‘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 DnacrtaMrnnredpediatrician 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? FMMGet 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
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es
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in
TRATIONS: OUI AREUAS
=
oun aN
Wos05, MIKEY AUTO; HEL1. 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