Takashi Etoh writes:
The main issue is that he doesn't
think of his own health seriously. So, I'm going to show him the graph
(which shows the incidence of cardiovascular events by age and sex). Showing
this graph, I will explain to him that he is not too young, and, he already
has several risk factors. If he agrees with my explanation, then, I'll
propose to him to stop smoking and to do exercise every day.
He has been diagnosed "hypertensive" (his average blood pressure is 170/100mmHg). And he overworks staying up late every night. These two points are serious concerns. And he has neck-pain and chest-pain; these symptoms may be one of the risk factors for middle-age-people. So, although he says he's young, he is really considered in middle age.
I'll propose to him to develop healthier habits (for example, take a full sleeping-time, and take good foods at least three times in a day) in the short term (one week or so). And I'll give him suitable medicine. Maybe this medicine will be one kind of steroid.
For the long term: Step 1, I'll help him by suggesting he stop smoking and do exercise every day. This is advised because, Grethe S. Tell, Ph.D., M.P.H., professor of epidemiology at Bowman Gray School of Medicine in Winston-Salem, N.C., and her colleagues, analyzed that smokers have a risk factor for getting heart disease. They found "clinically significant" narrowing of major blood vessels in 4.4 percent of people who had never smoked, 7.3 percent of former smokers and 9.5 percent of current smokers.
Besides, there is "abundant evidence" that cigarette smoking is harmful. Considering this study's conclusions, I want to propose that he stop smoking and do exercise every day.
In addition, his mother died after
heart by-pass surgery complicated by hardening of the arteries. He has
a risk factor of heart disease innately.
So, Step 2, he should be concerned about his and his family's health in the long term.
And, Step 3, I'll help him to improve his life style. Gradually, he should reduce working-hours, and control his mind mildly, because, there is data (Classification of risk factor of coronary heart disease) that show several risk factors (of coronary heart disease) are classified into living habits, atherogenic traits, and innate susceptibility. Living habits include sleeping-time, labor-time, and exercising-time. So, If he improves his living habit, he may get better.
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