Articles by Mukul Saxena

Col (Retd) Dr Mukul Saxena has over 30 years of cross-functional expertise in healthcare, both in public and private sectors.

In the last few days, cholera cases have been reported from across the city, and there are fears about a large-scale outbreak. Let us quickly understand certain basics of the disease, how it affects us, what we can do to safeguard our health and life, and be an agent of change to control the spread of the disease. Let us look at the facts first. Every year, cholera infects 1.3 to 4 million people globally, and claims the lives of 21,000 to 1.43 lakh people, according to the World Health Organisation (WHO). What makes it so virulent as to turn into…

Read more

Know your health risks

Health is not mere absence of disease. It would be better if we have an understanding of health risks, how do we monitor them, and take actions to prevent them from manifesting as a disease condition.You may ask, “Is it possible?”, and I say, the answer is yes. To begin with, take a look at what you have inherited from your parents and family. Typically, if one or both of your parents have heart disease, diabetes, hypertension, cancers, asthma etc, there is a possibility that  you may also get it some time or other. Map out your family history, and…

Read more

Know your health risks

Health is not mere absence of disease. It would be better if we have an understanding of health risks, how do we monitor them, and take actions to prevent them from manifesting as a disease condition. You may ask, "Is it possible?", and I say, the answer is yes. To begin with, take a look at what you have inherited from your parents and family. Typically, if one or both of your parents have heart disease, diabetes, hypertension, cancers, asthma etc, there is a possibility that you may also get it some time or other. Map out your family history,…

Read more

The good news is that at least half the number of diabetes patients can prevent or delay the onset of diabetes by simple lifestyle modifications. The bad news is: at least 50% of diabetics are not aware that they have diabetes. They are not aware of signs and symptoms which can help them recognise if they have diabetes, and manage it accordingly before it causes damage to vital organs. Pic: wikimedia commons What then should alert you if you are at risk of diabetes, or have diabetes. Some of the common symptoms that should alert you are: Increased appetite Increased…

Read more

In the previous two articles, we have discussed how to assess if you are at risk of heart disease, and how to confirm or rule it out. This will result in one of the three scenarios: You have gone through your physician's examination and investigations, and he declares that you do not suffer from heart disease. Before you start celebrating, please understand that it may mean "for the time being". If you are at risk, you still need to modify your lifestyle, lower your risk factors, and have a periodic reassessment programme.Your physical examination and investigations suggest that you have…

Read more

In the previous article we discussed whether you are at risk of having heart disease. However, just knowing that you are at risk is only one part of story. You also need to recognise if you have heart disease. Medical science is full of instances of men/ women losing their life because they did not recognise and respond in time to features of heart disease.Symptoms : What should make you suspect?Most of people understand that the cardinal sign of having a heart disease is severe chest pain. While this may be true in most of cases, there is a large…

Read more

September 29th is observed as world Heart day. Cardiovascular diseases causes at least 17 million people deaths annually.Heart attack typically occurs when blood supply to heart is blocked. If the blockage is temporary, it results in chest pain or ‘Angina.’ If it is prolonged and irreversible, it leads to death of heart muscles, and is called heart attack. It can and does lead to death in a significant number of cases, if immediate treatment is not provided. It is estimated that 50 percent of all deaths due to heart attack occurs in first hour. Pic courtesy: Wikimedia commons It is…

Read more

The last few decades have witnessed an exponential rise in the number of cell phone users. Remember the old days when getting a single landline number used to be an achievement? Today, a large number of people are carrying more than one mobile in their pockets. There has been occasional outcry about the harmful effect of radiation that may be associated with use of cellphones. Are mobile phones harmful? Pic: Wikimedia commons It is in this context, it would be helpful to understand the radiation effect from a mobile and its implication on health issues. Firstly, the radiation that is…

Read more

In 2008, according to WHO, 4,58,000 deaths were caused by breast cancer worldwide. Cancer Registry, Bangalore estimates a 2.7% annual increase in breast cancer, for the period 1982-2005 (ICMR Report). In India every year, one lakh new cases are diagnosed, 50% of them in advanced stage. Some important trends over the years are:Shift in cancer incidence to younger age, that are more aggressive.Detection at a late stage: In USA, 89% of women with breast cancer have a 5 year survival rate (a benchmark for control of cancer). In India, the corresponding figure is approximately 69%. The difference is due to…

Read more

“Having a headache?” Take Anacin. “Having loose motions?” Take Norflox or Flagyll. I am sure all of us have witnessed this conversation sometime or other. People self prescribe antibiotics, and even steroids. TV and media advertising support this trend. Remember that old TV ad? “Headache?” “yes” “Nose blocked ?” “Oh yes” “Cough?” “Yes man yes” “Kutch Lete Kyun nahin? (Why don’t you take something?)” And a jingle follows recommending a common medicine. How many of us know that self medication can be dangerous, or perhaps how many of us really care? Do we know that Aspirin (in Anacin) can lead…

Read more