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14 Adar I 5765 - February 23, 2005 | Mordecai Plaut, director Published Weekly
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Home and Family

Your Medical Questions Answered!
by Joseph B. Leibman, MD

Director, Emergency Services, Bikur Cholim Hospital

Women's health is always a hot topic. While I will write on women's health, it is not on diseases that afflict only women. I found a very important article in the Lancet (11 Oct. 03) that deals with the biggest killer of women worldwide.

What are we are talking about? Heart disease and stroke. It kills more than twice as many women as all cancers combined. And they are more likely to die of heart disease than men. Actually, most of these deaths are not in developed countries because of lack of resources.

I will first focus on prevention. Women have to stop smoking too, but as in our religious culture, many cultures worldwide do not have high percentages of women smoking. Same goes for drinking.

However, secondhand smoke can be just as dangerous, so we men must help out. Eating well and losing weight, though, is key — as well as exercise. If you didn't do these as a girl, you won't do them as an adult.

Women who do have these diseases are more likely to be misdiagnosed, be sicker and not get the right therapy. Often the symptoms are in older ladies which are vague, and often the EKG does not show the same signs as men since female hearts are smaller and do not show difference in the EKG as well. Doctors also are misinformed and recommend preventive steps less to women then men when it comes to heart disease and stroke.

The best thing for all of us is to advertise these facts and make a serious combined effort to make the necessary lifestyle changes. For the record: everyone — men and women — should have their first EKG at age 35 and have annual checkups every year after age forty. Be well. Write me in care of the Yated.

A message from GlaxoSmithKline, sponsor of this column. Avandia gives long-lasting protection without dangerous lowering of blood sugar for diabetics. It often works where other pills have failed. You may not need injections — try Avandia.

 

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