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...

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 ·      ...