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Ask the doctor: Should I continue aspirin therapy if I do not have heart problems?

Aspirin therapy can help prevent a second heart attack and stroke, but for otherwise healthy older men, its use depends on their 10-year risk for a heart attack or stroke as determined by their doctor. 

Get cooking at home

Sharpening your culinary skills (or developing new ones) can improve your diet, nutrition, and social life.


 Image: gpointstudio/iStock

We tend to cook less as we age. Why cook when you can zap something in the microwave, pour something ready-to-eat into a bowl, or speed-dial for takeout? But this quick-eating trend has made many men adopt diets that put them at risk for weight gain, heart disease, and diabetes.

"Many older men have never developed or have lost touch with kitchen skills, and thus have become too dependent on processed and prepared foods," says Dr. David Eisenberg, of the Department of Nutrition at the Harvard T.H. Chan School of Public Health.

Do not get sold on drug advertising

Prescription drug ads are a multibillion-dollar industry that promotes treatments you may or may not need. Here's how to use that information to your advantage.

Ads for prescription drugs are everywhere. You can't watch a sporting event without seeing an ad touting a treatment for erectile dysfunction, high cholesterol, high blood pressure, or joint pain.

Drug marketing is a big business, and companies are willing to spend a lot of money to offer you an easy solution to a health problem you may or may not have. From 2012 to 2015, yearly spending on prescription drug advertising in all media outlets (except digital) rose from $3.2 billion to $5.2 billion, and that figure is expected to only go up.

Help with online health

Frustrated by medical and health care websites? New research suggests seniors don't use this health technology like they should, but it may not be their fault.


Image: © BananaStock/Thinkstock

It's said that you can find just about anything on the Internet. Yet when it comes to finding information about health, many seniors are at a loss.

"Few seniors are using digital health technology," says Dr. David Levine, of Harvard-affiliated Brigham and Women's Hospital, who specializes in medical technology information.

Emergencies and First Aid - Bleeding

Bleeding

While a minor cut will eventually stop bleeding, a severe injury may require elevation and direct pressure on the wound. The goals of first-aid treatment are to control bleeding and prevent infection. If disposable surgical gloves are readily available, use them.

 

Butterfly Bandages

 

Direct Pressure for Bleeding and Pressure Points for Bleeding

 

How to Stop a Nosebleed

 
 

Emergencies and First Aid - Birth of the Placenta

Birth of the Placenta

The placenta, which has provided the fetus with nourishment, is attached to the umbilical cord and is delivered about 20 minutes after the baby. Do not pull on the cord; delivery of the placenta occurs on its own. You can help by gently massaging the womanÂ’s lower abdomen. The uterus will feel like a hard round mass.

Massaging the abdomen helps the uterus contract, which also helps stop bleeding. After the placenta is delivered, place it in a plastic bag to take with the woman and baby to the hospital. It is normal for more bleeding to occur after delivery of the placenta. Continue gently massaging the womanÂ’s lower abdomen.

Emergencies and First Aid - Butterfly Bandage

Butterfly Bandage

 

Standard bandages come in a variety of shapes and sizes. The butterfly bandage shown here is used to hold together the edges of a cut.
 
 

Emergencies and First Aid - Direct Pressure to Stop Bleeding

Direct Pressure to Stop Bleeding

A wound that is deep, bleeding heavily, or has blood spurting from it (caused by bleeding from an artery), may not clot and may not stop bleeding.

Immediate care
Call out for someone to get help, or call 911 yourself. Elevate the wound and apply direct pressure.

When You Visit Your Doctor - After a Heart Attack

After a Heart Attack

Questions to Discuss with Your Doctor:

  • Have you had chest pain or pressure since you were discharged from the hospital?
  • How severe is it?
  • How long does it last?
  • Does it stay in your chest or radiate to other parts of your body?
  • Did you have this pain before your heart attack? What brings it on? How frequently do you get it?
  • What were you doing just prior to the chest pain?
  • Do you ever get chest pain or pressure at rest?
  • What relieves the chest pain?
  • If you take nitroglycerin, how many doses do you usually need to take before the pain goes away?
  • How often do you take nitroglycerin?
  • Do you get short of breath when you lie down or exert yourself?
  • Do you awaken in the middle of the night short of breath?
  • Do your ankles swell?
  • Do you ever feel lightheaded?
  • Have you fainted?
  • Do you get rapid or pounding heartbeat for no reason?
  • Do you know what each of the medications you are taking does?
  • Do you know the side effects of each medication?
  • Are you having any side effects?
  • Are you taking an aspirin every day?
  • Are you doing everything you can to modify the risk factors that can worsen your coronary artery disease (cigarette smoking, high blood pressure, high cholesterol, and diabetes are the most important risk factors)?
  • Are you participating in a supervised exercise program?
  • Are you resuming your normal activities?
  • Are you sexually active?
  • Have you returned to work?
  • Have you been feeling depressed since your heart attack?
  • Have you been able to reduce the stress in your life?
  • Have you been fatigued?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Heart rate, blood pressure, and weight
  • Pulses in your wrist, groin, and feet
  • Listen over the major arteries in the neck, groin, and feet (for abnormal noises)
  • Look at the veins in the neck to see if there is extra fluid in your body
  • Heart and lungs
  • Ankles and legs (for swelling)

Your Doctor Might Order the Following Lab Tests or Studies:

  • Blood tests for glucose, lipid panel (cholesterol levels) and C-reactive protein (CRP)
  • Electrocardiogram
  • Echocardiogram
  • Exercise stress test
 

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