Tag: medcine

Categories
General

Epilepsy, the untold truths.


Good morning and welcome back to my blog!

Today, I will be sharing with you the Untold stories about Epilepsy and this was triggered after a 59mins chat with my friend who is Epileptic.

I’ve known her for years but I last saw her over 10years ago.

On seeing her 2 days ago… We chatted for a while. She asked me a lot of questions concerning health and most importantly EPILEPSY.

She is 31years old . Her first Seizure was at 27years. Prior to that, she never had a seizure.

In her words: “I had a misunderstanding with my mother in- law and she threatened to deal with me. Few days after that I started having seizures. Whenever it happens, I fall on the ground, drooling saliva and urinating on my body. No one comes close to me because they believe I will spread it to them. Look at my body Ola, I’ve scars all over from the frequent falls. The other time I woke up naked infront of my house. No body tried to cover me up. Everyone avoids me like a plaque even her husband. Then she broke down in tears.

At this point, my whole body was in shock. I still didn’t believe in 2020 people still think this way. Ignorance at it’s peak

So I tried to pacify her. Then asked her these questions:

  • Does it give you signs before it starts?
  • How long does it last ?
  • Have you seen a Doctor?
  • Any history of seizure in your family?
  • How frequent does this happen in a week?

She has never visited the hospital for it. But has been to over 15 prayer houses. It normally gives her a sign (aura) which is Abnormal taste, which precedes the seizure with 10-15mins. The frequency varies ,could be as much as 10 times in a week to as low as twice in 2 weeks.

So I tried to debunk some of the myths /misconceptions about Epilepsy.

Misconceptions about Epilepsy (myths)

  • Epilepsy is demonic or caused by village people
  • The saliva of the person is contagious
  • You should put a spoon or metal in the mouth to prevent clenching of the teeth
  • Crude oil is needed in children. It is not spiritual
  • People with Epilepsy are disabled
  • You can swallow your tongue

These are all false

EPILEPSY


Epilepsy is a disorder characterized by recurring seizures (also known as “seizure disorder”)

A seizure is a brief, temporary disturbance in the electrical activity of the brain.

That one had one episode of seizure/convulsion doesn’t make her /him Epiletic. It has to be recurrent before the diagnosis of epilepsy is made.

What causes epilepsy?

Electrical storm in the brain

All brain functions — including feeling, seeing, thinking, and moving muscles — depend on electrical signals passed between nerve cells in the brain

A seizure occurs when too many nerve cells in the brain “fire” too quickly causing an “electrical storm”

In about 70% of people, the cause is not known.

In the other 30%, causes include

  • Head trauma
  • Infection of the brain
  • Brain tumors
  • Stroke
  • Hereditary
  • Factors that disturb brain development

Symptoms of Seizures

– Periods of blackout or confused memory
– Occasional “fainting spells”
– Episodes of blank staring
– Sudden falls for no apparent reason
– Episodes of blinking or chewing at inappropriate times
– A convulsion, with or without fever
– Clusters of swift jerking movements of the body that may involve the both the hands and/ or legs or any other part of the body

Diagnosis

This involves patient’s history and interview of eyewitness(es)

  • Examination
  • Tests : blood, EEG, CT-scan etc

Treatment

The aim of treatment is to help these patients lead a productive life. Treatment could be

1. Medication
2. Surgery
3. Nonpharmacologic treatment:
Ketogenic diet
Vagus nerve stimulation
Lifestyle modifications

With appropriate treatment and strict adherence to treatments, the seizures can be controlled. Some patients even go for so many years seizure-free.

Complications that arise when not treated:

– Seizures can be potentially life threatening with brain failure, heart and lung failure, trauma, accidents
– Sudden Unexpected Death in Epilepsy (SUDEP)
– Even subtle seizures can cause small damage in brain
– Long Term problems like fall in IQ, depression, suicide, Social Problems, poorquality of Life

Things that trigger seizures

If you’re epileptic or knows someone who is. These are some factors you must know

  • Missed medication (Number one reason)
  • Stress
  • Anxiety
  • Hormonal changes
  • Menstruation
  • Dehydration (not taking enough water)
  • Lack of sleep
  • Illicit drugs
  • Alcohol
  • Certain drugs
  • Fever in children

DANGEROUS THINGS YOU MUST AVOID

Don’t restrain person having a seizure
Don’t put anything in the person’s mouth
Don’t try to hold down or restrain the person
Don’t attempt to give oral antiseizure medication
Don’t keep the person on their back face up

Don’t put crude oil or palm kernel oil into the baby’s mouth. This can lead to aspiration and dearg ev

Safety Concerns

Epileptics can’t engage in these activities as long as seizures are not controlled.
However, most will advice them to stay away until 2years after the last seizure

Do you agree with me that most Road traffic accidents are probably due to an Epileptic driver?

1 Driving: a person with epilepsy must be free of seizures that affect consciousness for a certain period of time.
2. Climbing altitudes
3. Swimming/ Bathing alone
4. Operating heavy machinery or weapons that can be dangerous
5. Cooking, hot water (very common ensure you’re making your medications and always stay away from fire)
6. Taking care of babies

Safety concerns

“…I just need everyone to remember that things happen for a reason, and that we will cope with whatever comes our way. It is okay zeèßae1qnot to like it, as seizures aren’t fun and can be scary.

Epilepsy doesn’t have to rule our lives — as long as we have people who will listen to us, believe us, and give us honest answers.”___Dr Shahin Nouri

Thanks for not sleeping on me☺️. Please do well to share. I feel there’s need to raise more awareness on this. See you in the comment section

Categories
Cancers

PANCREATIC CANCER; THE SILENT, THE AGGRESSIVE, THE FATAL


If you use an iPhone, iPod or iPad, then you must know Steve Jobs the former chief executive officer (CEO), and co-founder of Apple Inc. who died on October 5, 2011 aged 56 years.

Steve Jobs

He was quite wealthy and, no one would expect him to die at such a young age. This confirms the saying that “money can not buy life”.

Nevertheless, his death can not be entirely attributable to the disease, but he displayed a level of ignorance for one of his calibre. He was diagnosed with Cancer and refused treatment for 9 whole months and, rather sourced for alternative healthcare. That was tantamount to Suicide(wikipedia).

Today, I want to create awareness of this dangerous disease. One of the most aggressive cancers. In fact, like one of my teachers would say, it is one of the fastest ways to die. Gives no prior notice, it just hits and death is in weeks.

Overview of the Pancreas

The pancreas is one of the organs in the body responsible for the secretion of some enzymes, hormones like Insulin which helps in carbohydrate metabolism and utilization. It is located in the abdomen.

Cancer of the pancreas

Cancer of the pancreas is on the rise. It’s a very aggressive tumour and it occurs quite frequently in West Africa. Most patients present with advanced disease.

The peak age of occurrence is 65-75 years. However it has been found in much younger age (Steve was 45 years when he was diagnosed in 2003)

Risk factors

It has a familial background in 10% of patients. With those with at least first two relatives with ca Pancreas, the risk increases by 18-57 fold!

Chronic pancreatitis: This is the inflammation of organ. And the principal cause is Chronic alcohol abuse

Cigarette smoking

Diets rich in fat and protein

Diabetes Mellitus (it occurs twice as frequently in diabetics as in the general population)

Presentation

  • Loss of appetite and unexplained weight loss of about 11kg over a few weeks are usually the first and most constant symptoms of this cancer.
  • Pain is prominent in 80% of cases. It is characteristically a dull ache,  located in the centre of the upper part of the abdomen (epigastrium) which is felt more severely while lying flat with head up (supine). Ache is also aggravated by food intake, or the pain may just be a persistent back pain.
Persistent back pain
  • Jaundice (Yellowish discoloration of the eyes) is the 3rd most encountered symptom occurring in over 75% of cases.

These are the 3 main symptoms. Others may include

  • Diarrhoea, retching and vomiting
  • Liver enlargement which may be as a result of spread to the liver
  • Though rare, but there could be psychiatric manifestations like depression and paranoid psychosis.
  • Passage of blood in stool or dark coloured stool.

Once any of these are noticed, please see a physician fast.
The prognosis of this cancer is poor and there are some available screening tools (tumour markers).

Diagnosis

A high-resolution abdominal ultrasound scan or CT abdomen (with contrast) are readily available for picking out this cancer.

Treatment

Surgery and chemotherapy. Patients with jaundice need operative treatment without delay (Steve refused this for complete 9months. Who knows maybe he would have survived because he had a milder variant of this cancer, not the most aggressive types). Jobs was first diagnosed in 2003, he chose to pursue alternative therapies, including acupuncture, herbal, diet and fruit juice therapy and spiritual consultations. Many of these therapies he found on the internet. An act he regretted till death(wikipedia). Please don’t be like Steve.

The prognosis is poor. But with early intervention after surgery, median survival is about 11-20months and without surgery 6months. Contrary to what some believe, pancreatic cancers can be treatable. Early detection of the disease greatly contributes to the likelihood of successful treatment. Unfortunately, pancreatic cancer can be difficult to detect in its early stages when treatment has been known to be most successful. In addition to pancreatic cancer treatments such as surgery and chemotherapy, new clinical trials are being conducted every day to help combat advanced-stage disease.

Prevention

1. Adequate medical check up: U.S. Supreme Court Justice Ruth Bader Ginsburg who died on September 18, 2020 at age 87 due to complications related to pancreatic cancer. She was first diagnosed with early stage pancreatic cancer in 2009. She had no symptoms of the disease at the time – it was discovered during a regular checkup. She was an inspiration to cancer fighters.

Justice Ruth Ginsburg

This shows that the importance of regular medical check up can never be over-emphasised

2. Avoidance of alcohol and cigarette smoking

3. Health diet: A healthful diet can contribute to maintaining a healthy pancreas

Disclaimer: This isn’t for diagnostic purposes.