Healthy Living - AV 06th January 2024 by Asian Business Publications Ltd

FIRST & FOREMOST ASIAN WEEKLY IN EUROPE Sardar Patel's enduring legacy continues to inspire and guide us

Ayodhya gets mega facelift as PM Modi unveils new railway station, airport

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City of London Freedom honours for Indian bankers

The city of diamonds now boasts an architectural diamond

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Let noble thoughts come to us from every side

GUIDE TO GOOD LIFE Asian Voice presents a health feature, curated for readers, offering 2024 insights from experts on women’s health, mental well-being, fitness, and nutrition.

VOL 52 - ISSUE 34

30 British Indians recognised by King Charles III

Dr Chandra Mohan Kanneganti and Usha Ladwa

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London rings in 2024 with Mayor’s biggest ever fireworks

A family doing yoga together to practice healthy living

Shefali Saxena

In 2005, George Marshall opted for immediate heart surgery in India due to a sixmonth NHS wait. Now, India attracts 2 million patients yearly, contributing $6 billion, expected to reach $13 billion by 2026. Medical tourism involves travelling for healthcare, with India ranking 10th in the Global Medical Tourism Index, valued at £6.57 billion in mid-2020. Continued on page 12

Fireworks around London Eye to ring in the New Year

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Guide to Good Life Continued from page 1

Statistical data supports robust growth, with a 20% annual increase over the past decade. India is the top destination for UK patients seeking affordable healthcare, with a 90% satisfaction rate. Patients save 60-70% on treatment costs compared to the UK. However, the UK's NHS, while facing challenges, excels in expertise, multidisciplinary care, and free treatment.

Dental procedures in India offer significant cost savings compared to the UK, with all-on-4/6/8 priced at £1,235 to £1,970, dental bone grafts starting at £21, and full mouth dental implants providing over 70% savings. In the UK, a crisis in dental care accessibility has led to a surge in Britons seeking affordable treatment abroad, with a 450% increase in inquiries reported by Medical Travel Market and record bookings for dental tourism companies like Dental Implants Abroad and Dent Royal. On average, one IVF treatment cycle ranges from £95 to £2,375. This can be a significant expense for many couples, especially if they have to go through multiple cycles to have a successful pregnancy. One of the reasons why IVF treatment in India is relatively affordable is that the cost of living and medical services in India are lower than in many other countries. In the UK, the cost of one IVF treatment cycle ranges from £5,000 to £8,000 or around Rs. 49,000 to 78,000 rupees. The high cost of IVF treatment in other countries is due to a number of factors, including the cost of medical services and living costs. As per a cost comparison study by the American Medical Association, a knee replacement surgery will cost $8500 in India and in the UK, at a private hospital is between £12,000 and £16,000, with the average private knee replacement surgery cost being about £14,000. Consultant Orthopaedics / Sarcoma Surgeon LUHFT, Liverpool,UK, Dr CR Chandrasekar told Asian Voice that NHS has commendable cancer care but highlighted challenges, including timely access and increasing waiting lists. In India, comprehensive care options are available, but challenges arise in ensuring consistent care across specialists. Both countries face complexities, and India's growth as a cancer treatment destination necessitates addressing comprehensive care challenges. “Clinical

research accessibility, specifically clinical trials crucial for cancer treatment innovations, is an area where India lags,” he said. But, speaking to the Dr Saravana newsweekly, Rajamanickam who specialises in Lung Cancer, Esophageal Cancer and Mediastinal Tumors, emphasised that India's efficient cancer diagnostic system provides swift access to evaluations, biopsies, and scans. India's streamlined approach ensures quick diagnostic procedures compared to the UK or the US, contributing to reduced wait times and increased expertise. The marketdriven model fosters accessibility to cancer medicines, and the patient experience is notably improved, with consultations, diagnostic workups, and surgeries efficiently completed within days. Better health in the UK In the first issue of Asian Voice in 2024, we bring you a specially curated feature on healthcare, where experts speak to us about a spectrum of healthcare challenges, their causes and the possible solutions to tackle them in the UK, once again reaffirming, that the UK is indeed fully equipped to promote better health and wellbeing. Our insights cover a wide range of health-related topics, from self-care practices and occupational health to cancer awareness, PCOS, mindfulness, detoxing, personalised skincare, dietary approaches, and global medical aid initiatives by MSF. In the pursuit of aging healthily, Dr Rupa Joshi, a General Practitioner, offered insights on winter self-care. Prioritising sleep, nutrition, and warmth, especially for vulnerable populations, Dr. Joshi recommended outdoor exposure, a diet rich in vitamin C and D, stress reduction practices like yoga and mindfulness, and achievable health goals. Dr Shriti Pattani, an accredited specialist in Occupational Health, advocated for individual and team-focused protection, prevention, and risk analysis in the workplace. Recognised for her work, Dr Pattani emphasised the importance of mental well-being initiatives and collaborative programs with GPs to identify health conditions affecting work. Addressing the stigma associated with cancer diagnosis, Dr CR Chandrasekar highlighted the significance of early detection. He urged awareness, professional education, and dispels myths about cancer, emphasising its

treatability with modern advances. Dr Santanu Acharya, a gynecologist, shed light on Polycystic Ovary Syndrome (PCOS), impacting 1 in 8 women globally. Dr Acharya outlined PCOS as a hormone-related disorder, dispelling myths and emphasising early identification, lifestyle changes, and symptom alleviation. Jenny Haynes, a movement and meditation facilitator, underscored the enduring relevance of yoga and meditation. She encouraged a joy-driven perspective, mindful choices in exercise and eating, and explores the therapeutic benefits of sound bathing for physical and mental well-being. Geeta Sidhu-Robb, CEO and founder of Nosh Detox, provided insights on effective detoxing. She emphasises the body's natural cleaning mechanisms, the importance of balancing meals and exercise, and recommends occasional fasting for sustainable detoxing. Dr Natasha Verma, Medical Director of Skin NV, explained the importance of personalised skincare and haircare.

Considering unique characteristics and genetic factors, Dr. Verma advocated for clinically proven products and a nuanced approach to traditional practices. Specialist dietitian Pooja Dhir stressed the need for personalised and culturally attuned dietary approaches in South Asian communities. She promoted adapting traditional dietary habits to align with individual health goals without losing cultural essence. Chloe Marshall-Denton, Humanitarian Advisor on force migration, highlighted the work of Médecins Sans Frontières (MSF) in offering medical aid globally. Comprising health professionals, MSF operates with principles of impartiality, independence, and neutrality, addressing escalating needs worldwide. Over the years the newsweekly has time and again highlighted the dauntless contribution of healthcare professionals, especially from ethnic minorities, including members of the community who have begun start-ups in the world of fitness, healthfood and well-being, that speaks volumes of the greatness that Britain is capable of in promoting better health. This issue is an extension to help our readers to have a healthier and happier new year 2024 with the right insights on managing healthcare challenges specific to our community.

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The traditional practice of Ayurveda and its age-old benefits Anusha Singh

yurveda stands as one of the most celebrated traditional systems of medicine, enduring and thriving through the ages. Rooted in profound insights into nature-based healing, Ayurveda delves into the intricate connections between the constitution and functions of the human body, aligning with the elements of the universe. This harmonious interplay influences all living beings. Asian Voice reached out to Dr Anil Joshi, a prominent ayurveda practitioner in Ahmedabad, to bring about an understanding of the concept, the basics and benefits of it and infusing it’s practice in daily life.

Understanding and adapting Ayurveda Ayurveda's core principle is to address the root cause of a disease as the primary treatment approach. The act of eliminating the disease's origin is considered inherent to the treatment process. Dr Joshi highlights the use of body-friendly metals such as mercury, gold, diamond, silver, iron, copper, and zinc to formulate medicines for disease treatment in the practice and further explains, “What sets Ayurveda apart is the remarkable assertion that when these medicines are taken according to prescribed guidelines, the ailment not only subsides during treatment but, also does not recur once the medication is discontinued. This distinctive feature distinguishes Ayurveda, the traditional Indian medical science, from other medical practices. “Adhering to the fundamental principles of Ayurveda involves simple yet impactful lifestyle practices. These include sleeping and eating at designated times, ensuring peaceful and mindful chewing during meals, focusing solely on eating without distractions, responding promptly to urges such as urination, defecation, and yawning, eating in moderation rather than excess, waking up at a consistent time, and incorporating regular daily walks into the routine. By incorporating these practices, individuals can align their lifestyle with Ayurvedic principles for overall well-being.” Benefits beyond belief Embracing an Ayurvedic lifestyle ensures contentment for the soul, senses, and mind, enhancing mental efficiency and facilitating unexpected progress in

Dr Anil Joshi

both spiritual and social dimensions, surpassing personal expectations. According to Dr Joshi, “This holistic approach facilitates progress in spiritual and social realms beyond personal beliefs. A healthy mind ensures a healthy body, paving the "Highway to Health" and enabling individuals to achieve optimal well-being.” Ayurveda offers precise formulations to strengthen the body's innate ability to combat viruses, knowledge of which the world may not yet be fully aware. This lack of awareness has unfortunately led to the loss of thousands and millions of lives. Dr Joshi prescribes ayurvedic herbs and formulations like Rasayana (a combination of Giloy, Gokhru and Amla), Triphala (a combination of Haritaki, Baheda and Amla), Trikatu (a combination of dry ginger, black pepper and long pepper), Chyawanprash, Ganthoda powder, plain Harde powder, plain dry ginger powder, plain cumin powder and plain fennel powder for daily consumption. After eating daily, consume sesame, fennel, one leaf of betel, and chew carom seeds. The three doshas in Ayurveda Ayurveda offers a wealth of treatments and therapies to maintain lifelong wellness, even in the absence of illness. Balancing the three doshas, Vata, Pitta, and Kapha, is crucial for health in Ayurveda. Imbalances in these doshas can lead to diseases. Understanding one's dominant dosha helps tailor lifestyle choices. A person with a Vata constitution may experience aches and mental unrest. Pitta individuals may feel a burning sensation and exhibit quick-tempered traits, akin to an army commander. Kapha types may be slower in activities with an increased inclination for sleep. Balancing these doshas is key to maintaining health. Maintaining health in Ayurveda involves understanding our common behaviour and ensuring that the three doshas—Vata, Pitta, and Kapha—are in a balanced state. This equilibrium is crucial for overall well-being.

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NAVIGATING THE CHALLENGES OF AGING:

WELCARE VATSALYA’S COMPREHENSIVE CARE SOLUTION WELCARE VATSALYA - WHERE CARE MEETS COMPASSION. elcome to Welcare Vatsalya, a unique project by Welcare Hospital that is driven by the passion to serve rather than profit. The project has been founded by Dr Bharat Mody, who is also the founder of Welcare Hospital. In a rapidly changing Indian society where joint families have given way to nuclear families and the elderly often find themselves living alone, Welcare Vatsalya aims to bridge the gap by offering a world-class facility with dependable and highly trained caregivers to those in need.

As the average lifespan of Indians continues to increase, a significant portion of our society comprises individuals aged 80 years and above. This demographic shift, coupled with the lack of accessible and affordable caregivers, has created a challenging and stressful situation for numerous households. Families are faced

with the responsibility of caring for mentally and/or physically ill senior members, often requiring intensive assistance and medical care, all while striving to maintain their dignity. Moreover, transitional care from hospitals to homes is especially daunting for non-medical family members of discharged patients.

Despite their unwavering love, the practical difficulties faced by families in providing the necessary care and attention can be overwhelming, leaving them in desperate need of support. Our top-rated Respite Care facility for the elderly and ill is designed to meet the unique needs of each individual. We offer compre-

Mr Manudev Kansara, a guest from United Kingdom, who had found the love and care of a family at Welcare Vatsalya during the last years of his life

Turning dental hygiene into your winning new year's resolution As the new year unfolds, it’s the perfect time to rejuvenate our commitment to personal health, and what better way to start than with dental hygiene? Often overlooked in the shadow of fitness and diet resolutions, dental health is an essential aspect of our overall wellbeing. Here's a comprehensive guide on making dental hygiene a priority in the upcoming year.

The fundamentals of brushing and flossing The bedrock of dental hygiene lies in the simple yet effective routine of brushing and flossing. Pledge to brush your teeth twice daily for two minutes and floss at least once a day. This routine is not only pivotal in keeping your teeth gleaming but also in warding off plaque buildup, gum disease, and tooth decay. Remember, technique matters: use gentle circular motions, and don't forget to brush your tongue to remove bacteria and freshen your breath.

Embracing technological aids In an age of technological advancement, why not upgrade your dental tools? Electric toothbrushes can be more effective in removing plaque compared to traditional manual brushing,

especially for those with arthritis or similar conditions that make manual brushing difficult. Additionally, consider water flossers or interdental brushes as alternatives to traditional floss, especially if you find flossing challenging.

Make changes in your eating habits Your eating habits play a crucial role in oral health. Frequent consumption of sugary snacks and acidic beverages can erode tooth enamel and promote decay. Make a conscious effort to reduce sugar intake and acidic drinks like soda. Instead, opt for a toothfriendly diet that includes calcium-rich foods such as cheese, leafy greens, and almonds, all known for reinforcing tooth enamel and promoting overall oral health.

Regular dental check-ups

One of the most effective ways to ensure dental health is to keep up with regular dental appointments. These visits are more than just about cleaning; they're crucial in identifying and addressing potential oral health issues early. Aim for at least two check-ups a year. If you have a history of dental

issues, you might need more frequent visits.

Discarding detrimental lifestyle choices Certain lifestyle choices, such as smoking and excessive alcohol consumption, can have severe repercussions for oral health. Smoking, in particular, is a major risk factor for gum disease and oral cancer. The New Year is a great opportunity to quit such habits. Similarly, limit alcohol consumption, which can lead to a dry mouth and exacerbate oral health problems.

Hydration: Your oral health ally Drinking ample water is beneficial for overall health, including oral hygiene. Water aids in washing away residual food particles and keeps the mouth adequately moist, preventing bad breath and reducing the risk of decay.

Focusing on gum health

While teeth often get all the attention, gum health is equally important. Symptoms like bleeding or swollen gums can indicate gum disease. Maintain gum health through gentle brushing, regular flossing, and using an antibacterial mouthwash.

hensive support at extremely affordable rates, ensuring that financial constraints do not hinder access to the care your family deserves. At Welcare Vatsalya, we believe that love and affection are as essential as the physical assistance we provide. Our most distinctive feature lies in its unwavering commitment to ensuring the well-being and safety of its residents. Recognising the importance of roundthe-clock access to healthcare services, Welcare Vatsalya offers a state-ofthe-art healthcare facility that operates 24 hours a day, seven days a week. This exceptional feature provides peace of mind to families,

knowing that their loved ones have immediate access to medical attention and assistance whenever the need arises. Whether it's managing chronic conditions, responding to emergencies, or addressing the evolving healthcare needs of residents, Welcare Vatsalya's dedicated healthcare facility stands ready to provide prompt and efficient care, reaffirming its position as a trusted and comprehensive care provider in the realm of senior living. Choose us, and you can rest assured that your elderly or ill family member will receive the utmost care, attention, and respect. Our dedicated team of caregivers, trained in professional care techniques, will seamlessly integrate into your loved one's life, offering companionship, medical assistance, and emotional support.

13 Welcare Vatsalya understands these complex challenges and is dedicated to providing a solution. With over 30+ years of experience in caring for the ill and elderly, our compassionate team stands ready to assume the role of an extended family member, ensuring the well-being and comfort of your loved ones. Additionally, having hospital-grade manpower and facilities readily available at the same location is another plus.

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Address : Welcare hospital, Atladra-Vadsar Ring Road, Atladra, Vadodara, Gujarat, India 390012

Discover the heartwarming initiatives of Welcare Vatsalya, located in Vadodara, Gujarat. Their commitment to elderly welfare is truly inspiring. For more information, visit their website at

www.welcarevatsalya.com or contact them at +91 93274 69784.

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Mindfully embracing selfcare in the new year M

aintaining a healthy lifestyle is essential for individuals seeking to optimise their well-being and ensure better health as they age. However, with many messages circulating about well-being, navigating through the information overload can be daunting. Bringing a solution to this overload as we enter the new year and are set to face a difficult winter ahead, Asian Voice spoke to a General Practitioner, Dr Rupa Joshi, Managing Partner at Woodley Centre Surgery and the Co-Clinical Director of the Wokingham North Primary Care Network in Berkshire, about taking better strides in the new year and taking better care of oneself in the winters. Proactive steps to foster well-being during the winter season Maintaining your health and practising self-care can be challenging, especially in cold weather and ensuring warmth is a proactive step to foster well-being during the winter season. There is also an increased likelihood of experiencing the winter blues due to shorter days and the weather conditions . Dr Joshi suggests prioritising self-care during these times, “Prioritise a good night's sleep, essential for supporting the immune system and focus on consuming plenty of healthy, fresh, and home-cooked foods without preservatives.” She also highlights the challenges; the winter months can pose for the vulnerable population. “This is especially for the elderly or those with chronic conditions. High fuel costs may limit some individuals to heating only one room and having an abundance of blankets and layers to protect against colds and flu is imperative,” she said. “Recognising the impact of seasonal affective disorder, outdoor exposure and sunlight is important. Creating opportunities for fresh air, such as having breakfast in the garden during daylight, can be particularly helpful, especially for those struggling with sleep issues, as it aids in resetting the balance”, she added. Talking about the remedies for cough and cold, she says, “Hydration is vital, and incorporating vitamin C and vitamin D into your diet can be beneficial for addressing coughs and colds. In the event of a cold, two teaspoons of honey in the morning and evening can be particularly helpful. Turmeric can also contribute to overall health during the winter months.” A comprehensive approach for holistic wellbeing Dr Joshi underscores numerous studies dis-

Dr Rupa Joshi

cussing the impact of stress, emphasising the importance of cultivating effective stress-reduction practices in one's life. This involves avoiding situations and individuals that trigger distress. Engaging in activities such as yoga, mindfulness, and meditation can prove highly beneficial, fostering overall health and wellbeing year-round. Yoga, coupled with a natural diet, helps foster a state of harmony and balance. Healthy dietary choices

of Vitamin C include citrus fruits and tomatoes, underscoring the importance of incorporating a variety of fruits and vegetables into your diet. However, it's worth noting that certain individuals may experience nightshade allergies, characterised by an immune response to alkaloids found in specific foods. Common nightshades include potatoes, tomatoes, peppers, eggplants, and occasionally paprika. Consumption of these foods by individuals with nightshade allergies can lead to symptoms such as congestion, skin rash, itching, redness, and digestive issues. Therefore, for those affected, it's advisable to be mindful of their diet and seek alternatives to mitigate these allergic reactions. Attaining greater goals sustainably During this time of the year, many individuals conhealth-related template New Year's resolutions. Dr

Flu increases again as winter pressures bite he number of people in hospital with flu has increased by almost two-thirds in a week, new NHS figures show. Despite intensified efforts from hardworking staff to prepare for winter pressures, thousands of hospital beds are taken up by patients with flu and other viruses. At the end of 2023, the number of patients in hospital with flu jumped to an average of 648 patients per day, up from 402 and is four times the figure at the end of November (160 w/e 26 November). The number of patients in hospital with norovirus continued to increase with an average of 566 patients in hospital per day - around 55% higher than the same week last year (364). The flu shots are available for: Everyone aged 65 years and over, everyone under 65 years of age who has a medical condition listed by NHS, including children and babies over 6 months of age, all pregnant women, at any stage of pregnancy, all children aged 2 and 3 years , all children in primary school, some secondary school-aged children (Years 7 to 11) everyone living in a residential or nursing home, everyone who receives a carer's allowance, or is the main carer for an older or disabled person, all those living with someone who has lowered immunity due to disease or treatment, all frontline health and social care workers It is best to have your flu vaccination in the autumn or early winter before flu rates increase. Remember that you need it every year, so don't assume you are safe.

include the consumption of fresh fruits and vegetables rich in antioxidants. Dr Joshi suggests that, “It's crucial to steer clear of fried, processed, and sugary foods, as well as opting for wholemeal products and whole grains that provide fibre and essential nutrients, promoting a healthy gut. Physical activity is a must with a target of 150 minutes of moderate exercise or 75 minutes of vigorous exercise weekly. Incorporating a daily 20 to 30-minute walk is encouraged for both physical and mental well-being.” The very many benefits of Vitamin C Vitamin C plays a pivotal role in promoting overall health and vitality, contributing to skin health and energy levels. Rich sources

Joshi suggests that if you've attempted to make changes in the past without success, consider setting a SMART goal—SMART stands for Specific, Measurable, Achievable, Realistic, and Time-bound. Rather than aiming for monumental shifts, focus on achievable steps and small goals. Celebrate your accomplishments and, if successful, consider adjusting your goals accordingly. Engage a friend or your spouse in your journey, as having a companion increases the likelihood of success. Other achievable steps might include incorporating more fruits and vegetables into your diet, adjusting your bedtime, increasing water intake, or reducing sugary snacks.

Make self-care a priority Psychologist Mamta Saha

i Readers, nice to meet you, my name is Mamta and I’m very happy to be here today. For those of you who don’t know me, by way of introduction I’m a Business Psychologist, mother of three girls and wife to Rishi. I look forward to sharing more about myself with you soon. It’s a perfect time of year to think about how you can upgrade the way you take care of your mental health. Just because you can’t see your feelings and thoughts it doesn’t mean that they don’t exist. Quite the opposite, they can and do make themselves known through your body which is a portal, if you listen close enough you can hear it communicating clues and messages that are coming through nearly all the time. Clients often tell me they’re too busy to exercise, meditate, tend to their thoughts and feelings. I do understand, life can feel very full on with our never-ending daily jobs and goals to achieve. However, we should also contemplate what is being missed if we don’t create some time in our day to truly understand our emotional and mental state. From what I have seen with the organisations, clients and friends I have come across is that your body keeps score and often ‘dis-ease’ in the mind

shows up at ‘disease’ in the body. Today, I’m going to share three things that you can do to help you feel lighter, fresher and clearer as you head into 2024. My tips will be practical, through provoking and proven to be successful and I encourage you to cut this article out and keep it so you can always look back at it to remind yourself of how you can get closer to your best self. 1. Journal: Write out your thoughts, feelings and musings in a safe place. There is scientific evidence that has shown journaling to be a powerful way to heal, feel lighter and let go. Ask yourself what you are holding onto that really needs to be let go of. Wrongs and battles, grief, family, friends’ politics and judgments of yourself and others. These are just some of the things that can way heavy on our hearts. When you use a blank piece of paper to release you give your thoughts and feelings the space to be validated and let go of. 2. Meditate: Spend some time alone to stop and breathe. Just sit in silence of walk mindfully in nature and allow yourself to be. Your ‘to-do ‘list may pop into your brain, and you may also feel as though you have better things to be

doing and on top of that, just breathe and be. Nature never rushes and still managed to achieve all that it must. Meditating has been scientifically proven to help you become more resilient to manage fear and anxiety. Meditating teaches you to learn the difference between reacting and responding. This form of self-care helps you to be at your best – you deserve nothing less. 3. Share: Find a trusted space and share your feelings. Speak to someone who will listen without judging you and will give you the space to speak from your heart. If you look around and feel that you don’t have access to this kind of community, call the Samaritans helpline, its free and a brilliant resource for you to lighten your load and let go in a safe space. I’d love to know how you get on, email me your thoughts and questions: mamta@mamtasaha.com. Follow on IG: Saha_Mamta and download my free ebook: www.mamtasaha.com. Good luck and happy 2024!

Médecins Sans Frontières Doctors without Borders Shefali Saxena Médecins Sans Frontières (MSF) translates to Doctors without Borders. They provide medical assistance to people affected by conflict, epidemics, disasters, or exclusion from healthcare. Their teams are made up of tens of thousands of health professionals, and logistic and administrative staff bound together by our charter. Their actions are guided by medical ethics and the principles of impartiality, independence and neutrality. We are a non-profit, selfgoverned, member-based organisation. MSF was founded in 1971 in Paris by a group of journalists and doctors. Today, MSF are a worldwide movement of nearly 68,000 people. War, violence, natural disasters, disease outbreaks, rising inflation and spiralling prices; factors all contributed to an overall increase in people’s needs, to which nearly 68,000 Médecins Sans Frontières (MSF) staff responded in more than 75

countries around the world in 2022. Speaking to Asian Voice, Chloe MarshallDenton, Humanitarian Advisor on force migration said, “MSF has a long history of assisting people displaced by conflict, persecution, natural disasters, and destitution. With the number of internally and internationally displaced people on the rise in the last years, MSF continues to respond to increasing needs in settings of internal displacement, in countries neighbouring conflict areas, as well as along migration routes. We see first-hand how people’s health and

well-being are often undermined by inadequate access to healthcare, safe accommodation and food in displacement settings, and further put at risk by violence during flight and a lack of protection and exclusionary policies on arrival. MSF responds to the needs to which displacement, and the responses to it, have given rise through the provision of medical-humanitarian assistance, including healthcare, psychological support, sanitation, food, relief items and shelter to people in need at varying stages of their displacement.”

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Adapting the transformative power of yoga and meditation H Y I W

Anusha Singh

oga and meditation, practices with roots dating back thousands of years, continue to hold significance in the contemporary world. In many ways, these exercises have become even more relevant in today's fast-paced lifestyle, offering profound physical and mental well-being in the modern context. In a conversation with Asian Voice, Jenny Haynes, a movement, meditation and breathwork facilitator based in London, UK, stresses the importance of sustainably practising yoga, its benefits and importance. ow would you describe the significance of yoga? Yoga holds significant value for me as a practice that offers profound benefits to the mind, body, and spiritual connection. It provides an opportunity for me to actively engage with my body—working on opening, strengthening, and fostering a deep connection with it. On a mental level, yoga allows me to be fully present with myself, embracing the principles of this practice. Taking time for this dedicated practice brings a multitude of benefits, promoting grounding and selfconnection. Moreover, adhering to yoga principles

Jenny Haynes

facilitates a sense of connection with others and influences how one engages with the broader world. hat advice do you have for beginners in terms of establishing a positive and sustainable yoga practice? For newcomers, my foremost advice is to explore various practices and find teachers who resonate with you. Each teacher brings a unique style and it is important to discover a practitioner who aligns with your preferences. Experiment with different types of yoga, such as Vinyasa, Hatha, or Yin, to determine what suits you best and enhances your enjoyment of the practice. Additionally, avoid undue pressure to achieve too much too soon. People often make the mistake of thinking they must practice every day, leading to frustration when this isn't feasible. Habits form more

effectively with a patient, pressure-free approach. ndividuals often approach yoga with the intention of weight loss. What is your opinion on this motivation and in what ways can the practice help achieve overall well-being? When individuals approach me intending to use yoga for weight loss, I advise a shift in perspective. I encourage them to step back from the sole focus on weight loss and instead discover the joy in their practice because weight loss as the primary motivation might not sustain a strong commitment, as it can stem from a place of self-disapproval, making it easier to give in when faced with challenges. I suggest approaching it with a focus on deriving motivation from feeling good in one's body, fostering a more enduring commitment. Moreover, yoga plays a crucial role in establishing mental grounding. I believe that many challenges, including poor dietary choices and stress, arise when individuals feel disconnected from themselves. Taking the time to engage in yoga becomes an opportunity to pause and reconnect with the body, cultivating a habit of self-check-ins.

ow can we strike a balance between exercising and healthy eating habits? Yogic principles strongly emphasise the importance of nourishing the body and it's essential to view exercise not as a standalone solution but as a supportive element to a well-balanced diet. This perspective shift involves making small, consistent steps. I encourage individuals to pause and ask, "If I genuinely love myself in this moment, what choices would I make?" This approach often leads to decisions that prioritise self-care. Dehydration, fatigue, and excessive sugar consumption often con-

a diet resembling the principles of a sattvic diet and integral to yogic practices. hat is your take on the westernisation of yoga? Personally, yoga holds a profound significance for me beyond mere physical movement. Pilates is a practice dedicated to control and strength. In contrast, yoga emphasises the application of disciplines like the yamas and niyamas to everyday life. In the midst of our fast-paced, technology-driven, and bustling world, yoga serves as a beautiful practice that invites people to pause, turn inward, and connect with their emotional selves. This, I believe, resonates deeply with many individuals. Despite the West's tendency to sometimes cherry-pick aspects of yoga, there's a positive shift towards rediscovering and embracing its spiritual roots. an we speak about sound bathing and how it can help our physical and mental health? Sound baths involve a passive experience where you simply lie down, receiving the therapeutic effects of specific sounds with distinct frequencies and vibrations. In the mind, certain tones and frequen-

tribute to a sense of feeling unwell, prompting a desire to abandon healthy habits. The goal is to minimise the consumption of heavily processed foods, striving for

cies employed during sound baths can stimulate your brain, inducing a deeper state of neural processing. This state, akin to the space between wakefulness and sleep, plays a crucial role in processing emotions and thoughts. These sounds can profoundly impact both your body and mind, providing an opportunity for your body to ground and relax. This experience tends to differ from person to person. ow can one make sustainable New Year's resolutions that encompass overall well-being and selfcare, in the new year? The first piece of advice I always offer is not to be burdened with achieving specific milestones by a predetermined date. Rather than setting rigid deadlines, the focus should be on initiating the process when the desire emerges, beginning at a manageable pace. I emphasise three fundamental principles when embarking on personal growth: approaching change from a standpoint of self-love rather than self-criticism, setting realistic and achievable timeframes, and considering aspects that extend beyond personal well-being to impact the broader world.

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6 - 12 January 2024

70 % of cases of PCOS remain undiagnosed PCOS is a chronic condition that affects 1 in 8 women globally but disproportionately more from South Asian descent. Shefali Saxena Dr Santanu Acharya is a consultant gynaecologist & obstetrician, Person Responsible, for Ayrshire Fertility Unit, University Hospital Crosshouse, Scotland. He is a member of the National Fertility group, the Scottish government’s policy-making body and current Chair for the Primary – Secondary care interface of Fertility Scotland National Network. He is the Honorary Clinical Associate Professor, the University of Glasgow. He holds key positions at the Royal College of Obstetricians & Gynaecologists and the General Medical Council. He has co-authored several papers in international peerreviewed journals and is the Research Champion for the Scottish NRS Reproductive Health. He is passionate about global health and was bestowed with the Paul Harris Fellowship, by Rotary International for his contribution towards the improvement of women’s health in the developing world. He is the ambassador of the Scottish cha-rity PCOS Relief (https://pcosrelief.org/) and was recently invited to speak at the Scottish parliament on PCOS. He exclusively spoke to the newsweekly about rising cases of PCOS in the community. How would you describe PCOS in simple terms for our readers, especially those who may not know that it is not particularly a menstrual disorder? PCOS is the most common hormone-related disorder in women of reproductive age where the ovaries produce an abnormal amount of androgens, a male sex hormone usually present in women in small amounts. High levels of androgens can cause irregular periods, excessive growth of male-pattern body hair or thinning, weight gain, acne and fertility concerns. It is not restricted to only the reproductive years of the woman but can manifest in later life in the form of metabolic syndrome, type 2 diabetes, cardiovascular disease and psychological issues. Presentation can also vary across the life cycle. Hyperandrogenic features are most often common in adolescents, whereas fertility issues are more prominent among women in their 20-30s and metabolic challenges mostly have their effects in later years. What is the root cause of PCOS? We do not know yet

years after the first period for any girl's cycle to become regular. Moreover, obesity can mimic many of the symptoms of PCOS. Also, ultrasound scans can falsely overdiagnose PCOS before the age of 20 years. What can be done at a primary level to help a girl/woman manage PCOS? Although PCOS doesn’t have a cure, the single most important intervention in symptomatic women is to lose weight, if they are overweight. A healthy lifestyle with an appropriate diet and exercise can keep the symptoms at bay. Is PCOS curable?

Dr Santanu Acharya

what is the root cause of PCOS. Since PCOS tends to run in families, the syndrome is probably caused, at least in part, by a change in one or more genes. Many women with PCOS have insulin resistance. This means the body can't use insulin well. Insulin levels build up in the body and may cause higher androgen levels. Obesity can also increase insulin levels and make PCOS symptoms worse. It is a common notion that food habits govern the intensity of PCOS. Are they the prime cause of triggering it? No known cause could trigger PCOS, however, the symptoms tend to worsen with weight gain. Even 5% weight loss can regulate the periods. Many women with PCOS state that they exercise more and eat less than everyone else they know, and still the weight sticks on. That’s not to say they can’t shed weight; often, patients have been on a successful program in the past. What’s clear, though, is that the idea that weight loss is simply calories in versus calories out is oversimplified. For example, the gut flora may be different in women with PCOS, which can play a role in metabolism. Also, more severe the insulin resistance, the more difficult it may be to achieve weight loss. There is no evidence to support any one type of diet over another. The right diet for an individual is one that is practical, sustainable and compatible with her lifestyle. It is sensible to keep carbohydrate content down and to avoid fatty foods. It is often helpful to sit down with a dietician to work out the best diet. How can Asian households identify early signs of PCOS in their child? Although 70 % of cases of PCOS remain undiagnosed and it can take a long time to establish the diagnosis, a key sign of PCOS is irregular periods or missed periods. The effects of PCOS on the ovaries can make a girl stop ovulating. PCOS cannot be diagnosed until 2–3 years after a girl's first menstrual cycle because it can take up to 2

There's no cure for PCOS, but the symptoms can be treated. However, if a woman with PCOS is overweight, losing weight and eating a healthy, balanced diet can make some symptoms better. Medicines are also available to treat symptoms such as excessive hair growth, irregular periods and fertility problems. ) What are the myths you would like to bust? There are several myths surrounding this common condition. 1. I have ‘cysts’ in my ovaries – PCOS is a misnomer. There are usually no cysts in the ovaries. Follicles are fluid-filled sacs in the ovary that contain eggs. The number of these follicles (cysts) in women with PCOS is more than other women of her age. 2. Ultrasound scan is required to diagnose PCOS – A scan is not required if symptoms of irregular cycles and evidence of androgen excess are proven. Indeed women with PCOS can have normal ovaries and all women with polycystic ovaries do not necessarily have PCOS. 3. My chronic pain in the tummy is due to PCOS – usually abdominal pain is not associated with PCOS unless the periods are heavy. 4. I can’t get pregnant since I have PCOS – Many women with PCOS especially if they have periods albeit irregular, can conceive without needing any help. 5. I have normal weight so PCOS is ruled out – 60% of women with PCOS can be obese ie many women can be of normal weight and indeed can have quite severe PCOS. What is the current data indicating when it comes to PCOS in South Asians? PCOS is a chronic condition that affects 1 in 8 women globally but disproportionately more from South Asian descent. South Asians with PCOS have a higher degree of male-pat-

Kickstart your wellness journey with a detox done right Detoxification is the process of eliminating toxins from your body, providing numerous health benefits such as strengthening the immune system, revitalising the skin, and enhancing mental wellbeing. This process restores balance in your life and promotes proper system functioning, contributing not only to physical rejuvenation but also to mental health maintenance. Embracing detox helps kickstart your body for a more active and healthier lifestyle. Geeta Sidhu-Robb is an author, speaker, coach, CEO and founder of Nosh Detox. Speaking to Asian Voice, she details the basics of detoxing and the right way to adapt the practice. hat is detoxing all about? The concept of detoxing is rooted in the cleansing of the accumulation of harmful substances within the body over time that affect various organs and impede their natural functions. As we age, the effects of these substances become more pronounced, slowing down the body's inherent efficiency. In essence, detoxing is akin to cleaning a rusty, old car, removing the accumulated gunk that hampers its performance. The body possesses its cleaning mechanisms, such as sweating and crying, addressing mental, emotional, and physical states. When we detox, we facilitate these mechanisms, aiding the body in shedding accumulated impurities. The body, left to its own devices with proper nourishment and hydration, functions optimally. However, our dietary and lifestyle choices often hinder this natural balance. Detoxing becomes a way of saying, "Let's get rid of all this accumulated stuff," prompting the body to fine-tune its functions and shed excess weight. It's essential to understand that weight loss is a consequence, not the primary goal, of the detoxing process. nderstanding that detoxing alone isn't sufficient, how do you recommend balancing meals and exercise in conjunction with detoxing, especially when some individuals might adopt unhealthy eating habits in anticipation of a weekly detox session? For better understanding, it is important to understand the two essential systems in the body: the circulatory system and the lymphatic system. The circulatory system serves as the motorway, transporting nutrients throughout the

Geeta Sidhu-Robb

body via the blood, with the heart acting as its pump. Conversely, the lymphatic system functions as a garbage collector, responsible for gathering and eliminating unnecessary waste from the body. The lymphatic system lacks a pump or engine and relies on a series of valves to propel lymph fluid. Regular exercise is crucial to facilitate the movement of lymphatic fluid and remove accumulated waste. Whether through walking, running, jumping, or lymphatic massage, the primary goal is to induce movement, as the lymphatic system depends on external motion. Hydration also plays a key role, as ample water intake helps thin the lymph fluid, promoting efficient flow. When pursuing detoxification through methods like fasting or consuming specific foods, the objective is to enhance lymphatic function and expedite the elimination of accumulated waste. In terms of dietary habits, a daily routine should prioritise the consumption of fruits, salads, vegetables, and fermented foods. Fruits contribute hydration, fibre, and digestive enzymes, while salads act as source for nutrients and waste removal. Vegetables provide essential nutrients, complementing the benefits of salads, and fermented foods maintain a healthy gut. ow can one determine the ideal combination of fruits and vegetables amid the variety of options available? Should the selection be personalised based on individual needs? Consume whole foods and appreciate that nature incorporates vitamins and minerals into the diverse colours of fruits and vegetables. The variety in colour signifies distinct nutritional benefits, with each hue often corresponding to specific vitamins and minerals. Embrace the concept of "eating the rainbow," which suggests incorporating a spectrum of colours into your diet. Avoid monotony in your food choices, as

consuming the same items daily may lead to nutritional deficiencies. Instead, diversify your diet by including a wide range of colourful fruits and vegetables. By doing so, you ensure a more comprehensive intake of essential vitamins and minerals, supporting overall health. In essence, the mantra is not to be overly fixated on specific colours or items but to embrace variety. The goal is to enjoy a diverse array of whole foods, allowing your body to benefit from the spectrum of nutrients offered by nature. This approach aligns with the principle that each colour contributes unique nutritional elements to support your well-being. ow often should one opt for detoxification in order to continue the practice sustainably? Consider incorporating occasional fasting into your routine, such as dedicating one day a week or three mornings a week to consuming only fruit juices in the morning. The challenge arises when abstaining from solid food generates a heightened sense of well-being. Individuals engaging in juice fasts may initially struggle on day two, feeling significantly fatigued, but by day three, they often experience a euphoric state. It's crucial to exercise caution, as prolonged reliance on juice fasting can negatively impact metabolism, slowing it down. The recovery process to restore normal metabolic function may span several years. While occasional juice fasting can be beneficial, it's important not to overindulge and risk adverse effects on metabolism. For a balanced approach, consider incorporating a weekly juice fast while maintaining intelligent eating practices. Avoiding unhealthy options such as chips, and sweets. Excessive indulgence in rich foods remains paramount. While a single day of juice fasting may not counteract the effects of unhealthy eating habits entirely, it represents a positive step toward better nutrition.

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AsianVoiceNewsweekly

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6 - 12 January 2024

Personalisation in skincare and haircare is crucial because every individual is unique, says Dr Verma Subhasini Naicker

he realm of overall wellness extends far beyond just physical health, encompassing the vital aspects of skin and hair care, particularly in the South Asian community. This community, rich in diversity and culture, exhibits unique characteristics in its skin and hair that set it apart. South Asian skin, often characterised by its melanin richness, offers distinct advantages, such as natural UV protection. Similarly, the hair, typically known for its volume and texture, demands specialised care to maintain its health and vibrancy. These unique features highlight the importance of personalised and culturally attuned approaches to skin and hair care within the South Asian context. It's a journey that interweaves traditional practices with dermatological modern insights, reflecting the community's holistic view of wellness. During her interview with Asian Voice, Dr Natasha Verma, BDS, MJDF RCS (Eng), MFDS, MSc AesthMed (Hons), and Medical Director of Skin NV, addressed various aspects, including the importance of a balanced

diet for their health, the role of genetic factors, and personalisation in skin and haircare. Nourishing diet and proper lifestyle is key for good skin and hair health Talking about the diet plan for skin, she said, “A prevalent issue in South Asian communities is the rich diet, often high in sugar and fat. This diet, featuring treats like Pakode, Samosa, and Parathe, has been linked to various health issues, including skin conditions like acne. Additionally, the use of ghee or clarified butter, which is high in saturated fats, can also trigger acne. There are a few clinical studies that have shown that South Asians have a lower level of lactase, the enzyme needed to digest lactose in milk, with a notable difference between North and South Indians.” “Maintaining a balanced diet is essential for overall health, especially for the skin and hair. Incorporating a variety of vegetables, fruits, nuts, and seeds into your diet is crucial. It's not just about what you eat but also how you prepare it. Proper cooking methods are vital; for instance, overcook-

ing or frying vegetables can deplete their nutritional value. Instead, including steamed vegetables or fresh salads can be beneficial. These foods are rich in fibre, vitamin C, and vitamin E, all vital nutrients for maintaining healthy skin,” she added.

Dr Natasha Verma

About the importance of hair care and lifestyle, she said, “Treating your hair also means caring for the scalp and skin. The skin on the scalp is the same as the skin on the face, with the primary difference being the type of hair follicles present. This similarity means that the scalp requires the same level of care with vitamins, antioxidants, fatty acids, and oils, just like facial skin.” “Additionally, lifestyle

factors such as sleep, stress, and exercise profoundly impact skin health. Lack of sleep, however, leads to issues like dark circles and dull, tired-looking skin, as the skin doesn’t get the chance to rejuvenate properly, while stress can lead to dull, tired-looking skin and hair loss. Practices like meditation and exercise, when moderate, support good blood flow and overall skin health. However, extreme exercise coupled with specific diets can lead to thinner facial skin and reduced skin vitality due to nutritional imbalances, “she said. Understanding genetic influence and misconceptions Speaking about genetics influencing various dermatological conditions,she said, “Inherited hair loss patterns are often seen through the maternal lineage. Identifying this predisposition enables early intervention strategies, like specific hair care routines post-18, which can maintain better hair health than relatives might have had. “Similarly, a family history of dark circles indicates potential skin health concerns. Early preventive mea-

sures, including eye creams, adequate sleep, hydration, and a healthy diet, can help manage their severity, even if genetics still play a role. Observing familial patterns provides insights, allowing early intervention through tailored treatments to align better with genetic potential. While some conditions, like balding, might lean towards the maternal side, others, such as acne, reactions, and ageing, can stem from either side. Seeking specialist advice upon noticing familial trends is crucial in managing and potentially preventing these dermatological conditions,” she added. Speaking about misconceptions in Asian skin and hair care, she said, “Acne isn't solely due to poor face washing; it's an inflammatory condition needing gentle care, not aggressive cleansing. Homemade face and hair masks, while popular, offer temporary benefits and might not suit individual needs. Opting for clinically proven products with active ingredients is more advantageous in the long term. Concerning hair care, the traditional practice of oiling needs a more nuanced approach. Excessive oil and aggressive massaging can be

harmful. A small amount of warmed oil gently massaged into the scalp promotes nourishment without clogging pores or causing hair issues. Embracing personalisation for skin and hair care Devising a personalised skincare and haircare plan, she said, “Several factors are considered such as genetic makeup, lifestyle, diet etc. Tailoring each plan acknowledges that even within a family, individual needs differ significantly.” “Treating multiple family members illustrates the necessity for distinct plans despite a shared environment. Personalisation is key because everyone's body issues communicates uniquely, requiring a tailored approach to manage symptoms effectively. She added, “During consultations, I delve into detailed questions to thoroughly understand the patient's skin or hair issues, including their onset, progression, past treatments, current products, and habits affecting the problem. This information forms the foundation for a personalised solution that targets specific concerns using tailored active ingredients and products.”

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AsianVoiceNews

AsianVoiceNewsweekly

6 - 12 January 2024

EXPERT VIEW

Understanding the importance of occupational health

Aiding physical, emotional, and psychological health with music therapy

Anusha Singh

Music Therapy is a psychological clinical intervention that fosters therapeutic connections by utilising elements like rhythm, melody, and tonality. Various accessible instruments are employed, encouraging clients to create a musical language reflecting their emotional and physical state, fostering self-connection and interpersonal bonds. This therapy can help people whose lives have been affected by injury, illness or disability through supporting their psychological, emotional, cognitive, physical, communicative and social needs. Everyone can respond to music, and Music Therapy uses this connection to facilitate positive changes in emotional wellbeing and communication through the engagement in live musical interaction between client and therapist. For instance, it can help develop and facilitate communication skills, improve self-confidence and independence, enhance self-awareness and awareness of others, and improve concentration and attention skills Music Therapists tailor sessions, employing improvised or pre-composed music and voice, sung or spoken. Offered in diverse settings across the UK, therapists draw on theoretical frameworks aligned with their training and the specific health needs of their clients. Sreeraj Kollarukandy, a Music Therapist working with the NHS, was recognised for his work, integrating my music therapy at the various acute psychiatric wards across the mental health hospital in Cambridge and Peterborough NHS Foundation Trust at the Allied Health Professionals Awards 2023 in the integration. He is a pioneer in using the instrument, handpan, in his practice. He spoke to Asian Voice detailing what the practice is about and how it can help with holistic care and healing. n what ways does music therapy contribute to overall health and wellbeing? Music therapy provides a holistic approach to addressing emotional, physical, and cognitive aspects of an individual's well-being in several ways, helping reduce stress and anxiety, improve mood, enhance emotional expression, and promote relaxation. Additionally, music therapy has been shown to aid in physical rehabilitation, boost cognitive function, and foster social connections. Studies have proved that the rhythmic and melodic elements of music

r Shriti Pattani is an accredited specialist in Occupational Health working for London North West University Hospitals NHS Trust as their Clinical Director, overseeing the health and well-being of staff across various roles, from experienced consultants to cleaning and portering staff. Recently, she was felicitated with OBE in the King’s New Year Honours. Her approach involves individual-centric as well as team-focused protection, emphasising prevention and risk analysis. The responsibilities encompass evaluating potential occupational health risks, especially in high-risk areas such as infectious disease units. Beyond individual consultations and clinics, her role extends to strategic advisories to the NHS board, CEO, and medical director. This involves addressing trends in employee wellbeing, legislative compliance, and preventive measures to ensure a healthy and safe work environment. Asian Voice reached out to the Doctor to gain a better understanding of what occupational health is, the importance of keeping track of physical and mental health in the workplace and her pilot project that will help more and more people get back into the workforce. Here’s her explanation of things. Understanding occupational health Given the increasing upper limit of the workingage population, more people are working for longer durations, spending a significant portion of their waking hours in the workplace. Consequently, understanding a patient's occupation becomes a pivotal inquiry for all doctors, whether they are general practitioners or specialists in other domains. Occupational health is a distinct branch of clinical medicine, often overlooked or unfamiliar to many. Comparable to specialities like dermatology or respiratory medicine, occupational health focuses on the interplay between an individual's health and their ability to work and the reciprocal impact of work on one's health. This dual relationship underscores the complexity of the field. The broader implications of occupational health extend beyond individual well-being, reaching into the biopsychosocial and economic spheres. Work significantly influences personal mental and physical health, as well as the health outcomes of families. While acknowledging that not all work environments are safe — exemplified by recent incidents like coal miners in

Dr Shriti Pattani OBE

India — the majority of work is considered beneficial. In essence, occupational health encompasses a multifaceted examination of how work and health intertwine, encompassing safety and broader biopsychosocial-economic determinants. Addressing the easily concealed mental health concerns in the workplace Mental well-being and mental health are two very different aspects, the latter being more complex and needing clinical management. To support mental well-being in our workplace, our health and well-being representatives engage with staff through activities like tea rounds, providing information on well-being practices such as meditation and yoga. We offer free sessions like singing seminars and gong yoga, as well as online meditation. Health and well-being lounges provide a quiet space for informal discussions. Now, regarding mental health, we conduct regular seminars to raise awareness, addressing how to recognise and support colleagues with mental health concerns. Our team actively reaches out to areas where increased stress is common; for example Accident and Emergency departments and Intensive Care Units, offering guidance on early signs and self-help strategies. We place importance on confidentiality and emphasise this to encourage staff to approach us if they need support. A powerful approach involves staff who have overcome mental health challenges sharing their experiences through seminars, and acting as role models to inspire others to seek support without fear. Mental health has always existed, but it often remained concealed and for those in our workforce who are not familiar with mental health, we provide education at all management levels. Some managers express uncertainty about dealing with mental health issues, prompting us to offer more tailored education sessions. In certain cases, I, as a doctor and trained mediator, might engage with managers, explaining the symptoms rather than focusing on the label.

Dr Pattani on her pilot to help individuals back into workforce Many in SMEs lack access to specialised occupational health services due to their organisation’s size. Leveraging my experience as a GP, I initiated a pilot program where individuals are referred directly from primary care to occupational health services. This approach aims to assist those who do not have access to occupational health services, particularly in SMEs, by providing a service similar to what is offered to NHS staff. We collaborate with GPs to identify individuals with health conditions that may be influenced by work or affect their ability to work. By intervening early, we support both the individuals and their employers to understand how the health condition affects their dayto-day functioning and therefore the implications for them in functioning in their workplace. A discussion then takes place on implementing necessary adjustments to facilitate job retention or return to work. This departure from the traditional model of on-site occupational health services is essential as only a limited percentage of employers in the country have direct access to occupational health. We are achieving positive results in getting people back to work through this pilot. Our approach is especially beneficial for vulnerable groups, such as those on zero-hour contracts, who often lack adequate support. Moreover, our focus on mental health in the workplace reaches individuals who may not have had sufficient support before. Our success in primary care has prompted us to extend this model to secondary care, targeting individuals recovering from hospital stays and aiding their return to work. For such individuals, a common challenge is the erosion of their confidence to re-enter the workforce. For those without recent work experience, we collaborate with various services to help rebuild their confidence through activities such as voluntary work, interview practice, CV writing, and mentorship. Motivational interviewing is a key strategy we employ to understand and address individuals' barriers about returning to work. This technique aids in formulating a personalised plan, and our case managers play a crucial role in ensuring the execution of this plan. While clinical professionals provide their expertise, case managers oversee the holistic support needed for successful reintegration into the workforce.

can engage various brain regions, stimulating cognitive processes and memory. hat role does music selection play in the therapeutic process? Music selection is crucial in the therapeutic process as different types of music can evoke specific emotions and responses. Therapists carefully choose music based on individual client needs, goals, and the therapeutic context. For example, calming music may be selected to reduce anxiety, while upbeat music can enhance mood and motivation. The client's preferences, cultural background, and personal associations with music are the primary guide to the selection. Therapists use different music techniques such as listening to familiar songs, music improvisation and songwriting depending on the goals of therapy. ow can music therapy be integrated into traditional healthcare practices for a holistic approach to treatment? Music Therapy, an established psychological intervention in the UK, is delivered by HCPC-registered music therapists. They aid individuals with physical and mental health conditions, collaborating with various professionals in diverse settings such as hospitals, schools, pupil referral units, day centres, hospices, care homes, etc. However, Music therapy can be integrated more into traditional healthcare practices for a holistic approach to treatment by providing music therapy awareness and collaborating with more healthcare professionals. This collaboration allows for a comprehensive care plan that addresses physical, emotional, and psychological aspects. For example, in hospitals, music therapy might be incorporated into pain management, rehabilitation, or palliative care. Communication between music therapists and other healthcare providers ensures alignment with treatment goals and enhances the overall patient experience. re there specific populations or conditions that particularly benefit from music therapy, and why? Music Therapists use the inherent qualities of music to support people of almost all ages and abilities and at all stages of life; from helping newborn

Sreeraj Kollarukandy

babies develop healthy bonds with their parents, to offering vital, sensitive and compassionate palliative care at the end of life. My experience extends to working with diverse populations including autistic children, children diagnosed with eating disorders and learning disability, young people with personality disorders, adults facing various mental health challenges and older adults with dementia at the acute psychiatric hospital in England. Additionally, I have had the opportunity to work with adults in a Forensic mental health unit and children in a Special Education needs school. Different people will benefit from music therapy in different ways depending on their needs. For example, children with developmental disorders often respond well to music therapy due to its non-verbal nature, while individuals with neurological conditions, such as stroke survivors, may benefit from music therapy by improving their motor skills and coordination. hat advice would you give to someone considering exploring music therapy for their health and wellness? If considering music therapy for your health and well-being, start by finding a certified music therapist who can tailor the sessions to your needs. Make sure to communicate your goals, preferences and the need for therapy, additionally, be open to exploring different musical approaches. Don't hesitate to ask questions about the therapeutic process and how it aligns with your objectives. Remember that it's not necessary to be musically skilled to attend music therapy. Music therapy is designed for individuals of all musical abilities. The focus is on the therapeutic process, self-expression, and achieving personal goals rather than musical proficiency. Whether you're a seasoned musician or have no musical background, you can still benefit from and participate in music therapy.

AsianVoiceNews

AsianVoiceNewsweekly

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6 - 12 January 2024

Balancing your diet isn’t about strict restrictions, it's about mindful choices - Pooja Dhir Subhasini Naicker The realm of nutrition and wellness is marked by a clear truth: dieting is not a one-size-fits-all matter. This is especially true for South Asian diets, which are rich in flavours and diversity and influenced by a blend of cultural, genetic, and lifestyle factors. These diets offer various options for weight management while staying true to cultural heritage. It's vital to understand that everyone's body responds differently to food. For South Asians, this means respecting traditional dietary habits and adapting them to align with individual health goals without losing their cultural essence. Pooja Dhir, a PhD student and specialist dietitian with City Dietitians, sheds light on this in her discussion with Asian Voice. She explores the intricacies of South Asian dietary practices, offering insights on creating balanced diets and correcting

Pooja Dhir

misconceptions about these rich culinary traditions. Balancing nutrition and lifestyle Discussing the South Asian diet in a western setting, Pooja said, “The migration of South Asians to Western environments often leads to a dietary shift towards processed and convenience foods. This change is largely influenced by busier work schedules and reduced opportunities for social activities like evening walks. Coupled with genetic predispositions, this lifestyle shift contributes to a heightened risk of chronic conditions such as diabetes and obesi-

ty. Central adiposity, a trait common among South Asians characterised by weight gain around the stomach, further exacerbates these health risks.” “Despite these challenges, the intrinsic nutritional value of traditional South Asian diets presents a viable pathway to healthier eating. These diets, emphasising vegetables like okra and bitter gourd, are rich in essential nutrients, flavours, and a variety of vitamins and minerals. Including various dals and spices, such as turmeric and cumin, not only enhances the taste of meals but also adds to their nutritional profile. By adapting these traditional dietary practices to suit the demands of modern, fast-paced Western lifestyles, South Asians can effectively balance health needs with maintaining their cultural culinary heritage,” she added. To support this dietary adaptation, she said, “By setting SMART (Specific,

Cancer diagnosis is not a stigma Individuals especially from the Asian diaspora need to seek early treatment and utilise available resources. Cancer continues to be a term associated with intense fear and impending death. The irrational fear and stigma continue to dominate over rational thinking, available diagnosis and treatment choices. Often a sense of nihilism tends to take over the mindset, in addition to hearsay remedies and miracle cures suggested by anecdotal evidence. Speaking to Asian Voice, Dr CR Chandrasekar, Consultant Orthopaedics / Sarcoma Surgeon LUHFT, Liverpool, UK said, “Asian diaspora have more inclination to trust ‘conventional’ choices and advice from their network, often ignoring symptoms and signs of cancer till they become very obvious. There’s also a sense of commitment and service to family, to prevent disruption of normal family life, often sacrificing self-care over family care. It is important to understand the barriers, preventing awareness of early diagnosis, screening and available treatment options. It’s equally important to emphasise that all cancers are treatable, especially when diagnosed early. “Two important barriers that can delay cancer diagnosis are lack of sufficient public awareness about cancer symptoms and early diagnosis options, along with lack of professional awareness especially of rare cancers. Addressing both facets will improve early diagnosis and potential cure

Dr CR Chandrasekar

of cancers. With advances in diagnosis, minimally invasive interventions, genomics, and immunotherapy, cancer is becoming less of a challenge compared to the 20th-century stigma and fear of cancer diagnosis. “Let us spread the positive New Year message “Cancer diagnosis is not a stigma. Cancer is eminently treatable with modern advances in diagnosis and treatment” “Individuals especially from the Asian diaspora need to seek early treatment and utilise available resources. It’s also important for friends and family networks of the diaspora to help overcome the reluctance to seek early treatment either due to lack of awareness or ‘self-sacrifice’ in the interest of family.” Manveet Basra, associate director of public health, inclusion, and awareness at Breast Cancer Now said: “We encourage women to be breast aware and regularly check their breasts, including between their NHS breast screening appoint-

ments, so that they are able to spot any new or unusual changes sooner. Signs and symptoms of breast cancer include a lump or swelling in the breast, upper chest or armpit, a change to the skin, such as puckering or dimpling, change in the colour of the breast – the breast may look red or inflamed, nipple change, for example it has become pulled in (inverted), a rash or crusting around the nipple, unusual liquid (discharge) from either nipple and changes in size or shape of the breast. On its own, pain in your breasts is not usually a sign of breast cancer. But look out for pain in your breast or armpit that’s there all or almost all the time. Most breast changes, including breast lumps, are not cancer. But the sooner breast cancer is found, the more successful treatment is likely to be. Any new or unusual changes should be checked by a GP. To find out more about how breast cancer affects south Asian women please visit our Ethnic communities hub | Breast Cancer Now.” “Anyone finding it hard to cope can call our free and confidential helpline on 0808 800 6000 for information and support. We understand that it can be difficult to talk to someone in person about breast cancer or breast health concerns, so if you prefer to receive information in writing email your question and ask our nurses https://breastcancernow.org/ submission/ask-our-nurses.”

Measurable, Accurate, Realistic, and Timely) goals, it can be an effective strategy. For instance, incorporating regular physical activities like walking into one’s routine, ideally with a specific schedule and involving friends or family for support, can make these goals more achievable and enjoyable." Misconceptions about South Asian foods Debunking the misconceptions about South Asian foods, Pooja said, “One of the most prevalent misconceptions is that South Asian foods are inherently unhealthy and don't contribute to a balanced diet. In reality, traditional South Asian cuisine can be a healthy and integral part of a balanced diet. Of course, like any culinary tradition, if one predominantly consumes fried foods, the diet can become unbalanced.” “Our traditional foods, like dal, roti, sabzi, and even yoghurt, are nutritious. In my clinic, I emphasise this and work with patients to understand portion control, which is a common challenge. To help them visualise a balanced meal, I

often ask them to send me photos of their plates. This way, I can provide tailored feedback on their meal's composition. My aim is to educate my patients on portion sizes, balanced eating, and eliminating guilt associated with enjoying cultural foods,” she added. Highlighting another misconception about patients with clinical conditions, she said, “Patients dealing with clinical conditions often face misconceptions about dietary restrictions. A common belief, especially among those with diabetes, is that they must eliminate sugar entirely from their diet. For example, I advise patients with diabetes to distribute their fruit intake throughout the day instead of consuming large amounts in one sitting.” Art of perfectly well-balanced plate Talking about a wellbalanced plate, Pooja said, “For a simpler approach, use a standard plate and aim to fill half of it with vegetables, which can include a mix of cooked varieties or a side salad.” “Next, a quarter of the plate should be dedicated

to protein sources. This could be dals, lentils, rajma (kidney beans), chicken curry, fish dishes, or other similar items. The remaining quarter of the plate is for carbohydrates, including rice, chapati, roti, or even naan. However, portion control is key here. For instance, two chapatis, a small bowl of rice (approximately five spoons of cooked rice), or half a piece of naan would constitute an appropriate portion size. It's important to ensure that the plate is not overflowing; the servings should be level and not spill over the sides to maintain a balanced diet,” she added. She emphasised, “This plate composition ensures a variety of vitamins and minerals are consumed. Additionally, incorporating healthy snacks throughout the day is beneficial. On the plate, you might also include a small serving of yoghurt, a popular addition in South Asian meals, as an extra source of protein. If weight management or specific health conditions are a concern, opting for low-fat yoghurt and limiting the quantity to a couple of spoons next to the salad or vegetables is advisable."