May 2018

MAROOFNEWSLETTER

MAROOF DEXA SCAN

Who needs Dexa Scanning?Men & Women above 40 years of ageBackacheFamily history of bone fractureMedication that accelerates bone lossAnti-seizure MedicationLow body weight, a light build

Light complexion Cigarette smoking or use of AlcoholMenopause or AndropauseHormone Replacement Therapy (HRT/ERT)A diet low in dairy product

Love your bones, Protect your bones

At least One in three women and One in five men over the age of 50 will suffer a fracture caused by weak bones.

Detect Weak bones with a Bone Density Test

MEDICALCAMPATCOMSATS THEKEYTOAGREENERPLANETISINYOURHANDIncreasingpollutionanddusthasraisedtheimportanceofgrowingmoreplantsandprovidinghealthiergreenerplanettoourcominggenerations.Targetingthisaspurpose,MaroofInternationalHospitalincollaborationwith Searle Pharmaceuticals, planted four trees in front of MaroofBuildingat10thAvenueon5thApril2018.ThePlantswereplantedbyCEO Maroof International Hospital Ch. Haroon Naseer, ConsultantPulmonologyandHeadofICUDr.SajjadNaseer,MedicalSpecialistDr.TahirAliKhanandSr.ManagerMarketingMalikZeeshanAli.

Employeeofthemonth:

Mr. Muhammad Asif from Support ServicesDepartmentwasselectedasemployeeofthemonthfor his outstanding performance during March2018.Hewasawardedcerti�icateandprizebyCh.Haroon Naseer CEO MIH, Mrs. Musarrat NaseerHoDMMDandMr.AfsarAli,CFO.

Ms. Faiza Anum from HR&D Department wasselected as employee of the month for heroutstanding performance during February 2018.She was awarded certi�icate and prize by Ch.Haroon Naseer CEO MIH, Mrs. Musarrat NaseerHoDMMDandMr.AfsarAli,CFO

02 I Maroof Newsle�er, May 2018 Maroof Newsle�er, May 2018 I 03

Maroof Interna�onal Hospital in collabora�on with Askari General Insurance Company (AGICO) organized a one day medical camp at COMSATS University

thIslamabad on 24 April 2018. This medical camp was organized for providing free consulta�ons and medical checks to the faculty and staff of COMSATS University. Associate Prof. Dr. Muhammad Israr and Dr. Amna Sajjad from Dental, Dr. Imran Ghani from Cardiology, Dr. Rabia from Gynecology, Dr. Hina and Dr. Hafsa from General Medicine, Dr. Osama Javed from General Surgery, Mr. Sarfaraz from Physiotherapy and Rehabilita�on and Ms. Mubashera Iqbal Tarana from Food and Nutri�on were present and they provided free medical consulta�on to all the visitors.

The COMSATS employees were also provided with free sugar, BP, weight and height check. This medical service by Maroof Interna�onal Hospital was highly appreciated by COMSATS management and staff.

In the end Senior Management COMSATS and AGICO distributed shields for the apprecia�on of organizers. Addressing the organizers and a�endees, Sr. Treasurer COMSATS Mr. Muhammad Azam said this kind of medical checkup should be regularly organized and more public awareness should be spread among people regarding health evalua�ons. He also regarded the efforts of Malik Zeeshan Ali, Sr. Manager Marke�ng, Maroof Interna�onal Hospital and Nadeem Ahmed Iqbal Joint AVP, AGICO and their teams.

Whenhavingpainweneedtoexaminealltheaspectsofourlivesthatcancontribute.Drivingcreatessigni�icantstresstotheneckandtheupperandlowerback.Whilethisshouldgowithout saying only use cars that you �it into properly.Compactcarsoftendonot�ittallerusers.Forotherscertainseatsmaynotsupportthemproperly.Safety isalwaysthe�irstconcern.Nevermakeanadjustmentthatwouldmakeyou less likely to see the road, your mirrors, or theinstrumentseasily.

Makeaproperadjustment:It is easiest to startwitha seat that is completely in thewrongpositionandbringitintothecorrectposition.Startbypushingyourseatallthewayback,placeitaslowtothe�loorasable,andreclinetheback30-40degrees.

l Bringtheseatheightupuntilyoucancomfortablyseetheroadandinstrumentsandyourhipsareashighasyourknees.Ifyouaretoolowtryaddingacushionorwedgetotheseat.Thiscanalsodecreasevibrationfromtheroadwhichhasbeenshowntocontributetoinjury.Besureitdoesnotmakeyoutoohighsothatyouhavetobendyourheaddownortotheside.

l Scoottheseatforwardsoyoucanreachandcompletelydepressallthefootpedalswithoutcomingawayfromtheseatback.

l Bringthebackforwarduntilyouarereclinedata100-110degree angle. This decreases the pressure on thediscsinyourlowback.Adjustyourheadrestsoitrestsinthemiddleofyourhead.Adjustthelumbarsupportso

youhaveevenbacksupport.Thisshouldbesupportiveandcomfortable.Alumbar(back)cushioncanbeaddedifyourcarlackssuf�icientlumbarsupport.

l Tilt seat cushion until it evenly supports your entirethighwithoutpressureinparticularareasanddoesnothitthebackofyourknees.Ifitpressesunevenlyyoucanrestrictcirculationandcausediscomfortinthelegs.

l Adjusttheseatbeltto�ityouinsteadofadjustingtheseattoaccommodatetheseatbeltposition.

l Bring the steering wheel down and toward you tominimizereach.Thelessyourelbowsreachforwardandup the less the strain on your neck and upper back.Nowadjustthemirrors.Ifyoustarttoslouchdownorgetinabadpositionthemirrorswillfeelastheyneedtobeadjustedandcueyoutositbackup.

l Finetuneasnecessary.

l Makeminoradjustmentstoyourpositionoccasionallytochangethestressorsonyourbody.Besuretostayinasafesupportedposition.Changeyourgriponthewheeloccasionally.

l Donotusethecarasanof�ice.Usingthelaptopintheotherseatcreatestwistingofthespine.Bendingoverto�ill out paperwork causes your neck to �lex forwardunsafely.

l Don'tstoreitemsonthebackseatorseatbackpocketswherereachingforthemwillcauseawkwardtwisting.

l How you hold the steering wheel is also important.Insteadofholdingclosetothetopofthewheelatthe10and2o'clockpositionslowerthemto9and3o'clockorlower. You can feel the shouldersmuscles relax somewhen you do this. Other than while turning, avoid

DrivingErgonomics

Dr.Umair-ur-Rehman(PT)B.S.P.T,PP-DPT,MPPTARehabilitationDepartment

Headrests should be ideally be positioned two inches or less from the rear of drivers head, and never more than four inches.

hen adjusting for height, the bulk of headrest should stand directly behind driver's head, at ears level.

IDEAL POSITION VERY POOR POSITION

In the event of an accident, you want the headrest to contact your head first, not your neck.

A properly adjusted headrest can reduce the risk of whiplash-related injuries, by as much as 40 per cent.

reachingacrossyourbodytoholdthesteeringwheel.Forexample,don'tholdtheverytoporrightsideofthewheelwithyourleftarmorviceversa.Trytokeepyourwriststraightwhileholdingthesteeringwheel.

l Giveyourbodyafewminutesoutofthecarbeforeliftingthingsfromthetrunk.

l Alwaysremoveyourwalletfromyourbackpocketbeforesitting.Thiscausesthepelvis(hip)totwiststressingtheback.

l Whengettingintothecarsit�irstandthenswingyourlegsintothecar.Togetoutslidethelegsout�irstandthenstanduptodecreaselowbackstrain.

l Takefrequentbreakstogetoutandstretchatleastevery2hours.Thisis importantforyourbackbutalsoyourhandsasholdingasteeringwheelforlongperiodscancontribute to carpal tunnel syndrome or other handsproblems.Ifyougettoyourdestination3minutesearlierbutarestiffandpainfulyouwon'tbeveryeffective!

TheMarketingDepartmentatMaroofInternationalHospitalorganizedaMedicalCampatJazzHeadOf�iceinF/8Islamabadon26thMarch2018.The event comprisedof conducting a Pulmonary FunctionTest (PFT).GivinganintroductionaboutPFT;theseareagroupofteststhatmeasurehowwell your lungswork. The purpose of the test was to check thebreathingandhoweffectivelyaperson'slungsaresupplyingoxygentotheotherorgansofthebody.ThiscampwasorganizedfortheemployeesofJazz.Theturnoverforthecampwasveryencouraging.EmployeeswerealsoprovidedwithvitalhealthcheckslikeBloodPressure,weight,glucoseandheight.Dr.OsamaJaved,InchargeERMIH,withhisteamofdoctorswasalsopresentforprovidingmedicalconsultationtotheemployees.Inviewoftheincreasingpollution,smokingtrendsandunhealthylifestyle,PFT is recommended for everyone who is exposed to open air andsmoking.ThisMedicalCampwasorganizedbySr.ManagerMarketingMalikZeeshanAliandhisteamandwashighlyappreciatedbyteamJazz.

MEDICALCAMPATJAZZHEADOFFICE

04 I Maroof Newsle�er, May 2018 Maroof Newsle�er, May 2018 I 05

WeallknowthatPharmaciessurvivecommercially,throughproductsales,butitshouldneverbetheprincipalfocus.

Maroof pharmacy stands out due to its strict Productselectionprotocols,toprocureonlyqualityproductswhichareregistered&approvedbydrugregulatoryauthority,andwhichareappropriatetotheneedandcircumstancesofthepatient, and based on informed judgment whenevernecessaryandappropriate.

Patientsarereferredtophysicianforproperdiagnosis,andmedicationsaredispensedbytechnicallytrained&quali�iedpharmacists,with proper counseling regarding their takehome medication, in case of admitted patients and alsoproperguidance& freepharmacist advice is available forwalkincustomers,inallpharmaciesofMaroofInternationalHospital.

Pharmacistconsultationisavailable24/7

inallsatellitepharmaciesofMIH.

Here, I would like to share a recent example of self-medicationwhere,a23yearoldfemalecametopharmacyandaskedforbetamethasonecream.Itwasrecommendedbyher friendwhoused it for a skin conditionwith greatresults.Theondutypharmacist inquiredwhysheneededthemedicine,sherespondedforacne.Thepharmacisttried

toexplainthatthisproductdoesnothelpacneandsuggestedtoconsulttheskinspecialistbeforebuyingbetamethasone&alsorecommendedadifferentformulaforacne.Butthegirlwasreluctantandleftthepharmacy.Shereturnedsomedayslaterwithverybadacneandaskedthepharmacistforhelp.She admitted that she obtained betamethasone fromanotherpharmacyandusedtheproductmorningandnightforthetreatmentofacne.

Purpose of sharing that example is that conditions varyperson to person; every single person has different, skintype,allergies,anddifferentresponsetosamemedication.Oneshouldnotbepickinguprandommedicine,assuming,beingequallyeffective,asonanotherperson.

Oneshouldconsultaphysicianforproperdiagnosis,andfurtherconsultapharmacisttoseekguidanceregardingproper administration of prescribed medicine to getoptimumtherapeuticresultsisnecessary.

We encourage, proper diagnosis of medical situationthroughconsultants,beforeheadingtowardspharmacy,toavoideseriousmedicalissuesanddelayintreatmentofrootcause.

ClinicalpharmacysetupisbeingdevelopedinMaroofInternational Hospital and will soon be in practice,whichwillincludeclinicalroundsalso.

Differentdrugshavedifferenteffects;theymaybeusedfordifferentreasons.Theuseofmedicationsforself-recognized& self-diagnosed conditions without prior medicalconsultation,regardingindication,dosage,anddurationoftreatmentisreferredtoasself-medication.Inmostillnessesself-medicationisthe�irstoption,whichmakesitacommonpracticeworldwide.

Self-medicationisfarfrombeingacompletelysafepractice,inparticularinthecaseofnon-responsibleself-medication.

Potential risks of self-medication practicesinclude:Incorrect self-diagnosis, delays in seekingmedical advicewhen needed, infrequent but severe adverse reactions,dangerous drug interactions, incorrect manner ofadministration, incorrect dosage, incorrect choice oftherapy,maskingofaseverediseaseandriskofdependence,abuse&resistance.

Commonillnesseswherepatientsselfmedicatel Commoninfections,likecold&Flu,coughl Anxiety&mentalillness.l Acnel Weightloss

Factorsleadingtoself-medicationl SocioeconomicfactorsWaitingtime.l Healthcarecost.l Lackofawareness.

Sourcesofmedicinesl Pharmacies.l Drugstoresl Medicinesstoredathomel Friendsandrelativesl Streetvendors.

Medications categories mostly used in self-medicationare,Anti-biotics,Anti-malarials,Anti-allergy,Pain killers, Weight gain and weight reducing agents,Multivitamins,Skinbleachingsteroids,supplements.

Although responsible self- medication which requires acertainlevelofknowledgeandhealthorientationhassomeadvantages,asitisthoughttoreducetheloadonthemedicalservices, decrease the time spent in waiting to see thephysician, and saves cost especially in economicallydeprivedcountrieswithlimitedhealthresources.However,responsible self-medication is not free of risk, which canincrease theburdenandout-of-pocketexpenses since itmay result in adverse health effects that requiremedicalintervention.Severalstudiesinvestigatingself-medicationshave revealed that common over the counter andPrescription OnlyMedications have been associatedwithadverse health reactions due to use of sub therapeuticdosesandfrequentuseofantibiotics(endingupinanti-biotic resistant bacterial infections) and otherprescriptiononlymedicines.

Self-Medication

Dr.MaryamFarooqi(RPh)AM-MaroofPharmacyMaroofInternationalHospital

??

(A dangerous prac�ce)

Maroof Newsle�er, May 2018 I 0706 I Maroof Newsle�er, May 2018

08 I Maroof Newsle�er, May 2018 Maroof Newsle�er, May 2018 I 09

HittheWall(inaGoodWay)Notayogi?Whenyouranklesorfeetswell,trythelegs-up-the-wallyogapose.Alsocalledviparitakarani,it'saneasywaytosendyourbloodintheotherdirection.Lieonthe�loororonayogamat,withyourleftorrightshoulderclosetothewall.Turnyourbodysoyoucanputyourfeetup,andscoochyourbottomagainstthewall.Stretchyourarmsoutonthe�loorwithpalmsdownforbalance.

PumpItUpAerobicmeans“withoxygen.”Sowhenyourun,bike,walk,swim,anddosimilarexercises,youtakeinmoreoxygenandmove it to your muscles. This gets your blood pumping,makesyourheartstronger,andlowersyourbloodpressure.Setagoaltoexercisefor30minutes,5to7daysaweek.Breakit up into small chunks if needed. If youwalk, know thatmoderatetointensespeeds--atleast3milesanhour--offerthebesthealthbene�its.

EatMorePlantsandLessMeat

Let'sfaceit:There'snodownsidetoabalanceddiet.Eatlotsoffruitsandvegetables.Stayawayfromsaturatedfatsthatcanbefoundinredmeat,chicken,cheese,andotheranimalsources.Steerclearoftoomuchsalt.Thatwillhelpkeepyourweight inahealthy rangeandyourcholesterolandbloodpressureincheck--andyourarteriesclear.

BrushYourBody,NotJustYourHairSweepyourbloodintherightdirection.Takeabodybrushwithstiff,�latbristlesandstrokeonyourdryskin.Startwithyourfeetandworkyourwayup,usinglongmotionsonyourlegsandarms.Makecirclesonyourbellyandlowerback.Drybrushingalsogetsridofdryskin.Doiteveryday,rightbeforeyourshower.

SiporSoakIt'satemporary�ix,butabathisagreatwaytokick-startyourcirculation.Warmwatermakesyourarteriesandveinsopenabitwider,lettingmorebloodthrough.Hotwaterorteadoesthetrickaswell.

WhyYouNeedGoodBloodFlow

It'shardtobelieve,butyourbodyholdsabout60,000milesofbloodvessels.Alongwithyourheartandothermuscles,they make up your circulatory system. This network ofroadways carriesblood toevery cornerof yourbody.Butwhenyourcirculationispoor,itslowsorblockstheblood�low. That means the cells in your body can't get all theoxygenandnutrientstheyneed.

SignsofPoorCirculationWhenyourlimbscan'tgetenoughblood,yourhandsorfeetmay feel cold or numb. If you're light-skinned, your legsmight get ablue tinge.Poor circulationalso candryyourskin, turn your nails brittle, andmake your hair fall out,especiallyonyourfeetandlegs.Andifyouhavediabetes,yourscrapes,sores,orwoundstendtohealslower.

SnuffOutTobaccoNicotine is the active ingredient in cigarettes, electroniccigarettes,andsmokelesstobacco.Itharmsthewallsofyourarteries and thickens your blood so much, it can't getthrough.Ifyousmoke,quit.Itcanbehardtostickwithit,butyourpharmacyordoctor'sof�icecanhelp.

ControlYourBloodPressureIfit'stoohigh,itcancausearteriosclerosis,aconditionthathardensyourarteriesandcanhelpchokeoffblood�low.Aimfor120over80orless,butaskyourdoctoraboutthebestnumbersforyourageandhealth.Checkyourreadingatleastonceamonth.Youcanbuyahomebloodpressuremonitororuseakioskatyourpharmacy.

GulpItDownBloodisabouthalfwater.Soyouneedtostayhydratedtokeepitmoving.Aimfor8glassesofwateraday.You'llneedtodrinkmoreifyouexerciseorifit'shotoutside.

StandUpatYourDeskSittingforhoursatatimeisn'tgreatforyourcirculationoryourback.Itweakenslegmusclesandslowstheblood�lowinyourlegs,whichcouldcauseaclot.Ifyou'readeskjockeyatwork,considerastandingdeskinstead.Itmaytakealittlewhiletogetusedto,butgettingonyourfeetworksthevalvesinyourlegveins,sendingblooduptoyourheart.

RelaxandTwistYogaisalow-impactexercisethatcanjump-startyourblood�low.Whenyoumove,itbringsoxygentoyourcells.Whenyoutwist,itsendsbloodtoyourorgans.Andupside-downpositionsshiftbloodfromthebottomhalfofyourbodyuptoyourheartandbrain.

Howtotellifyourchildisnotgettingenoughsleep

Formanyactiveschool-agedchildren,sleepcanbeashardtocome by as it is for busy adults. After-school activities,homework,andplaytimewithfamilyandfriendscanallleadtoapackedschedule.AddtothatthelureofelectronicssuchasTV, computers andvideogames, and texts from friendsandyouhavethemakingsofchronicsleepde�icitinkids.

Sinceschool-agedchildrenneedbetween9to12hoursofsleep, parentsmust be vigilant about enforcingbedtimes,setting up good sleep routines, andwatching for signs offatigue in their children. TheAmericanAcademyof SleepMedicine, or AASM, recommends the following sleepguidelinesforchildrenandadults:

l Infants 4 to 12 months old: 12 to 16 hours(includingnaps)

l Kidsages1to2:11to14hours(includingnaps)

l Kidsages3to5:10to13hours(includingnaps)

l Kidsages6to12:9to12hours

l Kidsages13to18:8to10hours

It’sespeciallyimportantforschool-agedkidstogetenoughrest.Forone thing,oneof the factors that canreduce the

immunesystem’sabilityto�ightoffinfectionsisnotgettingenoughsleep,andasweknow,kidsinschoolareconstantlyexposed to contagious illnesses such as colds fromclassmates.Lackofsleepinchildrenhasalsobeenassociatedwithhealthproblemsrangingfromobesitytomoodswings,aswellascognitiveproblemsthatcanhaveanimpactonachild’s ability to concentrate, pay attention, and learn inschool.

If your child �ights going to bed andhas trouble going tosleep,takestepsto�igureoutwhattheproblemmaybeandmakesureshegetstherestsheneeds.

SignsofSleepDeprivationinChildren

Ifyouthinkyourchildmightnotbegettingenoughsleep,look for these signs that she isnot getting the amountofsleepsheneeds.

Yourchildissleepdeprivedifshe:

1. Hastroublewakingupinthemorning

2. Exhibitsirritablebehavior

3. Seemsoverlyemotionalandmoody

4. Ishyperactive

5. Hasdif�icultyconcentratinginschool

6. Hastroublestayingawakeduringtheday

Ifyouseesignsofsleepde�icitinyourchild,trysettingupsomegoodnighttimesleeproutinesandhealthysleephabitstohelpyourchildgettheamountofrestsheneedstobeatherbestbothathomeandatschool.Givenhowimportantgetting enough sleep is for school-age children, parentsshoulddoeverythingtheycantomakesuretheirchildgetsthe rest he needs. If these efforts still don't improve theamountandqualityofsleepyourchildgets(ifhewakesupconstantly and doesn't get continuous sleep for therecommendedhoursforhisage),callyourdoctorandmakeanappointmentforacheckandpossibleevaluationwithapediatricsleepspecialist.

10 I Maroof Newsle�er, May 2018 Maroof Newsle�er, May 2018 I 11

TESTIMONIALS

IsYourChildGettingEnoughSleep?6WaystoTell

Ingredients:l 1cupnon-fatmilkl 1cupyogurt,plain,vanillaorhoneyl 1½cupsicecubesl 1banana(iffrozen,leaveoutsomeoftheice)l 1mango,about1cupchoppedl ⅛cupunsweetenedcoconutl 1teaspoonvanillal 1tablespoonhoneyl chiaseeds(optional)

InstructionsPlaceallingredientsinablenderandblenduntilsmooth,about 3 minutes. Serve with chia seeds additionalcoconutandchoppedmangoifdesired.

MangoSmoothie

RoomServicewasverygoodandnurseswereverysupportive.Thequalityofservicewasreallygood.

ExcellentserviceprovidedbythenursingstaffandpatientCoordinationstaff.Everythingwasdoneontimeandhandledsmoothlyandprofessionally.Thissortofbehaviorneedstobeencouragedandappreciatedbyeveryone.Goodjobandkeepitup.

AbidaKhanum

ExcellentserviceprovidedbythenursingstaffandpatientCoordinationstaff.Everythingwasdoneontimeandhandledsmoothlyandprofessionally.Thissortofbehaviorneedstobeencouragedandappreciatedbyeveryone.Goodjobandkeepitup.

AbidaKhanum

TeamMaroofInternationalHospitalisbestinprovidingallmedicalservices.Iwillexpressmyfeelingswithoneword“Thumbsup”.

FarkhandaJabeen

Iwanttoextendmyheartfeltgratitudetothedoctors,paramedicsandeventhejanitorialstaffwhohavebeensokindandconsideratetowardsme.Thequalityoftreatmentandservicesprovided,coupledwiththecourtesyextendedisindeedappreciated.Specialthanklstostaffatemergency,Dr.Habib,Dr.Slamna,Dr.Hafsah,Dr.Aqsa,Mr.TayyabHaider,Mr.Shahid,Ms.NayabandallotherpeoplewhosenamesImayhavemissedout.Stayblessedallyouwonderfulpeople.

MariahAtiq

MoomalHaris

M.ZubairKhan

Thenursingstaffwasextremelycooperativeandveryprofessional.Wehighlyappreciatetheirservices.Verycaringandconcernedsupervisors.IhavebeentosomeofverygoodprivatemedicalservicesproviderbutIfoundMaroofHospitaltobebestintermsofprovidingtimelyservices.

HealthRecipe