Anemia In Elderly Persons

Question: Dialysis - yes or no for an elderly person who has diabetes? My grandmother, who is 86 years old, has been told by her specialist that she should start thinking about whether she wants to pursue dialysis treatment or not. Because of diabetes, she is rapidly reaching the point at which her kidneys will fail completely and so the option was presented to her. Now I've seen many case studies and reports stating that those with comorbid diseases (like diabetes, anemia, etc.) don't have a significant improvement on dialysis and that to put elderly people on this treatment is a drain on the economy and not worth the trouble. On the other hand, there are quite a few who have stated that with innovations in dialysis and delivery as well as proper maintenance of comorbid diseases many symptoms can be improved and that good quality of life can be maintained on dialysis even in these patients. I'm curious if anybody can offer some more insight into dialysis for elderly people with diseases or point to some more literature on the subject. Thanks.

Answer: I think we should take economics out of the equation here. I think that how your grandmother feels about it is the #1 factor to think of here. Is she overall in bad health? I was on dialysis myself and saw lots of very senior citizens there. Some were very sick, and I wondered why they kept at it. Others seemed to do very well. I would say to try it - if she's ok with it, and understand what happens if she does not go. Or she could start, and if it makes everything worse and she is constantly miserable, she can stop. I will add that she could start and may temporarily feel bad until it starts working. FYI, I did very well on dialysis. I had been for my 2 mile walk the night I got called for my transplant. I was a Type I diabetic and I did have significant improvement on dialysis. I had a kidney/pancreas transplant in 2005. I was 45. If my kidney fails, as I get older, I am not sure I would go back on dialysis. I recommend the message boards and info at kidney.org. I hope you can find someone in your situation who can tell you more. Your grandmother is fortunate to have someone who cares about her as you do.

Question: sex education or celibacy education? about celibacy importance? 1.. During sexual intercourse heart rate doubles, respiratory rate triples, and blood pressure increases considerably. The nervous exhaustion following intercourse can induce a state of amnesia, disorientation, and lethargy. In exceptional cases, the vascular and muscular excitement involved in arousal and orgasm can produce even more unfortunate effects, especially in men, as Havelock Ellis describes: Fainting, vomiting, involuntary urination and defecation, have been noted as occurring in young men after a first coitus. Epilepsy has been not infrequently recorded. Lesions of various organs, even rupture of the spleen, have sometimes taken place. In men of mature age the arteries have at times been unable to resist the high blood-pressure, and cerebral haemorrhage with paralysis has occurred. In elderly men the excitement of intercourse with young wives or with prostitutes has sometimes caused death. [3] Many partners find that bouts of passion are followed by 'hangover periods', in which they feel emotionally alienated from each other. Marnia Robinson links these see-saw relationships to body chemistry [4]. The buildup to orgasm is accompanied by the release of dopamine, the craving neurochemical, which creates intense anticipation of pleasure. (Dopamine surges are associated with all addictions.) Orgasm triggers a burst of pleasure neurochemicals (endorphins and oxcytocin), as do compassionate caring, altruism, and affection. But orgasm also releases prolactin, which lowers sexual desire and can cause depression. The common result is a cycle of compulsive sexual gratification followed by an emotional slump. Stressful relationships lead to high levels of cortisol, which is sometimes called the death hormone because it can age us rapidly and lower our immunity to disease. 2.. The preservation of semen is the secret of good health and longevity, and of all success in the physical, mental, intellectual and spiritual planes. He who has even a little bit of Brahmacharya will tide over a crisis of any disease very easily. 3.. "All waste of spermatic secretions, whether voluntary or involuntary, is a direct waste of the life-force. It is almost universally conceded that the choicest element of the blood enters into the composition of the spermatic secretions. If these conclusions are correct, then it follows that celibacy in life is essential to man's ultimate well- being." 4... discharge seminal energy in bad dreams or wet dreams. Due to excessive loss of semen, enlargement of testes and sometimes pain in the testes develops. The evil after-effects that follow the loss of seminal energy are dangerous. Persons are physically, mentally and morally debilitated. The body and the mind refuse to work energetically, because the semen is not used up in the body to form Ojas that give vibrant health, strong will power and sound mind. Later on, such people develop impotency for the testices cannot produce semen with normal sperm count. Life for him loses all zest, zeal and charm. He becomes a victim of a number of diseases like anaemia, loss of memory, gloominess, palpitation of heart, pain in the back, loins, head and joints, weak kidneys, fickle mindedness, enlargement of testes, pain in the testes, debility, nervous breakdown, restlessness of mind, lack of thinking power, etc. He goes through hellish suffering. i think celibacy knowledge should be giving to each child in scool rather than sex education

Answer: Kids can't even remember to use a condom let alone avoid the act all together.