Pathologist / GP General practitioner / Internist
Kontolati Evgenia
Kontolati Evgenia
Contract with Ministry of Transport
A "silent" disease.
Proper management.
The misunderstood cholesterol.
Palliative care.
Seasonal and not.
Diseases of the elderly.
Diabetes Mellitus consists undeniably, in today's world, one of the most common and rapidly increasing diseases, especially in the modern and advanced part of the globe.
Simply put, it constitutes the increase in pathologic levels of the glucose that travels in our blood.
Whether we are talking about a malfunction in the pancreas or the production of insulin (the hormone that promotes the uptaking of glucose by the cells and the followed normalization of its levels in blood), or the resistance of its actions on the tissues, the results are still the same.
The final receiver of this glucose excess will be almost the sum of the human body, with damage in various organs such as the heart, kidneys, brain, blood vessel etc.
What is worth mentioning is that early in the disease's outset, it can escape diagnosis due to the slow and gradual settlement of the symptoms which results in a patient that is unaware of the problem.
In the practice, clinical examination is provided with the purpose of informing and preventing this very often problem, tactical review and medical follow up of patients with diabetes mellitus and possible adjustment of prescribed drugs depending on the needs and comorbidity of each patient, as well as collaboration with the best nutritionists for a dynamic and interactive cooparation in the long run for the best possible and personalized treatment of diabetes mellitus.
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Arterial Hypertension consists one of the most common problems that affects a wide array of patients, especially as age progresses.
Hypertension, which is defined as the pathologic increase in systolic/diastolic arterial pressure as measured with the help of the classic or electronic pressure gauges, must not be confused with a random high value, but rather should be clarified, depending on indications and clinical suspicion, whether it is connected with a multitude of pathologic conditions, such as thyroid dysfunction, diseases of the heart and kidneys etc.
Furthermore, a very important parameter is the recommended pharmacologic treatment which must follow and supplement all the necessary recomendations for the patient's eating habbits and lifestyle, in order to prevent and forestall all the complications which might arise in target-organs.
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"Good" and "bad" cholesterol, concepts often misunderstood and ambiguous.
The lipids in general, part of which are cholesterol with its components and triglycerids, are molecules that should not be demonized in people's minds because our body needs them for a variey of functions - biochemical, hormonal and structural for the cells.
The problem usually arises when for reasons either hereditary, alimentary, pathologic conditions or the use of drugs, the values of the lipids increase beyond the normal rates which results in time, them accumulating in several parts of the blood vessels and predisposing in various thrombogonic conditions such as, acute mycardial infarction, ischaemic strokes etc.
The right approach apart from prevention, relies largely on proper nutrition and eating habits, along with an integration of a daily excercise routine and secondarily on the inception of lipid lowering agents, when and where they are required.
Once more, it is important to build a bridge of commuication with the patient and link with a nutriotionist that will allow him to formulate a personalized diet so he can reach his goals.
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Most times, just the word can cause panic, the patient hearing the news that he suffers from some form of cancer or malignacy can lead to desperation.
And yet, things are not as they once were.
Malignacy consists of a wide spectrum of diseases and organs, many of which have been dealt with in modern times, others have been completely cured and others remain under research for future treatment.
Specific examples are thyroid cancer or some subtypes of leukamia, diseases that now cured either pharmaceutically or via surgery.
Of major importance of course, is the easly recognition of even the most subtle and mild symptoms that the patient might present with, because in most cases only when the disease hasn't spread and given off metasases, can full cure be an attainable goal.
Even in advanced stages of malignacies, however, the patient is no longer alone - there are choices of pharmaceutical substances and palliative care even for the hardest of illnesses in order to ensure the longest life expectancy as possible and soothing of symptoms.
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With the term infection we can nclude a variety of diseases, all with a common trait of having as their cause a microbial factor.
From the simplest, daily and common infections (suh as the common cold, tonsilitis or microbial gastrenteritis ) to the more composite and perplexed, the doctor has to give an answer each time to what caused it and properly treat it with the possible use of antibiotics / antiviral drugs, depending on the case, having always in mind the possible side effects of the drugs and complications of the infection per se.
Once again, only with the early visit to the doctor as soon as symptoms start to settle in can someone avoid the worst, since even the mildest of infections can possibly create serious problems if left unanswered to organize and evolve in time without proper treatment.
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Early since the 20th century there has been noticed a steady increase in the popoulation's age limit, especially in the developed world.
One of the reasons this phenomenon occurs can be attributed to the constant improvement of quality of life, easier access to medical services, early diagnosis and advances in medical science.
It is therefore logical with the increase of the age limit of the population, that problems not before existing, surface to be observed just because symptoms persist for a longer period of time.
It is also remarkable that many times things that we used to think of as doctrines in Medicine, dont seem to always apply aa age progresses.
The result of all of the above was the birth of a new field of specialty called Geriatrics, whose purpose is to study the elderly with their needs and peculiarities.
With respect to the parents, grandparents and elderly and criteria always the best possible we can do and provide for them at minimum discomfort and trouble.
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