Prevention is Far Better Than Cure

Dr Abhimanyu MakaneAditya Birla Memorial Hospital, Pune.

Sterling Multispecialty Hospital, Nigdi, PuneRuby Hall Clinic, Pune

Outline..

• What we think about being healthy?• What is being healthy in fact?• How to diagnose ill-health?• How a doctor can help you to avoid a doctor?• What I think is not important but what

research says is…

A Popular Myth

• Multivitamin and Mineral supplementsadded benefit to a balanced, healthful diet

United States Preventive Services Task Force

• A 2013 systematic review of randomized trials(for efficacy) and both trials and observational studies

(for safety) performed – Limited evidence for preventing cancer or cardiovascular

disease – Borderline significant reduction in the risk of cancer – No effect on cardiovascular disease – Multivitamin supplementation also did not appear to

reduce the risk of mortality.– No benefit on cognitive function – A small reduction in the risk of cataracts with multivitamin

supplementation

Risky Heart Health Myths

• I would know if I had high blood pressure or high cholesterol.

• Exercise is too risky if you have heart disease.• Once I Have Heart Disease, That's It!!!

Data from Paffenberger RS Jr, Hyde RT, Wing AL, et al. N Engl J Med 1993; 328:538.

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Food Pyramid

Should work make you ill?

• Prolonged periods of excessive pressure have an adverse effect on health – heart disease– back pain– Headaches– gastrointestinal disturbances – various minor illnesses– and psychological effects such as anxiety and

depression • Poor coping strategies-harmful behaviors– skipping meals– drinking too much caffeine or alcohol– smoking.

Health-WHO

• “A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity."

9 Domains of GNH

1. Psychological Wellbeing2. Standard of Living3. Good Governance4.Health5.Education6.Community Vitality7.Cultural Diversity and Resilience8. Time Use9. Ecological Diversity and Resilience

Making GNH quantifiable• Economic Wellness: such as consumer debt, average income to

consumer price index ratio and income distribution• Environmental Wellness: pollution, noise and traffic• Physical Wellness: severe illnesses• Mental Wellness: Usage of antidepressants and rise or decline of

psychotherapy patients• Workplace Wellness: Jobless claims, job change, workplace

complaints and lawsuits• Social Wellness: Discrimination, safety, divorce rates, complaints of

domestic conflicts and family lawsuits, public lawsuits, crime rates• Political Wellness: Quality of local democracy, individual freedom,

and foreign conflicts.

Global happiness Index

• India ranks 111– GDP per capita– Healthy life expectancy– Someone to count on– Perceived freedom to make life choices– Freedom from corruption– Generosity

Management Standards for Work Related Stress

• Demands – Workload, work patterns and the work environment.

• Control – Who decides how a work is done?• Support – Encouragement, sponsorship and resources

provided by the organisation, line management and colleagues.

• Relationships – Promoting positive working to avoid conflict and dealing with unacceptable behaviour.

• Role – whether people understand their role within the organisation and whether the organisation ensures that they do not have conflicting roles.

• Change – How organisational change (large or small) is managed and communicated in the organisation.

•Thanks…