How to Stay Healthy & Live Longer

How to Stay Healthy and Live Longer

Here are the 30 Practical Tips on How to Stay Healthy and Live Longer

  1. Drink Pure Water; water purified to remove chemicals, microorganisms, lead, copper and other metals
  2. Eat the Appropriate Fats; Omega-3 fats, chickens (cage free chickens that eat green plants or algae), and eggs; small fish (achovies, herring, and sardines), oily fish (tuna, shark, swordfish, mackerel, and salmon – are good but may contain mercury), olive oil (for salads and marinades (monunsaturated fat) and coconut oil (for cooking – contains health-promoting lauric acid)
  3. Eat Right for your Nutritional Type (according to your Blood Type Group):
    1. Type A types – should basically stick to fruits and vegetables (high carbs / low fat). They have thicker blood than other blood types, a sensitive immune system,and should not consume dairy products, animal fats and meats. They are at a heightened risk for cardiovascular disease, diabetes and cancer.
      Type B types – should consume a balanced diet (fruits and vegetables, grains, fish, dairy, meat, but avoid chicken). They have the best chance of bypassing or overcoming everyday types of diseases, including heart disease and cancer.
      Type AB types – should consume a mostly vegetarian diet, and only on rare occasions some fish, meat (no chicken), and dairy.
      Type O types – should basically stick to a high protein diet (including red meat), low carbs, and enriched with fruits and vegetables. They should limit the intake of wheat germ, whole wheat products, corn, and avoid dairy products and most nuts.
      Type O types are commonly affected with hypothyroidism, high stomach acid (leading to ulcers), and thinner blood with greater resistance to blood clotting.
  4. Eat lots of Dietary Fiber
  5. Eat Raw foods especially Brocolli, Cranberries, Lemons, Onions, Tomatoes, and other Fruits
  6. Eat Organic Fruits, Vegetables and Meats; they have more anti-oxidants
  7. Avoid Toxins; wash fruits and vegetables thoroughly as they may be have high levels of pesticides, fertilizers and other chemicals
  8. Control Insulin and Leptin; Reduce carbohydrate intake and have a balanced diet.
  9. Reduce Poisons to your body eg. Alcohol and Other Drugs, Nicotine etc
  10. Reduce Sugar and Salt intake in foods and Coffee
  11. Avoid Medication unless absolutely necessary
  12. Take quality Health Supplements; Good health supplements show some results even after taking half bottle and offer a money back guarantee if you are not satisfied)
  13. Skip a Meal or take just a salad for a meal
  14. Get Outdoors, take in Sunlight; Sunlight protects you from cancer, is a source of Vitamin D, cheers you up. Avoid strong sunlight.
  15. Exercise; Stay Active, Go for Daily Walks
  16. Stay the Weight you were at 18, Stay Trim, Reduce Calorie Intake
  17. Have Restful Sleep of 6-8 hours per night.  Do not oversleep.
  18. Make Love the most important thing in your life; Spend Time with Loved Ones
  19. Be Positive, Be Happy, Laugh, Smile
  20. Make a List of things you should be Grateful of.
  21. Resolve Emotional traumas; Don’t hold grudges: cultivate a sense of forgiveness, of your enemies, your family, your parents.
  22. Get and stay involved – Be of Service to Others; Do Good Deeds
  23. Prevent Injury; Injury induces trauma and stress to the body resulting in the weakening of the body’s immunity system.
  24. Relax, Reduce Stress. Stress is the leading cause of diseases.
  25. Religion and Faith adds 2-3 years of your Life
  26. Lower your Body Temperature even a small reduction in Body Temperature can increase lifespan by 12-29%
  27. Stay happily married
  28. Take a Deep Breath, enjoy life’s wonders
  29. Make your Home a Sanctuary and Refuge.
  30. Change your Perception of Time

When comedians take a dig at big pharmaceutical companies who are promoting their drugs and other products aggressively in the media, we know that the public are becoming generally aware of health risks and want better and natural ways to stay healthy and live longer.

In his TV program, Bill Maher quipped: “But none of these plans address the real problem. We won’t stop being sick until we stop making ourselves sick. Even the most universal government health program can’t help y0u. They cannot outlaw unhealthy foods, or alcohol or cigarettes. The government isn’t your nanny. They subsidized illness because they have to – there is too much money in it. There is no money in healthy people. There is no money in dead people. The money is in the middle; people who are alive, sort off.. but with one or more chronic conditions which puts them in need of …(medication). Fifty years ago, children didn’t even get Type 2 Diabetes. Now it is an emerging epidemic. As are a long list of aliments which used to be rare and have now been mainstream.”

Food companies and pharmaceutical companies are always trying to convince us that we need their products to stay healthy and live longer so much so that many of us are confused and lose sight of the common sense way to stay healthy and live longer. Why do they do this? Because it is big business and big bucks for food companies and pharmaceutical companies. The more products we consume, the more new products they will put into the market. Products that are not for our health but which we consume because they “make us feel good”. There is little money to be made from eating natural, healthy foods packed with nutrients. Foods that our forefathers consumed. When I say “natural and healthy” foods, I don’t mean the claims these companies make on their product packaging or in their advertising campaigns. Processed foods can hardly be called “natural and healthy” when is is processed by unsaturated oils, flavored by sugar, salt and other less than desirable ingredients like MSG. “Natural” means food as found in nature and not modified with chemicals or substances to preserve, enhance growth or flavor, or boost their marketability.

Are you prepared for a long life?

One last thing about longevity. More people are living beyond 100 years years as a result of better health and medical intervention. If you intend to live beyond 100 years, you will need to ensure that your finances is sufficient to see you through your golden years. One way is to get into a business that provides an passive income long after you have “retired”. Are you prepared for a long and happy life?

Here is the Bill Maher video about “The Pharmers’ Market” on YouTube as mentioned earlier in this article:

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Isagenix Bedtime Belly Buster

© - how to stay healthy and live longer

Eulogy for My Father

Eulogy for My Father

This is My Eulogy to My Father

Dear Dad,

I’m so grateful to have such an understanding and loving father as you.

You did not have much of an education and you did not even know the day and month you were born. But I learned a lot of life lessons from you.

You suffered a terrible world war and lost both your parents but you were not mentally scarred by it.

You never got into a fight though you were no coward. Who would want to pick a fight with a tall guy like you?

You are a true entrepreneur even though you did not have any formal schooling and was left an orphan with two younger siblings to take care of all by yourself. After the devastating World War II, you started working as a Coffee Boy. By saving every cent you could, you managed to accumulate enough money to buy a second hand car and provide private transportation for schooling children and running errands for the people of our village. Even when we were not rich, we looked rich because we were one of the very few families in the village with a car (cars were a luxury item in the ’50s). Later from the earnings of the transport service, you managed to upgrade to a mini-bus as your business prospered. At some stage, you also acted as a broker – buying and selling houses and earning commissions from it. I have a vivid childhood memory of you as someone who had a good lifestyle – working just a few hours a day, and having lots of free time at home and indulging in a friendly game of mahjong (a chinese card game played with tiles). Without much money, no mentor, no education, you established a reasonably good lifestyle. I can imagine how successful you would be given the right couching environment. Your business experiences and lifestyle motivated me to want to start my own business later in life.

I was told that you had many girlfriends before you were married, but you were totally faithful to mom and us and only remarried when mom had passed away in the ’80s.

You were an easy person to talk to and more importantly, you were a good listener. You always had time for the family.

I could hear your laughter across the room, though you spoke softly when we were close by.

You always saw the good in any situation. Nothing seem to let you down. Even when family expenses burnt a big hole in your pocket.

You took good care of mom, my brother and me when we were sick. Never complaining. Never begrudging.

You never raised your hand at us though at times I think we really deserved to be spanked.

You somehow managed to anticipate what food I was craving for that day and would come home with my favorite food without me even asking for it.

You gave us a childhood free of barriers. The world was ours to explore and enjoy.

If you had any vices, apart from a harmless game of mahjong, I never uncovered them. Although we were very poor when I was growing up, you always made us so very happy.

Nothing seem to faze you. You were the Calm in the middle of a storm. You were the Quiet Man in this noisy and distracting world. You were the light when darkness befell us. You were the tower of strength.

I think I got a lot of your characteristics like fortitude, inner strength and kindness. To me, you were the best dad in the whole wide world, uncomplaining, uncomplicated and ever supportive.

You were the champion of the unwanted, the helpless and the weak.

I will miss you for many years to come. I will remember and celebrate all the good and bad times we’ve had. I love you and will miss you dearly, dad.

You are My Father, My Hero, My Friend and My Soul Mate.

Have a Good Life in the Next Life.

Hope you like my Eulogy to you, dad…..
Your Daughter,



© – eulogy to my father

Heart Attack Signs

Heart Attack – Signs & Symptoms

How do you survive a heart attack? Fast action is your best weapon against a heart attack. Why? Because medical treatments can stop a heart attack in its tracks. They can prevent or limit damage to the heart–but they need to be given immediately after symptoms begin. The sooner they are started, the more good they will do – and the greater the chances are for survival and a full recovery. To be most effective, they need to be given ideally within 1 hour of the start of heart attack symptoms.

  • Uncertainty is Normal
  • Delay Can Be Deadly
  • Call 9-1-1
  • Emergency Medical Personnel
  • Plan Ahead

Discomfort or a heavy feeling in the chest can signal a heart attack.

Chest pain is the most commonly reported heart attack symptom. But the pain may not feel severe or “stabbing.” It may feel more like a discomfort. Chest discomfort may be accompanied by or follow shortness of breath. Or discomfort or pain may be felt in other areas of the upper body, such as one or both arms, the back, neck, jaw, or stomach.

Also, other symptoms that can occur include breaking out in a “cold sweat,” nausea, or light-headedness.

Women frequently experience heart attacks.

Heart disease is the number one killer of American women, and nearly half of all heart attack deaths each year happen to women. Furthermore, women are less likely to survive a heart attack than are men.

African-American women have higher risk of dying of heart attacks than white
African-American women’s death rates from heart attacks are a third higher than the rates for white women. In general, women and minorities delay longer before calling for help. African-American women also are at greater risk for hypertension and diabetes, which are both risk factors for heart disease. More on Women and Heart Attacks.

Some people who are experiencing the symptoms of a heart attack may wait hours or even days before seeking needed medical care.

Many people do not recognize their symptoms as life-threatening. That’s why it is important to know the warning signs and take action quickly.

Being treated within about an hour of the first symptoms can make a significant difference.

Heart attack deaths and heart damage can often be avoided when treatment begins within an hour of when the symptoms started. Most studies show a large reduction in death rates and in heart damage in patients treated within 1 hour of the start of symptoms.

Many heart attack victims say their heart attack wasn’t what they’d expected.
Most people expect a heart attack to be a sudden intense pain, but often heart attacks start slowly as a mild pain. Patients whose experience did not match their expectations delayed longer before seeking treatment. And delay costs lives.

A family member, such as a spouse, can persuade a loved one having a heart attack to seek help immediately.

True but studies tell us that family members should expect lack of awareness or denial of the seriousness of the symptoms, and resistance to calling for help. Many heart attack sufferers will reject calling 9-1-1, thus delaying the arrival of help. That’s why it’s best to enlist family, friends, and coworkers now. Discuss the symptoms. Talk to your doctors about risk for a heart attack. Make a survival plan, before you need one. Whenever a heart attack is suspected, everyone should know to call 9-1-1 immediately–wait no longer than 5 minutes, if symptoms persist. Don’t wait for the person having symptoms to agree. Take charge to make sure the person gets checked out sooner rather than later.
Calling 9-1-1 for chest pain alone would probably turn out to be a waste of the emergency medical personnel’s time.

It’s better to be safe than sorry, and sometimes chest pain—even mild chest pain—is the only indicator of a heart attack beginning. Emergency medical personnel, or mobile EMS teams, can diagnose a heart attack and begin treatments on the spot. They can even revive a heart that has stopped or is beating erratically. Call right away—do not wait longer than 5 minutes from when symptoms start. It’s okay to be wrong. Emergency medical personnel want you to call to get a heart attack checked out. And even if the call turns out to be a false alarm, running the risk of feeling a little embarrassed is better than running the risk of dying or having a permanently damaged heart.

Most heart attacks occur in people over 65.

However, 45 percent, or nearly half, of all heart attacks occur in people under age 65. Five percent occur in people under age 40.

The major issue in delay is how long it takes for emergency medical personnel to find the address and deliver the patient to the hospital.

The most significant portion of delay time is due to patient delay, the time it takes for an individual to decide to ask for help. Sometimes a patient does not want to believe anything bad is happening and dismisses the seriousness of the symptoms.

Sometimes people do not know the symptoms of heart attack.

Frequently Asked Questions About Heart Attack:

Heart Attack Warning Signs—

Q: How would I know if I were having a heart attack?
Often, it is not easy to tell. But there are symptoms people may have. These are:

  • an uncomfortable pressure,
  • squeezing, fullness, or
  • pain in the center of the chest that lasts more than a few minutes, or goes away and comes back;
  • discomfort in other areas of the upper body, which may be felt in one or both arms, the back, neck, jaw, or stomach;
  • shortness of breath, which often occurs with or before chest discomfort;
  • and other symptoms such as breaking out in a cold sweat, nausea, or light-headedness. When in doubt, check it out! Call 9-1-1. Don’t wait more than a few minutes– 5 at most. Call right away!

Q: What is angina and how is it different from a heart attack?
An episode of angina is NOT a heart attack. However, people with angina report having a hard time telling the difference between angina symptoms and heart attack symptoms. Angina is a recurring pain or discomfort in the chest that happens when some part of the heart does not receive enough blood temporarily. A person may notice it during exertion (such as in climbing stairs). It is usually relieved within a few minutes by resting or by taking prescribed angina medicine. People who have been diagnosed with angina have a greater risk of a heart attack than do other people.


Pre-hospital Delay Time—

Q: I’d rather wait until I’m sure something’s really wrong. What’s the rush anyway?
Medical treatments work best when given within the first hour after a heart attack starts. The first hour also is the most risky time during a heart attack–it’s when your heart might stop suddenly. Responding fast to your symptoms really increases your chance of surviving.

Q: So how quickly should I act?
If you have any heart attack symptoms, call 9-1-1 immediately. Don’t wait for more than a few minutes–5 at most–to call 9-1-1.

Q: Why should I bother? If I’m going to die, there’s not much I can do about it anyway, is there?
That’s not true. There is something that can be done about a heart attack. Doctors have medical procedures that can stop or reverse a heart attack, if given quickly. These drugs can limit the damage to the heart muscle by removing the blockage and restoring blood flow. Less heart damage means a better quality of life after a heart attack.
Given that these new therapies are available, it’s very sad to know that so many people cannot receive these treatments because they delay too long before seeking care. The greatest benefits of these therapies are gained when patients come in early (preferably within the first hour of the start of their symptoms).

The Role of Emergency Medical Personnel—

Q: Emergency medical personnel cause such a commotion. Can’t I just have my wife/husband/friend/coworker take me to the hospital?
Emergency medical personnel—also called EMS, for emergency medical services—bring medical care to you. For example, they bring oxygen and medications. And they can actually restart someone’s heart if it stops after they arrive. Your wife/husband/friend/coworker can’t do that, or help you at all if they are driving. In the ambulance, there are enough people to give you the help you need and get you to the hospital right away.

Steps to Survival—

Q: I’m not sure I can remember all this. What can I do to make it easier for me?
You can make a plan and discuss it in advance with your family, your friends, your coworkers and, of course, your doctor. Then you can rehearse this plan, just like a fire drill. Keep it simple. Know the warning signs. Keep information–such as what medications you’re taking–in one place. If you have any symptoms of a heart attack for a few minutes (no more than 5), call the EMS by dialing 9-1-1 right away.

Q: I carry nitroglycerin pills all the time for my heart condition. If I have heart attack symptoms, shouldn’t I try them first?
Yes, if your doctor has prescribed nitroglycerin pills, you should follow your doctor’s orders. If you are not sure about how to take your nitroglycerin when you get chest pain, check with your doctor.

Q: What about taking an aspirin like we see on television?
You should not delay calling 9-1-1 to take an aspirin. Studies have shown that people sometimes delay seeking help if they take an aspirin (or other medicine). Emergency department personnel will give people experiencing a heart attack an aspirin as soon as they arrive. So, the best thing to do is to call 9-1-1 immediately and let the professionals give the aspirin.

What Are the Signs and Symptoms of Angina?


Pain and discomfort are the main symptoms of angina. These symptoms include:

  • Are often described as pressure, squeezing, burning, or tightness in the chest
  • Usually start in the chest behind the breastbone
  • May also occur in the arms, shoulders, neck, jaw, throat, or back
  • May feel like indigestion

Some people say that angina discomfort is hard to describe or that they can’t tell exactly where the pain is coming from. Symptoms such as nausea, fatigue, shortness of breath, sweating, light-headedness, or weakness may also occur.

Symptoms vary based on the type of angina.

Stable Angina
  • The pain or discomfort:
  • Occurs when the heart must work harder, usually during physical exertion
  • Is expected, and episodes of pain tend to be alike
  • Usually lasts a short time (5 minutes or less)
  • Is relieved by rest or angina medicine
  • May feel like gas or indigestion
  • May feel like chest pain that spreads to the arms, back, or other areas
Unstable Angina

The pain or discomfort:

  • Often occurs at rest, while sleeping at night, or with little physical exertion
  • Is unexpected
  • Is more severe and lasts longer (as long as 30 minutes) than episodes of stable angina
  • Is usually not relieved with rest or angina medicine
  • May get continuously worse
  • May signal that a heart attack will happen soon
Variant Angina

The pain or discomfort:

  • Usually occurs at rest and during the night or early morning hours
  • Tends to be severe
  • Is relieved by angina medicine

Chest pain that lasts longer than a few minutes and is not relieved by rest or angina medicine may mean you are having—or are about to have—a heart attack. Call 9–1–1 right away.

What Are the Signs and Symptoms of Atherosclerosis?


Atherosclerosis usually does not cause symptoms until it:

  • Severely narrows an artery
  • Totally blocks an artery

Symptoms you may have depend on which arteries are severely narrowed or blocked.
If the arteries that feed your heart (coronary arteries) are affected, you have symptoms of coronary artery disease.

  • If the arteries that feed your brain are affected, you have symptoms of a stroke or a transient ischemic attack (TIA) or “mini stroke.”
  • If the arteries that feed your legs, pelvis, or arms are affected, you have symptoms of peripheral arterial disease.
  • If the arteries that feed your kidneys are affected, you have symptoms of renovascular hypertension.

What Are the Signs and Symptoms of Coronary Artery Disease?

Coronary Artery Disease

The most common symptoms of coronary artery disease (CAD) are:

  • Chest pain or chest discomfort (angina) or pain in one or both arms or in the left shoulder, neck, jaw, or back
  • Shortness of breath

The severity of symptoms varies widely. Symptoms may become more severe as coronary arteries become narrower due to the buildup of plaque (atherosclerosis).

In some people, the first sign of CAD is a heart attack. A heart attack happens when plaque in a coronary artery breaks apart, causing a blood clot to form and block the artery.


What Are the Signs and Symptoms of a Heart Attack?

Not all heart attacks begin with a sudden, crushing pain that is often shown on TV or in the movies. The warning signs and symptoms of a heart attack aren’t the same for everyone. Many heart attacks start slowly as mild pain or discomfort. Some people don’t have symptoms at all (this is called a silent heart attack).

  • Chest Pain or Discomfort

The most common symptom of heart attack is chest pain or discomfort. Most heart attacks involve discomfort in the center of the chest that lasts for more than a few minutes or goes away and comes back. The discomfort can feel like uncomfortable pressure, squeezing, fullness, or pain. It can be mild or severe. Heart attack pain can sometimes feel like indigestion or heartburn.


The symptoms of angina can be similar to the symptoms of a heart attack. Angina is pain in the chest that occurs in people with coronary artery disease, usually when they’re active. Angina pain usually lasts for only a few minutes and goes away with rest. Angina that doesn’t go away or that changes from its usual pattern (occurs more frequently or occurs at rest) can be a sign of the beginning of a heart attack and should be checked by a doctor right away.

  • Other Common Signs and Symptoms

Other common signs and symptoms that a person can have during a heart attack include:

  • Upper body discomfort in one or both arms, the back, neck, jaw, or stomach. Shortness of breath may often occur with or before chest discomfort
  • Nausea (feeling sick to your stomach), vomiting, lightheadedness or fainting, or breaking out in a cold sweat

Not everyone having a heart attack experiences the typical symptoms. If you’ve already had a heart attack, your symptoms may not be the same for another one. The more signs and symptoms you have, the more likely it is that you’re having a heart attack.
Act Fast!
Sometimes the signs and symptoms of a heart attack happen suddenly, but they can also develop slowly, over hours, days, and even weeks before a heart attack occurs.
Know the warning signs of a heart attack so you can act fast to get treatment for yourself or someone else. The sooner you get emergency help, the less damage there will be to your heart.
Call 9–1–1 for help within 5 minutes if you think you may be having a heart attack or if your chest pain doesn’t go away as it usually does when you take prescribed medicine.
Don’t drive yourself or anyone else to the hospital. Call an ambulance so that medical personnel can begin life-saving treatment on the way to the emergency room.

What Are the Signs and Symptoms of Heart Failure?

The most common signs and symptoms are:

  • Shortness of breath or difficulty breathing
  • Feeling tired
  • Swelling in the ankles, feet, legs, and sometimes the abdomen
  • Shortness of breath and feeling tired are caused by the buildup of fluid in the lungs and around the lungs (pleural effusions). When symptoms start, you may feel tired and short of breath after routine physical exertion. Climbing two flights of stairs makes you feel winded. As heart failure progresses, the symptoms get worse. You may begin to feel tired and short of breath after simple activities, like getting dressed or walking across the room. Some people have shortness of breath when lying flat.
  • Fluid buildup in the lungs can also cause a cough. The cough is worse at night and when you are lying down. Excessive fluid in the lungs can cause a life-threatening condition called acute pulmonary edema. This condition requires emergency treatment.

The swelling is from the buildup of fluid in your body (edema). Other signs of fluid buildup are:

  • Weight gain
  • Frequent urination

Limitation on Physical Activity
Doctors also classify your symptoms based on how much they limit your daily activity. By class of symptom, your doctor means:

  • Class 1: No limits—ordinary physical activity does not cause undue tiredness or shortness of breath.
  • Class 2: Slight or mild limits—comfortable at rest, but ordinary physical activity results in tiredness or shortness of breath.
  • Class 3: Marked or noticeable limits—comfortable at rest, but less than ordinary physical activity causes tiredness or shortness of breath.
  • Class 4: Severe limits—unable to carry on any physical activity without discomfort. Symptoms are also present at rest. If any physical activity is undertaken, discomfort increases.

What Are the Signs and Symptoms of Chronic Heart Failure and Acute Heart Failure?

Chronic heart failure
Signs and symptoms of chronic heart failure can include:

  • Fatigue and weakness
  • Shortness of breath (dyspnea) when you exert yourself or when you lie down
  • Reduced ability to exercise
  • Persistent cough or wheezing with white or pink blood-tinged phlegm
  • Swelling (edema) in your legs, ankles and feet
  • Swelling of your abdomen (ascites)
  • Sudden weight gain from fluid retention
  • Lack of appetite and nausea
  • Difficulty concentrating or decreased alertness
  • Irregular or rapid heartbeat

Acute heart failure
Signs and symptoms of acute heart failure can include:
Acute heart failure can occur when something suddenly affects your heart’s ability to function. Signs and symptoms of acute heart failure are similar to those of chronic heart failure, but are more severe and start or worsen suddenly. Signs and symptoms of acute heart failure may include:

  • Sudden fluid buildup
  • Rapid or irregular heartbeat with palpitations
  • Sudden, severe shortness of breath and coughing up pink, foamy mucus
  • Chest pain if caused by a heart attack or a bulge in an artery (aneurysm)

What Is a Heart Murmur?

Heart Murmur:
A heart murmur is an extra or unusual sound heard during your heartbeat. Murmurs range from very faint to very loud and sometimes sound like a whooshing or swishing noise. Normal heartbeat sounds—”lub-DUPP” or “lub-DUB”—are the valves closing as blood moves through the heart.

A heart murmur is not a disease; it is a sound that the doctor hears with a stethoscope. It may be normal, or it could be a sign that something may be wrong. Most heart murmurs are harmless. Some are signs of heart problems, especially if other signs or symptoms of a heart problem are present.

Types of Murmurs

  • Innocent (harmless) murmurs
  • A person with an innocent murmur has a normal heart and usually has no other signs or symptoms of a heart problem. Innocent murmurs are common in healthy children.
  • Abnormal murmurs
  • A person with an abnormal murmur usually has other signs or symptoms of a heart problem. Most abnormal murmurs in children are due to congenital heart defects—heart defects present at birth. In adults, abnormal murmurs are most often due to heart valve problems caused by infection, disease, or aging.


What Are the Signs and Symptoms of Hypotension?


Orthostatic Hypotension
The symptoms of orthostatic hypotension happen within a few seconds or minutes of a person standing up after sitting or lying down. They go away if the person sits or lies down again. The signs and symptoms of orthostatic hypotensioninclude:

  • Dizziness or feeling lightheaded
  • Blurry vision
  • Confusion
  • Feeling faint or weak
  • Fainting

Neurally Mediated Hypotension
The symptoms of neurally mediated hypotension (NMH) happen after a person has been standing for a long time or in response to an unpleasant, upsetting, or frightening situation. Like orthostatic hypotension, the drop in blood pressure with NMH is temporary and usually goes away after the person sits down. The signs and symptoms of neurally mediated hypotension NMH are similar to those of orthostatic hypotension.


Severe Hypotension Associated With Shock
In shock, not enough blood flows to the major organs, including the brain.
The early signs and symptoms of reduced blood flow to the brain include lightheadedness, sleepiness, and confusion. In the earliest stages of shock, it may be hard to detect any signs and symptoms. In older people, the first symptom may only be confusion.

As shock worsens, eventually, the person cannot sit up without passing out. If it continues, the person will lose consciousness. Shock is often fatal if not treated.

Some of the other signs and symptoms of shock vary, depending on the cause. When shock is caused by low blood volume (such as from massive bleeding) or poor pumping action by the heart (as in heart failure):

  • The skin becomes cold and sweaty. It often looks blue or pale. If pressed, the color returns more slowly than normal. A bluish network of lines can be seen under the skin.
  • The pulse becomes weak and rapid.
  • The person begins to breathe very quickly.

When shock is caused by extreme widening or stretching of blood vessels (such as in septic shock), a person feels warm and flushed at first. Later, the skin becomes cold and clammy, and the person feels very sleepy.

What Are the Signs and Symptoms of Marfan Syndrome?

Marfan Syndrome

The signs and symptoms of Marfan syndrome vary from one person to another, even within the same family. Some people have mild signs and symptoms, while others may have severe problems and discomfort. Signs and symptoms of Marfan syndrome occur in many parts of the body, including:

  • The bones and ligaments
  • The heart and blood vessels
  • The eyes
  • The lungs
  • The skin

Appearance and Body Build
Some of the major signs of Marfan syndrome are the common physical features seen in people with the condition. People with Marfan syndrome often have:

  • A tall, slender body build. They may be very tall or taller than other family members who do not have the condition. However, it should be noted that short, heavy people also can have Marfan syndrome.
  • Long arms, legs, fingers, and toes. A person’s arm span (the distance from the fingertips of one hand to the fingertips of the other with the arms stretched out from the sides) may be greater than his or her height.
  • A long and narrow face.
  • A highly arched roof of the mouth with crowded teeth.
  • A receding lower jaw, causing an overbite.
  • A protruding or sunken chest.
  • A curved spine.
  • Flat feet that are rotated inward (some people, however, have exaggerated arches).

Bones, Cartilage, and Ligaments
The bones of the limbs, hands, and feet often grow too long in people with Marfan syndrome. This typically leads to a tall, thin body with disproportionately long arms, fingers, legs, and toes. People with Marfan syndrome have loose, relaxed ligaments and are usually loose jointed.

Chest abnormalities may occur due to an overgrowth of the ribs. There are two types of chest abnormalities:

  • Pigeon breast, also called pectus carinatum. The chest protrudes outward like a bird’s chest. This can affect heart and lung function.
  • Funnel chest, also called pectus excavatum. The chest is sunken or indented, reducing the space between the breastbone and the backbone. As a result, the heart and lungs are displaced. Heart and lung function may be affected, leading to breathing and endurance problems.

Curvature of the spine may occur. It usually develops during childhood, often gets worse during the teenage growth spurt, and may require surgical treatment. The three main types of abnormal spine curvature are:

  • Scoliosis—a side-to-side curvature
  • Lordosis—an inward curvature of the spine in the lower back, just above the buttocks
  • Kyphosis—an outward curvature of the spine in the upper back (hunchback)

Curvature of the spine can cause back pain, posture problems, and deformity. Scoliosis can sometimes reduce lung function.
Another problem that can occur is dural ectasia (ek-TA-ze-a), which is the stretching of the membrane surrounding the brain and spinal cord. Dural ectasia can wear down the bones of the spine over time. Symptoms dural ectasia may include:

  • Pain in the lowest part of the back
  • Pain in the abdomen
  • Pain, numbness, or weakness of the legs

Dural ectasia is a hallmark of Marfan syndrome that is very rare in the general population.


Heart and Blood Vessels
People who have Marfan syndrome often have problems with the heart and blood vessels. The valves of the heart may not work properly and may permit some blood flow to be reversed, causing the heart to do extra work. The aorta—the large artery that carries blood away from the heart to the body—may stretch and enlarge. These problems can cause signs and symptoms, such as:

  • A heart murmur. This can be the result of valves not functioning properly or other heart problems.
  • Sudden chest pain. This can be a symptom of aortic dissection, a life-threatening complication that can occur due to weakened aorta walls. The pain may occur in the front or in the back, usually in the midline of the body. The location of the pain may change as the tear in the aorta grows. In some cases, a dissection does not cause dramatic pain.
  • Abnormal heart rhythms called arrhythmias (a-RITH-me-as). A person with Marfan syndrome may develop an arrhythmia as a result of problems with the heart valves or due to cardiomyopathy or congestive heart failure.
  • Shortness of breath and fatigue (tiredness). These can be symptoms of heart failure due to an overworked heart.

Two of the heart and blood vessel complications that can occur in people with Marfan syndrome are mitral valve prolapse (MVP) and enlargement of the aorta.

Mitral Valve Prolapse:

MVP is a problem with the heart’s mitral valve. The mitral valve controls the flow of blood through two of the chambers in the heart, the left atrium and the left ventricle. The flaps of the valve are designed to allow blood to flow in one direction—from the left atrium into the left ventricle—and to prevent blood from flowing the other way.
In MVP, the mitral valve does not work correctly. The valve flaps are large and floppy. They may overlap or not close completely. One or both flaps may flutter or swing back into the atrium.

The abnormal mitral valve can allow blood to flow backward through the valve in the wrong direction. This is called mitral regurgitation. When this happens, the heart has to work harder to make up for the backward flow of blood. Over time, the heart can become overworked, leading to heart failure.

MVP occurs in about 3 out of every 4 people with Marfan syndrome. It also occurs in people who do not have Marfan syndrome. In many people with MVP, little or no blood leaks back through the valve, there are no symptoms, and no treatment is needed. In some people, blood does leak back through the valve, and these people may have symptoms and require treatment.

Enlargement of the Aorta (Aortic Dilation)
The aorta is the large artery that carries oxygen-rich blood away from your heart out to the rest of the body. When weak connective tissue causes the walls of the aorta to weaken, the aorta widens and stretches. Most often, the enlargement begins where the aorta connects with the left ventricle of the heart, just above the aortic valve. This part of the aorta is called the aortic root.

Enlargement of the aorta can lead to several serious complications:

  • Aortic root dilation. The aorta can widen and bulge where it attaches to the heart. This happens due to continued weakening of the wall of the aorta. Aortic root dilation may not cause any symptoms until it becomes quite large. If symptoms occur, they may include pain in the chest, upper back, neck, and jaw; coughing and hoarseness; and trouble swallowing. As part of this dilation, one section may enlarge and bulge out. This is called an aortic aneurysm (AN-u-rism). The aneurysm can rupture, causing massive internal bleeding, which is a life-threatening medical emergency.
  • Aortic regurgitation. The aortic valve sits between the left ventricle and the aorta and allows blood to flow one way, from the ventricle to the aorta. In Marfan syndrome, as the aorta widens, the aortic valve also is stretched, and the valve flaps cannot close properly. This allows blood to leak the wrong way, from the aorta back into the left ventricle (regurgitation). As a result, the heart has to work harder to pump blood out to the body. The heart can become overworked, leading to heart failure. People with aortic regurgitation may have shortness of breath and exercise intolerance.
  • Aortic dissection. This is a tear that occurs in the weakened layers of the inner wall of the aorta. The tear allows blood to get under the inner layer of the wall. As a result, the aorta tears further. An aortic dissection is a life-threatening emergency. Signs and symptoms of an aortic dissection include abrupt onset of chest pain, which may range from mild to severe. There may be pain in the back or the abdomen, or both. The person may sweat, vomit, faint, and have a weak pulse.
Eyes and Vision

Nearsightedness (myopia) is the most common eye problem in people with Marfan syndrome. It can range from mild to severe. People with Marfan syndrome often have astigmatism (a-STIG-ma-tizm), which causes visual distortion and blurred vision.

Dislocation of the lens of the eye (ectopia lentis) is another common complication of Marfan syndrome. It is considered a hallmark of Marfan syndrome because it occurs in very few other conditions. It may affect one or both eyes, and the lens may be higher or lower than normal or shifted off to the side. Vision in the affected eye(s) may be severely affected.

Other, less common eye problems in Marfan syndrome include detached retina, cataracts, and glaucoma. A detached retina occurs when there are holes or tears in the inner lining of the eye. A cataract is a clouding of the lens. Glaucoma occurs as a result of high pressure in the eye. People with Marfan syndrome tend to get cataracts and glaucoma at a younger age than people who do not have Marfan syndrome.


In Marfan syndrome, the air sacs in the lungs may be larger than normal. This can cause breathing problems. People with Marfan syndrome are at an increased risk of developing emphysema or chronic obstructive pulmonary disease (COPD), a serious lung disease.

Sudden collapse of the lung, called spontaneous pneumothorax (noo-mo-THOR-aks) can occur in people with Marfan syndrome. About 1 in every 20 people with Marfan syndrome develops this problem. Collapsed lung can happen after only a slight blow to the chest, or even while at rest without a known cause. Collapsed lung usually causes sudden shortness of breath and requires immediate medical attention.

Sleep Apnea

Sleep Apnea is a problem that is often associated in the general population with being overweight or obese. But thin people with Marfan syndrome can also suffer from it. Sleep apnea may be due to looseness of the connective tissue in the airways. More on Sleep Apnea and getting Heart Attacks in Early Morning when you wake up


Stretch marks on the skin occur in about 2 out of every 3 people with Marfan syndrome. The stretch marks are usually on the lower back, buttocks, shoulders, breasts, thighs, and abdomen. They differ from stretch marks in the general population because, in people with Marfan syndrome, they occur without excessive weight gain or loss. The marks usually appear around the time of puberty, but may occur in childhood. They do not require treatment.

What Are the Signs and Symptoms of Raynaud’s Disease?
People with Raynaud’s (primary or secondary) have attacks in response to cold or emotional stress. The attacks can affect the fingers and toes, and rarely the nose, ears, nipples, or lips. The affected body parts will usually have two or more of the following changes:

  • Look pale due to lack of blood flow
  • Look bluish due to a lack of oxygen
  • Feel numb, cold, or painful
  • Redden and throb or tingle as blood returns to the affected area

Attacks usually last about 15 minutes. They can last less than a minute or as long as several hours. Attacks can occur daily or weekly.
Sometimes attacks affect only one or two fingers or toes. Different areas may be affected at different times. Attacks can cause sores or tissue death (gangrene) in people with severe secondary Raynaud’s. However, severe Raynaud’s is very uncommon.

What Are the Signs and Symptoms of Holes in the Heart?

Atrial Septal Defect

A heart murmur (an extra flow sound associated with the heartbeat) is the most common sign of an atrial septal defect (ASD). Often, it’s the only sign. However, not all murmurs are a sign of a congenital heart defect. Many healthy children have heart murmurs, which are innocent, normal sounds of blood flow through the heart. A doctor can tell by listening whether a murmur is a normal flow sound or a sign of a heart problem. Many babies born with ASDs have no signs or symptoms.
If a large ASD isn’t repaired, the extra blood flow to the right side of the heart can eventually damage the heart and lungs, causing heart failure. This doesn’t occur until adulthood.

Signs and symptoms of heart failure can include:

  • Fatigue or tiring easily during exercise or activity
  • Shortness of breath
  • A buildup of blood and fluid in the lungs
  • A buildup of fluid in the feet, ankles, and legs
Ventricular Septal Defect

A heart murmur is usually present in ventricular septal defect (VSD) and may be the first and only sign of this defect. The heart murmur is often present right after birth in many infants, but it may not be heard until the baby is 6 to 8 weeks old.
Most newborns who have VSDs don’t have heart-related symptoms. However, a baby with a medium or large VSD can develop heart failure. Signs and symptoms of heart failure usually appear during the baby’s first 2 months of life. The signs and symptoms of heart failure from VSD are similar to those listed above for ASD, but they occur in infancy.
The major sign of heart failure is difficulty feeding and poor growth. VSD symptoms are rare after infancy because the defect either decreases in size on its own or is repaired.


What Are the Signs and Symptoms of Congenital Heart Defects?

Many congenital heart defects have few or no symptoms. A doctor may not even detect signs of a heart defect during a physical exam.
Some heart defects do have symptoms. These depend on the number and type of defects and how severe the defects are. Severe defects can cause symptoms, usually in newborn babies. These symptoms can include:

  • Rapid breathing
  • Cyanosis (a bluish tint to the skin, lips, and fingernails)
  • Fatigue (tiredness)
  • Poor blood circulation

Congenital heart defects don’t cause chest pain or other painful symptoms.

Abnormal blood flow through the heart caused by a heart defect will make a certain sound. Your doctor can hear this sound, called a heart murmur, with a stethoscope. However, not all murmurs are a sign of a congenital heart defect. Many healthy children have heart murmurs.
Normal growth and development depend on a normal workload for the heart and normal flow of oxygen-rich blood to all parts of the body. Babies with congenital heart defects may have cyanosis or tire easily when feeding. Sometimes they have both problems. As a result, they may not gain weight or grow as they should.
Older children may get tired easily or short of breath during exercise or activity. Many types of congenital heart defects cause the heart to work harder than it should. In severe defects, this can lead to heart failure, a condition in which the heart can’t pump blood strongly throughout the body.


Symptoms of heart failure include:

  • Fatigue with exercise
  • Shortness of breath
  • A buildup of blood and fluid in the lungs
  • A buildup of fluid in the feet, ankles, and legs

What Are the Signs and Symptoms of Patent Ductus Arteriosus?

A heart murmur may be the only sign that a baby has patent ductus arteriosus (PDA). A heart murmur is an extra or unusual sound heard during the heartbeat.
Some infants may develop signs or symptoms of volume overload on the heart and excess blood flow in the lungs.

Signs and symptoms may include:

  • Fast breathing, working hard to breathe, or shortness of breath, or in the case of a premature infant, need for increased oxygen or ventilatory support
  • Poor feeding and poor weight gain
  • Tiring easily
  • Sweating with exertion (such as while feeding)

What Are the Signs and Symptoms of Tetralogy of Fallot?

An important symptom of tetralogy of Fallot is cyanosis, or a bluish tint to the skin, lips, and fingernails. Low levels of blood in the oxygen cause this symptom.
Babies with tetralogy of Fallot sometimes have “tet spells” in response to an activity like crying or having a bowel movement. A “tet spell” occurs when the oxygen level in the blood suddenly drops. This causes the baby to become very blue. The baby may also:

  • Have a hard time breathing
  • Become very tired and limp
  • Not respond to a parent’s voice or touch
  • Become very fussy
  • Lose consciousness

In years past, when tetralogy of Fallot wasn’t treated in infancy, children would get very tired during exercise and could have fainting spells. This heart defect is now repaired in infancy to prevent symptoms like this.

Another common symptom of tetralogy of Fallot is a heart murmur. A heart murmur is an extra or unusual sound that a doctor can hear while listening to the heart during a physical exam. When a heart defect causes an abnormal flow of blood through the heart, it will make a certain sound. However, not all murmurs are signs of congenital heart defects. Many healthy children have heart murmurs.
Normal growth and development depend on a normal workload for the heart and normal flow of oxygen-rich blood to all parts of the body. Babies who have tetralogy of Fallot may not gain weight or grow as quickly as children with healthy hearts because they tire easily while feeding.

Children with this heart defect also may have “clubbing,” an abnormal, rounded shape to the skin or bone around the fingernails.

What Are the Signs and Symptoms of Holes in the Heart?

Atrial Septal Defect

A heart murmur (an extra flow sound associated with the heartbeat) is the most common sign of an atrial septal defect (ASD). Often, it’s the only sign. However, not all murmurs are a sign of a congenital heart defect. Many healthy children have heart murmurs, which are innocent, normal sounds of blood flow through the heart. A doctor can tell by listening whether a murmur is a normal flow sound or a sign of a heart problem. Many babies born with ASDs have no signs or symptoms.
If a large ASD isn’t repaired, the extra blood flow to the right side of the heart can eventually damage the heart and lungs, causing heart failure. This doesn’t occur until adulthood.

Signs and symptoms of heart failure can include:

  • Fatigue or tiring easily during exercise or activity
  • Shortness of breath
  • A buildup of blood and fluid in the lungs
  • A buildup of fluid in the feet, ankles, and legs
Ventricular Septal Defect

A heart murmur is usually present in ventricular septal defect (VSD) and may be the first and only sign of this defect. The heart murmur is often present right after birth in many infants, but it may not be heard until the baby is 6 to 8 weeks old.
Most newborns who have VSDs don’t have heart-related symptoms. However, a baby with a medium or large VSD can develop heart failure. Signs and symptoms of heart failure usually appear during the baby’s first 2 months of life.

The signs and symptoms of heart failure from VSD are similar to those listed above for ASD, but they occur in infancy.
The major sign of heart failure is difficulty feeding and poor growth. VSD symptoms are rare after infancy because the defect either decreases in size on its own or is repaired.

What Are the Signs and Symptoms of Peripheral Arterial Disease?

At least half of the people who have peripheral arterial disease (PAD) don’t have any signs or symptoms of the disease.
People who do have signs or symptoms may have pain when walking or climbing stairs, which may be relieved after resting. This pain is called intermittent claudication (klaw-de-KA-shen). Blood brings oxygen to the muscles, but during exercise, muscles need more blood flow. If there is a blockage in the blood vessels, muscles won’t get enough blood. If a person has intermittent claudication and exercises while in pain, his or her muscles may be harmed. When resting, the muscles require less blood flow and the pain goes away. Claudication is more likely in people who also have atherosclerosis in other arteries, such as the heart and brain. About 10 percent of people with PAD have intermittent claudication.

Other signs and symptoms of PAD include:

  • Pain, numbness, aching, and heaviness in the muscles
  • Cramping in the legs, thighs, calves, and feet
  • A weak or absent pulse in the legs or feet
  • Sores or wounds on toes, feet, or legs that heal slowly, poorly, or not at all
  • Color changes in skin, paleness, or blueness (called cyanosis)
  • A decreased temperature in one leg compared to the other leg
  • Poor nail growth and decreased hair growth on toes and legs
  • Erectile dysfunction, especially among people with diabetes


Source: National Heart, Lung, Blood Institute of US Dept of Health & Human Services


10 Year Heart Attack Risk Calculator:

Calculate your risk of heart attack with this simple Heart Attack Risk Calculator at: – heart attack signs


Pausch Last Lecture

Dr Randy Pausch’s Last Lecture –

Life Lessons

How many times have we taken things for granted – paying scant attention to the things that matters most in our life like – our health, our family and all the little gifts of life. Sometimes it takes a personal crisis – be it an illness or accident – before we finally begin to get our priorities back into focus.

Dr Randy Pausch did just that in his Last Lecture. He showed us how we can live a meaningful life filled with hope and fulfilled dreams. How to laugh at ourselves and be grateful for each and every day that we are alive. Unfortunately, 46 year old Dr Pausch, do not have much time to live. He is terminally ill with pancreatic cancer (he has 10 tumors in his liver and his doctors gave him only 3-6 months of good health) so Pausch’s Last Lecture could well be his very last public lecture.

For a person who is terminally ill, there is no emotion or self-pity in his farewell speech. Instead, we are treated to fascinating stories of his childhood dreams, how he achieved them and lessons he learn from them. His farewell speech is upbeat, entertaining, thought-provoking and peppered with jokes. Randy gave us many insights of his life that can only inspire and give us all great hope.

Dr. Pausch’s speech was taped so his preschool children, ages 5, 2 and 1, can watch it when they’re older. His last words in his last lecture were simple: “This was for my kids.”

He showed us that even through failures, we can learn useful and endearing life lessons that will help us throughout our lives. He also highlighted the need to enshrine even your most smallest achievements eg. Randy is proud of winning giant stuffed animals in local carnivals.

In Dr Randy Pausch‘s Last Lecture, “Really Achieving Your Childhood Dreams” in September 18, 2007, he talked about his lessons learned and gave advice to students on how to achieve their own career and personal goals. Dr Randy Pausch is an energetic, captivating and flamboyant speaker and delivers, what the Wall Street Journal describes as, “a lecture of a lifetime”. His farewell lecture will, in the years to come, be a model presentation format for many public speakers.

Quotable Quotes from Dr Randy Pausch’s Last Public Lecture for those who want a quick review of the lecture:
  • “Don’t Complain, Just Work Harder.”
  • “It is not about Achieving your Dreams but Living your Life. If you lead your Life the right way, the Karma will take care of itself, the Dreams will come to you. “
  • “Never underestimate the importance of having Fun. I’m dying and I’m having Fun. And I’m going to keep having fun every day, because there’s no other way to play it.”
  • “We can’t change the cards we are dealt, just how we play the hand. If I’m not as depressed as you think I should be, I’m sorry to disappoint you.”
  • “Brick walls are there for a reason. They are not there to keep us out. The brick walls are there to give us a chance to show how badly we want something. The brick walls are there to stop people who don’t want it badly enough.”
  • “No one is pure evil. Find the Best in everybody…. Wait long enough, and people will surprise and impress you. It might even take years, but people will show you their Good side. Just keep waiting.”
  • “Experience is what you get when you Didn’t get what you Wanted.”
  • “Never lose the child-like Wonder. It’s just too important. It’s what Drives us. Help others.”
  • “How do you get people to help you? You can’t get there alone. People have to help you and I do believe in karma. I believe in paybacks. You get people to help you by telling the Truth. Being earnest. I’ll take an earnest person over a hip person any day, because hip is short term. Earnest is long term.”
  • “Show gratitude. Gratitude is a simple and powerful thing.”
  • “Having Fun for me is like a fish talking about the importance of water. I don’t know how it is like not to have Fun… I will keep having Fun everyday I have left.”
  • “It is Important to have Specific Childhood Dreams.” He wanted to play football in the NFL; he wanted to write an article for the World Book Encyclopedia; he wanted to be Captain Kirk from “Star Trek”; and he wanted to work for the Disney Co. He also wanted to experience the Weightlessness of Zero Gravity;

However, Randy, as a kid, knew that he did not have the necessary physical prerequisites to be an astronaut. So he focussed on the dream of being able to float in zero gravity. He got his wish when he and his students earned the privilege to use the KC-135 (also known as the “vomit comet”) – a modified Boeing 707 four-engine turbojet that NASA uses to simulate conditions of weightlessness.

  • “Be Good at Something; it makes you Valuable.”
  • “I’m sorry I won’t be around to raise my kids. It makes me very sad but I can’t change that fact, so I did everything I could with the time I have and the time I had to help other people.”

Pausch recently took his 5-year-old son to Walt Disney World to swim with the dolphins. As his oldest child, the boy will be the only one who may have clear memories of his father.

  • “I’ve never understood pity and self-pity as an emotion. We have a finite amount of time. Whether short or long, it doesn’t matter. Life is to be lived.”
  • “If someone rides on you for 2 hours, you know they care for you” (on his experiences in baseball training)
  • “To be cliché, death is a part of life and it’s going to happen to all of us. I have the blessing of getting a little bit of advance notice and I am able to optimize my use of time down the home stretch.”
  • If you want to achieve your dreams, you better learn to work and play well with others. Tell the Truth. That means you got to live with integrity.
  • A good apology has three parts: 1. “I’m sorry”; 2. “It was my fault” and 3. “How do I make it right”. The last part tells about your sincerity.
  • On Education: “Mark Twain says, “Don’t let your schooling get in the way of your education.” I always tell my students that they should spend their time in whatever way helps them learn. I’m perfectly happy if they cut my class because they were doing something that was a better use of their time” – Time, 10 April 2008.

Dr Pausch is a Professor of Computer Science, Human-Computer Interaction and Design at the Carnegie Melon University (CMU). He has done consulting work for Disney and Google, written over 70 books and is the creator of the Alice Interactive Computing Program – which allows students to easily create 3-D animations. It had one million downloads in the past year, and usage is expected to soar.

The “Last Lecture” series is a common title for talks on college campuses today. Schools such as Stanford and the University of Alabama have mounted “Last Lecture Series,” in which top professors are asked to think deeply about what matters to them and to give hypothetical final talks. For the audience, the question to be mulled is this: What wisdom would we impart to the world if we knew it was our last chance? At the CMU, the Dr Randy Pausch’s last lecture was far more than hypothetical.

Randy Pausch Medical Update:

25 July 2008 – Prof. Pausch has died of complications from pancreatic cancer after a two year uphill battle with the disease. He passed away in his Chesapeake, Virginia home in the early morning of the 25th.  The Pausch family moved to Chesapeake last fall to be closer to his wife’s relatives. He was 47 and leaves behind a wife and 3 young children.

On August 15 2007, doctors told him they had found 10 inoperable tumors and he had up to six months of good health left. That will be followed by a sharp two-week decline into pain, immobility and death.This deadly disease kills 95%  of the victims within months of the diagnosis.

Pausch noted that although pancreatic cancer is the fourth leading cause of cancer deaths, no progress has been made on pancreatic cancer research in the past 30 years due to lack of Federal funding. You stand a  far greater chance of living with AIDS than pancreatic cancer.

We are going to miss your infectious humor and unfailing enthusiasm. Even with your passing, you have given us so much hope.  You did not beat the Reaper, but then no one does:

“We don’t beat the Reaper by living longer,” Pausch said. “We beat the Reaper by living well.”

Randy did not believe in natural healing.

Below are some of Randy’s last public appearances, most in support of projects he truly believed in:

24 June 2008 – On Thursday, an unnamed friend of Pausch’s had posted on his behalf to the news page of Pausch’s personal area on the Carnegie Mellon Web site.

“A biopsy last week revealed that the cancer has progressed [sic] further than we had thought from recent PET scans,” the posting read in part. “Since last week, Randy has also taken a step down and is much sicker than he had been.”

16 June 2008 – Randy’s condition continues to slowly improve. However, his PET scan showed that his cancers continue to grow though at a slower rate. He current thinking is that more chemotherapy may not be wise. The benefits of chemotherapy vs getting sick may not be worth the slight reduction of tumors.  He is studying  some immunuotherapy-based options that would presumably come with little or no side effects.

Pausch received a Congressional Record commendation on 21 June and a nice letter from President George Bush on 10 June.  Not bad for a sick man.

20 May 2008 – Pausch returned to chemo treatment on 20 May but by 28 May, the adverse effects of the chemo resulted in Randy having a high (101) fever and vomiting for 3 days and therefore he had to stop treatment.

2 May 2008 – Cancer spreads to Randy’s lungs and lymph nodes in his chest. There are also some metastases inside his abdomen. His priority right now is to recover from heart and kidney failure first which is a relatively more serious problem. When he is strong enough, he will resume the grueling SIR-Spheres or some systemic chemo treatment to tackle the liver and non-liver tumors. It’s Catch-22. Let’s hope Pausch recovers from the heart and kidney complications soon.

28 April 2008 Randy put up a Time Management video which he did some time back with the help of Gabe Robins in November 2007 at the University of Virginia. To watch this 2007 time management video by Randy Pausch, click on this link:

27 April 2008 Pausch continues to get his strength back as his blood pressure gets under control. With BP under control, he can cut back on the medication which causes fatigue and makes him weak. Well wishers have expressed concern about his tumor marker readings (which is CA19-9 (tumor marker): 404) but Randy say he’ll not worry about it just yet. Fight one battle at a time. You can’t be fighting at all fronts without exhausting your precious resources.

19 April 2008 – Randy is recovering more quickly (this time) from his 2nd congestive heart failure but the HB medication side effect – fatigue – is taking its toll on his body.

17 April 2008 – Pausch’s newly released book “The Last Lecture“, written with Wall Street Journal columnist Jeff Zaslow, made to the top selling books lists according to most book retailers including Amazon etc. This was reported by USA Today, Time etc. Congratulations on this amazing feat, Randy.

15 April 2008 – Pausch’s cardiologist said that Randy “is technically back in heart failure” for the 2nd time with his heart pumping at 30% its optimal levels. 24 hours later, the high blood pressure medications brought his blood pressure down to normal and diuretics “shed 4 pounds in water weight”. Unfortunately, the high blood pressure medication has resulted in fatigue.

12 April 20088 – Randy’s is accepted by the University of Maryland for the SIR-Spheres treatment – a experimental treatment in which tiny spheres of yttrium-90, a radioactive substance, are injected into the liver to treat cancer – sometimes referred to as “brachytherapy“. He will check into the University of Maryland for the treatment when he is sufficiently strong enough to undergo the treatment.
2 April 2008 – Pausch’s CT and MRI scans show new, 11th, tumor (though small and negligible). The old tumors have not grown “like crazy” even though the doctors had to stop his chemo treatment due to heart / kidney complications reported earlier. Next step is to deal with the tumors in his liver. Chemo for liver specific treatment is said have “very low rate of side effects” compared to systemic chemotherapy. Randy is hopeful of a successful treatment.

29 March 2008 – Getting back his energy. Pausch’s CA19-9 blood marker is showing better numbers than before.

26 March 2008 – Randy suffers from “a lot of fatigue” caused by his blood pressure medication. Has to spend most of his day in bed. Pausch’s kidney function has improved with creatanine levels down to 3.1 from a high of 3.9. However, the tumors readings went up from 103 to 170.

13 March 2008 – Paush is out of hospital though “still a little wobbly from the heart / kidney issues”. Had a car minor accident driving home. Fortunately, no one was hurt.

8 March 2008 – Randy is hospitalized for treatment particularly the clearing the fluid in his lungs and abdomen. Doctors are confident that there is no long-term damage to Randy’s heart. However, kidney damage is less clear at the moment.

5 March 2008 – Pausch suffers major setback against his fight against cancer, though tumors are contained. Major side effects of chemo drugs this time:

  • kidney performing under 50% of efficiency
  • blood pressure skyrocketing to 200 over 100
  • build up of abdominal fluid (a result of kidney dysfunction) causes difficulty in breathing and sleeping.

Randy is hopeful that the planned blood pressure medication, diuretics and blood transfusion will do the trick.

15 February 2008: – Pausch celebrates his 6 months survival from his cancers through palliative chemotherapy – beating the doctors’ predictions of his survivability to less than 6 months. Randy remains fitter in spite of his illness – biking and running faster than most people.

6 February 2008: – Pausch fighting hard as CT scan in beginning January showed signs of “creeping growth” of tumors. His doctor gave him a less aggressive drug Avastin (Gemcitabine+Tarceva+Avastin) which had “stopped the growth (and even showed some signs of shrinkage)” for now. If Avastin starts to fail, he will be given a more stronger (downside = more bad side effects) drug. One of the more worrying side effect of this treatment is that his “kidney seems to be weakening, though not dangerous yet”. Hopefully, a stronger drug won’t be necessary. Hang on in there, Randy.

23 Dec, 2007: Pausch wrote that his cancers are stable and “on hold” probably for another 2-4 months. As the performance of such cancer drugs have a bell shaped curve, it is difficult to say if things will get better or worse after it has past its peak effectiveness. If the drugs’ payoff starts to dip, Pausch will look to other “longer shot” options which work for only about 10-15 of the patients.

1st Oct 2007 : Pausch reported “I had a CT-scan, and a follow-up PET-CT scan on Oct 13th. Both confirmed that we are willing: The cancer tumors in my spleen are now gone, and the dozen or so cancer tumors in my liver are all either stable or slightly smaller.

19 Oct 2007, elated Randy reported in his website that his latest medical condition is encouraging: “Palliative Chemo is working!, I am a winner. I have bought an extra 2-4 months of good health. Said another way, I may have just doubled my life expectancy.”

Background to Pausch’s Medical Condition:

In September of 2006, Dr. Pausch was diagnosed with pancreatic cancer. Hoping to beat the odds, Dr. Pausch underwent a bold treatment plan to defeat his pancreatic cancer. Doctors removed Dr Randy Pausch’s gallbladder, portions of his stomach and pancreas and several feet of his small intestine to increase his survival odds to 15%. He enrolled in an experimental treatment offered in Houston that combined chemotherapy with highly toxic radiation, boosting the five-year odds to 45% against pancreatic cancer.

Unfortunately, in August 2007, the cancer returned to his liver and spleen. (See our Medical Update above for the latest developments in Pausch’s medical condition). The overall five-year survival rate for pancreatic cancer is just 5%. Even the one-year rate is only 26%. The reason for this low survival rate is because pancreatic cancer is difficult to detect and is usually detected at a very late stage when the cancer had already done a great deal of damage to the body.)

Pausch has said that he does not believe in Health Supplements because of lack of clinical data. So he is going to put his faith in a drug cocktail. That is OK, he is entitled to and I respect his opinions on this. But I’m sure he would agree that that the remission of some of his tumors is not entirely due to conventional medical intervention. Natural healing plays a great part in determining whether a person survives or succumbs to the disease. People who are Happy and Optimistic, have a better chance of surviving a major illness than one who is Unhappy and Pessimistic.

In ” Mind Medicine “, Uri Geller says: “The most brilliant medicine in the world cannot cure the body if the patient’s state of mind refuses to cooperate, just as a person’s state of mind can have a devastating effect on physical health. .. We know that if a patient does not believe he will be cured, a cure will not take place. The whole of the mind needs to heal to effect a full recovery.”

And now, finally, the last part on Randy Pausch’s Farewell Lecture:

Here are two YouTube video highlights of some of Pausch’s most poignant reminders of how to live out your dreams to the fullest. If you are interested in viewing Randy Pausch’s full farewell lecture (is about 70 minutes plus though other testimonial speakers clock up time making it a 1 hour 44 mins video) go to YouTube or Google Video to watch “Randy Pausch’s Last Lecture

© – pausch last lecture

Network Marketing | Auto Pilot

My Network Marketing Business On Auto Pilot

One of the benefits of Network Marketing is that you will be able to take a Sabbatical from time to time without it impacting on your earnings. As long as you have built a big success line and have people who are committed to the network marketing business, you will be able take time off to attend to family matters for several weeks. You will, however, have to ensure you have a lean, mean network marketing organization and your working partners are willing to help you out while you’re away on personal matters. This collaborative arrangement ensures the survival and success of your business empire.
In the Network marketing business, it is normal for associates and partners help each other. A synergistic alliances between senior partners and new associates make the business a flexible and robust one. Without mutual help, your network marketing business will be like any other business: “The Power of One”.

Network Marketing on the other hand is “The Power of the Multiplication of One“, where we leverage and help partners and associates. What holds true for the three Musketeers, holds true for network marketers: “All for One, and One for All“.

It is not true that new business cannot be written while you are “away”. Your “network marketing office” is never “closed”. You can prospect everywhere, even while you are touring. In fact, there will be many opportunities to meet people and prospect while you are on holiday.

Even if you are in a “holiday mode”, you will be able to exchange name cards with people you meet (on planes, buses, restaurants and even on the street while on tour). When you get back, you will have a stack of nice, warm contacts to follow up on. Contacts which could even possibly pay for the holiday trip! You have fun and make money at the same time.

Well folks, this is the time of year when I take my annual family vacation. This year, we will be heading for the Eastern side of the USA. It has been several years since I have been to the eastside USA, so I am looking forward to the trip though it will be a very hectic road trip.

I will be away from 8-18 October 2007. This is my itinerary:

USA vacation 2007

While I am away, please contact the other leaders who are at home base. I will be moving from place to place so I won’t be able to be in touch with you most of the time. Have fun “while the cat’s away” and don’t do things I wouldn’t do. I will see you all when we get back.

When you follow your bliss… doors will open where you would not have thought there would be doors; and where there wouldn’t be a door for anyone else. – Joseph Campbell quote

The Secret to Success | Happiness

The Secret to Success and Happiness:


Be Positive

Being Positive helps you to cope with Stress. People who are positive have better control of their lives and consequently better at Problem Solving and Creative Thought Processes.

Avoid Stress.

Stress ranks number 2, after the consumption or exposure of certain kinds of foods and harmful substances, as the major cause of heart disease and cancer. Studies showed that people with good Stress Management Strategies or who generally have a Happy Predisposition are generally less likely to suffer from heart attacks.

Managing Stress.

Reducing Stress helps to build up your immunity system resulting in less frequent bouts of coughs and colds etc.

Symptoms of Stress include:

  • Eating problems.
  • Muscle aches and pain.
  • Headaches.
  • Memory problems.
  • Mood Swings.
  • Difficulty in Thinking clearly and Making Good Decisions.
  • Insomnia.
  • Lack of Energy.
  • Chest pain, irregular heartbeat.
  • High blood pressure or Hypertension.
  • Weight problems.
  • Asthma or shortness of breath.
  • Skin problems.
  • Decreased sex drive.

Think (and more importantly, Visualize) Positive Things You Want in Your Life.

In the Visualization Technique, you use Mental Imagery and Positive Thinking to achieve your Goals. When you repeatedly and intensely reflect on the thoughts, images and feelings associated with your goals, you begin accept the fact that the goal can, not only be achieved, but that it is fait accompli. This strong conviction that you can 100% achieve your goals, allows you to open your mind and notice in your everyday life the information, guidance, ideas, insights, and inspirations that will make your goals a reality. With preparedness of mind, you will be ready, and more importantly have the courage, to seize opportunities that may come your way. Your resolve will be hard to break and no one will be able to stop you from your predestination. You will be mentally prepared to pay the price to make your goal a reality as success is seldom a free lunch.

It is similar to the Concept of Prayer where you believe that the Almighty will intercede and make your Prayers come true because of your strong Faith in Him. In prayer too, you will have a price to pay as a weak prayer equals a weak Divine Intervention or even no Intervention at all.

Avoid Reading, Watching or Listening to depressing News, Movies and Music.

Although such news or entertainment may not impact on you directly, it has a way of creeping into your sub-conscious mind and weighing down on your thought process and consequently on the way you are likely to think or behave. It can also result in mood swings.

Some pop, rock, rap music may seem like love songs. But in reality, they are sometimes about committing suicide or even murder. Genres like metal, punk, emo rock and rap music have a preoccupation with such themes.

One famous example is the song called “Without You” which was widely covered by many well known artistes including Mariah Carey, Air Supply, Clay Aiken. The song was number one Billboard hits for Harry Nilsson (1971) and Mariah Carey (1994). Coincidentally, Mariah Carey’s “Without You” was released just one week after Harry Nilsson died of a heart attack at the age of 52. Mariah Carey suffered a nervous breakdown in 2002 as a result of a failed relationship. Clay Aiken recorded “Without You” and “Invisible” after his success in “American Idol”. His “claymates” deserted him when he confessed he was gay.

The song was originally written and recorded by the Beatles’ protégés – the “Badfinger” in 1970. The chorus of Badfinger‘s “Without You”:

“I can’t live, if living is without you
I can’t give, I can’t give anymore
I can’t live, if living is without you
I can’t give, I can’t give anymore”

trademarked their preoccupation with loss, grief, regret and hopelessness. The two creative members of Badfinger (Pete Hams & Tom Evans) who wrote the song subsequently committed suicide by hanging in what was one of the most bizarre and heartbreaking stories in the annals of pop music. During their brief career, the band received much critical acclaim and their music shone like a brilliant beacon in the bleak landscape of the post-Beatles period. Badfinger was hailed as the successors to the Beatles throne and was expected to be the standard bearers of pop music now littered with the corpses of rock icons of the late 60s. Alas, this was not to be. Badfinger themselves fell victim to the excesses of the 70s. Badfinger’s financial problems with their manager and the consequent legal entanglements made the lawyers the only ones who were enriched by their work. These plus their pessimistic outlook in life made them one of rock and roll’s most famous tragic stories. It is interesting to note that Badfinger’s biggest hit, a Paul McCartney of the Beatles song “Come and Get It” predicted their financial problems to come:

“…..Did I hear you say that there must be a catch?

Will you walk away from a fool and his money?

If you want it, here it is
Come and get it
But you better hurry ’cause it’s going fast…..”

They could have recovered from their financial loss by writing new songs. But instead, they chose to immortalize their grief.

The band got their name from a John Lennon demo song called “Bad Finger Boogie” (an early version of “With A Little Help From My Friends“). John Lennon alluded to playing piano with “his bad finger” ie. playing piano with his middle finger after hurting his forefinger. John Lennon was shot dead by a crazed fan in 1980 because he wanted “to steal John Lennon’s fame”. John Lennon wrote a tongue-in-the-cheek Beatles song “Happiness is a Warm Gun” which was unfortunately highly fatal for him. This cautionary tale of Badfinger and Lennon tells us to Be Careful What We Wish For, for we could get it – but not in the way we had intended.

Slow Down and Learn to Enjoy Life.

Learn to smell the roses.

Enjoy the sunset.

Partake in little pleasures that do not have harmful side effects.

Pursue a hobby with a consuming passion.

Pray or meditate a little.

Read, Watch or Listen to inspirational works.

Focus on the Important Aspects of Your Life – like health.

Don’t let the grind of your daily life wear you down. Take more breaks or simply take more time to have happy thoughts by yourself or with the ones you love. Have Vacations that do not burn a hole in your pocket or leave you more tired than reinvigorated.

Learn to Laugh.

Laughter is the best medicine. Be excessively and unreasonably happy. When you laugh heartily, you take in more oxygen and increase nature’s very own anti-oxidant in your body.

“When we laugh, natural killer cells which destroy tumors and viruses increase, along with Gamma-interferon (a disease-fighting protein), T-cells (important for our immune system) and B-cells (which make disease-fighting antibodies). As well as lowering blood pressure, laughter increases oxygen in the blood, which also encourages healing.” – Science of Laughter” Discovery Health Website.

There is lots of research to back up my advice:

  • Laughter activates the Immune System
  • Laughter reduces the Stress Hormones (or stressors)
  • Laughter relaxes the Muscles
  • Laughter reduces Pain
  • Laughter increases Blood Flow as much as exercise does
  • A Cheerful Disposition can lengthen your Lifespan, regardless of age, weight, or smoking habits
  • Laughter helps Diabetics process Blood Sugar better
  • Positive Temperament can help you see Life’s Bigger Picture

Research shows that laughter creates bonding within a group. So laugh in a group, it’s contagious. Share this YouTube video with others and strengthen bonds of friendship.

How to Make Yourself Laugh

  1. Laugh at Yourself
  2. Laugh with Others
  3. Make Fun of Your Fears
  4. Remember A Hilarious Moment
  5. Look for Light Hearted Things in Everyday Life
  6. Collect Joke Books
  7. Watch a Funny Movie or Video

Don’t Watch This YouTube video If You Don’t Want To Laugh.

Learn to Be Grateful.

Show outward manifestations of Gratitude. Say “Thank You” more often. Write and send more “thank you” notes. You will make at least two people happy – yourself and the recipient of your “thank you”. Say thank you and most of the time you be rewarded with a smile. That said, you should be warned that some people are incapable of saying “thank you” or giving a smile. But don’t let that discourage you. You’ve done good. Give yourself a pat in the back. You are on the way to Success and Happiness.