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52 Weeks of Thankfulness: Looking Back #ThankfulThursdays

By on 26

The last year has been amazing. One of my most challenging years. It has also been extraordinarily fulfilling. Today I decided to look back on the year and say thank you.

52 weeks of Thankfulness has made me stronger. What you focus on grows is a truth that we often ignore. In our surroundings, we can’t avoid terror attacks, murders crimes, and horror stories. But inside us, we can make a garden. We have control over what we want to grow in our heads and hearts.In my own mind, I  have a blueprint.

The few things  I do to find inner Thankfulness:

One: Do something I love every day. Read a book/doodle, garden

Two: Exercise

Three: Remind me of all the good things that happened to me.

 I write many thankfulness posts. It started when I was celebrating Thankful Thursdays.

I wrote on many topics to express Thankfulness. You can find all of them by following the link below. You can also pin the list to help you write your thank you notes to the Universe!

53 Weeks of Thankfulness 

52 Weeks Thankfulness Writing Prompt by Amrita Misra

How is the Health of the Nation: The report is an eye-opener!

Health of the Nation Report
Apollo Pro Health

If you have missed writing for any of this you can write  and tag me on Twitter @misra_amrita #ThankfulThursdays

Trust me when I say my life changed when  I wrote thank you. Now when I look back, 3 Reasons I am most thankful for are:

1)I am sticking to my walking routine and even wrote a book about it.

2)I  am definitely getting better at  being a yogini and practicing meditation

3)My amazingly supportive family and friends.

Here are 3o more reasons you can identify with.

IVF Treatment Quick Truths:How to make Test Tube Baby the Right way (Podcast with Doctor)

By on 26

How to make Test Tube Baby the right way? IVF treatment needs expertise and the right set up.

I recently interviewed Dr.Jayalakshmi Suraj and while talking to her a few things emerged. Listen to the podcast or watch the video and for more information don’t forget to read the post.

Dr.Jayalakshmi Suraj Medical Director and IVF coordinator, of Dreamflower IVF center talks in detail about what couples should know about healthy lifestyle practices when they are planning an IVF treatment. While talking to her a few things emerged.

Questions the Doctor answered

What is the average success rate of successful live births at the Dreamflower clinic?

What are the steps you take to help couples prevent IVF failure?

How to make Test Tube Baby the right way? Interview with Dr.Dr.Jayalakshmi Suraj

What can the couple do by themselves, to improve the emotional bonding while going through a tough process like IVF?

Where can the listeners connect with you for more information Doctor?

Children are definitely God’s blessings. Some people want children, and some are not yet in that space, and some definitely don’t want to. One of my friends delayed planning a baby for ten years. Then they tried the conventional way. It didn’t happen. Her Obstetrician,  checked them out found them, healthy and advised them to try some more. The baby still didn’t arrive. They went for IVF for 2 years, and my poor friend was a wreck. But she was yet to have a baby.

Now my friend and her hubby probably had something called an Idopathic variety of infertility. That’s when both partners are okay anatomically, physiologically, and still somethings not clicking. They finally did have two children, but that’s part of another story. But today, I will tell you about what you need to know if you are planning IVF.

Quick Fact: Only 25% of intercourse in healthy adults, even when timed, result in pregnancy. So implantation needs work. But what about IVF or in-vitro fertilization? How successful is it?

What is IVF treatment or In vitro fertilization ?

In simplest terms: When the union of the female egg and male sperm happens inside a petri dish in the laboratory,  under controlled circumstances, to increase the chance of creating a live embryo its called in-vitro fertilization or IVF. The embryo is frozen for future use or transferred into the uterus of the mother to be.

What is Test tube baby?

When an embryo is created inside a petri dish .test tube through IVF its  called a test tube baby.

The egg, sperm, the embryo can be yours and your partners or donated, depending on the medical profile of each couple.

In some cases, drugs to enhance fertility and intra-uterine  seminal injection may help, and IVF may not be needed. Every couple is unique, and your doctor will help you understand what will help you most.

What is Recurrent implantation failure?

Recurrent implantation failure is defined as the failure to achieve a clinical pregnancy, following the transfer of a minimum of four good-quality embryos in a minimum of three fresh or frozen cycles of a woman less than 40 years.

Quick fact: Higher the age of the mother, higher is the risk of Implantation failure

If you are thinking about IVF or having RIF, be aware of the tests needed and lifestyle changes you must make. Emotional preparedness will help you on this journey. Both partners must be positive about the process, and conflict should be resolved before starting. The women’s body is flooded with hormones during the process, spousal support is essential.

Watch on Youtube and don’t forget to subscribe to my channel.

What can be done for a successful IVF and prevent RIF?

Doctor at the IVF center may suggest

  • A detailed blood workup including hormonal assays, Antiphospholipid syndrome screening
  • Ultrasonography
  • Hysteroscopy
  • Endometrial Receptivity Assay(ESA)
  • Platelet-rich plasma(PRP)

Depending on the couple, the success rate of IVF-ICSI can further be improved by egg donation, sperm donation, embryo donation, or surrogacy. You can visit a center like Dreamflower IVF clinic who are trying to bring joy in north Malabar with their work.

Listen to the services they offer. (Podcast embedded)

What you can ask the doctor:

Ask them about the team of doctors who will be treating you. Experience and qualification both are important.

  1. Ask for data about successful live births following IVF.
  2. Successful live births in couples with  RIF.
  3. How they approach cases of RIF, and what can you do to increase the chances of having a baby.

9 Positive Lifestyle changes which will help make IVF successful

  1. Obesity is linked to increased miscarriage rates and other complications of pregnancy.
  2. Stop smoking, alcohol, and drug abuse.  This is recommended for both partners.  Caffeine intake should also be limited.
  3. Don’t stress it.  Stress causes the release of the stress hormone cortisol, which is terrible for you in all sorts of ways.  If you confirm doing it, the good work is undone. If you stress about becoming pregnant, that’s a significant barrier to becoming pregnant. Relax, talk to your partner.  Enjoy cuddles and being emotionally intimate.  The love in a relationship makes the baby-making fun.
  4. Stay active, fit with a healthy average.  Underweight or overweight both can cause significant problems. Walking is a good exercise.
  5. If you have a thyroid problem, diabetes mellitus gets checked and correct that before planning conception.
  6. The truth is both the egg and sperm quality go downhill as women and men grow older.  Time waits for no one.  Quality and quantity both may be affected.
  7. The timing: Know about your ovulation time.  From five days before ovulation till the date it happens, it is the most fertile period.  That’s about 10-14 days before your next period.
  8. Staying positive will help as it floods your body with endorphins.
  9. If you are sad about miscarriages and RIF: Please be kind to yourself

There is also an immunologic basis behind infertility. This means your immune system can help or hinder the process.  Creating an environment to activate the reward system can help.  Stop thinking about baby-making and focus on having fun.  Enjoy activities together or with friends to encourage positive interactions.  This helps boost up the immune system without medication or invasive procedures and can be done at home or anywhere you are comfortable.  Creative hobbies, travel, visit a park, nature walk, meeting friends, can help boost positivity.  This can be tailored to your hobbies and habits and could be a significant first step.

What are the causes of Repeated Implantation Failure?

Its a complex mix of anatomical, endocrine, immunological, hematological, and endocrinological and genetic causes.

First, you have to find out what is causing the problem?

The uterus needs to be assessed. Inadequate uterine receptivity causes an average of two-thirds of implantation failures. The embryo itself is responsible for only one-third of these failures [1].

The two main factors in this are

1 )Maternal  factors

  • Uterine anatomic abnormalities are:
  • Other Common Maternal factors:
  • Septate uterus
  • bicornuate uterus
  • Uterine fibroids, especially submucous type
  • Endometrial polyps
  • Intrauterine adhesions
  • Hydrosalpinx.

This is a complex area. But uterus distorting lesions which can prevent implantation may need to be treated in case of RIF.

  • Thrombophilia
  • Connective tissue disorders
  • Non-receptive endometrium(uterus lining not sticky enough to hold on to the baby)
  • Immunological factors

2)Embryological factors are :

Genetic abnormalities or other elements of the embryo that reduces its ability to get attached and develop in utero. When miscarriages happen in the first trimester, this is more likely to be a  chromosomal anomaly making the embryo nonviable.

Embryo abnormality occurs due to either paternal sperm factors, or egg, and also its ability to being fertilized regularly and cleave. The abnormal karyotype of the embryo is a significant reason for implantation of failure as well as miscarriage.

About Preimplantation Genetic diagnosis: Should you do it?

If you are facing RIF, you and your partner may be advised to undergo karyotype testing to rule out balanced chromosomal translocations, genetic counseling. But there is inadequate data to justify routine preimplantation genetic testing.

IVF is a complex topic and needs a detailed understanding of the physical, emotional, financial, and legal implications before going for it.

Conclusion:

Repeated implantation failure can occur due to many reasons related to the couple and Technology. From the age of mother to  timing of collection of eggs, quality and quantity of eggs collected, Quality of sperms, Chromosomal issues, Idiopathic causes.

But don’t be disheartened. A positive outlook helps in more ways than one.  Look for a center equipped to handle situations like yours. 

Before choosing a center, ask for data related to successful live births after IVF. Having access to such information may empower you to make a more informed decision.

Successful implantation is multifactorial. It depends on a tango between a working endometrium and a healthy embryo. Any abnormality in one or both these variables can cause repeated implantation failure. The condition should be assessed for its different causes and be treated accordingly. In all cases, a good doctor and a good set up can help you.

Make baby joyfully.

Test Tube baby
Test Tube baby

How is the Health of the Nation: The report is an eye-opener!

Health of the Nation Report
Apollo Pro Health

References

Homer, H. A. (2019), Modern management of recurrent miscarriage. Aust N Z J Obstet Gynaecol, 59: 36-44. doi:10.1111/ajo.12920

https://www.ncbi.nlm.nih.gov/m/pubmed/25775926/

https://www1.racgp.org.au/ajgp/2018/july/recurrent-pregnancy-loss/

https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/ajo.12920

Recurrent pregnancy loss: A summary of international evidence-based guidelines and practice

Ying Hong Li   Anthony Marren 

doi: 10.31128/AJGP-01-18-4459 |

Nepomnaschy PA, et al. Cortisol levels and very early pregnancy loss in humans: Proc Natl Acad Sci U S A; 2006. p. 3938–42.

Bashiri, A., Halper, K.I. & Orvieto, R. Recurrent Implantation Failure-update overview on etiology, diagnosis, treatment and future directions.  Reprod Biol Endocrinol 16, 121 (2018) doi:10.1186/s12958-018-0414-2

https://www.ncbi.nlm.nih.gov/pubmed/24269084

Biomed Online.  2014 Jan;28(1):14-38. doi: 10.10

16/j.rbmo.2013.08.011. Epub 2013 Sep 14.

https://rbej.biomedcentral.com/articles/10.1186/s12958-018-0414-2

Recurrent implantation failure: definition and management.

Coughlan C1, Ledger W2, Wang Q3, Liu F4, Demirol A5, Gurgan T5, Cutting R1, Ong K6, Sallam H7, Li TC8.

Superfans by Pat Flynn (Book Review):7 Reasons Bloggers must read the book

By on 22

I listened to Superfans by Pat Flynn , expecting good things. I was definitely not disappointed. I also reviewed the Switchpod tripod for phone vlogging.

If you are in the online space,  blogging, writing, digital content marketing, social media ninja whatever, you need a community supporting you. Nothing works in a vacuum. There must be human interaction. But who are these humans? Who are your readers, followers superfans?

While Pat Flynn has a superfan in me, many of you will be shaking your head and thinking. Nah, I am no SRK, I don’t have superfans. This book is then something you need to read.

The short  Superfans review:

This book is not just about creating Super fans but relationships. If you are selling anything, online or offline, Superfans will give you a 360 view. It tells you how to set up your brand that your customers, readers, the audience will love you from day one. It’s not just about a good product or great service, it’s about the human connection. Think of it as a must-read if you want to build communities. I received the audio file as a gift, and the opinion is in no way influenced by anyone. Pat, as the narrator pleasant to hear and makes one pause and think.

Now read the extended version. or buy the book by clicking here.

 

7 reasons Superfans is a must-read for Bloggers

  1. If you have a blog, you know the drill. Publish and wait for traffic. But what if people waited for your blog posts and your books? Is it possible for a new blogger like you and me to do that? Yes, it is, and Pat tells you how.
  2. You are an introvert and don’t like interacting with people, superfans make you uncomfortable. Don’t worry, the book tells you about how to be friendly without losing balance.
  3. The side effect of having Superfans and how you can avoid it.
  4. How to build your brand so that people remember you from the noise. He tells us about his early days, the problems he faced and the decisions he made.
  5. You will know that people who work with you need to have a similar ethical stand if you want your brand to shine. Online or offline people around you reflect your choices too.
  6. How you can grow your business while staying loyal to your superfans. A customer will buy once a superfan will not only purchase but will refer to promote and support you even without asking.
  7. How can you give back to your community and build a circle of kindness? Because likes,  followers, customers, and subscribers are not just numbers. They are real people with real emotions. People who help create magic in other’s lives through the work they do create superfans.

Think first about making the world a better place. Writer, blogger, author, small or big business owners everyone can make more money while helping people if they remembered this

Because giving back is essential.

This book by Pat Flynn Superfans definitely does.

The Book

Superfans:  The Easy Way to Stand Out, Grow Your Tribe, and Build a Successful Business

Niche: Nonfiction

Author Pat Flynn

Version:Listened to the Audiobook.

SUPERFANS by Pat Flynn Book review by Dr.Amrita Basu
SUPERFANS by Pat Flynn Book review by Dr.Amrita Basu

About the Author

Pat Flynn is a fantastic podcaster, author, and founder of several successful websites, including SmartPassiveIncome.com.

Don’t forget to let me know what you think about this book in the comments below. Buy the book here

The book I reviewed last week 

How is the Health of the Nation: The report is an eye-opener!

Health of the Nation Report
Apollo Pro Health

Listen

How to Walk, Write and Garden for the Healthy Life you want ?

By on 22

Do you know you can Walk, Write & Garden for the Healthy Life you want? It’s easier than it looks, and this book was written while I walked the talk.

 

 

On October 13th, I completed five years of blogging.  In the real world, that’s how long it also took me to earn an MBBS degree and finish my internship.  So that way, 2019 is unique.  When I started back in 2014, I did it just because it was a fun adventure.  But now, after six books and an anthology, when I am publishing my seventh book, I  am sure life is a treasure hunt. You just need to follow the clues and listen to your gut feeling while never forgetting to use your brain.

How is the Health of the Nation: The report is an eye-opener!

Health of the Nation Report
Apollo Pro Health

But walking and writing would be impossible without my DIY treadmill desk and that’s why I decided to share this research with you. Writing needs to be a daily habit and so does walking. But how to carry my writing desk while walking? Is it even possible? That’s when I stumbled upon a post, about a DIY treadmill desk. Unfortunately, it was several years ago and I was not able to find that particular blog post. But I did find the scientific papers supporting this. Walking to lose weight is a popular and easy exercise anyone can do.

Walking , Writing &Gardening Video(This is soundless video)

Walking to lose weight: Is it possible?

Yes and No. If you maintain a negative energy balance, that is walk and exercise more than you eat , you will lose weight just like with everything else. But that’s not all. The health effects of walking are manifold and my book tells you the many physical and emotional

Listen to the Podcast on How to WALK, Write & Garden for the Healthy Life you want

What science says about Walking Benefits & Creative thinking

How to WALK, Write & Garden for the Healthy Life you want: New Book Giveaway
How to WALK, Write & Garden for the Healthy Life you want

Walking, like other forms of exercise, has a global protective effect on your cognition. The best part is its low impact and can be done anywhere with zero cost. A healthy habit to instill in your kids early on. Walking helps your brain with right-brained analogic thinking. The source of all design thinking, storytelling and Creativity.

What are the effects of Gardening on health?

Reduction of depression, anxiety, stress, mood disturbances, improving Basal metabolic rate is well-documented.

Gardening also increases the sense of community. The level of daily physical activity, cognitive functions, and overall quality of life improve.

What is the effect of Gardening on your Health?

The direct effect of nature is even more impressive. The attention restoration theory says, the natural world restores cognition to a higher level. Exposure to the environment can restore attention fatigue. In this world of too much stuff calling for your attention, you need to restore that sense of wonder. Fidgety children often respond well to Gardening with parents. My daughter has been gardening with me for the last few years, and she is patient   for her age.

Focus on now

Does it make sense?  It will if you are a regular reader of the Healthwealthbridge blog.  A few months back, while reading Seth’s blog post about shaving a yak, I realized I needed to stop doing exactly that.

HOW-TO-WALK-Write and Garden for the life you want
HOW-TO-WALK-Write and Garden for the life you want

The shiny object syndrome is a significant hindrance to doing anything productive in life, and so is the yak shaving hobby. You need to play to your strengths always because life really is too short of making all the mistakes.

When you know the goal is a good one, trying different roads makes sense.  The best part is, in each way is, you make new friends and learn a new life lesson.  In the end, wherever you end up if part of the adventure and you will always have a good story to tell.

Isn’t that what our lives’ all about? 

The creative writing course I took with Blogchatter helped me write on Creative prompts, and that’s one exciting thing about writing. There are many new things to learn, and there are no limits to what you can do. But sitting at a desk, writing for long hours, causes significant damage. Your body becomes sedentary and sluggish.  Writers need discipline and exercise.  Both physical and mental. So what should you do?

As a doctor, I knew physical exercise is an essential part of keeping your body and mind healthy.  There was no magic pill and no short cuts.  While people debate about the various cool sports you can take up, the simplest thing you can do for your body is to start walking every day. 

How to Walk write and Garden for the Healthy life you want
How to Walk write and Garden for the Healthy life you want 2

How do gardening and nature fit into the plan?

If you always wanted to find a balance between your inside and outside world, then gardening will help. But what exactly is the secret connection? between Click to look into the book on walking, writing, and gardening or listen to the Healthwealthbridge podcast .

How to Walk ,write garden for the Healthy Life you Want #WithMe #KindleUnlimited #Book

How is the Health of the Nation: The report is an eye-opener!

Health of the Nation Report
Apollo Pro Health

Don’t forget to whitelist my emails to get a chance to get more of my books free!Help me out and share this on your social media.  It could help someone!

Flu vaccine that protects against all types of flu #IPromisetoStopFlu

By on 20

When I moved to a new place of work almost six years back, I was not aware that seasonal cold and cough would be an everyday thing. But with a ten-month-old, you come to know such things soon. When my daughter was not a pre-schooler, it was easier to protect her from this. We just stayed at home during colder weather or bundled her up and got from home to car in record time.

Night travel or visits to relatives’ places were strictly curtailed. This caused some restrictions but was better than managing the sniffles and the problem of the entire family catching the flu.

FLU-VACCINE-Protects against 4 types of Flu virus

It’s rightly said that motherhood gives us more insight than any other life experience and that’s when I started looking for more options than staying at home for protection. A family friend’s child getting admitted with flu in a hospital made us very worried. The child hardly left home, and her caregivers were the house help and my friend’s in-laws. Soon we heard the helper was suffering too

Our mind was made up. We could hardly prevent socialization for the child or us. The problem is people are infectious from a few days before and up to five to seven days after they are themselves ill. This makes the virus spread quickly. But we needed more than personal hand and cough hygiene.

We needed complete protection against all types of influenza which endangers us. As a doctor, I know about how the influenza virus constantly mutates and has changed its antigenic character regularly. So, the Quadrivalent influenza vaccine that protects against 4 types of flu viruses, was on our minds.

What is flu or Influenza?

Influenza is a virus causing a broad spectrum of upper respiratory and lower respiratory infections. There are different varieties which affect humans and different species. It’s communicable and spreads by cough droplets while sneezing and talking, that is both nasal and oral secretions.[1]

What are the different types of flu?

There are A, B, C, D types of Influenza virus. Most of the infections are species-specific, but the problem is they can change their transmissibility and have caused epidemics and pandemics.

What are the common flu symptoms?

High-grade fever with chills and rigor is common. But cough, rhinitis, headache, weakness, sore throat, respiratory problems, can all occur.

What does the flu vaccine do?

The flu vaccine protects against 4 types of flu viruses circulating in India. It’s a quadrivalent vaccine. [3]

Can you get flu twice?

It’s unlikely that you will get infected with the exact same genetic type of flu virus, but infection with the other types is possible. The flu virus is smart and keeps changing itself. So we get ourselves the flu shot every year. It is because prevention through vaccination is the best way to keep away flu.

FLU-VACCINE-Protects against 4 types of Flu virus
FLU-VACCINE-Protects against 4 types of Flu virus

How is the Health of the Nation: The report is an eye-opener!

Health of the Nation Report
Apollo Pro Health

References

3.https://www.cdc.gov/flu/prevent/quadrivalent.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fflu%2Fprotect%2Fvaccine%2Fquadrivalent.htm

1. https://www.ncbi.nlm.nih.gov/books/NBK459363/

2. https://www.downtoearth.org.in/news/health/swine-flu-virus-changing-seasonality-geography-639921)

Kanpur Khoofiya Pvt.Ltd: Book Review

By on 3

I read Kanpur Khoofiya in one sitting. It’s a quick page-turner. I love a good mystery. That’s the biggest reason I picked up this book to review. The second reason was the name of the book. Something about the rhyming nature of the K words and khoofiya is just too intriguing.

Name of the Book: Kanpur Khoofiya Pvt.Ltd

Author: Richa S Mukherjee

The storyline of Kanpur Khoofiya Pvt.Ltd

A small-town detective who appears like a simpleton. But he is actually a hardworking young man, with a strong desire to be financially independent and make his extended family happy. The family is like the Suraj Barjatiya movie family type. Loving but an impossible mother.A cranky father with a lot of common sense.A crankier grandma, with the street smarts and heart of gold.

The hero has an intense desire for wanting to make everyone happy and the nature of his job makes situations tricky. He stumbles his way through his first well paying job at his agency and is almost arrested for murder. A has been a superstar, her with an emotional crisis and a broken marriage Nothing is what it seems. All’s well that ends well and our small town hero shines with his honesty, sincerity and a good dose of common sense.

What works for me

Prachand Vidya and all the adorable small-town India characters which are so familiar. It’s like the Raymond family just the Indian joint family way.

What didn’t work

KANPUR-KHOOFIYA-2-jpg
KANPUR-KHOOFIYA

The excessive mention of digestive issues. Not a fan of this.The social commentary about how the father didn’t appreciate the work done by his son. When roti, kapra and makaan are managed by Papa, one can do anything? Right? While this is not a social commentary, this is not exactly something I like. The mystery is not well thought out and the drama of the family is better written.

Should you read Kanpur Khoofiya Pvt.Ltd?

 Yes. Do pick it up for the small-town family drama and very desi feel to the detective story. I rather like the hero his wife the spunky Vidhya and the characters are very vivid and will make you smile. I just wish the mystery was better!

This is a part of the Blogchatter Book Review program. I received this book as a gift. All opinions shared are personal and are in no way influenced by a third party.

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  • Vishakha Talreja says "Amrita has immense knowledge of health-related content. Her writing style is reader-friendly and I have seen her blog posts go viral for the sheer fact that they are informative and helpful.
    As a doctor too her knowledge is noteworthy and she always gives the right consultation that is in beat interests of those consulting her. She is also hands-on on the issues faced by her own community. Having worked with her I can definitely vouch for her professionalism and punctuality."  
    Vishakha Talreja
  • Roshan Radhakrishnan says "An extremely talented doctor and author of multiple books, Dr. Amrita does a great job managing multiple roles with ease." Anaesthesiologist (Human painkiller) ¦¦ Winner #TOIWriteIndia - S01 & 02 ¦¦ Finding #HeroesOfKindness across the world
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