Inamdar Hospital

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WORLD NO TOBACCO DAY-31ST MAY 2021

THE WORLD NO TOBACCO DAY WAS CREATED BY WORLD HEALTH ORGANIZATION IN 1987 TO BRING TO ATTENTION THE DEATH AND DISEASE CAUSED BY THE TOBACCO EPIDEMIC. TOBACCO CAN COME IN THE SMOKELESS (E.G SNUFF, CHEWING TOBACCO) AND SMOKE (E.G. CIGARETTES) VARIETIES. USERS OF SMOKING VARIETY OF TOBACCO CAUSE HEALTH RISKS NOT JUST TO THEMSELVES, BUT ALSO TO PEOPLE AROUND THEM WHO INHALE SECONDHAND SMOKE. THOSE USING TOBACCO IN CHEWING FORM ARE AT A GREATER RISK OF SPECIALLY ORAL CANCERS THAT CAN AFFECT THE TONGUE, CHEEK, LIPS, HARD PALATE, FLOOR OF MOUTH, AND GUMS. CANCERS OF OESOPHAGUS, STOMACH, AND PANCREAS ARE ALSO LINKED WITH TOBACCO USE. THE OTHER ORAL DISEASES LINKED WITH TOBACCO USE THAT ARE MORE COMMON ARE STAINING OF TEETH, WEAR OF TEETH ENAMEL, GUM LOSS AND EVENTUAL TOOTH LOSS, GUM DISEASES,  INCREASED TOOTH DECAY DUE TO DRYING OF MOUTH, HALOTOSIS, AND WHITE PRECANCEROUS PATCHES IN THE MUCOSAL LINING OF MOUTH. TOBACCO USERS ARE ALSO AT AN INCREASED RISK OF HEART DISEASES LIKE HEART ATTACKS AND STROKE. QUITTING TOBACCO USE WHICH IS AN ADDICTION BY ITSELF, CAN BE DONE WITH REPLACING TOBACCO WITH NICOTINE PATCHES/GUMS AND PSYCHOLOGICAL COUNSELING TO PREVENT THIS ADDICTION THOUGH, EDUCATION AND AWARENESS  ABOUT THE SIDE EFFECTS IS IMPORTANT IN SCHOOLS/ COLLEGES AND OTHER EDUCATIONAL FORUMS. IN TIMES OF COVID 19 PANDEMIC, IT WAS OBSERVED THAT TOBACCO USERS ESPECIALLY SMOKERS ARE MORE SUSCEPTIBLE TO THE CORONA VIRUS INFECTIONS AS SMOKING IMPAIRS LUNG FUNCTION AND THE PRIMARY SITE OF ATTACK OF THE VIRUS ARE THE LUNGS, THUS MAKING IT HARDER FOR THE BODY TO FIGHT THE VIRUS. REGULAR DENTAL VISITS ARE IMPORTANT FOR TOBACCO USERS IN ORDER TO SCREEN FOR ORAL PRE CANCEROUS AND CANCEROUS LESIONS. ALSO, REGULAR DENTAL TREATMENT OF DENTAL COMPLAINTS IS BEST TO AVOID CHRONIC PROBLEMS.

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GLOWING SKIN IN THIS WINTER

[vc_row][vc_column][vc_custom_heading text=”FIVE FRUITS FOR GLOWING SKIN IN THIS WINTER ” font_container=”tag:h2|text_align:center|color:%238224e3″ use_theme_fonts=”yes”][vc_column_text] 1) Oranges Rich in vitamin C, calcium, fiber. Helps to give glow to your skin. Take whole fruit or glass of orange juice without sugar.   2) Pomegranate Acts as a skin tightening agent. Decrease fine lines & wrinkles. Slows down aging.   3) Guava A load of lycopene, carotene an antioxidant that protects the skin from free radical damage during winter.   4) Papaya Fruit having skin repairing & tightening agent. Papaya is rich in papaine, vitamin C & vitamin A. Feed your stomach with goodness of papaya for getting glowing & healthy skin.   5) Apple An apple a day to boost your immunity, to avoid skin infections & get supple, shiny skin. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_empty_space][vc_column_text] Dt. Shahenaz Shaikh Clinical Nutritionist & Reg. Dietician Inamdar Multi specialty Hospital [/vc_column_text][/vc_column][/vc_row]

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[vc_row][vc_column][vc_custom_heading text=”Five Healthy Tips For Diwali” font_container=”tag:h1|text_align:center|color:%231e73be” use_theme_fonts=”yes”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text] 1) Control on your S-O-S (Salt-Oil- Suagr )- In festival season your meal like faral or sweets should be home made & maximum 20-25 % of your daily routine meal for a day. 2) Increase the intake of citrus fruits Citrus fruits act as antidote for bad cholesterol, excess saturated fats, sugar & salt which come by sweets & namkeen. 3) Favorite food/sweets First take your daily healthy meal then consume your favorite food in a set portion. Do not overeat it, because your digestive system need to work hard to get it out of the body. 4) Stay hydrated Don’t forget to keep yourself well hydrated, water helps in flush out toxins from your body & prevent overeating. 5) Do some exercise / Burn some extra calories Keep yourself fit & energetic to enjoy the festival. Dt. Shahenaz Shaikh Clinical Nutritionist & Registered Dietician Inamdar Multispeciality Hospital[/vc_column_text][/vc_column][/vc_row]

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Effects of Percussive Therapy

[vc_row][vc_column][vc_column_text]Clinical evidence shows that The Massage Gun is a professional grade percussive therapy device ideal to aid in the recovery of athletes, and anyone else who suffer from injuries or muscle aches. the benefits of massage guns and percussive therapy: speedier recovery, reduced muscle soreness and lactic acid build-up which could mean less pain, improved range of motion, better blood circulation and more. Massage guns are primarily thought of as “recovery” tools in today’s fitness culture, but you can use them for either situation. In fact, using them as a warm up tool helps get you off the hook of that dreaded foam rolling ordeal. In theory, the percussive therapy is doing several things you want in a warm up. First off, it’s heightening blood flow in your targeted muscles. Secondly, the pulsating is turning on your sympathetic nervous system, the fight-or-flight system that preps your body for activity and sport. It looks like a power tool, and can sound like one, too. But it just may be your best method of recovering from a tough workout — and warming up, too. We’ve been using massage guns on our patient and the results have been strong. If you train hard and are looking for an edge, a way to recover more quickly and get into your workouts more aggressively, this is a therapy you should consider.[/vc_column_text][/vc_column][/vc_row]

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Make Your Office Back Friendly

Make Your Office Back Friendly    If you’re like many people, you probably spend much of your day sitting at a desk. This sedentary behaviour puts you at increased risk for spending prolonged time in poor posture, potentially causing pain and discomfort. Few easy tips that will go a long way in helping your back feel better at work. Desk  Make sure your workspace has: Stable desk (not wobbly). At a good height (28″-30″ above the floor is suitable for most adults). Large enough for your computer and has surface space for writing and other tasks. Not so large that you have to over-reach to do your work. This can cause excessive strain on the spine.   Chair Use a well-constructed ergonomic chair to help reduce fatigue and discomfort, increase your blood flow, and reduce the risk of injury to your neck and spine. Make sure your office chair: Has a good backrest that provides lumbar support. Can recline (sitting upright at a 90º angle is actually not good for your spine, 100º-110º is better). Is not too high (your feet should be flat on the floor). Can rotate or swivel so that you can easily switch from task to task.   Extra Set-Up Tip!  All other pieces of furniture and equipment must be positioned to accommodate that perfect position. It might require stacking several books under the computer screen to bring it even to head level. The screen must be at eye level and the user should sit directly in front of the screen. A sliding keyboard attachment under the desk might be beneficial. Computer Since most office work is done on computers, where your equipment is placed can make a difference in how your back feels when you are at work. Try the following: Tilt the keyboard down and slightly away from you for better wrist posture. Make sure your mouse is close enough so that you can use it with your arms relaxed and as close to your body as possible. Place the monitor directly in front of you at eye level, not off to one side, to avoid neck and eye strain. If using a laptop, consider getting an external monitor or keyboard (or both). This will allow you to move each of these components separately to create a comfortable arrangement.   Practice Safe Sitting Even with the “best” equipment, if you are not sitting correctly, your spine will suffer. When sitting, note where your head, hands, and legs are. To avoid back pain, make sure to: Sit upright with your back and shoulders against the back of the chair. Avoid holding your phone between your head and shoulder. Don’t slouch. Arms should rest lightly on the armrests to avoid circulatory problems or nerve pressure. Keep your feet flat on the floor (don’t cross your legs!). Relax your shoulders while keyboarding.   Take a break Not just a coffee or tea break, but a spine breaks. Stretch, take a short walk, get the blood flowing. When you are at your desk, avoid staying in one position for a long time. Try switching between sitting and standing. Wouldn’t it be great to be able to leave your office feeling as refreshed as when you came in? Avoiding excessive strain on your spine can help you do just that.  

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HEALTHY DIET FOR BREAST FEEDING MOM  

[vc_row][vc_column][vc_column_text]                         August 1st week is celebrated as world breast feeding week .We can promote & support breast feeding through healthy diet for lactating mothers. Feeding mother’s requirement of nutrient increases for maintenance of her own health & feed to the baby with quality of milk. Milk production burn extra 500kcal while fulfilling your baby’s nutritional needs. Requirement of calories as well as protein is increases. Calorie counting is not necessary when you are breast feeding but diet should be based on sufficient amount of calories, protein, iron, calcium & galactogauge (food which help in breast milk production). [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]             Food                         Requirement  Cereals Barley quinoa, oats , jowar  5-6 portions  Legumes Black beans, chick peas, lentils 2-3 portions  Milk Milk & milk products  500 – 700ml/day  Fruits Apple, banana, dates , figs  2-3 servings /day etc  Green veggies Spinach , methi, green math , shepu 1-2 portion  Dry nuts Almonds (6-8no) , coconut, sesame seed [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Galactogauge in your daily diet Methi seeds- 1-2 tsp/day Fennel seeds- 2 -3 tsp /day Garlic+ flax seed+ sunflower seed chutney- 2 tsp/day Coconut+ jaggary+ edible gum+dry nuts mixture – 30 to 40gm/day Sufficient intake of water is necessary. Adequate & healthy eating is the key to nourish well to your baby. Personalized plan with qualified dietician works better to fulfil the need.   Dt. Shahenaz Shaikh Clinical Nutritionist & Regd. Dietician[/vc_column_text][/vc_column][/vc_row]

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What are the benefits of breastfeeding for your baby?

  August 1 week is Breast feeding week. Awareness & promotion for lactation is important for both baby & mother health. Colostrums (thick yellow milk) first immunisation to the infant. Loaded with lots of disease fighting immunonutrients & health beneficial nutritional compounds.Colostrum is the ideal first milk and helps the newborn’s immature digestive tract to develop. After the first few days, the breasts start producing larger amounts of milk as the baby’s stomach grows. Breast milk contain correct amount of protein which is easy to digestion, contain essential fatty acids with digestive enzymes & enough amount of water so everything the baby needs for the first six months of life is present in it. It provides nutrients which is easily digested & readily available for growth & development of baby. Its composition even changes according to the baby’s changing needs. Breast milk is loaded with antibodies that help your baby fight off viral & bacterial infections. Formula food doesn’t provide antibodies protection to your baby. Mother’s milk protect baby from upper respiratory tract infections, lower respiratory tract infections, stomach related infection & getting allergic reactions. Your baby’s first six months are very crucial for brain growth. Brain mass almost doubles in this period. Babies who have fed breast milk are higher IQ then formula fed infants. Breast milk promotes healthy weight gain & prevents childhood obesity due to presence of appetite regulating & energy balancing hormone in it. Breast feeding helps in development of healthy eating habit due to baby’s self regulating pattern & satisfying the hunger. Breastfed babies have higher intelligence scores and are less likely to develop problems with behaviour and learning as they grow older. This difference may be due to the physical intimacy, touch and eye contact associated with breastfeeding. Breast milk is always at the right temperature & ready to drink. Saves time of cleaning & maintain the hygiene of bottles. It saves money expenditure on formula food.  Dt. Shahenaz Shaikh

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WEIGHT MANAGEMENT IN RAMDAN

Ramadan is a special time of worship for Muslims. The thirty day period of fasting can be challenging with weight loss & fat loss goals. But it is very possible to complete the holy month fasting with progressive results towards fat loss & weight loss goals. Key for achievement in goals is proper planning & right guidance on diet & exercise. Calories-After a full day of fast your hunger hormones (ghrelin) will be very high there will be more chances of intake of foods which is having great taste but loaded with lots of calories & carbohydrates & this one is more harmful to your weight loss & fat loss goals. To achieve weight loss goal we need to take calorie deficit diet on weekly basis with cheat meal at weekends. But during Ramadan fasting, the whole schedule is changed need a proper distribution of calories into your eating window between Iftar & Suhur. Control on portion size & quality of food also matters. Eating out is very common in Ramadan as Iftar party, social occasion at restaurant or eating outside food. But, who knows how many hidden calories are in the so-called “healthy foods” you will get at your favourite restaurant or outside food? So it is advisable to see the menu & decide which one is best fit to your weight loss & fat loss diet plan. Protein-Always consider protein as a base to your meal. Include quality protein in each & every meal. Protein play vital role in satiety, it will keep you feeling fuller for longer period in fasting.  During Ramadan fasting sufficient amount of protein is require to maintain muscle mass & healthy body composition. If you are training heard, protein requirement will be high Include egg white, chicken, fish, whole pulses, paneer, tofu & yogurt. Carbohydrates– Good quality of CHO like quinoa, brown rice, whole wheat & oats give satiety & support the weight loss goals. After workout (in last meal) inclusion of quality of carbohydrates helps to production of serotonin in brain which require for better sleep & reduce the stress, can occur on body due to hours of fasting. Fats– Fats have a bad reputation with obesity but it plays vital role in healthy diet & weight loss goal. Use monounsaturated & polyunsaturated fats in the form of peanut butter, avocado, walnuts, oily & fatty fish & flaxseed. Avoid saturated & trans- fat as they are pro inflammatory. Keep yourself well hydrated in between iftar & suhur, water helps to get rid of toxins. Not getting adequate water also affect your muscle protein synthesis. Vegetables having high fibre content give satiety & fullness you can stay off craving & hunger for longer periods it reduces extra calories intake. Veggies are also loaded with vitamins, phytonutrients & antioxidants. So include high volume, low calorie, nutrient dense veggies in weight loss & fat loss goals. Avoid excess intake of salt in suhur, excess intake will feel you more thirsty in whole day. Have a light & balanced iftar. Avoid sugary drinks, deep fried fatty food, replace it with 2-3 dates & protein rich soups & salads. Modify your cooking habits with baking, roasting, steaming, using herbs, spices & veggies to give taste to your food without adding calories. Fasting is not excused for us to doing nothing & sleeping the whole day. Stay active in a day & do some vigorous activity after iftar such as lunges, sit-ups, and squats. Sleep is also essential part of weight loss & fat loss goals. It is more important in Ranmdan fasting to relieve the body stress. Try to take 6-7 hours of good quality sleep. Dt.Shahenaz Shaikh MSc(Dietetics) RD

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Complex Hip Replacement Revision Surgery by Dr.Murtaza Adeeb

Dr. Murtaza Adeeb – Complex Hip Replacement Revision Surgery Brings Back Mobility to 46-year-old Doctor Pune 5 February 2019: A complex hip replacement revision surgery at Inamdar Hospital gave much-needed respite to a 46-year-old doctor from Osmanabad. Dr. Dayanand Baburao Kawade who had undergone total hip replacement four years back elsewhere started to experience pain while walking and was unable to put full weight on the right leg. He was also suffering from a fever due to an infection. A team of doctors under the leadership of Dr. Murtaza Adeeb Senior Joint Replacement Surgeon at Inamdar Hospital performed complex and high-risk two-stage revision total hip replacement. Dr. Murtaza Adeeb Senior Joint Replacement Surgeon at Inamdar Hospital said that when Dr. Dayanand Kawade came to us he was unable to walk due to pain in the right hip. He had already undergone total hip replacement four years ago on his right hip back elsewhere and had developed an infection. Infection after hip replacement is a serious medical complication. Joint replacement infections may occur in the wound or deep around the artificial implants. This case required two two-stage revision procedures. The first stage involved cleaning up the hip and removing the previous implants. Samples were taken from the hip and according to the reports appropriate antibiotics were started. 8 weeks after the first stage second stage surgery was performed. This involved re-implantation with revision total hip prostheses. Complications were minimized in this by good pre-operative work up by the physician Dr. Chopdawala and the anesthetist headed by Dr. Nikhil Hiremath. Coordination with other departments is crucial as we need to ensure whether the infection has gone before proceeding to the next stage. The patient recovered very well and is expected to walk normally in a couple of weeks. The post operative care involves physiotherapy which is helping him to get back on track. Dr. Dayanand Kawade said that three years after I had hip replacement, I started to feel pain in my right hip and was unable to walk. But now I am extremely happy and grateful to the entire team of Inamdar Hospital who helped me bring my mobility back. After all, life is mobility and mobility is life.

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Multiple Finger Re-Implants | Dr.Sumit Saxena

Dr. Sumit Saxena, Plastic and Cosmetic Surgeon from Inamdar Hospital re-implants Multiple fingers. Multiple fingers re-implants that too at a distal level (in this case middle of proximal phalanx) is a tricky and a difficult operation. With the advancement of micro-surgery, it is now possible to replant a totally amputated finger by restoring blood supply and repairing tendons, nerves, bones etc. Dr. Sumit Saxena at Inamdar Hospital has successfully replanted amputated fingers. The fortunate person was Gopal Pansare(70yrs, male) from Baramati. He was injured while working in farm with his machine on Sunday26thJan2019.Accidentally all his fingers got injured and amputed that at the level of middle of the proximal phalanx. Only little finger remained hanging by thin skin. After getting first aid from a private hospital, he was brought to Inamdar Hospital, Fatima Nagar at 5 pm on the same day under Dr. Sumit Saxena. Her amputated parts were immediately preserved in the cold storage. Their plant procedure was started immediately. While the necessary investigations and later an esthesiatothe patient was being given Dr.Saxena started with the operation of amputed parts without wasting time. The procedure took 11 hours and finished on Monday at 4.30am.Along with Dr.Saxena, the team of Dr.Jyoti Sawant anesthetist, Brother Sreerag and Sister Archana were there throughout the surgery. The patient was discharged after a week. At the time of discharge, there were already movement in the fingers.The patient was advised on the need for regular follow-up to assess the vascularity,bonyunion, range of motion, and nerve recovery. Further procedures that may be required for the tendons including tenolysis/transfers, neurolysis for the nerves, and prolonged physiotherapy during the next 1 year have been explained to the patient. The patient was discharged after a week. At the time of discharge, there were already movement in the fingers.The patient was advised on the need for regular follow up to assess the vascularity,bonyunion, range of motion, and nerve recovery. Further procedures that may be required for the tendons including tenolysis/transfers, neurolysis for the nerves, and prolonged physiotherapy during the next 1 year have been explained to the patient. Since then many severed body parts have been reattached, preserving the quality of life of patients through improved function and appearance.The success of the operation depends on factors like nature of the injury such as crush or sharp cut injuries, warm ischemic time(duration between time of amputation and time of replantation), age of the patient, smoking habit, pre-existing diseases like diabetes, site of injury, contamination etc. Basic first-aid should be given immediately. The injured hand should be wrapped in a clean dressing and elevated with direct pressure applied to limit bleeding. Attempts to ligate arterial bleeding should be avoided,as this result in further injury to the vessels. The amputated part should be retrieved, even if it appears unlikely that replantation is possible. Ideal warm ischemic time is 6 hours. But it can be lengthened to 12 hours by wrapping the amputated part in a saline-moistened gauze sponge placed in a plastic bag. The plastic bag should be sealed and placed in a container of ice. The amputated part should never be placed directly on ice because this could result in frostbite injury to the vessels. The part should also never be immersed in water which makes digital vessel repair more difficult and less reliable. The time can best still lengthened in cases related to children. When considering multiple-finger replantation, the finger with the best chance for successful replantation, best-expected recovery, and most significant contribution to function should be repaired first.If all the fingers are injured equally and have the same chance for successful repair, the order of repair should be the middle finger first, then index, then ring, and lastly the small finger. The replanted part never regains 100% of its original use, and most doctors consider 60% to 80% of use an excellent result. Good communication between the replantation center’s micro surgeon Dr.Sumit Saxena and the referring physician is paramount to achieving appropriate and timely referrals and correct transport of amputated parts. Communication with patients is also important. Possible candidates for replantation must be informed of the likely outcomes of replantation and revision amputation procedures, and the different postoperative regimens for each. For patients who choose revision amputation or whose replants do not survive, there are a variety of reconstructive options available, if necessary, such as immediate cover with groin flap or later on with toe-to-hand transfer. For emergency transportation, urgent ambulance service is needed if the incident happens in a remote location away from tertiary centre like Inamdar hospital to salvage the amputed part. For a patient, remember that quality of life is directly related to your attitude and expectations—not on just regaining limb use. Even with the best medical care, you need to be strong during the course of recovery. Stay in the flow of life. You have many great gifts.

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Oral Submucous Fibrosis (OSMF) by – Dr. Pramanik Namrata

It is a chronic, complex, pre-malignant condition of oral cavity in which there is inflammatory reaction and progressive fibrosis of submucosal tissues. As the condition progresses the patient is unable to open  mouth as the jaws get rigid. The codition is associated with chewing of areca nut/betel quid In the initial phase of the disease, the mucosa feels leathery with palpable fibrotic bands. In the advanced stage the oral mucosa loses its resiliency and becomes blanched and stiff. The disease is believed to begin in the posterior part of the oral cavity and gradually spread outward. Other features of the disease include: Xerostomia Recurrent ulceration Pain in the ear or deafness Nasal intonation of voice Restriction of the movement of the soft palate A budlike shrunken uvula Thinning and stiffening of the lips Pigmentation of the oral mucosa Dryness of the mouth and burning sensation Decreased mouth opening and tongue protrusion Treatment includes: Abstention from chewing areca nut (also known as betel nut) and tobacco Minimizing the consumption of spicy foods, including chilies Maintaining proper oral hygiene Supplementing the diet with foods rich in vitamins A, B complex, and C and iron Forgoing hot fluids like tea, coffee Forgoing alcohol Employing a dental surgeon to round off sharp teeth and extract third molars

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