Tag: Senior Consultant

Healthy Tips While Gymming

Authored by Dr Sanjay Bhat, Senior Consultant, Interventional Cardiology, Aster CMI Hospital

Regular physical exercise is important to keep our bodies fit. It helps maintain a healthy weight, combats health conditions and diseases, improves mood, boosts energy and promotes better sleep. However, one must keep in mind that over-exercising can be harmful.

Moderate exercise is best for physical and mental health. But extreme exercise training and competing in endurance events can lead to heart damage and rhythm disorders. Hence, it is vital for people to first evaluate their health before joining a gym. One must get their basic heart check-up done such as tests for blood pressure, sugar and cholesterol. People with genetic risk factors are especially vulnerable. They must go under certain tests like ECG, Echo and a stress test (TMT / treadmill) to rule out the possible risks. People above 40 years of age and who recently had Covid-19 must consult their doctors and have their physical health check-ups done.

Healthy tips while gymming:

Warmup: It is important to warm up your body before exercising. Always include a pre-workout warm-up before you begin. This allows the body to loosen up the muscle and a 5-min warmup is critical for better performance and fewer injuries.

Start slow: Focus on getting the body fit first. Fitness enthusiasts get into competition and indulge in high intensity and irregular exercise which can lead to heart issues. Similar to building the muscles in your body, the heart muscle can also thicken. When you indulge in heavy workouts, it pushes the heart to produce abnormal rhythms.

Don’t over-exercise or push yourself beyond the limit: Unaccustomed exercise without adequate training and overindulging in heavy workouts to achieve quick results can actually do more harm than good. It can lead to musculoskeletal injury and impact heart health. Don’t overdo it. Pushing your body beyond what you can handle can be dangerous.

Quote by Madhurima Mukherjee Saha, Senior Consultant, J Sagar Associates on Government eases compliance burden on unlisted companies…

“The recent MCA move to ease the norms for unlisted public companies issuing non-convertible debt and non-convertible preference shares, seems logical. Unlisted public companies, with debt or preference shares listed were counted as listed companies and fell within the rigorous compliance scanner under the SEBI Listing Obligations and Disclosure Requirements Regulations, 2015, and under the Companies Act. The move to liberalize the definition of listed companies will give the deserved impetus to the bond market, when the economy will emerging slowly out of the post-COVID era. Small companies and start-ups in growth mode can easily access a wider pool of creditors without burdening themselves with greater compliance and costs”. – Madhurima Mukherjee Saha, Senior Consultant, J Sagar Associates

ARTHRITIS TODAY IS AS TREATABLE AS DIABETES: EXPERTS AT ASSOCHAM’S ILLNESS TO WELLNESS SERIES

New Delhi: The Associated Chambers of Commerce and Industry of India (ASSOCHAM), one of the apex trade associations of India concluded the fourteenth edition of the ‘Illness to Wellness’ series themed ‘Preventive and Curative Measures for Bones and Joint Pains During Winter & COVID–19’. The event saw an expert panel of rheumatologists invited to hold an informative dialogue on challenges faced by patients suffering from pain in bones and joints, finding the right exercises and activities to elevate their pain and the importance of reaching out for treatment.

Supported by the hygiene brand SAVLON, the programme which promotes healthy living with focus on wellness and preventive health through healthy habits, diet, exercise, and holistic health saw the speakers actively engage on the importance of right medication and treatment to control and prevent pain for arthritic patients.

Speaking on how arthritis may not have a cure just like diabetes or hypertension, Dr. P. D. Rath, Director & Head of Department, Rheumatology, Max Super Speciality Hospital, Saket Smart, New Delhi emphasised how science has now ensured that arthritis is treatable. “When we suffer from an autoimmune disease, it is important that we don’t run away from it. We should face it and treat it. Today, with the kind of treatment we have, arthritis is as treatable as blood pressure, thyroid or diabetes. In our country, we have drugs that are at comparably cheaper and effective. So, patients should be confident enough to pursue treatment,” he said. Calling arthritis, a multifactorial disease, he listed some of the common factors behind arthritis like genetics, stress, infections and others.  He also added, “Don’t manage arthritis on your own with pain killers. They can only provide temporary relief, but they will not address the underlying disease. In cases of dangerous arthritis this can be life threatening.”

Highlighting the wide prevalence of joint-related diseases in adults and not just seniors, Shri Anil Rajput, Chairperson, ASSOCHAM CSR Council said, “It is a well-known fact that a healthy mind lives in a healthy body and certain medical conditions like diabetes, obesity and hypertension need to be well controlled to have better immunity against all types of infections. Bones and joint pains are no longer a disorder that affects only elders, rather, these health conditions have trickled down to adults as a result of lifestyle choices. Acute or chronic trauma, degenerative changes and the wear and tear of joints and joint structures over the time are the common causes of major bone injuries and health conditions. To prevent this, a healthy ecosystem and environment is a prerequisite. Taking multivitamins and other healthy foods is important, however, not enough to boost immunity alone. Experts are stressing on the need to spend at least 30 minutes a day doing regular exercises and taking brisk walks.”

Taking the discussion further, Dr. (Lt. General) (Prof.) Ved Chaturvedi, Senior Consultant, Rheumatology, Sir Gangaram Hospital, New Delhi, spoke of the importance of ensuring right dietary supplements to prevent bones and joint-related diseases. “Calcium and Vitamin D are two of the most recommended supplements by doctors and specialists. In women, calcium supplement post 45 years of age, during menopause is crucial. You roughly require 1-1.5 gm of Calcium daily. Growing children too need it. Vitamin D has also emerged as one of the most recommended supplements because it can help immune systems, nerves, muscles,” he said.

The experts further agreed that patients should focus on increasing dietary intake of required supplements as opposed to taking them in the form of pills unless suggested by doctors. Tablets should only be used for those for whom dietary intake may be difficult due to allergies and other reasons. For calcium, the most recommended form was in milk, curd and cheese. Omega 3 found in fish and flax seeds was another was recommended as a must have element in daily diet due to its anti-inflammatory properties.

Commenting on the best course of action to eliminate joint pains during winters, Dr. Maninder Shah Singh, Senior Consultant, Chief Foot & Ankle Services, Indian Spinal Injuries Centre, New Delhi said, “The most effective way to reduce joint pain during winter is keeping active through brisk walks and exercises such as running and cycling. Those who are elderly and have pre-existing joint problems may opt for simple stretches to avoid stiffness in joints. Yoga and warm baths are particularly effective. Keeping your body warm is also very important, especially around joints using gloves, scarves, thermals and warm boots. Spending just 30 minutes or 2% of a day exercising can go a long way in keeping our body healthy as we all have only one body for our entire life.”

Dr. Rajesh Kesari, Founder and Director, Total Care Control acted as the moderator of the event and raised pertinent questions before the panellists to guide the discussion into a strong knowledge-sharing webinar. His smart manoeuvring of the discussions helped reap health foresights from the veteran rheumatologists.

Team at Global Hospitals, Mumbai, Performs Western India’s First Total Laparoscopic Donor Hepatectomy for Transplant of a 1-Year-Old Child

Mumbai: A team led by Dr. Ravi Mohanka, Chief Surgeon and Head of Department, Liver Transplant and HPB Surgery, Global Hospital, Mumbai successfully performed liver resection by laparoscopic surgery on a 32-year-old live donor for liver transplantation and gave a new lease of life to his 1-year-old son.

A liver resection surgery is the surgical removal of all or a portion of the liver. The procedure is largely performed through a traditional open procedure. In a total laparoscopic donor hepatectomy, the surgery is done through keyhole incisions with the graft being taken out of the body through a small incision under the navel. Living donor liver transplant (LDLT) has distinctly reduced waiting list mortality and expanded access to life-saving treatment for many patients.

32-year-old Mr. Wazir Khan from South Africa donated a part of his liver (Left lateral Lobe) to his one-year-old ailing son Baby Nayum Khan, suffering from a congenital condition called Biliary Atresia, a rare disease of the liver and bile ducts that occurs in infants (1 out of every 10,000 live births) which requires transplantation. Biliary atresia is a disorder in which the biliary system (link of tiny tubular structures and ducts that drain bile from the liver to the small intestine, where it helps the digestive process) is either absent or closed. Early diagnosis of this disease is important for successful treatment. The baby underwent surgery in South Africa but failed to get any relief. Hence, the doctor suggested taking further treatment at Global Hospital, Mumbai.

Dr. Ravi Mohanka, Chief Surgeon and Head of Department, Liver Transplant and HPB Surgery, Global Hospital, Mumbai said “The patient came to us after a failed Kasai surgery for Biliary atresia. After clinical tests, the father was found to be a suitable donor and he agreed to donate a part of his liver to save his child. It was decided to perform hepatectomy (surgical removal of part or entire liver) using minimally invasive laparoscopic surgery technique. A total laparoscopic donor hepatectomy is a safe and feasible option as it has benefits that include less pain, less blood loss, less morbidity, and complications, quicker recovery, and cosmetically good for a young donor. All of these will encourage more donations.

Dr. Prashantha Rao, Senior Consultant, Lead – Cadaveric Liver Transplant, Global Hospital Mumbai, said “In open surgery, a long (approximately 15-20 cm) T shaped incision is made, and pain can be there for 2-3 years. In this patient, a minimally invasive technique was used for hepatectomy, keyhole incisions, and a small incision was made in the lower part of the abdomen for graft retrieval. Post-surgery, there is no sign of scar and the recovery period of the donor is reduced. The minimally invasive technique benefits the living donor, who experiences better postoperative recovery and a quicker return to normal life, less pain, smaller scars, and lower risk of an incisional hernia compared with traditional open surgery”

Dr. Anurag Shrimal, Senior Consultant, Lead – Pancreas and Pediatric Liver Transplant Surgeon, Global Hospital Mumbai said “Following all guidelines and protocols, Baby Nayum Khan underwent a successful liver transplant surgery. He had an excellent post-op recovery and the family will be ready shortly to travel back to South Africa”.

With the rise in COVID cases in UP, Hospitals see rise in the teleconsultation services

With increasing coronavirus cases and people’s subsequent hesitation to step out of home, Regency Superspecialty Hospital, Lucknow has witnessed a surge in the teleconsultation OPD services in the last one month. The hospital administration has revealed that 60 per cent of the online and teleconsultations pertaining to health conditions like chronic kidney diseases and liver-related problems have increased as many districts in Uttar Pradesh are going through a partial lockdown to curb the spread of the life-threatening virus.

Under a month of its launch, the teleconsultation service launched by Regency Superspecialty Hospital, saw an increase in adoption, owing to people’s awareness towards the importance of regular health check-ups and limited availability of doctors for an in-person consultation. Teleconsultation has seen massive growth due to the pressing demand for digital access to doctors and medical services during the COVID-19 pandemic, particularly for chronic kidney disease patients, for whom delays in treatment can have severe life-threatening consequences.

“It is highly appreciable that people are staying indoors and turning to teleconsultation for their healthcare needs. In such unprecedented times, when our mobility is restricted, teleconsultation services have come as a saving grace. We at Regency Superspecialty Hospital want to ensure that all the patients are provided appropriate medical advice through teleconsultation sessions. We believe through the launch of this service most of our patients will not have any break in their medical treatment as all our senior consultants are available through this technology interface. Social distancing processes have created their own challenges in healthcare services and we are creating solutions to meet our patient expectations. All our services at the hospitals are continuing and our emergency department is open 24/7 to extend medical attention,” said Dr Deepak Dewan, MD, DM-Nephrology, Director Renal Sciences, Regency Superspecialty Hospital.

Patients have been going through their routine follow up consultations through this technology so that they can have continued access to their care. Through the launch of the teleconsultation services, Regency Superspecialty Hospital has created a new model of hospital-based patient care coupled with care wherever applicable.

“At this time the anxiety levels, particularly among patients with chronic diseases, is high and having access to their doctors gives these patients’ extreme comfort and confidence. Managing chronic diseases during the coronavirus pandemic has been difficult and requires close coordination between multiple medical services, scheduling appointments, and coming up with solutions to innumerable problems that crop up along the way. With the rise of COVID-19 cases in India and the subsequent lockdown enforcement for the safety of the larger public, there were a number of patients who found it difficult to get the medical help they required. But teleconsultation helped them to maintain continuity of care through local centers,” added Dr Pradeep Joshi, MS M.Ch.(GI Surgery), Senior Consultant, Regency Superspecialty Hospital.