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Morning Health Talk :
New Delhi, June 25, 2018 :
PM in Man Ki Baat
“Fourth Yoga Day celebrations on 21st June were unique; People around the world performed yoga with great enthusiasm”
“Yoga goes beyond boundaries and forms a bond with the society”
“Entire nation was proud to see the dedication of our soldiers to perform yoga – In the waters, on the land and in the sky”
“Yoga has united people around the world by going beyond the boundaries of caste, creed and geography”
“Yoga has helped realise the true spirit of Vasudhaiva Kutumbakam, which our saints and seers have propagated since centuries”
“Doctors are our lifestyle guides; they not only cure but also heal”
“Indian doctors have made a mark across the world for their abilities and skills”
These were few of the words spoken by the PM in his address to the nation. Positive words about the medical profession will go a long way in reducing the increasing mistrust about the medical profession and resulting violence in the society.
If India is to rule the world in the field of mind body medicine than yoga should be made a mandatory department in every medical establishment dealing with International medical tourism.
Suggested protocol for arthroplasty
For low risk patients receiving prophylaxis with rivaroxaban following elective unilateral total hip or total knee arthroplasty adopt a hybrid strategy that involves switching to daily aspirin (81 mg) at day 5. Aspirin is continued for an additional 9 days for patients undergoing TKA and 30 days for THA.
Stroke protocol
For patients with ischemic stroke caused by a large artery occlusion in the proximal anterior circulation who cannot start treatment within six hours of the time they were last known to be well, intra-arterial mechanical thrombectomy from 6 to 24 hours is recommended if there is evidence of a mismatch between specific clinical and imaging criteria.
Drug treatment for OSA
In a phase II study of 73 adults with moderate or severe OSA comparing the cannabinoid dronabinol with placebo, dronabinol reduced the severity of OSA as measured by the apnea hypoxia index (AHI), although wakefulness, sleep architecture, and overnight oxygenation were unchanged. (Sleep 2018; 41.)
Home sleep test not for children
Home sleep apnea tests (HSATs) are an accepted and potentially convenient option for diagnosis of obstructive sleep apnea (OSA) in selected adults. However, HSATs are not recommended for diagnosis of OSA in children. ( J Clin Sleep Med 2017; 13:1199.)
Dr KK Aggarwal
Padma Shri Awardee
Vice President CMAAO
President HCFI
HealthySoch
