of joint swelling and pain might be as important as sophisticated testing to
distinguish the type of arthritis you have.Multiple joints are usually involved with rheumatoid arthritis,
osteoarthritis, and autoimmune problems.Autoimmune and rheumatoid arthritis are more likely to be symmetrical
and involve the upper body. Lower body involvement points more toward osteoarthritis
and gout.Of course it is also possible
to have more than one form of these common diseases.Your diagnosis is important because the
treatment might be different for different conditions.
The risk of
complications from colonoscopies might outweigh the potential benefits after
the age of 75, unless you have a history of polyps previously treated.Mammograms over the age of 70 and sometimes
earlier than that can lead to overtreatment.Thermographies might be better as a preventive test.With no previous history of precancerous
lesions, pap smears can be discontinued at age 65.PSA’s have no benefit after the age of 75 and
are optional for men before that.Bone
density tests are recommended every five years, beginning at age 65 for women
and 70 for men.One ultrasound per
lifetime to screen for abdominal aneurysm is recommended.I would add CardioRisk tests for arterial
plaque, a questionnaire for the risk of falls, and periodic blood tests for
vitamin D, CRP sensitive, glucose, Lp(a), and other lipids.
See AARP Magazine, February/March issue, 2017, p. 24-25.
American consumes 22 tsp of sugar daily.Recommended maximum intakes are 6 tsp for women and 9 tsp for men.Excess sugar increases blood pressure, raises
your chances of developing diabetes, lowers HDL cholesterol, and raises your
risk of dying from heart disease by 38%.It takes 12,500 steps per day to cancel out two 20 ounce sodas.
See the AARP Magazine, February/March issue, 2017, p. 23.
In 2013 per
capita spending for prescription drugs was $858.The mean expenditures in 19 other
industrialized countries was $400.That
gap has increased even more in the last 3 years.While increased research costs have accounted
for some of the increased prices, gouging by Big Pharma is a much bigger factor
in my opinion.While drug substitution
by pharmacists, greater availability of generics, and authorizing Medicare to
negotiate prices with drug companies might have some impact, a much wider
acceptance of natural remedies that are effective would have much more
American Heart Association recommends that added sugar in the diet be limited
to 25 Gm per day.Currently, 2-5 year
olds consume 53 Gms of added sugar, 6-11 year olds 79 Gms, and 12-19 year olds
93 Gm.Evidence links excessive sugar
intake to fatigue, weight gain and hyperlipidemia, which are all risk factors
for cardiovascular disease in later life.
overdoses of medications are common with this combination of prescribed
medications.Fatalities can result from
using such drugs as Valium, Ativan, and Xanax with narcotic pain meds.Every effort should be made to use herbal
preparations, amino acids, lifestyle changes, and relaxation techniques like
massage and the Kaufman procedures to avoid this risk.Periodic attempts to reduce dosages and find
alternative combinations that are effective are strongly recommended.
guidelines for Diabetes from major physician organizations recommend that tight
blood sugar control (a HBA1C less than 7) should be a major goal for diabetic
patients.However, an article in the
highly respected journal, Circulation,
that analyzed all the scientific data concluded that tight glycemic control
didn’t prevent 10 out of the 11 micro and macro complications of diabetes,
including fatal heart attacks, strokes, retinopathy, kidney disease and
all-cause mortality.The only complication
prevented was nonfatal heart attacks.Perhaps side effects from medications are playing a role.We should try using such supplements as
chromium, cinnamon, berberine, and BergaMet to achieve better control safely.