Garden Clinic

18/04/2022

Bank your Blood to save life....An Appeal

04/08/2021

Most people by 50-60's will develop deposits of plaque in their coronary atery resulting in heart attack if the occusion is significant.
However studies have found that a large proportion of heart attack are caused by blockages which are non-obstructive or arteries that had only minor deposits. These minor deposits in the wall of the arteries may rupture at any time, if trigger by the toxins in the cigarette smoke. These ruptured plague then rapidly progresses into complete blockage of artery causing a heart attack even in the 30s to 40s.

Therefore smokers, take heed of the age old wisdom, " Get rid of the burden of the truly non essential and get on to enjoy fully the beauty of Life."

Stop Smoking now, the sooner the better.
Rupture will not respect Regret.

09/07/2021

The harm of smoking is well known.
Yet quiting is difficult
"Imagine Magazine" A magazine on Mental Health highlighted that beside a good resolution following the acceptance of the established harm to both self and family, a strategy to quit is highlighted

18/04/2020

War against the Covid-19 virus.

Extension of frontier by

Foamite or aerosol
Latest data suggest both, more the former
Hence distancing helps

When is foamite densest
Sneeze, cough and heavy breaths as in panting ..

Who
From breaths of Infected. Since we know now there are asymptomatic Spreaders, means anyone can be culprit or victim

So
Stay home and enjoy your asset and family for once. They are actually very loveable.

If feels sick

See the doctor, MC for home stay
whatsoever symptoms, especially URTI symptoms including anosmia if still unwell after 4 days see a doctor for a swab to ascertain status to protect those around.

Going out
If essential- Masked up

Exercise- must continue, do those which can remain masked up, walk briskly or jog in the wilderness. If very fit, masked up and imagine running in thin Himalayan air where Olympians are trained.

What mask

Surgical mask more efficient but cannot reuse, not durable, must buy however can self make
Cloth mask provided, less efficient in protection but can wash and re -use at least some level of protection

How long

Till virus mutate to become less virulent hopefully,
Vaccine successful for immunity,
Medications available for effective treatment
Herd immunity protects and isolate virus of its mischief usually after 60-80% of community become immuned from recovered infection either symptomatic or asymptomatic.

All these time based,

so best to let progression of situation evolved with a more gentle curve so that medical resources would be sufficient to deal with the very sick as the wait ripened in it's time but surely in His Hand of Mercy.

Try not to get infected for as long as possible, isolate within home or hide in the confine of the MASK when without home.

Take care and God bless!

28/02/2020

Together we can do it

24/07/2019

Grocery Shopping List from the Dietician and Heart Doctor

When you have the choice, why not choose wisely.
As you give yourself a well deserved treat, why not be mindful of the alternatives which are more body friendly.

Recipe them accordingly and you can still indulge in your favourite food. Couple them with a regualr exercise and sleep rest regime, you may be able to postpone or avoid those visit to the vascular plaque and blockade doctors. And this dietary habit has to be trained and commenced in early childhood to have the taste buds atuned and inclined towards healthy choices

Eat wisely, exercise regularly' rest appropriately and adopt correct orientation towards life and you shall enjoy the richness of the warmth of human relationship in the many meals together. Bon Appetit...

20/07/2019

Perfectionism

It is good always to aim for the highest and try our best to achieve it. However it is equally important to be mindful that afterall we are only human with limitations and making mistake and missing work target sometime is just normal.

Unhealthy perfectionism desiring perfect score in all endeavours all the time can become an unhealthy burden and pathological giving rise to conditions which may compromise joyful living. Such manifestations include panic attacks, insomnia, gastritis, irritable bowel syndrome, chronic headache, anxiety, depression, eating disorders, self harm including early mortality and su***de.

So be human, know the truth about life, our strength and weakness and reconcile with our limitations for the productive life which come with fortitude through diligent amd honest mistakes.

If in doubt, please check with your family practitioner or psychologist

02/11/2018

Diaphragmatic Breathing

Diaphragmatic breathing is breathing that is done by contracting the diaphragm, a muscle located horizontally between the thoracic cavity and abdominal cavity.This is done deliberately at first but with some practice can become spontaneous and relaxed. During such inhalation, the diaphragm contracts, the belly rises, air enters the lungs and the chest rises as the lungs are filled. Diaphragmatic breathing is best done when one is relaxed.

This contrasts with the regular breathing in which air enters the Lungs in addition to the diaphragmatic breathing, with the contraction of the intercostal muscles lining the rib cage which raises the rib cage with varying degree of belly rising.

Ageing and various disease lung conditions reduces the elasticity and strength of the lungs and diaphragm. Regular Diaphragmatic practice rejuvenate and restore such 'elasticity' and Lung functions to a certain extent if carried out regularly as proven in various scientific studies.

Other likely benefits of this type of breathing are as follow:

It helps you relax,
It lowers your heart rate.
It helps lower your blood pressure.
It improves your core muscle stability.
It improves your body’s ability to tolerate intense exercise.

Recent study also found significant benefit in patient who suffer from acid reflux, GERD and their ability to control their belching significantly improved thereby reducing their symptoms of heartburn and acid reflux.. The benefit is found to be sustained even after medications were stopped.

10/10/2018

Eat that Veggie

A longitudinal Study conducted by the behavioral Science Department of the University of Colorado Denver indicated that Preschool Children consumed more vegetables when their plates had images of vegetables though the effect on fruit consumption is lesser pronounced.

Parents who have difficulty encouraging their children to be balcanced in this area of their nutrition may be pleased to harnass this result revealed in the study as a possible nudge method.

So parents, let your creative juice flow and see if your experience reinforce their study result

25/07/2018

Obstructive Sleep Apnoe

Everybody snores, so what is the problem.
Snoring associated with Apnoea viz. momentary ceasation of breathing and deprivation of oxygen multiple times throughout the sleep cycles at night can give rise to a number of problems metabolically causing long term health problems such as:

-Hypertension,
-Diabetis,
-Dementia,
-Chronic fatigueability etc. causing accident proneness

Moreover these conditions can become hard to control even with treatment if the snoring sleep apnoea is not reckoned with and remedied.

You are susceptible to sleep apnoea if you are:
-Overweight, male and middle aged
-Smoker
-Frequently snore loudly
-Unrefreshed afetr sleep
-Tired and sleepy throughout the day

31/05/2018

War against Obesity from the beginning..

Research have found that besides the dietary constituents and the regularity for feeding as important factors for the growth and future health of children, the predominance of night-time caloric intake of infants also play a very important role.

Studies done found that 20 % of our children were found to consume 50% of their caloric intake during the night (7pm-7am). These infants have larger weight gain form 12-24 months and higher risk of becoming overweight at 24 months suggesting that they are becoming metabolically disadvantaged and maybe vulnerable to various metabolic syndrome in future.

Hence it is recommended that baby sleep/wake cycle which should have become fairly established at 12 month old should also have the dietary habit set in line with their sleep wake patterns with greater proportion of their caloric intake during the day( 7am-7pm) so that the body metabolism become aligned to the activity level for better metabolic control, growth and health maintenance from infancy onward into the future.

With increasing evidence pointing towards the relevance of aligning the dietary habit into alignment with the body's diurnal rhythm, let us do it right and give them a head start from childhood onward...

06/12/2017

Diabetes – The Die-Hard Stealth Enemy

The Ministry of Healthy, Singapore declared war on this condition this year 2017 as it is draining their coffer and is likely to become worse. This condition has operated largely in the shadow in the past but lately has come into the open with deadly expression in the form of blindness, stroke, kidney failure and leg amputations and other miseries and restrictions of living. In Singapore it is the number 2 cause of ill-health and death after coronary heart disease. 10% of the population is likely to have their lives disrupted by this sworn but largely unknown enemy with one in three harboring it without knowing till they become expressed in life damaging handicap due to sweetly molested vital organs.

This war, I say should be fought on 2 fronts:

1. Identify your own vulnerability based on your family history of weakness towards this enemy or your sedentary lifestyle which open doors to initiation and perpetuation. Resolve to fortify your weakness by a change in lifestyle and discipline to cripple this enemy. This includes losing extra weight ( BMI

06/11/2017

High Blood Pressure, the Silent Killer

In Singapore 1 in 2 adults above 60 years old has high blood pressure.

Systolic BP > 140 mm Hg or Diastolic pressure > 90 are the current level to maintain oneself below to reduce the risk of cardiovascular death and complications in various vital organs such as Heart failure, blindness and kidney failure.

However, it is critical to be aware that most Hypertensive patients do not have symptoms and therefore high BP is known as a "Silent Killer". We advocate that each family owns a self monitoring Digital BP set at home, now at rock bottom price sold at many online platform, to regularly monitor the BP of the senior members of the family. Self monitoring serve as a very good screening test for the community. If done in accordance to instructions, it can be fairly indicative. Should the level be abnormal, seek consultation with the family physician to confirm and treat to avoid unnecessary complication as treatment is simple and omission dire.

11/09/2017

Hey! Do drink enough water each day if you do not want to suffer the pain typically described as "loin to groin" with blood in the urine. Yes Kidney stones which affect 10-12 % of the adult population is the outcome of the consequential concentrated low urine volume with chemicals crystallizing as stones which become blocked in the urine passage. And this pain can really drive you crazy and the prevention really effortlessly simple.

Diet in some way does make a difference too. Lower salt , lower animal protein helps and moderate amount of calcium apparently helps rather than no calcium at all for healthier non- crystallizing urine.

So, top it up .....

30/08/2017

Image as seen by different eye conditions

If you have these as what you see, please consult your doctor for appropriate treatment to save your vision, mostly with urgency please. If not, it is still a good idea to have a visual screening at interval especially if you suffer noticeably reduced visual capability or painful redness of the eyes.

28/06/2017

12/06/2017

HUMAN COMMON ENEMY

Reality Check- Let's look at the statistic. It is rare for us to leave this world unscathed by our common enemies viz. Cancer, heart attack and stroke.

The common cancers in male and female are as shown.

With our current understanding in Science and the State of our world with its myriad of emerging fakes and environmental negligence, absolute avoidance and prevention are at best delusional and not available for us as yet. Therefore the strategy is on risk reduction and an increased in individual resilience by disciplined avoidance or minimised exposure of known risks factors and wise abstinence and careful indulgence.
If overtaken by one of these, seek support and early treatment for minimal residual side effects and a possible cure.

So know your stake, accept the risk, beat it and be cool......😎

08/02/2017