[thebonedoc]

Originally Posted by balenoed_

Checked further and what the particular Dr says is that there would be periodic removal of cataract once in 2 years after the surgery, and the chances that an Indian lens can get damaged in that process is more compared to a higher quality imported ones.

The intraocular lens doesn't need to be replaced in the lifetime of the patient,unless there is some complication which is extremely rare.
If he/she's saying it needs to be redone once after 2 years, you should see another doc.
Cataract is a common surgery, and you should opt for the most commonly implanted lens that is time-tested and not some fancy one.
Expensive is not always the best in surgical devices.

[balenoed_]

Originally Posted by Jaguar

No periodic removal for either one has been prescribed.

Originally Posted by rajeevsulu

Where is the need for periodic removal of the cataract?

Originally Posted by carboy

Never heard of periodic removal or any lens getting damaged. .

Originally Posted by thebonedoc

If he/she's saying it needs to be redone once after 2 years, you should see another doc.

Sorry about the confusion. The periodic removal thing what they are saying about is the removal of "paada", they call it in native word (translating to something like the skin/cream layer of boiled milk that we see). So they are talking about the removal of that thing after 2 years incase if that appears. I am not sure what is that called in English/Medical terms. So what they are seeing is at the time of removal of this thing, the imported (possibly high quality?) ones stands better chance against local ones.

[thebonedoc]

Originally Posted by balenoed_

I am not sure what is that called in English/Medical terms.

Okay, I think he is talking about the membrane that sometimes form in front of the lens and which requires a laser for removal.

But I am not sure whether the cheaper lens has any effect on its formation and ease of removal.

[Geo_Ipe]

Originally Posted by Mr.Bentley

How trustworthy are the results of Health Checkup packages in the following cases?
- When doctor prescribes the tests to be done in their own clinic/hospital
- Regular Full body checkup packages in Diagnostic centers
- Corporate Health Packages
- Health checkup coupons distributed (as promotion) in offices

My dad almost always rejects ANY such packages quoting that its all a corporate game to lure people to hospitals. Game or not, I tell him that we really do not have a choice.

First of all, let me tell you that you're not going to get a clear, black & white answer to your query.

Periodic health check ups are definitely useful. If your sugar or cholesterol levels are slowly creeping up, you may choose to change your lifestyle to get the numbers back on track. You can also defer starting medications for the same.

Coming to trustworthiness of doing tests at a particular lab/clinic - unless the quality of the lab has been proven to be poor, I wouldn't question the reliability of the results from there. Is there a business aspect to these "packages" - definitely yes. Just for the sake of argument, there is a business aspect to any product/service purchased these days. I wouldn't say it is fair to discriminate against only the health care industry for selling packages.

So are there any alternatives to these "packages"? Definitely, yes! You may go to your trusted physician and ask him/her to prescribe only the tests they think is necessary. Even though I'm a Paediatrician by speciality, a lot of my friends approach me with these queries and I happily tell them to get certain particular tests done. If there are any abnormal reports, I ask them to consult a physician.

Originally Posted by thebonedoc

In fact this concept of annual health check-up does not exist in any of the govt hospitals,nor are they part of any MBBS curriculum.

Annual health check ups are not part of Govt hospitals because the economic burden on the govt is going to be too much to handle. Likewise, we don't have certain vaccines like the Pneumococcal vaccine in the govt schedule, as the cost is simply too much to bear.

Personally, though,I would suggest all that is required,if you don't have any symptoms whatsoever,to go for 6 monthly BP and fasting blood sugar,nothing more.And if you have any symptom,then their should be focussed further investigation on that particular line.
Thankyou

I would suggest adding a fasting lipid profile to the mentioned tests.

[balenoed_]

Originally Posted by The Rationalist

If you need any specific information about the lens that they are going to put, please send me a message. I will talk with my Opthalmologist friends.

These are the names given by them of the imported lenses:

Alcon Acrysof
American Imported Indian lense Appasamy Company
Johnson & Johnson Sensar

[crazy_coyote166]

Any suggestions for good psychiatrist in Bangalore? A close friend is suffering from ADHD(diagnosed by a different doctor for adult inattentive ADHD). He had a couple bad experiences with some doctors and wants a different one. Any suggestions in and around Bangalore is welcome.

[rehaan2]

Originally Posted by crazy_coyote166

Any suggestions for good psychiatrist in Bangalore? A close friend is suffering from ADHD(diagnosed by a different doctor for adult inattentive ADHD).

There might be some suggestions here : https://www.team-bhp.com/forum/shift...hant-room.html (The Depression Thread: Let's openly talk about this elephant in the room)

[motorworks]

Hi

Seeking some inputs and suggestions on my BP issue. Just for context, I’m 42, have had no health issues in general, ( hit by COVID twice), 5”7” in height and I weigh around 74kgs.

During my annual check up yesterday, my BP was showing really high, like 158/100, they checked twice, but the results were the same. They did not proceed to the Treadmill test since the BP was high and asked me to take ECG instead. Anyway, all my tests were normal including ECG. After an interval of about 3-4 hours, we checked BP again and on my right arm it showed 160/99 and on my left arm it showed 148/99, just seconds apart. Can BP readings vary so much between arms within seconds?

I have had slightly high levels of BP, say between 130-140 for the last 2-3 years, so i sort of knew that i had borderline BP, but yesterday’s readings were really high.

Understand that BP is largely stress induced, but i wasnt sure about this sudden surge. I recall checking my BP during a hospital visit 4-5 months ago for another small issue and it was well below 140 then.

In anycase, even if yesterday’s readings are one-off, think i would have to take some steps and be aware that i have a borderline issue.

My daily schedule is a bit packed, i leave home by 7:30am and come back by 7:30pm and i do not have work from home option ever, so 5 days a week at office is a must. I travel quite far as well, so this leaves me nothing much to do on weekdays. I run about 5-6kms and walk about 8-10 kms on the weekends. In terms of my food lifestyle, I follow Intermittent Fasting on weekdays, and normal food routine on weekends.

On the stress part, probably thats down to me. My work role is such that its never easy, a bit tough mentally, and in general im not a very easy going personality, i tend to take most things seriously, so thats a personality issue, I dont know how to work around this honestly.

Any suggestions or feedback would be greatly appreciated, thanks!

[archat68]

Originally Posted by motorworks

I have had slightly high levels of BP, say between 130-140 for the last 2-3 years, so i sort of knew that i had borderline BP, but yesterday’s readings were really high.

I'd suggest to monitor BP regularly for about 7 days at a fixed time at a fixed arm and record.
Systolic 140 is not borderline, it is high. In today's guideline even 120/80 is considered to be high normal and doctors advise to take precautions if you are vulnerable.
Monitor your BP and consult a good cardiologist. BTW stress is not the only factor for high BP.

[Cedia2013]

Originally Posted by motorworks

Hi

During my annual check up yesterday, my BP was showing really high, like 158/100, they checked twice, but the results were the same. They did not proceed to the Treadmill test since the BP was high and asked me to take ECG instead. Anyway, all my tests were normal including ECG. After an interval of about 3-4 hours, we checked BP again and on my right arm it showed 160/99 and on my left arm it showed 148/99, just seconds apart. Can BP readings vary so much between arms within seconds?

I have had slightly high levels of BP, say between 130-140 for the last 2-3 years, so i sort of knew that i had borderline BP, but yesterday’s readings were really high.

Any suggestions or feedback would be greatly appreciated, thanks!

Hi, 1) The diastole BP (99) is high. You are worried about the systole BP, which is the upper value (130,140,160,148).

2) The diastole value should be treated for you with additional BP tablets or increase in power of your current medicines if any.
3) Dont worry about the upper value (systole). It will vary according to the blood vessel elasticity. As we age, the elasticity of our blood vessel decreases and the systolic BP increases. Even 170 is normal for 70yr old person as long as the diastole is below 80!
4) Hence, immediately consult your doctor and control BP.
5) Diet should be low salt (3-5g per day). Nothing more nothing less. Don’t avoid salt intake completely based on social media inputs.
6) Fasting diets have little role in BP.
7) exercise is worth. It will lower BP, But with this BP don’t over exercise.
8) Check kidney function test. (Urea and creatinine) asap.
Should you have more doubt, will clarify.
Thank you!

[Thad E Ginathom]

Originally Posted by Cedia2013

5) Diet should be low salt (3-5g per day). Nothing more nothing less. Don’t avoid salt intake completely based on social media inputs.

Prompts me to ask: I eat very little salt. It is not based on dogma, or even health considerations, I simply lost my taste for it almost forty years ago. Actually, it was based on girl-friend input:

"Why do you put so much salt in your cooking?"
"It makes it taste better."
"No. It makes it tastes of salt."

I almost completely stopped adding salt when cooking, and do not add it on the plate. I find added salt on food quite unpleasant.

Of course, when eating out, or at some other house, there is salt. But that is not that often.

I'm now 72. Am I harming myself with my very low salt intake?

[Cedia2013]

Originally Posted by Thad E Ginathom

Prompts me to ask: I eat very little salt. It is not based on dogma, or even health considerations, I simply lost my taste for it almost forty years ago. Actually, it was based on girl-friend input:

"Why do you put so much salt in your cooking?"
"It makes it taste better."
"No. It makes it tastes of salt."

I almost completely stopped adding salt when cooking, and do not add it on the plate. I find added salt on food quite unpleasant.

Of course, when eating out, or at some other house, there is salt. But that is not that often.

I'm now 72. Am I harming myself with my very low salt intake?

Hi sir, Though you are taking low salt, I feel you are getting adequate salt through some other sources. Very low salt will definitely cause trouble to body. Salt is essential for daily functioning of human body. So you are getting necessary salts! Don’t worry!

[motorworks]

Originally Posted by archat68

I'd suggest to monitor BP regularly for about 7 days at a fixed time at a fixed arm and record.
Systolic 140 is not borderline, it is high. In today's guideline even 120/80 is considered to be high normal and doctors advise to take precautions if you are vulnerable.
Monitor your BP and consult a good cardiologist. BTW stress is not the only factor for high BP.

Thanks, have ordered a BP monitor, shall check my readings for 2-3 weeks and if it remains high then consult a doctor for medications.

Originally Posted by Cedia2013

Hi, 1) The diastole BP (99) is high. You are worried about the systole BP, which is the upper value (130,140,160,148).

2) The diastole value should be treated for you with additional BP tablets or increase in power of your current medicines if any.
3) Dont worry about the upper value (systole). It will vary according to the blood vessel elasticity. As we age, the elasticity of our blood vessel decreases and the systolic BP increases. Even 170 is normal for 70yr old person as long as the diastole is below 80!
4) Hence, immediately consult your doctor and control BP.
5) Diet should be low salt (3-5g per day). Nothing more nothing less. Don’t avoid salt intake completely based on social media inputs.
6) Fasting diets have little role in BP.
7) exercise is worth. It will lower BP, But with this BP don’t over exercise.
8) Check kidney function test. (Urea and creatinine) asap.
Should you have more doubt, will clarify.
Thank you!

Thanks for your inputs. I’m a bit clueless and stunned about my readings. I shall consult a doctor within the next one week.

[motorworks]

Originally Posted by motorworks

Thanks, have ordered a BP monitor, shall check my readings for 2-3 weeks and if it remains high then consult a doctor for medications.

Thanks for your inputs. I’m a bit clueless and stunned about my readings. I shall consult a doctor within the next one week.

Update—I checked my BP readings at a nearby hospital earlier today and the numbers were absolutely normal. 120/80 on one arm and 110/90 on another arm. The only difference was that this was a traditional BP device rather than a digital one. Im not sure if there is an issue at hand or not. Anyway, i have ordered a digital BP device, shall check with that and also possibly check at nearby hospitals/ clinics when i have the time, maybe twice a week until i see some consistency in my readings.

[subraiyr]

Originally Posted by motorworks

Update—I checked my BP readings at a nearby hospital earlier today and the numbers were absolutely normal. 120/80 on one arm and 110/90 on another arm. The only difference was that this was a traditional BP device rather than a digital one. Im not sure if there is an issue at hand or not. Anyway, i have ordered a digital BP device, shall check with that and also possibly check at nearby hospitals/ clinics when i have the time, maybe twice a week until i see some consistency in my readings.

This is good. One suggestion when using a digital BP monitor. Have it calibrated with a manual one. Do this once in 2 to 3 months so that the readings on digital are calibrated.
Also, readings can vary in terms of the situation. For e.g. when you walk, by nature BP increases. My very old school doctor spends about 20 minutes with me chatting up, making me lie down, and then proceeds to take measurements. He showed me the difference between lying down and sitting up and also sitting up cross-legged. All sorts of combinations and the readings vary. Finally, his view is to monitor every day for a week before succumbing to medicines. Some of it is also genetic. My family has a predisposition to high pressure, but safe to say none of my family members had a short life !