35 Burst results for "Hypertension"
Why Dr. Kumar is Changing The Wellness Game
"Welcome back once again, see the outcomes, rocket podcasts where we chat with today's most successful and inspiring health care leaders. I really WANNA. Thank you for tuning in again and I welcome you to go to outcomes rocket dot health slash reviews where you could rate and review today's podcast because he is one outstanding individual and healthcare is name is Dr Rajiv Kumar he's the president and chief medical officer at Virgin Pulse during medical school he realized that many of the worst health problems we face as a nation diabetes heart disease cancer hypertension. Et, CETERA. I related to the collective unhealthy lifestyle, and so he has pledged to make a difference in this industry. He's done and as a frontline physician and now through various different companies, some amazing things and so what I WANNA do is open up the microphone to Raji to fill in any of the gaps of the introduction and then a so we could get into the podcast. Reggie welcome to the PODCAST. Think saw glad to be here. So Rajiv, what would you fill in in your intro that I that I left out? I think that was pretty comprehensive. Just, a little bit about virgin pulse. You know what? I think that may not be familiar name to a lot of folks on your that are listening to your podcast. We are an employee wellbeing company. We work with large employers all around the world, and our goal is to help them activate their employees to lead healthier lifestyles which had to kind of go around the healthcare system a little bit, and go direct to the employees and figure out ways to motivate them to inspire them and to help them sustain behavior change over time, and it's not just about healthcare cost reduction. It really is about how do we help people be? Healthier, happier and more productive at work in their personal lives. So that's really what our mission is. That's beautiful and listeners for those of you who haven't connected the DOTS virgin pulse. One of Sir Richard Branson's Virgin Group companies. So you know with the gentleman like that behind something like this and and Rajiv as part of the executive leadership team, you can imagine some great things are happening. It's an exciting time for us. We definitely are inspired by Sir Richard Branson leadership in his philosophy is if you take care of your employees, they'll take care of your business, and so we're trying to empower employers to take better care of their employees. So strong, and and you know it's really interesting that you guys are tackling this employer perspective of the entire health career equation because costs are soaring and aside from labor costs, it seems like healthcare cost is oftentimes double digits in that front. What are your thoughts on what should be on every medical leaders agenda today? Well, I'm biased but I think it has to be a behavior change remember too often looking for a magic pill or magic device or something to kind of stem the tide of rising obesity, diabetes and heart disease in our country and at the end of the day, there's so much. We can do to actually change people's behavior a lot of what we're facing as a result of our diet, our physical activity or lack thereof the stress that we have in our lives just how we how we treat ourselves and how we don't take care of ourselves, and so I think it's not necessarily a hot topic I. Think it should be and and I wish there was more focus on it is the perennial that if we can change behavior, we can prevent a lot of disease and we can produce significantly greater outcomes and Reggie. What would you say right now at at at Virgin? Pulse. Is an example of how you guys are improving health outcomes. Well, I think we really tried to think outside of the box I think traditional health interventions and and health and wellbeing platforms have largely been ineffective and they've been around for decades. So we sat around and we said what if we took a different approach rather than making people feel like they're failures rather than telling them that they're sick what if we actually make them feel successful what if we make them feel good about themselves right off the bat what would that do for self esteem for their motivation and for their ability to change. Most of what we see in our industry is a heavy focus on screening, and so employers asked their employees to take health risk assessments and do biometric screenings and so forth, and the problem with that is they take a health risk assessment tells them you're sick. You know you have high risk, your unhealthy needs to do more change your lifestyle, get your biometric screening results and you have high blood pressure. You may not like the results that you get back and that can be very demotivating, and so we've said is, is there a scientist out there? Is there a behavior change model that focuses on success? We found a scientist by the name of Dr Bj fog out of Stanford University and Dr Fog is sort of a new guru of behavior change and he's come up with a behavior change model that he caused the fog behavior change model and it's very simple as model is is a formula to it is called B. Equals M. A. T.. Equals motivation times, ability times a trigger, and so what he means by that is to get somebody to do a behavior that we want them to do or they want to do. First of all, they have to have the motivation to do it. Second is they have to have the ability to do it, and a third is you have to trigger them. To trump to do that behavior and too often in the in the kind of behavior change space, we ask people to do things that require either too much motivation or too much ability. So we say something like go to the gym four times a week and exercise for sixty minutes. Each time you go that takes a lot of motivation and some people may not even have the ability a really know how to do that where to get started so forth so Dr Fog says, well, motivation is hard to change. Your motivation waxes and wanes on a daily basis on an hourly basis, we can't really change somebody's motivation that easily what you can do is changed the behavior you're asking them to do to make it easier. You can change the ability to perform the action, and so the idea is if you take a behavior like washing your teeth and you break it down to the smallest tiniest thing that somebody could possibly do like floss one tooth and you ask them to do that they can actually do. That very easily, it doesn't take a lot of motivation is very quick to do, and if they do that and you celebrate the fact that they did it, you can help them build what we call success momentum, and then they're going to feel better about going to the next step and try something harder and so in our entire approach to behavior change, we break behaviors down into their simplest most basic action we ask people to do that would trigger then and then when they do it we. Reward them make them successful. We give them social status. They might get some kind of points or some kind of reward, and then we ask them to do something harder the next time around and stuff feedback loop that builds up momentum, and it changes behavior in a very sustainable way in a very habitual way, which is really the key to behavior changes creating habits.
Uncontrolled hypertension is getting worse in the U.S., study finds
"A new warning today about blood pressure here. CBS's Sabrina Coop it up to 100. Million people in our country have high blood pressure, and a new report finds an increased number of Americans. Don't have their blood pressure under control, The American Medical Association, Dr Susan Bailey says. That's concerning. Especially now that we have Corona virus. We know that people with cardiovascular disease are at much higher risk of severe illness and death. If they become ill with covert 19. She urges everyone to have your blood pressure checked. And if it's hye, make sure you get it under control.
Uncontrolled hypertension is getting worse in the U.S., study finds
"New study is showing an increasing number of people in the US are suffering from uncontrolled high blood pressure. Brian Shook has more research from Jama showed that out of 18,000 subjects who had high blood pressure in 2017 and 2018, the number of uncontrolled hypertension cases rose by 10%. Nicknamed the Silent Killer. High Blood Pressure has also been linked to be a danger to anyone infected with the Corona virus.
"hypertension" Discussed on Cardionerds
"They had more dilated more dysfunctional right ventricles the method vitamin, Associated Group. Had more than double the risk for clinical worsening or death compared with patients with idiot pappy pony hypertension they found that the methamphetamine group was subjectively reported to be less adherent to therapy. They also received less IV in suck detainees process. As treatment which are usually used in more advanced disease. The reason for this was stated as concerns for the delivery sites and possible infection risk, and so forth they tried to sort this out with a multi very model and still thought that the meth group had significantly worse outcomes compared with the eightieth ethic group in the current era treatment of pulmonary arterial hypertension. Doesn't reverse or stabilize the pathophysiology of the disease, but instead seeks to reduce RV after load by multiple pathways which visa dilate the pulmonary arteries medication. Wise. There's about six different classes of medications. We can use the process cycling's or processing analogs in these can be IV sub Q. P., O. R. inhaled agents the PD five inhibitors such as Sildenafil into Dalla fill the. And receptor agonists Bo centene amber centene mass attended the soluble one sickly stimulators such as real CIGUATERA, the selective process aikman. Receptor agonists such as selective pag, and in an increasingly select number patients with positive as a challenge in normal cardiac output calcium channel blockers can be considered in early disease and finally the old paradigm for treatment of pulmonary hypertension with medications was to start a single agent wait till there was. Clinical worsening start another agent wait until there was clinical worsening and so on and so forth. The ambition trial in the New England Journal of Medicine in two thousand fifteen looked at single agent versus combination of agents, and they looked at to Dallas Phil, Amerson or the combination of the two their primary endpoint was clinical failure event, which they defined as the first occurrence of composite endpoint of death hospitalization for worsening. Disease Progression or unsatisfactory long-term clinical response and found that the combination group reached clinical failure, Ben Eighteen percent the single agents alone to Dallas Phil reached in twenty percent Amerson reached it in thirty four percent..
Coronavirus: Hypertension, diabetes lead underlying conditions in Los Angeles County deaths
"L. A county is reporting the Corona virus has killed 58 more people, and there are more than 1600 new confirmed cases. Most of the cove it 19 related deaths in L. A county have involved one or more underlying health condition. Now we're finding out which one's underlying health conditions played a role in close to 5000 of the death well, over half of them involved. Hypertension. Diabetes was the second most common underlying health condition reported, followed by neurological conditions and cardiovascular disease. But if people have more than 100 health condition, so to the extent that individual might have two or more, it may very well increased the risk of having serious illness from perhaps having death Dr Jeffrey Guns and Hauser's chief medical officer for the county Public Health department. Points out. These health conditions affect a lot of county residents. These are people that go to work for shopping and all around us, and maybe any of us. We have a collective responsibility to protect them. Not on Ly have hospitalizations dropped. So has the average length of stay from more than 10 days in early May toe about five days in late July guns, and Hauser says this may be due to several factors, including better treatment. He also notes, hospitalizations have gone up among younger people who tend to be healthier. Claudia Mosquito can extend 70 NewsRadio
Dr. Philippe Friedlich On Pediatric Surgery And Neonatal Therapeutic Hypothermia
"Welcome to medicine. We're still practicing I'm Bill Curtis of course I my friend and Co host Dr Steven Tailback He's the quadruple board certified doctor of Internal Medicine Pulmonary Disease Critical Care and neuro critical care these days he continues to fight on the front lines of the COVID battle in California for which we are eternally grateful Steve How you doing I'm well thank you. It's good to be. I'm sure you've heard of children's Hospital of Los Angeles notice. Hla US News and World Report has consistently ranked the H. L. A. in the top five nationally and the number one pediatric hospital in California for thirty years. Running this remarkable nonprofit children's care hospital is nationally known for Neonatal Research and care that is funded entirely by generous philanthropists. Dr Felipe Friedli is chief of neonatologist at Children's Hospital. He is also co director of the fetal and neonatal? Institute. And he is professor of clinical pediatrics and surgery at the renowned kept school of Medicine at USC where he's published over one hundred, fifty abstracts, Peer Review Articles and book. Chapters Dr. Freedland is a rock star in one of the world's most complicated pressure filled and delicate specialties that include newborn respiratory failures newborn pulmonary hypertension even surgery on unborn babies. Can you imagine welcome Dr Felipe Free Lick? It is an honor to have you here tonight and having me. So doctor. Can you just bring our listeners up to speed on C. H. LA and your mission there? Sharon's HUSK local Sandra's mission is to care for sick children's no matter what their background cultural background or insurance they have we are. Laced to gear for family and children's in babies when there's no other place that could care for them. Are we talking about like one of the few medical specialties that truly couldn't wait for Covid to pause that's a great question fortunately or many children's covid has not been has impactful. They are some babies are insurance that are sick but by four unless we compared to adults we. Are Really lucky so far. So we're not going to spend the whole show on Kovin because frankly I think people wanted to know much more about your specialty, but maybe you could tell us a little about what kind of a regimen as C. H. L. A. Developed uniquely for this pandemic and what are some of the special things that you do at your hospital to manage this. A lot of it has to do with making sure that became screen families in staff when they arrive at the hospital in make sure that they're the environment for caring for the Germans you regardless of the reason why they're in the hospital is is optimal until the hospital has and significant resources to ensure that we screen families and visitors and parents when they arrive psychologically, how do you get your clientele to feel safe under these circumstances that has been Estonia As you can imagine a lot of families or speared to even go close to a hospital. So said, only our data's suggesting that we can provide a safest environment to bring Ren's and care for them, but it is a concern. Certainly, we can see that visit to the emergency room are significantly down obviously a lot of the outpatient clinic. I've had to restructure their environment, but I think that honest conversations with family in trying to make sure that. Children can get the care they need. So they don't have complications from their Biz orders diseases are we tried to do our best to get the message across
CDC study finds nearly half of US population at 'high risk' of severe case of COVID-19
"Study finds Nearly half of US adults are risk of covert 19 complications due to underlying medical conditions. ABC is Mark Rommel Art explains. The study estimates 45.4% of Americans are at risk of having a severe case of covert 19 due to a one arm or underlying medical conditions such as heart disease, diabetes, lung disease, hypertension or cancer. It found disparities in some racial and ethnic groups as well. The top three most at risk were American, Indian, Alaska native adults, where 55% had at least one underlying condition, followed by black adults at 52% and white adults at 48%.
Matthew McConaughey grills Dr. Anthony Fauci in Instagram interview on COVID-19
"Academy Award winning actor Matthew McConaughey cast a variety of questions about the virus to Dr Anthony Foulke, the nation's top infectious disease. Doctor. Details on their chat from ABC is Alex for Shay, the actor Ass Valachi of Sunlight kills the virus. But she said yes, McConaughey also asked if letting everyone get infected, so we all become immune is a viable strategy. No way felt, he said, particularly in America, where obesity, diabetes and hypertension are prevalent. The death toll. Would be enormous and totally unacceptable found, she said.
Fizz Fizz, with Fantastic History of Food
"Dating back at least the seventeen hundreds people of Europe drank natural mineral water believed to cure of variety of illnesses like gallstones scurvy. Even bathing from these natural springs was seen as therapeutic. People literally went for the waters, though that freezes only hanging on its fingernails through the expression I'm not here for the water's usually set of someplace. You don't want to be like work. Many people tried to sell the water off site, but packaging and transportation at the time were prohibitively difficult and expensive, so they went with the next best thing. They'd manufacture their own water. Fine I'll make my own mineral water with blackjack and hookers. Most y'all are confused, but one person just snorted coffee through their nose. Mark my words. In seventeen sixty seven British chemist Joseph priestley tried carbonated water as you would beer by fermentation with yeast. The results were weak, but they worked in seventeen, seventy two. He published a paper entitled impregnating water with Fixed Air. priestley's apparatus, which featured a bladder between the generator and the absorption tank to regulate the flow of carbon dioxide was soon joined by a wide range of variants. However, it wasn't until seventeen eighty one that carbonated water could be produced on a large enough scale with the establishment of companies specializing in producing artificial mineral water. Others improved on Priestley's work, and while he did get respect from the scientific community, he didn't make anything for the invention that made possible a four hundred billion dollar a year industry. American, Inventor John Matthews designed a Soda Fountain that Could Produce Enough carbonated water for all his customers all day in eighteen, thirty, two, leading to the opening of the First Soda Fountain. In Their Heyday Soda Fountains were elaborately decorated places for rejuvenation more like a walk-through health retreat a snack counter and they were usually found in pharmacies. Pharmacists already used sweet tasting flavor syrups like lemon lime to mask the taste of bitter medicines like Quinine, an iron liquid medicine, being the standard form time rather than pills. At some sparkling water and you've got something new on your hands. Sas Parrilla for example was used to treat syphilis, supposedly and phosphoric acid and ingredient in most colas was thought to help with hypertension. The oldest major soft drink America Dr Pepper was created by Pharmacist Charles Alderson in eighteen, eighty, five and marketed as an energy, drink and brain tonic. Soda, the Effervescent News Hadn't medicine. We might be frustrated by. It takes a new medication to get to the market or top of mine a new vaccine, but it beats the old way of doing things at least from the consumer side from the manufacturer's side. The late nineteenth century, the era of the patent medicine was the best time to be alive. You could put anything you wanted in a bottle and call it medicine. You could still go around calling yourself doctor without having to prove it. Mix Up some tap water. Whatever's handy something bitter to make? It tastes like medicine, and then something sweet, so it's not too bitter, and of course if you can booze and hard drugs. Have Pretty printed with filigree and vague, sometimes contradictory claims and watch the money roll in. Behold the age of the patent medicine. Patent medicines are named after the letters patent probably letters patent since it was granted by the English crown. The first letters patent given to an inventor of a secret remedy was issued in the late seventeenth century. The patent granted the medicine maker a monopoly on his particular formula. The term patient medicine came to describe all prepackaged medicine sold over the counter without a doctor's prescription early English patent medicines sold like Jordan's in the colonies like dice Dr Bateman drops, whose original patent was granted by King George, the I in seventeen, twenty six, and was still available into the twentieth century. Not About to let the Brits make off with all the Lucre America began to cultivate their own patent medicines, an industry that boomed in the decades leading up to the civil war in the US very few patent medicines actually had a patent. You could get yourself a bottle. Love hosters celebrated stomach. Bidders Phero China John cleese Kella CEO. Bark and iron tonic reaches embrocations Emerson's Rheumatic Cure. Brooks's Barefoot Appointment SP Goff's magic oil, ligament or something just called salvation oil patent medicine actually played its own small part in the war. The government tax their sale along with the sales of matches, playing cards perfumes at L. to fund the war effort and repay military debt. Just like cigarettes today, patent medicines had to have a tax stamp on them for decades. Thirty years after the civil war, the government returned to Patent Medicine Taxation to fund the Spanish American war, which ran from eighteen, ninety eight to nineteen o two using a distinctive battleship stamp. The second half of the nineteenth century with the rapid growth of industrialization and populations in American cities was a high point for such hokum. Literacy was also improving with meant that they were more magazines and newspapers for patent medicine makers to advertise in and more people who could actually read the ads. There was also a pervasive and widespread distrust for medicine of the day. This was the era of heroic, medicine. Doctors went to extremes like bloodletting and purgatory gives to cure disease. We. Know now that making it already sick person poop their brains out or cutting them with a blade that you didn't know you needed to wash between. Patience is a bad idea, but back then it was no pun intended cutting edge stuff.
Will the Best Atypical Stand Up?
"We have four Atypical Working Bipolar Depression Corinne Rey lar- larizza Don the Tuta Olonga. WALKS TEEN COMBINATION SYMBIOTIC CER- will call it. Oh, FCC, an top Ian Circle. Among them only Oh, FCC is supposed to be used with an antidepressant. That's the only way they gotta landscaping to work in the clinical trials, the other three work on their own for bipolar depression. And, what about the rest of the class? If you're thinking that the other atypical is probably work because these four do your betting on hope two of them era peppers, all and the president were tested in bipolar depression and failed. The others are untested. If we have to rest our hope on one, maybe it's a seraphine staffers. Osama. Pain has never been studied for acute bipolar depression, but it does have good evidence to prevent depressive episodes in bipolar disorder while the other eight typicals outside of the. FDA approved for that I. Just mentioned, do not. So that foot works, but how well do they work Leslie? Trauma and colleagues looked into that question with the likelihood to be helped or harm ratio, which tells us which Med has the best ratio of COSC- and tolerability. It's based on the more familiar number needed to treat the number needed to harm. Here's what they found Larussa. Don La. Tuta rose to the top in nearly every category. The, categories were based on different side effects. When we're talking about ethics, we were talking about one thing treating depression, but side effects are many, so they measured the likelihood to be helped or harm in several categories of side effects, weight gain, extra parameters, symptoms, fatigue, academia, and nausea as well as dropout dude at any adverse effect, which might be the most important of the bunch. I should note here that the study was sponsored by Sylvian, the maker of Larizza Don, but I have reviewed the data in other less biased sources and agree with the general consensus. They're Larizza Don is one of the better tolerated and psychotics, and with the number needed to treat of five. It stands comfortably alongside OFC and Qu Taya Pain. Those two are high on C., but they're lower on tolerability. Zipping Fox teen combination was actually a close second to Loretta Don in most categories except weight gain. Quantify opinion on the other hand sank to the bottom and most of the categories, although Kotite, typing ranks for both short and long term efficacy in bipolar depression and mania. It's also the typical that patients are most likely to quit in the short term and it side effects like fatigue and hypertension or often the reason. What about the newest on the block curric- present very lar- it's basically the less effective cousin Laura Zone, the to have never gone head to head, but careens number needed to treat indicate. It's about half as effective as Laura Zone. It does have two advantages. However, it works in Mania, which Larizza Don is not been tested in, and it's among the most tolerable of the atypical anti psychotics. Laura Zone as I said does not have any studies in mania, but it did work for mixed states and a new poster presentation, also sponsored by the industry brought some reassurance to those of us who worry that it may make mania worse like so many other anti-depressant therapies do. They re analyze Larizza domes main clinical trials again. None of these were done in mania, but they looked at manic symptoms and found that they did tend to improve with Larizza don and did not get worse.
Changes in thinking about blood pressure
"Or high blood pressure is a common condition. It's the most common reason that adults visit their doctor's office. There is considerable debate about what constitutes normal blood pressure, and depending on whose data is cited roughly half the people with high blood pressure. Do not have adequate blood pressure control, but in part this is because in 2017, the American Heart Association lowered the threshold for. For what defines hypertension from one forty over ninety to one thirty over eighty before the new definition, thirty percent of Americans had high blood pressure after the new definition, the number jumped to forty six percent, the same population of people, just a new definition of what constitutes the disease. This is an additional thirty. One Million Americans labeled as diseased for a total of one hundred and three million Americans with high blood pressure. It used to be that the ideal blood pressure was simply the average of all adult blood pressure's, but then came autopsy studies of soldiers who died in the Korean War those revealed that about two-thirds of these young Americans already had early signs of heart disease. Then the Framingham study revealed that there was an association between elevated blood pressure and heart disease, and then came studies showing that if you lowered blood pressure, you also lowered the risk of heart disease, and that sort of where we are today. Hypertension is more common in older people compare to younger people, which brings me to an interesting article published in Jama. The so-called optimize study included only people older than eighty who were being treated for high blood pressure with at least two different medications. We know that older people who take more than one blood, pressure, medicine, or prone to dizziness and falls and other side effects, so do these people really need this cocktail of different high blood pressure pills, so these researchers asked when people stopped taking one blood pressure medicine did they have dangerous increases in blood pressure? Half of the group had one medication de prescribed in other words discontinued the other continued on with their usual medications. They were followed for about three months for those who had one medication stopped. It turned out that eighty six percent of the patients blood pressure remained under control now in contrast, eighty eight percent of people who had no changes made to their blood pressure also had their blood pressure under control, so there really was no difference between the two groups. The study lasted only three months, which is too short to see if the changes in the drugs had any impact on the length of life or the quality of life, but reducing unnecessary, second or third blood pressure medications may both decrease dangerous side effects, which can lead to decrease, falls and fractures and head injuries and reduce the cost of medications for the elderly.
Santa Clara County officials push to declare racism a public health crisis
"Santa Clara county supervisors are considering resolutions that would declare racism a public health crisis Casey this is Kerry who dissect reports that the effort is meant to support the black lives matter movement while problems of inequity aren't new in Santa Clara county board of supervisors president Cindy Chava says a recent black lives matter demonstrations have fueled them to take action what is good about this moment is heighten the consciousness of a nation this is a modern reflection of that movement and and I think more importantly what it just reaffirms is that we weren't done considering racism as a public health crisis she wants more resources to go toward public health and early child care one of the things we know is that the African American community has a much higher level of diabetes hypertension and infant mortality and a lot of that we believe can be really tied back to to racism the goal is to address these inequities for communities of color from birth this is asking that the county start using an equity lines in terms of its funding your zip code shouldn't determine how soon you die or whether not you go to college in San Jose Kerry had a sack
Practice Guidelines and racial disparities
"Delivery is racist in many ways from insurance to hospitals to admission rates, and in other ways through implicit bias this week. The New England Journal of Medicine Points Outweighs that Ray sneaks into medical practice in ways we don't even realize. Is Skin color really a proxy for health risk factors we'll. geneticists argue that racial background is important to identify specific genes that are associated with specific diseases. Social scientists argue that racial differences in diseases are not due to genetics or skin color, but due to social disparities and inequities. Well, let's look at one example. A study shows that black and Latino ex people with heart disease. We're less likely to be admitted. Admitted to the hospitals heart service than white people. Some doctors argue that those differences aren't really racially biased. Because doctors used a computerized flow chart to calculate a person's risk of death from heart disease, and so they did well. There are dozens of these flow charts for all sorts of medical conditions. Many share a common problem. Let's look at the one used to predict risk of dying of heart disease. You'll see that the practice guideline directs more intensive resources to white people then to black people the way the American Heart Association's guideline does this is by putting together a number of risk factors for heart disease, history of diabetes, hypertension, family, history, and the like. Each risk is associated with a point. When it comes to race. If someone is not black, they get three additional risk. points sounds like AAC. Good thing right? Blacks have lower risk. Right will what happens is the black person get a lower risk or so? They are less likely to be admitted to the hospitals, heart service, and less likely to get all the heart care they need why those three extra points well. Nobody really knows and this isn't the only example by far. There are guidelines for heart surgery. Dialysis, organ, transplants, vaginal births, lung, disease, and cancer treatments when any of these specific. Followed seems that doctors are directed away from providing people of color with the route to more aggressive care, so is the risk really skin color. What do we do with the risk factor for someone with one parent who is white and one is black. We know that people of Color have different health outcomes than whites and Asians, and for public health reasons it is important to keep track of data by race and ethnicity and other social parameters. Why well just look at the rates of Covid in different communities? Communities. We need to know this the difference though isn't about skin, color or race. It's about poverty and housing and education, toxic stress and type of employment. There are very likely examples of diseases that do track to certain subgroups of people, but let's look for the specific gene that causes the disease and not the color of someone's skin. We do need to look at racial disparities, but that's very different than using raised to develop guidelines for doctors to
Medical examiner: Floyd's heart stopped while restrained
"Hi Mike Rossi a reporting the medical examiner in Minneapolis says George Floyd's heart stopped while being restrained by police the Hennepin county medical examiner has classified George Floyd's death as a homicide in a news release the medical examiner listed the cause of death is cardio pulmonary arrest complicating law enforcement subdue all restraint and neck compression Floyd died as Minneapolis police officer Derek schaffen held his knee on Floyd's neck as Floyd cried out that he couldn't read shop and was charged last week with third degree murder the medical examiner said Floyd suffered from heart disease and hypertension and also listed fentanyl intoxication and recent methamphetamine use hi Mike Rossio
Mexico reopens economy after two-month COVID-19 lockdown
"Take you to Mexico now the country looks set to Paul's ten thousand deaths from corona virus this is the second highest toll in Latin America off to Brazil the authorities recognize that Mexico is now at the peak of the pandemic never the less they'll gradually reopening the country from today the first of June this week to journalists on a government level house in Mexico City M. what Mexicans think then of the idea to start of starting to ease the look down on the camera when the peak of the pandemic is is ongoing in the country Hey when Mexicans are deeply divided about these government decision many are uncertain the relief that the economy is re opening because more than half of the population making a living in the informal sector and do not have a fixed salary so for them this lockdown has been especially hard but on the other hand there is another part of the population which stinks that easing the lockdown is very contradictory since specially now the corona virus is spreading really quick so these people are worried a friend even more sharply increase of the cases and the I W. I had the flu shot and this is what he told me the decision for re opening Mexico is being taken since its economy won't receive a long time to slow down situation however for a successful re opening the publishers should be should commit themselves to to be respectful of the measures required to control the street of the disease we are not sure if the city will be possible in Mexico so it's highly improbable to see a rise in the number of cases during the next days there is the after re opening challenging the out by the media and the extremely health services it's what every country is bouncing right then our public health versus the need to get the economy back running again so so what changed what we see today Mexico in terms of using the lock down the economy will be allowed to resume operations and that's the government's case it would be done gradually and the friendly in each part of the country for example in Mexico CD that so far has been dead the epicenter of the pandemic the schools we continue to be close but the construction will be respected also restaurants would be allowed to operate that thirty percent of their capacity be a production so will be respected and the seas has been particularly because of the debate since the government has considered it an essential activity so we should point out that Mexico in Mexico the lockdown has a strong get western he advised by the government and imposing some places such as schools and working centers but not to the general population so Mexico is a country of many different realities and some people carry out on working through all this time and somehow stop the work depending on how old they are absolutely it's the same the world over isn't it is is there any clear idea then why we're looking at the situation in Mexico with a maternity right from corona virus is so hard to just behind Brazil's when the mentality rate is really high he did so one of the highest in the region G. journey so nine point eight percent on the Alberta check over that of the people is fifty nine years so is leading junk considering like comparing to other countries especially in Europe so expressing that the reason behind east another up and then make a **** the country before the coronavirus which is over sixty Mexico with the U. S. is one of the countries with the highest number of obese people in the world and that conditions comes with other related problems such as diabetes and hypertension so according to though W. it show this contributes to higher rates of CDS complications from cardiac thank you for joining us on Capitol hasta Tony is live from Mexico City
3 x more black Americans dying of Covid-19 than white.
"Wound at the center of the Corona Virus Pandemic in the US continues to fester with the latest data showing that African Americans have died from the disease. At almost three times the rate of white people new figures compiled by the nonpartisan. Apm Research Lab and released yesterday under the title. Color of corona virus provide further evidence of the staggering divide in the COVID nineteen death rate between black Americans and the rest of the nation across the country. African Americans have died at a rate of fifty point three per one hundred thousand people compared with twenty point seven for whites twenty two point nine for Latinos and twenty two point seven for Asian Americans more than twenty thousand African Americans about one in two thousand of the entire black population of the. Us have died from the disease at the level of individual states. These statistics are all the more shocking. Bottom of the league table in terms of racial disparities is Kansas. Where Black residents a dying? At seven times the rate of white people despite the glaring Gulf the trump administration continues to be sluggish in responding to the crisis. Senior trump administration officials have blamed the disparities on the high incidence amongst black people of underlying health conditions such as diabetes hypertension and obesity. But some critics say there is a more sinister aspect to the lack of federal interest in data gathering and support to these communities the US Centers for Disease Control and Prevention only produced. Its first set of death statistics by race this week despite mounting coals for basic information in the absence of government data. Apm research lab has stepped into the breach it now gathered statistics from forty states covering almost ninety percent of the total ninety two thousand deaths in the US. Andy Egbert researcher at a P M said. She was astonished that it was left to an independent organization to produce nationwide statistics that should be coming from the federal government. I won't speculate about motives. She said but I can't believe. In a modern economy that we don't have a mandated uniform way of reporting the data across states. We are in the midst of this tremendous crisis and data is the best way of knowing who is suffering and how
The Kidneys Connection to Our Emotions
"Today. We're going to go off on a different subject here about kidneys. You guys haven't heard us discuss kidneys very much in the past episodes but we thought with everyone being a little bit on the fearful angry side we would address kidneys because they very much have to do with those emotions. So the name of this show today is called the kidneys connection to our emotions. And we're going to tell you a little bit about what to look for when you might suspect it your kidneys what you can take to help. Get them better and we also have a question at the end that we're going to answer. So Dr Lewis. Could you tell us why you have chosen to discuss the kidney connection today on our podcast? Well Yeah I'd love to. I chose to do this because Janet wanted to. That's right that is true. You know I think the main thing is is because the throughout this Kobe stuff that I think is you know crock. Crap but You know we. We've been told things so long so loud. You know you can tell a lie long enough and loud enough people begin to believe it and so saying stay safe Co home. Stay home be safe in. Its implying that US people like me. That think it's a crock that get out or sinful and where. The enemy were being brainwashed. Folks you've got to think past that and I'm absolutely amazed at the people that choose. It's a choice. They choose to cower down in fear and and we've noticed that people are more agitated more irritated and that's me because I can't believe that idiocy that's going on like trying to get into home depot and his lap. Geez there's one hundred and fifty feet between everybody but you're worried about how many people walking in the store and one of the reasons that we as a society besides the mental spiritual they're throwing at us is because we're eating incorrectly. We're drinking to excess with when it talks when you talk about alcohol. Excessive to me is very little but Done tight much and we get irritated because we're putting our her kidneys under stress. One of the worst things you can do is have high blood pressure that you don't take care of either medically or naturally or both because at high blood pressure can really calls all kinds of problems with the kidney so please please please take care your kidneys. It it's incredible is super important but kidneys are their damaged from all sorts of things like certain drugs are really really tough on the kidneys and you have to watch that and you know. Have your doctor that puts you on the medications to monitor that but heavy metals our society full of heavy metals. It's full of solvents. It's of a chemotherapy. Does that Different Benham's snake insect spider and I went through a lot of that after God only knows how many Brown recluse spider about gotten and it will wreak havoc on your kid. He's poisonous mushrooms. I don't know anything about that because I don't experiment with those mushrooms that grow on cow patties like some people. I know Do it because it's a psychedelic psychogenic psychotic or something Pesticides and we know we've got pesticides all over the. It's really really really common in our food. Which is a sad thing and herbicides and people say but I'm not around our besides York Janet. I was coming to work two days ago. And there's the Texas highway department spraying herbicides. Oh Good God but you know us a goat to eat but we have done that to ourselves with the poisons in our society and renal failure and not even failure but when you put your kidneys in stress it can add to things like congestive heart failure diabetes or diabetes slash Metabolic Syndrome. Can put pressure on your kidneys. It can go both ways and lock said before the chronic hypertension a bad thing liver disease liberal ever you got. The liber is like a woman. The Lib rain happy. Ain't nobody happy. And then you have diseases. The autoimmune diseases like Lupus and sickle cell. Things like that There are people that have genetic tendencies the have issues with Kidneys like poly cystic. Disease and kidneys. Are They Tennessee to have mineral accumulations that she usually calcium? And we see that into your analysis. It'll say crystals calcium oxalate. Now you know. We can't make any claims about supplements but if you're having calcium oxalate stones that usually means you have a lack of magnesium or potassium to offset because we get minerals that out of balance. And that's the problem with our society mentally and physically because we get out of balance we forget to laugh. We forget to you know have a good time and I just love people that come in here and I'll go hug their neck and watch them freak out or I'll shake their hand and it's like you know we've been doing this for tens of thousands of years and it's not an issue in. Don't you enjoy the HUG and s? You're actually I do I. I like the way you social distance dot because I don't social distance. That's one of the things we're missing. Now is the social interaction. That is way way more important than any other thing now again. I I said disappear. Podcast AGO that they're scripture somewhere to Bible. I forget probably proverbs but is a wiseman foresees danger and takes precautions K. And I think that's a smart thing to do but the Bible also says in Titus very plainly. God didn't give you a spirit of fear so quick fear crap You talk about stones oxalate downs in nineteen seventy four when you say stoned rattling talking about oxalate stones. The ones that are GONNA be urine. Just what would those manifest in normal? Layman's terms that someone might understand that. They may have a kidney problem. Kidney Stones you know very sharp pain in the back and you know This is because one sweetheart of a sweetheart patients or no the different parts of magnesium and we're getting people that say well. I have this symptom and they want me to diagnose Office set a symptoms everytime time Janet. I give a list I say. Be careful though because these same symptoms can go with a different organ. Be careful how you diagnose off of just symptoms but one of the things That you can bet your bottom dollar as you're deficient in magnesium so I had this sweetheart patients they can you explain the different types of magnesium. I'm saying that because there's plenty of research says if you take magnesium it buffers The bad side effects of calcium or calcium oxalate stones that that's research that and it says be six. Pp and potassium so let's talk about. Magnesium purchased a little while because magnesium can take the anxiety irritability that we are feeling and. I think is obvious in my voice. It's like oh good. God quit despair crap but if you take magnesium there's actually research says magnesium if it's the right form can work even better. I'll stress anxiety. Depression era ability and anger than many many many drugs and again we can't make claims that but the research says it so let's talk just briefly about the different types of magnesium if you poop once a day or less unietd magnesium citrate now. We have that for people. They say about once as normal permissiveness common. But it's not normal. He got three trains in three trains. Out Is Janet says about three meals and three meals out so citrate because it was bound citric acid. And that's a pretty large molecule. And that's why you don't get enough in a multi vitamin or multi-mineral. Because it's a large molecule. Takes up too much. Real Estate It's a mild laxative. And so it's it's a great choice. Then you've got magnesium oxide folks it. They're putting oxide in your multi-donor multi-mineral throw it away. Because that's the cheap crap that yes it works as a laxative. But you don't really absorb it where you can absorb more the cows of magnesium citrate then you got the magnesium glassy night and it's a pretty gentle form that's what I'd generally suggest for people that have hypertension It slower going through the system. It absorbs a little bit less water. So you end up. Absorbing more of it It glasses night. Actually it's Connected to an Amino. Acid glossing blessing is incredibly incredibly incredibly important amino acid to help form neurotransmitters and calms your nerves.
How COVID-19 Shines A Light On Our Broken Food System with Dr. Dariush Mozaffarian
"We want to talk today about what seems to be unrelated to Cova Nineteen which is an infectious disease but it's diet and chronic disease and you wrote an article with the former secretary of agriculture. Dan Glickman that was posted on. Cnn entitled Can Diet Flatten the curve for covert nineteen and it's sort of like How does that even make sense? So we've heard all about these ideas of fighting. The curb was social dissing handwashing washing and contact tracing an isolation testing but your article presented a very different view about how we can use food and nutrition and specific nutrients to actually help us address. This pandemic so. Can you tell us why you wrote this article and why this is more important than ever to address these issues? Yeah I think markets really clear that that to those of US following this crisis that cove nineteen has really laid bare these incredible challenges. These incredible disparities is incredible unreasonable aspects of our food system. Are there so many ways that that covered nineteen influenced student? Nutrition and nutrition Kobe. Nineteen back up at at all. Just go through quickly and we can go about each of them so you know. One is immunity the actual immune response to Cova and then you actually the blunting of the excessive inflammatory response to cove. We can talk about nutrition and actually the immune response to is is hunger and food insecurity which of course 'cause incredible human suffering with this economic shutdown lost wages at schools being closed but also we know from long clinical experience malnourishment further predispose people to infection. So that's the site and that doesn't mean and that doesn't mean skinny and wasted away could be that your nutrient deficient which is really common in America. Absolutely absolutely. There's one call hidden hunger. People look like they're getting food but there's hidden hunger because they're not getting the right the right nutrients and what's paradoxical is the most obese are often the most nutrient deficient when you look at their numbers. Right it's kind of interesting. Yeah and then. These other aspects of Kobe crucial to to you know of just quickly mention our third. The incredible intersections supply chains and food. Waste and getting food to people we. We don't really have a national food system even global food system. We have this fractured supply chain. That's now becomes you know very very dire And then I think one of the one of the most important things for really thinking about covert long term. Because this is going to be with us for for some time. Many ears is the incredible relationship between for Metabolic Health Diabetes Hypertension Heart Disease Obesity and poor outcomes with Cova. The the latest analysis from New York which has had the most cases in in the United States showed that with each of those conditions diabetes hypertension of city. There is about two or three full higher risk two to three times higher risk of hospitals. And if you put those three things together lots of people have diabetes hypertension and obesity. There be sixteen fold higher risk of hospitalization. And so it's very it's very plausible. And we're modeling this now. It's very plausible. That you know. If we had a metabolic healthy population job it would be much much less severe. And so you know thinking about nutrition and immune response malnourishment and hunger and food insecurity disparities very high rates and african-americans very likely related to nutrition in a major way the challenges to food systems and supply chains food waste and then metabolic health. You know these are all things that that you and I and others who study food at about that that food nutrition or a dire challenge and an incredible opportunity to improve the health of the population but Kobe. Nineteenth really liked taking a you know a knife and slice down dessert that was hiding immediate objects and so you know if five years from now we're back to where we were a couple years ago and there's no improvement in our food system quality of the food the way we get it to people in science that we have to address questions. I would be just devastated. I would be so disappointed that we haven't realized the opportunity here to fix the food system. So filming in the straight. What you're saying is that if you have chronic diseases and multiple chronic diseases that your risk of being hospitalized sixteen times higher that if you're metabolical unhealthy more likely to get sick because your immune system isn't working and then only twelve percent of us are actually healthy so that means if we actually had a healthy population that was eating a diet that created metabolic health instead of the opposite. Which we're doing now that this may just be a bad flu and we wouldn't have full hospitals in a society that shutdown and trillions of dollars in economic losses. All the evidence supports that you know. Of course we can't do a randomized trial and wave a wand and make everybody know about healthy to test that but all the evidence suggests that you know as you said. I'm based on national data. Only twelve percent of adults in this country are metabolic Healthy that's just taking things like waste. Your Conference Blood Glucose blood pressure cholesterol. It just measure those things. Only twelve percent of adults or metabolic be healthy and most of those people in their twenties right. You haven't yet really had a lifetime of for die in for lifestyle. And so the vast vast majority of American adults over forty are metabolic late unhealthy and given these associations you know as I mentioned even just one of these risk factors. You're doubling or tripling the risk of hospitals ation and you start piling up together In terms of risk of death is in so few debts especially under age. Seventy unless there's at least one of these other conditions. Yeah and so. It's very plausible. That if we had a very healthy population you know. Instead of a twelve percent medically healthy. We had twelve percent metabolic the unhealthy. What if nine of were metaphor healthy then in nineteen would be a far far less severe disease? Many many fewer hospitalizations fewer deaths. We wouldn't be shutting down the economy we wouldn't have. These hospitals overloaded our healthcare providers but insulted dangerous petit and working chefs on an and. What's really important here is that we can actually fix this now in real time. And so you know. It doesn't take years and years and years to reverse diabetes or to reverse hypertension or Reverse for metabolic health. Yeah does take years and years to change. Wait for many people but metabolic health. Whatever your weight. We can pretty rapidly improving. Edibala cal over months sometimes even shorter. But so yeah so the country. In addition to the things that we're doing social distancing and testing we should be launching a national campaign to improve the way we move and eat to improve our metabolic health
Signs From North Korea Only Raise More Questions About Absent Kim Jong Un
"Enormous speculation as to the well-being otherwise if the North Korean leader Kim Jong Un. He's not been seen in public for over a fortnight missing key public events. Initially reports carried by daily N Que a media outlet run largely by North Korean. Defectors said that he might be dead or critically. Ill later reporting that. He'd undergone treatment for cardiovascular complications other stories circulating in the media said a heart operation had been botched by nervous surgeon with shaking hands. Now we know Kim is morbidly obese. He's reportedly a heavy smoker and drinker may be diabetic and suffers from hypertension. Both his father and his grandfather died from cardio related ailments. North Korea has been utterly silent on the subject but if he is dead will destabilize the state and who would take over John? Everard is the former British government. Signed Busta to Pyongyang. He's on the line. John Lovely to speak to you again. Is He alive or dead? I'm pretty sure he's alive. Not least because two days ago he sent a congratulatory message to President Ramaphosa of South Africa. Now I suppose it's possible that these messages are being sent out on his behalf but even though he's passed away but I don't think so that's simply not the way the North Koreans do things. But he certainly not around. The last confirmed sighting of Kim. Jong UN was on eleven April at which point he looked. Fine I mean he was hosting a his chairing a politburo meeting and he didn't look any worse than he normally does. But then the big shock. He failed to appear on Fifteenth April. The birthday of his grandfather and founding Kimmel soon every year. There's a big ceremony where the royal family all troop off to Kimmel. Psalms mausoleum to pay their respects not to do so is simply unthinkable surprised foreign observers and north. Korean draws must have dropped I mean the last time he disappeared for review for a substantial time if he had six weeks later walking with a cane apparently due to surgery on his ankle. Do you think we should assume that? This is health related He's not just having a luxury lockdown somewhere. I don't think we kind of humorous health related as you sit in your introduction there have been reports that He underwent heart surgery. That didn't go well. But the sourcing of those reports is really very wobbly. Indeed and it's quite possible that there simply wrong all do. Nathanson is that he hasn't been seen he failed to appear. added grandfather's birthday. But he's still messages. Is He. Sick it is. It's possible but if if so why then didn't he send a flower basket to his grandfather was in? Which is what you always do in North Korea in these circumstances also if he is sick what has happened to his younger sister. Kim Yo John. She didn't show up either. In fact she to US disappeared. So what a body victim has taken them both out. I think it's possible that the problem is not medical but political. Iggy means some kind of fracture within the regime. Yes that somebody has decided that it's time for a not exactly a soft coup but four. Kim's on to be removed from the immediate levers of power so he keeps his titles in the official reports of the messages that he has been sending out to vice presidents he's given orders full titles we continues to rain but we don't know whether he continues to rule and of course the South Koreans are saying they think he's in one sandwiches a port and seaside resort on the east of North Korea. What's he doing there? Wouldn't make sense if it's a medical problem because spills somewhere it would make sense if he's been arrested or is just in lockdown like the rest of the world why though e- during the worst of the pandemic he continued his normal activities and was photographed chiefly hugging people. Not a social distancing there now The pandemic and China is receding North Korea is claiming no cases. Why would you want to go into self-isolation matter? It doesn't make sense so John I mean I was going to ask you about who the possible people to take over from him. Off is being the obvious contender but this is. This is astonishing news that perhaps a soft coup has happened. What would that mean for the country? We don't know a lot of because if it has happened and we're we're we're we're we don't know this we're all guessing we don't know who has let it. It might be hard line as what it might be liberals They're all factions of in both directions at the royal court and of course a North Korean aunt saying anything at all I could easily produce a a list of possible. North Korean candidates who might be leading government for you but frankly it wouldn't be worth much so I mean we had. Obviously we thought that this the ruling would stay within the family. It is after all the world's only communist monarchy rarely could go to someone outside the family and if that is the case one name that seems to being bandied about is Tahoe's a North Korean defector. He's part of the the government in South Korea. He does seem to be readying himself for the challenge. I think if they were a unification of the two careers. Tim Ho Foolish not though. He's a buddy of mine so I'm biased. But he would probably play a significant role in this. I'm not sure that he would be offered or would see a leadership role.
"hypertension" Discussed on iForumRx.org
"Greetings and welcome to the. I former ex podcast where we explore the evidence that informs Tori Care Pharmacy Practice. My name is Stuart Hanes. The host of I former ex hypertension is perhaps the most common chronic disease encountered in clinical practice and while high blood pressure does not cause symptoms at least not routinely. It leads to end organ damage to the kidneys. The eyes brain and his a major contributing factor to atherosclerotic cutting vascular disease thus helping patients achieve and maintain optimal blood. Pressure is among the most important goals that pharmacists and ambulatory and Community Pharmacy. Settings should be striving to achieve now. While optimal blood pressure is clearly important preventing cardiovascular events and organ damage is really the ultimate goal and in this regard how we achieve good blood pressure. Control may be just as important as getting to goal. That's why the recently published Hijja chromotherapy study caught my eye my guest today. Dr Joseph Sustain and Dr. Vivian Chang from the University of Colorado skaggs pharmacy and Pharmaceutical Sciences Dr Secene is professor in the departments of pharmacy practice in family medicine. And Dr Chang is a PG way to ambulatory care pharmacy. Practice resident together they authored a commentary for I former ex about the Hijra chromotherapy study entitled should bed time be mid time for hypertension Joe. It's great to have you back on the Iphone X. PODCAST and did IAN. Thank you for becoming a first time contributor. Thank you stuart. It's always a pleasure talking about hypertension at topic near and dear to my heart high. Thank you so much for having me on. I four RX. I've been a subscriber some time now and I'm excited to be here so before we get started. I want you to imagine you're seeing L. Are a fifty nine year. Old African American male in the Family Medicine Clinic today for a routine blood pressure. Follow up visit. The patient has a longstanding history of high blood pressure are L. is also overweight but is otherwise healthy. He reports no personal history of cardiovascular disease states that his sister has kidney problems and his father died at age. Sixty from stroke. The patient currently takes Lysenko Parole Twenty Daily hydrochlorothiazide twenty five milligrams daily 'em Load Pin ten milligrams daily. And last week. He was started on spiral. Aktan twelve point five milligrams once-daily now. He weighs two hundred one pounds and his team is thirty. Six point to his.
"hypertension" Discussed on Surgery 101
"Let's talk about treatment. Women with persistent postpartum hypertension should be treated because the risk of stroke or seizure is still high patient that need anti hypertensive therapy or are those with severe hypertension on those non sphere hypertension with pressures above one forty over ninety patients with prejudge stations. Diabetes should have the pressures Kapitolo one thirty thirty over eighty the Beta law. Fifteen extended release hydrology in Massell. Dope are the most common agents us. It's inhibitors such as capital. Prell and analysis krill though contraindicated in pregnancy can be used postpartum. All of these options were saved for breastfeeding liberal. which is a Beta blocker should be avoided in women with asthma or heart failure and can be given either orally or through an IV Philippine can only be given orally rallying can be prescribed the IV or intramuscularly muscular early mental Joepat can only be given orally absorbed signs of pre ECLAMPSIA? ECLAMPSIA are or help syndrome. Magnesium sulfate is given for Niro protection. Finally Wanna I treat for causes and consult other specialties. If there are signs of an organ damage most importantly patient education is required. Patients should be given teaching on how to take take a proper blood pressure at home. A blood pressure log should be given so patients can keep track of their blood pressures and cut off values on when they need to visit our family physician or present to hospital should also be given. Okay let's get back to our case you've already ordered lobs by regardless of technical diagnosis patients. Hypertensive before you had offered that c-section Russian you ask the nurse to give her Bagel and to call you urgently for pressure goes above one sixty over one ten on either systolic diastolic or develop any new symptoms dining hugo reassess. Alana her has gone away. Fenner pressures are back to normal. She's feeling much better. Her labs are also normal. And you deamer safe to go home before discharge her. Get her educational teaching on how to take our pressures you ask her to schedule a follow up appointment with her obstetrician one week from now interfere pressures go above one forty over ninety dollars diastolic. To Call Her outside attrition if it goes above the one sixty or one ten mark on other systolic or diastolic. She should come to the hospital right away. She agrees with the plan to summarize. Hypertension in pregnancy including postpartum is defined as systolic blood pressure. One forty zero grader and or a dialogue pressure ninety a crater on tour marcation at least fifteen minutes apart severe hypertension systolic pressure when sixteen greater or a diced olic pressure one hundred ten or greater signs or symptoms include a severe headache altered mental status blurry vision visual. Oh field defects pulmonary Dima right upper quadrant or stomach. Pain nausea vomiting and swelling in the legs hands for face mobile hydraulic the Filipina and method doper for the most common agencies. Thank you for listening to a podcast..
"hypertension" Discussed on Veterans Helping Veterans
"Certain aircrafts and stuff like that. That were transporting each and orange so so when we're talking about Agent, Orange exposure and a diagnosis of hypertension. That's another big one because if they ever add hypertension as presumptive to to Agent, Orange exposure that open up so many other avenues for veterans to be service connected for because as many people know, you can have hypertension it can be controlled medication, but there's so many offshoots. Hypertension that can happen stroke, heart disease, things of that sort self and those are all service connected as well. So if you have a disability that that's secondary to hypertension that's open for service connection. So it just kind of keep in mind. If you're exposed to Agent Orange, and you have through tension get the claim in because 'cause that claims should warrant benefits down the road if they ever. Our ad hypertension. Well, I thought I'd pretend too much one of the empty John. But I would not know. Oh, man. Hard about as man. Yeah. Ski mccart this use coronary artery disease, heart conditions like that. Yeah. Yeah. But, but hypertension is it's a very how should I say, it's a type of disability that many many people have including a number of veterans in and the bean counters at the department of extra terrorist are just terrified here that they're gonna have to add. 'cause it's no it's not so much. Hang ten percent. Disability for hypertension, which is usually qualified when you're on prescription and your diastolic, and let's call up and hypertension or above a certain level. Even if it's controlled you can get a ten percent disability. What the afraid of is paying out for the severe chronic does not that calm innate as a result of hypertension, especially stroke cause heart disease. I already be service connected on presumptive to Agent Orange. But but any other disability that's not an already on the presumptive list, like stroke or any other? Residual shoot a hypertension would be service connected as well. Yes. So. Involved in that, it's it's more complex and people realize just keep an eye on the oaks. And like like, we said that if he had it, especially if you're blue water navy bathroom, and you had Mitch us or if your spouse and and. Surviving spouse get climbing get in there and talk to to metrics rep or someone like John Dory here, he's a certified metrics claim agent. And I don't know how many or cross country, you know, Dionne. You know, I looked at the website one time. So I was kinda curious how many people are there that do what I do on a claims agent level and the credits that appearance age if he's not including Ernie's there's a lot of attorneys. That are authorized and do what what we what we do is claims agents. I think there's only a couple of hundred throughout the country, maybe to two hundred fifty throughout the country, and and I would recommend guest of those two hundred hundred fifty accredited appeal to agents maybe half on some trade on time. I'm just guessing at that. But I know for the state of Minnesota, we've got three, and and I'm fulltime the other guy is that I know of John Brown was sitting on this show years ago. He's still fulltime. And I think there's two others that are registered I know one to do it full time. But I guess the point being is this Gerald what I guess plan. So the question eight I would reckon to guess credited appeals agents at do it fulltime, and it hit me maybe a couple of hundred safety somewhere around there. Well, we're many veterans all in claims, that's not very many. Well, I tell you there's a lot of work out there to be had. I sometimes I rubbed shoulders with threes. Co workers, and tears that have run into from previous jobs and still this is the job you gotta get into. I if you wanna make a difference. You wanna, you know, make a living doing it, your old boss, and you're good at what you do. It's a perfect job. It's best thing. I ever did..
"hypertension" Discussed on Surgery 101
"So that's intra hypnotic portal, hypertension, pre hypnotic and post hypnotic causes are a lot more straightforward when we think about pre hypnotic portal, hypertension. This would be equivalent to someone stepping on the garden hose proximal to the outlet of those again, any resistance apply to the anatomical path flow proximal to deliver can cause pre hypnotic portal. Hypertension portal or splitting vein thrombosis split omega Lee or split. Nick, atrial Venus. Fistula are three important causes of pre hypnotic portal, hypertension, moving onto post paddock port, hypertension. This is a source of resistance that is distorted liver thus the causes can be well, categorized. Into paddock means the inferior Vena Cava or the heart. So as we mentioned earlier, but Kyari syndrome can cause thrombosis of the paddock veins or the inferior Vena Cava and therefore can lead to post. Paddock portal, hypertension, cardiac diseases such as constrictive pericarditis or restrictive cardiomyopathy result in decreased filling of the right atrium ventricle this ultimately translates to an increase in pressure in the IB see in the portal Venus's system by section. So that concludes the structural changes of portal, hypertension. If you're still with me, let's briefly talk about the dynamic changes, which is still an area of active research. The dynamic changes occur from increased production of Vasil constrictors such as Endo theologians agile tense into nor Ephron as well as decrease secretion of endothelial basil dilates such as nitric oxide in the liver. This causes contraction of smooth muscles of the paddock vascular to make things more complicated. The splaying blood flow, which is the circulation of the GI tract increases because of local release of vascular endothelial girl factor at Nick oxide, this alternately causes spanked Nick Vasil dilation angiogenesis increased basketball permeability and systemic Hypo tension the systemic hypertension results in activation of the Renan agile Johnson dos strong system, resulting in increase. Fluid retention which combined with the increased vascular permeability of displaying Nick circulation as well as the low albumin that is typical of nutrient deficient psoriatic patients ultimately contributes to the development of the site. He's all right. So let's simplify that the dynamic changes are caused by secretion of compounds that ultimately caused basil constriction in the and basil dilation in the slang circulation digitally, low albumin creates a low on Kartik pressure. Promoting sites development, which is worse. Invite inflammatory factors causing an increase in vascular permeability of despite Nick circulation. So that concludes our podcast on the path of Yala. The of portal, hypertension. Thank you so much for listening. Here's a summary of the key points. Number one. The portal vein is a large main that's applies liver with seventy five percent of his blood flow at about fifty percent of his oxygen. Number two sites of Puerto systemic collateralisation include cabinet Medusa, the Sauvage VERA sees gastric fair. Sees rectal. Vera sees or hemorrhoids the retro peritoneal Baynes and the veins of sappy. Number three causes of portal. Hypertension can be broken down into pre hypnotic intra paddock and posted paddock. Number four, intra paddick causes can then further be broken down into pre sign associate soil and Paul said. Number five, the most common cause of Puerto hypertension in the western world is liver cirrhosis and finally number six the dynamic changes of Puerto hypertension include Vasil constriction of deliver Vasil dilation of split Nick circulation and increased vascular permeability of the split Nick succession. I hope you enjoyed this podcast and tune into our next one on Pertile, hypertension, as we work through patient presentation of the disease. Thanks again for listening. Thanks air for this. Excellent. Overview of what can be a complicated, and sometimes confusing topic. I'm looking forward
"hypertension" Discussed on Surgery 101
"Risk number three rectal, viruses, or hemorrhoids these occur from the anastomosis between the inferior Mezin teric vein to the superior rectal vein. And then lastly to the middle and inferior rectal James causing hemorrhoids. Number four gastric. Vera sees these occur from the anastomosis between the portal vein and sledding gain, which sent an ASOs. He's to the short gastric lanes. Number five, the retro peritoneal veins or the veins of recipes these occur from the anastomosis between the inferior Mezin teric main on the veins of Retzias. And lastly, number six the die for Matic veins or the veins of sappy this occurs directly from the anastomosis between the portal vein and the veins of sappy. Okay. So far, we've covered the anatomy of portal, hypertension. The definition of portal pretension and the concept of porta systemic collateralisation. Now, let's address the causes of Puerto hypertension. So Ohm's law defines pressure as the product of volume of blood flowing through a system and the resistance of that system to flow in portal, hypertension. There is both an increase in the volume of blood flow Annan increase in resistance, and this is due to both structural changes as well as dynamic changes. Let's talk about the structural changes. I you can classify portal hypertension, into pre hypnotic intra paddock or post about it causes. Let's begin with intra paddick the most common intra hypnotic cause of portal. Hypertension is liberty roses liver cirrhosis is defined by paddock fibrosis which causes a distortion of cell architecture. A ceramic liver has increased resistance of imagine that the portal vein is a garden hose. Intra hypnotic portal. Hypertension would be analogous. Someone pressing thick piece of cheesecloth to the outlet of the hose the hose becomes pressurized proximity. And we will see less output from those when we look at intra paddock causes of portal, hypertension. We can further apply cheesecloth analogy to specific locations within liver. Simply put the cheesecloth could be located anywhere along the anatomical path flow. Remember, the paddock science soy's mentioned earlier as you now know they are essentially small canals which allow for. Passage of blood from the portal triads to the central veins in broad terms are cheesecloth can be located before the paddock sides. It can be located within the paddock sinus olds or it can be located after paddock sides, respectively referred to as precise oil, sinus oil or poll side Soto. Precise soil portal, hypertension, develops proximal to deliver sinus waves and can be due to number one congenital malformations such as polycystic liver disease number two year diseases such as primary bilious roses or primary Slough rose in college Itis, number three neoplasm such as them Volmer or Colegio carcinoma number four granular liver lesions such as sarcoidosis or she still foam ICES. Sinus oil portal, hypertension, develops due to a problem with the liver, sinus oil itself or the surrounding structure of that sign swayed the space of this is the common culprit, this is the space between the sinus, Lloyd and the hip paddle sites, which is actually where the exchange of nutrients into the liver actually occurs. Fibrosis of the space of this is an important cause of sinus sorrel, portal, hypertension, and this can occur from metabolic causes such as non alcoholic fatty liver disease inflammatory causes such as viral hepatitis. She still so myositis cytomegalovirus or chronic. Uber and drugs are talks in said his EMMY odor on methotrexate, alcohol, vinyl, chloride or copper. Lastly post sinus, oil portal, hypertension, develops distant to deliver sinuses. Causes include a sinus Loyd obstruction from vino Occlusive disease, but Kyari syndrome, which is the clues in of the paddock veins or the inferior Vena Cava can also be considered posted Babic as well as primary vascular malignancies such as epithelial you'd Emmanuel Indo THEO while that's a mouthful, okay..
"hypertension" Discussed on Surgery 101
"The paddock artery proper flowing inward as well. As the car. Unbowed duct flowing outward after entering deliver the left and right portal vein. Contribute to portal triads which made a portal vein branch had a gain anabol- duct. These portal triads make up part of the functional unit of deliver known as agonize or lobbies, and the labile is made up of several portal triads arranged around the periphery of a central vein blood flows from the terminal Puerto vein in the portal, triad to the central through a structure called a sinus lining the outside of these signs are Pata sites, which absorb nutrients from the blood as flows through the sinus sinuses to the central vein, the central vein, then go on to form left right and middle hypnotic veins, which then flow into the interior via cable now that can be quite complicated to visualize. So I suggest looking at a diagram online of the labeled anatomy, if the billiards system would also be helpful to look at a labeled cross-sectional view of deliver to get a sense of the portal triad. Adds a assign a soybeans and the central veins. All right. That's nothing Adamy for now. So how do we define portal? Hypertension portal. Hypertension is technically defined by portal vein pressure that is higher than five millimeters. Mercury. However pressures of eight to ten moments of mercury are usually required for the development of Puerto systemic collateralisation. So what is that what is part of collateralisation while let's break down Porto systemic means that it involves both the portal circulation as discussed above, and this is stemming circulation collateralisation means that there is development of collateral flow or an alternate flow, Pat for the blood under normal circumstances. The blood in the portal circulation does not make the blood in the systemic circulation. However, a basic understanding the laws of physics tells us that flow tends to follow the path of least resistance. So if we create resistance in the portal circulation, we will see elevation portal pressure and the flow of blood will. Preferentially pass through areas of low resistance, hence the term porting systemic collateralisation porta systemic collateralisation occurs, where the Puerto Vena system Nassim sees with stem Akina system as the pressure in the portal vein increases, these anastomosis become engorged dilated Enin some cases become a concern for bleeding. There are six major sites of Porto systemic collateralisation, which are highly pimple. They are number one captured Medusa recalculation of the Bill Bain and engorgement of the para umbilical veins this occurs from the anastomosis between the left portal vein and the obliterated umbilical vein. Which runs inside ligament Terry's number two is often you'll Veira sees this occurs from the anastomosis between the portal vein and the coronary thing, which is also known as the left gastric way this drains into the Asaf Venus plex side as mentioned. Earlier bleeding from an esophageal disease is associated with fifteen to twenty percent mortality.
"hypertension" Discussed on NewsRadio 1020 KDKA
"Dr Kenmare always like to ask our guests of what do you see out there? You've been in practice. Along not quite as long as Dr Benza. But what do you see out during the future ten fifteen years from now, let's talk about I know, you have a lot of other responsibilities besides pulmonary, hypertension, hyper pulmonary, hypertension. Specifically, what do you see out there? Ten fifteen years from now, what do you think you'll be doing as far as a practitioner who diagnosis and treat pulmonary, hypertension? So if I were to look into the past to get a glimpse of the future, the biggest change in the last decade has been the sheer number of treatment options available in forms of medications for these patients. So there's been a recent boom in not just more drugs, but also more vase of dispensing these drugs. So I think we'll continue to build on that momentum in terms of getting more. Better auto varied number of agents available for them till eventually cracked. Ceiling for a potential cure for these patients, which still currently is not attainable. So I do think that with time the focus will shift more and more too, early recognition and appropriate treatment individualized treatment because again, the treatment of beach has to be in terms of what the reason for that is but a more and more unified approach to eventually hopefully offer care. Okay. Let's go to our phone lines. Let's go to Gary in Irwin, you're on the air. Hello. Hello. You're on your. Yes. Back in two thousand nine. I went in for any replacement, double pulmonary embolism. I was told died they brought me back. But now, I developed pulmonary, hypertension. I thought I was told that I was on blood thinners for over a year. And that I might question is do these ever dissolve themselves or do they have to surgery be removed? That's why I got pulmonary hypertension. That's an excellent question. And thank you so much for your your story Kenmare how about that. So gary. For patients who have had a pulmonary embolism afternoon events such as yours, which was a knee surgery. It typically takes them several years to develop on me, hypertension from the clot. So you're absolutely correct. That you have to stay on a blood thinner pretty much for a long period of time. But at this point the clots that were to be dissolved for the blood pennant that you're currently on have already dissolved and what remains behind shall not dissolve using these blood thinners. So the reason you're on blood thinners for a long period of time is to prevent more such clots from happening. So if you have developed pulmonary, hypertension, and you've had a previous history of pulmonary embolism. It is possible that you may have a condition called chronic trombone, Bali me, hypertension, which is for me apprehension from blood clots as such. So I would highly recommend that you speak with your physician. To see if you can be screened for this condition and screening for that is relatively easy with the desk called perfusion scan or req- scan. And if that is abnormal then you may need to seek further attention because this as we mentioned earlier is one of the few types of hypertension. That's potentially curable. Okay. Dr Benza word of those clots come from that continue to form where are they coming from the legs? Were so they usually they come from the lower strategies from the legs or they can form in the pelvis. Also, and when these clots break off and lodge into lungs for some reason, the body doesn't get rid of them like it naturally would do. And what happens is longer that the clot remains in long and not to solve it actually grows in becomes part of the blood vessel. And so no longer becomes a clot. It becomes more of a fibrous mass. And that's why these surgical excisions needs to be done to tease these new Inc. Masses out of the arteries says no longer clot when hypertension is kind of a to do I have to go. See you come see us. They're sitting right here. Gary. I mean, you know, I I've gone to cardiologists, but it seems like they're treating the symptoms by giving me just diabetics but not getting to the cure. Now, I'm having trouble with the director. See a pulmonary specialist or cardiologists or where these cardiologists we have city right here in the studio. That's what they do every day. They are experts in this field. So if you'd like to make an appointment with them, all you have to do is call four one to doctors or go on the internet at age dot, Oregon. You could set up an appointment, Dr Benza B E N Z A, Dr Kenmare K A N W A R. Okay. Gimme the slowing of the second name again. Kenmore K A N W A R. Thank you very much. Okay. Thank you very much for the call. Good luck to you. So that's what we we're talking about talking about here. Here's somebody who has a diagnosis of pulmonary embolism effort, totally art plastic and. And has some symptoms. So exactly and that's the type of individual that. You can you can help. Yeah. Right. Zach. Okay. So many others out there. Give us a call and tell us your story because the this is very interested in the shows, how a medical frontiers is increasing the awareness because apparently he wouldn't have known about that. And you of wonder about his physician who is treating him whether he's aware of that he may have it'd be developing pulmonary, hypertension, or has developed hypertension, Dr Benjamin risk factors. We always talk about risk factors how you can help prevent any no strokes heart attacks. And so are there any things that are listening audience could do to decrease the risk factors as far as pulmonary embolism? Pulmonary hypertension is concerned. Well, it really depends on the form. Pulmonary hypertension that they have. And and as we discussed a little bit earlier, therefore main types one that's related the problems with the left side of the heart typically from diseases like congestive heart failure or valve disorders from the mitral valve the second biggest group is from diseases of the lungs like emphysema or interstitial fibrosis or sleep apnea. The third is this theory, rare disease that we're talking about pulmonary, arterial, hypertension, and which there are genetic causes word another diseases, and then the last is from related from Klotz. So when you talk about trying to prevent risk factors and some of these groups, yes, for example, for left heart disease related ph which doctor can we mentioned is the largest group that we see if you have high blood pressure control it and a likelihood that this will eventually turn into pulmonary, hypertension is much less for people who smoke if you have emphysema stopping smoking can reduce the damage to the lungs. Every use the likelihood if you developing pulmonary. Hypertension related the emphysema later for pulmonary, arterial. Hypertension, unfortunately, is really nothing you can do to stop that. That's where early identification and recognition of the risk factors is the most important thing to make an early diagnosis to then put him on these specialized medications, which can triple their life expectancy with the disease, and what do those medications do if you're treating pulmonary hypertension with medications other than blood thinners, you know, Eddie coagulates, but what are these medications do? So the the medications are designed to do two things. The first is to dilate the artery to make it a large aluminum supplied can conflict through it. But the second and the more important of the two it actually causes the artery to remodel itself to reshape itself so becomes wider and makes the Lumine greater, and that's the thing that takes people for longer periods of time. So it's sort of like a medical balloon, Angie. Right. Okay. Well, this is medical frontiers. We need to take a break, and you can give us a call in our last segment by calling us at eight six six three nine hundred ten twenty. That's also text line h three nine hundred ten twenty four right autumn motive how.
"hypertension" Discussed on KIRO Radio 97.3 FM
"Thing which is what you talked about where you're increasing your fitness and the the byproduct is happiness but if your main goal is happiness than doing a little bit hopefully will then lend itself increase i was getting a lot of anxiety because i've shared this story i felt like one day i was just gonna have a heart attack and i was two hundred thirty pounds and got my cholesterol numbers back yesterday here i am fifty one year old dog assure my cholesterol numbers were there they were to eleven they were high and that's when i decided one hundred four days ago that was gonna change my diet drastically that i was going to go plat base stop eating meat along the way very limited dairy i was going to drink a salad in the morning which is what i do i'm going to exercise sixty to ninety minutes a day i'm gonna take my fitness outside i'm not going to be locked into a gym somewhere i'm not gonna limit alcohol i'm gonna quit alcohol which is what i did one hundred and four days ago and i got my numbers back from my doctor yesterday and michael cholesterol numbers plummeted to one hundred thirty six i had hypertension where sometimes i would come to work in my hypertension might numbers my top number on my blood pressure be between one forty and one sixty so i take a hypertension medicine for that and i recently went to see my doctor after making these changes and my blood pressure was one oh five over sixty eight so i share this with you because your body really can't heal it so if you take the time no matter how much you've abused your body if you really take the time and take care of it and think about what you're putting into your body and it doesn't mean you have to be planned base it doesn't mean you can't eat meat it doesn't mean you can't have a beer but you just pay more attention you pay more attention and you wake up with intention just wake up with intention pay more attention your body will heal itself and you can live a great life time for texts it's all right here we go at tax time nine eight nine seven three tracey's here brought to you by wrench mobile mechanics will check the cars here in a moment but right.
"hypertension" Discussed on 1150 AM KKNW
"'cause you do oh i know my wife at least twice a week looks at me when i'm asleep going at kill you retina i know she won't do it because you'll get caught she watches a lot of i am married to a marriage and family therapist imagine that combo platter i feel your pain i laugh at your pain when the kids went off to college she joined them because she was in college for therapy we had to take therapy i did not want to take therapy because i handle my problems the old fashioned way you hold them internally and you express them in all sorts and hypertension that's the way i deal with it so put my foot down i said no therapy here's what i learned about therapy pretty much every conversations going on man woman goes like this why do you keep trying to solve my problems because you're talking to me tried to solve my problems quit talking to me and this is why my wife will never be out of work i got to tell you when she was in school all the test we had to do i would actually dreading her becoming a therapist but compared to the people that she deals with now on a daily basis i look fantastic hulan i wish you would have done this years ago save me so much trouble i can do whatever i want carte blanche because she can't horse me it'd be bad for business her business cards would have to read do as i say how do you get any driver's license to man the last time you've done that got new drivers license.
"hypertension" Discussed on Liberty Talk FM
"Is i guess things kinda build up and you gradually until some point you know something sort of makes you think wow i there's something more here and i would say it was a case a patient went and i was letting them know that they had high blood pressure and i wanted to prescribe medication and this was a very astute person that would ask questions and wanted to know more and ask me why they had high blood pressure and i couldn't tell her because i had learned you know that type of pressure that kinda just occurs in some people but it didn't really get the pathophysiology in practitioner training as far as why what happens in the body to create hypertension and that's what she was asking me she was wanting me to tell her physically in her body what did this and i couldn't explain it and i i had to tell her i couldn't explain it to her and then she kind of said okay that's that's okay 'cause we were in an urgent care setting is going to be following up anyway and and then i know that i wanted prescribing her medication and so she asked me how that medication worked and i could not explain the beckham ism of the medication and and i was i was good mp this was because i was was not part of what you learn and there's high variability in n p training program you know what one person is so different from one another person marriage so easily an n p could hear me say that say oh but i learned you know mechanisms of medications for example well okay but you might not have learned looking at xrays at all but i did a little bit of time looking at xrays rays because i was worried that i was going to be an urgent care setting might have to look at them nowhere near what we did is sedition but but that's the problem is that they're huge variability and what you may or may not know we are not standardized as spectators there's no national standardization as to what your base knowledge is very distinctly different than medicine and that's.
"hypertension" Discussed on WDRC
"Been to a couple daca than indicated that they need the fog you know the evening actress thaw ldl though fat then of the weird a health warning what who is it is a bit where but you know uh we tend to demonize salt you know everybody's must have been an ultra low sole diet and yes that the big since people with congestive heart failure and a certain percentage of people not all but a certain percentage of people with high blood pressure they benefit from a low sodium diet however it's actually have been shown that uh for some peop people with high blood pressure uh you get a paradoxical reaction like a backwards reaction from restricting sodium you've actually can sometimes send your blood pressure up uh when you're sodium declines so uh for some people who have hypertension or low blood pressure or weak adrenal function uh they may require more salt and sodium to maintain their fluid volume uh and in the absence assault they feel low weaken can woosie and so i am a partial myself to salt consumption by part of it has to do with my genetics and part of it has to do with the fact that i don't have any conditions which cause you to have to avoid salt i don't have hypertension uh but also exercise lawn they when you exercise on you do lose sodium you sweat and so you need to replete that and and and at just the way is for some people so i i would say uh that's not necessarily a problem so we're going to convert a potential problem into a nonproblem and i should reassure your friend the uh you know as long as everything's okay as sodium consumption has not been shown to be uh a problem in of itself a one way to mitigate the effects of taking a lot of sodium is makes you taking a lot of potassium it's more about the a sodium to potassium ratio uh because americans consume much too much sodium and not enough potassium from fresh fruits and vegetables a gave of sodium from salty foods junkfood snack foods uh and you know that is what creates the problem but if the ratio of sodium to potassium remains good then it's less of a problem as a nonproblem for worry about it keep on consume an assault or eight uh this item if you're suffering from fatigue uh let me suggest.
"hypertension" Discussed on AM 870 The Answer
"More than twenty percent for you to qualify and this that one luke well i sometimes don't understand how things happen but they happen in a very miraculous way and i became a kidney dr because i'm supposed to come here on this radio and say i love you and i know how to protect your kidneys so ckd is the area of my attention and i know how to stop its chronic kidney disease is a very scientists these most patients who end up on dialysis have no clue about their kidney disease according to alatas studies one third of patients who end up on dialysis until d us and another thirty percent until a week both four initiation other dialysis have no clue that anything is wrong with their kidneys civil coming from the rest in modern medical world i have this question what has happened why is that so that so many people are getting on dialysis we have about seven hundred thousand people on the other series and of course many of them have gone that way because diabetes because diabetes is the number one cause of kidney failure in our country and the second most titled an cause is hypertension a lot of times diabetes and hypertension are together and her you have to stop diabetes hypertension if you wanna stark kidney disease and this is why we are conducting this study on the six self march next tuesday and i want to see all of you and i want to make sure that you all come people who don't want to get on they the alice's who don't want to go there out that everybody else has hey can i want you to be there because your haning dancing doctor no said it all so between eleven and twelve on tuesday he had the registration time and i wanna see everybody in chester please make sure you ask about your egf are if you're a number is less than thirty more than fifteen you are in stage four if it's less than fifteen you are in stage five ckd.
"hypertension" Discussed on KSKA 91.1 FM
"Have home insurance so when there's an extreme weather events and they lose their house they don't have the capacity to rebuilt low income people are more susceptible to the increases in food prices and thus to more food insecurity and we know that food insecurity it is associated with with rising risks for diabetes heart disease and hypertension we really can't separate out other the causes of four health the causes of climate change and the causes of these really stark and morally unacceptable health inequities so we're talking about global injustice because many of the poorest most vulnerable countries haven't put out the greenhouse gas emissions that we have we're talking about local climate injustice and of course we're talking about intergenerational climate injustice we have a responsibility to safeguard the planet if we want to safeguard human health prevention is protection and that means preventing the worst climate change certainly dr rudolph the individual choices we make to improve our health can have a collective impact on reducing greenhouse gases but decades of public health experience show that it's societal systems that largely determine what choices we really have people need systems and opportunities to make healthy choices or climatefriendly choices.
"hypertension" Discussed on WGIR-AM
"You know all all fit into that category of uh risk factors that we need to be aware of and um blood pressure being an extremely important um a lot of people don't knows they have high blood pressure and it's it's uh obviously very important it's a very important risk factor for many cardiovascular conditions including heart attacks and strokes and kidney failure um i problems as well so yes it's it's quite important as for uh the general public to know about high blood pressure and to know to know their numbers to know what their blood pressure is and to know what's considered high now if a patient regularly see someone like you over time you know their history and they know they get to know you is blood pressure the kind of thing that over time becomes a bigger problem in the doctor reaches a point where with the numbers get up there you don't like the ratio you say you know there's we we need to look at some medication here or can exercise and lifestyle adjusted or is it a combination of both it's a very good question um well first of all the the uh the the the threshold for creating hypertension has has changed dramatically over the years though that uh the level have gone down of it most patients it's it's uh under one forty and a and the select group of patients who have respect for heart disease um it's actually won thirty if this point or lower um and the first the first uh treatment um is lifestyle well as you mentioned in and diet and exercise um the most important thing is is to be aware of sodium in so so few people even doctors don't get histories of salt intake so and and salt is extremely important risk factor for hypertension so we need to tell her patients to to uh be aware of of an intake of sodium and and sodium contents in food and which salt which foods have a high and uh and i have a high um amount of salt in him a doctor and he's my right that sounds like you know someone's they wanna put a lot of salta my food but a lot of food has salt and sodium already no no pun intended baked into.
"hypertension" Discussed on KQED Radio
"Where most of our providers are and so from children all the way up to our seniors and really we see a lot of adults and chronic diseases hypertension diabetes um north carolina still has a lot of smoker so we see a lot of uh chronic upset djoric pulmonary disease and asthma so those folks would lose the access to that and trying we do a really good job with our um with our diabetics we have you know sixty over sixty percent of our diabetics of hemoglobin a 1 sees that measures other diabetes are doing london under seven i wish was really difficult for folks of low income and your it sounds like you're their lifeline in a in a in a very serious way and so i'm curious if if this funding does not come through and i know that is not the purpose of this programme to predict that it's not going to come through its to say that this is up in the air were in limbo but if it does not come through our eu facing closures of some of the clinics that you're running oh absolutely um we are we would end up closing at least two clinics um and that also would then mean also lane off a significant portion of our staff and so that would billy be a hardship especially four roanne county where there is not as much access i wanna share some more of what you are listener said about this issue here's what one of you left in our inbox my name is dr george garo i'm a chief medical officer or federally qualified health centre in western pennsylvania i wanted to talk with you about community house center mission.
"hypertension" Discussed on Adam Ruins Everything
"In here that that also makes antibiotics special and i i love to to talk about you know why antibiotics are are says special because they really are different you know people like oh will yeah other drugs are important economic yeah but my buds are different right my drugs are more special than your drugs so the other thing about antibiotics that makes them unique so there there are finite resource are also the only drugs that we use where how i use them for you can impact how effective they are for other people what do i mean by that will of i give you an antibiotic and create a resistant organism in you and then you get admitted to a hospital or you go home and you spread that resistant organism to other people and we know that happens it can happen in in all sorts of different settings that happens in hospitals it happens out in the community but now when you spread that resistant organism to someone else the antibiotic that i gave you won't work for them and that is a huge difference you know there's no other drug that that has that effectiveness you know if i miss treat your hypertension that's bad for you but it doesn't impact anybody else but if i miss treat your infections i could be not only harming you i can be harming people all around you well yeah that's a a a again i can't yeah i can't think of a single other drug that works that way is there also an issue when people are given you know antibiotic that they they don't need i mean is that a is that also an issue yeah that is an issue in and this is a huge problem and this is really gets to the crux of what we're working so hard to try and improve we know that antibiotics are very frequently given when they're not needed and that happens every place that antibiotics are used right it happens in doctor's offices.