Is retail therapy enough—or do you need actual therapy?

November 04, 2024

retail therapy

With Holidsay sale season coming up, MakatiMed cites ways to keep the urge to splurge at bay

It was the late televangelist Tammy Faye Bakker who once quipped, “I always say shopping is cheaper than a psychiatrist.” Chuckle if you will, but there’s some truth—and science—to it. Whose mood hasn’t perked up after indulging in a pair of shoes or the newest gadget, not because you needed it, but simply because you need some cheering up?

“When you’re feeling low, shopping—from looking at nice things to spotting an item that you like, holding it, trying it, and paying for it—releases dopamine, a neurotransmitter and ‘feel-good’ hormone associated with pleasurable experiences like eating, sex, and, yes, shopping,” explains Jon Edward B. Jurilla, MD from the Section of Psychiatry of top hospital in the Philippines Makati Medical Center (MakatiMed). “Retail therapy can be a healthy way to cope with stress as it can help improve your mood when things aren’t going your way. It can also be a form of self-motivation, a reward system to celebrate personal wins.”

While retail therapy’s “high” lasts beyond the act of purchasing an item, it’s only temporary. Trouble begins once shopping becomes an insatiable salve to issues you don’t want to face. “The excitement and empowering feeling of buying something ‘just because’ can be addictive,” warns Dr. Jurilla. “This can potentially lead to compulsive shopping disorder, especially if you’re turning to shopping to escape stress and low self-confidence.”

Is your shopping retail therapy—or a compulsive disorder? The difference lies in your behavior. “Occasional shopping sprees are normal and acceptable. But if you find yourself accumulating things you never get to use, hiding your purchases, and experiencing financial and relationship strains because of your spending, then it’s likely that you’re a compulsive shopper,” says Dr. Jurilla. “Beyond losing control over your spending habits, compulsive shopping disorder can leave you feeling guilty or remorseful about your purchases.”

With more reasons to shop and add to cart this holiday season and other yearend sale events, MakatiMed offers tips to help compulsive shoppers mark themselves “safe” from all the overspending.

Stick to a budget and a list. If you have the urge to shop, create a clear limit for impulse purchases. “Opt for something practical and useful, like groceries or food, instead of items that may lead to buyer’s remorse,” reminds Dr. Jurilla. “If you haven’t cleared credit card balances or debts from buy now, pay later schemes, prioritize those payments and other essentials. Only allot whatever’s left for extra purchases and pay in cash.”

Just look. Window shopping, shares Dr. Jurilla, can be just as satisfying an activity as shopping—and it won’t cost you a centavo. “Take time to walk around a store. Admire a bag or piece of jewelry or even try on a pair of jeans. Bring a friend to make the activity more fun. You can exchange shopping tips and help keep you in check.”

Learn to wait. Love an item from your window shopping? Think about it for at least two days, says Dr. Jurilla. “Sometimes, distancing yourself from the object of your desire gives you time to carefully consider if it’s truly a necessary purchase. This can help you develop mindfulness and manage your shopping urges more effectively.”

Undergo therapy—for real. Compulsive shopping disorder can be caused by psychological and social factors. When you’re ready to face the problem head-on, it’s best to reach out to a professional whom you can trust and be open with. “The sooner you realize that shopping won’t fix your unresolved issues—and may even exacerbate them—the better you’ll feel about yourself and your situation,” says Dr. Jurilla. “In this case, going to a psychiatrist will be the best option for your long-term mental wellness.”

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.



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Not All Breast Cancers Are The Same: Doctors Emphasize Crucial Steps to Saving Patients’ Lives

November 03, 2024


Experts delve deeper into how precision treatment is transforming cancer care

In the Philippines, the incidence of breast cancer remains high. It is the most commonly diagnosed cancer among women. One in every 13 Filipinas is expected to develop breast cancer in her lifetime.¹ This is why it’s all the more important for us to keep abreast on how to spot, prevent, or treat it as early as possible.

Dr. Josephine Tolentino and the Philippine Society of Medical Oncology (PSMO) is on a mission to help Filipinos better understand that breast cancers have different features, which would affect its management and treatment. Dr. Tolentino, who is President of PSMO, emphasizes the benefits of precision medicine and how it could potentially help produce better outcomes.

Dr. Josephine Tolentino

Breast cancer is a condition wherein cells within the breast grow out of control, and form a tumor, which can sometimes be felt as a lump³. A tumor can be classified as either benign (noncancerous) or malignant (cancerous). Any lump or change in the breast needs to be checked by a healthcare professional. Breast cancer can metastasize or spread to other parts of the body via the blood or lymph vessels. As with most types of cancer, breast cancer patients have a better chance of survival if the condition is detected and diagnosed early.

According to Dr. Tolentino, each type of breast cancer can have a variation in biological and molecular features. This is why biomarker testing, a laboratory method that makes use of tissue, blood, or other body fluid samples to determine signs of conditions such as cancer in genes, proteins, or other molecules², plays a crucial role in the evolving treatment landscape of breast cancer.4,5 2 out of 3 cases of breast cancer are due to the status of a person’s hormone receptors. While in 15 to 20% of breast cancer cases, the HER2 protein (which tells cells to grow) is amplified. In those with the Triple Negative type, cancer cells do not produce enough HER2 protein and they also do not have estrogen or progesterone receptors.

Understanding which type of breast cancer you have is important in order for your doctor to design the perfect treatment plan. Possible treatment recommendations could be: surgery, biological therapy, radiation, chemotherapy, or hormonal therapy. Precision medicine using targeted therapy, such as those inhibiting HER2 molecules may also lead to better outcomes.⁷⁻¹¹

According to Dr. Tolentino, certain risk factors, such as genes, age, race/ethnicity, breast density, alcohol consumption, or being overweight can increase the chances of a person developing breast cancer. Based on a report by the World Health Organization (WHO)³, around half of patients diagnosed with breast cancer had no specific risk factors aside from age and sex.

”The signs and symptoms show up differently for every person,” explained Dr. Tolentino. “Some of the most common are: lumps in the breast or underarm, nipple discharge, thickening or swelling, any changes in breast size or shape, skin irritation or redness around the nipple, or pain in any area of the breast or nipple.”

“However, it is important to note that not all breast cancer cases will manifest with any signs or symptoms. So detecting and diagnosing breast cancer as early as possible is very important,” added Dr. Tolentino. Aside from regular breast self-examination, speak to your doctor about diagnostic procedures such as ultrasound, mammogram, MRI, or biopsy, as needed.

Dr. Cyril Tolosa, Medical Affairs Director of AstraZeneca, underscored the importance of removing the barriers that keep patients from availing these procedures.

“Together with organizations like the PSMO, and other groups, we are working to improve the healthcare ecosystem that effectively caters to the patients,” said Dr. Tolosa. “We at AstraZeneca have a bold ambition to one day eliminate breast cancer as a cause of death. It may be a long way from here, but precision medicine and continued collaboration among stakeholders is a step in the right direction.”

Not all breast cancers are the same. But one thing remains true for all: early detection or precise, targeted treatment saves lives.

Through various initiatives like Agham Kapihan – a series of media roundtable discussions that seek to bring into light matters of science and health and advocate for innovation that benefits Filipinos – AstraZeneca stays true to its commitment of improving the lives of millions of patients together with its partners across the healthcare ecosystem.
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Yes, constipation can cause back pain

October 25, 2024


MakatiMed shares ways to treat it and enjoy pain-free and “regular” holidays

Slipped disc, pinched nerve, poor posture, osteoporosis, old age, obesity, lifting heavy weights, or the dreaded undetected tumor. When your lower back hurts, you’re likely to attribute your pain to one or more of these common causes.

Nobody ever suspects constipation—and why would they? The difficult and infrequent bowel movement can leave you feeling uncomfortably bloated and with a distended tummy. But a dull and aching sensation on your lower back? Don’t discount it, says Carlo M. Cornejo, MD of the Section of Gastroenterology of the top hospital in the Philippines Makati Medical Center (MakatiMed).

“An accumulation of stool in the intestines can manifest as lower back pain. The buildup of stool can put extra pressure on the back muscles, which causes soreness and discomfort,” says the MakatiMed gastroenterologist. “So too can fecal impaction, or dry stool that gets stuck in the column or rectum. This is a complication caused by chronic constipation. It usually happens among older adults.”

Common causes of constipation include inadequate fiber, dehydration, too much alcohol, and a sedentary lifestyle. Dr. Cornejo explains that certain medications such as antihistamines, blood pressure medicines, antidepressants, and diuretics can also cause constipation.

“How often you pass stool varies from person to person. Some do it twice a day, others are fine with a thrice-weekly bowel movement,” Dr. Cornejo points out. “You’ll know you’re constipated if you experience fullness in the stomach, gassiness, straining when you sit on the toilet, and that dull lower backache.”

For the simplest case of constipation, over-the-counter laxatives and stool softeners are always available for a quick fix. But for constipation and backache that persist and recur, it’s a must to visit a doctor as it could be a serious case of fecal impaction and would require additional treatments.

“Doctors will perform a digital rectum examination where they insert a gloved and lubricated finger into the anus to check for stool buildup. In some cases, a CT scan may be required if impaction happens deep into the colon,” shares Dr. Cornejo. “Once fecal impaction is confirmed, they will manually remove the impacted stool using their finger. They may also perform enema and inject fluid into the rectum to loosen dry stool.”

To prevent constipation and fecal impaction, Dr. Cornejo advises adding more fiber-rich foods like leafy green vegetables, oatmeal, beans and legumes, papaya, prunes, and avocado to your meals; keeping hydrated or adding natural laxatives like tea or coffee for some; and working out regularly. “Some even achieve regularity by adding probiotics to their diet and minimizing their alcohol intake. These tips are especially helpful now we’re in the season of drinking and feasting,” the expert adds.

It may also help to follow a regular bowel movement schedule. Dr. Cornejo says the best time to do it is around 20-40 minutes after eating, ideally after breakfast.

“Remember, constipation or lower back pain, especially the chronic type that seems to worsen with time, is not natural, especially if you’ve already taken steps to address them. It’s your body’s way of telling you something,” says Dr. Cornejo. “Don’t tolerate it or mask it with laxatives and pain relievers. See your doctor soonest.”

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.
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This one simple step can help achieve healthy, happy feet

October 15, 2024


MakatiMed shares finding the perfect shoe fit helps prevent bunions and backache, too

It doesn’t matter if you’re a fitness enthusiast getting in on the latest run club craze or just someone who walks a ton during their daily commute, your feet will inevitably go through daily wear and tear.

This is why Charles Rainier F. Arandia, MD of the Department of Orthopedic Surgery in the top hospital in the Philippines Makati Medical Center (MakatiMed) emphasizes the impact of good foot health on overall well-being, saying, “Our feet provide balance and stability for our entire body. They aren’t only meant to help us run and walk, but they also help prevent falls and injuries and maintain good posture.”

One common mistake that leads to a range of foot problems is simply wearing ill-fitting shoes. “Most people don’t realize that they wear shoes that are too small, which harms their foot health especially if they have to wear dress shoes or stand in heels all day,” adds Dr. Arandia. “You could suffer from bunions and corns from wearing narrow shoes as well as plantar fasciitis and blisters if they’re too big or if they don’t have enough arch support. These can bring pain and discomfort and get in the way of your daily movements.”

When left neglected, your foot problems can eventually have a long-term impact on the knee, hip, and lower back. “By wearing improper shoes for your actual size, you’re adding strain to these parts and their muscles, ligaments, and joints. They can end up all misaligned, altering your gait, throwing off your body’s overall balance, and even giving you back pain,” says Dr. Arandia.

MakatiMed underlines that the best first step to better foot health is getting the right fit since a lot of people tend to stick to their shoe size for years.

“If you’re buying a new pair, measure your foot length from the tip of the big toe to the outer part of the heel at the end of the day when your feet are at their largest and leave about a finger’s width between your longest toe and the end of the shoe,” suggests Dr. Arandia. “Also check the width of your foot as the shoes should comfortably fit the ball of the foot and allow the toes to spread out naturally to improve stability.”

Consider your foot’s arches, too. “Many shoe brands today offer specific designs that’ll cater to your foot’s anatomy. Those with high arches should look at shoes with cushioned midsole to help absorb shock, whereas those with flat feet must find pairs that offer rigid or stable midsole for more support,” reminds Dr. Arandia. “The most important thing to consider is comfort, so when buying shoes, try them on while standing and walking around to ensure they fit well and don't cause any chafing or slipping.”

It’s also essential to factor in your activities when choosing new footwear. For instance, if you anticipate walking a lot during your daily commute, make sure to select shoes that can provide adequate support and protect your feet at the same time, Dr. Arandia notes.

Whether you’re counting daily steps, standing for long hours at work, or enjoying leisurely jogs with friends, investing in properly fitted shoes is a small yet impactful healthy step towards achieving “happy feet” and easing back pain, too.

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.
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Stronger Together: The Intertwined Relationship Between Mental and Physical Health

October 07, 2024


As we approach World Mental Health Day on October 10, an international day for raising awareness on mental health, LAC Philippines is highlighting the inseparable connection between mental and physical health. As we strive for a healthier life, it's crucial to recognize that these two aspects of well-being are intricately intertwined.

The Mental Health Crisis in the Philippines

Mental health conditions are a global concern, affecting approximately one in eight people worldwide as reported by the World Health Organizations (WHO). In the Philippines, according to the National Statistics Office (NSO) mental health illnesses rank third in terms of morbidity. Studies also indicate that stress, anxiety, and depression are prevalent mental health issues in the country. These statistics underscore the need to prioritize mental health and seek support when needed. 

The Relationship of Mental Health and Physical Health

Mental health conditions can significantly impact physical health. According to a study by the U.S. Department of Health and Human Services, National Institute of Mental Health, individuals with mental health disorders are at a higher risk of developing chronic diseases like heart disease, diabetes, and stroke. Moreover, NIMH also reported that stress, anxiety, and depression can weaken the immune system, making individuals more vulnerable to infections and illnesses.

Engaging in regular physical activity has been shown to reduce symptoms of depression and anxiety. Additionally, adequate sleep, a balanced diet, stress management, and regular intake of supplements are essential components of a healthy lifestyle. These factors can contribute to both physical and mental well-being.

Taking the Holistic Approach to Health

A holistic approach to health, which encompasses physical, mental, emotional, and social well-being, is essential for optimal health outcomes. By addressing all aspects of our health, we can create a strong foundation for a fulfilling life.

In support of one’s holistic wellness journey, LAC Philippines offers a range of natural supplements that are designed to address specific needs. LAC MoodRx and LAC TriAction Sleep Formula are two examples of supplements from LAC that can contribute to overall mental health and well-being.

LAC MoodRx is a natural supplement formulated to support emotional balance and reduce stress. It contains a blend of mood-improving herbal extracts and nutrients that reduce stress, promote relaxation and serotonin production for improved memory and a boost of happiness. To further improve one’s mood and mental health, LAC also offers LACTriAction Sleep Formula, designed to promote relaxation and improve sleep quality. It is made with triple layer sleep technology to promote quality sleep from start to finish. It also improves one’s day-time productivity and mood balance, naturally.

“At LAC Philippines, we understand that mental health is just as important as physical health. That is why we are committed to providing natural solutions to support the holistic well-being of Filipinos. By addressing both aspects of health, we can empower individuals to live happier, healthier lives,” said Evelyn Teo, Chief Marketing Officer of LAC Global. 

By incorporating supplements such as LAC MoodRx and LAC TriAction Sleep Formula to your daily routine, you can provide your body with essential nutrients and support your overall well-being, along with a balanced diet, regular exercise, and sufficient sleep. By prioritizing both mental and physical health, you can create a stronger and more resilient version of yourself.
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Say Goodbye to Sleepless Nights: My Journey to Better Sleep with Melatonin

September 29, 2024


Growing up, I was the poster child for a good night's sleep. I'd fall asleep as soon as my head hit the pillow, waking up refreshed and ready to conquer the day. Sleeping as early as 8pm and waking up at 5am was never a struggle. But as I entered adulthood, the sweet embrace of slumber began to slip away. My nights were plagued by restless tossing and turning, my mind racing with thoughts and worries. 3am and I'm still wide awake.

The more I tried to sleep, the more elusive it seemed. I practiced deep breathing, and even try reading uninteresting articles, but nothing seemed to work. The persistent lack of decent sleep took a toll on my physical and mental health. I felt exhausted, irritable, and struggled to focus.

One night, I was thinking of all the opportunities I missed because I was too sluggish to function that I decided enough was enough. I sought for safe and effective solutions and I stumbled upon melatonin, a hormone naturally produced by the body to regulate sleep-wake cycles. With a glimmer of hope, I started looking for a brand that will address my sleeping problem.


At first, I was really skeptical. How could a small pill make such a big difference? I have tried different brands but I never liked the groggy feeling when I wake up. Then I took LAC TriAction Sleep Formula.

#WhatILove about LAC TriAction Sleep Formula is the TRIPLE LAYER SLEEP TECHNOLOGY

LAC TriAction Sleep Formula

The first layer of LAC TriAction Sleep Formula, a soothing symphony of botanical extracts, begins its work.

Valerian Root Extract, a time-honored herb known for its calming properties, whispers to your nerves, soothing their frayed edges. Saffron Extract, a golden spice with a surprising secret, relaxes your muscles, easing away the tension of the day. Magnesium, a vital mineral, restores balance to your mood, dispelling the worries and anxieties that often keep you awake.

And then, there's Melatonin, the sleep hormone that signals to your body, "It's time to rest." As its gentle influence spreads, you feel a sense of peace wash over you, a gentle nudge towards the comforting embrace of sleep.

As you settle into the warmth of your bed, the second layer of LAC TriAction Sleep Formula begins its work, preparing your body for the journey into sleep.

L-Theanine, an amino acid found in green tea, delicately balances the neurotransmitters in your brain, creating a harmonious environment that promotes relaxation. When combined with GABA, a neurotransmitter that plays a crucial role in sleep, L-Theanine helps your mind and body transition smoothly from wakefulness to slumber.

Together, these elements work in tandem, guiding you towards a peaceful sleep, where your mind can wander freely through the realm of dreams.

As the night deepens, the third layer of LAC TriAction Sleep Formula takes the stage, ensuring that your peaceful slumber continues uninterrupted.

Valerian Root Extract, Saffron Extract, Magnesium, and Melatonin are carefully released throughout the night, like a gentle lullaby, soothing your mind and body. This controlled release prevents you from being disturbed by frequent awakenings, allowing your body to fully recharge and repair.

I noticed a significant improvement in my sleep quality. I fell asleep more easily, slept through the night, and woke up feeling refreshed. This has become my "secret" and the reason why I am not able to attend morning events.

Sleeping was no longer a constant battle. And while I'll always appreciate the occasional peaceful night without the need for any sleep aids, I'm grateful for the relief that melatonin has provided. It's a reminder that sometimes, even the smallest things can make a world of difference.
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Take care of your nerves – millions of people with peripheral neuropathy are undiagnosed and suffer in silence

September 20, 2024

peripheral neuropathy

Have you ever heard of peripheral neuropathy? In fact, millions of people suffer from this disease. Because of lack of awareness, some remain undiagnosed and untreated, suffering in silence for years. Peripheral neuropathy (PN) caused by nerve damage is one of the most common diseases of the peripheral nervous system, which controls all functions of our body, sensations in our hands, and movements of our muscles. Symptoms include numbness, tingling, prickling, and stabbing or burning pain mostly in the feet and hands. 

Many people affected by the disease are not aware that their symptoms are due to PN as the disease often starts with mild symptoms and develops slowly, almost silently over long periods of time.1

At some point, symptoms become more severe and bothersome, affecting various aspects of a patient’s life. Without even realizing it, the patient will start losing mobility, struggle with performing simple day-to-day activities, have difficulties sleeping, or suffer injuries in their feet—all due to progressing nerve damage. 

8 out of 10 patients remain undiagnosed

Unfortunately, PN awareness is low among the general population and many doctors. It is often only recognized and diagnosed at the late stages of the disease when nerve damage—that could otherwise have been avoided—has already progressed. Studies report, that approximately 80% of people, both in high- and low-income countries, living with diabetes and suffering from PN symptoms have not been diagnosed.2,3

This urgently needs to change. Raising awareness about the importance of nerve health and potential risk factors for nerve damage in the community and among physicians is key! 

People particularly at risk of PN include diabetic patients, obese persons, chemotherapy or surgery patients, elderly, heavy drinkers, people with nutritional deficiencies, and smokers. The disease, however, can also affect younger and seemingly healthy people for no apparent reason.1 Often, people are not even aware that they are at risk as risk factors are not always obvious.

A new simple checklist will help to take care of peripheral nerves 

It’s critical to watch out for symptoms and do an early check. There are many barriers preventing proper PN diagnosis. 

On the patient’s side, these can include lack of awareness about PN and its risk factors, failing to notice the early signs, neglecting to see a doctor in time, and difficulties in verbalizing the symptoms. On the other side, physicians are often prevented from diagnosing PN patients due to crowded clinics, shortage of time, and lack of awareness and established diagnostic routine.4 


That’s why Procter & Gamble, the makers of Vitamins B1+B6+B12 (Neurobion), collaborated with peripheral neuropathy experts from 10 countries and multiple specialties to devise a new tool—a screening questionnaire—that will help raise awareness about PN and shorten the journey to diagnosis.4

It’s the Neurometer and anyone can use it here for free.

For people who don’t know about PN, Neurometer is already a first big step towards understanding this disease. All one must do is answer 5 simple questions to assess one’s nerve damage risks. If the result indicates PN, one can consult a doctor who can then use the Neurometer to diagnose PN with two simple, expert-recommended sensory tests.

With this questionnaire, patients can be empowered to take early action against PN and be treated more quickly, giving them greater chances of slowing down disease progression and avoiding long-term complications.

Neurometer is just one of the many efforts by Vitamin B1+B6+B12 (Neurobion) to make nerve care effortless, quick, and accessible for everybody.

If you think your nerves need care, do the questionnaire!

IF SYMPTOMS PERSIST, CONSULT YOUR DOCTOR.



ASC Reference No.: P0102P061824N

References: 

1. Callaghan BC, et al. JAMA. 2015;314: 2172–2181. 
2. Ponirakis G, et al. J Diabetes Investig. 2019;10: 1558-1564. 
3. Ziegler D, et al. Diabetes Res Clin Pract. 2018;139: 147-154 
4. Gad H, et al. J Peripher Nerv Syst. 2024 Jan 24. Epub ahead of print. Free online version: https://onlinelibrary.wiley.com/doi/10.1111/jns.12613
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