Showing posts with label obesity. Show all posts
Showing posts with label obesity. Show all posts

Sunday, December 1, 2013

Cooking as a ‘man – hobby’

Cooking as a ‘man – hobby’

Hobby is something you enjoy. I do not do it for money….. just for the sheer fun of it. 

Cooking by a man, least of all by someone doing surgery is not the ‘done thing’ in India!

I used to make deserts for my boys when they were little as my wife had an evening clinic. I had plenty of time in the evenings… so the boys not only enjoyed the bread pudding, making chocolates with nuts, jellys, but also learnt table manners at home.

We had a book of table etiquette for the armed forces. Pravin, Mervyn and I used to read this together… we learnt how to lay the table, which spoon goes where,who sits where, etc.

Now my boys have grown up to fine men and we still talk about those times. I nearly choked when my son Mervyn now abroad wanted the phone to be passed from my wife so that he could get my bread pudding recipie for a guest!

So cooking improves family ties first of all. My boys are game for washing up after a meal- so the manners are easy.

When I resided in Chennai for a few years, away from my family, my resolve, as a novice, was to cook all on my own and that I would never venture out for food as a necessity.

So armed with cook book donated by the author Renuka Rajkumar my cousin, I ventured into the unknown.

My wife Neena donated an entire kitchen. My sister in law Lalitha donated her mixie. My close friends chipped in with bits and bobs whenever needed.

Cooking can be traditional sticking to the rules and regulations. But once you get the hang of the usual stuff, you tend to delve deeper.

 Like for instance, making dosas from the ready made flour was not good enough for me. I started grind the dough for idlies and dosa on twice a week basis.. which most housewives abhor.

Then graduated to Appams starting from the making the doughs as ingredients, different types of murukkus; then from Tamilian to Kerala Cooking!- to Goan Cooking; from Biriyani ( fresh made ingredients) to Chinese cooking. Google and hours of desperate  phone calls to my sister, cook friends, old classmates  helped!

From the regular to high protein, low calorie cooking…. From frying to grilling fish, chicken . And this helped my patients who understood me better while talking of food in obesity. After all obesity surgery is close to my heart, and food with exercise forms  the main chunk of advice before and after obesity ( bariatric ) surgery.

Once I returned to Coimbatore and got involved with our own hospital, there has not been much spare time. But we have an excellent maid who would cook as you tell her. 

Though those who know me well accept my interest in cooking. It creates a controversial curiosity  in those who  do not know me well.

The average Tamilian woman thinks it is below the dignity of a man to cook on his own! Most Tamilian men believe this!!

I have learnt plenty  in cooking, which I apply in life
  • ·         Patience
  • ·        Breaking tradition
  • ·        Learn to ask for help or advice
  • ·        Everyone can teach you something you do not know
  • ·        Staying healthy
  • ·        Never anyone tell you what you can and what you cannot do!
  • ·        All of us have a good cook in us trying to get out!
  • ·        Most important of all, – First ask’ “Why?” and then, “Why not?”..... This makes life and cooking   a great combination!



Monday, June 24, 2013

New Guidelines for High Blood Pressure

 New European High Blood Pressure Guidelines

  • The European Society of Hypertension and the European Society of Cardiology have come out with new guidelines for the management of high blood pressure.
  • In patients with diabetes, the lower blood pressure should be kept below 85 mm Hg
  • The new recommendation is that all blood pressure patients should be treated to keep the upper blood pressure lower than 140 mm Hg.
  • In patients with diabetes, the lower blood pressure should be kept below 85 mm Hg
  • In patients younger than 80 years, the upper blood pressure can be kept 140-150 mm Hg
  • Blood pressure higher than 140/90 increases the risk of cardiovascular disease.
  • The salt recommendation is 5 to 6 gram per day.
  • Reducing salt to 5 gram per day can reduce upper blood pressure by up to 2 mmHg in normal persons and 4 to 5 mmHg in patients with high blood pressure.
  • Loosing 5 kg of weight can reduce upper blood pressure (systolic) by 4 mmHg.
    • Regular aerobic exercise training in high blood pressure patients can reduce upper blood pressure by 7 mmHg.
  • Drug therapy should be started typically within a few weeks if diet and exercise are ineffective in higher-risk patients. Low or moderate risk patients may be given a trial of lifestyle modifications for few months.

Thursday, March 17, 2011


Obesity in India. 19.3.11


Obesity is the second commonest preventable cause of death in the world next to smoking. It has been definitely shown by studies that overweight state leads to an early death. If one is able to control the weight, then there is longevity of life as the complications of obesity do not occur .


Overweight status is increasing all over the world and India is no exception to this phenomenon.India's National Family Health Survey indicates that more than 20 percent of urban Indians are overweight or obese. And in the northwestern state of Punjab, nearly 40 percent of all women are overweight or obese. Morbid obesity in India has increased to 5% of the Indian population,


Every sixth diabetic in the world is an Indian - earning India the title "the world's diabetes capital." Indians store more body fat per kilogram than Europeans.Obesity increases the chances of getting diabetes in Indians .


Half a decade ago, obesity and diabetes were found among the middle and upper classes. Now obesity is increasing among the poor population as well. This may well be due to the inexpensive easily accessible fast food and oily snacks ever so popular in the slums.


Children too have an increasing incidence of obesity.The prevalence of overweight and obesity was higher in the high income group as compared children of the middle and low income groups.This may be largely due to the fact that the food is taken with much fatty contents and less of physical activity.


There exists a distinct possibility that with better patient education and community teaching, the factors causing the obesity in children and adults can be effectively dealt with and the associated diabetes and cardiac illness can be minimized and in many instances prevented.


Dr John AC Thanakumar

Senior Consultant

Minimal Access , Bariatric and Gastrointestinal Surgery

Global Hospital, Chennai.


Email: drjact @gmail.com

mobile:9443709158.

www.lapsurge.com