Wednesday, 29 March 2017

[www.keralites.net] TODAY’S MESSAGE FRO M TRICHY PRASANNAN [3 Attachments]

 

TODAY'S MESSAGE FROM TRICHY PRASANNAN

 

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[www.keralites.net] What causes leg cramps

 

 
 What Causes Leg Cramps and How Can You Stop Them?
Leg cramps - also know as night cramps or Charley Horse - are painful spasms that typically occur in the calf muscles. Leg cramps tend to jolt a person awake in the middle of the night, but can also strike in the daytime during physical activities such as running and cycling. Fitness can put strain on your leg muscles. Some leg muscle cramps - which can last anywhere from a few seconds to up to 10 minutes - may also be the result of a sedentary lifestyle.
What Causes Muscle Cramps in the Calves?
"Leg cramps can be caused by many conditions, ranging simply from dehydration to something much more serious such as kidney disease," said physical therapist Matthew Hyland, president of the New York Physical Therapy Association and co-owner of Rye Physical Therapy Rehabilitation. "Cramps often result from vigorous exercise, trauma to the muscle, or keeping the leg in an awkward position for too long, such as sitting in a crowded theater. Other causes can include medications such as birth control, diuretics (which are often prescribed for people with high blood pressure) and steroids. A lack of potassium or calcium can also be the underlying cause, as well as cold weather."
Acute leg cramps frequently are confused with restless legs syndrome (RLS). But RLS is a different and more serious, chronic condition characterized by discomfort and persistent throbbing and pulling sensations in the legs.
How to Prevent Leg Cramps
There are a number ways you can alleviate nighttime leg cramps. "Once leg cramps set in, the best method to relieve them is movement, either walking around or simply jiggling or shaking your leg," advised Hyland. "In addition, things like pumping your ankles up and down or rubbing the muscles can help as well."
"Our musculoskeletal system hits its peak at the age of 20, and while it maintains its peak for an additional 20 years, the reality is that it begins to break down at age 40," he said. "This includes muscles becoming less flexible. Once we pass into the fourth decade of life, it is critical we play an active role in stretching and strengthening our bodies to maintain appropriate, maximal health." He added that it may be best to consult a physician if leg cramps last for 5 to 10 minutes or occur multiple times a week.
What to Take for Muscle Cramps
Analgesic balm or a patch, both sold over-the-counter at pharmacies, can provide further relief. OTC pain relief medications that are formulated to treat menstrual cramps, such a Pamprin and Midol, can be an effective treatment for bad leg cramps.
You may also be able to prevent or alleviate muscle cramps in your legs by making simple lifestyle changes. Drinking plenty of water is essential, since cramps are often caused by dehydration. A healthy diet with plenty of fresh fruits and vegetables can also help to decrease the frequency of leg cramps.
Vitamins and Minerals: Potassium and Magnesium for Muscle Cramps
Additionally, certain vitamins and minerals impact muscle function, particularly potassium and magnesium. A significant body of research has found that increasing your magnesium intake can help with the frequency of night time leg cramps, especially for pregnant women. Health experts recommend getting at least 300 milligrams of magnesium each day. A supplement can help you reach your daily allowance, but so can eating foods rich in magnesium, such as nuts, lentils, and quinoa.
Plan ahead for self-care if your leg cramps appear to be the result of strenuous exercise. Drink plenty of fluids and eat a well-balanced meal before heading out for a long run. Many athletes suggest eating a potassium-rich banana once you reach the finish line.
 

 
 
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[www.keralites.net] DOCTORS SPEAK OUT

 

Doctors with conscience speak out- OMG !!!
Please click on the link given below for the full message from TOI.
Doctors with conscience speak out
Rema Nagarajan,TNN | Feb 22, 2015, 06.24 AM IST
NEW DELHI: In order to benefit the hospital and meet its commercial needs, one has to do things like keeping patients in the hospital longer than necessary, and doing unnecessary investigations and procedures (including angioplasty) since there was pressure from the management of the hospital.
My conscience began pricking and I left the hospital- Dr Gautam Mistry, Kolkata, cardiologist who left a corporate hospital after seven years.
A reference for angioplasty can earn a doctor Rs 30,000-40,000 - Dr Rajendra Malose, general practitioner, Nashik
Pharma companies are giving foreign tours and junkets to doctors. It happens under the pretext of medical study. Unfortunately, some doctors eagerly wait for the pharma company invitation for foreign tours- Dr HV Sardesai, physician Pune.
Corporate hospitals only want doctors who can help them earn more money. As a result doctors who practise ethically cannot last there. I know of a hospital where if a patient is charged Rs 1.5 lakh, the doctor gets a mere Rs 15,000. 90% of the income goes to the corporate coffers. Corporate hospitals can advertise while individual doctors are not allowed- Dr Sanjay Gupte, gynaecologist, Pune, ex-national president of the Federation of Obstetric and Gynaecological Societies of India (FOGSI)
These are just a few of the shocking revelations by 78 doctors from small towns to every one of the megacities who are critical of the growing commercialisation of medical care. The doctors range from general practitioners to super specialists in corporate hospitals. These interviews that expose the corruption in private healthcare have been put together by SATHI (Support for Advocacy and Training to Health Initiatives), an NGO, to highlight the lack of regulation of the sector.
The report will be released at the All India Institute of Medical Sciences (AIIMS) on February 26, in a function to be attended by AIIMS director Dr MC Mishra, senior gastrointestinal surgeon Dr Samiran Nundy of Sir Ganga Ram Hospital, and several of the doctors from across the country who have spoken out in the report.
The report is an English translation of the recently published Marathi report 'Kaifiyat - pramanik doctoranchi', which is being widely read in Maharashtra and is already into its second edition. An enlarged version of this report is soon to be published as a book.
"These 'whistleblower' doctors have exposed, perhaps for the first time on such a scale and in so many dimensions, the realities of the private medical sector today such as frequent irrational procedures and surgeries, the distorting influence of corporate and multi-specialty hospitals on ethics of the medical profession, and the growing grip of pharmaceutical companies on private medical practice. With testimonies by rational doctors from across India, this report can be an eye-opener for ordinary citizens as well as doctors, and could strengthen social support for much-needed moves to effectively regulate the private medical sector in India," explained Shukla.
According to him, the government is trying to dilute the Clinical Establishments Bill on the grounds that outdated laws have to be changed. "The bill has not even become law and no proper implementation of any law to regulate the private medical sector has been undertaken and even before that you are saying it is outdated. There is a strong lobby of the corporate health sector and the Indian Medical Association, the biggest lobby of doctors in India, that are trying to completely eliminate any kind of regulation. It is total jungle raj now. This is the larger policy environment in which we are releasing the report," said Shukla.
Public health activists have stressed the need to urgently step up regulation of the private health sector rather than dilute whatever little regulation exists. "Doctors have their lobbying groups like the IMA, which will speak of their interests. Society needs to speak up and lobby for the interests of the patients," said Shukla.
http://timesofindia.indiatimes.com/…/articlesh…/46329061.cms
Consulting your family doctor is the best way to get remedy than going to corporate hospitals.-
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