and family history. Research has shown that as men age, the levels of a form of testosterone called dihydrotestosterone (DHT) increases, stimulating cell growth and prostate enlargement. What's more, estrogen (a female hormone) also increases, inhibiting the breakdown of DHT, which has the same effect.
Early symptoms may take years to become disruptive problems. However, they should be checked by a doctor, since about 50 percent of men with signs of BPH end up needing treatment. BPH cannot be cured, but drugs or surgery are often recommended to relieve the symptoms. However, lots of men are turning to natural remedies for BPH.
Five Natural Remedies
Saw Palmetto. One of the most well-known and popular herbs for prostate problems. Saw palmetto has been proven to inhibit the enzyme involved in the increase in dihydrotestosterone (DHT). Studies have shown that saw palmetto concentrate improves urine flow and relieves other BPH symptoms.
Pygeum. Obtained from the bark of a tree indigenous to Africa, pygeum also inhibits the substance that increases DHT, which is associated with prostate enlargement.
Pumpkin seeds. A long-time folk remedy in treating prostate problems, pumpkin seeds have been shown to promote urine flow and reduce the effects of hormones on prostate cells.
Capsaicin. The chemical that makes peppers hot inhibits the action of NF-kappa Beta, a substance found in cells that causes them to grow excessively. In one study, high concentration of capsaicin stopped the growth of prostate cancer cells. Hot peppers, such as habanero, jalapeno, and Scotch bonnet, are high in antioxidants; they are a good source of vitamins A, C, and E, folic acid, and potassium.
Lycopene. A carotenid found in tomatoes and other red or pink plant foods. Lycopene is in the group of nutrients, which includes beta-carotene and lutein. It is best known as "the protector of prostates against cancer", but it also has cardiovascular benefits and it defends against other types of cancer. Lycopene concentrates in the prostate and the testicles, protecting the cells. It also slows the oxidation of LDL (the "bad" cholesterol), preventing the adhesion of LDL to artery walls.
Tomatoes and products made from tomatoes, such as paste, sauce, ketchup, juice, and salsa are the best-known sources of lycopene. It can also be found in pink grapefruit, apricots, guavas, papaya, and watermelon.
Seven Ways to Prevent Prostate Problems
As with most health problems, prevention - whenever possible - is the best medicine. Simple lifestyle changes can help control the symptoms associated with an enlarged prostate and keep the disorder from becoming worse.
Eat more plant foods. Eat at least five servings of a variety of fruits and vegetables daily, including tomatoes and other red and pink plant foods.
Limit consumption of meats and dairy. Researchers have found that consuming less meat and dairy products can reduce the hormonal effects on the prostate.
Limit alcohol and caffeine. Alcohol and beverages that contain caffeine increase urine production and cause bladder irritation.
Drink less at night. Avoid drinking water and other beverages after 7:00 p.m.
Manage your weight. Researchers believe there's a link between excess body fat and prostate enlargement. Fat tissue produces estrogen, which is associated with prostate enlargement. So reducing calorie intake and losing excess weight can lower estrogen production. Obesity also contributes to diabetes, a glucose-related disease. In a recent study, a link was found between high glucose levels and BPH.
Increase your activity level. Even a small amount of exercise can help regulate hormone levels; it definitely helps with weight management. All of which can help keep BPH at bay.
Keep warm. Cold temperature can lead to urine retention and the urgency to urinate.
Article Source: http://EzineArticles.com/587546
Certain natural changes take place in the heart as a result of aging, but the prescriptions for good heart health remain the same. Eat well and exercise regularly, regardless of your age. If you're over 65 and haven't been active, see your doctor before beginning a new exercise program.
Your heart may get smaller. The number of heart muscle cells decreases with age and some degenerate. As a result, your heart may become weaker and pump less blood. Your heart valves may thicken and narrow. For some people, this could decrease the forward flow of blood, causing chest pain and shortness of breath over time. Your arteries may thicken and become less pliant, leading to high blood pressure. The electrical system that causes the heart to beat may change, showing changes in an ECG (this is not usually serious in people without heart disease).
Remaining physically active is important, regardless of
your age. And doing so might help fight off natural age-related changes
in the cardiovascular system. A study in Circulation found that older
athletes, on average in their 60s, had blood vessels that functioned as
well as those of athletes in their 20s. "This study demonstrates that
regular physical activity can protect aging blood vessels" . "Long-term
exercise protects the inner lining of the blood vessels from age-related
changes and makes them behave more like those of a young person."
In 2000, a study by the Honolulu Heart Program found that walking more
than 1.5 miles a day reduced heart disease risk in older individuals.
"You do not need to be an athlete to get these beneficial effects from
exercise" . "Aerobic activity, five days a week, rather than intensive
training, might just do the trick."
Certain natural changes take place in the heart as a result
of aging, but the prescriptions for good heart health remain the same.
Eat well and exercise regularly, regardless of your age. If you're over
65 and haven't been active, see your doctor before beginning a new exercise
program.
Natural changes as the heart ages:
Your heart may get smaller.
The number of heart muscle cells decreases with age and some degenerate.
As a result, your heart may become weaker and pump less blood.
Your heart valves may thicken and narrow. For some people, this could
decrease the forward flow of blood, causing chest pain and shortness of
breath over time.
Your arteries may thicken and become less pliant, leading to high blood
pressure. The electrical system that causes the heart to beat may change,
showing changes in an ECG (this is not usually serious in people without
heart disease).
Running Away from Aging
Remaining physically active is important, regardless of your age. And
doing so might help fight off natural age-related changes in the cardiovascular
system. A study in Circulation found that older athletes, on average in
their 60s, had blood vessels that functioned as well as those of athletes
in their 20s. "This study demonstrates that regular physical activity
can protect aging blood vessels" . "Long-term exercise protects the inner
lining of the blood vessels from age-related changes and makes them behave
more like those of a young person."
In 2000, a study by the Honolulu Heart Program found that walking more
than 1.5 miles a day reduced heart disease risk in older individuals.
"You do not need to be an athlete to get these beneficial effects from
exercise" . "Aerobic activity, five days a week, rather than intensive
training, might just do the trick."
The Power of Positive Thinking
Yale researchers found that older people exposed to positive ideas about
aging lowered their blood pressure under mild stress, while those exposed
to negative ideas saw sharp increases in their blood pressure. In the
study of people aged 62 and older, participants sat in front of computer
screens while words flashed so quickly that they couldn't be recognized.
Some people were shown positive words such as "wisdom" and "insightful"
while others were shown negative stereotypes of aging such as "senile"
and "decrepit." Afterwards, participants were given stressful math and
verbal tasks and their blood pressures were measured.
Coconut Water
‘It’s a natural isotonic beverage, with the same
level of electrolytic balance as we have in our blood. It’s the fluid
of life, so to speak.’
Coconut Water is More Nutritious – Less fat and NO cholesterol!
Coconut Water is More Healthy – Much lower calories
Coconut water is naturally sterile — Water permeates though the filtering
husk!
Coconut water is the very stuff of Nature, biologically Pure, full of
Natural Sugars, Salts, and Vitamins to ward off fatigue… and is the
next wave of energy drinks BUT natural!’, according to Mortin Satin,
Chief of the United Nation’s Food & Agriculture Organization.
Coconut water contains more potassium (at about 294 mg) than most sports
drinks (117 mg) and most energy drinks..
Coconut water has less sodium (25mg) where sports drinks have around 41mg
and energy drinks have about 200mg!
Coconut water has 5mg of Natural Sugars where sports and energy drinks
range from 10-25mg of Altered Sugars.
Coconut water is very high in Chloride at 118mg; compared to sports drinks
at about 39mg.
Data is based on a 100ml drink
Frequently Asked Questions on Medical Policies
What medical situations does a Mediclaim policy cover?
Answer: Mediclaim policies settle hospital bills that incur as a result
of ailments or accidental injuries suffered by the policy owners during
the policy period.
What is the age limit for people who wish to take out a medical
policy?
Answer: As per policy rules, the age limit for children is 3 months to
5 years if either of their parents is covered simultaneously. For others
it is between 5 to 80 years.
What is the amount of tax benefit?
Answer: Policy premiums up till Rs.10,000/- are exempted from tax under
Section 80 D of the Income Tax Act as on March 31, 2007.
What health policies are available for people from low-income
groups?
Answer: People from low-income groups can avail the benefits of the Jan
Arogya Bima Policy.
What policy is available for cancer patients?
Answer: Members of the Indian Cancer Society may use the Cancer Medical
Expense Policy while members of the Cancer Patients Aid Association are
eligible for the Cancer Insurance policy.
What systems of medicine are covered under Mediclaim policies?
Answer: Presently, only the Allopath, Ayurvedic and Unanipathy systems
of medicine are covered by Mediclaim policies.
Does a Mediclaim policy covers illnesses, diseases or accidents
that occur in other states of India or abroad?
Answer: A Mediclaim Policy is valid for health problems that happen anywhere
in the world provided that treatment is received in India.
What happens if I have to undergo a treatment like dialysis and
I am discharged on the same day?
Answer: When treatments such as Dialysis, Chemotherapy or Radiotherapy
are received in a hospital and the insured patient is discharged on the
same day, the treatment is grouped under the Hospitalization Benefit Scheme.
What about an eye operation through Laser Capulsotomy?
Answer: An operation of the eye done by Laser Capulsotomy comes under
the Hospitalization Benefit Scheme of a Mediclaim Policy.
Can my dependants avail benefits under my Mediclaim policy if
another policy currently covers them?
Answer: No coverage is allowed if your spouse or other dependants are
covered under other Mediclaim Policies.
How do you define continuous treatment?
Answer: Continuous treatment is the treatment given to a patient for a
particular ailment at a stretch. It includes all relapses within 45 days
from the date of last consultation with the doctor or hospital. Any occurrence
after 45 days will be considered a new ailment.
How are payments of claims made?
Answer: All medical treatment for which Mediclaim protection is desired
should be received in India only. Payment of all claims will be made in
Indian currency.
( Also see below a report on ARTHRITIS: CAUSES, TREATMENTS & PREVENTION
)
It is called "VARISHTHA MEDICLAIM". you can get further details from
their website www.nationalinsuranceindia.com
Dr Gurdeep Singh , EYE SPECIALIST (Contact Telephone 2466555)
Dr Maneesh Rai , Dental Surgeon (Contact Telephone 4293615)
Dr Vikram Trivedi, Orthopedic Specialist (Contact Telephone 2463123)
What are the seven secrets of success? I found the answer in my room!
Fan said: BE COOL,
Roof said: AIM HIGH,
Window said: SEE THE WORLD,
Clock said: EVERY MINUTE IS PRECIOUS,
Mirror said: REFLECT BEFORE YOU ACT,
Calender said: BE UP TO DATE,
Door said:PUSH HARD FOR YOUR GOALS!...... ........ Good day
There is a site: www.friends2support .org
Where you can search for a Particular blood group, you will get thousand of donor addresses.
Pass this message 2 all you know. It will help many.
No Indian should die for want of blood.
Author: Rick Kulkarni, MD, Medical Director, Assistant Professor of Surgery, Section of Emergency Medicine, Yale-New Haven Hospital
Contributor Information and Disclosures
Updated: Apr 28, 2009
Swine influenza is a highly contagious respiratory disease in pigs caused by one of several swine influenza A viruses.
Human cases of swine influenza A (H1N1) have been reported worldwide. In 2009, cases of influenzalike illness were first reported in Mexico on March 18; the outbreak was subsequently confirmed as swine influenza A.1 Investigation is continuing to clarify the spread and severity of swine influenza in Mexico. Suspected clinical cases have been reported in 19 of the country's 32 states. Although only 18 of the Mexican cases have been laboratory-confirmed as Swine Influenza A/H1N1 (12 of them genetically identical to Swine Influenza A/H1N1 viruses from California),1 approximately 1,600 cases and 103 deaths have been attributed to swine influenza in Mexico.2 Cases of swine influenza were subsequently confirmed in the United States, Canada, and the United Kingdom (Scotland), with suspected cases in France, Israel, and Brazil.
On April 26, 2009, the US Department of Health and Human Services declared a national public health emergency involving swine influenza A, citing its significant potential to affect national security.3 In the United States, 64 confirmed cases of swine flu have been reported as of April 28, 2009, in California (10 cases), Kansas (2 cases), New York (45 cases), Ohio (1 case), and Texas (6 cases).4 All affected patients have had mild influenzalike illness, with only two requiring brief hospitalization. No deaths have been reported in the United States.
Unlike typical influenza, most cases of swine influenza have occurred in previously healthy young adults.1
Government and public health officials are monitoring this situation worldwide to assess the threat from swine influenza and to provide guidance to health care professionals and the public. Because the situation is changing rapidly, it is important to check regularly for changes in recommendations as new information becomes available. Online resources for daily guidance include the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO).
Morbidity and Mortality
Swine influenza tends to cause high morbidity but low mortality rates (1%-4%). At the time of this writing during the 2009 outbreak (April 28, 2009), 149 deaths in Mexico have been attributed to swine influenza, with 22 of those deaths confirmed as resulting from the infection. In the United States, all cases of swine influenza in humans have been mild, with only two patients requiring brief hospitalization, and no deaths have been reported.
Symptoms
Manifestations of swine influenza are similar to those of seasonal influenza. Patients present with symptoms of acute respiratory illness, including at least 2 of the following:
Fever
Cough
Sore throat
Body aches
Headache
Chills and fatigue
Diarrhea and vomiting (possible)
Persons with these symptoms should call their health care provider promptly. If an antiviral agent is warranted, it should ideally be initiated with 48 hours from the onset of symptoms (see Medications). The duration of illness is typically 4-6 days.
Viral Strain and Testing
Outbreaks of swine influenza are common in pigs year-round. Historically, when humans have become infected, it is a result of close contact with infected pigs. However, the current virus is a novel influenza A (H1N1) virus not previously identified in humans, and it appears to be spread by human-to-human transmission. The WHO has raised its pandemic alert level for swine influenza to phase 4, which signifies sustained community-wide outbreaks of human-to-human transmission.
In the current 2009 outbreak in the United States, preliminary testing has shown that, in all cass, the viruses have the same genetic pattern. The virus is being described as a new subtype of influenza A/H1N1 not previously detected in swine or humans.
Clinicians should consider the possibility of swine influenza virus infections in patients who present with febrile respiratory illness. The CDC criteria for suspected swine influenza are as follows:5
Acute febrile respiratory illness in a person who resides in a community with onset (1) within 7 days of close contact with a person who has a confirmed case of swine influenza A (H1N1) virus infection or (2) within 7 days of travel to community (within the United States or internationally) where one or more swine influenza A (H1N1) cases have been confirmed.
Acute febrile respiratory illness in a person who resides in a community where at least one swine influenza case has been confirmed.
If swine flu is suspected, the clinician should obtain a respiratory swab for swine influenza testing and place it in a refrigerator (not a freezer). Once collected, the clinician should contact his or her state or local health department to facilitate transport and timely diagnosis at a state public health laboratory.
Laboratories should send all influenza A specimens that they are unable to subtype to the Viral Surveillance and Diagnostic Branch of the CDC's Influenza Division as soon as possible for further diagnostic testing.6
Treatment Recommendations
Treatment is largely supportive and consists of bedrest, increased fluid consumption, cough suppressants, and antipyretics and analgesics (eg, acetaminophen, nonsteroidal anti-inflammatory drugs) for fever and myalgias. Severe cases may require intravenous hydration and other supportive measures. Antiviral agents may also be considered for treatment or prophylaxis (see Medications).
Patients should be encouraged to stay home if they become ill, to avoid close contact with people who are sick, to wash their hands often, and to avoid touching their eyes, nose, and mouth. The CDC recommend the following actions when human infection with swine flu is confirmed in a community:6
Home isolation
Patients who develop flulike illness (ie, fever with either cough or sore throat) should be strongly encouraged to self-isolate in their home for 7 days after the onset of illness or at least 24 hours after symptoms have resolved, whichever is longer.
To seek medical care, patient should contact their health care providers to report illness (by telephone or other remote means) before seeking care at a clinic, physician’s office, or hospital.
Patients who have difficulty breathing or shortness of breath or who are believed to be severely ill should seek immediate medical attention.
If the patient must go into the community (eg, to seek medical care), he or she should wear a face mask to reduce the risk of spreading the virus in the community when coughing, sneezing, talking, or breathing. If a face mask is unavailable, ill persons who need to go into the community should use tissues to cover their mouth and nose while coughing.
While in home isolation, patients and other household members should be given infection control instructions, including frequent hand washing with soap and water. Use alcohol-based hand gels (containing at least 60% alcohol) when soap and water are not available and hands are not visibly dirty. Patients with swine influenza should wear a face mask when within 6 feet of others at home.
Household contacts who are not ill
Remain home at the earliest sign of illness.
Minimize contact in the community to the extent possible.
Designate a single household family member as caregiver for the patient to minimize interactions with asymptomatic persons.
School dismissal and childcare facility closure
Strong consideration should be given to close schools upon a confirmed case of swine flu or a suspected case epidemiologically linked to a confirmed case.
Decisions regarding broader school dismissal within these communities should be left to local authorities, taking into account the extent of influenzalike illness within the community.
Cancelation of all school or childcare related gatherings should also be announced.
Encourage parents and students to avoid congregating outside of the school if school is canceled.
Duration of schools and childcare facilities closings should be evaluated on an ongoing basis depending on epidemiological findings.
Consultation with local or state health departments is essential for guidance concerning when to reopen schools. If no additional confirmed or suspected cases are identified among students (or school-based personnel) for a period of 7 days, schools may consider reopening.
Schools and childcare facilities in unaffected areas should begin preparation for possible school closure.
Social distancing
Large gatherings linked to settings or institutions with laboratory-confirmed cases should be canceled (eg, sporting events or concerts linked to a school with cases); other large gatherings in the community may not need to be canceled at this time.
Additional social distancing measures are currently not recommended.
Persons with underlying medical conditions who are at high risk for complications of influenza should consider avoiding large gatherings.
Patient education
Patients should be referred to the eMedicine Health article Swine Flu.
Medications
Laboratory testing has found the swine influenza A (H1N1) virus susceptible to the prescription antiviral drugs oseltamivir and zanamivir, and the CDC has issued interim guidance for the use of these drugs to treat and prevent infection with swine influenza viruses.7 As part of its preparation for the emergency, the US Department of Homeland Security is releasing 25% of stockpiled antiviral agents (ie, oseltamivir [Tamiflu], zanamivir [Relenza]).
The usual vaccine for influenza administered at the beginning of the flu season is not effective for this viral strain. Also, other antiviral agents (eg, amantadine, rimantadine) are not recommended because of recent resistance to other influenza strains documented over the past several years.
Basic supportive care (ie, hydration, analgesics, cough suppressants) should be prescribed. Empiric antiviral treatment should be considered for confirmed, probable, or suspected cases of swine influenza. Treatment of hospitalized patients and patients at higher risk for influenza complications should be prioritized.
Initiation of antiviral agents within 48 hours of symptom onset is imperative for providing treatment efficacy against influenza virus. In studies of seasonal influenza, evidence for benefits of treatment is strongest when treatment is started within 48 hours of illness onset. However, some studies of treatment of seasonal influenza have indicated benefit, including reductions in mortality or duration of hospitalization, even in patients in whom treatment was started more than 48 hours after illness onset. The recommended duration of treatment is 5 days.7
Prophylaxis with antiviral agents should also be considered in the following individuals (pre-exposure or postexposure):
Close household contacts of a confirmed or suspected case who are at high risk for complications (eg, chronic medical conditions, persons 65 y or 5 y, pregnant women)
School children at high risk for complications who have been in close contact with a confirmed or suspected case
Travelers to Mexico who are at high risk for complications (eg, chronic medical conditions, persons 65 y or 5 y, pregnant women)
Health care providers or public health workers who were not using appropriate personal protective equipment during close contact with a confirmed or suspected case
Pre-exposure prophylaxis can be considered in the following persons:
Any health care provider who is at high risk for complications (eg, chronic medical conditions, adults >65 y, pregnant women)
Individuals not considered to be at high risk but who are nonetheless traveling to Mexico, first responders, or border workers who are working in areas with confirmed cases
Antiviral Agents
Drugs indicated for treatment of swine influenza A (H1N1) virus include neuraminidase inhibitors (ie, oseltamivir and zanamivir).
Oseltamivir (Tamiflu)
Oseltamivir inhibits neuraminidase, which is a glycoprotein on the surface of influenza virus that destroys an infected cell's receptor for viral hemagglutinin. By inhibiting viral neuraminidase, this agent decreases the release of viruses from infected cells and, thus, viral spread. Oseltamivir is effective in the treatment of influenza A or B and must be administered within 48 hours of symptom onset. The sooner the drug is administered after symptom onset, the better the likelihood of a good outcome. Oseltamivir reduces the length of illness by an average of 1.5 days. (In a subgroup of high-risk patients, illness was reduced by 2.5 d.) In addition, the severity of symptoms is also reduced.
Oseltamivir is available as 30-mg, 45-mg, and 75-mg oral capsules and as a powder for suspension that contains 12 mg/mL after reconstitution.
Adult dose
Treatment for acute illness: 75 mg PO bid for 5 d
Prophylaxis: 75 mg PO qd
Pediatric dose
Treatment for acute illness and age 1 year
3 months: 12 mg PO bid
3-5 months: 20 mg PO bid
6-11 months: 25 mg PO bid
Treatment for acute illness and age >1 year
15 kg: 30 mg PO bid
15-23 kg: 45 mg PO bid
23-40 kg: 60 mg PO bid
40 kg: Administer as in adults
Prophylaxis and age 1 year
3 months: Data limited; not recommended unless situation judged critical
3-5 months: 20 mg PO qd
6-11 months: 25 mg PO qd
Prophylaxis and age >1 year
15 kg: 30 mg PO qd
15-23 kg: 45 mg PO qd
23-40 kg: 60 mg PO qd
40 kg: Administer as in adults
Zanamivir (Relenza)
Zanamivir inhibits neuraminidase, which is a glycoprotein on the surface of the influenza virus that destroys the infected cell's receptor for viral hemagglutinin. By inhibiting viral neuraminidase, release of viruses from infected cells and viral spread are decreased. Zanamivir is effective against both influenza A and B. The preparation of zanamivir is in powder form for inhalation via the Diskhaler oral inhalation device. Circular foil discs that contain 5-mg blisters of drug are inserted into the supplied inhalation device. Individuals with asthma or other respiratory conditions that may decrease ability to inhale drug should be given oseltamivir.
Adult dose
Treatment for acute illness: 10 mg inhaled orally bid for 5 d
Prophylaxis of household contact: 10 mg inhaled orally qd for 10 d (initiate within 36 h)
Prophylaxis for community outbreak: 10 mg inhaled orally qd for 28 d (initiate within 5 d of outbreak)
Pediatric dose
Treatment for acute illness
7 years: Not established
7 years: Administer as in adults
Prophylaxis in household contact
5 years: Not established
5 years: Administer as in adults
Prophylaxis in community outbreak
Adolescents 12-16 years: Administer as in adults
Additional pediatric considerations
Aspirin or aspirin-containing products (eg, bismuth subsalicylate [Pepto Bismol]) should not be included in the treatment of confirmed or suspected viral infection in persons aged 18 years or younger because of the risk of Reye syndrome. For relief of fever, other antipyretic medications (eg, acetaminophen, nonsteroidal anti-inflammatory drugs) are recommended.
Pregnant women
Oseltamivir and zanamivir are "Pregnancy Category C" medications, indicating that no clinical studies have been conducted to assess the safety of these medications in pregnant women. Because of the unknown effects of influenza antiviral drugs on pregnant women and their fetuses, oseltamivir or zanamivir should be used during pregnancy only if the potential benefit justifies the potential risk to the embryo or fetus; the manufacturers' package inserts should be consulted. However, no adverse effects have been reported among women who received oseltamivir or zanamivir during pregnancy or among infants born to women who have received oseltamivir or zanamivir. Pregnancy should not be considered a contraindication to oseltamivir or zanamivir use. Because zanamivir is an inhaled medication and has less systemic absorption, some experts prefer zanamivir over oseltamivir for use in pregnant women, when feasible.7
by Natalie Katsman
Arthritis affects about 40% of Americans and about 50% of people worldwide. This ailment is more common than cancer and heart problems and dates back thousands years. It is believed that the famous Roman baths were created not only for hygiene purposes, but to help ancient people ease the aches and pains in the joints. What is happening and why?
There are two most common forms of arthritis: Rheumatoid Arthritis and Osteoarthritis. RA is an autoimmune disorder when the body attacks its own cells, which often results in joint destruction. OA is wear and tear arthritis that comes with age or because of improper diet or lifestyle.
Cartilage, the joint lining, that acts as a shock absorber consists of water and though protein fibers, collagen. Collagen matrix, that gives cartilage its strength and shape, is insulated by a net of proteglucans. They are filled with water to protect and nourish the cartilage. Proteglucans are long molecular chains that include glucosamine and chondroitin sulfate – two important building blocks.
Glucosamine is essential to production of water-binding proteins in cartilage, and chondroitin sulfates draw fluids that provide the ease of movement and attract nutrients for cartilage repair. Injury, wear, corrosive enzymes can damage this protection, and cartilage loses the ability to repair itself. It gradually deteriorates and forms clefs and crevices that impede movement and cause pain.
Traditional approach to treating joint pain is well known: the pain is suppressed with NASDs (aspirin, ibuprofen, etc.). Calming the symptoms, these drugs simply mask the problem, while the joints keep deteriorating. Luckily, there are other ways to deal with arthritis. Research shows that supplementing your body with the two important cartilage building elements – Glucosamine and Chondroitin – can aid in joint restoration.
Another useful nutrient is MSM (methyl-sulfonyl-methane) - a form of sulfur found in many common foods: fruits, vegetables, meat, fish, milk and eggs. MSM helps to relieve pain and inflammation in joints and muscles. In addition, it boosts blood supply, lessens muscle spasms and softens scar tissue.
Capsium - cayenne pepper extract (Yes! That hot spice!) has been found to be helpful in arthritis pain relief.
Emu Oil - due to its small molecular weight, Emu Oil easily penetrates skin membrane and delivers its soothing relief to sore joints. Its anti-inflammatory properties make preparations with Emu Oil more and more popular among health professionals and sportsmen.
Last but not least, your lifestyle and habits can help you avoid the discomfort. Folks who maintain their body in shape and enjoy an active lifestyle have much smaller risk to develop osteoarthritis. OA hits weight-bearing joints first. If joints have to manage extra weight, the cartilage is worn out faster than it can repair itself. Despite the belief that osteoarthritis sufferers should not exercise, research proves the opposite.
Moderate exercise helps to keep joints healthy. Even if they are already affected by arthritis, making them work stimulates the restoration process. Here is a small exercise you can do to keep your knee joints in shape: bend your knees as if you were going to do at sit-up. Keeping your knees close together, move them in circular motions clockwise and then in reverse direction.
You might not feel like moving when your arthritis reminds of itself with burning pain, but a combination of diet, moderate exercise, supplements and topical preparations can prevent it and allow you to enjoy your favorite activities.
Morning Tea 1 cup
Breakfast : 200gm Milk or 1 Egg, 'missi roti' or 'poha' or 'daliya' 60 gms, one fruit 150 gms
Lunch : 80 gms 'chapati' or rice, 25 gms 'dal', curd 150 gm, vegetables 1 cup, salad and soup. Cooking oil to be restricted to two small spoons.
Evening tea, snacks to be non-fried 1bout 60 gms.
Dinner as in Lunch
(Taken from X-Man journal. Additional information available with Smt Amita Singh, Cottage No. 4, Ahmedabad Palace Rd, Kohefiza, Bhopal. (TEL 9827255476) )
(Dr Maneesh Rai)
The geriatric population in many parts of the India is underserved by dentistry. Socioeconomic problems, difficult access to dental facilities, and confusion about the need for dental care often prevent the elderly from seeking dental service. Because dental diseases are not life threatening or outwardly disabling, administrators of institutions for the elderly and legislators place a low priority on dental care for the elderly. These factors working in concert with the insidious, progressive, and cumulative nature of denture diseases contribute to the poor dental health experienced by some segments of the geriatric population.
Dentistry has the manpower and the technology to improve the oral health of the elderly, but society must be made aware of the importance of dental health in the total health of elderly persons in order that dentistry be given a chance to achieve that goal.
Older people and people with chronic illness tend to have the following major problems in maintaining mouth hygiene:
Lack of dexterity and skill to co-ordinate hand movements to brush effectively;
A moderate to severe drying of the mouth due to reduced salivary flow and or long-term medication.
The mouth is a repository for millions of bacteria, as is well known. When the saliva flow is reduced, food particles tend to stick on or between tooth surfaces. Stagnation occurs due to lack of proper flushing out of food remnants.
Add to that the difficulty in gargling and you have a scene where gum disease and dental decay take over.
Gum disease is a source of septic focus of infection and can have far reaching effects on the body like fatigue, debility, uncontrolled diabetic levels, plantar pain, knee and joint pain.
Dental caries attacks usually occur at the neck of the teeth and cause them to break off. Brittle fracture of the teeth is very common.
As people age, over a period of years many teeth would probably have been lost. Missing teeth also makes for poor chewing abilities leading to poor digestion and subsequent gastric problems like constipation.
Since fibrous food is difficult to eat due to lack of teeth there is a tendency by the aged to opt for softer, non-fibrous food.
The care of aged dentition involves assessing needs and improving the quality of life. If it is possible to wheel him in to a dental office, an assessment will bring to light the difficulties faced. A general cleaning procedure, a check for dental decay and basic fillings can be done. Fluoride treatment can help to control decay and hypersensitivity. Dentures, which are basic but comfortable, can be fabricated in order to improve chewing and digestion. A quarterly recall would be very useful.
Home dental care: Brush with a standard brush or an automatic brush, if hand movements are restricted.
Gargling frequently after eating or drinking anything. If this is not possible, at least small sips of water to remove food particles are a must.
Mouth wash containing fluoride or anti-plaque mouthwashes at least after major meals are recommended if the patient is able to spit normally.
Well fitting dentures to be worn only during the day, need to be carefully cleaned with suitable cleansers after every meal and kept aside, soaked in antiseptic-laced water overnight.
Drinking water and eating fibrous food is planned by serving balanced meals.
In the elderly and the debilitated it is seen that there is often a dulling of the senses and a general lack of personal interest. It is for the family who care about their well being to help.
Good dental care, along with large doses of love and encouragement, can provide total care for someone you love totally!
Cataract or 'Motiabind' is the common cause for visual impairment. It can be either due to birth defects (Congenial cataract) or due to some disease (Complicated cataract) or more commonly due to old age (Senile Cataract)
The development of Senile cataract is due to the normal aging process and usually becomes notriceable after the age of 60 years. Exposure to dust and sun are the main causes of its development.Earlier the deposits on the lens were required to be broken up and removed. This was usually done only after a certain stage of opaqueness (maturing or 'ripening'). Now one can easily replace the lens by an artificial lens. This is possible at any stage when the patient feels handicapped due to loss or clarity of vision.
ECCE or Extracapasular Cataract Extraction and PHACOEMULSIFICATION are the two techniques for the cataract surgery.
(Continued)
PREVENTION AND CARE OF HEART
Young, healthy adults age 20 or older should have their cholesterol checked at least once every five years. You may need yours checked more often if any of these is true:
- You are a man who is age 45 or older.
- You are a woman who is age 55 or older or who has gone through menopause.
- You have heart disease.
- You have high cholesterol, risk factors for high cholesterol, or risk factors for heart disease.
When it comes to heart disease, each of these cholesterol levels matters.
- Total blood cholesterol level. This is a measurement of all the cholesterol in your blood, which includes both LDL - known as the bad cholesterol - and HDL - known as the good cholesterol. The higher your total blood cholesterol, the greater your risk for heart disease. In general, a total cholesterol level of less than 200 mg/dL is considered desirable. Depending on your health, you may need to aim for a level lower than this.
- LDL cholesterol level. LDL is short for low-density lipoprotein. LDL cholesterol is known as the bad, or least desirable, cholesterol because this is the type that may build up inside your arteries. The higher your LDL level, the greater your risk for heart disease. If you have CHD, an LDL of less than 100 mg/dL is generally considered desirable.
- HDL cholesterol level. HDL is short for high-density lipoprotein. HDL cholesterol is known as the good, or highly desirable, cholesterol because this type helps remove excess cholesterol from your blood. A low level of HDL is a major risk factor for heart disease. A high level of HDL lowers your risk. A level of 40 mg/dL or more is considered desirable. A level of 60 mg/dL or more is considered a "negative risk factor" - that is, it helps to offset other risk factors for CHD.
The levels that are desirable for you depend on whether you have other risk factors for heart disease or already have heart disease. Your doctor can tell you what levels you should be aiming for.
The only way to know whether you are reducing your risk for heart disease or controlling your heart disease is to visit your doctor on a regular basis. You need regular physical exams as well as tests. These allow your doctor to monitor your cholesterol levels, your blood pressure, and possibly the condition of your heart. If you need to lose weight, your doctor will want to check how well you are doing that, too. Your doctor will tell you how often to come back for visits and any tests. This will depend on your health and your risk factors. For instance, if you are between the ages of 40 and 50 and you have high blood pressure or you have high cholesterol, your doctor may want to see you every 6 months to check that your levels are being managed successfully. However, if you have recently had a heart attack or heart surgery, you may need to see your doctor every couple of months for the next year. Follow your doctor's advice about scheduling exams.
By checking your condition, your doctor can tell:
- whether you need to make further changes to your diet or exercise
- whether you need to start taking medicine or whether your current medicine is working.
- any adjustments that you've made or problems you've had with your treatment plan
- any blood tests needed to check your cholesterol levels
- any blood tests you may need to monitor changes in your body caused by the medicines you take
- your blood pressure
- other medical problems
- all the medicines you're taking
- any changes in your lifestyle that might affect your treatment plan
Here's what you can expect your doctor to review with you during your visit:
any symptoms that suggest complications from your condition or your medicines
Your checkups are also a good time for you to ask any questions you have about your treatment.
Life after 60 should not be looked as an end of a lifetime's work. It should be seen as the beginning of a new chapter. It should be viewed as another climb in the lfe's ladder, gentler this time with more time for living, loving and caring. You are a treasure house of experience. You can impart that experience to the youngsters around you. View your life with an up-beat positive attitude.
There is nothing wrong in sitting back but it should be done so in satisfaction and comfort. You can now look at your children and appreciate the efforts they make to stand on their own.
What should the main priorities in my life be?
The main priorities should be health, physical activity and relaxation, family, friends and financial comfort.
Do not crib or find fault. Do not let frustrations or your limitations get the better of you. Try to adjust with family and society. Think of what you can do rather than what you cannot. With this positive attitude, your time will be well-spent and your life will be fuller and richer.
We have millions of elders who sadly are still forced to work to earn and fend for themselves. We should collectively help these people lead a life of comfort with not only the basic essentials of food, clothing, healthcare and shelter but also compassion and care. (From seniorindian.com)
Gracefully accept that life is a hard nut to crack
So long we are in this body, pain is bound to come. Accept it and live on.
The life is a never ending game of learning, that includes failures.
None else but we only are responsible for our plight
Nothing is permanent than change. Bad and good times come and go.
Unfair treatment of the life is sometimes against you and sometimes in favour of you.
Solitude, Buchholz says, is the need to retreat psychologically-and sometimes physically-to modify stimulation and to "reconstitute how one functions by one's self." In other words, space to breathe. But people have preconceived notions about solitude, that somehow it's a negative thing. Because even the dictionary definition of solitude includes terms like "isolation" and "lonely," Buchholz prefers to use the term "alonetime" instead of solitude. Alonetime helps you learn who you are. To function at your peak, you need to know yourself, and alonetime provides time for self-examination. The degree of solitude we each require is partly inborn and partly learned. People who are more introverted will feel a greater need for solitude than those who are extroverted. But from a very early age, we all need at least some alonetime; Buchholz notes that the need for alonetime is probably present from birth. "We would not survive very well if we didn't have some self-regulatory and alone skills to help us achieve a balance between stimulation and lack of stimulation," she says. "Nature provides time alone in sleep, but our society is so geared toward attachment and engagement and 'busyness,' that alonetime has been lost."
