Why you need to confide in your doctor?

The power of good relationship between a doctor and patient is immense and the impact of this on treatment of diseases is extraordinary. The relationship can fantastically improve the mental health of a patient. A noncongenial relationship may lead to situations where the important health facts are missed making the diagnosis incomplete and misleading. As a patient you have to confide in your doctor, you have to ask him questions, share your problems and also sometimes take call of changing your doctor. It's simple, doable and a two way process. The compatibility factor is very important.

If your doctor shows you the door or cuts you short or is not keen on listening to you it's time you saw another doctor. No one in the clinic will ever going to tell you that your doctor is incompetent so you have to take the call. Researches have proved that the best doctors are not always the best relation makers. They have a signature tuning issue with the patients which could be attributed mostly to the lack of time.

On the flip side, this is true for the doctors as well. There are many instances where the patients visit a doctor just because the doctor is available, stays near his place or because his doctor in on leave. To top it, the trust factor is virtually zero. This is impeccably demoralizing for the doctor and may be considered as one of the many reasons why a doctor refuses a patient.

We cannot deny the fact that inspite of all the bad names that the profession has acquired over the years, the doctors are no better than a trapeze artist, trying to keep himself on the balance all the time.This probably is the reason why the doctors have to conduct series of diagnostics on patients who are supposed to undergo just a cataract operation! The evidence based on the clinical examination is not enough to keep a doctor off a suing. This is appalling but true.

Given such scenario, the relationship between the doctors/ medicos and the patients is of immense significance. It's not just about the doctor and patient but also about a whole league of medicos that constantly strive to strike a humane chord. An agreeable doctor-patient relationship enhances a lot of aspect that is not only medical but societal, economic, political etc.

Confiding in your doctor helps you immensely in getting the best medical help. Your doctor will tell you everything about the line of treatment that he is planning for you. You will be updated about your health issues very precisely. The transparency will help in eradicating many uncalled for hassles.

Once the trust factor is established your doctor will not go overboard with the tests and diagnostics. He will keep you in the frame always before conducting any test. If and when your doctor is convinced that you are not going to sue him he will be able to treat you more freely. Also, less and only justifiable tests will be performed on you resulting in less expense for your pockets.

Nothing like being able to confide in your doctor because he is the one who is supposed to know all about your personal stuffs. Once you know that your doctor is not going to divulge your profile you will find a friend in him. That should be the objective that every doctor and patient must strive for.

Photo credit ~ irishhospital

 

The Big Fat Surprise: The myth of High Carb Low Fat diet explained

NinaTeicholz's "The Big Fat Surprise" is all about everything we thought we knew about dietary fat is wrong. The book, impeccably researched, is a fascinating read and is full of wow moments. Through years of scientific researches and dietary experiments. the nutritionist and journalist, Nina comes out with the amazing fact of how more and not less fat – including the saturated animal fats (dairy, eggs, meat) actually leads to better health. She actually insists that low fat and high carb diet introduced in early 50 years ago in the US is actually a commercial connivance led by a top nutritionist and the federal government.

About Nina Teicholz

The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet 

Years of rigorous diet (low fat high carb) did not quite lessen the obesity and other health issues (cardio vascular disease, obesity, diabetes etc.) in the country. In no time the good fat is being replaced by high carb food resulting in atrocious toxicity in our health meters. The good fats are nutrient dense food as opposed to the empty and bad calories of high carb diet. Carbohydrate is nothing but sugar and we all know by now that toxicity associated with it. The factual evidence that the book is accentuated with is remarkable and believable. Even though the book has severe critiques in the medical practitioners, nutritionists and health gurus, it unrolls some serious evidence based health facts.  

The Big Fat Suprise

Nina is critical of one man who she thinks is deeply flawed. In her own words: 

“Our distrust of saturated fat dates more than 50 years, and can be traced to just one man: a bullying, charismatic but revered pathologist named Ancel Keys, whose quest for fame caused him to run roughshod over basic scientific standards. His deeply flawed “Seven Countries” study was the “Big Bang” of all our nutrition recommendations today. In an effort to quickly address the terrifying heart-disease epidemic, Keys persuaded the American Heart Association and ultimately the U.S. government to subscribe to the notion that saturated fat was our chief dietary culprit. Fat generally — and saturated fat specifically — came to be blamed for causing heart disease, obesity and cancer. Eventually this unfounded belief became ingrained as our national dogma, and many of our most esteemed nutrition scientists today endorse this idea based on the same kind of soft science that originated with Keys.”

The book, through austere diet trials, shows how high-fat, low-carb diet is better for fighting obesity, diabetes and heart disease etc. An amazing read and the book has been successful in addressing the basic dietary myths. This book documents how 'misunderstanding, misconduct and bad science' caused generations to be misled about nutrition.

"The Big Fat Surprise" is a pageturner and is available in Kindle, Paperback and Hardcopy versions. Buy your choice but do buy it. To begin with, you may get intimidated by the factual data and the citations (more than 100 pages) but trust me the intriguing story telling of Nina Teicholz will never fail you. 

How to prepare yourself before doctor's visit and make most out of it

I have been meeting patients everyday for several years and have noticed that there has been a striking shift in the delineation of the patients. Patients are more involved, interactive and informed than the pre-internet days. Also, as much as we revere the profession of a medical practitioner, the role of a doctor has been most discussed and often criticized.  What a doctor should do and what he should not, how he should and how he should not etc. have put their lives on perpetual edge. We are quick in passing judgments about their societal and tangible roles as in rendering proper, timely and cost effective medical treatment.

However, how many of us are aware about our roles as patients? Are we doing our bits as patients? What are our duties towards a healthy doctor-patient relationship?

This article is research based and I would hope that reading through this will help you understand your role as a patient. Aside this, you will also find this article helpful in organizing your medical data and coping with your medical condition. So, how to make most out of your doctor's visit?

What  you must do

Take the usual dose of medication before seeing your doctor

If the appointment is in the morning time you should not miss any of the morning doses. This, especially, is relevant for the hypertensive patients who are on regular anti hypertensive medication. If he the morning dose of medicine it gets difficult for the doctor to alter and correct the dose of medicines. 

Carry all the medical documents along

You, as a patient should carry his medical file, even the ones that he feels irrelevant. Let the doctors decide on that. This would make the visit so much smooth. The doctor gets to know the history, the medical conditions, the past hospitalizations in less time. Besides, the risk of missing an important information is averted.

Carry the medicines you are currently on

The doctor would most definitely want to know about the medicines his patient is currently on. This also may help him detect the probable side effects that the patient might be having from a medicine. You, as a patient, should keep records of the previous treatment. inform your doctor about drug allergies, supplements you are on, sensitivity issues, past hospitalizations, other illnesses that you are being treated for etc. 

Nothing wrong in being internet savvy but choose your source smartly

With the advent of internet life has been so much easier. From battery to books to medical conditions to their treatment - most of us are now self educated medicos. This may run us into grave things that we may not be able to reverse. Internet is great but we must not feed ourselves on the unauthenticated sources of information. At the end of the day, only a doctor, you heard it right, only a doctor will be able to treat you right - not the internet.

Bring along mags, books, ipods etc.

You should not equate visit to a doctor with visit to a friend's or with visit to the super market. You should come prepared with the probable waiting times. Let's face it - doctors are supposed to run into emergency anytime. 

Consider involving your friend/ spouse/ parent

Come along with someone with whom you are comfortable and may disclose your personal stuffs. Sometimes, patients are unwilling to share medical history with the doctor that may have played an important role in the diagnosis.

Speak up and ask

Feel free to ask questions to your doctor. You should know about your health conditions and what your doctor is planning for you. Ask about the medicines, plan of treatment, diagnosis etc. Also, make sure you can read your doctor's hand writing. Else you can ask for a typed/ legible prescription. 

What you must not do

Know your conditions and health issues. Respecting the value of time you should come prepared with all the questions you want to ask your doctor.  Also, keep in mind that not all doctors want to be asked. So:

D not interrupt your doctor. Value his expertise.
Do not take calls in between. Do not get distracted by your gadgets. Switch off your phone and gadgets before entering doctor's office
Do not digress too much. Come prepared with the questions that you want to ask your doctor. So, be very precise and crisp and choose your questions wisely.
Do not be repetitive. Some doctors do not indulge in too many questions. Keep it short and specific.
Do not pad your queries. Be open and matter of fact.

Do not record the session with prior permission. Do ask for permission. Else, most doctors going to shoo you off.

PS: I work in healthcare facility for more than ten years now. 

You may also read:

A guide to various heart conditions: Know your heart

What to ask your doctor before coronary angiogram

Photo credit ~ AMD

All for the love of Haikus

I love haikus and I think they are just fantastic. Although I love all kind of poetry forms, but my love for haikus has perked up my life extraordinarily. This amazing rendezvous started nearly ten years back when I was writing prolifically on different forums. As a beginner, I wrote haikus for that was the easiest thing to do when you needed to post an article daily as a paid job. I was writing haikus everyday and was loving it. It was the only thing that I was doing as a routine and loving it.

I love haikus in all forms but the ones that celebrate love liberates me. Haiku has an instant appeal and to start with I was mesmerized by its simplicity. Besides, it was never complicated and I could connect to the fervor instantly. It took me a while though to understand, conceive and learn the art of writing haikus. My passion for haikus soon made me pen down..

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Collection of my haikus

Breathing poetry

Haikus from yesteryear

For people who are not accustomed, what is haiku?

Haiku is a very popular Japanese form of poetry. Previously called hokku, haiku was given its name by the Japanese writer Masaoka Shiki by the end of the 19th century. It conveys a vivid imagery in 17 syllables, essentially dedicated to the fervor of nature with a seasonal theme. Over the years haiku has evolved and the transition has been very smooth just like the poetry form itself. Haiku can be on any theme as long as it is not complicated and designed to a render precise thought. 

"A haiku poem consists of three lines, with the first and last line having 5 moras, and the middle line having 7. A mora is a sound unit, smilar to a syllable. Since the moras do not translate well into English, it has been adapted and syllables are used as moras." 

The most popular Haiku can be represented as follows:

12345

1234567

12345

This one I wrote sometime back -

Tuesday rain haiku 

Tiny drop trickles

Slurs down my earthy brown cheek

Tickles me, I laugh

And this one is my personal favorite - 

You May Now Kiss the Bride haiku 

Color, pomp, prose, fun
Grandeur, giggles, glitters
Hopes sewn in I do

Haikus are very close to my heart. Although I have many haikus to my credit I still find it extremely challenging to be able to conceive one. My haikus are based on various fervor and are palpable. Sometimes they are overly sentimental, sometimes dark and sometimes funny. But all of them have a common thread - the thread of romance that celebrates nature and love.

Haiku is beautiful and each time I read one I love the form more. For me the appeal is not only in the simplicity but in the vividness, in that of the heart warming story telling. Haiku can be best described in the words of Rabindra Nath Tagore. Tagore expressed it all while describing "what is a short story" when he said 'shesh hoyeo hoilo na shesh' - Finished yet not so. I find this just apt for describing a haiku. Haiku ends before it starts and tells us an endless story.

 

Wrath

My thoughts for the people of Nepal who are braving the earthquake

The deadly shudders

Tears, despair, loss of hope

Rains pelt weeping face

The Nepal Earthquake: Loss of humanity, history and more

 

The Nepal Earthquake: Loss of humanity, history and more..

Nepal, 25/04/2015: Earthquake Magnitude 7.9

At about 11-30 am today, Nepal and the Sub-Himalayan belt are hit by a horrific earthquake. An earthquake that most certainly would be considered as one of the century's tragic demolitions of mankind and history. This was also the third and the worst conceivable earthquakes that I have experienced ever.

I was in the office, sat comfortably doing my usual thing when I realized that something not quite right was happening. I felt lightheaded, dizzy and indescribably hollow. Was about to attribute it to my skipping breakfast thing when I noticed that the mirror and the towel in the ring were swaying unusually. It went on for about 10 seconds. I was still confused when I heard someone screaming, 'it's an earthquake, it's an earthquake'. By then everyone had left their desks and started to move out. Though late, my boss and I headed towards the portico with our phones on trying to reach our homes. People were panicked to death. The patients in wheelchairs who came down for investigations could not figure out what was happening. Unnerved and dazed, I realized that our phones were not working.

Everest Climbers Are Killed as Nepal Quake Sets Off Avalanche

Nepal’s Landmarks, Before and After the Earthquake

It was after about half an hour later that our phones started working again. We contacted our homes and were relieved to know that they were all safe. I rang my niece in Sikkim. She was safe too. People who live in high rises were struck terribly. Utterly shocked and distressed, it took them some time to come down. Besides, the towers were wavering - moving forth and moving back. It was horrific. To top that the sky started down pouring. People were distressed, horrified, drenched and were all on road.

Later in the evening, I came back home to a bitter reality. Nepal met with a deadly shudder killing thousands of people and leaving several more on the roads. Makeshifts tarpaulin tents were everywhere to accommodate as many people as possible. People digging rubble to pull out bodies and looking for beating lives. Then the rains started pelting and an avalanche set off in the Himalayas.  It was testing time for Nepal.

It was so unnerving to see Nepal in limbo. I am shattered to see the destruction of several century old revered monuments. The quake has left a dismal remnants of the history. People were still stuck in the rubble and as the army and the people try to rescue them, I, sitting not so far away, pinch myself. It could have been me!

Why the Nepal earthquake did not surprise scientists

Since the last few days my evening strolls were cut short by erratic show of thunderous silver lines in the sky. The lightnings, rumblings and the rains. Then, yesterday, I was watching the horrific pictures of fresh volcanoes in Chile and today this earthquake. Something very serious is going on inside our earth and we have earned this like we do most accidents. The hot lava twirlings the untimely shudders and the break outs deep down the earth - I can only wish that people stay safe and stay together. 

The factual details:

-7.9 magnitude earthquake struck Nepal and areas of India, China on 15.04.2015, Saturday killing nearly 2,000 people in Nepal alone.

-The quake struck at 11:56 a.m. local time (2:11 a.m. ET) and was centered less than 50 miles northwest of Kathmandu. It occurred at a depth of 9.3 miles, which is considered shallow and more damaging than a deeper quake.

-The earthquake triggered a deadly avalanche on Mount Everest killing at least 17 people.

-About 35 aftershocks highest reaching 5.5 magnitude followed.

But what I read in NYtimes is very striking. Kenneth Chang say that this was inevitable. Here's the excerpt from the article published soon after the earthquake.

Ancient Collision Made Nepal Earthquake Inevitable

More than 25 million years ago, India, once a separate island on a quickly sliding piece of the Earth’s crust, crashed into Asia. The two land masses are still colliding, pushed together at a speed of 1.5 to 2 inches a year. The forces have pushed up the highest mountains in the world, in the Himalayas, and have set off devastating earthquakes.

Experts had warned of the danger to the people of Katmandu for decades. The death toll in Nepal on Saturday was practically inevitable given the tectonics, the local geology that made the shaking worse and the lax construction of buildings that could not withstand the shaking.

GeoHazards International, a nonprofit organization in Menlo Park, Calif., that tries to help poorer, more vulnerable regions like Nepal prepare for disasters, had noted that major earthquakes struck that region about every 75 years.

In 1934 — 81 years ago — more than 10,000 people died in a magnitude 8.1 earthquake in eastern Nepal, about six miles south of Mount Everest. A smaller quake in 1988 with a magnitude of 6.8 killed more than 1,000 people.  

Update: 26.04.2015, 12-45 pm 

Similar kind of shudder is felt for about 6-7 seconds. The aftershock was of 6.9 magnitude. This time the epicenter was Kodarib.



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We felt the tremors, the shudders of the earthquake !

How well you know your heart: A guide to various heart conditions

Today, everyone is familiar with the term ‘heart disease’, but not everyone is conversant with the spectrum of diseases related to the heart. What commonly referred to as heart disease is actually a bouquet of heart conditions with some connections and many differences. Heart ailment is a terrible thing to dwell with. It’s dreadful. As much as it sounds bizarre, it is heart-warming to know that this petite fist size organ can manipulate all rhythms of our lives. As a heart patient, caregiver, conceivable candidate for heart disease, as a healthy person we must initiate to know more about the most beautiful part of our body that works sequentially 365 days, nonstop.

Heart disease talks may get intimidating more so for a non-medic like me. Having said that, I have tried to demystify it, and so this article happened

Angina, atherosclerosis, heart attack

We come across many people who often say that they are having angina. What is this angina? Angina is simply chest discomfort, fullness, irritability that is caused by reduced blood flow in the body. Arteries are channels that supply blood with oxygen in the body. Arteries get clogged and taper due to calcium and fat deposits from bad food and sickly lifestyle. People with unstable angina show signs of discomfort on chest, neck, arms and even stomach and need to get immediate medical help. Since our whole body is like a fish bone array of arteries, they may get clogged elsewhere also. Likewise they are referred to as cerebral (brain), pulmonary (lung), peripheral (limbs), renal (kidney), carotid (neck) etc. These are all cardio vascular events. Heart attack (MI - myocardial infarction) happens when an artery is clogged completely (100% occlusion). Heart attack is a life threatening condition. After heart attack (if not treated immediately) the area gets dead requiring extra effort to keep other areas of the heart healthy.

Arrhythmias

Some people suffer from arrhythmias. Arrhythmia is abnormal irregular heart rhythms caused by erratic electrical system in the heart. Heart may go slow, race, skip etc. They can cause a variety of symptoms like dizziness, fatigue, shortness of breath, blackouts, fainting and palpitations. Arrhythmias may feel like flutters in the heart and is a very disturbing feeling. If left untreated, arrhythmias can be life threatening. There are different kinds of arrhythmias, like, VT, SVT, AF (AFib), tachycardia, bradycardia etc.of which only your cardiologist can guide you with.

Heart valve disease

Heart valves are shafts that control the flow of blood in one direction only. The valves lie at the exit of each heart chamber and maintain one way blood flow without leakage. It is important that I go into little details here. It took me many years to understand how heart valves function but it is not that complex after all.

The heart has four chambers. Right and left atria and right and left ventricles. Blood flows from right and left atria into your ventricles through the tricuspid and mitral valves. When the ventricles are full, the tricuspid and mitral valves shut. This prevents blood from flowing backward into the atria while the ventricles contract. As the ventricles begin to contract, the pulmonic and aortic valves are forced open and blood is pumped out of the ventricles. Blood from the right ventricle passes through the open pulmonic valve into the pulmonary artery, and blood from the left ventricle passes through the aortic valve into the aorta and the rest of the body. This pattern is repeated over and over with each heartbeat, causing blood to flow continuously to the heart, lungs and the body.

Heart valve disease can develop at or before birth (congenital) or can be acquired sometime during one's lifetime.  Children often acquire inflammation of the valve, holes in the heart (ASD, VSA), etc. which sometimes remain undetected until adulthood. Valve disease is mostly caused by untreated rheumatic fevers caused by bacterial infection in childhood. Valve problems are characterized by weakness, extreme lethargy, shortness of breath swelling of ankle, joints, feet. .

Heart failure

Heart failures are extreme conditions when our heart slows down and fails to pump good blood to the whole body. Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood through to meet the body's needs for blood and oxygen. This can be due to thickening (hypetrophic cardiomyopathy), restricting (restrictive cardiomyopathy), enlarging (dilated cardiomyopathy) of the heart, heart muscles or the heart sac. Heart failure is a serious condition that needs long term treatment and in many cases inspite of optimum medical help patients do not survive.

Heart conditions are triggered by uncontrolled blood pressure, chronic diabetes, kidney disease, high levels of bad cholesterol (low HDL), unhealthy eating habits (binge eating and excess sugar, high carb and less nutrient dense diet), smoking, obesity, sedentary and erratic way of life. Although by modifying these we may achieve a heart safe body, we can never be sure.  

Photo credit ~ irishfoundation

To vote or not to vote

So, I went voting. It was the Municipal Corporation Election in our city. For those who do not understand what it is, very simply put Municipal Corporation is urban local government that takes care of the basic necessities like the city's healthcare, transport, housing, education and other community services. It is headed by a mayor and represented area wise.

Although we have  majorly three electoral parties viz. CPI(M), Indian National Congress, Trinamool Congress Party and Bhartiya Janta Party, the EVM had a long list of other party representatives which I could neither recognize nor tried to. However, having said that, voting has been made easier recently. NOTA (None of the above) option has been an welcoming move by the Election Commission and this has made more people voting pro.

Politics today is  accentuated with frenzied vehemence that we as children had never witnessed. The pre poll forcefulness was all over the places and we were anticipating a not-so-happy election day. Well, all was not so bleak. Our election day was marked by galore of green, saffron and red. The party people were rendering help all day long. The day was hot, windy and by the time the voting was over, the sun turned liquid.

Later in the day as we got to know about acts of merciless savagery from different parts of the city, I realized that we just have been a fortunate lot. I was lucky - my election day was peaceful and a dignified one too.

Photo (C): MouD