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Tuesday, November 22, 2016

Hip Fractures: Most Elderly Unlikely to Fully Recover │ Your Spouse's Stress Could Make You Gain Weight │ Maybe Don't Take Calcium Supplements?

I'm not entirely positive now, but I think that I might have made it to bed last night before 11:30 p.m.

I may have had a couple of breaks in sleep overnight sufficient to see me take a visit to the bathroom, and I finally gave up trying to sleep shortly before 7:00 a.m.  My right nasal passageway was block up.

I found myself home alone ─ it's always a treat when both of my step-sons have gone to work.

It had begun raining fairly late last evening, and I reckon it likely did so all night.  It is now 3:06 p.m., and I doubt that it has stopped all day thus far ─ a steady drizzle.

I put in a lot more work on the post I wanted to get published today at my Amatsu Okiya website ─ I had been working on the post since Friday, I believe.  I could have had it published by 9:00 a.m., but I could not seem to satisfy myself with the content it had, and so I kept adding further references.

I think it was after 11:30 a.m. by the time I published it:  Memoirs of a Geisha Download II.

By then I was quite hungry, so I had a small meal; and then I started readying myself for the four-mile round-trip hike to the government liquor store at 108th Avenue & King George Boulevard in Whalley.

It was 12:37 p.m. by the time I had set off into the cold rain.

I nurtured the possibility of doing some grocery shopping on my way back home, so all I bought at the liquor store was a 750-ml bottle of rye whiskey.  Otherwise, I would have also bought at least six cans of beer.

And I should have ─ by the time I was nearing home, I decided against the shopping.  One of the things I had intended to buy was ground beef.  But then I wondered on the time, and realized that either of my step-sons might be back home after working a short day.

I would need to repackage the ground beef into meal-sized portions, and then hide it away deep in the freezer in our storage room.  I have to bury it away, or else it will get pirated.

But the storage room is achieved via my step-sons' den area, so if either lad is there, then I am unable to spirit it to the freezer and hide it away beneath the larder already there.

I had to accept that this sort of shopping must be done in the morning when I am assured of the essential secrecy of my enterprise.

Both of the lads are working and can afford their own food ─ and they have the luxury of a car to do their shopping.  I am not spending my pension money and trudging about the countryside just so they can sponge even further off me ─ neither regularly pays anything towards the mortgage, after all.

Or towards any of the other bills.

I guess I could have shopped ─ I was back home by 2:01 p.m. and the house was unoccupied.  But that didn't mean that either one of the two might not show up at any moment.

There is a possibility that their mother may be around this evening ─ I just don't know.  She had taken an evening flight on October 24 to Thailand, and either returned yesterday or will be returning today.

I have yet to hear from her if she is back already.

I have three photos I want to post, but first I must explain that the photographer ─ George ─ is one of the few people I am still in contact with from my time working in Vancouver for Transport Canada.

I started working in the department in September 1996 and transferred over to another department in very early August 2001.

George has always maintained contact via E-mail, even though we were never co-workers ─ he worked in a different branch of the department than did I.

Anyway, he sent me the following three photos showing the progress of his Christmas decorating at his Vancouver apartment.

This is his "unfinished balcony" ─ the photo appears to have been taken on November 5:


The next photo is his refrigerator ─ and the photo was time-stamped as having been taken on November 6:


And finally, his apartment door ─ this time, November 9:


I love his huge Christmas spirit!

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I think that we have all probably heard that a hip fracture for a senior citizen is usually negatively life-altering.

In a review, less than half of the seniors over the age of 65 who had suffered a hip fracture were ever able to regain the physical function that they had before. 

That almost sounds too positive to me, but here are a couple of reports on the study:

Consumer.HealthDay.com

Springer.com


That's only the abstract or summary ─ the general public has to purchase the whole article in order to see it.  Nevertheless, here is the final paragraph:
In conclusion, we found that older adults who sustain a hip fracture have low rates of returning to pre-fracture function, regardless of their previous physical function. Also, for patients with a high level of pre-fracture function, the likelihood of functional recovery is higher among those without dementia and with a low comorbidity burden. Given the low likelihood of older adults returning to their previous levels of physical function, usual rehabilitation care models should consider integration of supportive care services to meet the needs of older adults and caregivers.
NewMarketHealth.com has the following advice and tips:
It's quite clear that the best defense is a good offense. So first, here are some good ways to make sure you don't take that fall in the first place:
  • Check your meds: There are a large group of drugs that can affect your balance and make you dizzy. Ones such as antidepressants, sleeping pills, benzo drugs for anxiety and even OTC meds like Tylenol PM and Benadryl should be avoided. 
  • Watch your blood pressure: If you often find yourself dizzy when you stand up quickly or first get out of bed, go slow and wait until it passes before you get up. And while we're on the subject of blood pressure, another study out of Yale found seniors taking blood pressure meds had a giant 40 percent greater risk of a serious fall. So, if you're on one, check with your doc and make sure you really need it. 
  • Don't let new glasses trip you up: Stronger lenses, especially progressives (if you're not used to them) can easily cause a fall, so watch your step. 
  • Practice your balance: Start taking a yoga or Tai Chi class to improve your balance.
Not falling is obviously very important. But of course, despite our best efforts, anyone can take a spill. And that's where these three tips for strong bones can protect you from suffering a fracture.

Tip #1: Don't take proton pump inhibitors for acid reflux. These drugs, such as Nexium and Prilosec, are well known to increase your risk of a sudden bone break.

Tip #2: Add a high-quality vitamin K2 supplement to your routine. Vitamin K has been found to increase bone density and reverse bone loss! The only caution with K is that it can interfere with blood thinning meds.

Tip #3: Make sure you're getting enough vitamin D, either from sunshine or from a daily supplement. For most people, 800 – 1,000 IUs daily is considered the right amount – but if you're deficient or your immune system has been compromised, you may need more. 
That vitamin D3 recommendation seems low to me for the months when we can't soak up the sunshine.  I am 67 years old, and I presently try to take 2,000 I.U.s twice a day ─ each time I have a meal (I only eat twice a day).

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You might find this of interest.

A study has found that where couples aged 50 and more are concerned, if one spouse is chronically stressed, then the other spouse is liable to gain weight.  Please note, however, that it was projected that the same fate was probably the lot of younger couples, too.

If you find that somewhat intriguing, here are a few reports on the study:

Fusion.net

ScienceDaily.com

ConsumerAffairs.com

Consumer.HealthDay.com

A low marriage-quality score can also result in weight gain.  

But I would think that having a poor marriage would in itself be stressful for both partners, and not just one of them.  And if both were stressed, then the stress of each partner ought to be causing the other partner's weight-gain.

That's too weird ─ pondering it almost makes my mind go about in circles.

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Do you take a calcium supplement?  I don't; but many women feel they need to in order to prevent osteoporosis.

Well, here is a powerful ─ perhaps insurmountable ─ argument on why you should NOT be taking any calcium supplements:

DrMicozzi.com

There is also vitamin K2 that should be given serious consideration ─ the following is from Mercola.com:
There's a complex biochemistry that occurs with K2 involving two enzymes:
  • Matrix Gla-protein (MGP)
  • Osteocalcin
“Gla” is short for glutamic acid. Glutamic acid is imported into the cells in the wall of your arteries, where it binds to calcium and removes it from the lining of your blood vessels.

Once removed from your blood vessel lining, vitamin K2 then facilitates the intergration of that calcium into your bone matrix by handing it over to osteocalcin,. The osteocalcin then helps cement the calcium in place.

Vitamin K2 activates these two proteins. Without it, this transfer process of calcium from your arteries to your bone cannot occur, which raises your risk of arterial calcification.

"Vitamin K2 is like a light switch—it switches on MGP and osteocalcin, which takes calcium out of the arterial wall and keeps it in the bone.

There's so much information showing this relationship between osteoporosis (not having enough calcium in your bones) and having an increased incidence of heart disease. What's actually happening, I think, a lot of patients are vitamin K2-deficient," Dr. [Dennis] Goodman says.

So now, I tell all patients – especially when they have risk factors for calcification – ‘You’ve got to get vitamin K2 when you take your vitamin D, and your calcium, and magnesium.’ Because we need to make sure that the calcium is going where it’s supposed to go.” 
Vitamin K1 ─ the version available in green leafy plants ─ can exacerbate the effects of blood thinners, so a consumer on blood thinners has to be very cautious.

By the way, I don't understand why Dr. Micozzi is so skimpy with his vitamin C recommendations.  Just 500 milligrams per day?  

I usually take 2,000 milligrams per day.
  
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My youngest step-son Pote phoned me around 3:50 p.m. to ask if I wanted some samosas.  He can be thoughtful.

I declined, since I had already had my first meal of the day, and would not be eating again until possibly 8:00 p.m.

But I asked him about his mother.

She did indeed get back to Vancouver from Thailand yesterday, but is still feeling drained from the flight and drastic time change.  

She is going to try and show up tomorrow.

I close now with a journal entry from 41 years ago when I was 26 years old, and living in a basement housekeeping unit in New Westminster.

I was renting the small affair in a house located on Ninth Street at Third Avenue.

However, on this day, I was at the home of my younger brother Mark and his girlfriend Catherine Jeanette Gunther.  They lived on Bentley Road in Whalley.

I had hiked over there the previous evening because they had gone to Calgary, and they needed me to tend to their German shepherd Daboda, who was generally chained by the front door stairs.

I think that I wrote the entire entry at my room in two sittings, judging by how it reads.

I was planning to visit my father Hector, who was then living with his girlfriend Maria Fadden in an apartment at 6038 Imperial Street in Burnaby

So I probably wrote the first half of the journal entry when I stopped in at my room on my way to visit them; and then I finished the entry when I returned to my room after the visit.

Keep in mind that although I do not say as much, it is very possible that I walked from Whalley to my room in New Westminster; and then I walked the rest of the way to my father's apartment.

And then I likely walked back to my room after the visit.
SATURDAY, November 22, 1975

I stayed up last night till ─ and I'm guessing ─ at least 10:00 p.m.; I ate as well, ridding myself of the day's depressions and insecurities.

I arose this morning about 6:00 a.m.

I doubt I'll do much in the way of exercise till Mark & Cathy return and I get back home; too, I shall be amassing calories as well; I may be there as long as a week.

I sure wish I could have for myself the peace a private residence with all the conveniences can offer.

I am going to dad's, taking mom's delicious honey loaf bread and the Sunny Jim peanut butter.

Mark's note said to help myself to a dozen home-made beers that turned into something tasting like a cider; I've already had 4.

Well, dad & Marie were home, and sober.

They raved over the taste of the bread.

I ate very heavily there at supper; a chicken stew with a huge pot of potatoes on the side.

I enjoy my sober father's company very much.

I gave him Frank Edwards' "Stranger Than..."-type book, and also lent him $2.

I deem my time there well spent.

Marie was sleeping when I left shortly past 5:00 p.m.

I am now going to head back to Mark's, stopping in at Bill's for my brush if he's home, and perhaps even a ride.  
It was entirely possible that no one would be home at my father's apartment ─ it could have been a trip for naught.

Or the pair might have been on one of their alcoholic binges ─ I never knew what to expect when I showed up.

My old friend William Alan Gill lived in a bachelor suite three or four blocks from my room.  We usually got together on weekends.  And since it was Saturday, if he was home he would be very keen on driving me over to Mark's home.

I had left my hairbrush in either his car or his apartment a couple of nights previously  I had quite long unruly hair, and possibly a bit of a beard, so that brush was important to me.

Apparently I will have to await tomorrow's entry to see if I had to walk back to Whalley, or rode with Bill.  I do not read ahead in these journal entries ─ I enjoy the surprises the journal often yields.
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