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Mandatory check-list for annual medical examination: what should you pay attention to? What exactly is the "mandatory minimum program"?
The healthcare system initiated by Nikolai Alexandrovich Semashko, aimed primarily at disease prevention, is recognized as the best in the world. While many developed countries are currently implementing this system, in Ukraine, unfortunately, it is being simplified for various reasons.
In my opinion, one of the best ideas of the Semashko system was the annual preventive medical examination. Nowadays, we call it a check-up.
Medical check-up. Unfortunately, both individual doctors and some private clinics often abuse it, prescribing patients to undergo a full range of diagnostic services. However, today's financial capabilities dictate certain limitations.
I propose a mandatory check-list for examination:
Mandatory tests:
- Clinical blood and urine tests
- Blood tests for kidney and liver function, total cholesterol, and blood serum glucose. I recommend doing all laboratory tests on an empty stomach. Well, except for stress tests, but that's for another video.
- Radiological examination of the chest organs This can include: fluorography (as we are used to), digital radiological examination, X-ray, or computed tomography. Ultrasound examination should be conducted for the abdominal organs, thyroid gland, urinary tract, pelvic organs in women, and prostate in men.
- Electrocardiogram This is the "mandatory minimum program" of a medical check-up.
It should be noted that there are mandatory aspects that require attention: age, gender, and your previous illnesses. Taking into account your individual characteristics, additional laboratory tests and diagnostic procedures may be added. I recommend discussing this, as well as the results of your examination, with your family doctor.
Personally, I suggest taking responsibility for your health and undergoing an annual preventive medical examination.
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Today we’ll talk about colon cleansing. This is an important part of any successful performance of both the colonoscopy and any surgical intervention in the organs of the gastrointestinal tract. In general, every surgical intervention that requires anesthesia needs a colon cleansing.
There is a drug that I always recommend to my patients: Isiklin. This is a very convenient and easy-to-use medication. The kit includes a measuring cup for half a liter of liquid and two bottles of the medical substance that we are going to use. First, you decide what kind of preparation to carry out: one-stage or two-stage. Since I have an early surgery planned for tomorrow, I will be doing a one-step preparation, meaning I will be doing a full bowel cleanse tonight. If your operation is planned for the second half of the next day, then two-stage preparation is recommended.
What are we doing:
Open the lid and pour the contents into the glass. Then we add water and bring the level of the liquid to the half-liter mark. Now you need to drink it all. If you find it difficult to drink this amount at once, you can divide it into two parts and drink the other half after 15 minutes.
Since it's already 18 hours for me to take my medicine and prepare for tomorrow's surgery, I start drinking now. To make it easier on my body and reduce the psychological burden, I drink half of this glass and after 15 minutes I drink the next half.
Please note that Isyklin can only be diluted with water. It is not allowed to dilute it or wash it down with strong drinks or wine.
After I take the drug in two doses, after 15 minutes I will eat the broth, after the broth I will drink tea and juice. So in order for me to have a sufficient volume, I will need to drink an additional liter of liquid, and after that, accordingly, I will need to prepare at the same intervals, we will use a second bottle of the medicinal substance. We also pour it into this measuring cup, dilute it with some water and drink it in the same way. And we can additionally take just plain water for the second part of this preparation.
After this procedure, try to stay close to the toilet, as you will need it soon.
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Greetings!
Alla Korolevskaya is with you in this section “medicine in the patient’s language”.
The healthcare system aimed at disease prevention which was founded by Nikolai Aleksandrovich Semashko is recognized as the best in the whole world. Today it is being implemented in many developed countries but unfortunately, in the Ukraine, due to some reasons, it is not getting enough attention...
In my opinion, one of the best ideas of the Semashko system was an annual preventive medical examination. Now we call it a foreign word "check-up".
This medical check-up, unfortunately, is quite often neglected by both individual doctors and some private clinics, directing the patient instead to the full range of diagnostic services. This inevitably leads to limitations imposed by our financial capabilities.
I suggest a mandatory checklist for the examination:
- mandatory tests:
- clinical blood and urine tests
- kidney and liver tests
- total cholesterol and lipid profile
- serum glucose
I recommend doing all laboratory tests on an empty stomach (with the exception of exercise tests)
- X-ray examination of the chest organs (fluorography, digital x-ray examination, radiography, computed tomography)
- Ultrasound of the abdominal organs, thyroid gland, urinary tract, pelvic organs in women and prostate in men.
This is the “minimum mandatory program”. It should also be noted that there are points that require special attention: age, gender and your previous diseases. And taking into account your individual characteristics, it is possible to add additional laboratory tests and diagnostic procedures. I recommend that you discuss all this, as well as the results of your examination, with your family doctor.
I personally suggest that you take responsibility for your health yourself and undergo an annual preventive medical examination.
Alla Korolevskaya and the section MEDICINE IN THE PATIENT’S LANGUAGE were with you!
Stay healthy!
I embrace you with my heart!
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- Written by: Alla Korolevska
- Category: Medicine in the patient's language
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Hello, me, Alla Korolevska and my podcast "MMP" are with you.
When alcohol is too good in the evening, it's usually too bad in the morning - that's how parties that were too much fun end up. But what to do if you need to be in shape and quickly come to your senses in the morning? A hangover is not a sentence. There are methods that will help you cope with bad health.
Hangover: what is it and why does it occur? In essence, this is alcohol poisoning of the body. The amount that will be critical for each person is individual. The dose depends on the strength of the drink, the person's age, weight, gender, health and addiction to alcohol.
And it doesn't matter what kind of alcohol you drink - live beer, cheap vodka, fine wine or expensive whiskey - any drink contains ethanol, which is a poison, and if the safe individual dose is exceeded, it can become a poison and lead to severe hangover You should also pay attention to fescue oil poisoning, and if this is an interesting topic for you - leave a comment under this video - and I will devote a separate video to this topic...
It has already happened and there is a hangover...
How to regain a cheerful feeling of well-being and get rid of a hangover faster.
1st aid - to clean the stomach. This greatly shortens the time of illness and not everyone dares to do it, that is why modern pharmacy has invented magical medicines - enterosorbents. There are currently a lot of them: pills, capsules, powders, pastes... Enterosgel, Atoxyl, Eliminalgel, white charcoal, activated charcoal... All of them are effective and you can choose the most comfortable form of medicine for yourself. I'll just remind you that always use the rule of two hours before and after taking food, drinks and other medicines, because the enterosorbent itself should not bind them, but toxins... And the enterosorbent must be taken in a full therapeutic dose together with at least one glass water And during the next 2 hours, if you wish, you can allow yourself to drink plain table water.
And you can lie down.
The chief physician of a hangover is time. Yes, it drags on very slowly and there are few pleasant things... But still... Only with its course does the feeling of well-being improve.
So make sure you get some rest. Physical activity at this time will have a negative effect on health. Therefore, it is recommended to sleep more with a hangover.
They say that happiness loves silence, and a person with a hangover simply adores it). To relieve a headache, you can apply any frozen product wrapped in a bag and a napkin
Relief should come within 2 hours, and then you can begin to restore the water-electrolyte balance. Of course, you can take Regidron, Hydrovit, or choose dried fruit compote, the familiar Borjomi water, or strong sweet tea. Effectively work, but somewhat stimulate the secretion of the stomach and are therefore suitable only for those who do not have problems with the stomach: juice and puree or broth from home-grown tomatoes or cucumbers. It normalizes the pH level, creates optimal conditions for metabolic processes, and acts as a "natural energy booster", increases body tone and naturally cleanses the body.
peppermint tea or tea with cinnamon is great for nausea. Pour tea into a thermos in the evening in advance - you will thank yourself in the morning;
You can also chew a clove seed or take a tablet of metoclopramide or cerucal. Head and ear lobe massage with peppermint oil will also help. Or rub menthol ointment under your nose for colds to prevent nausea.
If in half an hour you already feel relief, then you can refresh yourself with chicken, rabbit, veal or turkey broth. Please note that when cooking it, you can safely add onions, carrots, white pepper, bay leaves, fennel seeds, and greens of boiling water and parsley and salt). According to patient reviews, beef broth works best.
Voila - you can say goodbye to a hangover...
But the next day it is still better to stick to a light diet, take a walk in the fresh, cool air.
However, there are symptoms that require medication.
There are several types of drugs that will quickly relieve the symptoms and bring the body back to normal. Hangover pills are divided into several categories, and all of them are needed during alcohol poisoning.
I reported earlier about sorbents and restoring the water-salt balance.
Recently, drugs of complex action have appeared. They comprehensively affect all the symptoms and quickly relieve the manifestations of alcohol intoxication. Such means include: Alko-sorb; Sorbimax; Alcodez, Medichronal; Alkoclin, which has proven itself well. However, it is better not to prescribe such drugs to yourself, as they are selected individually and may not be suitable for you. However, take any medication in advance with your family doctor.
Sometimes intoxication is so strong that a person needs emergency help. I want to remind you that you need to call an "ambulance" if there are signs of severe poisoning: namely
- unbearable headache;
- confusion and inability to answer questions;
- pain and a feeling of heaviness in the chest, the pain radiates to the left arm;
- too fast pulse;
- pale skin, up to blue;
- low body temperature;
- incessant vomiting when it is impossible to drink.
I wish you health!
The best doctors!
And trust!
I hug you with my heart!