Archive | February 2025

QUOTE FOR WEDNESDAY:

“Wear Red this month to help raise awareness of the No. 1 killer of people in the U.S.; cardiovascular disease!  American Heart Month, observed in February, is a time to focus on heart health awareness. It aims to educate beginners about preventing heart disease through healthy lifestyle CHOICES!  National Wear Red Day is Friday 2/07.”

American Heart Association (American Heart Month | American Heart Association)

 

Part I February is American Heart Month! Lets know why there is a death trend increase at ages 35-64 y/o! First review the A&P of the heart and what happens to the heart when diseased!

men-and-heart-disease2  heart-attack-1

The heart is like the engine to a car but for us it’s the “pump” for the human body; without the engine the car won’t run and without the pump we won’t live. The normal size of the heart is about the size of your fist, maybe a little bigger.

It pumps blood continuously through your entire circulatory system. The heart consists of four chambers, 2 on the right and 2 on the left. The right side only pumps high carbon dioxide levels of blood, after all the oxygen was used by the tissues and returns to the heart in the right upper chamber and leaves to the lung from the right lower chamber. From the lungs it than goes to the left side of the heart now, which is a very short distance as opposed to where the left side pumps the blood. The L side of the heart pumps blood to the feet, brain and all tissues in between with high oxygen levels of blood.   This is why the L side of the heart does more work than the R side since the blood leaving the L side has a longer distance in distributing oxygen. The heart pumps the blood with high oxygen blood levels to reach all your tissues and cells, going to the feet, brain, and to all other tissues in between returning home again to the right side of the heart (upper chamber) to get sent to the lungs again for more oxygen. This is why the muscle on the L side of the heart is larger than the right, it works harder. Every time your heart beats (the sound we call lub dub) the organ is sending out a cardiac output of blood either to the lungs for more oxygen or to the body tissues through the aorta to give oxygenated blood to your tissues and cells. This is the mechanics of how blood is pumped by the heart. It pumps in our body to deliver oxygenated blood to organs and remove the carbon dioxide from our organs in our body to stay alive.

What happens when the heart is diseased:

Let’s see what can occur if the heart is not functioning properly. If your heart is not pumping out a sufficient amount of blood in your cardiac output to either the body (from left side of the heart); or removing carbon dioxide from the tissues (from the right side of the heart) than it tries to work harder where it does ok at first but over time weakens. As this weak heart struggles to pump blood the muscle fibers of the heart stretch out which is particularly from the left lower chamber, the biggest muscle of the heart.  As the struggle for this organ progresses over time this stretching leaves the heart with larger, weaker chambers. The heart enlarges (called cardiomegaly).   If this continues to go on this could go into R or L sided heart sided failure. When this happens, blood that should be pumped out of the heart backs up in the lungs=L sided failure or backs up into the tissues=R sided failure.

The side the failure is on doesn’t allow proper filling of the chambers on that side and back up happens; so much like pipes work in backing up when problems occur like a blockage.  If this condition occurs that is on the L side the fluids back up in the lungs or the R the fluids first back up in the veins which can expand to hold extra blood but at some point dump the extra fluids in your tissues (What can occur over time is edema in feet first due to gravity).   This is all due to overloading of the blood not filling up in the chambers of the heart to make a good cardiac output of blood due to poor pumping of the heart and in time the fluid backs up (bad pumping=backup of blood=fluid overload in the lungs (pulmonary congestion) to fluid staying in the skin (In time to the lower extremities due to gravity=feet which we call edema trying to send the blood back to heart for more oxygen at the lungs going back up the legs when the oxygenated blood is used up.).

This condition in time with no treatment will definitely go into congestive heart failure (CHF) to first one side of the heart and if not controlled can go to both sides of the heart. CHF can range from mild to severe.

There is 670,000 cases that are diagnosed with this every year and is the leading cause of hospitalization in people over 65 y/o. Causes of CHF are: heart attack, CAD (coronary artery disease), cardiomyopathy, other conditions that overwork the heart like high blood pressure, diabetes and obesity (These diseases can be completely preventable or at least well controlled).

There is many of us in this world with knowing how our activity/exercise, eating, and habits could be better for health but do little action or do nothing on their own to change it, which is a large part for certain diseases being so high in America (diabetes, stroke, cardiac diseases=high blood pressure, atherosclerosis, arteriosclerosis to CHF and more).

If people just were more healthy and more active regarding these diseases alone it would decrease in population creating a positive impact on how our health system with insurance presently (a disaster) with our economy (another disaster) for many which could get better with healthy people in the USA.

A healthy heart can pump to all parts of the body in a few seconds which is good cardiac output from the organ but when it gets hard for the heart to keep up with its regular routine it first compensates when healthy but if going into CHF, a unhealthy heart pump it will decompensate causing ischemia (lack of oxygen to the heart tissue). It’s like any tissue in the body, lack of oxygen=lack of nutrients to the body tissue=STARVATION and with lack of oxygen will come PAIN eventually to death if not treated. Take the heart, if it isn’t getting enough oxygen it can go into angina. That is reversible since it is heart pain due to not enough oxygen to the heart tissue=no damage but if left untreated what will occur is a heart attack=myocardial infarction (MI) and is permanent damage because scarring to the heart tissue takes place that is permanent damage to that area of the heart tissue where the MI occurred for life.

Learn more tomorrow about a what happens to a diseased heart.

QUOTE FOE TUESDAY:

“February is National Cancer Prevention Awareness Month, a time to reflect on the steps we can take to reduce our risk of cancer.  Know this 40% of cancer cases and 44% of cancer-related deaths are linked to preventable lifestyle choices. By making informed decisions about what we eat, drink, and expose ourselves to, we can significantly lower our cancer risk.

5 things you should know about cancer prevention month:

1-Everyone knows, smoking remains the #1 most significant preventable cause of cancer, accounting for about 19.3% of cancer cases and 28.5% of cancer deaths.

2-Alcohol, in any amount, is detrimental to our health. Alcohol consumption contributes to 5.4% of cancer cases. It increases the risk of cancers in the oral cavity, pharynx, esophagus, colorectum, liver, larynx, and breast. CRI Clinical Innovator Marina Baretti, MD (Johns Hopkins University School of Medicine), recently highlighted the importance of controlling alcohol intake. “The recommendation is really to either stay away or (have) no more than two drinks per day for a man (and) no more than one drink per day for a woman,” she advised.

3-Our dietary habits can make a real difference towards our cancer risk.  Consumption of red meat (beef, pork, veal, lamb, etc) and processed meats (smoked and cured meats, cold cuts, sausages, etc) have been shown to increase a person’s risk for colorectal cancer. In addition, excess body weight is also a significant and preventable risk factor for cancer. Research has shown that high BMI is associated with an increased risk of developing 13 to 18 types of cancer.

4-Ultra Violet (UV) radiation from the sun and tanning beds contributes to 4.6% of cancer cases. In fact, it’s the primary cause of melanoma, the deadliest form of skin cancer. Over five million annual global cases of skin cancer due to direct exposure of UV rays.

5-It may come as a surprise, but infections caused by viruses and certain bacteria play a significant role in cancer development. In fact, they account for approximately 13% of cancer cases globally.”

CRI – Cancer Research Institute (Five Things You Need to Know for National Cancer Prevention Month – Cancer Research Institute)

Cancer Prevention Month:

 

How do people lower the chances of getting cancer? There’s plenty of advice. But at times, advice from one study goes against the advice from another.

Cancer prevention information continues to develop. However, it’s well accepted that lifestyle choices affect the chances of getting cancer.

Consider these lifestyle tips to help prevent cancer.

1. Don’t use tobacco

Smoking has been linked to many types of cancer, including cancer of the lung, mouth, throat, voice box, pancreas, bladder, cervix and kidney. Even being around secondhand smoke might increase the risk of lung cancer.

But it’s not only smoking that’s harmful. Chewing tobacco has been linked to cancer of the mouth, throat and pancreas.

Staying away from tobacco — or deciding to stop using it — is an important way to help prevent cancer. For help quitting tobacco, ask a health care provider about stop-smoking products and other ways of quitting.

2. Eat a healthy diet

Although eating healthy foods can’t ensure cancer prevention, it might reduce the risk. Consider the following:

  • Eat plenty of fruits and vegetables. Base your diet on fruits, vegetables and other foods from plant sources — such as whole grains and beans. Eat lighter and leaner by choosing fewer high-calorie foods. Limit refined sugars and fat from animal sources.
  • Drink alcohol only in moderation, if at all. Alcohol increases the risk of various types of cancer, including cancer of the breast, colon, lung, kidney and liver. Drinking more increases the risk.
  • Limit processed meats. Eating processed meat often can slightly increase the risk of certain types of cancer. This news comes from a report from the International Agency for Research on Cancer, the cancer agency of the World Health Organization.

People who eat a Mediterranean diet that includes extra-virgin olive oil and mixed nuts might have a reduced risk of breast cancer. The Mediterranean diet focuses mostly on plant-based foods, such as fruits and vegetables, whole grains, legumes and nuts. People who follow the Mediterranean diet choose healthy fats, such as olive oil, over butter. They eat fish instead of red meat.

3. Maintain a healthy weight and be physically active

Being at a healthy weight might lower the risk of some types of cancer. These include cancer of the breast, prostate, lung, colon and kidney.

Physical activity counts too. Besides helping control weight, physical activity on its own might lower the risk of breast cancer and colon cancer.

Doing any amount of physical activity benefits health. But for the most benefit, strive for at least 150 minutes a week of moderate aerobic activity or 75 minutes a week of hard aerobic activity.

You can combine moderate and hard activity. As a general goal, include at least 30 minutes of physical activity in your daily routine. More is better.

4. Protect yourself from the sun

Skin cancer is one of the most common kinds of cancer and one of the most preventable. Try these tips:

  • Avoid midday sun. Stay out of the sun between 10 a.m. and 4 p.m. when the sun’s rays are strongest.
  • Stay in the shade. When outdoors, stay in the shade as much as possible. Sunglasses and a broad-brimmed hat help too.
  • Cover your skin. Wear clothing that covers as much skin as possible. Wear a head cover and sunglasses. Wear bright or dark colors. They reflect more of the sun’s harmful rays than do pastels or bleached cotton.
  • Don’t skimp on sunscreen. Use a broad-spectrum sunscreen with an SPF of at least 30, even on cloudy days. Apply a lot of sunscreen. Apply again every two hours, or more often after swimming or sweating.
  • Don’t use tanning beds or sunlamps. These can do as much harm as sunlight.

5. Get vaccinated

Protecting against certain viral infections can help protect against cancer. Talk to a health care provider about getting vaccinated against:

  • Hepatitis B. Hepatitis B can increase the risk of developing liver cancer. Adults at high risk of getting hepatitis B are people who have sex with more than one partner, people who have one sexual partner who has sex with others, and people with sexually transmitted infections.Others at high risk are people who inject illegal drugs, men who have sex with men, and health care or public safety workers who might have contact with infected blood or body fluids.
  • Human papillomavirus (HPV). HPV is a sexually transmitted virus that can lead to cervical cancer and other genital cancers as well as squamous cell cancers of the head and neck. The HPV vaccine is recommended for girls and boys ages 11 and 12. The U.S. Food and Drug Administration recently approved the use of the vaccine Gardasil 9 for males and females ages 9 to 45.

6. Avoid risky behaviors

Another effective cancer prevention tactic is to avoid risky behaviors that can lead to infections that, in turn, might increase the risk of cancer. For example:

  • Practice safe sex. Limit the number of sexual partners and use a condom. The greater the number of sexual partners in a lifetime, the greater the chances of getting a sexually transmitted infection, such as HIV or HPV.People who have HIV or AIDS have a higher risk of cancer of the anus, liver and lung. HPV is most often associated with cervical cancer, but it might also increase the risk of cancer of the anus, penis, throat, vulva and vagina.
  • Don’t share needles. Injecting drugs with shared needles can lead to HIV, as well as hepatitis B and hepatitis C — which can increase the risk of liver cancer. If you’re concerned about drug misuse or addiction, seek professional help.

7. Get regular medical care

Doing regular self-exams and having screenings for cancers — such as cancer of the skin, colon, cervix and breast — can raise the chances of finding cancer early. That’s when treatment is most likely to succeed. Ask a health care provider about the best cancer screening schedule for you.

QUOTE FOR MONDAY:

“As we age, we are more likely to develop systemic health problems like high blood pressure, heart disease or diabetes. It’s important to remember that these diseases can seriously damage your eyes as well. One warning sign of both high blood pressure and diabetes: frequent changes in vision (such as blurriness).

Always tell your ophthalmologist about your health conditions and what medications and nutritional supplements you take. They will also want to know about your eating, sleeping, exercise and other lifestyle choices. Remember: you and your ophthalmologist are partners in caring for your vision.”

American Academy of Ophthalmology (Tips for Eye Health in Adults Over 65 – American Academy of Ophthalmology)

Eye health tips for those at age 60 and over!

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Women-Higher Risk for Some Eye Diseases

Women are more likely than men to have glaucoma and women are also more likely to be visually impaired or blind due to glaucoma. Also, women are 24 percent less likely to be treated for glaucoma. Cataract is somewhat more common in women, as well. Women should be sure to follow the Academy’s screening guidelines and adhere to their Eye M.D.’s follow-up appointment recommendations and treatment plans.

Low Vision

The term low vision describes vision loss that makes daily tasks difficult. Normal aging of the eye does not lead to low vision; it is a result of eye diseases, injuries or both. Low vision symptoms nclude loss of central and/or peripheral (side) vision, blurred or hazy vision or night blindness. A person may have trouble recognizing faces, reading, driving and shopping. If you experience any of these problems, it is important to see your Eye M.D., who will check for and treat any underlying conditions and advise on low vision resources and low vision aids and devices to help with reading and other daily tasks. Most people with low vision need brighter lighting in their living areas.

Avoid Falls and Related Eye Injuries

About half of all eye injuries occur in or around the home, most often during improvement projects (44 percent). The good news is that nearly all eye injuries can be prevented by using protective eyewear, so every household needs to have at least one pair of certified safety glasses on hand.

It’s also important to reduce the risk of falls, which become more likely as we age, due to changes in vision and balance. Consider taking these safety steps around the home to diminish the risks of injuring your eyes:

  • Make sure that rugs and shower/bath/tub mats are slip-proof.
  • Secure railings so that they are not loose.
  • Cushion sharp corners and edges of furnishings and home fixtures.

Systemic health problems to avoid

Systemic health problems like high blood pressure and diabetes that may be diagnosed or become more problematic in midlife can also affect eye health. One warning sign of both high blood pressure and diabetes is when the ability to see clearly changes frequently. Be sure to keep your Eye M.D. informed about your health conditions and use of medications and nutritional supplements, as well as your exercise, eating, sleeping and other lifestyle choices.

Exercise a great tip to help eyes

Our eyes need good blood circulation and oxygen intake, and both are stimulated by regular exercise. Regular exercise also helps keep our weight in the normal range, which reduces the risk of diabetes and of diabetic retinopathy. Gentler exercise, including walking, yoga, tai chi, or stretching and breathing, can also be effective ways to keep healthy. Remember to use sun safety and protective eyewear when enjoying sports and recreation.

Sleep are great also with exercise

As we sleep, our eyes enjoy continuous lubrication. Also during sleep the eyes clear out irritants such as dust, allergens, or smoke that may have accumulated during the day.

Some research suggests that light-sensitive cells in the eye are important to our ability to regulate our wake-sleep cycles. This becomes more crucial as we age, when more people have problems with insomnia. While it’s important that we protect our eyes from over-exposure to UV light, our eyes also need exposure to some natural light every day to help maintain normal sleep-wake cycles.

QUOTE FOR THE WEEKEND:

“Millions of people in the United States are living with a visual impairment. A visual impairment can make it hard to do everyday activities, like getting around, reading, or cooking. And it can’t be fixed with glasses, contacts, or other standard treatments, like medicine or surgery.
The good news is that vision rehabilitation services can help people with a visual impairment make the most of the vision they have — and keep doing the things they love. Take some time this Low Vision Awareness Month to learn about vision rehabilitation and spread the word!”

AMD/Low Vision Awareness Month

Prevent Blindness has declared February as Age-related Macular Degeneration (AMD) and Low Vision Awareness Month. According to the American Academy of Ophthalmology, AMD is a leading cause of vision loss in people 50 years or older, and more than 2.9 million Americans age 40 and older have low vision. Low vision is defined as a visual impairment that is not correctable through surgery, medicine, eye glasses or contact lenses.

According to the National Eye Institute, currently 4.2 million Americans ages 40 and older are visually impaired. Of these, 3 million have low vision. By 2030, when the last baby boomers turn 65, the number of Americans who have visual impairments is projected to reach 7.2 million, with 5 million having low vision.

For the millions of people who currently live or will live with low vision, the good news is that there is help.

But first, what is low vision? Low vision is when even with regular glasses, contact lenses, medicine, or surgery, people have difficulty seeing, which makes everyday tasks difficult to do. Activities that used to be simple like reading the mail, shopping, cooking, and writing can become challenging.

Most people with low vision are age 65 or older. The leading causes of vision loss in older adults are age-related macular degeneration, diabetic retinopathy, cataract, and glaucoma. Among younger people, vision loss is most often caused by inherited eye conditions, infectious and autoimmune eye diseases, or trauma. For people with low vision, maximizing their remaining sight is key to helping them continue to live safe, productive, and rewarding lives.

The first step is to seek help.

What is a low vision specialist? A low vision specialist is an ophthalmologist or optometrist who works with people who have low vision. A low vision specialist can develop a vision rehabilitation plan that identifies strategies and assistive devices appropriate for the person’s particular needs.

A low vision examination is quite different from the basic examination routinely performed by primary care optometrists and ophthalmologists.

A low vision examination includes a review of your visual and medical history, and places an emphasis on the vision needed to read, cook, work, study, travel, and perform and enjoy other common activities. The goals of a low vision exam include assessing the functional needs, capabilities, and limitations of your vision, assessing ocular and systemic diseases, and evaluating and prescribing low vision therapies.

Education and counseling of family and other care providers; providing an understanding of your visual functioning to aid educators, vocational counselors, employers and care givers; directing further evaluations and treatments by other vision rehabilitation professionals; and making appropriate referrals for medical intervention are all a part of a low vision evaluation.

Vision rehabilitation can include the following:

  • Training to use magnifying and adaptive devices
  • Teaching new daily living skills to remain safe and live independently
  • Developing strategies to navigate around the home and in public
  • Providing resources and support

The good news is that vision rehabilitation services can help people with vision impairment learn how to stay independent and make the most of their sight. Low Vision Awareness Month is a great time to spread the word about vision rehabilitation — and make sure that people with vision impairment know about the services available to them.

Magnification devices, electronic devices, computer-access software, and other access and mainstream technologies are used to help people with low vision maximize their remaining vision or learn alternative ways to do things, such as using their sense of touch or their sense of hearing.