[noidea]

Originally Posted by carboy

The pain is more on the back of the leg - between the ankle and the bottom. There is heel pain also but not much. However other symptoms are there like the pain being more in the morning after getting up.

Also the X-Ray report said spurs.

Ok, this is the issue with calcaneal spurs.

I had a very senior boss above 80 years old and he told me that when he was younger they used to operate and remove calcaneal spurs (1960's). That was the recommended treatment at that time. Later is was found that the operation did not help with the pain and they figured that it is a normal body response to inflamation and presently nobody operates for calcaneal spur and it is not considered to be a clinical diagnosis, it is only something one can see on an X-ray.

You can check this link - Bone Spurs & Heel Spurs: Causes, Symptoms, Treatment

It is the job of the doctor to dig out information from the patient. That is pretty much the most important job we have.

If the pain is at the attachment of the heel cord to the bone then we have a different diagnosis called Achilles tendinitis. Both conditions can co-exist but is very unusual.

I am getting more and more confused as I am typing this reply about what to advice you.

SOMEBODY PLEASE HELP!

[carboy]

Originally Posted by noidea

If the pain is at the attachment of the heel cord to the bone then we have a different diagnosis called Achilles tendinitis. Both conditions can co-exist but is very unusual.

I checked the wikipedia drawing for tendon and her pain isn't there - it's not as high as that. It is in what's labelled in the drawing as Calcaneus. However it's not in the underside of the calcaneus, but the part which is visible.

Anyway, I got her to do calf stretching and plantar fascia stretching for the last 3 days and it's seems to provide a lot of relief.

[noidea]

Originally Posted by carboy

Anyway, I got her to do calf stretching and plantar fascia stretching for the last 3 days and it's seems to provide a lot of relief.

Good for her.

I would also suggest that she should put her feet into a bowl of warm water immediately after her stretching exercises. It helps with the pain that usually follows after stretching.

[Red Liner]

Hey Guys,

I need to take my mom out for her annual health check up in Bangalore.

Could you suggest the best place to do it so I dont get ripped off? What does this annual check up consist of? Is there like a list of things?

Cost is not the issue here - I just don't want to get ripped off by some hospital which says these are the "standard" procedures.

Thanks docs ;-)

[IronH4WK]

Originally Posted by Red Liner

Hey Guys,

I need to take my mom out for her annual health check up in Bangalore.

Could you suggest the best place to do it so I dont get ripped off? What does this annual check up consist of? Is there like a list of things?

Cost is not the issue here - I just don't want to get ripped off by some hospital which says these are the "standard" procedures.

Thanks docs ;-)

we usually go to Columbia Asia for our annual health checkups. there are different packages depending on the age, but you can add a particular test if you'd like. you've to take prior appointment with them (can do it over phone; you can choose the package when making an appointment).

at the reception they will explain about the packages if you've any clarification. the place is clean and doesn't smell like a hospital (rather a 5star hotel). btw, weekdays would be a better option as weekends are crowded.

[Red Liner]

Originally Posted by IronH4WK

we usually go to Columbia Asia for our annual health checkups. there are different packages depending on the age, but you can add a particular test if you'd like. you've to take prior appointment with them (can do it over phone; you can choose the package when making an appointment).

at the reception they will explain about the packages if you've any clarification. the place is clean and doesn't smell like a hospital (rather a 5star hotel). btw, weekdays would be a better option as weekends are crowded.

Ah, now there's a start. Will call and find out about their packages first...thanks ironhawk!

[Red Liner]

Originally Posted by Red Liner

Hey Guys,

I need to take my mom out for her annual health check up in Bangalore.

Could you suggest the best place to do it so I dont get ripped off? What does this annual check up consist of? Is there like a list of things?

Cost is not the issue here - I just don't want to get ripped off by some hospital which says these are the "standard" procedures.

Thanks docs ;-)

Okay, so I spoke to a few of the leading hospitals in Bangalore and got these documents on various health check up's for them. Could a doc please advice me on which is the best package or solution from which hospital?

The Apollo Well Woman Check seems to be good, but is very inexpensive compared to the others. Any catch?

6. APOLLO WELL WOMEN CHECK (AWWC Rs 1400)

Hb, TC, DC, E.S.R, PCV, MCV, MCHC, TLC, Differential count, Platelet count, Random Blood Sugar, Urine Analysis, Stool routine test, X-ray chest, Ultrasound Scan of Pelvis, Pap Smear test. Physical Examination (including Breast and Gynecology check up) and Lifestyle Management Program.

PS: My mom is anaemic. Need to get that checked. Is it covered above? (am guessing the platelet count...)

And here is the information for the others:

Manipal Comprehensive Health Check for Women:

• Complete Blood Count (Hemoglobin, RBC Count, PCV, Total WBC, Platelet Count, DC, MCV, MCH, MCHC)
• ESR (Erythrocyte Sedimentation Rate)
• Peripheral Smear
• Blood Grouping & Rh Typing
• Fasting Blood Sugar
• Post Prandial Blood Sugar
• Kidney Profile (Blood Urea Nitrogen (BUN), Serum Creatinine, Serum Uric Acid, Calcium, Phosphorus)
• Liver Function Test (Total Bilirubin, Direct Bilirubin, Total Protein, Albumin, Globulin, SGOT, SGPT, ALP)
• Lipid Profile (Total Cholesterol, Triglycerides, HDL, LDL, VLDL)
• Thyroid Profile (T3, T4 & TSH)
• VDRL
• HBsAg
• Urine Routine & Microscopy
• Stool Routine
• Chest X-Ray
• Ultra Sound Abdomen
• Audiometry
• Pulmonary Function Test (PFT)
• ECG
• ECHO Cardiogram or Tread Mill Test
• Pap Smear Test
• Mammography (Sonomammography for less than 40 yrs Age)
• Gynecologist Consultation
• Diet Consultation
• Dental Consultation
• Ophthalmology Consultation
• Physical Examination
• Physician Consultation

Mallya: http://mallyahospital.net/executive-...-diabetes.html (its a standard plan)

[dZired]

My girlfriend is having pain in her right arm from about 2 weeks. Yesterday we went to a doctor who checked her heart beat which came out to be 90 beats per second. The Dr has advised to go for the following tests.
ECG
CBC
SGPT
ESR
S creature
She will be going for the tests today with her family. But I am too worried for her. So can any specialist here please tell me what could be the possible cause of such pain and these tests?
Will be eagerly waiting for a reply.

[carboy]

Originally Posted by Tejas@perioimpl

I prefer go go with toothpastes whose ingredients have scientific published reports supporting their efficacy. Till date i have found only two indian pastes which come close: Pepsodent G and colgate total.

I had started using Pep G and Colgate Total since I read this. However, I am planning to change now that a lot of harmful reports have come in about triclosan.

http://www.firstpost.com/living/key-...ms-417320.html
http://www.rttnews.com/1947754/soap-...mpaign=sitemap

In general, I have been avoiding anti-bacterials soap and all kinds of mouthwashes for regular use for many years now. Guess I will be avoiding this in toothpastes also.

[Deep Blue]

Originally Posted by dZired

heart beat which came out to be 90 beats per second.

I suppose you meant 90 beats per minute

[D4d-maniac]

Originally Posted by dZired

My girlfriend is having pain in her right arm from about 2 weeks. Yesterday we went to a doctor who checked her heart beat which came out to be 90 beats per second. The Dr has advised to go for the following tests.
ECG
CBC
SGPT
ESR
S creature
She will be going for the tests today with her family. But I am too worried for her. So can any specialist here please tell me what could be the possible cause of such pain and these tests?
Will be eagerly waiting for a reply.

Can you describe the pain? Location, associated with some specific activity, type of pain( pins and needles, shooting, stabbing, etc).
The pulse rate you mentioned , is that at rest? And does she have any associated medical problems? Recent weight gain, hair loss etc.

[drmohitg]

Originally Posted by Red Liner

6. APOLLO WELL WOMEN CHECK (AWWC Rs 1400)

Hb, TC, DC, E.S.R, PCV, MCV, MCHC, TLC, Differential count, Platelet count, Random Blood Sugar, Urine Analysis, Stool routine test, X-ray chest, Ultrasound Scan of Pelvis, Pap Smear test. Physical Examination (including Breast and Gynecology check up) and Lifestyle Management Program.

Looks good for the cost. See if you can add Fasting blood sugar, Liver function tests, lipid profile and kidney function tests too to the above. Thyroid profile is also advisable. All of these are added in the manipal package which would be the major reason for the cost difference.

PS: My mom is anaemic. Need to get that checked. Is it covered above? (am guessing the platelet count...)

No its not the platelet count but these tests which will help with the anemia: Hemoglobin, RBC Count, PCV, MCV,MCH, MCHC. Again anemia can be due to a large number of causes with most common being dietary deficiency of iron and vitamin B 12.

Manipal Comprehensive Health Check for Women:[list][*]Complete Blood Count (Hemoglobin, RBC Count, PCV, Total WBC, Platelet Count, DC, MCV, MCH, MCHC)[*]ESR (Erythrocyte Sedimentation Rate)[*]Peripheral Smear[*]Blood Grouping & Rh Typing[*]Fasting Blood Sugar[*]Post Prandial Blood Sugar[*]Kidney Profile (Blood Urea Nitrogen (BUN), Serum Creatinine, Serum Uric Acid, Calcium, Phosphorus)[*]Liver Function Test (Total Bilirubin, Direct Bilirubin, Total Protein, Albumin, Globulin, SGOT, SGPT, ALP)[*]Lipid Profile (Total Cholesterol, Triglycerides, HDL, LDL, VLDL)[*]Thyroid Profile (T3, T4 & TSH)
[*]VDRL[*]HBsAg[*]Urine Routine & Microscopy[*]Stool Routine[*]Chest X-Ray[*]Ultra Sound Abdomen
[*]Audiometry[*]Pulmonary Function Test (PFT)[*]ECG[*]ECHO Cardiogram or Tread Mill Test[*]Pap Smear Test[*]Mammography (Sonomammography for less than 40 yrs Age)[*]Gynecologist Consultation[*]Diet Consultation[*]Dental Consultation[*]Ophthalmology Consultation[*]Physical Examination[*]Physician Consultation

This is the better package according to me. The ones in bold are not really needed but have been just put in there to probably add to the cost and make the list look more appealing/comprehensive.

Ideally I would advice you to get the following:
Complete blood counts, Lipid profile, Fasting blood sugar, Random blood sugar, Glycosylated hemoglobin, Renal function tests, Liver function tests, Thyroid profile, C reactive protein, calcium levels. Skip the rest and get them done only if indicated by an abnormal test from the above list.

Regards,
Mohit

[Wheeliej]

Originally Posted by noidea

Ok, this is the issue with calcaneal spurs.

I had a very senior boss above 80 years old and he told me that when he was younger they used to operate and remove calcaneal spurs (1960's). That was the recommended treatment at that time. Later is was found that the operation did not help with the pain and they figured that it is a normal body response to inflamation and presently nobody operates for calcaneal spur and it is not considered to be a clinical diagnosis, it is only something one can see on an X-ray.

You can check this link - Bone Spurs & Heel Spurs: Causes, Symptoms, Treatment

It is the job of the doctor to dig out information from the patient. That is pretty much the most important job we have.

If the pain is at the attachment of the heel cord to the bone then we have a different diagnosis called Achilles tendinitis. Both conditions can co-exist but is very unusual.

I am getting more and more confused as I am typing this reply about what to advice you.

SOMEBODY PLEASE HELP!

Hi, for heel pain my aunt told me it occurs due to sudden weight gain since the foot-arch gets compressed. She said a doc will prescribe medicines and injections, but they are of no use. Wear the soft in- sole shoes and slippers at all times and it will disappear after a few years. I wear the soft insole shoes like hush puppies (expensive option) or similar soft insoles from bata and other shoe shops (avoid metro shoes, even otherwise they only come in very unattractive choices, styles - sic -and colours or the heel supports. Wearing of heels over extended time will give you painful heels in the morning.

[selfdrive]

We are just so used to marching forward in our daily lives that we assume everyone to be chugging at their full capacity all the time. And what happens to those who though capable of performing well, are unabel to do so due to some limitations?

In terms of physically visible disabilities, at least some people are sensitive enough to understand and even help out. But what happens to those who are emotionally or psychologically scarred? Does anyone even know these people have problems?
The short answer is No.
Why? because it is almost suicidal for your career or social relationships if one admits to being psychologically unwell.
My question is if it is acceptable to be unwell physically once in a while, what is wrong in someone saying they need some help. Help in terms of coping with some issues while they nurse themselves back to full health. Or in terms of just some respect and space. Instead of continuing to stress such people out, it may actually help for us to look around and find such people. They are around us, just try to identify and avoid pushing them unnecessarily. Many of us go to gyms or workout for physical fitness. what about the psychological/ emotional part? any exercise routine for that?

Have you as a person experienced this from either side? How would it feel like to be depressed for some reason and have people to tell you to just snap out of it? It isnt hypnosis, its depression and one cannot just 'snap' out of it.

I would like to hear from anyone here who has or knows someone who has gone through this. This would help others to find some tips or ideas and perhaps it could help someone out there.

One more thing - it takes a lot of courage to own up. One is infact being strong when admitting to being weak, be it phsyically or psychologically.

So how does one deal with depression? And how does one deal with other people when they are depressed? Links to articles are welcome too.

Mods: please merge as appropriate, I could not find a thread for this

[snkjr]

I'm no expert but have read up on the issue.

Getting professional help is essential. This is hard to do in our country where the awareness about such conditions is simply absent, and people are stigmatized, stereotyped and further traumatized by society - people are quick to say "ye to pagal hai" if you seek the guidance of a psychologist, or the diagnosis and treatment of a psychiatrist.

I say it's essential because: -

(1) What we call 'depression' could really have been brought on by many root psychological conditions, for example social anxiety or post-traumatic stress disorder. Or maybe the childhood experiences were not so good and the adult life is suffering because of that, and this may happen even if the adult does not really have a clear recollection of negative experiences.

(2) There are medications that can be prescribed by the authorized practitioners and these medications do help towards positive recovery.