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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Mar 7

The health-related benefits of #walking does not depend on the time or place of walking

1. Met a marketing professional whose work required travelling on 15-20 days a month, with early morning/late evening flights. He lamented there is no proper time or place to walk.
#fitness

2. I suggested that he could walk inside airport terminals (after security checks, while waiting to board flights).
Most people sit, read newspapers, gossip or have coffee/snacks, while waiting to board.
The pictures below show my evening walk at Mumbai airport (T1) last month.

@IamShajanSamuel

3. Walking would result in similar benefits, irrespective of time or place chosen for walks. One often needs to wait for 30-40 min for boarding, & walking during that time is ideal.
Preferably use stairs instead of escalators.
I remember a similar post of @IamShajanSamuel

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Mar 5

When cheque bounced due to signature mismatch

1. 48-yr old Venky was surprised when two of the cheques issued by him bounced due to signature mismatch. On enquiry with bank staff, he was shown his original signature, which did not match with the current one.
#MedTwitter

2. It was noted that letters in the later half of his signature had reduced in height (as compared to height in his original signature). The legibility of his writing too had reduced. He tried writing at home & similar thing happened- letters became smaller as he wrote sentences.

3. Venky decided to consult a Neurologist for evaluation. I reviewed his history.
He showed me his writing. Attached below are the samples- (above is normal, the one below is what his writing looked like).
I also observed mild shivering of his right hand, while he spoke to me.

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Mar 5

Any level of physical activity is associated with better later-life #cognition

1. The multiple benefits of #exercise on cognitive functions are well known. A recent research showed that it is never too late to start exercising, and any exercise is better than not exercising.

2. The investigators asked 1417 participants how much they had exercised at ages 36, 43, 60, and 69 years.
Activities included badminton, swimming, fitness exercises, yoga, dancing, football, mountain climbing, jogging, or brisk walks for 30 min or more.
#dementia #Alzheimers

3. They were also asked the number of times they had exercised in the previous month.
Most commonly reported activities at age 60 were walking (71%), swimming (33%), floor exercises (24%), and cycling (15%).
dx.doi.org/10.1136/jnnp-2…

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Mar 3

A seemingly innocuous habit resulted in tinnitus and hearing impairment in a young woman

1. 30-year old Lata presented with tinnitus in both ears of three months duration. It was a constant buzzing sound in ears, which was quite annoying for her.
#MedTwitter #HearingLoss

2. One month back Lata also developed hearing problem in both ears. She was unable to respond to her children's voices from the adjoining room at home. She missed registering a few words during routine conversation with others. She consulted an ENT surgeon for evaluation.

3. ENT exam confirmed the worst- she had high-frequency hearing loss. However, local examination of ears was normal.
Lata was too young to develop age-related hearing loss, as it usually affects people aged 65 and above. ENT doctor wanted neurological cause to be excluded.

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Mar 2

When something meant to aid a runner became a pain in his "thigh"

1. 45-year old Dev presented with sharp, shooting pain & tingling in right thigh for three months. Pain occurred in episodes, lasting a few minutes to a few hours; repeating several times in a day.
#MedTwitter

2. Dev also had mild numbness in the rigft thigh region, however, he had no back pain and the pain did not radiate below the knee. He had no leg weakness and had normal urinary control.
His daily life was adversely affected due to thigh pain.

3. Dev consulted a local doctor, who conducted several tests, including MRI lumbar spine and nerve conduction studies, which were normal. He was prescribed pain-relief medicines, however, Dev was not keen to take medicines without knowing the root cause of his symptoms.

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Mar 1

Lower resting heart rate (HR) and its health-related benefits

1. My resting HR has reduced from 72 bpm (in 2020) to 42 bpm (in 2023); mainly due to consistent running (average mileage of 15 km/day in 2021; 12.6 km/day in 2022) and weight loss (28 Kg)
#running #fitness #longevity

2. People with higher resting HR have a higher risk of death due to cardiovascular disease and cancers (breast, lung, kidney or colorectal cancers)
dx.doi.org/10.1136/heartj…

3a. In another study, people with RHR >75 bpm had 2-fold higher risk of all-cause death, or deaths due to stroke or heart attack (over 10-yr follow up), as compared to those with RHR <55 bpm.
Risk of all cause death increased by 3% for every bpm rise in RHR in the study period.

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