tag:blogger.com,1999:blog-2177051091363290480.post5992568504657222804..comments2023-11-03T17:32:35.792+08:00Comments on Pearls & Gem: Letter to a prospective Son in Law....[ On Ranjan Das ]Unknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-2177051091363290480.post-55539342639491256792011-01-21T07:30:11.532+08:002011-01-21T07:30:11.532+08:00Pammi,
If you go to my site at:
http://drnikisah...Pammi,<br /><br />If you go to my site at:<br /><br />http://drnikisahak.blogspot.com/2010/07/click-here-ptca.html<br />[ procedures in medicine ]<br /><br />one can visualise how it is elegantly done. The technique was 1st perceived by a Swiss radiologist Andreas Gruntzig in 1978.<br /><br /> I would not go so far as saying that angioplasty and stenting would reduce the incidence of mortality with respect to coronary artery disease. It has certainly made it's treatment simpler and more elegant.<br /><br />Reduction of mortality, incidence etc etc still remain in the domain of primary prevention which is consisted of healthy living, keeping to ideal body weight, no smoking, reasonable diet throughout life and a holistic way of living one's life balancing stress, exercise and leisure.<br /><br />Secondary prevention[ ie in people who are already diagnosed to have CAD ] consist of optimisation of diabetic control,BP control, weight control, bringing fats and lipids down to 'the floor' is paramount and I am very agressive with respect to lipids and blood sugar etc and etc.<br /><br />That in a gist is the total over view picture as to how I look at it.Pearls and Gemhttps://www.blogger.com/profile/06956076197010527489noreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-54238971790512256992009-11-24T05:31:23.594+08:002009-11-24T05:31:23.594+08:00Sorry Kia,you are trying to sell your 'product...Sorry Kia,you are trying to sell your 'product' here on my blog. I have no tolerance for that here.Pearls and Gemhttps://www.blogger.com/profile/06956076197010527489noreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-12583018568503956172009-11-24T02:06:59.204+08:002009-11-24T02:06:59.204+08:00This comment has been removed by a blog administrator.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-23197129390110133242009-11-23T04:23:45.319+08:002009-11-23T04:23:45.319+08:00"And they say: There is naught but our life o..."And they say: There is naught but our life of the world; we die and we live, and naught destroyeth us save time; when they have no knowledge whatsoever of (all) that; they do but guess." <br />[ Al Jathiya, 45:23 ]Pearls and Gemhttps://www.blogger.com/profile/06956076197010527489noreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-56812540463417295412009-11-22T13:41:02.775+08:002009-11-22T13:41:02.775+08:00Interval training?
I even have problem getting my ...Interval training?<br />I even have problem getting my patients to exercise.For marathon runners, yes certainly ,more to increase endurance and exercise capacity.Those who want to be amongst the front runners, definitely they need to incorporate interval training and fartlek ie speed play, as their routine.Even then they should not over do this because in interval training you are driving yourself to almost maximal heart capacity, that is when you have musculoskeletal injuries.Not to mention cardiovascular ,rthym problem if you happen to have a latent undiagnosed ischaemic heart problem.I would certainly not advise the average Joe to do interval, the real interval I mean. What you are alluding to is fartlek,speed play, which is less intense and submaximal effort ffor a brief spell<br /><br />In the average Ali, Ah Chong and Muniandy,just exercise 1/2 hour , minimum 3 times a week is already great. Forget about the Scientufic American finding.That is for the ambitious athletes in competition.<br /><br />As for the Dr Asri/ Jakim affair there is more than meets the eye.Asri,being a young upstart , is certainly not 100% innocent. he ia playing to the gallery, not caring about real ilmu anymore,collecting all the kuching kurap along the way[SIS, Liberal Islam or whatever as long as there are a crowd behind him], on the other side of the divide we have Othman El Muhammady,who is telling us and cajoling us in fact for weeks on end in the print media, almost,nearly almost that Wahabi is out of Islam.Common, we are all not stupid...<br /><br />Talkin,tahlil,tawassul... these are all 'ranting' issues. When are these ulama' collectively going to have more grey mater and address the bigger issues of ilmu,scientific progress,real Islamic banking and finance[ the current CIMB one is 99 % halal,1 % alcohol,if that is OK with you!]etc and etc that are confouding the ummah for generations!<br /><br />Kita ni dah lah lemah, nak berpecah pecah pula on so many fault lines. Cukup saja lah dunia islam ini di bahagi bahagikan kepada Syiah dan Sunni, jangan pula kita nak berpecah kepada Sunnah wal Jaamah vs Wahabi dan etc etc etc.<br /><br />When are these blokes going to have brains and wisdom?<br /><br />Oops Doc Rahmat , I tak ada lesen...But I dont give syarahan in masjid or even in private... just blogging only. Jakim belum canggih enough to think about having to apply for a blogging license....yet.Pearls and Gemhttps://www.blogger.com/profile/06956076197010527489noreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-35818343233767853822009-11-22T12:50:38.314+08:002009-11-22T12:50:38.314+08:00Assalamulaikom
Dear Dr Nik,
Hi, how're you?
...Assalamulaikom<br />Dear Dr Nik,<br /><br />Hi, how're you? <br />Allow me to comment on Rajan Das, CEO,a keen marathon runner and had masive infarction during work-out.<br />Last time, I had asked you about contineous exercise versus interval excercise. Those marathon runners and aerobic addicts seem to die of vascular pathology especially ACA (Acte Coronary Attack). Sometimes, even during the tournement itself.<br />I now, advocate interval exercise to my patients. For every 2-minunte strenous exercise, follewed by one minute rest. The idea is to mimic heart attack or vascular event.<br />How far the concept is true, I won't know. But that's what some American Cardilogist are advocating. I tend to agree with them. No session should exceed 20 minutes. How nice!<br />BTW, have you got your Tauliah from JAIS? Better get one. Dr ASri with PhD pun tak diberi tauliah automatik?RahmatHarounHashimhttps://www.blogger.com/profile/09217816593759648173noreply@blogger.com