Tag Archives: BANGALORE

Chat with Dr. Devi Shetty (Heart Specialist)

Dr.Devi Shetty, Narayana Hrudayalaya (Heart Specialist) Bangalore

Dr.Devi Shetty, Narayana Hrudayalaya (Heart Specialist) Bangalore

A chat with Dr.Devi Shetty, Narayana Hrudayalaya
(Heart Specialist) Bangalore
was arranged by WIPRO for its employees .
The transcript of the chat is given below. Useful for everyone.

Qn: What are the thumb rules for a layman to take care of his heart?

Ans:
1. Diet – Less of carbohydrate, more of protein, less oil
2. Exercise – Half an hour’s walk, at least five days a week; avoid lifts and avoid sitting for a longtime
3. Quit smoking
4. Control weight
5. Control blood pressure and sugar

Qn: Is eating non-veg food (fish) good for the heart?

Ans: No

Qn: It’s still a grave shock to hear that some apparently healthy person
gets a cardiac arrest. How do we understand it in perspective?

Ans: This is called silent attack; that is why we recommend everyone past the age of 30 to undergo routine health checkups.

Qn: Are heart diseases hereditary?

Ans: Yes

Qn: What are the ways in which the heart is stressed? What practices do you suggest to de-stress?

Ans: Change your attitude towards life. Do not look for perfection in everything in life.

Qn: Is walking better than jogging or is more intensive exercise required to keep a healthy heart?

Ans: Walking is better than jogging since jogging leads to early fatigue and injury to joints

Qn: You have done so much for the poor and needy. What has inspired you to do so?

Ans: Mother Theresa , who was my patient

Qn: Can people with low blood pressure suffer heart diseases?

Ans: Extremely rare

Qn: Does cholesterol accumulates right from an early age
(I’m currently only 22) or do you have to worry about it only after you are above 30 years of age?

Ans: Cholesterol accumulates from childhood.

Qn: How do irregular eating habits affect the heart ?

Ans: You tend to eat junk food when the habits are irregular and your body’s enzyme release for digestion gets confused.

Qn: How can I control cholesterol content without using medicines?

Ans: Control diet, walk and eat walnut.

Qn: Can yoga prevent heart ailments?

Ans: Yoga helps.

Qn: Which is the best and worst food for the heart?

Ans: Fruits and vegetables are the best and the worst is oil.

Qn: Which oil is better – groundnut, sunflower, olive?

Ans: All oils are bad .

Qn: What is the routine checkup one should go through? Is there any specific test?

Ans: Routine blood test to ensure sugar, cholesterol is ok. Check BP, Treadmill test after an echo.

Qn: What are the first aid steps to be taken on a heart attack?

Ans: Help the person into a sleeping position , place an aspirin tablet under the tongue with a sorbitrate tablet if available, and rush him to a coronary care unit since the maximum casualty takes place within the first hour.

Qn: How do you differentiate between pain caused by a heart attack and that caused due to gastric trouble?

Ans: Extremely difficult without ECG.

Qn: What is the main cause of a steep increase in heart problems amongst youngsters? I see people of about 30-40 yrs of age having heart attacks and serious heart problems.

Ans: Increased awareness has increased incidents. Also, s edentary lifestyles, smoking, junk food, lack of exercise in a country where people are genetically three times more vulnerable for heart attacks than Europeans and Americans.

Qn: Is it possible for a person to have BP outside the normal range of 120/80 and yet be perfectly healthy?

Ans: Yes.

Qn: Marriages within close relatives can lead to heart problems for the child. Is it true?

Ans : Yes, co-sanguinity leads to congenital abnormalities and you may not have a software engineer as a child

Qn: Many of us have an irregular daily routine and many a times we have to stay late nights in office. Does this affect our heart ? What precautions would you recommend?

Ans : When you are young, nature protects you against all these irregularities. However, as you grow older, respect the biological clock.

Qn: Will taking anti-hypertensive drugs cause some other complications (short / long term)?

Ans : Yes, most drugs have some side effects. However, modern anti-hypertensive drugs are extremely safe.

Qn: Will consuming more coffee/tea lead to heart attacks?

Ans : No.

Qn: Are asthma patients more prone to heart disease?

Ans : No.

Qn: How would you define junk food?

Ans : Fried food like Kentucky , McDonalds , samosas, and even masala dosas.

Qn: Does consuming bananas help reduce hypertension?

Ans : No.

Qn: Can a person help himself during a heart attack (Because we see a lot of forwarded emails on this)?

Ans : Yes. Lie down comfortably and put an aspirin tablet of any description under the tongue and ask someone to take you to the nearest coronary care unit without any delay and do not wait for the ambulance since most of the time, the ambulance does not turn up.

Qn: Do, in any way, low white blood cells and low hemoglobin count lead to heart problems?

Ans : No. But it is ideal to have normal hemoglobin level to increase your exercise capacity.

Qn: Sometimes, due to the hectic schedule we are not able to exercise. So, does walking while doing daily chores at home or climbing the stairs in the house, work as a substitute for exercise?

Ans : Certainly. Avoid sitting continuously for more than half an hour and even the act of getting out of the chair and going to another chair and sitting helps a lot.

Qn: Is there a relation between heart problems and blood sugar?

Ans: Yes. A strong relationship since diabetics are more vulnerable to heart attacks than non-diabetics.

Qn: What are the things one needs to take care of after a heart operation?

Ans : Diet, exercise, drugs on time , Control cholesterol, BP, weight.

Qn: Are people working on night shifts more vulnerable to heart disease when compared to day shift workers?

Ans : No.

Qn: What are the modern anti-hypertensive drugs?

Ans : There are hundreds of drugs and your doctor will chose the right combination for your problem, but my suggestion is to avoid the drugs and go for natural ways of controlling blood pressure by walk, diet to reduce weight and changing attitudes towards lifestyles.

Qn: Does dispirin or similar headache pills increase the risk of heart attacks?

Ans : No.

Qn: Why is the rate of heart attacks more in men than in women?

Ans : Nature protects women till the age of 45.

Qn: How can one keep the heart in a good condition?

Ans : Eat a healthy diet, avoid junk food, exercise everyday, do not smoke and, go for health checkups if you are past the age of 30 (once in six months recommended)

STORY OF NARAYANA MURTHY AND SUDHA(INFOSYS).. Worth reading..!!

Love Story of Narayana Murthy (Infosys Founder) and Sudha (From Sudha’s Autobiography)

It was in Pune that I met Narayan Murty through my friend Prasanna who is now the Wipro chief, who was also training in Telco(TataMotors). Most of the books that Prasanna lent me had Murty’s name on them which meant that I had a preconceived image of the man. Contrary to expectation, Murty was shy,bespectacled and an introvert. When he invited us for dinner. I was a bit taken aback as I thought the young man was making a very fast move. I refused since I was the only girl in the group. But Murty was relentless and we all decided to meet for dinner the next day at 7.30 p.m .. at Green Fields hotel on the Main Road ,Pune.
The next day I went there at 7′ o ! clock since I had to go to the tailor near the hotel. And what do I see? Mr. Murty waiting in front of the hotel and it was only seven. Till today, Murty maintains that I had mentioned (consciously!) that I would be going to the tailor at 7 so that I could meet him…. And I maintain that I did not say any such thing consciously or unconsciously because I did not think of Murty as anything other than a friend at that stage. We have agreed to disagree on this matter.

Soon, we became friends. Our conversations were filled with Murty’s experiences abroad and the books that he has read.. My friends insisted that Murty as trying to impress me because he was interested in me. I kept denying it till one fine day, after dinner Murty said, I want to tell you something. I knew this   as it. It was coming. He said, I am 5’4″ tall. I come from a lower middle class family. I can never become rich in my life an! d I can never give you any riches. You are beautiful, bright, and intelligent and you can get anyone you want. But will you marry me? I asked Murty to give me some time for an answer. My father didn’t want me to marry a wannabe politician, (a communist at that) who didn’t have a steady job and wanted to build an orphanage…

When I went to Hubli I told my parents about Murty and his proposal.. My mother was positive since Murty was also from Karnataka, seemed intelligent and comes from a good family. But my father asked: What’s his job, his salary, his qualifications etc? Murty was working as a research assistant and was earning less than me. He was willing to go dutch with me on our outings. My parents agreed to meet Murty in Pune on a particular day at10 a. m sharp. Murty did not turn up. How can I trust a man to take care of my daughter if he cannot keep an appointment, asked my father.

At 12noon Murty turned up in a bright red shirt! He had gone on work to Bombay , was stuck in a traffic jam on the ghats, so he hired a taxi(though it was very expensive for him) to meet his would-be father-in-law. Father was unimpressed. My father asked him what he wanted to become in life.

Murty said he wanted to become a politician in the communist party and wanted to open an orphanage. My father gave his verdict. NO. I don’t want my daughter to marry somebody who wants to become a communist and then open an orphanage when he himself didn’t have money to support his family.

Ironically, today, I have opened many orphanages   something, which Murty wanted to do 25 years ago. By this time I realized I had developed a liking towards Murty which could only be termed as love. I wanted to marry Murty because he is an honest man.. He proposed to me highlighting the negatives in his life. I promised my father that I will not marry Murty without his blessings though at the same time, I cannot marry anybody else. My father said he would agree if Murty promised to take up a steady job. But Murty refused saying he will not do things in life because somebody wanted him to. So, I was caught between the two most important people in my life.

The stalemate continued for three years during which our courtship took us to every restaurant and cinema hall in Pune. In those days, Murty was always broke. Moreover, he didn’t earn much to manage. Ironically today, he manages Infosys Technologies Ltd., one of the world’s most reputed companies. He always owed me money. We used to go for dinner and he would say, I don’t have money with me, you pay my share, I will return it to you later. For three years I maintained a book on Murty’s debt to me.. No, he never returned the money and I finally tore it up after my wedding.

The amount was a little over Rs 4000. During this interim period Murty quit his job as research assistant and started his own software business. Now, I had to pay his salary too! Towards the late 70s computers were entering India in a big way.

During the fag end of 1977 Murty decided to take up a job as General Manager at Patni computers in Bombay … But before he joined the company he wanted to marry me since he was to go on training to the US after joining. My father gave in as he was happy Murty had a decent job, now.

WE WERE MARRIED IN MURTY’S HOUSE IN BANGALORE ON FEBRUARY 10, 1978 WITH ONLY OUR TWO FAMILIES PRESENT.I GOT MY FIRST SILK SARI. THE WEDDING EXPENSES CAME TO ONLY RS 800 (US $17) WITH MURTY AND I POOLING IN RS 400 EACH.

I went to the US with Murty after marriage. Murty encouraged me to see America on my own because I loved travelling. I toured America for three months on backpack and had interesting experiences which will remain fresh in my mind forever. Like the time when the New York police took me into custody because they thought I was an Italian trafficking drugs in Harlem . Or the time when I spent the night at the bottom of the Grand Canyon with an old couple. Murty panicked because he couldn’t get a response from my hotel room even at midnight. He thought I was either killed or kidnapped.

IN 1981 MURTY WANTED TO START INFOSYS. HE HAD A VISION AND ZERO CAPITAL…initially I was very apprehensive about Murty getting into business. We did not have any business background …. Moreover we were living a comfortable life in Bombay with a regular pay check and I didn’t want to rock the boat. But Murty was passionate about creating good quality software. I decided to support him. Typical of Murty, he just had a dream and no money. So I gave him Rs 10,000 which I had saved for a rainy day, without his knowledge and told him, This is all I have. Take it.. I give you three years sabbatical leave.. I will take care of the financial needs of our house. You go and chase your dreams without any worry. But you have only three years!

Murty and his six colleagues started Infosys in 1981,with enormous interest and hard work. In 1982 I left Telco and moved to Pune with Murty. We bought a small house on loan which also became the Infosys office. I was a clerk-cum-cook-cum-programmer. I also took up a job as Senior Systems Analyst with Walchand group of Industries to support the house.

In 1983 Infosys got their first client, MICO, in Bangalore . Murty moved to Bangalore and stayed with his mother while I went to Hubli to deliver my second child, Rohan. Ten days after my son was born, Murty left for the US on project work. I saw him only after a year, as I was unable to join Murty in the US because my son had infantile eczema, an allergy to vaccinations. So for more than a year I did not step outside our home for fear of my son contracting an infection. It was only after Rohan got all his vaccinations that I came to Bangalore where we rented a small house in Jayanagar and rented another house as Infosys headquarters. My father presented Murty a scooter to commute. I once again became a cook, programmer, clerk, secretary, office assistant et al. Nandan Nilekani (MD of Infosys) and his wife Rohini stayed with us. While Rohini babysat my son, I wrote programs for Infosys. There was no car, no phone, and just two kids and a bunch of us working hard, juggling our lives and having fun while Infosys was taking shape. It was not only me but also the wives of other partners too who gave their unstinted support. We all knew that our men were trying to build something good.

It was like a big joint family,taking care and looking out for one another. I still remember Sudha Gopalakrishna looking after my daughter Akshata with all care and love while Kumari Shibulal cooked for all of us. Murty made it very clear that it would either be me or him working at Infosys. Never the two of us together… I was involved with Infosys initially.

Nandan Nilekani suggested I should be on the Board but Murty said he did not want a husband and wife team at Infosys. I was shocked since I had the relevant experience and technical qualifications. He said, Sudha if you want to work with Infosys, I will withdraw, happily. I was pained to know that I will not be involved in the company my husband was building and that I would have to give up a job that I am qualified to do and love doing.

It took me a couple of days to grasp the reason behind Murty’s request..I realized that to make Infosys a success one had to give one’s 100 percent. One had to be focussed on it alone with no other distractions. If the two of us had to give 100 percent to Infosys then what would happen to our home and our children? One of us had to take care of our home while the other took care of Infosys.

I opted to be a homemaker, after all Infosys was Murty’s dream. It was a big sacrifice but it was one that had to be made. Even today, Murty says, Sudha, I stepped on your career to make mine. You are responsible for my success…

That’s the Power of Love.

Swine flu

Managing Novel Influenza A H1N1

(earlier called Swine flu)

What is influenza – A (H1N1)

  • Influenza – A (H1N1) (earlier know as swine flu) is a new influenza virus causing illness in people.
  • Influenza A (H1N1) virus is contagious and spread from human to human

Global Scenario (as per WHO update)

  • Number of countries reporting cases ~160
  • Number of cases worldwide: >134,500
  • Over 810 deaths as on 27 July 09

Situation in India

  • The H1N1 virus or swine flu claimed its first life in India on 4th Aug 2009 in Pune
  • India has 574 positive cases of H1N1 infection expects the number to rocket over the next few months.

How Influenza – AH1N1 or Swine Flu Spreads

Spread primarily through respiratory droplets

  • Contact with respiratory droplets
  • Coughing
  • Sneezing

It can also spread through surface contacts

The majority of these cases have occurred in otherwise healthy young adults.

Incubation Period 1-7 days

Influenzas can spread quickly:

  • May be contagious BEFORE developing symptoms
  • Virus can survive on hard surfaces for many hours

Symptoms

  • Symptoms similar to seasonal flu
  • Important clinical features of swine influenza include fever, and upper respiratory symptoms such as cough and sore throat.
  • Head ache, body ache,running nose or stuffy nose
  • fatigue diarrhea and vomiting have also been observed.

Emergency Warning Signs

If you become ill and experience any of the warning signs, seek emergency medical care

In Children

-          Fast breathing or trouble breathing

-           Bluish or gray skin color

-           Not drinking enough fluids

-           Severe or persistent vomiting

-           Not waking up or interacting

-           Flu like symptoms improve but return with fever and worse cough

In Adults

-          Pain or pressure in the chest or abdomen

-          Difficulty breathing or shortness of breath

-           Sudden dizziness

-           Severe or persistent vomiting

-           Flu like symptoms improve but return with fever and worse cough

Potential Infection Time Line


potential infection time line

potential infection time line

Precautions

  • Follow simple steps as cough etiquettes (covering mouth & nose with handkerchief or tissue     paper while coughing)
  • Stay at least an arm’s length from persons coughing or sneezing, avoid gathering and wash    your hands frequently
  • Wash your hands often with soap and water, especially after you cough or sneeze.
  • Avoid touching your eyes, nose or mouth.  Germs spread this way.
  • Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids and eat    nutritious food.
  • Try to stay in good general health

If infected with influenza, one must stay at home, away from work or school and limit contact with others to keep from infecting them and should seek medical assistance at designated centers immediately

What Else can be done?

  • Social Isolation – Work From Home, no public gatherings
  • Personal Hygiene – Hand wash, Cough etiquette
  • Personal Protective Equipment (PPE) – Masks, Gloves, Hair covers, Protective clothing (gown or apron), Boot or shoe covers.
  • School Closures – Children major “spreaders”
  • Home Quarantine – Stay home if family member ill
  • Travel Restrictions – To follow travel advisory issued by Govt.

Medicines for Swine Flu

  • Necessary medicines in sufficient quantity are available.
  • The Government has, in the designated hospitals, stored medicines if required.
  • It is strongly advisable not to take medicines of your own, as it will lower your immunity

Guidelines by Health Ministry of India

  • Any person with flu like symptoms such as fever, cough, sore throat, cold, running nose etc. should go to a designated Government facility for giving his/her sample for testing for the H1N1 virus
  • After clinical assessment, the designated medical officer would decide on the need for testing
  • If tested as positive for H1N1 and the patient  opts for home isolation and treatment, he/she would be provided with detailed guidelines / safety measures to be strictly adhered to by the entire household of the patient
  • He/ she would have to provide full contact details of his entire household. The house hold and social contacts would be provided with the preventive treatment.

The Union Government has identified hospitals in all cities for testing suspected swine flu patients. Also screening facility available at all International airport for all the inbound passengers to prevent the spread of H1N1. Doctors from the Hospital are round the clock screening the passengers at the Airport.

MUMBAI
Kasturba Hospital
Arthur Road, Sane Guruji Marg,
Mumbai 400011
Ph: 022- 23083901 / 23092458 / 23000889
Dr. Umesh Aigal – 09820935680

Bangalore
Dr. Rajiv Gandhi Institute of Chest Diseases and SDS TB Hospital Hosur  Road,
Near NIMHANS, Bangalore-29, Karnataka
Dr. S. Buggi – 09448042579
Dr. Nagraj- 09448057093

Chennai
Communicable Disease Hospital,
87, T.H. Road, Tondiarpet,
Chennai, Tamil Nadu
Dr. Lakshmi- 044-25912688. M- 09841250567

Hyderabad
Govt. General and Chest Diseases Hospital, Erragadda , Hyderabad
Hospital Helpline Number – 040-23814939
Dr. Prasad – 9849902995

New Delhi
Yellow Fever Quarantine Centre,
Near AAI Residential Colony,
New Delhi 91-11-25652129
Dr S.K Singh:09868252314
Influenza Ward,
Ward no 5,
Second Floor, New Building,
RML Hospital, Delhi-1
RML- 91-11-24525211,23404328,23365525- Ext 4328

Ahmedabad
Civil Hospital attached to Medical College,  Asarwa, Ahmedabad, Gujarat-380016
Dr. Ancheliah – 09426347531

Pune
Dr. Naidu Infectious Disease  Hospital, Pune, Maharastra
Dr. Barathe – 09923130909