World Health Day -April 7

Imagine getting anything at Rs 1, yes, Rupees One per day!!

Never before offer for #Bangalore people on occasion of "World Health Day" which is on April 7.  Offer valid only for first 500 customers.

1.  Customers who visit our clinic at #Indiranagar from 9 am to 8 pm tomorrow or #Rajarajeshwari Nagar from 6 pm to 7 pm- OPD Consultation at only 150 Rs for General Physician.

2. At Indiranagar Clinic - #Oncology consultation for 250 Rs only.

3. Home visit by Prana Doctors at 350 Rs. Prior scheduling required.

4. If you have availed any of the above service, you get unlimited teleconsultations for 1 Re per day per person.

Call /whatsapp/sms  us on 9886309122 and be one of the first 500 Bangaloreans to grab this offer.


The theme for this year's , World Health Day is "Food Safety"

Below is the extract from WHO page!

Unsafe food is linked to the deaths of an estimated 2 million people annually – including many children. Food containing harmful bacteria, viruses, parasites or chemical substances is responsible for more than 200 diseases, ranging from diarrhoea to cancers.

New threats to food safety are constantly emerging. Changes in food production, distribution and consumption; changes to the environment; new and emerging pathogens; antimicrobial resistance - all pose challenges to national food safety systems. Increases in travel and trade enhance the likelihood that contamination can spread internationally.

Five keys to safer food

Food safety is a shared responsibility. It is important to work all along the food production chain – from farmers and manufacturers to vendors and consumers. For example, WHO’s Five keys to safer food offer practical guidance to vendors and consumers for handling and preparing food:

• Key 1: Keep clean
• Key 2: Separate raw and cooked food
• Key 3: Cook food thoroughly
• Key 4: Keep food at safe temperatures
• Key 5: Use safe water and raw materials.

Prana Healthcare Doctors Gets Featured in New Indian Express

Thanks to Doctors who are supporting and helping Prana Healthcare, we got featured in New Indian Express. The mission of making health care judicious, optimal, human, compassionate, evidence and technology based is on its way.
Also one of our co-founder Narayan Rao​ missed the photo shoot and being mentioned in the article as he was travelling. Prana Healthcare Enablers​  is a team because of him.
 Our doctor home visit, on demand doctors, clinics, tele-consultation, video-consultation, follow up support to specialists and hospitals are all aimed at empowering the customer and the doctor.

Here is the link to the article: Prana Healthcare Doctors in New Indian Express

Know Your Drug-Azithromycin

Prana Doctors come across many people who take Azithral or any brand of Azithromycin over the counter antibiotic, when they have sore throat, cold cough. While it might have helped you on numerous occasions, the risks and benefits vary according the age and other co-morbidities the person has.

We highlight below the risk and benefits  associated with taking Azithromycin.

Azithromycin is an important antibiotic used by Pulmonologists, ENT specialists, General Practitioners and other doctors.

It is used in 

1. Community acquired pneumonia

2. Acute bacterial exacerbations of chronic obstructive pulmonary disease.

3. Uncomplicated skin and skin structure infections.

4. Genitourinary tract infections

In Pediatric :

Acute otitis media, Pharyngitis and Tonsiliitis.

Dosage:

Side-effects:

1. Diarrhoea/loose stools (4-5%)

2. Abdominal pain (2-3%)

3.Nausea (3-4%)

4. Vomiting (1%)
Azithromycin has had a recent label change which warrants this writing.

The revised label advises against the use of azithromycin in patients with known risk for QT interval prolongation, hypokalemia, hypomagnesemia, bradycardia. 

This label revision is because of post marketing surveillance findings, an observational study involving Tennessee Medicaid Patients and also Danish national healthcare data.

Excerpts"

“For every 21,000 outpatient prescriptions written for azithromycin, one cardiovascular death occurred in excess of those observed with the same number of amoxicillin prescriptions. The excess risk over amoxicillin varied considerably according to cardiovascular risk factors; the researchers estimated that there was one excess cardiovascular death per 4100 prescriptions among patients at high cardiovascular risk but less than one per 100,000 among patients with lower cardiovascular risk.”

“The risks and benefits of antibacterial therapy should be considered in prescribing decisions. Pharmacologic and epidemiologic data point to lethal arrhythmias as a potential consequence of QT-interval prolongation with use of azithromycin, other macrolides, and fluoroquinolones. This possibility should give clinicians pause when they're considering prescribing antibacterial drugs, especially for patients with preexisting cardiovascular risk factors or clinical conditions in which antibacterial drug therapy has limited benefits.”

Reference: http://www.nejm.org/doi/full/10.1056/NEJMp1302726?query=TOC

Cardiovascular Risks with Azithromycin and Other Antibacterial Drugs

Andrew D. Mosholder, M.D., M.P.H., Justin Mathew, Pharm.D., John J. Alexander, M.D., M.P.H., Harry Smith, Ph.D., and Sumathi Nambiar, M.D., M.P.H.

N Engl J Med 2013; 368:1665-1668May 2, 2013DOI: 10.1056/NEJMp1302726

Prana Healthcare provides the general physician support as and when you need. Prana is you trusted "family doctor".

Prana Healthcare is a new age, compassionate, caring, primary healthcare provider. We send doctors for home visits and run primary care clinics in Bangalore.

You Can Prevent Diabetes In Your Children

What do you think causes "Diabetes"?

Eating sweets or carbohydrate rich diet?
Bad genes or as some like to say hereditary?
Multiple factors.

Our understanding about what causes diabetes is improving everyday. It is very disturbing that Indians are more at risk and grappling with this chronic disease which affects eyes, heart, kidney and nerves.

Well, what would you say if we told you that you can avoid getting "Diabetes". If you are ready to heed some advice and incorporate it into your living, the odds of you getting diabetes decreases dramatically.

Diabetes is a silent killer which in epidemic proportion is affecting Indians and other developing country citizens. If you are ready to follow few simple things you can help your children, yourself and the Nation.

Two reasons why Indians are at higher risk for diabetes and what you can do?

1. Avoid refined, processed and so called junk food. If you consume coke, pepsi or any carbonated drink, eat chips, burgers or a diet rich in raw sugar, chances are that your gut microbiota changes leading to insulin instability and diabetes. Your energy metabolism goes for a toss when your gut microbiota changes.

2. Judicious and optimal use of antibiotics. People who take more courses of antibiotics are at increased risk of diabetes. Antibiotic over usage eradicates the good bacteria in your intestine making you more susceptible to diabetes.  Next time when you have a viral infection do not take the antibiotic. Whenever your doctor prescribes antibiotic question him whether you can get well without antibiotic.

We need not have to wait for more evidence to do the following things:

1. Prefer and give a chance for vaginal delivery whenever possible.

2. Stop feeding our children and ourselves "junk food"

3. Avoid antibiotic abuse and over use.

You have the power to prevent diabetes. Prevent it.



References:

1. http://www.medscape.com/viewarticle/842409?src=sttwit

2. http://www.eje-online.org/content/early/2015/03/24/EJE-14-1163.abstract

3. http://www.nutritionj.com/content/13/1/60

Prana Healthcare provides the general physician support as and when you need. Prana is you trusted "family doctor".

Prana Healthcare is a new age, compassionate, caring, primary healthcare provider. We send general physicians for home visits and run primary care clinics in Bangalore.

Autism Awareness Day. What is Autism?

Autism Spectrum Disorder (ASD) is a lifelong developmental and neurological disorder that is estimated to affect nearly 20 lakh individuals in India (T C Daley and Sigman, 2002). This number may be more. 

The video gives description about Autism.

Below are the centres in Bangalore which are making a difference to Autistic people.

1. Sunshine Trust 

2. Asha Integrated School

3. Apoorva Centre

4. Bubbles Autism

Prana Healthcare provides the general physician support as and when you need. Prana is you trusted "family doctor".

Prana Healthcare is a new age, compassionate, caring, primary healthcare provider. We send general physicians for home visits and run primary care clinics in Bangalore.

Painful Menstrual Periods

Do you dread those two to five days of the month because you have to suffer the pain? The pain can be in the form of  lower abdomen pain, back pain, crampy pains, a sharp pain which comes and goes.

Most doctors will tell you that some amount of pain may be normal and there should be nothing to worry. But in case you have severe pain you need to rule out few causes. The medical term for menstrual pain is dysmenorrhea.

Painful menstruation can be the reason for losing out on school, office or daily fun. In rural India, menstruation is one of the reasons why girls drop out of school, as they do not have separate toilets in schools.

Dysmenorrhea can be of two types:

1. Primary Dysmenorrhea- Pain in young healthy females when they start menstruating.
2. Secondary Dysmenorrhea- is one which develops later in women who had normal periods.

Causes of Secondary Dysmenorrhea:

• Endometriosis
• Fibroids
• Intrauterine device (IUD) made of copper
• Pelvic inflammatory disease
• Premenstrual syndrome (PMS)
• Sexually transmitted infection
• Stress and anxiety

What you can do at home to help yourself:

• Do light circular massage with your fingertips around your lower belly area.
• Drink warm beverages.
• Eat light but frequent meals.
• Eat diet low in salt, sugar, alcohol, and caffeine. 
• Keep your legs raised while lying down, or lie on your side with your knees bent.
• Apply a heating pad to your lower belly area, below your belly button. 
• Do meditation or yoga.
• Try over-the-counter anti-inflammatory medicine, such as ibuprofen. Start taking it the day before your period is expected to start, and continue taking it regularly for the first few days of your period. Please ensure that your kidneys and liver are functioning normally. People with diabetes, hypertension or kidney disease need to discuss with their doctor before taking any medicines.
• Vitamin B6, calcium, and magnesium supplements may help if your pain is from PMS.
• Take warm showers or baths.
• Walk or exercise regularly, including pelvic rocking exercises.
• Lose weight if you are overweight. Get regular, aerobic exercise.

You need to consult a doctor , if you have

• Increased or foul-smelling vaginal discharge
• Fever and pelvic pain
• Sudden or severe pain, especially if your period is more than one week late and you have been sexually active.

Contact us if you need more help or have any health related queries.

Prana Healthcare is a new age, compassionate, caring, primary healthcare provider. We send general physicians for home visits and run primary care clinics in Bangalore.

Did You Miss "National Walking Day"?

The first Wednesday of April is celebrated as "National Walking Day". This April it coincided with April Fool's Day and probably got dwarfed by it. We hope that you had a hearty laugh today if not a walk!
We wish to stress the importance of walking for people across all age groups. Humans have evolved by walking. Going by the decrease in walking, guess we have stopped evolving!

Walking regularly has mental and physical benefits. And you are not too old to walk.

The benefits of walking are:

1. It improves blood circulation across the body. Blood supply to brain is also increased. Exam goers you may want to score more marks by incorporating daily walk into your schedule.

2. Your heart will thank you if you regularly walk. High blood pressure, diabetes and other chronic diseases are kept away when you walk regularly.

3. Walking regularly helps you to sleep better.

4. Walking reduces your stress, keeps depression and dementia away.

5. Walking regularly is best way to reduce weight.  It helps in reducing your food cravings.


To get all the above benefits you need to walk for minimum 30 minutes and preferably outdoors.

Prana Healthcare wishes you a healthy life.

Prana Healthcare is a new age, compassionate, caring, primary healthcare provider. We send general physicians for home visits and run primary care clinics in Bangalore.