SMALL CHANGES NOW (plus time and patience), OR SMALL CHANGES STRETCHED OUT OVER TIME, OFTEN LEAD TO DRAMATICALLY DIFFERENT RESULTS THAN EXPECTED.

Charles Tadros, M.D.

September 12, 2021

Saint Louis, Missouri

THE TRUTH IS THAT A CERTAIN LEVEL OF SOCIAL STABILITY (decreased stress),INCOME (cash flow), AND WEALTH (assets) DO MORE FOR PUBLIC HEALTH AND LONGEVITY THAN OUR NEWEST AND MOST EXPENSIVE MEDICINES OR OUR FANCIEST MEDICAL PROCEDURES.

Charles Tadros, M.D.

September 12, 2021

Saint Louis, Missouri

SOME PEOPLE LEARN LIFE’S LESSONS BY READING, WATCHING, LISTENING, AND SPEAKING WITH OTHERS. OTHER PEOPLE LEARN THEIR LIFE LESSONS BY DOING AND EXPERIENCING (often, requiring repeated exposures). OUR PARENTS HOPE THAT THE FORMER IS ENOUGH FOR US, BUT MANY OF US SEEM TO RESPOND ONLY TO THE LATTER.

Charles Tadros, M.D.

September 11, 2021

Saint Louis, Missouri

SOME COMBINATION OF ONE FOOT IN FANTASY WITH THE OTHER FOOT GROUNDED IN REALITY IS A GOOD MIX FOR HAVING HOPE AND VISION, BUT ALSO EXECUTING ANDACHIEVING.

Charles Tadros, M.D.

September 11, 2021

Saint Louis, Missouri

MANY PEOPLE FIRMLY BELIEVE THAT THROUGH IMAGINATION, MENTAL IMAGERY, POSITIVE EXPECTATIONS, POSITIVE SELF TALK, FORCE OF WILL, AND PLAIN OLE JUST WANTING SOMETHING BADLY ENOUGH, THE UNIVERSE WILL PROVIDE IT FOR THEM. OF NOTE, SOME, BUT NOT ALL, BELIEVERS TOUT THAT NO ACTUAL WORK TOWARD THESE GOALS IS NEEDED. THE UNIVERSE WILL PROVIDE.

Charles Tadros, M.D

September 20, 2021

Saint Louis, Missouri

UNEXPECTED PHYSICAL CHANGES, WHICH AFFECT OUR LIVES, SOCIALIZATIONS AND OTHER INTERACTIONS, STARTING IN OUR 40s AND 50s…

Presbyopia: farsightedness caused by loss of elasticity of the lens of the eye. This makes it hard to read your cell phone’s screen, a magazine, or clearly see your car’s dashboard.

Osteoarthritis: the wearing down of joint cartilage. This is especially accelerated in the weight-bearing joints (spine, hips, knees, ankles, feet) that occurs gradually and worsens over time. Osteoarthritis causes stiffness (when trying to move from a resting position) and pain (with activity) in joints.

Nocturia: needing to wake up from sleep in order to empty the bladder. This breaks up the naturally restorative sleep patterns.

Sarcopenia, age-related: involuntary loss of muscle bulk, and therefore loss of muscle strength. Affects everything from not being able to open up tight jar lids to an increased risk of falling. Falls may lead to fractures of the wrists, forearms, ribs, hips and vertebrae. Falls increase the risk of a premature death.

High frequency hearing loss: age-related and noise exposure-related loss of being able to hear the higher pitches of sounds. Can contribute to feelings of isolation due to lack of participation in conversations. Often this hearing loss is related to loss of speech discrimination.

Loss of speech discrimination: the ability to understand speech in quiet as well as in noisy environments. This loss makes it hard to hear, and understand, what is being said if there is significant background noise, such as multiple people speaking or yelling around a dinner table, in a restaurant, or at a sporting event.

Tinnitus: a subjective ringing, buzzing, humming, chirping, or clicking sound in one’s head/ears. Often is associated with high frequency hearing loss. May cause significant increase in anxiety. Can be very distracting, causing difficulty focusing, concentrating, as well as difficulty in trying to drop off to sleep.

Loss of physical stamina. A natural, age related, decrease in maximum cardiac output and maximum pulmonary function. This can be exacerbated by lack of exercise and lack of activity. This loss makes it harder to keep up with active pets as well as fast moving grandchildren.

Loss of subcutaneous fat. Age-related loss of fat from under the skin, increases skin wrinkles, increases risk skin tearing easily and sets us up for easy bruising ( broken and bleeding blood vessels).

Charles Tadros, M.D.

September 10, 2021

Saint Louis, Missouri

DRUG ADVERTISEMENTS WHICH STATE, “ASK YOUR HEALTHCARE PROVIDER.”, SEEMS TO IMPLY THAT…

your provider has heard.

your provider understands.

your provider has at least some level of competency in the area of interest.

your provider is up to date on other, related and current information regarding diseases, diagnoses, and treatments.

your provider has time.

your provider has support.

your provider is being compensated.

Charles Tadros, M.D.

September 9, 2021

Saint Louis, Missouri

NEVER ASSUME THAT YOU AND YOUR SUPERVISORS/BOSSES HAVE THE SAME GOALS (or even similar goals), THE SAME ASSESSMENT OF RISK, THE SAME SENSE OF URGENCY, THE SAME ENERGY, THE SAME EXECUTION TIME TABLE, THE SAME UNDERSTANDING OF OTHER COMPETING TASKS / GOALS, THE SAME OBSESSIVENESS TO DETAIL, OR THE SAME SENSE OF SUPPORT FROM OTHERS.

Charles Tadros, M.D.

September 9, 2021

Saint Louis, Missouri

HAVE SOMEONE TAKE A PHOTO, VIDEO OR AUDIO OF YOU WHEN YOU ARE HAPPY, VS ANGRY, DRUNK OR SAD. THEN REPLAY THESE EVENTS WHEN YOU ARE IN A DIFFERENT MOOD SO THAT YOU CAN…

see how you appear and sound to your self and to others

decide, when in a more clear headed state, if you are in control and if you want to repeat these circumstances, events, and behaviors

Charles Tadros, M.D.

September 8, 2021

Saint Louis, Missouri