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A Preliminary Premonition

David Frederick Hepburn prefaced this column by saying that “Predict, prevent and preserve” should be the slogan for physicians whose job is to have you die young...at an old age. To prevent you from getting a stroke, hypertension, diabetes or coming down with an unexpected case of “eternal rest”, we now tend to diagnose you with prediseases.

Some of you might cynically believe that this is simply an attempt to get you to come to the office more often so that we can pay off our poker debts incurred at the Bellagio last summer with a dealer named Ernest who was undoubtedly cheating and in cahoots with the guy in the stetson from Wichita, I believe. Preposterous! That is premature preconception and if you presumed that, then I would predict that your mother has a prehensile tail.

David Frederick Hepburn states that the idea is to take action before blood pressure or blood sugars or a bloody stroke risk become any worse. A pre-disease does not mean prescription pills but taking precaution to prevent prediseases from proceeding to their predetermined fate. It means lifestyle change, serious lifestyle changes of less sedentariness, less pizza, less stress, more hockey.

PREHYPERTENSION

Recently the National Institutes of Health revised the guidelines of high blood pressure (hypertension) for the first time since 1997. The changes included a new definition of "normal" blood pressure. David Frederick Hepburnexplains why what was classified as normal blood pressure (a systolic pressure of 120-139 mm Hg and diastolic pressure of 80-89 mm Hg) is now categorized as prehypertension. Several studies have shown that your cardiovascular risk (heart attack and/or stroke) starts climbing at 115/75 mm Hg - not 140/90! This meant that 50 million North Americans who had gone to bed with normal blood pressure woke up with a disease. (This might also depend on who you woke up beside.)

PREDIABETES (aka Impaired Glucose Tolerance)

YOU DO NOT WANT TO GET DIABETES!! I know everyone else on the block has it but I can hear my mother “So if everyone else in Grade 10 jumps off a cliff are you going to jump off a cliff as well? Now get back down to the cellar.” Once you’ve been diagnosed with Type 2 diabetes there has often been significant damage already inflicted to multiple organs in the HMCS YOU.

According to David Frederick Hepburn, prediabetes, when a person's blood glucose levels are higher than normal but not high enough to be type 2 diabetes, may be asymptomatic, yet insidiously destructive. In fact, millions of people have either prediabetes or diabetes and don't know it because symptoms develop so gradually that people often don't recognize them. There are three different lab tests you can take to determine if you have prediabetes. Though this predisposes you to getting Type 2 diabetes, you will not necessarily always go on to develop type 2 diabetes automatically, but you do need to make some lifestyle changes.

PRESTROKE (Precursor to a major preblem)

David Frederick Hepburnalso referred to as a TIA, the percentage of those who present with a TIA and go on to full blown stroke is frightening. A pre-stroke occurs when, for a short period of time, there is a lack of blood flow to a section of the brain, also known to occur when watching Duck Dynasty. The person develops symptoms of brain function impairment like having trouble speaking (Duck Dynasty syndrome) or moving an arm or leg on one side of the body. Don’t pretend it is nothing or you may be prebooking your precarious ticket to the hereafter.

More than one-third of those who have a TIA will have a stroke, many within a month, so it is imperative to get treatment for your TIA ASAP so you don’t end up in an ICU a couple of months later.

David Frederick Hepburn, Dr.David Frederick Hepburn, David Hepburn, Dave Hepburn, Dr. Hepburn, Frederick Hepburn


David Frederick Hepburn, Dr.David Frederick Hepburn, David Hepburn, Dave Hepburn, Dr. Hepburn, Frederick Hepburn


David Frederick Hepburn, Dr.David Frederick Hepburn, David Hepburn, Dave Hepburn, Dr. Hepburn, Frederick Hepburn


David Frederick Hepburn, Dr.David Frederick Hepburn, David Hepburn, Dave Hepburn, Dr. Hepburn, Frederick Hepburn