Month: December 2023

Tobacco A Curable Disease – Oral Cancer Can Be Controlled

** “TOBACCO A CURABLE DISEASE – ORAL CANCER CAN BE CONTROLLED”

–       Dr Pawan Gupta at the 26th NZIAPSM CON at MMIMSR, Mullana, AMBALA

In a groundbreaking session at the 26th North Zone Annual Conference at MMIMSR, Mullana, Ambala, Dr. Pawan Gupta, a distinguished surgical oncologist and pioneer in Tobacco Cessation Intervention, delivered a resounding message – tobacco is a curable disease and oral cancer can be controlled with the right interventions. The talk was chaired by Dr. Sonu Goel and Dr. Jai Kishan

Dr. Gupta, the Founder Director of ICanCaRe and Senior Director of Surgical Oncology at MAX Institute of Cancer Care, Vaishali, Delhi NCR emphasized the critical need to treat tobacco as a disease for a 100% success rate in curing it. His #advisequittobacco campaign urges healthcare professionals to adopt the “ASK, ADVISE, and REFER” approach, recognizing the moral responsibility and ethical practice of incorporating Tobacco Cessation into healthcare.

During his talk on “Newer Strategies for Tobacco Cessation and Oral Care,” Dr. Gupta unveiled innovative approaches, including the highly successful #ABCDtobaccocessation method and the Chota daana campaign. This approach, coupled with the ICanCaRe Tobacco Cessation protocol, has achieved a remarkable 100% quit rate. Dr. Gupta also showcased TrisCaRe, an ingenious mouth-opening device designed to assist betel nut users in quitting tobacco and mouth-opening due to submucous fibrosis.

The ICanCaRe Academy, under the #SAVEtheyouth initiative, collaborates with the Indian Association of Public and Social Medicine (IAPSM) to build capacity for effective tobacco control. This comprehensive program involves sensitization, digital interventions, and the creation of a network comprising Tobacco Marshals, Ambassadors, and Cessation Specialists. Over 1,000 doctors have been trained through the ICanCaRe Academy, contributing to a promising future for a tobacco-free society.

Dr. Gupta’s call for an “Advice Quit Tobacco” campaign underscores the pivotal role healthcare professionals play in addressing the root cause of various diseases associated with tobacco consumption. He stresses that no disease can be fully cured if patients continue to use tobacco.

Recognizing the complexity of tobacco as a disease and its role as a root cause of numerous health issues, ICanCaRe’s capacity-building program aims to reach across India through the #SAVEtheyouth campaign. This initiative involves sensitizing against tobacco, assisting users to quit through a digital protocol intervention, volunteer training for capacity building, and enforcing a tobacco-free society. ICanCaRe looks forward to collaborating with Institutes to set a center of Excellence for Capacity building for Tobacco Cessation.

Dr. Gupta’s extensive research has led to the establishment of a simplified digital Tobacco Cessation protocol on the ICanCaRe Tobacco Cessation APP, and he is the author of several books on this subject. His commitment to educating the medical community and the public is evident through the success of ICanCaRe Academy’s training programs.

As a gesture of gratitude, ICanCaRe extends thanks to the 26th NZIAPSM Annual Conference organizing team, especially Dr. Anshu Mittal and Dr. Saras Sanchaya, for their invitation to this enlightening event.

The future looks promising for the #ICanCaRe initiative, as young doctors at the conference express eagerness to implement the ICanCaRe protocol in their future practices. Dr. Pawan Gupta’s mission for a tobacco-free society gains momentum, providing hope and inspiration for a healthier tomorrow.

#ICanCaRe #ICanCaReAcademy #PawanGupta #SAVEtheyouth #TobaccoFree #TobaccoMarshal #CTCS #OCTC #NZIAPSMCON #anshumittal #IAPSM #TobaccoCessation #anshumittal #sonugoel #sarassanchaya #TobaccoCessationIntervention #CapacityBuildingForTobaccoCessation

16th ICanCaRe Tutorial for Certified Tobacco Cessation Specialists

Summary of the 16th ICanCaRe Tutorial for Certified Tobacco Cessation Specialists

The 16th tutorial for Certified Tobacco Cessation Specialists took place on December 15, 2023, featuring Dr Abhishek Bhadranna Dr. Abhishek Bhadranna and Dr. Siddhi HathiwalaDr Dr. Siddhi as lead presenters. Notably, this marked the final tutorial of the year, attended by 24 CTCS professionals.

Agenda Highlights:

1. Community Engagement and Advocacy: Emphasis was placed on self-promotion and advocating tobacco cessation in the community and among fellow healthcare professionals. The advisequittobacco and save theyouth campaign by ICanCaRe were focal points.

2. Leadership Highlights: Dr Abhishek Bhadranna highlighted the recent activities of CTCS leaders, with special mention of Dr. Siddhi Hathiwala, @Dr. Surbhi Jindal, Dr Shikha Jindal Consultant Pulmonologist, SIPHER STRATEGIC Dr. Rakesh Gupta, Dr. Varsha B.K, and Dr Pawan Gupta

3. Clinical Case Presentation: Dr. Varsha B.K, presented a case involving a patient transitioning from smoking to chewing tobacco, with a resulting oral lesion. The team guided the approach using the ICanCaRe app, emphasizing the ABCD of tobacco cessation.

4. Special Medication Pricing: Information about exclusive pricing for tobacco-related medications in clinic settings for Certified Tobacco Cessation Specialists was shared to enhance treatment accessibility.

5. Professional Identity Building: Dr Abhishek Bhadranna demonstrated creating professional visiting cards using PowerPoint and Canva, encouraging participants to establish a robust identity in the field.

6. Educational Blogs: Dr Shikha Jindal Consultant Pulmonologist, discussed her blog on PRISm and its relevance to smokers, providing a link for further exploration.

7. ICanCaRe Acknowledgment: Dr Pawan Gupta stressed the importance of CTCS acknowledging ICanCaRe in all presentations, online and offline.

Additionally, it was decided to create an ICanCaRe template for visiting cards and a common PowerPoint for community presentations. Members requested a unified presentation for community outreach based on the SAVEtheYouth campaign.

The tutorial concluded with Mrs. Sonal inviting everyone to join SYNC-ENERGY, a holistic health approach by ICanCaRe completing six months. Dr. Siddhi delivered the vote of thanks.

Members’ Feedback:

The monthly ICanCaRe Academy Tutorial for CTCS was praised for providing a platform to discuss complex cases and find solutions for successful tobacco cessation. The program, held on the 16th of each month from 9-10 PM, encourages active participation. Those interested in submitting cases or obtaining further information can contact Dr. Mariya, Dr. Siddhi, Dr. Anshika, or Dr Abhishek Bhadranna. Aspiring CTCS professionals can explore the certification process at www.icancare.in/academy/ctcs.

Stay connected with ICanCaRe Academy on social media using #icancareacademy #icancaretutorial #icancare #siddhi #pawangupta #CTCS #icancare #mariya #anshikapandey #abhishekbhadranna.

16th ICanCaRe Tutorial for Certified Tobacco Cessation Specialists

Smokers with diabetes and hypertension at higher risk of Cardiovascular events

“Smokers with diabetes and hypertension at higher risk of Cardiovascular events”. – ICanCaRe

Introduction:

I continuation of our previous blog article on the risk of smoking and diabetes type 2, a recent article on a link of CVD with diabetes, highlights the need for a comprehensive smoking cessation program for such patients.

In the complex landscape of managing type 2 diabetes, the link between blood pressure levels and cardiovascular disease (CVD) mortality has emerged as a critical focal point. A recent study published in the Journal of the American Heart Association delves into the intricate relationship between systolic and diastolic blood pressure (BP) levels and their impact on mortality in patients with type 2 diabetes. The findings, drawn from a multi-institutional diabetes registry in Singapore, underscore the urgency for comprehensive interventions like ICanCaRe to address the cardiovascular risks associated with type 2 diabetes.

Unraveling the Study’s Objectives:

Led by Loraine Liping Seng and her colleagues, the study aimed to unravel the correlation between systolic and diastolic BP levels and the risk of CVD mortality in patients with type 2 diabetes. Additionally, the study explored associations with all-cause mortality, the composite outcome of all-cause mortality and CVD hospitalization, and the composite outcome of CVD mortality and hospitalization due to specific cardiovascular events such as myocardial infarction (MI), heart failure (HF), stroke, bypass surgery (CABG), and percutaneous coronary intervention (PCI).

The Singaporean Perspective:

Utilizing data from a multi-ethnic Asian patient pool – Chinese, Malay, and Indian – the study delved into a rich repository of information encompassing primary care to hospital-based care. The comprehensive analysis included 83,721 patients with type 2 diabetes over a span of seven years. Notably, almost 80% of the participants were on antihypertensive treatment, highlighting the prevalence of the condition in this population.

Key Findings and Implications:

The study’s primary outcome revealed a notable association between clinic systolic BP of 130 mm Hg or higher and/or diastolic BP of 90 mm Hg or greater with an increased risk of CVD mortality in patients with type 2 diabetes. Intriguingly, adverse cardiovascular outcomes were also paradoxically linked to diastolic blood pressure levels below 70 mm Hg. While the authors acknowledge the potential influence of reverse causality, the study emphasizes the importance of maintaining systolic BP below 130 mm Hg and diastolic BP below 90 mm Hg in individuals with type 2 diabetes.

ICanCaRe: A Holistic Approach to Cardiovascular and diabetic Health:

In light of these findings, the ICanCaRe Tobacco Intervention program takes center stage as a holistic approach to address the multifaceted challenges posed by type 2 diabetes. Recognizing the intricate interplay between cardiovascular health, diabetes, and other lifestyle factors, ICanCaRe empowers individuals to make informed choices and adopt a comprehensive approach to well-being. The ICanCaRe program is designed to offer personalized support to individuals seeking to quit Tobacco. Understanding that each journey is unique, the program tailors its strategies to meet each participant’s specific needs and challenges. (www.app.icancare.in). Medical assistance in a protocol-based approach is provided by Certified Tobacco Cessation Specialists. This multi-faceted ABCD approach for tobacco cessation ensures that individuals have access to all necessary resources to 100% quit smoking or Chewing tobacco.

Conclusion:

As the nexus between type 2 diabetes, blood pressure levels, and cardiovascular risks becomes clearer, interventions like ICanCaRe gain significance in the realm of patient care. By integrating the latest research findings into its framework, ICanCaRe supports tobacco cessation, guiding individuals through the complexities of managing diabetes and promoting cardiovascular health. In a world where data illuminates the path to better outcomes, the ICanCaRe program becomes an invaluable tool in the fight against the complications of type 2 diabetes with increased risk with smoking, offering a lifeline to those seeking a healthier, more empowered future.

Reference:

  1. Loraine Liping Seng, et al. Real-world systolic and diastolic blood pressure levels and cardiovascular mortality in patients with type 2 diabetes-results from a large registry cohort in Asia. J Am Heart Assoc. 2023 Nov 28:e030772. doi: 10.1161/JAHA.123.030772.
  2. World Health Organization, International Diabetes Federation, and the University of Newcastle. “Policy Brief on Smoking and Type 2 Diabetes.” This brief offers a comprehensive overview of the research linking smoking cessation to a reduced risk of type 2 diabetes.
  3. ICanCaRe. “Tobacco Cessation Program Overview.” www.icancare.in
  4. American Diabetes Association. “The Impact of Smoking on Diabetes and Diabetes Management.” This article discusses the implications of smoking on diabetes management and the benefits of cessation.
  5. National Institute of Diabetes and Digestive and Kidney Diseases. “Smoking and Diabetes.” This resource offers a deeper understanding of how smoking affects diabetes risk and control.
  6. ICanCaRe. (2021). ABCD of Tobacco Cessation. https://www.icancare.org/abcd.html

#icancare #diabetesandSmoking #smoking #quittobacco #icancareapp #CVDandsmoking