Lower/Upper Respiratory Tract Infection Treatment
Asthma Management Program
Management of Smoking Cessation
Obstructive Sleep Apnea Treatment
Treatment of Sleep Disturbance
Oxygen Therapy Treatment
Dr Bose treated a close member of my family and we were very impressed with his calm and sure-footed professionalism.
Highly empathetic, excellent diagnosis with powerful counseling . Prefer to advise patients on their lifestyle corrections rather than loading with too many drugs.
Excellent and the best Asthma doctor, who helped me fight Asthma since I first visited him at age 10, and turned me into a healthy individual whose asthma has been under control for over 8 years now.
My experience with Dr. P.P. Bose has been very good. He is an excellent Doctor having humane qualities first and foremost. Even on a Sunday at a time of crisis he has attended us. He is extremely approachable, makes you comfortable as a patient. Listens to all problems regarding health attentively and explains in the most comprehensible and amicable way to his patients. He is very good with Diagnosis and so far all his advice and treatment to our family and me has been very appropriate. I would recommend him to all who are suffering from asthma, sleeping disorder or any other pulmonary disease, to consult Dr. Bose. For all medical problems me and my family we consult Dr. Bose. Even when he is out of station he has always been approachable. Without any hesitation we have consulted him in odd hours and he has duly attended us. I wish him success for ever.
Dr. P.P. Bose is an extremely reliable pulmonologist . He in many ways is known for charity work , specially with " Saans Foundation" in the area of disaster preparedness and medical evacuation training .
Dr Bose is super specialist in Fellow pulmonary critical care and sleep medicine.He is chairman ofSaans foundation and attached to Maxhospital n National heart institute as Sr consultant.He is dedicated n very careing doctor available 24×7.He is also looking after Saksham a multi tasking health worker course a capacity building in which more than 100 nos.under priviledge students n housewives were taught over 100 hrs of hands o n training with 48hrs.of class room lectures.These students are well placed in different hospitals nursing homes clinics ambulance pharmaceutical companies . Apart from saksham initiatives of saans other initiatives are Samarth a rehab physiotherapy wellness alternative medicine .. Sahaj home care total home care solution.. Sarthak community a community outreach subsidized drugs and diagnostics road shows news letter. My salute Dr P P Bose.
I have been associated with Dr. P.P.Bose for over 15 years. He is the best Pulmonologist and a family doctor I have ever come across. He is not just an expert in his field, he is also an excellent human being. His patience and compassion makes the patients stress free and helps in speedy recovery. Dr. Bose is like a family member and quite god like for not just me, but also my family and friends.
Highly passionate doctor. a true doctor his social initiatives like SAKSHAM capacity building empowering unemployed youths ii commendable and need of the hour. SAHAJ home care initiative for old age people is another stepping stone of DR Bose's SAANS Foundation. strongly recommend him for all kind of respiratory and related disorders
The first step in managing stress is recognising it in your life. Everyone feels stress in a different way. You may get angry or irritable, lose sleep, or have headaches or stomach. You should learn your own body and identify your symptoms and identify the situations that cause you stress. These are called stressors. Your stressors could be family, work, relationships, money or health problems. Once you understand where your stress is coming from, you can come up with ways to deal with your stressors.
You feel stressed, you may fall back on unhealthy behaviours to help you relax. These may include eating too much, smoking cigarettes, drinking alcohol or using drugs, sleeping too much or not sleeping enough. These behaviours may help you feel better at first, but they may hurt you more than they help.
Avoid stressful situations. When you can, remove yourself from the source of stress. Change your outlook. Try to develop a more positive attitude towards challenges. Replace negative thoughts with positive ones. For example, rather than thinking, “Why does everything always go wrong?” change this thought to, “I can find a way to get through this.” Keep stress from making you sick by learning healthy ways .The first step in managing stress is recognising it in your life. Everyone feels stress in a different way. What are your signs of stress? Once you know the signals, recognize the things you can’t change. For example, you have a spastic child which can’t change. But you should have courage to handle the situation in much more positive way that’s is the wisdom of life. Nurture positivity. Positive people are assertive, confidant, happy and humane and they have right emotional wellness. The negative people have low self esteem, are fearful, unhappy and have poor emotional wellness. These are the people who suffer from stress the most. They are fearful, stressful and judgemental. Stress gives anxiety. Anxiety gives restlessness, depression and poor coping mechanism.
A good stress control is must for optimum wellness. First and foremost one should practice talking to oneself on daily basis for at least 10 minutes. This will help to keep a balance between expressive and repressive emotions. Do a daily auto laboratory check, identify strength, overcome weakness by playing strength over weakness. A daily auto mind body check will control anger, frustration, guilt and fear.
Once you are done with your analysis, practise zero feeling though 360 degree wellness practice. This involves physical, mental, emotional, environmental, social and spiritual wellness practices. Stress management needs a daily programme and it should be a habit. Daily systematic practice helps you start your day from zero.
Start a stress diary. A stress diary can help you identify the regular stressors in your life and the way you deal with them. Each time you feel stressed, keep track of it in your journal. As you keep a daily log, you will begin to see patterns and common themes.
What caused your stress (make a guess if you’re unsure). How you felt, both physically and emotionally. How you acted in response. What you did to make yourself feel better.
Dealing with Stressful Situations: The Four A’s
A. Change the situation: Avoid the stressor or alter the stressor
B. Change your reaction: Adapt to the stressor or accept the stressor
Practice following steps to overcome stress
Talk to yourself and say I will, I must and I can do
Think of your strengths and weaknesses and now toss your mind
Set your priorities
Do a proper time management
See the bigger picture, see failure as an event not as failure. Learn from mistakes
Love and pamper yourself
Focus on fitness, do regular brisk activity. Walking, swimming, tread mill, gardening, sweat adequately. Sweat releases feel good hormone called endorphins. Endorphins improve wellness.
Rest and relax. Breathing techniques help relaxation. Annapani sati, Buddhist meditation, do bramhari or do Om chanting . These practices create resonance in your higher mind and helps release of feel good hormones
Breathing exercises mainly abdominal breathing, Kapalbhati increases your parasympathetic activity and counters your sympathetic activity. Do breathing in exercises like Anulom Vilom and do sequential eye, cervical, spinal and finger a toe exercises. Rest in sharvangasana
Eat right. Eat a diet rich in complex carbohydrates with low glycemic index, high protein, plenty of fruits and vegetables. Drink ten glasses of water. Have a sumptuous break fast, take small frequent meals.
Do an auto cognitive behaviour analysis and remove negative thoughts.
Practise visual imagery, feel good by running through your nostalgic photo album
Talk to people, develop dialogue and seek help.
Play games, games relax and make you positive
Develop a hobby
Listen to music
Follow good sleep hygiene, stick to one time to bed, take bath before sleep
If your can’t manage stress on your own, consider seeing a therapist or counsellor.
Heart over Head
Expressing emotions.... Emotional wellness
Emotions can be understood from a solid tree. Roots tell about the foundation and values, stem its integrity, branches its behaviour and flowers are its emotions. If a tree attracts bees, birds and human beings it is magnetic and that is its emotional wellness. Emotional wellness makes you magnetic.Like tree, emotions cannot be permanent. That is why they are called “emotions”-- the word comes from motion, movement. They move; hence they are emotions. Emotions are dynamic like waves on water, they change continuously. This moment you are sad, that moment you are happy; this moment you are angry, that moment you are compassionate. This moment you love, another moment full of hatred; the morning was beautiful, the evening is ugly. And this goes on.This cannot be your nature, because behind all these changes something is needed like a thread that holds all of them together. You continue as an entity – so what is the thread, the polestar? What is permanent in you? There are two types of emotions – expressive and repressive. Expressive emotions might hurt others but repressive emotions will hurt you. The root of all illness and disease is repressive emotions, if you are repressed; it slowly hurts you in a holistic way and eventually affects your expressive emotions. The key to success is to create a balance between these two emotions like riding a bicycle.Emotions have to be relieved, relaxed. When you feel like crying you have to cry; when you feel like laughing you have to laugh. You have to drop this nonsense of repression; you have to learn expression, because only through your sentiments, your emotions, your sensitivity, do you come to that vibration through which communication is possible. If one has to choose between the head and the heart, one should choose the heart, because all the beautiful values of life belong to the heart. The head is a good mechanic, technician, but you cannot live your life joyously just by being a mechanic, a technician, a scientist. The head has no capacity for joy, for blissfulness, for silence, for innocence, for beauty, for love, for all that makes the life rich -- it is the heart that has this capacity.You have been taught never to be angry and you think that a person who is never angry is bound to be very loving. You are wrong. A person who is never angry will not be able to love either. They go together; they come in the same package. A person who really loves will sometimes be really angry. But that anger is beautiful – it is out of love! The energy is hot, and you will not feel hurt by the person’s anger. In fact, you will feel grateful that the person was angry. Have you watched it? If you love someone and you do something and the person is really angry, frankly angry, you feel grateful because he loved you so much that he can afford the anger.If you love yourself and that is a must in life, you will never be repressive, you will be expressive of whatsoever life gives: its joys, its sadness, its peaks, its lows, its days, and its nights. Remember, all negative emotions need energy; they drain you. And all positive emotions and positive attitudes are dynamos of energy; they create more energy, they never drain you.If you are happy, suddenly the whole world flows toward you with energy, the whole world laughs with you. The whole existence goes on giving you more. You are not a burden, you are a flower, you are not a rock and you are a bird. The whole existence feels happy about you.Being emotionally well is more than just handling stress. It also involves being attentive to your thoughts, feelings and behaviours, whether positive or negative.Emotional wellness implies the ability to be aware of and accept our feelings, rather than deny them, have an optimistic approach towards life, and enjoy life despite its occasional disappointments and frustrations.The path to emotional wellness may involve awareness of thoughts and feelings, having a positive attitude, seeking support and expressing emotions in a suitable manner. Setting priorities, accepting mistakes and learning from them are other factors.Practice a few steps like protect your self esteem, take control after a failure, distract yourself from brooding thoughts and find meaning after a loss. Practice physical wellness by doing breathing exercises and manage your daily stress.
Cognitive behavioral therapy (CBT) is talking therapies that can help you manage your problems by changing the way you think and behave. It is most commonly used to treat anxiety and depression, but can be useful for other mental and physical health problems.
CBT cannot remove your problems but it can help you deal with them in a more positive way. It is based on the concept that your thoughts, feelings, physical sensations and actions are interconnected and that negative thoughts and feelings can trap you in a vicious cycle. CBT aims to help you crack this cycle by breaking down overwhelming problems into smaller parts and showing you how to change these negative patterns to improve the way you feel.
Unlike some other talking treatments, CBT deals with your current problems, rather than focusing on issues from your past. It looks for practical ways to improve your state of mind on a daily basis. CBT has been shown to be an effective way of treating a number of different mental health conditions. In addition to depression or anxiety disorders, CBT can also help people with obsessive disorder, postphobias,eating disorderssuch as anorexiaand bulimia, sleep problems such as insomnia, problems related to alcohol abuse,irritable bowel syndrome (IBS) and chronic fatigue syndrome (CFS).
CBT can help you to change how you think (cognitive) and what you do (behaviour). These changes can help you to feel better and breathe better. Once you are de-stressed, there is less cognitive load and your breathing centre in brain is relaxed and less stimulated. It looks for ways to improve your state of mind now.
A situation ? a problem, event or difficult situation.
From this can follow thoughts, emotions, physical feelings and actions. Each of these areas can affect the others.
How you think about a problem can affect how you feel physically and emotionally. All these areas of life can connect like this: fiveareas.
What happens in one of these areas can affect all the others. There are helpful and unhelpful ways of reacting to most situations, depending on how you think about it. The way you think can be helpful or unhelpful.
The Situation: You have had a bad day. You are fed up? Go out shopping. As you walk down the road, someone you know walks by and, apparently, ignores you.
This starts a cascade of thoughts, emotions and action which can range from concern for the other person to actually getting in touch with the other person to find if all is well with him.
The negative way of dealing with it involves being down on yourself imagining the person does not like you, complaining of cramps or illness and finally going home to avoid the person.
The same situation has led to two very different results; depending on how you thought about the situation. How you think has affected how you felt and what you did.
So, in case you thought negatively, you have to change your thoughts and actions, pinpoint the problem, address it and find goals.
Then move towards achieving them. Evidence shows CBT works.
Breathe Well Sleep Well
Total wellness is not possible without good sleep. Sleep is a de-learning process. It relaxes and rejuvenates the body and makes our body ready for a
new day. We spend one third of our life in sleep and this one third decides the two third of our life. For every two hours of alertness we need one of sleep. Ever since society has become 24x7, our sleep quality has become poor. A healthy body needs a regular refreshing seven to eight hours of sleep.
Sleep debt creates a mortgaged mind. If we are sleeping one hour less per day then we have to pay back in the day. Sleeplessness is equivalent to drunken driving. Anger, agitation, personality disorders, road rage, substance abuse are indirectly related to poor sleep. Sleep disorders are rising in society and more over sedentary behaviour, obesity is responsible for the rising number of sleep apnoea and related sleep disorders.
There are two types of sleep disorders one primarily because of defects in sleep regulatory mechanisms and others are secondary due to lifestyle causing insomnia and sleep disordered breathing like sleep apnoea. A tired and spent person gets relief and is able to retrieve his liveliness and energy only after taking sound sleep. Sleep is a law of nature which is applicable not only to human beings but also to the botanical world.
A good night sleep is a good regular sleep practice. Always be happy while sleeping. Concentrate on your breathing and feel you are totally relaxed. Keep in mind that the pranayama practice is very important. Pranayama and yoga are the key to good activation of our biological clock.
Our hypothalamic area in the brain is our internal clock. If we do not nurture our biological clock we will face sleep delay and fragmented sleep.
A good sleep involves right pre-sleep practices. It’s like a right alap before a classical music performance. Yoga and Pranayama are an important measure to improve sleep and reduce work place negativity, tension, anxiety and so many other problems. Following yoga and pranayama – Bhastrika pranayam, Kapalbhati pranayam and Anulom Vilom pranayam – have been found to be beneficial.
Besides this, Shavasan and Yognidra are very much useful for sound sleep. Listening to light music like mantras before sleep is beneficial. Yoga increases blood circulation and stimulates the nervous system. Following few practices improves oxygenation to the brain and improves sleep quality and cures insomnia. Halasana and Sarvangasana are the asana to cure insomnia naturally by yoga.
Good pre-sleep habits are called sleep hygiene. A good sleep hygiene improves sleep quality by reducing the onset of sleep and maintenance of rhythm of sleep. We all enter sleep through NREM sleep it’s like slow uncoiling of a curtain wire. We enter sleep with high alfa waves and slowly go to delta or slow wave sleep.
Initial sleep is all NREM sleep and subsequently we enter REM sleep or rapid eye movement sleep. REM sleep constitutes one third of total sleep and in this time of sleep muscles reach to zero tone and it's a dream sleep.
This is about a 50-year-old man, a heavy smoker with sedentary corporate life with disturbed sleep, snoring, day time sluggishness, irritability and poor corporate performance.
He was subjected to a quit tobacco programme, weight loss and good nutrition and lifestyle modification programme with following sleep rules.
He improved on all fronts and started enjoying wellness in his life.
Stick to your sleep time and get up exactly 7 to 8 hours after sleep. You will feel oven fresh.
Follow this sleep rules one hour before going to your sleep clock.
1. A relaxing warm shower an hour before sleep.
2. Anulom vilom for five minutes
3. Kapalbhati for five minutes, avoid doing if you had dinner an hour before.
4. Bhastrika for five minutes.
5. Eye exercises for five minutes in all quadrants
6. Cervical flexion, extension and rotation exercises for two minutes.
7. Sharvanasana or corpse pose for 5 minutes and focus on your breath.
8. Now listen to some slow music. Music induces Alfa activity and helps in sleep initiation for 10 minutes.
9. Do visual imagery. Make memorable twenty images on your iPad or phone or album and slowly brush though.
This helps in release of endorphins and gives feel good feeling for 5 minutes.
10. Take a hot cup of milk. Milk has serotonin and serotonin induces sleep. These steps will de-stress you and help you to get a sound sleep.
Avoid thinking too much while sleeping. Just relax while sleeping.
Always be happy while sleeping. Concentrate on your breathing and feel totally relaxed.
Keep in mind pranayama practice is very important, as important as pre-sleep habit.
Keywords: sleeplessness, pranayama, sleep habits, wellness
Eat frequently six small meals high fiber, high fruit, high mineral, high protein, low glycemic carb, low fat, 1200 calorie diet. Follow new pyramid , make your own pyramid.
Happy thoughts, happy minds. Read Hindu metroplus fortnightly thursday
Obesity is a state of mind body illness. As with all chronic medical conditions, effective management based on partnership between a highly motivated patient and a committed team of health proffesionals is the key to dealing with it. Obesity needs a strong mental wellness and behavioural control. This is about a 50-year-old sluggish lady suffering from weight gain, disturbed sleep and choking during sleep. To compound matters, her history of binge calorific eating caused rapid gain resulting in body mass index of 32. Obesity is pan endemic and responsible for all cardio respiratory, sleep and psychological disturbances. We create a positive mindset by cognitive behavioural therapy, a mental wellness by stimulus control techniques and non food rewards. Stimulus control involves changing the mindset towards food stimulus by positive thought insertion. Every thought has a stimulus, stimulus brings a perceptive change in mind and perception brings behavioural changes. Behavioural changes bring actions. Action involves sinful eating. We change the thought and we call it happy thoughts and happy mind. Normally it involves 12 sessions over a period of six weeks. Structured programme involves self monitoring of caloric intake and physical activity, goal setting, stimulus control, non food rewards and relapse prevention. Follow this structured protocol 1. Two glasses of water in the morning. 2. 30 minutes of brisk walking. 3. Ten minutes of breathing exercises. 4. Specific stretches using stretch bands. 5. Fifty abdominal crunches. 6. Rest and relaxation through the Corpus pose. 7. A cup of green tea. 8. Two atta roti, low carbohydrate high protein chapatti. The atta should have chana, millets, kuttu, bran, maize, fenugreek seeds. Green vegetable cooked in one tea spoon full oil (canola or olive oil) and one small bowl of homemade paneer. 9. Mid morning smoothie with tomato, amla, orange, gourd, guava, lemon, mint and ginger without water 10. One bowl bhuna chana pre lunch 11. Two diet fibre chapattis/ one bowl of parboiled rice, one small bowl of boiled mixed legumes, one small bowl yogurt and mint chutney 12. Evening, roasted snacks with green tea 13.15 minutes of chaotic breathing 14. Pre-dinner: vegetable soup 15. Dinner with baked beans/ fish/ lean meat/ soya chap with yogurt 16. Listen music and do OM chanting 17. Follow right pre-sleep habits 18. Sleep well. This lady lost ten kilograms in five months and became very alert and active in the day. Her sleep disordered breathing got corrected and in fact she lost 14 kgs with her motivation and self discipline.
In case of asthma, apart from bronchodilatation by bronchodilators, are there any other methods to cure the subjective symptoms or to cure the disease?
I am sufferring from allergic brochitis.I am interested in sports.But when i played for long time i am getting breathing problem.Is it safe to me to participate in running?
Hello I'm 36yrs female I hv been suffering from hypo thyroid frm past 8 - 10 yrs n lately from last two weeks from acute bronchitis which led me to bed rest m yet not able to recover. Kindly suggest. I'm yet not married.
Home health care enables patients to recuperate from short-term illness or deal with chronic disease in the comfort of their own homes. The concept of working together with the patient?s physician, a skilled team of home health professionals look after patient?s physical, social, and emotional needs.
Goals of home care
? To provide patients and families the care, education, and support needed for them to become independent in their care.
? Home care services may include visiting nurses, rehabilitation therapy, home health aides, medical social services, home infusion therapy, or hospice.
? Geriatric population
? Chronic orthopaedic diseases
? Chronic neurological diseases
? Chronic cardio respiratory diseases
? Oncologic diseases
? Post operative
Wellness. Hindu metro series. Read
Breathe Better, Fight Flu.
A vast majority of patients are asthmatic and suffer from related respiratory diseases. Swine flu has been making headlines for causing huge misery across the country.
Patients with asthma are more likely to develop lower respiratory infections, including pneumonia, morbidity and mortality. Remember the strain of HINI is the same as it was in 2009.
It means we all have developed innate immunity against it but still there are patients suffering from this disease.
When Suniti, a 37-year-old working professional developed symptoms of the H1N1 swine flu in December, her condition quickly deteriorated. She recalls, ?I went to bed on a Tuesday night feeling fine. I woke up the next morning and felt terrible. I was dizzy, weak, feverish and simply in a fog.?
Taking a combination of antiviral and asthma medications finally eased her symptoms, but not all asthmatic patients with H1N1 swine flu are so fortunate. In fact, research has found that asthma is the leading medical condition found among H1N1 patients requiring hospitalisation. Nearly 30 per cent of both child and adult patients hospitalised for swine flu have asthma. There are steps and methods to prevent swine flu. You have to see how best you breathe daily?
Just breathe more per breath and feel better, sleep better and avoid virus by taking a diet rich in protein, citrus rich fruits and engaging in outdoor physical activity can prevent major respiratory infections. Deep breathing exercises improve your oxygen delivery to tissues and help you to remove toxins.
Oxygen is, by far, the most vital component humans need to live. We can go weeks without food, days without water, but only a few minutes without air. To get the most out of oxygen, it?s imperative our lungs are functioning properly.
Every cell in the human body requires oxygen and although it seems like an autonomous function we may not give much thought to, deep breathing exercises can be done to help clear out toxins that may have built up in the lungs. This will help to improve lung performance and clear airways.
Deep breathing gets more nourishing oxygen into your body. Blood that is rich in oxygen will help you feel better and give you more energy.
Deep breathing also reaches the deepest depths of your lungs, and helps to expel and break up residue. Deep breathing exercises help in expanding the lungs maximally. Normally we all take small breaths and most of our efforts get wasted due to increase dead space ventilation.
By deep breathing exercises you breathe more per breath. If you breathe more per breath you expand your lungs more, you receive more oxygen. You will feel more energetic and also save your breaths. For example, if you breathe 250 ml per breath and your requirement is 5 litres then you need 20 breaths per minute.
If you breathe more breath say double i.E. 500ml then you will require only ten breaths. So by breathing deep you breathe less and you feel better and conserve energy.
1. Find a relaxing and quiet place to sit down and feel your breath.
2. Close your eyes and begin by breathing in deeply through your nose from your belly up depths of your lungs to inflate all the alveoli and break up any toxins and pollutants that may have accumulated. Hold your breath for several seconds and then exhale over the course.
3. Now practise breathing out by tonic and clonic contraction of diaphragm. The diaphragmatic contraction will squeeze the lung and in turn increase the volume of breath in next breaths. Do sixty breath outs per minute.
4. Relax, close your eyes and watch your breath for the next one minute.
5. Repeat. Maybe, you could chant too.
(The writer is founder, SAANS Foundation)