General blog with anecdotes for light reading Some Medical content relevant for doctors
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Thursday, July 21, 2011
"You are what you eat": importance of diet, how to relate money and savings to diet
I say to my patients, to understand weight loss and methods, simply do opposite to what you do when you save money in banking. I hope this article puts this in perspective.
The phrase "You are what you eat" is a decent way of saying "you are what you put in your mouth". The latter phrase can make people who are obese or overweight cry but it does make sense. One of my friend and colleagues in UK used to say this latter phrase when advising on the risk factors of overweight.
When you want quick access to your money, you leave some funds in the current account. . You put your salary or income in this account. you keep only enough money to keep you afloat in the current account. You keep a reserve account, called savings account where you save a larger amount which you can transfer quickly to the current account when necessary.
Where you think you have surplus money for the time being, you look for investments, assets and shares. The money you save in these methods, will not be available for you straight away. you need to mobilise them to realise the money to the savings or the current account. In other words, it will take time.
Now compare this scenario in banking to how your food is sorted once we consume.
Blood glucose is the current account
Liver, muscles acts as the savings account[ glycogen]
Fat acts as the investment account equivalent.[fat]
Weight gain and loss is exactly the same process of banking when you think of carbohydrate we consume. The carbohydrate we consume, namely the rice and wheat first goes to the current account. There is surplus of glucose, to what is needed for the brain, the kidneys and the muscle and all the nerves in the form of ATP. Some amount of blood glucose is put in the savings account, namely the liver and muscle as glycogen.
When there is lot more food consumed in the form of glucose, they are converted to fat and stored in various sites like our belly. Rightly or wrongly they can be termed as our asset or the investment.
But in fact we should plan our glucose consumption completely the opposite way to how we do banking as i had compared.
We need to earn less
so that we only have money for the current account and savings account
In turn we can mobilise our fat reserves in our assets and investment account to empty them.
Sounds Drastic in banking terms, does it not!. But this is true for our glucose metabolism.
Consume less glucose
so that we have only reserves in liver, muscles
In turn we can mobilise our fat reserves in our bellies and other parts of our body to empty them
The above picture shows how we can plan this. remember the base of the pyramid is still the glucose base of our diet. Hence do not starve to reduce weight, instead have more servings but less in amount
please go to this link if you want to learn more
http://www.medbio.info/Horn/Time%201-2/carbohydrate_metabolism.htm
or even better
http://www.health.gov/dietaryguidelines/dga2000/document/contents.htm
as the authors of the above link say
"Aim....Build....Choose for Good Health"
Regards
Chockalingam
Monday, July 18, 2011
Road Traffic Accident Prevention, A common Man's Hippocratic Oath
I am sorry about the pictures and unfortunately this is the reality in India
These are the rules one can try to follow in India
Let us make an Oath
I will always wear a seat belt when I travel in a car
I will always wear a helmet when riding a bike
I will always walk on the opposite side of traffic so that the on coming vehicles can clearly see me
I will never cross the road in front of a moving vehicle,because
I will never trust the driver on the road
I remember using a vehicle is for comfort of travel and not to reach quickly
I will not travel at night unless it is an emergency
I will never drive in the opposite lane of a road
I will always use public transport where it is practical and not use my vehicle
I will never drive close to the vehicle ahead, equally
I will make sure the vehicle behind is not too close to me, because
I will always leave racing drivers to overtake me [get away from danger]
I will reduce the speed when there is traffic and vice versa.
More rules to follow
I will go through the traffic signs and teach more people and friends and families
please go to this web site which teaches more traffic signs for Indian Driving Conditions
http://www.indiandrivingschools.com/road-traffic-signs-signals.html
Regards
Chockalingam
These are the rules one can try to follow in India
Let us make an Oath
I will always wear a seat belt when I travel in a car
I will always wear a helmet when riding a bike
I will always walk on the opposite side of traffic so that the on coming vehicles can clearly see me
I will never cross the road in front of a moving vehicle,because
I will never trust the driver on the road
I remember using a vehicle is for comfort of travel and not to reach quickly
I will not travel at night unless it is an emergency
I will never drive in the opposite lane of a road
I will always use public transport where it is practical and not use my vehicle
I will never drive close to the vehicle ahead, equally
I will make sure the vehicle behind is not too close to me, because
I will always leave racing drivers to overtake me [get away from danger]
I will reduce the speed when there is traffic and vice versa.
More rules to follow
I will go through the traffic signs and teach more people and friends and families
please go to this web site which teaches more traffic signs for Indian Driving Conditions
http://www.indiandrivingschools.com/road-traffic-signs-signals.html
Regards
Chockalingam
Friday, July 8, 2011
Arthroscopic Surgery at our KMC Speciality Hospital, Trichy, India: Key hole surgery
This is the article published in KMC News 2010
Arthroscopic surgery [Key hole Surgery] at our KMC Specialty hospital
Dr S Chockalingam FRCS, FRCS [Trauma and Ortho]
Joint replacements have now become the standard of care for advanced arthritis. These joint replacement surgeries for arthritis of knee, hip and shoulder have become common at our hospitals. The less known treatment method for joint pain in younger individuals will be discussed in this article.
This less known treatment method namely arthroscopic treatment for joint pain is now increasingly used in our city as in the Western world. An arthroscope is a telescope,[ type of endoscope] the size of a pen when introduced into the joint, helps us to evaluate the joint and introduce instruments to repair or remove the injured structures
Professor Kenji Takagi in Tokyo used a cystoscope back in 1919 to look inside the joint. Eugen Bircher a Swiss Politician/Army Physician is considered as the father of arthroscope where he used a thoracolaparascope to view the joint. Japanese surgeon Masaki Watanabe gets the credit for using arthroscopes for interventional procedures rather than for merely diagnosing the problems.
Advances in the fiber optics in the 1970s and 1980s have now helped to the current design of these arthroscopes which come in various small sizes for various joints. We now have this facility to treat joint problems and I have shown the use of this surgical technique in managing joint problems at KMC Speciality hospital
The following conditions are some of the patients who have been treated at KMC Speciality hospital with our state of the art instruments using this technique.
1. Diagnosis of unexplained knee pain where Tuberculous synovitis, synovial chondromatosis and other conditions and treatment of septic arthritis of all joints.
2. Meniscal tears:This is one of the commonest indication for this procedure. Even though sports injury is a common mechanism of these meniscal tears, it is fairly common in middle aged women and men in India.
3. Cruciate ligament tears. Ligament reconstruction of the anterior cruciate ligament done through this minimally invasive technique has perfected this reconstruction
4. Shoulder pathologies. The shoulder is only second to the knee in the numbers where this technique is being used here at our hospital. Decompression of the subacromial space and Shoulders that dislocate repeatedly are common indications
5. Ankle and other joint pathologies. So far we have treated variety of pathologies with this minimally invasive technique at KMC
Regards
Chockalingam
Arthroscopic surgery [Key hole Surgery] at our KMC Specialty hospital
Dr S Chockalingam FRCS, FRCS [Trauma and Ortho]
Joint replacements have now become the standard of care for advanced arthritis. These joint replacement surgeries for arthritis of knee, hip and shoulder have become common at our hospitals. The less known treatment method for joint pain in younger individuals will be discussed in this article.
This less known treatment method namely arthroscopic treatment for joint pain is now increasingly used in our city as in the Western world. An arthroscope is a telescope,[ type of endoscope] the size of a pen when introduced into the joint, helps us to evaluate the joint and introduce instruments to repair or remove the injured structures
Professor Kenji Takagi in Tokyo used a cystoscope back in 1919 to look inside the joint. Eugen Bircher a Swiss Politician/Army Physician is considered as the father of arthroscope where he used a thoracolaparascope to view the joint. Japanese surgeon Masaki Watanabe gets the credit for using arthroscopes for interventional procedures rather than for merely diagnosing the problems.
Advances in the fiber optics in the 1970s and 1980s have now helped to the current design of these arthroscopes which come in various small sizes for various joints. We now have this facility to treat joint problems and I have shown the use of this surgical technique in managing joint problems at KMC Speciality hospital
The following conditions are some of the patients who have been treated at KMC Speciality hospital with our state of the art instruments using this technique.
1. Diagnosis of unexplained knee pain where Tuberculous synovitis, synovial chondromatosis and other conditions and treatment of septic arthritis of all joints.
2. Meniscal tears:This is one of the commonest indication for this procedure. Even though sports injury is a common mechanism of these meniscal tears, it is fairly common in middle aged women and men in India.
3. Cruciate ligament tears. Ligament reconstruction of the anterior cruciate ligament done through this minimally invasive technique has perfected this reconstruction
4. Shoulder pathologies. The shoulder is only second to the knee in the numbers where this technique is being used here at our hospital. Decompression of the subacromial space and Shoulders that dislocate repeatedly are common indications
5. Ankle and other joint pathologies. So far we have treated variety of pathologies with this minimally invasive technique at KMC
Regards
Chockalingam
Wednesday, July 6, 2011
Bikes, Nature and Relaxation and health
I recently became a member of a group which enjoys trekking. Though i have not done a trekking expedition with the group so far, i did a bike ride. The ride was in the lower most fragmented Eastern Ghats called Pachai Malai hills. Nature beats you to anything we can build!
The nature included hills, valleys, trees, falls. It is astonishing to see the nature close to it on foot and closest to reach there is the bike. there are areas in this stretch where car is not the best way to see and by foot it would take a long time.
Time is something we find difficult to get hold of, and bikes make it easier to save some of this precious item. I got hold of Yamaha RX 100 which reminded me of post MBBS days when one of my dear friends had this bike.
I liked this bike more than the Hero Honda which we had ourselves. The Yamaha give you the thrill of acceleration though it did not have the power of the newer bikes trying to negotiate the hills with a pillion rider.
Negotiating the hills gave the pleasure partly due to the bike itself and mostly it was relaxing. we would have stopped in few places where the sceneries were breathtaking. Whereas in other areas simply we stopped since it was idyllic or should i say serene!
Relaxation is one of the areas to give the mind and the brain a chance to recuperate.
answers.google.com/answers/threadview?id=513495
The above link mentions that we have 7 thoughts per second and it certainly taxing if you are on the job where decisions are made such as my profession of being a doctor. The decisions are often involve well being of others and you take the responsibility.
Mental health is a prerequisite to physical health. A relaxed mind is a prerequisite to mental health. If a bike ride in the hills close to the nature is what it takes, go on make it!
I have done already!
if u want to know more of bikes in India go and visit
www.myindiaguide.com/bikes/bajaj/bajaj-avenger-220.html
and this is my favourite bike
Warm Regards
Chockalingam
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