Sunday, November 6, 2011

the 25th hour: what did you do, i walked for 1hour, stay healthy my friends.......

Hi guys,
What would you do if you have one extra hour in a day.
I would exercise.
We started at 01:30hours and when we returned it was still 01:38hrs.
We walked for 1 hour at dead of night with a temperature of -7C it was wonderful.
It was actually Swaroop's idea, he had not done any exercise and not gone out of the house today.
so that was good message,
we have to do some exercise every day,
no matter whats the time.
The guideline says that each week you have to exercise for atleast for 150minutes thats 30minutes a day for five days of week.
now there was recent study, that says not enough if you are doing daily exercise
if you are sitting or not active that nullify's the effect of your exercise
more bad if don't exercise and sit for prolonged hours than it increases your risk of stroke, heart disease, diabetes more than normal people
now i don't want to scare but i have no option
today's is you day
start you exercise today.......

Saturday, November 5, 2011

smokers to reduce and stop and SELF THERAPY novel concept in treatment of many diseases

Hi this post comes after long time. I will not give any reasons....
as the title suggest this was very goods instance I would like to share with you guys.
It is about quitting smoking......
when any patient visits stroke prevention clinic,
we advise them to stop smoking and there is stepwise guidance
to change to medication like nicotine patches, and others....
but usually the most important factors turns out to be motivation.
If person is very motivated he has walked in the clinic with prior thought that he has to quit.
These kind of men and women are few.
Most are hesitant.
We had tried a different option for young lady who was smoker for many years and had tried three times to stop smoking with drugs/medication and was unsuccessful.
We (our team of Pharmicist, Clinic Nurse) advised her not to start any medication, that proposition was not acceptable to her, but to reduce her frequency of smoking.
This was quite agreeable to her.
This information may not be new.
but it helped us gain the patient confidence.
Quitting may not be a option for many, as they fear the side-effects like headache, hypertension etc due to withdrawal.
But reducing the number or spacing them such to not cause side effects empowers the patient.
this takes to totally new concept
SELF THERAPY
that is giving the patient his rightful power to treat himself or herself.
this way they can control themselves.
The role of the clinician and team is more as as facilitator, which changed from dictatorial approach which has been prevalent for more than 4 centuries.
This form of therapy particularly works for life style modification, weight loss, epilepsy, diabetes, hypertension, headache, back pain, depression, addictions, like wise smoking cessation.
Which brings us back to our initial topic of smoking cessation.
The term should be changed to smoking reduction and cessation.
In next few posts we would talk more about self therapy and its implementation