Surge in Surgery

How many surgeries does the average person have in a lifetime?  According to the most recent study of its kind from 2002, it was found that you could need surgery at least 9.2 times if you live to 85 years of age. It is no surprise that surgeries increase with age.  Surgery is also prevalent in women during their reproductive years.  For both men and women between ages of 45 to 75 there is also an increase.  Three of the top ten most common surgeries were for women’s gynecological conditions.  C-sections ranked as number one.  For men the top surgery was for cardiac conditions (angioplasty, heart bypass).  Fortunately many surgeries done today are minimally invasive done as an outpatient instead of in a traditional hospital stay.

These facts indicate that you will have surgeries in your lifetime.  Think about the cost of this.  Would you be able to pay for it?  Rising health care costs and increase in illness have made this nearly impossible for most on an average income of today. The sensible and responsible thing to do is have health insurance.  Is your health more important than that $50,000 car or $200,000 home you insure? Plus these insurances are usually required.  Your health deserves to be insured as well.

If your health insurance policy has been cancelled, your health insurance provider has other plans that will fit your need with comprehensive, affordable coverage that covers more and includes your same providers.  Look at the cancelled product as new and improved health benefits at a much lower price. Basically your policy has not been “cancelled”, but upgraded with many more options.

There is also the option of looking at the National Healthcare Insurance Exchange by phone, paper application, online, or in person at designated places.  This offers more choices from other health insurance providers with different “levels” of coverage.  Each level offers basic and free preventive care from less than 60%  to 90% coverage.  The cost is now actually less than what you may have paid previously under the “cancelled” policy!  Now that health insurance is more affordable and chances are you will need surgery, it makes sense to have it.  Plus you get the chance to maintain your health with prevention and proper treatment in hopes of preventing surgery.

The yearly cost of your health insurance premium is much less than the cost of one major surgery and recuperation (equals 5-10 years worth). Even if you have enough cash to pay, you will save more than your money by being insured. Get covered for good health!

Best health!

White Coat Hypertension: Is it Really High Blood Pressure?

Is it really high blood pressure or is it the white coat? White coat hypertension is a term that refers to high blood pressure (HBP) when you visit your doctor or other health care provider.  It is normal during other times.  Are you really hypertensive if this is the case?  Do you really need the DASH diet and medication?

High blood pressure is defined as three consecutive blood pressure readings at or above 140/90, or one reading above 160/100.  These readings are most commonly obtained when you visit your doctor which can be from one time to several times a year.  Needless to say the preparation and anxiety that go with doctor's appointments is enough to make any one's blood pressure go up normally! Getting ready and getting there can surely create this effect, but is this enough to make a diagnosis of high blood pressure when your blood pressure checks weekly or daily are normal?

HBP monitoring by patients outside the doctor's office may prove that white coat hypertension is what it is.  Normal readings outside the health setting in your everyday environment are more accurate and real. By tracking your own blood pressure at home you may find that your blood pressure is normal most of the time.  You can also see what makes it abnormal, too, and avoid or decrease these things. If it stays consistently high without white coats, treatment with diet and medicine may be indicated.

Best health!

Internet Information and Your Health

Health information once obtained from bought or borrowed hard copy books, magazines, and papers is now available on your computer in seconds. Many studies have shown that the Internet is rapidly becoming the main source of health information for patients and health care providers around the world.  This has made it a tool of preventive medicine individually and globally.  Many are able to "pre-diagnose" themselves and maintain wellness by the time they seek medical care.  This makes for a shorter differential diagnosis dilemma for your doctor; thereby, shortening the time for correct diagnosis and treatment.

Health literacy on line also includes abundant applications for your smart phone and computer, interactive social media, and websites from health providers and institutions.  One of the most interactive and informative is Twitter.  Lists such as these for doctors,  http://bit.ly/2XWKw29 and medical/health http://bit.ly/2GWkbvH  contain lots of information that links directly to sources. Most of these include websites as well as individual snippets of information called "tweets".  Searches for specific health information can also be done using the internal search box.

While the Internet may help diagnose, it far from replaces your doctor's advice. Use it as a health literacy tool to educate yourself.   Check out "What the Internet Does for You and Your Health" http://bit.ly/a3RAjw for more health literacy lessons. Best health!

Are You Too Old for Colon Cancer Screening?

Eighty" is the "new" fifty. Why? Many are in good health as natural and unnatural aging occurs.  This may be attributed to ongoing healthy lifestyle habits, good genes, as well as preventive screening.  In addition, early intervention and treatment of conditions found from preventive screening add additional healthy years.  Should preventive screening tests like colonoscopy be abandoned after 80 years of age?

Scientific studies report that one is more likely to die of something other than colon cancer after 80 years of life.  This may be interpreted to mean that at age 80, your last screening colonoscopy if positive for colon cancer, will really be a diagnosis you can live with until you die. In fact, the colonoscopy itself gets riskier with more complications as one gets older especially after 65.  Chronic conditions can potentially increase complications as well. Life expectancy is expected to decrease anyway in spite of the risk that cancer increases with age.

Though current guidelines are without an age limits, there is much controversy over whether colonoscopy after 80 is beneficial.  The risk of complications from colonoscopy as well as the prep and sedation get much higher after 65.  There is up to 75% higher risk of gastrointestinal bleeding and perforation of the gut after 80.  Add more risk if chronic conditions like stroke or heart attack are part of the past medical history.

Much medical success and good health depend on you.  Individual assessment based on your medical history, physical exam and tests is key to obtaining the best outcome for you, regardless of "one size fits all" guidelines.  These guidelines are just that, a guide to help you and your doctor decide if you are too old for colon cancer screening via colonoscopy. 

Here's to making 100 the "new" fifty!

Best health!

Men's Health Month Memorandum: Check-up Time!

"If I had known I was going to live this long, I would have taken better care of myself." — Mickey Mantle

Statistics show that men are less likely than women to get routine health checkups and physical exams. Men are more likely to seek medical attention when there is an acute problem, and once that has resolved not until another acute problem. Part of the reason for this is lack of health education. Men are also more prone to the "this can't be happening to me" syndrome. Is ignorance truly bliss? Short term, maybe. Long term, no.

So what is a fella to do? Make a yearly checkup routine. Do it around your birthday or holiday like Father's Day or Christmas as a gift to yourself (your most important asset!). In addition to a complete medical history (be sure to take your notes and questions http://bit.ly/122ZEeF) and physical exam, there are other things your doctor should do. This includes:

• complete blood panel including a PSA (prostate specific antigen) if over 40 or have a history of prostate cancer in your family - please note that PSA screening is very controversial as to if it should be done and should be discussed at length with your doctor as this test does save lives
• EKG, baseline at first physical then every 2-3 years - yearly if over 50, have risk factors such as smoking, obesity, hypertension, diabetes, increased cholesterol, family history of heart disease
• cardiac screening by a cardiologist if any signs or symptoms of heart disease especially if there is a family history of heart attack, angina
• colon cancer screening with stool guaiac cards - stool samples are placed on these and returned to your doctor who checks for blood (this should be done when a rectal exam is performed, but if for some reason it is not, be sure to get these cards)
• colonoscopy, baseline at 50, sooner if stool positive for occult blood or gross rectal bleeding, weight loss, stomach symptoms

Be sure to include regular visits to the dentist, and optometrist or ophthalmologist (eye doctor).

Best health, guys!

by J.L. Richardson, M.D., family medicine doctor and author of Patient Handbook to Medical Care: Your Personal Health Guide.