Tag Archives: super speciality hospital in Bangalore

TB Patients to be provided Free Drugs Even in Private Pharmacies Soon

Many of us aren’t aware that the government of India provides free TB medicines to people at government authorised centres like government hospitals, DOTS providers, Community directly observed Treatment as a part of their efforts to eradicate TB completely from country. Further, there is good news around it. The highest drug advisory of India has considered relaxing the rules under the Drugs and Cosmetics Act.

India has had a high number of TB cases and hence the government felt the need to make the TB drugs accessible faster. By taking private pharmacies into the circle of free stocking and dispensing of TB medicines will definitely increase the reach. The idea was popped last year with and objective of increasing the accessibility of the medicines for the people in need. Furthermore, the pharmacists will have to keep a stock of it also because they came under Schedule H1, as per the director general of health services.

TB Patients - Free Drugs

The proposal is to amend the rule 65(18) of Drugs and cosmetics act by proviso insertion on distribution as well as stocking of anti-TB drugs by taking private pharmacies into the Revised National TB Control program (RNTCP) of the government of India.

By establishing linkages with the private sector the objective is to establish linking between the private and the government for not only distribution of free drugs but for patient support services and counselling as well. The national TB control program is on a mission of providing universal access to TB patients as the latest global TB report released by the world health organisation showed India topping the charts.

Another other reason for trying to make TB drugs accessible at private pharmacies is to shun away the stigma around the condition in some sections of the society. So, if you know of someone having TB or just share this information on with your maids and other servants, it just might help them or people they know dealing with the condition.

Vitamin D Deficiency and Joint Pain

While the studies are inconclusive till now and still research is going on, most of them do state that Vitamin D deficiency is responsible for joint as well as muscle pain. The symptoms of Vitamin D Deficiency and Joint Pain include Rheumatoid Arthritis (RA) pain that occurs in the knees, hips, and legs as well as joints and muscles.

Vitamin D Deficiency and Joint Pain

Joint Pain
There is a belief that Vitamin D plays a significant role in relieving the joint pain condition, specifically if the pain is due to deficiency. Some studies that support the belief include the following:

  • A 2011 study of postmenopausal women, published in ‘Maturitas’ suggested that the women with severe joint pain did suffer from very low vitamin D levels.
  • Another study in 2011 published under ‘Clinical Rheumatology’ stated that 70 percent of the patients who experienced some kind of joint pain were also deficient in Vitamin D.
  • A research paper of the year 2012 states that Vitamin D could be one of the risk factors associated with the inflammatory diseases such as RA and could also lead to an increase in the severity of it.
  • Another research paper of the year 2016 has stated that people with RA conditions also showed low Vitamin D levels.
  • Studies have also stated that increased level of Vitamin D in the body can help prevent joint conditions like Osteoporosis. Even people suffering from RA are subject to osteoporotic fractures and even suffer from joint pain.

These studies have been inconclusive after a large study in 2015 concluded that the evidence available is not strong enough to prove that Vitamin D deficiency is solely responsible for joint pain. But the fact that most of the Indians and numerous over the world suffer from Vitamin D deficiency holds true. The percentage is over 70% across the world when it comes to Vitamin D deficiency.

Vitamin D Deficiency
Vitamin D is a fat-soluble nutrient which is found in many foods. A natural source of Vitamin D is the Sun. The normal levels of Vitamin D are said to be 30-80 ng/ ml while below 20 is considered to be a severe deficiency.

Food and Supplements
Experts suggest a daily intake of 600 IUS for anyone under 70 years of age. While infants below 1 it’s around 400 and adults above 70 its 800 IUS. Some food sources of Vitamin D include beef, egg yolks, shitake mushrooms, canned fish, almond milk, salmon, orange juice, fortified tofu, breakfast cereals, but to name a few. A Vitamin D test can help you know if you are deficient or not and the doctor might prescribe you vitamin D supplements if you are to bring your Vitamin D levels as per the desired levels.

Department of Orthopaedics at Vydehi Hospital is full-fledged and has all the facilities to treat the patients with Orthopaedic problems.

Hypertrophic Cardiomyopathy – Heart Attack at Young Age

Hypertrophic cardiomyopathy (HCM) is condition that is caused due to abnormal thickening of the myocardium or heart muscle. As a result the heart struggles in pumping blood and ultimately leads to a heart attack. This is not a common heart condition and hence this condition many a times goes unnoticed. Furthermore, some people who suffer from it might or might not experience any symptoms and are able to live routine normal lives. Only a few might experience symptoms like chest pain, issues with the heart’s electrical system , shortness of breath leading to abnormal heart rhythms of dangerous nature.

Heart Attack at Young Age

CAUSES & RISK FACTORS
Thickening of the heart muscle is a condition which is genetic. It has been found that people with this condition do have their heart muscle cells abnormally arranged, thus causing arrhythmia in them.
Well, as the condition is a hereditary condition there is almost over 50% chance that a child may inherit it from the parent or first degree relative like siblings and hence a screening is advisable if anyone in the family is having the condition.

SYMPTOMS
Not everybody suffering from the condition experiences symptoms but the ones who do may experience the following –
1. Chest pain particularly while exercising
2. Palpitations of rapid pounding heart beats
3. Shortness of breath more during exercising
4. Fainting particularly after exertion or exercise
5. Heart murmur detectable by the doctor

COMPLICATIONS
Hypertrophic Cardiomyopathy (HCM) can cause serious heart complications resulting in a life-threatening situation and hence it’s wise to act fast as far as treatment is concerned.
Resulting Conditions
Sudden Death – People suffering from the condition are at a high risk of suffering from a cardiac death due to Ventricular Fibrillation and Ventricular tachycardia, though the chances are extremely rare. It usually affects people at a younger age much below 30 but can occur in all ages.

Atrial Fibrillation – Due to the abnormal structure of the hear cells or thickened muscle it can affect the heart’s electrical system causing irregular heart-beats.

Mitral Valve Problems – Due to the thickened heart muscle, the space for blood flow is limited and hence it could cause the blood to rush or move forcefully into the heart. As a result, the hearts left and right ventricle will not close properly further causing the blood to flow in the reverse direction into the left atrium and worsening the symptoms.

Dilated Cardiomyopathy – This condition can occur in a chunk of people due to the weakening of the heart muscle after it thickens. It can further enlarge the ventricle and decrease the pumping ability.

Heart Failure – Thickening can sometimes lead to making the heart muscle stiff thus avoiding any sort of blood accumulation into it and further as the heart is not able to pump blood, it can cause heart failure.

Prevention
As the cause of the condition primarily is genetic, it can’t be prevented but taking care and carrying out procedures like cardioverter-defibrillator transplant can help you avoid risks like sudden death. Further, the symptoms clearly pinpoint to the fact that when doing strenuous exercise or exertions these symptoms pop up, hence it’s advisable to get your heart checked if someone in the family is having this condition and avoid participating in exercises and sports competitions which can cause exertion to the body.

Vydehi Institute of Cardiac Sciences is a well equipped super specialty center located in Vydehi Hospital designed to serve your hearts needs. It is equipped to treat all cardiac, cardiothoracic and vascular cases.  It uses all the latest equipment and technology coupled with the years of experience in its faculty.  All surgeries conducted at the department have been successful resulting in a 100% success rate.