Good ‘Old’ generation!

 

Yesterday was a very interesting day. I saw 4 patients who are over 70. When I started my surgical career, more than 3 decades ago, we had a fairly unwritten rule that above 50 years be careful and after 60 avoid risky surgery. Some of the major surgeries which we performed on the younger patients were not offered to the elderly patients as there was a fear that there would be some complications and they would not be able to stand the complications.

In the west it has been proven recently that even older patients have the same kind of resistance and power to heal  and tt does not really depend on the age.

‘Physiological age’  is more important than the ‘Chronological age’

Mr. Mehrotra came into my room with a spring in his step. The first thing I asked was “Are you really 79”? He said, “Of course I am 79 and I even have great grandsons.”

I generally do not base my assessment on the biochemical values or numbers.

So I asked him “What do you do in a day and what time do you get up in the morning?” He said, “I am up by 5 in the morning”.

“Oh, and then ? “.

“I go for a walk for about an hour”,

I asked, “how much distance” and he said, “about 5 km.”

(I said to myself “I don’t do that”)

He said, “then I come back and may be have some juice and fruit, a bit of yoga and then I have my breakfast”.

I said, “Fantastic routine, what else do you do, can you go up a flight of steps?” He said, “of course I can because when I go for a swim in the evening, I do go up and down the steps.”

So I said,”oh oh, that means you swim also?”

He said, “of course I swim or go to the gym.”

Well this man is certainly great, at 79 he is fit and is definitely not overweight. I look at the people who came with him, his nephew (who well certainly looked pretty uneasy with the whole conversation) because it was clear that he never walked, forget about gymming and swimming and he was easily 10 kg overweight.   I had to do a major liver surgery for him so I said, “there is a risk in surgery”, he said, “so what, I am ready for it.” I think it is not only the physical fitness but also the mental attitude of the older generation which is remarkable.

Second gentleman was again 75, the same story except that he does not gym and does all the things which normally should have been done by someone who is much younger than him.

I had no hesitation in clearing both the patients for both liver and pancreatic surgeries respectively. Yes, there are some risks involved but it depends on how you take care of your body.

Then came a 75 year old whom I had operated upon for rectal cancer. He said, “doctorsaab, can I go for my walks?” I said, “of course, you can.” He said, “what about the treadmill?”

( Oh, I also have a treadmill but I do not seem to be using it much).

“Yeah, why treadmill, why not just go for a nice walk in the lawns or outside?”

He said, “yes, that I do everyday, I used to do for an hour but now it is 1/2 an hour, but in the monsoon season, if it is raining, I still want to do my exercise and that is why I am asking if I can go on the treadmill”

I said, “of course you can do it but just be careful”.

So, in short, when I look at the older generation it is so enlightening. They are right in front of us- they take care of their health. Their physical fitness is far far better than the younger generation. In fact, I feel that the ‘father’ coming from a small town will do far better than the ‘son’ who is a busy executive in the city. In small towns and villages the people have to walk, there are no fancy cars. They have fresh vegetables, fresh produce, plenty of clean air and certainly they are far healthier than their city bred sons who are either stressed out, stuck in the traffic, no exercise and plenty of excuses not to do so.

Are we going to see a kind of reversal of the longevity which we have achieved over the years and have younger people having lifestyle related diseases in their prime. May be yes, unless we take quick corrective steps. There is no great science involved in this. Just see your father. Ultimately it is the genes which determine your own health and see your father and follow his habits and that itself is going to make you a healthier person.

Old is gold is a saying which is worth remembering every time. It is so true!

 

 

 

 

 

 

 

 

 

 

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4 thoughts on “Good ‘Old’ generation!

  1. Hello Jagannath Sir,

    My brotherJaspal Singh, was fighting neuroendocrine tumour of pancreas with liver metasis since 2004 & had visited you in Lilavati Hospital in 2010, & as per your advice, was taking nuclear medicine from Tata Memmorial Hospital, Mumbai. But his health was detioriorating since few months & he started having other problems like ulcer, etc. He passed away on 10th Aug 2016, i.e., last wednesday, in Lilavati Hospital, Chinchwad, Pune. Dr Tushar Patil was also seeing him along with his Gatroenterologist. He was having ulcer, piles, jaundice, from few weeks & was then in ICU for 1 month. Today, while going through his emails, I came across your blog & saw one dated May 13th 2013, (Can love cure cancer) where you mentioned that NET is curable & that new medicines have come up, which even Steve Jobs didnt have access to at that time. Although, it is of no help to me now knowing about the cure, but I am still feeling guilty & wondering if I could have saved my brother, had I visited you when he was going through the pain. Could you please help me & my family, by letting us know if there was a chance of his survival, with the medicines you mentioned in your blog about. Though we can’t bring him back now, I want to know where I went wrong. Please help me Doctor!

    • Ms. Jasbir Kaur,
      even NETs have different grades and different outcomes. You have done your best for your brother. As I said if even steve Jobs can succumb , others with similar stages also have similar outcomes. There are many with G1 who do survive. Please dont feel guilty at all and that is not going to help. we will continue to try and help. best regards. Dr J

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