Yasuko Morimoto writes:

        The most important issue for T is to understand that his condition is serious. He was diagnosed as suffering from early atherosclerosis, the condition that cholesterol deposits begin to accumulate along the inner walls of the arteries, which may be the beginning of coronary heart disease (CHD). T is also a heavy smoker and does not do any exercises. Current cigarette smoking and physical inactivity are obvious risk factors for CHD. And smoking accelerates arteries thickening by more than 10 years. Though he thinks he is too young to pay attention to his health, his arteries may be 10 years older than that of people who never smoke. He is now in the first stage of coronary disease, and smoking can make disease go even faster.

        Besides these problems, lack of exercise and heavy smoking, there are some concerns regarding his heart condition. First, he has high blood pressure (170/100) now, which is one of the risk factors for CHD. Second, he is such a person that he is likely to develop heart disease: he is a Type A person, who tends to be overworked, high-achieving, and having little relaxation. All of these traits are probably making his blood pressure high. His mother died after heart by-pass surgery complicated by hardening of the arteries. So he has a family history of high blood pressure, and probably high cholesterol intake. He also has a problem in that he pays little attention to his health.

        To remove his pain in the neck and upper chest areas, which may be connected with atherosclerosis, and to make himself feel better, he should quit smoking, do regular exercise as he has already noticed. It is also effective for him to change his diet and relax to calm down. Smoking accelerates thickening of the arteries and results in atherosclerosis and CHD. Doing some exercise and maintaining a healthy diet may reduce LDL level, which can delay atherosclerosis. He may enjoy jogging in the morning, which also could give him an appetite. Then he may enjoy a healthy breakfast, such as wholegrain breads, vegetables, low fat milk and fresh fruits. Because he is a Type A person who is likely to develop high blood pressure and some gastrointestinal diseases, he could die of Karo-shi; he should relax himself. If he likes animals, having a dog may give him a good chance to relax.

        In the long term, he should keep this advice and change his attitude gradually. The most important thing for him not to develop CHD is to recognize that he is responsible for his own health.

        He seems to drive himself so hard. He may also think that considering one's health is an issue for older people, and he is not as old as those who consider such things. But he is a heavy smoker and smoking accelerates hardening arteries by more than a decade. In addition to his older arteries, he has been diagnosed hypertensive and has early atherosclerosis. He may have a stroke or even a heart attack in the future if he does not change his attitude. Considering these things, improving his health will not decrease his achievement, but may in fact increase his ability to work efficiently and have a good effect on his co-workers.

        He should get more interested in his current condition and understand that he can prevent coming down with CHD by his own effort.

         

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