COOMEVA MEDICINA PREPAGADA EXERCISING WITH A PLANISSN 1692 - 5556 October - November 2017 - Issuu 137www.revistasaludcoomeva.com 1
Volume 137 OUR MEMBERSOctober - November 2017 AND THEIR EXPERIENCES: WHAT MAKE US BETTERRevista Salud FounderGilberto Lotero Muñoz (q.e.p.d.) For over 40 years, we have been have also updated our image by crea-Chairman of the Board caring for the health of dozens ting patient service areas and includingJosé Vicente Torres Osorio of people all throughout more amenities such as internet hotExecutive President Of the Colombia. With 7,000 professionals spots for our members, hot beverageCooperativo Coomeva Business Group from different fields of medicine nee- dispensers and a new infrastructureAlfredo Arana Velasco ded for operations, we are now a com- that creates a unique health servicesCEO Coomeva Sector Salud pany that is dedicated to managing experience for our clients.Gilberto Quinche Toro and providing about five million diffe- With efforts like these, and by priori-Prepaid Medicine CEO rent medical services a year. As the tizing the needs of our users, we willJorge Alberto Zapata Builes country’s private healthcare company continue to conduct research, workNational Director of Strategy with the most experience, we are hard and put in the extra effort to beand New Business committed to delivering the highest the best for our clients; so that a motherMauricio Castillo Pérez standard of service to our clients. can meet her child when it is born, andNational Director of Marketing Throughout the last year, we made an so that a child can get to see its parentsSector Salud important investment to improve the again after a health crisis. That is whatCamilo Ernesto Diusaba Perdomo experiences of our users. In pursuit of drives us: always be there when youGeneral Manager our new standard of service, we have need us the most.David Montes Canal hired new staff and improved our servi- ce-based training and monitoring. We •Thank you for being a part of CoomevaEditorial CommitteePascual Estrada Garcés Private HealthcareNational Director of PrepaidHealthcare Editorial and Graphic Direction, Magazine General Editor Journalists CommercializationHernán Darío Rodríguez prepress and printing Paula Andrea Montoya T. Isabel Vallejo Jiménez El ColombianoMEC National Director El Colombiano Magazine Editor Alejandra González Bonilla Cali: Marisol MonsalveBlanca Inés Vélez Tel.: (4) 331 5252 Natalia Estefania Botero C. Natalia Ospina 310 544 2354National Director of Oral Health [email protected] Graphic Editor Ingrid Cruz [email protected] Viviana Muñoz Rodríguez Hugo A. Vásquez E. María Clara Restrepo Bogotá: Ana María EchandíaDirector of Epidemiology Design Photography 3183764776Bertha Lucía Varela Rojas Carolina Alzate ShutterStock - Cortesía Medellín: Mónica GómezJefe Nacional Auditoría Médica Luisa Fernanda Vélez 312 202 7269Martha Liliana Cifuentes [email protected] Nal. deRelacionamiento con Prestadores The contents of all Salud Coomeva Medicina Prepagada S.A. magazine articles are illustrative in nature and/or for general knowledge. In no case areJulián Villegas they meant to replace the advice or guidance of a physician. Readers shall not use this information in order to self-diagnose and/or perform an analysis,National Chief of Risk diagnosis or treatment of a disease or health problem without consulting with a certified physician.Management in Health The product and service offers made in the ads published in the Salud Coomeva Medicina Prepagada S.A. magazine are the sole responsibility of theEditor advertisers. Also, the company is not liable nor obligated to provide its affiliates the services, procedures or treatments described in the contents ofDavid Montes Canal articles that are not included in the coverage offered by Coomeva Medicina Prepagada S.A., nor shall they be obligated to include them in their plansEditorial Coordinator and services. All rights reserved. May not be reproduced in any form or system. © 2017Melissa Arce PérezCollaboratorsGina Isabel Massi AmbardClaudia Alexandra GarcíaViviana Trujillo JiménezMarco Emilio Ocampo 3
CONTENTSOctober - November 2017 7 25 49 65( ) ( ) ( ) ( )WITH YOUR WORLD WITH YOUR BODY WITH YOUR MIND CORPORATE8 Trends 26 Your generation 50 Harmony in health 66 Special Dogs and cats: Have Your child’s first party: Self-medication: Putting Staying healthy they replaced a dilemma for parents your health at risk as you age children? 30 Harmony in health 56 For her 68 For your smile12 For him Getting diabetes and Contraceptives: a Oral health: a reflection After shaving, use high blood pressure matter of knowing of your personal health sunblock under control what is best for you 72 Prevention14 Grandparents 32 Prevention 60 Couples Establishing a routine In synch with 15 tips for Becoming an empty for a healthy day the digital age staying active nester16 Little giants 36 Keep in mind 64 Games 74 Directory The fantasy world When to call an Crossword puzzles New providers of children ambulance and sudokus and updated contact information19 Harmony in health 40 Go natural On being coherent The benefits of nuts22 X-ray 42 Infographic Balanced cholesterol The early prevention of breast cancer4
Ahora con OTZ 10 PROTECCIÓN ANTIEDAD Protección Radiación Infraroja UVA/UVBRADIA CIÓNIR Terapia preventiva a temprana edad,cLoa nrasdt iiat cuiyóne I R l Tienednelapceanpeat cid a d Las pieles jóvenes e rar generando hábitos de cuidado50% son más susceptibles frente a los efectos nocivos de a capas más profundas al daño solar. los rayos solares.del espectro solar. de la piel. 5 www.pharmaderm.com.co Pharmaderm & skindrug
Con los Programas Oro y Oro Plusde Coomeva Medicina Prepagada tienes beneficios exclusivos para ti y tu familiaAsistencia Asistencia por Orientaciónde Mascotas Convalecencia Jurídica TelefónicaAsistencia Profesor Asistencia al HogarTelefónico:Matemáticas-EspañolComunícate desde Bogotá: (1) 743 1222 Conoce más asistencias en nuestra página web:Línea Nacional Gratuita: 01 8000 183 222 medicinaprepagada.coomeva.com.co6 Aplican condiciones y restricciones.
CON TU MUNDO( ))WITH YOUR WORLDCOLD SHOWERSSTIMULATE THEMIND AND ARESUGGESTED FORPEOPLE WITHCIRCULATIONPROBLEMS.BOOST YOUR IMMUNE SYSTEMAs your body tries to heat itself, itreleases more white blood cells,the cells responsible for protectingthe body and eliminating bacteriaand viruses.CLEAR YOUR MINDCost showers activate your nervoussystem and increase noradrenalinelevels in the brain, which are relatedto motivation and alertness.OXYGENATE THE BLOODWhen the body experiences coldtemperatures, more energy is produ-ced in order to heat it. This is helpfulif you are trying to lose weight.5MINUTES (MAX) IS HOWLONG SHOWERSSHOULD LAST INORDER TO OPTIMIZETHE USE OF THIS VITALLIQUID, ACCORDING TOTHE WHO. 7
WITH YOUR WORLD( )Trends DOGS AND CATS: It is important to be responsibleHAVE THEY with attending to REPLACED the needs of pets.CHILDREN? They should not receive the same treatment as babies, however. ADVISOR LUCÍA NÁDER Psychologist It is becoming more common to see people find the comfort of a family in their pets. Instead of saying that they have a dog or cat, they say they have “chil- dren” and that they are their “parents.” It becomes strange, however, when people become out of touch. During a conversa- tion of people discussing their little ones, for example, they might pull out a picture of their “little one,” who is much hairier than the average human and has more teeth then a grown child. This little one is very cute, of course, but it is an animal. The question remains: can dogs or cats be children? The owners may answer “yes” to this question. After all, how couldn’t they? If they provide them with food, sus- tenance and even give them blankets and a corner on the bed on cold nights. But there is a contradiction here: their owners own them, but nobody owns a child. It is therefore important to understand the responsibilities of having your own child.8
( )WITH YOUR WORLDSINCERE LOVEYou cannot deny that pets have become newfixed members of the family. According topsychologist Lucía Náder, however, having apet is not the same as having a child, “Somepeople ask whether they can support havinga pet, but why don’t they do the same witha child? While a pet needs extra attention,whether it be a dog or cat, it does not requi-re the same level of responsibility in regardto the affection, education, child-rearingand financial needs of having a child. For any father or mother, seeing childrengrow up healthy, well, happy and living adecent life is more than a dream. Beingthere to watch them go to college, forexample, is a big challenge that requires cer-tain financial conditions and encourage-ment. With pets, there are no risks involved.Parents are aware, however, that if they raisetheir child in a dysfunctional family, thechances of them engaging in unsafe beha-vior outside of the house are very high. Theconsequences of a poor upbringing, or of aninconsistent, non-value-based education canaffect humans, but not dogs or cats.” 9
WITH YOUR WORLD( )Trends(The confusion of considering CAREFUL WITH RESPONSIBILITIES family pets as children can be fun at first, but humanizing them changes their ability to act as While parents with children have a animals, and everything that comes along with that. commitment to their material welfare, more than anything, they have a moral duty: to raise a child, is to form both a citizen and a good human being. This is why religious beliefs and ethics are instilled in children, as it helps them know the difference between good and bad. Also, from when they are little they are taught what they should and should not do: from norms on how to take care of and protect themselves, such as eating well in order to nourish themselves and grow; to behaviors they should practice in order to live in society, such as not lying or taking what does not belongs to them; and living together in ways that involve treating others well. Standards and values are just as important as rights and responsibilities. In contrast, howe- ver, do we teach cats to not lie, not steal, or to be honest? Náder, our specialist, explains that families have changed over the last two decades. Men and women have often chosen to develop their personal and professional lives instead of having chil- dren, which are a time investment. This is why they have turned to animals; as in urban Colombia, animals have always been seen as pets, but in the countrysi- de, they have always helped with hun- ting or providing protection. With the new family models of today, pets are a responsibility, which is the common factor between the two. Some couples that separate even take turns10
taking care of their dog or cat, or schedu- ( )WITH YOUR WORLDle visits to look after their “child.” 11 In conclusion, it is okay to love yourpets, but the recommendation is to nothumanize them, meaning they shouldnot be treated the same as when a babycomes into their lives. This does not•mean, however, that pets should not becared for as well THE NEGATIVE SIDE OF THINKING THEY ARE HUMAN Pedro Vargas Pinto, a professor and research from the Veterinary Medicine program at the University of La Salle, explains that when pets are treated as humans, “…they lose their freedom and their ability to behave as animals, affecting how they sociali- ze and establish hierarchies.” This can also lead to them having behaviors such as being overprotective or not getting enough exercise, which makes them susceptible to disease. It is important to provide a clean and ven- tilated place for them at home, feed them well, be sure that they have water and allow them to interact with other animals. Also, the professor remarks, “…be responsible with health-related matters by taking them to the veterinarian regularly.”
WWITITHHYYOOUURRWWOORRLLDD( )for himAFTER SHAVING USESUNBLOCK This way of protecting yourself from the sun is not just for women. It prevents premature aging and conditions such as skin cancer. ADVISOR Skincare for men often begins and protect their skin when indoors or on JUAN JAIME ends with shaving. Men’s skincare cloudy days (when 40% of ultraviolet ATUESTA NEGRET routines are thought of this way, as radiation still hits the earth). Specialist in dermatology, the notion of taking care of the health and practitioner at Coomeva appearance of the skin is often considered A specialist in general dermatology, Medicina Prepagada more of a women’s issue. In fact, advertise- cosmetic dermatology and dermatologic ments for sunscreen products almost surgery, Juan Jaime Atuesta explains that always involve bronze-skinned women prevention must begin at an early age by with the beach in the background. Skin teaching kids how to take care of their cancer, one of the most severe consequen- bodies and by taking actions that are ces of prolonged sun exposure, does not conducive to this. Over time, this will distinguish between genders, however. become a habit that they will practice for the rest of their lives. It is therefore important for everyone men, women and children to protect The suggestion is to use sunblock their skin not only when they go to the after you shave and before moisturizing. beach, pool or go outside; they must also Apply it first on the face and do not for- get your neck.12
( )WITH YOUR WORLD BE AWARE OF CHANGES IN YOUR BODY ► The American Cancer Society points out two fundamental ways of detecting skin cancer: your eyes and a mirror. These two things are all you need to perform a self-examination. ► It is important to check areas such as the neck, arms and head, which are the areas that receive the most sun on a daily basis. ► Look for sun spots, bumps or sores, espe- cially if they do not heal after several weeks or if they are bleeding. ► “The most important warning sign of mela- noma is a new spot on the skin or a spot that is changing in size, shape, or color. Another important sign is a spot that looks different from all of the other spots on your skin. If you have one of these warning signs, have your skin checked by a doctor,” suggests the American Cancer Society. ► People that follow these recommenda- tions, Dr. Juan Jaime Atuesta concludes, will be people with healthier skin and fewer cases of skin cancer.RECOMMENDATIONSIn addition to using it when you go to the beach or pool, it is important to apply sunblock even on a cloudy day. This is especiallyimportant considering that due to the geographic location of Colombia -along the equator- the sun’s rays hit the earth directly andnot at an angle, which is what happens in the northern and southern tips of the planet. Keep the following in mind:Use sunglasses Avoid exposing yourself to the sun between a 11:00 Tanning beds and sun lamps canwith proper solar in the morning and 3:00 in the afternoon. Some also cause sun damage. If theyfilters, not just to professions require being in the sun at this time, are used, be sure that the per-look good. which makes it even more necessary to use suns- centage of ultraviolet rays does creen that is appropriate for the person’s skin type. not exceed 1.5%. 13
WITH YOUR WORLD( )grandparentsIN SYNCH WITHTHE DIGITAL AGEMore and more, the elderly are breaking into theworld of technology. Losing their fear of these digitaldevices is key to them not getting left behind. ADVISOR According to a report from the Pew TECHNOLOGY NORA ISABEL Research Center published in GLOSSARY January 2017, in the United States, CORREA the percentage of adults between ages 50 ► App: A software application that can be downloaded Psychologist and 64 who have at least one social net- onto mobile devices that contain specific content. work account (Facebook, Twitter, Some apps require payment to access. Instagram, etc.) grew from 4% in 2005 to 64% in 2016. The study also found that in ► Emoticons: A form of expression in social networks adults over age 64, the percentages of this that uses images instead of text. They can be made same time period grew from 3% to 34%. from a sequence of characters or be taken from the emoji keyboard. While there are no official figures on this phenomenon in Colombia, the situa- ► Tweet: Used to refer to a comment that is made by tion in homes and in public spaces here is Twitter users. not far off from that of the United States. ► Post: Used to refer to the publication that a user Today, the elderly have overcome makes on their Facebook account. their fears and are taking the risk of becoming a part of society’s digital revo- Applying some of these tips may be lution. According to psychologist Nora useful to having a better understanding of Isabel Correa, this is a matter of attitu- this world, where grandparents, children de, of changing one’s way of thinking, of and grandchildren can learn about new leaving judgments about technology behind and making it an ally to improve •apps, share family photos and even learn one’s quality of life. about the latest fashion trends together14
( )WITH YOUR WORLDENJOYING THE VIRTUAL WORLD1 Don’t be afraid to ask for help, have a support network 2 So you can’t teach an old dog new tricks? Not anymore! Some elderly people think that because they are asking for The saying no longer goes; just because someone is old, they help they will be seen as old-fashioned or behind with techno- can still learn something new. In the era of emoticons, new logy. Having this attitude is extremely unhelpful. According to technology may be an emotional shock for the elderly when Nora Isabel, the more they ask, the better. The family will noti- they do not understand how to express themselves in the vir- ce they have an interest in learning and will not only share tual world. According to the psychologist, “If your grandchild what they know with them, but will teach them about useful laughs at you because you don’t understand them, don’t stop. applications that can help them learn, entertain themselves, Ask what they were referring to and what they were doing. plan their time, pay bills and look for help, among other things. That is the only way to understand them.”3 Say goodbye to the brick phone. 4 Smart phones can be therapeutic A modern cell phone is good for them to have. Some apps exist for the elderly to both distract and This tip is more for the family to consider, than the elderly. Why exercise their minds. With some, you can paint manda- leave them with a “brick” phone when they can have a more las, do crossword puzzles, read books, watch TV shows, modern one? If the idea is for grandparents or parents to learn, or take any type of online course. “Can they become they will not be able to without the right tools. The newer the addicted to it? Of course, which is why self-control is device, the easier it is for them to use, and get used to. key,” the psychologist adds. 15
WITH YOUR WORLD( )little giantsTHE FANTASYWORLDOF CHILDRENImaginary friends areconsidered a creativeexpression of childrenand are part of theirdevelopmental process. ADVISOR LUCIO ORTEGA GONZÁLEZ Psychologist and psychiatrist, practitioner at Coomeva Medicina PrepagadaThe world of children is like a magi- cal universe that sometimes seems more real than reality itself, a con-cept that ties in with the ideas of Swisspsychologist Jean Piaget, known forhis contributions to childhood stu-dies and to his constructivist theoryof cognitive development. Childrendevelop their own imaginary worlds,based on their dreams, wishes and expe-riences. Imaginary friends are a way ofexpressing themselves in a complex spacethat they are just getting to know, inter-pret and begin to accept. In this imaginary world, there are super16
(The imagination ( )WITH YOUR WORLD allows people to prepare themselves for 17 real-life events.heroes, monsters, ghosts, fairies, prin-cesses and other figures that they createthemselves. These help them to grow anddevelop their emotions and creativity. According to Lucio Ortega González,psychiatrist and psychologist, “For chil-dren, imaginary friends are a normal partof the developmental process. Based ontheir imaginations, children create solu-tions to their internal conflicts. It isimportant to understand that childhoodis a complicated stage for them as they arelearning to interact with others and needtools to relate to one another.” From their perspective, the imaginationis a tool to express their deepest desires.Children are aware of their reality, but attheir age, it is still difficult for them assi-milate to it and accept it how it is.IMAGINARY FRIENDS“For a child, having an imaginary friend islike listening to a fairy tale; when theyhear these types of fairy tells, they identifywith them. An example being, when asuperhero defeats a villain or when a prin-cess overcomes adversity; this is why theylike such amazing stories, as they are a dra-matization of what they experience,”explains Dr. Ortega.Dr. Ortega adds that these types of interac-tions are common in all children, especia-lly among those with few social interac-tions. This is because they have to processand express the stimuli they receive in theirbrain and because there are no other chil-dren around their age to talk with aboutwhat they think, so they make up their ima-ginary friends as a physiological mecha-nism to work out their stresses, emotions
WITH YOUR WORLD( )little giants (Children with imaginary friends have more confidence in themselves. From their perspectives, if the person they have created can overcome an obstacle, so can they.and their creative abilities as well. long as the child carries on normalThis is how these friends can turninto actual physical beings for with activities such as playing inchildren, who may confusethem with reality. When the garden, interacting withthis happens, manyparents take their chil- their parents, getting exerci-dren to see specialists.At the appointment, se and having fun. “Inas Dr. Ortega states,it is explained that these cases, imaginarythe reason for thesehallucinations is friends are a normalnormally becausethey feel alone. This part of the child’sis not common,however, if the child is behavior,” Dr.surrounded by peopleof similar ages. Ortega explains.Several studies have beendone about this phenome- Imaginary friendsnon. Some say that it is morecommon in only children who also serve as a star-just live with adults, as if they aretrying to make up for this lack of inte- ting point for enga-raction. Others state that this happenswith more sensitive children. ging in conversa-¿CAN IT GET OUT OF CONTROL? tion and esta-This can become a complicated situationwhen there are inherited genetic factors blishing trust in rela-involved, such as with adult family mem-bers that suffer from hallucinations or schi- tionships withzophrenia. “That is when it is analyzed as apotential disorder, but some people even others. As teens, befo-speak to themselves, and this does notmean that they suffer from a mental illness. re becoming attractedCases like these often happen with artists to someone, it is common for them and to re-enact fictional characters that they see in magazines, movies or on television. An imagi- nary friend is a creative expression that can even occur in adults in times of stress. This is not about encouraging this inte- who develop certain creative characteristics, raction or not, it is about always motiva- or in people with strong imaginations,” sta- tes Dr. Ortega. ting the child to develop freely. This The situation can begin to get out of con- means giving them enough space to have trol if the child expresses fears or obsessive ideas, isolates themselves, does not want to conversations with their peers so that they go to school or play with their friends, stops eating, has difficulty getting to sleep or enter their developmental stages without expresses aggressive behavior. problems. “Some will have imaginary This form of interacting with imaginary friends is not a pathological condition, as friends longer than others, but this should not be considered a disease or syndrome,” the psychiatrist explains. •Each child is a world in itself, and inside this world there are no limits as they grow18
(( ))WWITIHTHYOYOURURWWOORLRDLD harmony in healthON BEIGNCOHERENTThe essence of the human condition is tofind a balance between who you are and whatyou do. The key is to evaluate the decisionsyou make and act in accordance with them. ADVISOR The line from Hamlet’s monologueCAROLINA CARVAJAL is well-known: “To be, or not to be: that is the question. Whether ‘tis Psychologist nobler in the mind to suffer / The slings and arrows of outrageous fortune / Or to take arms against a sea of troubles / And by opposing end them?” The heart of William Shakespeare’s tragedy takes on the issue of identity: we can be ourselves until the end, or let go of the essence of who we are let destiny show us the way. Literature has thoroughly addressed this issue: being and doing, or the great con- flict of wanting, but not being able to. Finding a place of coherency between who we are and what we do is much more difficult than we think. This is why we see so many scandals about corruption in politics, families destroyed by infidelity, or toxic relationships that neither end or continue on as healthy and honest ones. All of this stems from the inability to be honest with ourselves and others. Psychologist Carolina Carvajal explains that people make decisions on a 19
WITH YOUR WORLD( )armonía es salud (What people feel and think is related to who the person is as a being (identity, beliefs and values), what they say and their actions.rational and emotional level. We then put future: “To what degree is what I have to long run, you will feel better. Staying awaydecisions into action after making the do going to benefit or hurt me? This is from this person is a coherent decision.appropriate assessment: this is what we the big dilemma that we face every day. These types of decisions must be madeought to do, this is how things should be. Often times we choose things that give with conviction, however.”“If we make a decision on a rational level, us momentary pleasure, but later we rea-but we feel the opposite on an emotional lize that we are making a mistake. That’s Cognitive dissonance, the plague oflevel, this ends in frustration.” when people know that they are being our generation, is when decisions are incoherent.” made, but we act against them. One of the most common barriers to Technically speaking, “The concept offinding a balance between reason and Our expert finds that the most deeply cognitive dissonance in psychology referswhat we feel are social and family pressu- rooted problems about the incoherency to the internal stress or lack of harmony ares. How many people have given up on between who you are and your actions are person experiences in a system of ideas,living their lives just to lead a life that found when loving relationships become beliefs and emotions (cognitions) whenis not theirs? chaotic or when everything begins to fall they simultaneously hold two contradic- apart. “Many people find themselves in a tory thoughts, or engage in behavior that A lack of self-esteem and the quest for relationship that is harmful to themacknowledgement also come into play because they feel they cannot leave it, thishere, as they drive many to make decisions is an example of an incoherency. Thereto please others: parents, children, and should not be a need for love, love shouldpartners. “When we are not ok with that be given freely. Any dependent rela-decision, this action will lead to being tionship can become an unhealthy one.unsatisfied, frustrated, irritated and not For example, I can experience a great dealfeeling fulfilled.” of joy and pleasure, but at the same time I can feel upset and unpleasant. It is the-A BALANCED LIFE refore important to evaluate what is bestThe decisions we make define who we for your mental health: if you are in aare. The key to aligning who you are toxic relationship and you end it, in thewith your actions lies in evaluating your20
( )WITH YOUR WORLD armonía es saludconflicts with their beliefs.” To overcomethis, Carvajal recommends making deci-sions by using a rational process, “Onethat is going to benefit me and how I amgoing to feel. What’s important is to takeresponsibility for the decisions you make.” In conclusion, the trick to findingpeace of mind between who you areand the actions you take, is tomake good decisions that balancereason and emotion; decisions thatresult in holistic wellbeing. Remember•the words of Hamlet: “To be or notto be, that is the question” 21
WITH YOUR WORLD( )x-ray BALANCED CHOLESTEROL In order for it to function properly, the body needs cholesterol, a fatty substance that 20 exists naturally in the body. Too much cholesterol in the blood increases your risk of heart disease. A SERIOUS CONDITION YEARS OLD IS THE RECOM- MENDED AGE FOR GETTING Bad cholesterol (LDL) may be roo- YOUR FIRST LIPID PROFILE ted in environmental or genetic cau- BLOOD EXAM. ACCORDING ses. In either case, the use of medi- TO FINDINGS FROM EVIDEN- cations such as statins can help CE-BASED MEDICINE, IF YOUR lower it. These should be prescribed RESULTS ARE GOOD, THE TEST by a physician as they are generally IS REPEATED AFTER 5 YEARS; used for long periods of time. IF THEY ARE NOT GOOD, THE Contraindications include kidney fai- TEST SHOULD BE REPEATED lure and advanced liver disease. EVERY YEAR. DETECTING 30% ABNORMALITIES OF THE POPULATION IN Blood tests allow physicians to see COLOMBIA HAS A the different types of fat in the CHOLESTEROL PROBLEM. blood. These tests measure cho- lesterol, triglycerides, bad choles- terol (LDL) and good cholesterol (HDL) in order to determine if there is a problem and identify the risk level to you. Keeping a healthy diet and getting MEDICAL ADVISOR ALEJANDRO ROMÁN GONZÁLEZ exercise can help keep Endocrinologist at San Vicente Foundation Hospital cholesterol levels under control. The good: Good cholesterol (HDL) (KEEP IN MIND) Warning signs of high blood pressure: allows for fats to flow through the Dizziness, blurry vision, chest pain, pain blood to the liver, where they are The bad: When bad cholesterol is or discomfort from walking or exercising stored in the arteries, they become processed and eliminated. thick, rigid and turn yellow, which is and overall fatigue. the color of cholesterol.22
( )WITH YOUR WORLD 23
WITH YOUR WORLD( )preventionKNOW MORELONGEVITY IS MORETHAN JUST ABOUTDIET AND EXERCISEIt has always been said that exercising regularly and mg THE GENETICSpracticing healthy eating habits will make for a bet- BEHINDter quality of life. Approaches like those of cardiolo- AUTISMgist Dean Ornish, from the Preventative MedicineResearch Institute (PMRI), encourage people to ► Two studies have discovered new fin-make minor lifestyle decisions that can lead to bet- dings about the causes of Autismter health in the long term. This approach specifica- Spectrum Disorder (ASD). The first,lly refers to how people manage stress and published in the journal Biologicaldeal with emotions such as anger. It Psychiatry, found that a greaterexplains how some behaviors that amount of cerebrospinal fluid (whichattempt to deal with emotional pain - surrounds the brain and spinal cord)such as isolation, lack of sleep, in children may be a sign that thisexcessive eating or overworking- disorder will develop.can actually lead to a vicious cyclethat increases stress levels. ► The second, which was included in the journal Nature Neuroscience, 45 identified 18 new genetic variations OF VITAMIN C IS HOW MUCH IS that increase the risk of the condi- IN A SMALL ORANGE (ALMOST tion. After a decade of studies, 61 HALF THE DAILY RECOMMENDED genes have been found to be rela- AMOUNT FOR ADULTS). ted to ASD.THE MANY BENEFITS CHOLESTEROL IN ► Nowadays, there are more and moreOF AVOCADOS CHECK? KEEP HEART ways of getting an early diagnosis by ATTACKS AT BAY observing any repetitive behaviors inIn addition to the benefits of the healthy fats children and any difficulties they havethe regular consumption of avocados brings, a According to the National Health with interacting with others.study from the University of Texas in the U.S. Observatory of Colombia, 49% of heartshowed that avocado seed husks contain attacks in the country occur due to dys- (KEEP IN MIND)medicinal components that can be used to lipidemia: high cholesterol and triglyce-treat cancer or heart disease and may also to ride levels. Managing these indicators Strategies for getting more wal-be used for cosmetic purposes. “It could very with careful medical supervision and king in your day: when takingwell be that avocado seed husks, which most healthy eating habits is key.people consider as the waste of wastes, are public transit, get off a stop earlyactually the gem of gems because the medici- and be active during lunch.nal compounds within them could eventuallybe used to treat cancer, heart disease, andother conditions,” the study states.24
206 BONES ARE HOW MANY BONES CON TU CUERPO ARE IN A FULLY DEVELOPED ADULT HUMAN SKELETON. ( ))WITH YOUR BODY EATING HABITS AND A LACK OF PHYSICAL ACTIVITY BOTH HAVE AN INFLUEN- CE THE BONE DEVELOPMENT OF YOUTH. CONTINUOUS DEVELOPMENT Our skeletons develop from birth until the end of our teen years. They reach their strongest point and size at about age 20. A BALANCED DIET At this age, on a regular basis, it is important they consume vitamin D (found in fish, soy and eggs), cal- cium and are encouraged to parti- cipate in sports. TAKING PRECAUTIONS ALL THROUGHOUT LIFE These tips also apply to adults, who should follow a specific exercise pro- gram that strengthens their bones and keeps them mobile. 25
WITH YOUR BODY( )your generation YOUR CHILD’S FIRST PARTY:A DILEMMA FOR PARENTS Deciding whether to give them permission, who they will go with, how they will dress, thinking about their exposure to drugs and alcohol... Yes, parents, it’s a difficult decision to make, but they are bound to go sooner or later. 26
( )WITH YOUR BODY ADVISOR HAVE CLEAR JACKELINE HERNÁNDEZ CONVERSATIONS Psychologist, practitioner at Coomeva Medicina Prepagada The time will come when your child tells you, “Dad, I’m going to go outSooner or later, the time will come when with my friends. Can I have all parents face a complicated yet inevi- permission?” In order to respond to table situation: your teenage children this question, it is important forwanting to go to parties. The fear of parents to have a few things clearsomething happening to them, the anxiety first. Having a mutual understandingabout knowing who they are with and where will allow for clear and sincerethey are, whether they are offered or consu- answers from them for questionsme drugs or alcohol: these are all normal like: Who is going? Where are yoursituations that happen to all youth, but friends from: school, neighboringnobody is completely ready to know how to houses, the greater neighborhood…?react to them. Where will you go? Who will pick you up? By engaging in constant According to psychologist Jackeline dialogue and communication and byHernández, this all depends on the environ- having established trust, potentialment they have grown up in, which will problems are less likely to happen.serve them to be prepared for the inherentchanges of the teenage years consisting ofnew social, physical and psychological expe-riences with people their same age. The following few tips may help parentsdeal with the new experiences that comewith this phase. Giving them a try may helpto reduce anxiety and deal with the situationas best as possible.THIS IS A NORMAL PROCESS,THERE IS NO NEED TO BE CONCERNEDEveryone goes through those teenage years, nobody can escape them, which is why it isimportant to not get worked up about them. In fact, throughout childhood, even since birth,each individual is in constant preparation for these years. This is why it is important forparents to serve as examples for their children when they are young.If their family life is healthy; if dialogue and communication are encouraged; if teenagerssee their parents as people that are close to them, sit down and listen to them, and areaware of what happens to them, family rules will be well-founded and teenagers will be lesslikely to want to search for a way to escape. 27
( )WITH YOUR BODYWHEN IS IT OKTO NOT GIVETHEM PERMIS-SION OR ASKTHEM TO CHAN-GE WHAT THEYARE WEARING?If the relationship with the child is strongand solid and is founded in trust and dia-logue, you will rarely have the need tonot give them permission. They will knowwhat is best for themselves, without youhaving to remind them.As for clothes, teens tend to have rolemodels that they follow, but as long asthey are taught to value and care fortheir bodies at home, parents will nothave to worry about this, as they willalready have clear examples of what theyshould do to feel good about themselvesand comfortable with what they wear.EVALUATE YOUR-SELF AS A PARENTHow long has it been since you spokewith your child? When was the last timeyou asked about their friends? Have youbeen following their behaviors? It isimportant for parents to not only beaware of their teenagers, but ofthemselves as well and of how they actin front of them. While they don’t do iton purpose, in certain situations, someti-mes parents turn a blind eye just to nothave to deal with complicated situations.According to psychologist JackelineHernández, many teens behave inappro-priately when they are not listened to; andwhat they are not getting at home, theywill look for in others, especially withpeople that are not the greatest influence.28
WHAT TO DO ( )WITH YOUR BODYABOUT A REBE-LLIOUS TEENAGER 29Going through adolescence should be aseasy as going from childhood to pubertyor from puberty to adulthood. It does notneed to mean that the relationship bet-ween parents and children will be dama-ged. In fact, rebellion goes away, you justhave to know how to deal with it.Generally, rebellion occurs when thereare barriers to dialogue, due to parentsbeing absent during significant times ofthe child’s lives: not doing homework withthem, not listening to them or not askinghow their day at school was. AsHernández explains, parents may do thisfor a variety of reasons such as stress, aheavy workload, or even a lack of interest.Changing this will lead to bridgingcommunication between each other.TEACH THEMTO SAY “NO”When teens face the many temptationsthey are exposed to in their social con-text -such as drug and alcohol use orsexual advances- it is important forparents to teach their children to say“no” to certain invitations that are notgood for them.This is a task that does not begin whenthey are teens. From when they arelittle, they must learn about values,what is good for them, why somethingis bad, who to spend time with andwho to listen to, among others.Following these guidelines to helpthem care for themselves will reducethe risk of them falling into inappro-•priate temptations, without the needof parents reminding them
GETTING DIABETES ANDHIGH BLOOD PRESSUREUNDER CONTROLThese two chronic non-communicablediseases are the main contributing factorsto cardiac risk. The key is in self-care. ADVISOR I n order to control high blood pressure and maintain JHON EDWARD low glucose levels in the blood, if you suffer from high blood pressure and diabetes, taking dietary, hygienic MURILLO and physical measures can help. As part of its cam- Regional Coordinating paign, “Your Health and Loving Yourself,” (Cuidarte esOperator for Coomeva Quererte), Coomeva Private Healthcare invites users and their families to include physical activity, a healthy diet and time for Emergencia Médica your mind to relax on a daily basis. The idea is to prevent, slow and alleviate the complications of these diseases in addition to others, thereby contributing to a better quality of life. It is important to keep in mind that some conditions that predispose people to developing these diseases include age, genetics, race and gender. Jhon Edward Murillo, Regional Coordinating Operator of Coomeva Emergency Medicine, provides a few recommendations that both people with high blood pressure and diabetes as well as anyone should put into practice. These recommendations are approved by the World Health Organization.► Keep your ► Avoid being ► Maintain a ► Spread your blood pressure overweight. healthy diet. meals levels under Watch how People that are throughout control. much you weigh diabetic should the day. Get regular on a regular maintain a balan- The recommen- checkups with basis. Being ced and healthy dation is to eat your general overweight is diet, a recom- six times a day. practitioner. often a risk fac- mendation that Do not go for tor for diabetes, applies to anyo- long periods of which can also ne. The differen- time without lead to high ce is that diabe- eating, or eat blood pressure. tics must make it large amounts a part of their of food in one lifestyle. sitting.
(Knowing your cholesterol count 30 helps to prevent it from accumulating in the artery walls. This prevents the arteries from MINUTES OF EXERCISE A becoming clogged (thrombosis), which DAY KEEPS THE HEART ACTI- lowers the risk of heart attack or stroke. VE, WHICH SHOULD BE CARED FOR JUST LIKE ANY OTHER MUSCLE.TIPS FOR YOUR HEALTH1 Get your eyes 2 Don’t forget about your 3 Live a relaxed life. Stress 4 Practice self-control. checked. In order to feet. Practicing healthy can be a heavy burden All people that are dia- avoid or treat vision hygiene is important as a on your heart, leading to betic must learn to problems, get checked simple wound can lead high blood pressure, high understand and manage by an ophthalmologist to serious complications. blood glucose levels and their disease, correctly once a year. to the risk of having a following the indica- heart attack. tions provided to them.► Reduce your intake ► Reduce your ► Do not smoke. ► Avoid drinking ► Exercise. of trans fats. salt intake. Tobacco use con- alcohol. Exercising daily Reduce how much Too much salt in siderably increa- Excessive drinking helps lower blood fast food and fried your diet can raise ses the damage is related to higher glucose levels, as food you eat. Cook your blood pressu- caused by high rates of high blood the muscles use with vegetable oils re. The main source blood pressure pressure. Due to glucose as a sour- such as olive oil, of sodium is table and diabetes to the calories it con- ce of energy. It is sunflower or soy oil, salt, but large your blood tains, alcohol is also beneficial for which help to con- amounts of it are vessels, which sig- not recommended lowering your trol blood pressure also added to pro- nificantly compli- for diabetics and blood pressure, and keep your cessed and packa- cates and accele- can lead to the cholesterol and levels of good cho- ged foods. rates cardiovascu- onset of nocturnal managing your lesterol high. lar damage. hypoglycemia. weight.
( )WITH YOUR BODY 1532 TIPS FOR STAYING ACTIVE Deciding what sport to play should align with your health. When doing so, consider your physical condition and your objectives. ADVISOR ALEXANDRA OSORIO GUÁQUETA Physical Medicine and Rehabilitation Specialist, practitioner at Coomeva Medicina Prepagada
(( ))WWITITHHYYOOUURRBBOODDYY preventionW hether you are a high-perfor- people jumping into a sport that has beco- tional sports. Some do this for their health mance athlete or workout on me popular, such as marathons, without to prevent things such as osteoporosis for the weekends, do it for fun or getting a complete physical checkup; and example and to improve their physical con-to compete, everyone has a different moti- because people that claim to be instruc- dition, prevent muscle atrophy or practicevation for exercising. While the age you tors may not have the right training to physical conditioning.”start an activity makes a difference, as it handle a problem that may occur.”turns out, it is not an obstacle. The most Osorio explains that it is especially impor-important part of starting an exercise is to IT’S NEVER TOO LATE TO START tant for people who play sports just onassess your musculoskeletal state, how According to our expert, people can begin Saturdays and Sundays to be aware thatmuch time you will dedicate to the activity, sports at any time as long as they are in they are the ones with the greatest risk ofand of course, the objective you bring. good physical condition, their cardiopul- injuring themselves. In addition to having a monary system is functioning properly and low level of physical activity, this group of But, how do I make the right decision they do not have a disease that limits them people often do not seek professionaland how do I know if I’m capable of playing sports. “If the idea is to train as a assessment prior to exercising. In general,doing an activity or not? The answer is high-performance athlete, the recommen- they tend to use clothes and shoes that aresimple: the best way to prepare yourself dation is for children to begin at academies not suitable for the activity, do not warm upfor a new physical activity is to be seen by and clubs between ages six and nine. If the or stretch, and also do not develop the righta professional in sports medicine. idea is to play a sport in order to stay in technique for the exercise.Alexandra Osorio Guáqueta, a specialist good physical condition, you can begin toin physical medicine and rehabilitation any phase of life. Nowadays, many people In addition to leading a healthier life and(PM & R), explains how getting a cardio- play sports on the weekends or play recrea- developing healthier habits, physical activitypulmonary and musculoskeletal assess- clearly reduces the risk of disease. As long asment is key to deciding what type of exer- the exercise is practiced under the condi-cise is best for someone. “Cases of sudden tions recommended by medical professio-death have been known to occur from nals, it can help maintain a healthy state of health and wellbeing.TIPS FOR CHOOSING THE RIGHT SPORT1 Ask yourself what 2 Do not use the 3 If necessary, invi- 4 Do not demand activities you truly excuse that you do te friends, family too much of your- enjoy and have not have or coworkers to self at first. Slowly fun with. Stay the time; work out increase the away from those pinpoint together. range of activities activities that bore the rea- Exercising as a you perform to you or turn into sons that keep group brings bet- give variety to too much of a you from doing ter results. your exercise. sacrifice he activity.5 When you set your goals, be 6 If the activity that you choose is outdo- realistic; think of them in short, ors, such as walking, running or riding a mid- and long-term periods. bike, try taking different routes to avoid them becoming monotonous. 33
WITH YOUR BODY AN ANTIDOTE 11 Be sure to eat nutritiously befo- TO STRESS re, during and after you exercise.( )prevention In addition to the physical chan- 12 Exercise at least three7 Never begin a physical activity ges it can produce, doing regular, times a week for at suddenly, do it slowly and in a intense exercise is the best way least 30 minutes. way that fits your abilities. Try not to fight stress. According to to compare yourself with others. sports medicine doctor, José 13 If it is your first time Reinhart, when we exercise we going to the gym, be8 Take the time to choose the release three hormones: adrena- sure to have a trainer clothes and shoes that you will line, endorphins and serotonin. design a routine for you. use when playing your sport; These help clear the mind, acti- This will help prevent each activity has its own uni- vate the body, increase our level injuries from improper que requirements. of happiness and even better, movements, some of raise our self-esteem. which are irreversible.9 Take 5 to 10 minutes to warm Among the many benefits of up ahead of time, and to stretch physical exercise is ability to 14 Do not over exert yourself the muscles or parts of the reduce the risk of heart disease. when lifting weights, remem- body involved in the specific Some studies show that activities ber that all training is a gra- motions of the sport. Do the as easy as walking, swimming or dual process. same when you end the activity. running reduce the risk of a heart attack by 60%.10 Stay hydrated, either with isotonic drinks (which keep you well-hydrated) or water. 15 If you take supplements to improve the condition of your mus- cles, get assessed by a professional. Taking them without following specific indications can affect liver or kidney function. TECHNOLOGY, For many, cell phone apps are easily AN ALLY FOR the best workout partners when it YOUR WORKOUT comes time to exercise. Here are three that you can download: ► 8 fit. Offers HIIT (high ► Runtastic. Measures dis- ► Vientre plano Lumowell. intensity interval training) tance, time, speed, eleva- Includes different levels that routines that can be done tion and counts the calo- vary in intensity and in how anywhere: the gym, at ries you burn. It includes a much exercise you want. The home or at the park. It trainer that talks to you, recommendation is to do implements the use of gives you the option of each level 3 to 5 times each your own bodyweight to setting annual goals and gain strength, resistance gives you real-time encou- •week before you are ready and lose weight. ragement as you exercise. for the next34
( )WITH YOUR BODY 35
WITH YOUR BODY( )keep in mind AMBULANCIA ¿WHEN TO CALL AN AMBULANCE? In the case of a serious injury or emergency, this medical service is crucial. The person helping the patient plays a vital role. ADVISOR In the case of an accident or unexpec- called if someone has an accident invol- REYNALDO ted medical condition, it is important ving multiple traumas such as severe AGUAYO SARRIA to determine if it is necessary to call burns, open fractures or deep wounds, as General Practitioner, an ambulance or if the person needs to these wounds can become worse upon Practitioner at be transported to a medical facility in a moving the person. In this case, the per- Coomeva Medicina specific way. In order to do this, factor in son should not stand up and should the signs or symptoms of the patient. remain in the same place until the help Prepagada of a specialist arrives. Paramedics have General practitioner Reynaldo Aguayo the knowledge and tools to transport Sarria explains that an ambulance should them correctly. be called if someone has deep, serious wounds, acute pain, are unconscious, If heart or respiratory problems occur, experience dizziness, diarrhea, severe taking an ambulance is appropriate vomiting or have difficulty moving. because the vehicle is equipped with oxygen and staff that is trained to provi- If someone becomes unconscious and de cardiopulmonary resuscitation (CPR). cannot wake up which may be due to a diabetic coma, stroke, overdose or blunt Other signs this service is necessary trauma to the head their situation can include: chest pain combined with nau- complicate quickly. sea, if the person has diabetes, or if they have a history of heart disease; or if they Similarly, an ambulance should be36
(In order to know when to ask ( )WITH YOUR BODY for an ambulance, it is crucial to determine whether the life or integrity of the patient HELPFUL is an imminent risk; if this decision is not INFORMATION made quickly, however, it may become one. When you call for an ambulance it is impor- have trouble speaking, difficulty moving tant to provide the following information: one or both times, paralysis in part of the ► Your full name and the full name face, intoxication or overdose. of the patient. An ambulance is not necessary, howe- ► As much of a detailed description as pos- ver, during the early phases of labor, for toothaches, back pain, ear pain, sprains, sible of the address. cephalea (headaches), shallow cuts, skin ► Explain what happened and list the symp- rashes or sexually transmitted diseases. toms and signs the patient is experien- THE ROLE OF THE PERSON cing, as well as how long they have lasted. WHO IS HELPING ► Provide a description of where the While the ambulance arrives, explains patient is in case special equipment is Reynaldo Aguayo, the person that is hel- needed to remove the them from the site. ping the patient should keep them calm, For example, the patient may be on the have them lay down, make sure they second floor that can only accessed are in a place to get plenty of air, and through a spiral staircase. loosen their clothes. ► Provide your phone number in case they need to communicate with you or give This person should also be aware of you additional instruction. the patient’s progress, track their vital signs (if they know how to take them) 37 and make a list or pack a bag of medica- tions that the patient takes so that the medical staff can have this information on hand when it is time to intervene. If another person is around, it can help to have them clear a pathway by moving furniture and objects and tempo- rarily locking any pets out to make it easy and quick for medical staff to enter and exit. Another responsibility they can have is to wait for the ambulance to arri- •ve to show them exactly where the patient is, speeding up their transport
¿Cómo tliumppiieals?Una adecuada rutina de limpieza con Gelclinwww.skindrug.com.co Pharmaderm & skindrug
Piloskin Piloskin Piloskin Piloskin Piloskin PiloskinTratamiento Anticaída Anticaspa y Anticaída Con Plus AcondicionadorCapilar Cabello Graso Anticaída BIOTINA AnticaídaIntensivo Cabello Normal Piloskin Ultra Anticaída Piloskin Piloskin Tónico Capilar Forte Piloskin Reparador Capilar www.skindrug.com.co Pharmaderm & skindrug
( )CON TU CUERPO THE BENNEFUITSTOSF Eat small portions of them every day. This food is high in nutrients and healthy fats. ADVISOR Nuts are energy-packed foods that adds that they provide fiber, are low in MARÍA HELENA GIRALDO MARÍN provide special benefits to the saturated fat and are high in unsaturated Nutritionist, practitioner at Coomeva body as they contain several fat, an important factor for reducing cho- Medicina Prepagada nutrients, are high in fiber and vegetable lesterol levels in the blood, which is why40 proteins, and are a good source of heal- they are considered healthy fats. thy fat. Many of them also have essential fatty acids such as omega 3. ALLIES FOR A BALANCED DIET According to Marín, nuts are a necessary “Due to the folic acid they provide, part of a balanced diet as their healthy eating them on a daily basis helps reduce fats are a good source of polyunsaturated stress, fatigue and the effects of premens- fat (found in walnuts and pine nuts) and trual syndrome. They also help boost the monounsaturated fats (in almonds, body’s immune system,” explains nutritio- hazelnuts and pistachios). They also are nist María Helena Giraldo Marín. She
high in potassium, help protect the 240 mg ( )CON TU CUERPOblood vessels, help lower blood pressure,and lower bad cholesterol while simulta- OF CALCIUM IS PROVIDED 41neously increasing the good cholesterol BY EVERY 100 G OF NUTSin the blood. It is important to eat themin moderation, however. can you can incorporate on a daily basis. “Foods such as olives, in a serving of ten; As the nutritionist explains, a serving three servings of avocado; and a tablespo-of six walnuts for example contains on of chia seeds, flax seeds, sesame seeds,strong neutralizing elements that protect pumpkin seeds and quinoa all containthe cells from oxidation and from aging. magnesium, phosphorus, potassium, andAnother good source of nutrients are zinc and antioxidants,” she states.almonds, which are rich in vitamin B2and phosphorus. Ten almonds contain The suggestion is to find ways toonly 161 calories and 2.5 g of digestible include them in your diet in small por-carbohydrates. tions. They can be eaten as appetizers or snacks by adding a serving of walnuts orHOW TO USE THEM chopped almonds to yogurt or to a glassThe best way to consume them is in their of milk for breakfast.natural state: raw. Marín emphasizes thatincluded and the food group of nuts and Choose the most adequate alternativeseeds there are other healthy options that for your needs or preferences. Provided •their health benefits, the recommendation is to eat them daily THE PERFECT SNACK Nuts are an easy food to take with you, do not need to be stored according to certain conditions and are a versatile alternative, as they can be used on salads or with sweets, hot or cold. Store them in air- tight containers in a cool place in your kitchen cupboard.
( )WCOITNHinfTYogUOraCUphRUicEBROPDOY 5THE EARLY PREVENTION OF warning signsBREAST CANCER Having a familyBeing able to identify the risk factors historyand treating the warning signs can helpwith early detection. Know what steps totake when finding a change in the breast.ADVISOR Women whoJORGE MADRID VÉLEZ are at a greaterSurgical oncologist at the Department ofMedicine at the University of Antioquia and at risk:the Vida Colombian Cancer Foundation 50+ 1 Being over age 50. In Colombia, OUT OF EVERY 8 PEOPLE WILL there is a rise of advanced cases DEVELOP BREAST CANCER AT SOME POINT IN THEIR LIVES. in women under age 40. 98,8% Having a medical history of a benign diagnosis in IS THE FIVE-YEAR SURVIVAL RATE FOR WOMEN WHOSE BREAST the breast. CANCER IS CAUGHT AT AN EARLY STAGE.42
Search
