A quick bite for me is usually sliced banana, yogurt, milk, ice-cream or raisin bran, in any combination thereof. Though never putting much stress on my cardio, and not having much lung wind, I keep active and at least look fit, as in, I do not appear to have a basketball duct taped to my belly, and can still see my penis. Up to last year, I spent eight seasons on the ice a few times a week coaching midget hockey, which I miss very much. About the only actual exercise being the occasional karate kata, regular walkabouts, dog-like stretches, a physically active work life, and love making.
As for my bowels, just like my heart that somehow continues to beat regularly, I usually have to empty it at about six minutes and thirty-three seconds after arising from the bed in the morning. Which is also a good thing, one would think. Considering that the usual cause of death for a middle aged man in the industrial world, is colon cancer.
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But we will get to that lower down, as it were. I am very fortunate here on Vancouver Island to actually have a regular doctor. He, of course, works out of a clinic with others, as lone general practitioners of medicine have become a rare species, whether in the city or in the country, and are booked solid.
A general practitioner GP , works outrageous hours, and needs more than one assistant to deal with the tidal surge of paperwork created by having to submit endless reams of forms, charts and invoices, many of which go to the government, where payment could arrive anytime over the next couple of months. And they need large office spaces in which to store it all, because their basements are probably already full.
Being a medical specialist, means one works in a silo and rarely communicates with doctors not in their field of study or department. So I can see why clinics are the way to go.
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For the doctors, sharing costs, space, and staff, and perhaps even sharing camaraderie with their team, instead of just themselves. And to think, advice could be two doors down the hall and to the left.
His sons are exceptional young men, as is he and the rest of their family. Thankfully he was able to take me into his stable. As such, his office calls me about once every year to set up an appointment for an annual physical. Some people who own cars get them tuned up regularly. Some people just wait until something breaks or wears out and then gets it replaced.
An annual physical on the other hand is a bit different and much more important. Instead of perhaps missing the chance to discover something early on before it breaks down, thus preventing further collapse, or even death, it may be wise to occasionally look under the hood. I have no qualms about letting a medical professional poke and prod the machine called my body and determine whether it shall continue to live or perhaps needs adjustment, therapy or replacement to sustain its life.
Having an annual exam, is where they check our dipsticks and kick our tires, and go over all operating systems. This scares many people, often because of the absurd concept, that if something is deathly wrong, do they really need to know, or in the case of having a colonoscopy, the fear of someone sticking a finger up their butt. But when something is wrong with our bodies we know it. All living things do.
Our dog eats grass when her stomach is upset and drags her bum along the lawn when it has been especially messy back there or she just needs a good scratch, and we do not have to tell her to do it. For over sixty years my Mom, has been drinking Coke whenever she feels under the weather, and to ward off all sorts of evils and ague.
Whenever I feel something is brewing in me I take five cod liver oil pills with about the same number of garlic pills before going to bed, and in most cases feel much better in the morning. But anything to do with our rectum is uncomfortable for everyone involved, regardless of whether the doctor and patient are emotionless, or professionally smiling through it all.
When getting a physical and you are lying on your side and the doctor is getting the glove lubed up, of course it is going to be uncomfortable, but do not, I repeat, do not lean your head over and continue the discussion you had been having with your doctor, as he will politely ask you to please look the other way. But really people, we will allow doctors to slice open our chests and replace our hearts and other organs but heaven forbid if they should want to stick a well lubricated finger a few inches up our asses, one of the most frequent places for cancer to rear its ugly head in the human body.
One in fourteen Canadians will be diagnosed with colorectal cancer in their lifetime, and it is the second leading cause of cancer deaths in adults. Thirty per cent of all deaths in Canada, about seventy-two thousand people, die of malignant neoplasm or cancer, while twenty one per cent of all deaths are due to diseases of the heart.
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Going global, of all the human deaths in the world in one year about sixty million , individuals out of every thousand people, will die because their hearts either gave out, or was diseased. It is by far the leading cause of death in the world. Stroke is the number two cause of death, followed closely by deaths from infectious and parasitic diseases and other cardiovascular diseases. Much farther down the list and still globally, for every one thousand people, fourteen will take their own lives each year, comparatively, about three people per thousand deaths are attributed to war, yet this is where all the money is being generated and spent.
And that one is forty thousand times likely to die from heart disease or cancer than by terrorist actions.
Much more than documents.
The leading cause of death for American civilians abroad, at least the few who actually have been off the continental United States, is actually car crashes. While in Canada, the number of deaths attributed to terrorism is minimal, and in fact, in the last thirty years, there have been four deaths. This is twice the number of people who lived on the planet in There are about million births every year, meaning one million births every three days or births every sixty seconds.
For every one thousand people, nineteen are newborns. At the other end, with an average life expectancy of sixty-seven years, for every thousand people on the planet there are about eight deaths about fifty-five million each year.
It works out that two people die every second, while at the same time four babies are born. With a screech, thud, and oh my, we are back at the garage getting an annual physical exam. Starting on the outside of the body, the doctor begins to make his or her way through physically examining the human body by inspecting, feeling, tapping, and listening. It is measured as the pressure at which the heart contracts, called the systole, which is when it pumps blood out to the rest of body, over the pressure called the diastole, when the heart re-fills with more blood.
The medical gadgets used to do this are a stethoscope, and a sphygmomanometer nearly broke out in a sweat typing that. Later, at a lab, blood will be taken for a blood count, which determines the kinds and numbers of red blood cells, white blood cells and platelets thrombocytes it contains. The red cells are the worker ants of the blood. They carry oxygen from the lungs to the rest of the body, and once relieved of the oxygen, return carrying carbon dioxide CO2 which is expelled as we exhale.
Bigger than the reds but fewer in numbers, the whites protect the body from infection and act like a pack of wolves when doing so. The platelets meanwhile are the runts of the blood cells, and hang out in gangs called Clotters. Whenever bleeding occurs they gather together in a mob and swell themselves up like Pillsbury dough boys to form a sticky plug to stop the leak.
They are relentless, and will continue to staunch any flow until it is stopped or the body simply runs out of blood and its organs shut down. Heart rate is checked, sixty to just less than one hundred beats a minute is considered normal, sixty being the optimum. Of course people, who exercise daily, by whatever means, usually have a much lower heart rate at rest. Joggers in particular, tell you that running is adding years onto their lives.
Unfortunately, those years will have already been taken, by the years spent running. Next up is a cold stethoscope held to your chest. Invented over years ago, back when leeches were most often used for getting rid of any bad blood, the stethoscope was another way of seeing into the body, especially the chest. All one had to do was put their ear up against the chest, while today we do with technological imagery. The typical respiratory rate for a healthy adult at rest is twelve to twenty breaths per minute. Anything above twenty is typically signs of a heart or lung problem.
At birth and up to about six weeks we take thirty to sixty breaths every minute. If we make eighty years of age our respiratory rate could be as low as ten every minute. The doctor is also listening for any snaps, crackles and pops, wheezes, ticking or decreased breath sounds. Temperature is then taken and should be as close to 37C Women going through menopause are occasionally exempt from this rule. All joints are checked for movement, with the doctor standing back or to one side to protect themselves, as the knees, elbows, wrists and ankles are tapped with a small rubber mallet and checked for reflex.
Our reflexes are crucial in determining the integrity of the central nervous system, the brain and spinal cord, which together coordinate the movement and activity of all parts of the body. Just as importantly, reflexes also determine the integrity of the peripheral nervous system, which is the communication link between the brain and the limbs and organs. The abdomen is tapped to judge liver size and if there is any presence of abdominal fluid.
Similarly, women get their breasts checked for lumps and are also given a Pap test, to check for abnormal cellular changes to some of their pink parts. The thyroid is especially checked, in both sexes.
Lymph nodes are important filters of the immune system and though located throughout the body, the ones under the armpits and in the groin are checked delicately. Ears, nose and sinuses are checked by shining a little flash light into those orifices. Speaking of which, it is unfortunate that dental coverage is but a dream for anyone having only MSP.
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For due to my lack of attention earlier on, my teeth need constant attention and one by one are falling out, often painlessly as my gums continue to recede. Long in the tooth, as it were. Whenever the next tooth needs to be added to my upper or lower plate, it is only done whenever I can afford it, or have enough of a balance on my credit card to cover it, unlike my smoking habit, which somehow continues whether I am able to afford it or not.