Home > Health > Question
Need Expert Advice?Our Gurus Can Help
Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |78 Answers  |Ask -

Physiotherapist - Answered on May 22, 2024

Dr Shakeeb Ahmed Khan is a senior consultant physiotherapist with over 12 years of experience specialising in orthopaedic and paediatric physiotherapy.
He has served as a technical consultant for the World Health Organisation, the United Nations, the Tata Institute of Social Sciences and several national and international NGOs.
Besides physiotherapy, he is keenly interested in disability management, early intervention, geriatric care and assisting children with disabilities.
Dr Khan has a bachelor's degree in physiotherapy from the Ravi Nair Physiotherapy College in Wardha, Maharashtra, a master's degree in disability rehabilitation administration from the National Institute for the Mentally Handicapped, Secunderabad, and a PhD in disability management from Bangalore University.... more
Asked by Anonymous - May 22, 2024Hindi
Listen
Health

My wife had suffered with Guillain-Barre Syndrome (GBS) in November 2022, immediately she was hospitalized and treatment of IVIG injections with 5 days course was provided. As her legs were not moving, she was shifted to Physiotherapy Rehabilitation Centre. After 4 months of rigorous treatment she was able to move with leg support & stick, but still after completion of of 1 year their is no progress. Presently also she is at the same stage and not able to walk independently without leg support and stick. Kindly advise.....

Ans: I'm sorry to hear about your wife's experience with Guillain-Barre Syndrome (GBS). It's important for your wife to continue with her physiotherapy sessions and other rehabilitation efforts. Even if progress seems slow, consistent therapy can help maintain existing mobility and potentially lead to further improvements over time.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
Health

You may like to see similar questions and answers below

Nidhi

Nidhi Gupta  |152 Answers  |Ask -

Physiotherapist - Answered on Dec 04, 2023

Listen
Health
Dear Sir, My mother ( 79 yrs.) had sudden onset of constipation & other little bit of gastro-intestinal problems two & half years back. At the same time she complained of pain in the left side of lower abdomen (illiac region). Gastroenrtrologist didn't find any specific serious problem. All tests has been done (USG abdomen, colonoscopy, endoscopy, all bood test,vitamins, TSH, LFT,KFT etc). She was checked by doctor at apollo chennai. They also didn't find any problem with gastro-entrology side. Patient still complaining of pain in left side of lower abdomen, walking difficulties. stifness all over, Pain in left lower limb, pain in the cervical region, both upper limb. Recently one of my friend (Dr.)visited my house. He has diagonised ankle edema, cervical spondyolysis, tunnel carpel syndrome & parkinson & advised me to meet an neurologist. He advised me to do CBC, CRP, Anti-CCP, X-ray of cervical region & nerve conduction study. All are normal except X-ray & NConduction. X-ray shows of spondyolysis & NC study impression : AXONAL TYPE OF SENSORI-MOTOR POLYNEUROPATHY. I met Neorologist He prescribed Pramipex 0.125mg TD for 14 days & then increase the dosage by double. I have started physiotherapy. I She is taking medicine for last four days. I am finding it difficult to manage the situation. Kindly give me some guidance or am i moving in right direction?
Ans: Hello Biswajit,
I can understand your situation. Regular physiotherapy is very important for your mother.
You can also try some other alternate therapies like sujok, accupressure or some ayurvedic treatment.
With allopathy alternate therapies are very good to do to help manage the situation better and improve her quality of life.
All the best!

..Read more

Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |78 Answers  |Ask -

Physiotherapist - Answered on Apr 04, 2024

Listen
Latest Questions
Ramalingam

Ramalingam Kalirajan  |3744 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jun 16, 2024

Asked by Anonymous - Jun 16, 2024Hindi
Money
Sir, My take home salary is 39.5 K, living on rent, Will have a matured savings of 9.5 L by two months, I am having PF deduction every month which is now cumulated to about more than 1.5 L Having two daughters elder one is going to be 19 by Sep 2024 and younger one would be 14 by Oct 2024. With the purpose to easily meet my upcoming liabilities and getting home easily in 10 years, suggest some investment, Whether I have to invest in gold or sip or anything else Please suggest with amount advice also.
Ans: Evaluating Your Financial Situation
You are earning a take-home salary of Rs. 39,500 and living on rent. You have a matured savings amount of Rs. 9.5 lakhs and a PF balance of over Rs. 1.5 lakhs. Your two daughters are 18 and 13 years old, with the elder one turning 19 by September 2024 and the younger one turning 14 by October 2024. You aim to meet upcoming liabilities and purchase a home in 10 years. Let's delve into a comprehensive investment strategy to help you achieve these goals.

Immediate Financial Priorities
Emergency Fund:
Ensure you have an emergency fund equal to 6-12 months of your living expenses. This fund should be easily accessible and kept in a savings account or liquid fund.

Debt Repayment:
If you have any high-interest debt (e.g., credit card debt), prioritize paying it off. High-interest debt can erode your savings faster than you can build them.

Health and Life Insurance:
Ensure you have adequate health insurance for your family. Additionally, having term life insurance is crucial to secure your family's future in case of an unfortunate event.

Education Fund for Daughters
Higher Education:
Your elder daughter will soon enter higher education. Create a separate fund to cover her education expenses. Consider investing in a balanced mix of debt and equity funds to match the timeline.

Younger Daughter’s Education:
Start a long-term investment plan for your younger daughter's higher education. You have around 4-5 years before she enters college, so a mix of equity and debt funds is appropriate.

Investment Strategy for Home Purchase in 10 Years
Systematic Investment Plans (SIPs):
SIPs in mutual funds are an excellent way to build a corpus over time. They offer the benefit of rupee cost averaging and compounding. Since your goal is 10 years away, consider investing in equity mutual funds through SIPs for higher returns.

Balanced or Hybrid Funds:
To reduce risk while still aiming for growth, you can invest in balanced or hybrid funds. These funds invest in both equity and debt, providing a balanced approach.

Recurring Deposits (RDs) and Fixed Deposits (FDs):
While not as high-yielding as mutual funds, RDs and FDs offer guaranteed returns and are suitable for those seeking low-risk investments.

Gold as an Investment
Advantages:
Gold acts as a hedge against inflation and currency fluctuations. It is a safe investment, especially during economic uncertainty.

Disadvantages:
Gold does not generate regular income like dividends or interest. Its value can be volatile in the short term.

Recommendation:
Limit gold investments to 5-10% of your portfolio. Consider gold ETFs or sovereign gold bonds for better liquidity and returns.

Detailed Investment Plan
Monthly Investment Allocation
Given your take-home salary and financial commitments, a disciplined approach is crucial.

Emergency Fund:
Maintain Rs. 2-3 lakhs in a liquid fund or savings account for emergencies.

SIPs for Education:

Elder Daughter: Start an SIP of Rs. 5,000 per month in a balanced fund.
Younger Daughter: Start an SIP of Rs. 3,000 per month in an equity fund.
SIPs for Home Purchase:
Allocate Rs. 10,000 per month in diversified equity mutual funds through SIPs. This will help build a substantial corpus over 10 years.

Gold Investment:
Invest Rs. 2,000 per month in gold ETFs or sovereign gold bonds.

Retirement Fund:
Continue your PF contributions and consider an additional SIP of Rs. 3,000 per month in a retirement-focused fund.

Utilization of Lump Sum Savings
Education Fund:
Allocate Rs. 3 lakhs from your matured savings to a balanced fund for your elder daughter's immediate education expenses.

Home Purchase Fund:
Invest Rs. 4 lakhs in a combination of equity and hybrid funds to kickstart your home purchase fund.

Retirement Fund:
Invest Rs. 2.5 lakhs in a diversified equity fund or a retirement-focused mutual fund.

Monitoring and Rebalancing
Regular Review:
Review your investment portfolio every 6 months. Assess the performance of your funds and make adjustments if necessary.

Rebalancing:
Rebalance your portfolio annually to maintain your desired asset allocation. This helps in managing risk and optimizing returns.

Long-term Investment Principles
Discipline and Consistency:
Regular and disciplined investing is crucial. Stick to your SIPs and avoid the temptation to withdraw funds prematurely.

Risk Management:
Diversify your investments across asset classes to manage risk. Avoid putting all your money in a single type of investment.

Professional Guidance:
Consult with a Certified Financial Planner (CFP) periodically to ensure your investment strategy remains aligned with your goals.

Benefits of Actively Managed Funds
Potential for Higher Returns:
Actively managed funds aim to outperform the market through strategic stock selection and timing.

Professional Management:
Experienced fund managers continuously monitor and adjust the portfolio to capitalize on market opportunities.

Flexibility:
Actively managed funds can quickly adapt to changing market conditions, which is beneficial in volatile markets.

Drawbacks of Index Funds
Market Performance:
Index funds only match market performance and cannot outperform it. In bearish markets, they perform poorly.

Lack of Flexibility:
Index funds are passively managed and cannot adapt to market changes or opportunities.

Disadvantages of Direct Funds
Higher Responsibility:
Investing in direct funds requires thorough research and continuous monitoring, which might not be feasible for all investors.

Lack of Guidance:
Without professional advice, you might miss out on strategic investment opportunities and risk management.

Time-Consuming:
Managing direct funds can be time-consuming and requires a deep understanding of market dynamics.

Final Insights
Your current financial situation requires a balanced approach towards meeting immediate needs and future goals. Establishing a robust emergency fund, focusing on your daughters’ education, and systematically building a home purchase fund are essential steps. Diversifying your investments across equity, debt, and gold will help manage risk and enhance returns. Regular monitoring, disciplined investing, and professional guidance from a Certified Financial Planner will ensure you stay on track towards achieving your financial objectives.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

...Read more

Ramalingam

Ramalingam Kalirajan  |3744 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jun 16, 2024

Asked by Anonymous - Jun 16, 2024Hindi
Money
Hi sir. I am 38 years old have started SIP from 2024 jan. Following are the fund i am doing SIP. 1. Kotak ELSS 2. Quant ELSS 3.parag parikh flexi cap- regular 4.Nippon infrastructure growth-regular 5. SBI contra- regular 6.franklin india focussed equity fund-regular 7.Bajaj finserv multiasset alocation-regular 8.ICICI prudential silver ETF fund 9.ICICI prudential bharat 22 fof 10. HDFC small cap fund- regular My total monthly SIP amount 23000 INR. Kindy let me know if i have good portfolio diversification. Do i need to stop SIP in any kf above fund and start some other good fund. My motto is to get maximum return for next 10-15 years.
Ans: Assessing Your Investment Portfolio
Your investment portfolio is diversified, and that is commendable. However, let’s delve into the specifics of your funds to see if there’s room for optimization. Portfolio diversification is essential, but too many funds can lead to over-diversification, which might dilute returns.

Equity Linked Savings Schemes (ELSS)
You have two ELSS funds. ELSS is excellent for tax-saving under Section 80C. They also offer the potential for high returns due to their equity exposure. However, investing in multiple ELSS funds can be redundant. Consider consolidating your ELSS investments into one well-performing fund to streamline your portfolio.

Flexi Cap Funds
Flexi cap funds are versatile as they invest across market capitalizations based on the fund manager's outlook. Your flexi cap fund choice is prudent as it offers flexibility and diversification within itself. This type of fund can balance risk and reward effectively, adapting to market conditions.

Sectoral and Thematic Funds
You are investing in an infrastructure growth fund. Sectoral funds can provide high returns but come with higher risk due to their concentrated exposure. Infrastructure is a promising sector but is also susceptible to economic cycles and regulatory changes. It’s wise to limit exposure to such sector-specific funds to avoid significant volatility in your portfolio.

Contra Funds
Contra funds invest in undervalued stocks and follow a contrarian approach. These funds can provide significant returns during market corrections when undervalued stocks rebound. However, they require patience and a long-term horizon, which aligns well with your 10-15 year investment goal.

Focused Equity Funds
Focused equity funds concentrate on a limited number of stocks. This strategy can yield higher returns if the selected stocks perform well but also increases risk due to lower diversification. Ensure that the focused equity fund aligns with your risk tolerance and long-term goals.

Multi-Asset Allocation Funds
Multi-asset allocation funds invest across asset classes like equity, debt, and gold, providing diversification and risk management. This fund type is suitable for balanced growth and risk mitigation. Including such a fund in your portfolio adds stability and reduces dependency on market performance.

Precious Metals Fund
Your investment in a silver ETF fund adds an element of commodity diversification. Precious metals like silver can hedge against inflation and currency fluctuations. However, precious metal funds can be volatile and might not perform consistently over time. Limit exposure to such funds to avoid excessive risk.

Fund of Funds (FoF)
The Bharat 22 FoF invests in a basket of stocks from the Bharat 22 index, providing diversification within a single fund. FoFs can offer easy access to diversified portfolios but come with higher expense ratios due to the layered fee structure. Ensure the FoF aligns with your overall investment strategy and cost considerations.

Small Cap Funds
Small cap funds invest in smaller companies with high growth potential. These funds can offer substantial returns but also come with higher risk due to market volatility. Given your long-term horizon, small cap funds can be a valuable addition for capital growth, but monitor their performance and risk exposure closely.

Regular vs. Direct Funds
You have chosen regular plans through a mutual fund distributor (MFD) with a Certified Financial Planner (CFP) credential. Regular funds have slightly higher expense ratios due to distributor commissions. However, the guidance and advice from a certified professional can be invaluable in navigating market complexities and making informed decisions. Direct funds, while cheaper, require a deep understanding of market dynamics and continuous monitoring, which might not be feasible for all investors.

Disadvantages of Index Funds
Index funds, which you haven't opted for, have the disadvantage of passively following a market index. They cannot outperform the market as they merely replicate index performance. In contrast, actively managed funds, like the ones in your portfolio, have the potential to outperform through strategic stock selection and market timing by experienced fund managers. Active management can add significant value, especially in volatile or bearish markets.

Portfolio Optimization Suggestions
Consolidate ELSS Investments: Streamline your ELSS investments into one well-performing fund to avoid redundancy and simplify tracking.

Review Sectoral Fund Exposure: Limit exposure to sectoral funds like the infrastructure growth fund to manage risk better. Sectoral funds should not form a large portion of your portfolio.

Focus on Core Holdings: Maintain a balanced mix of flexi cap, contra, and focused equity funds as core holdings for stable and diversified growth.

Limit Precious Metals and Sectoral Exposure: Keep your investments in precious metals and sectoral funds minimal to avoid excessive risk from market volatility.

Evaluate Expense Ratios: Regularly review the expense ratios of your funds, especially the FoFs, to ensure they are cost-effective relative to their performance.

Understanding Market Cycles and Patience
Investing for 10-15 years requires understanding market cycles and having patience. Markets will have ups and downs, and staying invested during downturns is crucial for long-term growth. Avoid the temptation to make frequent changes based on short-term market movements. Instead, focus on your long-term goals and stay committed to your investment strategy.

Regular Review and Rebalancing
Regularly reviewing your portfolio and rebalancing it as needed is vital. As market conditions change, the allocation of your investments may drift from your original plan. Rebalancing ensures that your portfolio remains aligned with your risk tolerance and investment objectives. It also helps lock in gains and manage risks effectively.

Importance of Diversification
Diversification reduces risk by spreading investments across various asset classes and sectors. While you have diversified your investments, ensure that no single fund or sector dominates your portfolio. Proper diversification can enhance returns while mitigating risks, helping you achieve a balanced and resilient portfolio.

Role of a Certified Financial Planner
Working with a Certified Financial Planner (CFP) provides access to professional advice tailored to your financial goals. A CFP can help you make informed decisions, optimize your portfolio, and navigate complex market conditions. Their expertise ensures that your investments are aligned with your risk tolerance and long-term objectives.

Final Insights
Your current portfolio demonstrates a commendable approach towards diversification and long-term growth. However, streamlining your investments and focusing on core holdings can enhance returns and manage risks more effectively. Regular reviews and rebalancing, along with professional guidance from a Certified Financial Planner, will ensure that your investment journey remains on track towards achieving your financial goals.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

Close  

You haven't logged in yet. To ask a question, Please Log in below
Login

A verification OTP will be sent to this
Mobile Number / Email

Enter OTP
A 6 digit code has been sent to

Resend OTP in120seconds

Dear User, You have not registered yet. Please register by filling the fields below to get expert answers from our Gurus
Sign up

By signing up, you agree to our
Terms & Conditions and Privacy Policy

Already have an account?

Enter OTP
A 6 digit code has been sent to Mobile

Resend OTP in120seconds

x