The Yash Approach

29/01/2026

Heart disease is rarely the result of one bad day.
It’s usually the outcome of daily habits repeated over years.
Two things matter more than most people realise:
how you eat and how regularly you move.
You don’t need extreme diets or intense workouts.
Consistency matters more than intensity.
Regular physical activity improves insulin sensitivity, blood pressure, lipid profile, and overall cardiac function.
A balanced, sustainable diet helps reduce inflammation, control weight, and protect the heart long term.
Small changes, done daily, create the biggest impact.
This clip is part of a broader heart health discussion focused on prevention and practical action.
The complete conversation is available on YouTube.
Because heart health is built quietly, one day at a time.

25/01/2026

Every year, many patients look at their reports, see a vitamin value marked in red, and immediately ask for injections.
“Doctor, B12 injection laga do.”
“Vitamin D ka shot likh do.”
The bigger issue is not the deficiency.
The issue is self-medication without indication, dose, or duration.
Not every low or borderline value needs injections.
Not every tired feeling is due to vitamin deficiency.
And multivitamins are not meant to be taken indefinitely without supervision.
Vitamin supplementation should be: • based on symptoms + levels
• given in the right form and dose
• continued for a defined duration
• reviewed after treatment
Unnecessary injections and prolonged multivitamin use don’t add benefit — and in some cases, they can cause harm.
Treat deficiencies.
Avoid habits.
Evidence should guide treatment, not anxiety.

23/01/2026

Heart disease in your 30s is not bad luck.
It’s biology — and we need to talk about it.
For years, heart disease was seen as a problem of old age.
That belief no longer holds true.
Today, we see heart attacks, sudden cardiac deaths, and serious cardiac conditions in people in their 30s and early 40s — many of whom looked “healthy” from the outside.
Here’s what’s actually happening beneath the surface:
Insulin resistance, chronic inflammation, poor sleep, smoking, alcohol, and prolonged stress quietly damage blood vessels long before symptoms appear. These processes don’t start at 50. They often begin in the 20s.
But lifestyle isn’t the only story.
Certain heart conditions have nothing to do with habits — structural defects, inherited cardiomyopathies, rhythm disorders like HOCM or malignant arrhythmias. These are among the leading causes of sudden cardiac death in young individuals and often remain undetected until it’s too late.
That’s why age is no longer a protective factor.
Prevention today doesn’t mean waiting for pain.
It means early screening, understanding family history, respecting unexplained symptoms, and not ignoring persistent fatigue, breathlessness, palpitations, or fainting episodes.
Your heart doesn’t fail suddenly.
It gives silent warnings — long before the event.
The earlier we listen, the more years of healthy life we protect.
Save this.
Share it with someone in their 30s.
Heart health starts earlier than we think.

22/01/2026

Most heart problems don’t start in the hospital.
They start with daily habits.
Diet and lifestyle play a central role in heart health — long before medicines or procedures enter the picture. What you eat, how active you are, how you sleep, and how you manage stress all quietly shape long-term cardiac risk.
Small, consistent choices matter more than occasional extremes.
Not every patient needs the same plan, but every patient needs awareness.
This clip is part of a larger heart health conversation where we discuss prevention, early warning signs, and practical steps that actually make a difference.
The complete discussion is available on YouTube.
Because prevention is always more powerful than treatment.

17/01/2026

In OPD, one of the most common ways patients judge a doctor is by how fast their symptoms disappear.

Pain gone in one day.
Cough settled overnight.
Fever controlled immediately.

While relief is important, speed of relief is a very poor marker of good medical care.

Many powerful medicines can suppress symptoms rapidly without treating the underlying disease.

Some can even mask warning signs, delay diagnosis, or create long-term harm if used incorrectly.

This expectation of instant relief has slowly distorted medical practice.

It has created a demand where doctors are pressured to “give something strong,” and where quacks thrive by offering immediate comfort without understanding consequences.

Steroids, strong painkillers, unnecessary antibiotics — these drugs make patients feel better quickly.
But quick relief does not mean correct treatment.
A good doctor is not someone who makes symptoms disappear fastest.

A good doctor is someone who:
Understands the cause,
Assesses risk,
Chooses the safest option,
Thinks long term, not just today.

Unethical prescribing often looks impressive in the short term.
It satisfies expectations, builds false trust, and creates dependency.

But months or years later, the same patient returns with complications that could have been avoided.
Medicine is not customer service.

It is decision-making under uncertainty, guided by evidence, ethics, and responsibility.

Relief matters.

But right relief, at the right time, for the right reason is what defines good medical care.

13/01/2026

Many people fear diabetes medicines.
But the real damage comes from uncontrolled diabetes, not from the treatment.

One of the most common misconceptions I hear in clinic is: “Doctor, these medicines will spoil my kidneys, liver, or heart.”

The truth is exactly the opposite.

Persistently high blood sugar is what damages organs —
the kidneys, eyes, nerves, heart, and brain.
Diabetes medications are prescribed to prevent or delay this damage, not cause it.

When diabetes is left poorly controlled:
• kidney function slowly declines
• nerve damage leads to numbness, pain, or foot ulcers
• vision is affected due to retinal damage
• risk of heart attack and stroke increases significantly
Well-chosen diabetes medications, taken at the right dose and at the right time:
• protect organs
• reduce long-term complications
• improve quality of life
• increase life expectancy
Yes, every medicine has potential side effects.
That’s why treatment is individualised, monitored, and adjusted — not randomly prescribed.
Stopping or avoiding medicines out of fear often causes far more harm than the medicine itself.
Treat diabetes early.
Treat it consistently.
And trust evidence over myths.
Control your sugars today to protect your organs tomorrow.

10/01/2026

A conversation that matters.

And questions that most people ask far too late.
This upcoming heart health episode brings together relevant, real-world cardiac concerns, with questions thoughtfully discussed by Huma Qureshi, and addressed through a clinical, prevention-focused medical lens.

We touch upon:
• early warning signs related to heart health that should never be ignored
• everyday habits that quietly influence long-term cardiac risk
• how stress, sleep, diet, and lifestyle shape cardiovascular outcomes over time
Heart disease often progresses silently.
By the time symptoms feel serious, the window for prevention has already narrowed.
Initiatives like these help bridge the gap between public curiosity and medical clarity, making evidence-based information easier to understand and easier to act upon.

The episode will be out soon.

Because informed conversations are still the strongest form of prevention.

07/01/2026

A first-in-class oral drug approved by the FDA for anemia in adult thalassemia — Mitapivat (AQVESME).

This isn’t hype.
This is metabolic medicine, backed by strong Phase 3 data — with clear benefits and serious safety considerations.

Not yet approved in India.

Awareness matters. Responsibility matters more.
👨‍⚕️ Follow for science-backed medical updates.

05/01/2026

A major global milestone in thalassemia care — but with important context for India.

The US FDA has approved Mitapivat, the first-ever oral drug for anemia in adults with thalassemia — covering both transfusion-dependent and non-transfusion-dependent alpha and beta thalassemia.

Until now, management has largely depended on: • Repeated blood transfusions
• Lifelong iron chelation
• Managing complications rather than correcting the core problem
🔬 What makes this drug different?
Mitapivat works by targeting red blood cell metabolism, addressing the disease at a cellular level — not just treating its consequences.
📌 Important reality check (especially for Indian patients):
➡️ This drug is NOT yet approved by DCGI
➡️ It is NOT currently available in India
➡️ Regulatory clearance, affordability, and long-term safety monitoring will be key challenges ahead

Still, this approval represents a historic shift — moving thalassemia care closer to:
• Reduced transfusion burden
• Better quality of life
• More patient-centred treatment models

As doctors, it’s important to share progress responsibly — celebrating scientific advancement while being honest about availability and timelines.
I’ll keep updating as more data and regulatory decisions emerge.

02/01/2026

This is something I see far more often than people realise.
Young men come to OPD worried about: – timing
– er****on quality
– performance
– confidence
Most of them are convinced of two things:
“My testosterone must be low.”
“I just need a pill to fix this.”
What they don’t realise is that the problem is often not hormonal at all.
Excessive digital sexual stimulation rewires expectations.
The brain gets used to constant novelty, intensity, and instant dopamine.
Real-life intimacy doesn’t work that way.
This creates a loop: – performance pressure
– anxiety
– self-doubt
– avoidance
– more screen dependence
And slowly, confidence drops further.
This is not a moral issue.
This is neurobiology and behaviour.
Taking over-the-counter “stimulant” pills without understanding the cause often makes things worse — psychologically and medically.
The good news? In many cases, this is reversible with: – behavioural correction
– anxiety control
– realistic expectations
– and proper medical guidance (not self-medication)
If you’re struggling, don’t self-diagnose. And don’t suffer silently.
This is more common than you think — and treatable.

02/09/2025

Choose your life over social stigma!

12/08/2025