SAANS Respiratory , Critical Care, Sleep Disorders, Rehabilitation , Home Care & Skill Training

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 w...

Nasal breathing a panacea - The Hindu

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: No1  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.  No5 Importance of trigger mananagement was not discussed.  & last but not the least  No6  No emphasis on disesase percep...

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

    D r .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 p...

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. https://www.youtube.com/watch?v=LULW1kdfKcc&t=65

§   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. v Our take:  One should not simply refer and call progressive dementia without attempting good comprehensive CBT and Rehabilitation therapy Types of...

Every sixth person is Diabetic in India. Most of the diabetics in india have poor glycemic control due to lack of adequate physical activity, poor nutritional status due lack of understanding of concept behind Glycemic index. Glycemic index is the sole determining factor for choosing the right nutrition plan. For example a parontha has six times worse glycemic value than simple phulka. Since major portion of our nutrtion is carbohydrate(55%), choosing the right carbohydrate using low glycemic index decides the optimal glycemic control. At lords the team comprises of Physician, Diabetologist , Senior nutritionist Ms ira ratan , Rehab experts  under  Dr Bose's leadership . Ms Ira Rattan is known for her innovative  low glycemic food plan with availabe vegeterian resources. her microgreens and high qwality proteins from  non milk resources are eye opener and a must visit for all who are finding difficulty in their glycemic control despite been on optimum drug...

Cognitive Behavioural Therapy (CBT) in Multi System Atrophy (MSA) Cognitive Behavioural Therapy (CBT)  is used to treat many disorders, especially psychiatric problems such as  depression  and  anxiety . CBT has its roots in the late 1950s and was officially formed in the late seventies. Since then it has been shown to be a very effective way to help people overcome a variety of problems. CBT is an umbrella term that encompasses many different types of therapy that are all based on the same ideas. The principle is that first there is a thought, this triggers a feeling and this changes a person’s actions. The problem is that in many people these thoughts are based on ‘incorrect beliefs’. The aim of CBT is to correct these beliefs and this will lead to a change in thoughts leading to a change in feelings and finally a change in behaviour. This is about a 57 year old patient Kausar Alam from Ranchi presented with severe deconditioning, gross pedal oedema. She w...

"Stop Smoking Start Living" Tobacco kills up to half of its users.Mass media campaigns and digital connectivity can reduce tobacco consumption by influencing people to protect non-smokers and convincing youths to stop using tobacco.Please join me today for our unique face book live telecast today at 3pm as our Breath free initiative "Stop smoking start living" Who facts 1.Tobacco kills more than 7 million people each year. More than 6 million of those deaths are the result of direct tobacco use while around 890 000 are the result of non-smokers being exposed to second-hand smoke. Around 80% of the 1.1 billion smokers worldwide live in low- and middle-income countries, where the burden of tobacco-related illness and death is heaviest. Tobacco users who die prematurely deprive their families of income, raise the cost of health care and hinder economic development. In some countries, children from poor households are frequently employed in tobacco farming t...

ASTHMA TRIGGERS...... need to understand the disease and stay detective Trigger management is an important component of Asthma management. one should play detective to understand what are the possible triggers which can worsen control of asthma.These triggers differ between individuals. Over time, you will get to know which circumstances can make your asthma get worse. Some can be avoided altogether while others you will need to plan for. Common asthma triggers 1.Flu and related respiratory virus during winter seasons 2.Spring and and autumn attacks are due to pollen. cotton wool around this time in Delhi NCr is a major trigger 3. cigarette smoke:Asthmatic lungs are especially vulnerable to the damaging effects of cigarette smoke. 4. Domestic Pets are a major cause due to dander exposure 5. indoor pollution: Indoor pollution is a major concern due dust mites 6. Painkillers: NSAIDS is a major trigger , asthmatics should never take painkillers, paracetamol is the best 7. food factors:...

What is Pulmonary Rehabilitation? Pulmonary Rehabilitation (Rehab) is a medically supervised program that helps to improve the health and well being of people who have pulmonary problems. Rehab programs include endurance training, chest therapy, education on lung hygiene and healthy living, counseling to reduce stress & trigger factors and smoking cessation thus helping you return to an active and healthy lifestyle. Who requires Pulmonary Rehabilitation? People with following diseases require Pulmonary Rehabilitation: ·          Chronic Obstructive Pulmonary Disease (COPD) ·          Asthma ·          Rhinitis ·          Sinusitis ·          Bronchiactasis ·          Lung cancer ·      ...

Please watch this patient story https://www.youtube.com/watch?v=6uonslYcROQ&t=1s Asthma is on rise due to lack of awareness and poor drug adherence. we at SAANS are regularly creating  awareness through our health camps, talk shows and digital and media advocacy. Childhood asthma needs special impetus and attention. There is an increase in morbidity and mortality among-st poor children in India due to lack of access to good asthma care.  The need of the hour is  to create a bridge with  chain of  health educators, doctors and pharmaceuticals. There is a need to create more awareness for  usage of preventive inhalation cortocosteroids among st childhood asthmatics, so that they grow up with healthy lungs and reduce the COPD load in the world. We at SAANS foundation has pledged to take our Asthma Awareness Program to grass root levels through following initiatives: 1. Public private partnership using  CSR initiatives 2. Saksham educators a...

While the examinees in Noida and elsewhere are sweating it out in the quest of good marks in the ongoing board exams, medical experts in Delhi-NCR have stressed on good sleep between the study hours as it is critical to dealing with pressure, keeping a calm head and faring well. Stressing on the need for proper sleep for a healthy lifestyle, doctors believe that at least eight hours of relaxation is necessary for students to de-stress their minds and bodies and give their best in the exams. “Sleep encompasses one third of our lifespan and it is one of the most important requirements for a healthy body and mind. Growing bodies in the age gap of 12-18 years need proper sleep as their brain and other organs get time to recharge. It is essential that students who have to appear for exams the next day, sleep well,” Gyanendra Agarwal, pulmonologist, Jaypee Hospital, Noida, said. Doctors claim that when a person sleeps, his/her mind is still active or in a semi-conscious state . “It...

A Sleep Position Primer For What Ails You : Tummy, side or back? How you lie down at night can make a big difference in how you feel in the morning.