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Stroke the greatest burden. Understand how to stop it?

Stroke the greatest burden. Understand how to stop it?

Sitting in my OPD a few days back with limited number of patients due to COVID lock down, I have been spending more time chatting with my patients and their families, discussing about a lot of things, related to their disease, burden on family due to illness and sometimes social issues. It gives you a new perspective to diseases, the problems patients face and issues faced by family which they are not able to discuss most of the time. In India, we do not have the luxury of spending a lot of time on counselling patients and their families. Doctors discuss pressing issues related to disease, prescribe medicines, advise tests if required and explains dos and donts.

Naveen had stroke around 6 months back, it came like a bolt from the sky, a 40 year old businessman who used to export shoes, life running from home to his shoe factory and back, spending some time with his kids, running after making ends meet and having no time to run to amend his belly. He was otherwise a jovial person without any bad habits. And he had stroke. No initial signs, no pain, no breathlessness and sitting in his office he could not speak and move one half of his body. He was rushed to hospital and received timely treatment and over a month was able to resume all his activities with same vigor but with some time to improve his lifestyle.

Every thing was almost right with him but why did he have Stroke? I was asked this question by his wife recently, what wrong did he do to have stroke at such a young age, “I have heard that paralysis usually occurs at older age but he is so young and active, then how can he suffer from such a devastating disease.” I knew the answers but they usually do not satisfy a curious family member who has faced a very rough time with the most disabling disease.

Let’s try to find some answers:

What is Stroke ?

Stroke or paralysis occurs when a part of brain stops getting blood supply or there is a bleeding in brain. That part of brain stops working and this leads to weakness of a part of body, change of speech, inability to walk properly, distortion of face, at times decreased vision and many other symptoms.

Stroke occurs in around 300-400 people for every 100,000 population. It is one of the leading causes of disability which leads to limitation of activity, burden on family and loss of livelihood. Stroke can occur at any age, even children can have stroke, however, causes in children may be different.

How to STOP Stroke?

Lifestyle Modification: A healthy lifestyle is key to holistic wellbeing. 40 minutes of brisk exercise or walking at least 5 times a week is recommended by most of the medical associations.

Simple measures like pacing around in office, reducing your time sitting on chair, taking stairs instead of lift, walking to nearby shops for groceries are few simple steps which will make you more active in your life. However, these should not replace your regular dose of exercise.

A healthy diet: High salt intake is associated with high BP and BP is one of the causes of stroke. Salt is present in a lot of food stuff which we consume very frequently. Sauces, papads, pickles, chutneys, processed foods, preserved foods have high salt content and should be avoided. Stop using salt on salads, fruits and try to reduce the amount of salt in daily food preparations also.

High cholesterol is a cause of stroke and heart disease. Fat is deposited in arteries which get blocked and lead to stroke and heart attacks. Reduce use of all sorts of oils, ghee, butter, cheese, mayonnaise, margarine, creams in your diet. Avoid having fast food which is usually loaded with cheese. There is some benefit of using PUFA oils but even their excess use can be harmful.

Detect and control your Diabetes: Diabetes patients are at very high risk of stroke. A regular screening of Blood Sugar or HbA1C levels should be done in each and every adult. If there is family history of diabetes, then testing should be frequent. If a person is diagnosed to have diabetes, he should control it in a very strict manner with regular medications and dietary restrictions.

Stress and Anger management: A healthy body is a home to peaceful mind and a peaceful mind can keep you healthy. Any form of stress takes a toll on our wellbeing. It reduces our efficiency, affects our behavior and alters perception of our surroundings. Meditation, Reiki, Dhyaan are all techniques of mind relaxation and should be practiced as per a persons choice.

Heart Disease: A number of heart disease are associated with stroke. Atrial fibrillation a disorder of hearty rhythm in which heart rate becomes irregular is a very common cause of stroke and can be seen in young patients also. If a person with heart ailment is found to have atrial fibrillation, he should ask his cardiologist about specific treatment so that he does not have stroke. Other heart disease in which there is problem with valves of heart can also lead to stroke.

Regular Treatment: Once a patient suffers from stroke, he may require some medications for a long period of time or possibly lifelong. A number of patients stop their treatment once they improve, they become complacent and stop worrying about being sick. However, this is not advisable and regular treatment and follow up with doctor is always required.

Stroke doesn’t discriminate between young and old, rich or poor, however, it can be avoided if we take adequate precautions, inculcate a structured plan in our lifestyle which will help us to remain healthy, and remain free of stroke, heart disease and may other diseases.

We can learn what to do to avoid Stroke and spread our knowledge to others to reduce stroke.

By

Dr. Kapil K Singhal

Senior Consultant and Clinical Coordinator

Metro Center for Neuroscience

Metro Hospital, Noida



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Anaesthesiology

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We’ve got the best Anaesthetics and Critical Care experts coupled with latest anesthesia machines ensuring adequate gas mixture delivery to the patient, Anesthetic gas monitors who ensure extreme economy and negligible theatre pollution. The department has long experience of giving successful anaesthesia in various thoracic, vascular and congenital heart disease cases.

Bariatric & Metabolic Surgery

Best Bariatric & Metabolic Surgery

Metro Centre for Bariatric & Metabolic (diabetic) Surgeries is an advanced set-up having complete diagnostic and surgical facilities. We provide a relaxing and satisfying experience to every patient and help them achieve their weight-loss goals.

Blood Bank

Best Blood Bank

Our Blood Bank is committed to provide high quality services by assuring the supply of safe and quality blood and its products to the patients. The blood bank adopts most modern technology and equipment. We’ve fully automatic ELISA processor, blood grouping and cross matching and blood component equipments. All the records and standard operative procedures (SOPs) are maintained and followed as per National and International standards.

Cardiology & CTVS

Best Cardiology & CTVS

Department of Cardiology is headed by Padma Vibhushan & Dr. B C Roy National Awardee Dr. Purshotam Lal, a pioneer in Interventional Cardiology consisting of a team of highly qualified and skilled interventional Cardiologists. Under his leadership, the centre has grown into the most specialized centre for angiography and angioplasty.

Dentistry

Best Dentistry

Metro Dental And Implant Centre has delivered millions of smiles over the years. The centre offers state-of-the-art dental services both through general out-patient and private OPD.

Dermatology

Best Dermatology

The centre provides a holistic, scientific and a technologically advanced approach for all dermatological and cosmetic conditions. Consultations with our experienced dermatologists ensure that the patients get the best advice, be it for skin diseases or cosmetic interventions. Our specialized services include- Pimples / Acne – Pigmentation Treatment, Cosmetic Peels, Non-surgical removal of warts, Laser treatment, as more.

Endocrinology And Diabetes

Best Endocrinology And Diabetes

Department of Endocrinology and Diabetes is a full-fledged facility involved in evaluating and treating patients for diabetes, Obesity, Sexual disorders, Hirsutism, PCOD, Osteoporosis, Adrenal disorders, other endocrine disorders. We offer a wide range of treatment options for endocrine and metabolic diseases. Our specialists are the most experienced one having a long track record of successful treatment of the patients.

ENT & Cochlear Implant

Best ENT & Cochlear Implant

We provide the complete diagnostic and treatment of disease and conditions associated with the ear, nose and throat. We are well experienced in treating everything from a basic disease to doing a complicated surgery involving Otolaryngologists, Audiologists, Speech-language pathologists and other medical professionals. Services include Endoscopic Sinus Surgery, Micro-Surgery of Ear, Cochlear Implant, Rhinoplasty, Head & Neck Surgeries, and more.

Gastroenterology & Gastro Surgery

Best Gastroenterology & Gastro Surgery

Metro Centre for Liver & Digestive Diseases (Gastroenterology & GI Surgery) has combined medical and surgical department. The team of doctors has received super speciality training in their respective field which ensures high quality of care. The combined setup of Gastroenterology and GI Surgery allows quick assessment and treatment of the patient. Our surgical services include the performance of specialized and complex GI surgical procedures for the management of diseases of various parts of the GI tract.

Haemotology

Best Haemotology

Clinical Haematology unit headed by very senior clinical haematologist . To support this, Metro Path Labs are well equipped and advanced labs to handle relevant investigations related to blood, lymphnode and spleen disorders like Leukemia, Thalassemia, multiple myeloma, etc. Routine procedures done here are Bone Marrow Aspiration, Bone Marrow Biopsy, Peripheral Smear Study, Reticulocyte count.

Holistic Medicine

Best Holistic Medicine

The department aims at healing the person completely - body, mind, spirit, and emotions aimed at optimal health and wellness. This is achieved with the help of specialists and by gaining proper balance in life. Our specialists use all forms of healthcare ranging from conventional medication to alternative therapies, to treat a patient. Our doctors use the combinations of drugs and lifestyle modifications to address any condition.

Homeopathy

Best Homeopathy

We bring you the convenience of getting quality homeopathic treatment for all your chronic and long standing illnesses. We are committed to provide you the best of the information and constitutional homeopathic treatment. Diseases Treated by Homoeopathy are Infectious Diseases, Viral Diseases, Diseases of Infancy and Childhood & Allergic Disorder.

Internal Medicine

Best Internal Medicine

The Department of Internal Medicine is a full-fledged facility offering comprehensive care for general and preventive medicine for all ages. The Department has the support and back-up of all super-specialities in the hospital providing end to end services varying from diagnosis, prevention, treatment, wellness, preventive health checks, rehabilitation services and management of various medical conditions.

Interventional Radiology

Best Interventional Radiology

A sub-speciality of Radiology is a subspecialty of radiology, providing minimally invasive treatments performed under guidance of x-ray fluoroscopy, ultrasound or computed tomography (CT Scan). In simple terms interventional radiologists “Not Just Diagnose But Treat too” with minimal invasive techniques. The advanced technology in Radiology provides a strong platform for efficient Interventional Radiological Procedures.

IVF

Best IVF

Metro Centre for IVF is at the forefront of delivering quality services in the field of Assisted Reproductive Techniques like IVF-IUI, ICSI, Surrogacy, etc.

Laboratory

Best Laboratory

A highly skilled team of medical professionals including physicians, medical technologists, medical technicians, lab assistants, biologists, chemist, microbiologists, geneticists, and other specialists work collaboratively to provide advanced diagnosis and laboratory services. Fully automated Robotic Arm, State-of-the-art BacT / Alert 3D Microbial Detection System etc. are among our top of the line technologies available.

Laparoscopic & General Surgery

Best Laparoscopic & General Surgery

Metro Hospitals and Heart Institute is well equipped with latest technological advancements in general and laparoscopic surgery and the centre is boasted to an advanced centre for general and laparoscopic surgeries.

Nephrology & Renal Transplant

Best Nephrology & Renal Transplant

Our department of nephrology and renal transplant is a well equipped unit with a dedicated team of skilled consultants and paramedical staff which offers patient the advantages of a multidisciplinary approach. Our center deals in treating children and adolescents with congenital and acquired kidney diseases. We accept patients at any stage of kidney disease. The services include Medical Management of Kidney Diseases, Dialysis and Renal Transplant.

Neurosciences

Best Neurosciences

The Department of Neurosciences has extremely talented and very well trained doctors who collaboratively work towards creating new paradigms for knowing the human brain condition and caring for it. Facilities include NCV, EMG, EEG, Video EEG, Botox Therapy for migraine and movement disorders (dystonia), Dedicated Stroke ICU, Neuro Rehabilitation Advanced facilities for Surgical Neurology.

Nutrition & Health

Best Nutrition & Health

A balanced diet provides complete balanced nutrition which is essential for a healthy life, enhancing the immunity of the person. The department consisting of expert dieticians provides Diet counseling according to the diagnosis of the patients, Diet counseling for different types of diseases like Diabetes, Liver diseases, Renal diseases, Diet related to pregnancy and lactation, Cardiac diseases, Weight management and many more.

Obstetrics and Gynaecology

Best Obstetrics and Gynaecology

Metro Centre For Obstetrics And Gynaecology is determined to unite their exceptional medical competence, advanced technology and novelty to offer the best treatments to the patients. Our broad spectrum of services include painless deliveries, management of high risk pregnancies/late pregnancies, gynae laparoscopic procedures, gynae onco services, pre and post natal care, amongst others.

Oncology & Onco Surgery

Best Oncology & Onco Surgery

We strive to create the best in class infrastructure, comprehensive facilities and render care and support by handholding every cancer patient in their journey. The management plan for each cancer is chalked out once the cancer is identified and staged. Treatment plan may include surgery, radiation and/or cancer medicine therapy. The team of Oncology Comprises of expert Medical Oncologists, Surgeons and Radiation Oncologists.

Ophthalmology, Metro Eye Centre

Best Ophthalmology, Metro Eye Centre

The team of highly experienced Ophthalmologists in a modern set-up perform various services like Phacoemulsification (Sutureless Cataract Surgery), YAG laser (for after cataract and glaucoma), Green laser (for diabetic and retinal eye diseases), Automated Perimetry, (For Glaucoma and Neurological visual Field), Applanation Tonometry for Glaucoma, Glaucoma surgery, Squint Surgery, etc. The results of all procedures match the international standards.

Orthopaedics, Joint Replacement & Spine Surgery

Best Orthopaedics, Joint Replacement & Spine Surgery

Metro Centre for Orthopaedics and Joint Replacements offers a wide range of treatment and comprehensive care for all kinds of musculo-skeletal conditions such as joint pain, spine pain, trauma, sports and other injuries. The Centre is well recognized for joint replacement surgeries of hip, knee and shoulder. The department is led by highly trained Orthopaedicians along with wide array of advanced technology. The Centre is specialized in providing services such as minimally invasive surgery, joint replacements, Orthopaedic Rehabilitation.

Paediatrics & Neonatology

Best Paediatrics & Neonatology

Metro Centre for Paediatrics & Neonatology is a top-notch centre for childcare which provides comprehensive paediatric, surgical, and immunization services to children up. We follow a holistic approach to treatment with our Neonatal Intensive Care Unit, Paediatric Intensive Care Unit, Paediatric and Neonatal Emergency, etc.

Physiotherapy

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The services in Physiotherapy & Rehabilitation include Consultation, Diagnostic: examination, S D curve, muscle testing, ADL testing, Manual therapy: active/assisted/passive/resisted/graded resisted exercise etc., physiotherapeutic interventional procedures, (home care) etc., Obstetric, gynecological clinic: antenatal and post natal care, and other management, Geriatric clinic: help in ADL activity, pain free activity, Fitness clinic, Posture correction clinic, Ergonomics clinic, etc.

Plastic, Cosmetic & Reconstructive Surgery

Best Plastic, Cosmetic & Reconstructive Surgery

The department has highly experienced specialists in cosmetic and plastic surgery, state-of -the-art infrastructure ensuring world class medical attention and care. It is an acknowledgement center of excellence providing advanced and intricate treatment. The center also offers the world superior quality cosmetic treatment at costs that are highly affordable, with results comparable to those at the best centers across the globe.

Psychiatry

Best Psychiatry

With the mission of spreading mental health awareness, we provide a variety of services ranging from awareness programmes to rehabilitations. The services provided are Pharmacotherapy, Electroconvulsive Therapy, Narcoanalysis, Biofeedback, Detoxification and Rehabilitation Programmes, Deaddiction Counseling, Stress Management, Couples/ Marital Counseling and many more.

Psychology

Best Psychology

We have a long experience in addressing the mental health conditions. Our experienced psychologists analyze the reasons behavioral disorder, emotional problem or psychiatric disease, and suggest and implement a valid solution to the problems customized to individual needs. The privacy of the patient is taken seriously during the total course of treatment.

Pulmonology & Sleep Medicine

Best Pulmonology & Sleep Medicine

World-renowned specialists and comprehensive advanced setup helps treat disorders related to the lungs, breathing and sleep with high success rate. The services include treatment of Asthma, COPD, Chronic Respiratory Failure, Sleep Disorders, Interstitial Lung Diseses, Tumours and Cancers of the Lung and Chest, Allergic Disorders, Laparoscopic Assisted Thoracic Surgeries.

Radiology

Best Radiology

A highly skilled team of experience Radiologists and Technicians comprises our Radiology Team. The highly advanced technology combined with high expertise ensures 100% accurate results which helps build right diagnosis. The facilities include: CT Scan (500 Slice), Advanced MRI (1.5 Tesla), 4D Ultrasound, Digital X-Ray, Bone Densitometry, Colour Doppler.

Rheumatology

Best Rheumatology

Immensely qualified team of experts is always available to accord the diseases of musculoskeletal system. The service include the treatment of various auto immune diseases like Rheumatoid Arthritis, SLE, Ankylosing spondylosis, gout and other immunological diseases, New Biological Treatments. We do have 24*7 physiotherapy department which deal with musculoskeletal problems with special emphasis on the correction of joint deformity.

Stem Cell Therapy

Best Stem Cell Therapy

coming soon

Urology

Best Urology

The Centre for Uro-Sciences boasts of experienced and renowned Urologists having thorough exposure to all urological disorders including complicated conditions. It is has good track record for high success rates. The treatment includes Laser prostatic surgery, Urologic Cancer Surgeries, Laparoscopic Urological Surgeries, Percutaneous Renal Surgery, Urethral Reconstructive Surgery, etc. and the facilities include ESWL (Extra corporeal shock wave Lithotripsy), Uroflowmetry, Uro Radio diagnosis, etc.

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