Email OF The Day: 05/03/19

Friday, 3 May 2019

[www.keralites.net] An Important Vitamin That Your Doctor Never Talks Of

An Important Vitamin That Your Doctor Never Talks Of

Many times as a kid, you might have fallen down and got your knees scraped. The blood would come out and slowly, over the days, the wound would heal. Basically, it was your system's own natural way of healing your scratches by congealing our blood from liquid to gel form, which, is also known as the process of "coagulation".
Have you heard about friends or family, that their blood doesn't clot easily? Or, that even a slight scratch might remain "fresh" for a longer time. It is due to the delaying in blood clotting. Blood clots, a very simple biological procedure, which you studied in middle school biology, are responsible for healing the wounds. They form due to the presence of Vitamin K, in the absence of which you may bleed to death in serious injuries.
What is Vitamin K?
Vitamin K includes phylloquinone (Vitamin K1) and menaquinone (Vitamin K2). In a layman's words, it is basically a vitamin that is found in abundance in green leaves and is essential for the blood clotting process. As kids you may not have been too fond of consuming green veggies, no matter how much your mom coaxed or threatened you to have those. Sigh! But then, they say, that health is wealth.
Why you should take Vitamin K? Can the deficiency be harmful?
It is a very good question, given the fact, how we all go "ewww" at the very mention of consuming leafy veggies (unless from "Subway"). :) Vitamin K helps in blood clot, preventing excess bleeding. This is the first reason why we should include Vitamin K in our diet. Did you know that newborns are injected with Vitamin K? Ever wonder why? The reason is that newborns are more prone to Vitamin K deficiency than adults.
Deficiency of Vitamin K can lead to uncontrolled bleeding, that much is obvious now. However, there are certain other cases that pose a higher threat of Vitamin K deficiency.
Have a disease that affects absorption in the digestive tract, such as Crohn's disease or active celiac disease
Take drugs that interfere with Vitamin K absorption
Being malnourished
High alcohol consumption
In these aforementioned cases, your doctor might suggest Vitamin K supplements.
How much Vitamin K should you get?
This is a very important thing to keep in mind. We have always been told, no matter how nutritious something might be, in excess, it might have effects we may not like. Not to forget that the excess can completely neutralize the positives that we gained from it earlier. Same is the case with Vitamin K. So, I am presenting to you, the quantity per day of Vitamin K, that different people should consume-
Group (years) Adequate Intake
Children 0-6 months 2.0 micrograms/day
Children 7-12 months 2.5 micrograms/day
Children 1-3 30 micrograms/day
Children 4-8 55 micrograms/day
Children 9-13 60 micrograms/day
Girls 14-18 75 micrograms/day
Women 19 and up 90 micrograms/day
Women, pregnant or breastfeeding (19-50)Women, pregnantor breastfeeding(less than 19) 90 micrograms/day75 micrograms/day
Boys 14-18 75 micrograms/day
Men 19 and up 120 micrograms/day
What are the foods that can provide a healthy dose of Vitamin K?

Now comes the main part. We have read the benefits of Vitamin K, and what harms the deficiency might cause. Now let us have a quick peek at the foods that are rich in it.
(The ones in bold are the main and best sources, the rest are other alternatives).
Herbs : Dried Basil, Dried Sage & Dried Thyme, Fresh Parsley, Dried Coriander (Cilantro) & Dried Parsley, Dried Marjoram, Fresh Basil and Fresh Chives.
Green, Leafy Vegetables: Kale (cooked), Frozen Kale, Frozen Spinach, Mustard Greens, Spinach, Collards, Beet Greens, Swiss Chard, Turnip Greens, Dandelion Greens and Broccoli Raab.
Salad Vegetable: Spring Onions / Scallions, Garden Cress, Endive, Radicchio, Chicory Greens, Watercress, Cos, Lettuce, Green Lettuce, Red Lettuce, Celery, Arugula, Iceberg Lettuce & Cucumber.
Brassica Vegetables: Brussels Sprouts (cooked), Broccoli, Cabbage, Frozen Broccoli, Chinese Broccoli, Red Cabbage, Pak Choi, Savoy Cabbage, raw and Cauliflower.
Hot Spices: Chili Powder, Curry Powder & Paprika and Cayenne Pepper.
Other Vegetable: Asparagus (cooked), Frozen Asparagus, Leeks, cooked, Okra, cooked and Fennel, raw.
Pickles: Cucumber (sweet), Dill Pickle, Sour Pickle and Sweet Pickle Relish per tablespoon.
Soybeans (cooked), Raw Soybeans and Roasted Soybeans.
Vegetable Oils: Olive Oil, Soybean, Canola (Rapeseed) and Sesame Oil.
Dried Fruit – Prunes, Blueberries, Pears, Peaches, Figs and Currants.
Phew! Quite a long list, isn't it? But, on the good part, this list gives a long list of alternatives of our own choice that we can consume for our healthy dosage of Vitamin K.
We should always take the good in things, with a pinch of salt. Though the side effects in Vitamin K dosages are rare, but again, no matter how small, these cannot and should not be ignored. I am sure, you would agree too, after having a look at these.
Many drugs can interfere with the effects of Vitamin K. They include antacids, blood thinners, antibiotics, aspirin, and drugs for cancer, seizures, high cholesterol and other conditions. People using medications for heart problems, clotting disorders, or other conditions may need to watch their diets closely to control the amount of Vitamin K they take in. They should not use Vitamin K supplements unless advised to do so by their health care provider.
Before I conclude, all I can say is that though Vitamin K is very essential and beneficial to us. It should only be taken as a supplement, if your doctor prescribes it, else not, if you want to escape the side effects. Be assured, your normal daily diet contains sufficient dosage of Vitamin K.

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[www.keralites.net] How Doctors In The Noble Land , That Is India, loot...

How Doctors in the Noble land, that is India, loot

Most of these observations are either completely or partially true. Corruption has many names, and one of civil society isn't innocent either. Professionals and businessmen of various sorts indulge in unscrupulous practices. I recently had a chat with some doctors, surgeons and owners of nursing homes about the tricks of their trade. Here is what they said

40-60% kickbacks for lab tests . When a doctor (whether family doctor / general physician, consultant or surgeon) prescribes tests - pathology, radiology, X-rays, MRIs etc. - the laboratory conducting those tests gives commissions. In South and Central Mumbai -- 40%. In the suburbs north of Bandra -- a whopping 60 per cent! He probably earns a lot more in this way than
the consulting fees that you pay.

30-40% for referring to consultants, specialists & surgeons . When your friendly GP refers you to a specialist or surgeon, he gets 30-40%.

30-40% of total hospital charges . If the GP or consultant recommends hospitalization, he will receive kickback from the private nursing home as a percentage of all charges including ICU, bed, nursing care, surgery.

Sink tests. Some tests prescribed by doctors are not needed. They are there to inflate bills and commissions. The pathology lab understands what is unnecessary. These are called "sink tests"; blood, urine, stool samples collected will be thrown.

Admitting the patient to "keep him under observation". People go to cardiologists feeling unwell and anxious. Most of them aren't really having a heart attack, and cardiologists and family doctors are well aware of this. They admit such safe patients, put them on a saline drip with mild sedation, and send them home after 3-4 days after charging them a fat amount for ICU, bed charges, visiting doctors fees.

ICU minus intensive care. Nursing homes all over the suburbs are run by doctor couples or as one-man-shows. In such places, nurses and ward boys are 10th cl-ass drop-outs in ill-fitting uniforms and bare feet. These "nurses" sit at the reception counter, give injections and saline drips, perform ECGs, apply dressings and change bandages, and assist in the operation theatre. At night, they even sit outside the Intensive Care Units; there is no resident doctor. In case of a crisis, the doctor -- who usually lives in the same building -- will turn up after 20 minutes, after this nurse calls him. Such ICUs admit safe patients to fill up beds. Genuine patients who require emergency care are sent elsewhere to hospitals having a Resident Medical Officer (RMO) round-the-clock.

Unnecessary caesarean surgeries and hysterectomies. Many surgical procedures are done to keep the cash register ringing. Caesarean deliveries and hysterectomy (removal of uterus) are high on the list. While the woman with labour -pains is screaming and panicking, the obstetrician who gently suggests that caesarean is best seems like an angel sent by God! Menopausal women experience bodily changes that make them nervous and gullible. They can be frightened by words like " and "fibroids" that are in almost every normal woman's radiology reports. When a gynaecologist gently suggests womb removal "as a precaution", most women and their husbands agree without a second's r
thought.

Cosmetic surgery advertized through newspapers. Liposuction and plastic surgery are not minor procedures. Some are life-threateningly major. But advertisements make them appear as easy as facials and waxing. The Indian medical council
has strict rules against such misrepresentation. But nobody is interested in taking action.

Indirect kickbacks from doctors to prestigious hospitals. To be on the panel of a prestigious hospital, there is give-and-take involved. The hospital expects the doctor to refer many patients for hospital admission. If he fails to send a certain number of patients, he is quietly dumped. And so he likes to admit patients even when there is no need.

"Emergency surgery" on dead body. If a surgeon hurriedly wheels your patient from the Intensive Care Unit to the operation theatre, refuses to let you go inside and see him, and wants your signature on the consent form for "an emergency
operation to save his life", it is likely that your patient is already dead. The "emergency operation" is for inflating the bill; if you agree for it, the surgeon will come out 15 minutes later and report that your patient died on the operation table. And then, when you take delivery of the dead body, you will pay OT charges, anaesthesiologist's charges, blah-blah-

Doctors are humans too. You can't trust them blindly. Please understand the difference.

Young surgeons and old ones. The young ones who are setting up nursing home etc. have heavy loans to settle. To pay back the loan, they have to perform as many operations as possible. Also, to build a reputation, they have to perform a large number of operations and develop their skills. So, at first, every case seems fit for cutting. But with age, experience and prosperity, many surgeons lose their taste for cutting, and stop recommending operations.

Physicians and surgeons. To a man with a hammer, every problem looks like a nail. Surgeons like to solve medical problems by cutting, just as physicians first seek solutions with drugs. So, if you take your medical problem to a surgeon first, the chances are that you will unnecessarily end up on the operation table. Instead, please go to an ordinary GP first

Prof. B. M. Hegde, Editor-in-Chief, The Journal of the Science of Healing Outcomes,
Chairman, State Health Society's Expert Committee, Govt. of Bihar, Patna.
Former Prof. Cardiology, The Middlesex Hospital Medical School, University of London,
Affiliate Prof. of Human Health, Northern Colorado University,
Retd. Vice Chancellor, Manipal University,
Dr.B.M. Hegde, MD, FRCP, FRCPE, FRCPG, FRCPI, FACC, FAMS.
Padma Bhushan Awardee 2010,
has written two books on practices among medical practitioners. Every one should read them.