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Dr. Zach’s Guide to Staying Healthy in your 70s & 80s

BT Montreal | posted Monday, Nov 21st, 2016

Dr Zachary Levine, ER Physician, MUHC

In a nutshell the key to maintaining mental and physical health is continuing to be active, mentally (to ward off dementia) and physically (to prevent physical illness).

Life expectancy in Quebec: For men it’s 79, women 82

Growing older is not always easy – medical issues, friends and loved ones pass away. As – or more important – than quantity of life is Quality of Life.

How to stay healthy and live longer:

 

  • Have a doctor
  • Socialize, it’s important

Important for quality of life:

  • Doing things you enjoy
  • Social network and the risk of loneliness
  • Living space adjustment (mitigate risk of falls), life line or equivalent

Sleep Hygiene

  • Avoid napping
  • Avoid stimulants close to bedtime
  • Exercise (maybe not just before bed)
  • Don’t eat before bed
  • Get natural light during the daytime
  • Have a regular bedtime routine
  • Use bed for sleep
  • Keep the room dark

 Sex

From AARP – 44 percent of women 68 through 80 report being very satisfied with their sex lives, compared with just 30 percent of women 55 to 68 years old.

About 50% of 70 years olds are sexually active — and this number is rising -risk of STIs

 

Know the signs and symptoms of stroke and heart attack.  Have a plan in case of emergency.

Continue screenings on:

  • Blood pressure
  • Cholesterol
  • Diabetes
  • Osteoporosis
  • Vision
  • Hearing
  • Cancer (bowel, breast until 74, cervical until 69)

Top causes of death 75-84:

  • heart disease (32.4%),
  • cancer (23.3%),
  • cerebrovascular diseases including stroke (8.2%),
  • chronic lower respiratory diseases (7.0%),
  • diabetes (3.1%),
  • influenza and pneumonia (2.7%),
  • Alzheimer’s (2.3%), — a big fear for many — activity (mental and physical), socializing
  • accidents (1.8%),

 

Remember – Stay active and engaged in your 70s, 80s, and beyond!

Dr. Zach’s Men’s Health Guide

BT Montreal | posted Wednesday, Nov 16th, 2016

By Dr. Zachary Levine, ER physician, MUHC

Men often don’t always take good care of themselves. Men go to the doctor only when necessary, or if they’re near death.

Men die younger -on average – than women.

The focus of International Men’s Day is on men’s and boy’s health, improving gender relations, promoting gender equality, and highlighting positive male role models.

The 2016 theme male suicide prevention.  Suicide rate among men is significantly higher (4:1) than women (3-4:1) (less attempts, more deadly). It is higher for native Canadians, while Quebec has highest rate of provinces, excluding territories.

Unintentional injuries is the No.1 killer of men before age 45.  It is high for ages 15 to 34 high, especially 20 to 24 (This does not include homicides.) In terms of number of years of life lost there is nothing close

General advice: Wear a helmet, don’t drink and drive and wear your seatbelt.

 

Reasons men actually will go to the doctor:

  • Erectile dysfunction
  • Hair loss
  • Forced by feamle friend — maybe one reason why married men live longer, less burnout

Why men don’t go to doctor:

  • Don’t think about it
  • Busy
  • Don’t want to know
  • No reason to go

Keep an eye on:

  • Be aware of testicular cancer (most cases ages 20-54)
  • Colorectal cancer screening as of 50
  • Hypertension
  • Lipids
  • Diabetes

Top killers of men: (depends on age):

  • Heart Disease
  • Unintentional Injuries
  • Chronic Obstructive Pulmonary Disease (LungDiseases)
  • Influenza and Pneumonia

Most common cancers in men:

  • Prostate
  • Lung
  • CRC
  • Bladder
  • Stomach

Dr. Zach’s Guide to Staying Healthy in your Sixties

BT Montreal | posted Monday, Nov 7th, 2016

By Dr. Zachary Levine, ER physician at MUHC                                                                  

 

Age really is changing — 60-year-olds are really like 40-year-olds used to be, 80 is the new 60.

The key to maintaining mental and physical health is continuing to be active, mentally (to ward off dementia) and physically (to prevent physical illness).

 

Need to have a doctor:

-check-in for screenings

-oversee medical issues and medications

-if something comes up

 

Pharmacists:

-Know your pharmacist

-Need a list of meds and medical issues

 

Killers:

Heart disease

Cancer

Stroke

Respiratory Disorders

Diabetes

Flu, Pneumonia


Prevent these by a
voiding carcinogens, especially smoking; be physically active: help control blood pressure, cholesterol, glucose and weight.

 

Specific cancers in men:

-Prostate

-Discuss screening with md (psa not recommended by ctfph)

-Lung

-Bowel  

-Kidney

 

Specific cancers in women:

-Breast

-Lung

-Bowel

-Uterus  

-Cervical – HPV Screening with pap test every 3 years until 69.  If 3 negative in a row can stop.  If not, continue every 3 years until 3 negative pap tests.

Smoking is associated with these cancers:  blood bladder cervix colon rectum esophagus kidney larynx liver lungs mouth throat pancreas stomach