Pope Francis (Credit: X)
Pope Francis injured his right arm after suffering a fall earlier this week. According to the Vatican, while the 88-year-old pontiff did not break his arm, a sling was put on as a precaution. This incident comes just weeks after another fall on December 7, where he hit his chin on a nightstand, resulting in another, visible bruise. The pope's health has been a topic of ongoing speculation due to his age and medical history, which includes long bouts of bronchitis and mobility challenges. Often seen using a wheelchair or a cane, Francis also uses a walker within the Vatican's Santa Marta hotel, where he resides. Notably, his frailty has brought renewed attention to the risks of falls among elderly individuals and the steps one must follow to mitigate such falls.
A study published in Frontiers in Aging Neurosciences people get older, the bone density in the lower back and thigh bone decreases significantly. This raises the risk of osteoporosis (OP). Therefore it becomes pivotal to pay early attention to nutrition, exercise ability, vitamin D levels, and uric acid levels in older individuals to prevent Ostreopsis and mitigate fall risks. The risk of falls and bone injuries among elderly individuals underscores the importance of preventive measures for maintaining bone health and minimizing fall risks.
Elderly, particularly menopausal women, require a daily calcium intake of 1,200 mg, divided into two or more doses. This can be achieved through dietary sources such as dairy and non-dairy products or through supplements like calcium carbonate and calcium citrate. However, total daily calcium intake should not exceed 2,500 mg to avoid potential health risks.
Vitamin D is essential for calcium absorption and bone mineralization. While sunlight exposure helps synthesize vitamin D, older individuals often require supplements due to reduced skin synthesis and the limited availability of foods. Fortified milk and supplements containing 200–600 IU of vitamin D daily are recommended, with higher doses required for those with deficiencies. Severe cases may necessitate high-dose treatments, such as 50,000 IU weekly for up to three months, along with regular monitoring of calcium and vitamin D levels.
Regular exercise is vital for preserving bone mass and reducing fall risk. Weight-bearing activities, strength training, and balance exercises like brisk walking or skipping can enhance bone density and improve coordination. Experts recommend at least 30 minutes of moderate physical activity most days of the week, supplemented by strength training twice weekly. For individuals unable to engage in standard exercise routines, alternatives like vibrating platforms may help maintain bone health.
Falls remain a leading cause of fractures among individuals over 60. Addressing contributing factors such as balance issues, vision problems, and environmental hazards can significantly reduce risks. Preventive measures include regular vision checks, minimizing medications causing dizziness, improving home safety (e.g., installing railings and removing loose rugs), and wearing rubber-soled footwear. Hip protectors may also help mitigate the impact of falls.
Credits: Wikimedia Commons
Robert Carlos, who is known to be the Brazil and Real Madrid legend is finally "recovering well" after he underwent a "preventative medical procedure" as he wrote on his Instagram page. The 52-year-old was seen smiling on the hospital bed, as he cleared rumors around heart attack. "I would like to clarify recent information that has been circling. I recently underwent a preventative medical procedure, planned in advance with my medical team. The procedure was successful, and I am well. I did not suffer a heart attack."
He further wrote: "I am recovering well, and looking forward to returning to full fitness and resuming my professional and personal commitments soon. I sincerely thank everyone of the messages of support, care, and concern. I would like to reassure everyone that there is no cause for concern. My heartfelt thanks go to the entire medical team who took care of me."
ESPN reported that he underwent a preventative heart surgery. While no reports confirmed the exact surgery he underwent, there are different preventative heart surgeries that one can get to restore blood flow, or prevent heart attacks in people with severe blockages.
Coronary Artery Bypass Grafting (CABG) is a surgical procedure used to treat severe coronary artery disease, where blood flow to the heart is reduced due to blocked arteries. In this surgery, a healthy blood vessel is taken from the chest, leg, or arm and grafted to bypass the blocked artery, allowing blood to flow freely to the heart muscle again. CABG is often recommended for patients with multiple blockages, diabetes, or reduced heart function. While it is a major surgery, advances in surgical techniques and post-operative care have significantly improved outcomes and recovery. The procedure not only helps relieve symptoms such as chest pain and breathlessness but also reduces the risk of heart attacks and improves overall quality of life.
Minimally invasive and robotic surgeries involve performing procedures through small incisions using advanced instruments and robotic arms controlled by a surgeon. These techniques offer greater precision, flexibility, and control compared to traditional open surgery. Robotic systems provide a magnified, high-definition view of the surgical area, allowing surgeons to operate with enhanced accuracy. Patients benefit from smaller scars, reduced blood loss, less pain, and quicker recovery times. Minimally invasive and robotic approaches are commonly used in cardiac, orthopedic, urological, and gynecological surgeries. While not suitable for every patient or condition, these procedures have transformed modern surgical care by making complex operations safer and less physically taxing for patients.
Pacemakers and defibrillators are implantable devices designed to regulate abnormal heart rhythms. A pacemaker helps maintain a steady heartbeat by sending electrical signals when the heart beats too slowly. Defibrillators, also known as ICDs, can detect life-threatening rhythm disturbances and deliver a shock to restore normal rhythm. These devices are recommended for patients with arrhythmias, heart failure, or those at high risk of sudden cardiac arrest. Implantation is usually a minimally invasive procedure, and most patients can return to normal activities within a few weeks. Pacemakers and defibrillators play a crucial role in preventing complications, improving symptoms, and significantly enhancing survival and quality of life for heart patients.
There are certain non surgical alternatives, which include preventive cardiology, ECEP (Enhanced External Counter pulsation) , and certain medications like statins to lower cholesterol, or beta-blockers for angina, or aspirin to prevent clots, notes Cleveland Clinic.
Credits: AP
President Donald Trump said he takes a higher dose of aspirin than his doctors recommend, blaming it for the bruises on his hands that have again drawn attention to his health. The remarks came during an interview with The Wall Street Journal published on Thursday.
“They tell you aspirin is good for thinning the blood, and I don’t want thick blood running through my heart,” Trump, 79, said. “I want thin blood flowing through my heart. Does that make sense?”
Trump said his doctors prefer that he take a smaller dose, but he has chosen otherwise. “They’d rather I take the smaller one. I take the larger one. I’ve done it for years,” he said, adding that bruising is a known side effect, as per CNN
The interview marked one of Trump’s most detailed discussions with journalists about his health in recent years. Scrutiny has grown as questions persist about his age, stamina, and how transparent the White House has been about his medical condition.
Bruising on Trump’s right hand has been visible for months. CNN previously reported that it existed before his return to the White House. The issue drew more attention after Trump appeared to conceal the marks with makeup or bandages and often shielded his hand from cameras. Observers have also pointed to swelling in his legs and moments where he appeared to doze during public events.
Trump’s physician, Dr. Sean Barbabella, told the Journal that the president takes 325 milligrams of aspirin each day. According to the Mayo Clinic, low-dose aspirin therapy typically ranges from 75 to 100 milligrams, with 81 milligrams being the most commonly advised dose. The clinic notes that aspirin therapy can fall anywhere between 75 and 325 milligrams daily.
Aspirin is widely used to thin the blood and reduce clot formation, lowering the risk of heart attack and stroke. However, it also increases the risk of bleeding. In recent years, medical guidelines have moved away from recommending daily aspirin for many adults, as the potential harms often outweigh the benefits. Some experts advise discontinuing aspirin entirely in people in their 70s.
Dr. Jonathan Reiner, a professor at George Washington University’s School of Medicine and Health Sciences and former cardiologist to Vice President Dick Cheney, said the explanation offered by Trump and his team raises further questions.
“It’s uncommon to see that kind of bruising with one aspirin a day,” Reiner said. “The question becomes whether the president is taking medications that have not been disclosed by the White House.”
Barbabella said on Thursday that Trump remains in excellent condition. In a statement to CNN, he said the president’s medical evaluations and lab results show strong metabolic health and that his cardiovascular condition is comparable to someone 14 years younger. “Overall, the President remains in exceptional health and fully capable of carrying out his duties as Commander in Chief,” Barbabella said.
At several public appearances last week, Trump appeared with light discoloration or bruising on the back of his left hand as well, in addition to the more persistent bruising on his right hand. As per CNN, the White House has previously attributed the right-hand bruising to frequent handshaking combined with aspirin use, which can make bruises more likely to appear.
Reiner said that while 325 milligrams is not considered an extreme dose, there is no clear medical reason to take that amount every day. He explained that people with acute injuries, such as a sprained ankle, may be prescribed 325 milligrams every four hours, which would be considered a high dose.
“Aspirin has been studied at many doses,” Reiner said, as per NBC News. “Eighty-one milligrams offers the best balance between reducing clot risk and limiting bleeding. A higher dose increases bleeding risk without improving effectiveness. That’s why we don’t use it.”
He added that the broader concern is a lack of transparency. “All of this highlights how opaque the White House has been about the president’s health.”
During the interview, as per CNN, Trump also discussed a medical scan he underwent in October. At the time, he told reporters it was an MRI but declined to provide details, directing questions to his doctors.
Speaking to the Journal, Trump clarified that the scan was a CT. “It wasn’t an MRI,” he said. “It was less than that. It was a scan.” Barbabella said the CT scan was done “to definitively rule out any cardiovascular issues.” Last month, he released a memo stating that imaging of Trump’s cardiovascular and abdominal systems showed “perfectly normal” results.
In 2018, however, Trump underwent a coronary CT scan that revealed plaque buildup in his arteries, indicating moderate heart disease.
White House press secretary Karoline Leavitt defended the administration’s disclosures, saying the president’s doctors have always confirmed he received advanced imaging. She added that Trump himself has shared additional details and described him as “the most transparent and open president in history,” while criticizing former President Joe Biden.
Trump also spoke about swelling in his lower legs, which the White House announced in July was caused by chronic venous insufficiency, a common condition among older adults. Trump said he tried compression socks but stopped using them. “I didn’t like them,” he told the Journal.
He also suggested he has little interest in regular exercise. “I just don’t like it. It’s boring,” Trump said. “Walking or running on a treadmill for hours, that’s not for me.” The Journal questioned Trump about moments where he appeared to fall asleep during public appearances. During a Cabinet meeting last month, Trump closed his eyes for several seconds at a time. A similar moment occurred during a November 6 event in the Oval Office.
Trump denied falling asleep. “I just close my eyes. It’s very relaxing to me,” he said. “Sometimes they take a picture when I’m blinking, and that’s what people see.”
Asked about his hearing, Trump said he only struggles when many people are talking at once and dismissed broader concerns. Before and after the election, Trump repeatedly questioned Biden’s fitness to serve, even suggesting Biden was unaware of documents signed in his name using an autopen. Biden has denied the claim.
Biden later exited the 2024 presidential race following a widely criticized debate performance that intensified concerns about his health and ability to remain in office.
Credits: iStock
Nimesulide (over 100 mg), a commonly used non-steroidal anti-inflammatory drug (NSAID) which is prescribed for pain and inflammation is now banned in India. This is to safeguard public health.
What Exactly Happened? The Centre has prohibited the manufacture, sale and distribution of oral formulations of nimesulide which contains more than 100mg, with immediate effect, across the country.
As per the government notification, oral formulations of nimesulide that contains more than 100 mg have been banned as such high-dose could be risky for human health. The order states that safer alternatives to this drug is available in market, and thus in public interest, the continued availability of this drug at such high dosage is not justified.
Also Read: Superbug Fungus Candida Auris Is Spreading In The U.S., Check Where Cases Are Rising Fastest?
The ban is issued under the Section 26A of the Drugs and Cosmetics Act, 1940. This section empowers the Centre to restrict or prohibit drugs that pose a risk to patients. The government also consulted the Drugs Technical Advisory Board (DTAB), which is also country's apex advisory body on technical matters related to drugs and cosmetics.
The drug had long been under regulatory and medical scrutiny. The major concern is the liver toxicity, which is one of the side effects of this high-dose drug. In fact the World Health Organization (WHO) has no included nimesulide in its Model List of Essential Medicines, all due to the global caution around it. Several other countries too have either restricted or completely withdrew the drug.
The Ministry of Health and Family Welfare in a notification said that the Central government is "satisfied that the use of all oral formulations containing Nimesulide above 100 mg in immediate release dosage form is likely to involve risk to human beings and that safer alternatives to the said drug are available".
Also Read: Indore Water Contamination Linked to E. coli and Klebsiella Bacteria — What Are They?
The restriction on certain nimesulide formulations follows recommendations made by the Indian Council of Medical Research (ICMR) after reviewing the drug’s effects in adults. These recommendations were accepted by an expert committee under the apex drug regulator. Nimesulide is known to cause liver toxicity in some cases.
ICMR had also advised that nimesulide be used only as a second-line treatment when other medicines fail or cannot be prescribed. It recommended against its use in pregnant or lactating women, those planning pregnancy, and patients with liver or kidney impairment. The drug should also not be used alongside other medicines that are toxic to the liver or kidneys. Nimesulide is already banned for children under 12 years of age.
The committee has further asked ICMR to review the impact of the drug across different age groups, including adolescents and older adults.
Read: Cough Syrup Row: Death Toll Rise To 22 As 2 More Children Succumb
The Ministry also removed cough syrups from the list of over-the-counter medicines. While lozenges, pills or tablets for cough continue to remain on the list. This has come in the backdrop of 22 children who died in Madhya Pradesh after they consumed contaminated cough syrups.
Disclaimer: Health and Me's report is based on the notice issued in public knowledge and is not a substitute for prescribed drugs. Always consult your doctor before making changes in your medicines.
© 2024 Bennett, Coleman & Company Limited