Archives for June 2017

June 20, 2017 By GOQii Editor 1 Comment

First ‘Walk with A Doc’ begins in Mumbai with a bang !

Dr Aashish Contractor addressing the walker at the WWAD India’s first walk at NCPA-Marin Drive

For sedentary people, getting off the couch and taking that first step is a huge task and often the hardest step. While doctors give detailed exercise prescriptions with heart rate guidelines seldom do patients adhere to doing the exercises and following a regular exercise regime.

As Dr Aashish Contarctor, head of Dept-Rehabilitation and Sports Medicine at Sir H.N. Reliance Foundation Hospital in his book-‘The Heart Truth’ says, “My initial advice to people who do nothing at present is to simply start doing something. This something could be a daily walk of 10 minutes. Ony 10 minutes? Many ask and I tell them that is enough to get started.”

Dr. Aashish takking about heart and how to check pulse

No wonder that Dr. Contractor took to the idea of the ‘Walk with A Doc’ program very easily and led the maiden walk on Sunday June 18, 2017 from NCPA at 7 am in the morning. The 40-minute-long walk started at 7 am from NCPA and covered a distance of 5 kms on NCPA-Marine Drive promenade and ended back at NCPA at 7.45 am. The walk saw a large turnout of people who are patients of Dr. Contractor including GOQii players.

Walkers along with Dr. Aashish, GOQii Team and Sir HN reliance Foundation hospital team

The walk began with Dr.Ashish taking the walkers through the basics of understanding the Heart and how to measure pulse rate. In all a little over 50-people attended the first walk. Dr Bipin Chandra Bhambre, Dr Jaini Patel, dr Chandan Poddar and Dr. Richa Nadkarni from Sir H N Reliance Foundation hospital along with Dr. Akshat Chadha – head of medical services at GOQii attended the walk as well. The walk ended with a summation by Dr. Contractor.

“It was wonderful to see the enthusiastic response of the patients, inspite of rainy weather. They enjoyed the walk and were interested in both learning and walking more,” said Dr. Contractor.

Dr. Akshat Chadha, from GOQii said, “The concept of Walk with A Doc is an excellent idea for making ‘Practice what you Preach’ genuine. As a Doctor I keep telling all my patients to get up and get moving but that doesn’t mean that they do it. Seeing the doctor walk alongside, gives the due importance to being physically active along with creating a bond with the patient by breaking the doctor-patient barrier.”

The idea of walking with a doctor is to encourage people to gove up the sedentary lifestyle and focus on healthy living. Ideally, walking may be the simplest wat to work out. You can do it almost anywhere, and it’s easy tos tart- just put one foot ahead of the other.

Most walkers present were over the age of 50 and found the initiative ‘Walk with A Doc’ a very encouraging concept and found walking with their doctor very comfortable. They felt that the whole walk was so different from the regular walks that they have attended in the past.

Rahul Nandkeolyar who was one of the walker had this to say, “Not having been much of a walker, I actually walked approx. 5 km in about 45-50 minutes. Felt good. Would have done better if my shoes had not given way. I am now going to walk regularly around my home.”

Another walker said, “I like this idea of walking with the doctor. I would like to get tips regarding walking to loose weight, the walker said pointing to his wearable watch. How should I pace myself?” said another walker who participated. Most walkers were very keen to get tips on walking.

WWAD program aims to reimagine healthcare between doctors and their communities. Initiatives like WWAD will have great significance in India where the people are at a high risk due to sedentary lifestyle and the doctor to patient ratio is lower than WHO recommendations. WWAD aims to bridge the gap between the doctor and the community to promote preventive healthcare.

Dr. Aashish with his and GOQii team after the walk

GOQii and WWAD have strategically come together to spread this movement across India. The first walk in 2005 in the US with Dr David Sabgir, whose brainchild is ‘Walk with A Doc saw 101 people showing up for the walk. After 10 years, there are 3011 WWAD chapters spread across 44 states in the US averaging 25 walkers per walk; which are done weekly/bi-weekly/monthly by doctors.

Walk with A Doc has already helped thousands commit to a healthy lifestyle in USA and we at GOQii along with WWAD wish to make this program help many Indians commit to a healthy lifestyle under the able guidance of doctors in India. In addition to being part of an extremely rewarding program and helping patients lead healthier lives, Walk with A Doc can help improve patient satisfaction and has helped position doctors as wellness leaders in their communities.

Benefits of Walking

Maintain a healthy weight.
Prevent or manage various conditions, including heart disease, high blood pressure and type 2 diabetes.
Strengthen your bones and muscles.
Improve your mood.
Improve your balance and coordination.
Improves Posture and reduces Belly fat

June 19, 2017 By Trupti Hingad 2 Comments

Learn about your Poop and Gut Health

bowel-health

Most of us wake up and proceed to the loo. Over a period of time, this becomes a habit and we just do it blindly!

Have you ever noticed or given a thought about how is your bowel movement?

What does your poop say about your health? This may sound like a joke, but you can actually learn a lot about your health from your daily poop.

Hippocrates says…ALL DISEASE BEGINS IN THE GUT. So, we want to be sure that what’s coming out of the gut looks good.

Let’s understand more about it.

Three things to look for:

FREQUENCY
FORM
COLOR

Frequency: Best bowel movement: It’s best to have at least one complete bowel movement a day. You should feel like you have emptied bowel completed rather than partially eliminated.

If you are having 2-3 bowel movements in the day then you may have a faster metabolism or good robust bacteria or it depends on the quantity of food you eat.

If you go to loo 3times a day. Then you are entering into diarrhoea zone.

So, having a clear bowel movement once a day daily is must as it’s one of our body’s greatest ways to eliminate toxins, acids and other stuff.

FORM: When our poops are properly formed, it ensures that we have digested and assimilated the nutrients from our food and are eliminating acids and toxins properly.

The BRISTOL CHART helps to categorise and gauge our bowel movements well:
Bristol-Stool-Chart-What-Your-Poop-Says-About-Your-Health-Mama-Natural-1024x576

Image Credit: mamanatural-mamanatural.netdna-ssl.com

Type 1: Separate hard lumps, like little balls (hard to pass)

Type 2: Sausage-shaped, but lumpy (lack of fibre and hydration)

Type 3: Like a sausage but with cracks on its surface

Type 4: Like a sausage or snake, smooth and soft

Type 5: Soft blobs with clear cut edges (passed easily)

Type 6: Fluffy pieces with ragged edges, a mushy stool

Type 7: Watery, no solid pieces. Entirely liquid

Where do you fall on this chart?

If you are between 1-3 then it shows that your diet lacks the right amount of fibre, bacteria are missing and there is nothing to retain water. This is a sign of constipation. The lumps are hard and abrasive and may sometimes lead to anorectal bleeding.

If you are at Type 4, then you are right, It’s nice tubular shape. Think long bananas that don’t break apart when you flush. The Perfect poop comes out with ease, smells more like super-ripe fruit than something terrible and you barely need to wipe.

If you are between 5-7—then you have diarrhoea. This may also give rise to malabsorption as there is no proper assimilation of nutrients.

If your stool is too LOOSE, SOFT, watery, MUSHY then –it indicates a lack of fibre and thus you can go for BRAT Diet.(Banana, rice, apple and toast). These foods have qualities like tannins that can actually help firm up a stool for better bowel movements.

If you find your stool is TOO HARD or infrequent, add more of soluble fibre and add magnesium-rich foods to your diet. Magnesium draws water into the bowel, making the stool softer and easier to eliminate. It also relaxes the muscles in the intestinal wall, which helps with constipation.

Apples and Pears are also wonderful – two a day will keep things moving. Yoga and abdominal massage are great tools. Another trick you can try is to drop 1 drop of Peppermint essential oil into your toilet and sit down. It will stimulate your bowels and often result in a movement.

If your poop…Floats instead of sinks— You have excess gas in your digestive tract. “If you’ve been eating lots of beans, sprouts, cabbage, or very large meals, it’s perfectly normal for stool to float because of gas, and it’s not a cause for concern. However, if floaters become more common for you or you spot an oil-slick appearance, it could mean something is preventing your body’s ability to absorb fats from food. For instance, inflammation or an infection in your pancreas could prevent you from producing enough digestive enzymes. A food allergy or infection could be damaging the lining of your intestines that’s affecting absorption, too.

What does Colour indicate?

Believe it or not, colour matters! We want our stool to be a nice medium- to dark-brown colour. (Think milk chocolate). Poop is normally brown. The colour is the result of what you eat and how much bile is in your stool. Bile is a fluid your liver makes to digest fats. It starts out as a yellowish green colour. But as the pigments that give bile its colour travel through your digestive system, they go through chemical changes and turn brown.

Black Poop: If your stool is black, it could be a sign of blood in your upper GI tract.

Yellow poop: This shade is also normal for many people. It’s common for babies, especially those who breastfeed. But if you have yellow poop that looks greasy and smells very bad, it may have too much fat. That could be a sign your body isn’t digesting food properly.

Green poop: If you have green poop for many days, the colour of your food may not be to blame. It’s likely that your meal moved through your gut too quickly, so the fat digesting bile didn’t have time to turn brown. It could be from fat malabsorption or liver or gallbladder stress.

PS NOTE: Keep in mind if you eat certain foods or food dyes your stool colour may change. For example, if you eat lots of beets, your stools could take on a reddish hue. And eating tonnes of leafy greens may explain why your poop is green but this colour change is temporary.

White Poop—Medicines for diarrhoea like bismuth sub-salicylate can sometimes cause pale or clay coloured poop. A more serious cause is a lack of bile in your stool. As bile gives its brown colour

Bright red: If it’s bright red, the blood likely comes from the lower part of your digestive tract. It could be due to inflammation in the colon, haemorrhoids, diverticular disease or tumour.

So, where do your poops fall on the Bristol Stool Chart? Do you do anything to optimise your daily poop?

June 15, 2017 By GOQii Editor 11 Comments

Walk with a Doc – Reimagining Healthcare between doctors and their communities

Walking is considered one of the best and simplest forms of exercise which can be done by all. Patients with chronic ailments such as heart disease, diabetes, cholesterol, hypertension etc., are recommended to walk as a form of exercise daily. Keeping in line with this, GOQii, the Health and Lifestyle start-up is launching a 10-year-old international movement called ‘Walk with a Doc’ (WWAD), a unique physician-led walking program focusing on encouraging physical activity among patients.

Dr Aashish Contractor, widely recognised as the pioneer of cardiac rehabilitation is kick-starting the first edition of WWAD in Mumbai on June 18, 2017, from NCPA at 7 am. Apart from GOQii, Dr Contractor is also supported in this initiative by his hospital Sir H N Reliance Foundation Hospital where he is currently, the head of Department of Rehabilitation and Sports Medicine. He is also the author of the book ‘The Heart Truth’.

The 40-minute long walk will start at 7 am from NCPA and cover a distance of 5 KMs on Marine Drive and end at NCPA at 8 am. This walk will be followed by a summation by Dr Contractor.

Each local walk will be hosted by a doctor, in addition to the health benefits that everyone enjoys just by walking, the doctors also get a chance to talk their patients while they walk. The movement first started in the United States 10- years ago by Dr David Sabgir, a Mount Carmel Cardiologist from Ohio.

In the US Dr Sabgir started this movement based on his own learnings from observing patients in his clinic for over a decade. As a cardiologist, he thought he was doing everything he could to help his patients. He spent extra time during appointments, listening to their issues and giving advice on how to live a healthier life. But in his own words “In the end, I just wasn’t successful at encouraging them to get out there and get physically active.”

WWAD Standee

Heart disease is the number one killer in America and India is no different. Recently, in an interview with GOQii, Dr Contarctor says, “Heart Disease is the leading cause of death among men and women worldwide and even in India”. Both Dr Sabgir and Dr Contractor believe that 80% of cardiovascular disease is preventable with more exercise and simple lifestyle changes.

Yet, Sabgir found that only five percent of his patients were getting the recommended 150 minutes a week of moderate physical activity. He was frustrated, so one day he asked a few patients to meet him and his family in the park to take a walk. That was the first Walk in 2005 where 101 people showed up. After ten years, there are 301 WWAD chapters spread across 44 states in the USA averaging 25 walkers per walk; which are done weekly / bi-weekly/ monthly by doctors.

“We are ecstatic that you are starting Walk with a Doc in India. We have been thrilled and humbled to see WWAD transform hundreds of new communities in the United States. The opportunity to collaborate with the great physicians of India is a tremendous honour that we will never take for granted,” says Dr Sabgir.

Talking about kick-starting the first walk in Mumbai, India, Dr Contractor says, “I advise my patients to instil the habit of healthy living, however, very few get motivated on their own. WWAD is a good concept and removes that barrier and makes healthy living a routine and fun. Therefore, when GOQii & WWAD- India chapter approached me to host the first edition of WWAD, I agreed. I have been regularly walking and running with my patients, WWAD is a new platform to do the same. I hope that through this program we will be able to inculcate healthy living as part of daily routine of the people.”

From GOQii’s perspective, the health start-up has been advocating healthy living and preventive healthcare. “We felt that this collaboration will compliment us in our vision to create a healthier society. I am thankful to Dr Contractor who agreed to spearhead the first edition in India,” says Vishal Gondal, Founder and CEO, GOQii Technologies Inc.

Walk with a Doc has already helped thousands commit to a healthy lifestyle in the USA and today the movement has reached 6 countries and India being the 7^th.

June 14, 2017 By Dr. Viral Thakkar 15 Comments

Menstrual Pain: Every Woman’s Nightmare No more!!

I know of many women, especially adolescents who don’t like ‘being a woman’ because of the pain during menstruation. If you are one of those or you know of such women, this article is to stop by.

Primary dysmenorrhea (menstrual pain) is a normal process of menstruation. It affects girls during adolescence and eases as they mature. It may be painful but is not harmful.

Prostaglandins (hormones that make your uterus contract during menstruation and childbirth) causes the pain. Its pain probably results from contractions of your uterus that occur when the blood supply to its lining (endometrium) is reduced. (But hey! It is a part of you and it is important, so blame it, but accept it and get on with it).

Other factors include- a uterus that tilts backward instead of forward, lack of exercise, psychological or social stress, smoking, drinking alcohol or being overweight.

Secondary dysmenorrhea is generally related to some kind of gynecological disorder. It is most likely to affect women during adulthood.

Causes

Fibroids that develop within the uterine wall or are attached to it cause inflammation leading to pain.
Adenomyosis – the tissue that lines the uterus (called the endometrium) begins to grow within its muscular walls. This makes the uterine walls grow thicker. It may lead to heavy or longer-than-usual menstrual bleeding, as well as pain during menstrual cycle or intercourse.
A sexually transmitted infection.
Endometriosis – fragments of the endometrial lining that are found on other pelvic organs.
Pelvic inflammatory disease, which is primarily an infection of the fallopian tubes, but can also affect the ovaries, uterus, and cervix. It is caused primarily by sexually transmitted infections that spread up from the opening of the uterus to these organs.
An ovarian cyst or tumoris a sac filled with fluid that forms on or inside of an ovary causes pain.
The use of an intrauterine device (IUD), a birth control method leads to painful menstruation which decreases overtime.

‘Pain’ is the body telling us that something is not right. So listen to what your body is telling you. While you must seek medical advice for secondary dysmenorrhea, do consider the following as well.

Be comfortable with your body. The negative messaging at times can become a part of the sub-conscious mind which rejects the female body. So anything which reminds the body of being a ‘woman’ will hurt.

Have a balanced diet. Ensure your diet includes foods rich in Vitamin B12, D, omega-3 fatty acids and calcium. As an extra tip, ginger is a wonder herb that can effectively ease menstrual cramps as it lowers the levels of pain-causing prostaglandins.

A hot water bag relaxes the contracting muscles in your uterus.

Make sure your hemoglobin level is within the normal range by including iron rich foods along with foods high in Vitamin C in your everyday diet.

An orgasm can help relieve all kinds of pains. Before an orgasm, the uterus is more relaxed, and during climax, blood flow increases, helping to relieve the cramps. The endorphins released after sex will make you feel better instantly.

Eat 2tbs of flaxseeds every day during periods reduces prostaglandin levels in the body.

Keep yourself hydrated during your period (and otherwise too!).

Exercise increases the blood flow which will calm the pain naturally.

Be happy and you will feel your body responding better and dealing better with pain during your period.

Yoga Postures to relieve menstrual pain

One Legged PigeonPose stretches the entire lower part of the body, stimulates the abdominal organs.

Matsyasana (Fish pose) is a back-bend that stretches and stimulates the belly muscles.

JanuShirasana (One-legged Forward bend) massages the abdominal organs.

Dhanurasana (Bow pose) strengthens the abdominal muscles and stimulates the reproductive organs.

Bhujangasana (Cobra pose) stretches and tones the abdomen.

Ustrasana (Camel pose) stretches and opens the front of the body.

Yoga is one of the means to reach your goal of painless menstruation. Don’t forget to respect your body and give it time to overcome the pain.