A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.
Treatment of Ischemic stroke

Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 
Treatment of Hemorrhagic stroke

Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.

Role of Neurosurgery in Management of Stroke

Are you suffering from a sore throat that is prolonged in nature? Although, a sore throat is not very severe, being prolonged in nature indicates that it is chronic. You should not ignore a sore throat that does not heal over a long period of time. This might be an indication of a serious problem, and you will require proper diagnosis.

When is a sore throat termed as chronic?

A sore throat may take various forms. It can be itchy, burning, scratchy in nature, and can also cause difficulty in swallowing food.
It is likely for a sore throat to be accompanied by a form of pesky cough that leads to further irritation of the throat.
Sore throats can also occur from common colds and several viruses. These usually resolve on their own.
However, when your sore throat is persistent and you cannot find relief, it is referred to as a chronic sore throat. The primary cause of sore throat includes strep throat, allergies, tonsillitis or the infection of your tonsils, inhaling air pollutants, influenza, cigarette smoking, and inhaling via the mouth.
Among these conditions, strep throat and tonsillitis may turn into severe problems, if not treated properly.
Smoking is a major cause of chronic sore throat. You should control your smoking to eliminate these sore throat symptoms.
Snoring is also a major cause for sore throat.
Relief from chronic sore throat
No matter what is the cause of your chronic throat pain, or sore throat is, you should follow some steps and undertake simple home remedies for soothing your scratchy, itchy and painful throat. Some of them include the following:

Do hot water steam inhalation daily, which will help
You must stay well hydrated and should moisten your throat by drinking lots of fluids throughout the day. You should add honey to warm drinks and hot tea.
You may take over the counter pain relievers.
You should install a humidifier in your home for preventing dry air that causes irritation to your throat.
You may try gargling regularly with warm water and salt, at least twice a day.
It is difficult to diagnose the exact cause of a sore throat, but when it worsens or does not tend to leave, something serious is indicated. You must consult a doctor and undertake a physical examination of your throat in order to detect the cause.

Prolonged Sore Throat - Can It Be Chronic?

HOW TO BOUNCE BACK FROM FAILURE

“It's fine to celebrate success, but it is more important to heed the lessons of failure,” Bill Gates said. We always shower praise on those who have triumphed. Very rarely do we examine all the times the successful people have failed, and analyze how they turned their “luck” around. In this tip, you will understand how to turn failure into success and bounce back with more fervour.

1. A SUCCESSFUL MINDSET: If you’re striving to achieve anything then failure is inevitable. “Whenever you’re trying a new experiment, whether it’s a new job, a new product, a new hobby, a new boyfriend or girlfriend–whatever it is–you need to give some thought to what is your strategy and which are the possible ways to achieve it. Do you have any plan B or plan C if plan A fails? What will you do if nothing works out...and how to minimise the losses as well as taking advantage of the opportunities that you have. Assessing your opportunities and threats to success is very important. When a newly wedded girl comes to stay with her In laws, she might need to have a number of ways in her kitty to make her place in the new household rather than just stick to a few traditional ones. If one technique doesn't work, try something else. Disaster strikes when creativity is not given a place and failure was not factored in. Feeling helpless doesn't add upto success. Optimism is what people need to bounce back with.

2. LEARN AND IMPROVE WITH EACH FAILURE: Failure is just an opportunity to learn and improve. It’s a teaching moment that should be analyzed with a practical, clear mind. It helps to see mistakes as stepping stones to learning and improving and using it as an opportunity to bounce back. Every person should behave like a scientist with a mind open to exploring, assessing, making mistakes and changing. Mistakes must be embraced as being part of the process of success. If we don’t make mistakes it means that we’re not trying, and if we’re not trying then we’re not learning and getting better. Your self-worth should not rest on perfectionism, but rather value your ability to accept and learn from your mistakes. Not everyone is willing to admit when they’re wrong, which can hamper progress and relationships. When Meena and Arun started dating each other, they didn't know each other well and tried to impress each other in ways that was not working out well for both of them. It was very frustrating for them to see that their relationship was not working out. In counselling, they realised that they were not asking what each can do to impress the other. Meena told Arun that she would like to be taken out to plays and theatre by her future partner and Arun told Meena that he would like to take weekend trips to nearby destinations to get to know his partner well. When they both started doing what the other appreciated, they got to know each other better and relationship started blooming. Thus Arun and Meena assessed the situation, were open to discussion and found an amicable solution instead of thinking of their previous efforts as failure and giving up. 

3. LOVE YOUR CRITICS: How do you feel when your work gets criticised repeatedly by your boss, manager or your husband. It mighty be hurtful and demeaning to hear critical feedback, but if many people are saying the same things about your work or behaviour, then maybe it's time to give it a serious thought. When Saira was often told that she wasn't cooperative enough in team activities and tends to slacken and pass on work to other members, her mind started working. She had got the same comments in her previous organisations. She started seeing a grain of truth in this feedback and took steps to rectify complaints that stood out common in all the feedbacks and reworked her way back to become a sought after team member. Her next years' appraisal was better and got her an increment. Saira triumphed, because she knew how to learn from criticism.

4. ACCEPT FAILURE AS AN IMPORTANT PART OF LIFE: Shivani was heartbroken when her 15 year old perfect son started doing badly in exams. Her world fell apart when she came to know that he had secured 73% in 10th grade. She felt that she had failed as a parent and her son as she had not devoted enough time to her son as she was a working mother. In counselling, she was asked if she knew any parent who had never failed their kids and were always there for them. Shivani couldn't come up with any names of such mothers who had been perfect to the core. Yes, that's how real mothers are...you will fail sometimes and you will win sometimes. Every moment you are real with your child, you are succeeding as a mother. Accepting failure as a part of life and knowing that you gave it your best shot is good enough. There's magic in feeling genuine regret rather than overkilling guilt and shame. Own your failure openly, publicly, and you'll reap a harvest of forgiveness, trust, respect, and connection—the things you thought you'd get by succeeding. Ironic, isn't it?

5. GO WITH YOUR GUT: When you see a red flag, pay attention. How many times in life have you kicked yourself for not listening to that little voice in your head that says, “Something is wrong here”?. Preetam gave an interview with an organisation, going by their market reputation. Yet during the interview, he picked up feelings of dissonance within the company. After joining them, he realised that his gut was right..the company was going through major shuffle and policy changes, which were not working out for Preetam.

6. BE A PROBLEM SOLVER AND STAY CALM: In a crisis, people tend to get anxious. Maintaining a sense of Zen will not only allow you to think more clearly but will also set the tone for those around you. Kapil used to get tensed over small details. He realised that in the larger scheme of things they were really not that important. He focussed his energies on things that were more important for him to reach his monthly targets. This started calming him down.

7. FIND A SOLUTION: You need to figure out how to address and remedy the situation. Start by considering your end game — what’s the ultimate outcome you’d like to see? — and work backwards from there. Daya wanted to be a good father to his children. He wanted them to remember him as a gentle and loving father. He started working backwards and his daily actions and behaviours showed to his children that Daya was a loving father. He played with them, took them for cricket coaching, went swimming, shared personal success and failures and most of all listened to them when they had to say something.

8. TAKE RESPONSIBILITY OF YOUR MISTAKES AND FAILURES: If you screwed up, don’t make excuses — just apologise genuinely for any errors on your part. Remember, that no one is perfect and it's human to err. Prema was a caring mother. She had many dreams about her daughter and wanted her to do well in studies and be a well behaved child of the family. But when her daughter started showing disinterest in studies and marks started falling, Prema used to beat up her daughter in her anxiety to do well. In counselling Prema understood that her intentions were good, but the way she communicated were not helping the situation as Prema's daughter hated her mother and maintained distance. Prema owned up her mistakes and apologised for her errors to her daughter. She also took remedial action to be accepting of her daughter and gave her the space to make her own mistakes and learn from them. 

9. BECOME PROACTIVE: Don’t let a small mistake linger and turn into a bigger one. That’s not to say you should simply be reactive, but i f you know you did something wrong, deal with it right away. Say, for example, you stuck your foot in your mouth during an important business meeting and inadvertently offended your boss or a client. Acknowledge the gaffe, apologize and try to move on without beating yourself up. Remember that, “In any moment of decision, the best thing you can do is the right thing, the next thing is the wrong thing, and the worst thing you can do is nothing.

10. DEFINE YOUR OWN SUCCESS AND FAILURES: Its important to have your own definition of both rather than how the world sees and defines success and failure. Find answers to questions like: How would you be behaving when you have succeeded, what must happen to feel successful, how will your life change when you are successful? Every person has a very different view and definition for success and making it your own definition can spell failure. Don't let the world tell you whether you have failed or succeeded. It's also excellent for self esteem and works as a protective shield from potential damage. 

So, next time there’s that misstep, mistake or misunderstanding, remember to take a deep breath and be your own best publicist by remaining calm, seeking the solution and seeing the challenge as an opportunity to lead and learn.









How To Bounce Back From Failure - Tips From A Pyschologist

Post-traumatic stress disorder or PTSD is a mental health condition, which is usually triggered by an unfortunate event experienced or witnessed by the affected patient in the past. The symptoms of this condition are flashbacks, nightmares and extreme anxiety. The patient also thinks about the event in an uncontrolled manner.

PTSD is a serious mental health condition that can damage the affected person's personality to a great extent. Therefore, the person should be given proper treatment at the earliest. There are various treatment methods for PTSD that can help you in changing how you think about a traumatic event. The treatment options that can be used have been mentioned below:

Counselling
There are different forms of counselling for treating PTSD which include:
1. Cognitive therapy: It is a therapy where you learn how to change your thought patterns regarding the trauma and allow you to eliminate unnecessary fears.
2. Exposure therapy: It involves talking about the trauma over and over again until the fear departs.
3. Eye movement desensitization and reprocessing: It is a process where you are made to focus on several forms of distractions like sounds and hand movements while you think about the trauma. A good therapist is very important to bring positive changes in your life by means of counseling therapy. You require a therapist who will listen to whatever you have to say and guide you through everything to make you feel better.

SSRI medicine
SSRI or Selective Serotonin Reuptake Inhibitor is a form of antidepressant medicine, which helps you with your sadness and tension. There are certain medicines that are really effective and can be prescribed by your doctor depending on the condition.

Other forms of treatment
There are several other types of medicines and procedures that can be used for treating PTSD. They include the following:
1. There are other counselling forms, which include group therapy, brief psychodynamic psychotherapy and family therapy.
2. There are other medicines as well for the treatment of PTSD. They include tricyclic antidepressants and atypical antidepressants.
3. Monoamine oxidase inhibitors like isocarboxazid can also be used for curing PTSD.
4. Certain mood stabilizers can be taken along with the medicines such as carbamazepine and lithium.
5. Several antipsychotics, which include risperidone can be used to tackle symptoms such as flashbacks and sleeplessness.
6. Another medicine known as prazosin is also used for dealing with nightmares and sleep disorders caused by PTSD. All kinds of medicines for the treatment of PTSD should be taken only after being prescribed by a doctor.

Post-traumatic stress disorder is a serious mental health condition in which a patient suffers from continuous negative thoughts regarding a traumatic event which has happened in the past. This condition may give rise to other health problems, and immediate treatment is recommended.

Treatment for Post Traumatic Stress Disorder (PTSD)

Asthma is a disease that can be only controlled and not completely cured. This chronic disease can make one feel breathless and experience chest tightening. Modern medicine has an answer to the stressful symptoms of asthma. A wide range of tools and medicines help a great deal in controlling this disease. Find what tools and medicines can help in bringing down the symptoms of asthma and help one breathe with ease.

Pink flow meter: This small tool helps in measuring the movement of air in the lungs. You need to blow into it and read the number. The result helps in finding out the frequency of doctor visits and the dosage of the medicines. Forthcoming asthma attack too is indicated by this device, and you can see it declining with constant use. In fact, you would slowly stop experiencing any other symptoms. Using the pink flow meter forewarns you about a forthcoming asthma attack.

Checkups: You need to visit your doctor regularly. The frequency can vary. You will be seeing your doctor after every two to six weeks, based on the severity of the disease. If you strictly stick to the instructions of your doctor, you can improve the lung function. You can stay active and sleep well if you follow the medicines. This way, there will be no fear of emergency treatment as the peak flow is almost always above 80 percent in case of complete compliance to medicine. Even if you know your condition cannot be cured, you can keep it in check to lead a healthy life.

Medications: Asthma has to be controlled with two types of medicines. You will need to take fast-reacting medicines and the long-term medications. Providing immediate relief is what the quick-relief medicines do, and reducing inflammation of the airways is what the long-term medicines aim at. While there are pills available, the inhalers play a vital role in keeping asthma patients healthy. Through an inhaler, the medication is administered straight into the airways. This makes it easy to give larger and continuous dose of medicines. In fact, this is the most effective way to prevent and treat the asthma symptoms. Corticosteroids are inhaled with an inhaler and it results in long-term relief. Even if taken daily, patients do not get addicted to corticosteroids. Physicians may also prescribe pills that reduce inflammation of the airways. Short-acting b2 agonists are often prescribed as quick-relief medicines. Asthma-affected individuals must carry the inhaler and the quick-relief medicines with themselves, wherever they go.

Treatment for different age groups: In children, only the quick-relief medicines are prescribed. If required, the long-term medications are used after six years of age. If desired results are obtained, the treatment is stopped after six weeks. Children can also be administered corticosteroids. This may result in slowed growth in a few children but the effect does not last long. In elders, long-term inhaling of corticosteroids can increase the risk of osteoporosis. It is essential to take vitamin D supplements along with it. Also, do not take pain suppressants and anti-inflammatory drugs. Speak with your doctor about taking pills for other diseases. When a pregnant mother is asthmatic, the chances of the child getting asthma are higher. They also suffer the risk of premature birth and low birth weight. Check with your doctor about taking medicines for asthma when you are pregnant. You need to consider the risk and stick to safe medication practices.

Asthma - Know About Its Treatment In Modern Medicine! 

When is Your Throat Pain, a Serious One?

Throat pain mainly occurs due to two conditions-'sore throat' or 'strep throat'. Often the terms 'sore throat' and 'strep throat' are used interchangeably, but they don't indicate the same thing. While a sore throat is a condition mostly followed by common cold, runny nose or congestion; strep throat is a bacteria-induced infection. The bacterium called Streptococcus is responsible for strep throat.

The most common reason behind a sore throat is a viral infection like flu or cold. So, if you've a sore throat that is caused by virus, there is no reason to worry as it can be treated easily. But if you are suffering from strep throat or streptococcal infection, then antibiotic drugs for additional treatment will be required to avoid complications.

Signs and symptoms of a strep throat (which indicates that your throat pain is serious and needs attention) include:

Pain while swallowing food
Sore throat which usually persists for more than 48 hours
Small red spots at the roof top of your mouth
Swollen and red tonsils at times with streaks of pus or white patches
Fever
Swollen, benign lymph nodes in your neck
Headache
Rash
Body aches
Vomiting or feeling of nausea, especially amongst younger children

When these signs and symptoms become noticeable, you need to promptly visit your doctor for test and treatment. And, if the reports indicate strep throat, then your doctor will prescribe you some oral antibiotics to reduce the complications and severity of symptoms so that it doesn't spread to others. You are advised to follow your prescription properly and stay indoors for at least a day after starting your medication.



When is Your Throat Pain, a Serious One?

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