Satomi Koga writes:
The most important thing is to recognize
that the condition of patient Takahashi is very serious. He has recently
been diagnosed hypertensive and he is a heavy smoker. High blood pressure
and current cigarette smoking are risk factors for heart disease. Additionally,
his feelings of weakness and mild pain in the neck and upper chest areas
are the signs of heart disease. And I think it is very bad for his health
to be lacking in exercise, because lack of exercise causes overweight and
this is another risk factor for heart disease.
Certainly, lack of exercise and heavy smoking are related to T's heart condition. I think the following things also: First, he has high blood pressure. Second, he is a type A personality, so he is very busy. This thing suggests an irregular life for him. Third, he has a hereditary problem. His mother died after heart by-pass surgery complicated by hardening of the arteries, so it is quite possible for him to suffer from heart disease. The daily diet of Mr. Takahashi's family may be some problem, also.
From one study, we know that estrogen supplements can produce a 20 to 40 percent decrease in coronary heart disease rates. So, I will recommend estrogen treatments. Next, I will give him the advice that he should take some medicine to take away the mild pain, and he should take a nutrient to take away the feelings of weakness.
I advise him to improve his daily life. He should do moderate exercise. Because there is a fact that long-distance runners have a greater capacity to "dilate" their coronary arteries. And cigarette smoking is one of the risk factors, so he should give up smoking. Also, I will advise him to take low calorie foods, because these foods do not include high cholesterol, causing hardening of the arteries.
For the reasons mentioned above, I will say to Mr. Takahashi the following. "Your health depends on your habits. The most important thing for your health is that you know your condition is very serious. If you would not improve your habits, your condition will get worse. Step 1, you should get medicine to reduce your chest pain and get the nutrient. Step 2, please try to give up smoking and do more exercise. Step 3, you ought to reduce the amount of your work. Rest is necessary for you. I am convinced that your condition will be better if you carry out these steps. Good luck!"
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