The Investor Sentiment - Equity and investments forum for Sri Lankans
Search
 
 

Display results as :
 


Rechercher Advanced Search

Latest topics
» LLUB.N0000 (CHEVRON LUBRICANTS LANKA PLC)
Yesterday at 9:26 pm by The Alchemist

» කොළඹ ඉඩම් මිල අහස උසට නගී. වසරක් තුළ 36% කින් මිල ඉහළ ගිහින්
Yesterday at 3:25 pm by Ethical Trader

» Scandal at Thai shareholder of Sri Lanka's Commercial Credit takes new turn
Yesterday at 12:39 pm by Backstage

» Dividend Announcement
Yesterday at 11:24 am by Ethical Trader

» මානව ඉතිහාසයේ සිදු වූ 'මහා විෂ ශරීරගතවීම" නිමාවන ලකුණු
Yesterday at 11:13 am by Ethical Trader

» Laughter the Best Medicine
Yesterday at 10:17 am by Ethical Trader

» LIOC.N0000 (Lanka IOC PLC)
Yesterday at 8:38 am by yellow knife

» East West ගනුදෙනුවෙන් කොටස් පිරිවැටුම බිලියනය පනී
Thu Oct 19, 2017 2:50 pm by yellow knife

» මූල්‍ය සමාගමක හිටපු විදෙස් අධ්‍යක්ෂවරයෙකුට අපරාධ චෝදනා එල්ල වෙයි
Thu Oct 19, 2017 1:41 pm by nihal123

» එන්ට්‍රස්ට් මුදල් ගිලපු හැටි ගිණුම් වාර්තා හෙළි කරයි
Thu Oct 19, 2017 12:42 pm by Ethical Trader

» රැන්සම්වෙයාර් වෛරසය නිසා ඇන්ඩ්‍රොයිඩ් දුරකථන අවදානමේ
Thu Oct 19, 2017 11:37 am by Ethical Trader

» Sri Lanka Investment Forum held in USA
Thu Oct 19, 2017 11:21 am by Ethical Trader

» පිටිදූවේ සිරිධම්ම හිමි ඇත්ත කතා කරයි.
Wed Oct 18, 2017 2:15 pm by Ethical Trader

» How to identify a stock market bottom
Tue Oct 17, 2017 5:15 pm by Ethical Trader

» ලොව බලවත්ම ගැහැනිය වූ සායම් බාස්‌ගේ දුව
Tue Oct 17, 2017 4:03 pm by Ethical Trader

» CIC රුපියල් මිලියන 238 කට කෘෂි රසායනික සමාගමක් මිල දී ගනී
Mon Oct 16, 2017 6:49 pm by nihal123

» ධම්මික පෙරමුණට එයි
Mon Oct 16, 2017 3:23 pm by Ethical Trader

» Govt. mulls removing barriers to allow Lankan firms hire foreign labour
Sun Oct 15, 2017 10:30 am by කිත්සිරි ද සිල්වා

» Panama Papers: Huge leak reveals elite's tax havens/ධනවතුන්, බලවතුන් ධනය හැංගූ හැටි හෙළිවෙයි .ලංකාවත් පැනමා පේපර්ස් ලැයිස්තුවේ
Fri Oct 13, 2017 4:49 pm by yellow knife

» කොටස් මිල ඉහළ යාම ගැන CSE විමසයි. HVA කරුණු පහදයි
Fri Oct 13, 2017 11:30 am by Ethical Trader

» තායිවාන් ගිණුම් හැක්‌ කර කෝටි 35කට විදලා! - හිටපු හමුදා පුත්‍රයා රිමාන්ඩ්
Wed Oct 11, 2017 10:32 pm by nihal123

» The Myth of Average !
Mon Oct 09, 2017 1:13 pm by Expert

» SPEN.N0000
Mon Oct 09, 2017 12:36 pm by nihal123

» Plantation sector updates
Sat Oct 07, 2017 6:41 pm by Senarath67

» Plantation Sector - Yesterday, Today and Tomorrow
Sat Oct 07, 2017 12:19 pm by CK

» කොටස්-වෙළෙඳ-පොළට-සූදු-කෙළින්නන්-ඇවිත්?
Wed Oct 04, 2017 6:49 pm by CK

» GSP+ ලැබීමෙන් පසු ඇඟලුම් අපනයන ආදායම ඉහළ ගියේ මෙහෙමයි
Tue Oct 03, 2017 3:17 pm by Rana

» TJL.N0000 (Textured Jersey Lanka PLC.)
Tue Oct 03, 2017 1:41 pm by CK

» ගෝලීය තරඟකාරීත්ව දර්ශකයේ 85 වැනි ස්ථානය දක්වා ශ්‍රී ලංකාව පහළට
Mon Oct 02, 2017 3:37 pm by Ethical Trader

» කාගිල්ස්, මිලියන 4,200 කට ඩෝසන් කාර්යාල සංකීර්ණය විකුණයි
Mon Oct 02, 2017 11:19 am by nihal123

» SAMP.N0000 (SAMPATH BANK PLC)
Mon Oct 02, 2017 10:40 am by Ethical Trader

» In the Meantime, Within Our Shores !
Sat Sep 30, 2017 9:04 pm by කිත්සිරි ද සිල්වා

» සනත් අයියා ගහන ගැහිලි !
Fri Sep 29, 2017 6:55 pm by Ethical Trader

» 'මොනා ලීසා' නිරුවත් උඩු කයින්
Fri Sep 29, 2017 6:42 pm by Ethical Trader

» CB Governor offers key insights
Fri Sep 29, 2017 10:57 am by කිත්සිරි ද සිල්වා

» The Govt. Doesn’t wish to pay off debts at once’
Thu Sep 28, 2017 10:08 pm by Backstage

» රවීගේ ‘මහ බැංකු හොරු‘ කතාවට අධිපති ප්‍රතිචාර දක්වයි
Thu Sep 28, 2017 5:17 pm by Ethical Trader

» Sri Lanka Hambantota Port JV to be operational from November
Thu Sep 28, 2017 5:14 pm by Ethical Trader

» Obituary Notice.
Thu Sep 28, 2017 3:05 pm by කිත්සිරි ද සිල්වා

» නේෂන් ලංකා තැරැව්කරුට සියලු ගනුදෙනු තහනම්
Wed Sep 27, 2017 8:04 pm by nihal123

» තායිලන්තයේ හිටපු අගමැතිනියට සිර දඬුවම්
Wed Sep 27, 2017 6:02 pm by Ethical Trader

» විද්‍යා ඝාතනය: වරදකරුවන් හත් දෙනෙකුට මරණ දඬුවම
Wed Sep 27, 2017 5:59 pm by Ethical Trader

» Flying is the Safest mode of Transport
Wed Sep 27, 2017 5:33 pm by කිත්සිරි ද සිල්වා

» Oil,gold, silver Prices
Wed Sep 27, 2017 2:08 pm by කිත්සිරි ද සිල්වා

» JKH.N0000
Wed Sep 27, 2017 11:37 am by LSE

» Piece Price
Tue Sep 26, 2017 7:15 pm by pee ratio

» ලිට්රෝ ගෑස් මිල ඉහළට
Mon Sep 25, 2017 11:00 pm by nihal123

» යුනිටි ප්ලාසා හිමිකමෙන් 23% ක් රේණුකා යටතට
Mon Sep 25, 2017 7:39 pm by nihal123

» Plastic-degrading fungus found in Pakistan rubbish dump
Sun Sep 24, 2017 8:54 pm by කිත්සිරි ද සිල්වා

» CSE HOLIDAY LIST 2018
Fri Sep 22, 2017 5:20 pm by Rana

October 2017
SunMonTueWedThuFriSat
1234567
891011121314
15161718192021
22232425262728
293031    

Calendar Calendar

Disclaimer


Information posted in this forum are entirely of the respective members' personal views. The views posted on this open online forum of contributors do not constitute a recommendation buy or sell. The site nor the connected parties will be responsible for the posts posted on the forum and will take best possible action to remove any unlawful or inappropriate posts.
All rights to articles of value authored by members posted on the forum belong to the respective authors. Re-using without the consent of the authors is prohibited. Due credit with links to original source should be given when quoting content from the forum.
This is an educational portal and not one that gives recommendations. Please obtain investment advises from a Registered Investment Advisor through a stock broker

Why do well-to-do Sri Lankans die so young?

View previous topic View next topic Go down

Why do well-to-do Sri Lankans die so young?

Post by AjithR on Tue Sep 06, 2016 2:35 pm

Why do well-to-do Sri Lankans die so young?
September 5, 2016, 7:46 pm

article_image
By Dr. Upali Illangasekera,

Retired Professor of Medicine,

A 42-year-old male patient of mine from Badulla working in a private institution got admitted to a private medical institution in Kandy recently for a medical check-up. He looked so healthy and when I wanted to know why he wished to undergo the check up it was mentioned that his 49-year-old boss, who looked healthy had dropped dead of a heart attack a week before. He attributed the death of his boss to office stress. The newspapers are full of obituaries of such relatively young well-to-do people of ages ranging from 35 to 60 years dying suddenly. These exclude sudden deaths caused by vehicular accidents. It is sad to see people, in the prime of their lives with young children and attractive careers, die in that manner. In developed countries such as the US such deaths in young people are rare compared to ours thanks mainly to the high motivation of Americans to maintain good health as well as due to the advances they have made in clinical care.

The purpose of this article is to inform the public that no one will die unless there is an illness which is mismanaged either by the doctor or the patient (mainly by the latter) by not following the advice provided. Most of these people have access to top medical professionals and laboratories that are capable of identifying illnesses that remain dormant but it is sometimes their indifference that brings about death.

The illnesses that remain dormant include cancer, diabetes, high blood pressure, high cholesterol, and a recently recognised condition called "prediabetes". Among cancers a common organ that gets affected is the liver and in some cases it precedes deposition of fat in the liver (fatty liver) which is common and associated with conditions such as diabetes. Therefore, it is mandatory for all patients with diabetes to check their liver functions which should include scanning of the liver. The unfortunate situation is liver cancers can remain dormant and suddenly flare up and therefore should be identified early. In contrast, the cancers in the lung or breast would show early symptoms and, therefore, early diagnosis is possible. There is no doubt that some of the deaths in young Sri Lankans are caused by liver cancers. There is a tendency among us to attribute fat in the liver to excessive alcohol consumption which even though common could still be an early sign of liver cancer. In the case of cancer there is no single screening test to identify dormant cancers particularly in males though in some countries such as the US it is incumbent on the elderly population to undergo at least annual screenings for prostate cancer. The current thinking is that if someone feels physically unwell for more than two weeks a dormant cancer should be thought of seriously once the other common conditions are excluded.

Most well-to-do Sri Lankans undergo blood sugar and cholesterol tests at least once a year. They also regularly have their blood pressure tested. However, in some cases they do not test for the other associated risk factors for cardiac deaths and strokes such as protein in the urine. It is also important to totally desist from smoking and heavy alcohol consumption.

Mental stress, in the writer’s opinion, is an important contributor to deaths in well-to-do Sri Lankans. However, well they look after their physical health hardly any attention is paid to mental stress. These would include office stress, stress associated with children’s education and marital disharmony. It is unfortunate that there aren’t many structured programmes to teach Sri Lankans how to tackle stress. Even in the developed countries facilities such as meditation and yoga are available in some institutions including hospitals to reduce stress. Ours being a predominantly Buddhist country meditation programmes are freely available to most of us, but proper use is not made use of these.

The concept of "prediabetes" has come into vogue recently since it could not only cause diabetes but also cause complications such as heart attacks. It is the writer’s experience that sufficient attention is not paid to this condition. "prediabetes" is recognised when the fasting blood sugar (FBS) is between 100 and 125 mg/dl and also by doing a test called a Glucose Tolerance Test(GTT). Prediabetes is diagnosed when the values are between 140 and 198mg/dl. It is important to identify those with prediabetes because some of them could suffer heart attacks and strokes similar to those with overt diabetes. Those with prediabetes could be prevented from suffering from diabetes through adequate treatment measures.

Even in the case of diagnosed diabetes such unfortunate deaths are common however well they are managed. Such possible causes include "silent heart" attacks, low blood sugar and strokes. A high degree of suspicion is needed and it is advocated that those with several associated risk factors for heart attacks should undergo routine heart tests such as an echocardiography and an exercise ECG. Low blood sugar (hypoglycaemia), too, is a possible cause of heart attacks and it is mandatory that bouts of low sugar should be avoided by adjusting the diet and the frequency of administration of the drugs.

"Attribution error" about which the author wrote to The Island of 14/8/2007 too is an important cause of death. This simply means that some patients and sometimes even the doctors attribute the symptoms of a serious illness to something less sinister. A common label is "gastritis" which may even bring in deaths due to heart attacks which could have similar clinical presentations. The important factor to remember is whether there is a high risk of a person developing a serious illness whatever the clinical presentation is.

Another possible cause of such unfortunate deaths is the patients sticking to the same doctor. Doctors are not infallible and it is in the interest of both to obtain a second opinion. This practice should be adopted by both the patient as well as the doctor. This would save patients life as well as a large amount of money. I am aware of several patients in whom urgent major surgeries were advocated but still living happily following a second opinion from another doctor!

Peer pressure is another factor contributing to deaths in the well to do. Because of their high social positions they, too, get wrong advice from several purportedly well meaning people. The best person to provide sound advice is one’s family doctor!

http://www.island.lk/index.php?page_cat=article-details&page=article-details&code_title=151547
avatar
AjithR

Posts : 231
Join date : 2014-09-15

Back to top Go down

View previous topic View next topic Back to top


 
Permissions in this forum:
You cannot reply to topics in this forum