SAANS Insomnia protocol

Insomnia is the commonest sleep disorder in the general population. 
Insomnia is defined as the subjective perception of difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate opportunity for sleep, and that results in some form of daytime impairment. 
This is 74 year old male presented with chronic insomnia from past 3 decades. He was subjected to sleep study which revealed poor quality of Slow wave Sleep (SWS) and REM sleep. He was admitted for sleep re-education, which included Hypnotics orally and Benzodiazepene Intravenous administration with MVI infusion. While history taking it was clear that the insomnia was related to an underlying Anxiety about the fear of inability to sleep. History revealed that the patient had many traumatic situation in his life time which included the refuge during the partition of India. Patient underwent CBT and counselling, he was educated about sleep hygiene, Binaural sound waves were used to induce relaxati…

Nasal breathing a panacea - The Hindu

Patient Speaks... Good Asthma control needs a healthy Doctor Patient Relationship, learn more

This is a 48 yearold School Physical Instructor presented to us with uncontrolled Bronchial Asthma. He has been visitng Apex Goverment Institute but was not able get relief because so many factors. He was so disillussioned and decided to live his life with distress as he had no clues what to do? and started thinking about the future of family. He was unhappyand lost hope.He was disturbed because of so many reasons:
 He was not explained adequately about  the chronicity of disesase and role of long term inhalation "LABA & ICS"
No 2
 Every time a new doctor was attending him and there was no scope for a healthy long term doctor patient relationship.
No 3
No proper Inhalation and Device education was provided to him.
No 4
 Importance of home monitoring with a simple Peak flow meter was not stressed upon.
Importance of trigger mananagement was not discussed.
 & last but not the least
 No emphasis on disesase perception called illneess and  lack of couselli…

A good doctor patient relationship decides the adherence to longterm inhaler therapy in chronic Asthmatics

Doctor patient relationship decides the disesase recovery and adherence to treatment in chronic care practice. This is a young lady who first vited us us as little child with uncontrolled asthma. Parents were educated about the role of parternership program between consultant and patient. The child was asked to monitor peakflow chart regularly and was put to preventive therapy. Family understood the need of inhalation corticosteroid therapy and religiously followed the program. She gradually outgrew her frequent asthma attacks and practically became off inhalers by her eighteenth birth day. Listen to this brilliant lady settling in USA . This video was taken when she herself wanted to speak her heart after feeling a sense of achievement.Doctor Patient relationship in a Chronic Asthmatic: Patient Speaks


Dr.BOSE, FELLOW(FBPI) WHAT IS THE BUTEYKO METHOD? Named after Dr Konstantin Buteyko, the Buteyko Method consists of a series of breathing exercises and guidelines specifically designed to reduce over-breathing (clinically known as ‘chronic hyperventilation’). The simple fact is that many people breathe too much, which alters the natural levels of gases in the blood, reduces oxygen delivery to tissues and organs, and causes constriction of the smooth muscles surrounding blood vessels and airways. This can lead to numerous health problems. Bringing breathing volume towards normal and making the switch from mouth to nose breathing helps to alleviate such health problems. ABOUT US “Working together to improve health through breathing re-education” Buteyko Professionals International (BPI) is an international community of individuals who work as practitioners/educators or incorporate some aspects of the Buteyko Breathing Method into their main area of professional practice or have an academ…

Pulmonary Rehabilitation in an Advanced COPD with Cough Assist Device

Pulmonary Rehabilitation in an Advanced COPD with Cough Assist Device

This is a 70 year old hypercapnic COPD patient with advanced Emphysematous  changes.
We are showing how SAANS Pulmonary Rehabilitation Program helping patient.He was subjected to our Pulmonary Rehabilitation Pogram using CBT, Muscle Endurace techniques, SAANS Power breath, PEEP Valve , Coach incentive Spirometry, Six minute walk test, Cough assist device for mucus clearing with  Optimum Bi level ventilation and oxygen supplementation . This also involves
Nutrition program and optimum bronchodialators.

SAANS interesting Case series:One should not simply call progressive dementia without attempting good comprehensive CBT and Rehabilitation therapy

§This is a 70 year old vascular dementia presented behavioural and personality changes. There was a history of huge psychological trauma when he suddenly lost his young son. He is diabetic with early nephropathy changes. He had a old CVA and presented with altered sensorium and hyponatremia.  His glycemic  control was good .He responded to sodium correction and improving with our SAANS Rehab and Cognitive Behavioural Therapy. Unlike literature he is stable and improving. Our dementia protocol includes cognitive testing images, muscle reconditioning, nutritional intervention  and occupational therapy. We used Cognitive stimulation through Visual cues, reminders, problem solving, activity planning and functional therapy to improve ADLs. SAANS breathing techniques used to improve his endurance.
vOur take:  One should not simply refer and call progressive dementia without attempting good comprehensive CBT and Rehabilitation therapy
Types of dementias that progress and aren't reversible i…