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Healthcare Delivery

How Vitamin D Deficiency could be silently killing you

In 2014 my wife decided to hire a trainer to help her with her fitness. I was curious how this would work and hence I also decided to go with the same trainer. I spoke to the trainer from the Chennai airport where I was on that day on a business trip and then processed to hire her.

I am no stranger to workouts and I had been leveraging trainers before in the various gyms that I had visited. But this was different. As my training started the first thing I remember was that there was intense pain in my muscles and joints. Despite pain killers, the pain would not go away. The trainer kept telling me that it was a matter of time and things would improve. She even brought in another trainer, who helped me with some stretching exercises and twisting. But when things got worse I had to consult my family physician. One look at me, he said, well my friend when was the last time you checked your Vitamin D levels? That started a quest for settling my Vitamin D levels which continues till this day.

Vitamin D Deficiency Symptoms
D vitamin is known since it is produced by the exposure to sunlight light. It is an important element that a human body requires. Deficiency is a critical problem. The below mentioned are a number of the common signs of lack of D vitamin. Vitamin and mineral basic’s consumption is critical for a human body to work. There is a lot of information what’re the sources of these nutrients and concerning the significance of the nutrients.  

In 2010, the venerable Institute of Medicine (IOM) issued a report based on a lengthy examination of data by a group of experts. To sum up, they estimated that a vitamin D level of 20 ng/mL or higher was adequate for good bone health, and subsequently, a level below 20 was considered a vitamin D deficiency. (Source:
https://www.health.harvard.edu/blog/vitamin-d-whats-right-level-2016121910893 )

Below are the charts I have kept for my Vitamin D Levels. As you can see I started with a deficiency around 11 and now have managed to keep myself above the 20 mark for the last 5 years.

Key Symptoms

Weakness and Pain: The weakness of bones and muscles is the first sign that there might be a problem. Rickets in children and Osteomyelitis in adults are among the largest of deficiency of D vitamin deficiency symptoms. Weak bones are vitamin d.’s feature However they generally occur at an early age or older age.

Obesity: individuals who’re obese are more common in showing that the signs of lack of D vitamin. Now, this could be one of the reasons for the obesity epidemic in India.

Feeling Low: Difficult to explain but lack of sunlight is known to cause subclinical depression. This often leads to mood swings, lethargy among others

Other Symptoms: Some other signs are knock-kneed appearance, low blood calcium level, high blood pressure level, reasons why that the vitamin d deficiency occurs are given below.

Reasons for Deficiency

The numerous reasons why that the vitamin d deficiency occurs are given below.

  1. Less exposure to direct sunlight
  2. Extensive use of sunblocks and sunscreen
  3. Lack of absorbing of D vitamin.
  4. Hereditary factors

The given are a number of the readily recognize able signs of vitamin D deficiency symptoms. So what do you do?? In my opinion these should be your next steps.

  1. Visit a doctor- Please do not self medicate, please do visit a doctor
  2. Check your Vitamin D Levels regularly from a NABL certified Lab
  3. Plan for at least 30 minutes of outdoor activity daily specially in the morning- Walks, Jogs or just stretching in the park is a good idea.
  4. Keep a record of your levels

I trust this article is helpful in understanding your symptoms and seeking the right help. As always we are open to your questions and we will do our best to answer them.

Categories
Healthcare Delivery

Why hbA1c levels are the key to your diabetes management?

The average life of the Red Bood Cell (RBC), is around 120 days. With an estimated half-life of 2-3 months, it is a good indication of the overall health of the individual. Glucose molecules in the blood combined with hemoglobin, and through this glycation form a ketoamine that is stable and can be used as a measure of the glucose in the blood. Since 1970’s hbA1c measures have been recommended as a standard of care for diabetes management.

Why is this a better measure than the traditional fasting and Post-Prandial measures(PP)?

  1. Firstly measuring hbA1c gives us the story for 90 days. So it not a point in time investigation rather its a holistic view of the system.
  2. It is human tendency to cheat if we know that a blood sugar test is looming. I have seen my mother do that many times and there are dietary adjustments made just before the test that can give us a false negative.
  3. Thirdly the test does not require any fasting or dietary restrictions, hence the compliance is better.

For more scientific details on this method, please do read this article on the research already conducted.

While these are great reasons to conduct the test, the key to the test is to go to an accredited lab. Always insist on choosing a NABL (National Accreditation Board for Testing and Calibration Laboratories) accredited lab. I have often heard of samples getting mixed up between patients. This is mostly true of the many labs providing online services or online firms serving as aggregators.

Finally, talk to your doctor on why you should consider mapping this level. I have been doing my tests over a period of time and last few months results are below. These tests have given my physician a good indication as to why we need more aggressive intervention in my case.

Anyways do let me know if you have any questions on diabetes management and I would be happy to answer them for you.

Categories
Healthcare Delivery

Patients views may be the key to reducing medical errors says new study

Patients’ views are not often included in records of diagnostic errors, but new data released on November 5 suggest that patient and family narratives may contain key information that should formally be included in the system.
To learn more about how patient experience and patient-physician interactions might affect the risk for diagnostic error, Traber Davis Giardina, PhD, MSW, and colleagues analyzed reports submitted from January 2010 to February 2016 to the nonprofit Empowered Patient Coalition.

Categories
Healthcare Delivery

Management and Treatment of PostPartum Hemorrhage

Postpartum Hemorrhage or PPH is a serious concern and the main cause of maternal mortality and morbidity across the world. PPH is the excessive bleeding after childbirth. In a normal or vaginal delivery if there is a blood loss of more than 500ml and in case of a C-Section if there is a blood loss of more than 1000ml then PPH is said to have occurred. If bleeding occurs within the first 24 hours of delivery it is called Primary PPH; whereas any excessive bleeding that occurs between 24 hours and 6 weeks after delivery is termed as Secondary PPH. Postpartum hemorrhage accounts to about 30% of maternal deaths.

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Healthcare Delivery Healthcare Technology

Call for submissions for the 6th Annual Asia Pacific (APAC) HIMSS-Elsevier Digital Healthcare Award 2018.

HIMSS Asia Pacific and Elsevier, the global information analytics company specializing in science and health, are proud to announce the call for submissions for the 6th Annual Asia Pacific (APAC) HIMSS-Elsevier Digital Healthcare Award 2018.

Since 2013, the HIMSS-Elsevier Digital Healthcare Award has attracted 193 submissions from 119 organizations across 30 countries. In total, the projects submitted have impacted over 41 million patients worldwide.

The two categories open for submission this year are:

  • Outstanding ICT Achievement – focuses on those who have harnessed information and technology to successfully advance patient care and safety
  • Outstanding ICT Innovation – focuses on those who have creatively leveraged existing technology or developed ground-breaking new solutions, to significantly enhance patient care and outcomes, and drive greater ICT adoption

Last year, the Award program witnessed strong participation from 18 healthcare organizations across APAC, recognizing five first-time recipients: The Royal Children’s Hospital Melbourne (Australia) and Fudan University Huashan Hospital (China) won the Outstanding ICT Achievement Award. Aravind Eye Hospital – Pondicherry (India), Mackay Memorial Hospital (Taiwan) and Princess Alexandra Hospital (Australia) won the Outstanding ICT Innovation Award.

“For the past five years, HIMSS and Elsevier have created a global platform for healthcare organizations to showcase their IT advancements. Since the inception of the Award, submissions have evolved with more large-scale projects. Last year, we also received a wider range of submissions from department-wide to enterprise and national-level. We hope this trend continues and look forward to greater participation from APAC and our host country Australia,” said Simon Lin, Executive Director, HIMSS Asia Pacific.

“We’re very proud of how far this Award has grown to become a recognized platform for meaningful exchange of ideas and best practice, on how to innovate and implement technology to improve patient safety and quality. We look forward to receiving the submissions from our healthcare partners and providers across Asia Pacific,” said Tim Hawkins, Managing Director, Clinical Solutions, Europe, Middle East, Latin America and Asia Pacific for Elsevier.

Judges for this year’s Award are:

  • Bill Le Blanc, Executive Director and Chief Information Officer, SA Health
  • John Sutherland, Chief Information Officer, Ramsay Healthcare
  • John Daniels, Global Vice President, HIMSS Analytics, USA
  • Dr. Korpong Rookkapan, Hospital Director, Paknampo Hospital, Thailand
  • Robert Nieves, Vice President Health Informatics, Clinical Solutions, Elsevier
  • Dr. Aamir Ali, Health Informatics Consultant, Ministry of Health and Prevention, UAE

Submit your case study here or email HIMSS to enquire. Deadline for submissions is Friday, Aug. 31, 2018.

Winners will be recognized on Monday, Nov. 5, 2018, at the HIMSS-Elsevier Award Dinner Reception held during HIMSS AsiaPac18, in Brisbane, Australia.

Good luck to all, last year Aravind Eye Hospital was recognized for its efforts in Digital Health. We hope this year others will follow suit.