exercise. nanny people run out of their blood pressure medications and heart medications if you don t plan ahead. we can see cardiac problems in the winter. make sure you have medications on hand and be aware of any physical ex certification. try not to do any physical exercise because of heavy meal. one of the things some of us cannot avoid is when the snowfalls and we have to shovel it. that s right. 11,000 people are admitted to the hospital with shovelling related injuries not just cardiac but back injuries from lifting snow. lift carefully and properly. try to use a smaller shovel if you are lifting a lot of snow. be careful to make sure you don t forget your regular medications. the main injuries associated would be muscle strains and tears. back problems particularly. we see a lot of that. the twisting injuries when people are shoveling snow over their shoulder.