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‘James Dean popularized the line, though he didn't actually say it. But it just as well—he died in a car crash in 1955, ‘becoming beautiful worm-food at the tender age of 24. really isthe stu of romantic youth: ‘To punh yourself to the edge before old age ‘and disease claim you. To blast through the ‘bucket list in record time, YOLO— You Only Live Once—the kids of today say. 1's not ‘60 much hurrying to get to the dying bit Dut spitting on the hooded doom-guy"® face Dbocatise you're too busy hiving to begin with. But here's something to think about: Amid all that youthful living, with all the pleasures that go with it, what if disease of old age got to you frst? Tike heart attack and stroke, Bapeokally stroke. Time waa when you'd only expect ‘men in your family over the age af 50 to suffer a heart attack or a stroke, if they ‘smoked and drank heavily and ate like pigs practically all their lives ‘Turns out not these days. The official data have yet to be crunched, but there is consensus among our top doctors that patients suffering from heart ‘sllacks and strokes are becoming: younger. In medical terms, that means patients 50 years old and below. “As a cardiac surgeon, Tve noticed ‘nat more and more pationta in the age {group of 40 to 50 are now getting heart ‘dypasces,” says Dr. Rommel Carino, a top ‘cardiovascular surgeon at the Heart Center ‘of the Philippines and St. Lulke's Medical Center, “When I began my practice in 1001, most patients who underwent hoart surgeries were in their 608,” he adds. On the day we talked to him, he said he'd just ‘handled seven cases, and all but one were patients below 56 years old, Dr. Lina Laxamana, a neurologist ‘at SL. Luke's Hospital who hads their Brain Attack Team at the BR—Ikind af ike a medical SWAT tasked o reverse the cffects of stroke in a patient in the shortest ‘possible time—is currently compiling data ‘on the number and profile af their stroke patients who are young adults. While Dr Taxamana is eateftl not to say that stroke in young adults is a rising incidence, lke Dr, Carino she is handling more and more ‘cases of young: patients suffering from what we had always believed were maladies of old folk. “In 1,000 Filipinos examined for the possibility of hecoming stroke victims, 14 pervent of them will be at high risk,” says Dr. Laxamans, “Of the 14, 16 percent af them will be young adults, 50 and below. Is this significant? I oan't say yet because itis a retrospective study.” Whatever the outcome of her team's study, they're starting to take native. LIVE TO THE HILT! Before we go any further into medical | paranoia, lets get the basie definitions | Dutotthe way frst: aheart attack. | ‘oramsocerdial infarction, is blood | hot flowing to the heart, damaging | your hardworking musclera stroke, | Sometimes called "brain attack," is | ‘blood not flowing to certain parta af fhe brain, ling the brain ells, and | rendering you inutile tn whatever area | {he damaged brain ols control i is important to point out that heart attacks and strokes ate officially the No, | Land No. 2 killers in the Philippines, | in that order (see panel below on Killers | ‘over the years). They are also the most | Infamous of the “lifestyle” diseases. | The Department of Health's assistant | secrotary Dr. Bric Tayag likes to cal the top causes of lifestyle diseases The Gang | cof Four: “The food we eut, physioal t Inactivity, aloohol consumption, and tobacoo emake, “In almost all studies (of stroke letims), here or elsewhere, almost 60 pervent of the patients were Aayslipederaio (co much ‘cholesterol in the blood), 44 percent were smokers, and 30 [peroent were hypertensive, Sa ‘young adults, lifestyle talaga ang Imageladala aa'yo sa stroke,” says De Lesxamana, “You know, cholesterol deposits ‘usually take a long time to be considered significant,” says Dr. Carifio. "When we ‘sy significant it must be 70-peroant ‘cbntruction. You dont got this 70 percent suddenly, unless there is a rupture of the inner layer of the blood vessels, So this isan insidious pattern of | {oo mutch cholesterol i ous diets,” i ‘There are also recent studies ‘connecting illicit drug use with the | Imoidence of strokes. Ina US study, | ‘cocaine and aiophetamines were shown | i | | tobe cerebral vasooonstriotors (omusing the narrowing of blood vessels) “Dito sa Manila tumataae ange incidence ng stroke related to drug ‘use—right now its at 11 percent,” says Dr. Laxamana, DIFFERENT STROKE * '.. { Dennis San Jose, 40, speak in a slow, | doliberate manner and yet one till has ‘The leading causes of death from 1935 to 2008. Killers 8. Bronchitis change, they stay 4. Borer! the same. 5. fuensa, tostrain a bit to catch his words. What [ sounds like a drawl is really a garble | ‘because when he suffered a stroke six | yesrsago, his speech faculties wore | ‘among the most damaged. i ‘He has son back his ability to speak | through effective therapy but somehow | there is a noticeable disconnect in his thought patterns. There is a bit of | confusion when he is asked if he had ‘been taking any medication before the | stroke hit. : “Meron. Ang: iniinom ko..ano..Aspilet” | Aspilet, or Aspirin in low doses, is | | | | | | taken by heart aback snd stroke vietims as an anti-coagulant—meaning a blood {inner to keep it from clotting. which could lead to the next brain or heart ftack, Dennis could have been tallcing fbout what he's talking now. ‘Or he could have been thinking about his children—many of us still know Aspitete ex children's medicine _ to bring down fover (hey don’t market ian uch anymore), Dennis tcale fhe rt thing that camo to is oad ‘er coming out ofthe stroke was how hho woul take eave of ie hide. Inthe butte time PH aod to him about his Grdeal, he wasn't eo much anewering. | disect questions as recaing his ows, | motions as he went through the ordeal, | “Pagod ake noon..payat.inomes | anagram sm. Poro kin Stress lyon eh.” He was supposedly at ‘ubarkadainurnan, doing the poritan | Cooking chores inthe wee houre, Then | someone saw hime stand stompin a | Shute, is face contorted | “Nadale naman agad ako ea oxptal” | he reoalle “Sabing doktor da date | cater | “Ning nangyrring neste ako, nae | bedridden aka Dennis contin “Taung? 4 "Pneumonia 2. Respiratory TB 8. Berber 4. Bronchitis 5. Gastro-nteriis 4. Bronchitis x 2. Rospiratory TB 8. Gastorentertio 5.Hean disease buwan akong na-cepital, sa Amang Rodrigues, Hindi talaga ako makagalaw. ‘Hindi rin ako makapageallia. Ang ‘sumasagi a isip ko noon, ‘Bakit ako uagkaganito? Tang-ina, arawaraye bamagiging ganito ang buhay ko? Paglabas ko ng ospital, bedridden pa tin ako. Di ko nga alam kung ano'ng _gaguwin ko, Sabi ng tatay ko, lumaban ‘daw ako, gawan ko raw ne pavaan.” ‘After he waa discharged from the ‘hospital, his family got him a personal physical therapist to oversee his Fehabilitation, "Araw-araw akong nag exercise. Ayaw kong magtungod aya untianti Kong pinilit na maxbalik Jahat ng galaw ng Eatawan Ko,” Dennis says. Good thing he had a brother ‘working: abroad who gave much-needed ‘nancial help. “Alam mo kung magrkano ange nagastos ko lahat-iahat sa sakit ko? Halos kalahating milyon, If you look at him now. 1's like nothing happened snd that is something hie is particularly proud of. ‘Avwiry guy who you could tell would sUill be light in his movements had it not been for the stroke, Dennis is now ‘able to help look after the faraily business, a neighborhood gift shop ‘in Marina, “Hindi ako nalanta, Yung mga nakakusalubong ko, aging ‘sinamabing parang walang nangyari ‘sa alain.” Denis saya proudly. ‘Alam mo dat ast, bukod sa inom at sigarilyo, nag-shabu vin ako. Ngayon wala ns lahat yan. Ang kinakain ko gulay teaka isda. Yun ang problema, ‘ind lea na makakcain ng masarap. EARLY PRESSURE Jasper (not his real name) had all the ‘clastic symptoms of hypertension: He always felt dizzy and there was u blunt ppaln In his nape. There were also times ‘when the dizziness would be unbearable hhe would throw up. Sooing nothing: ‘outwardly wrong with hima, his parents ‘thought that the problem must be with his eyes. Malabo ang mata kaya hnahihilo. But his eyes were okay, When the went for further cheeleups, his doctor ‘was surprised to find his blood pressure shooting up. Jasper was seven years old that time, His mother allowed us to write about dher son's ease, a8 well as Lalle with the 2.TB (all forms) 8. Heart Disease 4. Disease of the vascular ‘system (primarily stroke) 5. Malignant neoplasms (eanc Beuaewe DnacrtaMrnnred pediatrician who took care of him, to let f ‘other people know that itis not an adult | Giscase, that itis possible for kids to | have high blood pressure. “Hint siva sakit ng matatandl, Jasper’s mother says. “That time kasi hang nakatira siya sa parents ko, aging masusarap ang mga kinakain nya! Laging hotdog, bulalo..may gulag rin naman but it wasn't often. My son algo wasn't very active, When We took hhima to his pediatrician for a cheokup, ‘exbi niya Duti na Jang hindi siya haputukan ng pat “itis blood pressure was too high for his age group. Also, his obesity ‘was significant,” says Dr. Vince Tayag, Jasper's pediatrician. "When I checked hie diet, Tfound out that it was mostly refined sugars—poxedared juices, white ioe. Mararai rin sivang dessorts Maya'tmaya ang kain niya. His activity ‘was limited to watching television, | playing on bis tablet, The boy never | broke a sweat, It was no surprise that his hoart worked double time, kaya fumaas yung blood pressure biya” To rule out other complications, Dr. Tayag did a series of tests on Jasper He took his blood chemistry, had his kidneys checked on ultrasound to see if they were damaged, got his baseline ‘cholesterol, and see if he had the faymptoms of an early onset of diabetes Luckily, the tests ylelded good results “So what I did was make a change in his diet," says Dr. Tayag. “Pina-ration kko ang mga refined sugars. Bawal ang liquid sodas and powdered juice. Thad his rice consumption strotly limited toa cup every meal: T encouraged his, parents to serve brown rive instoud Imade him eat more vegetables. ‘TMinanggal ko na rin yung mga processed noodles.” “Jasper was Dr. Tayag’s frst serious cease of a kid with high blood prossure. While he says that this doesn’t seem to bbe an emerging trend in childven, he hhas heard of similar cases, even one involving a 13-year-old whe had to have ‘a pacemaker in his heart, Dr. Tayag cites obesity as a main factor. “Tecan lead to early onset of type 2 diabetes, | ‘early onset of hypertension, dyslipedemia, | hheart complication, In general, hindi tomatagal ang life span of someone ‘who is obese. It’s more problematic with cilaren because hind! nila na-eenjoy ang pagksbata,” says Dr. Tayag. “Jasper is 19 now. His blood presstire {is normal and he's eating a lot healthier 1985 1995* "Pneumonia 4. Heart Disease 2. Heart disease 21 Diseases of the a1e vascular system 4. Dizoases of the vascular | 8. Pneumonia system 4. Malignant neoplasms 5. Malignant neoplasms 5. TB fallforms) LIVE He has also taken a keen interest in Dbaveball, basketball, and ewimming. "My son's blood pressure is okay beoatse he's now conscious of his bedy. Masama ala kahit ea bela yang sobrang ‘masiearsp na pagkain, laio na sa panahon natin na ang: darming fast-food ‘and instant food, "says the mother. kiuoy | od ‘The irony shouldn't be lost on us here ‘Truth is, there le nothing here we don't know yet. We've been seared against fastfood, softdrinks, sugar ‘smoking, sisig, beer, drugs, practically everything worth living for. But we choose to ignore them because, then, ‘what good would living do? “Sinising:l na tayo.” says health ‘undersecretary. “And this has been ‘going on for the last two decades. ‘And yet statistics show that Pinoys now live longer, from 50 lo 70 years old, because of the advances in medioat care, With Dr, Laxamana's Brain Athacie ‘Team, for example, they ean completely reverse the effects of a stroke in an individual within three hours after he is 2005 ies Disease 2. Diseases of the vascular system 2 Malignant neoplasms 4. Pheumeonia 5. Accidents FAST DIE YOUNG wheeled into the ER with a simple shot oof what they call a recombinant tissue plasminogen activator (r1PA), or a elet buster.” “Of course, the patient has to be evaluated carefully—we have to determine the severity of the stroke, the ‘complications, among other things, ‘says Dr, Laxamana, “After we determine ‘the patient to be a good candidate for ‘our femergency) procedure, and itis ‘suoceasful, patients can be discharged from the hospital the next day. ‘Not surprisingly, that one single ‘shot will cost you P80,000. That doesn't include hospital and dootor's foes ana other medicine, But i all goes well, you go home like nothing: happened. Very expensive, but a good daal if ever there In the realm of disease, even with the ‘more potentially fatal ones lke heart fllacks and strokes, the blessing of {youth may mean the difference betwoen functional survival and being # vegetable “Definitely, the young ones will hhave a chance of longer survival.” says Dr. Laxamana, “They don't have a lot ‘of complications ana morbidities like they don't often develop renal failure, ito Kast ang nakikita natin ea mga ‘matatanda. Young adults also don't have & generalized narrowing of the blood vessels, And definitely we have to consider the heart [is generally stronger)” ‘This, in turn, buys us more time to indulge in the bad stuff. It is how we can ‘say “alake pal” and "galaw-gulaw baka ia-stroice” both af the same time. Its 8 ‘heady mixture of fear and abandon. 8, will you YOLO it all away? FMM Get strong, toned _ legs for the full macholook look Forget being a hipon What you dont want sto end up a manclsomeone whe onine a pair of eal eknny lege undemeath that upper body Waat’s the use of having a chiseled physique if your lower body can brely Heep up? Our legs ara one of the most indispensabie pillar of cur body, since most af our biggest muscles are found there’ explains Romer Extra (Cua "The mast importa cies through variety ote bay ‘We say, keep i easy on the weights and give the following exercises gor Pistol Squat Plyometric Depth ' Drop futin front of your body at lump olf a platform two feet or shoulder lve paral othe loo: higher and land with your legs 2,Rase your oghtlegoff the loos. lacked n'a GO-dagree postion land hel it there 2. Use your gles, quads, and 8. Push your hips Back and lower “hamstings to absorb ll the your Body as far as you can, fe 4, Pause, then push your b back tothe stat 3. Hold the move for@ split second, stand up, and repeal Why dot? Tris exercise sesigned to boost the power fulout of your muscles, particularly fast twitch fer ar TLR es ees ered pene cores Peres eet heath, Peay career era peered ae Pearcy boris ern ear] ere parece Se eres Petre ees cone dos ad pert ee yourknes. Als, oe Perper te) in TRATIONS: OUI AREUAS = oun aN Wos05, MIKEY AUTO; HEL 1. Stand on your ght lag with yout lft foot ised si ghtiy behind you, ams by your sides. 2. Push your hips back and reach forthe floor as you lower your torso and raise your lef 8.You can extend your arms over your heads forthe ene move. Seated Isometric Squat Tr Stand wah our back agent ‘heal ad side your body oon uti yeurtege a TAS | & Ie Dumbbell Sp! Jump gered stance your lt foatin ont of you right 3, Fram a slanding poston, lowe your body inte a split squat 4.Qucly cwiten directions and jamp veth enaugh force to propel both feet af the oor 5. Repeal altemating tack and ‘orth with eacn repetition SS orci { eee ied NOD strong. to poorer en ere Goblet Squat 1. Hold a altleboll vericaly next to your chest wth bath eae) poor en ey eed aon 2, Brace your abs, and r your body as V 28 YoU can by pushing your hips bck and bending your knees, 3, Pause, then push yourself back to the Starting pasion. renee nats « co cof your spine i pressed into the wall and your slom: mutcies ate pulled in. 8.Do you feel your legs burning? Hold i for ag iong as you 4 Return to neutral post repeat Farmer’s Walk on Toes (Grab a pair of dumbbells and hold them sl your sides at arms length d Skater Hop Stand on yourrgt foot with your ieftag cessed b you your left foot and crossing your Fight leg behind you. 8. Contine hopping back and ‘or, UPGRADE YOUR ADULT VACCINE é ~~ \ wien oto seen oss sae ; \ MM ors A artenee \ Nipping diseases in the bud to dodge death? Bakuna lang yan! h Organization (WHO), deaths wordwide. A fven increase the survival rate of alder oeop fe-tnrentering disesses by 20 to 30 per neal Hospital residen » Mim) 1405: "AS In any the inflammation o ‘ng and spinel column, Ht may ching the flu doesnt seem too alarming yet, but a wave o ike the eboia vrus should more than convince you to seek ee ‘here acute to that and to other diseases that plague us? Net " auite, bt here's out slab at preventing wore A setters any tne, th NPE

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