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April 17, 2017 By GOQii Editor Leave a Comment

GOQii Sanjeevani : Our Village Experience

GOQii Team elated after the successful completion of giving out 50 bands in Waghadi (1)

It was a big day for all of us at GOQii as the company was kick-starting its new project GOQiiSanjeevani in the village of Waghadi in Palghar district on April 7th-World Health day. 10 of us expert coaches along with our two in-house doctors and 5 tech team personnel and other senior members from GOQii including our CEO Vishal Gondal travelled on the morning of April 7th to Waghadi for the launch. We were going there with a purpose to consult the villagers and guide and educate them on their health issues.

GOQii doc Darshana and coach in interaction with the villager Sandeep Dalvi
For the last 3 years that most of us have been here at GOQii, we have been dealing with urbanites who have a hectic, stressful and majorly sedentary lifestyle. GOQiiSanjeevani gave us a fresh new opportunity to Coach the villagers who have totally different concerns when it comes to health.

50 villagers with smartphones were shortlisted. They were given the band and also asked to install the app in their phones. Once that was done they were sent to the expert coaches for an interaction. Initially, the villagers were a little apprehensive to share information but when we explained to them how the band, the app along with the coaching is going to help and prevent them from falling ill they got interested.

GOQii coaches interacting with the villagers.

We found that the villagers are active in their own ways as they walk quite a distance due to lack of frequent public transportation.Women here take care of farming while men are involved in different occupations like teaching, driving etc.  However, on talking to them we realized that they do not have major health issues as of now but are almost on the brink of developing disorders like diabetes, thyroid, acidity, UTI due to poor diet habits and hygiene etc. It was hard to believe that many are indulging in regularly eating processed food and junk foods like Chinese, VadaPav (Indianised burger), Samosa etc.

GOQii tech Personel helping Snehlata Satvi to wear teh band

Issues Seen in them: 

  • Acidity due to skipping Breakfast and large meal gaps through the day
  • Lack of Fibre in terms of Veggies & Fruits in regular daily diet
  • Joint Pain and Anemia in Women
  • Sleep Issues

As for now, GOQii Expert Coaches have majorly started working on

  • Regular meals
  • Inclusion of fruits and vegetables in their daily food
  • Have Breakfast
  • Add Iron & Calcium food sources for women

Once we finished interacting with the 50 villagers there was a bit of an apprehension from our side. Most of us were not sure if the villagers would keep in touch and interact with us

But, we are pleasantly surprised with theresponse we are getting from the villagers. On a dailybasis, they are informing us how much they are eating and what they are eating, if they’re sleeping well etc.They are following our instructions and that is overwhelming for us.

Our overall experience was enriching. It was a new learning on how to communicate with the villagers.

February 17, 2017 By Dr Darshana Salve 2 Comments

Blood should circulate – Donate Blood!

blood-donation

We only understand the importance of blood donation when someone close to us is in need of it. A few days back my cousin contacted me to know the availability of blood for her friend’s father who met with an accident. Unfortunately, we lost him due to excess blood loss. We know of this incident because it’s a dear friend’s father but, on a daily basis there are so many such cases where there is loss of death due to non-availability of blood.

Statistics show that roughly every year in India there are 234 million major operations, 63 million trauma-induced surgeries, 31 million cancer-related procedures and 10 million pregnancy related complications which require blood transfusions.

Apart from these there are also disorders like sickle cell anemia, thalassemia and hemophilia that require repeated blood transfusions.

One of the main reasons for lack of blood is, many people are skeptical about blood donation. They have fears of contracting infections during blood donation, fear of the needle or feeling weak after blood donation. Human body approximately has 4.7-5.5 L of blood, out of it only 350/ 450 ml of blood is withdrawn during blood donation drives and it takes only a day or two to replenish the fluid volume in the body and three months for the regeneration of red cells to donate more blood.

There is no substitute for human blood. Blood cannot be manufactured – it can only come from
volunteer donors like you and me. One blood donation can save 3 lives. But, unfortunately only 1 % of volunteer donors come forward to donate blood and majority of the blood donation comes from replacement donors.

Blood Donation Camp

Replacement donors are friends and relatives of a patient who donate blood as replacement for the blood given to the patient.

At times, these replacement donors (friends and relatives) are more likely to harm the recipients by hiding or overlooking the many don’ts of donation.

Though voluntary self-referral to donate without citing reasons is widely accepted, replacement donors rarely adhere to it either to hide their high-risk behavior or due to pressure to meet the immediate demand for certain units of blood. As a result, the prevalence of HIV, hepatitis B, and hepatitis C is much higher among family donors when compared to voluntary donors, according to a 2012 study published in the Asian Journal of Transfusion Science.

Donation of safe blood can be achieved only when replacement donors are replaced by healthy volunteer donors to meet ‘over 95 per cent of blood requirement’. This can be done through increased awareness, providing appropriate facilities for people to donate blood, and improved donor retention.

While donating blood always be truthful about your health status!

Do not donate blood if you have any of these conditions

  • Cold / fever in the past 1 week.
  • Under treatment with antibiotics or any other medication.
  • Cardiac problems, hypertension, epilepsy, diabetes (on insulin therapy), history of cancer, chronic kidney or liver disease, bleeding tendencies, venereal disease etc.
  • Major surgery in the last 6 months.
  • Vaccination in the last 24 hours.
  • Miscarriage in the last 6 months or have been pregnant / lactating in the last one year.
  • Had fainting attacks during last donation.
  • Have regularly received treatment with blood products.
  • Shared a needle to inject drugs/ have history of drug addiction.
  • Had sexual relations with different partners or with a high risk individual.
  • Tested positive for antibodies to HIV.
  • If you are Underweight ( below 50 KGs)

Pregnancy and Menstrual Cycle

  • Females should not donate blood during pregnancy and lactation.
  • Females should not donate blood if they are having heavy menstrual flow or menstrual cramps.

Do donate blood if…

  • You are between age group of 18-60 years.
  • Weight is 50 kgs or more.
  • Hemoglobin is 12.5 gm% minimum.
  • Last blood donation was 3 months earlier.
  • You are healthy and have not suffered from malaria, typhoid or other transmissible disease in the recent past.

It’s time that we take up the responsibility to do voluntary blood donation. Donate Blood without waiting for a call.

January 9, 2017 By Dr Ashwin Nanda 1 Comment

You are as ‘Old’ as your Prostate

Untitled-1Mr Rebello, sitting in front of me recalled his plight of waking up 2-3 times every night to void urine instead of only once as before. Initially, he assumed it was due to winter but, when the problem persisted in summer as well, he blamed it on his poorly controlled diabetes. He was 65 yrs of age when he began to experience this. He didn’t bother visiting his physician since he had made peace with his high blood sugars as he had no control over his eating habits.

How he wished he hadn’t assumed and instead consulted his physician. After 2 yrs he moved to another city and didn’t feel up to the task of finding a new physician to follow up with. Five years down the line, after his 70th birthday, he began experiencing lower back pain which he again concluded was due to ageing. Only when the pain became persistent and unbearable, he met an Orthopedic who after examination and X-rays diagnosed him with a collapsed vertebral fracture. He was crestfallen when the cause of his vertebral fracture was pinned down to ‘PROSTATE CANCER’.

Going back to the time when Mr Rebello was 65 yrs old, he overlooked the fact that the frequency of urination was normal during the day. Had high sugar been the cause, the issue would have bothered him during the day as well. Actually, this was the first symptom that his prostate gland was enlarged. Undiagnosed and untreated over 5 yrs the non-cancerous enlargement of the prostate had turned cancerous and spread to his backbone.

Let’s try to make sense about what the prostate gland is, its enlargement and when does it translate into cancer.

The Prostate Gland: Location in the body and function.

The image below shows the location of the prostate gland in the body which is present only in males. It is located below the urinary bladder. The prostate secretes the fluid that nourishes and protects sperms. During ejaculation, the prostate squeezes this fluid into the urethra, and it’s expelled with sperms as semen. In the prostatic cells, the male sex hormone testosterone gets converted to dihydrotestosterone (DHT) which causes the cells to grow resulting in an increase in its size.

Normally, the prostate gland is approximately the size of a walnut. As the size increases with age (which can start as early as 40 yrs) it starts to obstruct the urine outflow as shown in the image.

prostrate cancer-image 1

 

Symptoms of Prostatic enlargement:

  • A weak or slow urinary stream.
  • A feeling of incomplete bladder emptying.
  • Difficulty starting urination.
  • Frequent urination.
  • The urgency to urinate.
  • Getting up frequently at night to urinate.
  • A urinary stream that starts and stops.
  • Straining to urinate.

Medically enlarged prostate which is not cancerous is called Benign Prostatic Hyperplasia (BPH).

As the gland keeps getting enlarged, there are mutations in the DNA of its cells causing it to grow uncontrolled and abnormally resulting in cancer.

The saving grace in this entire process is that prostatic enlargement can be diagnosed early and controlled thereby preventing cancer.

DIAGNOSTIC MODALITIES:

  1. Sonography of the prostate gland is advised once a man turns 50 yrs to establish if enlargement has started. If there is a family history of prostate cancer then it should be done as early as 40 yrs.
  2. A blood test called Prostate Specific Antigen(PSA) should be done. Very high values are suggestive of cancer whereas in the enlargement phase the values remain < 4 units.

If you are facing any of the above symptoms, you must visit a Urologist who will diagnose and prescribe medication for the same. Incase medicines are not effective, one might have to opt for surgery.

In Mr Rebello’s case, since cancer had already developed, radiotherapy was first given to shrink the size of the prostate, post which surgery was performed to remove the cancerous gland. Cancer which had spread to his backbone was controlled by a combination of chemo and hormonal therapy.

Risk Factors for prostatic enlargement and cancer:

Age – prevalence increases markedly with age. The gland grows at a rate of 2 – 2.5 % annually in older men.

Genetics – 50% men undergoing surgery for BPH < 60 yrs of age have inheritable form of the disease.

PREVENTION:

Apart from timely diagnosis and treatment, being physically active, controlling Diabetes and weight are known to reduce enlargement of the gland. Diet rich in antioxidants and vitamins is also beneficial in prevention along with avoiding red meat.

Image credit – prostate.net

January 4, 2017 By Anusha Subramanian 1 Comment

What I considered a huge hardship, fitness has now become part of life for me

coll

He has struggled since childhood, adolescent years and now as a young adult with excess weight issues. He was always ridiculed for being overweight. There was not a single day that he did not spend feeling bad about being on the heavier side. He tried everything on this planet and kept yo-yo to shed those extra kilos but nothing worked.  Finally, some correct advice from his personal coach to eat right and workout correctly has helped him shed 7 kilos within a month and totally 18 kgs. Let’s hear Nilesh’s story in his own words. 

I have been overweight my entire life. I started out as a chubby baby, who grew into an overweight child and by the time I graduated High school I was starting my adulthood as morbidly obese. And as I moved from my 18 to early 20s, I had crossed a landmark of 100 kgs. Things become critical when people started knowing you by the”extra pounds” you have. And that is what actually I was as a person. And, let me tell you that feeling was really depressing.

Post this realisation, my weight went up and down for years as I went on one fad diet after another. I would try a new diet for a week or two, would try every other gym that opened up in the vicinity but if I did not get the quick fix that was promised to me I would quit, go on a month long binge, and gain everything back.

It wasn’t until I realised that quick fixes and magic gyms don’t work for me and questioned myself would I able to lose those weight that had been holding me down all my life. I realized (thanks to the million advice you get when you have those extra pounds) that if I had to put down “this portion of body”(the splurged fat, the cellulite’s and my dear pot belly) that was originally not part of me, I had to make changes to my lifestyle- the way I eat, drink, sleep and exercise.

My first task was to set a goal for myself and needed someone to monitor that so that I don’t cheat. While I was still evaluating what is to be done, my boss introduced me to GOQII. At the first instance, it was just a device that would keep track but, I took it as it was providing me with all features that I was looking for- A target setter and someone who could monitor.

And believe me, it has been a life-changing decision for me. I chose Trishala Chopra as my coach as her profile said she dealt with all the problems that I was going through currently. And, it worked a miracle. She kept me well motivated to complete my physical training goals and also supported my diet well by introducing small changes but, effective changes to my diet.

These changes were implemented in a manner that didn’t stress me to remove extra time from my daily schedule but, were made part of my lifestyle. In a month’s time of being a part of the GOQii ecosystem, I lost close to 7 kgs. My Coach has been flawless in her approach and the knowledge she shares with me. The best part is that I have made small changes in my lifestyle that has led to tremendous improvement. In measurable terms, I have gone two sizes smaller (from an XXL to L size) on all my clothing. This is a great achievement for me. Also, Weight has gone down by over 15kgs. Diabetes is in check. The best part about all of this is that from being a person who hardly walked a few hundred steps a few months ago, recently completed a half marathon. I had very low step counts may be 500-600 before GOQii and now I do a daily step count of over 15,000 steps.

My coach has been instrumental in guiding me every day with regard to the dos and don’ts towards leading a healthy life.

I feel much lighter and energetic now. And, fitness has become part of life than what it was earlier- a huge hardship.

What does Coach Trishala Nitesh Chopra have to say about Player Nilesh Maurya?

Nilesh was highly obese when he was assigned to me. He was close to 117 kgs. He had been an overweight person all his life. His lifestyle was sedentary and workout was negligible. He used to participate in food challenges and had the capacity to eat so many large pizzas, it was not easy for me to change his food habits.

The first thing I planned was to get him to move his body. Walk was the first thing he started and the best thing about him was his willingness to do things. When he started, he was a bit lazy which required me to poke him to doing his activities. I monitored every single activity and motivated him to just reach an everyday target.

Then the eating habits were changed, reduced the excess carbohydrate contents in his diet and he started losing weight with little changes here and there and here he is today from 117 kgs to 99 kgs. His sheer dedication and hard work have made him achieve this! More kgs to go…this is just the beginning . 

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