Huwag Kang Puputok

Siguro lahat tayo ay may kakilalang tao na malakas magpaputok. Hindi rebentador o kaya baril ang ibig kong sabihin. Ang tinutukoy kong putok ay iyong nakakainis na amoy mula sa katawan. Sa ibang salita, body odor o B.O.

Kung ikaw ang may putok, sana makatulong sa iyo ang artikulong ito.

Isang senaryo sa Pilipinas: nasa loob ka ng jeepney.  Dahil sa sobrang init at trapik ay tumatagaktak ang pawis ng lahat. Tapos, may mamang sumakay at sumiksik sa tabi mo. Pag-arangkada ng jeep, itinaas ng mama yung kanyang braso para humawak. Sakto naman yung kanyang kili-kili sa mukha mo. Pag-hinga mo, boom! Parang gusto mo nang tumalon sa jeep, o kaya’y ilawit ang iyong ulo sa labas at pipiliin mo pang suminghot ng maiitim na usok ng jeep at bus, kesa mamatay sa putok ng katabi mo. Naka-relate ka ba?

Ano ba ang sanhi ng putok?

Ang medical term sa putok o anghit, ay bromhidrosis. Ito at ang masangsang na amoy dahil sa pawis. Ang pawis ay mula sa sweat glands. Maaring tanungin mo, bakit ba ginawa ng Diyos ang sweat glands kung ang magiging sanhi lang nito ay anghit?

Ang sweat glands ay importante sa kalusugan at mismong buhay ng tao. Ito ay para sa thermoregulation ng ating katawan. Kung hindi tayo papawisan tayo ay mag-o-overheat at maaring mamatay, parang makina ng kotse na kailangan ng tubig sa radiator para hindi pumalya. Kaya’t sa ayaw mo man o gusto, hindi lang si Andres Bonifacio, kundi tayong lahat ay anak-pawis.

Isang klase ng sweat glands ay ang apocrine glands. Maraming apocrine glands sa axillary area (kili-kili) at pubic area. Maliban sa pagse-secrete ng pawis, ito ay nagse-secrete din ng hormone, na ang tawag ay pheromones. Ito ay may kakaibang amoy. Ang pheromones ang siyang naamoy ng mga hayop, para ma-attrack sa kanilang ka-partner. Ito ang dahilan kung kaya kahit sa malayo ay nakakaakit ang paru-paro, baboy-damo, o aso ng kanilang kalaguyo.

Pagnagbinata at nagdalaga na ang tao, dumadami ang apocrine glands at secretion nito. Pero sa ating tao, hindi gaya sa hayop, hindi masyadong kailangan ang pheromones upang humanap ng ka-partner. Kasi may on-line dating site na (aha-ha). Isa pa, mas mabisa siguro ang bulaklak at chocolates kesa pheromones para sa tao.

Balik natin ang usapan sa pawis. Sa katanuyan ang pawis ay walang amoy. Ngunit kapag may mga bacteria sa ating katawan, na nagre-react sa ating pawis o hormone na galing sa ating sweat glands, lalo na sa apocrine glands, sa halip na walang amoy, nagkakaroon ng mababantot na mga chemical. Mga chemical tulad ng ammoniaE-3-methyl-2-hexanoic acid at 3-hydroxy-3-methyl-heaxnoic acid, (konting chemistry lesson lang po). Ito ang isang sanhi ng putok.

Minsan ang ating diet, gamot, mga toxins, metabolic disorders, at ibang sakit, tulad ng liver at kidney failure, ay nagdudulot rin o nagpapalala ng mabahong amoy ng ating katawan.

Ang bromhidrosis ay maaring makaapekto sa kalusugan. At sa kalusugan din ng ibang kawawang taong makakaamoy. Pero maliban sa pisikal na kalusugan, ang taong may bromhidrosis ay maari ring magdusa ng social isolation at low self-esteem. Sino nga bang gustong mag-hang-out sa taong may putok?

Anong dapat gawin, o ano ang mga lunas sa isang taong may bromhidrosis?

1. Maligo ng regular.

Malaki ang nagagawa ng personal hygiene sa putok. Dahil may kinalaman ang bacteria sa masangsang na amoy, mababawasan ang bacteria sa katawan kung maliligo ka nang regular. Hindi ko sinasabing maligo ka nang apat na beses isang araw, pero sikapin kahit minsan sa isang araw. Maari ring makatulong ang pag-gamit ng anti-bacterial soap.

2. Gumamit ng anti-perspirant at deodorant.

Ang anti-perspirant ay nagpapabawas sa pagpapapawis. Ang common ingredient ng mga antiperspirant ay aluminum salt. Ang “tawas” na popular na ginagamit para sa anghit ay hydrated aluminum potassium sulfate, at ito’y mabisang anti-perspirant. Ang deodorant naman ay mga pabangong nagkukubli sa mabahong amoy. Marami sa mga produkto ngayon ay magkasama na ang anti-perspirant at deodorant.

tawas

Kryptonite? No, Tawas Crystal!

3. Hair removal

Dahil ang buhok ay maaring mag-trap sa bacteria, maaring makatulong ang pag-aahit ng buhok sa kili-kili. Kaya pwedeng slogan: May anghit? Mag-ahit!

4. Palitan kaagad ang damit na pinagpawisan.

Panatilihing tuyo ang katawan. Hindi sa dahil ikaw ay mapupulmonya kung matuyo ang pawis. Pero mababawasan ang mabahong amoy-pawis kung huhubarin mo kaagad ang basang damit na pinagpawisan mo. Isa pa, gusto ng bacteria ang mabasa-basang environment.

5. Iwasan ang mga pagkaing may maaamoy na spices.

Siguro naobserbahan mo na rin na may mga pagkaing amoy kili-kili. Hindi ko ikinakaila na masarap ang mga ito. Subalit kung amoy kambing ka na, bawasan mo na siguro ang mga maaamoy na spices tulad ng curry, cumin, sibuyas at bawang. Pero pwedeng rason na OK lang mag-amoy bawang, kasi at least walang aaswang sa iyo.

6. Huwag manigarilyo.

Hindi sa nagpapabawas ng pawis ang hindi paninigarilyo. Pero ang sigarilyo ay isang sanhi ng mabahong amoy. At mabahong hininga. May B.O. ka na nga, may bad breath ka pa, eh kawawa ka nang talaga.

7. Removal of apocrine glands.

Sa malalang bromhidrosis, ay maaring i-offer ng mga duktor ang pagtanggal ng apocrine glands. Maari itong tanggalin sa pamamagitan ng surgical excision, liposuction, o laser therapy. Hindi dahil nabasa mo rito ang laser therapy, huwag mo sanang tangkaing na sunugin ang iyong kili-kili. Please consult your doctor.

Hanggang dito na lang at sana ay may natutunan kayo. At tandaan, hindi lang sa Bagong Taon po bawal magpaputok!

(*photo of tawas from the web)

D-ficient

I went to see my doctor last week for a regular annual check-up. I know I see a doctor everyday when I look in the mirror, but I still need to see a “real” doctor once in a while. Someone who will assess my health objectively and truthfully tells me if there’s something wrong.

I don’t have any medical condition nor am I on any prescription medications. I am not having any symptoms either. Besides, I am doing my best to live healthily – I eat reasonably and I exercise regularly. In other words, I try to practice what I preach.

Yet despite of the things I can control, there are things I cannot. The track record of men in my family is dismal. My father died at the age of 50, my paternal grandfather not much older than that, and my maternal grandfather did not even reach 40. That’s the genetics I have to contend with. Therefore I need to be proactive.

After my doctor examined me thoroughly, including the dreaded digital exam up you know where, he commended me for staying healthy. All is well, or so I thought.

He also requested a number of blood tests which a couple of days later, he sent me the results. All of them were good, except for one.

My vitamin D level is low. What?! How? Why?

Vitamin D is most well-known as essential for strong bones, but research have found the importance of vitamin D in protecting against a host of health problems as well, including cardiovascular diseases, cancer, autoimmune diseases, infections, and even cognitive disorders.  Cognitive function? Is that why I am getting forgetful?

Major symptoms of vitamin D deficiency include bone pain and muscle weakness. I have none of those. However, for many people, the symptoms are subtle.

What may be the cause of vitamin D deficiency? It can occur for a number of reasons.

If you follow a strict vegan diet, you may be predisposed for this, because most of the natural sources of food with vitamin D are animal-based, like fish, egg yolks, liver(ew!) and milk. I am not a vegan nor a strict vegetarian, but I admit we eat mostly plant-based food at home. Once in a while I splurge on hamburgers, especially if I’m tired from my call. I am not a fan of milk though.

However even if you’re a strict vegan, you can still get plenty of vitamin D if you have enough exposure to the sun. Our body makes vitamin D when our skin is exposed to sunlight. The rays of the sun, specifically the ultraviolet-B (UV-B) convert a chemical (7-dehydrocholesterol) in our skin, into vitamin D. If you live in northern latitude where UV-B rays are filtered from atmosphere, specially in the winter, then you may need longer sun exposure.

I admit, I am guilty of not much sun exposure. It’s not that I shun the sun for fear of getting dark. On the contrary, I don’t agree with many Filipinos trying so hard to be fair-skinned by avoiding the sun and using whitening products. Why can’t we be comfortable in our own skin?

I don’t get enough sunshine just because I spent most of my days indoors due to my long work hours. Even if I do run outside, I usually do it early in the morning just enough to see the sun peeking in the horizon. Plus if it is cold, I use running gears that mostly cover my body, long sleeves and all, to keep me warm, so not much skin are exposed to the sun.

Another predisposition for lack of vitamin D is if you’re dark-skinned, which I am. The pigment melanin reduces the skin’s ability to make vitamin D in response to sunlight exposure. Some studies show that older adults with darker skin are at high risk of vitamin D deficiency.

Other predispositions for vitamin D deficiency are people with kidney disease as their kidney is less able to convert vitamin D to its active form, and people with digestive tract disorder that affect their intestine’s ability to absorb the vitamin from their food. I don’t think I have either of those.

So my doctor then prescribed me a hefty dose of vitamin D pill to be taken every week. But I wish he prescribed me something else instead, which I believe is what I really need.

IMG_1063

This is what I will prescribe myself: morning walk on a beach and enjoy the tropical sun once a week.

If only I could.

(*shadow selfie photo taken at a beach in Palawan, Philippines)

 

 

 

Frankenstein Medicine

For this week, I have been spending 8-9 hours a day inside the classroom and in the simulation laboratory trying to learn something new. Never too late to learn a new trick, even for an old dog. Though I admit I was almost half asleep in some of the lectures.

The hospital where I have affiliation with, will have a “new” intervention available as soon as next month. This treatment is called Extracorporeal Life Support (ECLS) or also known as Extracorporeal Membrane Oxygenation (ECMO). So they are training us doctors (critical care specialists, cardiologists and thoracic surgeons), as well as nurses, respiratory therapists and perfusionists, so we can have this life support system off and running.

In a simplistic way, ECLS entails placing large tubes to suck out the blood from the patient. Then having the blood run into a machine where it will be bathed with oxygen and then pumped back into the body. ‘Extra’ means outside, and ‘corporeal’ means relating to body, thus out-of-body life support.

Does this mean the patient will have out-of-body experience?

For patients, whether kids or adults, whose organs have failed for one reason or another, especially the heart or the lungs, can be placed on this life support system to sustain them and keep them alive and buy some time. The use of this intervention is not by all means the first line of treatment but rather of a last-ditch salvo. But it definitely has saved lives, and more and more advanced centers are offering it. Our hospital will be one of the first to provide it in our state.

ecmo

baby on ECLS (photo from the net)

ECLS is not really a new procedure. This has been done for several decades now. Except before, the intervention is only limited to short period of time, like several hours only. The main use of this before was in the operating room during cardiac surgery. They run the blood out of the patient’s body and through this machine, while the surgeon stop the beating heart and tinker on it. I can imagine the heart surgeon singing Sting’s “Be still my beating heart” while he operates. Then the machine is shut off once the heart is beating again.

Now ECLS is also being used outside the operating room, and people are placed on this life support while in the Intensive Care Unit. They can be on this for a few days, a few weeks, or sometimes even months – while their own body and organs recover, or while they wait for a new heart or a new lung, or both, or until “kingdom come.”

Of course the complexity of this intervention is beyond what I can explain here, not to mention the immense cost to the already burdened health care system and the sensitive ethical questions involve, like who to place or who not to place, or when to continue and when to stop. Are we playing God?

While we are doing the training, one of the trainee commented with a sinister smile, “we are Dr. Frankenstein.”

Is this as close as we get to Frankenstein medicine? I don’t think so. We have not created a monster. Yet.

 

Not Running

The annual Des Moines Marathon is less than 3 weeks away. And I am in no close form to run it.

For the past 5 years, I participated in this yearly event, running the half-marathon (13.1 miles). This year I learned that a classmate of mine from medical school who is also now living in the US, but in another state, is participating in this run. Even out-of-towners are joining this event, not to mention some elite runners as well.

IMG_1370

(photo taken during Des Moines Marathon 2013)

Participating in this annual race keeps me committed on my running and hopefully this keeps me fit and healthy, which is the ultimate goal anyway.

I know it is not hard to find a hundred reasons to stop running and it is so easy to fall off the wagon, and stop exercising at all. Doing this half-marathon at least once a year keeps me motivated. Or unable to button my pants, or an innocent yet honest remark from my kids about my bulging belly, will also do the same.

If I follow the running gurus’ advice, like the Hal Higdon’s training schedule (click here) on how to prepare for the half marathon, my long runs should be at least 8 to 10 miles by this time. Adhering to these recommended training schedules assure you that you cross the finish line on race day without killing yourself. But I loosely follow those schedules anyway.

Yet, even if I am not on track in my training for the half-marathon, there’s no urgency for me to train hard. The truth is I was not even training at all. I have not run a distance of more than 3 miles for the past couple of months. I am indeed slacking.

Why? Have I lost the motivation? Have I resigned and accept my bulging midsection? Not at all!

About 3 months ago, I learned that on the weekend of the scheduled Des Moines Marathon is the date that my kids will have their piano competition. And I will not miss the world for that. So we will be out-of-town at that time, and thus I cannot do the run.

So I forgo on my training.

However last Sunday, just to challenge myself, I push to run 5 miles in less than an hour, and I felt good about it. Next weekend, if I can run 7 or 8 miles, then it is as if I am ready to run the half marathon, even if I am not doing it.

Just because.

A Stinky Cure

Several days ago, I was called to co-manage a patient that was admitted in the hospital. The patient was quadriplegic, paralyzed from the neck down, due to a neck injury he sustained several years ago.  Our service was consulted for he had a tracheostomy and has been on a home ventilator.

However, he was hospitalized not for a primary pulmonary issue. He was admitted for a scheduled transplant.

In this day and age of modern science, organ transplantation is almost an ordinary phenomenon. Kidney, liver, pancreas, heart, lung, bone marrow, cornea and skin are among others that are being transplanted. There’s even recent news reports of patients receiving total face transplant.

Not too long from now, brain transplant will be a reality. Do you need one?

But the patient that we were consulted was not scheduled for any of the organ transplant that I mentioned above. Do you care to guess what he was planned to have?

Spinal cord? Spleen? Appendix? Nah.

By the way, maybe someday we will find out what appendix are really for, and not just for the surgeons to operate on.

Back to our patient, what transplant did he need?

He underwent a fecal transplant.

Yes, you read it right. Feces, as in stool or poop. In vulgar term, sh*t.

But why you may ask, anybody needs a fecal transplant. Can’t they make their own poop?

Fecal transplant is now an available treatment for people who are suffering from severe and refractory Clostridium difficile infection. What the poop on earth is that?

Clostridium difficile is a bacteria. It’s infection can happen when a patient has been on antibiotics. The strong antibiotics that we use, kill the “bad” bacteria, but unfortunately, it can also kill the “good” bacteria we have in our colon. Yes, many of the bacteria in our body are considered “good” bacteria, especially in our gut, that keeps us healthy.

So once these good bacteria are killed, this can cause overgrowth of these super evil bugs, the Clostridium difficile, and they wage a coup d’ etat in the gut’s bacterial colony. This cause the problem. The takeover of these rogue bacteria is manifested by severe diarrhea, nausea, vomiting, abdominal bloating, fever and sometimes overwhelming sepsis, shock and even death.

Clostridium difficile can be treated with specific antibiotics, but then again, antibiotics are double edge sword as it may cause more problems. So one of the newer method to fight this is providing a new bacterial colony.

Thus the fecal transplant, or also known as fecal microbiota transplant. The good bacteria in the donated stools restores the healthy colony and community of bacteria in the colon.

Currently, there are undergoing studies evaluating this treatment for other gastrointestinal disorder besides Clostridium difficile infection.

How is it done? Do we tell them to eat sh*t? No, it’s more sophisticated than that.

The fecal material from a donor, is inoculated or sprayed directly inside the colon through a colonoscope. However, under development right now is fecal material in pill form. Poop pills! What a stinker.

Where do we get the donor feces? Good question.

The donors are healthy volunteers who out of the goodness of their hearts (or guts?) want to share their…..you know what. No kidding. My gastroenterologist friend told me that most of the donors of the fecal matter available in the US are from college students of a prestigious university in Cambridge.

Maybe you want to be a donor too. They may even pay you for your precious donation. Some people donate blood, and some donate sh*t.

poop in lab

(photo from usnews.com)

Fecal transplantation most of the time is done as an outpatient, and does not need hospitalization. However, since our patient was on a ventilator, it was felt that the rigorous colonic prep plus the conscious sedation during colonoscopy may be too taxing for him, so he was admitted for observation.

I would say he had a successful transplantation. He went home the next day, pooping happily ever after.

Life’s Worries

A couple of weeks ago, I took care of a patient who was admitted in the hospital for shortness of breath. She has COPD (CDOP if you’re obsessive-compulsive), a disease due to smoking, and went into acute respiratory failure.

The patient was really struggling to breathe thus the Emergency Room doctor placed her on a non-invasive positive pressure ventilator (NIPPV), a device similar to CPAP used by people with sleep apnea, to provide assistance in her respiration. She was then transferred to our ICU.

On the first day that I rounded on her she was still on the NIPPV and unable to talk much, as it was almost impossible to talk with that mask on, for it’s like having a blower in your face. I would not be able to hear her clearly anyway even if she wants to speak. Though I examined her thoroughly, I limited my history-taking to questions she can answer by yes or no.

The next day she was much better and we have weaned her off the NIPPV. She was sitting in a chair, breathing much easier and looking comfortable.

I pulled up a chair and sat beside her and talked. She admits she has been diagnosed with COPD for years, and has even been on oxygen at home. But sadly to say she continues to smoke. Damn cigarettes! I guess old habit never die.

I told her that it was vital that she quit smoking. Yet in the back of my mind, she has done quite good despite of her bad habits, for she was 84 years old after all, and she still lives independently, all by herself.

Then when I asked her how can I help her quit smoking, she relayed to me that she smoke because she was stressed out.

What? She was eighty-four years old and still stressed out? She should be relaxing and enjoying life, or whatever is left of it, at this age.

That was when she told me that she has not gotten over the death of her husband, whom she was married for sixty-one years. He died three years ago. I suppose the heartbreak never heals when you lose somebody you love and lived with, for that long.

If we only peel off our prejudgment and peer behind the puff of cigarette smoke, we will learn that these people are hurting inside.

Then she said that she was also worried about somebody she knew longer than her husband. She was worried about her mother.

Her mother? What?!!!

Wait a minute, was my patient confused? Too much medications maybe? Was she having ICU delirium? Or does she have the beginning of dementia perhaps?

But as I talked to her more, I ascertained that she was very lucid and of clear mind. She was indeed worried and stressed out about her mother, who has been in and out of the hospital for the past several months.

Her mother was 103 years old!

I came out of the ICU room with a smile. I was ever so determined to help my patient get well. And maybe if I can get her to relax and convince her to quit smoking, she will live more than 103.

IMG_2226

view from the hospital’s corridor

(photo taken with an iPhone)

Busting the Sleep Myths

As a society, we are 24/7 and driven by productivity. With the night time being the new frontier, our culture just doesn’t want to go to sleep.

According to the documentary “Sleepless in America,” a collaboration by National Geographic, National Institute of Health and The Public Good Projects, 40% of American adults are sleep-deprived, and the average American sleeps less than 7 hours per night.

As a sleep specialist, I was interviewed by our city’s newspaper* last week, regarding sleep issues and pervading myths about them. Here are what we discussed.

Myth #1: Chronic sleep deprivation won’t dramatically harm health.

Fact: Not getting your ZZZZZs can cause obesity, Alzheimer’s disease, mental illness and depression, diabetes, cardiovascular disease, and possibly even cancer, studies show.

When we don’t get enough sleep, our body releases a hormone that makes us feel hungry or not satisfied, so we’re likely to eat more. When this happens day after day it can lead to obesity.

Lack of sleep can cause insulin-resistance leading to diabetes. It can also impairs memory and many of the mental illness known includes sleep problems.

Myth #2: A nap disrupts sleep at night.

Fact: Short naps lasting 15 to 30 minutes are good for you.

Our normal circadian rhythm causes a dip (in energy) every afternoon sometime between noon and 3:00. A short nap, research shows, can improve functionality.

However, naps lasting more than 30 minutes produce a deeper level of sleep. Those are more difficult to awaken from, can leave you feeling groggy, and definitely make it harder to get to sleep at night.

nap at work

Myth #3: You have more important things to do than sleep.

Fact: In the 19th century people slept nine or 10 hours a night. Now we average just six or seven hours a night. Of course they don’t have television and internet in those days. Now we have developed this thinking that sleeping is a waste of time when that’s not true.

Adequate sleep benefits your mental sharpness and mood. It provides the energy that allows you to accomplish more during the day.

Myth #4: Some people do fine with less than 7 hours of sleep.

Fact: Most sleep experts agree that nearly everyone needs between seven and nine hours of sleep per night.

Some people may function well with fewer than 7 hours of sleep, but that’s not the norm. That said, studies indicate nearly 30 percent of Americans sleep less than six hours. That can increase risk of early death up to 12 percent.

If you fall asleep within five minutes after your head hits the pillow every single time, that may be a sign that you are sleep deprived. So unless you are a Giraffe, which only sleeps an average of 2 hours a day, you better get more hours of sleep.

Myth #5: You can catch up on sleep on weekends.

Fact: When you sleep deprive yourself, your sleep debt increases each day. You need to pay it back within the next day or so, not delay to the weekend.

The problem with “banking sleep” until the weekend is that sleeping in usually causes you to be awake later that night. Come Monday morning, you’re apt to start the week already sleep deprived, and the vicious cycle continues.

Myth #6: Driving when tired is okay as long as you drink plenty of caffeine.

Fact: Fatigue is the No. 1 cause of high-severity car crashes.

Although caffeine can help fight fatigue, it takes at least 30 minutes before it takes effect. If you’re awake for 17 or 18 hours straight, your reflexes are so slow it’s as if your blood alcohol level were .05 percent. You’re as good as drunk.

sleep pals

Myth #7: Teens don’t need to sleep in like they do.

Fact: Staying up late and then wanting to sleep in is really not teenagers’ fault entirely. Their physical-mental-behavioral “clocks” ― called circadian rhythms ― are to blame.

Teens’ circadian rhythms are delayed a bit, which is known as Delayed Sleep Phase Syndrome. They don’t usually feel sleepy until midnight or later, but then they don’t want to get up in the morning. That’s not a problem until they need to follow society’s schedule for school or work.

According to “Sleepless in America,” teens who sleep more hours do better in school and has less rate of developing depression.

To help teens achieve wakefulness in the morning (which helps them fall asleep earlier at night), more exposure to sunlight or light therapy can be recommended. This helps reset their circadian rhythm to be more alert earlier in the day.

Myth #8: Shift workers adjust to their work schedules.

Fact: No one really gets used to shift work. Humans are diurnal creatures, meaning they are wired to be active in the daytime. Except Batman maybe.

But in our round-the-clock society, someone has to work the graveyard shift. For those who do, these tactics will help improve the quality and duration of sleep:

  • When going home from work in the morning, try to avoid light, which stimulates wakefulness. Put dark sunglasses on.
  • When sleeping during the day, make sure the bedroom is cool and dark. Turn off your phone. Minimize all the things that can disrupt sleep.
  • When working at night, make sure you’re exposed to light and that your work area is well lit.
  • If you’re sleepy when working, using your break for a quick nap can really help.

Myth #9: You just have to live with your current sleep habits.

Fact: Many people have had poor-quality sleep for so long they believe nothing can ever change it. Not true.

Poor sleep habits can be very hard to break, but they can be broken. It starts with educating ourselves on how important good sleep is, and how it will benefit us in the long run.

So there you go folks, unless you are a Christmas elf, you should not ditch sleep tonight.

sleeping hippo

(*photos taken from the web)

(**post note: above interview was published in The Des Moines Register on January 11, 2015)

Old Man Running

I ran the Des Moines half marathon (13.1 miles) this morning.

Compared to my previous runs (this is my 5th half marathon), this was my least prepared race. I usually start training around 3 months prior to the race. I gradually increase my run and by the time of the race, I should have at least run a 10-miler or more.

But due to interruptions in my training this year, like my unscheduled trip to the Philippines, my extra weekend calls, and other lame excuses, I never really had my training up to par. Though I don’t want to waste altogether the effort I placed on this for the past couple of months, so I still decided to participate anyway, and just have fun.

I never ran more than 7 miles this year. Well, until this morning.

While I was standing in the starting line among the throng of runners (it was estimated that there were about 10,000 participants – for the marathon, half marathon, and 5K), I saw a familiar face. It was one of the cardiothoracic surgeons whom I worked with in the hospital.

When I approached the surgeon, he told me that he was running the half-marathon as well. He asked me what pace I usually run, and I said to him that I’m just going to “go slow” this time, due to lack of preparedness. He then asked me if we can run together. Of course, I obliged.

I told him that I commend the fact that he as a heart surgeon, have the credibility to advise his patients that he performed cardiac bypass on, to live healthy and exercise, for he himself follows that advise. I wish we doctors will all practice what we preach.

So we ran together the whole 13.1 miles. As we ran, we shared stories of our lives and our families in between gasping breaths. It was my first time to run with somebody the entire race, and I enjoyed it. We even finished with a decent time: 2 hours and 35 minutes. Not bad. Not bad at all.

After crossing the finish line, and when I was walking back to my car, I suddenly felt my age. How many more years would I be doing this?

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But did I tell you that the heart surgeon that I ran with was in his mid-60’s and has recently retired from his practice? He’s almost 20 years older than me but still in very good shape. I just wish I can still run when I’m his age.

Although honestly, he kept me going on that race. If I was running alone, I would have run more slowly, or even walked part of the course, or who knows even stopped and quit. But I was too embarrassed to slow down, given the fact that I was much younger than he was.

After getting home and getting some rest, I felt good except for some soreness in my legs and feet. I just moved “slowly” the rest of the day. Just like an old man.

Debunking Folks’ Medical Advice: Part 3

We Filipinos have traditional medical beliefs that our elders have passed on the us, and we in turn passed on to our children. However, not all of these folks’ advices are scientifically or medically sound.

This is part 3 of the series that I have written here. It is not my intention to disrespect our elders but just trying to bring light to the truth, and nothing but the truth.

1. Huwag bunutin ang puting buhok, dahil lalo itong dadami. Sa isang buhok na binunot, sampung puting buhok ang magiging kapalit nito.

Don’t pull out white hair, as they will multiply more. One white hair pulled will cause 10 more to grow.

There is no medical truth to this. Melanin is the pigment that gives color to our hair. Hydrogen peroxide which our body naturally produces interferes with melanin. Our body also produces catalase, an enzyme that breaks down the hydrogen peroxide. As we age, catalase production tails off, and thus there’s more unbroken hydrogen peroxide that makes our hair gray or white. It was also found that gray-haired people have less hair-repair enzymes in their follicles.

The observation that the more you pull out the white hair the more white hair appears, is simply because of the natural progression of hair turning gray or white. It has nothing to do whether you pull it or not.

There’s one thing for sure though: the more hair you pull, the less hair you’ll  have. So it is better to dye them black, when there are too many white hair to pull. Or better yet, wear your gray or white hair with pride, as a badge of honor and wisdom.

2. Huwag hawakan ang palaka, at baka ka magkakulugo.

Don’t touch a frog, as it can cause warts.

Warts are caused by a viral infection. More specifically, the human papilloma virus. The virus enters through a break in the skin and causes cells to grow quickly on the external layer of our skin, causing the warty bump.

Frogs and toads sometimes have “wart-like” bumps in their skin, but these will not cause warts if you touch them. Though the bumps behind the head of some toads contains poison and can irritate the skin if you touch them. So it may be better not to touch them anyway. Don’t kiss the frog as well. It will not turn into a prince.

cute_red_eyed_tree_frog_by_anginelson-d5lzkh7

3. Magsuot ng itim na damit kung may mga pantal, upang mawala ang pamamantal.

Wear black or dark-colored dress to get rid of skin rash or welts.

Skin rashes and welts are mostly caused by an allergic reaction. We can get allergic reaction from almost anything – foods, medications, soaps, lotions, perfumes, and other chemicals you can think of that we get in contact with. The rashes and welts are caused by the release of histamines and other bioenzymes our body produces that causes inflammation. Some of these allergic reactions can be serious and life threatening, while some causes minor discomfort only.

Wearing black or dark-colored clothes will not stop the allergic reaction, nor will it hasten the disappearance of the rashes and welts. If the allergic reaction is severe, that is besides the skin welts, you also experience swelling of the face and difficulty breathing, you better seek medical help quickly. Or your family will be wearing black for funeral.

4. Huwag maglakad ng naka-paa, at baka magkaroon ka ng varicose veins.

Don’t walk barefoot, as you may develop varicose veins.

Varicose veins are abnormally thick, twisting, and enlarged veins. They can form anywhere but are particularly frequent in the legs. Veins have valves within them that prevent back flow of the circulation. If these vein valves are defective or damaged, these will lead to varicose veins.

Experts believe that varicose veins can be an inherited condition, though there are a lot of factors that can aggravate them. Pregnancy, obesity, prolonged standing, constant straining (like in constipation) or anything that causes increased pressure that prevents venous blood return from the legs. Prior surgery or trauma, and aging are also factors. Walking barefoot though is not one of them.

In fact, recent studies have shown benefits of walking barefoot, like better biomechanics and muscle development. Though I’m not recommending you ditch your shoes yet, especially if you’re walking in city streets.

barefoot-running1

5. Huwag maglakad ng naka-paa, at baka magkaroon ka ng bulate sa tiyan.

Don’t walk barefoot, as you may get intestinal worms.

This advice has truth to it. Though there are different ways that parasitic worms get into our body, there is one type – the hookworms – that can enter through our feet. People usually become infected with hookworms by walking barefoot on soil that contains the larval form of the worm, although infection may also occur from any other soil-skin contact or by ingestion.

Hookworm larvae move from the skin to the lungs and then the trachea, where they are swallowed. Larvae mature into adult worms in the intestines, where they attach to the intestinal walls and lay eggs. The eggs exit the host body with feces and once in the soil hatch into larvae, continuing the life cycle. I am sorry if I gross you out.

I know I have said that there are benefits of walking barefoot, but there are also disadvantages. This is one of them. So the next time your mother orders you to wear your slippers when you play in the streets (especially in Manila), you should listen.

******

(*photos from the net)

Related Posts:

Debunking Folks’ Medical Advice

Debunking Folks’ Medical Advice: Part 2

The Test

He sat there fidgety in his chair inside our exam room, while I reviewed the test that he just performed.

He was a lanky 18 year-old kid. He just graduated from high school. Full of hope and full of dreams. His whole life is ahead of him.

Perhaps he was really patriotic and wanted to defend the name of this country that he loved so much. Or perhaps he was born to serve and wanted to be a hero. Or perhaps it was really his dream to pursue a career in this field. Or maybe this was his only way out of a difficult life.

Whatever his purpose was, he wanted to join the military.

He already applied and was seen at the Military Entrance Processing Station (MEPS). But there was one problem. In his medical history, he had childhood asthma, even though he claimed it was only mild and in fact he said that he had no more asthma attacks since he was 11 years old. An active asthma will most likely disqualify him from entering the service.

And that was what brought him here to our clinic as a referral. He needed to pass a breathing test.

The breathing test is called Methacholine Challenge. It is a sort of breathing “stress test” where we try to induce an “asthma attack” on the subject. We let them inhale an increasing concentration of methacholine, which can cause bronchoconstriction. If we see a reduction (20% or more) from their baseline number after the challenge, the test is considered positive. That signify that they have asthma.

As I examined the kid I could feel the tension in the room. I could almost hear his heartbeat even without placing my stethoscope on his chest. I could sense his anxious sighing. His pleading eyes were looking at me, searching, as I pondered on the result of his test.

His future career hung in a balance. It was me and the result of the test that were standing in the way in his pursuit of his dream.

But why was a dream crushed before it even had a chance to take-off? How do you break a bad news without breaking a heart?

The result of his test was positive.

I laid it down to him as gentle as I could. I knew he was devastated, though he tried not to show it, at least not obviously. But I knew as well that there was no words of encouragement I could muster to change the results of the test.

Maybe someday he would come to know why it was not meant for him to be a soldier. Maybe someday he would find satisfaction in a different career he never dreamed of. Maybe. But today, it was all disappointment.

I swear I saw tears welling in the corner of his eyes as he left our office. Or maybe it was in mine.

tears_of_sadness

(*photo from here)