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September 9, 2017 By Dr Ashwin Nanda 17 Comments

Know all about Dengue and Chikungunya and how to prevent it

Chikungunya and Dengue have created havoc in the capital city of Delhi and certain other parts of the country. The death toll from the two vector-borne diseases has been climbing every day even as the number of affected people crossed 2,800. It has been reported that according to the National Vector Borne Disease Control Programme (NVBDCP), the number of chikungunya cases in Delhi had spiked to over 2000 till September 11 as fever clinics in the city continue to be swamped with patients.

The World Health Organisation has said that in recent years, globalisation of travel and trade, unplanned urbanisation and environmental challenges including climate change has had a “significant” impact on transmission of vector-borne diseases.

However, the key to averting such an adverse outcome is timely diagnosis and appropriate monitoring along with supportive care.

Let me begin with the basics about dengue and chikungunya…….the culprit for both is the Aedes aegypti mosquito and hence a person can be infected with both diseases simultaneously by its bite. Viruses are the cause of both problems, which enter the mosquito when it bites a human suffering from dengue or chikungunya.

The most likely time for this mosquito to bite is 2 hrs after sunrise and 2 hrs before sunset but, probability of a bite occurring is anytime during daylight hours. So it’s active during the time when most of us are also likely to be outdoors.

Chikungunya begins with sudden onset of high fever, ranging from 101 to 105 degree Fahrenheit accompanied by severe pain in joints. Other symptoms like chills, headache, fatigue, abdominal pain, nausea, vomiting, diarrhea, reduced appetite and conjunctivitis can also be seen. Rash occurs typically on day 2 or 3 when the fever has subsided along with itching.

The Complete Blood Count (CBC) may show reduction in the total White cell count and platelet count, though neither are severe nor life threatening. IgM (Immunoglobulin M) antibody against Chikungunya can be detected in blood after 5 days till months after onset of symptoms. Joint pains and stiffness can last for weeks or months and can be distressing.

Treatment involves paracetamol to control fever, although NSAIDS (Non-Steroidal Anti Inflammatory Drugs like Brufen and diclofenac) may be needed to reduce fever and joint pains as paracetamol may not suffice. Ice compress on the joints can reduce pain. Ensuring water intake of at least 3 liters/day for adults is a must to counter the dehydration resulting from high fever. Antihistamines reduce the rash and itching. Extreme joint pains get relieved by oral steroids.

Dengue is equally dangerous and spreading. According to New Johns Hopkins Bloomberg School of Public Health’s research finds that the Dengue virus is the most rapidly spreading virus transmitted by mosquitoes and is a major source of illness in the tropics and subtropics, infecting as many as 400 million people annually.

Dengue symptoms are no different from Chikungunya. Both have similar onset with high grade fever (102 to 105 degree fahrenheit), headaches especially behind the eyes, back pain, muscle & joint pains, weakness. Rash can also occur. Cold and cough, vomiting and diarrhoea may accompany other symptoms. The diagnosis can be done through blood tests like Dengue NS1 which comes positive during first 3 days of fever & Dengue IgM which is detected from 5^th to 7^th day from onset of fever.

Treatment of uncomplicated dengue is same as chikungunya. Hospitalization is a must in worsened abdominal pain & vomiting, significant fall in blood pressure, breathlessness and platelet count going lower than 30,000. Platelet transfusions may be needed along with fluid infusion.

There are no antiviral medicines yet for dengue and chikungunya. Prevention of mosquito bites is the easiest way of avoiding these diseases, wearing full length shirts & trousers helps, applying mosquito repellent & using mosquito nets goes a long way in avoiding bites.

The Aedes aegypti mosquito breeds in stagnant fresh water which is avoidable by disposing used plastic bottles & discarded tyres properly. Pooling in plant trays and coolers also needs to be prevented. Also one should cover water containers that can be mosquito breeding grounds.

August 3, 2017 By Farida Gohil 1 Comment

Kid’s Salt intake linked to Obesity Risk & 5 ways to Use less Salt

Children who consume a high amount of salt are likely to consume more sugary beverages, putting them at risk of unhealthy weight gain and obesity, Says a new study published online in journal Pediatrics.

Researchers at Deakin University’s Centre for Physical Activity and Nutrition Research analysed data from the 2007 Australian National Children’s Nutrition and Physical Activity Survey, which collected diet and physical activity information from 4,283 children aged 2 to 16 years. The researchers looked at the children’s consumption of dietary salt, fluids and sugar sweetened drinks.

They found 62% reported consuming sugar-sweetened drinks. In this group, children who consumed more salt consumed more fluid and in particular more sugar-sweetened drinks. Children who consumed more than one sugary drink per day were 34% more likely to be overweight or obese. They also found that for every one gram of salt consumed per day, the children drank 46 grams more fluid, with those who reported consuming sugar sweetened drinks, drinking 17 grams more for every one gram of salt.

Previous Deakin research has shown children are eating around 6 grams of salt a day or four times more than is recommended. The researcher said, together with the results of this new study, it is becoming even clear that there is a need to keep a closer eye on how much salt our children eat to help ensure they lead long and healthy lives.

They also concluded that High salt diets not only put children at risk of serious long-term health problems, such as developing high blood pressure later in life which is a major cause of stroke and heart disease, they are likely to be contributing to the rates of overweight and obesity.

So here are 5 ways to Use less Salt

Sodium chloride (salt) is essential to the body. The Sodium in salt helps transmit nerve impulses and contract muscle fibres. Working with potassium, it balances fluid levels in the body. But, you only need a tiny amount of salt to do this, less than one-tenth of a teaspoon. The Average American gets nearly 20 times that much.

The body can generally rid itself of excess sodium. In some people, though, consuming extra sodium makes the body hold onto water. This increases the amount of fluid flowing through blood vessels, which can increase blood pressure.

Most of the salt that we consume comes from prepared and processed foods. The leading culprits include snack foods, sandwich meats, smoked and cured meat, canned juices, Canned and dry soups, pizza and other fast foods, and many condiments, relishes, and sauces-for starters. But enough comes from the salt shaker that it’s worth finding alternatives.

Here are 5 ways to cut back on sodium when cooking or at the table:

Use spices and other flavour enhancers: Add flavour to your favourite dishes with spices, dried and fresh Herbs, roots (such as garlic and Ginger), citrus, vinegar, and wine. From black pepper, cinnamon, and turmeric to fresh Basil, Chili Peppers, and lemon juice, these flavour enhancers create excitement for the palate – and with less sodium.

Go nuts for healthy fats in the kitchen: Using the right healthy fats – from roasted nuts and avocados to Olive, canola, soybean, and other oils – can add a rich flavour to foods, minus the salt.

Sear, sauté, and Roast. Searing and sautéing foods in a pan build flavour: Roasting brings out the natural sweetness of many vegetables and the taste of fish and chicken. If you do steam or microwave food, perk up these dishes with a finishing drizzle of flavourful oil and squeeze of citrus.

Get your whole grains from sources other than bread: Even whole-grain bread, while a healthier choice than white, can contain considerable Sodium. And bread contains salt, not just for flavour but to ensure that the dough rises properly. You can skip that extra salt when you use whole grains outside of baking. Try a Mediterranean-inspired whole-grain salad with chopped vegetables, nuts, and legumes, perhaps a small amount of cheese, herbs and spices, and healthy oils and vinegar or citrus. For breakfast, cook up steel-cut oats, or other intact whole grains with fresh or dried fruit, and you can skip the toast (and the extra sodium).

Know your Seasons, and, even better, your local farmer: Shop for raw ingredients with maximum natural flavour, thereby avoiding the need to add as much (if any) sodium. Shop for peak-of-season produce from farmers’ Markets and your local supermarket.

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 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.

Know all about Dengue and Chikungunya and how to prevent it

Kid’s Salt intake linked to Obesity Risk & 5 ways to Use less Salt

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

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

From Burnout to Balance: How Dr. Ranjit Reclaimed His Health

From Shimla’s Slopes to Chandigarh’s Sidewalks: Surinder Kaur Bhalla’s Journey from Chaos to Control

“I’ve Challenged Myself to Live 100 Years” – The Story of Chandubhai Savani’s Second Chance at Life

From Terminal Illness To Complete Wellness! Ananda Mukherjee Health Story