More Millennials Are Having Strokes • Hacker News Board

Re: More Millennials Are Having Strokes

#141

Post by Herodotus38 » Mon, Jul 03, 2017, 1:30 AM UTC

just4themoney wrote: post #136

Herodotus38 wrote: post #74

Earlier quoted context omitted.

Honestly, I think the opioid epidemic is really what is driving this more. Unfortunately the article doesn't bring it up. Though I do agree with you in general that we need a fundamental cultural change or we are going to see the average life expectancy. Every morbidly obese child you see has s good chance of not living past 50-60, and their adulthood is going to be marked by early disability.

In fairness the article actually does bring up the drug angle twice, but in passing. >in our data we saw this [youthful stroke] increase independently of that,” says Brett Kissela, professor and chair of the Department of Neurology and Rehabilitation Medicine at the University of Cincinnati, who headed the 2012 work. It is likely drug use among the younger adult population also plays a role, he says >Ralph Sacco, pre…

Thanks, I did miss those references. I do wish they had mentioned IV drug abuse specifically because that is far and away the largest factor. I would wager stimulants like meth and cocaine as as second, followed by vasculitis caused by levamisole laced cocaine (used to be really common when I trained).

Re: More Millennials Are Having Strokes

#142

Post by ridgeguy » Mon, Jul 03, 2017, 1:41 AM UTC

galois198 wrote: post #35

From what I understand, strokes are caused by the same thing heart attacks are - atherosclerotic plaques, and APs are caused by high blood cholesterol - APs are literally constituted of cholesterol/foam cells. Has the consensus changed?

Depends on the type of stroke. There are occlusive strokes, which are due to blockage by plaques, and there are hemorrhagic strokes, which are due to vessel failure and bleeding.

Anecdata: My dad died of a hemorrhagic stroke. My mom of an occlusive stroke. No plaques in my dad. A very few in my mom. It's complicated.

Re: More Millennials Are Having Strokes

#143

Post by abrowne » Mon, Jul 03, 2017, 1:51 AM UTC

scythe wrote: post #53

danenania wrote: post #16

Earlier quoted context omitted.

I'm not vegan, but the counterargument I've heard is that an unbalanced omnivore diet can also lead to deficiencies/nutrition problems, and that actually the average vegan diet is more balanced overall than the average omnivore diet, so it's unfair to single out vegans when eating a healthy and varied diet is a challenge for everyone. In other words, you should probably be just as worried about your non-vegan friends…

It's actually pretty rare to eat too much meat. Meat is expensive, despite subsidies. Unless you deliberately go out of your way to eat lots of meat, you won't be eating that much. Furthermore, the combination of meats, vitamin D-added milk, and enriched cereals, the latter two courtesy of the FDA who have centuries of history fighting malnutrition, and who for example introduced hominy grits to the South to combat p…

> the FDA who have centuries of history fighting malnutrition

Founded in 1906.

Re: More Millennials Are Having Strokes

#144

Post by [deleted] » Mon, Jul 03, 2017, 1:54 AM UTC

sotojuan wrote: post #5

shams93 wrote: post #4

Sleep deprivation is known to cause strokes, take a look at how many millennials are expected to put in 80-100 hours for a 40 hour check , extreme high competition overtime just to hold onto their seat.

OK, ready to get out of my bubble. How true is this? The only people I know that work more than 40 hours a week still work less than 60. This is in "office", food, and service jobs.

[deleted]

Re: More Millennials Are Having Strokes

#145

Post by darkmarmot » Mon, Jul 03, 2017, 2:18 AM UTC

abrowne wrote: post #143

scythe wrote: post #53

Earlier quoted context omitted.

It's actually pretty rare to eat too much meat. Meat is expensive, despite subsidies. Unless you deliberately go out of your way to eat lots of meat, you won't be eating that much. Furthermore, the combination of meats, vitamin D-added milk, and enriched cereals, the latter two courtesy of the FDA who have centuries of history fighting malnutrition, and who for example introduced hominy grits to the South to combat p…

> the FDA who have centuries of history fighting malnutrition Founded in 1906.

Well, 1.11 centuries. It's plural!

Re: More Millennials Are Having Strokes

#146

Post by bogshaker » Mon, Jul 03, 2017, 2:19 AM UTC

Stress of being slaves to a bank for the rest of their lives when wages and jobs in those areas are shrinking, and while they watch the planet being trashed.

Re: More Millennials Are Having Strokes

#147

Post by georgewsinger » Mon, Jul 03, 2017, 2:21 AM UTC

rpedela wrote: post #139

ChristianBundy wrote: post #125

Earlier quoted context omitted.

Please name one problem with a vegan diet that's solved by meat. Meat is a carcinogen, it's highly correlated with a variety of diseases, and the "vitamin supplements" doesn't hold water seeing as how animals killed for meat have to be given vitamin supplements anyway. Eating meat is a fantastic last resort if you don't have enough food and your only other option is malnutrition/starvation, but it's terrible for you…

Carcinogen? Source?

https://nutritionfacts.org/?fwp_search=cancer&fwp_content_ty...

Re: More Millennials Are Having Strokes

#148

Post by pkaye » Mon, Jul 03, 2017, 2:27 AM UTC

ChristianBundy wrote: post #123

charlesdm wrote: post #115

Earlier quoted context omitted.

I'm not vegan, but isn't it possible to live healthy, as a vegan?

Very much so. Notice that none of the "vegans are unhealthy" claims are substantiated by any evidence.

The problems I seen is when vegans try to duplicate some food they used to each with some unhealthy combination of ingredients. There is a vegan pastry shop nearby which is quite popular and their substitute for the butter frosting didn't seem exactly healthy (a mixtures of various oils and thickeners.)

Re: More Millennials Are Having Strokes

#149

Post by rpedela » Mon, Jul 03, 2017, 2:42 AM UTC

georgewsinger wrote: post #147

rpedela wrote: post #139

Earlier quoted context omitted.

Carcinogen? Source?

https://nutritionfacts.org/?fwp_search=cancer&fwp_content_ty...

Do you have direct links to peer-reviewed sources, not search results for videos? Also I am always skeptical of websites where all the content is produced by one doctor and phrases like "From the physician behind the trusted website NutritionFacts.org, How Not to Die reveals the groundbreaking scientific evidence behind the only diet that can prevent and reverse many of the causes of premature death and disability" are found on it. Most practicing physicians are much more careful with their wording.

Re: More Millennials Are Having Strokes

#150

Post by taeric » Mon, Jul 03, 2017, 2:53 AM UTC

jbmorgado wrote: post #124

taeric wrote: post #97

Earlier quoted context omitted.

Even assuming that this was true... the logic doesn't even make sense. If you have fewer people in an insurance pool, than the costs of it are higher. Pretty much by definition. You can almost get away with this if you purport that the actual costs of the pool would go down. However, all it takes is one person having a surprise expense to demolish any small pool's planning. Seriously, think on this at a level. Try to…

> "Even assuming that this was true... the logic doesn't even make sense. If you have fewer people in an insurance pool, than the costs of it are higher. Pretty much by definition." What? That doesn't make any sense and it's surely not by definition. If you have a set of people, and you create a subset with the healthiest people of the subset (so, what you are doing by removing the obese), of course that the costs pe…

That isn't how insurance works. To do an insurance pool, you have to have a lot of people, knowing that you won't be paying out to most of them. Otherwise, it is not insurance, but some sort of group savings/pay as you go.

That is, the main variable that gets you to lower rates, is higher participation. Anything else doesn't come close.

You have to let it sink in that you can not have a small subset "save up" enough to pay for "their share." It just doesn't work without having large groups lose out and be completely unable to cover the costs in their group. Instead, this would be akin to group gambling where eventually one loser will bankrupt the entire pool.

Now, there is a related concept that you need to diversify your risk pool such that you don't fall prey to the same risk on everyone. This is what hit some major flood insurance providers after Katrina. I could see similar arguments for not wanting to insure a bunch of folks from the same locale. (Oddly, insurance doesn't typically branch out beyond locales...)

There is a concept of trying to get the higher risk pool to pay more through some rough proxies (typically age, for car insurance) to pay higher premiums. Again, though, most young drivers do not have accidents. Nor do the insurance companies typically actually need such high premiums to cover costs. As evidenced by their fairly mediocre savings plans they offer folks for not having an accident.

All of this, though, really just points out that calling this an "insurance" for health is just silly and is ultimately the wrong model.