SILS Gastric Bypass
Single Incision Laparoscopic Roux-En-Y Gastric Bypass, a first of its kind surgery in India performed by Dr. Rajkumar Palaniappan on 12.02.2011. Now, complete obesity surgical solution is available in India by Single hole scarless technique.
Oct
18
Be Cautious In Life You Are Answerablegod Won't Ask What Kind Of Education Degree You Have,but Will Ask How Many People You Taught Or Make Them Educated.god Won't Ask How Humble Soft You Describe Your Self ,but Will See How Humbly You Behave With Fellow Persons.god Won't Ask You How Wise And Diplomatic You Are,but How You Utilise These To Improve Humility And Humanity. God Won't Ask What Kind Of Car You Drove, But Will Ask How Many People You Drove Who Didn't Have Transportation. God Won't Ask The Square Footage Of Your House, But Will Ask How Many People You Welcomed Into Your Home.god Won't Ask About The Fancy Clothes You Had In Your Closet, But Will Ask How Many Of Those Clothes Helped The Needy.god Won't Ask About Your Social Status, But Will Ask What Kind Of Status You Raised To Down One Fellows.god Won't Ask How Many Material Possessions You Had, But Will Ask Whether You Utilised Them To Show Yourself. God Won't Ask What Your Highest Salary Was, But Will Ask If You Compromised Your Character To Obtain That Salary.god Won't Ask How Much Overtime You Worked, But Will Ask If You Worked Overtime For Your Family And Loved Ones. God Won't Ask How Many Promotions You Received, But Will Ask How You Promoted Others. God Won't Ask What Your Job Title Was, But Will Ask If You Reformed Your Job To The Best Of Your Ability.god Won't Ask What You Did To Help Yourself, But Will Ask What You Did To Help Others. God Won't Ask How Many Friends You Had, But Will Ask How Many People To Whom You Were A True Friend. God Won't Ask What You Did To Protect Your Rights, But Will Ask What You Did To Protect The Rights Of Others.god Won't Ask In What Neighborhood You Lived, But Will Ask How You Treated Your Neighbors. God Won't Ask About The Color Of Your Skin, But Will Ask About The Content Of Your Character. God Won't Ask How Many Times Your Deeds Matched Your Words, But Will Ask How Many Times They Didn't.god Won't Not Ask You How Strong Your Body Is,but Ask You How You Make Many Weak Persons Strong One.god Won't Ask You How Rich Wealty You Are,but How You Donate This Wealth To Welfare Down Trodden And Poors.god Won; Ask You How Popular Are You In Media,but Ask Your Popularity In Heart Of Common Man Living With You.so Be A Really A Good Man By Heart Not A Show Mandr.d.r.nakipuriaambika Chikitshalya29 Agrasen Road,siliguri-509434143550
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Feb
19
Mamma...mia.!!!! Since Times Immemorial Breasts Have Always Held The Fascination Of Mankind Irrespective Of The Age. And The Fact Is Just As True Today As It Was Many Years Ago. But The Only Thing That Has Changed Is The Fact That Women Themselves Also Are Starting To Take Notice Of Them. So Let Us Examine And Learn A Few Things About Breast Augmentation Or As It Is Fondly Called " A Boob Job!" Who Undergoes A Breast Augmentation….?. Is It The Celebrities Or Routine People?? What Drives Them To Get The Operation? Do They Understand The Risks Involved And About The Procedure??? For The First Question The Answer Is No! It Is Not Only The Celebrities, But Routine People, The Housewife, The Teacher, The Software Engineer, The Doctor… People From All Walks Of Life Who Undergo The Procedure. What Drives Them To Get The Procedure Done?? Well A Few Have Pathological Problems In The Chest Area And Hence Have To Go In For An Augmentation. But, Majority Of The Women Undergo The Procedure Because Either The Volume Was Less To Start Off With Or Decreased With Age And Multiple Pregnancies Or Sudden Weight Loss. What Drives Them Is The Fact That Breasts Are A Sign Of Femininity And These Women Feel That The Decreased Volume Of The Breasts Affects The Way They See Themselves. First Of All Let Us Understand Some Facts Regarding Breasts : 1. Breast Size Is Variable In People And There Is No Fixed Size Which Is The Norm. Several Deciding Factors Like The Amount Of Breast Tissue, Heredity, How Fat The Person Is And The Fact That Whether The Person Has Been Pregnant Before All Contribute To Breast Size. And Of Course Age Is A Contributing Factor As Always 2.there Is Nothing Like A Perfect Breasts.usually Perky Breasts Without A Sag And Nipples Pointing Forwards And A Little Laterally Are Acceptable As The Norm But They Vary With The Size. Small Perky Breasts Look Good If The Person Is Thin But Not On A Well Built Female. So Its All About Proportion. 3. 99.9% Women Have Asymmetrical Breasts The Left Usually Being Larger Than The Right. The Nipples May Be Erect, Flat, Inverted, The Areola May Be Large Or Small, With Or Without Few Hairs Growing Long, Or The Areola May Be Bumpy All Of Which Are Normal. Regarding Understanding The Procedure And The Risks Involved, I’m Sad To Say That Though Most Of The Patients Are Educated Women, Hardly 10% Of Them Really Know About The Procedure And The Risks Involved. Broadly There Are Two Categories Of Women Undergoing The Procedure. The First Category Or Age Group Is The Young Women Who Are In Their 20's Who Want To Increase Their Bust Size Because They Have Underdeveloped Breasts. The Second Category Or Age Group Of Patients Are Those In Their 30's Who Are Usually Mother's Who Have Finished With Their Families And Now Have Their Children Off To School And Have Done With Their Responsibilities And Want To Get Back Into Shape And Feel They Way They Used To Maybe 10 Years And Two Children Back. This Section Of Patients Has Seen A Steady Increase And I'm Sure We Are Going To See More Of Them. But In This Group Many A Times They Might Require Certain Ancillary Procedure Along With A Breast Augmentation Which Is Usually A Breast Lift Or A Areola Reduction Or The Such. Breast Augmentation Surgery Was First Performed In 1962 By A Texas Plastic Surgeon Who Used Silicone Breast Implants To Enhance The Size Of A Woman’s Breasts. 1997 Hbo Film "breastmen" Starring David Schwimmer And Chris Cooper Shows A Cinematic Representation Of The Introduction Of The Concept Of The Breast Implant To Increase Breast Sizes And The Early Days Of Breast Augmentation Surgery And Its Pitfalls. Breast Augmentation Surgery Has Come A Long Way Since Then With Lots Of Advancements In The Type Of Implants And Techniques, Though The Basic Methods Remain The Same. A Common Fear Amongst Women Is The Fear Of Cancer With Implants. This Is Totally Unfounded As Per Research Done By Various Medical Fraternities. Recently Even In The Us, The Fda Has Cleared The Use Of Silicone Gel Implants. Otherwise, Silicone Gel Implants Are Used Widely All Over Europe, South America, And Asia, Though Saline Implants Are Also Equally In Vogue Though More In North America.. Implants Are Commonly Filled With Saline Or Silicone Gel. Both Implant Types Have Advantages And Disadvantages. The Saline Implants Are Silicon Bags Into Which Saline Is Injected To Fill It Up. The Advantage Of This Is That Smaller Incisions To Place The Implant Can Be Used And The Sizes Can Be Increased Or Decreased In Case Of Volumetric Discrepancies Between The Right And The Left Breasts. But The Disadvantage Is That Some Of The Saline May Leak Over A Period Of Many Years And The Implant May Have To Be Replaced. The Silicone Gel Implants Are Permanent As They Do No Deflate. But They Require A Larger Incision Size. They Have A Natural Feel And The New Highly Cohesive Gel Implants Do Not Leak Even If They Are Punctured Or Cut. The Choice Of The Implant Is Usually Left To The Patient. The Implant Can Be Inserted In Three Ways Either Through The Armpit Or Through A Cut Below The Breast Or Through A Cut Around The Nipple/areola. The Approach Is Determined By The Size Of The Implant And The Individual Patient. Recently The So Called “scar Less Breast Augmentation” Has Been In Demand Also Known As The “tuba” Here A Saline Filled Implant Is Inserted Through The Belly Button And Hence The Scar Is Hidden Giving It The Name Scar Less. The Implant Can Either Be Placed In Front Of The Muscle Of The Chest Wall, “sub Glandular” Or Behind The Muscle, “sub Muscular”. Placement Of The Breast Implant Under (behind) The Pectoralis Muscle Is Preferred In Women With Anatomically Less Breast Tissue Since The Results Are More Aesthetic. Placement Behind The Muscle Does Not Stop You From Using Those Muscles, Though Body Builders And Weight Lifters Tend To Prefer Placement Over The Muscle. Placement Under The Muscle Allows For A More Natural Look And Feel Than Placement Over The Muscle. Also, The Incidence Of Capsular Contracture Is Decreased With This Placement. Placement Behind The Muscle Allows Easier Breast Self-examination And Improved Images With Mammography When Compared To Placement In Front Of The Muscle, All This Because It Is Far Away From The Normal Breast Tissue. The Common Problems After A Breast Augmentation Surgery Are Mild Pain And Discomfort After The Procedure. This Is A Little More In The Sub Muscular Placement Of The Implant. Scar Maybe A Problem If You Have An Incision Below The Breast Which Will Be Seen In The Initially But Fades Over A Period Of Time. You Might Be Required To Do Some Regular Massages For The Next 6 Months Which Your Surgeon Will Explain After The Surgery. The Most Common Cause Of Dissatisfaction Amongst Women Undergoing The Procedure Worldwide Has Been The Size Of The Implant With Most Women Feeling That They Should Have Gone In For A Bigger Implant. The Cause For This Is That Initially Because Of The Swelling The Size Looks More And As The Swelling Settles Down The Size Feels A Little Smaller . But The Size Has To Be Determined By The Amount Of Tissue She Has, The Incision , The Type Of Implant. In The End One Has To Realize That The Final Decisions Are Taken After A Proper Consultation And Examination. Also The Fact That, All Surgeries Have Their Associated Risks And Complications, Which Every Surgeon Operating On You Will Surely Address. This Article Was Aimed At Educating Women About The Procedure Of Breast Augmentation, Allay Few Fears And Misconceptions And To Help Them Make Educated Decisions Regarding The Same. Dr.surindher Www.cosmesisindia.com #note: This Article Is The Sole Property Of Cosmesisindia.com And Dr.surindher. No Part May Be Reproduced In Complete Or In Part Without Permission From Dr.surindher.
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Apr
16
Multicare Adavnced Homoeopathy Treatment (maht) In Kidney Failure Chronic Kidney Failure Or Chronic Renal Failure (crf) Or Chronic Kidney Disease (ckd) The Different Name In One Disorder, The Kidney Failure Is A Fatal Disease Where The Body’s Waste Products Which Should Be Expelled Out From Our Body In The Form Of Urine Through Our Both Kidneys Cannot Be Excreted Out Due To Nonfunctioning Of Kidneys And That Leads To Multi Organ Failure. The Major Causes Of Chronic Kidney Failures Are Diabetes Mellitus (also Called Diabetic Nephropathy), Hypertension, Sle (lupus Nephropathy), Poly Cystic Kidneys, Renal Carcinoma (cancer). The Extension And Severity Of Damage In Kidney Tissues Can Be Evaluated Through Glomerulus Filtration Rate (gfr). Normal Kidney Function – Gfr Above 90ml/min/1.73m2 And No Proteinuria The Severity Of Chronic Kidney Disease (ckd) Is Described By Five Stages; 1) Ckd1 – Gfr Above 90ml/min/1.73m2 With Evidence Of Kidney Damage 2) Ckd2 (mild) – Gfr Of 60 To 89 Ml/min/1.73m2 With Evidence Of Kidney Damage 3) Ckd3 (moderate) – Gfr Of 30 To 59 Ml/min/1.73m2 4) Ckd4 (severe) – Gfr Of 15 To 29 Ml/min/1.73m2 5) Ckd5 Kidney Failure - Gfr Less Than 15 Ml/min/1.73m2 Some People Add Ckd5d For Those Stage 5 Patients Requiring Dialysis; Many Patients In Ckd5 Are Not Yet On Dialysis Common Treatment Procedure There Are Three Procedures In Modern Medicine For Such Condition. 1. Symptomatic Medicines With Some Specific Medicines To Control The Causative Disease Such As Diabetes Mellitus, Hypertension, Etc And Diuretics To Reduce The Oedematic Conditions. 2. Dialysis (haemodialysis Or Peritoneal Dialysis Depending On The Doctors Decision) 3. Kidney Transplantation Those Are Not The Curative Treatment Procedure For Kidney Failure Palliative Treatment Tries To Keeps A Person Alive By Performing The Crucial Functions Of The Kidneys By Dialysis Or Kidney Transplantation. But Homeopathic Treatment Stimulates Someone's Immune System To Perform Normal Functions - This Way Damaged Kidneys Start Functioning Normally (depends Upon The Stage Of The Disease) Which Type Of Kidney Patients Should Take Homeopathic Treatment? 1. Healthy Persons Who Have Strong Family History Of Renal Failure Should Take Multicare Advanced Homeopathic Treatment (maht) To Avoid The Risk Of Renal Failure. 2. Diabetic Patients Who Are Suffering From Hypertension Also Must Take Multicare Advanced Homeopathic Treatment (maht). 3. Persons Who Are Having Symptoms Of Early Renal Failure Of Unknown Etiology Must Start The Multicare Advanced Homeopathic Treatment (maht). 4. Patients Suffering From Recurrent Renal Stone Formation Or Having Stone Lodged Somewhere In The Ureter Must Start Maht. 5. Kidney Patients Of Any Stage Should Start Maht As Earliest As Possible For Avoiding Passing Into The Complete Renal Damage. 6. Patients Who Are Taking Some Urine Forming Medicines Such As Lasix, Dytor Etc. Should Start Maht Otherwise Their Kidneys Will Have To Suffer Badly. 7. Patients Who Are On Dialysis Can Get Rid Off The Frequent Dialysis By Taking Multicare Advanced Homeopathic Treatment (maht) 8. Patients Who Are Waiting For Renal Transplantation Should Start Maht Which Can Stop The Urgent Need Of Kidney Donor. It's Mean To Say That Nothing Is Too Late For Maht To Start; Every Patient Should Start It As Soon As They Come To Know About Benefits Of Maht. The Maht Improvement Percentage In Crf Stage Wise Stage- Ckd1 Gfr Level - Above 90ml/min/1.73m2 Percentage Of Improvement In Maht - 100% Approximate Visible Improvement Period By Mhat - Within 1month Stage- Ckd2 Gfr Level - 30 To 59 Ml/min/1.73m Percentage Of Improvement In Maht - 100% Approximate Visible Improvement Period By Mhat - Within 1month Stage- Ckd3 Gfr Level - 60 To 89 Ml/min/1.73m2 Percentage Of Improvement In Maht - 70% To 80% Approximate Visible Improvement Period By Mhat - Within 2 Month Stage- Ckd4 Gfr Level - 15 To 29 Ml/min/1.73m2 Percentage Of Improvement In Maht - 50% To 60% Approximate Visible Improvement Period By Mhat - Within 4 Month Stage- Ckd5 Gfr Level - Less Than 15 Ml/min/1.73m2 Percentage Of Improvement In Maht - 50% To 60% Approximate Visible Improvement Period By Mhat - Within 4 Month The Present Treatment Verses Homeopathy Treatment In Crf 1. Duration Of Treatment: Lifelong Treatment In Present Conventional System Of Treatment. Homeopathic Medicines Can Be Stopped In 2 To 5 Years Depending On The Severity And Underlying Cause Of The Disease. 2. Chance Of Revive Of Kidney: Damaged Kidneys Cannot Be Repaired In Present Conventional System Of Treatment. Modern Medicine Try To Facilitate The Bodily Waste Products To Pass Out By The Process Of Dialysis Through Artificial Or By Transplanted Natural Kidney And Simultaneously By Doing Forced Diuresis With The Diuretic Medicines That Eventually Lead To More Damage To The Remaining Nephrons (renal Cells). Though Homeopathy Does Not Provide Any Substitute (dialysis Or New Kidney) For Any Organ (kidney) But It Can Revive The Damaged Organ As It Has Been Proved At Many Times In Our Multicare Advanced Homeopathic Treatment (maht). 3. Dialysis Verses Homeopathy: There Is No Curative Procedure For Crf In Present Conventional System Of Treatment. Kidney Transplantation And Dialysis Does Not Cure Renal Failure, But Instead Keeps A Person Alive For Few Months To Years By Performing The Crucial Functions Of The Kidneys. The Process Of Dialysis Cannot Be Stopped Once A Patient Starts On It. As The Time Passes This Procedure Has To Done More Frequently. Even Doctors Cannot Imagine That It Can Be Slow Down (gap In Dialysis Can Be Increased) So They (doctors) Compel Their Patient To Come For Dialysis More Frequently. As Long As The Patient Is Performing Dialysis Can Live Few Months To Years (just To Live, Not In A Completely Healthy Condition) But If Stop Then No Chance To Survive. But Homeopathy Stimulates Someone's Immune System To Perform Normal Functions, In This Way Damaged Kidneys And Other Organ's Functions Start Improving .patient's Kidneys May Start Improving As Soon As He Starts Taking Homeopathic Treatment. It Helps The Patient Withdrawing From Dialysis. That's Why Homeopath Advises His Patient To Increase Gap In The Subsequent Dialysis. 4. Treatment Cost Factor: In Allopathic System Patient Has To Spend Rs.5000 To 20000/- Per Month Exclusively On Medicines. Expanses Of Hospital's Fee And Investigations Are Superfluous. Homeopathic Treatment Cost Depends On The Severity Of Disease And Knowledge And Experience Of The Doctor, Even A Costliest Doctor's Treatment Remains Quite Economical Than Allopathic Expenses. 5. Kidney Transplant Complication: In Case Of Kidney Transplanted Patients Kidney's Linked Diseases Like Diabetes Mellitus And Hypertension May Become Uncontrolled Instead Of Taking Full Medical Care. But Multicare Advanced Homeopathic Treatment (maht) Not Only Repairs The Damaged Kidneys But Simultaneously It Helps In Maintaining The Blood Sugar Level And Blood Pressure To A Normal Level. 6. Treatment Concept: In Present Conventional System Of Treatment Damage Is A Continuous Process, It Can Be Slow Down Up To A Certain Limit But Cannot Be Stopped. In Multicare Advanced Homeopathic Treatment (maht) Can Stop The Further Damage Of Diseased Organ Without Delay And Further Treatment May Revive The Damaged Tissue. 7. Scope Of Treatment In Polycystic Kidney: In The Similar Way Present Conventional System Of Treatment Can Not Treat (correct) The Cysts Or Tumors Of Kidneys. Our Multicare Advanced Homeopathic Treatment (maht) Can Treat The Tumors As Well As Polycystic Kidneys Also. 8. Symptomatic Verses Curative Treatment: Doctors And Patient Always Remain Worried About The Bio-chemistry (sodium, Potassium, Calcium, Phosphorus, Etc.) Otherwise Some Complications May Likely To Occur. Even With Taking Care Of All The Measures Patient Starts Complaining Of Symptoms Related To Electrolyte Imbalance Almost Every Day. In Multicare Advanced Homeopathic Treatment (maht) Once Patient's Immunity Improves (you Can Feel It Just Within Days) All Organs' Functions Will Start Improving Simultaneously Bio-chemistry Also Becomes Normal Naturally. For Detail Contact At Call At – 91-9937412150 Visit: Www.multicarehomeopathy.com
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