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Update August 2017

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Update by Natrakorn Paewsoongnern

Doctor's Consultation  by Dr. Iain Corness


Update August 19, 2017

How to live to be 100 – or die in the attempt (guaranteed)!

I appear to have reached a stage in my life where my old mates from years ago have taken the dying option on the life insurance. This is worrisome. I’m having far too good a time to throw it all away on a promise of immortality in my cloud, a promise that nobody has been able to prove.

So let’s make the best of what we’ve got, which means looking at the factors involved in Quality of Life. As an aside, I used to have a poster on the wall of my surgery which went “An increase in the length of life is not equivalent to an increase in the Quality of Life.” Long life without having Quality is not worth it. Nobody wants to end up in a wheelchair, or even worse being alive but bed-ridden. So we should look at both.

There are certain items in your make-up that you should know. These include your Blood Pressure, your Blood sugar, your Cholesterol, your liver enzymes and your hormone levels.

These are silent conditions which don’t give you a warning.

Blood sugar can go up by 10 percent a year and you will not know it.

Blood Pressure can go up 10 percent a year and you will not know it.

In 10 years the levels have doubled and you will be in trouble.

Cholesterol will go up. Liver enzymes go up, but you won’t know about it.

However, hormone levels will fall and you will feel yourself slowing down, but you will put it down to getting older, when it does not need to be.

So how do you find these silent conditions? Easy – you go looking. Most of them are found in simple blood tests and blood pressure involved a cuff around the arm (what we call non-invasive testing).

Much of these differences we call “Aging”, but you can slow it all down.

What can happen as you get older?

•Immune system aging

•Intestinal aging

•Decreased kidney function

•Increased autoimmune diseases

• Decreased Detoxification


•Decrease of Cardiac function

•Increase of CV risk

•Increase of blood pressure

•Loss of calcium from the bones

Loss of elasticity in the skin and ligaments

Changes in hormonal secretion

Looking at all that lot, it is a wonder that any of us can live past 40!

Since we are supposed to be what we eat, what can we eat to slow down all the ravages of the years?

According to some followers, here are some “healthy” food items that we should be eating, rather than burgers!

Dieticians claim that Boron protects your prostate

Calcium to strengthen the bones

Chromium prevents Diabetes

Co-Enzyme Q10 boosts energy

Creatine boosts muscle and memory

Folic Acid lowers the chance of Alzheimer’s Disease

Glucosamine helps the joints

Omega 3 oils protect the heart

Selenium fights cancer

Vitamin E slows the effects of aging

And an anti-oxidant called Resveratrol is found in red wine may help lower your odds of getting cancer, heart disease, and premature aging.

But all this is theory, rather than clinical, but in low dosages is probably good for you, but quite frankly, where do you find Boron on the supermarket shelves? Chromium? Eating old bumper bars for lunch is a little silly. Folic acid and Alzheimers? Will the sufferers remember to take it?

No, I maintain that the diet we eat is what fits in well with our metabolism. But the trick is to avoid putting on too much weight. Extra avoirdupois (I like that word) wears out your skeletal joints (hips, knees for a start) and puts a strain on your heart.

So here’s the Dr. Iain guide to longevity:

Moderation in all things is a start.

Do not smoke – no moderation in this one. Zero!

Exercise daily (swimming is best and treadmills are boring)

Eat a healthy diet – don’t overeat

Maintain a ‘healthy’ weight

Look for ‘silent risks’ by having annual check-ups

Correct those risks

Change to a healthy lifestyle – starting today

Drink Red Wine! The Stonefish 2012 Merlot is my favorite

Finally, I have been told by a reliable source that you can’t take it with you – so I’m not going!

Update August 12, 2017

Step off the edge of the world into the unknown

There are many imponderables in life, and the belief that the world is flat, is just one of them. Newton’s Law of gravity does not exist, says the Flat Earth Society. The earth isn’t pulled into a sphere because the force known as gravity doesn’t exist. I must keep this in mind, next time my daughter drops her phone. The floor must come up to meet it and shatters the glass. So now we know.

There are other “facts” that we would be well advised to look into. Chemtrails from aircraft are caused by the chemicals they are spraying to poison us all. They aren’t.

Another “fact” you can add to the first two is that mobile phones cause brain cancer. If you are male and escape the brain cancer is the frightening “fact” that “men who use mobile phones for more than four hours a day produce fewer and poorer quality sperm, according to results of a study released at an American Society for Reproductive Medicine conference in New Orleans.”

However, new developments always bring out the soothsayers and harbingers of doom. Forget attacks by extremists, we are all carrying a loaded time bomb in our mobile phone pockets. Well, you could be excused for thinking that with all the shock-horror headlines in the popular press.

I read a banner headline the other day which claimed “Hours of chatting on a mobile phone are suspected to be slashing male fertility around the world, new research shows.”

I mean this is so serious, we should never keep mobile phones on our laps, or heaven help us, slipped between your legs as you drive the car. Can’t you see the headlines, “Driver’s gonads blown to bits by mobile phone!” Next time you are standing at the urinal, don’t shake it, Willy the Wonder Wand might fall off, if we are to believe all this “research”.

If that was not chilling enough, Australian scientists are investigating if children are more vulnerable than adults to the effects of radiation from mobile phones. This should have us worried, as Thailand has one of the highest usage rates of mobile phones. Every Thai, from the age of two, or the age of being able to speak, has one.

The study of 110 adults at the Australian Center for Radiofrequency Bioeffects Research has apparently confirmed mobile phones cause a change in brain function by altering our alpha waves.

The center is now investigating the effect on 40 children aged 12 to 13, and 20 people aged 55 to 75 years.

Associate Professor Rodney Croft, from the centre, said while studies had been conducted on adults, the effect on children had, until now, remained untested. “Although there’s a tiny effect on healthy young adults, there is a possibility that it could be much stronger in children or the elderly,” said the worthy Professor.

Now, Mobile phones are hardly new technology, and there have been claims that using mobile phones produces brain cancer because people with brain cancer have used mobiles, and that is quite stupid.

What is not said in all these shock, horror headlines, is that these research chappies in the hallowed halls of academia need finance to keep going, and they are all in competition with each other to grab a slice of the research dollar. The more shock, horror headers they can get, the more likely they are to get further funding. It is the money train again. But the train doesn’t leave the station until the researchers can get some headlines.

Now there are groups doing genuine research into the malaises of mankind, and the influence of cholesterol on cardiac deaths is a classic example. The Framingham study kicked it all off many years ago, and it has been progressively studied since then. High cholesterol is an adverse factor as far as your cardiac condition is concerned. Believe it. And is unaltered by mobile phone use. Believe that one too.

You can see another headline, “Researchers look for a connection between mobile phones and AIDS. University team reports some new statistics which might lead to a cure.”

Beware of ‘scientific breakthroughs’ reported in the popular press. It may just be fishing for funding.

Update August 5, 2017

Rectal bleeding and wet grass

There are people who believe the earth is flat, so it should not come as a shock that some people believe you get Hemorrhoids (piles) from sitting on wet grass. Believe me, you don’t.

Now let’s look at rectal bleeding, without being a contortionist with a mirror. The rectum is the last portion of the large bowel that ends just before the anus. Bleeding from this area can herald a mild problem, or signal a life-threatening matter, which is why all episodes of rectal bleeding must be investigated.

Depending upon how high up in the gastro-intestinal tract is the cause of the bleeding, it may be seen as black, tarry stools, maroon stools; bright red blood on or in the stool, blood on the toilet tissue, or blood staining the water in the toilet bowl bright red. Treatment can range from relief of symptoms and let Mother Nature do the rest, to antibiotics, blood transfusion, or even surgery. It all depends on the cause.

There are many potential causes, including Hemorrhoids (piles) which are swollen rectal veins in the anal and rectal area. They can cause burning, painful discomfort, as well as bleeding. External hemorrhoids are small swellings that are easy to see (with the mirror) and quite painful, however internal hemorrhoids are usually painless. A feeling of incomplete emptying may be noted with bowel movements. Treatment focuses on relieving these symptoms with the use of stool bulking agents and softeners, and if necessary, ligation of the bleeding piles.

Rectal fissure is another. This is a tear in the lining of the rectum caused by the passage of hard stools, which can lead to mild rectal bleeding of bright red blood. Exposed nerves and vessels result in moderate to severe pain.

Diverticulosis, I dealt with a few weeks ago, and these little pockets on the bowel wall can also bleed. The stools are dark red or maroon. Pain is usually absent but surgery is required in up to 25 percent of these patients.

Bloody diarrhea is often seen in Bacterial dysentery, which we have all had to a greater or lesser degree. Responsible organisms include Campylobacter jejuni, Salmonella, Shigella, Escherichia coli, and Clostridium difficile. A most unsavory bunch! The treatment depends upon the organism, but generally intravenous fluid replacement and an anti-spasmodic and broad spectrum antibiotic will bring this under control.

Another common cause of rectal bleeding is Inflammatory bowel disease especially in young adults — typically those younger than 50 years of age. Bleeding occurs in small to moderate amounts of bright red blood in the rectum, usually mixed in with stool and mucus. Associated symptoms include fever and abdominal cramps. This condition generally settles with steroids.

The list does not stop there, as there are also conditions like Angiodysplasia, which is a vascular problem that involves enlarged veins and capillaries in the wall of the right colon. In the elderly, these areas become fragile and can bleed.

Of course, the one that everyone worries about is bowel cancer. We lump these together under the general heading of Tumors and polyps. Polyps bulge out from the lining of the colon. Bleeding occurs when large polyps develop. They can be hereditary, and are usually harmless, but some types can be precancerous.

Both benign and malignant tumors are frequently found in the colon and rectum. Those people older than 50 years are most affected, however, tumors can be found in younger people. It should also be noted that less than 20 percent of people with tumor or polyps will have rectal bleeding. However, when bleeding does occur, it is usually slow, chronic, and minimal. Diagnosis requires careful evaluation with colonoscopy.

Rectal bleeding from a traumatic cause is always a critical concern. Rectal damage from a gunshot wound or foreign body insertion can result in extensive infection or rapid and fatal blood loss.

And yes, there’s more! A common source of bleeding is hemorrhage from the stomach or duodenum. This can occur after someone has swallowed a foreign body that causes injury to the stomach lining or bleeding stomach ulcers.

The list does go on, but these conditions are rare, however the message is that rectal bleeding must always be investigated, and stay away from wet grass.

HEADLINES [click on headline to view story]

How to live to be 100 – or die in the attempt (guaranteed)!

Step off the edge of the world into the unknown

Rectal bleeding and wet grass



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