What If You Could Remember Your Past But Could Not Make New Memories?

When you hear the word amnesia, what comes to mind?

Someone who wakes up and can’t remember their own name?

That’s what movies have taught us 😃

But real-life amnesia is often very different.

Many people with amnesia **know exactly who they are**.

The real problem is that they may struggle to make new memories, or they may lose memories of things that happened before an illness or injury.

Some of the conditions that can affect memory?
Stroke.
Severe head injury.
Alcohol-related vitamin deficiency.
Brain tumours.
Even emotional trauma.

And one question I’m often asked is:

Is there a drug that cures amnesia?

In today’s post, we’ll explain what amnesia really is, what causes it, why it happens, and what treatment can and cannot do.

Q: Happy new month, Drug prescription for amnesia?

A: Amnesia refers to the loss of memories. People with amnesia know who they are but have challenges learning new information or forming new memories.

What are the causes? They are many and diverse because brain function is controlled by many parts of the brain, such than any problem with one area affects memory. There are 3 types of amnesia:

Neurological amnesia– this is due to damage to the brain and can be caused by conditions such as those listed below:
Stroke
Inadequate oxygen supply to the brain in conditions like a heart attack
Thiamine deficiency from long-term alcohol use
Tumors in the areas of the brain associated with memory
Seizures

Permanent amnesia from severe head injuries resulting from incidents like road traffic accidents

Dissociative amnesia is from emotional shock or trauma. Person involved, may lose personal memories but usually only briefly.

People at risk of amnesia are those who are suffering from or had suffered any of the conditions listed for neurological amnesia

Two main features of amnesia are:

Retrograde amnesia, in which the patient cannot remember previously familiar information

Anterograde amnesia which the patient cannot absorb new information

Additional symptoms may include creation of false memories and confusion

To prevent amnesia:
Avoid excessive alcohol use.
Wear protective head gear when bicycling and a seat belt when driving.
Treat infections quickly to prevent spread to the brain.
Get treated immediately in the event of a stroke

You asked about drugs for treating amnesia. Unfortunately, there are none for now. However, if amnesia is caused by lack of thiamin, then replacement therapy is sufficient treatment.

Generally, treatment focuses on the memory problem and underlying diseases.

Technology can play a huge role here, sending out messages to remind patients of certain key activities
Occupational therapy, is also useful and could involve memory training.

I hope this helps! 😀

Before today, what did you think amnesia meant?

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Smoke In My Eyes!

Doctor, it feels like there’s smoke in my eyes.

That’s how many people describe it.

Others say their vision suddenly becomes blurry… cloudy… or as though they’re looking through a dirty window.

Most assume it’s just tired eyes; and sometimes it is.

But sometimes, it could be your eyes warning you about something that needs urgent attention.

The good news?

Many of these conditions can be treated, especially when they’re detected early.

In today’s post, we’ll explore some of the common causes of blurry or cloudy vision, why you shouldn’t ignore it, and when it’s time to see an eye specialist.

Q: Please Dr., what causes eye pain like feeling as if there is smoke?

A: Cloudy vision is a situation in which objects appear milky and ‘veiled’. It is oftentimes used interchangeably with blurry eyes. Blurry, cloudy or even double vision can be seen in disease conditions like:

• Cataract: This is a cloudy area on the lens and can lead to cloudy vision. If not taken care of, they can cause vision loss to the point of blindness. And yes, excessive exposure to sunlight increases your risk of having this condition.

• Near sightedness (myopia) can lead to blurry vision with associated headache and eye strain.

• Far sightedness (hyperopia) can also result in blurred vision when looking at close objects.

• Glaucoma, a condition in which there is increased pressure in the eye

• Diabetes Mellitus in which there is damage to the retina (light sensitive layer) of the eye

• Astigmatism in which there is blurred vision up close and at a distance.

• Pregnancy and migraine headaches are also causes of blurred vision.

This is by no means, an exhaustive list!

Please revisit the hospital and this time, see an ophthalmologist (an eye doctor) who will carry out a detailed eye exam. This should help make a definitive diagnosis. Treatment depends on cause: Cataract requires surgery and replacement of cloudy leans with a clear one; hyperopia, myopia and astigmatism are treated with either contact lens, eyeglasses or refractive surgery etc

Enjoy the rest of your weekend, y’all 🙂

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Your Baby May Be Drinking…But Still Leaving Hungry!

My baby is always hungry. I don’t think I’m producing enough breast milk.

If you’ve ever thought this, you’re not alone – it’s one of the commonest worries new mothers have.

But here’s something you need to know – not all breast milk is created equal. 😃

The first milk your baby gets during a feed (foremilk) is different from the richer, creamier milk that comes later (hindmilk).

If your baby doesn’t stay on the breast long enough, they may quench their thirst—but still be hungry afterwards.

That can make you think your milk supply is low… when the real issue is something else entirely.

Today’s post explains:
Why babies feed so often
Why breast milk is usually enough
Why babies don’t need extra water during exclusive breastfeeding
The difference between foremilk and hindmilk
A simple feeding tip that could make all the difference

So, before you reach for formula or water because you think your milk isn’t enough…read this.

Over and over again, I have had breast feeding mothers tell me that they don’t make enough breast milk to feed their babies. Or they would say, their babies get hungry too often and so it is difficult to keep up with the crazy schedule of ‘feeding on demand’ that breast feeding requires of you.

Breast milk is very important to new born babies and really no child should be deprived on the many benefits of breast feeding exclusively. There are some mothers who, by reason of specific health conditions, cannot breast feed their babies. However, the greater majority of mothers are able to make enough breast milk to keep their babies satisfied.

Here are our top five tips for breast feeding properly:
Patience: You’ve got to have loads of it. Sometimes, your baby feeds and then stops a bit just to gaze into your eyes. Give him/her the time needed to bond with you.

There are two types of milk in the breast milk: the fore and the hind milk. You have to be sure that your baby gets both during each feeding session.

Give the fore milk to quench thirst. The fore milk is mainly water and low in fats. If you observe, it’s bluish in colour. Its high water content is the reason why you don’t need to give your baby extra water. It’s also rich in protein, carbohydrates and vitamins.

Be sure to give the hind milk. Now, if you finish giving just the fore milk and stop, the baby will be hungry thereafter as she has essentially only taken water. The milk that comes after the fore milk is thicker containing fats and has a whole lot of calories. The baby needs this to be very well nourished and to satisfy the hunger pangs. The longer a mother waits between meals, the more foremilk is produced and it takes your baby that much longer to get to the more filling hind milk.

Let your baby feed on demand and each session should last until the breast ‘feels’ empty. I say ‘feel’ because the breast never really empties out After this, change to the other breast.

Remember that breast milk is the best and cheapest food for your baby. It also helps fortify your baby against diseases…so, now you have the right tools to get this done right.

Did you know breast milk changes during a single feed?

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I Found My First Grey Hair…And Everyone Blamed Stress!

Sound familiar?

The truth is, stress gets blamed for almost every grey hair that appears but that’s only part of the story.

Did you know that:
Grey hair can run in families?
Some children develop grey hair too.
Sometimes early greying may be linked to conditions like vitamin B12 deficiency, anaemia, or thyroid disease.
And in many people, it’s simply written in their genes.

So…can grey hair be reversed?

Or is colouring it the only option?

Today’s post explains why hair turns grey, what “premature greying” really means and when you should see a doctor. Read!

Q: Good evening Doc. Please, can you explain what causes early greying of the hair and what can be done to reverse it? Thanks

A: Hmmm, this is a question we all wish we had answers to!

I noticed my first smattering of grey hair some years ago and because I had just taken on a new role with loads of responsibilities, everyone believed it was due to stress. I think my hair dresser noticed it before I did 😄 She wanted to pull it out (it was just a single strand at that time) but I was having none of it 😀 I wanted it right there. I felt it was my badge of honour; it spoke to things I had been through and conquered. And so, I kept it…and it has now become a smattering of about 50 grey hair right in front of my head! But that’s me…everyone else thinks this is strange 😉 But right from an early age I have always admired people with grey hair.

Now, enough about me and my weird fascination for grey hair!

Back to the question….

Most people don’t like grey hair as they believe it makes them look old. It is a natural process of life and at some point, we would all have grey hair…some earlier than others. Hair usually has the colour it does because of pigment-producing cells at the root of the hair follicles. Over time the follicles produce less pigment causing the hair to go grey. In other instances, naturally occurring hydrogen peroxide can build up in the hair, bleaching it.

The major cause of grey hair is getting older. This would usually occur around mid 40s for black people, late 30s for Asians and mid 30s for Caucasians. Premature greying happens before these ages and can occur even in children as the hair pigments just stop making pigments. This may not necessarily be associated with any medical condition. Genes play a role here and it could just happen. However, in some situations premature greying can happen due to anaemia, vitamin B12 deficiency, a condition known as vitiligo, thyroid problems etc. So, you could get a doctor to check if you have any of these underlying conditions. Treatment of these conditions may help.

In other instances where a patch of hair just turns grey(poliosis), it could be due to the immune system accidently destroying pigment cells in a particular area of hair or due to genetic disorders. It could happen in children born without pigment cells in a particular area of their hair.

Is there a treatment? Not really. So you can work with a hair stylist colour your hair (permanently or semi-permanently), put in highlights or just style creatively.

You can go short and sport a nice trim hair cut that shows off your grey or ensure you have it looking nice and sleek….just like a woman I saw in church all those years ago! Sigh…she looked so distinguished! There I go, drooling again…😄

So, that’s it! No reversal…it’s just mask it or rock it 😀

At what age did you notice your first grey hair? Or are you still waiting? 😄

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Expired… Or Not?

Your blood tablets expire in 2 months.

Do you:

A. Throw them away immediately?
B. Keep taking them?
C. You’re not even sure what the expiry date means?

If you’re like most people, you’ve probably done at least one of these.

Many people don’t actually understand what an expiry date means or the difference between “Expiry Date,” “Use By,” and “Best Before.”

And when it comes to medicines, getting it wrong can affect both safety and effectiveness.

In today’s post, we’ll answer a common question:

“If my medicine expires in two months, can I still take it?”

We’ll also explain:
What expiry dates really mean
When medicines should be thrown away
Why storage matters
The warning signs that a medicine may no longer be safe

Before you take your next tablet or throw away that old medicine read this.

Q: Please Dr, can I still take any drugs that will expire in two months’ time (Blood tablet)?

A: Thanks for writing in.

Very good question! This is something we all take for granted. But what does the expiry date mean? If this is referred to in another way, does it mean the same thing?

There are a couple of controversies about whether medications are completely bad when they are expired or whether they can still be taken with no problems. We will not delve into these controversies and will focus on what you should do.

The expiry date refers to a particular date beyond which the medications may not be safe to use anymore and when they may be only partially or not at all effective. These dates are usually seen on the packaging or label of the medication, usually put there by the manufacturer of the medication and goes by different nomenclatures: expiry, expires, exp, use by, use before, exp date etc

All medications should be stored properly; usually away from sunlight in a cool place. Once the expiry date is past, do not use it. If it is still within the useful date (before expiry date) but looks and/or tastes and/or smells funny/different, please discontinue use until you get this checked out by your doctor or pharmacist.

If a medication has ‘expiry date’ of July 2017, this means ‘do not take this medication beyond the last day of July, 2017’

If a medication has a ‘use by, use before or best before date’ of July, 2017, this means, ‘do not take this medication beyond the last day of June 2017′

This is also helpful when assessing the expiry dates of foods etc.

So, if your medications are due to expire in 2 months, smell, taste and/or look normal, have been stored properly, it’s probably okay to take them. Where in doubt, please consult your doctor or pharmacist.

I hope this helps.

Be honest: Have you ever checked the expiry date on a medicine before taking it? 😊

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Want Whiter Teeth?

How Can I Whiten My Brown Teeth?

Q: Hello Dr Ketch. I appreciate your efforts to see that people stay healthy. My question: is there anything that one can do to make ones brown teeth to be white again?

A: Thanks for writing in. Brown teeth can be embarrassing. Smoking, drinking coffee, wine, tea etc can cause this. Generally brightly coloured foods like some candies, berries and sauces also have the potential to stain teeth if they are left on the surface long enough.

To prevent these stains, try the following tips:

Avoid or significantly reduce the amount of these fluids or foods in your typical diet.

If you can’t avoid them, then reduce the amount of time the foods or fluids have contact with your teeth by chewing and swallowing promptly. Yes, I know I’ve said you should chew intentionally so that your tummy has the chance to receive signals from the brain which tell it that it’s full 😀 But, in this instance, we’re trying to choose the lesser of two evils 😀

Use straws. These will ensure that the fluids get little contact time with your teeth.

Learn to swish your teeth with water after you’ve taken any of these foods to ‘wash’ away the residue of the stain-causing foods.

As for what to do if you already have stained teeth, I reproduce one of my posts on that subject:

There are easily obtainable teeth whitening tooth pastes. They help remove surface stains that may be caused by coffee or nicotine.

When whitening paste is used at least twice a day for a period of time between 2 to 6 weeks, significant results are seen. However, care has to be taken to ensure that these pastes are used according to the manufactures’ instructions otherwise, they can cause erosion of the enamel of the teeth.

Please note that the whitening tooth pastes do not alter the natural colour of your teeth and by extension are not also useful, if the stain is deeper than the surface of your teeth! 😀

Whitening strips and gels are also available. Apart from all these, there are a couple more sophisticated treatments available from the dentists’. So check with yours.

Beyond all these, please don’t forget the place of regular brushing of teeth in the maintenance of a bright and gorgeous set of teeth.

Fruits like apples and strawberries actually contain substances that help whiten the teeth. So, just like the doctor ordered…an apple a day, keeps the doctor (and the dentist 😃) away.

A DIY (Do It Yourself) solution is to mix the juice of one lemon with one or two pinches of baking soda. Then dip a cotton ball into this and leave this on your teeth for 1 minute ONLY! Yes, I had to scream that for emphasis 😀 If you leave it longer than that, the lemon juice can lead to the erosion of the enamel. So, if you can’t manage this, please just see your doctor who will suggest other solutions too or get it done for you professionally.

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Why Are Your Eyes Looking Tired?

I sleep well every night, so why do I still have dark circles under my eyes?

Most people immediately blame lack of sleep.

But dark circles can be caused by much more than burning the candle at both ends.
Allergies.
Sun exposure.
Frequent eye rubbing.
Alcohol.
Ageing.
Even your sleeping position.

And here’s the one that is surprising: Sometimes dark circles simply run in families. Whaat?! This could be in my genes?

In today’s post, we explore the surprising reasons those dark shadows appear under your eyes, what you can do about them, and when it’s time to see a doctor.

Before you spend money on expensive creams and concealers, read this.

Q: Good morning doctor. I have dark circles round my eyes. It first started to show when I moved to a very sunny environment and sometimes my eyes itch a lot and as a result of scratching it might swell. I don’t know whether to see a doctor. It makes me lose confidence.

A: The skin around the eye is very thin and as a result, any movement of fluid in or out of the area is very visible there. Typical examples are the dramatic sunken eyes when one is dehydrated (maybe from stooling) and the equally ‘gossip-worthy’ swollen eyes after a night of crying

Usually in the body, fluid would move from an area of low salt concentration to an area of high salt concentration (osmosis). After crying, your salty tears are an attraction for fluids, which move from areas of low salt concentration to accumulate there. On the other hand, going on an alcoholic binge (drinking till you drop) causes dehydration with the accompanying sinking eyeballs.

Now dark circles may be ‘false’ and just look that way when puffy eyelids cast shadows on the area or due to sunken eyeballs as people age. Real dark circles however, may occur due to the reasons already mentioned above and others such as prolonged bouts of crying and sleeping with make-up on.

Treatment will be based on the cause. If it’s due to a cold or allergy or sinus problems, when these are taken care of, then the symptoms will disappear. Modification of lifestyle habits like removing all make-up at night, wearing sunglasses and using sunscreen when out in the sun, changing sleeping positions by sleeping on your back (if possible) or elevating your head with more pillows and leaving alcohol and your eyes well alone (no scratching and rubbing of eyes!) may also be helpful.

Quick fixes for these bags include using concealer or even foundation to cover it up. Using cucumber slices on your eyes or teabags are also helpful as short term measures. By the time you hit your 30s, you really should invest in a good eye moisturizer because this is the first place to show the sign of aging

Other solutions include surgery and injection of fillers etc.
Remember that no matter how many concealers, surgeries, moisturizers et al you use, if you don’t rest and avoid fatigue, you’ll just be throwing money down the drain.

If these circles persist, however or seem to be just under one eye, please see your doctor or dermatologist for more advice.

So, as you all start contemplating where to hang out next weekend, be sure not to show up at work with the ‘telling’ bags under your eyes on Monday.

Have a great week ahead, family! 😀

Hugs!

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Memory Problems Don’t Start In The Brain…They Often Start On The Plate.

If I gave you a pill that could help protect your memory, improve focus, and support brain health as you age, would you take it?

Most people would say yes.

But what if I told you that some of the most powerful brain-supporting choices are probably already sitting in your kitchen?

According to Harvard Health, there is no single “magic brain food.” However, research suggests that certain foods may help keep your memory sharp, improve concentration, and support overall long term brain health:

1) Green leafy vegetables – Efo, Green, Ugu, Spinach etc

2) Fatty fish – Sardines, Catfish, Mackerel (Titus), Herring (Shawa), Bonga fish etc.

3)Tea and coffee – in moderation!

4) Walnuts, including African walnuts (Ukpa)

5) Berries – Strawberries, Blueberries, Raspberries etc. But if you don’t have access to these or they are too expensive for you, these fruits have antioxidants that support overall brain health – Watermelon, Oranges, Tangerines, Guava and Pineapple.

The fascinating part? These are the same foods that help protect your heart and blood vessels. And what’s good for your heart is often good for your brain too.

So before you spend money looking for a miracle supplement, take a look at what’s on your plate.😃

For more details, check out https://www.health.harvard.edu/healthbeat/foods-linked-to-better-brainpower

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Stop Buying Shoes That Hurt!

Have you ever bought shoes and then found later that they appear quite tight…and despite everything the salesperson had told you about how the shoes will ‘expand’, it’s just not happening? (Side note – If they don’t fit in the store, they won’t fit in your life!😄)

Or perhaps, you find that when you buy shoes for your children the same happens and so, you are now consistently buying ‘Obi’s big shoes’ 😀 Well, this article is for you. Came across it in the Harvard journal and it tells you when to buy and how to buy!

1) Did you know your feet are actually bigger in the afternoon? Never shop for shoes in the morning; wait until they swell in the heat! 😃

2) One of your feet is likely bigger than the other – measure both every single time!

3) Always buy the size that fits your larger foot, or you’re inviting pain! And callouses! And corns! 😃

4) You need a half-inch of space for your longest toe, not a tight squeeze! Even if it’s leather (Italian or otherwise)!

5) Sizes vary by brand – try out the shoes even if you ‘know’ your size. Trust your comfort, not the number on the box!

6) If you need socks for your shoes, wear your actual socks to the store; don’t guess the fit!

7) While wearing your shoes, feel inside for rough seams; if it’s scratchy now, it will definitely form a blister later!

8) Turn the shoes over – if the sole doesn’t cushion a hard floor, your knees will pay for it! Walk around in the shoes before you buy to confirm this.

So, bear these tips in mind the next time you go shoe shopping.

Have a great weekend!

Harvard Health article – https://www.health.harvard.edu/pain/8-tips-for-buying-shoes-that-are-good-to-your-feet

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Love Should Not Be Blind!

Today is World Sickle Cell Day. To commemorate this, I share an earlier post I had made on Sickle Cell Disease. Enjoy….

Did you enjoy reading Mills and Boon and all about falling in love in those good old days? The dashing tall, dark and handsome men who were to charge into our lives with panache and sweep us off our feet (drool). Some of us got these our ‘Prince Charmings’ (on white horses, to boot) and some of us not. But, hey hold it…this post is not about that! 😄

It is about the things that love supposedly makes us do! I checked up an online dictionary and it defines love as an intense feeling of deep affection. Hmm! Then I went a step further and checked up the meaning of blindness and this online source tells me that this is a state of being sightless and unable to see. So, if love is blind, it prevents anyone with this feeling of deep affection from seeing…literally and figuratively! Hmm, thought to ponder. I’ll leave this discourse here for a bit and move on to another issue.

Parenthood is a huge job. It involves a human being literally sacrificing all for another. You want to protect your children from pain, hurts, losses etc even when you know it is impossible. When they are ill, you want to take over the illness and leave them well. So imagine if you were the parent of a sickler, who has to deal with crises after crises, in pain and really sickly most of the time. You’re constantly praying to God to please let this crisis pass, please reduce the pain and indeed you are in the hospital more often than not with this child.

How did this happen? Well it was when two sickle trait carriers (people with AS) decided to get married. This automatically meant that for each pregnancy, they had a 25% chance that the baby would be born with genotype SS. This is a mathematical probability and so it could very well be that none of this couple’s children would be SS or it could very well be that all or half of them could be SS! So imagine starting out on a journey of parenthood knowing that your heart is going to be broken again and again as you deal with your child’s continual visits in and out of a hospital.

Now where does this link up with the first? With World Sickle Cell day being celebrated today, it got me wondering about this thing called love. Well, methinks that love should not be blind…not in these days where there are all sorts of sources for generating power 😅

More seriously, love really has no choice than to be pragmatic these days. And so before marriage, a couple should be sure to carry out tests. I’m not talking about those carried out by churches to confirm pregnancy at al 😉 but a serious desire by couples to seek answers as they make the decision to undertake a voyage together. This should ideally be done or known by both parties early enough in a relationship before emotional investments are made on either side.

If two people are carriers of the sickle cell trait, it is only pragmatic not to marry. Before you all lynch me, I know it is not as easy as it sounds. But marrying because you’re emotionally invested is really exchanging one type of heart break for another…because your heart will surely break when you have to watch your child go through the pains of the many crises he or she has to deal with or have them die in your hands.

If I were to choose, I most definitely know what the choice would be for me. It may not be an easy choice but we’ve got to break the trend of these increasing numbers of people living with sickle Cell Disease in our communities. If ignorance is the problem, let’s spread the knowledge; if love being blind is the problem, ladies and gentlemen, please bring a flashlight along and show the light! 😄

Have a great weekend!

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