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

§   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 dementias that progress

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 drugs.SAANS diet fibre f

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 was diagnosed as a c