Monday, July 21, 2014

Patient Stories--STROKE!

STROKE!  Even hearing this word can bring a little bit of fear into your heart, and if it doesn't, it should!

Worldwide, the incidence of strokes is rising.  This article from Medical News Today gives us the causes, symptoms, diagnosis, and treatments:  http://www.medicalnewstoday.com/articles/7624.php

 
Do you know much about strokes? 
This photo from http://www.strokeassociation.org/STROKEORG/
explains what they are in a very basic way.  Click onto the website for more information.
You can see that strokes are 4th cause of death in the U.S.

Do you know what the number is for Nepal?
It's the 3rd cause of death here in Nepal 
This website has some interesting information if you have time to check it out.

Do you know the warning signs of stroke?
Knowing these signs could save your life or the life of a loved one.

Check out this website for more details:   http://www.stroke.org/site/PageServer?pagename=symp 
FACE:Ask the person to smile.
Does one side of the face droop?
ARMS:
Ask the person to raise both arms.
Does one arm drift downward?
SPEECH:
Ask the person to repeat a simple phrase.
Is their speech slurred or strange?
TIME:
If you observe any of these signs,
call 9-1-1 immediately.
(...or call or get to your local hospital immediately!)


We have a stroke success story to tell you about.  Why is it a success?  It’s a success because the patient followed all of his doctors’ orders, changed his diet, and faithfully stuck to (and still is) his exercise routines as prescribed by the head of our Physiotherapy Department, Mr. Parakram Raj Pandey.

Here is Mr. Umesh Shrestha exercising his hand.

Umesh Shrestha, a motorcycle mechanic with two shops, was leading a normal happy and busy life.  He knew his family history.  His father had had a stroke at the age of 52 and lost his speech.  However, Umesh felt himself to be strong and physically fit.  Even though he had diabetes and high blood pressure, both controlled by medication, he ate whatever he wanted to and like most people, did not think he was in any danger of any further health problems.

However, at age 42, his life changed forever.  One day he had a neck ache.  He thought it was just a stiff neck, like you get when you sleep “funny.”  When he woke up the next morning, he felt a definite, and scary, weakness in his neck.  He immediately called someone to take him to Kathmandu to a hospital.  The first hospital he went to referred him to Kathmandu’s Tribhuvan University Teaching Hospital.  This was good news as one of his uncles, Dr. Uttam, is a doctor there.  By this time, he was feeling really strange and was unable to talk.  His uncle came to the emergency room and immediately admitted him.  
His diagnosis:  stroke!    

It was a tough blow.  He was only 42 years told!  Even his dad at 52 was too young for a stroke!  However, these case histories can help us realize that anyone can have a stroke, 
and you don’t have to be a grandparent! 

Umesh felt happy to be alive and decided right then and there to do all in his power to take back his health!  After only ten days in the hospital, he was able to return to his home and begin his recovery.  The first thing he did, with the help of his wife, was to completely overhaul his diet.  Now, two years down the road, he is completely controlling his diabetes and blood pressure with a healthy diet and herbs, and is off of his diabetic and blood pressure medicines.  What a testament to good health habits!  Yes, he keeps his doctors’ appointments too, and his doctors are very happy with his progress.
The second thing he did was to follow his doctors’ orders and start physiotherapy.  He was told that Scheer Memorial Hospital had the closest physiotherapy department to his home and he started right away.  For these two years he has been a faithful patient to that department.  He rarely misses a day and that’s why our physiotherapists are so impressed with his progress.  
 “He is a living testament to the value of faithful physiotherapy,” states Mr. Pandey.   

When Umesh first came, Mr. Panday was given a copy of all his test results from Tribhuvan University Teaching Hospital, and was able to make a plan of action to retrain his muscles to do what they did before the stroke and treat his musculoskeletal deficits.  He explained how hard it would be and how much patience it would require.  It’s a little bit like learning to play the piano or a musical instrument.  You can’t give a concert after two lessons!  But Umesh was up to the task and never stopped his therapy, even when it was hard and painful.  Yes, two years later you can still find him usually every afternoon right here in our physio department! 

video

Besides the previously mentioned retraining of muscles, he is regaining his mobility.  Yes, he usually still goes to work in one of his shops, where his wife and son are working.  What a wonderful feeling to be able to continue his "normal" life!

Mr. Pandey is happy with Umesh's progress--brought on by his hard work
and determination to succeed!

Success through strength is one of physiotherapy’s mantras.  In the beginning, Umesh, like many people needing physiotherapy, had assistance with his exercises.  As he regained his strength, he was able to move on to the next step and do the exercises on his own.  Success through strength!

Assistant physiotherapist Mrs. Januka Bista Khadka oversees shoulder exercises.

Mr. Bijuli Lal Pradhan, assistant physiotherapist, works with Umesh with
one of his strengthening exercises.

The goal of physiotherapy after a stroke is to let the patient have his/her life back as much as possible.
If you read the above website, stroke.org, you will have found these facts:
(Thank you stroke.org)

  • 10 percent of stroke survivors recover almost completely
  • 25 percent recover with minor impairments
  • 40 percent experience moderate to severe impairments requiring special care
  • 10 percent require care in a nursing home or other long-term care facility
  • 15 percent die shortly after the stroke

     These statistics can be sobering.  This is why early intervention is a must.
With early intervention, following doctors' orders, healthy eating lifestyle changes, 
and consistent physiotherapy, 
patients can be among the survivors listed at the top of this list.

We're so happy that Umesh is on his way to becoming one of the 10%!
Instead of feeling sorry for himself, he became proactive and successful!

If you have questions about strokes, or any other health issue, 
please come in for a consultation with one of our doctors.  
You don't have to already be sick to have your questions answered!

We wish you a good day...and GREAT HEALTH!

Did you know...?


(photo credit:  http://suhanijain.com/2012/10/19/fruits-are-good-for-heart-health-healthy-eating-tips/)
(Thank you!)



Tuesday, July 8, 2014

July 2014 Health Calendar

GOOD HEALTH!

Don't take it for granted!

shows us some of the components necessary to maintain a healthy lifestyle.


This July there are two world health events 
to raise awareness of the following two concerning conditions:

1.  July 11, 2014:  World Population Day

2.  July 28, 2014:  World Hepatitis Day

Don't be left unaware!

For more information about World Population Day, you can read Wikipedia's page here:
http://en.wikipedia.org/wiki/World_Population_Day
 
You will find a link there to the list of countries by population.
Do you know where Nepal is on the list?  Take a guess and then check to see if you are right!

Asia is the continent with the largest population with over 60% of the world's population!  The theme of World Population Day 2014 is "Invest in Young People Today, to Ensure a Bright Future."  This means that young people need to be aware of the human right to plan for a family.


To find out how many people are born and how many die each minute, hour, and day,
Again, take a guess and then check to see if you were right! 

There is a Population Association of Nepal and you can check out their website here:


Awareness is a good thing!

Next, let's look at the worldwide problem of hepatitis.

Did you know...?

 To help you become aware....
 This photo is from the United Nations website:  http://www.un.org/apps/news/story.asp?NewsID=39158&Cr=..#.U7v0HvldWT5

The article was written in 2011, but is still relevant today.

For more information about World Hepatitis Day, you can read Wikipedia's page

This article from the World Health Organization is an excellent read to bring you up to speed
on your awareness of this disease:

There is a mention of Hepatitis E in that article.
Did you know that in Eastern Nepal right now, there is a problem with this?
You can read about it here: 

 More information:
Even more information is here in this Himalayan Times article:
http://www.thehimalayantimes.com/fullNews.php?headline=Hepatitis%3A+The+silent+scourge&NewsID=244776

Please stay healthy and take care of yourself and your loved ones.

Please don't hesitate to come in for a consultation if you have any questions
about your health or the health of your family.
That's what we're here for!


Bye for now and BLESSINGS!


Thursday, July 3, 2014

Summer News: Part 1--Pediatric Surgeries

Hello!  We hope you are having a lovely summer day!  
We are having lovely HOT and HUMID days here this summer.

This means our neighbors are able to get their rice planted.

We are all praying for more rain however.

Here, this summer, at Scheer Memorial Hospital, besides our usual business,
which keeps us busy serving the sick and wounded with love, 
we have started a new and important campaign.
If you keep up-to-date via our Facebook page, you already know about it.
The following details are straight from our Facebook page:

Announcement: Free Pediatric Hernia & Hydrocele Surgery Camp now in session for ages 2-12. There is funding for 100 patients, on a first come, first served basis. Please call 984-139-4900 for more information.


Isn't this wonderful news?
We are so thankful for the donors who are making this surgery possible
 for children who would otherwise have to live with their conditions.

Illness in every person is difficult.  However, to watch a child battle illness is the most difficult since they don't understand why they don't feel good and can't go out to play.

This picture, from texaspediatricsurgery.com, shows some of the places on the body
where hernias can show up.





All parents know that it's a huge worry when the health of your precious children is compromised.
If there is a financial worry as well, it becomes more difficult.
Therefore, again, we say THANK YOU to our donors!
They can only imagine the happiness they are giving to the families able to benefit from their donation!

Do you know much about pediatric hernias?
This article from kidshealth.org explains the many intricacies of hernias in children :
 http://kidshealth.org/parent/system/surgical/hernia.html


Do you know much about the condition named hydrocele?
This article from webmed.com explains the many intricacies of hydrocele conditions:
http://www.webmd.com/parenting/baby/tc/hydrocele-topic-overview


To end this post, we have some pictures of our dedicated surgical team performing these surgeries 
and giving back quality of life to our young patients.

Have a nice day!  Many blessings for all of our supporters and friends.
Stay tuned for further news. 



Dr. S. Bhuju is the team leader and surgeon.  
Keeping meticulous records is an integral part of the job.