Philip S. Chua M.D

Philip S. Chua M.D (11)

Health@Heart

Facts about coconut water

Facts about coconut water

Coconut water (buko juice) is a popular drink in Asia and South America. The top ten countries on the list of world-leading coconut producers according to volume are: Indonesia, Philippines, India, Brazil, Sri Lanka, Vietnam, Papua New Guinea, Mexico, Thailand, and Malaysia. The Philippines export more than $1 billion worth of coconuts to the United States alone.

What actually is coconut water?

Coconut water is the clear liquid inside coconuts which, in early development, “serves as a suspension for the endosperm of the coconut during its nuclear phase” of growth. The endosperm matures into “cellular phase and deposits into the rink of the coconut meat.” The coconut water and the soft meat of young coconut is a delicacy, popular among locals and tourists in those tropical countries and others where coconuts thrive. They are sold fresh on the street by vendors with machetes who cut a hole at the top for drinking, with or without a straw. They are also available bottled, soft-packed, and canned, usually consumed chilled.

What are the other coconut products?

Besides its water and meat, other coconuts products include copra, coconut oil and coconut milk (gata) for cooking and for cosmetics, palm sugar, flower syrup, butter, desiccated coconut, powdered sugar, jelly, cream, kefir (probiotic), flour, vinegar, nata de coco fruit jelly, etc. Indeed, coconut is a versatile fruit, nut, and seed, all in one.

Can it reverse Alzheimer’s?

The popular claim that coconut oil products can reverse Alzheimer’s disease is baseless and unfounded. There is no scientific evidence to this effect. The same is true with the other medicinal claims for other illnesses, like depression, diabetes, obesity, high blood pressure, allergies, As a matter of fact, there is a controversy that coconut oil and products can be detrimental to the consumer’s blood cholesterol/lipids levels and cardiovascular health, if consumed regularly. Fresh uncontaminated coconut water is deemed acceptable and safe. Scientifically, the use of coconut oil for hair, skin, and lips, as conditioner-moisturizer has been proven to be of good cosmetic value.

What are the nutritional values of coconut water?

Coconut water is 95 percent water and 100 ml provides only 19 calories, 4 percent carbohydrates, under 1 percent protein and fat. It does not contain any vitamin or dietary minerals of any significant value. Unless contaminated by a handler, fresh coconut water is sterile, free of microbes.

While this has been marketed as “natural energy drink or sport drink,” claiming it has significant electrolyte content, this is not true. The potassium, magnesium, calcium and sodium in unprocessed coconut water per 100 ml are insignificant and not balanced. The health benefit claims, that it is antiviral, that it lowers cholesterol and regulates blood sugar, are false, and the US Food and Drug Administration has warned producers against misleading marketing.

Various firms have faced class action lawsuits over false advertisements that coconut water was “super-hydrating,” nutrient-packed,” and “mega-electrolyte” source. The suit was settled with a US$10 Million award in April 2012.

Was coconut water used as IV fluids?

During World War II, coconut water was used as intravenous fluids for rehydration when medical fluids was not available during emergencies. It is actually not similar in composition as our plasma. Intravenous coconut water is not accepted as within safe standard of care today and must not be performed at all as it would be malpractice. Drinking it occasionally is the safer way to take coconut water.

Is excessive consumption safe?

No, drinking a large amount of coconut water is unsafe. As a matter of fact, coconut water is used in southern districts of Tamil Nadu, India, for senicide of the elderly, a traditional accepted practice performed by family members called thalaikoothal, an involuntary euthanasia for those incapacitated and seriously ill, where “the elderly is made to drink an excessive amount of coconut water, eventually resulting in fever and death.” Besides pulmonary (excess water in the lungs, as in drowning) due to fluid overload, the exact mechanism causing the demise is not clear.

Are coconut food products healthy for us?

Olive oil is preferred over coconut oil for cooking and overall use. The virgin variety of each is considered better than their regular form. While olive oil is universally recommended as a healthy oil, there is a lot of controversy about coconut oil because of its high saturated fat content (albeit from non-meat source). The use of virgin coconut oil in cosmetics (skin moisturizer and hair conditioner-shiner, lip balms, etc.) has been proven beneficial, but not as a food or as a cooking ingredient for DAILY consumption. Advocates, including some physicians, think differently. While the controversy lingers, occasional indulgences and in moderation are safe. For many, the great unique appetizing taste of coconut milk (gata) in main courses (red meat/chicken/vegetables) and in desserts is hard to resist. I confess, I am one of them.

Visit philipSchua.com Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read more...

National smoking ban

 

Providing a smoking area within

the same building with one ventilation system

is like designating a urinating area

in a swimming pool.

 

HealthJustice Philippines, a vigilant think tank and advocacy group with legal expertise in tobacco control and health promotion and a Bloomberg Awardee for Global Tobacco Control, sent out a press release May 12, 2017 praising “Davao City Vices Regulation Unit for its strict enforcement of smoking ban and apprehension of 4,487 violators since its formation last month.”

“We commend the local government of Davao City and its Vices Regulation Unit for strictly enforcing the provisions of its pertinent local ordinances and national and international laws banning smoking in public spaces. Davao City has been recognized by no less than the World Health Organization for its landmark tobacco control ordinance, and since then it has continued setting a sterling example in crafting and implementing tobacco control measures for cities across the country and the whole world to emulate,” said Mary Ann Fernandez-Mendoza, president and trustee of HealthJustice.

“We hope that President Duterte will soon sign the ‘smoke-free’ Executive Order that will not only strengthen the enforcement of existing smoking bans, but also direct local governments to pattern their anti-smoking ordinances after that of Davao, which includes a ‘no smoking indoors’ policy,” she added.

*        *        *

Cebu in the 1990s, expanding on its existing ban on smoking in public establishments then, proposed its laudable goal to make Cebu city a smoke-free city by year 2006. I was among its staunchest supporter and stated then that achieving this would earn Cebu the enviable distinction of being one of the healthiest cities and tourist spots in the world. Unfortunately, wisdom, health, and medical science were no match to the power of money and political correctness.

I remember that there were some brainless city legislators who wanted to amend the ordinance to allow smoking after 9:00 P.M. and for the creation of smoking areas in shopping malls, restaurants, etc.

Did these obviously ignorant officials think that active and passive smoking would only cause cancers, cardiovascular illnesses, and lung diseases before 9:00 P.M., and that smoking after 9 PM would be safe? Did they honestly think that the smoking areas (within a building) will prevent the 4000 harmful (200 of them cancer-causing) chemicals in tobacco smoke from getting into the ventilation system and expose and hurt everyone in the premises, including non-smokers and children?

What in this issue was NOT clear?  I bet even the kids in the kindergarten can see how ludicrous these proposed amendments are. 

Unless the designated room is air-tight and totally excluded from the main building (of shopping malls, restaurants, stores, hospitals, public libraries, theaters, the workplace, etc.), and has a ventilation system of its own, it would be ineffective and useless. Providing a smoking area within the same building with one ventilation system is like designating a urinating area in a swimming pool. This is the same scientific and medical principle why the smoking ban in commercial airplanes also includes the toilets, besides all the cabins and the cockpit. A simple common sense.

The issue is crystal clear. Smoking and second hand-smoking or passive smoking maim and kill millions in countries around the world, the Philippines included. Spraying poison in the air, as in passive smoking, adversely affect everyone in the area. 

The simplest, totally cost-free, and medically effective solution is to allow smoking ONLY outside of, and a distance from, public buildings. What could be more obvious? A national smoking ban, while unpopular and controversial, would provide an immeasurable boost to people’s and the nation’s health.

While I abhor smoking and inhaling secondhand tobacco smoke for health reasons, I defend the right of smokers to smoke. That is their constitutional right…so long as the exercise of that right does not offend or hurt the people around them and infringe upon the rights of others. After all, non-smokers have rights too: not to be exposed to the dangers of secondhand smoke. Where there is a conflict, the right of the non-smoker prevails. This is an accepted legal tenet.

What is secondhand smoke?

Secondhand smoke is the fume that one involuntarily inhales after someone who smokes exhales it (called mainstream smokes), or the fume that goes directly to the atmosphere from the burning tobacco (cigarette, pipe or cigar) called side stream smoke. When non-smokers breathe in these smokes or fumes from other people’s cigarettes, cigars or pipes, this is involuntarily inhalation called passive smoking. As stated earlier, tobacco smoke contains about 4000 chemicals, 200 of them known poisons and carcinogens. Smoking around people is similar to spraying known poison gases into the atmosphere, victimizing and posing even greater health hazards to non-smokers.

Does passive smoking cause cancer?

Yes, active and passive smoking cause cancers, besides bronchitis, premature births, smaller babies with higher risk for impaired mental development, respiratory illnesses among children, emphysema, heart attack, and stroke. In the United States, cancer victims of smoking, and family members of smokers who died from cigarette-related illness, have sued cigarette manufacturing companies, and have won millions in awards. While they vehemently denied it before, cigarette companies today have admitted in public that tobacco causes cancers and other lung illnesses. The courts have likewise ruled in a similar fashion in favor of victims of passive smoking (as in the airline stewardess’ case). In 1986, the Surgeon General of the United States reported that involuntary (passive) smoking can cause lung cancer in healthy non-smokers. In fact, the U.S. Environmental Protection Agency (EPA) has now classified secondhand smoke as a known carcinogen (cancer-causing agent).

If we, as a people and as a nation, are really serious in eliminating all the smoking-related killer diseases that snuff out more than 240 lives a day, yes, a day, not a month, causing the loss of loved ones and family devastation, promulgating a national smoking ban truly makes sense.

But don’t hold your breath. History shows that majority of our elected politicians, leaders we voted for to protect us, do not have balls and the wisdom and the will to eliminate this vicious serial killer amidst us. The illnesses and deaths from tobacco far exceed the morbidity and mortality from illegal drugs.

Let’s see if President Rodrigo R. Duterte can extinguish this political insanity that is holding the people’s health hostage. 

Visit philipSchua.com    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read more...

Depression is great risk factor in suicide

Depression is a most significant risk factor in suicide. In today’s busy, impatient, materialistic, and fast-paced society, people are subjected to various stressors in life everyday. Encumbered by their personal circumstance, some are unable to adjust and cope, and develop depression. Suicide is a senseless option and a preventable alternative.

What is depression?

Depression is a state of emotion where the individual has some or all of the following senses, feelings, or moods: downhearted, unhappy, anxious, irritable, unable to concentrate, socially withdrawn, empty inside, has inordinate fatigue and reduced interest in activities which used to be fun, hopelessness, indecision, impaired sleep, misery, helplessness, confusion, monosyllabic speech or abnormally quiet.

What is the prevalence of depression?

In the United States, about 9 percent, or 28 million American adults “have feelings of hopelessness, despondency, and/or guilt that generate a diagnosis of depression,” according to the US Centers for Disease Control and Prevention. Three percent or 9.6 million of adults have major depression, a chronic and severe form of depression. In the Philippines, the rate is about 5.3 percent. Worldwide, the rate is between 2.6 percent to 29.5 percent, a pandemic, actually, according to an international study conducted by the World Health organization. In general, women are 70 percent more prone to develop depression, in part due to hormonal changes, especially during menstruation, after pregnancy, and menopause. In the past 50 years, the rate has catapulted from 3.33 percent to 7.06 percent, from 1991 to 2002. The rate for the various types of depression in the United States are: Postpartum – 10 to 15 percent; SAD (Seasonal Affective Disorder) – 4 to 6 percent; Bipolar – 2.6 percent; Dysthymia (minor depression that lasts 2 years or longer) – 1.5 percent; Psychotic depression (most severe form) – 5 percent.

Are there screening tests for depression?

Yes, there are. Mental health specialists can administer preliminary tests such as the BDI (Beck Depression Inventory), or the HRS (Hamilton Rating Scale), which is composed of 20 questions to screen the patient. Today, computerized phone interviews are gaining effectivity as a screening tool. These tests are only a small part of the evaluation process, because the specialists have the symptoms of the patient and other criteria to aid them make the correct diagnosis.

Don’t we all get depressed sometimes?

To some degree, some situations in life trigger depression, and normal people develop a mild form of depression, which is transient, self-terminating, and not a disease. As long as the resultant symptoms are trivial and temporary, and do not debilitate the person, the condition is not clinical illness and does not need any medical treatment

What foods relieve depression?

Foods that are high in tryptophan, an amino acid involve in serotonin production, provide relief to some people with depression. Niacin (Vitamin B3), which is essential in the production of tryptophan, can be found in dried peas, beans, whole grains, dried fortified cereals, and especially in oily fishes like salmon and mackerel. It is reported that Omega-3 polyunsaturated fatty acids in fish oil may actually reduce depression. PMS Escape, a high carbohydrate drink, was claimed to increase tryptophan level and would control the depression related to pre-menopausal syndrome has been found to have impurities by the FDA and subsequently withdrawn from the market. Calcium supplements and Vitamin B-12 have been reported to reduce pre-menstrual depression. Also, some studies showed that among depressed people who drink caffeinated beverages have a lower incidence of suicide, which seems to suggest that coffee or tea reduces depression.

How about exercises?

Believe it or not, physical exercises may be as effective as psychotherapy in the management of mild to moderate depression. Prolonged aerobic workouts lead to higher levels of serotonin, adrenalin, endorphins and dopamine in the brain (producing the popular term “runner’s high”). Physical exercises, brisk walking, ballroom dancing, yoga, tae-bo, etc. lead to better emotional health. As an extra bonus from physical exercises, weight loss and improved muscle tone lead to the sense of well-being and higher self-esteem. Those individuals with strong spiritual faiths have a relatively lower predisposition to depression. These people might benefit from meditation, yoga, and other techniques for obtaining spiritual security, inner peace and happiness. Severe depression need medical treatment.

Does depression play a role in suicides?

Yes, very significantly. Depression is present in about 90 percent of the more than 40,000 suicides that take place in the United States annually, and for every two homicides, there are 3 suicides. Suicide is the 10th leading cause of death in the United States overall and the second leading cause of death in the age group 10 to 34. According to CDC, 1.3 million adults attempted suicide in 2014. About 78 percent of them are men, more than 4 times the rate for women. Depression lowers the mental threshold for self-destruction.

Do you have depression?

If you do, it is most prudent to seek medical help, not necessarily psychotherapy. The first thing to do it to consult your family physician, who can help guide you. With early proper medication and/or advice, depression in most cases can be managed effectively and eliminated faster than one can imagine. Physicians today have invaluable tools in their armamentarium for the diagnosis and treatment of depression. Many individuals with depression, who have sought medical care, are so “cured” with simple oral medications that they look, behave, function and live as normally and happily as anybody else, lost in the sea of anonymity.
Visit philipSchua.com Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read more...

Wisdom Capsules

Veggies Protect the Stomach

Those taking NSAID drugs like ibuprofen, and other anti-arthritis pain medications regularly, can be victims of stomach irritation which could result in ulcers and bleeding complication, that is why medical guidance is essential, even for these over-the-counter pills. To prevent stomach ulceration, ingesting 8 to 10 ounces of vegetables a day can work wonders by protecting the stomach wall lining, according to a researcher at Sweden’s Uppsala university.

Crackling Brain Food

If you want a healthy snack, one that keeps your brain sharp and reduces your risk for the development of Alzheimer’s, nothing beats crunchy celery, cucumber, carrot, broccoli, cauliflower, olives, bell peppers, and other veggies. Eating them uncooked preserve all the phyto-chemicals in them, like luteolin, which prevents brain inflammation, a common condition linked to ageing, chronic brain syndrome, multiple sclerosis, etc. So, to stay young, with a sharper mind, stay away from the high carbo snacks, including (especially) soft drinks, and savor the benefits from these crunchy veggies. And nuts also, like walnuts, pecan, pistachio, almonds, macadamia, and peanuts. Even your looks and your complexion will shine, with your favorite moisturizer, and without the use of glutathione or other expensive herbal products, which may even be dangerous after chronic use. Veggies and nuts are in, especially among teenagers. We, adults, should learn from the younger generation.

Healthy Dish

Omega 3 Fish Oil (Omega 3 fatty acids DHA and EPA) is a popular supplement to eating fish for its cardio-protective benefit. It can lower blood pressure, help new brain cells regenerate and reduce the risk of the development of Alzheimer’s, minimize inflammation, and is a great aid in the management of cholesterol and arthritis. It also boosts the immune system. When digested, fish oil breaks down to hormone0like ingredients called prostaglandins, which reduced inflammation, like in arthritis (inflammation of the joints). This leads to lesser need for pain medications, as it also lubricates the joints. Fish oil is also good for auto-immune diseases. Indeed, a versatile supplement. Daily exercises, eating fish and vegetables at least 3 times a week, and abstaining from red meat and egg yolk is the healthy way to go, for children and adults alike.

Viagra, Cialis, Levitra

There are so many sex aids which come in herbal potion, pills, lotion, gel, and juices including ginseng and similar herbs, but studies have shown that the best results for those with erectile dysfunction among men, young or old, were obtained by taking Viagra, Cialis or Levitra. These drugs should be taken only after consultation with a physician, because some prescription medications may interact with any of these three pills and cause serious problems. Data today show that these pills, which have been prescribed for millions of times around the world, are effective and safe for ED in men, used under medical supervision. The fake ones from Pakistan, India, and other countries, which are being sold in the Philippines for a very cheap price, are deemed crude formulas and very dangerous.

Sex Could be Deadly

Sleeping around indiscriminately, or having multiple sex partners, can be hazardous to health and deadly. A perfectly healthy-looking person could be walking around with HIV, Chlamydia, Gonorrhea and other STDs (sexually transmitted diseases), including Syphilis. And no matter how normal looking the sexual organs of the women or men are, they could be harboring bacteria, fungi, viruses, and sometimes, even parasites, not obvious to the naked eye. Only a medical check-up and laboratory tests could confirm their presence or absence. STD infections in general, affecting the sexual organs, the eyes and mouth, are common. Be smart. You do not want a few minutes of pleasure to risk your health and life for weeks, if not years, of agony and shame. A internet message said, “unlike love, herpes is forever.” That may sound funny but herpes is really for keeps. Sex is a major and serious responsibility, not only to our body and health but to our family and friends, to all our loved ones, and to society in general.

Laughter/Singing: A Healer

Living a healthy lifestyle includes laughter. The more we laugh in life, the healthier we are. Indeed laughter is the cheapest and best medicine. Laughing (like singing or listening to romantic soft music and inspiring classical ones) increases our T-cells in the body which boost our immunity. Laughing also lowers the cortisol (stress hormone) level allowing us to minimize stress and its adverse effects on our system. It also blocks out bad emotions within us, giving us a better outlook and perspective in life. Even nothing is funny, even while alone in a room, laugh anyway, because even the simple act of laughing (and/or singing) in itself confers all those benefits. And don’t worry if people think you are crazy and laugh at you. You are doing them a favor anyway, by helping them get healthier as they laugh at you for yur insane laughter or off key singing.

Great advances

Instead of the cumbersome, uncomfortable diagnostic procedures now available for detecting lung cancer, the University of Texas researchers have developed a new lung cancer test that allows the use of “a simple mouth tissue sample, which compares the changes that takes place 95% of the time in both mouth and lung cells” among those individuals with lung cancer. This is a fantastic progress in our fight against lung cancer and cancers in general. As always, as with any other illnesses, prevention is the key, the best option, even compared to the greatest remedy or cure.

A non-invasive “virtual biopsy” technology (using harmless electrical current to better detect skin and cervical cancer (and eliminate need for surgical biopsy) has been developed by an Australian scientist.

A new ultrasound, “which can catch tiny tumors earlier,” has been evaluated for clinical use in Norway. Second to prevention, catching any cancer in its early stage can lead to complete cure, among most cancers.

Progress in science, in every sphere of human endeavor, benefits mankind as a whole. We are indeed lucky to be living in this world of today, in spite of all its imperfections and problems, most of which are man-made. For world peace and prosperity, where there is no war, poverty and hunger, all we really need is love, tolerance, and respect for each other. And the best place to start is at our own home.

Visit philipSchua.com Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read more...

Is CPAP for you?

(Correction: In my previous column on sexually transmitted diseases, I inadvertently equated Human Papilloma Virus (HPV) to genital herpes virus. HPV is an entirely different virus than genital herpes virus.)

What is CPAP?

CPAP stands for Continuous Positive Airway Pressure, the best treatment, the accepted evidence-based standard of care, for persons with confirmed Obstructive Sleep Apnea (OSA).

What is OSA?

OSA is a condition where the individual takes very shallow (ineffective breaths during sleep, or even holds his/her breaths for an abnormally prolonged period of time (apnea) for dozens of times during the night, depriving the person of oxygen, which could lead to arrhythmias (heart irregularity) and in some cases, heart attack and even death. Unfortunately, not every healthcare provider, even today in the United States, recognizes OSA as a significant factor in the causation of metabolic (diabetes-T2 and other endocrine) illnesses, cardiovascular and respiratory diseases, and alarmingly, even of various cancers.

What causes OSA?

There are some individuals whose anatomy of the throat allows the soft palate (roof of mouth at the back) to fall back and block the upper airway passage while asleep. This obstruction is commonly seen among those who snore, but not all who snore has OSA. This obstruction makes the diaphragm and the chest muscles work a lot harder to bring air into the lungs, momentarily waking up the person, on and off, jerking, choking, and gasping for breath several times during sleep.

What are the dangers of OSA?

Besides the arrhythmias and possible heart attack, OSA also deprives the person of a restful, satisfying sleep. As alluded to above, OSA has been linked to increased risk for metabolic and cardiovascular diseases and to elevated risk for cancer. Lack of sleep also decreases the sense of well-being, mental acuity, concentration, work performance, and all these expose other people, society in general, to the danger of driving accidents. Those with untreated OSA are also less efficient, more forgetful, and cranky members of the work force. They are always tired, have excessive daytime sleepiness (EDS), and doze off frequently. They lack stamina and their sex life is also affected. Almost all of these individuals do not realize OSA is the cause of their problem. Actually, even among physicians, OSA, while common, is still an under-recognized and under diagnosed medical entity.

How common is OSA?

One in five Americans, or about 60 million, have obstructive sleep apnea, 4 percent among males and 2 percent among females. Extrapolated figure for the Philippines would place the incidence at about 4-5 million Filipinos suffering from OSA. In Hong Kong, the prevalence is about 7 percent, in India, 13.7 percent. Its only in the past 2 decades or so that physicians have been more aware of OSA and CPAP therapy and have been referring more and more patients to Pulmonologists for Sleep Studies. The “epidemic” of OSA is more common than we think.

What are the associated predictors?

The typical associated predictors for those who are prone to develop OSA are: male more than female, older age group, usually above 40, greater BMI (Body Mass Index, obesity), larger neck circumference and waist to hip ration, smoking, snoring, high blood pressure, longer time to fall asleep, and higher Epworth Sleepiness Scale score. To some extent, family history of OSA.

How is the diagnosis confirmed?

When the physician suspects a person to have OSA, the diagnosis is confirmed by a Sleep Study (Polysomnography). This study, which requires sleeping overnight in a sleep clinic or hospital, where the person is connected to various devices to monitor, among others, the brain activity, oxygen level, EKG, heart rate and breathing rate, while a video records movements and snoring, etc., while asleep. When positive for OSA, the diagnosis is confirmed, and a second night needs to be spent in the sleep clinic to titrate the CPAP parameters needed for actual CPAP therapy, like how much pressure is needed to keep the airway open (which differs per person), etc. These parameters are used when prescribing the CPAP therapy. The machine will be calibrated and set according to the person’s needs for an effective use every sleeping hour each day.

How comfortable is CPAP use?

Contrary to what might think as “obvious,” the use of CPAP mask or nasal pillows (depending on the user’s preference after trying them) at bedtime is surprisingly comfortable. After getting used to it within a week or so, the user might even miss it or might not feel secure without it. The CPAP machine has a controlled water heater reservoir which provides warm humidified air. Using it religiously provides a sense of safety from lack of oxygen and from developing a heart attack. CPAP use among those with OSA assures them a more restful and satisfying sleep every day. Many prefer the nasal pillow, but if one is a mouth-breather, the mask is recommended.

Is CPAP use for life?

Yes, since OSA is only treatable but not curable, one has to use CPAP for life. But as I have alluded to, once one is used to it, CPAP use could be 
“addicting” (reassuring is the more appropriate term) because of its life-saver reputation and all the benefits CPAP provides, including a satisfying restful sleep.

Are other gadgets any good?

Countless “non-CPAP” gadgets advertised on various media are useless and not scientifically based. They market the items to stop snoring, but snoring is not the cause of OSA. The CPAP stops snoring also. Snoring is only a symptom. Even if you stop snoring, the blocked airway is still there. The treatment should be directed to the collapsing airway passage, by “filling it up” with continuous high pressure (enough to keep the airway open for effective respiration) so oxygen can get into the lungs. Without exception, all those “non-CPAP” marketed items are useless and a waste of money. They are also dangerous because they provide a false sense of security, which could delay or preclude proper and prompt medical consultation and avoid a medical disaster.

More and more physicians, other healthcare providers, and the public are becoming aware and acutely conscious about OSA, its diagnosis, and the wonderful CPAP treatment. This trend is gratifying because the earlier the diagnosis is confirmed and the CPAP therapy is instituted, the sooner the incidence of all OSA-linked diseases listed above will be minimized through prevention around the world.

Visit philipSchua.com Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read more...

Sexually Transmitted Diseases

It is quite alarming that forty-five to fifty percent of men and women in the United States have HPV – genital Human Papillomavirus – infection. This information was recently reported by the Center for Disease Control’s National Center for Health. It is, indeed, the most common sexually transmitted disease in the country. Here are the details, which are conservative statistics since this does not include institutionalized higher risk individuals, like prisoners, addicts, and the homeless:

“Using data from the National Health and Nutrition Examination Survey (NHANES) from 2011 to 2014, researchers found the following:
Oral HPV prevalence was 7% for adults under age 70. The prevalence of high-risk oral HPV was just 4%.
For adults under age 60, the prevalence of genital HPV was 43% in 2013 to 2014. It reached 64% among black adults. Non-Hispanic Asian adults had the lowest prevalence at 24%.
Roughly 23% of adults had high-risk genital HPV, with the highest prevalence among black males (40%).

HPV and cancer
There are more than 108 different types of genital HPV, more than 30 of these are sexually transmitted, causing infection involving the skin of the penis, vagina (vulva), cervix, and even the anus and rectum.
US government statistics show that 25 percent of men and 20 percent of women have the strain of human papilloma virus or human wart (virus) that causes cancer. To protect individuals who are 25 and younger from acquiring this HPV-related cancer, the vaccine listed below is available today.
Cervical cancer
Cervical cancer is malignant tumor of the cervix (mouth of the womb). It is the second most cancer in women and the third most common gynecologic cancer, the second being cancer of the ovary. The most common gynecologic malignancy is endometrial (inner wall of womb) cancer, which is the fourth most common cancer in women. The first being cancer of the breasts, followed by colorectal cancer and lung cancer. Cervical cancer develops in women at the mean age of 50 years old, although it can occur in women as young as 20. In the Philippines it is the number 2 most common form of cancer among women. In the United States it accounts for least 3000 deaths, and globally, about 300,000, annually.
How prevalent is cervical cancer?

More than 20 million of Americans have HPV infection. In the Philippines, there are about 5000 new cases of cervical cancer each year. By age 50, about 80 percent of American women will have acquired genital HPV. However, more alarming than that is the fact that there are between 10,000 to 25,000 women walking around (not seen by physician) who have undiagnosed pre-invasive lesions in their cervix. If diagnosed early, these women could be saved. For every four survivors of breasts cancer, there are less than 3 women who survive cervical cancer, which shows how virulent cervical cancer is.

What causes cervical cancer?

Human Papilloma Virus (HPV, also known as genital herpes virus) accounts for most, if not all, cervical cancers. At least 50% of sexually active men and women are infected with genital HPV, especially those with multiple partners. There are about 20 million American men and women infected with HPV, many linked with abnormal pap tests, genital warts and cervical cancer. It is estimated more than 10,000 new cases of cervical cancers are discovered annually. Between half a million to a million Americans have genital warts, transmitted thru sexual contacts. The so-called high risk HPV may cause positive Pap test, and it could cause cancer of the cervix, vulva, vagina, penis, anus or rectum. The low-risk , milder form, causes single or multiple bumps of genital warts (kulugo) and could be cauliflower shaped.

Is the cure for cervical cancer?

Better than the cure! A vaccine that prevents cervical cancer has been in use since it was introduced in June 2006 and found to be “effective 100%, in the short term, at blocking the cancer and lesions likely to turn to cancer” (like the pre-invasive lesions), according to drug manufacturer, Merck & Co.

The vaccines, which are genetically engineered, Gardasil and Cervarix, which block infection caused by two of the more than 108 types of human papilloma virus (HPV), strains 16 and 18. These two sexually transmitted viruses are responsible for about 70% of cervical cancers. HPV, in one form or the other. The other strains of the virus cause painful genital warts, and sometimes, cervical cancers too. The newer versions of these vaccines are effective for more strains of HPV.

How early should the vaccine be given?

Students in grammar school, middle school and high school should be vaccinated before they become sexually active, because once they catch HPV infection, there is no cure; herpes is for life. This was the recommendation of Dr. Gloria Bachmann, director of The Women’s Health Institute at Robert Wood Johnson Medical School in Brunswick, NJ., who said this vaccine is a “phenomenal breakthrough. This is, today, the standard of care.
Can oral sex cause cancer?
The most common cause (70 percent) of throat cancer is oral sex with a partner who has active HPV infection. About 4 percent of adults who practice oral sex will have oral infection with a high-risk form of cancer-causing HPV. Experts say head and neck cancer will surpass cervical cancer as the most common cause of HPV-related cancer by 2020. Without being flippant, the use of seran wrap or plastic film to cover the female pelvis (similar to the use of condom for males), if oral sex is to be practiced at all, could be of some protection against HPV contamination. However, the CDC review of 138 peer-reviewed scientific studies showed that the use of condom is not effective in reducing the risk of STDs. Out of 100 women who used condom religiously, 37 of them still developed HPV. At least 1 percent of condoms are defective.
Syphilis higher among homosexuals
While society regards syphilis as an STD of the past, it is actually still very much with us, domestically and globally. Rarer than it was a century ago, syphilis remains a much dreaded disease.
Men who have sex with men have much higher rates of syphilis infection, according to a study. The rate is 106 times more than the rate of syphilis among heterosexual men, and 167 times higher than the rate of infection among women.
Homosexuals had a rate of 309 cases per 100,000 population for a primary and secondary syphilis, compared to 2.9 and 1.8 cases per 100,000 for heterosexual men and women, respectively. The region with the highest rates are located in the Southern region, with a rate of 748 per 100,000 in North Carolina.
This may sound like over simplification and quite obvious, but the best way, the surest way, to prevent getting any sexually transmitted diseases is not to have sexual contact with someone infected, or possibly infected, with HPV/HIV/Syphilis/Gonorrhea.

Visit philipSchua.com Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read more...

The new silent killer

The silent killer of the 1970s, high blood pressure, is now replaced by Metabolic Syndrome, a cluster of three or more risk factors like abdominal obesity, high blood pressure, high triglycerides, abnormal lipids, and insulin resistance (pre-diabetes T2).

The expanding waistlines of Americans (and Filipinos also) the past several decades has been alarming, not only from the cosmetic/physical point of view but, more importantly, from their adverse impact on health, morbidity. and mortality. It is now obvious that “love handle” can be deadly.

The researchers from Charles E. Schmidt College of Medicine at Florida Atlantic University, in an article posted this year in the Journal of Cardiovascular Pharmacology ad Therapeutics, stated that “being overweight and obesity contribute to metabolic syndrome, which affects 1 in 3 adults and about 40 percent of adults aged 40 and older…that the risk factors are more than just the sum of their parts.”

Obesity is indeed surpassing tobacco as the pre-eminent preventable cause of early morbidity and premature deaths in the United States and globally.

The rule of thumb is that optimizing health requires and includes a waistline of less than 40 in men and less than 35 in women, and a healthy lifestyle: diet, exercise, abstinence from tobacco, disciplined alcohol intake, and stress management.

The authors of the study explain “that the visceral fat component of abdominal obesity leads not only to insulin resistance but also to the release of non-esterified free fatty acids from adipose tissues or body fat…the lipids then accumulate in other sites such as the liver and muscles, further predisposing individuals to insulin resistance and dyslipidemia-abnormal amounts of lipids…and adipose tissue may produce various adipokines that may separately impact insulin resistance and cardiovascular disease risk factors.”

Persons with metabolic syndrome are generally without symptoms and severely underdiagnosed and untreated, but have a 10-year risk of a first heart attack, according to the Framingham Risk score of 16 to 18 percent, which puts them in a higher risk category similar to those who already had a previous heart attack.

Various clinical studies have shown than even with a normal Body Mass Index (BMI), individuals with expanding waistline from visceral fats could still have metabolic syndrome. Those who consume soft drinks of any kind, cola or uncola, diet or regular, caffeinated or not, have a higher risk for the development of metabolic syndrome, especially children. Indeed, soft drinks are toxic to our body, to our DNA

As I have highlighted in the book Let’s Stop “Killing” Our Children, healthy lifestyle and disease prevention, in order to be fully effective, must start in the womb, and dieting and discipline must begin in the crib to protect the children’s DNA. This pre-emptive and proactive strategy at the cellular/molecular level will exempt them from having the so-called “expected and normal diseases of aging,” like arthritis, high blood pressure, diabetes T2, heart diseases, stroke, Alzheimer’s, and even cancer. Indeed, these are preventable.

The pandemic of obesity, which begins in childhood, is increasing the past century, and the current generation of children and adolescents (who eat more calories and unhealthy foods and who exercise less) will reach middle age with higher morbidity and mortality from metabolic, cardiovascular diseases, stroke, and cancer, which may even be worse than their parents’ in spite of the great advances in medical science and technology.
While colon cancer rates have been going down among the elderly (55 and older) since the 1980s, they are increasing among those in their 20s and 30s. This was the recent alarming finding of a US cancer registry, which reviewed nearly half a million color-rectal cancers diagnosed between 1974 and 2013, published in the Journal of the National Cancer Institute and in the March 1, 2017 issue of the New England Journal of Medicine.
The research shows that for colon cancers, a rate increase of 2.4 percent annually was noted for those in their 20s and 1.0 percent among those in their 30s. For rectal cancers, the yearly increase was even higher, 3.2 percent. In general, the study also found that there was an increase in the rate among adults in their 40s and early 50s, but not as bad.
This report revealed an alarming retrogression in our battle against colorectal cancers: “that young adults' colorectal cancer risk is now similar to that of adults born around 1890.”
The investigators pointed out that high obesity rates the past several decades “may play a role in this generation. Obesity increases the risk for all types of cancers and cardiovascular diseases, like high blood pressure, heart attack, stroke, and diabetes.
Our lifestyle, which includes what and how much food we eat, where we exercise or not, and all our self-indulgences/abuses, contribute a lot to our state of health. Metabolic syndrome, especially obesity, and red meat and processed meat consumption, all increase the risk for cancer. Neglecting regular medical/ dental check-up and recommended tests also increase our health risk.

The national Institutes of Health reports “approximately 2/3 of adults between 20 and older are overweight or obese with BMI greater than 25, and nearly 1/3 have BMIs greater than 30…less than 1/3 of them are at a healthy weight with BMI of 18.5 to 24.9.”

The estimated cost of obesity in the United States is around $190.2 billion a year, almost 21 percent of medical spending, not including the personal expenses of the individuals and the toll on human misery and human life.

Shedding off at least 5 pounds of our excess weight thru disciplined caloric counting and walking exercise for about 20 minutes a day will reduce our risk for metabolic syndrome and cancer by more than 33 percent. This is a practical and wise strategy we can painlessly do, for free!

Glaringly obvious are the evidence-based roles and impact of diet, exercise, tobacco, and alcohol on our individual health and longevity. They can’t be any clearer.

To a great extent, our health and our life are in our hands and what to do with them is our choice.

Visit philipSchua.com Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read more...

Breast Implant and cancer

The U.S. Food and Drug Administration reported last week that “nine deaths and hundreds of cases of a rare cancer have been linked with breast implants.”

The malignancy here is not breast cancer but an immune system cancer known as anaplastic large-cell lymphoma (ALCL). The cancer nurtures itself in the breast, notably in the scar tissue around the foreign body implant. Fortunately, in most cases this is treatable.

The implant-cancer link was noted in 2011. As of February 2017, the FDA has recorded 359 cases of ALCL linked to breast implant.

The Times reported stated “the disease is most likely to occur with textured implants that have a pebbly surface rather than a smooth surface…and of the 359 reported cases, there was information about the implant surface in 231. Of those, 203 patients had textured implants and 28 had smooth implants….Whether the implants contained silicone gel or saline appeared much less important than surface texture in disease risk.” The number of this ALCL cases worldwide is not known.

According to the American Society of Plastic Surgeons there were about 290,000 women in the United States in 2016 who had implants for breast enlargement and 109,000 received implants for reconstruction after breast cancer surgery.”
Any pain, lumps, fluid accumulation or swelling of the breast after an implant, no matter when surgery was done need to be evaluated by the surgeon.
To prevent blindness
A retrospective study published in the JAMA Ophthalmology found that many children and adolescents with diabetes are not being screened in a timely fashion for diabetic retinopathy, a common cause of blindness among diabetics.
Diabetic retinopathy is a dangerous complication of diabetes which causes blood vessels in the eyes to leak, causing distortion of vision and can eventually lead to blindness. In early stages, this disease of the retina may not have symptoms.
The American Academy of Ophthalmology strongly recommends retinopathy screening be performed five years after a diagnosis of type 1 (Juvenile) diabetes is confirmed to reduce the risk of blindness. For those with type 2 diabetes, common among adults, screening is done at the time diagnosis is made, not later.
Diabetics and parents/guardians of diabetic children are advised to confer with their attending physician about this retinal screening.
Dangers of body art

Body Art is a popular fad especially among adolescents and young adults, which includes tattooing or body part piercing. The tattoos are usually on the chest, arms, belly, butts, ankles, or on just about any area of the body. They come in different shapes, design, color and various objects, like a girl, snake, flag, heart, words of protest or love messages. It is estimated that 10% to 25% of young adults (25 and under) have at least one tattoo.

A survey in one university involving 454 students (236 females and 218 males), which was 14% of the total enrollment, revealed that 23% (106) of them had one to three tattoos. This could well mirror the prevalence in other schools and universities in the country, perhaps higher in big cities, compared to the conservative communities. The most popular sites were the back among women and the arms and hands among men. One hundred twenty nine (51%) of those surveyed had a least one body piercing, 90% of men having had ears pierced, and 54% of the females had pierced navel, 49% ears and 27%, the tongue. Some of both the males and females had pierced nipples, eyebrows and genitalia.

Complications of body art include infection of the tattooed or pierced skin, transmission of hepatitis B and C, and HIV (AIDS). Allergic reaction, besides pain, swelling and bleeding, are potential complications of tattooing or body piercing. Keloid and scar formation is another. Infection is common because the needle and instruments used for tattooing or body piercing are mostly not medically sterile. A significant number of patients with hepatitis subsequently develop hepatoma, cancer of the liver, which is deadly.

Botox

Clostridium botulinum is a bacteria, whose toxin produces muscle paralysis among the victims of botulism food poisoning. Advances in medical technology has made it possible for physicians, usually plastic surgeons, to use the botulinum toxin (botox) as a shot in the face to induce transient and localized paralysis in the facial muscles to smoothen out wrinkles between the eyebrows, for frown lines and furrowed brows. The cosmetic effect has been impressive, but this is temporary. Besides this, botox shot has also been found to stave off migraine headaches among individuals who are resistant to conventional therapy. There are many more uses of this “good” toxin in clinical medicine today.
Colonoscopy saves lives
Colonoscopy is a procedure where a flexible endoscope (malleable tube like a telescope), equipped with fiberoptic lighting and (video CCD) camera, is passed through the anus, to view and examine the inner walls of the colon (large bowels) and distal part of the small bowels for any abnormality, like bleeding, ulcers, or the presence of benign poly(s), or cancer. Thru the colonoscope, excision of polyps, or biopsies may also be performed for a definitive microscopic tissue diagnosis. A sigmoidoscope is another scope that examines the final two feet of the colon, while the colonoscope examines the rest of the entire colon which is about four to five feet long. Many times it is done in conjunction with colonoscopy.

Colorectal cancer is the third-most common cancer in humans, topped only by cancer of the lungs and female breasts. More than 150,000 people in the United States each year discover they have cancer of the colon or rectum, and approximately 46,000 will die from it this year alone. The incidence starts to rise at the age 40 and the peak is between ages 60 to 75. Colon cancer is more common among women and cancer of the rectum among men. About 5% of the patients have both (synchronous cancer).

It appears that meat eaters have higher risk for the development of colorectal cancer. This malignancy is found more prevalent in populations whose diet is low in fiber and high in animal proteins, fats, and refined carbohydrates. The incidence of colorectal cancer is indeed high among those who eat red meat (pork, beef, etc) compared to those who eat high fiber diets (vegetables, fruits, wheat, bran, etc) and fish. The other predisposing factors include chronic ulcerative colitis, ganulomatous colitis, and familial polyposis. The older the person is, the higher the risk. Smoking and alcohol abuse increase the risk for cancer in general.

Everyone 50 years old and older should have an annual fecal occult blood test (FOBT), a rectal digital exam, and a prophylactic colonoscopy every 3 to 5 years. Those with a strong family history of cancer should have the examinations more frequently in accordance with the physician’s determination.

Visit philipSchua.com Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read more...

The 3 Sex Pills

 

My column in this paper in 1998 was about Viagra, a headliner around the world then when it was first introduced that year. Two decades next year, Viagra and its competitors, Cialis and Levitra, still arouse interest globally.

Sildenafil (Viagra), the wonder pill for the treatment of erectile dysfunction (ED) in men, was approved by the US Food and Drug Administration in March 27, 1998, and sold like hot cakes that same year. More than $400 million worth was sold in the first quarter, 10,000 prescriptions a day. This blue pill was found to be very effective and safe. It boosts marriages and relationships. The surgical procedures for ED dropped dramatically since this pill was introduced.

Then came the competitors! Vardenafil (Levitra) was approved in September 2003, and on November 21, 2003, Tadalafil (Cialis) was launched. To this day, these 3 pills for ED are the most popular, dominant, and effective regimen in the management of erectile dysfunction and they have been found to also be very useful in enhancing erection even among those without ED. More than 20 percent of failed marriages and broken relationships are due to erectile dysfunction.

While their mode of action are basically the same: they are a class of drugs called PDE-5 inhibitors. They block an enzyme called phosphodiesterase type 5, boosting a chemical in our body called nitric oxide, which relaxes muscles in the penis and open up veins, allowing more blood to enter and fill-up the veins of the penis, causing engorgement and maintaining erection.

Original Research: Serendipity

The original laboratory studies on these PE-5 inhibitors centered on their vasodilator effects as potential drug in the management of coronary heart disease and high blood pressure. However, the researchers noted that the experimental male mice given the PDE-5 inhibitor developed erection and were chasing the female mice. This serendipity discovery that the side-effect of the PDE-5 inhibitor was even a greater and more welcome discovery than the original intention of developing a new vasodilator for cardiovascular diseases. The side-effect (erection) in this case far outweighed the “original intent” for the use of the drug. This is one incident where the side-effect is more useful and beneficial.
Other uses

These pills for ED (PDE-5 inhibitors) are also prescribed for other medical conditions, like heart attack, pulmonary hypertension (even among children), pre-eclampsia, Crohn’s disease, and infertility.

Aphrodisiac?

Some think Viagra, Cialis, and Levitra are aphrodisiacs. No, they are not, because none of them increases libido (sexual desire). These 3 only enhance erection and sustain it for a successful sex. When taken, the man develops a sense of certainty, security, and confidence, which could incidentally increase the desire in both partners.

Indications for use

Those who could benefit from any of these 3 PDE-5 inhibitors are those who are unable to initiate and maintain erection for a successful intercourse, regardless of age, including those in their 20s, where stress and psychological condition negatively impact their sex life. One does not have to have a full-blown erectile dysfunction to benefit from these pills, since they have been found effective and save since they were introduced almost 20 years ago.

ED Stats

Cleveland Clinic reports that 52 percent of men have erectile dysfunction, “affecting 40 percent of men age 40, and 70 percent of men age 70.” Men who are on high blood pressure pills, beta-blockers, etc., have an increased risk of developing ED. Urology Care Foundation says 30 million of American males have occasional (mild to moderate) problem getting or keeping an erection.

Similarities

These three drugs for ED belong to one class of medication and have similar pharmacologic action: PDE-5 inhibitors. All three react with nitrates (heart medications that opens up arteries), which could cause drop in blood pressure and shock, even death. Those on nitrates MUST not take any of these drug for ED. These three are in oral form and there is no generic version of this ED drug yet, and is taken about 30 before anticipated sex. Any of these 3 needs medical consultation prior to use to rule out any contraindication and danger, since each individual reacts differently to medications. A prescription is needed to purchase pills for ED. They all cost about the same. Their safety records are also similar.

Differences

While their action, use, and efficacy are basically the same, there are difference among these three pills for ED. Viagra and Levitra stay in the blood stream for about 4-6 hours; Cialis, 17-18 hours, longer lasting. Other differences are in their side-effects.

Side-effects

The following side-effects are common among all three: stuffy nose, headache, upset stomach, priapism (erection, painful, that persists), sudden cardiac arrest, death (which are very rare). The differences: temporary change in vision and flushing are more in Viagra and Levitra. Backpain and muscle aches are more with Cialis. Alcoholic beverage reacts more with Cialis, leading to dizziness, less with Viagra and Levitra. But, as Shakespeare wrote: “Alcohol increases the desire but diminishes the performance.”

Warning

Any of these three drugs for ED dangerously reacts with nitrates, medications that dilate (open up) coronary arteries used in the management of coronary heart disease. A person on a nitrate medication (like nitroglycerin, isordil, imdur, peritrate, nitrostat, nitroderm, nitrolingual, nitrobid, etc.) must NEVER take any of these three pills for ED, because the combination will lead to severe drop in blood pressure, shock, and possibly death. Consult your physician if erection does not subside in 4 hours, a condition called priapism, where the penis is so engorged causing pain, one that needs urgent medical care.

Deaths

The reported deaths associated with the use of any of these three pills for ED were suspected to be due to the inadvertent concomitant use of nitrates. New studies have shown that these PDE-5 inhibitors could also increase platelet clumping in diseased coronary arteries causing blood clots, and heart attack in some individuals.

"It's reassuring that ... in general, for most patients, even those with existing coronary [heart] disease ... resuming sexual activity is very unlikely to trigger a [coronary] event," according to Murray A. Mittleman, MD, researcher and cardiologist at Beth Israel Deaconess Medical Center in Boston.

All evidence-based clinical information around the world today show that these three PDE-5 inhibitors are efficacious and safe, when used according to standard medical recommendation and under the supervision of an attending physician.

Visit philipSchua.com Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read more...

Social life impacts health

You and I are social animals. Our two-legged and four-legged friends are also “social” creatures. They are usually in pairs or in herds. Like us, humans, these animals apparently also value, long for, and enjoy companionship. The loners among them usually do not survive long. Most obviously, social life, a sense of belonging, a comfortable feeling of security in number, a natural mental sense of community, is essential to health, mental and otherwise.

That social nature starts the day we are born, in the arms of our mother, nurtured in the crib, and developed into a complete positive mental state through interactions with both our parents, siblings, grandparents, and friends. All this enables us to develop lasting relationships and a rewarding mental health, which affect and influence all other lives we touch.

Human beings’ capacity to live a stable and happy life and our survival as a species heavily depend on our social skills, attitude, and social behavior.

The history of man on earth shows that cavemen started forming small groups, literally for security and for survival against the harsh and unforgiving environment, and vicious attacks from animals preying on them. That dependency on each other is still very evident even today, in this modern, technologically advanced society of ours. Indeed, no man is an island, and a loner is, comparatively, at a much graver risk of ill-health and attrition.

Like our need for proper nutrition and shelter, humans also need that sense of belonging, within the family, among friends, in a community, in society, and in the world at large. This support-group structures and interactions, emotional, recreational, even informational, are vital to people’s health and life. The last one has led to the popularity and proliferation of social media. This modern-day phenomenon is a tangible testimony to the value of social behavior as a natural need of homo sapiens.

A lonely person, alone, without friends, is doomed to be more depressed and more likely to die of ill-health, or even kill himself/herself, compared to another lonely individual who has a ton of family and friends providing him/her love, friendship, inspiration, and moral support.

A sense of belonging keeps us, humans, connected with our fellowmen, within our own circle, our community, conferring upon our being the reward of acceptance, a gratifying inner satisfaction that we are “in,” and “one of them,” akin to being a member of a club or a fraternity/sorority or a party. This sense of belonging is fundamental for our emotional and physical well-being, a powerful prescription that effectively enables each of us to cope with the sometimes unfriendly and harsh environment and social order.

Attitude and social skills

Our social skills, which are vital to our acceptance as a member of a group or community, are developed or impeded by our attitude, which, like social prowess, also significantly impacts our life and our health. Both are pre-requisites to health, happiness and inner peace in each of us human beings.

Show me a man with an attitude and I will show you one abandoned by his friends and scorned by strangers he irritated and riled. A good attitude compliments and boosts our social skills and acceptability to “belong.”

Here are some quotes of wisdom I have come across which are inspiring philosophical parachutes in life for those who, like many of us, sometimes find themselves falling towards the pit of discouragement and despair. With the proper attitude, these sage proverbs lift our spirit by allowing us to view and accept the trials and tribulations in this world in their most positive and best light. Indeed, all of us need a psychological boost, an inspiration, every now and then. Here are some that inspire and guide me:

Read more...
Subscribe to this RSS feed
×

Sign up to keep in touch!

Be the first to hear about special offers and exclusive deals from TechNews and our partners.

Check out our Privacy Policy & Terms of use
You can unsubscribe from email list at any time