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	<title>Healthscape Health, Medical And Fitness Blog &#187; Medical</title>
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	<link>http://www.healthscape.co.uk/blog</link>
	<description>Health Medical And Fitness Blog</description>
	<pubDate>Thu, 27 Nov 2008 21:43:13 +0000</pubDate>
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		<title>Make Yourself Cancer Proof</title>
		<link>http://www.healthscape.co.uk/blog/2008/04/23/make-yourself-cancer-proof/</link>
		<comments>http://www.healthscape.co.uk/blog/2008/04/23/make-yourself-cancer-proof/#comments</comments>
		<pubDate>Wed, 23 Apr 2008 09:29:58 +0000</pubDate>
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		<category><![CDATA[Healthy Living]]></category>

		<category><![CDATA[Medical]]></category>

		<category><![CDATA[cancer]]></category>

		<guid isPermaLink="false">http://www.healthscape.co.uk/blog/?p=227</guid>
		<description><![CDATA[The average mouse doesn&#8217;t care much about skin cancer. Outside of Disney cartoons, you won&#8217;t see one slathering on sunscreen before heading out to dodge cats and search for cheese. But Gary Stoner, Ph.D., a ...]]></description>
			<content:encoded><![CDATA[<p>The average mouse doesn&#8217;t care much about skin cancer. Outside of Disney cartoons, you won&#8217;t see one slathering on sunscreen before heading out to dodge cats and search for cheese. But Gary Stoner, Ph.D., a professor emeritus of hematology and oncology at the Ohio State University medical center, does care about cancer. That&#8217;s why he spends his days in a lab, feeding rodents polyphenols from seaweed and learning how to shrink skin cancer–like tumors. He&#8217;s a mouse&#8217;s best friend. Maybe yours, too.</p>
<p>Stoner is just one of many researchers working to bring new weapons to the cancer battle. Some study humans to take a fresh look at existing theories. Others, like Stoner, are testing tactics so bold that, so far, their only subjects have tails and whiskers.</p>
<p>But all these approaches (seaweed included) have one very positive thing in common: They&#8217;re just plain good for you and bad for cancer cells. Here are eight strategies that just may turn the Big C into the Big See-Ya-Later. (Or, better yet, See-Ya-Never.)<br />
Drink Pomegranate Juice</p>
<p>Some say this luscious, lusty red fruit is Eve&#8217;s original apple, but what the pomegranate truly banishes is cancer risk. The fruit&#8217;s deep red juice contains polyphenols, isoflavones, and ellagic acid, elements researchers believe make up a potent anticancer combo. It&#8217;s been shown to delay the growth of prostate cancer in mice, and it stabilizes PSA levels in men who&#8217;ve been treated for prostate cancer. And now University of Wisconsin at Madison researchers have learned that pomegranate may also inhibit lung-cancer growth. If you currently smoke, have smoked in the past, or hang around in smoky places (Cleveland, for instance), the juice of the fruit could bolster your defenses.</p>
<p>Use it: The mice in the Wisconsin study received the human equivalent of 16 ounces of juice per day, so quaff accordingly.<br />
Eat Blueberries</p>
<p>Got pterostilbene? Rutgers University researchers say this compound &#8212; found in blueberries &#8212; has colon cancer-fighting properties. When rats with colon cancer were fed a diet supplemented with pterostilbene, they had 57 percent fewer precancerous lesions after 8 weeks than rats not given the compound did. Eat blueberries and you&#8217;ll also benefit from a big dose of vitamin C (14 milligrams per cup). In a study of 42,340 men, New England Research Institute scientists discovered that men with the highest dietary vitamin C intake (as opposed to supplements) were 50 percent less likely to develop premalignant oral lesions than men with the lowest intake were.</p>
<p>Use it: &#8220;About two servings daily is the human equivalent of what we fed the rats,&#8221; says Bandaru Reddy, M.D., Ph.D., a chemical-biology professor at Rutgers. Load up at breakfast: A cup and a half of blueberries over cereal, plus 8 ounces of juice and half a grapefruit (for extra vitamin C), will do the trick. If that&#8217;s too much to stomach at dawn, spread it out over the course of the day.</p>
<p><strong>Relax a Little</strong></p>
<p>Anxiety won&#8217;t only make you soil your shorts. Purdue University researchers tracked 1,600 men over 12 years and found that half of those with increasing levels of worry died during the study period. Talk about flunking the exam. Only 20 percent of the optimists died before the 12-year study was completed. More anxiety-producing news: Thirty-four percent of the neurotic men died of some type of cancer. How neurotic are we talking? &#8220;Think of the biggest worrier you know &#8212; someone who stresses out over everything,&#8221; says psychologist Daniel Mroczek, Ph.D., who conducted the study. &#8220;That man is probably above the 95th percentile in neuroticism. Then think of the most cool, calm, collected man you know. He&#8217;s probably below the fifth percentile.&#8221;</p>
<p>Use it: To develop that critical, casual Jeff Spicoli vibe, learn to slow down your fast times: &#8220;The more time you spend in the present moment, the more relaxed you&#8217;ll be, because most mental anguish occurs over stuff that&#8217;s already happened or that may or may not happen in the future,&#8221; says Claire Wheeler, M.D., Ph.D., the author of 10 Simple Solutions to Stress. &#8220;For the most part, right now is pretty damn good. If you practice being present while shaving, for example, eventually you&#8217;ll also be more present when eating, making love, and working.&#8221;<br />
Pop Selenium</p>
<p>Selenium has long been thought of as a cancer fighter, but you can have too much of a good thing, says David J. Waters, Ph.D., D.V.M., director of the Gerald P. Murphy Cancer Foundation, in West Lafayette, Indiana. A study of almost 1,000 men, published in the Journal of the National Cancer Institute, found that when those with the lowest initial levels of selenium in their bodies received a daily supplement over a 4 1/2- year period, they cut their prostate-cancer risk by an impressive 92 percent. But men who started out with high selenium were rewarded with an 88 percent increase in total cancer risk when they took the supplements. Moral: It pays to get your selenium level right.</p>
<p>Use it: Selenium in the body is measured through toenail clippings. Send yours to the Murphy Foundation, and for less than $100 (price varies by state), they&#8217;ll ship them to a lab and then inform you of your level 2 weeks later. If yours is out of range, the foundation will explain how to adjust your intake of Brazil nuts, tuna, meats, grains, and selenium supplements. Learn more at www.seleniumhealthtest.com.</p>
<p><strong>Order Sushi</strong></p>
<p>As mentioned, Gary Stoner is using seaweed to fight the Big C. When he fed the polyphenols from brown seaweed to mice that had been bombarded with UV rays, their incidence of skin tumors dropped 60 percent. And the polyphenols shrank existing tumors by 43 percent. Better still, the doses that produced these effects were the equivalent of only 1 or 2 tablespoons in a human being. &#8220;Seaweed is low in calories and fat, yet it provides heart-helping fiber, bone-building calcium, and iron,&#8221; says nutrition consultant Molly Morgan, R.D., C.D.N., owner of Creative Nutrition Solutions, in Vestal, New York. &#8220;Dried, roasted seaweed sheets used in making sushi also provide vitamins A and C.&#8221;</p>
<p>Use it: &#8220;Eat more sushi rolls,&#8221; says Stoner. &#8220;It&#8217;s not quite the same seaweed, but it has some of the same compounds.&#8221; As a bonus, sushi itself is a great muscle food. A typical spicy tuna roll has only 290 calories but packs 24 grams of protein. Also, look for a Korean-made, seaweed-fortified drink called EntroPower (entropower.com), which should be hitting U.S. health-food stores soon.<br />
Spend More Time Outside</p>
<p>Scientists have viewed vitamin D as a potent cancer fighter for decades, but there&#8217;s never been a gold-standard trial &#8212; until now. A Creighton University study published in the American Journal of Clinical Nutrition found that women who supplemented their diets with 1,000 international units of vitamin D every day had a 60 percent to 77 percent lower incidence of cancer over a 4-year period than did women taking a placebo. &#8220;I don&#8217;t think the effect is limited to women,&#8221; says Joan Lappe, Ph.D., the lead study author. &#8220;Vitamin D is necessary for the best functioning of the immune system &#8212; it causes early death of cancer cells.&#8221;</p>
<p>Use it: Nature intended us to make vitamin D from the sun, but depending on where you live, the time of year, and how much of an agoraphobe you are, you may not reach the optimal level of 80 nanomoles per liter of blood that way. A blood test can give you a baseline. From there, Lappe recommends supplementing with 1,100 to 2,000 IU of vitamin D in a stand-alone pill every day. Vitamin D is also in sardines, salmon, shiitake mushrooms, and reindeer meat &#8212; which may explain Santa&#8217;s longevity, despite the odd hours and jelly belly.</p>
<p><strong>Clear Your Air</strong></p>
<p>Secondhand smoke may be even worse for you than we thought. A recent American Journal of Public Health study reveals that nonsmokers working in smoky places had three times the amount of NNK, a carcinogen, in their urine than nonsmoking workers in smoke-free joints had. And their levels of NNK rose 6 percent for every hour worked. &#8220;There is no safe level of exposure to secondhand smoke, and the greater the exposure, the higher the risk,&#8221; says the study&#8217;s lead author, Michael Stark, Ph.D., principal investigator for the Multnomah County Health Department, in Portland, Oregon.</p>
<p>Use it: Nine states have banned smoking in all workplaces, bars, and restaurants: Arizona, Delaware, Hawaii, Massachusetts, New York, New Jersey, Ohio, Rhode Island, and Washington. So change locations, change professions, or change the laws. As you sip your pomegranate juice, sign up with Americans for Nonsmokers&#8217; Rights at no-smoke.org.<br />
Invest a Little Sweat Equity</p>
<p>Study after study has pointed to the cancer-beating power of exercise. Now research from Norway has found that even a tiny dose of exercise has big benefits. A study of 29,110 men published last year in the International Journal of Cancer shows that men who exercised just once a week had a 30 percent lower risk of metastatic prostate cancer than did men who didn&#8217;t work out at all. Increasing the frequency, duration, and intensity of the exercise correlated with a further, gradual reduction in risk.</p>
<p>Use it: Just one bout of weekend warriorism &#8212; a company softball game, pickup basketball, racquetball with your crusty uncle &#8212; might qualify you for inclusion in the cancer-free 30 percent.</p>
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		<title>Howard Dully - My Lobotomy</title>
		<link>http://www.healthscape.co.uk/blog/2008/02/09/howard-dully-my-lobotomy/</link>
		<comments>http://www.healthscape.co.uk/blog/2008/02/09/howard-dully-my-lobotomy/#comments</comments>
		<pubDate>Sat, 09 Feb 2008 21:16:19 +0000</pubDate>
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		<category><![CDATA[Medical]]></category>

		<category><![CDATA[lobotomy]]></category>

		<guid isPermaLink="false">http://www.healthscape.co.uk/blog/?p=221</guid>
		<description><![CDATA[When Howard Dully met the man who was to change his life for ever, he was not sure what to make of him. He was 11 at the time and paid little attention to the ...]]></description>
			<content:encoded><![CDATA[<p>When Howard Dully met the man who was to change his life for ever, he was not sure what to make of him. He was 11 at the time and paid little attention to the mysterious adult world that surrounded him, to the decisions taken without his knowledge or to the profound impact that Dr Walter Freeman would have on his pre-adolescent existence. Instead, with a child&#8217;s eye, he noticed the small physical quirks - the round-rimmed glasses, the dapper suit, the well-trimmed goatee. &#8216;It made him look a little like a beatnik,&#8217; Dully says. &#8216;He was warm, personable and easy to get along with. Was I fearful? No. I had no idea what he was going to do with me.&#8217;</p>
<p><a href="http://www.healthscape.co.uk/blog/wp-content/uploads/2008/05/howard_dully200.jpg"><img style="margin: 5px; float: left;" title="howard_dully200" src="http://www.healthscape.co.uk/blog/wp-content/uploads/2008/05/howard_dully200.jpg" alt="" width="200" height="202" /></a>Dully was a withdrawn boy who liked riding his bicycle and playing chess. He occasionally fought with his brother, disobeyed his parents and stole sweets from the kitchen cupboards. He had a weekly paper round and was saving up to buy a record player. According to Dr Freeman&#8217;s meticulous records, Dully was 62 inches tall and weighed 6½ stone. He was an average child, perhaps a little unruly but nothing that would strike one as exceptional for a boy of his age.</p>
<p>But Howard Dully would soon become exceptional for all the wrong reasons. Barely two months after this first meeting, his father and stepmother had him admitted to a private hospital in his home town of San Jose, California. At 1.30pm on 16 December 1960, he was wheeled into an operating theatre and given a series of electric shocks to sedate him. That much he remembers. The rest is murky.</p>
<p>When Dully woke the next day, his eyes were swollen and bruised and he was running a high fever. He recalls a severe pain in his head and the discomfort of his hospital gown, which gaped open at the back. He had no idea what had happened. &#8216;I was in a mental fog,&#8217; Dully says. &#8216;I was like a zombie; I had no awareness of what Freeman had done.&#8217;</p>
<p>What he didn&#8217;t know was that he had been subjected to one of the most brutal surgical procedures in medical history. He had undergone a lobotomy and no one, not his parents, not the medical community or the state authorities, had intervened to stop it. More disturbingly, there seemed to have been no obvious necessity for the operation.</p>
<p>If Dully appeared superficially vacant or mildly aggressive, there were some obvious explanations. His mother died of cancer when he was five and his father, Rodney, later remarried to a &#8216;cold and demanding&#8217; woman called Lou, who found her new stepson&#8217;s natural ebullience and physical strength almost impossible to control. Relations between the two deteriorated so that Dully grew up in an atmosphere of emotional abuse and casual neglect. He was given regular beatings and forced to eat meals on his own. Increasingly convinced that there was something emotionally wrong with her stepson, Lou started consulting psychiatrists and mental health experts before eventually being referred to Dr Freeman, a renegade physician disowned by the mainstream establishment, who ran a private practice in Los Altos, just outside San Francisco. Freeman diagnosed Dully as a schizophrenic.</p>
<p>&#8216;He is clever at stealing, but always leaves something behind to show what he&#8217;s done,&#8217; Freeman recorded in his notes from October 1960. &#8216;If it&#8217;s a banana, he throws the peel at the window; if it&#8217;s a candy bar, he leaves the wrapper around some place&#8230; he does a good deal of daydreaming and when asked about it he says, &#8220;I don&#8217;t know.&#8221; He is defiant at times - &#8220;You tell me to do this and I&#8217;ll do that.&#8221; He has a vicious expression on his face some of the time.&#8217;</p>
<p>Discarded sweet wrappers, daydreaming spells and the odd glimpse of youthful defiance - it would appear to be a relatively innocuous list, but it was enough for Freeman. Eight weeks after the doctor first saw him, Dully came round from his operation in a state of numbed confusion. The hospital report stated that he had been given a &#8216;transorbital lobotomy. A sharp instrument was thrust through the orbital roof on both sides and moved so as to sever the brain pathways in the frontal lobes&#8217;. Dr Freeman&#8217;s bill came to $200. Dully was his youngest-ever patient; extraordinarily, he survived.</p>
<p>&#8216;People freak out when they realise the person they are talking to had a lobotomy,&#8217; he says now, 47 years later, sitting under the corrugated iron awning outside his trailer home on the outskirts of San Jose. &#8216;They expect me to be drooling.&#8217;</p>
<p>Over the years, the lobotomy has become almost a caricature of itself, a cultural shorthand that immediately conjures up images of zombies or dribbling madmen. Even the word itself sounds freakish and unwieldy, like an ill-judged verbal joke. For most people, it remains indelibly associated with dramatic invention: with the dazed, incoherent character of Catherine in Tennessee Williams&#8217;s Suddenly Last Summer or with Jack Nicholson&#8217;s Oscar-winning performance as a deranged asylum inmate in One Flew Over the Cuckoo&#8217;s Nest</p>
<p>But for a time in the 1930s and Forties, the procedure was at the forefront of neurosurgery, viewed by the medical establishment as a cutting-edge treatment for mental illness. Before the introduction of antipsychotic drugs or the popularisation of psychotherapy, the lobotomy was touted as a miracle cure for anything from schizophrenia to postnatal depression - and not just in the United States. Neurologists in the UK are estimated to have carried out 50,000 variants of the operation, until the late 1970s.</p>
<p>Derek Hutchinson, a 62-year-old grandfather, underwent a lobotomy in 1974 - without his consent, he says - at the hands of surgeon Arthur E Wall while a patient at the High Royds Asylum near Leeds. Unlike Dully, Hutchinson was awake throughout his operation, which a psychiatrist had insisted would curb his aggressive tendencies.</p>
<p>&#8216;What did it feel like?&#8217; he says from his home in Leeds. There is a long exhalation of breath on the end of the phone, halfway between a gasp and a sigh. &#8216;It&#8217;s a situation you should only go through once in your life and that&#8217;s when you&#8217;re dying. It felt like a broom handle was being pushed in my brain and my head was splitting apart.&#8217;</p>
<p>Originally developed by Portuguese physician Antonio Egas Moniz in 1936, the lobotomy involved drilling two small holes in either side of the forehead and severing the connecting tissue around the frontal lobes. The hope was to dull the symptoms of psychiatric illness by reducing the strength of emotional signals produced by the brain. Although Moniz won the Nobel Prize for his pioneering work in 1949, he insisted that it should only be used as a last resort, in cases where every other form of treatment had been unsuccessfully tried.</p>
<p>Dr Walter Freeman, a neurologist and Yale graduate, brought the procedure to America in the late 1930s. Freeman&#8217;s first job after medical school was as head of laboratories at St Elizabeth&#8217;s Hospital in Washington DC, a sprawling mental institution that housed 5,000 inmates in near-Victorian conditions. At the time, the state legislature paid a pitiful $2 a day per patient to cover their upkeep, a sum that included staff salaries, catering, accommodation and treatment.</p>
<p>Spurred on by his first-hand experience of the horrors of state-run mental institutions and determined to make his name as a medical pioneer, Freeman developed a version of Moniz&#8217;s procedure that reached the frontal lobe tissue through the tear ducts. His transorbital lobotomy involved taking a kitchen ice pick, later refined into a more proficient instrument called a leucotome, and hammering it through the thin layer of skull in the corner of each eye socket. The pick would then be scrambled from side to side in order to damage the frontal lobe. The process took about 10 minutes and could be performed anywhere, without the assistance of a surgeon.</p>
<p>Over the years, Freeman developed a reckless enthusiasm for the operation, driving several thousand miles across the country to carry out demonstrations at asylums and hospitals. An instinctive showman, he sometimes ice-picked both eye sockets simultaneously, one with each hand. He had a buccaneering disregard for the usual medical formalities - he chewed gum while he operated and displayed impatience with what he called &#8216;all that germ crap&#8217;, routinely failing to sterilise his hands or wear rubber gloves. Despite a 14 per cent fatality rate, Freeman performed 3,439 lobotomies in his lifetime.</p>
<p>For the survivors, the outcomes varied wildly: some were crippled for life, others lived in a persistent vegetative state. Rose, John F Kennedy&#8217;s sister, was operated on by Dr Freeman in 1941 at the request of her father. Born with mild learning difficulties, she was left incapacitated by the procedure and spent the rest of her life in various institutions, dying in 2005 at the age of 86. Yet occasionally, the operation appeared to have a calming, desensitising effect on the mentally ill. The lobotomy&#8217;s mixed success rate was a symptom of its imprecision: it was a hit-and-miss procedure developed at a time when little was known about the very specific nature of the brain&#8217;s structure.</p>
<p>Dully&#8217;s almost total recovery is thus an anomaly. To look at him, you would never guess that he underwent such brutal surgery. There is no slowness of speech, no telltale squinting of the eyes, none of the lack of social inhibition that characterises most lobotomy survivors. Now 58, he has a full-time job training school bus drivers and has been married to Barbara for 12 years. He has a son, Rodney, 27, and a stepson, Justin, 30, and a tabby cat called Princess who prowls on a parched flowerbed while we talk. His autobiography, My Lobotomy, co-written with journalist Charles Fleming, was published in the US last autumn and will be published in the UK in March.</p>
<p>&#8216;I don&#8217;t feel physically different from anyone else,&#8217; he says. &#8216;I get eye infections because I think they destroyed my tear ducts. About the most unusual thing you would notice about me is my size.&#8217;</p>
<p>Dully is a broad, bulky man and 6ft 7in tall. When he turns on his laptop to show me photographs of his operation, his hand completely covers the computer mouse. The pictures are disturbing in their very matter-of-factness. Freeman was a fastidious archivist and insisted on recording each stage of the operation on camera. In one black-and-white image, Dully lies unconscious, his mouth lolling open. The tip of a 12cm long leucotome has been pushed deep into his eye socket. How does he feel when he sees these photographs?</p>
<p>&#8216;I would describe it as a feeling of loss, like you&#8217;ve lost a whole part of your life.&#8217; As he speaks, he gulps intermittently on a mug of milky instant coffee. &#8216;I like hazelnut-flavoured cream in my coffee - it makes life worth living,&#8217; he says, grinning through an enormous walrus moustache. On the surface, at least, his life is settled, but it has taken Dully the best part of four decades to be able to speak with such ease about his past.</p>
<p>&#8216;It was something I didn&#8217;t talk about for years. I felt that I was the secret, the skeleton in the closet, the dirty laundry.&#8217; That changed in 2003 when he was tracked down by an American radio production company and asked to make a documentary about his life. It was the first time he had seen his medical files and the first time he had found the courage to confront his past and speak to his father.</p>
<p>&#8216;Lou [his stepmother] had died in 2001, so a lot of what happened died with her. I asked my dad about it and I don&#8217;t think he meant any harm. He said he got manipulated by Lou. She threatened him with divorce if he didn&#8217;t go ahead with it. My dad said he only met Freeman once.&#8217;</p>
<p>Dully breaks off and leans back in his chair, arms folded across his black polo shirt. &#8216;You meet a guy once and you&#8217;re going to let him drive spikes in your son&#8217;s head?&#8217; he asks, incredulously.</p>
<p>His father, now 83, has never apologised, but Dully remains astonishingly sanguine about the operation and the chequered legacy it left him. For years after the lobotomy, he was in and out of mental institutions, jails and halfway houses. He was homeless, drug-addicted and alcoholic, a petty criminal with little concept of how to live a normal life.</p>
<p>&#8216;I think I was angry at society for a long time, but I went through that and now I don&#8217;t think there&#8217;s any point in dwelling on it. I blame everyone for what happened including myself. I was a mean little ruffian. Lou was looking for a way to get me out of the house, for a solution to the problem, and Freeman was looking for a subject. Both of them came together&#8230; and whoopa-dee-doo.</p>
<p>&#8216;I don&#8217;t think Freeman was evil. I think he was misguided. He tried to do what he thought was right, then he just couldn&#8217;t give it up. That was the problem.&#8217;</p>
<p>In many ways, Walter Freeman was shaped as much by human frailty as his patients. Born in Philadelphia in 1895, he was driven from a young age to be exemplary, growing up in the long shadow cast by his grandfather, William Keen, an exceptional surgeon who was the first American successfully to remove a brain tumour. &#8216;He was motivated partly by interest in the well-being of his patients and then also by this very urgent need to feel like he was someone who was accomplishing great things,&#8217; explains Jack El-Hai, author of The Lobotomist, a biography of Freeman. &#8216;As he grew more personally attached to the lobotomy, he became more irrational.&#8217;</p>
<p>The more the mainstream medical establishment derided Freeman&#8217;s methods - with the advent of Freudian psychoanalysis and antipsychotic drugs such as Thorazine in the mid-1950s the lobotomy fell out of favour - the more defensive Freeman became. He took pride in what he called &#8217;shrink-baiting&#8217; and wrote disobliging limericks about his professional enemies, once saying he would &#8216;rather be wrong than be boring&#8217;. By the time Freeman operated on Dully in 1960, he was working exclusively from a private practice - no state hospital would touch him.</p>
<p>Freeman&#8217;s home life unravelled alongside his professional reputation. His wife, Marjorie, was an alcoholic and Freeman had numerous affairs. In 1946, Freeman had witnessed the horrific death of his 11-year-old son Keen on a camping holiday in Yosemite national park. Keen was bending down at the top of waterfall to fill up his flask when he lost his footing and was swept over the brink. It was an experience that must have affected Freeman greatly, although he made sparse mention of it in later life. But perhaps it was telling that, 14 years after the event, when he first met 11-year-old Howard Dully, Freeman suggested that the two of them should go hiking.</p>
<p>&#8216;My sense with Howard is that Freeman thought he was treating a family problem rather than just a boy&#8217;s psychiatric problems,&#8217; says El-Hai. &#8216;But by the standards he used in earlier years, what he did was completely unjustifiable.&#8217;</p>
<p>Although Freeman ended up causing unforgivable harm, he was not, essentially, a bad man. After he died of complications arising from an operation for cancer in 1972, his four surviving children - Walter, Frank, Paul and Lorne - became staunch defenders of their father&#8217;s legacy. Two of them have carried on the familial medical heritage: Paul is a psychiatrist in San Francisco and the eldest, Walter Jnr, is now professor emeritus of neurobiology at the University of California.</p>
<p>Walter Jnr&#8217;s twin, Frank, 80, is a retired security guard, living in a modest, second-floor apartment in San Carlos, just half an hour&#8217;s drive from Howard Dully&#8217;s home. He is a friendly giant of a man, dressed smartly in a double-breasted, dark blue suit and burgundy tie, kept in place by a thin gold clip. &#8216;He was a marvellous father,&#8217; Frank says, sitting in a room filled with crossword dictionaries and Dick Francis novels. &#8216;He loved his children and always made time for us out of his busy schedule, taking us camping every summer all across the country.&#8217;</p>
<p>Frank recalls being invited to observe a lobotomy when he was 21 and vividly remembers hearing &#8216;a little crack as the orbital plate fractured. It only took about six or seven minutes and Dad kept up a running commentary.&#8217; Indeed, the original ice pick used for the first transorbital lobotomy came from the Freeman family kitchen drawer. &#8216;We had several of them,&#8217; says Frank, cheerfully. &#8216;We used to use them to punch holes in our belts when we got bigger. I&#8217;m enormously proud of my father. I do think he&#8217;s been unfairly treated. He was an interventionist surgeon, a pioneer and that took guts.&#8217;</p>
<p>But however well-intentioned his interventions, Freeman&#8217;s life-long quest for self-glorification meant that he failed to acknowledge when his methods were doing more harm than good. I ask Frank whether he thinks Freeman was justified in operating on the young Howard Dully, a boy on the brink of adolescence, whose brain had barely begun its transformation to maturity?</p>
<p>&#8216;Well&#8230;&#8217; he pauses, the palms of his hands resting on his knees. &#8216;I&#8217;ve had a couple of chats with Howard [when Dully interviewed him for the 2003 radio broadcast] and he said that growing up, he hated his stepmother and she was afraid of him. He was belligerent and unco-operative, frightening if you like, and I&#8217;m convinced that if he&#8217;d gone on like that he would have ended up in jail or a mental institution. Frequently, people like Howard have a lobotomy and sooner or later they straighten out. Howard&#8217;s been self-supporting for a number of years and he&#8217;s married, in a very pleasant relationship.&#8217;</p>
<p>It is impossible to say how Dully&#8217;s life would have panned out if he had not walked into Walter Freeman&#8217;s office one long-ago autumn day. Perhaps it would, like Frank says, have been incalculably worse or perhaps it would have carried on much the same. But it could have been better, too, and the true sadness is that Howard Dully will never be able to find out one way or the other.</p>
<p>Mind-boggling: a history of lobotomy</p>
<p>1890: German scientist Friederich Golz experiments with removing the temporal lobe from dogs and reports a calming effect.</p>
<p>1892: Gottlieb Burkhardt, a Swiss physician, performs a similar operation on six schizophrenic patients. Four exhibited altered behaviour. Two died.</p>
<p>1936: Portuguese neuropsychiatrist Antonio Egas Moniz develops the leukotomy, but advises using the operation only as a last resort.</p>
<p>1945: American surgeon Walter Freeman develops the &#8216;ice pick&#8217; lobotomy. Performed under local anaesthetic, it takes only a few minutes and involves driving the pick through the thin bone of the eye socket, then manipulating it to damage the prefrontal lobes.</p>
<p>1946: First lobotomy performed in Britain at Maryfield Hospital, Dundee. The procedure is used for 30 years.</p>
<p>1954: Antipsychotic drug Thorazine licensed for the treatment of schizophrenia, causing the lobotomy gradually to fall out of favour.</p>
<p>1960-70: Lobotomies come under scrutiny by sociologists who consider it a tool for &#8216;psycho-civilising&#8217; society. They were banned in Germany, Japan and the Soviet Union. Limited psychosurgery for extreme medical cases is still practised in the UK, Finland, India, Sweden, Belgium and Spain.</p>
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		<title>One Click To Help Sufferers Of Breast Cancer</title>
		<link>http://www.healthscape.co.uk/blog/2007/10/08/one-click-to-help-sufferers-of-breast-cancer/</link>
		<comments>http://www.healthscape.co.uk/blog/2007/10/08/one-click-to-help-sufferers-of-breast-cancer/#comments</comments>
		<pubDate>Mon, 08 Oct 2007 10:09:07 +0000</pubDate>
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		<category><![CDATA[Medical]]></category>

		<category><![CDATA[cancer]]></category>

		<category><![CDATA[charity]]></category>

		<guid isPermaLink="false">http://www.healthscape.co.uk/blog/2007/10/08/one-click-to-help-sufferers-of-breast-cancer/</guid>
		<description><![CDATA[One click is all you need to help sufferes of breast cancer. Yes, you have to lift a finger, but that&#8217;s about all you need to do. Your click on the &#8220;Click Here to Give ...]]></description>
			<content:encoded><![CDATA[<p>One click is all you need to help sufferes of breast cancer. Yes, you have to lift a finger, but that&#8217;s about all you need to do. Your click on the &#8220;Click Here to Give - it&#8217;s FREE&#8221; button helps fund free mammograms for women in need — low-income, inner-city and minority women whose awareness of breast cancer and opportunity for help is often limited. Your click is paid for by site sponsors, and mammogram funding is provided to clinics throughout the U.S. through the efforts of the <a href="http://www.nationalbreastcancer.org/" target="new">National Breast Cancer Foundation</a>.</p>
<p><a href="http://www.thebreastcancersite.com/clickToGive/home.faces?siteId=2" target="_blank">CLICK HERE TO MAKE YOUR CLICK COUNT! </a></p>
<p><strong>Early Detection: Do You Know The Facts?</strong></p>
<p><img title="Breast Cancer Charity" src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/0xfd2922594706ab17c0a80a2f.jpg" alt="Breast Cancer Charity" hspace="5" vspace="5" width="369" height="184" align="left" />Each year, 182,000 women are diagnosed with breast cancer and 43,300 die. One woman in eight either has or will develop breast cancer in her lifetime. In addition, 1,600 men will be diagnosed with breast cancer and 400 will die this year.</p>
<p>If detected early, the five-year survival rate for breast cancer exceeds 95%. Mammograms are among the best early detection methods, yet 13 million U.S. women 40 years of age or older have never had a mammogram.</p>
<p>The National Cancer Institute and U.S. Department of Health and Human Services recommend that women in their forties and older have mammograms every one to two years. A complete early detection plan also includes regular clinical breast examinations by a trained medical professional. Monthly breast self-exams are suggested in addition.</p>
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		<title>Strange Medical Conditions</title>
		<link>http://www.healthscape.co.uk/blog/2007/09/25/strange-medical-conditions/</link>
		<comments>http://www.healthscape.co.uk/blog/2007/09/25/strange-medical-conditions/#comments</comments>
		<pubDate>Tue, 25 Sep 2007 08:34:22 +0000</pubDate>
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		<category><![CDATA[Medical]]></category>

		<category><![CDATA[disease]]></category>

		<category><![CDATA[sleep]]></category>

		<guid isPermaLink="false">http://www.healthscape.co.uk/blog/2007/09/25/strange-medical-conditions/</guid>
		<description><![CDATA[The human body is a fantastically intricate system. Even with some of the finest minds on the planet exploring the depths of its complexity, our anatomy still holds many secrets. We are reminded of how ...]]></description>
			<content:encoded><![CDATA[<p>The human body is a fantastically intricate system. Even with some of the finest minds on the planet exploring the depths of its complexity, our anatomy still holds many secrets. We are reminded of how little we really understand when strange abnormalities arise. Here is a brief look at nine remarkable—and tragic—mysteries that have stymied modern medicine.</p>
<p><strong>Phineas Gage - A View Into the Brain</strong></p>
<p><img title="phineas.jpeg" src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/phineas.jpeg" alt="phineas.jpeg" hspace="5" vspace="5" align="left" />In September 1848, railroad foreman Phineas Gage was packing sticks of dynamite into a rock with a heavy tamping rod. The dynamite exploded, sending the 3-foot 7-inch iron rod through his left cheekbone—and out the top of his head. Incredibly, his crewmen found him fully conscious and coherent, eager to get on his feet. He was rushed to Dr. John Marlow, who inserted fingers through Gage’s head and face, touching them together, before patching up the scalp and cheek flesh of his miracle patient. Gage recovered completely.</p>
<p>Doctors marveled that he survived at all. But the great contribution to science came with the realization that Gage later became a more violent and angry man after the front part of his brain had been traumatized. Never before had personality been identified with a specific part of the brain. The discovery paved the way for future understanding of brain functions.</p>
<p>Gage ran through our minds again in 2005 when construction worker Patrick Lawler fell down a staircase carrying a nail gun. Talk show audiences were amazed to see a fully recovered Lawler describing X-ray images of a 4-inch nail standing upright above his jaw. Lawler had used Advil to put off a “toothache” for six days before he realized there was a nail in his face.</p>
<p><strong>Fibrodysplasia Ossificans Progressiva - The Second Skeleton</strong></p>
<p>Though FOP is extremely rare, cases have been documented as far back as the 17th century. More than 300 years later, physicians are still at a loss to explain what causes soft tissue in FOP patients to turn to bone.</p>
<p>The earliest sign of FOP is malformed toes, but the real damage is done in the coming years as muscles, tendons and ligaments in the neck, back and shoulder ossify. Connective tissue in the knees, hip and elbow can also turn to bone, locking limbs permanently in position. Attempts to surgically remove the new bones results in even more bone formation.</p>
<p>Unfortunately, it gets worse. Although people with FOP can live into their 70s, the disease is progressive, as the “progressiva” part of the name indicates. More FOP bones grow over time, often in response to injury. With an “extra skeleton” growing in the body, the FOP patient finds it ever more difficult to move.</p>
<p><img src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/p59f1.jpg" alt="p59f1.jpg" width="446" height="367" /></p>
<p><strong> Synesthesia - Sensorial Crossroads</strong></p>
<p><img title="colorscales.gif" src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/colorscales.gif" alt="colorscales.gif" hspace="5" vspace="5" width="313" height="181" align="left" /></p>
<p>To be expressive with language, we often use metaphors that borrow from the senses: Earth tones are “warm,” and a brass section sounds “bright.” For people with synesthesia, the crossing of senses is not metaphorical but literal. Synesthetics may hear colors, see sound or smell numbers. Dr. Richard Cytowic, author of The Man Who Tasted Shapes, undertook his study after a friend cooking dinner exclaimed that “there aren’t enough points on the chicken.”</p>
<p>Synesthesia is not considered to be a disease (though it has not been well studied, either) and tends to affect people who are bright and colorful—er, that is, people who are intelligent and creative.</p>
<p><strong>Congenital Erythropoietic Porphyria - Hypersensitivity to Light</strong></p>
<p><img title="im2.jpg" src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/im2.jpg" alt="im2.jpg" hspace="5" vspace="5" width="381" height="289" align="left" />Fewer than 200 cases of congenital erythropoietic porphyria have ever been documented, and not just because physicians can’t pronounce the name. Due to a gene mutation, the skin becomes extremely sensitive to sunlight. Areas of exposed skin can become blistered and infected. Sunlight exposure can also lead to scarring, changes in skin pigmentation and increased hair growth. Such symptoms have unfairly linked people suffering from the condition with the lore of vampires and werewolves. On overcast or very cold winter days, the symptoms of congenital erythropoietic porphyria (also called erythropoietic protoporphyria) are sometimes attenuated, allowing some safe exposure to indirect sunlight.</p>
<p>Synesthesia is not considered to be a disease (though it has not been well studied, either) and tends to affect people who are bright and colorful—er, that is, people who are intelligent and creative.</p>
<p><strong>The Stone Baby</strong></p>
<p>It sounds horribly tragic, but the rare medical phenomenon of the stone baby results from a process that protects a woman after a failed pregnancy.</p>
<p><img title="a08fig03.gif" src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/a08fig03.gif" alt="a08fig03.gif" hspace="5" vspace="5" width="279" height="368" align="left" />When a fertilized egg attaches anywhere outside the uterus (an abdominal or ectopic pregnancy), the fetus may begin to grow but cannot survive. Under very rare conditions the miscarried fetus is neither expelled nor reabsorbed. Instead, it calcifies—effectively turning to “stone”—which protects the mother from infection.</p>
<p>Lithopedions have been mistaken for benign tumors or ignored by mothers who may not even have known they’d been pregnant. In one case, surgeons found a stone baby in a 76-year-old woman who had apparently been carrying it for 50 years.<strong> Trimethylaminuria - Fish Odor Syndrome (a.k.a. Stale Fish Syndrome or TMAU)</strong></p>
<p>If you think the odor of rotting fish is offensive down on the docks, imagine it on your breath. The same chemical that causes stale fish to smell bad, trimethylamine, is naturally derived from our diet, and the body’s normal metabolism is supposed to break the chemical down. When it does not, as is the case with TMAU sufferers, the buildup is eventually excreted through urine, saliva and perspiration. Cruelly, the chronic condition tends to worsen around puberty. While there are no inherent physical dangers associated with TMAU, there’s no cure and the social and psychological toll on adolescents and adults can be devastating.</p>
<p><strong>Morgellons - A Real Case of Creepy Crawlies?</strong></p>
<p><img title="morgellonshandlesions.jpg" src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/morgellonshandlesions.jpg" alt="morgellonshandlesions.jpg" hspace="5" vspace="5" width="351" height="268" align="left" />The Centers for Disease Control and Prevention have yet to recognize Morgellons as a legitimate disease, but there is no doubt for the 7,500 people nationwide who are plagued by a crawling sensation on their skin and intensely itchy lesions. The description of Morgellons is not entirely unlike scabies or lice, both of which are parasitic conditions. But the real head-scratcher is the appearance of mysterious fibers that seem to grow under the skin. Skeptics, noting that most Morgellons sufferers also experience cognitive or behavioral problems, have suggested the condition is psychological. But they’re at a loss to explain the documented finding of these strange fibers (shown here at the tip of a pen) that apparently bear no relation to cotton, wool or synthetic fibers. The Morgellons Research Foundation continues to urge the CDC to assign an investigative task force.</p>
<p><strong> Fatal Familial Insomnia - When Can’t Sleep Kills</strong></p>
<p>Lose just a single night’s sleep and you can expect a day of blurred vision, difficulty concentrating and gastrointestinal distress. In 1959, disc jockey Peter Tripp deprived himself of sleep for more than eight days as part of a publicity stunt, and he became paranoid, incoherent and believed he saw kittens and bunnies at his feet.</p>
<p>For the world’s handful of families with this type of insomnia, the symptoms are progressively and exponentially worse. Their continued lack of sleep leads first to panic attacks, then to hallucinations, then to full-on dementia. Eventually, they die from lack of sleep.</p>
<p>In the 28 families identified, a dominant gene leaves offspring with a 50 percent chance of acquiring the disease. FFI was first diagnosed by an Italian doctor in 1979, and it was nearly 20 years before scientists understood that it was caused by a mutated protein. The mutation leads to a buildup of plaque in the part of the brain that regulates sleep.</p>
<p><strong>5-Alpha Reductase Deficiency - Nature’s Sex Change</strong></p>
<p><img title="image49.jpg" src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/image49.jpg" alt="image49.jpg" hspace="5" vspace="5" width="324" height="324" align="left" />The Intersex Society of America estimates that one of every 2,000 American children are born with an intersex disorder, so defined when one’s sexual anatomy does not fall neatly into the male or female category. 5-ARD is one such condition, and is due to an in utero complication with how a male fetus’ system uses testosterone. As a result, the newborn baby has male chromosomes but tends either to have “ambiguous genitalia” (male pseudohermaphroditism) or the genitalia appear to be that of a baby girl. During puberty, however, testosterone rages through the body and the male characteristics emerge: The voice drops, shoulders broaden and an Adam’s apple may start to develop. What appeared to be labia turn out be testicles, and what appeared to be a clitoris turns out to be a penis.</p>
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		<title>Strange Skin Lesions - Lewandowsky-Lutz dysplasia?</title>
		<link>http://www.healthscape.co.uk/blog/2007/08/25/strange-skin-lesions-lewandowsky-lutz-dysplasia/</link>
		<comments>http://www.healthscape.co.uk/blog/2007/08/25/strange-skin-lesions-lewandowsky-lutz-dysplasia/#comments</comments>
		<pubDate>Sat, 25 Aug 2007 08:23:57 +0000</pubDate>
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		<category><![CDATA[Medical]]></category>

		<category><![CDATA[disease]]></category>

		<category><![CDATA[lesions]]></category>

		<category><![CDATA[skin]]></category>

		<guid isPermaLink="false">http://www.healthscape.co.uk/blog/2007/08/25/strange-skin-lesions-lewandowsky-lutz-dysplasia/</guid>
		<description><![CDATA[This very stage case was reported by a missionary in Eastern Europe at the start of the year. The disease is most probably Lewandowsky-Lutz dysplasia.
I found this man, and other than his hands and feet, ...]]></description>
			<content:encoded><![CDATA[<p>This very stage case was reported by a missionary in Eastern Europe at the start of the year. The disease is most probably Lewandowsky-Lutz dysplasia.</p>
<blockquote><p>I found this man, and other than his hands and feet, he looked and seemed in good health. As best as I could gather these growths began when he was 14 years old, and began in the area of his wrists. The skin on his wrists and the back of his hands resembles that of a hedgehog - hundreds of spike like growths. The problem is much more severe on his palms and fingers where the growths resemble very much that of nails infected with a fungus. The growths have that same texture, smell and feel. I cut a number of the largest growths off, most of witch did not bleed. Some of the smaller growths did bleed a small amount and he seemed much more sensitive to the cutting of the smaller growths.</p>
<p>It has grown slowly but steadily but has not spread to other parts of his body, just a bit below his knees on his legs. He has other skin growth (many would be skin tags) on his face, and some moles on his chest. The growths are not as bad on his feet but I was told that more than 10 years ago many we cauterized off his feet, and they did not return. I think with repeated soaking and cutting most could be removed but other parts will I think need to be burned away in some form.”</p>
<p>He has 15 skin tags on his face, and a wart in one ear.</p>
<p><img src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/_lewan01.jpg" alt="_lewan01.jpg" /></p>
<p><img src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/_lewan02.jpg" alt="_lewan02.jpg" /></p>
<p><img src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/_lewan03.jpg" alt="_lewan03.jpg" /></p></blockquote>
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		<title>Hypertension And Exercise</title>
		<link>http://www.healthscape.co.uk/blog/2007/08/10/hypertension-and-exercise/</link>
		<comments>http://www.healthscape.co.uk/blog/2007/08/10/hypertension-and-exercise/#comments</comments>
		<pubDate>Fri, 10 Aug 2007 10:47:28 +0000</pubDate>
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		<category><![CDATA[Exercise &amp; Fitness]]></category>

		<category><![CDATA[Medical]]></category>

		<category><![CDATA[blood pressure]]></category>

		<category><![CDATA[exercise]]></category>

		<guid isPermaLink="false">http://www.healthscape.co.uk/blog/2007/08/10/hypertension-and-exercise/</guid>
		<description><![CDATA[It seems as though many Americans are living a life that leads to high blood pressure or hypertension. As people age, the situation gets worse. Nearly half of all older Americans have hypertension. This disease ...]]></description>
			<content:encoded><![CDATA[<p>It seems as though many Americans are living a life that leads to high blood pressure or hypertension. As people age, the situation gets worse. Nearly half of all older Americans have hypertension. This disease makes people five times more prone to strokes, three times more likely to have a heart attack, and two to three times more likely to experience a heart failure.</p>
<p><img title="hypertension_z.jpg" src="http://www.healthscape.co.uk/blog/wp-content/uploads/2007/10/hypertension_z.jpg" alt="hypertension_z.jpg" hspace="5" vspace="5" width="318" height="228" align="left" />The problem with this disease is that nearly one third of the folks who have hypertension do not know it because they never feel any direct pain. But overtime the force of that pressure damages the inside surface of your blood vessels.</p>
<p>However, according to experts, hypertension is not predestined. Reducing salt intake, adopting a desirable dietary pattern losing weight and exercising can all help prevent hypertension.</p>
<p>Obviously, quitting bad habits and eating a low fat diet will help, but the most significant part that you can do is to exercise. And just as exercise strengthens and improves limb muscles, it also enhances the health of the heart muscles.</p>
<p>Heart and Exercise</p>
<p>The exercise stimulates the development of new connections between the impaired and the nearly normal blood vessels, so people who exercise had a better blood supply to all the muscle tissue of the heart.</p>
<p>The human heart basically, supply blood to an area of the heart damaged in a “myocardial infarction.” A heart attack is a condition, in which, the myocardium or the heart muscle does not get enough oxygen and other nutrients and so it begins to die.</p>
<p>For this reason and after a series of careful considerations, some researchers have observed that exercise can stimulate the development of these life saving detours in the heart. One study further showed that moderate exercise several times a week is more effective in building up these auxiliary pathways than extremely vigorous exercise done twice as often.</p>
<p>Such information has led some people to think of exercise as a panacea for heart disorders, a fail-safe protection against hypertension or death. That is not so. Even marathon runners that have suffered hypertension, and exercise cannot overcome combination of other risk factor.</p>
<p>What Causes Hypertension?</p>
<p>Sometimes abnormalities of the kidney are responsible. There is also a study wherein the researchers identified more common contributing factors such as heredity, obesity, and lack of physical activity. And so, what can be done to lower blood pressure and avoid the risk of developing hypertension? Again, exercise seems to be just what the doctor might order.</p>
<p>If you think that is what he will do, then, try to contemplate on this list and find some ways how you can incorporate these things into your lifestyle and start to live a life free from the possibilities of developing hypertension. But before you start following the systematic instructions, it would be better to review them first before getting into action.</p>
<p>1. See your doctor<br />
Check with your doctor before beginning an exercise program. If you make any significant changes in your level of physical activity — particularly if those changes could make large and sudden demands on your circulatory system — check with your doctors again.</p>
<p>2. Take it slow</p>
<p>Start at a low, comfortable level of exertion and progress gradually. The program is designed in two stages to allow for a progressive increase in activity.</p>
<p>3. Know your limit</p>
<p>Determine your safety limit for exertion. Use some clues such as sleep problems or fatigue the day after a workout to check on whether you are overdoing it. Once identified, stay within it. Over-exercising is both dangerous and unnecessary.</p>
<p>4. Exercise regularly</p>
<p>You need to work out a minimum of three times a week and a maximum of five times a week to get the most benefit. Once you are in peak condition, a single workout a week can maintain the muscular benefits. However, cardiovascular fitness requires more frequent activity.</p>
<p>5. Exercise at a rate within your capacity</p>
<p>The optimum benefits for older exercisers are produced by exercise at 40% to 60% of capacity.</p>
<p>Indeed, weight loss through exercise is an excellent starting point if you wan tot prevent hypertension. Experts say that being overweight is linked to an increased risk of developing hypertension, and losing weight decreases the risk.</p>
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