Breathe Deep It is a Gift.

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cystic fibrosisSukumar saxena, was brought to me by his mother, he was diagnosed with cystic fibrosis. He was 8yrs old.

While Shivakumar Iyer is 30yrs and is already under treatment for cystic fibrosis.

Since Sukumar was under sixteen and not really very co-operative the therapy had to be done as a surrogate, that is through his mother.  We could gradually bring down the recurrent infection, and drugging. We could improve his stamina he has been able to go out doors to play.

But with Shivakumar we could directly work with him. In the first sitting all did was give him a flip, where he had work with the affirmation, ”I love life and life loves me, I now choose to take in life fully and freely.”  We did not do away with his medication, but we started with

  • Pranayama the breathing techniques to improve the quality of breathing.
  • Food chart was created to ensure nutrition was maintained.
  • Instead of aerobic exercise he opted for a 3mnts Tandava, which I taught him.

These were interlaced with sessions to deal with the core belief of “Life does not work for me,” and the sense of being stifled. These of course came from an unhealed past life. Once the issues were sorted we went in for organ regeneration. Through these sessions we could bring down the medication considerably and improve quality of life.

Since May is the month of Cystic Fibrosis awareness I thought I shall share this.

Cystic fibrosis is a disease that causes mucus in the body to become thick and sticky. This glue like mucus builds up and causes problems in many of the body’s organs. Particularly lungs and pancrease.

People with cystic fibrosis can have serious breathing problems and lung disease and also have problems with nutrition, digestion growth and development. There is no cure for cystic fibrosis, it only gets worse.cystic fibrosis 3

By and large the life expectancy for people with cystic fibrosis is up to 30yrs, newer treatments are making it possible for some people to live into their 40’s or more.

Cystic fibrosis occurs when a child inherits a changed cystic fibrosis transmembre3ane gene from both parents.  This interferes with the salt and water movement in and out of cells, causing the mucus to become thick and sticky. This kind of mucus makes it hard for the body to keep the organs and lungs clean and healthy.

If the child inherits the gene from only parent then the child becomes the carrier and does manifest the disease.

If you are the parent of child with cystic fibrosis then remember you did nothing to cause it.

Treatment

The diagnosis usually occurs within a year.

The treatment has to be inter-disciplinary. And a combination of home treatments and medicines.

Care should be taken to keep infection at bay and nutrition intact.

The family and caregivers require counselling and support too.

Though the respiratory and digestive systems are affected the most, other parts may also be affected.

Children with cystic fibrosis require pneumococcal shots in addition to the routine immunization shots.

Medication and Management:

  • Bronchodilators like Salmeterol are used to make breathing easier, and coughing of sputum less painful.
  • Mucolytics like acetylcysteine help to thin mucus in the lung and intestines, but these could cause irritation.
  • Inhaling of saltwater, that is hypertonic saline, sometimes helps to clear mucus; it helps to reduce airway inflammation.
  • Exercises it clears airway are used these are called airway clearance techniques these include
    • Postural drainage and chest percussion with deep breathing exercise.
    • Directed cough to clear mucus by breathing and coughing in specific ways.
    • Aerobic exercise can help to improve lung capacity.
  • Mechanical equipment like flutter valve, which is a high frequency chest compression vest. Is sometimes used to clear mucus from the lungs.
  • Digestive therapy uses enzyme replacement with Creon or pancrease to help the intestines to absorb nutrients from food.
  • Nutrition therapy helps to replace lost nutrients, this could include vitamins, high calorie eating, high fat food, drinking nutritional supplement. In some cases intravenous nutrients are given.
  • Enemas and stool softeners are used to manage constipation
  • Antibiotics are used to prevent infections.

cystic fibrosis 2Ongoing treatment for cystic fibrosis focuses on controlling and reducing probabilities of complications in the respiratory and digestive systems.  When it gets to extremes oxygen may be required in the house.

As the children get older it is important to teach them to take care of themselves.

Metaphysically cystic fibrosis could arise from a belief that life won’t work for you, the “Poor me” attitude.  This usually comes with a stifling, explosive spiritual environment in the home, and wanting to put out the fire. One affirmation that works here, is “I love life and life loves me, I now choose to take in life fully and freely.”

images courtesy Google.

 

 

 

 

Know Your Number

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hypertension17th– May to 24th May is hypertension awareness

Hypertension is perceived as silent killer, and the world hypertension day is about creating awareness of hypertension and to encourage citizens of all countries to help to prevent and control this.

The primary theme for this is Know Your Numbers. That is know your BP numbers the goal is create increased awareness around the world.

Hypertension has been termed a lifestyle disorder as it is sensitive all the aspects of daily life like sleep, exercise, work and stress.  Our blood pressure responds to these things quite sensitively.  What exactly is Hypertension?

When the blood flows through the arteries to reach its destination it exerts an pressure on the arteries, this pressure can be measured and is called as arterial pressure. When the heart contracts to push the blood out, it is called as systolic, and the pressure in the arteries then is the systolic pressure, and when the heart relaxes the pressure exerted on the arteries is the diastolic pressure. On an average this is 120/80 that is systolic/Diastolic.

When we say hypertension we are talking of systolic pressure more than 140 and diastolic over 100.

There are situations that place people as high risk to hypertension, these risks can be manageable or some are not manageable.

The manageable risks are that is they can be reversed.

  1. Obesity—a primary risk
  2. Smoking, or using tobacco in any form
  3. Drinking too much of alcohol
  4. Lack of exercise
  5. Increased cholesterol in the blood.
  6. Increased salt (sodium, potassium) in your diet
  7. Too little vitamin D in your diet,
  8. Oral contraceptives
  9. Stress
  10. Lack of sleep
  11. Chronic disorders like diabetes.

Those risk factors that cannot be managed are

  1. Age with age, the tendency to hypertension increases.
  2. Racial predilection
  3. Genetic predilection.

The warning signs show up as headache, drowsiness, confusion, vision disorder, nausea, vomiting.

The medical treatment for this would be

  • Diet management reduce salt.
  • Diuretics like Lasix to reduce fluid content.
  • Beta-blockers like atenlol to prevent the heart from pumping too hard.
  • Alpha-blockers like doxezosin to inhibit the hormone that causes contraction of the blood vessel.
  • Calcium blockers like amlodipine to bring about vasodilatation.

But if we were to speak metaphysically then cardiovascular disease, as its root in lack of love or joy in one’s life and a feeling of extreme loss, inability to express love or joy with others. Vascular problems are related to circulation, which is giving and receiving, hopelessness, futility, confusion, and a feeling of a purpose unfulfilled. Hypertension or high blood pressure particularly translates to a life energy within a body, movement/circulation of love and vitality through the body, increased pressure represents anger, stress, feeling that cannot or not allowed to be expressed resulting in a build up of inner pressure.

In all the manageable risk factors, or even the metaphysical aetiology of hypertension, the subconscious is not really resting and it does not allow recuperation in the truest sense of the word. This is where hypnosis steps, in.hypertension

Just a small exercise here, if you know how to take your own pulse, go for a short walk for about 5mnts and note the pulse n/minute, then rest a while, when you feel rested take your pulse and  note it again. It is going to be different right when you have just exercised and when you are rested, when you are rested the pulse is slower, which actually means, your body is capable of slowing down and making changes inside, through hetro-hypnosis we find that seed that has gone rogue, and we use hypno-tools to re-design this and allow the germination of new seeds.

The body is allowed to re-experience its own natural balance and harmony, and the body begins to relearn.

Finding My Clinic Space.

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dentistSometimes, things happen just like that.

With Myra it has been a constant, she has vertigo, and she has tendency to depression alternating with anger, she was almost declared Bipolar.

She came to as a last resort, and what we discovered was she had massive passive-aggressive behaviour. She had career and financial blocks that were giving her mood swings. Interesting thing about her vertigo was that she had this belief that she was stagnant and stuck while the world moved on. that manifested as dizziness.

Through the session it came out that the tradition at their house was kids worked on the dinning table, and when it was time to eat they moved their books out, if an adult wanted to iron they moved their things, and whoever sitting close to the plug point had to shift. So she was not really rooted into her academic and career self.

Though she did do medicine, and does have a home practise, it is a home practise she also writes for medical journals and public health articles she has no desk space or a place that she can call her own, there is no rooting.

after dealing with her I realized I was quite he much at the same space, in 1993 when I started my clinic, I really didn’t do it systematically like a business. Its only after so many years of practise I realize that a clinic is also a start-up I have to honour my workspace and the energy I put into it.

I have also in the last 5 years experienced the lacunae caused by a designated workspace. Here I am wondering how I will go about it. one option is of course the polyclinic or the shared space for doctors.

When I started my dental clinic I did not bother about demographics and stuff like that, I just went in like bull in the china shop. What am i looking at,  it should be a place that is accessable, yet should not be very loud.

Early practise in dentistry started off from family and friends and eventually it grew. With hypnotherapy it has to be subtler. Of course my sleep apnoe and tobacco patients do come in. so that is an okay space. Now hypno-clients in India a slightly up-market so my venue needs to be on the up-market side too.

A major criteria for me when I bought the clinic space in 1993 was layout, if I had the knowledge that I have now, i would converted the lower floor into my clinic space and rented the mezzanine. Unfortunately the epiphany came too late.

I am actually looking at chair space, since my dental chair can double up as my hypnochair.

  • I need a waiting space, a space to keep magazines,
  • Space for group therapy
  • Then there are spaces needed when I have training sessions, both in house or group.

Just investing in space until have regular group therapies or seminars somehow does not make sense. More importantly until I get all these things right investing into a space does not make sense. Sharing a workspace here makes more sense.

In my second clinic, space was an issue I would use the church or community hall. But putting things together is a pain.

Teaming up with alternate health centres’ would be a good idea, but wellness centers or health centers that I have seen have tied up with spas and tourist resorts that is a place where I do not want to go.

smokerrs

one of the many campaigns we run.

Of course co-workspace seems a good idea, the infra-structure is in place so I do not have to run around for a wi-fi connection, printer, scanner.

The events room and coffee maker are in place.

The business address and common office staff, again. There are concerns like http://kowrk.com that actually put together, people and optimize the available workspace through co-working. Unfortunately  Delhi- Mumbai-Bangalore are the only places they operate in India, else they are present in 4 countries with about 95 co-working spaces

http://kowrk.com/?utm_source=PR&utm_medium=PR&utm_campaign=IndiPR

 

World Tuberculosis day

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WORLD TB

WHO banner 2016 — image courtesy Google.

Yesterday was the world tuberculosis awareness day,

The government of India has launched Revised National Tuberculosis program in goa, the event at GCCI  was to create an awareness of it all. The chief guest Francis D’Souza I was very articulate and very crisp in what he had to share, I really admired the man for not venturing into Googled details to an audience who probably know much more about it since they are working hands on.  he had just one question to ask his audience which was probably the most relevant… “x– Number of people dying in Brussels in a bomb blast makes headlines, why are we not making headlines about TB which kills 2.5 lakhs of people each year?

There was no vocal media person present who could answer his question, nor was anyone present.

Technically the world Tuberculosis day was March 25th.

The event was attended by and large by people from the medical fraternity, few TB caregivers. The session was entirely technical focusing on diagnosis, the availability of CNAAT, facility.

The Key facts of TB are

  • TB ranks alongside HIV/AIDS the world’s top infectious disease.
  • 2014 9.6 million people fell ill with TB and 1.5 million people died from the disease, including 380 among people living with HIV.
  • 95% of TB deaths occur in low and middle income countries
  • TB is among the top 5 causes for death of women between 15-44yrs.
  • Globally we are talking about 480000 people developing MDR-TB drug resistant ones.

Facts in India:

  • 40% of the Indian population is infected with TB.
  • 18 Lakh people in India develop TB, each year, of which 8 lakhs are sputum positive that means the rest are not lung or chest infection, but emerge elsewhere in the body.
  • Since the most effected age group is 15 – 55 it causes tremendous economic disruptions.
  • TB is associated with social stigma, so many cases go unreported.
  • TB kills more women in India than any other infectious disease.

 

Ending TB will only be achieved with greater collaboration within and across the government and partners from civil society, communities, researchers, the private sector and development agencies. This means taking a whole of society and multidisciplinary approach, in the context of universal health coverage.

There are programs for developing diagnostic test, drugs and vaccines to improve delivery we are still talking about dealing with the disease after diagnosis.

We like to say that fragile health system and low economic conditions are challenges, but from what I can see, the challenge is creating the awareness.

Somethings that did occur to me…

  1. If a day dedication is meant to create awareness, then why were there no media? The reporters and doordarshan took off along with the minister.
  2. Why did we not create an action plan?
  3. One of the doctors I do not know her name, I presume she is a doctor, said,”oh! I have anganwadi teachers I train them” – how much are going to burden the anganwadi teachers,
  4. How about routine checkups, and public health education by the primary health centers at the schools of the community they cater to?
  5. How about every news paper particularly vernacular running a health awareness column?
  6. How about looking at other streams of health care?
  7. We are talking about Pharma-vigilance for drug efficacy, how about pharma-vigilance that prohibits over the counter selling of drugs?

    TB

    Image courtesy Google

Like Mr. Roland Martins pointed out, the purpose of the day was to create awareness, identify the weak links of where we are failing and create an action plan. We need prevent health to prevent, and then diagnosis to properly diagnose, and finally the treatment and patient care. If health education does occur, we can go about investing in research and marketing of drugs and diagnostic and make our pounds, dollars and rubles.

http://www.who.int/features/factfiles/tuberculosis/en/

http://www.who.int/en/

 

Self Injury Awareness Day

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self injury 3

Image courtesy Google.

“Other times, I look at my scars and see something else: a girl who was trying to cope with something horrible that she should never have had to live through at all. My scars show pain and suffering, but they also show my will to survive. They’re part of my history that’ll always be there.”

― Cheryl RainfieldScars

Cheryl is not the only one, there are many out there. 1st of March and weeks leading upto it, is the day dedicated to the grassroot  event  of creating a global awareness campaign. There are people who share to be more open to their own self harm , special efforts are made to create awarenss about self injury and self harm.

Since I have recovered from a 40% burns accident I have often accosted this question, is it self harm, why did you do it? I have been accused of being self centered without  considering my mother or daughters, well in all honesty I can say that it was an accident.  But self-harm/injury is not just the act of petulant  affluent teenagers it happens across sex, races, ages and backgrounds.

The word self harm describes a wide range of behaviours, and is usually a physical response to an emotional pain, this can become addictive. People are known to do varied things from cutting, burning, pinching themselves, other ways include drugs, alcohol, eating disorder. Even psychosomatic manifestations are sometimes triggered by self-harm tendency. What I have noticed both as a dentist and as a hypnotherapist, is quite often focusing on the feeling  rather than the actual infliction often provides the key to recovery and rehabilitation.

Self harm often happens  when the individual is overwhelmed with emotions like anger, fear, worry, depression or low self esteem, and this appears a way to manage or control negative feelings. Self harm quite many times is for of self-punishment for something someone has done, or even as an escape route for acute emotional abuse.

People do question what falls under the label of self harm. Well the bottom line is anything that causes harm  even the slightest and in a small way makes you feel emotionally  better  would fall under the umbrella of self-harm. What is relevant is not the label, but recognizing when help is needed and providing support.

Self harm is strongly associated with borderline personalities and self harm is one of the nine diagnostic criteria for bipolarity, depression, anxiety, maniac episodes psychosis. Childhood traumas severe abuse, neglect, abandonment can lead to self harming tendency.

There are people who express feelings of emptiness, loneliness, inability to express themselves, abusive relationship that lead them to self injury.

The signs and symptoms quite much resemble addictions, there are secret stashes, rituals,. Sometimes these are cyclic, there might be anxiety, then impulse, then resistence, tension and release, this could be followed by shame.  People with tendency to self-harms  may have frequent accidents, claiming or appearing to be clumsy in order to explain the wounds or bruises.  there is a tendency to be irritiable, prefers to alone for long periods of time,would have self esteem issues.

Triggers

Stress à causes overwhelmed, unable to cope, exposed and sensitive. àtriggersàself injuryà now the person feels release, relief, calmness and  in control.

Dissociation àfeels numb lost, unreal, alone and dissociated.–> triggers à self injuryà this in turn feel real, alive, functional and ready to act.

dealing with self injury involves the psychiatrist, psychotherapist, sometimes physician too.

self injury 4

Image courtesy Google

what we do if hypnotherapy is the option is— since hypnotherapy deals with belief systems, we help the individual alter their belief system, this is possible only we can view the trigger event with clinical detachment. We would also create triggers and support system within the individual to resolve the causative irritant. Hypnodrama often comes to play in dealing with the primary trigger episode. After which the new belief is fortified using EFT or self hypnosis.

 

 

Bridging the Gap

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image courtesy google.

image courtesy google.

Healing the parent child relation.

https://corporatehealthtrainer.wordpress.com/2015/10/29/domestic-violence-parent-abuse/

https://corporatehealthtrainer.wordpress.com/?p=600&preview=true

after the previous articles, no matter how hopeless it sounds, the adolescent children particular as they mature to adulthood, can come around to forgive their parents. If the parent was abusive when the child was younger,  then just a simple sorry will not help.

Though Hypnotherapy and Family constellation both help us resolve these issues, I have used this in my clinic by healing the inner child, there are other ways too.  It begins with

Trying to understand despite of being convinced that we have done nothing, there is something in our behaviour that the child has perceived. After all, the parent is the most omnipotent figure in the child’s life. Listening is the first step.

Don’t be defensive – even a whiff of self righteousness can disturb the equation.

Writing out an apology may work the child will be able to read it over and over again. Till it becomes acceptable.

If you have made a mistake then accept it.

If your child wants to continue the war, particular if the child is adolescent or young adult do not engage. Make it clear the war is over the child is still angry but in the long run it prevents you from saying hurtful things and it also sends the message that you want to peace.

Find an intermediary to send the olive branch. The child maybe more receptive to hear from someone else. This is a double edged sword, the surrogate make act as the lightening rod for the rage.

It takes a lot to bring things back to normal. Counselling and therapy may be required. Like I said, there various modes available once we acknowledge that we are dealing with the issue of a abusive child. the most important thing to do will be not give up on child and to continuously stay connected.

tapeworm and cancer

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image courtesy google

image courtesy google

John Doe had come to a Colombia hospital with multiple large tumours in various parts of his bodies, when the local doctors biopsied those tumours they found cells that acted like cancer cells when it came to destruction but behaved differently otherwise.

The most prominent feature was that the cells were 10 times smaller than that of the normal human cancer cell. The doctors called in Centre For Disease control and prevention for help. What the pathologist there saw was,that the cell did indeed grow in a with a high rate of multiplication and there was overcrowding which was cancer like, but there was fusing of cells which is rare in human cells.

The initial theory was that it was new type of infectious organism, but eventually it revealed to contain a DNA snippet of a dwarf tapeworm known as Hymenolepis nana. This was further confirmed by a researcher and tapeworm expert at the National History Museum in London. The discovery that the cells had tapeworm DNA was a big surprise.

Whether the cells had cancerous property before they entered the man’s body or whether they became cancerous in his body is not clear. this was the first time parasite driven cancer cells had spread within an individual.

As we debate whether the cancer was true or not, the bottom line is the man did have cancer, and he would have did if he was not treated effectively.

Cancer is not known to be transmissible in human expect in very rare cases, from mother to foetus. Even among animals scientists have discovered only two contagious cancers so far, one in dogs which is non-fatal and the other in Marsupials of Australia called Tasmanian devils.

image courtesy google

image courtesy google

the cause of the tapeworm mutating into a cancerous form is not really known. Actually even the fact that tapeworm get cancer was not known. It is possible that other parasites do too. Or it could have been an one off situation due to the medications that the gentleman was taking or something else totally.

There are about 75 million people living with tapeworm infection, it might be time to check them too, though most of them are asymptomatic.

That does raise the red flag right.