Monday, September 13, 2010

North Bengal will be benefitted

Today the Indian Railway Minister Mamta Banerjee visited Siliguri and annouced many new projects for North Bengal. North Bengal will get many benefits from Railways.

Friday, September 10, 2010

Over weight – the causes and the cure

Over weight – the causes and the cure

Over Weight is now a main issue of great concern in our day to day life. Whether child or adult or a retired person or old, every body now is concerned. It is of our concern in aged person as it is directly related to Diebetes, Hypertension(High BP), heart attack, Chest pain, Stroke and paralysis, Kidney Failure, clogging and blockage of Arteries, changes in vision, sedantry habits, addictions, beside arthritis, pain over heels and knee joint.

Another reason for this writing is the fact that notwithstanding the “magical guaranteed weight loss” as advertised as we regularly see in print or electronic media, internet or so called practitioners of different types like yoga, acupressure, reiki, physical educator, gyms and physical training centres, Exercise centres and instrument sellers and companies of different type of weight reducing machines and devices and ayurvedic, homeo and ingenious and allopathic centres are claiming and attracting every set of people and now senior Doctors are running a camp of Obesity reducing surgeries through laproscopy (Mini Hole surgeries )with a surest guarantee of melting down few KGS in few days. But is it so easy or so safe without any side effects ? There are no and I mean NO SHORT CUTS.

Why does one gain weight? This is a question the answer to which, each and everyone wants to know, because if we know the answer to this, very easily we can avoid the causes thereby avoiding weight gain.

But to take a common analogy that I give to patients’ weight gain is like a bank balance, there are only two ways to increase your bank balance (weight) either you earn more (increased intake) or spend less (decreased output).

But sadly I’m sure all of us agree it’s easier to gain weight (except for the lucky few who have genetics on their side), than increase your bank balance.

INCREASED INTAKE / WRONG INTAKE / IMPROPER INTAKE

As you can see from the heading, it is not only increased intake, but also the intake of wrong kinds of food and improper intake, which also contributes to weight gain.

1.Overeating: Though most of us tend not to agree to it, it is often the most common cause for weight gain. Every time you have that extra spoonful, it adds up in the long run.

2. Fast food: Fast food is fast to make and convenient to eat can be eaten on the move but more often than not is full of fats/cheese & salt.

Anyone who has read science in school knows that fat has more calories (9Kcals/gm) as compared to protein (4Kcals/gm) or carbohydrates (4Kcals/gm). So, the more fats you eat the more calories you are putting in. Carbohydrates are easy to absorb and after your basic energy requirements are met, are converted to fat for storage.

Chips – a favourite amongst most is another common cause. An old saying for them, which holds very true, is “A minute on your lips & a lifetime on your hips”, hence avoid them. Increased salt intake causes more water retention in the body and hence is also an important factor for weight gain.

3.Improper timing: The time of a meal also is an important factor. Food should be eaten at least 2 hours before one goes to bed to allow digestion to occur properly.

4.Alcohol: Alcohol has often been blamed for gaining weight but the
gain in weight is more related to the increased snacking, which goes along with consumption of alcohol.

5.Fizzy Drinks: These are aerated drinks with empty calories, which are of no use and add up to the over all “Bank Balance of Calories”. Instead, substitute it with fresh fruits or fresh lime, which is much healthier but of course try and avoid excess salt or sugar in them.

DECREASED OUTPUT :

This is now turning out to be an important part of the whole weight gain process, especially so in youngsters and children.

1.Sedentary lifestyles: Now with the comfort levels increasing, activity has reduced. We use the lifts instead of stairs, vacuum cleaners instead of brooms, cars instead of walking, etc. The amount of calories burnt per day is decreasing with more mental activity than physical.

Some amount of physical activity is needed daily. One can incorporate small things into the daily schedule to increase the output like taking the stairs instead of the lift, walking to the nearby store instead of driving, morning or evening walks, etc which do not take up too much of your time but help in spending those calories.

2. Children especially should have some regular physical activity in their daily schedule or we are going to be waking up to a generation of overweight youngsters. Real games instead of Video Games, fruits instead of chips or pizza & fruit juices instead of a fizzy drink should be the mantra for the kids.

MEDICAL CONDITIONS FOR WEIGHT GAIN:

There are a few medical conditions that can be a cause for weight gain. These are usually hormonal imbalances.

WEIGHT GAIN & DIETING

A lot has been written and said about dieting and weight loss. Every other person is an expert in some sort of a diet. But a recent study has brought the proper perspective, as I have been saying for quite some time, it is not what kind of a diet you follow but the total intake versus the total output.

Crash Dieting is a not a way to loose weight at all. You might loose weight initially but you are loosing muscle bulk and replacing it with fat. So, what one needs is a proper balanced diet according to the work, he or she does, which has all the necessary nutrients.

Saturday, September 04, 2010

I want to inform the people of Siliguri that Dr D.K.Nakipuria is a good laprocopic surgeon & endoscopist doctor. He is a hard worker and always interested in learning something in the field of Medicine. He reads a lot of books, visits internet for web information, meet people and study their problems.

Dr Ranju Nakipuria, Wife of DKN, is a female decease specialists and senior doctor.

Both the husband and wife team work very hard and solve the patients' problem.

Dr DK Nakipuria's mobile no. 94341 43550

Wednesday, September 01, 2010

Kidney transplant in safe and experianced hands

Columbia Asia Referral Hospital, Yeshwanthpur, houses the Karnataka Nephrology and Transplant Institute (KANTI) -a premier institution in India for renal disorders and dialysis. It has a team of highly qualified doctors who have performed over 1700 renal transplants with success rates comparable to the best in the world. It attracts patients from across India and abroad.

WHAT IS RENAL TRANSPLANT?
Renal or kidney transplant involves placing a healthy kidney from a donor to take over the function of the two failed/dysfunctional kidneys. "The surgeon places the new kidney inside your lower abdomen and connects the artery and vein of the new kidney to your artery and vein. Your blood flows through the donated kidney, which makes urine, just like your own kidneys did when they were healthy," says Dr Sankaran Sundar, Chief Nephrologist, KANTI, Columbia Asia, Yeswanthpur. "The new kidney may start working rightaway or may take up to a few weeks to make urine. Unless your own kidneys are causing infection or high blood pressure, they are left in place and are not removed."

WHO CAN DONATE A KIDNEY?
Any healthy person between age 20 and 65 can donate. "The blood group should be compatible (0 group can donate to any patient and AB can accept from any
donor). Rh has no role," says Dr Ajit K Huilgol, Chief Transplant Surgeon, KANTI, Columbia Asia, Yeswanthpur. As per the Indian laws governing trans-
plantation, all donors have to appear before a government-appointed Authori- sation Committee to get a clearance to donate a kidney. A patient can also get a kidney from a 'brain-dead, heart-beating' cadaver. This procedure is known as cadaver transplant. "You may register for a cadaver transplant, if you have no related donor," says Dr Huilgol. "But remember, a cadaver kidney may take several years to procure." Organ sales are banned in India.

WHAT ARE THE PRE- TRANSPLANT PROCEDURES?
After checking for blood group compatibility, a lymphocyte cross match test is done. A negative test result is required. This signifies that the antibodies in the patient's blood will not attack the donor's kidney. Prior to transplant, a complete check-up is done on the donor to ensure that he/ she is perfectly healthy at the time of donation, and that he/she will continue to be healthy after donation.



WHAT ARE THE POST- TRANSPLANT PRECAUTIONS?
Following the surgery, the patient is taken to a specialised, isolated post- transplant unit where one-to-one nursing is provided to minimise the risk of cross-infection. The patient is closely monitored to ensure that the new organ is accepted by the body and optimum immunosuppressant medication is administered. "The advent of immuno- suppressants like Cyclosporine and Ta- crolimus have helped to push the success rates up and minimise chances of rejection of the donor kidney," says Dr Huilgol. Most patients are discharged on the fifth day. They are advised to follow hygienic habits strictly to prevent any infection risk. Most patients can get back to work between 4-12 weeks. They can resume sex life in about 2 to 3 months post transplant. Patients have to
visit for follow-up check ups and be on medication for life.

WHAT MAKES THE RENAL SCIENCES DEPARTMENT
IN COLUMBIA ASIA REFERRAL HOSPITAL SPECIAL:

• The team has performed over 1700 renal transplants-including multiple artery transplants and double ureter transplants- more than any other centre in India.
• It boasts 92% one year survival rate and 80% five year survival rate-comparable to some of the best centres in the world.
• It was the first in India to use the latest international formulation of Cyclosporine- NEORAL-the prime life-saving drug after transplants.
• The centre has the distinction of having the world's oldest donor (85 years) and a 75 year old recipient who's still leading a healthy life. ,
• It conducted the State's first double kidney cadaver transplant. The expertise of the team has been used to set up transplant centres in Jalandhar, Punjab and Dhaka, Bangladesh.
• It has been invited to help set up transplant and dialysis centres in Lagos, Myanmar and Fiji.

WHAT MAKES THE RENAL SCIENCES DEPARTMENT IN COLAMBIA ASIA REFERRAL HOSPITAL SUCCESSFUL

The vast experience of the team: The excellence is born over 30 years’ hands-on experience. “Even a notice may conduct a transplant, but experience especially matters in complicated case,” says Dr. Sundar.
The infrastructure of this centre: The team is supported by excellent diagnostic facilities, state-of-the-art equipment and expertise of para medical staff.
Smooth management: “The efficient legal support team and experienced transplant coordinators ensure as hassle-free a transplant as possible,” says Dr. Sundar.

Contact details:
Columbia Asia Referral Hospital, Yeshwanthpur, Bengaluru
Phone 080 39898969 website : www.columbiaasia.com