Pneumonia, stroke patients on rise despite warmer conditions
There are few things more satisfying on a hot summer day than going inside and flopping in front of the air conditioner to cool off. But that comfort could be coming at a price. Our Kim Hyunbin explains why. Lee Jaeho paid a visit to the doctor a couple of weeks ago because he had lost his appetite and began to sweat more than he normally did, even while in cool places. I had headaches, a fever and was coughing a lot. I was in a bad state. To his surprise, the doctor told him he had pneumonia.
Pneumonia typically occurs during winter months, but can also strike in the summer. Data from a local hospital shows that the number of patients diagnosed with the lung infection during the months of July and August is nearly 70 percent of midwinter figures. Doctors say that when summer heat reaches its peak, the immune system can weaken. The frequent use of air conditioning can also lead to respiratory problems,. due to a greater exposure to bacteria. When it is humid like in monsoon season, your lungs become weaker and cannot properly.
Emit the germs that enter your body. High temperatures can also raise the risk of strokes. The number of stroke patients surpassed the 1point9 million mark in both July and August last year,. figures that are similar to those seen in winter. This is because the stress caused by prolonged exposure to heat can increase blood pressure,. which is bad news for sufferers of diabetes and high blood pressure. When you are exposed to the heat for a long period of time, you can get dehydrated which can affect cerebral blood flow..
Plavix, Preventing Blood Clots For Those With Chest Pain, Heart Attack or Stroke
Plavix, the brandname form of clopidogrel, is a prescription medication used to prevent blood clots in people who have recently been hospitalized with chest pain, or for people who have recently had a heart attack or stroke. Plavix belongs to a group of drugs called antiplatelets, which help to prevent harmful blood clots from forming in the body. This medication comes in tablet form and is taken once a day, with or without food. Common side effects of Plavix include bleeding, headache, dizziness, and nausea. This medication is only to be used if prescribed by your health care provider. For RxWiki, I'm Beth Bolt.
The Soaring Cost of Stroke
Stroke costs are projected to double as the number of people having strokes increases. I'm Erin White and this is a dailyRx Minute. According to the American Heart Association and the National Stroke Association, nearly 1 in 25 Americans will have a stroke by 2030 and the costs to treat them may increase to over 180 billion dollars. May is National Stroke Awareness Month and the National Stroke Association is promoting stroke education as a means to prevent stroke and improve outcomes. Ask your doctor about stroke prevention. For dailyRx TV, I'm Erin White.
Risks and benefits of stroke and AFib medications
Dr. Curtis, what are the risks and benefits of medications to treat stroke or atrial fibrillation Well, the obvious benefit is to prevent the stroke in the first place. Or, if a patient's already had a stroke, to prevent the next one. So that's the benefit from it. The risk for these drugs, whether they are aspirinlike drugs which technically go by term antiplatelet agents, or anticoagulants, or other kinds of blood thinners, they work in different ways to prevent clots. But in both cases, because they are trying to prevent clots, they can actually promote bleeding.
So the biggest risk factor for any of these drugs is the risk of bleeding. However, in patients who are high risk, the risk of stroke is high enough that you get a benefit from giving the drugs. So the benefit is that the risk of stroke is reduced so much that in my opinion, and I'm sure yours as well, that far outweighs the risk of bleeding that we have with them because it's relatively low. What we really want to do is prevent strokes in patients whether they are at risk for it because of atrial fibrillation, or because of other reasons.
I absolutely agree. The lack of anticoagulation resulting in stroke is such a detrimental thing to the patient and family, and for us too. So we need to be very careful in selecting the patient who's appropriate and should be on anticoagulants. For older patients with a high risk for falls or bleeding, those are a little bit of a tricky situation. What do you think about these things That's the common misunderstanding people think that if you're at risk for falling that you can't be on anticoagulants. I know there was a study that was done some years back,.
That someone would have to fall at least two hundred times to have the risk of taking these blood thinners outweigh the benefits you're going to get from preventing stroke. So that's one common misconception. Another important point I'd like to make is that when patients have strokes related to atrial fibrillation they tend to be worse. They tend to be more devastating than strokes for other reasons. So patients who have a stroke related to atrial fibrillation are more likely to be bedridden and more likely to require longer term care than strokes for other reasons.
Million Hearts Scaling and Spreading Innovation Strategies to Improve Cardiovascular Health
Janet Wright My name is Janet Wright. I'm the executive director of Million Hearts and I cannot tell you how excited I am about today. So we had folks from across the spectrum of payers and policymakers and purchasers and individualsleaders in organizations in their communities. And they all came together, sparked off one another, and gave us very practical advice about how to scale up and spread very important and changing innovations. Thomas Frieden I think the big takeaway are lots of specific messages. What works in different areas that can be scaled up.
We want programs not that are wonderful for a few people, but that are excellent for many, many millions of people. Mark Smith One of the issues and questions that I struggled with is, how do you take something that works well here and have it work well here Ren Vega This is a great opportunity to crosspollinate and learn from other organizations as to how they see their activities with their populations and what we can learn from best practices across a variety of different organizations. Carolyn Clancy I'm really excited that all of these stakeholders have.
Committed a pretty substantial resource, namely their timealmost a full dayto say, We don't know all the answers, but we want to learn from each other so that we can address the Million Hearts challenge. David Pope One of the great things about the innovations program here today is just the creative minds and innovators that are here together that are reallywhen they come together, it's powerful. And there's an old saying that says, As iron sharpens iron, so one man sharpens another. And so that's one of the great things about it is that we.
Sharpen each other in hearing each other's innovations, and taking that back home with us is key. Wright I am so excited about the events of today. I might not be able to sleep tonight. Bruce Siegel The day has been incredibly exciting. We have people from all walks here today listening to how to make change. People, I think, are kind of past the point of trying to figure out whether they need to do something different. We all know we have to do something different. Now the question is how we go about it.
Teen Obesity Bariatric Surgery Michael Snyder MD
Obesity is this nations most serious health problem. It taxes the body's organs, raises the blood pressure and shortens our lives but obesity seems to hit teenagers even harder. As we learn from Dr. Michael Snyder a nationally known Bariatric Surgeon and diet expert. We realize that the adolescent obese population has exploded in the US and I know that in obese, or morbidly adolescent will statistically make less money, have a worse job, have a lower chance of getting married and the chances of them losing weight just for traditional.
Means is almost zero. So the question is, do I doom them to 5 or 6 more years so that I can do their surgery or do we consider doing surgery on them earlier and we found is with a good regimented program under our Center of Excellence status, we can have phenomenal results and get them on the right track. Its hard enough to be an adolescent but to be a morbidly obese adolescent is an extremely difficult situation and it's not just how you're functioning physiologically cause most morbidly obese adolescents don't really care.
So much about that because they're too young and they have that wreckless adolescent mind set but the reality is how they live their life and how they're treated is horrendous and we're not talking about kids that are stupid or less motivated, we're talking about people who have prejudice every day. It's different when an adult comes to me desiring bariatric surgery we understand they can make decisions as an adult, they can weigh the risks and benefits, when an adolescent wants surgery they just want to lose the weight.
And get healthy and get their life back. I wouldn't trust them to make a decision about getting married at the age of 17, heck how can I trust them to make a decision about bariatric surgery which is also a life long commitment. What I do is I put them through more. I make them go to more psychologic screening I make them and their family encounter the classes so they can really understand the process. And they can lose a little weight up front and they can join a gym, get a trainer and they can put a little skin in the game.
So they actually are engaged in the process and realize that it's going to take real work. Once I engage them in the work and they show the commitment then I think it's a reasonable option. And it really is an option that can change their life in a way that really nothing else could. We ask Dr. Synder if obesity is hereditary This is the thing everyone has to get and it's really hard cause when ever you see someone who's severely overweight, morbidly obese you think, my goodness, they ate too much and they didn't do enough activity.
How did they get there The reality is, their wiring is different than yours. Everyone that's morbidly obese knows a hundred people that eat the same or worse and exercise the same or less and don't have a major weight problem. This is how they're wired, they gain weight with no effort what so ever. It's not because they had bad behaviors now the hormonal milieu they have, their genetic milieu is aggravated by their behaviors and what they put it, heck the average American used to eat in the 70's, a 136 pounds of cereals and flours a year,.
Now we eat 200 pounds, that's going to have an impact but the reality is that, that impact is much worse one someone who has genetic makeup to be morbidly obese. Young women operated on, 17 years old, weighed about 380 pounds, she was diabetic, hypertensive, sleep apnea, she couldn't fit into the desk at school, she wanted to be with her friends but had to stay at home, she was constantly pilloried in the hallway. So she had surgery, she lost weight down to about 220 which was 160 pound weight loss which was a lot of weight, certainly.
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