#winnie lim

[pradeep]

scenes from shenzhen 2026

scenes from shenzhen 2026

I feel like I have to date this post in the title because shenzhen is one of those cities that seem to be moving so fast that this post may

[adult-neurologist-blog]

Never lose an opportunity

Never lose an opportunity for seeing anything that is beautiful; For beauty is God’s handwriting. Welcome it in every fair face, in every fair sky, in every fair flower, And thank God for it as a cup of His blessing

[adult-neurologist-blog]

Myths on Alzheimer's

Memory loss is a natural part of aging.

Reality: As people age, it's normal to have occasional memory problems, such as forgetting the name of a person you've recently met. However, Alzheimer's is more than occasional memory loss. It's a disease that causes brain cells to malfunction and ultimately die. When this happens, an individual may forget the name of a longtime friend or what roads to take to return to a home they've lived in for decades.

It can be difficult to tell normal memory problems from memory problems that should be a cause for concern. The Alzheimer's Association has developed information to help you tell the difference. If you or a loved one has memory problems or other problems with thinking and learning that concern you, contact a physician. Sometimes the problems are caused by medication side effects, vitamin deficiencies or other conditions and can be reversed with treatment. The memory and thinking problems may also be caused by another type of dementia. 

Alzheimer’s disease is not fatal.

Reality: Alzheimer's disease has no survivors. It destroys brain cells and causes memory changes, erratic behaviors and loss of body functions. It slowly and painfully takes away a person's identity, ability to connect with others, think, eat, talk, walk and find his or her way home.

Only older people can get Alzheimer's

Reality: Alzheimer's can strike people in their 30s, 40s and even 50s. This is called younger-onset Alzheimer's. It is estimated that there are more than 5 million people living with Alzheimer’s disease in the United States. This includes 5.2 million people age 65 and older and 200,000 people younger than age 65 with younger-onset Alzheimer’s disease.

According to Dr Winnie Lim Khoo - Neurologist in Manila, Philippines. There is no treatment to cure or stop the progression of Alzheimer's disease. FDA-approved drugs temporarily slow worsening of symptoms for about 6 to 12 months, on average, for about half of the individuals who take them.

[adult-neurologist-blog]

Korsakoff's Syndrome

Alcohol-related dementia is often called Korsakoff's syndrome. It can occur in people who have regularly consumed a large amount of alcohol. Korsakoff's syndrome is caused by a lack of thiamine (vitamin B1) in the body, which affects the brain and other parts of the nervous system. Around 10 per cent of dementias in younger people are alcohol-related. 

Korsakoff's syndrome is a brain disorder usually associated with heavy alcoholconsumption over a long period. Although Korsakoff's syndrome is not strictly speaking a dementia, people with the condition experience loss of short-term memory. This factsheet outlines the causes, symptoms and treatment of the syndrome. This factsheet also explains the possible relationship between Korsakoff's syndrome and 'alcohol related dementia'.

People who drink excessive amounts of alcohol are often thiamine deficient. This is because:

many heavy drinkers have poor eating habits and their diet does not contain essential vitamins

alcohol can interfere with the conversion of thiamine into the active form of the vitamin (thiamine pyrophosphate)

alcohol can inflame the stomach lining, cause frequent vomiting and make it difficult for the body to absorb the key vitamins it receives. Alcohol also makes it harder for the liver to store vitamins.

[adult-neurologist-blog]

What is Dementia?

Dementia is the impairment of brain functioning that can be caused by diseases affecting the brain. Dementia usually occurs in people aged sixty years or older. In fact, the risk for dementia increases as we age. Symptoms of dementia include impaired memory, difficulty with thinking skills, language, poor judgment, and behavioral problems. In most cases, dementia is incurable and cannot be reversed.

Although dementia, in most cases is incurable and non-reversible, there are certain conditions where it can be prevented from worsening or reversed if it is discovered quickly, and treatment is provided.

[adult-neurologist-blog]

Exertional Headaches

Exertional headaches are brought on by strenuous activities, such as running, swimming, or weight lifting, as well as sexual activity. It  occur during or after sustained, strenuous exercise. Doctors divide exercise headaches into two categories. Primary exercise headaches are usually harmless, aren't connected to any underlying problems and can often be prevented with medication.

Secondary exercise headaches are caused by an underlying, often serious problem within the brain — such as bleeding or a tumor — or outside the brain — such as coronary artery disease. Secondary exercise headaches may require emergency medical attention.

Treatment of these headaches should be conservative according to Dr Winnie Lim Khoo, An adult neurologist in Manila. In many patients, headaches disappear spontaneously. Long-acting nonsteroidal anti-inflammatory drugs, such as indomethacin, can be used chronically and/or prior to specific activities. If indomethacin is taken chronically, monitoring for side effects is mandatory.

If headaches occur only with exertion and are not associated with neurologic signs or symptoms, imaging studies may not be necessary. If neurologic signs and symptoms are present, medical evaluation is needed.

[adult-neurologist-blog]

Neurological Exam

Neurological Examination is an evaluation of a person's nervous system that can be performed in the doctor's office. It may be performed with instruments, such as lights and reflex hammers, and usually does not cause any pain to the patient.

During a neurological examination, the neurologist reviews the patient’s health history with special attention to the current condition. The patient then takes a neurological exam. Typically, the exam tests mental status, function of the cranial nerves (including vision), strength, coordination, reflexes and sensation. This information helps the neurologist determine if the problem exists in the nervous system and the clinical localization.

Localization of the pathology is the key process by which neurologists develop their differential diagnosis. Further tests may be needed to confirm a diagnosis and ultimately guide therapy and appropriate management. Many symptoms that may occur would involve: weakness, numbness, tingling, headaches, dizziness, and poor sleep.

The major areas of the exam, covering the most testable components of the neurological system, include:

Mental status testing (covered in a separate section of this web site)

Cranial Nerves

Muscle strength, tone and bulk

Reflexes

Coordination

Sensory Function

Gait

Information are provided by author, Dr Winnie Sharon Lim Khoo : Adult Neurologist in Manila, Philippines

[adult-neurologist-blog]

Spiritually Fit

Discover the qualities of a healthy spirit and take steps to exercise your faith.

Spiritual health brings satisfaction and happiness, just as physical health does. But you can’t get healthy spiritually by joining a spin class or running a marathon. Spiritual health requires spiritual exercises.

In a letter to his young assistant Timothy, the Apostle Paul wrote: “Exercise yourself toward godliness” (1 Timothy 4:7). The Apostle compared physical fitness with spiritual fitness. “Take time and trouble to keep yourself spiritually fit. Bodily fitness has a certain value, but spiritual fitness is essential, both for this present life and for the life to come” (1 Timothy 4:8).

For spiritual growth, nothing can take the place of prayer–simply spending time with God, thanking him for his gifts to you, praising him, asking for guidance, admitting your sins and asking forgiveness and help.

You will grow as you set a good example–“in speech and behavior, in your love and faith and sincerity” (1 Timothy 4:12). And “keep a critical eye on yourself” (verse 16). From time to time, ask yourself how you are doing spiritually–and take the steps necessary to continue growing.

Here’s how you can check your own spiritual health:

1. A spiritually healthy person has a definite goal.  Abraham’s goal was to reach the land God had in store for him. Paul’s goal was to reach the whole known world for Christ. What is your goal for this month? This day? Think big–God will help you!

2. A spiritually healthy person is realistically humble.  Paul, probably the greatest saint of all time, called himself “less than the least of all saints” (Ephesians 3:8). He reminds us not to feel self-important with the question “What do you have that you did not receive?” (1 Corinthians 4:7). St. Teresa called herself “a pencil in the hand of God.”

3. A spiritually healthy person is confident.  “I can do all things through Christ who strengthens me” (Philippians 4:13).

4. A spiritually healthy person is optimistic.  They believe God is on their side and all will be well. “And we know that in all things God works for the good of those who love him, who have been called according to his purpose” (Romans 8:28).

Take steps today to become more spiritually fit!

www.guideposts.org/faith-in-daily-life