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Do
you remember being told as a child, that you inherited your mother's
eyes and your father's nose? You could have also inherited a lot
of other things from your family - breast cancer, prostate cancer,
heart disease, Alzheimer's disease, diabetes, alcoholism, and some
mental diseases to name a few.
Knowing
about your family's medical and health history is an important source
of information about the genetic and environmental factors that
combine to influence your health.
What
Is A Family Medical History?
A family
medical history is a record of important medical information about
your relatives. You can begin your family history by simply talking
with your immediate family, grandparents, parents and siblings;
they provide the most important information about genetic risk.
If your parents are deceased, it may take some real detective work
to find the desired information.
Medical
records, death certificates, newspaper obituaries, and old letters
are valuable sources of information you can tap into. Looking over
old baby books, photo albums, and scrapbooks can provide visual
clues to diseases such as obesity, skin conditions, and osteoporosis.
You might consider working on the medical tree at the next family
reunion when many family members are available at one time. Every
family has an unofficial historian who knows about the health and
habits of previous generations.
| Knowing
Your Family Medical History Can Help |
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Knowing your family medical history can help you and your
doctor determine potential health problems, as well as
allow you to take preventive measures to reduce your risk.
Take
for example heart disease. There are risk factors
that are those that are genetically determined or that
you cannot change:
- Increasing
age
- Male
sex
- Heredity
(including race)
There
are also risk factors that you may be able to change:
- Cigarette
and tobacco smoking
- High
blood cholesterol levels
- High
blood pressure
- Physical
inactivity
- Obesity
and overweight
- Diabetes
- Stress
By
knowing these risk factors and whether or not they are
a part of your family history, you can better take charge
and control of your health.
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What
Information Do I Need to Know?
The
information should be as specific as possible. Health histories
should note the dates of birth, and date and cause of death
if known, as well as any serious medical diseases, such as heart
disease, stroke, diabetes, and glaucoma.
Older
members of your family might be reluctant to discuss sensitive
issues like pregnancies, pregnancy loss, and adoptions. Be prepared
for embarrassing moments when discussing where your genes come
from, and who you share them with, often times family secrets
are also medical secrets.Especially
important is a history of prostate cancer in men, breast or
ovarian cancer in women, and colon cancer in either sex.
Be
as specific as possible when gathering information. For example,
cardiac arrest is often listed on the death certificate as the
cause of death. This only tells us the heart stopped, but not
what caused the heart to stop, the cause of which might have
been diabetes. Knowing that someone had cancer is important,
but knowing exactly what type of cancer, gives even more vital
clues to your doctor when trying to track down genetic links.
It
is essential to note the age of onset of diseases. Age of onset
of diseases provides a vital clue about genetic predisposition,
since most genetically predisposed conditions develop before
the age of 60. It's much, much more important, for instance,
for your doctor to know if your grandmother developed breast
cancer at age 38 than if she developed it at 88.
Actually
drawing out a genealogical chart may make it easier to see if
a disease is actually passed from generation to generation.
You might even discover certain patterns of behavior like alcoholism,
depression, or suicide within your family.
If
you notice the same diseases in different generations or a pattern
developing, then obtaining information about cousins, aunts,
and uncles might provide a more complete picture. Armed with
information about potential health problems within your family,
a physician can help tailor your own specific health plan.It
can lead your doctor to performing testing or screening for
diseases for which you are at risk earlier then he or she would
have without such information. Though you can't change your
genes, you can take preventive measures and try to modify factors
that may affect your health.
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