From the monthly archives:

January 2009

Question:   I lift weights a lot. Lately my friends have been telling me my shoulders seem to be hunching forward. I find that worrisome. Is there something wrong with my lifting technique? Or are there some exercises that I should be doing for squarer shoulders?

Answer:  It seems to me that if you have suddenly developed rounded shoulders or are hunching forward, then you are focusing a lot more on your chest muscles than your back. Muscular imbalance is a common problem observed in  a lot of body builders. It can be easily addressed by targeting the opposing muscle group, in this case back muscles. Doing so will not only improve your shape easthetically, but will  also restore the integrity of the joint, and prevent back problems (caused by poor posture) and other injuries in the long run. Exercises that specifically target your Latissimus Doris (widest part of you back) and Posterior Deltoids include Lat Pull Down, Bent Over Row, Seated Row and Lat Pull Over. Maintain your current chest strength with your usual workouts without increasing weights. Once the back muscles have “caught up” with the pecs, increase weights if need be. In future, work all muscle groups equally to prevent imbalanced growth.

{ 0 comments }

What Is Good Dieting?

January 26, 2009

in Beauty Tips

Counseling Helps Dieters

Researchers funded by the National Institutes of Health assigned a group of people who had each lost at a least 9 pounds over the previous six months to one of three weight loss maintenance programs. The volunteers in one group received monthly phone calls from a counselor to discuss diet and exercise issues. Those in another group got  similar advice from a web based tool, and those in the third group  were more or less left to their own devices. After 30 months all three groups regained some weight but those who reveived the personal counseling regained the least.

{ 0 comments }

How To Gain Weight Evenly And Healtfylly…er Healthfully?

January 26, 2009 General Health

QUESTION: 

I am 24 years old man working in the Defence Service (Navy). I weigh only 53 kg, when I should be around 60. I am into the Martial Arts and want to gain weight. I also want to have a V shaped torso. Please advise. We have a very well equipped gymnasium which I want to make use of.

Answer:   As an exponent of martial arts you should be happy with a low body weight. A combination of strong, flexible muscles with a light body works well for martial artists. If  you are still desirous of gaining muscle weight, you should concentrate on working the large bulky muscles like quadriceps, glutes and back muscles. This would mean doing squats, leg presses and weighted back extensions. Bench presses and push ups will give you the defined chest you crave. Do ensure that you stretch your muscles before and after weight training lest you lose you flexibilty and speed, which are essential for martial arts.

Read More...

Involuntary And Bowel Movement And Old

January 26, 2009 General Health

Question: I am 82 years old and suffering from an irritable bladder that has me running to the john every hour, especially at night. Please a suggestion ?

Answer:  You need to  do an ultrasound K.U.B. with post the report , will probably prescribe medications such as Tamsulosin. (0.4 mg) and Detrusitol (2 mg) usually taken in the night.

Read More...

Wetting The Bed Woman?

January 26, 2009 General Health

Question:  My daughter has been bed wetting since childhood. She’s an adult now and due to be married. A Bio Resonance Therapy (Bi- Com) test done abroad gave us to understand that  this may be due to an allergic reaction to certain foods which  she should avoid. The big question before me as an anxious parent, is how to secure a complete cure. Physically she is OK. Her abdominal ultrasonography test of abdomen including pelvis, urinary bladder, etc, are normal.

Answer:  You are indeed facing a perplexing problem. Normally primary enuresis (bedwetting) settles by the age of 12 to 15 years, of age. If it is continuing beyond this then she needs to be re evaluated, with Sonography to rule out any structural abnormalities. Neurological testing to check  for an spinal cord abnormalities like spina bifida occulta. Urological testing to check for  function and stability of the detrusor muscle (that is the muscle of the bladder which prompts bladder emptying). Psychological assessment to check for any underlying anxiety or attention seeking problems. Mainstream medicine has never associated bedwetting with food allergies. Among the more effective ways of preventing bed wetting, is to wake up the child to use the toilet, or install an alarm system designed to condition him or her to wake up before wetting such as a bell triggered by a wet mattress.

Read More...

How Often Can I Use Henna On My Hair?

January 25, 2009 Beauty Tips

QUESTION:  Between henna and hair color, which is the better option? Do either of these affect hair health or promote graying ? Answer  Hair coloring agents are of various  types. Depending on how long they can keep the hair colored, there are temporary. Semi permanent and permanent colors. The temporary hair colors or rises color of the and get washed off on the next shampoo. Semi permanents remain for as long as 8 washes, they can cause contact eczema in those sensitive to them. And may minimally damage the hair. Henna belongs to this group, but because it is a vegetable dye, rarely causes a skin  reaction  Permanent hair dyes penetrate deep into the hair shaft and are not removed, by shampooing the hair. They contain chemicals like Para Phynelene Diamine hydrochloride (PPD), which in some people can cause a contact eczema. To avoid this complication it is necessary to do a patch test (behind your ear or on the forearm) on each application. Dyes do not affect hair health or cause graying. Choosing a dye is a matter of personal preference however henna is a safer option. Henna ands even hair colors don’t cause graying or hair fall, but overuse of permanent dyes may weaken the hair shaft.

Read More...

How To Reduce The Size Of Breast?

January 25, 2009 General Health

Question:    I want to know what is the most effective way of reducing breast size. Answer    Weight of the breasts can be reduced either by massive weight loss or surgery, called reduction mammaplasty, which is performed under general anaesthesia. The desired final size of the breast is first marked out. Relocation of the nipple areola complex  correctly is critical. It will require a number of stitches, and you may be left with a few scars which will fade away eventually. However the operation is tricky and delicate, and should only be performed by an experienced plastic surgeon. In some cases, milk secretion is preserved while in others, it may have to be sacrificed. The choice depends on the age of the patient and the size of the breasts.

Read More...

What To Do For Osteoarthritis?

January 25, 2009 General Health

Question:   I am a 65 year old male of average height (167 cms) and weight (70kg) and go for a daily morning walk of 8 10 kms. I have mild hypertension for which I take Amlodac 5 mg daily. My queries: I have osteoarthritis of the big toes for the last two years which had now been diagnosed as Bilateral Hallux Rigidus (right greater than left.) The doctor has advised me to treat the feet with warm water and to use Metararsal base insoles inside the shoes fore support. Other than these he has prescribed no medicines and has even asked me to discontinue Cartigyl  capsules as, according to him, the problem, appears to be genetic. Please advice. In addition I shall be highly obliged if you can recommend a podiatrist. I have been diagnosed with mild Benign Prostatic Hyperplasia for which I have been prescribed Urimax -0.4 mg daily for two to three weeks. The symptoms have already been alleviated. However I would like to  know if there is any surgical procedure like TURP or something better, which does not have  the drawback of causing retrograde ejaculation, as a suitable long term option. Is there such a surgical procedure available?

Answer  Osteoarthritis is a common outcome of ageing and ther is no cure for the condition.  At best you can relieve the symptoms and what you area doing is good enough. A podiatrist will be of little help. If it really worries, you can have a small surgery done to remove part of the degenerated bone and loosen the joint. If you have good relief with Urimax you can safely continue this on a long term basis. If you wish a permanent surgical cure, then TURP is the best procedure but will cause retrograde ejaculation. A new technique that can relieve symptoms without causing retrograde ejaculation is TUNA. This uses microwaves to shrink the prostate. It is not as effective as TURP but may prove adequate in your case. You can speak to your urologist about this procedure.

Read More...

What Is The Best Thyroid Medication?

January 24, 2009 General Health

THE THYROID FACTOR

Question:   I am 30 years old, married and my wife is 28 years old. We have two children. After the birth of my eldest in April  2002, my wife experienced a swelling in the throat. A test for T 3, T4 TSH was done which clearly showed a case of “hypothyrodism’. She was prescribed Thyroxim. My wife kept taking the pill during her second pregnancy despite a normal reading of TSH . She delivered a baby boy in October 2005. The child’s cry was weak  and he had mild Jaundice. He was tested for T3, T4, TSH which showed up abnormal, He is also being given Thyroxin. I want to know, is there no cure for this condition? What is the proper care and precautions to be taken? Please give me proper advice

Answer Your wife’s hypothyroidism  emerged soon after delivery. This type of hypothyroidism is often reversible. You should have a thyroid antibodies test done on your wife’s blood sample. This will throw more light on the possibility of  reversion. Regarding your second child who was diagnosed as having hypothyroidism, his also can be reversible, if it appeared at birth. At times, such a transient phenomenon occurs because of transfer of antibodies from the mother ot the child through the placenta. On the other hand, it could also turn out to be an irreversible phenomenon. As such issues are rather  intricate, it would be advisable for both your wife and the affected child to see a competent endocrinologist. In the meanwhile Thyroxin should be continued. Hypothyroidism is curable in those where it is transient and reversible. If not, one should continue taking thyroid replacement therapy in the from of thyroxin pills, Be sure to give it in the night doses. It is a harmless drug when taken in correct dosage for those who need it.

Read More...

How To Talk To My Doctor After An Auto Accident?

January 24, 2009 General Health

TAKING THE HIT

“I was told that a taxi sped towards me, snagged my lemon yellow dupatta on its meter box, and dragged me along a  few meters. I was knocked out cold, while the vehicle made a speedy getaway” To complain about the traffic in Mumbai has become a matter of course for those of us who live in this vast teeming metropolis. We quake in terror at the sight of speed junkies zooming about in shiny, fluorescent hued Pulsars and Avengers. We gawp with a mixture irritation and awe, as brand after exotic brand of spanking new automobiles descend on the city’s traffic clogged roads daily, making the Premier Padminis look like prehisotic dinosaurs. We fulminate over the persistent tardiness of BEST  buses that lumber majestically amidst these colourful  breeds, condfident in their rightful place on Mumbai’s roads. And we deplore the rising numbers of black and yellow taxis and rickshaws, zipping in and out of the flow of traffic, like drones that are tolerated rather than appreciated. Many are barely roadworthy, held together by little more than rusty nuts and bolts and beast up engines, but what these tin boxes lack in speed, they seem to make up in rash driving. These were the idle thoughts running through my mind on August 19, 2003, as I stood at the Poonam Chambers bus stop in Worli , waiting for the 83 Lid that would take me to Kirti College in Dader. Frustration warred with anxiety at the prospect of missing a class (I was in my FY B. Com) as I craned my neck to spot the Red Top. My shoulders drooped with the burden of my tote that was chockfull of Commerce texts and notes. It was only 7 a. m., and the vehicles were taking advantage of the slack hour by picking up their pace. What happened next can only be recounted from the point of view of eyewitnesses nearby, because as far as I am concerned, life came to a halt for the next 5 weeks. I was told that a taxi sped towards me, snagged my lemon yellow dupatta on its meter box, and dragged me a few meters. Before anyone could register that fact, I was lying flat on the road, knocked out could, while the vehicle made a speedy getaway. Not a spot of blood marred my salwar kameez, and yet it was as if all the life fluids in my body had been drained by some Alchemy. I lay on m back with my right knee bent at an awkward figure of 4. I was foutunate, Dad told me late, that one of his coleafues happened to be near the bus stop at the time, who immediately informed him about the incident. Yes, despite everything I was to endure afterwards, I was lucky I didn’t suffer the kind of misfortune that befalls countless other accident victims viz. an anonymous body lying on the road, while  frantic relatives searched high and low. Over the next 3 years, I was to cling to this thought every time I found my patience being tested, my willpower running threadbare.

IN ON MAN’S LAND I was taken to the nearest hospital, Poddar, for First Aid , before being transferred to the KEM in  Parel, where I lay in coma while doctors, friends and family debated my fate. A CT Scan revealed bleeding within the brain and an X ray uncoverd multiple fractures in the lower and upper limbs. But the first priority was to stabilize my condition, control the fallout of my head injuries. The silver lining was that the internal bleeding wasn’t major. Medications were administered to reduce swelling in the brain, and then I was put on life support. So man tubes went down my throat, said Dad, that doctors had to remove 4 of my front teeth (replaced later) to facilitate their insertion. And then al they could do was sit and wait, and keep a vigil for any signs of recovery. Mum confided that the doctors had warned them there was simply no way of telling when I’d gain consciousness if at all, that is. There have been instances where coma victims have surfaced after a month,  a year and sometimes never. My people had a lot of time to brood over the injustice of my situation. In most countries, perpetrators of hit and run cases, such as the one that knocked me down, would have been tracked down and punished with a jail sentence, and the victim compensated for whatever injuries he or she suffered. So even if you never came out whole after an accident, at least you had the consolation  of receiving some form of redressal. Over here, not only does a victim have to bear the physical debilities and the financial costs of the mishap but also the indignities of a lopsided justice system The taxi driver did report the incident to the Worli police, and admitted that he didn’t stop immediately because he feared bystanders would have ganged together and beaten him up before he go his version across. What happened afterwards? Nothing much. A statement was recorded, a measly bail amount of Rs. 950 slapped, which was imnmediately paid up, and he was let off scout free. Three years down the line, we’re still waiting for a court hearing to come up. In any case, after so much time has elapsed, who can give an accurate account of the event? Meanwhile the man’s still plying his vehicle (he has a license), perhaps even now endangering other lives on the road. There’s not a hope in hell that he will get his due, or settle the Rs. 11 akh compensation Court (MATC) has ordered him to pay me. Is it any wonder that my people (and I) feel so bitter? “not only does a victim have to bear the physical debilities and the financial costs of the mishap but also the indignities of a lopsided justice system”

MIRACULOUS RECOVERY Dr. J. V. Hardikar (KEM Head of Department, Surgery) and Dr. Jignesh Gandhi (Consultant Surgeon), who were supervising my treatment advised my parents to keep communicating with me even if I remain unresponsive:  “It’s wrong to assume that the patient cannot understand just because she’s not responding. Sometimes a familiar sound, voice or word may be all that is needed to jog the victim out of her stupor.” Their words proved prophetic. Mum told me friends and relatives took turns to sit at my bedside and  talk about all the memorable times they shared with me. And so it was that on the evening of September 26, five weeks after the accident, I surfaced to fin Mum by my side, and my best friend Tejal Sansare ad Dad hovering outside the ward waiting for their turn. I faced a barrage of questions the minute the tubes were taken out of my mouth: is your name? Where do you stay? Which college do you go to? What is your mobile number? My  brain was being rested for the injury’s impact. As it turned out, there was little damage. My recall was perfect. I answered all the queries, patiently at first, and then irritably. I wasn’t used to being immobilised and was just beginning to get a sense that life would never be the way it was again. How entertaining it is to see a come victim come to life in a movie, and how difficult it is to live it out in actuality! But if it is bewildering to  learn that 5 weeks had been erased from your like life like  it happens in Sci Fi, it’s even more difficult to come to terms with the fact that your body isn’t any more like you remember it to be. The brain injury had been give top priority all along at the cost of the rest of my injuries. Now that the doctors  were assured everything was working fine in m upper storey, they set to work on the fractures that threatened to disable me for life. While I’d been lying inert, abnormal spurs were growing in my right hip where the bone abutted the blood vessel that provides nourishment to the leg. Under normal conditions my brain would have sent an instant message to the errant limb to STOP THAT, RIGHT NOW! Unfortunately with that organ having gone AWOL, my body’s workings were up for the toss. The overlapping bone growth had shortened my right leg by 4 inches . Meanwhile the leg was still in the awkward figure 4 pose it had taken up when I’d fallen. So the tasks before the doctors were multiple: The leg had to be straightened, the bone spur’s growth had to be halted, and sensation had to be  brought back to the brain was severely damaged. I was sent back home on a stretcher to recoup before any of the surgeries could be taken up.

COMING TO TERMS If you ever want to know how to make your  life thoroughly miserable, try tying up your kind to the bed for just half an hour. It’s amazing how quickly one can tire of unlimited TV (Dad had shifted the thing into my room to keep me entertained); how difficult it is to focus on  music, books or sketching, when each pastime only serves to remind one of all the things one can’t do any more, like Kathak dancing (I’d just given a recital), beach walks with pals. I drove poor Mum, who shouldered much of the burden of caring for me, crazy with my wildly swinging moods. On the one hand I was berating her for “keeping me alive when I can’t even make it to the loo on my own,” and on the other, gazing vacantly into the distance as I contemplated a bleak future of life within the  4 walls for the next 4 score years. Wisely Mum ignored my ravings as well as my sulks, and hired a nurse to help with the day care. As much as she loved me, she needed a respite, too. The next 6 months proved to be the longest in my life as I awaited the green signal from doctors for the removal of the bone spurs that were paralyzing my lower limbs. On March 24, 2004, under partial anesthesia (to numb me belly down), a surgery was performed to  get rid of the “heterotrophic ossification”. A physiotherapist was called in thrice a week to put me through 2 hours grueling “limb retraining” sessions  to strengthen the right leg muscles and joints, and encourage it free movement. There months later, a second operation was done to correct the foot drop with the insertion of rods and rings, a procedure called the llizarao  method, after the Russsian inventor. But my leg remained 4 inches shorter. I started moving around with the help of a walker which  I soon got rid off in favour of specially designed sandals. Learning  to walk in these unwieldy contraptions is an art in itself. It’s not like you’re on 4 inches clogs. My right foot has no idea of where the floor begins or ends, what terrain it is on, how to maneuver the corners, because my brain’s messages aren’t reaching it. But frustrating as these matters are, it’s the occasional lapses of memory that madden me. We human beings are creatures of habit. There I’d be, stretched out on the sofa watching TV. I get up for a glass of water, and collapse on the floor in a heap, because I’d have forgotten my shorter tight leg needs to be propped up on the sandal before I take a single step. And when I do need to forget the damn thing like when I’m swotting hard for my finals all my attention would be trained on it. I had to cover the leg under a blanket to put it out of mind. Dr. Pradeep B Bhosale (Orthopaedic Surgeon) says my sciatic nerve needs to heal completely before I can undergo the third procedure that will correct the 4 inches lack and allow me to get around on my own without help. I can’t wait for the day when the leg will be released from its bondage. I’ll have to learn mot cope with the world outside all over again. One thing I’m certain I’ll be watching the traffic warily whilst crossing the road, hugging the pavement when I walk on the streets. It takes just own life altering moment to rewire the brain permanently. Which is why even when things get back to normal, I know, “normal” will never be same as what a typical twenty years old would envisage. Because beneath these pretty clothes that I wear, I have constant reminders of what’s more important in life. “It’s amazing how quickly one can tire of unlimited TV; how difficult it is to focus when each pastime only serves to remind one of all the things one can’t do any more”

Read More...