Category Archives: HealthWise

HealthWise: Dementia- An Overview

The Self Portraits of William Utermohlen

The White Room

I lie on the bed

in the white room

They sit around me

These strangers with familiar voices

I think we are waiting for something

or someone.

These strangers, they look at me

They mutter words I don’t understand

A man in a white coat walks in

He stands next to my bed.

He speaks not to me,

but to these strangers

They are talking about me, I know.

About what, I don’t understand.

Irritated, I kick off the covers.

Mother! They chide me and pull them back.

About the poem: This is a poem about dementia, the hallmark of the disease being loss of memory. I write about a scene I came across during my rounds in the hospital—an elderly woman in the advanced stages of dementia is lying on the bed surrounded by her caring relatives. It’s difficult to know what’s going on in the poor woman’s mind because she has lost the ability to speak, even comprehend. Yet it’s apparent she’s unaware of her ailment. She doesn’t even know where she is or who she is with.

Dementia is a syndrome that results in gradual and progressive decline of previously acquired mental abilities that results in a loss of social and occupational functioning and ultimately to loss of independence. It is imperative to distinguish this from normal aging- normal aging never results in loss of independence.

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HealthWise: Food and Immunity

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Current COVID crisis has generated a lot of interest in immunity, especially natural and innate immunity. One way to improve it is by eating right.

Below is a very opportune guest post by Palak Nagpal, who is a nutritionist based out of Delhi, India.

      IMMUNITY 

Immunity isn’t built overnight nor does eating a superfood alone help you to build it.  

I know there is a lot of information out there so I’ll keep this short and crisp. Keep checking off the things you are including in your nutrition plan every day and make space for those which you aren’t. Here’s a list of important foods particularly important for boosting our immunity: 

  1. Load up on Vitamin C 

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Sources: Amla/gooseberry, lemon, orange, kiwi, guava, black pepper, bell pepper

2. Vitamin E is the most well-known antioxidant which fights infection and keeps our immune system strong. Nuts & seeds are rich in Vitamin E. 

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HealthWise: COVID 19 and How it has Changed the World

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This is a guest post by Sonali Dhir on the current times and how it has changed us and our lives:–

I have lived and worked in New Jersey my whole life. Covid-19 changed our way of life drastically here since mid -March of this year. Pre-Covid-19, if we did not feel like cooking, we could head less than a few miles from home and find a fast food joint or restaurant open to grab a bite to eat. Our waiter or waitress would ask us what we wanted and we would simply order what we liked on the menu. It was not just the food but the experience that led us out of our homes. It was normal, it was a break from the usual routine of work, school, running errands and then returning home. However, post the eruption of Covid-19, the new normal is cooking at home, going out for essentials, working from home if possible and homeschooling children. There were closures of beloved small businesses we used to frequent when it was actually safe outside or to go somewhere when we felt the need to go. Now everything must be meticulous planned prior to going anywhere. Want a haircut or nails done? Make an appointment.  Want to go shopping? Wait in line six feet apart until there is enough room for you to enter.

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HealthWise: COVID 19 Overview

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Disclaimer: This is a general overview of COVID 19. A lot of the information is evolving therefore kindly refer to the CDC or your country’s public health agency. 

I am a practising physician, an Internist and hospitalist working in the USA and this is my small attempt to raise awareness about this virus.

What is COVID 19 or SARs COV 2?

COVID 19 or SARs COV 2 is the virus (severe acute respiratory syndrome coronavirus 2)  which is responsible for the pandemic across the world. It originated from Wuhan, China. We first learned about it when a cluster of cases with severe pneumonia was reported around New Year’s Eve 2019. 

Some facts: As of today:–

World over 12.9 million cases and over 571 thousand deaths. 

Equally important! Over 7 million recoveries!

US: over 3.3 million cases; 137,000 deaths and over 980,000 recoveries. Curve going up again. 

India: over 878,000 cases. Over 23000 deaths 553,000 recovered- cases still rising

UK: 290, 000 cases. Over 44800 deaths. 

China 85,522 cases. Reported Deaths: below 5K 

Italy: 243,000 cases Deaths: 34,954 and 1.9 million recovered. Less than 300 cases are being reported everyday now. Lockdown worked!

Spain: 254,000 cases. Deaths 28,403. 150K recoveries. 

South Korea: 13,479 cases. 289 deaths. 12,204 recoveries. Over 90% recovery rate!

Japan: 21,500 cases.. Below 700 deaths.

Hongkong: 1522 cases. 8 deaths. 1217 recovered! 

One death is too many. Yet it is important to know that most people who get the infection recover. 

Overall death rate is probably less than 1% (as many cases are asymptomatic and undiagnosed). It’s also important to keep in mind that this rate is considerably higher in the at risk population. 

The mortality (death) rate in India is much lower than other countries – (why?- unaccounted deaths (doubt), underlying resistance/immunity which ‘protects’ against severe illness?)

Besides the above the cost of the infection has been much higher- people have lost their livelihoods, their jobs and businesses have been shut down- some permanently. It has also had a huge mental health cost– such as isolation, lack of contact with your loved ones and dying alone from the disease. 

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