• Published on: May 02, 2020
  • 1 minute read
  • By: Dr Vibhash Mishra

Corona, Cricket And Telemedicine

  • WhatsApp share link icon
  • copy & share link icon
  • twitter share link icon
  • facebook share link icon

Corona, cricket and telemedicine

As schoolboys, gossiping about cricket and cinema was our favorite pastime. Decades later when even our children are not school kids anymore, I must confess the nature of our pastime has not become any more serious. The COVID-19 lockdown has inadvertently provided a large chunk of humanity with a rare luxury. Otherwise who has the time in today’s world to stop and stay at home to catch a breath? So catching a breath is what one does these days. Call it reflection and introspection, if you will. 

R Ashwin is considered something of an intellectual in the sport of cricket. The other day I happened to come across an interview in which he says we take sport too seriously. That is the large scheme of things, there are other far more important matters. That sports should be seen in a wider perspective and given a place that is not out of proportion. 

That took me back by several years. To 1980 to be precise when India and England were playing the golden jubilee test. Bob Taylor was given out by the umpire but the Indian captain Gundappa Viswanath thought otherwise and insisted that he was recalled. The rest, as they say, is history. Now Viswanath himself was not an also-ran by any means. Not quite an intellectual like Ashwin, but a batting genius all the same and a giant of a human being. 

We can debate the relative value of intellectuals and good human beings to society but that is not the point of my musing, although, I do believe that the world needs several-fold more good human beings than intellectuals. 

Back to the point, I was closing in on. 
There were curses and kudos for Viswanath. In the midst of all that, the legendary commentator Jasdev Singh made a very poignant remark - Viswanath gave away the game but kept alive the spirit to promote which sporting events are organized in the first place. Now, what is this spirit that Jasdev was referring to? Fairness? Justice? Healthy competition? Honesty? Integrity? But then, are those, not the values the world should be guided by anyway? Would the world not do well to adopt those values in wider life? Would you still say we take sports too seriously? Just reflecting.

Meanwhile, you all stay in and be safe, the principles of which are well-known by now - social distancing and hand hygiene. And don’t ignore your other health issues. It may be months before normalcy is restored. Your medical condition can get worse in the interim. You may think I am encouraging you to visit a hospital and risk being turned down for lack of capacity or catching an infection. I am not. I am asking you to think of an alternative way of seeking medical help. Have you considered telemedicine? Online consultation with a specialist anywhere in the world? Have you heard of www.secondmedic.com? That’s where we are.

Dr. Vibhash Mishra
Chief Medical Officer Second Medic Inc

Read Blog
Vitamin D

Vitamin D Deficiency Symptoms: Signs Your Body May Be Lacking Vitamin D

Vitamin D is an essential nutrient that plays a vital role in maintaining strong bones, supporting the immune system and regulating several important functions in the body. Despite its importance, vitamin D deficiency is one of the most common nutritional deficiencies worldwide.

In India, vitamin D deficiency has become increasingly prevalent due to lifestyle factors such as limited sunlight exposure, indoor working environments and dietary habits. According to the Indian Council of Medical Research (ICMR), a significant percentage of the population may have insufficient vitamin D levels.

Recognizing the symptoms of vitamin D deficiency early is important because prolonged deficiency can lead to serious health complications affecting bones, muscles and overall wellbeing.

What Is Vitamin D and Why Is It Important?

Vitamin D is often called the “sunshine vitamin” because the body produces it when the skin is exposed to sunlight. It plays a key role in calcium absorption, which is essential for maintaining healthy bones and teeth.

In addition to bone health, vitamin D supports several important functions including:

immune system regulation
muscle function
inflammation control
hormonal balance

Low levels of vitamin D can disrupt these functions and contribute to various health problems.

Common Symptoms of Vitamin D Deficiency

Vitamin D deficiency can manifest through several symptoms, many of which are often overlooked or mistaken for other health issues.

Persistent Fatigue

Constant tiredness or low energy levels may be one of the earliest signs of vitamin D deficiency. Even after adequate rest, individuals with low vitamin D levels may continue to feel exhausted.

Vitamin D plays a role in cellular energy production, and insufficient levels may contribute to chronic fatigue.

Bone and Back Pain

One of the most well-known effects of vitamin D deficiency is bone discomfort. Vitamin D helps the body absorb calcium, which is essential for maintaining bone strength.

Low vitamin D levels may cause:

bone pain
lower back pain
increased risk of fractures

Persistent bone discomfort should be evaluated by a healthcare professional.

Muscle Weakness

Vitamin D is important for muscle health and function. Deficiency can lead to muscle weakness, cramps or general muscle fatigue.

Older adults with vitamin D deficiency may also experience reduced mobility and increased risk of falls.

Frequent Illness or Infections

Vitamin D plays a key role in supporting the immune system. Individuals with low vitamin D levels may experience frequent colds, infections or slower recovery from illness.

Research suggests that adequate vitamin D levels help strengthen immune defenses against respiratory infections.

Mood Changes and Depression

Vitamin D may influence brain function and mood regulation. Some studies have found a connection between low vitamin D levels and mood disorders such as depression or anxiety.

People experiencing persistent mood changes should consider evaluating vitamin levels as part of a broader health assessment.

Hair Loss

Severe vitamin D deficiency may contribute to hair thinning or hair loss. While hair loss can have multiple causes, nutritional deficiencies including vitamin D deficiency may play a role.

Slow Wound Healing

Vitamin D contributes to the body’s inflammatory response and tissue repair processes. Individuals with deficiency may notice slower wound healing or delayed recovery from injuries.

Who Is at Risk of Vitamin D Deficiency?

Several factors can increase the risk of vitamin D deficiency.

Limited Sun Exposure

People who spend most of their time indoors or use strong sun protection regularly may not receive enough sunlight to produce sufficient vitamin D.

Urban lifestyles and indoor work environments contribute to this problem.

Older Adults

As people age, the skin becomes less efficient at producing vitamin D from sunlight. Older adults may therefore require additional dietary intake or supplements.

Individuals with Darker Skin

Melanin reduces the skin’s ability to produce vitamin D from sunlight. Individuals with darker skin tones may require longer sun exposure to produce adequate levels.

Poor Dietary Intake

Few foods naturally contain vitamin D. Diets lacking fortified foods, dairy products or fatty fish may contribute to deficiency.

Medical Conditions

Certain medical conditions such as kidney disease, liver disease or digestive disorders can affect vitamin D absorption and metabolism.

How Is Vitamin D Deficiency Diagnosed?

Vitamin D deficiency is diagnosed through a simple blood test that measures the level of 25-hydroxyvitamin D in the bloodstream.

Doctors may recommend testing for individuals who experience symptoms of deficiency or belong to high-risk groups.

Early diagnosis allows healthcare providers to recommend appropriate treatment and lifestyle adjustments.

How to Improve Vitamin D Levels

Sunlight Exposure

Regular sunlight exposure is one of the most effective ways to increase vitamin D levels. Experts generally recommend 10 to 30 minutes of sunlight exposure several times per week, depending on skin type and location.

Dietary Sources of Vitamin D

Although limited, certain foods contain vitamin D, including:

fatty fish such as salmon and mackerel
egg yolks
fortified milk and cereals
mushrooms

Including these foods in the diet can help maintain healthy vitamin D levels.

Vitamin D Supplements

In cases of significant deficiency, doctors may recommend vitamin D supplements. The dosage depends on the individual’s vitamin levels, age and health status.

It is important to take supplements under medical supervision to avoid excessive intake.

Preventing Vitamin D Deficiency

Maintaining adequate vitamin D levels requires a balanced combination of sunlight exposure, proper nutrition and regular health monitoring.

Routine health checkups and vitamin testing can help identify deficiencies early and prevent complications.

Adopting a healthy lifestyle with balanced nutrition and outdoor activity can significantly improve vitamin D status and overall health.

Conclusion

Vitamin D deficiency is a common but often overlooked health concern. Symptoms such as fatigue, bone pain, muscle weakness and frequent infections may indicate low vitamin D levels.

Early detection and proper management are essential to prevent long-term health complications. By ensuring adequate sunlight exposure, maintaining a balanced diet and undergoing regular health checkups, individuals can support healthy vitamin D levels and improve overall wellbeing.

Recognizing the warning signs of vitamin D deficiency and seeking timely medical advice can help protect long-term health and maintain optimal body function.

References

  • Indian Council of Medical Research (ICMR) – Nutritional Deficiency Reports

  • World Health Organization (WHO) – Micronutrient Deficiency Guidelines

  • National Institute of Nutrition (NIN) India – Vitamin D Research Reports

  • Lancet Public Health – Nutritional Health Studies

  • National Institutes of Health (NIH) – Vitamin D Fact Sheets for Health Professionals

See all

Live Doctor consultation
Live Doctor Chat

Download Our App & Get Consultation from anywhere.

App Download
call icon for mobile number calling and whatsapp at secondmedic