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Start walking. Keep walking.

It’s still relatively early in the year, and some of us may be clinging to keeping up with a New Year’s resolution or two. I know I am!

One thing I’ve started doing this month though is walking. I usually walk for at least one hour a day. I must say, I owe the positive influence of my colleague Brett for this. One of his lifestyle routines that has rubbed off on me is his insatiable appetite for walking. I didn’t quite get it at first. Why isn’t he in the gym? Why isn’t he running? How boring. But no, I’m a convert.

The effects of my hourly walk have been astounding. To my mental health, my physical health and to my understanding of the suburbs around me. Nooks and crannies, a laneway here, a tree there. I’ve been awakened to the streets and I don’t know if I could ever turn back.

I walk pretty fast and often listen to an audiobook. Sometimes I break into a light jog. I try to walk in the morning and if I can’t do at least an hour, I go for a second brief walk when I come home.

Now I must admit, I’ve essentially got a desk job, so my day in between is very sedentary indeed. I don’t know if I’d be so keen to walk like this if my job was more manual and physically energetic. Nevertheless, my experience with becoming a regular walker has been lifechanging.

Such a simple thing, but so beneficial as a regular thing to do every day. And heck, the weather is perfect for it, at least in Melbourne at the moment. It feels very “gentle” on the body as well. Apart from walking into part of a brick fence, I can’t report any injuries!

If you can’t walk outside, for whatever reason, perhaps a treadmill at home would be something to consider. Whatever your situation, if you are at all able to walk, then I’d say have a go. Once again, it’s a simple thing. But as they say, the simple things in life are often the best, and in my experience at least, that’s been true for walking.

Health Effects Of Vaping

What is vaping?
Vaping is the inhalation of an aerosol created by an e-cigarette or other vaping device. The aerosol is made up of a fine spray of chemicals and small particles.

Vaping has been proposed as a healthier alternative to smoking, however with no long-term research yet conducted, this opinion is simply not backed by research.

What is in the vapour?
Vaping juices generally contain water, flavours, solvents and nicotine. Chemicals found in the juices/vapours include very fine particles, heavy metals, volatile organic compounds and polycyclic aromatic hydrocarbons (PAHs). Some of these are known to be toxic, including chemicals that can cause cancer. For instance, polycyclic aromatic hydrocarbons are chemicals that occur naturally in coal, crude oil and gasoline.

The levels of most of these compounds are less than in tobacco, which is why it is claimed to be a safer alternative. However, vaping has been the cause of a number of deaths from acute lung disease, and there are an increasing number of studies demonstrating that vaping has both short and medium-term effects on the heart and lungs. The long-term health effects of vaping are not known given it is a fairly new activity, however, some studies have found that vapours from e-cigarettes can damage human DNA, which is a pathway to developing cancer.

If you would like to know more about vaping and its effects on the body, click here.

Is There A Silver Bullet To Health?

No but yes. Rather a transparent liquid bullet.

WATER.

I was talking to a patient of mine who ended up consulting a specialist following an issue he had seen me about. No underlying condition was found to explain his symptoms. And so, the specialist said to him, “You should eat well and drink more water.” As flippant as this may sound, it’s valid advice. It really is amazing how much of an impact these simple things can have on your life.

Let’s focus on the water bit.

Today is a stinking hot day in Melbourne, so it’s a bit opportune and simpler to talk about remembering to drink water. Still, it’s a valid message for all times. Have a read to find out some of the benefits of drinking enough water.

1. Kidney health. Your kidneys filter toxins and waste products from your blood and allow you to pass those things out in your urine. The job of your kidneys is made much simpler if you drink an adequate amount of water (and don’t consume too much salt!). Not drinking enough water can lead to kidney stones, chronic renal failure and increased urinary infections. These things are all pretty common. Kidney stones can especially affect office workers who, with their heads down in work, often forget to drink enough water.

2. Gut health. Your stomach and bowels also appreciate the dilution that water brings. Some of the ailments that you can avoid by drinking enough water are:

Reflux and gastric ulcers. Diluting the contents of your stomach with plenty of water soothes the lining of your oesophagus and stomach and protects them.
Constipation. Don’t drink water and you’ll struggle to go. Simple as that.

3. Dental health. Many of the things we eat and drink leave residues on our teeth. For example, many drinks have acids used as preservatives. These all stand to damage our teeth over time. Water on the other hand, washes away much of these damaging leftovers.

4. Skin health. Did you know that your skin is the largest organ in your body? Keeping hydrated is great for it.

5. Headache prevention. Staying hydrated is one way to help avoid getting a headache and optimise your brain function. In a day and age hit with the popularisation of “nootropics”, it’s criminal then to forget the best nootropic of them all – water.

One simple tip – drink a decent glass of water with every meal. That’s a start. And, perhaps always have a glass on your desk, a bottle in the car/truck or wherever you are, and sip away during the day. Some water bottles also come with measurement markers on the side so you can track where you’re up to. It’s a great way to pace and replenish yourself throughout your day. In so many ways, your body will be thanking you.

Please note that some people with medical conditions such as kidney disease, heart disease or electrolyte problems will have been told to “fluid restrict” (limit the amount of water/fluids they consume each day). Please follow the advice of your specialist if you’ve been given a fluid restriction.

So, there you have it. I’m no specialist, but I am pretty busy and I know that water has helped me stay fit to battle the challenges which every day brings. I hope it has the same positive effect in your life too.

You Never Miss Your Water Till It’s Gone.

Like many a morning recently, last Saturday I started my day jogging, delivering brochures and listening to an audiobook, all at once. I’ve found this to be quite the winning combination. But I had to get home quickly because we were due to go to the Australian Open. Running late, when I got home, I forgot to rehydrate. Within 10 minutes, I was jumping in the car and off to the station to catch the train into Richmond.

The Australian Open – was PACKED. Later I heard it described as the biggest crowd on record, and it felt that way and some. Fortunately, we played a straight bat and headed well ahead of start time directly to Kia Arena to watch the Tsitsipas brothers play doubles. Stefanos and Petros. That’s who we were going for anyway. They got up here and there, valiant throughout, Tsitsipas, Tsitsipas. But in the end, three sets later, it wasn’t to be.

But this story ain’t about the tennis at all. It’s about how I got one of the biggest headaches I’ve ever had in my life, just between my eyes and as I sat in the sun, then shade, looking at the brothers, my head pounded as I controlled my mounting feeling of nausea. I tried massaging my face, forehead, between my eyes. It helped for a fleeting moment and then promptly back it came – a sledgehammer banging on my face, seemingly smashing my brain to a pulp.

The match ended; we headed out to get something to eat. Wherever had the shortest queue was on the menu. Butter chicken and curried chips – done. Nowhere to sit, fine, let’s head to the grass. I had a few chips, drunk as much water as I could wishfully, remorsefully, in vain. Then found myself rolling on the grass trying to find some position, some gravity that would help me. Needless to say, I didn’t feel like eating at all which is really not me. I love my food!

Damn what is this? Dehydration? Sinus congestion? A migraine? Just go away!

Reluctantly, I threw in my tennis towel, “I gotta go home” I said. And so, my youngest daughter, Liv, nice as she is, said “I’ll come with you Dad”. I said my quick farewell to the rest of the brood and via a bee line checked out. We took our time walking back to Richmond station and when we finally boarded the train, the only reprieve I could muster was to lay my head on my daughter’s and try my best to fall asleep. Which, as a blessing, I did. Liv, I hope I didn’t drool. Sorry if I did.

Soon enough it was time to alight. I don’t think I’ve ever walked so slowly. I had to ask her to slow down for me several times. She did, and held my hand. I got to the car, drove home, slammed down a couple of Panadols, closed the blinds and went to bed. Forever. When the rest of the family got home, they checked on me to make sure I hadn’t had a stroke. Thankfully not.

Now, I’m not someone to get sick, rather, allow myself to get sick. As many a business owner would tell you, you can’t. And it works out like that. But last weekend, I was sick. Very sick, and I couldn’t seem to do any damned thing to make it go away. Except, finally, going to bed.

I went to a funeral recently, a colleague of mine. She was my age. May she rest in peace. It hit home hard to me that sometimes, you just get dealt a bad hand with health. And it sucks real bad. And sometimes, as they say, death takes lambs as well as sheep. Sure, we talk about preventative health, and I believe in that as much I believe in anything, heck I’ve dedicated much of my life to spreading that very message. But the flip side of that when it comes to health is luck, and sometimes it can be bad.

So, spare a thought for all of those people out there right now, who’ve gotten a bad hand. Who often make the best of things, and try their best to go about their business, but it can be tough.

At the end of the day, I don’t want to be condescending here, I just had a very bad headache, one. I know patients who tell they have migraines most days. How that must be, I can’t even quite imagine. Who holds their hand? Everyday.

Stop, and think of all those people out there who have been dealt a bad hand with health. And if you meet them, help them. Slow down. Hold their hand. You just never know when you’ll need someone to do the same for you.

Tread lightly.

Shingles – On The Rise

As a GP working in several clinics, I can say that anecdotally, shingles is definitely on the rise. And, it is especially prevalent among elderly people. So, here’s what you should know about shingles.

What is the shingles?
It’s a reactivation of chickenpox which is a viral (herpes) infection. Chickenpox is usually a childhood infection that causes a widespread, elevated rash. The thing is, once you’ve had chickenpox, your body doesn’t quite get rid of it, rather it just keeps it controlled. In this case, the chickenpox virus stays locked up by your immune system within the nerves in your spine. However, if your immune system is weakened for any reason, including stress and old age, the virus can break free, usually from a particular nerve as it comes out from your back leaving you with pain and sometimes a rash. This “reactivation” of chickenpox is called the shingles, and since it’s along the distribution/line of a specific nerve, it appears as a “band” of pain or rash confined to a specific area, rather than your whole body.

How to know if you’ve got the shingles?
The symptoms of shingles are tingling and pain in a particular part of your body, often, but not always, followed by a rash in the same area. Beware, the “rash” may or may not be much at all. Sometimes, it’s even absent. If it is there, often it can be just a small red area, with a few small blistery type spots. I still recall a young lady who had been seeing her massage therapist for lower back pain. When I examined her back, I found one suspicious 1mm red spot and on pathology testing, sure enough, it was the shingles!

A few important things about how the shingles present:

  • It’s on one side of your body, not crossing the midline. This is because it emerges from either a left or right nerve root from your back, and travels therefore logically to one side of your body. So, if you have pain or a rash on both arms, or legs, you don’t have the shingles. If you have it on one side (left or right), you may have the shingles.
  • It usually comes and goes and apart from being painful and causing the rash, doesn’t cause too much harm. However, there are some parts of your body that it can affect which you need to be extra careful about. These are:
    • Your eyes. If you get shingles on your face (forehead, temple, cheek), the nerve that may be involved may also go to your eye. Shingles in your eye, can cause significant complications such as scarring and affect your vision.
    • Your ears. The nerve that supplies part of the skin in your ear canal also connects with a nerve called the “facial nerve”, which supplies the muscles to your face. Shingles that affect the facial nerve, can cause your facial muscles to be temporarily paralysed making one side of your droop, mimicking what can happen with a stroke. This type of shingle is given a special name, Ramsay Hunt Syndrome.

What to do if you get the shingles?
If you think you may have the shingles, you should see your GP straight away. This is because you may benefit from receiving antiviral medications, which will help get you better quicker. However, they’re only helpful if taken within three days of the rash appearing. Taking antivirals for shingles has also been shown to decrease the incidence of a complication of getting the shingles known as “post-herpetic neuralgia”. This is the problem of recurring bouts of severe pain in the part of your body where you have previously had shingles.

Finally, remember, when you have the shingles rash, just like chickenpox itself, you are infectious and could spread the herpes virus, so don’t be mingling too much. Cover up your rash, and be vigilant with hygiene. Some people to definitely avoid altogether are pregnant women, infants, elderly people and anyone who takes medication or has a disease that weakens their immune system.

The shingles vaccine
In more recent years, thankfully vaccines for shingles have been developed. These help to reduce your likelihood of getting the shingles, whilst reducing recurrence if you have had the shingles before. If you would like to know more about the vaccines we recommend speaking to your doctor.

If you have any questions about the shingles, Atticus Health would be more than happy to answer them. Please send all questions to community@atticushealth.com.au

Dr Floyd Gomes
General Practitioner
Atticus Health