Do you want to live a long time? Retired Physicians Speakers Bureau

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Do you want to live a long time?Retired
Physicians Speakers Bureau
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10 MOST DEADLY DISEASES

1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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Heart disease

• The heart is needed to keep you alive.
• Heart beats 100,000 times a day
• or 2½ Billion times in 70 years.
• Heart disease causes gt 650,000 deaths a year
• most due to atherosclerosis.
• Atherosclerosis chokes the blood supply to the
  muscle cells of the heart.

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Risk factors for heart disease

• Elevated cholesterol
• High blood pressure
• Lack of regular exercise
• Poor diet
• Tobacco use
• Diabetes
• Family history
• Age
• Gender

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Atherosclerosis

• Begins with injury to the blood vessels
  innermost layer.
• Causes
• High blood pressure
• High fat diet
• Elevated blood sugar
• Toxins such as tobacco

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Atherosclerosis

• Once the lining of the blood vessels is damaged
  bad cholesterol is deposited.
• These areas develop scar tissue (plaques) and as
  the plaques get bigger, the arteries can become
  blocked leading to starvation of the heart
  muscles.
• These plaques can break off and cause a heart
  attack.
• This process can be reversed.

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Atherosclerosis Prevention and Management

• Exercise
• Diet
• Statins
• Smoking cessation

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Atherosclerosis Prevention and
ManagementExercise

• 30 minutes every day.
• Better than any of the medications on the market.

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Exercise additional benefitsHelps prevent all
of the top 10 killers

• Cancer breast colon
• Stroke lowers blood pressure
• Lung disease exercise helps smoking cessation
• Accidents builds bones helps balance
• Diabetes delays onset
• Influenza improves immune system
• Alzheimer improves cognitive function
• Kidney disease lowers BP, improves diabetes

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Atherosclerosis Prevention and ManagementDiet

• Two thirds of adults are overweight
• Reduce fatty foods egg yolks transfats
• Eliminate fast foods
• Avoid fad diets
• Have a nutritious breakfast
• Eat small meals with mid morning mid afternoon
  small snacks
• Eat fruits, vegetables and fiber (whole grains)

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Atherosclerosis Prevention and ManagementStatins

• Elevated cholesterol does not cause symptoms.
• Cholesterol level determined by a blood test.
• Lowering cholesterol lowers incidence of heart
  attacks.
• Statins lower total cholesterol and bad
  cholesterol (LDL).
• Some statins are available as generics are
  cheaper.
• Statins are safe but report to your doctor any
  unusual symptoms.

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Track your cholesterol levels
Date Total Cholesterol HDL LDL Triglycerides





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Atherosclerosis Prevention and
ManagementSmoking cessation

• Smoking is the single most preventable cause of
  death in USA.
• One year after quitting the risk of heart disease
  drops by half.
• Pulse rate blood pressure drop.
• Quitting smoking saves money.
• Nicotine replacements or medications are
  available.

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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CancerRisk factors

• Tobacco use
• Excess weight
• Lack of exercise
• Not enough fruits vegetable
• Too much fats
• Excess processed red meats
• Alcohol more than 2 drinks a day (1 for women)
• Family history
• Age

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Cancer

• If found early better cure rate
• Have regular checkups
• Mammograms
• Self breast exams
• Men self testicular exams
• PSA
• Check stools for blood
• Chest X-rays for smokers

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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Stroke

• Devastating condition caused by
• a bleed in the brain or
• blockage of an artery in the brain
  (atherosclerosis) or
• Clots formed elsewhere that travels to the brain
• If it doesnt kill it can lead to permanent
  disability

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StrokeMajor Risk Factors

• High blood pressure
• High cholesterol
• Tobacco use
• Lack of exercise
• Poor diet
• Diabetes

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StrokeSecondary Risk Factors

• Age doubles for each decade over 55
• Family history of stroke
• Birth control pills
• Atrial fibrilation
• Heart failure
• Excess alcohol
• Previous stroke or heart attack
• Carotid artery disease
• African descent
• Female gender

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Stroke

• If recognized and treated early the risk of death
  or permanent disability is reduced

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StrokeWarning signs

• Sudden numbness or weakness in face, arm or leg
• Sudden confusion, trouble speaking or
  understanding
• Sudden problems seeing in one or both eyes
• Sudden severe headache with no known cause
• Sudden dizziness, loss of balance or coordination
  or trouble walking

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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COPD

• Chronic bronchitis and emphysema usually occur
  together
• Bronchitis is chronic inflammation and scarring
  of bronchial tubes which leads to mucus producing
  cough
• Emphysema is destruction of tiny air sacs in the
  lung resulting in less oxygen getting into the
  blood which leads to shortness of breath

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COPD(Chronic obstructive pulmonary disease)

• Major risk factors
• Smoking (90 of cases)
• Genetics
• Second hand smoke
• Occupational exposure to pollutants
• Recurrent childhood respiratory infections

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COPD

• No known cure
• Quitting smoking when one has the disease can
  slow progression

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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Accidents

• Unintended injuries are the fifth leading cause
  of death
• All forms of accidental death rise sharply after
  65
• Major issues
• Motor vehicle accidents
• Falls

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AccidentsPrevention

• Take a defensive driving course
• Have your eyes checked regularly if still driving
• Dont drink and drive
• Beware of medications that can slow your reflexes

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AccidentsPrevention

• Accident-proof your home
• Eliminate throw rugs slipping and tripping
• Have everything you need at reachable level
• dont climb on chairs
• Make children put toys in proper place
• Remove clutter
• Beware of lamps and extension cords
• Carbon monoxide and fire alarms
• Emergency phone numbers handy

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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DiabetesElevated blood sugar
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DiabetesEffect on body

• Heart disease stroke THE BIG KILLERS
• High blood pressure
• Kidney disease and failure
• Eye problems and blindness
• Nerve damage pain weakness
• Foot complications amputations
• Skin problems and ulcerations
• Sexual problems
• Dental disease

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DiabetesMajor risk factors

• Overweight
• Family history
• Lack of exercise
• High blood pressure
• Abnormal blood fats
• History of vascular disease
• Having had a baby weighing more than 9 pounds
• African or Hispanic descent
• Over 45

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DiabetesWeight control

• Diet must bring weight to normal level
• Rough rule for ideal weight
• Females 100 pounds at 5 feet and 5 pounds for
  every inch above 5 feet
• Example for a female 5 6 ideal weight is130
  pounds
• Males 106 pounds at 5 feet and 6 pounds for every
  inch above 5 feet
• Example for a male 5 8 ideal weight is 52
  pounds

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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Influenza and Pneumonia

• Pneumonia is an inflammation of the lung caused
  by bacteria, viruses and other organisms.
• In elderly patients it occurs when the immune
  system is weakened or when suffering from other
  diseases.
• In elderly patients flu and its complications,
  including pneumonia can be life threatening.

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Influenza

• Because the virus changes all the time you MUST
  get a flu shot every fall or winter.

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Pneumonia

• Everyone who reaches the age of 65 should be
  given Pneumovax.
• This vaccine reduces the incidence of
  complications such as meningitis and bacteremia.
• Reduces mortality by 45.

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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Alzheimers Disease

• A progressive disease that increasingly ravages
  the brain, destroys the memory, intellect and
  dignity.
• Can no longer learn new things, make judgments,
  communicate, reason nor conduct daily activities.
• As disease progresses people suffer behavioral
  changes such as anxiety, suspiciousness,
  delusions and hallucinations.
• Patients lose the ability to care for themselves.

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Alzheimers DiseaseIncidence

• Over 5 million people have the disease.
• Expect more cases as baby boomers age.
• 1 in 8 people over 64
• Almost half of people over 85

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Alzheimers DiseaseRisk factors

• Age
• Family history 2 to 3 times more likely
• Previous head injury and brain trauma
• Others
• Cardiovascular disease diabetes
• High fat diet, high cholesterol obesity
• Lack of exercise
• High blood pressure

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Alzheimers DiseaseManagement

• We do not know how to prevent it.
• No known treatment
• Several drugs slow the progression of the disease
• Exercise, diet and statins
• Mental exercises keep the brain active

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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Kidney disease

• The two most important causes are
• DIABETES
• HIGH BLOOD PRESSURE

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1. Heart disease
2. Cancer
3. Stroke
4. COPD
5. Accidents
6. Diabetes
7. Influenza pneumonia
8. Alzheimers disease
9. Kidney disease
10. Septicemia

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Septicemia

• A bacterial infection that begins in one area
  then enters the blood stream and becomes
  widespread

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SepticemiaRisk factors

• Very young and very old
• Weakened immune system
• Wounds, injuries or burns
• Alcohol drug abuse
• Catheters
• Lack of proper vaccinations

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FINAL COMMENTS

• Many of these threats can be prevented or
  mitigated with
• EXERCISE
• IMPROVED DIET
• SMOKING CESSATION
• GET REGULAR CHECKUPS AND LAB WORK