Category Archives: strokes

A new book you may want to know about

There’s one thing we can all agree on:  Trying to stay healthy.

That’s why you may want to know about a new book, Killer diseases, modern-day epidemics:  Keys to stopping heart disease, diabetes, cancer, and obesity in their tracks, by Swarna Moldanado, PhD, MPH, and Alex Moldanado, MD.

In this extraordinary book, the authors have pulled together an invaluable compendium of both evidence and advice on how to stop the “killer diseases” they call “modern-day epidemics.”

First, using their accumulated wisdom and experience in public health, nursing science, and family medical practice, Swarna and Alex Moldanado offer the reader a wide array of scientific evidence.  Next, they present their well-thought-out conclusions on how this evidence supports their theories of how to combat the killer diseases that plague us today.

Their most compelling conclusion:  Lifestyle choices have an overwhelming impact on our health.  So although some individuals may suffer from diseases that are unavoidable, evidence points to the tremendous importance of lifestyle choices.

Specifically, the authors note that evidence “points to the fact that some of the most lethal cancers are attributable to lifestyle choices.”  Choosing to smoke tobacco or consume alcohol in excess are examples of the sort of risky lifestyle choices that can lead to this killer disease.

Similarly, cardiovascular diseases–diseases of the heart and blood vessels–share many common risk factors.  Clear evidence demonstrates that eating an unhealthy diet, a diet that includes too many saturated fats—fatty meats, baked goods, and certain dairy products—is a critical factor in the development of cardiovascular disease. The increasing size of food portions in our diet is another risk factor many people may not be aware of.

On the other hand, most of us are aware of the dangers of physical inactivity.  But knowledge of these dangers is not enough.  Many of us must change our lifestyle choices.  Those of us in sedentary careers, for example, must become much more physically active than our lifestyles lend themselves to.

Yes, the basics of this information appear frequently in the media.  But the Moldanados reveal a great deal of scientific evidence you might not know about.

Even more importantly, in Chapter 8, “Making and Keeping the Right Lifestyle Choices,” the authors step up to the plate in a big way.  Here they clearly and forcefully state their specific recommendations for succeeding in the fight against killer diseases.

Following these recommendations could lead all of us to a healthier and brighter outcome.

Kudos to the authors for collecting an enormous volume of evidence, clearly presenting it to us, and concluding with their invaluable recommendations.

No more excuses!  Let’s resolve to follow their advice and move in the right direction to help ensure our good health.

 

 

 

 

You wouldn’t like me when I’m angry

We see anger all around us. And it’s worse than ever. As The New York Times recently noted, rudeness and bad behavior “have grown over the last decades.” The Times focused on rudeness and incivility by “mean bosses” who cause stress in the workplace, but the phenomenon is widespread, appearing almost everywhere.

Along with mean bosses, we’ve all witnessed incidents of “road rage.” These sometimes lead to fatal results. I can understand road rage because I’m susceptible to it myself, but I strive to keep it under control. (I’m usually satisfied by hurling vicious insults at other drivers that they fortunately can’t hear.)

As a pedestrian, I’m often angered by rude and careless drivers who nearly mow me down as I walk through a crosswalk. Fortunately, my rage is usually tempered by my silent riposte, “I’m walkin’ here,” Ratso Rizzo’s enduring phrase.

Other common examples of anger include parents’ frustration with their children’s behavior. You’ve probably seen parents going so far as to hit their children in public, unable to restrain their anger even when others are watching.

Can we deal with anger by seeking revenge? That tactic, unwisely adopted by the two enraged drivers in the Argentinian film “Wild Tales,” may be tempting, but it’s clearly not the answer. Why? Because being angry simply isn’t good for your health.

Although anger can be useful—helping the body prepare to fight or flee from danger–strong anger releases hormones, adrenaline and cortisol, into the bloodstream. These can trigger an increase in heart rate and blood pressure and problems metabolizing sugar (leading to still other problems).

According to the Times article, Robert M. Sapolsky, a Stanford professor and author of “Why Zebras Don’t Get Ulcers,” argues that when people experience even intermittent stressors like incivility for too long or too often, their immune systems pay the price. Major health problems, including cardiovascular disease, cancer, diabetes, and ulcers may result.

A host of medical researchers are not at all upset to tell you the results of their studies. “Anger is bad for just about everything we have going on physically,” according to Duke researcher Redford Williams, co-author of “Anger Kills: Seventeen Strategies for Controlling the Hostility That Can Harm Your Health.” Over time, he adds, chronic anger can cause long-term damage to the heart.

For example, new evidence suggests that people increase their risk for a heart attack more than eight times after an extremely angry episode. A study published in March 2015 revealed that patients who’d experienced intense anger had an 8.5 times greater risk of suffering a heart attack in the two hours after an outburst of intense anger than they would normally.

The study, published in the European Heart Journal: Acute Cardiovascular Care, focused on patients in a Sydney, Australia, hospital who’d been “very angry, body tense, maybe fists clenched, ready to burst,” or “enraged, out of control, throwing objects, hurting [themselves] or others.” Although those are instances of extreme anger, not a typical angry episode, the finding is useful nonetheless.

A review of nine other studies, including a combined 6,400 patients, found a higher rate of problems like strokes as well as heart attacks and irregular heartbeat.

According to a recent article in The Wall Street Journal, most doctors believe smoking and obesity pose greater heart risks than anger does. But someone with risk factors for heart trouble or a history of heart attack or stroke who is “frequently angry” has “a much higher absolute excess risk accumulated over time,” according to Elizabeth Mostofsky at Boston’s Beth Israel Deaconess Medical Center, who help lead the nine-study review.

As the Journal article noted, some older studies have suggested that anger may be linked to other unfavorable results: increased alcohol consumption, increased smoking, and greater caloric intake. One study also found that high levels of anger were associated with serious sleep disturbances.

How do we deal with all of this anger? Anger-management counselors like Joe Pereira, cited by the Journal, recommend ways to curb hostility. First, avoid assuming others are deliberately trying to harm or annoy you. Also learn to tolerate unfairness, and avoid having rigid rules about how others should behave. “The more rules we have, the more people are going to break them. And that makes us angry,” Pereira says.

Experts also advise taking a timeout when one is gripped by anger. Karina Davidson, director of the Center for Behavioral Cardiovascular Health at Columbia University Medical Center, advises those who are prone to shouting to tell others “I’m very [hotheaded and] say things that don’t help the situation. It would help me if I could have 10 minutes and then maybe we could work together to resolve the situation.”

Lawyers are people who deal with anger all the time. As long ago as ancient Rome, the poet Horace wrote that lawyers are “men who hire out their words and anger.” Today, lawyers not only confront angry clients but also have to manage anger stemming from their opponents and themselves.

An article in the June 2014 issue of California Lawyer noted that lawyers currently face “an epidemic of incivility contaminating…the profession.” The authors, Boston lawyer Russell E. Haddleton and Joseph A. Shrand , M.D. (author of “Outsmarting Anger”), noted that the California Supreme Court had just approved a revised oath of admission requiring that new lawyers commit to conducting themselves “at all times with dignity, courtesy, and integrity.”

Acknowledging that incivility will continue to crop up, the authors maintain that an angry lawyer is an ineffective advocate. They suggest a number of things lawyers can do to stay calm. Tips like these can help all of us.

Among their suggestions: Begin by recognizing the physical signs of anger, and think of ways to change the situation. Next, try to avoid being jealous of a talented adversary. Jealousy can cloud one’s vision and ignite anger. Finally, to defuse anger “in yourself, your opponent, the judge, jurors, or a witness,” they advise lawyers to aim for a calm demeanor that displays empathy, communicates clearly, and above all, shows respect for others.

“Respect” is the key watchword here. The authors argue that it gives lawyers an advantage by allowing them to use reason and common sense instead of rashly reacting to what goes on in a courtroom. Lawyers who reject angry responses and choose a respectful approach are better advocates. This approach can clearly help non-lawyers as well.

In the current Pixar film, “Inside Out,” an 11-year-old girl struggles with her emotions. The emotion of Anger (voiced by Lewis Black) sometimes tries to dominate, but the emotion of Joy (voiced by Amy Poehler) seeks to keep it under control, not letting it take over. This may be the answer for all of us. If we try to find the joy in our lives—the good things that make us happy–we can triumph over anger and all of the dangerous consequences that flow from it.

We don’t have to turn into a large green Hulk every time something angers us. Let’s try instead to emulate the non-angry side of the Hulk.

I plan to do just that. You’ll like me much better that way.