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August 2, 2017 By Dr Ashwin Nanda Leave a Comment

Understanding Autism


I have had firsthand contact with 2 children with autism in my complex and hence I wish to share my experience with these children and talk about Autism. An autistic child lives in her/his own world and finds it quite difficult to associate and relate to the external world. The child takes a long time to bond with another person, even the mother child bonding takes very long to develop. Children with autism seldom establish eye contact, do handshakes and give high fives like their counterparts. They seem extremely shy but the issue is deeper than just being plain simple shy.

Let me take you through these kids’ stories and also in the process talk about what is Autism?

This is the story of Rudraesh, 13. He is the second son and his mother recalls that when he was brought home from the maternity ward after 4 days, he cried a lot for the next 2 days. This behaviour of his was peculiar as she remembers her elder son never reacted this way. In hindsight, she says that it was typical of an autistic child to be uncomfortable in a new environment. When her son did not develop the social milestone of smiling at another person which her elder one had, she got worried and consulted the paediatrician who confirmed her fear that he was autistic.

Autism is a spectrum of disorders in which the difficulty to adapt to the world and be able to take care of oneself varies from mild to severe. Rudraesh is severely autistic since it took 12 years for him to get toilet trained and hygiene conscious. Since his elder brother is normal, his mother feels the reason for his autism is the undue emotional stress she had while she was pregnant with him.

The exact cause of autism still eludes mankind. Researchers are trying to find possible associations which lead to autism. A strong belief is that MMR vaccine (Measles, Mumps and Rubella) predisposes a child to autism. Indiscriminate use of antibiotics during pregnancy and infancy is also suspected to increase the chances of autism. It appears that autism runs in families since many extended families have more than one child affected by it.

Rudraesh has the good fortune of having a dedicated and caring mother and a father who is earning well. She has painstakingly ensured that he picks up basic survival skills and his father spares no expense in getting best possible assistance in the form of special schooling and occupational therapy. Their dream is that Rudraesh can earn a living for himself and be self-sustained. It’s a challenging dream but with the hard work that both parents are putting in, it looks like a reality albeit in distant future.

The second story is that of Madhav, 5. Madhav’smom was heartbroken when the paediatrician diagnosed him to be a mildly autistic child. Initially, she thought her son was mentally retarded. Unlike mentally retarded children, autistic children usually are gifted e.g a few of them have a drawing and painting talent and some are excellent with numbers. Remember Dustin Hoffman’s character in the epic movie Rainman?

Hoffman played an autistic adult who won his brother millions in the casino because of his mathematical gift of predicting permutations in the card deck. Madhav is a mild case because he was able to do a lot of other activities which kids his age did except that he didn’t know his name was Madhav, something a normal 8 months old definitely knows. He wouldn’t respond when his name was called out. Since his autistic trait was diagnosed in time and his parents took help from a good team of therapists who treat children with developmental delays, at age 4 years he is now at par with other normal children. The therapy involves multiple innovative ways of stimulating the child’s brain to grow and learn and catch up.

To summarize, autistic individuals need a lot of support and patience from the society so that their troubles can be minimized.Occupational and behaviour therapy specialists along with parents of these children make a lot of efforts to help them learn to integrate with the world around them and we as mature citizens also need to support them by being non-judgemental and understanding.

June 24, 2017 By Anusha Subramanian 3 Comments

From Carefree to a Carer

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She considers herself a shy and an introvert person who likes to hide behind her pen and paper but, you start talking to her and you will realise that Samara Mahindra is very poised, articulate and has designed a beautiful life for herself that is all about making a difference in other people’s lives.

Her 3 life’s lessons learnt in a short span of time are

  • Don’t be bound by physical reality (What you see),
  • You can achieve more than you think you can
  • Be in the present ( forget the past and don’t think about the future)

“This I have learnt from my mum- stand on your own feet and all is in your hands how to shape it for yourself,” says Samara, in conversation with Vishal Gondal on “Beneath the Force-The Vishal Gondal Show’.

Having lost her mother to Cancer and being left alone to make her choices and take her decisions, Samara’s eyes opened to a lot of brutal realities during her mother’s long journey of struggle with Cancer. She went on to study Integrative Life style medicine and also get a certification in Cancer Exercise Specialist.

“Once I came back from the US after my studies, I did an Observership with Tata Memorial and what I found was that hospitals were not a healing place for patients. And, doctors never gave any proper answer. That is when I decided on Carer Program where a specialist would be taken to the patient and treated in the confines of their home,” she says.

The oncology ward of numerous hospitals became her home where she witnessed extreme cases and dire situations that were unimaginable. She watched blank refusals of curable stage cancer treatment to those who didn’t have the funding and children who saw hospital wards before a classroom. This was the beginning of her carefree to an entrepreneurial journey ‘The Carer Program’.

The CARER Program is an integrative cancer recovery program that helps a patient recover from the side effects of treatment and cancer itself. CARER provides a holistic approach to healing through complementary therapies that target nutrition, movement and mind-body healing for patients post treatment.

Prior to becoming an entrepreneur, Samara kept looking for an escapist route to avoid going back home. So she travelled to Australia and UK for studies and then worked in Singapore and even attended a 3-month acting course with Barry John in Mumbai. She says the acting course was therapeutic and help build her confidence and come out of her shell.

Talking of her success habits Samara says that being disciplined has helped her a lot in her work.

Secondly, having a sense of empathy without sympathy and looking at the situation very positively and passing on that positivity to the patients has been the biggest success.

She admits to being a big fan of Tim Ferris and has read all his books and believes in the 4 Hour Work Week. The 4 Hour Work week is a book by Tim Ferris where he refers to a ‘lifestyle design’

and repudiates the traditional ‘deferred’ life plan in which people work gruelling hours and take few vacations for decades and save money in order to relax after retirement.

Listen to the Podcast here: https://youtu.be/yV0naFwElfo

 

 

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

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

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

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.

Walkers in rapt attention

“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

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 9, 2017 By Dr Manali Rao Leave a Comment

Vaccination: Prevention is better than Cure!

News_2014_0820_Polio_Full
All of us have seen Mr. Amitabh Bachchan saying ‘Do boondhZindagiki’, but very few of them would have realized the magnitude of importance of that advertisement. The fact that one of the most vivacious and accomplished Bollywood star is chosen as the brand ambassador for the campaign of immunization shows us the important role it plays in every child’s life.

What lead me to writing this blog?

Having a month old baby at home and finding myself pouring over the immunization schedule made me think that there are so many people unaware of the importance of vaccination.

Vaccination-Image 1

The last week of April is the World Immunization Week. It is a global public health campaign to raise awareness and increase rates of immunization against vaccine-preventable diseases around the world.Each World Immunization Week focuses on a theme and this year it is “VACCINES WORK”. 

So what is IMMUNIZATION?
It is the process by which an individual’s immune system becomes fortified against an agent (known as the immunogenic).

Immunization is done through various techniques, most commonly vaccination. Vaccines against microorganisms that cause diseases can prepare the body’s immune system, thus helping to fight or prevent an infection.

Immunization can protect against 25 different infectious agents or diseases, from infancy to old age, including diphtheria, measles, pertussis, polio and tetanus. The World Health Organization (WHO) estimates active immunization currently averts 2 to 3 million deaths every year.

Vaccination-Image 2

The WHO lists 25 diseases for which vaccines are available:

  1. Anthrax
  2. Measles
  3. Rubella
  4. Cholera
  5. Meningococcal disease
  6. Influenza
  7. Diphtheria
  8. Mumps
  9. Tetanus
  10. Hepatitis A
  11. Pertussis
  12. Tuberculosis
  13. Hepatitis B
  14. Pneumococcal disease
  15. Typhoid fever
  16. Hepatitis E
  17. Poliomyelitis
  18. Tick-borne encephalitis
  19. Haemophilusinfluenza type b
  20. Rabies
  21. Varicella and herpes zoster (shingles)
  22. Human papilloma-virus
  23. Rotavirus gastroenteritis
  24. Yellow fever
  25. Japanese encephalitis
  26. Malaria
  27. Dengue fever

There are also some vaccine-preventable diseases, which are not on the WHO-list, probably either since the vaccine is not very good according to present standards, or the disease is not any longer a threat.

  1. Anthrax
  2. Plague
  3. Q fever
  4. Smallpox

IMMUNIZATiON SCHEDULE :

SL. NO. AGE VACCINE DISEASE
1. Birth BCG + OPV Tuberculosis + Polio
2. 1.5 months DPT +

OPV + IPV +

HBV +

HiB

Diphtheria

Pertussis

Tetanus

Polio

Hepatitis B

H Influenza B

 

3. 2.5 months DPT +

OPV + IPV +

HBV +

HiB

Diphtheria

Pertussis

Tetanus

Polio

Hepatitis B

H Influenza B

 

4. 3.5 months DPT +

OPV + IPV +

HBV +

HiB

Diphtheria

Pertussis

Tetanus

Polio

Hepatitis B

H Influenza B

5. 9 months Measles Measles
6. 15 months MMR Measles

Mumps

Rubella

7. 18 months DPT +

OPV + IPV +

1st booster HiB

Diphtheria

Pertussis

Tetanus

Polio

 

8. 4.5 – 5 years DPT +

2nd booster OPV

Diphtheria

Pertussis

Tetanus

Polio

9. 10 years Tdap/ Td Diphtheria

Pertussis

Tetanus

VACCINES UNDER SPECIAL CIRCUMSTANCES;

SL. NO. AGE VACCINE DISEASE
1. 2 years

Booster dose  to be given every 2-5 years

Meningococcal Meningitis
2. < 9 years : 2 doses to be given every year.

 

> 9 years – 1 dose to be given every year

Influenza Flu
3. 0,3,7,14,28 days Rabies Rabies

SIGNIFICANCE:

Vaccination protects children from serious illness and complications of vaccine-preventable diseases which can include amputation of an arm or leg, paralysis of limbs, hearing loss, convulsions, brain damage, and death.

Elimination of polio in India:

Polio was last reported in India in West Bengal and Gujarat on 13th January, 2011.

On 27th March 2014, the World Health Organization (WHO) declared India a polio free country, since no cases of wild polio had been reported in for three years.

As of mid-2016, only Afghanistan, Nigeria and Pakistan have wild polio cases.

The Pulse Polio Initiative (PPI) aims at covering every individual in the country. It aspires to reach even children in remote communities through an improved social mobilisation plan.

  • No child should miss the immunization.
  • Cases of acute flaccid paralysis (AFP) are to be reported in time and stool specimens have to be collected within 14 days.
  • Outbreak response immunization (ORI) should be conducted as early as possible.
  • Maintaining a high level of surveillance.
  • Performance of good mop-up operations where polio has disappeared.

ADULT IMMUNIZATION:

Even adults need to be immunized from time to time. It is recommended for adults who meet the age requirement, lack documentation of previous vaccination or lack of evidence of previous infection. Also older adults with medical conditions like Diabetes need to be immunized as recommended by their Doctor.

IMMUNIZATION AGAINST CERVICAL CANCER:

> 10 years females

 

0 dose

After 1 month

After 6 months

Protects against HPV (HUMAN PAPILLOMA VIRUS) which causes cervical cancer.

Immunization is one of the safest ways for you to protect your health. Vaccine side effects are usually mild and go away on their own. Severe side effects are rare.

Regular immunization of your child will prevent many serious diseases. Follow the schedule and the advice of your child’s Pediatrician. Minor illnesses are not a contraindication to vaccination. Report any adverse events following immunization.

 

 

 

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