there are various outlined plans in the market. before embarking on any single type of plan, we should evaluate our body and assess the requirement of the body.
Tuesday, February 18, 2014
Thursday, February 13, 2014
diet
diet forms an integral part of our life.there is sudden surge of various diet to follow to avoid or to prevent complications of modern life style. our old men did not require any diet plan. their only plan was to work ,work and enjoy life as it comes. every new day is a discovery for them.
in modern lifestyle it is no longer a discovery. we can 'plan' our day ,months and years.in short we take life for granted and sleep with the thought that tomorrow morning'' i am going to stick to new routine for weight reduction!''.similar to our fast forward lives we also take diet for granted and assimilate protein ,carbs,fats(oops) into our diet.diet is no longer a way to satisfy hunger. it is a means of loading our stomach .it seems loading stomach is a way to fill our bloated ego.
modern man has passed his limitations and in his urge to show'' i have a bigger car than your 's '' is turning him into a maniac .he is implementing the same rules to his diet.he keeps on eating without understanding what that food will finally do to his being.when the situation does come for the diet to manifest into a sign or symptom it is too late.the disease has struck!
our ability to process the need for diet can be understood if we carefully evaluate the anatomy and build up.physiology.
human body is made up of skeletal system which has a large network of bones and cartilages. upon this frame muscles are attached with give the movement to the body.there is a control center in the brain and spinal cord also bring about these movements through coordination with brain.like any machine there needs to be a efficient fuel to run the engine and storage of that energy in the body. this is provided by food we eat which when assimilated and processed forms into minute elemental nature of food and unrequired waste products are eliminated from the body. our body is basically herbivorous and has a small stomach and long intestines where this assimilation or absorption occurs.the storage of final end products takes place in liver and excess is stored in the body as fat.proteins are required for body building and fat is required for providing lubrication and also protection against cold weather.
hence carbohydrates ,proteins and fat are essential for proper maintaining body building as well as repair. so also micronutrients are required for assisting various other function in the body.
body is made up of 70% water ,hence we must take care to hydrate ourselves always. any dehydration will cause mental obtundation.
in modern lifestyle it is no longer a discovery. we can 'plan' our day ,months and years.in short we take life for granted and sleep with the thought that tomorrow morning'' i am going to stick to new routine for weight reduction!''.similar to our fast forward lives we also take diet for granted and assimilate protein ,carbs,fats(oops) into our diet.diet is no longer a way to satisfy hunger. it is a means of loading our stomach .it seems loading stomach is a way to fill our bloated ego.
modern man has passed his limitations and in his urge to show'' i have a bigger car than your 's '' is turning him into a maniac .he is implementing the same rules to his diet.he keeps on eating without understanding what that food will finally do to his being.when the situation does come for the diet to manifest into a sign or symptom it is too late.the disease has struck!
our ability to process the need for diet can be understood if we carefully evaluate the anatomy and build up.physiology.
human body is made up of skeletal system which has a large network of bones and cartilages. upon this frame muscles are attached with give the movement to the body.there is a control center in the brain and spinal cord also bring about these movements through coordination with brain.like any machine there needs to be a efficient fuel to run the engine and storage of that energy in the body. this is provided by food we eat which when assimilated and processed forms into minute elemental nature of food and unrequired waste products are eliminated from the body. our body is basically herbivorous and has a small stomach and long intestines where this assimilation or absorption occurs.the storage of final end products takes place in liver and excess is stored in the body as fat.proteins are required for body building and fat is required for providing lubrication and also protection against cold weather.
hence carbohydrates ,proteins and fat are essential for proper maintaining body building as well as repair. so also micronutrients are required for assisting various other function in the body.
body is made up of 70% water ,hence we must take care to hydrate ourselves always. any dehydration will cause mental obtundation.
Friday, January 17, 2014
warfarin heart surgery are put on warfarin .
Patients who are on warfarin need to be aware of the effects of warfarin .
Patients undergoing valve replacement with a mechanical valve will need tobe put on warfarin lifelong .
Foods containing vitamin k can affect how warfarin works .
They include green leafy vegetables
Brocoli spinach and lettuce
Chickpeas
Liver
Egg yolks
Mature cheese
Avocado
Olive oil
Eating in moderation is recommended .
Cranberry and grapefruit avoided .
Dosage .depends on body weight to be taken in evening . Start with 10 mg and then reduce gradually . Daily inr is a must . Different indication have varied dosage .
Effect of warfarin to manifest takes 48 hours . So patients are put on heparin to bridge the gap .
Regular blood test of inr is needed to titrate dosage of warfarin . High inr suggests the time taken to clot as compared to normal.
Every day inr level is required till the target is reached . Then inr will be needed every 12 weekly .
Warfarin interacts with other medications too .
Medicines such as amiodarone and quinidine for heart .
Non steroidal anti inflammatory like ibuprofen ,aspirin
Cholesterol lowering agents benzafibrate, clofibrate
Antibiotics such as erythromycin , cotrimoxazole , norfloxacin
Miconiazole
It is safe to take paracetamol.
Warfarin is not reccomended during pregnancy . If required then it has to be taken under supervision if doctor says baby is healthy then it is ok to take warfarin . Cause of concern if baby bleeds or bruise easily . Baby is not feeding well then go to doctor .
Friday, January 10, 2014
health in your hands
it seems that medical science is getting more and more complicated with onset of syndrome and dis-eases.is it possible to put patients health in his own hand?
a lot can be done if the patients are educated about their disease process .
awareness on health aspect takes a last straw in our lifestyle and we do not care about it till it stops us in our daily routine.
cessation of smoking is the first goal .
starting muscle stretching in form of half an hour exercise will benefit in long run .
change of diet pattern accepting more vegeterian diet ,
stopping or avoiding the processed foods
taking up a hobby in form of swimming or cycling activity
taking mindful breathe in and out has shown to be of much help .
a lot can be done if the patients are educated about their disease process .
awareness on health aspect takes a last straw in our lifestyle and we do not care about it till it stops us in our daily routine.
cessation of smoking is the first goal .
starting muscle stretching in form of half an hour exercise will benefit in long run .
change of diet pattern accepting more vegeterian diet ,
stopping or avoiding the processed foods
taking up a hobby in form of swimming or cycling activity
taking mindful breathe in and out has shown to be of much help .
Saturday, January 4, 2014
EARLY DETECTION: nip in budd
early detection in heart matters is the corner stone of any disease.most of the diseases are missed because of the lack of this one quality-early detection.
the chunk of the problem world wide is waiting to be called upon the services of a good physician to do early detection there by reducing the work load in future.
if the prompt action are taken at the right time and moment , a lot of issues can be saved from making appearnaces later on and cause worry to the patient.
God does send the warningh signals to us in the form of mild symptoms .He gives lot of opportunities to the patient as well as the attending physician to detect the demonous rise of heart disease.
it can be compared to the rise of cancer and other diseases,when detected early can stop a lot of saving for the patient. similarly same applies to heart disease.
repeated chest pain, episodes of syncopal attack ,vertigo can hide the underlying disease process. even a simple thing like repeated acidity not relieved with anto acid drugs can be disastrous for the patient.when the patient finally approaches his physician it can be very late and lot of precious time is lost .
easrly detection of rheumatic heart disease symptom is one such issue. also degerative valve disease will take time as long as few decades to years to manifest s themselves.
yearly check up by physician and regular lab investigations can become the cornor stone for early diagnosis of heart disease.
the aortic stenosis is another such disease.the window given by god is pretty long enough approximately 2 years before the disease becomes severe enough.the idea is to do a thorough check up of the patient and operate him earlier to prevent the progression of the disease.patient can also die in later stages if the decision to operate is post poned.
high index of suspicion and a watchful eye on look out for underlying disease is a must.
http://link.springer.com/article/10.1186%2F1532-429X-15-72
- See more at: http://newheartvalve.com/hcp/treatment-options#sthash.TVtYGqGE.dpuf
the chunk of the problem world wide is waiting to be called upon the services of a good physician to do early detection there by reducing the work load in future.
if the prompt action are taken at the right time and moment , a lot of issues can be saved from making appearnaces later on and cause worry to the patient.
God does send the warningh signals to us in the form of mild symptoms .He gives lot of opportunities to the patient as well as the attending physician to detect the demonous rise of heart disease.
it can be compared to the rise of cancer and other diseases,when detected early can stop a lot of saving for the patient. similarly same applies to heart disease.
repeated chest pain, episodes of syncopal attack ,vertigo can hide the underlying disease process. even a simple thing like repeated acidity not relieved with anto acid drugs can be disastrous for the patient.when the patient finally approaches his physician it can be very late and lot of precious time is lost .
easrly detection of rheumatic heart disease symptom is one such issue. also degerative valve disease will take time as long as few decades to years to manifest s themselves.
yearly check up by physician and regular lab investigations can become the cornor stone for early diagnosis of heart disease.
the aortic stenosis is another such disease.the window given by god is pretty long enough approximately 2 years before the disease becomes severe enough.the idea is to do a thorough check up of the patient and operate him earlier to prevent the progression of the disease.patient can also die in later stages if the decision to operate is post poned.
high index of suspicion and a watchful eye on look out for underlying disease is a must.
http://link.springer.com/article/10.1186%2F1532-429X-15-72
The only effective treatment for severe aortic stenosis is to replace the diseased aortic valve.2
Friday, January 3, 2014
constipation and heart
quite a few patient will complain of persistent constipation before as well as after heart surgery. heart surgery ,any for that matter is a stressful situation and resultant stress causes constipation as well as acidity.the whole some approach to heart disease is a welcome move then.not only the body needs to under go physical repair in form of surgery but also mental,economical, spiritual ,emotional health needs to be considered and like wise treated.
few days after the surgery it is not uncommon to subject the patient to stool softeners and few cases even enema.the situation can worsen in a few patient requiring surgery for fissure in ano ,etc.
if any portion of the wheel is uneven the cycle of health will not be running in good condition.every effort need s to be taken to balance out this wheel of life and its various aspects.
certain remedies can be prescribed for constipation.
drink plenty of oral fluids
drink a glass full of warm water early morning as soon as one wakes up
timely and balanced diet .
fruits and vegetables to be increased share in every day diet .
some form of stretching activity such as yoga can help
stress is a major causative factor in constipation , meditation can help in calming nerves .
Wednesday, December 18, 2013
Team work and Heart
heart surgery is a team work effort.single handedly any job undertaken cannot achieve its destination unless there is team effort from whole team.
suppose the team is not cohesive with the surgeon in patient management ,the outcome is not good in patient's favour.
any untoward incidence can take place in day to day practise of cardiac surgery.
the entire team should be well equipped to handle the emergency without any hinderances.
it should be smooth sailing for the patient as well as team.
the good outcome of the patient is our goal. there should be a leader in a given situation and all others should follow his or her directives regardless of the their current status without any reluctance.
there is a tendency when two human minds are involved in a situation the solution lies in sharing of work adequately .sharing of available resources to meet demands is the most viable option rather than burning own fingers in the process,just to prove supremacy.
any procedure can be undertaken single handedly also shared with the team mates.if a given situation is handled single handedly ,in long run it can prove disastrous for his health.
protocol based approach to any problem can reduce the stress and ambiguity in any given situation .
goal based approach can further help .
suppose the team is not cohesive with the surgeon in patient management ,the outcome is not good in patient's favour.
any untoward incidence can take place in day to day practise of cardiac surgery.
the entire team should be well equipped to handle the emergency without any hinderances.
it should be smooth sailing for the patient as well as team.
the good outcome of the patient is our goal. there should be a leader in a given situation and all others should follow his or her directives regardless of the their current status without any reluctance.
there is a tendency when two human minds are involved in a situation the solution lies in sharing of work adequately .sharing of available resources to meet demands is the most viable option rather than burning own fingers in the process,just to prove supremacy.
any procedure can be undertaken single handedly also shared with the team mates.if a given situation is handled single handedly ,in long run it can prove disastrous for his health.
protocol based approach to any problem can reduce the stress and ambiguity in any given situation .
goal based approach can further help .
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